• Title/Summary/Keyword: Health Promotion Theory

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The Trend of Korean Nursing Research with the LISREL (공변량 구조분석을 이용한 국내 간호연구의 동향)

  • 임난영;강현숙;이성은;서연옥;권영은
    • Journal of Korean Academy of Nursing
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    • v.31 no.2
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    • pp.221-231
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    • 2001
  • This study was conducted by analyzing all 33 articles based on the LISREL, published from January 1991 to March 1999 in Korea. The analyses consisted of the publication date of articles, principal dependent variables, subjects of the research, adequacy of sampling, adequacy of research purposes and results, accordance between theoretical model and hypothetical model, fit measures, theoretical base of model modification, and adequacy of conclusion. The results were as follows : . The thesis of 33 articles in total were outnumbered as 25 (75.8%) to 8 (24.2%) research articles. As for a sex classification of the subjects, 45.5% of the research were conducted around a female group of subjects, while 54.5% were done for both sex, The range of the sample size was 105 to 803, and the average was 259 subjects. . A single theoretical variable was measured for each measurement variable, any difference between variables was hardly found in 8 articles (24.2%), and 19 articles (57.6%) did not consider any measurement error. To analyze if the representative has been articles (21.2%) were seen with a sign of a representative. Questionnaires were used in a majority (31 articles) of the data collecting process. Only 2 articles (6.1%) were measured with a physiologic index simultaneously. . 14 articles (42.2%) were centered on theory development, 10 articles on theory synthesis, and 9 articles on theory test. The research purposes and results were consistent in 25 articles (75.5%) and 8 articles (24.2%) were inconsistent. The quality of life and health promotion behavior were the concepts most frequently studied as a dependent variable, and 7 articles centered on them. In applied theories a health promotion model was used on 4 articles (12.1%), while role theory and stress-coping models were in 3 articles respectively. . The articles were analyzed to see if the hypothetical model was elaborated and tested by the theoretical model. Twenty-five articles proved to be rationale for the inconsistencies. Also, 56.5% proposed hypotheses were supported among the subject articles, and 30 articles (90.0%) suggested a revised model. Path coefficient (17 articles) and theoretical adequacy (17 articles) were the standards mostly used. In conclusion, the principal factors were obtained from the research are to be considered as the principes of LISREL application. First, a model has to be established on a theoretical base rather than empirical results dependent on the data. The results are also required to be globally interpreted. Secondly, at least 200 samples are necessary to satisfy the need. Third, more than 3 measurement variables are to be adjusted to a single theoretical variable; the measurement errors must be suggested as well. Finally, normal distribution characteristics of the data and the estimation method need to be reported. Based on the research result, the follows are suggested; . Systematic criteria on the LISREL application and procedure need to be developed . Agreement form is required to report the results of research using the LISREL

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A Study for a Curriculum for the Oriental Clinical Nurse Specialist Program (한방전문간호사 교육과정 개발 연구)

  • 이향련;김귀분;조결자;신혜숙;김광주;왕명자;김숙영;김정아;김현실
    • Journal of Korean Academy of Nursing
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    • v.30 no.6
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    • pp.1467-1478
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    • 2000
  • The purpose of this study was to develop a curriculum for the oriental clinical nurse specialist program based on the understanding of Korean human beings so as to develop nursing as a profession and promote the client's health. The design of this study was based on literature review and nominal group study. The research was managed by East-West Nursing Research Institute of nursing science college at Kyung Hee University. The research team was composed of 17 professors of nursing departments of oriental medical colleges. We obtained opinions from Oriental Nurses Association, Oriental Nursing Research Association, and professors in oriental medical college. We reviewed articles, curriculums of other clinical nurse specialist programs, medical laws and the curriculum development plan for the oriental clinical nurse specialist program from Korean Nurses Association. We discussed a curriculum thoroughly in numerous meetings. We developed a following curriculum: 1. Educational philosophy was founded on the oriental human view which was based on Chun-In union theory. It was founded on the oriental health view which recognized health being in harmony with nature and the balance of body function with the harmony of Yin-Yang in the five elements. In addition, it was founded on oriental nursing view to promote these health states. 2. Educational goals were to train oriental clinical nurse specialists, oriental nursing educators and oriental nursing researchers who developed knowledge of oriental nursing theory, nursing practice and created a leadership. 3. Curriculum consisted of 48 credits, of which 36 credits are based on lectures and laboratory classes and 12 credits are based on clinical practice. 36 credits consisted of 5 general subject credits and 31 core subject credits. General subjects consisted of nursing theory, nursing research, law and ethics. Students who had earned master's degrees are not required to take the general subjects. Core subjects consisted of 11 subjects such as advanced physical examination and laboratory, oriental nursing theory, original text of oriental nursing, oriental medical nursing, oriental pediatric nursing, oriental gynecologic nursing, oriental gerontologic nursing, oriental pharmacology, oriental constitutional nursing, advanced nursing of channels and acupuncture points and laboratory and oriental rehabilitation nursing and laboratory. In addition, clinical practice in a hospital ward, out patient department, herb prepation room, department of physical therapy and health promotion center in oriental medical hospitals for 12 weeks. To admit this program, students should complete prerequisites of introduction to oriental nursing and nursing of channels and acupuncture points. 4. Course contents of each subjects were developed to include the course's goal and objectives and specific items. 5. Evaluation involved lecture, laboratory and in field practice. We applied various evaluation systems and methods that were based on both knowledge and skills of the students to ensure full credibility and validity.

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Content Analysis of Anti-Smoking TV advertisements: Different Adaptation of Health Communication Theories between Korea and the U.S.A. (금연 TV광고의 내용분석 연구 -한국과 미국의 차이에 기반한 건강 커뮤니케이션 이론의 적용-)

  • Hong, Eunhee;Lee, Cheolhan
    • The Journal of the Korea Contents Association
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    • v.12 no.11
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    • pp.76-87
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    • 2012
  • This study examined Korean and the U.S.A..'s television anti-smoking advertisements that were coined to discourage adults and teens smoking. A content analysis of 71 television advertisements listed in the "Smoking Guidance Program" operated by Korea Health Promotion Foundation. This study evaluated to detect whether the advertising content reflected core health communication theories such as health belief model, theory of reasoned action, and social cognitive theory used in the designing of anti-smoking ad message to change behavior and attitudes toward smoking unfavorably. The results showed that Korean anti-smoking ads mostly relied on social norm messages, followed by smoking attitude. The message of modeling and self-efficacy was least used; while, the U.S.A. ads focused more on modeling and self efficacy. This difference comes from the cultural difference. Namely, Korea focused more on collectivism rather than individualism. The anti-smoking ads of Korea and the U.S.A. most frequently adopted horror and humor rather than sadness, no appeal, and angry. The ads targeted more on adults rather than teens. The research identifies the types of advertisements that are most likely to utilized and underutilize in the Korea and U.S.A. anti-smoking ads and contribute to further understandings of anti-smoking ads theoretically.

The Study of the Process of Smoking Cessation in Adults (성인의 금연과정에 관한 연구)

  • 김애경
    • Journal of Korean Academy of Nursing
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    • v.28 no.2
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    • pp.319-328
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    • 1998
  • The purpose of this study was to explore the process of smoking cessation behavior in adults with a history of smoking cessation. The subject were 17 adults selected by theoretical sampling. The data were collected by in-depth interviews using audiotape recording over a period of six months. The data were analyzed simultaneously by a constant comparative method in which new data were continuously coded in categories and properties according to Strauss and Corbin' methodology. Analysis of the data resulted in the identification of 12 categories. The result of this study are as follows : 1. Smoking cessation in adults is caused by fear about health, environmental pressure of smoking cessation, and intention of smoking cessation. 2. Smoking cessation occurs in connection with situations of limited smoking 3. Maintenence of smoking cessation is related to psychological stress, and environmental cues to smoking. 4. In the smoking cessation process, adults experienced either health promotion or relapse. It is suggested that the result of this study may contributed to the development of a strategy for decreasing smoking behavior among adults.

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Factors Associated with Positive Attitudes of Smoking and Drug Use among Non-smoking Middle School Students (비흡연 중학생들의 흡연 및 약물사용 태도에 영향을 미치는 개인 및 사회적 강화요인)

  • Moon, In-Ok;Park, Kyong-Ok
    • Korean Journal of Health Education and Promotion
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    • v.22 no.2
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    • pp.125-139
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    • 2005
  • Objectives: More than half of youth smokers start to use cigarettes in their middle-school ages. Thus, middle school students should be the primary target population for smoking prevention education although the technical smoking rate is higher in high school students than in middle school students. Based on this significance, this study examined personal and social factors reinforcing non-smoking middle school students to acquire positive attitudes on smoking cigarettes. Methods: A total of 1,081 students of the 3 middle schools in Seoul participated in the self-administered survey. The designated schools were conveniently selected and all the 2nd-grade students of the schools participated in the survey. The questionnaire asked reinforcing social factors of smoking such as, family and parental history of drug use, close-people's smoking and drug use, personal experience of drug use, perceived smoking and drug use knowledge and attitudes, perceived smoking intention in future, and other delinquent behaviors. Results: Personal experience of drug and delinquent behaviors, perceived smoking intention in future, perceived knowledge of smoking, educational experience, and close-people's smoking and drug use were significantly related to students' attitudes on smoking. The significant factors affecting the positive attitudes of smoking were living with broken family and few education experience of smoking in school as social factors and strong smoking intention in future, high score of delinquent behavior, and low score of drug use knowledge as personal factors. Conclusions: Adolescents' strong smoking intention and little smoking education experience would primary personal and social factors reinforcing positive attitudes on smoking. Thus, school-based educational programs preventing smoking intention need to be developed and to be delivered to middle school students to minimize the future smoking population in a long-term perspective.

Adolescent Smoking and Peer Group Structure - A Social Network Analysis - (청소년 흡연과 교우관계에 관한 연구 - 사회 연결망 분석을 중심으로 -)

  • Han, Ji-Yeon;Cho, Byong-Hee
    • Korean Journal of Health Education and Promotion
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    • v.22 no.2
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    • pp.173-193
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    • 2005
  • Objectives: The purpose of this study is to analyze the peer group factor related to adolescent smoking in the social structure(network) of adolescent groups, by applying the theory of social network. Methods: The data was collected from boy students of one high school located in Gun-Po city of Kyonggi Province. The total number of the sample was 605(223 first grade, 198 second grade, 184 third grade). The survey using the questionnaire was carried out in April 2005. Social position is finally classified as clique member, liaison, isolate group by using the NetMiner II 2.5 version. Results: The current smoking rate was 15.0%, and the life-time smoking rate was 34.9%. The smoking rate increased significantly, as the grade went up. And it was significantly high among the group having smoking friends. The logistic regression analysis showed that the odds ratio of the smoking friends group was about 4 times higher than the no smoking friends group in experience of smoking. But the smoking rate was higher significantly in the isolate group within the network composed of 2. person's social-link. The odds ratio of the isolate group was about 4.5 times higher than the clique member. However, this pattern was not found in the network composed of 3 person's social-link. Therefore, the hypothesis that clique member would have a correlation with smoking was rejected. In reality, the isolate group had a tendency of smoking more frequently. Conclusions: The result of this study suggests that the role of the peer group in smoking is to be considered in the prevention program. More attentions should be paid for the isolate group.

A Study on Drug Users' Intention to Use Treatment Services - Application of Extended Behavioral Model of Health Services Use - (약물사용자의 치료서비스 이용 의도 예측 연구 - 확장된 건강서비스이용행동모형의 적용 -)

  • Kim, Nang hee
    • Korean Journal of Social Welfare
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    • v.69 no.3
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    • pp.165-191
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    • 2017
  • The purpose of this study is to identify the major predictive factors of intention of drug users to use treatment services. The theoretical framework was used extended Behavioral Model of Health Services Use which integrates the Andersen model and the Theory of Planned Behavior. Thus, this study examined the effects of individual characteristics(predisposing, enabling, need factor) and attitude, subjective norm, perceived behavior control on drug users' intention to use treatment services. Factors with a statistically significant effect were as follows: from the individual characteristics - gender and past treatment experiences of the predisposing factors along with psychiatric diagnosis, anxiety and depression, and severity of drug abuse of need factors. From the Theory of Planned Behavior - subjective norm and perceived behavior control turned out to have impacts on their intention to use treatment services. The study emphasizes that a concern of women, increasing positive experiences of treatment, efforts to change the subjective norms and perceived behavior control of drug users to promote their determination to get treatment.

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Concept Development of Service Marketing Promotion in Nursing (간호서비스 마케팅에 관한 연구;'촉진(Promotion)' 개념 개발)

  • Kang, Yoon-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.1
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    • pp.63-76
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    • 1999
  • The main objective of this study was to develop a concept of service marketing promotion in nursing that is derived from the concepts of service marketing theory. This research was a descriptive study, at the factor isolation level. The principle of concept derivation suggested by Walker and Avant (1988) and the Hybrid model suggested by Schwarz-Barcott and Kim (1993) were employed as the research method. The data were collected from December, 1997 to April. 1998 at a large general hospital located in Seoul. The procedures of this study were as follows: First. at the theoretical phase: the meaning, attributes, and definition of service marketing promotion were identified through an extensive review of the literature. Second, at the empirical phase: fieldwork was done to identify the promotional activities and events in nursing. Top nurse managers from 4 units (Director of Nursing, Head nurses of inpatient nursing unit, outpatient nursing unit. and home care nursing unit) were interviewed and the content of the interview was analyzed to identify the meaning and attributes of promotion in nursing. Other methods such as brochures and other audio-visual materials which were relevant to nursing promotion were used to supplement the interviews. Finally, the results of the theoretical and empirical analyses were intergrated to develop a concept of service marketing in nursing practice. A final definition of service marketing promotion in nursing was identified as follows. 1. Promotion as a marketing function in nursing service is concerned with communication to target markets on all information related to nursing service in order to satisfy the objectives of both a nursing service organization and the target markets. 2. The goals of nursing service promotion include: 1) increasing visibility of nursing services and delivering the information on nursing services, 2) affirming the value of nursing services, so it can contribute to formulation of reimbursement policy for nursing services. 3) advancing the general image of the nursing profession and nursing services. 4) achieving and attaining a desirable positioning for nurses among health care professionals. and 5) creating and stimulating the demand for nursing services. 3. In order to obtain these goals it is necessary to provide information on nursing services, to persuade target markets. to remind them about nursing services. and to establish a collaborative relationship with related departments. 4. The tools used to carry out the above functions of promotion in nursing are the providing nursing services, public relations and publicity. QA of nursing, advertising, and sales promotion. 5. The target markets of nursing service include the nursing customer markets. the internal markets, the influence markets. the recruitment markets. the supplier markets. and the nursing referral markets. In conclusion, the concept of promotion in other service marketing areas can be applied to the promotion of nursing service marketing. The promotion of nursing service is more than just effective communication in nursing service. it is the effective use of the concepts of service marketing promotion. Promotion of nursing service will contribute to create and expand nursing services.

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An Arguing Point on the Alternative Medicine as a Withdrawal Medicine (탈 의료화로서의 대체의학에 관한 논점)

  • Choi, Chan-Ho
    • Journal of Society of Preventive Korean Medicine
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    • v.11 no.1
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    • pp.85-99
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    • 2007
  • This study aimes to understand trends in alternative medicine use as new therapeutic ways to overcome the limits of western medicine, and is primarily concerned with function of alternative medicine to influence cancer theraphy in the United States after 1970s. Features of oriental medicine and western medicine through the comparison of Quantum medicine and Newton physics are pointed as the basic theory in alternative medicine. Homeopathic medicine, Chiro practice, Aroma theraphy, Transcendental meditation, Acupuncture is shortly is shortly introduced by alternative medicine use. The advantage of this study is to gain as follows : Firstly, To be recognized alternative function of cancer theraphy by Western nations including United States. Secondly, To understand the integrative program utilized as the alternative ways of cancer theraphy in the field. Thirdly, To understand side effects in alternative medicine use. :astly, To recommand marketing stratigies on alternative medicine services to develop Korean health tourism. In conclusion, it is increasingly emphasized that the importance of alternative medicine in relation to health promotion in the western nations. Western travelers expect that alternative medicine service is attractive and effective as the complementary function on incurable disease. Health tourism to experience alternative medicine services by travel will be expected one of the key industries in the future.

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Concept Analysis of Support (지지개념 분석)

  • Kang, Kyung-Sook;Kim, Mee-Young;Jang, Su-Hyun;Jeong, Mi-Young
    • Research in Community and Public Health Nursing
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    • v.13 no.3
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    • pp.566-573
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    • 2002
  • A concept is a building block of a theory. The purpose of a concept analysis is to clarify the critical attributes of a concept and identify its real meaning, particularly if the concept is not understood in a clear and accurate manner. This study was conducted to analyze the concept of support, which has been adopted from another discipline and unclearly used in nursing science. For concept analysis of this study, Walker and Avant's method was used. Support is defined as a domain with emotional. informational. material and evaluative aspects. Critical attributes of the concept of support included (1) an experience of support between a support provider and a client, (2) communication, (3) a relationship of mutual interchange of emotional, informational, material, evaluative support, and (4) intention, Cases related to the concept of support included model cases and appendix cases (against. boundary, and related). Antecedents of support were anxiety, depression, and loss of self-esteem, and consequences of support were comfort, increase of self-esteem, and trust. Based on these results, a nursing intervention that can provide a better quality of life for the prevention of diseases, health management, and health promotion may be developed in the future.

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