• Title/Summary/Keyword: Community health practitioner

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Beginnings of the Community Health Practitioner (CHP) System in Republic of Korea (한국 보건진료원 제도의 시작)

  • Yi, Ggod-Me
    • Journal of Korean Academy of Rural Health Nursing
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    • v.4 no.1
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    • pp.31-40
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    • 2009
  • Purpose: This research was done do identify and analyze the beginnings of the community health practitioner system in the Republic of Korea (ROK) around 1980. Method: Primary sources were collected and analyzed, mainly newspapers around 1980, the act for health service for rural areas, and other relative publications. Results: The government of the ROK was trying to solve the problem of doctorless villages and regarded the introduction of primary health care (PHC) services using registered nurses (RNs) to be an economic solution to this problem. The Korean Nurses' Association presented 'a plan for community health service' to the government party and medical association in 1976. In this plan, RNs would provide primary care at the sub-county (myun) level, and hospital would provide secondary care. The Korean Public Health Development Research Center was awarded the project 'RNs and nurse aids as CHP for primary care service and their training'. In 1977, 25 RNs began to work as PHC in 3 areas, and interim findings showed that RNs were very capable of doing PHC. The Ministry of Health and Welfare announced long term plans for health and welfare administration including a tertiary health care delivery system. RNs after training were posted to rural areas with no medical services to do medical treatment for mild cases. The Act for health services for rural areas was enacted on December 31, 1980. Enforcement Ordinance and Enforcement Regulations were enacted in 1981. In 1981, 257 CHP were selected, trained, and deployed. In 1983, the president of the ROK announced continuation of the CHP system for residents of medically vulnerable areas. The number of CHP increased from 257 in 1981 to 2038 in 1989.

Knowledge, attitude, confidence, and experiences of community health practitioner regarding cardiopulmonary resuscitation (보건진료 전담공무원의 심폐소생술에 대한 지식, 태도, 자신감과 수행경험)

  • Hwang, Swong-Ho
    • The Korean Journal of Emergency Medical Services
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    • v.18 no.1
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    • pp.55-66
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    • 2014
  • Purpose : The purpose of the study is to investigate the knowledge, attitude, confidence, and experiences of community health practitioner(CHP) regarding cardiopulmonary resuscitation(CPR). Methods : The subjects were 333 CHP in G Province, C Province, and I Metropolitan City. A structured self-reported questionnaire was filled out by 209 participants from July 29, 2013 to September 30, 2013. Results : Confidence level toward CPR was intermediate, and knowledge and attitude level was very low. Seventeen participants performed CPR to cardiac arrest victim. Eleven patients among 25 patients had spontaneous recovery of circulation (ROSC). So the rate was very high. Conclusion : It is necessary to perform the efficient CPR in CHP. In order to improve the positive attitude and confidence in CHP, the renewal system must maintain every two years.

Job Satisfaction of Psychiatric and Community Mental Health Nurses in Community Mental Health Centers (정신보건센터에 근무하는 정신보건간호사의 직무만족도)

  • You, Kwangza;Lee, Kyunghee
    • Korean Journal of Occupational Health Nursing
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    • v.21 no.2
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    • pp.108-115
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    • 2012
  • Purpose: The purpose of this study was to investigate the relationship of psychiatric and community mental health nurses' job satisfaction. Methods: This was a descriptive and correlational study in which 151 psychiatric and community mental health nurses (PCMHNs) took part between September and October 2009. Results: The mean score for job satisfaction of the participants was 3.25. In job satisfaction, there were significant differences between psychiatric and community mental health nurse practitioner (PCMHNP) and nurse in community mental health center. All variables except role conflict were positively correlated with job satisfaction. As a result, factors influencing job satisfaction were reward system (${\beta}$=.46, p<.001), self-esteem (${\beta}$=.35, p<.001), leadership (${\beta}$= .27, p<.001), career as a PCMHNP (${\beta}$=-.12, p<.007), job-related characteristics (${\beta}$=.11, p<.24), and career as a nurse in community mental health center (${\beta}$=.09. p<.045). These factors explained 70.3% of the total variance. Conclusion: The results indicated that the comprehensive understanding of job satisfaction to the independent variables could suggest the way how to increase the job satisfaction for psychiatric and community mental health nurse who are a catalysts promoting mental health in community mental health center.

Changes in Work Activities of Community Health Practitioners by Time Period (보건진료원 업무활동의 변화과정 : 문헌사료를 중심으로)

  • Kim, Ok
    • Journal of Korean Academy of Rural Health Nursing
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    • v.8 no.1
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    • pp.25-32
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    • 2013
  • Purpose: The purpose of this study was to investigate the changing process of work activities of community health practitioners in medically vulnerable areas. Methods: For the study an historical research method was used, based on literature data and collected literature data related to the work of community health practitioners from 1940 to 2013. Results: There were 45 records according to the literature data about the work activities of the practitioners. Analysis of the process of work activities by time period was based on the historical records: first, the introduction period (1940~1980) saw the "community health practitioners begin their work activities"; second, the development period (1981~1997) involved "provision of comprehensive health and medical service"; third, the stagnation period (1998~2005) characterized by "attempts at new role changes in a crisis"; fourth, the expansion period (2006~2011) "focused on the work of health promotion"; and finally, the stable period (2012~the present) observed "work activities of community health practitioners recognized." Conclusion: Results showed five topics in the process of work activities of community health practitioners by time period. The results offer basic data to investigate work activities of these practitioners and enable discussions about the future of community healthcare.

Community Health Practitioner's Commitment into Community : on the Aspect of Primary Health Care (보건진료원의 지역사회 몰입과정)

  • Yun, Soon-Nyoung;Kim, Young-Im;Choi, Jeong-Myung
    • Research in Community and Public Health Nursing
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    • v.6 no.2
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    • pp.173-182
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    • 1995
  • Primary health care(PHC) has been established since A Health Law for rural residents has been legislated in 1980 following the WHO declaration, 'Health for All 2000'. in 1978. PHC services are presently assumed to be provided by 2038 Community Health Practitioners(CHP) to about 28% out of rural population in Korea. Most CHPs have confronted the adaptation process to the community being practiced although a CHP's role is to evoke community participation for the improvement of their health by themselves. So the purpose of this study is to describe and explain of the commitment of CHPs into the community. Data were collected by direct interview and tape-recording under subjects' permission till theoretical saturation were occured from 6 CHPs. The subjects were 41 years old and have served in the community for 9 years in average. Main questions and concepts were explored from data according to the procedure of the grounded theory methodology. The results are as follows. 1) The number of the main concepts were twenty four that identified Motive, Desire, Personal characteristics, Unfamiliarity, Denial, Feeling of isolation, Self-sacrifice, Kindness, Patience, Assimilation, Respect for the residents, Support by the family, Support by the residents, Achievement, Acceptance of realities, Use of resources, Inducement of cooperation from the residents, Changes of the difference from time orientation between CHP and residents, Attitude as a official, Technical support, Cost management, Satisfaction level, Acknowledgement by the residents and discrepancy. 2) The twenty four concepts were categorized to seven groups such as Motivation, Feeling of Heterogeneity, Self-discipline, Social support, Induced changes in the attitudes of residents, Familarity and Persistent discrepancy. 3) The categorized groups were analyzed on the base of the Causal Conditions, Central Phenomena, Contexts, Intervening Conditions, Action / Interaction Strategies, and Consequences. Central phenomenon in this study was identified to be the feeling of heterogeneity. Community health practitioners experienced unfamiliarity and denial from the community and felt themselves isolated in the first. In time, they won the trust of residents by their efforts including self-sacrifice, kindness, patience, and assimilation. Afterward, practitioners got self-confidence and familiarity with lesser feeling of heterogeneity. Nevertheless, practitioners could not commit themselves completely because of the persistent discrepancy between CHP and residents. 4) On the commitment process, the CHPs' feeling of heterogeneity were decresed and social support increesed and newly evolved induced change of residents through the continuous interaction between CHP and them The contribution of this study would be concluded as follows. 1) It is expected that effective strategies for more rapid committment into the community can be developed based on this study. 2) More easy committment would be possible for the newly appointed CHP through understanding of the committment process identified on this study.

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Job Satisfaction and Related Factors among Community Health Practitioners (보건진료원의 직무만족에 영향을 미치는 요인)

  • Jung, Kwuy-Im;Yoon, Suk-Ok;Shin, Hyun-Joo;Shin, Dong-Soo
    • Journal of Korean Academy of Rural Health Nursing
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    • v.4 no.2
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    • pp.120-127
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    • 2009
  • Purpose: This study was done to identify factors related to job satisfaction according to socioeconomic status and job related factors among community health practitioners. Method: A total of 91 community health practitioners participated in the survey. The survey was performed in November, 2008. The survey instruments included socioeconomic factors, work related factors and job satisfaction. The statistical analysis included frequencies, percentages, means, standard deviation, t-test, ANOVA, Scheffe test and multiple regression. Results: The mean age was $44.03{\pm}5.21$ years, 35.1% graduated from baccalaureate program. Job satisfactions related to wage level and job description had relatively lower score than other items. Job satisfaction was significantly different by education level, marital status, and motivation for choosing to be a community health practitioner. Conclusion: Characteristics of community health practitioners are changing and the Korean government needs to up-date job descriptions and welfare policies according to the higher quality of public health practitioners.

Community Health Practitioners' Perception of Barriers to Research Utilization (일개 지역 보건진료원들이 지각하는 간호연구 활용의 장애요인)

  • Kang, Hee-Kyoung;Lee, Eun-Kyoung;June, Kyung-Ja;Jung, Sun-Ok;Kim, Eun-Sug;Lee, Su-Jin;Beun, Hae-Min;Park, Ji-Yeon
    • Journal of Korean Academy of Rural Health Nursing
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    • v.4 no.2
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    • pp.110-119
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    • 2009
  • Purpose: This study was done to identify Community Health Practitioner's (CHP's) perception of barriers to research utilization Method: Participants were 153 CHPs working in Chungbuk Province. Modified Barriers Scale was utilized in the research, and 4 sub-scales were nurse factor, organization factor, research factor and communication factor. Data was analyzed by using SPSS/WIN12.0. Results: Research factor showed the highest barrier score among four sub-scales, and nurse factor was the lowest. CHPs with membership in any nursing academic society showed lower scores on the four sub-scales. Those who had taken a course related to research were less likely to see the research factor or communication as barriers. Barriers to research utilization were not associated with work experience years or to demographics. Conclusion: It is highly recommended that CHPs be trained in research methods and evidence-based practice and that research articles be written more clearly.

The Effect of the Telemedicine Service System Application for the Patients with Hypertension at Community Health Practitioner Posts in Gangwon Province (강원도 보건진료소 고혈압 환자의 원격관리시스템 적용 효과)

  • Kwon, Myung Soon;Noh, Ghee-Young;Choi, Jounghwa
    • Korean Journal of Health Education and Promotion
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    • v.31 no.2
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    • pp.55-64
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    • 2014
  • Objectives: This study is to identify the effects of utilizing a telemedicine service system on patients with hypertension at home in rural areas. Methods: The study was designed to be a retrospective case-control study. The subjects of this study were 152patients with hypertension who were managed by community health practitioner posts; using telemedicine service system group (n=76), usual care group (n=76). The data was collected through EMR (electric medical record) from September to December, 2013, and analyzed by descriptive statistics of $x^2$/t-test and ANCOVA. Results: The analysis showed that telemedicine service system was an effective way to deal with body weight (F=4.723, p=.031) and BMI (F=5.225, p=.024). Conclusions: This study provides evidence for utilizing the telemedicine service system based on information technology as intervention method in the hypertension management.

A Study on the Development of the Record forms for the Home Care Nursing (가정간호기록지 개발에 관한 연구)

  • Han, Kyung-Ja;Park, Sung-Ae;Hah, Yang-Sook;Yun, Soon-Nyoung;Song, Mi-Soon
    • Journal of Home Health Care Nursing
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    • v.3
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    • pp.5-38
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    • 1996
  • The objective of this study is to develope the record forms for the home care nursing. Through the literature review and 4 times of workshop participated with the health practitioner and nursing professors from July 1993 to March 1995, the standands of home nursing care, initial assessment tools, progress notes by diseases and the referral sheet were developed. The Community health practitioner were trained for home nursing care and participated with 5 nursing professors in the workshop to validate the content of the record forms. It is suggested that the more refinement of these record forms fased a defined conceptual framework in the various home nursing area is needed in the future.

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The Healthy Village Projects Centered on the Living Site (생활터 중심의 건강마을 만들기 사업)

  • Choi, Youngmi;Kim, Jieun
    • Journal of Korean Academy of Rural Health Nursing
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    • v.13 no.1
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    • pp.21-33
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    • 2018
  • Purpose: The purpose of this study was to identify health problems in the community by providing healthy village projects centered and based on the actual living site and to enhance the empowerment of the community related to health. Methods: The participants were 600 people who lived in one of the 5 villages under the jurisdiction of one Primary Health Care Post (PHCP) in D city. The Community Health Practitioner (CHP) carried out the projects to increase geographical and temporal accessibility by building infrastructures through connecting human and physical resources in the community. The health leaders who were trained through the project consistently managed, and periodically checked the residents' health status. Results: The participants in the projects had significantly lower levels of depression, routine stress, and activity of daily living (ADL) disorders, and higher interpersonal relationships, and health-related quality of life (HRQoL) compared to the control group. Conclusions: The healthy village projects centered on the living site led to voluntary participation from the residents, improve HRQoL and enhanced empowerment of community.