• Journal of Korean Academy of Nursing
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• v.39 no.6
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• pp.769-780
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• 2009

Purpose: The purposes of this study were to develop an educational program to reduce the use of physical restraints for caregivers in geriatric hospitals and to evaluate the effects of the program on cargivers' knowledge, attitude and nursing practice related to the use of physical restraints. Methods: A quasi experimental study with a non-equivalent control group pretest-posttest design was used. Participants were recruited from two geriatric hospitals. Eighteen caregivers were assigned to the experimental group and 20 to the control group. The data were collected prior to the intervention and at 6 weeks after the intervention through the use of self-administered questionnaires. Descriptive statistics, $\chi^2$ test, Fisher's exact probability test, and Mann-Whitney U test were used to analyze the data. Results: After the intervention, knowledge about physical restraints increased significantly in experimental group compared to the control group. However, there were no statistically significant differences between the groups for attitude and nursing practice involving physical restraints. Conclusion: Findings indicate that it is necessary to apply knowledge acquired through educational programs to nursing practice to reduce the use of physical restraints. User friendly guidelines for physical restraints, administrative support of institutions, and multidisciplinary approaches are required to achieve this goal.

• Journal of Korean Biological Nursing Science
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• v.24 no.3
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• pp.190-199
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• 2022

Purpose: This study investigated the effect of pressure injury nursing knowledge, and pressure injury nursing attitudes, on pressure injury nursing practice. Methods: Participants in this descriptive study were 141 nurses at 20 geriatric hospitals. Data was collected August 24, 2021- April 4, 2022, and analyzed in terms of Independent t-test and one-way ANOVA, Scheffé test, Pearson's correlation coefficient, and multiple regression, using the SPSS/WIN 27.0 program. Results: Pressure injury nursing practice positively correlated with pressure injury nursing attitudes (r= .44, p< .001). Factors influencing pressure injury nursing practice were pressure injury nursing attitudes (β= .43, p< .001), and gender (β= .21, p= .006). The model used in this study explains 22.8% of pressure injury nursing practice (Adjusted R²= 22.8, F= 11.30, p< .001). Conclusion: Results show factors that influence pressure injury nursing practice of nurses in geriatric hospitals. Based on the results, pressure injury nursing practice programs must include factors that improve pressure injury nursing attitudes. A follow-up study to confirm the impact of developing a program for increasing pressure injury nursing practice is also recommended.

• Korean Journal of Adult Nursing
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• v.22 no.5
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• pp.457-465
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• 2010

Purpose: This study was conducted to examine the degrees of depression and activities of daily living (ADLs), and to identify factors that predict depression in elderly patients. Methods: The sample was149 patients (80% female; mean age 79.1) from three geriatric hospitals located in small cities and who agreed to participate in the study. Data were collected by staff nurses involved in direct patient care from October to September 2009. The level of depression was measured on a daily basis for seven days using a 13-item scale. Patients' ADLs was measured using a modified 10-item Bathel ADLs scale. Data were analyzed using SPSS/WIN 17.0. Results: Mean depression score was $10.05{\pm}4.77$ out of 26 points and about 27% was assessed as depressed with more than 13 points. Multiple regression analysis showed that low educational level, absence of spouse and fewer family visits predict depression. In addition, low ADLs and sleep disturbance predict depression. Conclusion: Nursing care providers need to be concerned about ADLs of older patients and should develop nursing activity programs to increase their in-hospital physical activities. It is also important care for older patients' sleep and encourages family visits to decrease their depression.

• Journal of International Academy of Physical Therapy Research
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• v.7 no.1
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• pp.972-978
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• 2016

The purpose of this study was to identify correlations among the continence function, cognitive function, and activities of daily living(ADL) in elderly male patients with dementia in geriatric hospitals. The subjects were 64 patients aged 65 or above who were diagnosed with dementia among the hospitalized male patients in a geriatric hospital. For the subjects' cognitive function, a questionnaire developed for the Korean Mini Mental Status Examination(K-MMSE) was used. For the continence function and ADL, data were collected using a patient evaluation table. As a result, a lower level of cognitive function resulted in corresponding higher levels of dependence in all items of ADL except bathing(p<.05), and a lower level of cognitive function led to corresponding declines in the continence function(bowel control, bladder control)(p<.01). In addition, a higher level of dependence in ADL resulted in corresponding higher levels of difficulty in bowel and bladder control(p<.01). This study showed correlations among the cognitive function, ADL, and continence function of elderly men with dementia. The results of this study may be used as basic data for the management and treatment of hospitalized elderly male patients with dementia in geriatric hospitals.

• The Korean Journal of Health Service Management
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• v.7 no.1
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• pp.133-144
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• 2013

The present study is aimed at assessing medical service quality as perceived by in-patients of geriatric hospitals and at analyzing the excitement factors by using revised IPA Applying the Kano's model for users' satisfaction. The data was collected from Nov. 5 to Dec. 7, 2012. Among a total of 503 cases of questionaries, only 419 cases were used. To data were analyzed by PASW statistics 18.0 and revised IPA applying Kano's model. The paired t-test results reveal that satisfaction was higher than the expectation level at a statistically significant level across all the medical service quality factors. The revised IPA results categorized facility convenience, hospitalization and care, and kindness as basic factors and medical reliability and access as excitement factors. In conclusion, medical reliability and access, which were identified as excitement factors of medical service quality, are essential opportunity factors for users and should accordingly be used as strategic factors to increase satisfaction with a geriatric hospital and induce customer surprise.

• Korean Institute of Interior Design Journal
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• v.25 no.6
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• pp.40-51
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• 2016

The aim of this study is to quantitatively deduce the circulation efficiency and space arrangements of the outpatient department in geriatric hospitals in terms of spatial structure and to find a methodology that could promote the improvement of accessibility and spatial cognition while using the facilities. All space units of the selected twelve geriatric hospitals were located on the first floor. The study adopted the psychological distance concept of space syntax to the unitized spaces, and presented a set of indices, such as TD, PN, RF, PNT and TRF. These indices were calculated according to the standard clinical use procedures. The study evaluated the effectiveness of circulation. The analysis of circulation was based on the four major geriatric illnesses that were selected in this study. The study established the standard clinical use procedure with consideration of the medical treatment, examinations and space units of outpatient departments. The results are as follows: 1) Based on the statistical data, four major geriatric illnesses are examined, and space requirement and standard procedures are established. Development indicators are applied in order to quantitatively deduce the efficiency of spatial cognition. 2) The percentage of the risk of cognitive decline(TRF) has an inversely proportional correlation to the circulation efficiency(PNT) at a certain point. TRF is more influenced by the clinical use procedure than the scale. 3) The arrangement of the waiting space and types of corridor greatly affect the percentage of the risk of cognitive decline. 4) Vulnerable facilities are selected on the basis of the evaluation, and two alternatives that could promote the circulation efficiency are presented. The result of the reanalysis showed that cognitive efficiency had much improved compared to the existing facilities.

• Proceeding of Spring/Autumn Annual Conference of KHA
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• 2006.11a
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• pp.173-177
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• 2006

Color can stir up the feeling and the thinking of the human inside, and heals human's illness. The color of architecture is a systematic physical space of shape and color. In other words, color is a kind of visual language organizing a structure and interact with human. The color of hospital can be specially effective to heal the elderly. This study intends to help geriatric hospital in future to elevate remedial value and indicate basic data for adapted the elderly environment. NCS is a kind of color system based on the human psychology and nature. This study researched the color of geriatric hospital with NCS and annualized the color nuance of each spaces. As a result the distribution of color nuance show the present of the geriatric hospital's color planning.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.3
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• pp.438-449
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• 2016

This study investigates the factors influencing nurses' turnover intentions after evaluation for certification at geriatric hospitals. Focus is centered on job stress and burnout. The study was approved by the KUIRB. Data were collected from April 1 to August 31, 2015, and analyzed using SPSS WIN 18.0 software. The participants were 205 nurses recruited from 15 long-term care hospitals in metropolitan city B in province G. The average scores for job stress, burnout, and turnover intention were 3.83, 2.92, and 3.12, respectively (range: 1-5). Nurses' turnover intention had positive relationships with job stress (r=.356, p<.001) and burnout (r=.729, p<.001). The major factor influencing turnover intention was burnout (${\beta}=.729$), which explained 53% of the intention. In conclusion, intervention programs should be developed to reduce burnout, the key influencing factor, for decreasing nurses' turnover intention.

• Journal of Digital Convergence
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• v.12 no.12
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• pp.61-76
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• 2014

The purpose of this study was to investigate the relationship among the consumption value and hospital satisfaction and patient caregiver's psychological well-being(PWB) in geriatric hospitals. Data from 355 subjects were collected and analyzed. The findings are as follows. Functional value and emotional value influenced hospital satisfaction positively, while rarity value influenced negatively. Hospital satisfaction influenced patient caregiver's "PWB" positively. And family's support, which had a positive effect on patient 'caregiver's "PWB", played a role in moderating variable between functional value and hospital satisfaction. From this study, the implications of the findings were discussed and hospital management research project that geriatric hospitals should improve hospital satisfaction and "PWB" of patient caregiver was proposed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.11
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• pp.5785-5791
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• 2013

This study was carried out to investigate relations among knowledge, attitude, and nursing practice, and influencing factors on nursing practice of the nurses-towards the elderly in geriatric hospitals. Data were collected from March 17 to April 20, 2013 by questionnaires from 188 nurses who work at 12 geriatric hospital in D city and K city. The data were analyzed by the SPSS and AMOS programs. The subjects' knowledge score was 0.49 out of 1, attitude score of subjects 3.72 out of 7, and their nursing practice score was 3.54 out of 4. There were significant differences in nursing practice among the subjects due to age, duration of employment, current gerontological nursing education, and living with the elderly people. There were significant positive correlations among knowledge, attitude, and nursing practice. According to the research, influencing factors on nursing practice of the nurses-towards the elderly in geriatric hospitals included knowledge, attitude, and current geronological nursing education.