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Most-download articles are from the articles published in 2023 during the last three month.

Original Article
[English]
The Burden Experience of Family Caregiver of Older Adults with Chronic Illness
Nova Yustisia, Titin Aprilatutini, Tuti Anggriani Utama, Mahmasoni Masdar
Res Community Public Health Nurs. 2023;34(2):85-95.   Published online June 30, 2023
DOI: https://doi.org/10.12799/rcphn.2022.00304
  • 8,314 View
  • 431 Download
  • 2 Citations
AbstractAbstract PDF
Purpose
This study aims to find out further about the burden on families in undertaking caregiving for the elderly with chronic illnesses.
Methods
A qualitative study was developed using in-depth interviews with 12 family caregivers selected by purposive sampling in July 2022. The thematic analysis was then carried out using the Colaizzi method, and N-Vivo 12 Qualitative Data Analysis Software was used to assist with the content analysis.
Results
The result from the experience interview analysis of caregivers participating in this study were 54 codes which were categorized into thirteen categories. Then, they were derived into four themes, as follows: 1) Physical burden of the caregivers for the elderly with chronic illness, 2) Psychological burden of the caregivers for the elderly with chronic illness, 3) Obstacle of caregivers for the elderly with chronic illness, 4) The state of caregivers who perform caregiving for the elderly with chronic illness.
Conclusion
The experience of caregivers in undertaking caregiving for the elderly with chronic disease has many obstacles, such as physical, psychological, and economic burdens. Caregivers often find positive aspects of their experiences while caregiving for the elderly, although their burden also constantly increases. Health facilities should pay serious attention to family caregivers and facilitate programs that can help reduce the burden on family caregivers.

Citations

Citations to this article as recorded by  
  • Enhancing Communication and Empathy Skills in Geriatric Care: Nurses' Reflections on Simulation‐Based Training for Patient Interaction and Education
    Sobhia Ahmed Abdel Kader Mohammed, Mostafa Shaban
    Journal of Clinical Nursing.2025;[Epub]     CrossRef
  • Relationship between Care Burden and Health Anxiety in the Family Caregivers of the Older Adults with Alzheimer’s Disease
    Mohammad Sadegh Sargolzaei, Daniyal Kohestani, Tahereh Alsadat Khoubbin Khoshnazar, Hossein Asghari Asl
    Ageing International.2024; 49(2): 280.     CrossRef
Review Article
[English]
A Systematic Review of Questionnaire Measuring eHealth Literacy
Jung-Won Ahn, Mi Young Kim
Res Community Public Health Nurs. 2024;35(3):297-312.   Published online September 30, 2024
DOI: https://doi.org/10.12799/rcphn.2024.00752
  • 1,427 View
  • 89 Download
AbstractAbstract PDF
Purpose
This review aims to summarize the characteristics of currently used questionnaires measuring eHealth literacy and assess the quality of their psychometric properties in self-reported assessments within community settings.
Methods
The systematic analysis was conducted using the COnsensus-based Standards for the selection of health Measurement INstruments checklist to evaluate the methodological quality of studies on measurement properties.
Results
A total of 21 studies, including 19 questionnaires, were reviewed. The findings indicated that the quality of psychometric assessments for eHealth literacy was generally rated as 'good,' with most studies addressing multiple aspects of reliability and validity. Internal reliability, content validity, hypothesis testing, and responsiveness were particularly well-supported, each receiving over 10 sufficient ratings. However, there was limited evidence regarding measurement errors, test-retest reliability, criterion validity, and analyses of floor and ceiling effects.
Conclusion
This study contributes to the enhancement of eHealth literacy measurement tool selection and improves the reporting of their validity and reliability, thereby increasing the credibility of future research.
Original Articles
[English]
Factors Associated with Nurse Self-Leadership: A Cross-Sectional Study of Nurses Working at Public Health Centers and Primary Healthcare Posts
Saeryun Kim, Younkyoung Kim
Res Community Public Health Nurs. 2024;35(3):195-206.   Published online September 30, 2024
DOI: https://doi.org/10.12799/rcphn.2024.00493
  • 996 View
  • 86 Download
AbstractAbstract PDFSupplementary Material
Purpose
This study aimed to analyze the factors influencing self-leadership among public health nurses as they implement health promotion projects in public health centers and primary healthcare posts.
Methods
The study sampled 120 public health nurses from 22 public health centers and their associated primary healthcare posts in J province. Data were collected from October 11 through October 25, 2022.
Results
Employment at a primary healthcare post instead of a public health center (β=.23, p=.012), was significantly associated with self-leadership in model 1 (adjusted R2=.17, F=4.56, p<.001). Furthermore, communicative competence (β=.48, p<.001) and nursing professionalism (β=.26, p=.001) were significantly associated with self-leadership in model 2 (adjusted R2=.51, F=14.77, p<.001).
Conclusion
Open and self-directed work environments, along with opportunities for education and training, are necessary to enhance communicative competence and nursing professionalism. These improvements may, in turn, strengthen self-leadership among nurses, facilitating the implementation of health promotion projects within public health institutions.
[English]
The Effects of Adverse Childhood Experiences, Benevolent Childhood Experiences, and Community Integration on Resilience in Psychiatric Outpatients
Keum Ran Hong, Hye Kyung Lee
Res Community Public Health Nurs. 2024;35(4):313-324.   Published online December 30, 2024
DOI: https://doi.org/10.12799/rcphn.2024.00598
  • 458 View
  • 34 Download
AbstractAbstract PDF
Purpose
The purpose of this study is to determine the impact of adverse childhood experiences, positive childhood experiences, and community integration on resilience in psychiatric outpatients.
Methods
The study subjects were 166 psychiatric outpatients in one general hospital in South Korea who were diagnosed with schizophrenia spectrum disorder, bipolar disorder, or depression disorder. The collected data were analyzed with the t-test, ANOVA, Pearson’s correlation coefficient, multiple regression analysis, using the SPSS/WIN 24 program.
Results
There were statistically significant differences in resilience in psychiatric outpatients according to age, religion, occupation, type of household, type of diagnosed disorder. In psychiatric outpatients, resilience showed a significant positive correlation with benevolent childhood experiences and community integration, but had a negative correlation with adverse childhood experiences. Multiple regression analysis for resilience in psychiatric outpatients revealed that the significant factors affecting resilience were community integration, benevolent childhood experiences, adverse childhood experiences, housing facilities (type of household), ages 40-49, and living alone (type of household). These factors explained 52.2% of the variance.
Conclusion
In order to improve the resilience of mentally ill people, a campaign is needed to increase the accessibility of community participation programs in mental health services for community integration and to publicize the influence of benevolent childhood experiences and adverse childhood experiences. Furthermore, it is necessary to identify individual factors such as residence type and age of mentally ill people, build a customized support system by considering their specific needs, and develop intervention programs to strengthen resilience.
[English]
Developing a community-based, multicultural-friendly prenatal education pilot program
EunSeok Cha, Sojung Lee, Gui-Nam Kim, Byung Hun Kang, Minsun Jeon
Res Community Public Health Nurs. 2024;35(3):226-239.   Published online September 30, 2024
DOI: https://doi.org/10.12799/rcphn.2024.00507
  • 1,033 View
  • 52 Download
AbstractAbstract PDF
Purpose
The purpose of this study was to examine the acceptability, availability and sustainability of a pilot prenatal program developed by an interdisciplinary team.
Methods
Out of 19 multicultural women participated in the 6-session prenatal program, 6 women took part in an exit- focus group interview as a part of formative evaluation. The verbatim transcriptions of semi-structured interview data were analyzed using conventional content analysis.
Results
In general, the participants expressed high satisfaction with program content, educators and education methods. A hybrid model including health professionals and community health workers and using online and offline education modes was suggested as a way to disseminate the program at a national level. Interventions using aesthetic approaches such as music and an integrated method such as the introduction of available social services in pregnancy and during the postpartum period may play a role as the facilitator of the program participation of multicultural women. These approaches may also help them develop healthy coping skills, problem solving skills and empowerment in multicultural childbearing women who need to adjust to life in a new country simultaneously taking a new role as a mother.
Conclusion
An interdisciplinary prenatal program using a holistic approach contributes to enhancing multicultural women’s empowerment to become a mother in a new country.
[Korean]
Development and Evaluation of Eating Traits Scale for Adult in Republic of Korea
Youngwon Kim, Eunok Park
Res Community Public Health Nurs. 2024;35(4):339-350.   Published online December 30, 2024
DOI: https://doi.org/10.12799/rcphn.2024.00521
  • 400 View
  • 23 Download
AbstractAbstract PDF
Purpose
The purpose of this study was to develop eating traits scale for Korean adults and verify its validity and reliability.
Methods
The initial items were developed based on the literature reviews. The first preliminary scale has consisted of 78 items and the second preliminary scale consisted of 50 items selected by 13 experts who were formed to evaluate the content validity. To review whether they could understand the questionnaires at their reading level, 27 sixth-grade elementary school students were asked to be involved in this study. The questionnaire was revised through the consultation of Korean language teachers, and the final preliminary scale was composed of 50 items. Data were collected from 329 adults aged 19 to 65 years to test validity and reliability of the scale The item analysis and exploratory factor analysis were applied.
Results
Exploratory factor analysis showed 5 factors of 35 items. The factors (No. of items) were ‘Mood states (6)’, ‘Pursuit of health (6)’, ‘Stimulation of food (9)’, ‘Social situations (5)’, ‘Desire satisfaction (9)’. These 5 factors explained 55.04% of the total variance. Eating traits scale developed in this study was established construct validity. The reliability of the scale, Cronbach's alpha coefficient was .92 and the factor’s ranged from .77 to .87.
Conclusions
Eating traits scale developed in this study was verified by content validity, construct validity and reliability. It is expected to be useful measuring eating traits of Korean adults in clinical practice and research.
[English]
Patterns of Adolescent Substance Use: A Comparative Study among the United States, Canada, England, and South Korea from 2014-2021
Chaehee Kim, Kihye Han, Jieun Kim, Alison M. Trinkoff, Sihyun Park, Hyejin Kim
Res Community Public Health Nurs. 2024;35(2):179-193.   Published online June 28, 2024
DOI: https://doi.org/10.12799/rcphn.2024.00535
  • 2,906 View
  • 82 Download
AbstractAbstract PDF
Purpose
This study aimed to identify the cross-national estimates of substance use, explore problematic substance use patterns among adolescents across countries and over time, and examine the relationship of individual characteristics on substance use patterns.
Methods
This study employed a time-series secondary data analysis spanning from 2014 to 2021 across four countries (United States, Canada, England, and South Korea). We analyzed the usage of five substances (alcohol, binge drinking, cigarettes, electronic cigarettes, and illicit drugs) alongside demographic characteristics. A descriptive analysis was performed to identify estimates of substance use across countries. Latent class analysis was employed to examine adolescents’ substance use patterns across time and countries. A multinomial logistic regression model was fit to assess the relationship between latent class and demographic characteristics.
Results
Adolescents in the United States and Canada had the highest substance use, while Korean adolescents had the lowest, particularly concerning drugs. Latent class analysis revealed two classes (light-user and heavy-user), with the addition of a third class (moderate-user) in some instances. The substance use patterns, while differing significantly among nations, exhibited consistency over time. During COVID-19, a decrease in heavy-substance users was observed across countries. Male or older participants were more likely to belong to the heavy-user class.
Conclusion
This research offers valuable insights into the variations in substance use patterns between nations and over time. A tailored approach is essential to prevent adolescents from becoming heavy-substance users. This approach should consider country regulations and demographics for a targeted and comprehensive preventive strategy.
[English]
Factors Affecting the Performance of Infection Control of Multi-drug Resistant Organisms in Intensive Care Unit Nurses of General Hospitals based on the Theory of Planned Behavior: The Mediating Effect of Intention
Nam-Sook Kim, So-Eun Choi
Res Community Public Health Nurs. 2023;34(3):183-195.   Published online September 27, 2023
DOI: https://doi.org/10.12799/rcphn.2023.00150
  • 3,010 View
  • 173 Download
  • 2 Citations
AbstractAbstract PDF
Purpose
The purpose of this study is to analyze the factors that affect the performance of infection control of multidrug-resistant organisms (MDROs) by nurses in intensive care units (ICU) in general hospitals.
Methods
Participants were 105 ICU nurses from 6 general hospitals. The questions for the survey performed were based on the theory of planned behavior, such as attitude towards infection control of MDROs, subjective norms, perceived behavioral control, intention, and performance.
Results
In the relationship between subjective norms towards infection control of MDROs and performance, intention showed a significant complete mediating effect; and in the relationship between perceived behavioral control and performance, intention showed a partial mediating effect. The attitude towards infection control of MDROs was excluded from the mediating effect verification because there was no significant correlation between intention and performance.
Conclusion
The results of this study suggest that department atmosphere and perceived behavior control promotion programs should be developed to enhance subjective norms in order to promote the performance of infection control of MDROs.

Citations

Citations to this article as recorded by  
  • Causal Model of Factors Influencing Adherence to Standard Precautions Practices Among Chinese Emergency Nurses: A Cross-sectional Study
    Yanfang Huang, Wanchai Lertwatthanawilat, Pimpaporn Klunklin, Akeau Unahalekhaka
    Pacific Rim International Journal of Nursing Research.2024; 28(3): 525.     CrossRef
  • Nurses in Iraq Show Alarmingly Low Infection Control Adherence
    Alyaa H. Ali
    Academia Open.2024;[Epub]     CrossRef
[English]
Effects of a School-Based Health Education for Cardiovascular Disease Prevention Among High School Girls
Minah Kang, Jina Choo
Res Community Public Health Nurs. 2024;35(4):363-374.   Published online December 30, 2024
DOI: https://doi.org/10.12799/rcphn.2024.00647
  • 354 View
  • 22 Download
AbstractAbstract PDF
Purpose
We aimed to evaluate effects of a school-based health education for cardiovascular disease (CVD) prevention among high school girls.
Methods
Non-randomized cluster trial was conducted by recruiting two female high schools located in Seoul and allocating one school as a cluster to an experimental group and the other school as the other cluster to a control group. Participants were 169 first-year female high school students in two clusters. Of the participants, 84 were recruited in the experimental group and 85 in the control group. An intervention was an eight-week "School-based Health Education for CVD prevention". The experimental group received the intervention, while the control group received a CVD prevention handout. Measures were knowledge, self-efficacy, and health behaviors for CVD prevention. The pre-test and post-test were conducted.
Results
The experimental group participating in "School-Based Health Education for CVD Prevention" had significantly higher changes in knowledge, self-efficacy scores to prevent CVD, and health behaviors than the control group over eight weeks.
Conclusions
The "School-based Health Education for CVD Prevention" program may improve high school students' knowledge and self-efficacy as determinants of health behaviors as well as health behaviors to prevent cardiovascular disease.
[English]
Factors influencing dementia preventive behaviors of older adults at high risk of dementia: Application of extended health belief model
So Hee Jung, Mee Ock Gu
Res Community Public Health Nurs. 2024;35(1):22-36.   Published online March 29, 2024
DOI: https://doi.org/10.12799/rcphn.2023.00402
  • 2,393 View
  • 114 Download
AbstractAbstract PDF
Purpose
The purpose of this study was to identify the factors influencing dementia preventive behaviors of older adults at high risk of dementia based on extended health belief model.
Methods
The subjects were 140 older adults at high risk of dementia living in H-gun, Gyeongsangnam-do, Republic of Korea. The data was collected from April 21 to May 28, 2021 by using structured questionnaires. The data was analyzed using t-test, ANOVA, Scheffé test, Pearson’s correlation coefficient, and hierarchical multiple regression by SPSS/WIN 24.0 program.
Results
The mean score of dementia preventive behaviors of older adults at high risk of dementia was 3.47±0.49 (range 1-5). The factors influencing dementia preventive behaviors were self-efficacy (β=.82, p<.001), cues to action(β=.17, p=.013), ages 75-79 (β=0.35, p=.003; reference: ages 65-69), ages ≥80 (β=0.27, p=.021; reference: ages 65-69), which together explained 82.0% of total variance in dementia preventive behaviors (F=25.21, p<.001).
Conclusion
Based on the results of this study, it is highly recommended to develop and apply the dementia prevention program that can increase self-efficacy and cues to action for improving dementia preventive behavior of older adults at high risk of dementia.
Review Article
[English]
Optimistic bias: Concept analysis
Miseon Shin, Juae Jeong
Res Community Public Health Nurs. 2024;35(1):112-123.   Published online March 29, 2024
DOI: https://doi.org/10.12799/rcphn.2023.00360
  • 3,275 View
  • 89 Download
AbstractAbstract PDF
Purpose
The purpose of this study was to analyze and clarify the concept of ‘optimistic bias.’
Methods
A review of the literature was conducted using several databases. The databases were searched using the following keywords: optimistic bias, optimism bias, and concept analysis. The literature on optimistic bias was reviewed using the framework of Walker and Avant’s conceptual analysis process.
Results
Optimistic bias can be defined by the following attributes: 1) underestimation of personal risk, 2) vague confidence, 3) positive future prediction and 4) lack of risk recognition. The antecedents of optimistic bias are as follows: 1) risk perception, 2) self-efficacy, and 3) risk controllability. The consequences of optimistic bias are as follows: 1) reduced anxiety, 2) providing emotional stability, 3) negative consequences for preventive health behavior, 4) lack of attention to risk-related information, and 5) negative consequences for self-protection behavior.
Conclusion
The definition and attributes of optimistic bias identified by this study can provide a common understanding of this concept and help to develop a nursing intervention program effective in preventing, protecting, and improving health of subjects in the field of nursing practice.
Original Articles
[English]
Digital Health Literacy and Associated Factors Among Older Adults Living Alone in South Korea: A Cross-Sectional Study
Minhwa Hwang, Gahye Kim, Seonghyeon Lee, Yeon-Hwan Park
Res Community Public Health Nurs. 2024;35(4):389-400.   Published online December 30, 2024
DOI: https://doi.org/10.12799/rcphn.2024.00766
  • 365 View
  • 19 Download
AbstractAbstract PDF
Purpose
This study aimed to examine the level of digital health literacy and identify factors associated with digital health literacy among older adults living alone in South Korea.
Methods
A cross-sectional study was conducted on 140 older adults aged 65 and above who live alone. Descriptive statistics and non-parametric methods were used to explore the relationship between digital health literacy and independent variables. A generalized linear model was used to identify factors associated with digital health literacy.
Results
Among 140 smartphone-owning older adults living alone, 52.1% were using the Internet via digital devices, and the participants’ average digital health literacy score was 6.64±7.46. Univariate analysis results showed significant differences in digital health literacy according to age, education level, and multimorbidity. The factors associated with digital health literacy were identified as gender (B=−0.36, p=.031), age (B=−0.06, p<.001), education level (B=0.12, p<.001), and sleep problems (B=−0.06, p=.006).
Conclusion
Despite widespread Internet and smartphone use, older adults living alone with chronic diseases showed low levels of digital health literacy, which were significantly associated with gender, age, education level, and sleep problems. Enhancing digital health literacy among vulnerable populations is crucial for the effective implementation of digital health services. Collaborative efforts, including tailored digital health interventions to enhance the digital health literacy of vulnerable populations and supportive policies, are essential to bridge the digital divide and promote health equity.
[English]
Malnutrition Risk in Community-Dwelling Older Adults with Dual Sensory Declines: Focusing on Social Determinants of Health
Ha Na Jeong
Res Community Public Health Nurs. 2024;35(4):325-338.   Published online December 30, 2024
DOI: https://doi.org/10.12799/rcphn.2024.00675
  • 444 View
  • 19 Download
AbstractAbstract PDF
Purpose
As the number of older adults with dual sensory declines is increasing, they face a higher risk of malnutrition compared to those without these declines. Although social determinants of health can influence malnutrition, there has been limited research on this population. This study aimed to explore the association between malnutrition risk and social determinants of health among older adults with dual sensory declines.
Methods
The study is a cross-sectional analysis using data from the 2020 National Survey of Older Koreans. Binomial logistic regression analysis was conducted to examine the association between malnutrition risk and social determinants of health. These determinants include structural determinants, social capital, and intermediary determinants among older adults with dual sensory declines.
Results
1,771 with dual sensory declines were included in the analysis. Among the structural determinants, women (odds ratio [OR]=1.75, 95% confidential interval [CI] 1.19~2.57) and national basic livelihood security system recipients (OR=1.87, 95% CI 1.13~3.07) were significantly associated with malnutrition risk. In social capital, social non-participation (OR=1.33, 95% CI 1.03~1.73) and social network size (OR=0.95, 95% CI 0.92~0.98), Among intermediary determinants, living dissatisfaction (OR=1.61, 95% CI 1.16~2.23), environmental satisfaction (OR=0.95, 95% CI 0.92~0.99), household debt (OR=1.59, 95% CI 1.02~2.49) and comorbidity (OR=3.85, 95% CI 2.98~4.97) were significantly related to malnutrition risk.
Conclusion
These findings highlight the critical need to address key social determinants of health to enhance nutritional outcomes for older adults with dual sensory declines.
[English]
Effects of Virtual Reality Cardiopulmonary Resuscitation Practice on the Knowledge, Skills, and Attitudes of Nursing Students: A single-blind randomized controlled trial (RCT)
Jui Kim, Jung-Hee Song, Young-Ok Ha
Res Community Public Health Nurs. 2024;35(4):415-423.   Published online December 30, 2024
DOI: https://doi.org/10.12799/rcphn.2024.00689
  • 305 View
  • 18 Download
AbstractAbstract PDF
Purpose
This study aimed to assess the effects of virtual reality (VR) cardiopulmonary resuscitation (CPR)—as compared to those of face-to-face Basic Life Support (BLS) education—on nursing students’ knowledge, skills, and attitudes.
Methods
Forty-four participants were recruited from nursing schools in Gyeonggi-do, Republic of Korea, and randomized into two groups: VR CPR (experimental group) and BLS (control group). The participants’ CPR knowledge, cardiac compression quality, self-efficacy, confidence, and attitudes toward education were evaluated.
Results
At enrollment, the control and experimental groups showed similar results for all the variables. After the intervention, results showed that the cardiac compression score and the hand position accuracy in the experimental group were significantly higher than in the control group. Meanwhile, knowledge, self-efficacy, and confidence were improved in both groups, though there was no significant difference between the two groups.
Conclusion
The study results showed that VR CPR education is just as effective as face-to-face BLS training for nursing students. Therefore, developing high-quality VR educational content in the future is necessary.
[English]
Bidirectional Relationship Between Depression and Frailty in Older Adults aged 70-84 years using Random Intercepts Cross-Lagged Panel Analysis
Ji Hye Shin, Gyeong A Kang, Sun Young Kim, Won Chang Won, Ju Young Yoon
Res Community Public Health Nurs. 2024;35(1):1-9.   Published online February 29, 2024
DOI: https://doi.org/10.12799/rcphn.2023.00381
  • 2,667 View
  • 92 Download
AbstractAbstract PDF
Purpose
Depression and frailty are common health problems that occur separately or simultaneously in later life. The two syndromes are correlated, but they need to be distinguished to promote successful aging. Previous studies have examined the reciprocal relationship between depression and frailty, but there are limitations in the methods or statistical analysis. This study aims to confirm the potential prospective bidirectional and causal relationship between depression and frailty.
Methods
We used data from 887 older adults aged 70 to 84 from the Korean Frailty and Aging Cohort Study (KFACS) in 2016, 2018, and 2020 (3 waves). We separated the within-individual process from the stable between-individual differences using the random intercepts cross-lagged panel model.
Results
Significant bidirectional causal effects were observed in 2 paths. Older adults with higher depression than their within-person average at T1 had a higher risk of frailty at T2 (β=.22, p=.008). Subsequently, older adults with higher-than-average frailty scores at T2 showed higher depression at T3 (β=.14, p=.010). Autoregressive effects were only significant from T2 to T3 for both constructs (Depression: β=.16, p=.044; Frailty: β=.13, p=.028). At the between-person level, the correlation was significant between the random intercepts between depression and frailty (β=.47, p<.001).
Conclusions
We find that depressed older adults have an increased risk of frailty, which contributes to the onset of depression and the maintenance of frailty. Therefore, interventions for each condition may prevent the entry and worsening of the other condition, as well as prevent comorbidity.

RCPHN : Research in Community and Public Health Nursing
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