• 보건행정학회지
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• 제7권1호
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• pp.1-31
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• 1997

In many people's minds, health promotion is simply a more modern term covering roughly the same field as disease prevention or life style related reduction of the risk factors of chronic disease. A review of the modern literature of health promotion make it clear that there is more to this term than what is involved in functioning as a synonym for disease prevention. Therefore, in order to reach a clear understanding of what health promotion is, this study suggest the concept of the health balance model. Health balance is represented in terms of an equilibrium between physical, social, and life-style-related health challenges on the one hand and health potential on the other hand. Thus, health promotion strategies encompasses both the reduction of health challenges and the strengthening of health potential. Many elements of reducing health challenge are mainly related to the regulation laws. Aspects of strengthening of health potential are related to activities of health center. Therefore, health promotion strategies at a community level should be included in regional health planning which is implemented by health center.

• 보건교육건강증진학회지
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• 제30권4호
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• pp.77-85
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• 2013

Objectives: This paper discusses the current contexts of the collaboration between public health centers(PHCs) and community partners for health promotion. Then it suggests directions for the development and enhancement of the collaboration. Methods: The discussion in this paper is based on key literature on community health promotion, including literature reviews and case reports. Results: PHCs are mostly engaged in networking and cooperation rather than collaboration with the community. A typical pattern of cooperation is where PHCs provide healthy-setting types of programs to the community in single-partnered relationships. Current cooperation rarely involves co-planning by a multi-partnered partnership, and is greatly influenced by the interest of PHC directors and PHC performance evaluation indicators. Systems change is recommended to foster collaboration for community health promotion. Such change involves: shared understanding of health promotion and collaboration, inclusion of collaboration mechanism in public health governance, leadership development, capacity enhancement of all partners. role definition of PHCs for community collaboration, and development of collaborative system, at the least. Conclusions: At this point where collaboration should be more than rhetoric, multi-faceted, intersectoral, and concurrent approaches are required to create discourses, to develop cases, and to share experience for actual realization of collaboration for community health promotion.

• 보건행정학회지
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• 제13권3호
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• pp.35-51
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• 2003

This study purports to develop a quality assessment tool for the process of health promotion programs at public health centers(PHC). The draft of the assessment tool developed by the literature was distributed to 242 staffs who were in charge of the health promotion programs at PHCs for evaluating the feasibility of the tool on September and October 2002. The major results of the study were as follows; The quality assessment tool developed in the study consisted of four domains: strategic planning, program management, monitoring and evaluation, and resources and information. The strategic planning dealt with the function of the planning staff and committees, community data analysis, the feasibility of the program, and the approach methods for attaining the goal of the program. The program management included the items on the qualification and power of the program staff. The monitoring and evaluation included the items on the reporting and communication among program units, and feed back after monitoring. Finally, the resources and information dealt with community networking, clients' response, and consulting activity of the staff. The validity of the tools was tested and partly supported by both formative and criterion-related methods. The assessment tools developed in this study could be used by health promotion workers in the self-evaluation of the program quality. In conclusion, the quality assessment tool developed in the study will be a good safeguard for assuring the quality of the process of health promotion programs.

• 한국보건간호학회지
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• 제6권1호
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• pp.32-45
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• 1992

An important role of community health nurses in health centers is to solve community health problems found through data collection methodology which has been used to identify the health needs of the community, diagnose the health problems and to plan health programs suitable for the health problems. Also community health nurses must be prepared to know the community health needs and to participate in the planning process. Since 1956 when the health center law was established, community health nurses have really implemented only the services which the government has asked them to do. This has kept them busy enough. But these days as society is in rapid change, community health nurses should have the flexibility to deal with the social change and demands that are unique to their community each which has different health needs and demands. So community health nurses need to identify what community health problems exist in their particular communities. The purposes of this study were as follows. 1) To explore the suitability of the health programs which the government has asked the community health nurses to do for their own communities and if these programs are not suitable, to explore the reasons why. 2) To explore the degree to which the community health nurses have the ability to identify health problems in their own communities and activate the community diagnostic process. 3) To identify the degree that the community health nurses have the ability to implement plans related to community diagnosis. 4) To find out how much data related to community health problems, the community health nurses have and how they are utilizing it. 5) To measure the community health nurses self-confidence concerning diagnostic activities for community health. The study subjects were 454 Community Health Nurses working in Health Centers in Seoul, Korea. The period of data collection was 6 days(Nov. 9th 1991-Nov. 15th 1991). A questionnaire used for data collection was composed of three different items; general characteristics, community health diagnostic activities and self-confidence in performing diagnostic activities. The results of the study are as follows. First, over one third of the respondents replied that the government required activities for their communities are not appropriate. Of these activities the most frequent reply $(51.2\%)$ indicated that many of the activities in the community were inappropriate to the actual situation. Further, $25\%$ of the replies indicated that many activities were only administratively oriented and as such not appropriate. Second, $49.8\%$ of the respondents replied that they had done general assessments and had a general idea of the health problems of their community. Effective solutions to health problems could be found with an increase in health personnel and management ability according to $41.5\%$ of the respondents. Third, to the question as to whether they had ever independently implemented a plan towards solving community diagnosed problems, $52\%$ of nurses replied 'never', $40\%$ 'occasionally' but only $7.5\%$ replied that they did it frequently. Actually there was very little done even in the basic work of collecting the necessary data. Fourth, when asked how much of basic information they had collected that might be used in community diagnosis activity, of 26 items in 5 areas, there was hardly one for which complete data had been collected. Fifteen percent did have data on the geographical aspects of their area, housing distribution and types of housing, while $17.8\%$ knew the frequency with which the health center was used. Concerning community resources, even with a list of community resources, only $12.3\%$ had data on any of these resources, and this data was incomplete. Further, information about social work institutions, and facilities was also incomplete, only $14.2\%$ of the respondents had any data and even it was incomplete; that is, in general, the nurses did not have this information. Fifth, concerning the confidence of the community health nurse in their ability to carry out community diagnoses activities, $60\%$ replied that they were very or at least nominally confident, indicating that although they were not doing community diagnostic activities they felt they could do so, as they were carrying out home visits and program planning as part of their official duties. The following recommendations are made based on the results of this study. First; since the community health nurses have a high perception of the need for community diagnostic activities and. high confidence in their ability to carry out this activity and high percentage of respondents replied that with a little training they could do this even better it is recommended that community diagnostic activity training be included in the continuing education program for community health nurses. Second, in order for the Community Health Nurses to successfully solve the health problems of their respective community they reported to a need to increase the number of health personnel, improve the facilities and the system of managing their work. Considering this, it is recommended that ways be sought to remedy these deficits.

• 지역사회간호학회지
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• 제21권4호
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• pp.468-480
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• 2010

Purpose: This study was to describe and develop public health nursing. Methods: Data were collected from 19 nurses sampled from 5 public health centers. The grounded theory of Strauss and Corbin (1990) was applied. Results: As a result, 48 concepts, 23 subcategories, and 11 categories were deduced from open coding. In axial coding, casual conditions 'facing difficulties of practical administration' and 'attaching importance to health support for residents' and context condition 'assessing of residents' service needs' impacted phenomenon 'searching for efficient performing methods.' Intervening conditions 'forming of support system' and 'working with positive,' and action-interaction conditions 'improving of resident's health and medical accessibility' and 'striving for self-development' lead to consequences 'carried out promptly for field-based problem solving,' 'mastered of successful program planning methods' and 'solving the issues with existing style.' The periods of process were divided into 4 stages, confirming program-contents, probing program-method, developing program-strategies, and applying program-competencies. The core category, ‘strengthening of practical-planning work competencies' incorporated the relationship between and among all categories and explained the process. Conclusion: This study described public health nurses' performance in Korea. These findings have important implications for the practice and must be considered to develop competencies for planning and practice of public health.

• 지역사회간호학회지
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• 제33권2호
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• pp.153-163
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• 2022

Purpose: A care coordinator is an emerging nursing professional role in South Korea. The purpose of this study was to identify educational needs and priorities for care coordinators among nurses. Methods: An online survey was conducted on 661 current or retired nurses from January 30 to February 28, 2021. A total of 17 essential competencies for care coordinators, recognized based on literature review, were used to analyze the educational needs. The data were analyzed using descriptive statistics, a paired t-test, and one-way analysis of variance with SPSS 25.0. The educational needs analysis was conducted by using a paired t-test, the Borich Needs Assessment Model, and the Locus for Focus Model. Results: Five contents were identified as the first priorities for educational needs: 'Health program planning and evaluation', 'Care planning', 'Coordinating community-based services', 'Case management', and 'Transitional care'. The second priorities for educational needs included 'Population health management' and 'Welfare resource linkages via communicating with social workers'. Conclusion: The priority items derived from this study offer underpinning insights for the development of care coordination training program.

• 대한지역사회영양학회지
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• 제6권3호
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• pp.354-360
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• 2001

This study was carried out to investigate the present status of nutrition services for infants in public health centers and the need for nutrition services of health workers and infants mothers. The study subjects were 146 health workers and 197 infants mothers. The results were as follows : At present, the only major nutrition services for infants were vaccination and dental care. Proper nutrition management services were available to infants. Nutrition knowledge scores were 16.8 for health workers and 15.3 for mothers out of 20 possible points. Health workers strongly demanded a well-organized nutrition education program, government support, audio-visual materials and the employment of a community nutritionist. The public health workers, in particular, demanded the development of education programs for breastfeeding and weaning. The infants mothers demanded services of nutrition information and teaching of cooking and menu planning. Based on this, the results suggest that the employment of a community nutritionist and the development of practical nutrition service programs for infants are needed very urgently for public health centers.

• 농촌의학ㆍ지역보건
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• 제28권2호
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• pp.135-154
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• 2003

광역시의 7개 구 보건소(180명), 광역도의 9개 시 보건소(262명), 광역도의 12개 군 보건소(232명) 등 28개 보건소의 공무원 674명을 대상으로 2002년 9월에 지역보건의료계획에 대한 인식과 태도를 조사함과 동시에 이들 보건소의 보건소장 또는 보건사업과장에게 지역보건의료계획 수립과정과 계획서에 따른 업무추진 내용, 제3기 지역보건의료계획서 작성에 관한 사항 등에 대해 설문조사 한 결과는 다음과 같다. 제2기 지역보건의료계획을 구체적으로 끝까지 읽어본 공무원은 13.6%에 불과하였고, 구체적으로 알고 있는 비율도 12.5%에 불과하였다. 대상공무원의 56.9%가 제2기 지역보건의료계획서를 가지고 있지 않았고, 2002년도 계획서를 소지하고 있지 않은 공무원은 63.5%였다. 응답자의 35.4%가 지역보건의료계획에 대해 지방자치단체장의 관심이 높다고 하였고, 22.4%는 지방의회의원의 관심이 높다고 하였다. 보건소장의 관심이 높다고 응답한 공무원은 77.8%였으며, 44.9%는 보건소내 타 공무원의 관심이 높다고 하였고, 43.9%가 본인의 관심이 높다고 하였다. 응답자의 58.6%가 지역보건의료계획이 필요하다고 하였고, 44.8%가 지역보건의료계획이 업무에 기여한다고 하였으며, 38.0%가 활용정도가 높다고 하였다. 응답자의 36.9%가 제2기 지역보건의료계획에 참여하였고, 49.6%가 제3기 지역보건의료계획에 참여하였다고 하였다. 15.7%가 제2기 지역보건의료계획 작성을 위한 교육에 참여하였고, 23.6%가 제3기 지역보건의료 계획 작성교육에 참여하였다고 하였다. 지역보건의료계획의 가장 큰 문제점으로는 인력 및 예산부족(39.8%), 직원의 인식부족(21.4%) 순이었다. 지역보건의료계획의 내용 중 가장 중요한 것을 보건소 업무의 추진현황과 추진계획이라고 하였다. 전체 보건소의 14.3%만이 제2기 지역보건의료계획에 따라 인력확충 계획을 실행하였다고 하였고, 28.6%가 조직개편계획을 실행하였다고 하였으며, 25.0%가 자체평가를 하였다고 하였다. 지역보건의료계획 목표설정시 내부의견 수렴을 제대로 거치지 않은 경우가 제2기 계획때는 42.9%였으나 제3기 때는 17.9%로 줄어들었다. 지역보건의료계획 시 가장 어려운 점은 '서식이 많고 복잡함', '직원의 전문지식 부족', '직원과 기관장의 관심부족' 순이었고, 개선방안으로는 '기획전담부서 확보', '계획수립시기 조정', '의회의결폐지', '직원교육확대', '서식 개선' 등이 제시되었다. 따라서 인력 및 예산확보, 기관장과 직원의 관심도 제고, 보건소 실정에 맞는 지침정비, 지역보건의료계획 수립제출시기 조정 등의 법규정비, 직원교육 등을 확대하여 지역실정에 맞는 체계적이고 효율적인 지역보건 의료계획을 수립하도록 하여야 할 것이다.

• 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.

• 한국사회복지학
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• 제43권
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• pp.106-130
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• 2000

When parents as primary care takers to the mentally disabled adult are no longer taking care of their care-needed offsprings because of their own death or illness, instead themselves. who take care of their offsprings with the mental disability? Therefore, 'permanency planning' is very important for reduction of parents' care burden and social integration of mentally disabled adults. Accordingly, this study aims to find out factors which are related to permanency planning for adults with the mentally disability For the purpose of the study, 192 parents of the adult with the mental illness and mental retardation were conducted a survey regarding type of permanency planning, and its related factors including social functioning level of the mentally disabled, care burden, parents' self-perception of being aged, help from offspring without mental disability, social support, and financial ability. Furthermore, this study examined correlation between these factors and residential planning. Results obtained by the study were as follows: 1) 51% of the parents are having a plan for institution and most parents want other family member to take care for financial planning for their mentally disabled offsprings. 2) As a result of multiple regression for finding out factors which affect parents' permanency planning, social functioning level of the mentally disabled, parents' self-perception of being aged, help from offspring without mental disability, social support, and financial ability were statistically significant influenced factors, which has 23.3% of explanatory power. 3) As a result of step-wise multiple regression, financial ability, parents' self-perception of being aged, and help from offspring without mental disability were the most powerful influenced factors for permanency planning. 4) In case of having a plan for residential types-which are institution and community living-, parents who have a plan for the mentally disabled offsprings' future residence as community living than institution have the offsprings with more social functioning and also have more help from offspring without mental disability. Therefore, this study concluded that welfare policy for mental health and the handicapped which secure various types of community living facilities and income security is strongly needed. At the same time, mental health profession is needed to have more active interest and intervention for permanency planning for their adult clients and parents.