Pub Date : 2023-08-31DOI: 10.17079/jkgn.2023.00059
Suin Lee, E. Lee
Purpose : This study aimed to develop and validate a structural equation model for health-related quality of life in older patients with chronic low back pain. Methods : We selected social support, symptoms, fear-avoidance beliefs, functional disability, health perception, and health-related quality of life as the main variables based on Wilson and Cleary’s model of health-related quality of life. A total of 211 participants aged ≥65 years who had been diagnosed with low back pain for more than three months were considered in this study. Data were collected from two hospitals in D Metropolitan City and A City, one public health center, and two senior citizen centers. We utilized SPSS/WIN 24.0 and R package ‘plspm’ (R Version 3.1.3) for data analysis. Results : The overall fit of proposed hypothesized model was .53, which met the acceptable threshold, confirming the adequacy of the model’s fit. Social support, symptoms, fear-avoidance beliefs, functional disability, and health perception were statistically significant variables in the health-related quality of life, and the explanatory power of these variables was 75.1%. Out of the 15 hypotheses in the model, 13 hypotheses were supported. Conclusion : The model showed 12 significant direct effects, one significant indirect effect, and 13 significant total effects (both direct and indirect). To enhance the health-related quality of life in older patients with chronic low back pain, alleviating fear-avoidance beliefs and functional disability is necessary, while improving positive social resources such as social support and health perception is essential.
目的:本研究旨在建立并验证老年慢性腰痛患者健康相关生活质量的结构方程模型。方法:基于Wilson和Cleary的健康相关生活质量模型,选取社会支持、症状、恐惧回避信念、功能障碍、健康感知和健康相关生活质量作为主要变量。本研究共纳入211名年龄≥65岁且被诊断为腰痛超过3个月的参与者。数据收集自D大都会市和A市的两家医院、一家公共卫生中心和两家老年人中心。我们使用SPSS/WIN 24.0和R软件包plspm (R Version 3.1.3)进行数据分析。结果:提出的假设模型的整体拟合为0.53,达到可接受阈值,证实了模型拟合的充分性。社会支持、症状、恐惧回避信念、功能障碍和健康感知是与健康相关的生活质量的统计学显著变量,这些变量的解释能力为75.1%。在模型中的15个假设中,有13个假设得到了支持。结论:模型显示12个显著的直接效应,1个显著的间接效应,13个显著的总效应(包括直接效应和间接效应)。为了提高老年慢性腰痛患者的健康相关生活质量,有必要减轻恐惧回避信念和功能残疾,同时改善积极的社会资源,如社会支持和健康感知是必不可少的。
{"title":"Health-related quality of life for older patients with chronic low back pain: A structural equation modeling study","authors":"Suin Lee, E. Lee","doi":"10.17079/jkgn.2023.00059","DOIUrl":"https://doi.org/10.17079/jkgn.2023.00059","url":null,"abstract":"Purpose : This study aimed to develop and validate a structural equation model for health-related quality of life in older patients with chronic low back pain. Methods : We selected social support, symptoms, fear-avoidance beliefs, functional disability, health perception, and health-related quality of life as the main variables based on Wilson and Cleary’s model of health-related quality of life. A total of 211 participants aged ≥65 years who had been diagnosed with low back pain for more than three months were considered in this study. Data were collected from two hospitals in D Metropolitan City and A City, one public health center, and two senior citizen centers. We utilized SPSS/WIN 24.0 and R package ‘plspm’ (R Version 3.1.3) for data analysis. Results : The overall fit of proposed hypothesized model was .53, which met the acceptable threshold, confirming the adequacy of the model’s fit. Social support, symptoms, fear-avoidance beliefs, functional disability, and health perception were statistically significant variables in the health-related quality of life, and the explanatory power of these variables was 75.1%. Out of the 15 hypotheses in the model, 13 hypotheses were supported. Conclusion : The model showed 12 significant direct effects, one significant indirect effect, and 13 significant total effects (both direct and indirect). To enhance the health-related quality of life in older patients with chronic low back pain, alleviating fear-avoidance beliefs and functional disability is necessary, while improving positive social resources such as social support and health perception is essential.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86519683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-31DOI: 10.17079/jkgn.2023.00045
Hyunju Lee, Y. Seo, Jihye Kim, Hye-Young Song, Jinhee Park, Youngran Yang
Purpose: An increasing number of nursing home are being established because of the increased demand for treatment and care of older adults with chronic diseases related to population aging. This study aimed to examine the impact of Long COVID, infectious diseases-related to work stress, fatigue, and coping on burnout among care providers in nursing home during the persistent COVID-19 pandemic. Methods: A total of 168 care providers, including nurses, nursing assistants, and caregivers working in nursing home between July 22 and August 12, 2022 were polled by a questionnaire survey. The collected data were analyzed using an independent t-test, one-way analysis of variance, Scheffé test, Pearson correlation coefficient, and multiple regression analyses via SPSS 21.0. Results: The prevalence of Long COVID-19 among care providers in nursing home was 85.7%, with a mean burnout score of 2.59 out of 5. Work stress related to infectious diseases (β=.27, p=.002) and infection control fatigue (e.g., fatigue related to complexity of nursing duties and shortage in employees [β=.51, p=.019], conflicts caused by uncertain situations and a lack of support [β=.50, p=.012]) were the variables that significantly associated with burnout. Conclusion: It is crucial to actively explore strategies for reducing overall work stress, anxiety, and fatigue, particularly related to infection management to alleviate burnout among care providers in nursing home. Our findings provide fundamental data for the development of interventions and policies to prevent care providers’ burnout, thus enabling the provision of high-quality care in nursing home.
{"title":"The impact of Long COVID, work stress related to infectious diseases, fatigue, and coping on burnout among care providers in nursing home: A cross-sectional correlation study","authors":"Hyunju Lee, Y. Seo, Jihye Kim, Hye-Young Song, Jinhee Park, Youngran Yang","doi":"10.17079/jkgn.2023.00045","DOIUrl":"https://doi.org/10.17079/jkgn.2023.00045","url":null,"abstract":"Purpose: An increasing number of nursing home are being established because of the increased demand for treatment and care of older adults with chronic diseases related to population aging. This study aimed to examine the impact of Long COVID, infectious diseases-related to work stress, fatigue, and coping on burnout among care providers in nursing home during the persistent COVID-19 pandemic. Methods: A total of 168 care providers, including nurses, nursing assistants, and caregivers working in nursing home between July 22 and August 12, 2022 were polled by a questionnaire survey. The collected data were analyzed using an independent t-test, one-way analysis of variance, Scheffé test, Pearson correlation coefficient, and multiple regression analyses via SPSS 21.0. Results: The prevalence of Long COVID-19 among care providers in nursing home was 85.7%, with a mean burnout score of 2.59 out of 5. Work stress related to infectious diseases (β=.27, p=.002) and infection control fatigue (e.g., fatigue related to complexity of nursing duties and shortage in employees [β=.51, p=.019], conflicts caused by uncertain situations and a lack of support [β=.50, p=.012]) were the variables that significantly associated with burnout. Conclusion: It is crucial to actively explore strategies for reducing overall work stress, anxiety, and fatigue, particularly related to infection management to alleviate burnout among care providers in nursing home. Our findings provide fundamental data for the development of interventions and policies to prevent care providers’ burnout, thus enabling the provision of high-quality care in nursing home.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80723179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-31DOI: 10.17079/jkgn.2023.00031
J. Park, Hyejin Kim
Purpose: This study aimed to describe nurses’ perceptions of gerontological nurse practitioner (GNP) programme curricula, especially positive and negative aspects of the curricula and suggestions to improve the curricula. Methods: Twenty-one certified GNPs attended one or two interviews and the data obtained were analysed using a conventional content analytic method. Results: The analysis revealed seven categories and 18 subcategories. The main positive aspects of the GNP programme curricula were “Acquiring knowledge and skills to elder care through the GNP programme” and “Application of gerontological nursing-related knowledge and skills attained from the GNP programme.” The negative aspects included “Didactic education insufficient for the development of expertise in gerontological nursing” and “Ineffective and suboptimal operation of clinical practice curriculum.” Suggestions to improve the GNP programme curricula were “Enhancement of education in core courses,” “Strengthening the contents of gerontological nursing didactic courses,” and “Quality improvement of clinical practice.” Conclusion: The findings indicate that educators, policymakers, and other stakeholders should re-examine the current GNP programme curricula to provide GNP students with quality education and training pertinent to professional healthcare for older adults in various healthcare settings.
{"title":"Nurses’ perceptions of gerontological nurse practitioner programme curricula: A qualitative descriptive study","authors":"J. Park, Hyejin Kim","doi":"10.17079/jkgn.2023.00031","DOIUrl":"https://doi.org/10.17079/jkgn.2023.00031","url":null,"abstract":"Purpose: This study aimed to describe nurses’ perceptions of gerontological nurse practitioner (GNP) programme curricula, especially positive and negative aspects of the curricula and suggestions to improve the curricula. Methods: Twenty-one certified GNPs attended one or two interviews and the data obtained were analysed using a conventional content analytic method. Results: The analysis revealed seven categories and 18 subcategories. The main positive aspects of the GNP programme curricula were “Acquiring knowledge and skills to elder care through the GNP programme” and “Application of gerontological nursing-related knowledge and skills attained from the GNP programme.” The negative aspects included “Didactic education insufficient for the development of expertise in gerontological nursing” and “Ineffective and suboptimal operation of clinical practice curriculum.” Suggestions to improve the GNP programme curricula were “Enhancement of education in core courses,” “Strengthening the contents of gerontological nursing didactic courses,” and “Quality improvement of clinical practice.” Conclusion: The findings indicate that educators, policymakers, and other stakeholders should re-examine the current GNP programme curricula to provide GNP students with quality education and training pertinent to professional healthcare for older adults in various healthcare settings.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83578043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-31DOI: 10.17079/jkgn.2023.00038
J. Seo, Ahyun Ryu, R. Song
Purpose: Although a stream of ‘healthy aging’ has been created, there is no consensus on defining healthy aging perceived by frail older adults. This study was conducted to investigate the concept of healthy aging perceived by frail older adults. Methods: The hybrid model consisted of three phases. In the theoretical phase, defining characteristics of healthy aging among frail older adults were identified through a literature review. A total of 1,166 articles were screened, and 32 relative articles were included. During the field phase, in-depth interviews were conducted with nine frail older adults who met the frailty criteria, and the data were analyzed through content analysis. In the final phase, based on the analysis of the literature review and qualitative interviews, a final definition of healthy aging in frail older adults was extracted. Results: The concept of healthy aging perceived by frail older adults was found in cognitive, behavioral, psychological, social and independent domains. For the frail older adults, healthy aging refers to the ability to maintain one’s own health through self-management, accept aging and natural death with a positive outlook, and be independent without relying on others. Conclusion: In frail older adults, healthy aging consists of a number of multidimensional domains and 10 attributes, including maintaining health, accepting the process of aging, being positive, and being independent. Using this final definition, health promotion strategies could be developed to achieve the optimal goal. To provide effective interventions to frail older adults, further research is needed to develop a reliable and valid assessment scale.
{"title":"Healthy aging of frail older adults in the community: A hybrid concept analysis","authors":"J. Seo, Ahyun Ryu, R. Song","doi":"10.17079/jkgn.2023.00038","DOIUrl":"https://doi.org/10.17079/jkgn.2023.00038","url":null,"abstract":"Purpose: Although a stream of ‘healthy aging’ has been created, there is no consensus on defining healthy aging perceived by frail older adults. This study was conducted to investigate the concept of healthy aging perceived by frail older adults. Methods: The hybrid model consisted of three phases. In the theoretical phase, defining characteristics of healthy aging among frail older adults were identified through a literature review. A total of 1,166 articles were screened, and 32 relative articles were included. During the field phase, in-depth interviews were conducted with nine frail older adults who met the frailty criteria, and the data were analyzed through content analysis. In the final phase, based on the analysis of the literature review and qualitative interviews, a final definition of healthy aging in frail older adults was extracted. Results: The concept of healthy aging perceived by frail older adults was found in cognitive, behavioral, psychological, social and independent domains. For the frail older adults, healthy aging refers to the ability to maintain one’s own health through self-management, accept aging and natural death with a positive outlook, and be independent without relying on others. Conclusion: In frail older adults, healthy aging consists of a number of multidimensional domains and 10 attributes, including maintaining health, accepting the process of aging, being positive, and being independent. Using this final definition, health promotion strategies could be developed to achieve the optimal goal. To provide effective interventions to frail older adults, further research is needed to develop a reliable and valid assessment scale.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84703229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-30DOI: 10.17079/jkgn.2023.00024
Jinhee Shin, E. Cho, Gwang Suk Kim, Heejung Kim, B. S. Ye, C. Park
Purpose: Dementia and altered cognitive function are highly prevalent among older adults with mild cognitive impairment (MCI); hence, prevention is necessary before it develops into dementia. Treatment adherence—medication adherence and physical activity—is essential to prevent and delay dementia; however, comprehensive interventions to promote it in this population are lacking. This study aimed to develop a program for treatment adherence utilizing an Internet of things (IoT) device. Methods: The six-step mapping protocol was used to develop the IoT-based treatment adherence intervention (ITAI). The intervention was based on literature review, expert opinions, and input from older adults with MCI. Results: In Step 1, needs assessment was conducted to gain insights into health problems and their underlying determinants. In Steps 2 and 3, performance objectives were identified for behavior change and selected theoretical and evidence-based methods were linked to the intervention outcomes. In Step 4, the ITAI was designed with components and materials consistent with the identified change goals and methods, and specific intervention components developed. In Step 5, implementation plans and solutions to barriers to its application were identified. In Step 6, the plan to evaluate intervention effectiveness was outlined. Conclusion: The intervention mapping provided a systematic procedure for developing an ITAI for older adults with MCI and preparing a randomized controlled trial. Utilizing intervention mapping is useful as ITAI systematically processes treatment adherence for MCI using the IoT and is acceptable and valid. ITAI is expected to increase medication adherence and physical activity in older adults with MCI.
{"title":"Development of an Internet of things-based treatment adherence program among older adults with mild cognitive impairment using Intervention Mapping: A developmental study","authors":"Jinhee Shin, E. Cho, Gwang Suk Kim, Heejung Kim, B. S. Ye, C. Park","doi":"10.17079/jkgn.2023.00024","DOIUrl":"https://doi.org/10.17079/jkgn.2023.00024","url":null,"abstract":"Purpose: Dementia and altered cognitive function are highly prevalent among older adults with mild cognitive impairment (MCI); hence, prevention is necessary before it develops into dementia. Treatment adherence—medication adherence and physical activity—is essential to prevent and delay dementia; however, comprehensive interventions to promote it in this population are lacking. This study aimed to develop a program for treatment adherence utilizing an Internet of things (IoT) device. Methods: The six-step mapping protocol was used to develop the IoT-based treatment adherence intervention (ITAI). The intervention was based on literature review, expert opinions, and input from older adults with MCI. Results: In Step 1, needs assessment was conducted to gain insights into health problems and their underlying determinants. In Steps 2 and 3, performance objectives were identified for behavior change and selected theoretical and evidence-based methods were linked to the intervention outcomes. In Step 4, the ITAI was designed with components and materials consistent with the identified change goals and methods, and specific intervention components developed. In Step 5, implementation plans and solutions to barriers to its application were identified. In Step 6, the plan to evaluate intervention effectiveness was outlined. Conclusion: The intervention mapping provided a systematic procedure for developing an ITAI for older adults with MCI and preparing a randomized controlled trial. Utilizing intervention mapping is useful as ITAI systematically processes treatment adherence for MCI using the IoT and is acceptable and valid. ITAI is expected to increase medication adherence and physical activity in older adults with MCI.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78805358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-31DOI: 10.17079/jkgn.2302.05001
M. Hwang, Hye-Kyung Lee
Purpose: This study aimed to identify factors influencing the health-related quality of life of elderly men in partial medically underserved rural areas. Methods: The subjects included 182 elderly men aged 65 or older living in the jurisdictions of the Health Care Centers in G, I, and J Myeon, which were medically underserved rural areas in Gongju City, South Korea. Data were collected on October 31 to November 1, 2020, and were analyzed with descriptive statistics, t-test, ANOVA, Scheffé test, Pearson’s correlation coefficient, and hierarchical linear regression. Results: The subjects’ scored mean 24.20±3.29 points out of 30 in cognitive functions and mean 17.08±9.40 out of 60 in social support. The influential factors included three chronic diseases (β=-.50, p<.001), two chronic diseases (β=-.30, p<.001), one chronic disease (β=-.21, p<.001); fair subjective health status (β=.24, p<.001); good subjective health status (β=.25, p<.001); cognitive functions (β=.17, p=.004); aged 80 or older (β=-.16, p=.006); and brushing teeth three times per day or more (β=.14, p=.009) with an explanatory power of 53.8%. Conclusion: It is necessary to develop chronic disease management and cognitive function enhancement programs to identify factors influencing the health-related quality of life of elderly men in partial medically underserved rural areas and thus improve their health-related quality of life.
{"title":"Influence of cognitive function and social support on health-related quality of life of elderly men in partial medically underserved rural areas: A cross-sectional study","authors":"M. Hwang, Hye-Kyung Lee","doi":"10.17079/jkgn.2302.05001","DOIUrl":"https://doi.org/10.17079/jkgn.2302.05001","url":null,"abstract":"Purpose: This study aimed to identify factors influencing the health-related quality of life of elderly men in partial medically underserved rural areas. Methods: The subjects included 182 elderly men aged 65 or older living in the jurisdictions of the Health Care Centers in G, I, and J Myeon, which were medically underserved rural areas in Gongju City, South Korea. Data were collected on October 31 to November 1, 2020, and were analyzed with descriptive statistics, t-test, ANOVA, Scheffé test, Pearson’s correlation coefficient, and hierarchical linear regression. Results: The subjects’ scored mean 24.20±3.29 points out of 30 in cognitive functions and mean 17.08±9.40 out of 60 in social support. The influential factors included three chronic diseases (β=-.50, p<.001), two chronic diseases (β=-.30, p<.001), one chronic disease (β=-.21, p<.001); fair subjective health status (β=.24, p<.001); good subjective health status (β=.25, p<.001); cognitive functions (β=.17, p=.004); aged 80 or older (β=-.16, p=.006); and brushing teeth three times per day or more (β=.14, p=.009) with an explanatory power of 53.8%. Conclusion: It is necessary to develop chronic disease management and cognitive function enhancement programs to identify factors influencing the health-related quality of life of elderly men in partial medically underserved rural areas and thus improve their health-related quality of life.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"136 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86826268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-31DOI: 10.17079/jkgn.2303.31001
Yune Hee Lee, G. Hong
Purpose: This study aimed to identify the risk factors of cognitive decline in older adults living alone in local communities and to find cognitive nursing methods by the area of residence. Methods: The participants were 164 people living alone for 12 years. The data were analyzed using a generalized estimating equations method. Results: The following factors were identified as statistically significant predictors that increased cognitive decline in older adults living alone: 1) rural areas: age (odds ratio [OR]=1.02, 95% confidence interval [CI]=1.01~1.02), low education (OR=1.53, 95% CI=1.13~2.07), number of diseases (OR=1.07, 95% CI=1.01~1.14), 2) urban areas: women (OR=1.27, 95% CI=1.09~1.49), age (OR=1.02, 95% CI=1.01~1.03), low education (OR=1.26, 95% CI=1.14~1.40), body mass index (OR=0.98, 95% CI=0.96~0.99), instrumental activities of daily living (OR=1.02, 95% CI=1.00~1.04), depressive symptom (OR=1.14, 95% CI=1.03~1.25). Conclusion: The older adults who lived alone had different risk factors for cognitive decline depending on their areas of residence. Preventive management for cognitive decline should be presented according to the areas of residence among older adults living alone.
{"title":"Factors influencing cognitive decline in living alone by the residence characteristics: A longitudinal study","authors":"Yune Hee Lee, G. Hong","doi":"10.17079/jkgn.2303.31001","DOIUrl":"https://doi.org/10.17079/jkgn.2303.31001","url":null,"abstract":"Purpose: This study aimed to identify the risk factors of cognitive decline in older adults living alone in local communities and to find cognitive nursing methods by the area of residence. Methods: The participants were 164 people living alone for 12 years. The data were analyzed using a generalized estimating equations method. Results: The following factors were identified as statistically significant predictors that increased cognitive decline in older adults living alone: 1) rural areas: age (odds ratio [OR]=1.02, 95% confidence interval [CI]=1.01~1.02), low education (OR=1.53, 95% CI=1.13~2.07), number of diseases (OR=1.07, 95% CI=1.01~1.14), 2) urban areas: women (OR=1.27, 95% CI=1.09~1.49), age (OR=1.02, 95% CI=1.01~1.03), low education (OR=1.26, 95% CI=1.14~1.40), body mass index (OR=0.98, 95% CI=0.96~0.99), instrumental activities of daily living (OR=1.02, 95% CI=1.00~1.04), depressive symptom (OR=1.14, 95% CI=1.03~1.25). Conclusion: The older adults who lived alone had different risk factors for cognitive decline depending on their areas of residence. Preventive management for cognitive decline should be presented according to the areas of residence among older adults living alone.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85755301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-31DOI: 10.17079/jkgn.2023.03131
Hyeon-mi Woo
Purpose: This study aimed to examine the impact of the nursing work environment on slow nursing care by nurses in long-term care hospital. Methods: The participants in this study were 117 nurses who had worked for more than 6 months in long-term care hospitals in Daegu city or Gyeongbuk province. Data were collected from February 10 to 28, 2023, comprising general characteristics, slow nursing care, and nursing work environment. Data were analyzed using descriptive statistics, a t-test, one-way ANOVA, Pearson's correlation, and multiple regression analysis using the IBM SPSS 22.0 program. Results: A significant positive correlation was observed between slow nursing care and the nursing work environment (r=.42, p<.001). In a hierarchical regression analysis, the nursing work environment accounted for 33% (F=8.12, p<.001) of the variance in slow nursing care among nurses in long-term care hospitals. Conclusion: The findings suggest that an optimal nursing work environment is crucial to enhance the delivery of slow nursing care in long-term care hospitals. Hence, it is recommended to develop an educational program
{"title":"The effect of nursing work environment on slow nursing among long-term care hospital nurses: A descriptive study","authors":"Hyeon-mi Woo","doi":"10.17079/jkgn.2023.03131","DOIUrl":"https://doi.org/10.17079/jkgn.2023.03131","url":null,"abstract":"Purpose: This study aimed to examine the impact of the nursing work environment on slow nursing care by nurses in long-term care hospital. Methods: The participants in this study were 117 nurses who had worked for more than 6 months in long-term care hospitals in Daegu city or Gyeongbuk province. Data were collected from February 10 to 28, 2023, comprising general characteristics, slow nursing care, and nursing work environment. Data were analyzed using descriptive statistics, a t-test, one-way ANOVA, Pearson's correlation, and multiple regression analysis using the IBM SPSS 22.0 program. Results: A significant positive correlation was observed between slow nursing care and the nursing work environment (r=.42, p<.001). In a hierarchical regression analysis, the nursing work environment accounted for 33% (F=8.12, p<.001) of the variance in slow nursing care among nurses in long-term care hospitals. Conclusion: The findings suggest that an optimal nursing work environment is crucial to enhance the delivery of slow nursing care in long-term care hospitals. Hence, it is recommended to develop an educational program","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83917372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-31DOI: 10.17079/jkgn.2303.16001
Younhee Kang, D. Jung, Jay Jung-Jae Lee, S. Lirtmunlikaporn, H. Sung, M. Yamakawa, Yujin Hur, Leeho Yoo
Purpose: This review was comprised of an integrative analysis of the literature on the current state of dementia and related issues in Hong Kong, Japan, South Korea, Taiwan, and Thailand. Methods: Published reports and policy documents from MEDLINE, CINAHL, PubMed, and each government’s database were used in this review. Results: All five Asian regions are projected to become super-aged societies within 12 years, and the number of people with dementia has increased in these regions. All five regions have established dementia policies, which include improving dementia awareness, risk reduction, early diagnosis, and support programs for caregivers. However, there is a lack of information systems for sharing dementia data and research funding for dementia. Conclusion: It is necessary to establish a dementia committee for Asian regions to actively address the challenges posed by the upcoming super-aged societies and to complement the insufficient research. This review provides future directions for dealing with diverse dementia-related issues and can serve as the basis for forming an Asian dementia committee.
{"title":"A comparison of dementia care and policy in five Asian regions: A literature review","authors":"Younhee Kang, D. Jung, Jay Jung-Jae Lee, S. Lirtmunlikaporn, H. Sung, M. Yamakawa, Yujin Hur, Leeho Yoo","doi":"10.17079/jkgn.2303.16001","DOIUrl":"https://doi.org/10.17079/jkgn.2303.16001","url":null,"abstract":"Purpose: This review was comprised of an integrative analysis of the literature on the current state of dementia and related issues in Hong Kong, Japan, South Korea, Taiwan, and Thailand. Methods: Published reports and policy documents from MEDLINE, CINAHL, PubMed, and each government’s database were used in this review. Results: All five Asian regions are projected to become super-aged societies within 12 years, and the number of people with dementia has increased in these regions. All five regions have established dementia policies, which include improving dementia awareness, risk reduction, early diagnosis, and support programs for caregivers. However, there is a lack of information systems for sharing dementia data and research funding for dementia. Conclusion: It is necessary to establish a dementia committee for Asian regions to actively address the challenges posed by the upcoming super-aged societies and to complement the insufficient research. This review provides future directions for dealing with diverse dementia-related issues and can serve as the basis for forming an Asian dementia committee.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85365683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-31DOI: 10.17079/jkgn.2302.07001
Yoon Saeng Choi, S. H. Kim
Purpose: This study aimed to examine the influence of professional competency, professional commitment, and nursing organizational culture on the person-centered practice of nurses in long-term care hospitals. Methods: A total of 131 nurses in seven long-term care hospitals in Daegu city and Kyeongsang province participated in the study. Professional competency, professional commitment, nursing organizational culture, and person-centered practice were measured using the Nurse Professional Competence Short-Form, Professional Commitment Questionnaire, Nursing Organizational Culture scale, and Korean Measure of Person-Directed Care. Hierarchical multiple regression analysis was used to analyze the data. Results: Nurses in long-term care hospitals had mean scores of 4.77±0.84 for professional competency and 4.27±0.89 for professional commitment out of a 1~7 scale and 3.45±0.44 for person-centered practice out of a 1~5 scale. Regarding nursing organizational culture, nurses had the highest score in relation-oriented organizational culture and the lowest score in task-oriented culture. Nurses’ professional competency (β=.59, p<.001) and innovation-oriented culture (β=.36, p<.001) were the factors influencing person-centered practice, which explained the variance of 52.5%. Conclusion: To improve person-centered practice in long-term care hospitals, it is necessary to implement strategies for improving nurses’ professional competency and innovation-oriented nursing organizational culture.
{"title":"The influence of professional competency, professional commitment, and nursing organizational culture on the person-centered practice of nurses in long-term care hospitals: A cross-sectional study","authors":"Yoon Saeng Choi, S. H. Kim","doi":"10.17079/jkgn.2302.07001","DOIUrl":"https://doi.org/10.17079/jkgn.2302.07001","url":null,"abstract":"Purpose: This study aimed to examine the influence of professional competency, professional commitment, and nursing organizational culture on the person-centered practice of nurses in long-term care hospitals. Methods: A total of 131 nurses in seven long-term care hospitals in Daegu city and Kyeongsang province participated in the study. Professional competency, professional commitment, nursing organizational culture, and person-centered practice were measured using the Nurse Professional Competence Short-Form, Professional Commitment Questionnaire, Nursing Organizational Culture scale, and Korean Measure of Person-Directed Care. Hierarchical multiple regression analysis was used to analyze the data. Results: Nurses in long-term care hospitals had mean scores of 4.77±0.84 for professional competency and 4.27±0.89 for professional commitment out of a 1~7 scale and 3.45±0.44 for person-centered practice out of a 1~5 scale. Regarding nursing organizational culture, nurses had the highest score in relation-oriented organizational culture and the lowest score in task-oriented culture. Nurses’ professional competency (β=.59, p<.001) and innovation-oriented culture (β=.36, p<.001) were the factors influencing person-centered practice, which explained the variance of 52.5%. Conclusion: To improve person-centered practice in long-term care hospitals, it is necessary to implement strategies for improving nurses’ professional competency and innovation-oriented nursing organizational culture.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90241780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}