Purpose: This study aimed to evaluate the levels of ageism, empathy, and attitudes toward geriatric care among nursing students and identify the factors influencing their attitudes toward geriatric care. Methods: This descriptive cross-sectional study included 150 fourth-year nursing students from two universities. Data were collected using self-administered questionnaires on attitudes toward geriatric care, ageism, and empathy and analyzed using descriptive statistics and multiple regression analyses using SPSS/WIN 25.0. Results: The mean scores for the attitude toward geriatric care, ageism, and empathy were 62.75 out of 85, 1.97 out of 5, and 11.95 out of 15, respectively. Multiple regression analysis revealed that ageism (β=-0.51, p<.001), empathy (β=0.20, p<.001), and volunteer experience with seniors (β=0.16, p=.010) were significant predictors of attitudes toward geriatric care. Conclusion: Ageism and empathy were the factors that most significantly influenced attitudes toward geriatric care. The nursing curriculum should systematically incorporate learning activities to reduce ageism and enhance empathy. Experiential learning, such as using an aged simulation suit, can promote nursing students' understanding of older adults and foster positive attitudes toward their care.

Purpose: Our study aims to review factors that improve self-care among older adults with chronic obstructive pulmonary disease. Methods: We employed a cross-sectional research design. We used a standardized questionnaire to collect data from 120 older adults (≥65 years) with chronic obstructive pulmonary disease at two university-affiliated hospitals. We analyzed the data with descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation, and multiple regression analysis using SPSS version 25.0. Results: The average self-care score was 77.46 out of 115, and the mean symptom experience score was 12.57 out of 63. The average self-efficacy score was 135.86 out of 320, and the social support score was 36.26 out of 60. Social support and previous hospitalization experiences associated with respiratory issues significantly impacted the quality of self-care among older adults with chronic obstructive pulmonary disease. Conclusion: Notably, the degree of self-care improved with enhanced social support and favorable hospitalization experiences. Social support has enormous potential to improve the self-care capabilities of older adults with chronic obstructive pulmonary disease. It is imperative to implement programs that actively encourage the engagement of family to strengthen the social support provided to older patients for their care.

Purpose: This study aimed to explore and understand the lived experiences of novice nurses providing end-of-life care, particularly focusing on their psychological burden and technical challenges in the context of increasing demand for end-of-life care. Methods: A qualitative content analysis was conducted. Fourteen novice nurses with 1-3 years of clinical experience participated in this study. Data was collected through in-depth interviews, both face-to-face (n=12) and virtual (n=2). The interviews were audio-recorded, transcribed verbatim, and analyzed using systematic coding procedures. Research trustworthiness was established through researcher triangulation, participant verification, and maintaining an audit trail. Results: Analysis of 93 significant statements yielded four major categories and seven subcategories of novice nurses' experiences. The major categories identified were: 'inexperience in end-of-life care', 'striving for dignified death', 'professional growth through end-of-life care experiences', and 'necessity of preparation for end-of-life care'. Novice nurses initially experienced considerable psychological burden and technical difficulties in providing end-of-life care. However, as they accumulated experience, they demonstrated progressive development in their professional competence and emotional resilience. Conclusion: The findings highlight novice nurses' developmental trajectory in end-of-life care and emphasize the need for systematic educational programs. These results can inform the development of nursing curricula and support systems to improve end-of-life care quality.

Purpose: This research study aims to examine the degree of psychological empowerment, organizational commitment, working environment, and person-centered care of workers at long-term care facilities and identify factors influencing their person-centered care. Methods: Subjects were selected through convenience sampling and included 154 care workers employed by and working at seven long-term care facilities in two cities. Self-reported questionnaires were administered from July 25 to September 11, 2024 to obtain study data. The IBM SPSS 29.0 program conducted data analysis using descriptive statistics, an independent t-test, one-way ANOVA, Pearson's correlations, and hierarchical regression analysis. Results: Of the three factors studied, working environment (β=.39, p<.001) exerted the most significant effect on person-centered care, followed by psychological empowerment (β=.32, p<.001) and organizational commitment (β=.14, p=.042). These factors were indicative of an explanatory power of 40.0%. Conclusion: To reinforce person-centered care at long-term care facilities, this study determined that the working environment must be improved, a program to promote psychological empowerment should be developed and implemented, and support to increase organizational commitment within the facilities should be provided.

Purpose: This study aimed to develop the Business Accelerating Solution for Integrated Long-Term Care Services (BASTCareS), an educational simulation program designed to strengthen business decision-making capabilities among nurse entrepreneurs. Methods: As part of a multi-year project guided by the ADDIE model, real-world operational data were collected from two long-term care centers and structured into a database to inform the program's simulation framework. The program incorporated the Balanced Scorecard (BSC) to assess internal capabilities and the Boston Control Group (BCG) Matrix to design sustainable service portfolios. A multidisciplinary team of nursing faculty, doctoral students, and IT developers held seven design meetings between October 2023 and October 2024. Results: BASTCareS was developed as a web-based simulation tool featuring three modules: Home-Visit Nursing, Day-Care Center, and Integrated Care Simulation. Users input and modify operational variables and receive real-time feedback on profitability, staffing, and service balance. The system visualizes performance indicators aligned with BSC perspectives and supports portfolio decisions using BCG Matrix. Conclusion: BASTCareS offers a structured, data-driven educational environment for enhancing entrepreneurial competencies among nurse leaders working in long-term care. It reflects national policy shifts toward integrated community care and provides a scalable training resource for academic and field-based nursing professionals.

Purpose: This descriptive research to investigate the effects of attitude toward the elderly, communication, and empathy on geriatric nursing practice integrated nursing care service. Methods: The participants in this study were 170 nurses at two medical institutions in which integrated nursing care service is performed., A self-reported questionnaire was directly distributed to the participants between July 24, 2023 and August 10, 2023. Data analysis, including percentage, standard deviation, independent t-test, one-way ANOVA test, Scheffe's test, Pearson's correlation coefficients and multiple regression analysis were performed using the SPSS PC+ version 23 tool. Results: This study determined that statistically significant differences were found in three areas od geriatric nursing practice: attitudes, communication skills, and empathy toward the elderly. In geriatric nursing practice, a negative corrlation was demonstrated in the attitudes toward the elderly, while communication skills and empathy were positively correlated. Regression analysis on these factors revealed that the higher the level of communication and empathy, the more positively appeared in geriatric nursing practice. The explanatory power of this study was 32.9%. Conclusion: This study revealed the necessity of a systematic program for improving communication skills and the development of an arbitration method for positive empathy to improve overall geriatric nursing practice.

Purpose: This study aimed to identify factors influencing nurse educator job satisfaction through a sociological approach, focusing on personal, interpersonal, and organizational factors. We examined the effects of resilience (personal), role conflict and social support(interpersonal), and positive nursing organizational culture(organizational) on job satisfaction. Methods: The study involved 165 nurse educators with over 3 years of clinical experience in large hospitals across S City, D Metropolitan City, and G City. The data were collected between July 10 and September 20, 2024. Results: Nurse educators had a jobsatisfactionscore above the midpoint, with significant differences depending on religion, marital status, and age. Among the key factors influencing job satisfaction, resilience had the strongest impact, followed by positive nursing organizational culture and social support. Together, these factors explained 75.8% of the variance in job satisfaction ,indicating their strong relationship with nurse educator satisfaction. Conclusion: The key approaches to improve satisfaction are enhancing resilience, improving social support, and fostering a positive organizational culture. On the basis of the results of this study, we recommend establishing systems and intervention programs to improve the job satisfaction of nurse educators.

Purpose: This study aimed to understand the importance of home health care nursing as experienced by persons with spinal cord injury, identify home health care nursing-related needs of persons with spinal cord injury, and provide basic data for researchers seeking ways to enhance home health care nursing. Methods: This qualitative study was examined using Downe-Wamboldt's content analysis method. Study participants included 22 men and women with spinal cord injury, aged 30 to 80, receiving home health care nursing. Through in-depth interviews using a semi-structured interview form, data were collected from May to July 2022 and subsequently evaluated using content analysis. Results: Sixteen concepts, fitting 6 subcategories and 2 super categories, were derived from the nursing experience of persons with spinal cord injury in home health care. Individual aspects were categorized into three subcategories: physical pain and problems, changes in family roles and burdens, and changes in lifestyle. Home health care nursing was divided into three subcategories: professional, economic and limited. Conclusion: This study confirmed that home health care nursing needs are diverse due to the nature of spinal cord injury as a disability and chronic disease. As a result, differentiated and specialized nursing should be provided. To provide the type of nursing required in a home health care setting for spinal cord injury patients, policy measures should be sought to deliver comprehensive and continuous support through institutional improvement.