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Background: New intensive care unit (ICU) nurses often experience stress because of concerns about potentially harming their patients in a work environment that demands the rapid development of several skills in a limited training period. Aim: This study aimed to investigate the prioritisation of educational needs within adult ICUs, focusing on how new nurses evaluate their current knowledge and perceive the most critical competencies. Study Design: A cross‐sectional study was conducted among a convenience sample of 102 new ICU nurses in general and tertiary hospitals in South Korea. Educational needs were assessed using a structured questionnaire for new ICU nurses. This study investigated educational needs using paired t‐tests, Borich's assessment model and the Locus for Focus model. Results: Only 48% of participants were satisfied with their education. The highest‐rated educational content included preparing to use a defibrillator (95% CI = 2.44–3.28, p <.001), administering emergency drugs for cardiopulmonary resuscitation (CPR) (95% CI = 2.09–2.91, p <.001), starting and maintaining continuous renal replacement therapy (95% CI = 1.50–2.42, p <.001), applying and maintaining a ventilator (95% CI = 1.42–2.08, p <.001), preparing for intubation (95% CI = 1.23–1.97, p <.001), reporting to the emergency team, preparing equipment for CPR (95% CI = 1.12–1.94, p <.001) and drug calculation (95% CI = 0.87–1.53, p <.001). Conclusions: These findings indicate that educational programmes for new ICU nurses should be developed considering the aforementioned priorities. Furthermore, nurse educators should adopt a practical and active instructional method to repeatedly clarify content, prioritising the improvement of knowledge and performance of new ICU nurses. Relevance to Clinical Practice: This study guides clinical educators and managers in focusing on areas where new ICU nurses need additional training. Effective nurse residency programmes tailored to the specific needs of new ICU nurses can enhance their confidence and ability to handle ICU nursing challenges. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study is to identify the key functional care problems, NANDA‐I nursing diagnoses, and intervention plans related to function‐focused care (FFC) using a web‐based case management system for patients who present different cognitive status. Methods: This study employed a retrospective descriptive research design. Data were obtained from system records on patients after the research team trained the case management system at a nursing home in Dangjin in South Chungcheong Province, South Korea. A total of 119 inpatient records were analyzed. Results: The key physical, cognitive, and social functional problems, nursing diagnoses in six domains (health promotion, elimination and exchange, activity/rest, perception/cognition, coping/stress tolerance, and safety/protection), and intervention plans were identified. Conclusion: The identified FFC case management information of interdisciplinary caregivers will provide evidence for the implementation of effective interventions according to a patient's functional status. Additional studies related to the establishment of a large clinical database of advanced case management systems focusing on interdisciplinary caregivers' functional management are needed to support the prioritization of functional care. [ABSTRACT FROM AUTHOR]

Background: Conceptual understanding of the perceptions that wound care nurses use to determine how to manage pressure injuries may provide information for improving their pressure injury care competency. The aim of this study is to explore and describe the way wound care nurses experience and perceive pressure injury management. Methods: A qualitative, phenomenographic approach, a method designed to explore the different ways in which people comprehend a phenomenon and develop a practical knowledge-based framework, was used in this study. Semi-structured interviews were used for data collection with twenty wound care nurses. All participants were female with a mean age of 38.0, mean total clinical experience of 15.2 years and mean clinical experience as wound care nurse of 7.7 years. The eight steps of qualitative data analysis for a phenomenographic study were employed to develop an understanding of participants' experience of pressure injury management. Results: The analysis resulted in an assessment domain and an intervention domain, each containing three descriptive categories based on five identified conceptions. The categories were as follows: "comparison", "consideration", and "monitoring" in assessment, and "creation", "conversation" and "judgement" in intervention. Conclusions: This study has created a framework for understanding pressure injury management based on practical knowledge. This framework of the nurses' pressure injury care reflected the need for an awareness of a harmonious approach to patients and wounds. There is a pattern of transcending a reliance on only theoretical knowledge, and this key factor in the framework should be considered when developing education programs and tools for improving nurse pressure injury care competency and patient safety. [ABSTRACT FROM AUTHOR]

Educating interprofessional practitioners in long-term care facilities (LTCFs) is critical for managing discomfort of residents with dementia, which is often unnoticed and undertreated. A framework of education on discomfort management that is applicable in various environments in different facilities is necessary. We developed a preliminary framework to educate interprofessional practitioners on discomfort management of dementia residents in LTCFs. We conducted a three-step research process: a literature review using topic modeling, in-depth interviews, and Delphi surveys. We derived four categories for an interprofessional approach toward discomfort management education in LTCFs: identifying visual and nonvisual signs to communicate among professionals, close observation using comparison and contrast to share information for discomfort care, harmony in interprofessional roles, and applying common and specific professional knowledge for discomfort management. The findings provide the first outline for an educational framework for interprofessional discomfort management in LTCFs for residents with dementia. We recommend interventions across different cultures to verify the framework in future research. [ABSTRACT FROM AUTHOR]

Communication breakdowns during emergencies threaten patient safety. In nursing homes (NHs) vulnerable residents may experience emergencies at any time. Concerns over clinical complexity and diverse communication styles among interprofessional practitioners heighten the need for standardized methods to improve practitioners' communication skills. This study explores communication structures among 32 practitioners in four NHs using in-depth interviews following a formalized Situation-Background-Assessment-Recommendation (SBAR) framework. Network analysis, a deductive approach to qualitative data analysis, and case analysis were performed for a comprehensive understanding of interprofessional communication in 48 emergency cases identified during interviews. Findings identified the flow of information, messaging, and management strategies that were expected of receivers during interprofessional communication. These results could help develop training regimens or guidelines to improve cooperative interprofessional communication, allowing practitioners to provide appropriate emergency care for NH residents. [ABSTRACT FROM AUTHOR]

Emergencies can negatively affect the morbidity and mortality of nursing home residents. As nurses employed at nursing homes play a key role in such situations, their conceptualizations of emergency management should be considered to improve care. Accordingly, this study aimed to identify nurses' conceptualizations of managing emergencies in nursing homes. A qualitative research design was conducted using interviews with 20 nurses working in five different nursing homes in the Republic of Korea between September 2019 and August 2020. The data were analyzed using phenomenography. This study identified two main perspectives used by nurses in nursing homes to manage emergencies, depending on the resident's condition: emergency care and daily preventive care. Nurses' conceptualizations of care provided in emergencies were organized under the frames of assessment and intervention, whereas routine care carried out during daily life activities fell under the frame of prevention. This study's findings, which elucidate nurses' complex practical and experiential knowledge, provide insights for the development of emergency management training. [ABSTRACT FROM AUTHOR]

Aim: We aimed to develop and evaluate a multifaceted and evidence‐based delirium educational program for practitioners in nursing home settings. Methods: A pre‐ and posttest comparison group design was employed. The recruited practitioners included nurses and care workers from two nursing homes. The intervention group (n = 51) received the developed delirium educational program for 3 weeks, whereas the control group (n = 23) received a delirium handbook. We examined pre‐ and posttest differences in the scores for delirium knowledge and confidence in providing delirium care. We also examined the nurses' ability to clinically detect delirium in patients and delirium incidence for 8‐week periods both before and after the intervention. Results: There were significant improvements in the participants' aptitudes (delirium knowledge and confidence in providing delirium care) and clinical practice (ability to clinically detect delirium in the patients) only in the intervention group; however, there were no significant differences in patient outcomes (incidence of delirium) between either group. Additionally, it was observed that the nurses' improved understanding of distinct clinical features of delirium, such as acute change or fluctuation, was the key factor that directly affected the success of delirium screening. Conclusions: This study revealed that implementation of a multifaceted and evidence‐based delirium educational program for practitioners in nursing home settings was effective in promoting the knowledge, confidence, and ability to detect delirium. The developed program can also be implemented in settings where most patients are older individuals, such as geriatric care units, or long‐term care hospitals. [ABSTRACT FROM AUTHOR]

Although surgical team members are exposed to surgical smoke, most do not fully recognize the hazards of such exposure during surgery. This study aimed to explore the perceptions of surgical smoke and its countermeasures in the operating room, specifically among nurses who have been exposed to surgical smoke for a long time. This was a mixed‐methods study involving focus groups and a descriptive survey. The focus group revealed that nurses believed harmful substances accumulating in the body were proportional to the years worked, and many were unaware of the existent hazards in their work environment. They encouraged the formulation of self‐protection measures and perceived that the recognition of rules and collaboration should take precedence among potential countermeasures. Our survey showed that properly wearing personal protective equipment and being educated on surgical smoke hazards were identified as essential coping methods for nurses. These findings will help create awareness regarding surgical smoke hazards in operating rooms. Policies and systems need to be established at the hospital administration level to substantially reduce the risks associated with surgical smoke for operating room nurses. [ABSTRACT FROM AUTHOR]

PURPOSE: The aim of this study is to clarify the concept of discomfort identification by concept development in the nursing home. METHODS: The Schwartz–Barcott and Kim's hybrid model was used. FINDINGS: The identification of discomfort can be explained as an interactive and confirmative process of sympathetically responding to patients with dementia's problem behavior expressions that communicate unmet needs. CONCLUSIONS: The identification of discomfort has the potential to improve the detection of multidimensional discomfort related to nursing diagnosis as a holistic and patient‐centered approach. IMPLICATION FOR NURSING PRACTICE: The findings could help nursing home nurses have a better understanding of identification of discomfort and can improve nurses and interdisciplinary caregivers' knowledge for developing appropriate comfort caring activities. [ABSTRACT FROM AUTHOR]

Introduction: This study aims to explore how older people structure the subjectivity that accompanies the development of gerotranscendence in late adulthood within a specific sociocultural context. Method: Q methodology, a common method for assessing subjectivity, was applied. Results: The four subjective frames of reference that accompany the development of gerotranscendence, represented by four corresponding Q-factors, were (a) generation awareness, (b) awareness of aging, (c) awareness of the big picture of life, and (d) awareness of temporality. Discussion: The subjective frames of reference that characterize the development of gerotranscendence in late adulthood are closely related to cultural and psychosocial environmental influences over the course of an individual's life. [ABSTRACT FROM AUTHOR]

Purpose: This study was conducted to translate and validate a Korean version of the Quality of Life in Late-Stage Dementia (QUALID-K) scale. Methods: A cross-sectional design was applied to culturally adapt and validate the scale. A total of 197 participants from two long-term care hospitals in Korea were recruited. The psychometric properties of the QUALID-K scale, including dimensionality of subscales, concurrent, discriminant, and convergence validity, test-retest reliability, inter-rater reliability, and internal consistency were evaluated. Results: The QUALID-K scale’s dimensionality differed from the original one-factor structure, and a three-factor model better fit the data. The validity analysis showed a significant association of the QUALID-K with cognitive function, activities of daily living, depressive symptoms, and pain. Test-retest and inter-rater analysis confirmed the measurement’s stability. Conclusion: The QUALID-K scale appears to be a reliable and valid measurement to assess the quality of life for those with severe dementia in the Korean population. [ABSTRACT FROM AUTHOR]

This qualitative study aims to explore practitioners' (nurses, physiotherapists, social workers, and occupational therapists) conceptualizations of function‐focused care for nursing home residents. Between September 2017 and February 2018, we collected data from 18 participants in five nursing homes using semi‐structured interviews. We then performed phenomenographic data and content analyses. Five categories were identified in the assessment domain: "functional limitation associated with physical condition," "functional limitation associated with cognitive condition," "change from baseline function," "ability to cooperate with caregivers to improve function," and "motivation to improve function." Five categories were identified in the intervention domain: "minimizing damage," "strengthening physical resources," "repetitive musculoskeletal strengthening," "stimulating motivation for self‐care," and "planning enhancement of function through emotional stability." Our findings may contribute to improving understanding of actual practice and provide an important starting point for developing knowledge about how function‐focused care is performed in nursing homes. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to develop a Korean version of the Scale for Observation of Agitation in Persons with Dementia of the Alzheimer-Type [DAT] (K-SOAPD) that reflects the Korean context of this problematic behavior and to evaluate its reliability and validity. Methods: This study was prepared based on the guidelines for translation and application of measurement scales presented by the World Health Organization. A total of 200 subjects from two nursing homes were included in this study. Exploratory factor and confirmatory factor analyses were performed to verify validity. Results: In the exploratory factor analysis (EFA), the K-SOAPD consisted of seven items with two factors: "physical movement" and "negative word". The K-SOAPD presented satisfactory validity and reliability (Cronbach’s ⍺=.86 (p<.001), test-retest=0.83 (p<.001), inter-rater=.91 (p<.001)). This finding shows the K-SOAPD is a valid and reliable scale for measuring agitation, the behavioral problem of dementia. Conclusion: This research can contribute toward establishing global standards by enabling international comparative studies of agitation among patients with dementia. [ABSTRACT FROM AUTHOR]

Aim: To develop a conceptual framework to structure the shared roles and tasks of interdisciplinary teams for efficient function‐focused care of nursing home (NH) residents. Methods: A qualitative study using focus groups. Two focus group interviews were conducted on NH practitioners and professors. Focus group 1 consisted of six practitioners with more than 5 years of practical experience in NHs. Focus group 2 consisted of six professors with more than 5 years of educational experience in geriatrics or gerontology and who are capable of adopting theoretical approaches to older adults' functions. Results: The post‐acute care‐rehabilitation quality framework furnished the underlying structure for the focus group interview questionnaire to develop the shared interdisciplinary function‐focused care framework. The focus of the framework is how resident care processes should be based on individuality of the residents and include holistic continuous assessments, integration of care, and professional interventions by each discipline. An interdisciplinary process involves setting shared goals, communicating and coordinating roles and tasks of interdisciplinary teams, and providing complementary care. Shared final outcomes are defined as improving residents' independence and quality of life and reducing hospital transfer and admission rates. Conclusion: In this study, we have developed the first conceptual framework of interdisciplinary function‐focused care in NHs, which will provide an evidence‐based foundation for integrated and continuous function‐focused care for NH residents. The results of this study will contribute to efficient communication among the interdisciplinary teams and improvement of the outcomes of function‐focused care subjects. [ABSTRACT FROM AUTHOR]

Aim Design Methods Results Conclusion Implications for the Profession Impact Reporting Method Patient or Public Contribution To explore how nursing home staff advocate for residents with dementia.Phenomenographic qualitative research.Twenty nursing home staff from four disciplines (six nurses, four physical therapists, five social workers and five care workers) were purposively recruited from three different nursing homes. Data were collected through semi‐structured interviews conducted from February 2023 to March 2023, and the analysis followed the sequential steps of phenomenographic analysis.The analysis identified five categories of description: focusing on what happened, finding the gaps in perspectives, how to bridge for finding a common perspective, how to tailor care such that each resident receives equitable care and how to establish interdisciplinary sharing for a consistent advocative pattern. Their structural relationship was also identified as an outcome space.The cyclical advocacy structure illustrated that nursing home staff engage in an ongoing process of advocacy during conflict situations as part of interdisciplinary care, emphasizing continuity of care rather than separate occurrences of care.This study revealed that, in advocating for residents with dementia, nursing home staff adopted an approach that fosters consistent care and proactive prevention, achieved through the formation of shared knowledge applicable uniformly across similar situations.This study contributes significantly to the continuing education or training of interdisciplinary staff in nursing homes. The revelations of the study hold significance not only for the practical application but also for the theoretical advancement of concepts related to safeguarding the dignity, human rights and personhood of residents with dementia, with the ultimate goal of enhancing their quality of life within nursing homes.Reporting complied with the COREQ criteria for qualitative research.Nursing home directors have contributed to the validation of data analysis and interpretation. [ABSTRACT FROM AUTHOR]

Understanding the ways that perioperative nurses view the acquisition of expertise may provide foundational information for perioperative nurse educators. Our study aimed to evaluate specific types of expertise exhibited by experienced perioperative nurses and identify how nurses perceived these areas of expertise. We interviewed 20 perioperative nurses working in a university hospital in Korea. We extracted six themes regarding perioperative nursing expertise: sticking to principles, using available resources in complex situations, paying close attention to details, seeing the whole picture, prioritizing actions according to patients' conditions, and organizing a team to maximize efficiency. These findings may help perioperative educators develop practical educational strategies for novice perioperative nurses by providing a common language regarding the areas of expertise exhibited by experienced perioperative nurses. [ABSTRACT FROM AUTHOR]

Introduction: Researchers explored the meanings of "eating" for obese children from socioeconomically disadvantaged families and identified multilevel factors and strategies for their healthy eating based on ecological perspectives. Methodology: Grounded on a qualitative research design, focus group interviews were conducted with each group of key stakeholders: obese children, their mothers, and social workers from public welfare systems in South Korea. Results: "Eating" and "healthy eating" were defined as "fulfilling deprivations" and "integrating balance into their lives," respectively. Eight factors and four strategies for their healthy eating were identified at intrapersonal, interpersonal, organizational, and community/political levels. Discussion: These findings may help nurses in Western culture understand the cultural context of obese children's eating embedded in socioeconomically disadvantaged families and public welfare systems in Asian culture. Furthermore, these findings provide specific guides to culturally relevant, multilevel strategies for promoting healthy eating in the field of childhood obesity prevention. [ABSTRACT FROM AUTHOR]