본문 바로가기
KERD
논문KCI 등재

노인요양시설 요양보호사의 인간중심돌봄과 환자안전문화가치매노인 낙상예방행위에 미치는 영향

Effect of Eldercare Facility Care Workers’ Person-centered Care and Patient Safety Culture on Fall Prevention Behavior of Older Adults with Dementia

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: This study aimed to investigate the level of person-centered care, patient safety culture, and fall preventionbehaviors of eldercare facility workers, and identify influencing factors. Methods: Data were collected from 185 careworkers at eight eldercare facilities in City J from February 1 to March 25, 2022. The data were analyzed using SPSS/WIN25.0. Results: The results indicated that the factors influencing fall prevention behaviors in older adults with dementiawere person-centered care (β=.28, p=001), patient safety culture (β=.21, p=.012), age (β=-.18, p=.005), and participationin fall prevention education (β=-.15, p=.018). The explanatory power of the model was 31.6%. Conclusion: These resultssuggest that, to improve fall prevention behaviors in older adults with dementia, efforts to promote person-centered careand patient safety culture are necessary. Accordingly, effective measures such as developing fall prevention educationand programs should be explored to provide safe and high-quality care for older adults with dementia.

Abstract

Purpose: This study aimed to investigate the level of person-centered care, patient safety culture, and fall preventionbehaviors of eldercare facility workers, and identify influencing factors. Methods: Data were collected from 185 careworkers at eight eldercare facilities in City J from February 1 to March 25, 2022. The data were analyzed using SPSS/WIN25.0. Results: The results indicated that the factors influencing fall prevention behaviors in older adults with dementiawere person-centered care (β=.28, p=001), patient safety culture (β=.21, p=.012), age (β=-.18, p=.005), and participationin fall prevention education (β=-.15, p=.018). The explanatory power of the model was 31.6%. Conclusion: These resultssuggest that, to improve fall prevention behaviors in older adults with dementia, efforts to promote person-centered careand patient safety culture are necessary. Accordingly, effective measures such as developing fall prevention educationand programs should be explored to provide safe and high-quality care for older adults with dementia.

참고문헌 (30)

  1. Ammouri, A. A., "Patient safety culture among nurses", International Nursing Review, 62(1), pp.102~110 (2015)[DOI]
  2. Bae, S. H., "The effect of experience of abuse on life satisfaction of the elderly in long-term care facilities", The Journal of the Korea Contents Association, 17(6), pp.591~599 (2017)[DOI]
  3. Behrman, S., "Patient safety in community dementia services : What can we learn from the experiences of caregivers and healthcare professionals", Age and Ageing, 46(3), pp.518~521 (2017)[DOI]
  4. Chenoweth, L., "Effects of person-centered care at the organisational-level for people with dementia. A systematic review", PLOS ONE, 14(2), pp.e0212686~ (2019)[DOI]
  5. Choi, J. S., "Psychometric properties of a Korean measure of person-directed care in nursing homes", Research on Social Work Practice, 24(6), pp.676~684 (2014)[DOI]
  6. Clemmensen, F. K., "The role of physical and cognitive function in performance of activities of daily living in patients with mild-to-moderate Alzheimer's disease-a crosssectional study", BMC Geriatrics, 20(1), pp.513~513 (2020)[DOI]
  7. Gutman, G., "A novel intervention for management of behavioral and psychological symptoms of dementia in nursing home communal areas : Results of a small-scale pilot trial", Journal of Alzheimer's Disease Reports, 5(1), pp.847~853 (2021)[DOI]
  8. Hong, S. Y., "A meta-analysis of the risk factors related to falls among elderly patients with dementia", Korean Journal of Adult Nursing, 29(1), pp.51~62 (2017)[DOI]
  9. Kang, J. H., "A qualitative study on care workers' care experiences regarding falls at nursing home settings", Social Science Research Review Kyungsung University, 32(3), pp.129~154 (2016)[DOI]
  10. Kim, D. E., "A delphi study for developing a person-centered dementia care online education program in long-term care facilities", Journal of Korean Academy of Community Health Nursing, 30(3), pp.295~305 (2019)[DOI]
  11. Kim, E. M., "Factors influencing patient-centered care by nursing staff in nursing homes", Journal of Korean Gerontological Nursing, 22(1), pp.10~21 (2020)[DOI]
  12. Kim, M. S., "Fall-related knowledge and caring behaviors for fall prevention among care workers in nursing home", The Journal of Muscle and Joint Health, 21(1), pp.11~18 (2014)[DOI]
  13. Kim, S., "A study on the factors associated with nursing home staff's person centered care", Health & Nursing, 29(2), pp.59~71 (2017)
  14. Kim, S. H., "Presenting tasks and directions for the Korean long-term care insurance system : An in-depth analysis of the evolution of the Japanese elderly social security system", Journal of Long-Term Care Studies, 7(2), pp.19~44 (2019)[DOI]
  15. Kim, S. O., "Predictors of caregivers' patient safety management activities", International Next-generation Convergence Technology Association, 7(12), pp.2161~2177 (2023)[DOI]
  16. Kim, S. O., "Patient safety culture, perception of importance on patient safety management, and patient safety management activities of care workers in nursing homes : Mixed-method approach", Journal of Korean Public Health Nursing, 34(3), pp.473~489 (2020)[DOI]
  17. "Safety survey of elderly care facilities in Korea" (2017)[URL]
  18. Lee, J. E., "Dementia and supported decision making", Soong Sil Law Review, 54, pp.231~260 (2022)[DOI]
  19. Lim, J. O., "The influence of fall-related knowledge and fall prevention self-efficacy of care-givers working in long-term care hospitals with older adults with dementia on fall prevention behaviors and fall management behavior", The Korean Society of Health Service Management, 12(4), pp.155~172 (2018)[DOI]
  20. Lim, J. O., "Development and effects of a person-centered fall prevention program for older adults with dementia in long-term care hospitals : For older adults with dementia and caregivers in long-term care hospitals", Journal of Korean Academy of Nursing, 52(3), pp.341~358 (2022)[DOI]
  21. "Long-term care institution survey report" (2009)[URL]
  22. "Long term care insurance statistical yearbook" (2021)[URL]
  23. "Global trends of dementia policy 2022" (2022)[URL]
  24. Park, B. H., "Patient safety culture, attitude toward falls, and fall prevention activities of care workers in long-term care facilities", Journal of Korean Gerontological Nursing, 17(3), pp.166~174 (2015)[DOI]
  25. Racey, M., "Fall prevention in community-dwelling adults with mild to moderate cognitive impairment : A systematic review and meta-analysis", BMC Geriatrics, 21(1), pp.689~ (2021)[DOI]
  26. Suzuki, M., "Effects of a fall intervention program for elderly patients with dementia based on person-centered care on care staff", Nihon Ronen Igakkai Zasshi : Japanese Journal of Geriatrics, 56(4), pp.487~497 (2019)[DOI]
  27. Whang, I. Y., "A study on knowledge, attitude, and implementation of clinical nursing practice guideline for fall prevention among hospital nurses working in the small and medium sized hospitals", pp.2011
  28. White, D. L., "Development and initial testing of a measure of person-directed care", The Gerontologist, 48(1), pp.114~123 (2008)[DOI]
  29. Yoon, S. H., "Content analysis of patient safety culture in nursing homes", Journal of Korean Academy of Nursing Administration, 19(1), pp.118~127 (2013)[DOI]
  30. Yoon, S. H., "Perception of workers on patient safety culture and degree of patient safety in nursing homes in Korea", The Journal of Korean Nursing Administration Academic Society, 20(3), pp.247~256 (2014)[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (6건)