• Women's Health Nursing
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• v.8 no.4
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• pp.494-505
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• 2002

The purpose of this study was to identify the relationship between self-empowerment and a existential spiritual well-being in pregnant women, and to provide the basic data for nursing intervention. The subjects were 182 women who visited 2 OBGY hospitals in Taegu, Korea and ranged in age from 21 to 40. The data was collected during the period from May 6th toMay 24th, 2002. The instruments were the revised existential spiritual well-being scale developed by Paloutzian and Ellison(1982). Originally the instruments were developed by Spreitzer(1995) and Jung Hea Joo(1998), who translated it into Korean. The data was analyzed using t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. The results of this study were as follows : 1. Mean score of total empowerment was 3.72 and the subcategory 'meaning', had the highest score at 4.15. 2. Mean score of existential spiritual well- being was 4.16. 3. Existential spiritual well-being was positively related to self-empowerment (r=.400, P=000). 4. A significant statistical difference between education, religion and self-empowerment was found. 5. A significant statistical difference between hope of pregnancy and a existential spiritual well-being was found. 6. The most important variable affecting the existential spiritual well-being was meaning which accounted for 15% of the total variance in stepwise multiple regression analysed. Three variables, competence and hope of pregnancy accounted for 22% in existential spiritual well-being. From the results of the study, the following recommendations are presented : 1) Indeed, we should identify existential spiritual well-being for real meaning of spiritual well-being in future. 2) It is required to check the effect of existential spiritual well-being and self-empowerment through the repeated studies. 3) We need to take a serious view of the meaning affecting existential spiritual well-being in pregnant women.

• The Journal of Korean Academic Society of Nursing Education
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• v.9 no.2
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• pp.222-233
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• 2003

The purpose of this study was to identify the relationship between existential spiritual well-being, hope and self-empowerment in middle aged women. The subjects were 190 women who lived in Taegu, Korea and ranged in age from 35 to 59. The data was collected during the period from October 2nd to October 18th, 2002. The instruments were the revised existential spiritual well-being scale developed by Paloutzian and Ellison (1982), hope scale developed hope scale developed Nowotny(1989) and empowerment scale by Spreitzer(1995). The data was analyzed using descriptive statistics, pearson correlation coefficients and stepwise multiple regression. The results of this study were as follows : 1. Mean score of existential spiritual well-being was 4.18. Mean score of hope was 2.80. Mean score of empowerment was 3.73. 2. The score of existential spiritual well-being showed significantly positive correlation with the score of hope(r=.508, P=.000), self-empowerment(r=.458, P=.000). 3. There were significant differences in existential spiritual well-being according to age, presence of religion, leisure time activity. 4. There were significant differences in hope according to leisure time activity. 5. The most powerful predictor of existential spiritual well-being was hope and the variance explained was 25.8%. A combination of competence, leisure time activity, meaning, impact for 37.2% of the variance in existential spiritual well-being of middle aged women. Further studies need to be done to identify the effect of competence through the repeated studies and to develop a hope promoting program which can cause positive effects on a existential spiritual well-being.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.24 no.4
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• pp.286-295
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• 2017

Purpose: The World Health Organization identifies spiritual care as a component of health and thus nursing care. There is a need to identify how self-esteem, communication and existential well-being affects spiritual care competence in nurses. Methods: The participants were 189 nurses in G metropolitan city. The survey was conducted from March 21 to April 8, 2016, with a self-report questionnaire. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient and stepwise multiple regression analysis using SPSS version 21.0. Results: Differences in spiritual care competence were statistically significant according to education level, work department, position, having received spiritual care education, experience of providing spiritual care, experience of asking religionist to provide spiritual care for a patient and recognition of need for spiritual care. The spiritual care competence of nurses showed a significantly positive correlation with self-esteem, communication and existential well-being. Factors influencing spiritual care competence were communication, experience of providing spiritual care and existential well-being which explained about 37.5% of spiritual care competence. Conclusion: It's necessary for nurses to develop intervention programs to strengthen spiritual care competence through improving communication, providing opportunities for spiritual care and existential well-being.

• Research in Community and Public Health Nursing
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• v.24 no.2
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• pp.245-254
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• 2013

Purpose: This study was conducted to investigate factors influencing suicidal ideation in people with mental disorder. Methods: The subjects were 176 people with mental disorder from community mental health centers, social rehabilitation facilities, and university hospital psychiatric outpatient departments. The instruments used included a suicidal ideation questionnaire, a self-esteem scale, a spiritual well-being scale, a family support scale, and a professional support scale. Data were analyzed with t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical regression analysis. Results: Suicidal ideation was influenced by age, history of suicidal attempts, and existential spiritual well-being. This study shows that suicidal ideation has negative correlation with existential spiritual well-being, self-esteem, family support, and age. Existential spiritual well-being, history of suicidal attempts, and age accounted for 30% regarding suicidal ideation in people with mental disorder. Conclusion: The lower existential spiritual well-being and age, the higher suicidal ideation. And also suicidal ideation was higher in people who had attempted suicide than in those who had not. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes existential spiritual well-being in order to decrease suicidal ideation in young people with mental disorder.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.22 no.3
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• pp.328-337
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• 2015

Purpose: This study was conducted to identify effects of self-esteem, empathy and existential well-being on spiritual care competence in nursing students. Methods: Participants were 357 nursing students from three colleges in G metropolitan city. The survey was conducted from March 11 to April 3, 2015, with a self-report questionnaire. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Scheffe test, Pearson correlation coefficient and stepwise multiple regression analysis with SPSS version 21.0. Results: Differences in spiritual care competence were statistically significant according to experience in providing spiritual care and recognition of need for spiritual care. There were significant differences in self-esteem, empathy and existential well-being according to satisfaction with major, satisfaction with life and recognition of the need for spiritual care. Spiritual care competence of nursing students showed a significantly positive correlation to self-esteem, empathy and existential well-being. Factors influencing spiritual care competence were recognition of need for spiritual care, self-esteem, empathy and experience in providing spiritual care, which explained about 16% of spiritual care competence. Conclusion: Results indicate the importance of developing an intervention program for nursing students to strengthen spiritual care competence through improved recognition of needs for spiritual care, self-esteem, empathy and experience in providing spiritual care.

• International Journal of Advanced Culture Technology
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• v.7 no.3
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• pp.1-9
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• 2019

This study was a cross-sectional descriptive investigation study that analyzed the effects of spiritual well-being on stress coping in twenties. Data collection period was from May 1, 2019 to May 20, and 207 people voluntarily participated in the study. The sub-factors of spiritual well-being consisted of religious well-being and existential well-being. The types of stress coping consist of active coping, passive coping, aggressive coping, evasive coping, and social supportive coping. Data was analyzed using frequency analysis, t-test, Pearson correlation and multiple regression analysis using SPSS 18.0. As a result of the analysis, 90 (43.5%) were male and 117 (56.5%) were female. The 71.0% of the participants had no religion, the Buddhists were 14.5%, other religions were 5.8%, Protestants were 4.3%, Catholics were 2.9%, and Won Buddhists were 1.4%. Active coping in stress coping was correlated with religious well-being (r=-.357, p<0.01) and existential well-being (r=.301, p<0.01) under statistical significance. Religious well-being was significantly higher in males (Mean=2.87, SD=.753) than females (Mean=2.49, SD=.772, p<0.01). Existential well-being was also higher in males (Mean=4.25, SD=.841) than in females (Mean=3.95, SD=.694, p<0.01). The religious well-being was significantly higher than active coping (t=6.183, p<0.01), passive coping (t=-3.595, p<0.01), aggressive coping (t=1.991, p<0.05). Existential well-being was significantly higher than active coping (t=5.339, p<0.01), aggressive coping (t=1.659, p<0.05), evasive coping (t=-3.709, p<0.05) at the statistical significance level. Based on the results, it can be suggested that it was necessary to systematically plan spiritual well-being program as a way to cope with stress by knowing that spiritual well-being positively affects active, aggressive stress coping.

• The Journal of Korean Academic Society of Nursing Education
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• v.23 no.3
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• pp.300-308
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• 2017

Purpose: The purpose of this study is to examine the factors that influence the clinical practice of nursing students and to identify the mediating effects of spiritual well-being in the relation between stress of clinical practice and burnout caused by clinical practice. Methods: Data were collected by self-report questionnaires targeting 420 nursing students in three nursing colleges located in Gyeonggi and Chungnam province. Results: Burnout of clinical practice according to general characteristics of the study subjects showed significant difference in religion (t=1.895, p=.049). Stress of clinical practice and burnout of clinical practice showed positive correlation (r=.42, p<.001), existential spiritual well-being showed negative correlation between stress of clinical practice (r=-.17, p<.001) and burnout of clinical practice (r=-.47, p<.001). In addition, religious spiritual well-being in spiritual well-being showed no mediating effects and existential spiritual well-being showed mediating effects between burnout in clinical practice stress. Conclusion: In order to alleviate the stress of clinical practice for burnout of clinical practice prevention of nursing students, solutions to improve the existential spiritual well-being will be required in the future.

• The Journal of Korean Academic Society of Nursing Education
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• v.21 no.2
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• pp.190-201
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• 2015

Purpose: This study was conducted to explore the influence of academic institutional interest, open parent-adolescent communication, social (friend) support, and existential spiritual well-being on suicidal ideation of college students. Methods: The research design was descriptive survey research involving 285 college students in city G. Data was collected from May 18, 2011 to November 2, 2011 and analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and hierarchical regression analysis. Results: The findings reveal that suicidal ideation of college students was low, i.e., average score was $9.2{\pm}3.65$ (possible range 5~25). This study determined that suicidal ideation is negatively correlated with interest on the part of the academic institution, open parent-adolescent communication, social support from friends, and existential spiritual well-being. The extent of existential spiritual well-being was a significant predictor of suicidal ideation, controlling for general characteristics variables (gender, number of close friends, first supporter) and institutional interest, open parent-adolescent communication, and social support. Existential spiritual well-being accounted for 50% of the explanation of suicidal ideation of college students. Conclusion: Based on the outcomes of this study, designing an intervention program that emphasizes existential spiritual well-being in order to decrease suicidal ideation of tertiary education students is strongly recommended.

• Anxiety and mood
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• v.14 no.1
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• pp.14-20
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• 2018

Objective : The aims of this study are to investigate the correlation between spiritual well-being and the pattern of stress coping strategies, as well as understand how they impact depression and psychological well-being. Methods : We analyzed 320 undergraduate students in a capital area (135 males, 170 females; 15 students who answered irrelevantly were excluded). Spiritual well-being (religious and existential), stress coping strategies (active and passive), psychological well-being and, depression were rated using the Spiritual Well-Being scale, Ways of Coping checklist, Psychological Well-Being measurement, and Depression Scale (CES-D), respectively. For the analysis, we utilized Pearson correlation analysis and simple regression analysis. Results : The analysis revealed a positive correlation between Spiritual well-being and active coping strategies, a negative correlation between existential well-being and depression, and a positive correlation between religious well-being and psychological well-being. By regression analysis, it showed spiritual-well being affected depression negatively. Existential well-being, but not religious well-being, affected depression negatively. Furthermore, the impact of existential well-being on depression remained a strong predictor in males better than females. Existential well-being affected psychological well-being positively through active coping strategies. Conclusion : In this study, we verified a correlation between existential well-Being and active coping strategies which affected depression and psychological well-being in undergraduate students.

• Korean Journal of Health Education and Promotion
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• v.16 no.2
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• pp.67-80
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• 1999

This study was designed to provide the basic data of nursing intervention for alleviation of effective adjustment of cancer patients by identifying the correlation between the spiritual well-being and family support. The subjects for this study were 69 patients who were diagnosed as cancer and were admitted to a university hospital in Pusan. Data were collected during the period between December 1, 1998 and January 20, 1999 by interviewing with questionnaires. Family support questionnaire consisted of 11 questions answerable on a 5 point Likert scale developed by Kang Hyun Suk(1985). Spiritual well-being questionnaire consisted of 20 questions answerable on a 4 point Likert scale modified by Kang Jeong Ho(1996). The data were analyzed by in descriptive statistics, Pearson correlation coefficient, t-test and ANOVA using SPSS/WIN program. The results of this study were as follows. 1. The mean score for family support in cancer patients was 49.48, which indicated that cancer patients perceived their state of family support as high level. The mean score for spiritual well-being in cancer patients was 55.87, which indicated that cancer patients perceived their state of spiritual well-being as moderate level. Among the components of spiritual well-being, the mean score for religious well-being was 26.94 and for existential well-being 28.93. From the above, the mean score for existential well-being was higher than that of religious well-being. 2. There were statistically significant differences in family support according to the types of primary caregivers(F=3.48, p=0.008). The spouse caregiver showed the highest family support among the caregivers. There were statistically significant differences in spiritual well-being according to the job(F=2.20, p=0.046) and the level of perceived health status(F=2.71, p=0.05). There were statistically significant differences in religious well-being according to the religion(F=2.42, p=0.004) and the number of family members(F=3.38, p=0.040). And there were statistically significant differences in existential well-being according to the job(F=2.48, p=0.026) and the level of perceived health status(F=2.74, p=0.048). 3. There were positive correlation between spiritual well-being and the family support(r=0.481, p=0.000), between religious well-being and family support(r=0.336, p=0.008) and existential well-being and family support(r=0.519, p=0.000).