Protocol for a prospective, longitudinal cohort study on the incidence of dementia after the onset of delirium in patients with mild cognitive impairment: MDDCohort (Mild Cognitive Impairment Delirium Dementia).

Background: Mild cognitive impairment (MCI) is a major risk factor for delirium. Few studies with mid- to long-term follow-up periods have examined delirium, MCI, and the conversion of MCI to dementia. This prospective, longitudinal cohort study aims to assess the incidence of dementia after delirium onset in patients with MCI and to develop an artificial intelligence algorithm for predicting the conversion of MCI to dementia.

Pressure Ulcer Management Virtual Reality Simulation (PU-VRSim) for Novice Nurses: Mixed Methods Study.

Background: Pressure ulcers (PUs) are a common and serious complication in patients who are immobile in health care settings. Nurses play a fundamental role in the prevention of PUs; however, novice nurses lack experience in clinical situations. Virtual reality (VR) is highly conducive to clinical- and procedure-focused training because it facilitates simulations.

Development of an infection control competency scale for clinical nurses: an instrument design study.

Background: Nurses work in close proximity to patients, and as such, they can have a direct impact on the control of infections; thus, it is important for nurses to be competent in infection control. However, the scales used to measure infection control performance in nurses are not suitable for measuring infection control competencies that reflect nurses' expertise, clinical environment, and work. Thus, this study aimed to develop a valid and reliable measure to assess infection control competency of clinical nurses.

Exploring influential factors on patient safety culture in delirium nursing care within long-term care facilities: a cross-sectional survey.

Background: Elderly residents with physical and cognitive impairments in long-term care facilities are vulnerable to safety risks.

Purpose: This study investigated factors that influence patient safety cultures in delirium nursing care in long-term care facilities.

Methods: A cross-sectional survey was conducted among 214 nurses working in 12 long-term care facilities using a structured questionnaire from February 15, 2022, to March 14, 2022.

Factors affecting self-care among community-dwelling hypertensive older adults: A cross-sectional study.

Aim: To examine self-care behaviours among older adults with hypertension and identify related factors, including cognitive function, religious belief and comorbidities.

Design: A cross-sectional study.

Methods: Self-care behaviours included diet and health.

Web-Based Delirium Prevention Application for Long-Term Care Facilities.

Objective: A web-based application was developed for medical staff to easily access and use a comprehensive delirium prevention management program-comprising risk prediction, assessment, and intervention-even in long-term care facilities with insufficient systems.

Design: A randomized control trial.

Setting And Participants: A long-term care facility with 250 beds in Korea.

The development of a web-based app employing machine learning for delirium prevention in long-term care facilities in South Korea.

Background: Long-term care facilities (LCFs) in South Korea have limited knowledge of and capability to care for patients with delirium. They also often lack an electronic medical record system. These barriers hinder systematic approaches to delirium monitoring and intervention.

Operationalization of an Expanded Anteroom in a COVID-19-Dedicated Hospital in South Korea.

The concentration of patients in a few facilities burdens healthcare providers and the healthcare system. This study examined the operations of an extended anteroom in a COVID-19-dedicated hospital. It presents issues to consider in the deployment and operation of an extended anteroom through discussions by expert working groups.

Machine Learning to Identify Psychomotor Behaviors of Delirium for Patients in Long-Term Care Facility.

This study aimed to develop accurate and explainable machine learning models for three psychomotor behaviors of delirium for hospitalized adult patients. A prospective pilot study was conducted with 33 participants admitted to a long-term care facility between August 10 and 25, 2020. During the pilot study, we collected 560 cases that included 33 clinical variables and the survey items from the short confusion assessment method (S-CAM), and developed a mobile-based application.

Factors affecting patient safety culture in terms of compliance with preventing bloodborne pathogens among general hospital nurses.

Background: The present study aims to investigate the relationship between patient safety culture and the prevention of transmitting bloodborne pathogens among nurses at a general hospital.

Methods: The participants were 284 nurses working at a general hospital located in a city, and the data were collected between April 26 and May 15, 2019. Questionnaires on patient safety culture and the prevention of bloodborne pathogens were used, and SPSS version 22.

Effects of a labour and delivery simulated practice programme for elderly primigravidas.

Aim: Increasing numbers of older gravidas compel research into best practices for their labour-related outcomes. Responding to this need, this study sought to develop and evaluate a programme for older primigravidas.

Design: The authors developed a simulated practice programme for older primigravidas and tested its effects.

Experience of gerotranscendence among community-dwelling older people: A cross-sectional study.

Aims And Objectives: To investigate the experience of gerotranscendence among older people in community in Korea and the factors that influence their experience.

Background: While the literature provides estimates of how many older people are affected by negative aspects of ageing, it is not known to what extent and why some older people experience gerotranscendence, despite the challenges they encounter throughout their lifetime.

Design: A cross-sectional survey.

Outcomes of Patients With Delirium in Long-Term Care Facilities: A Prospective Cohort Study.

A 6-month prospective cohort study was performed in patients with or without dementia admitted to two Korean long-term care (LTC) facilities. Participants were categorized into four groups: (a) no delirium or dementia, (b) dementia only, (c) delirium only, and (d) delirium superimposed on dementia (DSD). Delirium incidence, mortality, readmission, discharge placement, length of stay, and other associated factors were evaluated.

Development and validation of an automated delirium risk assessment system (Auto-DelRAS) implemented in the electronic health record system.

Background: A key component of the delirium management is prevention and early detection.

Objective: To develop an automated delirium risk assessment system (Auto-DelRAS) that automatically alerts health care providers of an intensive care unit (ICU) patient's delirium risk based only on data collected in an electronic health record (EHR) system, and to evaluate the clinical validity of this system.

Design: Cohort and system development designs were used.

Sexual Abuse Prevention Mobile Application (SAP_MobAPP) for Primary School Children in Korea.

This study aimed to develop and evaluate the effects of a sexual abuse prevention mobile application, SAP_MobAPP, for primary school children. Forty-five subjects were trained for 40 minutes once a week. The experimental group received education that utilized the SAP_MobAPP.

The effects of a tailored intensive care unit delirium prevention protocol: A randomized controlled trial.

Background: A decreased incidence of delirium following the application of non-pharmacologic intervention protocols to several patient populations has been previously reported. However, few studies have been conducted to examine the effects of their application to intensive care unit (ICU) patients.

Objectives: To examine the effects of applying a tailored delirium preventive protocol, developed by the authors, to ICU patients by analyzing its effects on delirium incidence, in-hospital mortality, ICU readmission, and length of ICU stay in a Korean hospital.

Is delirium an unrecognized threat to patient safety in Korean intensive care units?

Delirium is an emerging topic in patient safety. However, in Korea, delirium is still underrecognized despite high incidence rates in Korean hospitals. We studied the impact of delirium on patient outcomes in Korean intensive care units (ICUs) and found that delirium is associated with higher in-hospital mortality, shorter survival over the course of hospitalization, longer ICU and hospital stays, more frequent readmission to the ICU for the same hospitalization event, and higher health care costs.