• Journal of Korean Academy of Fundamentals of Nursing
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• v.7 no.3
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• pp.379-390
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• 2000

Euthanasia have received considerable attention recentely in medical literature, public discussion, and proposed state legislation. Almost all the discussion in this area has focused on the role of physicians. However, nurse may be in special position to understand the wishes of patients and to act on this understanding. Purpose of this study is to identity the meaning of euthanasia in terminal ill patients on the nurses' veiw. Forcused interveiw design was used to data collection The data were analyzed by semantic analysis, and analysis of the data resulted in identification of 14 categories representing the meaning of euthanasia. 1. The meaning of supported euthanasia is 'free of suffering', 'difficulty of economic status', 'right of patient and family', 'dignity of death', 'organ transplant', 'social legislation'. 2. The meaning of opposited euthanasia is 'artificial death', 'value of life', 'uncertainity', 'guilt feeling' 3. The meaning of care in terminalily ill patients is 'avoidance', 'powerlessness'. 'apathy'. 'passive attitude'. The policy debate about professional roles in action that end of lives of patients must be extended nurses. Nurses must take an active role in discussion and definition of acceptable practice at the end of life.

• Journal of Korean Academy of Nursing
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• v.35 no.2
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• pp.225-238
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• 2005

Hwa-Byung(HB) has been categorized as a Korean culture-bound syndrome that is prevalent in married women of low socioeconomic status. Purpose: The Purpose of the study was to search for the essence of HB and a caring-healing process of HB. Then the research result discusses whether the Transpersonal Caring-Healing Model has been congruent with it. Method: Case examples resulted from in-depth telephone counseling over a period of time at the Women's Hot Line with a client who is a housewife with HB. The counseling content was analyzed through Giorgi's method of descriptive phenomenology. Result: The core meaning of the essence of HB was 'injustice'; and essential themes were 'lack of reciprocity', 'infidelity' 'suppressed aggression and powerlessness' and 'need for recognition'. The core meaning of the essence of the caring-healing process was 'caring-healing experience(maintaining a trust relationship)'; and essential themes were 'active listening', 'empathy' and 'forming a therapeutic relationship'. According to Watson, 'active listening', 'empathy' and 'forming a therapeutic relationship' were identified as intentionality, intersubjectivity and transpersonal. Conclusion: Transpersonal caring can release inner power and strength and help the person to gain a sense of inner harmony. Transpersonal caring is as important to healing as are conventional treatment approaches and even more powerful in the long run.

• Journal of Korean Academy of Nursing Administration
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• v.11 no.2
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• pp.185-194
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• 2005

Purpose: Although ethical dilemma is important concept in nursing and many research is accomplished, some difference in defining ethical dilemma among researchers. Therefore the purpose of this analysis was to correct understanding and using about ethical dilemma by clarify the attributes of ethical dilemma. Method: The concept analysis model suggested by Walker and Avant(1988) is used to clarify what is meant by the term 'ethical dilemma'. Results: The defining attributes of ethical dilemma identified in this study were as follows. First, It is simultaneously occurrence that above two conflictive ethical alternatives. Second, It is ought to choose one of the above two conflictive ethical alternatives. Third, It is difficult to compare with two alternatives. Fourth, It is cannot delay the choices. Fifth, It is cannot do satisfactory resolution. Six, It is broken out fix, loss or feeling of powerlessness to an individual. Conclusion: In this study, a concept analysis of ethical dilemma was performed to more clearly understand ethical dilemma. It is hoped that this analysis will stimulate further study for developing strategies for prevention of nurses' ethical dilemma.

• Journal of Korean Academy of Nursing Administration
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• v.9 no.4
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• pp.599-613
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• 2003

Purpose: The ultimate aim of the inquiry was to discover the essence of nurse's experience and promote understanding. Method : Guided by Colaizzi's method - 1. Description of the phenomena of interest by the reader. 2. collection of subject's description of the phenomena, 3. Reading all the subject's descriptions of the phenomenon, 4. Returning the original transcripts and extracting significant statements, 5. Trying to spell out the meaning of each significant statements, 6. Organizing the aggregate formalized meanings into clusters of themes. 7. Writing an exhaustive description, 8. Returning to the subjects for validation of the description, 9. If new data fare revealed during the validations incorporating them into an exhaustive description. The participants in this study were eight are nurses working for clinics. This strategies for data collecting were needed : deep face to face interview. Results : 6 cluster of themes are : 1. the heavy pressure, 2. the pride and the royal summons, 3. the powerlessness, 4. the hope, 5. the tiresome. 6. the distressed feeling. Conclusion : The results of the this study would help us to understand nurses in clinics, make direction for nursing education, and identify need for continuing inquiry.

• The Journal of Korean Academic Society of Nursing Education
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• v.22 no.3
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• pp.355-365
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• 2016

Purpose: This study explores the moral distress that nursing students experience during their clinical practice in Korea. Methods: Data were collected using focus group interviews, and analyzed using qualitative content analysis. Participants were recruited from three nursing schools in three different cities; each focus group interview lasted between one to two hours. Results: Twenty-two nursing students with more than one year of clinical practice experience participated. Three categories and ten themes were extracted. The following situational categories: "unprotected patients' right and dignity," "clinical settings in which standards of care are not upheld," "disrespectful hospital culture," and "inconsistent and unsystematic clinical education" caused moral distress. Types of responses to moral distress included: "shock and confusion over the gap between reality and moral standards," "powerlessness when cannot advocate patients," "fear and doubts about nursing career," and "moral desensitization and disappointment in oneself." "Expressions of moral distress and the need for advice" and "a search for meaning and hope" were identified as coping strategies. Conclusion: These results demonstrate the need for systematic clinical practicum and education programs to minimize moral distress. These programs may offer opportunities for students to turn moral distress into opportunities for learning and growth in the future.

• Korean Journal of Occupational Health Nursing
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• v.19 no.2
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• pp.140-149
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• 2010

Purpose: The purpose of this study was to explore the coping process of chief Executive Nurses(CENs) Who Had Experienced Unexpected Dismissal.The research question was "would you tell me about your experience of sudden dismissal?" Method: The methodology of collecting and analyzing data used in this study followed the ground theory of Strauss and Corbin (1998). Data were collected through in-depth interviews with open-ended questions about the subjects' coping experiences, which were audio-taped and transcribed. The survey was conducted between April and May, 2007. The subjects of this study were 5 CENs. Result: The results of the study are as follows. Core category of This Study was "Battling unsupported against the overwhelming reality." The participants had to face the most unexpected reality of being laid off. Their emotional/psychological response were betrayal, powerlessness, lonesomeness, sorrow, and hopelessness. They felt like a general who is facing overwhelming enemy in a war. The coping process was found to have four stages: shocked stage, resisting stage, negotiating stage and reflecting and transcending stage. Conclusion: The result of this study suggested that ceaseless exertion and cooperation at organizational and individual levels are needed to establish stable status and power of nursing departments and CENs in hospitals.

• Journal of the Korean housing association
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• v.24 no.6
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• pp.151-161
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• 2013

This research is an effort to clarify the causes associated with the 'failure' of public housing projects built in the 20th century. Two of the most brutal symbol of failure were selected: the Pruitt-Igoe built in St. Louis, U.S.A. and the Bijlmermeer in the south of Amsterdam, Netherlands. Many critics have attributed the problems of the selected housing projects to architectural failure, and proposed a series of new approaches to architectural design. The claim that many housing projects 'failed' because they were based on an agenda for social reform, derived from the ideas of the CIAM, presupposes that architects were in the position of authority over providing housing for the poor. This research tries to overturn the belief of architectural community which has placed the responsibility for the failure of public housing on designers. The sense of isolation and powerlessness felt by the residents, and the social problems attendant on those feelings, may be reinforced by design but is not caused by Modern Architecture. It should be stressed that the political-economic and social context is more significant than the architectural design for the failure of public housing projects such as the Pruitt-Igoe and the Bijlmermeer.

• Research in Community and Public Health Nursing
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• v.12 no.2
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• pp.317-328
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• 2001

The purposes of this study were to develop the empowerment education program, to describe the experiences of diabetes patient's empowerment process and to develop a theoretical model of the diabetes patient's empowerment process. Method 1. : The development of the empowerment program for the diabetes patients: The strategies of the empowerment education program were enhancement of problem - solving, decision making, self-efficacy, self-control. participation and mutual support. Method 2. : According to the grounded theory methodology of Strauss and Corbin, the qualitative data was collected with in depth interviews and participants observations until its saturation when the 25 consented subjects were participating and interacting with the other subjects in the empowerment education program. Results: With the analysis of the data, 29 categories were generated. The core category generated, which was a central phenomenon of the empowerment process, was named powerlessness. The intervening conditions facilitating or impeding the empowerment process were discovered as supportive systems through the participation of group meeting, problem solving dialogue, and the knowledge deficit of self-care. The action/interaction strategies were developed as the paricipating, dialoguing, questioning, supporting system, self-controlling, self efficacy, enhancing self-esteem. stress relaxing and instillation of hope.

• Women's Health Nursing
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• v.4 no.2
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• pp.271-285
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• 1998

The purpose of this study is to explore and describe the experiences of postpartal woman, Korean postpatal care that Korean women experience afterbirth, to find the meaning of their lived experiences and to contribute to the base Korean maternal nursing. The method is to phenomenological through participant in depth interview. The subjects of this study were 8 women who are 1 week to less or over 100 days afterbirth. Their age rang from 22 to 33. All available data was collected from 26th of March 1988 to 10 of July 1998. A tape recorder was used with the permission of the subjects to prevent the loss of spoken information. The analysis of the data was made through Colaizzi's. The result of the study was as follow: There were eleven themes and 8 structures, Structure 1 : Acceptance to the traditional Sanhujori, Structure 2 : Powerlessness, Structure 3 : Disappointment and Being sorry, Structure 4 : Attachment as mother, Structure 5 : Anxiety on bring up, Structure 6 : Praying the well being of baby. Structure 7 : Negative body image 8 : Information seeking, Structure. In conclusion, nurses have to help Korean women afterbirth who are in difficulties physically, emotionally, socio-psychologically as direct caregivers and educators. As continually finding out the Korean postpartal care. Sanhujori, we can build the our original maternal nursing.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.19 no.2
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• pp.162-172
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• 2012

Purpose: The purpose of this study is to explore the subjective experiences of relapse and treatment among the alcoholics. Methods: Phenomenological methodology was used for the study. Participants were seven people with inpatient alcoholics at the alcohol treatment center at K hospital in K province. Data were collected via in-depth interviews from March to September, 2012 and analyzed using Colazzi's framework. Results: Six themes and seventeen meanings were formulated for the relapse and treatment experiences of participants with alcoholism. Six themes were 'Lack of true insight', 'Lack of strength to live a life', 'Unable to overcome an urge to drink', 'Being drawn away from others', 'Falling into the powerlessness and despair', and 'Being foothold of self-growth'. Conclusion: The results from this study revealed the relapse experiences among alcoholic patients. Therefore, the findings can provide the framework and direction for developing the relapse prevention program for alcoholic patients. In addition, practitioners in the treatment center or hospital need to consider their relapse and treatment experience.