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"Long-term care"

Original Article

Purpose
The purpose of this study was to develop and validate a tool to evaluate slow nursing performance for older adults in long-term care hospitals.
Methods
The search period was set from March 2013, when the term "slow nursing" was first used in the literature, to October 2021. A slow nursing tool was developed in two phases: development and verification. In the tool development phase, 29 items were developed through an extensive literature review and in-depth interviews with seven long-term care hospital nurses. Construct validity testing was performed by a 10-member expert panel, and a pilot survey was conducted on long-term care hospital nurses. In the tool validation phase, the construct validity, criterion validity, and reliability of the tool were tested by applying it to 181 nurses in long-term care hospitals .
Results
The final tool comprised five factors and 23 items, with an overall explanatory power of 56.8%. Construct validity was examined using confirmatory factor analysis, and the model fit was good. Known-group validity was established by the observation of a significant difference in the slow nursing score between intensive care unit and long-term care hospital nurses, and criterion validity was established by a significant correlation between the slow nursing and person-centered assessment scores. Internal consistency reliability was shown by a Cronbach's ⍺ coefficient of .781.
Conclusion
The concept of slow nursing has been clarified, improving the understanding and implementation of slow nursing care by nurses in long-term care hospitals. The Slow Nursing Tool for Long-term Care Hospital Nurses (SNT-LCHN) is expected to increase interest in and contribute to the effectiveness of slow nursing practices. It will serve as a valuable tool for improving nursing performance in these settings.
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Review Article

Purpose
This study explored tools to measure service experiences for families of older adults living in long-term care facilities, with the goal of suggesting directions for developing service experience measurement indicators for these families in the Korean context.
Methods
In this scoping review, English-language literature on the service experiences of families of older adults in long-term care facilities published in academic journals from January 1990 to December 2021 was reviewed. The CINAHL, Embase, and PubMed databases were searched. The review process involved identifying the research question; searching for relevant published studies; selecting studies; mapping the data; and collating, summarizing, and reporting the results. This method helped identify knowledge gaps, explore, and define key concepts, and obtain an overview of extant studies’ focus by determining the literature scope. Among 118 articles, seven were finally selected according to predetermined criteria.
Results
Through an analysis of the sub-factors of the tools used in the seven selected articles, the following themes were derived: environment, information and family member involvement, tailored care, respect, and responsive workforce. Concept definitions were clarified and examined.
Conclusion
Measuring the service experiences of families serving as surrogates for older adults who are in long-term care facilities and cannot express their opinions is essential for improving service quality. Developing a measurement tool for experiences of facility service experience that accurately reflects the perspectives of family members of older adults in these facilities in the Korean context is a pressing need given South Korea’s rapidly aging population.
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Original 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  
  • Comparison of Factors Affecting Delirium Nursing Stress between Nurses in Comprehensive Nursing Care Service Wards and General Wards
    Sumin Gwon, Gaeun Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(5): 517.     CrossRef
  • Qualitative Meta-Synthesis Analysis Study of COVID-19 Infection Control Experiences of Long-term Care Hospital Nurses
    Euna PARK, Jeong-Soo KIM
    THE JOURNAL OF FISHERIES AND MARINE SCIENCES EDUCATION.2024; 36(2): 330.     CrossRef
  • Effects of case-based confusion assessment methods for intensive care unit training on delirium knowledge and delirium assessment accuracy of intensive care units: A quasi-experimental study
    Young-Nam Kim, Dong-Hee Kim
    Nurse Education Today.2021; 103: 104954.     CrossRef
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  • 0 Scopus
Factors Associated with Patient Safety Incidents in Long-Term Care Hospitals: A Secondary Data Analysis
Sookhee Yoon, Myungsuk Kang
Korean J Adult Nurs 2022;34(3):295-303.   Published online June 30, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.3.295
Purpose
This study aimed to determine the severity of patient safety incidents and its associated factors in Long-term Care Hospital (LTCH) settings.
Methods
This study performed a cross-sectional analysis of secondary national data from the Korea Patient Safety Reporting and Learning System. A total of 5,316 LTCH datasets from 2018 to 2020 were analyzed using multi-nominal logistic regression with the help of the SPSS 26.0 program.
Results
Adverse events were significantly associated with age, location of the incidents, night-duty hours, incident type, and small hospital size. Further, sentinel events were significantly associated with female gender, age, incident type (meal and suicide/self-harm), and small hospital size.
Conclusion
The results underline the need for developing standardized patient safety guidelines that consider LTCH characteristics and holding periodic education programs for healthcare workers in LTCHs so that they can gain adequate knowledge and practical skills for ensuring patient safety. In addition, they highlight the need for measures to improve institutional support and processes so that any weaknesses can be resolved to optimize patient safety.

Citations

Citations to this article as recorded by  
  • Factors Affecting Fall Incidents at Long-term Care Hospitals: Using Data from the Korea Patient Safety Reporting and Learning System
    Soojin Chung, Jeongim Lee
    Journal of Health Informatics and Statistics.2025; 50(1): 96.     CrossRef
  • Factors associated with harm in reported patient safety incidents and characteristics during health screenings in Korea: a secondary data analysis
    Jeongin Choe, Kyungmi Woo
    International Journal for Quality in Health Care.2025;[Epub]     CrossRef
  • Analysis of the Characteristics of Young-old and Old-old Injured Patients in Korea: Focusing on 2021 Discharge Injury Statistics (2004~2021)
    Jongsuk LEE
    Korean Journal of Clinical Laboratory Science.2024; 56(3): 257.     CrossRef
  • Factors Related to the Severity of Patient Safety Incidents in Operating Rooms in South Korea
    Minjung Ryu, Jun Su Park, Bomgyeol Kim, Suk-Yong Jang, Sang Gyu Lee, Tae Hyun Kim
    Health Insurance Review & Assessment Service Research.2024; 4(2): 149.     CrossRef
  • Association between location of fall and mortality in hospitalized elderly patients for falls
    Soojin Lee, Kyung Won Paek, Nam Soo Park, Min Kyoung Kim, Sangnam Jeon
    Korean Journal of Health Education and Promotion.2023; 40(1): 89.     CrossRef
  • Trends in infection-related patient safety incident reporting before and during the COVID-19 pandemic in Korea
    Eun-Jin Kim, Yeon-Hwan Park
    Journal of Korean Biological Nursing Science.2023; 25(2): 95.     CrossRef
  • Analysis of Factors Related to Domestic Patient Safety Incidents Using Decision Tree Technique
    Jieun Shin, Ji-Hoon Lee, Nam-Yi Kim
    Risk Management and Healthcare Policy.2023; Volume 16: 1467.     CrossRef
  • 130 View
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  • 7 Crossref
  • 3 Scopus
Purpose
Long-Term Care Facilities (LTCF) are places where older adults who require help managing dementia, stroke, and other senile diseases live. The facilities provide convenience for meals, medical and nursing care, and daily life. Therefore, since the actual consumers are older adults rather than the young, it is important to understand the perceptions of older adults about LTCF. This study aimed to identify subjective perceptions toward LTCF in home-dwelling older adults.
Methods
The Q methodology systematic research method, which investigates participants’ subjective viewpoints and perceptions of certain issues, was used. Forty Q-statements were derived from the Q population and arranged in rank order by 50 participants (over 65 years old) into a normal distribution grid (from -4 to +4). A pc QUANL program was used to analyze the collected data.
Results
Three types of subjective perceptions toward LTCF were revealed: “demand for LTCF management improvement (viewpoint of management first, use after)”, “support for LTCF admission (viewpoint of essential use)”, and “distrust of using LTCF (viewpoint of opposition to use)”.
Conclusion
The results of this study can be helpful in developing nursing strategies to ensure better understanding of LTCF among home-dwelling older adults. It is also necessary to develop individualized nursing intervention programs reflecting the three types of subjective perceptions derived in this study.

Citations

Citations to this article as recorded by  
  • 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
  • A Meta-Synthesis Study of Person-Centered Care Experience from the Perspective of Nursing Home Residents
    Eun-Young Kim, Sung-Ok Chang
    International Journal of Environmental Research and Public Health.2022; 19(14): 8576.     CrossRef
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  • 2 Crossref
  • 2 Scopus
Factors Influencing Performance of Pain Assessment and Pain Intervention for Dementia Patients among Long-term Care Hospital Nurses
Mi Seon Jeon, Chi Eun Song, Jeong Min Park, Weon Gyeong Kim
Korean J Adult Nurs 2020;32(3):283-291.   Published online June 30, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.3.283
Purpose
This study aimed to identify factors influencing performance of pain assessment and pain intervention for dementia patients among long-term care hospital nurses.
Methods
In this descriptive study, participants were 106 nurses working in seven long-term care hospitals. Data were collected from August 13 to August 30, 2019. Nurses’ performance of pain assessment and pain intervention, attitude toward dementia, empathy, and knowledge about dementia-related pain were measured through self-reported questionnaires.
Results
The factors influencing performance of pain assessment were a total clinical career of 5 to 9 years (β=.29, p=.013) and a total clinical career of more than 15 years (β=.31, p=.013), which together explained 15.9% of the variance in the model. The factor influencing performance of pain intervention was attitude toward dementia (β=.31, p=.018), and explained 8.7% of the variance in the model. Empathy and knowledge about dementia-related pain were not found to be significant factors in either of the models.
Conclusion
The study findings suggest that a specialized education program for nurses with short clinical careers should be developed. Additionally, when designing the education program, it is recommended that varied content that can induce psychological and emotional attitude changes be included, as well as knowledge-oriented content. Finally, the more effective the pain assessment for dementia patients, the more appropriate the pain intervention and its performance will be. Thus, it is necessary to provide systematic training to enhance the pain assessment skills through a case study-based approach.

Citations

Citations to this article as recorded by  
  • The Status and Challenges of Pain Assessment in Hospitalized Patients: A Cross-Sectional Study
    Xiaofeng Xu, Hongxiu Chen, Jing Xu, Yue'er Zhang, Renrong Gong, Xiuying Hu
    Pain Management Nursing.2025; 26(2): e124.     CrossRef
  • Development of the Korean Version of the Pain Assessment Tool in Impaired Cognition (KPAIC-15) for Patients with Dementia: A Scale Development
    Sun Young Lim, Su Jung Lee, Sung Ok Chang
    Journal of Korean Gerontological Nursing.2022; 24(2): 218.     CrossRef
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  • 2 Crossref
  • 2 Scopus
PURPOSE
This study aimed to compare the effects of hand massage with the preferred aroma oil to those of hand massage with lavender oil on stress and sleep in residents at a long-term care facility.
METHODS
A group randomized controlled design was used. Of the 37 participants, 19 were assigned to the experimental group(hand massage with the preferred aroma oil) and 18 to the control group(hand massage with lavender oil). Data collection was performed from Nov. 26 2016 to Jan. 27 2017. Hand massage was offered for 5 minutes each side 3 times a week for a total of 12 sessions over 4 weeks. Stress was measured using the Perceived Stress Questionnaire and sleep was measured using the Verran and Snyder-Halpern Sleep Scale.
RESULTS
Subjects in the experimental group showed significantly lower stress levels (physical stress, t=−2.10, p=.048; psychological stress, t=−4.41, p<.001) and sleep (t=3.37, p=.002) than those in the control group.
CONCLUSION
These results suggest that aromatherapy with hand massage should consider client aroma preference for elderly at long-term care facilities in the future.

Citations

Citations to this article as recorded by  
  • Effects of Non-Pharmacological Sleep Interventions in Older Adults: A Systematic Review and Meta-Analysis
    Hye-Ja Gu, Oi-Sun Lee
    International Journal of Environmental Research and Public Health.2023; 20(4): 3101.     CrossRef
  • The Effect of Lavender on Sleep Quality in Individuals Without Insomnia
    Tzu-Ying Chen, Akiko Hiyama, Masumi Muramatsu, Atsuko Hinotsu
    Holistic Nursing Practice.2022; 36(4): 223.     CrossRef
  • The effect of lavender on stress in individuals: A systematic review and meta-analysis
    Tina Ghavami, Mohsen Kazeminia, Fatemeh Rajati
    Complementary Therapies in Medicine.2022; 68: 102832.     CrossRef
  • The effect of aromatherapy hand massage on distress and sleep quality in hemodialysis patients: A randomized controlled trial
    Dilek Efe Arslan, Nazan Kılıç Akça
    Complementary Therapies in Clinical Practice.2020; 39: 101136.     CrossRef
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  • 4 Crossref
  • 5 Scopus
Nurses' Views on Infection Control in Long-Term Care Facilities in South Korea: A Focus Group Study
Chi Young Lee, Min Hye Lee, Seong Hyeon Lee, Yeon Hwan Park
Korean J Adult Nurs 2018;30(6):634-642.   Published online December 31, 2018
DOI: https://doi.org/10.7475/kjan.2018.30.6.634
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  
  • The Multiple Determinants of Infection Prevention and Control Practices in Nursing Homes: A Scoping Review
    Kanako Fujimoto, Momoe Utsumi, Toshiyuki Swa, Aoi Furuya, Ayumi Ikuji, Ayami Nakanishi, Nahoko Harada
    Journal of the American Medical Directors Association.2025; 26(6): 105593.     CrossRef
  • Development of an infection control competency scale for clinical nurses: an instrument design study
    Yong Hwan Hyeon, Kyoung Ja Moon
    BMC Nursing.2024;[Epub]     CrossRef
  • Beyond the control of the care home: A meta‐ethnography of qualitative studies of Infection Prevention and Control in residential and nursing homes for older people
    Gavin Daker‐White, Maria Panagioti, Sally Giles, Thomas Blakeman, Victoria Moore, Alex Hall, Paul P. Jones, Oliver Wright, Bethany Shears, Natasha Tyler, Stephen Campbell
    Health Expectations.2022; 25(5): 2095.     CrossRef
  • Nurses’ Outlook on Healthcare-associated Infection Surveillance: Findings from Focus Group Discussions
    Soumya Christabel, Christopher Sudhaker , Muralidhar Varma
    Africa Journal of Nursing and Midwifery.2022;[Epub]     CrossRef
  • Nurses’ perceptions of the potential evolution of their role in antibiotic stewardship in nursing homes: a French qualitative study
    Céline Bridey, Gaëlle Le Dref, Aurélie Bocquier, Stéphanie Bonnay, Céline Pulcini, Nathalie Thilly
    JAC-Antimicrobial Resistance.2022;[Epub]     CrossRef
  • The factors contributing to missed care and non-compliance in infection prevention and control practices of nurses: A scoping review
    Lauren McCauley, Marcia Kirwan, Anne Matthews
    International Journal of Nursing Studies Advances.2021; 3: 100039.     CrossRef
  • Omissions of Care in Nursing Home Settings: A Narrative Review
    Aaron M. Ogletree, Rikki Mangrum, Yael Harris, David R. Gifford, Rouguia Barry, Linda Bergofsky, Deborah Perfetto
    Journal of the American Medical Directors Association.2020; 21(5): 604.     CrossRef
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  • 7 Crossref
  • 9 Scopus
Effects of Laughter Therapy on Depression and Sleep among Patients at Long-term Care Hospitals
Ji Hyoung Han, Kyung Min Park, Heeok Park
Korean J Adult Nurs 2017;29(5):560-568.   Published online October 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.5.560
PURPOSE
The purpose of the study was to investigate the effects of laughter therapy on depression and sleep among patients at two long-term care (LTC) hospitals.
METHODS
Forty-two residents from two LTC hospitals participated in this study. Twenty-one residents at one LTC hospital received the laugher therapy treatment and 21 at the other LTC hospital received no treatment as a comparison group. The laugher therapy protocol consisted of singing funny songs, laughing for diversion, stretching, playing with hands and dance routines, laughing exercises, healthy clapping, and laughing aloud. The participants engaged in the protocol 40 minutes twice a week (Monday/Thursday) for a total of eight sessions held in the patients' lounge.
RESULTS
Findings showed that depression and sleep improved in the treatment group compared to the comparison group (t=-7.12, p < .001; Z=-4.16, p < .001).
CONCLUSION
To improve depression and sleep among patients at LTC hospitals, offering laughter therapy strengthening physical activities might be beneficial to patients.

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  • Impact of Laughter Yoga on Test Anxiety and Education Stress of 8th Grade Students: An Experimental Study
    Bilge Kalanlar, Nilgün Kuru Alıcı
    Creative Nursing.2024; 30(4): 280.     CrossRef
  • The Effects of Laughter Therapy, Music Listening and Diary Keeping Given to Pregnant Women on Mental Health and Maternal Attachment Levels in Postpartum Period
    Sibel Kıyak, Deniz Koçoğlu-tanyer
    Sağlık Bilimlerinde Değer.2024; 14(3): 425.     CrossRef
  • Effectiveness of yoga and laughter yoga in improving psychological resilience of mothers with babies hospitalized in neonatal intensive care unit
    Zerrin Çiğdem, Emine Sarikamiş Kale, Tuba Koç Özkan
    Journal of Health Psychology.2024;[Epub]     CrossRef
  • The Effect of Laughter Therapy/Yoga on Physical and Mental Health: A Review of Nursing Graduate Theses
    Özkan UĞUZ
    Kastamonu Üniversitesi Sağlık Bilimleri Fakültesi Dergisi.2023; 2(3): 148.     CrossRef
  • Effect of Laughter Yoga on Sleep and Quality of Life in Individuals With Fecal Ostomies
    Deniz Harputlu, Fatma Özlem Öztürk, Durucan Aydın, Cihangir Akyol, Ayfer Tezel
    Journal of Wound, Ostomy & Continence Nursing.2023; 50(4): 307.     CrossRef
  • The influence of laughter yoga on pregnancy symptoms, mental well-being, and prenatal attachment: A randomized controlled study
    Safiye Ağapınar Şahin, Mine Bekar
    Health Care for Women International.2023; 44(6): 782.     CrossRef
  • Ebelik Uygulamalarına Tamamlayıcı Bir Yaklaşım: Duygu Dilinin Evrensel İfadesi, Kahkaha Yogası
    Safiye AĞAPINAR ŞAHİN, Mine BEKAR
    Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi.2022; 12(1): 49.     CrossRef
  • Non-pharmacological Approaches to Depressed Elderly With No or Mild Cognitive Impairment in Long-Term Care Facilities. A Systematic Review of the Literature
    Carla Gramaglia, Eleonora Gattoni, Debora Marangon, Diego Concina, Elena Grossini, Carmela Rinaldi, Massimiliano Panella, Patrizia Zeppegno
    Frontiers in Public Health.2021;[Epub]     CrossRef
  • Effects of laughter yoga on hemodialysis patients’ plasma-beta endorphin levels, pain levels and sleep quality: A randomized controlled trial
    Zülfünaz Özer, Sebahat Ateş
    Complementary Therapies in Clinical Practice.2021; 43: 101382.     CrossRef
  • GELENEKSEL VE TAMAMLAYICI TIP UYGULAMALARININ GÜLEN YÜZÜ: KAHKAHA YOGASI
    Zülfünaz ÖZER, Sebahat AKBAL ATEŞ
    Journal of Anatolia Nursing and Health Sciences.2021;[Epub]     CrossRef
  • A systematic review of the effect of laughter yoga on physical function and psychosocial outcomes in older adults
    Nilgün Kuru Alici, Ayse Arikan Dönmez
    Complementary Therapies in Clinical Practice.2020; 41: 101252.     CrossRef
  • Systematic Review of the Pittsburgh Sleep Quality Index used for Measuring Sleep Quality among Adults with Trauma Experiences
    Go-Un Kim, Ju Hee Lee
    Korean Journal of Adult Nursing.2019; 31(4): 337.     CrossRef
  • Systematic Review on the Relationship between Depressive Symptoms and Activities of Daily Living in Cognitively Intact Older Adults
    Myoungjin Kwon, Sun-Ae Kim, Kawoun Seo
    Korean Journal of Adult Nursing.2019; 31(1): 1.     CrossRef
  • EFFECT OF LAUGHTER THERAPY ON DEPRESSION LEVEL IN ELDERLY IN A NURSING HOME, NORTH SUMATRA, INDONESIA
    Rinco Siregar, Rumondang Gultom
    Belitung Nursing Journal.2019; 5(6): 246.     CrossRef
  • Prescribing laughter to increase well-being in healthy adults: An exploratory mixed methods feasibility study of the Laughie
    Freda N. Gonot-Schoupinsky, Gulcan Garip
    European Journal of Integrative Medicine.2019; 26: 56.     CrossRef
  • 67 View
  • 1 Download
  • 15 Crossref
  • 14 Scopus
Emotional Labor, Job Stress and Professional Quality of Life among Nurses in Long-term Care Hospital
Hui Jin Kim, Hye Young Kim
Korean J Adult Nurs 2017;29(3):290-301.   Published online June 30, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.3.290
PURPOSE
This study was aimed to identify the level of emotional labor, job stress and professional quality of life and to identify the factors affecting on professional quality of life among nurses in long-term care hospitals.
METHODS
136 nurses working at eight different long-term care hospitals were recruited from May 1 to June 30, 2016. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression using SPSS/WIN 22.0.
RESULTS
Professional quality of life is consisted of three subcategories as compassion satisfaction, secondary traumatic stress and burn-out. As for the factors affecting on compassion satisfaction, age, satisfaction on working ward and shift pattern of duties were significant factors. The three variables' explanation power on compassion satisfaction was 25.0%. As for factors affecting on secondary traumatic stress, emotional labor was a significant factor. The emotional labor's explanation power on secondary traumatic stress was 13.0%. Factors affecting on burn-out, emotional labor, age, and health condition were significant factors. The three variables' explanation power on burnout is 31.0%.
CONCLUSION
On the basis of results, program development are required to relieve emotional labor and job stress for nurses at long-term care hospitals and to improve their professional quality of life.

Citations

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  • How emotional labor harms employee’s performance: unleashing the missing links through anxiety, quality of work-life and Islamic work ethic
    Shazia Nauman, Sania Zahra Malik, Farida Saleem, Sabreen Ashraf Elahi
    The International Journal of Human Resource Management.2024; 35(12): 2131.     CrossRef
  • Workload-Related Issues among Nurses Caring for Patients with Behavioral and Psychological Symptoms of Dementia: A Scoping Review
    Younhee Kang, Chohee Bang
    Healthcare.2024; 12(18): 1893.     CrossRef
  • Secondary traumatic stress among pediatric nurses: Relationship to peer-organizational support and emotional labor strategies
    Einat Yehene, Adi Asherman, Gil Goldzweig, Hadar Simana, Amichai Brezner
    Journal of Pediatric Nursing.2024; 74: 92.     CrossRef
  • Comparison of Quality of Life and Coping Strategies among Firefighters and Emergency Medical Services Personnel in Saveh, Iran
    Bahram Armoon, Parisa Hosseini Koukamari, Mohammad Reza Rouhani, Leila Gharegozloo, Mahmood Karimy, Anthony Coetzer-Liversage
    NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy.2024; 34(2): 120.     CrossRef
  • Factors Influencing Professional Quality of Life in Intensive Care Unit Nurses of University Hospitals
    Sun Jung Moon, Haena Jang
    Journal of Korean Critical Care Nursing.2022; 15(3): 23.     CrossRef
  • Factors influencing professional quality of life of nurses in long-term care hospitals: A cross-sectional study
    Hyun-Ju Lee
    Journal of Korean Gerontological Nursing.2022; 24(4): 377.     CrossRef
  • Factors Associated with Job Stress among Hospital Nurses: A Meta-Correlation Analysis
    Ji-Young Lim, Geun-Myun Kim, Eun-Joo Kim
    International Journal of Environmental Research and Public Health.2022; 19(10): 5792.     CrossRef
  • Occupational Risks in Hospitals, Quality of Life, and Quality of Work Life: A Systematic Review
    Carlos Rodrigo Nascimento de Lira, Rita de Cássia Akutsu, Priscila Ribas de Farias Costa, Luana de Oliveira Leite, Karine Brito Beck da Silva, Raquel B. A. Botelho, António Raposo, Heesup Han, Antonio Ariza-Montes, Luis Araya-Castillo, Renata Puppin Zando
    International Journal of Environmental Research and Public Health.2021; 18(21): 11434.     CrossRef
  • Compassion Satisfaction, Secondary Traumatic Stress, and Burnout among Nurses Working in Trauma Centers: A Cross-Sectional Study
    Hyoung Ju Lee, Miyoung Lee, Sun Joo Jang
    International Journal of Environmental Research and Public Health.2021; 18(14): 7228.     CrossRef
  • Lived experiences toward moral distress among long-term care hospital nurses: A phenomenological approach
    So young Lee, Jung A Kim
    The Journal of Korean Academic Society of Nursing Education.2020; 26(2): 167.     CrossRef
  • Effects of Self-leadership, Professional Self-concept, Emotional Labor on Professional Quality of Life in Hospital Nurses
    Yu-Yeong Kyun, Mi-Aie Lee
    Journal of Korean Academy of Nursing Administration.2020; 26(5): 447.     CrossRef
  • Person-Centered Care, Job Stress, and Quality of Life Among Long-Term Care Nursing Staff
    HeeKyung CHANG, Chorong GIL, Hyejin KIM, Hanju BEA
    Journal of Nursing Research.2020; 28(5): e114.     CrossRef
  • Effects of Communication Skills and Humanistic Knowledge on Professional Quality of Life in Intensive Care Unit Nurses
    Gyoo Yeong CHO, Myung Nam Ha, Mi Kyung Seo
    Journal of Korean Critical Care Nursing.2020; 13(2): 45.     CrossRef
  • Effect of the Professional Quality of Life on Verbal Abuse Experience among Emergency Nurses: Mediating Effect of Job Stress
    Kyoung Ju Lee, Hye Young Kim
    Journal of Korean Academy of Nursing Administration.2020; 26(5): 533.     CrossRef
  • Impact of Traumatic Events and Resilience on the Professional Quality of Life among Clinical Nurses
    Dan-Bi Yoo, Hye-Ja Park, Phill-Ja Kim
    The Korean Journal of Rehabilitation Nursing.2019; 22(1): 27.     CrossRef
  • Nurses' Views on Infection Control in Long-Term Care Facilities in South Korea: A Focus Group Study
    Chi-Young Lee, Min-Hye Lee, Seong-Hyeon Lee, Yeon-Hwan Park
    Korean Journal of Adult Nursing.2018; 30(6): 634.     CrossRef
  • Psychometric Properties of Korean version of Nurse Emotional Labor Strategy Scale (K-NELSS)
    Heejung Choi, Miyeon Kim
    Journal of Korean Academy of Nursing Administration.2018; 24(2): 161.     CrossRef
  • 113 View
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  • 17 Crossref
  • 19 Scopus
A Concept Mapping Study of Good Service Experience among the Elderly Residents of Long-term Care Facilities
Hyoungshim Choi
Korean J Adult Nurs 2016;28(6):669-679.   Published online December 31, 2016
DOI: https://doi.org/10.7475/kjan.2016.28.6.669
PURPOSE
The purpose of this study was to explore the reported good service experiences from the perspective of elderly residents of long-term care facilities.
METHODS
Of those residents who are 65 years old or older, 14 residents whose length of stay were one month or longer and scores of the K-Mini Mental State Examination were 15 or higher were interviewed. The interview data formed the basis for the empirical statements about the reported nature of patients' experiences as residents of long-term care facilities. These data were used in concept mapping.
RESULTS
Through multidimensional scaling analysis and hierarchical cluster analysis, 62 core statements, two dimensions, and six clusters of good service experiences were derived. The two dimensions were classified as ‘care centered-participation centered services’ and as ‘physical-emotional services.’ Six cluster themes emerged as good service experiences: ‘safety of care and treatment’, ‘responsible and supportive staff’, ‘comfort of living environment’, ‘mental well-being’, and ‘respect and communication’.
CONCLUSION
The result of the study provides information about what experiences are important to older adults with cognitive impairment. The concept map can be used to develop a patient experience index for the elderly residents of long-term care facilities.

Citations

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  • Analysis of Tools to Measure the Service Experiences of Families of Older Adults in Long-Term Care Facilities: A Scoping Review
    Hyoung Shim Choi, Jui Kim
    Korean Journal of Adult Nursing.2024; 36(2): 102.     CrossRef
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    Jiwon Kim
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  • Nurses' Views on Infection Control in Long-Term Care Facilities in South Korea: A Focus Group Study
    Chi-Young Lee, Min-Hye Lee, Seong-Hyeon Lee, Yeon-Hwan Park
    Korean Journal of Adult Nursing.2018; 30(6): 634.     CrossRef
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Experience of Job Stress among Nurses Working in Long-term Care Hospital: A Phenomenological Approach
Hui Jin Kim, Hye Young Kim
Korean J Adult Nurs 2016;28(5):572-584.   Published online October 31, 2016
DOI: https://doi.org/10.7475/kjan.2016.28.5.572
PURPOSE
The purpose of this study was to explore the subjective experience of job stress among nurses working in long-term care hospitals.
METHODS
A phenomenological approach was used for the study. Data were collected from May to June, 2016 using open-ended questions during in-depth interviews. Participants were nurses working in long-term care hospitals and had reported experiences of stress. Six nurses participated in this study.
RESULTS
Six themes emerged from the analysis using Colaizzi's method: (a) Heavy workload and responsibility due to nurse shortage, (b) Getting exhausted by caring for cognitively impaired patients, (c) Feeling pressure due to conflict with patients' family, (d) compassion for patients who are getting worse, (e) Low value in being a long-term hospital nurse, and (f) Efforts to overcome stress.
CONCLUSION
Sufficient labor supply, environmental improvements, program for improving interpersonal skills, education and counseling on end-of-life care, and recognition improvement about long term hospital are suggested to reduce the job stress of long-term hospital nurses.

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    International Journal of Environmental Research and Public Health.2020; 17(13): 4896.     CrossRef
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    Sun Mi Ha, Yeong Ju Ko
    Journal of Korean Academy of Nursing Administration.2020; 26(5): 439.     CrossRef
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    Hyoung Sook Park, Yun Jeong Lee, Mi Jeong Ji, Mi Suk Hong
    Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 301.     CrossRef
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    Eun Kyoung Suh, Hye Ryoung Kim
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  • Comparative Analysis of Cognitive and Physical Function according to Dysphagia of Aged Patients in Geriatric Hospitals
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    Journal of Korean Gerontological Nursing.2019; 21(3): 190.     CrossRef
  • Long-term Care Hospital Nurses' Awareness and Ethical Attitudes toward DNR
    Kye Ha Kim, Sun Jin Jeong
    Journal of Korean Gerontological Nursing.2019; 21(2): 61.     CrossRef
  • Nurses' Views on Infection Control in Long-Term Care Facilities in South Korea: A Focus Group Study
    Chi-Young Lee, Min-Hye Lee, Seong-Hyeon Lee, Yeon-Hwan Park
    Korean Journal of Adult Nursing.2018; 30(6): 634.     CrossRef
  • Nurses' Experiences of End of Life Care of Older Adults with Dementia
    Chun-Gill Kim, Young Hee Lee
    Korean Journal of Adult Nursing.2017; 29(2): 119.     CrossRef
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Development of Evaluation Indicators for Integrated Home Care
Jong Duk Park, Dukyoo Jung
Korean J Adult Nurs 2014;26(5):543-552.   Published online October 31, 2014
DOI: https://doi.org/10.7475/kjan.2014.26.5.543
PURPOSE
The purpose of this study was to develop integrated evaluation indicators of home care services in the hope that the increasing group of long-term home care patients could receive quality care services.
METHODS
The development involves a methodological study on a development phase and a verification phase. The main survey at a verification stage was conducted by the staffs at 146 institutions who agreed to participate on this study.
RESULTS
The evaluation index for the integrated home visit care consisted of five categories and 57 indicators including Managing Institution (12), Environment and Safety (3), Right and Responsibility (7), Process of Care (31) and Results of Care (4). The criterion-related validity was verified in regard to the participation in the 2010 evaluation of long-term home-care institutions by the National Health Insurance Corporation.
CONCLUSION
The evaluation index of the integrated home visiting care developed in this study is considered suitable to utilize as evaluating indicators in managing and evaluating the way of how institutions integrate and provide home visit care services as well as home nursing care services.
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Development of Education & Training Programs for Senile Long-term Care Managers (the 2nd. grade)
Kyung Rim Shin, Young Soon Byeon
J Korean Acad Adult Nurs 2008;20(2):251-268.   Published online April 30, 2008
PURPOSE
This study aimed to develop the first standardized education & training program for education of senile long-term care managers to improve the quality of senile long-term care service.
METHODS
The study developed programs through literature review, specialists' conference and interview with the linear approach from February, 2007 to May, 2007.
RESULTS
Senile long-term care managers should have qualification of 51 items in knowledge, 35 items in technology and 17 items in attitude. Total 8 subjects were education & training subjects of senile long-term care managers and the study proposed targets of each subject and education & training level divided into top, middle and bottom. Total education & training hours were composed of 70 hours in theory, 50 hours in practical technique and 40 hours in social welfare practice in agencies.
CONCLUSION
The study will contributed development of the first education & training programs for education of senile long-term care managers. Therefore, the study proposes that the study will be applied to a systematical education & training course through program verification after applying real programs to senile long-term care managers and that it is necessary to develop the standardized education & training program for higher senile long-term care managers.
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A Study on the Levels of Dementia-related Knowledge, Attitude, and Practice among Nursing assistants Caring for Institutionalized elders with dementia
Seon Young Hwang, Keum Seong Jang
J Korean Acad Adult Nurs 1999;11(3):378-388.   Published online September 30, 1999
This study has been conducted for the purpose of identifying the levels of knowledge and attitude about dementia, and exploring the degrees of practice and the relationship among these variables in nursing assistants caring institutionalized demented elders. The subjects were 87 formal caregivers from 3 dementia-specialized nursing facilities, 2 dementia-specialized hospitals, 1 general psychiatric hospitals, and 3 general nursing homes. The data were gathered from July 10th to August 5th, 1998 through interviews by questionnaires. The measuring instruments of this study were developed by the researcher and proven for their reliability and validity. The collected data were analyzed using SAS program. 1) The lowest score among 6 sub-areas about practice showed on this subarea of maintenance of remained ADL function, offering stimuli and activities to demented elders was the second. 2) The third hypothesis of "the higher the attitude score they have, the higher the practice score they do" was supported (r=.370, p=.025). 3) The influencing factors significantly on knowledge were educational status, learning experience about taking care of patients, learning experience about dementia during last a year. 4) A factor of the period of taking care demented elders have significantly influenced on the attitude about dementia. 5) The influencing factors significantly on practice were age, marital status, learning experience about taking care of patients, learning experience about dementia during the last a year. 6) The most difficult situation the subjects perceived in taking care of demented elders was managing the aggressive and resistive behaviors of demented elders.
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