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School Health Teachers' Experience of Coping with the COVID-19 Pandemic

보건교사의 COVID-19상황 대응 경험

  • 임경미 (경희대학교 간호과학대학) ;
  • 김진아 (호남대학교 간호학과)
  • Received : 2021.03.23
  • Accepted : 2021.04.19
  • Published : 2021.04.30

Abstract

Purpose: This study was conducted to describe the experience of school health teachers in regard to the COVID-19 pandemic in South Korea. Methods: We conducted a qualitative study using content analysis. Ten school health teachers were recruited from 6 elementary schools, 2 middle schools and 2 high schools in Seoul, using purposive sampling. They participated in semi-structured in-depth interviews in person or using an online communication system from January to February, 2021. Interviews were transcribed verbatim and analysed using qualitative content analysis. Results: Three main categories and nine generic categories emerged from the analysis. Firstly, it was discovered that school health teachers had psychological and physical stress to cope with COVID-19 due to the 1) fear of the unexpected infectious disease, 2) burden of having to deal with it alone, 3) breakdown of personal life and physical exhaustion and 4) heavy duty as a health teacher caused by the lack of an organic cooperation system with institutions related to school infectious diseases. Secondly, school health teachers had an increased sense of empowerment in regard to infectious disease management as a result of 1) feeling rewarded and appreciated and 2) gaining confidence and trust in infectious disease management. Finally, school health teachers experienced the urgent need for an effective response strategy for infection control because of the 1) confusion over infectious disease response due to lack of practical manuals applicable to the field as well as training, 2) disappointing response system without an expert response team dedicated to managing infectious diseases in schools, and 3) growing awareness of the need for change. Conclusion: It is expected that school health teachers' experience of COVID-19 will be used as important data for building effective and advanced school infectious disease response systems.

Keywords

References

  1. World Health Organization. Coronavirus disease (COVID-19) pandemic [Internet]. Geneva: World Health Organization; 2021 cited 2021 March 10]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
  2. Korea Disease Control and Prevention Agency. Coronavirus Disease-19, Republic of Korea [internet]. Osong: Korea Disease Control and Prevention Agency; 2021 [cited 2021 March 10]. Available from: http://ncov.mohw.go.kr/
  3. Park SE. Epidemiology, virology, and clinical features of severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2; Coronavirus Disease-19). Clinical and Experimental Pediatrics. 2020;63(4):119-124. https://doi.org/10.3345/cep.2020.00493
  4. Jun E, Lee G. Elementary, middle, and high school health teachers' countermeasures against an outbreak of pandemic diseases, including MERS. Journal of Korean Academy of Community Health Nursing. 2018;29:65-75. https://doi.org/10.12799/jkachn.2018.29.1.65
  5. Yoon KJ. Infectious diseases and public health care in response to Coronavirus-19 [Internet]. Sejong: Korea Institute for Health and Social Affairs; 2020 [cited 2021 March 10]. Available from: https://www.kihasa.re.kr/publish/regular/focus/view?seq=25075
  6. Lee IS, Yoon JH, Hong EJ, Kim CY. Schools' response to MERS (MERS-CoV) outbreak: schools' discretionary response in absence of control tower. Journal of the Korean Society of School Health. 2015;28(3):188-199. https://doi.org/10.15434/kssh.2015.28.3.188
  7. Jang BY. A study on the national crisis management system in the case of the new infection diseases: focusing on school infection prevention activities. Korean Political Science Association. 2017;25:69-89. https://doi.org/10.34221/kjps.2017.25.3.4
  8. Kim YB, Kim HK, Kim M. Developing strategies to improve efficiency of school health education in an outbreak of pandemic disease. Korean Journal of Health Education and Promotion. 2012;29(2):71-81.
  9. Choi KS, Lee KH. Experience in respinding to COVID-19 of nurse manager at a nursing hospital. The Journal of Humanities and Social science 21. 2020;11(5):1307-1322. https://doi.org/10.22143/hss21.11.5.94
  10. Jin D, Lee G. Experiences of nurses at a general hospital in Seoul which is temporarily closed due to COVID-19. The Journal of Korean Academic Society of Nursing Education. 2020;26(4):412-422. https://doi.org/10.5977/jkasne.2020.26.4.412
  11. Elo S, Kyngas H. The qualitative content analysis process. Journal of Advanced Nursing. 2008;62(1):107-115. https://doi.org/10.1111/j.1365-2648.2007.04569.x
  12. Lee JH, Lee BS. Role adaptation process of elementary school health teachers: establishing their own positions. Journal of Korean Academy of Nursing. 2014;44(3):305-316. https://doi.org/10.4040/jkan.2014.44.3.305
  13. Merriam SB. Qualitative research: a guide to design and implementation. 2nd ed. SanFrancisco: John Wiley & Sons; 2015. p. 85-163.
  14. Guba EG. Criteria for assessing the trustworthiness of naturalistic inquiries. Educational Technology Research and Development. 1981;29(2):75-91.
  15. Shenton AK. Strategies for ensuring trustworthiness in qualitative research projects. Education for information. 2004;22(2): 63-75. https://doi.org/10.3233/efi-2004-22201
  16. Green R, Reffel J. Comparison of administrators' and school nurses' perception of the school nurse role. The Journal of School Nursing. 2009;25(1):62-71. https://doi.org/10.1177/1059840508324248
  17. Kang IS, Cho SY, Jeong HJ. Factors affecting job stress of school nurse in secondary school. Journal of the Korean Society of School Health. 2010;23(2):286-295.
  18. Oh KO, Gang MH, Lee ST. Perceived occupational stress and depression of school nurses. Journal of Korean Public Health Nursing. 2012;26(1):60-71. https://doi.org/10.5932/jkphn.2012.26.1.060
  19. Kwon OY, Park KS. The influences of burnout on job satisfaction on school health teachers (school nurse): focused on the mediating effects of self-leadership. Journal of the Korean Society of School Health. 2017;30(1):1-11. https://doi.org/10.15434/kssh.2017.30.1.1
  20. Lee MJ. The association between health teachers' stress, burnout, and self-efficacy: a path analysis approach. Journal of the Korea Academia-Industrial Cooperation Society. 2020;21(1):317-325. https://doi.org/10.5762/KAIS.2020.21.1.317
  21. Guo J, Liao L, Wang B, Li X, Guo L, Tong Z, et al. Psychological effects of COVID-19 on hospital staff: a national cross-sectional survey in mainland China. Vaschlar Investigation and Therapy. 2021;4(1):6-11. https://doi.org/10.4103/vit-2
  22. Holmes EA, O'Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. The Lancet Psychiatry. 2020;7:547-560. https://doi.org/10.1016/S2215-0366(20)30168-1
  23. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open. 2020; 3(3):1-12. https://doi.org/10.1001/jamanetworkopen.2020.3976
  24. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain, Behavior, and Immunity. 2020;88:901-907. https://doi.org/10.1016/j.bbi.2020.05.026
  25. Korea Disease Control and Prevention Agency. Coronavirus Disease-19, Republic of Korea [Internet]. Osong: Korea Disease Control and Prevention Agency; 2021 [cited 2021 March 10]. Available from: http://ncov.mohw.go.kr/
  26. Hong CH. School health and physician's role. Journal of the Korean Medical Association. 2003;46(2):88-92. https://doi.org/10.5124/jkma.2003.46.2.88
  27. Kim EL. Even if the number of students exceeds 1,000, one school health teacher [Internet]. Gwangju: KBS News; 2020 [cited 2021 March 16]. Available from: https://news.naver.com/main/read.nhn?mode=LSD&mid=sec&oid=056&aid=0010849709&sid1=001
  28. Byun SS, Shin WR, Cho S. Building a emergency response system for the infectious diseases crisis management. The Journal of the Korea Contents Association. 2018;18(7):484-494. https://doi.org/10.5392/JKCA.2018.18.07.484
  29. Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, et al. The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. The Lancet Global Health. 2020;8(6):E790-E798. https://doi.org/10.1016/S2214-109X(20)30204-7
  30. Eo YS, Lee JW, Jang SE. A study on the nightingale pledge rituals. Journal of Fisheries and Marine Sciences Education. 2015;27(3):890-900. https://doi.org/10.13000/jfmse.2015.27.3.890
  31. Jang BY. A study on the national crisis management system in the case of the new infection diseases: focusing on school infection prevention activities. Korean Political Science Association. 2017;25:69-89. https://doi.org/10.34221/kjps.2017.25.3.4
  32. Kang J, Jang YY, Kim J, Han SH, Lee KR, Kim M, et al. South Korea's responses to stop the COVID-19 pandemic. American Journal of Infection Control. 2020;48(9):1080-1086. https://doi.org/10.1016/j.ajic.2020.06.003
  33. Oh J, Shin J, Oh Y. A study on relationship among the factors between school organizational culture, empowerment, job satisfaction and organizational commitment. Journal of Korean Society of Sport Policy. 2014;12(4):127-137.
  34. Jung W. The effects of school organizational culture perceived by teachers on their teacher efficacy and organizational commitment. The Journal of Educational Administration. 2005;23 (2):73-90.
  35. Jung W. The effect of principal leadership, teachers' collaborative culture, empowerment on the teachers' job satisfaction. The Journal of Korean Teacher Education. 2009;26(3):289-310. https://doi.org/10.24211/tjkte.2009.26.3.289
  36. World Health Organization and International Council of Nurses. ICN framework of disaster nursing competencies [Internet]. Geneva: World Health Organization; 2009 [cited 2021 March 10]. Available from: http://www.apednn.org/doc/resourcespublications/ICN%20Framework%20of%20Disaster%20Nursing%20Competencies%20ICN%202009.pdf

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