Research in Community and Public Health Nursing

Original Articles

Contract Employment Experiences of Visiting Nurses at Public Health Centers in the Metropolitan Area: Focused on Employment Type and Treatment: Hee Gerl Kim, Soong Nang Jang, Young Ran Chin, Jung Yi Hur, Ryoun-Sook Lee; J Korean Acad Community Health Nurs. 2022;33(2):175-187. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.175

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Purpose
This study was conducted with a focus group interview that drew out experiences, limitations, and difficulties in the workplace according to the employment conditions of visiting nurses in the public health centers. Methods A total of 12 visiting nurses are those working in the public sector in Seoul and Gyeonggi province who were willing to participate in the interview. Analysis categories and coding were divided into three categories: compensation system, occupational status, and opinions to improve their treatment. Using the content analysis method, the current working status and compensation system of visiting nurses were described. Results The main themes derived from the significant statements of visiting nurses were ‘Ten years of frozen salary system’, ‘Full-time workers of their own league’, ‘Excluded from performance benefits’, ‘Every visiting nurses are virtually precarious’, ‘Experience of exclusion and discrimination’, and ‘Reasons and barriers to be a full-time worker’. All of the visiting nurses working in the community insisted on having equal treatment for work of equal value. Visiting nurses in the public health sector wanted to be set to the same payment system and the fair allowance system as well. It is necessary to continuously seek solutions to the problems left in insisting on the civil service of visiting nurses. Conclusion Visiting nurses who were working in a precarious job position felt job insecurity, and experienced discrimination, alienation, and exclusion. Legal and institutional reform is needed to improve the treatment of visiting nurses.

Citations

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Welfare Program Recommendation by Conditional Variational Autoencoder and Collaborative Filtering
Sungeun Kim, Mingi Ji, Il-Chul Moon, Weonyoung Joo
Journal of the Korean Institute of Industrial Engineers.2023; 49(1): 28. CrossRef

The Follow-up Study of Changes in Frailty in Elderly Receiving Home Health Care of the Public Health Center: Dong Ok Lee, Young Ran Chin; J Korean Acad Community Health Nurs. 2019;30(4):528-538. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.528

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Abstract PDF

PURPOSE
The purpose of this study was to follow-up the frailty of the old who received home health care by Registered Nurse in Public Health Center over 8 years.
METHODS
We used the second wave data which was a comprehensive longitudinal data set, Public Health Information System of a public health center located in Seoul from 2010 to 2018. For statistical analysis, a mixed model of repeated measures by R program was used.
RESULTS
Frailty (range: 0~31) was getting worse significantly from 5.38 on registration to 6.54 on 4th year, 7.40 on 7th year, 7.69 on 8th year with adjustment for age, sex, economic status, the number of family, and the number diseases. The coefficient of parameters with frailty change was serviced year (Î²=0.29, p < .001), age (70~79 to 60~69; Î²=0.98, p=.018) and sex (female to male; Î²=2.55, p < .001).
CONCLUSION
This study showed that the home visiting health service needs to take attention to aged 70s and over, female. The home health care of public health center need to be extended more practical and effective services in terms of â€˜community careâ€™ and â€˜ageing in placeâ€™.

Citations

Citations to this article as recorded by

Factors influencing the stages of frailty among Korean older adults focusing on objective and subjective social isolation
Song Yi Han, Hye Young Jang, Young Ko
BMC Geriatrics.2022;[Epub] CrossRef
Long-term Monitoring of Changes in Blood Pressure, Blood Glucose, and Total Cholesterol Levels among Frail Older Individuals Receiving Home Health Care Nursing in South Korea
Young-Ran Chin, Hyo Young Lee
Journal of Community Health Nursing.2021; 38(1): 13. CrossRef
Type 1 Diabetes Home Care Project and Educational Consultation
Eun Chong Shin
The Journal of Korean Diabetes.2020; 21(2): 88. CrossRef

Importance and Performances of Visiting Nurse Services Provided under the Long Term Care Insurance System for the Elderly: Do Hwa Byeon, Hye Jin Hyun; J Korean Acad Community Health Nurs. 2013;24(3):332-345. Published online September 30, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.3.332

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11 Citations

Abstract PDF

PURPOSE
This study was attempted to provide quality improvement and revitalization of visiting nurse services by Importance-Performance Analysis of persons being provided with the services.
METHODS
The subjects were 350 people being provided with visiting nurse services from a long term home care institution in the kangwon Province during the period of data collection between Aug. 16 and Sep. 15, 2011. Data analysis was conducted through t-test, ANOVA, and IPA by using the SPSS/WIN 12.0 program.
RESULTS
As a result of the Importance-Performance Analysis of visiting nurse services, it turned out that the strength on reliability, assurance, and empathy should be maintained with good work and the aspects of responsiveness appeared to be intensively improved, and the tangibility proved to be subject to improvement.
CONCLUSION
For the activation of visiting nurse services, methods for improving the performance in the intensive care area and management strategy establishment which highlights the advantages of strength maintenance area are needed.

Citations

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Research on Affective Interaction in Mini Public Transport Based on IPA-FMEA
Qizhao Peng, Weiwei Wang, Xiaoyan Yang, Yi Wang, Jian Chen
Sustainability.2023; 15(9): 7033. CrossRef
Development of Service Experience Evaluation Tool for Visiting Nurses of Public Health Center in Korea
Jiwon Kim
Journal of Health Informatics and Statistics.2023; 48(2): 121. CrossRef
The Effects of ICT Enhanced Home-visit Nursing in Long-Term Care Insurance on Health-related Quality of Life among Community-Dwelling Older Adults
Keunjoo Yoo, Jinhee Shin, Eunhee Cho, Seokwon Hong
Journal of Korean Academy of Community Health Nursing.2022; 33(1): 1. CrossRef
Demand and willing to pay for oral hygiene service in long-term care insurance of elderly
Han-Nah Kim, Gi-Yon Kim, Hie-Jin Noh, Nam-Hee Kim
Journal of Korean Academy of Oral Health.2018; 42(4): 204. CrossRef
The Development and Effect of Doctor-Visiting Nurses ICT Communication System for the Elderly: Focusing on Visiting Nursing Services for Long-term Care Patients
Sunmi Cha, Keunjoo Yoo, Solji Choi, Seokwon Hong
Journal of Korean Gerontological Nursing.2018; 20(Suppl 1): 137. CrossRef
The Prospect of the Fourth Industrial Revolution and Home Healthcare in Super-Aged Society
Jai-Yon Lee, Jae-Young Lim
Annals of Geriatric Medicine and Research.2017; 21(3): 95. CrossRef
Evaluation and Application Effect of a Home Nasogastric Tube Feeding Simulation Module for Nursing Students: An Application of the NLN Jeffries Simulation Theory
Hee Chong Baek, Young Ran Lee, Jong Eun Lee, Jin Hwa Lee, Hyung Seon Kim
Journal of Korean Academy of Community Health Nursing.2017; 28(3): 324. CrossRef
Effects of Visiting Nursing Services in Long-term Care Insurance on Utilization of Health Care
Sangjin Lee, Chanyeong Kwak
Journal of Korean Academy of Community Health Nursing.2016; 27(3): 272. CrossRef
Regional Comparison of Home Visiting Care Service Satisfaction among Elder Beneficiaries of the Long Term Care Insurance
Chanyeong Kwak
Journal of Korean Academy of Community Health Nursing.2016; 27(2): 114. CrossRef
Importance-performance Analysis of Patients' and Nurses' perspectives on Rehabilitation Nursing Services
Kyoung Jin Kim, Eun Jeung Lee, Gyu Won Bang, Yoon Ju Lee
The Korean Journal of Rehabilitation Nursing.2016; 19(1): 43. CrossRef
A Study on Working Conditions and Factors Related to Job Satisfaction of Nurses in the Long-term Care facilities for the Elderly
JungSuk Lee, RahIl Hwang, MinKyung Lim
Journal of Korean Public Health Nursing.2015; 29(3): 551. CrossRef

Factors associated with Health-related Quality of Life among Family Caregivers of Elders Receiving Home Care Services: Eun Young Kim, Jung Hee Yeo; J Korean Acad Community Health Nurs. 2012;23(2):117-126. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.117

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Abstract PDF

PURPOSE
The purpose of this study was to identify the factors associated with the health-related quality of life of family caregivers.
METHODS
A cross-sectional study was conducted. This study included 191 primary family caregivers of elders who used home care services (home-visit nursing, home-visit care, daycare) covered by the public long-term care insurance. Data were collected using self-report questionnaires from December 2010 to June 2011. These data were analyzed by using hierarchical multiple regression.
RESULTS
The majority of the family caregivers were female (79.6%) and daughters-in-law (28.8%). The mean depression score was 6.33+/-6.49 and the mean health-related quality of life score was 0.69+/-0.39. It was found that the factors affecting the health-related quality of life of family caregivers included depression (beta=-.406, p<.001), home-visit nursing use (beta=.296, p<.001), and daycare use (beta=.178, p=.015), which accounted for 36.6% of their health-related quality of life.
CONCLUSION
Using home-visit nursing and daycare services has a positive effect on the health-related quality of life of family caregivers. To improve health-related quality of life of family caregivers, South Korea needs to fully activate the home-visit nursing and daycare services, and to strengthen family support programs.

Citations

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Predictors of Sleep Quality in Spouse Caregivers of Community-Dwelling People With Dementia Using Propensity Score Matching Analysis
Hyeon Sik CHU, Hye-Young JANG
Journal of Nursing Research.2023; 31(6): e299. CrossRef
Predictors of Health-related Quality of Life among Spouses of Older Adults with Dementia in the Community-dwelling
Hye-Young Jang, Song Yi Han
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 518. CrossRef
The Care Giving Burden of Primary Caregiver based on Nursing Needs of Long-term Care lnsurance Grade
Mi-Kyoung Kim, Dahye Park, Okhee Ahn
Journal of the Korea Convergence Society.2014; 5(3): 7. CrossRef

Cost-benefit Analysis of Home Visiting Care for Vulnerable Populations with Hypertension: Young Ko, In Sook Lee; J Korean Acad Community Health Nurs. 2011;22(4):438-450. Published online December 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.4.438

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10 Citations

Abstract PDF

PURPOSE
This study was to investigate the effect of home visiting care service and to evaluate the effect from the cost-benefit perspective.
METHODS
Target participants were enrolled in 2007~2008 for home visiting care and provided with a home visiting nursing service for more than 18 months in J Ward of S City. Of 391 participants, 244 who satisfied the inclusion criteria were used in the final analysis. Cost-benefit analysis was done using the net benefit and benefit/cost ratio.
RESULTS
After providing the home care nursing service, the blood pressure control rate increased from 50.8% to 75.4%. Of the subjects, 39.8% maintained their blood pressure level within the target range. As a whole, the net benefit of home visiting care per person ranged from 434,964.86 to 447,112.43 won and the benefit/cost ratio ranged from 2.82 to 2.84.
CONCLUSION
Home visiting care for vulnerable populations with hypertension was effective in both maintaining blood pressure and reducing blood pressure to the target range. Therefore these results are especially useful for establishing the value of home visiting services for policy makers as well as for prioritizing vulnerable populations.

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A Study on Outcomes of the Utilization of Visiting Nursing Service at the Integrated Visiting Nursing Center in Bucheon-si
Hyun-Kyung Park, Ae Jung Yoo, Ju Young Yoon, Jae Woo Choi
Research in Community and Public Health Nursing.2023; 34: 127. CrossRef
Types of Perception of Home Visiting Oral Health Care Services for Korean Older Persons: A Q Methodology Study
Sue-Hyang Lee, Soo-Myoung Bae, Bo-Mi Shin, Sun-Jung Shin
International Journal of Environmental Research and Public Health.2020; 18(1): 214. CrossRef
Nursing Students' Practice Experience on Community Visiting Nursing
Jae-Hyun Ha, Jeong-Hee Park
Journal of Korean Academy of Community Health Nursing.2020; 31(1): 43. CrossRef
Cost-Benefit Analysis of Occupational Therapy in Center for Dementia Based on Public Data
Seung-Hyun Cho, Kyung-Yoon Kam, Sung-Yoon Bae, Nam-Hoon Cho, Hye-Won Oh, Young-Ae Yang
Journal of Korean Society of Occupational Therapy.2018; 26(2): 99. CrossRef
Comparison of Working Conditions among Non-regular Visiting Nurses in Public Health Centers based on Their Employment Types
Hee Girl Kim, Ryoun-Sook Lee, Soong-Nang Jang, Kwang Byung Kim, Young Ran Chin
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 267. CrossRef
The Study for Improvement of Frailty and Depression in the Health Vulnerable Elderly of Home Visiting Health Care Service
Youngji Kim, Song-Nang Jang
Journal of the Korean Geriatrics Society.2016; 20(2): 85. CrossRef
The Cost-Benefit Analysis of the NutriPlus Program in Daejeon Dong-gu Health Center
Hyun Ju Kim, Sung Han Kim
The Korean Journal of Food And Nutrition.2015; 28(4): 717. CrossRef
Estimating need for Home Visiting Nurse from Public Health Centers
Hyun-Ji Bae, Jinhyun Kim
Perspectives in Nursing Science.2015; 12(1): 23. CrossRef
Development of the evaluation tool for the food safety and nutrition management education projects targeting the middle class elderly: Application of the balanced score card and the structure-process-outcome concept
Hyeja Chang, Hyoi Yoo, Harim Chung, Hyesang Lee, Minjune Lee, Kyungeun Lee, Changhee Yoo, Junghwa Choi, Nayoung Lee, Tongkyung Kwak
Journal of Nutrition and Health.2015; 48(6): 542. CrossRef
Effectiveness of Telemedicine: Videoconferencing for Low-Income Elderly with Hypertension
Hanna Choi, Jeongeun Kim
Telemedicine and e-Health.2014; 20(12): 1156. CrossRef

Customized Home Visiting Nurses' Experiences in Telephone Visiting: Young Sil Kang, Yeong Mi Ha, Young Eun; J Korean Acad Community Health Nurs. 2011;22(3):223-233. Published online September 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.3.223

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Abstract PDF: PURPOSE
The purpose of this study was to explore and understand customized home visiting nurses' experiences in telephone visiting.
METHODS
Qualitative data were collected from several discussions of 4 focus groups consisting of 20 customized home visiting nurses. All interviews were recorded and transcribed according to thematic content analysis processes.
RESULTS
The five main themes on customized home visiting nurses' experiences of telephone visiting were 'greeting', 'counseling', 'using strategies', 'maintaining attitude for enhancing relations' and 'enduring difficulties'. The category of 'counseling' was composed of confirming, educating, supporting, adjusting, and indicating. And, the category of 'using strategies' included complimenting, scolding, persuading, compensating, and ignoring.
CONCLUSION
Developing a standardized manual on telephone visiting is needed to guide an effective counseling. In order for a customized home visiting nurse to be a good telephone counselor, training of motivational interviewing is recommended.

A Survey on the Use of Visiting Nurses in Child Day Care Centers: Soon Ok Yang, Shin Jeong Kim, Myung Soon Kwon, Seung Hee Lee, Sung Hee Kim; J Korean Acad Community Health Nurs. 2011;22(2):87-99. Published online June 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.2.87

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Abstract PDF: PURPOSE
The purpose of this study was to contribute children's health care and health promotion by surveying the use of visiting nurses in child day care centers.
METHODS
This study is a descriptive study, and the study period covers July to September, 2010. The research subjects were 27 public health center managers, 166 visiting nurses and 137 child care teachers.
RESULTS
Teachers' need of visiting health care services and visiting nurses' work performance of were statistically significantly different. The teachers' need of visiting health care was higher in all areas (health examination, health life practice, infectious disease control, safety accidents and disaster management, emergency measures and linkage, nutrition, parent education) but the visiting nurses had a low level of work performance.
CONCLUSION
Child care teachers are not health professionals for child health care, and therefore they are in need of professional help. Thus, for the current public health centers in need of customized visit health care, new visiting nurses in charge of professional child health care need to be developed. Also, new models need to be developed for visiting nurses and child care teachers through the connection of community child health care.

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