• Journal of Korean Clinical Nursing Research
• /
• v.16 no.1
• /
• pp.167-175
• /
• 2010

Purpose: This study investigated nursing care delivery systems in 44 university affiliated hospitals and satisfactions with the systems perceived by 226 unit managers (head nurses) of general medical surgical wards. Methods: Data were collected with questionnaires consisting of checklists asking the unit managers their nursing care delivery systems and their satisfactions with the systems. Results: Four models of nursing care delivery systems (primary, modified primary, team, and functional models) were drawn from the participants' responses. Among the four key models 35% of the units adopted team model whereas 24.3% adopted primary model and 22.6% adopted modified primary model. In spite of 35% of team model being under use, 60.6% (n=137) of the unit managers answered the nursing delivery system of their units as team model and only 6.2% (n=14) answered their units having primary or modified primary models, instead of 46.9% combining both. In regard to the satisfaction, critical thinking ability of staff nurses (members in their units) was the most dissatisfactory area regardless of models of service delivery. Conclusion: Introducing team model supplemented with core concepts of primary model (primary team delivery model) into nursing practice will reform the workplace and therefore deliver safe health care services to patients.

• Journal of the Korean Society of School Health
• /
• v.32 no.3
• /
• pp.152-164
• /
• 2019

Purpose: This study was a descriptive methodological study to develop protocols for school health practice to manage health problems of primary school students effectively. Methods: The protocols were verified by 12 experts and 10 health teachers, respectively, to secure a two-step content validity. Results: The main 8 health problems of primary school students were headache, abdominal pain, musculo-skeletal, respiratory, circulatory, ophthalmic, and oral-dental problems, and fever. The developed protocols consist of 8 algorithms, which are to help decision making in the course of assessing health problems and to identify and link related factors and associated symptoms, 8 school nursing records based on the Omaha classification system, and the list of 441 links between nursing assessment and nursing intervention. Conclusion: The use of the protocols is expected to make it easier for health teachers to apply the nursing process in solving the health problems of primary school students and supporting the rational decision making process, eventually improving the quality of primary school health. Repeated studies for protocol standardization as well as studies dealing with various health problems not included in the protocols should be performed for the development of school health practice protocols.

• Child Health Nursing Research
• /
• v.18 no.4
• /
• pp.184-191
• /
• 2012

Purpose: The purpose of this study was to provide basic data for nursing interventions to assist primary caregivers of young children by determining the degree stress and fatigue that caregivers were under due to parenting young children. Methods: Participants were primary caregivers (181 mothers and 160 grandmothers) of young children. Results: 1) Mean score for degree of parenting stress was 2.61 (${\pm}.69$) and for fatigue, 1.97 (${\pm}.54$). 2) There was a significant difference in degree of parenting stress according to primary caregivers' age, employment status, income, whether the children were wanted babies, health status of the children and caregivers, personality of the children, and benefits from, and satisfaction with costs of childcare. Likewise, there was a significant difference in degree of fatigue according to relationship of primary caregivers to the children, primary caregivers' age, religion, income, whether the children were wanted babies, health status of the children and caregivers, personality of the children, and benefits from, and satisfaction with costs of childcare. 3) Stress and fatigue perceived by the primary caregivers were significantly correlated (r=.554 p<.001). Conclusion: To alleviate more effectively primary caregivers' parenting stress and fatigue, early nursing intervention and educational programs need to be developed.

• Journal of Korean Academy of Nursing Administration
• /
• v.19 no.2
• /
• pp.217-226
• /
• 2013

Purpose: Purpose of this research was to identify effects of application of a modified primary nursing system. Methods: Measurement was done of direct nursing time and satisfaction of nurses and patients before and after one month of the modified primary nursing system in a surgery unit in C university hospital, Seoul. Results: There was no statistically significant difference between average for patient satisfaction (4.24) before and (4.11) after application of the modified primary nursing system. Total average for nurse satisfaction with the nursing delivery system was 2.89 before application and, 3.34 after, indicating some significant differences (t=-4.06, p<.001). The KPCS-1 was 10.19 before application of the modified primary nursing system and 9.52 after application. Recalculated into direct nursing time, the average direct nursing time for one patient was 92 minutes before application, and 85.98 minutes after, indicating no significant difference. Conclusion: Through this research an attempt was made to build and test a modified primary nursing system. Results indicate that the most important thing is to clearly regulate office work and safely implement the new system.

• Journal of Korean Academy of Rural Health Nursing
• /
• v.18 no.2
• /
• pp.80-91
• /
• 2023

Purpose: The purpose of the study quantitatively investigates the experience of unmet healthcare service utilization by rural populations in vulnerable areas during the COVID-19 pandemic based on Andersen's behavior model. At the same time, this study attempts to describe the experiences of unmet healthcare service utilization among participants in vulnerable rural areas by analyzing qualitative contents through open-ended question. Methods: Data were collected from October to November 2022 using Qualtrix, a web-based survey platform. A total of 863 participants completed an online survey. Quantitative data were analyzed using 𝑥² test and logistic regression analysis. Qualitative data were analyzed using content analysis. Results: The factors affecting participants' unmet healthcare service utilization were type of residential area and underlying disease. The qualitative analysis identified; four categories and nine sub-categories. Conclusion: Based on these findings, it is necessary to develop a disaster nursing response model according to the type of residential areas and the number of people.

• Research in Community and Public Health Nursing
• /
• v.29 no.1
• /
• pp.54-64
• /
• 2018

Purpose: The purpose of this study is to identify factors influencing burnout in primary family caregivers of Home Health Care Patients. Methods: Data were collected from 121 primary family caregivers of home health care patients in three different hospitals in 'D' metropolitan city and the study was conducted from August 10, 2016 to January 17, 2017. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's Correlation Coefficient, Stepwise Multiple Linear Regression. Results: Mean scores for the nursing needs of the participants were $3.54{\pm}0.79$, the family functions were $1.24{\pm}0.58$, the burnouts were $2.74{\pm}0.49$. The burnouts were positively correlated with the nursing needs but inversely correlated with the family function. The factor that had the greatest influence on the burnouts of primary family caregivers of Home Health Care was family function (${\beta}=-.245$, p=.001), followed by patients' daily activity (${\beta}=-.213$, p=.014), age (${\beta}=.208$, p=.032), monthly nursing services cost (${\beta}=-.196$, p=.044) and nursing needs (${\beta}=.129$, p=.014). The Explanatory Power of Models was 23%. Conclusion: Individually customized home care nursing intervention programs are required to be provided in accordance with patient's family function and daily activity, monthly home care nursing service cost, nursing needs and general characteristics of primary caregivers of Home Health Care Patients such as their age, the number of family members living together, sex and the name of disease.

• Journal of Korean Academic Society of Home Health Care Nursing
• /
• v.27 no.3
• /
• pp.250-258
• /
• 2020

Purpose: This study aimed to investigate the relationship between nursing work environment, patient safety culture, and patient safety nursing activities in hemodialysis units at primary care centers. Methods: In this cross-sectional descriptive study, 116 nurses working in hemodialysis units at 22 primary care centers were enrolled as participants. They were selected them by the convenience sampling method. Data were collected using structured questionnaires that included questions on general characteristics, nursing work environment, patient safety culture, and patient safety nursing activities. Results: The nursing work environment was relatively good; however, the patient safety culture and patient safety nursing activities were poor. A positive correlation was found between nursing work environment, patient safety culture, and patient safety nursing activities. Factors that affect patient safety culture were rated high in the order of nursing work environment and patient safety nursing activities, and factors affecting patient safety nursing activities were rated high in the order of patient safety culture and age. Conclusion: This study showed that the development of tailored patient safety training for nurses in hemodialysis units working in primary care and administrative support from those institutions are needed. In particular, strategies accounting for nurses' characteristics such as age are required to strengthen patient safety nursing activities.

• The Korean Journal of Rehabilitation Nursing
• /
• v.8 no.1
• /
• pp.20-30
• /
• 2005

Purpose: The purpose of this study was to investigate the stress level and health status of primary caregivers living with demented elderly. Method: The subject was 92 primary caregivers who had been taking care of demented elderly at home. The research tools were a stress questionnaire and health status questionnaire. The data were collected through direct interview with a questionnaire in the B city, from February to March 2004. The data were analyzed by t-test, ANOVA, Pearson's correlation coefficients and Scheffe test using SPSS/PC 11.0 program. Results: The primary caregivers living with demented elderly showed slightly high level of stress and moderate level of health status. Moreover, there was a significant correlation between the stress level and the mental and the physical health status. Conclusion: Based on the results, we recommend the development of an intervention program to decrease the stress level of primary caregivers living with demented elderly for improving their health status.

• Journal of Korean Academic Society of Home Health Care Nursing
• /
• v.17 no.2
• /
• pp.144-155
• /
• 2010

Purpose: This study investigated the factors affecting the quality of life (QOL) of the primary caregivers of home health care patients. Method: The subjects were 110 primary caregivers of patients who were receiving home health care from two home health care centers affiliated with general hospitals in Seoul. Data collection was conducted using five questionnaires. Results: Positive relationships were evident between QOL and social support and perceived health status of the primary caregiver. Negative relationships were evident between QOL and burden and depression. Multiple linear regression analysis for QOL revealed that the most powerful influencing factor was social support. Social support, burden, and depression explained 34.3% of the variance. Conclusion: Burden, depression, and social support are related with QOL of primary caregivers of home health care patients. Nursing intervention strategies directed at this caregiver population are needed.

• Journal of Korean Public Health Nursing
• /
• v.12 no.1
• /
• pp.90-102
• /
• 1998

The primary health care(PHC) movement officially began in 1977 when the 30th World Health Oranization(WHO) Assembly adopted a resolution accepting the goal of attaining a level of health that permitted all citizens of the world to live socially and economically productive lives. As a WHO member nation, Korea has endorsed primary health care as a strategy for achieving the goal of Health For All by the Year 2000. However, PHC, with its empasis on broad strategies, community participation, self reliance, and a multidisciplinary health care delivary team, is not the primary strategy for improving the of Korean. The Neuman's systems model has been described as a grand nursing theory. A grand nursing theory consists of a comprehensive conceptual framework that defines broad perspectives for practice. This model is an example of a conceptual framework that provides structure for development and analysis of an individual or group of patients in the community or in an oranization. One of the model's strength is that it can be useed ina variey of setting. So The Neuman's model is used a nursing process format for community health nursing. The Neuman's model is fully congruent with concept and philosophy of today's PHC.