Journal of Korean Academy of Nursing Administration
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v.4
no.1
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pp.151-181
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1998
This study purports to find out the meanings of chemotherapy among cancer patients. The subjects of this study were selected from those patients who have taken chemotherapy at least twice at a hospital affiliated with a university. The twelve subjects agreed to join the present study and had no problem in communication with others. The data were collected through observations and interviews by the researcher. The phenomenological analysis method proposed by Giorgi was adopted for analyzing the data. The experiences of the subjects to chemotherapy were classified into 24 atributes. These attributes were also categorized into four groups such as hope, pain, fear, and ordea according to their meanings. The subjects expressed hope through the attributes such as "the wish for a new life." "the wish for healing." "the plasure form improvement of cancer." "the wish for being discharged form a hospital." "the interest in dietectic treatment." and "the trust in medical staff." Pain was represented by such attributes as "the physical pain", "the suffering from intravenous injection." "the discomfort of hospital environment." and "the economic burden." As for the attributes represention fear, "fear of being hospitalized." "tehr obscurity of uncertain situations." "the fear of side effects." "the fear of recurrence of cancer," "the lack of knowledge of the disease." Finally, nine attributes werw frouped to ordeal "the will endeavouring to recover cancer" "the adaptation to the present situation." "the giving up of being healthy," "the regret of the past life." "the recognition of significant others." "the physical changes." "the emotional changes." "the social changes." "the recollection of illness experiences." The above findings indicate that chemotherapy means hope, pain, fear, and ordeal to those cancer patinests under treatment. Hence, the nursing interventions for those cancer patients need to be directed to maintaining hope, alleviating pain and fear, and overcoming ordeal. There are some suggestions in achieving these goals : (1) the nurses caring for cancer patients need to understand the meaning of chemotherapy experienced by those patients, (2) a nursing specialty of intravenous injection needs to be developed, (3) interventions for providing emotional support should be devised, (4) nursing care should also be available to those cancer patients being dischaged at home.
Purpose: The purpose of current study was to explore the positive outcomes of advanced practice nurse who have experienced the roles in their clinical settings. Methods: This study adopted a qualitative research design based on conventional content analysis. Participants were 16 nurse practitioners have been worked at hospitals or community centers. Data were collected via focus group interviews and analyzed using thematic analysis method. Results: Patients' aspect outcomes were "client-centered care in providing continuity", "providing trust based on expertise", "promoting skilled intervention in patient recovering", "blocking the negative consequences", "quality improvement: nursing becoming tighter", "providing total care for cases that require intensive care", "improving patients outcomes by total management", "increasing confidence in evidence-based professional nursing", "rising the satisfaction by cost-effective services", "providing skilled professional practice", and "providing comprehensive care related to covering various aspects". Other themes elicited also included "promoting efficacy by inter-related health professions supervising", "the expansion of specialized practice areas increase business efficiency", "formation of outside customers due to increasing the satisfaction with skilled nursing care", "filling in the emptying spaces of doctors by practicing reliable role to bridge", "attracting external customers through successful management of subjects", "increasing staff's satisfaction on the role to make a bridge between inside and outside doctors", "24 hours medical expertise of professional staff ready secured", and "low cost, same results, that is, cost-effective" in reference to health care resources aspect. Conclusion: These findings suggested that advanced practice nurses perceived various positive outcomes and provided basic data for outcome indicators of advanced practice nurses' role.
Journal of Family Resource Management and Policy Review
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v.13
no.3
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pp.31-57
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2009
The purpose of this study is to determine what factors affect the marital life of multicultural families. In-depth interviews were conducted with 15 immigrated females and their husbands living in Yongsan-Gu, Seoul, Korea, by open-ended questionnaire. The interviews took place on September 11, 2008, and October 11, 2008. The major findings can be summarized as follows: Through the content analysis of the informants' responses, three major factors were found to influence the successful adjustment of the married female immigrants: personal factors, familial support, and social support systems. Among the personal factors, the self-esteem of the married couples is relatively high. However, the factor of the economic living conditions of the multicultural families indicates some difficulty. Finally, considering the level of self-development of the female immigrants' husbands, an older husband was viewed more negatively than a younger one. In terms of familial support, the most important factor affecting the adjustment of a foreign wife is the trust of her husband and her relationship with the husband's family. Accordingly, educational programs are necessary to promote multicultural understanding and the couples' relations. In social support systems, the female immigrants experienced neglect, as far as multicultural prejudice in society. Therefore, in order to revitalize the self-esteem of immigrants, we need to reach out to multicultural families. The center for support of multicultural families provides opportunities to find training, upgrade education for employment, and expand their social network. In addition, it is necessary for the national public relations industry to recognize improvements regarding the adjustment of multicultural families.
As the lifespan has been expanded, the marital relationship later in life is getting more important. This study is to find out what the demand for the education of marital couples to improve this relationship. The results can be used as basic data to develop educational programs for elder couples. The results of this study are as follows. 1. Couple role according to socio-demographic variables can be divided into traditional and modern roles. And these variables are shown to be significant in couple role. 2. Need for the education of married couples according to socio-demographic variables. In case of spouses having shorter marriage period, religion, and a nuclear family, and doing social activities, the necessity of education is recognized highly. Those who have a spouse with good health and social activities have experienced a chance to attend the educational program. It is thought that health and social activities have much to do with active living attitude. In case of old age, it can be thought that they don't feel the necessity because they have lived a decent life for a long time. It is just that it comes from the fixed ideas of elder couples who had to spend only a short time with their spouses. That is what elder couples have to overcome. They tend to think that the relationship between the family is more important than that of spouses, and they put family relationship before the quality of their own lives. 3. Influence of the need for the education of married couples according to their role. As their role are becoming modern and their mutual trust, affinity, and cohesion are getting more important, the education of married couples and the experiences of communication and participation in the educational program are thought to be more necessary.
Objectives: The aim of this study was to analyze consumer experience with Digestive Enzymes, a digestive enzyme product that includes medicinal herbs (Multi-Zyme®). The goal was to provide basic data on improvements and marketability of future digestive enzyme products containing medicinal herbs. Methods: Qualitative research was conducted to explore the current participants' experience. In-depth interviews with a semi-structured interview guide were conducted to investigate the experience and perception of the participants. The participants were recruited using snowball sampling and purposive sampling, and a qualitative content analysis method was adopted. Credibility was ensured by adopting a member check, triangulation, and peer debriefing method. Results: In-depth interviews were completed with a total of 8 participants. The collected data were classified into 16 codes and then further divided into the following seven categories: direct buying, indirect buying, effects, questions, recommendations, positive perception, and negative perception. The categories were grouped into three themes: 'Experience of purchasing existing health foods', 'Experience of taking Multi-Zyme', and 'Opinions on selling Multi-Zyme at Korean medicine clinics'. Conclusion: The participants experienced effect of the Multi-Zyme® and were willing to recommend it around. However, the Korean medicine doctors need to inform consumers about the dose and duration when taking Multi-Zyme® to prevent abuse. Some consumers may trust Multi-Zyme® sales from Korean medicine clinics, but some held opinions that those sales were not trustworthy, so promotion and improvement are needed.
Objective: This research investigates how to increase the quality of medical service and supply high quality of medical service to patients. By using Kano Model theory we examines what medical service attributes the hospital would be conducted preferentially for patient's satisfaction and provides informations of management strategies for hospitals. Method: To study patients' perception of medical service quality, first we performed pilot test to derive 30 medical service attributes. With 30 medical service attributes, we conducted survey of 300 subjects who have experienced medical services in 6 months. To examine patients' conception of medical services, a modified Kano's questionnaire using 5 scale is applied. Finally we calculated SI(Satisfaction index) and DI(Dissatisfaction index) and PCSI(Potential Customer Satisfaction Improvement) index with Kano's Model analysis results. Key Findings: We found that the quality of medical service categorized in 15 one-dimensional elements, 9 must-be elements and 6 indifferent elements. Moreover the attribute of gives prompt services and have patient's best interest at heart scored the highest SI, whereas the attributes of accurate and precise medical service, exact records, enough explanation and polite attitudes are the highest score of DI. And also good explanation of the bill scored the highest PCSI. In this study findings indicate that while medical service providers try to increase patients' satisfaction by improving hospital's environments, patients' perception of trust and good interpersonal relationships with medical service providers have strong and positive impact on patients' satisfaction.
Journal of the Korea Academia-Industrial cooperation Society
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v.12
no.10
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pp.4385-4393
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2011
Doctor-shopping which has a tendency to seek out alternative opinions when they got diagnosed by a doctor is increasing nowadays. The purpose of this study is to examine the relationship between the doctor-shopping behavior of Korean and the related variables. Questionnaires have been distributed from 2009/10/16 to 2009/11/16 and the sample size of this study is 223 people in Korea who experienced of medical service for disease treatment purpose. Among the six independent variables, confidence in doctor's ability variable and trust of the Internet information variable have correlation with the doctor-shopping behavior. With the development of Internet and raise of consciousness toward consumer right, the consumers are now selecting doctors slightly as if they go shopping.
The purpose of this narrative inquiry is to explore two gifted elementary students' 'happiness experience'. They narrated that they experienced strong happiness at the moment 'doing something they really like for themselves ', 'trying and achieving in self-directed way', and 'feeling trust, love, and support from their family'. Also happiness was the results of their effort. They made an effort to reduce their negative emotion against happiness by 'controling their feeling doing something their favorite activities' and 'working again and again until they succeed'. The results of the study show that social and emotional support as well as help in the cognitive aspects is important. Especially, parents variable was an essential condition for them to have happiness experiences. More specifically, the study show that overgovernment and excessive intervention from parents should be distinguished from 'good caring' of their child. Practical implication of the study was discussed in depth.
Journal of The Korean Association For Science Education
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v.23
no.1
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pp.100-116
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2003
The purpose of this paper is to investigate the objectivity of scientific knowledge, focusing on Michael Polanyi's epistemology. The objectivity of scientific knowledge could be examined in epistemological and ontological view. The former relates to the rationality, but the latter to the reality. Since the middle of 20th century science philosophers have debated about the objectivity of scientific knowledge. Their opinions are divided three parts by the criteria of objectivity in relation to the rationality. Exactly Objectivism approves the rationality of scientific knowledge, and Falsificationism accepts the panial rationality, but Relativism denies any rationality. In this paper, we will study the objectivity of knowledge in relation to the subjectivity, especially throughout the theory of Kant, Kierkegaard and Wang Yang-ming. Experienced good scientist Polanyi(1946; 1958) have ever suggested the new epistemology as the name of 'personal knowledge'. He argues that scientific knowledge is personal by faith, trust, passions, tacit understanding, method rules embodied in practice. Some implications were discussed for science education from the view of Polanyi. The first holds that science class needs human voice throughout the personal commitment. The second holds that intellectual passions should he recovered. The third holds that the teacher should act like real scientist. Finally, the theory of science education should be established for ourselves.
This study aims to understand the experiences of remarried elderly from the social, cultural point of view. The study subjects were randomly selected 3 remarried couples with age higher than 65 who could express their experience enough. This study adapted qualitative study with grounded theory method by Strauss and Corbin(1998), which deducted 126 significant sentences from the testimony of participants and classified those into 48 topics and categorized into 16. As for the study result, the main phenomenon was the "ambivalence of marriage" and the mediation conditions for controlling were "trust and acknowledgement of spouse and family", and "proper compensation", and the reaction/mutual reaction strategy to correspond to this situation was "to put effort to understand spouse". Such results will contribute to understanding the essence of marriage adjustment of remarried elderly, and are expected to be the fundamental material to tend to realistic problems that the widowed elderly face and to lead successfully remarriage.
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