• 한국문헌정보학회지
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• 제46권2호
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• pp.199-217
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• 2012

본 연구는 도서관 불안과 성격 유형의 상관관계를 분석하였다. 49명의 대학 1학년생을 대상으로 도서관 불안(LAS)과 성격 유형(한국형 BFI)을 조사, 측정하였다. 도서관 불안은 2.57점이었고, 하위 영역별로는 기계적인 장벽, 정서적 장벽, 직원으로 인한 장벽, 도서관 지식에 대한 장벽, 도서관 안락함의 순으로 도서관 불안이 높았다. 성격 유형은 친화성이 3.65점으로 가장 높은 경향을 가지고 있었고, 다음으로 신경증, 외향성, 성실성, 개방성의 순서였다. 도서관 불안과 성격 유형의 상관관계 조사 결과, 신경증 성향이 높을수록 도서관 불안 수준도 높고, 특히, 도서관의 안락함 영역과 상관관계가 높은 것으로 나타났다. 개인성향이 도서관 불안에 영향을 미친다는 것을 알 수 있었고, 결과를 바탕으로 향후연구에서는 다른 개인성향 변인을 사용한 연구, 개인 맞춤형 도서관 불안 해소 프로그램 개발 연구, 도서관 불안의 측면 보다는 정보 불안의 측면에서 측정도구 개발 연구가 이루어져야 한다고 제언하였다.

• Journal of Hospice and Palliative Care
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• 제23권4호
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• pp.252-255
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• 2020

This article aims to discuss the barriers hindering cancer patients from receiving early palliative care, which has been demonstrated to be more effective in improving quality of life and controlling symptoms. Specifically, there are barriers in four aspects of delivering early palliative care. First, the difficulty of starting discussions about early palliative care and the lack of adequate appointment time can impede communication between oncologists and patients and their family members. Second, determining the timing of referral and deciding upon and applying a standard for referral can be barriers in the process of referral from oncology to palliative care. Third, palliative care patients and their family members can face difficulties regarding in what format and by whom the services will be delivered. Fourth, biases, misinformation, and inaccurate beliefs can be barriers in the process of patients and their family members accepting care. In order to facilitate early palliative care, research and policy regarding these barriers are necessary, along with efforts made by medical staff.

• Asian Pacific Journal of Cancer Prevention
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• 제13권12호
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• pp.6337-6342
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• 2012

Background: Clinical trials on cancer subjects have one of the highest dropout rates. Barriers to recruitment range from patient-related, through institutional-related to staff-related factors. This paper highlights the low response rate and the recruitment barriers faced in our Qigong exercises trial. Materials and Method: The Qigong trial is a three-arm trial with a priori power size of 114 patients for 80% power. The University Malaya Medical Centre database showed a total of 1,933 patients from 2006-2010 and 751 patients met our inclusion criteria. These patients were approached via telephone interview. 131 out of 197 patients attended the trial and the final response rate was 48% (n=95/197). Results: Multiple barriers were identified, and were regrouped as patient-related, clinician-related and/or institutional related. A major consistent barrier was logistic difficulty related to transportation and car parking at the Medical Centre. Conclusions: All clinical trials must pay considerable attention to the recruitment process and it should even be piloted to identify potential barriers and facilitators to reduce attrition rate in trials.

• Journal of Hospice and Palliative Care
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• 제26권2호
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• pp.42-50
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• 2023

Purpose: The purpose of this study was to identify barriers to effective conversations about advance care planning (ACP) and palliative care reported by health care and community-based service providers in Massachusetts, USA. Methods: This qualitative research analyzed open-ended responses to two survey questions, inquiring about perceived barriers to having conversations about ACP and palliative care with patients and consumers. Data were collected between November 2017 and June 2019 from nine organizations in Massachusetts, including health care provider organizations, health insurers, community-based organizations, and a nursing education institution. Two researchers reviewed and coded the responses and identified common themes inductively. Results: Across 142 responses, primary barriers to ACP included hesitation and lack of understanding and knowledge, discomfort and resistance among service providers, lack of staff knowledge, difficulties with followup, and differences in ACP policies across regions. Common barriers to palliative care were misconceptions about palliative care and lack of knowledge, service providers' lack of preparedness, and limited policy support and availability. Challenges relevant to both ACP and palliative care were fear and discomfort around serious illness discussions, lack of knowledge and awareness, discussions that occur too late, and cultural and language barriers. Conclusion: Health care practitioners and community-based professionals reported consumer-, service provider-, and system-level barriers to facilitating conversations about ACP and palliative care with patients experiencing serious illness. There is a need for more tools and support to strengthen service providers' ACP and palliative care competencies and to promote a structured approach to health care planning conversations.

• Journal of Hospice and Palliative Care
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• 제24권3호
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• pp.165-173
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• 2021

Purpose: This study aimed to compare the attitudes of nurses and physicians toward neonatal palliative care and identify the barriers to and facilitators of neonatal palliative care, with the goal of improving palliative care for infants in neonatal intensive care units (NICUs). Methods: This cross-sectional study analyzed data from the NICUs of seven general hospitals with 112 nurses and 52 physicians participating. Data were collected using the Neonatal Palliative Care Attitude Scale questionnaire. Results: Only 12.5% of nurses and 11.5% of physicians reported that they had sufficient education in neonatal palliative care. In contrast, 89.3% of the nurses and 84.6% of the physicians reported that they needed further education. The common facilitators for both nurses and physicians were: 1) agreement by all members of the department regarding the provision of palliative care and 2) informing parents about palliative care options. The common barriers for both nurses and physicians were: 1) policies or guidelines supporting palliative care were not available, 2) counseling was not available, 3) technological imperatives, and 4) parental demands for continuing life support. Insufficient resources, staff, and time were also identified as barriers for nurses, whereas these were not identified as barriers for physicians. Conclusion: It is necessary to develop hospital or national guidelines and educational programs on neonatal palliative care, and it is equally necessary to spread social awareness of the importance of neonatal palliative care.

• 가족자원경영과 정책
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• 제21권1호
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• pp.65-88
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• 2017

The main purposes of this study are to appraise the family-centered case-management (FCCM) practices in terms of building the community networking efforts, and to propose the practical improvement suggestions to overcome the barriers in practicing the current Healthy Families Policy, FCCM. The blended methodology was employed by collecting the quantitative and qualitative data sets including an staff's on-line survey, in-depth interviews(site case studies), and FGIs. As results, the authors found, despite the building and maintaining functional community networks was the essential and critical condition for the FCCM policy deliveries, many staffs have faced hardships in FCCM practices such as building a new network or finding an available and apt network within their communities. The lack of previous experiences in case-management exaggerated the functional difficulties thus, the new staffs were more prone than the staffs with 2 or more years experiences to the misunderstanding about the missions and tasks related to FCCM. Authors suggested that various on-the-job-training should be provided to eliminate those obstacles to build and/or maintain the community network for FCCM. Also, it is necessary for the each institution's director or managers to understand the FCCM and its relation to community networking, and to support FCCM staff members.

• Journal of Menopausal Medicine
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• 제24권3호
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• pp.210-216
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• 2018

Objectives: The present study aimed to determine the barriers influencing the sexual conversation. Methods: In this descriptive cross-sectional study, 200 midwives were selected through convenience sampling method from private and public clinics in Mashhad, North East of Iran. A self-structured questionnaire was used to collect the study data. Results: The mean age of subjects was $39.58{\pm}8.12years$ with $13.49{\pm}7.59years$ of work experience. A number of cultural conditions act as an inhibitory force for the midwives to address sexual issues with menopausal women. Menopausal women visit a doctor at the acute stage when emotional and physical problems make sexual discussion difficult for the midwives (86.5%). Other related causes for not having proper sexual conversation were insufficient knowledge (51.4%), inadequate education provided via public media through health providers (83.5%), midwives or their patient's shame (51.5%), and attempt to get help from traditional healers, friends, relatives and supplicants instead of midwifery staff (78.5%). Also, we found that sexual workshops, communication workshops, and work experiences had a significant influence in changing the views of midwives. Conclusions: Cultural barriers prevent the patients and providers from communicating effectively with each other, thus highlighting the need for sexual and communication workshops for the health care providers.

• 중환자간호학회지
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• 제17권1호
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• pp.44-56
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• 2024

Purpose : This study sought to explore intensive care unit (ICU) nurses' perceptions regarding the disclosure of patient safety incidents (DPSI) and identify the relationship between the perception of DPSI and communication barriers. Methods : This study used a descriptive research design. A total of 110 ICU nurses from a tertiary hospital were surveyed online between September 14 and October 5, 2022. The mean DPSI score ranged between 1.0 and 4.0, with a higher score indicating a higher perception of DPSI. Results : The mean score for ICU nurses' perceptions of DPSI was 2.92 (SD=0.37). Among the characteristics of ICU nurses, differences were observed in perceptions of DPSI according to gender, age, total work experience, and ICU work experience. Communication barriers among ICU nurses were negatively correlated with negative results as a sub-factor of perceptions of DPSI. Ambiguity in the nurse's position, lack of confidence, differences in perspectives with patients, and inadequate nurse-patient relationships as sub-factors of communication barriers exhibited a negative correlation with negative results as a sub-factor of perceptions of DPSI. Conclusions : ICU nurses' perceptions of DPSI and the sub-factors related to communication barriers are negatively related to DPSI. To improve ICU nurses' perceptions, open and non-punitive circumstances, staff education, practical guidelines, and support systems are required.

• Nutrition Research and Practice
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• 제8권3호
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• pp.297-303
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• 2014

BACKGROUND/OBJECTIVES: Understanding individual's intention, action and maintenance to increase fruit and vegetable intake is an initial step in designing nutrition or health promotion programs. This study aimed to determine stages of change to increase fruit and vegetable intake and its relationships with fruit and vegetable intake, self-efficacy, perceived benefits and perceived barriers. SUBJECTS/METHODS: This cross-sectional study was conducted among 348 public university staff in Universiti Putra Malaysia. A pre-tested self-administered questionnaire and two days 24-hour diet recall were used. RESULTS: Half of the respondents (50%) were in preparation stage, followed by 43% in action/maintenance, 7% in pre-contemplation/contemplation stages. Respondents in action/maintenance stages had significantly higher self-efficacy (F = 9.17, P < 0.001) and perceived benefits (F =5.07, P < 0.01) while respondents in pre-contemplation/contemplation and preparation stages had significantly higher perceived barriers (F = 4.83, P < 0.05). Perceived benefits tend to outweigh perceived barriers pre-ceding to taking action. Self-efficacy is important in motivating individuals to increase fruit and vegetable intake as self-efficacy and perceived barriers crossed over between preparation and action/maintenance. Respondents in action/maintenance stages had the highest adjusted mean serving of fruit and vegetable intake (F = 4.52, P < 0.05) but the intake did not meet recommendation. CONCLUSION: Intervention strategies should emphasize on increasing perceived benefits and building self-efficacy by providing knowledge and skills to consume a diet high in fruits and vegetables in order to promote healthy changes in having high fruit and vegetable intake.

• 한국비블리아학회지
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• 제21권2호
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• pp.129-143
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• 2010

전통적인 상호대차와 원문복사 서비스와 같은 도구를 통해 이용자의 정보요구를 충족시키는 것은 제한적이며 보다 심층적인 자원공유의 필요성이 제기되고 있다. 본 연구는 정보공유에 관련된 선행 연구를 분석을 통해 장애요인을 도출하고 정보공유와 관련된 이해관계자에 대한 분석을 제공하고 있다. 자원공유의 활성화와 관련하여 가장 중요한 이해관계자라고 여겨지는 사서의 인식을 보다 구체적으로 이해하기 위해 국내 대학에서 자원공유 관련서비스를 담당하는 실무사서 6명과의 면담을 수행하였다. 면담을 통해 규모가 큰 대학이 반드시 자원공유에 적극적이고 활발하게 서비스를 하고 있지는 않다는 것을 알 수 있었다. 무엇보다 자원공유에 대한 도서관간의 문화적 차이 그리고 담당 사서들의 태도에서 큰 간격이 있었다. 특히 연구에 대한 협소한 정의와 기관 규모의 불균형으로 인한 업무 폭주에 대한 부정적인 인식이 있었다. 전반적으로 자원공유를 새로운 차원에서 활성화시킬 수 있는 적극성이나 비전을 발견하기는 어려웠지만 자원공유 관련 서비스가 도서관에서 중요한 서비스로 인식되고 있고 담당자의 관심과 태도에 따라 발전의 가능성이 있다는 것을 알 수 있었다. 자원공유의 활성화, 보다 심층적이고 부가가치적인 자원공유 서비스를 창출하려면 먼저 사서들의 적극적인 개입이 요구되고 이를 위해 지역별, 주제별 사서 커뮤니티의 활성화가 필요하다.