• The Journal of Korean Academic Society of Nursing Education
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• v.17 no.1
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• pp.44-51
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• 2011

Purpose: Nursing in Korea was started by foreign nurse missionaries. This study was intended to recognize the foreign nurse missionaries contribution with the development of Yonsei nursing education in Korea. Method: This study used an historical study approach. The study target was foreign nurse missionary contributions during 1895~1917. The data was collected from the existing historical nursing studies and Korean Mission Field. Result: Since A.P. Jacobson, the first nurse missionary from the North Mission branch in America in 1895, there were 16 missionaries sent to Korea. Among them, 14 missionaries worked for Severance Hospital Nurse Training School. 7 missionaries served less than 10 years and 5 missionaries stayed in Korea more than 20 years. E.L. Shields served the longest time with 42 years in Korea. They contributed not only in nursing education and services in the hospital, but also public health in the community. Conclusion: Foreign nurse missionaries were a cornerstone for nursing development in Korea. They contributed by not only starting nursing education, but also giving women freedom into Korean society. The historical research regarding foreign nurse missionaries during early 1900s helped to recognize their effort for Korean nursing and society.

• Journal of Korean Academy of Nursing
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• v.33 no.8
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• pp.1161-1170
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• 2003

Purpose. The purpose of this study was to examine the effects of a rehabilitation program on hope and self-efficacy in a sample of homeless adolescent substance abusers at a halfway house in Seoul, Korea. Methods. Five residents of a halfway house were provided with a 16-week rehabilitation program based on a cognitive-behavioral approach. To evaluate the effectiveness of the program, this study used a single-case experimental design with the variables - hope and self-efficacy - being measured at pre-, post-, and follow-up tests. Results. While three participants showed considerable positive changes in hope and self-efficacy after the program, two participants did not show any positive changes. Despite this lack of consistent patterns in the effectiveness of the rehabilitation program, there was a qualitative change in social status (such as academic and work status) for the participants at the follow-up test. Conclusion. A rehabilitation program based on a cognitive-behavioral approach may improve the hope and self-efficacy of homeless adolescent substance abusers at a halfway house and help them to reintegrate into society.

• Perspectives in Nursing Science
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• v.15 no.1
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• pp.41-48
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• 2018

Purpose: The purpose of this study was to identify the latest evidence for interventions involving adolescent newlyweds, and the feasibility of premarital coaching (PMC). Methods: A narrative literature review design carried out through related studies was used for the present literature review. A diverse search from several databases was performed to create a critical appraisal and to develop a more integrated model for the PMC program. Studies that empirical, written in English, peer-reviewed, and published during 2008~2017 were included. Results: Six articles were selected for the review. The principal findings identified three major themes including underage period as a high-risk for marriage, development tasks of the newly married spouse, parenting self-efficacy and the psycho-educational approach of PMC to enhance parenting knowledge, skills, and readiness. Conclusion: It was found that content of PMC as the preparation of underage married couples were formulated based on coaching technic, various spouse and parenting educations, and adjusted based on couples's preferences. Rigorous studies with measurement of long-term retentions are needed.

• Women's Health Nursing
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• v.17 no.2
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• pp.109-117
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• 2011

Purpose: This study examined the impact factors of cesarean section based on the ecological approach in Korea. Methods: Population-based data (Korea Institute for Health and Social Affairs) were used from 2,849 delivery cases during 2003~2009. Data were analyzed using geographic statistics with STATA 10.0 and hierarchical logistic regression with SPSS/WIN 12.0. Results: The range of cesarean section rate was 28.8~44.7% with geographic distribution. The proportion of mother's problem was increasing in choice of cesarean section. According to the ecological model, age of mother (OR=1.08), time of birth (OR=0.79), delivery in hospital (OR=1.83), delivery in clinic (OR=1.46), and education of mother (OR=2.61) had significant impact on cesarean section. Conclusion: This study contributes to provide the impact factors of the high cesarean rate in Korea ecologically. Policy maker and health care provider can consider these results to reduce cesarean section rate.

• Journal of Korean Academy of Nursing
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• v.31 no.4
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• pp.610-618
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• 2001

Purpose: This study attempted to grasp the significance of high school boys smoking experiences, and to define its structure, then utilizing the results to create effective nursing intervention in order to protect students from smoking habit. Method: This study is based on a phenomenological approach. A group of eight male high school students who had experience in smoking were selected as the subject of this study. Intimate interview with participatory observation were carried out from them and the resulted data were analyzed by Giorgi's method as below. Result: The male high school students’smoking experiences were found to be a direct result from the environments around them and misty curiosity, masculinity, maintenance of close relations with peers, habitualness, stress relief, and concealment from the family. Conclusion: The result indicates that the male high school students' smoking, especially in an aspect from its starting point, motivational perspective, from the early stage of childhood as possible.

• Research in Community and Public Health Nursing
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• v.12 no.3
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• pp.705-715
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• 2001

This study examined 19 papers published from 1977 to 2000 based on the objective frame evaluation. This purpose of this study was to examine the trend of Hwabyung research and to serve as a guide for the future 'Hwabyung' study. The results of studies were as follow. In the design of research, clinical studies are definitely dominant. As for the fields of research, the concept of Hwabyung was studied more frequently than the others. As for the authorship. psychiatrists prevailed but nursing professionals are on the increase. Research subject in clinical and survey study, patient was definitely dominant and the place of study was almost always a hospital (75%), data collection was higher on interview (58.3%). Hwabyung was considered unique culture bounded syndrome related to Korean culture. Frequent etiologic factor of Hwabyung were a husband's extra-marital affair, conflicts between houses wives and mothers-in-laws, and financial loss and suffering. From the incidence of Hwabyung, a greater number of patients with Hwabyung were middle aged women in the low economic and educational classes, and these were connected with the culture and the family system. The symptoms of Hwabyung included psychological and physical symptom, neurological disorder and disease behavior. Defense mechanisms and coping strategies for Hwabyung were somatization, suppression, orality, withdrawal, isolation, regression, help-seeking, complaining, and wreaking anger. Treatment of Hwabyung were medication, effort by herself, communication with families, consultation with psychologist, acupuncture, negative therapy, moxa, and Qi-kong. Psychiatric therapy, behavior therapy, nursing intervention on multi-interdisciplinary approach and psychiatric nursing approach were recommended for the nursing care of a Hwabyung patient.

• Research in Community and Public Health Nursing
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• v.32 no.3
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• pp.254-267
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• 2021

Purpose: The purpose of this study was to identify the effects of brain-wave biofeedback training nursing intervention (NFT) upon enhancing self-regulation response in adolescence with emotional behavior problems in school. Methods: A quasi-experimental design was conducted. The participants were assigned to the experimental group (n=24) or the control group (n=24). The experimental group additionally received NFT. The NFT was conducted 10 sessions for 30 minutes per session with the band reward and inhibit training which matched their Quantitative Electroencephalography (QEEG), participant's demand and chief complaint. Data were collected with QEEG and heart rate variability (HRV) in physiological response, self-efficacy in cognitive response, depression in emotional response, impulsivity and delay gratification in behavioral response of self-regulation. Results: The general characteristics and the pre-test scores of two groups were all homogeneous. The experimental group was reported to be significantly higher in QEEG homeostasis, HRV homeostasis, self-efficacy, and delay gratification than the control group. The experimental group was reported to be significantly lower in depression and impulsivity. Conclusion: The results indicate that NFT using brain cognitive neuroscience approach is effective in enhancing self-regulation response. Therefore, this nursing intervention using brain cognitive neuroscience approach can be applied as an effective self-regulation nursing intervention for adolescents with emotional behavior problems in communities for adaptive life.

• Research in Community and Public Health Nursing
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• v.30 no.3
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• pp.295-306
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• 2019

Purpose: There has been a growing recognition that person-centered care enhances the quality of life of nursing home residents with dementia. This study was conducted to develop a person-centered dementia care online education program for direct care staff in long-term care facilities. Methods: Delphi method with expert group was used to validate contents. We developed 61 draft items based on literature review. Twenty experts participated in consecutive three round surveys including 5-point Likert scale questions and open-ended questions. Based on experts' opinions, the content validity ratio for content validity and the coefficient of variation for stability were calculated. Results: Three-round Delphi surveys and additional feedback from the expert panel established a consensus of core contents: 1) dementia (7 categories), 2) person-centered care (6 categories), 3) communication (8 categories), and 4) behavioral and psychological symptoms of dementia (6 categories). Specific sub-categories in each category were differentiated according to the job qualifications (65 sub-categories for registered nurses, 64 sub-categories for nursing aids, and 41 sub-categories for personal care workers). Conclusion: This delphi study identified person-centered dementia education curricula, in which the person-centered approach should be a key policy priority in Korean long-term care system. Now it is urgently needed to develop education programs utilizing online platforms that enable efficient and continuous learning for long-term care staff, which can contribute to behavior changes in the person-centered dementia care approach and improvement of care quality in long-term care facilities.

• Research in Community and Public Health Nursing
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• v.6 no.2
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• pp.197-211
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• 1995

This study was designed to identify school health nurses' attitudes toward sex education through a Q-methodological approach. Research was done from Apr. 3, 1995 to Oct. 15, 1995. A final Q-sample was selected to 37 statements out of initial 128 statements after consultation from counselors, educators and writers related to sex education. The P -sample was consisted with 32 school health nurses in Chonbuk province. The collected data were analyzed by Quanal program on PC. The results of the study were as follows: School health nurses are categorized into 6 types. The first type, receiving type with cognition deficiency about general learning objectives of sex education were consisted with 4 subjects. The second type, valuing type with cognition deficiency about general learning objectives of sex education were consisted with 6 subjects. The third type, adopting behavior type with cognition deficiency about specific learning objectives of sex education were consisted with 5 subjects. The fourth type, receiving type with cognition deficiency about specific learning objectives of sex education were consisted with 5 subjects. The fifth type, making sense of information type with cognition deficiency about specific learning objectives of sex education were consisted with 5 subjects. The sixth type, adopting behavior type with cognition deficiency about general learning objectives of sex education were consisted with 7 subjects. As a result of this study, we may realize necessity of prepared sex educators. Sex the educators must be fully cognitive and affective toward sex education before practicing sex education.

• Journal of Korean Academy of Nursing Administration
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• v.22 no.1
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• pp.67-79
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• 2016

Purpose: To develop strategies for research and development (R&D) in nursing service based on the policy direction of government supported R&D in Korea. Methods: This was a descriptive study to develop strategies for promoting R&D in nursing by analyzing investment trends and status quo, policy directions, and implementation of the details of government supported R&D through government reports, websites of relevant agencies and literature reviews. Results: Few nursing experts participated in clinical research on overcoming major diseases and in R&D for well-being and care. Development of nursing topics that meet the direction of government supported R&D were lacking. Insufficient implementation of nursing service R&D in a timely manner equipped with a performance-based system. Few research studies in R&D projects that included research using big data or contributing to developing medical instruments. Finally, an insufficient number of nursing specialists participated on government R&D advisory committees. Conclusion: For nursing service R&D development efforts should be toward quantitative expansion and qualitative improvements by sensitively recognizing policy direction of government supported R&D. The promotional capacity of nursing service R&D must be reinforced through a multidisciplinary approach and collaborative association with other professionals and the inclusion of nurse specialists on government R&D advisory committees.