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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of Korean Public Health Nursing
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Journal DOI :
Korean Society of public Health Nursing
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Volume & Issues
Volume 28, Issue 3 - Dec 2014
Volume 28, Issue 2 - Aug 2014
Volume 28, Issue 1 - Apr 2014
Selecting the target year
Factors associated with Health-related Quality of Life in Vulnerable Elderly Women
Shin, Gyeyoung ; Kim, Eun Kyung ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 419~431
DOI : 10.5932/JKPHN.2014.28.3.419
Purpose: The aim of this study was to understand the determinants of health-related quality of life (HRQOL) according to age groups in vulnerable elderly women. Methods: We conducted a cross-sectional study with 1,533 elderly women beneficiaries of the visiting health care program in Seoul. The participants were divided into three age groups: the young-old (n=753, 65-74 years), old-old (n=602, 75-84 years), and oldest-old (n=178, 85 years or older) groups. HRQOL was measured using the SF-8 questionnaire. Results: HRQOL was found to be worse in the oldest-old group (p=.007). Factors associated with HRQOL differ by age groups. In the young-old and old-old groups, higher HRQOL showed significant correlation with a higher level of self-rated health (SRH) and a lower level of depression, instrumental activities of daily living (IADL) dependence, and the number of chronic diseases. In addition, higher HRQOL was observed for elderly living alone than for those living with family. In the oldest group, higher HRQOL showed significant correlation with a lower level of depression, activities of daily living (ADL) dependence, and a higher level of SRH. Conclusions: In age specific groups, lower levels of HRQOL were observed for the oldest-old group than for the other age groups. Age group-specific nursing strategies may be required for improving HRQOL levels of vulnerable elderly women.
Trends of Nursing Research on Disasters in Korea
Lee, Ogcheol ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 432~444
DOI : 10.5932/JKPHN.2014.28.3.432
Purpose: This descriptive study was conducted in order to investigate the research trends of past nursing studies related to disasters in Korea, and to identify the direction of future research. Methods: Fifty studies conducted from July 1995 to June 2014 were analyzed according to general characteristics, disaster phase, disaster type, and research theme based on the four areas and 10 domains of the ICN Framework of Disaster Nursing Competencies. Results: The majority of studies were designed using quantitative methods (29). In disaster type, 12 studies explored natural disasters, and 14 explored manmade disasters. Disaster responders were the subject of 31 studies. In relation to research topics, the majority of studies were in the area of preparedness competencies of the ICN Framework (26). The studies were concentrated in the domain of education and preparedness (24). Conclusion: The total number of studies on disasters had increased over the years, while the topics failed to deal with all domains of the ICN Framework. The results indicate that the future direction of nursing research on disasters is to be vitalized through the flexibility of research design, systematic approach based on global perspectives, research on emergency responders and vulnerable people, and research relating to community-based disaster nursing.
A Study on Health Education Needs of the Multicultural Family as Perceived by Visiting Nurses
Kang, Young Sil ; Hong, Eunyoung ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 445~459
DOI : 10.5932/JKPHN.2014.28.3.445
Purpose: The purpose of this study was to identify health education needs of the multicultural family as perceived by visiting nurses. Methods: Mixed method was applied. A questionnaire was distributed to 184 visiting nurses. Three focus group interviews were subsequently conducted in order to obtain a greater understanding of nurses' experience of health education. Results: Visiting nurses were mainly providing education about pregnancy, delivery and baby care. Health education needs of the multicultural family as perceived by visiting nurses were classified according to four categories : diet, hygiene, contraception and family planning, and communication. Barriers to health education of visiting nurses were a lack of adequate health education materials and communication problems. Conclusion: To achieve effective health care of the multicultural family by visiting nurses, customized multi-language health education material focusing on five subjects, pregnancy and delivery, diet, hygiene, contraception and family planning, and communication, with easy terms and simple paragraphs is required.
Testing the Validity and Reliability of Korean Version of the Expectations Regarding Aging (ERA-12) Instrument among Middle-aged and Elderly Women
Park, Min Hee ; Kweon, Yoorim ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 460~470
DOI : 10.5932/JKPHN.2014.28.3.460
Purpose: The purpose of this study was to develop and test the validity and reliability of the Korean version of the expectations regarding aging(ERA-12) among middle-aged and elderly women. Methods: The study was conducted as a cross-sectional survey which used a self-report questionnaire. A convenience sampling method was utilized, and data on 298 middle-aged and elderly women were collected. Korean version of ERA-12 was articulated through forward-backward translation methods. Internal consistency reliability, construct and criterion validity were analyzed using PASW WIN (20.0) for testing the use of Korean version of ERA-12. Results: ERA-12 consisted of three factors - expectations regarding physical health, mental health and cognitive function, explaining 56.0% of the total variance in ERA-12. The ERA-12 total score showed positive correlation with RSES (r=.33). The Cronbach's alpha reliability coefficient was .81 for the overall instrument and .68-.73 for three factors. Conclusion: Korean version of ERA-12 has high validity and reliability. Therefore, this instrument may be utilized to assess expectations regarding aging for Korean middle-aged and elderly women.
A Comparison Study: the Risk Factors in the Lifestyles of Colorectal Cancer Patients and Healthy Adults
Yoo, Yang Gyeong ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 471~483
DOI : 10.5932/JKPHN.2014.28.3.471
Purpose: This study explored possible risk factors influencing the development of colorectal cancer by comparing life habits of colorectal cancer patients and healthy adults. Methods: The study was designed as a retrospective comparison survey study of the colorectal cancer patient group and healthy adult group. 107 colorectal cancer patients in a university hospital and 124 healthy adults were recruited from October 2011 to August 2012. Data were analyzed using descriptive statistics,
-test/t-test and logistic regression with the SPSS program. Results: Consumption of instant food products, lower stress management, burned meats and unhealthy eating habits were shown to be risk factors in development of colorectal cancer. Conclusion: Based on the results of this study comparing colorectal cancer patients and healthy adults, minimizing consumption of instant food products, development of healthy eating habits of consuming more vegetables, cooking meat slightly, and effective management of stress levels are recommended.
Influences of Family Environment Risk Factors and Ego Resilience on The Early Adolescents' Problem Behaviors
Lee, Soon Ok ; Choi, Yeon Hee ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 484~494
DOI : 10.5932/JKPHN.2014.28.3.484
Purpose: The purpose of this study is to verify the direct influences of the risk factors of the family environment on the problem behaviors of early adolescents, and the indirect influences of the same by the mediation of ego resilience. Method: After random extraction of five elementary schools located in D metropolitan city, we conducted a survey of 5th and 6th-grade male and female students. For the analysis, we used data from the questionnaire results of 450 students. For the data analysis, we performed t-test of independent samples, one-way ANOVA, path analysis and Sobel test, utilizing SPSS/WIN 19.0 program. Result: The direct influence of the risk factors of the family environment on the problem behaviors of the early adolescents was 0.447, while the indirect influence by the mediation of ego resilience was 0.146. Conclusion: It was found that the risk factors of the family environment not only exert direct influences on the problem behaviors of early adolescents, they also have indirect influences on the problem behaviors of early adolescents by way of the mediation of ego resilience.
Validation of the Short Form Bobath Memorial Hospital Fall Risk Assessment Scale at a Specialized Geriatric Hospital in Korea
Sohng, Kyeong-Yae ; Park, Mi Hwa ; Chaung, Seung Kyo ; Park, Hye Ja ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 495~508
DOI : 10.5932/JKPHN.2014.28.3.495
Purpose: This study was conducted in order to evaluate the reliability, validity, sensitivity, and specificity of the Short Form of Bobath Memorial Hospital Fall Risk Assessment Scale (BMFRAS-SF). Methods: A validation study was conducted on 207 elderly patients aged over 65 who were admitted to Bobath Memorial Hospital. Fall risk scores of BMFRAS, composed of eight subscales (age, fall history, physical activity, consciousness level, communication, fall risk factors, underlying disease, and medications) were assessed from the electronic medical record. BMFRAS-SF was derived from eight subscales of the BMFRAS representing the significance between fallers and non-fallers (fall history, physical activity, fall risk factors, underlying disease, and medications). Internal consistency reliability and interrater reliability were assessed by Cronbach's alpha and kappa coefficient. Validity was assessed by Spearman correlation analysis, factor analysis. Sensitivity, specificity, positive predictive and negative predictive values, and a receiver-operating characteristic curve (ROC) were generated. Results: Fallers had significantly higher risk scores than non-fallers in fall history, physical activity, fall risk factors, underlying disease, and medication scales. The BMFRAS-SF demonstrated acceptable Cronbach's alpha (.706) and kappa coefficients of .95. The BMFRAS-SF subscales showed good convergent validity and construct validity. The BMFRAS-SF presented good sensitivity(86.7%), specificity(67.9%), positive predictive value(42.9%) and good negative predictive value(94.8%) at a cut-off score of 5. Areas under the ROC curves were .860 for the BMFRAS and .861 for the BMFRAS-SF. Conclusion: The BMFRAS-SF was proved to be reliable and valid. It could be used for time-saving assessment and evaluation of the high risks for falls in clinical practice settings.
Factors Affecting Learned Helplessness in Undergraduates
Choi, Jung ; Cha, Bo Kyoung ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 509~521
DOI : 10.5932/JKPHN.2014.28.3.509
Purpose: This study was conducted in order to define factors influencing learned helplessness in undergraduates. Independent variables including external entrapment, internal entrapment, social support, trait anger, state anger, and anger expression were used to predict learned helplessness. Methods: Data were analyzed using the SPSS/WIN 20.0 program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. A total of 241 undergraduates recruited from September to November 2012 were included in the study. Results: Four factors of learned helplessness were founded to show significant correlation with external entrapment, internal entrapment, social support, trait anger, state anger and anger expression. Stepwise multiple regression analysis showed that 64% of the variance in learned helplessness was significantly accounted for by internal entrapment, social support and anger expression. Conclusion: This study showed that perceived entrapment and social support are important predictors of learned helplessness. Therefore, in order to reduce learned helplessness in undergraduates, it is necessary to design an intervention program with strategies to help in coping with and reducing perceived entrapments.
Analysis of the Factors Regarding Work-related Musculoskeletal Disease by Company Size
Jung, Sung Won ; Kim, Kyung Ha ; Suk, Min Hyun ; Hwang, Rah Il ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 522~535
DOI : 10.5932/JKPHN.2014.28.3.522
Purpose: This study was constructed in order to examine factors that influence work-related musculoskeletal disease (WMSD) approvals and current status according to the company size. Method: This is a descriptive study that utilized Industrial Accident Compensation Claim Data. Workplaces with over 35,811 workers derived from the 2012 claim data, which comprised approximately 91.5%, were selected for this study. Then workplaces were divided into three groups according to the number of workers: less than 5, 5~299, and 300 and over. Results: Since 2008, the number of small sized workplaces has increased. The 2012 data showed that 32.5% of workers at small sized workplace had WMSD. However, workplaces with 5~299 workers showed WMSD approval rate of 60%. Of note most WMSD approved workers were employed by manufacturing and construction companies, regardless of the workplace size. Most of them were engaged in elementary tasks. The days of medical treatment at OPD and IPD were most prevalent among workers at the largest workplaces. Conclusions: It is certain from this study that WMSD has been polarized by the company size. More policy attention should be paid to the WMSD status of workers at small sized workplaces which usually do not have their own health office.
Health Status and Health Care System of Homeless Shelter Residents
Han, Young Ran ; Yoon, Hee Sang ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 536~552
DOI : 10.5932/JKPHN.2014.28.3.536
Purpose: The purpose of this study was to explore how homeless shelter worker and public health nurses perceive health status and health care of homeless shelter residents (HSRs). Methods: Data collected through focus group interviews. In Focus group, in-depth discussions were between 150 to 160 minutes. Data analyzed using Krueger (1998) step analysis. Participants were seven experienced clinical social workers, nurses working homeless shelters, and public health center nurses for dosshouse people. Results: The results were 4 themes and 15 sub-themes: Characteristics of HSRs, perception of health and health problem of HSRs (alcohol related disease, hypertension Diabetics, gastro-intestinal disease, dental disease and infectios disease such as Tuberculosis, musculo-skeletal disease, prostate problem), health care status of HSRs(insufficient health care service, discrimination of medical staff, lack of health care management, low satisfaction community health care services), and the health care proposal of HSRs(nurse in homeless shelter, integrated health care system, understanding of homeless) Conclusion: Based on the findings of this study, health care programs focusing on understanding of HSRs and chronic diseases of HSRs increasing steadily although the management system is limited. Therefore, more systemized health care plan and health referral system for homeless people.
Evaluation of Health Care Services of Public Health Centers: SERVQUAL
Joung, Hye Young ; Byeon, Do Hwa ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 553~564
DOI : 10.5932/JKPHN.2014.28.3.553
Purpose: The aim of this study is to identify the expectations and perceptions of health center users as to the services. SERVQUAL scale was used for measurement of service quality. The purpose of this study is to offer baseline data for improving the quality of health care services. Methods: The subjects were users of a health center in S City in Kangwon-do; 170 people participated in this study. Results: Regarding service quality depending on general characteristics, the following results were obtained. First, there were statistically significant differences depending on the gender, purpose of visit, and satisfaction in the health center. Second, the services fell short of the expectations. Third, the quality of 'safe, accurate services' scored the highest, while 'empathy and friendliness' scored the lowest. Fourth, 'internal, external environment of the health center' scored the highest, while 'courtesy of staff' scored the lowest. There were no statistically significant differences. Conclusion: Based on the findings, the following are suggested. First, employee education should be provided for development of empathy and interaction with patients; those are the weakest areas in the health care services. Second, a system allowing patients to understand and participate in their treatment should be developed.
Weighting of Acute Myocardial Infarction Quality Indicators using Delphi Method
Kim, Hyung Seon ; Cho, Yeon Hee ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 565~573
DOI : 10.5932/JKPHN.2014.28.3.565
Purpose: Health Insurance Review & Assessment Service (HIRA) launched an Acute Myocardial Infarction(AMI) assessment for the Payment For Performance(Quality Incentives) Pilot Project from July 2007. Assessment measures of AMI were composed of five process measures and one outcome measure, and each measure was incorporated into one composite quality score to Pay for Performance. Method: For calculation of composite quality score, we considered weighting for the measures using the Delphi method. The questionnaire was composed of three measure groups, 'Reperfusion rate'(Fibrolytic therapy received within 60 minutes of hospital arrival, Primary Percutaneous Coronary Intervention within 120 minutes of hospital arrival), 'Medication prescription rate'(Aspirin at arrival, Aspirin prescribed at discharge, Beta-blocker prescribed at discharge) and 'Survival Index'(30-day mortality rate). Result: A panel composed of 18 and completed a questionnaire by allocation of 10 scores to the three above mentioned measure groups. The Delphi was carried out until three rounds of surveys. In conclusion, each measure group was weighted differently and the 10 scores were allocated as 4.5 to 'Reperfusion rate', 2.5 to 'Medication prescription rate', and 3.0 to 'Survival Index'. Conclusion: The results of this study proposed the calculation method for weighting of Acute Myocardial Infarction quality indicators.
Research on School Health Preliminary Teacher's Teaching Practice to the Use of NVivo 10 in Analyzing
Chung, Mi Ja ; Moon, Hee ; Sun, Chun Ja ; Li, Dong Mei ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 574~589
DOI : 10.5932/JKPHN.2014.28.3.574
Purpose: This study was designed for understanding their experiences through qualitative research method. There is a growing concern about what the trainee school health teachers experience during teaching practice period, the first experience as a teacher. Method: Data collection was conducted on 2012-2014, using the student teaching practice self-reports. Participants included 43 school health preliminary teacher's teaching practice from G colleges. The study conducted a qualitative analysis by utilizing computer assisted qualitative data analysis software(CAQDAS), NVivo 10. Results: The trainees experienced that tension, excitement and fear was changed to joy, rewarding and gratitude. They defined the practice as a standard of the possibility in the capacity of a future teacher. It was a hard job without a sense of accomplishment. They thought that too much works in school health teacher and thanks to the school and teacher for the teaching opportunities. They think teaching as a hard job to endure without a sense of accomplishment. Conclusion: Findings of this study allow for a comprehensive understanding of trainees. It was investigated the suggestions for the improvement of a teaching practice. The challenge need to the expand school health teacher placement and more research.
Development of Nursing Competence Scale for Graduating Nursing Students
Joo, Ga Eul ; Sohng, Kyeong-Yae ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 590~604
DOI : 10.5932/JKPHN.2014.28.3.590
Purpose: The purpose of this study is to develop a nursing competence scale for soon to be graduate nursing students and to verify its validity and reliability. Methods: This study is a methodological study for development of a scale. Based on literature review and group discussion of 13 professional experts, 40 preliminary items were developed and the content validity was verified. Psychometric testing was performed and data were collected from 141 soon to be graduate nursing students of a university. Construct validity was verified by factor analysis and reliability was calculated. Results: The analyses resulted in a scale named the Nursing Competence Scale for Graduating Nursing Students (NCS-GNS), consisting of 30 items covering eight categories: nursing professionalism, integrated nursing through critical thinking, communication skills, nursing leadership, respect for life, stress management, nursing research, and core nursing skills. For the entire scale, the explained variance was 66.72% and Cronbach's alpha was 0.906. Conclusion: NCS-GNS was developed and its validity and reliability were verified. This scale can be used to evaluate nursing competence for graduating nursing students.
Effects of Swallowing Rehabilitation Program among Elderly In Geriatric Hospitals
Ha, Ju Young ; Lee, Su Min ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 605~618
DOI : 10.5932/JKPHN.2014.28.3.605
Purpose: The purpose of this study was to examine the effect of a swallowing rehabilitation program for elderly on the stage of dysphagia, nutritional status, and swallowing-quality of life. Methods: The research design was Pretest-Posttest Nonequivalent Groups Design. The subjects of this study consisted of 85 elderly patients hospitalized at geriatric hospitals between August 23rd and October 25th in 2012. Eighty five research subjects were assigned to experimental (42 patients) and control (43 patients) groups. The rehabilitation program was provided to the experimental group 5 days per week for 8 weeks. The effects were evaluated by measurement of Mid-upper Arm Muscle Circumference (MAMC), Total Lymphocyte Counts, albumin, Total Cholesterol, and Swallowing Quality of Life (SWAL-QOL). The collected data were analyzed with x2-test and independent t-test using PASW WIN 18.0. Results: Changes in the stage of dysphagia were not significant (p>.05). In nutrition status, the degree of MAMC points in the experimental group was significantly increased compared with that in the control group (t=2.36, p=.021). In swallowing quality of life, the score of SWAL-QOL in the experimental group was significantly increased, particularly burden (t=3.34, p=.002), frequency (t=2.68, p=.011), fear (t=2.44, p=.019), mental health (t=2.47, p=.018), and sleep (t=2.08, p=.044). Conclusion: Based on the results, this swallowing rehabilitation program for elderly would be helpful in promoting their nutritional status and swallowing-QOL in geriatric hospitals.
Job Analysis of School Health Teachers in Korea -based on DACUM Job Analysis-
Im, Mee Young ; Lee, So Young ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 619~632
DOI : 10.5932/JKPHN.2014.28.3.619
Purpose: This study was conducted in order to analyze the job of school health teacher in Korea. Methods: School health teachers' roles were analyzed by DACUM job analysis. Guide of DACUM methods and workshop were directed by a DACUM job analyst. The DACUM committee identified tasks associated with each duty and completed the DACUM chart. Results: Through DACUM job analysis, the roles of school health teachers were defined; one who manages health of students and staff, and conducts health education; 11 duties and 95 tasks were identified. The committee listed required knowledge and skills, working attitude, and future trends. Emergency and common disease care were the best critical duties, followed by health education, counseling, and self-development. Conclusion: School health teacher plays the roles of nurse and health care manager, and teacher. According to the expansion of health care needs and health education, school health teachers are placed in more essential and critical areas. Their duties and tasks are various and have changed significantly, thus the School Health Act should be changed practically. The results of this study can be used in development of training programs or evaluation of the job performance of school health teachers.
Protective Factors Associated with School Adjustment of Victims in School Bullying
Kim, Dong Hee ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 633~643
DOI : 10.5932/JKPHN.2014.28.3.633
Purpose: The purpose of this study is to identify protective factors associated with school adjustment of victims in school bullying. Methods: Data were collected from 114 victims among 825 middle school students. The measurements were the self-report questionnaire on resilience, and the Childrearing Behavior Questionnaire, measurements of relationship with friends, and attitude of teachers toward bullying. Descriptive, Pearson correlation, and multiple regression analyses were used. Results: A significant relationship was observed between school adjustment of victims and resilience (r=.355, p<.01), warmth-acceptance parenting behavior (r=.482, p<.01), rejection-restriction parenting behavior (r=-.213, p<.01), and teacher's attitude toward bullying (r=.381, p<.01). The result of multiple regression analysis showed significant association of school adjustment with resilience (
=0.247, p<.05), warmth-acceptance parenting behavior (
=0.302, p<.001), and teacher's attitude toward bullying (
=0.285, p<.01). Conclusion: Comprehensive interventions designed to enhance the resilience of students, improve warmth-acceptance parenting behaviors and teacher's attitude toward bullying may be helpful in promoting school adjustment of victims.
Experience of Turnover in New Nurses
Kim, Sun Ae ; Jeon, Hye Won ;
Journal of Korean Public Health Nursing, volume 28, issue 3, 2014, Pages 644~657
DOI : 10.5932/JKPHN.2014.28.3.644
Purpose: The purpose of this study was to try to understand the essence of the experience early turnover of the new nurse by applying the phenomenological method and to provide basic data for a community-based management program. Method: Phenomenological approach was used to identify subjects experience. Subjects were five new nurses, with less than one year of clinical experience in clinical practice. This study used in-depth interview. Results: there were 104 meaningful sentences or phrases, with 41 generally comprehensive thema. Finally, thema were classified into 12 thema clusters. Conclusion: Finally, based on the results, some suggestions regarding management of early turnover of new nurses are needed. First, we proposed a new characterized of hospital selection method for each hospital. Second, practical training in clinical practice in the school and the community is necessary in order to reduce the real impact of new nurses. New nurses require various support elements in order to mitigate the real shock the first time they encounter clinical practice. Third, addition of work-related training and promotion of a self-esteem program will be needed. Fourth, interview opportunities with seniors who adapted successfully in clinical should be provided for new nurses. In addition, continuous communication should be provided for new nurses.