This study aimed to identify the terminologies of NANDA-I, NOC, NIC, and NNN linkages that have been used for nursing home (NH) residents. This study used a retrospective descriptive design. Data accrued from 57 registered nurses (RNs) in 25 Korean NHs. The RNs randomly selected one resident and assessed for applied NANDA-I, NOC, and NIC from the previous 7 days by reviewing nursing charts and records. Finally, the data of 57 residents in 25 NHs were collected. Results: We identified seven NNN linkages: risk for falls–fall prevention behavior–fall prevention; self-care deficit: bathing/hygiene–self-care: activities of daily living (ADL)–self-care assistance: bathing/hygiene; impaired memory–memory–cognitive stimulation; chronic confusion–neurological status: consciousness–medication management; chronic confusion–memory–medication management; impaired walking–mobility–exercise promotion: strength training; and impaired walking–ambulation–exercise promotion: strength training. The identified core NANDA-I, NOC, NIC, and NNN linkages for NH residents from this study provide a scope of practice of RNs working in NHs.
The purpose of this study was to investigate the impact of nurse staffing, skill mix, and stability on resident health outcomes in nursing homes. Methods: This study used a cross-sectional design with proportionate stratified sampling. A total of 53 nursing homes of all 3,261 nursing homes in Korea participated in this study. The number of residents per nursing staff, hours per resident day (HPRD), skill mix, and turnover rate of each nursing staff were used as independent variables. Residents' health-outcome indicators, and use of the emergency room and hospital were used as dependent variables. Multiple regression was used to investigate the impact of nurse staffing, skill mix, and turnover rate on resident health outcomes. Results: The impact of residents per director of nursing (DON) was supported in fall prevention, decreased aggressive behavior, decreased antipsychotic drug use, and increased hospital use (rate and frequency). The impact of registered nurse (RN) HPRD was supported in decreased weight loss, decreased deteriorated activities of daily living, and decreased deteriorated range of motion. High RN turnover related to higher antipsychotic drug use. Conclusion: Nursing homes should increase the staffing level of DONs and RNs to maintain and improve resident health outcomes. Further research is required to confirm the impact of nurse staffing on residents' health outcomes in nursing homes.
Smoking stimulating factors, health behavior and health status of College students are different according to gender. Although there have been many studies on smoking stimulating factors, health behaviors and health status of smoking college students, there are few studies on the difference according to gender among domestic smoking students. The purpose of this study was to investigate the differences in smoking stimulating factors, health behavior and health status according to gender. A questionnaire survey was conducted on 144 College students who were enrolled in a College in U City, Korea
Purpose : The purpose of this study is to examine and understand the basic data for developing in-school clinical practice education guidelines that can replace the nursing department’s field practice education in the event of national disasters such as COVID-19. Method : As a content analysis study using the focus group interviews, a total of 3 interviews were conducted with 13 nursing professors who were serving at the nursing colleges in 9 areas and who have had experiences in operating the in-school clinical practice. Results : In the area of practical education operation, the components of practice type, practice hours, the number of appropriately placement of students per practice unit, practice instructor, learning outcomes and practice goal setting, and the evaluation and management of academic achievement were derived. In terms of the practical education contents area, the composition of education content, practice method, and evaluation were derived. In terms of the practice education environment and system area, the components of contactless and face-to-face practice environment, regulations and operating system were derived. Conclusion : In the event of a disaster such as COVID-19, in order to maintain the quality of practice like field practice education and equip the nursing students with the nursing competency, while at the same time reducing the burdens of clinical practice operation in nursing colleges and avoiding confusion, standardized in-school practice education related operational guidelines need to be developed, and towards this end, the in-depth discussions between various clinical settings, academia and government ought to be held.
Purpose : This study was conducted to investigate the functions of daily living, physical and cognitive functions, and functional recovery training services of elderly residents in long-term care facilities. Method : We sent surveys to representatives of the facilities and analyzed the data for 73 care facilities that we received via email. Each facility has selected one resident for each of the eight groups. The functions of daily living, cognitive function and physical function, and functional recovery training service providers of 453 selected residents were recorded on a checklist based on the past week. Results : The degree of assistance for activities such as bathing and shampoo increased proportionally from Group 1 to 8 in the eight categorized groups. The proportion of cognitive and physical impairments also increased. The analysis of the average time and frequency of functional recovery training conducted by residents in Group 1 to 8 over a one-week period revealed that the average time of physical activity training was 9.56 minutes with 3.34 sessions, movement and walking training had an average of 6 minutes with 4 sessions, and activities of daily life training had an average of 12.04 minutes with 4 sessions. Conclusion : The average time and frequency of functional recovery training conducted for the residents can be utilized for the development of standardized guidelines for functional recovery training. There is a need for activity-centered functional recovery training in conjunction with the daily activities of the residents.
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