• Title/Summary/Keyword: Process of Coping with

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The Meaning of Menopause Experienced by Women (여성이 경험한 폐경의 의미)

  • Kim, Ae-Kyung;Yoo, Eun-Kwang
    • Women's Health Nursing
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    • v.3 no.1
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    • pp.82-92
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    • 1997
  • The purpose of this study was attempted to understand the substance and meaning of menopause experienced by women through informal interviews with oral consent. The informants were 6 perimenopausal women of 50-55 years old who are executing menopause. Colaizz's analytical method, a type of phenomenological analysis, was used to analyze data recorded by audiotape. One professor and a master's degree student who understand phenomenology, and the one who has a master of arts examined the validity between the meanings composed of the clusters of themes. Findings were turned out to be valid through validation process as the last step. The meaning of menopause implied both 'concept about menopause' and 'menopause as a time of change'. Menopause was mostly considered as cessation of menstruation as a physiological, natural, and normal process by aging. However, some people regarded menopause as a loss of youth and womanhood and lessening of every function of the body. Menopause as the time of changes means 'the period of' 'hormonal changes' such as change of menstruation, hot flushes, perspiration, and palpitation ; 'body function changes' of visual acuity, physical strength, sleeping, digestion, thoughts, bone and joints, skin sensibility, sexual pattern and intelligence ; 'emotional changes' such as anxiety, loneliness, gloominess, and nervousness. Menopause is a turning point on the women's life cycle accompanying various kind of changes and health problems. Therefore it is inevitable to develop strategy helping menopausal women pass through the critical successfully by adapting and coping with their critical period toward the healthy and better quality of life individually rather than putting them all into the standardized hormonal replacement protocol.

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Analysis of Nursing Interventions used in Orthopedic Nursing Unit (정형외과 간호단위에 적용되는 간호중재 분석)

  • Kim Hye-Suk;Choi Soon-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.1
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    • pp.33-41
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    • 2006
  • Purpose: This study was done to identify the Domains, Classes, labels and nursing activities of nursing interventions used with 117 patients who were admitted to orthopedic nursing units. Method: Data were collected in January and February, 2004 using a computerized nursing process program that contained nursing diagnosis-outcome-intervention (NNN) linkages. The program was developed by the researcher. Frequencies and percentages were used in the analysis. Results: Sixty-five nursing intervention labels were identified. The Domains of the nursing interventions showed higher percentages for 'physiological: basic' (75.9%), 'physiological: complex' (12.9%), 'behavioral'(7.8%) 'family'(1.3%), and 'safety'(1.1%). The Classes of nursing interventions showed higher percentages for 'activity and exercise management'(30.8%), 'physical comfort promotion'(19.3%), 'immobility management'(14.5%), 'drug management'(8.1%), and 'coping assistance'(5.6%). Nursing intervention labels showed higher percentages for 'pain management'(14.7%), 'body mechanics promotion'(8.0%), 'exercise therapy : ambulation'(7.2%), 'splinting'(5.4%), and 'positioning'(5.1%). In the comparison of numbers between performed nursing activities and nursing activities of NIC according to nursing intervention label, the mean of combined rate was 52.3%. Conclusion: These findings will help in building of a standardized language for orthopedic nursing units and enhance the quality of nursing care.

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On Coping with the Design Change Request by Utilizing DB Traceability in the Operational Phase of Safety-critical Weapon Systems (운영단계 안전중시시스템에서 제기되는 설계변경요구에 대해 아키텍처 DB의 추적성을 통한 변경프로세스의 개선)

  • Kim, Young Min;Lee, Jae-Chon
    • Journal of the Korea Safety Management & Science
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    • v.16 no.1
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    • pp.69-77
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    • 2014
  • The environment and requirements of modern war fields have been affected and thus changed by a variety of issues. To this end, the development of safety-critical weapon systems frequently need to meet those changes even in the operational phase. The necessity of the changes may be due to the preparation for mass-production or the request originated from the user military forces. To meet such a need can be even tougher in the development of safety-critical weapon systems since the integration of the requirements for both systems design and systems safety would make it troublesome. To handel the matter in this paper, utilization of architecture DB is proposed. Specifically, the situation in demand has first been analyzed and then a problem-solving process to accommodate the design changes has been constructed. In doing so, the concept of the aforementioned integration is particularly focused on the functional architecture, which could be a core concept of our approach to solving the problem. The result of a case study demonstrating the method studied using a computer-aided systems engineering tool is also presented.

A Study of the Caregiving Burden on Grandmothers Who Raise Their Grandchildren: A Phenomenological Research (손자녀를 양육하는 할머니의 양육부담에 관한 현상학적 연구)

  • Kim, Moon-Jeong
    • Journal of Korean Academy of Nursing
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    • v.37 no.6
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    • pp.914-923
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    • 2007
  • Purpose: This qualitative study aimed to identify the common, lived experiences of grandmothers who cared for their grandchildren as the primary caregivers. Methods: This study was based on the phenomenological method described by Colaizzi (1978). Results: Seven theme clusters emerged from the data as follows: "grandmother caregivers accept the parenting role of the incessant responsibilities and the distrust of non-kin caregivers.", "grandmother caregivers have a double maternal roles; an instrument-oriented maternal role to their own child and relationship-oriented maternal role to their grandchild.", "grandmother caregivers are partially authorized to make decisions in the matters of their grandchild.", "grandmother caregivers suffer a deterioration in their health by an acceleration of the aging process.", "caregiving causes grandmother caregivers to feel a sense of social isolation, and persue various coping strategies to control this feeling.", "grandmother caregivers have a greater feeling of self-esteem, but they often conflict with their adult children if they don't feel appreciated by them.", "grandmother caregivers have limited social support and their health issues are often overlooked in the family context.' Conclusion: The results of this study can guide nurses and health care workers to understand the experiences of grandmother caregivers and to implement individualized nursing interventions suited for them.

Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis

  • Park, Jisu;Choi, Eun Kyoung
    • Child Health Nursing Research
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    • v.28 no.2
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    • pp.154-165
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    • 2022
  • Purpose: This study aimed to analyze the concept of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Methods: The hybrid model by Schwarz-Barcott and Kim was used to analyze the characteristics of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Results: Transfer anxiety was defined by the following attributes: 1) stress concerning the adaptation process, 2) concern about the child's condition worsening due to the parent's caregiving, and 3) involuntary changes in daily life due to the treatment. Transfer anxiety has the following antecedents: 1) uncertainty; 2) a lack of knowledge about the illness, medical devices, and caregiving; and 3) a lack of social support. It resulted in 1) caregiver burden, 2) a decrease in the capacity for coping with caregiving, 3) delays in the child's physical and psychological recovery, and 4) decreased quality of life. Conclusion: It is necessary to develop an assessment scale that considers the attributes of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Furthermore, an effective nursing intervention should be developed to reduce transfer anxiety.

A Qualitative study on Difficulties experienced and Coping process of Remarried elderly (재혼 노인이 겪는 어려움과 대처과정에 대한 질적 연구)

  • Lee, Do-Young;Lee, Hye-Jin;Jeong, Eun-Sun
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.577-587
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    • 2016
  • This study aims to understand the experiences of remarried elderly from the social, cultural point of view. The study subjects were randomly selected 3 remarried couples with age higher than 65 who could express their experience enough. This study adapted qualitative study with grounded theory method by Strauss and Corbin(1998), which deducted 126 significant sentences from the testimony of participants and classified those into 48 topics and categorized into 16. As for the study result, the main phenomenon was the "ambivalence of marriage" and the mediation conditions for controlling were "trust and acknowledgement of spouse and family", and "proper compensation", and the reaction/mutual reaction strategy to correspond to this situation was "to put effort to understand spouse". Such results will contribute to understanding the essence of marriage adjustment of remarried elderly, and are expected to be the fundamental material to tend to realistic problems that the widowed elderly face and to lead successfully remarriage.

The Effectiveness of Program to Promote Empowerment and Self-Advocacy of the Mentally Disabled Persons' Families (정신장애인가족의 임파워먼트와 자기옹호 증진을 위한 프로그램의 효과)

  • Ha, Jun-Sun;Bae, Kyung-Eui
    • Korean Parent-Child Health Journal
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    • v.11 no.1
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    • pp.73-83
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    • 2008
  • Purpose: This study was to verify the effectiveness of group program for promoting empowerment and self-advocacy of the the mentally disabled persons' families. Methods: This program was set up for the mentally disabled persons' families to share their experiences, do consciousness raising, advocate themselves through group process. A pre-post control group design was used for this study. Results: The results of this study verified that group program was effective to promote empowerment and self advocacy of the mentally disabled persons' families. Also group program helped to express and ventilate family burden actively. Conclusion: This study suggests as follows. In the mental health social work practice we need to develop group programs for family to talk about themselves, to ventilate their emotions, to understand their circumstances and to initiative the change of mental health circumstances as well as education and coping skills about mental illness. For this, there is a need for mental health social worker to have a macroscopic viewpoint and work with family. Also there is a need for mental health social worker to promote family self-help groups and to support their construction and growth.

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The User Fee Introduction and Its Effect in the Health System of Low and Middle Income Countries: An Exploratory Study Using Realist Review Method (중·저소득 국가의 건강보장제도에서 이용자 부담 도입과 효과: Realist Review 방법을 활용한 탐색적 연구)

  • Son, Kyung Bok;Kim, Chang-Yup
    • Health Policy and Management
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    • v.25 no.3
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    • pp.207-220
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    • 2015
  • Background: The purpose of this exploratory study is to explain where, when and how the introduction of user fee system works in low and middle income countries using context, mechanism, and outcome configuration. Methods: Considering advanced research in realist review approach, we made a review process including those following 4 steps. They are identifying the review question, initial theory and mechanism, searching and selecting primary studies, and extracting, analyzing, and synthesizing relevant data. Results: User fee had a detrimental effect on medical utilization in low and middle income countries. Also previous and current interventions and community participation were critical context in user fee system. Those contexts were associated with intervention initiation and recognition and coping strategies. Such contexts and mechanisms were critical explanatory factors in medical utilization. Conclusion: User fee is a series of interventions that are fragile and dynamic. So the introduction of user fee system needs a comprehensive understanding of previous and new intervention, policy infrastructure, and other factors that can influence on medical utilization.

Mental Health In LGBTs Resulting From Family Rejection: Consensual Qualitative Research (가족의 거부로 인한 성소수자의 정신건강에 관한 연구: 합의적 질적 연구(CQR))

  • Kim, Jin Yi
    • Korean Journal of Culture and Social Issue
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    • v.23 no.4
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    • pp.605-634
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    • 2017
  • The purpose of this study was to investigate families' responses and attitudes and the experiences of Korean LGBT individuals after revealing their sexual identity and sexual orientation and to determine how families' attitudes affected the mental health of these individuals. For this purpose, in-depth interviews were performed with 12 male and female LGBT participants, ranging from 19-30 years of age, who resided in Seoul and metropolitan areas, and reported coming out to or being outed by their families. One-to-one interviews were carried out using semi-structured questions, and the data from the interviews were analyzed using consensual qualitative research (CQR). Most of the families had very negative responses and attitudes to the participants coming out and exhibited rejection or avoidant attitudes; only a few of the families responded with receptive attitudes. As a result, the LGBT participants reacted with friction and coping behaviors, such as persuasion, participation in professional counseling, abandonment or avoidance, and running away from home. Most of the effects of the families' attitudes on the participants were negative psychological effects, such as anger, sadness, a sense of alienation, depression, anxiety, fear, trauma, helplessness, lowered self-esteem, alcohol dependence, and suicidal ideation and attempt, while receptive attitudes provided a sense of stability. For all participants, they reported that they were more likely to be hurt by their families' negative attitudes than by social attitudes. This study is significant because it provides framework for specifying families' attitudes and LGBT individuals' experiences after coming out in Korean society. It also outlines LGBT individuals' coping behaviors, psychological difficulties, and the process of coming out and provides suggestions for individuals to overcome. The results are expected to help counselors create practical strategies to better understand LGBT individuals and the psychological difficulties they may experience and provide proper interventions while counseling both the individual and the family.

A Study on Factors Influencing Privacy Decision Making on the Internet: Focus on Dual-Calculus Model (온라인 환경에서 프라이버시 의사결정에 영향을 미치는 요인에 관한 연구: 이중계산모델을 중심으로)

  • Kim, Sanghee;Kim, Jongki
    • The Journal of Information Systems
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    • v.25 no.3
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    • pp.197-215
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    • 2016
  • Purpose This study aims to investigate the factors that influence decision making in relation to providing personal information on the internet with respect to the integration of the privacy calculus theory and protection motivation theory based on the dual-calculus model proposed by Li(2012). Design/methodology/approach The privacy calculus theory and protection motivation theory have been applied to explain privacy behavior to a certain degree but few studies have been conducted to explain privacy behavior based on the integration of these two theories. Although Li(2012) proposed the dual-calculus model, he only proposed its framework and did not carry out an empirical study. Therefore, this study proposes a research model that integrates these two theories and examines the relationship between the two theories through an empirical study. Findings According to the results of empirical analysis, it was found that all relations have statistically significant explanatory power except the relation between coping appraisal and privacy risk in the risk calculus process. Thus, the results verify that external threat played a decisive role in increasing the risk level of a consumer's privacy. It can be discussed the ways to enhance the privacy behavior of consumer on the internet through these findings.