Ki-Kyong Kim

doi:10.4040/jkan.2010.40.4.463

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Original Article
Development of a Web-based Education Program for Nurses working in Nursing Homes on Human Rights of Older Adults: Ki-Kyong Kim; Journal of Korean Academy of Nursing 2010;40(4):463-472.
DOI: https://doi.org/10.4040/jkan.2010.40.4.463
Published online: August 31, 2010

Associate Professor, Department of Nursing, Wonju College of Medicine, Yonsei University, Wonju, Korea.

Address reprint requests to: Kim, Ki-Kyong. Department of Nursing, Wonju College of Medicine, Yonsei University, 162 Ilsan-dong, Wonju 220-701, Korea. Tel: 82-33-741-0380, Fax: 82-33-743-9490, kyongkk@yonsei.ac.kr

• Received: March 3, 2010 • Accepted: August 9, 2010

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Abstract
NOTES
REFERENCES

Abstract

Purpose
This study was done to develop a web-based education program for nurses working in nursing homes. The focus was on the rights of older adults.
Methods
The program was designed based on the Network-Based Instructional System Design (NBISD) model and was operated and evaluated between July 2007 and June 2008.
Results
Out of nursing records of 40 residents from a nursing home, the final 7 cases were deducted through classification using the Resource Utilization Group (RUG)-III. The data on needs for education was collected from 28 nurses working in 15 nursing homes located in Seoul and Gyeonggi Province, who agreed to complete a self-report questionnaire. A comprehensive review of the literature and two focus groups interviews were used to search for risk factors and guidelines for protection of human rights. The education program was developed based on Kolb's experiential learning model and composed of 5 units, which included content on types of human rights and rights to death with dignity, elder abuse, physical liberty, and self-determination. The program was positively evaluated showing a score of 3.35 (SD=0.37) out of 4.
Conclusion
The educational program developed in this study should promote nurses' sensitivity to the rights of elders and improve nurses' behaviors in protecting the rights of elders residing in nursing homes.
Keywords: Aged; Elder abuse; Computer-assisted instruction; Nursing homes; Human rights

This work was supported by the Korea Research Foundation Grant funded by the Korean Government (MOEHRD, Basic Research Promotion Fund) (KRF-2007-313-E00557).

Table 1

Types of Rights of Older Adults and Content

Table 2

Cases Classification According to RUG-III Category

ADL=activity of daily living.

Table 3

Risk Factors for Compromised Older Adult's Rights and Needs for Learning

Table 4

The Process and Contents of Program

Table 5

Program Evaluation, (N=27)

REFERENCES

1. Baillie L. The impact of urological conditions on patients' dignity. International Journal of Urological Nursing. 2007;1:27–35.Article
2. Choi JS, Kim KS. Application and evaluation of a web-based education program on blood-borne infection control for nurses. Journal of Korean Academy of Nursing. 2009;39:298–309.Article PubMed
3. Chung HJ. Development and effectiveness of hemodialysis nursing education program using web-based learning system. 2000;Seoul, Yonsei University. Unpublished master's thesis.
4. Gallagher A, Seedhouse D. Dignity in care: The views of patients and relatives. Nursing Times. 2002;98:39–40.
5. CMS's RAI Version 2.0 Manual. Health Care Financing Administration. 2007;Retrieved March 3, 2008. from http://www.cms.hhs.gov.
6. Ishay MR. The History of human rights: From ancient times to the globalization Era. 2004;Berkeley, Univ of California Press.
7. Jacelon CS. The dignity of elders in an acute care hospital. Qualitative Health Research. 2003;13:543–556.Article PubMed PDF
8. Jung IS. Understanding of distance education. 1999;Seoul, Koyyuk Science Company.
9. Jung KH. The Case study of human rights in nursing home. 2002;Seoul, National Human Rights Commission.
10. Jung YM. Development of a web-based senescence preparation education program for successful aging for middle-aged adults. Journal of Korean Academy of Nursing. 2008;38:831–842.Article PubMed
11. Kim EK, Park HY, Kim CY. On the feasibility of a RUG-III based payment system for long-term care facilities in Korea. Journal of Korean Academy of Nursing. 2004;34:278–289.Article PubMed PDF
12. Kim KK. The nurses' perceptions and experiences on the older adult's dignity in nursing homes. Journal of Korean Academy of Nursing Administration. 2009;15:81–90.
13. Kolb D. Experiential learning: Experiences as the source of learning and development. 1984;NJ, Prentice-Hall, Inc.
14. National elder abuse data. Korea Elder Protection Agency. 2008;Retrieved March 2, 2010. from http://www.noinboho.org/sub_02/02_05_05.php.
15. Kwon YM. The development and evaluation of web-based nursing educational program. Journal of Korean Academy of Nursing Administration. 2006;12:41–51.
16. Matiti MR, Trorey G. Perceptual adjustment levels: Patients' perception of their dignity in the hospital setting. International Journal of Nursing Studies. 2004;41:35–44.
17. National guidebook for health, welfare service for the older adults. Minister for Health, Welfare and Family Affairs. 2010;Retrieved March 2, 2010. from http://www.mw.go.kr/front/jc/sjc0603vw.jsp.
18. North American Nursing Diagnosis Association International. Nursing diagnosis: Definitions & classification 2007-2008. 2007;Philadelphia, PA, NANDA.
19. Oh I. Human rights education process incorporating experiential learning theory and web-based instruction. Research in Corporate Education. 2005;7:75–93.
20. Park S. A Integrated approach to human rights education. Theory & Research in Citizenship Education. 2003;35:115–141.
21. Park SI, Lee SM. The effect of education program for the human rights. The Journal of Educational Research. 2000;38:185–205.
22. 2009 Da 17417 Removal of futile life-sustaining treatment. Supreme Court of Korea. 2009;Retrieved March 21, 2010. from http://eng.scourt.go.kr/eboard/.
23. Walsh K, Kowanko I. Nurses' and patients' perceptions of dignity. International Journal of Nursing Practice. 2002;8:143–151.Article PubMed
24. Yoo SH, Kang SA. Nursing home staffs' knowledge on the 2004 revised older Koreans act for abuse, reports of elder abuse and attitudes about sanctioning mandatory reporters. Social Welfare Policy. 2008;33:311–333.
25. Yoon SJ. Effects of case design method in Web-case based learning environment. The Korea Journal of Education Methodology Studies. 2006;18:201–219.
26. Yu BY. Moral education. 2004;Seoul, Yswpub.

Figure & Data

Table 1

Types of Rights of Older Adults and Content

Table 2

Cases Classification According to RUG-III Category

ADL=activity of daily living.

Table 3

Risk Factors for Compromised Older Adult's Rights and Needs for Learning

Table 4

The Process and Contents of Program

Table 5

Program Evaluation, (N=27)

REFERENCES

1. Baillie L. The impact of urological conditions on patients' dignity. International Journal of Urological Nursing. 2007;1:27–35.Article
2. Choi JS, Kim KS. Application and evaluation of a web-based education program on blood-borne infection control for nurses. Journal of Korean Academy of Nursing. 2009;39:298–309.Article PubMed
3. Chung HJ. Development and effectiveness of hemodialysis nursing education program using web-based learning system. 2000;Seoul, Yonsei University. Unpublished master's thesis.
4. Gallagher A, Seedhouse D. Dignity in care: The views of patients and relatives. Nursing Times. 2002;98:39–40.
5. CMS's RAI Version 2.0 Manual. Health Care Financing Administration. 2007;Retrieved March 3, 2008. from http://www.cms.hhs.gov.
6. Ishay MR. The History of human rights: From ancient times to the globalization Era. 2004;Berkeley, Univ of California Press.
7. Jacelon CS. The dignity of elders in an acute care hospital. Qualitative Health Research. 2003;13:543–556.Article PubMed PDF
8. Jung IS. Understanding of distance education. 1999;Seoul, Koyyuk Science Company.
9. Jung KH. The Case study of human rights in nursing home. 2002;Seoul, National Human Rights Commission.
10. Jung YM. Development of a web-based senescence preparation education program for successful aging for middle-aged adults. Journal of Korean Academy of Nursing. 2008;38:831–842.Article PubMed
11. Kim EK, Park HY, Kim CY. On the feasibility of a RUG-III based payment system for long-term care facilities in Korea. Journal of Korean Academy of Nursing. 2004;34:278–289.Article PubMed PDF
12. Kim KK. The nurses' perceptions and experiences on the older adult's dignity in nursing homes. Journal of Korean Academy of Nursing Administration. 2009;15:81–90.
13. Kolb D. Experiential learning: Experiences as the source of learning and development. 1984;NJ, Prentice-Hall, Inc.
14. National elder abuse data. Korea Elder Protection Agency. 2008;Retrieved March 2, 2010. from http://www.noinboho.org/sub_02/02_05_05.php.
15. Kwon YM. The development and evaluation of web-based nursing educational program. Journal of Korean Academy of Nursing Administration. 2006;12:41–51.
16. Matiti MR, Trorey G. Perceptual adjustment levels: Patients' perception of their dignity in the hospital setting. International Journal of Nursing Studies. 2004;41:35–44.
17. National guidebook for health, welfare service for the older adults. Minister for Health, Welfare and Family Affairs. 2010;Retrieved March 2, 2010. from http://www.mw.go.kr/front/jc/sjc0603vw.jsp.
18. North American Nursing Diagnosis Association International. Nursing diagnosis: Definitions & classification 2007-2008. 2007;Philadelphia, PA, NANDA.
19. Oh I. Human rights education process incorporating experiential learning theory and web-based instruction. Research in Corporate Education. 2005;7:75–93.
20. Park S. A Integrated approach to human rights education. Theory & Research in Citizenship Education. 2003;35:115–141.
21. Park SI, Lee SM. The effect of education program for the human rights. The Journal of Educational Research. 2000;38:185–205.
22. 2009 Da 17417 Removal of futile life-sustaining treatment. Supreme Court of Korea. 2009;Retrieved March 21, 2010. from http://eng.scourt.go.kr/eboard/.
23. Walsh K, Kowanko I. Nurses' and patients' perceptions of dignity. International Journal of Nursing Practice. 2002;8:143–151.Article PubMed
24. Yoo SH, Kang SA. Nursing home staffs' knowledge on the 2004 revised older Koreans act for abuse, reports of elder abuse and attitudes about sanctioning mandatory reporters. Social Welfare Policy. 2008;33:311–333.
25. Yoon SJ. Effects of case design method in Web-case based learning environment. The Korea Journal of Education Methodology Studies. 2006;18:201–219.
26. Yu BY. Moral education. 2004;Seoul, Yswpub.

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