Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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Job Analysis of Visiting Nurses in the Process of Change Using FGI and DACUM

변화의 과정에 있는 방문간호사의 직무분석: FGI와 DACUM을 적용하여

  • Kim, Jieun (Red Cross College of Nursing, Chung-Ang University) ;
  • Lee, Insook (College of Nursing, Seoul National University) ;
  • Choo, Jina (College of Nursing, Korea University, Transdiciplinary Major in Learning Health Systems.Department of Healthcare Science, Graduate School, Korea University) ;
  • Noh, Songwhi (College of Nursing, Korea University) ;
  • Park, Hannah (College of Nursing, Seoul National University) ;
  • Gweon, Sohyeon (College of Nursing, Seoul National University) ;
  • Lee, kyunghee (Health Promotion Division, Mapo-gu Public Health Center, Seoul Metropolitan Government) ;
  • Kim, Kyoungok (Department fo Nursing, Seoul Metropolitan Children's Hospital)
  • 김지은 (중앙대학교 적십자간호대학 간호학과) ;
  • 이인숙 (서울대학교 간호대학) ;
  • 추진아 (고려대학교 간호대학.고려대학교 대학원 헬스케어사이언스학과 러닝헬스시스템융합전공) ;
  • 노송휘 (고려대학교 간호대학) ;
  • 박한나 (서울대학교 간호대학) ;
  • 권소현 (서울대학교 간호대학) ;
  • 이경희 (서울특별시 마포구 보건소 건강증진과) ;
  • 김경옥 (서울특별시 어린이병원 간호부)
  • Received : 2021.07.21
  • Accepted : 2022.01.14
  • Published : 2022.03.31
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Abstract

Purpose: This study conducted a job analysis of visiting nurses in the process of change. Methods: Participants were the visiting nurses working for the Seoul Metropolitan city. On the basis of the Public Health Intervention Wheel model, two times of the focus group interview (FGI) with seven visiting nurses and one time of the Developing a Curriculum (DACUM) with 34 visiting nurses were performed. A questionnaire survey of 380 visiting nurses was conducted to examine the frequency, importance and difficulty levels of the tasks created by using the FGI and DACUM. Results: Visiting nurses' job was derived as the theme of present versus transitional roles. The present role was categorized as 'providing individual- and group-focused services' and 'conducting organization management', while the transitional role was categorized as 'providing district-focused services' and 'responding to new health issues'. The job generated 13 duties, 28 tasks, and 73task elements. The tasks showed the levels of frequency (3.65 scores), importance (4.27 scores), and difficulty (3.81 scores). All the tasks were determined as important, exceeding the average 4.00 scores. The group- and district-focused services of the tasks were recognized as more difficult but less frequent tasks. Conclusion: The visiting nurses exert both present and transitional roles. The transitional roles identified in the present study should be recognized as an extended role of visiting nurses in accordance with the current changing healthcare needs in South Korea. Finally, the educational curriculum for visiting nurses that reflects the transitional roles from the present study is needed.

Keywords

Acknowledgement

본 연구는 서울시 통합건강증진사업지원단 민간위탁과제(2020-2021년) 지원 및 한국연구재단 중견연구과제 지원을 받아 수행된 연구임(No. NRF-2019R1A2C1004116).

References

  1. Statistics Korea. 2020 Elderly Statistics [Internet]. 2020 [cited 2021 May 31] Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=385322
  2. World Health Organization (WHO). Ageing and health [Internet]. 2018 [cited 2021 May 31]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
  3. World Health Organization (WHO). World Health Assembly: WHO [Internet]. 2020 [cited 2021 May 31]. Available from: https://www.who.int/about/governance/world-health-assembly
  4. Ministry of Health and Welfare. Health Plan 2020 [Internet]. 2017 [cited 2021 May 31]. Available from: https://www.khealth.or.kr/board/view?pageNum=4&rowCnt=8&no1=4&linkId=559210&menuId=MENU00829&schType=0&schText=&boardStyle=Gallery&categoryId=&continent=&country=&contents1=
  5. Seoul Metropolitan Government. 2020 Visiting Community Service Manual [Internet]. 2020 [cited 2021 May 31]. Available from: https://wis.seoul.go.kr/data/education.do
  6. Ministry of Health and Welfare. Development of a community-based nursing, health care, and care linkage model: Development of a visiting nursing service linkage model; Ministry of Health and Welfare; 2019.
  7. Baek HC, Moon JH. The development of home-visiting nurses' professional comp. Journal of Korean Academic Society of Home Health Care Nursing. 2016;23(2):233-242. https://doi.org/10.22705/jkashcn.2016.23.2.233
  8. Health and welfare service manual for eup, myeon, dong - 2021 resident autonomous public service construction project [Internet]. Seoul: Ministry of Health and Welfare. 2021. [cited 2021 May 31]. Available from: https://www.korea.kr/archive/expDocView.do?docId=3937
  9. Kim EY. Job analysis of kindergarten teachers [dissertation]. [Seoul]: Ewha Woman University; 2006. 208 p.
  10. Byun SJ, Kim HK, Kim AR, Ha HS, Joen KO. Task analysis of Korean transplantation nurse practitioner. Journal of Korean Academy of Nursing. 2003;33(2):179-188. https://doi.org/10.4040/jkan.2003.33.2.179
  11. Cho K-S, Son H-M, Kang H-S, Kim JH, Lim NY, Yoon K-S, et al. Job description of the nurses who work in operating room using DACUM technique. Journal of Korean Academy of Fundamentals of Nursing. 2008;15(4):566-577.
  12. Morgan DL, Krueger RA, King JA, Focus group kit, Vols. 1-6. Shin KR, et al. translator. Sage Publications, Inc.; 1998. 692 p.
  13. Lee MK. Job identification of home visiting nurses based on long-term care insurance for the elderly program [dissertation]. [Seoul]: Hanyang University; 2010. 81 p.
  14. Nam HK, Cho KS. Job analysis of the nurses who work in customized visiting health care services using DACUM technique. Journal of Muscle and Joint Health. 2015;22(3):205-218. https://doi.org/10.5953/JMJH.2015.22.3.205
  15. Keller LO, Strohschein S, Lia-Hoagberg B, Schaffer M, et al. Population-based public health nursing interventions: A model from practice. Public Health Nursing. 1998:15(3):207-215. https://doi.org/10.1111/j.1525-1446.1998.tb00341.x
  16. Benner P. From novice to expert: Excellence and fower in clinical nursing practice. American Journal of Nursing. 1984;84(2): 1479. https://doi.org/10.1097/00000446-198412000-00025
  17. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24(2): 105-112. https://doi.org/10.1016/j.nedt.2003.10.001
  18. Park JS, Oh YJ. An analysis on performance of visiting health care services by general characteristics of visiting nurse in public health center. Journal of Digital Convergence. 2014;12 (12):381-393. https://doi.org/10.14400/JDC.2014.12.12.381
  19. World Health Organization (WHO). A vision for primary health care in the 21st century [Internet]. 2018 [cited 2021 May 31]. Available from: https://apps.who.int/iris/handle/10665/328065
  20. Han YR, Yang SJ, Ham OK, Lee G, Kim SH, Ha JY. Community care and visiting nursing services in Denmark, Sweden, the United States, and Japan. Journal of Korean Public Health Nursing. 2020;34(1):5-21. https://doi.org/10.5932/JKPHN.2020.34.1.5
  21. Cho EJ. William Rathbone, Florence Nightingale and the birth of the British district nursing. The Daegu Historical Review. 2012(108):1-25.
  22. Barrett A, Latham D, Levermoreet J. Defining the unique role of the specialist district nurse practitioner. British Journal of Community Nursing. 2007;12(10):442-448. https://doi.org/10.12968/bjcn.2007.12.10.27265
  23. McCrory V. An overview of the role of the district nurse caring for individuals with complex needs. British Journal of Community Nursing. 2019;24(1):20-26. https://doi.org/10.12968/bjcn.2019.24.1.20
  24. Scottish Executive Healthier Scotland. Visible, accessible and integrated care: Report of the review of nursing in the community in Scotland. Edinburgh: Scottish Executive. 2006.
  25. Board, Nhs Commissioning. Care in local communities A new vision and model for district nursing [internet]. 2013 [cited 2021 May 31]. Available from: https://www.qni.org.uk/wp-content/uploads/2016/09/vision-district-nursing.pdf
  26. Elliott L, Kennedy C, Raeside R. Professional role identity in shaping community nurses' reactions to nursing policy. Journal of Nursing Management. 2015;23(4):459-467. https://doi.org/10.1111/jonm.12153
  27. Nissanholtz-Gannot R, Rosen B, Hirschfeld M. Community Nursing Study Group. The changing roles of community nurses: The case of health plan nurses in Israel. Israel Journal of Health Policy Research. 2017;6(1):1-15. https://doi.org/10.1186/s13584-017-0197-5
  28. Peate I. Valuing the district nurse. British Journal of Nursing (Mark Allen Publishing). 2019;28(3):141. https://doi.org/10.12968/bjon.2019.28.3.141
  29. Chang HS, Chin YR, Kim JE, Hong EJ, Yu JS. The role and function of home healthcare based on the public health canters, hospitals, and long-term care insurance. Seoul: Korea Health Industry Development Institute, Management Center for Health Promotion; 2007.
  30. Kim YD. Deinstitutionalization and building community-based personal social services: community care that connects independence and interdependence. Health and Social Welfare Review. 2018;38(3):492-520. https://doi.org/10.15709/hswr.2018.38.3.492
  31. Yang SJ, Shim KR, Kim OS, Kim HY, Kim KH, Kim EH. Analysis of time taken for visiting nursing activities by visiting nurses. Journal of Korean Academy of Community Health Nursing. 2004;15(2):1 77-186.
  32. Shon CW, Lee S, Hwang J. Understanding factors associated with unmet need for outreach community health service among older adults in Seoul. Journal of the Korean Gerontological Society. 2019;39(2):213-229. https://doi.org/10.31888/jkgs.2019.39.2.213
  33. Hwang KY. The outreach community centers initiative: Policy recommendations for improvement. Health and Welfare Policy Forum. 2017;2017(11):21-41. https://doi.org/10.23062/2017.11.3
  34. Han YR, Park YR, Kim YH, Choi HC, Chung MJ. Task analysis of managers in the customized visiting health services. Journal of Korean Academy of Community Health Nursing. 2012; 23(2):165-178. https://doi.org/10.12799/jkachn.2012.23.2.165
  35. Choi YA. Factors related to the intention to leave from the visiting health care workers in the community health center job identificaton of home visiting nurses based on long-term care insurance for the elderly program [dissertation]. [Gwangju]: Chonnam National University; 2012. 74 p.
  36. Lee HY, Park E, Chin Y. The improvement of long-term care service in Korea through the review of Australian aged care system. The Korean Journal of Health Service Management. 2018;12(4):85-102. https://doi.org/10.12811/kshsm.2018.12.4.085
  37. Maurits EEM, de Veer AJE, Groenewegen PP, Franckeet AL. Home-care nursing staff in self-directed teams are more satisfied with their job and feel they have more autonomy over patient care: A nationwide survey. Journal of Advanced Nursing. 2017;73(10):2430-2440. https://doi.org/10.1111/jan.13298
  38. Infection control and safety guidelines for visiting nurse. Seoul: Expert Group on Health Promotion for the Seoul Metropolitan Government; 2021.
  39. World Health Organization (WHO). Community-based health care, including outreach and campaigns, in the context of the COVID-19 pandemic [Internet]. 2020 [cited 2021 May 31]. Available from: https://www.who.int/publications/i/item/WHO-2019-nCoV-Comm_health_care-2020.1
  40. Cha S, Yoo K, Choi S, Hong S. The development and effect of doctor-visiting nurses ICT communication system for the elderly: Focusing on visiting nursing services for long-term care patients. Journal of Korean Gerontological Nursing. 2018;20 (Suppl 1):137-143. https://doi.org/10.17079/jkgn.2018.20.s1.s137
  41. Guide for community integrated health care promotion 2021: Visiting health care [Internet]. Sejong: Ministry of Health and Welfare. 2021. [cited 2021 May 31]. Available from: https://www.korea.kr/common/download.do?fileId=194242620&tblKey=EDN