• 제목/요약/키워드: Child Decision Making

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소아암 환아의 영적 케어

  • 신민선
    • 호스피스학술지
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    • 제5권2호
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    • pp.54-63
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    • 2005
  • The purpose of this study is to examine the requirement for child life support specialist and fetal education for children with cancer. This research presented was composed with three chapters : First chapter, I presented the purpose, scope and definitions of this research. Second chapter, I defined about hospice care service for children with cancer and kind of pediatric cancer. And general characteristics of children with cancer, a understanding character of death and dietary therapy. Lastly, I defined and investigated about spiritual care. Third chapter, I concluded with some of findings and final suggestions based on the results. According to the developmental stages children with cancer are disability of communication competence and more dependence on their parents, therefore parents' decision making were more difficulty. And parents with a child who suffers from a cancer needs a counseling in order to discover the meaning of life. Parents' psychological experience about the caring for their child suffering from pediatric cancer was equal to broken hearts due to shadow of the child's death from time to time. In other words a parents with a child who suffers from a cancer needs comprehensive services such as hospice, consultor as well as wide experienced pediatrician and nurse. Child life support specialist can help them recover and improve their o주 potential strength in behalf of overcoming their difficulties. And pastoral counseling can help them reduce the fear and anxiety about unknown world and death. The systematically developed a school-based counseling program would help children adjust to the difficulties after a perfect cure because of children adjusted to school well when they have good peer relationships.

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청소년의 진로성숙도와 진로정체감 및 진로결정 자기효능감 증진을 위한 진로 집단상담 프로그램의 개발과 효과 (The Development and the Effectiveness of a Career Group Counseling Program for Career Maturity, Career-Identity, and Career-Decision Self-Efficacy in High School Students)

  • 김사라형선
    • 아동학회지
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    • 제34권5호
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    • pp.43-59
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    • 2013
  • The purpose of this study was to develop a Career Group Counseling Program to increase the career maturity, career-identity and career-decision self-efficacy of high school students, and to examine the effectiveness of such a program. In order to evaluate the effectiveness of the program thus developed, an experimental group which was exposed to the program and a control group without exposure to the program were compared. The program was administered over eight weekly sessions, each session lasting ninety minutes. The subjects in this study consisted of twenty four students. The experimental group and a control group were organized with twelve students in each. For the purpose of data processing, SPSS 16.0 was used to analyze the statistical results. The Career Maturity Scale, the Identity Scale, and Career Decision-Making Self-Efficacy Scale were used in a pre-test, post-test, and follow-up test. The findings of this study were as follows : The treatment group exhibited a significant statistically increasing degree of career maturity, career-identity and career-decision self-efficacy levels in comparison to the control group. The results of the study indicated the effectiveness of this newly developed Career Group Counseling Program on increasing career maturity, career-identity and career-decision self-efficacy levels.

소아암 환자의 초기 진단단계의 간호중재 프로토콜 개발 (Development of Nursing Intervention Protocol for Childhood Cancer at Early Diagnosis Stage)

  • 최자윤;유일영
    • Child Health Nursing Research
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    • 제8권1호
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    • pp.44-54
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    • 2002
  • The main purpose of this methodological study was to develop an assessment tool and intervention protocol for child and family with childhood cancer at early diagnosis stage. The assessment tool and intervention protocol was developed by extensive literature review and consultation with experts. Review of nine domestic and sixty-six international journal articles were done to identify stress, interventions, coping strategies and adjustment of children with cancer and their family. Results were as follows; First, assessment at the early diagnosis stage need to include information on patient, family, and patient/family attitude toward diagnosis and treatment. Second, intervention protocol for children with cancer includes control physical symptoms, manage the side effects of chemotherapy and diagnostic or therapeutic procedures, control emotional responses, provide support and information, assist decision-making and adjust to environment. Third, intervention protocol for family includes controlling emotional responses, provision of informations, inducing family support to patient, improving family cohesion, supporting siblings and supporting spiritual growth. In conclusion, the early diagnosis stage in cancer treatment is important for child and family since this stage greatly affects the overall adjustment of child and family to live with cancer. Therefore, pediatric nurses need to be sensitive to the need of patient/family and systematically manage their needs at this stage.

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초등학교 공간의 감성화 구성요소별 선호도 분석 (Analysis on the Preference for each Emotional Component in Elementary School Space)

  • 심화정;이용환
    • 대한건축학회논문집:계획계
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    • 제34권3호
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    • pp.3-10
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    • 2018
  • The purpose of this study is to suggest the direction and recognition for applying to component of Emotion of the elementary school space with characteristics of child development. For the accomplishment of the study is to deduce types of emotional component and characteristics of child development based on literature and advanced research related to 'Child development and behavior', 'The elementary school space', and concept of 'children' and 'emotion'. In addition, The level of recognition of teachers and students about creation plan of school space by types of emotion component and preference and relationships of students on emotion component of elementary school space is investigated. The space environment has great influence in childhood going through big changes in physical, cognitive, emotional and social ways, Providing space environment built with emotion component such as 'affordance', 'diversity', 'territoriality', and 'relationships' considering characteristics of child development is most important of all, In particular, when building indoor space in elementary schools where students going through various development stages live, providing friendly environments for emotion of children put top priority on students in the decision-making process and guaranteed the participation of students is expected.

뇌전증 아동·청소년 부모의 치료이행 개념분석 (Concept Analysis of Parents' Treatment Adherence for an Epileptic Child or Adolescent)

  • 이준아;윤주영
    • 지역사회간호학회지
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    • 제32권2호
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    • pp.205-219
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    • 2021
  • Purpose: This concept analysis was conducted to clarify 'parents' treatment adherence for an epileptic child or adolescent'. Methods: The analysis used a hybrid model comprising three phases: theoretical phase, fieldwork phase, and integration phase. In the theoretical phase, fifty studies were reviewed. Interviews with four parents of epileptic children or adolescents were conducted during the fieldwork phase. In the integration phase, the results derived from prior phases were synthesized and clarified. All phases were performed cyclically. Results: The concept, 'parents' treatment adherence for an epileptic child or adolescent' was defined as parents' voluntary and goal-directed behavior towards the epilepsy treatment for their children: a collaborative decision-making process with health-care providers, establishing a support system, adaptability to the treatment plans, and appraisals of the child's health condition. Conclusion: This achievement is thought to contribute to improving the accuracy and validity of the concept measurement. It has implications for additional research on how the concept 'treatment adherence' differs in diverse health problems and other population groups than parents of children and adolescents with epilepsy.

기혼여성의 취업과 자녀출산에 대한 경제학적 접근 (An Economic Approach to Market Work of married Women and their Fertility)

  • 여정성
    • 대한가정학회지
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    • 제32권3호
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    • pp.71-84
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    • 1994
  • The purpose of this research was to analyze the market-labor participation of married women and their demand for an additional child, The theories from 'Economics of Fertility' by Willis and Bekerian 'Household Production Model' were applied to develop the theoretical model. For the empirical analysis National Data for Fetility in Korea was used, Even though the model was fully developed based on economic theories only the pasychological or value-related variables were appeared to be statistically significant. That means in Korea the decision-making for market work and fertility are still following the traditional way as it is.

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아동친화적인 지역사회에 대한 부모와 아동관계자의 인식 비교 - A기초자치단체를 중심으로- (A Comparison of Assessment of Child Friendly Cities by Parents and Child Service Providers in Selected Local Government)

  • 김진숙
    • 디지털융복합연구
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    • 제15권11호
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    • pp.49-60
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    • 2017
  • 본 연구의 목적은 한 지역사회를 중심으로 부모와 아동관계자의 아동권리보장실태에 대한 인식을 살펴보고 아동친화도시를 구성하기 위한 방안을 모색하고자 하는 것이다. 이를 위해 서울시의 한 기초자치단체에서 실시된 조사데이터를 활용하여 놀이, 지역사회 참여, 보건 및 사회서비스, 안전, 교육환경, 주거 부분에서의 인식차이를 확인하였다. 분석 결과, 6개 영역중 교육환경과 주거환경이 상대적으로 잘 보장되고, 지역사회참여는 덜 보장되고 있는 것으로 나타났으며, 아동관계자들은 아동친화적 지역사회를 구성하기 위한 물리적 환경에 있어 더 부정적이었고, 부모는 참여권과 같은 제도적/문화적 환경에 더 부정적인 것으로 나타났다. 이를 바탕으로 본 연구는 다음과 같이 제안했다: 첫째, 아동친화도시를 구성하기 위한 기준 중 물리적 환경은 아동관계자의 기준을 참조하고, 제도문화적 환경은 부모의 기준을 참조해야 한다. 둘째, 지역사회 의사결정구조에 아동, 부모, 아동관계자의 참여를 확대해야 한다.

입원아동 돌봄을 위한 가족중심 순회의 통합적 고찰 (An Integrative Review on Family-Centered Rounds for Hospitalized Children Caring)

  • 임미해;오진아
    • Child Health Nursing Research
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    • 제22권2호
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    • pp.107-116
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    • 2016
  • Purpose: Involvement of families in rounds is one strategy to implement patient- and family-centered care to help families get clear information about their child, and be actively involved in decision making. The purpose of this paper was to identify the major concepts of family-centered rounds for hospitalized children. Methods: We searched five electronic databases for relevant articles and used Whittemore and Knafl's integrative review methods to synthesize the literature. Articles published between June 2003 and January 2016 were reviewed and through full text screening 24 peer-reviewed articles were found that met the selection criteria for this review. Results: Through in-depth discussion and investigation of the relevant literature, four overarching components emerged: (a) cognition of parents and medical staff, (b) effective communication, (c) collaboration of family and medical staff, (d) coaching of medical staff. Conclusion: For successful family-centered rounds positive cognition is important. Appropriate communication skills and consideration of multi-cultural family can lead to effective communication. Offering consistent and transparent information is important for collaboration between family and medical staff. Prior education on family-centered rounds is also important. Four major components have been identified as basic standards for implementing family-centered rounds for hospitalized children.

A Survey on Korean Families′ Food Decision Making: I. Purchase of Fresh Fruits and Vegetables

  • Park, Dong-Yean;Rhie, Seung-Gyo;Gillespie, Ardyth H.
    • Preventive Nutrition and Food Science
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    • 제7권1호
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    • pp.95-104
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    • 2002
  • A survey on Korean families′purchase of fresh fruits and vegetables was conducted to increase understanding of families′food decision making. Two hundred ninety seven families with at least one elementary-school age child were selected from four elementary schools to complete a questionnaire during April, 2001 in Gyeongju, Korea. Descriptive statistics, Chi-square test, T-test, and ANOVA statistics were used to analyze the data. The major findings are as follows: Families bought fresh fruits and vegetables at the public markets or the farmer′s markets and a large supermarket most frequently in both summer and winter. Families grew produce by themselves and bought them from farmers directly least frequently in both summer and winter. Families whose housewives had less than middle school education brought fruits and vegetables from Agricultural Co-ops and grew thens by themselves more frequently compared to those who had higher education. On the other hand, families whose housewives had graduated from 4 year college bought fruits and vegetables from large supermarkets more frequently compared to those who had lesser education. "Quality"and "safety production"of fruits and vegetables and "clean environment of store"were the three most important factors when they decided the place to buy fruits and vegetables. "Being treated as a valuable customer" and "ease of finding things"were the two least important factors. Families whose housewives were in their thirties valued "cleanness of the store"and "being treated as a valuable customer"important factors when they decided the place. Families whose housewives had less than middle school education thought that price, availability of public transportation, and availability of locally grown food were the important factors for deciding the place compared to those who had higher education. The price was the factor which low-income families thought important for decision making on the place to buy fruits and vegetables.

Women's Empowerment Facilitates Complete Immunization in Indonesian Children: A Cross-sectional Study

  • Wirawan, Gede Benny Setia;Gustina, Ni Luh Zallila;Pramana, Putu Harrista Indra;Astiti, Made Yuliantari Dwi;Jonathan, Jovvita;Melinda, Fitriana;Wijaya, Teo
    • Journal of Preventive Medicine and Public Health
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    • 제55권2호
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    • pp.193-204
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    • 2022
  • Objectives: The primary objective of this study was to examine the effect of women's empowerment on the immunization of Indonesian children. The secondary objective was to examine the effect of wealth as a factor modifying this association. Methods: We utilized data from the 2017 Indonesian Demographic and Health Survey (IDHS). The subjects were married women with children aged 12-23 months (n=3532). Complete immunization was defined using the 2017 IDHS definition. Multiple components of women's empowerment were measured: enabling resources, decision-making involvement, and attitude toward intimate partner violence. The primary analysis was conducted using binomial logistic regression. Model 1 represented only the indicators of women's empowerment and model 2 controlled for socio-demographic variables. Subgroup analyses were conducted for each wealth group. Results: The primary analysis using model 1 identified several empowerment indicators that facilitated complete immunization. The analysis using model 2 found that maternal education and involvement in decision-making processes facilitated complete immunization in children. Subgroup analyses identified that wealth had a modifying effect. The indicators of women's empowerment were strong determinants of complete immunization in lower wealth quintiles but insignificant in middle-income and higher-income quintiles. Conclusions: To our knowledge, this study is the first to explore women's empowerment as a determinant of child immunization in Indonesia. The results indicate that women's empowerment must be considered in Indonesia's child immunization program. Women's empowerment was not found to be a determinant in higher wealth quintiles, which led us to rethink the conceptual framework of the effect of women's empowerment on health outcomes.