연구의 필요성Purpose: The aim of this study was to evaluate the validity and reliability of the Korean version of the Person-centered Care Assessment Tool (P-CAT). Methods: The English P-CAT was translated into Korean with forward and backward translation. Survey data were collected from 458 staff in 17 long-term care facilities in Korea. Construct validity and criterion related validity were evaluated. Cronbach's alpha was used to assess reliability. Results: The Korean version of P-CAT was shown to be valid homogeneously by factor, item and content analysis. Internal consistency reliability was satisfactory in which the values of factor 1, factor 2 and the total scale were .84, .77 and .86 respectively. Exploratory factor analysis supported the construct validity with a two-factor solution. Factor loadings of the 13 items ranged in .34~.80. Criterion validity to the Person-centered Climate Questionnaire-staff (PCQ-S) was .74 (p< .001). Conclusion: The Korean version of the P-CAT was found to be an applicable instrument with satisfactory reliability and validity for further use in measuring successful person-centered care in long-term care facilities for older persons.

This study aimed to investigate verbal abuse, emotional labor, and clinical practice stress of nursing students and identify relevant factors to reduce the clinical practice stress and improve the quality of nursing education. 212 subjects participated in this study and the mean age was 22.2 years. They suffered verbal abuse from nurses, doctors, staff, and patients and their family once or more on average. They scored higher than the mean for emotional labor and clinical practice stress: 3.28 and 3.12, respectively, on average. The variables were significantly positively correlated with each other. The results demonstrate that nursing students are exposed to verbal abuse during clinical practice and may consequently suffer from greater practical stress and emotional labor. These results are expected to be used as fundamental data for improving the quality of practical education and the practice environment and to contribute to the improvement of nursing education.

The purpose of this study was to determine the association among critical thinking disposition, professional self-concept, and caring perception in nursing students and to identify its effects on professional self-concept. 161 nursing students, who were freshmen and sophomores having performed no clinical practice in Seoul, participated in this study. The data were collected from September to December 2013 and the collected data were analyzed using descriptive statistics, Pearson's correlation coefficients, and stepwise multiple regression analysis. Significant positive correlation was found among critical thinking disposition, professional self-concept, and caring perception; critical thinking disposition and caring perception significantly affected professional self-concept and accounted for 15.7% of it. These results imply that efficient education programs can help establish a solid concept of caring and improve critical thinking ability, contributing to the development of the nursing profession.

Purpose : The aim of this study was to gain a deeper understanding of elderly long-term care facilities by focusing on insights provided by the operators of these facilities. Methods : In this phenomenological study, 10 participants who operated nursing home businesses were interviewed. Of the 10 participants, seven had graduated from a nursing programme and three had studied social welfare. Results : The experiences of facility operators could be organized into four themes: “Starting as a facility operator”, “Dream of an ideal long-term care facility”, “Struggling desperately in practice”, and “Obtaining hope by providing care”. These four themes were divided into 18 subthemes, constituting 96 meaningful statements. Conclusion : Despite the obvious gap between reality and ideals with regard to caring for residents, operators used a person-centred care strategy for the elderly at their facilities. Our findings indicate that, despite diverse barriers and hardships, participants were encouraged when they offered person-centred healthcare services for the elderly under their care, based on a philosophy of a holistic understanding of humans and respect for human life and dignity. Facility operators who are leaders in the practical field should be involved in the decision/policy-making process, to support health and well-being in the elderly in institutionalized settings.

This provides evidence that a PABM-intervention is effective in changing metabolic risk factors such as waist circumference, systolic BP, diastolic BP, and HDL-cholesterol in overweight and obese elementary school children.