• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.4
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• pp.1755-1764
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• 2013

This study was to identify factors influencing the job-related burnout of the nurses and caregivers in nursing homes. The participants in this study were 188 who were working as nurses (77) and caregivers (111) at five nursing homes in Seoul and Gyeonggi Province. Collected data were analyzed in independent t-test, Pearson's correlation coefficients, multiple stepwise regression using IBM SPSS Statistics 19.0. The nurse's job-related burnout was positively correlated with job-satisfaction(r=.333, p=.003), and stress(r=.484, p<.001), whereas caregiver's job-related burnout was positively correlated with stress(r=.458, p<.001). The factor influencing on nurse's job-related burnout was interpersonal relation stress and this factors explained 27.0% of the variance. In case of the caregivers, work-related stress was a factor influencing on job-related burnout and it explained 21.2% of the variance. On the basis of the results in this study, the improvement of working conditions, and the development of stress management program should be considered systematically.

• Journal of the Architectural Institute of Korea Planning & Design
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• v.36 no.5
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• pp.41-51
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• 2020

As there are the elderly who have difficulty in evacuating themselves, it is necessary to develop architectural and institutional planning for nursing homes that can minimize disaster damage. The purpose of this study was to suggest the improvement plan by grasping the current status of nursing homes on planning aspects such as floor plan type, spatial layout, and evacuation route through 14 case studies in Cheongju city in terms of disaster safety. The results of this study were as follows; the most common plan type was the grouped-corridor type difficulty in securing evacuation routes. The circulation corridor type is need to be considered because it is possible not only to secure evacuation and nursing routes, but also to create a hanging around corridor for the elderly with dementia. Second, if there is a risk of flooding due to the location, the living room should be placed on the 2nd floor or more. In particular, a kitchen should be placed not adjacent to the entrance and the vertical evacuation route. Third, the horizontal evacuation route should be arranged differently depending on the floor plan type. For vertical evacuation routes, it is necessary to install outdoor stairs or ramps considering the evacuation characteristics of the elderly. In addition, the institutional aspects should be considered to ensure the safety of disasters.

• Journal of muscle and joint health
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• v.27 no.2
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• pp.177-188
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• 2020

Purpose: This study aimed to shed light on the experiences of women caregivers' in nursing homes who provide care for older men; it focuses on sexual behavior and provides baseline data that can help improve quality of care. Methods: Colaizzi's phenomenological method was used for data analysis. Participants included 10 caregivers working at a nursing home. Face-to-face in-depth interviews were conducted for data collection between January and February, 2020. Results: Five theme clusters were identified based on women caregivers' experiences of sexual behavior when caring for older men: "The weight of charge and exhausted stamina", "Unwillingness to face awkwardness", "Unacceptable sexual desire by older men", "An incurable wounded heart", and "Hardship in its entirety becomes my share of responsibility". The analysis further yielded ten themes. The participants stated that was hard to accept the older men's sexual behavior through relationships with the older men. Conclusion: These results should be considered in planning caring interventions for older men with respect to sexual behavior in nursing homes. The findings support the need for educational strategies and programs to improve the ability of nursing home caregivers to adequately care for older men, with consideration for their sexual behavior and for developing relevant policy supports.

• Journal of Korean Academy of Nursing
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• v.41 no.5
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• pp.684-693
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• 2011

Purpose: To investigate the effects of oral care education on knowledge, attitudes & behavior of caregivers in oral care and oral hygiene for residents in nursing homes. Methods: In this quasi-experimental study, the intervention group (n=27) of residents received oral care from intervention group caregivers (n=28) who had received 6 weeks of oral care education. The control group (n=27) of residents received usual oral care from control group caregivers (n=26). Data on knowledge, attitude, and behavioral change in oral health care by the caregivers and plaque index & halitosis of the residents were collected. Data were analyzed using SPSS WIN 16.0. Results: 1) Scores on caregivers' knowledge (p<.001) and behavior (p<.001) for oral care were higher in the intervention group 6 and 12 weeks. The caregivers' attitude (p<.001) score for oral care was higher in the intervention group 12 weeks. 2) The plaque index (p=.004) and halitosis (p=.002) of the nursing home residents were lower in the intervention group than the control group at 6 and 12 weeks. Conclusion: Oral care education programs for caregivers are effective in improving the oral hygiene of elderly residents in nursing homes through enhancement of caregivers' knowledge, attitude, and behavioral change.

• Korean Journal of Adult Nursing
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• v.18 no.3
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• pp.488-499
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• 2006

Purpose: Behavioral symptoms in dementia (BSD) are one of the most disturbing behaviors to caregivers and a major reason for nursing home placement. Behavioral symptoms are often treated with psychotropic drugs (PD), however, the effect of such drugs for the frail elderly dementia patient is not certain because of their critical adverse effects. Theoretical model applicable to nursing practice for BSD in nursing homes, which is essential in guiding and evaluating such interventions, is absent. This article presents the process of developing a theoretical model of BSD in nursing homes. Method: Using Walker and Avants' theory synthesis method, three behavior models and two system models were incorporated into the proposed model to provide the theoretical and analytical explanation of the relationships between PD usage, its determinants, and BSD. Results: Resident variables and nursing home variables related to the two focal concepts (i.e., PD usage and BSD) were identified. Resident variables include demographical characteristics such as age and gender, and dementia-compromised functions such as cognitive and functional impairment. Nursing home variables include facility characteristics such as ownership type and size, and physical and psychosocial environment. Conclusion: The proposed model suggests that fulfillment of resident unmet needs through improvement of physical and psychosocial environment may produce better health outcomes of nursing home residents with BSD. Assessment and intervening environmental triggers of such behaviors are also suggested to be prior to the PD usage.

• Journal of the Korean Institute of Rural Architecture
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• v.24 no.4
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• pp.49-58
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• 2022

The purpose of this study is to present the basic direction of a desirable space plan for the elderly with dementia by examining the characteristics of the development of daily living behavior of the elderly with dementia. As a research method, First, the literature survey identified the increase in the elderly population in gyeongnam-province and the basic status of 197 elderly care facilities installed and operated in gyeongnam-province, and second, the development of daily living behaviors of eight dementia elderly people in two facilities in the form of overlapping-shaped nursing homes. The results of the survey and analysis are as follows. First, on average, it was found that the elderly with dementia in nursing facilities spend 98.3% of their work hours in the bedroom and the residents' control room. Second, it was found that the elderly with dementia accounted for 57.2% of sleep and idleness, 21.3% of leisure and hobby, and 10.7% of basic behavior. Third, in the development of the daily living behaviors of the elderly with dementia, the time to develop daily living behaviors related to identity and sociality is prominent in the living zone, and the time to develop daily living behaviors related to identity, safety, and family atmosphere is prominent in the public zone.

• Research in Community and Public Health Nursing
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• v.11 no.1
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• pp.146-157
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• 2000

The purpose of this study is to provide basic data necessary for the establishment of a nursing intervention program to relieve the powerlessness of elderly adults in nursing homes by investigating the degree of such powerlessness and factors affecting it. For the study, 353 elderly adults from S. A. D. J and Y free nursing homes located in Pusan were sampled as the subjects. The data were collected through direct interviews using a questionnaire survey and recorded by observation for a month from September 1. 1999. Data were analyzed using the statistical package SAS. The main results were as follows; 1. The mean score of the degree of perceived powerlessness of the subject were 30.4 point out of 64 point. 2. The level of powerlessness showed significant differences among the subjects in terms of educational background and monthly allowance both of which belong to socio-demographic characteristics. 3. Concerning the level of powerlessness based on health conditions. it showed significant differences in terms of the situation of common activity and the subjective perception of health condition. 4. Based on social support. the level of powerlessness was found significantly different in terms of close friends. 5. According to social activity. the level of powerlessness showed a significant difference in religious and leisure activities. In conclusion. it would be more effective in reducing powerlessness in elderly adults and in dealing with chronic diseases and physical discomfort. if we operated programs through which elderly adults can make friends and develop a nursing intervention program focusing on a variety of leisure activities.

• Research in Community and Public Health Nursing
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• v.19 no.2
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• pp.196-204
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• 2008

Purpose: To examine factors affecting long-term care hospital patients' intention of transfer to a nursing home. Method: A questionnaire survey was conducted in Aug. 2007 that included 655 patients from 49 long-term care hospitals. The survey aimed to assess the patients' health status, family status, cost and intention of transfer to a nursing home. Institutional characteristics were analyzed from the nationwide database of Health Insurance Review & Assessment Service. The affecting factors were examined by employing chi-square test and logistic regression using SAS 8.2. Result: Of the subjects, 32.4% had intention of transfer to a nursing home. The intention of transfer to a nursing home was affected by moderate or severe pain, living together with the primary carer, high cost uncovered by insurance, and recognition of nursing home. Conclusion; For appropriate service utilization. a higher level of care is needed to satisfy patients at nursing homes and a balanced fee schedule is needed between long term care hospitals and nursing homes. It is desirable to encourage transfer to a nursing home at which nurses support patients and their families by giving information, coordination, and to make efforts to establish a reference system.

• Journal of Korean Academy of Nursing
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• v.30 no.2
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• pp.293-306
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• 2000

Providing care to the dementia elderly with behavioral problem is a major issue in nursing homes today. This study was aimed to explore the nursing staffs′ response to aggressive dementia patients, and the effect that the aggressive behavior had on Nsgstaff. The interviews used a semi-structured questionnaire are were carried out from May to July, 1999. The subjects were 23 nursing personnel working in the nursing homes for dementia elderly. The result are as follows; 1. The types of aggressive behavior cited by the subjects was "physical", "linguistic", and "sexual". 2. The factors that caused the behavior were "symptoms of disease", "under- conditioning", "context of nursing care", "unsatisfied need", "relationship to other patients", "change of outer environment", and "invasion of one′s own privacy". 3. The response of the subjects were "unhappiness", "stress", "anger", "exaggeration", "anxiety", and "fear". 4. The management strategies listed by nursing personnel used to alleviate aggressive behavior were "ignorance" "patience" "leaving the area" "soothing sounds" "verbal punishment" "restriction and isolation" and "various management skill appliance" "adaptation". 5. The effect that aggressive behavior and were "disturbance of relationship to elderly" "decline in the amount and quality of nursing care" "interruption of task performance" "job exhaustion" "desire to leave the job" "physical impact" "stress on the cognition of others" "anxiety about health and one own future" "interference to family life′. The findings of this study will be useful in understanding the difficulties of nursing personnel when confronting the aggressive behavior of dementia partients. It also is useful as basic data in preparing efficient intervention program for these difficulties.

• Korea Science and Art Forum
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• v.29
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• pp.319-331
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• 2017

South Korea has entered the age of aging society since the elderly population over 65 reached 13.1% in 2015. This increase rate is the fastest in the OECD members. as a part of the precaution, the Korean government has enforced the long term care insurance from July 2008 and the increase of related nursing homes until 2015 was 220.2% which is rapid and quantitative. It was natural that quantitative expansion leads to qualitative improvement. With regard to service environment conditions, color environment draws attention as one of the most effective measures. color environment supports nursing home's spatial functions and the aged class is subject to the research as the potential customers. This study aims to understand color environment, conduct surveys for color preference and attitude toward color environment, and suggest directions for color environment plan. The ultimate goal is to improve the quality of Korean nursing home environment. It studied definition, state, color environment and space functions of nursing homes as well as the preceding researches. With 100 people over 60s in Busan and Gyeongnam area (52 male and 48 female), the survey examined attitudes for color environment and color preference by space functions in nursing home. The research method is as follows. First, as a result of the consciousness survey on color environment in elderly nursing home, it considers service (37%), medical service (20%), and location (19%) heavily in order. color environment plan is not recognized significantly. However, the need of indoor color plan in the elderly nursing homes has "agree (32%) and "strongly agree (25%), which suggests that color introduction is required to the nursing homes. Second, the indoor coloration for the elderly nursing homes has various color preferences. The color preference order for bedroom was R, P, and G but this order changes in nursing space (program room) to G, R, and Y. The communal space such as lobby prefers R, G and Y in order. R color was preferred in general.