• 한국노년학
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• v.30 no.4
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• pp.1263-1280
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• 2010

The present study describes the acculturation meaning of 12 Chinese-Chosun residential care attendants(RCAs) who are currently working in long-term care settings for Korean older adults. Using a qualitative research method, the findings show that the acculturation process of Chinese-Chosun RCAs consists of three stages: entrance, conflict, and adaptation. In the initial stage, the assets of the social and cultural networks among their friends and relatives, who already settled down or employed as RCAs, provided more opportunities for being employed as a RCA. However, most Chinese-Chosun RCAs experienced a number of conflicts while they adapted to mainstream society and perform caregiving tasks. They perceived discrimination, heavy workload, prejudice, and homesick. Nevertheless, they appeared to adapt effectively to Korean society and working environments because they were aware of the various benefits of working as a RCA such as higher wage and more job openings compared to other jobs, a rapport with the patients and patients' families, flexible work hours, and pride as a caregiver. This type of qualitative groundwork will be an important precursor to the design, implementation, and evaluation of acculturation research for minority immigrant workers in the Korean social welfare system.

• 한국노년학
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• v.29 no.1
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• pp.275-289
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• 2009

The purpose of this study is to explore effective factors of elderly people's overall death anxiety and sub-dimensions of death anxiety. The subjects were 156 elderly people in S City, Gyeonggi-Do gathered by convenience sampling. This study collected data by interviewing the elderly who agreed to participate in the study and then analyzed it using SPSS 12.0 through descriptive statistics, the t-test, F-test, Sheffe-test, correlation analysis, and multiple regression. The respondents' overall death anxiety score was 2.61(±.47), and 'anxiety in the dying process'(2.94) had the highest points among sub-dimensions. Effective factors of overall level of death anxiety among the elderly were 'age' (β=-.18, p=.015), 'education' (β=-.16, p=.045), and 'economic status' (β=-.26, p=.003). In sub-dimensions, the elderly who were female, relatively young, and had low economic status showed high 'anxiety in the dying process'. As for 'anxiety over what will happen after one's death', the elderly who were relatively young, and had low economic status had high scores. Finally, on 'the loss of existence', the elderly who had poor relationships with their families had high scores.

• 한국노년학
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• v.29 no.4
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• pp.1501-1520
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• 2009

The aim of this study is to observe the settlement experience among elderly North Korean women defectors who have been living in South Korea, and to understand their experience more fully. In this study, we adopted Colaizzi's phenomenological research method. The research participants consisted of six elderly North Korean women defectors in the age group of 65 to 70 who have settled in South Korea over three years. We utilized the purposed sampling and an in-depth interview for data collection. Data analysis was based on Colaizzi's six specific steps. As a result, eight theme clusters and sixteen themes were deduced from this research. The eight theme clusters are , , , , , , , . Based on these results, we discussed the meaning of elderly North Korean women's settlement experience in South Korea from a socio-cultural aspect and provided social welfare implications and future research suggestions.

• 한국노년학
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• v.25 no.2
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• pp.245-266
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• 2005

This study examined the relationship between parent-child relationship experiences in childhood and adulthood, and individual development and psychological well-being in mid to later life using structural equation modeling with data from 1,882 parents who have at least one child over 18 years old. Findings indicated that receiving more affectionate parenting in childhood was associated with greater generativity development, more positive parental experiences with one's own children, and better psychological well-being in mid to later adulthood. In addition, the effects of received parenting in childhood on psychological well-being after midlife were partially mediated by parental experiences with adult children and generativity development. These findings suggest that early experiences with parents in childhood continuously influence psychological well-being in adulthood through their impact on concurrent family experiences. However, early influences can be redirected through adult experiences too. These findings have implications for the development of intervention programs aimed at promoting volunteer work for older adults, as well as for practitioners who work with families and individuals who are having problems.

• Journal of Family Resource Management and Policy Review
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• v.27 no.4
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• pp.49-62
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• 2023

In order to create an organizational culture that prevents women's career breaks and promotes economic activities, this study aimed at developing educational content for workplace culture improvement for both male and female workers working at small and medium-sized enterprises in Jeollanam-do. The core content composition and content design specifically consider the characteristics of Jeollanam-do based on an advisory meeting of the field experts and researchers to ensure the on-site utilization of the content and the validity and consistency of the teaching content. The educational content is divided into three areas: understanding, effectiveness, and the implementation of a gender-sensitive work-life balance organizational culture. The aim of the content is for all employees to understand the meaning of work-life balance and to improve the organizational culture of their company from the perspective of individuals, families, companies, and society. In particular, the intention was to personally identify and implement measures to improve a gender-equal work-life balance, not only at work, but also with regard to domestic labor and leisure time. Furthermore, the content is presented from a gender-sensitive perspective that encompasses diversity, systems, and programs targeting women, men, single people, married people, young people, the elderly, and people with disabilities - all these groups are explained as examples. The content emphasizes that we should all actively participate in improving the organizational culture of our companies. In addition, the Women's New Work Center should seek ways to increase the motivation for the voluntary participation by companies and strengthen the expertise of instructors in work-life balance education.

• Journal of Korean Neurosurgical Society
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• v.67 no.1
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• pp.73-83
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• 2024

Objective : The Act on Life-Sustaining Treatment (LST) decisions for end-of-life patients has been effective since February 2018. An increasing number of patients and their families want to withhold or withdraw from LST when medical futility is expected. This study aimed to investigate the status of the Act on LST decisions for patients with acute cerebrovascular disease at a single hospital. Methods : Between January 2017 and December 2021, 227 patients with acute cerebrovascular diseases, including hemorrhagic stroke (n=184) and ischemic stroke (n=43), died at the hospital. The study period was divided into the periods before and after the Act. Results : The duration of hospitalization decreased after the Act was implemented compared to before (15.9±16.1 vs. 11.2±18.6 days, p=0.127). The rate of obtaining consent for the LST plan tended to increase after the Act (139/183 [76.0%] vs. 27/44 [61.4%], p=0.077). Notably, none of the patients made an LST decision independently. Ventilator withdrawal was more frequently performed after the Act than before (52/183 [28.4%] vs. 0/44 [0%], p<0.001). Conversely, the rate of organ donation decreased after the Act was implemented (5/183 [2.7%] vs. 6/44 [13.6%], p=0.008). Refusal to undergo surgery was more common after the Act was implemented than before (87/149 [58.4%] vs. 15/41 [36.6%], p=0.021) among the 190 patients who required surgery. Conclusion : After the Act on LST decisions was implemented, the rate of LST withdrawal increased in patients with acute cerebrovascular disease. However, the decision to withdraw LST was made by the patient's family rather than the patient themselves. After the execution of the Act, we also observed an increased rate of refusal to undergo surgery and a decreased rate of organ donation. The Act on LST decisions may reduce unnecessary treatments that prolong end-of-life processes without a curative effect. However, the widespread application of this law may also reduce beneficial treatments and contribute to a decline in organ donation.

• Industry Promotion Research
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• v.9 no.1
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• pp.179-187
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• 2024

This study aims to develop policies and programs to improve self-differentiation that will have an impact on establishing a positive view of marriage among college students by examining and confirming the impact of college students' self-differentiation on their views on marriage among college students in early adulthood. This is an attempted research study. For this purpose, a self-report online survey was conducted and analyzed among 204 college students attending a university in northern Gyeonggi Province. The analysis method used SPSS 25.0 program to calculate internal consistency, frequency analysis to identify the general characteristics of the research subject, descriptive statistical analysis to determine the level of the research variable, and differences in research variables according to the characteristics of the research subject. To find out, an independent samples t-test, analysis of variance, and post hoc test were conducted, and analysis using SPSS Process Macro was conducted to verify the mediation effect. The results of the analysis showed a positive (+) correlation between self-differentiation and views on marriage, which suggests that self-differentiation has a significant impact on establishing a positive view on marriage, and for this purpose, it is necessary to establish a positive view on marriage among college students. To this end, we aimed to provide basic data to support education for healthy families through national policy.

• Korean Journal of Culture and Social Issue
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• v.30 no.1
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• pp.1-33
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• 2024

This study analyzed the experiences of victims of state violence, discovered differences between state violence and general trauma, and proposed ways to help heal trauma. Participants were composed of state violence victims and their families in total, including 11 from the Jeju 43 Incident, 11 from the Yeos u·Sunchoen 10.19 Incident and 6 form May 18th Democratic Uprising. As a result of using the grounded theory to analyze data, a total of 170 concepts, 57 subcategories, and 20 categories were derived. The central phenomenon was direct damage caused by state violence. This included 'post-traumatic stress', 'social stigma', 'isolation from community', 'socio-economical issues' and 'family dissolution'. As a result of the process analysis, the participants experienced six phases: 'trauma', 'isolation', 'resistance', 'resignation', 'recovery', and 'growth.' Each phase is sequential but at the time mutually affect each other. Based on the results, this study verified the difference between state violence and general trauma, and emphasized social and cultural factors, such as community support, were important factors in healing state violence trauma. Besides, the implications and limitations as well as suggestions for future research were mentioned.

• Quality Improvement in Health Care
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• v.7 no.1
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• pp.118-131
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• 2000

Background : A continuous healthcare quality improvement is needed to provide high quality healthcare service as well as to maintain trust in terms of satisfying the needs of the patients. Recently it also became an essential issue. in hospital management, recognized for it's competitive potentiality among healthcare organization groups. This study was conducted to analyze patient complaints and issues received by the Quality Improvement Department. Its purpose is to improve healthcare qualities within the hospital, as well as establish policies and appropriate strategies in hospital management. Method : From July 1st to September 30th of the year 1999, we analyzed all complaints and issues made by various patients and their families, which were received through 24 hour phone consultation, numerous suggestion boxes, letters and E-mails, The issues were classified into 16 different categories based on a Patient Satisfaction Assessment Tool. All data were segregated according to the departmental frequencies and their contents. To come up with for environmental and patient satisfaction improvement, all complaints or issues were communicated with hospital administrators, medical and nursing staff and employees. Comprehensive customer satisfaction activities including improving phone etiquette were discussed in Customer Satisfaction Team, CQI Team and each Department. All opportunities for improvement were implemented. Feedback actions were discussed. Results : A total of 317 cases were collected. Issues regarding parking and other accommodation facilities were most common complaints that were 14.5% of total. Issues regarding admission rooms (10.7%), admission procedures (10.7%), waiting room environment (8.8%), nurses and nurse assistants (7.6%), physicians (6.6%) and others (23%) followed. Thirteen of 45 departments received more than 8 complaints. The Nursing Department had the most complaint, receiving 9.8% of total complaints. Complaints regarding the Nursing Department were predominantly related to the environment of patient rooms. The Department of Psychiatry for phone etiquette (4.7%), Department of Otolaryngology for the nursing staff's attitude and phone etiquette (4.4%), and the Admission Department followed. As a part of efforts to improve patient satisfaction, a new parking structure was built and reallocation of the parking space was done. Renovation of other accommodation facilities were carried out by hospital administration, Monthly phone call and answering attitude survey was done by QI Department. Based on this survey we made a phone etiquette manual and distributed throughout the hospital. Compare to the last year, Patient Satisfaction Index measured by Korea Productivity Center using National Customer Satisfaction Index was improved 7 points. According to our organization's own study, we confirmed the phone etiquette was improved 11% than last year. Conclusions : Issues related to parking and other accommodation facilities ranked first followed by complaints made regarding the patient care area, the admission and cashier process, and nurses' and doctors' attitude. The Nursing and Psychiatry Departments need improvement regarding phone etiquette. Results were shared and played a vital role in policymaking and strategic planning of the hospital. It is imperative that we keep our database updated by listening to and solving the needs of each patient. The CQI activities can be achieved only by full commitment of the hospital top management supported by related personal.

• Journal of Nutrition and Health
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• v.49 no.3
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• pp.179-188
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• 2016

Purpose: This cross-sectional study aimed to document the dietary behaviors, dietary changes, and health status of female marriage immigrants residing in Gwangju, Korea. Methods: The survey included 92 female immigrants attending Korean language class at a multi-cultural family support center. General characteristics, health status, anthropometric data, dietary behaviors, and dietary changes were collected. Results: Mean age of subjects was 31.3 years, and home countries of subjects were Vietnam (50.0%), China (26.0%), Philippines (12.0%), and others (12.0%). Frequently reported chronic diseases were digestive diseases (13.2%), anemia (12.1%), and neuropsychiatry disorder (8.9%). Seventeen percent of the subjects was obese ($BMI{\geq}25kg/m^2$). Dietary score by Mini Dietary Assessment was 3.45 out of 5 points. Dietary scores for dairy foods, meat/fish/egg/bean intake, meal regularity, and food variety were low, and those for fried foods and high fat meat intake were also low. Thirty-three percent of subjects answered that they have changed their diet and increased their consumption of fruits and vegetables after immigration. Length of residence in Korea was positively associated with BMI and waist circumference. Length of residence tends to be positively associated with dietary changes and obesity as well as inversely associated with disease prevalence. Conclusion: The study shows that length of residence is inversely related to disease prevalence. However, this association is thought to be due to the relatively short period of residence in Korea and thus the transitional phase to adapting to dietary practices. As the length of residence increases, disease patterns related to obesity are subject to change. Healthy dietary behaviors and adaptation to dietary practices in Korea in female marriage immigrants will not only benefit individuals but also their families and social structure. Therefore, varied, long-term, and target-specific studies on female marriage immigrants are highly needed.