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Scale Development of Free Nursing Home-Adjustment for the Elderly
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Ga Eon Lee
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Journal of Korean Academy of Nursing 2007;37(5):736-743. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2007.37.5.736
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Abstract
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Purpose
The purpose of this study was to develop a scale of free nursing home adjustment for the elderly in Korea.
Method
The developmental processes were construction of a conceptual framework, development of preliminary items, verification of content validity, twice data gathering, verification of construct validity, and reliability of final items. The first 53 preliminary items were obtained through review of literatures about nursing home adjustment and in depth interviews with 5 staffs of nursing home. These items were reviewed by five specialists for content validity and 39 items were chosen. The first data was collected from 107 elderly residing in 3 nursing homes and the second survey was from 147 residents who were living in five nursing homes. Finally this data was analyzed for construct validity and reliability.
Result
There were 23 final items which were sorted into 5 factors. The factors were identified as ‘Relocation distress symptom’(8items), ‘Making friends’(4items), ‘Acceptance of new residence’ (6items), ‘Difficulty in group life’(3items), and ‘Having self-worth’(2items). The cumulative percent of variance was 53.466%. The reliability of the scale, Cronbach's alpha was .837.
Conclusion
The result of this study could be used for measuring nursing home adjustment of the elderly. However, for further validity and reliability, repeated researches are needed.
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Citations
Citations to this article as recorded by 
- The Impact of Social Support on Sleep Quality in Elderly Care Institutions in Northeast China: the Chain-Mediating Effect of Psychological Adjustment and Coping Style
Wen Jing Sun, Yu Jin Liu Patient Preference and Adherence.2024; Volume 18: 1119. CrossRef - The effect of a resourcefulness-based instrumental reminiscence program for nursing home residents: A pilot study
Yanyan Zhang, Qiyuan Huang, Huimin Xiao Geriatric Nursing.2024; 56: 108. CrossRef - Validity and Reliability of the Nursing Home Adjustment Scale for Older Adults in Japan: A Cross-Sectional Study
Haruka Yoshimaru, Kazuaki Tanabe, Hiroyuki Sawatari, Chie Teramoto Sage Open.2024;[Epub] CrossRef - Assessing social connection for long‐term care home residents: Systematic review using COnsensus‐based Standards for the selection of health Measurement INstruments guidelines
Neha Dewan, Andrew Sommerlad, Hannah Chapman, Sube Banerjee, Kirsten Corazzini, David Edvardsson, Madalena P. Liougas, Gill Livingston, Katherine S. McGilton, Hannah M. O'Rourke, Jennifer Bethell Alzheimer's & Dementia: Translational Research & Clinical Interventions.2024;[Epub] CrossRef - Nursing home adjustment in China: mediating and moderating effects
Binbin Yong, Yanyan Zhang, Huimin Xiao BMC Geriatrics.2023;[Epub] CrossRef - Factors associated with adaptation level in the older adult residential care facilities: a path analysis
Di Zhao, Meilan Niu, Shanfeng Zhang, Yan Shi, Lin Zhou, Yuxia Song, Rui Ma, Peng Wang Frontiers in Public Health.2023;[Epub] CrossRef - Turkish validity and reliability study of the nursing home adjustment scale
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Su Mi Seo, Heeok Park Journal of Korean Gerontological Nursing.2021; 23(2): 154. CrossRef - Entry and Passage Variables Associated with Nursing Home Adjustment in Older Adults with Dementia
Susan Wareing, Kristen A. Sethares, Elizabeth Chin, Brian Ayotte Geriatric Nursing.2021; 42(5): 1084. CrossRef - Instruments to measure quality of life in institutionalised older adults: Systematic review
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Jaehyeon Kim, Jia Lee Journal of Gerontological Nursing.2018; 44(1): 32. CrossRef - How do levels of nursing home adjustment differ by length of stay?
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Ga Eon Lee International Journal of Nursing Studies.2010; 47(8): 957. CrossRef - Predictors of Facility Adaptation in Nursing Home Residents
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Effects of Pain Control Education on Pain Control Barrier, Postoperative Pain and Pain Control Satisfaction in Gynecological Patients
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Bok Nam Lee, Ga Eon Lee
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Journal of Korean Academy of Nursing 2006;36(6):968-975. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2006.36.6.968
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Abstract
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Purpose
The purpose of this study was to evaluate the effects of preoperative pain control education on the pain control barrier, postoperative pain and pain control satisfaction in gynecological patients.
Method
The study was a quasi-experimental research design. There were 58 subjects who were admitted for gynecological surgery to D University Hospital in B city. Pain control education was provided individually to the experimental group one day before their operation day for 20 minutes with the ‘ Pain Control Guide Book’ in the patient's admission room. The education book was made by researchers based on pain management references and patient interviews. For assessing the pain control barrier, a simplified version of Barriers Questionnaire was used, postoperative pain was assessed on a numeric scale(0-10) and satisfaction of pain control was assessed by one question.
Results
The pain control barrier(F=15.828, p<.001) and the post pain score of the experimental group was lower than that of the control group. In addition, pain control satisfaction of the experimental group(t=3.612, p<.001) was higher than the control group's.
Conclusion
With the above results, preoperative pain control education could be an effective nursing intervention for pain control of surgical patients.
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Development of a Critical Thinking Disposition Scale for Nursing Students
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In Soo Kwon, Ga Eon Lee, Gyung Duck Kim, Young Hee Kim, Kyung Min Park, Hyun Sook Park, Sue Kyung Sohn, Woo Sook Lee, Keum Seong Jang, Bok Yae Chung
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Journal of Korean Academy of Nursing 2006;36(6):950-958. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2006.36.6.950
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Abstract
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Purpose
The purpose of this study was to develop a critical thinking disposition scale for nursing students.
Method
The developmental process was construction of a conceptual framework, development of preliminary items, verification of content validity, development of secondary items, verification of construct validity and extraction of final items. The conceptual framework and first preliminary 60 items were obtained through a review of relevant literature and the development of critical disposition scales by 10 researchers who had been studying critical thinking for one year. These items were reviewed by five specialists for content validity and finally 55 items were chosen. The data was collected from October 1 to 15, 2004 and was analyzed using factor analysis and Cronbach's alpha with the SPSS program. The subjects were composed of 560 Bachelor of Science nursing students from 8 nursing schools.
Result
There were 35 final items which were sorted into 8 factors. The factors were identified as ‘ intellectual integrity(6 items)’, ‘ creativity(4 items)’, ‘ challenge(6 items)’, ‘ open-mindedness(3 items)’, ‘ prudence(4 items)’, ‘ objectivity(4 items)’, ‘ truth seeking(3 items)’ and ‘ inquisitiveness(5 items)’. The cumulative percent of variance was 55.107%. The reliability of the scale, Cronbach's alpha was .892 and the factors' ranged from .562-.836.
Conclusion
The result of this study could be used for measuring critical thinking dispositions of nursing students. However, for further validity and reliability, repeated research is necessary.
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Scale Development of Job Stress for Home Care Nurses
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Jeong Sook Hong, Ga Eon Lee
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Journal of Korean Academy of Nursing 2004;34(6):1097-1107. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2004.34.6.1097
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Abstract
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The purpose of this study was to develop a job stress scale for hospital-based home care nurses in Korea. The process was construction of the conceptual framework, development of the preliminary items, verification of the content validity, item analysis and test of the reliability.
The preliminary items were based on literature review and in-depth interviews with home care nurses. As a result, eight categories and sixty items were selected. These were reviewed by seven specialists for content validity and finally fifty one items were chosen. Data was collected from 180 home care nurses who were engaged in 87 hospitals from August to September 2003.
The result of item analysis one was excepted. The final item count was 50. Categories were as follows: overload work(8 items), lack of specialized knowledge and technique(5 items), ethical dilemma(4 items), role conflict(5 items), interpersonal relationships(6 items), visiting home environment(9 items), driving conditions(4 items) and lack of administrative support(9 items), The reliability of the scale by Cronbach's alpha was .948 and the domain's reliability ranged from .649 to .841.
The result of this study could be used to measure the job stress of home care nurses. However, for further validity and reliability, repeated studies will be necessary.
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A Grounded Theory Approach to the Adjustment Process of the Institutionalized Elderly: The Control of Reluctance
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Ga Eon Lee
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Journal of Korean Academy of Nursing 2002;32(5):624-632. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.2002.32.5.624
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Abstract
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PURPOSE: The number of residents in elderly institution has been increasing due to the change of the family support system. This study was focused on understanding the process of adjustment of the institutionalized elderly using the Grounded Theory approach.
METHOD: There were seven participants, 4 men and 3 women living in 3 different elderly facilities. The data was collected through in-depth interviews and participant observation from June 20, 1999 to January 10, 2000 and analyzed by the Strauss and Corbin's analysis method.
RESULT: 125 concepts were found and grouped into 30 sub-categories and then grouped into 13 categories. These categories are <humiliation>, <fear>, <reluctance>, <difficulty of economic status>, <health problem>, <process of entrance>, <loss of family support>, <facility support>, <personality disposition>, <positive self mind-control>, <negative self mind-control>, <adjustment> and <maladjustment>, which were synthesized into the process of adjustment. <The Control of Reluctance (to live in facility)> being the core category. The adjustment process of the facility elderly consisted of: 1. expressive phase of 'reluctance' 2. control phase of 'reluctance' 3. latent phase of 'reluctance'
CONCLUSION: This study offers better understandings on the adjustment process of the institutionalized elderly and provides more appropriate nursing care to the New Comers of these facilities.
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