• 제목/요약/키워드: Nursing approach

검색결과 945건 처리시간 0.023초

인터넷게임중독 청소년과 비중독 청소년의 스트레스 수준과 HPA axis 활성도 비교 (Comparison of Stress Level and HPA axis Activity of Internet Game Addiction vs. Non-addiction in Adolescents)

  • 김은화;김나현
    • Journal of Korean Biological Nursing Science
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    • 제15권4호
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    • pp.173-183
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    • 2013
  • Purpose: The purpose of this study was to compare the stress level and HPA axis activity of an internet game addiction group and non-addiction group in adolescents. Methods: A cross-sectional comparative study was performed with 140 male high school students from 9 vocational high schools at W city. Data were collected from July to September, 2012, using a questionnaire for measuring internet game addiction and stress level, blood samples for serum ACTH, and cortisol level for HPA axis activity. Data were analyzed using descriptive analysis, $X^2$-test, t-test, ANOVA, and Pearson correlation coefficient with SPSS/WIN 15.0. Results: The stress level of the internet game addicted group was significantly higher than that of the non-addicted group (p<.001). The serum cortisol level was also significantly higher in the internet game addicted group than in the non-addicted group (p<.026). The serum ACTH level was higher in the internet game addicted group more than in the non-addicted group (p<.072). Conclusion: These results showed that internet game addiction could increase stress level and HPA axis activity in high school adolescents. Thus, a nursing approach to prevent and relieve internet game addiction should be initiated to stabilize the HPA axis of internet game addicted adolescents.

간호사의 공감피로 문헌분석 (A Literature Review of Compassion Fatigue in Nursing)

  • 양영희;김종경
    • 성인간호학회지
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    • 제24권1호
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    • pp.38-51
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    • 2012
  • Purpose: In this study the literature of compassion fatigue in nurses was reviewed in order to analyze the trends of overall research for level of fatigue, symptoms, and factors. Methods: For this study, five databases were searched using the key words 'compassion fatigue', 'secondary traumatization', 'secondary traumatic stress', and 'vicarious traumatization'. Thirty-six papers were analyzed. Results: Most of the compassion fatigue research (86%) was conducted between 2006 and 2011 and the most frequent research approach was quantitative research with the ProQOL which was the most frequently used instrument in the studies. He research was conducted in pediatric, emergency & trauma, oncology, psychiatric, and hospice units with no consistent patterns of t compassion fatigue levels. Factors affecting compassion fatigue were personal factors such as age, education background, work-related factors such as caring for trauma patients, work hours, psychological factors such as work stress, burnout, and support/coping factors such as organizational support, and coping resources. Conclusion: Nurses' compassion fatigue varied from low to high by nursing specialties. Many factors affected the compassion fatigue of nurses. In the future there is a need for study on Korean nurses, and identification of groups at risk for compassion fatigue. Furthermore there is a need to develop management programs on compassion fatigue in nurses, stress reduction and wellbeing.

긍정심리향상 프로그램이 노인의 우울과 죽음불안에 미치는 효과 (The Effects of a Positive Psychology Improvement Program on Elders' Depression and Death Anxiety)

  • 임승주;이홍자;김춘미;고영
    • 지역사회간호학회지
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    • 제26권3호
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    • pp.238-247
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    • 2015
  • Purpose: This study was conducted to investigate the effects of a positive psychology improvement program on elders' depression and death anxiety. Methods: This was conducted as a quasi-experimental study with non-equivalent control group pretest-posttest design. The participants were community elders aged over 65 recruited by convenient sampling. A total of 94 elders (32 in the individual experimental group, 32 in the collective experimental group, and 30 in the control group) participated. Data were collected between April and September, 2012 and analyzed by using SPSS/WIN 21. Results: The individual and group approach experimental groups had significantly lower scores of depression than the control group after the treatment (F=7.50, p=.001). For death anxiety, however, only the individual experimental group had a significantly lower score compared to the control group (F=4.56, p=.013). Conclusion: These results indicate that the positive psychology improvement program was effective in decreasing depression and death anxiety in the elderly. Therefore, the program needs to be applied in a customized way fittingly to the characteristics of the elderly in community, and individually and/or collectively according to its purposes.

청소년의 성허용성과 가족기능 및 부모와의 의사소통 (The Study on Sexual Permissiveness, Family Function and Parent-Adolescent Communication in Adolescents)

  • 최미혜;김경희;권혜진;김수강
    • Child Health Nursing Research
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    • 제11권1호
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    • pp.54-62
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    • 2005
  • Purpose: This study was done to examine the relationship between sexual permissiveness, family function and parent-adolescent communication among adolescents. Method: A descriptive correlation approach was used and the participants were 956 male and female students. Data were collected by questionnaire survey using convenience sampling. The instruments were the Family APGAR Questionnaire by Smilkstein(1978), PAC by Olson and Barnes(1982), and the Premarital Sexual Permissiveness Questionnaire by Reiss(1967). Data were analyzed using the SPSS 10.0 program with descriptive statistics, Pearson correlation coefficients, t-test, and ANOVA. Results: Family function was significant according to school record, economic status, living arrangement of parent. Parent-Adolescent Communication was significant according to religion, economic status, having a boy/girl friend, and experience of sexual intercourse. Sexual permissiveness was significant for all except economic status. Correlation among the variables showed that parent-adolescent communication was negatively correlated to sexual permissiveness(r=-.127, p=.000) and positively to family function(r=.368, p=.000). Conclusion: The findings suggest that parent-adolescent communication and family function are associated with sexual permissiveness, and the findings of this study are expected to make a contribution to creating an ideal sexual culture for youth.

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병동 간호관리자의 문제상황 관리 경험 (Nurse Managers in a Difficult Situation on Caring Clients: A Critical Discourse Analysis)

  • 조명옥
    • 성인간호학회지
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    • 제19권5호
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    • pp.56-69
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    • 2007
  • Purpose: This study aimed to explore the discourses and the patterns of problem solving behaviors among the nurse managers. The focus of the study was the difficult situations in caring with patients and their families. Methods: Field study was performed at a for-profit hospital from March, 2004 to March, 2007. The participants of the study were 5 head nurses and 2 nurses in charge. The data were collected with iterative interviews and participant-observations. For the analysis of the data, taxonomy and critical discourse analyzing were applied. Results: The nurse mangers who showed wholistic patterns of behavior took the role of a broker among the client system, professional nursing system, medical system, and other allied health system. The nurse managers whose approach was profession-centered took the role of protector of nursing system. The nurse manager who practiced nurse-oriented pattern of behavior tried not to have harm against other members of health system. The experiences of nurse managers were effected from the discourses of patriarchal and market mechanism. Conclusion: The situation that provoke conflict between clients and nurses become more common with the changes to the health care system and to society. Nurse managers take the role of these conflict problems. The successful solving of conflict in a nursing care setting promotes the quality of care and satisfaction of clients. Programs for enhancing nurse's problem solving competency should anchored be in their practices.

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한인간호사의 미국병원 내 임상실무경험 (Clinical Work Experience of Korean Immigrant Nurses in U.S. Hospitals)

  • 서금숙;김미영
    • 대한간호학회지
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    • 제46권2호
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    • pp.238-248
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    • 2016
  • Purpose: The purpose of this qualitative study was to explore the meaning of the experience of Korean immigrant nurses working in US hospitals. Methods: Purposive sampling yielded 15 Korean immigrant nurses who had more than one year of clinical experience in US hospitals. Data were collected from March to August 2012 through in-depth interviews and thematic analysis was conducted using van Manen's hermeneutic phenomenological approach. Results: The findings were classified into eight themes: 'struggling from staff at workplace being territorial to outsiders', 'feeling oppressed due to language barrier', 'accepting rational and horizontal relationships at work', 'staying alert in the environment where lawsuits are rife', 'feeling a sense of stability from the social system that values human dignity', 'maintaining self-confidence from prominent nursing practices and senior Korean nurses' professional reputation', 'performing essential comprehensive nursing care', 'promoting self-development to be equipped with professionalism.' Conclusion: The findings indicate that the Korean immigrant nurses were able to excel in their workplace when their clinical experience at US hospitals was combined with the lived space in US politics and environment, lived time of patience, lived body to be alert, and lived others with multi cultural characteristics.

간호학생의 전공교육 입문경험에 관한 연구 (The Study of an Entrance Experience into Major Subject of a Student Nurse)

  • 조계화;조영숙
    • 한국간호교육학회지
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    • 제7권2호
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    • pp.360-368
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    • 2001
  • This research was an attempt to find out an entrance experience into major subject of student nurse. The purpose of this study was to understand an lived learning experience of student nurse. Method of the study was applied a phenomenological approach used by Colaizzi's analytic technique. Participants were 33 sophomore student nurse from TC University. The investigator conducted participated observations and in-depth unstructured interviews which were audio taped under the permission of student nurse, formulating meanings, themes and theme clusters. Results of the study were revealed 6 categories, 14 theme clusters, and 31 themes. Six categories include 'feeling anxious about clinical application', 'making superficial class', 'evaluation for ability of memory', 'deficit of academic evaluation criteria', 'insufficiency of textbook' and 'deficit for uniqueness of nursing science'. This findings confirm the fact that the student nurse's entrance experience was complicated and diversely influenced by their learning experiences. In conclusion, this study will prove helpful not only in understanding student nurse's entrance experience about their specialities but also in developing curriculum for nursing education.

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여성 노인의 생기현상 - 근거이론적 접근 - (The Phenomenon of Elderly Women's Vitality - A Grounded Theory Approach -)

  • 김연숙;문명자;이선혜
    • 기본간호학회지
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    • 제9권2호
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    • pp.268-278
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    • 2002
  • Purpose: This study provides useful basic information about caring for elderly women. It also promotes understanding by confirming what can vitalize the women and improve quality of life in elderly women as they continue to become important in the society which is moving towards being an 'aged society'. Method: Grounded theory a qualitative research method, was use to develop new thesis regarding life's vitality in elderly women. Thirteen women participated in the research. They were women without any problems in perception or communication and who agreed to participate in the research. Result: The results, using analysis process of Strauss and Corbin (1990). showed that life's vitality in elderly women is to bring well-being through vitalization against weakness. Conclusion: Based on such these results, this study will be helpful to nursing mediation and policy development which will improve the quality of life of elderly women through better understanding and promotion of life's vitality.

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노인장기요양보험제도에서의 가족수발자의 경험 (The Experiences of Family Caregivers under the Long-term Care Insurance)

  • 김은영;이가언;김삼숙;이춘이
    • 지역사회간호학회지
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    • 제23권4호
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    • pp.347-357
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    • 2012
  • Purpose: The purpose of this study was to explore the experiences of family caregivers who care for the elderly under Long-term Care Insurance. Methods: Data were collected using focus group interviews and analyzed using a phenomenological approach. The four focus groups consisted of eight caregivers, two social workers and three nurses in B city, Korea. Results: Five themes were identified: 'Obtaining a care-helper certification for employment', 'Taking care of the elderly in their homes', 'Difficulties due to life changes', 'Difficulties due to reduced wages' and 'Dissatisfaction with the Long-term Care Insurance operating system'. Conclusion: The results of this study demonstrate that the long-term care system for family caregivers faces many systematic challenges in providing care for the elderly harmoniously in their home. To help them succeed in their tasks, Long-term Care Insurance system must offer respite and support programs to family caregivers.

고등학생들의 자살에 대한 태도 유형 - Q방법론적 접근 - (Types of Attitude toward Suicide in High School Students: A Q-Methodology Approach)

  • 최혜정;이종화;정혜경;권성복
    • 한국보건간호학회지
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    • 제25권2호
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    • pp.276-288
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    • 2011
  • Purpose: The rate of suicide is rising most rapidly among high school students. Teenage suicide is no longer just a personal problem. This study investigated and classified high school students concerning in South Korea with an aim of identifying suicidal ideation and types of teenage suicide. Method: A Q-methodology was used to identify factors in suicidal attitude of high school students. A Q-sample was collected from in-depth and objective interviews and literature reviews. A P-sample consisted of 37 high school students : selected Q-samples were sorted on a 9-point scale. Results: Three types of suicidal attitudes were evident among high school students : abomination(Type 1), understanding of the situation (type 2), and social responsibility(type 3). Conclusion: Precautionary measures against high school students suicide should be formulated according to the types of attitudes toward suicide in south Korea.