Pub Date : 2022-11-30DOI: 10.17079/jkgn.2022.24.4.377
Hyunju Lee
Purpose: The purpose of this study was to identify factors related to the professional quality of life of nurses in long-term care hospitals. Methods: A descriptive survey was conducted among 144 nurses with more than 3 months of work experience in five long-term care hospitals in B metropolitan city. Data were collected from April 15 to 30, 2022 and analyzed using the independent t-test, one-way ANOVA, Mann-Whitney test, Pearson’s correlation coefficients, and stepwise multiple regression. Results: The regression model explained 51% of the variance of long-term care hospital nurses' compassion satisfaction (F=35.72, p<.001). Significant factors were dementia attitude (β=.23, p=.001), professional self-concept (β=.51, p<.001), marital status (married) (β=.16, p=.019) and more than 10 years of clinical experience at a long-term care hospital (β=-.29, p<.001). The regression model explained 36% of the variance of long-term care hospital nurses' compassion fatigue (F=12.93, p<.001). Significant factors were dementia attitude (β=-.27, p=.001), burden on behavioral psychological symptoms of dementia (β=.38, p<.001), women (β=.20, p=.005), more than 10 years of clinical experience at a long-term care hospital (β=.20, p=.004) and experience in education about dementia (yes) (β=-.16, p=.029). Conclusion: This study revealed several factors that are correlated with the professional quality of life of long-term care hospital nurses. To improve their quality of life, hospitals should help nurses have a positive attitude toward dementia, reduce the burden of behavioral psychological symptoms of dementia, and provide dementia care training.
{"title":"Factors influencing professional quality of life of nurses in long-term care hospitals: A cross-sectional study","authors":"Hyunju Lee","doi":"10.17079/jkgn.2022.24.4.377","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.4.377","url":null,"abstract":"Purpose: The purpose of this study was to identify factors related to the professional quality of life of nurses in long-term care hospitals. Methods: A descriptive survey was conducted among 144 nurses with more than 3 months of work experience in five long-term care hospitals in B metropolitan city. Data were collected from April 15 to 30, 2022 and analyzed using the independent t-test, one-way ANOVA, Mann-Whitney test, Pearson’s correlation coefficients, and stepwise multiple regression. Results: The regression model explained 51% of the variance of long-term care hospital nurses' compassion satisfaction (F=35.72, p<.001). Significant factors were dementia attitude (β=.23, p=.001), professional self-concept (β=.51, p<.001), marital status (married) (β=.16, p=.019) and more than 10 years of clinical experience at a long-term care hospital (β=-.29, p<.001). The regression model explained 36% of the variance of long-term care hospital nurses' compassion fatigue (F=12.93, p<.001). Significant factors were dementia attitude (β=-.27, p=.001), burden on behavioral psychological symptoms of dementia (β=.38, p<.001), women (β=.20, p=.005), more than 10 years of clinical experience at a long-term care hospital (β=.20, p=.004) and experience in education about dementia (yes) (β=-.16, p=.029). Conclusion: This study revealed several factors that are correlated with the professional quality of life of long-term care hospital nurses. To improve their quality of life, hospitals should help nurses have a positive attitude toward dementia, reduce the burden of behavioral psychological symptoms of dementia, and provide dementia care training.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87483097","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 : 2022-11-30DOI: 10.17079/jkgn.2022.24.4.454
M. Kang, Eun Young Kim, S. Chang
Purpose: This is an analysis of the experiences of nurses in Post Anesthesia Care Units (PACUs) in caring for older patients with emergence delirium using the Q-methodology. Methods: The Q-methodology, which is used to explore and understand human subjectivity, was applied. Thirty nurses who had experiences in providing nursing for delirium in older patients after surgery in a PACU participated in this study. Results: This study revealed three factors regarding the frame of reference of PACU nurses in detecting and managing older patients' emergence delirium: “detect the deviant changes leading to instability”, “focus on the patient’s degree of cognitive recovery within the framework of recovery time”, and “awareness of possible clues based on the patient’s underlying disease(s)”. Conclusion: These findings are expected to be utilized as a basis for more practical and accessible PACU nurse delirium education that reflects nurses’ subjective viewpoints explained by the three identified factors.
{"title":"Nurses' management of older patients with post-anesthesia delirium: A Q methodology approach","authors":"M. Kang, Eun Young Kim, S. Chang","doi":"10.17079/jkgn.2022.24.4.454","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.4.454","url":null,"abstract":"Purpose: This is an analysis of the experiences of nurses in Post Anesthesia Care Units (PACUs) in caring for older patients with emergence delirium using the Q-methodology. Methods: The Q-methodology, which is used to explore and understand human subjectivity, was applied. Thirty nurses who had experiences in providing nursing for delirium in older patients after surgery in a PACU participated in this study. Results: This study revealed three factors regarding the frame of reference of PACU nurses in detecting and managing older patients' emergence delirium: “detect the deviant changes leading to instability”, “focus on the patient’s degree of cognitive recovery within the framework of recovery time”, and “awareness of possible clues based on the patient’s underlying disease(s)”. Conclusion: These findings are expected to be utilized as a basis for more practical and accessible PACU nurse delirium education that reflects nurses’ subjective viewpoints explained by the three identified factors.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75324707","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 : 2022-11-30DOI: 10.17079/jkgn.2022.24.4.347
Hyesu Oh, M. Gu, R. Yoon, S. Sok
Purpose: We aimed to elucidate the relationship between the knowledge, nursing performance, and stress of delirium in cancer hospital nurses. The results might help provide better and appropriate nursing care to patients with delirium. Methods: As a descriptive study, 143 nurses who had worked for over one year at one cancer hospital in S city were included in this study. The data collection period was from February 1 to 15, 2021. Results: It was found that cancer hospital nurses with delirium-related nursing education had a high knowledge of delirium. Cancer hospital nurses who were married and had an educational background above graduate school showed relatively high nursing performance against delirium. Also, cancer hospital nurses had relatively high stress levels. Conclusion: Therefore, an opportunity to develop and participate in a systematic education program is necessary to raise cancer hospital nurses’ knowledge levels of delirium and improve nursing performance for delirium. Furthermore, it is necessary to have a stress management program for delirium for cancer hospital nurses.
{"title":"Knowledge, nursing performance and stress about care for delirium in cancer hospital nurses","authors":"Hyesu Oh, M. Gu, R. Yoon, S. Sok","doi":"10.17079/jkgn.2022.24.4.347","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.4.347","url":null,"abstract":"Purpose: We aimed to elucidate the relationship between the knowledge, nursing performance, and stress of delirium in cancer hospital nurses. The results might help provide better and appropriate nursing care to patients with delirium. Methods: As a descriptive study, 143 nurses who had worked for over one year at one cancer hospital in S city were included in this study. The data collection period was from February 1 to 15, 2021. Results: It was found that cancer hospital nurses with delirium-related nursing education had a high knowledge of delirium. Cancer hospital nurses who were married and had an educational background above graduate school showed relatively high nursing performance against delirium. Also, cancer hospital nurses had relatively high stress levels. Conclusion: Therefore, an opportunity to develop and participate in a systematic education program is necessary to raise cancer hospital nurses’ knowledge levels of delirium and improve nursing performance for delirium. Furthermore, it is necessary to have a stress management program for delirium for cancer hospital nurses.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84167296","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 : 2022-11-30DOI: 10.17079/jkgn.2022.24.4.412
Ji Hye Park, C. Cho
Purpose: The purpose of this study was to provide the basic data for reinforcing community nurses’ competencies related to elder abuse by identifying their perception based on an ecological system model. Methods: This study was a descriptive study. Structured self-reported questionnaires were sent via email to Seoul community nurses from Nov. 17 to Nov. 31, 2021 and, after getting their consent, a URL survey was distributed for collecting data online. Data were analyzed using the SPSS 25.0 program by descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient. Results: Total perception of elder abuse was scored at 1.32±0.46 points out of 4. Among the individual characteristics, educational level (F=4.48, p=.013) and economic level (F=4.21, p=.016) were identified as variables with significant differences in perception of developmental abuse. Subjective health status negatively correlated with perception of spiritual abuse (r=-.15, p=.048). There were no significant variables among the family characteristics. Among the socio-cultural characteristics, elderly human rights positively correlated with total perception of elder abuse (r=.16, p=.031), sociocultural abuse (r=.23, p=.003), and spiritual abuse (r=.22, p=.003). Conclusion: It is necessary to increase the level of perception of elder abuse by community nurses to efficiently respond to the increasing elder abuse in the community.
{"title":"Community nurses' perceptions of elder abuse based on an ecological system model: A descriptive study","authors":"Ji Hye Park, C. Cho","doi":"10.17079/jkgn.2022.24.4.412","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.4.412","url":null,"abstract":"Purpose: The purpose of this study was to provide the basic data for reinforcing community nurses’ competencies related to elder abuse by identifying their perception based on an ecological system model. Methods: This study was a descriptive study. Structured self-reported questionnaires were sent via email to Seoul community nurses from Nov. 17 to Nov. 31, 2021 and, after getting their consent, a URL survey was distributed for collecting data online. Data were analyzed using the SPSS 25.0 program by descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient. Results: Total perception of elder abuse was scored at 1.32±0.46 points out of 4. Among the individual characteristics, educational level (F=4.48, p=.013) and economic level (F=4.21, p=.016) were identified as variables with significant differences in perception of developmental abuse. Subjective health status negatively correlated with perception of spiritual abuse (r=-.15, p=.048). There were no significant variables among the family characteristics. Among the socio-cultural characteristics, elderly human rights positively correlated with total perception of elder abuse (r=.16, p=.031), sociocultural abuse (r=.23, p=.003), and spiritual abuse (r=.22, p=.003). Conclusion: It is necessary to increase the level of perception of elder abuse by community nurses to efficiently respond to the increasing elder abuse in the community.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81255616","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 : 2022-11-30DOI: 10.17079/jkgn.2022.24.4.398
Eun-Jeong Han, Yeong Woo Park, Mi-Kyung Song, R. Hwang
Purpose: The purpose of this study is to identify the progress of transition from the non-graded to the approved for Long-term Care Insurance (LTCI) and analyze the factors affecting becoming beneficiaries. Methods: This study was designed as a prospective cohort study. Study population was the non-graded for LTCI in 2018. We tracked and observed study population until December 2020 by using big data. Variables in the analysis consisted of the individual (socioeconomic characteristics, health status, medical service usage) and community-related (physical environment, local infrastructure, local older population, local social capacity, health policy) factors. Competing risks regression analysis was used to identify determinants of transition from the non-graded to beneficiaries for LTCI. Results: We analyzed 52,308 non-graded for LTC insurance. The average period of transition from the non-graded to beneficiaries was about 15.61 months, the cumulative transition rate for 6 months was 4.8%, and the cumulative transition rate for 36 months was 49.6%. The individual factors (higher age, female, low income, lower daily living ability, lower cognitive-behavioral score, dementia, low back pain, and lower medical expenses), as well as the community factors (rural areas) were determinants for the transition to beneficiaries. Conclusion: To prevent non-graded from being persons with LTC needs, we suggested that it is necessary to develop a policy that can establish an integrated community-based support system by selecting vulnerable groups such as rural residents and low-income groups. In addition, additional research is needed to evaluate the effect of preventive programs for the non-graded on maintaining and improving their health and functional status.
{"title":"Progress and determinants of transition from non-graded older persons to being beneficiaries for long-term care insurance system: A longitudinal study","authors":"Eun-Jeong Han, Yeong Woo Park, Mi-Kyung Song, R. Hwang","doi":"10.17079/jkgn.2022.24.4.398","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.4.398","url":null,"abstract":"Purpose: The purpose of this study is to identify the progress of transition from the non-graded to the approved for Long-term Care Insurance (LTCI) and analyze the factors affecting becoming beneficiaries. Methods: This study was designed as a prospective cohort study. Study population was the non-graded for LTCI in 2018. We tracked and observed study population until December 2020 by using big data. Variables in the analysis consisted of the individual (socioeconomic characteristics, health status, medical service usage) and community-related (physical environment, local infrastructure, local older population, local social capacity, health policy) factors. Competing risks regression analysis was used to identify determinants of transition from the non-graded to beneficiaries for LTCI. Results: We analyzed 52,308 non-graded for LTC insurance. The average period of transition from the non-graded to beneficiaries was about 15.61 months, the cumulative transition rate for 6 months was 4.8%, and the cumulative transition rate for 36 months was 49.6%. The individual factors (higher age, female, low income, lower daily living ability, lower cognitive-behavioral score, dementia, low back pain, and lower medical expenses), as well as the community factors (rural areas) were determinants for the transition to beneficiaries. Conclusion: To prevent non-graded from being persons with LTC needs, we suggested that it is necessary to develop a policy that can establish an integrated community-based support system by selecting vulnerable groups such as rural residents and low-income groups. In addition, additional research is needed to evaluate the effect of preventive programs for the non-graded on maintaining and improving their health and functional status.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"89 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89057364","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 : 2022-11-30DOI: 10.17079/jkgn.2022.24.4.433
K. Lee, S. Lim
Purpose: This study aimed to identify the health empowerment, social support, and health-promotion behavior of older adults. Furthermore, the factors influencing health-promotion 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.
{"title":"The effects of health empowerment and social support on health promotion behavior in older adults: A cross-sectional study","authors":"K. Lee, S. Lim","doi":"10.17079/jkgn.2022.24.4.433","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.4.433","url":null,"abstract":"Purpose: This study aimed to identify the health empowerment, social support, and health-promotion behavior of older adults. Furthermore, the factors influencing health-promotion 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.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"96 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76161381","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 : 2022-08-31DOI: 10.17079/jkgn.2022.24.3.269
Ja-Young Kim, Hanyi Lee
Purpose: The purpose of this study was to investigate the effects of death perception and terminal care stress on terminal care performance of nurses working in long-term care hospitals.Methods: The participants included 160 nurses working in 7 long-term care hospitals with more than 150 beds in Gyeonggi Province. Data collection was conducted from July 12 to August 13, 2021. The independent t-test, Pearson correlation, and multiple linear regression were used for data analysis.Results: Of the participants, 126 (78.8%) were women, and 76 (47.5%) had a religion. The mean total clinical experience was 11.48±9.14 years; 80 (50.3%) participants had been involved in 1-18 terminal care nursing sessions, and 87 (54.4%) had been involved in terminal care nursing education. Gender (β=.17, p=.030) and positive death perception (β=.27, p=.001) affected terminal care performance.Conclusion: A professional and systematic terminal nursing care education program that can facilitate positive death perceptions of hospital nurses is needed, and it is necessary to prepare a specialized system that considers nursing hospitals’ characteristics. In addition, research on terminal care performance targeting male nurses in hospitals and the effects of the working environment and health care system of hospitals on the terminal care performance of hospital nurses is suggested.
{"title":"The Influence of Death Perception and Terminal Care Stress on Terminal Care Performance of Nurses Working in Long-Term Care Hospitals: A Cross-Sectional Study","authors":"Ja-Young Kim, Hanyi Lee","doi":"10.17079/jkgn.2022.24.3.269","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.3.269","url":null,"abstract":"Purpose: The purpose of this study was to investigate the effects of death perception and terminal care stress on terminal care performance of nurses working in long-term care hospitals.Methods: The participants included 160 nurses working in 7 long-term care hospitals with more than 150 beds in Gyeonggi Province. Data collection was conducted from July 12 to August 13, 2021. The independent t-test, Pearson correlation, and multiple linear regression were used for data analysis.Results: Of the participants, 126 (78.8%) were women, and 76 (47.5%) had a religion. The mean total clinical experience was 11.48±9.14 years; 80 (50.3%) participants had been involved in 1-18 terminal care nursing sessions, and 87 (54.4%) had been involved in terminal care nursing education. Gender (β=.17, p=.030) and positive death perception (β=.27, p=.001) affected terminal care performance.Conclusion: A professional and systematic terminal nursing care education program that can facilitate positive death perceptions of hospital nurses is needed, and it is necessary to prepare a specialized system that considers nursing hospitals’ characteristics. In addition, research on terminal care performance targeting male nurses in hospitals and the effects of the working environment and health care system of hospitals on the terminal care performance of hospital nurses is suggested.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82480240","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 : 2022-08-31DOI: 10.17079/jkgn.2022.24.3.291
Seojung Jung, H. Min
Purpose: The purpose of this study was to identify the influence of moral distress, empowerment, and nursing practice environment on nurses’ person-centered care in long-term care hospitals.Methods: A cross-sectional descriptive study was conducted using self-report questionnaires. Participants included 128 nurses working in eight long-term care hospitals. Data were collected from July 24 to August 31, 2018 and analyzed using the independent t-test, one-way ANOVA, Pearson correlation, and multiple linear regression using the SPSS/WIN 26.0 program.Results: Person-centered care showed significantly negative correlations with moral distress (r=-.18, p=.048) and positive correlations with empowerment (r=.52, p<.001) and nursing practice environment (r=.46, p<.001). Person-centered care was significantly affected by empowerment (β=.42, p<.001) and nursing practice environment (β=.26, p=.002), and the explanatory power of these variables was 34% (F=22.29, p<.001).Conclusion: Research results suggest it is necessary to develop a program to improve the empowerment of nurses for person-centered care and nursing practice environment in long-term care hospitals.
{"title":"The Influence of Moral Distress, Empowerment and Nursing Practice Environment on Nurses’ Person-centered Care in Long-term Care Hospitals: A Cross-Sectional Study","authors":"Seojung Jung, H. Min","doi":"10.17079/jkgn.2022.24.3.291","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.3.291","url":null,"abstract":"Purpose: The purpose of this study was to identify the influence of moral distress, empowerment, and nursing practice environment on nurses’ person-centered care in long-term care hospitals.Methods: A cross-sectional descriptive study was conducted using self-report questionnaires. Participants included 128 nurses working in eight long-term care hospitals. Data were collected from July 24 to August 31, 2018 and analyzed using the independent t-test, one-way ANOVA, Pearson correlation, and multiple linear regression using the SPSS/WIN 26.0 program.Results: Person-centered care showed significantly negative correlations with moral distress (r=-.18, p=.048) and positive correlations with empowerment (r=.52, p<.001) and nursing practice environment (r=.46, p<.001). Person-centered care was significantly affected by empowerment (β=.42, p<.001) and nursing practice environment (β=.26, p=.002), and the explanatory power of these variables was 34% (F=22.29, p<.001).Conclusion: Research results suggest it is necessary to develop a program to improve the empowerment of nurses for person-centered care and nursing practice environment in long-term care hospitals.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"106 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89963131","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 : 2022-08-31DOI: 10.17079/jkgn.2022.24.3.248
Seon-Ha Kim, Miok Kim
Purpose: This study evaluated the validity of the 8-item Health-Related Quality of Life (HINT-8) instrument for older adults in Korea. Methods: This study used data from the 2019 Korean National Health and Nutrition Examination Survey. Health-related quality of life distribution and the ceiling effect were investigated using the HINT-8 and EuroQol-five-dimensions three-level version (EQ-5D-3L) for 1,519 people aged 65 or older in Korea. To examine the known-group validity, the difference between the HINT-8 and EQ-5D-3L utility indexes according to general and disease-related characteristics was analyzed. To examine the convergence validity, the correlations between each domain and the HINT-8 and EQ-5D-3L indexes were evaluated. Results: The HINT-8 (3.6%) and EQ-5D-3L (51.3%) answered that there were no problems across all items. The HINT-8’s ceiling effect was much lower than that of the EQ-5D-3L. The utility index of quality of life in older adults was .76 in the HINT-8 and .88 in the EQ-5D-3L. For each variable category, both the HINT-8 and EQ-5D-3L indexes showed a statistically significant difference. In other words, the quality-of-life index was lower for women, those of higher age, a lower education level, lower income level, hospitalization or outpatient visits, or high stress level. The correlation between the similar domains of the HINT-8 and EQ-5D-3L was higher than that of the other domains. The correlation coefficient between the HINT-8 and EQ-5D-3L indexes was .60 (p<.001). Conclusion: The HINT-8 showed adequate validity to measure health-related quality of life for Korean older adults.
{"title":"Validity of the Health-Related Quality of Life Instrument with 8 Items (HINT-8) in the Korean Elderly: A Cross-Sectional Study","authors":"Seon-Ha Kim, Miok Kim","doi":"10.17079/jkgn.2022.24.3.248","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.3.248","url":null,"abstract":"Purpose: This study evaluated the validity of the 8-item Health-Related Quality of Life (HINT-8) instrument for older adults in Korea. Methods: This study used data from the 2019 Korean National Health and Nutrition Examination Survey. Health-related quality of life distribution and the ceiling effect were investigated using the HINT-8 and EuroQol-five-dimensions three-level version (EQ-5D-3L) for 1,519 people aged 65 or older in Korea. To examine the known-group validity, the difference between the HINT-8 and EQ-5D-3L utility indexes according to general and disease-related characteristics was analyzed. To examine the convergence validity, the correlations between each domain and the HINT-8 and EQ-5D-3L indexes were evaluated. Results: The HINT-8 (3.6%) and EQ-5D-3L (51.3%) answered that there were no problems across all items. The HINT-8’s ceiling effect was much lower than that of the EQ-5D-3L. The utility index of quality of life in older adults was .76 in the HINT-8 and .88 in the EQ-5D-3L. For each variable category, both the HINT-8 and EQ-5D-3L indexes showed a statistically significant difference. In other words, the quality-of-life index was lower for women, those of higher age, a lower education level, lower income level, hospitalization or outpatient visits, or high stress level. The correlation between the similar domains of the HINT-8 and EQ-5D-3L was higher than that of the other domains. The correlation coefficient between the HINT-8 and EQ-5D-3L indexes was .60 (p<.001). Conclusion: The HINT-8 showed adequate validity to measure health-related quality of life for Korean older adults.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76049639","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 : 2022-08-31DOI: 10.17079/jkgn.2022.24.3.301
Hye-Yeong Do, Yun-Jeong Kim
Purpose: The purpose of this study was to investigate the longitudinal effects of health status on changes in the use of long-term care insurance for the elderly.Methods: The total subjects included 4,110 people aged 65 or over who responded to the 12th and 15th surveys of the Korea Welfare Panel Study. Frequency analysis, x2 test, correlation, and multinomial logistic regression were applied.Results: First, the group using the long-term care insurance system for the elderly was classified into ‘continue not using’ (88.8%), ‘new use’ (6.9%), ‘continued use’ (3.1%), and ‘discontinue use’ (1.2%). Second, examining the determinants of changes in the use of the elderly long-term care insurance system, when older adults were older, and when their depression was higher, it was highly possible for them to use the elderly long-term care insurance system. Also, the elderly in single households were more likely to belong to the ‘continuous non-use’ group.Conclusion: Older adults in the group of continuously using the elderly long-term care insurance system showed negative physical health status, mental health, and family relationship health compared to other groups. The elderly households composed of elderly couples were more likely to not use the elderly long-term care insurance system.
{"title":"Longitudinal Effects of Health Status on Changes in the Use of the Elderly Long-Term Care Insurance System of Older Adults in Korea","authors":"Hye-Yeong Do, Yun-Jeong Kim","doi":"10.17079/jkgn.2022.24.3.301","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.3.301","url":null,"abstract":"Purpose: The purpose of this study was to investigate the longitudinal effects of health status on changes in the use of long-term care insurance for the elderly.Methods: The total subjects included 4,110 people aged 65 or over who responded to the 12th and 15th surveys of the Korea Welfare Panel Study. Frequency analysis, x2 test, correlation, and multinomial logistic regression were applied.Results: First, the group using the long-term care insurance system for the elderly was classified into ‘continue not using’ (88.8%), ‘new use’ (6.9%), ‘continued use’ (3.1%), and ‘discontinue use’ (1.2%). Second, examining the determinants of changes in the use of the elderly long-term care insurance system, when older adults were older, and when their depression was higher, it was highly possible for them to use the elderly long-term care insurance system. Also, the elderly in single households were more likely to belong to the ‘continuous non-use’ group.Conclusion: Older adults in the group of continuously using the elderly long-term care insurance system showed negative physical health status, mental health, and family relationship health compared to other groups. The elderly households composed of elderly couples were more likely to not use the elderly long-term care insurance system.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85694619","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}
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