• Research in Community and Public Health Nursing
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• v.16 no.2
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• pp.157-166
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• 2005

Purpose: This study was to explore health experiences of the low-income elderly living alone reflected in Newman's Health as expanding consciousness theory. Method: The researcher used Newman's praxis methodology because it is good for showing the process of interaction between the researcher and the low-income elderly living alone. Results: The significant characteristics of early health experience during a participant's lifetime were demonstrated that blamed themselves, being burden of themselves hopeless of their lives. However, after a turning point in health experience. The health experience of most of the participants evolved as expanding consciousness. Conclusion: This study has provided support for Newman's theory of health. Most of the participants recognized meanings in their patterns and authentic caring relationships with the nurse as researcher, pattern recognition as a nursing practice was a meaningful transforming process in the participant-nurse partnership. This participatory approach expands the scope of sharing health experience with the elderly living alone and with caring community people.

• Research in Community and Public Health Nursing
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• v.28 no.4
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• pp.397-409
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• 2017

Purpose: Competency is a key foundation of the nursing education curriculum and a baseline element of nursing practice. The purpose of this study was to explore the competencies of community health nurses in a maternal early childhood sustained home-visiting program based on nurses' field experiences. Methods: The participants were 21 nurses who had more than 1 year of experience in this program. Reflective interviews were performed; lasting 1 hour per nurse, on August 18, 2016, and the collected data were analyzed using qualitative directed content analysis. Results: Twenty-four themes were extracted for 9 competencies. The major themes included implementing a long-term relationship-based approach, providing client-led service rather than expert-led service, helping mothers with psychosocial difficulties, and applying skills in a practical manner in the home environment. Conclusion: In order to develop a home-visiting program as part of maternal-early childhood nursing practice, nurses should develop competencies that help them make significant and positive interventions. Results indicate that the curriculum for community health nurses should be changed to improve competencies in building relationships with clients and to focus on the application of skills in specific cases and in clinical practice.

• Journal of Korean Academy of Nursing
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• v.38 no.6
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• pp.789-801
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• 2008

Purpose: The purpose of this study was to develop a substantive theory of case management (CM) practice by investigating the experience of nurse case managers caring for Medical Aid enrollees in Korea. Methods: A total of 12 nurses were interviewed regarding their own experience in CM practice. Data were recorded and analyzed using grounded theory. Results: Empowerment was the core category of CM for Medical Aid enrollees. The case managers engaged in five phases as follows, phase of inquiring in advance, building a relationship with the client, giving the client critical mind, facilitating positive changes in the client's use of healthcare services, and maintaining relationship bonds. These phases moved gradually and were circular if necessary. Also, they were accelerated or slowed depending on factors including clients' characteristics, case managers' competency level, families' support level, and availability of community resources. Conclusion: This study helps understand what CM practice is and how nurses are performing this innovative CM role. It is recommended that nurse leaders and policy makers integrate empowerment as a core category and the five critical CM phases into future CM programs.

• The Journal of Korean Academic Society of Nursing Education
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• v.28 no.3
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• pp.223-235
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• 2022

Purpose: This study aimed to explore nursing students' experience with community-linked nursing education programs. Methods: This study utilized a qualitative content analysis. Participants were 55 sophomore nursing students. The community-linked nursing education program was conducted for eight weeks using the Analysis, Design, Development, Implementation, Evolution (ADDIE) model. Data were collected from 55 reflection records and five individual interviews and then analyzed through the three steps of qualitative content analysis, coding, condensing, and categorizing. Results: Twelve categories, 26 subcategories, and six topics emerged. The themes of impression and lesson from the community-linked nursing education programs were "recognizing the importance of professional competence in performing the role of nurse," "recognizing the need for leadership and cooperation in nursing practice," and "increased awareness of the role as a nursing professional for community residents." The themes of the strategies used were "looking at the goal and moving forward," and "aligning differences and working together with team/community members." The theme of strategies for the advancement of community-linked nursing education programs was "establishing a sustainable student-participating community-linked education program." Conclusion: The community-linked nursing education programs made students aware of the necessary competencies as professionals. In particular, they gave them hope for their role as professional nurses in the community. It could also be seen that they developed the ability to engage in team activities for community activities. Community-linked nursing education programs will need to be developed into continuous programs with community residents.

• Research in Community and Public Health Nursing
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• v.28 no.1
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• pp.69-77
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• 2017

Purpose: This study was conducted to compare the level of health concern and the health practice of adult women depending on their experiences with cosmetic tattooing. Methods: The participants were 396 adult women in Jeonnam and Jeonbuk Provinces and G City. Their levels of health concern were measured using the 5-point-5-item scale designed by Kim. For measuring their health practice, the 5-point-12-item scale designed by Kwak was used. Results: The percentage of cosmetic tattooed women was 58.8%. The average score of their health concern was 3.12 and that of their health practice 3.54. As for their levels of health concern, no differences were observed between those with cosmetic tattoo experience and those without. However, the group with cosmetic tattoo experience exhibited a higher level of health practice. Also, most members of the cosmetic tattooed group decided to visit their tattoo shops based on the availability of tattoo shapes or prices rather than considering infection risks. Conclusion: Health education is necessary to increase people's sensitivity to infection. This study shows that urgent attention for the management and regulation of the relevant ministries is required. Also, this study provides foundational information that will serve health education.

• Research in Community and Public Health Nursing
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• v.31 no.2
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• pp.143-155
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• 2020

Purpose: This study aimed to explore the difficulties and coping that advanced practice nurses (APNs) experience in home health nursing field. Methods: The participants were 12 APNs who had experience in home health nursing for over 5 years. Data were collected through two focus group interviews between August and September, 2017. The results were analyzed using a qualitative content analysis. Results: Out of 10 sub-categories and 29 codes, 4 categories emerged: "crushed by the responsibilities as the only healthcare professional", "worn out by family who interfere with work", "anxiety about my safety being threatened" and "using self-learned know-hows". Conclusion: APNs face difficulties due to the environmental characteristics of the homes, the characteristics of chronically critically ill (CCI) patients and their families, and legal or systematical limitations when dealing with problems based on their personal competence. In order to ensure that professional nursing care is more readily provided to CCI patients through home health nursing services in local communities, it is imperative that support systems at the organizational and institutional levels be established in a systematic way to resolve the issues faced by APNs.

• Journal of Korean Academy of Nursing
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• v.1 no.1
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• pp.3-26
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• 1970

That's an attempt to study about knowledge, attitudes and practice of the residents with regard to maternal child health, family, planning, and tuberculosis in rural area which was chosen to be a demonstration area for nursing students of College of Nursing, Yonsei University for their public health nursing practice. In addition, it is designed to collect information on population of the area such as age and sex distribution, mobility, and other characteristics also be sought by doing a census. The purpose of study is to obtain data which are needed for planning student learning experiences in the community. The information which was obtainable through this study is as follows; 1. In demographic aspect a. Population structure was a typical rural type in terms of population pyramid. b. Distribution of age and sex of residents showed more female in the older ages. c. Population has not moved much. Majority of them have been living in the area since their births. 2. In sociological aspect a. The level of education of female was comparatively lower than male. b. The residents of the area did not have any special religion. c. The economic status was found low or middle class. 3. In health practice In general health knowledge, attitudes and practice appeared to be poor. As a result of this study, it could be summararized that there are a great public health nursing needs in the community. According to these needs found and to it's nature, severity and massiveness, the nurse instructors with students were able to set up a priority system in services. Meanwhile student case load can be logically figured out in consideration of variety of experiences need for each student. The study helped student not only to find out resident characteristics and their health problems in terms of family and community problem but also to provide a good learning experience by participating in the interviewing. In sum this type of study is necessary for planning of student field experience when no data are available where students are going to have field experiences in public health nursing.

• Journal of The Korean Society of Integrative Medicine
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• v.7 no.4
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• pp.171-180
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• 2019

Purpose : The purpose of this study is to understand the experiences of nursing students in clinical practice at a public health center through their self- reflections. Subjects : The 110 students in the 3rd year, practice at two public health centers in city P and city K. From the110, 53 male and female university students who practice in city K were selected to participate : 11males (20.8 %) and 42 females (79.2 %). Methods : The data analyzed were the self-reflections regarding the clinical practice. Results : These data indicate that : most of the participants now believe that public health centers provide many more services to the community than they previously knew about. They rate the public health center's programs highly, and want to be community health nurses. For the first time, they realize that the work of public health nurses is very important. In particular they note that their emotions while at the public health center differ significantly from when they work at the other. The environment in the public health center makes them feel more comfortable and less stressed. Generally, they are satisfied with their practice at the public health center. Conclusion : On the basis of these findings, the following recommendations can be made. Experience at public health centers is an important part of nursing students' education. I suggest that research on nursing students' experiences while practicing at the public health center should expand to include research methods other than the analysis of their reflection journals, In addition a follow-up study of experiences while practicing at the public health center should be attempted of self-reflections.

• The Journal of Korean Academic Society of Nursing Education
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• v.23 no.4
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• pp.474-485
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• 2017

Purpose: The purpose of this study was to identify a causal relationship among major satisfaction, career decision autonomy, and career search behavior of nursing college students in clinical practice experience. Methods: Data were collected using a self-reported questionnaires from 197 nursing students in S city from December 1 to 23, 2016. These were then analyzed by descriptive statistics, ANOVA, t-test, Pearson correlation coefficient, and multiple regression using SPSS/PC+ program. Results: The results suggest that major satisfaction was correlated with career decision autonomy; likewise, major satisfaction was correlated with career search behavior. The factors influencing career search behavior were grades and major satisfaction. Conclusion: It is necessary to develop a learning method considering interest and aptitude to increase the satisfaction of the major and to apply the various programs to understand the self and the work environment so as to determine how desirable the course will be.

• Journal of Korean Public Health Nursing
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• v.27 no.3
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• pp.592-607
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• 2013

Purpose: The purpose of this study was to examine the personal, family, and community factors that affect addictive behavior of adolescents. Methods: This study was conducted using a descriptive survey design. Subjects included 398 adolescents in three middle schools and four high schools located in three cities. Data were obtained from these subjects between July 11 and July 19, 2013 using self-report questionnaires. Analysis of the data was performed using the SPSS 19.0 program. Results: Of the participants, 62.0% were included in the non-addictive group, and 38.0% in the risk for addictive behavior group. Significant factors related to addictive behavior includes eight personal factors: alcohol consumption, sexual experience, suicidal ideation, experience of being a runaway, time spent using the smartphone, and time management skills; five family factors: physical abuse by parents, parental alcohol abuse, parental rearing attitudes [the type of rearing attitude among emotional warmth, rejection, and overprotection]; and two community factors: number of peers who practice risk behavior and relationship with peers. Conclusion: Based on the outcomes of this study, it is suggested that a school health program to decrease adolescent addictive behavior should consider personal, family, and community factors.