• Korean Journal of Health Education and Promotion
• /
• v.2 no.1
• /
• pp.133-145
• /
• 2000

This study aims to develop some guidelines on visiting nursing services for the management of hypertension patients at home in the rural areas of Korea. Firstly, in-depth interviews were given to the eight staff in charge of visiting nursing services in the rural health centers from June 1, 1999 to August 30, 1999. And then, their five patients with hypertension were under participatory observation. At the same time, literature review was conducted. Through those methods, some preliminary items were derived and the initial guidelines were drawn up. They were referred to ten experts, so that their validity was tested with Delphi Technique. Through the verification of their validity, they were complemented into the final ones. The total number of the items in the final guidelines was 22. By areas, they could be categorized as follows; eight items as skilled nursing care, five as general nursing care, three as guidance for diet, two as guidance for exercise, one as hospice care, and one as connection with social welfare services. By methods of activities, 13 items were classified as assessment, two as intervention, two as demonstration, and 17 as explanation. On the basis of the guidelines, nursing services are recommended to be divided and performed; general nursing activities by nurse aids and skilled nursing activities by public health nurses.

• Research in Community and Public Health Nursing
• /
• v.23 no.3
• /
• pp.286-295
• /
• 2012

Purpose: The purpose of this study was to investigate the level of cultural competency of visiting nurses and community health practitioners and explore factors that are related with their cultural competency. Methods: The subjects of this study were 113 visiting nurses and 103 community health practitioners working in Gangwon-do. Data were collected using a structured questionnaire on May 24, 2011. The SPSS/WIN 17.0 program was used for data analysis. Results: The average score for cultural competency of visiting nurses was $2.76{\pm}0.60$ and that of community health practitioners $2.91{\pm}0.51$. Most of subjects received no multicultural education (78.0% for nurses, 85.7% for community health nurses). Factors influencing cultural competency were number of service experience for multicultural clients and participation of multicultural education. Conclusion: It is necessary to develop systematic educational programs to enhance the cultural competency of nurses.

• Research in Community and Public Health Nursing
• /
• v.22 no.2
• /
• pp.87-99
• /
• 2011

Purpose: The purpose of this study was to contribute children's health care and health promotion by surveying the use of visiting nurses in child day care centers. Methods: This study is a descriptive study, and the study period covers July to September, 2010. The research subjects were 27 public health center managers, 166 visiting nurses and 137child care teachers. Results: Teachers' need of visiting health care services and visiting nurses' work performance of were statistically significantly different. The teachers' need of visiting health care was higher in all areas (health examination, health life practice, infectious disease control, safety accidents and disaster management, emergency measures and linkage, nutrition, parent education) but the visiting nurses had a low level of work performance. Conclusion: Child care teachers are not health professionals for child health care, and therefore they are in need of professional help. Thus, for the current public health centers in need of customized visit health care, new visiting nurses in charge of professional child health care need to be developed. Also, new models need to be developed for visiting nurses and child care teachers through the connection of community child health care.

• Journal of Korean Physical Therapy Science
• /
• v.8 no.1
• /
• pp.787-798
• /
• 2001

This study was performed to investigate the necessity and the features of adequate services of home visiting physical therapy for chronic ill patients. The study subjects were physical therapist visited in Taejon for Korea Physical Therapy Association Seminar on March 19, 2000. Authors developed questionnaire and distributed it to each physical therapist attended at the Seminar. The number of distributed questionnaire was 1,500, and 487 questionnaire were collected and 388 questionnaire analysed finally. 1. The rate of necessity for home visiting physical therapy by kinds of disease was 70.6% in cerebral palsy, 84.3% in spinal cord injury, 89.7% in cerebral vascular accident and traumatic brain injury, 20.1 % in other diseases. 2. The rate of necessity of education for home visiting physical therapy was 94.5% of men, 97.3% of women. 54.4% of answerer replied that the best education method was that developed clinical program. 3. In the general features of adequate service for home visiting physical therapy, 70.9% of men and 69.1 % of women want special isolated physical therapy center, 61.8% of men and 63.7% of women want distance of 15minutes-29minutes by car. 59.4% of men and 47.5% of women want 3 times per week in frequency(P<0.05), 70.9% of men and 61.0% of women want 30-60minutes in treatment duration. and 47.2% of men and 51.6% of women want to teach only evaluation and treatment method. 4. In the payment of adequate service for home visiting physical therapy, 47.9% of men and 49.3% of women want insurance with private charge (P<0.05), 58.8% of men and 55.2% of women want insurance direct charge and traffic fee and visiting fee for the private charge. 37.0% of men wants 4,000won-4,900won and 32.7% of women wants 2,000won-2,900won for the traffic fee. 43.0% of men wants 5,000won-9,900won and 48.0% of women wants 5,000won-5,900won for the visiting fee. 5. In the qualifications for home visiting physical therapy, 44.8% of men wants to have license and learn home treatment method but 47.1% of women wants to have license and career and learn home treatment method(P<0.05). In the career, 38.8% of men wants above 5 years, 39.5% of women wants above 3 years(P<0.01). 63.0% of men and 66.4% of women answered with unconcern but 18.8% of men wants physical therapist worked in general hospital and 20.6% of women wants in welfare center(P<0.01). 92.7% of men and 92.4% of women answered no interested in physical therapist's gender. The most preferential age of home visiting physical therapist was also no interested in physical therapist's age.

• Journal of Korean Public Health Nursing
• /
• v.26 no.3
• /
• pp.491-503
• /
• 2012

Purpose: The purpose of this study was to measure empowerment and to identify factors influencing empowerment. Method: Subjects included 767 clients registered with the customized home visiting health services in Daegu. Data collection was performed from June 3 to July 30, 2011. Descriptive statistics, ${\chi}^2$ test, ANOVA, and stepwise multiple regression were used in this study. Results: The mean score for total empowerment was 3.01(${\pm}0.28$). In subscales of total empowerment, the score for individual empowerment was 2.97(${\pm}0.36$), the score for interpersonal relationship empowerment was 3.09(${\pm}0.34$), and the score for political-social empowerment was 2.96(${\pm}0.48$). Job, education, economic status, living arrangement, and client classification were significant factors related to total empowerment in these clients. Job, education, economic status, types of health insurance, living arrangement, age, and client classification were significant factors related to individual empowerment, interpersonal relationship empowerment and political-social empowerment. 4.4 percent of the variance in total empowerment can be explained by education and living arrangement (Cum $R^2=0.044$, F=13.207, p<.001). Individual empowerment, interpersonal relationship empowerment, and political-social empowerment can be explained by education, job, economic status, and living arrangement. Conclusion: An empowerment intervention that includes general characteristics of clients is essential to improving empowerment of customized home visiting health care services beneficiaries.

• The Journal of Korean Academic Society of Nursing Education
• /
• v.24 no.4
• /
• pp.347-357
• /
• 2018

Purpose: The purpose of this study was to identify patient safety awareness and emergency response ability and affecting factors perceived by nursing homes and home visiting caregivers. Methods: This study was a descriptive study that conveniently extracts nursing caregivers who care for elderly patients in S and G provinces, Korea. Data collection was done by structural questionnaires from April to May 2018. A total of 204 responses consisting of 103 nursing homes and 101 home visiting caregivers were used for data analysis in SPSS Win 22.0. Results: Patient safety awareness and emergency response ability of nursing homes caregivers with each $4.24{\pm}0.50$, $74.26{\pm}09.57$ was each higher than that of the home visiting caregivers with $3.68{\pm}0.49$, $68.02{\pm}12.12$ (p<.001). The affecting factors of the patient safety awareness were working place, safety education, and daily average working hours with 12 or more (F = 27.30, p<.001) and that of emergency response ability were number of patients per personnel with 9 or more and emergency situation experience (F=14.00, p<.001). Conclusion: These results suggest that it is necessary to develop a safety education program that can share indirectly experience emergency situations that occur on the job site.

• Research in Community and Public Health Nursing
• /
• v.10 no.2
• /
• pp.480-493
• /
• 1999

The visiting nursing service is an essential part of public health. The purpose of this study was to analyze the visiting nursing service in primary health service centers. The data were collected from visiting nurse records in Wonju City Health Center, Myun Health Center and Community Health Subcenters. The period of data collection was from April 6 to July 15, 1998. The major findings were as follows: 1. Characteristics of 36 service providers. 1) Age : Over 40 years old - 66.7% 2) Educational level: The proportion of registered nurses was 47.2% and nurse aids 52.8% 3) Career: The proportion of providers who worked over 11 years in Public Health Service was 7.8% 2. Characteristics of Subjects 1) The major health problems were cerebro vascular attack, hypertension, D. M., arthritis, gastrointestinal problems and psychiatric problems. The prevalence of chronic health problems increased with age, except for mental illness. 2) The prevalence of cancer was 4.3/1000. 3. Contents of Home Visiting Nursing Services. 1) The major service was education and counseling. 2) The other services were Direct Care(ROM exercise, wound care, physical therapy, basic nursing care etc,) as 56.5%, of the work involved Indirect Care(teaching, counseling, emotional support, etc,) 30.3%, medication - 11.7%, and referral to hospitals - 1.5%.

• The Korean Journal of Pain
• /
• v.18 no.2
• /
• pp.146-150
• /
• 2005

Background: Recently, the number of patients visiting pain clinics has been increasing with the augmented concerns of those patients about the management of their pain. We conducted this study in order to elucidate the characteristics of patients visiting pain clinics and to determine a method to further raise their awareness about pain treatment. Methods: We reviewed 1,424 new patients who visited our pain clinic from March 2003 to December 2004. We analyzed these patients according to their age and sex, treatment method before visiting the pain clinic, coexisting disease, chief complaint and pain location, resident district, route of visiting pain clinic, and degree of impairment due to pain by use of questionnaire. Results: In age distribution, the largest proportion (23.5%) was in their 50's. Most patients (64.0%) had received treatment in an oriental medicine clinic before visiting the pain clinic. The most common coexisting disease was hypertension (20.3%) and low back pain was the most common chief complaint (68.3%). Most of the patients lived in Gyeonggido (87%) and most visited our pain clinic on the recommendation of other patients who had visited our pain clinic before. Conclusions: We need to guide pain patients to undergo proper treatment much earlier using patient education or a referral system. Moreover, we should be more careful in patients with diabetes mellitus, and should have greater concern in the treatment of low back pain.

• Asian Oncology Nursing
• /
• v.4 no.1
• /
• pp.26-37
• /
• 2004

The purpose of this study was to determine and test treatment-seeking behavior type and decisional factors of the cancer patients after first detecting symptoms. This study used the methodological triangulation. In the first, treatment-seeking behavior type and decisional factor were described based on qualitative data collected from in-depth interviews with 29 cancer patients. Next, they were tested using quantitative data collected from a structured questionnaire involving 165 cancer patients with statistical method. As a result, treatment-seeking behavior from detecting symptoms to visiting a doctor categorized into immediate visit and delayed visit. The decisional factors on time interval between detecting symptoms and visiting a doctor was influenced by the perceived seriousness of symptoms, the experiences of visiting a doctor previously with similar symptoms, social-group influences on visiting a doctor, barriers to visiting a doctor, and health concerns. There were significant relationship between treatment-seeking time and these factors, however, there was no statistically significant relationship between treatment-seeking time and the demographic characteristics. It is expected that results of this study can be used for nursing education data of cancer patients for early diagnosis after detecting symptoms

• Journal of The Korean Association For Science Education
• /
• v.32 no.7
• /
• pp.1251-1268
• /
• 2012

This study investigated several cases of interactive learning mediated by exhibits in a natural history hall during visits by middle school students. Five visiting cases were selected, in which visitors engaged actively in the interactions between them. Each visiting case was analyzed in terms of visiting discourse register and the modes of interaction in order to understand both visitors' meaning-making processes through the discourse flow and the characteristics of visiting discourse according to the features of exhibits. Results were as follows. The information provided in the exhibits was used as THEMEs in visitors' discourse and the visitors presented their information on the THEMEs as RHEMEs. The visitors made their own meaning for the exhibits by exchanging their information with each other. Interrogative sentences on the exhibit panels allowed visitors to make arguments. Similar exhibits displayed together helped visitors to compare those exhibits. These two features of the exhibits facilitated visitors' meaning-making processes in the natural history hall. The modes of interaction between visitors mediated by the exhibits showed that the information itself from the exhibits as well as visitors' opinion on the exhibits were frequently used as the elements for in-depth cognitive social interactions that allowed the visitors to construct meaning. Based on these results, we discussed that understanding in detail how visitors choose information from exhibits and construct visiting discourse is very important to improve visitors' collaborative science learning at a natural history hall.