Research in Community and Public Health Nursing

Ho Shin Ryu

5 Articles

A Preliminary Study on the Classification of Visiting Nursing Service Recipients and the Development of Standardized Visiting Nursing Service Pathways Based on Public Health Center: Ho Shin Ryu, Min Hyun Suk, Rah Il Hwang, Dal Lae Chin; J Korean Acad Community Health Nurs. 2005;16(4):381-391. Published online December 31, 2005

Abstract PDF: PURPOSE
The purpose of this research is to develop and classify district visiting nursing standards and to standardize visiting nursing service pathways.
METHOD
This research was conducted as a focus group study and analyzed visiting nursing records. We surveyed 201 recipients at urban health centers, who were selected through convenient sampling, from April 2003 to November 2003.
RESULT
First, visiting nursing service recipients were classified into four groups according to household and financial characteristics, existence of disease, ability of self-care, and existence of home care service needs. Standardized pathways of the selected items were assessment. nursing care plan, disease management and promotion of self-care ability for Level I (mean=12.2 visits). For Level II (7.3 visits) were offered assessment. disease management. health education. and health promotion services. For Level III (5.2 visits) were offered assessment. disease management. health education and health promotion services, and for Level IV (2.7 visits) were offered thorough assessment, education for self-care and health promotion.
CONCLUSION
The visiting nursing service pathways identified in this research need to be developed further as basic materials applicable to quality assurance and agency evaluation. For this, we suggest repeated research and test to apply the derived standardized visiting nursing services pathways in visiting nursing programs.

A Study on Evaluation of District Visiting Nursing Services of Urban Health Center: Ho Shin Ryu, Rah Il Hwang, Min Hyun Suk, Dal Lae Chin; J Korean Acad Community Health Nurs. 2005;16(2):127-136. Published online June 30, 2005

Abstract PDF: PURPOSE
The purpose of this study was to present the outcomes of the district visiting nursing services.
METHOD
We analyzed nursing records and inspected public health center data for evaluating nursing tasks. and conducted a telephone survey of 651 district inhabitants.
RESULTS
According to the result, the coverage of the district population, the rate of new registration and overall program activities increased. Meanwhile, accessibility of visiting health care, the level of health problem management, personal cognition and satisfaction concerning visiting nursing care increased, but there was little change in personal perception of health improvement. Furthermore, the status of client management was improved. In the analysis of participation in national cancer screening program, we found that there was twice higher participation in the district than others.
CONCLUSION
We suggest that this district visiting nursing system takes responsibility for district inhabitant health management. Based on the study, we also suggest that the government and local autonomous entities should increase administrative and financial supports to execute the district-based visiting nursing system in wider areas.

An Evaluation of the Visiting Nursing Service Model Based on the District Management System: focused on stroke patients: Ho Shin Ryu, Min Hyun Suk, Rah Il Hwang, Dal Rae Jin; J Korean Acad Community Health Nurs. 2005;16(1):5-12. Published online March 31, 2005

A study on the Status and Policy Issues of Visiting Nursing Programs at Public Health Centers in Urban Areas: Ho Shin Ryu, Rah Il Hwang; J Korean Acad Community Health Nurs. 2004;15(1):67-75. Published online March 31, 2004

Abstract PDF: 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.

A Study on Health Service Utilization for the Low Income Elderly in Korea: Mee Young Im, Ho Shin Ryu; J Korean Acad Community Health Nurs. 2001;12(3):589-599. Published online December 31, 2001

Abstract PDF: The purpose of this study was to analyze the relation amongst health status, health care costs, health service utilization among the low income elderly who were 60 years of age or older, earning a half of the average Korean family income. The cross-sectional descriptive survey research we conducted used families randomly sampled nationwide. The data were collected from July 12 to August 7, 1999 and the total sample was 1,259 household members (421 households). These were the major findings. 1. As for the health status, 72.4% of respondents fell ill in the last 1 month; 54% of respondents had chronic disease. 2. As for the health care cost, the cost of hospitalization and the medical treatment were 1,069,000 won and 226,000won, respectively. 59.3% of respondents experienced a burden from the monthly health care expenses. 3. As for the health service utilization for the last 3months, 28.5% of respondents didn't utilize the health service. In addition, 22.2% of respondents gave up a medical treatment because of economic situation (88.8%). 4. The statistically significant determinants of health service utilization are old age, female, living with a spouse, unemployed state, medicare, and more days sick. 5. It is shown conclusively that equity and efficacy of the health care policy are to be considered for lower income older adult.

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