• Title/Summary/Keyword: Counseling Practice

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The First Korean Cancer Genetic Counseling Program for Nurses (국내 종양유전상담 간호사를 위한 단기 교육프로그램 개발)

  • Choi, Kyung-Sook;Anderson, Gwen;Jun, Myung-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.1
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    • pp.104-114
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    • 2006
  • Genetic knowledge for oncology nurses is important in Korea because oncologists are incorporating genetic counseling and genetic testing into their practice. The purpose of this paper is to describe our method of developing the first academic cancer genetic risk assessment and counseling course for Korean nurses. A one-week (non-credit) cancer genetics counseling program was constructed for master's level Korean oncology nurses. The course emphasized basic genetic concepts and principles the genetics of cancer; hereditary cancer syndromes; family history assessments; pedigree construction; risk calculation; surveillance recommendations and treatment options ethical, legal, social, and psychological issues inherent in genetic testing. The goals of this program are to: 1) provide a comprehensive knowledge base for nurses who are currently expanding their scope of practice into the genetic counseling role 2) introduce this knowledge to nurses who want to use it in their practice; and 3) provide cancer genetic knowledge and resources to Korean nursing faculty who plan to incorporate this knowledge into existing master's courses. This academically-based course is recognized as valuable by nurses, nursing faculty, and physicians. With this new knowledge nurses can begin toexpand their role in delivering comprehensive cancer care services.

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Philosophical Counseling and Feminist Counseling (철학상담과 여성주의상담)

  • Nho, Soung-Suk
    • Women's Studies Review
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    • v.26 no.1
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    • pp.3-39
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    • 2009
  • Philosophical counseling, established by Achenbach in 1981, began as "philosophical practice" and emerged only recently as a new field of philosophy in its own right. It attempts, by recasting the philosopher as a counselor, to bring philosophy back from academia and recover the ancient notion of "doing philosophy," in a real-life context. Furthermore, it allows clients who are at a critical moment in their life a chance to revive their authentic selves and empowers them to pursue their own path. By engaging with philosophical counseling, clients are more likely to realize their hopes for their lives by examining their lives thoroughly and facing them anew. This paper first attempts to investigate philosophical counseling services for Korean women and to outline a new model of counseling based on the combination of two models of counseling, philosophical counseling and feminist counseling. In the second chapter, it seeks to introduce the history and characteristics of philosophical counseling and in the third chapter, the history and characteristics of feminist counseling are investigated, focusing on a counseling-activity entitled "Telephone for Women." Finally, in the fourth chapter, a comparative study is made by identifying the common aspects of each counseling type, in order to promote the shared outlooks of both counseling models. Although these two models of counseling emerged from different historical, social, and cultural contexts, they were founded according to four common beliefs, which are as follows: first, a focus on the importance of "practice," second, the establishment of an equal relationship between the counselor and the client, third, the importance of counselors listening attentively to the client and opening themselves up, fourth, the encouragement of clients becoming truly themselves and self-educated. Therefore, the writer believes that these two models of counseling are both aiming at the realization of an authentic "human life." It is hoped that philosophical counseling will give Korean women an opportunity to maintain a dialogue that will improve their "well-being" in the future.

Effects of Nutrition Counseling on Diabetes Management in Type 2 Diabetes Mellitus Patients (영양상담이 제2형 당뇨병 환자의 혈당과 식사요법에 대한 지식과 실천에 미치는 영향)

  • Lee, Seung-Lim
    • Journal of the Korean Dietetic Association
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    • v.15 no.2
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    • pp.188-196
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    • 2009
  • The purpose of this study was to investigate the effects of nutrition counseling on diabetes management by determining changes in anthropometry and blood components as well as knowledge and practice of diet therapy and nutrient intake in 34 (male 11, female 23) type 2 diabetes patients. The knowledge and the practice of diet therapy, drinking, smoking and exercise were analyzed by questionnaires. Dietary nutrient intake were obtained from the patients by the 1 day 24-hr recall. Blood glucose level and blood pressure were measured before and 3 months after the treatment. The results are summarized as follows: Average weight (p<0.05) and body mass index (p<0.05) were significantly lower post-counseling. Fasting blood glucose levels (p<0.01) and postprandial-2hour blood glucose levels (p<0.01) were also significantly lower post-counseling. In lifestyle changes for self-management the patients showed significantly higher exercise habits post-counseling (p<0.01). Regarding their level of diet knowledge, they showed significantly higher levels post-counseling in six items such as importance of diet therapy for diabetes (p<0.001), principles of diet therapy (p<0.001), nutrient composition of foods (p<0.01), carbohydrate composition of foods (p<0.001), the prescribed calories (p<0.001) understanding food item and exchange units of cereals, grains (p<0.001) and fruits, juices (p<0.001). Regarding their diet practices, the patients showed significantly higher levels of practice post-counseling in keeping within permitted meal size (p<0.001), using food exchange lists (p<0.001), keeping exact meal times (p<0.01), and controling sweet foods (p<0.001). Protein (p<0.05), animal lipid (p<0.05), and vitamin C (p<0.05) intakes were significantly higher post-counseling.

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Analysis of Conversation in Philosophical Counseling Cases Reported in Korean Journals (국내 학술지에 보고된 철학상담 사례의 대화 분석)

  • Suh, Hyo-Weon;Kwon, Chan-Young;Kim, Jong Woo
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.3
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    • pp.141-152
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    • 2019
  • Objectives: We analyzed the reports of philosophical counseling and derived the characteristics of the questions that were administered in philosophical counseling. We also wanted to discuss if philosophical questions are necessary and applicable in Oriental medicine counseling. Methods: A systematic search of three Korean databases were performed. Case reports or case series that apply philosophical counseling to clients were included in this study (through June 27, 2019). We extracted questions and answers from the dialogue of each case. Extracted conversations between counselor and client were analyzed qualitatively. Results: Seven published articles with 17 cases were included and were analyzed for philosophical counseling. Philosophical questions have the following characteristics to help clients: (1) To clarify the phenomenon, (2) To identify subject and object, (3) To consider other people's perspective, (4) To review the premise, (5) To review the association relationship (6) To allow opportunities to think differently, and (7) To think of identity and values. Philosophical counseling and Korean medical counseling have commonalities in improving patients' resilience through logical conversation. The use of philosophical counseling in Korean medical counseling will maximize clients' philosophical resilience and the reparative power of nature. Thus, it is desirable to apply philosophical counseling to the practice of Korean medicine (KM). Conclusions: Through the qualitative analysis, we analyzed and categorized major characteristics of philosophical counseling. In the future, the possibility of using philosophical counseling should be explored in the KM practice.

Effects of an Individual Health Counseling Program for Community: Health One-stop Service Program (지역사회 대상의 개인별 건강상담서비스 프로그램 중재 효과: 건강원스톱서비스 사업)

  • Kim, Hyun;Lee, Sok-Goo
    • Korean Journal of Health Education and Promotion
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    • v.29 no.2
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    • pp.13-21
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    • 2012
  • Objectives: The aim of the study was to identify the effects of a community-level individual health counseling program for community. Methods: Data included baseline demographics, blood pressure, blood sugar, waist circumference, total cholesterol and health behavior index(body mass index, dietary practice guidelines score, physical activity, high-risk drinking) collected at public health centers in Chungnam province from January to September, 2011. Data obtained from the individual health counseling program in Chungnam province were analyzed using Wilcoxon Signed Rank Test and McNemar Test. Results: After the individual health counseling intervention, the results of health measurement index; systolic blood pressure, diastolic blood pressure, total cholesterol, waist circumference decreased in the health risk group, while total cholesterol and waist circumference decreased in the disease management group. Health behavior change in both groups. Body mass index, moderate physical activity, dietary practice guidelines scores were improved. Conclusions: These results indicate that the individual health counseling program for community was effective in improving health behaviors and status. The results demonstrate that step-by-step counseling program development and intervention studies are needed.

Exploration of Duty System and Needs Assessment in Lifelong Learning Counseling Practice (평생교육 담당자의 평생학습상담 직무 탐색 및 요구도 분석)

  • Jo, Eun-San;Yun, Myung-Hee;Ku, Kyung-Hee
    • Journal of vocational education research
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    • v.35 no.6
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    • pp.65-84
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    • 2016
  • This study aims to explore the duty system of the lifelong learning counseling, and to analyze the needs of counseling practice which are conceived by lifelong education practitioners. Based on the related prior studies, the duty system of lifelong learning counseling was investigated and classified. Also, differences of how to recognize the importance of counseling job and how to practice counseling are assessed by Borich method. After data were collected by practitioners from lifelong education field, the dependent t-test and the Borich needs assessment formula were used for analysis of the collected data. The results are as follows: the 4 subdivided duties of lifelong learning counseling are formation of relationship, learner's analysis, learning promotion, and follow-up management. The 11 tasks are learner's interview, providing learning information, analysis of learner's characteristics and needs, learning level diagnosis, diagnosis of learning inhibiting factors, promotion of learning motivation, advice of learning course and learning method, support of study circle activity, career planning counseling, follow-up counseling, and counseling evaluation. According to the needs assessment, learner's analysis is conceived as the most important duty among the 4 sub-duties, and learner's analysis is regarded as second important duty by the counseling practitioners. Among the 11 tasks, providing learning information is the most important tasks among counseling practitioners, and analysis of learner's characteristics and needs is followed as second task. The duty system of the lifelong learning counseling and needs assessment data can be used as the basic data for lifelong education practitioners to conduct the duty of lifelong learning counseling efficiently and to support the lifelong learning plan according to learner's characteristics.

Evaluation of Development and Necessity of Therapeutic Diet Manual Practice (진료를 위한 식이처방 지침서의 개발과 필요성 평가)

  • 조여원
    • Journal of Nutrition and Health
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    • v.28 no.2
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    • pp.162-169
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    • 1995
  • This study was conducted to evaluate the necessity and development of a therapeutic diet manual which contains basic nutritional science concepts that refer to nutritional management of patients in clinical settings. One hundred and fifty-four medical doctors, forty dietitians, and sixty-three students majoring in nutrition participated. The survey included questions about nutritional knowledge, nutrition-related concerns, and nutrition counseling in medical practice. The knowledge score of medical doctors was 47.7%. Lower percentages occurred in the amount of sodium allowed in the sodium restricted diet and the food sources of vitamin B1 were 16.9%, 31.2% respectively. Seventy-four percent of doctors strongly urged nutrition counseling for patients. Seventy one percent of doctors agreed that the present medical-nutrition education was inadequate in medical school curricura. Most doctors (79.2%) agreed that a therapeutic diet manual would be helpful and necessary. The average percentage of nutritional knowledge test scores for dietitians and students majoring in nutrition were 76.0% and 68.3%, respectively. Over ninety percent of dietitians working and their prescriptions. The result of this study strongly suggests that the development of a comprehensive therapeutic diet manual is necessary, especially for medical doctors.

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The Roles of Critical Care Advanced Practice Nurse

  • Sung, Young-Hee;Yi, Young-Hee;Kwon, In-Gak;Cho, Yang-Ae
    • Journal of Korean Academy of Nursing
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    • v.36 no.8
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    • pp.1340-1351
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    • 2006
  • Purpose. To determine and compare the perception among nurses and doctors of the roles and tasks of critical care advanced practice nurses (APNs) in order to establish standardized and formally agreed role criteria for such critical care APNs. Method. This study measured and analyzed the necessity of each of the roles and tasks of critical care APNs, as perceived by nurses and doctors, through a survey of 121 participants: 71 nurses in 7 intensive care units (ICUs) at a general hospital in Seoul, and 50 doctors who used ICUs. Data collection utilized a questionnaire of 128 questions in the following fields: direct practice (79), leadership and change agent (17), consultation and collaboration (15), education and counseling (11), and research (6). Results. Both the nurses' and the doctors' groups confirmed the necessity of critical care APNs, with doctors who frequently used ICUs indicating a particularly strong need. As for the priority of each role of critical care APNs, the nurses considered direct practice to be the most critical, followed by education and counseling, research, consultation and collaboration, and leadership and change agent. The doctors also considered direct practice to be the most critical, followed by education and counseling, consultation and collaboration, research, and leadership and change agent. There was a statistically significant difference between how the two groups regarded all the roles, except for the consultation and collaboration roles. As for the necessity of each role of critical care APNs, the nurses considered research to be the most necessary, followed by education and counseling, consultation and collaboration, leadership and change agent, and direct practice. The doctors, on the other hand, considered education and counseling to be the most necessary, followed by research, consultation and collaboration, leadership and change agent, and direct practice. The responses of the two groups to all the roles, except for education and counseling roles, were significantly different. Conclusion. Nurses and doctors have different perceptions of the roles and tasks of critical care APNs. Thus, it is necessary for the combined nursing and medical fields to reach an official agreement on a set of criteria to standardize for the roles and tasks of critical care APNs.

A Counseling Strategy and Practice for solving Interpersonal Problems of Elementary School Students : Forgiveness Counseling Education Application (초등학생의 대인관계 문제 개선을 위한 상담전략과 실제 :용서상담교육의 적용)

  • Kim, Kwang-Soo
    • The Korean Journal of Elementary Counseling
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    • v.9 no.1
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    • pp.111-132
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    • 2010
  • The Purpose of this study is to investigate and suggest a counseling strategy and practice for solving interpersonal problems of elementary school students that elementary school teachers are now confronted with. In this study, first of all, the actual conditions of interpersonal problems of elementary school students were examined focusing on interpersonal aggressions(violence and victim). The features and problems of existing approaches for solving interpersonal problems of elementary school students were indicated. Although existing approaches for solving interpersonal aggression problems took temporary and external changes, they failed to notice psychological hurts that victims and aggressive victims got. As a fundamental and systematic way for overcoming problems of existing approaches, forgiveness counseling education based on empirical-scientific forgiveness researches was discussed. The Purpose of forgiveness counseling education is to make victims(aggressive victims) overcome the negative responses derived from interpersonal conflict(hurts and victims) and to facilitate them to response positively through experiencing forgiveness psychological process. Lastly, necessary assignments and topics to use forgiveness counseling education as an effective personality education approach were discussed.

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Motivational Interviewing Training Using Role Play in Dental Hygiene Students

  • Han, Ye Seul;Cho, Young Sik
    • Journal of dental hygiene science
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    • v.18 no.1
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    • pp.50-59
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    • 2018
  • The purpose of this study was to develop a motivational interviewing (MI) training program to improve competency in communication and to effect the evaluated changes that would occur in dental students' counseling techniques as result of the training in the program. The study proceeded through the program via role-play practice, which was explained effectively during the MI program training process. A convenience sample of 43 fourth-year dental hygiene students was recruited. Twenty-two students were randomly assigned to the intervention group and 21 to the control group in the order of recruitment. The theoretical lecture was delivered over 3 hours and the practice was done in parallel by applying cases occurring in clinic settings. The practice was technical training, partner practice, and small group practice. The intervention group received three hour MI lecture while the control group received no lecture. Evaluation through role-play practice was separated according to "researcher's viewpoint," "counselor's role viewpoint," and "patient's role viewpoint." The results of the analysis showed that the intervention group had higher MI skills and ability than the control group. Furthermore, program participants showed positive impressions to the MI training program. The use of coaching sessions improved the MI techniques and counseling skills of dental hygiene students learning MI. The effect of the application of the MI training program was that the MI training improved counseling skills and interviewing abilities. Moreover, continuous training and feedback enhanced MI techniques and core skills. Training using lectures in parallel with practice rather than education through theory alone improved students' techniques. Application of role play through the combined method of the MI program was confirmed by an effective training method.