Nursing Home Nurses’ Ways of Knowing About Peaceful Deaths in End-of-Life Care of Residents

Kim, Su Jin; Kim, Mi So; Kim, Hyun Ju; Choi, Jung Eun; Chang, Sung Ok

doi:10.1097/njh.0000000000000093

Cited by 11 publications

(6 citation statements)

References 24 publications

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“…The theme of management focuses on the details of practical nursing intervention for maintaining the remaining functions and preventing the risk of further disabilities. Providing balanced nursing intervention between dependent and independent ADLs without risk is highly desired in this disability group, including repetitive and proper stimulus to the remaining functions, which is somewhat different from other elderly groups who are facing death or have moderate or non‐complex disabilities (Beaupre, Jones, Wilson, & Majumdar, ; Kim et al , , ) The theme of optimization suggests useful empirical knowledge for managing the group with a demented and complex disability, which only can be derived from accumulated feedback between nursing intervention and evaluation. The last theme of compliance presents the significance of following nursing guidelines and ethics without tiring to care for this kind of horizonless disability group during its residual life in nursing homes (Resnick, Galik, & Boltz, ).…”

Section: Discussionmentioning

confidence: 99%

“…They retain very limited ability to conduct ADLs and are always exposed to the dangers of accidents like falling due to the problem behaviors and restricted movements. The lost functions of the elderly in this group are difficult to recover due to the super‐aged's weakened ability for recovery (Kim, Kim, Kim, Choi, & Chang, ; Tadaka & Kanagawa, ). Their only desire once in a nursing home is the maintenance of their residual functions and quality of life based on nursing ethics (Ashcraft & Owen, ).…”

Section: Introductionmentioning

confidence: 99%

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Examining practical nursing experiences to discover ways in which to retain and invigorate the remaining functions of the elderly with a demented and complex disability in nursing homes

Park

Lim

Kim

et al. 2017

Japan Journal Nursing Sci

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Aim: The bedridden elderly with moderate-to-severe dementia account for a large proportion of the residents in nursing homes and form a specialized group requiring customized care in order to encourage their remaining functions, which determine the quality of their residual life. The purpose of this study was to search for ways to invigorate and foster the remaining functions of this complex-disability group, based on practical nursing strategies in nursing homes. Methods: The qualitative thematic analysis was done by conducting in-depth interviews with 29 nurses working at 11 different nursing homes in South Korea.Results: This study proposed four main themes and 19 sub themes as keys for providing specialized nursing care to the elderly with physical and cognitive disabilities. The main themes encourage the residents' remaining functions: (i) accurate identification of an elderly resident's physical, cognitive, and behavioral baseline is necessary in order to determine their functional levels; (ii) nurses provide meticulous management to support the remaining functions in order to prevent further deterioration; (iii) optimized know-how, based on accumulated experience and knowledge, is reflected in nursing strategies that maximize the effects of nursing interventions; and (iv) steady compliance with nursing guidelines and standards in nursing homes creates the best therapeutic environment and brings unexpected positive changes in the elderly's status. Conclusion: A practical nursing strategy to target the group with a demented and complex disability in nursing homes was developed through thematic analysis of the empirical knowledge of nurses. The findings provide new insights for developing specialized nursing interventions and practical nursing models in longterm care facilities.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Examining practical nursing experiences to discover ways in which to retain and invigorate the remaining functions of the elderly with a demented and complex disability in nursing homes

Park

Lim

Kim

et al. 2017

Japan Journal Nursing Sci

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“…This is all the more significant in recent nursing studies because death-bed nursing has become an important aspect in helping nursing home residents accept and prepare for death. Moreover, residents should not just prepare for the moment of death, but also consider living the rest of their lives with happy and healthy minds [16][17][18]. For elderly individuals living in nursing homes, the focus on physical, cognitive, social, and spiritual functions until the moment of death demonstrates the characteristics of nursing that manage even peaceful deaths [9][14] [19] [20], which implies a broad and deep meaning.…”

Section: Discussionmentioning

confidence: 99%

Nursing Home Residents' Perceptions on Ego-Integrity Achievement in Nursing Home

Park¹,

Lim²

2021

APJCRI

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This study was to uncover the nature of in-depth and specific experiences by identifying the awareness of the achievement of ego-integrity among senior citizens living in nursing homes. The purpose of this is to provide basic information on the achievement of ego-integrity of the elderly living in nursing homes. The subjects were 7 elderly people living in two elderly care facilities in Gyeonggi and Incheon, Korea, with whom one-on-one in-depth interviews were conducted. The data were collected from December 2019 to January 2020 and analyzed using traditional content analysis. Content analysis is a systematic and objective method that analyzes explicit or potential content by classifying and evaluating it to confirm the meaning and effect of major data symbols or subjects. Upon the analysis, the nursing home residents' perceptions revealed five categories of means to achieve ego integrity: maintaining harmonious relationships, a companion to talk with service, maintaining autonomous functions, maintaining passive and active activities, and spiritual stability from participating in religious activities. The results of this study are meaningful in that they presented the necessary documents and supporting data to prepare a management plan for the nursing practitioners for the achievement of ego-integrity of the elderly living in nursing homes. Based on this study's results, follow-up research is necessary to verify the effectiveness and development of nursing practitioner education and intervention programs to help nursing home residents achieve ego integrity.

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“…Acceptance of death does not necessarily mean that a person is prepared for the exact moment of death. Rather, this concept represents the ability to look back on one's past with a positive, peaceful attitude, achieving contentment for the rest of one's life through actualized ego integrity ( Kim et al, 2014 ). This kind of acceptance focuses on physical, cognitive, social, and spiritual functions—all characteristics that underpin peace in palliative care and also highlight the deeper meaning of nursing science ( Ali & Ayoub, 2010 ; Lim et al, 2014 ).…”

Section: Discussionmentioning

confidence: 99%

The Conceptual Structure of the Management by Nurses of the Ego Integrity of Residents of Nursing Homes

Lim

Chang

2020

Journal of Nursing Research

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Background The number of older people admitted to nursing homes has continued to rise with the recent expansion of the Republic of Korea's long-term care system. Maintaining ego integrity is a major task for older people approaching the end of life. As efforts to maintain ego integrity include the final stages of life, this concept is critically important for older people in nursing homes. This study was designed to assess issues related to ego integrity in the nursing home environment to determine how nurses should play a key role in managing this important life task. Purpose The management by nurses of the ego integrity of residents of nursing homes is a new phenomenon that is central to promoting long-term, quality care. This study was designed to clarify and conceptualize this management phenomenon in the context of nursing homes. Methods A hybrid model of concept development was used to analyze the ways in which nurses manage the ego integrity of residents of nursing homes. In the theoretical phase, a working definition of the management by nurses of residents' ego integrity is developed using a literature review. In the fieldwork phase, in-depth interviews are conducted with eight nurses from six nursing homes in Seoul and three other provinces. Finally, in the final analytical phase, the theoretical and fieldwork findings are interpreted and compared. Results Two components, assessment and intervention, of the approach by nurses to managing the ego integrity of residents of nursing homes were identified. Assessment incorporates 10 attributes in the following three dimensions: “identifying the extent to which residents' basic needs are being fulfilled,” “determining how residents achieve friendly relationships with others,” and “determining how each resident creates a harmonious view of his or her life.” Intervention incorporates nine attributes in the following two dimensions: “helping residents develop a positive view of life” and “helping residents make the best use of their remaining functional abilities.” Conclusions/Implications for Practice By managing the ego integrity of residents, nurses have a significant influence on residents' sociopsychological adaptation, especially in the challenging environment of a nursing home. This study supports that managing the ego integrity of residents of nursing homes is an important and practical component of the role played by nurses and of the aid and care they provide. Furthermore, the findings verify the effectiveness of intervention studies in examining assessment tools and developing guidelines for ego-integrity management.

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Nursing Home Nurses’ Ways of Knowing About Peaceful Deaths in End-of-Life Care of Residents

Cited by 11 publications

References 24 publications

Examining practical nursing experiences to discover ways in which to retain and invigorate the remaining functions of the elderly with a demented and complex disability in nursing homes

Examining practical nursing experiences to discover ways in which to retain and invigorate the remaining functions of the elderly with a demented and complex disability in nursing homes

Nursing Home Residents' Perceptions on Ego-Integrity Achievement in Nursing Home

The Conceptual Structure of the Management by Nurses of the Ego Integrity of Residents of Nursing Homes

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