• Title, Summary, Keyword: Nursing homes

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Content Analysis of Patient Safety Culture in Nursing Homes (노인요양시설의 환자안전문화 인식에 관한 귀납적 내용분석)

  • Yoon, Sook-Hee;Wu, XiangLian
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.1
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    • pp.118-127
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    • 2013
  • Purpose: The purpose of this study was to identify experiences of incidents and to explore the perceptions of Patient Safety Culture between two groups using nursing homes in Korea; employees and patients and their families. Methods: In 2010 in-depth interviews were used to collect data from 56 participants (38 employees, and 18 patients and family members). The data were analyzed using inductive content analysis. Results: The analysis scheme resulting from employees' data consisted of 7 categories and 22 subcategories, after 216 significant statements were analyzed and categorized. The 7 categories were education and training (24.5%), working attitude (23.6%), organizational system (19.0%), job satisfaction (18.5%), institutional environment (6.5%), manager leadership (4.2%), and work climate (4.7%). The analysis scheme resulting from patient and family data consisted of 6 categories and 7 subcategories after 24 significant statements were analyzed and categorized. Education and training among categories of employees were excluded. Conclusion: These findings indicate that an evaluation tool for patient safety culture should be developed for nursing homes in Korea.

A Study on the Application of Universal Design Principles to Nursing Homes - Focused on the 12 Nursing Homes in Busan - (노인요양시설의 유니버설 디자인 적용성 평가 연구 - 부산지역 12개 시설을 중심으로 -)

  • Park, Jin-Kyoung;Oh, Chan-Ohk
    • Korean Institute of Interior Design Journal
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    • v.20 no.1
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    • pp.3-13
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    • 2011
  • The Korean society is recently becoming the aging society at an unprecedentedly rapid speed. Following the increase of the older population, their needs for special care is also rocketing. However, due to the increase of working women, nuclear-families, and old persons living alone, new facilities for the elderly such as nursing home are urgently needed. Thus, many nursing homes for the elderly are also rapidly providing. It is needed to examine if such nursing homes are properly designed for the dependent elderly to live. This study was carried out by the field observation using a checking sheet with measuring and taking photograph. The subjects were 12 nursing homes which gave positive responses for walking through their facilities. The items for observing and measuring were made based on the regulation on improving the facilities for the disabled, the elderly, and the pregnant. Whether each item fits the regulation or not was examined. The 9 areas in each nursing home were examined : entrance, hallway and corridor, stair, elevator, ramp, bed room, shower and locker room, bathroom, and rest room. It was founded that many accessible-related items were met. However, many supportive-related items such as ones for the visual disabled, and many supportive-related and accessible-related ones for bathroom, shower room, and restroom were unmet. In the process of this research, it was founded that the tool for evaluating the design of nursing home in terms of universal design should be developed.

The Nurses' Perceptions and Experiences on the Older Adult's Dignity in Nursing Homes (노인의 존엄성에 대한 노인요양시설 간호사의 인식과 경험)

  • Kim, Ki-Kyong
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.1
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    • pp.81-90
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    • 2009
  • Purpose: The purpose of this study was to identify nurses' perceptions on the older adult's dignity, and identify the risk factors that threaten older adult dignity and nurses' experiences of ethically difficult care in nursing homes. Method: Qualitative content analysis was done using an analysis scheme developed by the investigators. The data were collected from 51 nurses in 10 different nursing homes, who have agreed this study. Using a self-completion questionnaire was developed by the authors. The questionnaire which consisted of 3 items about dignity definitions, risk factors, and experiences on ethical dilemma. Results: The scheme consisted of 14 categories and 33 subcategories of the 261 significant statements. The categories of the dignity perception analyzed were respect, social right and equality. The categories of risk factors analyzed were loss of control, abuse, physical restraint, invasion of privacy, decision limitation and staff qualification. The categories of dignity experiences were abuse, physical restraint, invasion of privacy, staff qualification and decision limitation. Conclusions: This study may suggests interpretation for compromised older adult's dignity and provides data to use in the development of the useful guidelines and educational programs for the nurses in nursing homes.

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An Intervention Study of Self-feeding for the Elderly in Nursing Homes (요양시설노인의 자립적 식사를 위한 중재 효과와 경험)

  • Lee, Kyung Hee
    • Journal of Korean Academy of Community Health Nursing
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    • v.28 no.4
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    • pp.450-462
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    • 2017
  • Purpose: This study aims to investigate the effects of an intervention of self-feeding for elderly residents who were eating with assistance or eating by himself/herself with spilling food. Methods: The Participants were 11 elderly people and 6 formal caregivers from 7 nursing homes in Korea. The intervention was to use the spoon and chopstick sets designed for compensating the weakened eating function. Both quantitative and qualitative data were collected through observation, structured questions, and in-depth interviews. Results: The mealtime was significantly increased by 3.2 minutes (p=.011) after the intervention. Three themes were extracted for the meaning of self-feeding expressed by the elders; fighting alone for self-feeding, pride of participating in the study, and burden for self-feeding and research participation. Caregivers expressed the meaning of the elder's self-feeding such as the regret of missed chances, facilitating rehabilitation, the increase of the eating pleasure and quality of care, and ambivalence. Conclusion: Self-feeding has become an opportunity to recognize life values for the elders in nursing homes; for the caregivers, to reconsider caring of the elderly. Posture and eating utensils were also important to improve self-feeding skills.

A Study on the Introduction of Natural Elements in Public places of Nursing Homes - Focusing on ensuring the amenity of mediation, interaction, and rest places - (노인요양시설 공용공간의 자연요소 도입에 관한 연구 - 매개, 교류, 휴식공간의 쾌적성 확보를 중심으로 -)

  • Jun, Myung-Sook;Choi, Sang-Hun
    • Korean Institute of Interior Design Journal
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    • v.18 no.1
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    • pp.108-116
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    • 2009
  • As an aging society accelerates its pace for the present, providing a pleasant environment to nursing homes is such an environmental requirement with which elderly people could improve their quality of life and even acquire the effects of healing. As an optimal element of ensuring amenity, nature is a general hospital that heals human beings physically and mentally. In this vein, the investigator drew out the frame of analysis, namely emotional/healing/relating amenity, by means of theoretical examination of such natural elements as water, light, soil/stone, and plant. And on the basis of the drawn amenity, the investigator examined the application of natural elements to study subjects in order to analyze the ensured amenity. Study findings show that the existing nursing homes have ensured healing amenity sufficiently, but they are unsatisfactory in ensuring emotional and relating amenity. Based on interview survey, the investigator suggests that the introduction of natural elements into nursing homes such public space as mediation space, interaction space, and rest places to ensure emotional/healing/relating amenity must be ideally equipped with the formation of outdoor forest in which water, light, soil/stone, and plant get joined together, rather than Introducing a single element respectively. In addition, the plan of construction of nursing homes must take residing elderly people's emotional/healing/relating amenity into account on the basis of physical amenity.

A Study on the Need for Emergency Care Education in Nursing Homes (노인요양시설에서 노인수발 담당자의 응급처치에 대한 교육수요도 조사 - 일개 도시를 중심으로 -)

  • Uhm, Dong-Choon;Sung, Si-Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.1
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    • pp.53-61
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    • 2009
  • Purpose: This study was conducted to evaluate the need for education for emergency care in nursing homes. Method: 312 people who were engaged in caring for the elderly at nursing homes in D-metropolitan c! ity answered the questionnaires about the experiences, the need, and the ideal methods of education for basic emergency care, from Jul. 1. 2007 to Jul. 30. 2007. Result: 69.9% were female. Only 7.1% were nurses and the rest did not have majors in the medical field. 83.0% had experienced education for emergency care, and 89.2%, 78.4% and 44.8% of them had been educated about cardiopulmonary resuscitation, airway obstruction care, and fracture/sprain/dislocation care respectively. Fifty-three who had not experienced education answered 'no opportunity' as a cause of non-education. The need for emergency care education was 4.53/5.00, and the desire to receive education was 2.81/3.00. Mainly workers wanted to be educated abo! ut airway obstruction (88.1%), and breathing assistance & cardiac massage (72.4%). Workers preferred to be educated 1-2 times per year for 2-3 subjects, through programs including both lecture and practice. Conclusion: It is essential to create an adequate program and apply it to the people engaged in caring for the elderly.

Oral health knowledge among nursing home employees and needs to educate on elderly oral care (일부지역 노인요양기관 종사자의 구강보건지식 및 교육 필요도)

  • Park, Ji-Il;Jeong, Kyung-Yi;Ha, Myung-Ok
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.5
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    • pp.805-816
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    • 2017
  • Objectives: The purpose of this study is to analyze the oral health knowledge among workers at nursing homes, and needs to educate them on elderly oral care. Methods: A self-reported questionnaire was filled out by 241 workers at nursing homes in Gwangju and Jeonnam, Korea from May to June, 2016. The data were analyzed with the SPSS 19.0 program for independent t-test or one-way ANOVA analysis. Results: The data analysis showed that workers at nursing homes had lower knowledge about periodontal diseases (65.1%) than about denture management (78.5%). The knowledge of periodontal disease and denture management of workers with experience of oral care education for elderly was significantly higher than that of non-experienced ones (p<0.01). On the question whether those workers should get oral health care education is necessary or not, respondents answered positively (They scored 4.10 points on the 5-point Likert scale from 1 point - Not at all to 5 points - definitely yes). Conclusions: It is necessary to provide elderly oral care education to workers at nursing homes. Furthermore, oral health professionals should be deployed for systematic and practical oral care for elderly.

Current Status and Barriers to Health Care Services for Nursing Home Residents: Perspectives of Staffs in Korean Nursing Homes (노인요양시설 건강지원서비스 현황과 장애요인: 포커스 집단 면접)

  • Park, Yeon-Hwan;Bang, Hwal Lan;Kim, Ga Hye;Oh, Seieun;Jung, Young-Il;Kim, Hongsoo
    • Korean Journal of Adult Nursing
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    • v.27 no.4
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    • pp.418-427
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    • 2015
  • Purpose: Focus group interviews were conducted to explore the current status and barriers of health care services in nursing home from the viewpoint of staffs taking care of nursing home residents. Methods: A qualitative thematic analysis using the focus group interview method was used. A total of 32 health care professionals (19 nurses and 13 social workers) from thirteen nursing homes in South Korea attended (5 focus groups) in 2014. Results: The two main themes were identified: 'minimal health care services that left personal care needs unmet' which has three subthemes of 'stereotyped and fragmented care by types of care providers', 'medically-oriented health care services' and 'health care services mixed with social or recreational programs'; and 'barriers to proper and timely care in nursing homes' with four subthemes including 'unmet care needs due to cognitive dysfunction or lack of expression', 'care guides or tools not suitable for long-term care facilities', 'health care needs that are beyond the facility's care boundary', and 'care delay due to lack of understanding on the older adult's status'. Conclusion: The findings from this study should help health care policy makers to recognize the factors that influence health care services and provide direction for nurses and other staffs involved in supporting health care services for nursing home residents.

A Study on the optimum Area of Bedrooms in Nursing Homes (노인요양시설의 적정 침실 면적에 관한 연구)

  • Kwon, Soon-Jung;Han, Jung Han;Oh, Eun-Jin;Kim, Seok-Jun;Kim, Noh-Seok;Lee, Teuk-Koon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.14 no.3
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    • pp.13-21
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    • 2008
  • The purpose of this study is to suggest optimum size of residents' bedrooms in nursing homes. Bedroom is an essential part of nursing homes because nursing home residents spend most of their times in bedrooms and occupy the largest part of facility area. Therefore it is necessary to set an adequate standard related to resident room area in nursing facilities, which have a great effect on planning longterm care facilities for the elderly. The body dimensions of elderly people and care givers have been collected from the previous study. Based on the body dimensions data, the behaviors of elderly as well as care givers have been analysed. The minimum areas-exclusive of toilets, closets, vestibules and so on - have been proposed from the results of the behavior analysis.

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A Study on the Architectural Planning of Public Space of Nursing Home for the Elderly with Dementia ( I ) (치매노인요양시설의 공용부분에 관한 건축계획적 연구 ( I ))

  • Kim, Sook-Hyun;Kim, Hyun-Tae;Kim, Seon-Kook;Kim, Kwang-Moon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.2 no.3
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    • pp.71-81
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    • 1996
  • The existing domestic and foreign elderly nursing homes, with 50 beds or more, are selected and examined according to user interview, and document analysis to understand the facts about the elderly nursing homes. The location of domestic nursing homes is limited to the region of Seoul and Kyunggi province. The scope of research is focused on the plans, area compositions, equipments and relations with public spaces - wandering paths, bathrooms and toilets. The content of research, based on the collected data discribed above, includes the search for architectural idea and the examination of typological differences among plans. The research is performed as followes. 1) description of research objectives. 2) examination of problems associated with the elderly. 3) understanding of systems and plans of domestic and foreign nursing homes. 4) performance of case study, derivation of design criteria for architectural planning, and suggestion of several adjustable alternatives for public spaces.

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