• Title, Summary, Keyword: Nursing homes

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Development and Validation of the Korean Patient Safety Culture Scale for Nursing Homes (한국형 노인요양시설 환자안전문화 측정도구 개발 및 평가)

  • Yoon, Sook Hee;Kim, Byungsoo;Kim, Se Young
    • Journal of Korean Academy of Nursing
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    • v.43 no.3
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    • pp.379-388
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    • 2013
  • Purpose: The purpose of this study was to develop a tool to evaluate patient safety culture in nursing homes and to test its validity and reliability. Methods: A preliminary tool was developed through interviews with focus group, content validity tests, and a pilot study. A nationwide survey was conducted from February to April, 2011, using self-report questionnaires. Participants were 982 employees in nursing homes. Data were analyzed using Cronbach's alpha, item analysis, factor analysis, and multitrait/multi-Item analysis. Results: From the results of the analysis, 27 final items were selected from 49 items on the preliminary tool. Items with low correlation with total scale were excluded. The 4 factors sorted by factor analysis contributed 63.4% of the variance in the total scale. The factors were labeled as leadership, organizational system, working attitude, management practice. Cronbach's alpha for internal consistency was .95 and the range for the 4 factors was from .86 to .93. Conclusion: The results of this study indicate that the Korean Patient Safety Culture Scale has reliability and validity and is suitable for evaluation of patient safety culture in Korean nursing homes.

A Study on Eco-friendly Design Techniques of Nursing Homes to Improve Quality of Life for the Aged - Focus on the passive design - (노인 삶의 질 향상을 위한 노인요양시설 친환경 설계기법에 관한 연구 - 자연형 설계기법을 중심으로 -)

  • Kim, Tae-Min;Choi, Sang-Hun
    • Korean Institute of Interior Design Journal
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    • v.20 no.6
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    • pp.208-217
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    • 2011
  • Recently the importance of the elderly facilities and the eco-friendly buildings is on the rise, due to the rapid increase of the aged population and the more and more serious global environment issues, respectively. Thus, the purpose of this study is to suggest an eco-environmental improvement plan which aims to improve the quality of life for the aged in planning nursing homes hereafter by reviewing the theory of the eco-friendly architectural concept and the same conceptual design, which become the issues of late, and thus analyzing the state of applying the eco-friendly design techniques to the municipal nursing homes located in Seoul. In this study its direction of the eco-friendly design required in nursing homes was established by reviewing the characteristics which the aged and nursing homes may have, and thus extracting the elements required for the quality of life for them. The theoretical studies showed that the environment-friendly natural elements necessary for the nursing houses are light, air and plants, from which three design elements are obtained: daylighting, natural ventilation and natural landscape. In conclusion, the eco-friendly nursing homes must be planned to improve the quality of life for the aged by recognizing that the eco-friendly architecture concept, emerged as a new paradigm, is the one to be put before all the considerations for those who are sensitive to the environment, and thus reviewing the characteristics found out from them.

A Basic Study on the Architectural Planning of Outdoor Space for the Elderly with Dementia (치매요양시설의 옥외공간 조성에 관한 기초연구)

  • Jeon, Sung-Min;Kwon, Soon-Jung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.13 no.1
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    • pp.61-71
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    • 2007
  • The Outdoor space is an essential element among healing environments for older people. The purpose of this study is to identify outdoor design issues which can improve the health conditions of the elderly living in nursing home. At first, the design principles of outdoor space for the mentally ill have been collected from the literature survey. Secondary, outdoor design requirements for the care program in nursing homes have been explored. Thirdly, good design elements have been collected from 6 nursing homes which have good outdoor space. Finally, Basic design principles of outdoor space of nursing homes in which older people with dementia live have been proposed by analysis and synthesis on the three stages before. As a result of this study, 6 dimensions in architectural planning of outdoor space for nursing homes have been presented : safety environment, various sensual stimulation, social interactions, support physical ability, accessibility, meditation.

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Study on Case-Mix in Long-Term Care Facilities for Elderly (장기요양시설 노인의 환자구성에 관한 연구)

  • Jeon, Yi-Jee;Kim, Suck-Il;Hum, Yu-Seung;Yi, Sang-Wook
    • Korea Journal of Hospital Management
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    • v.6 no.3
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    • pp.130-147
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    • 2001
  • This study is about major symptoms of elderly and medical services for elderly in long-tenn care facilities. The subject of this study was 298 patients over 00 years old staying in two geriatric hospitals and two nursing homes. The symptoms and medical services were level of patient classification from RUG(Resource Utilization Group)-III which is applied for both Medicare and Medicaid for skilled nursing facilities reimbursement system in US and designed for measuring patient characteristics and medical staff time. This classification is explained by each patient resource(staff time) utilization level which is called CMI(Case-Mix Index). In this study, the symptoms and services were compared by facility type and they were categorized by level and compared by CMI. Major findings are as follows; 1. There were more elderly who have cognitive function problems in nursing homes than patients in geriatric hospitals. There were more patients with behavioral problems in geriatric hospitals than residents in nursing homes. These results were both statistically significant. 2. The patients in geriatric hospitals received significantly more nursing rehabilitation services, rehabilitation services and extensive services than residents in nursing homes. Other hands, special care services were provided significantly more to residents in nursing homes than elderly in geriatric hospitals. 3. ADL and depression variables had higher CMI when the symptoms were heavier condition. The CMI were not matched with levels of cognitive function problems and behavioral problems. 4. The CMI matched well significantly with levels of nursing rehabilitation services, special care services, and clinically complex services provided for the patient in geriatric hospitals and only nursing rehabilitation services in nursing homes. The CMI for rehabilitation services level and extensive services had regular trends. From the result of this study, the resource utilization level and services provided for elderly in each long-term care facilities were figured out. For the further study, it needs to have more concern about RUG-ill which classification variables were just analyzed.

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A Study on the Evaluation of Treatment Conditions of the Nursing Homes based on the Characteristics of the Elderly - Focusing on the Municipal Nursing Homes in Seoul - (노인특성을 고려한 노인요양시설 치유환경평가에 관한 연구 - 서울 시립 노인요양시설을 중심으로 -)

  • Song, Hyo-Ju;Choi, Sang-Hun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.15 no.3
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    • pp.31-39
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    • 2009
  • Population of senior citizens in Korea has been on the increase rapidly through decrease in population by falling birth rate and extension the average life span by development of medical technology and improving people's standard of living. As the booming population of senior citizens, it has appeared to problems of the elderly such as protection, health and supporting and welfare facilities for the elderly have increased there but it leaves something to be desired at plan and improvement of qualitative environment which the elderly's living space. It attaches importance to valuate about nursing homes such as management, quality of service, manufacture of physical environment and so on, so it is required to consider the elderly's emotion on environmental valuation. Healing environment that is a important fact of indoor environment operates powerfully upon the nursing homes as well as general medical facilities. It needs to healing environment for the elderly's physical health and mental stable life, we should know importance of healing environment that affects the elderly's health and life. The elderly have experienced physical, mental, and social changes with advancing years. The people who use the nursing homes are the elderly. We should find fact of healing environment as the elderly's characteristics and have to find healing environment that gives aid to the elderly's health in the nursing homes. In care for the elderly is not house care, it has focused on the elderly's health for improving their life and leading comfortable life.

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A Study on the Elderly's Social Support and Life Satisfaction in the Residence Types -Focus on Single and Couple Elderly Households- (거주유형에 따른 노인의 사회적 지지, 삶의 만족도에 관한 연구 - 노인단독가구를 중심으로 -)

  • Jeong, Jae-Hoon
    • Korean Institute of Interior Design Journal
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    • v.19 no.6
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    • pp.233-240
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    • 2010
  • This research is designed to study the residence environment of the elderly residing in three different types of residence - the local community, silver towns and nursing homes and compare their level of social support and life satisfaction of the residents. The subjects of the study was those aged 65 and older who live single and couple 68 residing in the local community, 32 in silver town and 32 in nursing homes. The result of analysis is as follows; 1) the residence environment is different in the three types of residence in terms of number of children, living with a spouse, subjective economic status, and participation in group activities; 2) as for social support, emotional support is the highest among the elderly residing in the local community and declines among those in silver town and the lowest in nursing homes, which suggests that the local community still maintain the support system for the elderly, however it declines in silver town and drop further in nursing homes. But in terms of instrumental support, there is no meaningful difference in the three types of residence. The result shows that the elderly residing in nursing homes are supported by systematic medical and residence service which make up for instrumental support Similar to those in the local community and silver town; 3) life satisfaction is the highest among those residing in nursing homes, however there was little meaningful difference. The result means quality of living is similar among three different types of residence. What is interesting is those living in nursing homes has similar level of life satisfaction despite their lowest emotional support.

Development and Application of Service Quality Indicators in Nursing Homes: Structure-Process Evaluation (노인요양시설의 서비스 질 평가 지표 개발 및 적용: 구조-과정 측면의 질 평가)

  • Kim, Moon-Sil;Lee, Seung-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.2
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    • pp.131-143
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    • 2008
  • Purpose: The aim of this study was to develop service quality indicators to evaluate structure and process of the nursing home service. Method: On the basis of literature review and analysis of existing quality indicators, the researcher made a preliminary service quality indicators and verified content validity twice. The final service quality indicators were applied in 30 nursing homes. Results: Preliminarily, 3 domains, 24 sub-domains, and 156 indicators were generated. Through two content validity testings, the indicators scoring over .80 CVI for each testing were adopted and modified by discussion with a panel of experts. The final indicators consisted of 3 domains, 15 sub-domains, and 128 indicators. These indicators were applied in 30 nursing homes. The result showed that they were easily applicable and suitable for a evaluation of service quality in nursing home. Conclusion: This 'service quality indicators in nursing home' was verified by the content validity. This tool will be able to be used for evaluation and improvement of nursing home service quality. However, repeated researches are needed for further validity and reliability.

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The Determinants of Nursing Home Quality Indicators;A Multilevel Analysis (노인요양시설의 질 지표 결정요인에 관한 연구;다수준 분석)

  • Lee, Seung-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.3
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    • pp.473-481
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    • 2006
  • Purpose: The Purpose of this study was to examine the factors on the nursing home quality indicators. Methods: The subjects of this study were 377 residents living in the nursing home more than 30 bed. The subject's minimum length of residence is 3 months and age of the subject is year of 65 over. The data were analyzed using descriptive statistics, Pearson correlation and multilevel analysis. Results: The main result of the study were in following. First, the quality gap among nursing homes resulted from both institutional and person level factors. Second, the person level factors affecting the quality of nursing home included ALD. However institution level factors had no direct effect on dependent valuable. Third, the interaction effect between the institution and person level factors was found. The ADL have less effect on the quality of nursing homes doing more quality management than of nursing homes doing less. Forth, The effect of ADL was different according to the level of care planing and satisfaction survey. Conclusion: These results suggest that the determinants of nursing home quality indicators were ADL & quality management. This study will contribute to apply nusing home quality indicators in Korea.

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Dysphagia Screening Measures for Use in Nursing Homes: A Systematic Review

  • Park, Yeon-Hwan;Bang, Hwal Lan;Han, Hae-Ra;Chang, Hee-Kyung
    • Journal of Korean Academy of Nursing
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    • v.45 no.1
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    • pp.1-13
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    • 2015
  • Purpose: The purpose of this study was to evaluate the psychometric quality and feasibility of measurements for screening dysphagia in older adults to identify the 'right tool' for nurses to use in nursing homes. Methods: A systematic review was done. Electronic databases were searched for studies related to dysphagia screening measurements. A checklist was used to evaluate the psychometric quality and applicability. Tools were evaluated for feasible incorporation into routine care by nurses. Results: 29 tools from 31 studies were identified. Dysphagia screening tools with an acceptable validity and reliability had sensitivity between 68% and 100% and specificity between 52% and 100%. The Gugging Swallowing Screen (GUSS) and the Standardized Swallowing Assessment (SSA) were the tools with high psychometric quality, especially with high sensitivity, that nurses could perform feasibly to identify the risk and to grade the severity of dysphagia and aspiration of nursing home residents. Conclusion: Results show that GUSS and SSA are reliable and sensitive tools for screening dysphagia which nurses can use in nursing homes. Further research is needed to examine feasibility of screening with identified tools, and also, to establish effective and standardized protocols for these tools so they can be effectively incorporated into routine care.

Validity and Reliability of the Korean Version of the Observable Indicators of Nursing Home Care Quality Evaluation Instrument (한국형 노인요양시설 질 관찰평가도구의 타당도와 신뢰도 분석)

  • Lee, Ji-A
    • Journal of Korean Academy of Nursing
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    • v.38 no.3
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    • pp.474-482
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    • 2008
  • Purpose: The purposes of this study were; 1) to test the validity and reliability of the Korean version of Rantz's Observable Indicators of Nursing Home Care Quality Instrument (ONHQ) and 2) to evaluate the quality of Korean nursing homes. Methods: The study employed a three-phase methodological research design. 1) The original instrument of Rantz's. ONHQ was translated into Korean and modified by Korean nursing home experts. 2) A pilot study using the modified instrument was done in 20 nursing homes to examine inter-rater reliability. 3) The validity and reliability were tested.in 98 nursing homes. Results: Seven factors were extracted through factor analysis: 'communication', 'care delivery', 'grooming', 'odor, 'environment-basics', 'environment-access', and 'environment-homelike'. These factors explained 86.07% of the total variance. Cronbach's alpha coefficient of the 30 items was .97 indicating a high internal consistency of the instrument. Inter-rater reliability according to Kappa was .82. The average score of nursing home quality was 112.07 indicating an average range of quality level. Conclusion: The Korean version of the ONHQ was identified as a tool with a high degree of validity and reliability. This tool can be effectively used to assess the quality of nursing homes by professions as well as family members.