• Journal of Hospice and Palliative Care
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• v.15 no.4
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• pp.193-204
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• 2012

Purpose: This correlation study was performed to examine Korean adults' perceptions and attitudes towards death with dignity and the withdrawal of life sustaining treatment and to identify factors that predict their attitude towards death with dignity. Methods: The study was conducted using convenience sampling of 291 adults from three towns of a metropolitan city in Korea. Data were collected using structured questionnaires which surveyed people's perception about and attitudes towards withdrawal of life sustaining treatment and scaled their attitude towards death with dignity. Data were analyzed by using descriptive statistics, Pearson correlation coefficients and multiple regression. Results: The attitude towards the withdrawal of life sustaining treatment and death with dignity showed a significant positive correlation (r=0.49, P<0.001). For attitudes towards death with dignity, significant predictors were attitudes towards the withdrawal of life sustaining treatment, age, religion, a proper withdrawal process and advanced medical directives, which explained 49.3% of total variance. Conclusion: The results of this study may contribute to development of a new medical decision-making system including nurses' appropriate roles in the process of withdrawing life sustaining treatment and advanced medical directives.

• Journal of Home Health Care Nursing
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• v.13 no.1
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• pp.24-32
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• 2006

The purpose of this study is to predict the degree of taking the complementary & alternative therapy in the home care nursing service and provide basic data for the application of it. To accomplish this, degree of general recognition of the complementary & alternative therapy, experiences, degree of concern, applicability of the therapy, and educational need should be studied. This study is a descriptive research survey on the home care nurses working at 73 medical centers out of 125 nationwide who provide hospital based home nursing care. The data was collected from Sep. 20, to Oct. 20, 2004 by ChoiHeyran's questionaries (2002). The data was analyzed by the frequency and the percentage. The results of this study are as follows ; 1. The degree of pre-cognition on the complementary & alternative therapy is very high. Information about the therapy was mostly obtained through medias. Home care nurses understand that he desirable treatment is to practice medical treatment and complementary & alternative therapy simultaneously. While 50% of them have already practiced complementary & alternative therapy among their patients. The most commonly used therapy is Acupressure. And Home care nurses have open and positive attitudes about the complementary & alternative therapy as to answer they aye ready to recommend it to their patients. 2. Over half of the Home care nurses met patients taking complementary & alternative therapy. 94.5% of them think scientific diagnosis on the effect of the therapy. advice from the doctor. and the special working staff is required to apply it on to the home care nursing. 3. 68.5% of the Home care nurses have taken education on the therapy through general comprehensive instructions and supplementary. Most of them want to have a opportunity education on the therapy because they want to provide comprehensive nursing and diversified nursing service. The preferred educations are Hand acupuncture, Acupressure & Massage and Aromatherapy, in that order. Based on the above results, the followings are recommended. 1. A study that stipulates the types, applications, and efficiency assessment of the complementary & alternative therapy practiced by Home care nurses in the home care nursing care procedure. And systematic and scientific nursing intervention be developed.

• Clinical and Experimental Reproductive Medicine
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• v.34 no.2
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• pp.75-85
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• 2007

Objectives: The aim of this study was to find out the attitude of Korean women towards IVF surrogacy which is not yet regulated by the law. Methods: We evaluated with a questionnaire, in how far IVF surrogacy was accepted in different groups of Korean women. Total 300 questionnaires were sent out to women who visited our infertility clinic, and to the nurses and office workers of our hospital. Among them, 246 questionnaires were returned, and 211 of them (85.7%) were complete and analyzed. The responders were 58 unmarried women and 153 married women including 60 infertile patients. Results: Only 17 (8.1%) women believed that IVF surrogacy was an acceptable treatment for infertile women without uterus (eg. MRKH or hysterectomized patients), and 125 (59.2%) women chose the adoption. There were no significant differences in response amongst different age group, marital status, or in relation to income level or educational level, or infertility status. A significantly higher level of acceptance was noted only in religious groups, especially in Christians. Most of responders (66.5%) chose unrelated and unknown women as a desirable host, and 28.4% of responders chose the sister or sister-in-law. Conclusions: Overall the different groups were critical towards IVF Surrogacy in Korea, irrespective of the infertile patient group. Despite the established clinical ability to have her own genetic child in women without uterus, this survey reveals that only minority supports the IVF surrogacy. So we need the survey with large, randomized population and then make a regulation about the IVF surrogacy in law.

• The Korean Journal of Emergency Medical Services
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• v.13 no.3
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• pp.71-76
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• 2009

서론(Introduction) : 의학 시뮬레이션(medical simulation)은 교육생 학습과정에서 내재된 위험이 환자에게 가해짐 없이 교육생이 실제적인 환자 상황을 경험할 수 있게 하고 여러 다양한 임상내용이 포함한 상황에 적용될 수 있다. 시뮬레이션 기술의 사용은 의학교육(medical education), 인증서(certification), 면허교부(Licensure)와 의료의 질 형성에 큰 잠재력을 가지고 있다. 복강경 수술, 내시경검사, 전문심장구조술, 응급기도관리와 외상소생을 포함한 다양한 임상시술의 수행에서 시뮬레이션이 교육생의 술기를 달성하고, 측정하고, 유지하는 유효성을 증명하였다 컴퓨터로 조절되는 시뮬레이터는 맥박, 혈압, 호흡, 대화가 가능하고, 중증질환 또는 외상환자의 치료에 필요한 같은 인명구조 시술을 수행할 수 있다. 의학 시뮬레이션은 의사, 간호사, 응급구조사와 응급 진료를 필요로 하는 환자를 치료하는 사람에게 필요하다. 최신 전문심장구조술 과정수업은 전통적인 강의와 제한된 팀 상호작용이 포함된 이틀 과정이다. 우리는 비 영어권 국제 응급구조학생의 전문심장구조술 술기능력을 알아보고, 그것을 미국 응급구조학생과 비교하고자 한다. 목적(Objective) : 이 연구의 목적은 다양한 전문심장구조술 증례 시나리오를 가진 의학 시뮬레이터를 이용하여 미국과 한국의 응급구조 학생의 능력을 비교하는 것이다. 시행 장소(Site Location) : 이 연구는 한국 제주도에 위치한 제주한라대학 스토니브룩 응급의료교육원에서 진행되었다. 학생들의 평가는 스토니브룩에 위치한 스토니브룩 대학 의료원의 한 명의 평가자(Dr. lee)에 의해 수행되었다. 방법(Methods) : 15명의 한국 응급구조학생들은 세 팀으로 무작위로 선정하였다. 5명이 한 팀이 되어 같은 증례의 시나리오를 받았다. 세 가지 시나리오는 : 첫째, 천식지속상태(Status asthmaticus), 둘째, 긴장기흉을 동반한 만성폐쇄성폐질환(COPD with tension penumothorax) 그리고 마지막으로 메가코드(megacode)를 가진 심정지 이다. 세 팀을 각각 그리고 기본인명구조술(BLS)과 전문심장구조술(ACLS)과정을 마친 미국 응급구조학생들과 비교하였다. 15명의 미국 응급구조학생들 또한 세 팀으로 무작위로 선정하였다. 이 응급구조 학생들은 플러싱병원 의료원 소속으로 그곳에서 이 연구에 참여할 뿐만 아니라 지속적인 의학교육(CME)이수를 받았다. 이들에게도 같은 세 가지 증례의 시나리오가 주어졌고 Dr lee는 총 여섯 팀을 평가하였다(한국 세 팀과 미국 세팀). 결과(Results) : 양 국가의 모든 15명의 학생이 의학시뮬레이터를 사용하여 전문심장구조술 메가코드시험을 포함한 시험에 모두 통과하였다. 비록 학생들을 무작위로 세 팀으로 나누었지만 한 팀이 이 모든 세 증례에서 다른 팀보다 뛰어났다. 제주한라대학 2번 팀은 더 나은 기도관리, 리듬인식과 임상술기를 가진 모든 중요한 활동을 얻기에서 우수했다. 그들은 핵심요구사항을 90% 이상 충족시겼다. 한국의 2번팀(G2K)은 메가코드에서 기도개방, 호흡평가, 순환징후 그리고 흉부압박수와 같은 신체검진 술기에서도 탁월했다. 게다가 다른 팀과 비교 시 리듬인식, 약물지식과 임상술기에서도 높은 점수를 받았으며 2번팀(G2K)이 6팀 중에 가장 뛰어나게 역활수행을 하였다. 결론(Conclusion) : 이 비교 연구에서 한국학생과 미국학생간에 전문심장구조술 메가코드 시험의 통과율에는 차이가 없었다. 그러나 미국학생은 세 팀 사이에 더 적은 변이로 더 일괄된 점수를 받았다. 한국학생들도 모든 세 가지 증례를 통과하였지만 이 세 팀은 미국학생 팀보다 점수에서 더 큰 변이를 보였다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.2
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• pp.95-106
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• 2019

This study examines how mental health promotion programs based on positive psychology brings changes in pleasant life, engaged life and meaningful life. This research considers 15 programs featuring 178 students during one semester. Pre-and-post examination of psychological well-being, depression and optimism were conducted to identify changes before and after the program. 56 students (32%) showed positive changes in all 3 factors. 15 students among them were selected for an in-depth interview for a qualitative case study. As a result of the quantitative study, a mental health promotion program based on positive psychology showed statistically significant positive changes in the pre-and-post examinations of psychological well-being, depression and optimism. Mental health promotion programs based on positive psychology showed positive changes in mental, cognitive and behavior perspectives in the fields of pleasant life, engaged life and meaningful life of college students. Specifically, positive psychology and thinking programs influenced students to become more enthusiastic and active in pursuing a pleasant life. Secondly, positive psychology intervention concerning engaged life brought a recognition of higher 'self-acceptance'. Thirdly, each individual spent more time and effort to experience more satisfaction and accomplishments. Lastly, subjects showed greater optimism after the program. Through the searching gratitude program, study subjects expanded their appreciation of their relationships with others.

• 한국노년학
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• v.30 no.4
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• pp.1197-1211
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• 2010

This research was concucted to present a model of advance directives(AD) when a patient, who is in consciousness, shows a preference for an end of life care as an act of preparing for an uncertain situation that may arise in the forseeable future. The subjects of the research are 383 doctors/nurese and adults, who live in six cities and provinces, to investigate the status of AD, attitude regarding a meaningless life-prolonging treatment, and moreover, an understanding of and a preference for AD. The research was done by the well-structured questionnaire. Also, SPSS 14.0 is used to analyse the collected data, focused on frequency analysis, avearage and standard deviation, X2 test. As the results of the study, the most of the surveyed doctors/nurese knew DNR orders and AD and a few of them used DNR orders and AD practically. Also, the result shows that there is a negative conception of meaningless life-prolonging treatment among the responents, in addition, most of them agreed upon the idea of introducing AD to Korea, filling it out and making it legally effective. As a method of making AD out, the respondents wanted to use a form that mixed living will with an Power of Attorney in a document. Also, considering the appropriate time, respondents prefered when they are diagnosed with terminal illness. At the moment, the introductory model for AD, which is suitable for the Korean culture and current situation is presented based on the result of this research. In the future, other researches should deal with specific measures that can lead to a social consensus to adopt AD in Korea.

• The Journal of the Convergence on Culture Technology
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• v.9 no.6
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• pp.1127-1134
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• 2023

This study is a qualitative study to uncover the meaning and structure of nursing students' online psychiatric nursing practice experience by applying Parse's research method. The subjects of the study were 9 fourth-year nursing students at K University who took psychiatric nursing practice online in the COVID-19 situation. Data collection was conducted from March 7, 2022 to May 27, 2022. As a result of the study, the core concepts of nursing students' online practice experience in psychiatric nursing in the COVID-19 situation were: 'Recognizing the importance of understanding oneself and others', 'Preparing for communication to build therapeutic relationships', and 'A perspective on the future through exploration of the meaning of nursing'. Structural transposition was presented as 'Empathy for self and others', 'Mindset for interpersonal human relationship', 'Exploring the essence of nursing and self-realization'. Conceptual integration appeared as 'Valuing', 'Revealing-Concealing', 'Revealing-Concealing'. In conclusion, nursing students' online practice experience in mental health nursing in the COVID-19 situation was an experience of growing and transcending as future nurses by recognizing the importance of human understanding and communication for the therapeutic relationship that is the purpose of mental nursing. This study will serve as basic data for efficient clinical practice operations in various unpredictable situations, such as future pandemics.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.8
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• pp.3547-3554
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• 2011

The aim of this study is to take hold of the present situation as well as the perspective of the domestic alcohol specialized hospitals. The structured questionnaire was prepared to understand the type of services, manpower and systematic programs. Among eight hospitals that stand for the alcohol addiction specialized hospitals, six hospitals agreed to participate in the survey, which was made from Jun. 17 to July 15, 2010. The average number of beds of the surveyed hospitals was 208. They were mostly private ones(66.7%), located in urban area(50%), and had experiences of alcohol treatment less than five years(50%). While all of them practiced both the inpatient and outpatient services, only 33% provided the systematic outpatient program that was at least 2 or 3 hours per week. All hospitals practiced the physical and individual psychological evaluations, but only 16.1% had the daytime programs. The beds of protective ward were 72% of all beds, and the beds of night and day occupied 7.6% and 2.6% respectively. It was found that although the average number of mental health social worker and mental health nurse was larger than that required in the regulation of mental health law there are significant deviations between hospitals. However, the manpower of psychiatrists and nurses were comparatively large. The first problem indicated by clinical experts was the patient's refusal of care, which results in an inefficiency in the treatment. The next problem was the lack of local health care institutions that can attend on the discharged patients were important issues. Also the low reimbursement and indifferences to the alcohol abuse were considered as important issues.

• The Journal of the Convergence on Culture Technology
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• v.4 no.3
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• pp.15-26
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• 2018

This is a qualitative study conducted to understand and explain the experience of nursing students' exploring historic sites of independence movement overseas. The study's participants were 24 nursing students in the first and second graders who participated in a program to explore the historic sites of independence movement overseas at a college in C County, Gyeongsangbuk-do. The data collection period was from December 23, 2017 to December 25, 2017. The data collection was carried out in an open self-reporting process, and the collected data were analyzed using the qualitative content analysis method of Krippendorff[13]. Based on the analysis of the experience of nursing students' exploring historic sites of independence movement overseas 19 sub-theme, 10 themes, and 4 categories were derived. The four categories are "Our History Represented in the wake of the independence movement", "Footprint projected of an independent activist ", " Rage Boiling But Hope Remaining", "blooming patriotism through reflection". The results of this study provided an understanding of nursing students' experience in exploring the historical sites of independence movement and have shown that nursing students had the opportunity to recognize the history of independence movements, inspire patriotism and reflect on their attitude as nurses. In addition, institutional efforts and resources should be supported to address the lack of policies on the preservation of the historic sites for independence movements overseas, which are dependent on the private sector.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.12
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• pp.8844-8852
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• 2015

This study was conducted to figure out characteristics of the children of problematic drinkers by reviewing the studies on those children reported in nursing studies in Korea and incorporating the results. The research method was integrated literature review, and for the study, eleven articles were selected by searching with key words such as 'problematic drinking', 'alcoholic', 'alcohol dependence', 'children', and 'nursing' in three research databases, spanning between 2000 and 2014. The research results are as follows: For the domestic nursing studies on the children of problematic drinkers, there were many descriptive research using survey method, requiring introduction of various research methods in order to know characteristics and lives of the children of problematic drinkers in depth. For main characteristics of the children of problematic drinkers, they have lower ability to cope with, many of them suffer from psychological and mental health problems, are very sensitive in interpersonal relationships with higher hostility. In addition, it is reported that the children of problematic drinkers are likely to have more problematic drinking, show higher depression and lower emotional perception and expression, social support, and social competence. Based on the results of this study, considering the fact that there are extremely few studies on the children of problematic drinkers, it requires more active studies and researches in nursing. Through the study with accurate results, it will contribute to nurses' capability in both clinical settings and local community as a guideline.