Purpose The purpose of this qualitative study was to explore the transition experiences of the elderly from long-term care hospitals to their homes. Methods The participants were eight elderly medicaid beneficiaries, who had been the subjects from the community care project in Korea. The data were collected with one-on-one interviews from April to November in 2020, and analyzed by phenomenological steps. Results The seven themes derived in this study were ‘Space to escape’, ‘Reliable supporter opened the way to discharge’, ‘Comfortable life at home’,‘Obstacles to independent life’, ‘Struggling to live alone’, ‘Fence for community life’, and ‘Energizing in daily life’ Conclusion: The results revealed the positive aspects of Community Care program in Korea. However, it is suggested that active communication between hospitals and community care institutions, and improvement of home environment to live in the community before discharge should be required. And system revision is needed to adjust activity in their home and support health problems of the elderly in the early stage of discharge. The results of this study can be referred to as the foundation of transitional care for the elderly.
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PURPOSE The purpose of this study were to examine the need of community care services and the influencing factors of the need in the family care givers of hospital-based home care patients. METHODS Data were collected from 256 family caregivers, who were recruited from 10 hospitals in a metropolitan city. A structured questionnaire on the characteristics of caregivers, resources, and patients was administered. Also, questions on the need of community care services were added. Logistic regression analysis was used to identify the influencing factors of the need for community care services. RESULTS The participant needed more transportation service, lease of health care devices, visiting bath, caring, visiting hair dressing than that of housekeeping, short-term care, and day care service. Various variables from the three factors were found to be influenced on the need of community care services. CONCLUSION The accessibility of the higher need of community care services should be increased for hospital-based home care users. Also, the factors of Family care giver, Resource, and Patient might be considered to provide community care services of hospital-based home care users.
PURPOSE The number of nursing home residents has been increasing in Korea. Nurses need to know the lived experience of relocation of the elderly to long-term care facilities. However studies on this issue has not yet been conducted in Korea Therefore this study was carried out to understand the experience of institutionalization of the elderly using a phenomenological approach. METHOD There were 11 participants who consisted of 5 men and 6 women living in 3 different nursing homes. The data was collected through in-depth interviews and participant observation from June 1999 to October 2001 and analyzed by Colazzi's phenomenological method. RESULT A total of 275 meaningful statements related to the experience of institutionalization by the elderly were obtained Of the 275 statements. 175 were found as the statements with more general forms 28 themes were grouped into 8 theme clusters. These theme clusters included resentment at their sons irresistible admission humiliation on institutionalization being unbearable to shock grief to unfamiliarity being in agony of outwards regret for self-life and comfort for new residence. CONCLUSION Based on these results we con understand the lived experience of institutionalization of the Korean elderly We need to develop a nursing program to help the elderly cope with this crisis and studies about the familys experience on their parents admission to institutionalized facility warrant further exploration.
This study focused on the understanding the life of the elderly in the institution by phenomenological method.
The participants were seven who were 4 men and 3 women living in the elderly institution in Taegu. The data were collected through the indepth interviews and participant observation from June 20. 1999 to January 10. 2000 and analyzed by phenomenological analytic method by Giorgi.
The structure of the meaning were as follows: Unhappy life: irresponsibility, self-centered thought hardness Irresistible life: misfortune, unhealthiness, Reading their son's intention Bitter life: unfair treatment from their sons and daughters betrayed feeling for their being thrown away.
Outside oriented life: a fear of other' attention wrong information about institutionalized life maladjustment Self-consolation life: comfortableness convenience. economic merit of low cost.
Dissatisfied life: discomfort from communal living unkindness of the institution staffs depreciated social security system economic distress physical pain restrained feeling.
Tenacity to their sons and daughters: longingness for their sons and daughters regretableness waiting.
Regretable life: remorse for their past life agony guilty loneliness grief self-abandonment. self-depreciation other residents' death in common.
Inharmonious life with other residents: complaint conflict ignorance selfishness Yearning life for opposite sex: sexual interest Preparing for their life: control over their body and mind consideration for others.
A life with hope: blessing death forever healthfulness affiliation to their family.
From the results of this study an education and consultation should be done as soon as possible to remove the negative recognition of the institutional life to the facility residents the family and the future consumers of elderly institution. to minimize the maladjustment to facility life of residents a new program and interventions for the new comer's are needed.
The thesis with above results will widen the understandings of institutional residents and an important guidance for a better nursing care in elderly institutions of Korea.