• Journal of Korean Academy of Nursing
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• v.39 no.2
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• pp.237-248
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• 2009

Purpose: The purpose of this study was to investigate the experience of urinary incontinence (UI) for elderly Korean women using a narrative approach. Methods: The data were collected using individual in-depth interviews with 15 communitydwelling elderly women who had UI for at least 1 yr. The narratives of the life stories of these women were analyzed from the actor’s perspective, motivation and purpose of actions, and action toward goal achievement. Also the narratives on UI were analyzed according to cognition, behavior, and evaluation of UI. Results: Three major types of the life stories emerged from the analysis. First, the conquest narrative type reflects active characteristics of narrators within the circumstances of the sociocultural context. Second, the patience narrative is characterized as having flexibility between self determination for goal achievement and the boundary of the sociocultural context. Lastly, the compliance narrative reflected characteristics of narrators who easily adapt their way of life to circumstances. In terms of UI, the narrators in all three types lacked awareness of UI as an illness condition. Three different reasons are specifically identified according to the narrative types. Conclusion: The results of this study indicate that the concept and the illness behaviors related to UI in elderly Korean women with UI were closely related to the way of women's lives within the sociocultural and historical context.

• 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.

• Women's Health Nursing
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• v.10 no.4
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• pp.360-367
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• 2004

Purpose: The purpose of this study was to develop an instrument to measure breastfeeding empowerment for the Korean mother, and to test the validity and reliability of the instrument. Method: The items of instruments used was based on literature review. Nineteen item scales were developed with five domains. In order to test reliability and validity of the scale, data was collected from 99 mothers who were within 4weeks, postpatum and 88 mothers who had had children within 1 year. Data was collected between September 2nd and 24th by a self-reported questionnaire. Result: The results were as follows: As a result of factor analysis three times, 19 items were selected from the total of 24 items. Five factors evolved by factor analysis, which explained 65.7% of the total variance. The first factor 'breastfeeding skill' explained 34.1%, the 2nd factor 'group empowerment' 10.6%, the 3rd factor 'breastfeeding will' explained 7.8%, the 4th factor 'social policy empowerment' 7.0%, and the 5th factor 'adherence to exclusive breastfeeding' 6.2%. Cronbach's alpha coefficient of this scale was .8781. Conclusion: The study supports the reliability and validity of the scale. Because the main concept of breastfeeding empowerment was breastfeeding skill, there were distinct differences in the dimensions of breastfeeding empowerment scales.

• Journal of Korean Academy of Nursing
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• v.31 no.2
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• pp.279-291
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• 2001

Rapid progress in modern medical technology has made it possible to sustain life and/or delay death using 'heroic' treatments. The availability of life-sustaining treatment brings several issues in end-of-life care such as 'dying with dignity' and an radical increase in health care costs. The use of Advance Directives(AD) have been widely heralded by health care providers, gerontologists, and advocacy groups as means of protecting patients' right to accept or refuse life-sustaining treatment in end-of-life care. The use of AD can not only improve patients' autonomy and quality of life but also bring efficiency in distributing health care resources. The proportion of older persons in Korean population has been increasing. Those 65 years of age or over were about 7 percent of the population. Death and dying is not limited to older persons, but it is more prevalent among them. In conjunction with an aging population and the increasing prevalence of death, the issues of death and dying will become crucial in near future in terms of 'dying with dignity', 'autonomy', and 'self-control'. This paper attempts to explode and establish the concept of advance directives (AD) based on literature review. Data sources are computer searches with the MEDLINE database. Due to the lack of prior study on AD for a Korean cases, studies abroad are reviewed. This paper suggests the need for future study on the possibility of the use of AD in Korea.

• Journal of Korean Academy of Nursing
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• v.34 no.5
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• pp.849-858
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• 2004

Purpose: Smoking temptation is the central concept related to relapse within the context of smoking. Therefore :or effective smoking cessation interventions, a scale to measure smoking temptation is necessary. This study was carried out to develop scale to measure smoking temptation. Method: This study utilized Cronbach's alpha, spilt-half coefficient and test-retest correlation in analyzing the reliability of the collected data and expert group, factor analysis, item analysis multitrait-multimethod method and known-group technique to analyze validity. Result: Twenty-five items were selected from a total of 33 items. The Cronbach's alpha coefficient for internal consistency was .93, spilt-half coefficient .91, and 2 week interval test-retest correlation .93 for the 25 items on the smoking temptation scale. Five factors evolved by factor analysis, which explained 57.28 % of the total variance. The smoking temptation scale was effective in differentiating the subjects at each stage of change for smoking cessation and there were significant negative correlations between smoking temptation and self efficacy for smoking cessation and significant positive correlations between smoking temptation and the Fagerstrom Tolerance Questionnaire. Conclusion: The scale for measuring smoking temptation in Korean in this study was evaluated as a tool with a high degree of reliability and validity.

• Journal of Korean Academy of Nursing
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• v.30 no.3
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• pp.709-719
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• 2000

The purposes of the study was to identify the depression of women after a hysterectomy and to clarify the factors related to depression. This was a cross-sectional descriptive study. The data was collected by a mailed questionnaire that was composed of the Zung Self-Rating Depression Scale(SDS), support scale of husband and socio-demographic variables from 255 women undergoing hysterectomies for any nonmalignant condition in S. University Hospital. They also must have lived with their spouses from 3 months to 2 years after the operation. The results were as follows: 1. The SDS mean was 42.25 and range was 21 to 67. The incidence of clinical depression (over SDS 50) was 20.8% from 3 months to 2 years after a hysterectomy. 2. The depression of women in 18-24 months after surgery (39.80) was lower than that of any other periods such as 3-5 months, 6-12 months, and 13-17 months (p<0.01). 3. The support form husband was negatively correlated with the depression of women after a hysterectomy. 4. Depression among women tho had hysterectomies were associated with lower income, less sexual satisfaction, the feeling of being asexual, and the bias of concept the uterus controlling general health.

• The Journal of Industrial Distribution & Business
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• v.9 no.6
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• pp.25-35
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• 2018

Purpose - In this study, the importance of interpersonal relations in the workplace as well as its correlation to satisfaction of social workers were investigated. In addition, effects of organizational culture as well as its implications for human resource management in social welfare workers were outlined. Research design, data, and methodology - A questionnaire was conducted on job satisfaction measured by the Minnesota Job Satisfaction (MSQ) questionnaire. For reliability, the questionnaire was distributed and collected by the self - filling method. From the collected data, reliability analysis, validity analysis (exploratory factor analysis) and multiple regression analysis were used. Cronbach's alpha was used to measure the reliability of the measurement variables and validity analysis was conducted to see if the questionnaires had the same concept as well as SPSS 19.0. Results - The results showed that group culture, hierarchical culture, and rational culture had significant positive effects on job satisfaction. Developmental culture had no effect on the job satisfaction levels. Conclusions - It is important to maintain the hierarchy in order to improve the efficiency of social welfare organizations, but social welfare organizations must accept external opinions and actively listen to the opinions of the employees in the organization.

• Proceeding of EDISON Challenge
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• 2014.03a
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• pp.103-113
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• 2014

Hydrophobicity is the key concept to understand the role of water in protein folding, protein self-assembly, and protein-ligand interaction. Conventionally, hydrophobicity of amino acids in a protein has been argued based on hydrophobicity scales determined for individual free amino acids, assuming that those scales are unaltered when amino acids are embedded in a protein. Here, we investigate how the hydrophobicity of constituent amino acids depends on the protein context, in particular, on the total charge and secondary structures of a protein. To this end, we compute and analyze the hydration free energy - free energy change upon hydration quantifying the hydrophobicity - of three short proteins based on the integral-equation theory of liquids. We find that the hydration free energy of charged amino acids is significantly affected by the protein total charge and exhibits contrasting behavior depending on the protein net charge being positive or negative. We also observe that amino acids in the central ${\beta}$-strand sandwiched by ${\beta}$-sheets display more enhanced hydrophobicity than free amino acids, whereas those in the ${\alpha}$-helix do not clearly show such a tendency. Our results provide novel insights into the hydrophobicity of amino acids, and will be valuable for rationalizing and predicting the strength of water-mediated interaction involved in the biological activity of proteins.

• Archives of design research
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• v.20 no.2 s.70
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• pp.17-28
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• 2007

Despite a current fascination with East Asian iconography such as Zen Style among contemporary designers, there is a lack of genuine cross-cultural discourse that could enable us to share essential design experiences. To bring the discussion a deeper level, traditional Japanese tea-house in its design philosophy of body-mind interplay is explored. Tea-house is a superb manifestation to reveal a holistic understanding of the world. Nondualistic realization is generally associated with the dominant tendency of traditional East Asian philosophy, namely the view that the self and environment, and that the mind and the body exist in unity. The essence of tea-house is not in its poetic style or meticulous details, but in its unmistakably monistic approach of creating inseparable form, function and meaning. Tea-house bestows dignity upon restraint, imperfection, discomfort, poverty, and even humility. This concept offers a tremendous insight since it implies that the rational and effective design solution to the greatest degree is not sufficient. Perhaps the most challenging question about tea-house is: How does our experience with human-made 'design' in the broadest sense help both our body and mind attain a full harmony of being? It is the heading which this research inquires.

• Korean Journal of Occupational Health Nursing
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• v.29 no.2
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• pp.150-159
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• 2020

Purpose: The purpose of this study was to develop of the Health Promotion Program for the Auxiliary Police based on PRECEDE model. Methods: The data were collected from the Auxiliary Police officer in the D provincial Police Agency. The program was developed through analysis of literature review, analysis on the Auxiliary Police's demand through in-depth interview, and the content validation by an expert group. Results: The program consists group education sessions (7 times, 90 minutes each) for 5 weeks. The program also reflects the concept of quality of life, health promotion behavior, self-efficacy and health knowledge, social support, and availability of resources which are important factors for assessment through PRECEDE. Conclusion: The results may be crucial to develop strategy in order to decrease the disease prevalence as well as increase the participants' overall quality of life of Auxiliary Police. This is proposed to standardize the Health Promotion Program for the Auxiliary Police.