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노인요양시설 간호사의 거주노인 잔존기능관리 - 개념개발연구

 Nurses’ Management of Nursing Home Residents’ Remaining Functional Ability: Concept Development

기본간호학회지 2014년 21권 1호 p.57 ~ 68
KMID : 0388320140210010057
임선영 ( Lim Sun-Young ) - 고려대학교 대학원 간호학과

장성옥 ( Chang Sung-Ok ) - 고려대학교 간호대학
김수진 ( Kim Su-Jin ) - 고려대학교 대학원 간호학과
김현주 ( Kim Hyun-Ju ) - 고려대학교 대학원 간호학과
최정은 ( Choi Jung-Eun ) - 고려대학교 대학원 간호학과
박민선 ( Park Min-Sun ) - 고려대학교 대학원 간호학과

Abstract

Purpose: Nurses’ management of Nursing Home residents’ remaining functional ability is phenomena emphasizing as the main practice focus in long term care and has specific meanings within the context of quality of life for fragile and disabled elderly people in nursing homes. This study was conducted to clarify and to conceptualize the phenomena of nurses’ management of nursing home residents’ remaining functional ability.

Method:: The Hybrid Model of concept development was applied to develop a concept of nurses’ management of residents’ remaining functional ability.

Results: This concept of nurse’ management emerged as a phenomenon having meanings in two different dimensions, deliberation and enactment for five types of residents: residents with declining function and dementia requiring nursing assistance, bed-ridden residents with moderate dementia, residents with advanced dementia and behavior problems, but good physical health, residents at the end of life stage, and bed-ridden residents with intact mental health.

Conclusions: Results indicate that nurses’ management of remaining functional ability of residents in nursing homes is a concept having types of needs that should be treated in specified ways. Interventions should have a positive impacts on practical applications in nursing homes and on enhancing residents’ remaining function.
KeyWords
노인요양시설, 잔존기능관리
Health Services for the Aged, Nursing Home
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학술진흥재단(KCI) KoreaMed