• Title/Summary/Keyword: 가족중심간호

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Nurses' Perceptions of Person-Centered Care in Long-term Care Hospitals: Focus Group Study (인간중심돌봄에 대한 요양병원 간호사의 인식: 포커스 그룹 연구)

  • Chang, Hee-kyung;Gil, Cho-rong;Kim, Hye-jin;Bea, Han-ju;Yang, Eun-ok;Yoon, Mi-lim;Ha, Ja-hyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.441-453
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    • 2018
  • This study was conducted to understand and describe Korean nurses' perception of person-centered care for elderly patients in long-term care hospitals. Qualitative data were collected through four focus group interviews consisting of 21 nurses working in four long-term care hospitals in Jeolla and Gyeongsang provinces. Participants completed interviews from July 19 to 30, 2018. All interviews were recorded, transcribed, and analyzed by employing the thematic analysis method. Six main themes for the attributes of person-centered care for elderly patients in the long-term care hospitals were conceptualized: respecting individual needs, walking to the end, supporting hidden dreams, becoming a family partner, helping patients live like they are at home, and changing culture. Person-centered care perceived by nurses was conducted to provide individualized nursing according to elderly's preferences and help them discover the value and meaning of life through various activity programs. Nurses also recognized person-centered care to maintain cooperative relationships with their family members and share their decision-making process, as well as to form a physical environment and organizational culture that respects the rights and autonomy of the elderly. Based on the results of this study, it is necessary to identify the diverse needs of the elderly and develop nursing intervention programs based on person-centered care.

Stigma of Families with Mental Illnesses Patients (정신질환자 가족의 오명)

  • Bae, Sun-Hee
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.213-220
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    • 2013
  • The purpose of this study was to search stigma experiences of family members who take care of their mental illness patients. Participants consist of three parents, one child, one brother of mental illness patient. The period to collect data was from June to October 2010. We collected the data through depth interview with participants and observance of them. The data was analyzed using phenomenal analysis suggested by Giorgi. As a result, meaningful technologies abstracted from original data were 217, and based on these we induced 26 themes by grouping them with more abstract and integrated language and seven central meanings were induced herein again. Seven central meanings are about stigma of family members of mental illness patients and they are as follows: 'Improper dealing, loss of relationship with surrounding persons, oneself cannot be revealed, conflict with others, unbearable sympathy, incapacity of oneself, buck-passing of oneself'. This study could be a scientific base data to the development of efficient nursing intervention and to understand the pains of mental illness patients and their family members who inevitably have to be separated from the society by recognizing the meaning of stigma to them.

The Role of Women in Health Care in Korea (한국 보건의료에 있어서 여성의 역할)

  • Kim Susie
    • The Korean Nurse
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    • v.23 no.3 s.126
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    • pp.44-50
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    • 1984
  • 한국여성은 전통적으로 대가족제도 속에서 육아 및 가사활동에만 종사해왔다. 그러나 산업화 및 사회구조의 변화로 여성들도 교육의 기회를 갖게 되었으며 전통적인 역할 수행에 대한 가치변화와 함께 여성의 사회적 역할을 필요로 하게 되었다. 반면에 가족 형태가 핵가족화 함으로서 가족 내에서의 자녀양육을 비롯한 가정적 역할이 더욱 중요시 되게 되었다. 오늘날 한국사회는 여성에게 현재의 사회구조와 핵가족 속에서는 시간적으로 동시에 수행할 수 없는 두 가지 상반된 역할을 강조하고 있는 것이다. 이러한 상반된 역할사이에서는 여성은 갈등과 좌절감을 느끼게 되며 이중적인 부담 속에서 생활하게 되었다. 본 원고에서는 전통적인 한국의 가족가치관을 살펴보고 건강관리 측면에서 여성의 역할을 살펴보고 건강관리 측면에서 여성의 역할을 살펴보고자 한다. 전통적 가족가치관과 여성-우리나라의 전통적 가족은 부계 중심의 혈연 계승을 중요시하는 가부장적 대가족제도라 할 수 있다. 따라서 부계 계승을 통한 가족의 영속성과 가 중심사상에 기반을 둔 철저한 가족주의적 가치관이 전통적 사회를 지배하여 왔다. 그러므로 자연히 개인보다 가족집단이 우의적인 지위에 있을 뿐만 아니라 모든 행동의 결정에도 중요한 준거 집단이 되었다. 이러한 가의 영속 및 번영을 가장 효과적으로 수행하기 위해서는 많은 자녀를 필요로 했으며 부계중심 가족에서 자연히 남아 선호사상이 강할 수밖에 없었으며 이것은 조상에 대한 의무요 책임이라 생각했다. 이러한 가부장권의 확대에 반비례해서 가정 내에서 여성의 지위와 역할은 축소되어갔다. 여성들의 절대적인 예속을 필요로 하여 삼종지도니 칠거지악이니 불경이부등의 도덕률을 만들었으며 여성들 스스로가 이러한 정절과 복종을 미덕으로 생각하도록 교육받음으로서 여성들 자신이 자기희생의 굴레 속에서 인내와 복종의 생활을 운명처럼 받아들이게 되었으며 남편과 자식을 위해서는 목숨까지도 희생하게끔 철저히 사회화되었던 것이다. 그러나 가족 제도 안에서의 남녀의 지위는 동위 항렬 내에서만 해당되고 항렬을 달리할 때는 삼종지도의 이론에 부합된다. 어머니로서의 존장련이 인정되어서 가정 내에서의 여성의 종속적인 지위에 비하여 모의 권한은 절대적이었다. 상례와 제례에서 어머니와 아버지에 대한 의식에는 차이가 없으며 내외 명부제도에 의해서 부인도 남편과 똑같은 대우를 받도록 되어있다. 이러한 존장련에 의한 모의 권리와 더불어 부부유별에 의해서 가사권의 독자적인 결정권도 인정되고 있었다. 건강관리 측면에서 여성의 역할- 전통적으로 건강관리에 관련된 한국여성의 역할은 1. 씨받이로서의 역할로 생명을 잉태하도록 돕고 건강한 아이의 수태를 위해 태교에 힘썼으며 2. 자녀의 의식주를 해결하는 가사 역할만을 담당하는 전통적인 여성의 역할만을 수행하였으며 출산한 생명을 건강하게 자라도록 건강관리를 철저히 하였으나 체계적인 건강관리는 되지 못하였으며 특히 식생활에 유의하였으나 정서, 사회면은 도외시 한 과잉보호현상이었다. 3. 결혼 후에는 남편의 건강관리를 위해 철저하였으며 특히 식생활에 유의하였고 정서적으로 부담을 주지 않도록 유념하였다. 4. 또한, 임종시 평안한 죽음을 맞도록 도왔다. 전통적으로 한국여성의 역할은 돕는 역할이었다.

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An Integrative Review Regarding Family-School Nurse Partnership in School Health Care (가족-보건교사 간 학교건강관리 파트너십에 관한 통합적 문헌고찰)

  • Uhm, Ju-Yeon
    • Journal of Korean Public Health Nursing
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    • v.34 no.2
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    • pp.165-181
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    • 2020
  • Purpose: This study is an integrative review of previous research conducted on family-school nurse partnership in school health care, as perceived by school nurses, children, and families. Method: The study was conducted according to the five stages of integrative review suggested by Whittemore and Knafl (2005), which involved problem identification, literature search, data evaluation, data analysis, and presentation of results. Suitable literature was found using portals such as PubMed, CINAHL, Embase, and Web of Science. Key words such as school nurses, family, parents, children, and partnership were used to narrow the search results. Studies published in peer-review journals between 2006-2018 were selected. The quality of studies was appraised using critical appraisal tools provided by the Joanna Briggs Institute (2020). Result: Thirteen studies (5 quantitative and 8 qualitative) were finalized for the final review process. After an extensive review, four key themes of school nurse-family partnership in school health care were identified: partnership components, partnership barriers, partnership facilitators, and strategies to promote partnership. Conclusion: Partnership and its components, barriers, and facilitators, along with strategies for its promotion should be considered in school health care. Further studies are needed on the perceptions held by parents and children regarding school health care partnership.

Predictors of Resilience in Adolescents with Cancer (소아암 청소년의 복원력 예측 요인)

  • Park, Young-Ok;Son Hong, Gwi-Ryung;Tak, Young-Ran
    • Child Health Nursing Research
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    • v.19 no.3
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    • pp.177-186
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    • 2013
  • Purpose: The purpose of this study was to identify the predictors influencing on resilience in adolescents with cancer. Methods: The participants consisted of 107 parents and 107 adolescents who aged ten and eighteen diagnosed with cancer more than six months and currently receiving outpatient treatment or further management after off-therapy. Data was collected using self-report questionnaires and analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation, and multiple regression. Results: Resilience was significantly different by religion (t=2.472, p=.045) and number of cancer treatment regimens (F=3.155, p=.047). Family problem-solving communication was also significant by number of cancer treatment regimens (F=3.582, p=.031). The higher social support showed the stronger family hardiness and the better family problem-solving communication. In addition, a positive relationship was found between Family Hardiness Index (FHI) (r=.193, p=.046), Family Problem Solving Communication (FPSC) (r=.226, p=.019) and resilience of adolescents with cancer. FPSC (${\beta}$=.356, p=.045) and religion (${\beta}$=.441, p=.002) were predictive factors at ages 10-12, FHI (${\beta}$=.509, p=.029) and FPSC (${\beta}$=.503, p=.037) were predictive factors at ages 13-15 on resilience of adolescents with cancer that explained 16.0% and 24.3% respectively. Conclusion: The findings suggest that nursing interventions should focus on enhancing family resilience and resilience of adolescents with cancer.

Work-Family Compatibility Experience of Married Nurse: Focusing on the Expanding Stage of the Family Life Cycle (기혼간호사의 일-가정양립경험: 가족확대기 간호사를 중심으로)

  • Kim, Han-Na;Kim, Jeong-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.545-559
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    • 2016
  • This study examined the work-family compatibility experience of married nurses. The participants of this research were 7 registered nurses who are on the expanding stage of their family life cycle. Data were collected by individual in-depth interviews from June 10 to November 30, 2015 and analyzed using phenomenological methodology by Colaizzi (1978). The results showed that the work-family compatibility experience of married nurses may be categorized into 4 categories, 'the reality of work and parenting', 'external and internal conflicts about the compatibility of work and parenting', 'compromise with reality for solving the difficulty of compatibility', 'growing desire and efforts for compatibility', and may be identified with 12 theme clusters and 29 themes. The worthiness as a professional woman and happiness in child rearing are the driving force of the compatibility of work and family in married nurses. Therefore, the continued support of government policies and family is important for married nurses to maintain work and family balance.

Development of a Scenario and Evaluation for SimBaby Simulation Learning of Care for Children with Fever in Emergency Units (SimBaby 시뮬레이션 학습 시나리오의 개발 및 평가 -응급실 내원 발열환아를 중심으로-)

  • Kim, Hae-Ran;Choi, Eun-Ju
    • The Journal of the Korea Contents Association
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    • v.11 no.6
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    • pp.279-288
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    • 2011
  • Nursing college students' continuous clinical experiences play an important part in the development of their nursing competency. In reality, it is difficult all of students to have enough clinical experiences. We can think of simulation learning as a solution to this problem. This research attempted to develop learning contents of simulation scenario regarding pediatric nursing. We organized the contents focusing on nursing process. The application of simulation scenario showed that the educational effect. In conclusion, this research suggests that nursing college students can supply high-quality nursing services to children and their families by developing and application of simulation scenario with various cases.

The Effects of Solution-focused Group Counseling Program for the Families with Schizophrenic Patients (정신분열병 환자 가족에 대한 해결중심 집단상담 프로그램의 효과)

  • Chung Soon-Ah;Yang Soo
    • Journal of Korean Academy of Nursing
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    • v.34 no.7
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    • pp.1155-1163
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    • 2004
  • Purpose: This study was designed to examine the effects of a solution-focused group counseling program on the family burden, active coping, expressed emotion, and family support in schizophrenic patients and their families. Method: The subjects consisted of 48 schizophrenic patients and 56 families. Twenty-four schizophrenic patients and 28 families were assigned to both the experimental and control groups. The solution-focused group counseling program was conducted for the families of the experimental group, but not for the control group or the patients of the experimental group. Result: There was a significant greater decrease in scores of family burden and expressed emotion in the experimental groups than the control groups. There was a larger increase in active coping scores in the experimental groups than the control groups, but it was not significant. There was no significant difference between the two groups in family support scores. Conclusion: This program may be an effective nursing intervention program for families with schizophrenic members.

Experience of Patients and Families about Flexible Visiting (중환자실 환자와 가족의 자율면회 경험)

  • Dan, So-Young;Park, Sook-Hyun;Lee, Seul;Park, Hye-Yeon;Yi, Young-Hee
    • Journal of Korean Critical Care Nursing
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    • v.10 no.1
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    • pp.51-62
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    • 2017
  • Purpose: This study aimed to understand the essence of experiences of patients and family members during flexible visiting in an intensive care unit (ICU). Methods: This is a qualitative study using interviews with open ended questions. We used Colaizzi's method of phenomenological interpretation. Results: Flexible visiting in the ICU impacted the patients and their families in various ways. The following categories were extracted from the patients' experiences with flexible visiting: 1) the opportunity to feel the presence of the family and 2) the burden of unrestricted visiting. The following categories were extracted from the families' experiences with flexible visiting: 1) psychological comfort by convenience 2) being aware of health care professionals and critical care nursing in the intensive care unit, and 3) double trouble. Conclusions: These results showed that flexible visiting in the ICU affected the patients and their families positively and negatively. Therefore, nursing staff need to design psychological and social interventions that address the needs of patients and their families.

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Correlations between a Flexible Parental Visiting Environment and Parental Stress in Neonatal Intensive Care Units (신생아집중치료실 미숙아 부모의 자율면회 방문 현황과 부모 스트레스와의 상관관계)

  • Lee, Su Jin;Choi, Eun Kyoung;Park, Jeongok;Kim, Hee Soon
    • Child Health Nursing Research
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    • v.25 no.4
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    • pp.377-387
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    • 2019
  • Purpose: The purpose of this study was to examine the correlation between a flexible parental visiting environment and parental stress in neonatal intensive care units (NICUs). Methods: The study participants included 60 parents of premature infants in NICUs. Structured questionnaires and interviews, as well as observations by researchers using a caregiving behavior checklist, were used to measure the flexibility of the parental visiting environment and parents' stress levels. Quantitative and qualitative data were collected concurrently and were initially analyzed as separate data sets. Data collection extended from March 11, 2018 to June 30. 2018 and the data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, and Pearson correlation coefficients. Results: There was a negative correlation (r=-.30, p=.021) between parental stress and the total number of visits in 7 days. We also found that the average duration of each visit and the number of caregiving behaviors performed by parents were positively correlated (r=.73, p<.001). Conclusion: When designing a flexible visiting environment for parents, parents should be encouraged to visit their babies. By doing so, stress can be reduced both for babies and for parents. Therefore, it is suggested that the related polices and regulations in South Korea should be changed to provide more a flexible visiting environment to promote better parent-child attachment and family adjustment.