• 기본간호학회지
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• 제18권1호
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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.

• Journal of Korean Biological Nursing Science
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• 제21권2호
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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.

• 근관절건강학회지
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• 제30권2호
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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.

• 대한간호학회지
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• 제45권2호
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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.

• 대한간호학회지
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• 제30권5호
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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.

• Asian Pacific Journal of Cancer Prevention
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• 제15권12호
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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.

• 대한간호학회지
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• 제36권3호
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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.

• 성인간호학회지
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• 제19권1호
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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.

• 한국산학기술학회논문지
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• 제16권11호
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• pp.7262-7272
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• 2015

본 연구는 간호대학생의 동아리 활동을 통한 자원봉사 경험의 의미를 알아보기 위해 현상학적으로 접근한 질적 연구이다. 2015년 5월 1일부터 6월 12일까지 3개 대학에서 동아리 활동을 하는 간호대학생 19명을 대상으로 자료수집을 하였다. 연구질문은 "당신은 간호학 전공자로서 대학생 동아리 활동을 통한 자원봉사를 하면서 어떤 경험을 하였습니까?"이었으며 1-3회 30-45분간 심층인터뷰를 하였다. 기록된 내용 분석과정에서 연구자들은 연구자간 상호일치성을 위해 3차례의 의미 재분석의 과정을 통해 연구자간 통합된 의미를 도출하여 연구결과의 타당도를 높였다. 연구결과는 '낯선 상황에 놓여져 힘듦', '한계에 부딪힘', '뿌듯함이 밀려드는 대학생활의 쉼표', '성숙한 인간관계로의 발돋움', '변화된 나를 발견', '전공으로의 접근', '미래에 대한 자부심'의 7개 중심 주제를 도출하였다. 이러한 간호대학생의 자원봉사 경험을 바탕으로 보다 지속적인 봉사활동을 위해 대학과 지역사회의 공동목표를 설립하고 해결해 나가는 프로그램 도입이 필요함을 시사하고 있다.

• 임상간호연구
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• 제17권3호
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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.