• 대한간호학회지
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• 제51권4호
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• pp.489-504
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• 2021

Purpose: This study was investigated the mediating effect of coping behaviors in the relationship between the second victim experiences after patient safety incidents and the nursing practice changes. Methods: A cross-sectional survey was performed using structured questionnaires. Participants were 218 clinical nurses in general tertiary hospitals in South Korea. Data were collected through an online survey and snowball sampling from August 11 to September 6 2020. Data were analyzed using SPSS 23.0 program. A mediation analysis was performed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval. Results: The mean scores of second victim experiences was 3.41/5. Approach coping (β = .55, p < .001) and the avoidant coping (β = - .23, p = .001) showed mediation effects in the relationship between second victim experiences and constructive change in nursing practice. Avoidant coping (β = .29, p < .001) showed a mediation effect in the relationship between second victim experiences and defensive change in nursing practice. Conclusion: Coping behaviors has a mediating effect on the relationship between second victim experiences and nursing practice changes. To ensure that nurses do not experience second victim, medical institutions should have a culture of patient safety that employs a systematic approach rather than blame individuals. They also need to develop strategies that enhance approach coping and reducing avoidant coping to induce nurses' constructive practice changes in clinical nurses in experiencing second victims due to patient safety incidents.

• 한국가족관계학회지
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• 제21권4호
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• pp.27-50
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• 2017

Objectives: This study was carried out in order to evaluate the overall process that the caregiving stress of parents of adult children with developmental disabilities affected their life satisfaction through the levels of family resilience, and coping styles on the basis of stress-coping-adaptation model of Lazarus and Folkman(1984). Method: For this purpose, the structured survey was conducted by 394 parents of adult children with developmental disabilities. The data was analysed by AMOS 20.0 version. Results: The findings can be summarized as follows: First, the structural equation model(SEM) analysis was conducted in order to examine the various paths that parents' caregiving stress affected their life satisfaction. The model's goodness-of-fit was fine($x^2=225.20$, df=95, p=000. RMSEA=.06, TLI=.95). There were significant relationships between caregiving stress and family resilience(${\beta}=-.36$, p<.001), emotion-focused coping style(${\beta}=.47$, p<.001), life satisfaction(${\beta}=-.53$, p<.001). Second, family resilience and emotion-focused coping showed mediating effects on the relationship between caregiving stress and life satisfaction. Conclusions: The strategies for enhancing family resilience and social services for applying effective coping methods should be expanded in order to diminish the caregiving stress of parents of adult children with developmental disabilities.

• Asian Pacific Journal of Cancer Prevention
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• 제14권3호
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• pp.2079-2084
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• 2013

Background: Breast cancer is the most prevalent cancer among Iranian women and mastectomy comprises 81% of surgeries for treatment of breast cancer. Mastectomy may create feelings such as deformation or impairment in patients, cause body-image disorder, and reduce sexuality and sexual activity which in turn may entail mental disorders. The study aimed to elaborate coping processes. Materials and Methods: A grounded theory method was used in conducting this study. Twenty Iranian participants undergoing mastectomy were recruited with purposive sampling. An open, semi-structured questionnaire were developed. Obtaining consent, conversations were recorded and immediately transcribed after each session. Data analysis was carried out with the constant comparative method using the Strauss Corbin approach. Results: Analyzing the collected data, the study came up with seven main categories which affected the coping process in patients with breast cancer, namely: reactions to mastectomy; loss and death contest; reconstruction of evaluation system; consent for undergoing mastectomy; reactions and troubles after loss; confrontation of loss and health; and reorganization and compatibility with changes. Conclusions: The results of the study indicated: when patients become informed of their breast cancer and the necessity of undergoing mastectomy as the treatment, they probably pass through seven categories to adapt after mastectomy. Having insight about them is likely to contribute medical personnel in leading patients to the highest degree of feeling healthy.

• 대한가정학회지
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• 제39권9호
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• pp.27-48
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• 2001

The objective of this study was to develop the stress coping program for pregnant adolescent to alleviate the stress levels and symptoms, and to cope with the stress adequately. The program of this study was based on the cognitive-behavioral theory and the stress management. The program was done twice a week totally 8 times and preview meeting was done 1 week before the program and follow-up was formed 4 weeks after finishing the program. one-group pretest-posttest design was held and the group was 13. In case of qualitative research, the content of discussion in the course of group process, investigation, and the materials which were made from the group members were classified and analysed to the objects of program. first, the common change of members was reduction of stress levels by attending stress management program. Second, the coping skills for stress were verified and improved. More than one new coping skills were acquired such as positive re-evaluation, persuasion, self-talk, I-message communication method, assertive self-expression, and problem settlement. Third, the group members admitted their irrational beliefs and partially had a change of it. The implications for the future practice are discussed.

• International Journal of Advanced Culture Technology
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• 제7권3호
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• pp.103-110
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• 2019

The purpose of this study was to investigate the relationship between psychosocial factors, such as self-esteem, stress coping, and social support, and motivation for change in alcohol dependent inpatients. This study included 179 inpatients in the 7clinics for alcoholic in Chonbuk. For the analysis of the study questions, this study utilized the structural equation modeling. The results show that self-esteem was related to motivation for change with mediating role of problem-focused stress coping strategy in alcohol dependent inpatients. The study also reveal that self-esteem and social support was directly associated with the motivation for change. Based on the findings, the importance of programs to promote self-esteem and the involvement of family and acquaintances in the treatment process has been suggested.

• 대한간호학회지
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• 제42권5호
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• pp.609-621
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• 2012

Purpose: The purpose of this study was to explore the experiences of Korean mothers in parenting children with Hunter's syndrome, an X linked recessive genetically inherited disease usually affecting boys. Methods: Data were collected from 14 mothers having children with Hunter's syndrome, through two focus group interviews and individual in-depth interviews. Qualitative data from the field notes and transcribed notes were analyzed using the grounded theory methodology developed by Strauss & Corbin (1998). Results: The core category about the process of rearing children with Hunter's syndrome was identified as "navigating in the maze". The process of rearing children with Hunter's syndrome passed through three phases; 'entering an unknown region', 'struggling to escape from the unknown region', 'settling down in the unknown region'. Conclusion: In this study "navigating in the maze", as the core category deeply showed joys and sorrows of mothers in the process of rearing their children with Hunter's syndrome. In this rearing process they gradually adjusted themselves to their given condition. Also they gained initiatively coping strategies to care for, and protect their children. Therefore health care providers can establish supportive programs in the clinical field to empower these mothers by reflecting their proactive coping strategies.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 1999년도 추계학술대회논문집
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• pp.59-69
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• 1999

Recently, the role of container ports is radically changing. These changes are largely driven by the innovation process of Logistics such as Supply Chain Logistics and Global Logistics due to the international expansion of industry. Under this environment, It is required that the container port should act as a integral part of a Supply Logistics Chain especially to provide the customer-oriented logistics service. This paper deals with the development strategy of container ports coping with these changes in the view point of container ports as a Logistics infrastructure to provide customer-response services and necessary to the economic promotion of hinterlands. Strategy is suggested in the phases of the customers desire, the pattern of container cargo, the economic promotion of hinterlands, and interrelation of container ports in north-east Asia and also domestics through the analysis of competiveness of container ports.

• 가정과삶의질연구
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• 제20권2호
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• pp.1-8
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• 2002

The purpose of this research was to develop education program for divorced parents. This program was consisted three hours with total two sessions. The first session was designed to understand difficulties which divorced parents experienced, to cope with difficulties, and to know grief process for adults and children. The second session was designed to improve the parent-child communication and to help future life of divorced or divorcing adults. The effectiveness of the program evaluated by taking pre-post-follow tests. Tests result suggested that the program was effective in improving divorce coping competency, but self esteem was not improved. All participants were satisfied with this program.

• 융합정보논문지
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• 제10권10호
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• pp.88-99
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• 2020

본 연구는 Double ABCX 가족스트레스 모델을 기반으로 암 생존자가 지각한 가족스트레스, 지지자원, 의도적 반추, 대처행동이 외상 후 성장에 어떠한 영향을 미치는지를 살펴보고자 하였다. 연구대상은 배우자와 함께 살고 있는 암 생존자 200명을 대상으로 설문조사를 실시하였고 응답한 자료는 AMOS 프로그램을 이용하여 경로분석을 실시하였다. 분석 결과 첫째, 암 생존자가 지각한 가족스트레스는 지지자원, 의도적 반추, 대처행동에 직접적인 영향을 미치고, 지지자원, 의도적 반추, 대처행동을 통해 외상 후 성장에 간접적인 영향을 미치는 것으로 나타났다. 둘째, 지지자원, 의도적 반추, 대처행동은 외상 후 성장에 직접적인 영향을 미치는 것으로 나타났다. 셋째, 지지자원과 의도적 반추는 대처행동에 직접적인 영향을 미칠 뿐 아니라 대처행동을 통해 외상 후 성장에 간접적인 영향을 미치는 것으로 나타났다. 본 연구의 결과는 암 생존자의 외상 후 성장을 예측하는데 Double ABCX 가족스트레스 모델이 적용될 수 있음을 입증해 주었다.

• 지역사회간호학회지
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• 제15권1호
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• pp.122-131
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• 2004

Purpose: The purpose of the study is to explore the socio-psychological coping process and experiences of families before and after institutionalization by applying the Corbin and Strauss ground research method. Method: Data collection from 9 participants with elderly institutionalized dementia with approval from directors of the institute was done by in depth interviews during a seven month period from May, 2003 to December, 2003. Data analysis was done by repeated reading of the transcribed interviews, and 344 concepts and 39 subcategories were generated. Results: Family members of the dementia elderly experienced various degrees of exhaustion, physically, mentally, and socially. The degree of their exhaustion was related to the severity of the family member's symptoms, and length of the dementia. Coping strategies were effected by economic status, social support from blood related families or neighbors, depth of their relationship with elderly institutionalized dementia. They were even affected by the elderly family members institutionalization. Conclusion: After institutionalization participants felt some guilt from not assuming their responsibilities as children. On the other hand they regained privacy, freedom, security, and comfort, so that their life returned to normal. They even felt more comfort because their elderly were living in a safer environment, and received a better quality of care. Participants had better composure, so that they could even take care of neighbors in need. They hope that there is more governmental involvement in terms of subsidy and numbers of institutes. Findings of the study will be a ground for the development of a coping program for families with elderly institutionalized dementia. Further studies are recommended to explore types of family, and to develop programs for the families to help them interact with each other.