• 지역사회간호학회지
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• 제33권4호
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• pp.385-395
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• 2022

Purpose: To support implementation of comprehensive, person-centered healthcare, this study aimed to explore immigrant women's public health center (PHC) service experiences and needs while considering Photovoice's feasibility for this purpose. Methods: This qualitative study included 15 marriage-based immigrant women. Participants were recruited from churches and multicultural family support centers using purposive and snowball sampling. Data were collected through four focus group interviews and were subjected to inductive content analysis. Results: Five categories of experiences were identified: language barriers, hectic environment, affordable and practical primary healthcare, feeling ignored and discriminated against, and feeling frustrated. In addition, five categories of needs were identified: language assistance services, ease of access, healthcare across the lifespan, expansion of affordable healthcare, and being accepted as they are. This study provides preliminary evidence that the Photovoice approach can facilitate the interview process in a qualitative inquiry involving participants with limited ability to express their perspectives in the researchers' language. Conclusion: Study findings highlight the need to implement institutional policy and procedural changes within PHCs and to provide culturally competent, personcentered care for South Korea's marriage-based immigrant women and other ethnic minority populations. The findings also provide evidence-based direction for PHC service planning.

• 한국학교보건학회지
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• 제24권2호
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• pp.181-189
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• 2011

Purpose: The purpose of this study was to identify the trend of overseas school health indicators and to investigate indicators comparable internationally. Methods: Using the key words, school, health, indicators and policy through formal literature and web sites, the resources were used after the completeness of resources such as the presence of author, year published and place, and reproducibility was evaluated. Results: In overseas, the interest of school health indicators has increased gradually since 1960. Quality indicators as well as quantitative indicators are important as the good school health indicators. The overseas school health indicators have been very comprehensive, not only including students, but also including the expanded population such as school personnel, parents, family and community, process and outcomes, policies, social and cultural environment. The trend of school health research is from traditional issue-based to indicatorbased which makes comprehensive interpretation including development of school health service and life satisfaction. Among internationally comparable indicators, Health Behaviour in School-aged Children (HBSC) and Global School-based Student Health Survey (GSHS) were chiefly for students' health and behavior level, and the School Health Service Survey (SHS) was for school health service personnel and policy. Conclusion: Characteristics of overseas school health indicators were expanded population, and comprehensive and internationally comparable indicators. Therefore, Korea school health indicators need to be comprehensive using expanded population and qualitative indicators, and consider standardized indicators comparable internationally.

• 한국융합학회논문지
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• 제8권4호
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• pp.247-253
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• 2017

2016년부터 전국적으로 확대되고 있는 간호 간병통합서비스 인식과 제공되는 간호업무에 대한 수행도와 중요도를 파악하고자하는 서술적 조사 연구이다. 연구대상자는 임상실습을 경험한 간호학생과 간호사들이며, 간호 간병통합서비스에 대한 인식과 114개 업무분류, 235문항으로 구성되어있는 구조화된 설문지를 이용하였다. 연구 결과로 연구대상자의 간호 간병통합서비스에 대한 인식정도는 '알고 있다'가 가장 높았고, 간호 간병통합서비스 도입 시 간호의 질과 업무의 양과 간호사 책임정도는 증가하는 것으로 나타났으며, 수행도는 '환자 간호 관리 및 정보관리', '투약 및 수혈' 등의 순이었으며, 중요도는 '투약 및 수혈'이 가장 높았다. 본 연구를 통해 간호 간병통합서비스사업의 확대 실시의 필요성은 인식하고 있으나, 간호업무의 양적 확대와 책임에 대한 부담을 높게 인식하고 있으며, 직접 간호시간의 확대가 예상되므로 앞으로 간호 간병통합서비스의 효과적인 간호업무 관리에 대한 논의가 필요할 것이다.

• 한국의료질향상학회지
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• 제26권1호
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• pp.11-22
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• 2020

Purpose: The objective of this study was to compare and analyze the work environment, role conflict, and job embeddedness between comprehensive nursing care service (CNCS) ward nurses and general ward nurses. Methods: This descriptive research study involved 70 CNCS ward nurses and 69 general ward nurses working at an advanced general hospital in Seoul. Data were collected using the structured questionnaire from March 27 to April 14, 2019 and analyzed with the SPSS 24.0 program. Results: The work environment of the CNCS ward nurse was higher than that of the general ward nurse (t=4.38, p<.001), and the role conflict of the CNCS ward nurse was lower than that of the general ward nurse (t=-2.09, p=.038). However, job embeddedness did not show any statistically significant difference (t=0.22, p=.824). Conclusion: The results of this study show that the introduction of CNCS ward has shown improvement in the work environment and strengthened the establishment of the roles in their team, while maintaining the job embeddedness of nurses. These results indicate that improvements in the work environment, such as nurse staffing and material support, would contribute to the qualitative enhancement of nursing and that it would need to extend the introduction of CNCS wards.

• 한국보육지원학회지
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• 제2권1호
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• pp.17-40
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• 2006

정부는 보육시설과 지역사회와의 연계방안을 보육지침에 넣고 지역사회와 연계한 프로그램들을 몇 가지 내놓았지만 현재 이를 제대로 활용하고 있는 보육시설은 거의 없다. 이에 본 연구에서는 보육시설의 지역사회서비스 내용에 대한 부모들의 전반적이고 포괄적인 보육욕구를 조사하고자 하였으며, 본 연구를 통해 보육시설에 유아를 보내고 있는 학부모, 지역사회의 각각의 욕구를 해결하는 성공적인 보육서비스의 발판을 마련하고, 이를 통해 보육서비스는 개별아동권을 보장하는 보육서비스로, 사회적 필요성을 충족하는 보육서비스로 발전할 수 있도록 하고 궁극적으로는 지역사회복지에 기여하고자 하였다. 이러한 연구목적을 위해 자녀를 보육시설에 보내고 있는 학부모를 대상으로 학부모들의 생활실태 및 지역사회서비스에 대한 전체적인 견해를 살펴보았다. 또한 보육시설 지역사회서비스를 지역사회봉사, 지역사회홍보, 지역사회참여, 지역사회자원동원의 네 가지 영역으로 나누고 이에 대하여 부모의 요구수준의 정도와 부모의 인구통계학적 특성에 따라서 지역사회서비스 프로그램에 차이가 있는지를 분석하였으며, 보육시설 지역사회서비스 프로그램이 전체적인 지역사회 서비스 요구수준에 미치는 영향을 파악 하였다.

• 가정∙방문간호학회지
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• 제24권3호
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• pp.292-305
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• 2017

Purpose: The purpose of this study was to examine the factors influencing the entrapment of primary caregivers of cancer patients. Methods: From 6 general hospitals, 146 primary caregivers of cancer patients who were receiving home healthcare nursing service were selected for the study. Regarding data collection, structured questionnaires were distributed to the caregivers for data collection. T-test, ANOVA and hierarchical regression were used for data analysis. Results: The significantly influential factors on their entrapment were caregiving time, taking turms to look after the patient, disease duration, home healthcare nursing period, quality of relationship, perceived health status, and social support. And the explanatory power was 55.1% Conclusion: To reduce primary caregivers' entrapment, it is necessary to perform comprehensive and continuous nursing intervention, and to develop a standardized home healthcare nursing intervention program, and to come up with a system for using resources available in local communities.

• 한국산학기술학회논문지
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• 제18권11호
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• pp.321-331
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• 2017

본 연구는 간호 통합서비스가 확대 실시되고 있는 시점에 맞추어 입원환자가 인식한 간호사의 의사소통유형과 간호서비스 만족도, 병원 재이용 의도를 파악하고, 병원 재이용 의도에 영향을 미치는 영향요인을 규명하고자 시도하였다. 연구대상자는 경상남도에 소재한 간호 간병서비스를 제공하는 100병상 이상의 6개 종합병원의 입원환자 123명을 대상으로 하였다. 자료 수집은 2017년 7월 1일부터 7월 30일까지의 기간 동안에 자가 보고형 설문조사를 하였다. 수집된 자료는 SPSS 21.0 프로그램을 이용하여 t-test와 ANOVA, Person's correlation coefficients, hierarchical regression으로 분석하였다. 연구결과는 다음과 같다. 대상자의 병원 재이용 의도 정도는 연령(F=9.83, p<.001), 성별(t=-3.82, p<.001), 배우자 유무(t=2.24, p=.028), 학력(F=11.92, p<.001), 입원기간(F=7.81, p<.001)에 따라서 통계적으로 유의한 차이가 있었다. 병원 재이용 의도는 정보 제공적(r=.609, p<.001), 친화적(r=.536, p<.001) 의사소통 유형과 간호서비스 만족도(r=.797, p<.001)간에 유의한 정적 상관관계가 있었으며, 권위적 의사소통 유형(r=-.356, p<.001)간에는 유의한 부적 상관관계가 있었다. 병원 재이용 의도에 영향을 미치는 요인은 정보 제공적 의사소통 유형(${\beta}=.38$, p=.003)과 간호서비스 만족도(${\beta}=.84$, p<.001)이었다. 따라서 간호 간병통합서비스 입원환자의 간호서비스 질과 고객만족을 향상시키기 위해서는 간호사와 환자의 효과적인 의사소통을 위한 다양한 교육 프로그램 개발과 체계적인 교육이 필요하다.

• 대한간호학회지
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• 제11권2호
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• pp.5-8
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• 1981

This study concerns itself with the development of a new model of comprehensive health service for rural communities of Korea. The study was conceived to resolve the problems of both underservice in rural communities and underutilization of valuable health manpower, namely the nurses, the disenchanted elite health personnel in Korea. On review of the current situation, the greatest deficiencies in the Korean health care system were found in the availability of primary care at the peripheries of md communities, in the dissemination of knowledge of disease prevention and health care, and in the induction of and guidance for active participation by the clientele in health maintenance at the personal, family and community level Abundant untapped health resources were identified that could be brough to bear upon the national effort to extend health services to every member of the Korean Population. Therefore, it was Postulated that the problem of underservice in rural communities of Korea can be structurcturally resolved by the effective mobilization and organization of untapped health resources, and that. a primary care Nursing Service System offers the best possibility for fulfillment of rural health service goals within the current health man-power situation. In order to identify appropriate strategies to combat the present difficulties in Korean rural health services and to utilize nurses and other health personnel in community-centered health programs, a search was made for examples of innovative service models throughout the world. An extensive literature survey and field visits to project sites both in Korea and in the United States were made. Experts in the field of world health, health service, planners, administrators, and medical and nursing practitioners in Korea, in the United States as well as visitors from other Asian countries were widely consulted. On the basis of information and inputs from these experts a new rural health service model has been constructed within the conceptual framework of community development, especially of the innovation diffusion Model. It is considered especially important that citizens in each community develop capacities for self-care with assistance and supports from available health professionals and participate in health service-related decisions that affect their own well-being. The proposed model is based upon the regionalization of health care planning utilizing a comprehensive Nursing Service System at the immediate delivery level The model features: (1) a health administration unit at each administrative level; (2) mechanisms for community participation; (3) a continuous source of primary health care at the local community level; (4) relative centralization of specialty care and provision of tertiary or super-specialty care only at major national metropolitan centers; and (5) a system for patient referral to the appropriate level of care. This model has been built around professional nurses as the key community health workers because their training is particularly suited and because large numbers of well-trained nurses are currently available and being trained. The special element in this model is a professional nurse-guided, self-care facilitating primary care Community Nursing Service System. This is supported by a Nursing Extension Service as a new training and support structure. (See attached diagrams). A broad spectrum of programs was proposed for the Community Nursing Service System. These were designed to establish a balance of activities between the clinic-centered individual care component and the field activity-centered educational and supportive component of health care services. Examples of possible program alternatives and proposed guidelines for health care in specific situations were presented, as well as the roles and functions of the key health personnel within the Community Nursing Service System. This Rural Health Service Model was proposed as a real alternative to the maldistributed, inequitable, uncoordinated solo-practice, physician-centered fee-for-service health care available to Koreans today.

• 한국농촌간호학회지
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• 제2권2호
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• pp.145-152
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• 2007

Purpose: The purpose of this study was to suggest new directions for public health programs in rural and remote areas. Method: For this purpose, a literature review was done including articles, research reports, and master theses and doctoral dissertations. Results: Public health programs in rural remote areas were found to be very insufficient in terms of professional personnel and program diversity. Especially, there is a lack of adequate manpower and infra-structure in the public health sub-centers at the township and sub county level. Although community health practitioners at the village level are providing public health service beyond medical care, their coverage rate is very low. Conclusion: The results suggest a need to strengthen the function of public health sub-centers to provide comprehensive public health service based on the life-cycle approach. For this new change, legal and political support must be developed.

• 지역사회간호학회지
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• 제30권4호
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• pp.528-538
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• 2019

Purpose: The purpose of this study was to follow-up the frailty of the old who received home health care by Registered Nurse in Public Health Center over 8 years. Methods: We used the second wave data which was a comprehensive longitudinal data set, Public Health Information System of a public health center located in Seoul from 2010 to 2018. For statistical analysis, a mixed model of repeated measures by R program was used. Results: Frailty (range: 0~31) was getting worse significantly from 5.38 on registration to 6.54 on 4th year, 7.40 on 7th year, 7.69 on 8th year with adjustment for age, sex, economic status, the number of family, and the number diseases. The coefficient of parameters with frailty change was serviced year (β=0.29, p<.001), age (70~79 to 60~69; β=0.98, p=.018) and sex (female to male; β=2.55, p<.001). Conclusion: This study showed that the home visiting health service needs to take attention to aged 70s and over, female. The home health care of public health center need to be extended more practical and effective services in terms of 'community care'and 'ageing in place'.