• Title/Summary/Keyword: Geriatric nurses

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A Survey of the Nursing Activities Performed by Nursing Staffs in Long-term care Hospitals (요양병원 간호 인력의 간호행위 수행 실태)

  • Kim, Myung-Hee;Jeong, Chu-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.2
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    • pp.940-951
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    • 2014
  • This study was to investigate of nursing activities performed by nursing staffs in long-term care hospitals. A survey of was conducted with 131 nurses who were working in 15 geriatric hospitals using a structural questionnaire. Data were collected from March 7 to June 30, 2013 and analyzed with SPSS 17.0, using descriptive statistics and t-test, ANOVA. This survey confirmed that the 88 activities except to 'making nursing diagnosis', 'setting nursing goals', and 'writting patient evaluation checklist' had been practiced in a wide range of nurses with nurse assistants. The degree of performance by nurse assistant was significantly different among nurses group according to the total number of patient and number of nurse(p<.001). Therefore, it is necessary to establish the legal and institutional regulation and development of algorithm for delegation, classify the impossible nursing task and work that can be delegated long-term care hospital.

The Effect of Communication Competency and Job Stress of Long Term Care Hospital Nurses on Turnover Intention focused on control effect of emotional intelligence (요양병원 간호사의 의사소통능력, 직무스트레스가 이직의도에 미치는 영향 : 감성지능 조절효과 중심으로)

  • Kang, Young-Sil;Kwon, Young-Chae;Kim, Yun-ah
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.449-457
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    • 2018
  • This study examined the effect of communication competency and job stress of nurses working in long term care hospitals on turnover intention and to verify the effect of emotional intelligence control on the relationship among communication competency, job stress and turnover intention. The subjects consisted of 240 nursing students, and data were collected during from February 1 to February 28, 2018. The data were analyzed with descriptive statistics and Pearson's correlations that used IBM SPSS WIN 20.0 program and the analysis of control effect was made by using Hierarchical Multiple Regression Analysis. The result of this study can be summarized as follows. The turnover intention was positively correlated with job stress. The factors which had effect on turnover intention were pay satisfaction, job stress and age. Based on the results of this study, it is necessary to develop a systematic program that reflects clinical characteristics and education in order to reduce the turnover intention of the nurse.

Strategies for Deriving Strategic Products to Enter the Dementia Industry on SMEs-Focused on AHP Analysis

  • Yu, Tae Gyu
    • International Journal of Internet, Broadcasting and Communication
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    • v.12 no.1
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    • pp.61-66
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    • 2020
  • Many SMEs are interested in entering the dementia industry as the national dementia responsibility system begins in earnest. However, it is ambiguous about which technology and field to enter, and accordingly, it is impossible to make a quick judgment and misses the time to enter the market. Therefore, the purpose of this study is to provide a simple but clear information to many SMEs in this situation, which products and related technologies will be able to help product development and market entry in the dementia prevention and diagnosis technology market more easily. In this regard, I would like to suggest the direction through hierarchical analysis (AHP) through conducting with a group of experts who can make professional judgments about the development of dementia medical technology, including the four-year university senior welfare department, nurses, directors and directors of long-term care institutions, medical device workers and experts' opinions on what sectors SMEs can most effectively apply to product development to enter the dementia market.

Family Member's Perceptions of Side Rail Use in Geriatric Hospital (노인요양병원에서의 침대난간(Side Rail) 사용에 대한 환자가족의 인식)

  • Lee, Keum-Jae;Park, Gyeong-Sook;Park, Yeon-Suk
    • Journal of Digital Convergence
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    • v.14 no.12
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    • pp.503-513
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    • 2016
  • The purpose of this study is to figure out family member's perceptions of side rail use in geriatric hospital by Cavanagh's content analysis with in-depth interview. This finding of the study suggests that the six themes of these perceptions are precautionary safety supervision, movement convenience, ritualistic nursing, physical restraint, danger of wounds, and alternative methods in an older person ward, and that the cause of recognized perceptions is not based on actual events, but rather on relatives' perceived protective value. With the transition of medical industry environment, there is a significant emphasis on efficacy and effectiveness of practice, risk management and evidence-based practice. However, the issue of side rail use and physical restraints remains unsolved in care of older people. Nurses claim the necessity of regimented protocol and clarification from professional organization regarding the side rail use.

Relationships between Depression, Oral Dryness, and Oral Health-Related Quality of Life among Elderly in Korea

  • Mun, So-Jung;Park, Su-Kyung;Heo, Ji-Eun;Jeung, Da-Yee;Chung, Won-Gyoun;Choi, Ma-I;Jeon, Hyun-Sun
    • Journal of dental hygiene science
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    • v.19 no.4
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    • pp.245-253
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    • 2019
  • Background: This study aimed to analyze correlations between depression, cognitive function, oral health state, ability to perform activities of daily living, oral dryness symptoms, and oral health-related quality of life, and determine factors influencing the latter. Methods: This was a cross-sectional study based on questionnaires completed by 260 participants with suspected dementia, residing in South Korea. Psychiatrists, psychiatric nurses, and dental hygienists visited clinics in the participating regions for examination and questionnaire administration. General characteristics, the geriatric depression scale, ability to perform activities of daily living, cognitive function, oral health state, and oral health-related quality of life were analyzed. Independent t-tests, one-way analysis of variance (ANOVA), correlation analysis and multiple regression analysis were conducted, identifying factors affecting oral health-related quality of life. Data analysis was performed using SPSS ver. 20.0 (IBM Corp., USA), and the significance was set at p<0.05. Results: Approximately 65.0% of participants were female, 63.5% were in their 70s, and 90.0% had health insurance. About 21.5%, 42.0%, and 36.5% were normal, slightly impaired, and had dementia, respectively. High cognitive impairment was associated with poor oral health. Sex, education levels, marital status, and living arrangements influenced oral health-related quality of life. According to the regression analysis, geriatric depression and oral dryness affected the Geriatric Oral Health Assessment Index scores. Conclusion: In conclusion, oral dryness and depression levels among elders influenced oral health-related quality of life. The results showed that to enhance elders' oral health-related quality of life, it is essential to not only improve their oral health state, but also relieve oral health problems, especially oral dryness, and take into consideration their psychological aspects.

Nurses' Knowledge, Attitude and Education Needs for Sexuality of the Elderly (간호사의 노인의 성에 대한 지식, 태도 및 성교육 요구도)

  • Yang, Jung-Lim;Jeong, Mi-Hyun
    • The Journal of the Korea Contents Association
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    • v.13 no.3
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    • pp.260-270
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    • 2013
  • The purpose of this study was to investigate nurses' sexual knowledge, attitude and sex education needs of the elderly. The participants were 235 nurses who were working at hospitals, geriatric hospitals and nursing homes at I city, K city and J city in Jeollabukdo province. A survey was conducted using self questionnaire scale from December 1, 2012 to December 10, 2012. First, the mean score of sexual knowledge was $15.91{\pm}6.43$. It was statistically significant according to marital status(p=.024), workplace(p<.001), duration of work experience(p=.006), sex education needs(p<.001), sex education acceptance(p<.001). Second, the mean score of attitude was $38.26{\pm}4.41$. It was statistically significant according to workplace(p=.033), living with the elderly(p=.009), sex education needs(p<.001) and sex education acceptance(p<.001). Third, the mean score of sex education needs was $35.97{\pm}6.28$. It was statistically significant according to age(p=.023), living with the elderly(p=.014), sex education needs(p<.001) and sex education acceptance(p<.001). Nurses' knowledge on the elderly's sexuality showed a significantly positive correlation with attitude(p<.001) and sex education needs(p<.001). This study indicated that general education on sexuality of the elderly for undergraduate nursing students and registered nurses is essential. More active nursing care on the elderly's sexuality is required when providing them with health assessment and nursing interventions.

Developing Geriatric Nursing Competency Using Information and Communication Technology: Focusing on a Case of Depression Assessment (ICT 기반 노인간호 역량 개발: 우울증 측정 사례를 중심으로)

  • Kim, Heejung;Hong, Soyun;Kwon, Sooyoung;Kim, Namhee
    • Journal of Korean Gerontological Nursing
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    • v.20 no.sup1
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    • pp.119-126
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    • 2018
  • Purpose: The aim of this study was to describe problems and solutions for older adults living alone and using wearable devices to report depressive moods in daily life. In addition, gerontology nurses' competencies and strategies were discussed based on lessons learned from the observational study. Methods: A hybrid method was used, combining literature review and content analyses based on interviews with 53 participants and observations done by the research team. Results: Main issues and relevant strategies were identified in terms of (1) applicability of information and communications technology (ICT) devices for older adults, (2) feasibility of older adults' use of ICT devices, (3) integration of ICT devices into daily life, and (4) relevant issues when older adults use ICT. Important roles and competencies were discussed regarding general and gerontology aspects of ICT. Conclusion: Findings indicate that a wearable device is feasible to measure daily depressive moods in older adults living alone in community settings. To extend our research protocol to practice, gerontology nurses must adequately prepare to meet emerging health care trends and end users' needs for ICT-based nursing. It is necessary to develop diverse educational programs and active involvement in research and design of relevant devices and programs.

Validity, Reliability and Efficiency of Pain Self-report Scale in Elderly with Dementia (치매노인의 통증사정에 대한 자가보고 도구의 타당도, 신뢰도 및 효율성 검증)

  • Ryoo, Eon-Na;Park, Kyung-Sook
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.111-122
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    • 2011
  • Purpose: The aim on this study was to establish the validity, reliability and efficiency of a Pain Self-Report Scale for elderly with dementia and compare these results with an observational pain rating scale. Methods: Study subjects were 136 elderly with dementia who were residents in a nursing home, geriatric hospital, or day care center. The subject's pain was measured by five self-report scales and observational scale. DS-DAT (discomfort scale-dementia of the Alzheimer's type) was used for pain behavior observational measure. Cognitive state was assessed using the MMSE (Mini-Mental State Examination). Results: Observational rating correlated moderately with self-report (r=.225~.585, p<.05) and tended to underestimate pain intensity. Test-retest reliability was high for all five self-report scales, and the correlation between these scales was very strong (r=.735~.856, p<.05). Comprehension rate of VDS (verbal descriptor scale) was 88.3%, and NRS (numeric rating scale) 69.9%, FPS (face pain scale) 66.9%, HVAS (horizontal visual analog scale) and VVAS (vertical visual analog scale) 65.4%. Conclusion: Nurses should not apply observational scales routinely in demented patients as many of these are capable of reporting their own pain. Self-report, the highest standard of pain measurement can be reliably performed in a large proportion of demented elderly.

Health Perception and Family Support as Influencing Factors on Depression in Hospitalized Elderly Patients (건강지각과 가족지지가 입원 노인환자의 우울에 미치는 영향)

  • Lee, Sun-Ok;Kim, Moon-Jeong
    • The Korean Journal of Health Service Management
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    • v.9 no.4
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    • pp.145-155
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    • 2015
  • Objectives : The purpose of this study was to test the influencing effects of health perception and family support on depression in elderly patients. Methods : Two-hundred forty-nine hospitalized geriatric patients were recruited in B city, South Korea. They were asked to complete a questionnaire, and 214 data sets were included in multiple regression analysis. Results : Subjects perceived a higher level of depression. Influencing factors of depression were hospitalization experience (t=3.476, p=.001), health perception (t=-3.310, p=.001), education (t=2.684, p=.008), economic satisfaction (t=2.579, p=.011), satisfaction with allowance (t=2.262, p=.025), and family support (t=-2.200, p=.029). The model was statistically significant explaining 36.3% of the variance (F=21.257, p<.001). Conclusions : In dealing with depression, nurses in elderly care facilities should be more concerned about patients with hospitalization experiences. Interventions to improve health perception should be provided to elderly patients, and educational programs on how to support patients are needed for the families of patients.

Needs of the elderly with dementia in long-term care facilities: from the perspectives of patients and caregivers (장기요양시설 거주 치매 노인의 욕구: 대상자와 간호제공자의 관점을 중심으로)

  • Kang, Hyunwook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.260-269
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    • 2018
  • This study investigated the needs of the elderly with dementia from the perspectives of patients and caregivers in long-term care facilities. A total of 145 older adults with dementia and 62 nurses from 3 geriatric hospitals were enrolled in this study. The cognitive function, behavioral and psychological symptoms, activities of daily living (ADL), and instrumental activities of daily living (IADL) were measured. The mean number of needs reported by the elderly with dementia was 11.94 and those with unmet needs were 2.91 on average. Nurses showed that the mean number of needs and unmet needs of the elderly with dementia was 14.71 and 1.94, respectively. The largest number of older adults with dementia (42.2%) perceived that the needs for daytime activities were unmet. On the other hand, only 24.1% of nurses evaluated that the needs for daytime activities were unmet. The factors influencing the needs of the elderly with dementia were dependency in ADL and IADL. Therefore, caregivers in long-term care facilities need to take the perception of older adults with dementia into consideration when evaluating the met and unmet needs of the elderly with dementia. In addition, sufficient assistance to IADL and ADL would help reduce the needs of people with dementia.