• Journal of Hospice and Palliative Care
• /
• v.19 no.2
• /
• pp.154-162
• /
• 2016

Purpose: This descriptive study was aimed at identifying the relations among geriatric nurses' terminal care performance, death anxiety and self-esteem and the factors that affect nurses' terminal care stress. Methods: Data were collected using a self-reported questionnaire completed by 212 geriatric hospital nurses working in 10 hospitals in K city and B metropolitan city. Results: The survey results showed that the stress factors were terminal care performance and death anxiety. Significant predictors for terminal care stress were death anxiety and terminal care performance. (And the higher the level of death anxiety and terminal care performance were, the heavier the stress was.) These factors explained 32.5% of the variance in terminal care stress. Conclusion: The results of the study suggested that terminal care performance was an important factor of terminal care stress for geriatric nurses. Therefore, it seems that it is necessary to develop an educational intervention program to improve nurses' terminal care performance to reduce their terminal care stress.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.17 no.6
• /
• pp.510-520
• /
• 2016

The purpose of this study was to understand death perception, spiritual well-being, and terminal care stress in geriatric hospital nurses and analyze related factors affecting terminal care stress. The participants were 181 nurses working in six geriatric hospitals located in Seoul and Gyonggi Province, Korea. Data were gathered from July 16 to August 1, 2015. The data were analyzed using ANOVA, t-test, Duncan test, and logistic regression. Death perception of geriatric hospital nurses had an average score of 4.30, spiritual well-being 3.40, and terminal care stress 3.84. Terminal care stress in relation to general characteristics showed a meaningful difference in religion and total clinical career. The terminal care stress level was divided into two groups using average score as a standard, and the results revealed that spiritual well-being had a significant impact on terminal care stress of geriatric hospital nurses. These factors need to be considered when developing an educational program to reduce terminal care stress of nurses working in a geriatric hospital.

• Journal of Korean Academy of Nursing Administration
• /
• v.22 no.4
• /
• pp.384-395
• /
• 2016

Purpose: The purpose of this study was to investigate perceptions of adequacy and job performance of the nurse assistants' nursing job as evaluated by registered nurses and nurse assistants in geriatric hospitals, and by caregivers from the same hospitals. Methods: Participants included 62 registered nurses, 57 nurse assistants, and 64 patient caregivers who completed a measurement scale on the job of nurse assistants. Data collection was conducted from October to December, 2015. Data were analyzed using descriptive statistics and one-way ANOVA by IBM SPSS/WIN program version 21.0. Results: There were significant differences by items in perception of adequacy of nurse assistants' nursing job of among the three groups. There was also a significant difference in perception of the nurse assistants' job performance among the three groups. Conclusion: For nurse assistants in geriatric hospitals, the Ministry of Health and Welfare needs to develop an appropriate job practice guideline. In addition, there should be periodic courses of retraining and continuing education for nurse assistants.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.20 no.5
• /
• pp.128-136
• /
• 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.

• 한국노년학
• /
• v.29 no.2
• /
• pp.513-527
• /
• 2009

The purpose of this study was to verify the effect of senior simulation on geriatric unit nurses' attitude and job satisfaction toward the elderly with one group pretest-posttest design. The subjects of this study were the 30 nurses who are working in geriatric units in a general hospital in Daegu, Korea and who were well informed about the purpose of this study and allowed to join the study. The data were collected from August 23 to September 6, 2006. The experimental procedure was to do activities for daily living for 45 minutes wearing senior simulation suit. Self administered questionnaires were used to ask the nurses' attitude toward the elderly and job satisfaction in their work before, right after, and one week after senior simulation. According to the results of this study, there were significant changes in the geriatric nurses' attitude toward the elderly and job satisfaction after aging simulation implying that senior simulation is an effective intervention to facilitate nurses to do quality care for the elderly with sympathetic understanding and attitude. Senior simulation needs to be applied to geriatric education for the nursing students and health care providers who are involved in care for the elderly.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.17 no.3
• /
• pp.438-449
• /
• 2016

This study investigates the factors influencing nurses' turnover intentions after evaluation for certification at geriatric hospitals. Focus is centered on job stress and burnout. The study was approved by the KUIRB. Data were collected from April 1 to August 31, 2015, and analyzed using SPSS WIN 18.0 software. The participants were 205 nurses recruited from 15 long-term care hospitals in metropolitan city B in province G. The average scores for job stress, burnout, and turnover intention were 3.83, 2.92, and 3.12, respectively (range: 1-5). Nurses' turnover intention had positive relationships with job stress (r=.356, p<.001) and burnout (r=.729, p<.001). The major factor influencing turnover intention was burnout (${\beta}=.729$), which explained 53% of the intention. In conclusion, intervention programs should be developed to reduce burnout, the key influencing factor, for decreasing nurses' turnover intention.

• 한국노년학
• /
• v.40 no.2
• /
• pp.311-323
• /
• 2020

Older adults are at a high risk of falling, causing severe injuries and increased hospital stays and treatment costs. This can be a burden not only on the family but also on the national economy. Thus, fall prevention is very important in nurses' and nursing assistants' work. This study intended to grasp the real situation faced by nurses and nursing-assistants working at geriatric hospitals in J province, Korea. The researcher interviewed thirty-six nurses and nursing-assistants in four geriatric hospitals and performed four focus group interviews. Data were analyzed through an inductive content analysis based on Elo & Kyngäs's approach. Three categories and five subcategories were identified. Categories were patients, environmental, and personal factors. Patient factors included patients' impaired cognitive function. Environmental factors included lack of personnel support and assignment of inpatients without regard to fall risk. Personal factors included hopelessness regarding improvement and fear of being blamed. Promotion of fall prevention practice needs a gradual increase in nursing staff at geriatric hospitals, a system for assigning hospital room according to fall risk, and education and support system to reduce nursing burden.

• Journal of Korean Academy of Nursing Administration
• /
• v.13 no.3
• /
• pp.373-383
• /
• 2007

Purpose: This descriptive study was designed to find out the relation between nurses' perceptions of leadership and organizational effectiveness. Method: The data was collected from nurses in 451, a tertiary hospital located in B city by means of structured questionnaires. The data was analysed by t-test. ANOVA, Pearson correlation coefficient. Results: The average age of the subjects was 29.1. Regarding the marital status, 68.1% were single. Regarding the nursing unit, 42.6% were working for the general surgical wards. The total period of clinical career was on average 73.7 months. Regarding the period in current ward, 51.0% were 1-less than 3 years. There was a positive correlation with transformational leadership, transactional leadership, job satisfaction, and organizational commitment, whereas the turnover intention had a negative correlation with transformational leadership and transactional leadership. Conclusion: The nurses' different perceptions of transformational leadership, transactional leadership, and organizational effectiveness have strong correlative relationships with each other. This finding suggests the importance of the head nurse's leadership in increasing organizational effectiveness.

• Journal of Korean Biological Nursing Science
• /
• v.24 no.3
• /
• pp.190-199
• /
• 2022

Purpose: This study investigated the effect of pressure injury nursing knowledge, and pressure injury nursing attitudes, on pressure injury nursing practice. Methods: Participants in this descriptive study were 141 nurses at 20 geriatric hospitals. Data was collected August 24, 2021- April 4, 2022, and analyzed in terms of Independent t-test and one-way ANOVA, Scheffé test, Pearson's correlation coefficient, and multiple regression, using the SPSS/WIN 27.0 program. Results: Pressure injury nursing practice positively correlated with pressure injury nursing attitudes (r= .44, p< .001). Factors influencing pressure injury nursing practice were pressure injury nursing attitudes (β= .43, p< .001), and gender (β= .21, p= .006). The model used in this study explains 22.8% of pressure injury nursing practice (Adjusted R²= 22.8, F= 11.30, p< .001). Conclusion: Results show factors that influence pressure injury nursing practice of nurses in geriatric hospitals. Based on the results, pressure injury nursing practice programs must include factors that improve pressure injury nursing attitudes. A follow-up study to confirm the impact of developing a program for increasing pressure injury nursing practice is also recommended.

• Research in Community and Public Health Nursing
• /
• v.28 no.4
• /
• pp.366-374
• /
• 2017

Purpose: The purpose of this study was to evaluate the validity and reliability of the Korean Version of the Nurses' Self-Concept Instrument (NSCI) geriatric hospital nurses in Korea. Methods: Bilingual nursing professionals performed translation and back-translation. Reliability and validity of the content and construction of the instrument were confirmed. Internal consistency reliability was determined. Construction and concurrent validity were verified using factor analysis and correlation coefficients. Results: The total 14 items for the Korean version of the Nurses' Self-Concept Instrument (NSCI) were retained through item analysis. In explanatory factor analysis, four subcategories were proposed with their names of each factor: 'Leadership', 'Staff relation', 'Knowledge', and 'Care'. The four factors accounted for 78.81% of the variances. The Cronbach's ${\alpha}$ regarding internal consistency were .77~.91 for the NSCI subscales. Correlation among four subcategories ranged .62~.84. Conclusion: The findings show that the Korean version of the Nurses' Self-Concept Instrument is reliable and valid for measuring professional Self-Concept of geriatric hospital nurses in Korea.