• Journal of Korean Public Health Nursing
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• v.6 no.2
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• pp.11-20
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• 1992

The major goal of caring the elderly is not to cure the patient, but rather to improve or maintain the individual functional ability. With the aged population increases, there is increasing consensus among health care workers about the importance of developing a tool to measure and evaluate the health status of the elderly. As many writers is pointing out, care of the elderly embraces the spectrum of physical-social-psychological problems and an enormous number of variables could be introudeced into the health worker's routine measurement. But such an expansive approach to measurement could have disadvantages. The purpose of this study is to introduce the measurement tools of physical functioning, perhaps the most important measure required in long-term care, which are separated into three categories of measures; general physical health, ADL, IADL. It is important that all health workers who provide care to the elderly incorporate the concepts of functional health status into the routine assessments. And continuous study about reliability and validity is needed to apply those foreign tools to Korea.

• 모자간호학회지
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• v.3 no.2
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• pp.114-125
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• 1993

In an attempt to investigate the psycho-social environment of, and to identify contributing factors to asthma, an explorative study was designed. An in-depth interviews of thirteen mothers nth asthmatic children on their child-rearing experiences were carried out from May through October, 1992. Data were gathered and analysed concurrently. The child-rearing experiences were classified into five categories; perceiving the attributes of, perceiving the health status of, affective interactions with, socialization of, and health management of asthmatic children. Thus, a comprehensive approach for the care of asthmatic children, and studies of family on multi-dimensional contributing factors on asthma are strongly recommended.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.12
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• pp.7371-7374
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• 2013

Aims: The study targeted the HPV vaccine knowledge and perceived risk of cervical cancer among female college students in Taiwan as well as the relationship between knowledge of the HPV vaccine and perceived risk of cervical cancer. Materials and Method: The results of this study on female college students are described using descriptive and correlation designs. A convenience sampling approach was employed with a self-filling structured questionnaire. Results: A total of 150 students completed the questionnaire. Values were 7.49 for the mean HPV vaccine knowledge scale and 18.0 for their mean perceived risk of cervical cancer scale. HPV vaccine knowledge was positively correlated with perceived risk of cervical cancer. Conclusions: The findings of this study can serve as a reference for future HPV prevention in Taiwan.

• Korean Parent-Child Health Journal
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• v.13 no.1
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• pp.8-16
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• 2010

Purpose: This study aimed to explore university students' views on a childbirth to gaining a deeper understanding of their individual thinking and the meaning that it hold for them. Methods: A Phenomenological approach was used. Subjects were 10 university students who go to university in D city. The method proposed by Colaizzi (1978) was used to guide the process of data analysis. Results: The formulated meaning were classified into nine themes. And then the nine themes were finally grouped into five theme clusters as follow: 'a smooth life', 'the law of nature', 'living a real life', 'fear and burden'. Conclusion: University students' views on a childbirth reflect with the run of the lower birth rate and the aging population in Korean society. Therefore, nursing interventions should be directed toward supporting their positive thinking and changing their negative thinking on childbirth.

• Journal of Korean Academy of Nursing
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• v.33 no.1
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• pp.104-112
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• 2003

Purpose: While most psychiatrists diagnose Hwa-Byung as a chronic psychogenic disorder associated with familial, financial and personality, the purpose of study was to shed light on the nature of Hwa-Byung through pragmatics. Hwa-Byung is characterized as ‘Hwa’ which means fire ‘Byung’ which means disease. This condition cannot be empirically experienced, rather it is represented by suffering internally (in the mind). It also could find an aspect of somatization, and self-diagnosing. Method: As patients themselves diagnose Hwa-Byung, pragmatical approach was taken to analyze the context of the learning through their communication with others. The case examples resulted from in-depth telephone counseling with a client who is housewife with Hwa-Byung over a period of time at the Women's Hot Line. Result: The study showed that the client experienced continuous improper attacks by her husband. She expressed improperness by applying her personal emotions to social-justice reasoning. Conclusion: ‘Hwa’ means lack of mutual intimacy in this research. By expressing this ‘Hwa’, the client would like to recover mutual intimacy with her husband.

• Korean Journal of Occupational Health Nursing
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• v.19 no.1
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• pp.41-49
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• 2010

Purpose: This study is a descriptive survey research on factors related to fertility intention of nurses who work in general hospitals, by applying the Theory of Planned Behavior(TPB). Method: The research subjects are 674 nurses at the peak fertility age of 20-39 years old, who work in 4 general hospitals located in Seoul and Gyeonggi province. Result: The mean score of subjects' fertility intention is 3.69 in 5-point scale. The fertility intention was significantly influenced by perceived behavioral control and subjective norm. Conclusion: The results of the study showed that the fertility intention of the nurses in general hospitals was influenced by the TPB variables such as the attitude, perceived behavioral control, and subjective norm. Thus, a comprehensive approach strategy is needed considering these factors.

• Journal of Korean Gerontological Nursing
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• v.20 no.sup1
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• pp.154-159
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• 2018

Purpose: There is a need for artificial intelligence which nurtures human intelligence as the prevalence of dementia and collapse of intelligence of human beings has become a social problem. Purpose of this study is to develop intervention technologies for maintaining cognitive health of older adults. Methods: The method named the Coimagination Method (CM) was proposed and has been developed in order to achieve goal. Conversation assistive technologies have been developed and tested based on the method. Results: The state of the art of the group conversation support system, and regular series of group conversation sessions for full-years with insights for healthy older adults are described in detail. Participatory approach has been applied to the design process for simultaneous research and implementation of the service. Both participants and practitioners have been maintaining their cognitive health for independent living. Conclusion: Findings imply that there exist potentially preventive types of dementia and intervention should be applicable for such types. Ways of thinking and living are gently intervened through understanding of personal values and broadening minds, which lead to improved quality of life.

• Journal of Korean Academy of Nursing
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• v.30 no.5
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• pp.1156-1169
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• 2000

The study was aimed at developing an independent hospice center model that would be best suited for Korea based on a literature review and the current status of local and international hospices. For the study, five local and six international hospice organizations were surveyed. Components of the hospice center model include philosophy, purpose, resources (workers, facilities, and equipment), allocation of resources, management, financial support and hospice team service. The following is a summary of the developed model: Philosophies for the hospice center were set as follows: based on the dignity of human life and humanism, help patients spend the rest of their days in a meaningful way and accept life positively. On the staff side, to pursue a team-oriented holistic approach to improve comfort and quality of life for terminally ill persons and their families. The hospice center should have 20 beds with single, two, and four bed rooms. The center should employ, either on a part-time or full-time basis, a center director, nurses, doctors, chaplains, social workers, pharmacists, dieticians, therapists, and volunteers. In addition, it will need an administrative staff, facility managers and nurses aides. The hospice should also be equipped with facilities for patients, their families, and team members, furnished with equipment and goods at the same level of a hospital. represented by a center director who reports to a board and an advisory committee. Also, the center director administers a steering committee and five departments, namely, Administration, Nursing Service, Social Welfare, Religious Services, and Medical Service. Furthermore, the center should be able to utilize a direct and support delivery systems. The direct delivery system allows the hospice center to receive requests from, or transfer patients to, hospitals, clinics, other hospice organizations (by type), public health centers, religious organizations, social welfare organizations, patients, and their guardians. On the other hand, the support delivery system provides a link to outside facilities of various medical suppliers. In terms of management, details were made with regards to personnel management, records, infection control, safety, supplies and quality management. For financial support, some form of medical insurance coverage for hospice services, ways to promote a donation system and fund raising were examined. Hospice team service to be provided by the hospice center was categorized into assessment, physical care, emotional care, spiritual care, bereavement service, medication, education and demonstrations, medical supplies rental, request service, volunteer service, and respite service. Based on the results, the study has drawn up the following suggestions: 1. The proposed model for a hospice center as presented in the study needs to be tested with a pilot project. 2. Studies on criteria for legal approval and license for a hospice center need to be conducted to develop policies. 3. Studies on developing a hospice charge system and hospice standards that meet local conditions in Korea need to be conducted.

• Journal of Korean Academy of Nursing
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• v.30 no.5
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• pp.1279-1291
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• 2000

The main objectives of this study were to analyze the concept of hope, so to provide basic data to develop a valid instrument to measure hope, and to develop hope enhancing nursing intervention a program for cancer patients. The hybrid model approach was applied in three phases, the theoretical phase, the empirical phase, and the analytic phase. The study was developed on universal attributes explaining generalized hope and specific hope, which were revealed in a comprehensive review of the literature. In the empirical phase, eight cancer patients undergoing chemotherapy were interviewed to reveal causes, motivation, and their resource of hope according to The Hope Assessment Guide (Farren, Herth, & Popovich, 1995). In the analytical phase, the results of the two previous stages of the study were compared. The results were as follows : In the theoretical phase, six dimensions of hope emerged; affective, cognitive, behavioral, affiliative, temporal and contextual dimension. The antecedent of hope was loss, crisis, uncertainity, and stress. The consequences were renewal, development of new methods, safety, peace and transcendental competence. In the empirical phase, these six dimensions emerged as theoretical phases were verified and specified as these descriptive terms: feeling, intention, expectation, activity, relation, future- orientation, reality and goal-setting. The antecedent factor of hope was occurrence or recurrence of cancer. The consequence of hope was ability to cope with real condition, feeling of safety and comfort, peace, development of new strategy and recovery of disease. The major content of hope in this phase was related to specific hope, but it was also influenced on by general hope. In the analytic phase, general and specific hope was renamed as trait and state hope. All attributes emerged at the empirical phases, and also emerged at the theoretical phase. However, cognitive and contextual dimensions were revised and specified. In conclusion, the concept of hope is divided into trait hope and state hope, and state hope is an anticipatory expectation that occurs at the time of a stressful stimulus, such as being diagnosed with cancer. Hope is a multidimensional dynamic energized mental state which has the dimensions of affective, cognitive, behavioral, affiliative, temporal and contextual. There should be further studies to develope the state and trait hope scale according to definition and attributes of hope investigated in this study. In addition, considering results of the empirical phase, the family is very a important factor as a resource of hope, so it is necessary to consider family in implementing a nursing intervention program to enhance hope.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.7 no.2
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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.