• Journal of Korean Biological Nursing Science
• /
• v.20 no.3
• /
• pp.150-158
• /
• 2018

Purpose: The purpose of this study was to investigate the expected family involvement of family members of elderly residents in nursing homes. Methods: This study utilized a descriptive design with a survey research method. Data were collected using the Expect Family Involvement Questionnaire Scale, which was completed by 112 family caregivers of older adults in nursing homes in Seoul and Gyeong-gi Province. The collected data were analyzed using descriptive statistics. Results: Responses to the questionnaire indicated the highest value was recorded for the item, 'use of a room for family privacy' with $2.41{\pm}0.43$ points, followed by the item, 'staff calling family for advice with resident problems' with $2.38{\pm}0.38$ points and 'education about nursing home programs' with $2.32{\pm}0.42$ points. Conclusion: In order to promote family involvement in long-term care facilities, various approaches, interventions, and government supports with the respective of the family are required. The nursing home placement process should include understanding discuss on the importance of the role of family, and should help promote positive relationships between the elderly residents and their families. Staffs and administrators of nursing home are to consider the family as a partner rather than visitor.

• Health Policy and Management
• /
• v.13 no.1
• /
• pp.1-22
• /
• 2003

The principal objective of this study was to analyze and conceptualize the socio-psychological burden in utilizing a nursing home for elderly. The subjects were five elderly from a private nursing home located in Seoul and their familial caregivers. An old male and three females were currently staying at the facility, and a female had been discharged already from there. Data were collected through depth interviews, observations and review of records at the facility For analysis, the data were classified by similar contents among significant expressions and factors in common. The subjects' motives to consider admission to the nursing home might be attributed to familial caregivers' burden, a shortage of support, environmental improvement and feeling of helplessness for the case elderly. The concept of burden is including family members' being badly off in living, their weariness, complications among family members, feeling psychological uneasiness, and hospital expenses. The identified image of nursing homes for the elderly in Korea was generally negative at the point of high cost, unreasonable requisites and limitations for admission to the facilities, inferior situations, and especially in that there were few long-term care facilities within the community boundary. From their experience of nursing homes, the interviewees have felt the sentiments of sorry for their old parents, with the thought of being an undutiful, bitterness, and empathy. Additionally, they expressed a sense of anxiety of relative deprivation against the fact that there were no long-term care facilities available for the middle class. On the basis of these, multi-dimensional needs could be identified for the elderly with chronic illnesses.

• Journal of Korean Academy of Nursing
• /
• v.37 no.2
• /
• pp.201-207
• /
• 2007

Purpose. The purpose of this study was to determine the subjects' health status according to the needs of visiting health and the function of the family in home care nursing. Sample and Method. The data collection period was from 07/01/04 to 10/31/04 and the subjects were 488 of those above 60 years of age staying at home or living alone who registered at a visiting health service of public health center at an urban area in Korea. This survey was carried out by visiting health nurses and participation was agreed on by the elderly people. Results. The extent of the subjects' total health status to the general characteristics had differences according to the age, sex, monthly income, perceived health status, known functional disorder, and yes-or-no for disease. At all health status domains, visiting health need care in the group I was very lower than one in II, III, or IV groups. Also the severe dysfunctional family was lower than lightly dysfunctional family and normal functional family in all health status domains. Conclusion. Nurses must provide their characteristics considered nursing intervention for the elderly who have high visiting health needs and severe dysfunctional family with vulnerable health care.

• Journal of Korean Academy of Nursing
• /
• v.40 no.4
• /
• pp.542-550
• /
• 2010

Purpose: This study was done to identify the factors which influence depression for elderly people who live at home. Methods: The participants were 134 elderly people living at home in M city. Data were collected from April 2 to 30, 2009 and analyzed using SPSS/WIN 12.0 and AMOS 5.0 program. I assumed path coefficients by doing path analysis to understand synthetically causal relationship which influences on depression. Results: Social support, sleep pattern and self esteem had significant direct effects on life satisfaction and accounted for 50% of the total variance in life satisfaction. Physical symptoms, sleep pattern and life satisfaction also had significant direct effects on depression and accounted for 59% of the variance in depression. But social support, self assertiveness and self esteem were not significant for depression. Conclusion: These results provide guidance for designing useful strategies to reduce depression in elderly people living at home.

• Korean Journal of Social Welfare Studies
• /
• v.43 no.1
• /
• pp.203-227
• /
• 2012

This study analyzes the effect on depression of mutual relational aggression experienced by elderly residents at charity nursing home. It also verifies the mediated effect of adaption by the residents to the nursing home. For this end, the researchers conduct a survey for 182 elderly residents in 7 charity nursing homes in Seoul and Kyonggi Province. The statistical methods for the analysis were SPSS version 18.0 and AMOS 7.0program. Following are the findings. First, there turns out to be no statistical significant effect between mutual relational aggression and depression. Second, elderly residents' adaption to the nursing home is proved to serve as a mediated effect between mutual relational aggression and depression. In other words, the more the relational aggression, the more difficult it is for residents to be adapted to the nursing home, and the more depressed the residents are prone to be. Following are suggestions based on the findings. First, nursing home staffs need to establish a system in consideration both of relational aggression and of resident's adaption, to reduce its elderly residents' consequential depression. Second, nursing home staffs need to take measures to help adaption of new residents to prevent or reduce their depression. For example, new residents can be allowed to bring their belongings to the nursing home as much as they want and the nursing home can stand. Third, nursing homes also need to develop programs to prevent or reduce any negative relation, including bullying or casting out, among peer residents in the nursing home.

• Korean Institute of Interior Design Journal
• /
• v.14 no.6 s.53
• /
• pp.157-167
• /
• 2005

The demands of nursing home for the dementia are rapidly increasing. However, there are no enough nursing homes and design guidelines for it. This study was intended to examine the needs of the staff for the nursing home design and suggest the design guidelines of the Korean nursing home for the dementia. The subjects were 15 nurses and 18 care givers who worked in D hospital for the elderly with dementia in Busan. Data were collected by the self-administered questionnaire. The findings were as follows; First, the most important design element in nursing home for the dementia which the staff mentioned was 'healing environment' and then 'function' and 'maintenance' Second, the care-givers were more satisfied with their facility design than the nurses. Third, the staff pointed out that 'the relation between individual room and nursing station', namely, short distance between them, and 'enough wandering space' had to be considered at first in design process of nursing home with dementia. Also, the comfort and intimate interior mood, fresh air and sunlight were also pointed out as the important elements in nursing home design for the dementia.

• Journal of Home Health Care Nursing
• /
• v.16 no.1
• /
• pp.49-58
• /
• 2009

Purpose: This study aimed to clarify the needs for hospital-based home care nursing medical services in elder care institutions by analyzing the details and frequency of medical services provided by, and the needs for, hospital based home care nursing in select institutions in Korea. Methods: Seventy-seven staffs at elderly care institutions located throughout the country completed self-report questionnaires between February 1 and May 31, 2009. SPSS ver. 14.0 was used for data analysis regarding frequency and percentage, mean and standard deviation. Results: Forty-eight hospital-based home care nursing medical services in eight domains were identified as being needed in elderly care institutions. The most commonly used medical services were providing instruction in oral drug administration, checking drug beneficial/adverse effects, and administering blood glucose test, while the most needed medical services requiring hospital based home care nursing were complex pressure ulcer care, followed by diabetic foot ulcer management and nutrient injection. Conclusion: The present results should provide fundamental data for better healthcare services with hospital based home care nursing at elderly care institutions as part of a 'win-win' strategy through which medical expenses are reduced, insurance costs are kept stable, and safe and high-quality medical services are provided for residents of elder care institutions. Political decisions intended to promote visits by hospital based home care nurses to elder care institutions would be a prudent course.

• Journal of the Korean Institute of Rural Architecture
• /
• v.9 no.3
• /
• pp.103-110
• /
• 2007

The purpose of this study is to clarify the actual condition of the daily living activities of the elderly with dementia in recuperating facilities. The thorough investigation and observation works were made to them from the view points of daily living behaviors and behavioral places of the recuperating elderly. This article discusses about the basic characteristics of the elderly and the actual condition of the daily living activities of the elderly with dementia in recuperating facilities for the aged with dementia. The results of this study are summarized as follows; There is no wide difference between geriatric hospital and nursing home for the aged with dementia on the characteristic of living behaviors of the elderly with dementia. The usage of behavioral places in recuperating facilities are influenced by the physical environments and the basic characteristics of the elderly with dementia.

• Research in Community and Public Health Nursing
• /
• v.16 no.4
• /
• pp.437-445
• /
• 2005

The purpose of this study was to understand the meaning of experiences in home visiting nursing service among the elderly in community provided by nursing students. Method: This is a phenomenological study to investigate the experience of community-based patients. Data were collected through in-depth interviews from the 4th of March to the 15th of December 2003. Individual interviews were conducted with 8 patients on subjective experiences. Data were analyzed through Colaizzi's method, in which meaningful statements were extracted. Result: Four categories were identified from nine theme clusters. The four categories were 'thankfulness', 'dependence', 'sorrowfulness' and 'the sense of being'. Conclusion: These results show the importance of visiting nursing service for the elderly in community

• Proceeding of Spring/Autumn Annual Conference of KHA
• /
• 2005.11a
• /
• pp.89-92
• /
• 2005

The purpose of this study was to clarify the space use pattern and the daily living activities of the elderly with dementia in the common space (living room) of nursing home. The subjects were 2 units(living room) of the nursing home. For this, researcher visited from June 20 to July 2 and collected data by observations of behavior of the elderly with dementia in common space(living room) and interviews with staff for the information about basic characteristics of the elderly with dementia and administration and operation of the facilities. The data were analyzed using the frequency and percentage. The results revealed as follows: first, the daily living activities of the elderly with dementia in common space tended to focus on self-concentration type and physical environment-interest type. Second, physical environmental -interest type. Second, physical environmental characteristics of common space affected space usage pattern of the elderly with dementia. And it was perceived like as living oriented space, social interaction space, facility space, staff oriented space. Conclusively it was suggested to plan dining space as semi-private space, day corner as semi-public space.