• Title/Summary/Keyword: public health Programs

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Barriers to Health Service Utilization Among Iranian Female Sex Workers: A Qualitative Study

  • Asadi-AliAbadi, Mehran;Abolghasemi, Jamileh;Rimaz, Shahnaz;Majdzadeh, Reza;Rostami-Maskopaee, Fereshteh;Merghati-Khoei, Effat
    • Journal of Preventive Medicine and Public Health
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    • v.51 no.2
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    • pp.64-70
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    • 2018
  • Objectives: In most countries around the world, sex work is an illegal activity. Female sex workers (FSWs) in Iran hide their identities, and they are known to be a hard-to-reach population. Despite free access to HIV testing, fewer than half of FSWs receive HIV testing. The purpose of this study was to characterize the reasons for which FSWs do not seek testing at drop-in centers (DICs) and voluntary counseling and testing (VCT) centers in Iran. Methods: A qualitative study was conducted in 2016. The participants were 24 FSWs who received services at VCT centers and DICs for vulnerable females in the north of Iran and 9 males who were the clients of FSWs. In this study, we made use of purposive sampling and carried out a thematic analysis. Results: We found 4 major and 6 minor themes. The major themes were: fear of being infected (with HIV), stigma, indifference, and knowledge. Conclusions: Despite the significant efforts made by the government of Iran to establish and expand DICs for vulnerable females, the number of FSWs receiving services at these centers has not been very considerable. Consequently, by introducing and implementing training programs for peer groups, it may be possible to take steps toward establishing strategic programs for the control and prevention of HIV/AIDS.

A Systematic Review: Effectiveness of Interventions to De-escalate Workplace Violence against Nurses in Healthcare Settings

  • Somani, Rozina;Muntaner, Carles;Hillan, Edith;Velonis, Alisa J.;Smith, Peter
    • Safety and Health at Work
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    • v.12 no.3
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    • pp.289-295
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    • 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.

Analysis of the Current Status of Dementia Rehabilitation in Busan, South Korea (부산지역 치매 재활의 현황 분석)

  • Shin, Jae-Wook;Han, Hye-Kyung;Shin, Sang-Hwa;Park, Chan-Hyo;Kim, Hye-Jin;Kim, Dong-In
    • PNF and Movement
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    • v.18 no.2
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    • pp.275-286
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    • 2020
  • Purpose: The purpose of this study is to understand and analyze the current status of dementia management and rehabilitation services in Busan, South Korea, in response to the rapid increase of people with dementia due to the aging of the population. Methods: To investigate the current status of dementia rehabilitation in Busan, a survey was disseminated to dementia safety centers and day- and night-care centers in 16 districts/counties in Busan. Of the 209 day- and night-care centers, 23 institutes were registered in the National Health Insurance Service and received the highest grade (Grade A) in the institute evaluation that was implemented in each district. A telephone interview was conducted, and survey questions were related to the existence of an ongoing dementia rehabilitation program, program presenter, number of participants, progress method, program time, program duration, program contents, and participation path. Results: Dementia safety centers were implementing dementia prevention program, cognitive enhancing program, dementia program, self-help meeting and education program for family of dementia patient. The majority of the presenters of all four dementia-related programs were occupational therapists. The highest number of participants in the dementia prevention program was 15, and the highest number of participants in the cognitive enhancing program, dementia program, self-help meeting and education program for family of dementia patient was 10. All institutes' programs delivered group therapy. As for the time and frequency of the program, most dementia program included three-hour sessions five times a week. Most dementia prevention program, cognitive enhancing program, self-help meeting and education program for family of dementia patient included 60-minute sessions once a week. The most frequently observed program duration for the dementia prevention program and cognitive enhancing program was six months, and the most frequently observed duration for the dementia program was three months. Lastly, study participants most often reported that self-help meeting and education program for family of dementia patient lasted for two months. Among day- and night-care centers in Busan, programs related to cognition were implemented in 18 institutes, and the majority of the program presenters were social workers. Conclusion: In response to the rapidly growing number of dementia patients due to the aging of the population, this study examined the current status of dementia rehabilitation in Busan. The study results underscore the need to develop systems that consider the circumstances in Busan and continuously and systematically support dementia programs.

A Study on the Reality of Non-Smoking Education of School Nurses and Health Teachers Holding Additional Job and a Demand for Non-Smoking Education in Middle Schools in Busan (부산지역 중학교 보건교사 및 보건겸직교사의 금연교육 실태 및 요구도)

  • Kim, Sook-Nam;Kang, So-Young
    • Journal of Korean Public Health Nursing
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    • v.21 no.1
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    • pp.25-36
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    • 2007
  • 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.

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Strategies to reduce risk factors of non-communicable diseases in South Korea (만성질환 위험요인 감소를 위한 전략과 방향)

  • Khang, Young-Ho
    • Korean Journal of Health Education and Promotion
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    • v.33 no.4
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    • pp.1-9
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    • 2016
  • Objectives: This review is to suggest strategies to reduce risk factors of non-communicable diseases (NCD) in South Korea. Methods: Prior research findings on the burden of NCD and associated risk factors and the effectiveness of intervention programs were reviewed. Strategies regarding the control of NCD risk factors were conceived. Results: The author presented research findings from the Global Burden of Disease study on the burden of non-communicable disease (NCD) and associated risk factors in South Korea. Strengths and limitations of population and high-risk strategies for preventing NCDs were introduced. The author also reviewed the evidence on the effectiveness of multiple cardiovascular risk factor interventions and community-based intervention programs on cardiovascular diseases conducted in industrialized countries. Finally, strategies to reduce NCD risk factors in South Korea were suggested. Conclusions: The evidence-based interventions and the importance of population strategies in NCD prevention were highlighted. The author indicated that strategies employed by unhealthy commodity industries to undermine effective public health policies and programs should be actively monitored. It has been suggested that effective high-risk strategies with ecological models to address social risks rather than medical risks among disadvantaged population should be further developed in South Korea.

A Study on Intensive Major Course of Department of Nursing in College (전문대학 간호과 전공심화과정 운영방안)

  • Park, Song-Ja;Je, Mi-Soon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.10 no.1
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    • pp.64-74
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    • 2004
  • This study was conducted to investigate what contents nurses want in the intensive major course of junior nursing college. Data were collected for four months from October 2002 to February 2003 by structured questionnaires. Subjects were 240 registered nurses in working at five hospitals and four public health centers and elementary or middle schools in the capital and its suburbs and country. The collected data were analyzed using SPSS 8.0 program. The results of this study were summarized as follows : 1. Nurses working at hospitals want the programs which involve the contents as follows : emergency nursing/CPR, infection control, critical care, caner pt. care, pain control, hospice, pulmonary disease pt. care, analysis of lab. exam, heart disease pt. care, chronic disease pt. care, DM pt. care, digestive-system disease pt. care, nervous-system disease pt. care, elderly pt. care, immune-system disease pt. care, endocrine-system disease pt. care. 2. Nurses working at public health centers want the programs which involve the contents as follows : home nursing, family nursing, management of DM, HT, degenerative disease, and chronic liver disease, elderly pt. care, health education, maternity nursing, rehabilitation nursing. 3. Nurses working at elementary or middle schools want the programs which involve the contents as follows : prevention of drug abuse or misuse, sex education and consultation, health education, consultation technique, emergency care, prevention of child obesity, prevention and management of adult disease in children, teaching method, method of school health room management.

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Health Impact Assessment of Free Immunization Program in Jinju City, Korea

  • Kim, Keon-Yeop;Jeon, So-Youn;Jeon, Man-Joong;Lee, Kwon-Ho;Lee, Sok-Goo;Kim, Dong-Jin;Kang, Eun-Jeong;Bae, Sang-Geun;Kim, Jin-Hee
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.4
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    • pp.267-275
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    • 2012
  • Objectives: This study was conducted to assess the potential health impacts and improve the quality of the free immunization program in Jinju City by maximizing the predicted positive health gains and minimizing the negative health risks. Methods: A steering committee was established in September 2010 to carry out the health impact assessment (HIA) and began the screening and scoping stages. In the appraisal stage, analysis of secondary data, a literature review, case studies, geographic information systems analysis, a questionnaire, and expert consultations were used. The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report. Results: Increased access to immunization, comprehensive services provided by physicians, the strengthened role of the public health center in increasing immunization rates and services, and the ripple effect to other neighboring communities were identified as potential positive impacts. On the other hand, the program might be inaccessible to rural regions with no private clinics where there are more at-risk children, vaccine management and quality control at the clinics may be poor, and vaccines may be misused. Recommendations to maximize health gains and minimize risks were separately developed for the public health center and private clinics. Conclusions: The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented. An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.

Factors Affecting the Intention to Participate in Healthcare Programs among Elders Living Alone (일개시 독거노인의 건강관리 프로그램 참여의도 영향요인)

  • Song, Mi Sook;Boo, Sunjoo
    • Research in Community and Public Health Nursing
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    • v.27 no.4
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    • pp.319-326
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    • 2016
  • Purpose: The aim of this study is to identify factors affecting elders' intention to participate in healthcare programs. Methods: This secondary data analysis used data of 390 elderly people who lived alone and were enrolled in the Visiting Health Care Center of H-city. In 2014, questionnaires were used to collect data about demographics, social activity, depression, frailty, and intention to participate in healthcare programs. The data were analyzed by descriptive statistics and multivariate logistic regressions. Results: Among the participants, 51.8% intended to participate in the offered healthcare programs. The strongest factor affecting the intention was gender. Women were 4.85 times more likely to participate in the programs than men. The women's intention was associated positively with increased levels of frailty. The men tended to participate in the program as they got older and as the level of frailty and the number of chronic diseases increased. Conclusion: Gender-specific public healthcare programs for vulnerable elders living alone should be developed to maximize their participation in the programs and to promote good health. The healthcare programs must be tailored to the levels of the patients' physical functions.

Education Programs for Disaster Mental Health: Website-Based Review

  • Hyun-Seo Park;Joohee Seo;Sang-Ho Kim
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.1
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    • pp.43-59
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    • 2023
  • Objectives: Although a manual for a disaster medical support using Korean medicine doctors for disaster survivors has been developed, education programs for using the manual in disaster situations need to be developed. Thus, the purpose of this study was to analyze existing online education programs for disaster mental health to develop education programs for Korean medicine doctors. Methods: We conducted website searching for disaster mental health education programs using Google. Compositions, contents, hours, methods, costs, organizers, and targets of included educational programs were analyzed qualitatively. Results: After searching, eight websites among a total of 64 were included for the analysis. Lectures consisted of Psychological First Aid, Skills for Psychological Recovery, Self-Care, and Psychological Education after a disaster experience. Training hours for each program ranged from 30 minutes to 31 hours. All lectures were given only online. They could only be taken online. Free lectures were the most common ones. Most of them were for the general public. Conclusions: Findings of this study provide information regarding trends of online education programs for disaster mental health. Our information could be used for developing disaster trauma response education programs for Korean medicine doctors in the future.