• Title/Summary/Keyword: Health workforce

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Factors Relating to the Quality of Care for Nursing Home Residents in Korea: Using the Delphi Method

  • Shin, Juh Hyun;Kim, Eun Mee;Lee, Ji Yeon
    • Journal of Korean Academy of Nursing
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    • v.49 no.6
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    • pp.783-794
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    • 2019
  • Purpose: This study identified factors related to the quality of care in nursing homes, and elicited consensus opinions from experts on nursing homes. Methods: A Delphi questionnaire was developed based on a review of the literature using the keywords "nursing homes," "workforce," and "quality of care." A total of two Delphi surveys were conducted with 14 experts. The important and urgent factors related to the quality of care for nursing home residents emerged. Results: A consensus was achieved on the important and urgent factors relating to the quality of care. The related factors were grouped into four sections: Organizational Characteristics, Staffing Characteristics, the Long-Term Care Market and Legal and Policy Issues, and Nursing Processes. In total, 23 items were important factors and 26 items were urgent factors relating to the quality of care. In addition, the unanimous advocacy by the experts for increased hours per resident day for registered nurses (RNs, 41 minutes 59 seconds) was much higher than the current hours per resident day of RNs in Korea. Conclusion: To provide optimal care for residents in nursing homes in Korea, the mandatory and essential placement of RNs with professional knowledge and skills is paramount.

Educational Needs Assessment of Migrant Farm Workers and Employers Perceived by Farmers in Korea (농업 경영인이 인식한 외국인 근로자 및 농업인 고용주 교육 요구 분석)

  • Hong-Yong Jo;Jin-Chul Jeong
    • Journal of Agricultural Extension & Community Development
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    • v.29 no.4
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    • pp.203-224
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    • 2022
  • This study aims to examine the educational needs of migrant farm workers and farmers in Korea. For developing survey instruments, content analysis of migrant workers & employer training programs, in-depth interviews with farmers and expert reviews had been conducted. Therefore, eight parts and twenty nine educational contents for migrant workers, five parts and twenty educational contents for farmers have been constructed. For data analysis, Borich analysis and The Locus for Focus Model were hired to analyze the educational needs assessment. Results showed that migrant workers' educational priorities were 'basic korean for farming, working attitude in farming, safety guidelines and first aid skills for rural life, safe use of pesticides and protective equipment, driving skills, safe use of agricultural machinery, operation & maintenance of agricultural machinery, pest control by crop', and for the farmers' were 'communication with migrant workers, trouble controls with employment, farming guidance, industrial accident cases and countermeasures, preventing disease and promoting mental health of migrant workers'.

Presenteeism and Absenteeism According to Health Problems on Nurses (간호사의 건강문제에 따른 프리젠티즘과 결근율의 관계)

  • Lee, Young-Mi;Jung, Moon-Hee
    • Research in Community and Public Health Nursing
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    • v.19 no.3
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    • pp.459-468
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    • 2008
  • Purpose: The purpose of this study was to examine the presenteeism and absenteeism in relation to the health problems of nurses. Method: Informed consent was provided before study. Data was collected from January 7 to March 6, 2008 by Stanford Presenteeism Scale-13. Data was collected from 3 hospitals in Seoul Gyeonggi area. The response rate of the questionnaires was 96.2%. Incomplete data was analyzed using SPSS program. Results: Shoulder, back and neck pain were the highest reported health problems and primary health Problem of nurses. Impaired presenteeism was ranked in this order: depression or anxiety, cold, and uterus or ovary disorder. Absenteeism was ranked in this order: uterus or ovary disorder, cold, and dermatological problem. Impaired presenteeism was significantly increasing according to the number of health problems. But Absenteeism was not. Presenteeism was significantly different by age, educational level, religion, whether or not the worker lived with their family, marital status, whether or not the worker has children, time spent in the workforce, experience of turnover, shift work, night work, and level of satisfaction with salary. But absenteeism was not significantly different given these criteria. Conclusions: Health problems of nurses can negatively effect the quality of nursing service and productivity at hospital. Therefore the hospital administrator should control the presenteeism and absenteeism through the management of health problems of nurses.

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The Lived Experience of Home Health Nurses' Role Conflicts: A Phenomenology Study (가정전문간호사의 역할갈등 체험에 관한 현상학적 연구)

  • Kim, Seulki;Oh, Seung-Eun;Lee, Kyunghwa
    • Journal of Home Health Care Nursing
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    • v.29 no.1
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    • pp.93-104
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    • 2022
  • Purpose: To explore the lived experience of home health nurses' role conflicts and the associated meaning of those as perceived by the home health nurses. Methods: This qualitative study was conducted between November 2021 and January 2022 among five home health nurses who were recruited. Data were collected through in-depth interviews and inductively analyzed using Colaizzi's descriptive phenomenological inquiry. Results: The participants' lived experience of role conflicts were grouped into four main categories, namely role conflicts due to shortage of qualified home health nurses, role conflicts exacerbated by the COVID-19 pandemic, interpersonal relationship conflicts, and conflicts with existing systems and their solutions. Conclusion: Knowledge developed from the experiences of the participants indicated various role conflicts, both interpersonal and systematical, while they recognized the significance of their role as the home health nurses. In the future, support systems should be established at the organizational and systematical levels to ensure a better workforce environment for home health nurses.

Global Networking of Cancer and NCD Professionals Using Internet Technologies: The Supercourse and mHealth Applications

  • Linkov, Faina;Padilla, Nicolas;Shubnikov, Eugene;LaPorte, Ronald
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.6
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    • pp.472-478
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    • 2010
  • Cancer is a leading cause of death around the world. Education is at the core of cancer prevention activities, especially programs targeting empowering existing public health workforce. In the past 10 years, researchers at the University of Pittsburgh have been building the Global Health Network Supercourse project, a library of over 4500 online lectures and a network of nearly 50000 public health professionals in 174 countries. As of November 2010, the overall number of Supercourse participants from Asia exceeds 7000 participants. The Supercourse network has been investigating methods for Internet based recruitment of cancer prevention professionals in order to network cancer experts locally and globally, including the use of mHealth technologies for cancer research education and for NCD registries. Supercourse is a tool that can offer a solution to the challenges of information sharing, especially in the field of NCDs and cancer. In this paper, we highlight the need for the development of Cancer Supercourse with Satellite in Asia and encourage faculty members from Asia to join the network.

Helplessness and Health Behavior of Patients with Rheumatoid Arthritis (류마티스 관절염 환자의 무기력과 건강행위에 관한 연구)

  • Han, Jung-Won;Park, In-Hyae
    • Journal of muscle and joint health
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    • v.15 no.1
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    • pp.33-40
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    • 2008
  • Purpose: This study was to find out the relationships between helplessness and health behavior of patients with rheumatoid arthritis. Method: The subjects were 293 rheumatoid arthritis patients who visit 2 rheumatology outpatient clinics in G city. Data were collected by questionnaires including Arthritis helplessness index(Nicassio, Wallston, Callahan, Herbert, & Pincus, 1985)and health behavior assessment scale(Jo, Oh & Choe, 2000). The data were analyzed with Pearson correlation coefficient, t-test, ANOVA and Duncan's multiple range test. Results: The majority of the subjects were women and the mean age was 50.4years. The mean duration of illness was 8.9years. There were negative correlations between the degree of helplessness and the degree of health behavior. The degree of helplessness was significantly high in those who were older, female, less educated, out of workforce, and those who had no chances to attend any arthritis-related classes. The degree of health behavior was significantly low in those who were older, high school graduate, in higher economic status, married, and those who had chances to attend arthritis-related classes. Conclusion: To reduce the helplessness of rheumatoid arthritis patients, the nursing intervention which is to increase the health behavior should be developed and provided to the rheumatoid arthritis patients.

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A Study on Evaluation and Improvement of Long-term Care Hospitals for Changing Long-term Care Hospital Fee System (요양병원형수가제 전환에 대한 요양병원의 평가 및 개선방안 연구)

  • Kim, Young-Bae
    • The Korean Journal of Health Service Management
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    • v.5 no.2
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    • pp.105-117
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    • 2011
  • The purpose of this study is to investigate evaluation and improvement of long-term care hospitals for changing long-term care hospitals fee system. Data were collected from 104 CEOs in nationwide long-term care hospitals using structured self-administered questionnaires during August 17 to 31, 2009. Major results of the empirical analysis are as follows; first, to change fixed sum medical fee per day caused to decline the level of geriatric service in 87% of CEOs. Second, 79% of CEOs were dissatisfied with changing fixed sum medical fee per day, and 47% of them were dissatisfied with graded fee for doctor and nurse management. Finally, they suggested that to specialize and to differentiate of long-term care hospitals will drive to improve long-term care hospitals function and to measure workforce based on rate of filled vacancies will increase efficiency and productivity of doctor and nurse management.

Methods to Minimize or Adjust for Healthy Worker Effect in Occupational Epidemiology (건강근로자효과의 최소화 방안과 보정 방법)

  • Lee, Kyoung-Mu;Chun, Jae-Buhm;Park, Dong-Uk;Lee, Won-Jin
    • Journal of Environmental Health Sciences
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    • v.37 no.5
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    • pp.342-347
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    • 2011
  • Healthy worker effect (HWE) refers to the consistent tendency for actively employed individuals to have a more favorable mortality experience than the population at large. Although HWE has been well known since the 1970s, only a few studies in occupational epidemiology have attempted to fully define and evaluate HWE. HWE can be separated into effects on the initial hiring into the workforce (healthy worker hire effect) and those on continuing employment (healthy worker survival effect). In this review, we summarize the methods for minimizingor adjusting for the healthy worker effect available in occupational epidemiology. It is noteworthy that healthy worker survival effect appears complicated, considering that employment status plays simultaneous roles as a counfounding variable and intermediate variable, whereas healthy worker hire effect may be adjusted by incorporating health status at baseline into the statistical model. In addition, two retrospective cohort studies for workers in the semiconductor industry and Vietnam veterans in Korea, respectively, were introduced, and their results were explained in terms of healthy worker effect.

Substantial Improvement of Medical Care for Detainees in Republic of Korea (대한민국 수용자 의료처우의 실질적 개선)

  • Samin Hong
    • Health Policy and Management
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    • v.33 no.3
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    • pp.370-375
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    • 2023
  • The responsibility to ensure the health rights of detainees, particularly their medical rights, fundamentally lies with the state in all nations. However, in the correctional facilities of the Republic of Korea, these rights are currently not adequately safeguarded. Numerous detainees express dissatisfaction with the medical services provided and show a preference for voluntary external treatment. However, barriers such as prolonged application processes for external treatment and the requirement for detainees to cover their medical expenses present significant challenges. Therefore, the National Human Rights Commission of Korea has advocated for an increased medical budget in correctional facilities and a bolstered professional medical workforce to improve the medical care of detainees. Recommendations for improvements include: (1) establishing dedicated correctional hospitals for detainees, (2) setting up specialized correctional wards, (3) collaborating with military hospitals, (4) launching mobile medical buses for diverse specialties, (5) enhancing collaboration with public and private medical institutions, (6) increasing compensation for partnering external medical institutions, (7) improving the working conditions of medical officers, (8) safeguarding the defense rights of medical staff, (9) improving the working conditions of public health doctors from the Ministry of Justice in correctional facilities, and (10) pre-assigning public health specialists and military doctors to correctional facilities. By implementing these measures, it is anticipated that the quality of medical services in the Republic of Korea's correctional facilities will improve, reducing the demand for external treatments among detainees and ensuring their health and medical rights are realistically upheld.

Public Health Nurse's Perception of their Roles & Duties (보건간호사의 역할 및 업무에 대한 인식)

  • Han, Young Ran;Lee, Bong Suk;Kim, Bongjeong
    • Journal of Korean Public Health Nursing
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    • v.30 no.3
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    • pp.526-543
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    • 2016
  • Purpose: The purpose of this study was to explore how public health nurses (PHNs) perceive their roles and duties (R&D), as well as to investigate the change of their R&D, how they manage and solve problems. Methods: The data were collected through focus group interviews. Data were analyzed using Morgan (1998) and Krueger (1998)'s four step analysis. A total of 17 experienced PHNs participated in this study. Results: The results found 5 themes and 19 sub-themes: R&D of health managers and health service providers, factors affecting the changes of PHN's R&D, R&D in adjusting with trends and expanding work field (R&D being reduced, increasing R&D, need to expand R&D), problem with the structure and quality of workforce (lack of nurse manpower, lack of promotion opportunities, increasing non-regular workers, lack of refinement as an expert), and strategies for solving personnel issues (strengthening the job capacity, cultivating professional refinement, strengthening outside activities and political activities, strengthening the roles of PHN-related associations and academy, engagement policy of non-regular workers, expansion of the activity area) Conclusion: PHNs need to recognize their changing R&D and ways they manage and solve problems to enhance their professionalism.