• 대한간호학회지
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• 제43권6호
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• pp.770-780
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• 2013

Purpose: The purpose of this study was to identify the factors affecting the unmet healthcare needs of married immigrant women. Methods: This study was a secondary data analysis using data from the 2009 National Survey of Multicultural Families. Data collected from 58,735 married immigrant women who had spouses were analyzed using descriptive statistics, Chi-square test, and logistic regression. Results: Overall, 9.9% of married immigrant women have unmet healthcare needs. The significant predictors related to unmet healthcare needs were young age, high level of education, employed, country of origin, long period of residence, low income, uninsured, urban area, low level of subjective health status, and illness experience over past two weeks. In particular, four variables (long period of residence, low income, subjective health status, and illness experience over past two weeks) significantly predicted unmet healthcare needs for women from all countries of origin. Conclusion: The results of the study indicate that common predictors related to unmet healthcare needs of married immigrant women are a long period of residence, low income, subjective health status, and illness experience over past two weeks. Therefore intervention strategies to decrease unmet healthcare needs should focus on these significant predictors.

• 대한간호학회지
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• 제25권4호
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• pp.774-789
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• 1995

Due to the rapid socioeconomic development and the introduction of the national health insurance system the general population's need for health care and utilization of health care services have increased dramatically. As a result of this change. Korea is experiencing a shortage of health care facilities and health manpower, and this leads long wailing line at doctor's offices. One of the solutions of this problem could be home health care system for those who have minor health related problems. With this background, this study was conducted to look at the feasibility of a home-based prenatal care system using information superhighway and nursing informatics specialists. With the home-based prenatal care system, the pregnant woman checks her blood pressure, tests her urine for sugar and protein, and measures her body weight at home and sends the information to a hospital computer via the information networks such as public telephone line and information superhighway. Nursing informatics specialist at the hospital will go through each patient record and screen those who have abnormal values and notify them to see a doctor as soon as possible. Besides telemonitoring features, the proposed system will include tole-education capabilities for the patients so that patient can learn whatever they need to know ragarding the prenatal care via information networks. If this system develops and operates, patient can save time in terms of travel to and from the hospital and waiting time in the hospital. And the health care institute can utilize its resource more efficiently.

• 간호행정학회지
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• 제21권2호
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• pp.174-183
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• 2015

Purpose: This study was conducted to explore the impact of nurse staffing level and oral care on pneumonia in elderly inpatients in long-term care hospitals (LTCHs). Methods: Data were obtained from the Health Insurance Review and Assessment Services (HIRA) including the profiles of LTCHs, monthly patient assessment reports and medical report survey data of pneumonia patients by HIRA in the fourth quarter of 2010. The sample consisted of 37 LTCHs and 6,593 patients. Results: Patient per nurse staff (OR=1.43, CI=1.22~1.68) and no oral care (OR=1.29, CI=1.01~1.64) were significantly related with hospital acquired pneumonia. The difference in percent of oral care by hospital was not significant between high and low group in nurse staffing level. Conclusion: In order to reduce the occurrence of pneumonia in eldery patients, effective nursing interventions are not only required but also nurse staffing levels that enable nurses to provide the intervention.

• 여성건강간호학회지
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• 제14권4호
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• pp.248-256
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• 2008

Purpose: The findings of various studies and policy reports on marriage change, international marriage migrant women and its issues are presented in this study. Method: Research objectives were accomplished by conducting a literature review. The main areas of the literature review included married migrant women, its challenges, and current policies for international marriage migrant women. Result: Women migrating through international marriage are known to face various difficulties due to their migration. Some important obstacles women migrants face in the Republic of Korea are cultural differences in daily lifestyle, language, food, health care services, cultural assumptions, gender structure, family relationships, expected roles within family, interpersonal relationships and more. The plights of married migrant women include commercialization of international marriage, false information regarding the spouse, family abuse, insecure nationality, economic difficulty and unemployment, racial prejudice, and cultural maladjustment. Current support policies for migrant women living in Korea are suggested. Conclusion: This study concluded with policy implications and recommendations for future study. In addition, the author suggests the necessity of programs and policies for the improvement of married migrant women's well-being based on women's health and family nursing dimensions.

• 기본간호학회지
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• 제18권4호
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• pp.463-471
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• 2011

Purpose: The purpose of this study was to develop nursing practice guidelines for water treatment system used in hemodialysis and to evaluate the guidelines by applying them in practice. Method: The first draft for the guidelines was developed based on advice and recommendations obtained from procedure review of critical literature. The draft was modified through evaluation by an expert group and pilot application to practice. The final draft was evaluated by the expert group using the AGREE instrument (Appraisal of Guidelines for Research and Evaluation). Results: For the pilot test using the draft guidelines, 144 samples were collected from the water treatment system and hemodialysis machines. Results showed no bacteria. Endotoxin tests and chemical tests passed the criteria. After revision of the draft guidelines and additions to the draft guidelines, the final draft was confirmed. The quality of the final draft was evaluated by 4 experts using the AGREE instrument. The mean standard score was 76.9% for the 19 items. Conclusion: The clinical guidelines developed in this research can be utilized as systematic and scientific guidelines for water treatment systems used in hemodialysis. In addition, the results of the research can contribute to improving care services.

• 한국보건간호학회지
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• 제13권2호
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• pp.70-83
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• 1999

This study was designed to evaluate the prevalence and significant features of accidental patients and to evaluate the degree of satisfaction on emergency care who visited emergency room. The subject of this study was a total of 243 accidental patients and 249 patients with disease visiting emergency room of 4 university hospitals in Seoul. The data was collected from guestionnaire during the period of January to february 1999. The results were summarized as follows. 1. Distribution of the general characteristics (age, sex, educational status, marrital status and job) in the accidental patients were significantly different from that of the control group. The most common group of age was 20-30 years of age and males predominated over female. 2. CD Fourty two $\%$ of accidental patients arrived within 30 mins. (2) Fifty seven $\%$ of patients was first-aided one. (3) An ambulance was the most frequently used transportation. (4) The time interval from arrival to initial emergency care was 10 mins. (5) Admission rates of the patients after treatment was $72.0\%$. (6) Time interval from arrival to completion was 3-4 hours. 3. The Mean score of the accidental patents' degree of satisfaction on emergency services was $3.26\pm0.64$ which was not significantly different from that of control group.

• Child Health Nursing Research
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• 제26권3호
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• pp.338-347
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• 2020

Purpose: The Life Transition Scale (LTS) consists of 24 items that assess the life transition process of parents of autistic children. This study aimed to examine the validity and reliability of the LTS in parents of children with a wide spectrum of disabilities. Methods: Data were collected from 260 parents of children with disabilities through self-report questionnaires. Validity was examined using exploratory and confirmative factor analysis to determine the factor structures of the LTS; socio-demographic differences in LTS scores were examined using the t-test or ANOVA. Reliability was examined using Cronbach's α coefficient. Results: A four-factor structure was validated (χ²=640.0, p<.001, GFI=.81, RMSEA=.07, NNFI=.89, CFI=.89, PNFI=.74, Q [χ²/df]=2.60). The validity of the LTS was verified by exploratory factor analysis, with factor loading ranging from .30 to .80. There were significant differences in the accepting phase according to children's and parents' age and the type of disability, and in the wandering phase according to parental gender, educational level, job, and socioeconomic status. The Cronbach's αs for the reliability of each of the four structures were acceptable, within a range of .80~.90. Conclusion: The LTS is a valid and reliable measurement to assess the life transition process of parents with disabled children.

• 한국간호교육학회지
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• 제12권1호
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• pp.104-114
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• 2006

Genetic knowledge for oncology nurses is important in Korea because oncologists are incorporating genetic counseling and genetic testing into their practice. The purpose of this paper is to describe our method of developing the first academic cancer genetic risk assessment and counseling course for Korean nurses. A one-week (non-credit) cancer genetics counseling program was constructed for master's level Korean oncology nurses. The course emphasized basic genetic concepts and principles the genetics of cancer; hereditary cancer syndromes; family history assessments; pedigree construction; risk calculation; surveillance recommendations and treatment options ethical, legal, social, and psychological issues inherent in genetic testing. The goals of this program are to: 1) provide a comprehensive knowledge base for nurses who are currently expanding their scope of practice into the genetic counseling role 2) introduce this knowledge to nurses who want to use it in their practice; and 3) provide cancer genetic knowledge and resources to Korean nursing faculty who plan to incorporate this knowledge into existing master's courses. This academically-based course is recognized as valuable by nurses, nursing faculty, and physicians. With this new knowledge nurses can begin toexpand their role in delivering comprehensive cancer care services.

• 지역사회간호학회지
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• 제18권2호
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• pp.301-309
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• 2007

Purpose: Based on the results of a survey on college freshmen's smoking this study examined the application of smoking cessation programs. Methods: The opinions of 89 smokers who were college freshmen were investigated and analyzed using a survey questionnaire. Results: Among the survey respondents, the largest percentage (47.2%) replied 'little satisfied' to the question on the with campus life. Of the participants, 57.3% considered that their health state was bad because of smoking. As to motives for smoking, 'curiosity' was most frequent. Smokers had more smoking friends than nonsmoking ones. The 82% of the smokers had experience in stopping smoking. Among smoking cessation methods, the self overcoming was most frequent(50.6%). During the survey, 28 smokers applied for the cessation program and they favored e-mails for information. E-mails were sent to them once in a week for 6 weeks and short messages were sent to their cell phone in order to encourage them to read the e-mails. Conclusions: To encourage and maintain smoking cessation, it is recommended to have a personalized or small group program. More researches are needed to execute the program and evaluate results. Colleges need to have an innovative approach on smoking prevention and cessation services.

• 지역사회간호학회지
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• 제22권2호
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• pp.141-150
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• 2011

Purpose: The purpose of this study was to examine satisfaction with counseling in long-term care service, and to compare the scores of counseling satisfaction according to variables among beneficiaries of Korean long-term care services. Methods: Questionnaires were completed by 445 beneficiaries of long-term care insurance to measure satisfaction with counseling. Research design was cross-sectional descriptive design. Data were analyzed using descriptive statistics, t-test and ANOVA for evaluating differences in satisfaction with counseling according to variables including economic status, the level of long-term care insurance approval, duration of long term care service, and conditions of counseling. Results: The score of satisfaction with counseling was somewhat high as 71.67. The score of counselor's attitude was highest among the subcategories of satisfaction. The factors that influenced satisfaction with counseling were frequency and time of counseling (F=12.19, p<.001). Conclusion: Home-based individual counseling is necessary for the elderly who need long-term care service. The National Long-term Care Insurance Corporation should offer counseling and assistance to elders and their caregivers about long term care insurance.