간호·간병통합서비스 병동 입원 환자가 인식한 환자중심간호와 간호서비스 만족도가 병원 재이용 의도에 미치는 영향

강영옥(Kang, Young Ok),김명숙(Kim, Myung Sook),장경숙(Jang, Kyong Sook) 한국노인간호학회 2020 노인간호학회지 Vol.22 No.1

Purpose: This study was done to identify perceived patient-centered care and nursing service satisfaction in order to predict hospital revisit intention among inpatients who received comprehensive nursing service. Methods: Participants were 190 inpatients admitted to the comprehensive nursing service unit of one university hospital in D city. Data were collected with structured questionnaires from April 2 to July 2, 2018, and analyzed using descriptive statistics, t-test, one way ANOVA, Pearson correlation and stepwise multiple regression with SPSS/ WIN 23.0. Results: Scores for patient-centered nursing awareness averaged 4.11, for nursing service satisfaction, 4.49 and for hospital revisit intention 4.65 on a five-point Likert scale. Patient-centered nursing awareness, nursing service satisfaction, and reasons for using comprehensive nursing service explained 36.4% of variance in hospital revisit intention(F=37.10, p<.001). Nursing service satisfaction(β=.41, p<.001) followed by patient-centered nursing awareness(β=.23, p=.001), and reasons for using comprehensive nursing service(β=.15, p=.015) were the significant factors that predicted intention to revisit hospital. Conclusion: Findings show that nursing service satisfaction and patient-centered nursing awareness are crucial to increasing patients’ intention to revisit the hospital. It is important to develop various educational programs and conduct systematic education to strengthen patient-centered nursing to improve the nursing service satisfaction on comprehensive nursing service units.

요양병원 노인 환자 임종간호에 대한 간호사의 경험: 실무 과정과 장애 요인을 중심으로

김익태(Kim, Iktae),송준아(Song, Jun-Ah) 한국노인간호학회 2021 노인간호학회지 Vol.23 No.3

Purpose: The purpose of this study was to investigate the practical process and barriers of end-of-life nursing practice for older patients in long-term care hospitals by exploring nursing experts’ actual experiences. Methods: Qualitative data were collected through focus group interviews with 9 nurses in 3 different long-term care hospitals from April to May, 2019. All interviews were recorded and transcribed verbatim and analyzed using the content analysis method. Results: Five themes and 14 sub-themes emerged for nurses’ perception regarding end-of-life nursing practice in long-term care hospitals, whereas three themes and 10 sub-themes emerged for the barriers of end-of-life nursing practices. The results show that the end-of-life nursing practice is currently considered an additional area beyond nurses’ existing work in long-term care hospitals and the area of performance is focused almost exclusively on physical care. The care is especially lacking in psychological and spiritual areas. Moreover, aspects of practice vary by institutions, day or night shifts and individuals. Various factors that hinder nurses’ performances of end-of-life care are identified in the areas such as ignoring patients’ dignity, an underdeveloped system and lack of supportive environment. Conclusion: Findings of this study suggest the need to establish standardized protocols for end-of-life nursing care in long-term care hospitals and develop educational programs based on those protocols.

노인의 건강 임파워먼트, 사회적 지지가 건강증진행위에 미치는 영향

이경미(Kyungmi Lee),임세미(Semi Lim) 한국노인간호학회 2022 노인간호학회지 Vol.24 No.4

Purpose: This study aimed to identify the health empowerment, social support, and health-promotion behavior of older adults. Furthermore, the factors influencing healthpromotion behavior were identified. Methods: A cross-sectional descriptive study was conducted using self-report questionnaires. Questionnaires were disseminated offline and online to a total of 152 older adults from April 26, 2021 to July 15, 2021. Data were analyzed using the t-test, ANOVA, Pearson correlation, and multiple regression. Results: Statistically, health empowerment, social support, and subjective economic status reportedly affected health-promotion behavior, and the total explanation power was 44%. Conclusion: In conclusion, strategies for strengthening health empowerment and social support are needed to increase health-promotion behavior among older adults.

장기요양 방문간호사의 비판적 사고성향, 직무수행능력 인식수준 및 직무 관련 교육요구도

신근영(Shin, Keunyoung),신수진(Shin, Sujin) 한국노인간호학회 2021 노인간호학회지 Vol.23 No.1

Purpose: This study aimed to examine the critical-thinking disposition, job competency, and educational needs of home-visiting nurses in long-term-care insurance and to provide evidence to further develop educational programs to strengthen home-visiting nurses’ competencies. Methods: This study adopted a correlational research design. Data accrued from 180 home visiting nurses in long-term-care insurance using a convenience-and snowball- sampling method. The collected data were analyzed using the SPSS 25.0 software package and Excel. Priorities of educational needs were determined based on the Borich s Needs Assessment Model. Results: A positive correlation exists between critical-thinking disposition and perceived job competency of long-term-care home-visiting nurses (r=.59, p<.001). Experience as a home visiting nurse was a major factor related to critical-thinking disposition and perceived job competency. Home-visiting nurses were found to have higher educational needs in developing services and educational materials, as well as utilizing community resources by applying the Borich s Needs Assessment Model. Conclusion: These results highlight the need to provide career development programs for home-visiting nurses with less experience in the field to enforce competencies and compose good working environments so the experienced nurses with high job competencies can remain in the field and improve the quality of visiting nursing care.

노인요양시설 간호사 및 간호보조 인력의 인간중심케어 영향 요인

김은미(Kim, Eun Mee),신주현(Shin, Juh Hyun) 한국노인간호학회 2020 노인간호학회지 Vol.22 No.1

Purpose: The purpose of this study was to determine individual and organizational factors that influence patient- centered care. Methods: Data were collected through convenience sampling and hierarchical linear modeling (HLM) 7.0 was conducted to analyze the effects of individual and organizational factors for patient-centered care. Results: One hundred and thirty five participants were included, of which 42.2% were registered nurses (RNs), 20.0% certified nursing assistants, and 37.8% care workers. Among the 14 nursing homes assessed, the average proportion of registered nurses was 7.6%. Patient-centered care was explained by a power of 2.4% at the individual level and was significantly associated with religion of nursing staff. The explanatory variables were not significant at the organizational level. Conclusion: While previous studies have highlighted the association established between patient-centered care and both individual and organizational characteristics, the same degree of association was not found in the present study primarily due to convenience sampling. Possible avenues for improvement include further consideration of the differences between individual and organizational variables and the addition of more explanatory variables to measure their impact on patient-centered care. Nonetheless the present study provides informative perspectives on the perception of nursing staff regarding elder abuse and human rights sensitivity of nursing staff.

노인요양시설 간호사의 케어 로봇에 대한 인식

홍은민,신수진 한국노인간호학회 2019 노인간호학회지 Vol.21 No.1

Purpose: The aim of this study was to identify long-term care facility nurses’perceptions on the use of care robots. Methods: The participants were 106 nurses in seventeen long-term care facilities. The perception of care robots was measured using questionnaires on the availability and efficiency for major nursing care tasks. Data were analyzed using descriptive statistics, t-test, and ANOVA with SPSS/WIN 24.0. Results: Among the participants, 46.2% said they needed an introduction on care robots, 59.4% had heard about care robots, and 11.3% had educational experience with care robots. The perception of care robots by the participants was 3.32±0.60 for the view of availability and 3.32±0.61 for the view of efficiency. Measurement and monitoring areas were found to be high in terms of both availability and efficiency. The perception of care robots according to experiences with care robots (t=2.66, p=.009) showed a statistically significant difference. Conclusion: Nurses in long-term care facilities reported that care robots are needed and that care robots are available and efficient in nursing care. It is necessary to reflect the opinions of nurses in the development of care robots, and to support the nurses' experience with care robots and the facilities and devices for care robots.

종합병원 간호사의 노인간호 스트레스와 노인간호수행과의 관계에서 공감과 회복 탄력성의 조절된 조절효과

최영숙(Young Suk Choe),유양경(Yang Gyeong Yoo) 한국노인간호학회 2023 노인간호학회지 Vol.25 No.1

Purpose: This study aimed to investigate whether empathy and resilience moderate the relationship between geriatric care-related stress and geriatric nursing practice among secondary hospital nurses. Methods: Data were collected from three secondary hospitals in J province from July 20, 2022, to August 10, 2022. Nurses with at least three months of employment were convenience sampled, and a structured questionnaire was used. A total of 218 questionnaires were included in the analysis. The collected data were analyzed using the IBM SPSS Statistics 24.0 software. Results: Geriatric nursing practice was significantly positively correlated with geriatric carerelated stress, empathy, and resilience. Empathy moderated the effects of geriatric care-related stress on geriatric nursing practice, and this moderating effect was re-moderated by resilience (moderated moderation effect). In other words, nurses with high resilience and empathy tended to show stronger geriatric nursing practice even with elevated geriatric care-related stress. Conversely, nurses with high resilience and low empathy tended to show weaker geriatric nursing practice with increasing geriatric care-related stress. Conclusion: These results highlight the need for multilateral efforts to reduce nurses’ stress related to geriatric care and enhance their empathy and resilience, ultimately promoting geriatric nursing practice. This study has important implications for nursing practice. Specifically, it is the first to confirm a moderated moderation effect of empathy and resilience on the relationship between geriatric care-related stress and geriatric nursing practice among nurses. Subsequent studies should identify whether other factors moderate the relationship between geriatric care-related stress and geriatric nursing practice.

일 간호대학생의 노인에 대한 태도

이숙희 한국노인간호학회 2014 노인간호학회지 Vol.16 No.1

Purpose: The purpose of this study was to investigate the attitudes of nursing students toward elderly people. Methods: The study participants were 286 nursing students from a nursing college who consented to participatein this study. A form containing demographic characteristics of participants and Kogan's Attitudes toward OldPeople Scale (KAOPS) were used to gather the required data. The data were analyzed using descriptive statistics,t-test and ANOVA. Results: Nursing students in this study reported neutral attitudes (121.52±12.63) comparedto positive attitudes of Western nursing students in previous studies. Nine out of 17 negative items had highermean scores than positive items. Statistically significant differences were found associated with experience feelingof living with elderly people and care for elderly people. Conclusion: The results of this study suggest that nursingeducation should be directed at changing nursing students' attitudes toward older people. Experience of exposureto well-older people may be helpful to promote nursing students' positive attitudes toward elderly people. There is a need to further test the validity and reliability of the KAOPS for use with various populations in Korea.

장기요양시설 거주 노인 대상 한국어판 코넬 치매 우울척도(K-CSDD) 검증

이영신,이예선,홍귀령 한국노인간호학회 2015 노인간호학회지 Vol.17 No.3

Purpose: The purpose of this study was to translate and test reliability and validity of The Korean version of The Cornell Scale for Depression in Dementia (K-CSDD) used for assessing depression among impaired cognitive older adults. Methods: Original CSDD was translated into Korean and Linguistic contents were verified through back-translation procedures. The participants were 97 older adults reside in long-term care facilities. The participants were assessed using the Korean version of Mini-mental Status Examination (MMSE-K), The Korean version of the Hamilton Depression Rating Scale (K-HDRS), The short form of the Geriatric Depression Scale-Korean (SGDS-K), and K-CSDD. Results: In the reliability test, Cronbach’s ⍺ coefficient and test-retest reliabilities were .78 and .48, respectively. In concurrent validity of the K-CSDD, there were significant correlations between the K-CSDD and K-HDRS (r=.78, p<.01). Factor analysis resulted in six factors accounting for 68.8% of the common variance. ROC curve analysis identified a cut-off score of 5 for the K-CSDD, where the sensitivity was 80.4% and the specificity was 89.0%. Conclusion: This study shows that K-CSDD is the reliable and valid scale for healthcare professionals to assess depression in cognitive impaired older adults in Korea.

국민기초생활수급 여성독거노인의 삶의 질 연구

백선숙,김경숙,최정현 한국노인간호학회 2010 노인간호학회지 Vol.12 No.3

Purpose: This study was conducted to identify the characteristics of older women living alone, and to verify variables related to quality of life and factors contributing to quality of life among these women who are enrolled in the national basic livelihood security program. Methods: Data were collected in 3 cities from 107 vulnerable elderly women who lived alone. Structural surveys with face to face interviews were used to collect the data. Data were analyzed using t-test, ANOVA and stepwise multiple regression analysis with the SPSS/WIN 14.0. Results:The factors contributing to quality of life among older women living alone were health perception, income satisfaction, and health promotion behavior. Conclusion: The results indicate that income satisfaction through economic support and health promotion behavior are needed in order to increase the quality of life of these women. Thus, health promotion programs and policy for adequate economic support are also needed.