Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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Nursing Staffs' Experiences of Managing Medical Needs of the Elderly in Korean Long-term Care Facilities

노인요양시설 입소자들의 의료적 요구에 대한 간호직 종사자들의 관리 경험

  • Park, Min-Jeong (Department of Nursing, Kunsan National University) ;
  • Suh, Eunyoung E. (College of Nursing.Research Institute of Nursing Science, Seoul National University) ;
  • Lee, Jung-Myen (National Health Insurance Service, Health Insurance Policy Research Institute)
  • 박민정 (국립군산대학교 자연과학대학 간호학과) ;
  • 서은영 (서울대학교 간호대학) ;
  • 이정면 (국민건강보험공단)
  • Received : 2013.03.29
  • Accepted : 2013.08.09
  • Published : 2013.08.31
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Abstract

Purpose: This qualitative study was designed to explore and describe the nursing staff reported experiences of managing the medical needs of nursing home residents in South Korea. Methods: Using a focus group interview method, qualitative data were collected from March to May 2012. Twenty five registered nurses and nurse aids working in nursing homes were recruited through a convenient sampling method. Participants participated in one of four focus group interviews lasted up to two hours in which their day-to-day experiences of taking care of the medical needs of the elderly residents. All interviews were recorded and transcribed in verbatim, and analyzed according to the qualitative thematic analysis method using MAXQDA software. Results: The overriding theme was 'experiencing differences between the requirements of the regulatory system and the actual reality of the work place.' The findings of differences between what were true and what is required was based in four subcategories. The nursing home residents had far more medical needs than what were reported. Another finding was that the family members were seen as non-supportive and negligent towards the residents. Conclusion: The findings of the study support the need for changes in the regulatory system. The regulatory limitations of current system with a shortage of resources pushed the participants to experience discrepancies between the required regulation and the reality. Additional research could contribute more exemplars to support changes.

Keywords

References

  1. Becker, M. A., Boaz, T. L., DeMuth, A., & Andel, R. (2012). Predictors of emergency commitment for nursing home residents: The role of resident and facility characteristics. International Journal of Geriatric Psychiatry, 27, 1028-1035. https://doi.org/10.1002/gps.2817
  2. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3 , 77-101. https://doi.org/10.1191/1478088706qp063oa
  3. Chang, S. H. (2006). Comparison study on the work stress and the coping method of social workers at the senior care facilities and hospice nurses. Unpublished master's thesis, Keimyung University, Daegu.
  4. Choi, I. D., Lee, S. L., & Lee, J. M. (2010). Projection of long-term care insurance: Beneficiary and, personnel and facility. Korean Social Security Studies, 26, 375-399.
  5. Chung, S. E., & Lee, S. H. (2009). Nurses' experience of practice in nursing homes. Journal of Korean Academy of Nursing Administration, 15, 116-127.
  6. Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trust worthiness. Nursing Education Today, 24, 105-112. https://doi.org/10.1016/j.nedt.2003.10.001
  7. Guba, E. G., & Lincoln, Y. S. (1989). Fourth generation evaluation. Newbury Park, CA: SAGE Publications.
  8. Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15, 1277-1288. https://doi.org/10.1177/1049732305276687
  9. Kim, K. B., Lee, H. K. & Sok, S. R. (2009). Activities of daily living and nursing needs of the elderly in nursing home. Journal of Korean Academy of Community Health Nursing, 20, 1-11.
  10. Kim, K. B., & Shin, D. S. (2005). The experiences among Korean American nursing home staffs. Journal of Korean Gerontological Nursing, 7 (1), 47-53.
  11. Kim, K. B., & Sok, S. H. (2004). Theory and Practice of Gerontological Nursing. Seoul: Hyunmoonsa.
  12. Lee, J. M., Park, M. J., Han, E. J., & Suh, E. E. (2012). A study on management of medical needs of the elderly in Korean long-term care facilities. Seoul: National Health Insurance Service.
  13. National Statistical Office. (2012). Statistics of aged. Seoul: National Statistical Office Press.
  14. Park, J. Y., Lee, Y. W., Kwon, J. H., Lee, E. M., Lee, H. Y., Kim, Y. H., et al. (2010). A study on the development of an integrated care model of long-term care service and medical care service. Seoul: National Health Insurance Service.
  15. Park, M. H., Ha, J. C., Sin, I. H., Kim, H. K., Lee, S. Y., Cho, J. H. et al. (2009). A study on the status of living conditions and welfare needs of Korean older persons. Ministry of Health and Welfare, Industry-University Cooperation Foundation Keimyung University, Daegu.
  16. Park, Y. O., Cho, E., Lee, N. J., & Seo, Y. S. (2010). Factors influencing health service utilization of older adults in nursing homes. Journal of Korean Gerontological Nursing, 12 (1), 10-20.
  17. Robison, J. Shugrue, N., Porter, M., Fortinsky, R. H., & Curry, L. A. (2012). Transition from home care to nursing home: Unmet needs in a home-and community-based program for older adults. Journal of Aging & Social Policy, 24 , 251-270. https://doi.org/10.1080/08959420.2012.676315
  18. Sandelowski, M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8, 27-37. https://doi.org/10.1097/00012272-198604000-00005
  19. Seung, K. W., Shin, I. H., Lee, K. H., & Kwon, K. H. (2005). Content analysis of the nurses working in the free elderly home and nursing home. Journal of Korean Gerontological Nursing, 7 (1), 7-19.
  20. Stewart, D. W., Shamdasani, P. N., & Rook, D. W. (2007). Focus group: Theory and practice. Thousand Oaks: Sage publications.
  21. Stuck, A. E., Walther, J. M., Nikolaus, T., Bula, C. J., Hohmann, C., Beck, J. C., et al. (1999). Risk factors for functional status decline in community-living elderly people: A systemic literature review. Social Science and Medicine, 48, 445-469. https://doi.org/10.1016/S0277-9536(98)00370-0
  22. Tena-Nelson, R., Santos, K., Weingast, E., Amrhein, S., Ouslander, J., Boockvar, K., et al. (2012). Reducing potentially preventable hospital transfers: Results from a thirty nursing home collaborative. Journal of the American Medical Directors Association, 13, 651-656. https://doi.org/10.1016/j.jamda.2012.06.011

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