• Title/Summary/Keyword: Geriatric patient

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A study for the factors on choosing hospitals and patients satisfaction between Geriatric Hospitals and General Hospitals (노인병원과 종합병원의 선택요인 및 환자만족도 분석)

  • Yoon, Seo-Jung;Yu, Seung-Hum;Kim, Young-Hoon;Lee, Ji-Jeon
    • Korea Journal of Hospital Management
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    • v.9 no.2
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    • pp.46-75
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    • 2004
  • This research anticipated on acknowledging the inpatients factors in choosing which hospital for the geriatric hospital and general hospital they would prefer to go to the analization of different factors in patients satisfaction, and the relation between satisfactory standards and the patients intentions on recommendation or re-visiting the hospital. The statistical data was based upon the 359 question and answer papers that were done by inpatients that were hospitalized in two geriatric hospitals and two general hospitals, and the methods used for analyzing were frequency, t-test, factor analysis, and hierarchical multiple regression. The results are as follows. 1. The factors on choosing hospitals between geriatric hospital and general hospitals were different. The priority for the geriatrics was kindness, and then considerate nursing, and the reliance of treatment. The patients of general hospitals looked first for reliance of treatment, reputation and history of the hospital, and the kindness of the staff. The kindness of the staff, good nursing, and easy procedures were the primary factors of choosing geriatric hospital. 2. The four primary factors in choosing which hospital patients would go to were the predominance of the facilities, kindness and convenience, the reliance and proximity of medical treatment, and recommendation. The patients in the geriatric hospital first looked for kindness and convenience, second the reliance and proximity of medical treatment, third predominance of facilities, and last recommendation. The general hospitals main priority was the reliance and proximity of medical care, second predominance of facilities, kindness and hospitality, and last recommendation. 3. The satisfaction rate was higher in the geriatric hospital compared to general hospitals, but the satisfactory of factors were very similar. Patients in the geriatric hospital were pleased with the hospital staffs kindness, quick nursing and the improvement of inconvenient matters, and clear diagnosis of the doctors. The general hospital patients were satisfied with the hospital staffs clear explanation and accurate diagnosis 4. The analysis in the satisfactory factors turned out to be the environment of the hospital, kindness of the staff, and convenience. Both the patients of the geriatric hospital and general hospitals were very pleased with the kindness of the hospital staff. Ranking second and third was convenience and service for the geriatric hospital, and environment of the hospital and convenience for the general hospital. 5. According to a rank of multiple recurrent analysis of the patients satisfaction and the intention of re-visiting in addition to intention of solicitation, in the case of a geriatric hospital, when the intention of re-visiting is the dependent variable, the first stage shows that the less insurance the patient has, the higher was the intention of re-visiting. In the second stage, the more satisfied the patient is of the staffs kindness, the higher was the intention of re-visiting. Further more, when the intention of solicitation is the dependent variable, the first stage shows that not all the independent variables were significant, but the second stage shows that the more satisfied the patient is of the staffs kindness and the hospital along with the medical treatment expenses, the higher was the intention of solicitation. 6. In the first stage of a rank of multiple recurrent analysis of the satisfaction of the general hospital and the intention of re-visiting, not all the variables were significant, but in the second stage, all the satisfaction by factors were significant. Moreover, when the intention of solicitation was the dependent variable, the first stage shows not all the variables were significant, but in the second stage, all the satisfaction by factors were significant. That is to say, in the case of a general hospital, the satisfaction of the hospital and the medical treatment expenses were high, and the more satisfied the patient is of the hospitals environment and the staffs kindness, the intention of re-visiting and the intention of solicitation was higher.

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Relationship between Knowledge of Dementia Care, Attitude toward Dementia and Person-centered Care among Nurses in Geriatric Hospitals (요양병원 간호사의 치매간호지식, 치매태도 및 인간중심 돌봄과의 관계)

  • Lee, Mi Kyoung;Jung, Hyang Mi
    • Journal of East-West Nursing Research
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    • v.25 no.2
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    • pp.128-137
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    • 2019
  • Purpose: The purpose of the study was to investigate the relationships between knowledge of dementia care, attitude toward dementia and person-centered care among nurses in geriatric hospitals. Methods: Participants were 115 nurses from the seven geriatric hospitals. Data were collected from September $5^{th}$ through $21^{st}$ in 2018 and analyzed using t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression. Results: Person-centered care was significantly different according to satisfaction with income, career of geriatric hospital, application of their opinions, and the satisfaction with hospital managers, administrators and nurse managers. Also person-centered care showed a significant positive correlation with the attitude toward dementia. Predictors of person-centered care were the satisfaction with hospital managers and the attitude toward dementia, which explained 23.0% of the variance. Conclusion: The findings of this study indicate that the attitude toward dementia and the satisfaction with the hospital organization were related to the person-centered care in geriatric hospitals. Therefore, the strategies to improve the attitude towards dementia should be carried out to enhance the person-centered care among nurses in geriatric hospital.

A Study on the Architectural planning of Geriatric Hospitals - Focused on analyzing the spatial organization and size of major areas - (노인전문병원의 건축계획적 연구 - 주요부문별 공간구성 및 면적구성을 중심으로 -)

  • 김성한;이종협;강건희
    • Korean Institute of Interior Design Journal
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    • no.36
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    • pp.68-75
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    • 2003
  • In Korea, even though many aspects of medical care system for the elderly have been considered. Until now, most people have realized that the conceptualization range of geriatric hospital is the same as recuperation hospital. However the recent geriatric hospital includes a short term treatment like general hospitals, together with that it has a tendency to increase the propotion of rehabilitationby the Introduction of the concept of active rehabilitation treatment for returning to society. Unlike the general hospitals, geriatric hospital has got different characteristics in a managing and patient. However this is not a concrete standard of faacilities by the law of health welfare and medical. So these kinds of research will have to keep continuing. What I want to say In this study is that the prominence of information, which is based on the existing data analysis, is what forms my latest projects that engage with a wider repertoire of strategies and approaches toward architectural problem.

The Effect of Attitudes toward the geriatric of Caregivers on their Emotional Work and Burnout (요양보호사의 감정노동과 소진이 노인 돌봄 태도에 미치는 융복합적 영향요인)

  • Lee, So-Young;Hong, Ju-Young
    • Journal of Convergence for Information Technology
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    • v.9 no.7
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    • pp.41-47
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    • 2019
  • The purpose of this study examine to identify the mediating attitudes toward the geriatric patient in the relation between emotional work and burnout. Data were collected by self-report questionnaires targeting 142 caregiver in D city and G city. Data were analyzed with SPSS/PC ver. 21.0 programs. There were significantly positive correlations between toward the geriatric patient, emotional work and burnout. As a result of analyzing the main factors affecting the level of care performance for attitudes toward caring the geriatric attentiveness, health state, work type appeared to be significant explanatory variables, and this model's explanatory power was 31%. Therefore, it is necessary to apply the education program to improve the social awareness in addition to the stable work environment of the nursing care provider in order to raise the attitude of the caregiver to care for the elderly.

The Effects of Hospital Accreditation Program to the Organizational Culture, Job Satisfaction, Financial Performances and Patient Safety at Geriatric Hospital : About Busan Metrocity (의료기관 인증제도가 요양병원의 조직문화, 직무만족, 경영성과 및 환자안전에 미치는 영향 -부산지역을 중심으로-)

  • Shin, Moon-Ju
    • Journal of Digital Convergence
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    • v.12 no.10
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    • pp.455-466
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    • 2014
  • This study has been implemented to improve the quality in geriatric hospital through the Hospital Accreditation. So research a change in the perception and attitude of the Patient Safety, Organizational Culture, Job Satisfaction, Financial Performance of hospital staff after the Hospital Accreditation. For this, a survay was conducted from April 1 to July 20, 2014 to targeting staffs of eight geriatric hospital in the Busan city. Thus, a total of 283 questionnaires were used in the study. Firstly, It was found that change in the perception and attitude of the Patient Safety, Organizational Culture, Job Satisfaction, Financial Performance of hospital staff after the the Hospital Accreditation. Secondly, It was found that a statistical correlation among variables such as Patient Safety, Organizational Culture, Job Satisfaction, Financial Performance. Thirdly, Organizational Culture, Job Satisfaction, Financial Performance had a positive effect on Patient Safety. Therefore, we should develop the Hospital Accreditation program with the internal assessment to implement health care quality and patient safety to ensure a complete job satisfaction of hospital staffs in the Hospital Accreditation program further improve the evaluation process of hospital care.

Effects of Patient Safety Motivation and Degree of Patient Safety on Patient Safety Management Activities of Geriatric Hospitals Nurses (노인 요양병원 간호사의 환자 안전동기와 환자안전도가 환자안전관리 활동에 미치는 영향)

  • Ju-Yul Lee;Soon-Ok Kim
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.4
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    • pp.773-785
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    • 2023
  • This study is a descriptive research conducted to identify the factors influencing patient safety management activities of geriatric hospitals nurses and use basic data to prevent patient safety accidents. Subjects were 220 nurses and data were collected by questionnaires from february 1 to 28, 2023. Data were analyzed using t-test, ANOVA, Scheffe's test, Pearson correlation coefficients and Multiple regression analysis using the SPSS 29.0 program. Patient safety motivation was positive correlated with degree of patient safety(r=.41, p<.001), and degree of patient safety was positive correlated with patient safety nursing activity(r=.18, p<.01). Degree of patient safety(𝛽=.21, p<.001) and patient safety guidelines(𝛽=.16, p<.001) were main factors that affect patient safety nursing activity, and its explanatory power was 7.5%(Adj R2=.075, p<.001). For patient safety nursing activity, it is proposed to develop and apply a education program that strengthens practical training for effective coping after safety accidents along with risk prediction training to prevent before safety accidents.

A Study of the Spatial Composition and Departmental Area Distribution in Geriatric Hospital (노인전문병원의 공간구성과 부문별 면적배분에 관한 연구)

  • Lee, Hyun-Jin;Park, Jae-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.11 no.3
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    • pp.19-30
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    • 2005
  • As the population of the elderly increases drastically year by year in Korea, the more welfare centers for them are greatly needed. There are, however, a small number of public geriatric hospitals currently available. And a limited number of private-founded geriatric centers are under construction throughout the country. And the systematic standards for the spacial composition and departmental area distribution for them are not satisfactorily set up yet. The analytical study of the space composition and area distribution of the hospitals in question shows that publicly-shared spaces, such as day-room and lobby, are much more useful for their communications than private spaces, such as shut-in living rooms. It also shows that in-yards or in-gardens which are located in the center of the wards are very helpful for their comfortable long-term hospitalization. The shared spaces are recommended to be in sight of and within earshot of their caretakers. In relation with out-patient departments, the programs for the local elderly residents, such as the day-care center and recreation facilities are recommended to be prepared for their physical care and emotional treatment at a time by municipal welfare centers rather than by private institutions. The analytic study carried out in terms of departmental area distributions reveals that the areas for the wards are generally wider and areas for out-patient/or diagnosis departments are relatively narrower than those in the general hospitals. These area distributions seem to have come from the considerations of their relatively long-term staying in the centers than general hospitals and their mental stability as well.

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A Study on Depression and Activities of Daily Living among Elderly Patients in Geriatric Hospitals (요양병원 노인 환자의 우울과 일상생활 수행능력에 관한 연구)

  • Hong, Ji-Youn;Hwang, Seon-Young
    • Korean Journal of Adult Nursing
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    • v.22 no.5
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    • pp.457-465
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    • 2010
  • Purpose: This study was conducted to examine the degrees of depression and activities of daily living (ADLs), and to identify factors that predict depression in elderly patients. Methods: The sample was149 patients (80% female; mean age 79.1) from three geriatric hospitals located in small cities and who agreed to participate in the study. Data were collected by staff nurses involved in direct patient care from October to September 2009. The level of depression was measured on a daily basis for seven days using a 13-item scale. Patients' ADLs was measured using a modified 10-item Bathel ADLs scale. Data were analyzed using SPSS/WIN 17.0. Results: Mean depression score was $10.05{\pm}4.77$ out of 26 points and about 27% was assessed as depressed with more than 13 points. Multiple regression analysis showed that low educational level, absence of spouse and fewer family visits predict depression. In addition, low ADLs and sleep disturbance predict depression. Conclusion: Nursing care providers need to be concerned about ADLs of older patients and should develop nursing activity programs to increase their in-hospital physical activities. It is also important care for older patients' sleep and encourages family visits to decrease their depression.

ORAL STATUS OF GERIATRIC PATIENTS, AND THEIR DEMAND AND SATISFACTION IN PROSTHODONTIC TREATMENT (노인환자의 구강상태, 치료요구도와 만족도)

  • Chung Moon-Kyu;Lee Chul-Young;Chang Hyuk-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.39 no.4
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    • pp.323-335
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    • 2001
  • In this study 240 geriatric patients, aged 60 year and over were evaluated using a questionnaire and oral examination for their oral status, demand and satisfaction of prosthodontic treatment. The followings are the findings : 1. The single main complaint was regarding from the existing removable prosthesis, When the complaints were categorized into larger groups, complaints regarding existing prosthesis were 32% and followed by 30% in caries and endodontic problems. 2. Approximately half of the geriatric patients had 21 or more remaining dentition. This number however diminished with increase in age of the surveyed patient. 3. According to the result from questionnaire, 48% of patients wearing removable prosthesis and 43% with fixed prosthesis were not satisfied with existing prosthesis. Thirty-seven percentages of patients were not satisfied with aesthetics and unable to chew food properly. 4. Seventy-seven percentages of patients requested for new prosthesis and the majority of these patients had complaints of difficulties in chewing and discomfort. 5. Thirty-nine percentages of patients were wearing removable prosthesis. More complete dentures were found on maxilla and partial dentures on mandible.

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