• 한국농촌간호학회지
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• 제4권1호
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• pp.31-40
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• 2009

Purpose: This research was done do identify and analyze the beginnings of the community health practitioner system in the Republic of Korea (ROK) around 1980. Method: Primary sources were collected and analyzed, mainly newspapers around 1980, the act for health service for rural areas, and other relative publications. Results: The government of the ROK was trying to solve the problem of doctorless villages and regarded the introduction of primary health care (PHC) services using registered nurses (RNs) to be an economic solution to this problem. The Korean Nurses' Association presented 'a plan for community health service' to the government party and medical association in 1976. In this plan, RNs would provide primary care at the sub-county (myun) level, and hospital would provide secondary care. The Korean Public Health Development Research Center was awarded the project 'RNs and nurse aids as CHP for primary care service and their training'. In 1977, 25 RNs began to work as PHC in 3 areas, and interim findings showed that RNs were very capable of doing PHC. The Ministry of Health and Welfare announced long term plans for health and welfare administration including a tertiary health care delivery system. RNs after training were posted to rural areas with no medical services to do medical treatment for mild cases. The Act for health services for rural areas was enacted on December 31, 1980. Enforcement Ordinance and Enforcement Regulations were enacted in 1981. In 1981, 257 CHP were selected, trained, and deployed. In 1983, the president of the ROK announced continuation of the CHP system for residents of medically vulnerable areas. The number of CHP increased from 257 in 1981 to 2038 in 1989.

• 지역사회간호학회지
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• 제15권2호
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• pp.177-186
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• 2004

Purpose: The purpose of this study is to analyse time taken for visiting nursing activities by visiting nurses in health centers. Method: A questionnaire was developed by a research team for the technological support of visiting nursing activities and visiting nurses. A total of 481 questionnaires were recovered by five visiting nurses from May to October 2003. Result: A visiting nurse's total length of time for visiting activities was 532.2 minutes per day and the number of households a visiting nurse visits a day was 4.5. A visiting nurse spent 133.3 minutes for actual nursing services and 119.1 minutes for travelling. Time for actual nursing activities was more than half of the total working hours. Time for travelling was 42.9 minutes on the average when using public transportation means and 25.6 minutes when using a car. Conclusion: The results of this study is expected to be used as basic data in establishing plans for the adequate supply of visiting nurses based on demands for visiting nursing services.

• 근관절건강학회지
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• 제25권3호
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• pp.218-229
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• 2018

Purpose: The purpose of this study is to investigate relationships among workplace face to face bullying, cyber bullying, self-esteem, and turnover intention of hospital nurses, and to identify affecting factors for turnover intention through their relationships. Methods: Data were collected from 178 hospital nurses by self-reported questionnaire. The relationship among variables were analyzed with Pearson's coefficient correlation and affecting factors for turnover intention were identified by using multiple linear regression. Results: The mean score of turnover intention was $3.55{\pm}0.94$. Turnover intention was significantly different by age, marriage status, educational background, total experience as a nurse, designation, health status, bullying experience, and bullied experience. Turnover intention had positive relationships with workplace face to face bullying and hospital size, but negative relationships with self-esteem and health status. Workplace face to face bullying, health status and hospital size were identified as influencing factors in turnover intention. Conclusion: It is necessary to nursing community's efforts to decrease face to face bullying in order to lower the turnover intention of nurses. In this regard workplace bullying among nurses should be addressed using a comprehensive strategy that considers both individual and organizational factors. It is also necessary to nurse 's efforts to increase self-esteem.

• 가정간호학회지
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• 제13권1호
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• pp.46-53
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• 2006

Chunchoen Community Home Nursing Program (CCHNP) sponsored by Chuncheon City and Gangwondo Nurses Association was the first trial of community based home health nursing in Korea. The services have started since 1996. The purpose of the study was the evaluation CCHNP to establish standard of community based nursing program in Korea. The methods of evaluation were quantitative and Qualitative approaches. Evaluation for organization and management were conducted by the American Community Health Accreditation Program Standards With the result. several recommendations were suggested : It is necessary to expand the program to all the Gangwondo cities. And the liaison system is necessary between medical care facilities and community nursing home agency to establish the continuity of health care delivery system in home nursing program. Also it is necessary to set up the supporting system between community home nursing care agency and hospital home nursing department. Finally, the National Health Insurance should cover the cost of community home nursing care.

• 대한간호
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• 제37권2호
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• pp.63-76
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• 1998

This paper provides an overview of the current Health Care Delivery System in China with particular emphasis on the Nursing Delivery System. Based on recent data, the paper introduces the current Health Care System and emphasizes nursing resources, education, nursing policy, leadership, the role of nurses, community nursing and nursing outcomes.

• 지역사회간호학회지
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• 제17권1호
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• pp.26-37
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• 2006

Purpose: This study was to investigate the current situation of community health nursing practicum in bachelor programs. Method: Data were collected using a questionnaire consisting of questions on education goals, teaching items, teaching methods, and evaluation methods and items. Forty five nursing departments/colleges or 84.9% of four-year nursing schools in Korea responded to the survey. Result: Nursing process application and understanding about the role and function of community health nurses were major goals of practice education. Community health centers were the most significant practice fields because all nursing schools mentioned them as places for practice. All nursing schools used a specific evaluation tool to measure students outcomes and utilized guidebooks to help students. Conclusion: The results of this study suggest that the goals of practice education should be standardized to improve the quality of education. Besides, evaluation tools that can be used commonly at all nursing schools should be developed to measure the effectiveness of practice education of community health nursing.

• 가정간호학회지
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• 제29권1호
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• pp.5-17
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• 2022

Purpose: This study aimed to investigate the role of hospital-based home health nursing in community care by examining the institutional progress of hospital-based home health nursing and the current status of home health nursing in Korea. Methods: Korean research data, national statistical data, government press releases, and related laws were investigated to clarify the role of hospital-based home health nursing in community care. Results: Korean visiting medical care services, including hospital-based home health nursing, was not found to be sufficient nationwide. The supply of home health nursing did not increase due to the nature of the visiting services that required transportation time, poor profitability due to insufficient insurance fees, and increase in acute beds. Conclusion: The nature of the Korean medical environment and visiting medical care makes it challenging to establish a visiting medical supply system for community care. Therefore, hospital-based home health nursing is an important infrastructure for visiting medical care, and will be a valuable resource to link discharged patients returning to the community when moving health care services. Hence, laws and institutional supplementation to expand the role of home health nursing agencies nationwide are needed along with addressing the limitations in the supply of home health nurses.

• 대한간호학회지
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• 제28권4호
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• pp.881-892
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• 1998

This study attempts to identify attitudes of community leaders toward mental illness in order to obtain useful information concerning the planning of community mental health services. The community sample consists of 50 community leaders including, civil servants, doctors, herb doctors, school nurses, counselors, village leaders, pharmacists, and pastors. Individuals were asked to give demographic data, their personal attitudes toward mental illness' etiology & prognosis, and toward neighbors who are psychiatric patients. The interview with open questions was used to collect data. According to the study community leaders 82% believed that mental illness could be treated, 66% believed that mental illness was caused by genetic factors and environmental stress, and 76% had negative impressions about mentally ill people such as fear, seclusion, asylum, also crime. Only 28% of mentally ill people were accepted as neighbors in community. 52% of community leaders rejected opening of mental hospital, and thought that the Chunchon community needed facilities such as group homes, or day care centers (30%), however, 34% of the leaders they didn't recognize community mental health. These findings suggest that mental health professionals need to pay special attention to change the attitude of Chunchon community leaders and mental health institutions need to a develop mental health education program for community leaders.

• 한국보건간호학회지
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• 제11권2호
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• pp.121-130
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• 1997

The community health nursing process is essential in providing community health nursing service to the community. It helps to identify community health problems. to prioritize problems, to provide service. and to evaluate service results. However. it is very rare to find a study which applies the community health nursing process. This study intended to apply the community health nursing process to a urban community. The focus of the study was a community consisting of 533 families in a region of Seoul. The study process was as follows: 1) The data was collected by conducting interviews with community leaders and by collecting surveys from the people of the community. 2) The data was summarized and analyzed. 3) The community nursing diagnosis was identified. 4) The nursing diagnosis was prioritized. 5) The general and specific objectives for service were identified. 6) A specific nursing plan was set up. 7) A detailed evaluation plan was established. Four community nursing diagnoses were identified from the community. 1) The utilization rate of health center was found to be low due to lack of knowledge about the health center and low accessibility. 2) High trafic accident rate due to narrow roads. 3) High prevalence of chronic disease due to inappropriate health behavior. 4) High noise level and foul smell due to inappropriate waste management. Among the four community nursing diagnoses. 'High prevalence of chronic diseases was identified as a priority community nursing problem. The criteria for prioritizing community nursing problems were as follows: number of people involved, fragility of clients. severity of the problem. availability. of resources. concern of the people. readiness of nurses. relevance to the national policy. This study describes the general and specific objectives to solve the high prevalence of chronic health problems. nursing plans. and an evaluation plan.

• 지역사회간호학회지
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• 제10권2호
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• pp.537-548
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• 1999

The purpose of this study was to analyze the relationship of the participation in decisionmaking and expertise of staff nurses. The population for this study was the registered nurses(N=342) working in Chungnam and Chungbuk. The data were collected from April 26 to May 26, 1999. The survey instrument was Participation in Decision Activities Quesionnaire and Expertise scale developed by Anthony(1995), and Job Expertise scale of Van de Ven and Ferry. The results were as follows: 1) There was a significant difference for identification and design, and selection among the process of participation in decision making. 2) There was a significant difference between the participation in caregiving decisions and condition of work decisions. 3) (1) There was a significant difference among caregiving decisions between the expertise indicators and the variables such as education level. and the experience to told who is an expert. (2) There was a significant difference among condition of work decisions between the expertise indicators and the variables such as career, the spent keeping current per week, and self-rating of expertise.