• Korean Parent-Child Health Journal
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• 제3권2호
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• pp.81-93
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• 2000

The role of the neonatal nurse specialist has been well established over the past decade and now reform in 21st century. Neonatal nurse specialists responsibilities in caring for critically and long-term chronically ill infants and their families are very important. Neonatal nurse specialists have a two fold responsibility in caring for these infants. First, through acquiring advanced practice education in complex neonatal care and diagnostic skills, neonatal nurse specialists meet the physiologic needs of the infant. Second, neonatal nurse specialists provide a more holistic approach to their care through evaluating the family in treatment plans and involving the family in discharge planning for the infant. In some institutions, neonatal nurse specialists are directly involved in institutional and/or home follow-up care and case management also. It is the neonatal nurse specialists responsibility to function collaboratively with the multidisciplinary team in managing critically or chronically ill infants from admission to discharge. The role of the neonatal nurse specialist case manager can be described as one that focuses on individualized care of the infant, while providing continuity of care to both the infant and family. The neonatal nurse specialist's role will vary depending on the neonatal intensive care unit(NICU). Therefore, the multidisciplinary collaborative approach to long-term management of infants in the NICU is extremely important to provide successful transition to home or to long-term rehabilitative care facilities because care for the chronically ill infant is complex and multifaceted. I suggest the role of neonatal nurse specialist in 21st century are as follows. 1. Diagnostic/patient assessment 2. Management of patient health/illness 3. Administering/monitoring therapeutic interventions and regimens 4. Monitoring/ensuring quality of health care practices 5. Organization and work role 6. Helping role 7. Teaching/coaching role 8. Management of rapidly changing situations 9. Consulting role The advanced practice nursing model of care delivered by neonatal nurse specialist's in the NICU incorporates medical and nursing role functions and emphasizes holism, caring, and a health perspective for critically and chronically ill neonates and their families.

• Journal of Korean Public Health Nursing
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• 제3권1호
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• pp.18-37
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• 1989

This study was done in order to analyze the factors which influenced the performance level of community health practitioners' task. Interview survey was done during the period from August to October, 1986. Interviewee were 166 CHPs among total of 217 CHPs in Kyonggi province area. Multiple stepwise regression and canonical correlation analysis were used to identify major factors influenced to perform community health practitioners' task. The results of this study were summarized as follows: 1. General characteristics of CHPs 1) Personal characteristics The average age of CHPs was 37.8 years and their marital status was $77.6\%$ of married, educational back-ground was $65.3\%$ of junior college graduation. Their job career was $38.6\%$ of between 1-3 years, $33.3\%$ of between 3-5 years, $22.2\%$ of less than 1 years. Most of CHPs$(62.8\%)$ were fully satisfied with their job, $33.3\%$ were moderately, and $3.8\%$ were not satisfied. 2) Working environmental condition Only $31.7%$ of CHPs were satisfied with their working condition of primary health post, $26.6\%$ were not satisfied. Half of CHPs$(52.5\%)$ replied having good cooperation with health center, $10.1\%$ replied bad. Cooperation with health subcenter was good in $32.9\%$, and bad in $21.9%$. Cooperation with private health institutions was good in $34.2\%$, bad in $21.6%$. 2. Performance level of community health practitioners' task Among a total of 52 contents of their functions medical history taking. physical examination, referral of diagnostic laboratory work-up($(86.4\%)$, health assessment of pregnant women$(82.1\%)$, development of health information system$(79.4\%)$, supervision of health workers $(78.4\%)$, follow-up of family planning acceptors$(77.3\%)$, and follow-up of family planning acceptors' side effects$(77.3\%)$ were actively performed. Diagnosis of pregnancy$(62.1\%)$, sampling of drinking water for quality test$(52.5\%)$, making list of equipment' & supplies $(51.5\%)$, evaluation of primary health post activities $(37.6\%)$, organization of village health workers$(32.4\%)$ and management of village health workers $(30.1\%)$ were poorly performed. 3. Stepwise multiple regression analysis of job function The factors which influenced the performance level of community health practitioners' function were age, marital status, educational level, job career, job satisfaction, satisfaction of working environment of primary health post, cooperation of health center, cooperation of health center, cooperation of private health instiutions in orders. These 9 variables were able to explain job function from $25.7\%$ of program planning to $6.7\%$ of management of common disease. 4. Canonical correlation analysis between the performance of function and general characteristics of CHPs. Cooperation of private health institutions was found to be the factor influencing task performance of community organization, management of primary health post, technical supervision of health personnels. Job satisfaction of CHPs was also found to be the factor influencing task performance of family planning, management of common disease and maintenance of health information system.

• Journal of Korean Public Health Nursing
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• 제8권1호
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• pp.30-52
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• 1994

This study was conducted to diffusion of the health promotion program about no smoking in industry. No smoking program model composed of assessment, plan, implementation and evaluation was developed through the method of literature review and applied to 27 smokers of the management team and dept. of the 1st production in one industry, from October 27 to November 3D, 1993. For the analysis, descriptive statistics and paired t-test were used. The result of this study are summarized as follows: 1. The object was composed of no smoking and reduced smoking. The achievement rate of object was $48\%$. 2. As a result of the implementation of no smoking program, $11\%$ of no smoking rate was obtained. 3. After application of no smoking program, the health age was a little lower but statistical significations was not found. 4. Health education and support of family were effective in health promotion program. Complementary measures about indivisual activity for no smoking were required in no smoking program. In conclusion, subject's response about no smoking program was high and health education and support of family were effective in health promotion· program. And nurses were expected to do their roles as a planner, intervener, manager and supporter in health promotion services.

• Perspectives in Nursing Science
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• 제3권1호
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• pp.17-34
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• 2006

This study was done to suggest directions for research and interventions of health promoting behaviors in Korean older adults in the future. Thirty seven articles for health promoting behaviors in Korean older adults were reviewed and analyzed. Findings are summarized as follows: 1) The total scores of the HPLP in Korean older adults were 2.30-2.44 out of 4 points. In the subscale, the highest degree of performance is nutrition, following interpersonal support, self actualization, stress management, health responsibility and the lowest degree of performance was exercise. 2) The total scores of the Health Behavior Assessment Tool of the Korean Elders were 2.87-3.2 out of 4 points. 3) Among the characteristics of older adults, monthly pocket money, previous job had consistently significant relationships with health promoting behaviors. Sex, job and presence of disease were consistently insignificant relationships with health promoting behaviors. 4) Perceived health status, self efficacy, self esteem, family support and social support had consistently significant correlations with health promoting behaviors. 5) In regression analysis, self efficacy, family support, depression, self esteem were the most powerful predictors of health promoting behavior in more than two articles. Predictors accounted for 14.2-65.2 % of the variance in health promoting behaviors of Korean older adults. On the basis of above findings, It is necessary to develop the interventions for more regular practice of the health promoting behaviors in Korean older adults. The interventions are recommended to focus increasing the exercise & health responsibility and to use the strategies to increase self esteem, self efficacy, social support including family support.

• Journal of Korean Public Health Nursing
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• 제20권1호
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• pp.79-86
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• 2006

Purpose: This study was conducted to examine the relationship among pain, family support, self-efficacy, depression of patients with arthritis. Method: The subjects of this study consisted of 96 patients with arthritis. The data was analyzed ANOVA. Duncan test. Pearson Correlation Coefficients using SAS. Result: Pain showed significant differences according to depression(F=8.12, p=0.001), self efficacy(F=11.52, p<.000) and not significant differences family support(F=0.34, p=0.714). There was a significant negative correlation between family support and depression(r=-.48, p<.000), depression and self efficacy(r=-.41, p<.000). Conclusion: Therefore, for the management of arthritis patient it is required continuous self-management and proper program on self-efficacy promotion.

• Journal of Family Resource Management and Policy Review
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• 제5권1호
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• pp.49-60
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• 2001

This research examined elderly’s quality of life(q/l). In order to explore the elderly’s q/l, it was conceptualized into 8 dimensions tapping macro and micro aspects of elderly’s life: physical & mental health, self-esteem, anxiety, social support, family solidarity, economic state, and physical environment. The primary purposes were to describe dimensions of q/l by the elderly’s sociodemographic variables. And the intercorrelations among q/l dimensions were examined and then the effects of q/l sub-dimensions on psychological well-being were analyzed by using multiple regression. Based on the data collected for 677 subjects residing in rural and urban areas, the basic issues hypothesized were explored. The findings appeared that the psychological well-being was a positive function of physical and mental health, self-esteem, social support, and economic state and a negative one of social anxiety, controlling for subjects’s sociodemographic variables.

• Journal of Family Resource Management and Policy Review
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• 제23권4호
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• pp.75-95
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• 2019

The purpose of this study was to investigate the effects of relationship stress at work and family relationship stress on working men's depression in order to improve their mental health. Data were collected via questionnaire from 313 white-collar workers living in Seoul, Daejeon and Gwangju. There were significant differences in depression depending on age, spouse, age of child, family size and years of labor. There were positive correlations among depression, relationship stress at work and family relationship stress. The family relationship stress was the most influential factor on depression, followed by relationship stress at work. Family relationship stress had a mediating effect on depression and relationship stress at work. These results showed that employers should manage depression of workers in a family friendly way to reduce the stress in relationship at work and home such as work and family balance policy.

• Journal of the Korean Home Economics Association
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• 제43권7호
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• pp.129-145
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• 2005

The Healthy Family Act was established in 2004 to prevent problems of the family and increase thehealthy characteristic of the general family. According to this Act, Healthy Family Support Centers (HFSCs) were founded as a new part of the family welfare institution. The purpose of HFSCs is providing various welfare services to enhance the health and well-being of families in the community. This study investigated the organizational system and evaluation strategies of HFSCs. This research comprised a descriptive study of the organizational system and evaluation strategies of HFSC. The study sample consisted of 217 faculty and field workers. Data were collected from December 2004 to January 2005 and analyzed by frequencies, mean, standard deviation and ANOVA. The results were as follows. First, HFSC's organization should consist of family education, family counseling, family culture-marketing, and network teams. Second, healthy family specialists should have a national certificate of qualifications also they should have more than master's degree level. Third, evaluation of HFSCs should be adapt an incentive system.

• Journal of Korean Academy of Nursing
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• 제29권6호
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• pp.1324-1335
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• 1999

The purpose of this study was to explore the educational needs of patients with, kidney transplants and their family members to develop a rehabilitational and educational program. Data were collected from January 29, 1999 to April 20, 1999 with interviews using a structured questionnaire. There were 184 subjects in this study. of them, 107 were patients who had kidney transplants and had visited at the out-patient department of three general hospitals located in Seoul and 77 were family members. The questionnaire used for this study was developed by the investigator through a literature review and from data collected from 11 professional personnel and three kidney transplant patients and their families. The data were analyzed using the SAS program with t-test, ANOVA, Scheff test, Pearson correlation coefficient. The results are as follows; 1) In the patient group, total mean score for educational needs was 154.61 and the item mean score was 3.96. For the family group, total mean score for educational needs was 168.84 and the item mean score was 4.15. So in the family group, educational needs were scored higher than by the patient group. With regard to domains, both patient and family groups had as the highest educational needs, the domain of physical health and the top ten items in the educational needs were also in the domain of physical health. 2) In the patient group, women and the divorce/ bereavement group had higher educational needs in the domain of nutritional management, those who had been admitted longer than four weeks from their kidney transplant had higher educational needs in the domain of physical health and those who were less than 4 years from their transplant had higher educational needs in the domain of follow-up care. In the family group, those who were Catholics and had high school education had higher educational needs in the domain of nutritional management. 3) In the patient group, academic background was positively correlated(r=.208, p=.031) to educational needs.

• Journal of the Korea Academia-Industrial cooperation Society
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• 제12권10호
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• pp.4513-4522
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• 2011

The purpose of this study is to examine the degree of health promotion behavior among stomach cancer patients and its relevant factors, such as belief, family support, and self-esteem etc. To investigate factors affecting health promotion behavior among stomach cancer patients, a survey was conducted through personal interviews with 153 stomach cancer patients who came to two hospitals in Daejeon from June to July, 2008. Questions were about respondents' general characteristics, properties related to stomach cancer, health belief & family support for the disease, and self-esteem. According to the results of multi-variate regression analysis, factors affecting health promotion behavior included age, treatment type, benefit, barrier, family support, and self-esteem which explained 66.6%. Public health and medical interventions are necessary to improve health promotion behavior among stomach cancer patients by improving benefit, family support, and self-esteem and reducing barrier.