• Journal of Korean Academy of Nursing
• /
• v.38 no.6
• /
• pp.789-801
• /
• 2008

Purpose: The purpose of this study was to develop a substantive theory of case management (CM) practice by investigating the experience of nurse case managers caring for Medical Aid enrollees in Korea. Methods: A total of 12 nurses were interviewed regarding their own experience in CM practice. Data were recorded and analyzed using grounded theory. Results: Empowerment was the core category of CM for Medical Aid enrollees. The case managers engaged in five phases as follows, phase of inquiring in advance, building a relationship with the client, giving the client critical mind, facilitating positive changes in the client's use of healthcare services, and maintaining relationship bonds. These phases moved gradually and were circular if necessary. Also, they were accelerated or slowed depending on factors including clients' characteristics, case managers' competency level, families' support level, and availability of community resources. Conclusion: This study helps understand what CM practice is and how nurses are performing this innovative CM role. It is recommended that nurse leaders and policy makers integrate empowerment as a core category and the five critical CM phases into future CM programs.

• Journal of Korean Public Health Nursing
• /
• v.24 no.2
• /
• pp.237-248
• /
• 2010

Purpose: The study assessed the effects of a 12-session empowering program to promote health quality of life, decision making self-efficacy, self-care competency, and reasonable medical care utilization among low income women households in one rural area. Methods: A quasi-experimental, one-group pre-posttest design was employed. A total of 28 women enrolled as medicaid recipients in the Public Health Center of W city agreed to participate. The empowering program consisted of 12 sessions addressing health education for self-care of disease, medication management, and counseling for psycho-social support. The intervention was delivered by five nurses and one social worker. Women completed a structured questionnaire measuring the study variables with demographic characteristic before and after the intervention. Data were analyzed by PAWS Statistics 17 utilizing descriptive statistics and paired t-test. Results: After the intervention, significant increases were evident in participant health quality of life (t=-5.83, p<.001), decision making self-efficacy (t=-4.86, p<.001), self-care competency (t=-8.16, p<.001), and reasonable medical care utilization (t=-3.97, p<.001). Conclusion: The 12-session empowering program on health quality of life as well as self-care competency was effective when delivered to low income women households. Further studies with larger numbers of participants and a control group are necessary to validate the results.

• Korean Journal of Health Education and Promotion
• /
• v.29 no.5
• /
• pp.49-59
• /
• 2012

Objectives: Physical activity provides economic benefits and contributes in improving health and quality of life. Opportunities for physical activity continue to decrease with the increasing prevalence of sedentary lifestyles. In various settings, there have been many efforts to enhance physical activity to prevent chronic disease for people of all ages. This study was performed to define competencies of physical activity specialists in health promotion and compare with those of health education specialists. Methods: The study employed official data and manuals of health promotion programs that have been published and uploaded on public websites. Results: Competencies for physical activity in health promotion included needs assessment, analysis of data and scientific information, planning and evaluation, developing strategies and materials, management, building healthy environment, research. To compare with the competency of health education specialists, competencies of physical activity were almost similar to that except the developing individual-based physical activity program in exercise science. Conclusions: Physical activity programs for health promotion should be planned and implemented throughout various health topics and in coordination with multiple sectors. To increase efficiency of the utilization of human resources in health promotion, health education specialists needs to participate in physical activity programs and would require empowerment in exercise science.

• Korean Journal of Social Welfare
• /
• v.67 no.4
• /
• pp.127-152
• /
• 2015

This study aimed to implement the enhancement program for the social work practice competency for children of community child center workers and to evaluate the program's effects. For this purpose, the program was implemented for ten community child center workers five times for five weeks(once a week, 120 minutes per session). For the quantitative evaluation, a non-equivalent control group design among quasi-experimental designs was used, and for the qualitative evaluation, the written materials related with the program were collected and analyzed. The results of the quantitative evaluation revealed that the social work practice skills and worker-client relationship empowerment of the community child center workers who participated in the competency enhancement program were significantly improved. In the qualitative evaluation, the subjective experiences were presented, including the improvement of the worker's practice competency and the worker's awareness of the changes in the child, the recognition of the strong points and the points to be improved in the program. This study is expected to raise the expertise and effectiveness of community child center workers, and ultimately, to contribute to the healthy development and the improvement of the mental health of children by improving the social work practice competency of the workers in community child centers, which comprise the representative service delivery system for children in South Korea.

• Journal of the Korean Home Economics Association
• /
• v.47 no.6
• /
• pp.91-108
• /
• 2009

The aim of this study was to assist the development of parenting-aid policies by analyzing information from life perspectives, family system theory, and integrated family policy perspectives. For this purpose, we conducted a literature using a variety of sources including internet sites, laws, published material related to current parenting-aid policies. Based on analyses we formulated four agendas: empowering parent competency, supporting diverse family parenting, guaranteeing parent's rights, and supporting parenting of dual-income families parenting. The results were as follow: Firstly, for empowering parent competency, we proposed the development of family relationship empowerment programs including family life cycle and children-raising support services. Secondly, for diverse family parenting, we proposed access to integrated parenting-aid programs dependent on family types. Thirdly, for guaranteeing parent’s rights, we proposed the supporting of child raising costs and tax returns to families with children, and provide child allowances. Finally, for dual-income family parenting, we proposed that schools and communities must recognize that dual-income families are a universal family type, establish family friendly business culture, and to develop a more democratic domestic family-relationship. This policy proposed a new paradigm where parents must be recognized as partners and stakeholder in development of family related policies. Ultimately, such policies will contribute to increased birth rate and development of a more respectful society.

• Journal of Agricultural Extension & Community Development
• /
• v.20 no.2
• /
• pp.383-405
• /
• 2013

The purpose of this study is trying to drive the competence relevant to extension worker's functions. We also conducted a correspondence analysis between the individual competence and extension worker's functions. As a result of the analysis, the functions of guidance planning correlated with 'problem solving' and 'creation of ideas'. Education functions correlated with 'extension work evaluation', 'customer satisfaction' and 'understanding'. And crop technology diffusion functions were analyzed relevant to the ability of 'training skill' and 'responsibility' is high. In this study, extension empowerment need to educate suitable education which is high relation between competency and extension worker's functions and develop new suitable education model. And the baseline data will be made use, when arrange reasonable function to new extension workers, through individual competency measured.

• Child Health Nursing Research
• /
• v.23 no.1
• /
• pp.28-36
• /
• 2017

Purpose: This paper is a report on the concept analysis of family-centered care for hospitalized children. Methods: The concept analysis approach of Walker and Avant was used. A search of multidisciplinary literature published between 1960 and 2016 was undertaken using the keyword 'family centered care' or 'family centered nursing' combined with hospitalized children. Attributes, antecedents, and consequences were inductively derived from the citations analyzed (n=19). Results: The attributes of family-centered care included (1) family respect, (2) collaboration, (3) family support, and (4) information sharing. These attributes are influenced by the 'willingness of family to participate', 'competency and willingness of staff,' and 'institution policy and system.' Additionally, family-centered care does significantly impact 'the health of the children', 'family empowerment' and 'work satisfaction and self-confidence of staff'. Conclusion: Family-centered care of hospitalized children as defined by the result of this study will contribute to the theoretical foundation for application in pediatric nursing practice.

• Journal of Korean Academy of Nursing
• /
• v.45 no.5
• /
• pp.684-693
• /
• 2015

Purpose: This methodological study was conducted to develop and test a cultural competence scale for nursing students. Methods: Based on the five constructs of cultural competency identified in the conceptual analysis of Suh, 76 items for the tool were derived initially. These items were reduced to 58 items after content validity tests (two times) by 6 multicultural experts. Data collected from 526 nursing students were utilized to test the validity and reliability of the preliminary tool. Item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's alpha were used for the analysis. Results: Twenty-seven items were selected for the final scale, and categorized into 5 factors explaining 62.1% of the total variance. Cronbach's alpha was .91 and the reliability of the subscales ranged from .76 to .91. Criterion validity between the developed tool and empathy (r=.26, p <.001) was significant. Conclusion: The results show that this scale can provide scientific and empirical data when evaluating the effectiveness of school curriculums or multicultural empowerment programs regarding cultural competence of nursing students.

• Journal of Korean Academy of Nursing
• /
• v.31 no.5
• /
• pp.781-792
• /
• 2001

Professional nurse Autonomy is an essential attribute of a discipline striving for full professional status. Purpose: This study was to clarify the concept of professional nurse autonomy to provide basic data needed for development of professional autonomy enhancing strategies. Method: This study use the process of Walker & Avante's concept analysis based on Wade's research (1999), and field data of 21 nurses. Results: Professional nurse autonomy is defined as competency and creative performance of the professional nurse in practice, to decide independently or interdependently nursing activities and to be had accountable for results of decisions, that reflect advocacy and caring. It was identified that critical attributes include responsible discretionary decision making, collegial interdependence, initiative, creativity, and caring, advocacy, cooperative relationship with clients, receptive capacity to others, activeness, self confidence, and devotion and responsibility to their profession. Antecedents include personal characteristics, educational background, experience and structural characteristics that enhance professional nurse autonomy. Consequences of professional nurse autonomy are feelings of self-efficacy, empowerment, job satisfaction, reduction of intention to leave their job. Conclusion: According to these results, it is recommended that the curriculum provides an environment for learning professional nurse autonomy, and that is used as basic data to develope strategies to enhance professional autonomy of nurse in practice and it's effects

• Journal of Information Technology Services
• /
• v.5 no.1
• /
• pp.17-34
• /
• 2006

As insurers have undergone changing customer expectations, increased cross-industry competition and restructured distribution channels, they need to enhance customer relationships, cut costs, increase agility and streamline operations while differentiating the core competency. As such, the importance of e-business transformation has increased where organizational core processes are restructured around customers and interned-based technology is adopted for flexible and adaptive information systems. This paper presents a case study of process innovation for e-business transformation in a Korea-based leading property & casualty insurance company. The company initiated three years-long e-business transformation program to remain competitive and to keep sustainable growth under risky and down economy. The program, which covered enterprise-wide business processes such as product, marketing & sales, customer, claim, investment & loan, accountings, etc., included redesigning processes from customers' viewpoint and then implementing process-aligned information systems. Leadership, sponsorship, change management, performance measurement, business and IT alignment, empowerment, and customized methodology, were emphasized throughout the program. As a result, the company could expect not only improvements in customer-centricity, sales productivity, and operational excellence but also increased revenues and profits in the next three years. The presented case addresses a feasible approach for enterprise-wide e-business transformation. Although the strategies, actions, and business and IT models are not described in detail due to confidentiality, the methodology and the success factors would be applicable to other insurers and possibly organizations in different industries.