• Journal of Korean Academy of Nursing
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• v.37 no.1
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• pp.26-34
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• 2007

Purpose: This study was aimed at understanding the nature of the suffering of families with patients in mental health nursing homes and hoped to contribute to the rehabilitation process of those with a chronic mental disorder. Method: Research methodology was based upon Parse's human becoming research methodology. Results: a) Despite the despair the family feels by the violence caused by their now-institutionalized relative, they also realize anew the importance of their role as protectors b) Although they fear social stigmatization they also try to be supportive, out of guilt feelings; c) They regret their severe rearing style and wish to be more sympathetic, d) They find courage and hope through family therapy, which leads to a better understanding of the illness, e) With hopes of rehabilitation, the family members feel happy and go through an emotional release, by sharing the pain with each other. Conclusion: Families of nursing home residents share a focus on the process of human-health-universe. This is a positive,'human-becoming' process with which, based on past feelings of despair, fear, resignation, and pain, one can render meaning into his or her experiences in the present in the pursuit of love, conquest, hope, liberty and success.

• Journal of muscle and joint health
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• v.21 no.1
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• pp.11-18
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• 2014

Purpose: The purpose of this study was to understand care workers' fall-related knowledge and caring behaviors for fall prevention in nursing home. Methods: This study was a descriptive survey study. Data have been collected from 125 care workers in 5 nursing homes. Data were analyzed using frequency, t-test, one-way analysis of variance (ANOVA), and Pearson correlation coefficients. Results: 1) The average percentage of correct answers for care workers' fall-related knowledge was 72.2%. There were significant differences in fall-related knowledge by age, experiences of re-education about care for fall injuries, and experiences to transfer fall patients to another hospital. 2) The average level of care workers' caring behaviors for fall prevention was 3.81 points out of 4. There were significant differences by experiences of education about care for fall injuries in nursing home and concern of fall injury prevention. 3) There was a significant correlation between fall-related knowledge and caring behaviors for fall prevention (r=.320, p<.001). Conclusion: The level of fall-related knowledge is positively correlated to the level of caring behaviors for fall prevention. Therefore, nurses should prepare education programs to increase care workers' fall-related knowledge and caring behaviors for fall prevention.

• Research in Community and Public Health Nursing
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• v.23 no.4
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• pp.347-357
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• 2012

Purpose: The purpose of this study was to explore the experiences of family caregivers who care for the elderly under Long-term Care Insurance. Methods: Data were collected using focus group interviews and analyzed using a phenomenological approach. The four focus groups consisted of eight caregivers, two social workers and three nurses in B city, Korea. Results: Five themes were identified: 'Obtaining a care-helper certification for employment', 'Taking care of the elderly in their homes', 'Difficulties due to life changes', 'Difficulties due to reduced wages' and 'Dissatisfaction with the Long-term Care Insurance operating system'. Conclusion: The results of this study demonstrate that the long-term care system for family caregivers faces many systematic challenges in providing care for the elderly harmoniously in their home. To help them succeed in their tasks, Long-term Care Insurance system must offer respite and support programs to family caregivers.

• Research in Community and Public Health Nursing
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• v.20 no.1
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• pp.41-48
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• 2009

Purpose: This study was aimed to explain the relationship of family burden, family support, depression and satisfaction among caregivers of the elderly. Methods: The study population were 126 caregivers of 5 elderly residing in institutionalized nursing homes in Seoul and Kyunggi. The research tool of this study was a structured questionnaire on family burden, family support, depression and satisfaction. The data were collected from March 13 to April 30, 2008, and analyzed by Cronbach's alpha, descriptive statistics, t-test, ANOVA and Pearson's correlation coefficient and multiple regression by using the SPSS/WIN 14.0 program. Results: The major findings of this study were as follows: a significant positive correlation between family support and depression (r=.65, p=.001) was found. A significant positive correlation between family support and satisfaction (r=.68, p=.001) was perceived. Significant factors influencing Satisfaction were Family Support, which explained 38.2% of the variance of Satisfaction of Elderly Caregiver. Conclusion: This study suggested that we should develop programs and policies to increase the satisfaction of caregivers for their family support. In conclusion, the study was done to give suggestions to improve caregiver satisfaction of the aged and to serve as a basis for policy strategies by examining the current conditions of the nursing facilities.

• Research in Community and Public Health Nursing
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• v.12 no.1
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• pp.105-114
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• 2001

It was orginally thought that runaway adolescents needed to improve their ability to cope with personal problems based on their own understanding of them. As a result we exchanged theoretical background on the matter as follows: 1. Generally, adolescency is a transitional period from childhood to adulthood and characterized by a dramatic conversion period with unique phenomena relative to other periods. Futhermore, it is the key transitional moment in the development of an adult personality. 2, Runaway adolescents are defined as 'adolescents who leave impulsively or intentionally their homes without permission of their parents for at least 24 hours.' 3. The reasons for this behavior are generally regarded as complex, interdependent and dynamic including a cast-away factor. seducing factors, and other action-provoking factors. There is also another view to explain the adolescent run-away as a combination of personal. domestic, academic, peer, or socal factors. 4. We found that adolescent runaways have different attitudes dependent on the reasons and procedures of runaways, lifestyles of adolescents. and results of their runaway experience. In conclusion, runaway adolescents are in a very important period in their development and growth of bodies and minds, but are in a great crisis for various complex reasons. Therefore, we propose that nursing should provide effective nursing interventions to improve the ability of the runaway adolescents address theses problems by themselves.

• Journal of Korean Public Health Nursing
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• v.23 no.2
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• pp.174-185
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• 2009

Purpose: The aim of this study was to provide the basic data for efficient strategy planning to prevent school violence by analyzing the types, causes and copying methods of school violence. Methods: The subjects consisted of a finite population of teachers (n=230) in a certain area. The method of data collection was a self-reported questionnaire. A total of 216 surveys were conducted using a modified school violence measurement tool (Lee, 1999). Data were analyzed using SAS 10.0. Results: The most serious school violence type perceived by the teachers was cursing/strong language. The main cause of school violence was perceived to be the home environment factors such as broken homes, inadequate care methods, and family violence. The most effective copying method of school violence was school violence prevention education programs for the students. Conclusions: Establishment of prevention education for students need for future school violence prevention.

• Korean Journal of Occupational Health Nursing
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• v.33 no.1
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• pp.36-46
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• 2024

Purpose: This study aimed to investigate compassion competence and its mediating effects on the relationship between attitudes toward dementia and care behavior among caregivers of older adults with dementia in nursing homes. Methods: 211 participants were recruited for this cross-sectional study. Data were collected from February 1st to May 24th, 2023, through a structured questionnaire and analyzed using multiple linear regression analysis and the bootstrapping method. Results: The mean score for care behavior was 3.67±0.97 (range 1~5). Caring behaviors were significantly associated with attitudes toward dementia (r=.76, p<.001) and compassion competence (r=.75, p<.001). Using Baron and Kenny's approach and PROCESS Macro model 4, care behavior was directly affected by dementia attitude (β=.76, p<.001). Compassion competence (β=.66, p<.001) was directly affected by dementia attitude. The partial mediating effects of compassion competence (β=.47, p<.001, 95% confidence interval 0.10~0.23) on the impact of dementia attitude on care behavior was confirmed. Conclusion: The results suggest that compassion competence should be considered when developing nursing interventions to enhance dementia-related attitudes and improve care behavior among caregivers of older adults with dementia.

• 한국노년학
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• v.32 no.3
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• pp.729-745
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• 2012

The purpose of this study is to review person-centered care models and the scientific evidence for the impact of person-centered care in U.S. nursing homes, and to analyze the applicability of person-centered care for Korean long-term care system. The most commonly recognized person-centered care models were Eden Alternative, Green House, and Wellspring model. The core components of the three models were autonomy, close relationships, homelike environment, and staff empowerment. Thirty eight empirical studies including 10 model testing studies and 28 studies to examine the impact of person-centered care interventions indicated generally positive outcomes in terms of residents, family, and staff/organization level. The authors analyzed the current situation in the Korean long-term care system with respect to the specific core constructs of person-centered care, and proposed applicable models and practical suggestions in consideration of Korean context. Lastly, future considerations regarding policy and research were discussed.

• The Korean Journal of Rehabilitation Nursing
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• v.16 no.2
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• pp.112-121
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• 2013

Purpose: This study aimed to describe Korean nursing home nurses' perceptions on dysphagia management and their working experiences of older adults with dysphagia. Methods: Using a purposive sampling design, 23 eligible nurses were interviewed as four focus groups from 4 facilities out of nursing homes. The qualitative data from focus group interviews were analyzed using thematic analysis to classify common themes into larger categories. Results: Two main themes on the attributes of caring nursing home residents with dysphagia were 'Need for nursing resources' and 'Need for support'. In addition, four subthemes emerged as a result of analysis: 'need for nursing protocols for assessing and managing dysphagia', 'need for emergency care skills of nurses and nurse assistants', 'need for prompt and accurate management by cooperation of physicians and therapists', and 'need for partnership upon comprehension of visiting family members concerning dysphagia'. Conclusion: Nursing home nurses fully recognized the importance of dysphagia management; however, they experienced substantial barriers due to lack of adequate nursing protocols or partnership with family caregivers, insufficient training for emergency care, and deficient support from medical staff. Development of nursing guidelines tailored to the nursing home context and based on partnership among medical experts and family caregivers is needed.

• Journal of Korean Academy of Nursing
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• v.25 no.2
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• pp.259-278
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• 1995

This study was done to investigate levels of physical fitness, self efficacy(SE), instrumental activities of daily living(IADL), and quality of life (QL), and their relationships among the elderly Data were collected from 47 noninstitutionalized elderly dwell-ing in their own homes and 43 institutionalized elderly living in homes for older people. The ages of the subjects were 65 years and over. The data were col lected from January 20th to February 20th, 1995. Physical fitness was measured with T.K. K dyna mometer, grip dynamometer, stop watch, and Purdue pegboard. Structured questionnaires developed by Kim by Lawton & Brody, and by Ro were adopted to measure SE, IADL, and QL, respectively. The data were analyzed using t-test, ANOVA, and Pearson correlation coefficients. The results were as follows : 1. The noninstitutionalized elderly had higher scores in such measures of physical fitness as body weight, skinfold thickness, flexibility and coordination as compared to the institutionalized elderly. 2. On the following measures of physical fitness, men showed higher levels than women ; in height when standing, height when sitting, body weight, and muscle strength. Women had more trunk flexibility than men. 3. Muscle strength was positively correlated with height when standing, height when sitting, and body weight. The following measures of physical fitness, muscle strength, flexibility and coordi nation, were negatively correlated with "up and go”. 4. The noninstitutionalized elderly had higher scores in SE(t=2.28, p<0.05), IADL(t=2.24, p<0.05), and QL(t=2.41, p<0.05) as compared to the institutionalized elderly. 5. SE was positively correlated with both IADL(r=0.41, p<0.001) and QL(r=0.54, p<0.001), and the latter two variables were a positively correlated (r=0.30, p<0.001). 6. SE was positively correlated with the physical fitness measures of height when standing, body weight, strength of leg muscles, strength of back muscles, grip strength, and level of touching the floor, but negatively correlated with "up and go”. 7. Positive correlations were revealed between IADL and the physical fitness measures of height, strength of leg muscles, level of trunk muscle extension, level of touching the floor, and coordination. The IADL was negatively correlated with “up and go”. 8. QL was positively correlated with body weight (r=0.28, p<0.01) and skinfold thickness (r=0.26, p<0.05). 9. Age was negatively correlated with the physical fitness measures of height when standing, height when sitting, “up and go”, strength of leg muscles, strength of back muscles, grip strength, level of trunk muscle extension, and coordination. 10. Age was also negatively correlated with SE (r=-0.24, p<0.05) and IADL(r=-0.22, p<0.05). The above results suggest that caring elderly in their own homes were more effective and that nursing interventions to enhance physical fitness, SE, IADL, and QL especially for the institutionalized elderly are stressed.