Purpose
This study aimed to explore the level of well-dying in the elderly and identify the effects of social support, family support, and repulsion related nursing home on that.
Methods
The sample for this cross-sectional study consisted of 110 community-dwelling elderly and 103 nursing home residents. Data were collected using a structured questionnaire from August to October 2019. SPSS/WIN 25.0 program was used to conduct statistical analyses, including descriptive statistics, an independent t-test, a one-way analysis of variance, and stepwise multiple linear regression.
Results
The mean score for well-dying was 2.63±0.28 (range 1~4). Well-dying had a statistically significant relationship with religion (t=5.56, p<.001), household income (F=14.04, p<.001) and perceived health status (F=44.59, p<.001). Furthermore, social support (r=.71, p<.001), family support (r=.42, p<.001), and repulsion related nursing home (r=-.56, p<.001) significantly correlated with well-dying. Stepwise multiple linear regression demonstrated that social support, repulsion related nursing home, and having a religion explained 62.0% of the variance in well-dying.
Conclusion
Social support was found to have the largest influence on well-dying, followed by repulsion related nursing home and religion. The results highlight the need to develop a detailed nursing intervention that considers these factors to promote well-dying in the elderly.

Citations

• Predictors of preparedness for well‐dying among middle‐aged and older adults
  Sun‐Ae Kim, Jae‐Sun An, Kyung‐Hyun Suh
  Psychogeriatrics.2024; 24(6): 1335.     CrossRef
• Factors Affecting the Well-dying Awareness of Lung Cancer Survivors
  Dong Sim Choi, Gie Ok Noh
  Asian Oncology Nursing.2023; 23(4): 225.     CrossRef
• The effects of ego integrity and readiness for death on the preferences of care near the end-of-life of hospitalized older adults in long-term care hospitals: A cross-sectional correlation study
  Jangmi Baek, Jun-Ah Song
  Journal of Korean Gerontological Nursing.2023; 25(2): 185.     CrossRef
• Understanding Cultural Beliefs of a Good Death by Older People in South Korea: An Integrative Review of the Literature
  Kyoungsun Yun, Minjeong Jo, Yunji Lee
  Journal of Hospice & Palliative Nursing.2022;[Epub]     CrossRef
• Effect of Life Satisfaction on Depression among Childless Married Couples: A Cross-Sectional Study
  Ju-Young Ha, Hyo-Jin Park
  International Journal of Environmental Research and Public Health.2022; 19(4): 2055.     CrossRef
• A qualitative study of the first batch of medical assistance team’s first-hand experience in supporting the nursing homes in Wuhan against COVID-19
  Xiu-Fen Yang, Meng-qi Li, Lu-lu Liao, Hui Feng, Si Zhao, Shuang Wu, Ping Yin, Giovanni Ottoboni
  PLOS ONE.2021; 16(4): e0249656.     CrossRef
• Subjective Perception of Long-Term Care Facilities in Home-Dwelling Older Adults: A Q Methodological Study
  Eun Ho Ha
  Korean Journal of Adult Nursing.2021; 33(3): 269.     CrossRef

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

• 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
• Development of Service Experience Evaluation Tool for Visiting Nurses of Public Health Center in Korea
  Jiwon Kim
  Journal of Health Informatics and Statistics.2023; 48(2): 121.     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

PURPOSE
Focus group interviews were conducted to explore the current status and barriers of health care services in nursing home from the viewpoint of staffs taking care of nursing home residents.
METHODS
A qualitative thematic analysis using the focus group interview method was used. A total of 32 health care professionals (19 nurses and 13 social workers) from thirteen nursing homes in South Korea attended (5 focus groups) in 2014.
RESULTS
The two main themes were identified: 'minimal health care services that left personal care needs unmet' which has three subthemes of 'stereotyped and fragmented care by types of care providers', 'medically-oriented health care services' and 'health care services mixed with social or recreational programs'; and 'barriers to proper and timely care in nursing homes' with four subthemes including 'unmet care needs due to cognitive dysfunction or lack of expression', 'care guides or tools not suitable for long-term care facilities', 'health care needs that are beyond the facility's care boundary', and 'care delay due to lack of understanding on the older adult's status'.
CONCLUSION
The findings from this study should help health care policy makers to recognize the factors that influence health care services and provide direction for nurses and other staffs involved in supporting health care services for nursing home residents.

Citations

• Factors Affecting Mealtime Difficulties in Older Adults with Dementia Living in Long-Term Care Facilities: A Multilevel Model Analysis
  Dukyoo Jung, Jennie C. De Gagne, Hyesoon Lee, Leeho Yoo, Jisung Park, Eunju Choi, Yonggang Zhang
  Journal of Nursing Management.2023; 2023: 1.     CrossRef
• Comparison of Food Service Provision by Food Service Operational Types for Residential Facilities
  Jin Hee Kwon, Rah Il Hwang, Hyeon Jin Jeong, Hye Min Jang
  Journal of Health Informatics and Statistics.2022; 47(4): 258.     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
• 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

PURPOSE
This qualitative study was designed to explore and describe the nursing staff reported experiences of managing the medical needs of nursing home residents in South Korea.
METHODS
Using a focus group interview method, qualitative data were collected from March to May 2012. Twenty five registered nurses and nurse aids working in nursing homes were recruited through a convenient sampling method. Participants participated in one of four focus group interviews lasted up to two hours in which their day-to-day experiences of taking care of the medical needs of the elderly residents. All interviews were recorded and transcribed in verbatim, and analyzed according to the qualitative thematic analysis method using MAXQDA software.
RESULTS
The overriding theme was 'experiencing differences between the requirements of the regulatory system and the actual reality of the work place.' The findings of differences between what were true and what is required was based in four subcategories. The nursing home residents had far more medical needs than what were reported. Another finding was that the family members were seen as non-supportive and negligent towards the residents.
CONCLUSION
The findings of the study support the need for changes in the regulatory system. The regulatory limitations of current system with a shortage of resources pushed the participants to experience discrepancies between the required regulation and the reality. Additional research could contribute more exemplars to support changes.

Citations

• Effects of registered nurses' staffing levels, work environment and education levels on nursing home residents' quality of life and nurse outcomes
  Eunhee Cho, Deulle Min, Seok‐Jae Heo, Kyoungeun Lee, Hyejin Kim
  Journal of Clinical Nursing.2023; 32(17-18): 6494.     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
• End-of-life care practices in Korean nursing homes: A national survey
  Hyejin Kim, Jeonghyun Cho, JungSuk Lee
  International Journal of Nursing Studies.2022; 129: 104173.     CrossRef
• Comparison of Food Service Provision by Food Service Operational Types for Residential Facilities
  Jin Hee Kwon, Rah Il Hwang, Hyeon Jin Jeong, Hye Min Jang
  Journal of Health Informatics and Statistics.2022; 47(4): 258.     CrossRef
• Breaking the vicious circle of diet, malnutrition and oral health for the independent elderly
  Maria Αntoniadou, Theodoros Varzakas
  Critical Reviews in Food Science and Nutrition.2021; 61(19): 3233.     CrossRef
• Relationships among Person-Centered Care Competence, Empathy, Mindfulness and Difficulties in Emotional Regulation among Undergraduate Nursing Students
  Hee Kyung Chang, Young Joo Do, Sang Mi Han, Bo Ram Kim
  Korean Journal of Stress Research.2021; 29(2): 97.     CrossRef
• Useful lessons for the provision of services in long-term care facilities in South Korea: operators’ experiences illuminate the phenomenon of working with the elderly in the field
  Young Ran Tak, Hae Young Woo, Lee Han Yi, Ah Rim Kim
  International Journal of Qualitative Studies on Health and Well-being.2019;[Epub]     CrossRef
• Pre- and Perioperative Risk Factors of Post Hip Fracture Surgery Walking Failure in the Elderly
  YoungJi Ko
  Geriatric Orthopaedic Surgery & Rehabilitation.2019;[Epub]     CrossRef
• Nurse Case Managers' Experiences on Case Management for Long-term Hospitalization in Korea
  Jinjoo Oh, Seieun Oh
  Asian Nursing Research.2017; 11(4): 283.     CrossRef
• Experiences of Participation in Dementia Prevention Program for Older Adults in Nursing Homes
  Sun Ok Lim, Hyun Mi Jo
  The Korean Journal of Rehabilitation Nursing.2016; 19(2): 128.     CrossRef
• A Study on Working Conditions and Factors Related to Job Satisfaction of Nurses in the Long-term Care facilities for the Elderly
  JungSuk Lee, RahIl Hwang, MinKyung Lim
  Journal of Korean Public Health Nursing.2015; 29(3): 551.     CrossRef

PURPOSE
The purposes of this study were to examine the relationships among the sense of control, social support, depression and nursing home adjustment, and to identify the influencing factors of nursing home adjustment in nursing home residents.
METHODS
The study design was a cross-sectional descriptive study. Data were collected from May to June of 2010 using structured questionnaires from 212 elderly residents without dementia from 15 nursing homes.
RESULTS
The levels of nursing home adjustment depended on the self-rated health, the voluntary institutionalization, and the length of stay. The nursing home adjustment was significantly correlated with a sense of control, social support and depression. The five most influential factors affecting adjustment were self-rated health, placement decision maker, the length of stay, a sense of control and depression, which explained about 51.5% of the variances.
CONCLUSION
The findings reflect the importance of voluntary institutionalization, a sense of control, avoiding depressive mood and social support which facilitate residents' adjustment. These results can provide guidance for nursing interventions to facilitate nursing home adjustment.

PURPOSE
Increasing numbers of Koreans have immigrated to the United States since the late 1960s. The first generation of Korean immigrants or their parents become old and institutionalized in American nursing home setting. Although the Korean elders would experience many cultural differences in the nursing home, no study to date has investigated their everyday lives on how they live through their later lives within a different cultural environment from their own.
METHODS
Using ethnographic methodology, the purpose of this paper was to illustrate Korean residents' experiences and daily lives in a nursing home located in an east coastal city in the U.S. Participant observation, filed notes, semi-structured interviews were utilized by means of data collection. Eighteen Korean residents were observed, and five of them and two nurses participated in informal qualitative interviews.
RESULTS
The overriding theme from the findings is "thrown in a different world." Three sub-themes include "constant struggles in making themselves understood", "dealing with culturally inappropriate nursing care," and "maintaining their own ways of life".
CONCLUSIONS
The discovered themes reflect culturally isolated lives of the participants and open a venue for designing a culturally congruent nursing care for Korean elders living in the U.S. nursing homes.

PURPOSE
This study aimed to explore the constituents and structure of adaptation experiences in their everyday life among senior patients of a nursing home in order to provide nursing intervention data for the satisfaction and the improvement of life of senior patients by appreciating the nature of their adaptational experience.
METHODS
The participants were five female and one male senior patients who were 65-years old or older and admitted at a nursing home in a metropolitan city. The interview data were analyzed by the Giorgi's phenomenological analysis method.
RESULTS
As the results of analysis, the following three constituents have been found out: retrospective focus based on the meaning of admission, expanding a view and facing up to the reality, reconstructing views about the meaning of life and the world.
CONCLUSION
With the increasing number of senior in facilities, nurses not only play a key role in caring for seniors but also in managing their maladaptation. Thus, it is considered that the results obtained from the this study provide valuable information for both the senior patients and their families as well as for the nurses, by presenting the data about senior patients' adaptational experiences of nursing home admission.

PURPOSE
Behavioral symptoms in dementia (BSD) are one of the most disturbing behaviors to caregivers and a major reason for nursing home placement. Behavioral symptoms are often treated with psychotropic drugs (PD), however, the effect of such drugs for the frail elderly dementia patient is not certain because of their critical adverse effects. Theoretical model applicable to nursing practice for BSD in nursing homes, which is essential in guiding and evaluating such interventions, is absent. This article presents the process of developing a theoretical model of BSD in nursing homes.
METHOD
Using Walker and Avants' theory synthesis method, three behavior models and two system models were incorporated into the proposed model to provide the theoretical and analytical explanation of the relationships between PD usage, its determinants, and BSD.
RESULTS
Resident variables and nursing home variables related to the two focal concepts (i.e., PD usage and BSD) were identified. Resident variables include demographical characteristics such as age and gender, and dementia-compromised functions such as cognitive and functional impairment. Nursing home variables include facility characteristics such as ownership type and size, and physical and psychosocial environment.
CONCLUSION
The proposed model suggests that fulfillment of resident unmet needs through improvement of physical and psychosocial environment may produce better health outcomes of nursing home residents with BSD. Assessment and intervening environmental triggers of such behaviors are also suggested to be prior to the PD usage.