연구의 필요성Purpose: The aim of this study was to evaluate the validity and reliability of the Korean version of the Person-centered Care Assessment Tool (P-CAT). Methods: The English P-CAT was translated into Korean with forward and backward translation. Survey data were collected from 458 staff in 17 long-term care facilities in Korea. Construct validity and criterion related validity were evaluated. Cronbach's alpha was used to assess reliability. Results: The Korean version of P-CAT was shown to be valid homogeneously by factor, item and content analysis. Internal consistency reliability was satisfactory in which the values of factor 1, factor 2 and the total scale were .84, .77 and .86 respectively. Exploratory factor analysis supported the construct validity with a two-factor solution. Factor loadings of the 13 items ranged in .34~.80. Criterion validity to the Person-centered Climate Questionnaire-staff (PCQ-S) was .74 (p< .001). Conclusion: The Korean version of the P-CAT was found to be an applicable instrument with satisfactory reliability and validity for further use in measuring successful person-centered care in long-term care facilities for older persons.

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Purpose:The purpose of this study was to investigate family caregivers' feelings of guilt and depression and identify factors predicting depression after nursing home placement of older adult family members. Methods: Data were collected using questionnaires completed by 112 family caregivers of older adults in nursing homes in Seoul and Gyonggi Province. Feelings of guilt in family caregivers were measure using the Caregiver Guilt Questionnaire (CGQ) and depression, using the Center for Epidemiological Studies-Depression scale (CES-D). Data were analyzed using t-test, ANOVA, Pearson's correlation, and multiple regression analysis. Results: Average score for depression was 22.3 indicating depression status in family members. Factors predicting depression were feelings of guilt (β=.39, p<.001) and older adults' participation in the decision-making process for nursing home admission (β=.28, p=.001), which together accounted for 28.7% of the variance in depression. Conclusion: Findings show that families of elders in nursing homes experience depression, which can be reduced by a family intervention program designed to decrease feelings of guilt and provide guidance on older adults' participation in decision-making. The nursing home placement process should include help in understanding the importance of the role of family in promoting positive relationships between the elder and their family.

Purpose: Preterm birth and admission to a neonatal intensive care unit (NICU) can disrupt the parent-infant bonding relationship. Although neonatal nurses are in the best position to support maternal postpartum bonding in the NICU, few qualitative studies have described their challenges, strategies, and lived experiences. Methods: This study aimed to explore and understand the experiences and perspectives of nurses supporting infants hospitalized in the NICU and their families in relation to the bonding process. We conducted a qualitative study using interpretive phenomenological analysis with 12 in-depth, semi-structured interviews recorded and transcribed verbatim between April and November 2018. We thematically analysed the data using NVivoTM software. Results: Two themes emerged: (1) Being a bridge between separated mothers and infants (five subthemes); (2) Challenges in providing supportive care for maternal postpartum bonding in the NICU (three subthemes). Conclusions: Nurses have a variety of experiences regarding maternal postpartum bonding; however, the clinical reality of NICUs limits support for bonding formation. Although nurses face challenges (e.g., institutional policies, insufficient resources, training) when supporting maternal postpartum bonding, they act as the bridge between mothers and infants, becoming advocates for NICU families and taking care of their growth and developmental needs as caregivers.

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