This study was conducted to investigate factors contributing to clinical competence for nurses. A descriptive correlational study design was used. Participants were 163 nurses from a general hospital. Data were collected using self-administerd questionnaire. There were significant differences in clinical competence according to scholarship, department type, preceptor experience, future plan, continuing education participation. The clinical competence had significant correlations with the clinical experience, critical thinking disposition and clinical decision making. Factors influencing clinical competence were critical thinking disposition, department type, and clinical experience, which explained about 50.3% of total variance. we suggest that continuing education program to enhance critical thinking disposition warranted for development of clinical competence for nurses.
The purpose of this study was to identify the impact of dementia knowledge, burden from behavioral psychological symptoms of dementia (BPSD) and empathy in the caring behavior of certified caregivers in nursing homes. Methods: The participants in this study were 203 caregivers who worked in 15 institutions. They were selected by quota sampling from 177 nursing homes in Jeollanam-do. Collected data were analyzed using descriptive statistics, t-test or ANOVA, Scheffé test, Pearson correlation coefficient, and multiple regression analysis. Results: Knowledge about dementia actually did not influence caring behavior (β=-.10, p=.197), but empathy towards elderly people (β=.23, p=.004) and the burden of BPSD (β=.16, p=.032) was found to have a positive influence on caring behaviors. Conclusion: The findings show that the factors that influence caring behaviors were empathy and the burden of BPSD and empathy was the most influential factor. Thus, there is a need to develop arbitration programs and include in the programs a caregiver curriculum directed at raising the level of empathy in caregivers. Also, continuous education to enable quick and accurate detection of BPSD and on how to handle it is crucial for caregivers in this sector.
Background: Cognitive-based intervention is divided into three types: Cognitive Stimulation (CS), Cognitive Training (CT), and Cognitive Rehabilitation (CR). This study was conducted to identify systematically the effects of cognitive-based interventions in randomized controlled trials (RCTs) applied to older adults in the following three groups: cognitively healthy, mild cognitive impairment (MCI), and dementia.
Methods: This search was carried out using the Ovid-MEDLINE, EMBASE, Cochrane library, CINAHL, ProQuest, and Korea databases. The effectiveness of the intervention was verified using the CMA 2.0 program.
Results: A total of 54 RCTs were included in systematic reviews and 38 studies were analyzed by meta-analysis. Meta-analysis showed that cognitive-based interventions were effective in improving the cognitive function (SMD=0.39, 95% CI=0.32-0.44) of older adults. The subgroup analysis of cognitive function revealed that CT was the most effective in the cognitively healthy (SMD=0.40, 95% CI=0.33-0.46) and the MCI (SMD=0.45, 95% CI=0.27-0.63) groups, and CS was the most effective in the dementia group (SMD=0.57, 95% CI=0.43-0.70).
Conclusion: In order to improve the cognitive function of older adults in each group, the most effective intervention type needs to be considered first. Evidence on the appropriate type of Cognitive-based intervention will be helpful in nursing practice.
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