Journal of Korean Academy of Nursing

Original Articles

Nurses' Experiences of the Death of Patients in Geriatric Hospitals: Mi Joung Yi, Jeong Seop Lee; J Korean Acad Nurs 2015;45(4):513-522. Published online August 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.4.513

Purpose

The purpose of this study was to identify and understand nurses' experiences of the death of patients in geriatric hospitals.

Methods

Van Manen's hermeneutic phenomenological analysis was applied in the interpretation of experiential descriptions of seven nurses who had experienced the death of patients in a geriatric hospital.

Results

The essential subjects derived from the experience of the nurses on the death of patients in a geriatric hospital are covered in the following 7 themes. 'Placed in death site', 'Difficult repetition of death and farewell', 'Emotional waves that rushes in after farewell', 'Dilemmas in a place with no preparation to greet expected death', 'Getting dull from continually being struck with sorrow', 'Being together with living death', and 'Showing courtesy for a good farewell and living well'.

Conclusion

The results of this research will contribute to the development of policy on all the deaths of patients in geriatric hospitals and suggest basic data that need to be applied in real practice and directions to introduce plans for realistic improvements in nursing care of deathbed patients in geriatric hospitals.

Citations

Citations to this article as recorded by

“A Life Slips Through Our Fingers” Experiences of Nurses Working in Pediatric Intensive Care Units About Children’s Death: A Qualitative Study
Musa Özsavran, Aylin Kurt, Tülay Kuzlu Ayyıldız, Zeynep Gül
OMEGA - Journal of Death and Dying.2024;[Epub] CrossRef
The Influence of Death Perception and Terminal Care Stress on Terminal Care Performance of Nurses Working in Long-Term Care Hospitals: A Cross-Sectional Study
Ja-Young Kim, Hanyi Lee
Journal of Korean Gerontological Nursing.2022; 24(3): 269. CrossRef
Factors Influencing End-of-Life Care Competency of Long Term Care Hospital Nurses: A Cross Sectional Study
Sookyeon Son, Mi-Kyeong Jeon
Journal of Korean Gerontological Nursing.2022; 24(2): 174. CrossRef
Knowledge, Experience, and Attitudes of Nurses at Long-Term Care Hospitals regarding Advance Directives
Go Eun Park, Nae Young Lee
The Korean Journal of Hospice and Palliative Care.2022; 25(4): 139. CrossRef
A qualitative study of phenomenology of perspectives of student nurses: experience of death in clinical practice
ShiShuang Zhou, LiZhen Wei, Wei Hua, XiaoChong He, Jia Chen
BMC Nursing.2022;[Epub] CrossRef
ICU Nurses’ Experiences with Patient Care after Death
Ji Young Park, Ki Kyong Kim
Journal of Korean Academy of Nursing Administration.2022; 28(1): 43. CrossRef
Factors Affecting Quality of Life Among the Elderly in Long-Term Care Hospitals
Hee-Kyung CHANG, Cho-Rong GIL, Hye-Jin KIM, Han-Ju BEA
Journal of Nursing Research.2021; 29(1): e134. CrossRef
Nurses’ Experiences on End-of-Life Care for Older Patients in Long-Term Care Hospitals: Focusing on the Process of Practice and Barriers
Iktae Kim, Jun-Ah Song
Journal of Korean Gerontological Nursing.2021; 23(3): 311. CrossRef
Nurses' Experiences of End-of-life Care for Elderly Patients in Long-term Care Hospitals
Chun Yee Lee, Ga Eon Lee
Journal of Korean Academy of Community Health Nursing.2020; 31(2): 199. CrossRef
Lived experiences toward moral distress among long-term care hospital nurses: A phenomenological approach
So young Lee, Jung A Kim
The Journal of Korean Academic Society of Nursing Education.2020; 26(2): 167. CrossRef
Long-term Care Hospital Nurses' Awareness and Ethical Attitudes toward DNR
Kye Ha Kim, Sun Jin Jeong
Journal of Korean Gerontological Nursing.2019; 21(2): 61. CrossRef
Effect of Nursing Professionalism and Organizational Communication on Intent to Stay in Geriatric Hospital Nurses
Bi-Joo Kim, Mi-Aie Lee
Journal of Korean Academy of Nursing Administration.2018; 24(5): 455. CrossRef
Effects of Empathy and Attitude in Caring for Elders by Nurses in Geriatric Nursing Practice in Long-term Care Hospitals
Young Kyoung Kim, Suhye Kwon
Journal of Korean Gerontological Nursing.2017; 19(3): 203. CrossRef
Experience of Life-sustaining Treatment in Patient Care among Intensive Care Unit Nurses: Phenomenological Approach
Su Jeong Lee, Hye Young Kim
Journal of Korean Academy of Fundamentals of Nursing.2016; 23(2): 172. CrossRef
Concept Analysis of Nurses’ Acceptance of Patient Deaths
Mi Joung Yi, Jeong Seop Lee
The Korean Journal of Hospice and Palliative Care.2016; 19(1): 34. CrossRef

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15 Crossref

Analysis of Conversation between Elderly Patients with Dementia and Nurses: Focusing on Structure and Sequential Patterns: Myungsun Yi; J Korean Acad Nurs 2009;39(2):166-176. Published online April 28, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.2.166

Abstract PDF

Purpose

The purpose of the study was to identify functional structure and patterns of dialogue sequence in conversations between elderly patients with dementia and nurses in a long-term care facility.

Methods

Conversation analysis was used to analyze the data which were collected using video-camera to capture non-verbal as well as verbal behaviors. Data collection was done during February 2005.

Results

Introduction, assessment, intervention, and closing phases were identified as functional structure. Essential parts of the conversation were the assessment and intervention phases. In the assessment phase three sequential patterns of nurse-initiated dialogue and four sequential patterns of patient-initiated dialogue were identified. Also four sequential patterns were identified in nurse-initiated and three in patient-initiated dialogues in the intervention phase. In general, "ask question", "advise", and "directive" were the most frequently used utterance by nurses in nurse-initiated dialogue, indicating nurses' domination of the conversation. At the same time, "ask back", "refute", "escape", or "false promise" were used often by nurses to discourage patients from talking when patients were raising questions or demanding.

Conclusion

It is important for nurses to encourage patient-initiated dialogue to counterbalance nurse-dominated conversation which results from imbalance between nurses and patients in terms of knowledge and task in health-care institutions for elders.

Citations

Citations to this article as recorded by

A staff training intervention to improve communication between people living with dementia and health-care professionals in hospital: the VOICE mixed-methods development and evaluation study
Rowan H Harwood, Rebecca O’Brien, Sarah E Goldberg, Rebecca Allwood, Alison Pilnick, Suzanne Beeke, Louise Thomson, Megan Murray, Ruth Parry, Fiona Kearney, Bryn Baxendale, Kate Sartain, Justine Schneider
Health Services and Delivery Research.2018; 6(41): 1. CrossRef

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1 Crossref

A Conversation Analysis of Communication between Patients with Dementia and Their Professional Nurses: Myungsun Yi, Bong Sook Yih; Journal of Korean Academy of Nursing 2006;36(7):1253-1264. Published online December 31, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.7.1253

Abstract PDF

Purpose

The purpose of this study was to understand conversations and to identify typical conversational problems between nurses and patients with dementia.

Method

A conversation analysis method was used. The data was collected in a geriatric institutional setting, using a videotape recorder, and transcribed. The transcribed data was analyzed in terms of expressions, contents, and relationships to identify communicative problems and their resolutions.

Results

Among a total of 532 episodes, 440(82.7%) were identified as nurse-involved episodes. In addition, 66 of the 440 episodes were selected based on the significance of the conversation. The communicative problems between nurses and patients in terms of expressions were identified as “directive and authoritative expressions”, “emotional and competitive expressions”, “evasive and on-looking expressions”, and “excessive use of title only”, such as calling them granny or grandpa without proper names. In terms of content and relationships, “lack of themes in psychosocial areas” and “nurse-led relations” were identified respectively as communicative problems.

Conclusion

The results of this study will provide substantial guidelines for nurses in caring for elderly patients with dementia by deeply understanding linguistic structures and problems of everyday conversations between nurses and patients with dementia.

Citations

Citations to this article as recorded by

An investigation into health professionals’ perception of the appropriateness of elderspeak in a Korean hospital setting
Miseon Lee, Jeong Youn Lee
Journal of Pragmatics.2021; 172: 181. CrossRef
Dementia screening for elderly in-patients and its association with nursing care satisfaction-an observational study
Li-Kai Huang, Jui-Chen Tsai, Hsun-Hua Lee, Yi-Chun Kuan, Yao-Tung Lee, Chia-Pei Lin, Shu-Ping Chao, Chaur-Jong Hu
Medicine.2020; 99(2): e18741. CrossRef
Development and Validation of the Communication Behavior Scale for Nurses Caring for People with Dementia
Jihye Lee, Moonhee Gang
Journal of Korean Academy of Nursing.2019; 49(1): 1. CrossRef
Analysis of Communication of Dental Hygienist in Oral Hygiene Instruction during Scaling
Su-Kyung Kang, Hyun-Sook Bae, Soon-Ryun Lim
Journal of dental hygiene science.2014; 14(4): 546. CrossRef
Long-term Care Nurses' Communication Difficulties with People Living with Dementia in Taiwan
Jing-Jy Wang, Pei-Fang Hsieh, Chi-Jane Wang
Asian Nursing Research.2013; 7(3): 99. CrossRef
Evaluation of Nurses' Competency in Nurse-Patient Communication about Medications: Conversational Analysis Approach
Haeng-Mi Son
Journal of Korean Academy of Nursing.2010; 40(1): 1. CrossRef
Analysis of Conversation between Elderly Patients with Dementia and Nurses: Focusing on Structure and Sequential Patterns
Myungsun Yi
Journal of Korean Academy of Nursing.2009; 39(4): 166. CrossRef

174 View
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7 Crossref

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