Purpose: We aim to enhance job training by analyzing the educational needs of community health practitioners (CHPs). Methods: We employed a 127-item questionnaire, adapted from a job-analysis tool, to survey 150 CHPs. Results: The duties ranked by perceived educational need were as follows: development of expertise (4.21), medical practice (4.10), others (3.92), health clinic management (3.60), and health business (3.44). CHPs with higher age, education, and experience reported a greater awareness of educational needs. By area, the highest recognition of necessity was in administrative management (4.34), emergency management (4.32), primary care (4.24), capacity building (4.21), and patient transport (4.03), while human management (2.96) had the lowest. Among the 127 task elements, the highest scores were in the internal medicine area (4.77±0.46) and health care for older adults (4.77±0.49), with the lowest in maternal and child health and hygiene, such as family planning guidance. Conclusion: Given regional demographic characteristics, education that enables effective medical treatment will remain a crucial component of job training for public health officials, and ongoing capacity building that reflects current trends is necessary.

Purpose: This study aimed to understand and explore the experiences and meanings of work transformation by primary healthcare nurse practitioners. Methods: This study adopted an individual interview approach. A total of 10 primary healthcare nurse practitioners were interviewed using semi-structured questions between September and October; 2023. The collected data were analyzed using conventional content analysis. Results: The analysis revealed four main categories and sixteen sub-categories. These categories include: "Changes in the community environment," "Changes in the primary healthcare clinic environment," "Local residents seeking diverse and meticulous healthcare," and "The transitional period of evolving roles at primary healthcare clinics." Conclusion: As a result of this study, it was confirmed that the role of primary healthcare nurse practitioners has changed according to environmental changes in local communities and health clinics and also they are receiving demands for change. Therefore, various health care policies and education should be prepared to re-establish the role of primary healthcare nurse practitioners.

Purpose: This study aimed to identify factors related to the nursing profession, nurse image, self-efficacy, and major satisfaction among nursing students, and to provide foundational data for establishing a positive nursing profession. Methods: We conducted a descriptive research study to explore factors affecting the nursing professions of nursing college students. We collected data from 129 students enrolled in the nursing department of a university in Gyeonggi-do, using the SPSS/WIN 23.0 program. Results: The average scores were as follows: nursing professionals at 3.70±0.44 out of 5, nurse image at 3.98±0.40, self-efficacy at 3.17±0.44, and major satisfaction at 4.23±0.57. Factors influencing the nursing profession included age, motivation for choosing a nursing department, major satisfactionand nurse image, with nurse image being the most influential factor, explaining 35.7% of the variance. Conclusion: It is necessary to identify factors that affect nursing students' perceptions of their profession, and this study provides insights for developing strategies to help nursing students establish a positive view of the nursing profession.

Purpose: This study aimed to examine the effects of a well-dying education program on knowledge, attitudes and intentions to write advance directives (AD), as well as intentions to donate organs among older adults over 60 who are able to live independently. Methods: The participants were 59 older adults residing in Y-si, Gyeonggi-do. The experimental group participated in the well-dying education program, which consisted of 60-minute sessions once a week for four weeks, while the control group completed a questionnaire at different times. Results: After the program, the experimental group showed a significantly higher knowledge score of AD compared with the control group (t=-7.58, p<.001). However, there were no significant differences in attitudes or intentions to write AD and donate organs. Conclusion: The well-dying education program effectively increased AD knowledge among older adults, providing foundational data for developing customized well-dying education programs in the Y city area.

Purpose: This study aimed to examine the mediating effect of social support on the relationship between e-health literacy and successful aging among older adults aged 65 and older. Methods: We conducted an online survey with 132 seniors, analyzing the data using SPSS 27.0. The analysis included descriptive statistics, independent t-tests, ANOVA, Scheffé tests, and Pearson's correlation coefficients. We further analyzed the mediating effect of social support using Model 4 of the SPSS PROCESS Macro. Results: E-health literacy significantly affects social support, which, in turn, significantly affects successful aging. Additionally, social support partially mediates the relationship between e-health literacy and successful aging. Conclusion: Based on these findings, we recommend further research to develop and validate programs that enhance e-health literacy and social support to promote successful aging.

Purpose: This study aims to verify the effectiveness of an ICT-based Nordic walking exercise program on physical indicators (blood pressure, cholesterol), health self-efficacy, quality of life, and wellness among local residents. Methods: We conducted this study using a one-group pre-test-post-test design with 39 residents from S City from July 3 to August 30, 2024, over an eight-week period. We analyzed the data using the frequency, percentage, mean, standard deviation, paired t-test, and independent t-test with SPSS 25.0 software. Results: After implementing the ICT-based Nordic walking exercise program, we observed significant differences in physical indicators, including systolic and diastolic blood pressure and total cholesterol. Although no statistically significant difference was found in health self-efficacy, both quality of life and wellness showed statistically significant improvements. Participants' step counts increased by an average of 1,884 steps following the program. Conclusion: The Nordic walking exercise was effective in reducing blood pressure and total cholesterol, while enhancing subjective quality of life and wellness. We recommend its proactive use and dissemination as an exercise program that promotes physical and mental health.

Purpose: This study examines the relationship between omega-3 fatty acid intake and blood lipid levels among rural older adults in Korea. Methods: Using data from the 2022 Korea National Health and Nutrition Examination Survey, we conducted a cross-sectional analysis of 269 older adults aged 65 and above from rural areas. We analyzed variables such as omega-3 fatty acid intake, HDL cholesterol, LDL cholesterol, and triglycerides, adjusting for age, sex, BMI, and lifestyle factors. Results: Omega-3 fatty acid intake significantly reduces triglycerides and LDL cholesterol levelsbut does not affect HDL cholesterol. The low omega-3 intake observed among these rural older adults may contribute to poorer cardiovascular health, highlighting the need for dietary interventions. Conclusion: To enhance cardiovascular health in rural areas, customized nutritional interventions and public health policies are essential. Community programs promoting omega-3 intake can help bridge the health gap between rural and urban older adults and support healthy aging in rural populations.

Purpose: This study aims to assess the effects of a combined exercise and nutrition intervention program on muscle mass index, physical performance, and nutritional status in rural community-dwelling older adults with possible sarcopenia. Methods: The study employs a single-group pre-post design, applying a home-based intervention over 12 weeks to individuals over the age of 65 at risk for sarcopenia, from May to September 2024. Results: The average age of the participants is 77.3 years. The program leads to positive outcomes, including improved Short Physical Performance Battery scores (pre 7.30; post 9.08), Mini Nutritional Assessment scores (pre 19.13; post 22.23), and subjective health perception (pre 1.96; post 2.35). Conclusion: It is necessary to expand and apply this combined intervention program to enhance health indicators and daily living for older adults with sarcopenia in rural areas.

Purpose: This study aimed to develop a task list for community health practitioners' (CHPs') telemedicine work in remote areas and analyze the frequency and distribution of their activities by work category, recording all observed activities during work hours. Methods: We used the work sampling method, collecting data from July 17 to August 13, 2024. Four CHPs were observed over five working days, two hours per day, with activities recorded at five-minute intervals. Results: Out of 480 total observed activities, 158 were telemedicine nursing activities, accounting for 32.9%. These activities were distributed across four categories: direct care (15.2%), indirect care (12.5%), service-related activities (3.5%), and personal activities (0.8%). The most frequent activities were "medication administration according to the physician's orders" in direct care, "inputting patient data" in indirect care, and "travel" in service-related activities. Conclusion: The results show that quantifying the time CHPs spend on various activities during telemedicine can improve both the quantitative and qualitative aspects of telemedicine and promote interprofessional collaboration.

Purpose: The global rise in suicide rates among older adults has emerged as a significant social issue, particularly pronounced among those living alone compared with those residing with family. This study compares the effects of physical, emotional, and social conditions on the suicide risk between these two groups. Methods: We conducted a descriptive survey involving 109 older adults living alone and 101 living with their families within the community. Results: The data show that 22.9% of older adults living alone and 9.9% of those living with families are in the high-risk group for suicide. Older adults living alone face a higher suicide risk than those living with family. Factors such as depression, participation in social activities, and exercise were identified as influencing the suicide risk among older adults living alone, while depression also affects those living with families. Conclusion: The findings highlight the crucial role of family in reducing suicide risk among older adults and suggest the need for leveraging social support systems when family support is absent.

Purpose: This study analyzed the application status and effects of AI-based healthcare systems for community-dwelling elderly individuals, assessing their practical applicabilityand suggesting future policy directions. Methods: This study employed Arksey and O'Malley's (2005) scoping review methodology to conduct a comprehensive literature search. We examined articles published between 2019 and August 2024 in the PubMed and Google Scholar databases and ultimately selected 35 studies for analysis. Results: The findings revealed that AI-based healthcare systems primarily focus on health promotion, early detection, and prediction through telemedicine and by monitoringand managing specific chronic diseases. The main types of AI utilized included AI robots, telehealth systems, and remote monitoring technologies. The implementation of these AI-based healthcare systems has demonstrated positive effects, such as providing psychological support for the elderly, improving cognitive function, preventing falls, assessing health status, and enhancing medical care. Conclusion: This study evaluates the practical applicability of AI technology and proposes policy directions aimed at improving the efficiency and sustainability of healthcare services for the elderly.