• Title/Summary/Keyword: 완화의료

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The Effect of Education Level on Job Satisfaction among hospital workers: Moderating Role of Job Position (병원 근로자들의 최종 학력이 직무 만족에 미치는 영향: 직급의 조절효과)

  • Oh, Sang Suk;Park, Ow Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.559-566
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    • 2018
  • Higher education has become a global phenomenon. Although existing research on the effects of education level have been carried out, most studies were conducted before the year 2000 in a western context. In addition, the research sample was collected mainly from the manufacturing and police sectors. Furthermore, previous studies did not consider various moderating variables. Therefore, this study investigated the direct effect of education level on job satisfaction and the moderating effect of the job position between them. To test the hypotheses, a cross sectional research design with data from a sample of 377 full-time nurses, medical technicians, and administrative staff in one hospital located in the Northern part of Kyunggi province was used. The results showed that the education level was positively related to job satisfaction and job position alleviated the positive relationship between the education level and job satisfaction.

Measurement of postural instability before and after experiencing a VR system by using a force platform (힘판을 이용한 가상현실 체험 전후 신체동요의 측정)

  • 박재희;김영윤;김은남;김현택;고희동
    • Science of Emotion and Sensibility
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    • v.5 no.4
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    • pp.45-49
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    • 2002
  • Recently, virtual environment systems are used in various application fields such as industry, medicine, and training and education. However, the negative effect, cybersickness including nausea, visual fatigue, and disorientation, could be happened while using VR systems. It prevents VR system from spreading much more. To control the cybersickness, first of all, the objective measurement method should be established. As one of alternative methods, the postural instability could be a measure of cybersickness. In this study, 45 participants' postural sway before and after experiencing a H driving simulator was measured by using a force platform. Especially, we examined if two factors, motion and feedback, could affect on the postural instability The results showed the postural instability slightly increased after experiencing the VR driving simulator. For the factors, the providing of motion synchronized to visual display showed statistical significant decrease in postural sway along lateral side. To check the effectiveness of postural instability as a cybersickness measure, further studies are needed.

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The Effect of Having Usual Source of Care on the Choice among Different Types of Medical Facilities (상용치료원 보유가 의료기관 종별 선택에 미치는 영향: 대형병원 환자집중현상 완화방안을 중심으로)

  • Kim, Doo Ri
    • Health Policy and Management
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    • v.26 no.3
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    • pp.195-206
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    • 2016
  • Background: Concentration of patients to large hospitals is serious problem in Korea. The purpose of this paper is to propose appropriate policy direction to relieve concentration of patients to large hospitals. It is focused on evaluation of the possibility of family doctor system as a policy alternative to relieve concentration of patients to large hospital by empirically analyzing the effect of usual source of care (USC) on large hospitals medical care use. Methods: Korea Health Panel conducted 2009, 2012, 2013 by KIHASA (Korea Institute for Health and Social Affairs) and NHIS (National Health Insurance Service) was used for analysis. For dependent variables, first, the ratio of the amount of using large hospital to total amount of using medical care, and second, the amount of using large hospital are estimated. Independent variables are having an USC and type of USC. Panel analysis was done with above variables. Results: Main results are as follows. First, having an USC increases using large hospital. Second, having a domestic clinic type USC decreases using large hospital and ratio of using large hospital. Third, the effect of domestic clinic type USC is greater in older group, less income group, worse health status group, not having private insurance group, and having chronic disease group. Conclusion: These results show that family doctor program can be a policy alternative to relieve concentration of patients to large hospital. Nonetheless, primary care system in Korea is unsatisfied. It is recommended to reinforce primary care system and family doctor system to relieve concentration of patients to large hospitals.

The Lived Experience of Suffering of Family with Cancer Patients: Parse's Human Becoming Research Method (암환자 가족의 고통체험 - Parse의 인간되어감 연구방법 -)

  • Choi, Ye-Sook
    • Journal of Hospice and Palliative Care
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    • v.19 no.2
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    • pp.127-135
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    • 2016
  • Purpose: The purpose of this study was to discover the structure of the lived experience of suffering of families with cancer patients to develop a theoretical foundation that can be used to reinforce nursing practice for cancer patients and their families. Methods: A qualitative study was performed using Parse's research method. Participants were four families with cancer patients. From February 2009 through April 2010, data were collected via dialogical-engagement between participants and the researcher and analyzed through the extraction-synthesis and heuristic interpretation processes. Results: The structure was identified as follows. The families' lived experience of suffering was a process through which they experienced a psychological shock of cancer diagnosis and difficulties associated with reshuffled roles among family members, and made efforts to care for the patients. Conclusion: Amidst sadness, pain, anxiety, guilt, fear and agony, the families focused on the human-health-universe aspect and found meanings of their experiences as love, triumphant, responsibility and hope. As such, the study results suggest that the suffering of families with cancer patients is a human becoming process of positive transformation.

Exploring Social Care Services for People with Cancer in Australia and Korea (한국과 호주의 암환자를 위한 사회 돌봄 서비스 탐색)

  • Kim, Hye-Ryun;Lee, Gyu-Sun
    • Journal of Hospice and Palliative Care
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    • v.15 no.1
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    • pp.36-39
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    • 2012
  • Purpose: Cancer patients require emotional, financial and practical support as well as information/advice regarding their illness. This study aims to explore opportunities and barriers for the provision of the social support services in Australia and Korea. Methods: The survey was carried out by an email questionnaire for social workers in Australia and Korea, and collected data were analyzed using a thematic analysis by Braun and Clarke. Results: In Australia and Korea, various types of social support were available for cancer patients. However, social support for cancer patients should be better understood first in Korea, and more personalized support is needed in Australia. Conclusion: These findings will ultimately help to improve social support services for cancer patients in Korea an Australia, through grasping the current state and making up for the weak points.

Death Anxiety and Terminal Care Performance of Nurses at Long Term Care Hospitals (요양병원 간호사의 죽음불안과 임종간호 수행)

  • Lee, La Jin;Park, Hyoung Sook
    • Journal of Hospice and Palliative Care
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    • v.20 no.1
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    • pp.37-45
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    • 2017
  • Purpose: The purpose of this study was to identify the relationships between death anxiety and terminal care performance of nurses at long term care hospitals. Methods: Data were collected from 148 nurses working at 12 long term care hospitals in Busan from March 16, 2016 through May 16, 2016. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, $Scheff{\acute{e}}$ test and Pearson's correlation coefficient with SPSS 18.0 for Windows. Results: Terminal care performance was positively correlated with anxiety about other people's death (r=0.310, $P{\leq}0.001$) and that of their own death (r=0.250, P=0.002). Conclusion: It appears necessary to develop a systematical educational program for terminal care nurses of to reduce their death anxiety and improve their terminal care performance.

The Theory of Meaning in Hospice Care

  • Starck, Patricia L.
    • Journal of Hospice and Palliative Care
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    • v.20 no.4
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    • pp.221-225
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    • 2017
  • Care for the human spirit is a core component of quality end-of-life care. Logotherapy, based on the premise that the primary motivation of human beings is to find meaning and purpose in life, can be helpful in providing care for patients, families, and loved ones in hospice care. The use of Socratic dialog in posing questions about one's life experiences, values, and attitudes is a useful method of evoking reflection. Guidance for finding meaning, even until one's last moments, can be found in the three categories: (a) tasks or deeds, (b) experiences of love and beauty, and (c) attitudes chosen in spite of a fate that cannot be changed. Self-transcendence, defined as getting outside the self for the good of others, can add meaning to life. A growing body of research concerning meaning-centered therapy is promising for improving spiritual well-being and a sense of meaning and purpose in life.

시아노에틸화한 폴리비닐알콜의 표면사이징에 따른 종이의 유전적 성질 향상

  • 서만석;이학래
    • Proceedings of the Korea Technical Association of the Pulp and Paper Industry Conference
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    • 2001.04a
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    • pp.89-89
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    • 2001
  • 종이는 목재섬유와 물의 현탁액을 스크련을 통해 균일하게 분산시킨 판상섬유 제품 으로서 가격이 저렴하고, 열, 전기절연성, 필터기능, 난연성 및 폐기성이 우수하여 다양한 분 야에서 활용되고 있다. 특히 최근에는 종이의 고부가가치화, 차별화를 위하여 내열성, 전기 절연성, 내수성, 기계적 특성, 내약품성, 생체적응성을 지닌 다양한 기능지가 개발되어 식품, 전기, 전자, 건축, 화학, 의료 관련 산업에 있어서 주요 재료로 이용되고 있다. 특히 전기, 전 자산업 발전과 더불어 전기절연성이 우수한 종이의 역할과 수요는 크게 증대되고 있으며 산 업발전의 핵심적인 제품으로서 자리매김을 하고 있다. 하지만 국내의 경우 전기절연지와 관 련된 제품 및 생산기술 부족으로 전량을 수입에 의존하고 있는 실정이며, 그 수입량은 앞으 로 전기 및 전자 산업의 발전으로 인해 더욱 증가할 것으로 예상된다. 이러한 수입의존성을 극복하기 위해서는 전기절연지와 관련된 제품개발 및 생산기술에 관한 연구가 시급히 요청 되고 있다. 이러한 기술의 국산화는 수입 대체 효과 뿐만 아니라 관련 산업의 발전에도 기 여할 수 있을 것으로 예상되며 수출산업으로 성장할 수 있을 것으로 예상된다. 종이의 전기적 성질은 유전상수, 유전손실율과 같은 유전적 특성과 전기저항, 절연 파괴강도의 기계적 특성으로 구분할 수 있다. 종이의 전기적 성질 가운데 유전율은 전기장 에 대한 종이의 물리화학적인 반응으로 일반적으로 종이의 밀도와 종이를 구성하는 성분의 쌍극자 모멘트에 비례하며 온도에 따라서도 변화한다. 일반적으로 온도가 상승하면 열에너 지를 얻게된 쌍극자가 전기장에 배열됨으로써 유전율이 상승하지만 온도가 유리전이점 이상 으로 높아질 경우 열적 교란에 의해서 분극 능력이 감소하게 되어 유전완화 현상이 나타난 다. 전기절연지로 사용될 종이의 절연특성을 이해하기 위해서는 사용환경에 따른 유전적 특 성 및 tan$\delta$에 관한 연구가 펼요하다. 본 연구에서는 종이의 유전특성을 개선하기 위해서 펼름형성능력이 우수한 polyvinyl alcoholCPV A)과 aery lonitrile을 이용하여 시아노에틸화한 P PYA의 표면처리에 따른 종이의 유전적 특성의 변화를 검토하였다. 그 결과 PYA에 도입된 시아노에틸기에 의해 유전율을 증가시킬 수 있음을 확인하였다. 또 본 연구에 적용된 시험 범위에서는 온도상승에 따라 유전율이 상승하였다.

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Death Anxiety and Terminal Care Stress among Nurses and the Relationship to Terminal Care Performance (간호사의 죽음불안과 임종간호스트레스 및 임종간호수행)

  • Woo, Young Wha;Kim, Kyung Hee;Kim, Ki Sook
    • Journal of Hospice and Palliative Care
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    • v.16 no.1
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    • pp.33-41
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    • 2013
  • Purpose: This study was conducted to examine how nurses' death anxiety and terminal care stress affect their terminal care performance in the clinical setting. Methods: The study enrolled 180 registered nurses with experience of attending dying patients at a university hospital located in Seoul, Korea. Collected data were analyzed with descriptive statistics, one-way ANOVA and Pearson's correlation using SPSS 18.0 for Windows. Results: Nurses showed significant differences in the level of death anxiety and terminal care stress as well as terminal care performance by working division, marital status, educational background and hospice training. A significant relationship was found between terminal care stress and terminal care performance. Conclusion: The study results showed that efforts to ease nurses' death anxiety and terminal care stress could improve their terminal care performance. Further study should be conducted to investigate other factors that affect nurses' terminal care performance from various perspectives and develop a terminal care manual which can be used as guidance for nurses in charge of terminal patient care.

Factors Affecting Attitudes toward Terminal Care in Nursing Students (간호대학생의 임종간호 태도에 영향을 미치는 요인)

  • Jo, Myoung-Ju
    • Journal of Hospice and Palliative Care
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    • v.18 no.4
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    • pp.306-313
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    • 2015
  • Purpose: This study was performed to explore factors that influence attitudes toward terminal care in nursing students. Methods: Data were collected using a self-reported questionnaire filled by 175 nursing students at a university in a metropolitan city B. Data were analyzed using descriptive analysis, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression with the SPSS/WIN 22.0 program. Results: Attitudes toward terminal care in nursing students was significantly correlated with communication competence (r=0.438, P<0.001), spirituality (r=0.374, P<0.001), and gratitude (r=0.318, P<0.001). Communication competence explained 18.7% of the variance in attitudes toward terminal care. Conclusion: The study shows communication competence is an important factor for attitudes toward terminal care in nursing students. Therefore, it is necessary to develop a communication competence enhancement program to foster nursing students with appropriate attitudes toward terminal care.