• Journal of Korean Academy of Nursing
• /
• v.41 no.4
• /
• pp.510-519
• /
• 2011

Purpose: The purposes of this study were to identify the factors influencing service quality in nursing homes, and to develop an evaluation instrument for service quality. Methods: A three-phase process was employed for the study. 1) The important factors to evaluate the service quality in nursing homes were identified through a literature review, panel discussion and focus group interview, 2) the evaluation instrument was developed, and 3) validity and reliability of the study instrument were tested by factor analysis, Pearson correlation coefficient, Cronbach's ${\alpha}$ and Cohen's Kappa. Results: Factor analysis showed that the factors influencing service quality in nursing homes were healthcare, diet/assistance, therapy, environment and staff. To improve objectivity of the instrument, quantitative as well as qualitative evaluation approaches were adopted. The study instrument was developed with 30 items and showed acceptable construct validity. The criterion-related validity was a Pearson correlation coefficient of .85 in 151 care facilities. The internal consistency was Cronbach's ${\alpha}$=.95. Conclusion: The instrument has acceptable validity and a high degree of reliability. Staff in nursing homes can continuously improve and manage their services using the results of the evaluation instrument.

• Journal of Korean Academy of Nursing
• /
• v.43 no.3
• /
• pp.379-388
• /
• 2013

Purpose: The purpose of this study was to develop a tool to evaluate patient safety culture in nursing homes and to test its validity and reliability. Methods: A preliminary tool was developed through interviews with focus group, content validity tests, and a pilot study. A nationwide survey was conducted from February to April, 2011, using self-report questionnaires. Participants were 982 employees in nursing homes. Data were analyzed using Cronbach's alpha, item analysis, factor analysis, and multitrait/multi-Item analysis. Results: From the results of the analysis, 27 final items were selected from 49 items on the preliminary tool. Items with low correlation with total scale were excluded. The 4 factors sorted by factor analysis contributed 63.4% of the variance in the total scale. The factors were labeled as leadership, organizational system, working attitude, management practice. Cronbach's alpha for internal consistency was .95 and the range for the 4 factors was from .86 to .93. Conclusion: The results of this study indicate that the Korean Patient Safety Culture Scale has reliability and validity and is suitable for evaluation of patient safety culture in Korean nursing homes.

• Journal of Korean Academy of Nursing
• /
• v.40 no.4
• /
• pp.463-472
• /
• 2010

Purpose: This study was done to develop a web-based education program for nurses working in nursing homes. The focus was on the rights of older adults. Methods: The program was designed based on the Network-Based Instructional System Design (NBISD) model and was operated and evaluated between July 2007 and June 2008. Results: Out of nursing records of 40 residents from a nursing home, the final 7 cases were deducted through classification using the Resource Utilization Group (RUG)-III. The data on needs for education was collected from 28 nurses working in 15 nursing homes located in Seoul and Gyeonggi Province, who agreed to complete a self-report questionnaire. A comprehensive review of the literature and two focus groups interviews were used to search for risk factors and guidelines for protection of human rights. The education program was developed based on Kolb's experiential learning model and composed of 5 units, which included content on types of human rights and rights to death with dignity, elder abuse, physical liberty, and self-determination. The program was positively evaluated showing a score of 3.35 (SD=0.37) out of 4. Conclusion: The educational program developed in this study should promote nurses' sensitivity to the rights of elders and improve nurses' behaviors in protecting the rights of elders residing in nursing homes.

• Journal of the Korean Society of Food Culture
• /
• v.10 no.5
• /
• pp.465-474
• /
• 1995

The purpose of this paper was to grasp some aspects of use of imported foods at the rural homes with the growing generation. So we put some questions to the 399 middle school and high school students. The results were as follows: (1) The number of the homes using the imported foods, which marks 56.9% of the whole, was higher than the number of the homes not using the ones. (2) Even though the use of imported foods had no relation with the occupations of the student's mothers, the degree of living quality, the situations of food consumption, and so on, however the use ratio was high at the homes of middle class. (3) The students of the home of using imported foods favored the traditional diets, and marked 63% of the objective students of investigation. The students who like the western style of diets marked the high frequency of the use of the imported foods. On the other hand, the students who like the Chinese foods used the meat and fishes and processed foodstuffs among the imported foods. (4) The frequency of instant foods for the carried lunches showed the meaningful relation with frequency of use of imported foods. (5) In the view of use of instant foods for the lunches, the group of people who carried the lunches 3 or 5 times per week used the imported meat foods, the other group who carried the lunches 1 or 2 times per week marked the high frequency of having coffee and tea.

• Journal of Community Nutrition
• /
• v.6 no.1
• /
• pp.12-17
• /
• 2004

The purpose of this study was to evaluate the nutritional status of elderly women living in residential homes by estimating nutrients and food intakes. Food consumption survey was conducted by 3-day 24hr recall method with 99 elderly women aged 65 to 90 years from three residential homes in Seoul, Choonchun and Chunan and 46 free-living elderly women aged 65 to 88 years from Chunan as control group. Food intake data was converted into nutrient intake using computer aided nutritional analysis program. Mean energy intake and percentage of recommended daily allowance (RDA) of residential home residents were 1696㎉ and 101% of RDA while those of control were estimated as 1939㎉ and 119% of RDA. On average, absolute amount of nutrient intakes of residential home residents were slightly higher than control group. Subjects in control group showed significantly lower carbohydrate and vitamin A intake, while vitamin C intake was higher. However, nutrient intake quality determined by INQ (Index of nutritional quality) was significantly higher among control subjects in most nutrients except vitamin A than residential home residents. Intakes of calcium, vitamin A and riboflavin of all subjects in this study were less than 75% RDA meaning that nutritional status of calcium, vitamin A and riboflavin was insufficient and could possibly result in nutritional deficient. Some food groups such as milk or other dairy products must be strongly suggested to improve nutritional status of elderly women in this study. According to the results of this study, meal plans of residential homes are quite adequate in quantity of micronutrients, but need to be improved in both quantity and quality of micronutrients.

• Korean Institute of Interior Design Journal
• /
• v.19 no.6
• /
• pp.233-240
• /
• 2010

This research is designed to study the residence environment of the elderly residing in three different types of residence - the local community, silver towns and nursing homes and compare their level of social support and life satisfaction of the residents. The subjects of the study was those aged 65 and older who live single and couple 68 residing in the local community, 32 in silver town and 32 in nursing homes. The result of analysis is as follows; 1) the residence environment is different in the three types of residence in terms of number of children, living with a spouse, subjective economic status, and participation in group activities; 2) as for social support, emotional support is the highest among the elderly residing in the local community and declines among those in silver town and the lowest in nursing homes, which suggests that the local community still maintain the support system for the elderly, however it declines in silver town and drop further in nursing homes. But in terms of instrumental support, there is no meaningful difference in the three types of residence. The result shows that the elderly residing in nursing homes are supported by systematic medical and residence service which make up for instrumental support Similar to those in the local community and silver town; 3) life satisfaction is the highest among those residing in nursing homes, however there was little meaningful difference. The result means quality of living is similar among three different types of residence. What is interesting is those living in nursing homes has similar level of life satisfaction despite their lowest emotional support.

• Journal of Home Health Care Nursing
• /
• v.12 no.1
• /
• pp.117-135
• /
• 2005

Purpose: Expecting a new system of nursing security for elderly in operation in 2007, a substantial expansion of nursing facilities for elderly and quality management of those facilities are imperative now. Therefore. specific quality management measures or schemes which could be used for the operation of small-scale nursing homes are in urgent need. The purpose of this study was to develop a Quality Management Index(QMI) to guide Nursing Home management. Method: This study developed a QMI for small-scale nursing homes, which focused on quality management in structural dimensions such as environment, staffs, local community network, atmosphere, and quality management in process dimensions such as nursing, communication, resident satisfaction. The QMI developed in this study is based on extensive review of literature and the actual experiences of nursing home operation. It consists of 7 dimensions, 39 components and 148 indexes, which have been verified by three times validity tests of experts group. Then the QMI was used to evaluate the quality management levels of nursing homes in Korea. Result: In sum, after analyzing all nursing homes in Korea operated by nurses, this study found that there were significant differences of quality management level among facilities in several dimensions such as environment, staffs, local community connections, communication. In dimensions such as nursing, atmosphere, resident satisfaction, however, little differences of quality management level among facilities were reported. It is considered that this result has to do with several factors like the size of facilities, operation expenses, operation forms, the disposition of professional human resources, and philosophy and management policy of the owners. As far as generalization is concerned, however, it needs to be noted here that the sample size for this study is not statistically big enough to generalize the results. Conclusion: Having Developed a QMI for small-scale nursing home with 7 dimensions, 39 components and 148 indexes, this study is expected to be used in developing more elaborated quality evaluation tools for nursing homes, and also function as a practical guide of quality management for those who are opening and managing nursing homes. I hope this quality index could lead to further development of a standardized quality management index, and eventually contribute to quality improvement of nursing homes.

• Journal of Korean Academy of Nursing
• /
• v.36 no.1
• /
• pp.15-24
• /
• 2006

Purpose: This study was to examine the effects of foot reflexion massage on sleep disturbance, depression disorder, and the physiological index of the elderly in nursing homes. Method: The research design was a non-equivalent control group pretest-posttest quasi-experimental study. The subjects in this study were 50 elderly people who resided in two different nursing homes in the same region. An experimental group and a control group were organized with 25 subjects respectively, and foot reflexion massage was provided for 12 sessions, 30 minutes per session. The selected dependent variables were sleep disturbance, depression disorder, and physiological indices(blood plasma serotonin, serum cortisol), which were all measured before and after foot reflexion massage was offered. Data analysis included $x^{2}$-test, t-test, paired t-test, and ANCOVA, using the SPSS program package. Result: 1. The experimental group improved sleep quality more than the control group. 2. The experimental group had less depression disorder than the control group. 3. The experimental group had higher serotonin levels than the control group. Conclusion: It's necessary to give foot reflexion massage as a successful nursing intervention to elderly who undergo a change in sleep, and suffer from a depression disorder due to a deterioration in sleep.

• Journal of Korean Society for Atmospheric Environment
• /
• v.28 no.4
• /
• pp.365-373
• /
• 2012

This study compared indoor air quality of homes in which elementary school children with and without (case and control) allergic rhinitis live in the Ulsan metropolitan region (UMR). A total of 58 homes (case and control: 29, respectively; children aged 7 to 12 years) was selected for indoor air quality measurements. The concentrations of all general indoor air pollutants, except $PM_{2.5}$, in the case group were much higher than those in the control group. In particular, the average concentrations of $O_3$ and $NO_2$ in the case group were statistically significantly (p<0.05) higher than those in the control group. Average concentrations of $CO_2$ in the case and control groups and $NO_2$ in the case group exceeded the standard level. Some components of aldehydes and ketones and VOCs indicated large difference of average concentrations between two groups, but there were no statistically significant differences.

• The Research Journal of the Costume Culture
• /
• v.13 no.1
• /
• pp.34-46
• /
• 2005

The purpose of this study was to research buying behavior and home fashion preferences based on housing size. The target consumers were Korean women, aged 20~40s who reside in the Seoul & Kyunggido areas. We distributed questionnaires to 650 women. However, only 600 questionnaires were used for the statistical analysis. Data analyses were conducted with SPSS program on the frequency, Chi-square test, cluster analysis, t-test and ANOVA. The results of this study are as follows: 1. The considering factors for purchasing such as brand, trends coordinating existing furnishings with new products and functionality were significantly associated with housing size. The buyers who reside in bigger size homes. over 40 pyung place higher value on brand name, trends. or coordinating existing furnishing with new products than residents in smaller units. However, women who live in smaller units place higher value on functionality when purchasing home fashion products. Considering factors such as brand, trend, and materials were also significantly associated with segmented age group; 40~49 age group considered brand, trend, and materials more than 20~29 age group. The group who are highly interested in home fashion considered design/color, rand, coordination, and functionality than the group who are low interested in home fashion. 2. Residents in over 40 pyung homes buy home fashion products at department stores, while residents in less than 39 pyung homes buy them at discounted store. 3. Respondents preferred solid colors more than patterns. However, they favored character pattern for textile bedding products for their children. 4. there is also a statistical difference in preferences for types of window treatments between large ad small housing sizes. Residents living in over 40 pyung preferred tie-back/cottage curtain, while residents living in less than 29 pyung preferred Roman shade style.