J Korean Acad Community Health Nurs.  2022 Mar;33(1):13-31. 10.12799/jkachn.2022.33.1.13.

Job Analysis of Visiting Nurses in the Process of Change Using FGI and DACUM

Affiliations
  • 1Assistant Professor, Red Cross College of Nursing, Chung-Ang University, Seoul, Korea
  • 2Professor Emeritus, College of Nursing, Seoul National University, Seoul, Korea
  • 3Professor, College of Nursing, Korea University, Professor, Transdiciplinary Major in Learning Health Systems ․ Department of Healthcare Science, Graduate School, Korea University, Seoul, Korea
  • 4Graduate Student, College of Nursing, Korea University, Seoul, Korea
  • 5Graduate Student, College of Nursing, Seoul National University, Seoul, Korea
  • 6Director, Health Promotion Division, Mapo-gu Public Health Center, Seoul Metropolitan Government, Seoul, Korea
  • 7Action Officer, Department fo Nursing, Seoul Metropolitan Children's Hospital, Seoul, Korea

Abstract

Purpose
This study conducted a job analysis of visiting nurses in the process of change.
Methods
Participants were the visiting nurses working for the Seoul Metropolitan city. On the basis of the Public Health Intervention Wheel model, two times of the focus group interview (FGI) with seven visiting nurses and one time of the Developing a Curriculum (DACUM) with 34 visiting nurses were performed. A questionnaire survey of 380 visiting nurses was conducted to examine the frequency, importance and difficulty levels of the tasks created by using the FGI and DACUM.
Results
Visiting nurses’ job was derived as the theme of present versus transitional roles. The present role was categorized as ‘providing individual- and group-focused services’ and ‘conducting organization management’, while the transitional role was categorized as ‘providing district-focused services’ and ‘responding to new health issues’. The job generated 13 duties, 28 tasks, and 73task elements. The tasks showed the levels of frequency (3.65 scores), importance (4.27 scores), and difficulty (3.81 scores). All the tasks were determined as important, exceeding the average 4.00 scores. The group- and district-focused services of the tasks were recognized as more difficult but less frequent tasks.
Conclusion
The visiting nurses exert both present and transitional roles. The transitional roles identified in the present study should be recognized as an extended role of visiting nurses in accordance with the current changing healthcare needs in South Korea. Finally, the educational curriculum for visiting nurses that reflects the transitional roles from the present study is needed.

Keyword

Nurses; community health; Home care services; Job description
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