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Purpose: This scoping review was designed to identify gaps in knowledge and guide future directions for clinical nursing practices and research on oral hygiene care for endotracheally intubated patients in Korean intensive care units. Methods: We conducted a scoping review using the methodological framework proposed by Arksey and O'Malley. PubMed, CINAHL, RISS, Science On, and DBpia databases were searched. Two reviewers independently selected the studies and extracted data. A total of 445 studies were identified, of which 17 were included in the final analysis. Results: No research has been conducted from 2021 to the present. A total of 12 instruments were utilized in 13 studies to assess the effectiveness of oral hygiene care. All studies investigating the effectiveness of oral hygiene care have consistently documented that chlorhexidine has the most significant effect. The frequency and time of oral hygiene care were each examined in one study. Conclusion: A research study is necessary to develop a measurement tool for assessing the effectiveness of oral hygiene care suitable for endotracheal intubated patients in intensive care units. Interventional studies should be conducted to determine the effects of chlorhexidine and the appropriate frequency and time of oral hygiene care. Thereafter, revision of domestic evidence-based clinical practice guidelines by integrating these results will be necessary. [ABSTRACT FROM AUTHOR]

Purpose: The purposes of this study were to develop an integrated online and offline medication management program and to examine the program's effects of the program for older adults with hypertension residing in the community. Methods: A nonequivalent control group pretest-posttest design was used. Participants were 57 older adults with hypertension (intervention group: 29, control group: 28). The experimental group participated in the medication management program, which included the following: verbal and video education, individual counseling, and using medication note over 3 weeks. Collected data were analyzed using the SPSS/WIN 22.0 program. The data were analyzed by Generalized Estimation Equation. Results: Statistically significant differences were found between the experimental and control groups in terms of their knowledge of hypertension and self-efficacy for appropriate medication. Conclusion: The integrated medication management program was effective as indicated in knowledge of hypertension and self-efficacy for appropriate medication. Future studies are required to explore the medication management program’s effects on older adults with hypertension using more rigorous research methods. [ABSTRACT FROM AUTHOR]

Purpose: This study synthesized the literature on eating difficulties among older adults with dementia in long-term care facilities. Methods: A scoping review, using the framework proposed by Arksey & O'Malley (2005) and supplemented by Levac et al. (2010), was conducted. Literature was searched from RISS, KISS, DBpia, PubMed, and CINAHL. Two reviewers independently selected studies and extracted their characteristics, using pre-tested forms to determine final inclusion. In total, 1283 articles were identified, and 13 articles were used for the final analysis. Results: The Eating Behavior Scale and the Edinburgh Feeding Evaluation in Dementia scale were the most widely utilized measurement tools. The most common factors related to eating behavior in older adults with dementia were cognitive and physical functions in the individual domain, the caregiver's attitude toward eating in the inter-individual domain, and meal type in the environmental domain. Conclusion: Measurement tools reflecting the eating behavior of older adults with dementia must be developed to obtain a comprehensive understanding of this issue and create effective interventions for the specific context of long-term care facilities in Korea. The results of this study are intended to serve as a basis to develop meal support programs for older adults with dementia. [ABSTRACT FROM AUTHOR]

Purpose: The aim of the study was to identify dementia knowledge, attitude, and caregiving appraisal among caregivers of older adults with dementia using a dementia care center. Methods: The participants were 113 caregivers of older adults with dementia using a dementia care center. The data were collected using the questionnaires for dementia knowledge, attitude, and caregiving appraisal. Data were analyzed by descriptive statistics, Pearson's correlation, and multiple regression test using the SPSS/WIN 24.0. Results: Positive correlations were revealed between dementia knowledge and attitude (r=.36, p<.001). Dementia attitude positively correlated with caregiving satisfaction (r=.40, p<.001) and caregiving mastery (r=.31, p<.001). Dementia attitude negatively correlated with caregiving burden (r=-.47, p<.001), caregiving demand (r=-.35, p<.001), and caregiving impact (r=-.40, p<.001). The factors influencing caregiving appraisal were dementia attitude (negative component: β=-.48, p<.001, positive components: β=.41, p<.001, neutral components: β=-.42, p<.001) and caregiving duration (negative component: β=-.28, p=.004, positive components: β=.26, p=.010). These factors contributed negative components (25.2%), positive components (18.4%), and neutral components (25.5%) of the variance in caregiving appraisal. Conclusion: The results of this study suggest it is necessary to develop nursing interventions for caregivers of older adults with dementia to improve dementia attitude. [ABSTRACT FROM AUTHOR]

Purpose: This study was done to develop a postural-stability patient transfer technique for care helpers in nursing homes and to evaluate its effectiveness. Methods: Four types of patient transfer techniques (Lifting towards the head board of the bed, turning to the lateral position, sitting upright on the bed, transferring from wheel chair to bed) were practiced in accordance with the following three methods; Care helpers habitually used transfer methods (Method 1), patient transfer methods according to care helper standard textbooks (Method 2), and a method developed by the author ensuring postural-stability (Method 3). The care helpers' muscle activity and four joint angles were measured. The collected data were analyzed using the program SPSS Statistic 21.0. To differentiate the muscle activity and joint angle, the Friedman test was executed and the post-hoc analysis was conducted using the Wilcoxon Signed Rank test. Results: Muscle activity was significantly lower during Method 3 compared to Methods 1 and 2. In addition, the joint angle was significantly lower for the knee and shoulder joint angle while performing Method 3 compared to Methods 1 and 2. Discussion: Findings indicate that using postural-stability patient transfer techniques can contribute to the prevention of musculoskeletal disease which care helpers suffer from due to physically demanding patient care in nursing homes. [ABSTRACT FROM AUTHOR]