• 지역사회간호학회지
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• 제14권1호
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• pp.132-143
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• 2003

Purpose: A descriptive correlation study was done to provide basic data for comprehensive nursing care by analyzing the, relationship between spiritual well-being and death anxiety of the elderly. Method: 358 respondents who lived in facilities for elders such as nursing homes and elder's rehabilitation centers were selected, and their age was over 65 years old. Paloutzian and Ellison(1982)'s spiritual well-being scale and Park(1989)'s death Anxiety scale was used. From August 2nd to November 7th, 2002, readymade questionnaires were handed out by the researcher to those who could fill it out and for those who could not fill out the questionnaires alone, the researcher read it and completed it by interview. The data were analyzed with SPSS Win 10.0 program, t-test, ANOVA, and correlation coefficient. Result: 1) The mean score for spiritual well being of the elderly was 43.95 in a possible range of 20-80. The mean score of religious well being was 22.22 and that of existential well being was 21.73 in a possible range of 10 - 40. 2) The mean score for death anxiety of the elderly was 109.04 in a possible range of 34 - 136. 3) There were significant differences in spiritual well being according to religion, and present occupation. 4) There were significant differences in death anxiety according to age, religion, and family status. 5) In testing concerning the relationship between spiritual well being and death anxiety, there was a statistically negative correlation(r=-.70 p=.000). Conclusion: There was a negative correlation between spiritual well being and death anxiety. When the nurse implicates the nursing intervention, which can promote the spiritual well-being, elder's death anxiety also can be released.

• 한국보건간호학회지
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• 제26권1호
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• pp.101-112
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• 2012

Purpose: The purposes of this study were to identify differences of duties, tasks, and task elements of care helpers between long term care (LTC) facilities and client's home (CH), and to provide data for the development of educational programs and policies. Methods: This study was a descriptive investigation; the subjects of the study were 418 care helpers. Duties, tasks, and task elements were measured using the framework proposed by Shin et al. (2012). Data were analyzed by t-test using PASW 18.0. Results: All of the jobs were statistically significant differences between LTC and CH. Dietary assistance and Daily work assistance were more frequently in CH, and the frequency of other tasks was higher in LTC than CH. Tasks with higher-reported difficulty by those who worked in LTC were as follows: personal hygiene, position change and movement, exercise and activity assistance, safety care, communication assistance, dietary assistance, environment management, daily work assistance, emergency prevention, early detection and speedy reporting, and dementia patient care. Conclusion: These findings suggest that training for care helpers of each facility type will be differentiated. Tasks and task elements reported by care helpers were modified and added to the standard textbook.

• Safety and Health at Work
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• 제9권4호
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• pp.408-415
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• 2018

Background: Nursing home resident care is an ongoing topic of public discussion, and there is great interest in improving the quality of resident care. This study investigated the association between nursing home employees' job satisfaction and residents' satisfaction with care and medical outcomes. Methods: Employee and resident satisfaction were measured by questionnaire in 175 skilled nursing facilities in the eastern United States from 2005 to 2009. Facility-level data on residents' pressure ulcers, medically unexplained weight loss, and falls were obtained from the Centers for Medicare and Medicaid Services Long-Term Care Minimum Data Set. The association between employee satisfaction and resident satisfaction was examined with multiple and multilevel linear regression. Associations between employee satisfaction and the rates of pressure ulcers, weight loss, and falls were examined with simple and multilevel Poisson regression. Results: A 1-point increase in overall employee satisfaction was associated with an increase of 17.4 points (scale 0-100) in the satisfaction of residents and family members (p < 0.0001) and a 19% decrease in the incidence of resident falls, weight loss, and pressure ulcers combined (p < 0.0001), after adjusting for staffing ratio and percentage of resident-days paid by Medicaid. Conclusion: Job satisfaction of nursing home employees is associated with lower rates of resident injuries and higher resident satisfaction with care. A supportive work environment may help increase quality of care in the nation's nursing homes.

• 한국농촌간호학회지
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• 제18권1호
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• pp.57-71
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• 2023

Purpose: This study aims to provide primary data for policy alternatives by identifying the problem of the nursing workforce shortage. Methods: For quantitative data, 446 questionnaires were analyzed. The mean and standard deviation were used for content description. ANOVA analysis and Scheffe? test were used to compare the differences according to the hospital level. For qualitative data, 1:1 in-depth and group interviews were conducted for six participants. Results: The factors nurses prioritized when choosing a workplace were salary, commuting distance, and work-life balance. Clinical nurses cited low wages, heavy workloads, and burnout as the most considerable difficulties in performing their duties. Factors influencing nurse's turnover intention were low wages, unmanageable workload, and rotation to unwanted departments in that order. New nurses tend not to apply to small-medium-sized hospitals, experienced nurses in their 30s-40s leave hospitals due to childcare and shift work difficulties, and nurses in their 50s and older tend to move to nursing homes rather than acute hospital settings. Conclusion: In this study, wage and workload were mentioned as the most critical factors in nurses' workplace selection, job performance difficulties, and turnover intention, so it is necessary to pay attention to this aspect when improving treatment for nurses.

• 간호행정학회지
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• 제11권1호
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• pp.67-77
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• 2005

Purpose: Needs of health-welfare-medical service for the elderly is rapidly increasing in Korea. The purpose of this study was to evaluate the needs of health-welfare-medical service for the long-term care elderly in the community and to compare differences by their characteristics. Method: Needs assessment was completed in the homes of 598 persons over 65 years by using the tool of needs assessment, between November and December, 2003. We examined all the health-welfare-medical service of elderly in the community. Data were analyzed using SAS program. Result: The needs of the long-term care elderly in community was largest 'home visiting service of visiting nurse(87.5%)', and then 'religious, psychological and emotional support(73.9%)', 'home visiting therapy of physician(58.5%)', 'social support service(55.7%)', 'health improvement program of public health center and social welfare center(51.8%)', 'health examination(48.8%)' followed. The difference of health-welfare-medical service needs among characteristics(age, medical security, caregiver existence, and regions) was statistically significant by service contents(p<0.05 or p<0.01). Conclusion: We can apply it in the distribution of community resource and the development of service providing programs by figure out the needs assessment for the long-term care elderly in the community, and consequently, through this, realizing the health maintenance and promotion of the long-term care elderly.

• Child Health Nursing Research
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• 제17권3호
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• pp.153-160
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• 2011

Purpose: The purpose of this study was to identify differences in sexual knowledge, attitudes and perspectives of sexual values for female students as these factors related to sexual characteristics. Methods: The participants were 835 girls in junior or high school from Seoul and Kyunggi province in Korea. Data were collected using self-report questionnaires and analyzed using descriptive statistics, t-test, F-test and Scheffe with the SPSS 14.0 WIN program. Results: The major results were as follows: First, for sexual knowledge, there were significant differences for girls from homes with conservative atmosphere and for those who had experiences related to porno. Second, related to sexual attitudes, students who had experience related to porno, were significantly more positive, and had a more open attitudes than students with no experience. Third, for perspectives of sexual value, students who perceived a conservative home atmosphere, who had boy friend, and who had experiences related to porno, had a more positive sexuality, and attitudes towards sexual equality. Conclusion: The findings indicate that it is necessary to develop special sex education programs for both school and parents so that teachers and parents can guide these students appropriately.

• 간호행정학회지
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• 제21권3호
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• pp.297-307
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• 2015

Purpose: The purpose of this study was to identify moderating effects of work-family conflict in the relationship between job, organizational, career characteristics and turnover intention among nurses working in small and medium-sized hospitals. Methods: A self report questionnaire survey was completed by 286 nurses working in five small or medium-sized hospitals in P city. Data were gathered during October, 2014 and analyzed using the SPSS 21.0 program. Results: Work-family conflict had significant moderating effects between job, organizational, career characteristics and turnover intention of nurses working in small or medium-sized hospitals. Career commitment was the biggest factor in reducing turnover intention. Conclusion: The results of the study indicate that work-family conflict and career commitment are important factors in turnover intention among nurses working in small and medium-sized hospitals. Therefore, to understand job and organizational career characteristics of nurses in small and medium hospitals, consideration must be given to the role of conflict in the nurses' workplace and homes. Support from the organization focusing on career development, and provision of an innovative system for the environment of small hospitals are needed.

• Architectural research
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• 제1권1호
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• pp.11-16
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• 1999

Wandering behavior is a serious problem among the elderly in nursing homes, yet it has received relatively little study by those interested in gerontology. The research that has been done has generally regarded wandering behavior as an aimless, directionless movement. Only a few studies have addressed the problem after first assuming that wanderers have a goal to their movement, and fewer still have explored the role of the physical environment on the wanderer's behavior. None have combined the two approaches. In this paper, the physical environment will be looked at for support of the theory of wandering as a goal seeking behavior. In a pilot study using behavior maps, the movements of wanderers and non-wanderers are analyzed and compared for the amount of visual access and exposure their locations contain. While the behavioral implications of these two measurements are considered, the limitations of the results are also discussed, so that their relationship to the cause of wandering behavior may be better understood. By implying that wandering is not a totally aimless but purposeful behavior at least in the subconscious level, constructive design implications can be suggested that would make wandering a more pleasant experience for the wanderer and increase the ease of the nursing home staffs management of the problem.

• 재활간호학회지
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• 제3권1호
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• pp.71-79
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• 2000

The purpose of this study was to examine the knowledge and practice of the Clean Intermittent Self Catheterization (CIC) conducted by Spinal Cord Injury Patients (SPIC) or their significant others as an activity of daily living at their homes or working places. Forty-seven patients were participated in this study. Three questionnaires developed by researchers for this study were used to collect demographic data, knowledge and practice skill of CIC. Descriptive statistics and ANOVA were used to analyze the data. Nineteen (19) patients experienced Urinary Track Infection (UTI) during the last one years and two of them have had several times of UTI. Knowledge level of the participant was not high enough to perform correct CIC. Some evidences indicated that the knowledge did not apply to their practice. Systematic analysis and development of educational content based on this study results was recommended and the systematic instructional design before actual patient education was strongly recommended.

• 대한간호학회지
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• 제38권6호
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• pp.802-812
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• 2008

Purpose: The purpose of this study was to identify and describe phenomenological structures of the lived experience of struggling against an illness for patients with Amyotrophic Lateral Sclerosis (ALS). Methods: The participants were 7 patients with ALS recruited by snowball sampling who agreed to participate in this research and could verbally communicated with the researcher. Data were collected by long term-repeated interviews with participants in their own homes. Data were analyzed using Colaizzi's method of phenomenology. Results: Four categories were extracted as follows: 'Being seized with fear of death', 'Living a marginal life', 'Accepting hard fate', and 'Clinging to faint life'. Seven theme clusters were identified as: 'Wandering to find a healing method with ominous signs in the body', 'Having a diagnosis of ALS is like a bolt from the blue and struggling against illness with faint hope', 'Being forced out to the edge of life with anguish', 'Filling one's heart with hatred and longing toward becoming estranged from the world', 'Living with stigma as a stumbling block with bitter grief in one's heart', 'Accepting every things as one's fate with self controlled fear of death', and 'Attaching to desire to live'. Conclusion: The results of this study can be used to develop the programs to support patients with ALS and their family.