• Korea Journal of Hospital Management
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• v.29 no.3
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• pp.54-69
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• 2024

Purposes: This study aims to analyze the location patterns, concentration, and accessibility of clinics in Seoul with the grids of a geographic information system(GIS) and provide useful indicators for research on hospital and clinic management and policies based on the results. The study especially sets out to identify areas falling behind in the service of the essential medical care departments based on an analysis with 250m×250m grids and contribute to efficient medical business management and public healthcare policies based on the results. Methodology: The study analyzed clinics in Seoul in terms of concentration, distribution and clustering patterns, accessibility, and hot spots by dividing the entire city into 500m×500m cells and generating grids. The accessibility analysis for the essential medical care departments was especially in detail based on grids in a 250m×250m cell size. Findings: The Herfindahl results show that plastic surgery and rehabilitation medicine recorded the highest concentration level. General medicine and dermatology recorded the highest Moran's I value, and internal medicine was the highest in hot spots. Obstetrics and gynecology capable of child delivery showed considerably lower accessibility in the grids corresponding to Gangseo-gu, Yangcheon-gu, and Gwanak-gu. Surgery had low accessibility in the grids corresponding to the northern parts of Gangseo-gu for the total population. Practical Implication: Unlike previous studies whose analyses covered wide areas, the present study examined minute spatial patterns, concentration, and accessibility based on an analysis with 500m×500m or 250m×250m grids. Based on its findings, the study expects a more minute analysis for future research on medical business management and policies.

• Korean Journal of Childcare and Education
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• v.8 no.3
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• pp.185-208
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• 2012

The goal of this study is to take a look at grandmothers' experience raising children with a focus on the children's generation and the grandchildren's generation. To do this, we conducted in-depth interviews with three grandmothers who raised their children and their grandchildren. As a result, grandmothers' experience raising children was shown in three categories: change in the raising environment, the raising culture, and the sense of value of raising children. These results suggest that the raising experience of grandmothers who have raised children in the past and are currently raising children again are being changed by the transition in raising experience, raising culture, and sense of value of raising children.

• Journal of Families and Better Life
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• v.20 no.6
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• pp.49-60
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• 2002

This study focused on family stresses and coping strategies among commuting couples. The participants of this study consisted of a national samples of 134 couples(268 individuals), who had been commuting for at least six months. The major findings obtained from the study are summarized in the following: First, the degree of family stresses among commuting couples was 2.98, when the maximal stress value was set to 5.0. No difference in the level of stress was detected from the roles of the wife and those of the husband. The most stressful aspect for the commuting couples came from the role of parents who care for their children. The second stressful aspect was their responsibility for their own parents, and finally the stress from the housework and maintenance of their marital lives followed next. There was no difference between the wives and husbands on the stressors. Secondly, the level of the coping strategies developed by the commuting couples themselves against their stresses was 3.37, when the maximal stress coping value was set to 5.0. Again, there was no difference in this level between wives and husbands. Among the strategies, they used ‘cognitive restructuring’the most frequently; sharing their responsibilities with other members in family life came next; and developing their own techniques to manage their stresses followed. Thirdly, the ages of the couple, the age of the first child, type of jobs, duration of the marriage and commute, and frequency of meeting affected the level of family stress among commuting couples. Finally, commuting couples developed quite different strategies to cope with their family stresses, and religion and family type affected significantly the type of coping strategies.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.7 no.2
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• pp.271-286
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• 2000

This study is designed to investigate what elders think about the meaning of aging. We have used Q-methods to identify meaning of aging from elders, and developed self-referenced surveys to analyze characteristics In this study, we used a non-structured method to select Q sampling. From 183 Q populations, we selected 36 Q sampling. A total of 32 persons sixty-years or older were randomly selected for P samples, When the Q-sorting was complete, we interviewed the participants at both end of the extremes(agree or disagree), and documented their responses. We used PC QUANL to process the data and used principal component analysis for Q factor analysis. There were five subjective types for the meaning of aging by elders. Of the 32 P-samples of elders, 11 were identified as Type 1, 7 as Type 2, 2 as Type 3, 8 as Type 4, and 4 as Type 5. Type 1 : 'Matured elders' Elders wished the well being of their children, thought older persons should maintain good health, worried about becoming senile, and dependent God believing in life after death. Type 2 : 'Assertive-Rights' Elders categorized as Assertive-Rights insisted on their rights to life as a person. Type 2 elders characterized themselves as people who should keep themselves healthy, become weak and lack sexual desires, act selfish like a child, need to be protected, and be financially independent. Type 3 : 'Passive-Dependents' Elders characterize themselves as those who pray for their children's well being, worry about the children even after their death. and becoming senile. Type 4 : 'Hopeless' The 'Hopeless' type of elders characterized aging as a time to pray for their children, insignificant beings, thoughts were selfish and child-like, poor, worried about going senile, regret their life overall, and preferred to die than to live as an old person. Type 5 : 'Attached-Present' The 'Attached-Present' type of elders thought elderly characterized themselves as acting selfish and child-like, wiser, anxious, regret their life, stand aloof of greed and worldly things, being a model for the society, and deserving to be treated with filial respect. Thus far, Korean elders seemed to have a positive and negative meaning of aging due to the current changes in the society, value system, and family structures. The above five subjective meanings of aging confirm that we need to approach and nurse the elderly differently. Years of aging are a part of and a natural process of life with various physical, psychological, and sociological changes. Nurses need to assist elderly to find the positive meaning of their life by providing appropriate physical, psychological, and social support at an earlier stage in nursing. Based on this study, we could derive the following two implication from the perspectives of science of nursing to care for elders. 1) Based on the studies investigating the type of meaning of aging, we could develop tools to assist in nursing intervention programs for elderly. 2) Based on research on the meaning of aging for different developmental stages of life, we could develop a model for roles for different family members in nursing and caring for the elders.

• Women's Health Nursing
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• v.7 no.3
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• pp.271-283
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• 2001

The childbearing process is a sociocultural phenomenon of a woman who gives birth to a child as well as a biological phenomenon. The purpose of this ethnographic research study was to explore the experience of childbearing process of mothers with children from pregnancy to the 3 months postpartum in Korea and to understand deeply the perspectives of childbearing women reflected on Korean sociocultural values. A convenient sample of 10 childbearing women were observed from January to October 2000 through field work in Seoul, Korea. Data analysis was accomplished under ongoing process. The results of this study were as follows : The mothers with children experienced self-reflection, family relation, and physical adaptation during pregnancy. In self-reflection, all mothers experienced universality and diversity in their self-discovering process. The universal experiences were maturation, life with family and priority on maternal value between being a mother and a woman. The diverse experiences were taking a dual role of working mother, emotional drift of a resigned mother, and disheartened life of a mother who has two daughters. In family relation, the foundation of the new marital relationship were attained during childbearing process and sexual life were changed for the benefit of a healthy mother and a healthy baby. All mothers established friendly relations with their mothers, but established friendly or conflicting or constraining relations with their mother-in-laws due to husband based family culture. In physical adaptation, the informants endured well the physical discomfort and recognized general appearance change. Also maternal-fetal interaction occurred and mothers realistically felt motherhood and accepted themselves as mother-to-be. The mothers prepared for the best delivery, look for a safe childbirth center, newborn goods, endorsed family coping during hospitalization and responded labor pain to make it more endurable, less painful, fast passed owing to labor recognition of the natural process to be a mother. After childbirth, they felt emancipation, satisfaction, accomplishment, more easiness, actually feeling as mother-to-be, emptiness, and showed response to the sex of newborn. Their Sanhujori practice was different according to the Sanhujori environment including provider, place, time in postpartum and reflected on Sanhubyung. The mothers felt actually mother-to-be and happiness during lactation regardless of feeding pattern. These mothers had a different maternal image about rearing subjecthood through their child-rearing experience. But all mothers felt need for family support and social support. The universal rearing response were actual feeling of mother-to-be, a strenuous experience, a pride on child-rearing, confusion, reflecting marital relationship, and wondering rivalry among children. In conclusion, mother of all with children went through self-discovery, self-reflection and made connections with the family as a mother and as a woman simultaneously during the childbearing process. Therefore it is suggested when harmony and balance between a mother and a woman is accomplished, the woman will lead a healthy and high quality of life. Also, this study sought to confirm the sociocultural factors affecting the childbearing process from the perspectives of the women with children. Therefore health care providers must understand deeply the childbearing women with children based on this finding of and try a integrative approach with new ideology of maternity with biocultural perspectives in a clinical setting.

• Journal of Korean Academy of Nursing
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• v.11 no.1
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• pp.65-87
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• 1981

The study is aimed at exploring concept held by clinical nurses of nursing. The data were collected from 225 nurses conviniently selected from the population of nurses working in Kang Won province. Findings include. 1) Nurse's Qualification. The respondents view that specialized knowledge is more important qualification of the nurse. Than warm personality. Specifically, 92.9% of the respondents indicated specialized knowledge as the most important qualification while only 43.1％ indicated warm personality. 2) On Nursing Profession. The respondents view that nursing profession as health service oriented rather than independent profession specifically. This suggests that nursing profession is not consistentic present health care delivery system nor support nurses working independently. 3) On Clients of Nursing Care The respondents include patients, family and the community residents in the category of nursing care. Specifically, 92.0％ of the respondents view that patient is the client, while only 67.1％ of nursing student and 74.7％ of herself. This indicates the lack of the nurse's recognition toward their clients. 4) On the Priority of Nursing care. Most of the respondents view the clients physical psychological respects as important component of nursing care but not the spiritual ones. Specially, 96.0% of the respondents indicated the physical respects, 93% psychological ones, while 64.1% indicated the spiritual ones. This means the lack of comprehensive conception on nursing aimension. 5) On Nursing Care. 91.6% of the respondents indicated that nursing care is the activity decreasing pain or helping to recover illness, while only 66.2% indicated earring out the physicians medical orders. 6) On Purpose of Nursing Care. 89.8% of the respondents indicated preventing illness and than 76.6% of them decreasing 1;ai of clients. On the other hand, maintaining health has the lowest selection at the degree of 13.8%. This means the lack of nurses' recognition for maintaining health as the most important point. 7) On Knowledge Needed in Nursing Care. Most of the respondents view that the knowledge faced with the spot of nursing care is needed. Specially, 81.3% of the respondents indicated simple curing method and 75.1%, 73.3%, 71.6% each indicated child nursing, maternal nursing and controlling for the communicable disease. On the other hand, knowledge w hick has been neglected in the specialized courses of nursing education, that is, thinking line among com-w unity members, overcoming style against between stress and personal relation in each home, and administration, management have a low selection at the depree of 48.9%,41.875 and 41.3%. 8) On Nursing Idea. The highest degree of selection is that they know themselves rightly, (The mean score measuring distribution was 4.205/5) In the lowest degree,3.016/5 is that devotion is the essential element of nursing, 2.860/5 the religious problems that human beings can not settle, such as a fatal ones, 2,810/5 the nursing profession is worth trying in one's life. This means that the peculiarly essential ideas on the professional sense of value. 9) On Nursing Services. The mean score measuring distribution for the nursing services showed that the inserting of machine air way is 2.132/5, the technique and knowledge for surviving heart-lung resuscitating is 2.892/s, and the preventing air pollution 3.021/5. Specially, 41.1% of the respondents indicated the lack of the replied ratio. 10) On Nurses' Qualifications. The respondents were selected five items as the most important qualifications. Specially, 17.4% of the respondents indicated specialized knowledge, 15.3% the nurses' health, 10.6％ satisfaction for nursing profession, 9.8% the experience need, 9.2% comprehension and cooperation, while warm personality as nursing qualifications have a tendency of being lighted. 11) On the Priority of Nursing Care The respondents were selected three items as the most important component. Most of the respondents view the client's physical, spiritual: economic points as important components of nursing care. They showed each 36.8%, 27.6%, 13.8% while educational ones showed 1.8%. 12) On Purpose of Nursing Care. The respondents were selected four items as the most important purpose. Specially,29.3% of the respondents indicated curing illness for clients, 21.3% preventing illness for client 17.4% decreasing pain, 15.3% surviving. 13) On the Analysis of Important Nursing Care Ranging from 5 point to 25 point, the nurses' qualification are concentrated at the degree of 95.1%. Ranging from 3 point to 25, the priorities of nursing care are concentrated at the degree of 96.4%. Ranging from 4 point to 16, the purpose of nursing care is concentrated at the degree of 84.0%. 14) The Analysis, of General Characteristics and Facts of Nursing Concept. The correlation between the educational high level and nursing care showed significance. (P < 0.0262). The correction between the educational low level and purpose of nursing care showed significance. (P < 0.002) The correlation between nurses' working yeras and the degree of importance for the purpose of nursing care showed significance (P < 0.0155) Specially, the most affirmative answers were showed from two years to four ones. 15) On Nunes' qualification and its Degree of Importance The correlation between nurses' qualification and its degree of importance showed significance. (r = 0.2172, p< 0.001) 0.005) B. General characteristics of the subjects The mean age of the subject was 39 ; with 38.6% with in the age range of 20-29 ; 52.6% were male; 57.9％ were Schizophrenia; 35.1% were graduated from high school or high school dropouts; 56.l％ were not have any religion; 52.6% were unmarried； 47.4% were first admission; 91.2% were involuntary admission patients. C. Measurement of anxiety variables. 1. Measurement tools of affective anxiety in this study demonstrated high reliability (.854). 2. Measurement tools of somatic anxiety in this study demonstrated high reliability (.920). D. Relationship between the anxiety variables and the general characteristics. 1. Relationship between affective anxiety and general characteristics. 1) The level of female patients were higher than that of the male patient (t = 5.41, p < 0.05). 2) Frequencies of admission were related to affective anxiety, so in the first admission the anxiety level was the highest. (F = 5.50, p < 0.005). 2, Relationship between somatic anxiety and general characteristics. 1) The age range of 30-39 was found to have the highest level of the somatic anxiety. (F = 3.95, p < 0.005). 2) Frequencies of admission were related to the somatic anxiety, so .in first admission the anxiety level was the highest. (F = 9.12, p ＜ 0.005) 0. Analysis of significant anxiety symptoms for nursing intervention. 1. Seven items such as dizziness, mental integration, sweating, restlessness, anxiousness, urinary frequency and insomnia, init. accounted for 96％ of the variation within the first 24 hours after admission. 2. Seven items such as fear, paresthesias, restlessness, sweating insomnia, init., tremors and body aches and pains accounted for 84% of the variation on the 10th day after admission.

• Journal of Christian Education in Korea
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• v.72
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• pp.49-70
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• 2022

The purpose of this study is to suggest a response and solution through Christian educational care to the crisis and change of the era of low birth rate faced by Korean society and the Korean church. This study proposes to find an alternative to the biblical aspect of pregnancy, childbirth, and parenthood as God's blessing for the demographic cliff and low birth rate problem that have become a reality in Korean society and churches. Being a parent in an age of low birth rate is very difficult, but on the other hand, it gives happiness and joy. Being a parent is a blessing from God, and is the most important and valuable thing in life. However, modern society emphasizes the right and necessity to choose one's own parenthood status. In the nuclear family, the decrease in the number of children, and the development of child research, parents feel more responsibility and economic burden for raising children than ever before. Therefore, it is a reality that the number of people who delay becoming parents or voluntarily do not have children is gradually increasing. To improve the perception of becoming a parent due to a decrease in responsibility for raising children, it is necessary to shed light on marriage, pregnancy, childbirth, and childrearing from a Christian educational point of view. In addition, it is necessary to understand the recognition of being a parent and the characteristics of childbirth and rearing, and to analyze past and present value changes. This study will also discuss the causes of low birthrate and try to provide Christian educational care for childcare including solving the low birthrate problem.

• Journal of Nutrition and Health
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• v.12 no.1
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• pp.23-30
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• 1979

For the purpose of investigating the weaning practice for infants, this study of 251 infants aged from 3 months to 2 years old was conducted in Daejeon City during the the period of August 9 through 23, 1978. The results obtained were as follows: About 60% of the infants were breast-fed, 27.6%, mixed-fed, and 12.0%, bottled-fed. The reason for bottle-feeding was either the lack of breast-milk secretion or ill-health of mothers. There was no significant difference in the feeding methods according to a level of mother's education. Sixty precent of the infants began to be weaned 6. months. The most of the infants were completely weaned within 18 months. The knowledge on weaning was mainly obtained from the publications, such as newspapers, journals for women, child care booklets, etc. The difficulties in the weaning practice were the shortage of knowledge on weaning and the unacceptability by the infants. Liquid or semi-liquid foods were firstly given to the more than 60% of the infants as introducing weaning foods, while 23.3% of the babies were given solid foods. Interestingly, the earlier the birth order was, the more babies were given liquid or semi-liquid foods, The motives for weaning was either the boby's demand for other foods than milk(41.3%) or the lack of breast-milk secretion (31.3%). In the selection of supplementary foods, the nutritional value was given the highest consideration) (54.9%). many mothers (64.2%) prepared supplementary foods for infants at home, while 23.1% used commercial body foods and 12.7% gave infants adult's meals as supplementary foods. The major materials for home-made supplementary foods were fruits and vegetables (41.5%) and cereals (37.5%). The commercial supplementary foods (mainly powdered from) were not used much (never used; 53.6%) and even in the babies, who had consumed them once, nearly half of the babies (42.9) did not eat well. Accordingly, the many mothers (68.8%) welcomed the development of the domestic supplementary foods in good quality and one-third (31.2%) responded that they would consume them regardless of the price.

• Korean Journal of Childcare and Education
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• v.3 no.2
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• pp.1-21
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• 2007

This study aims to obtain the basic data in order to develop the distributive justice reasoning program for preschooler. To fulfill this aim, this study investigated the parents' and kindergarten teachers' preference in the selection of the traditional fairy tale and the extent to which parents' and kindergarten teachers' evaluation of the traditional fairy tales dealing distributive justice are in agreement with each other. The subjects were 240 parents and 78 kindergarten teachers selected from five cities in Korea. The questionnaire with six Korean traditional fairy tales which deal with the sharing problem among the friends and the families was used. The data were analyzed in SPSS Win 10.0 program, by frequency, percentile, mean, standard deviation, ${\chi}^2$ and t-test. As a result, most important factor in selecting the traditional fairy tale was the title and the editing state of the book for the kindergarten teacher, while it was the good fame of the press for the parent. The congruence existed between parents' and kindergarten teachers' evaluation in knowledge, adaptability for modern times, amusement and empathy in the function of the traditional fairy tales regarding distributive justice. Meanwhile parents evaluated the traditional fairy tales are more adaptive for value formation and useful than teachers did.

• Clinical and Experimental Vaccine Research
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• v.13 no.3
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• pp.225-231
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• 2024

Purpose: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) usually causes a mild disease in children and the most serious consequence is multisystem inflammatory syndrome in children (MIS-C). Currently, there are no data about the protective role of vaccination performed by parents on children regarding the development of MIS-C. The aim of our study is to establish whether parental vaccination is related to MIS-C and the protective value of SARS-CoV-2 vaccination performed by parents against the occurrence of MIS-C in their children. Materials and Methods: Our retrospective single center study included 124 patients aged 1 month to 18 years admitted to emergency department from April 2020 to March 2022 for coronavirus disease 2019 disease. Results: Parental vaccination was negatively correlated with the development of MIS-C: 4% of patients with both parents vaccinated developed MIS-C, while patients with no parent vaccinated to have developed MIS-C were 20%. Conclusion: Parental vaccination could be an important factor influencing the course of the disease and reduces the probability that a child would develop MIS-C by 83% if both parents vaccinated.