• Title/Summary/Keyword: Community health management

Search Result 1,876, Processing Time 0.025 seconds

Self Role Perception of Health Teachers in Elementary Schools (초등학교 보건교사의 자기 역할 인식)

  • Lee, Jeong-Hee;Lee, Byoung-Sook
    • Research in Community and Public Health Nursing
    • /
    • v.21 no.4
    • /
    • pp.398-408
    • /
    • 2010
  • Purpose: The purpose of this study was to describe and understand elementary school health teachers' role perception in their own perspectives. Methods: Data were collected from three focus groups composed of five participants for each group. Each focus group had an interview for two and a half hours on the average. The main question was "What is your perception on the roles of health teachers in elementary schools?" Qualitative data from transcribed notes and field notes were analyzed using qualitative content analysis. Results: Five main roles were identified from the participants. The participants perceived themselves as 'an expert of health education in school and community', 'a health service provider for school members', 'a health guardian for school members, the coordinator of healthcare related works in school, and the leader of school health. Conclusion: The participants have multiple role identities, which are very important for health management of school members. And the roles such as an expert of health education and a leader for school health are recently emphasized. The findings of this study can provide useful information to design orientation programs for newly appointed health teachers and continuing education programs for enhancing role performance of health teachers in elementary schools.

Influencing Factors on Functional Health Literacy among the Rural Elderly (농촌 지역 노인의 기능적 의료정보 이해능력 실태와 영향요인)

  • Park, Ji-Yeon;June, Kyung-Ja
    • Research in Community and Public Health Nursing
    • /
    • v.22 no.1
    • /
    • pp.75-85
    • /
    • 2011
  • Purpose: The purpose of this study was to describe the status of the functional health literacy of the elderly living in a rural community and to identify the influencing factors on the functional health literacy. Methods: Subjects(n=238) aged over 60 years were selected for data collection. Functional health literacy was measured by Korean Health Literacy, which consisted of 15 items including eight numeracy and seven comprehension items. Descriptive statistics, t-test, ANOVA with Scheffe test, and stepwise multiple regression were used to analyze the data. Results: The mean score of total functional health literacy was $6.66{\pm}3.31$, numeracy was $3.52{\pm}1.76$, and comprehension was $3.41{\pm}2.10$. Of the subjects, 39.1% showed a low score below the median split. In the results of stepwise multiple regression, the factors affecting functional health literacy were basic literacy, age, number of chronic diseases, self-reported health status, and gender. These factors accounted for 33.0% of functional health literacy. Conclusion: These results suggest that interventions for improving functional health literacy are necessary to enhance elders' ability of self-care management. In addition, it is needed to take into account the individual characteristics of the subjects depending on their gender, age, and health status.

A qualitative study on job-seeking stress for university students majoring healthcare (보건계열 대학생의 취업 스트레스에 관한 질적 연구)

  • Oh, Yeseul;Oh, Eun-Hwan
    • The Journal of Korean Society for School & Community Health Education
    • /
    • v.14 no.1
    • /
    • pp.25-36
    • /
    • 2013
  • Objectives: The study was performed to investigate job-seeking stress for university students who have a major in healthcare. Methods: For the analysis, 10 fourth-year students who are willing to get a job were interviewed. Interviews were conducted from October 2011 to November 2011 for 2 weeks. The data were collected with semi-structured open-ended questions and analysed by the method of Consensual Qualitative Research(CQR). Results: The main reasons for the job-seeking stress for students were insufficient preparation for getting a job, uncertainty, anxiety, pressure, and age. A reinforcing factor for stress was family. Conclusions: Universities should provide educational, psychological, and economic supports to job-seeking students majoring healthcare because of their relatively fewer opportunities for getting a job compared to those who have a major in non-healthcare.

  • PDF

Factors Affecting Multicultural Acceptability of Adolescents Using Multilevel Analysis (다수준 분석을 이용한 청소년의 다문화 수용성에 영향을 미치는 요인)

  • Choi, Yeon-Hee;Gu, Min-Jeong;Choi, Moon-Ji;Kim, Young-Mi
    • The Korean Journal of Health Service Management
    • /
    • v.12 no.2
    • /
    • pp.75-87
    • /
    • 2018
  • Objectives : This study aimed to investigate factors affecting multicultural acceptability of adolescents at individual and environmental levels. Methods : Participants were 2,032 first-year high school students who participated in the 4th-year Korean Children and Youth Panel Survey in 2013. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and multilevel analysis. Results : Individual factors affecting multicultural acceptability of adolescents were health status, ego-resilience, and experience of visiting foreign countries. Learning activity, school regulation, relationship with teachers, and community spirit were significant factors at environmental level. Conclusions : Findings suggest that it is necessary to consider health status, improve positive resilience, activate a multicultural experience program, establish friendly relations with teachers, adhere to social norms, and strengthen community spirit for multicultural acceptability.

Awareness and Attitude Toward Suicide in Community Mental Health Professionals and Hospital Workers (지역사회 정신보건관련 센터 근무자와 병원 근무자들의 자살에 대한 인식 및 태도)

  • Kim, Soung-Nam;Lee, Kang-Sook;Lee, Seon-Young;Yu, Jae-Hee;Hong, A-Rum
    • Journal of Preventive Medicine and Public Health
    • /
    • v.42 no.3
    • /
    • pp.183-189
    • /
    • 2009
  • Objectives : The purpose of this study was to evaluate community mental health professionals and hospital workers attitude and awareness towards suicide. Methods : This study investigated 264 community mental health professionals and 228 hospital workers. SOQs (Suicidal Opinion Questionnaires) were used from July 2007 to September 2007. After a factor analysis for the attitude towards suicide, the items on ethics, mental illness, religion, risk, and motivation were included in the subsequent analysis. Results : There were significant differences in the attitude towards suicide according to religion, age, educational background, the marriage status, the economic position, and different professional licenses. Hospital workers' view was different from the community workers'. The hospital workers judged that suicide was due to mental illness, and suicide was high for the people in a special environment and who lacked motivation, which caused them to fall in a dangerous situation. For the lower educational group, they thought that suicide was attributable to mental illness. The awareness for suicide was significantly higher in the group with a postgraduate education, unmarried people, mental health professionals and the persons who had concern and experience with suicide. The factors that had an influence on the awareness of suicide were the items of mental illness, religion, risk and motivational factors. Conclusions : This study suggested that the factors to increase the awareness and attitude for suicide were the experience of increased education and case management of suicide. Therefore, education dealing with suicide and reinforcement of crisis management programs should be developed.

Coping with Experiences in Multiple Chronic Diseases in the Rural Elderly (농촌 노인의 복합만성질환에 대한 대처 경험 - 문화기술학적 방법으로 -)

  • Joung, Eun-Ok;Kwon, Sung-Bok;Ahn, Ok-Hee
    • Research in Community and Public Health Nursing
    • /
    • v.18 no.1
    • /
    • pp.32-41
    • /
    • 2007
  • Purpose: The purpose of this study was to describe how the rural elderly cope with experiences in multiple chronic diseases. Method: Data were collected through participant observation and in-depth interview using ethnography. The participants were 9 women and 2 men who aged over 65, were living in rural community, and had experienced two or more chronic diseases. Results: According to the results of this study, those who had experienced multiple chronic diseases went through the stages of 'recognizing of revealed symptoms', 'discovering of disease', 'overcoming', 'neglecting', 'discovering another disease', 'being frustrated' and 'living with suffering'. Conclusion: The results of this study are expected to be utilized as basic materials to develop a nursing intervention program for effective management of chronic diseases.

  • PDF

Cancer Survival and Status of National Health Insurance in a Community (A일개 군지역 암등록자료의 국민건강보험 보장유무에 따른 암 생존율 차이)

  • Kweon, Sun-Seog;Choi, Jin-Su;Shin, Min-Ho;Kim, Hye-Yeon;Choi, Seong-Woo;Lee, Young-Hoon
    • Health Policy and Management
    • /
    • v.19 no.2
    • /
    • pp.127-134
    • /
    • 2009
  • It is known that socioeconomic status(SES) of the cancer patient is associated with survival in recent studies, performed in other countries. The purpose of this study was to determine whether the association between status of national health insurance and survival is also present in a community in Jeonnam province, South Korea. The Gwangju-Jeonnam Cancer Registry, a population-based cancer registry, provided information to identify the cancer cases of study community diagnosed from 1998 to 2007. Total of 2,046 cases were identified during the period. There were significant associations between the status of national health insurance and survival for total cancer after adjusted by age, geographic accessibility to health care, and stage at diagnosis. However, this differences were not found in the analysis using only stomach and colorectal cancer cases. Despite of some limitations, this results suggest that the policy for reducing the difference according to the SES is required in national cancer management program.

Direct Costs of Cervical Cancer Management in Morocco

  • Berraho, Mohamed;Najdi, Adil;Mathoulin-Pelissier, Simone;Salamon, Roger;Nejjari, Chakib
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.13 no.7
    • /
    • pp.3159-3163
    • /
    • 2012
  • Background: For cervical cancer the epidemiological profile is poorly known in Morocco and no data is available concerning the direct medical costs. The purpose of this work is to estimate the direct cost of medical management of invasive cervical cancer during the first year after diagnosis in Morocco. Methods: The estimation of direct costs of medical management of invasive cervical cancer during the first year after diagnosis in Morocco is based on the estimation of individual cost in each stage which covers diagnosis, treatment and follow-up during first year. The cost was estimated per patient and whole cycle-set using the costs for each drug and procedure as indicated by the Moroccan National Agency for Health Insurance. Extrapolation of the results to the whole country was used to calculate the total annual cost of cervical cancer treatments in Morocco. Results: Overall approximately 1,978 new cases of cervical cancer occur each year in Morocco. The majority (82.96%) of these cases were diagnosed at a late stage (stageII or more). The cost of one case of cervical cancer depends on stage of diagnosis, the lowest cost is $382 for stageCis followed by the cost of stageIA1 for young women (< 40 years) which is $2,952. The highest cost is for stageIV, which is $7,827. The total cost of cervical cancer care for one year after diagnosis is estimated at $13,589,360. The share allocated to treatment is the most important part of the global care budget with an annual sum of $13,027,609 whereas other cost components are represented as follows: $435,694 for annual follow-up activity and $126,057 for diagnosis and preclinical staging. Conclusion: This study provides health decision-makers with a first estimate of costs and the opportunity to achieve the optimal use of available data to estimate the needs of health facilities in Morocco.

The School Related Stress and the Need of Mental Health Education among High School Students (고등학생의 학교 스트레스와 정신건강교육 요구도)

  • Oh, Geum-Sook
    • Research in Community and Public Health Nursing
    • /
    • v.18 no.2
    • /
    • pp.320-330
    • /
    • 2007
  • Purpose: This study was conducted to investigate the school related stress and the need of mental health education among adolescents. Method: The subjects were selected by convenient sampling comprising of 1,049 high school students. The instrument of the study was the modified School Stress Scale by Kim (2002) and the Scale of Mental Health Education Need developed by Hyun et al. (2005). Results: School-related stress and the need of mental health education were higher in female students than male ones. Among the types of stress, stress related to academic activities was highest for all students. The need of stress management was highest, which was followed by the need of self-management. As for the need of mental health education and school-related stress according to general characteristics, the need was significantly different according to the Sender, grade, and experience in mental health education, and school-related stress was significantly different according to gender and grade. Conclusion: This study revealed that there was a correlation between school-related stress and the need of mental health education in high school students. This study also suggested the basic information and framework for planning, developing, and providing the school based mental health promotion education for the high school students.

  • PDF

A Proposal of a Nursing Model Applicable to Group Occupational Health Service (보건관리대행 간호모형의 제안)

  • Jung Moon-Hee
    • Journal of Korean Public Health Nursing
    • /
    • v.9 no.2
    • /
    • pp.1-16
    • /
    • 1995
  • This study was conducted to propose a model for nursing performance in group occupational health service. To achieve such a goal, the writer choose and analysed two kinds of journals which were thought to be the most suitable for that purpose and authoritative on community health nursing: The Journal of Korean Community Nursing and the Journal of Korean Academic Society of Industrial Nursing. The total number of the articles analysed in this study was 16 and in the analysis of them the writer was specially concerned with the following questions: 1) Have there been any different performances in occupational health management between staying nurses and visiting ones? 2) What are the levels of knowledge, attitude, and practice of workers and how can we, on the basis of them, develop the program that workers are able to participate positively in ? the obtained conclusions are as follows. 1) Different performances are revealed between staying nurses and visiting ones: Common symptom management frequently appeared in staying nurses. Counseling, health education and follow-up care after medical examination were more frequently revealed in visiting nurses. 2) As for the lovel of knowledge, attitude, and practice of occupational health, workers have average one respectively. The major factors influencing the level of KAP of workers were area, age, sex and status. Counseling, health education, follow-up care after medical examination, and health promotion should be reinforced as core programs in group occupational health services. And for the part of visiting nurses, it is necessary to put more emphasis on efficiency training using the method of nursing process.

  • PDF