• Korean Journal of Adult Nursing
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• v.19 no.3
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• pp.495-507
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• 2007

Purpose: This critical ethnography was performed to explore the experiences of nurses who are working with patients in an industrial disaster hospital. During the research process, I focused on the experiences of conflict in caring patients. Methods: Data for the study came from 13 informants with their corresponding patients through interview and observation from March 2002 to February 2004. The data was examined line by line; then compared and contrasted based on a critical discourse analysis. Results: Nurses' conflicts came from discrepancies of the world views from that of the patients. Such conflicts arose because of various issues as follows: Worker as an individual vs patients, nurse as young women vs the medical profession, hospital as an extended home vs health care setting, and hospitalization as a means to enhance work capacity vs a means of treatment. Conclusion: We need more study on the development of adaptive strategy for the nurses to overcome conflicts during their nursing career. Developing a nurses' and patient role intervention program is needed.

• Korean Journal of Adult Nursing
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• v.23 no.4
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• pp.397-402
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• 2011

Purpose: This study was designed to explore the relationship of depression with stress, anxiety and mindfulness in nursing students in 2010. Methods: A cross-sectional design was used and data was collected through structured questionnaires. Depression, stress, anxiety, and mindfulness were measured by using the Depression, Anxiety and Stress Scale (DASS) and the Mindfulness Attention Awareness Scale (MAAS). The data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficient, and stepwise multiple regression. Results: A total of 131 nursing students participated in this study. Depression was positively associated with stress (r=.81, p<.001) and anxiety (r=.76, p<.001), and negatively associated with mindfulness (r=-.73, p<.001). Multiple regression analyses showed that in different type of residence, anxiety and mindfulness were statistically significant predictors of depression with explanatory power of 67%. Conclusion: When nurse instructors manage depression among nursing students, the strategies need to address stress, anxiety, and mindfulness. This study may help nursing students to better manage their depression.

• Korean Journal of Adult Nursing
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• v.19 no.4
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• pp.527-534
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• 2007

Purpose: The purpose of this study was to identify the effect of a simulated disability program on attitude and stereotyping by nursing students toward people with disabilities. Methods: A total of 107 undergraduate nursing students attended and completed pre-and post-questionnaires on attitude and stereotyping. The experimental group participated in a simulation exercise program which was composed of wheel-chair mobility and vision modification in Nam-won Rehabilitation Center. The data were analyzed by the SPSS 12.0 program including frequency, percentage, ${\chi}^2$ test and t-test. Results: There was no significant difference in attitude toward people with disabilities between the two groups (t=-.743, p=.459). But there was a significant difference in stereotyping between the experimental and the control group(t=-4.097, p=.000). Conclusion: As the result of this study, we can conclude that the program was effective to improve stereotyping toward people with disabilities.

• Korean Journal of Adult Nursing
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• v.16 no.1
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• pp.27-36
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• 2004

Purpose: The purpose of this study was to identify patterns and trends of hardiness studies and to suggest the direction of further research. Method : Forty-seven hardiness studies were collected through internet searching and were reviewed by some criteria. Result : The results showed that hardiness studies have increased rapidly since 1990's. Eighteen studies were thesis' for degrees and others were for non-degree research studies. All studies employed the non-experimental design, particularly correlational studies. In the sampling method, all studies used non-probability sampling. Most commonly used instrument for hardiness measurement was Pollock(1986)'s HRHS. In the majority of research, hardiness was treated both as a composite measure and 3 subscales. Hardiness-related concepts were 27 and classified into 5 categories such as health behavior, stress, adaptation, support, and others. Most common statistical technique was Pearson's correlation coefficient, followed by regression, ANOVA, path analysis. Conclusion : To be utilized as practical nursing knowledge, hardiness studies should be done with more empirical analysis such as experimental research, and Meta-analysis is needed to compare the effect size and significance of composit and 3 subscales of hardiness construct.

• Korean Journal of Adult Nursing
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• v.25 no.3
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• pp.322-331
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• 2013

Purpose: This study was conducted to understand the meaning of the DNR experiences of nurses. Methods: The data were collected through in-depth interviews, observation, and field records with five nurses from November 2009 to February 2011. The data were analyzed using narrative inquiry methodology. Results: Three fundamental themes were derived from data analysis as following: 'faithfulness to care for comfort,' 'helping for peaceful farewells between the patient and the family,' 'reflecting one's lives with a collision of feeling toward the death.' Conclusion: The results indicate that nurses take a role of an advocate in caring for DNR patients and being concerned about their families' conflict and anguish. In addition, this study indicates the importance of education on living will, advanced directives and preparation for the death tailored to the public including healthcare professionals.

• Korean Journal of Adult Nursing
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• v.13 no.2
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• pp.200-208
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• 2001

The purpose of this study was to understand the nature and structure of "uncertainty of chronically ill patients" by explaining it more scientifically. This study is based on the unique experiences, which individual uncertainty experiences differ from others. In this sense, Q-methodology which includes self-psychology and abductive logics is applied to the study. The results indicate that there are six types of uncertainty of chronically ill patients : my own fault, self-esteem loss, self-care determination, cure-doubt, reality-restructure, and past-tenacity reality-absence. Thus, "uncertainty of chronically ill patients" is defined from the study as the process in which continuous transition and evaluation of possibility cause changes in human recognition, attitude, action, etc.. The significance of the study is threefold : (1) discovery of six types of uncertainty of chronically ill patients in Korean people, (2) the better understanding of "uncertainty of chronically ill patients", (3) possible developments of nursing concept and assessment and intervention technique based on the new dimension of the understanding in uncertainty for nursing of chronically ill patients from this research.

• Korean Journal of Adult Nursing
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• v.20 no.5
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• pp.731-742
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• 2008

Purpose: The purpose of this study was to analyze how a nursing student recognizes PBL with simulation education and its relationship to academic achievement. Methods: The study objects were the students in C college who learn through PBL using simulator for 15 weeks(September 2007 to December 2007). Learning element recognition was developed by Cho(2002) and three key evaluations(performance, self-evaluation, and colleague evaluation) were designed by professors. Results: Learning element recognition ranged from 2.37 to 4.83 with the average at 3.94. For Learning element recognition, students who preferred discussion score 4.15. This was statistically more significant than those who do not. Students who preferred presentations show significantly higher score in colleague evaluation. For Learning element recognition and academic achievement, self-evaluation and colleague evaluation showed relationship to PBL learning element. Conclusion: There was definitely a relationship with PBL learning element and academic achievement after learning the PBL with simulation education.

• Korean Journal of Adult Nursing
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• v.20 no.5
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• pp.743-755
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• 2008

Purpose: The purpose of this study was to describe and to analyze real conversation about polite behavior of nurses in cancer units. Methods: This study was conducted using a Brown & Levinson(1987) theory to analyze the polite behavior of nurses in cancer units. Five nurses who participated in this research gave permission to be videotaped. The data was collected from January to February, 2006. Results: Polite behavior of nurses in cancer units consisted of greetings, emotional support, open questions and indirect direction. And impolite behavior of nurses in cancer units was using the medical terminology, repetition of direct speech acts and task-oriented conversation. Conclusion: This study suggests polite behavior strategies for effective nursing conversation with cancer patients. Therefore, the findings may provide basic raw materials for educational programmes and intervention studies.

• Korean Journal of Adult Nursing
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• v.14 no.4
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• pp.591-601
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• 2002

Purpose: This study was conducted to investigate the relationship of hardiness, job stress, and burnout in nurses, and to identify predictors of burnout. Method: Empirical data were collected from 154 staff nurses at one university hospital in Gwangju city. Self- reported questionnaires were composed of the Personal Views Survey(PVS), job stress scale, Tedium scale, and 7 items asking nurse's general characteristics. Data analysis was done with a SAS package. Result: In correlation analysis, hardiness, job stress, and nursing satisfaction had significant correlation with burnout. In stepwise multiple regression, 28.7% of the variance in burnout was accounted for by nursing satisfaction (19.9%), job stress (6.0%), and hardiness (2.8%). Among subscales of hardiness, only commitment was a significant predictor, so nursing satisfaction, job stress, and commitment explained 28.9% of variance in burnout. Conclusion: Based on the findings of this study, the development of program for nurses to increase nursing satisfaction is needed, and more studies to examine causal relationship between nursing satisfaction and burnout is also highly recommended.

• Korean Journal of Adult Nursing
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• v.26 no.1
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• pp.117-128
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• 2014

Purpose: The views, perceptions, and feelings of nurses themselves would be important to quality of nursing and professionalism, and turnover intentions. The purpose of this study was to identify nurses 'self-image to develop a customized program. Methods: The Q-methodology which is to create a typology was used. The 40 selected Q-statements from each of 35 participants were classified into a shape of normal distribution using a nine point scale. The collected data were analyzed using a PC-QUANL program. Results: Three types of nurses 'self-image were identified: 'proactive self-image', 'critical self-image', and 'adaptive self-image'. Two consensus items in three types were extracted: 'need to develop healing therapies to overcome the constant tension and exhaustion from work', and 'just think as a colleague than the senior-junior relationship. Conclusion: The results is the typology and this leads to further research.