Myonghwa Park

Nursing Staff Stress From Caregiving and Attitudes Toward Family Members of Nursing Home Residents With Dementia in Korea

PURPOSE The purpose of this study was to examine nursing staff stress with their caregiving roles and attitudes toward family members of nursing home residents in Korea. METHODS The sample consisted of 267 nursing staff members from 10 long-term care facilities. Participants completed the Caregiver Stress Inventory and the Attitudes About Family Checklist. RESULTS The mean score on the total Caregiver Stress Inventory was 4.34 for nurses and 4.53 for nursing assistants (t = -1.42, p = .161). Nursing assistants reported higher stress levels than nurses from caring for the residents with aggressive behaviors (t = -2.28, p = .040). In contrast, nurses reported higher stress levels regarding resources deficiency (t = 2.18, p = .045). The mean score on the data from the Attitudes About Family Checklist was 4.45 for nurses and 3.56 for nursing assistants (t = 2.52, p = .025), indicating that nursing assistants reported more negative attitudes toward family members of residents with dementia. CONCLUSIONS The findings in this study showed a need for systematic educational programs for staff to enhance their dementia care knowledge, alleviate their stress, and finally change positively their attitudes toward family. As the number of dementia patients in long-term care facilities increases, it will be important for staff members to develop individually satisfying and mutually acceptable caregiving roles.

Family involvement in care of Korean and US family members of persons with dementia in long term care

till depression in being cared of the geriatric patients with dementia. Assessment caregiver’s quality of life is important so we can make health plan for both of them. Methods: This is analytic research with cross sectional approach by using 80 respondent. WHOQOL-BREF instrument was used to measure the caregiver’s quality of life, CDR instrument was used to measure the severity of dementia, ADL/IADL instrument was used to measure the independency of dementia and NPI instrument was used to measure the changes of behavior and psychological of dementia. Data analysis technique with Kruskal Wallis, MannWhitney U and Spearman Statistic test.Results: There is a significant differences at caregiver’s quality of life with dementia patient. The severity of physical health is p 1⁄4 0.026 and environmental domain is p1⁄4 0.036. There is a significant differences at caregiver’s quality of life with dementia patients degree of dependency at social relation domain (p 1⁄4 0.049), and environmental domain (p 1⁄4 0.031). There is a significant differences at caregiver’s quality of lifewith dementia patients with patient’s independency function at psychological domain (p1⁄4 0.006)and social relation domain (p 1⁄4 0.005). Conclusions: There is a significant differences at caregiver’s quality of life who care of dementia patient in RSCM Jakarta. The differences could be analyzed further to make a screening to the caregiver who cared of dementia patient to help the caregivers find out their quality of life so that quality of life both of them would be better.

Analysis of Nursing Activity in General Hospital Using Hospital Information System

Objectives: This study intended to identify the staff nurses activity in general hospital, where its Hospital Information System is well established and Electronic Nursing Record System was being used for 2 years. Methods: Procedure was done with the following steps; In the first step, nursing activity time was analysed by checklist, which 28 nurses filled out by themselves. The group interview was followed. Results: During the day shift, the direct nursing activities took 37.04%, indirect nursing 40.74%, ward management 18.52% and personal time 3.70% respectively. In evening shift, nurses used 29.41% on direct nursing, 45.10% on indirect nursing, 19.61% on ward management and 5.88% on personal time. In night shift, direct nursing took 17.91%, indirect nursing 46.27%, ward management 17.91% and personal time 11.98%. The group interview reported the differences in nursing activities which recognized by the included staff nurses after the introduction of ENR; speed and convenience in working, the correctness and speed of recording, reduction of indirect nursing time including recording time and increase of direct nursing time and patient education. Conclusions: The introduction of HIS including ENR system was verified to be effective on improvement of nursing quality, by bringing reduction of indirect nursing time and increase of direct nursing time. (Journal of Korean Society of Medical Informatics 14-2, 169-177, 2008)