Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
권호 표지
DOI QR코드

DOI QR Code

Subjectivity toward Nursing Homes as Perceived by Undergraduate Nursing Students: Q Methodology Study

간호대학생이 인지한 노인요양시설에 대한 주관성: Q 방법론적 연구

  • Received : 2018.03.25
  • Accepted : 2019.04.23
  • Published : 2019.04.29
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Nursing homes are a type of residential care that provide diverse services such as planned activities, convalescent care, skilled nursing and memory care. Nursing homes are good facilities for old people with dementia to improve their quality of life. On the other hand, the subjectivity toward nursing homes can vary to greater or lesser degrees. The purpose of this study was to identify the subjective attitudes and viewpoints toward nursing homes in undergraduate nursing students. Methods: The Q methodology, which is a research method to study the people's subjectivity, was used. The 40 Q-statements selected from each of 43 participants were classified into the shape of a normal distribution. The data collected were analyzed using the QUANL program. Results: Three types of subjectivity toward nursing homes emerged: 'Type I, in terms of usage of nursing homes-hesitative perspectives;', 'Type II, in terms of running of nursing homes-progressive perspectives;', and 'Type III, in terms of admission to nursing homes-constructive perspectives'. Conclusion: The findings of this study suggest that nursing intervention programs should be developed for the three types. The study results will lead to further research.

Keywords

BGGHB8_2019_v33n1_59_f0001.png 이미지

Figure 1. The Practical Steps in Q-methodology

BGGHB8_2019_v33n1_59_f0002.png 이미지

Figure 2. Sample of Completed Q-Sort Table

Table 1. General Characteristics of Subjects

BGGHB8_2019_v33n1_59_t0001.png 이미지

Table 2. Types, Eigenvalues, and Demographic Characteristics for P-sample

BGGHB8_2019_v33n1_59_t0002.png 이미지

References

  1. Akhtar-Danesh N, Baumann A, & Cordingley L. (2003). Q-methodology in nursing research: A promising method for the study of subjectivity. Western Journal of Nursing, 30(6), 759-773. https://doi.org/10.1177/0193945907312979
  2. Augustin, F., & Freshman, B. (2016). The effects of service-learning on college students’ attitudes toward older adults. Gerontology & Geriatrics Education, 37(2), 123-144. https://doi.org/10.1080/02701960.2015.1079705
  3. Cho, H. H., & Kim, N. H. (2016). Factors affecting the behavior treating the elderly. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 6(7), 79-88. http://dx.doi.org/10.14257/AJMAHS.2016.07.08
  4. Choi, H. K. (2010). A comparative study on perceptions and expectations of families and care workers on elder care services in nursing facilities. Family and Culture, 22(4), 1-31. http://dx.doi.org/10.21478/family.22.4.201012.001
  5. Choi, J. S., Lim, J. S., & Lee, M. H. (2011). An exploratory study on culture change of nursing homes in South Korea. Journal of Welfare for the Aged, 54, 61-84.
  6. Darling, R., Sendir, M., Atav, S., & Buyukyilmaz, F. (2018). Undergraduate nursing students and the elderly: An assessment of attitudes in a Turkish university. Gerontology & Geriatrics Education, 39(3), 283-294. https://doi.org/10.1080/02701960.2017.1311883
  7. French, E. M., & Mosher-Ashley, P. M. (2000). College students' attitudes toward residential care facilities. Educational gerontology, 26(6), 583-603. https://doi.org/10.1080/03601270050133919
  8. Hagestad, G. O., & Uhlenberg, P. (2005). The social separation of old and young: A root of ageism. Journal of Social Issues, 61(2), 343-360. https://doi.org/10.1111/j.1540-4560.2005.00409.x
  9. Han, E. J., Hwang, R. I., & Lee, J. S. (2016). Factors related to nursing home institutionalization of elderly using home care services. Journal of Korean Public Health Nursing, 30(3), 512-525. http://dx.doi.org/10.5932/JKPHN.2016.30.3.512
  10. Jeong, H. S. (2012). Influencing factors on nursing students’ attitude to the elderly. Journal of the Korean Data Analysis Society, 14(4), 2025-2037.
  11. Kim, H. K. (2008). Q Methodology: Philosophy, theories, analysis, and application. Seoul: Communication Books.
  12. Kim, M. A., & Lim, S. H. (2003). Nursing students’ perception about the life of institutionalized elderly. Keimyung Journal of Nursing Science, 7(1), 43-54.
  13. Kim, S. Y. (2016). Elderly Koreans' perception of nursing homes. Journal of Korean Academy of Community Health Nursing, 27(3), 242-253. http://dx.doi.org/10.12799/jkachn.2016.27.3.242
  14. King, B. J., Roberts, T. J., & Bowers, B. J. (2013). Nursing student attitudes toward and preferences for working with older adults. Gerontology & Geriatrics Education, 34(3), 272-291. https://doi.org/10.1080/02701960.2012.718012
  15. Kong, E. S. (2016). A phenomenological study on nursing students’ clinical experience of behavioral symptoms of the elderly with dementia. Journal of Regional Studies, 24(3), 99-118. https://doi.org/10.22921/JRS.2016.24.3.005
  16. Kwon, M. S., Noh, G. Y., & Jang, J. H. (2013). University students' images, knowledge, and stereotypes plus perceptions about the elderly. Journal of Korean Public Health Nursing, 27(3), 633-646. http://dx.doi.org/10.5932/JKPHN.2013.27.3.633
  17. Lee, J. S., Lee, Y. M., & Hwang, R. I. (2017). Evaluation of service quality in aged care facilities : A focus group study. Journal of Korean Public Health Nursing, 31(1), 19-33. http://dx.doi.org/10.5932/JKPHN.2017.31.1.19
  18. Lee, S. H. (2014). Attitudes of nursing students toward elderly people. Journal of Korean Gerontological Nursing, 16(1), 18-26. https://doi.org/10.17079/jkgn.2014.16.1.18
  19. Lee, T. W., Cho, S. Y., & Jang, Y. K. (2009). Predictors of nursing service need for nursing homes residents. Journal of Korean Academy of Nursing, 39(1), 95-106. https://doi.org/10.4040/jkan.2009.39.1.95
  20. Ministry of Health and Welfare (2018). Status of welfare facilities for older people 2018 (11-1352000-000002-10). Sejong: Korea.
  21. Neils-Strunjas, J., Crandall, K. J., Shackelford, J., Dispennette, K., Stevens, S. L., & Glascock, A. (2018). Students report more positive attitudes toward older adults following an interprofessional service-learning course. Gerontology & Geriatrics Education, 12, 1-12. https://doi.org/10.1080/02701960.2018.1479262
  22. Nolet, K., Roberts, T., Gilmore-Bykovskyi, A., Roiland, R., Gullickson, C., Ryther, B., & Bowers, B. J. (2015). Preparing tomorrow's nursing home nurses: The wisconsin long term care clinical scholars program. Gerontology & Geriatrics Education, 36(4), 396-415. https://doi:10.1080/02701960.2014.954040
  23. O'Connell, B., Guse, L., Greenslade, L., Osterreicher, A., & Jensen, F. (2017). Undergraduate placements in geriatric care facilities: Students gaining experience with challenging/responsive behaviors. Journal of Nursing Education, 56(10), 623-627. https://doi.org/10.3928/01484834-20170918-08
  24. Park, K. M., & Lim, D. Y. (2016). Undergraduate nursing student’s knowledge, attitudes regarding aging, and awareness about supporting the aged. Keimyung Journal of Nursing Science, 20(2), 47-57.
  25. Stratton, B., Lea, E., Bramble, M., Eccleston, C., McCall, M., Lucas, P., & Robinson, A. (2015). Residential aged care facility clinical placements for undergraduate paramedic students: An evaluation of the Australian experience. Australsian Journal of Paramedicine, 12(2), 1-8. http://dx.doi.org/10.33151/ajp.12.2.144
  26. Wolf, A. (2010). Subjectivity in Q methodology. Journal of Human Subjectivity, 8(2), 55-72.
  27. Yeom, H. E. (2016). Review of educational strategies to facilitate desirable attitudes toward gerontological nursing. Journal of the Korea Academia-Industrial cooperation Society, 17(1), 561-571. http://dx.doi.org/10.5762/KAIS.2016.17.1.561
  28. Yi, G. J. (2015). A Study on the long-term care insurance operational performances in South Korea. Hallym Journal of Aging Studies, 3(1), 1-25.
  29. Zhang, S., Liu, Y. H., Zhang, H. F., Meng, L. N., & Liu, P. X. (2016). Determinants of undergraduate nursing students' care willingness towards the elderly in China: Attitudes, gratitude and knowledge. Nurse Education Today, 43, 28-33. http://dx.doi.org/10.1016/j.nedt.2016.04.021
  30. Zverev, Y. (2013). Attitude towards older people among Malawian medical and nursing students. Educational Gerontology, 39, 57-66. https://doi.org/10.1080/03601277.2012.660869