• Title/Summary/Keyword: Nursing counseling

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Physicians' Knowledge about Hereditary Breast Cancer in South Korea (국내 임상 의사의 유전성 유방암에 대한 지식도)

  • Choi, Kyung-Sook;Tae, Young-Sook;So, Hyang-Sook;Lee, Woo-Sook;Hur, Myung-Haeng;Kang, Mi-Young;Son, Song-Yi;Lee, Mi-Hi;Lee, Young-Lan;Choi, In-Soon;Jang, Eun-Sil;Kim, Seong-Jae;Jun, Myung-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.1
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    • pp.105-113
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    • 2007
  • Background: Cancer genetics have gained public attention dramatically. Everyday physicians and nurses use the knowledge of cancer genetics in their practices. Despite the importance of the knowledge of the health care providers on cancer genetics, there is a paucity of literature investigating the levels of knowledge about cancer genetics among health care providers. Purpose: This study aimed to describe the Korean physicians' current knowledge level about hereditary breast and ovarian cancer (HBOC). Method: This nation-wide survey used a 15-item questionnaire which is modified from the Breast Cancer Genetic Counseling Knowledge Questionnaire originally developed by Erblich et al.(2005). One hundred and forty-four physicians participated in this survey from October 1, 2006 to March 31, 2007. Result: Physicians' knowledge level about hereditary breast cancer was 11.94 (S.D=2.46). Physicians with short-term careers (less than one year), the position of Intern, or who were involved in breast or ovarian cancer care demonstrated the highest knowledge about HBOC. Conclusion: Genetic courses in medical education seemed to contribute to the high level of physicians' genetic knowledge. Also, nursing discipline needs to incorporate genetics or genetic counseling courses into the formal educational curriculum in order to deliver up to date cancer care services which are sensitive to ever-changing cancer genetic information.

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A Qualitative Content Analysis of Journals for Cadaver Practice Experiences in Nursing Students (간호대학생의 카데바 실습일지에 대한 내용분석)

  • Jeong, Chu-yeong;Seo, Young-sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.8
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    • pp.257-264
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    • 2017
  • The purpose of this study was to identify the experiences of nursing students who used journals for cadaver practice experience. The data were collected between October 26 and October 28 2016. Participants were 20 2-year nursing students with cadaver practice experience at D College in D City. The data were collected from daily sheets by self-reporting their experiences during the cadaver practice program. The participants wrote their experiences anonymously on sheets on paper. Data were categorized and coded by using content analysis. Eight categories and 21 statements were drawn from three domains. The study revealed that participants experienced anxiety, flow, and reflection of cadaver practice. The analyzed domains were 'anxiety', 'flow', and 'reflection'. 'Anxiety' was categorized into 'worry', 'fear', and 'surprise'. 'Flow' was categorized into 'interesting', 'focusing', and 'knowing'. 'Reflection' was categorized into 'dignity' and 'appreciation'. Therefore, It is necessary to provide a group counseling program for seniors who have experienced counseling and cadaver practice for psychological support and anxiety relief of nursing students before cadaver practice. In addition, this study is expected to contribute to the development of a cadaver practice program for nursing college students.

Current Status of Home Visit Programs: Activities and Barriers of Home Care Nursing Services (재가간호서비스 제공자의 업무 수행 현황과 장애요인)

  • Oh, Eui Geum;Lee, Hyun Joo;Kim, Yukyung;Sung, Ji Hyun;Park, Young-Su;Yoo, Jae Yong;Woo, Soohee
    • Journal of Korean Academy of Nursing
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    • v.45 no.5
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    • pp.742-751
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    • 2015
  • Purpose: The purpose of this study was to examine the current status of home care nursing services provided by community health nurses and to identify barriers to the services. Methods: A cross-sectional survey was conducted with three types of community health care nurses. Participants were 257 nurses, 46 of whom were hospital based home care nurses, 176 were community based visiting nurses, and 35 were long term care insurance based visiting nurses. A structured questionnaire on 7 domains of home care nursing services with a 4-point Likert scale was used to measure activities and barriers to care. Data were analyzed using SPSS WIN 21.0 program. Results: Hospital based home care nurses showed a high level of service performance activity in the domain of clinical laboratory tests, medications and injections, therapeutic nursing, and education. Community based visiting nurses had a high level of service performance in the reference domain. Long term care insurance based visiting nurses showed a high level of performance in the service domains of fundamental nursing and counseling. Conclusion: The results show that although health care service provided by the three types of community health nurse overlapped, the focus of the service is differentiated. Therefore, these results suggest that existing home care services will need to be utilized efficiently in the development of a new nursing care service for patients living in the community after hospital discharge.

Effect on Smoking Quit Rate of Telling Smokers their Health Risk Appraisal in Terms of Health Age: A Randomized Control Trial

  • Paek, Yu-Jin;Lee, Sungkyu;Kim, Yun-Hee;Lee, Kang-Sook;Yim, Hyeon-Woo;Kim, Myung-Shig;Kim, Cheol-Hwan;Jeung, Ok
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.12
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    • pp.4963-4968
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    • 2014
  • Background: We evaluated whether providing health risk appraisal for Koreans (KHRA) in terms of 'health age' during smoking cessation program would effectively help smokers quit smoking or not. Materials and Methods: A total of 332 male smokers aged between 30-65 years old, registered for a smoking cessation program in a public health center in a city, were recruited and underwent a baseline survey from January 2010 to February 2011. They were then prospectively randomized to a conventional counseling group (n=165) or a KHRA group (n=167), and received conventional counseling or KHRA-based counseling for six months. Abstinence rates were identified through carbon monoxide measurement (at the $4^{th}$ and $24^{th}$ weeks) or urinary cotinine level (at the $12^th$ week). Results: The abstinence rate confirmed by exhaled carbon monoxide was significantly higher in the KHRA group (61.1%) than the control group (49.1%) at the $4^{th}$ week (absolute difference 12.0%, 95% CI: 1.4%-22.6%). However, there was no difference in abstinence rates between the two groups at the 12th and 24th weeks. The predicting factors of 24 week's smoking cessation success were age, older than 50 years old (OR 2.02, 95% CI: 1.16-3.52), lower Fagerstr$\ddot{o}$m Test for Nicotine Dependence score less than 4 (OR 1.84, 95% CI: 1.03-3.29), and higher Self Efficacy/Temptation score (OR 1.79, 95% CI: 1.05-3.06). Conclusions: Smoking cessation counseling with KHRA could be effective compared to conventional counseling in the short period of smoking cessation. Further study is needed to evaluate the long-term efficacy of KHRA in tobacco dependence treatment and to establish the indication and target population of this tool.

Practice-based Evidence for Health Promotion in Underserved Clients with Hypertension in Primary Health Care Settings

  • Hong, Woi-Hyun
    • Research in Community and Public Health Nursing
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    • v.26 no.4
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    • pp.390-397
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    • 2015
  • Purpose: The purpose of this study was to explore practice-based evidence for health promotion in vulnerable populations with hypertension in primary health care settings. Methods: Two methodological procedures were adopted for this triangulation study. In the first phase, the sample was obtained from the computerized clinical data repository of a community nursing center. A total of 286 clients were assessed for hypertension as an actual circulation problem as coded in the Omaha System. In the second phase, a qualitative focus group was surveyed through semi-structured interviews conducted by nine advanced practice nurses who had been serving the hypertensive patients. Results: The community nurses provided essential primary healthcare services including health teaching guidance and counseling, and surveillance to vulnerable populations living in medically underserved community. There was a significant positive correlation between knowledge and behavior (r=.53, p<.01), between knowledge and health status (r=.40, p<.05), and between behavior and health status (r=.48, p<.01). Conclusion: This triangulation study encompassed not only quantitative findings from the computerized records of clients but also other information acquired from advanced practice nurses. This study contributes to understanding the importance of health promotion nursing interventions even with populations already diagnosed with chronic diseases such as hypertension.

Effects of a Positive Psychology-based Mental Health Promotion Program for High School Students (고등학생을 위한 긍정심리학 기반 정신건강증진 프로그램의 효과)

  • Hyun, Myung Sun;Yun, Mi-kyung;Chae, Sun-Mi;Oh, Hee Young;Jung, Sun-Mi
    • Child Health Nursing Research
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    • v.26 no.2
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    • pp.154-163
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    • 2020
  • Purpose: The purpose of this study was to investigate the effects of a positive psychology-based mental health promotion program for high school students. Methods: This study used a randomized control group pretest-posttest design. A total of 47 high school students participated from two high schools in Gyeonggi Province. They were randomly assigned to an experimental group (n=24), which participated in the 8-session program, or to a control group (n=23). Psychological well-being, depression, and self-esteem were measured. Results: A significant difference in psychological well-being was observed between the two groups after the program. However, there were no significant between-group differences in depression or self-esteem. Conclusion: The positive psychology-based mental program was effective at increasing psychological well-being in adolescents, especially high school students. This study suggests that a school curriculum could incorporate positive psychology-based mental programs for high school students to promote their mental health.

The Effect of Yoga and Health Calisthenics Program in the Middle Aged Women on Physiological Index and Life Satisfaction (요가와 건강체조 프로그램이 중년여성의 생리적 지수와 생활만족도에 미치는 효과)

  • Min, Soon;Jang, Sook-Hee;Kim, Hye-Sook;Ha, Yun-Ju;Chung, Kyoung-A;Jung, Sun-Ju
    • Journal of Korean Biological Nursing Science
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    • v.12 no.2
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    • pp.97-105
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    • 2010
  • Purpose: The purpose of this study was to examine the effect of yoga and health calisthenics program in the middle aged women on physiological index and life satisfaction. Methods: This research was an one group pretest-posttest design. A pre and post measurement tool of the program was applied to measure body weight, obesity, rate of body fat, vital capacity, inhalation rate of oxygen, sit-up, grasping power, total physical response, body anteversion, body mass index (BMI), total physical strength, physical strength, health age, life satisfaction. Data collected from this tool was analyzed by SPSS in paired t-test. Results: The results were summarized as follows: yoga program group, the body weight, obesity, BMI, %body fat of the decreased. The results of pulmonary yoga group, vital capacity and inhalation rate of oxygen, total physical strength examination results showed a significant difference. Conclusion: In this study, the yoga program was effective in positive on body composition and physical strength, life satisfaction in middle aged women.

Study on the Effects of the Nursing Intervention Program for Perimenstrual Discomfort of the Female University Students (일부 여대생의 월경전후기 불편감에 대한 간호중재 프로그램 효과 검증에 관한 연구)

  • 홍경자;박영숙;김정은;김혜원
    • Journal of Korean Academy of Nursing
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    • v.28 no.4
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    • pp.821-831
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    • 1998
  • Management of perimenstrual discomfort could be an effective strategy for women's health promotion. This study was designed to develop and test the nursing intervention program for the reduction of the perimenstrual discomfort. The data were collected from a group of 76 female university students (34 in the intervention group, 42 in the control group) during November 20, 1997 and March 10, 1998. Measurements were taken concerning perimenstrual discomfort, self care behavior, and perimenstrual discomfort from both groups, at pre and post intervention. Intervention program involved education, support, counseling, and relaxation training, via individual and group levels over a twelve-week period. Listed are the summarized results : 1. The intervention group had more knowledge con corning perimenstrual discomfort(t=2.290, p=.025), self care behavior(t=3.198, p=.000), and lower perimenstrual discomfort score (t=-4.446, p=.000) than the control group at post intervention. 2. The intervention group showed an enhancement on the knowledge on perimenstrual discomport (t=2.35, p=.025), and decreased the perimenstrual discomfort score(t=-7.36, p=.000). However change of self care behavior was not significant during the intervention. According to this study a developed nursing intervention program is effective for reduction of the perimenstrual discomfort. For a future research, it is necessary that experiments concerning menstruation, and a correlational study of perimenstrual discomfort and stress ill be performed.

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A Study on the Female Adolescents' Sexual Attitude in High School (청소년기 여성의 성태도)

  • Kim, Young-Hae;Eo, Yong-Sook;Choi, So-Young;Lee, Ji-Won
    • The Journal of Korean Academic Society of Nursing Education
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    • v.10 no.1
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    • pp.33-43
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    • 2004
  • Purpose: The purpose of this study was to measure the attitude for sex in high school students in order to provide basic sex education program. Method: The questionnaires were given to 905 students in the high schools and collected during the period from 1st to 31st May, 2003. Data were analyzed by SPSS WINS. Result: The level of sexual attitude was low level of conservative. Thirty five percent of adolescents in the study perceived liberal sexual attitude based on the cut-point suggested by Hudson et. al.(1983). There were significant difference between general characteristics, sexual characteristics and sexual attitude in the familial characteristics, contact of internet chatting, the perception of post-contraceptives, reject of sexual contact and sexual counseling with parents and significant others. Conclusion: It is required to develope sex education programs in order to establish sexual attitude in the female adolescents.

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A Study on Parenting Attitude and Stress according to Personality Type in Elementary School Students' Mothers (초등학생 어머니의 성격유형에 따른 양육태도 및 양육스트레스)

  • Koh, Hyo-Jung;Kwon, Yun-Hee;Kim, Min-Young
    • Research in Community and Public Health Nursing
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    • v.20 no.2
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    • pp.215-224
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    • 2009
  • Purpose: This study was performed to examine parenting attitude and stress according to personality type in elementary school students' mothers. Methods: The subjects consisted of 206 mothers of students. The measurement instrument was the questionnaire consisting of Korean-version MBTI and PSI test. Data was collected from March 15th to April 15th, 2008. Results: Among personality types by function, ST type was most, occupying 60.2%. Among personality types by temperament, SJ type was most, occupying 59.2%. The score of affective attitude was highest among the parenting attitudes. Parenting attitude was significantly different according to age, education, economic status, number of children, planned pregnancy, factor of stress, and family type. Parenting stress was significantly different according to planned pregnancy and factor of stress. In parenting attitudes by personality types, affective attitude was significantly different. Parenting stress was significantly different according to personality type by function. There was a negative correlation between affective and autonomic attitudes and parenting stress. There was a positive correlation between rejective attitude and parenting stress. Conclusion: It would be essential to provide dynamic developmental programs for increasing the children's social ability, and nursing intervention, education and counseling programs for decreasing parenting stress through understanding mothers' personality type.

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