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Health-related quality of life for older patients with chronic low back pain: A structural equation modeling study 老年慢性腰痛患者的健康相关生活质量:一项结构方程模型研究
Q4 Nursing Pub Date : 2023-08-31 DOI: 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。
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引用次数: 0
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 长冠状病毒病、传染病相关工作压力、疲劳和应对对养老院护理人员职业倦怠的影响:一项横断面相关性研究
Q4 Nursing Pub Date : 2023-08-31 DOI: 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.
目的:由于对患有与人口老龄化有关的慢性病的老年人的治疗和护理需求的增加,正在建立越来越多的养老院。本研究旨在研究COVID-19持续大流行期间,长期COVID、与工作压力、疲劳和应对相关的传染病对养老院护理人员职业倦怠的影响。方法:对2022年7月22日至8月12日期间在敬老院工作的护理员、护理员、护理员等168名护理员进行问卷调查。采用独立t检验、单因素方差分析、scheff检验、Pearson相关系数分析和SPSS 21.0多元回归分析。结果:养老院护理人员中Long - COVID-19患病率为85.7%,平均倦怠评分为2.59分(满分为5分)。与传染病相关的工作压力(β=。27, p=.002)和感染控制疲劳(例如,与护理职责复杂性和员工短缺有关的疲劳[β=. 002]。51岁,p =。[19],由不确定的情况和缺乏支持引起的冲突[β=。50, p=.012])是与职业倦怠显著相关的变量。结论:积极探索减轻护理人员整体工作压力、焦虑和疲劳的策略,特别是与感染管理相关的策略,对减轻养老院护理人员的职业倦怠至关重要。我们的研究结果为制定预防护理人员职业倦怠的干预措施和政策提供了基础数据,从而使养老院能够提供高质量的护理。
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引用次数: 0
Nurses’ perceptions of gerontological nurse practitioner programme curricula: A qualitative descriptive study 护士对老年护理从业人员课程的看法:一项定性描述性研究
Q4 Nursing Pub Date : 2023-08-31 DOI: 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.
目的:本研究旨在描述护士对老年护理从业人员(GNP)课程的看法,特别是课程的积极和消极方面以及改进课程的建议。方法:对21名经认证的国民生产总值(GNPs)进行1 ~ 2次访谈,采用常规内容分析法对访谈数据进行分析。结果:分析显示7大类18亚类。国民生产总值方案课程的主要积极方面是“通过国民生产总值方案获得老年人护理的知识和技能”和“应用国民生产总值方案获得的与老年护理有关的知识和技能”。消极方面包括“教学式教育对老年护理专业知识的发展不足”和“临床实践课程的无效和次优操作”。改进国民生产总值方案课程的建议是“加强核心课程的教育”、“加强老年护理教学课程的内容”和“提高临床实践的质量”。结论:研究结果表明,教育工作者、政策制定者和其他利益相关者应该重新审视目前的GNP项目课程,以便为GNP学生提供与各种医疗保健机构中老年人专业医疗保健相关的优质教育和培训。
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引用次数: 0
Healthy aging of frail older adults in the community: A hybrid concept analysis 社区体弱老年人的健康老龄化:混合概念分析
Q4 Nursing Pub Date : 2023-08-31 DOI: 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.
目的:虽然“健康老龄化”一词已经被创造出来,但对于体弱多病的老年人所感知的健康老龄化的定义并没有达成共识。本研究旨在探讨体弱长者对健康老化的认知。方法:混合模型分为三个阶段。在理论阶段,通过文献综述确定了体弱老年人健康老龄化的定义特征。共筛选1166篇文章,纳入32篇相关文章。在实地阶段,对9名符合衰弱标准的体弱多病老年人进行深度访谈,并通过内容分析对数据进行分析。在最后阶段,基于文献综述和定性访谈的分析,提取出体弱老年人健康老龄化的最终定义。结果:体弱多病老年人的健康老龄化观念在认知、行为、心理、社会和独立领域均存在。对于体弱多病的老年人来说,健康老龄化是指通过自我管理来维持自身健康的能力,以积极的态度接受衰老和自然死亡,独立自主,不依赖他人。结论:在体弱老年人中,健康老龄化包括保持健康、接受衰老过程、积极向上、独立自主等多个多维域和10个属性。利用这一最终定义,可以制定健康促进战略以实现最佳目标。为了给体弱多病的老年人提供有效的干预措施,需要进一步研究制定一个可靠有效的评估量表。
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引用次数: 0
Development of an Internet of things-based treatment adherence program among older adults with mild cognitive impairment using Intervention Mapping: A developmental study 基于物联网的轻度认知障碍老年人治疗依从性项目的发展:一项发展性研究
Q4 Nursing Pub Date : 2023-08-30 DOI: 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.
目的:痴呆和认知功能改变在轻度认知障碍(MCI)的老年人中非常普遍;因此,有必要在它发展为痴呆症之前进行预防。坚持治疗——坚持服药和身体活动——对于预防和延缓痴呆至关重要;然而,缺乏在这一人群中促进其发展的综合干预措施。本研究旨在开发一个利用物联网(IoT)设备的治疗依从性计划。方法:采用六步作图方案开发基于物联网的治疗依从性干预(ITAI)。干预是基于文献综述、专家意见和老年轻度认知障碍患者的意见。结果:在步骤1中,进行了需求评估,以深入了解健康问题及其潜在决定因素。在步骤2和步骤3中,确定了行为改变的绩效目标,并将选择的理论和循证方法与干预结果联系起来。在步骤4中,使用与确定的变更目标和方法相一致的组件和材料设计ITAI,并开发特定的干预组件。在步骤5中,确定了其应用障碍的实施计划和解决方案。在步骤6中,概述了评估干预效果的计划。结论:干预测绘为制定老年轻度认知损伤患者的ITAI和准备随机对照试验提供了系统的程序。利用干预映射是有用的,因为ITAI使用物联网系统地处理MCI的治疗依从性,并且是可接受和有效的。ITAI有望增加老年轻度认知损伤患者的药物依从性和体力活动。
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引用次数: 0
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 认知功能和社会支持对部分医疗服务不足农村地区老年男性健康相关生活质量的影响:一项横断面研究
Q4 Nursing Pub Date : 2023-05-31 DOI: 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.
目的:本研究旨在确定影响部分医疗服务不足农村地区老年男性健康相关生活质量的因素。方法:研究对象包括182名65岁及以上的老年男性,他们居住在韩国公州市G、I和J Myeon卫生保健中心管辖范围内,这是医疗服务不足的农村地区。数据采集时间为2020年10月31日至11月1日,采用描述性统计、t检验、方差分析、scheff检验、Pearson相关系数、层次线性回归等方法进行分析。结果:被试的认知功能得分平均为24.20±3.29分(满分为30分),社会支持得分平均为17.08±9.40分(满分为60分)。影响因素包括三种慢性疾病(β=-)。50, p<.001),两种慢性疾病(β=-。30, p<.001), 1例慢性疾病(β=-。21日,p <措施);主观健康状况(β=。24日,p <措施);主观健康状况良好(β=。25日,p <措施);认知功能(β=。17日,p = 04);80岁或以上(β=-。16日,p = .006);每天刷牙三次或更多次(β=。14, p= 0.009),解释能力为53.8%。结论:有必要制定慢性病管理和认知功能增强计划,以确定影响部分医疗服务不足地区老年男性健康相关生活质量的因素,从而提高其健康相关生活质量。
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引用次数: 0
Factors influencing cognitive decline in living alone by the residence characteristics: A longitudinal study 由居住特征影响独居者认知能力下降的因素:一项纵向研究
Q4 Nursing Pub Date : 2023-05-31 DOI: 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.
目的:本研究旨在探讨社区独居老年人认知能力下降的危险因素,并按居住地区寻找认知护理方法。方法:研究对象为独居12年的164人。采用广义估计方程法对数据进行了分析。结果:以下因素被确定为增加独居老年人认知能力下降的有统计学意义的预测因素:1)农村地区:年龄(比值比[OR]=1.02, 95%可信区间[CI]=1.01~1.02)、受教育程度低(OR=1.53, 95% CI=1.13~2.07)、疾病数量(OR=1.07, 95% CI=1.01~1.14)、城市地区:女性(OR=1.27, 95% CI=1.09~1.49)、年龄(OR=1.02, 95% CI=1.01~1.03)、教育程度低(OR=1.26, 95% CI=1.14~1.40)、体重指数(OR=0.98, 95% CI=0.96~0.99)、日常生活工具活动(OR=1.02, 95% CI=1.00~1.04)、抑郁症状(OR=1.14, 95% CI=1.03~1.25)。结论:独居老年人认知能力下降的危险因素随居住地区的不同而不同。应根据独居老年人的居住地区提出认知能力下降的预防性管理。
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引用次数: 0
The effect of nursing work environment on slow nursing among long-term care hospital nurses: A descriptive study 护理工作环境对长期护理医院护士慢护理的影响:一项描述性研究
Q4 Nursing Pub Date : 2023-05-31 DOI: 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
目的:本研究旨在探讨护理工作环境对长期护理医院护士慢速护理的影响。方法:以大邱市或庆北地区长期护理医院工作6个月以上的117名护士为研究对象。数据采集时间为2023年2月10日至28日,包括一般特征、慢速护理、护理工作环境。使用IBM SPSS 22.0程序对数据进行描述性统计、t检验、单因素方差分析、Pearson相关和多元回归分析。结果:慢速护理与护理工作环境显著正相关(r=。42岁的p <措施)。在分层回归分析中,护理工作环境对长期护理医院护士慢速护理的方差占33% (F=8.12, p< 0.001)。结论:优化护理工作环境是提高长期护理医院慢速护理服务质量的关键。因此,建议制定一个教育计划
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引用次数: 0
A comparison of dementia care and policy in five Asian regions: A literature review 亚洲五个地区痴呆护理和政策的比较:文献综述
Q4 Nursing Pub Date : 2023-05-31 DOI: 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.
目的:本综述对香港、日本、韩国、台湾和泰国的痴呆现状及相关问题的文献进行综合分析。方法:本综述使用MEDLINE、CINAHL、PubMed和各政府数据库中已发表的报告和政策文件。结果:亚洲5个地区预计在12年内都将成为超老龄化社会,这些地区的痴呆症患者数量有所增加。所有五个地区都制定了痴呆症政策,其中包括提高对痴呆症的认识、降低风险、早期诊断和为护理人员提供支持方案。然而,缺乏共享痴呆症数据和痴呆症研究资金的信息系统。结论:有必要成立亚洲地区痴呆委员会,积极应对即将到来的超老龄化社会带来的挑战,并补充不足的研究。本综述为今后处理各种痴呆相关问题提供了方向,并可作为成立亚洲痴呆委员会的基础。
{"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}
引用次数: 0
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 专业能力、专业承诺和护理组织文化对长期护理医院护士以人为本实践的影响:一项横断面研究
Q4 Nursing Pub Date : 2023-05-31 DOI: 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.
目的:本研究旨在探讨专业胜任力、专业承诺、护理组织文化对长期护理医院护士以人为本实践的影响。方法:对大邱市和庆尚省7家长期护理医院的131名护士进行研究。采用护士专业能力简表、专业承诺问卷、护理组织文化量表和韩国个人导向护理量表测量专业能力、专业承诺、护理组织文化和以人为本的实践。采用层次多元回归分析对数据进行分析。结果:在1~7分量表中,长期护理医院护士的专业能力得分为4.77±0.84分,专业承诺得分为4.27±0.89分,以人为本实践得分为3.45±0.44分。在护理组织文化方面,护士以关系为导向的组织文化得分最高,以任务为导向的组织文化得分最低。护士专业能力(β=。59, p<.001)和创新导向文化(β=。36, p<.001)是影响以人为中心的实践的因素,这解释了52.5%的方差。结论:要提高长期护理医院以人为本的实践水平,必须实施提高护士专业能力和创新护理组织文化的策略。
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引用次数: 0
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Journal of Korean Gerontological Nursing
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