• Title/Summary/Keyword: Gerontological nursing study

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An Analysis of Related Factors for Major Nursing Diagnoses Identified for Instituionalized Elders (일 시설노인에게 나타난 주요 간호진단의 관련요인 분석)

  • Hur, Hea-Kung;Park, So-Mi;Kim, Gi-Yon;Shin, Yun-Hee;Yim, Eun-Shil
    • Korean Journal of Adult Nursing
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    • v.15 no.1
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    • pp.126-136
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    • 2003
  • Purpose: The purpose of this study was to analyze related factors for major nursing diagnoses used in caring for institutionalized elders. Method: This study was a descriptive study. The participants were 92 residents in a long-term care facility in Wonju, selected by convenience sampling. The instrument was a checklist designed on the basis of the related factors suggested by NANDA (1997) and a literature review. Data was collected by chart review, observation, and interviews with the participants. Data was analyzed using descriptive statistics with the SPSS WIN program. Result: The most frequent nursing diagnosis was 'risk for injury', 'self-esteem disturbance', 'activity intolerance', 'impaired phyical mobility', and 'powerlessness'. The most frequent component for related factors for the five component for each nursing diagnosis was the physical component, followed by the social component. Common related factors for the nursing diagnoses were 'pain', 'change of emotional state/disorder', 'cognitive disorder', 'change of physical structure and function', and 'physical impairment', and 'immobility'. Conclusion: The results of this study can contribute to the development of appropriate nursing intervention programs for elders (eg. 'Injury Prevention Programs', 'Self-esteem Improvement Programs' etc.). Clinical guidelines that gerontological nurses can use to accurately assess health problems and select appropriate nursing interventions may be developed.

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Development and Effects of a Motivational Interviewing Self-management Program for Elderly Patients with Diabetes Mellitus (노인 당뇨병 환자를 위한 동기강화상담 당뇨병 자기관리 프로그램의 개발 및 효과)

  • Kang, Hye-Yeon;Gu, Mee Ock
    • Journal of Korean Academy of Nursing
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    • v.45 no.4
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    • pp.533-543
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    • 2015
  • Purpose: This study was conducted to develop and test the effects of a motivational interviewing self-management program for use with elderly patients with diabetes mellitus. Methods: A non-equivalent control group pretest-posttest design was used. The participants were 42 elderly diabetic patients (experimental group: 21, control group: 21). The motivational interviewing self-management program for elders with diabetes mellitus developed in this study consisted of a 12-week program in total (8 weeks for group motivational interviewing and education and 4 weeks for individual motivational interviewing on the phone). Data were collected between February 13 and May 3, 2013 and were analyzed using t-test, paired t-test, and repeated measure ANOVA with SPSS/WIN 18.0. Results: For the experimental group, significant improvement was found for self-efficacy, self-care behavior, glycemic control and quality of life (daily life satisfaction, influence of disease) as compared to the control group. Conclusion: The study findings indicate that the motivational interviewing self-management program is effective and can be recommended as a nursing intervention for elderly patients with diabetes mellitus.

The Factors Affecting Person-centered Care Nursing in Intensive Care Unit Nurses (중환자실 간호사의 인간중심 간호에 미치는 영향 요인)

  • Kang, Hye Suk;Seo, Minjeong
    • Journal of Korean Critical Care Nursing
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    • v.14 no.3
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    • pp.14-25
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    • 2021
  • Purpose : The purpose of this study is to examine the relationship between burnout, nursing work environment, patient-centered communication, and person-centered care nursing among intensive care unit (ICU) nurses and to identify factors related to person-centered care nursing. Methods : This is a descriptive study involving 156 ICU nurses. A structured questionnaire was used to assess burnout, nursing work environment, patient-centered communication, and person-centered critical care nursing performance. Data were collected from February to March 2020, and descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis were conducted using SPSS/WIN 25.0 program. Results : The mean scores for person-centered care nursing, burnout, nursing work environment, and patient-centered communication of ICU nurses were 3.52±0.42, 3.00±0.76, 2.62±0.34, 4.06±0.64, respectively. Person-centered nursing showed a statistically significant negative correlation with burnout (r=-.20, p=.013) and a statistically significant positive correlation with patient-centered communication (r=.49, p<.001). In addition, patient-centered communication (𝛽=.47, p<.001) was significantly correlated with person-centered nursing. Conclusion : The results of this study showed that the factors affecting the person-centered care nursing of ICU nurses were patient-centered communication. Therefore, it is necessary to develop and apply patient-centered communication programs for improving the person-centered nursing performance of ICU nurses.

Factors Influencing Behavior toward the Elderly in Nursing Students (간호대학생의 노인에 대한 행동에 영향을 미치는 요인)

  • Lim, Youjin
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.2
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    • pp.71-81
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    • 2017
  • Purpose: This study was conducted to investigate the level of nursing students' knowledge, attitude and behavior toward the elderly; correlations between the variables; and the factors influencing the behavior. Methods: Data were collected by 380 nursing students using a self-questionnaire from February 13th to 24th of 2017. Data were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients and stepwise linear regression with SPSS WIN 19.0. Result: The scores of knowledge, attitude and behavior toward elderly were 11.96 points (range 0~25), 4.51 points (range 1~7), 3.48 points (range 1~4), respectively. Significant differences were found in knowledge, attitude and behavior according to volunteer experience. There were positive correlations between the three variables. Factors influencing the behavior were volunteer experiences and the attitude toward the elderly, which explained about 17.7% of total variance. Conclusion: These results indicate a need to develop the gerontological nursing education program to lead to an increase of positive attitudes including volunteer work for the elderly. Accordingly, the program will help strengthen the nursing students' positive behavior toward the elderly.

A Study on the Clinical Competence according to Clinical Ladder of Operating Room Nurses (수술실 간호사의 임상등급에 따른 간호역량)

  • Choi, Jin-Suk;Eun, Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.1
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    • pp.60-69
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    • 2006
  • Purpose: This study was to explore the clinical competence according to clinical ladder of operating room nurses. Method: The subjects were 125 the operating room nurses working at five university hospitals in four city. The instrument to measure the clinical competency and clinical performance of OR nurses was developed by researcher. It consisted of 12 domains of clinical competence and 23 items of clinical performance. Results: Clinical competence and clinical performance of OR nurses group devided into 4 groups by clinical ladder such as 0-12month, 13-36 mon. 37-84 mon. over 85 month were significantly different. More experienced nurses performed higher level of clinical performance and competency in 23 items and 12 domains. Conclusion: It will be needed to add concrete behavioral patterns and behavioral indicators of nursing competencies, per stage of the clinical ladder, by repetitive studies on nurses of various hospitals and to confirm the validity.

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A Study of Nurses' Characteristics and their Perception of Seriousness of Elder Abuse (간호사의 특성과 노인학대에 대한 심각성 인식에 관한 연구)

  • Ko, Chung-Mee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.1
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    • pp.109-118
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    • 2010
  • Purpose: This study was designed to examine the relationship between nurses' characteristics and perception of seriousness of elder abuse. Method: A cross-sectional survey design was used to describe the perception of elder abuse by 301 nurses. Data were collected by convenience sampling. The research instruments utilized in this study were 12 scenarios adapted by Yoo & Kim from the 13 senarios to measure the perception of elder abuse developed by Moon and Williams (1993), a seven item questionnaires related to elder abuse law, and a Semantic Differential Scaling to measure attitudes toward elderly people. Data were analyzed with descriptive statistics, t-test, ANOVA and Pearson's correlation. Results: The mean score for perceptions of elder abuse was 3.07. Among the types of abuse, sexual abuse was perceived as the most severe type of abuse followed by physical abuse, neglect, financial abuse, and emotional abuse in that order. Education, job position, experience of gerontological nursing course, and education on elder abuse, exposure to elder abuse information, and attitudes toward elders were significantly related to the perception of seriousness on elder abuse. Conclusions: The results of this study suggest that provision of elder abuse education is needed for nurses, to enable them to identify elder abuse and address their legal and professional responsibilities.

Educational Needs Assessment on Research Ethics among Nursing Researchers (간호연구자의 연구윤리 교육요구도 조사)

  • Jeong, Ihn-Sook;Gu, Mee-Ock;Kim, Keum-Soon;Lee, Kwang-Ja;Yang, Soo
    • Journal of Korean Academy of Nursing
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    • v.40 no.4
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    • pp.515-523
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    • 2010
  • Purpose: This study aimed to investigate the educational needs of research ethics among nursing researchers. Methods: Convenience sample of 161 nursing professors and 262 master or doctoral nursing students participated in the study. Data was collected with self-reported questionnaire from June to August 2009, and analyzed with descriptive statistics using SPSS WIN (version 14.0). Results: Among 161 nursing professors, about 31.7% has educated nursing ethics in the postgraduate course. The most common course was nursing research or methodology (62.7%), and median education time was 2 hr. Areas that showed difficulty in understanding was the conflict of interest and plagiarism for professors and falsification and fabrication for graduate students. Average knowledge on the research ethics was 75.4 points for professors and 61.6 points for students based on the 100 points. Conclusion: Educational needs of research ethics among nursing professors and students in the postgraduate course was high. We recommend both basic and advanced research ethics educational programs for the nursing researchers. The basic course should be at least 6 hr and include various cases and something to discuss.

The Effect of Depression on Quality of Life in Patients with Parkinson's Disease: Mediating Effect of Family Function

  • Bae, Eun Sook;Kang, Hye Seung
    • Research in Community and Public Health Nursing
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    • v.33 no.1
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    • pp.105-113
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    • 2022
  • Purpose: The purpose of this study is to explore the roles and function of family in mediating the relationship between depression and quality of life of patients with Parkinson's disease (PD). Most studies have found that depression is particularly common in patients with PD and further associated with poor quality of life. Family function, as a mediator, is based on a strength orientation perspective that emphasizes not only their responsibilities and risks but also recuperative powers and growth potential. Methods: Overall 157 adults with idiopathic Parkinson's disease were enrolled in this study via outpatient clinic and completed a set of assessment to measure depression using BDI, family APGAR questionnaire, and patients' quality of life using PDQ-8. Hierarchical multiple regression analysis was conducted to examine the mediating role of family APGAR score in the relationship between BDI and PDQ-8. Results: Patients' depression, gait disturbance, duration of illness, and family function were statistically significant on quality of life. These factors accounted for 60% of the variance in quality of life. Family function has a partial mediating effect on the relationship between depression and quality of life. Conclusion: Findings from the study suggest that although PD patients' depression impacts their quality of life, by having strong family function, the extent to which depression impacts the quality of life can be favorably mitigated. Additionally, these outcomes have important implications for future model development regarding PD patients.

A Convergence Study of Nursing Students' Knowledge and Attitudes toward the Elderly (간호학과 학생의 노인에 대한 지식과 태도에 관한 융합연구)

  • Baik, Sung-Hee;Yim, So-Youn
    • Journal of the Korea Convergence Society
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    • v.8 no.9
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    • pp.143-149
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    • 2017
  • The purpose of this convergence study was to identify the knowledge and attitudes toward the elderly of nursing students. The data, self-reported questionnaires were collected to 112 senior nursing students in B nursing college located in Cheonan City in Korea which were gathered during the period of March 3 to March 31, 2016. and analyzed using by SPSS 18.0. In this study, the mean scores of the level of the knowledge and attitudes toward the elderly in nursing students were 12.08, 3.85 respectively. It was showed a significant positive relationship between the knowledge and attitudes toward the elderly(r=.385, p<.001). Specially the knowledge of physical area was a significant influencing on attitudes toward the elderly($Adj.R^2=.16$, p<.001). Therefore, the results obtained from this study are expected to provide a valuable baseline data to improve the future educational strategies in Gerontological Nursing.

A Study on the Knowledge, Attitude and Nursing practice of the nurses-towards the Elderly in Geriatric Hospitals (노인전문병원 간호사의 노인에 대한 지식, 태도 및 간호실천)

  • Kwon, Yunhee;Lee, Haw Yean;Hwang, Seung Sook
    • 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.