• Journal of Hospice and Palliative Care
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• v.19 no.2
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• pp.154-162
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• 2016

Purpose: This descriptive study was aimed at identifying the relations among geriatric nurses' terminal care performance, death anxiety and self-esteem and the factors that affect nurses' terminal care stress. Methods: Data were collected using a self-reported questionnaire completed by 212 geriatric hospital nurses working in 10 hospitals in K city and B metropolitan city. Results: The survey results showed that the stress factors were terminal care performance and death anxiety. Significant predictors for terminal care stress were death anxiety and terminal care performance. (And the higher the level of death anxiety and terminal care performance were, the heavier the stress was.) These factors explained 32.5% of the variance in terminal care stress. Conclusion: The results of the study suggested that terminal care performance was an important factor of terminal care stress for geriatric nurses. Therefore, it seems that it is necessary to develop an educational intervention program to improve nurses' terminal care performance to reduce their terminal care stress.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.8
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• pp.5413-5421
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• 2015

The aim of this study was to identify the influences of sleep quality, depression and fatigue on job stress of geriatric hospital workers. The subjects were 175 workers from 6 geriatric hospitals. Data were collected on March, 2015 using a structured questionnaire. The data were analyzed by using SPSS/WIN 21.0 program. The job stress was negatively correlated with sleep quality(r=-.364, p<.001), positively correlated with depression(r=.376, p<.001) and fatigue(r=.646, p<.001). The multiple regression analysis revealed that the most powerful predictor of job stress was fatigue(${\beta}=.581$, p<.001). These results indicate that fatigue affect job stress of the geriatric hospital workers. Therefore, it is necessary to prepare tailored fatigue management program and working conditions that can reduce job stress.

• Journal of The Korea Institute of Healthcare Architecture
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• v.29 no.3
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• pp.7-15
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• 2023

Purpose: This study was conducted with the aim of presenting spatial planning directions for evacuation spaces based on an analysis of the performance of horizontal evacuation during the early stages of fire incidents in a geriatric hospital. Methods: Based on a review of previous studies, the research model was designed by establishing occupancy conditions, evacuation, and fire scenarios. The analysis model was developed by considering vulnerable areas in terms of evacuation movement and analyzing the results of evacuation performance. Furthermore, the study analyzed the improvement in evacuation performance by arranging refuge areas. Results: The results of the study are as follows. Firstly, vulnerability spots were identified in terms of evacuation performance by schematizing Required Safe Egress Time, Available Safe Egress Time, and their differences. Secondly, the Required Safe Egress Time in the adjacent public spaces along the escape routes of occupants was found to be higher compared to the Available Safe Egress Time. Thirdly, the results of the correlation analysis between the difference in Available Safe Egress Time and Required Safe Egress Time during the early stages of a fire, as well as their constituent factors, demonstrated that user congestion is a more significant factor in compromising evacuation safety than the physical changes in the fire condition. Fourthly, the analysis of evacuation time was conducted by designating refuge areas where occupants can evacuate within a sufficient timeframe. This led to a decrease in the Required Safe Egress Time. Implications: This study is expected to be used as data on the direction of evacuation space planning to improve the evacuation performance of Geriatric Hospital.

• Korean Journal of Occupational Health Nursing
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• v.24 no.4
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• pp.290-301
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• 2015

Purpose: The purpose of this study was to identify the influencing factors on turnover intention of nurses in long-term care hospitals. Methods: Data were collected from 210 nurses in 11 long-term care hospitals in B city. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and Stepwise multiple regression. Results: Turnover intention was significantly correlated with emotional labor(r=.35, p<.001) and job involvement (r=-.38, p<.001). In a multiple regression, emotional labor (${\beta}=.31$, p<.001), age (${\beta}=-.27$, p<.001), job satisfaction (${\beta}=.24$, p<.001), job involvement (${\beta}=-.23$, p<.001), and number of patients assigned(${\beta}=.14$, p=.009) were associated with turnover intention. These factors attributed to 41.2% of the total variance in turnover intention. Conclusion: Considering the results of this study, proactive educational and/or human resource management interventions need to be developed especially for those younger nurses in order to reduce emotional labor as well as to promote job satisfaction and job involvement of nurses in long-term care hospitals.

• Journal of Korean Academy of Nursing
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• v.34 no.6
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• pp.974-982
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• 2004

Purpose: This study was performed to explore the effect of senior simulation on nurses' attitudes toward the elderly. Method: Twenty-seven nurses working in various settings such as acute hospitals, community health centers, geriatric hospitals, and clinics were recruited. Among them, 25 subjects completed the whole experimental protocol. Aging Semantic Differential Scaling was utilized to evaluate attitudes toward the elderly and 'Suit for Experiencing Being Aged' from the Sakamoto Model was provided for the experiment. Before and after the experiment subjects filled out questionnaires. Result: Attitude score before experiment was 4.36, which indicates neutral attitude. Objective attitude scores were not different significantly after experiment. However subjective statements indicated attitude changes in a positive way. Conclusion: Senior simulation can affect nurses' attitude toward elderly in subjective way. That is, nurses became more empathetic and understanding to elderly's physical limitations and felt more initiative nursing approach were needed in caring elderly.

• Journal of Hospice and Palliative Care
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• v.8 no.2
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• pp.234-244
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• 2005

As Korea has just turned into an aging society with the increase of average life expectancy, and the main causes of deaths is cancer and other chronic diseases. And this corresponds to a dramatic increase in medical expenses for the aged. To curve this problem, the hospice care can be an effective alternative, which can provide patients with both quality service and intensive care to help ensure high quality life for the patients. To demonstrate the economical effect of hospice services, a comparative study on the media expenses of geriatric hospitals and general hospitals, which bear similarities in common regarding the characteristics of their patients, is performed. Thus the results of the study can serve as a quantitative indication for the management of hospice services.

• The Journal of the Korea Contents Association
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• v.17 no.3
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• pp.350-358
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• 2017

The purpose of this study is to examine the influences of coping strategies and vocational self-efficacy on burnout among social workers in long-term care hospitals. Using a convenience sample, researchers collected responses from 138 participants in those long-term care hospitals that have at least 100 sick beds among 528 hospitals(as of September 2015) registered as members of the Korean Association of Geriatric Hospitals. Multiple regression analyses revealed that working hours, externalizing strategies, vocational self-efficacy and group efficacy were significantly correlated with burnout of social workers. In other words, longer working hours led to higher degrees of burnout and higher levels of externalizing strategies, job efficacy, and group efficacy led to lower degrees of burnout in job performance. Based on the study results, it was discussed to relieve the extent of burnout among social workers in long-term care hospitals such as reinforcement of systematic supervision, development of burnout prevention program and on-the job training.

• Journal of Gastric Cancer
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• v.19 no.2
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• pp.202-211
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• 2019

Purpose: Poor physiological reserve for withstanding major cancer surgery in older adults is an important concern in the selection of patients for oncologic gastrectomy. The present study aimed to analyze mortality patterns among patients who underwent gastrectomy for cancer according to age groups. The primary outcomes of this study were early- and middleterm results: 30-day and 3-, 6-, 12-, and 36-month mortality rates. Materials and Methods: A retrospective review of 288 patients who underwent surgical resection for gastric cancer in two centers was carried out. Patients were stratified into four groups according to age: 29-50 years (group I, n=27), 51-65 years (group II, n=117), 66-75 years (group III, n=81), and 76-92 years (group IV, n=58). Statistical calculations focused on the differences in the survival rates between groups I and II as well as between groups II and IV. Results: The middle-aged patients (group II) had significantly better 3-year survival than either the youngest (group I) or the oldest patients (group IV). The 6-month mortality rates were 16.9% in group III and 29.3% in group IV. Two-thirds of the patients from groups III and IV who died between 2 and 6 months after surgery had an uneventful postoperative course. Conclusions: Age is an important prognostic factor of middle-term survival after gastrectomy for cancer. Geriatric assessment and better patient selection for major surgery for cancer are required to improve the outcome of gastrectomy for cancer in patients aged over 75 years.

• The Journal of the Korea Contents Association
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• v.13 no.12
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• pp.840-850
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• 2013

This study examined influencing factors on the attitudes toward elders with a focus on empathy. Data were gathered from 291 nurses working at 14 geriatric hospitals in Kyunggi-Do, Chungchung-Do and Incheon. In analyzing the data, Pearson correlation coefficients, t-test, ANOVA, and regression analysis were adopted. Attitudes toward elders were neutral on the average; those nurses revealed both positive and negative aspects such as friendly, good, kind, conservative, sick and dependent. Of the four empathy scales, only empathic concern revealed significant correlation with the attitudes toward elders. Regression model included empathic concern and the nurses' characteristics. Empathic concern was significant in predicting the attitudes toward elders after controlling for the effects of the nurses' characteristics. Experience of voluntary work for elders was the only predictor among individual characteristics. Explanatory power of the model was 10.7%. We need to develop intervention programs raising empathy among nurses. The instrument measuring empathy needs to be examined.

• The Journal of Korea Robotics Society
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• v.18 no.4
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• pp.392-402
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• 2023

The purpose of this study was to conduct an exploratory and descriptive survey study design to examine 1) the physical difficulty by care task, 2) overall occupation-related physical burden by the characteristics of caregivers and care receivers, and 3) the level of help by the use of care robots and devices among formal caregivers working in facilities for older adults. In this study, 308 formal caregivers working in facilities were recruited from 8 nursing homes and 5 geriatric hospitals between Aug. 2021 and Sept. 2022 in South Korea. There were significant differences in ADLs between nursing homes and geriatric hospitals: eating, dressing, hygiene, transfer to bed, transfer to the toilet and walking. For each care item, the items the caregivers had the most difficulty ranked first were bathing, excretion assistance, and mobility support. The difference in occupation-related physical burden according to general characteristics was found to have statistically significant differences in female and bad perceived health. Among the 205 caregivers who had experience using care robots and devices, pressure ulcer prevention was the most experienced one, and those also were the most helpful and exercise aids were the least helpful. In order to reduce the physical burden on care providers, it is necessary to develop and introduce a care robots centered on the care site. Furthermore, national level public support systems are required to enable facilities to actively utilize care robots and devices.