Care Workers’ Experiences of Emergencies with Korean Older Adults: A Qualitative Descriptive Study
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study investigated the nature of nursing care workers’ experiences of responding to emergencies involving Korean older adults to prepare measures to strengthen nursing care workers’ practical abilities in this regard. Methods: This qualitative descriptive study used focus-group interviews and qualitative content analysis. Two focus-group interviews with 16 care workers from 16 nursing homes and home-care centers were conducted between February 1 and April 28, 2019. We collected data through these two focus-group interviews. Results: Of the 16 participants, 11 were care workers from nursing homes for older adults and five were from home-care centers. Altogether, we formulated 180 meanings from the original data and derived 64 codes from these meanings. Five categories were identified through systematic conceptualization: “panic about emergencies”, “difficulty recognizing an emergency”, “desperate need for real education”, “unsystematic emergency respon- ses”, and “dealing with the aftermath of a patient’s death”; the categories were extracted from 21 subcategories. Conclusion: Care workers faced sudden emergencies while caring for older adults and coped with them based on their previous experiences. Nevertheless, they faced difficulties in recognizing emergencies. Our findings may help institutionalize systematic and consistent on-the-job training programs to augment care workers’ emergency preparedness.
Abstract
Purpose: This study investigated the nature of nursing care workers’ experiences of responding to emergencies involving Korean older adults to prepare measures to strengthen nursing care workers’ practical abilities in this regard. Methods: This qualitative descriptive study used focus-group interviews and qualitative content analysis. Two focus-group interviews with 16 care workers from 16 nursing homes and home-care centers were conducted between February 1 and April 28, 2019. We collected data through these two focus-group interviews. Results: Of the 16 participants, 11 were care workers from nursing homes for older adults and five were from home-care centers. Altogether, we formulated 180 meanings from the original data and derived 64 codes from these meanings. Five categories were identified through systematic conceptualization: “panic about emergencies”, “difficulty recognizing an emergency”, “desperate need for real education”, “unsystematic emergency respon- ses”, and “dealing with the aftermath of a patient’s death”; the categories were extracted from 21 subcategories. Conclusion: Care workers faced sudden emergencies while caring for older adults and coped with them based on their previous experiences. Nevertheless, they faced difficulties in recognizing emergencies. Our findings may help institutionalize systematic and consistent on-the-job training programs to augment care workers’ emergency preparedness.
참고문헌 (28)
- "World population prospects: The 2017 revision" (2017)[URL]
- "Training guidelines for caregivers of older people" (2018)[URL]
- Long-term care insurance for the elderly statistical annual report, "National Health Insurance Corporation", National Health Insurance Corporation, ~ (2021)
- Jorgensen LB, "Physical diagnoses in nursing home residents-idementia or severity of dementia of importance?", BMC Geriatrics, 18(1), pp.254~ (2018)[DOI]
- Kojima G, "Prevalence of frailty in nursing homes : a systematic review and meta-analysis", Journal of the American Medical Directors Association, 16(11), pp.940~945 (2015)[DOI]
- Carron PN, "Nursing home residents at the emergency department : a 6-year retrospective analysis in a Swiss academic hospital", Internal and Emergency Medicine, 12(2), pp.229~237 (2017)[DOI]
- Shoulders B, "Enhancing critical thinking in clinical practice : implications for critical and acute care nurses", Dimensions of Critical Care Nursing, 33(4), pp.207~214 (2014)[DOI]
- Hullick C, "Emergency department transfers and hospital admissions from residential aged care facilities : a controlled prepost design study", BMC Geriatrics, 16(102), pp.1~10 (2016)[DOI]
- Comparative analysis of group home scheme under Korean and Japanese long-term care insurance systems, "Noh YG", Korean Medical Association Medical Policy Research Institute, ~, pp.Report No. 2018-04 (2018)
- Laging B, "Recognition and assessment of resident' deterioration in the nursing home setting : a critical ethnography", Journal of Clinical Nursing, 27(7-8), pp.1452~1463 (2018)[DOI]
- 김순옥, "시설 및 재가 요양보호사의 응급상황 경험과 응급처치 지식, 응급상황대처능력, 교육경험 및 교육요구도 비교", 한국보건간호학회지, 33(3), pp.390~408 (2019), 한국보건간호학회[DOI]
- 김연자, "임상실습에서 경험하는 응급상황에 대한 간호대학생의 인식", 예술인문사회 융합 멀티미디어 논문지, 9(10), pp.357~368 (2019), 사단법인 인문사회과학기술융합학회[DOI]
- 이여진, "요양보호사 양성 교육프로그램에 대한 요양보호사의 평가", Journal of Korean Academy of Nursing, 40(6), pp.872~881 (2010), 한국간호과학회
- 이자경, "국가 간 비교를 통한 요양보호사 교육의 고도화 방안", 장기요양연구, 6(1), pp.5~30 (2018), 한국장기요양학회[DOI]
- Mansooreh Tajvidi, "Probing Concept of Critical Thinking in Nursing Education in Iran: A Concept Analysis", Asian Nursing Research, 8(2), pp.158~164 (2014), 한국간호과학회
- Lee MS, "A study on the method in dealing with patients and patient transfer process at the elderly care facility before going to emergency department", master, pp.2015
- 김수연, "요양시설과 재가방문 요양보호사가 인식하는 환자안전관리의식과 응급상황대처능력", 한국간호교육학회지, 24(4), pp.347~357 (2018), 한국간호교육학회[DOI]
- Merriam SB, "Qualitative research: a guide to design and implementation", pp.304~ (2009), Jossey-Bass
- Graneheim UH, "Qualitative content analysis in nursing research : concepts, procedures and measures to achieve trustworthiness", Nurse Education Today, 24(2), pp.105~112 (2004)[DOI]
- Lincoln YS, "Naturalistic inquiry", pp.289~331 (1985), SAGE publication
- Choi YR, "Development and evaluation of an emergency management education program based on a shared mental model for practitioners in nursing homes", pp.2020
- McGregor MJ, "Nursing home characteristics associated with resident transfers to emergency departments", Canadian Journal on Aging, 33(1), pp.38~48 (2014)[DOI]
- "Health statistics 2019" (2020)[URL]
- Lemoyne SE, "Appropriateness of transferring nursing home residents to emergency departments : a systematic review", BMC Geriatrics, 19(1), pp.17~ (2019)[DOI]
- 김혜진, "요양보호사 교육의 고도화 방안에 관한 초점집단 인터뷰:직무 및 치매교육을 중심으로", 한국노년학, 37(3), pp.549~565 (2017), 한국노년학회
- 임효연, "관리자의 리더십이 요양보호사의 케어부담감에 미치는 영향 -시설장의 리더십과 중간관리자의 리더십을 중심으로-", 한국콘텐츠학회 논문지, 17(12), pp.308~318 (2017), 한국콘텐츠학회[DOI]
- O'Neill B, "Nursing home nurses' perceptions of emergency transfers from nursing homes to hospital : A review of qualitative studies using systematic methods", Geriatric Nursing, 36(6), pp.423~430 (2015)[DOI]
- Dwyer R, "A systematic review of outcomes following emergency transfer to hospital for residents of aged care facilities", Age and Ageing, 43(6), pp.759~766 (2014)[DOI]