Research in Community and Public Health Nursing

Original Articles

Effects of Integrated Dementia Managing Programme for the Elderly with Mild Dementia in Nursing Home: Meung Sook Ahn, Hyun Sook Jo; J Korean Acad Community Health Nurs. 2019;30(4):550-559. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.550

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PURPOSE
The purpose of this study was to verify the effects of the integrated dementia managing programme for the elderly with mild dementia in which the physiological, cognitive, emotional, sociological and spiritual aspects have considered.
METHODS
This study employed non-equivalent control group pre-post tests with the repeated measure design. The subjects of the study were 39 elderly with mild dementia (20 in the experimental group and 19 in the control group) who have admitted to two nursing homes in B city. The data were analyzed by repeated measures ANOVA.
RESULTS
There were significant interactions between two groups and times in self-efficacy (p=.011), cognitive function (p < .001), depression (p=.005), spiritual well-being (p=.002), and quality of life (p=.037). The integrated dementia managing programme of this study showed significant positive effects on the quality of life for the elderly with mild dementia.
CONCLUSION
On considering the current trends of aging and increasing number of the elderly with dementia, this integrated programme would be highly recommended to be used in nursing homes for the elderly with mild dementia, and contribute to improving their quality of life, and saving the social and medical expenses as well.

Citations

Citations to this article as recorded by

The Effects of Spiritual Well-Being on Elderly People’s Cognitive Function: Mediating Effects of Health-Promoting Behaviors and Depression
Sun Ja Kim, Pok-Ja Oh
Korean Journal of Adult Nursing.2022; 34(5): 478. CrossRef
Development of Dementia-Care-Robot Integrated Program and Evaluation of Effectiveness : For the Elderly with Mild Dementia
Jin Hwan Oh, Hyunghwa Lee, Inhee Chun
Journal of Korea Robotics Society.2020; 15(4): 330. CrossRef

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

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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

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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6 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

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
Assistive Technology for Elderly People: State of the Art Review and Future Research Agenda
Dhanya Pramod
Science & Technology Libraries.2023; 42(1): 85. CrossRef
Digital interventions to reduce social isolation and loneliness in older adults: An evidence and gap map
Vivian Welch, Elizabeth T. Ghogomu, Victoria I. Barbeau, Sierra Dowling, Rebecca Doyle, Ella Beveridge, Elisabeth Boulton, Payaam Desai, Jimmy Huang, Nour Elmestekawy, Tarannum Hussain, Arpana Wadhwani, Sabrina Boutin, Niobe Haitas, Dylan Kneale, Douglas
Campbell Systematic Reviews.2023;[Epub] CrossRef
Addressing Mental Health in Aged Care Residents
Sunil Bhar, Deborah Koder, Hemalatha Jayaram, Mark Silver, Tanya Davison
Advances in Psychiatry and Behavioral Health.2022; 2(1): 183. CrossRef
A Systemic Review of the Auditory Training Program for Hearing Impairment
Joo Hong Kim, Sang Hee Lee, Eun Young Cho
Audiology and Speech Research.2021; 17(2): 134. CrossRef
Developing Geriatric Nursing Competency Using Information and Communication Technology: Focusing on a Case of Depression Assessment
Heejung Kim, Soyun Hong, Sooyoung Kwon, Namhee Kim
Journal of Korean Gerontological Nursing.2018; 20(Suppl 1): 119. CrossRef

An Intervention Study of Self-feeding for the Elderly in Nursing Homes: Kyung Hee Lee; J Korean Acad Community Health Nurs. 2017;28(4):450-462. Published online December 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.4.450

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1 Citations

Abstract PDF

PURPOSE
This study aims to investigate the effects of an intervention of self-feeding for elderly residents who were eating with assistance or eating by himself/herself with spilling food.
METHODS
The Participants were 11 elderly people and 6 formal caregivers from 7 nursing homes in Korea. The intervention was to use the spoon and chopstick sets designed for compensating the weakened eating function. Both quantitative and qualitative data were collected through observation, structured questions, and in-depth interviews.
RESULTS
The mealtime was significantly increased by 3.2 minutes (p=.011) after the intervention. Three themes were extracted for the meaning of self-feeding expressed by the elders; fighting alone for self-feeding, pride of participating in the study, and burden for self-feeding and research participation. Caregivers expressed the meaning of the elder's self-feeding such as the regret of missed chances, facilitating rehabilitation, the increase of the eating pleasure and quality of care, and ambivalence.
CONCLUSION
Self-feeding has become an opportunity to recognize life values for the elders in nursing homes; for the caregivers, to reconsider caring of the elderly. Posture and eating utensils were also important to improve self-feeding skills.

Citations

Citations to this article as recorded by

Structure Healthcare Standards and Criteria That Contribute to the Care of Residents in Homes for the Elderly: A Narrative Review
Victor Mathias, Ethelwynn L. Stellenberg, Mariana van der Heever
Journal of Aging and Environment.2023; : 1. CrossRef

Elderly Koreans' Perception of Nursing Homes: Se Young Kim; J Korean Acad Community Health Nurs. 2016;27(3):242-253. Published online September 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.3.242

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2 Citations

Abstract PDF

PURPOSE
This research aims to understand the perceptions of nursing homes from the perspective of the elderly, explores the themes of such perception and provides supporting evidence for developing nursing intervention that focuses on the subjects of care within nursing homes.
METHODS
This research is based on qualitative research in a phenomenological methodology. The research participants included elders aged 67~83 living at home in Jeonnam, Jeonbuk Provinces and G City. Data collection methodologies included in-depth interviews and observation of participants. The data were analyzed in the phenomenological methodology by Colaizzi.
RESULTS
As a result of the research, it was found that all significant statements about the Korean elders' perception of nursing homes fell within 3 categories with 9 major themes and 23 minor themes. The three observed categories for the Korean elders' perception on nursing homes were: 'places they do not like to be in', 'places they have to be in' and 'places that makes them feel fortunate as they have a place to go'.
CONCLUSION
This research provides foundational tools that will provide a steer for changes in nursing environment, physiological support, programs and education so that the needs of the elderly can be met more sufficiently.

Citations

Citations to this article as recorded by

Time in the State of Dementia Caregiving in South Korea: When Care Becomes (Non-)Waiting
Jieun Lee
Culture, Medicine, and Psychiatry.2023; 47(4): 898. CrossRef
Person-Centered Care Experience of Nursing Home Workers: A Qualitative Meta-Synthesis Study
Eun Young Kim, Sung Ok Chang
Journal of Korean Gerontological Nursing.2022; 24(1): 33. CrossRef

Assessment of Long-Term Care Service Needs in the Baby Boom Generation: Song Yi Han; J Korean Acad Community Health Nurs. 2016;27(1):21-30. Published online March 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.1.21

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Abstract PDF

PURPOSE
This research was conducted to identify long-term care service needs in the baby boom generation.
METHODS
Data were collected from September 3 to October 9, 2012 targeting 196 baby boomers residing in Seoul and Gyeonggi-do with the measurement of long-term care service needs having five domains. Collected data were analyzed using the SPSS 20.0 program.
RESULTS
Demand for long term care service in those who preferred nursing homes was highest as 4.40Â±0.69 in the safe environment domain. In case of those preferring home care services, demand was highest as 4.37Â±0.56 in the social interaction domain. People who preferred nursing homes had higher needs in personal health care and improvement of the service quality domains. Those who preferred home care services showed diverse needs according to their characteristics.
CONCLUSION
The baby boom generation had high needs in all the domains of long-term care services and such needs were diverse according to their characteristics. However, long-term care services had limitations that they provided standardized and uniformed services only. Therefore, health care services and improved quality services should be provided in a way of meeting the users' needs, and tailored services should be provided in consideration of the users' characteristics.

Citations

Citations to this article as recorded by

An Analysis of the Effects of the Income Level of the Family Caregivers for the Recipients in Long-Term Care facilities on the Willingness to Pay for Use of Better Services: A cross-sectional study
Jinhee Kwon, Eun-Jeong Han, Hyun Ki Kim
Journal of Korean Gerontological Nursing.2023; 25(2): 103. CrossRef

The Effects of Senior Simulation Programs on Elderly Care Facilities Employees' Attitudes for Elderly Care, Understanding of the Aged, Job Satisfaction, and Job Performance: Hye young Joung, Hye Jin Hyun; J Korean Acad Community Health Nurs. 2012;23(2):222-230. Published online June 30, 2012; DOI: https://doi.org/10.0000/jkachn.2012.23.2.222

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Abstract PDF: PURPOSE
This research is to understand the effects of senior simulation on employees of elderly care facilities and utilize it in their job training.
METHODS
This research is a nonequivalence control group pre-to-post quasiexperiment research. 18 employees who have experienced senior simulation are set as test group and 18 other employees who have not experienced senior simulation are set as control group.
RESULTS
The hypothesis that 'the test group which has experienced senior simulation will show a positive change in their attitude on elderly care, compared to the control group' and 'the test group which has experienced senior simulation will show a positive change in understanding of elders, compared to the control group' was supported. The hypothesis that 'the test group which has experienced senior simulation will show a positive change in job satisfaction and performance of duties, compared to the control group' was dismissed.
CONCLUSION
The senior simulation seems to contribute to elderly care facilities employees' change in their viewpoints of elders and broaden their understanding of them. The senior simulation was meaningful to provide basic help with implementing job training programs.

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