Journal of Korean Gerontological Nursing最新文献

Purpose: Infection control is a critical concern in nursing homes, especially in the post-COVID-19 era, due to the frailty and complex health conditions of older adults. This study aimed to develop an educational framework to improve infection control practices in nursing homes.

Methods: We interviewed five infection specialists to gain practical insights. Subsequently, we administered three rounds of Delphi surveys to 20 nursing home practitioners to assess the validity and practicality of the selected items, thereby establishing a comprehensive framework.

Results: The interview data revealed three key categories: recipient-centered, interaction-centered, and environment-centered. Following the Delphi surveys, we identified seven crucial factors for practicality in nursing homes: the characteristics of residents' health, detection of subtle changes, identification of nonverbal signs, effective communication among professionals, feedback and assessment among professionals, following infection control principles, education based on problem-solving, and immunization and isolation strategies for creating a safe environment.

Conclusion: By integrating expert insights and validating the framework through the Delphi technique, the proposed framework enhances infection control training and education programs in nursing homes, ultimately ensuring resident safety.

Purpose: This study aims to identify caregiving burden, depression, quality of life, and institutionalization among family caregivers of home-based long-term-care insurance beneficiaries and to analyze various factors influencing these outcomes.

Methods: A secondary data analysis was employed to investigate the impact of various factors on caregivers' experiences. The study used data from the 2016 Long-Term Care Service Utilization and Care Needs Survey, targeting 1,767 family caregivers of long-term-care beneficiaries. The original survey data included the Zarit Burden Interview for caregiver burden, the Center for Epidemiologic Studies Depression Scale for depression, and the new five-level version of EQ-5D for quality of life. Institutionalization status was identified using the long-term care database until the end of November 2023.

Results: A high caregiving burden was reported by 44% of caregivers and 47.6% of family caregivers were found to be depressed. The average quality of life score was 0.82±0.14, with differences observed based on the participants' characteristics. Among the study participants, 29.4% of the care recipients were institutionalized. Compared to caregiving burden, depression, and quality of life, the health status of the beneficiaries and their long-term-care service utilization patterns were significant factors influencing institutionalization.

Conclusion: To reduce family caregivers' burden and to decrease institutionalization rates, it is crucial to enhance home-care services and offer a variety of community-based resources. Effective welfare policies should be established to support these efforts.

Purpose: As a follow-up study for the translation and cultural adaptation of the Preferences for Everyday Living Inventory-Korean (PELI-K), this pilot study aims to identify the ranking of the PELI-K items selected as most important/feasible from the original 72 items in Korean nursing homes (NHs) and to lay the groundwork for developing a revised short version of the instrument based on these rankings.

Methods: The NH stakeholder advisory panel (n=34) consisting of an experts group (n=22) and a family group (n=12) was asked to complete a self-administered, in-person survey.

Results: The top 10 important and top 11 feasible items are reported. Most notably, items related to human basic needs such as sleeping, safety, and privacy were selected as important priorities. Having regular contact with family and using electronic devices to communicate with others were the most feasible preferences.

Conclusion: The results from this study will contribute to refining the PELI-K and creating a short version of the tool for wider use. NH providers may plan and deliver care that is geared toward residents' most salient preferences.

Purpose: The purpose of this study was to examine the effects of ageism, empathy, and work intensity on performance of geriatric nursing among nurses in a tertiary hospital.

Methods: A descriptive research design was used with a convenience sample of 175 nurses. Data were collected from March 25 to April 18, 2023, using self-report questionnaires and analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis.

Results: The mean scores of ageism, empathy, work intensity, and performance of geriatric nursing were 2.01 out of 4, 3.90 out of 5, 3.83 out of 5, and 3.37 out of 4, respectively. Performance of geriatric nursing was negatively correlated with ageism (r=-.46, p<.001) and positively correlated with empathy (r=.55, p<.001). Factors influencing on performance of geriatric nursing were empathy (β=.49, p<.001) and ageism (β=-.18, p=.010), which explained 38.0% of the variance.

Conclusion: To enhance the nursing performance of senior general-hospital nurses, it is necessary to develop educational programs that improve the correct perception of ageism for the elderly. It is also necessary to develop and apply programs that can improve empathy.

Purpose: This study aimed to examine the multifaceted factors influencing elderly patients' intention to use digital healthcare services based on the Unified Theory of Acceptance and Use of Technology model.

Methods: Data were collected using a questionnaire from 103 elderly patients aged ≥65 years at a general hospital, a health sub-center, and a health clinic in City Sejong from April 25, 2023 to July 29, 2023. Measures included effort expectancy, performance expectancy, social influence, and intention to use digital healthcare services. Data were analyzed using independent t-tests, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression.

Results: The factors with the greatest influence on the intention to use digital healthcare services among elderly patients aged ≥65 years were social influence (β=.62, p<.001), followed by effort expectancy (β=.24, p=.001). The explanatory power of these variables was 68% (ΔF=51.80, p<.001).

Conclusion: Developing and providing standardized intervention strategies to enhance social influence and effort expectancy regarding digital healthcare services for elderly patients could improve their intention to use these services.

Purpose: The aim was to identify high-risk groups for postretirement depression among those aged 65 or older.

Methods: This study used the 9th Korean Longitudinal Study of Ageing to identify the prevalence of depression among 1,879 retirees aged 65 and above and to develop a predictive model. The decision-tree-analysis method was used to construct a predictive model.

Results: The highest proportion of depression, at 58.5%, was observed in males who do not engage in regular exercise and have low daily living performance. In the predictive model where age is fixed as the first branch, depression was highest at 55.4% among middle-old or old-old individuals with low oral-health-related quality of life and marital status of separated/divorced/widowed/never married. In a predictive model that first classifies by sex, the proportion of depression was highest at 53.7% for dependent males.

Conclusion: This study confirmed that age, oral health, marital status, heath status, instrumental activities of daily living, activities of daily living, and regular exercise have an impact on depression. However, these factors change over time, so longitudinal studies should be conducted to understand how depression changes with them.

Purpose: This study aimed to categorize the factors related to suicidal ideation among elderly individuals living alone into social and psychological levels. By gradually incorporating these levels, the study aimed to clarify the influence of significant factors.

Methods: This study adopted cross-sectional correlational methods. The study sampled 154 elderly people aged over 65 years and living alone. Using hierarchical regression analysis, SPSS 26.0 analyzed the impact of sociological factors (social support, experiences of elderly discrimination, social participation) and psychological factors (self-esteem, depression, sense of isolation) on suicidal ideation among elderly individuals living alone.

Results: The results of the significance tests for the regression coefficients in the final model indicated that social support (β=-.17, p<.05), self-esteem (β=-.39, p<.001), depression (β=.22, p<.001), and sense of isolation (β=.39, p<.001) significantly impacted suicidal ideation. This regression model had an explanatory power of about 59.2%.

Conclusion: This study suggests the importance of identifying various social resources for elderly individuals living alone and exploring supportive measures tailored to individual circumstances. By predicting social risk factors that elderly individuals may face and preventing exposure to negative psychological states, early detection and intervention may reduce suicidal ideation, ultimately contributing to integrated community care policies that enhance the quality of life for elderly individuals living alone.

Purpose: This study aimed to explore the hospitalization experiences of elderly surgical patients and understand the meaning of these experiences.

Methods: Data were collected through individual in-depth interviews with 10 elderly patients who underwent general anesthesia surgery at Ewha Womans University Seoul Hospital and were analyzed using Colaizzi's phenomenological analysis method.

Results: Four theme clusters and 10 themes were identified. The theme clusters were "Limitations faced due to aging," including themes of cognitive and physical decline. "Psychological retreat after undergoing surgery" encompassed role loss, feelings of guilt, and a sense of alienation, respectively. "Loss of freedom in inpatient life after surgery" highlighted dietary restrictions and physical dependence and "Concerns about life after discharge" reflected uncertainties, burdens, and negative thoughts about life.

Conclusion: This study underscores the need for holistic nursing interventions that address not only the physical but also the psychological and social needs of elderly surgical patients. It also emphasizes the importance of effective communication strategies, emotional support, and post-discharge care. These findings provide foundational data for the development of tailored nursing practices and policies for elderly surgical patients.

Purpose: This study aimed to identify factors influencing general-hospital nurses' delirium knowledge, critical-thinking disposition, and compassion competence on delirium nursing performance.

Methods: This research included 193 nurses from three shifts at three general hospitals, each with over 500 beds, in Jeolla Province. Data were collected from January 29 to February 20, 2024. The collected data were analyzed using SPSS 25.0, descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation, and hierarchical multiple regression.

Results: The factors affecting delirium-nursing performance, age (β=.40, p=.025) and compassion competence (β=.37, p<.001), explained 32.0% of the variance in the model.

Conclusion: The factors influencing the performance of delirium care among general-hospital nurses were age and compassion competence. Policy support and self-coaching programs are necessary to continuously develop nurses' compassion competence.