Nurses In Long-term Care Hospitals Research Articles

Effects of pressure ulcer prevention training among nurses in long-term care hospitals

BackgroundNurses caring for elderly patients with a high risk of pressure ulcer at long-term care hospitals require the necessary knowledge, behaviors, and attitudes regarding preventing pressure ulcers. ObjectivesTo identify the effects of pressure ulcer prevention training on nurses' knowledge, behaviors, and attitudes regarding pressure ulcer prevention. DesignA comparison group pretest-posttest design. SettingsLong-term care hospitals in a metropolitan area of the Republic of Korea. ParticipantsParticipants were conveniently assigned to team-based learning (n = 30) or lecture-based learning (n = 30) groups. MethodsWe examined pre-post differences in the scores for pressure ulcer prevention knowledge, behaviors, and attitudes in each group using the paired t-test. Additionally, pre-post difference scores were compared between the two groups using the independent samples t-test. ResultsBoth groups exhibited significant increases in scores for pressure ulcer prevention knowledge, behaviors, and attitudes after the intervention as compared before it. However, we found no significant differences in the pre-post difference scores for any of the variables between the two groups. ConclusionsPressure ulcer prevention training, regardless of whether it utilizes team-based or lecture-based learning, is useful for enhancing nurses' pressure ulcer prevention knowledge, behaviors, and attitudes. Further study is needed to verify the longitudinal effects of pressure ulcer prevention training on nurses' actual performance and the incidence of pressure ulcers among patients.

요양병원 간호사의 소진 개념분석

Purpose: This study involves a concept analysis to clarify the conceptual meaning of burnout in nurses in long-term care hospitals and identify its properties. Methods: Research was conducted using Walker and Avant’s concept analysis process. Results: Burnout in nurses in long-term care hospitals involved psychological and physical fatigue, role conflict, excessive workload, skepticism, and lethargy due to a decline in the sense of individual accomplishment. The antecedent factors included an increase in the nursing needs of care recipients and their families, lack of nursing workforce, and unsystematic workforce management. The results demonstrated that burnout was associated with a decline in nurses’ physical and psychological function, negative emotion, indifference, decreased job satisfaction, and an increase in turnover intention. Conclusion: The findings of this study should be applied to research to verify the effects of intervention programs for burnout in nurses in long-term care hospitals.

Long-term Care Hospital Nurses' Awareness and Ethical Attitudes toward DNR

Purpose This study was done to investigate long-term care hospital nurses’ awareness and ethical attitudes toward Do-not-resuscitate (DNR). Methods Data were collected from 146 nurses who worked in long-term care hospitals for more than six months. Participants worked in G city and J Province, and the data were collected from October to December, 2018. Data analysis was done using descriptive statistics and x2 test with the SPSS/WIN program version 23.0. Results There were significant differences in participants' awareness of DNR according to age, length of time working as a nurse in a long-term care hospital, position, work pattern, received DNR education, decision maker and the existence of guideline for DNR. There were significant differences in participants' ethical attitudes toward DNR according to the length of time working as a nurse in a long-term care hospital, position, DNR education, place of education, experiences with DNR as one who calls for DNR, and decision maker for DNR. Conclusion Findings suggest that there is a need to develop guidelines for DNR, and also DNR related education programs for nurses in long-term care hospital. Furthermore, qualitative research using in-depth interviews for nurses in these hospital is needed. 주요어: ì‹¬íì†Œìƒìˆ ê¸ˆì§€, 인식, 태도, 간호사, 요양병원 Key Words: Resuscitation orders, Awareness, Attitudes, Nurses, Long-term care

요양병원 간호사의 의사소통 능력과 직무스트레스가 조직유효성에 미치는 영향

Purpose: This study was a descriptive survey and aimed to identify the communication skill, job stress, and organizational effectiveness of geriatric hospital nurses and examine the effects of communication skill and job stress on organizational effectiveness. Methods: The participants were 180 nurses with more than one year of work experience as a geriatric hospital nurse, who were randomly recruited from six selected long-term care hospitals with more than 100 beds, located in G Metropolitan City and J Province. Results: Communication skill had an average score of 3.56 points, job stress had 3.77 points, and organizational effectiveness had 3.17 points on a five-point scale. Organizational effectiveness of long-term care hospital nurses had a significant positive correlation with communication skill (r=.43, p ＜.001) and a significant negative correlation with job stress (r=−.28, p ＜.001). The factors significantly influencing organizational effectiveness were communication skill
 and job stress. The explanatory power of the two variables was 23%. Conclusion: Organizational effectiveness had a
 significant positive correlation with communication skill and a significant negative correlation with job stress. Therefore, it is judged to be necessary to develop various studies and programs for enhancing communication skill and reducing job stress in order to promote organizational effectiveness of long-term care hospital nurses.

Experiences of Long-term Care Hospital Nurses Caring for Elders with Dementia

Purpose This study aims to understand more clearly the long-term care hospital nurses’ experiences of caring for elders with dementia and provide baseline data to improve the quality of nursing. Methods Colaizzi's phenomenological method was used for data analysis. The participants were seven nurses. Face-to-face in depth interviews were used for data collection from June to October, 2018. Results Three categories were identified. The nurses' reported experiences caring for elders with dementia were ‘accepting dementia as a part of life’, ‘crumbling sense of identity due to the provocation of elders with dementia and their families’, and ‘pursuing caring beyond dementia caring’. Nine themes were shown in this study. The participants stated that they needed to understand dementia and accept dementia through relationships with elders with dementia. Conclusion These results should be considered in planning nursing interventions for caring of elders with dementia in long-term care hospital. The findings support the need for educational strategies and programs to improve the ability of long-term care hospital nurses to adequately care for elders with dementia and for the necessity to develop related policy supports. 주요어: ë ¸ì¸, 돌봄, ì§ˆì ì—°êµ¬, 치매 Key Words: Aged, Caring, Qualitative research, Dementia

Influencing factors on Moral Distress in Long-term Care Hospital and Facility Nurses

Influencing factors on Moral Distress in Long-term Care Hospital and Facility Nurses

Resilience as a Mediator in the Relationship between Stress Coping Style and Burnout in Long-term Care Hospital Nurses

본 연구는 요양병원 간호사의 스트레스 대처 유형과 소진간의 관계에서 극복력의 매개효과를 확인하여 요양병원 간호사의 소진을 완화하는 방안모색을 위한 기초자료를 제공하고자 시행되었다. 자료수집기간은 2018년 4월 5일부터 4월 17일까지 약 2주간이었고, 연구대상자는 요양병원에서 1년 이상의 임상경력이 있는 간호사 총226명이었다. 수집된 자료는 t-test와 ANOVA, Scheffé test, 피어슨 상관관계분석, 위계적 중다회귀분석으로 분석하였다. 연구결과 유형별 스트레스 대처와 소진과의 관계에서 극복력의 매개효과 분석에서는 사회적 지지를 구하는 스트레스 대처 유형과 소진과의 관계에서 극복력의 매개효과는 통계적으로 유의하지 않았다. 그러나 문제해결 대처유형과 소진과의 관계에서 극복력은 완전 매개(full mediating)하였고, 회피 대처 유형, 긍정적 사고대처유형과 소진과의 관계를 부분 매개(partial mediating), 하는 것으로 나타났다. 본 연구의 결과를 통해 요양병원 간호사의 소진을 낮추고 나아가서 이직률을 낮추기 위해서는 스트레스 대처 유형에 적합한 다양한 극복력 증진 프로그램 개발과 운영을 통해 간호사 자신의 내적인 힘을 키워서 스트레스 상황에 대처하고, 숙련된 기술을 발휘하여 환자에게 보다 양질의 간호를 제공하길 기대한다.The purpose of this research was to investigate resilience as a mediator in the relationship between stress coping style and burnout in long-term care hospital nurses in order to provide basic data to find ways to alleviate burnout of long-term care hospital nurses. The data collection period of this study was about 2 weeks from april 5, 2018 to april 17, 2018 and the subjects of this study were 226 nurses who had more than one year of clinical experience in long-term care hospitals and who agreed to a written consent. The collected data were analyzed by independent t-test, ANOVA, Scheffé test, Pearson s correlation coefficients, hierarchical multiple regression analysis, and Sobel test using the IBM SPSS Statistics 24 program. The mediating effect of resilience in the process of affecting burnout was not statistically significant for seeking social support types. The resilience was found to be fully mediating the effect of problem solving type in the process of affecting burnout. Since coefficients of the avoidance type and positive thinking type were still statistically significant, resilience was found to be partially mediating in avoidance types in the process of affecting burnouts.

Factors Affecting Implementation of Evidence-Based Fall Guidelines among Long-term Care Hospital Nurses

Objectives: This study was designed to identify the factors affecting nurses’ implementation of evidence-based fall guidelines in long-term care hospitals.Method: Using a descriptive study design, the participants were 217nurses from long-term care hospitals in Korea. The data were used descriptive analysis, correlation, and multiple regression. The survey was designed to investigate nurses’ EBP beliefs, EBP organizational culture, EBP implementation regarding implementation of evidence-based fall guidelines.Findings: EBP beliefs (? = .23, p < .001), EBP organizational culture (? = .49, p < .001), and EBP implementation (? = .15, p = .025) were significant predictors which explained 57.6% of the variance reported in implementation of evidence-based fall guidelines.Improvements/Applications: The results of this study support the need for nursing organizations to create cultures that promote EBP and to encourage nurses’ beliefs about their confidence and capability to implement upon implementation of evidence-based fall guidelines. This could enhance patient care and outcomes, as well as organizational outcomes.

The Study of Work Environment of Nurses in Long-term Care Hospitals

The Study of Work Environment of Nurses in Long-term Care Hospitals

Analysis of Factors Influencing Burnout of Nurses in Long-term Care Hospitals Based on Job Demand -Resource Model

Analysis of Factors Influencing Burnout of Nurses in Long-term Care Hospitals Based on Job Demand -Resource Model

Factors Influencing Resilience in Long-term Care Hospital Nurses

Factors Influencing Resilience in Long-term Care Hospital Nurses

Factors Affecting Implementation of Evidence-Based Fall Guidelines among Long-term Care Hospital Nurses

Objectives: This study was designed to identify the factors affecting nurses’ implementation of evidence-based fall guidelines in long-term care hospitals.Method: Using a descriptive study design, the participants were 217nurses from long-term care hospitals in Korea. The data were used descriptive analysis, correlation, and multiple regression. The survey was designed to investigate nurses’ EBP beliefs, EBP organizational culture, EBP implementation regarding implementation of evidence-based fall guidelines.Findings: EBP beliefs (β = .23, p < .001), EBP organizational culture (β = .49, p < .001), and EBP implementation (β = .15, p = .025) were significant predictors which explained 57.6% of the variance reported in implementation of evidence-based fall guidelines.Improvements/Applications: The results of this study support the need for nursing organizations to create cultures that promote EBP and to encourage nurses’ beliefs about their confidence and capability to implement upon implementation of evidence-based fall guidelines. This could enhance patient care and outcomes, as well as organizational outcomes.

Factors associated with Person-centered Care for Elderly in Long-term Care Hospital Nurses

Factors associated with Person-centered Care for Elderly in Long-term Care Hospital Nurses

요양병원 간호사의 핵심간호활동 수행수준, 수행빈도 및 교육요구도 조사

Purpose: This study was to explore the level of core nursing activities performed by long-term care hospital nurses and to investigate the frequency and educational needs of major nursing activities. Methods: A cross-sectional descriptive research design was used. The subjects were 155 nurses working at seven long-term care hospitals in Korea. Data were collected in 2018 from September 15 to October 16 using a structured questionnaire. Data were analyzed using the SPSS program. Results: The mean age of nurses was 45.19±10.99 years and the mean career of long-term care hospital was 49.84±40.52 months. Monitoring activity was shown as the highest score in the performance level and frequency, whereas infection control received the highest score in educational needs. A scatter plot revealed that physical examination, respiratory care, wound care, communication and education showed overall high scores in the performance level, frequency, and educational needs. Emergency care and infection control were the activities that were performed less frequently but had high performance level and educational needs. Conclusion: It is important to establish rules for requisite and delegable activities considering the performance level and frequency of nursing activities in long-term care hospitals in order to improve the quality of patient care.

Influence of Moral Sensitivity and Nursing Practice Environment in Person-centered Care in Long-term Care Hospital Nurses

Purpose The aim of this study was to examine effects of moral sensitivity and nursing practice environment on person-centered care by nurses in long-term care hospitals. Methods Participants in this study were 118 nurses, with a least 4 months experience working in a long-term care hospital in Daegu City or North Gyeongsang Province. Data were collected from March 17 to 28, 2017 using questionnaires about general characteristics, the Korean Version Person-centered Care Assessment Tool, the Korean Moral Sensitivity Questionnaire, and the Korean Version of the Practice Environment Scale of Nursing Work Index. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation and hierarchial multiple regression analysis with the IBM SPSS statistics 19.0 Program. Results Person-centered care showed significantly positive correlations with moral sensitivity (r=.21, p=.024) and nursing practice environment (r=.62, p<.001). In the hierarchial regression analysis, moral sensitivity explained 4%(F=5.24, p=.024) of the variance in person-centered care and nursing practice environment accounted for 38% (F=35.15, p<.001) of the variance in person-centered care. Conclusion Findings indicate that improvements in person-centered care should be developed to provide a good nursing practice environment in long-term care hospitals. 주요어: 간호, 근무환경, ë„ë•ì  민감성, 인간중심돌봄 Key Words: Environment, Morals, Nursing, Patient-centered care

Work values and their association with burnout/work engagement among nurses in long-term care hospitals

To examine burnout and work engagement among nurses in Japanese long-term care hospitals and their relation to nurses' and organisational work values, and nurse-organisation congruence of such values. Nursing managers must help improve nurses' well-being; however, no research has considered strategies to improve staff outcomes in long-term care hospitals. We propose that individual nurse's work values and the congruence of these values with those of their organisations may influence burnout and work engagement. We conducted a cross-sectional survey of nurses in long-term care hospitals. Multiple regression analyses were conducted to examine the effects of nurses' work values and nurse-organisation congruence in these values on burnout and work engagement. Higher individual intrinsic and altruistic work values were associated with improvements in nurses' burnout and work engagement. Nurse-organisation non-congruence in altruistic values was associated with lower work engagement, whereas that of intrinsic work values was not associated with either outcome variable. Promoting intrinsic and altruistic work values among nurses could be effective for improving both burnout and work engagement. Opportunities such as case conferences could foster intrinsic and altruistic work values through the review of good care practices and communication between managers/colleagues about feelings and thoughts.

The influence of Nursing Professionalism, Attitudes toward Advance Directive, and Death Anxiety on Terminal Care Performance of Nurses in Long-term Care Hospitals

The influence of Nursing Professionalism, Attitudes toward Advance Directive, and Death Anxiety on Terminal Care Performance of Nurses in Long-term Care Hospitals

A Survey on the Ethical Issues and Needs for Ethics Education of Nurses in Long-term Care Hospitals

A Survey on the Ethical Issues and Needs for Ethics Education of Nurses in Long-term Care Hospitals

Factors Influencing Patient Safety Nursing Activities of Nurses in Long-term Care Hospitals

Purpose: The purpose of this study was to identify factors influencing patient safety nursing activities of nurses working in long-term care hospitals. Methods: The participants were 126 nurses working in 8 long-term care hospitals in B city. Data were collected from June 26 to July 10, 2017. SPSS/WIN 23.0 was used for analysis with t-test, ANOVA, Scheffe test, Pearson correlation coefficients, and hierarchical multiple regression. Results: The factors influencing patient safety nursing activities in participants were general characteristics, career in present long-term care hospital, (β=-.23, p=.008), safety control (β=.29, p=.002) and intention to report (β=.19, p=.037); on the personal side, informal communication (β=-.31, p=.005) for the organizational side. These factors contributed 39% of the total variance in patient safety nursing activities. Conclusion: In the organizational dimension of long-term care hospital, formal communication channels should be strengthened to officially direct or report patient safety rather than using informal communication. In order to improve the sense of safety control, which is a personal side of long-term care hospital nurses, it is necessary to provide awareness and education about the continuous safety control and positively prepare the reporting atmosphere to increase long-term care hospital nurses" intention to report.

The Effect of Communication Competency and Job Stress of Long Term Care Hospital Nurses on Turnover Intention :focused on control effect of emotional intelligence

The Effect of Communication Competency and Job Stress of Long Term Care Hospital Nurses on Turnover Intention :focused on control effect of emotional intelligence