• Title/Summary/Keyword: Department Adaptation

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Development of the Prevention Guideline of Deep Vein Thrombosis in Patients with Surgery according to the Guideline Adaptation Process (수술환자의 심부정맥혈전증 예방 지침 수용개작)

  • Yoon, Ji Hyun;Lee, Ihn Seon;Lee, Kyeong Yoon;Jang, Mi Ja;Lee, Jung Min;Nam, Min Sun;Park, Ji Hyeon;Hwang, Ji Won;Song, Hyun Ju;Cho, Yong Ae;Kwon, In Gak;Kim, Mi Young
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.3
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    • pp.337-347
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    • 2014
  • Purpose: Deep Vein Thrombosis (DVT) is the cause of fatal diseases such as pulmonary embolism, due to a prolonged immobility, surgery, paralysis, and injuries. This study aimed to develop an evidence-based practice guideline for DVT prevention and apply it to patients with surgery in diverse nursing sites in South Korea. Methods: A 24-staged processes of adaptation was carried out on the basis of "adaptation of nursing practical guidelines" developed by Gu et al., in 2012. Results: Developed nursing guidelines of DVT prevention are composed of 79 recommendations in 8 domains. The extent and ratings of each recommendation with its evidence were addressed along with the background information. Conclusion: The developed DVT prevention guideline is necessary to be added to the evidence-based practice guidelines for the fundamentals of nursing practice. The developed guideline is needed to be disseminated to diverse nursing clinical settings in order to prevent DVT and enhance the quality nursing care.

Effect of Maternal-Fetal Attachment and Social Support on the Maternal Role Adaptation of Employed Mothers in Convergence age (융복합 시대 취업모의 모성역할적응에 모아애착 및 사회적 지지가 미치는 영향)

  • Kim, Jee-Ean;Kim, Miok;Yi, Su-Jeong
    • Journal of Digital Convergence
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    • v.18 no.6
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    • pp.379-388
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    • 2020
  • The purpose of this study was to provide information necessary to strengthen maternal role adaptation of employed mothers by identifying factors affecting maternal role adaptation of employed mothers with young children. The subjects of this study were convenience extracts from 137 employed mothers with infants under 24 months of residence in H city, Gyeonggi-do. Data were processed using descriptive statistics, t-test, ANOVA, correlation analysis, and stepwise regression analysis. As a result of the study, maternal role adaptation was positively correlated with mother attachment(r=.488, p<.001) and social support(r=.718, p<.001). Social support(β=.616), baby status at birth(β=.123), current breastfeeding status(β=.127) and maternal attachment degree(β=.141) affect the maternal role adaptation of employed mothers. The explanatory power of regression analysis was 55.5%(F=43.487, p<.001). As a result of the study, social support was found to be the most important factor influencing maternal role adaptation of employed mothers. Various intervention strategies for promoting social support in families, workplaces and communities are required for maternal role adaptation to employed mothers.

The Lived Experience of Dietary Adaptation in Peritoneal Dialysis Patients: A Phenomenological Study (복막투석환자의 식이적응경험: 현상학적 연구)

  • Lee, Hyun-Jung;Kim, Bong-Hee;Kang, Hee-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.364-374
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    • 2020
  • This paper describes the experience of the dietary adaptation of patients undergoing peritoneal dialysis due to end-stage renal failure by identifying the meanings and structure of the experience. In the research method, the data from nine patients were collected using individual in-depth interviews and analyzed using Colaizzi's phenomenological method. The experience of the dietary adaptation of participants undergoing peritoneal dialysis was organized into four theme-clusters and 15 themes. These four theme-clusters were characterized as follows: 'the double sufferings of peritoneal dialysis process and dietary adaptation', 'vague and ambiguous diet management', 'the hardship of diet management felt by experiencing diet using one's body', and 'realizing the importance of diet management with peritoneal dialysis, resetting one's goal in life'. This paper describes the dietary adaptation process experienced by peritoneal dialysis patients was a process of adhering to a better life, even though it was the double sufferings of peritoneal dialysis process and dietary adaptation. In conclusion, the findings in this study provide a deep understanding of the lived experience of the dietary adaptation in peritoneal dialysis patients and should help in the development of tailored diet interventions for patients on peritoneal dialysis.

A STUDY ON THE ADAPTATION OF LIGHT-CURED AND SELF-CURED GLASS-IONOMER CEMENTS TO TOOTH STRUCTURE (광중합형과 자가중합형 글라스 아이오노머 시멘트의 변연 접합성에 관한 연구)

  • Park, Yil-Yoon;Cho, Young-Gon;Hur, Seung-Myun
    • Restorative Dentistry and Endodontics
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    • v.19 no.1
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    • pp.148-158
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    • 1994
  • The purpose of this study was to compare the adaptation to tooth structure of light - cured glass ionomer cement with that of self -cured glass ionomer cement. In this study, class V cavities were prepared on the buccal surfaces of 10 extracted human premolar teeth, and teeth were randomly assigned 2 groups of 5 teeth each. The cavities of self-curing glass ionomer cement group were restored with the Fuji n. and the cavities of lightcuring glass ionomer cement group were restored with the Fuji II LC. The surfaces of glass ionomer cements were applied with All-Bond 2 adhesive, and cured with visible light. The restored teeth were stored in 100% relative humidity at $37^{\circ}C$ for 24 hours. And then. the roots of the teeth were removed with the tapered fissure bur and the remaining crowns were sectioned occlusogingivally through the center of glass ionomer restorations. Adaptation at tooth-restoration interface was assessed occlusally. axially, and gingivally by scanning electron microscope. The results were as follows : 1. On the occlusal margin, the group of self - curing glass ionomer cement showed closer adaptation to both enamel and dentin than the group of light-curing glass ionomer cement showing 5/lm gap between cement and tooth structure. 2. On the axial wall. the group of light-curing glass ionomer cement showing 5-$7{\mu}m$ gap between cement and dentin showed closer adaptation to dentin than the group of self -curing glass ionomer cement showing 10-$15{\mu}m$ gap between cement and dentin. 3. On the gingival margin, the group of light-curing glass ionomer cement showing 2-$5{\mu}m$ gap between cement and dentin(X 1200) showed closer adaptation to dentin than the group of self-curing glass ionomer cement showing 20pm gap between cement and dentin(X 600). 4. The group of self -curing glass ionomer cement showed closer adaptation on the occlusal margin than on the gingival margin, and the group of light-curing glass ionomer cement showed similar adaptation on both occlusal and gingival margins.

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A Comparative Study of Health State and School Adaptation between Children in Divorced Family and in Normal Family (학령기 정상가정자녀와 이혼가정자녀의 건강상태와 학교생활적응정도 비교연구)

  • Cho, Kyoul-Ja;Ji, Eun-Sun
    • Research in Community and Public Health Nursing
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    • v.13 no.4
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    • pp.743-756
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    • 2002
  • Purpose: This study is a descriptive and comparative study that compares health state and school adaptation between children in divorced family and in normal family. Study results will provide a basic data for the development of an intervention program designed to help children in divorced family adjust to their crisis. Method: The study subjects consisted of 700 children in 4th. 5th or 6th elementary school grade, residing Seoul and Kyunggi regions. Among these subjects, 123 were children with divorced family and 577 were children with normal family. The health status of the subjects was measured by Health Symptom Questionnaire developed by Shin and revised by the investigators. The instrument consisted of 30 items measuring physical and emotional health symptoms. The level of school adaptation of the subjects was measured by School Adaptation Scale developed by Lee, which consisted of 4 dimensions with 20 items what measures relationship with peer students, learning activity, observance of regulation, and participation of school activity. The investigators visited the schools and collected data in the classes using the questionnaire after explaining the purpose and procedures of the study to the children. The data were analyzed by descriptive statistics, $\yen\"{o}2$-test, t-test, ANOVA using the SPSS PC + statistical program. Result: First, the mean health state score in children with normal family (M=11.99) was higher than that in children with divorced family (M=19.15), showing a significant difference (t=-6.51, p=.000) between the two groups, which suggests that children with normal family have better health state than children with divorced family. Second, the mean school adaptation score in children with normal family (M=38.99) was higher than that in children with divorced family (M=26.97), showing a significant difference between the two groups (t=104.07, p=.000), which suggests that the school adaptation of children with normal family is better than that of children with divorced family. Third, in comparison of health state between the two groups by general characteristics. there were significant differences between the two groups in sex. the most contributing factor to health status of the children, school year. birth order, religion, school achievement, amount of monthly pocket money, parents level of formal education, occupation of parents, economic status (p<.05). Forth, in comparison of the level of school adaptation between the two groups by general characteristics, there were significant differences between the two groups in most variables (p<.05), suggesting that children with normal family had better capacity of school adaptation than children with divorced family. Conclusion: As a result. this study showed that the parent's divorce had great influence on children's health status and school adaptation capacity. The implication for nursing is that there is a need to develop supportive interventions for the high-risk children who have decreased health states and school adaptation capacity due to the divorce of their parents. In addition, it is recommended that further studies should be conducted to explore protective factors for the prevention of health and adaptation problems in children.

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Effect of Grit and Resilience on Clinical Practice Adaptation of Nursing Students (간호대학생의 그릿과 회복탄력성이 임상실습 적응에 미치는 효과)

  • Baek, Kyoung-Hwa;Cho, Mi-Ock
    • Journal of Digital Convergence
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    • v.18 no.6
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    • pp.363-371
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    • 2020
  • This study is a descriptive study to investigate the effects of grit and resilience on clinical practice adaptation of nursing students. The subjects of this study were 131 nursing students and data collection was from August 19 to September 30, 2019. Data was analyzed using the SPSS 20.0 program by descriptive statistics, t-test, correlation analysis, and multiple regression analysis. Grit and resilience were found to be factors affecting clinical practice adaptation of nursing students and 32.0% of clinical practice adaptation. Therefore, in order to increase the clinical practice adaptation of nursing students it is necessary to make efforts to improve grit and resilience and development of clinical practice curriculum.

The Effects of Fear of Negative Evaluation, Cognitive Emotional Regulation on Field Adaptation of New Graduate Nurses (부정적 평가에 대한 두려움, 인지적 정서조절이 신규간호사의 현장적응에 미치는 영향)

  • Jeong, Kwi-Nam;Lee, Haw-Jin;Kwon, Hae-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.10
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    • pp.6895-6904
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    • 2015
  • The purpose of this study was to analyze the relationships between fear of negative evaluation, cognitive emotion regulation and field adaptation of new graduate nurses and the possible moderating effect of cognitive emotion regulation. The participants of this study were 181 new graduate nurses who have worked for less than 1 year at a hospital, data was collected by using self-report questionaires. The results of this study were fear of negative evaluation score 3.25, cognitive emotion regulation score 3.18 and field adaptation score 2.92. Fear of negative evaluation had a positive correlation with maladaptive cognitive emotion regulation, and a negative correlation with field adaptation, and did not have on moderating effect. As this results, it strengthen field adaptation for new graduate nurses in a new circumstance through self-esteem enhancement programs. It is also required to manage by using an adaptive cognitive emotion regualtion.

A Study on the Relationship Between College Adaptation, Academic Achievement, and Admission Type in One Nursing School (대학입학유형이 대학생활적응과 학업성취도에 미치는 영향 - 일개 대학 간호학과 학생을 대상으로)

  • Han, Mi Hyun;Bae, Sang Mok
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.1
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    • pp.46-53
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    • 2015
  • Purpose: This study was performed to identify the effect of admission type on college adaptation and academic achievement in one nursing school in order to refine the entrance selection system. Methods: Subjects were 405 nursing students (female : male = 385 : 20, first grade = 155, second grade = 138, third grade = 112). They were given the Student Adaptation to College Questionnaire (SACQ) purchased from Western Psychological Service. SACQ is composed of 67 questions and subdivided into 4 subcategories: academic adjustment, social adjustment, personal-emotional adjustment, and attachment. Student college adaptation scores and academic achievements were analyzed with reference to the entrance selection system (rolling admission vs. regular admission) by SPSS 22.0. The rolling admission system recruited students based on high school records only while the regular admission system was based on both high school records and the College Scholastic Ability Test (CSAT). Results: Total College adaptation score, personal-emotional adjustment score, and academic achievement were higher in regular-admission students than in those admitted through rolling admission. Academic achievement for first-grade students was higher in regular-admission students than for those admitted through rolling admission, But the difference in academic achievement became null as students were promoted to the second and third grades. Conclusion: Students recruited using both high school records and the CSAT showed better college adaptation and higher academic achievement.

The Moderating Effect of Self-Identity in Relationship Between Depression·Anxiety, and School Adaptation of Adolescents from Overseas-Employed families of Yanbian in China (중국 연변지역 내 해외취업가정 청소년의 우울·불안과 학교적응의 관계에서 자아정체감의 조절효과)

  • Piao, Xiu-ying;Kim, Soongyu
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.5
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    • pp.689-697
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    • 2019
  • This study's target is adolescents from overseas-employed families. Adolescents from overseas-employed families experience psychological and emotional problems because of long term separation from their parents. This study examined the moderating effect of self-identity between depression, anxiety, and school adaptation of adolescents from overseas-employed families in Yanbian, China. The data was collected through a survey of 285 middle school students and 167 valid questionnaires which marked as overseas-employed family, SPSS 24.0, regression analysis was performed. The results were as follows: depression and anxiety had a significant effect on the school adaptation of adolescence from overseas-employed families in Yanbian, China. Furthermore, depression, anxiety, and self-identity had significant interactions with school adaptation. In the conclusion, the researchers suggest various practical strategies based on results of the study to improve the self-identity and school adaptation of Chinese-Korean adolescents in China.

Economic Assessment of Climate Change Adaptation Technologies in Infrastructure Sector (사회기반시설물 기후변화 적응기술의 경제성분석)

  • Jeong, Hoyoung;Kim, Hyoungkwan
    • Korean Journal of Construction Engineering and Management
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    • v.20 no.2
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    • pp.44-52
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    • 2019
  • The frequency and severity of damage caused by extreme climate events are increasing due to climate change. If the infrastructure is not prepared for the risks of climate change, property loss may occur in the facility itself and its surrounding areas. Therefore, climate change adaptation technology should be introduced to reduce future losses. Policy makers need to understand the economic impacts of each technology in order to select an appropriate option. Both the primary damage, which is the direct damage to the facility, and the secondary damage, which is the damage to the surrounding area due to climate change, should all be identified for understanding the economic impact from adaptation. This paper presents a procedure for deriving primary and secondary damage reductions from introducing adaptation technologies and suggests a methodology for evaluating adaptation technology specific to each infrastructure.