Research in Community and Public Health Nursing

Original Articles

[English] Factors Influencing Care Coordination for Chronic Disease Patients with a Usual Source of Care: Hyunsang Kwon, Ju Young Yoon; Res Community Public Health Nurs. 2025;36(3):339-351. Published online September 30, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01186

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Abstract PDF: Purpose
Care coordination is a key function that enables consistent and integrated care by connecting various medical, welfare, community resources throughout a patient’s healthcare journey. This study was aimed at examining the provision of care coordination and its associated factors among adult patients with hypertension or diabetes who have a usual source of care, using Andersen’s Behavioral Model. Methods: A total of 2,576 adults with hypertension or diabetes who reported having a usual source of care were analyzed by using data from the 2021 Korea Health Panel Survey. Both patient-level and provider-level variables were categorized into predisposing, enabling, and need factors based on Andersen’s model. Complex sample logistic regression analysis was performed. Results: Only 44.7% of participants reported experiencing care coordination. The likelihood of receiving care coordination was significantly lower among females, and higher among those not currently employed, those not engaging in regular physical activity, individuals with multiple chronic conditions, and those whose usual source of care was a general practitioner. Conclusion: Care coordination is essential for ensuring continuity of care and effective management among patients with chronic conditions, and it is influenced by both patient and provider characteristics. As Korea prepares to launch a nationwide community-based integrated care system in 2026, care coordination will serve as a vital foundation for linking local resources and delivering comprehensive care. Based on the patient and provider factors identified in this study, effective support at the policy and system levels will be necessary to operate and sustain this function.

[English] Factors Associated with Subjective Health Status among People with Spinal Cord Injury: An Application of the International Classification of Functioning, Disability and Health Model: Haesun Lee, Hye Jin Nam, Ju Young Yoon; Res Community Public Health Nurs. 2025;36(1):73-84. Published online March 5, 2025; DOI: https://doi.org/10.12799/rcphn.2025.00962

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Abstract PDF: Purpose
This study aimed to identify factors influencing subjective health status among individuals with spinal cord injury (SCI) using the International Classification of Functioning, Disability and Health (ICF) model.
Methods
This study analyzed secondary data from the 2021 Survey on the Status and Needs of Individuals with SCI conducted by the Korea Spinal Cord Injury Association. A hierarchical multiple regression analysis was conducted in four steps. Independent variables included sociodemographic factors, satisfaction with medical services (environmental factor), the need for weight control, the need for nutritional education, the need for dietary management, and disability acceptance (personal factors) along with exercise and activity of daily living (activity and participation factors). These factors were added sequentially at each step based on the ICF model.
Results
A total of 513 participants were analyzed in this study, with an average subjective health status of 5.51±2.39. Higher satisfaction with medical services (β=.27, p<.001), frequent exercise (β=.19, p=.008), and a greater level of activities of daily living (β=.02, p<.001) were significantly associated with improved subjective health status. Conversely, a lower need for nutritional education (β=-.25, p=.042) was negatively associated.
Conclusion
This study highlighted satisfaction with medical services, nutrition education needs, exercise frequency, and activities of daily living as important factors. These findings provide insight into how the health status of individuals with SCI can be enhanced through targeted interventions and support from healthcare providers.

[English] Bidirectional Relationship Between Depression and Frailty in Older Adults aged 70-84 years using Random Intercepts Cross-Lagged Panel Analysis: Ji Hye Shin, Gyeong A Kang, Sun Young Kim, Won Chang Won, Ju Young Yoon; Res Community Public Health Nurs. 2024;35(1):1-9. Published online February 29, 2024; DOI: https://doi.org/10.12799/rcphn.2023.00381

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Abstract PDF

Purpose
Depression and frailty are common health problems that occur separately or simultaneously in later life. The two syndromes are correlated, but they need to be distinguished to promote successful aging. Previous studies have examined the reciprocal relationship between depression and frailty, but there are limitations in the methods or statistical analysis. This study aims to confirm the potential prospective bidirectional and causal relationship between depression and frailty.
Methods
We used data from 887 older adults aged 70 to 84 from the Korean Frailty and Aging Cohort Study (KFACS) in 2016, 2018, and 2020 (3 waves). We separated the within-individual process from the stable between-individual differences using the random intercepts cross-lagged panel model.
Results
Significant bidirectional causal effects were observed in 2 paths. Older adults with higher depression than their within-person average at T1 had a higher risk of frailty at T2 (β=.22, p=.008). Subsequently, older adults with higher-than-average frailty scores at T2 showed higher depression at T3 (β=.14, p=.010). Autoregressive effects were only significant from T2 to T3 for both constructs (Depression: β=.16, p=.044; Frailty: β=.13, p=.028). At the between-person level, the correlation was significant between the random intercepts between depression and frailty (β=.47, p<.001).
Conclusions
We find that depressed older adults have an increased risk of frailty, which contributes to the onset of depression and the maintenance of frailty. Therefore, interventions for each condition may prevent the entry and worsening of the other condition, as well as prevent comorbidity.

Citations

Citations to this article as recorded by

Four-year associations of wish-to-die trajectories with changes in the frailty of European citizens aged 50 and over
Marcelo de Maio Nascimento, Adilson Marques, Gerson Ferrari, Francisco Martins, Cíntia França, Élvio R. Gouveia, Andreas Ihle
Journal of Affective Disorders.2025; 379: 624. CrossRef
Suicide in later life: the role of frailty and depression
Brian Draper, Anne P.F. Wand
Current Opinion in Psychiatry.2025; 38(5): 383. CrossRef
The Interaction Among Depressive Symptoms, Pain, and Frailty in Middle‐Aged and Older Adults: A Longitudinal Cross‐Lagged Panel Analysis
Tian-Ming Song, Xue Chen, Xue-He Chen, Si-Jia Tan, Chen-Huan Song, Lin Fan, Jia-Yi Li, Hong-Li Li, Raffaella Bosurgi
Depression and Anxiety.2025;[Epub] CrossRef
Frailty as a Predictor of Falls in Older Adults with Type 2 Diabetes: Evidence from Vietnam
Hoa Dinh, Linh Ha, Ngoc Minh Luu, Toan Do, Thu Nguyen, Thanh Nguyen, Anh Nguyen, Anh Nguyen, Huong Nguyen, Hiep Phan, Tam Nguyen, Huyen Vu
Clinical Interventions in Aging.2025; Volume 20: 2641. CrossRef
High-Accuracy Indoor Positioning and Smart Home Technologies for Assessing and Monitoring Frailty in Older Adults
Antonio Miguel Cruz, Mathieu Figeys, Yusuf Ahmed, Farnaz Koubasi, Munirah Alsubaie, Salamah Alshammari, Arsh Narkhede, Geoffrey Gregson, Andrew Chan, Lili Liu, Adriana Ríos Rincón
Sensors.2025; 26(1): 113. CrossRef

[English] Current Status and Associated Factors of Emotional Distress Due to COVID-19 Among People with Physical Disabilities Living in the Community: Secondary Data Analysis using the 2020 National Survey of Disabled Persons: Bohye Kim, Ju Young Yoon; Res Community Public Health Nurs. 2024;35(1):37-50. Published online February 29, 2024; DOI: https://doi.org/10.12799/rcphn.2023.00374

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Abstract PDF: Purpose
This study aimed to assess the current situation and factors associated with emotional distress due to COVID-19 among people with physical disabilities living in the community, using a Social-Ecological Model.
Methods
A secondary data analysis was performed using data from the 2020 National Survey of Disabled Persons. The study participants were 1,654 participants aged 19 years or older with physical disabilities. For data analysis, complex sample logistic regression was conducted to identify factors associated with emotional distress due to COVID-19 in people with physical disabilities.
Results
The results showed that 55.7% of people with physical disabilities living in the community experienced emotional distress due to COVID-19. This emotional distress was influenced by various factors, including intrapersonal factors (activities of daily living, difficulty in getting information about COVID-19, difficulty in obtaining and using equipment related to COVID-19), interpersonal factors (satisfaction with the number of friends), and community/policy factor (support related to COVID-19 from national and local governments).
Conclusion
It is recommended to develop tailored interventions to prevent mental health issues among people with physical disabilities by considering the factors related to their emotional distress in the event of future infectious disease disasters.

[Korean] The Effect of Dual Sensory Impairment on Cognitive Function Decline in the Elderly: The Moderating Effect of Social Support: Soo Jee Yang, Ju Young Yoon; Res Community Public Health Nurs. 2023;34(3):217-227. Published online September 27, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00255

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Abstract PDF: Purpose
This study verified that the dual sensory impairment (DSI) in the elderly is associated with cognitive impairment (CI) and confirmed how change in cognitive function varies depending on the social support (SS).
Methods
For a study sample of Korean older people, data from the Korean Longitudinal Study of Ageing (KLoSA) from the 7th (2018) to the 8th (2020), were included in this cross-sectional descriptive study. Among people who responded in both 2018 and 2020, a total of 2,069 people of those who are 65 years of age or older, and have living children and normal cognitive function, were analyzed. X2 -test, t-test and logistic regression analyses were utilized.
Results
First, the number of elderly with visual impairment (VI), hearing impairment, and DSI increased on 8th data compared with 7th data. In addition, 22.9% of the 2,069 people showed a decrease in cognitive function. Second, compared to the elderly with normal sensory function, the cognitive function of the elderly with only VI was found to be more degraded, and the cognitive function of the elderly with DSI was found to be much more degraded. In addition, among SS, only participation in social gatherings was found to show significant change in cognitive function of the elderly with DSI. Third, the interaction effect of participating in social gatherings was not significant in the CI of the elderly with DSI.
Conclusion
VI and DSI effected cognitive function, but participation in social gatherings such as SS has not significant interaction effect on CI of the elderly with DSI.

[English] Gender Differences in Older Adults’ Muscle Strength and Depressive Symptoms: A Relationship Mediated Through Perceived Stress: Gyeong A Kang, Jihye Shin, Ju Young Yoon; Res Community Public Health Nurs. 2023;34(3):196-204. Published online September 27, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00164

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2 Citations

Abstract PDF

Purpose
Preventing the effects of physical vulnerability is a practical approach to improving older adults’ depressive symptoms. This study aims to examine the relationship between gender differences related to muscle strength and depressive symptoms mediated by perceived stress.
Methods
In this cross-sectional study, data from 2,705 older adults (65 years old or older) from the Korea National Health and Nutrition Examination Survey VII 2016 and 2018 were analyzed. The moderated mediation model was developed; the outcome, independent, mediation, and moderated mediation variables in the literature-based research model were depressive symptoms, muscle strength, perceived stress, and gender, respectively.
Results
Perceived stress had a mediating effect on the relationship between muscle strength and depressive symptoms. The indirect effect of muscle strength on depressive symptoms mediated by perceived stress was β = -.02 (95% CI:-0.03~-0.01). The moderated mediation model demonstrated that the interaction term of handgrip strength and gender negatively affected perceived stress, which indicated that gender moderated the mediating model of perceived stress on the association of muscle strength and depressive symptoms (β = -.01, p <.05). The conditional indirect effect model was insignificant in the male group (β = -.00, 95% CI:-0.01~0.01) but significant in the female group (β = -.01, 95% CI: -0.02~0.00). Conclusions: Perceived stress mediated the relationship between muscle strength and depressive symptoms. However, the effect differed by gender. A stress-mediated depressive symptoms intervention program for older adults should be developed to consider women’s needs.

Citations

Citations to this article as recorded by

Exploring patients’ understanding of behavioral risk factors for non-communicable diseases: a study on diabetes and hypertension in Bushbuckridge, South Africa
Thabo D. Pilusa, Cairo B. Ntimana, Mahlodi P. Maphakela, Eric Maimela
BMC Public Health.2025;[Epub] CrossRef
Associations between muscle-strengthening exercise and depressive and anxiety symptoms in children and adolescents
Lubo Zhai, Zhengyang Yang, Xingyi Yang, Sitong Chen
BMC Public Health.2025;[Epub] CrossRef

[Korean] A Study on Outcomes of the Utilization of Visiting Nursing Service at the Integrated Visiting Nursing Center in Bucheon-si: Hyun-Kyung Park, Ae Jung Yoo, Ju Young Yoon, Jae Woo Choi; Res Community Public Health Nurs. 2023;34(2):127-134. Published online June 30, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00045

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Abstract PDF: Purpose
The government has implemented a pilot project for community care for older adults and the integrated visiting nursing center in Bucheon-si operated by public fund of government to provide visiting nursing service for older adults. This study aimed to analyze the outcomes of the utilization of visiting nursing service at the integrated visiting nursing center in Bucheon-si.
Methods
This study linked the personal data from the pilot project for community care with the National Health Insurance data. The final subjects comprised 30 participants and 110 of the matched control group. The length of home stay, hospitalization, and the admission for long-term care facilities or convalescent hospitals were measured. Statistical analysis was performed through difference-in-differences analysis using generalized estimating equation and Cox proportional hazards model.
Results
The results indicated an increase of 28.2 days for length of home stay and a reduction of 69% in hospitalization from medical institutions and 81% in admission of long-term care facilities or convalescent hospitals among participants compared to the control group.
Conclusion
The visiting nursing service of the integrated visiting nursing center was effective in extending length of home stay and lowering the hospitalization of medical institutions and admission of long-term care facilities or convalescent hospitals.

[English] A Preliminary Study for the Curriculum Development of Community Care Coordinators: Educational Needs Analysis: Han Nah Park, Ju Young Yoon, Soong Nang Jang, Hye Jin Nam; J Korean Acad Community Health Nurs. 2022;33(2):153-163. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.153

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2 Citations

Abstract PDF

Purpose
A care coordinator is an emerging nursing professional role in South Korea. The purpose of this study was to identify educational needs and priorities for care coordinators among nurses. Methods An online survey was conducted on 661 current or retired nurses from January 30 to February 28, 2021. A total of 17 essential competencies for care coordinators, recognized based on literature review, were used to analyze the educational needs. The data were analyzed using descriptive statistics, a paired t-test, and one-way analysis of variance with SPSS 25.0. The educational needs analysis was conducted by using a paired t-test, the Borich Needs Assessment Model, and the Locus for Focus Model. Results Five contents were identified as the first priorities for educational needs: ‘Health program planning and evaluation’, ‘Care planning’, ‘Coordinating community-based services’, ‘Case management’, and ‘Transitional care’. The second priorities for educational needs included 'Population health management' and'Welfare resource linkages via communicating with social workers’. Conclusion The priority items derived from this study offer underpinning insights for the development of care coordination training program.

Citations

Citations to this article as recorded by

Factors Influencing Care Coordination for Chronic Disease Patients with a Usual Source of Care
Hyunsang Kwon, Ju Young Yoon
Research in Community and Public Health Nursing.2025; 36: 339. CrossRef
Needs assessment of community health practitioners for community care competency of older adults
Na Bee Yoon, Hyeon Kyeong Lee, Haesun Lee, Sang Woo Park
Research in Community and Public Health Nursing.2023; 34: 32. CrossRef

[English] Economic Evaluation of Hospital-based Home Care Services for the Breast Cancer Surgery Patients: Jeong Yeon Ko, Ju Young Yoon; J Korean Acad Community Health Nurs. 2021;32(3):356-367. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.356

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2 Citations

Abstract PDF

Purpose
This study conducted an economic evaluation of hospital-based home care services for the patients who had undergone breast cancer surgery.
Methods
A total of 12,483 patients over 18 years of age who had received breast cancer surgery in 26 tertiary hospitals in 2018 were analyzed with the claim data from the Health Insurance Review & Assessment Service using cost-minimization analysis and societal perspectives.
Results
There were 156 patients who utilized hospital-based home care services within 30 days after breast cancer surgery, and they received 2.17 (SD=1.17) hospital-based home care service on average. The average total cost was 5,250,028 KRW (SD=1,905,428) for the group receiving continuous hospital-based home care and 6,113,402 KRW (SD=2,033,739) for the group not receiving continuous hospital-based home care (p＜.001). The results of the economic evaluation of continuous hospital-based home care services in patients who had undergone breast cancer surgery indicated a total benefit of 953,691,000 KRW, a total cost of 819,004,000 KRW, and a benefit-cost ratio of 1.16 in 2018.
Conclusion
Continuous hospital-based home care was considered economically feasible as the total costs for the group receiving continuous hospital-based home care were lower than those of the group not receiving continuous hospital-based home care. Therefore, policy modification and financial incentives are recommended to increase the utilization of hospital-based home care services for patients who had undergone breast cancer surgery.

Citations

Citations to this article as recorded by

Economic evaluation of the hospitalist care model in an acute medical unit: a benefit–cost analysis
Hyun Jeong Kim, Jinhyun Kim, Jung Hun Ohn, Nak-Hyun Kim
BMJ Open.2024; 14(7): e081594. CrossRef
Dimensions and components of hospital-at-home care: a systematic review
Parniyan Nikmanesh, Jalal Arabloo, Hasan Abolghasem Gorji
BMC Health Services Research.2024;[Epub] CrossRef

[English] Concept Analysis of Parents’ Treatment Adherence for an Epileptic Child or Adolescent: Juna Lee, Ju Young Yoon; J Korean Acad Community Health Nurs. 2021;32(2):205-219. Published online June 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.2.205

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3 Citations

Abstract PDF

Purpose
This concept analysis was conducted to clarify ‘parents’ treatment adherence for an epileptic child or adolescent’.
Methods
The analysis used a hybrid model comprising three phases: theoretical phase, fieldwork phase, and integration phase. In the theoretical phase, fifty studies were reviewed. Interviews with four parents of epileptic children or adolescents were conducted during the fieldwork phase. In the integration phase, the results derived from prior phases were synthesized and clarified. All phases were performed cyclically.
Results
The concept, ‘parents’ treatment adherence for an epileptic child or adolescent’ was defined as parents’ voluntary and goal-directed behavior towards the epilepsy treatment for their children: a collaborative decision-making process with health-care providers, establishing a support system, adaptability to the treatment plans, and appraisals of the child’s health condition.
Conclusion
This achievement is thought to contribute to improving the accuracy and validity of the concept measurement. It has implications for additional research on how the concept ‘treatment adherence’ differs in diverse health problems and other population groups than parents of children and adolescents with epilepsy.

Citations

Citations to this article as recorded by

Interaction between healthcare providers and parents of children or adolescents with epilepsy: A qualitative systematic review and meta-synthesis
Sujin Lee, Juna Lee
Epilepsy & Behavior.2024; 158: 109940. CrossRef
Development of a parent questionnaire to assess treatment adherence for a child or adolescent with epilepsy
Juna Lee, Ju Young Yoon
Epilepsy & Behavior.2023; 140: 109112. CrossRef
Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis
Jisu Park, Eun Kyoung Choi
Child Health Nursing Research.2022; 28(2): 154. CrossRef

[English] Trajectories of Self-rated Health among One-person Households: A Latent Class Growth Analysis: Eun Joo Kim, Hyang Kim, Ju Young Yoon; J Korean Acad Community Health Nurs. 2019;30(4):449-459. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.449

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6 Citations

Abstract PDF

PURPOSE
The aim of this study is to explore different types of self-rated health trajectories among one-person households in Korea.
METHODS
We used five time-point data derived from Korea Health Panel (2011~2015). A latent growth curve modeling was used to assess the overall feature of self-rated health trajectory in one-person households, and a latent class growth modeling was used to determine the number and shape of trajectories. We then applied multinomial logistic regression on each class to explore the predicting variables.
RESULTS
We found that the overall slope of self-rated health in one-person households decreases. In addition, latent class analysis demonstrated three classes: 1) High-Decreasing class (i.e., high intercept, significantly decreasing slope), 2) Moderate-Decreasing class (i.e., average intercept, significantly decreasing slope), and 3) Low-Stable class (i.e., low intercept, flat and nonsignificant slope). The multinomial logistic regression analysis showed that the predictors of each class were different. Especially, one-person households with poor health condition early were at greater risk of being Low-Stable class compared with High-Decreasing class group.
CONCLUSION
The findings of this study demonstrate that more attentions to one-person households are needed to promote their health status. Policymakers may develop different health and welfare programs depending on different characteristics of one-person household trajectory groups in Korea.

Citations

Citations to this article as recorded by

Factors Affecting Quality of Life of One-person Household Adults: Based on the 8th Korean National Health and Nutrition Examination Survey
Soojin Chung, Bomi An
Journal of Health Informatics and Statistics.2024; 49(2): 179. CrossRef
Factors Related to Health-Related Quality of Life across the Life Cycle in One-Person Households among Korean Adults
Myung-Ock Chae
Research in Community and Public Health Nursing.2024; 35: 125. CrossRef
Trajectories of self-rated health among community-dwelling individuals with depressive symptoms: A latent class growth analysis
Jinyoung Jang, Hyun-Sung Jung, Kyunghee Chae, Kyoung-Uk Lee
Journal of Affective Disorders.2023; 332: 83. CrossRef
Prediction model of quality of life using the decision tree model in older adult single-person households: a secondary data analysis
Dajung Ryu, Sohyune Sok
Frontiers in Public Health.2023;[Epub] CrossRef
Trajectories of subjective health status among married postmenopausal women based on the ecological system theory: a longitudinal analysis using a latent growth model
Eun Jin Kim, Ju-Hee Nho
Korean Journal of Women Health Nursing.2022; 28(2): 123. CrossRef
The Multilevel Factors on Physical Activity : A Comparative Study between Young and Elderly Single-Person Households
Ji-young Kim, Hee-Jung Jun
Journal of Korea Planning Association.2021; 56(2): 49. CrossRef

[English] A Systematic Review of Studies Using Video-recording to Capture Interactions between Staff and Persons with Dementia in Long-term Care Facilities: Da Eun Kim, Hae Sagong, Eun Joo Kim, Ah Ram Jang, Ju Young Yoon; J Korean Acad Community Health Nurs. 2019;30(4):400-413. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.400

3,865 View
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5 Citations

Abstract PDF

PURPOSE
The use of video-recording offers important advantages in observing and assessing the relationship between specific behaviors in health care settings. The purpose of this systematic review is to investigate and synthesize the methodological characteristics of studies using video-technology for measuring interactions with the older persons with dementia and staff in long-term care facilities.
METHODS
We searched Medline, Embase and CINHAL databases for published articles in English using a video-recording method for both staff and the residents with dementia. Quantitative research design studies (e.g., descriptive or experimental studies) were included.
RESULTS
Among 5,605 searched papers, a total of 20 studies were selected for this review. Situations of video-recording were providing personal care (n=12), mealtime (n=6), and conversation (n=3). Concepts measured by video-recording were classified into two groups: 1) Staff [care practice by staff (n=13) and communication by staff (n=11)] and 2) residents [communication by resident (n=4), activities of daily life function of resident (n=8), and behavioral and psychological symptoms of dementia (n=10)].
CONCLUSION
This review demonstrates that video technologies are actively used to evaluate the relationship between quality of care and health outcomes of the elderly with dementia in many international nursing studies. This study provides the foundation for a future research using video-recording technologies to examine the interactions and relationships between staff and the residents in Korean long-term care settings.

Citations

Citations to this article as recorded by

Person‐centred and task‐centred care: Impact on mealtime behaviours in nursing home residents with dementia
Wen Liu, Yelena Perkhounkova, Maria Hein
International Journal of Older People Nursing.2023;[Epub] CrossRef
“It’s You”: Caregiver and Clinician Perspectives on Lucidity in People Living With Dementia
Andrea Gilmore-Bykovskyi, Laura Block, Clark Benson, Jess Fehland, Meghan Botsch, Kimberly D Mueller, Nicole Werner, Mindy J Shah, Suzanne Meeks
The Gerontologist.2023; 63(1): 13. CrossRef
Video Recording Patients for Direct Care Purposes: Systematic Review and Narrative Synthesis of International Empirical Studies and UK Professional Guidance
Rachael Lear, Sophia Ellis, Tiffany Ollivierre-Harris, Susannah Long, Erik K Mayer
Journal of Medical Internet Research.2023; 25: e46478. CrossRef
Assessing behavioral and psychological symptoms of dementia: a comprehensive review of current options and future perspectives
Federico Emanuele Pozzi, Luisa Calì, Carlo Ferrarese, Ildebrando Appollonio, Lucio Tremolizzo
Frontiers in Dementia.2023;[Epub] CrossRef
Dyadic interactions and physical and social environment in dementia mealtime care: a systematic review of instruments
Wen Liu, Sohyun Kim
Annals of the New York Academy of Sciences.2021; 1505(1): 23. CrossRef

[English] A Delphi Study for Developing a Person-centered Dementia Care Online Education Program in Long-term Care Facilities: Da Eun Kim, Hae Sagong, Ju Young Yoon; J Korean Acad Community Health Nurs. 2019;30(3):295-306. Published online September 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.3.295

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4 Citations

Abstract PDF

PURPOSE
There has been a growing recognition that person-centered care enhances the quality of life of nursing home residents with dementia. This study was conducted to develop a person-centered dementia care online education program for direct care staff in long-term care facilities.
METHODS
Delphi method with expert group was used to validate contents. We developed 61 draft items based on literature review. Twenty experts participated in consecutive three round surveys including 5-point Likert scale questions and open-ended questions. Based on experts' opinions, the content validity ratio for content validity and the coefficient of variation for stability were calculated.
RESULTS
Three-round Delphi surveys and additional feedback from the expert panel established a consensus of core contents: 1) dementia (7 categories), 2) person-centered care (6 categories), 3) communication (8 categories), and 4) behavioral and psychological symptoms of dementia (6 categories). Specific sub-categories in each category were differentiated according to the job qualifications (65 sub-categories for registered nurses, 64 sub-categories for nursing aids, and 41 sub-categories for personal care workers).
CONCLUSION
This delphi study identified person-centered dementia education curricula, in which the person-centered approach should be a key policy priority in Korean long-term care system. Now it is urgently needed to develop education programs utilizing online platforms that enable efficient and continuous learning for long-term care staff, which can contribute to behavior changes in the person-centered dementia care approach and improvement of care quality in long-term care facilities.

Citations

Citations to this article as recorded by

Moral sensitivity and person‐centred care among mental health nurses in South Korea: A cross‐sectional study
Sun Joo Jang, Eun Hye Kim, Haeyoung Lee
Journal of Nursing Management.2022; 30(7): 2227. CrossRef
Personhood Communication with Persons with Dementia: Concept Analysis
Jiyeon Kim, Jun-Ah Song
Journal of Korean Gerontological Nursing.2021; 23(4): 406. CrossRef
Validity and Reliability of the Korean Version of Person-Centered Practice Inventory-Staff for Nurses
Sohyun Kim, Sunghee H Tak
Journal of Korean Academy of Nursing.2021; 51(3): 363. CrossRef
Development and Evaluation of a Person-centered Dementia Care Education Program for Nursing Home Staff
Eun-Hi Kong
Journal of Korean Gerontological Nursing.2020; 22(3): 247. CrossRef

[English] Interventions Using Technologies for Older Adults in Long-term Care Facilities: A Systematic Review: Da Eun Kim, Hyang Kim, Jung Hee Hyun, Hyo Jin Lee, Hye Hyun Sung, So Young Bae, Sung Hee Tak, Yeon Hwan Park, Ju Young Yoon; J Korean Acad Community Health Nurs. 2018;29(2):170-183. Published online June 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.2.170

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8 Citations

Abstract PDF

PURPOSE
Although innovative interventions using technologies have been introduced in long-term care settings, available evidence is still anecdotal. The purpose of this study is to investigate and synthesize the outcomes of interventions using technologies delivered to nursing home residents.
METHODS
Published clinical trials were identified through PubMed, CINHAL, Cochrane and PsycINFO databases and manually hand-searching. Eligible studies were articles published between 1997â€“2016 in English or Korean with a randomized controlled trial or quasi-experimental design in which interventions using technologies were delivered to nursing home residents.
RESULTS
A total of 20 studies were selected for this review. Types of interventions using technologies were classified into the electronic documentation technology (n=1), the clinical decision support system (n=1), the safety technology (n=1), the health and wellness technology (n=10), and the social connectedness technology (n=7). Overall resident outcomes indicated that interventions using technologies improved behavioral symptoms and psycho-social outcomes, but mixed results were shown in the aspects of physical function, cognitive function, social relationship and quality of service.
CONCLUSION
This review demonstrates that incorporating technologies into nursing home care have positive effects on residents' psycho-social outcomes and behavioral symptoms. To disseminate the effectiveness of interventions using technologies, further research is needed to determine what mechanisms underlying such relationships exist.

Citations

Citations to this article as recorded by

Moving towards futureproof and appropriate long-term care: a rapid review on the role of technology
Maud Hevink, Meriam Janssen, Katrien G. Luijkx
Quality in Ageing and Older Adults.2025;[Epub] CrossRef
Constipation among Korean older adults in long-term care facilities: A scoping review
Yuseon Jeong, Dukyoo Jung, Eunju Choi
Journal of Korean Gerontological Nursing.2024; 26(1): 4. CrossRef
Factors Affecting Managers’ Technology Adoption Decisions in Long-Term Care Homes: A Canadian Exploratory Study Post–COVID-19 Pandemic
Danielle Cruise, Mirou Jaana, Danielle Sinden, Linda Garcia
Journal of Aging & Social Policy.2024; : 1. CrossRef
Assistive Technology for Elderly People: State of the Art Review and Future Research Agenda
Dhanya Pramod
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[English] Testing Reliability and Validity of the Person-centered Climate Questionnaire-staff version in Korean for Long-term Care Facilities: Hae Sagong, Da Eun Kim, So Young Bae, Ga Eon Lee, David Edvardsson, Ju Young Yoon; J Korean Acad Community Health Nurs. 2018;29(1):11-20. Published online March 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.1.11

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Abstract PDF

PURPOSE
To test the reliability and validity of the Korean version of the Person-centered Climate Questionnaire - staff version (KPCQ-S) in long-term care institutions.
METHODS
A total of 297 staff in long-term care institutions including nine nursing homes (NHs) and 4 long-term care hospitals (LTCHs) were included. The KPCQ-S was developed following the WHO guidelines of the process of translation and adaptation of instruments. An internal consistency using Cronbach's Î± was tested for reliability. Exploratory factor analysis (EFA) was used to examine the construct validity. Convergent and discriminant validity were examined using Pearson correlation.
RESULTS
EFA demonstrated the construct validity of the 14-item KPCQ-S with three-factor solutions, specifically three factors (safety, everydayness, and community) in NHs and four factors (safety, everydayness, community, and comprehensibility) in LTCHs. Convergent validity was found in the correlation with the work satisfaction (r=.55). The KPCQ-S showed satisfactory internal consistency reliability (Cronbach's Î±=.91).
CONCLUSION
The KPCQ-S is found to be a reliable and valid tool for measuring staff perceptions of the person centeredness of long-term care environments.

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