• Title/Summary/Keyword: Nursing approach

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Barriers and Facilitating Factors Perceived in Turkish Women's Behaviors Towards Early Cervical Cancer Detection: A Qualitative Approach

  • Ersin, Fatma;Bahar, Zuhal
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.4977-4982
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    • 2013
  • Background: The aim of the present study was to investigate perceived inhibiting and facilitating factors concerning cervical cancer early diagnosis behavior in Turkish women over the age of 40. Materials and Methods: The study was carried out by qualitative focus group interview with 35 participating women, in the period between April-June 2010. A semi-structured interview questionnaire based on the Health Belief Model and the Health Promotion Model was used. Content analysis was applied to the study data. Results: Barriers such as lack of knowledge of women as regards to the cervical cancer and early detection, lack of sensitivity-negligence, forgetting, fear, inadequacy of health insurance and transportation, financial problems, inability to get an appointment, lack of female doctors, embarassment, fatalist approach were frequently addressed. As for facilitating factors, these included provision of information, health professionals showing interest and tolerance, free services, provision of transportation means and reminding telephone calls. Conclusions: Focus group interviews were found to be effective in determining inhibiting and facilitating factors concerning cervical cancer early diagnosis behavior. In line with the results of the study, preparation of structured national and regional education programs and their addition to curriculum programs may be effective in realizing and maintaining positive early detection behavior.

A Study on the Meaning in Life of Matriarch ; Q-Methodological Approach (여성가장의 생의 의미 - Q방법론적 접근 -)

  • 최순옥;김숙남;신경일;이정지
    • Journal of Korean Academy of Nursing
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    • v.31 no.4
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    • pp.548-560
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    • 2001
  • Purpose: This study is used to investigate and understand types of meaning in life of matriarch. Methods: This study is based on a Q-methodological approach. Thirty nine statements concerning meaning in life were selected. Twenty seven women were chosen as a subject group for this study. Their opinions were shown in 39 statements divided into 9 scales by forced distribution. Results: TypeI was named "self-transcendental and future- oriented types". In this types a one pursued attitudinal value by religion. Type II was named "Realistic and responsibility fulfilling types". This type pursued creative and experiential value. Type III was named "Encounter and relationship oriented type". This types pursued experiential value. Type IV was named "Realistic self-actualizing type". This types pursued creative value. Type V was named "Altruistic and commitmental types". This type pursued creative, experiential, and attitudinal value. Conclusion: Considering the structure of finding the meaning in life of matriarchs, all types had responsibility and self-control in their lives and lived for present however, only typeI lived for the future. It seem necessary to understand each matriarchs meaning in life and nursing needs to develop appropriate nursing interventions based on the type matriarch she is.

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A Grounded Theory Approach to the Adjustment Process of the Institutionalized Elderly : The Control of Reluctance (시설노인의 적응과정에 대한 근거이론적 접근 : 거부감 다스리기)

  • 이가언
    • Journal of Korean Academy of Nursing
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    • v.32 no.5
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    • pp.624-632
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    • 2002
  • The number of residents in elderly institution has been increasing due to the change of the family support system. This study was focused on understanding the process of adjustment of the institutionalized elderly using the Grounded Theory approach. Method: There were seven participants, 4 men and 3 women living in 3 different elderly facilities. The data was collected through in-depth interviews and participant observation from June 20, 1999 to January 10, 2000 and analyzed by the Strauss and Corbin's analysis method. Result: 125 concepts were found and grouped into 30 sub-categories and then grouped into 13 categories. These categories are , , , , , , , , , , , and , which were synthesized into the process of adjustment. being the core category. The adjustment process of the facility elderly consisted of : 1. expressive phase of 'reluctance' 2. control phase of 'reluctance' 3. latent phase of 'reluctance' Conclusion: This study offers better understandings on the adjustment process of the institutionalized elderly and provides more appropriate nursing care to the New Comers of these facilities.

Meaning of 'Natural Childbirth' and Experiences of Women Giving Birth using Midwifery - A Feminist Approach (조산원 출산 여성의 '자연출산' 의미와 경험 - 페미니스트 접근)

  • Lee, Eun-Ju;Park, Young-Sook
    • Women's Health Nursing
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    • v.18 no.2
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    • pp.135-148
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    • 2012
  • Purpose: The purpose of this study was to explore the meanings of 'Natural childbirth' from experiences of Korean women who gave birth to a baby in the midwifery using a feminist approach. Methods: This paper is a qualitative research study and applies a feminist epistemology and methodology to the experiences of women who gave birth in midwifery. The data were collected by individual in-depth interviews with eleven participants. Results: Two main themes emerged from the feminist content analyses and each main theme had three sub themes. A. transformation of control and knowledge on childbirth and the body 1) refusing coercive medicalization and building a new normality, 2) specific expectations about biological health and maternity rather than a return to nature, 3) the subject of pregnancy and childbirth, B. 'natural childbirth' practice as a new embodied discipline 1) helpers to support mothers, midwives, 2) helping the body to do 'natural childbirth', 3) from isolated labor to cooperative reproduction. Conclusion: These results indicate that women desired to practice being a subject, consultation with professionals, self-discipline and named actors except for women as 'other subjects' in childbirth.

Subjectivity on Experience of Middle-aged Women Who Attend Self-help Group to Overcome Midlife Crisis: Q Methodology Approach (중년 위기 극복을 위한 자조모임에 참석한 중년여성의 경험에 대한 주관성 연구)

  • Doo, Hyun Jung
    • Journal of East-West Nursing Research
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    • v.19 no.2
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    • pp.78-87
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    • 2013
  • Purpose: This study has investigated experience of middle aged women who attended a self help group to overcome midlife crisis. Methods: To analyze types of experience that middle aged women attending the self help group went through to overcome midlife crisis, Q-methodology has been used. The 32 selected Q-samples from each of 27 subjects were classified into a shape of normal distribution using a 9-point scale. The collected data were analyzed using a QUANL PC program. The 38 selected Q-samples from each of 27 subjects were classified into a shape of normal distribution using a 9-point scale. The collected data were analyzed using a QUANL PC program. Results: The types of experience were classified into four categories; Type I (attempt to change), Type II (devoted to my role), Type III (tolerance and acceptance) and Type IV (role as a senior citizen). Conclusion: This study is significant in that it has attempted to analyze the approach and usefulness of a self-help group program. It is suggestive that a local society support group may be necessary to help people with midlife crisis and further studies for nursing intervention and strategic development are required.

Effects of Interprofessional Nurse-led Rehabilitation Intervention Program for Subacute Stroke Patients and their Caregivers: a non-randomized study

  • LEE, BunSim;GIL, ChoRong;CHANG, HeeKyung
    • International Journal of Advanced Culture Technology
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    • v.7 no.4
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    • pp.1-13
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    • 2019
  • Purpose: Rehabilitation nursing requires an interdisciplinary comprehensive team approach that allows for enough time to promote patients' functional recovery. We identified the effects of a nurse-led rehabilitation intervention program on subacute stroke patients' activities of daily living, anger, and muscle strength, as well as their chief caregivers' satisfaction. Methods: Intervention group participants (n = 20) completed a rehabilitation intervention program, which integrated physical activities with psychological and social approaches. Results: The program did not significantly improve patients' activities of daily living or anger management; however, it significantly affected both anger-in (t = 3.384, p = .002) and anger-out (t = 2.167, p = .037) attitudes. Caregivers' satisfaction among the intervention group (t = 6.935, p < .001) decreased more significantly than that of the comparison group (t = 0.224, p = .825). Conclusion: Rehabilitation intervention program should enlist nurses' participation and promote a team-based approach during the rehabilitation program. Further, patients and their caregivers should be encouraged to express their emotions during counseling.

Developing a Smart Phone Application for the OMAHA System Guidelines (오마하 시스템 가이드라인의 스마트폰 애플리케이션 개발)

  • Hong, Hae-Sook;Lee, In-Keun;Hong, Sung-Jung;Kim, Hwa-Sun
    • Research in Community and Public Health Nursing
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    • v.21 no.4
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    • pp.512-521
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    • 2010
  • Purpose: The remarkable progress in information and communication technology has had a great effect on the healthcare delivery system. The development of smart phone applications is a new field. The aim of our research was to provide assistance in developing smart phone applications for community health nursing. Methods: Based on an informative approach, this study developed persona and site maps, followed by a storyboard as a way of analyzing users' requirements and designing responses in the context of smart phone application development methodology. Results: We developed persona, user interface and database design successfully, and then seven nurses selected four nursing problems (income, residence, pain, and digestion hydration). The search time in seconds for the 2005 English OMAHA guidelines to find three nursing interventions for these problems was used to evaluate the effectiveness of the smart phone application. The results showed that smart phone applications' search was 21 times faster on the average than book guidelines. Conclusion: An English version of the OMAHA system application was developed for the Android smart phone market. It is hoped that smart phone applications such as this will be used internationally for nursing education.

Review of Literature and Implication for Nursing Education: Cinemeducation (간호교육에서 영화의 활용에 관한 고찰: Cinemeducation)

  • Oh, Jin-A
    • The Journal of Korean Academic Society of Nursing Education
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    • v.16 no.2
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    • pp.194-201
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    • 2010
  • Purpose: Recently teaching nursing to undergraduate students has been based on the constructive teaching method to achieve the core nursing competency. Therefore, non-traditional teaching methods should be introduced for a stimulated interaction between the lecturer and students and to increase information retention and interest in nursing. The purpose of this paper was to review current issues related to the use of cinema in nursing education. Method: A literature review was conducted to grasp the definition of cinemeducation and to identify the uses, merits, and demerits of using cinema in nursing education. Conclusion: Cinemeducation is an innovative approach to teaching multi-cultural diversity in medicine and nursing. It is possible to conduct cinemeducation to deepen student's understanding of cross-cultural issues and to evoke imagination, empathy, and narrative. Movies are funny, entertaining, and readily enjoyed by learners. Since individuals portrayed in movies are not real, learners can be more honest and objective about their reactions to these characters. In addition, movies as instructional media are economical. I would like to suggest more curriculum development for the use of movies.

Effect of Attribution Disposition and Self-Efficacy on Clinical Practice Competence of Nursing Student (간호대학생의 귀인성향과 자기효능감이 임상수행능력에 미치는 영향)

  • Kim, Su Ol;Kim, So Myeong
    • Journal of Korean Public Health Nursing
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    • v.29 no.3
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    • pp.452-462
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    • 2015
  • Purpose: The purpose of this study was to examine the influence of attribution disposition and self-efficacy on clinical practice competence of nursing students. Methods: A descriptive survey design was used. Participants were 214 nursing students who were collected using a structured questionnaire. Data were analyzed by frequencies, t-tests, ANOVA, Pearson correlation coefficients and multiple stepwise regression via spss win 21.0. Results: The total mean score for attribution disposition was $3.73{\pm}0.46$, self-efficacy was $3.20{\pm}0.42$, and clinical competence was $3.44{\pm}0.47$. Clinical competence is significantly and positively correlated with attribution disposition (r=.179, p=009) and self-efficacy (r=.379, p<.001). In a multivariate approach, predictors included explained 33.5% of variance in clinical competence. Significant predictors of clinical competence were attribution disposition (${\beta}=.245$, p<.001), self-efficacy (${\beta}=.380$, p<.001), and satisfaction with the nursing (${\beta}=.246$, p<.001). Conclusion: Development of an effective intervention program is needed to improve nursing students clinical practice competence, attribution disposition and attribution disposition of nursing students.

Adaptation Experiences of Male Students in Nursing Education Programs: A Meta-synthesis Study (간호학과 남학생의 학과 적응에 관한 질적 메타합성 연구)

  • Son, Haeng-Mi;Oh, Seieun;Jang, Hye-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.4
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    • pp.391-405
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    • 2018
  • Purpose: The purpose of this study was to integrate and synthesize findings from qualitative studies exploring male students' experiences of adapting to nursing education programs so as to obtain further understanding of the phenomenon. Methods: The meta-synthesis process was primarily guided by Noblit and Hare's approach, which consists of four stages including searching, appraisal of an individual study's quality, data extraction for analysis, and meta-synthesizing the results. Results: Findings from the literature reviewed were synthesized into six themes: 1) extraordinary choice based on job stability and gender scarcity; 2) unexpected feeling of marginalization as minority far apart from the mainstream; 3) assimilation and negotiation for relational adaptation through perspective shift; 4) fortifying the vision and identity as nursing students by meaning making for adapting to the nursing major; 5) mutual support among colleague male students; and 6) serving in the military as way of hiding out and achieving maturation. Conclusion: The findings illustrate that nursing education programs need practical changes promoting male students' adaptation to the program itself as well as preparation to be a professional nurse in the future.