• Journal of Korean Academy of Nursing
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• v.25 no.4
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• pp.641-652
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• 1995

Working as nurses, authors found that some patients were not content with their hospital life. Some patients wanted to move to another ward, and others complained about their ward atmosphere. In spite of patients' discomfort, nurses didn't know what made some patients complain about their ward. So, authors tried to find factors that influence atmosphere of hospital wards of the neurosurgery patients. To know the atmosphere of wards, authors selected five neurosurgery ward of a university hospital in Seoul. Observation took a month. An author observed using molar approach, in the morning, in the day time, and in evening time. Authors used concealment /no intervention technique. An author checked condition of people in the wards, and observed their verbal and nonverbal communication behavior their activities and environmental characteristics, and interpreted their meaning through ethnographic research methodology by Spradly. Authors found there was an important factors that influence the atmosphere of ward. It was a human and his attitude. At least one person who was willing to help others made ward atmosphere better. Helping others physically whenever needed, sup-porting the depressed emotionally, offering foods, or talking to others friendly brought good atmosphere. On the contrary, if everyone was indiffernt to others, the atmosphere became cold. Self-centered or selfish behaviors such as occupying too much area, using the toilet too long, covering other's suction bottle without permission and seeing others delicate or urinate were hurtful. In addition to the attitude of patients and their families, unkindness of medical teams including nurses and doctors and tasteless meal caused bad ward atmosphere. Based on this research finding, authors suggest the followings. A For the better atmosphere of ward 1. Nurses should try to make the ward atmosphere better by introducing new patient to older ones. 2. Every ward should have dividing curtains to keep patient's privacy. 3. All hospital personnel should be kind enough to make patients feel that they are repected. 4. Hospital should serve high quality meals to patients. 5. Patients had better stay with those in the similar condition. B. For the future studies 1. Repeated researches are necessary to check reliability of this results. 2. Researches for patients in different area such as ICU, or hemodialysis unit are necessary.

• Journal of Digital Convergence
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• v.13 no.8
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• pp.401-408
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• 2015

This study was done to examine the relation of cognitive function, depression and anxiety in elderly people above 65 years of age, and to identify factors influencing anxiety. The data were collected from June 1 to August 30 2014. Data were collected by questionnaire from 363 elderly people. The instruments for this study were MMSE-DS, depression, anxiety. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression with the SPSS/WIN 18.0 program. According to results, the significant factors influencing anxiety were sleeping time(${\beta}=-.249$, p<.001), depression(${\beta}=.218$, p<.001), cognitive function(${\beta}=-.209$, p<.001), occupation(${\beta}=-.133$, p=.006). The study reveals that it is necessary to develop a convergent program that maintain adequate sleep, prevents of cognitive impairment and decreases depression.

• Journal of Digital Convergence
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• v.13 no.10
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• pp.549-559
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• 2015

This study aimed to find the problems of evidence-based complementary and alternative medicine and seek the future development direction by evaluating the quality of oriental medicine related systematic review(SR) studies using AMSTAR tool. The 26 SR studies related to oriental medicine were searched from the database of DBPIA, OASIS, and KISS, and they were evaluated on the basis of AMSTAR. The average of AMSTAR for the quality assessment of SR studies was 6.0 point, and the 26 studies included 2 high quality studies (7.7 %), 21 normal quality studies (80.8 %), and 3 low quality studies (11.5 %). The quality of studies was not correlated with the publication years. The quality of oriental medicine related SR studies need to be improved steadily. Furthermore, continued efforts to promote the evidence-based practice in the field of Oriental Medicine will help to establish foundation for the convergence approach in the healthcare sector.

• Korea Journal of Hospital Management
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• v.9 no.1
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• pp.95-114
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• 2004

The purpose of this study was to identify the relationship between organizational culture based on the competing values approach, human resource management practices and organizational performance at a hospital. Participants were 138 employee in a general hospital. Data were collected during May, 2003 using four structured instruments. The data were analyzed using Chi-square test, One-way ANOVA, $scheff{\acute{e}}$ test and Cluster analysis. Three clusters were derived from cluster analysis. The first cluster consisted of cultures which were mixed developmental, consensual, hierarchial and rational culture equivalently. The second cluster consisted of the weak cultures, which was lower score than other clusters. The third cluster consisted of strong comprehensive cultures, which had higher score than other clusters. In the three clusters, hierarchial and rational culture were superior. The difference between human resource management practices and organizational commitment in organizational performance according to organizational culture clusters was found to be statistically significant. The cluster which had strong comprehensive cultures, in contrast to other clusters, more significantly affects on human resource management practices and organizational commitment. However, the strength of organizational culture does not have a significant effect on customer oriented service performance in organizational performance. These results showed that types of organizational culture were significantly related to human resource management practices and organizational commitment, and understanding the existing culture is essential to develop the organization of hospitals.

• The Korean Journal of Pain
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• v.25 no.4
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• pp.254-257
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• 2012

Background: Elderly patients visiting pain clinic may be at greater risk of misunderstanding the explanation because of age-related cognitive decline. Video instruction may provide a consistent from of teaching in a visual and realistic manner. We evaluated the effect of educational video on the patient understanding and satisfaction in a group of geriatric patients visiting pain clinic. Methods: Ninety two patients aged more than 60 years old who were scheduled for transforaminal epidural block were recruited. After exposure to either video or paper instruction process, each patient was asked 5-item comprehension questions, overall satisfaction and preference question. During follow-up period, number of outpatient referral-line call for further explanation was counted. Results: We observed significantly better comprehension in the video education compared with paper instruction (P < 0.001). Patient satisfaction was also higher in the video group (P = 0.015), and patients visiting pain clinic were more preferred video instruction (P < 0.001). Proportion of referral-line call for further explanation were similar (P = 0.302). Conclusions: Video approach to instruction process before consent improves treatment comprehension in geriatric patient visiting pain clinic.

• The Korean Nurse
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• v.34 no.3
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• pp.69-84
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• 1995

The purpose of this study was to identify caregivers of the elderly, the pattern of the caregivers' caring behaviors, and the cultural principles of patterns of caring behaviors practiced in a Korean minority community, Yanbian. To clarify these, an ethnographic approach was used. The fieldwork for this study was conducted from Aug. 24, 1993 to May 20, 1994. The informants were 16 natives, age 60 or more, who were members of a large family of three generations. The results of the study are as follows. The caregivers for the elderly were family, kinship and community groups. Family caregivers for the elderly were spouses, sons, daughters-in-law, grandchildren, sons of former wives, sons of former husbands, adopted sons. daughters and sons-in-law. The elderly had caregivers who were part of the kinship group. Three community groups provided care for the elderly. The three community groups were Dokbozo. a formal large organization for the elderly. the same age group as an informal small meeting for the elderly, and other community younger groups. The findings of this study indicated that family caregivers, especially spouses and sons, are the significant others of the elderly, and comminuty groups are better caring groups than kinship relatives. This study identified forty-three different kind of caring behaviors. They were divided into fifteen behavior patterns. These patterns integrated into five categories : soo-bal(¼?¹ß), protecting, respect, support, jung(?×). For physical comfort, soo-bal and protecting were conducted. For the comfort of mind, respect. support, and jung were conducted. The comfort of mind are better than physical comfort for the elderly. Cultural principles of caring behaviors were group membership, reciprocity, and harmony. But there was no hierarchy priciple. And these three principles provide best caring together at the same time. This study provides significant data for nursing research, theory and practice.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.3
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• pp.2079-2084
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• 2013

Background: Breast cancer is the most prevalent cancer among Iranian women and mastectomy comprises 81% of surgeries for treatment of breast cancer. Mastectomy may create feelings such as deformation or impairment in patients, cause body-image disorder, and reduce sexuality and sexual activity which in turn may entail mental disorders. The study aimed to elaborate coping processes. Materials and Methods: A grounded theory method was used in conducting this study. Twenty Iranian participants undergoing mastectomy were recruited with purposive sampling. An open, semi-structured questionnaire were developed. Obtaining consent, conversations were recorded and immediately transcribed after each session. Data analysis was carried out with the constant comparative method using the Strauss Corbin approach. Results: Analyzing the collected data, the study came up with seven main categories which affected the coping process in patients with breast cancer, namely: reactions to mastectomy; loss and death contest; reconstruction of evaluation system; consent for undergoing mastectomy; reactions and troubles after loss; confrontation of loss and health; and reorganization and compatibility with changes. Conclusions: The results of the study indicated: when patients become informed of their breast cancer and the necessity of undergoing mastectomy as the treatment, they probably pass through seven categories to adapt after mastectomy. Having insight about them is likely to contribute medical personnel in leading patients to the highest degree of feeling healthy.

• Journal of the Korea Convergence Society
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• v.11 no.2
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• pp.375-384
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• 2020

The purpose of this study was to assess the relationship between drinking patterns and depressive mood, and to understand the factors associated with depressive mood among problem drinkers. Data of 19,878 adults over 19 years of age and older from the third Korea National Health and Nutrition Examination Survey were evaluated by multivariate logistic regression analysis. The risk of depressive mood was greater with higher level of problem drinking in both genders. For male problem drinkers, the factors associated with depressive mood include older age, lower education level, unemployment, high perceived stress, bad subjective health status, and non-married status. For female, higher risk was found in groups with the age of 40-49, lower education level, unemployment, high perceived stress, and bad subjective health status. By early screening of the identified risk factors, progression to mental health problem can be avoided. For preventative measures, differential approach depending on gender is suggested.

• Journal of the Korean Society of Costume
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• v.59 no.10
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• pp.22-37
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• 2009

The main purpose of this research was to provide an example of a scientific and systematic approach to designing nurses' uniforms. Uniforms for the staff nurses and head nurses at Korea University Medical Centers were designed through the following four steps: research and analyses, design direction establishment, design presentation, and final decision. For the research and analyses, a focused group interview with 14 head nurses were conducted before the actual questionnaires were formed and distributed to 200 nurses at the medical centers. The data collected from 182 among 200 subjects were able to be used for the statistical analyses. As a result, the majority of nurses were not satisfied with the present nurse uniforms. They preferred pants to skirts, and straight pants to tapered pants. Blouses or jackets that slightly cover hips with sleeves reaching above the wrists were also preferred. Many respondents wanted uniforms that were practical and easy to manage. The ideal image of nursing uniforms were feminine, lively, active, light, cool, simple, and modern. According to the research and analyses result, design directions were established and uniform designs were presented to head nurses. Uniforms were designed based on symbols of Korea University and Korea University Medical Centers. Colors including white, pink, and grey were selected to represent the ideal image of nursing uniforms designated by the respondents. Fabrics including polyester(95%) and spandex(5%) blends, polyester(48%), rayon(48%), and spandex(4%) blends, and cotton(100%) were used for making garment samples. Final designs were decided by selecting and modifying the designs presented to the head nurses.

• Journal of the Korean Society of School Health
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• v.12 no.2
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• pp.281-293
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• 1999

The purpose of this study was to develop a program of oral health education for children and to furnish basic data contributing to the improvement of children's oral health. In this study, we tried to analyze and discover the types of recognition in parents of children's oral care. With the use of Q-methodology that could systematically and scientifically estimate the subjectivity of humans, 28 parents were collected as a P-sample. 3 general types were discovered. The characteristics of each type were the following: Type 1. "Serious consideration of prevention care type" took a positive attitude to their children's oral care, were knowledgable, and maintained high concern about oral care. They regularly visited dentists for prevention and believed in caries prevention through brushing teeth. They also put high trust in dentists. Type 2. "Disposition by the existing state type" believed that caries could develop even with brushing teeth and could be inherited from parents, Practically, they had a passive attitude to their children's oral care depending on stages and were more concerned with the appearance of dentition than with their children's oral health. Type 3. "Home care-centered type" had less knowledge about children's oral care than the other two types and was careless for teeth prevention. Therefore, they had not intended to participate in the oral health education program.