• 한국보건간호학회지
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• 제21권2호
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• pp.134-145
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• 2007

Purpose: To test the effects of health education on the blood pressure, knowledge, and self-care of visiting nursing clients. Methods: The study subjects were 96 participants who had been diagnosed with hypertension or had high risk factors for hypertension among those registered at a public health center in Seoul. The education program was individualized and delivered to enhance the management of hypertension including life-style modification, medication, and complication managements. Data were collected using questionnaires from May to December 2006 and analyzed using descriptive analysis, t-test, paired t-test, and ANOVA. Results: The blood pressure of the participants after the education was significantly decreased compared to before the education. Education also significantly affected the increases of knowledge of the disease and self-care capability. However, the blood pressure and self care were not significantly improved for the age group over 85 years. Conclusions: This study proves that the individualized health education for visiting nursing clients was effective in improving blood pressure, knowledge, and self-care of hypertension. However, it is necessary to develop strategies that are specifically targeted at particular age groups in order to improve the capability of self-care of hypertension.

• 간호행정학회지
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• 제16권4호
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• pp.409-418
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• 2010

Purpose: The purpose of this study was to compare the costs and benefits of home nursing care services between public health centers (PHC) and private hospitals. Method: Participants were 105 patients who had received home nursing care services from a private hospital or public health center. From a societal perspective, the researcher identified the costs and benefits of the services using performance data and calculated the net benefit and benefit/cost ratio. Result: The net benefit of the home nursing care service based in the PHC was 165.9 million won and benefit/cost ratio was 2.0, while the net benefit of the home nursing care services by the private hospital was 141.1 million won and benefit/cost ratio was 1.7. Both types of programs were economically validated. Conclusion: Home nursing care services were basically efficient as the results showed a positive net benefit. A cost-benefit analysis indicated that the PHC-based home nursing care services were more efficient than that of the private hospital. With limited human resources and management standards in public health centers, results suggest the need for a more systematic management of the home nursing care service to improve the health of this vulnerable community population.

• 가정∙방문간호학회지
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• 제6권
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• pp.59-65
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• 1999

In oder to investigate the basic data for the standard of visiting nursing activities and educational program for Public Health Nurses in Health Center in Korea. the health record review carried out regard to visiting nursing services of 131 subjects with visiting nursing care. The results were as follows: 1. Rates of visiting nursing services offered by Public Health Nurse of Health Center(in decreasing order)were health education and disease management(98.5%), activity assess-ment(94.7%), counseling(90.8%), dietary care (61.1%), exercise treatment(60.3%), examination(58.8%), medication(48.9%), referral to hospital(32.8%, vaccination against flu and hepatitis(29.8%), support for welfare and administration(24.4%), position change(9.9%), connection to voluntary services(9.9%), wound dressing(7.6%) and referral for home health care nursing(3.1%). 2. The subjects consisted of 38.2% in male and 61.8% in female. 77.1% of the subjects had no job.

• 한국보건간호학회지
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• 제32권1호
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• pp.5-18
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• 2018

Purpose: We present improvements to the Korean home visiting healthcare service based on analysis of Korean home visiting healthcare services considering recent sociodemographic changes and demands for healthcare services. Methods: This is a review study in which the results are derived through a literature review and data analysis. We collected data through a search of electronic databases, Google Scholar, and governmental websites. Results: Changes in Korean home visiting healthcare services are classified into four stages: 'introduction (1990-2000)', 'pilot project (2003-2006)', 'nationwide expansion (2007-2012)', 'various types (2013-2018)'. Korean home visiting healthcare service based on public health centers has achieved outcomes such as improved health behavior and health management, increased health management ability, and establishment of comprehensive healthcare infrastructure. Conclusion: In the future, the demand for home visiting healthcare service will increase steadily because of deepening social polarization, rapid aging of the population, and increases in chronic diseases. To improve health management and health equity, we suggest that Korean home visiting healthcare service will expand to all the people as a core public health service. It is necessary to establish a management team for various types of home visiting healthcare service in the public health center.

• 한국보건간호학회지
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• 제16권1호
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• pp.148-164
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• 2002

This study was performed to investigate the conditions of physical activity and exercise programs in Public Health Center. For this study 244 Public Health Centers in Seoul and all of the countries were surveyed from October 15 1999 to June 30 2000. The study was done by telephone, e-mail, fax and questionnaire. First, the 25 Public Health Centers in Seoul were investigated, and then 107 Public Health Centers in other cities were investigated. Public Health Centers in Seoul and Public Health Centers in other cities are very different in exercise program and equipment, budgets, personnel. There were many kinds of exercise program for people who have health problems, but a few exercise programs for healthy people. Exercise programs for people who have health problems were to prevent hypertension, arthritis. obesity, diabetes and back pain. Physical activity and exercise programs for healthy people were stretching for pregnancy and elderly. There were $24(96.0\%)$ Public Health Centers in Seoul which had physical activity and exercise program, $80(36.5\%)$ Public Health Centers in other cities which had physical activity and exercise program.

• 대한통합의학회지
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• 제7권4호
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• pp.171-180
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• 2019

Purpose : The purpose of this study is to understand the experiences of nursing students in clinical practice at a public health center through their self- reflections. Subjects : The 110 students in the 3rd year, practice at two public health centers in city P and city K. From the110, 53 male and female university students who practice in city K were selected to participate : 11males (20.8 %) and 42 females (79.2 %). Methods : The data analyzed were the self-reflections regarding the clinical practice. Results : These data indicate that : most of the participants now believe that public health centers provide many more services to the community than they previously knew about. They rate the public health center's programs highly, and want to be community health nurses. For the first time, they realize that the work of public health nurses is very important. In particular they note that their emotions while at the public health center differ significantly from when they work at the other. The environment in the public health center makes them feel more comfortable and less stressed. Generally, they are satisfied with their practice at the public health center. Conclusion : On the basis of these findings, the following recommendations can be made. Experience at public health centers is an important part of nursing students' education. I suggest that research on nursing students' experiences while practicing at the public health center should expand to include research methods other than the analysis of their reflection journals, In addition a follow-up study of experiences while practicing at the public health center should be attempted of self-reflections.

• 가정∙방문간호학회지
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• 제22권1호
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• pp.22-37
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• 2015

Purpose: This study aimed to compare the health service delivery level and educational needs by work experiences and types of public health center among the nurses who work as visiting health services workers at public health centers. Methods: Data collected from 484 nursing staff for 2 weeks, was analyzed using the SPSS program t-test, ANOVA, and Spearman Rank-Order Correlation. Nurses with more than 2 years experience were 79.1%; and 43.6% of the subjects worked within Gun type public health centers. Results: The health service performance frequency of metropolitan city type public health centers was significantly high in the areas of education, behavior pattern, chronic disease, pregnant women & infants, and multi-cultural family. The health service performance frequency of Gun type public health centers was significantly high in the areas of type of test, fundamental nursing, and basic rehabilitation. In addition, the correlation between the performance frequency and educational needs was positively correlated, and the subjects with greater educational needs performed more. Conclusion: Educational programs should be designed according to the types of public health centers rather than work experiences, especially in systematic training for frequently performed items after reviewing the practice precisely.

• 한국보건간호학회지
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• 제11권1호
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• pp.103-117
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• 1997

A phenomenologic study on the experiences of public health nurses who performed practical instruction for nursing students. The purpose of this research was to understand the structure of the lived experience of public health nurses who performed practical instruction for nursing students. The research question was 'What is the structure of the experience of public health nurses who performed practical instruction? The sample consisted of 6 nurses working at health center in M&S city. The unstructed interview were carried out from December 20, 1996 through January 20, 1997. They were audio-recorded and analyzed using Van Kaam's method. These nurses experienced lack of role, expectation of nursing students., duty achievement, dissatisfaction about environment for practical instruction, practice-theory gaps performing practical instruction for nurse students.

• 한국직업건강간호학회지
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• 제25권1호
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• pp.75-83
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• 2016

Purpose: The purpose of this descriptive, cross-sectional study was to examine relationships among emotional labor, self-efficacy, and burnout of employees in public health centers. Factors that influence burnout of workers were also assessed. Methods: One hundred sixty six workers in public health centers completed a pack of self-report questionnaires. Collected data were analyzed using descriptive statistics, t-test, one-way ANOVA along with $Scheff{\acute{e}}$ test, and stepwise multiple regression. Results: Employees in public health centers seemed to experience emotional labor to some extent. There were statistically significant differences in burnout depending on the age of workers. Employees' burnout had a positive relationship with emotional labor and a negative relationship with self-efficacy. Factors influencing burnout of employees in public health centers were emotional dissonance, surveillance & monitoring of organization, age, and self-efficacy. Conclusion: Considering the findings from this study, health care providers need to develop effective interventions which increase the level of self-efficacy and decrease certain types of emotional labor for employees in public health centers and to help them effectively manage burnout.

• 지역사회간호학회지
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• 제15권1호
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• pp.67-75
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• 2004

Purpose: The purpose of this study was to identify the current management status and the policy issues of visiting nursing programs at public health center in urban area. Method: A questionnaire surveys was conducted on all public health nurses in 25 health centers in Seoul. Result: The major results were as follows: The characteristics of the visiting nurse showed that the average age was 41.1 years, and total nursing experience was 122 months. Their visiting nursing experience was only 30 months. The recipients of visiting nursing services consisted of 60.1% females, and 32.5% of the recipients were over 65 years. The major health problems of the recipients were hypertension, diabetes mellitus, arthritis and psychiatric problems. The visiting frequency was an average of 5.4 times per day, and 357 families were managed per visiting nurse. The major problems of visiting nursing programs were the shortages of visiting nurse manpower. The most important related policy issue was being in charge of a workload, which was not related to the visiting nursing services. Conclusion: By analyzing work for visiting nurses and identifying weak points, this research can present recommendations to be practically used as baseline data for establishing policy in relation to vitalizing visiting nursing programs.