• Journal of Korean Academy of Nursing
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• v.45 no.5
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• pp.773-782
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• 2015

Purpose: The purpose of this study was to explore the experience of fluid management in hemodialysis patients by describing how they manage fluid intake and what affects fluid management. Methods: Purposive sampling yielded 11 patients who have received hemodialysis for one year or longer in one general hospital. Data were collected through in-depth interviews and analysed using Giorgi's phenomenological method. Data collection and analysis were performed concurrently. Results: The findings regarding how hemodialysis patients manage fluid intake were classified into four constituents: 'recognizing the need for fluid control', 'observing the status of fluid accumulation', 'controlling fluid intake and output', 'getting used to fluid management'. The factors that affect fluid management of hemodialysis patients were revealed as 'willpower', 'change in the mindset', 'support system', and 'emotional state'. Conclusion: The study results show that hemodialysis patients manage fluid intake through food and exercise as well as interpersonal relationships. These findings suggest that strategies in the development of nursing interventions for hemodialysis patients should be directed at assisting them in familiarization with fluid management based on an understanding of their sociocultural contexts.

• The Journal of Korean Academic Society of Nursing Education
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• v.26 no.2
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• pp.198-207
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• 2020

Purpose: The purpose of this study was to explore the meaning of nursing students' experiences in virtual simulation practice. Methods: The participants were six nursing students who have experience in a virtual simulation. Data were collected from August to September 2019 through a focus group interview. Giorgi's phenomenological method was used for analysis. Results: The study results revealed 3 constituents and 6 sub-constituents that are essential for nursing student's experiences in a virtual simulation. The three constituents were: "Chaos in the virtual reality", "The process of adjusting to chaos", and "Becoming an independent nurse in a safe virtual reality". Conclusion: Based on the results of this study, the following suggestions are made. Results suggest the development of virtual simulations in Korean, the use of simulations as a group activity first, and the use of simulation between lecture and practice or in the regular curriculum. The results of the study can be used as primary data for providing virtual simulation in nursing education.

• Journal of Korean Academy of Nursing
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• v.23 no.4
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• pp.511-527
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• 1993

Pregnant women need to be supported by their husbands and other family members. But little is known about the factors that contribute to perceived support in pregnant women. So this study is designed to identify the factors contributing to perceived support in pregnant women. The subjects for this study were 19 women who had had vaginal deliveries and 11 who had had cesarean sections in one hospital affiliated with a university. Data were collected during July and August 1992 through interview which lasted 20~30 minutes and used open ended questions. Each woman was interviewed once about their pregnancy experience. The data were analyzed by Van Kaam’s phenomenological analysis method and categorized accord-ing to similarity of content. Results of this study are as follows. 1) Mothers felt physically supported by having help with their activities from their husbands or other family members. Psychological stress was relieved by not having to worry about and / or giving a birth to a baby boy ; getting special attention : and hearing encouraging words. 2) Mothers felt not supported when indifference was shown by her husband and / or relatives ; when forced to do an unusual household activities ; or on hearing words stressing her responsibilities. Suggestion for further study are as follows. It is necessary to see if or not the contents of an educational program would increase the perceived support of pregnant women. This could be done by carrying out an experimental research project.

• Research in Community and Public Health Nursing
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• v.31 no.2
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• pp.199-211
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• 2020

Purpose: The purpose of this qualitative study was to describe the essence and the meaning of nurses' experiences of end-of-life care (EOLC) for elderly patients in the long-term care hospitals (LTCHs). Methods: Data were gathered from 12 nurses who had been working at LTCHs in Korea through one-on-one interviews and the data were analyzed by Colaizzi's phenomenological method. Results: The emergent 5 themes were 'Doing the best for protecting patients' life', 'Providing a comfortable dying process for patients', 'Supporting a family's keeping on patient's death', 'Reflecting on life' and 'Desiring for the establishment of a humanity end-of-life care environment'. Conclusion: The end-of-life care for the elderly patients includes supporting elderly patients' comfortable dying process and helping the family keep the death of the elderly. The results indicated that physical facilities and end-of-life nursing capacity should be established in LTCHs for improving the quality of EOLC.

• Journal of Korean Public Health Nursing
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• v.31 no.1
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• pp.149-161
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• 2017

Purpose: This phenomenological study was conducted to describe and understand the experience of vulnerable elderly individuals with diabetes by identifying the meanings and structures of the experience. Methods: The data were collected through in-depth interviews of six vulnerable elderly individuals with diabetes aged over 65 years. The interview data were audio-recorded, transcribed verbatim and checked for accuracy. The Colaizzi's method of phenomenology was used to analyze the data. Results: Four theme clusters were extracted as follows: 'Life adversity', 'Adaptability to the life', 'Replacement of absence of family with social support', 'Difficulty of self-care'. Conclusion: The results provide an in-depth understanding of life experiences of vulnerable elderly individuals with diabetes. The findings will be useful to nurses caring for this population.

• Journal of Korean Critical Care Nursing
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• v.8 no.1
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• pp.11-24
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• 2015

Purpose: The purpose of this study was to explore the experience of patients on the waiting list for kidney retransplantation. Methods: The data were collected by individual in-depth interviews of nine patients who were dialyzed after primary kidney graft dysfunction and were waiting for deceased donor kidney retransplantation. All interviews were audio-taped and transcribed, and were analyzed using a phenomenological method. Results: The findings included 5 theme clusters and 13 sub-themes. The 5 clusters were 'Diagnosed with chronic renal failure and dialysis: Broken daily life and crisis', 'Kidney transplantation: The only way to escape from dialysis', 'Kidney graft failure: Inevitable moving backward to hemodialysis', 'Self-management of re-dialysis patients: Growth through pain', and 'The waiting for kidney retransplantation: To try again in the hope of getting a new life'. Conclusion: This study provides a deep understanding of patients with dialysis who are waiting for deceased donor kidney retransplantation. On the basis of the findings of this study, health professionals can provide customized information and develop effective nursing interventions to improve the self-management of these patients.

• Journal of Educational Research in Mathematics
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• v.13 no.1
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• pp.25-55
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• 2003

In the school mathematics, the negative numbers have been instructed by means of intuitive models(concrete situation models, number line model, colour counter model), inductive-extrapolation approach, and the formal approach using the inverse operation relations. These instructions on the negative numbers have caused students to have the difficulty in understanding especially why the rules of signs hold. It is due to the fact that those models are complicated, inconsistent, and incomplete. So, students usually should memorize the sign rules. In this study we studied on the didactical phenomenology of the negative numbers as a foundational study for the improvement of teaching negative numbers. First, we analysed the formal nature of the negative numbers and the cognitive obstructions which have showed up in the historic-genetic process of them. Second, we investigated what the middle school students know about the negative numbers and their operations, which they have learned according to the current national curriculum. The results showed that the degree they understand the reasons why the sign rules hold was low Third, we instructed the middle school students about the negative number and its operations using the formal approach as Freudenthal suggest ed. And we investigated whether students understand the formal approach or not. And we analysed the validity of the new teaching method of the negative numbers. The results showed that students didn't understand the formal approach well. And finally we discussed the directions for improving the instruction of the negative numbers on the ground of these didactical phenomenological analysis.

• Korean Institute of Interior Design Journal
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• v.24 no.2
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• pp.117-124
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• 2015

With the modern society approaching, a lot of new paradigms have been created which can be explained by the existing space notions while suspicions on the true essence and existence of space have been raised. Ontology regards as the beginning the cause for a 'Field' which will be faced for the research of the essence of a space where 'being-in-the-world' exists. This study has analyzed the existing method of space construction in the spatial thinking and works of Peter Zumthor who mentioning ontological viewpoint as the physiological background of his works so that the ontological spatial concept may be clarified. The following is the study results. First, in order to construct the structures of his own designing into a 'Field' for experiencing the existential meaning, Zumthor chose a reductive pattern with the entire additional elements removed. The materials leading the subjects to call attention to memory and experience and the methods dealing with it enables the realization of various spatial essences. Second, the ontological event-system is required for the formation of relationship among beings. He tried to create a spatial meaning by introducing external environment into the inside and using the materials reflecting regional features and phenomenological empiricism through the multisensory experience. Third, he applied assimilation/insert/adjustment/formative change as the way of constructing the relationship between site and structure.

• Korean Journal of Adult Nursing
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• v.26 no.3
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• pp.275-286
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• 2014

Purpose: The purpose of this study was to explore the meaning and essence of good nursing from the perspective of patients undergoing hemodialysis. Methods: The data were collected through in-depth interviews of five hemodialysis patients who have been dialyzed for one year or longer. The data analysis was conducted using the Giorgi's phenomenological method. Results: The findings included six constituents and 13 sub-constituents. The six constituents were 'prompt and skillful response to mitigate distress', 'careful attention to provide relief', 'individualized education to promote self-management', 'an intimate relationship to regain isolated ego', 'warmhearted support to encourage strength to live in a exhausting life', and 'providing of comfortable environment to maintain stability'. Conclusion: From the perspective of the hemodialysis patients, the concept of good nursing should stem from the integration of nurses' scientific knowledge, expert skills, and moral sensitivity. The finding suggests that strategies to develop nursing interventions for hemodialysis patients will be required on the basis of understanding of their sociocultural contexts and familism.

• Korean Journal of Adult Nursing
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• v.20 no.1
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• pp.149-162
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• 2008

Purpose: The purpose of this study was to understand the meanings and nature of ICU admission experienced among patients with critical illness. The present study adopted a hermeneutic phenomenological method which was developed by van Manen. Methods: The participants for this study were 6 men and 3 women, who were over the age of 20 with ICU admission period more than 3 days. Data were collected by using in-depth interviews and observations from March, 2007 to September, 2007. The contents of the interviews were tape-recorded with the consent of the subject. Results: The essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were as follows: a body that cannot react the way it wants, a wave of fear and insecurity everywhere, a struggle to survive, coming out from death's door, loss of time path, a long and continued waiting until escaping, more of machinery room than a patient's room, existence of life and death, an abyss of suffering seen thru another patient, taken care of by a doctor, trust and distrust, family, the ultimate safe zone. Conclusion: Critically ill patients in ICU experienced feelings of discomfort, unsafety, and insecurity. The result of this study can give nurses some insight into these experiences and help promote empathetic care.