Purpose: This study aimed to identify the degree of and relationship among patient needs, social support, and patient satisfaction in elderly home health nursing users. Methods: A descriptive survey was administered in elderly individuals receiving home-care nursing services selected through convenience sampling. Data were collected using self-administered questionnaires between April 18 and May 3, 2024. Data analyses included descriptive statistics, t-test, analysis of variance, Pearson's correlation coefficient, and multiple regression analyses. Result: The analysis included 134 responses. Satisfaction with home health nursing showed significant differences according to the duration of service use (t=-2.66, p=0.09). Patient satisfaction was higher among those who had used the service for ≥ 24 months. Analysis of the relationships among patient needs, social support, and patient satisfaction revealed that service satisfaction had a significant positive correlation with the patient needs and social support sub-factors. The factors influencing satisfaction with home health nursing were psychosocial patient needs (𝛽=0.25, p=.002), a patient needs sub-factor, and social support sub-factors, including medical professionals support (𝛽=0.32, p<.001). Conclusion: Psychosocial patient needs and medical recognition support are significant factors influencing patient satisfaction among elderly home health nursing users. Therefore, home health nurses should provide comprehensive care that includes physical health management and mental and social support. Additionally, a strategic approach is needed to provide professional medical services and accurate information to elderly home-care patients.

Purpose: This descriptive investigative study aimed to identify the effects of faculty-student interaction and self-reflection on the resilience of nursing students. Methods: The participants were 175 university nursing students in cities C and D. Data from July 1-31, 2024 were collected and analyzed using descriptive statistics, independent t-test, one-way analysis of variance, Pearson's correlation, and hierarchical multiple regression using SPSS 24.0. Results: Faculty-student interaction, self-reflection, and resilience had significant positive correlations. The regression model that included motivation to pursue nursing, major satisfaction, personality, and self-reflection explained approximately 41.6% of resilience of nursing students. Motivation to pursue nursing, major satisfaction, personality, and self-reflection were important predictors of the resilience of nursing students. Conclusion: To improve the resilience of nursing students, strategies are needed to increase their adaptability and satisfaction with their majors and improve self-reflection.

Purpose: The aim of this study was to examine the effects of resilience and the nursing work environment on the managerial competence of nursing unit managers in small and medium-sized hospitals. Methods: Convenience sampling was used to select nursing unit managers working in 18 small and medium-sized hospitals with bed capacities ranging from 100 to 299. Data were collected from 120 participants via an online survey consisting of 105 items; the survey period was October 9 to November 4, 2022. Data were analyzed using descriptive statistics, independent t-tests, ANOVA, and a hierarchical multiple regression analysis using SPSS/Win (version 25.0). Results: Participants' resilience averaged 4.11±0.50 out of 5, while the nursing work environment and management competence averaged 2.75±0.51 and 3.14±0.47 out of 4, respectively. Nursing managerial competence was significantly influenced by the work environment (𝛽=.41, p<.001), resilience (𝛽=.38, p<.001), age group (36-45 years; 𝛽=-.14, p=.020), and managerial training experience (𝛽=.13, p=.029). The regression model was statistically significant (F=29.20, p<.001) and explained 62.4% of the variance. Conclusion: Ongoing education and training aimed at improving resilience and the nursing work environment are necessary to enhance the competence of nursing unit managers in small and medium-sized hospitals. Furthermore, organizational efforts to improve the work environment are critical for ensuring the provision of high-quality nursing care services.

Purpose: This study aims to classify and analyze research on family caregivers of home-dwelling patients with dementia, domestically and internationally, to identify current research trends by comparing and analyzing the characteristics based on these classifications, Methods: This secondary literature analysis study focuses on research trends related to family caregivers of patients with dementia. The study included research published until August 2023, with data collected from domestic (RISS, KISS and DBpia) and international databases (CINAHL and PubMed). Results: Ninety-six studies were selected and reviewed; 50 domestic and 46 international studies. Quantitative research was predominant, with "burden" as the most significant factor. A noticeable trend showed that the primary family caregiver of patients with dementia has shifted from female children to spouses. Intervention programs considered the emotional aspects of family caregivers but were generally conducted without considering the specific relationship with the patient, targeting family caregivers generally. Qualitative research predominantly used phenomenological methods to identifying categories of experiences such as adaptation, coping efforts, the burden and pressure of caregiving, negative emotions during the caregiving process, and identity confusion. Conclusion: This study addresses the emotional challenges faced by family caregivers of home-dwelling patients with dementia, highlighting the need for the development of intervention programs and system improvements that reflect these challenges.

Purpose: This systematic review and meta-analysis aimed to assess the types and effectiveness of nonpharmacological interventions for improving sleep among elderly nursing home residents. Methods: A literature search was performed using electronic databases (PubMed, CINAHL, Medline, Embase, RISS, and KISS) and PRISMA guidelines. Population characteristics, program content, and outcomes were systematically reviewed. Quality assessment was performed using the RoB 2.0 (revised Cochrane risk of bias for randomized trials) and ROBINS-I (risk of bias in non-randomized intervention studies) tools. For the meta-analyses, the effect sizes of the interventions were calculated as standardized mean differences. Results: Of the 3058 publications, 23 met the inclusion criteria, of which 14 were randomized controlled trials and nine had a quasi-experimental design with nonequivalent controls. The 23 intervention studies for improving sleep included exercise therapy, acupressure therapy, light therapy, massage, aromatherapy, footbaths, cognitive behavioral therapy, and reminiscence therapy. Meta-analysis was conducted in 12 studies to estimate the effect sizes of nonpharmacological interventions for improving sleep. The results showed that exercise (95% CI; -2.17 ~ -0.91, p<.001), acupressure (95% CI; -2.27 ~ -0.10, p=.03), and light (95% CI; -2.29 ~ -1.34, p<.001) therapies improved sleep. Conclusion: These results suggest that easily implementable and cost-effective nonpharmacological interventions are needed to improve sleep among elderly nursing home residents. Further research is required to confirm the consistency of the effects of sleep interventions.

Purpose: This methodological study aimed to develop an evidence-based protocol through a systematic literature review and guideline analysis of peripheral intravenous therapy for inpatients. Methods: To draft preliminary items for the protocol, the extracted literature and guidelines were systematically reviewed and categorized according to the study's objectives into preparation, insertion, dressing, and maintenance of peripheral intravenous therapy. After expert validity verification, a final evidence-based peripheral intravenous therapy protocol was developed for adult inpatients at a single hospital. Results: We retrieved 3,232 studies, of which 27 were selected for systematic literature review. Additionally, four guidelines were analyzed. A systematic literature review analyzed various methods and contents of peripheral intravenous therapy. The study participants were adult inpatients who underwent peripheral intravenous therapy. A preliminary protocol for evidence-based peripheral intravenous therapy was developed based on a systematic literature review and guideline analysis. Conclusion: The significance of this protocol lies in its development for new nurses or nurses with < 1 year of experience in small-to-medium-sized hospitals without dedicated intravenous therapy nurses, enabling them to perform effective nursing care.

Purpose: This study examined the impact of organizational culture awareness, social problem-solving ability, and resilience on job satisfaction among patient-safety-dedicated personnel. Methods: This study included patient safety specialists from various healthcare settings. Data were collected using self-report questionnaires, on [specific dates]. Data analysis used descriptive statistics, independent t-tests, one-way analysis of variance, Pearson's correlation coefficient, and multiple regression analysis. Results: Job satisfaction had significant differences based on organizational culture awareness, social problem-solving ability, and resilience. Particularly, aspects of organizational culture awareness (supportive vs. hierarchical culture), social problem-solving skills, and resilience significantly impacted job satisfaction. Key predictors of job satisfaction among patient safety specialists include positive organizational culture awareness and higher levels of social problem-solving abilities and resilience. Conclusion: Improving job satisfaction among patient-safety-dedicated personnel requires addressing factors related to organizational culture, social problem-solving, and resilience. Developing supportive organizational environments and training programs to enhance problem-solving skills and resilience may increase job satisfaction in this essential field.

Purpose: This study used the Affective Events Theory to investigate the effects of caregiver attitudes toward caring for the elderly, emotional intelligence, job stress, and reciprocity on the quality of health care among caregivers in integrated nursing and care services. Methods: A cross-sectional survey design was employed. Participants included 147 caregivers working in integrated nursing and care service units at two hospitals in D City and one hospital in C City, with bed capacities ranging from 100 to 300. Caregivers were selected through convenience sampling in June 2024. The measurement tools used were the Attitude Toward Caring for the Elderly scale, the Wong and Law Emotional Intelligence Scale, the Job Stress Scale, the Nurse and Nursing Assistant Caregiver Reciprocity Scale, and the SERVQUAL (Service Quality) Scale. Data were analyzed using IBM SPSS/WIN 26.0. Results: Healthcare quality showed a significant positive correlation with career (r=.20, p=.018), attitudes toward caring for the elderly (r=.51, p<.001), emotional intelligence (r=.47, p<.001), and reciprocity (r=.68, p<.001), but a significant negative correlation with job stress (r=-.27, p=.001). Key variables influencing the quality of healthcare were reciprocity (β=.52, p<.001) and attitudes toward caring for the elderly (β=.19, p=.015), with an explanatory power of 51.0%. Conclusion: To enhance the quality of healthcare in integrated nursing and care services, it is essential to develop ongoing emotional education and training programs that improve job competencies and foster positive caregiver attitudes toward elderly care.

Purpose: This study reviewed literature discussing the impacts of Humanitude care on people with dementia, care workers, and their families, as well as associated caregiving practices. Method: A scoping review was conducted in accordance with the framework proposed by Arksey and O'Malley (2005), using the Joanna Briggs Institute (JBI) template, and referencing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-extension for scoping reviews (ScR) guidelines. Results: Sixteen studies were reviewed. Humanitude care education was standardized and implemented through both theoretical and practical sessions. Positive outcomes observed in people with dementia included improvements in behavior, daily living activities, mobility, cognition, pressure ulcer risk, well-being, and oral health. Care workers showed improved empathy, attitudes toward dementia, and practice of Humanitude care, while also experiencing reduced burnout. Families experienced reduced caregiver burden. The factors facilitating caregiving practice included a sense of responsibility, motivation, and accomplishment among care workers. Barriers to caregiving practice, on the other hand, arose from personal and institutional factors faced by care workers. Conclusion: This comprehensive review provides valuable insights related to Humanitude care impacts and practices.

Purpose: This descriptive study aimed to understand the effects of patient safety perception, quality of nursing, and partnerships as perceived by parents of hospitalized children on hospital reuse intention. Methods: The participants were 112 parents of children admitted to four children's hospitals. Data were collected using self-report questionnaires between July 22 and August 31, 2022, and analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis. Results: According to the general characteristics of parents of hospitalized children, hospital re-use intention showed a statistically significant difference based on the hospitalization rate. However, no statistical significance was found in post-hoc analysis. Hospital re-use intention among parents of hospitalized children showed a significant correlation with patient safety perception, quality of nursing, and partnerships. Partnership and patient safety perceptions influenced hospital re-use intention, explaining 55.3% of the variance in hospital reuse intention. Conclusion: Hospital reuse intention may be increased by assessing deficiencies in pediatric nursing safety management, preparing a plan to improve it, and developing strategies to foster a sustained and positive partnership with parents of hospitalized children.

Purpose: This study employed text mining methodologies to analyze research trends in elderly long-term care facility management, with the aim of identifying significant keywords and research topics to inform future research directions. Methods: We analyzed 10,487 articles published through April 2024, collected from major academic databases. The analysis incorporated text mining techniques such as term frequency-inverse document frequency (TF-IDF), topic modeling, and social network analysis to extract meaningful patterns and themes from the literature. Results: Publication trends showed consistent growth since the 1980s, with significant acceleration in the 2020s. The analysis revealed that terms such as 'care,' 'management,' 'nurse,' and 'patient' were fundamental to the field. Three primary research themes emerged: "Healthcare Management and Quality Improvement," "Strategic Management in Nursing and Community Care," and "Health Services and Dementia Care." These findings highlight the necessity for increased empirical and interdisciplinary research approaches. Conclusion: The findings emphasize the critical need for enhanced management competency programs within long-term care facilities. This study presents a comprehensive overview of current research developments and provides evidence-based recommendations for future research initiatives aimed at enhancing care quality and management practices in response to the challenges of an aging society.

Purpose: This study aimed to investigate the mediating effect of ethical leadership of nursing unit manager in the relationship between professional quality of life on job embeddedness of staff nurses. Methods: Participants were 116 staff nurses from five general hospitals. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression analysis using SPSS/Win 28.0. PROCESS macro 3.5 program was used to verify the significance of the indirect effect of the mediator. Results: Compassion satisfaction had a significant positive impact on ethical leadership (𝛽=.34, p<.001), ethical leadership had a significant positive impact on job embeddedness (𝛽=.31, p=.001), and compassion satisfaction had a significant positive impact on job embeddedness (𝛽=.57, p<.001). Burnout had a significant negative impact on ethical leadership (𝛽=-.32, p=.001), ethical leadership had a significant positive impact on job embeddedness (𝛽=.37, p<.001), and burnout had a significant negative impact on job embeddedness (𝛽=-.43, p<.001). Ethical leadership showed mediating effects in the relationship between compassion satisfaction, burnout, and job embeddedness. Conclusion: The results indicate a need to develop ethical leadership of nursing unit manager including intervention to professional quality of life to improve on job embeddedness of staff nurses.

Purpose: This study evaluated the effectiveness of a community-based home care service pilot project conducted by C University Hospital for patients receiving home care services. Methods: This study employed a one-group pre-test-post-test design using secondary data. Between June 2021 and June 2022, 67 patients participated in a community-based home care service pilot project. The data were analyzed using SPSS/WIN 26.0, applying descriptive statistics, McNemar's Chi-square test, and paired t-tests. Results: The participants' average daily walking time increased from 35.40(±38.66) min to 46.49(±41.40) min (t=-2.23, p=.029) and the proportion reporting "good" perceived subjective health increased from 10.4% to 22.4% (χ²=10.47, p=.015). Family satisfaction averaged 4.27(±0.49), with reliability scoring the highest at 4.33(±0.49). The success rates of resource linkages were relatively high for medical treatment (medical consultations), examinations (83.7%), and residential environment improvements (62.7%). Conclusion: Home healthcare and registered nurses effectively collaborated to deliver comprehensive care, care even in patients excluded from long-term care. Home care nursing may contribute to the development of sustainable, community-based, integrated care models that require essential policy and institutional support.