2022, Vol.12, No.2

Global Health and Nursing 2023 KCI Impact Factor : 0.85

pISSN : 2233-5560 / eISSN : 2671-5554
https://journal.kci.go.kr/rins

Purpose: This systematic review aimed to synthesize nursing theory-based delirium studies. Methods: Six electronic databases were searched via combinations of the key terms “delirium” , “nursing theory” , “hospital” , and “patient”. In total, 338 articles were found, and 87 duplicates were removed. Three independent reviewers screened and read the remaining articles and selected 12 articles. Characteristics of the included studies and theory application related information were extracted. Keywords of the studies were classified and analyzed based on the nursing meta-paradigm. Results: Studies on delirium utilized various theories that included grand (n=4), middle-range (n=4), and situation specific theories (n=4). Regarding theory application, eight studies used nursing theory as a conceptual framework, three studies developed new nursing theories on delirium, and one evaluated an existing theory. In three studies out of four RCTs (Randomized controlled trials), theory-based delirium interventions proved effective in reducing the incidence, duration, and severity of delirium. Nursing theories also helped explain nurses’ clinical reasoning and caregiver engagement in delirium. Keyword analysis results showed that elderly and intensive care unit patients are high risk groups. Conclusion: Nursing theories could be applied to various study designs; however, the number of nursing theory-based literature is limited. Further application in practice, research, and education should be promoted continuously.

Purpose: The Pohang Earthquake caused substantial socioeconomic damage in 2017. Vulnerable populations include older adults, who experience adverse impacts during earthquakes. This study was to investigate the earthquake experiences of older adults living in an earthquake-stricken area. Methods: This study was based on qualitative research using phenomenological methodology. Data collection was conducted through in-depth interviews from October to December 2021 with 10 older adults who experienced the Pohang Earthquake. Data analysis was performed using Colaizzi’s method. Results: The earthquake experiences of older adults were categorized into 34 sub-themes, 11 themes, and the following four theme clusters: (1) an unforgettable situation that occurred during the earthquake; (2) a life of suffering caused by the earthquake; (3) longing for one’s peaceful life before the earthquake; and (4) accepting the new reality for oneself and future generations. Conclusion: The current study results can help to improve the understanding of various aspects of earthquake experiences among vulnerable older adults. Community nurses and policymakers must focus on enhancing disaster psychological support programs highlighting psychological impacts and somatic symptoms among older adults. These results can be used to enhance community resilience and disaster preparedness in community centers and earthquake trauma centers.

Purpose: The purpose of this study was to identify the school communicable disease response of elementary, middle and high school health teachers to COVID-19. Methods: The study design was a descriptive survey. The total number of participants who worked as the health teachers in Gyeongsangnamdo was 360. Data were collected online from September 15th to September 25th, 2020, using a questionnaire. The method of analysis included descriptive statistics, x 2 test, and Fisher’s exact test using the IBM SPSS Statistics Windows 25.0 program. Results: Responding to COVID-19, 63.3% of the individuals in charge of the planning and division of work had multiple appointments. In case of confirmed (suspicious) infection, 85.2% of participants answered that they cooperated appropriately with local public health centers. There was a difference in the appropriate operation of the reporting system (x 2 =4.88, p=.037) when there was a working experience during the influenza H1N1 or MERS outbreak. At the school level, the implementation of COVID-19 responses education for parents was high in elementary school (x 2 =11.77, p=.003). In addition, there were many cases in which health teachers oversaw school disinfection (x 2 =54.69, p<.001). Conclusion: A system to raise the awareness of the responsibility of members of the communicable disease management system is required. Health education classes for communicable disease prevention education should be included in the school curriculum. Also, Specific administrative support at the level of the education office is required to prevent communicable diseases.