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홍외현 한국지역사회간호학회 2015 지역사회간호학회지 Vol.26 No.4
Purpose: The purpose of this study was to explore practice-based evidence for health promotion in vulnerable populations with hypertension in primary health care settings. Methods: Two methodological procedures were adopted for this triangulation study. In the first phase, the sample was obtained from the computerized clinical data repository of a community nursing center. A total of 286 clients were assessed for hypertension as an actual circulation problem as coded in the Omaha System. In the second phase, a qualitative focus group was surveyed through semi-structured interviews conducted by nine advanced practice nurses who had been serving the hypertensive patients. Results: The community nurses provided essential primary healthcare services including health teaching guidance and counseling, and surveillance to vulnerable populations living in medically underserved community. There was a significant positive correlation between knowledge and behavior (r=.53, p<.01), between knowledge and health status (r=.40, p<.05), and between behavior and health status (r=.48, p<.01). Conclusion: This triangulation study encompassed not only quantitative findings from the computerized records of clients but also other information acquired from advanced practice nurses. This study contributes to understanding the importance of health promotion nursing interventions even with populations already diagnosed with chronic diseases such as hypertension.
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Relationship between Spiritual Well-Being and Life Satisfaction for Canadian Middle-Aged Adults
홍외현 한국기독교교육정보학회 2011 Journal of Christian education information tech Vol.0 No.20
The aim of this study was to examine the relationship between spiritual well-being and life satisfaction for middle-aged adults who are between 35 to 64 years of age. A descriptive co-relational design was utilized in this study. The study involved the completion of a self-report questionnaire and the sample consisted of 62 subjects selected through convenience sampling. The spiritual well-being consists of two subscales: the religious well-being and the existential well-being. The Satisfaction with Life Scale was used to assess one aspect of subjective overall life satisfaction. The results showed that the relationship between spiritual well-being and life satisfaction for the middle-aged adults was strongly correlated (r=.373, p=001). There was no significant result in demographic characteristics with multiple regression analysis, but spiritual well-being significantly contributed to life satisfaction as a predictor that explained 13.9% of the variance among middle-aged adults. The research suggests spiritual well-being is a factor when examining strategies for life satisfaction toward successful aging in middle-aged adults.
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홍외현,Sally Peck Lundeen 한국간호과학회 2009 Asian Nursing Research Vol.3 No.3
Objectives The purpose of the study was to describe the health promotion interventions of nurses serving a low-income urban population in an academic community nursing center (CNC) in Wisconsin. Methods The Omaha System (OS) was used to code client problems and nursing interventions for 9,839 visits at the CNC. A dataset created by the Automated Community Health Information System (ACHIS), a computerized clinical information system, was used. A pilot testing was performed with the ACHIS data repository. Each intervention was linked to a nursing diagnosis coded with modifiers as either actual or potential problems or health promotion issues. The Lundeen’s Comprehensive Community-based Primary Health Care Model (CCPHCM) which emphasizes primary prevention and health promotion activities served as the conceptual framework for this study. Results A total of 58,747 modifiers were documented for 58,747 nursing diagnoses where a total of 9,836 nursing interventions were provided to 9,839 community center visits at the CNC. Although a majority of the nursing diagnoses (61.8%) were coded as actual problems as might be expected for this vulnerable population, 38% of the client problems were documented as potential problems (20.6%) and health promotion issues (17.7%.) Health Teaching, Guidance and Counseling (38.9%) and Case Management(25.8%) were the most frequently coded interventions. Conclusion This research adds to the understanding of the importance of nurses’ interventions toward health promotion with the vulnerable population. This preliminary analysis suggests that the ACHIS provide a clinical information system for collecting, storing, processing, retrieving, and managing clinical data in a data repository. Objectives The purpose of the study was to describe the health promotion interventions of nurses serving a low-income urban population in an academic community nursing center (CNC) in Wisconsin. Methods The Omaha System (OS) was used to code client problems and nursing interventions for 9,839 visits at the CNC. A dataset created by the Automated Community Health Information System (ACHIS), a computerized clinical information system, was used. A pilot testing was performed with the ACHIS data repository. Each intervention was linked to a nursing diagnosis coded with modifiers as either actual or potential problems or health promotion issues. The Lundeen’s Comprehensive Community-based Primary Health Care Model (CCPHCM) which emphasizes primary prevention and health promotion activities served as the conceptual framework for this study. Results A total of 58,747 modifiers were documented for 58,747 nursing diagnoses where a total of 9,836 nursing interventions were provided to 9,839 community center visits at the CNC. Although a majority of the nursing diagnoses (61.8%) were coded as actual problems as might be expected for this vulnerable population, 38% of the client problems were documented as potential problems (20.6%) and health promotion issues (17.7%.) Health Teaching, Guidance and Counseling (38.9%) and Case Management(25.8%) were the most frequently coded interventions. Conclusion This research adds to the understanding of the importance of nurses’ interventions toward health promotion with the vulnerable population. This preliminary analysis suggests that the ACHIS provide a clinical information system for collecting, storing, processing, retrieving, and managing clinical data in a data repository.
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홍외현,김정남,Hong, Woi-Hyun,Kim, Chung-Nam 한국지역사회간호학회 1999 지역사회간호학회지 Vol.10 No.2
This descriptive correlational study was conducted to identify the variables related to a health promoting lifestyle in high school students. 304 high school students and 189 vocational high school students living in Taegu city were selected by a convenience sampling method. The data were collected by self-reported questionnaires from August 24 to September 4, 1998. Pender and others' Health Promoting Lifestyle Profile, Shere et al's. Self-Efficacy scale, Wallston et al.'s Internal Health Locus of Control scale, Wares' Health self rating scale and Cohen & Hoberman's Social support scale were used. The data were analyzed by using descriptive statistics, Pearson correlation coefficient, t-test, MANOVA, ANOVA. Tukey verification and Stepwise multiple regression with an SAS program. The results of this study were as follows: 1. The average score of a health promoting lifestyle performance was 2.38(SD=.36) of a 4 point scale .Self-actualization (mean = 2.80. SD = .60). interpersonal support(mean = 2.73, SD=.47), health responsibility (mean=1.53, SD=.47), nutrition(mean=2.64, SD=.63), exercise(mean=2.71. SD=.72) and stress management(mean=2.37, SD=.58) were also analyzed. 2. The combination of self-efficacy, social-support, internal health locus of control. father's educational level and perceived health status explained 37.97% of the variance in health promoting lifestyles. 3. A Health promoting lifestyle showed significant positive correlations with self efficacy(r=.5173. p=.0011), perceived health status(r=.254, p=.001) and internal health locus of control(r=.321. p=.001). 4. According to sex(t=7.38. p=.006). economic state(F=6.62, p=.00l), Father's educational level(F=4.25, p=.005), mother's educational level(F=6.94. p=.000l), the grade of educational performance(F=3.74, p=.024), sleeping hours(F=3.47. p=.032) and social support(F=40.76, p=.0001). there were significant differences and modifying factors in health promoting lifestyles. On the basis of the above findings. self-efficacy in cognitive factors, and social support in modifying factors were identified as the variables which explained most of Pender's health-promotion model. Nursing strategies enhancing self-efficacy and social support which have a more significant effect on health promoting lifestyles should be developed. Further research is required to find out the factors influencing health pormoting lifestyle of high school students.
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공상 소방공무원의 직무스트레스에 관한 연구 -경북지역을 중심으로-
방창훈,홍외현 한국화재소방학회 2010 한국화재소방학회논문지 Vol.24 No.4
The aim of the study intends to investigate safety and health of injured firefighter in Gyeongbuk province and to provide the base data for the safety and health of firefighter. The results of the study are as follows. The injured firefighter are under more job stress than general’s and the effect factor of stress are “lack of reward”, “organizational system”, “occupational climate” and “job insecurity”. The injured firefighter receive more job stress than the average of korean man about “physical environment”and “occupational climate”. The prevalence post traumatic stress disorder (PTSD) of injured firefighter using IES-R-K is 75 percent of the surveyed. 본 연구는 공상 소방공무원에 관한 직무스트레스에 관하여 조사 연구하여 소방공무원의 안전보건을 향상시킬 수 있는 기본 자료를 제공하기 위하여 수행되었으며, 연구결과는 다음과 같다. 공상 소방공무원의직무스트레스는 일반 소방공무원에 비하여 상당히 높으며, 각 세부항목에서는 보상부적절, 조직체계, 직장문화, 직무불안정에 대하여 상대적으로 스트레스를 더 느끼는 것으로 나타났으며, 한국남자평균에 비하여는 물리적환경, 직장문화에 대하여 상대적으로 스트레스가 높은 것으로 나타났다. 공상 소방공무원의 외상후 스트레스 장애(PTSD)를 한국판 사건충격척도(IES-R-K)로 측정한 결과 조사대상의 75%(30명)가 장애를 느끼는 것으로 나타났다.
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산업장 중간관리자의 건강증진 행위에 영향을 미치는 변인분석
김정남,박경민,류미경,홍외현 대한보건협회 2000 대한보건연구 Vol.26 No.4
The purpose of this study was to identify the major factors affecting performance in health promoting behavior among the Industrial supervisors. The subjects for this study were 130 Industrial supervisors employed in one electronics manufacturing plant in Gumi and were obtained by a convenience sample. Data were collected from April 9th to 16th, 1999 by structured questionnaires. Collected data were analyzed by SPSS Package Program. The results of this study are as follows. 1. The average score of performance in the health promoting behavior was 2.47; the range of the score was from 1.37 to 3.90. The variable with the highest degree of performance was self-actualization, whereas the one with the lowest degree was exercise. 2. In the relationship between demographic variable and performance in the health promoting behavior, the educational level showed statistically significant difference in the self-actualization of health promoting behavior and the period of service showed statically significant difference in the interpersonal relationship. 3. Performance in the health promoting behavior was significantly correlated with health conception, self-efficacy, perceived benefit and perceived barriers. 4. The most important factor that affects performance in the health promoting behavior was perceived barriers. The combination of self-efficacy, perceived barriers accounted for 20.5% of the variance in health promoting behavior. On the basis of the above findings, self-efficacy and perceived barriers in cognitive factors, were identified as the variables which explained the most part of the Pender's health-promotion model. Nursing strategies enhancing self-efficacy and perceived barriers which has most significant effect on health promoting lifestyle should be developed. Further research is required to find out the factors influencing Health Promoting Lifestyle of Industrial supervisors.
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