• Title/Summary/Keyword: 신경림

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A phenomenological perspective and discovery of meaning in mid-aged women중s experience of mastectomy (유방 절제술을 경험한 중년 여성의 체험연구)

  • 신경림
    • Journal of Korean Academy of Nursing
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    • v.25 no.2
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    • pp.295-315
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    • 1995
  • This qualitative nursing research used a hermeneutic phenomenological approach to discover meaning in mid - aged women's experience of mastectomy. The ultimate aim of the inquiry was to discover the essence of mid-aged women's experience and promote understanding. The study was guided by Van Manen's method for doing research. The method of inquiry included. turning to phenomenon of interest ; inquiring and investigating experience as it was lived rather than as conceptualized ; reflecting and analyzing essential themes which characterize phenomenon : and describing phenomenon through art of writing and rewriting. Multiple strategies for data collecting were needed : in depth face-to-face interview ; analysis of women's writings ; artistic works : and analysis of examples of phenomenon in art, litera lure, and drama. Although the experience was different for all of the women interviewd, essential themes of experience emerged : Self-discovering of vicious disease, Divining punishment-unfortunate women, loss of self though the scar, a night-mare, change of life values and attitudes, rediscovering living alone, living through with fearing of death. Findings from artistic and creative inquiry further validated findings and meaning descovered. The study illuminated meaning and simultaneously validated the phenomenological research process. Essential themes for understanding women's experience, implications for education, research, and practice, direction and need for continuing inquiry were identified.

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The Effects of Fall Prevention Program on Knowledge, Self-efficacy, and Preventive Activity Related to Fall, and Depression of Low-income Elderly Women* (낙상예방 프로그램이 저소득 여성 노인의 낙상에 대한 지식, 자기효능감, 예방행위 및 우울에 미치는 효과)

  • Shin, Kyung-Rim;Shin, Su-Jin;Kim, Jeong-Sun;Kim, Jin-Young
    • Journal of Korean Academy of Nursing
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    • v.35 no.1
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    • pp.104-112
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    • 2005
  • Purpose: This research was conducted to determine the effects of a fall prevention program on knowledge, self-efficacy, prevention activity, and depression in the low-income elderly women. Method: The design of this study was a nonequivalent control group pretest-posttest design. There were 22 subjects in the experimental group and 22 in the control group. A fall prevention program was performed for approximately 40 minutes, once a week for 6 weeks. Results: The results of this study were as follows: There were statistically significant differences of knowledge, self-efficacy, and prevention activity related to falls and depression between the experimental group and control group. Conclusion: In conclusion, the fall prevention program used in this study is appropriate for the elderly, therefore this program is strongly recommended for community-based health and welfare centers.

Lived Experience with Aging in Middle-Aged Woman (중년 여성의 노화 체험)

  • 신경림;공은숙;김귀분;김남초;김주희;김춘길;김희경;노유자;송미순
    • Journal of Korean Academy of Nursing
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    • v.32 no.6
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    • pp.878-887
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    • 2002
  • This study was to explore lived experience of middle-aged women with aging. The ultimate purpose of this inquiry was to discover the essence of middle-aged women's experience of aging and to promote understanding. Method: This inquiry was performed by using Van Manen's hermeneutical phenomenological approach to make more plausible interpretation of experience. First-handed experiences were explored through multi-stage in-depth interview with 6 women aged between 40 and 64. Second- handed experiences were explored with text such as essay, novel, and photographs. Result: As the process of reflecting and analysing the data of experience were performed, essential themes were emerged: striking onset of event, discomfort and tired body and mind, everything in ones mind, age of harvest gaining much more than loss. Conclusion: This inquiry would be a cornerstone for humanistic nursing care for the mid-aged women.

The Effects of Exercise Program on Knowledge and Attitude of Excercise and Depression in Low-Income Elderly Women (운동프로그램이 저소득 여성 노인의 운동에 대한 지식, 태도 및 우울에 미치는 효과)

  • Shin, Kyung Rim;Kim, Jeong Sun
    • Journal of Korean Academy of Nursing
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    • v.35 no.6
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    • pp.1144-1152
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    • 2005
  • Purpose: The purpose of this research was to examine the effects of exercise program on knowledge and attitude of excercise, and depression in low-income elderly women. Method: The research design was a nonequivalent control group pretest-posttest design. The subjects were 26 in the experimental group and 22 in the control group among 46 low-income women over age 65. The independent variable is the exercise program, and the dependent variables are knowledge and attitude of excercise and depression. The exercise program was performed for 45-50 minutes, twice a week for 8 weeks. Data was collected from March. 12. to May. 8. 2004. Result: Participants were given a pre-test and post-test for the selected variables. The experimental group reported significant improvements in their knowledge and attitude of excercise and depression scores compared with the control group. Conclusion: The results indicated that the exercise program had the potential to manage low-income elderly women's health promotion. Furthermore, the exercise program can enhance life satisfaction in low-income elderly women.

The Experience of Mind Control among Elderly in Korea (노인의 마음 다스리기 경험)

  • Shin, Kyung Rim;Kim, Eun. Ha;Yang, Seung. Ae
    • Korean Journal of Adult Nursing
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    • v.18 no.1
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    • pp.41-49
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    • 2006
  • Purpose: This study was conducted to understand the meaning of mind control as it is understood by elderly persons in Korea. Method: This study was conducted by engaging three elderly persons who are over the age of sixty five and presently residing in Seoul. Several in depth interviews were conducted with these individuals from March 2003 until November 2003. The contents of the interviews were analyzed using the Giorgi Method (1985), which places the emphasis on discovering meaning within the phenomenological context of an individual's experience. Results: The analysis of the contents revealed the following four components with regard to the meaning of mind control for elderly persons (1) Settling the mind (2) Gradual lowering of expectations and hope for the success of offspring, (3) Having good thoughts and acting accordingly, and (4) Making up one's mind to follow the 'natural flow of life'. Conclusion: By allowing a wider and deeper understanding of the meaning of mind control for elderly persons the results of this study provide a basis for improving the care of elderly with a holistic perspective.

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The Analysis of Research Trend about Complementary and Alternative Therapy(CAT) in nursing of Korea (국내 보완·대체 치료 간호학 논문의 연구동향 분석)

  • Yang, Nan-Young;Shin, Kyoung-Rim
    • Korean Journal of Adult Nursing
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    • v.15 no.2
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    • pp.226-235
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    • 2003
  • Purpose: This study is to analyze the research trends centering on the theses related to CAT released in nursing of Korea. Method: The researcher collected the academic degrees and theses published on the book of the academic society from 1980 to 2001, and examined 88 domestic dissertations on nursing science of the CAT. Result: 1) By department, the results were: the nursing thesis 88(43.3%), medical field 45(22.1%), psychology counseling education 28(14%). 2) In the type of the CAT in nursing, the results were: acupressure 28(31.5%), Dan-Jeon Breathing 14(15.7%), aroma therapy 5(5.6%) in order. 3) The number of theses increased every year after 1997. 4) As for the type of study design, the results were: the experimental research had the most(47), and the survey research(30). 5) As for the subject, the results were: patients with disease(44), healthy adults(29), literature(9) and medical staff were only 6 theses. 6) In the theme of the theses, the results were: the effect of therapy(76), the experience of therapy(26), adaptation of nursing of therapy(11) and literature review were 7. Conclusion: More research needs to be encouraged in the unsatisfactory fields. Researches should be conducted to extend into the practical fields as Korean nursing mediation, project for the establishment of health policies should be conducted.

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The Development of Certificates Criteria and Curriculum in Home Healthcare Nurse Specialist Program (가정전문간호사 교육프로그램 인정기준 및 표준 교육과정 개발)

  • 신경림;주수경;김혜영;김분한;양숙자
    • Journal of Korean Academy of Nursing
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    • v.33 no.3
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    • pp.395-404
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    • 2003
  • Purpose: To make a contribution to raising the quality of nursing and home healthcare services through reviewing the present state of home healthcare nurse specialist training institutions and education programs and creating concrete measures to establish high-quality education courses. Method: International comparative study of accreditation criteria and curriculum in home healthcare nurse specialist program. Result: The Authorization Standards of home healthcare nurse training institutions consists of 8 items, 23 evaluation criteria and 72 evaluation indexes. Proposal to develop a specialist training program: Curriculum. Modify and complement a present homecare nurse education program. Curriculum I. Designate two forms of certification. The first certification has been granted the authority to serve as a manager and open a home healthcare agency to nurses having masters degrees and clinical experience for five years. The second certification is allowed to perform general home healthcare after having completed a short term training course. Currculum 2. To meet increasing demands, granting a certification to perform home healthcare to registered nurses having clinical experience of more than three years. Conclusion: These results can be utilized in the home healthcare educational program for raising the quality of nurses and home healthcare services.

Group A Streptococcal Meningitis Occurring in a Heathy 43-day-old Infant (생후 43일 영아에서 발생한 A군 β용혈성 연구균에 의한 뇌수막염 1례)

  • Cho, Sang Min;Park, So Young;Lee, Soo Young;Choi, Sang Rhim;Jeong, Dae Chul;Chung, Seung Yun;Kang, Jin Han
    • Pediatric Infection and Vaccine
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    • v.12 no.2
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    • pp.213-217
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    • 2005
  • Group A Streptococcus(GAS) is one of the most common cause of pediatric infection. Although known invasive GAS infections such as, meningitis, pneumonia and osteomyelitis are rare, there has been an increasing incidence of invasive GAS infections recently. Invasive GAS infections, including GAS meningitis can be easily treated if diagnosed early. However, delayed diagnosis and treatment may be fatal. We experienced one case of GAS meningitis. Although a few cases of GAS meningitis have been reported worldwide, it seems to be the first report from Korea.

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The effective approaches of clinical nursing education (임상교육의 효과적인 대안에 관한 연구)

  • Sin, Gyeong-Rim
    • The Korean Nurse
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    • v.32 no.5
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    • pp.93-105
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    • 1994
  • Nursing is indeed a practice discipline with experiential learning in clinical practice areas comprising an overwhelming portion of a Nursing Student's education. The statement is used to provide a basis for discussion of some issues involved in relation to clinical nursing education. However the lack of substantial research in the area of clinical nursing education would suggest that this 'heart' of the nursing student's professional education has olng been ignored. The purpose of this study is to critically review and analysis then suggest effective approaches of clinical nursing education. First. the curriculum can be developed by faculty consistently. Curriculum design begins with the writing of philosophy and the selection of objectives for the program. The philosophy must include a statement of beliefs and intrinc values about human being. nursing and teaching learning process. Second. faculty practice can be narrowed practice-theory gaps. Third. clinical teaching strategies can be used many different methods in order to facilitate development of clinical judgement and decision making. Fourth, clinical teacher's rols can influence student's learning attitude and intrinsic value; relating to students as mature individuals; creating an atomosphere where in the student felt comfortable approaching the instructor; providing support crisis situations. Fifth. clinical nursing evaluation can be developed the integrated models.

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Prevalence and Associated Factors of Excessive Daytime Sleepiness in Adults (성인에서의 주간 수면과다증의 유병률 및 관련 요인)

  • Shin Kyung-Rim;Yi Hye-Ryeon;Kim Jin-Young;Shin Chol
    • Journal of Korean Academy of Nursing
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    • v.36 no.5
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    • pp.829-836
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    • 2006
  • Purpose: The purpose of the present study was to identify prevalence of excessive daytime sleepiness(EDS) and its associations with sleep habits, sleep problems, depression, subjective health status and obesity in community dwelling adults. Method: Data was collected from adults aged 20-59 years by random sampling. Subjects completed a questionnaire which was composed of the Epworth Sleepiness Scale, Center for Epidemiologic Studies Depression Scale, and questions that included items about sleep habits, sleep problems, subjective health status and sociodemographic characteristics. Height and weight were measured for calculation of body mass index. The statistical analyses was based on 3,302 adults (51.5% males and 48.5% females). Descriptive statistics, univariate logistic regression and multiple logistic regression were used. Result: The prevalence of EDS was 17.1% Multiple logistic regression showed that the associated factors of EDS were depression, obesity, dissatisfaction with sleep time, irregular sleep, and habitual snoring. Depression was the most significant associated factor(adjusted odds ratio for severe depression=2.27, 95% Confidence Interval=1.73-2.96). Conclusion: EDS is a common symptom in adults. Our finding suggested that persons with a complaint of EDS should be completely assessed for depression and obesity as well as sleep problems.