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

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...

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Autores principales: LIM, Sun-Young, CHANG, Sung Ok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7664978/
https://www.ncbi.nlm.nih.gov/pubmed/32501961
http://dx.doi.org/10.1097/jnr.0000000000000394
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author LIM, Sun-Young
CHANG, Sung Ok
author_facet LIM, Sun-Young
CHANG, Sung Ok
author_sort LIM, Sun-Young
collection PubMed
description 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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spelling pubmed-76649782020-11-16 The Conceptual Structure of the Management by Nurses of the Ego Integrity of Residents of Nursing Homes LIM, Sun-Young CHANG, Sung Ok J Nurs Res Original Articles 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. Lippincott Williams & Wilkins 2020-06-05 /pmc/articles/PMC7664978/ /pubmed/32501961 http://dx.doi.org/10.1097/jnr.0000000000000394 Text en Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
LIM, Sun-Young
CHANG, Sung Ok
The Conceptual Structure of the Management by Nurses of the Ego Integrity of Residents of Nursing Homes
title The Conceptual Structure of the Management by Nurses of the Ego Integrity of Residents of Nursing Homes
title_full The Conceptual Structure of the Management by Nurses of the Ego Integrity of Residents of Nursing Homes
title_fullStr The Conceptual Structure of the Management by Nurses of the Ego Integrity of Residents of Nursing Homes
title_full_unstemmed The Conceptual Structure of the Management by Nurses of the Ego Integrity of Residents of Nursing Homes
title_short The Conceptual Structure of the Management by Nurses of the Ego Integrity of Residents of Nursing Homes
title_sort conceptual structure of the management by nurses of the ego integrity of residents of nursing homes
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7664978/
https://www.ncbi.nlm.nih.gov/pubmed/32501961
http://dx.doi.org/10.1097/jnr.0000000000000394
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