• Journal of Hospice and Palliative Care
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• 제25권1호
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• pp.1-11
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• 2022

The Act on Decisions on Life-Sustaining Treatment has been in effect since 2018 for end-of-life patients. However, only 20~25% of deaths of terminally ill patients comply with the law, while the remaining 75~80% do not. There is significant confusion in how the law distinguishes between those in the terminal stage and those in the dying process. These 2 stages can be hard to distinguish, and they should be understood as a single unified "terminal stage." The number of medical institutions eligible for life-sustaining treatment decisions should be legally expanded to properly reflect patients' wishes. To prevent unnecessary suffering resulting from futile life-sustaining treatment, life-sustaining treatment decisions for terminal patients without the needed familial relationships should be permitted and made by hospital ethics committees. Adult patients should be permitted to assign a legal representative appointed in advance to represent them. Medical records can be substituted for a patient's judgment letter (No. 9) and an implementation letter (No. 13) for the decision to suspend life-sustaining treatment. Forms 1, 10, 11, and 12 should be combined into a single form. The purpose of the Life-sustaining Medical Decisions Act is to respect patients' right to self-determination and protect their best interests. Issues related to the act that have emerged in the 3 years since its implementation must be analyzed, and a plan should be devised to improve upon its shortcomings.

• 한국보건간호학회지
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• 제32권2호
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• pp.235-248
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• 2018

Purpose: This qualitative study examined the participation in ICT-based management from the perspectives of patients with chronic diseases. This study was conducted as one of several studies evaluating the effectiveness of chronic disease management in the Ministry of Health and Welfare. Methods: Focus group interviews were used as its guiding methodology. Group interviews with 16 patients were carried out using semi-structured interview questions developed from a literature review and discussion with researchers. Content analysis was used to analyze the data. Results: A total of 11 sub-themes were extracted through a comparison of the concepts and semantic analysis, and finally, four themes were derived: "Satisfied with systematic management of health care", "Leading in health care", "Understanding the pattern of blood pressure and blood sugar change" and "Adherence to existing health care habits". Conclusion: This study is meaningful in that it used qualitative analysis through FGI to evaluate the effects of an ICT-based chronic disease management project. Based on this study, a mixed-method design study and an intervention study among patients with metabolic syndrome is proposed.

• International Journal of Advanced Culture Technology
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• 제11권4호
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• pp.154-162
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• 2023

The purpose of this study is to understand the effects of simulation-based practice education on critical thinking disposition, clinical performance ability, and self-confidence. Using the method of one-group pretest-posttest experimental research, this study selected total 70 nursing students (3^rd year) as research subjects. The final research subjects were total 63 students excluding seven people with insufficient responses. From March to April 2023, total eight sessions of simulation practice education (4 hours per session) were conducted once a week. In the effects of the program, the critical thinking disposition, clinical performance ability, and self-confidence were measured. Using the SPSS Window Version 25.0, the critical thinking disposition, clinical performance ability, and self-confidence were analyzed through the mean, standard deviation, and paired t-test. In the results of this study, the critical thinking disposition (t=-10.61, p<.001), clinical performance ability (t=-3.06, p=.003), and self-confidence (t=-15.97, p<.001) were statistically significant. In the results of analyzing the correlations of clinical performance ability, and self-confidence after the simulation practice education, the learning satisfaction showed significantly positive correlation with immersion (r= .647, p<.001). The results of this study verified the improvement of critical thinking disposition, clinical performance ability, and self-confidence of nursing students after the simulation-based practice education. Thus, it would be necessary to develop the educational contents for various subjects, and also to expansively apply the simulation practice education.

• International Journal of Advanced Culture Technology
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• 제10권4호
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• pp.8-18
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• 2022

Objectives: The objective of this study was to explore the effects of the simulation-based learning program on stress, problem-solving ability, self-efficacy, and resilience of final-year nursing students in a college in South Korea. Methods: The design of the study was a one-group pretest-posttest. The participants of this study were final-year nursing students in 2018. A total of 105 students completed it. The intervention was an 8-week simulation-based practice course. The primary and secondary outcome measures were baseline and follow-up questionnaires regarding demographic factors, stress, problem-solving ability, self-efficacy, and resilience. Results: Problem-solving ability (t=6.567, p<.001), self-efficacy in four situations (p<.001) and resilience (t=2.352, p=.021) increased after simulation-based learning than before learning. Stress also increased after simulation-based learning compared to before learning (t=5.960, p<.001). The level of stress, self-efficacy, and resilience were mainly related to participants' satisfaction with their clinical placement, and interpersonal relationships (p<.05). Conclusions: Simulation-based learning is expected to improve nursing students' problem-solving ability, self-efficacy, and resilience. This can lead to induce learning motivation of nursing students, improve their coping strategies for solving problems, and ultimately provide high-quality care.

• 문화기술의 융합
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• 제6권2호
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• pp.131-137
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• 2020

본 연구의 목적은 커뮤니티케어를 기반으로 장애인 탈시설 자립지원 방안을 모색하는 것으로 첫째, 새로운 장애인복지 패러다임으로서의 탈시설화 정책의 주요내용을 살펴보며 둘째, 커뮤니티케어의 개념과 이에 따른 탈시설·탈가족 돌봄의 함의를 고찰하였다. 셋째, 커뮤니티케어를 실시해 오고 있는 외국의 사례와 시범사업으로서 서울시 장애인전환서비스 지원 사업 사례를 살펴보았다. 마지막으로, 이상의 내용을 바탕으로 중앙정부와 지방정부 차원에서 커뮤니티케어 기반의 장애인의 탈시설 자립지원 방안을 제시하였다.

• International Journal of Advanced Culture Technology
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• 제5권2호
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• pp.26-43
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• 2017

This study investigated the effects of TBL nursing education(for the care of congestive heart failure patients) on self identity and self efficacy among nursing students. A one-group, pre-post design was utilized with 28 nursing students as the participants. The scenario of TBL nursing education was created based on PBL, and consisted of four states(1) Present a problem, (2) Problem Follow-Up Steps,(3) Present the results including presentation, and(4) Problem Conclusion and after resolution. And then In-depth interviews were conducted with volunteers on program experiences. The data were analyzed using descriptive statistics, Pearson's correlation coefficients and paired t-tests and Giorgi phenomenology analysis method was performed. The TBL program was effective in self - efficacy and self - identity (p<0.01) increased significantly after the education intervention and The meaning of the TBL experience is four (meaning that the learners embarrassed TBL, aggressive learning attitude change, effective collaboration for problem solving in a free learning environment, university classes imagined in high school), and 67 sub-components appeared as an element. The TBL program is an effective teaching method for nursing education and it can be used as basic data for the development of nursing education based on this research.

• 문화기술의 융합
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• 제9권6호
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• pp.1159-1172
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• 2023

우리는 본 연구를 통해 요양병원 간호사를 대상으로 직무스트레스, 셀프리더십 및 사회적 지지가 간호헙무성과에 미치는 영향을 확인하여 간호업무성과를 향상시키기 위한 구체적인 방안을 마련하는데 도움이 되고자 한다. 자료수집은 B시와 G시에 소재한 요양병원에 근무하고 있는 간호사를 대상으로 2018년 2월 1일부터 2월 25일까지 구조화된 설문지를 이용하여 시행되었다. 자료 분석은 SPSS WIN 22.0 통계프로그램을 이용하여 t-test, ANOVA, Pearson's correlation coefficients, Multiple Regression Analysis로 분석하였다. 요양병원 간호사의 간호업무성과에 영향을 미치는 요인은 셀프리더십(𝛽=.415, p<.001), 연령(𝛽=.251, p=.001), 사회적 지지(𝛽=.206, p<.001), 직무스트레스(𝛽=-.159, p=.001), 직위(𝛽=.102, p=.047) 순으로 나타났다. 따라서 요양병원 간호사의 업무 특성이 반영된 간호업무성과 관련한 중재 프로그램 개발 및 관련 연구의 기초자료로 활용될 수 있음을 기대한다.

• 성인간호학회지
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• 제15권4호
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• pp.650-659
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• 2003

Purpose: The purpose of this study was to identify predictors of depression and quality of life among older adults with osteoarthritis. The predictors included in the model were the client's characteristics(age, pain, disease duration, ADLs), personal resources(hardiness, self-care agency and family support), and depression. Method: 150 subjects who were older than 65 years and had diagnosis of osteoarthritis participated in the study. To answer the research questions, descriptive analysis, Pearson correlation, and hierarchical multiple regression were utilized using SPSS WIN program. Result: Older adults who were younger and had lower levels of pain and dependency on ADLs, and higher levels of self care agency and hardiness reported lower levels of depression($R^2=0.517$). Older adults who had lower levels of depression, pain, and dependency on ADLs, higher levels of family support and hardiness, and who are younger reported higher levels of quality of life($R^2=0.084$). Conclusion: Based on the findings of this study, development of nursing intervention program including pain reduction, enhancing ADL abilities and personal resources (hardiness, family support) can be suggested. Further study is needed to increase the ability of generalization of the study findings to the broader population.

• Safety and Health at Work
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• 제7권4호
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• pp.354-362
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• 2016

Background: The present study aims at investigating whether and how (1) job demands and job resources are associated with work-to-private-life interference (WLI) and (2) job resources moderate the relationship between job demands and WLI. Methods: Data were collected by a self-report questionnaire from three hospitals in Italy. The sample consisted of 889 health-care workers. Results: All job demands (i.e., quantitative demands, disproportionate patient expectations, and verbal aggression) and job resources (i.e., job autonomy, support from superiors and colleagues, fairness, and organizational support), with the exception of skill discretion, were related to WLI. The effects of quantitative demands on WLI were moderated by support from superiors; fairness and organizational support moderate the effects of all job demands considered. Support from colleagues moderated only verbal aggression. Job autonomy did not buffer any job demands. Conclusion: The present study suggests that the work context has a central importance in relation to the experience of WLI among health-care workers. The results indicated that intervention in the work context may help to contain WLI. Such interventions would especially be aimed at improving the social climate within the unit and quality of the organizational process.

• 아동학회지
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• 제28권4호
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• pp.169-185
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• 2007

Participant observations, in-depth interviews, and analyses of documents were used for collecting data. Children separated from their parents were living with grandparents because their parents were working abroad. Results included socio-cultural and psycho-social factors. (1) The socio-cultural grounded factors or the common characteristics of young children's family life in both living circumstances included early childhood academic achievement orientation, demands of responsibility and obedience, limited opportunity for social development, and societal phenomenadeveloping wide family concept affected by China's Confucianism and Korean-Chinese social culture. (2) Psycho-social grounded factors included the present care-givers' perceptions of the child's agency and their beliefs in the importance of play and friendship. This affected interactions between child and care-giversand child's self-esteem and friendships.