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A Concept Mapping Study of Good Service Experience among the Elderly Residents of Long-term Care Facilities

Hyoungshim Choi, Ph.D., RN
Korean Journal of Adult Nursing 2016;28(6):669-679.
Published online: December 31, 2016

Researcher, Institute of Health · Environment, Seoul National University, Seoul, Korea.

Corresponding author: Choi, Hyoungshim. Institute of Health · Environment, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 08826, Korea. Tel: +82-2-880-2750, Fax: +82-2-887-2750, hyoungshim@daum.net
• Received: October 15, 2016   • Revised: November 29, 2016   • Accepted: December 19, 2016

© 2016 Korean Society of Adult Nursing

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • 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.
  • Key Words: Concept mapping; Long-term care; Nursing home; Aged; Experience

This work was partially supported by Yonsei University College of Nursing Mo-Im Kim Nursing Research Institute.

This work was partially extracted from Hyoungshim Choi’s doctoral thesis.

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Figure 1

The result of multidimensional scale (1*2 dimension).

kjan-28-669-g001.jpg
Figure 2

Concept mapping of good patient experience among the elderly residents of long-term care facilities.

kjan-28-669-g002.jpg
Table 1

Characteristics of the Elderly Residents of Long-term Care Facilities (N=14)

kjan-28-669-i001.jpg

†The Need Assessment Committee rates applicants according to the time period required for long-term care by referring to the examination results, which specify the applicant's mental and physical condition, along with medical opinion. People with ratings between 1 (score≥95~5 (45≤score≺51), and higher score implies higher severity[27]; CVA=cerebrovascular accident; DM=diabetes mellitus; K-MMSE=Korean Mini Mental State Examination.

Table 2

Core Statements and Clusters for Good Service Experience of the Elderly Residents of Long-term Care Facilities

kjan-28-669-i002.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • 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

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    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
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    A Concept Mapping Study of Good Service Experience among the Elderly Residents of Long-term Care Facilities
    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
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    Related articles

    A Concept Mapping Study of Good Service Experience among the Elderly Residents of Long-term Care Facilities
    Image Image
    Figure 1 The result of multidimensional scale (1*2 dimension).
    Figure 2 Concept mapping of good patient experience among the elderly residents of long-term care facilities.

    Figure 1

    Figure 2

    A Concept Mapping Study of Good Service Experience among the Elderly Residents of Long-term Care Facilities

    Characteristics of the Elderly Residents of Long-term Care Facilities (N=14)

    †The Need Assessment Committee rates applicants according to the time period required for long-term care by referring to the examination results, which specify the applicant's mental and physical condition, along with medical opinion. People with ratings between 1 (score≥95~5 (45≤score≺51), and higher score implies higher severity[27]; CVA=cerebrovascular accident; DM=diabetes mellitus; K-MMSE=Korean Mini Mental State Examination.

    Core Statements and Clusters for Good Service Experience of the Elderly Residents of Long-term Care Facilities

    Table 1 Characteristics of the Elderly Residents of Long-term Care Facilities (N=14)

    †The Need Assessment Committee rates applicants according to the time period required for long-term care by referring to the examination results, which specify the applicant's mental and physical condition, along with medical opinion. People with ratings between 1 (score≥95~5 (45≤score≺51), and higher score implies higher severity[27]; CVA=cerebrovascular accident; DM=diabetes mellitus; K-MMSE=Korean Mini Mental State Examination.

    Table 2 Core Statements and Clusters for Good Service Experience of the Elderly Residents of Long-term Care Facilities

    Table 1

    Table 2

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