• Title/Summary/Keyword: Community Health Nurses

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Development and Evaluation of Geriatric Visiting Nurses' Educational Program (노인전담 방문간호사 교육 프로그램 개발 및 평가)

  • Baek, Hee Chong
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.25 no.3
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    • pp.240-248
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    • 2018
  • Purpose: The purpose of this study was to evaluate the validity of an educational program developed for geriatric visiting nurses in Seoul by assessing their satisfaction level and level of learning goal achievement. Methods: This descriptive research study was conducted to develop, implement, and evaluate the educational program in accordance with the ADDIE Instructional System Model. Participants were 170 nurses hired for the 2016 Seoul Metropolitan Government visiting service for older people. Based on Kirkpatrick's Training Evaluation Model, reaction and learning evaluations were conducted during and after the educational program. Data were analyzed using descriptive statistics. Results: The developed educational program consisted of basic and professional courses. The evaluations showed that participants were highly satisfied with the lectures and field placement. Over 90% of the participants achieved the learning achievement goals. Conclusion: The program developed for geriatric visiting nurses in Seoul is considered a valid educational program because of the participants' high levels of satisfaction and academic achievement.

A study on educational need of nurses for home care (간호사의 가정간호를 위한 교육요구 분석)

  • Moon Jung-Soon
    • Journal of Korean Public Health Nursing
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    • v.5 no.2
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    • pp.5-25
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    • 1991
  • This study was conducted from July to December 1990, in order to diagnose nurses' educational need for home care. The study subjects consisted of 145 nursing educators, and the 3 groups of nurses, namely 250 senior nursing students of diploma and collegiate program, 235 health center nurses, 521 university' hospital nurses in Seoul. Four types of questionaires were formulated by Delphi method. Two questionaires for the nursing educators were designed to measure their expectations of nurses' knowledge and of their skill for home care, and another two questionaires for the nurses to measure their actual home care knowledge and skill. The results of the study were as follows : 1) The mean scores of educators' expectation for home care knowledge were 17.68 for the care of dependence on medical equipment, 17.44 for the care of mobility impairment patient, 16.56 for the care of cardiopulmonary impairment patient, 16.40 for the care of nutrition and elimination impairment patient, '1.20 for the care of psychiatric disorder patient and 9.03 for the care of cancer and terminally ill patient,. 2) The mean scores of nurses' home care knowledge tested by 20 items were 14.36 for the care of mobility impairment patient, 13.28 for the c8;re of dependence on medical equipment, 13.78 for the care of cardiopulmonary impairment patient, 12.92 for the care of nutrition and elimination impairment patient, and those of tested by 10 items were 7.08 for the care of psychologic disorder patient, 7.80 for the care of cancer and terminally ill patient. The sum of means marked 69.23. As for the nurses' home care knowledge categorized by tasks in terms of the group, significant difference were shown in the care of mobility impairment(P=0.00), cancer and terminally ill(P=0.03), nutrition and elimination impairment(P=0.00) and psychologic disorder patient(P=0.00). No significant difference were shown in the care of dependence on medical equipment and cardiopulmonary impairment patient. 3) Regard to educational need of nurses' home care knowledge categorized by task according to the group it was found that all sampled nurses had educational need in the care of mobility impairment, dependence on medical equipment, cardiopulmonary impairment, cancer and terminally ill patient. It was found that health center nurses had educational need in the care of psychologic disorder. No educational need were found in the health center nurses whose career less than 2 years, in the care of mobility impairment, cardiopulmonary impairment and psychologic disorder patient, and in those of career with 2-5 year in the care of psychologic disorder patient. No educational need were found in the hospital nurses whose career more than 15 years, in the care of cardiopulmonary impairment patient and in those of career with 11-15 year, in the care of cancer and terminally ill patient. 4) The mean scores of educators' expectation for home care skill measured by Likert 5 points scale were 4. 21 for assessing, 4.49 for planning, 4.29 for basic care, 4.42 for curative care, 4.40 for rehabilitative care, 4.36 for emergency care, 4.53 for medication, 4.31 for nutritional care, 4.32 for other means for care, and 4.38 for evaluation. 5) Regard to nurses' home care skill measured by Likert 5 points scale of self evaluation, there was a significant difference between the nurses' home care skill and group(P=0.00l). The higher scores reported by students were vital sign checking and basic care while the scores of below medium were curative care and emergency care. The higher scores reported by health center nurses were vital sign checking, other means for care and care of specimen while the scores below medium were curative, emergency and nutritional care. The higher scores reported by hospital nurses were vital sign checking, care of specimen and basic care, while the score below medium was emergency care. 6) Regard to educational need of nurses' home care skill by nursing process activity according to the group it was found that health center nurses had educational need in all nursing skills including vital sign checking, care of specimen, health assessment, socioeconomic assessment, nursing diagnosis, care plan, basic care, curative care, rehabiitative care, psychological care, emergency care, medication, nutritional care, other means for care and evaluation. And students had educational need in all nursing skills except vital sign checking, and hospital nurses had educational need in all nursing skills except vital sign checking, care of specimen and basic care. 7) In short, the result of this study suggests that the curriculum should be organized in accordence with nurses' educational background and their career for the education of nurses for home care. It should be considered to develop the short term educational program focused on curative and rehabilitative care for health center nurse or community health nurse practitioner and which was focused on family care for hospital nurse. Concerning about this field practice for home care nurse, they are required not only community practice but also . clinical practice including emergency, curative and rehabilitative care.

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A study on a nursing curriculum after a basic 3-year diploma course for the baccalaureate degree (학점인정제를 통한 간호학사학위 취득을 위한 간호교육과정)

  • Kim, Hwa-Joong
    • Research in Community and Public Health Nursing
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    • v.8 no.2
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    • pp.159-177
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    • 1997
  • For the development of nursing curriculum after the completion of a basic program, this study was conducted by comparing the 4-year baccalaureate degree program with the 3-year diploma program. The results are as follows: 1. The curriculum of the 4-year baccalaureate and 3-year diploma program are similar to each other in philosophy, educational objectives, and practical experience. However, advanced nursing courses in practical experience were taught by the 4-year baccalaureate degree program only. 2. For the development of a more advanced and effective curriculum, the 3-year diploma program should concentrate on nursing core courses (80 credits) such as 'adult nursing' 'maternal nursing' 'pediatric nursing' 'psychiatric nursing' 'community health nursing' 'fundamentals of nursing' 'managerial nursing'. Furthermore, nursing related courses (20 credits) and liberal education courses (20 credits) should also be offered by the 3-year diploma program. 3. This nursing curriculum should be conducted by registered nurses who have graduated from a 3-year diploma program. The nursing educational philosophy and the educational objectives of this curriculum are the same as the 4-year program recommended by the Korean Nurses Association. This curriculum consists of 2 parts: advanced nursing courses and liberal education courses. The advanced nursing courses (20 credits) include 'nursing theory(4 credits)' 'nursing research(4 credits)' 'nursing leadership(4 credits)' 'nursing curriculum{4 credits)' and 'seminar of nursing issues(4 credits)' total is 40 credits.

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A Study for Investigating of Compliance for health Behavior - Centered on Rural Community People (농촌주민들의 건강행위 이행에 영향을 미치는 요인조사 연구)

  • Ki Kyung Sook
    • The Korean Nurse
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    • v.26 no.2 s.140
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    • pp.54-67
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    • 1987
  • Accepting the health as the fundamental human right, the country and the society came to admit the duty to give it to all the people. Korean government is expanding the primary Health care as one of the policies for developing the peoples'' health by the

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A Study of the Index Development and Measurement for School Health Promoting Behaviors (학교건강증진 지표개발 및 측정에 관한 연구)

  • Kim, Young Im
    • Journal of the Korean Society of School Health
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    • v.11 no.2
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    • pp.189-201
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    • 1998
  • The objectives of this study are first to develop the index of school health promoting behaviors, two, to measure those, third, to analysis the relative importance of factors that effect on school health promoting behaviors. School health promotion indexes were composed of 60 components of six areas which modify the element of health promoting schools are developed by world health organization. The survey data were collected by questionnaires from June to September in 1998. The number of subjects was 294 school nurses. The SAS-PC program was used for the statistical analysis. The major results were as follows: 1. The six areas of school health promoting behaviors are: school health politics (20 components), the school physical environment (17 component), the school social environment (7 component), community relationships (6 component), personal health skills (7 component) and health services (3 component). 2. The mean of total school health promotion indexes was highest at elementary school as 3.46. The order of area was health services, the school physical environment, school health politics, the school social environment, personal health skills, community relationships. 3. The regression model used in this analysis presented significant relationships between school health promoting behaviors and independent variables. The important variable affecting the area of school physical environment was education level of school nurses. The important variable affecting the area of the school social environment and personal health services were the location of school, credential education program. Age or career also were significant variables affect the community relationships and health services. In summary, The health promoting behavior of elementary school was higher than other school. It is mean that have to perform active promoting behavior at middle school and high school. Health service level was highest among areas of school health promoting behaviors. It is mean also that school nurse teachers is interested in activity for other areas to improve of school health. Furthermore, it is necessary to develop the specific program for school health promoting behavior.

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The Relationships Among Occupational Safety Climate, Patient Safety Climate, and Safety Performance Based on Structural Equation Modeling

  • Aghaei, Hamed;Asadi, Zahra Sadat;Aliabadi, Mostafa Mirzaei;Ahmadinia, Hassan
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.6
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    • pp.447-454
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    • 2020
  • Objectives: The aim of the present study was to investigate the relationships among hospital safety climate, patient safety climate, and safety outcomes among nurses. Methods: In the current cross-sectional study, the occupational safety climate, patient safety climate, and safety performance of nurses were measured using several questionnaires. Structural equation modeling was applied to test the relationships among occupational safety climate, patient safety climate, and safety performance. Results: A total of 211 nurses participated in this study. Over half of them were female (57.0%). The age of the participants tended to be between 20 years and 30 years old (55.5%), and slightly more than half had less than 5 years of work experience (51.5%). The maximum and minimum scores of occupational safety climate dimensions were found for reporting of errors and cumulative fatigue, respectively. Among the dimensions of patient safety climate, non-punitive response to errors had the highest mean score, and manager expectations and actions promoting patient safety had the lowest mean score. The correlation coefficient for the relationship between occupational safety climate and patient safety climate was 0.63 (p<0.05). Occupational safety climate and patient safety climate also showed significant correlations with safety performance. Conclusions: Close correlations were found among occupational safety climate, patient safety climate, and nurses' safety performance. Therefore, improving both the occupational and patient safety climate can improve nurses' safety performance, consequently decreasing occupational and patient-related adverse outcomes in healthcare units.

Factors Influencing on Core Competencies in Disaster Nursing by University Hospital Nurses' Experiences of Caring for Patients with COVID-19 (COVID-19 환자 간호경험에 따른 대학병원 간호사의 재난간호 핵심역량 영향 요인)

  • Choi, Bo Won;Ha, Yeongmi
    • Research in Community and Public Health Nursing
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    • v.33 no.2
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    • pp.247-258
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    • 2022
  • Purpose: Considering that nurses perform critical roles for caring for patients during the COVID-19 pandemic, it is important to investigate core competencies in disaster nursing. This study aimed to identify influencing factors on core competencies in disaster nursing by examining relationships between attitudes toward disaster management, disaster preparedness, and core competencies in disaster nursing in university hospital nurses' experiences of caring for patients with COVID-19. Methods: The participants were nurses working in two university hospitals who had either experiences of caring for patients with COVID-19 or no experiences. A questionnaire was distributed to 198 participants between October and November 2021. Results: The findings of multiple regression analysis demonstrated that the factors related to core competencies in disaster nursing in the participants were disaster preparedness (β=.80, p<.001) and nurses' experiences of caring for patients with COVID-19 (β=.11, p=.007). Specifically, the factors related to core competencies in disaster nursing in those having experiences of direct caring for patients with COVID-19 were disaster preparedness (β=.84, p<.001) and marital status (β=.16, p=.001). The factors related to core competencies in disaster nursing in those with indirect caring for patients with COVID-19 were disaster preparedness (β=.75, p<.001) and an intention to participate in disaster response (β=.16, p=.037). Conclusion: Based on this study, it is important to develop disaster nursing education programs focusing on the full spectrum of disaster management including disaster preparedness, disaster response, and disaster recovery training.

Effect of Infection Control Education on Knowledge, Attitude and Self-Confidence of Student Nurses About Nosocomial Infection Control (감염관리 교육이 간호학생의 병원감염관리에 대한 지식, 태도 및 자신감에 미치는 효과)

  • Kim, Hye-Suk
    • The Journal of Korean Society for School & Community Health Education
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    • v.10 no.1
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    • pp.47-60
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    • 2009
  • Purpose: The purpose of this study was to determine the effects of infection control education, knowledge, attitude and self-confidence of student nurses, regarding nosocomial infection control. Method: This was a nonequivalent control group nonsychronized design. The participants were 83 student nurses who were conveniently assigned to the experimental or a control group. The data were collected from March 5 to June 11, 2008 and analyzed based on Fisher's exact test and t-test. Result: The 1st hypothesis, "Posttest nosocomial infection control knowledge scores for the experimental group will be higher than scores for the control group" was supported (t=2.057, p=.043). The 2nd hypothesis, "Posttest nosocomial infection control attitude scores for the experimental group will be higher than those for the control group" was not statistically significant (t=.466, p=.643), The 3rd hypothesis, "Posttest nosocomial infection control self-confidence scores for the experimental group will be higher than those for the control group" was not statistically significant (t=2.290 p=.025). Conclusion: This infection control education was effective in increasing the levels of knowledge and self-confidence for student nurses regarding nosocomial infection control.

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Knowledge, Attitudes and Preventive Infection Behaviors regarding AIDS of General Hospital Nurses (종합병원 간호사의 AIDS에 대한 지식, 태도 및 예방적 감염관리 행위)

  • Han, An-Na;Choi, Soon Hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.2
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    • pp.1-12
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    • 2014
  • Objectives: This study was conducted to identify the correlations among the knowledge, attitude and preventive infection behaviors regarding AIDS of general hospital nurses. Methods: Participants were 314 nurses who have been working for a C hospital in G city. Data were collected from December 3, 2012 to December 14, 2012 after the informed consents were obtained from the participants with the help of nursing department. Results: Knowledge based on general characteristics was not different significantly. AIDS attitudes showed significant differences by age, marital status, religion and workplace and preventive infection behaviors, by age, position, duration of clinical experience. Significant correlations were not observed among the knowledge, attitude and preventive infection behaviors regarding AIDS. Conclusions: This study showed that the knowledge of nurses regarding AIDS will need to be improved by systematic training, and, rather than preventive infection behaviors simply based on knowledge, a training program that includes physical, mental, and social aspects based on the latest information.

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