지역사회보건사업 기획: 지역보건의료계획에 간호과정을 적용한 사례연구
Community Health Program Planning: A Case Study on the Application of the Nursing Process to Regional Healthcare Plan
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
In 2023, there was a growing interest in community nursing and its relationship to health policy and legislative issues. In this study, it is necessary to evaluate the step-by-step analysis process and the effects of applying the nursing process to a regional healthcare plan formulated and implemented by the local government as part of its Health Program Planning. The study targeted 177 third-year nursing students. Following the ADDIE model, the nursing process (i.e., situational assessment-diagnosis-planning-implementation-evaluation) was applied to analyze a regional healthcare plan. The data were collected through a survey. The degree of achievement of learning goals increased significantly from 3.78 points before the program implementation to 4.2 points afterwards, which was statistically significant. After the program, students' positive feedback was most frequently related to the following aspects, in descending order: "Increased interest" (34 students, 20.2%), "Recognition of local residents' health issues" (31 students, 18.5%), "Improved understanding" (30 students, 17.9%), and "Informative nature of the activity" (11 students, 6.5%). Responses regarding areas for improvement and supplementary points were as follows: "None" (38 students, 22.6%), "Difficult data analysis" (32 students, 19.0%), "The importance of checking recent data" (14 students, 8.3%), "I would like to improve my performance if given the opportunity" (13 students, 7.7%), and "Create a specific action plan" (11 students, 6.5%). The results of this study are expected to serve as fundamental data for subsequent research, building upon the community nursing process applied in health program planning. It is also expected to positively expand the perception of the need for institutional and policy intervention in individual and social structural aspects to achieve health equity among all social stratifications in the community.
Abstract
In 2023, there was a growing interest in community nursing and its relationship to health policy and legislative issues. In this study, it is necessary to evaluate the step-by-step analysis process and the effects of applying the nursing process to a regional healthcare plan formulated and implemented by the local government as part of its Health Program Planning. The study targeted 177 third-year nursing students. Following the ADDIE model, the nursing process (i.e., situational assessment-diagnosis-planning-implementation-evaluation) was applied to analyze a regional healthcare plan. The data were collected through a survey. The degree of achievement of learning goals increased significantly from 3.78 points before the program implementation to 4.2 points afterwards, which was statistically significant. After the program, students' positive feedback was most frequently related to the following aspects, in descending order: "Increased interest" (34 students, 20.2%), "Recognition of local residents' health issues" (31 students, 18.5%), "Improved understanding" (30 students, 17.9%), and "Informative nature of the activity" (11 students, 6.5%). Responses regarding areas for improvement and supplementary points were as follows: "None" (38 students, 22.6%), "Difficult data analysis" (32 students, 19.0%), "The importance of checking recent data" (14 students, 8.3%), "I would like to improve my performance if given the opportunity" (13 students, 7.7%), and "Create a specific action plan" (11 students, 6.5%). The results of this study are expected to serve as fundamental data for subsequent research, building upon the community nursing process applied in health program planning. It is also expected to positively expand the perception of the need for institutional and policy intervention in individual and social structural aspects to achieve health equity among all social stratifications in the community.
참고문헌 (21)
- 김도영, "사회경제적 지위가 건강수준과 의료서비스 이용에 미치는 영향에 관한 연구", 인문사회과학연구, 16(4), pp.329~369 (2015), 인문사회과학연구소[DOI]
- 김은정, "건강도시 지표 및 지수 개발과 수도권 지역의 적용에 관한 연구", 국토연구, 72, pp.161~180 (2012), 국토연구원[DOI]
- 김정수, "간호사의 보건사업수행 경험과정", 지역사회간호학회지, 21(4), pp.468~480 (2010), 한국지역사회간호학회
- 나백주, "제 5기 지역보건의료계획 방향과 지침 소개", 농촌의학 지역보건, 35(2), pp.195~203 (2010)
- 박은옥, "지역사회 보건사회지표를 이용한 시군구 지역 간 건강수준 비교 및 관련 요인 상관관계 분석", 지역사회간호학회지, 23(1), pp.31~39 (2012), 한국지역사회간호학회
- 배상수, "보건사업기획" (2014), 계축문화사
- "지역보건법" (2023)[URL]
- 성기월, "보건 간호사와 임상간호사의 주된 역할, 전문직 자아개념과 직무만족정도 비교", Journal of Korean Academy of Nursing, 32(2), pp.219~230 (2002), 한국간호과학회
- 안치영, "우리나라 시·군·구 지역보건의료계획의 비전(Vision) 문구 분석", 농촌의학.지역보건, 42(1), pp.1~12 (2017), 한국농촌의학.지역보건학회[DOI]
- 정백근, "지역 건강불평등 완화를 위한 정책 수립 방안과 지역보건의료계획의 의의", 보건복지포럼, pp.50~61 (2018)
- 진영란, "일 보건진료소장의 수필에 나타난 지역사회간호사의 역할", 한국보건간호학회지, 30(2), pp.300~310 (2016), 한국보건간호학회
- "지역보건의료계획 수립 및 활성화지원" (2023)[URL]
- 한영란, "보건간호사의 역할 및 업무에 대한 인식", 한국보건간호학회지, 30(3), pp.526~543 (2016), 한국보건간호학회
- Clark, M. J. D., "Community Health Nursing Advocacy for Population Health", pp.1064~ (2008), Pearson Prentice Hall
- Diez-Roux, A. V., "Neighborhood of Residence and Incidence of Coronary Heart Disease", New England Journal of Medicine, 345(2), pp.99~106 (2001)
- Gakidou, E., "Measuring Total Health Inequality: Adding Individual Variation to Group-Level Differences", International Journal for Equity in Health, 1(1), pp.1~12 (2002)
- Korean Nurses Association, "Nursing Education Learning Objective" (2012), Korean Nurses Association
- Ross, C. E., "Neighborhood Disadvantage, Disorder, and Health", Journal of Health and Social Behavior, pp.258~276 (2001)
- Schlegel, M, J., "A Handbook of Instructional and Training Program Design" (1995), Eric Document Reproduction Service
- Takano, T., "An Analysis of Health Levels and Various Indicators of Urban Environments for Healthy Cities Projects", Journal of Epidemiology & Community Health, 55(4), pp.263~270 (2001)
- "The Solid Facts: Social Determinants of Health" (2003)[URL]