• Korean Journal of Clinical Pharmacy
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• v.19 no.1
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• pp.37-42
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• 2009

The purpose of this study was to evaluate barriers to pharmacists' routine work in community setting. A survey was given to 281 pharmacists who enrolled in 16-week clinical pharmacy educating program in continuous education center for advanced pharmacy at Seoul National University. Three main questions that pharmacists were asked to answer were: (1) difficulties on dispensing prescription, (2) difficulties on communicating with doctors, (3) most difficult disease on patients counseling. The response rates for the survey were more than 60 % for each three questions (62.63 %, 63.7 %, and 64.41 %, respectively). The top three barriers to dispensing prescription were lack of professional knowledge about medications, prescription error and its solving ability and patient counseling. The top three barriers to communicating with doctors were lacking of opportunity to discuss about patients' medication due to unavailability of doctors, doctors' attitude using authoritative manner, and a pharmacist's lack of knowledge. The top 4 most difficult diseases on patients counseling were cardiovascular disorders, dermatologic disorders, endocrinologic disorders, and psychiatric disorders.

• Journal of vocational education research
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• v.29 no.3
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• pp.209-230
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• 2010

In this study, the career barriers exploration counseling program was carried out to research the factor on the career barriers of women's college students. And then the effect of the career barriers exploration counseling program on career preparation behavior of the women's students was analyzed. The program that referred to the career counseling program proposed in domestic and career material suggested in Korean Women's Development Institute and Korea Research Institute for Vocational Education & Training was adopted in this investigation. Moreover referred to the previous research and reference related to career counseling that had conducted the related factor on career barriers and career preparation behavior. First of all, the program was reconstructed by referring to the Gottfredson(1981)'s career development theory. In order to verify the effect of the program on career preparation behavior of women's college students, two times tests were carried out on 10 persons of the experimental group and the control group respectively, before and after the program was performed. And then the ANCOVA was done on the difference between the post-test results of the experimental group and the control group. Findings of this study might be summarized as follows: First, the post-test result in the experimental group on career barriers was significantly lower than in the control group. Second, on career preparation behavior the result in the experimental group was higher than in the control group. Therefore, the career barriers exploration counseling program had a significant influence on career barriers of women's college students and the program impacted on career preparation behavior of women's college students significantly.

• Journal of Hospice and Palliative Care
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• v.23 no.3
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• pp.126-138
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• 2020

Purpose: In Korea, since the Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life was implemented in February 2018, advance directives (ADs) have become legally effective and should be documented after sufficient explanation by a registered counselor. However, little is known regarding the adequacy of current AD counseling. This qualitative study aimed to explore the barriers to AD counseling based on counselors' experiences. Methods: We conducted focus group interviews using purposive sampling. Seven counselors working at hospitals, community health institutions, and non-profit organizations participated in this study. They were asked about the challenges and problems they encountered during AD counseling. Results: Three themes emerged from this study; 1) issues regarding consistency in AD counseling, 2) issues regarding AD counselors' competency and work environment, and 3) issues regarding the adequacy of the service system. The interviewees stated that the lack of a manual for standardized service made AD counseling inconsistent. The limited competency and poor work environment of counselors were pointed out as major barriers. The interviewees also stated that a proper service system considering individual circumstances is absent. Conclusion: The goals of AD counseling should be clarified and guidance should be implemented for providing standardized services. Further efforts to enhance the competency of AD counselors and to improve their working conditions are needed. Establishing an integrated framework for an adequate service system is also essential to overcome systematic barriers to AD counseling.

• Korean Journal of Community Nutrition
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• v.28 no.5
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• pp.376-391
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• 2023

Objectives: Our previously published study showed that a workplace nutrition intervention program with personalized goal setting and smartphone-based nutrition counseling improved dietary habits and physical activity in city bus drivers who were overweight/obese. This study explored the facilitators and barriers that participants faced in achieving their dietary and physical activity goals six months after the intervention. Methods: The study included bus drivers and dietitians who participated in the intervention program. Three focus group interviews were conducted with 10 bus drivers (divided by two groups based on their achievement of set goals) and five dietitians who had provided nutrition counseling. Results: Willpower was the most important intrapersonal facilitator for drivers to achieve their goals. Other factors that promoted behavioral changes were nutrition counseling by dietitians, trackable physical activity using smartwatches, and setting of practical and achievable goals. Meanwhile, the most important barriers identified were occupational factors such as long driving hours, short breaks, and shift work. Other barriers were environmental factors such as availability of snackable food, accessibility to convenience stores, and cold weather. Family and colleagues were perceived as both facilitators and barriers. In addition, dietitians identified a lack of knowledge about healthy diet as one of the barriers. Conclusions: Our results suggested that the workplace environment should be improved and that nutrition intervention programs at the workplace could encourage bus drivers to practice healthy eating habits. The facilitators and barriers identified in this study should be considered when planning a nutrition intervention program for bus drivers.

• Human Ecology Research
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• v.61 no.1
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• pp.39-51
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• 2023

This study utilized qualitative research to understand the changes taking place in adolescent dietary behaviors during the COVID-19 pandemic and the current status of school-provided nutrition counseling. These, along with barriers and strategies for improvement, were derived from focus group interviews with 10 nutrition teachers. Throughout the pandemic, adolescents experienced various dietary problems, including frequent meal skipping, unbalanced diets, increased obesity, and difficulties building positive attitudes towards food. To resolve these dietary problems, nutrition teachers recognized the need for school-provided nutrition counseling. However, nutrition teachers faced various barriers, such as a lack of time for nutrition counseling among students, lack of support from parents, and insufficient space and resources. To revitalize school-provided nutrition counseling, strategies such as home-connected nutrition counseling, the development of standardized guidelines, manuals for school-provided nutrition counseling, software support for nutrition diagnosis, and implementation of nutrition counseling in connection with cooking activities were proposed. This is important as school-provided nutrition counseling can help develop the foundation for healthy dietary behaviors and health promotion in adolescents.

• The Journal of the Korea Contents Association
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• v.14 no.8
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• pp.485-493
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• 2014

This study is targeted at high school girls explore career barriers to validate the effectiveness of group counseling. Recognize and overcome barriers to careers in the process of setting and achieving career goals for the academic focus and the will to help school adjustment. Career barriers is composed of 7 sub-factors. There are lack of self-apprehension, lack of self-confidence, sex-role conflict and sex discrimination, disapproval by significant others, uncertainty about future, lack of career-related information and lack of financial support. The subjects participated voluntarily 32 girl's high school students were conducted. The study conducted by career barriers for group counseling program students than the control group students relaxed awareness of career barriers respectively. Considering these results, it can be said that the carriers barriers exploration program has an effect on decrease the whole career barriers and four subordinate areas of the girl's high school students.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.6
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• pp.90-102
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• 2017

Recently, the number of out-of-school adolescents has been increasing, and problems associated with their careers have become an important issue. This study was conducted to identify the relationship between the career barriers and perceived social support type/support source and to examine whether a sense of alienation mediates the relationship between perceived social support and career barriers among out-of-school adolescents preparing for the qualification examination for their high school degree. To accomplish this, a survey of 207 students from the Youth Support Center for out-of-school adolescents-K-Dream-and Qualification Examination Institute located in five regions (Seoul, Busan, Jeju, Gangwon, and Jeonla province) was conducted. Correlation analysis, regression analysis and the Sobel test were used to verify the relationships between variables and mediation effects. The results showed a significant negative correlation between social support and career barriers and a significant positive correlation between alienation and career barriers. Carrier barriers and alienation were highly correlated with parent support and evaluation support. Moreover, a sense of alienation was found to fully mediate the relationship between parental support/teacher support and career barriers, as well as to partially mediate the relationship between peer support and career barriers. A sense of alienation was found to fully mediate the relationship between information support/evaluation support/emotional support/material support and career barriers. These findings imply that, in out-of-school adolescents, career barriers can be reduced through various kinds of social support provided by peers, parents and teachers as it decreases the sense of alienation.

• The Journal of the Korea Contents Association
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• v.20 no.10
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• pp.369-384
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• 2020

This study explored and described how seniors cope with adversities, how they perceive the counseling and what they expect from it, including the difficulties and barriers when using psychological counseling, through direct reports of the seniors. Data was collected from 56 elderly people living in Gyeonggido through interviews. The collected data was analyzed using the CQR-M method. The result yielded 6 domains, which are the ways to deal with adversities, feelings or thoughts about counseling, motivations for counseling, why peoples mind getting counseling, expectations for counselor, expectations for counseling effect. Based on the results, the ways to increase the level of participation and consideration for counseling by the elderly are suggested including case management, the expansion of counseling areas, the formation of sincere relationships, the consideration of counseling methods with activities and the enhancement of expertise.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.3
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• pp.1707-1713
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• 2013

Background: This study aimed to better understand the barriers to perinatal hepatitis B prevention and to identify the reasons for poor hepatitis B knowledge and delivery of education to hepatitis B surface-antigen-positive pregnant women among healthcare providers in Santa Clara County, California. Materials and Methods: Qualitative interviews were conducted with 16 obstetricians and 17 perinatal nurses in Santa Clara County, California, which has one of the largest populations in the United States at high risk for perinatal hepatitis B transmission. Results: Most providers displayed a lack of self-efficacy attributed to insufficient hepatitis B training and education. They felt discouraged from counseling and educating their patients because of a lack of resources and discouraging patient attitudes such as stigma and apathy. Providers called for institutional changes from the government, hospitals, and nonprofit organizations to improve care for patients with chronic hepatitis B. Conclusions: Early and continuing provider training, increased public awareness, and development of comprehensive resources and new programs may contribute to reducing the barriers for health care professionals to provide counseling and education to pregnant patients with chronic hepatitis B infection.

• Journal of Preventive Medicine and Public Health
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• v.56 no.3
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• pp.238-247
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• 2023

Objectives: Low adherence to antiretroviral (ARV) therapy in pregnant women with human immunodeficiency virus (HIV) increases the risk of virus transmission from mother to newborn. Increasing mothers' knowledge and motivation to access treatment has been identified as a critical factor in prevention. Therefore, this research aimed to explore barriers and enablers in accessing HIV care and treatment services. Methods: This research was the first phase of a mixed-method analysis conducted in Kupang, a remote city in East Nusa Tenggara Province, Indonesia. Samples were taken by purposive sampling of 17 people interviewed, consisting of 6 mothers with HIV, 5 peer facilitators, and 6 health workers. Data were collected through semi-structured interviews, focus group discussions, observations, and document review. Inductive thematic analysis was also performed. The existing data were grouped into several themes, then relationships and linkages were drawn from each group of informants. Results: Barriers to accessing care and treatment were lack of knowledge about the benefits of ARV; stigma from within and the surrounding environment; difficulty in accessing services due to distance, time, and cost; completeness of administration; drugs' side effects; and the quality of health workers and HIV services. Conclusions: There was a need for a structured and integrated model of peer support to improve ARV uptake and treatment in pregnant women with HIV. This research identified needs including mini-counseling sessions designed to address psychosocial barriers as an integrated approach to support antenatal care that can effectively assist HIV-positive pregnant women in improving treatment adherence.