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KMID : 0388320140210010057
Journal of Korean Academy of Fundamental Nursing
2014 Volume.21 No. 1 p.57 ~ p.68
Nurses¡¯ Management of Nursing Home Residents¡¯ Remaining Functional Ability: Concept Development
Lim Sun-Young

Chang Sung-Ok
Kim Su-Jin
Kim Hyun-Ju
Choi Jung-Eun
Park Min-Sun
Abstract
Purpose: Nurses¡¯ management of Nursing Home residents¡¯ remaining functional ability is phenomena emphasizing as the main practice focus in long term care and has specific meanings within the context of quality of life for fragile and disabled elderly people in nursing homes. This study was conducted to clarify and to conceptualize 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 of residents¡¯ remaining functional ability.

Results: This concept of nurse¡¯ management emerged as a phenomenon having meanings in two different dimensions, deliberation and enactment for five types of residents: residents with declining function and dementia requiring nursing assistance, bed-ridden residents with moderate dementia, residents with advanced dementia and behavior problems, but good physical health, residents at the end of life stage, and bed-ridden residents with intact mental health.

Conclusions: Results indicate that nurses¡¯ management of remaining functional ability of residents in nursing homes is a concept having types of needs that should be treated in specified ways. Interventions should have a positive impacts on practical applications in nursing homes and on enhancing residents¡¯ remaining function.
KEYWORD
Health Services for the Aged, Nursing Home
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