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노인요양시설 요양보호사를 위한 치매교육 프로그램의 효과
공은희 ( Eun Hi Kong ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2010 정신간호학회지 Vol.19 No.4
Purpose: This study was done to evaluate the long-term effects of a dementia education program for certified geriatric caregivers (CGCs) caring for elders with dementia in a nursing home. Methods: The research design was one group pretest-posttest design and included 29 CGCs who completed the pre-test, dementia education program, and post-test (immediately after, 1 month after, and 3 months after the completion of the program). The education program was conducted for 3 weeks, and effects of the program were evaluated using measures of knowledge of dementia, care of elders with dementia, work stress, and work satisfaction. Results: Although there was no significant change in the knowledge of dementia, it was significantly improved immediately after the program (Z=-2.03, p=.042). There was a significant change in the care of elders with dementia by the CGCs (x2=13.37, p=.004), but no significant changes in work stress or work satisfaction. Conclusion: The findings indicate that dementia education program is effective in improving knowledge of dementia and care of elders with dementia by CGCs. The results also provide valuable basic data for developing effective dementia education programs for CGCs in nursing homes, but further research is needed using a high quality education programs and research methodology.
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공은희(Eun-Hi Kong),조은희(Eunhee Cho),송미순(Misoon Song) 한국노년학회 2009 한국노년학 Vol.29 No.2
본 연구의 목적은 치매노인을 돌보는 주가족 간호자의 부담감과 간호만족감 정도를 파악하고, 부담감과 간호만족감에 영향을 미치는 문화적, 비문화적 요인을 규명하는 것이다. 본 연구의 대상자는 서울 및 경기도 소재 13개 치매주간보호센터를 이용하는 치매노인을 가정에서 돌보고 있는 주가족 간호자 112명 이었으며, 설문지 조사를 통하여 자료를 수집하였다. 주가족 간호자의 81%가 여성이었고, 관계별로는 며느리(46%)가 가장 많았다. 주가족 간호자가 느끼는 부담감 평균점수는 49.4 이었으며, 간호만족감 평균점수는 42.3 이었다. 주가족 간호자의 부담감에 통계적으로 유의한 영향을 미치는 요인으로는 비문화적 요인들인 간호자의 건강상태(β= .421, p= .049)와 치매노인의 기억 및 행동문제(β= .183, p= .041)로 나타났다. 간호만족감에 통계적으로 유의한 영향을 미치는 요인은 문화적 요인인 가족주의(β= .466, p= .005)로 나타났다. 치매노인 가족 간호자들의 부담감을 감소시키고 간호만족감을 증진시키기 위한 서비스 프로그램들의 개발과 활용 방안이 마련될 필요가 있다. The aim of this study was to investigate the burden and caregiving satisfaction of primary family caregivers of older adults with dementia, and to identify cultural predictors and non-cultural predictors of burden and caregiving satisfaction. This study included 112 primary family caregivers of community-dwelling older adults with dementia who utilized 13 dementia day care centers in Seoul or Gyeonggi-do. Data were collected by survey questionnaires. The majority of the primary caregivers were female (81%) and daughters-in-law (46%). The mean burden score was 49.4 and the mean caregiving safisfaction score was 42.3. Regression analyses revealed that the significant predictors of primary caregivers' burden were the non-cultural factors of caregiver's perceived health (β= .421, p= .049) and care recipient's memory and behavioral problems (β= .183, p= .041). The cultural factor of familism (β= .466, p= .005) was the only significant predictor of caregiving satisfaction. There is more need to develop programs which improve caregiver's burden and caregiving satisfaction. Strategies to increase caregiver's utilization of the programs also need to be developed.
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노인요양시설 간호제공자를 위한 인간중심 치매케어 교육 프로그램 개발 및 평가
공은희(Kong, Eun-Hi) 한국노인간호학회 2020 노인간호학회지 Vol.22 No.3
Purpose: This study aimed to develop and evaluate the effects of a person-centered dementia care education program on Korean nursing home staff. Methods: The person-centered dementia care education program was developed and evaluated using cluster-randomized, single-blind, and controlled pretest-posttest design. A total of 62 nursing home staff (31 in the experimental group and 31 in the control group) from four nursing homes participated in this study. The experimental group received the person-centered dementia care education program and the control group did not receive the education program. Data were collected before and after the educational intervention. Results: The person-centered dementia care education program comprised two sessions (one classroom-based education and one online education). Staff in the experimental group showed high level of satisfaction toward the education program. There was a statistically significant difference between the two groups in staff’s personhood in dementia (F=4.53, p=.038). There were no significant differences between groups in staff’s person-directed care (F=1.61, p=.209), person-centered climate (F=0.22, p=.644), attitude towards dementia (F=3.51, p=.066), and knowledge about dementia (F=0.55, p=.461). Conclusion: The results showed the person-centered dementia care education program effectively improved staff’s personhood in dementia. Future studies are required to explore the program’s effects in other dementia care settings and on family caregivers of elders with dementia using more rigorous research methods.
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박영아(Park, Young A),공은희(Kong, Eun-Hi),박유진(Park, Yu Jin) 한국간호교육학회 2018 한국간호교육학회지 Vol.24 No.4
Purpose: The aim of this study was to understand and describe difficulties and needs experienced by head nurses in the clinical practice education of nursing students. Methods: A qualitative descriptive method was employed. A convenience sampling method was used to recruit participants from four hospitals in South Korea. Twenty-one head nurses participated in the first interview and 17 of them participated in the second interview. Data were collected through two in-depth interviews and field notes were written. Qualitative content analysis method was utilized for data analysis using ATLAS.ti 6.2 software. Results: Thirty-one codes and twelve categories were identified. Four themes emerged from data analysis, which included ‘too many tasks’, ‘limitations of student education’, ‘many differences’, and ‘lack of support and resources.’ Conclusion: This qualitative study described head nurses` many difficulties and needs in the clinical practice education of nursing students. The results of this study provide valuable understanding and knowledge of head nurses` experiences in students` clinical education, which leads to improvement of the quality of clinical education for nursing students.
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