• Title/Summary/Keyword: Adaptation method

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Adaptation Process of Mothers-in-law of Vietnamese Women Married to Korean Men (베트남 출신 며느리를 맞은 농촌 지역 시어머니의 적응과정)

  • An, Hyo Ja;Cho Chung, Hyang-In
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.1
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    • pp.22-34
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    • 2014
  • Purpose: This study was conducted to generate a grounded substantive theory of the adaptation process of mothers-in-law of Vietnamese women married to Korean husbands. Methods: Thirteen women who had Vietnamese daughters-in-law were interviewed. Data were transcribed verbatim and analyzed using a grounded theory method. Results: Eight categories with 19 sub-categories were extracted from 268 concepts. The identified phenomenon was 'overcoming differences' and the core category was 'trying one's best to live together with daughter-in-law'. The 9 categories were grouped into 3 stages for the adaptation process: encountering, struggling, and living together. Conclusion: The results indicate that when individuals from different cultural and personal backgrounds have to live together there is a continuing negotiation process towards meeting each other's needs. Health professionals can assist this adaptation process by providing these women with insights into various ways of meeting each other's need while they are struggling.

Relationship Between Nursing Organizational Structure and Nursing Outcome (간호 조직구조와 간호결과의 관계)

  • Lee, Eun-Ju
    • Journal of Korean Academy of Nursing Administration
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    • v.10 no.1
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    • pp.37-48
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    • 2004
  • Purpose: This study was investigated to identify the relationship among hospital nursing organizational structure(decentralization, communication, bed/nurse ratio), process(nurses' job satisfaction, nurses' clinical experiences, nurses' unit experiences), and nursing outcome(patient satisfaction, physiologic adaptation, length of stay, number of complication). Method: The subjects consisted of 86 hysterectomy patients and 23 nurses in gynecology unit. Data were collected from May 16, 2002 to August 15. 2003 by the structured questionnaires and chart review. Data analysis was done with ANOVA, Pearson's correlation coefficient, path analysis. Result: Relationship between organizational structure and process ; Bed/nurse ratio was negatively related to nurses' job satisfaction(r=- .37, p<.05), and nurses' clinical experience(r=- .69, p<.00). Decentralization(r=.42, p<.05) and comunication(r=.61, p<.00) were positively related to nurses' clinical experiences. Relationship between process and nursing outcome ; There was a significant relationship between nurses' unit experiences and patient satisfaction(r=.63, p<.00), nurses' job satisfaction and physiologic adaptation(r= .44, p<.05), nurses' unit experiences and physiologic adaptation(r=.64, p<.00), Relationship between organizational structure and nursing outcome ; Decentralization and communication were positively related to patient satisfaction(r=.86, p<.00 ; r=.88, p<.00) and physiologic adaptation(r=,51, p<.01, r=.64, p<.00). Conclusion: Nurses' unit experience, communication, decentralization were significant variables for patient satisfaction. Nurses' unit experience, nurses' job satisfaction, communication were significant variables for patient physiologic adaptation.

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Adaptation Processes of Mothers of Children with Autism (자폐아 어머니의 장애적응과정과 지지)

  • Lee Ki-Sook;Jung Soon-Jung
    • Journal of Families and Better Life
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    • v.23 no.5 s.77
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    • pp.39-51
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    • 2005
  • This study aims at investigating the adaptation process of the mothers of autistic children. A qualitative research method was adopted for this study: in-depth interviews were conducted using semi-structured questionnaires, then the transcribed interviews were analyzed to sort out patterns of adaptation and social support. Major results of the study are as follows: First the interviewees had common processes and patterns in their experiences and went through similar emotional and psychological processes. More specifically, most of the interviewees went through the stages of denial and isolation, anger, bargaining, depression, and acceptance. However, the interviewees did not experience the stages in the exact sequence, as the stages sometimes would repeat, or would overlap one with another, Second, the data showed that many of the mothers of autistic children could not obtain the social support that they acutely needed Also, it was found that when adequate social support was provided, it relieved the stress of the interviewees, improved their adaptation, reduced the negative effects of crises or changes in the family, and further strengthened the solidarity of the family.

The Adaptation Process with the Spinal Cord Injured Women Persons (여성 척수손상인의 적응 과정)

  • Song, Chung-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.12 no.2
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    • pp.81-91
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    • 2009
  • Purpose: This study is aimed at life adaptation process of women with the spinal cord injury. Method: The subjects were 6 women in Kyeonggi and they had interview individually. The study was conducted during June to November in 2009 and developed substantial theory in women's life adaptation process by applying ground research methodology. Result: Motivation for such a change was their psychological pain, which is the central phenomenon. Social activities sustained them during such a process, while social support and experience of achievement acted as an intervention condition. During the initial period, they had a vague expectation that the condition of their accidental spinal cord injury would be improved. Then the expectation had failed, they experienced psychological pain, finding out the reality about the disabled and social difficulties awaiting them. Since then they began to love themselves, pursuing a changed life of hope, achievement and serving. Conclusion: Its result is expected to serve as a basic data for rehabilitation nursing, so that they may conduct independent lives, with a love toward themselves. Repetitive research would be necessary concerning the adaptation process of women in order for the criteria presented to become richer, and for the relations among the criteria to become more refined.

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The Effects of an Asthma Management Education Program for Preschoolers (천식관리 교육 프로그램이 학령전기 아동의 천식치료 적응에 미치는 효과)

  • Yim, Soyoun
    • Journal of Korean Academy of Nursing
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    • v.44 no.2
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    • pp.189-197
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    • 2014
  • Purpose: This study was conducted to develop an asthma management education program for preschool children using Roy's adaptation theory as a framework and examining the effects of this program on adaptation to asthma treatment. Methods: A non-equivalent control group pre-post-test design was used with 43 preschool children diagnosed with asthma and required to be hospitalized for inhalation therapy. An intervention group (n=23) participated in the educational program and a control group (n=20) received regular treatment. The education program was conducted and evaluated from June 30 to October 31 2012, a maximum 3 times every 24 hours during hospitalization. Two nurses conducted the program using the teaching method of Gagn$\acute{e}$ and Briggs; instruction design theory through questionnaires to measure perception of disease, behavior of adaptation to treatment with inhalation therapy. Results: Effects of asthma management education program; scores for face-pain rating decreased and time of adaptation to treatment increased significantly in the experimental group compared to the control group but no significant differences were found for perception of the disease's cause and treatment. Conclusion: Results indicate that the asthma management education program has positive effects on adaptation to asthma treatment of preschoolers.

Adaptation Experience of Living Kidney Donors after Donation (생체 신장 공여자의 공여 후 적응 경험)

  • Kang, Da-Hai-Som;Yang, Jinhyang
    • Journal of Korean Academy of Nursing
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    • v.46 no.2
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    • pp.271-282
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    • 2016
  • Purpose: This study was done to explore adaptation experience of living kidney donors after donation. Specific aims were to identify challenges donors face in the process of adaptation following surgery and how they interact with recipients and other people. Methods: Grounded theory methodology was utilized. Participants were 13 living kidney donors at six months or more after donation. Data were collected by in-depth interviews with individual participants. Data were analyzed using constants comparative method with theoretical saturation. Results: A core category emerged as 'keeping the fences of my family in spite of vulnerability'. The adaptation process after donation was manifested in four phases: exploration, balance, maintenance, and acclimatization. Phenomenon was perception of vulnerability. Strategies to manage the vulnerability were assessing changes of body awareness, tailoring regimen to one's own body condition, coping with health problems, keeping restoration of health, and ruminating on the meaning of one's kidney donation. Consequences were reestablishing family well-being, realizing the values of one's kidney donation, and living with uncertainty. Conclusion: Findings of the study indicate that there is a need for health professionals to understand the vulnerability of living kidney donors and help their family system maintain a healthy and productive life. The results of this study can be used to develop phase-specific, patient-centered, and tailored interventions for living kidney donors.

Adaptation Process to Group Home Living by Older Adults (노인요양공동생활가정 입소노인의 적응과정)

  • Yoon, Hee Sook;Sok, Sohyune
    • Journal of Korean Academy of Nursing
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    • v.46 no.6
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    • pp.858-870
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    • 2016
  • Purpose: The purpose of the study was to explore and describe the adaptation process of older people to group homes. Methods: Participants were twenty older adults aged 65 or older who were living in group homes. Data were collected from January to April, 2015. In-depth unstructured interviews were conducted with individual participants. Data were analyzed using Strauss and Corbin's grounded theory method. Results: From open coding, 100 concepts, 38 sub-categories, and 14 categories were identified. Analysis showed that the central phenomenon of the adaptation process of older people to group homes was 'gradually giving up'. Causal conditions were 'good-for-nothing body', contextual conditions were 'pushed', 'beleaguered'. Intervening conditions were 'reliable pillar: children', 'having affection (情) more than having it from family: facility workers', 'comfort - like feeling at home', 'relieved: system'. Action/interaction strategies were 'facing the unfamiliar reality', 'building relationships with other people', 'accepting reality'. Consequences were 'a good place, more than expected', 'hope for the remaining days', 'waiting for a peaceful death'. Conclusion: The results of this study provide an in-depth understanding of the experience of the adaptation process of older people to group homes. The findings from this study can be used as basic data to establish policies to increase the number of small scale facilities which can help older adults adapt easily to the facilities.

A Study on the Regulatory Supporting System of Housing Adaptations in order to improve Housing Welfare (주거복지를 위한 주택개조의 제도적 지원방안에 관한 연구)

  • Kim, Sang-Woon;Kim, Yong-Kun;Seong, Ki-Chang;Park, Kwang-Jae;Kang, Byoung-Keun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.18 no.2
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    • pp.19-31
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    • 2012
  • Even though there is an increasing recognition that "the disability comes from the ambient environment" and the increasing number of the disabled population, the housing environment for disabled people has not improved, though, having the existing inconvenient housing situation as it was before. Accordingly, have studied on the current situation of domestic housing adaptation projects to find out their problems and limits. Also studied on foreign housing support systems find out the operation system and organization factors which can be utilized when the housing adaptation support system is introduced. As this study has focused on the systematic support such as operation system in housing adaptation but not handled on the physical solutions such as the standard and method of housing adaptation, it has some limits as far as the comprehensive support system is concerned.

Effects of Breast-feeding Adaptation, Attitude and Practice of Primipara Depending on Method of Postpartum Breast-feeding Education (산후 모유수유 교육 방법에 따른 초산모의 모유수유 적응, 태도 및 실천효과)

  • Yun, Seung-Eun;Lee, Hyea-Kyung
    • Women's Health Nursing
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    • v.18 no.2
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    • pp.75-84
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    • 2012
  • Purpose: This study was done to identify the effects of individual postpartum breast-feeding education on adaptation, attitude and practice of breast-feeding in primiparas. Methods: A quasi-experimental nonequivalent design was used to examine the effects of individual postpartum breast-feeding education among primiparas. The data were analyzed using $x^2$-test, Fisher's exact test and paired t-test. Results: There was a significant difference in breast-feeding adaptation (t=-12.94, p<.001), breast-feeding attitude (t=-2.71, p=.011) and breast-feeding practice ($x^2$=16.47, p<.001) between the group education (experimental group I) and individual education after group education (experimental group II). Conclusion: The results indicate that individual education on breast-feeding compared to group education has more positive effects on increasing breast-feeding adaptation, attitude and practice in primiparas. This result also indicates that many primiparas should be given opportunities of various types of education to improve breast-feeding practice such as individual approaches and postpartum breast-feeding education programs.

Factors Predicting Depression in Hemodialysis Patients (혈액투석 환자의 우울 예측 요인)

  • Han Sang-Sook;Kim Young Hee
    • Journal of Korean Academy of Nursing
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    • v.35 no.7
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    • pp.1353-1361
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    • 2005
  • Purpose: This study was done to provide fundamental data for developing a depression prediction model by discovering main factors that affect depression in patients who do maintenance hemodialysis. Method: The subjects were 191 patients doing maintenance hemodialysis selected from outpatient dialysis clinics at 9 major general hospitals, The Instrument tools utilized in this study were adapted from depression, fatigue, sleep disturbance, stress, adaptation, symptoms, daily activities, and role limitation and thoroughly modified to verify reliability and validity. The collected data was analyzed with a SPSS-PC 11.0 Window Statistics Program for real numbers, percentage, average, standard deviation, and multiple regression. Results: The correlation factor for depression was (M=2.54) fatigue(M=3.12), sleep disturbance (M=2.82), stress(M=3.04), adaptation(M=2.53), daily activities(M=2.24), symptoms(M=2.37), and role limitation(M=2.24). The strongest factor that affected depression was explained by symptoms of the patients who performed hemodialysis. The analysis of the factors that affected depression revealed a $58.4\%$ prediction in symptoms, stress, role limitation, and adaptation. Conclusion: It has been confirmed that the regression equation model(Depression=7.351 + .266$^{\ast}$symptoms + .260$^{\ast}$stress -.l89$^{\ast}$adaptation + .057$^{\ast}$fatigue) of this research may serve as a prediction factor for depression in Hemodialysis Patients.