• Title/Summary/Keyword: A counseling expert

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Effects of an Integrated Self-Management Program on Self-Management, Glycemic Control, and Maternal Identity in Women with Gestational Diabetes Mellitus (통합 자가관리 프로그램이 임신성 당뇨병 임부의 자가관리, 혈당 및 모성 정체성에 미치는 효과)

  • Kim, HeeSook;Kim, Sue
    • Journal of Korean Academy of Nursing
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    • v.43 no.1
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    • pp.69-80
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    • 2013
  • Purpose: The purpose of the study was to investigate the effects of an integrated self-management program on self-management, glycemic control, and maternal identity in women with gestational diabetes mellitus (GDM). Methods: A non-equivalent control group non-synchronized quasi-experimental design was used. A total of 55 women with GDM were recruited from Cheil General Hospital, Seoul, Korea and were assigned to an experimental (n=28) or control group (n=27). The participants were 24-30 weeks pregnant women who had been diagnosed with GDM as of July 30, 2010. The program was conducted as a 1 hour small group meeting 3 out of 5 times and by telephone-counseling 2 out of 5 times. The integrated self-management program was verified by an expert panel. Results: Although there was no significant reduction in HbA1c (U= -1.17, p=.238), there were statistically significant increases in self-management (U= -3.80, p<.001) and maternal identity (U= -4.48, p<.001), and decreased 2-h postprandial glucose levels (U= -2.43, p<.015) in the experimental group compared to the control group. Conclusion: These findings suggest that an integrated self-management program for women with GDM improves self-management, maternal identity, and glycemic control. Further studies are needed to identify the effects of an integrated self-management program on pregnancy and neonatal outcomes.

Questionnaire Survey on Perception and Attitude Toward of Remote Treatment by Korean Medicine Doctors (한의사의 비대면 진료에 대한 인식과 수용도 설문조사연구)

  • Juchul Kim;Sohyun Kim;Hyunjoo Oh;Eunji Ahn;Dongsu Kim
    • The Journal of Korean Medicine
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    • v.45 no.1
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    • pp.100-113
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    • 2024
  • Objectives: Following the global COVID-19 pandemic, with the escalation of remote medical care formalization in Korea, there is a pressing need for objective data in the Korean medicine field to respond to remote treatment medical care policies. This study aims to investigate the perceptions and acceptance of remote treatments among Korean Medicine Doctors (KMDs). Methods: After expert reviews and pilot testing, the 31-question survey covered participant characteristics, experiences, forms, intentions, and perceptions related to Remote Treatments. The survey was electronically distributed to members of the Association of Korean Medicine, and 662 clinical KMDs provided valid responses. Results: Among respondents, 76.1% engaged in remote treatments, utilizing various platforms. Those with experience in Remote Treatments showed a significantly higher willingness to continue participating during the institutionalization process (p<0.001). 49.7% of respondents stated that traditional Korean medicine is competitive in remote treatments, with the main reasons being the ability for regular management after herbal medication(26.1%) and increased patient satisfaction due to sufficient counseling compared to Western medicine(25.2%). Respondents preferred Remote Treatment conditions with a treatment time of less than 10 minutes(47.6%) and equivalent fees to in-person visits(45.6%). Regarding suitable intervention tools during Remote Treatment, respondents favored non-covered herbal prescriptions(39.0%), covered herbal granules(24.6%), and non-covered herbal granules(23.0%). Conclusion: This study investigated the perceptions and acceptance of KMDs regarding remote treatments. These findings provide valuable insights for policymakers aiming to establish effective policies for Remote Treatments suitable for the Korean medicine healthcare environment.

Convergence analysis of nursing choice factors in senior high school students (고등학교 3학년 학생의 융복합적 간호대학 진로선택 요인 분석)

  • Han, Su-Jeong;Kim, Mi-Ran
    • Journal of the Korea Convergence Society
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    • v.8 no.11
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    • pp.109-114
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    • 2017
  • The objective of this study was to investigate the factors of career choice in high school seniors and to utilize the data to guide their career selection. From July 2, 2016 to August 2, 2016, a total of 145 high school seniors from six different high schools in Daejeon and Chungcheong area participated the study. Pearson's correlation coefficients, t-test, one-way ANOVA and multiple regression analysis, using SPSS 24.0 version program. It was shown that the participants who had a positive relationship with their school nurse, or those who had experience in nursing-related career activities inside or outside the school, or participants who had career-related classes, expert counseling, and educational experience in school were interested in applying to nursing school. The findings from this study provided implications for promoting career education programs attracting talent from high school seniors who are interested in applying nursing school.

The subjective recognition of oral malodor and oral malodor self test (일부지역의 주관적인 구취에 대한 인식 및 구취 자가진단에 관한 연구)

  • Chun, Ju-Yeon;Lee, Kyeong-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.6
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    • pp.871-879
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    • 2014
  • Objectives: The purpose of the study was to investigate the appropriate management and implementation of the oral malodor prevention for the general people. Methods: A self-reported questionnaire was filled out by 420 subjects in Seoul and Gyeonggi Province from March to October, 2013. Except 19 copies, 401 copies were analyzed. The instrument of subjective oral malodor awareness and status was adapted from Yoon and Youn and partly modified. The questionnaire consisted of general characteristics(4 questions), oral malodor awareness(3 questions), oral malodor related characteristics(3 questions), self-diagnostic test of oral malodor(5 questions), and subjective oral malodor and health status(3 questions). Self-diagnostic test of oral malodor was score as yes(1 point) and no(0 point). The subjective oral malodor and health status scoring was done by Likert 5 scale. Cronbach alpha was 0.713 in the self-diagnostic test of oral malodor. Results: The self-recognition rate of oral malodor was 0.8%. When the level of oral malodor increased to 1 point, the self-test of oral malodor increased as the rate of 0.033(p<0.05). Conclusions: There existed no close correlation between subjective recognition of oral malodor and oral malodor self-test. Therefore, oral malodor should be measured by an expert counseling to make an accurate diagnosis. It is important to establish the appropriate oral malodor prevention program for the general people.

Long-Term Care Hospital Nurse's Experience in Coping with End-of-life Care Nursing (요양병원 간호사의 임종간호 대처 경험)

  • Kim, Dong-Hee;Lee, La-Jin
    • The Journal of the Korea Contents Association
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    • v.21 no.1
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    • pp.710-721
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    • 2021
  • Purpose: The purpose of this study is to identify, describe, and understand the meaning of experiences by clarifying the structure of the coping experience of end-of-life care(EOLC) experienced by long-term care hospitals(LTCHs) nurses'. Methods: Data were gathered from 16 nurses who had been working at LTCHs in Korea through one-on-one interviews and the data were analyzed by Colaizzi's phenomenological method. Results: It was structured and identified into 3 categories and 15 theme clusters. The emergent 3 categories were 'Long-term care hospitals nurses' attitudes towards for end-of-life care', 'End-of-life care stress', 'Coping with end-of-life care'. Conclusion: There is a need for practical and systematic education for LTCHs nurses' to positively change end-of-life care attitudes and reduce and prevent end-of-life care stress. In addition, it is suggested to operate programs that can improve coping skills or programs such as expert counseling.

Experience of Visiting Nurse's End-of-life Care: A Qualitative Contents Analysis (방문간호사의 생애말기 간호에 대한 경험: 질적 내용분석)

  • Bang, Misung;Lee, Insook;Yang, Juhyeon;Kim, Sohee
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.29 no.2
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    • pp.143-152
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    • 2022
  • Purpose: This study aims to describe and explore the experiences of visiting nurses so as to providing high-quality end-of-life care at home. Methods: Data was collected and recorded through in-depth interviews with 11 visiting nurses and transcribed verbatim. The data were analyzed with qualitative contents analysis. Data were collected from April 8 to July 30, 2021. Results: The results revealed the following four themes and ten sub-themes: The main themes were 'Dignified end-of-life caring practice at home', 'Providing integrated support of end-of-life family caregivers', 'Confronting the limits of visiting nursing at the end of life' and 'Reflection on life and feeling rewarded'. Visiting nurses have performed dignified end-of-life care at home and integrated support for family caregivers. Although the visiting nurse sometimes faced the limits of visiting nursing during end-of-life care, it was surveyed that they rewarded on their lives and felt rewarding through the end-of-life nursing experience. Conclusion: Practical and systematic training is needed to positively change the end-of-life care of visiting nurses. We propose programs, such as expert counseling, to improve coping skills in end-of-life care practice at home. Additionally, we propose various institutional supports which can support the limitations of end-of-life care provision.

Requirements and Self-evaluation of Competencies Necessary to be Effective Nutrition Teachers Perceived by School Food Service Dieticians (학교급식 영양사가 인식하는 효과적인 영양교사의 역량 요구도와 자기 평가)

  • Lee, Kyung-Eun
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.38 no.5
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    • pp.626-635
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    • 2009
  • The purposes of the study were to identify a comprehensive competency list related to the jobs of nutrition teachers and to compare the competency needs for nutrition teachers and dieticians' competency levels. Job functional areas and a competency list for nutrition teachers were developed based on a review of literature and revised through expert panel reviews. A total of 53 competency statements associated with 11 job functional areas were specified. Questionnaires were distributed to 457 dieticians engaged in school food service and 148 responses were returned (response rate: 32.4%). Excluding incomplete responses, 142 questionnaires were used for data analysis. Approximately half of the respondents were enrolled in an 1-year nutrition teacher certificate program, 25% in a graduate school of nutrition education, and 19% had completed an 1-year nutrition teacher certificate program. The dieticians highly rated requirements of the competencies related to sanitation and employee safety, nutrition counseling, nutrition education, and teaching practices; in contrary, their competency levels for nutrition education, nutrition counseling, and teaching practices were low. Respondents' competency levels were significantly lower than the required competency levels of effective nutrition teachers in all functional areas. A quadratic analysis based on the requirement and self-evaluation of the competencies revealed that priorities of education programs targeting school nutrition teachers or students preparing to be nutrition teachers should be placed on improving competencies related to nutrition education, nutrition counseling, teaching practices, sanitation and employee safety, menu management, and human resource management. These results can be used to develop curriculum materials for basic and continuing professional education for nutrition teachers. It is necessary to review and update competencies regularly to reflect environmental changes in school food service programs.

Common Scope of Practice for Advanced Practice Nurses in Korea Derived from Expert Agreement (전문가 합의로 도출된 한국 전문간호사의 공통 업무범위)

  • Leem, Cho Sun;Choi, Su Jung;Lim, Kyung-Choon;Yi, Young Hee;Jeong, Jae Sim;Shin, Yong Ae;Kang, Young-ah;Park, Hayoung;Kim, Eun Mi
    • Journal of Korean Critical Care Nursing
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    • v.12 no.3
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    • pp.35-49
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    • 2019
  • Purpose : This study aimed to propose a common scope of practice (SOP) for 13 specialties of Advanced Practice Nurses (APNs) in Korea. Methods : The first draft of a common SOP was extracted from domestic and international laws with a literature review by 17 experts from the Korean Association of Advanced Practice Nurses (KAAPN). Then, the common SOP was finalized after comparing the activities of APNs in clinical settings. Results : A total of 70 duties were identified and six categories were suggested for the common SOP. The SOP proposed by the KAAPN featured the following: 1) identification of and discrimination between health problems; 2) prescription and implementation of diagnostic tests; 3) treatment of injuries and diseases while implementing measures to prevent exacerbation; 4) prescription of medicinal products in line with 1) to 3); 5) referral and consultation; and 6) education and counseling. It was then confirmed that the proposed six categories in the common SOP reflected all the duties performed by APNs in clinical practice, including all 40 activities. Conclusion : The results of this study can be used as evidence for the legalization of a common SOP for APNs. Given the increasing multidisciplinary team approach adopted in Korean hospitals, it may be desirable to establish a broader SOP to reflect the diverse duties of APNs.

A Study on the School Health Services in the Universities, Colleges and Junior Colleges (우리나라대학의 학교보건관리에 관한 실태조사)

  • 손무인
    • Korean Journal of Health Education and Promotion
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    • v.1 no.1
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    • pp.83-97
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    • 1983
  • The present study is to provide information for the improvement of school health services through research on the current condition of its organization and practice in universities, colleges and junior colleges. The scope of this study is consisted of four components including health organizations/units, school health services, environmental sanitation and health education for the 30 universities, the 20 colleges and the 32 junior colleges in Korea. The major findings are summarized as follows: (1) Among the sampled schools, around 73% of them have the health service organization/unit. When we break down health service organization/unit into the types by the level of school, around 73% of the universities have formal organization called "health center" and 20.0% of them have an informal organization called "health room". For the colleges level, 30.0% of them have the "health center" and 40.0% of them have the "health room". The figure of junior colleges is a quite different from universities and colleges, 56.3% of junior colleges have the "health room" only but the other have no service organization at all. (2) It was found that only 22.0% of 82 schools have the health committee for the school health services. It might be necessary to have a kind of expert committee to establish an annual health service program, budget and health policy in the school. (3) Approximately 29% of those schools having formal health organizations/units appointed directors as a medical persons. 13.4% of the sampled schools are appointed doctors (including the dentists) at health service organization/unit, 9.8% are appointed pharmacist and 65.9% are appointed nurses. Therefore, the data imply that the school health services are depending mainly on nurses. (4) The major activities of school health services are covering primary medical care (84.1%), health counseling (72.0%), physical examination (68.3%), vaccination (58.5%), tuberculosis control (54.9%), parasite control (29.3%) and dental health case(9.8%). Also 69.5% of the schools have the program on the environmental sanitation and the health education program. (5) In regard to health budget taking account of 34 schools, approximately 92% of them have less than 5,000 won per students and only 8.8% of them have more 10,000 won per students. At the average health budget per students is 4089.8 won in universities, 1617.1 won in colleges and 475.0 won in junior colleges. (6) The students enjoy the benifit of medical insurance at 11.0% of 82 schools surveyed. They are all universities. (7) The study found that 56 universities, colleges and junior colleges provide the annual physical examination. Only 21.4% of them have provided it for all students and school employees. (8) 64.3% of the 56 schools surveyed keep a record of the regular physical examinations. Records must be utilized as the basic data for the evaluation of the student's health condition and so the individual student is encouraged to take care of his own health. (9) At the 59 schools which practice health counseling, the main concerns of the counsellees are venereal disease, tuberculosis and psychoneurosis. This shows the need to practice health education in the area of preventive medicine. (10) 69.5% of the 82 universities, colleges and junior colleges surveyed are concerned with supervision of the environmental sanitation in their school, but non-professionals are in charge at 70.1% of them. This indicates negligence in environmental sanitation. (11) 53.7% of the 82 schools responded that they have no special instructive measure for the students' health and 54.9% are found to be negative in the use of a health education method. This reveals a problem. They are not positive to the recognition of their function as the initiative organization for the students' health. (12) The supplementary education for the faculty of the school health services is executed only at 8.5% of all the schools surveyed.

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An Empirical Study on the Importance of Sales Agency in Apartment Sale by AHP and Fuzzy Analysis (AHP 및 Fuzzy 분석을 통한 분양대행사의 분양성 결정요인 중요도 분석)

  • Park, Hyung Nam;Eum, Soo Won
    • Journal of Digital Contents Society
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    • v.19 no.7
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    • pp.1365-1372
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    • 2018
  • The purpose of this study is to analyze the importance of the determinants of housing sales agency's role in the sale of apartment housing. For this purpose, a hierarchical decision model was constructed to understand the role and importance of the sales agency. The analytical variable items structured by the research model were set up through literature review, precedent research, and expert brainstorming. The questionnaire consisted of two comparisons for AHP analysis and the importance of absolute importance for fuzzy analysis. Afterwards, the work of correcting the importance was carried out. As a result of the analysis, it was found that the contractor prioritized the sale conditions and the sales agency had priority over the planning for the sale. As a result of analysis, planning of customer pre-sale counseling data, planning of client subscription and contract maximization plan, planning method of advertisement public media method were found to be the most important factors. The results of measurement of absolute importance(fuzzy) & relative importance(,AHP) showed similar tendency. Therefore, it can be seen that the timing of the model house operation is an important period in which the subscription rate depends on the role of the sales agency and the marketing strategy.