Research in Community and Public Health Nursing

Original Articles

[English] Factors Associated with Nurse Self-Leadership: A Cross-Sectional Study of Nurses Working at Public Health Centers and Primary Healthcare Posts: Saeryun Kim, Younkyoung Kim; Res Community Public Health Nurs. 2024;35(3):195-206. Published online September 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00493

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Abstract PDF Supplementary Material: Purpose
This study aimed to analyze the factors influencing self-leadership among public health nurses as they implement health promotion projects in public health centers and primary healthcare posts.
Methods
The study sampled 120 public health nurses from 22 public health centers and their associated primary healthcare posts in J province. Data were collected from October 11 through October 25, 2022.
Results
Employment at a primary healthcare post instead of a public health center (β=.23, p=.012), was significantly associated with self-leadership in model 1 (adjusted R2=.17, F=4.56, p<.001). Furthermore, communicative competence (β=.48, p<.001) and nursing professionalism (β=.26, p=.001) were significantly associated with self-leadership in model 2 (adjusted R2=.51, F=14.77, p<.001).
Conclusion
Open and self-directed work environments, along with opportunities for education and training, are necessary to enhance communicative competence and nursing professionalism. These improvements may, in turn, strengthen self-leadership among nurses, facilitating the implementation of health promotion projects within public health institutions.

[English] Mediating Effects of Self-leadership in the Relationship between Public Health Nurses' Organizational Culture and Their Job Performance: Nam Hee Park, Kyung Jo Lee, Sang Ju Lee; J Korean Acad Community Health Nurs. 2017;28(1):23-33. Published online March 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.1.23

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3 Citations

PURPOSE
The purpose of this research is to enhance organizational competitiveness of health centers as well as private medical institutions serving as public health and medical institutions. It tries to help them to cope with the requirements from health consumers, to enhance public health nurses' job performance.
METHODS
After verifying the reliability of the tool, confirmatory factor analysis was used to detect a model, in which valid path coefficients exist among variables. The detected model was then selected as the subject and its validity was verified. Finally, a structural equation model was applied to verify whether the estimate was suitable for the purpose of this research.
RESULTS
As for the nursing organizational culture, the public health nurses considered relation-oriented culture the most desirable. As for the self-leadership, they considered self-compensation the most desirable. It was found that mediating effects of self-leadership was partially significant.
CONCLUSION
To enhance job performance, it is necessary to make a transition from the organizational culture to the relation-oriented culture and it is also necessary to develop a program capable of reinforcing self-leadership. In addition, it is necessary to conduct a research to verify whether such a developed self-leadership program is influential on job performance enhancement.

Citations

Citations to this article as recorded by

Effect of Continuing Professional Development on Self-Efficacy for Nurses: A Cross-Sectional Study
Mukhlid Alshammari
The Journal of Continuing Education in Nursing.2026; : 1. CrossRef
Factors Associated with Nurse Self-Leadership: A Cross-Sectional Study of Nurses Working at Public Health Centers and Primary Healthcare Posts
Saeryun Kim, Younkyoung Kim
Research in Community and Public Health Nursing.2024; 35: 195. CrossRef
Mediating Factors in Nursing Competency: A Structural Model Analysis for Nurses’ Communication, Self-Leadership, Self-Efficacy, and Nursing Performance
Ae Young Kim, In Ok Sim
International Journal of Environmental Research and Public Health.2020; 17(18): 6850. CrossRef

[English] The Effectiveness of a Cultural Competence Training Program for Public Health Nurses using Intervention Mapping: Yune Kyong Kim, Hyeon Kyeong Lee; J Korean Acad Community Health Nurs. 2016;27(4):410-422. Published online December 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.4.410

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12 Citations

Abstract PDF

PURPOSE
This study evaluated the effects of a cultural competence training program for public health nurses (PHNs) using intervention mapping.
METHODS
An embedded mixed method design was used. Forty-one PHNs (experimental: 21, control: 20) and forty marriage migrant women (MMW) (20, in each group) who were provided nursing care by PHN participated in the study. The experimental group was provided with a four-week cultural competence program consisting of an eight hour offline and online course, e-mail newsletters and social networking services (BAND). Transcultural Self-efficacy (TSE) of the PHNs, client-nurse trust, and satisfaction with nursing care of MMW were measured. Ten PHNs in the experimental group were interviewed after the experimental study.
RESULTS
The experimental group showed a significantly greater improvement in TSE, client-nurse trust, and satisfaction with nursing care than did the control group. Six themes emerged from qualitative data: (a) Recognizing cultural differences, (b) Being interested in the multicultural policy, (c) Trying to communicate in MMW's own language, (d) Providing medical information using internet and smart phone, (e) Embracing culturally diverse people into society, and (f) Requiring ongoing cultural competence training.
CONCLUSION
Cultural competence training enabled PHNs to provide culturally competent care and contribute to MMW's health outcomes.

Citations

Citations to this article as recorded by

Impact of Cultural Competence Training on Healthcare Provider and Patient Outcomes: A Systematic Review and Meta-Analysis
Joy N. Jacob, Gabriel S. Oladipo, Josephine Gbobbo, Ope Z. Adejanju, Blasius O. Okwara, Chidimma M. Okoye
International Journal of Medicine and Health Development.2026; 31(2): 160. CrossRef
Perceived barriers and facilitators of accessing statutory and non-statutory services, in disadvantaged communities, in England: a co-produced qualitative review
Kristof Santa, Rosie Gordon, Buket Kara, Jorg Huber, Henry Pollock, Heather Catt, Prabhad Jayakody, Koser Khan, Andrew Harding, Anna Kenyon, Jade Swain-Veneziale, Amalia Theophilou, Grace Robson, Barbara Mezes
Public Health Reviews.2026;[Epub] CrossRef
The effectiveness of cultural competence interventions in nursing: A systematic review and meta-analysis
Selvedina Osmancevic, Laura Maria Steiner, Franziska Großschädl, Christa Lohrmann, Daniela Schoberer
International Journal of Nursing Studies.2025; 167: 105079. CrossRef
The Effectiveness of Community Nurse Training Programs to Improve Nurses' Competency in Community Settings: a Systematic Review and Meta‐Analysis
Napamon Pumsopa, Ann Jirapongsuwan, Surintorn Kalampakorn, Sukhontha Siri, Piyanee Klainin‐Yobas
International Journal of Nursing Practice.2025;[Epub] CrossRef
Healthcare Professionals’ Cultural Competence in Diabetes Care: A Systematic Review
Monica Nikitara, Achonwa Esther Mba, Evangelos Latzourakis, Costas S. Constantinou
Healthcare.2025; 13(22): 2910. CrossRef
Beliefs and Intentions of Anesthesia Physicians Toward Providing Culturally Competent Care to Transgender Patients
Erin Blanchard, Retta Evans, Hussein Abdullatif, Michelle Brown, Tekuila Carter, Jenna LaChenaye
Transgender Health.2023; 8(6): 542. CrossRef
Does cultural competence training for health professionals impact culturally and linguistically diverse patient outcomes? A systematic review of the literature
Elizabeth Vella, Victoria M. White, Patricia Livingston
Nurse Education Today.2022; 118: 105500. CrossRef
Translation to practice of cultural safety education in nursing and midwifery: A realist review
Cath Wilson, Kimberley Crawford, Karen Adams
Nurse Education Today.2022; 110: 105265. CrossRef
E‐learning cultural competence for public health workers: A feasibility and pilot study
Duckhee Chae, Yunekyong Kim, Jeeheon Ryu, Keiko Asami, Jaseon Kim, Kukhyeon Kim
Public Health Nursing.2021; 38(5): 897. CrossRef
Effectiveness of cultural competence educational interventions on health professionals and patient outcomes: A systematic review
Duckhee Chae, Jinhee Kim, Suhee Kim, Jina Lee, Seojin Park
Japan Journal of Nursing Science.2020;[Epub] CrossRef
Development of a comprehensive communication skills curriculum bases on intervention mapping in response to an urgent need for community health workers' education reform: A study protocol
Hashem Heshmati, Elham Shakibazadeh, Sara Mortaz Hejri, Abbas Rahimi Foroushani, Roya Sadeghi
Journal of Education and Health Promotion.2020;[Epub] CrossRef
Agreement on Core Components of an E-Learning Cultural Competence Program for Public Health Workers in South Korea: A Delphi Study
Duckhee Chae, Hyunlye Kim, Jae Yong Yoo, Jina Lee
Asian Nursing Research.2019; 13(3): 184. CrossRef

[English] Nursing Informatics Competencies of Public Health Nurses in Chungcheongnam-do: Hyun Kim, Mi Young Kim; J Korean Acad Community Health Nurs. 2013;24(1):20-28. Published online March 31, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.1.20

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4 Citations

Abstract PDF

PURPOSE
The aim of the study was to identify nursing informatics competencies of nurses working for public health centers in Chungcheongnam-do.
METHODS
Data were collected from June 10 to July 25, 2012 using the Nursing Informatics Competencies Questionnaire (NICQ). Data were analyzed by descriptive statistics, t-test, chi2-test, ANOVA and Pearson's correlation coefficient.
RESULTS
Nursing informatics competencies of the subjects showed a mean score of 3.3+/-1.0 out of 5. As for scores of individual categories, the score for computer skills competencies was 3.3+/-1.0, informatics knowledge competencies 3.4+/-0.9, and informatics skills competencies 3.0+/-0.9. Nursing informatics competencies were positively correlated with the subjects' ages (r=.65, p<.001), computer usage hours (r=.23, p = .015), levels of demand for informatics knowledge (r=.51, p<.001), and informatics skills education (r=.78, p<.001).
CONCLUSION
Nursing informatics is required to be connected with job training or in-service education on account of its growing necessity for public health nurses. It is also essential to develop programs for strengthening informatics competencies reflecting sub-categories of educational needs.

Citations

Citations to this article as recorded by

Information Security in Nursing
Jiwon Kang, GyeongAe Seomun
Advances in Nursing Science.2021; 44(1): 16. CrossRef
RETRACTED: The Mediating Effect of Social Capital on the Relationship Between Public Health Managers' Transformational Leadership and Public Health Nurses' Organizational Empowerment in Korea Public Health
Soo Young Jun
Asian Nursing Research.2017; 11(4): 246. CrossRef
The Influence of Nursing Informatics Competency on Job-Satisfaction and Nursing Performance
Jeon-Ma Lee, In-Sun Gang, Su-Jeong Yu
The Korean Journal of Health Service Management.2015; 9(1): 109. CrossRef
An Identification Study on Core Nursing Competency
Young Im Park, Jeong Ah Kim, Ja-Kyung Ko, Myung Sill Chung, Kyung-Sook Bang, Myoung-Ae Choe, Mi Soo Yoo, Hye Young Jang
The Journal of Korean Academic Society of Nursing Education.2013; 19(4): 663. CrossRef

[English] Concept Analysis of Health Promotion Competence in Public Health Nurses: Jeong Soo Kim; J Korean Acad Community Health Nurs. 2011;22(3):281-289. Published online September 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.3.281

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15 Download
5 Citations

Abstract PDF

PURPOSE
The purpose of this study was to define and clarify the concept of health promotion 'competence' in public health nurses (PHNs).
METHODS
A hybrid model was used to develop the concept of competence. The model included a field study carried out in Seoul, Korea. The participants in this study were 20 PHNs who were working in the health promotion area.
RESULTS
The concept of health promotion competence was found to be a complex phenomenon having a meaning in two dimensions: personal-relationship and environmental-relationship. Four attributes and eight indicators were defined.
CONCLUSION
Health promotion competence was defined as the ability to have understanding and flexibility in practicing (personal-relationship dimension) and to have capacity for uniqueness and leadership in planning (environmental-relationship dimension). Therefore, PHNs who work in the health promotion area should be equipped with attributes and indicators of health promotion competence to enhance their competence in health promotion.

Citations

Citations to this article as recorded by

Factors Associated with Nurse Self-Leadership: A Cross-Sectional Study of Nurses Working at Public Health Centers and Primary Healthcare Posts
Saeryun Kim, Younkyoung Kim
Research in Community and Public Health Nursing.2024; 35: 195. CrossRef
Analysis of Current Status of the Community Health Nursing Practice Education
Yoo Hyang Cho, Eun Young Do, Kyung Sook Kang, Young Me Kim, Younkyoung Kim, Farrah Rou, Chong Mi Lee, In Hee Choi, Hee Chung Choi
Journal of Korean Academy of Community Health Nursing.2017; 28(3): 347. CrossRef
The Relationship between Cultural Competency and the Importance of Nurses' Qualities Perceived by Undergraduate Nursing Students
Kyung Sook Choi, Woo Sook Lee, Yeon Suk Park, Myunghee Jun, So Young Lee, Yeonwoo Park, Soo Young Park, Thongpriwan Vipavee
Journal of Korean Academy of Community Health Nursing.2016; 27(2): 163. CrossRef
Development of Program Outcome Self-Assessment Tool in Korean Nursing Baccalaureate Education
Hyun-Kyoung Kim
The Journal of Korean Academic Society of Nursing Education.2015; 21(2): 215. CrossRef
Development of a Standardized Job Description for Healthcare Managers of Metabolic Syndrome Management Programs in Korean Community Health Centers
Youngjin Lee, Jina Choo, Jeonghyun Cho, So-Nam Kim, Hye-Eun Lee, Seok-Jun Yoon, GyeongAe Seomun
Asian Nursing Research.2014; 8(1): 57. CrossRef

[English] Analysis of Working Time of Nurses in Urban Public Health Center Branches in South Korea.: Focused on Nurses for Visiting Health Service and Chronic Disease Management: Kyung Ja June, Hee Gerl Kim, Souk Young Kim, Ae Young So, Shin Young Sohn, Eun Ok Park; J Korean Acad Community Health Nurs. 2008;19(4):649-659. Published online December 31, 2008

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Abstract PDF: PURPOSE
The purpose of this study is to investigate working time of nurses in urban public health center branch, especially for nurses for visiting health service and chronic disease management.
METHOD
Daily note, which was developed by this research team, was distributed to nurses at 7 urban public health center branches to be filled out them for 2 weeks during 2 month from June 2007 to August 2007. We analyzed 121 daily notes recorded by visiting nurses and 65 daily notes written by chronic disease management nurses were analyzed.
RESULTS
The total working time for visiting nurses at urban public health center branches was 589.85 minutes per day on the average. They spent 147.13 min in actual visiting nursing services, 149.36 min in documenting, 66.94 in preparing, 77.69 min in transferring, and 11.84 min in referring. The total working time for chronic disease management nurses at urban public health center branches was 582.92 minutes per day on the average. They spent 148.77 min in actual chronic disease management services, 120.62 min in documenting, 42.46 min in group education, 37.38 in preparing, and 10.38 min in referring.
CONCLUSION
Based on the results of this study, it is recommended to improve documenting systems and to increase community resources linkage were recommended through the results of this study. The results of this study are expected to be used to plan staffing at urban public health center branches in the future.

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