J Korean Acad Community Health Nurs.  2019 Sep;30(3):368-376. 10.12799/jkachn.2019.30.3.368.

Factors Affecting the Care Burden of Nurses Caring Elderly Patients with Dementia

• Kim DR
• Han EK

• KMID: 2459375
• DOI: http://doi.org/10.12799/jkachn.2019.30.3.368

Abstract

PURPOSE
In Korea, the prevalence of dementia patients has increased, which makes the care burden of nurses important. The purpose of this study is to identify factors affecting the care burden of nurses caring elderly patients with dementia.
METHODS
A cross-sectional design was conducted using a convenience sample of 127 nurses from two hospitals and a nursing home in Korea. Participants completed questionnaires on knowledge of and attitudes toward dementia, social support, self-esteem, dementia problematic behavior (DPB), and professional caregiver burden index. The data were analyzed by using the t-test, ANOVA, Pearson correlation, and multiple regression with the SPSS/windows version 21.0 program.
RESULTS
The influencing factors for nurse burden include day shift, DPB, self-esteem, social support, which explain 28.0% of care burden of nurses.
CONCLUSION
To reduce the burden of the nurses, there needs to be an administrative system that focuses on enhancing their self-esteem and social support. Active institutional support may be necessary for the nurses taking care of elderly patients with dementia.

Keyword

Nurses; Dementia; Social support; Shift work schedule

MeSH Terms

Aged*
Caregivers
Dementia*
Humans
Korea
Nursing Homes
Prevalence

Figure

• 

  Figure 1 Conceptual framework of this study.

Reference

1. Allen J, Close J. The NICHE geriatric resource nurse model: Improving the care of older adults with Alzheimer's disease and other dementias. Geriatric Nursing. 2010; 31(2):128–132. DOI: 10.1016/j.gerinurse.2010.02.006.

2. Kim KW, Park JH, Kim MH, Kim MD, Kim BJ, Kim SK, et al. A nationwide survey on the prevalence of dementia and mild cognitive impairment in South Korea. Journal of Alzheimer's Disease. 2011; 23(2):281–291. DOI: 10.3233/JAD-2010-101221.

3. Oh BH. Diagnosis and treatment for behavioral and psychological symptoms of dementia. Journal of the Korean Medical Association. 2009; 52(11):1048–1054. DOI: 10.5124/jkma.2009.52.11.1048.

4. Youn JC, Lee DY, Jhoo JH, Kim KW, Choo IH, Woo JI. Prevalence of neuropsychiatric syndromes in Alzheimer's Disease (AD). Archives of Gerontology and Geriatrics. 2011; 52(3):258–263. DOI: 10.1016/j.archger.2010.04.015.

5. Song JA, Park JW, Kim H. Impact of behavioral and psychological symptoms of dementia on caregiver burden in nursing homes. Journal of Korean Gerontological Nursing. 2013; 15(1):62–74.

6. Korean Ministry of Government Legislation. The enforcement regulations of the elderly welfare law [Internet]. Sejong: Korea Ministry of Government Legislation;2017. cited 2017 December 28. Available from: http://www.law.go.kr/lsBylInfoR.do?bylSeq=7179520&lsiSeq=198754&efYd=20171103.

7. Machnicki G, Allegri RF, Dillon C, Serrano CM, Taragano FE. Cognitive, functional and behavioral factors associated with the burden of caring for geriatric patients with cognitive impairment or depression: Evidence from a South American sample. International Journal of Geriatric Psychiatry. 2009; 24(4):382–389. DOI: 10.1002/gps.2133.

8. Park YH. A study on nurses' attitudes toward the elderly suffering from dementia [master's thesis]. [Seoul]: The Catholic University of Korea;2008. 60.

9. Sung MR, Kim KA, Lee DY. Factors influencing burnout in primary family caregivers of elders with dementia. Journal of Korean Gerontology Nursing. 2012; 14(3):200–208.

10. Kim HJ, Lee HR, Choi SO. Resilience to burnout, self-esteem and turnover intention of nurses in long-term care hospitals. Journal of Korean Gerontological Nursing. 2013; 12(3):218–226.

11. Kang JH. Effect of a social support program on caregivers of elders with dementia. Journal of Korean Gerontological Nursing. 2010; 12(2):142–153.

12. Cooke DD, McNally L, Mulligan KT, Harrison MJ, Newman SP. Psychosocial interventions for caregivers of people with dementia: A systematic review. Aging & Mental Health. 2001; 5(2):120–135. DOI: 10.1080/713650019.

13. Park JK, Nam GY. Moderating effects of coping styles and irrational beliefs on the relationship between caregiver's stress and cognitive and daily living functioning in the elderly with dementia. Korean Journal of Clinical Psychology. 2017; 36(3):301–314. DOI: 10.15842/kjcp.2017.36.3.002.

14. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer;1984. p. 456.

15. Kang CM, Kim JS, Jeong JH. Factors influencing quality of caregiving by caregivers for elders with dementia. Journal of Korean Academy of Community Health Nursing. 2016; 27(3):193–201. DOI: 10.12799/jkachn.2016.27.3.193.

16. Jung SM. A study on caregiver's knowledge, burden on dementia and their job satisfaction level in nursing home [master's thesis]. [Seoul]: The Catholic University of Korea;2004. 34.

17. Norbergh KG, Helin Y, Dahl A, Hellzen O, Asplund K. Nurses' attitudes towards people with dementia: The semantic differential technique. Nursing Ethics. 2006; 13(3):264–274. DOI: 10.1191/0969733006ne863oa.

18. Rosenberg M. Society and the adolescent self-image. Princeton NJ: Princeton University Press;1965. p. 326.

19. Jon BJ. Self-esteem: A test of its measurability. Yonsei Nonchong. 1974; 11(1):107–130.

20. Kim KA. Development of an assessment tool of problematic behaviors for institutionalized old people with dementia. Proceeding of the 28th Public Health Conference. Journal of Korean Academy of Public Health Nursing. 2003; 119–120.

21. House JS. Work stress and social support. Reading, MA: Addison-Wesley Publishing Company;1981. p. 156.

22. Jung HC. A study on the job stress of workers at social welfare center [master's thesis]. [Yongin]: Kangnam University;2008. 69.

23. McCarty EF, Drebing C. Burden and professional caregivers: Tracking the impact. Journal for Nurses in Professional Development. 2002; 18(5):250–257.

24. Lee JH, Park JS. End of life care stress and nursing work environment in geriatric hospitals nurses affect burn out. Journal of the Korea Academia-Industrial Cooperation Society. 2017; 18(6):449–458.

25. Lim DY. Coping with dementia related behavior problems of the elderly and care providers. Journal of the Korea Academia-Industrial cooperation Society. 2015; 16(7):4805–4815.

26. Kim CG, Lee YH. Nurses' experiences of end of life care of older adults with dementia. Korean Journal of Adult Nursing. 2017; 29(2):119–130.

27. Park SM, Jang IS, Choi JS. Affecting factors of nurses' burnout in secondary general hospitals. Journal of Korean Academy of Nursing Administration. 2011; 17(4):474–483.

28. Livingston G, Johnston K, Katona C, Paton J, Lyketsos C. Systemic review of psychological approaches to the management of neuropsychiatric symptoms of dementia. The American Journal of Psychiatry. 2005; 162(11):1996–2021. DOI: 10.1176/appi.ajp.162.11.1996.

29. Andren S, Elmståhl S. The relationship between caregiver burden, caregivers' perceived health and their sense of coherence in caring for elders with dementia. Journal of Clinical Nursing. 2008; 17(6):790–799. DOI: 10.1111/j.1365-2702.2007.02066.x.

30. Hwang SY, Jang KS. A study on the levels of dementia-related knowledge, attitude, and practice among nursing assistants caring for institutionalized elders with dementia. Journal of Korean Academy of Adult Nursing. 1999; 11(3):378–388.