This study was conducted for the development of recording system of students' health problems, and for the application of International Classification of Health Problem in Primary Care(ICHPPC) as a tool of morbidity classification in school health care. The data were collected from 12th of September to 24th of September in 1988. The objects were composed of health problems written by 10 school nurses who take service in the elementary school. The results were as follows: 1. The features of students' health problmes. The health problems of students were 68 problems from the total numbers of 361 codes of ICHPPC. The 93.4% of health problems was contained in 20 descriptive diagnoses and 97.0% was contained in 30 descriptive diagnoses. According to frequency of main health problems, There were abrasion, scratch and blister(26.7%); disorder of stomach function, other disease of stomach and duodenum (20.4%); headache(10.6%); bruise and contusion (5.3%); acute URI (5.0%); laceration and open wound(4.6%); Insect bite and sting(4.0%); epistaxis(3.4%): abdominal pain(2.6%): superficial tissue(1.7%). Out of all health problems, Category 17(accident, injury and poisoning was 44.7%. and Category 9(digestive system Disease) was 22.2%. 2. Applicability of ICHPPC by the school nurses. School nurses used 68 codes, among the total number of 361 codes from ICHPPC. According to ICHPPC method, school nurses can classified more diverse health problems systematically and objectively than that in other studies on school nurses activities. ICHPPC was found as a useful and applicable tool of morbidity classification in the practice of school nurses.
For the evaluation of physical assessment by school nurses, this study was designed in two steps physical assessment. The first step is the primary health screening by school health nurses. The second step is the Physicians' physical examination of ill health students selected by school nurses. This study was conducted on a total of 3,525 students of three primary schools located in urban, township, and rural area during the period from May to June, 1987, all data were collected through direct observation & survey method. The main findings are as follows 1. The number of ill health students selected by two step method was more than that of one step method by the physician. 2. The types of ill health students selected by two step method had more diversity than that of one step method by the physician. 3. Budgets and time consumption for two step method were more reductive than that of one step method by the physician.
Purpose: The purpose of this study was to provide fundamental materials for improving school health promotion programs by investigating school nurses' awareness of the importance, performance level, and perceived competence level of school health promotion programs in Gangwon-do. Methods: The subjects of this study were 173 school nurses who were working in Gangwon-do. The instrument for this study was a scale for awareness of importance, performance level, and perceived competence level. Data were collected on December 15, 2007 and analyzed using SPSS 13.0 for Windows. Results: The mean score of awareness of importance was 3.51(range: $1{\sim}4$). The mean score of performance level and the mean score of perceived competence level were 3.35 (range: $1{\sim}4$) and 3.29 (range: $1{\sim}4$), respectively. The younger school nurses were (F=4. 380, p=. 014 ), the higher their awareness of importance was. The performance level was lowest in high school nurses (F=5.013, p=.008). There were significant correlations between awareness of importance, performance level, and perceived competence level in school nurses. Conclusion: In order to improve the effectiveness of school health promotion programs, training and education programs for school nurses' competencies and technical support systems for school nurses should be provided.
Purpose: The purpose of this study was to identify nursing interventions performed by public health nurses in health centers. Method: Data was collected by the taxonomy of Nursing Intervention Classification(NIC 3rd: 486 nursing interventions) from 131 public health nurses in health centers and analyzed using descriptive statistics. Result: As its result, more than 50% of public health nurses performed 137 nursing interventions at least monthly. The most frequently used intervention class was 'activity and exercise management', followed by 'physical comfort promotion', 'community health promotion', 'life span care', 'coping assistance', 'Self care facilitation', 'information management', 'nutrition support', 'community risk management' and 'patient education'. One hundred twenty nursing interventions were rarely performed by 90% or more of the nurses. Most of them were the physical complex domain. Conclusion: In conclusion, 137 interventions were performed by public health nurses at least monthly. NIC is helpful to build a standardized language for public health nursing.
Necessity for the guidebook of occupational health nursing practice has been perceived by our OH research members since the health management of small scale enterprises(SSE) was controlled by law. Mean-while, developing the OH manual, our team found that the work situation of occupational health nursing(OHN) services should be prior to the construction of the OHN manual. This procedure was regarded as helpful for producing the OH manual which is fitting to the Korean nursing circumstances. Thus, this study was planned and carried out. The study aimed to find out current situation of work performance on occupational health nursing practice perceived by nurses working for health management of SSE. Questionnaire was distributed to the OH nurses working in the 55 group occupational health service(GOHS) agencies throughout the Korea from January to March in 1997. Ninety-seven nurses of the 31 GOHS agencies responded. Descriptive statistics was used in the SAS programme. Four nurses participated to select nursing area investigated in the study. Those area were 'document', 'job orientation', 'OH reference', 'nursing theory', 'group health education', 'health examination', 'work dilemma', 'approach attitude', 'workplace visit', 'health promotion' and 'communication'. Results can be summarized as follow : Types of document were mentioned diversely depending on the GOHS agencies. Job orientation was seen to be performed by nurses in 56% among the 75.3% nurses responded. Sixty five percents of nurses agreed to apply nursing theories into the OH with lack of knowledge on them. Health screening and health education were responded as commonly provided nursing activities with various nursing obstacles as well as indicated in the area of 'work dilemma', 'approach attitude', 'workplace visit', 'health promotion'.
The purpose of this study was to explain the performance pattern of health education and related factors in elementary school. The data were collected from school nurses who have been working elementary school. Sample of 77 were analyzed by percent distribution, ${\chi}^2$-test, discriminant analysis. The performance rates of health education was 74%, Only 19% of total carried out health education of 6 hours per week. Important variables that was showed significant association with health education level were as follows: Perception of importance about health education among personal characteristics of school nurses and size of school c1ass, cooperation level of school administrator, operation method of school health clinic, the difficulty of school health clinic among school organization characteristics. The canonical correlation between the health education (yes or no) and important independent variables was 0.52. Among them, operation method of school health clinic. perceiveness of health education, size of school class represented the significant contribution (canonical coefficient: 0.66, 0.54, 0.52) to school health education. These findings suggest that structure and management variables of school organization are more important than personal variables of school nurses related to activation of school health education. Therefore, it is expected that the quantity and quality improvement of school health education be able to accomplish through the systematic support of school organization and government demension.
The purpose of the study is to find out how laws related to the nursing profession can be improved by analyzing the rules and regulations concerning nursing. Furthermore, to help settle legal matters in the process of doing nursing work. The data used for the study are the Health and Medical Act, the Maternal and Child Health Act, the School Health Act, the Special Act for Health and Medical Service in Rural Areas, the Industrial Health & Safety Act and the Notice on Nursing Professional Courses analyzed by age and content. The results of the study are as follows : First, basic nursing practice includes 'nursing care for recuperation and assistance in medical treatment and in special areas including the pre-vention of disease, maintenance of health, control of environment, and other therapeutic activities. It is suggested that the phrase 'assistance in medical treatment' should be eliminated as it limits the basic nursing practice to the assistance of the medical treatment. Second, Article 56 of the Health & Medical Act prescribes a special nurse but it does not prescribe a specific job. Accordingly, the new provison concerning the specific jobs of a special nurse should be added or a job guide should be inseated. Third, it is prescribed that those who have completed the training course after obtaining a license are qualified to be a midwife, a special nurse and a nurse practitioner working in special areas. However, school nurses, occupational health nurses and maternal and health workers are required to obtain a nurse license, but not to take an additional training course. Nurses working in special areas should be legally recognized as nurse specialists. The regulations to control various qualification standards consistently should be established. Fourth, the qualifications and types of nurses by area prescribed by Article 54 of the Health and Medical Act are not consistent with those of special nurses as recognized by affiliated organizations of the Korean Nurse Association and some hospitals. Accordingly, the qualifications and types of special nurses should be adjusted in consideration of special nurses. Fifth, as Article 16, Paragraph 2 of the Health and Medical Act does not prescribe the type and scope of first - aid treatment that nurses can provide, the first-aid treatment of nurses might be considered as an unlicensed practice. The specific regulations regarding these matters should be established. Sixth, the contents of the nursing record, which are prescribed by Article 21 of the Health and Medical Act as a duty, include 1) matters concerning body temperature, pulse, breath and blood pressure 2) matters concerning drug prescription 3) matters concerning input and output 4) matters concerning the treatment and nursing care (Article 17 of the Enforcement Regulations, Health and Medical Act). However, these matters are limited to basic nursing care and assistance in medical treatment. The new recording methods on nursing process are suggested to be adopted legally. Seventh, the prescription right entrusted to nurses which are prescribed by the School Health Act, the Special Act on Health and Medical Service for Rural Areas, and the Industrial Health and Safety Act are not consistent with the rights of nurses as prescribed by the Health and Medical Act. New regulations prescribing the partial right for medical treatment entrusted to nurses in consideration of the restraint of time and place in emergency situations should be established.
The purpose of this study was to investigate the high school teachers' sexual knowledge, attitude and their need of sex education for the students in Seoul. These data were collected by questionnaire in Oct. 1989. The result was compared by the type of teacher (school health nurse and high school teacher), involving in sex education or not, age, marital status and religion. The major findings of this study were as follows: 1. The mean score of sexual knowledge of the school health nurses was higher than the high school teachers. (P<0.05) (the average correct answer rate:the school health nurses=80.85%, the high school teachers=62.65%)Female teachers who were involved in sex education got higher score than the male high school teachers and female teachers who were not. (P<0.05) The married female high school teachers got higher score than never-married. (p<0.05) 2. About the sexual attitudes, the respondents were asked in the Likert's four-point scale with 3 groups of questions that were anatomical and physiological terminology about sex, normal sexual life and immoral sexual life. About anatomical and physiological terminology about sex, they had a little positive feeling. (mean score= 2.62) The school health nurses and the male high school teachers had more positive feeling than the female. (P< 0.05) Also the aged and married male high school teachers had more positive feeling than others. (P<0.05) About normal sexual life, they had a little positive feeling and moderately permissive attitude. (feeling mean score=2.96, attitude mean score=3.23) The school health nurses and the male high school teachers had more positive feeling than the female. (P<0.05) And the male high school teachers had more permissive attitude than the female. (P<0.05) About immoral sexual life, they had strongly negative feeling and conservative attitude. (feeling mean score =3.49, attitude mean score=3.35) The school health nurses the female high school teachers had more negative feeling and conservative attitude than the male. (P<0.05) And the male protestant high school teachers had more conservative attitude than no-religion group. (P<0.05) 3. There was a weak correlation between sexual knowledge and attitude. 4. There was no significant difference about starting of sex education between the school health nurses and the high school teachers. (P>0.05) Generally, they answered that the starting of sex education about physical growth and development could bp given with the students' physical growth and development. But for the sex education about emotional and social development, they answered that the education should be given later than the emotional and social development of students. 62.1% of the school health nurses did sex education and 36.5% of the high school teachers did. The common contents of sex education were intersexual-fellowship(date), venereal disease and marriage. And the education about abnormal sex-behavior. divorce and sexual intercourse was given rarely.
Purpose: This study evaluated a smoking education program in middle schools in Busan. School nurses and health teachers performing additional job development with a variety of human resources on smoking education for adolescents were investigated. Method: The subjects were obtained from 133 middle schools located in Busan, and data were collected from January 10, 2005 to February 19, 2005. The data was analyzed using the descriptive statistics, multiple response and t-test on SPSS 12.0 for Windows. Results: Schools that had school nurses undertook 67% of all smoking education programs. However, 78.3% of smoking education programs were undertaken in schools that used health teachers holding an additional job, those who had other jobs, and teachers in charge of school discipline. The health teachers holding an additional job reported that they had difficulty with smoking education due to a 'lack of professionalism' (t=-2.776, p=.006). In addition, the school nurses reported that 'they had insufficient time for non-smoking education' (t=2.440, p=.016). Conclusion: The results of this study show that school nurses should be in charge of the smoking education programs developed in the middle schools in Busan.
Somani, Rozina;Muntaner, Carles;Hillan, Edith;Velonis, Alisa J.;Smith, Peter
Safety and Health at Work
/
제12권3호
/
pp.289-295
/
2021
Workplace violence (WPV) is an increasing cause of concern around the globe, and healthcare organizations are no exception. Nurses may be subject to all kinds of workplace violence due to their frontline position in healthcare settings. The purpose of this systematic review is to identify and consider different interventions that aim to decrease the magnitude/prevalence of workplace violence against nurses. The standard method by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA, 2009) has been used to collect data and assess methodological quality. Altogether, twenty-six studies are included in the review. The intervention procedures they report on can be grouped into three categories: stand-alone trainings designed to educate nurses; more structured education programs, which are broader in scope and often include opportunities to practice skills learned during the program; multicomponent interventions, which often include organizational changes, such as the introduction of workplace violence reporting systems, in addition to workplace violence training for nurses. By comparing the findings, a clear picture emerges; while standalone training and structured education programs can have a positive impact, the impact is unfortunately limited. In order to effectively combat workplace violence against nurses, healthcare organizations must implement multicomponent interventions, ideally involving all stakeholders.
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