• 제목/요약/키워드: Insight

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통찰(Insight)의 개념 분석 (Concept Analysis of Insight)

  • 황지원
    • 대한간호학회지
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    • 제37권3호
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    • pp.353-364
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    • 2007
  • Purpose: This study is aimed to analyze and clarify the ambiguous concept of insight. Method: This study used the process of Walker & Avant's concept analysis. Results: Insight can be defined in terms of its attributes as follows: Insight 1) comes as a release to the tension of inquiry, (2) is the outcome of the process to discover the overall structure of the problem situation and psychologically restructurize it, (3) comes suddenly and unexpectedly, (4) is to clearly perceive the solution of the abstract problem, and (5) promotes obtaining another new insight. The antecedents of insight include inquiry that can not be resolved easily and also a state where basic knowledge related to the inquiry can be utilized. The consequence of the insight is (1) a new judgement is made, (2) the problem is solved, (3) previous insight is retained and transferred, and it also facilitates the generation of fresh insight, and (4) it passes into the habitual texture of one's mind. Conclusion: Nurse educators need to facilitate nursing students and nurses to accumulate systematically, various information that can become the basis of insight and provide them with an opportunity to experience a variety of problems. In addition, it is important to provide questions to learners as an education strategy to allow them to gain insight into problem solving. From now on, insight needs to be studied in conjunction with critical thinking and questioning in order to enhance nurses' ability to resolve problems.

조현병 외래 환자에서 병식 모순 (The Insight Paradox among Outpatients with Schizophrenia)

  • 김태용;김준기;김철권
    • 대한조현병학회지
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    • 제22권2호
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    • pp.56-65
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    • 2019
  • Objectives: The primary objective was to test the phenomenon known as the insight paradox, which refers to the association between higher levels of insight and lower self-esteem, higher hopelessness, and a higher perception of social prejudice among patients with schizophrenia. Methods: A total of 216 outpatients with schizophrenia according to the DSM-IV diagnostic criteria were recruited. All participants were receiving ongoing outpatient treatment and were in a stable phase of the disorder. The participants were divided into a good-insight (N=109) and a poor-insight (N=107) group by the direct interview and the mean score of questionnaire. The parameters used for analysis and comparison were demographic variables (age, gender, education), clinical variables (age at onset, number of hospitalizations), self-esteem, hopelessness, self-stigma, and quality of life. Results: Compared with the poor-insight group, the good-insight group was found to have a lower number of hospitalizations, lower self-esteem, higher hopelessness, lower quality of life, and a higher level of internalized stigma. Conclusion: The insight can cause the negative consequences in patients with schizophrenia. Therefore, clinicians should pay attention to the negative aspects of insight for improving the quality of life in the treatment of patients with schizophrenia.

Kodak Insight 구내필름의 치아우식증 진단능에 대한 연구 (Diagnostic accuracy of Insight intraoral film on dental caries)

  • 윤영남;이상래;이병도
    • Imaging Science in Dentistry
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    • 제34권1호
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    • pp.19-23
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    • 2004
  • Purpose: To compare the diagnostic accuracy of Kodak Insight film with other intra-oral films in the detection of dental caries. Materials and Methods : Periapical radiographs of 99 extracted human teeth with sound proximal surfaces and interproximal artificial cavities were made on Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Kodak Insight films and automatically processed. Six dentists examined the presence of dental caries using a five-point confidence rating scale and compared the diagnostic accuracy by ROC (Receiver Operating Characteristic) analysis and ANOVA test. Results: The sensitivity of Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Insight film were 0.84, 0.77, 0.75 and 0.79 respectively. The specificity of Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Insight film were 0.97. 0.95. 0.96 and 0.94 respectively. The mean ROC areas (Az) of Kodak Ultra speed, Ektaspeed, Agfa Ektaspeed and Insight film were 0.917, 0.910, 0.894, 0.909 respectively. There was no significant differences between Az of Insight film and other films (p = 0.178). Conclusion: Theses results suggested that Kodak Insight film have the comparative diagnostic accuracy of dental caries with Ultraspeed and Ektaspeed films.

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자동 및 수동현상에 따른 Insight 필름과 Ektaspeed Plus 필름의 흑화도 비교 (A comparison of density of Insight and Ektaspeed plus dental x-ray films using automatic and manual processing)

  • 윤숙자
    • Imaging Science in Dentistry
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    • 제31권1호
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    • pp.17-22
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    • 2001
  • Purpose: To compare the film density of Insight dental X-ray film (Eastman Kodak Co., Rochester, NY, USA) with that of Ektaspeed Plus film (Eastman Kodak) under manual and automatic processing conditions. Materials and Methods : Insight and Ektaspeed Plus films were exposed at three different exposure conditions with an aluminum step wedge on the films under the three different exposure times. The exposed films were processed by both manual and automatic ways. The Base plus fog density and the optical density made by exposing step wedge were calculated using a digital densitometer (model 07-443, Victoreen Inc, Cleveland, Ohio, USA). The optical densities of the Insight and Ektaspeed film versus thickness of alumimun wedge at the same exposure time were plotted on the graphs. Statistical analyses were applied for comparing the optical densities of the two films. Results: The film density of both Insight films and Ektaspeed Plus films under automatic processing condition was significantly higher over the manual processing. The film density of Insight films was significantly higher than that of Ektaspeed Plus films on both automatic and manual processing conditions. Conclusion: The radiation exposure time can be reduced when using Insight over Ektaspeed Plus film. To take the full advantage of reducing exposure time, Insight film should be processed automatically.

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Kodak Insight 치과필름의 특성에 관한 연구 (Study on the characteristics of Insight dental x-ray film)

  • 송영한;이완;이병도
    • Imaging Science in Dentistry
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    • 제33권1호
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    • pp.21-26
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    • 2003
  • Purpose: To investigate the characteristics of the newly marketed, Insight dental X-ray film. Materials and Methods: Kodak Ultraspeed (DF-58), E-speed, Agfa Dentus M2, and Kodak Insight (IP-21) films were radiographed using a Trophy intra-oral radiographic machine. 10 step exposure times were prepared and each step exposure was monitored using a FH 40G (ESM Eberline Instruments) dosimeter for each of the 4 types of intra-oral film. All films were manually processed and the radiographic densities at 6 sites of each processed film were measured, and the characteristic curves of each of the 4 types intra-oral films were created utilizing these dosimetric data and radiographic densities, based on ISO 5779. The film contrast, speed, and base plus fog density of Insight film were compared with those of the 3 other films examined in this experiment. Results : E-speed film showed greatest average gradients followed by Insight film. E-speed and Ultraspeed film showed great average gradients at low density levels. Insight film showed the fastest speed followed by E-speed, Dentus M2 and Ultraspeed film. Dentus M2 film showed greatest base plus fog density level followed by Insight film. Conclusion : Kodak Insight film showed fastest film speed with comparable film contrast on characteristic curve.

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병식-지향 간호프로그램이 정신분열병 환자의 병식, 양성.음성증상, 우울에 미치는 효과 (The Effects of an Insight-oriented Nursing Program on Schizophrenic Patients' Insight, Positive and Negative Syndromes, and Depression)

  • 안효자
    • 대한간호학회지
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    • 제37권4호
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    • pp.510-518
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    • 2007
  • Purpose: This study examined the effects of an insight-oriented nursing program on schizophrenic patients' insight, positive and negative syndromes, and depression. Method: A non-equivalent control group non-synchronized design was utilized. For this research, a total of 34 subjects were selected at a psychiatric hospital in Daegu during the period ranging from Oct. 1st, 2005 to Feb. 11th, 2006 (experimental group=17, control group=17). Result: After the treatment, between the experimental and control groups, there wasa significant difference in the level of SUMD(t=-4.52, p=.000) and positive syndrome(t=6.97, p=.013), but no significant difference in the negative syndrome(t=-1.81, p=.079) and depression(t=2.23, p=.145). Conclusion: The results of this study show that the insight-oriented nursing program works well for schizophrenic patients. Therefore, it is recommended that this program should be used in clinical practice as an effective nursing intervention for schizophrenic patients.

Are college athletes' self-reflection and insight related to performance?

  • Deokjin, Kim
    • International Journal of Advanced Culture Technology
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    • 제10권4호
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    • pp.148-152
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    • 2022
  • The purpose of this study was to investigate whether there is a difference in self-reflection and insight according to the performance level of college athletes. A total of 395 (210 male, 185 female) college athletes from 6 universities were sampled. The level of performance was divided into upper, middle, and lower groups based on the results of matches played in the past 1 year. To measure self-reflection and insight, THE SELF-REFLECTION AND INSIGHT SCALE developed by Grant et al. [4] was used. As a result, there was a statistically significant difference according to the level of performance, and as a result of post-hoc(scheffe) analysis, the upper group of performance was higher than that of the middle group and the lower group.

알코올의존자의 회복에 영향을 미치는 요인 (Factors influencing on Recovery in Alcohol Dependent Patients)

  • 최연숙;우주현;현명선
    • 재활간호학회지
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    • 제15권2호
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    • pp.109-116
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    • 2012
  • Purpose: This study was conducted to investigate influencing factors on recovery among alcoholics. Methods: The participants were 123 hospitalized patients with alcohol use disorder in two hospitals in Gyeonggi province. The data were collected from May 16 to June 4, 2012 using self-report questionnaires including Hanil Alcohol Insight Scale, Alcohol Abstinence Self-Efficacy Scale, and Recovery Scale. The data were analyzed using the SPSS/Win 18.0 program with descriptive statistics, Pearson's correlation coefficient and regression analysis. Results: Recovery is positively related to abstinence self-efficacy and duration of abstinence. Recovery differed by insight type, gender, and occupation. Insight, duration of abstinence, gender, and occupation accounted for 59.1% of the variance in recovery of the alcoholics. Conclusion: The influencing factors on recovery among alcoholics were insight, duration of abstinence, gender, and occupation. Programs focusing on insight, abstinence self-efficacy, and abstinence maintenance should be developed and provided. When developing the programs, the environmental context in which the alcoholics work should be considered.

간호대학생의 자기성찰 및 통찰력, 학업적 자기효능감이 임상추론역량에 미치는 영향 (Influence of Self-reflection and Insight, and Academic Self-efficacy on Clinical Reasoning Competence among Nursing Students)

  • 안주현;김명숙
    • 동서간호학연구지
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    • 제26권2호
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    • pp.176-184
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    • 2020
  • Purpose: The purpose of this study was to investigate the influence of nursing students' self-reflection and insight, and academic selfefficacy on their clinical reasoning competence. Methods: Data were collected from 147 third- and fourth-year nursing students who had more than 6 months of clinical training experience. Clinical reasoning competence, self-reflection and insight, and academic self-efficacy were measured using self-reported questionnaires. Data analysis was conducted with IBM SPSS 25.0 using one-way ANOVA, independent t-test, Pearson correlation coefficient, and multiple regression analysis. Results: Clinical reasoning competence was positively correlated with self-reflection and insight (r=.24, p=.003) and academic self-efficacy (r=.30, p<.001). Academic self-efficacy (β=.23, p=.011), dissatisfaction with major (β=-.17, p=.034), and 5~8 case studies (β=-.39, p=.027) were identified as factors influencing clinical reasoning competence (adjusted R2=.15). Conclusion: To improve the clinical reasoning competence of nursing students, it is necessary to develop the academic self-efficacy of complex cases and provide critical inquiries, debriefing tailored to clinical reasoning, and sufficient reflection during clinical and simulation practice.

조현병 재발예방 프로그램이 퇴원전 환자의 병식, 임파워먼트 및 치료준수에 미치는 효과 (Effects of a Relapse Prevention Program on Insight, Empowerment and Treatment Adherence in Patients with Schizophrenia)

  • 정재원;김성재
    • 대한간호학회지
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    • 제47권2호
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    • pp.188-198
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    • 2017
  • Purpose: The purpose of this study was to develop a relapse prevention program (RPP) and examine the effects of the RPP on insight, empowerment, and treatment adherence in patients with schizophrenia. Methods: A non-equivalent control group pretest-posttest design was used. Participants were 54 inpatients who had a diagnosis of schizophrenia (experimental group: 26, control group: 28). The study was carried out from February 7, 2012 to February 6, 2013. Over a 10-day period prior to discharge each participant in the experimental group received three one-hour sessions of RPP a one-to-one patient-nurse interaction. Data were collected using Assess Unawareness of Mental Disorder (SUMD), Empowerment Scale, and Insight and Treatment Attitude Questionnaire (ITAQ) and analyzed using PASW 18.0 with chi-square test, independent t-test, Mann-Whitney U test, and ANCOVA. Results: The experimental group had a significant increase in insight and treatment adherence compared to the control group. However, there was no significant difference in empowerment between the two groups. Conclusion: Findings indicate that the RPP for patients with schizophrenia was effective in improving insight and treatment adherence. A longitudinal study is needed to confirm the persistence of these effects of RPP in patients with schizophrenia.