• Journal of Convergence for Information Technology
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• v.9 no.5
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• pp.137-146
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• 2019

The purpose of the study is to examine the effects of peer relationships and parental relationships on suicidal ideation in elementary school students and the mediating effects of anxiety in the process. For this purpose, 273 students in grades 4-6 of elementary school are examined for path analysis of peer relationship, convergent parent relationship, anxiety and suicidal ideation. The main results are as follows. First, anxiety of elementary school students is found to be fully mediating between peer relationship and suicidal ideation. Second, the anxiety of elementary school is found to be partly mediating between parental relationship and suicidal ideation. Therefore, in order to lower the suicidal ideation of the upper grades students of elementary school, developing various programs to reduce anxiety factors and apply them to the practice field is desired.

• The Journal of Korean Academic Society of Nursing Education
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• v.20 no.3
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• pp.362-371
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• 2014

Purpose: The aim of this study was to describe the experiences of student nurses during their clinical practice periods in an alcoholic ward. Methods: A descriptive phenomenological study design was employed. Individual interviews were conducted and audio-taped. Colaizzi's method of data analysis was applied to inductively determine themes and formulated meanings. Data saturation was achieved and methodological rigor was established. Results: Four themes were identified and these themes included anxiety of nursing practice in unfamiliar setting, sympathy with patients, learning about the inpatient alcoholics care, and self-reflection. Conclusion: Nursing students had positive and negative experiences in their clinical practice. The results of this study had important implications regarding clinical practice and research for nursing clinical education.

• Journal of Korean Academy of Nursing
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• v.30 no.3
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• pp.682-693
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• 2000

The study was designed to identify the attitude of nursing students to fundamental nursing practice through Q-methodology. A Q sample was developed through a review of the literature and interviews. Forty statements made up the finalized Q-sample. The P sample consisted of 25 nursing students in S College. Q statements were written on separate cards and were given to the 25 subjects to sort according to degree of agreement or disagreement. The Q-sort by each subject was coded and analyzed with QUANL PC Program. The analysis discovered three major attitudes, namely "type 1: passive demand", "type 2: active self-confidence", "type 3: practical application". The correlation was .213 between type 1 and 2, .409 between type 1 and 3, .379 between t ype 2 and 3. The results revealed three different types of fundamental nursing practice attitude; 1) Passive demand type: they were not satisfied with fundamental nursing practice time, the number of persons, practice machines. They presented anxiety and worry through fundamental nursing practice. Therefore, they will presenta passive attitude of clinical practice experience. 2) Active self-confidence type: they experienced pride as a nursing student and fascination as a nurse was an acquired recognition. 3) Practical application type: they practiced that fundamental nursing skill was applied their family and oneself. Therefore they had tension through initial fundamental nursing practice but they gained self-confidence and interest through practical study. In conclusion, the researchers suggest that the education program would be more effective if it was planned considering to each types of attitude of nursing students for fundamental nursing practicer fundamental nursing practice

• Journal of Korean Academy of Nursing
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• v.49 no.4
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• pp.411-422
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• 2019

Purpose: The purpose of this study was to adapt, modify, and validate the Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale ($NASC-CDM^{(c)}$) for Korean nursing students. Methods: Participants were 183 nursing students with clinical practice experience in two nursing colleges. The construct validity and reliability of the final Korean version of the $NASC-CDM^{(c)}$ were examined using exploratory and confirmatory factor analyses and testing of internal consistency reliability. For adaptation and modification, the instrument was translated from English to Korean. Expert review and a cross-sectional survey were used to test the instrument's validity. Results: The Korean version of the $NASC-CDM^{(c)}$ (KNASC-CDM) was composed of 23 items divided into four dimensions: (i) Listening fully and using resources to gather information; (ii) Using information to see the big picture; (iii) Knowing and acting; and (iv) Seeking information from clinical instructors. The instrument explained 60.1% of the total variance for self-confidence and 63.1% of the variance for anxiety; Cronbach's ${\alpha}$ was .93 for self-confidence and .95 for anxiety. Conclusion: The KNASC-CDM can be used to identify anxiety and self-confidence in nursing students' clinical decision-making in Korea. However, further research should be done to test this instrument, as it is classified differently from the original $NASC-CDM^{(c)}$ version.

• Journal of Oriental Neuropsychiatry
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• v.33 no.4
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• pp.377-388
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• 2022

Objectives: For diagnosis and evaluation, evaluation tools are needed. Various tools can be used to diagnose and evaluate mental disorders. Among them, psychological tests are widely used. For Korean Standard Classification of Diseases (KCD) diagnosis, psychological tests are also required. Currently developed critical pathway (CP) presented tools for diagnosis and evaluation of mental disorders. The CP suggests the use of tools based on the Clinical Practice Guideline (CPG). Therefore, CPG-based tools should be able to be used in the clinical scene of Korean Medicine for diagnosing and evaluating mental disorders according to CP. Methods: Tools suggested by CPs are summarized. The degree of utilization of tools in CPGs is also summarized. A review was conducted by Korean Medicine neuropsychiatrist experts on tools and user's usage plan. Results: As a result, developed CPs suggested using 19 tools for anxiety disorder, 13 tools for insomnia), 12 tools for Hwabyeong, and 9 tools for dementia. In CPG, 48, 34, 44, and 44 tools were used for anxiety disorder, insomnia, Hwabyeong, and dementia, respectively. Among tools presented in CP, HAM-A, HAM-D, CGI, SAS, and TESS for anxiety disorder, CPG, ISI, and PSQI for insomnia disorder, CPG, STAI, and STAXI for Hwabyeong were frequently used in CPG. For dementia CPG, MoCA, MMSE, HDS, ADL, and ADAS-cog were frequently used. Among them, MoCA, ADL, and ADAS-cog were suggested tools in CP. Conclusions: As a result of analyzing tools suggested and used in the developed CPs and CPGs, it was verified that various tools were used in each study. Most of them were symptom and behavioral evaluation scales. Therefore, symptoms and behavior evaluation scales used more frequently should be able to be used in the clinical scene of Korean Medicine.

• The Journal of the Korea Contents Association
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• v.18 no.8
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• pp.326-337
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• 2018

The purpose of this study was to investigate the levels of anxiety, empathy, ego-resilience, and clinical competency of nursing students, and to examine the relationship of the variables. The participants were 197 nursing students. Data were collected from December 3 to 15, 2017 by taking a survey and analyzed with SPSS WIN 19.0 program(SPSS Inc., Chicago, IL, USA). The results of this study were as follows: The mean score of anxiety was $2.16{\pm}.51$, empathy was $3.51{\pm}.36$, ego-resilience was $2.83{\pm}.44$, and clinical competency was $3.65{\pm}.48$. There was significant differences in clinical competency by satisfaction with major, satisfaction with clinical practice. There were a negative correlation between clinical competency and anxiety(r=-.37, p<.001), a positive correlation between clinical competency and empathy(r=.34, p<.001) and a positive correlation between clinical competency and ego-resilience(r=.49, p<.001). Variables such as ego-resilience, empathy, anxiety, satisfaction with major and satisfaction with clinical practice explained 35.6% of variance in clinical competency. According to these result, there is a need to develop interventions and programs to increase the ego-resilience and empathy and to reduce the anxiety for improving clinical competency in nursing students.

• Journal of Korean Clinical Nursing Research
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• v.19 no.1
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• pp.105-114
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• 2013

Purpose: The purpose of this study was to apply laughter therapy to clinical practice and investigate its effects on patients' anxiety and depression in order to increase the quality of nursing for patients with inflammatory bowel disease (IBD). Methods: The study was conducted based on the non-equivalent control group pretestposttest design. The participants include 20 patients with IBD in the control group and 17 in the experiment group. Data was collected from July 10th, 2011 to January 22nd, 2012. Laughter therapy was administered once a day for five consecutive days. Results: The anxiety score was significantly different between the two groups and indicates that laughter therapy is effective for reducing anxiety among patients with IBD. Futhermore, there were differences in the depression scores of the experiment group between the pre-test and post-test, but no significant differences were found between the two groups. Conclusion: The results show that laughter therapy was effective in reducing anxiety among patients with IBD but did not decrease depression directly. Considering that the experiment group had a bigger reduction rate in depression scores than the control group. However, it is expected that laughter therapy will serve as an emotional nursing intervention for patients with IBD.

• Journal of The Korean Dental Society of Anesthesiology
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• v.5 no.1 s.8
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• pp.6-14
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• 2005

Chronic periodontitis is one of the most common diseases in clinical dentistry, which requires various surgical interventions to treat the moderately to severely destructed supporting periodontium. Most patients have anxiety and fear to these surgical procedures and dentists often have problems dealing with these patients. By applying the conscious sedation technique in outpatient units, periodontists have become able to manage their patients successfully with less anxiety or fear. Also, we have experienced the increased level of patients' satisfaction. Generally, periodontal treatments are time consuming procedures and patients are usually reluctant to the periodontal instruments. This study is focused on the sedation procedure with intravenous midazolam infusion performed in Department of Periodontology of Ewha Womans University Hospital. Using questionnaires, we evaluated 80 randomly selected patients for the anxiolytic effect of intravenous midazolam. Anxiety control using IV sedation was very helpful in performing various periodontal reconstructive and advanced surgical procedures in implant dentistry.

• Korean Journal of Social Welfare Studies
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• v.41 no.3
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• pp.327-348
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• 2010

This study aims to understand whether the effect of poverty is translated to adolescents' mental health though their exposure to violence, which is aggravated by the dangerous environments of the neighborhoods. For this purpose, the study analyzes whether poor adolescents tend to reside on neighborhoods with toxic environments, and whether living in the disadvantageous neighborhood causes the poor adolescents to experience greater violence victimization and fear of violence, and eventually, greater depression and anxiety. The study utilizes secondary analysis of longitudinal data of the Korea Youth Panel Survey. Structural Equation Modeling is used as an analysis method. The study results reveals that poverty has both direct and indirect effects on the level of adolescents' symptoms of depression and anxiety. Especially, poverty affects adolescents' depression and anxiety indirectly through increasing the possibility to reside in more dangerous neighborhoods. Explaining more in detail, living in dangerous neighborhoods seems to expose adolescents more to violence and fear of violence in the neighborhoods and this experience increases the level of depression and anxiety. The study argues that the negative effects of poverty on adolescents should be examined from the view of neighborhood environments. Finally, the study discusses the importance of increasing neighborhood competency as practice and policy implication.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.8 no.1
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• pp.24-34
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• 2001

This study was done to identify the effectiveness of applying a 'Nursing Process Program' to the nursing students' clinical practice. The data collection period was from September 2000 to January 2001, and the subjects of the study were 39 students who were doing clinical practice in the ICU. The results are as follows : 1. Most subjects had a personal computer, had experience in using computers for one year and usually did word processing and internet, and wanted computerization of nursing work. The average results of the questions on the need for, and the effectiveness of applying a 'Nursing Process Program' to clinical practice were, on five point scales, 4.07 and 4.21 respectively. 2. There were no significant differences in the mean scores for suhjects' attitudes toward computers and computer anxiety between before and after using a 'Nursing Process Program'. 3. The total case study frequency using a 'Nursing Process Program' was 68, and 'Risk for infection' was the most frequent nursing diagnosis.