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Predictors of Facility Adaptation in Nursing Home Residents

노인요양시설 입소노인의 시설적응에 영향을 미치는 요인

  • Lee, Hye-Kyung (College of Nursing Science, Kyung Hee University) ;
  • Lee, Hyang-Yeon (College of Nursing Science, East-West Nursing Research Institute, Kyung Hee University) ;
  • Lee, Ji-A (College of Nursing Science, East-West Nursing Research Institute, Kyung Hee University)
  • 이혜경 (경희대학교 간호과학대학) ;
  • 이향련 (경희대학교 간호과학대학, 동서간호학연구소) ;
  • 이지아 (경희대학교 간호과학대학, 동서간호학연구소)
  • Published : 2009.04.28

Abstract

Purpose: The purposes of this study were to examine the relationships among activities of daily living, self-efficiency, nursing home care quality and nursing home adaptation, and to identify the influencing factors of nursing home adaptation in nursing home residents. Methods: The study employed a descriptive correlational design. The data were collected from 148 older adults without dementia by interview from six nursing homes in three cities from February 1, 2008 to February 28, 2008. Results: Levels of nursing home adaptation in older adult residents were different by type of decision maker of nursing home admission, reason of nursing home admission, type of payment and length of nursing home stay. The nursing home adaptation was significantly correlated with self-efficiency and nursing home care quality. The strongest predictor of nursing home adaptation was type of decision maker of nursing home admission followed by the self-efficiency. Conclusion: The study suggested that during the decision making period of nursing home admission, older adults should have enough time and careful considerations of their families to decide by themselves in positive ways. Nursing home staff should be able to identify reasons of nursing home admission and demands or expectations of older adults and their families.

Keywords

References

  1. Brooke, V. (1989). How elders adjust. Geriatric Nursing, 10(2), 66-68 https://doi.org/10.1016/S0197-4572(89)80054-0
  2. Choi, H. E. (2002). A study on the activities of daily living and satisfaction of the resident’s paid welfare facilities. Unpublished master’s thesis, Chung Ang University, Seoul
  3. Choi, J. S. (1992). Comparative study on health state of the aged resident in free of charged institution. Unpublished master’s thesis, Kyung Hee University, Seoul
  4. Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: A general power analysis program. Behavior Research Methods, Instruments, &Computers, 28, 1-11 https://doi.org/10.3758/BF03203630
  5. Glenn, S. (2002). Information and communication technologies (ICT) in nursing education: Is there a need for a more philosophical analysis? Nurse Education Today, 22, 99-101 https://doi.org/10.1054/nedt.2002.0753
  6. Haight, B. K. (1995). Suicide risk in frail elderly people relocated to nursing homes. Geriatric Nursing, 16, 104-107 https://doi.org/10.1016/S0197-4572(05)80038-2
  7. Harrington, C., Mullan, J., Woodruff, L. C., Burger, S. G., Carrillo, H., & Bedney, B. (1999). Stakenholders' opinions regarding important measures of nursing home quality for consumers. American Journal of Medical Quality, 14, 124-132 https://doi.org/10.1177/106286069901400304
  8. Jeong, J. Y. (2006). A phenomenological study on the adaptation experience on nursing home admission of senior patients. Unpublished master’s thesis, Catholic University of Pusan, Busan
  9. Johnson, B. D., Stone, G. L., Altmaier, E. M., & Berdahl. L. D. (1998). The relationship of demographic factors, locus of control and self-efficacy to successful nursing home adjustment. The Gerontologist, 38, 209-216 https://doi.org/10.1093/geront/38.2.209
  10. Jorn, M. H., Hong, G. P., & Lee, K. H. (2006). A study on the effects of environmental changes by relocation to daily activity of elderly with dementia. Journal of the Architectural Institute of Korea, 22, 107-114
  11. Kaisik, B. H., & Ceslowitz, S. B. (1996). Easing the fear of nursing home placements: The value of stress inoculation. Geriatric Nursing, 17, 182-186 https://doi.org/10.1016/S0197-4572(96)80069-3
  12. Kim, S. K., Lee, S., & Lee, H. W. (2002). The difference of physical self-efficacy on sports events and various characters of participants. Journal of Korean Society for the Study of Physical Education, 7, 104-113
  13. Kim, Y. K. (2008). A study on the influence factors related to health status and life satisfaction of the elderly accommodated in welfare facility. Unpublished master’s thesis, Keimyung University, Daegu
  14. Korea Ministry of Health and Welfare. (2008). National status of elder care facilities 2008. Seoul: Author
  15. Korea National Statistical Office. (2007). 2007 Statistics on the aged. Seoul: Author
  16. Laughlin, A., Parsons, M., Kosloski, K. D., & Bergman-Evans, B. (2007). Predictors of mortality: Following involuntary interinstitutional relocation. Journal of Gerontological Nursing, 33(9), 20-26
  17. Lee, G. E. (2002). A grounded theory approach to the adjustment process of the institutionalized elderly: The control of reluctance. Journal of Korean Academy of Nursing, 32, 624-632
  18. Lee, G. E. (2007). Scale development of free nursing home-adjustment for the elderly. Journal of Korean Academy of Nursing, 37, 736-743
  19. Lee, J. (2008). Validity and reliability of the Korean version of the observable indicators of Nursing Home Care Quality Evaluation Instrument. Journal of Korean Academy of Nursing, 38, 474-482 https://doi.org/10.4040/jkan.2008.38.3.474
  20. Lee, S. K. (2007). A study on relationships among activities of daily living, self-efficacy and life satisfaction in nursing home elders. Unpublished master's thesis, Kyung Hee University, Seoul
  21. Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 61-65
  22. Mosher-Ashley, P. M., & Lemay, E. P. (2001). Improving residents' life satisfaction. Nursing Homes, 50, 50-54
  23. Munro, B. H. (2000). Regression. In B. H. Munro (Ed.), Statistical methods for health care research (pp. 246-286). Philadelphia, PA: Lippincott Williams & Wilkins
  24. Oh, H. S. (1993). Health promotion and quality of life in Korean women with arthritis. Journal of Nurses Academic Society, 23, 617-630
  25. Park, J. H. (2006). A Qualitative research about institutional adaptation of the elderly person in free asylum for the aged. Unpublished master’s thesis, Sungkonghoe University, Seoul
  26. Rantz, M. J., Zwygart-Stauffacher, M., Mehr, D. R., Petroski, G. F., Owen, S. V., Madsen, R. W., et al. (2006). Field testing, refinement, and psychometric evaluation of a new measure of nursing home care quality. Journal of Nursing Measurement, 14, 129-148 https://doi.org/10.1891/jnm-v14i2a005
  27. Reinardy, J. R. (1995). Relocation to a new environment: Decisional control and the move to a nursing home. Health & Social work, 20, 31-38
  28. Sherer, M., & Maddux, J. E. (1982). The self-efficacy scale: Construction and validation. Psychological Reports, 51, 663-671 https://doi.org/10.2466/pr0.1982.51.2.663
  29. Shin, S. Y. (2002). The study on the impact of decision-making process on the adjustment of relocation to a nursing home in the elderly. Journal of Welfare for the Aged, 18, 111-129

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