Pub Date : 2022-05-31DOI: 10.17079/jkgn.2022.24.2.197
H. Cheon, S. Jung, Jiyeon Kim, Yoosun Yang, G. Kim, Jun-Ah Song
Purpose: This study aimed to identify characteristics and preferences related to the use of virtual reality(VR) devices for the education of families of persons with dementia.Methods: Using a descriptive study design, an online survey was conducted for families of persons with dementia (N=136, mean age=48.14±10.4 years). Descriptive statistics, Pearson's x2 test, and Fisher's exact test were calculated using SPSS 25.0.Results: Most families of persons with dementia used electronic devices proficiently at least to some extent (n=117, 86%). It was found that they were willing to use the VR-based education program with a certain degree of inconvenience (n=133, 97.8%). When participating in VR-based education programs, the most preferred device was open VR (n=77, 56.6%) followed by closed VR (n=42, 30.9%). The preferred training time for all four devices was around 20 minutes. There was a statistically significant difference between proficiency in electronic device use and gender (x2=9.11, p=.045), age (x2=19.83, p=.004), and educational background (x2=18.46, p=.007), whereas only gender (x2=12.17, p=.006) was a significant factor for a willingness to be inconvenienced to get educated using VR devices. In the case of the preferred interaction method, only gender (x2=10.08, p=.033) had a statistically significant difference.Conclusion: Families of persons with dementia had a positive intention to use VR-based education programs, regardless of age and educational background, even with the inconvenience. The results of this study are expected to be used as basic data for the production of VR-based education programs in the future.
{"title":"Characteristics and Preferences Related to Using Virtual Reality Devices for Education of Families of Persons with Dementia: A Descriptive Study","authors":"H. Cheon, S. Jung, Jiyeon Kim, Yoosun Yang, G. Kim, Jun-Ah Song","doi":"10.17079/jkgn.2022.24.2.197","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.2.197","url":null,"abstract":"Purpose: This study aimed to identify characteristics and preferences related to the use of virtual reality(VR) devices for the education of families of persons with dementia.Methods: Using a descriptive study design, an online survey was conducted for families of persons with dementia (N=136, mean age=48.14±10.4 years). Descriptive statistics, Pearson's x2 test, and Fisher's exact test were calculated using SPSS 25.0.Results: Most families of persons with dementia used electronic devices proficiently at least to some extent (n=117, 86%). It was found that they were willing to use the VR-based education program with a certain degree of inconvenience (n=133, 97.8%). When participating in VR-based education programs, the most preferred device was open VR (n=77, 56.6%) followed by closed VR (n=42, 30.9%). The preferred training time for all four devices was around 20 minutes. There was a statistically significant difference between proficiency in electronic device use and gender (x2=9.11, p=.045), age (x2=19.83, p=.004), and educational background (x2=18.46, p=.007), whereas only gender (x2=12.17, p=.006) was a significant factor for a willingness to be inconvenienced to get educated using VR devices. In the case of the preferred interaction method, only gender (x2=10.08, p=.033) had a statistically significant difference.Conclusion: Families of persons with dementia had a positive intention to use VR-based education programs, regardless of age and educational background, even with the inconvenience. The results of this study are expected to be used as basic data for the production of VR-based education programs in the future.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89598262","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 : 2022-05-31DOI: 10.17079/jkgn.2022.24.2.151
S. Kim, Sunmi Bae
Purpose: This study investigated the nature of nursing care workers’ experiences of responding to emergencies involving Korean older adults to prepare measures to strengthen nursing care workers’ practical abilities in this regard.Methods: This qualitative descriptive study used focus-group interviews and qualitative content analysis. Two focus-group interviews with 16 care workers from 16 nursing homes and home-care centers were conducted between February 1 and April 28, 2019. We collected data through these two focus-group interviews.Results: Of the 16 participants, 11 were care workers from nursing homes for older adults and five were from home-care centers. Altogether, we formulated 180 meanings from the original data and derived 64 codes from these meanings. Five categories were identified through systematic conceptualization: “panic about emergencies”, “difficulty recognizing an emergency”, “desperate need for real education”, “unsystematic emergency responses”, and “dealing with the aftermath of a patient’s death”; the categories were extracted from 21 subcategories.Conclusion: Care workers faced sudden emergencies while caring for older adults and coped with them based on their previous experiences. Nevertheless, they faced difficulties in recognizing emergencies. Our findings may help institutionalize systematic and consistent on-the-job training programs to augment care workers’ emergency preparedness.
{"title":"Care Workers’ Experiences of Emergencies with Korean Older Adults: A Qualitative Descriptive Study","authors":"S. Kim, Sunmi Bae","doi":"10.17079/jkgn.2022.24.2.151","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.2.151","url":null,"abstract":"Purpose: This study investigated the nature of nursing care workers’ experiences of responding to emergencies involving Korean older adults to prepare measures to strengthen nursing care workers’ practical abilities in this regard.Methods: This qualitative descriptive study used focus-group interviews and qualitative content analysis. Two focus-group interviews with 16 care workers from 16 nursing homes and home-care centers were conducted between February 1 and April 28, 2019. We collected data through these two focus-group interviews.Results: Of the 16 participants, 11 were care workers from nursing homes for older adults and five were from home-care centers. Altogether, we formulated 180 meanings from the original data and derived 64 codes from these meanings. Five categories were identified through systematic conceptualization: “panic about emergencies”, “difficulty recognizing an emergency”, “desperate need for real education”, “unsystematic emergency responses”, and “dealing with the aftermath of a patient’s death”; the categories were extracted from 21 subcategories.Conclusion: Care workers faced sudden emergencies while caring for older adults and coped with them based on their previous experiences. Nevertheless, they faced difficulties in recognizing emergencies. Our findings may help institutionalize systematic and consistent on-the-job training programs to augment care workers’ emergency preparedness.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83079280","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 : 2022-05-31DOI: 10.17079/jkgn.2022.24.2.123
Kum-Ock Kwon, Hye-Young Jang
Purpose: The purpose of this study was to identify factors influencing geriatric nursing practices in nurses working in comprehensive nursing care service wards.Methods: The participants were 181 nurses from comprehensive nursing care service wards across five hospitals. Data were collected from July 16 to August 06, 2021 and analyzed using t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and stepwise multiple regression.Results: The average age of nurses who work in the comprehensive nursing care service wards was 31.74±7.51 years, total clinical experience was 8.03±6.67 years, and average comprehensive nursing care service wards experience was 2.03±1.28 years. Geriatric nursing practice was influenced by communication ability (β=.30, p<.001), nursing working environment (β=.24, p=.001), and total clinical experience (β=.22, p=.001). The explanatory power was 21.9% (F=17.83, p<.001, Adj. R2=.22).Conclusion: Based on the results of this study, geriatric care is expected to develop if nurses’ work environments in comprehensive nursing care service wards improve and communication skills are trained. Therefore, it is demanded to organize an efficient working space for nurses and educational program that advances communication for comprehensive nursing care service providers.
{"title":"The Effects of Communication Ability and Nursing Work Environment on Geriatric Nursing Practices of Nurses in Comprehensive Nursing Care Service Wards: A Cross-Sectional Study","authors":"Kum-Ock Kwon, Hye-Young Jang","doi":"10.17079/jkgn.2022.24.2.123","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.2.123","url":null,"abstract":"Purpose: The purpose of this study was to identify factors influencing geriatric nursing practices in nurses working in comprehensive nursing care service wards.Methods: The participants were 181 nurses from comprehensive nursing care service wards across five hospitals. Data were collected from July 16 to August 06, 2021 and analyzed using t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and stepwise multiple regression.Results: The average age of nurses who work in the comprehensive nursing care service wards was 31.74±7.51 years, total clinical experience was 8.03±6.67 years, and average comprehensive nursing care service wards experience was 2.03±1.28 years. Geriatric nursing practice was influenced by communication ability (β=.30, p<.001), nursing working environment (β=.24, p=.001), and total clinical experience (β=.22, p=.001). The explanatory power was 21.9% (F=17.83, p<.001, Adj. R2=.22).Conclusion: Based on the results of this study, geriatric care is expected to develop if nurses’ work environments in comprehensive nursing care service wards improve and communication skills are trained. Therefore, it is demanded to organize an efficient working space for nurses and educational program that advances communication for comprehensive nursing care service providers.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82259839","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 : 2022-05-31DOI: 10.17079/jkgn.2022.24.2.133
H. Kim, Gye Jeong Yeom
Purpose: The purpose of this study was to identify factors related to the completion of advance directives by community-dwelling older adults.Methods: This descriptive correlational study used a cross-sectional survey of 236 older adults recruited from a welfare center in Jungnang gu Seoul, South Korea. Data collection was done from June 1 to August 20, 2021. A self-administered questionnaire was used to measure advance directives' self-efficacy and intentions and the completion of advance directives. The data were analyzed with the SPSS 23.0 and SPSS Process Macro program.Results: Advance directives' self-efficacy indirectly had a significant positive effect on the completion of advance directives and fully mediated advance directives' intentions, and its explanatory power was confirmed to be 21%.Conclusion: The result of this study suggests developing education programs to improve the completion of advance directives in community-dwelling older adults. Further research is needed with more elderly populations in extended areas.
目的:本研究的目的是确定社区居住的老年人完成预先指示的相关因素。方法:这项描述性的相关研究采用了一项横断面调查，从韩国首尔中区的一个福利中心招募了236名老年人。数据收集时间为2021年6月1日至8月20日。采用自填问卷对患者的自我效能感、意向及完成情况进行测量。采用SPSS 23.0和SPSS Process Macro程序对数据进行分析。结果:事前指示自我效能感对事前指示完成和完全中介事前指示意图有间接显著的正向影响，其解释力为21%。结论:本研究的结果建议发展教育计划，以提高社区居住的老年人完成预先指示。需要对更广泛地区的更多老年人口进行进一步的研究。
{"title":"Influence of Advance Directives' Self-efficacy of Community-dwelling Older Adults on the Completion of Advance Directives: Mediating the Effect of Intention for Advance Directives: A Cross-Sectional Study","authors":"H. Kim, Gye Jeong Yeom","doi":"10.17079/jkgn.2022.24.2.133","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.2.133","url":null,"abstract":"Purpose: The purpose of this study was to identify factors related to the completion of advance directives by community-dwelling older adults.Methods: This descriptive correlational study used a cross-sectional survey of 236 older adults recruited from a welfare center in Jungnang gu Seoul, South Korea. Data collection was done from June 1 to August 20, 2021. A self-administered questionnaire was used to measure advance directives' self-efficacy and intentions and the completion of advance directives. The data were analyzed with the SPSS 23.0 and SPSS Process Macro program.Results: Advance directives' self-efficacy indirectly had a significant positive effect on the completion of advance directives and fully mediated advance directives' intentions, and its explanatory power was confirmed to be 21%.Conclusion: The result of this study suggests developing education programs to improve the completion of advance directives in community-dwelling older adults. Further research is needed with more elderly populations in extended areas.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76842537","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 : 2022-02-28DOI: 10.17079/jkgn.2022.24.1.47
Juyeon Nho, Eun Jin Kim
Purpose: Nutritional status and depression are major factors that affect older adults’ quality of life (QoL). This study aimed to examine the mediating effects of depression on the relationship between nutritional status and physical and mental QoL in older adults and to provide a foundation for developing an effective nursing intervention program to improve QoL.Methods: This study was a cross-sectional, correlational study. A convenience sample of 154 older adults was recruited from J Province, South Korea, between December 2019 and August 2020. Data were analyzed using PROCESS macro with a 95% bias-corrected bootstrap confidence interval for the SPSS/WIN 25.0 program.Results: QoL positively correlated with nutritional status and negatively correlated with depression. After controlling for general covariates, depression partially mediated the relationship between nutritional status and QoL in older adults (physical QoL [Effect=0.41, 95% CI=0.08~0.81], mental QoL [Effect=0.38, 95% CI=0.04~0.79]).Conclusion: Health promotion strategies are needed for older adults with poor nutritional status and high levels of depression. Additionally, nutritional status and depression in older adults affect QoL, with depression affecting QoL through nutritional status as a mediator. Therefore, interventions to improve the nutritional status and reduce depression among older adults must be developed and implemented.
{"title":"Mediating Effects of Depression on Relationships between Nutritional Status and Quality of Life among Older Adults: A Cross-Sectional Study","authors":"Juyeon Nho, Eun Jin Kim","doi":"10.17079/jkgn.2022.24.1.47","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.1.47","url":null,"abstract":"Purpose: Nutritional status and depression are major factors that affect older adults’ quality of life (QoL). This study aimed to examine the mediating effects of depression on the relationship between nutritional status and physical and mental QoL in older adults and to provide a foundation for developing an effective nursing intervention program to improve QoL.Methods: This study was a cross-sectional, correlational study. A convenience sample of 154 older adults was recruited from J Province, South Korea, between December 2019 and August 2020. Data were analyzed using PROCESS macro with a 95% bias-corrected bootstrap confidence interval for the SPSS/WIN 25.0 program.Results: QoL positively correlated with nutritional status and negatively correlated with depression. After controlling for general covariates, depression partially mediated the relationship between nutritional status and QoL in older adults (physical QoL [Effect=0.41, 95% CI=0.08~0.81], mental QoL [Effect=0.38, 95% CI=0.04~0.79]).Conclusion: Health promotion strategies are needed for older adults with poor nutritional status and high levels of depression. Additionally, nutritional status and depression in older adults affect QoL, with depression affecting QoL through nutritional status as a mediator. Therefore, interventions to improve the nutritional status and reduce depression among older adults must be developed and implemented.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90491076","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}
Purpose: This study aimed to measure toe grip strength (TGS) and identify its related factors among older adults receiving services from home-visiting caregivers. It is necessary to investigate TGS to develop fall prevention programs because the chance of falling at home increases among older adults.Methods: Data were gathered from 91 older adults enrolled in six home-visiting care centers located in C city. Six trained social workers at each center visited older adults’ homes and gathered data between March 29 and April 15, 2021.Results: There were significant differences in TGS by gender (t=2.15, p=.035), age (r=-.28, p=.006), education level (F=6.69, p<.001), living arrangement (F=6.13, p=.003), and diabetes mellitus (DM) (t=-2.50, p=.014). Levels of TGS were significantly correlated with self-rated health status (r=.28, p=.08), satisfaction with daily life together (r=.28, p=.007), and number of falls (r=-.22, p=.035). TGS was influenced by being educated(high school and beyond) (β=.28, p=.004), living with a spouse only (β=.26, p=.009), having DM (β=.23, p=.015), and satisfaction with doing daily life together with caregivers (β=.21, p=.030). The regression model explained 25% of study participants’ TGS.Conclusion: TGS among Korean older adults receiving services from home-visiting caregivers was low. At-home fall prevention programs must develop for the older population. Home-visiting caregivers must take key roles to strengthen older adults’ TGS and prevent their falls.
{"title":"Toe Grip Strength and Its Related Factors among Older Adults Receiving Services from Home-visiting Caregivers","authors":"Jong-Guk Lim, Hayoung Lee, Shirokawa Eriko, Dong-Soo Shin","doi":"10.17079/jkgn.2022.24.1.13","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.1.13","url":null,"abstract":"Purpose: This study aimed to measure toe grip strength (TGS) and identify its related factors among older adults receiving services from home-visiting caregivers. It is necessary to investigate TGS to develop fall prevention programs because the chance of falling at home increases among older adults.Methods: Data were gathered from 91 older adults enrolled in six home-visiting care centers located in C city. Six trained social workers at each center visited older adults’ homes and gathered data between March 29 and April 15, 2021.Results: There were significant differences in TGS by gender (t=2.15, p=.035), age (r=-.28, p=.006), education level (F=6.69, p<.001), living arrangement (F=6.13, p=.003), and diabetes mellitus (DM) (t=-2.50, p=.014). Levels of TGS were significantly correlated with self-rated health status (r=.28, p=.08), satisfaction with daily life together (r=.28, p=.007), and number of falls (r=-.22, p=.035). TGS was influenced by being educated(high school and beyond) (β=.28, p=.004), living with a spouse only (β=.26, p=.009), having DM (β=.23, p=.015), and satisfaction with doing daily life together with caregivers (β=.21, p=.030). The regression model explained 25% of study participants’ TGS.Conclusion: TGS among Korean older adults receiving services from home-visiting caregivers was low. At-home fall prevention programs must develop for the older population. Home-visiting caregivers must take key roles to strengthen older adults’ TGS and prevent their falls.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"460 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85549374","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 : 2022-02-28DOI: 10.17079/jkgn.2022.24.1.1
Kyoungsun Yun, Yu-Jin Lee
Purpose: This descriptive research study aimed to identify the factors that influence depression according to household type (older adults who live with a spouse, adult children, or alone).Methods: A total of 9,790 older adults were selected and analyzed using the 2020 National Older Koreans data. A Rao-Scott x2 test was conducted to evaluate the differences in the individual, health-behavior, and mental-health factors according to family structure. A complex samples logistic regression was used to analyze the factors that influence depression according to family structure.Results: Depression according to family structure was in the order of older adults who live alone, with adult children, or a spouse (p<.001). Total income, number of chronic diseases, hospitalization, exercise, and suicide ideation were identified as depressive factors for older adults who live with adult children. Employment, subjective health status, number of chronic diseases, hospital visitation, hospitalization, drinking, suicide ideation, economic status satisfaction, and cultural life satisfaction were depressive factors for older adults who live with a spouse. Employment, subjective health status, hospitalization, drinking, suicide ideation, and cultural life satisfaction were depressive factors (p<.05) for older adults who live alone.Conclusion: It is necessary to detect depression early and operate a mental health program considering the family structure of older adults.
{"title":"Factors Influencing Depression in Older Adults According to Family Structure (Older Adults Living with Adult Children, a Spouse, or Alone): Data from the 2020 National Older Koreans Data","authors":"Kyoungsun Yun, Yu-Jin Lee","doi":"10.17079/jkgn.2022.24.1.1","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.1.1","url":null,"abstract":"Purpose: This descriptive research study aimed to identify the factors that influence depression according to household type (older adults who live with a spouse, adult children, or alone).Methods: A total of 9,790 older adults were selected and analyzed using the 2020 National Older Koreans data. A Rao-Scott x2 test was conducted to evaluate the differences in the individual, health-behavior, and mental-health factors according to family structure. A complex samples logistic regression was used to analyze the factors that influence depression according to family structure.Results: Depression according to family structure was in the order of older adults who live alone, with adult children, or a spouse (p<.001). Total income, number of chronic diseases, hospitalization, exercise, and suicide ideation were identified as depressive factors for older adults who live with adult children. Employment, subjective health status, number of chronic diseases, hospital visitation, hospitalization, drinking, suicide ideation, economic status satisfaction, and cultural life satisfaction were depressive factors for older adults who live with a spouse. Employment, subjective health status, hospitalization, drinking, suicide ideation, and cultural life satisfaction were depressive factors (p<.05) for older adults who live alone.Conclusion: It is necessary to detect depression early and operate a mental health program considering the family structure of older adults.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87390006","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 : 2022-02-28DOI: 10.17079/jkgn.2022.24.1.108
Eun-ok Yang, M. Gu
Purpose: This study aimed to develop and test a structural model for burnout and work engagement of nurses in long-term care hospitals. The hypothetical model was constructed on the basis of the expanded Job Demand-Job Resources Model by Xanthopoulou, Baker, Demerouti, and Schaufeli and previous studies related to nurses’ burnout and work engagement.Methods: The study participants included 232 nurses working in seven long-term care hospitals with over 100 bed located in Jeollanam-do and Jeollabuk-do. Data were collected from February 6 to February 16, 2020. Data were analyzed using descriptive statistics, Pearson’s correlation, and structural equation modeling by SPSS 21.0 and AMOS 21.0 programs.Results: The final model showed a good fit to the empirical data: The factors that influenced burnout of nurses in long-term care hospitals were resilience (β=-.37), emotional demands (β=.29), work overload (β=.24), organization-based self-esteem (β=-.19), and social support (β=-.18) explaining 60.5% of the variance. The factors that influenced work engagement for nurses in long-term care hospitals were resilience (β=.44), burnout (β=-.32), and career-growth opportunity (β=.18) explaining 66.4% of the variance.Conclusion: The model constructed in this study is recommended as a model to explain and predict the burnout and work engagement of nurses in long-term care hospitals. The results suggest that strategies for decreasing the burnout of nurses in long-term care hospitals should focus on resilience, emotional demands, work overload, organization-based self-esteem, and social support. In addition, strategies for increasing nurses’ work engagement should focus on resilience, burnout, career-growth opportunity, and social support.
{"title":"A Structural Model for Burnout and Work Engagement of Nurses in Long-term Care Hospitals: Application of the Expanded Job Demand-Job Resources Model","authors":"Eun-ok Yang, M. Gu","doi":"10.17079/jkgn.2022.24.1.108","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.1.108","url":null,"abstract":"Purpose: This study aimed to develop and test a structural model for burnout and work engagement of nurses in long-term care hospitals. The hypothetical model was constructed on the basis of the expanded Job Demand-Job Resources Model by Xanthopoulou, Baker, Demerouti, and Schaufeli and previous studies related to nurses’ burnout and work engagement.Methods: The study participants included 232 nurses working in seven long-term care hospitals with over 100 bed located in Jeollanam-do and Jeollabuk-do. Data were collected from February 6 to February 16, 2020. Data were analyzed using descriptive statistics, Pearson’s correlation, and structural equation modeling by SPSS 21.0 and AMOS 21.0 programs.Results: The final model showed a good fit to the empirical data: The factors that influenced burnout of nurses in long-term care hospitals were resilience (β=-.37), emotional demands (β=.29), work overload (β=.24), organization-based self-esteem (β=-.19), and social support (β=-.18) explaining 60.5% of the variance. The factors that influenced work engagement for nurses in long-term care hospitals were resilience (β=.44), burnout (β=-.32), and career-growth opportunity (β=.18) explaining 66.4% of the variance.Conclusion: The model constructed in this study is recommended as a model to explain and predict the burnout and work engagement of nurses in long-term care hospitals. The results suggest that strategies for decreasing the burnout of nurses in long-term care hospitals should focus on resilience, emotional demands, work overload, organization-based self-esteem, and social support. In addition, strategies for increasing nurses’ work engagement should focus on resilience, burnout, career-growth opportunity, and social support.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89704360","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 : 2022-02-28DOI: 10.17079/jkgn.2022.24.1.22
Haejung Lee, Misoon Lee, Gaeun Park, A. R. Khang
Purpose: This study was performed to identify factors related to the occurrence and number of chronic diabetic complications in patients with type 2 diabetes mellitus.Methods: Data were extracted from the Korean National Health Insurance Service-National Health Screening Cohort from 2002 to 2015. Adults 30 years of age or older diagnosed with type 2 diabetes mellitus and prescribed at least one diabetes medication were included. Statistical data analyses were performed using R version 3.5.1.Results: A total of 1,406 subjects were analysed in this study, of which 15.3% did not develop chronic diabetic complications. The most common first complications were eye (17.6%), peripheral vascular (16.7%), neuropathy (15.1%), and cardiovascular diseases (13.6%). Multivariable Cox regression analyses showed that female, older age, and higher body mass index were consistently associated with an increased risk of chronic diabetic complications. There were significant differences in gender, age, residential area, duration of diabetes, body mass index, smoking, and alcohol consumption according to the number of chronic diabetic complications.Conclusion: Female gender, older age, higher body mass index were consistently and significantly associated with the occurrence and number of chronic diabetic complications. Efforts to screen high risk patients and to manage the weight of type 2 diabetes patients are required. Future studies are needed to elucidate the relationship between chronic diabetic complications and recommended physical activity for weight management.
{"title":"Factors Related to the Occurrence and Number of Chronic Diabetic Complications in Patients with Type 2 Diabetes Mellitus: Utilizing The National Health Insurance Service-National Health Screening Cohort in Korea, 2002~2015","authors":"Haejung Lee, Misoon Lee, Gaeun Park, A. R. Khang","doi":"10.17079/jkgn.2022.24.1.22","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.1.22","url":null,"abstract":"Purpose: This study was performed to identify factors related to the occurrence and number of chronic diabetic complications in patients with type 2 diabetes mellitus.Methods: Data were extracted from the Korean National Health Insurance Service-National Health Screening Cohort from 2002 to 2015. Adults 30 years of age or older diagnosed with type 2 diabetes mellitus and prescribed at least one diabetes medication were included. Statistical data analyses were performed using R version 3.5.1.Results: A total of 1,406 subjects were analysed in this study, of which 15.3% did not develop chronic diabetic complications. The most common first complications were eye (17.6%), peripheral vascular (16.7%), neuropathy (15.1%), and cardiovascular diseases (13.6%). Multivariable Cox regression analyses showed that female, older age, and higher body mass index were consistently associated with an increased risk of chronic diabetic complications. There were significant differences in gender, age, residential area, duration of diabetes, body mass index, smoking, and alcohol consumption according to the number of chronic diabetic complications.Conclusion: Female gender, older age, higher body mass index were consistently and significantly associated with the occurrence and number of chronic diabetic complications. Efforts to screen high risk patients and to manage the weight of type 2 diabetes patients are required. Future studies are needed to elucidate the relationship between chronic diabetic complications and recommended physical activity for weight management.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75821385","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 : 2022-02-28DOI: 10.17079/jkgn.2022.24.1.96
Eun-Jeong Han, Seonhwa Lee, R. Hwang
Purpose: This study aimed to identify the time of care services provided by nurses, nursing assistants, care workers, physical therapists, and social workers during a 24-hour-period and the volume of resource utilization for residents in long-term care (LTC) facilities.Methods: We measured the providers' service time supplied to 3,295 residents in 32 LTC facilities. The utilization of resources each service facility provided was analyzed considering the services’ difficulty levels and providers’ wages.Results: The higher the long-term care grade, the longer the provider's service time and the greater the resource utilization. This phenomenon did not appear in the cognitive assistant grader. The service hours provided for the cognitive assistant graders were longer than those in grades 4 and 5, and longer than in long-term care eligibility points about the classification system. Compared to the long-term care eligibility points, the used resource volumes of excretion support, managing behavioral symptoms, and indirect services increased in all grades but, the used resource volumes of nursing treatment time decreased.Conclusion: It is necessary to discuss measures to raise the grade in the cognitive assistance grader with mild dementia. Additional research on the cause of the decrease in nursing treatment time for residents in LTC facilities and measures to satisfy nursing needs is necessary.
{"title":"Comparison of Utilized Resource Volumes by Grade of Seniors in Long-Term Care Facilities","authors":"Eun-Jeong Han, Seonhwa Lee, R. Hwang","doi":"10.17079/jkgn.2022.24.1.96","DOIUrl":"https://doi.org/10.17079/jkgn.2022.24.1.96","url":null,"abstract":"Purpose: This study aimed to identify the time of care services provided by nurses, nursing assistants, care workers, physical therapists, and social workers during a 24-hour-period and the volume of resource utilization for residents in long-term care (LTC) facilities.Methods: We measured the providers' service time supplied to 3,295 residents in 32 LTC facilities. The utilization of resources each service facility provided was analyzed considering the services’ difficulty levels and providers’ wages.Results: The higher the long-term care grade, the longer the provider's service time and the greater the resource utilization. This phenomenon did not appear in the cognitive assistant grader. The service hours provided for the cognitive assistant graders were longer than those in grades 4 and 5, and longer than in long-term care eligibility points about the classification system. Compared to the long-term care eligibility points, the used resource volumes of excretion support, managing behavioral symptoms, and indirect services increased in all grades but, the used resource volumes of nursing treatment time decreased.Conclusion: It is necessary to discuss measures to raise the grade in the cognitive assistance grader with mild dementia. Additional research on the cause of the decrease in nursing treatment time for residents in LTC facilities and measures to satisfy nursing needs is necessary.","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"5 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90245862","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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