Korean J Adult Nurs.  2013 Aug;25(4):409-421.

Nursing Staffs' Experiences of Managing Medical Needs of the Elderly in Korean Long-term Care Facilities

• Park MJ
• Suh EE
• Lee JM

Abstract

PURPOSE
This qualitative study was designed to explore and describe the nursing staff reported experiences of managing the medical needs of nursing home residents in South Korea.
METHODS
Using a focus group interview method, qualitative data were collected from March to May 2012. Twenty five registered nurses and nurse aids working in nursing homes were recruited through a convenient sampling method. Participants participated in one of four focus group interviews lasted up to two hours in which their day-to-day experiences of taking care of the medical needs of the elderly residents. All interviews were recorded and transcribed in verbatim, and analyzed according to the qualitative thematic analysis method using MAXQDA software.
RESULTS
The overriding theme was 'experiencing differences between the requirements of the regulatory system and the actual reality of the work place.' The findings of differences between what were true and what is required was based in four subcategories. The nursing home residents had far more medical needs than what were reported. Another finding was that the family members were seen as non-supportive and negligent towards the residents.
CONCLUSION
The findings of the study support the need for changes in the regulatory system. The regulatory limitations of current system with a shortage of resources pushed the participants to experience discrepancies between the required regulation and the reality. Additional research could contribute more exemplars to support changes.

MeSH Terms

Aged
Focus Groups
Humans
Long-Term Care
Nursing Homes
Nursing Staff
Qualitative Research

Reference

1. Becker MA, Boaz TL, DeMuth A, Andel R. Predictors of emergency commitment for nursing home residents: The role of resident and facility characteristics. Int J Geriatr Psychiatry. 2012; 27:1028–1035.

2. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006; 3:77–101.

3. Chang SH. Comparison study on the work stress and the coping method of social workers at the senior care facilities and hospice nurses. Daegu: Keimyung University;2006. Unpublished master's thesis.

4. Choi ID, Lee SL, Lee JM. Projection of long-term care insurance: Beneficiary and, personnel and facility. Korean Soc Secur Stud. 2010; 26:375–399.

5. Chung SE, Lee SH. Nurses' experience of practice in nursing homes. J Korean Acad Nurs Adm. 2009; 15:116–127.

6. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trust worthiness. Nurs Educ Today. 2004; 24:105–112.

7. Guba EG, Lincoln YS. Fourth generation evaluation. Newbury Park, CA: SAGE Publications;1989.

8. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005; 15:1277–1288.

9. Kim KB, Lee HK. Activities of daily living and nursing needs of the elderly in nursing home. J Korean Acad Community Health Nurs. 2009; 20:1–11.

10. Kim KB, Shin DS. The experiences among Korean American nursing home staffs. J Korean Gerontol Nurs. 2005; 7(1):47–53.

11. Kim KB, Sok SH. Theory and Practice of Gerontological Nursing. Seoul: Hyunmoonsa;2004.

12. Lee JM, Park MJ, Han EJ, Suh EE. A study on management of medical needs of the elderly in Korean long-term care facilities. Seoul: National Health Insurance Service;2012.

13. National Statistical Office. Statistics of aged. Seoul: National Statistical Office Press;2012.

14. Park JY, Lee YW, Kwon JH, Lee EM, Lee HY, Kim YH, et al. A study on the development of an integrated care model of long-term care service and medical care service. Seoul: National Health Insurance Service;2010.

15. Park MH, Ha JC, Sin IH, Kim HK, Lee SY, Cho JH. A study on the status of living conditions and welfare needs of Korean older persons. Daegu: Ministry of Health and Welfare, Industry-University Cooperation Foundation Keimyung University;2009.

16. Park YO, Cho E, Lee NJ, Seo YS. Factors influencing health service utilization of older adults in nursing homes. J Korean Gerontol Nurs. 2010; 12(1):10–20.

17. Robison J, Shugrue N, Porter M, Fortinsky RH, Curry LA. Transition from home care to nursing home: Unmet needs in a home-and community-based program for older adults. J Aging Soc Policy. 2012; 24:251–270.

18. Sandelowski M. The problem of rigor in qualitative research. ANS Adv Nurs Sci. 1986; 8:27–37.

19. Seung KW, Shin IH, Lee KH, Kwon KH. Content analysis of the nurses working in the free elderly home and nursing home. J Korean Gerontol Nurs. 2005; 7(1):7–19.

20. Stewart DW, Shamdasani PN, Rook DW. Focus group: Theory and practice. Thousand Oaks: Sage publications;2007.

21. Stuck AE, Walther JM, Nikolaus T, Bula CJ, Hohmann C, Beck JC, et al. Risk factors for functional status decline in community-living elderly people: A systemic literature review. Soc Sci Med. 1999; 48:445–469.

22. Tena-Nelson R, Santos K, Weingast E, Amrhein S, Ouslander J, Boockvar K, et al. Reducing potentially preventable hospital transfers: Results from a thirty nursing home collaborative. J Am Med Dir Assoc. 2012; 13:651–656.