{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:16:40Z","timestamp":1773267400565,"version":"3.50.1"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,3,24]],"date-time":"2015-03-24T00:00:00Z","timestamp":1427155200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004085","name":"Ministry of Education, Science and Technology","doi-asserted-by":"crossref","award":["2010-0009022"],"award-info":[{"award-number":["2010-0009022"]}],"id":[{"id":"10.13039\/501100004085","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>With ageing, older people face cardiovascular problems as the major cause of disability and death. Although immediate medical attention is a major factor in determining outcomes of cardiac problems, lack of personnel (i.e. registered nurse, certified nursing assistant and home care aide) in nursing homes without residing doctor limits the awareness of such problems, thus making it difficult to initiate timely and appropriate intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to conceptualize critical care for nursing home residents with cardiac vulnerability and develop practical knowledge in nursing practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Conventional content analysis was performed on date from interviews with 30 nurses from 10 nursing homes in South Korea between July and November 2010.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The analysis revealed three major cardiac problems resulting from residents' cardiac vulnerability: angina, myocardial infarction (MI) and cardiogenic shock. Through content analysis, we extracted 6 themes and 21 subthemes for nurses' conceptualization of critical care for nursing home residents with cardiac vulnerability. In nursing homes without a residing doctor, nurses assessed the physical, functional and cognitive conditions along with the responses and symptoms of residents when emergency situations related to the cardiac problems occurred. Moreover, with a lack of infrastructures of a hospital, nurses provided critical care to the elderly by using personal practice strategies based on their personal experience in facilities along with practical knowledge of nurses while following the management principles of emergencies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and relevance to clinical practice<\/jats:title><jats:p>We found that nurses conceptualized critical nursing care for cardiac problems at nursing homes, which are different from those of general hospitals. The results of this study will provide basis for the development of care guidelines and educational materials that can be used by novice nurses or nursing students.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nicc.12132","type":"journal-article","created":{"date-parts":[[2015,3,24]],"date-time":"2015-03-24T22:09:10Z","timestamp":1427234950000},"page":"329-338","source":"Crossref","is-referenced-by-count":7,"title":["Nursing home nurses conceptualize how to care for residents with cardiac vulnerability"],"prefix":"10.1111","volume":"22","author":[{"given":"Mi So","family":"Kim","sequence":"first","affiliation":[{"name":"College of Nursing Korea University Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun Ju","family":"Kim","sequence":"additional","affiliation":[{"name":"College of Nursing Korea University Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jung Eun","family":"Choi","sequence":"additional","affiliation":[{"name":"Operation Room Korea University Anam Hospital Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su Jin","family":"Kim","sequence":"additional","affiliation":[{"name":"Baekseok Culture University College of Nursing Cheonan Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung Ok","family":"Chang","sequence":"additional","affiliation":[{"name":"College of Nursing Korea University Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,3,24]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"275","article-title":"Management of urinary tract infections in the nursing home elderly: a proposed algorithmic approach","volume":"11","author":"Beier MT","year":"1999","journal-title":"International Society of Chemotherapy"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/089826439801000305"},{"key":"e_1_2_8_4_1","first-page":"65","article-title":"Management of acute coronary syndromes in elderly patients: a single\u2010center experience","volume":"13","author":"Cacucci M","year":"2012","journal-title":"Giornale Italiano di Cardiologia"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10729-012-9204-0"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2010.03635.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2009.00708.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200104263441707"},{"key":"e_1_2_8_9_1","volume-title":"The Continuum of Long\u2010Term Care","author":"Evashwick CJ","year":"2005"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.19.3.40"},{"key":"e_1_2_8_11_1","volume-title":"Critical Care Nursing of Older Adults","author":"Foreman MD","year":"2010"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-0665"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/heart.83.4.388"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2004.04.002"},{"key":"e_1_2_8_16_1","volume-title":"Coronary Artery Disease (CAD) Clinical Practice Guidelines","author":"Kaiser Permanente Care Management Institute","year":"2008"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2007.01.005"},{"key":"e_1_2_8_18_1","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1891\/0889-7182.1.2.99","article-title":"Structuring the nursing knowledge system: a typology of four domains","volume":"1","author":"Kim HS","year":"1987","journal-title":"Research and Theory for Nursing Practice"},{"key":"e_1_2_8_19_1","volume-title":"The Nature of Theoretical Thinking in Nursing","author":"Kim HS","year":"2010"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.841437"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2012.09.002"},{"key":"e_1_2_8_22_1","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1001\/jama.1994.03510330056034","article-title":"Outcome of out\u2010of\u2010hospital cardiac arrest in New York City: The Pre\u2010Hospital Arrest Survival Evaluation (PHASE) Study","volume":"271","author":"Lombardi G","year":"1994","journal-title":"The Journal of the American Medical Association"},{"key":"e_1_2_8_23_1","volume-title":"Nursing for Wellness in Older Adult","author":"Miller CA","year":"2010"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2012.08.005"},{"key":"e_1_2_8_25_1","volume-title":"Critical Care Nursing: A Holistic Approach","author":"Morton PG","year":"2013"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-012-2772-1"},{"key":"e_1_2_8_27_1","doi-asserted-by":"crossref","unstructured":"OECD. 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