1.Illness Experiences of People with Young-onset Dementia
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2023;32(1):67-77
Purpose:
The purpose of this qualitative study was to describe the illness experiences of people with young-onset dementia who live in a community.
Methods:
Six community-dwelling patients with young-onset dementia, aged 65 or under, were recruited. Data were collected from August 2019 to July 2020 and analyzed using qualitative thematic analysis.
Results:
The data were classified into five themes and eleven sub-themes. The following themes emerged: 1) Anguish enough to want to die from dementia symptoms that hit the prime of one's life; 2) Being thrown from middle age to old age; 3) Becoming a burden due to changing roles within the family; 4) Experiencing difficulties in the diagnosis and treatment process due to onset before old age; and 5) Living with young-onset dementia in one's own life.
Conclusion
The findings suggest that people with young-onset dementia have unique experiences associated with middle age Korean traits. Therefore, based on their illness experiences, effective psychosocial nursing interventions tailored to their age should be developed.
2.Factors Influencing on Performance for Infection Control of Nurses Working in Comprehensive Nursing Care Service Ward under COVID-19 Pandemic
Journal of Korean Academy of Nursing Administration 2022;28(2):121-130
Purpose:
This study aimed to explore the factors influencing the infection control performance of nurses working in comprehensive nursing care service wards during the coronavirus disease 2019 (COVID-19) pandemic.
Methods:
Data were collected from 107 nurses working in the comprehensive nursing care service unit at four general hospitals from March 15 to April 3, 2021. Factors influencing infection control performance were analyzed using hierarchical multiple regression analysis.
Results:
Awareness of importance (β=.55), surgical ward (β=.29), and infection control organizational culture (β=.25) were the factors affecting the infection control performance of nurses working in comprehensive nursing care service wards. The total explanatory power was 46%.
Conclusion
Nurses must establish a positive infection control organizational culture as leaders in team leaders to enhance the infection control performance of nurses working in comprehensive nursing care service wardss. Moreover, the awareness of the risks of COVID-19 and ways to use the defense environment more efficiently should be strengthened.
3.A Phenomenological Study on the Work Experience of Explanation Nurse
Journal of Korean Academy of Nursing Administration 2023;29(3):191-202
Purpose:
This study aims to provide essential data for measures to enhance the professionalism of nursing experts and improve understanding of the explanationnurse's identity by examining their working experience in depth.
Methods:
Data were collected from August 12 through October 07, 2021. Participants were 13 explanation nurses with more than five years of nursing experience. Verbatim transcripts were analyzed using Colaizzi's phenomenological analysis.
Results:
Three theme clusters emerged from the data analysis: “Confusion from work that does not affect the identity of an explanation nurse”, “Entirely fulfilling role as a nursing professional”, and “Crave for the organization's support system for independent job performance”.
Conclusion
Earlier in the department change, nurses had difficulty establishing their identity regarding the explanation duties they must perform. Still, they wanted to continue their explanation work after struggling to pioneer and carry out their duties with expertise . Therefore, hospitals must support explanation nurses with a structural system as they begin their role to adapt to their work and strengthen their professionalism so that these nurses may provide a higher level of explanation nursing and patient-centered care.
4.Analysis of Nursing Task in Integrated Nursing Care Wards by Hospital Type
Yeojin YI ; Haena LIM ; Ji-Mee KIM ; Jung-Hee SONG
Journal of Korean Academy of Nursing Administration 2022;28(2):131-141
Purpose:
This study aimed to identify the job characteristics of the integrated nursing care wards.
Methods:
For 388 nurses working in the integrated nursing wards of 30 hospitals, the importance, performance frequency, and difficulty of nursing tasks were analyzed using 31 job categories (678 items). Nursing tasks were analyzed using ImportancePerformance Analysis by hospital type.
Results:
Tertiary hospitals and general hospitals were analyzed using Importance-Performance Analysis, and the categories of general nursing intervention, spiritual and end of life nursing, and nursing during examination differed by hospital type. Other tasks into the same categories. 'Keep up the Good Work' includes 12 tasks: nursing assessment, medication and blood transfusion, admission or discharge management, and cooperation and coordination. 'Concentrate Here' had three tasks: emergency care, education to nurses, self-development. 'Possible Overkill' included supportive contact, environmental management, and product management. 'Low Priority' has ten tasks, including administration and organization management, facility management.
Conclusion
Nurses had different perceptions of importance and difficulty according to the tasks.Nursing during the examination, general nursing intervention, spiritual nursing, and end-of-life nursing were placed in different domains according to hospital type. Therefore, it is necessary to establish the nursing tasks and plan to improve workforce management, reflecting these differences.