Factors affecting the attitude toward withdrawal of life-sustaining treatment of nurses working at long-term care hospitals

Purpose: This study was a descriptive study to identify factors affecting the attitude toward life-sustaining treatment of nurses working at long-term care hospitals. Methods: Data were collected through structured questionnaires from August 2nd to 27th, 2019. Study participants consisted of 163 nurses who were working for at least 6 months from 7 long-term care hospitals in B and K city. Data were analyzed using t-test, ANOVA, Scheffe' test, Pearson's correlation coefficients, and hierarchical regression with SPSS WIN v 21.0.Results: There were significantly positive correlations between awareness of good death (r=.46, p<.001) and perception of patients’ rights (r=.32, p<.001). The factors affecting participants’ attitude toward life-sustaining treatment were awareness of good death (β=.35, p<.001) and their own view of death (β=.24, p=.001), which explained about 27.0% of the attitude toward life-sustaining treatment.Conclusion: Based on these results, it is necessary to develop nursing educational materials that can establish values for deaths, and cultivate legal and ethical knowledge related to attitude toward life-sustaining treatment. In addition, since the severity of a patient’s condition varies and the characteristics of the institution vary depending on the type of hospital, a study is needed on the relevance of variables considering the hospital environment.

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Public reporting of performance measures in long-term care in Canada: does it make a difference?

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.101 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M Poldrugovac ◽

J E Amuah ◽

H Wei-Randall ◽

P Sidhom ◽

K Morris ◽

...

Keyword(s):

Performance Measures ◽

Performance Indicators ◽

Long Term Care ◽

Public Reporting ◽

Policy Implications ◽

Term Care ◽

Factors Affecting ◽

Care Facilities ◽

The Impact

Abstract Background Evidence of the impact of public reporting of healthcare performance on quality improvement is not yet sufficient to draw conclusions with certainty, despite the important policy implications. This study explored the impact of implementing public reporting of performance indicators of long-term care facilities in Canada. The objective was to analyse whether improvements can be observed in performance measures after publication. Methods We considered 16 performance indicators in long-term care in Canada, 8 of which are publicly reported at a facility level, while the other 8 are privately reported. We analysed data from the Continuing Care Reporting System managed by the Canadian Institute for Health Information and based on information collection with RAI-MDS 2.0 © between the fiscal years 2011 and 2018. A multilevel model was developed to analyse time trends, before and after publication, which started in 2015. The analysis was also stratified by key sample characteristics, such as the facilities' jurisdiction, size, urban or rural location and performance prior to publication. Results Data from 1087 long-term care facilities were included. Among the 8 publicly reported indicators, the trend in the period after publication did not change significantly in 5 cases, improved in 2 cases and worsened in 1 case. Among the 8 privately reported indicators, no change was observed in 7, and worsening in 1 indicator. The stratification of the data suggests that for those indicators that were already improving prior to public reporting, there was either no change in trend or there was a decrease in the rate of improvement after publication. For those indicators that showed a worsening trend prior to public reporting, the contrary was observed. Conclusions Our findings suggest public reporting of performance data can support change. The trends of performance indicators prior to publication appear to have an impact on whether further change will occur after publication. Key messages Public reporting is likely one of the factors affecting change in performance in long-term care facilities. Public reporting of performance measures in long-term care facilities may support improvements in particular in cases where improvement was not observed before publication.

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A Cross-Sectional Study on the Impacts of Perceived Job Value, Job Maintenance, and Social Support on Burnout among Long-Term Care Staff in Hawaii

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020476 ◽

2021 ◽

Vol 18 (2) ◽

pp. 476

Author(s):

Bum Jung Kim ◽

Sun-young Lee

Keyword(s):

Social Support ◽

Long Term Care ◽

Cross Sectional Study ◽

Care Staff ◽

Hierarchical Regression ◽

Sectional Study ◽

Cross Sectional ◽

Term Care ◽

The Impact

Extensive research has demonstrated the factors that influence burnout among social service employees, yet few studies have explored burnout among long-term care staff in Hawaii. This study aimed to examine the impact of job value, job maintenance, and social support on burnout of staff in long-term care settings in Hawaii, USA. This cross-sectional study included 170 long-term care staff, aged 20 to 75 years, in Hawaii. Hierarchical regression was employed to explore the relationships between the key independent variables and burnout. The results indicate that staff with a higher level of perceived job value, those who expressed a willingness to continue working in the same job, and those with strong social support from supervisors or peers are less likely to experience burnout. Interventions aimed at decreasing the level of burnout among long-term care staff in Hawaii may be more effective through culturally tailored programs aimed to increase the levels of job value, job maintenance, and social support.

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Factors Affecting the Long-Term Care Preferences of the Elderly in Taiwan

Geriatric Nursing ◽

10.1016/j.gerinurse.2007.09.003 ◽

2008 ◽

Vol 29 (5) ◽

pp. 293-301 ◽

Cited By ~ 18

Author(s):

Min-Huey Chung ◽

Nanly Hsu ◽

Yin-Chun Wang ◽

Herng-Ching Lin ◽

Ya-Li Huang ◽

...

Keyword(s):

Long Term Care ◽

The Elderly ◽

Term Care ◽

Factors Affecting

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Factors affecting food intake of women with Alzheimer’s type dementia in long-term care

Journal of the American Dietetic Association ◽

10.1016/s0002-8223(21)02466-4 ◽

1989 ◽

Vol 89 (12) ◽

pp. 1770-1771 ◽

Cited By ~ 10

Author(s):

Nancy S. Suski ◽

Caroline C. Nielsen

Keyword(s):

Food Intake ◽

Long Term Care ◽

Term Care ◽

Factors Affecting

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A STUDY OF FACTORS AFFECTING PERCEPTIONS OF ADMINISTRATORS OF LONG-TERM CARE INSTITUTIONS FOR THE ELDERLY TOWARD HIRING FOREIGN LONG-TERM CARE WORKERS

The Gerontologist ◽

10.1093/geront/gnv657.03 ◽

2015 ◽

Vol 55 (Suppl_2) ◽

pp. 362-362

Keyword(s):

Long Term Care ◽

The Elderly ◽

Term Care ◽

Factors Affecting ◽

Care Workers ◽

Perceptions Of Administrators

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Correction to: factors affecting residents transition from long term care facilities to the community: a scoping review

BMC Health Services Research ◽

10.1186/s12913-017-2636-y ◽

2017 ◽

Vol 17 (1) ◽

Author(s):

Shannon Freeman ◽

Kristen Bishop ◽

Lina Spirgiene ◽

Erica Koopmans ◽

Fernanda C. Botelho ◽

...

Keyword(s):

Scoping Review ◽

Long Term Care ◽

Term Care ◽

Factors Affecting ◽

Care Facilities

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Factors Affecting Mistreatment of the Elderly in Long-Term Care Facilities

Healthcare ◽

10.3390/healthcare8030224 ◽

2020 ◽

Vol 8 (3) ◽

pp. 224

Author(s):

Jeongmi Lim

Keyword(s):

Long Term Care ◽

Institutional Environment ◽

Community Support ◽

The Elderly ◽

Term Care ◽

Factors Affecting ◽

Care Workers ◽

Care Facilities ◽

And Coping

In long-term care facilities, elderly mistreatment occurs routinely and frequently. However, few studies have empirically explored the multifaceted risk factor of mistreatment. The purpose of this paper was to explore the factors affecting elderly mistreatment by care workers in Japanese long-term care facilities and to examine the relationship between these factors and mistreatment. This analysis was based on a sample of 1473 care workers from long-term care facilities and used multiple regression analyses. The results revealed that the nursing care level, work period, resilience, and attitude towards mistreatment among residents and staff were factors significantly associated with the degree of mistreatment. Facility size, an institutional environment that does not limit the behavior of residents, and family and community support for the elderly were among the institutional environment factors that had significant relationships with mistreatment. Staff gender, care-related qualifications, and workload were not associated with mistreatment. These findings suggest that strengthening the staff’s attitude and coping skills to prevent mistreatment, as well as interventions for changes in the institutional environment, are needed to prevent and reduce the prevalence of mistreatment in Japan. In addition, raising staff resilience to stress situations and building a resident-centered facility care environment is an important measure to reduce mistreatment.

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Determinants of long-term care insurance applications in South Korea

Journal of Public Health ◽

10.1093/pubmed/fdaa094 ◽

2020 ◽

Author(s):

Sunhee Park ◽

Heejung Kim ◽

Chang Gi Park

Keyword(s):

Older Adults ◽

South Korea ◽

Long Term Care ◽

Community Dwelling ◽

Care Needs ◽

Term Care ◽

Factors Affecting ◽

Long Term Care Insurance ◽

The Government

Abstract Background South Korea established universal long-term care insurance (LTCI) in 2008. However, actual requests for LTCI remain lower than government estimates because some eligible candidates never apply despite their strong care needs. This study aimed to examine factors affecting LTCI applications for older, community-dwelling Koreans. Methods Both individual- and community-level data were obtained from a national dataset from the Korea Health Panel Survey and the Korea National Statistical Office (N = 523). Data were analyzed using multilevel modeling. Results Only 16.4% of older adults in need of care applied for LTCI. Those who applied were more likely to be older, report poor self-rated health, receive care from non-family caregivers, and have caregivers experiencing high levels of caregiving burden. Regional differences in LTCI applications existed concerning the financial condition of one’s community. Conclusions Our study findings emphasize that Korean LTCI should implement both individual and community strategies to better assist older adults in properly acquiring LTCI. The government should make comprehensive efforts to increase access to LTCI in terms of availability, quality, cost, and information by collaborating with local centers.

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