Research in Community and Public Health Nursing

Original Articles

Illness Experience of Glaucoma Patients: Hyeon ae Lee, Seon Nyeo Kim, Hwa Young Kim, Sue Kyung Sohn; Res Community Public Health Nurs. 2024;35(1):99-111. Published online March 29, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00458

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Abstract PDF: Purpose
The purpose of this study was to understand and describe the experiences of patients with glaucoma.
Methods
Data were collected from March to April in 2023, through individual in-depth interviews with 10 glaucoma patients. Verbatim transcripts were analyzed using Colaizzi’s phenomenological analysis.
Results
Six theme clusters were extracted that described patients’ experiences: 1) The frightening disease unexpectedly discovered; 2) A dismal life gradually trapped in darkness; 3) Fear of the unseen; 4) Following treatment without any other options; 5) Grateful for the help but feeling miserable; 6) Realizing the importance of eyes and health.
Conclusion
The results of this study provide a deep understanding and insight into the experience of Glaucoma patients. Glaucoma patients experienced physical, mental, and social pain through the disease process. Therefore, psychological nursing interventions are needed to understand and reduce mental pain along with medical treatment to relieve physical symptoms in glaucoma patients. Furthermore, it will be necessary to prepare institutional support measures to minimize various social restrictions.

Development and Effectiveness of a Basic Epidemiological Investigation Simulation Program of Emerging Respiratory Infectious Diseases for Nursing Students: Application of Standardized Patients: Jiyun Park, Gye Jeong Yeom; Res Community Public Health Nurs. 2023;34(4):267-280. Published online December 29, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00241

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Purpose
This study aimed to develop a simulation-based education program of emerging respiratory infectious diseases using standardized patients for nursing students, and to test the effects on basic epidemiological investigation performed while wearing Level D Personal Protective Equipment (PPE).
Methods
A total of 64 senior nursing students were recruited and assigned to either the experimental group (n=33) or a control group (n=31) in May 2022. This program was developed based on the analysis, design, development, implementation, and evaluation model. The analysis phase consisted of a literature review and target group survey. In addition, learning objectives and a structure were designed, and a scenario was developed with expert consulting. In the implementation phase, the program was conducted the course of 3 hours. The evaluation phase involved verification of the effects on clinical performance, self-efficacy, and anxiety related to basic epidemiological investigation, as well as an assessment of satisfaction with the program.
Results
There were significant differences between the experimental and control groups in clinical performance (Z=-2.15, p=.010) and anxiety related to basic epidemiological investigation (Z=-4.02, p<.001). However, there was no significant difference in self-efficacy related to basic epidemiological investigation.
Conclusion
The results indicate that this simulation-based education program was effective in improving clinical performance and reducing anxiety related to basic epidemiological investigation of nursing students. In addition, this program is expected to be widely used as an epidemiological investigation education for the initial prevention of infectious diseases.

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Effectiveness of donning and doffing personal protective equipment education using video debriefing among Korean undergraduate nursing students
GyeJeong Yeom, Jiyun Park
BMC Nursing.2024;[Epub] CrossRef

Factors Related to Smoking Relapse Within Six-Months of Smoking Cessation Among Inpatients: Ji Eun Bae, Chul-Woung Kim, Seung Eun Lee, Myungwha Jang; Res Community Public Health Nurs. 2023;34(4):307-319. Published online December 29, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00213

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Abstract PDF: Purpose
The purpose of this study is to identify factors associated with smoking relapse within 6 months after quit attempts among inpatients of a university hospital.
Methods
The subjects of this study were 572 inpatients of the National University Hospitals in Daejeon & Sejong who had enrolled in the smoking cessation service provided by the Daejeon·Sejong Tobacco Control Center and attempted to quit smoking. The data used in the study were extracted from the Smoking Cessation Service Integrated Information System. The Kaplan-Meier method and Cox Proportional hazards model were used to identify variables associated with smoking relapse within 6 months.
Results
The smoking relapse rate within 6 months was 76.7%, and variables associated with relapse included the absence of supporters for quitting smoking (hazard ratio [HR]=1.42, 95% confidence interval [CI]=1.00-2.02), nicotine dependence (HR=1.09, 95% CI=1.03-1.15), the use of prescription medications (including varenicline or bupropion) (HR=3.99, 95% CI=1.83-8.71), and the number of consultations (HR=0.67, 95% CI= 0.63-0.70).
Conclusion
As a result of the study, the number of consultations showed the strongest correlation with abstinence within 6 months. This implies that it is necessary to increase the counseling participation rate of the subjects so that smoking cessation counseling can be continued after discharge, and it is also required to provide support education to guardians during hospitalization for effective smoking relapse prevention.

Transition Experiences of the Elderly from Long-Term Care Hospital to Home: Focusing on the Elderly Living Alone of Community Care Project: Yun Hee Hwang, Ga Eon Lee; J Korean Acad Community Health Nurs. 2021;32(3):382-395. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.382

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Abstract PDF

Purpose
The purpose of this qualitative study was to explore the transition experiences of the elderly from long-term care hospitals to their homes.
Methods
The participants were eight elderly medicaid beneficiaries, who had been the subjects from the community care project in Korea. The data were collected with one-on-one interviews from April to November in 2020, and analyzed by phenomenological steps.
Results
The seven themes derived in this study were ‘Space to escape’, ‘Reliable supporter opened the way to discharge’, ‘Comfortable life at home’,‘Obstacles to independent life’, ‘Struggling to live alone’, ‘Fence for community life’, and ‘Energizing in daily life’ Conclusion: The results revealed the positive aspects of Community Care program in Korea. However, it is suggested that active communication between hospitals and community care institutions, and improvement of home environment to live in the community before discharge should be required. And system revision is needed to adjust activity in their home and support health problems of the elderly in the early stage of discharge. The results of this study can be referred to as the foundation of transitional care for the elderly.

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Experiences of Transitional Care for Medicaid Case Managers
Yunhee Hwang, Gaeon Lee
Journal of Korean Academy of Nursing.2023; 53(5): 556. CrossRef

Concept Analysis of Self-stigma in Patients with Tuberculosis: Seon Mi Yeom, Jeong Hee Kang, Young Ran Yang; J Korean Acad Community Health Nurs. 2021;32(3):312-324. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.312

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Abstract PDF: Purpose
Tuberculosis is an infectious condition with a high disease burden, and the stigma in patients with tuberculosis causes negative health outcomes. The purpose of this study was to define and clarify the concept of self-stigma among patients with tuberculosis.
Methods
The analysis was conducted using Walker and Avant’s conceptual approach. Twenty-seven studies met the selection criteria.
Results
Self-stigma in patients with tuberculosis can be defined by the following attributes: 1) self-esteem decrement; 2) fear; 3) negative emotions to oneself; 4) social withdrawal; and 5) discrimination. The antecedents identified were 1) inappropriate knowledge of tuberculosis, 2) spread of improper health information through media and social communications, 3) stereotypes and prejudices, 4) visibility due to symptoms appearing, 5) recognizing the risk of infection, and 6) low financial status. The consequences were 1) concealing the disease, 2) treatment delay, 3) poor treatment adherence, 4) poor quality of life, and 5) deterioration in or lack of social activities. Conclusion: The definition and attributes of self-stigma identified by this study can be applied to enhance the understanding of stigma in tuberculosis patients and to improve communications between healthcare providers and researchers. It can also be used to develop theories and measurements related to stigma in patients with tuberculosis.

The Effect of Health Literacy and Self-care Performance on Health Care Utilization of Medicaid Elderly: Yun Hee Hwang, Ga Eon Lee; J Korean Acad Community Health Nurs. 2019;30(4):484-493. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.484

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Abstract PDF

PURPOSE
The purpose of this study was to examine the effect of health literacy and self-care performance on health care utilization of medicaid elderly.
METHODS
A total of 203 medicaid elderly over 65 and living in B-metropolitan city were interviewed. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and Hierarchical Multiple regression.
RESULTS
The average score of the health literacy was 7.88Â±2.84 out of 12. The average score of self-care was 3.26Â±0.77 points on the 5 point scale. The frequency of health care utilization by the subjects was 6.65Â±5.25 a month. The health literacy and self-care performance showed a statistically significant positive correlation. The health literacy and self-care performance showed a statistically significant negative correlation with health care utilization. The factors affecting health care utilization of the subjects were self-care performance, health literacy, and religion, and the explanatory power was 25%.
CONCLUSION
The results indicate that the self-care performance, health literacy, religion are significant factors of health care utilization in medicaid elderly. Therefore, it is necessary to develop strategies to improve their self-care performance and health literacy for reasonable health care utilization. Also, it is necessary to provide the elderly with correct information about medical use from accessible religious institutions, senior community center, and welfare centers.

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Factors influencing handwashing among community dwelling older adults, using the 2021 Community Health Survey: A secondary analysis study
Yun Hee Hwang, Hye Jung Jun
Journal of Korean Gerontological Nursing.2023; 25(2): 197. CrossRef

Hand Hygiene Compliance among Visitors at a Long-term Care Hospital in Korea: A Covert Observation Study: Min Young Jung, Ja Hyun Kang; J Korean Acad Community Health Nurs. 2019;30(1):99-107. Published online March 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.1.99

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Abstract PDF

PURPOSE
This study aimed to assess hand hygiene (HH) compliance among visitors at a long-term care hospital in South Korea.
METHODS
The study was conducted at a 502-bed long-term care hospital located in Gyeonggi-do Province. From July 1 to August 15, 2017, including more than 6 weekends and one holiday, a trained observer covertly assessed visitors' HH at all five units (360 beds in total) of the study hospital building until the completion of 1,000 HH opportunities (i.e., 200 opportunities per unit). The modified World Health Organization (WHO) HH observation form was used. Instead of professional categories and the â€œbefore clean/aseptic procedureâ€ moment, the estimated age range for each visitor were recorded in four categories: children (<14 years old), adolescents (14~18), adults (19~64), and the elderly (â‰¥65). The collected data were analyzed using SPSS 22.0.
RESULTS
A total of 1,000 HH opportunities were observed from 766 visitors (an average of 1.31 per visitor) and the overall HH compliance rate was 20.3%. Overall, 53.7% of the HH cases were performed with soap and water. Among the 4 HH moments, the â€œafter body fluid exposure riskâ€ moment showed the highest compliance rate (83.5%); 93.9% used soap and water. The most commonly exposed potential body fluid among visitors was saliva (48.1%).
CONCLUSION
For hospital visitors in long-term care hospitals, HH education programs including HH moments need to be developed and implemented. Further studies are necessary to evaluate visitors' HH compliance in various hospital settings and find the related variables influencing visitors' HH.

Citations

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Knowledge and Skills in Infection Prevention and Control Measures Amongst Visitors to Long-Term Care Homes: A Mixed methods Study
Caroline Gibbons, Pamela Durepos, Natasha Taylor, Lisa Keeping-Burke, Matt Rogers, Karen Furlong, Rose McCloskey
Nursing: Research and Reviews.2024; Volume 14: 149. CrossRef
Compliance of patient companions and visitors with hand hygiene: an observational study
H.N. Kaya, B. Süslü, R. Aydın, S. Atay
Journal of Hospital Infection.2023; 136: 85. CrossRef
Hand Hygiene Compliance of Caregivers for Hospitalized Patients in Liver Transplant Wards at a Tertiary-care Hospital in Korea
Songhee Namgung, JaHyun Kang, Mina Yun, Younjin Kim, Seonhee Kwon
Korean Journal of Healthcare-Associated Infection Control and Prevention.2023; 28(2): 233. CrossRef
Exploring factors influencing the compliance of patients and family carers with infection prevention and control recommendations across Bangladesh, Indonesia, and South Korea
Ji Yeon Park, Jerico Franciscus Pardosi, Titik Respati, Eka Nurhayati, Md. Saiful Islam, Kamal Ibne Amin Chowdhury, Holly Seale
Frontiers in Public Health.2022;[Epub] CrossRef
Examining the inclusion of patients and their family members in infection prevention and control policies and guidelines across Bangladesh, Indonesia, and South Korea
Ji Yeon Park, Jerico Franciscus Pardosi, Holly Seale
American Journal of Infection Control.2020; 48(6): 599. CrossRef

Mediating Effects of Hope and Therapeutic Relationship in the Relation between General Social Functions and Mental Health Recovery of Community People with Mental Illness: Sun Hwa Shin, Jung Hee Hwang; J Korean Acad Community Health Nurs. 2019;30(1):69-78. Published online March 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.1.69

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Abstract PDF: PURPOSE
This study tries to test mediating effects of hope and therapeutic relationship in the relation between general social functions and mental health recovery of community people with mental illness.
METHODS
This study was carried out in a cross-sectional research design. The participants included 217 people with mental illnesses who were enrolled at eight Mental Health Welfare Centers in the Gyeonggi Province. Data were collected from February to May, 2018. The collected data were analyzed using a regression analysis, and SPSS PROCESS macro was used to test the mediating effects.
RESULTS
This study analyzed the direct effects of general social functions on the hope, therapeutic relationship and mental health recovery. And general social functions had indirect effects on their mental health recovery via hope and therapeutic relationship. Both hope and therapeutic relationship had dual mediating effects in the influence of general social functions on mental health recovery.
CONCLUSION
The role of hope and therapeutic relationship in the mental health recovery of community people with mental illness is important, and it is confirmed that hope is a powerful factor influencing mental health recovery.

Adherence to the Clean Intermittent Catheterization Following a Customized Intensive Education Program for Patients with Emptying Failure: Sang Rim Lee, In Sook Lee, Seung June Oh, Sung Hwa Kim, Young Ran Chin; J Korean Acad Community Health Nurs. 2018;29(4):467-475. Published online December 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.4.467

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Abstract PDF

PURPOSE
The purpose of this study is to investigate adherence to the clean intermittent catheterization (CIC) and influencing factors on the adherence following a customized intensive education program (CIEP).
METHODS
This work is a retrospective descriptive study. The subjects were 226 emptying failure patients who learned in a CIEP from January 2012 to July 2014. The program developed in 2011 and consisted of 1) customized theoretical education; based on the results of urologic tests, underlying disease, or surgery of the patients, 2) hands-on practice until the trainees were able to master the techniques, 3) questions about the process of catheterization and what he/she needs to know. 4) at follow-up, the survey about adherence and barrier to CIC. Clinical characteristics; the level of satisfaction, understanding, and self-confidence; the barrier in medical records were reviewed.
RESULTS
The short-term adherence rate (median 22 days) is 87.6% and the long-term adherence rate (median 112 days) is 50.4%. The biggest obstacle is time management. The levels of satisfaction, understanding, and self-confidence are very high. The variable of Income is the only factor that has influence on adherence.
CONCLUSION
Despite the CIEP, the adherence rate is relatively low. In addition to the education, emotional and psychological supports and regular follow-up are needed to improve long-term adherence.

Citations

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Studying the Effects of Clean Intermittent Self-Catheterization on the Quality of Life and Anxiety of Patients
Doreen McClurg, Kerry Walker, Rob Pickard, Paul Hilton, Holly Ainsworth, Kelly Leonard, Sheeba Suresh, Annette Nilsson, Nicola Gillespie
Journal of Integrative Nursing and Palliative Care.2021; 2(2): 22. CrossRef

Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals: Hae Sagong, Ga Eon Lee; J Korean Acad Community Health Nurs. 2016;27(4):309-318. Published online December 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.4.309

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28 Citations

Abstract PDF

PURPOSE
This study investigated the correlation between person-centered care (PCC) and nursing service quality of nurses in long-term care hospitals.
METHODS
The subjects were 114 nurses working in 8 long-term care hospitals. Instruments for evaluating PCC and nursing service quality were used. The data were analyzed by descriptive statistics, two samples-test, one-way ANOVA, Pearson's correlation and Multiple regression.
RESULTS
The mean of PCC was 3.25Â±0.45 out of 5 and the nursing service quality was 3.87Â±0.40. There were significant differences in PCC in terms of age and income satisfaction, the application of their opinions, the satisfaction of hospital managers, administrators and nurse managers. There were significant differences in nursing service quality according to age, position, the satisfaction of hospital managers, administrators and nurse managers. Nurses' PCC showed a significant positive correlation with nursing service quality. Factors influencing nursing service quality included PCC, their position and age and the most influencing one was PCC.
CONCLUSION
This study suggests that the PCC is the strongest affecting element to the quality of nursing service in long-term care hospitals. Therefore, the strategies to improve the practice of person-centered care should be carried out to enhance the quality of nursing service.

Citations

Citations to this article as recorded by

“Elderly care through new eyes: Insights from Spain's future nurses” A phenomenological study
Eva García-Carpintero Blas, Cristina Gómez Moreno, Alberto Tovar Reinoso, Estela Álvarez Gómez, Montserrat Ruiz Lopez, Esperanza Vélez Vélez
Geriatric Nursing.2024; 59: 401. CrossRef
Development of a Tool to Measure Slow Nursing for Older Adults in Long-term Care Hospitals: A Methodological Study
Hyeon Mi Woo
Korean Journal of Adult Nursing.2024; 36(3): 212. CrossRef
Latent profile analysis of empathy ability and its relationship with professional quality of life among hospice nurses in China
Yaling Wang, Chuntao Wang, Ziwei Yang, Yuezhong Tang, Wen Chen, Yawen Zheng, Zhiming Wei, Huiling Li
BMC Nursing.2024;[Epub] CrossRef
Nursing students' experiences and perceptions of barriers to the implementation of person‐centred care in clinical settings: A qualitative study
Seonho Kim, Myoungsuk Kim
Nursing Open.2023; 10(3): 1889. CrossRef
The influence of professional competency, professional commitment, and nursing organizational culture on the person-centered practice of nurses in long-term care hospitals: A cross-sectional study
Yoon Saeng Choi, Su Hyun Kim
Journal of Korean Gerontological Nursing.2023; 25(2): 116. CrossRef
The effect of nursing work environment on slow nursing among long-term care hospital nurses: A descriptive study
Hyeon-mi Woo
Journal of Korean Gerontological Nursing.2023; 25(2): 206. CrossRef
Factors associated with the person-centered care competence of nursing students
Ju Young Park, Chung Hee Woo
The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 48. CrossRef
Patients' perceptions of the quality of nursing services
Ali Reza Yusefi, Shakiba Rohani Sarvestani, Zahra Kavosi, Jamshid Bahmaei, Morteza Mortazavi Mehrizi, Gholamhossein Mehralian
BMC Nursing.2022;[Epub] CrossRef
The Factors Associated with Person-Centered Care Competence among Nursing Students
Myoungsuk Kim
International Journal of Environmental Research and Public Health.2022; 19(5): 2787. CrossRef
Structural Equation Modeling of Person-Centered Nursing in Hospital Nurses
Yeon Hee Bae, Hye-Ah Yeom
Healthcare.2022; 10(3): 514. CrossRef
Moral sensitivity and person‐centred care among mental health nurses in South Korea: A cross‐sectional study
Sun Joo Jang, Eun Hye Kim, Haeyoung Lee
Journal of Nursing Management.2022; 30(7): 2227. CrossRef
Effects of Compassionate Competence, Communication Skills, and Nursing Work Environment on Person-centered Care in General Hospital Nurses who Care for Cancer Patients
Mi Jin Han, Seonho Kim
The Korean Journal of Rehabilitation Nursing.2022; 25(1): 11. CrossRef
Factors Associated with Person-Centered Care among Hospice Nurses
Sinyoung Kwon, Kyoung Hee Kim
The Korean Journal of Hospice and Palliative Care.2022; 25(2): 66. CrossRef
Person-Centered Care Practice, Patient Safety Competence, and Patient Safety Nursing Activities of Nurses Working in Geriatric Hospitals
Ayoung Huh, Juh Hyun Shin
International Journal of Environmental Research and Public Health.2021; 18(10): 5169. CrossRef
Factors Associated with Person-Centered Care among Care Workers at Long-term Care Facilities
Geun-Young Kim, Hye-Young Jang
Journal of Korean Gerontological Nursing.2021; 23(1): 13. CrossRef
Factors Affecting Quality of Life Among the Elderly in Long-Term Care Hospitals
Hee-Kyung CHANG, Cho-Rong GIL, Hye-Jin KIM, Han-Ju BEA
Journal of Nursing Research.2021; 29(1): e134. CrossRef
The Effects of the Nursing Practice Environment and Self-leadership on Person-centered Care Provided by Oncology Nurses
Sun-Ui Shin, Hyun-E Yeom
The Korean Journal of Hospice and Palliative Care.2021; 24(3): 174. CrossRef
Person-Centered Care Environment Associated With Care Staff Outcomes in Long-Term Care Facilities
JiSun CHOI, Da Eun KIM, Ju Young YOON
Journal of Nursing Research.2021; 29(1): e133. CrossRef
A predictive model of the perceptions of patient-centered care among nurses in long-term care hospitals: A cross-sectional study
Myonghwa Park, Hyun Jeong, Thi-Thanh-Tinh Giap
Geriatric Nursing.2021; 42(3): 687. CrossRef
Senior nurses’ perceptions of essential soft skills for novice nurses in a private hospital in Jakarta, Indonesia: A phenomenological study
Ernawati Ernawati, Cicilia Nony Ayuningsih Bratajaya
Belitung Nursing Journal.2021; 7(4): 320. CrossRef
Factors Influencing Patient-Centered Care by Nursing Staff in Nursing Homes
Eun Mee Kim, Juh Hyun Shin
Journal of Korean Gerontological Nursing.2020; 22(1): 10. CrossRef
Conceptualization of Person-Centered Care in Korean Nursing Literature: A Scoping Review
Ji Yea Lee, Sewon Lee, Eui Geum Oh
Korean Journal of Adult Nursing.2020; 32(4): 354. CrossRef
Person-Centered Care, Job Stress, and Quality of Life Among Long-Term Care Nursing Staff
HeeKyung CHANG, Chorong GIL, Hyejin KIM, Hanju BEA
Journal of Nursing Research.2020; 28(5): e114. CrossRef
Adaptation Experience of Nurses who were Transferred to a Long Term Care Hospital from an Acute Hospital
Hyoung Sook Park, Yun Jeong Lee, Mi Jeong Ji, Mi Suk Hong
Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 301. CrossRef
A Predictive Model on Patient-Centered Care of Hospital Nurses in Korea
Hyun Jeong, Myonghwa Park
Journal of Korean Academy of Nursing.2019; 49(2): 191. CrossRef
Factors associated with Person-centered Care for Elderly in Long-term Care Hospital Nurses
So Bun Kim, Youngrye Park
Korean Journal of Adult Nursing.2019; 31(6): 618. CrossRef
Occupational values of nurses who succeeded their mothers in nursing
Kyoung Ju Lee, Miyoung Kim
Journal of Advanced Nursing.2019; 75(7): 1493. CrossRef
Influence of Moral Sensitivity and Nursing Practice Environment in Person-centered Care in Long-term Care Hospital Nurses
Eun-Mi Park, Jin-Hwa Park
Journal of Korean Gerontological Nursing.2018; 20(2): 109. CrossRef

Development and Evaluation of Cardiovascular Disease Prevention Education Materials for Middle-aged Korean-Chinese Female Workers: Applying Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P): Hyeon Kyeong Lee, Jung Hee Kim, Ri Yoo, Ja yin Lee; J Korean Acad Community Health Nurs. 2016;27(3):284-298. Published online September 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.3.284

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6 Citations

Abstract PDF

PURPOSE
The purpose of this study was to develop and evaluate the quality (understandability and actionability) of health education materials for Korean-Chinese (KC) female migrant workers, using Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P).
METHODS
Educational needs assessment was conducted with 3 focus groups with 20 KC women and a focus group with 4 community stakeholders. The quality of the educational materials was evaluated by 3 experts and a community stakeholder, followed by a survey with 15 KC women using 17 items for understandability and 7 items for actionability by means of a Korean version PEMAT-P.
RESULTS
The health educational calendar consists of 12 subjects out of 9 topics related to healthy lifestyles for preventing cardiovascular diseases. The overall mean understandability score was 98.8% and the overall mean actionability was 100%.
CONCLUSION
Involvement of KC women and community stakeholders in the development of educational materials was found to be an effective strategy for increasing understandability and actionability of educational materials for KC female migrant workers. This study also demonstrates the PEMAT-P is a useful evaluation tool, emphasizing the actionability of educational materials.

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Effect of a pragmatic lifestyle modification intervention on physical activity levels and body mass index among obese and overweight adolescents in Udupi, India: a cluster randomized trial
prateek srivastav, Vaishali K, H Vinod Bhat, Suzanne Broadbent
F1000Research.2024; 13: 859. CrossRef
The Moderating Effect of Mental Health on the Relationship Between Cardiovascular Disease Awareness and Health Behaviors of Middle-Aged Korean Chinese Workers With Cardiovascular Risk Factors in Korea
Yu Zhu Zhang, Seon Young Hwang
Journal of Transcultural Nursing.2023; 34(2): 131. CrossRef
The Chinese Version of the Patient Education Materials Assessment Tool for Printable Materials: Translation, Adaptation, and Validation Study
Yi Shan, Meng Ji, Zhaogang Dong, Zhaoquan Xing, Ding Wang, Xiangting Cao
Journal of Medical Internet Research.2023; 25: e39808. CrossRef
Translation, Cross-Cultural Adaptation, and Validation of the Japanese Version of the Patient Education Materials Assessment Tool (PEMAT)
Emi Furukawa, Tsuyoshi Okuhara, Hiroko Okada, Ritsuko Shirabe, Rie Yokota, Reina Iye, Takahiro Kiuchi
International Journal of Environmental Research and Public Health.2022; 19(23): 15763. CrossRef
Evaluation of the Heart Failure in Internet Patient Information: Descriptive Survey Study
Kyoung Suk Lee, Yoo Mi Cho, Sung Hee Oh, Mi Sook Jung, Ju Young Yoon
International Journal of Environmental Research and Public Health.2021; 18(3): 1047. CrossRef
Development of a Living Lab for a Mobile-Based Health Program for Korean-Chinese Working Women in South Korea: Mixed Methods Study
Youlim Kim, Hyeonkyeong Lee, Mi Kyung Lee, Hyeyeon Lee, Hyoeun Jang
JMIR mHealth and uHealth.2020; 8(1): e15359. CrossRef

Effects of Visiting Nursing Services in Long-term Care Insurance on Utilization of Health Care: Sang Jin Lee, Chanyeong Kwak; J Korean Acad Community Health Nurs. 2016;27(3):272-283. Published online September 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.3.272

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17 Citations

Abstract PDF

PURPOSE
This is a comparative study using secondary data from the Korean national long term care (LTC) insurance.
METHODS
Visiting nursing (VN) service users (n=666) and non-users (n=4,375) were extracted and compared in terms of medical expenditures, length of hospitalization, and annual number of ambulatory care visits to investigate effects of VN services in LTC.
RESULTS
Total health care expenditures were compared between the two groups and it was found that VN service users spent about $ 1700 than non-users for their medical costs between 2009 and 2011. The average length of in-hospital stay for VN service users was 19.4 days shorter than that of non-users. However, using VN services did not significantly influence the annual number of ambulatory care visits.
CONCLUSION
The study has found that VN services are effective ways of providing community-based LTC services. We recommend LTC policy makers to further utilize VN services to deliver cost effective health care services.

Citations

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The influence of knowledge and self-efficacy on the performance of pressure injury care by home visit nursing workers in the long-term care insurance system
Seungmi Park, Jiyeon Park, Ji Hyun Kim
The Journal of Korean Academic Society of Nursing Education.2024; 30(4): 361. CrossRef
Factors Associated With Medical Expenses Among Long‐Term Care Insurance Recipients Aged 65 Years or Older in Korea
Ok Kyung Ham, Insook Cho, Dahye Kim, Minhee Suh
Nursing & Health Sciences.2024;[Epub] CrossRef
Impact of long-term care insurance on medical costs and utilization by patients with Parkinson's disease
Seung Hoon Kim, Eun-Cheol Park, Suk-Yong Jang
Social Science & Medicine.2023; 317: 115563. CrossRef
A Study on Outcomes of the Utilization of Visiting Nursing Service at the Integrated Visiting Nursing Center in Bucheon-si
Hyun-Kyung Park, Ae Jung Yoo, Ju Young Yoon, Jae Woo Choi
Research in Community and Public Health Nursing.2023; 34: 127. CrossRef
The Economic and Health Effects of Long-term Care Insurance: New Evidence from Korea
Hoolda Kim, Sophie Mitra
SSRN Electronic Journal.2023;[Epub] CrossRef
Influencing factors of pressure injury healing in an acute care setting: A retrospective cohort study
Chanyeong Kwak, Young Ko
Journal of Tissue Viability.2022; 31(1): 152. CrossRef
Comparison between the Aged Care Facilities Provided by the Long-Term Care Insurance (LTCI) and the Nursing Hospitals of the National Health Insurance (NHI) for Elderly Care in South Korea
Hyeri Shin
Healthcare.2022; 10(5): 779. CrossRef
The Economic and Health Effects of Long-Term Care Insurance: New Evidence from Korea
Hoolda Kim, Sophie Mitra
The Journal of the Economics of Ageing.2022; 23: 100412. CrossRef
Critical Thinking Disposition, Job Competency, and Educational Needs of Home Visiting Nurses in the Long-term Care Insurance
Keunyoung Shin, Sujin Shin
Journal of Korean Gerontological Nursing.2021; 23(1): 54. CrossRef
Examination of the Educational Needs of Home Visit Nurses: A Cross-Sectional Descriptive Study
Kyuri Lee, Dukyoo Jung
International Journal of Environmental Research and Public Health.2021; 18(5): 2319. CrossRef
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Factors associated with Patient Activation for Self-management among Community Residents with Osteoarthritis in Korea: Yang Heui Ahn, Bong Jeong Kim, Ok Kyung Ham, Seong Hoon Kim; J Korean Acad Community Health Nurs. 2015;26(3):303-311. Published online September 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.3.303

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Abstract PDF

PURPOSE
The purpose of this study was to survey patient activation for self-management and to identify factors associated with patient activation for self-management among community residents with osteoarthritis in Korea.
METHODS
Cross-sectional study design was used. Survey data were collected from 270 community residents with osteoarthritis through direct interviews. Studied factors included patient activation, joint pain, physical function, depression, and general characteristics. Data were analyzed using chi-squared test, t-test and multivariate logistic regression analysis.
RESULTS
The participants' mean score of patient activation was 56.0+/-16.61. The mean score of each factor was 10.6+/-5.89 for joint pain, 5.5+/-3.56 for physical function, and 19.3+/-10.01 for depression. The patient activation level was significantly associated with depression and general characteristics such as education, religion, comorbid hypertension, and use of medical clinics (p<.05).
CONCLUSION
The findings suggest that depression, education, religion, comorbid hypertension, and use of medical clinics may be important factors to be considered when developing programs of patient activation for self-management. This is the first study that measured patient activation, and further studies are suggested to find factors associated with patient activation for self-management among community residents with other chronic diseases.

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Factors Affecting of Long Term Care Hospital Patient's Intention of Transfer to a Nursing Home: Ji Yun Lee, Eun Gyung Park; J Korean Acad Community Health Nurs. 2008;19(2):196-204. Published online June 30, 2008

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Abstract PDF: PURPOSE
To examine factors affecting long-term care hospital patients' intention of transfer to a nursing home.
METHOD
A questionnaire survey was conducted in Aug. 2007 that included 655 patients from 49 long-term care hospitals. The survey aimed to assess the patients' health status, family status, cost and intention of transfer to a nursing home. Institutional characteristics were analyzed from the nationwide database of Health Insurance Review & Assessment Service. The affecting factors were examined by employing chi-square test and logistic regression using SAS 8.2.
RESULT
Of the subjects, 32.4% had intention of transfer to a nursing home. The intention of transfer to a nursing home was affected by moderate or severe pain, living together with the primary carer, high cost uncovered by insurance, and recognition of nursing home.
CONCLUSION
For appropriate service utilization, a higher level of care is needed to satisfy patients at nursing homes and a balanced fee schedule is needed between long term care hospitals and nursing homes. It is desirable to encourage transfer to a nursing home at which nurses support patients and their families by giving information, coordination, and to make efforts to establish a reference system.

Needs of Home Care Nursing Services for Hospital Patients: Sung Suk Han, Soon Lae Kim, So Young Lee, Eun Ha Kwon; J Korean Acad Community Health Nurs. 2007;18(1):165-176. Published online March 31, 2007

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Abstract PDF: PURPOSE
The purpose of this study was to investigate the needs of home care nursing services in relation to the patients in hospital.
METHOD
Subjects were 129 patients who admitted hospital and were selected through convenience sampling. Data were collected using the Home Health Care Need Assessment Questionnaire constructed by the Korea Health Industry Development Institute. Data were analyzed using SAS 8.12 program by applying percentage.
RESULTS
1. According to the diagnosis of the subjects, the majority had cancer (25.0%), followed by musculoskeletal disease (15,6%), neuro/cerebral vascular disease (14.1%), digestive (10.9%) and respiratory disease (10.9%). 2. With regard to fundamental nursing service, subjects wanted to receive home care services for the following reasons: Problem identification and diagnosis (77.5%), vital sign check (49.6%); and intake and output measure (20.9%). 3. With regard to clinical laboratory tests, 62.8% wanted to receive blood tests, and followed by urine tests 26.4%, and wound drainage 26.4%. 4. With regard to medication and treatment service, 40.3% of the subjects wanted to receive intravenous fluid therapy, 26.4% intravenous antibiotics, and 26.4% the monitoring of fluid therapy. 5. With regard to therapeutic nursing service, 33.3% wanted to receive wound care, 26.4% ROM exercise, and 27.9% foley catheter change and care. 6. With regard to educational needs, 42.6% wanted education on infection monitoring, 41.4% on medication, and 34.9% on diet. 7. With regard to counseling needs, 65.9% wanted to receive telephone counseling about patient condition, 52.7% counseling about re-admission and 51.9% direct counseling about patient condition. In the group of injury and toxicity, and cardiovascular/circulatory diseases, 100% wanted telephone and direct counseling about the patient condition.
CONCLUSION
Therefore, in order to improve the quality of hospital based home health care services, various factors that affect to the need of home health care should be analyzed and specified nursing care should be looked into.

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