노인요양시설 간호사의 거주노인 잔존기능관리: 개념개발연구

Abstract

Purpose: Nurses’ management of Nursing Home residents’ remaining functional ability is phenomenaemphasizing as the main practice focus in long term care and has specific meanings within the context of qualityof life for fragile and disabled elderly people in nursing homes. This study was conducted to clarify and toconceptualize 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 ofresidents’ remaining functional ability. Results: This concept of nurse’ management emerged as a phenomenonhaving meanings in two different dimensions, deliberation and enactment for five types of residents: residents withdeclining function and dementia requiring nursing assistance, bed-ridden residents with moderate dementia, residentswith advanced dementia and behavior problems, but good physical health, residents at the end of life stage, andbed-ridden residents with intact mental health. Conclusions: Results indicate that nurses’ management of remainingfunctional ability of residents in nursing homes is a concept having types of needs that should be treated inspecified ways. Interventions should have a positive impacts on practical applications in nursing homes and onenhancing residents’ remaining function.