• Child Health Nursing Research
• /
• v.17 no.3
• /
• pp.181-189
• /
• 2011

Purpose: This study was done to investigate the predictors of maternal confidence between primipara and multipara mothers. Methods: The participants enrolled in this study were 145 mothers between 2 and 5 days postpartum. Data were collected using a questionnaire and analyzed using descriptive analysis, t-test, $X^2$ test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: The predictors of maternal confidence among primipara mothers were social support, self-esteem, mode of delivery ($R^2$=.287, p<.001). Whereas, gender of baby, antenatal fetal attachment, and educational status explained maternal confidence among multipara mothers ($R^2$=.270, p<.001). Conclusion: The results indicate that when nurses develop programs to encourage maternal confidence for new mothers, they should take into account the differences between predictors of maternal confidence according to the mothers' experience of birth.

• Journal of Korean Academy of Nursing
• /
• v.29 no.5
• /
• pp.1087-1102
• /
• 1999

Diabetes mellitus, a universal and prevalent chronic disease, is projected to be one of the most formidable worldwide health problems in the 21st century. For those living with diabetes, there is a need for self-care skills to manage a complex medical regimen. Self-efficacy which refers to one's belief in his/her capability to monitor and perform the daily activities required to manage diabetes has be found to be related to self-care. The concept of self-efficacy comes from social cognitive theory which maintains that cognitive mechanism mediate the performance of behavior. The literature cites several research studies which show a strong relationship between self-efficacy and self-care behavior. Meta-analysis is a technique that enables systematic review and quantitative integration of the results from multiple primary studies that are relevant to a particular research question. Therefore, this study was done using meta-analysis to quantitatively integrate the results of independent research studies to obtain numerical estimates of the overall effect of a self-efficacy with diabetic patient on self-care behaviors. The research proceeded in three stages : 1) literature search and retrieval of studies in which self-efficacy was related to self-care, 2) coding, and 3) calculation of mean effect size and data analysis. Seventeen studies which met the research criteria included study population of adults with diabetes, measures of self-care and measures of self-efficacy as a predictive variable. Computation of effect size was done on DSTAT which is a statistical computer program specifically designed for meta-analysis. To determine the effect of self-efficacy on self-care practice homogeneity tests were conducted. Pooled effect size estimates, to determine the best subvariable for composite variables, metabolic control variables and component of self-efficacy and self-care, indicated that the effect of self-efficacy composite on self-care composite was moderate to large. The weighted mean effect size of self-efficacy composite and self-care composite were ＋.76 and the confidence interval was from ＋.66 to ＋.86 with the number of subjects being 1,545. The total for this meta-analysis result showed that the weighted mean effect sizes ranged from ＋.70 to ＋1.81 which indicates a large effect. But since reliabilities of the instruments in the primary studies were low or not stated, caution must be applied in unconditionally accepting the results from these effect sizes. Meta-analysis is a useful took for clarifying the status of knowledge development and guiding decision making about future research and this study confirmed that there is a relationship between self-efficacy and self-care in patients with diabetes. It, thus, provides support for nurses to promote self-efficacy in their patients. While most of the studies included in this meta-analysis used social cognitive theory as a framework for the study, some studies use Fishbein & Ajzen's attitude model as a model for active self-care. Future research is needed to more fully define the concept of self-care and to determine what it is that makes patients feel competent in their self-care activities. The results of this study showed that self-efficacy can promote self-care. Future research is needed with experimental design to determine nursing interventions that will increase self-efficacy.

• The Journal of the Korea Contents Association
• /
• v.12 no.11
• /
• pp.225-235
• /
• 2012

The purpose of this study was to investigate the degrees of and relationships between self-esteem, social support, and state anxiety in community-dwelling unmarried mother raising a child. Descriptive correlational study design was used. Data were collected from 65 participants with self-report questionnaires from May to December, 2011. First, the mean of self-esteem was 3.52, social support 3.49, and state anxiety 2.47 respectively. Second, the correlation between self-esteem and social support was also statistically significant(r=.286, p=.021), the correlation between self-esteem and state anxiety was statistically significant(r=-.780, p=<.001), and the correlation between social support and state anxiety was also statistically significant(r=-.425, p=<.001). Self-esteem for unmarried mother raising a child in the study was confirmed as the primary important concept. Also, the correlation between social support and state anxiety was verified as significant. Therefore, study is needed to develop a nursing intervention program for self-esteem and social support improvement, and state anxiety decrease of unmarried mother raising a child.

• The Journal of the Korea Contents Association
• /
• v.8 no.6
• /
• pp.242-252
• /
• 2008

This article was examines an attitude towards Tourism Development that has relevance to social psychological differences of individuals in terms of social psychological research on Tourism Development. It used the self-monitoring scale developed by Snyder(1974) who focused on individual behavior, which has been recently paid attention in the field of social psychology. It is considered that the result of this study contributes to academic world from two extensive points of view. One is that this study was conducted without any previous studies on self-monitoring and was performed to arrange the concept of Tourism Development Attitude in the stream. Another one is that this research proved the influence of self-monitoring on the citizen's propensity towards Tourism Development Attitude toward economic impact, Tourism Development Attitude toward social impact and with the tendency of participating in tourism development. Finally, Tourism Development Attitude that has relevance to social psychological differences of individuals.

• Journal of Digital Convergence
• /
• v.15 no.9
• /
• pp.273-281
• /
• 2017

This study was to investigate the effect of job stress and job satisfaction on professional self-concept in nurses. A questionnaire was completed by 196 general hospital employed nurses from October to November 2016. The study instruments comprised professional job stress and job satisfaction, professional self-concept. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression using SPSS/WIN 21.0 program. Professional self-concept was closely related to age(F=4.356, p=.014), marital status(t=4.345, p<.001), education(F=33.411, p<.001). The significant factors influencing professional self-concept were job stress(${\beta}=-0.456$, p<.001), job satisfaction(${\beta}=0.409$, p<.001), education(${\beta}=0.106$, p=.019), and with the explanation power of 67.1%. It is necessary to prepare early identification and resolution of factors related to job stress, and this will help to enhance the professional self concept as well as job satisfaction.

• Journal of Contemporary Eastern Asia
• /
• v.12 no.2
• /
• pp.89-97
• /
• 2013

This paper explores the influences of the traditional Chinese culture on social relations in China. It provides an introduction to the concept of Guanxi, the notion that social connections are based on socially situated reciprocity. This is different from social interaction in Western society that is based on self-interest and equity. Guanxi represents the foundation of social networks in many Eastern countries. As such, the study of social networks in China requires scholars to examine Guanxi networks. The paper demonstrates how a Guanxi perspective might be added to the examination of various theories that comprise structural (network) theory, including social capital theory, social exchange theory, cognitive and contagion theories, and the role of homophily for the study of Chinese society and its social organizations.

• Journal of People, Plants, and Environment
• /
• v.23 no.5
• /
• pp.565-576
• /
• 2020

Background and objective: The elderly living in homeless living facilities for a long time suffer from various mental health problems. This study aims to determine the psychological, emotional, and social effects of a horticultural therapy program composed of gardening activities, which was designed based on the semantic structures of life for the homeless elderly living in the facilities for a long time. Methods: A total of 12 subjects (6 in the control group and 6 in the experimental group) participated in the study. The horticultural therapy program consisted mainly of gardening activities, and a total of 16 sessions were conducted once a week for 16 weeks, 60-90 minutes per session. The subjects were tested to evaluate their self-esteem, depression, and horticultural activities. The data were analyzed using the Mann-Whitney U test, Wilcoxon rank test, and Friedman test, which were nonparametric tests, conducted at a 95% significance level. Results: First, in the case of self-esteem, a significant difference was found between the groups, 20.00 points (SD = 5.69) in the control group, and 25.50 points (SD = 3.73) in the experimental group (p = .034). Second, in the case of depression, no statistically significant difference was found in the posttest. Finally, in the case of the horticultural activity evaluation, the scores of most variables gradually and significantly increased during the program [Verbal interaction during activity (p = .006), Self-concept and identity (p = .006), Need-drive adaptation (p < .001), Interpersonal and social relations (p < .001)]. Conclusion: These results support that the horticultural therapy program could help the elderly improve psychological relaxation, emotional stability, and social relationships. In order to generalize the results, it is suggested to increase the number of subjects or conduct additional repetitive experiments in further research.

• Women's Health Nursing
• /
• v.28 no.4
• /
• pp.338-347
• /
• 2022

Purpose: The incidence of high-risk pregnancies is increasing in Korea as the birth age increases due to late marriage. Maternal-fetal attachment is an important factor that affects children even after childbirth, but it is difficult for high-risk pregnant women to form maternal-fetal attachment. The current study aimed to explore whether taegyo practice (i.e., pregnant women's efforts for fetal good growth and development), self-esteem, and social support influenced the degree of maternal-fetal attachment in women with high-risk pregnancies. Methods: The participants included 226 pregnant Korean women at ≥20 gestational weeks, hospitalized with 15 high-risk pregnancy conditions as defined by the Ministry of Health and Welfare. Recruitment via convenience sampling was done at four sites in Busan, Korea. Surveys were distributed and collected from February 1 to 28, 2022. Data analysis was conducted using descriptive statistics, the t-test, one-factor analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression. Results: On average, participants were 33.97±4.23 years of age and at 31.65±6.23 gestational weeks. Preterm labor (35.4%) and gestational diabetes (21.0%) were the most common high-risk conditions. Maternal-fetal attachment was positively correlated with taegyo practice (r=.70, p<.001), self-esteem (r=.53, p<.001), and social support (r=.53, p<.001), all with statistical significance. Taegyo practice (β=.50, p<.001) and social support (β=.17, p=.030) explained 53% of variance in maternal-fetal attachment in women with high-risk pregnancies. Conclusion: Nurses caring for women with high-risk pregnancies during hospitalization can use these findings by promoting taegyo practice and enhancing social support to increase maternal-fetal attachment.

• The Journal of Korean Academic Society of Nursing Education
• /
• v.27 no.2
• /
• pp.117-131
• /
• 2021

Purpose: This study is a qualitative study that investigated the nature of Koreans' spiritual health using a hybrid model, clarifying the definition and attributes of the concept. Methods: The nature and definition of Koreans' spiritual health were identified through a review of the extensive literature at the theoretical stage and then compared with an analysis of the in-depth interview data conducted by the researcher in the fieldwork stage. Results: Koreans' spiritual health comprised nine attributes: awareness of the meaning and purpose of life, self-awareness, self-acceptance and recognition, self-transcendence, self-integration, harmony of relationships, self-actualization and development, the inner affective attributes of hope, happiness, fulfillment and thankful mind, and the interpersonal affective attributes of one connected mind, compassion, generosity and humility. The scope of the Absolute is expanded to 'heaven' and 'ancestors', and harmony with the community is emphasized. Conclusion: We have found that Koreans' spiritual health is important for total nursing care and that mental, social and physical health can be improved if spiritual health is promoted. Considering this point, personal and organizational efforts are needed to ensure that spiritual nursing is positively applied in community and clinical settings.

• Korean Journal of Social Welfare
• /
• v.46
• /
• pp.349-376
• /
• 2001

The objectives of this study is to examine the German mandatory prescription system in terms of the applicability and restriction of the pharmaceutical policy in order to obtain some useful implications for solving the problems in Korean prescription system. Recently, in Germany, an issue about the security of the prescription, the price control of the pharmaceuticals and the containment of the increasing prescription expenditure has been intensively discussed. Similar problems are also occurred in Korea. So, the policy measurements of Germany could be used in Korea. But it could not easy to introduce the German policy measurements in Korea because of the social-institutional differences between the two countries, which are following; (1) Korea has a short experience with the mandatory prescription system, (2) the German concept of the management differs from that of the Korea, (3) the subscribers and the patients are excluded from the decision making process, (4) the medical service providers often resist against reform plans. For the stable development of the Korean prescription system the principle of self-government, the collective bargaining concept for cost containment, and social consensus about optimal expenditure of the pharmaceuticals are expected to be needed.