PURPOSE: The purpose of this study was to review the literature on intervention studies for abused children and adolescent in residential facilities in South Korea (ACARF-K). The goal was to understand the problems they experience, to evaluate the content and effectiveness of interventions applied to them, and to develop evidence-based nursing intervention programs. METHODS: We used four electronic databases to search for relevant articles. 18 studies according to Whittemore and Knafl's integrative review method to synthesize the literature. RESULTS: The ACARF-K experienced problems in biophysical, psychological, and sociocultural domains related to attachment impairment. Effective intervention strategies were building trust through empathy and fulfillment of needs, encouraging ACARF-K to express themselves and helping them to clarify emotions in an unthreatening environment, and improving their self-concept through activities in which they experienced achievement. CONCLUSION: Interventions are needed to help restore attachment damage among ACARF-K. The interventions in this study utilized emotional, cognitive, relational, and behavioral therapeutic tools to improve their psychological and social capacities. Future intervention programs for ACARF-K should include these key elements.
Adolescent ; Child Abuse ; Child Protective Services ; Child ; Domestic Violence ; Emergency Shelter ; Empathy ; Evidence-Based Nursing ; Group Homes ; Humans ; Korea ; Methods ; Residential Facilities

OBJECTIVES: Sarcopenia and osteoporosis affects activities of daily living and quality of elderly people. However, little is known about its impact on elderly locomotor diseases, such as osteoporotic vertebral fracture (OVF). There is no report investigating the influence of both sarcopenia and osteoporosis on outcomes of OVF. This study aimed to evaluate the clinical outcomes of OVF in elderly patients from sarcopenic perspectives. METHODS: This prospective study was conducted with 396 patients, aged 65 years or more, hospitalized for the treatment of OVF (mean age, 81.9 ± 7.1 years; 111 males, 285 females). The primary outcome was the Japanese Orthopaedic Association (JOA) score for lumbar disease (at first visit, hospital discharge, and 1 year after treatment) and Barthel index (at the same time and before hospitalization). The second outcome was living place after discharge. Susceptibility to sarcopenia and osteoporosis were evaluated and clinical results of conservative treatment were compared. RESULTS: Sarcopenia significantly affected Barthel index at first visit and discharge. Sarcopenia patients had significantly higher rate for discharge to nursing home and living in nursing home after 1 year than patients without sarcopenia. Osteoporosis significantly affected the JOA score at the first visit and the Barthel index before hospitalization, at the first visit, discharge, and after 1 year. Osteoporosis did not affect the living place at discharge and after 1 year. CONCLUSIONS: Sarcopenia and osteoporosis affected outcomes of conservative treatment for OVF; moreover, sarcopenia affected the living place of OVF patients at discharge and after 1 year.
Activities of Daily Living ; Aged ; Asian Continental Ancestry Group ; Hospitalization ; Humans ; Male ; Nursing Homes ; Osteoporosis ; Prospective Studies ; Sarcopenia

OBJECTIVES: Residential services are provided to help patients with chronic mental illness, but those have some problems because of provider focused services and uniformized training. So the purpose of the study was to explore residential needs of patients with the chronic mental illness such as chronic schizophrenia. METHODS: A survey was conducted on 139 mental illness patients using mental health facilities at Ansan city area in South Korea. We investigated their demographic and social characteristics, the degree of self-reliance and residential service needs. RESULTS: More than half of them had the desire for self-reliance, and they needed job support mostly. They were positive about the use of residential facilities and needed daily living skill and social skill training. Also they preferred day rehabilitation in type of facility. And they wanted to operate in a way that they returned home at the weekend after group home. CONCLUSIONS: For facilitating the recovery of patients with chronic mental illness, it would be necessary to provide individualized residential rehabilitation services and to improve existing residential facilities and programs reflected on the patients' needs.
Clothing ; Group Homes ; Gyeonggi-do ; Humans ; Korea ; Mental Health ; Rehabilitation ; Residential Facilities ; Schizophrenia ; Social Skills ; Sociological Factors

BACKGROUND AND PURPOSE: The objective of this study was to determine the prevalence of and risk factors for dementia in residents aged 65 years and older in a Chinese nursing home. METHODS: A cross-sectional study was carried out in a nursing home located in Hangzhou, Zhejiang Province, China. Cognitive status, including the presence of dementia and mild cognitive impairment (MCI), was measured using a combination of medical history and objective cognitive assessments. Logistic regression analysis was conducted to predict the associated risk factors. RESULTS: In total, 943 residents (334 males and 609 females) aged 84.00±6.67 years (mean±SD) were included. Dementia was diagnosed in 420 (44.5%) residents, and MCI was diagnosed in 195 (20.7%). Mild, moderate, and severe dementia were present in 20.3%, 14.0%, and 65.7% of those in the dementia group, respectively. Logistic regression analysis revealed that dementia was associated with a low education level (p=0.000), an advanced age (p=0.010), and a history of stroke (p=0.023). CONCLUSIONS: Our study found a high prevalence of dementia in a Chinese nursing home, and a high prevalence of patients with severe dementia. Risk factors for dementia included a low educational level, an advanced age, and a history of stroke. Appropriate interventions need to be applied to this population.
Asian Continental Ancestry Group* ; China ; Cross-Sectional Studies ; Dementia* ; Education ; Humans ; Logistic Models ; Male ; Mild Cognitive Impairment ; Nursing Homes* ; Nursing* ; Prevalence* ; Risk Factors* ; Stroke

PURPOSE: The purpose of the study was to explore and describe the adaptation process of older people to group homes. METHODS: Participants were twenty older adults aged 65 or older who were living in group homes. Data were collected from January to April, 2015. In-depth unstructured interviews were conducted with individual participants. Data were analyzed using Strauss and Corbin's grounded theory method. RESULTS: From open coding, 100 concepts, 38 sub-categories, and 14 categories were identified. Analysis showed that the central phenomenon of the adaptation process of older people to group homes was ‘gradually giving up’. Causal conditions were ‘good-for-nothing body’, contextual conditions were ‘pushed’, ‘beleaguered’. Intervening conditions were ‘reliable pillar: children’, ‘having affection (情) more than having it from family: facility workers’, ‘comfort - like feeling at home’, ‘relieved: system’. Action/interaction strategies were ‘facing the unfamiliar reality’, ‘building relationships with other people’, ‘accepting reality’. Consequences were ‘a good place, more than expected’, ‘hope for the remaining days’, ‘waiting for a peaceful death’. CONCLUSION: The results of this study provide an in-depth understanding of the experience of the adaptation process of older people to group homes. The findings from this study can be used as basic data to establish policies to increase the number of small scale facilities which can help older adults adapt easily to the facilities.
Adaptation, Psychological ; Adult* ; Clinical Coding ; Grounded Theory ; Group Homes* ; Humans ; Methods ; Qualitative Research

This research analyzed the structural dynamics about neglected and isolated patients with Hansen's disease who experienced suicidal urge and overcame suicide. The research found the way to prevent them from killing themselves by searching what triggered the suicidal urge and how they got over the temptation. The participants were 6 members who lived in the group home. They had been excluded from the community and their family. They were trafficked for forced labor from their group home. This experience had caused suicidal urge before they came to the group home. To know how they overcame suicidal urge, they were interviewed by using semi-structured opened ended questions. According to the interview, there are four reasons that stopped the suicidal urge. The participants said that the first reason to stop thinking about death is the belief. This is a reliance on almighty God. Because the place where they live together is run by the Catholic Foundation, the community spirit and their belief are thought as the particular reason. Second, they got an economical and emotional support from their group home. Their group home provided food, clothing, and shelter, which were never provided from their family and society. By living together with other patients, they strengthened their emotional relationship and made a new social community. Next, they were getting generous when they belonged here. They accepted social prejudice without confronting unreasonable issues. Last, they changed their aim of life. They decided to live happily for good. They thought it could be the only way to take revenge to people who ignored and excluded them from the society. That is, they found the certain goal of their life by making new social relationship from the group home which could be called their real home. Also, they were helping one another in their community in various ways. As a result, this facility provided emotional and financial support and cooperating systems to people who were living together. From the investigation going along, social relationship is thought as the main factor of overcoming suicide. So, it is necessary to build social relationship to interact with other people who are in the same oven. It is also important to make well established motional and financial support from the society. On the basis of data furnished by this research, it is essential to develop infrastructure for overcoming suicide of the neglected people beside patients with Hansen's disease.
Clothing ; Financial Support ; Group Homes ; Homicide ; Humans ; Leprosy* ; Prejudice ; Suicide* ; Thinking

PURPOSE: The purpose of the study was to explore and describe the experience of adult Korean children who are caregivers for parents institutionalized with dementia. METHODS: Participants were fourteen adult children caregivers of elders institutionalized with dementia. Data were collected through in-depth unstructured interviews with individual participants from August to November, 2012. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using Strauss and Corbin's Grounded Theory Method. RESULTS: From open coding, 67 concepts, 29 sub-categories, and 14 categories were identified. Analysis revealed that the core category of the experience of adult children caring for their parents institutionalized with dementia was 'enduring the role of a prop' consisting of four phases: initial turmoil, exploration, role adjustment, and acclimation. To manage the role of a prop, participants utilized various action/interactional strategies such as overcoming the unfamiliarity, overseeing the nursing home care, and counterbalancing the caring roles. As a result, participants experienced ambivalence towards the existence of parents with dementia, changes in family relationships, altered viewpoint towards nursing homes, and restructuring of life. CONCLUSION: In-depth understanding of the experience will guide nurses to promote effective interventions in order to better support the Korean family caregivers of parents institutionalized with dementia.
Adaptation, Psychological ; Adult ; Aged ; Aged, 80 and over ; Asian Continental Ancestry Group ; Caregivers/*psychology ; Dementia/*nursing ; Family Relations ; Humans ; Interviews as Topic ; Middle Aged ; Nursing Homes ; Parents/psychology ; Quality of Life ; Republic of Korea

PURPOSE: The purpose of this study was to develop a tool to evaluate patient safety culture in nursing homes and to test its validity and reliability. METHODS: A preliminary tool was developed through interviews with focus group, content validity tests, and a pilot study. A nationwide survey was conducted from February to April, 2011, using self-report questionnaires. Participants were 982 employees in nursing homes. Data were analyzed using Cronbach's alpha, item analysis, factor analysis, and multitrait/multi-Item analysis. RESULTS: From the results of the analysis, 27 final items were selected from 49 items on the preliminary tool. Items with low correlation with total scale were excluded. The 4 factors sorted by factor analysis contributed 63.4% of the variance in the total scale. The factors were labeled as leadership, organizational system, working attitude, management practice. Cronbach's alpha for internal consistency was .95 and the range for the 4 factors was from .86 to .93. CONCLUSION: The results of this study indicate that the Korean Patient Safety Culture Scale has reliability and validity and is suitable for evaluation of patient safety culture in Korean nursing homes.
Adult ; Aged ; Asian Continental Ancestry Group ; Attitude of Health Personnel ; Factor Analysis, Statistical ; Female ; Health Personnel/*psychology ; Humans ; Interviews as Topic ; Leadership ; Male ; Management Quality Circles ; Middle Aged ; Nursing Homes ; Organizational Culture ; *Patient Safety ; Pilot Projects ; *Program Development ; *Program Evaluation ; Questionnaires ; Republic of Korea

PURPOSE: This study was to discover the structure of the unwed teenage mothers' lived experience of hope using Parse's research methodology. METHODS: Participants were 7 unwed teenage mothers in one group home. The data were collected by dialogical engagement and analyzed through extraction-synthesis and heuristic interpretation process. RESULTS: The unwed teenage mothers were very troubled over the thought of aborting their babies after they found themselves pregnant. They decided to go through with the birth and give their babies up for adoption as they recognized that a baby's life was precious. They felt the joy of love for the baby and the sorrow of separation at the same time. They spent much time uncomfortably concealing being pregnant but after they shared their pain and sorrow with significant others they became more stabile. Their desire to make a new life increased gradually and they tried to find their own way. They were proud of themselves for overcoming the pain of childbirth and decided to make a good life. CONCLUSION: Having compared the structure of the unwed teenage mothers' lived experience of hope with Parse's human becoming theory, five concepts were identified, such as valuing, connecting- separating, revealing-concealing, powering and transforming.
Female ; Group Homes* ; Hope* ; Humans ; Love ; Mothers ; Parturition ; Pregnancy ; Pregnancy in Adolescence ; Qualitative Research ; Research Design*

PURPOSE: This study was to discover the structure of the unwed teenage mothers' lived experience of hope using Parse's research methodology. METHODS: Participants were 7 unwed teenage mothers in one group home. The data were collected by dialogical engagement and analyzed through extraction-synthesis and heuristic interpretation process. RESULTS: The unwed teenage mothers were very troubled over the thought of aborting their babies after they found themselves pregnant. They decided to go through with the birth and give their babies up for adoption as they recognized that a baby's life was precious. They felt the joy of love for the baby and the sorrow of separation at the same time. They spent much time uncomfortably concealing being pregnant but after they shared their pain and sorrow with significant others they became more stabile. Their desire to make a new life increased gradually and they tried to find their own way. They were proud of themselves for overcoming the pain of childbirth and decided to make a good life. CONCLUSION: Having compared the structure of the unwed teenage mothers' lived experience of hope with Parse's human becoming theory, five concepts were identified, such as valuing, connecting- separating, revealing-concealing, powering and transforming.
Female ; Group Homes* ; Hope* ; Humans ; Love ; Mothers ; Parturition ; Pregnancy ; Pregnancy in Adolescence ; Qualitative Research ; Research Design*