• Journal of Korean Academy of Nursing
• /
• v.46 no.2
• /
• pp.238-248
• /
• 2016

Purpose: The purpose of this qualitative study was to explore the meaning of the experience of Korean immigrant nurses working in US hospitals. Methods: Purposive sampling yielded 15 Korean immigrant nurses who had more than one year of clinical experience in US hospitals. Data were collected from March to August 2012 through in-depth interviews and thematic analysis was conducted using van Manen's hermeneutic phenomenological approach. Results: The findings were classified into eight themes: 'struggling from staff at workplace being territorial to outsiders', 'feeling oppressed due to language barrier', 'accepting rational and horizontal relationships at work', 'staying alert in the environment where lawsuits are rife', 'feeling a sense of stability from the social system that values human dignity', 'maintaining self-confidence from prominent nursing practices and senior Korean nurses' professional reputation', 'performing essential comprehensive nursing care', 'promoting self-development to be equipped with professionalism.' Conclusion: The findings indicate that the Korean immigrant nurses were able to excel in their workplace when their clinical experience at US hospitals was combined with the lived space in US politics and environment, lived time of patience, lived body to be alert, and lived others with multi cultural characteristics.

• Korean Journal of Social Welfare
• /
• v.43
• /
• pp.157-192
• /
• 2000

This Study concerns therapeutic effects of the Therapy Dog Assisted Program (TDAP) on autistic children. Subjects participating in the study are two groups of Korean elementary schoolboys of the same age (twelve years old) : an experimental group and a control1ed group of equal number of children (sex children in total). Thirteen different sessions of TDAP interventions were performed over a three-month period. Evidence from the present study indicates that the children participating in the TDAP program achieved a greater degree of improvement in their social interactions as well as in their individual activities in comparison with the preTDAP counterparts. The present study also demonstrates significant changes in the TDAP group in comparison with those in the non-participating control group. The results from this study supports that the proposition that the Therapy Dog Assisted Program can be applied effectively in treating people experiencing severely damaged social functioning. Such a program may serve as an effective treatment modality in a variety of clinical social work settings. The questions of long-term effects of the TDAP intervention and possible interference with other behavioral side-effects on the part of the intervened subjects need to be addressed in future studies.

• Korean Journal of Social Welfare Studies
• /
• v.42 no.4
• /
• pp.5-34
• /
• 2011

There have been increasing incidents of natural and social disasters that claimed many lives and caused financial calamities worldwide, which call for an attention to mental health issues affecting disaster victims. This study reviewed the findings of the empirical research on the effects of disaster on the victims, the prevalence and determinants of the mental health problems. The disaster tends to disproportionately affect the socio-economically disadvantaged population and their mental health problems and recovery seemed to be heavily influenced by post-disaster experiences such as restoration of physical environment, prospect of economic recovery and resumption of normalcy in their lives, opportunities for participation in decision-making that affect their lives. Such findings suggest that the disaster mental health should shift from its traditional approach that focuses on short-term clinical interventions to alleviate acute mental distress for the victims to a public health approach that involve medical, social and economic interventions as well as community empowerment to prevent chronicity of the mental health problems and to improve the general quality of life of the individuals and the community adversely affected by the disaster. Implications for the social work research, policy making, education and practice were discussed.

• Journal of Society of Preventive Korean Medicine
• /
• v.13 no.1
• /
• pp.105-115
• /
• 2009

Background: The resource-based relative value scale has been applied to Korean medicine services as part of the National Health Insurance, yet the proper scoring method for physician's work needs to be developed. Objectives: To measure physician's work for Korean medicine services using Analytical Hierarchy Process(AHP) and to compare results abstracted by AHP with those by Magnitude Estimation method. Methods: We developed the AHP questionnaires for Korean Medicine services and administered it to 12 Korean medicine insurance experts. Weighted scores were calculated and were converted into physician's work scores. Results: In AHP measurement, the physician's work scores for acupuncture activities, especially special acupunctures, far increased, while those for diagnosis and basic consultations decreased. Variations in the scores enlarged. Conclusions: As an alternative, AHP method can be considered for measuring the physician's work for Korean medicine services with careful management of scoring variation.

• Journal of Technologic Dentistry
• /
• v.41 no.2
• /
• pp.137-146
• /
• 2019

Purpose: This research was to examine some 4-year dental technology students perceptions of field learning environment(FLE). Methods: This study was conducted from October 15th to November 30th, 2017. 163 copies were used as the final analysis data. We surveyed questionnaire 163 of some 4-year dental technology students. The collected data were analyzed using SPSS (Statistical Package for Social Science) 22.0 for windows, and frequency analysis, chi-square test analysis, and correlation analysis were performed. Results: Satisfaction of practicing educator 3.88, satisfaction of clinical practice 3.49, major satisfaction 3.34, and university life satisfaction 3.25. Factors influencing satisfaction with clinical practice were clinical practice place, number of clinical practice sites, work done in clinical practice, and difficulties (p < .05). There was a significant positive correlation between satisfaction with clinical practice and satisfaction with major (P < .05). Conclusion: The results of this study, we were able to check the current field learning environment(FLE) and actual condition of students. Through the investigation of the desired clinical practice, it is anticipated that it will be possible to provide a field learning environment suitable for the course of the field desired by the user.

• Journal of Korean Physical Therapy Science
• /
• v.4 no.4
• /
• pp.511-518
• /
• 1997

For the perfect cure of rheumatoid arthritis, the ultimate hope of patients and therapist, it is necessary to find a patient early and treat him properly and to teach him what rheumatoid arthritis is. 1. Although rheumatoid arthritis is a chronic disease and its cause is uncertain matke the patient understand that there are many ways to reduce symptoms and to prevent deformation. 2. Explain the peculiarity and the procedure of rheumatoid arthritis to the patient and encourage him. 3. Teach the patient how to protect his arthrosises by showing him concrete movement. 4. Teach the patient or his family the ways to relieve rheumatoid arthritis easily in his house for continuous remedy. In order to make that remedy most effective for the patient, a complex and balanced treatment, considering medication, surgical teatment and rehabilitative treatment, has to be applied, which needs team work. Team work occurs when doctors, physiotherapists, nurses, nutritionists, clinical psychologists, prosthesis manufacturers, social workers, employment agents and the family of the patient work together. The members of the tern have to onderstand the procedure of the treatment of rheumatoid arthritis and apply proper remedies according to the condition of the patient.

• Journal of Hospice and Palliative Care
• /
• v.24 no.2
• /
• pp.130-134
• /
• 2021

In the era of coronavirus disease 2019 (COVID-19), social distancing and strict visitation policies at hospitals have made it difficult for medical staff to provide high-quality end-of-life (EOL) care to dying patients and their families. There are various issues related to EOL care, including psychological problems of patients and their families, difficulties in EOL decision-making, the complicated grief of the bereaved family, moral distress, and exhaustion of medical staff. In relation to these issues, we aimed to discuss practical considerations in providing high-quality EOL care in the COVID-19 pandemic. First, medical staff should discuss advance care planning as early as possible and use the parallel planning strategy. Second, medical staff should play a role in facilitating patient-family communication. Third, medical staff should actively and proactively evaluate and alleviate dying patients' symptoms using non-verbal communication. Lastly, medical staff should provide care for family members of the dying patient, who may be particularly vulnerable to post-bereavement problems in the COVID-19 era. Establishing a system of screening high-risk individuals for complicated grief and connecting them to bereavement support services might be considered. Despite the challenging and limited environment, providing EOL care is essential for patients to die with dignity in peace and for the remaining family to return to life after the loved one's death. Efforts considering the practical issues faced by all medical staff and healthcare institutions caring for dying patients should be made.

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.9
• /
• pp.4049-4054
• /
• 2014

Background: Race and ethnicity are significant factors in predicting survival time of breast cancer patients. In this study, we applied advanced statistical methods to predict the survival of White non-Hispanic female breast cancer patients, who were diagnosed between the years 1973 and 2009 in the United States (U.S.). Materials and Methods: Demographic data from the Surveillance Epidemiology and End Results (SEER) database were used for the purpose of this study. Nine states were randomly selected from 12 U.S. cancer registries. A stratified random sampling method was used to select 2,000 female breast cancer patients from these nine states. We compared four types of advanced statistical probability models to identify the best-fit model for the White non-Hispanic female breast cancer survival data. Three model building criterion were used to measure and compare goodness of fit of the models. These include Akaike Information Criteria (AIC), Bayesian Information Criteria (BIC), and Deviance Information Criteria (DIC). In addition, we used a novel Bayesian method and the Markov Chain Monte Carlo technique to determine the posterior density function of the parameters. After evaluating the model parameters, we selected the model having the lowest DIC value. Using this Bayesian method, we derived the predictive survival density for future survival time and its related inferences. Results: The analytical sample of White non-Hispanic women included 2,000 breast cancer cases from the SEER database (1973-2009). The majority of cases were married (55.2%), the mean age of diagnosis was 63.61 years (SD = 14.24) and the mean survival time was 84 months (SD = 35.01). After comparing the four statistical models, results suggested that the exponentiated Weibull model (DIC= 19818.220) was a better fit for White non-Hispanic females' breast cancer survival data. This model predicted the survival times (in months) for White non-Hispanic women after implementation of precise estimates of the model parameters. Conclusions: By using modern model building criteria, we determined that the data best fit the exponentiated Weibull model. We incorporated precise estimates of the parameter into the predictive model and evaluated the survival inference for the White non-Hispanic female population. This method of analysis will assist researchers in making scientific and clinical conclusions when assessing survival time of breast cancer patients.

• Journal of Korean Clinical Nursing Research
• /
• v.22 no.1
• /
• pp.38-45
• /
• 2016

Purpose: The purpose of this study was to understand the effects of verbal violence experience, social support, and coping patterns on job stress among operating room(OR) nurses. Methods: The participants were 214 operating room nurses in general hospitals. Data were collected from April 1st to May 1st in 2013 and were analyzed using a multiple regression. Results: The most influencing factor on job stress for OR nurses was verbal violence experience from doctor(${\beta}=.35$), and verbal violence experience from nurse (${\beta}=.27$) followed. Social support from co-workers was a significant factor in decreasing job stress (${\beta}=-.22$). Those three factors explained 43.0% (F=54.76, p<.001) of OR nurses' job stress. Conclusion: The findings of this study revealed that doctors' and nurses' verbal violence increased job stress of OR nurses and social support from co-workers was found decreasing OR nurses' job stress. The results of the study provides an necessity for developing an effective program for minimizing job stress of OR nurses caused by work place verbal violence.

• Journal of East-West Nursing Research
• /
• v.19 no.1
• /
• pp.55-61
• /
• 2013

Purpose: This study was performed to provide basic data for nursing intervention plan to improve health related to task by examining whether nurses' burnout is related with job stress, job satisfaction, social support, and self efficacy in hospitals. Methods: The participants were 320 nurses who work at 5 different university hospitals with individual agreement for this study. The questionnaire were provided to the subjects. Data analysis was done by Pearson correlation coefficient and multiple regression were used. Results: Estimated regression model of burnout of nurses was statistically significant (F=119.88, p<.001). Major factors which affect burnout of nurses were job stress (${\beta}=.54$), job satisfaction (${\beta}=-.31$), and social support (${\beta}=-.20$) which explained 53.4% of burnout of nurse. As a result of examining the assumption of the regression, all results were satisfactory with the assumption of the regression equation. Conclusion: Based on the results of the study, It is nacessary to reduce job stress and increse job satisfaction and social support in order to reduce burnout of nurse. Job stress management may be needed mostly because job stress was the highest level of prediction against burnout.