Nurses' management of condition changes in elderly residents in South Korean nursing homes: Concept development

Sung Ok Chang, Mi So Kim, Su Jung Lee, Won Hee Park, Hea Shoon Lee, Se Hyun Lim

Research output: Contribution to journalArticlepeer-review


This study used a qualitative approach and a hybrid method to determine the definition, dimensions and attributes of condition changes in nursing home residents, and to conceptualize care for effective management practices of nurses. In the first step, problems related to condition change which frequently occurred in nursing homes were identified through interviews with nursing home nurses. In the second step, concept analysis on nurses' management of residents' condition change in nursing homes using the hybrid model method was executed. This step involved the following three phases: the theoretical phase, the fieldwork phase, and the final analytic phase. From the preliminary interviews, major condition changes of the residents in nursing homes can be categorized into total of 5 categories (cardiac problems, central nerve system problems, metabolic imbalances, infection problems, and organ obstruction problems) and 18 subcategories. Based on the findings from the theoretical and fieldwork phases, management of condition changes in nursing home residents was defined as an active process performed under time pressure and was comprised of three dimensions with several attributes. This study will affect nursing decisions in the management of emergency circumstances and could be utilized for building protocols for condition change or practice guidelines development.

Original languageEnglish
Pages (from-to)445-467
Number of pages23
JournalInternational Journal of Pure and Applied Mathematics
Issue numberSpecial Issue 19A
Publication statusPublished - 2018 Jan 1


  • Concept development
  • Condition changes
  • Elderly
  • Hybrid model
  • Nursing home

ASJC Scopus subject areas

  • Mathematics(all)
  • Applied Mathematics


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