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Purpose: The aim of this study was to explore characteristics of and risk factors for accidental inpatient falls. Methods: Participants were classified as fallers or non-fallers based on the fall history of inpatients in a tertiary hospital in Seoul between June 2014 and May 2015. Data on falls were obtained from the fall report forms and data on risk factors were obtained from the electronic nursing records. Characteristics of fallers and non-fallers were analyzed using descriptive statistics. Risk factors for falls were identified using univariate analyses and logistic regression analysis. Results: Average length of stay prior to the fall was 21.52 days and average age of fallers was 61.37 years. Most falls occurred during the night shifts and in the bedroom and were due to sudden leg weakness during ambulation. It was found that gender, BMI, physical problems such elimination, gait, vision and hearing and medications such as sleeping pills, antiarrhythmics, vasodilators, and muscle relaxant were statistically significant factors affecting falls. Conclusion: The findings show that there are significant risk factors such as BMI and history of surgery which are not part of fall assessment tools. There are also items on fall assessment tools which are not found to be significant such as mental status, emotional unstability, dizziness, and impairment of urination. Therefore, these various risk factors should be examined in the fall risk assessments and these risk factors should be considered in the development of fall assessment tools. [ABSTRACT FROM AUTHOR]

Purpose: This study was to explore experiences of spouses with hematologic malignancy patients. The main question was “What are experiences of spouses whose husband or wife was diagnosed with hematologic malignancy?”. Methods: Participants for this study were 12 spouses. Data were collected through individual in-depth unstructured interviews with participants from Feb, 2014 to June, 2015 and analyzed using Strauss and Corbin's grounded theory methodology. Results: A core category was ‘Finding a way to get out of the endless tunnel'. The process is 1) Shock, 2) Confusion, 3) Struggle, 4) Living with the disease, 5) Maturation within the disease. The contextual conditions were ‘Responsibility for patient', ‘Fear of spouseless future’. The intervening conditions were ‘Having support', ‘Having closer marital relationship', Keeping patient's disease repressed. Finally, Participants reached ‘Circling around the disease’, ‘Finding personal growth'. Conclusion: The results of this study could help understand the experiences of spouses of hematologic malignancy patients. The emerged process of their experiences gives a framework to develop strategies to help spouses to overcome disease. [ABSTRACT FROM AUTHOR]

The purpose of this convergence study was to describe Medical Service Providers and Consumers' perception of the PHN system, and of the Quality of nursing provided by male nurses. This study was a cross-sectional survey. The subject group included medical service providers and consumers. Data were analyzed using descriptive statistics, Chi-square and t-test using SPSS 19.0. 77.3% of providers and 66.2% of consumers agree with the PHN system. 81.4% of providers and 70.8% of consumers agreed with the statement that the nurse is the most qualified public health worker. Period of service showed statistically significant differences according to the group (t=7.56, p=.03). The development of nursing experts was identified as an important strength of the PHN. Quality of nursing Male wasn't statistically significants between groups. Compared to earlier studies, it is to suggest a study that confirms preliminary nurses' psychiatric, social, and communicational nursing. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to translate and test reliability and validity of The Korean version of The Cornell Scale for Depression in Dementia (K-CSDD) used for assessing depression among impaired cognitive older adults. Methods: Original CSDD was translated into Korean and Linguistic contents were verified through back-translation procedures. The participants were 97 older adults reside in long-term care facilities. The participants were assessed using the Korean version of Mini-mental Status Examination (MMSE-K), The Korean version of the Hamilton Depression Rating Scale (K-HDRS), The short form of the Geriatric Depression Scale-Korean (SGDS-K), and K-CSDD. Results: In the reliability test, Cronbach's ⍺ coefficient and test-retest reliabilities were .78 and .48, respectively. In concurrent validity of the K-CSDD, there were significant correlations between the K-CSDD and K-HDRS (r=.78, p<.01). Factor analysis resulted in six factors accounting for 68.8% of the common variance. ROC curve analysis identified a cut-off score of 5 for the K-CSDD, where the sensitivity was 80.4% and the specificity was 89.0%. Conclusion: This study shows that K-CSDD is the reliable and valid scale for healthcare professionals to assess depression in cognitive impaired older adults in Korea. [ABSTRACT FROM AUTHOR]