| Min Hye Lee | 3 Articles |
Purpose
This study aimed to identify factors related to nurses’ preparedness to care for patients with highly infectious diseases in long-term care hospitals based on the Theory of Planned Behavior (TPB). Methods: The participants were 226 nurses from 10 long-term care hospitals located in a metropolitan city in Korea. Core components of the TPB, organizational culture for infection control, nursing practice environment, and preparedness to care for patients with highly infectious diseases were measured using a structured online self-report questionnaire. Data were collected from October 25 to December 26, 2021 and were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression. Results: The mean score of preparedness to care for patients with highly infectious diseases was 4.99±1.90 out of 10. The perceived behavioral control (β=.37, p<.001), control beliefs (β=.24, p<.001), attitude toward behavior (β=.18, p=.001), behavioral belief (β=.12, p=.035), and nursing practice environment (β=.12, p=.023) significantly predicted the nursing staff’s preparedness to care for these patients (Adj. R 2 =.62). Conclusion: Theory-based interventions are needed to enhance the confidence of nurses in caring for the patients with highly infectious diseases and to improve their attitude and beliefs regarding positive outcomes in caring for these patients. High quality teamwork and support of resources are necessary to increase the preparedness to care for patients with highly infectious diseases in the nursing practice environment in long-term care hospitals. Citations Citations to this article as recorded by
PURPOSE
Nurses' infection prevention and control responsibilities have been emphasized owing to the increasing infection rate in long-term care facilities in South Korea. The aim of this study was to explore nurses' perspectives on challenging situations and the areas of improvement related to their role in infection management. METHODS An exploratory descriptive qualitative study was conducted with a purposive sample of 15 nursing staff from five long-term care facilities. A focus group interview with semi-structured questions was conducted between January and May 2017. The study participants' discussions were analyzed using conventional content analysis with line-by-line coding. RESULTS The participants discussed the breadth of challenges interfering with their ability to provide optimal infection care, from practical human resource management issues to organizational and environmental barriers, and laid a foundation based on which lacking areas can be improved. The analysis produced key themes centered on healthcare personnel-related professionalism, professional role boundaries, daily workflow and management, interdisciplinary collaboration, standards and protocols, and technological infrastructure. CONCLUSION Although participants expressed negative feelings toward the constraints in long-term care facilities, they demonstrated the willingness to create a positive change and offered suggestions for improvement and support to improve resident safety and care management. Therefore, special attention should be paid to nurses' perspectives on their work and roles regarding infection control practices and supporting them with available sources. Citations Citations to this article as recorded by
PURPOSE
The aims of this study were to identify the reported attitudes of older patients with cancer toward advance directives (ADs) and the factors associated with their attitudes toward ADs. METHODS The design was a cross-sectional survey. The age mean of the 130 participants were 70.8, and 66.2% of the participants were male. The data were collected at one university hospital in Seoul, South Korea during the period from October 1st to December 5th in 2013. The data collecting instruments were the Advance Directives Attitude Survey (ADAS) and questionnaires including socio-demographic and disease-related characteristics, family function. RESULTS 30.0% of the participants were aware of ADs, only 9% of them had been informed by healthcare providers. Most participants (93.1%) intended to complete ADs. The mean score of ADAS was 48.29. The stepwise linear regression analysis indicated that family function, perceived health status, period of education, and age accounted for a significant percentage (52.0%, p<.001) of the variance in participants' ADAS. The variable with the greatest effect was family function. CONCLUSION The findings suggest that family function and attitude of older cancer patients need to be considered for adapting ADs to Korean health care systems. Healthcare providers should include family members in advanced care planning discussions. Citations Citations to this article as recorded by
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