PURPOSE: The purpose of this study is to investigate working time of nurses in urban public health center branch, especially for nurses for visiting health service and chronic disease management. METHOD: Daily note, which was developed by this research team, was distributed to nurses at 7 urban public health center branches to be filled out them for 2 weeks during 2 month from June 2007 to August 2007. We analyzed 121 daily notes recorded by visiting nurses and 65 daily notes written by chronic disease management nurses were analyzed. RESULTS: The total working time for visiting nurses at urban public health center branches was 589.85 minutes per day on the average. They spent 147.13 min in actual visiting nursing services, 149.36 min in documenting, 66.94 in preparing, 77.69 min in transferring, and 11.84 min in referring. The total working time for chronic disease management nurses at urban public health center branches was 582.92 minutes per day on the average. They spent 148.77 min in actual chronic disease management services, 120.62 min in documenting, 42.46 min in group education, 37.38 in preparing, and 10.38 min in referring. CONCLUSION: Based on the results of this study, it is recommended to improve documenting systems and to increase community resources linkage were recommended through the results of this study. The results of this study are expected to be used to plan staffing at urban public health center branches in the future.
Chronic Disease* ; Education ; Health Services* ; Korea ; Nurses, Community Health ; Nurses, Public Health ; Nursing Services ; Public Health*

PURPOSE: It is extremely difficult to apply the model learned in basic education for public health nurses (PHNs) to conduct community health assessments. The purpose of this study was to clarify the process by which community health needs can be structured through PHNs' daily practice.METHODS: Semistructured interviews were conducted in 29 PHNs, and continuous comparative analysis using a qualitative study was performed with a modified grounded theory approach.RESULTS: The participants “used their five senses to understand the relationship between the health and life of people” and “considered those who do not attend” by “learning from stakeholders.” To verify such subjective feelings sourced from vague phenomena within the communities, subjective phenomena were converted into qualitative data.CONCLUSION: The application of the findings to organizational continuous education systems may not only help appropriately improve community health assessment methods but can also help improve the evaluation of daily practice and contribute to professional human-resource development.
Community Health Nursing ; Education ; Grounded Theory ; Nurses, Public Health ; Public Health Nursing ; Public Health

PURPOSE: This study was done to identify and prioritize educational needs for suicide prevention competencies among 212 visiting nurses from 33 public health centers. METHODS: Data were collected from August to October 2017 through self-administered questionnaires consisting of measures of suicide prevention competencies. Data were analyzed using descriptive statistics, paired t-test, and Borich's needs assessment model to determine the priority of educational needs. RESULTS: Visiting nurses reported that enhancing skills in suicide prevention were more significant than improving knowledge. The highest priority need was “utilizing counseling skills.” In addition, other educational needs were prioritized as followed by; “a strategic planning approach to suicide prevention”, “applying therapeutic communication”, “showing empathy”, and “using resources in the community.” CONCLUSION: The findings suggest that developing intervention programs to enhance counseling and strategic planning skills are needed to improve suicide prevention competencies among visiting nurses.
Counseling ; Educational Measurement ; Home Health Nursing ; Needs Assessment ; Nurses, Community Health ; Primary Prevention ; Public Health ; Suicide

PURPOSE: The purpose of this study was to develop a suicide prevention nursing competency program for visiting nurses, and to examine the effect of this program on suicide prevention-related knowledge, attitudes, and behaviors.METHODS: A total of 66 visiting nurses were recruited from 10 public health centers and divided equally into the experimental and control group. For the experimental group, the suicide prevention nursing competency program was provided twice a week for 120 minutes across 3 weeks. Participants were asked questions related to suicide prevention knowledge, attitudes, and behaviors at pre, post, and 1 month after the intervention. Data were analyzed using descriptive statistics, a t-test, repeated measure ANOVA, and Friedman test.RESULTS: There were significant differences in knowledge and behaviors at the measured time periods, and significant differences in attitudes and behaviors between the two groups. There were also significant interactions between groups and times in attitudes and behaviors. These results suggest that the effects of the program were persistent until the 1-month follow-up.CONCLUSION: The developed suicide prevention nursing competency program is effective in evidence-based education for visiting nurses to increase suicide prevention-related knowledge, attitudes, and behaviors.
Education ; Follow-Up Studies ; Home Health Nursing ; Nurses, Community Health ; Nursing ; Public Health ; Suicide

PURPOSE: The purpose of this study is to analyze the contents of disaster nursing education at universities in Korea and Japan, with focus on textbooks. METHODS: Disaster nursing contents from 11 Korean community health nursing textbooks and 3 Japanese disaster nursing textbooks were analysed. RESULTS: Three themes and 8 categories of disaster nursing content in the selected textbooks were analyzed. The themes classified include ‘understanding of disaster’, ‘disaster management’ and ‘disaster management system’. The theme of ‘understanding of disaster’ consists of such categories as ‘disaster concept/outline’, ‘classification of disaster’, ‘disaster management step’ and ‘disaster impact’. The theme of ‘disaster management activities’ consists of categories such as ‘disaster management activities’ and ‘disaster nursing’. The theme of ‘national disaster management system’ consists of categories like ‘national disaster management system’ and ‘international disaster relief’. From the comparison of disaster nursing education in the two countries, we found that themes were similar but there were differences between the two countries in content configuration. Korea and Japan have adopted the framework of International Council of Nurses for disaster nursing education. Korea stressed legal and ethical capabilities, while Japan included psychological support for disaster management service providers. CONCLUSION: Disaster education is an important factor in a nurse's ability for a disaster management. Development of a comprehensive disaster education program is necessary to enhance disaster care capacities.
Asian Continental Ancestry Group ; Community Health Nursing ; Disasters ; Education ; Education, Nursing ; Education, Nursing, Baccalaureate ; Humans ; International Council of Nurses ; Japan ; Korea ; Nursing ; Public Health Nursing

PURPOSE: This study investigated knowledge and attitude of home visitors in public health centers toward wife abuse and the actual status of how they were detecting wife abuse and providing interventions. METHOD: Data were collected using questionnaires from October 2003 to December 2004. The subjects were 403 home visitors at Public Health Centers around Korea. The data were analyzed using SPSS program. RESULTS: The correction rate of knowledge related to wife abuse was 51.9%. The mean score of attitude toward wife abuse was 3.09 (SD=.40) out of 4, showing that their attitude is right. There was a significant difference in attitude according to age (F=3.27, p=.008). One hundred twenty six visitors (31.3%) detected wife abuses and each visitor confirmed 2.3 cases on the average. Forty eight respondents (38.1%) answered that they had provided interventions. CONCLUSION: This result implies that health visitors have difficulties in detecting wife abuse, and even for identified cases, the rate of providing interventions was low. It was because health visitors' educational experience in wife abuse is insufficient and they do not regard this work as their duty. These findings suggest the necessity for developing nursing in-service programs teaching health visitors their duties and knowledge related to wife abuse.
Surveys and Questionnaires ; House Calls ; Humans ; Korea ; Nurses, Community Health ; Nursing ; Public Health* ; Spouse Abuse* ; Spouses

PURPOSE: The purpose of this study was to identify the factors influencing personal disaster preparation and disaster nursing core competency among visiting nurses in public health centers. METHODS: A descriptive survey study was adopted. A convenience sample was taken from 277 subjects in three regions. Data were analyzed by descriptive statistics, t-test, ANOVA, correlation, Pearson correlation coefficient and multiple regression. RESULTS: The mean personal disaster preparation and disaster nursing core competency scores were 11.13 and 76.87, respectively. Personal disaster preparation was statistically significant by experience of disaster victims and disaster management guideline. Disaster nursing core competency was statistically significant by participation in future disaster recovery. As a result of multiple regression analysis, personal disaster preparation accounted for 14.9 of the variance by experience of disaster victims and disaster management guidelines; disaster nursing core competency accounted for 8.9 of the variance by perception of disaster nursing. CONCLUSION: Although visiting nurses are ill-prepared for disaster, global natural and man-made disasters can occur regardless of time and place. Disaster education and training should therefore be included in nurses' fundamental education.
Disaster Victims ; Disasters* ; Education ; Humans ; Nurses, Community Health* ; Nursing ; Public Health*

An Internet portal site Nurscape(R) for professional nurses was developed and evaluated. CyberNurse an interdisciplinary team of nursing academic faculty, physician and vendor personnel played an important role as an advisory committee for system design and content provision. The Nurscape(R) site was developed through the systematic approach of interaction among the CyberNurse, contents team, and technical team. Three approaches were used for a formative evaluation; 1) system evaluation including user testing and technical testing, 2) focus group survey for contents evaluation, and 3) analysis of the users' characteristics using the user registration information. Based on the data collected from the three different Internet environments (LAN, ADSL, Modem), it was found that the average access time and network status showed the corresponding differences in the latency of the network tested, but have been steady and consistent to use. And from the group survey some operational issues were found. In the user analysis the 20-30 generation nurses covered 94% of user, and clinical nurse working in the hospital and student nurse were active information seeking groups in Internet. However special nurse such as public health and home health nurse was the main group in community health area.
Advisory Committees ; Commerce ; Focus Groups ; Humans ; Information Services* ; Internet ; Nurses, Community Health ; Nursing* ; Public Health

Focus group (FG) as a method of research is becoming popular in nursing. However, limited practical examples on the processes and skills required for the implementation in the Philippines to address the implementation in the Philippines to address the complexity of this methods may prevent novice nurses to pursue more FG-based researches. For nurses and other health researches who intend to use the FG, facilitation and note taking in FG discussions as well as transcribing and translating are important skills to master. Ways to enhance he quality of data should also be devised to improve trustworthiness of findings such as pre-testing of tools, conduct of dis briefing sessions and, validation of translations and other data sources. Through appropriate methodological processes and examples, FG research is valuable in exploring and understanding nursing and health-related issues. This article showcases the experience of nine novice Philippine nurse researches in their aim to achieve high quality FG study on access to maternal health services conducted in the Eastern Visayas region of the Philippines.

Achievement of Universal Health Care (UHC) in the Philippines requires capable health workers who can navigate changes and lead in the local implementation of health system reforms. Public health nurses are in a strategic position to lead in UHC implementation as they constitute the largest cadre of health workers in the public health setting, and core concepts of UHC intersect with principles of public health nursing practice. This paper aims to describe the development and implementation of a leadership training program for public health nurses in the Philippines, in response to UHC. Document reviews of training reports and evaluations, including course site data analytics, and evaluation of the training program were done for the four cohorts of the course. The University of the Philippines Manila College of Nursing, with support from the Department of Health, responded to the increased demand of the Philippine health system for public health nurses with strong foundations and advanced skills by designing and offering a leadership development course specific to PHNs. From November 2019 to March 2022, a total of 183 participants from 17 regions completed the training. With the COVID-19 pandemic and dynamic changes in governance, the experiences of the project highlighted the need for flexibility in delivering the training program, updating module contents according to the latest developments, and improving course duration and evaluation. Barriers to course engagement and completion must be addressed for PHNs, their workplaces, clients, and the health system to benefit the most from the training.
Nurses, Public Health ; Universal Health Care ; Nursing