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

• 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

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

• 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

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

• Factors Affecting Intention of Signing the Advance Directives in Middle Aged Adults in Korea Based on the Theory of Planned Behavior: A Cross-sectional Study
  Hyun Jeong Park, Kyu Eun Lee
  Journal of Health Informatics and Statistics.2024; 49(3): 279.     CrossRef
• Factors That Influence Attitudes toward Advance Directives among Female Cancer Patients
  Aeri Kim, Kisook Kim
  The Korean Journal of Hospice and Palliative Care.2023; 26(2): 80.     CrossRef
• Making decisions on life-sustaining treatment among Koreans: a population-based nationwide survey
  Ae-Ran Kim, Kwang-Hwan Kim, Seok-Hwan Bae, Jung-Hee Park, Chiara Achangwa, Moo-Sik Lee
  Journal of Global Health Science.2022;[Epub]     CrossRef
• Factors Influencing Advanced Directives Among Hemodialysis Patients
  Eunseong SON, Minjeong SEO
  Korean Journal of Medical Ethics.2022; 25(3): 243.     CrossRef
• Factors Affecting Intention of Signing an Advanced Directives in Cancer Patients
  Eun-Ju Ha, Mee Ock Gu
  Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 121.     CrossRef
• Modifiable Factors Associated with the Completion of Advance Treatment Directives in Hematologic Malignancy: A Patient–Caregiver Dyadic Analysis
  JinShil Kim, Jinny Park, Mee Ok Lee, Eun Young Park, Seongkum Heo, Jae Lan Shim
  Journal of Palliative Medicine.2020; 23(5): 611.     CrossRef
• Attitudes toward advance directives and prognosis in patients with heart failure: a pilot study
  JinShil Kim, Minjeong An, Seongkum Heo, Mi-Seung Shin
  The Korean Journal of Internal Medicine.2020; 35(1): 109.     CrossRef
• Associations of Advance Directive Knowledge, Attitudes, and Barriers/Benefits With Preferences for Advance Treatment Directives Among Patients With Heart Failure and Their Caregivers
  JINSHIL KIM, MI-SEUNG SHIN, YAE MIN PARK, HYANG-NANG LEE, SEONGKUM HEO, SONGTHIP OUNPRASEUTH
  Journal of Cardiac Failure.2020; 26(1): 61.     CrossRef
• Psychometric Testing of the Korean Version of the Attitudes toward the Advance Directives in Low-Income Chronically Ill Older Adults
  JinShil Kim, Seongkum Heo, Sun Woo Hong, HeeRyang Kim, Ahrang Jung, Minjeong An, JaeLan Shim
  Healthcare.2020; 8(1): 62.     CrossRef
• Development of Advance Directives for Nursing Home Residents
  Kyem Ju Lee, Sung Ok Chang
  Journal of Korean Gerontological Nursing.2019; 21(2): 75.     CrossRef
• The Relationship among Attitudes toward the Withdrawal of Life-sustaining Treatment, Death Anxiety, and Death Acceptance among Hospitalized Elderly Cancer Patients
  YeonMi Seo, Sujin Shin
  Asian Oncology Nursing.2019; 19(3): 142.     CrossRef
• Good Death Awareness, Attitudes toward Advance Directives and Preferences for Care Near the End of Life among Hospitalized Elders in Long-term Care Hospitals
  Eunju Kim, Yoonju Lee
  Journal of Korean Academy of Fundamentals of Nursing.2019; 26(3): 197.     CrossRef
• The Korean–Advance Directive Model and Factors Associated With Its Completion Among Patients With Hematologic Disorders
  Mee Ok Lee, Jinny Park, Eun Young Park, Youngji Kim, Eunjoo Bang, Seongkum Heo, JinShil Kim
  Journal of Hospice & Palliative Nursing.2019; 21(4): E10.     CrossRef
• Comparison of forecasting models of disease occurrence due to the weather in elderly patients
  Seonjae Lee, In-Kwon Yeo
  Korean Journal of Applied Statistics.2016; 29(1): 145.     CrossRef