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A Review of Community Health Nursing Research in Korea and Japan
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Ho Sihn Ryu, Mika Tanaka, Kumi Arita, Jeong Hyun Cho
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J Korean Acad Community Health Nurs. 2010;21(4):532-540. Published online December 31, 2010
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DOI: https://doi.org/10.12799/jkachn.2010.21.4.532
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- PURPOSE
The purpose of this study was to compare similarities and differences in research trends for community health nursing between Korea and Japan.
METHODS
Comparison was made in terms of research design, data collection and sampling method, and key concepts from community health nursing research by literature review. We analyzed original articles from representative Journals covering community health nursing research from 2004 to 2008.
RESULTS
We found that research design was quite different between the two countries. Quantitative research design was dominant in Korea, while qualitative and qualitative research designs were used equally in Japan. In particular, outcome research was found only in Korean papers.
CONCLUSION
Based on the comparison, the following recommendations are suggested related to the strengths and weaknesses of research concepts and methods observed in each country. It is suggested that future collaboration should be undertaken especially to improve the diversity of research design and method. More diverse research designs should be used in both countries. Particularly in today's aged society, evidence-based research and outcome research are needed for community health nursing in both countries.
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Citations
Citations to this article as recorded by  - Development of Agenda Priority for Nursing Service Research and Development
Eui Geum Oh, Yeon Su Jang, Sae Lom Gong, Yoon Ju Lee
Journal of Korean Academy of Nursing Administration.2015; 21(1): 99. CrossRef
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Use of Home Nursing Therapy and Need of Home Care Equipments
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Ho Sihn Ryu, Chai Soon Park, In A Kim, Young Dae Kwon, Sung Wook Kang
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J Korean Acad Community Health Nurs. 2008;19(2):157-166. Published online June 30, 2008
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- This study was conducted with whole home care nurses nationwide to provide secondary analyzed data to understand on their usage of medical equipments and their need of them for a month. This study found that treatments given by home care nurses were nelaton catheterization, bladder washing/urethral washing, newborn care, exchange and care for nasogastric tube and suction in that order of frequency. Second, instruments and equipments used for home care were reported to be stethoscope, patient monitor, blood pressure measuring equipment, air flotation mattresses, beds for patients, mattresses, suctioning device sets, enteral feeding equipment and dressing set in that oder of frequency. Moreover, need assessment of medical instruments and equipments showed renal dialysis was most needed and patient monitor, blood pressure measuring equipment, enteral feeding equipment, solution and other supplies for renal dialysis and beds for patient were necessary in that order. In conclusion, the results of this study investigating special treatments and medical instruments and equipments used for home care patients and analyzing patients' need, were expected to be useful for expansion of application of long-term care insurance for the elderly and health insurance as well as for quality control of home care and development of medial instruments and equipments used at home.
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An Estimation on the Need and Supply for Visiting Nursing Services of Health Center in Seoul
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Ho Sihn Ryu, Jae Il Myoung, Na Il Hwang
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J Korean Acad Community Health Nurs. 2003;14(4):587-597. Published online December 31, 2003
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- PURPOSE
The purpose of this study was to estimate the demand and supply of visiting nursing services provided by health centers in urban area, aiming at strengthening infrastructure, which may improved the quality of life and health status of vulnerable population in the community.
METHODS
This study was conducted through nominal group discussion, focus group study. The demand and supply of visiting nursing were estimated by health economists based on the secondary analysis data from 25 health centers in Seoul.
RESULT
Primary targets for the visiting nursing must be people who are homebound in the community. They can be classified into: a group of Level I: chronic patients who need visiting nursing care at least once a week; and a group of Level II: vulnerable families that need management periodically e. g. twice a month. Based on the estimation of demand for visiting nursing services in the community, the estimated supply required was 651~770 visiting nurses including home health nurses in visiting nursing programs based on health centers in Seoul.
CONCLUSIONS
The estimated demand and supply of visiting nursing are expected to provide basic data for establishing alternative policies on visiting nursing infrastructure that might be accomplished through demand-based visiting nursing programs by districts.
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The Effects of Follow-up Support in the Adolescent Smoking Cessation Program
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Ju Yul Lee, Ho Sihn Ryu
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J Korean Acad Community Health Nurs. 2003;14(1):36-44. Published online March 31, 2003
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- The purpose of this study is to investigate the effects of follow-up support in the adolescent smoking cessation program. In this study, a model for an effective adolescent anti-smoking program, which includes follow-up support, is based on the method of cognitive-behavioral therapy. The study lasted for 7 weeks, while information on smoking including materials to be analyzed, were provided to the subjects. Meanwhile, the state of the smokers was studied while consultations on anti-smoking was also carried out in the 7th week.
At first, the quantity of cigarettes smoked between groups made no difference, but there was an obvious difference in the rate of people who stopped smoking and in the quantity of cigarettes smoked between group I(managed for 7 weeks), group (managed II for only 4 weeks) and group III(not managed at all after anti-smoking class). According to the results of the study, we can conclude that the follow-up support plays a big role not only in raising the rate of success in the level of reformed smokers, but also in lowering the quantity of cigarettes smoked.
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A Study on Health and Public Health Center Utilization Behavior for lower Income Family in Korea
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Ho Sihn Ryu, Mee Young Im, Ju Yull Lee
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J Korean Acad Community Health Nurs. 2001;12(1):60-70. Published online March 31, 2001
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- The purpose of this study was to analyze the relation between health behavior and public health center utilization among lower income families who earned half of the average Korean family income. The cross-sectional descriptive survey research we conducted was a nationwide randomization sampling among lower income families. The data was collected from July 12 to August 7, 1999 and the total sample was 5,819 household members (1,735 households). There were three major findings according to these studies.
1. In health behaviors, 26.5% of respondents had a health examination. Among them, 41.5% were in a poor condition of health. In health promotion behaviors, only 37.3% of respondents were doing activities for health maintenance or promotion.
2. In the results of the public health center utilization for the past year, 57.4% of respondents visited one or more times. In addition, 46.2% of respondents wanted to use a visiting nursing service.
3. In the results of multiple logistic regression, we found that less education, larger family size, and medicaid affects more utilization of public health center. In addition, older age, living without a spouse, less education, larger family size, lower family income, and public health center usage affects requests for the visiting nurse service.
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Analyses on the Mean Length of Stay of and the Income Effects due to Early Discharge of Car Accident Patients at General Hospital
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Ho Sihn Ryu
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J Korean Acad Community Health Nurs. 1999;10(1):70-79. Published online June 30, 1999
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- This study attempts to encourage the development of a rehabilitation delivery system as a substitute service for hospitalization such as a community based intermediate facility or home health care. We need substitute services for hospitalization to curtail the length of stay for inpatients due to car accidents. It focused on developing an estimation for early discharge based on a detailed statement of treatment from medical records of 109 inpatients who were hospitalized at General Hospital in 1997. This study has three specific purposes: First, to find the mean length of stay and mean medical expenditure. Second, to estimate the mean of early discharge from the mean length of stay. Third, to analyize the income effect per bed from early discharge.
In order to analyze the length of stay and medical expenditure of inpatients the author conducted a micro and macro-analysis with medical expenditure records. To estimate the early discharge we examined with a group of 4 experts decreases in the amount of treatment after surgery, in treatments, in tests, in drug methods. We also looked their vital signs, the start of ROM exercise, the time removel, a patient's visitations, and possible stable conditions. In addition to identifing the income effect due to an early discharge, the data was analyzed by an SPSS-PC for windows and Excell program with a regression analysis model.
The research findings are as follows: First, the mean length of stay was 47.56 days, but the mean length of stay due to early discharge was 32.26 days. The estimation of early discharge days was shown to depend on the length of stay. The longer the length of stay, the longer the length before discharge. For example, if the patient stayed under 14 days the mean length of stay was 7.09 while an early discharge was 6.39, whereas if the mean length of stay was 155.73, the early discharge time was 107.43. The mean medical expenditure per day of car accident patients was found to be 169,085 Won, whereas the mean medical expenditure per day was shown to be in a negative linear form according to the length of stay. That is the mean expenditure for under 14 days of stay was 303,015 Won and the period of the hospitalization of 15 days to 29 days was 170,338 Won and those of 30 days to 59 days was 113,333 Won.
The estimation of the income effect due to being discharged 16 days was around 2,350,000 Won with a regression analysis model. However, this does not show the real benefits from an early discharge, but only the income increasing amount without considering prime medical cost at a general hospital. Therefore, we need further analysis on cost containments and benefits incending turn over rates and medical prime costs.
From these research findings, the following suggestions have been drawn, we need to develop strategies on a rehabilitation delivery system focused on consumers for the 21st century. Varions intermediate facilities and home health care should be developed in the community as a substitute for shortening the length of stay in hospitals. In home health care cases, patients who want rehabilitation services as a substitute for hospitalization in cooperation with private health insurance companies might be available immediately.
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