Research in Community and Public Health Nursing

Original Articles

The Effects of Home Visit Healthcare Using a Complex Program on Community-dwelling Frail Elders' Strength, Frailty, and Depression: Hee Gerl Kim; J Korean Acad Community Health Nurs. 2015;26(4):405-414. Published online December 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.4.405

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PURPOSE
The purposes of this study were to examine the effects of home visit healthcare using a complex program on community-dwelling frail elders' physical strength, frailty, and depression and to compare the effects among three regions.
METHODS
This study was conducted as a quasi-experimental study using one-group pretest-posttest design. A total of 86 subjects were sampled from three regions (metropolis, small city, and rural area). The program was applied for 14 weeks. This program consisted of disease management by a visiting nurse, exercise with a visiting nurse, self exercise, telephone monitoring, health education, counseling, providing handbook, and incentive. Physical strength was measured by balance, upper-limb, and lower-limb muscle strength. Frailty was measured by the Korean Frail Scale and depression was measured by the Geriatric Depression Scale. Paired t-test and ANCOVA were used to analyze the effects.
RESULTS
Physical strength, frailty, and depression were significantly improved after applying the complex program. There were not differences among the regions.
CONCLUSION
Home visit healthcare using a complex program was effective in improving frail elders' physical strength, frailty, and depression. There were not differences among the regions. Therefore, home visit healthcare using a complex program needs to be expanded to other regions.

Citations

Citations to this article as recorded by

Effects of a Customized Health Promotion Program on Depression, Cognitive Functioning, and Physical Health of Elderly Women Living Alone in Community: A Cluster Randomized Controlled Trial
Ye Ri Ja Park, Kyeong-Yae Sohng
Journal of Korean Academy of Nursing.2019; 49(5): 515. CrossRef
Effects of a Health Promotion Empowerment Program Using a Resident Volunteer as a Lay Health Leader on Frail Elders' Health and Empowerment
Jeong Sook Park, Yun Jung Oh
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 335. CrossRef

The Effect of a Workshop on a Urinary Incontinence Self-Management Teaching Program for Community Health Nurses: Ae Young So, Jennie C De Gagne, Sun Ah Park, Young Oak Kim; J Korean Acad Community Health Nurs. 2015;26(3):260-267. Published online September 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.3.260

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Abstract PDF

PURPOSE
This study aimed to examine the effectiveness of the workshop on the nurses' knowledge about urinary incontinence (UI) self-management, attitudes toward UI, and self-efficacy to plan and implement a UI self-help group program for their clients.
METHODS
A one-group pretest and posttest design was used to examine changes in knowledge, attitudes, and self-efficacy following a one-day training workshop. Twenty-seven community health nurses completed a questionnaire before and after the workshop. Before participating in the workshop, the participants were required to take a UI online continuing education program developed by the researchers. During the workshop, the participants took four sessions which consisted of an introduction of a self-help group program, demonstration of a 5-week UI self-management program contents, pelvic floor muscle training and biofeedback practice, and group discussions to plan the implementation in their workplaces.
RESULTS
A significant improvement in knowledge of and attitudes toward UI were found (t=3.53, p=.002; t=2.83, p=.009, respectively) after the workshop. Participants also demonstrated improvement in their self-efficacy to plan and operate a UI self-help group program (Z=-2.64, p=.008).
CONCLUSION
The one-day workshop for community health nurses is a feasible strategy to increase their abilities and confidence in operating a UI self-help group program.

Citations

Citations to this article as recorded by

Community nurses’ attitudes, knowledge and educational needs in relation to urinary continence, continence assessment and management: A systematic review
Margaret McCann, Anne‐Marie Kelly, Jessica Eustace‐Cook, Claire Howlin, Louise Daly
Journal of Clinical Nursing.2022; 31(7-8): 1041. CrossRef

Development and Effect of a Global Health Capacity Building Program for Nursing Students: Seon Young Hwang, Jin Sun Kim, Hyun Mi Ahn, Sun Joo Kang; J Korean Acad Community Health Nurs. 2015;26(3):209-220. Published online September 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.3.209

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Abstract PDF

PURPOSE
This study developed a short-term education program aiming to strengthen global health capacity in nursing students, and examined the effects of the program.
METHODS
The subjects of this study were 83 students recruited from 29 nursing colleges. Domestic workshops and overseas training in the Philippines were offered. For data collection and analysis, the triangulation method was adopted.
RESULTS
Students' critical thinking disposition and global leadership capacity were significantly increased. Thematic content analysis derived fifteen themes: expansion of global health, understanding of cultural diversity, vision of being a global leader, cultivation of communication skills, open mind toward people with different culture, pride and vocation, understanding of nursing in foreign countries, understanding of visiting nurse service, sustainability, understanding of local needs and environments, and education methods with an emphasis on participants, broader view and thinking of the world, reflection on the characteristics of a nurse, development through cooperation, and development through programs.
CONCLUSION
The global health capacity building program improved nursing students' view of global health and nursing care. It is needed to develop continuously diverse global health capacity-building programs for nursing students.

Citations

Citations to this article as recorded by

The effectiveness of competency-based global health education programs for medical students
Songrim Kim, Sun Young Kyung, Ie Byung Park, So Jung Yune, Kwi Hwa Park
Korean Journal of Medical Education.2024; 36(3): 243. CrossRef
Assessing nursing students’ e−health literacy and foresights to global health challenges during COVID−19 restrictions: A cross-sectional study with a machine learning approach
Cisem KUPCU, Gonul BODUR, Aycan KUCUKKAYA, Polat GOKTAS
Nurse Education in Practice.2024; 81: 104179. CrossRef
An Online International Collaborative Learning Program During the COVID-19 Pandemic for Nursing Students: Mixed Methods Study
Dukyoo Jung, Jennie C De Gagne, Eunju Choi, Kyuri Lee
JMIR Medical Education.2022; 8(1): e34171. CrossRef
Development and Evaluation of the Course on Global Health Nursing for Indian Nursing Students
Vasuki Rajaguru, Jina Oh, Mihae Im
International Journal of Environmental Research and Public Health.2022; 19(4): 1978. CrossRef
Factors Affecting the Global Health and Cultural Competencies of Nursing Students
Mi-Kyoung Cho, Mi Young Kim
International Journal of Environmental Research and Public Health.2022; 19(7): 4109. CrossRef
Global health curricula in Korean nursing schools: Focusing on the changes since 2015
Sujin Lee, Ju Young Yoon
The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 27. CrossRef
Nursing students’ experiences of a global outreach program: A mixed-method study
Sook Ja Yang, Chiyoung Cha, Hyerim Lee, Sookyung Jeong
Nurse Education in Practice.2021; 50: 102927. CrossRef
Development and effectiveness of a global health competency promotion program for Korean undergraduate nursing students
Mi‐Kyoung Cho, Mi‐Young Choi
Nursing Open.2021; 8(6): 3086. CrossRef
A systematic review and meta‐analysis of the effects of global health competency improvement programs on nurses and nursing students
Jiwon Kang, Jeongeun Song, Wonjung Noh
Journal of Advanced Nursing.2020; 76(7): 1552. CrossRef
Development and Application of a Program for Reinforcing Global Health Competencies in University Nursing Students
Won Ju Hwang, Hyun Hee Jo
Frontiers in Public Health.2020;[Epub] CrossRef
Análise da efetividade do estágio prático internacional de enfermagem em relação ao estágio prático nacional de enfermagem
Esther O. Park
Acta Paulista de Enfermagem.2019; 32(2): 153. CrossRef
Capacity Development in an Undergraduate Nursing Program in Vietnam
Sunjoo Kang, Thi Thuy Trang Ho, Thi Anh Phuong Nguyen
Frontiers in Public Health.2018;[Epub] CrossRef
An Effective Model for Improving Global Health Nursing Competence
Sun-Joo Kang
Frontiers in Public Health.2016;[Epub] CrossRef

The Effects of a Mobile Computerized System for Individual Tailored Home Care Services in a City: Nam Hee Park, Rang Jang, Jung Young Kim, Myoung Soo Kim; J Korean Acad Community Health Nurs. 2012;23(1):71-81. Published online March 31, 2012; DOI: https://doi.org/10.0000/jkachn.2012.23.1.71

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Abstract PDF: PURPOSE
The aim of this study was to evaluate the process and outcome of a mobile computerized system for individual home visiting healthcare.
METHODS
A nonequivalent control group non-synchronized design was employed for this study. The newly constructed system was administered to 80 healthcare providers in the experimental group for 8 weeks. Data were analyzed using descriptive analysis, t-test, and ANCOVA with the SPSS 18.0 program.
RESULTS
In the process stage, the difference in the frequency of computerized information usage between the experimental and control groups was significant as 8.88+/-3.20 and 7.08+/-2.92, respectively (t=3.90, p<.001). In the outcome evaluation stage, all kinds of healthy lifestyle such as alcohol use, nutrition, weight management and mental health were not improved.
CONCLUSION
The findings of this study showed that the revised mobile computerized system was an effective device for individual visiting healthcare providers. Further advanced strategies for using this system should be developed and applied in a broad range of community healthcare.

The Effects of a Dementia Education Program for the Aged: Eun Hi Kong, Young Soon Jeong; J Korean Acad Community Health Nurs. 2011;22(3):252-261. Published online September 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.3.252

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3 Citations

Abstract PDF

PURPOSE
This study was conducted to evaluate the effects of a dementia education program for Korean older adults who resided in community.
METHODS
The research adopted the non-equivalent control group pretest-posttest design. A total of 66 older adults completed the study (31 older adults in the experimental group and 35 in the control group). The Experimental group participated in a six-session dementia education program for three weeks. The effects of the dementia education program were evaluated using the measures of knowledge of dementia and attitude toward dementia. Data were analyzed using independent sample t-test with SPSS/WIN 18.0.
RESULTS
There was a significant change in the knowledge of dementia in the experimental group (t=2.75, p=.008). Although there was an increase in attitude toward dementia in the experimental group, the change was not statistically significant (t=1.26, p=.212).
CONCLUSION
The results indicated that the dementia education program is effective in improving the knowledge of dementia among community-dwelling older adults. There is a need to develop more effective dementia education programs designed to improve older adults' attitude toward dementia. Further research is needed using a highly rigorous research methodology.

Citations

Citations to this article as recorded by

The development and evaluation of a self-efficacy enhancement program for older adults with mild cognitive impairment
Jungeun Lee, Eunhee Cho, Heejung Kim, Kyung Hee Lee, Eosu Kim, Byoung Seok Ye
Applied Nursing Research.2023; 73: 151726. CrossRef
The relationship between dementia education and preventive behaviors: The mediation of fear and knowledge of dementia
Jina Han
Korean Journal of Health Education and Promotion.2023; 40(2): 55. CrossRef
Eating Difficulties among Older Adults with Dementia in Long-Term Care Facilities: A Scoping Review
Dukyoo Jung, Kyuri Lee, Jennie C. De Gagne, Minkyung Lee, Hyesoon Lee, Leeho Yoo, Sarah Won, Eunju Choi
International Journal of Environmental Research and Public Health.2021; 18(19): 10109. CrossRef

The Effect of a Community-Based Selp-Help Management Program for Patients with Diabetes Mellitus: Eun Young Kim, Ae Young So; J Korean Acad Community Health Nurs. 2009;20(3):307-315. Published online September 30, 2009

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Abstract PDF: PURPOSE
This study was done to assess the effects of a self-help intervention on clinical, lifestyle and psycho-social outcomes in patients with Type II diabetes.
METHODS
Eligible adults with Type II diabetes were randomly assigned to either the intervention group receiving the diabetes self-help or the control group receiving usual care. Of the 36 patients who completed the study, 15 were in the intervention group and 21 were in the control group. The self-help group consisted of six weekly sessions covering aspects of diabetes self-care and using continuing education, discussion, and structured social activities. Outcomes included changes in glycemic control, knowledge, self-management behaviors, diabetes-related self-efficacy, and health-related quality of life. Analysis of covariance was used to compare outcomes between the groups, adjusting for baseline measures.
RESULTS
After the six week intervention, significant improvements from the baseline were observed in the measurements of self-management behaviors, diabetes-related self-efficacy, and health-related quality of life for the intervention group.
CONCLUSION
The findings provide preliminary evidence that a diabetes self-help group intervention can benefit diabetes patients in self-management behaviors, diabetes-related self-efficacy, and health-related quality of life. However, larger longitudinal studies are needed to determine the most efficacious self-management methods to sustain long-term glycemic control and psychological well-being.

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