Journal of Korean Gerontological Nursing最新文献

Purpose: The purpose of this study was to investigate the effects of organizational communication and grit on nurses' turnover intention in rehabilitation hospitals.

Methods: The subjects of this study included 159 nurses with more than 6 months of experience working in a rehabilitation hospital. The collected data was analyzed by descriptive statistics, t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficient, and stepwise multiple regression analysis using SPSS 29.0.

Results: The subjects' organizational communication was 3.34±0.38, grit 2.99±0.31, and turnover intention 2.84±0.57. Turnover intention showed a negative correlation with organizational communication (r=-.38, p<.001) and grit (r=-.41, p<.001). The factors significantly affecting turnover intention included grit (β=-.30, p<.001), the scheduled period of employment (age of retirement; β=-.30, p<.001), organizational communication (β=-.26, p<.001), and salary satisfaction (satisfied to very satisfied; β=-.17, p=.014) in order. These actors explained 38.2% of turnover intention.

Conclusion: Based on this study's findings, reducing nurses' turnover intention in rehabilitation hospitals requires developing with effective measures to improve grit and organizational communication and allowing them to work as long as possible.

Purpose: The aim of this study was to review the best nursing care components for the well-dying of people with dementia.

Methods: The scoping review was conducted followed by The Joanna Briggs Institute's scoping review guidance. The search terms were "dementia," "well dying," "end of life," and "palliative care" in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of science, Google Scholar, Research Information Service System (RISS), and DBpia until April 17, 2024. Inclusion criteria were 1) written in English or Korean; 2) focused on palliative care, end-of-life care, or well-dying for people with dementia; and 3) were available in full text. Thematic analysis was performed with the selected literature.

Results: Twenty-seven publications were included. The four main nursing care components and 16 sub-components of well-dying in people with dementia for healthcare providers and caregivers were identified. The four main nursing care components of well-dying in people with dementia for healthcare providers and caregivers were advance care planning, shared decision-making, providing preferred support, and utilizing advanced technology.

Conclusion: The four main nursing care components can be used to serve as a basis for future work on policy making or protocol development to improve the lives of people with dementia.

Purpose: This study aimed to determine how income level affects the willingness to pay out-of-pocket payments for those who bear the cost of home care services to use better services.

Methods: We analyzed data from 1,189 family caregivers who used home care services in the Co-payment for LTC Insurance in 2021. The Chi-square and Cochran-Mantel-haenszel tests was conducted to confirm the relationship between the family caregiver's income level and willingness to pay out-of-pocket payments. The logistic regression analysis was performed to analyze the effect of income level on willingness to pay.

Results: We found that 58.6% of family caregivers in home care services were willing to pay out-of-pocket payments for better long-term care service. After adjusting home care benefit types, the higher the family caregivers' income level, the higher the willingness to pay additional out-of-pocket payments(p<.001). In addition, as family caregivers' income level increased, the odds ratio of the willingness to pay additional payments tended to increase(p<.001).

Conclusion: Family caregivers who are responsible for the payment of home care services by recipients are willing to pay additional out-of-pocket payments for better service use by recipients. We found that the higher the income level, the higher the willingness to pay. It is necessary to consider the additional cost sharing along with introducing the new home care services and improving the quality of home care services.

Purpose: This study aimed to identify the impact of self-efficacy, a health-promoting lifestyle, and social support on, resilience of patients with percutaneous coronary intervention (PCI).

Methods: The participants were 146 patients with PCI in a university hospital located in B Metropolitan City. Data were collected from August to October 2023 using a questionnaire on self-efficacy, health-promoting lifestyle, social support, and resilience. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression.

Results: The subjects' average age was 65.73±10.82 years, and men accounted for 76.5%. Resilience showed a statistically significant positive correlation with self-efficacy(r=.82, p<.001), health promoting lifestyle(r=.63, p<.001) and social support (r=.70, p<.001). Total explanatory power was 75% of the total variance in resilience (F=44.70, p<.001). The related factors of resilience were self-efficacy (β=.55, p<.001), social support (β=.27, p<.001), health-promoting lifestyle(β=.17, p=.003), and LDL(β=.10, p=.026).

Conclusion: These results should be used as basic data for the development of patient education protocols to improve the resilience of patients with PCI.

[This corrects the article on p. 267 in vol. 26.].

Purpose: This study investigates the mediating effect of patient safety culture on the relationship between professionalism, self-leadership, and compliance with infection prevention activity against emerging respiratory infectious diseases among nurses working in geriatric long-term care hospitals.

Methods: In total, 136 nurses from eight geriatric long-term care hospitals were invited to participate. For the statistical analyses, descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient analyses were employed. The mediating effect was analyzed using the three-step mediation procedure of Baron and Kenny in hierarchical regression, and the significance of the mediating effect was tested using the Sobel test.

Results: Patient safety culture had a full mediating effect on the relationship between professionalism and compliance with infection prevention activity (Z=3.14, p=.001) and a full mediating effect on the relationship between self-leadership and compliance with infection prevention activity (Z=3.37, p<.001).

Conclusion: The study findings indicate that a higher patient safety culture within the organization further enhances compliance with infection prevention activity. Therefore, it is crucial to develop strategies to enhance nurses' professionalism and self-leadership, as well as to improve organizational patient safety culture for the infection control in geriatric long-term care hospitals.

Purpose: The purpose of this study was to report the level of suicidal attempts in Korean older adults in a community and identify the factors associated with suicidal attempts.

Methods: A total of 73,326 older adults were selected and analyzed using the 2021 Community Health Survey. The Rao-Scott χ ² test was conducted to evaluate the differences between demographic characteristics, health status, and mental health according to suicide attempts. Logistic regression was performed using the SAS 9.4 program.

Results: Among older adults, 0.3% had suicidal attempts. Factors influencing suicidal attempts were level of education (odds ratio [OR]=0.34, p=.006), region (OR=1.22, p=.011), life satisfaction (OR=2.13, p=.035), depression experiences (OR=3.03, p<.001), and suicidal ideation (OR=15.34, p<.001).

Conclusion: To prevent suicide attempts among older adults, it is necessary to consider their suicidal ideation, level of education, and region, and to screen for depression experiences and suicidal ideation. Additionally, nursing interventions should be developed to improve the life satisfaction of the older adults and reduce depression and suicide attempts.

Purpose: This study aimed to identify the influential factors of nursing home nurses that impact fall-prevention behaviors, thereby providing basic data to prepare effective measures that can increase nurses' fall-prevention behaviors.

Methods: The participants were 136 nurses from 4 long-term care hospitals with more than 200 beds. The relevant data were collected from August 2 to August 31, 2021, and analyzed using independent t-test, one-way ANOVA, Pearson's Correlation Coefficient, and Multiple Regression.

Results: The factors that had a significant impact on the fall prevention behaviors of participants included not only the perception of patient safety culture (β=.18, p=.039) and the age (β=.21, p=.046) but also the perceived seriousness (β=.22 p=.012), the perceived barrier (β=-.17, p=.044), and the motivation of action (β=.18, p=.028), which are the sub-domains of fall-prevention behavior health beliefs. The regression model was revealed to be significant, and the total explanatory power of the variables for fall-prevention behaviors was 44.5% (p<.001).

Conclusion: The influential factors on fall prevention behaviors of long-term care hospital nurses included perception of patient safety culture, fall-prevention behavior health beliefs, and age. This study has significance in that the results helped identify the influential factors on nursing home nurses' fall-prevention behaviors, thereby providing fundamental data for effective fall prevention behaviors.

Purpose: The purpose of this study was to investigate the effects of activities of daily living, depression, and social support on the meaning in life in older adults using services under the long-term care insurance system.

Methods: This was a cross-sectional study. A total of 121 older adults were recruited from seven senior daycare centers in two cities in Korea. Data collection was performed between September and October 2023. The data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficients, and hierarchical multiple regression analysis.

Results: The results of this study showed that social support (β=.45, p<.001) and depression (β=-.16, p=.048) were significantly affecting factors to the meaning in life in older adults using services under the long-term care insurance system.

Conclusion: Efforts to enhance social support and reduce depressive symptoms are critical to improve the meaning in life of older adults utilizing services under the long-term care insurance system. Specifically, it is necessary to closely identify older adults' depressive symptoms and further strengthen social support, including policy support and individualized support from healthcare professionals in the facilities to improve older adults' meaning in life.

Purpose: The purpose of this study was to explore the experience of turnover to a long-term care hospital nurse.

Methods: Data were collected using in-depth interviews and analyzed using a Giorgi's phenomenological approach. The participants were ten nurses who worked on the wards of a long-term care hospital in Busan metropolitan.

Results: The results were summarized into five themes and seventeen core meanings. The five themes were 'A choice based on one's convenience', 'Feeling overwhelmed by tasks beyond the scope of nursing duties', 'Thinking about turnover from time to time', 'An environment where personal growth as a nurse cannot be expected' and 'Becoming a nurse for long-term care'.

Conclusion: To ensure patient safety and prevent nurse turnover in long-term care hospitals, it is necessary to improve the nursing environment, establish clear job manuals, and create a reasonable salary system.