• The Korean Nurse
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• v.17 no.2 s.94
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• pp.56-62
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• 1978

현재 우리나라 보건소사업을 Part별로 토의된 것을 대략 요약해보면, 정부에서 근래에 시도하고 있는 진료대상이 한정된 영세민이나 생보호자에게만 국한되어 있으며, 치료보다는 예방에 힘써야 하겠다는 점을 들 수 있겠고, 모자보건의 무료분만을 대폭 완화하여 최소한 보건소에 등록되어 있는 임산부만이라도 모두 혜택을 주는 방향과 적기에 예방접종을 실시하도록 하며, 결핵은 조기발견, 조기치료, 예방접종이 중요하다는 것을 결핵사업에 종사하는 모든 요원들이 주민들에게 인식시킬 것이며, 가족계획에 있어서는 모자보건향상에 목적을 두고 사업이 이루어져야 한다는 점을 아울러 강조한다. 끝으로 선진국은 인구 2,000명에 보건간호원 1인 꼴인데 우리나라는 12,000:1이므로 선진국에 비해 6:1이나 되는 보건간호원의 업무과다로 질적인 사업의 기대가 어려우므로, 인력과 경제소모를 억제할수 있도록 기구개편이 필요하며, 간호원이 가정방문시 기능별로 $4\~5$인의 중복방문으로 인한 인력낭비와 사업 우선 순위가 혼돈되어 전반 간호사업이 시급하다는 점을 들 수가 있다.

• Research in Community and Public Health Nursing
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• v.11 no.2
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• pp.389-398
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• 2000

The work of visiting nursing personnel consists mostly of direct nursing and it is absolutely necessary that training of the nursing personnel for infection control be emphasized because most of patients are composed of elderly people with chronic diseases and malnutrition who are highly susceptible to infection. Accordingly. this study was designed to provide basic data for the development of an infection control program in public health centers as well as the promotion of perception and performance of infection control by analysing the perception of importance and performance in the infection control of visiting nursing personnel who carry out visiting nursing services. The subjects of this study consisted of a number of visiting nursing personnel working for 15 public health centers. 15 health-center branches. and 16 health clinics. The collection of data was grounded on a questionnaire method. The questionnaire breaks down to 8 questions about general characteristics and 108 questions in connection with the perception and performance of infection control. The results of this study are as follows: 1. 82 subjects (78.1%) responded that it is necessary to control infection. 79 subjects(75.3%) responded that education is necessary for infection control. 50 respondents (47.6%) answered in the affirmative in regard to the role of infection carriers. 2. The mean score for the perception of importance in infection control was 4.55 and that performance accounts for 4.03. this turns out to be very high. 3. In terms of the perception of importance per each field of infection control. medication. the management of contamination and sterilization, the control of environments and instruments. washing hands and individual hygiene as well as the prevention of cross-infection and the supervision of infection stand at 4.72. 4.64. 4.60. 4.58. 4.52 and 4.21 respectively. In terms of performance. the supervision of infection. the control of environments and instruments, individual hygiene and the prevention of cross infection. medication. washing hands, and the management of contamination and sterilization was 4.21. 4.12. 4.10. 4.03. 3.91 and 3.81 respectively. 4. In terms of the correlation between the perception of importance and the performance of infection control. the score stands high in all fields: this means the high perception of importance leads to high performance statistically (P< .05). 5. In terms of the perception of importance in general characteristics. there is no significant difference while the form of working places. working career and the career as visiting nursing personnel show a significant difference in terms of performance(P< .05). From the results. it is suggested that the visiting nursing personnel should be constantly educated with the aid of the development of infection control programs and that instructions and instruments for the management of infection should be worked out so as to enhance the performance of infection control on the part of nurses in applicable communities.