Purpose As the rate of older people visiting Emergency Departments (EDs) increases, nurses are responsible for identifying patients at risk of poor outcomes and providing preventive interventions. The aim of this study was to identify the factors associated with the mortality of older adults hospitalized through EDs. Methods The study design was a retrospective correlational design using the electronic medical records from a tertiary hospital in Korea. Data were collected from January 3 to March 6, 2016 through the hospital information center based on elderly patients admitted from January 1, 2011 to August 31, 2015. The study variables included general and admission characterstics, disease characteristics, and mortality of older patients visiting EDs. Results Of the 9,896 patients, the mortality rate was 7.4%; highest in patients aged over 86 years, men, or those hospitalized from nursing homes. Older adults arriving by private ambulance were 2.36 times more likely to die than walk-ins, and 1.38 times more likely for those using the 119 government emergency ambulance. Older patients hospitalized for more than four weeks were 2.17 times more likely to die than those hospitalized for less than a week. Conclusion Based on the study findings ward nurses will be able to early detect older patients at risk of poor outcomes and make better clinical decisions to improve the quality of nursing care. Nurses can propose health policies such as stricter management of the private ambulance service and considering the most efficient length of hospital stay for older adults hospitalized through EDs.
Factors Associated with Return Visits by Elders within 72 Hours of Discharge from the Emergency Department Li-Hsiang Wang, Hui-Ling Lee, Chun-Chih Lin, Chia-Ju Lan, Pei-Ting Huang, Chin-Yen Han Healthcare.2023; 11(12): 1726. CrossRef
Retrospective Analysis of the Oldest-Old Patients Who Applied to the Emergency Department and Their Differences from the Young-Old And Middle-Old İbrahim TOKER, Ayşin KILINÇ TOKER, İrfan GÖKÇEK, Emre BULBUL, Gökhan YILMAZ, Mustafa SİLCAN, Şaban IRMAK, Mükerrem ALTUNTAŞ Anatolian Journal of Emergency Medicine.2023; 6(1): 20. CrossRef
Potentially Inappropriate Prescriptions to Older Patients in Emergency Departments in South Korea: A Retrospective Study Kyungim Kim, Jinyoung Jung, Haesook Kim, Jung Tae Kim, Jung Mi Oh, Hyunah Kim Therapeutics and Clinical Risk Management.2021; Volume 17: 173. CrossRef
PURPOSE The aims of this study were to develop the unit specialist-led pressure ulcer nursing algorithm for hospital nurses, and to examine its clinical adequacy. METHODS The study used a methodological design. The algorithm was developed through the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) model using the combination of systematic review, clinical staff interview, and expert panel interview. Thirty nurses in two hospital units applied the algorithm to 30 patients from September 7, 2017 to September 20, 2017. RESULTS The contents of the nursing algorithm included roles of the unit specialist, application of the algorithm, assessment, nursing interventions, and documentation. The algorithm had acceptable validity of Scale-level Content Validity Index (S-CVI) from .93 to .95. The Braden scale scores were significantly improved from 12.37±3.30 to 13.67±3.59 (t=20.55, p<.001) in the patients who used the algorithm. The hospital unit nurses rated the algorithm's clinical adequacy as acceptable, with a mean score ranging from 3.30±0.65 to 3.67±0.48. The most highly rated item was that “pressure ulcer has been detected and managed promptlyâ€. CONCLUSION The unit specialist-led pressure ulcer nursing algorithm in general hospital units facilitated the prompt and accurate decision-making for hospital unit nurses. Using this algorithm, the hospital unit nurses will be able to provide relevant and prompt care for pressure ulcer prevention and management.
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PURPOSE Although post-stroke sensory disorder is different from post-stroke pain, it is often considered as central pain or overlooked in the clinical field. The purposes of this study were to develop the nursing algorithm for stroke patients with sensory disorder and examine its effect. METHODS The study used a methodological design to develop the nursing algorithm and a pretest-posttest design to examine its effect in stroke patients. The algorithm was developed through the ADDIE model (Analysis, Design, Development, Implementation, and Evaluation) using systematic review, expert panel interview, and patient interview. The algorithm was applied to 51 ischemic stroke patients experiencing sensory disorder at subacute stage by 10 nurses in a university hospital in Seoul city, Korea. RESULTS The contents of the algorithm included inclusion and exclusion criteria for relevant patients, assessment tool developed in this study, and the intervention (non-pharmacological and pharmacological) process based on the assessment results. The assessment tool and the intervention process had acceptable inter-rater reliability with Cohen's Kappa .82 and .94, respectively. The scores of sensory disorder decreased from 2.71 to 0.51 with the algorithm application in 51 patients. CONCLUSION The nursing algorithm for sensory disorder in stroke patients improved the symptoms and can be used conveniently by clinical nurses. Using this algorithm, nurses can provide relevant care for stroke patients with stiff, cool, obtuse, or vibrating sensors that cause insomnia, anorexia, and physical functional decline.
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PURPOSE Although the patient safety is the first priority in hospitals, the safety strategies and supportive programs for nurses in medium and small-sized hospitals are still insufficient. The purpose of this study was to identify the correlates of patient safety performance related to characteristics of nurses working at small-medium sized hospitals with less than 200 beds. METHODS The study design was a descriptive correlational design. Data were collected from 211 nurses of seven small-medium sized hospitals located in Seoul, Korea. Study variables measured by using survey questionnaires were patient safety performance, safety culture, job satisfaction, and general characteristics. Data were analyzed by multiple regression using SPSS/WIN 22.0 program. RESULTS The strongest factor associated with patient safety performance was communication process (β=.21, p=.002) followed by working environment (β=.21, p=.008), satisfaction on job contents (β=.16, p=.033), and safety management manual in hospital (β=.12, p=.041). Among general characteristics, nurses unmarried, working as staff nurses, having more than 10 years of clinical experience, and working at hospitals with the first nursing grade performed better patient safety performance. CONCLUSION The study findings suggest that the small-medium sized hospitals require strategies for nurses, supportive working environment, clear job contents, and qualitative safety management manuals.
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PURPOSE The purpose of this study was to examine the effects of a simulation-based educational program on anxiety and discomfort in patients with early stage of stomach cancer or stomach adenoma undergoing gastroendoscopic surgery. METHODS The study employed a non-equivalence control group and non-synchronized design to prevent diffusion of treatment. Data were collected from 110 patients (experimental group=55, control group=55) admitted to a department of gastroenterology to undergo gastroendoscopic surgery for early stage of stomach cancer or stomach adenoma. The program was conducted as a 30-minute simulation-based education including 12 processes which patients would experience. Outcome variables were state anxiety, objective discomfort, and subjective discomfort. RESULTS The scores of state anxiety in the experimental group significantly decreased over time compared to those in the control group. The scores of objective and subjective discomfort after surgery in the experimental group were significantly lower than those in the control group. CONCLUSION The study findings suggested that the simulation-based educational program making a person feel sense of real experiences could reduce anxiety and discomfort in gastroendoscopic surgery patients.
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Effects of Video Assisted Education Using Smartphone on Bowel Preparation for Colonoscopy Choi Mi-Hee, Song Jun-Ah Journal of Korean Academy of Fundamentals of Nursing.2017; 24(1): 60. CrossRef
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The Effects of Supportive Nursing Intervention Using Video-Program of Operating Room Nurses before Operation on Laparoscopic Hysterectomy Patient's Anxiety Yong-Sook Eo, Nae-Young Lee, Ji-Won Lee, Hyeon-Jun Cha Journal of the Korea Academia-Industrial cooperation Society.2015; 16(4): 2639. CrossRef
The Effect of Hand Holding and Nei-Guan Acupressure on Anxiety and Pain under Local Anesthetic Patients during Surgery Sun Hee Park, Hee Jung Jang The Journal of the Korea Contents Association.2014; 14(11): 378. CrossRef
PURPOSE The purpose of the study was to compare level of functional independence and its correlates among community-dwelling older adults in rural areas between South Korea and the United Sates. METHODS The study employed a comparative and correlational design. Data were collected from 198 community-dwelling older adults in rural areas (South Korea=100, & US = 98). Functional independence, cognitive function, obesity and general characteristics were measured. RESULTS From both countries, approximately fifteen percent of older adults living independently had cognitive problems without any treatments. Among Korean older adults functional independence was associated with a number of chronic diseases and aging while in the United States the participants had a negative correlation with obesity and aging. CONCLUSION For Korean older adults in rural areas, nurses should focus on monitoring older adults' abilities to manage chronic illness and designing self-management programs while in the United States the focus should be on healthy lifestyle programs about exercise and diet to increase functional independence.
PURPOSE The purpose of this study was to examine the effect of balance taping therapy on neck pain in high school students. METHODS The study employed a randomized control group pretest-posttest design with four-time repeated measures. Data were collected from 62 high school students with neck pain. The experimental group (n=31) took balance taping therapy for six days with appropriate position and stretching education while the control group (n=31) applied patches including non-steroidal anti-inflammatory drugs (NSAIDS) for six days with appropriate position and stretching education. Neck pain, cervical range of motion (CROM) and neck disability were measured at pretest, day one, day three and day six which was the posttest day. RESULTS For the experimental group, the neck pain was significantly improved on all three days (F=16.82, p<.001), and extension and right lateral flexion of the CROMs were significantly improved over time compared to the control group (F=3.85, p=.011; F=2.71, p=.047, respectively). Neck disability was also improved in the experimental group compared to the control group (F=8.64, p<.001). CONCLUSION The balance taping therapy was an efficient intervention for high school students with neck pain. Nurses could apply non-pharmacological interventions such as balance taping therapy without pharmacological side effects.
PURPOSE This study was to develop the clinical competency evaluation, and to examine the effects of the developed evaluation by comparing it with existing evaluation on clinical competency, communication skill, and self-efficacy of nursing students. METHODS Design was a randomized control group post-test design. The subjects were 102 senior nursing students(Experimental group: 48, Control group: 54) at K university in seoul, Korea. The experimental group took the clinical competency evaluation using standardized patients and the control group took the existing evaluation using a doll. The clinical competency and communication skills were measured by evaluators, and self-efficacy was self reported by the nursing students. RESULTS The experimental group had higher scores in clinical competency, communication skills, and self-efficacy than those in the control group. CONCLUSION Through these results, practice education of nursing education programs need to activate the clinical competency evaluation using standardized patients.
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