• Title/Summary/Keyword: Nursing approach

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A Study on the Subjectivity of Koreans about Well Dying - Q Methodological Approach - (웰다잉에 관한 한국인의 주관성 연구)

  • Shim, Hyung-Wha
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.1
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    • pp.87-96
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    • 2011
  • Purpose: The purpose of this study was to investigate the subjectivity of Koreans about well-dying by dividing the cognition and attitudes of Koreans about well-dying into five types and analyzing and interpreting each type. Method: Q-methodology, which is effective in scientifically measuring individual subjectivity, was used. The result of the Q-shorting of the 34 Q-statements by 42 participants was analyzed with the PQM program. Result: Five cognitive types of the subjectivity about well-dying were identified and labeled as follows. Type I: Individual and preparation for the other world. Type II: Receptive to nature and fate. Type III: Oriental and family centered. Type IV: Realistic and self-independent. Type V: Altruistic and preparing for the other world. Conclusions: This study generally show that traditional family connections and blood relationship are declining, and western rationalism and the pursuit of the positive meaning of well-dying are beginning to be accepted in the cognition of modern Koreans.

Subjectivity Study on Smoking Cessation of Korean Adult Males: Q-Methodological Approach (성인 남성의 금연에 대한 주관성 연구: Q 방법론적 접근)

  • Park, Youngrye
    • Journal of Korean Biological Nursing Science
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    • v.21 no.2
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    • pp.141-151
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    • 2019
  • Purpose: The purpose of this study was to identify subjectivity on smoking cessation of Korean adult males, and to provide basic data, for non-smoking policies. Methods: Q-methodology, a method of analyzing subjectivity of each item, was used. Thirty-nine adult males, classified 36 selected Q-statements into normal distribution, using a 9-point scale. Collected data were analyzed, using the pc-QUNAL program. Results: Among the Korean adult males, three types of smoking cessation were identified. The name for Type I was 'pursuit of faith', for Type II, 'factor of relationship disturbance' and for Type III 'ambivalence'. Conclusion: Results of this study indicate that different approaches to intervention on smoking cessation are best served for Korean adult males, based on the three types of smoking cessation, and their characteristics.

Experiences of Fracture Liaison Service Coordinators (재골절예방 서비스 코디네이터 경험)

  • Park, Bona;Kang, Sujeong;Park, Myungsook
    • Journal of muscle and joint health
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    • v.30 no.2
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    • pp.59-69
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    • 2023
  • Purpose: This study aimed to explore the experience of Fracture Liaison Service (FLS) coordinator nurses in a hospital setting. Methods: An in-depth interview was done using a semi-structured questionnaire on 4 FLS coordinator nurses between August 2022 and May 2023. A qualitative content analysis method was used for the data analysis. Results: Three themes of the experience of FLS coordinator were "The absence of identity of FLS coordinator," "struggling with the approach of creating something out of nothing," and "improvement of training and system to establish FLS coordinator role." Conclusion: This study identified three themes about the experience of FLS coordinator nurses in hospital setting. This finding is expected to be useful in developing education programs for FLS coordinator nurses.

Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness (만성질환 노인에서 임파워먼트 이론에 근거한 다학제적 자기관리 프로그램의 효과)

  • Park, Chorong;Song, Misoon;Cho, Belong;Lim, Jaeyoung;Song, Wook;Chang, HeeKyung;Park, Yeon-Hwan
    • Journal of Korean Academy of Nursing
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    • v.45 no.2
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    • pp.192-201
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    • 2015
  • Purpose: The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory and to evaluate the effectiveness of the intervention for older adults with chronic illness. Methods: A randomized controlled trial design was used with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of two phases: (1) 8-week multi-disciplinary, team guided, group-based health education, exercise session, and individual empowerment counseling, (2) 16-week self-help group activities including weekly exercise and group discussion to maintain acquired self-management skills and problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physical activity, and physical function. Results: Health empowerment, physical activity, and physical function in the experimental group increased significantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time but there was no significant difference between the two groups. Conclusion: The self-management program based on empowerment theory improved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowerment strategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control over their chronic illness and actively engaging self-management.

The Experience of Life in with Diabetics (당뇨병 환자의 생활 경험)

  • Lee, Jeong-Seop;No, Seung-Ok;Sin, Deok-Sin;Kim, Mi-Hye;Jeong, Yeong-Mi
    • Journal of Korean Academy of Nursing
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    • v.30 no.5
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    • pp.1219-1229
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    • 2000
  • The purpose of this study was to describe and understand how diabetics dealt with the result of the various changes of lifestyle. The grounded theory approach of qualitative research methods was used for building a substantive theory about that. The subjects of this study were 10 clients who experienced diabetes from 4 to 30 years. The data was collected from August 1999 to November 1999 through in-depth interviews utilizing home visitation and telephone interview technique then it was and analyzed simultaneously by a constant comparative method in which the new data was continuously coded into categories and properties according to Strauss & Corbin,s methodology. One hundred six concepts were found and they were grouped into 35 categories and then into 14 categories. The results were as follows difficulty, unable to overcome the changes, disposition, disease process, tiredness, supportive environment, perception, handling, concent- ration, mastering, endurance, avoidance, giving up and tailoring. The core phenomenon was 'tiredness' and these categories were synthesized into one core concept, the process of tailoring. The process of tailoring in diabetics consisted of : 1) going through difficulty of disease management 2) experiencing tiredness from the difficulty of disease management 3) perception of disease from tiredness 4) undergoing various self-management 5) controlling the process of tailoring by one's own method. Six hypotheses were derived from the relation of these concepts and four types were from intensity of tiredness, direction of disposition, type of disease process and the level of supportive environment and perception. This study offers better understanding on diabetic experiences and may facilitate more appropriate interventive strategies to provide support, information and knowledge. The nurses should utilize the results to help diabetics enjoy their lives without any trouble and must continuously develop nursing knowledges and skills.

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Experiences of Family Caregivers of Cancer Patients Receiving Chemotherapy

  • Sercekus, Pinar;Besen, Dilek Buyukkaya;Gunusen, Neslihan Partlak;Edeer, Aylin Durmaz
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.12
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    • pp.5063-5069
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    • 2014
  • Background: Cancer is a disease which affects not only patients but also their families physically and emotionally. The purpose of this study was to determine the needs, challenges and ways of coping of caregivers of cancer patients. Materials and Methods: In the study, a phenomenological approach was used. Data were collected through semi-structured individual interviews. The study sample comprised 16 family members providing care for a cancer patient. Results: The study findings are grouped under four main themes: the impact of caregiving, masking feelings, experienced challenges and expectations, and coping. During the caregiving process, patient relatives are affected physiologically, psychologically and socially. It was determined that patient relatives hid their feelings and avoided talking about the disease for fear that they might upset the patient, and that they had difficulty in coping with the patient's reactions during the treatment process. Family members had difficulties arising from the health system, hospital conditions and treatment in addition to transportation and financial problems. Support is very important in coping, but it was determined that some of the relatives of patients did not receive adequate support. Patient relatives expect that health care professionals should provide them with more information about their patient's condition and the course of the disease that their patients should be dealt with by the physicians specialized in cancer, and that psychological support should be provided both for them and for their patient. Conclusions: During the caregiving process, family members are faced with many difficulties and they exhibit different coping behaviors which health care professionals should take into account.

A Review Study on the Strategies for Concept Analysis (개념분석 전략에 관한 문헌고찰 연구)

  • Yi Myung-Sun;Lee So-Woo;Kim Kum-Ja;Kim Myo-Gyeong;Kim Ji-Hyun;Lee Kyung-Hee;Lee In-Ok;Lee Jung-Sook;Hong Jeong-Hee
    • Journal of Korean Academy of Nursing
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    • v.36 no.3
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    • pp.493-502
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    • 2006
  • Purpose: Concept analysis is an essential part of theory development in nursing. Thus, many strategies or methods of concept analysis have been suggested in nursing literature. However, in Korea, only limited strategies were utilized, without much consideration on a wide range of strategies in choosing a method that coincides with the characteristics of each concept to analyze The purpose of this article was to propose various strategies for concept analysis. Method: A literature review method was used. Result: Ten methods of concept analysis were identified in the literature, and they were evaluated for advantages and limitations, In addition to the method by Walker and Avant and a hybrid model, more advanced strategies, such as triangulation method, critical analysis and the feminist approach were introduced and described in detail. The examples used in each concept analysis method were presented in table to provide the extent of utilization of each method. Conclusion: This article provides a wide range of strategies in identifying, clarifying, or elaborating a concept. It might help in choosing a method that best fits the concept to analyze, thus enhancing quality of concept analysis research.

A Study on the Use of Complementary and Alternative Therapies in Korean Adults (한국 성인의 보완대체요법 이용에 관한 조사)

  • Lee, Keum Jae;Kim, Ok Hyun;Chun, Woo Jung;Roe, Myung Hee;Kang, Moon Jung;Ko, Sung Hee;Lee, Kyeong Suk;Lee, Ko Eun
    • Korean Journal of Adult Nursing
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    • v.19 no.1
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    • pp.144-154
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    • 2007
  • Purpose: This descriptive study was conducted to identify the use of complementary and alternative therapies, and the perception and attitudes toward CAT in Korean adults. Methods: The 1,010 study subjects were recruited from ten regions in South Korea. Data were collected from July to September, 2004. Results: The 43.2% of the sample(n=436) had an experience of using CAT. The subjects using CAT was more likely to have high score in the CAT perception compared to the subjects with no experience of CAT(p=.001). The primary source of information about CAT was mass media(59.7%). The 52.4% of the sample answered that CAT was supplementary and the 27.7% answered CAT was applicable to chronic pain or musculoskeletal disorders. Subjects(34.8%) pointed out that the greatest problem was no scientific informant in the use of CAT. The primary reason of using CAT was to maintain their health or to prevent disease(44.0%), and the 59.0% of the subjects responded that CAT was effective. Majority of subjects were satisfied with CAT(63.3%) and experienced no side effects of CAT(90.6%). Conclusion: This study suggests that professional counseling and education for CAT is needed for Korean public as well as the research approach to test the effects of CAT.

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Experiences of Volunteer Group Activity among Nursing Students (간호대학생의 동아리참여 자원봉사 경험)

  • Bae, Kyung-Eui;Park, Jung-Suk;Yang, Young-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7262-7272
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    • 2015
  • This study is a qualitative research with phenomenological approach to investigate the meaning of the volunteer experience through group activities in nursing college students. From May 1 to June 12 2015, we collected data from 19 university students who participated nursing group activities at 3 universities and 30-40 minuties 1-3 times depth-interviews were conducted. Research question was, "Did you have any experience as a volunteer through club activities as nursing college students?" Results were obtained for seven central theme; 'Hard to put in unfamiliar situations', 'Crash to limit', 'Pride encroaching in rest of college life', 'To become mature human relationships', 'Found changed myself', 'Access to the majors', 'Pride for the future'. Based on the these results, in order to continous volunteer activities it is necessary to maintain introduce the program that establish commom goals and can solve out of the university and community.

Survey on Pressure Ulcers and Influencing Factors of Stage Change in Acute University Hospital Inpatients (일개 대학병원 입원환자의 욕창 실태와 욕창상태 영향요인)

  • Kim, Kyoung Nam;Kang, Kyung Ja;Lee, Hyun Sook;Shin, Yeon Hee;Kim, Sun Kyung;Park, Kwang Hee;Kim, Hye Young
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.3
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    • pp.433-442
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    • 2011
  • Purpose: The purpose of this study was to conduct a retrospective investigation on the general characteristics of pressure ulcer and influencing factors of pressure ulcer stage during hospitalization. Methods: A total of 614 patients were selected between January 1, and December 31, 2009 from one acute university hospital if they had pressure ulcers on admission or newly developed pressure ulcer during hospitalization. The data were analyzed using the SPSS WIN 12.0 with percentage, mean, standard deviation, t-test, Chi-square test, ANOVA, and multiple regression analysis. Results: Influencing factors of pressure ulcer stage at discharge were eating (${\beta}=-.068$, p=.047), elimination (${\beta}=-.145$, p<.001), active exercise and movement (${\beta}=-.505$, p<.001), albumin levels (${\beta}=.166$, p<.001), and inflammatory markers (CRP)(${\beta}=-.091$, p=.005). These variables accounted 55.8% of the variance in ulcer stage. Conclusion: Study results indicate that nurses' active role on pressure ulcer care and systematic approach are necessary to manage acutely ill inpatients' pressure ulcers.