• Title/Summary/Keyword: 노인 간호

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Palliative Care Provided for Older Patients with Terminal Stage of Cardiopulmonary Disease Before and After Life-Sustaining Treatment Decisions (만성 심폐질환을 가진 말기 노인환자의 연명의료결정 전후 완화간호의 제공)

  • Choi, Jung-Ja;Kim, Su Hyun
    • Journal of Convergence for Information Technology
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    • v.11 no.1
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    • pp.45-53
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    • 2021
  • This study was a retrospective descriptive study to identify frequency and change of palliative care provided for older patients with terminal stage of cardiopulmonary disease before and after life-sustaining treatment (LST) decision making. As a result of chart review of 124 older patients in a university hospital, oral analgesics medication, cold and hot therapy for pain management, antibiotics medication and urine culture for urinary infection, oral care, hair wash, and partial bath were provided significantly less after LST decision making. Provision of praying and relaxation therapy for pain control, oral and nasal care, and emotional care were not changed before and after LST decision making. Spiritual care was the least provided care. Therefore, non-pharmacological pain management, emotional care, and spiritual care need to be improved for older patients with terminal cardiopulmonary disease at the end of life.

Review of Nurse Staffing and Residents Quality of Care and Quality of Life in Nursing Homes : Applying Castle & Engberg's Conceptual Framework (노인요양시설 간호인력이 입소노인 케어의 질 및 삶의 질에 미치는 영향에 대한 문헌고찰 : Castle과 Engberg의 개념적 기틀 활용)

  • Shin, Juh Hyun;Lee, Ji Yeon;Lee, Yae Na
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.2
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    • pp.247-259
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    • 2021
  • Purpose: The purpose of this study was to figure out the effect of nurse staffing in nursing home on the quality of care and quality of life of the residents, using Castle & Engberg's conceptual framework. Methods: A total of 31 studies published between 1996 and 2021 were selected from 6 databases, searched for keyword such as "Nurse staffing", "Nursing staff", "Outcome", "Quality of care", "Quality of life", "residents outcomes", "nursing home", "long-term care". By using Castle & Engberg's conceptual framework, systematic review was conducted. Results: More time provided by nursing staff, high level of licensed nurse staffing, good relationship between nursing staff and residents, and generous supervision system have a positive effect on resident outcomes. Conclusion: Establishing regulatory strategies of having mandatory Registered Nurse is needed because nurse staffing in nursing homes was related to resident outcomes. In addition, it is necessary to conduct further research about quality of life beyond quality of care for residents.

Nursing Staff's Knowledge, Attitudes and Nursing Performance Concerning Dysphagia for Life Care (라이프케어를 위한 간호 인력의 연하곤란 관련 지식, 태도 및 간호수행과의 관계)

  • Lee, Jeoung-Mi;Chang, Mi-Young
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.377-384
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    • 2019
  • This study was intended to understand the status of dysphagia related knowledge, attitude and nursing performance of nursing staff's in geriatric hospitals, to confirm the correlation among these, and to provide basic resources for dysphagia nursing intervention programs. The 220 subjects were nursing staff's who worked in geriatric hospitals located in G city and N city. For data analysis, The descriptive statistic was used to analyze the subjects' general characteristics, and dysphagia related characteristics, knowledge, attitude and nursing performance degree. For the differences of dysphagia related knowledge, attitude and nursing performance according to the subjects' general characteristics, t-test and ANOVA were used. The correlation of the subjects' knowledge, attitude and nursing performance degree was analyzed with Pearson's correlation coefficient. The score of the subjects' dysphagia related knowledge was average 14.07±2.94, the subjects' dysphagia related attitude was average 3.59±0.39, the subjects' dysphagia nursing performance was 3.10±0.43. dysphagia nursing performance had a significantly positive correlation with dysphagia related knowledge(r=0.295, p=.000) and dysphagia related attitude(r=0.392, p=.000). The above result of the study indicated positive attitude based on accurate knowledge is needed for nursing staff's in geriatric hospitals to improve nursing performance for dysphagia. When education programs for dysphagia are planned in geriatric hospitals, it is necessary to consider knowledge level and attitude simultaneously.

Factors influencing empathy for the elderly in nursing students (간호대학생의 노인에 대한 공감력에 영향을 미치는 요인)

  • Yang, Hyun Joo;Kim, Hyun Jung;Byun, Eun Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.86-94
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    • 2016
  • The purpose of this study was to investigate the factors influencing empathy with the elderly in student nurses and to provide the basic data on nursing education to improve empathy. Data were collected from 277 student nurses in B and C cities and analyzed by the t-test, ANOVA, Pearson correlation coefficients, and multiple regression using SPSS WIN 20.0. The degree of empathy with the elderly in the student nurses was $214.66{\pm}22.72$. There were positive correlations between empathy and attitude of the elderly (r=.224, p<.001) and between empathy and facilitative communication (r=.346, p<.001), and these factors explained 15.4% of the empathy with the elderly. These results indicated that it is necessary to develop a nursing education program and curriculum for increasing empathy in student nurses.

Influence of Professional Self-concept, Moral Sensitivity on Elderly Care Performance of Geriatric Hospital Nurses (요양병원 간호사의 전문직 자아개념과 도덕적 민감성이 노인간호실천에 미치는 영향)

  • Do, Young-Joo;Kang, Young-Sil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.128-136
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    • 2019
  • This study was conducted to investigate the relationship among professional self-concept, moral sensitivity and elderly care performance nurses in geriatric hospitals, as well as to clarify factors that affect nurses' elderly care performance. Participants consisted of 153 nurses working in geriatric hospital in G Province were evaluated. Date were collected from September 15 to October 15, 2018 and analyzed using the SPSS/WIN 23.0 program. The mean of professional self-concept was $2.87{\pm}0.35$ out of 4, that of moral sensitivity was $4.70{\pm}0.47$ out of 7 and that of elderly care performance $3.51{\pm}0.41$ out of 4. Elderly care performance was siginificantly positively correlated with professional self-concept (r=.48, p<.001) and moral sensitivity (r=.31, p<.001). Factors influencing elderly care performance were professional self-concept (${\beta}=.32$, p=.001), moral sensitivity (${\beta}=.18$, p=.021), educational experience of geriatric nursing (${\beta}=.17$, p=.029), which explained 31.6% of elderly care performance. The results of this study suggest that supporting systems should be arranged to provide various learning opportunities as a way to increase the professional self-concept of nurses with short career as well as intervention strategies may be necessary to make education of geriatric nursing obligatory.

Effects of Good Death awareness and Spiritual Well-being on Elderly Nursing Performance of Geriatric Hospital Nursing providers (요양병원 간호제공자의 좋은 죽음인식, 영적안녕이 노인간호수행에 미치는 영향)

  • Song, Eun-Haeng;Lee, Hye-Kyung
    • Journal of the Korean Applied Science and Technology
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    • v.36 no.3
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    • pp.975-984
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    • 2019
  • The purpose of this study was to investigate the good death awareness, spiritual well-being, and elderly nursing performance of geriatric hospital nursing providers, and the factors affecting the elderly nursing performance. The subjects were collected from 176 nursing providers in 5 Geriatric hospitals located in D, S, and C provinces. Collected data were analyzed by means, standard deviation, t-test, ANOVA, pearson correlation, and multiple regression analysis using spss 22.0. The result showed that good death awareness was 3.15 out of 4 points, spiritual well-being was 4.11 out of 6 points, and 4.15 out of 5 points for elderly nursing performance. There was a positive correlation between the elderly care performance and good death awareness (r=.19, p=.011) and spiritual well-being (r=.23, p=.002). The factors affecting the performance of elderly nursing were good death perception(${\beta}=.18$, p=.015) and spiritual well-being(${\beta}=.18$, p=.013). Based on the results of this study, it is necessary to develop an intervention program that considers good death and spiritual well-being in order to improve the elderly nursing care performance of geriatric hospital Nursing providers.

Factors influencing the perception of the elderly in Nursing Students (간호학생의 노인인식에 영향을 미치는 요인)

  • Kwon, Sang-Min;Kwon, Mal-Suk;Kwag, Oh-Gye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.2
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    • pp.1129-1136
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    • 2015
  • Purpose: The purpose of this study was to analysis factors influencing the perception of elder in nursing students. Method: The subjects were 340 nursing students, from Y university college. Data were analyzed with SPSS/Win 17.0 program. Results: Images, knowledge, and stereotypes plus perception about elderly showed significant positive correlation. According to the result of multiple regression, religion, interest in the elderly issue, knowledge were significant factor of senior perception explaining 55% of the variances. Conclusion: To improve positive perception of the elderly, it is necessary to efficient management about nursing curriculum and continuous study about that result.

The Care Giving Burden of Primary Caregiver based on Nursing Needs of Long-term Care lnsurance Grade (노인 장기 요양 보험 등급자의 간호요구에 따른 주 수발자의 부양부담감)

  • Kim, Mi-Kyoung;Park, Dahye;Ahn, Okhee
    • Journal of the Korea Convergence Society
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    • v.5 no.3
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    • pp.7-16
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    • 2014
  • The purpose of this study was to identify the factors influencing the level of nursing needs of a long-term care service user at home and the care giving burden of a primary caregiver. For this study, data were collected from 152 primary caregivers in J City with self-administered questionnaires and analyzed using multiple regression technique. Among the nursing needs of long-term care giving service users, the level of psychological and social requests was the highest. This study found that two characteristics variables(long-term care insurance benefit level and long-term care giving grade) had difference was statistically significant in physical nursing needs and psychological nursing needs. Out of care giving burden of primary caregivers, physical care giving burden was found to be the highest. Out of factors influencing care giving burden, daily care giving hours was the factor which had strongest influence. Basic living recipients and female primary caregivers showed higher care giving burden. The more care givers there were, the less care giving burden became.