• Title/Summary/Keyword: Client Attitude

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The Knowledge, Attitude and Practice of Blood Pressure Management from the Patient's Viewpoint: A Qualitative Study (고혈압 환자들의 관점에서 본 혈압관리에 대한 지식, 태도, 실천: 질적연구)

  • Lee, Sok-Goo;Jeon, So-Youn
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.4
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    • pp.255-264
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    • 2008
  • Objectives: This study adopted a qualitative method to explore the layman's beliefs and experience concerning high blood pressure and its management in order to develop a strategy to increase adherence to proper medical treatment. Methods: Semi-structured interviews that focused on personal experiences with hypertension and its management were conducted with 26 hypertensive patients. The participants were selected according to a BP above 140/90 mmHg (hypertension stage 1), based on the seventh report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood pressure (JNC-VII). The interviews lasted for approximately 30 minutes (range: 20-60 minutes). The resulting questions were formulated into open-ended questions. The interview questionnaire was composed 17 items to examine non-adherence to treatment and 19 items to examine adherence to treatment. Results: Most participants recognized that the direct cause of high blood pressure was unhealthy behavior rather than inheritance. Thus, the hypertensive patient believed they could recover their blood pressure to a normal level through removing the direct cause of hypertension (weight reduction, diet, exercise) instead of taking drugs. The reasons for these statements were that the drugs for controlling hypertension are not natural or they are artificial, and they may have side effects, and drugs are not treatment for the root cause of hypertension. Most of the hypertensive patients chose to manage their behaviors as soon as they knew their blood pressure was high. Therefore, we should not divide the subjects into two groups according to their taking drugs or not, but they should be divided into two groups according to their willingness or not to manage their condition. Conclusions: For developing a strategy for an individual approach to hypertension management, we need to develop a client-centered attitude and strategy. That is, we need to tailor our approach to individual cases to avoid generalizations and stereotyping when developing an adherence increasing strategy.

Attitudes towards Death and Euthanasia among Nurses and Nursing students : In Convergence era (융복합 시대의 간호사와 간호대학생의 죽음과 안락사에 대한 태도)

  • Lee, Yong-Mi;Jung, Kye-A;Son, Mi-Ae
    • Journal of Digital Convergence
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    • v.13 no.6
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    • pp.213-224
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    • 2015
  • The purpose of the study was to investigate the attitudes towards death and euthanasia of Nurses and Nursing students live in convergence era. The participants were 380 nurses and nursing students and data were collected from May until June of 2014. The data were collected by means of self reported questionnaires and analyzed using descriptive statistics t-test, one-way ANOVA and Scheffe test with the SPSS/WIN 18.0 program. The result showed that the fear of death of others with nursing students was higher than nurses (t=-3.34, p=.001) and nursing students supported euthanasia more than nurses(t=-3.06, p=.002). Among the death attitude, both of the nurses and the nursing students had the highest score 'fear of their own dying' and the lowest score 'fear of the dying of others'. Regarding attitude to euthanasia, both of them the most important factor was 'the right of the client'. These results suggest that death education program to deal with nursing services without ethical conflicts should be developed.

Effect of IT Acceptance Will and Stress on Task Performance (조직의 IT 도입 시 기술수용의지와 스트레스가 업무에 미치는 영향연구)

  • Kang, So-Ra;Kim, Yoo-Jung;Chun, Bang-Jee
    • Journal of Information Technology Applications and Management
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    • v.18 no.4
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    • pp.119-130
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    • 2011
  • When an organization adopts new technology, performance through the technology is expected to be decided depending on attitudes of the members, in that technology produces performance only if the members zealously use it. Therefore, the members need to devote themselves to acquire and use the new technology. This attitude of members is called "IT acceptance will" (Ranarajan et al., 2005), and this research is to examine the effect of an individual's "IT acceptance will" on performance. Thus, this research analyzes what increases IT acceptance will and what effect IT acceptance will has on stress due to uncertainty of an organization-job complexity and role conflict- through new IT adoption. This research conducted a survey from July to September in 2009, targeting employees of government offices and public institutions in Kyunggi and Kyungnam provinces. Then, a total of 370 was collected and the final 344 was selected for our research analysis. As a result, this research found out that personal innovation and client orientation improved an individual's IT acceptance will, which improved performance through new IT adoption. However, the new IT adoption also increased job complexity and role conflict, but negative effects of stress on performance was not found as IT adoption will diminished the stress. Based on this result, this research discussed practical and academic implications and the limitations.

The Nursing Record Evaluation of the Application of the Nursing Process (간호과정 적용에 따른 간호기록지 평가)

  • 이경혜;김문실
    • Journal of Korean Academy of Nursing
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    • v.10 no.2
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    • pp.87-94
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    • 1980
  • According to the provious study. it was suggested a need for improvement of nursing care through application of nursing process in Ewha Womans University Hospital With those data. it has been applied to the nursing care at maternity ward by nurses. This study was undertaken to determine the evaluation of the application of the nursing process which is an orderly. systemic min of deforming the patient's/client's nursing problems. This study involved 191 cases with patient chart and was carried out from Feb. 1979 to Feb. 1980 is Ewha Womans University Hospital. The results were as follows : 1. Actual performance of“Assessment”stage was 59%, and 45 % for the nursing diagnosis. 2. It was achieved with specific planning of nursing care for 71.6% and the plan was safely and effective implemented (97.9% ). 3. Afer“Implement”stage it was made of evaluation and feedback process (39%). 4. Nurses in Eha womans University hospital. they showed the Positive attitude toward the application of nursing process. but they saggested that there were lack of manpower and the consideration of time allocation. Recommandation are as follows : 1. All nursing staff must participate in continious education program for nursing process. 2. The results suggest a need for modification for the nursing history formeat and SOAPIER. 3. A need for improvement of physical condition for interview and effective utilization of nursing staff. 4. It will more effective when Dr's medical record replace by problem ariented aedical record( POMR).

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A Study of Family Relation Experiences of the Behavioral Problems of Adolescents (문제행동청소년의 가족관계경험에 대한 연구)

  • Kim, Sung Bong;Hong, Dal Ah Gi;Jung, Eun Mi
    • Korean Journal of Human Ecology
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    • v.23 no.6
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    • pp.1155-1170
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    • 2014
  • This study was performed to understand the structure of family experiences of adolescent behavior problems by analyzing and integrating family experiences in the family relationships. This study intends to discover in-depth family experience by analyzing the individual meaning of family experiences from client's wording. This study was performed in phenomenological method through analyzing the actual counselling cases. The results indicated that 9 units of meaning were derived on family relationships. In the family relationship domain, desire to die or kill others, guilt and resentment, not receiving the respect, mother's ignorance and verbal abuse to father were derived as primary components. Parents-children relationships-Not understanding about his father's drunkenness and disgust, getting exhausted, untrusted parents, unidirectional attitude without communication. Sibling Relationships-younger brother or sister to work off frustration.

Construction of an Explanatory Model of Female Sexual Dysfunction (여성 성기능장애의 예측 모형)

  • Bae, Jeong-Yee;Min, Kweon-Sik;Ahn, Suk-Hee
    • Journal of Korean Academy of Nursing
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    • v.37 no.7
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    • pp.1080-1090
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    • 2007
  • Purpose: Although concerns of female sexual dysfunction (FSD) are increasing in Korea, sexual dysfunction related factors are limited in research studies. The aim of this study was to develop an explanatory model that will further explain the continuously increasing female sexual dysfunction cases in Korea. Methods: Survey visits were conducted to four hundred and eighty five women, over 25 years of age and presently residing in either urban or rural areas. All of them were analyzed using a structured questionnaire. A total of 8 instruments were used in this model. The analysis of data was done with both SPSS WIN for descriptive statistics and AMOS 5.0 for covariance structure analysis. Results: As a result, variables that showed notably direct effects on FSD were: sexual concept (sexual attitude), sexual distress, and psychosocial health (depression, crisis, traumatic life events). On the other hand, variables such as age, educational level, economic status, and marital status showed indirect influences on health-promoting behaviors. Conclusion: By comprehensively addressing the factors related to sexual dysfunction, and comparing each influence, this study can contribute to designing an appropriate sexual dysfunction prevention strategy in tune with the particular characteristics and problems of a client.

Music Therapy Interventions for Prevention of Suicidal Ideation (자살 충동 예방을 위한 음악치료적 접근)

  • Lee, In Yong
    • Journal of Music and Human Behavior
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    • v.3 no.2
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    • pp.45-58
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    • 2006
  • Recently many treatment strategies have been developed to prevent suicidal ideation as it is increasing. Various community facilities and university centers are carrying out research to develop efficient treatment programs. This study examined how music can be used therapeutically for a case who is going through severe suicidal ideation. Various music therapy techniques are utilized including song psychotherapy, music and imagery and role play instrumental improvisation. A woman with severe depression for seven one-hour session. Both quantitative and qualitative data were collected to examine the changes in the suicidal ideation. As results, there were lots of changes in the client's attitude towards life through exploring inner world. Much of stability and sense of security were gained and emotional hardship was resolved in the process of therapy. The client was able to structure future plans productively as the suicidal ideation was reduced. In the process of role play instrumental improvisation, music allowed her to express issues regarding relationships with others, attitudes and in other areas as well. Music was used "as therapy" and solved many repressed emotions related to the trauma including psychological inhibition, tension, helplessness, lack of energy. Further music was able to bring the "false" ego with "true ego". The study implies that various psychotherapeutic interventions can alleviate depression and reduce suicidal ideation.

A Study on the Recognition of Client Home Visit Nursing Care Services in Public Health Centers (방문간호사업에 대한 대상자의 인식에 관한 연구)

  • Min, Young-Sun;Chung, Yeoun-Kang;Han, Seung-Eui
    • Research in Community and Public Health Nursing
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    • v.11 no.2
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    • pp.399-410
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    • 2000
  • In this, analyzing the type of subjectivity in which people would have about home visit nursing services originating from public health care centers. I tried to research more effective ways to improve home visit nursing care services. and later. for the development of home visit nursing care. to supply basic data. The method for this study was the Q-method. created by William Stephenson. and was adequate for the study of subjectivity. For this study. through the deep interview. literature inquiry, and the discussion course. 206 Q-statement sentences were abstracted. and based on them, after Q-sample-selection. I then collected the Q-categorized-result from 32 subjects from Mar. 10. 2000 to Mar. 25. 2000. Through the statistic a analysis of PC-Qunal program. the subjectivity species were categorized and analyzed. The study results show that there are 3 sorts of recognition types. and they are analyzed in the following; The first type: the positively receiving type shows that they feel thankful and a trusting feeling about home visit nursing. The second type: the negatively mistrusting type shows that they had doubtful attitudes about the specialty of home visit nursing: they wanted medicine or nutrition remedies rather than health education and concerning the their own health care, they prefered the hospitals or clinics. The third type: the conditional receiving type shows that even though they had a positive receiving attitude about home visit nursing wanting to consult with the home visit nurses about the difficult problem which could not easily be settled, hoping that the home visit nurses could visit them more often, in their actual lives. they strongly indicated their attitudes concerning money as more important than home visits. The subjects in these 3 types commonly had a good feeling about the kindness of the home visit nurses: the first and third types also had a positive recognition about home visit nursing; however. in aspects of the evaluation and receiving attitudes, they showed a big difference. When all the above results are integrated. in the case of the first type the home visit nursing service, which satisfied the demand for health care of the medically weak people. should be continuously supplied. Additionally in case of the second type (negatively mistrust). continuous education and support should be supplied with enough interest to lead their concerns about their own health care as well as lead medical spending in a productive and effective direction in order to change their impressions. Through this study. I learned that the recognition of the objectives of home visit nursing services can be categorized in to 3 types and could be analyzed. Thus I wish that this study helps to present basic data which contributes to the development of the home visit nursing field.

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Structuralization Expected Outcome of Social Welfare Program Based on Community Network : Using Concept Mapping Method (지역사회네트워크를 기반으로 한 사회복지프로그램 기대성과 구조화 : 컨셉트 맵핑(concept mapping)을 활용하여)

  • Kwon, Sunae
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.107-116
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    • 2014
  • The purpose of this study is to verify the applicability of concept mapping in the process of planning social welfare program based on community network. Concept mapping is a kind of decision-making method that structuralized complex ideas and presented visually. Already, concept mapping is widely utilized in counseling, nursing and public health area to plan and evaluation their program and service. For recent, effectiveness of concept mapping has been reported. Concept mapping is a effective decision-making method that they recognize outcome gap between service provider and client, reach the outcome's consensus in counseling and nursing, medical area. In this study, we conceptualized 3rd year outcomes of Community Impact Project that was supported from Busan Chest using concept mapping. This CI project intervenes children and youth who lives in Buk-gu, Busan. Concept mapping has six stages-preparation, collecting ideas, structuring statements, representing statement, interpreting the results of the analysis, applying the results. We followed these steps. The participants were working at social welfare organizations, total 11 persons. We obtained 60 statements and analyzed using multidimensional scaling. we collected 5 clusters, cluster 1 'awareness and attitude change of children and youth', cluster 2 'social system change of children and youth', cluster 3 'friendly community formation', cluster 4 'community people change', cluster 5 'service provider change'. As a result, among total 5 clusters formed, 'awareness and attitude change of children and youth' came to the strongest outcomes. When concept mapping was applied to the program planning, the consensus of the opinion came easily in the decision-making process, and the participants were empowered. In addition, clear conceptualization on each element of the program planning was made.

A Qualitative Study on Management Behaviors about Blood Pressure of Participants in Moxibustion Clinical Trial for Hypertension (고혈압-뜸 임상시험 참여자들의 혈압 관리행동에 대한 질적연구)

  • Moon, A-Ji;Kim, Tae-Jung;Lee, Seoung-Geun;Kim, Nam-Kwen;Lee, Key-Sang
    • The Journal of Internal Korean Medicine
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    • v.33 no.4
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    • pp.543-557
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    • 2012
  • Objectives : The purpose of this study which adopted a qualitative method was to evaluate blood pressure management behaviors of pre- and stage 1 hypertension patients and to provide fundamental data for developing a strategy about proper oriental medical treatment through analyzing factors related to a moxibustion clinical trial. Methods : Semi-structured interviews that focused on personal experiences with hypertension and its management were conducted with 10 hypertensive patients. The interviews lasted for approximately 50 minutes. Results : Most participants recognized that the direct cause of high blood pressure was unhealthy behavior rather than inheritance. Thus, the hypertensive patient believed they could recover their blood pressure to a normal level through removing the direct cause of hypertension instead of taking drugs. The reasons for these statements were that the drugs for controlling hypertension are not natural and they may have side effects. On future management plan of patients, most of them will continue to keep moxibustion and healthy behavior in the well-controlled blood pressure group. However in the uncontrolled blood pressure group, there was an increasing tendency to begin medication. Conclusions : For developing a strategy for an individual approach to hypertension management, we need to develop a client-centered attitude and strategy. That is, we need to tailor our approach to individual cases to avoid generalizations and stereotyping when developing an adherence increasing strategy.