PURPOSE: This study was conducted to plan and apply simulation-based practice for raising the achievement of program outcomes (POs) in nursing students. METHODS: Using convenience sampling, 95 nursing students participated in this descriptive study. A self-reported questionnaire was used to measure the achievement of POs (self-directed learning, problem-solving ability, critical thinking) and usefulness of curriculum in addition to observing tracheal suction skills using a checklist. RESULTS: A scenario with a pneumonia patient was developed to observe tracheal suction skills during simulation-based practices. Self-directed learning, problem-solving ability, and critical thinking were then scored. The mean scores of performance skill, self-directed learning, problem-solving ability, critical thinking were 37.82+/-6.03. 3.61+/-0.38, 3.61+/-0.33, and 3.73+/-0.32, respectively. All students passed the simulation-based practice in terms of performance ability and met the required achievement level for the POs at this university. Students with good suction skills showed significant differences in problem identification (p=.044) and alternative development (p=.019), which are components of problem-solving ability, compared to students with only fair skills. CONCLUSION: These findings indicate that simulation-based practice related to an adult nursing respiratory course was useful for evaluating the achievement of POs in nursing students. Further study is needed to develop a universal method of outcome measurement.
Adult ; Checklist ; Curriculum ; Humans ; Learning ; Nursing* ; Patient Simulation ; Pneumonia ; Students, Nursing* ; Suction ; Thinking

PURPOSE: This study was conducted to explore the relationship between simulation-based clinical judgment and performance ability for tracheal suction in nursing students. METHODS: With a convenience sampling, 207 nursing students participated in this descriptive study. Lasater clinical judgment rubric was used for self-reported clinical judgment in addition to observe the skill of tracheal suction using a checklist. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficients using the SPSS/WIN 22. RESULTS: A scenario with pneumonia patient was developed to observe the skill of tracheal suction during simulation-based practices. Then self-reported clinical judgment was scored. The mean score of total sum of clinical judgment, total mean of clinical judgment, and performance skill were 36.44±4.82, 13.44±1.71, and 42.32±5.05, respectively. Statistically, students having good skills in suction showed significant differences in clinical judgment of interpreting (p=.031) compared to students having fair skills. CONCLUSION: The results of this study show that a structured debriefing method utilizing Lasater clinical judgment rubric is helpful. Also, simulation-based practice related to adult nursing in the respiratory system was useful for increasing the core basic skills among nursing students.
Adult ; Checklist ; Clinical Competence ; Humans ; Judgment* ; Methods ; Nursing* ; Patient Simulation ; Pneumonia ; Respiratory System ; Students, Nursing* ; Suction*

PURPOSE: This study aimed to verify the relationship between human rights sensitivity, advocacy attitudes, and advocacy interventions for mentally disabled people in psychiatric nurses and nursing students. METHODS: This is a descriptive study. Using questionnaires, data were collected from 206 participants who were recruited from one mental health institute, one general hospital, and one university in S city. Data were analyzed by t-test, ANOVA, Pearson's correlation coefficient using SPSS/WIN 22. RESULTS: The mean age was 33.8±12.89. The mean scores of human rights sensitivity, advocacy attitudes, and advocacy intervention was 37.7±18.09, 53.7±5.67, and 47.4±7.08, respectively. Human rights sensitivity correlated significantly with advocacy attitudes (r=.25, p=.020) and advocacy intervention (r=.17, p=.015). Also, there was a significant positive correlation between advocacy attitudes and advocacy intervention (r=.44, p<.001). CONCLUSION: These findings highlight that advocacy attitudes and advocacy interventions for mentally disabled people could be improved by increasing human rights sensitivity. Tailored education programs will be effective in the field of mental health care services to increase human rights sensitivity.
Education ; Hospitals, General ; Human Rights* ; Humans* ; Mental Health ; Mentally Disabled Persons* ; Nursing* ; Students, Nursing*

PURPOSE: This study was conducted to investigate the prevalence and correlates of depression among community-dwelling older adults (young-old vs old-old) in Korea. METHODS: Data on 11,250 older adults aged 65 or above, from the 2008 National Elderly Survey, were analyzed. RESULTS: Prevalence rate for depression was greater in old-old people (47.2%) than young-old people (24.7%). The logistic regression analysis revealed that gender, education, socioeconomic status (SES), living place, spouse, regular exercise, perceived health status, number of chronic disease, activity of daily living (ADL), instrumental activity of daily living (IADL), and cognitive function were significantly associated with depression in the young-old. However, in old-old people, education, SES, living status, religion, regular exercise, perceived health status, number of chronic disease, pain, ADL, IADL, and cognitive function were associated with depression. CONCLUSION: The findings indicate that there are age differences in prevalence and correlates of depression in older Koreans. Therefore, age differences should be considered in studying and developing interventions for depression in older adults.
Activities of Daily Living ; Adult ; Aged ; Chronic Disease ; Depression ; Humans ; Hypogonadism ; Logistic Models ; Mitochondrial Diseases ; Ophthalmoplegia ; Prevalence ; Social Class ; Spouses

PURPOSE: The purpose of this study was to explore the correlates of body mass index (BMI), perceived health status (PHS), and the needs of functional games for the elderly in Korea. METHODS: This is a descriptive study with convenience sampling. The data were collected from 363 older adults in S city who completed questionnaires asking about their BMI, PHS, needs for functional games, and general characteristics. Using the SPSS 20.0 program, data were analyzed. RESULTS: The mean age was 65.4(+/-4.75), ranging between 60-83 years old. Among the 363 subjects, 75.2% who were male, 55.9% chose "functional games are necessary," and 25.3% selected "functional games are absolutely necessary" for the elderly. There were statistically significant correlations between current PHS and comparing health to others (r=.827, p<.001), depression (r=-.330, p<.001), age (r=-.113, p=.032), respectively. In addition, there was a statistically significant correlation between comparing health to others and depression (r=-.292, p<.001). CONCLUSION: The study findings show that older adults have distinct needs and interests for functional games. Thus, we need to develop senior functional games to help make older adults more active with greater enjoyment to gain more health benefits. Interdisciplinary team approaches would work well for developing functional games in Korean considering the preferences of older people are similar.
Adult ; Aged* ; Body Mass Index* ; Depression ; Humans ; Hydrogen-Ion Concentration ; Insurance Benefits ; Korea* ; Male

OBJECTIVE: The purpose of this study was to explore the effects of a senior functional game (Rejuvenescent village) on cognitive function, instrumental activities of daily living (IADL), depression, and life satisfaction in Korea. METHODS: An one-group pretest-posttest design was used in this study. Data were collected twice (at the beginning and the end) from 100 elderly adults in S city who played “Rejuvenescent village” 8 times (twice per week, one hour per session) for a month. Also they completed questionnaires on their cognitive function, IADL, depression, life satisfaction, and general characteristics. The data were analyzed using SPSS 20.0 programs. RESULTS: The mean age was 70.06(±3.77) years, with a range of 65-80 years old. Among 100 subjects, 21% were male and 85% were young old. There were statistically significant differences in cognitive function (t=-3.32, p=.001), IADL (t=1.98, p=.049), and life satisfaction (t=-2.15, p=.034). Although there was no statistically significant difference in mean depression score (t=1.06, p=.292), categorized depression was statistically significant (χ²=62.97, p<.001). CONCLUSION: The findings in this study show that the serious game (Rejuvenescent village) was effective for older Koreans' cognitive function, IADL, depression, and life satisfaction. Thus, we need to consider senior functional games to get health benefits by making elderly adults active with enjoyment.
Activities of Daily Living* ; Adult ; Aged ; Cognition* ; Depression* ; Humans ; Insurance Benefits ; Korea ; Male

PURPOSE: The purpose of present study was to explore relationship between physical activity (PA) behavior and self-efficacy among older Korean-Americans (OKAs) based on reviewing major theories that are used to understand PA behavior, particularly as they relate to older adults within sociocultural contexts. METHODS: 151 OKAs, living in California, were recruited and interviewed once. Self-efficacy and PA level were measured by Exercise Self-Efficacy Scale, Community Healthy Activities Model Program for Seniors (K-CHAMPS) questionnaire, respectively. RESULTS: 82.8% of OKA women and 72.4% of OKA men had relatively low (38.8+/-29.3) self-efficacy related to PA. Exercise self-efficacy was statistically significant and positively associated with frequency for moderate and greater PA (r = 0.25, p < .01), frequency for all listed PA (r = 0.21, p < .05), caloric expenditure for moderate and greater PA (r = 0.23, p < .01), and caloric expenditure for all listed PA (r = 0.31, p < .01). CONCLUSION: Social Cognitive Theory including self-efficacy can provide insight about how to shape strategies that encourage OKAs to adhere to regular PA because it focuses on environmental as well as personal factors. Increased efforts are needed to understand the other factors associated with being active in OKAs.
Adult ; California ; Female ; Health Expenditures ; Humans ; Male ; Motor Activity* ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to review the relationship between physical activity and cardiovascular outcomes in the Korean elderly. METHODS: Experimental studies were located using PubMed, CINAHL, PsycINFO, Cochrane, RISS, KISS, and KoreaMed. The selected studies for analysis were 20 articles of cardiovascular outcomes (total cholesterol, triglyceride, high density lipoprotein (HDL), low density lipoprotein (LDL), blood pressure, and pulse rate) from 515 articles. RESULTS: One-group pretest-posttest design was the most common. The main physical activity was an aerobic exercise. Five of 14 studies reported a significant improvement of total cholesterol. Four of 14 studies found relationship between exercise and triglyceride. Eight of 12 studies reported a significant improvement of HDL, whereas 3 of 9 studies reported a significant improvement of LDL. In over 60% of selected studies, reported significant improvement of blood pressure. CONCLUSION: Based on the review, it suggests that regular physical activity of the elderly may improve cardiovascular outcomes.
Aged* ; Blood Pressure ; Cardiology ; Cholesterol ; Exercise ; Humans ; Lipoproteins ; Motor Activity* ; Triglycerides

PURPOSE: The purpose of this study was to review the effects of physical activity on musculoskeletal outcomes in older Koreans. METHODS: Experimental studies were retrieved from the search engines (PubMed, CINAHL, PsycINFO, Cochrane, RISS, KISS, and KoreaMed). The selected studies for analysis were 27 articles of musculoskeletal outcomes (gait, muscle strength, flexibility, balance, grip strength, endurance, body fat, and weight) from 515 articles. RESULTS: The most common type of physical activity was a resistance exercise. There were significant improvements in gait (71.4%), muscle strength (86.7%), flexibility (63.6%), balance (72.2%), grip strength (71.4%), endurance (71.4%), body fat (57.1%), and weight (28.6%). The activity programs that apply over 150 minutes a week showed greater improvement of 69.5% than 65.0% from those did not meet the guidelines totally. CONCLUSION: Based on the review, we conclude that regular physical activity in the elderly may improve the musculoskeletal outcomes. To be more effective programs, it is necessary to meet the guidelines of 150 minutes a week or 30 minutes of moderate-intensity activities on 5 days per week for the elderly.
Adipose Tissue ; Adult* ; Aged ; Gait ; Hand Strength ; Humans ; Motor Activity* ; Muscle Strength ; Musculoskeletal System ; Pliability ; Search Engine

PURPOSE: This study aimed to explore influencing factors on care burden among family caregivers for elders with dementia living at home. METHODS: Participants in this study were 211 family caregivers who were taking care of elders registered at a support center for dementia located in S-gu, Seoul. Data were collected using a structured questionnaire. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression in SPSS WIN 23.0. RESULTS: The care burden of family caregivers was mild to moderate (40.31±21.50) in this study. The factors influencing care burden among family caregivers for elders with dementia were the age, behavioral problems, and dependency in instrumental activities of daily living of demented elderly, in addition to the perceived health status and resting hours of family caregivers. Overall, these factors explained 46.5% of the total variability in care burden in this sample (F=13.01, p < .001). CONCLUSION: Findings from this study suggest that the characteristics of demented elderly and family caregivers can influence care burden differently. Individually tailored strategies based on the various caregiving contexts need to be developed to reduce the level of care burden among family caregivers for elders with dementia.
Activities of Daily Living ; Aged ; Caregivers ; Dementia ; Humans ; Problem Behavior ; Seoul