• 제목/요약/키워드: Family meaning

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Rogers 이론에 근거한 가족양상 사정지침개발 (Development of a Family Pattern Appraisal to Guide a Rogerian Nursing Practice)

  • 이광옥;한영란;김희정
    • 대한간호학회지
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    • 제25권4호
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    • pp.751-773
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    • 1995
  • We, clinical nurse specialists practising and guiding student practice in a Community health nursing clinic, wanted to develop a family pattern appraisal consistent with Rogers' conceptual system, the nursing model guiding our practice. We use Rogers' model because it is harmonious with the traditional Korean view of the one human, natural and cosmic world. The purpose of our research was to contribute to science - based nursing practice, not only, one helpful model, but also a model of how to use, in guiding practice, a conceptual system which reflects nurse practitioners' philosophy of nursing, is intellectually satisfying, and enriches meaning in daily nursing life. The research objectives were to review the literature on Rogers' model and analyse it according to Kim's five - level analytical framework, to explore Rogers' definition of family, to review appraisals based on Rogers' model, and to develop a family appraisal which is culturally appropriate for use in our community. This work including the use of the appraisal and its refinement with families in our practice which was done during 1994 and 1995, in Seoul, in the Capital of the Republic of Korea. At the highest level of analysis, Rogers conceptual system emphasizes acausality and multidimentional meaning ; the world view is characterized by process, movement and wholeness. The epistemology Is one of holism and the knowledge base includes all forms of experience, from sensory to mystical, objective, and subjective. At the metaparadigm level, nursing focuses on the unitary human being and the environment. At the level of nursing philosophy, the model identifies human being, nursing, nurse, and illness and health. At the paradigm level the model assumes the irriducibility of the human to parts, noncausality and continual change. Rogers' practice methodology consists of pattern manifestation appraisal and deliberative mutual patterning. Under-standing patterns and patterning of people is the key to helping them achieve their potential. At the theory level, the basic assumptions, key concepts, and homeodynamic principles were identified. Rogers states the family energy field is an undividable, four-dimensional negentropic energy field which is in a larger envircinmental field show-ing such characteristics as cannot be predicted by knowledge of individual family members. Based on the word of Rogers scholars, we chose Rogers' correlates of patterning to understand the family unit as a whole-frequency, rhythms, motion, time perception, sleeping-waking beyond waking, pragmatic -imaginative-visionary to develop the appraisal. We, also used some of Barrel's (1988) criteria including interpersonal network and professional health care access and use, and Cordon's (1982) criteria including self perception - self concept modified to fit the family. Our family Pattern appraisal included 1. Influencirg data, 2. Professional health care access and use, 3. Family self perception-self concept, 4. Family interpersonal network, 5. Sleep-wake-be-yond waking, 6. Pragmatic-imaginary-visionary, 7. Family frequency and rhythm, 8. Family motion, 9. Family time perception. The appraisal was used with four families and modified to eliminate overlap and to make it possible for the family member to express themselves more easily. We plan to gain more experience with the appraisal toward further development of the tool.

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노인의 의미에 대한 주관성 연구 (A Subjectivity Study on the Meaning of Aging for Elders)

  • 이금재;박인숙;김분한
    • 기본간호학회지
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    • 제7권2호
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    • pp.271-286
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    • 2000
  • This study is designed to investigate what elders think about the meaning of aging. We have used Q-methods to identify meaning of aging from elders, and developed self-referenced surveys to analyze characteristics In this study, we used a non-structured method to select Q sampling. From 183 Q populations, we selected 36 Q sampling. A total of 32 persons sixty-years or older were randomly selected for P samples, When the Q-sorting was complete, we interviewed the participants at both end of the extremes(agree or disagree), and documented their responses. We used PC QUANL to process the data and used principal component analysis for Q factor analysis. There were five subjective types for the meaning of aging by elders. Of the 32 P-samples of elders, 11 were identified as Type 1, 7 as Type 2, 2 as Type 3, 8 as Type 4, and 4 as Type 5. Type 1 : 'Matured elders' Elders wished the well being of their children, thought older persons should maintain good health, worried about becoming senile, and dependent God believing in life after death. Type 2 : 'Assertive-Rights' Elders categorized as Assertive-Rights insisted on their rights to life as a person. Type 2 elders characterized themselves as people who should keep themselves healthy, become weak and lack sexual desires, act selfish like a child, need to be protected, and be financially independent. Type 3 : 'Passive-Dependents' Elders characterize themselves as those who pray for their children's well being, worry about the children even after their death. and becoming senile. Type 4 : 'Hopeless' The 'Hopeless' type of elders characterized aging as a time to pray for their children, insignificant beings, thoughts were selfish and child-like, poor, worried about going senile, regret their life overall, and preferred to die than to live as an old person. Type 5 : 'Attached-Present' The 'Attached-Present' type of elders thought elderly characterized themselves as acting selfish and child-like, wiser, anxious, regret their life, stand aloof of greed and worldly things, being a model for the society, and deserving to be treated with filial respect. Thus far, Korean elders seemed to have a positive and negative meaning of aging due to the current changes in the society, value system, and family structures. The above five subjective meanings of aging confirm that we need to approach and nurse the elderly differently. Years of aging are a part of and a natural process of life with various physical, psychological, and sociological changes. Nurses need to assist elderly to find the positive meaning of their life by providing appropriate physical, psychological, and social support at an earlier stage in nursing. Based on this study, we could derive the following two implication from the perspectives of science of nursing to care for elders. 1) Based on the studies investigating the type of meaning of aging, we could develop tools to assist in nursing intervention programs for elderly. 2) Based on research on the meaning of aging for different developmental stages of life, we could develop a model for roles for different family members in nursing and caring for the elders.

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재가 노인의 자아통합감에 영향을 미치는 요인 (Factors Influencing Ego-Integrity in Community Dwelling Elders)

  • 장혜경;오원옥
    • 기본간호학회지
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    • 제18권4호
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    • pp.529-537
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    • 2011
  • Purpose: This study was done to identify the relationship of perceived health status, depression, meaning of life, and family function and to ego integrity, and to investigate the main factors influencing ego-integrity in community dwelling elders. Method: The research design for this study was a descriptive survey design using a convenience sampling. Data collection was done using self-report questionnaires with 157 community dwelling elders located in 3 cities, Seoul, Seosan and Gyungju. Data analysis was done using SPSS 15.0 pc+ program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: There were significant differences between ego-integrity according to gender, religion, economic level and amount of spending money. Ego-integrity had significant positive correlations with perceived health status, meaning of life, family function and a negative correlations with depression. The major factors that affect ego-integrity in community dwelling elders were self-awareness and acceptance, contentedness with past and present, gender and family function, which explained 62.7% of ego-integrity. Conclusion: Findings from this study provide a comprehensive understanding of ego-integrity and related factors for community dwelling elders.

자발적 무자녀가족의 선택 동기와 사회적 인식에 대한 질적 연구 (A Qualitative Research on the Voluntary Childless Family's Choice Motives and Social Perceptions)

  • 김정미;양성은
    • 가정과삶의질연구
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    • 제31권5호
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    • pp.79-95
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    • 2013
  • This study is aimed at exploring the experience of couples choosing not to have children after marriage. To identify the motives for voluntary childlessness and social perceptions, a qualitative research method was used for analysis. After in-depth interviews were conducted with 15 childless couples who had agreed to participate in the research, 15 meaning units, 5 categories, and 3 topics were established. The research findings were categorized as follows: 'the motives for being childless', 'the surrounding response and coping response', and 'the expectation of a childless family's society.' The research participants argued that families without children should be fully accepted in the changing society, with the hope that their childlessness would be respected. The significance of this study is that it focused on the perceptions of families and society, while steering away from personal views on the meaning of a life absent of children. Based on the perception that childlessness is not only a personal matter but also a social issue, this study clearly showed a variety of reactions to childless couples, such as the labeling of them as eccentric people and disapproval of them. Furthermore, this study has elaborated on the personal experience of childless couples by clearly indicating their desires to seek government support and compensation.

청년 취업 1인가구의 일과 여가의 균형에 대한 연구 (Work-Leisure Balance of Employed Young-Single-Households)

  • 양지명;정영금
    • 가족자원경영과 정책
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    • 제23권2호
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    • pp.17-40
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    • 2019
  • The purpose of this study is to analyze the present condition of work-leisure balance and its influencing factors in employed young single households. Three groups of sample households-work-oriented, balanced, and leisure-oriented-were compared by factors related to work and leisure. Six cases were interviewed to obtain qualitative data on the subjective meaning of work-life balance and its influencing factors. The results showed different characteristics between the three groups based on the various work- and -leisure- related factors: average weekly working hours of the week, number of vacation days per year, weekday leisure time, degree of weekday freedom, and sufficiency of the leisure cost. In addition, the characteristics considered desirable for quality of life differed between groups. Finding the meaning of life through work and leisure was very important for those respondents, who have an unstable position in the labor market, and who want to delay making decisions on moving into the marriage and family-building phase recognized as a major development task for Korean adults.

간호사의 안락사와 임종 간호에 대한 의미분석 (The Study of Meaning in Euthanasia and Hospiece Nursing among Nurses)

  • 김애경;박계선
    • 기본간호학회지
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    • 제7권3호
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    • pp.379-390
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    • 2000
  • Euthanasia have received considerable attention recentely in medical literature, public discussion, and proposed state legislation. Almost all the discussion in this area has focused on the role of physicians. However, nurse may be in special position to understand the wishes of patients and to act on this understanding. Purpose of this study is to identity the meaning of euthanasia in terminal ill patients on the nurses' veiw. Forcused interveiw design was used to data collection The data were analyzed by semantic analysis, and analysis of the data resulted in identification of 14 categories representing the meaning of euthanasia. 1. The meaning of supported euthanasia is 'free of suffering', 'difficulty of economic status', 'right of patient and family', 'dignity of death', 'organ transplant', 'social legislation'. 2. The meaning of opposited euthanasia is 'artificial death', 'value of life', 'uncertainity', 'guilt feeling' 3. The meaning of care in terminalily ill patients is 'avoidance', 'powerlessness'. 'apathy'. 'passive attitude'. The policy debate about professional roles in action that end of lives of patients must be extended nurses. Nurses must take an active role in discussion and definition of acceptable practice at the end of life.

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나-남'의 상황논리에서 본 프라이버시의 한국적 이해 (Meaning of Privacy Based on Situational Contingencies of 'Self-Other' Concept)

  • 김순경
    • 한국주거학회논문집
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    • 제2권1호
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    • pp.35-45
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    • 1991
  • This Paper examines the meaning of Privacy within the content of cultural background of the traditional Korean society, identifying some of the relationships between desired levels of privacy and the situational centingencies of self - other concept along with the relationships between the privacy control mechanism and the cultural norms, This paper discusses several important dimensions, including1) the traditional values, 2) the norms of family life, 3) the children education in the household environment, 4) the `self - other` concept, and5) the privacy control mechanism.

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Family Caregivers of Korean Patients on Ventilators at Home: A Penomenological Study

  • Kim, Ki-Ryeon;Kim, Young-Soon
    • 한국임상보건과학회지
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    • 제3권1호
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    • pp.290-298
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    • 2015
  • Purpose. This study aimed to explore family caregivers' experiences with ventilator-dependent patients at home. Methods. The number of patients using mechanical ventilators at home is expected to increase and family caregivers must be able to care for them. However, few studies focus on the experiences of family caregivers. We conducted in-depth interviews with 11 family caregivers who cared for a ventilator-dependent patient at home in South Korea. Data were analyzed using phenomenological method of enquiry. Results. Statements generated from the interviews on the meaning of the family caregiver's experiences were organized into 27 themes, 5 theme clusters, and 2 categories. The theme clusters included endurance under the burden situation, role strain as a caregiver, separation from others, trying to find coping methods, and oriental ethnical customs. Family caregivers of patients using domestic mechanical ventilators need systematic education and emotional support to cope with the challenges of managing ventilator equipment and learning new ways of communicating with patients on the ventilators. Conclusion. These findings may contribute to family caregivers' knowledge and competence, thereby allowing them to better support their ventilator-dependent family members.

가족적응력.응집성 평가척도(FACES)에 관한연구고찰 (A Review of Studies on Family Adaptability and Cohesion Evaluation Scales(FACES))

  • 최윤실
    • 가정과삶의질연구
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    • 제14권1호
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    • pp.131-146
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    • 1996
  • The purpose of this study was to review the previous studies that have dealt with and used Family Adaptibility and Cohesion Evaluation Scales(FACES) considered as an effective instrument for measuring family functioning in order to clarify the theoretical meaning the practical applicability the limitation and the problems of this instrument. FACES has considerably contributed in measuring family dynamics in research and clinical fields and been paid attention to by researchers and clinicians since 1979 However the instrument has been also pointed out its limitation due to the conceptual and methodological problems. This study reviews these problems and then presents some implications to help to improve these problems and to explore the application of this instrument as a measure of family functioning.

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아동가장의 심리적 복지에 관한 문화기술적 접근 (An Ethnographic approach to the Study of The Psychological Welfare of Teenage Heads of Family)

  • 김민정
    • 아동학회지
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    • 제17권2호
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    • pp.163-180
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    • 1996
  • Employing an ethnographic approach, this case study analyzed the psychological welfare of 2 teenage and one early-twenties heads of family. The subjects were Sun-Ju (female, age 22, seamstress), Ji-Hyun (female, age 14, junior high school student), and Seung-Hwan (male, age 16, junior high school student). This study was processed between 9 March 1996 and 11 May 1996. The results show that teenage and early-twenties heads of family have ambivalent feelings, meaning two extreme psychological conditions that are not consistent. Three types of teenage-early twenties heads of family ambivalence were caused by diverse role dimensions (e.g., nursing, supporter, beneficiary, and independent subject roles). Revision of the present welfare system, particularly the protection system For teenage-early twenties heads of family was recommended. Further research is also needed to determine various factors harmful to their psychological welfare.

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