• Journal of Korean Public Health Nursing
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• v.36 no.2
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• pp.212-226
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• 2022

Purpose: The purpose of this study was to explore nurses' experience of the role adaptation process and barriers in long-term care (LTC) facilities including nursing homes, daycare centers, and home visit nursing centers. Methods: After in-depth interviews with 13 nurses who were working at the LTC facilities in G province, the data were analyzed using Colaizzi's phenomenological methodology. Results: 17 themes with 6 theme clusters, and 2 categories emerged: nursing role adaptation process in the LTC (role expectation and readiness, role perception and performance, limits of role performance), and barriers to nursing role adaptation in the LTC facility (organizational, situational, and institutional-environmental barriers). Conclusion: The results showed that it is critical to establish the nurses' role in caring for the health of the elderly and maintaining the quality of care in the LTC facilities. In response to the growing demand for quality care in the LTC facilities, more institutional and environmental changes are needed to address the current barriers that prevent nurses from performing their appropriate roles.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.19 no.1
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• pp.5-10
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• 2012

Background: The purpose of this study is to investigate the needs for wound care services in the elderly care institutions by analyzing hospital-based home care nursing in select facilities in Korea. Methods: A total of 92 staffs at the elderly care institutions, located throughout the country, completed self-report questionnaires between February 1 and November 31, 2009. SPSS ver. 17.0 was used for data analysis, regarding frequency and chi square. The 5% level of significance was the critical level for acceptance of the study's hypotheses. Results: Results were as follows; group A and group B were rated as 'high' and 'very high', respectively, in care of simple pressure ulcer, care of complicated pressure ulcer, stitch out, care of simple surgical wound, ostomy care, complicated ostomy care, simple dressing and complicated dressing. Conclusion: Political decisions intended to promote visits by hospital- based home care nurses to the elderly care institutions would be a prudent course.

• Journal of The Korea Institute of Healthcare Architecture
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• v.5 no.9
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• pp.47-59
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• 1999

With the unparalleled rate of aging and rapid modernization, Korean society faces the situation in which it has to increase the supply of elderly care services dramatically in the near future. Among these services, nursing homes are considered as an essential alternative provision because Korea can no longer rely on traditional familism nor medical facilities for the care of her older population. It is necessary, therefore, to prepare a future plan for the delivery of nursing homes in Korea. This paper has identified elderly care context and analyzed elderly care facilities of Korea in the point of supply and utilization rate of nursing homes according to the region and type of facilities. On the bases of this analysis, the delivery planning of nursing homes in Korea has been proposed in order to increase welfare status of older people and efficient utilization of health care resources.

• Perspectives in Nursing Science
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• v.15 no.2
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• pp.81-91
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• 2018

Purpose: This study aimed to suggest strategies for advancing local-government-based accreditation systems and surveyor training in long-term care facilities in Korea. Methods: A comprehensive review of the literature including research papers and official reports issued by governments from the United States, Australia, and Japan was conducted to explore domestic and international policies related to long-term care facility certification and accreditation systems. Results: The USA has two types of care quality assurance systems including mandatory certification (5-star rating system) by the Centers for Medicare and Medicaid Services and voluntary accreditation by the Joint Commission on Accreditation of Healthcare Organizations. Australia operates a government-based mandatory accreditation system for all long-term care facilities through the Australian Aged Care Quality Agency. Japan, particularly the Tokyo district, operates a third-party evaluation system that involves the voluntary participation of long-term care facilities. Conclusion: This study provides several strategies to enhance accreditation processes and surveyors'expertise. For instance, motivating facilities to voluntarily participate in accreditation is necessary by 1) providing sufficient and continuous consultations and feedback about how to improve care quality, 2) differentiating accreditation domains and indicators from the national health insurance certification system, and 3) actively utilizing accreditation results and providing incentives.

• Journal of muscle and joint health
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• v.26 no.2
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• pp.90-101
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• 2019

Purpose: This study was aimed to describe older adults' experiences of living with urinary incontinence and using diapers for its management in long-term care facilities. Methods: Qualitative data were collected through in-depth interviews with 22 participants in long-term care facilities. Content analysis was used to analyze the data. Results: Three themes and six categories were emerged. Participants navigated through those three categories as stages, including the initial stage of confronting the unacceptable reality, transitional stage of physical and emotional suffering, and adaptive stage of accepting the diaper usage as a part of life and hoping improvement. Six categories were feeling terrible with unavoidable use of diapers, being frustrated by nursing staff shortage and unsatisfactory care for urinary incontinence, physical discomfort from of wearing diapers and remaining unchanged, emotional difficulties due to using diapers, accepting and adapting to diaper usage as a part of life, hope for gender-specific quality care for urinary incontinence. Conclusion: The findings suggest that using diapers should not be mandatory to manage older adults' urinary incontinence in long-term care facilities. It is also critical to establish policies to address issues of nursing shortage and financial support for qualitative care to manage urinary incontinence in long-term care settings.

• Proceedings of the Korean Institute of Interior Design Conference
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• 2007.05a
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• pp.49-52
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• 2007

The purpose of this study was to investigate unit care characteristics of large skilled nursing facilities for the elderly, which are located in city areas, and to discuss the way of encouraging home-like atmosphere in perspective of spatial unit. First of all, the analysis of five facilities opened before 2002 was performed, based on previous studies, to compare with them opened in recent 5 years. Most of the previous facilities did not have differentiation between their residential and nursing units, and the number of residents in each unit were excessive in comparison with the standard limit(12-28). On the contrary, the facilities established in recent 5 years had systematic spatial unit structure. The residential units had basically rooms and spaces for small group and the number of elderly residents per unit was appropriate on the basis of standard limit which was suggested by Kwon(2002). The nursing units were consist of nursing station, 2-3 residential units, spaces for large group of residents, hair dressing, nurse, living assistant, bathing, storage and etc. But, there was a problem In space usage even though they have distinct unit care systems. Some spaces for groups were empty without residents, furniture, and other equipments, which were necessary for unit care.

• Korean Journal of Occupational Health Nursing
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• v.32 no.4
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• pp.141-151
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• 2023

Purpose: This study explored caregivers' support needs to relieve their physical burden while working in long-term care facilities. Methods: Participants were 12 caregivers with more than 10 years of experience working at six long-term care facilities in Gwangju, South Korea. Data were collected through individual interviews conducted between June and July 2023. The results were analyzed using qualitative content analysis. Results: Of the four sub-categories and 13 codes, two categories emerged: "need for welfare medical devices" and "need for improved working conditions." Conclusion: Caregivers working in long-term care facilities require support in deploying and utilizing welfare medical devices to reduce their physical burden, along with improving staffing standards and ensuring they receive the proper amount of days off. Therefore, it is necessary to mandate the provision of a certain level of welfare medical devices to ease the physical burden on caregivers and improve the standards for the placement of caregivers in long-term care facilities.

• Korean Journal of Occupational Health Nursing
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• v.24 no.4
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• pp.352-362
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• 2015

Purpose: The purpose of this study was to investigate the effects of job stress and support from supervisors on depression of care givers in elderly care facilities. Methods: Subjects were 191 care givers working in elderly care facilities in K-Province in Korea. Data were collected from self-administered questionnaires. Descriptive statistics, ${\chi}^2$ test, t-test, F-test, Pearson's and Spearman's correlation coefficients, and hierarchical multiple logistic regression with dummy variables were used for statistical analysis of data. Results: Job stress measured with Korean Occupational Stress Scale was $56.16{\pm}5.88$. Emotional and instrumental support from supervisors were $37.05{\pm}7.30$ and $32.39{\pm}7.34$, respectively. After controlling for general characteristics, job stress was significantly related to depression (OR: 1.07, 95% CI: 1.01~1.14). However, job stress became non-significant in the model that included instrumental support from supervisors. Not emotional but instrumental support from supervisors was significantly related to depression of care givers (OR: 0.93, 95% CI: 0.88~0.99). Conclusion: Results of this study suggest that job stress has negative effects and instrumental support from supervisors has protective effects on depression of care givers in elderly care facilities. Therefore, measures to increase instrumental support by supervisors should be developed to improve psychological health of care givers in elderly care facilities.

• Research in Community and Public Health Nursing
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• v.9 no.2
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• pp.324-335
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• 1998

This study describes the extent of recognition of problems to the aged in a future society, the recognition and necessity of day care facilities, and the service contents and patterns preferred as a method of mediation for nursing the aged and increasing their quality of life. It also tries to certify the relations between those subjects. The result of the study is as follows: 1. Concerning problems of the aged of social significance the aged of the next generation consider the difficulties in nursing the aged to be the most important at 63.6%. 2. Concerning the nursing of parents, 49.4% of those answered 'children should take care of their parents and live together', while 46.7% answered that 'it is enough for children to provide an economic support, not necessarily living together. 3. Concerning information of day care facilities, 66.9% answered that they have no information. 4. Concerning the use of day care facilities, 54.6% answered that 'they would under certain circumstances', and 21.0% that 'they had better use them in the future'. 5. Concerning the feelings of the aged using day care facilities, 46.6% say 'they do not look poor', and 33.4% said that 'they look a little poor'. 6. Concerning the reasons for using day care facilities, 56.1% answered' because children do not proride care', and 48.5% answered 'because their economic ability is not sufficient'. 7. Concerning the programs potentially needed, food supply, medical services and physical therapy were ranked in that order. 8. Concerning social facilities necessary for the aged, centers that specialize in dementia, free day care facilities, home care services, and fee - based day care centers were ranked in that order. 9. Concerning institutions providing day care, welfare centers for the aged, those centers auxiliary to hospitals, asylums, and individuals were ranked in that order. 10. Concerning the responsibity running day care facilities, social workers, doctors/nursing assistants, nurses, and entrusted visitors were ranked in that order. Based on the results of this study, the study proposes that the study of applied cases of therapy in day care facilities for the aged continue.

• Research in Community and Public Health Nursing
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• v.30 no.3
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• pp.295-306
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• 2019

Purpose: There has been a growing recognition that person-centered care enhances the quality of life of nursing home residents with dementia. This study was conducted to develop a person-centered dementia care online education program for direct care staff in long-term care facilities. Methods: Delphi method with expert group was used to validate contents. We developed 61 draft items based on literature review. Twenty experts participated in consecutive three round surveys including 5-point Likert scale questions and open-ended questions. Based on experts' opinions, the content validity ratio for content validity and the coefficient of variation for stability were calculated. Results: Three-round Delphi surveys and additional feedback from the expert panel established a consensus of core contents: 1) dementia (7 categories), 2) person-centered care (6 categories), 3) communication (8 categories), and 4) behavioral and psychological symptoms of dementia (6 categories). Specific sub-categories in each category were differentiated according to the job qualifications (65 sub-categories for registered nurses, 64 sub-categories for nursing aids, and 41 sub-categories for personal care workers). Conclusion: This delphi study identified person-centered dementia education curricula, in which the person-centered approach should be a key policy priority in Korean long-term care system. Now it is urgently needed to develop education programs utilizing online platforms that enable efficient and continuous learning for long-term care staff, which can contribute to behavior changes in the person-centered dementia care approach and improvement of care quality in long-term care facilities.