한국형 커뮤니티케어의 효율적 운영 방안

김희걸,진영란,이연숙 한국간호과학회 2018 한국간호과학회 학술대회 Vol.2018 No.10

세라밴드 운동이 여성노인의 유연성, 평형성, 근력에 미치는 효과

김희걸,남혜경 한국지역사회간호학회 2011 지역사회간호학회지 Vol.22 No.4

Purpose: The purpose of this study was to examine the effects of thera band exercise on muscle flexibility,balance ability, muscle strength and self-rated health in elderly women. Methods: The quasi-experimental research design (one-group pretest-post test) was employed. Participants were recruited in S-city and a total of 14 elderly women completed 15-week thera band exercise. Descriptive statistics, paired t-test and McNemar-test were used in data analysis by SPSS/WIN 12.0. Results: Compared with those before participation, the participants showed higher muscle flexibility, balance ability, and muscle strength after participation in thera band exercise. Conclusion: Findings of this study indicated that the 15-week thera band exercise program had a favorable effect on muscle flexibility, balance ability and muscle strength of elderly women. Future research needs to develop combined exercise programs with other types of exercise for the health of elderly women.

수도권 지역 보건소 방문간호사의 계약직 취업경험: 고용형태 및 처우를 중심으로

김희걸,장숙랑,진영란,허정이,이연숙 한국지역사회간호학회 2022 지역사회간호학회지 Vol.33 No.2

Purpose: This study was conducted with a focus group interview that drew out experiences, limitations, and difficulties in the workplace according to the employment conditions of visiting nurses in the public health centers. Methods: A total of 12 visiting nurses are those working in the public sector in Seoul and Gyeonggi province who were willing to participate in the interview. Analysis categories and coding were divided into three categories: compensation system, occupational status, and opinions to improve their treatment. Using the content analysis method, the current working status and compensation system of visiting nurses were described. Results: The main themes derived from the significant statements of visiting nurses were ‘Ten years of frozen salary system’, ‘Full-time workers of their own league’, ‘Excluded from performance benefits’, ‘Every visiting nurses are virtually precarious’, ‘Experience of exclusion and discrimination’, and ‘Reasons and barriers to be a full-time worker’. All of the visiting nurses working in the community insisted on having equal treatment for work of equal value. Visiting nurses in the public health sector wanted to be set to the same payment system and the fair allowance system as well. It is necessary to continuously seek solutions to the problems left in insisting on the civil service of visiting nurses. Conclusion: Visiting nurses who were working in a precarious job position felt job insecurity, and experienced discrimination, alienation, and exclusion. Legal and institutional reform is needed to improve the treatment of visiting nurses.

사회인지이론 기반 건강교육 프로그램이 대사증후군을 가진대학생의 건강증진에 미치는 효과

김희걸,이진화,김지윤,박현주,오현숙,이원재,김은애,정혜경 한국지역사회간호학회 2013 지역사회간호학회지 Vol.24 No.4

Purpose: The purpose of this study is to evaluate effects of a health education program based on social cognitivetheory on university students with risk factors for metabolic syndrome. Methods: A nonequivalent control grouppretest-posttest design was used. Participants were 88 students who had at least 2 risk factors for MetabolicSyndrome (47 students for the experimental and 41 for the control group). The health education program consistedof thirteen sessions. Knowledge regarding smoking and alcohol drinking, self-efficacy and self-esteem wereevaluated. t-test, x2-test, Fisher’s exact test, and paired t-test were conducted to analyze the data. SPSS/WIN19.0 Statistics program was used. Results: There was a statistically significant increase in self-efficacy in theexperimental group compared to the control group. No significant changes in knowledge and self-esteem werefound. Conclusion: The results suggest that the health education program for university students was partiallyeffective. Further work is required to develop more effective health education programs.

근로자건강센터 직원의 핵심역량 요구 및 역량수행

김희걸,이연숙 한국산업보건학회 2022 한국산업보건학회지 Vol.32 No.4

Objectives: This study was established to ascertain the requirements and implementation of core competencies for employees of the a workers’ health center. Methods: The study consisted of a four-step process: a literature review, focus group interviews, expert opinions, and a questionnaire. The survey was conducted online among 119 employees of the National Workers' Health Center. Results: As a result of the research, eleven core competencies and 37 sub-competencies were derived in three areas: Competence as a social worker, competence to perform duties, and competence for maintaining expertise. The key demands for core competencies were “health consultation” and “understanding of small businesses.”. They responded that they needed to “maintain an ethical attitude” and “consult on workers' health.”. The largest score difference between core competency requirements and competency implementation was “collaboration with the community.”. Conclusions: It is necessary to increase competencies not only for competencies with high core requirements, but also for relatively low competencies. In addition, efforts should be made to improve the core competencies of the employees of the Workers' Health Center to effectively respond to changes in the industrial structure and crises such as COVID-19.

일부 도시지역 시범방문간호사업에 대한 조사연구

김희걸,김희정,남혜경 경원전문대학 1998 論文集 Vol.20 No.-

In Korea, visiting nursing services in public health centers have been in place since 1991. This study analyzed a visiting nursing services recorder and a satisfaction of community inhabitants to estimate contents of visiting nursing services from Jan. 1994 to Dec. 1996 in urban area. Samples were 1505 community inhabitants that experienced visiting nursing services in seoul. A results from analysis follows: Firstly, for visiting nursing, diagnosis and consultation, health education was high relatively in 1994 and 1995, and in 1996 diagnosis and consultation, health education, and record appeared highly. Secondly, for satisfaction to visiting nursing, in comparison with dissatisfaction ratio, satisfaction ratio appeared highly, man had a higher satisfaction, and lower age appeared dissatisfaction. Thirdly, needs of inhabitants to visiting nursing appeared to be increasing visiting number, offer of redemy drug, continuous visiting nursing activities, planned testing, special health education. These results suggest implication that visiting nursing services have to practice by project plan by community diagnosis and reflect needs of community inhabitants.

복합 프로그램을 적용한 방문건강관리가 재가허약노인의 체력, 허약, 및 우울 개선에 미치는 영향

김희걸 한국지역사회간호학회 2015 지역사회간호학회지 Vol.26 No.4

Purpose: The purposes of this study were to examine the effects of home visit healthcare using a complex program on community-dwelling frail elders’ physical strength, frailty, and depression and to compare the effects among three regions. Methods: This study was conducted as a quasi-experimental study using one-group pretest- posttest design. A total of 86 subjects were sampled from three regions (metropolis, small city, and rural area). The program was applied for 14 weeks. This program consisted of disease management by a visiting nurse, exercise with a visiting nurse, self exercise, telephone monitoring, health education, counseling, providing handbook, and incentive. Physical strength was measured by balance, upper-limb, and lower-limb muscle strength. Frailty was measured by the Korean Frail Scale and depression was measured by the Geriatric Depression Scale. Paired t-test and ANCOVA were used to analyze the effects. Results: Physical strength, frailty, and depression were significantly improved after applying the complex program. There were not differences among the regions. Conclusion: Home visit healthcare using a complex program was effective in improving frail elders’ physical strength, frailty, and depression. There were not differences among the regions. Therefore, home visit healthcare using a complex program needs to be expanded to other regions.

방문간호사가 경험하는 폭력의 특성과 예방대책

김희걸,남혜경 한국가정간호학회 2017 가정간호학회지 Vol.24 No.3

Purpose: This study aims to reveal violence victimization of visiting nurses and investigate the coping and prevention strategies adopted by public institutions. Method: The data were collected over three weeks in 2017 using self-report questionnaires from 237 visiting nurses. Data were collected between August 23 and September 15, 2017. Result: Among the respondents, 74.7% had experienced some types of work-related violence during the past year. Verbal abuse (65.4%) was most common, followed by physical threat (46.8%), sexual abuse (43.9%), and physical violence (5.5%). The nurses perceived the most common cause of violation as socio-economic frustration of the offenders vented out on the nurses. Besides, most reported offenders had mental health problems. The two most effective measures to prevent violence faced by the nurses are terminating visiting services for the offenders and implementing the buddy system, which has rarely been used in practice. Conclusion: These findings show that visiting nurses are exposed to a risk of serious abuse in everyday work life, and the nurses themselves or institutions have failed to handle the violence, showing shaky responses at best. Therefore, it is necessary to establish internal regulations and systems at the institutional level that can help prevent violence against visiting nurses.

일본 The 21st UOEH and the 4th ILES International Symposium을 다녀와서

김희걸 한국산업간호협회 2002 한국산업간호협회지 Vol.9 No.3

간호사 국가시험통합을 위한 지역사회간호분야의 직무

김희걸 한국보건간호학회 2005 한국보건간호학회 학술대회지 Vol.2005 No.12