Research in Community and Public Health Nursing

Original Articles

Experience of Nurses Responding to the COVID-19 Outbreak at a Long-term Care Hospital in Korea: Eun Jo Kim, JaHyun Kang; Res Community Public Health Nurs. 2024;35(2):168-178. Published online June 28, 2024; DOI: https://doi.org/10.12799/rcphn.2023.00409

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Abstract PDF: Purpose
The COVID-19 pandemic uncovered the fundamental vulnerability of Long-term Care Hospitals (LTCHs) regarding infection control. This study aimed to describe the experiences of nurses who responded to the COVID-19 outbreak on the front lines while working at a LTCH.
Methods
This qualitative study was conducted with nine nurses. The data from in-depth individual interviews using semi-structured questions was analyzed thematically.
Results
Three themes and 11 sub-themes were extracted. The first theme, “the sudden onset of the outbreak,” included finding themselves desensitized to COVID-19 as the pandemic persisted; embarrassed by the unavoidable occurrence; and worried about becoming a spreader and aggravating the outbreak. The second theme, “physically and mentally worn out,” involved increased fatigue from overtime work; exhaustion from responding to inquiry calls pouring in; tension while monitoring and controlling infection control compliance among nursing assistants, caregivers, and elderly patients with cognitive impairment; and increased discomfort while taking on all the extra work with stifling personal protective equipment. The third theme, “awakened perspectives while responding to the outbreak,” covered increased compassion for patients; paying attention to infectious diseases and having confidence in infection control principles; realization of the need for isolation rooms, supplies, and a full-time infection control nurse; and pride as an LTCH nurse who responded to the COVID-19 pandemic.
Conclusion
To enhance the level of prevention and response to infectious disease outbreaks in LTCHs in the future, it is necessary to establish infection control infrastructure, including personnel, isolation facilities, supplies, and continuing education for the LTCHs’ nursing workforce.

A Path Analysis for Health-related Quality of Life in Long-term Care Insurance In-home Service Users: Je Hyun Kim, Seung Mi Park; Res Community Public Health Nurs. 2023;34(1):1-11. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00283

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Purpose
The purpose of this study is to construct and verify a path model for the factors affecting on quality of life in long-term care insurance in-home service users.
Methods
Total 246 participants using long-term care insurance in-home service were recruited from long-term care agencies. Data collection was conducted using a structured questionnaire from March 1st to March 31st 2021. The collected data were analyzed using SPSS 26 and AMOS 26 programs.
Results
The hypothetical path model was suitable for explaining the health-related quality of life in long-term care insurance in-home service users and has an explanatory power of 39.8%. Long-term care grade, depression, perceived health status, social support, age and living arrangement had a significant total effect on the quality of life in long-term care insurance in-home service users.
Conclusion
Long-term care insurance in-home service policies need to be expanded, such as screening and relieving depression, strengthening social support, and fostering a positive perception of health to improve the quality of life of the elderly.

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Prediction model of health-related quality of life in older adults according to gender using a decision tree model: a study based on the Korea National Health and Nutrition Examination Survey
Hee Sun Kim, Seok Hee Jeong
Journal of Korean Biological Nursing Science.2024; 26(1): 26. CrossRef

The Effects of Non-pharmacological Interventions on Sleep among Older Adults in Korean Long-term Care Facilities: A Systematic Review and Meta-analysis: Sun Ok Jung, Hye Young Kim, Eun Ju Choi; J Korean Acad Community Health Nurs. 2022;33(3):340-355. Published online September 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.3.340

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Abstract PDF: Purpose
This study aimed to examine the effects of non-pharmacological sleep intervention programs in improving sleep quality among older adults in long-term care facilities. Methods: A literature search and selection was performed on nine different databases using the guidelines of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Overall, 14 studies met the inclusion criteria and were systematically reviewed. For the metaanalysis, the effect size was estimated using the random-effects model in Review Manager (RevMan) desktop version 5.4 of the Cochrane Library. Results: The meta-analysis of overall non-pharmacological interventions obtained a total effect size of 1.0 (standardized mean difference [SMD]=1.0, 95% confidence interval [CI]: 0.64~1.35), which was statistically significant (Z=5.55, p<.001). The most frequently studied non-pharmacological intervention was aroma therapy, with an effect size of 0.61 (SMD=0.61, 95% CI: 0.14~1.08), which was statistically significant (Z=2.55, p=.010). In the subgroup analysis, group-based interventions, interventions for >4 weeks, and untreated control studies were more effective. Conclusion: This study confirms that non-pharmacological interventions are effective in improving sleep quality among older adults in long-term care facilities. However, the sample size was small and the risk of bias in assessing the interventions of individual studies was unclear or high, thereby limiting the generalizability of the results. Further reviews that evaluate randomized control trials, evidence-based interventions that consider older adult participants' physical activity levels, different intervention methods and durations, and different control group intervention types are needed to obtain more conclusive evidence.

The Effects of ICT Enhanced Home-visit Nursing in Long-Term Care Insurance on Health-related Quality of Life among Community-Dwelling Older Adults: Keun Joo Yoo, Jin Hee Shin, Eun Hee Cho, Seok Won Hong; J Korean Acad Community Health Nurs. 2022;33(1):1-12. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.1

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Abstract PDF

Purpose
This secondary data analysis study evaluated the effects of ICT enhanced home-visit nursing in long-term care insurance on health-related quality of life among community-dwelling older adults.
Methods
This study included data of 131 older adults who had experienced a pilot service for ICT enhanced home-visit nursing. ICT enhanced home-visit nursing refers to a method of sharing health records and teleconference between a visiting nurse and a doctor during the home-visit nursing services to community-dwelling older adults. Health-related quality of life and influencing factors were analyzed by t-tests, logistic regression analysis using the Stata 17/SE program.
Results
After a pilot service for ICT enhanced home-visit nursing, their health-related quality of life increased. The teleconferencing method had a significant effect on the increase in health-related quality of life.
Conclusion
The findings indicate a pilot service for ICT enhanced home-visit nursing can be applied to the domestic community-based healthcare service model in terms of health management. In the future, the advanced service model of a pilot service for ICT enhanced home-visit nursing in which subjects conduct detailed for each health problem, and a well-designed evaluation system should be developed.

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Community Health Nursing During the COVID-19 Pandemic in Korea: Consequences, Challenges, and Directions
Eunjoo Kim, Ju Young Yoon, Hyori Kim
Journal of Community Health Nursing.2023; 40(2): 79. CrossRef

Factors Influencing Care workers’ Intention of Implementing Hand Hygiene in Long-term Care Hospitals: Mi Hee Han, So Eun Choi; J Korean Acad Community Health Nurs. 2020;31(3):375-383. Published online September 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.3.375

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Abstract PDF

Purpose
The purpose of this study was to investigate factors influencing care workers’ intention of hand hygiene implementation in long-term care hospitals.
Methods
A total of 180 care workers working at long-term care hospitals were recruited. Data collection was done from July 22 to September 7, 2018.
Results
The significant TPB variables influencing the intention of hand hygiene implementation were perceived behavior control (β=.41, p<.001), normative belief (β=.28, p<.001) and attitude toward behavior (β=.15, p=.014). These factors explain 39% of care workers’ intension of implementing hand hygiene in long-term care hospitals.
Conclusion
In order to strengthen the commitment of hand hygiene, it is necessary to have a positive attitude toward hand hygiene by eliminating the obstacles to hand hygiene.

Citations

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Factors associated with intention to use care robots among people with physical disabilities
Sang H. Jung, Yong Soon Shin
Nursing Outlook.2024; 72(3): 102145. CrossRef
Pilot Study of Healthcare-associated Infections Surveillance System in Long-term Care Facilities
Sung-Ran Kim, Kyung-Sook Cha, Jae Yeun Kim, Bo Ram Oh, Hyeon Mi Yoo, Nan-Hyoung Cho, Jong-Rim Choi, Ji-Youn Choi, Si-Hyeon Han, Hyuk Ga, Mi Suk Lee
Korean Journal of Healthcare-Associated Infection Control and Prevention.2022; 27(2): 153. CrossRef
An Exploratory Research to Propose Design for Infection-Free School
Won Young Seo, Kyung Hoon Lee
KIEAE Journal.2021; 21(3): 25. CrossRef

Nurses' Experiences of End-of-life Care for Elderly Patients in Long-term Care Hospitals: Chun Yee Lee, Ga Eon Lee; J Korean Acad Community Health Nurs. 2020;31(2):199-211. Published online June 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.2.199

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Abstract PDF

Purpose
The purpose of this qualitative study was to describe the essence and the meaning of nurses’ experiences of end-of-life care (EOLC) for elderly patients in the long-term care hospitals (LTCHs).
Methods
Data were gathered from 12 nurses who had been working at LTCHs in Korea through one-on-one interviews and the data were analyzed by Colaizzi's phenomenological method.
Results
The emergent 5 themes were ‘Doing the best for protecting patients’ life’, ‘Providing a comfortable dying process for patients’, ‘Supporting a family’s keeping on patient’s death’, ‘Reflecting on life’ and ‘Desiring for the establishment of a humanity end-of-life care environment’.
Conclusion
The end-of-life care for the elderly patients includes supporting elderly patients’ comfortable dying process and helping the family keep the death of the elderly. The results indicated that physical facilities and end-of-life nursing capacity should be established in LTCHs for improving the quality of EOLC.

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Role adaptation of nurses caring for older adults with terminal diseases in geriatric hospitals
Qiushi Liu, Bongsook Yih
International Nursing Review.2024;[Epub] CrossRef
Self-reflection of a General Ward Nurses on the Experience of End-of-Life Care for a Patient who Decided to Suspend Life-sustaining Treatment: van Manen's Hermeneutic Phenomenological Approach
Hee Jung Hong
Korean Journal of Adult Nursing.2023; 35(3): 273. CrossRef
Registered Nurses’ Experiences of End-of-Life Care in Nursing Homes of South Korea: A Qualitative Study
Soo-Jung Chang
Healthcare.2022; 10(11): 2213. CrossRef
Nurses’ Experiences on End-of-Life Care for Older Patients in Long-Term Care Hospitals: Focusing on the Process of Practice and Barriers
Iktae Kim, Jun-Ah Song
Journal of Korean Gerontological Nursing.2021; 23(3): 311. CrossRef

The Mediating Effect of Spirituality between Nurses' Empathy and Elderly Care Performance in the Long Term Care Hospitals: Hee Ok Park, Eun Kyung Kim, Kyoung Ja Moon, Min Ji Kim; J Korean Acad Community Health Nurs. 2020;31(1):34-42. Published online March 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.1.34

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Abstract PDF

Purpose
The objective of this study was to identify whether spirituality mediates the relationship between empathy and elderly care performance among Long Term Care (LTC) hospitals nurses in Korea.
Methods
The data collection was performed July 1st to August 31th, 2018. Participants were 119 nurses from three long-term care hospitals in Korea. Self-reported questionnaires were administered to assess general characteristics, empathy, spirituality and elderly care performance. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficients, and three-stage simple and multiple regression analysis as proposed by Baron and Kenny.
Results
The level of elderly care performance of participants was significantly different based on age (F=3.92, p=.010) and nurse's position (t=−2.18, p=.031). Spirituality had a significant mediating effect on the relationship between empathy and elderly care performance (Z=3.64, p<.001).
Conclusion
As spirituality completely mediates the relationship between empathy and elderly care performance, it is necessary to develop a nursing education program that applies spirituality and empathy and supports religious activities at an institutional level.

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The Association between Perceived Job Stress and Satisfaction, Empathy and Spiritual Beliefs on Burnout and Emotional Distress in Nurses: A Cross-sectional Study
Sudipta Debnath, Manoranjitham Sathiyaseelan, Prathap Tharyan, Gowri Mahasampath
Indian Journal of Social Psychiatry.2024; 40(1): 78. CrossRef

The Effects of Emotional Labor and Job Satisfaction on Organizational Commitment in Staffs by the Size of Facility: Hye Young Jang, Eun Ok Song, Yu Jin Suh; J Korean Acad Community Health Nurs. 2020;31(1):1-12. Published online March 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.1.1

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Abstract PDF: Purpose
The purpose of this study was to identify the factors influencing organizational commitment of staffs according to the size of long-term care facility.
Methods
A cross-sectional descriptive study was designed. Data collection was conducted for a total of 315 employees in long-term care facilities located in Seoul, Gyeonggi, Gangwon, Gyeongbuk, and Chungnam. Data were collected from July 2018 to October 2018 using questionnaires which included emotional labor, job satisfaction, organizational commitment, and general characteristics. In order to confirm the differences in the size of the facility, the facilities with less than 30 beds, those with 30-99 beds, and those with more than 100 beds were analyzed. Data were analyzed using descriptive statistics, t-test, ANOVA, Mann-Whitney U test, Kruskal-Wallis H test, Pearson's correlation analysis, and multiple regression.
Results
The job satisfaction and organizational commitment were significantly different according to the size of long-term care facility. Organizational commitment was influenced by ‘external job satisfaction’ in less than 30 beds, was influenced by ‘external job satisfaction, and attentiveness to required display rules of emotional labor’ in 30~99 beds, and then was influenced by ‘type of job, and internal job satisfaction’ in more than 100 beds. The predict variables accounted for 23.0%, 41.0%, and 34.0% of organizational commitment respectively.
Conclusion
These findings show that tailored interventions should be provided depending on the size of facility in order to increase organizational commitment. In addition, organizational commitment programs should be developed by considering strategies to reduce the emotional labor and to increase job satisfaction.

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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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

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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

Hand Hygiene Compliance among Visitors at a Long-term Care Hospital in Korea: A Covert Observation Study: Min Young Jung, Ja Hyun Kang; J Korean Acad Community Health Nurs. 2019;30(1):99-107. Published online March 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.1.99

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Abstract PDF

PURPOSE
This study aimed to assess hand hygiene (HH) compliance among visitors at a long-term care hospital in South Korea.
METHODS
The study was conducted at a 502-bed long-term care hospital located in Gyeonggi-do Province. From July 1 to August 15, 2017, including more than 6 weekends and one holiday, a trained observer covertly assessed visitors' HH at all five units (360 beds in total) of the study hospital building until the completion of 1,000 HH opportunities (i.e., 200 opportunities per unit). The modified World Health Organization (WHO) HH observation form was used. Instead of professional categories and the â€œbefore clean/aseptic procedureâ€ moment, the estimated age range for each visitor were recorded in four categories: children (<14 years old), adolescents (14~18), adults (19~64), and the elderly (â‰¥65). The collected data were analyzed using SPSS 22.0.
RESULTS
A total of 1,000 HH opportunities were observed from 766 visitors (an average of 1.31 per visitor) and the overall HH compliance rate was 20.3%. Overall, 53.7% of the HH cases were performed with soap and water. Among the 4 HH moments, the â€œafter body fluid exposure riskâ€ moment showed the highest compliance rate (83.5%); 93.9% used soap and water. The most commonly exposed potential body fluid among visitors was saliva (48.1%).
CONCLUSION
For hospital visitors in long-term care hospitals, HH education programs including HH moments need to be developed and implemented. Further studies are necessary to evaluate visitors' HH compliance in various hospital settings and find the related variables influencing visitors' HH.

Citations

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Knowledge and Skills in Infection Prevention and Control Measures Amongst Visitors to Long-Term Care Homes: A Mixed methods Study
Caroline Gibbons, Pamela Durepos, Natasha Taylor, Lisa Keeping-Burke, Matt Rogers, Karen Furlong, Rose McCloskey
Nursing: Research and Reviews.2024; Volume 14: 149. CrossRef
Compliance of patient companions and visitors with hand hygiene: an observational study
H.N. Kaya, B. Süslü, R. Aydın, S. Atay
Journal of Hospital Infection.2023; 136: 85. CrossRef
Hand Hygiene Compliance of Caregivers for Hospitalized Patients in Liver Transplant Wards at a Tertiary-care Hospital in Korea
Songhee Namgung, JaHyun Kang, Mina Yun, Younjin Kim, Seonhee Kwon
Korean Journal of Healthcare-Associated Infection Control and Prevention.2023; 28(2): 233. CrossRef
Exploring factors influencing the compliance of patients and family carers with infection prevention and control recommendations across Bangladesh, Indonesia, and South Korea
Ji Yeon Park, Jerico Franciscus Pardosi, Titik Respati, Eka Nurhayati, Md. Saiful Islam, Kamal Ibne Amin Chowdhury, Holly Seale
Frontiers in Public Health.2022;[Epub] CrossRef
Examining the inclusion of patients and their family members in infection prevention and control policies and guidelines across Bangladesh, Indonesia, and South Korea
Ji Yeon Park, Jerico Franciscus Pardosi, Holly Seale
American Journal of Infection Control.2020; 48(6): 599. CrossRef

Factors Affecting Family Caregivers' Burden and Depression in Home-based Long-Term Care Service under the Long-Term Care Insurance System: Hung Sa Lee, Chun Mi Kim; J Korean Acad Community Health Nurs. 2018;29(4):530-538. Published online December 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.4.530

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4 Citations

Abstract PDF

PURPOSE
This study tried to identify changes in family burden after the introduction of the long-term care insurance and to examine the factors influencing subjective and objective caring burden and depression of family caregivers of elders receiving home-based long-term care.
METHODS
Data were collected from 203 family caregivers of elders from August 1 to 31, 2015 using questionnaires. They were analyzed in descriptive statistics, t test, ANOVA test, and multiple regression analysis.
RESULTS
The mean score of depression was 7.24, which suggested mild depression level. The subjective family burden was 2.71 and the objective burden 3.04. The factors affecting depression included subjective burden (t=5.08, p < .001), objective burden (t=2.80, p=.006), time of elderly care per day (t=âˆ’3.61, p < .001), caregiving duration (t=3.33, p=.001), age (t=3.13, p=.002), family relationship (t=2.48, p=.014), and economic status (t=1.99, p=.047).
CONCLUSION
The family burden was most important influencing factor on caregiver's depression. Therefore, services and supports to alleviate caregivers' burden in the home-based care should be added to long-term care.

Citations

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The moderating effect of care time on care-related characteristics and caregiver burden: differences between formal and informal caregivers of dependent older adults
Eunmi Oh, SeolHwa Moon, Daum Chung, Rina Choi, Gwi-Ryung Son Hong
Frontiers in Public Health.2024;[Epub] CrossRef
The effect of self-rated health on depressive symptoms in Chinese older adults: The mediating role of social participation and spouse health
Chi Zhang, Yinan Zhao, Xiaoyang Li, Yongzhen Guo, Ruotong Peng, Xiao Wan, Qin Zhou, Juan Yang, Siliang Wu, Hui Feng
Geriatric Nursing.2024; 59: 411. CrossRef
Working Conditions Affecting Home Care Workers’ Stress and Turnover Intention
Samsik Lee, Gyeongrim Oh
Journal of Applied Gerontology.2023; 42(4): 717. CrossRef
Relationship between filial obligation and caregiver depression among adult children: A systematic review and meta‐analysis
Yuqin Pan, Ruyi Chen, Dongliang Yang
Nursing Open.2023; 10(6): 3474. CrossRef

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.

Citations

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Factors influencing shared decision-making in long-term care facilities
Da Eun Kim, Min Jung Kim
BMC Geriatrics.2023;[Epub] CrossRef
Person-Centered Care Environment Associated With Care Staff Outcomes in Long-Term Care Facilities
JiSun CHOI, Da Eun KIM, Ju Young YOON
Journal of Nursing Research.2021; 29(1): e133. 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
A Rasch analysis of the Person-Centred Climate Questionnaire – staff version
Mark Wilberforce, Anders Sköldunger, David Edvardsson
BMC Health Services Research.2019;[Epub] CrossRef
Psychometric Evaluation of the Korean Version of the Personhood in Dementia Questionnaire Using Rasch Analysis
Da Eun Kim, Young Ko, Paulette V. Hunter, Ju Young Yoon
International Journal of Environmental Research and Public Health.2019; 16(23): 4834. CrossRef

Acceptance Measure of Quality Improvement Information System among Long-term Care Workers: A Psychometric Assessment: Tae Hoon Lee, Young il Jung, Hongsoo Kim; J Korean Acad Community Health Nurs. 2017;28(4):513-523. Published online December 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.4.513

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PURPOSE
We evaluated the psychometric properties of a questionnaire on the acceptance of the quality improvement information system (QIIS) among long-term care workers (mostly nurses).
METHODS
The questionnaire composes of 21 preliminary questions with 5 domains based on the Technology Acceptance Model and related literature reviews. We developed a prototype web-based comprehensive resident assessment system, and collected data from 126 subjects at 75 long-term care facilities and hospitals, who used the system and responded to the questionnaire. A priori factor structure was developed using an exploratory factor analysis and validated by a confirmatory factor analysis; its reliability was also evaluated.
RESULTS
A total of 16 items were yielded, and 5 factors were extracted from the explanatory factor analysis: Usage Intention, Perceived Usefulness, Perceived Ease of Use, Social Influence, and Innovative Characteristics. The five-factor structure model had a good fit (Tucker-Lewis index [TLI]=.976; comparative fit index [CFI]=.969; standardized root mean squared residual [SRMR]=.052; root mean square error of approximation [RMSEA]=.048), and the items were internally consistent(Cronbach's Î±=.91).
CONCLUSION
The questionnaire was valid and reliable to measure the technology acceptance of QIIS among long-term care workers, using the prototype.

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Reliability and Validity Analysis of the Korean Version of the Affinity for Technology Interaction Scale
Taehui Kim, Seyeon Park, Miri Jeong
Healthcare.2023; 11(13): 1951. CrossRef
Effectiveness of a Technology-Enhanced Integrated Care Model for Frail Older People: A Stepped-Wedge Cluster Randomized Trial in Nursing Homes
Hongsoo Kim, Young-il Jung, Gi-Soo Kim, Hyoungshim Choi, Yeon-Hwan Park, Suzanne Meeks
The Gerontologist.2021; 61(3): 460. CrossRef
Validation of an integrated service model, Health-RESPECT, for older patients in long-term care institution using information and communication technologies: protocol of a cluster randomised controlled trial
Jung-Yeon Choi, Kwang-il Kim, Hongsoo Kim, Young-il Jung, In-Hwan Oh, Seungyeon Chun, Gi-Soo Kim, Jae-Young Lim, Jin Young Ko
BMJ Open.2020; 10(10): e038598. CrossRef

Factors Associated with the Changes in Activities of Daily Living in Older Adults with Stroke: A Comparison of Home Care and Institutional Care: Woon Sook Jung, Eun Shil Yim; J Korean Acad Community Health Nurs. 2016;27(4):388-398. Published online December 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.4.388

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Abstract PDF

PURPOSE
To compare the changes in activities of daily living (ADLs) in older adults with stroke in different modalities of long term care (LTC) services, which include home care and institutional care.
METHODS
This is a comparative study using secondary data from the Korean national LTC insurance. Home care (HC) services users (n=3,494) and institutional care (IC) users (n=1,428) were extracted and compared in terms of ADLs and changes in ADLs to investigate the effects of HC and IC services in LTC.
RESULTS
All of the ADLs and LTC services benefit levels for 2 years had improved in both HC and IC services. The ADLs of older adults with stroke who received HC improved, while those who received IC experienced deterioration. The LTC services benefit levels of the HC and IC groups were significantly different after 2 years.
CONCLUSION
The study has found that HC services may lead ADLs better for older adults with stroke. We recommend LTC policy makers to further develop HC and IC service programs to deliver quality LTC services.

Citations

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Examination of the Educational Needs of Home Visit Nurses: A Cross-Sectional Descriptive Study
Kyuri Lee, Dukyoo Jung
International Journal of Environmental Research and Public Health.2021; 18(5): 2319. CrossRef
Profile of Long-Term Care Recipients Receiving Home and Community-Based Services and the Factors That Influence Utilization in Taiwan
Chia-Mei Shih, Yu-Hua Wang, Li-Fan Liu, Jung-Hua Wu
International Journal of Environmental Research and Public Health.2020; 17(8): 2649. CrossRef

Person-centered Care and Nursing Service Quality of Nurses in Long-term Care Hospitals: Hae Sagong, Ga Eon Lee; J Korean Acad Community Health Nurs. 2016;27(4):309-318. Published online December 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.4.309

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PURPOSE
This study investigated the correlation between person-centered care (PCC) and nursing service quality of nurses in long-term care hospitals.
METHODS
The subjects were 114 nurses working in 8 long-term care hospitals. Instruments for evaluating PCC and nursing service quality were used. The data were analyzed by descriptive statistics, two samples-test, one-way ANOVA, Pearson's correlation and Multiple regression.
RESULTS
The mean of PCC was 3.25Â±0.45 out of 5 and the nursing service quality was 3.87Â±0.40. There were significant differences in PCC in terms of age and income satisfaction, the application of their opinions, the satisfaction of hospital managers, administrators and nurse managers. There were significant differences in nursing service quality according to age, position, the satisfaction of hospital managers, administrators and nurse managers. Nurses' PCC showed a significant positive correlation with nursing service quality. Factors influencing nursing service quality included PCC, their position and age and the most influencing one was PCC.
CONCLUSION
This study suggests that the PCC is the strongest affecting element to the quality of nursing service in long-term care hospitals. Therefore, the strategies to improve the practice of person-centered care should be carried out to enhance the quality of nursing service.

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