• 대한간호학회지
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• 제43권3호
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• pp.379-388
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• 2013

Purpose: The purpose of this study was to develop a tool to evaluate patient safety culture in nursing homes and to test its validity and reliability. Methods: A preliminary tool was developed through interviews with focus group, content validity tests, and a pilot study. A nationwide survey was conducted from February to April, 2011, using self-report questionnaires. Participants were 982 employees in nursing homes. Data were analyzed using Cronbach's alpha, item analysis, factor analysis, and multitrait/multi-Item analysis. Results: From the results of the analysis, 27 final items were selected from 49 items on the preliminary tool. Items with low correlation with total scale were excluded. The 4 factors sorted by factor analysis contributed 63.4% of the variance in the total scale. The factors were labeled as leadership, organizational system, working attitude, management practice. Cronbach's alpha for internal consistency was .95 and the range for the 4 factors was from .86 to .93. Conclusion: The results of this study indicate that the Korean Patient Safety Culture Scale has reliability and validity and is suitable for evaluation of patient safety culture in Korean nursing homes.

• 한국실내디자인학회논문집
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• 제18권1호
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• pp.108-116
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• 2009

As an aging society accelerates its pace for the present, providing a pleasant environment to nursing homes is such an environmental requirement with which elderly people could improve their quality of life and even acquire the effects of healing. As an optimal element of ensuring amenity, nature is a general hospital that heals human beings physically and mentally. In this vein, the investigator drew out the frame of analysis, namely emotional/healing/relating amenity, by means of theoretical examination of such natural elements as water, light, soil/stone, and plant. And on the basis of the drawn amenity, the investigator examined the application of natural elements to study subjects in order to analyze the ensured amenity. Study findings show that the existing nursing homes have ensured healing amenity sufficiently, but they are unsatisfactory in ensuring emotional and relating amenity. Based on interview survey, the investigator suggests that the introduction of natural elements into nursing homes such public space as mediation space, interaction space, and rest places to ensure emotional/healing/relating amenity must be ideally equipped with the formation of outdoor forest in which water, light, soil/stone, and plant get joined together, rather than Introducing a single element respectively. In addition, the plan of construction of nursing homes must take residing elderly people's emotional/healing/relating amenity into account on the basis of physical amenity.

• 한국실내디자인학회논문집
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• 제20권6호
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• pp.208-217
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• 2011

Recently the importance of the elderly facilities and the eco-friendly buildings is on the rise, due to the rapid increase of the aged population and the more and more serious global environment issues, respectively. Thus, the purpose of this study is to suggest an eco-environmental improvement plan which aims to improve the quality of life for the aged in planning nursing homes hereafter by reviewing the theory of the eco-friendly architectural concept and the same conceptual design, which become the issues of late, and thus analyzing the state of applying the eco-friendly design techniques to the municipal nursing homes located in Seoul. In this study its direction of the eco-friendly design required in nursing homes was established by reviewing the characteristics which the aged and nursing homes may have, and thus extracting the elements required for the quality of life for them. The theoretical studies showed that the environment-friendly natural elements necessary for the nursing houses are light, air and plants, from which three design elements are obtained: daylighting, natural ventilation and natural landscape. In conclusion, the eco-friendly nursing homes must be planned to improve the quality of life for the aged by recognizing that the eco-friendly architecture concept, emerged as a new paradigm, is the one to be put before all the considerations for those who are sensitive to the environment, and thus reviewing the characteristics found out from them.

• 산업진흥연구
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• 제6권4호
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• pp.83-93
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• 2021

본 연구는 중국 동부지역 11개 성의 요양원 경쟁력을 비교분석하기 위하여 산업 경쟁력 이론에 근거한 평가지표체계를 설정하고, 계층분석법(AHP)을 이용하였다. 자료는 "중국민정통계연감 2020"의 데이터를 이용하였고, 그 결과 장쑤성은 중국 동부의 11개 성 중 요양원의 경쟁력이 가장 높고 하이난성은 가장 낮은 것으로 나타났다. 경쟁력은 중국 동부의 11개 성에서 차이가 있었다. 요양원 산업 전반에 걸쳐 '의료인력 대비 병상 비율', '요양원 비율', '요양시설 1인당 고정자산', '와상 노인의 수' 등이 크게 영향을 미치는 4대 요인으로, 요양원의 경쟁력에 영향이 있는 것으로 나타났다. 요양원 산업이 합리적으로 발전하고 요양원의 효율성 그리고 서비스의 질이 향상될 수 있도록 지역마다 차별화된 전략을 세워야 한다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제13권1호
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• pp.61-71
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• 2007

The Outdoor space is an essential element among healing environments for older people. The purpose of this study is to identify outdoor design issues which can improve the health conditions of the elderly living in nursing home. At first, the design principles of outdoor space for the mentally ill have been collected from the literature survey. Secondary, outdoor design requirements for the care program in nursing homes have been explored. Thirdly, good design elements have been collected from 6 nursing homes which have good outdoor space. Finally, Basic design principles of outdoor space of nursing homes in which older people with dementia live have been proposed by analysis and synthesis on the three stages before. As a result of this study, 6 dimensions in architectural planning of outdoor space for nursing homes have been presented : safety environment, various sensual stimulation, social interactions, support physical ability, accessibility, meditation.

• 대한간호학회지
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• 제45권1호
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• pp.1-13
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• 2015

Purpose: The purpose of this study was to evaluate the psychometric quality and feasibility of measurements for screening dysphagia in older adults to identify the 'right tool' for nurses to use in nursing homes. Methods: A systematic review was done. Electronic databases were searched for studies related to dysphagia screening measurements. A checklist was used to evaluate the psychometric quality and applicability. Tools were evaluated for feasible incorporation into routine care by nurses. Results: 29 tools from 31 studies were identified. Dysphagia screening tools with an acceptable validity and reliability had sensitivity between 68% and 100% and specificity between 52% and 100%. The Gugging Swallowing Screen (GUSS) and the Standardized Swallowing Assessment (SSA) were the tools with high psychometric quality, especially with high sensitivity, that nurses could perform feasibly to identify the risk and to grade the severity of dysphagia and aspiration of nursing home residents. Conclusion: Results show that GUSS and SSA are reliable and sensitive tools for screening dysphagia which nurses can use in nursing homes. Further research is needed to examine feasibility of screening with identified tools, and also, to establish effective and standardized protocols for these tools so they can be effectively incorporated into routine care.

• 지역사회간호학회지
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• 제23권2호
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• pp.134-143
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• 2012

Purpose: The purpose of this study is to investigate verbal, physical and sexual violence to caregivers in nursing home workplaces. Methods: This cross-sectional study was done from October 17 to 31, 2011 at eight randomly selected nursing homes in Seoul and one nursing home in Gyeonggi, South Korea. This study explored their responses to violence and violent situations, and then investigated on how caregivers coped with workplace violence. Results: The results of this study show that most caregivers in nursing homes experience some form of violence. Verbal violence was more frequent than physical or sexual violence. Verbal and physical violence occurred most often while they were changing the clothes of patients and sexual violence occurred most often while they were showering patients. After experiencing violence, caregivers most often dealt with the situation by informing their colleagues of what was happened. Conclusion: These results suggest that institutional and administrative measures must be implemented to increase the prevention of violence against caregivers and to improve effective measures to deal with violence once it has occurred. Violence in nursing homes can be reduced through the combination of appropriate responses by caregivers and proper education of both patients and caregivers.

• 간호행정학회지
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• 제12권3호
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• pp.473-481
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• 2006

Purpose: The Purpose of this study was to examine the factors on the nursing home quality indicators. Methods: The subjects of this study were 377 residents living in the nursing home more than 30 bed. The subject's minimum length of residence is 3 months and age of the subject is year of 65 over. The data were analyzed using descriptive statistics, Pearson correlation and multilevel analysis. Results: The main result of the study were in following. First, the quality gap among nursing homes resulted from both institutional and person level factors. Second, the person level factors affecting the quality of nursing home included ALD. However institution level factors had no direct effect on dependent valuable. Third, the interaction effect between the institution and person level factors was found. The ADL have less effect on the quality of nursing homes doing more quality management than of nursing homes doing less. Forth, The effect of ADL was different according to the level of care planing and satisfaction survey. Conclusion: These results suggest that the determinants of nursing home quality indicators were ADL & quality management. This study will contribute to apply nusing home quality indicators in Korea.

• 대한간호학회지
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• 제38권3호
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• pp.474-482
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• 2008

Purpose: The purposes of this study were; 1) to test the validity and reliability of the Korean version of Rantz's Observable Indicators of Nursing Home Care Quality Instrument (ONHQ) and 2) to evaluate the quality of Korean nursing homes. Methods: The study employed a three-phase methodological research design. 1) The original instrument of Rantz's. ONHQ was translated into Korean and modified by Korean nursing home experts. 2) A pilot study using the modified instrument was done in 20 nursing homes to examine inter-rater reliability. 3) The validity and reliability were tested.in 98 nursing homes. Results: Seven factors were extracted through factor analysis: 'communication', 'care delivery', 'grooming', 'odor, 'environment-basics', 'environment-access', and 'environment-homelike'. These factors explained 86.07% of the total variance. Cronbach's alpha coefficient of the 30 items was .97 indicating a high internal consistency of the instrument. Inter-rater reliability according to Kappa was .82. The average score of nursing home quality was 112.07 indicating an average range of quality level. Conclusion: The Korean version of the ONHQ was identified as a tool with a high degree of validity and reliability. This tool can be effectively used to assess the quality of nursing homes by professions as well as family members.

• 간호행정학회지
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• 제14권2호
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• pp.131-143
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• 2008

Purpose: The aim of this study was to develop service quality indicators to evaluate structure and process of the nursing home service. Method: On the basis of literature review and analysis of existing quality indicators, the researcher made a preliminary service quality indicators and verified content validity twice. The final service quality indicators were applied in 30 nursing homes. Results: Preliminarily, 3 domains, 24 sub-domains, and 156 indicators were generated. Through two content validity testings, the indicators scoring over .80 CVI for each testing were adopted and modified by discussion with a panel of experts. The final indicators consisted of 3 domains, 15 sub-domains, and 128 indicators. These indicators were applied in 30 nursing homes. The result showed that they were easily applicable and suitable for a evaluation of service quality in nursing home. Conclusion: This 'service quality indicators in nursing home' was verified by the content validity. This tool will be able to be used for evaluation and improvement of nursing home service quality. However, repeated researches are needed for further validity and reliability.