Journal of Korean Gerontological Nursing最新文献

Purpose: The purpose of this study was to determine the level of cardiopulmonary resuscitation (CPR) training among Korean older adults in a community and the factors associated with CPR training.

Methods: A total of 51,939 elders were selected and analyzed using the 2022 Community Health Survey. The collected data were analysed using the Rao-Scott test and logistic regression via the SAS 9.4 program.

Results: A total of 7.3% of older adults received CPR training. Factors influencing CPR training were age (odds ratio [OR]=4.76, 95% confidence interval [CI]=2.55~8.90), level of education (OR=2.43, 95% CI=1.77~3.33), region (OR=1.16, 95% CI=1.05~1.27), working (OR=3.68, 95% CI=3.33~4.07), and subjective health status (OR=1.57, 95% CI=1.37~1.79).

Conclusion: Based on the results of this study, there is a need to explore various ways to improve CPR training for community older adults who are vulnerable to emergency situations.

Purpose: This study examined the effects of long-term care worker's human rights sensitivity and perceptions of elder abuse on their intentions to intervene in elder abuse.

Methods: This study adopted a descriptive design. Data accrued from 120 Workers (nurses, nurse assistants, and care workers) in Home Welfare Facilities and Medical Welfare Facilities for Older Adults using a convenience sampling method. The collected data were analyzed using the SPSS 25.0 software package.

Results: Perception of elder abuse was analyzed to explain 30.0% of the intention to intervene in elder abuse. The higher the perception of elder abuse, the higher the intention to intervene in elder abuse (β=.32, p<.001).

Conclusion: These results highlight that the higher the human rights sensitivity and awareness of elder abuse, the higher the intention to intervene in elder abuse. Awareness of elder abuse was found to be the only factor influencing the intention to intervene in elder abuse.

Purpose: This study was conducted to confirm the provision standards and appropriateness of functional recovery training services performed on residents in long-term care facilities.

Methods: Twenty-eight service providers working in four long-term care facilities applied the functional recovery training services to 63 older residents for 15 days, integrating them with their existing daily tasks. The contents recorded by the service providers on checklists were analyzed, and the experiences of applying functional recovery training services by the service providers were examined through focus group interviews.

Results: Training for activities of daily living, excluding bathing, five items such as dressing and undressing are performed 2 to 4 times per day. The duration for one session is approximately 16 minutes for meals, around 10 minutes for bathing, and about 5 to 7 minutes for the remaining activities. Movement and walking training, covering five items like standing, occurs 2 to 3 times per day, with session durations ranging from 3 to 10 minutes. Physical activity training is conducted 1 to 2 times per day, with each session lasting about 5 to 7 minutes. Cognitive activity training is performed 1 to 2 times per day, with each session lasting approximately 4 to 7 minutes.

Conclusion: For functional recovery training to be established in long-term care facilities, it is crucial to share an accurate understanding of the concept of training. Prior to the provision of training services, appropriate personnel such as nurses need to comprehensively assess the individuals and plan the training accordingly.

Purpose: This study aimed to investigate the extent of ageism among domestic university students in South Korea and identify influencing factors while controlling for social desirability bias.

Methods: This cross-sectional study involved 312 students from a nationwide panel and four universities located in G Province, administered online. The data were analyzed using SPSS version 26.0, employing descriptive statistics, independent t-tests, Welch's ANOVA, Pearson's correlation, and hierarchical regression analysis methods.

Results: Controlling for social desirability, the most potent predictors of ageism were the images about older adults (β=-.29, p<.001), knowledge about aging (β=-.24, p<.001), and the quality of interaction (β=-.20, p<.001), explaining 39% of the variance. Anxiety about aging did not emerge as a significant predictor in the final model.

Conclusion: The findings underscore the critical importance of promoting accurate knowledge about aging, fostering positive images of older adults, and improving intergenerational interactions to combat ageism. These results provide a theoretical foundation for interventions aimed at reducing ageism.

Purpose: The aims of this study were to examine the rate of the changes in cognitive function and the related-factors in progression from the community-dwelling older adults with mild cognitive impairment to dementia during 3 years.

Methods: Data were selected from the Seoul Dementia Management Project with 1,375 community-dwelling older adults with mild cognitive impairment at baseline and monitored the changes in cognitive function after 3 years. The main variables were included demographic characteristics, body mass index, cognitive function, attended number of non-pharmacological programs, and activity of daily living (ADL)-related educational programs. Data were analyzed using chi-square test, independent t-test, and logistic regression.

Results: Of all the participants, 83.0% remained with mild cognitive impairment, and 17.0% progressed to dementia after 3 years. Old age (odds ratio [OR]=1.06, 95% confidence Interval [CI]=1.04~1.09), no exercise (OR=1.42, 95% CI=1.04~1.93), attendance at non-pharmacological programs less than eight times (OR=4.17, 95% CI=2.05~8.49), and no attendance at ADL-related educational programs (OR=1.05, 95% CI=1.02~1.26) significantly affected dementia progression.

Conclusion: Regardless of the types of non-pharmacological programs, regular and continuous non-pharmacological programs must be one of the important services of the dementia care centers in Korea. The result of this study serves the basis for developing further strategies to activate non-pharmacological programs and ADL-related educational programs at the community level for older adults with mild cognitive impairment to prevent in progressing to dementia.

Purpose: This scoping review aimed to identify the research trends for dysphagia among older Korean adults in long-term care facilities.

Methods: A literature search was performed using Korean Studies Information Service System, Research Information Sharing Service, ScienceON, Cumulative Index to Nursing and Allied Health Literature, and PubMed. A total of 1,395 articles were identified, and 10 articles were selected for the final analysis. Two reviewers independently performed the study selection and extraction using pre-tested forms to confirm those for final inclusion.

Results: Most of the studies were published between 2011 and 2014. The quasi-experimental design was most frequently applied. The Gugging Swallowing Screen was the most widely used assessment tool. All studies, including dysphagia intervention programs, involved oral and facial exercise programs. In addition, they all used swallowing-related outcome variables to assess the effectiveness of the interventions.

Conclusion: Additional studies on dysphagia among older Korean adults in long-term care facilities should be conducted, and various interventions and assessment tools should be developed and implemented. This study is anticipated to establish a fundamental foundation for further dysphagia-related research and help improve the quality of life of Korean older adults in long-term care.

Purpose: Aging societies worldwide face the significant challenge of retaining skilled personal care workers (PCWs). In September 2017, the South Korean government launched a financial incentive program, offering a long-service allowance (LSA) to PCWs in nursing homes. This allowance is designated for those who have consistently worked over 120 hours per month for over 36 months. This study evaluates the impact of this publicly funded LSA on the job tenure of PCWs in nursing homes, using claim data from the National Health Insurance Service.

Methods: Utilizing a difference-in-difference approach, this research compares the tenure changes among LSA-eligible and non-eligible PCWs before and after the implementation of the LSA. It analyzes 2,095,503 cases from January 2016 to April 2019, employing regression-based panel data analysis.

Results: Despite a general trend of decreasing PCWs' job tenure and rising minimum wages, the LSA seems to affect LSA-eligible PCWs' tenure positively. After adjusting for socio-demographic, job-related, and organizational factors, the study found that the tenure of LSA-eligible PCWs extended by 85 days within the 20-month observation period, in contrast to a decrease among their non-eligible counterparts.

Conclusion: The LSA is considered to be effective in retaining mid-level PCWs, indicating its potential as a measure for workforce retention. However, its effectiveness in substantially increasing the overall supply of the PCW workforce is somewhat constrained.

Purpose: This study aimed to explore older patients' experiences of hospital life in long-term care hospitals without visitors.

Methods: Data were collected through individual in-depth interviews with eight older patients hospitalized in long-term care hospitals and were analyzed using Colaizzi's phenomenological method.

Results: Four theme clusters extracted from older patients' experiences were shabby oneself cut off from the outside world, a hospital that eventually became home, fear of death that will come one day, a self-reliant daily life with gathering body and mind.

Conclusion: Through the results of this study, it was possible to deeply understand the experiences of older patients living in long-term care hospitals for a long time without visitors. Based on this, it is necessary to develop nursing interventions that can effectively support them, and active strategies are required to prevent their social disconnection and expand various social networks inside and outside the hospital.

Shared decision making is globally recognized as an important concept in healthcare research, policy, education, and practice that enhances person-centered care. However, it is becoming increasingly evident that shared decision making has not been successfully translated into healthcare practices, especially in gerontological nursing. Central to person-centered and shared decision making is the need to recognize the importance of life experiences to inform decision-making processes. With the world's aging population and older adults facing more complex decisions and transitions in care, it is important to integrate shared decision making into person-centered care for older adults. This invited paper reviews the key issues in shared decision making in the context of older persons and the role of nurses. The review was divided into three parts. The first describes and comments on the main theoretical frameworks, while the second and third deal with barriers and facilitators to shared decision-making of older persons and issues related to their practice. There is a critical demand for focused research on older individuals with intricate needs and family-centered approaches to shared decision making. The tools and resources that support shared decision-making such as adequate time, consultation services, culturally appropriate decision aids, and systems that track patient progress, are essential for effective decision-making. As shared decision making involves various community resources, nurses must not only educate patients about these resources, but also provide patients with advice and support to ensure that the patients can effectively access and utilize these resources.