• Title/Summary/Keyword: Working Women(nurses)

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Intervention Model Development of Health Promotion for Women Workers in Traditional Marketplaces: Using Community based Participatory Action Research (한국 전통시장 여성근로자 건강증진 프로그램 모형개발: 지역사회 참여형 연구틀 기반)

  • Kim, Hee-Gerl;Lee, Ryoun-Sook;Hwang, Won Ju
    • Korean Journal of Occupational Health Nursing
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    • v.24 no.4
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    • pp.381-391
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    • 2015
  • Purpose: The purpose of this study was to describe the intervention model development of health promotion for women workers working in the traditional marketplace, using community capacity building framework. Methods: Need assessment of the target population, work-related environment investigation, social network group building, and setting health management in the marketplace were performed. Then the interventions including cardiovascular health, musculoskeletal health, and psychological health were conducted. The results were evaluated using NCEP-ATP III(National Cholesterol Education Program's Adult Treatment Panel III), OWAS, and CES-D. Results: It was found that the intervention program for the vulnerable group in marketplace was appropriate, promoting the improvement of metabolic syndrome and the reduction of pain complaints. Therefore, the intervention framework for health promotion of women workers in the marketplace was developed. Work-related environment assessment also was included in the framework development. Several community capacity building strategies, including developing community resources and promoting partnership, making small social network group, and promoting program participation. Conclusion: It is suggested that occupational health nurses and professionals consider the appropriateness of intervention framework development after identifying the needs of women workers' work-related environmental problems.

A Study on the Rate of Breast-feeding Practice by Education and Continuous Telephone Follow-up (모유수유 교육과 분만 후 지속적인 전화상담에 따른 모유수유 실천률 조사)

  • Yoo, Eun-Kwang;Kim, Myoung-Hee;Seo, Won-Shim
    • Women's Health Nursing
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    • v.8 no.3
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    • pp.424-434
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    • 2002
  • Background & purpose Since the 1970's the rate of breast-feeding has decreased significantly. The Korean National Institute of Health reported that the rate of breastfeeding was 68.9% in 1982 and 14.1% in 1997. There are many influencing factors including: the lack of education and information on breast feeding, lack of faith in breast feeding, increment of the rate of working, lack of encouragement by supporters in difficult situations, and nurses' low level of knowledge about breast feeding. Such a lack of knowledge and support of breast-feeding at home by family members create another dilemma to the problem of breast-feeding. If problems arise and family members are unable to provide assistance due to the deficiency of knowledge, mothers show a tendency to abandon breast-feeding. The purpose of this research is to find out the rate of breast-feeding practice by time sequence of 1 week, 6 weeks and 12 weeks after birth and influencing factors on breast-feeding practice centered on the postpartal women who were 3discharged from one hospital, which is located in Seoul and provides simple breast-feeding education and continuous postnatal telephone consultation. Methodology The subjects of this research were 54 women who gave birth in a hospital located in Seoul from 1 March 2000 to 31 April 2000. After birth the subjects were educated individually about breast-feeding and telephone consultations were conducted. On the 1st week, 6th week, and 12th week, the subjects were surveyed about their breast-feeding practice rates and methods by telephone. Results 1) Complete breast-feeding rate: Within one week after birth, the subjects showed 64.2% complete breast-feeding rate. Within 6 weeks, 39.6%, and 12 weeks, 34.1%. 2) Partial breast-feeding rate: Within one week after birth, the subjects showed 32.1% partial breast-feeding rate. Within 6 weeks, 39.6%, and 12 weeks 15.1%. 3) Complete bottle-feeding rate Within one week after birth, the subjects showed 1.9% complete bottle-feeding rate. Within 6 weeks of giving birth 15.1%, and 12 weeks 17.0%. These results show that individual education about breast-feeding and continuous postnatal telephone consultation influenced on the practice of breast-feeding. On considering the reality of the hospital situation in which nurses could not operate education program due to the work-load, it is necessary to find out selectively those mothers who are unable to breast feed and provide education individually and continuous support by telephone follow up. Futhermore, the active role of lactation nurse specialist and their efficient management of breast-feeding for the successful practice is required.

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Factors Affecting the Compliance of Standard Precautions in Long Term care Hospital nurses (요양병원 간호사의 표준주의지침 수행도에 미치는 영향요인)

  • Jang, Mi Ok;Lee, Jin Hee
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.3
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    • pp.813-823
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    • 2021
  • This study was conducted to identify the factors affecting the compliance of standard precautions for nurses working in long term care hospitals. As a result of the analysis, 8.50 points in perception of the standard precautions, 3.76 points in health beliefs(subcategories- 4.03 points in perceived sensitivity, 4.04 points in perceived seriousness, 3.91 points in perceived benefits, 3.54 points in perceived barrier, 2.92 points in cues to action), 37.90 points in compliance status of the standard precautions. The performance of the standard precautions was positively correlated with perception of the standard precautions(r=0.419, p=.001) and health beliefs (r=0.443, p<.001), perceived sensitivity (r=0.169, p=.044), perceived barrier(r=0.486, p<.001), perceived benefits (r=0.207, p=.013), cues to action (r=0.204, p=.014). The compliance status of the standard precautions was influenced by the perceived barrier(β=0.373, p<.001), cues to action (β=0.271, p<.001), perception of the standard precautions(β=0.245, p=.004)explanatory power was 32.5%.

Development of Job Description of HIV/AIDS Counselling Nurse in Korea (에이즈 상담간호사 자격제도 개발을 위한 직무 분석 - 포커스 그룹 연구방법과 데이컴 기법을 중심으로 -)

  • Kwon, Young-Mi;Cho, Kyung-Mi;Joo, Hye-Joo;Kim, Sung-Jae;June, Kyung-Ja;Park, Eun-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.1
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    • pp.91-105
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    • 2009
  • Purpose: The aim of this study was to analyze the needs of HIV/AIDS care and to develop the job description of HIV/AIDS Counselling nurse in Korea. Methods: The needs assessment was done by focus group interview with HIV/AIDS care recipients who are 16 persons living with HIV/AIDS and four their family members, seven persons from HIV/AIDS high risk group, and five nurses working on HIV/AIDS clinics. Based on the result of needs assessment, job description was developed using the DACUM. Mail survey was done to identify the frequency, importance, and difficulty of duties, tasks, and task elements. Results: The job description was classified under 8 duties, 36 tasks, and 290 task elements. Duties were categorized as needs assessment, health promotion and quality of life, improvement of treatment compliance, symptom care, health education, resource network, administrative activity, and career development. The importance of all duties and tasks showed high score from the survey, but the frequency and the performance level were middle range. Conclusion: It is suggested that the special training program based on the job description needs to be developed. In the political aspects, the introduction of HIV/AIDS nurse specialist certification could be considered.

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The Effects of Job Stress of Nurses Working in the General Hospitals on Their Turnover Intention -Mediating Effects Organizational Commitment- (종합병원 간호사의 직무스트레스가 이직의도에 미치는 영향 -조직몰입의 매개효과-)

  • Kim, Gyeong-Suk;Cho, In-Sook
    • Journal of the Korean Applied Science and Technology
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    • v.36 no.2
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    • pp.656-667
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    • 2019
  • This study is a descriptive research to grasp the effects of job stress on turnover intention and to confirm the mediating effect of organizational commitment according to the extent of job stress, organizational commitment and turnover intention in the relations between job stress and Turnover Intention of nurses working in general hospitals. Method: The subjects of this study were 199 nurses are working in general hospitals, that have more than 200 beds and less than 400 beds, located in Gwangju. I surveyed them using a structured questionnaire for collecting data from Sep. 01, 2017 to Sep. 20, 2017. The collected data were analyzed by the frequency, the percentage, t-test, ANOVA, Scheffe's Test, Pearson's Correlation Coefficient, Multiple Regression Analysis and Sobel Results: In the first step, job stress as an independent variable had a statistically significant effect on organizational commitment(${\beta}=-.321$, p<.001). In the second step, job stress, an independent variable, also had an important effect on turnover intention as a dependent variable(${\beta}=.389$, p<.001). Job stress and organizational commitment were meaningful predictor variables of turnover intention in the third step. The explanatory power of two variables was 45.5%. The value ${\beta}$ of job stress in the third step was .203(p<.001) which was smaller than its value ${\beta}$,.389(p<.001), in the second step. That meant organizational commitment had the mediating effect on turnover intention. The Sobel Test was conducted to verify the significance of the extent of the mediating effects of organizational commitment. The test result was that the value Z was -3.694 and the mediating effect of organizational commitment was significant on the relation between job stress and turnover intention(p<.002). Conclusion: this study is expected be useful to find ways to reduce subjects' turnover intention by decreasing their job stress, increasing their organizational commitment and developing intervention programs as basic data.

Development of a Family Nursing Model for Prevention of Cancer and Other Noncommunicable Diseases through an Appreciative Inquiry

  • Jongudomkarn, Darunee;Macduff, Colin
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.23
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    • pp.10367-10374
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    • 2015
  • Background: Cancer and non-communicable diseases are a major issue not only for the developed but also developing countries. Public health and primary care nursing offer great potential for primary and secondary prevention of these diseases through community and family-based approaches. Within Thailand there are related established educational curricula but less is known about how graduate practitioners enact ideas in practice and how these can influence policy at local levels. Aim: The aim of this inquiry was to develop family nursing practice in primary care settings in the Isaan region or Northeastern Thailand and to distill what worked well into a nursing model to guide practice. Materials and Methods: An appreciative inquiry approach involving analysis of written reports, focus group discussions and individual interviews was used to synthesize what worked well for fourteen family nurses involved in primary care delivery and to build the related model. Results: Three main strategies were seen to offer a basis for optimal care delivery, namely: enacting a participatory action approach mobilizing families' social capital; using family nursing process; and implementing action strategies within communities. These were distilled into a new conceptual model. Conclusions: The model has some features in common with related community partnership models and the World Health Organization Europe Family Health Nurse model, but highlights practical strategies for family nursing enactment. The model offers a basis not only for planning and implementing family care to help prevent cancer and other diseases but also for education of nurses and health care providers working in communities. This articulation of what works in this culture also offers possible transference to different contexts internationally, with related potential to inform health and social care policies, and international development of care models.

Deriving the Effective Improvement Elements of the Emergency Room in Large General Hospitals (신종 감염병 환자의 효율적 처치를 위한대형병원 응급실 관리요소의 중요도 도출)

  • Yoon, Songyi
    • Journal of Korean Critical Care Nursing
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    • v.8 no.2
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    • pp.66-79
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    • 2015
  • Purpose: This study aimed to derive the elements for effectively improving the management of emerging infectious diseases in the emergency room in large general hospitals. Methods: This research involved an analytic hierarchy process analysis of 10 experienced nurses working in a large general hospital located in the Seoul metropolitan area. The weighted values of the criteria for evaluating the importance of the management elements of patients with emerging infectious diseases in the emergency room of large general hospitals were derived using an analytic hierarchy process survey. Results: The results of the analytic hierarchy process analysis showed that experts considers responsiveness (0.291) as most important with respect to the criteria for the policy for isolation and control of infectious patients. The order of importance of the criteria for the policy for isolation and control of infectious patients were as follows: responsiveness (0.291), economical efficiency (0.257), feasibility (0.242), and sustainability (0.209). Subsequently, the weighted values of the management of the policy elements were determined based on the derived importance of the criteria mentioned above. These were, in order of priority, the construction of communication channels with the government authorities when dealing with emerging infectious diseases (15.9%), the equipment and provision of personal protective equipment to protect nurses from infection and dissemination of material (14.6%), and the operation of the isolation room and patient separation systems (14.1%). Conclusion: This study suggests critical strategies for infection control during a pandemic of emerging infectious disease.

The Comparative Study on Health Promoting Behaviors by Shift Pattern of Duties of Women Workers in workplace (산업장 여성근로자의 근무형태에 따른 건강증진행위 비교)

  • Jang, Hee Jung;Park, Kyung Min
    • Korean Journal of Occupational Health Nursing
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    • v.8 no.1
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    • pp.22-41
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    • 1999
  • This study intended to analyze the health promoting behaviors, compare their factors according to the shift pattern of duties of women workers who were working in the industrial workplace and present basic data in planning systematic and effective programs of health promotion for three-shift system and day-duty. Using Quota Sampling, 219 women workers were selected as subjects from 5 workshops which had 50 settled workers up to 300 and 10 factories which had more than 300 located in Taegu and Kyung-Book Province. Data were collected by means of questionnaire from September 12 to September 30, 1998. As the instruments of the study were used Health Promotion Lifestyle Profile(HPLP) which was adapted and adjusted by Seo, Y. O. for health promoting behavior, the one developed by Moon, J. S. (1990) for health-belief, the one developed by Sherer et al.(1982) and then adapted by Oh, H. S. for self-efficacy, and the one developed by Park, J. W. (1985) for social support. The analysis of data were performed with Cronbach's ${\chi}^2$-test, t-test, ANCOVA, Kendal tau, Pearson correlation, Stepwise Multiple Regression test using SPSS program. The results of the study are as follows : 1. There was a significant difference in age(${\chi}^2=32.46$, p=0.000), career (${\chi}^2=18.47$, p=0.000), working day(t=-3.18, p=0.000) by the shift pattern of duties in terms of socio-demographic characteristics. 2. There was a statistically significant difference between the two groups on the health promoting behaviors (t=2,52, p=0.012). The score of three-shift group on health promoting behaviors was 2.27, showing that it was lower by .13 than that of day-duty group(2.40). 3. ANCOVA involving age, career and working day as covariables, which had revealed significant difference before, showed that health promoting behaviors by the shift patterns of duties was significantly different(F=4.88, p=0.028). 4. In consideration of variables that have an influence on health promoting behavior by the shift pattern of duties, social support occupied 19.4% of health promoting behavior in the three-shift group and 22.5% including the sense of self-efficacy. In the day-duty group, social support occupied 34.4% of health promoting behavior. 5. The score of three-shift group(2.94) was significantly lower than that of day-duty group(3.12) in the perceived benefit of health-belief(t= -3.29, p=0.001), while the score of three-shift group (2.48) was significantly higher than that of day-duty group(2.24) in the perceived barrier (t=4.22, p=0.000). In the sense of self-efficacy(t=-4.20, p=0.000), the score of three-shift group(3.24) was significantly lower than that of day-duty group(3.53) while in social support(t=-4.56, p=0.000) the one of three-shift group(2.64) was significantly lower than that of day-duty group(2.88). The suggestions are as follows on the basis of the results of this study : 1. It is required to develop health promoting program that takes the shift pattern of duties of women workers into consideration. In addition, there are special demands on developing nursing strategies for health promoting behavior of three-shift workers. 2. It is required to develop specific strategies for social support which is the most significant factor to the health promoting behavior for women workers. 3. It is necessary to develop some programs for improving the sense of self-efficacy, social support, and health-belief of three-shift workers. To achieve these tasks, industrial nurses should play an active role and improve the ability of self-health care of women workers.

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The Relationship between Urinary Incontinence and Quality of Life in Climacteric Women (일지역 갱년기 여성의 요실금 실태와 삶의 질)

  • Song, Ae-Ri
    • The Journal of Korean Academic Society of Nursing Education
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    • v.9 no.1
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    • pp.51-63
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    • 2003
  • The purpose of this study was to identify the prevalence of urinary incontinence of community residing climacteric women, and to identify the relationship between urinary incontinence and quality of life. The subjects of this study were 156 women(45 to 59 years old). Data was collected from Sep. 1 to Dec. 1 2002 by an interview or self-reporting by a structured questionnaire. The questionnaire was composed of items of general characteristics, urinary characteristics, and conditions of urinary incontinence, using the modified Henderickson's stress incontinence scale(1981), and the quality of life scale developed by RO, You Ja(1988). The data was analyzed by the SPSS/WIN program using descriptive statistics, Pearson correlation coefficients, t-test and AVOVA. The results of the study were as follows : 1. The prevalence of urinary incontinence was 76.3%. Of the incontinent women, 42.0% had experienced urinary incontinence for a period of one to three years. Frequency of urinary incontinence was once or twice per day for 42.9% of the urinary incontinent women. Most of the participation with urinary incontinence(91.6%) had mild leakage of urine. In the whole urinary incontinent women, 70.6% had never treated or managed their urinary incontinence. Most of the subjects(79.8%) were mildly incontinent, and the prevalence of moderate and severe urinary incontinence was 20.2%. The mean scores among the items of urinary incontinence, in descending order, were increase of abdominal pressure($1.45{\pm}1.05$), coughing($1.16{\pm}0.93$), and sneezing($1.03{\pm}0.92$). 2. The average score in the level in the quality of life variables was 3.12. The urinary incontinence and quality of life were correlated negatively(r=-0.103, p<0.001). 3. There were statistically significant differences in the score of climacteric woman's self reported quality of life according to : amount of urinary incontinence(F=12.68, P=0.001), duration of urinary incontinence(F=6.97, P=0.009), number of urinary incontinence(F=4.77, P=0.03), existence of urinary incontinence(t=148, P=0.05). In conclusion, this study was a preliminary study to provide nursing practice guidelines for climacteric woman with urinary incontinence. Nurses working with climacteric woman should develop and provide adequate care for the incontinent climacteric subjects. In future research, it is recommended to identify comprehensive factors related to urinary incontinence, including the effective management of urinary incontinence.

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The Evaluation of the Health Status of Migrant Workers (일부 외국인 근로자의 건강상태 및 의료이용에 관한 연구)

  • Ki, Sang-Soon;Kim, Ae-Ryun;Kim, Mi-Han
    • Research in Community and Public Health Nursing
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    • v.8 no.1
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    • pp.3-20
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    • 1997
  • The purpose of this study was to evaluate the physical and mental health status of foreign migrant workers in Korea, and to provide basic data for assessment of industrial Nurses, and to contribute to the improvement of their health status. There were 108 workers who participated in this study. They lived in Seoul and the capital region and the data were collected from 11th August to 23th, 1996. The C.M.I. was utilized for the study. The results obtained by this study were as follows: Digestive system and Inadequacy have the largest portion of the physical and mental illness respectively. With regard to physical and mental illness ac cording to the gender, the frequency of illness experienced by women was higher than men in Genitourinary system and Sensitivity. By ages, there were significant differences between those in their 20's and 30's and in their 40's, particularly Ears and Eyes system. There were significant differences in mental health illness according to educational levels. The middle school graduate group had more health ill ness than the group with higher than high school education in Anxiety. There were significant differences in the rate of job satisfaction. The dissatisfied group had more health illness in Eyes and Ears, Miscellaneous diseases, and Inadequacy. The lower the rate of working condition satisfaction, the higher the frequency rate of physical and mental health illness (Eyes and Ears, Musculoskeletal system, Nervous system, Frequency of illness, Habits, Total physical section, Inadequacy, Depression, Anxiety, Anger, Tension, Total mental section) By the accessibility of health services, the group who has respond to difficult had more health illness in Frequency of illness, Anxiety, Anger, Tension and Total mental section. There were significant differences in the reason of difficulty of health services use concerning Eyes and Ears and Miscellaneous diseases. The most important factor to explain the satisfaction of job and working condition was the satisfaction for supervisor.

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