Historical Perspectives for the Roles of Gerontological Nurse Practitioners

Lim, Kyung-Choon 노인간호학회 2005 노인간호학회지 Vol.7 No.2

미래의 보다 나은 간호는 초창기 선각자들이 오늘날의 상급 실무 간호사들을 위한 공헌도에 대하여 이해와 감사를 바탕으로 이루어져야만 한다. 이 논문의 목적은 미국에서의 노인전문간호사가 어떻게 과거에 도입되었고 현재 하는 역할이 무엇인지에 대해 역사적으로 고찰하여 한국에서의 노인 전문간호사의 역할 개발에 도움이 되고자 함이다. 문헌 고찰을 통하여 미국에서의 전문간호사의 변천, 노인 전문 간호사의 발전 과정 및 현재의 역할에 대해 서술하였다. 이를 바탕으로 한국 사회에서의 노인전문간호사가 역할을 개발하고 성공적으로 자리매김하기 위한 전략들을 제언하였다. 결론적으로 미래의 상급 실무 간호사들이 나아가야 할 역할의 방향은 환자들에게 수준 높은 질적 간호 제공으로 만족도를 높이면서 리더쉽을 발휘하여 현재의 보건 전달 체계 내에서 자리매김해 나가는 것이다.

노인요양시설 간호사와 병원간호사의 감정노동과 직무만족 비교

성기월 노인간호학회 2012 노인간호학회지 Vol.14 No.1

본 연구의 목적은 노인요양시설 간호사와 병원간호사의 감 정노동과 직무만족을 비교하고, 감정노동에 영향을 미치는 변수를 비교분석하여 간호 인력관리전략을 위한 기초자료를 마련하고자 함이며, 구체적인 목표는 다음과 같다. 􀁹 노인요양시설 간호사와 병원간호사의 일반적 특성에 따 른 감정노동의 차이를 비교한다. 􀁹 노인요양시설 간호사와 병원간호사의 감정노동과 직무 만족 정도를 비교한다. 􀁹 노인요양시설 간호사와 병원간호사의 감정노동과 직무 만족간의 상관관계를 비교한다. 􀁹 노인요양시설 간호사와 병원간호사의 감정노동에 영향 을 미치는 변인을 비교한다.

노인 전문 간호사 역할에 대한 역사적 고찰

임경춘 노인간호학회 2005 노인간호학회지 Vol.7 No.2

미래의 보다 나은 간호는 초창기 선각자들이 오늘날의 상급 실무 간호사들을 위한 공헌도에 대하여 이해와 감사를 바탕으로 이루어져야만 한다. 이 논문의 목적은 미국에서의 노인전문간호사가 어떻게 과거에 도입되었고 현재 하는 역할이 무엇인지에 대해 역사적으로 고찰하여 한국에서의 노인 전문간호사의 역할 개발에 도움이 되고자 함이다. 문헌 고찰을 통하여 미국에서의 전문간호사의 변천, 노인 전문 간호사의 발전 과정 및 현재의 역할에 대해 서술하였다. 이를 바탕으로 한국 사회에서의 노인전문간호사가 역할을 개발하고 성공적으로 자리매김하기 위한 전략들을 제언하였다. 결론적으로 미래의 상급 실무 간호사들이 나아가야 할 역할의 방향은 환자들에게 수준 높은 질적 간호 제공으로 만족도를 높이면서 리더쉽을 발휘하여 현재의 보건 전달 체계 내에서 자리매김해 나가는 것이다.

간호학생들의 노인 태도에 대한 노인간호학 이론과목의 단기효과

김정희 노인간호학회 2008 노인간호학회지 Vol.10 No.2

Purpose: In this study the short-term effects of gerontological nursing lectures on attitudes toward elders were examined. Method: Questionnaires developed for Asian cultures were administered before and after the lecture course The experimental group consisted of 53 junior students in a baccalaureate nursing program while 27 students comprised the comparison group Data were analyzed using t-test paired t-test chi-square test and repeated measures ANOVA. Results: No significant difference between the two groups was observed in the experience of living with elders communication with elders interest in elders and religion Students' evaluation of elder vitality and flexibility improved significantly after taking the lecture course in the experimental group However scores of those two dimensions did not pass the neutial point remaining in the negative realm Flexibility was evaluated worse than the vitality of the elders Before the lecture course evaluation of elder generosity was the only positively evaluated dimension However there was no significant change in the generosity dimension for either group. Conclusion: Short-term effects of gerontological nursing lecture were observed in vitality and flexibility of elders For more positive changes in students' attitudes toward elders educational strategies need to be devised Future study should include both short-term and long-term effects.

Health-Related Behaviors in Older Korean American Adults in USA

Choi, Yeon Hee 노인간호학회 2001 노인간호학회지 Vol.3 No.1

연구 목적은 미국에 살고 있는 제1세대 한국이민 노인들의 건강관련 행위 양상을 파악하고, 이러한 행위가 인구학적 변수, 건강상태 및 사회심리적 건강 특성과의 관련성을 탐색하기 위함이다. 연구 대상자는 미국에 이민 온지 평균 약 15년으로 평균연령 77.97세인 지역사회 노인 102명으로 와싱톤주의 시애틀과 타코마 지역에 거주하고 있다. 자료수집은 건강관련 행위와 사회심리적 건강특성을 측정하는 구조화된 설문지를 이용하여 한인교회와 노인회관을 중심으로 연구대상자들에게 심층면접으로 이루어졌다. 수집된 자료는 SPSS를 이용하여 빈도, 백분율, 평균, 표준편자, χ²검정 및 t 검정으로 분석하였다. 연구의 주요 결과는 (1) 연구 대상자의 65.7%가 규칙적으로 운동하였고, 78.4%가 지난 5년동안 체중을 일정하게 유지하였고, 76.5%가 흡연하지 않았으며, 7355%에서 음주하였다. (2) 교육수준이 높을수록 규칙적인 운동과 일정한 체중 유지가 되었으며, 건강문제가 없을수록 운동을 규칙적으로 하였다. (3) 연령이 높을수록 금연과 행위가 많았으며, 남자 노인이 흡연을 더 많이 하였다. (5) 삶의 만족도와 자아존중감이 높을수록 규칙적으로 운동하였다.

노인요양시설의 간호인력 확보수준 및 구성과 안정성이 입소노인의 건강결과에 미치는 영향

신주현,최귀윤,이지연 한국노인간호학회 2020 노인간호학회지 Vol.22 No.4

Purpose: The purpose of this study was to investigate the impact of nurse staffing, skill mix, and stability on resident health outcomes in nursing homes. Methods: This study used a cross-sectional design with proportionate stratified sampling. A total of 53 nursing homes of all 3,261 nursing homes in Korea participated in this study. The number of residents per nursing staff, hours per resident day (HPRD), skill mix, and turnover rate of each nursing staff were used as independent variables. Residents’ health-outcome indicators, and use of the emergency room and hospital were used as dependent variables. Multiple regression was used to investigate the impact of nurse staffing, skill mix, and turnover rate on resident health outcomes. Results: The impact of residents per director of nursing (DON) was supported in fall prevention, decreased aggressive behavior, decreased antipsychotic drug use, and increased hospital use (rate and frequency). The impact of registered nurse (RN) HPRD was supported in decreased weight loss, decreased deteriorated activities of daily living, and decreased deteriorated range of motion. High RN turnover related to higher antipsychotic drug use. Conclusion: Nursing homes should increase the staffing level of DONs and RNs to maintain and improve resident health outcomes. Further research is required to confirm the impact of nurse staffing on residents’ health outcomes in nursing homes.

간호학생의 노인과 치매노인에 대한 이미지 비교

김정희 노인간호학회 2000 노인간호학회지 Vol.2 No.2

This study aims at making comparisons of attitudes of nursing students toward the elders in general and demented elders. The subjects were 37 woman senior students having been majored in nursing at a university. Data were collected using self-administered questionnaires from March through April, 2000. Paired t-tests and correlation analyses were adopted in data analyses. Based upon a previous study, four factors were assumed to exist in image items such as activity-independence, happiness, mildness, and cooperativeness. The students had neutral attitude for happiness and positive attitude for mildness in general elders, whereas negative attitudes for both happiness and mildness in demented elders. The average score for cooperativeness indicated negative attitudes in both elderly groups with little difference in their interpretations. The item of solidarity/isolation indicated most negative attitude in both elderly groups. Correlation between activity-independence and cooperativeness was highest. Particular attention should be given in promoting positive attitudes toward demented elders as well as elders in general among nursing students. Conjecturing the effects of mass media on forming images of demented elders among the students, programs in mass media should be able to deliver positive images of demented elders rather than emphasizing their problematic behaviors only.

간호사의 노인 환자 간호에 대한 스트레스가 노인 간호행위 실천에 미치는 영향

이지윤,남혜리,손은진,황주희,남은숙 한국노인간호학회 2016 노인간호학회지 Vol.18 No.2

Purpose: This study was done to identify how stress concerning the care for elderly people affects geriatric nursing practice of nurses in general hospitals. Methods: Participants were 205 nurses who were working in general hospitals in C city. Data were collected through structured questionnaires from November 9 to November 20, 2015. Data analysis included one-way ANOVA, independent t-test, Pearson correlation coefficient and multiple regression using the SPSS/WIN 21.0 program. Results: Stress in caring for elderly patients affected geriatric nursing practice. Stress in the care of elders explained 12.4% (F=9.52, p<.001) of the variance in geriatric nursing practice. Conclusion: These results suggest that programs to decrease stress in the care of elders should be develop to improve the quality of geriatric nursing practice by nurses in general hospitals.

노인간호실습이 간호학생의 노인에 대한 태도에 미치는 영향

윤혜상,한미경 노인간호학회 1999 노인간호학회지 Vol.1 No.2

The primary purpose of this study was to evaluate the impact of the students' geriatric clinical nursing practice in a nursing home on their attitudes of nursing students toward the elderly. Data were collected from 225 volunteers in a junior nursing program over a one month period from November I to November 30, 1998. One group was tested after completing a geriatric nursing course and geriatric nursing practice; and the other group was tested after completing only a geriatric nursing course. A multiple-act behavioral attitude instrument was developed and used in the study. The instrument measured the students' reactions to 11 opinion statements, rated on a four-point scale, ranging from "strongly agree" to "strongly disagree". A t-test was used to determine the differences between the of the two groups attitudes of the two groups. There was no difference in the attitudes of nursing students toward the elderly between the group of nursing students who had a geriatric nursing course and clinical nursing practice and the nursing students who had a geriatric nursing course only. After the nursing students had geriatric nursing practice, they talked more with the elderly (χ²=7.708, p=0.052), demonstrated better manners with the elderly(χ²=12.700, p=0.004), and thought that the elderly were more lonely(χ²=8.294, p=0.081).

간호·간병통합서비스 병동 간호사의 의사소통능력과 간호근무환경이 노인 간호실천에 미치는 영향

권금옥,장혜영 한국노인간호학회 2022 노인간호학회지 Vol.24 No.2

Purpose: The purpose of this study was to identify factors influencing geriatric nursing practices in nurses working in comprehensive nursing care service wards. Methods: The participants were 181 nurses from comprehensive nursing care service wards across five hospitals. Data were collected from July 16 to August 06, 2021. Data were analyzed using t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and stepwise multiple regression. Results: The average age of nurses who work in the comprehensive nursing care service wards was 31.74±7.51 years, total clinical experience was 8.03±6.67 years, and average comprehensive nursing care service wards experience was 2.03±1.28 years. Geriatric nursing practice was influenced by communication ability (β=.30, p<.001), nursing working environment (β=.24, p=.001), and total clinical experience (β=.22, p=.001). The explanatory power was 21.9% (F=17.83, p<.001, Adj. R2=.22). Conclusion: Based on the results of this study, geriatric care is expected to develop if nurses’ work environments in comprehensive nursing care service wards improve and communication skills are trained. Therefore, it is demanded to organize an efficient working space for nurses and educational program that advances communication for comprehensive nursing care service providers.