• Title/Summary/Keyword: 의사소통 회복 전략

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The Communication Repair Strategy Characteristics According to Communication Breakdown of Elderly Man With Alzheimer's Dementia (알츠하이머 치매 노인의 의사소통 단절에 따른 의사소통 회복전략 특성)

  • Kim, Sun-Young;Park, Hee-June
    • Therapeutic Science for Rehabilitation
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    • v.8 no.4
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    • pp.53-63
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    • 2019
  • Objective : Many communication recovery strategies should be used when communication breakdowns occur for successful communication, however, communication problems increase due to inadequate use of such strategies in older people with dementia. The purpose of this study was to investigate the difference of recovery strategy between dementia and the elderly in conversational discourse. Method : The subjects were eight of Alzheimer's dementia and 10 general elderly. Conversation discourse tasks were conducted face-to-face with the subjects. Communication breakdown and communication recovery strategies were analyzed based on 200 utterances collected in the conversation discourse. Result : First, the AD group had more communication breakdown than the control group, but the recovery rate did not differ between the groups. Second, in the AD group, the nonspecific recovery strategy and the clarification demand strategy were used as the expression strategy. The recovery rate after using expressive strategy was more than 90% in explanation strategy, combined strategy, nonspecific repair strategy, and repetition confirmation strategy. The response strategy used a lot of paraphrase strategy and combined strategies, and the recovery rate after using the response strategy was 100% for the simplification strategy, repeat strategy and gesture strategy. Conclusion : The AD group showed more breakdown of research subjects and breakdown of researchers than control group, and it showed ability to use various expression strategy and response strategy though there was difference in repair rate between communication repair strategy. AD group used nonspecific repair strategy in expression strategy the most and paraphrase strategy in response strategy the most. This shows different characteristic from ordinary elderly people. Therefore, it is necessary to utilize this repair strategy for rehabilitation of AD elderly.

Effects of Emotional Intelligence, Resilience, and Post-traumatic Growth on Communication Skills of Nursing Students (간호대학생의 감성지능, 회복탄력성, 외상 후 성장이 의사소통능력에 미치는 영향)

  • Kim, Mi-Ja
    • Journal of Industrial Convergence
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    • v.16 no.3
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    • pp.23-32
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    • 2018
  • The purpose of this study was to investigate levels of emotional intelligence, resilience, post-traumatic growth and communication skill of nursing students and to identify the factors affecting communication skill of nursing students and to use them as basic data to improve communication skill. The data collecting period is from April to May, 2017, and the subjects are 296 nursing students in D city. The results of the study showed that there was a statistically significant positive correlation between emotional intelligence, resilience, post-traumatic growth, and communication skill of nursing students. Also, as emotional intelligence, resilience, and post-traumatic growth increased, communication skill improved. The explanatory power of regression model was 51.9%. In conclusion, it is necessary to efforts to improve the emotional intelligence, resilience, and post-traumatic growth as a strategy to enhance communication skills of nursing students in order to establish therapeutic relationships with patients as nurses.

Effects of Empathy, Communication skills and Resilience on the Adaptation of Clinical Practice in Nursing College Student (간호대학생의 공감능력과 의사소통능력, 회복탄력성이 임상실습적응에 미치는 영향)

  • Kim, Mi Young;Byun, Eun Kyung
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.1
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    • pp.105-113
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    • 2022
  • This study was attempted to provide basic data for preparing a learning strategy for effective clinical practice education by examining the effects of empathy, communication ability, and resilience on adaptation to clinical practice for nursing students. Participants in this study were 244 nursing students from 3 universities in B city. Data analysis was performed using SPSS 21.0 program with real number, percentage, mean, standard deviation, t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis. The subjects' empathy ability was 3.49±.44 points, communication ability 3.86±.85 points, resilience 3.63±.56 points, and clinical practice adaptation 3.63±.52 points. Factors affecting adaptation to clinical practice were empathy, communication ability, and resilience, and the explanation power was 39.9%. Through the results of this study, it is necessary to prepare an educational program to improve empathy, communication ability and resilience that affect the adaptation to clinical practice of nursing students.

An Explorative Study of Application of Habermas's Critical Theory to the Social Work Practice : Focused on the Theory of Communicative Behaviors (하버마스 비판이론의 사회복지 실천에의 적용가능성에 관한 탐색적 연구: 의사소통행위이론을 중심으로)

  • Kim, Gi-Duk
    • Korean Journal of Social Welfare
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    • v.58 no.4
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    • pp.119-139
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    • 2006
  • The main purpose of this study is to examine the implications of Habermas's Critical Theory, which has been considered as modern descendant of enlightenment thought, on the social work profession. The focus of this paper is a critical examination on expected perceptual and practical gain provided by communicative theory for the professional relations between social workers and clients. This paper proves that Habermas's theory has failed to sufficiently grasp the scope and functions of social work practice. First, in regard to perceptual gains, Habermas's theory commits some kind of reductionism which considers communicative behaviors as only and original one. It is likely to limit the scope and extent of the function and mission of social work into a kind of communication performed by humans with communicative ability. Second, in regard of practical gains, Habermas's theory does not provide detail procedure of power-free communication nor critical criteria to evaluate the degree of ideal speech situation. Without these ones, Habermas's critical theory might play a role of liberal conservatism, which is trying to replace the substantial contents with procedural formality. In sum, to be a adequate theoretical and practical framework for social work, Habermas's theory needs to combine additional humanitarian considerations into communicative paradigm with more detail requirements and preconditions for ideal speech situations between professional and clients.

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Development and Effects of Emotional Intelligence Program for Undergraduate Nursing Students: Mixed Methods Research (간호대학생을 위한 감성지능 향상 프로그램 개발 및 효과검증: 혼합연구 설계 적용)

  • Lee, Oi Sun;Gu, Mee Ock
    • Journal of Korean Academy of Nursing
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    • v.44 no.6
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    • pp.682-696
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    • 2014
  • Purpose: This study was conducted to develop and test the effects of an emotional intelligence program for undergraduate nursing students. Methods: The study design was a mixed method research. Participants were 36 nursing students (intervention group: 17, control group: 19). The emotional intelligence program was provided for 4 weeks (8 sessions, 20 hours). Data were collected between August 6 and October 4, 2013. Quantitative data were analyzed using Chi-square, Fisher's exact test, t-test, repeated measure ANOVA, and paired t-test with SPSS/WIN 18.0. Qualitative data were analyzed using content analysis. Results: Quantitative results showed that emotional intelligence, communication skills, resilience, stress coping strategy, and clinical competence were significantly better in the experimental group compared to the control group. According to the qualitative results, the nursing students experienced improvement in emotional intelligence, interpersonal relationships, and empowerment, as well as a reduction in clinical practice stress after participation in the emotional intelligence program. Conclusion: Study findings indicate that the emotional intelligence program for undergraduate nursing students is effective and can be recommended as an intervention for improving the clinical competence of undergraduate students in a nursing curriculum.

Difference of Functional Outcome Measurements between Total Knee Arthroplasty and Knee Amputation (슬관절 절단과 슬관절성형술간의 가능 수행 측정)

  • Sung, Paul S.
    • Physical Therapy Korea
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    • v.4 no.2
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    • pp.89-99
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    • 1997
  • 임상 결과의 측정에서 새로운 관점을 갖는 것은 중요하다. 의료 재활은 심리적 측정의 질들(표준화, 신뢰도, 타당도)에서 충분한 노력에 수행되어지지 않아 왔기 때문에 환자와 프로그램 사이에 일반화된 기능적인 평가 범위가 부족하다. 장애의 적절한 측정을 위한 요구는 기능적인 상태에서 변화들을 알리고 치료의 필요성을 평가하고 치료를 계획하고 결과를 예측하고 보상 방법을 측정하기 위한 환자의 치료와 임상 연구에서 모두 나타난다. 세계적으로 사용되어지고 있는 기능 평가 도구인 FIM으로부터 이 연구는 신체적 측정의 기대되어진 것에 유사한 비율로 기능적 평가 측정들을 구성한다. 노인 재활에서 기능적인 결과의 측정은 중요한 몇 가지 점이 있다. 첫째는 접근에 기초한 기능적인 결과는 치료 목표 설정에 필요하다. 둘째는 도구는 기능적인 향상을 예상하는데 유용해야 한다. 셋째는 기능 평가는 적절한 타당도와 신뢰도와 함께 고려되어져야만 한다. 넷째는 다른 기능적 도구들이 함께 평가되어져야 할 필요가 있다는 것이다. FIM의 목록의 어려운 접들은 손상을 입은 집단에서는 다소 다양하다. 가장 중요한 부분이기 때문에 하나의 운동범위는 요통과 화상을 입은 환자를 제외한 모든 손상을 입은 집단들에게 적용되어 질 수 있다. 기능의 운동과 인지적인 면은 구분되어지는 것이 중요하였고 분리되어져서 치료되어 졌다. 어려운 목록들은 손상을 입은 집단에서 다양하였고, 다양한 손상의 종류의 독특한 영향을 반영하였다. FIM은 기능적인 장애를 측정하기 위해 고안되어진 또 다른 도구이다. 그리고 다른 것들은 의료 재활을 위한 국제적 자료 체계를 만들기 위한 것이다. FIM의 목적은 의료 재활의 결과를 확인하고 장애의 정도의 측정을 포함한다. FIM은 7가지 수준에서 사회적 인지, 의사 소통, 이동, 움직임 (mobility), 소변 관리, 자조 활동을 평가한다. 범위는 총체적 도움의 비율로부터 완전하게 독립적인 것까지의 범위이고 도움, 감독, 도구의 사용의 범위를 고려한다. 27,009의 환자를 조사한 최근 검사 기록들은 FIM이 움직임(motor)과 인지 기능을 평가하는 것이라는 것을 보여준다(Hinemann, 1993). FIM의 저자들은 자료가 프로그램 평가의 시도에서 즉각적으로 적용 할 수 있기를 기대한다. FSI은 어떤 과제의 수행에서 어려움에 관계된 정보를 제공하는 것을 나타내고 과제를 수행하기 위한 환자를 위한 변경된 전략들을 발달시키기 위해 노력하는 임상가들에게 유용할 수 있다. 두 도구 모두는 전통적인 범위들보다 고관절 골절을 동반한 장애의 좀더 정확한 정보를 모으도록 할 수 있다. 고찰된 모든 연구의 결과들은 골절 후에 남아 있는 잔여 장애의 중요한 수준을 강조한다. 골절 전의 보행으로 회복된 사람은 매우 드물었다. 대부분은 기본적인 움직임 혹은 옷입기, 개인 위생에 관계된 활동들에서 의존적이었다. 많은 사람들은 사회에서 활동을 할 수 없었다. 장애의 적절한 측정의 요구는 환자 치료와 기능적인 상태에서 변화를 알고 치료의 요구도를 측정하고 치료를 계획하고 결과를 예상하고 보상 수단을 결정하는 임상적 연구에서 모두 나타난다. 물리치료 분야는 분야의 다른 영역에서 기능적인 결과를 충족시키고 발달시키는 것이 필요하다.

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