• Journal of Korean Academy of Nursing
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• v.45 no.6
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• pp.900-909
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• 2015

Purpose: The purpose of this study was to identify the effect of predictive factors related to family strength and develop a structural equation model that explains family strength among married working women. Methods: A hypothesized model was developed based on literature reviews and predictors of family strength by Yoo. This constructed model was built of an eight pathway form. Two exogenous variables included in this model were ego-resilience and family support. Three endogenous variables included in this model were functional couple communication, family stress and family strength. Data were collected using a self-report questionnaire from 319 married working women who were 30~40 of age and lived in cities of Chungnam province in Korea. Data were analyzed with PASW/WIN 18.0 and AMOS 18.0 programs. Results: Family support had a positive direct, indirect and total effect on family strength. Family stress had a negative direct, indirect and total effect on family strength. Functional couple communication had a positive direct and total effect on family strength. These predictive variables of family strength explained 61.8% of model. Conclusion: The results of the study show a structural equation model for family strength of married working women and that predicting factors for family strength are family support, family stress, and functional couple communication. To improve family strength of married working women, the results of this study suggest nursing access and mediative programs to improve family support and functional couple communication, and reduce family stress.

• Women's Health Nursing
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• v.28 no.3
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• pp.197-209
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• 2022

Purpose: This study aimed to investigate family functioning among spouses of gynecologic cancer patients in Korea. McCubbin and McCubbin's Family Resilience Model (1993) guided the study focus on burden of care, family resilience, coping, and family functioning. Methods: An online survey collected data from 123 spouses of gynecologic cancer patients through convenience sampling from online communities for gynecologic cancer patients in Korea. Burden of care, family resilience (social support, family hardiness, and family problem-solving communication), coping, and family functioning were measured by self-report. Results: The patients (44.7%) and their spouses (47.2%) were mostly in the 41 to 50-year age group. Stage 1 cancer was 44.7%, and cervical cancer was the most common (37.4%) followed by ovarian cancer (30.9%) and uterine cancer (27.6%) regarding the cancer characteristics of the wife. Family function, burden of care, family resilience, and coping were all at greater than midpoint levels. Family functioning was positively related with social support (r=.44, p<.001), family hardiness (r=.49, p<.001), problem-solving communication (r=.73, p<.001), and coping (r=.56, p<.001). Multiple regression identified significant factors for family functioning (F=25.58, p<.001), with an overall explanatory power of 61.7%. Problem-solving communication (β=.56, p<.001) had the greatest influence on family function of gynecologic cancer families, followed by coping (β=.24, p<. 001) and total treatment period of the wife (β=.17, p=.006). Conclusion: Nurses need to assess levels of family communication and spousal coping to help improve gynecologic cancer patients' family function, especially for patients in longer treatment.

• Korean Journal of Rural Living Science
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• v.4 no.2
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• pp.99-114
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• 1993

This study is conducted to find out what differences are made on among home-environmental variables, family cohesion, adaption and communication, and to define what variables influence to communication satisfaction of adolescent children. Questionaire survey method was used. The subjects of this study were 578 male and female middle school students living in Kwangiu from July 6, 1992 to July 15, 1992. For the statistical analysis of data, frequency distribution, percentage, average, standard deviation, T-test, F-test, Pearson's correlation and regression analysis were performed. The main findings were as follows : 1) Family cohesion and adaptability variables showed significant difference according to adolescent's sea age, father's education level, income level, occupation and father's religion. 2) Communication showed significant difference according to adolescent's sex, age, father's age, education level, income level, occupation and father's religion. 3) Communication satisfaction showed significant difference about adolescent's age, father's income level. 4) Communication satisfaction showed significant difference by high level in reference to family cohesion and adaptability. 5) Communication satisfaction in reference to communication showed significant difference. 6) The most influential variable on communication satisfaction between fathers and their adolescents children was active response and marked positive influence in order family adaptability, friendly nonverbalism.

• Korean Journal of Social Welfare
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• v.47
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• pp.34-70
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• 2001

Little empirical study has been conducted concerning family resilience of family of children with disabilities. The purpose of this study is to examine the variables that may influence the level of family resilience and family resilience level of family of children with disabilities. This study used the sampled of 363 family of children with disabilities selected from 17 community rehabilitation centers. The measurement of family resilience composed of the base of Walsh(1998)'s theory. And using confirmatory factor analysis, it was confirmed that the scale has three factor such as belief system, organizational pattern and communication process. This study showed that using 5 points scale, mean of belief system is 3.62. And mean of organizational pattern is 3.38 and mean of communication process is 3.73. In identifying predictor of the family resilience, this study used variables from the following aspects: perspective of disability of children, intra-aspect of family, extra-aspect of family. Using Regression analysis, it was found that attitude of family of disability and spouse relationship influenced all sub-aspect of family resilience. Specially, helping of professional influenced belief system, accept of disability influenced organizational pattern. And positive expectation of family of disability influenced communication process. This finding give us significant practical implications for social work intervention & the direction of future research in family resilience.

• Journal of Families and Better Life
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• v.17 no.4
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• pp.61-72
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• 1999

The purpose of this study was to identify the relationship between problem behaivior of children and parent-adolescent communication family cohesion and adaptability as the variation of psychological environment of family. The subjects of this study were 494 children of sixth garders randomly selected from four elementary schools in Seoul and their parents. The result of this study showed that Empatic and supportive communication of parent-child above all father-child was suggesting to prevent children behavior problem. It is needed to consider family cohesion & adaptability according to behavior problem of character to develop suitable coping ability. Father and mother' endavor for opening communication. It was needed that to improve family cohesion & adaptability as a psychological environment of family.

• Journal of the Korean Home Economics Association
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• v.36 no.1
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• pp.99-116
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• 1998

The purposes of this study were to find the influence of wife's home management behavior pattern and husband's perception about it on family life satisfaction, and to find out variables which influence them. For theses reviewing literature and empirical research were conducted. The major results were as follows; 1) The couple's psychological variables (ie, degree of life level recognition, of resourcefulness recognition and of communication) were relatively high. The wife's home management behavior pattern was relatively morphogenesis and the husband's perception about wive's it was relatively morphogenesis. And the couple's degree of family life satisfaction were relatively high. 2) Influential variables on wife's home management behavior pattern were level of education, degree of resourcefulness recognition and of communication. And influential variables on husband's perception about vive's it was degree of communication. 3) Influential variables on wive's the degree of family life satisfaction were degree of life level recognition, of resourcefulness recognition and of communication. And influential variables on husband's it were level of education, job, degree of life level recognition, of resourcefulness recognition and of communication. 4) The wife's home management behavior pattern and husband's perception about wive's it were to predict the couple's degree of family life satisfaction. 5) In cause-effect pathway mode. level of education·job·degree of life level recognition·of resourcefulness recognition and of communication showed direct and indirect effect on family life satisfaction through wife's home management behavior pattern or husband's perception about wive's it.

• Journal of the Korean Home Economics Association
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• v.41 no.8
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• pp.139-158
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• 2003

This study investigated the effects of Korean parents' family-of-origin experiences, marital conflict, open or dysfunctional communication with their children, children's coping behaviors on their behavior problems as a function of a child's sex. Theoretical models for both sexes were constructed based on the results. Two hundred and nine boys and one hundred and ninety six girls of 4th and 5th grades from two elementary schools filled out the questionnaires to assess their communication with the parents, their problem-focused coping behaviors, and their internalizing and externalizing behavior problems. Four hundred five parents of these children answered the questionnaires to assess differentiation for the family-of-origin and the marital conflict. The results were as follows. Boys' path pattern showed that the fathers' differentiation from the family-of-origin effected their sons' internalizing and externalizing behavior problems through parent-child dysfunctional communication. Girls' path exhibited two different patterns. One is that the mothers' differentiation from the family-of-origin effected their daughters' internalizing and externalizing behavior problems through parent-child dysfunctional communication. Another one is that the mothers' differentiation from the family-of-origin influenced children's internalizing behavior problems through daughters' problem-focused coping behaviors as well as parent-child dysfunctional communication.

• Perspectives in Nursing Science
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• v.10 no.1
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• pp.12-23
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• 2013

Purpose: This study was conducted to investigate ICU nurses' perceptions of communication difficulties, the importance of and satisfaction with communication with doctors, other nurses, patients, and family, as well as to explore communication barrier with patient families. Methods: Investigators developed a 15-item communication perception questionnaire and 58-item communication barrier questionnaire. Communication barrier included 4 domains: nurses, family, environment, and patient condition. A total of 151 ICU nurses with a minimum of one year of ICU experience participated. Results: ICU patients ($3.38{\pm}0.73$) were the most difficult group to communicate with, followed by family ($3.32{\pm}0.72$), senior nurses ($3.25{\pm}0.74$), doctors ($3.21{\pm}0.68$), and nurse colleagues ($2.64{\pm}0.73$). Doctors ($4.61{\pm}0.53$) were the most important group to communicate with, followed by nurse colleagues ($4.52{\pm}0.54$), patients ($4.49{\pm}0.58$), senior nurses ($4.44{\pm}0.55$), and family ($4.43{\pm}0.61$). Satisfaction with communication was the highest with colleague nurses ($3.60{\pm}0.68$), then senior nurses ($3.37{\pm}0.74$), family ($3.18{\pm}0.71$), patients ($3.09{\pm}0.75$), and doctors ($3.06{\pm}0.83$).The total score of the communication barrier was $2.83{\pm}0.52$, where each domain was scored as follows: patient condition $3.13{\pm}0.74$, nurses $2.83{\pm}0.60$, environment $2.81{\pm}0.66$, and family $2.76{\pm}0.57$. The ICU nurses reported that communication was difficult due to 'sudden deterioration in the patient's condition', 'being too busy', 'a noisy environment', and 'information not being shared between family members.' Significant differences were noted by age, clinical experience, and marital status of nurse respondents. Conclusion: The findings indicated that development of a protocol on communication between nurses and doctors as well as development of an educational program on communication skills are necessary.

• Journal of Families and Better Life
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• v.33 no.3
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• pp.31-48
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• 2015

This study examined the factors affecting the client's binge drinking, and the client and parents' change led by family therapy. From August to November 2011, the counseling case of this research was consisted of a total of 9 sessions-individual, parents, mother-daughter, father-daughter, and family counseling. This study utilized verbatim and audio recordings, and employed Miles and Huberman(1994) matrix and network to analyze the data. The findings of the study revealed that the factors that influenced the client's binge drinking included the family's dysfunctional communication method, adverse rearing attitude owing to unresolved emotional problems from the family-of-origin, and the client family's peculiar environment and culture. The therapist's intervention included making the client aware of his own problem, helping to gain insight and understand the parents' family-of-origin, connecting the past family-of-origin and the present, identifying attempted solutions, making aware of new change, and suggesting new communication methods. Through the therapist's intervention employing MRI interactional family therapy model and Bowen's family systems theory, the family members experienced changes; perception of all family members that participated in the counseling changed, and accordingly, their communication method and attitude changed as well. Through these changes in the family, the client's alcohol consumption reduced in terms of both frequency and amount, thus was able to solve their binge drinking problem.

• Asian Oncology Nursing
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• v.11 no.3
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• pp.200-209
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• 2011

Purpose: The purpose of this micro-ethnography is to examine whether science and societal changes impact family communication patterns among a convenience sample of 16 Korean women. Methods: The authors observed family communication in the context of a new breast cancer genetic screening and diagnostic testing program to detect BRCA gene mutations in Korean women at highest risk. Results: Analysis of in-depth interviews and field notes taken during participant observation illustrated that communication patterns in families vary according to a woman's position in the family. If a grandmother tests positive for a gene mutation, her daughters make decisions on her behalf; they open and maintain the communication channel among family members. If a housewife is diagnosed with cancer and a genetic mutation, she immediately consults her husband and her sisters. The husband creates an open communication channel between his wife, his parents and his siblings. As a result, a woman's cancer is a concern for the whole family not merely a woman's secret or crisis. Conclusion: Cultural differences are important to consider when designing new genetic service programs in different countries.