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Research Papers
Multidimensional factors influencing the completion of advance directives among community-dwelling older Koreans
Hee-Ju Ji, Soong-Nang Jang
J Korean Acad Nurs 2025;55(4):543-556.   Published online November 18, 2025
DOI: https://doi.org/10.4040/jkan.25098
AbstractAbstract PDFePub
Purpose
This study aimed to examine the multidimensional factors associated with the completion of advance directives (ADs) among community-dwelling older Koreans, guided by conceptual frameworks developed in Asian contexts.
Methods
Data from the 2023 National Survey of Older Koreans (sixth wave) were analyzed for 9,951 community-dwelling older Koreans aged 65 years or older. Complex sample cross-tabulation and binary logistic regression analyses were conducted.
Results
In total, 11.1% of community-dwelling older Koreans had completed an AD. Significant factors associated with AD completion were identified across four domains—personal situation: age, educational level, religion, and housing preference in the event of poor health; socio-cultural: presence of children, participation in social activities and satisfaction with social relationships; physical and illness: the number of chronic diseases; and value system: awareness of hospice and palliative services, participation in death preparedness education, and documentation of organ donation.
Conclusion
Among older Koreans, AD completion represents more than a documentation process; it reflects a complex decision-making process shaped by their values and life circumstances, underscoring the need for supportive interventions. As the highest AD completion rates are found among older adults, related policies should be aligned with older adult-centered policy frameworks.
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Effect of Patient Safety Training Program of Nurses in Operating Room
Peijia Zhang, Xin Liao, Jie Luo
J Korean Acad Nurs 2022;52(4):378-390.   Published online August 31, 2022
DOI: https://doi.org/10.4040/jkan.22017
AbstractAbstract PDF
Purpose
This study developed an in-service training program for patient safety and aimed to evaluate the impact of the program on nurses in the operating room (OR).
Methods
A pretest–posttest self-controlled survey was conducted on OR nurses from May 6 to June 14, 2020. An in-service training program for patient safety was developed on the basis of the knowledge–attitude–practice (KAP) theory through various teaching methods. The levels of safety attitude, cognition, and attitudes toward the adverse event reporting of nurses were compared to evaluate the effect of the program. Nurses who attended the training were surveyed one week before the training (pretest) and two weeks after the training (posttest).
Results
A total of 84 nurses participated in the study. After the training, the scores of safety attitude, cognition, and attitudes toward adverse event reporting of nurses showed a significant increase relative to the scores before the training (p < .001). The effects of safety training on the total score and the dimensions of safety attitude, cognition, and attitudes toward nurses’ adverse event reporting were above the moderate level.
Conclusion
The proposed patient safety training program based on KAP theory improves the safety attitude of OR nurses. Further studies are required to develop an interprofessional patient safety training program. In addition to strength training, hospital managers need to focus on the aspects of workflow, management system, department culture, and other means to promote safety culture.

Citations

Citations to this article as recorded by  
  • Implementation strategies by leaders and health professionals to improve the safety climate in the operating room: a scoping review
    Rosilene Alves Ferreira, Eduardo José Ferreira Santos, Olga Maria Pimenta Lopes Ribeiro, Danielle Mendonça Henrique, Flavia Giron Camerini, Andressa Aline Bernardo Bueno, Soraia Cristina de Abreu Pereira, Vivian Schutz, Marcia Valeria Rosa Lima, Cintia Si
    BMJ Open.2026; 16(1): e109055.     CrossRef
  • Correlation analysis of satisfaction with subspecialty management model in operating rooms: a cross-sectional survey in China
    W. Wang, J. Shen, Y. Ma, Y. Chen, R. Gong, Q. Qian, Y. Sun
    BMC Nursing.2025;[Epub]     CrossRef
  • Effect of Counting Error Prevention Training on Operating Room Nurses’ Counting Error Prevention Awareness and Perceptions of Patient Safety
    Myung Jin JANG, Mi Kyung HONG, Mi Jeong LEE, Kyung A LEE, Yang Ok KIM, Jin A JEON, Hana KO
    Korean Journal of Health Promotion.2024; 24(1): 20.     CrossRef
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Willingness to Use and Appropriate Payable Cost for Visiting Nurse Service for the Elderly in the Community
Soyoung Seo, Soong-nang Jang
J Korean Acad Nurs 2022;52(1):105-119.   Published online February 28, 2022
DOI: https://doi.org/10.4040/jkan.21193
AbstractAbstract PDF
Purpose
This study aimed to measure willingness to use (WTU) and appropriate payable cost of visiting nurse service for the elderly and explore their impact factors.
Methods
The study included 752 participants selected from data that were completed in 2017 for the elderly aged over 60 nationwide. Logit and Tobit regression analysis were performed to confirm the influencing factors.
Results
The study found that 39.1% of the elderly in the community were WTU the visiting nurse service, and they reported that the cost per visit was 12,650 Korean Won. The factors influencing WTU were having less than moderate subjective health status (OR = 1.63, p = .011), being part of a social participating groups (OR = 1.50, p = .046), or participation in senior health promotion programs (SHPPs) (OR = 1.96, p = .003). The cost was also influenced by less than moderate subjective health status (β = 4.37, p = .021), being part of a social participating groups (β = 4.41, p = .028), or participation in SHPPs (β = 4.87, p = .023). Additionally, elderly people living alone who were used as covariates were highly WTU (OR = 2.20, p = .029).
Conclusion
This study provides evidence to predict demand for visiting nurse service and reflects consumer value in setting the service cost. This is the first study to derive cost from consumers' perspective regarding the service for the elderly. As it is the result of an open-ended survey, follow-up studies are needed to estimate more reliable and reasonable results.

Citations

Citations to this article as recorded by  
  • Health and Environmental Monitoring Services for Smart Healthy Cities : Current Practices and Challenges in Local Government Plans
    Dong-ah Choi, Yun-jeong Song, Andy Hong
    Journal of Korea Planning Association.2024; 59(5): 147.     CrossRef
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Review Paper
A Study on Dispatched Nursing during the Japanese Colonial Era
Sook Young Kim, Eunhyung Cho, Sun ei Joung
J Korean Acad Nurs 2021;51(2):138-149.   Published online April 30, 2021
DOI: https://doi.org/10.4040/jkan.20239
AbstractAbstract PDF
Purpose
This study aimed to explore the characteristics of dispatched nursing, a type of private nursing called Hasutsu, during the Japanese colonial period in Korea. This specialized and professional nursing was a form of a dispatched nursing service provided by nurses associations.
Methods
This study reviewed a literature on visiting nursing, a literature on dispatched nursing, focusing on data collected during the Japanese colonial period from August 1910 to August 1945. Study design was a document research study of historical records. Results: The dispatched nursing service was established by the Japanese nurses in Korea. More than 60 nurses associations operated to meet the demands in the modern Korean nursing period. It was found that some associations tried to raise the nursing fees. Also, the practice of employing visiting nurses who did not have a license was criticized severely in the newspapers. Considering that the data was limited in this study, the existence of Korean nurses association employing Korean visiting nurses has not been specifically identified.
Conclusion
The findings reveal some aspects of dispatched nursing provided by the nurses associations in that era. The nurses associations developed their own specialized service independently by dispatching nurses to fulfill the needs of people not only with cheaper nursing fares than hospitals but with convenient nursing care services, including customized care for infectious diseases. A study of modern historical records of Korean nurses would facilitate deeper research into Korean nursing history.
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Original Articles
Development and Application of Cost Management Program for Visiting Nursing Centers Using Time-Driven Activity-Based Costing
Juhang Kim, Ji Young Lim
J Korean Acad Nurs 2019;49(5):586-600.   Published online October 30, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.5.586
AbstractAbstract PDF
Purpose

This study aimed to develop a web-based cost management program for visiting nursing centers (CMP-VNC), using time-driven activity-based costing (TD-ABC), and to analyze effects of the program.

Methods

The CMP-VNC was developed using the combined prototyping approach and system developing life cycle method following four stages: need analysis with comprehensive literature reviews and focus group interviews, design and development of program algorithm, evaluation of the developed program validity using experts and users group, and application and effects analysis. The non-equivalent control group pretest-posttest design was used to analyze the effects of the program. The program demonstration was conducted for four weeks with 60 visiting nurses in 35 visiting centers.

Results

The web-based program was developed. It has five interfaces with basic and special functions using TD-ABC, namely, input, visiting nursing activity, visiting nursing activity cost, cost efficiency, and cost calculation report. The experimental group showed significantly higher cost perception and cost confidence than control group.

Conclusion

We found that the CMP-VNC can be an effective tool to increase visiting nurses’ competency of costing and enhance efficiencies of visiting nursing centers.

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Effects of a Web-Based Korean Triage and Acuity Scale Learning Program on Triage Self-Efficacy and Triage Performance Ability for Nurses in Emergency Department
Hyo-Jin Kim, Hee-Young Kang
J Korean Acad Nurs 2019;49(2):171-180.   Published online April 30, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.2.171
AbstractAbstract PDF
Purpose

The Korean Triage and Acuity Scale (KTAS) is a tool used to classify the severity and urgency of emergency department (ED) patients, focusing on their symptoms. In consideration of the importance of the KTAS, a web-based learning program has emerged as a new mode of education; it enables ED triage nurses to access it anytime and anywhere, and according to their own learning abilities. This study aimed to develop a web-based KTAS learning program and evaluate its effects on self-efficacy and triage performance ability in ED nurses.

Methods

A quasi-experimental design with a non-equivalent control group pretest-posttest was used. The conceptual framework was Bandura's self-efficacy theory. There were 30 participants in the experimental group and 29 in the control group. The experimental group attended an orientation and 4 sessions of a web-based KTAS learning program. The learning program lasted 280 minutes over five weeks, consisting of 40 minutes of orientation and four 60-minute sessions.

Results

The scores of self-efficacy, triage performance ability in KTAS level, and chief complaints significantly increased in the experimental group compared to the control group. In addition, the numbers of under-triage in KTAS significantly decreased in the experimental group in comparison to the control group.

Conclusion

The results suggest that the learning program was effective in improving ED nurses' level of self-efficacy and triage performance ability (KTAS level and KTAS chief complaint). Accordingly, the web-based KTAS learning program can be applied as an education intervention to improve ED nurses' triage skill.

Citations

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  • Optimizing triage education for emergency room nurses: A scoping review
    Hui Ju Shin, Subin Park, Hyun Joo Lee
    Nurse Education Today.2025; 144: 106452.     CrossRef
  • Strategies to improve the quality of nurse triage in emergency departments: A systematic review
    Simon Ouellet, Maria Cécilia Gallani, Guillaume Fontaine, Éric Mercier, Alexandra Lapierre, Fabian Severino, Céline Gélinas, Mélanie Bérubé
    International Emergency Nursing.2025; 81: 101639.     CrossRef
  • Construction of learning objectives and content for emergency triage nurses in tertiary general hospitals: A Delphi study
    Linyuan Zhang, Bo Gao, Fang He, Chao Wu, Juan Du, Li Zhang, Juan Liang, Hongjuan Lang
    Nurse Education in Practice.2024; 80: 104145.     CrossRef
  • Effectiveness of the Patient’s Severity Classification Competency Promotion Virtual Reality Program of Nursing Students during the COVID-19 Pandemic Period
    Eunju Lee, Gyuli Baek, Yeonhui Hwang
    Healthcare.2023; 11(8): 1122.     CrossRef
  • Effects on Triage Competency Based on Nursing Task Performance and Self-Efficacy of Nurses in Regional Emergency Medical Institutions
    Su Jin Kim, Su Ol Kim
    Korean Journal of Adult Nursing.2022; 34(3): 304.     CrossRef
  • The Effect of Competency-Based Triage Education Application on Emergency Nurses’ Triage Competency and Performance
    Sun-Hee Moon, In-Young Cho
    Healthcare.2022; 10(4): 596.     CrossRef
  • Factors Influencing Patient Satisfaction in an Emergency Department Based on the Use of the Korea Triage and Acuity Scale
    Keun Hee Park, Min Yoon, Myoung Soo Kim
    Korean Journal of Adult Nursing.2022; 34(3): 338.     CrossRef
  • Factors associated with the undertriage of patients with abdominal pain in an emergency room
    Boo Young Oh, Kisook Kim
    International Emergency Nursing.2021; 54: 100933.     CrossRef
  • Facilitators and Barriers of the Triage Process based on Emergency Nurses’ Experience with the Korean Triage and Acuity Scale: A Qualitative Content Analysis
    Sun-Hee Moon, Mi-Kyeong Jeon, Deok Ju
    Asian Nursing Research.2021; 15(4): 255.     CrossRef
  • Effect of problem-based learning on severity classification agreement by triage nurses
    Kyeongmin Jang, Eunmi Jo, Kyoung Jun Song
    BMC Nursing.2021;[Epub]     CrossRef
  • Remote Diagnosis System of Uremia Complicated with Sleep Disorder and Effectiveness of Nursing Intervention
    Yiqian Wang, Jing Zhu, Jun Cao, Dan Zheng, Lihua Wang, Yuvaraja Teekaraman
    Contrast Media & Molecular Imaging.2021; 2021: 1.     CrossRef
  • Comparing the Effect of Web-based Networking Education and Lectures on Learning of Hospital Triage in Nursing Students in Armed Forces Universities of the Islamic Republic of Iran in the Covid-19 Pandemic
    Ashkan Morovati, Zahra Farsi, Nahid Rajai, Seyede Azam Sajadi
    Military Caring Sciences.2021; 8(2): 127.     CrossRef
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Evaluation of Validity of the Korean Triage and Acuity Scale
Heejung Choi, Jong Sun Ok, Soo Young An
J Korean Acad Nurs 2019;49(1):26-35.   Published online February 28, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.1.26
AbstractAbstract PDF
Purpose

The aim of this study was to identify the predictive validity of the Korean Triage and Acuity Scale (KTAS).

Methods

This methodological study used data from National Emergency Department Information System for 2016. The KTAS disposition and emergency treatment results for emergency patients aged 15 years and older were analyzed to evaluate its predictive validity through its sensitivity, specificity, positive predictive value, and negative predictive value.

Results

In case of death in the emergency department, or where the intensive care unit admission was considered an emergency, the sensitivity, specificity, positive predictive value, and negative predictive value of the KTAS were 0.916, 0.581, 0.097, and 0.993, respectively. In case of death in the emergency department, or where the intensive or non-intensive care unit admission was considered an emergency, the sensitivity, specificity, and positive predictive value, and negative predictive value were 0.700, 0.642, 0.391, and 0.867, respectively.

Conclusion

The results of this study showed that the KTAS had high sensitivity but low specificity. It is necessary to constantly review and revise the KTAS level classification because it still results in a few errors of under and over-triage. Nevertheless, this study is meaningful in that it was an evaluation of the KTAS for the total cases of adult patients who sought help at regional and local emergency medical centers in 2016.

Citations

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  • Prognostic Implications of KTAS Levels 2 and 3 in Acute Ischemic Stroke: A Single-center Retrospective Study
    Sujin Koo, Seongeun Lee, Jae Young Park, JeongKyu Lee, Keon Yeup Kim, Hyunsun Oh, Jeonghoon Ahn, Bum Joon Kim
    Journal of the Korean Neurological Association.2026; 44(1): 27.     CrossRef
  • Factors Influencing Mistriage Based on the Korean Triage and Acuity Scale: A Retrospective Cross‐Sectional Study
    Nayeon Yi, Dain Baik
    Journal of Nursing Scholarship.2025; 57(5): 860.     CrossRef
  • Clinical features and mortality risk factors in hospitalized heart failure patient during the COVID-19 pandemic: A South Korea national emergency department study
    Soo Young An, Jong Sun Ok, Sung Hea Kim
    Clinical Epidemiology and Global Health.2025; 35: 102144.     CrossRef
  • Transfer versus direct-visit patients in medically underserved emergency departments: a retrospective cohort study
    Kyongmin Sun, Youjin Lee, Jungsil Lee
    BMC Emergency Medicine.2025;[Epub]     CrossRef
  • Predictive validity of resource-adjusted Korean Triage and Acuity Scale in pediatric gastrointestinal tract foreign body patients
    Jin Hee Lee, Jin Hee Jung, Hyun Noh, Mi Jin Kim
    Scientific Reports.2024;[Epub]     CrossRef
  • Effect of storage duration on outcome of patients receiving red blood cell in emergency department
    Yu-Kyung Koo, Sol Ji Choi, Soon Sung Kwon, Jinwoo Myung, Sinyoung Kim, Incheol Park, Hyun Soo Chung
    Scientific Reports.2024;[Epub]     CrossRef
  • Inter hospital external validation of interpretable machine learning based triage score for the emergency department using common data model
    Jae Yong Yu, Doyeop Kim, Sunyoung Yoon, Taerim Kim, SeJin Heo, Hansol Chang, Gab Soo Han, Kyung Won Jeong, Rae Woong Park, Jun Myung Gwon, Feng Xie, Marcus Eng Hock Ong, Yih Yng Ng, Hyung Joon Joo, Won Chul Cha
    Scientific Reports.2024;[Epub]     CrossRef
  • A novel deep learning algorithm for real-time prediction of clinical deterioration in the emergency department for a multimodal clinical decision support system
    Arom Choi, Kwanhyung Lee, Heejung Hyun, Kwang Joon Kim, Byungeun Ahn, Kyung Hyun Lee, Sangchul Hahn, So Yeon Choi, Ji Hoon Kim
    Scientific Reports.2024;[Epub]     CrossRef
  • Validity of the Korean triage and acuity scale in older patients compared to the adult group
    Ho Sub Chung, Myeong Namgung, Dong Hoon Lee, Yoon Hee Choi, Sung Jin Bae
    Experimental Gerontology.2023; 175: 112136.     CrossRef
  • Predictive indicators for determining red blood cell transfusion strategies in the emergency department
    Junhyup Song, Sinyoung Kim, Hyun Soo Chung, Incheol Park, Soon Sung Kwon, Jinwoo Myung
    European Journal of Emergency Medicine.2023; 30(4): 260.     CrossRef
  • Development and Validation of Simple Age-Adjusted Objectified Korean Triage and Acuity Scale for Adult Patients Visiting the Emergency Department
    Seung Wook Kim, Yong Won Kim, Yong Hun Min, Kui Ja Lee, Hyo Ju Choi, Dong Won Kim, You Hwan Jo, Dong Keon Lee
    Yonsei Medical Journal.2022; 63(3): 272.     CrossRef
  • Baseline and clinical characteristics of older adults admitted to the intensive care unit through the emergency room: Analysis based on age groups
    Ye Lim Lee, Sang Ook Ha, Young Sun Park, Jeong Hyeon Yi, Sun Beom Hur, Ki Ho Lee, Ki Yong Hong, Ju Young Sin, Duk Hwan Kim, Jun Kwon Cha, Jin Hyuck Kim
    Hong Kong Journal of Emergency Medicine.2021; 28(2): 85.     CrossRef
  • Long-term impact of coronavirus disease 2019 pandemic on emergency department utilization in a metropolitan emergency department in Korea
    Seung Yeon Hwang, Jae Kwang Lee, Hyun Sik Ryu, Seong Soo Park, Jun Young Choi, Hye Ji Lee, Seung Ho Hur, Yeong Geun Park, Hyun Soo Choi
    Pediatric Emergency Medicine Journal.2021; 8(2): 57.     CrossRef
  • Modification and Validation of a Complaint-Oriented Emergency Department Triage System: A Multicenter Observational Study
    Dong Hyun Choi, Won Pyo Hong, Kyoung Jun Song, Tae Han Kim, Sang Do Shin, Ki Jeong Hong, Jeong Ho Park, Joo Jeong
    Yonsei Medical Journal.2021; 62(12): 1145.     CrossRef
  • Pediatric Emergency Department Utilization and Coronavirus Disease in Daegu, Korea
    Kyung Mi Jang, Ji Young Ahn, Hee Joung Choi, Sukhee Lee, Dongsub Kim, Dong Won Lee, Jae Young Choe
    Journal of Korean Medical Science.2021;[Epub]     CrossRef
  • Factors Associated with School Nurses’ Triage Competency in South Korea
    Jaehee Yoon, Heesook Son
    International Journal of Environmental Research and Public Health.2021; 18(16): 8279.     CrossRef
  • Characteristics of children with trauma compared to those with disease in the emergency department: a Korean single regional emergency medical center study
    Yosub Hwang, Ha Young Jo, Hye Won Yoo, Young Mi Kim, Hye-Young Kim
    Pediatric Emergency Medicine Journal.2020; 7(2): 108.     CrossRef
  • Alert Override Patterns With a Medication Clinical Decision Support System in an Academic Emergency Department: Retrospective Descriptive Study
    Junsang Yoo, Jeonghoon Lee, Poong-Lyul Rhee, Dong Kyung Chang, Mira Kang, Jong Soo Choi, David W Bates, Won Chul Cha
    JMIR Medical Informatics.2020; 8(11): e23351.     CrossRef
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Usefulness of Korean Version of Behavioral Cue Checklist for Predicting of Patient Violence in Emergency Departments
Jang Mi Kim, Eun Nam Lee
J Korean Acad Nurs 2018;48(3):289-297.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.3.289
AbstractAbstract PDF
Abstract Purpose

This study aimed to evaluate the usefulness of a behavioral cue checklist (BCC) containing 17 items developed by Wilkes et al. (2010) for identifying potentially violent patients in emergency departments.

Methods

This was a prospective observational study to evaluate the usefulness of the Korean version of a BCC (K-BCC) as an assessment tool for predicting patient violence in emergency departments, and was conducted over 4 weeks in a regional emergency medical center located in B City. A total of 1,324 patients were finally analyzed.

Results

Logistic regression analysis was performed to investigate whether each item of the K-BCC predicts violence, and a parsimonious set of 8 statistically significant items was selected for the tool. Receiver operating characteristic analysis of the BCC showed that the area under the curve was .97 (95% confidence interval: .94~1.0). The sensitivity, specificity, positive predictive value, and negative predictive value at the cut-off score of 2 were 75.6%, 98.9%, 68.2%, and 99.2%, respectively.

Conclusion

The K-BCC was found to be useful in predicting patient violence toward emergency department staff. This tool is simple, and fast to use and can play a significantly role identifying potentially violent patients. Owing to this advance identification, this tool can be helpful in preventing the potential for violence from manifesting as violent behaviors.

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A study of the Nursing Service Quality and Satisfaction that Admitted Patients Perceived: being used SERVQUAL
Mi Aie Lee
Journal of Korean Academy of Nursing 2002;32(4):506-518.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.4.506
AbstractAbstract PDF

PURPOSE: This study was performed to measure the nursing service quality being used SERVQUAL model and satisfaction that the admitted patients perceived. METHOD: The questionnaire founded on the SERVQUAL was developed and distributed to 300 patients at the three general hospitals in three provincial city, Korea. For data analysis, Cronbach's alpha frequencies, percentages, paired t-test, Pearson Correlation Coefficient were used. RESULT: In expectation, patients most highly perceived the assurance factor that was one among the 5 factors being constituted nursing service. In performance, patients most highly perceived the responsiveness factor. The performance degrees of the 5 factors and 20 attributes being constituted nursing service did not exceed the expectation degree of those. So the calculated figures for nursing service quality of the three subjected hospitals were all minus. In relation of the patients' demographics and nursing service characteristics to their general satisfaction, patients' sex, age, income and the all factors and attributes of nursing service had relation to their general satisfaction. CONCLUSION: It could be concluded that the nursing service quality of the three subjected hospitals was poor and the patients' demographic and nursing service characteristics had relation to their general satisfaction.

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  • Examining how and why service quality fosters patients’ revisit intentions: evidence from Pakistan
    Sundas Pervaiz, Usman Javed, Amir Rajput, Shoaib Shafique, Rabia Tasneem
    International Journal of Pharmaceutical and Healthcare Marketing.2024; 18(3): 455.     CrossRef
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    Myoung Lyun Heo, Sook Bin Im
    Journal of Korean Academy of Nursing.2019; 49(1): 80.     CrossRef
  • Hospitalization Experience of Patients Admitted to Nursing Care Integrated Service Wards in Small and Medium-size General Hospitals
    Hyun Ju Choi, A Leum Han, Young Mi Park, JI Hyeon Lee, Young Sook Tae
    Journal of Korean Academy of Nursing Administration.2018; 24(5): 396.     CrossRef
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    Young Soon Choi
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3276.     CrossRef
  • Comparing Satisfaction with Nursing Care and Factors Relevant to Hospital Revisit Intent among Hospitalized Patients in Comprehensive Nursing Care Units and General Care Units
    Sa-Rang Shin, Kyung-Yeon Park
    Journal of Korean Academy of Nursing Administration.2015; 21(5): 469.     CrossRef
  • Positioning Patient-Perceived Medical Services to Develop a Marketing Strategy
    Minsoo Jung, Myung-Sun Hong
    The Health Care Manager.2012; 31(1): 52.     CrossRef
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Evaluation of Government Assisted Visiting Nursing Services of Health Center in 2000
Il Sun Ko, Cho Ja Kim, Tae Wha Lee, Kyung Ja Lee, Eui Sook Kim, Heek Young Ma, Young Sook Lee
Journal of Korean Academy of Nursing 2002;32(3):344-354.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.3.344
AbstractAbstract PDF

PURPOSE: This study is a fact-finding research to understand the status of visiting nursing services operated by health centers in Korea and it aims to provide basic information for policy development on operation and management of visiting nursing services in health centers. METHOD: This study investigates the results of visiting nursing services in 242 health centers from Jan. 10 through Dec. 30, 2000, where 3,106 visiting nurses were employed by the public work program. RESULT: In 2000, 129,401 new household as service recipients was identified and that was 0.9% of Koreas total households (15,137,000), and 5.8% of low income households (2,242,000). The highest high risk group was dementia patients(aver. 55.2/1,000 person). Average number of households visited by visiting nurse were 4.5 households per day and the first-visited houses per visiting nurse were 1.1 households per day. The re-visiting rate was 71.3%. Total 4,059,130 service items were provided and assessment ranked the highest with 33.7%. The satisfaction level of clients on the nurses was an average of 3.17 points in the scale of 4 and the nursing service was a 2.60 points in a scale of 3. CONCLUSION: Visiting nursing service should continue to provide comprehensive healthcare services in cost-effective ways while cooperating with others.

Citations

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  • Effectiveness of Community-based Case Management for Patients with Hypertension
    Soon-Nyoung Yun, In-Sook Lee, Jin Hyun Kim, Young Ko
    Journal of Korean Academy of Community Health Nursing.2014; 25(3): 159.     CrossRef
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    Hyun-Ju Lim, Eun-Kyoung Lee
    Journal of Korean society of Dental Hygiene.2013; 13(4): 693.     CrossRef
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    Hae In Park, Kyung Min Park, Kyung Hee Lee
    Korean Journal of Occupational Health Nursing.2012; 21(2): 77.     CrossRef
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    Jinhyun Kim, Taejin Lee, Jinhee Lee, Sangjin Shin, Eunhee Lee
    Journal of Korean Academy of Community Health Nursing.2010; 21(3): 362.     CrossRef
  • Development of Community Health Center-Based Hospice Management Model: Pilot Project at a Community Health Center in Busan
    Sook Nam Kim, Soon Ock Choi, Young Jae Kim, So Ra Lee
    The Korean Journal of Hospice and Palliative Care.2010; 13(2): 109.     CrossRef
  • Experience of Home Health Nursing Personnel in Actual and Simulated Case Finding of Wife Abuse in Korea
    Young Ran Han
    Public Health Nursing.2008; 25(1): 88.     CrossRef
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  • 6 Crossref
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A Study of the Perception Gap on Nursing Service between Consumers and Providers
Mi Aie Lee
Journal of Korean Academy of Nursing 2001;31(5):871-884.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.5.871
AbstractAbstract PDF

PURPOSE: this study was to investigate the perception gap on nursing service between consumers and providers.
METHOD
the questionnaire founded on the SERVQUAL was developed and distributed to 300 patients and 210 nurses at the three subjected general hospitals in three provincial city, Korea during February to March, 2001. For data analysis, Cronbachs' Alpha, frequency, t-test, and paired t-test were used.
RESULT
1. In the gap analysis on the 20 properties constituting nursing service, providers almost all perceived higher than consumer in quality. Among them, the number of properties being statistically significant was 7 in the expectation, 18 in the important and 7 in the performance. 2. In the comparison analysis of the perception gap on the expectation-performance and the important-performance, it turned out that the subjected hospitals had to improve their equipment and facilities immediately. It was suggested a good strategy to strengthen the responsiveness factor and the assurance factor of nursing service.
CONCLUSION
it could be concluded that nurses have to recognize the blind spot of their perception and endeavor to take away the perception gap between consumers and providers.

Citations

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  • Nursing Intensive‐Care Satisfaction Scale [NICSS]: Development and validation of a patient‐centred instrument
    Marta Romero‐García, Laura de la Cueva‐Ariza, Llucia Benito‐Aracil, Teresa Lluch‐Canut, Joan Trujols‐Albet, Maria Antonia Martínez‐Momblan, Maria‐Eulàlia Juvé‐Udina, Pilar Delgado‐Hito
    Journal of Advanced Nursing.2018; 74(6): 1423.     CrossRef
  • Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals
    Hae Sagong, Ga Eon Lee
    Journal of Korean Academy of Community Health Nursing.2016; 27(4): 309.     CrossRef
  • A comparative study of patients’ and nurses’ perceptions of the quality of nursing services, satisfaction and intent to revisit the hospital: A questionnaire survey
    Mi Aie Lee, Young-Hee Yom
    International Journal of Nursing Studies.2007; 44(4): 545.     CrossRef
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Development of an Urban Community Based Comprehensive Service Model for Bed-Ridden Elderly
Keum Soon Kim, Moon Ja Suh, Nam Ok Cho, In Ja Kim
Journal of Korean Academy of Nursing 2001;31(4):656-668.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.4.656
AbstractAbstract PDF

PURPOSE: This study aims to identify the ADL and IADL of bed-ridden elderly. Also it is used to show fuctional status, and to investigate the content and the level of nursing services provided. METHOD: The subjects were 191 elderly who received visiting nurse service through public health centers in the Seoul Metopolitan and Chungnam Province. Data collection was conducted by public health center nurses during four months in 2000. Result: As for daily living activities, 100% of subjects had at least one difficulty in ADL and IADL. Among them, only 0.5% had moderate disabilities and 99.5% had severe disabilities by HFS, 27.9% were in a semi bed-ridden state and 72.1% were completely bed-ridden by JABC. The major service provided was a visiting nurse service which was preferable to the social welfare service. In the visiting nurse service, there was no significant difference according to the elderlys' functional status. In addition there was no standadization about the qualification of the visiting nurse, and single entry point for the nursing service. CONCLUSION: The researchers urgently suggest that a community based comprehensive service model has to be developed to respond to the needs of the elderly in Korea.

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Analysis of Services and Cost in CVA Patients by Severity in Hospital-based Home Health Care
In Sun Jang, Na Mi Hwang
Journal of Korean Academy of Nursing 2001;31(4):619-630.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.4.619
AbstractAbstract PDF

PURPOSE: The purpose of this study was to analyze the differences in terms of services and cost between CVA without typical diseases (Group I), and CVA with typical diseases (Group II), in their Hospital-based home health care. METHOD: The subjects of this study were 308 CVA patients who used home care nursing during the second phase demonstration project of their hospital-based home health care. Results: The results of the study was as follows 1. Group II had more home visit (15.3/12.7) (p>0.05), and cases of death when home care (16.8/11.4) (p<0.05). 2. Group II needed more services than Group I such as bladder irrigation, skin care, bed sore care, glycerin enema, finger enema, lung care, urine sugar test, monitoring and surveillance of fluid infusion and R.O.M exercise (p<0.05). 3. The variables that showed statistical significance in the regression analysis were family style, OPD visit, level of consciousness, patient's state on termination of home care, and some extend of home health care services (R2=0.373, 0.205). CONCLUSION: Home nursing care needs to be planned by severity in Hospital-based home health care for CVA patients.

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  • Introducing Economic Evaluation as a Policy Tool in Korea: Will Decision Makers get Quality Information?
    Kun-Sei Lee, Werner B F Brouwer, Sang-Il Lee, Hye-Won Koo
    PharmacoEconomics.2005; 23(7): 709.     CrossRef
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An Analysis of Interrupting Factors in Collaboration between Medical Professionals in Home Health Service
Seon Hye Woo
Journal of Korean Academy of Nursing 2000;30(7):1729-1742.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.7.1729
AbstractAbstract PDF

The propose of this study is to give a theoretical basis for better home health service by looking at the subjective structure the collaboration between the home health nurse and doctor and at how collaboration can be improved. There are at least three types of recognition that can help the collaboration. The first type is to put more weight on the relationship between doctors and home health care nurses. This means that doctors and home health care nurses should make an effort to improve, their collaboration. The second type is to put more weight on the reward for doctors' participation. Reward will help collaboration. The third type is to put more weight on organization support. Organization support will bring about trust between doctors and home health care nurses The following conclusion were reached: 1) Trust should exist between doctors and home health care nurses. 2)Doctors should maintain an equal relationship with home health care nurses and accept them as professionals. 3) Appropriate reward should be given to doctors for their participation. 4)Home health care nurses should reinforce their skills through education, training, and professionalization. 5) Home health care nurses should cooperate with doctors by building a system that centers on patients. 6) Collaboration between doctors and home health care nurses is important because it is useful to recognize patients and their families in a broader light. 7) Doctors and home health care nurses need to be more concerned about patients. 8)More active support of hospital administrators and systems is needed to enhance collaboration between doctors and home health care nurses. 9) The present legal system for collaboration between doctors and home health care nurses can be a factor. The nine nursing strategies above will help doctors and home health care nurses build more positive relations and get closer to their patient, more effective home healthcare will get closer to people who want quality medical service.

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A Study on the Differences of Perception between Consumers and Providers about Nursing Service Quality, and the Usefulness of Tools Measuring Nursing Service Quality
Mi Aie Lee
Journal of Korean Academy of Nursing 2000;30(5):1121-1132.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.5.1121
AbstractAbstract PDF

Service quality is, unlike goods quality, an abstract and elusive term. However, quality is very important to marketers and consumers in that it has many strategic benefits in contributing to profitability of marketing activities and consumers' problem-solving activities. The main purpose of this study is 1) to explore the differences of perception between consumers and providers about nursing service quality, 2) to identify the useful tool between two tools measuring nursing service quality. To achieve these purposes of the study, the questionnaire was developed and distributed to 210 nurses who worked at seven subjected hospitals in Seoul. Also, 280 people who had a direct experience with the subjected hospital nursing services at the time of screening were involved. They were randomly selected at the seven subjected hospitals during August to September of 1998. Among them, 165 responses from nurses and 229 responses from others resulted in worthy finds. The measurement instrument for a nursing services quality evaluation was modified from the SERVQUAL model originated from Parasuraman, Zeithaml, and Berry (1988). The reliability coefficient of the scale was calculated and showed high degree of internal consistency (Cronbachs' Alpha = .9353). For data analysis, SPSS/PC was used for descriptive statistics, t-test, ANOVA and regression analysis. The results were as follows: 1) In the perception about nursing services quality, there were gap between consumers and providers. Especially the critical attributes in point of perception nursing services quality, naming satisfy, hygiene and performance factors, are very different contents. 2) In the comparison analysis of the usefulness tools it was turned out that SEVPERF model is more appropriate than SERVQUAL model. And in the analysis to identify the construct validity of the tool, it is turned out that the relationship between the constructing factors of the tool and the general satisfaction is significant.

Citations

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  • Importance and Performances of Visiting Nurse Services Provided under the Long Term Care Insurance System for the Elderly
    Do Hwa Byeon, Hye Jin Hyun
    Journal of Korean Academy of Community Health Nursing.2013; 24(3): 332.     CrossRef
  • Causality Analysis on Health Care Evaluation Criteria for State-Operated Mental Hospitals in Korea Using Malcolm Baldrige National Quality Award Model
    Yang-Kyun Kim, Hyun-Jong Oh
    Community Mental Health Journal.2012; 48(5): 643.     CrossRef
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Comparison of the Costs of Care and Nursing Services for Terminally Ill Patients Receiving Home Hospice Care in Comparison to Institutional Care
Tae Wha Lee, Won Hee Lee, Myung Sil Kim
Journal of Korean Academy of Nursing 2000;30(4):1045-1054.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.4.1045
AbstractAbstract PDF

As cost pressures have escalated, policy makers, politicians, health care providers and families have tried to devise ways to reduce health care costs. While originally developed to enhance patient control and to provide better care at the end of life, hospice care has recently received significant attention as a mean of reducing health care costs. As a program providing care for patients who are dying at their homes, hospice has expanded slowly since the opening of the first hospice in Korea in 1963. Therefore, a variety of services that responds to the needs and concerns of many dying people and their families is limited The purpose of this study was to determine the potential cost savings at the end of life among patients who used home hospice compared with the patients who received institutional care in Korea. This study used a retrospective, descriptive design. The sample for this study included 46 patients who died of lung cancer: 25 patients who received home hospice care and 21 patients who received institutional care. Data on patient characteristics, kinds and frequencies of provided treatment and nursing services, and hospice and hospital charges during the last month before death were collected. Cost of care was measured by the average cost per patient per day in the last month of life. The results of the study indicated that there were significant differences in average cost of care between home hospice sample and institutional care sample (t=9.956, p<.001; home hospice sample: M=18,102 won, institutional care sample: M=317,578 won). The cost of the home hospice sample was approximately 6% of the cost of institutional care. The majority of the home hospice nursing services were education (35.7%) and supportive counseling (25.2%), followed by medication management (13.6%), assessment (12.1%), basic nursing (7.2%), treatment (5.5%) and others. In institutional care sample, basic nursing and treatment were more emphasized than education or supportive counseling among the nursing services provided. The results of this study showed the potential for hospice to reduce costs and implications for policymakers and clinicians to incorporate hospice program into the formal health care delivery system in Korea.

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  • The Perceptions and Needs of Hospice Palliative Care and Shared Decision Making among Middle-Aged Adults
    Na-Yeon Lee, Seungjin Lee, Soo-Kyoung Lee
    The Korean Journal of Hospice and Palliative Care.2016; 19(4): 310.     CrossRef
  • Effects of Integrated Palliative Care Intervention on Quality of Life in Terminal Cancer Patients: A Meta-analysis
    Kae Hwa Jo, Ae Ran Park, Jin Ju Lee
    The Korean Journal of Hospice and Palliative Care.2015; 18(2): 136.     CrossRef
  • Home hospice palliative care service in Korea: Based on focus group interview
    Su-Jin Koh, Yeol Kim, Mi Ok Song, Youngsim Choi, Sung Eun Choi, Hyun Jung Jho, Yun Jung Huh, Myung-Hee Park, Seon Ju Park, So-Hi Kwon
    Journal of the Korean Data and Information Science Society.2014; 25(1): 37.     CrossRef
  • Comparison in Spiritual Well-being and Quality of Life between Hospital and Home Hospice Patients
    Bok Hee Kim, Heeok Park
    Journal of Korean Academy of Community Health Nursing.2013; 24(3): 292.     CrossRef
  • Comparison of the Hospice Systems in the United States, Japan and Taiwan
    Chung Yul Lee, Hiroko Komatsu, Weihua Zhang, Yann-Fen Chao, Ki Kyong Kim, Gwang Suk Kim, Yoon Hee Cho, Ji Sook Ko
    Asian Nursing Research.2010; 4(4): 163.     CrossRef
  • Hospice and Hospice Care in Korea: Evolution, Current Status, and Challenges
    Bok Yae Chung, Yu Xu, Chanyeong Kwak
    Home Health Care Management & Practice.2005; 18(1): 73.     CrossRef
  • Introducing Economic Evaluation as a Policy Tool in Korea: Will Decision Makers get Quality Information?
    Kun-Sei Lee, Werner B F Brouwer, Sang-Il Lee, Hye-Won Koo
    PharmacoEconomics.2005; 23(7): 709.     CrossRef
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A Study on the Forecast of Bed Demand for Institutional Long-term Care in Taegu, Korea
Myung Hi Kim
Journal of Korean Academy of Nursing 2000;30(2):437-451.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.2.437
AbstractAbstract PDF

The purpose of this study was to estimate the forecast of bed demand for institutional long-term care for the elderly persons in Taegu Metropolitan City. The study subject was the total 1,877 elderly persons over age 65 living in Taegu. Among them 1,441 elderly persons were sampled from community and 436 were from the elderly admitted 5 general hospitals. Data collection was carried out by interview from 25 August to 25 December 1997. The measuring instrument of this study was the modified tool of CARE, MAI, PCTC, and ADL which were examined for validity and reliability. In order to forecast bed demand of Nursing Home, this study revised prediction techniques suggested by Robin. The results were as follows : 1. OLDi of Taegu City were 122,202 by the year 1998 and number of Low-Income Elderly Persons were 3,210. 2. The Level I : Senior Citizen Home AQi * ASTAYi ADEMi = --------------- 365 * AOCUi . AQi = OLDi * LADLi * NASi * ALONi * LIADLi * AUTILi Predicted number of bed demand for Home Based Elderly Persons were 4,210 and Low-Income Elderly Persons were 1,081 and Total Elderly Persons were 5,291 by the year 1998, 6,343 by the year 2000 and 8,351 by the 2005. 3. The Level II : Nursing Home (BQ1i+BQ2i) * BSTAYi BDEMi = ----------------------- 365 * BOCUi . BQ1i = OLDi * HADLi * ALONi * HIADLi BQ2i = OLDi * HADLi * FAMi * OBEDi Predicted number of demand for Total Elderly Persons were 668 by the year 1998, 802 by the year 2000 and 1,055 by the 2005. 4. The Level III : Nursing Home COLDi * HDISi * CUTILi * CSTAYi CDEMi = ------------------------------------ + CQi/10 365 * COCUi Predicted number of demand for Total Elderly Persons were 1,899 by the year 1998, 2,311 by the year 2000 and 3,003 by the 2005. 5. Predicted number of bed demand of long-term care facilities in the year 1998 according to Levels were 4.3% among elderly persons in Taegu by Level I, 0.5% by Level II and 1.5% by Level III. Number of elderly persons in current long-term care facilities were 458 in LevelI I,284 in Level II. 6. Deficit number of bed demand of long-term care facilities were 4,833 in Level I, 384 in Level II , 1,899 in Level III for the elderly persons in Taegu Metropolitan City.

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Nursing Services Positioning Analysis for Nursing Services Repositioning
Mi Aie Lee
Journal of Korean Academy of Nursing 1999;29(2):383-392.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.2.383
AbstractAbstract PDF

Recently, the hospitals in Korea has positively changed one way or another. Therefore hospital managers must focus on the nurses' role in terms of consumers' perception of overall image of hospitals and the degree of satisfaction of the consumers To achieve the purposes, the questionnaire was developed and distributed to 280 people who had a direct experience with nursing services subjected hospitals in Seoul at the time of screening. among them, 229 responses were turned out to be useful and used for final analysis. The measurement instrument for hospital nursing service quality evaluation was modified from the SERVQUAL model originated from Parasuraman, Zeithaml, and Berry(1988). For data analysis, SPSS/ PC and PC-MDS program were used. The results were as follows : 1) The perception map showed that the seven subjected hospitals were divided into three groups. It could be interpreted that the hospitals in the same group had a strong competitive relationships. Because the nursing services' scores of hospitals C and E were higher than those of other hospitals, they could be served as a benchmark for the other hospitals. 2) The marketing place of hospital nursing services was divided by four. Since service generally had a strong point in nearby service market segment, Aiming an nearby hospital nursing services market segment by the hospital nursing services department was regarded as a good repositioning strategy. 3) When consumers evaluated the quality of hospital nursing services, they were greatly affected by the hospitals' overall image or other characteristics. Therefore, for improving hospital's nursing services, hospital nursing services department requires a great deal of labor to improve hospitals' overall image or other characteristics.

Citations

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  • Relationship between Psychosocial Factors, Job Stress Contents, Fatigue Symptoms and Quality of Nursing Services among General Hospital Nurses
    Myung-Jun Lee, Seok-Han Yoon, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 569.     CrossRef
  • Analysis of the Influencing Factors on Quality of Nursing Services in General Hospital Nurses using the Structural Equation Model
    Myung-Jun Lee, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(10): 7126.     CrossRef
  • A comparative study of patients’ and nurses’ perceptions of the quality of nursing services, satisfaction and intent to revisit the hospital: A questionnaire survey
    Mi Aie Lee, Young-Hee Yom
    International Journal of Nursing Studies.2007; 44(4): 545.     CrossRef
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  • 3 Crossref
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The Study on the Medical and Nursing Service Needs of the Terminal Cancer Patients and Their Caregivers
So Woo Lee, Eun Ok Lee, Dae Suk Huh, Kuck Hee Noh, Hyun Sook Kim, Sun Rae Kim, Sung Za Kim, Jung Hee Kim, Kung Ok Lee, Eun Hee Lee, Eun Za Chung, Mun Sook Cho, Myung Sook Cho, Myung Ae Whang, Young Ho Yun
Journal of Korean Academy of Nursing 1998;28(4):958-969.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.4.958
AbstractAbstract PDF

In this study, we attempted to investigate the needs and problems of the terminal cancer patients and their family caregivers to provide them with nursing information to improve their quality of life and prepare for a peaceful death. Data was collected from August 1, 1995 to July 31, 1996 at the internal medicine unit of S hospital in Seoul area with the two groups of participants who were family members of terminal cancer patients seventy four of them were in-patients and 34 were out-patients who were discharged from the same hospital for home care. The research tool used in this study has been developed by selecting the questionnaires from various references, modifying them for our purpose and refining then based on the results of preliminary study. While general background information about the patients was obtained by reviewing their medical records, all other information was collected by interviewing the primary family caregivers of the patients using the questionnaire. The data collected were analyzed with the SPSS PC+ program. The results of this study are summarized as follows; 1) Most frequently complained symptoms of the terminal cancer patients were in the order of pain(87%), weakness(86.1%), anorexia(83.3%) and fatigue(80.6%). 2) Main therapies for the terminal cancer patients were pain control(58.3%), hyperalimentation(47.2%) and antibiotics(21.3%). 3) Special medical devices that terminal cancer patients used most were oxygen device(11.1%), and feeding tube(5.6%). Other devices were used by less than 5% of the patents. 4) The mobility of 70.4% of the patients was worse than ECOG 3 level, they had to stay in bed more than 50% of a day. 5) Patients wanted their medical staffs to help relieve pain(45.4%), various physical symptoms(29.6%), and problems associated with their emotion(11.1%). 6) 16.7% of the family caregivers hoped for full recovery of the patients, refusing to admit the status of the patients. also, 37% wished for the extension of the patient's life at least for 6 months. 7) Only 38.9% of the family members was preparing for the patient's funeral. 8) 45.4% of family caregivers prefer hospital as the place for the patient's death, 39.8% their own home, and 14.8% undetermined. 9) caregivers of the patients were mostly close family members, i.e., spouse(62%), and sons and daughters or daughter-in-laws(21.3%). 10) 43.5% of the family caregivers were aware of hospice care. 46.8% of them learned about the hospice care from the mass media, 27.7% from health professionals, and the rest from books and other sources. 11) Caregivers were asked about the most difficult problems they encounter in home care, 41 of them pointed out the lack of health professionals they can contact, counsel and get help from in case of emergency, 17 identified the difficulty of finding appropriate transportation to hospital, and 13 stated the difficulty of admission in hospital as needed. 12) 93.6% of family caregivers demanded 24-hour hot line, 80% the visiting nurses and doctors, and 69.4% the volunteer's help. The above results indicate that terminal patients and their family caregivers demand help from qualified health professionals whenever necessary. Hospice care system led by well-trained medical and nursing staffs is one of the viable answers for such demands.

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  • Factors Influencing Performance of End-of-life Care by ICU Nurses
    Mun Jung Ko, So-Hyun Moon
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2016; 25(4): 327.     CrossRef
  • Clinical Nurses' Perceived or Experienced Obstacles and Supportive Behaviors in Providing Care for Terminally Ill Cancer Patients
    Kyung Suk Heo, Eun-Jun Park
    Asian Oncology Nursing.2016; 16(3): 147.     CrossRef
  • Development and Evaluation of Standardized Telephone Counseling Guidelines on Symptom Management for Patients Discharged after Colorectal Cancer Surgery
    Jin Young Choi, Sook Kyeung Kim, Ji Yeon An, Gu Seul Kim
    Asian Oncology Nursing.2014; 14(3): 191.     CrossRef
  • Assessment of the Effect of a Public Health Clinics’ Home-Based Terminal Cancer Patient Management in Collaboration with a Regional Cancer Center
    Haa-Na Song, Myoung Hee Kang, Gyeong Won Lee, Hoon Gu Kim, Won Sup Lee, Jung Hun Kang, Yoon Sik Kang, Young Eun
    The Korean Journal of Hospice and Palliative Care.2013; 16(1): 10.     CrossRef
  • Experiences of Family Caregivers of Patients with Terminal Cancer
    Eun Sook Choi, Keum Soon Kim
    Journal of Korean Academy of Nursing.2012; 42(2): 280.     CrossRef
  • Needs of Hospice Care and Quality of Life for Cancer Patients
    In Sun Suh, Mi Hwa Shin, Se Hwa Hong
    The Korean Journal of Hospice and Palliative Care.2010; 13(2): 89.     CrossRef
  • Pilot Study on Development of Telecommunication Guideline for Symptom Management of Lung Cancer Patients
    Ji Hyun Sung, Min Young Kim, Ok Hee Hwang, Han Jin Yoo, Eun Ja Lee
    Journal of Korean Oncology Nursing.2010; 10(2): 218.     CrossRef
  • Evaluation of a Community-Based Cancer Patient Management Program: Collaboration between a Hospice Center and Public Health Centers
    Hae Sook Lee, Sun Hee Park, Young Soon Chung, Bookyung Lee, So-Hi Kwon
    The Korean Journal of Hospice and Palliative Care.2010; 13(4): 216.     CrossRef
  • Family Experiences in End-of-Life Care: A Literature Review
    Ji-Soo Yoo, JuHee Lee, Soo Jung Chang
    Asian Nursing Research.2008; 2(4): 223.     CrossRef
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The Current Status of Adult Day Care in Korea: Operation, Staffing, and Service
Yeon Hwan Park
Journal of Korean Academy of Nursing 2007;37(4):613-623.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.4.613
AbstractAbstract PDF
Purpose

The purpose of this study was to describe the operation, staffing, and services provided at adult day care centers in Korea.

Methods

The study was a cross-sectional descriptive survey. The subjects were 209 centers among 280 centers registered in Korea (response rate 74.6%). The data was collected from August to December in 2006.

Results

48.8% of centers were located in a city area. The centers were based on the Social Model 65.5% of the centers were open Monday to Friday, an average of 7~8 hours per day. Dementia, stroke or frail elderly could use the center, and 57.4% of centers were used for dementia and stroke elderly together. The enrollment of elderly was 13.5. The number of total staff was 8.27, the number of RN's and social workers was 0.67, and 2.54 respectively. The social services(Meal preparation 98.6%, Special event 98.1%, Transportation, 97.1%) were provided more than the health services(Physical therapy 98.1%, ADL training 95.2%, Counseling 84.7%, Vaccination 82.8%, Health monitoring 78.9%, Health education 78.5%, Bathing 66.1%, and Speech therapy 28.2%).

Conclusion

These results suggest we have to develop a health-focused adult day health care model based on the needs of elderly and their families. Nurses will have an important role in adult day health care.

Citations

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  • Korean Terminology for Frailty
    Chang Won Won M.D.
    Journal of the Korean Geriatrics Society.2012; 16(2): 51.     CrossRef
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Developing a Psychosocial Rehabilitation Model for Persons with Chronic Mental Illness
Hyun Sook Kim
Journal of Korean Academy of Nursing 2007;37(4):490-500.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.4.490
AbstractAbstract PDF
Purpose

The purpose of this study was to identify factors influencing the outcome of psychosocial rehabilitation for persons with chronic mental illness and to suggest a hypothetical model of psychosocial rehabilitation which is based on the relationship between influencing factors and then to test its fitness empirically.

Method

Data was collected from persons with a chronic mental illness using a self-report questionnaire, and from their case managers using an observed rating questionnaire. A total of 220 cases were used in the final analysis, and a hypothetical model was verified through covariance structure analysis using LISREL.

Result

1) The fitness indices of the model were χ2=133.77 (df=48, p=.00), GFI = 0.93, AGFI = 0.87, RMR = 2.32, NNFI = 0.95 and NFI = 0.95. Twelve paths among fifteen proved to be significant. 2) Psychosocial rehabilitation was influenced directly by symptoms, daily living skill and self-concept, and was influenced indirectly by the psychosocial rehabilitation program service. Psychosocial rehabilitation accounted for 32% of variance of these factors.

Conclusion

This study is expected to contribute to understanding the psychosocial rehabilitation phenomena. Besides it will provide basic information for developing strategies of bio-psycho-sociological interventions and evaluations in regard to influential factors of psychosocial rehabilitation.

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Evaluation of Visiting Nursing Care Using Geographical Information System(GIS) Technology
Suk Jeong Lee, Jeong Mo Park
Journal of Korean Academy of Nursing 2006;36(6):1042-1054.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.6.1042
AbstractAbstract PDF
Purpose

Previous evaluation studies of the visiting nursing program explained an average change of the participants' health status, without considering socio-ecological characteristics and their impacts. However, these factors must affect individual health problems and lifestyles. For effective and appropriate community based programs, the Geographical Information System(GIS) can be utilized. GIS is a computer-based tool for mapping and analyzing things that happen on earth, and integrates statistical analysis with unique visualization. The purpose of this study was to evaluate visiting nursing care and to advocate the usefulness of planning and evaluating visiting nursing programs using Exploratory Spatial Data Analysis(ESDA) with GIS technology.

Methods

One hundred eighty-four elderly participants with cerebrovascular risk factors who lived in 13 areas of one community received visiting nursing care. The data analyzed characteristics of pre-post change and autocorrelation by ESDA using GIS technology.

Results

Visiting nursing care showed an improvement in the participants' lifestyle habits, and family management ability and stress level, while the improvements were different depending on the regions. The change of family management ability and stress level correlated with neighborhoods (Morgan's I= 0.1841, 0.1675).

Conclusions

Community health providers need to consider the individual participant's health status as well as socio-ecological factors. Analysis using GIS technology will contribute to the effective monitoring, evaluation and design of a visiting nursing program.

Citations

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  • Geographical thinking in nursing inquiry, part one: locations, contents, meanings
    Gavin J. Andrews
    Nursing Philosophy.2016; 17(4): 262.     CrossRef
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A Nationwide Survey on Current Conditions of School Health Education
Eun Sook Park, Young Joo Park, Ho Shin Ryu, Keum Sun Han, Rah Il Hwang, Yeo Jin Im, Hye Sang Im, So Hyun Moon
Journal of Korean Academy of Nursing 2006;36(2):381-388.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.2.381
AbstractAbstract PDF
Purpose

The purpose of this study was to analyze and assess the current situation of Korea's school health education program and to establish measures to efficiently carry out school health education in Korea.

Method

The survey was conducted through the internet with the health educators of elementary, middle, and high schools nationwide to assess the current condition of school health education programs, and 2,459 samples were collected which accounted for 23.4% of the total respondents.

Results

According to school health educators on the enforcement of health education, the higher the education became, the less the health education was enforced. The enforcement rate was 96.9% in elementary schools, 76.7% in middle schools, and 67.3% in high schools. The major reasons were found as difficulty in securing class time (54.5%) and other excessive workloads (20.9%). As a result of the health education awareness survey, over 99% answered that health education is needed, over 80% answered that the education requires independent health textbooks, and over 95% answered that health educators are suitable for the person in charge of the education.

Conclusion

This study will be a useful in establishing a detailed policy on enhancing school health education in the future.

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  • The Status Analysis of Health Education for Adolescents: Using Data from Korea Youth Risk Behavior Web-based Survey of 2005, 2010 and 2015
    Jae Young Lee, Hyeon Ok Ju, So Yeon Park
    Journal of the Korean Society of School Health.2017; 30(1): 59.     CrossRef
  • Relations between oral health status and subjective oral health recognition in Korean adolescents
    Dong-Geon Lee, Wang-Keun Yoo
    Journal of Korean society of Dental Hygiene.2015; 15(4): 593.     CrossRef
  • Perceived Importance and Performance of Sex Education between Health Teachers and General Teachers in Middle Schools: Based on the Importance Performance Analysis (IPA)
    Jee Seon Yi, Hye-Sun Jung
    Journal of the Korean Society of School Health.2015; 28(1): 10.     CrossRef
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    Hee Kyoung Im, Jeonghyun Park
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    Min-Jeong Cho
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  • Anger, Anger Expression, and Biopsychosocial Health in Korean Adolescents.
    Young Joo Park, Kuem Sun Han, Nah Mee Shin, Hyun Cheol Kang, Sook Hee Chun, Ji Won Yoon, Hyunjeong Shin
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2010; 19(1): 106.     CrossRef
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    Young-Joo Park, Ho-Sihn Ryu, Keum-Sun Han, Jung Hye Kwon, HanKyeom Kim, Yoon Jung Cho, Hyun-Cheol Kang, Suk-Hee Cheon, Ji-Won Yoon
    Journal of Korean Academy of Nursing.2009; 39(1): 145.     CrossRef
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A Comparative Study of how Subjects' Characteristics and Nursing Service Quality Influence on Hospital Revisiting Intent between Patients and Nurses
Mi Aie Lee
Journal of Korean Academy of Nursing 2005;35(7):1210-1220.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.7.1210
AbstractAbstract PDF
Purpose

This study was aimed to examine how subjects' characteristics and nursing service quality influence hospital revisiting intent, to compare perceptions of patients with those of nurses.

Methods

The questionnaire was developed and distributed to 300 patients and nurses at six general hospitals in a provincial city, Korea. For data analysis, the SPSS/PC program was used.

Results

The nursing service quality's scores of patients is 3.61, that of nurses is 3.77, and there is a significant difference. The hospital revisiting intent's score of patients is 4.84, that of nurses is 4.61, and there are no significant differences. In subjects' characteristics, patients perceive that the hospital is the only different factor, and place hospital revisiting intent at 3.6%. Nurses perceive that education level and position are different factors, and place hospital revisiting intent at 3.3%. In nursing service quality, patients perceive that 2 attributes explain hospital revisiting intent at 17.8% and 2 factors explain it at 16.5%; whereas, nurses perceive that 2 attributes explain hospital revisiting intent at 15.3% and 3 factors explain it at 12.2%.

Conclusions

There are perception gaps between consumers and providers. So nursing and hospital managers must recognize these facts and provide various marketing strategies to overcome them.

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    Hyesun Kim
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    Hyesun Kim, Kawoun Seo
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  • Effects of Nurses' Patient Safety Management Importance, Patient Safety Culture and Nursing Service Quality on Patient Safety Management Activities in Tertiary Hospitals
    Jung Ha Park
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  • A Comparison of Patients' Nursing Service Satisfaction, Hospital Commitment and Revisit Intention between General Care Unit and Comprehensive Nursing Care Unit
    Yun A Jung, Kyung Mi Sung
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    Eun-Yi Yeom, Kawoun Seo
    Journal of Korean Academy of Nursing Administration.2018; 24(5): 445.     CrossRef
  • Influences of Hospital Nurses' perceived reciprocity and Emotional Labor on Quality of Nursing Service and Intent to Leave
    Mi-Aie Lee, Eunjeong Kim
    Journal of Korean Academy of Nursing.2016; 46(3): 364.     CrossRef
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    Ji In Shin, Eunjoo Lee
    Journal of Nursing Management.2016; 24(7): 934.     CrossRef
  • Structural Equation Modeling for Public Hospital Quality of Care, Image, Role Performance, Satisfaction, Intent to (Re)visit, and Intent to Recommend Hospital as Perceived by Community Residents
    Eun Jeong Hwang, In Ok Sim
    Journal of Korean Academy of Nursing.2016; 46(1): 118.     CrossRef
  • Predictors of Patient Satisfaction with Tertiary Hospitals in Korea
    Hye-Sook Ham, Eun Hee Peck, Hee Soo Moon, Hye-A Yeom
    Nursing Research and Practice.2015; 2015: 1.     CrossRef
  • Comparing Satisfaction with Nursing Care and Factors Relevant to Hospital Revisit Intent among Hospitalized Patients in Comprehensive Nursing Care Units and General Care Units
    Sa-Rang Shin, Kyung-Yeon Park
    Journal of Korean Academy of Nursing Administration.2015; 21(5): 469.     CrossRef
  • Effect of Creative Behavior on Passion about One’s Job for Hospital Administrative Staff Members
    Jung-Do Lim, Hong-Gil Jeong
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  • Influence of Occupational Stress and Burnout on Turnover Intention of Caregivers in Geriatric Hospitals
    Mi Ra Lee
    Korean Journal of Occupational Health Nursing.2012; 21(3): 290.     CrossRef
  • Relationship among Nursing Service Quality, Medical Service Satisfaction, and Hospital Revisit Intent
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  • Comparison of Emotional Labor and Job Stress of Hospital Nursing Staff
    Suk-Jung Han, Oh-Soon Yoon, Myung-Soon Kwon, Myung-Sun Song
    Korean Journal of Occupational Health Nursing.2011; 20(1): 55.     CrossRef
  • The Impact of Patient Satisfaction With Nursing Care Services, Switching Costs and Perceived Risk on Intention of Reuse in the Emergency Medical Center
    Hyun Jeong Kim, Young-Hee Yom
    Journal of Korean Academy of Nursing Administration.2011; 17(4): 432.     CrossRef
  • Influences of Job Stress and Burnout on Turnover Intention of Nurses
    Geum-Suk Yoon, Souk Young Kim
    Journal of Korean Academy of Nursing Administration.2010; 16(4): 507.     CrossRef
  • Qualitative Research Investigating Patterns of Health Care Behavior among Korean Patients with Chronic Hepatitis B
    Jin-Hyang Yang, Myung-Ok Cho, Hae-Ok Lee
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Types of Students' Death Attitudes Majoring in Human Service Area: Q-Methodological Approach
Kae Hwa Jo, Hyun Ji Lee, Yun Ju Lee
Journal of Korean Academy of Nursing 2005;35(5):829-841.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.5.829
AbstractAbstract PDF
Purpose

The purpose of this study was to analyze death attitudes of students majoring in the human service area, such as nursing science, education, and social welfare.

Method

The Q-methodology which provides a method of analyzing the subjectivity of each item was used. The 38 selected Q-statements from each of 42 subjects were classified into a shape of normal distribution using a 9 point scale. The collected data was analyzed using a QUANL PC program.

Result

Four types of death attitudes for research subjects in nursing, education, and social welfare areas were identified. Type I is fatalistic admission, Type II is pursuit of existential life, Type III is uncertainty of life after death, and Type IV is separation-connection between life and death.

Conclusion

The results of the study indicate that different approaches of death educational programs are recommended based on the four types of death attitudes.

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  • Convergence Analysis of Factors Influencing the End-of-life Care Attitude in Undergraduate Nursing Students
    Seung Ae Yang
    Journal of the Korea Convergence Society.2016; 7(4): 141.     CrossRef
  • Factors influencing the attitude toward death in college nursing student
    Jong Gun Kim, Su Min Oh, Eui Young Cheon, Jang Hak Yoo
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(1): 676.     CrossRef
  • Paramedic students' awareness and attitude toward a do-not-resuscitate (DNR) order and death
    Bo-Ram Choi, Dong-Ok Kim
    The Korean Journal of Emergency Medical Services.2015; 19(2): 71.     CrossRef
  • Subjectivity toward Death among HIV-Positive Men
    Eun-Ju Lee
    The Korean Journal of Hospice and Palliative Care.2014; 17(3): 142.     CrossRef
  • Nursing Students’ First Clinical Experiences of Death
    Hyoung Sook Park, Youngju Jee, Soon Hee Kim, Yoon-ji Kim
    The Korean Journal of Hospice and Palliative Care.2014; 17(3): 161.     CrossRef
  • An Analysis of Factors about Nursing Students' Attitudes Toward the Perception of Death : Q-sort method
    Yong-Sook Eo, Young-Hee Kim, Kyong-Ri Lee
    Journal of Fisheries and Marine Sciences Education.2013; 25(6): 1294.     CrossRef
  • Death Metaphors in Korean Undergraduate Nursing Students
    Kae-Hwa Jo, Gyeong-Ju An
    Holistic Nursing Practice.2012; 26(2): 79.     CrossRef
  • Development and Evaluation of a Dignified Dying Scale for Korean Adults
    Kae-Hwa Jo
    Journal of Korean Academy of Nursing.2011; 41(3): 313.     CrossRef
  • Effect of an End-of-Life Care Education Program Among Korean Nurses
    Kae-Hwa Jo, Ardith Z. Doorenbos, Gyeong Ju An
    Journal of Hospice & Palliative Nursing.2009; 11(4): 230.     CrossRef
  • Relationship between Self-efficacy, Depression, Level of Satisfaction and Death Attitude of College Students
    Kae-Hwa Jo, Hyun Ji Lee
    Journal of Korean Academy of Nursing.2008; 38(2): 229.     CrossRef
  • The Perception of Good Death Among Human Service Students in South Korea: A Q-Methodological Approach
    Hyun Ji Lee, Kae Hwa Jo, Kyong Hee Chee, Yun Ju Lee
    Death Studies.2008; 32(9): 870.     CrossRef
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The Differences in Quality Perceptions, Expectations, Evaluation, and Satisfaction for Nursing Service between Patients and Nurses: Small-medium Sized General Hospitals
Jeong Hee Kim, In Sook Lee
Journal of Korean Academy of Nursing 2004;34(7):1243-1254.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.7.1243
AbstractAbstract PDF
Purpose

This study was performed to give direction to quality improvement strategies of nursing services by comparing the differences in quality perceptions and satisfaction for nursing services between patients and nurses in small-medium sized general hospitals with 200 beds.

Method

The subjects, who were 150 inpatients and 162 nurses of 4 general hospitals in a community, answered a self-report questionnaire with a SERVQUAL scale.

Result

There were differences between patients' and nurses' expectations and perceptions of nursing service and satisfaction. In the service expectation, the highest factor was ‘the responsiveness’, and in the perceived performance, the highest was the ‘assurance’. In addition, overall patients' perceptions on nursing services showed higher than nurses'. There were positive correlations among the expectations and perceptions on nursing service, and satisfaction. The correlation between perception and satisfaction was higher than the correlation between expectations and satisfaction.

Conclusion

To improve the nursing service quality at small-medium hospitals, strengthening the ‘assurance’ factor and improving the nursing service support system is needed. Also, this study on nurses' perceived nursing service at small-medium sized hospitals should be duplicated.

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  • Developing a multimedia encyclopedia for little people and their families
    Sherry Y. Chen, Boren You
    Universal Access in the Information Society.2017; 16(4): 977.     CrossRef
  • Structural Equation Modeling for Public Hospital Quality of Care, Image, Role Performance, Satisfaction, Intent to (Re)visit, and Intent to Recommend Hospital as Perceived by Community Residents
    Eun Jeong Hwang, In Ok Sim
    Journal of Korean Academy of Nursing.2016; 46(1): 118.     CrossRef
  • Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals
    Hae Sagong, Ga Eon Lee
    Journal of Korean Academy of Community Health Nursing.2016; 27(4): 309.     CrossRef
  • Comparing Satisfaction with Nursing Care and Factors Relevant to Hospital Revisit Intent among Hospitalized Patients in Comprehensive Nursing Care Units and General Care Units
    Sa-Rang Shin, Kyung-Yeon Park
    Journal of Korean Academy of Nursing Administration.2015; 21(5): 469.     CrossRef
  • The Effects of Quality of Care, Image, Role Performance Perceived by Community Residents on Medical Service Satisfaction to Public Hospitals
    Eun Jeong Hwang, Jungjoo Moon, In Ok Sim
    Health Policy and Management.2014; 24(2): 153.     CrossRef
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    Mariyam Nashrath, Thitinut Akkadechanunt, Ratanawadee Chontawan
    Nursing & Health Sciences.2011; 13(4): 495.     CrossRef
  • A Study on Family Satisfaction with Community Mental Health Center Services in Gyeonggi Province by Families of People with Mental Illness
    Hee Jung Kim
    Journal of Korean Academy of Nursing.2009; 39(1): 124.     CrossRef
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  • 9 Download
  • 7 Crossref
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Estimating the Cost of Visiting Nursing Service by Visiting Nursing Model for Urban Public Health Center in Korea
Ho Sihn Ryu
Journal of Korean Academy of Nursing 2004;34(6):983-993.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.6.983
AbstractAbstract PDF
Purpose

This study focused on analysing costs per visiting nursing care based on nursing activities in a public health center.

Method

The Easley-Storfjell Instrument(1997) was used for a prospective descriptive analysis of self-records for workload data from 10 visiting nurses during 4 weeks on all nursing activities. In addition, analysis of the 478 visiting nursing records and cost data from 5 home visiting departments in public health centers during one year of 2003 was done.

Result

The workload of visiting nurses by the type of model was identified as follows: Type I showed that caseloads made up 32.9 % of all nurse activities, and type II showed that the caseloads made up 45.8 %. Second, The cost per visit in type I was 33,088 won and 31,323 won in type II. Third, the estimated budgets were 1,902,436 won to 12,057,696 won for the type I model. and 4,151,316 won to 17,432,712 won for the type II model for one year.

Conclusion

This study's results will contribute to baseline data used to establish on infrastructure for visiting nursing program and visiting nursing agencies based on the budget of visiting nursing services.

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  • Estimating need for Home Visiting Nurse from Public Health Centers
    Hyun-Ji Bae, Jinhyun Kim
    Perspectives in Nursing Science.2015; 12(1): 23.     CrossRef
  • Estimation of Nursing Costs Based on Nurse Visit Time for Long-Term Care Services
    Eun-Kyung Kim, Yun Mi Kim, Myung Ae Kim
    Journal of Korean Academy of Nursing.2010; 40(3): 349.     CrossRef
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Working with Vulnerable Families: A Nurse Home Visiting Perspective
In Sook Lee
Journal of Korean Academy of Nursing 2004;34(6):1025-1034.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.6.1025
AbstractAbstract PDF
Purpose

This study defines a vulnerable group in a community that has become the main target of a national health project also, it is descriptive research to suggest an evidence-based direction to meet their deficit health-related needs.

Method

This research examined 833 families and 1,835 family members of the financially vulnerable class that was registered in a home visiting program of a public health center. Among them, 892 persons who had health problems, and their family members were examined in detail to find out their characteristics of vulnerability and health needs by assessment during a nurses home visit. Frequency distribution, stepwise-regression and factor analysis were used to analyze the data.

Result

The vulnerable group that was defined with social indexes set as standards, involved substantial characteristics of vulnerability. The characteristics of demand showed tendencies of being clustered in 5 factors needs of intensive nursing care, chronic nursing care problems and helplessness, maintenance of family functioning with a disability, deficient problem solving ability, and simple financial fragility.

Conclusion

Categorization of needs is an evidence-based estimator of workload in nurse home visiting services, and can be used as a basic resource for direction to meet the deficit needs of a vulnerable group.

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Functional Status of Stroke Patients among Different Long-Term Care Settings
Eun Young Kim
Journal of Korean Academy of Nursing 2004;34(2):372-378.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.2.372
AbstractAbstract PDF
Purpose

The purpose of this study was to measure the functional status of stroke patients cared for in different long-term care settings.

Method

We assessed all stroke patients in two home health care agencies, four nursing homes and one geriatric hospital in Korea (n=171) using the Resident Assessment Instrument (RAI), which comprises Activity of Daily Living (ADL), urine incontinence, bowel incontinence, a Cognitive Performance Scale (CPS),and being understood and understanding others. Data was collected by face-to-face surveys with patients.

Results

The mean ADL score, urine incontinence score, bowel incontinence score, CPS, and being understood score and understanding others score were lowest for the patients receiving home health care, and highest for the patients in nursing homes. Low scores described poor and high scores good functional status. The results showed significant differences in physical and cognitive function scores between the three groups of patients.

Conclusion

This study suggests that there may be large differences between the patients in these three types of long-term care settings. These findings can be used to help develop and implement efficient long-term care programs.

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  • Prevalence and potential determinants of musculoskeletal disease symptoms among care workers in long‐term care facilities in South Korea
    Myung‐Sook Park, Mi Yu, Su‐Jeong Yu, Kyung‐Ja Kang, Hyun‐Mi Seo
    Japan Journal of Nursing Science.2014; 11(3): 211.     CrossRef
  • The Long-term Care Utilization of the Elderly with Dementia, Stroke, and Multimorbidity in Korea
    Boyoung Jeon, Soonman Kwon, Hongsoo Kim
    Health Policy and Management.2013; 23(1): 90.     CrossRef
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A Study of the Nursing Service Quality and Gap Perceived by Consumers
Mi Aie Lee
Journal of Korean Academy of Nursing 2004;34(2):225-234.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.2.225
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a tool that measures the quality of nursing service, to measure the quality of nursing service perceived by consumers, and to identify the gaps between ideal and actual nursing services.

Method

A questionnaire was developed and distributed to 300 people who had been hospitalized in one of six general hospitals with quality of nursing services in five provincial cities in Korea. For data analysis, the SPSS/WIN(ver 10.0) program was used.

Result

The 20 attributes included in the instrument of quality of nursing service is abstracted into 2 factors : tangibility and intangibility. In quality analysis, 15 of 20 attributes are minus scores, meaning that those nursing services are perceived as generally low. However among the minus scores' attributes, only two attributes are significant statistically. Gaps between importance and performance of the nursing service exists in 19 among 20 attributes.

Conclusion

Nursing service quality (performance-expectation) needs to be improved, and Gaps (importance-performance) reduced. In addition, a tool measuring nursing service quality has to be developed so nurses can deal successfully with the quality and gaps of nursing service perceived by consumers.

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  • The Effects of Compassion Competence, Clinical Nursing Character, and Nursing Professionalism on Nursing Service Quality of Long-term Care Hospital Nurses
    Young Moon Cho, Hyun O We
    The Korean Journal of Rehabilitation Nursing.2024; 27(1): 11.     CrossRef
  • Comparison with Importance and Performance in Rehabilitation Nursing Needs Perceived by Stroke Patients Admitted to a Rehabilitation Hospital and Nurses
    Eun Hee Lee, Eun Ko
    The Korean Journal of Rehabilitation Nursing.2016; 19(1): 30.     CrossRef
  • The Relationships in Emotional Intelligence, Job Satisfaction, and Quality of Nursing Service in Hospital Nurses
    Ra-jin Jang, Young-Sil Kang, Yu-mi Kim
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(6): 326.     CrossRef
  • Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals
    Hae Sagong, Ga Eon Lee
    Journal of Korean Academy of Community Health Nursing.2016; 27(4): 309.     CrossRef
  • Evaluation of Health Care Services of Public Health Centers: SERVQUAL
    Hye Young Joung, Do Hwa Byeon
    Journal of Korean Public Health Nursing.2014; 28(3): 553.     CrossRef
  • Importance and Performances of Visiting Nurse Services Provided under the Long Term Care Insurance System for the Elderly
    Do Hwa Byeon, Hye Jin Hyun
    Journal of Korean Academy of Community Health Nursing.2013; 24(3): 332.     CrossRef
  • An analysis on the importance and performance of home help service through measuring service quality perceived by its users
    Do-Hwa Byeon
    Journal of the Korea Academia-Industrial cooperation Society.2013; 14(1): 247.     CrossRef
  • A Study on Family Satisfaction with Community Mental Health Center Services in Gyeonggi Province by Families of People with Mental Illness
    Hee Jung Kim
    Journal of Korean Academy of Nursing.2009; 39(1): 124.     CrossRef
  • 794 View
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Health Problems and Support from the Health & Welfare Service in the Elderly at Home
In Young Yoo
Journal of Korean Academy of Nursing 2004;34(1):111-122.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.1.111
AbstractAbstract PDF
Purpose

This study was conducted to identify health problems and support received from the health and welfare service using MDS-HC(Minimun Data Set for Home Care) in the aged living at home.

Method

Eighty-one elderly persons were selected from those listed in community-welfare service centers in Seoul and Kyunggi Province between December 2002 and January 2003.

Result

Eleven health problems per elderly person on average were identified, and the frequent care needs were in order: preventive health measure, health promotion, visual function, depression & anxiety, communication disorders, social function, pain, environmental assessment, oral health, cognition and falls. The number of health problems by the level of ADL was ‘ ADL 1(Independence)’ 9.87, ‘ ADL 2(Partial independence)’ 12.78, ‘ ADL 3(Dependence)’ 13.73. Utilization of formal health & welfare services among the elderly was ‘ meals on wheels’ 40.7%, ‘ home helper’ 38.2%, ‘ visiting of social welfare worker’ 21.0%, ‘ physical therapy’ 19.6%, ‘ day care center’ 12.3%, ‘ volunteer's service’ 9.9%, ‘ home visiting care’ 3.7%, ‘ occupational therapy’ 3.7%, and ‘ speech therapy’ 2.5%.

Conclusion

The results suggest that using the MDS-HC 2.0 is applicable to help decide criteria for both health and welfare service supplied to the elderly.

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  • The Prospect of the Fourth Industrial Revolution and Home Healthcare in Super-Aged Society
    Jai-Yon Lee, Jae-Young Lim
    Annals of Geriatric Medicine and Research.2017; 21(3): 95.     CrossRef
  • Health Needs of the Elderly in Long-term Care Facilities: Using RAI-MDS-FC
    Eun-Joo Bang, Soon-Young Yun
    Journal of Korean Academy of Community Health Nursing.2010; 21(2): 263.     CrossRef
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A Study of the Nursing Service Perceived by Consumers and Providers, and the Tool that Measures Nursing Service
Mi Aie Lee
Journal of Korean Academy of Nursing 2003;33(6):772-783.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.6.772
AbstractAbstract PDF
Purpose

This study was performed to measure the nursing service perceived value by consumer and providers, and to investigate the relationship among nursing service, general satisfaction and hospital revisiting intent, and to examinate the tools that measures nursing service's reliability, construct validity and usefulness.

Method

The questionnaire was developed and distributed to 300 patients and 210 nurses at three general hospitals. For data analysis, SPSS/PC program was used.

Result

The nursing service perceived value by providers is higher than that by consumers. There are distinctive difference in the expectation, and importance and performance values of the nursing service perceived. In examination of the relationship among nursing service, general satisfaction and hospital revisiting intent, nursing service has a deep relationship with general satisfaction, but doesn't have relationship with hospital revisiting intent. The tool that measures nursing service has a good reliability and construct validity. In analysis on the usefulness between the tools, SERVPERF tool is more useful than SERVQUAL tool.

Conclusion

The nursing service perceived value by consumer is different that by providers, and the tool that measures nursing service has a good reliability and construct validity. The SERVPERF tool is more useful than SERVQUAL tool.

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    Chae Won Lee, Sujin Kang, Youngji Kim
    The Journal of Korean Academic Society of Nursing Education.2025; 31(1): 28.     CrossRef
  • The Influence of Dental Hygienists’ Self-Leadership on Organizational Commitment and Quality of Medical Services
    Da-Eun Lee, Do-Seon Lim, Min-Ji Park, Se-Jeong Park, Chi-Yoon Sung, Sang-In Lee, Ha-Rim Lee, Hyoung-Joo Kim, Hee-Jung Lim
    Journal of Dental Hygiene Science.2022; 22(4): 222.     CrossRef
  • Enabling Deeper Linguistic-Based Text Analytics—Construct Development for the Criticality of Negative Service Experience
    Adegboyega Ojo, Nina Rizun
    IEEE Access.2019; 7: 169217.     CrossRef
  • The Effects of Hospital Nurses' Self-Esteem and Communication Skill on Self-Leadership and the Quality of Nursing Service
    Hee-Jung Song, Sang-Mi Lee
    Journal of Korean Academy of Nursing Administration.2016; 22(3): 220.     CrossRef
  • Relationship between Psychosocial Factors, Job Stress Contents, Fatigue Symptoms and Quality of Nursing Services among General Hospital Nurses
    Myung-Jun Lee, Seok-Han Yoon, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 569.     CrossRef
  • Analysis of the Influencing Factors on Quality of Nursing Services in General Hospital Nurses using the Structural Equation Model
    Myung-Jun Lee, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(10): 7126.     CrossRef
  • Importance and Performances of Visiting Nurse Services Provided under the Long Term Care Insurance System for the Elderly
    Do Hwa Byeon, Hye Jin Hyun
    Journal of Korean Academy of Community Health Nursing.2013; 24(3): 332.     CrossRef
  • Causality Analysis on Health Care Evaluation Criteria for State-Operated Mental Hospitals in Korea Using Malcolm Baldrige National Quality Award Model
    Yang-Kyun Kim, Hyun-Jong Oh
    Community Mental Health Journal.2012; 48(5): 643.     CrossRef
  • A comparative study of patients’ and nurses’ perceptions of the quality of nursing services, satisfaction and intent to revisit the hospital: A questionnaire survey
    Mi Aie Lee, Young-Hee Yom
    International Journal of Nursing Studies.2007; 44(4): 545.     CrossRef
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A Study on Link of Health and Welfare Service and Barrier's Factors of Visiting Nurses and Social Welfare workers
In Young Yoo
Journal of Korean Academy of Nursing 2003;33(1):113-121.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.1.113
AbstractAbstract
Purpose

The purpose of this study was to explore the link between health and welfare service and barrier's factors by reviewing the connection between the public health center's visiting nurse and social welfare center's social workers

Method

A survey by mail or a face-to-face interview of 151 visiting nurses in 25 public health centers and 48 social welfare workers in general social welfare centers in Seoul, was preformed from Feb. 12, 2001 to Mar. 15, 2001. The data were analyzed with frequency, percentage, mean value, paired t-test and independent t-test using SPSS/WIN 7.5 program.

Result

1. ‘ The necessity and degree of cooperation with social welfare workers of visiting nurse’ scored average 4.49 and 3.19, and ‘ The necessity and degree of cooperation with visiting nurse and social welfare workers’ scored average 4.81 and 3.15 on the five-point scale ; there was a significant difference between the two variable in visiting nurse and social welfare workers. 2. In barrier's factors which health and welfare service offer to, visiting nurses showed statistically significant higher score than social welfare staff ; ‘ job factor’, ‘ resource factor’, ‘ clients factor’, ‘ individual ability factor’

Conclusion

In order to provide link system that hold clients in common in public health center and social welfare center, it is recommended a case management team should be constructed and educate visiting nurses for case manager.

Citations

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  • The Correlation between Nursing Professional Values and Job Satisfaction Depending on the Types of Visiting Nurses' Personality
    Hae In Park, Kyung Min Park, Kyung Hee Lee
    Korean Journal of Occupational Health Nursing.2012; 21(2): 77.     CrossRef
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Semantic Network Analysis of Online News and Social Media Text Related to Comprehensive Nursing Care Service
Minji Kim, Mona Choi, Yoosik Youm
J Korean Acad Nurs 2017;47(6):806-816.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.6.806
AbstractAbstract PDF
Abstract Purpose

As comprehensive nursing care service has gradually expanded, it has become necessary to explore the various opinions about it. The purpose of this study is to explore the large amount of text data regarding comprehensive nursing care service extracted from online news and social media by applying a semantic network analysis.

Methods

The web pages of the Korean Nurses Association (KNA) News, major daily newspapers, and Twitter were crawled by searching the keyword ‘comprehensive nursing care service’ using Python. A morphological analysis was performed using KoNLPy. Nodes on a ‘comprehensive nursing care service’ cluster were selected, and frequency, edge weight, and degree centrality were calculated and visualized with Gephi for the semantic network.

Results

A total of 536 news pages and 464 tweets were analyzed. In the KNA News and major daily newspapers, ‘nursing workforce’ and ‘nursing service’ were highly rated in frequency, edge weight, and degree centrality. On Twitter, the most frequent nodes were ‘National Health Insurance Service’ and ‘comprehensive nursing care service hospital.’ The nodes with the highest edge weight were ‘national health insurance,’ ‘wards without caregiver presence,’ and ‘caregiving costs.’ ‘National Health Insurance Service’ was highest in degree centrality.

Conclusion

This study provides an example of how to use atypical big data for a nursing issue through semantic network analysis to explore diverse perspectives surrounding the nursing community through various media sources. Applying semantic network analysis to online big data to gather information regarding various nursing issues would help to explore opinions for formulating and implementing nursing policies.

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    Eun Kyoung Yun, Jung Ok Kim, Hye Min Byun, Guk Geun Lee
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Review Article
An Integrative Review of Home Care Service for Pregnant Women, Mothers, Infants, and Toddlers in Vulnerable Group
Dasom Kim, Insook Lee
J Korean Acad Nurs 2017;47(5):577-588.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.5.577
AbstractAbstract PDF
Abstract Purpose

This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groups through an integrative literature review.

Methods

We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of community health nursing who had participated in the systematic review of literature. A framework was developed to identify the intervention patterns in the selected papers and categorize various elements. The extracted intervention elements were grouped into potential themes, which were verified by assessors on whether they clearly reflected the interventions in the papers.

Results

Among 878 searched papers, we selected 16 papers after excluding literature that does not satisfy the selection criteria and quality evaluation. The intervention elements of 16 selected papers were categorized into six themes. The extracted intervention elements were divided into the themes of Patient-specific/Situation-specific care planning and intervention, Emphasis on self care competency, Intense home visit by developmental milestone, Reinforcing and modeling mother-child attachment, Communication and interaction across the intervention, Linkage with community resource and multidisciplinary approach.

Conclusion

As a result of the analysis of proper interventions of home care services for mothers and children in vulnerable groups, it was found that it is necessary to consider indispensable intervention elements that can standardize the quality of home care services, and conduct studies on developing intervention programs based on the elements.

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    Seo Yun Kim, Hae Won Kim
    Korean Journal of Women Health Nursing.2020; 26(2): 109.     CrossRef
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    Su Hyun Kim, Hyang-In Cho Chung
    Journal of Korean Academy of Nursing.2019; 49(6): 677.     CrossRef
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    Yul-mai Song, Moonju Song, Sunah Kim
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(4): 355.     CrossRef
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Original Articles
Effects of Home Care Services Use by Older Adults on Family Caregiver Distress
Jiyeon Kim, Hongsoo Kim
J Korean Acad Nurs 2016;46(6):836-847.   Published online December 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.6.836
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the association between utilization of home care services under the national long-term care insurance system and family caregiver distress.

Methods

A secondary data analysis was conducted in this study using data collected in 2011 and 2012 from the Korean version of International Resident Assessment Instrument (interRAI) Home Care assessment system. The study sample included 228 clients receiving community based home care and their family caregivers in Korea. Descriptive statistics, χ2 test, t-test, and Heckman selection model analysis were conducted using SAS 9.3.

Results

Presence of family caregiver distress was significantly associated with days of nurse visits (β=-.89, p=<.001) and home helper visits (β=-.53, p=.014). Level of caregiver distress was also significantly associated with days of nurse visits (β=-.66, p=.028). Other factors which were significantly associated with caregiver distress were depression, cognitive function, inadequate pain control, social support for older adult, and caregiver relationship to the older adult.

Conclusion

The results of this study show that visiting nurse service and appropriate support programs for Older Adults and family caregivers experiencing caregiver distress should be developed and provided to families based on the health care needs of older adults and their family caregivers for effective and sustainable home care.

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  • Career Disruption and Employment Status of Korean Family Caregivers of Older Adults Using Home-Based Care
    Minah Lee
    Nursing Reports.2024; 14(3): 1587.     CrossRef
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    Eun Sil Lee, Mi Young Kim
    Journal of Korean Gerontological Nursing.2023; 25(1): 76.     CrossRef
  • Korean primary health care program for people with disabilities: do they really want home-based primary care?
    Hye-Jin Kim, Jae-Young Lim, Soong-Nang Jang
    BMC Health Services Research.2023;[Epub]     CrossRef
  • Use of Home Care Services Reduces Care-Related Strain in Long-Distance Caregivers
    Francesca B Falzarano, Verena Cimarolli, Kathrin Boerner, Karen L Siedlecki, Amy Horowitz, Suzanne Meeks
    The Gerontologist.2022; 62(2): 252.     CrossRef
  • Comparing the Needs of Family Caregivers and Program Providers in Long-Term Care in Terms of Family Support Program
    Myonghwa Park, Younghye Go, Miri Jeong, Eun-Jeong Han
    Korean Journal of Adult Nursing.2019; 31(1): 14.     CrossRef
  • Development and Application of Cost Management Program for Visiting Nursing Centers Using Time-Driven Activity-Based Costing
    Juhang Kim, Ji Young Lim
    Journal of Korean Academy of Nursing.2019; 49(5): 586.     CrossRef
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Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction
Hye Mi Ahn, Hyeongsu Kim, Kun Sei Lee, Jung Hyun Lee, Hyo Seon Jeong, Soung Hoon Chang, Kyeong Ryong Lee, Sung Hea Kim, Eun Young Shin
J Korean Acad Nurs 2016;46(6):804-812.   Published online December 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.6.804
AbstractAbstract PDF
Purpose

This research was done to identify the hospital arrival rate and factors related to prehospital delay in arriving at an emergency medical center within the golden time after symptom onset in patients with acute myocardial infarction (AMI).

Methods

Data used in the research was from the National Emergency Department Information System of the National Emergency Medical Center which reported that in 2014, 9,611 patients went to emergency medical centers for acute myocardial infarction. Prehospital time is the time from onset to arrival at an emergency medical center and is analyzed by subdividing arrival and delay based on golden time of 2 hour.

Results

After onset of acute myocardial infarction, arrival rate to emergency medical centers within the golden time was 44.0%(4,233), and factors related to prehospital delay were gender, age, region of residence, symptoms, path to hospital visit, and method of transportation.

Conclusion

Results of this study show that in 2014 more than half of AMI patients arrive at emergency medical centers after the golden time for proper treatment of AMI. In order to reduce prehospital delay, new policy that reflects factors influencing prehospital delay should be developed. Especially, public campaigns and education to provide information on AMI initial symptoms and to enhance utilizing EMS to get to the emergency medical center driectly should be implemented for patients and/or caregivers.

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    Future Cardiology.2025; 21(11): 913.     CrossRef
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    Hee-Jung Jun, SeungYeoup Kang
    Journal of Korea Planning Association.2023; 58(2): 38.     CrossRef
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    Amir Hossein Atabaki, Abbas Montazeri, Hashem Rafii-Tabar, Pezhman Sasanpour
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    Kyong Sil Park
    Epidemiology and Health.2021; 43: e2021006.     CrossRef
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    Mirae Jo, Heeyoung Oh, Suk-Yong Jang
    Journal of Health Informatics and Statistics.2021; 46(1): 8.     CrossRef
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Economic Effect of Home Health Care Services for Community-dwelling Vulnerable Populations
Eunhee Lee, Jinhyun Kim
J Korean Acad Nurs 2016;46(4):562-571.   Published online August 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.4.562
AbstractAbstract PDF
Purpose

In this study the costs and benefits of a home health care program were examined to evaluate the economic feasibility of the program.

Methods

The study participants included 349 patients in the community who had been registered at a home health care center for 5 years. The costs and benefits of the program were analyzed using performance data and health data. The benefits were classified as the effects of pressure ulcer care, skin wound care and catheters management. The program effect was evaluated on the change of progress using transition probability. Benefits were divided into direct benefit such as the savings in medical costs and transportation costs, and indirect benefits which included saving in productivity loss and lost future income.

Results

Participants had an average of 1.82 health problems. The input cost was KRW 36.8~153.3 million, the benefit was KRW 95.4~279.7 million. Direct benefits accounted for 53.4%~81.2%, and was higher than indirect benefits. The net benefit was greater than 0 from 2006 to 2009, and then dropped below 0 in 2010.

Conclusion

The average net benefit during 5 years was over 0 and the benefit cost ratoi was over 1.00, indicating that the home health care program si economical.

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    Hana Lee, Aeri Kim, Hyunsook Heo, Jisoo Lee, Kyungmi Woo
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Influences of Hospital Nurses' perceived reciprocity and Emotional Labor on Quality of Nursing Service and Intent to Leave
Mi-Aie Lee, Eunjeong Kim
J Korean Acad Nurs 2016;46(3):364-374.   Published online June 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.3.364
AbstractAbstract PDF
Purpose

This study was performed to investigate the relationship among reciprocity, emotional labor, nursing service quality and intent to leave, and to identify factors influencing nursing service quality and intent to leave.

Methods

This study was a cross-sectional survey. Participants were 300 nurses working at five general hospitals in two provincial cities in Gyeongsang Province, Korea. From May 1 to June 30, 2014, data were collected using structured questionnaires and analyzed with SPSS/PC ver 20.0 programs.

Results

There were relationships between reciprocity and nursing service quality, and intent to leave, and between emotional labor and intent to leave. Participants' general characteristics, reciprocity and emotional labor explained 48.4% of variance in nursing service quality and participants' general characteristics and these two independent variables explained 31.9% of intent to leave.

Conclusion

These findings indicate that from the perception of hospital nurses, reciprocity and emotional labor are both very important factors to improve the quality of nursing service and decrease the intent to leave. So nursing managers should try to develop various personnel management programs focused on human emotions, and create a mutual respectable organizational culture and work environment.

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    Journal of Nursing Regulation.2025; 15(4): 20.     CrossRef
  • Impact of Structural Empowerment, Thriving at Work, and Caregiver Reciprocity on the Psychological Empowerment of Home Care Workers in South Korea
    Heekyung Chang, Youngjoo Do, Jinyeong Ahn, Yumi Kim
    Healthcare.2025; 13(15): 1809.     CrossRef
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    Journal of Korean Academy of Nursing Administration.2024; 30(3): 201.     CrossRef
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    Lu Han, Qiyu Li, Yu Zhang, Tuo Liu, Ran Niu, Qi Wang, Lina Zhao
    BMC Public Health.2022;[Epub]     CrossRef
  • The Experience of Emotional Labor and Its Related Factors among Nurses in General Hospital Settings in Republic of Korea: A Systematic Review and Meta-Analysis
    Da-Jung Ha, Jung-Hyun Park, Su-Eun Jung, Boram Lee, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi, Chan-Young Kwon
    Sustainability.2021; 13(21): 11634.     CrossRef
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Current Status of Home Visit Programs: Activities and Barriers of Home Care Nursing Services
Eui Geum Oh, Hyun Joo Lee, Yukyung Kim, Ji Hyun Sung, Young-Su Park, Jae Yong Yoo, Soohee Woo
J Korean Acad Nurs 2015;45(5):742-751.   Published online October 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.5.742
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the current status of home care nursing services provided by community health nurses and to identify barriers to the services.

Methods

A cross-sectional survey was conducted with three types of community health care nurses. Participants were 257 nurses, 46 of whom were hospital based home care nurses, 176 were community based visiting nurses, and 35 were long term care insurance based visiting nurses. A structured questionnaire on 7 domains of home care nursing services with a 4-point Likert scale was used to measure activities and barriers to care. Data were analyzed using SPSS WIN 21.0 program.

Results

Hospital based home care nurses showed a high level of service performance activity in the domain of clinical laboratory tests, medications and injections, therapeutic nursing, and education. Community based visiting nurses had a high level of service performance in the reference domain. Long term care insurance based visiting nurses showed a high level of performance in the service domains of fundamental nursing and counseling.

Conclusion

The results show that although health care service provided by the three types of community health nurse overlapped, the focus of the service is differentiated. Therefore, these results suggest that existing home care services will need to be utilized efficiently in the development of a new nursing care service for patients living in the community after hospital discharge.

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    Dae Hyun Kim, Soojin Kim, Joo Hyung Kim
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    Doyeon Lim, Kyungmi Woo
    Geriatric Nursing.2025; 61: 270.     CrossRef
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    Lei Cui, Zirong Tong, Rong Wang, Xiaoping Fang, Longxiu Liu
    BMC Nursing.2024;[Epub]     CrossRef
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    Young Ran Han, Ok Kyung Ham, Hye Young Choi, Ji Sook An, Ji Sook An
    Journal of Korean Public Health Nursing.2024; 38(3): 316.     CrossRef
  • Development and evaluation of a problem‐based learning simulation module for home‐visit nursing
    Eunjoo Kim, Ju Young Yoon, Kyungmi Woo, Aeri Kim, Hyori Kim, Juna Lee
    Public Health Nursing.2023; 40(6): 857.     CrossRef
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    Jiahao Yu, Jianyuan Huang, Chunlei Li, Yongmei Zhuang
    BMC Nursing.2023;[Epub]     CrossRef
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    Zexing Xue, Zhengping Ma, Chi Keung Lau
    Discrete Dynamics in Nature and Society.2022;[Epub]     CrossRef
  • Critical Thinking Disposition, Job Competency, and Educational Needs of Home Visiting Nurses in the Long-term Care Insurance
    Keunyoung Shin, Sujin Shin
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    Kyuri Lee, Dukyoo Jung
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    Baosheng Zhao, Xiaoman Zhang, Rendong Huang, Mo Yi, Xiaofei Dong, Zhenxiang Li
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    Qiuhu Shao, Jingfeng Yuan, Jin Lin, Wei Huang, Junwei Ma, Hongxing Ding, Majid Soleimani-damaneh
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  • Difficulties and Coping Experienced by Advanced Practice Nurses in Home Health Nursing Field
    Moon-Sook Hwang, Hak Young Park, Soo Jung Chang
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  • Perceptions of Adequacy and Job Performance of Nurse Assistant Nursing Jobs according to Registered Nurses and Nurse Assistants in Geriatric Hospitals, and Caregivers
    Myung Hee Cho, Kye Ha Kim
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Development and Application of a Performance Prediction Model for Home Care Nursing Based on a Balanced Scorecard using the Bayesian Belief Network
Wonjung Noh, GyeongAe Seomun
J Korean Acad Nurs 2015;45(3):429-438.   Published online June 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.3.429
AbstractAbstract PDF
Purpose

This study was conducted to develop key performance indicators (KPIs) for home care nursing (HCN) based on a balanced scorecard, and to construct a performance prediction model of strategic objectives using the Bayesian Belief Network (BBN).

Methods

This methodological study included four steps: establishment of KPIs, performance prediction modeling, development of a performance prediction model using BBN, and simulation of a suggested nursing management strategy. An HCN expert group and a staff group participated. The content validity index was analyzed using STATA 13.0, and BBN was analyzed using HUGIN 8.0.

Results

We generated a list of KPIs composed of 4 perspectives, 10 strategic objectives, and 31 KPIs. In the validity test of the performance prediction model, the factor with the greatest variance for increasing profit was maximum cost reduction of HCN services. The factor with the smallest variance for increasing profit was a minimum image improvement for HCN. During sensitivity analysis, the probability of the expert group did not affect the sensitivity. Furthermore, simulation of a 10% image improvement predicted the most effective way to increase profit.

Conclusion

KPIs of HCN can estimate financial and non-financial performance. The performance prediction model for HCN will be useful to improve performance.

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    Elisabetta Garagiola, Alessandro Creazza, Emanuele Porazzi
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    Elisabetta Garagiola, Alessandro Creazza, Emanuele Porazzi
    Journal of Health Organization and Management.2020; 34(5): 505.     CrossRef
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A Comparison Study using Mixed Methods on Foreign Residents' Satisfaction with Korean Health Care Services
Keum Soon Kim, Jung Won Ahn, Jin A Kim, Hee Jung Kim
J Korean Acad Nurs 2014;44(1):86-96.   Published online February 28, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.1.86
AbstractAbstract PDF
Purpose

This study was conducted to examine and compare satisfaction with Korean health care services for Americans, Chinese and Russians who resided in Korea.

Methods

A questionnaire was distributed to 252 participants (81 Americans, 89 Chinese, 82 Russians). Three focus group interviews were subsequently conducted in order to obtain a greater understanding of participants' experience and perspectives.

Results

The average satisfaction score was 3.09, with Americans and Russians showing significantly higher scores than Chinese. Overall, participants reported higher satisfaction in 'Facility', 'Quality of care' and 'Nursing services' as opposed to 'Information/education'. 'Care with cultural respect' as well as communication related services. Data from the focus group interviews were categorized into 12 sub-categories, 7 categories and 2 themes. The two themes were common experience and contrasting experience. Common experience included 4 categories, 'Quality of care', 'Hospital facility and health care system', 'Language barrier' and 'Information and education'. Contrasting experience included 3 categories, 'Medical cost', 'Health care personnel' and 'Accessibility'.

Conclusion

Results of this study provide basic knowledge on foreign residents' satisfaction and experience with Korean health care services. Further research is needed with foreigners from different cultural backgrounds. Administrative and educational efforts are required to improve communication skills and cultural competency.

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    Dael Jang, Seonhwa Choi, Gahui Hwang, Sanghee Kim
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  • Public Health Center Service Experiences and Needs among Immigrant Women in South Korea
    Duckhee Chae, Hyunlye Kim, Minjeong Seo, Keiko Asami, Ardith Doorenbos
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Effectiveness of Home Health Care Service for Elders after Spinal Surgery
Myunghee Jun, Ji Young Jung
J Korean Acad Nurs 2012;42(7):1009-1018.   Published online December 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.7.1009
AbstractAbstract PDF
Purpose

This study was done to evaluate effectiveness of home healthcare services (HHCS) specialized for elders who received spinal surgeries.

Methods

A non-equivalent control group pre-post test quasi-experimental study was performed. HHCS was developed based on the Rice model of dynamic self-determination for self-care. For data collection, a control group (n=23) and an experimental group (n=23) were selected by matching age, BMI, pain, general characteristics and type of spine surgery. Measurement tools to evaluate uncertainty and knowledge were developed by the authors. The Numeric Rating Scale (NRS) and Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were used to evaluate pain levels. Muscular strength in the legs was measured using a digital muscle tester and tape ruler. Questionnaires were used to evaluate disability in performing ADL and psychological distress levels.

Results

The experimental group showed significant decrease in uncertainty (p=.028), increased knowledge (p=.038), and partially decreased pain (p=.003-.331). Partial muscle strength increased significantly (p=.021-.644). Disability in performing ADL and psychological distress in the experimental group decreased significantly compared to control group (p=.002, p=.004).

Conclusion

Results indicate HHCS is an efficient home care nursing program for these elders. Further experimental studies with larger samples are required to confirm effects of HHCS.

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    Richard Meyrat, Elaina Vivian, Archana Sridhar, R. Heath Gulden, Sue Bruce, Amber Martinez, Lisa Montgomery, Donald N. Reed, Peter J. Rappa, Hetendra Makanbhai, Kenneth Raney, Jennifer Belisle, Stacey Castellanos, Judy Cwikla, Kristin Elzey, Kristen Wilck
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    Jeong Eun Yoon, Ok-Hee Cho
    Journal of Korean Academy of Fundamentals of Nursing.2020; 27(3): 289.     CrossRef
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    Danielle M. Siclovan
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    Myunghee Jun, Jiyoung Jung, Minsuk Kim
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Effects of a School-based Intervention Program for Middle School Adolescent Girls with Depression: As Part of the School Health Services
Kyung Mi Sung
J Korean Acad Nurs 2012;42(7):984-991.   Published online December 12, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.7.984
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to evaluate the effects of a school-based intervention program for middle school adolescent girls with depression.

Methods

The study was a pretest–posttest repeated-measure design with a nonequivalent control group. Fifty eight students with depressive symptoms were recruited from two middle schools in Seoul, Korea. The data were collected from the intervention (n= 30) and the comparison group (n= 28). The research instrument was Reynolds Adolescent Depression Scale.

Results

The intervention group greatly improved from baseline to 10 weeks and then saw a slight positive change between 10 and 13 weeks.

Conclusion

The results of this research show that depression intervention programs are effective for young female adolescents. Thus the investigation has important school-based treatment implications, and should be integrated into school curriculums by school health nurses for early intervention of depressive symptoms in middle school adolescent girls.

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    R.L. Dean, K.J. Lester, E. Grant, A.P. Field, F. Orchard, V. Pile
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    Wonki Lee
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    Kyung Mi Sung
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Multilevel Analysis of Health Care Service Utilization among Medical Aid Beneficiaries in Korea
Yang Heui Ahn, Ok Kyung Ham, Soo Hyun Kim, Chang Gi Park
J Korean Acad Nurs 2012;42(7):928-935.   Published online December 12, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.7.928
AbstractAbstract PDF
Abstract Purpose

The current study was done to identify individual- and group-level factors associated with health care service utilization among Korean medical aid beneficiaries by applying multilevel modeling.

Methods

Secondary data analysis was performed using data on health care service reimbursement and medical aid case management progress from 15,948 beneficiaries, and data from 229 regions were included in the analysis.

Results

Results of multilevel analysis showed an estimated intraclass correlation coefficient (ICC) of 18.1%, indicating that the group level accounted for 18.1% of the total variance in health care service utilization, and that beneficiaries within the region are more likely to share common features with regard to health care service utilization. At the individual level, existence of disability and types of medical aid beneficiaries showed a significant association, while, at the group level, social deprivation index, and the number of beneficiaries and case managers within the region showed a significant association with health care service utilization.

Conclusion

The significant influence of group level variables in health care service utilization found in this study indicate a need for group level approaches, such as policy change and/ or promotion of community awareness.

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    Su Jung Kim, Eun Ju Lee
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Comparison of Benefit Estimation Models in Cost-Benefit Analysis: A Case of Chronic Hypertension Management Programs
Ji Young Lim, Mi Ja Kim, Chang Gi Park, Jung Yun Kim
J Korean Acad Nurs 2011;41(6):750-757.   Published online December 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.6.750
AbstractAbstract PDF
Purpose

Cost-benefit analysis is one of the most commonly used economic evaluation methods, which helps to inform the economic value of a program to decision makers. However, the selection of a correct benefit estimation method remains critical for accurate cost-benefit analysis. This paper compared benefit estimations among three different benefit estimation models.

Methods

Data from community-based chronic hypertension management programs in a city in South Korea were used. Three different benefit estimation methods were compared. The first was a standard deterministic estimation model; second, a repeated-measures deterministic estimation model; and third, a transitional probability estimation model.

Results

The estimated net benefit of the three different methods were $1,273.01, $-3,749.42, and $-5,122.55 respectively.

Conclusion

The transitional probability estimation model showed the most correct and realistic benefit estimation, as it traced possible paths of changing status between time points and it accounted for both positive and negative benefits.

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    Akihiro Hirashiki, Atsuya Shimizu, Kenichiro Nomoto, Manabu Kokubo, Noriyuki Suzuki, Hidenori Arai
    Circulation Reports.2022; 4(4): 149.     CrossRef
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    Donglan Zhang, Guijing Wang, Heesoo Joo
    American Journal of Preventive Medicine.2017; 53(6): S121.     CrossRef
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Status of and Factors Influencing Vaccination against the Pandemic (H1N1) 2009 Virus among University Students from the Fields of Nursing and Allied Health
Og Son Kim
J Korean Acad Nurs 2011;41(3):403-410.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.403
AbstractAbstract PDF
Purpose

This study was to identify the current status of vaccination against the pandemic (H1N1) 2009 virus among university students from the fields of nursing and allied health from a local community and verify factors influencing vaccination.

Methods

The study included 227 students in the fields of nursing and allied health from a provincial university. Data were obtained from these participants between May 31 and June 11, 2010 by using self-report questionnaires.

Results

The rate of vaccination against the pandemic (H1N1) 2009 virus for these participants was 14.5%. No difference was observed in this regard between majors and school year. Factors that influence vaccination against this virus included previous vaccination against seasonal influenza and participants' attitudes toward general vaccination.

Conclusion

The results suggest that for effective pandemic (H1N1) 2009 vaccination of university students from the fields of nursing and allied health, students who have not been vaccinated should be intensively managed. Developing a vaccination program that encourages a positive attitude toward vaccination is recommended.

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    Ju-Lee Lee, Eun Kyung Lee
    Journal of Korean Gerontological Nursing.2018; 20(1): 1.     CrossRef
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    Og Son Kim
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Educational Needs for Consideration in Developing Curriculum for Staff in Charge of Public Health Services in Public Hospitals
Eun Jeong Hwang
J Korean Acad Nurs 2011;41(3):393-402.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.393
AbstractAbstract PDF
Purpose

This study was done to assess the educational needs that should be considered in developing curriculum for staff in charge of public health services in public hospitals.

Methods

The participants in this study were staff in charge of public health services in 130 public hospitals. The Borich's Needs Assessment Model which analyzed the relation of 'required competence level' and 'present competence level', was utilized. Data were collected from October to November 2007 using a structure self-report questionnaire. The return rate was 66.9%. The Cronbach's alpha score was 0.959.

Results

The mean scores for 'required competence level', 'present competence level' and Borich's need were 4.02, 3.44, and 2.30 respectively. According to public health service items, 'strategies to recognize the present condition and analyze problems' had the highest score for Borich's need, but 'establishment of annual or monthly objectives' had the lowest score for Borich's need.

Conclusion

Education was found to be very important for staff carrying out public health services. Ultimately the results of this study may be utilized to develop education program for staff carrying out public health services in public hospitals.

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    Dukyoo Jung, Leeho Yoo, Soogyung Shin, Sukyung Byeon, Hyein Seo, Eunju Choi
    BMC Geriatrics.2025;[Epub]     CrossRef
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    You Ho Kim
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    Sun-Joo Kang
    Frontiers in Public Health.2016;[Epub]     CrossRef
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    Young-Hye Cho, Sang-Yeoup Lee, Dong-Wook Jeong, Eun-Jung Choi, Yun-Jin Kim, Jeong-Gyu Lee, Yu-Young Go, Yu-Hyone Lee, Mi-Jin Bae, Chang-Hoon Kim
    Journal of agricultural medicine and community health.2012; 37(2): 67.     CrossRef
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Effects of Community Health Promotion Project for Garlic Cultivating Farmers Based on Self-efficacy Theory and Community Capacity Building Framework
Hyang-Sook Kim, Mee Ock Gu
J Korean Acad Nurs 2011;41(1):80-91.   Published online February 28, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.1.80
AbstractAbstract PDF
Purpose

This study was conducted to test the effects of a community health promotion project for farmers cultivating garlic. Bandura's self-efficacy theory (1986) and Chaskin's community capacity framework (2001) were used as the theoretical framework.

Methods

A nonequivalent control group pretest-posttest design was used. Study participants were 72 garlic farmers (intervention: 36, control: 36). The community health promotion project consisted of health promotion program and community capacity building strategies and was provided for 12 weeks (8 during farming off-season and 4 during farming season). Data were collected between February 23 and May 31, 2009 and were analyzed using chi-square test, Fisher's exact test, t-test, and repeated measure ANOVA using SPSS/WIN 12.0.

Results

For the experimental group, significant improvement was found for self-efficacy, farming related health behavior, physical fitness (muscle strength, muscle endurance, upper body flexibility, lower body flexibility, cardiovascular endurance, balance, agility), farmer's syndrome, and health related quality of life as compared to the control group.

Conclusion

The findings of the study indicate that the community health promotion project for garlic farmers is effective and can be recommended as a nursing intervention for health promotion of garlic cultivating farmers.

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    Yeojoo Chae, Yeongmi Ha
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Comparison in Weight, Height, Degree of Obesity and Body Mass Index Among Different Methods for Body Shape Classification in School-Age Children
Young-mee Ahn, Min Sohn, Sun-Ha Choi
J Korean Acad Nurs 2010;40(6):775-784.   Published online December 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.6.775
AbstractAbstract PDF
Purpose

The study was conducted to describe body shapes of school age children using the degree of obesity index (DOI) and body mass index obesity index classified by the Ministry of Education, Science and Technology (M-BOI) and Seoul Metropolitan Office of Education (S-BOI).

Methods

In this cross sectional descriptive study health screening data for school children collected in 2007 was used.

Results

Data were analyzed for 2,193 4th-6th grade boys (52%) and girls who attended 4 schools in rural areas. DOI determined that only 44.3% of students had average weight. This proportion was much lower than the results of other methods (74.3-77.6%). All three methods defined girls (51.3-61.8%) as skinnier than boys. Skinny and average body shaped children classified by DOI and obese children classified by S-BOI were heavier and taller and presented higher degrees of obesity (DO) and BMI scores than by other methods. M-BOI and S-BOI presented statistically significant positive correlations with weight, height, DO and BMI, while DOI was not correlated with height.

Conclusion

BMI based body shape classifications provide a more rigorous classification of body shape which are favorable for school health professionals with limited resources and policy makers for internationally comparable references.

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    Hyojin Kim, Jungmook Lyu
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