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.
Purpose Sarcopenia is significantly associated with frailty, readmission, and mortality in patients with heart failure. This review aims to provide an overview of the literature on sarcopenia in individuals with heart failure. Methods A comprehensive literature review was conducted regarding the current state of knowledge on assessment tools for the diagnosis, prognosis, and optimal management of sarcopenia in patients with heart failure. Results Sarcopenia can be defined as the loss of muscle mass with low muscle strength and/or poor physical performance. Sarcopenia has been officially listed as a disease in the eighth revision of the Korean Classification of Diseases in 2021. The causes of sarcopenia in patients with heart failure are multifactorial, including chronic inflammation, hormonal imbalances, nutritional deficiencies, low muscle blood flow, and endothelial dysfunction. The management of sarcopenia is primarily focused on exercise and/or nutritional management because there is no specific pharmacological therapy to treat sarcopenia. Conclusion Healthcare professionals should be aware of the significance of early detection and timely management of sarcopenia to avoid physical disability, long-term institutional care, and mortality in individuals with heart failure. Clinical trials are required to evaluate the effectiveness of interventions including exercise and nutrition, alone or in combination, on sarcopenia in patients with heart failure. In addition, more research is required to identify multidimensional risk factors and diagnostic biomarkers for sarcopenia.
Purpose This narrative review aims to provide an introduction and overview of dyadic research within the context of chronic illness. In addition, some methodological considerations and future directions for conducting dyadic research are presented. Methods The focus of this review is on adult participants in dyads and with chronic illness based on the previous studies and literatures on dyadic science. Results Theory of Dyadic Illness Management and Dyadic Regulation-Connectivity Model (DR-CM) may be appropriate for performing dyadic research. At present, there is a lack of qualitative and quantitative knowledge on the dyadic approach for research on chronic diseases. Dyadic health interventions for building collaborative relationships within a dyad may be beneficial to improve dyadic health outcomes. This article addressed some of the challenges regarding recruitment, data collection, and analysis when it comes to planning dyadic research pertaining to chronic illnesses. Conclusion Healthcare professionals should prioritize needs and preferences at the dyadic level when designing effective chronic disease management. Particularly, it is critical to regularly monitor the dyadic relationships or type of dyadic care during illness trajectories. More research should be undertaken on patient-family caregiver dyads in chronic care, considering the various types of chronic diseases and cultural diversities.
Purpose This study aimed to analyze the domestic studies on Integrated Nursing Care Services (INCS) to confirm research trends and present future directions. Methods This study used the scoping review method, which comprises six stages: 1) identifying the research question, 2) identifying relevant studies, 3) study selection, 4) charting the data, 5) collating, summarizing, and reporting results, 6) consultation. Results Studies related to INCS were multiplying and could be categorized into five themes: patient experience, risks to patient, nursing experience, risks to nurse, and environment of INCS unit. Research has primarily focused on investigating the phenomenon, with nurses as the predominant subjects. Although various variables were investigated for nurses, the results were controversial. Research on patients’ experiences and risks is insufficient, and research variables are limited. Conclusion Further research is needed on INCS regarding patients and environments. Research on nurses also requires repeated studies after controlling for various situations.
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