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Research Paper
Interorganizational Networks for Smoking Prevention and Cessation: A Blockmodeling Approach
Park, Eun-Jun , Kim, Hyeongsu , Lee, Kun Sei , Cho, Junghee , Kim, Jin Hyeong , Jeong, Ho Jin , Lee, Ji An
J Korean Acad Nurs 2022;52(2):202-213.   Published online April 30, 2022
DOI: https://doi.org/10.4040/jkan.21192
AbstractAbstract PDF
Purpose
This study examined characteristics and patterns of interorganizational networks for smoking prevention and cessation in Korea.
Methods
We surveyed two community health centers, ninety-five hospitals or clinics, ninety- two pharmacies, and sixty-five health welfare organizations in two districts of Seoul in 2020. Data on the organizations’ characteristics of smoking cessation and interorganizational activities for information sharing, client referral, and program collaboration were collected and analyzed using network statistics and blockmodeling.
Results
Network size was in the order of information sharing, client referral, and program collaboration networks. Network patterns for interorganizational activities on information sharing, client referral, and program collaboration among four organizations were similar between the two districts. Community health centers provided information and received clients from a majority of the organizations. Their interactions were not unidirectional but mutual with other organizations. Pharmacies were involved in information sharing with health welfare organizations and client referrals to hospitals or clinics. Health welfare organizations were primarily connected with the community health centers for client referrals and program collaboration.
Conclusion
A community health center is the lead agency in interorganizational activities for smoking prevention and cessation. However, hospitals or clinics, pharmacies, and health welfare organizations also participate in interorganizational networks for smoking prevention and cessation with diverse roles. This study would be evidence for developing future interorganizational networks for smoking prevention and cessation.
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Original Articles
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.

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Analysis of the Nursing Interventions Performed by Public Health Nurses in Health Centers Using the NIC
Souk Young Kim, Young Ran Chin, Vock Chang Oh, Eun Jun Park, Soon Nyoung Yun, In Sook Lee
Journal of Korean Academy of Nursing 2006;36(2):217-226.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.2.217
AbstractAbstract PDF
Purpose

The purpose of this study was to identify nursing interventions performed by public health nurses in health centers.

Method

Data was collected by the taxonomy of Nursing Intervention Classification (NIC 3rd: 486 nursing interventions) from 131 public health nurses in health centers and analyzed using descriptive statistics.

Result

As its result, more than 50% of public health nurses performed 137 nursing interventions at least monthly. The most frequently used intervention class was ‘ activity and exercise management’, followed by ‘ physical comfort promotion’, ‘ community health promotion’, ‘ life span care’, ‘ coping assistance’, ‘ Self care facilitation’, ‘ information management’, ‘ nutrition support’, ‘ community risk management’ and ‘ patient education’. One hundred twenty nursing interventions were rarely performed by 90% or more of the nurses. Most of them were the physical complex domain.

Conclusion

In conclusion, 137 interventions were performed by public health nurses at least monthly. NIC is helpful to build a standardized language for public health nursing.

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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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The Psychosocial Adaptation Process of Psychiatric Nurses Working in Community Mental Health Centers
So-Young Min
J Korean Acad Nurs 2015;45(6):868-878.   Published online December 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.6.868
AbstractAbstract PDF
Purpose

The aim of this study was to verify psychosocial issues faced by psychiatric and community mental health nurse practitioners (PCMHNP) working in community mental health centers, and to identify the adaptation processes used to resolve the issues.

Methods

Data were collected through in-depth interviews between December 2013 and August 2014. Participants were 11 PCMHNP working in community mental health centers. Analysis was done using the grounded theory methodology. The first question was "How did you start working at a community mental health center; what were the difficulties you faced during your employment and how did you resolve them?"

Results

The core category was 'regulating within relationships.' The adaptation process was categorized into three sequential stages: 'nesting,' 'hanging around the nest,' and 'settling into the nest.' Various action/interaction strategies were employed in these stages. The adaptation results from using these strategies were 'psychiatric nursing within life' and 'a long way to go.'

Conclusion

The results of this study are significant as they aid in understanding the psychosocial adaptation processes of PCMHNP working in community mental health centers, and indicate areas to be addressed in the future in order for PCMHNP to fulfill their professional role in the local community.

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Health Behaviors between a Health Promotion Demonstration Health Center and a General Health Center
Taewha Lee, Chung Yul Lee, Hee Soon Kim, Ok Kyung Ham
Journal of Korean Academy of Nursing 2005;35(3):461-468.   Published online June 30, 2005
DOI: https://doi.org/10.4040/jkan.2005.35.3.461
AbstractAbstract PDF
Purpose

The purpose of the study was to compare community residents' perceptions, participation, satisfaction, and behavioral changes between a health promotion demonstration health center and general health center.

Method

The design of the study was ex-post facto that compared community residents in demonstration health centers and general health centers. The sample included 2,261 community residents who were conveniently selected from demonstration (792 participants) and general health centers (1,496 participants).

Result

The results of the study were as follows: 1) Perception and participation rates of exercise, nutrition, and hypertension management programs were significantly higher in the participants of demonstration health centers than those of general health centers.; 2) Satisfaction rates of all programs except the smoking cessation program were significantly higher in the participants of demonstration health centers than those of general health centers. However, only the exercise rate among risk behaviors of participants was significantly higher in demonstration health centers than general health centers.

Conclusion

Systematic efforts for health promotion were effective not only in improving the community's awareness, participation, and satisfaction of the program, but also in changing health behaviors. This evidence should be used to foster and disseminate health promotion programs toother health centers to improve community residents' health status and quality of life.

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