Browse > Article
http://dx.doi.org/10.12799/jkachn.2022.33.1.13

Job Analysis of Visiting Nurses in the Process of Change Using FGI and DACUM  

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)
Publication Information
Research in Community and Public Health Nursing / v.33, no.1, 2022 , pp. 13-31 More about this Journal
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
Nurses, community health; Home care services; Job description;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 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   DOI
2 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   DOI
3 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   DOI
4 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   DOI
5 Hwang KY. The outreach community centers initiative: Policy recommendations for improvement. Health and Welfare Policy Forum. 2017;2017(11):21-41.   DOI
6 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   DOI
7 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   DOI
8 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   DOI
9 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
10 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   DOI
11 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   DOI
12 Scottish Executive Healthier Scotland. Visible, accessible and integrated care: Report of the review of nursing in the community in Scotland. Edinburgh: Scottish Executive. 2006.
13 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
14 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   DOI
15 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   DOI
16 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
17 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.
18 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   DOI
19 Infection control and safety guidelines for visiting nurse. Seoul: Expert Group on Health Promotion for the Seoul Metropolitan Government; 2021.
20 Cho EJ. William Rathbone, Florence Nightingale and the birth of the British district nursing. The Daegu Historical Review. 2012(108):1-25.
21 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
22 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=
23 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   DOI
24 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.
25 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   DOI
26 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.
27 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   DOI
28 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   DOI
29 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
30 Kim EY. Job analysis of kindergarten teachers [dissertation]. [Seoul]: Ewha Woman University; 2006. 208 p.
31 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   DOI
32 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   DOI
33 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
34 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   DOI
35 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.
36 Morgan DL, Krueger RA, King JA, Focus group kit, Vols. 1-6. Shin KR, et al. translator. Sage Publications, Inc.; 1998. 692 p.
37 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
38 Seoul Metropolitan Government. 2020 Visiting Community Service Manual [Internet]. 2020 [cited 2021 May 31]. Available from: https://wis.seoul.go.kr/data/education.do
39 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.
40 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
41 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.