• 제목/요약/키워드: Trusting and Caring

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문화간호를 위한 한국인의 민간 돌봄에 대한 연구 : 출생을 중심으로 (Study on Folk Caring in Korea for Cultural Nursing)

  • 고성희;조명옥;최영희;강신표
    • 대한간호학회지
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    • 제20권3호
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    • pp.430-458
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    • 1990
  • Care is a central concept of nursing. Nursing would not exist without caring. Care and quality of life are closely related. Human behavior is a manifestation of culture. We can say that caring and nursing care are expression of culture. The nurse must understand the relationship of culture with care for ensure quality nursing care. But knowledge of cultural factors in nursing is not well developed. Time and in - depth study are needed to find meaningful relationships between culture and care. Nurses recognized the importance of culturally appropriate nursing There are two care systems in culturally based nursing. The folk care system and the professional nursing care system. The folk care system existed long before the professional nursing care system was introduced into this culture. If the discrepancy between these two care systems is great, the client may receive inappropriate nursing care. Culture and subcaltures are diverse and dynamic in nature. Nurses need to know the caring behaviors, patterns, and their meaning in their own culture. In Korea we have taken some first step to study cultural nursing phenomena. It is not our intent necessarily to return to the past and develop a nationalistic of nursing, but to identify the core of traditional caring and relate that to professional nursing care. Our Assumptions are as follows : 1) Care is essential for human growth, well being and survial. 2) 7here are diverse and universal forma, expressions, patterns, and processes of human care that exist transcul - turally. 3) The behaviors and functions of caring differ according to the social structure of each culture. 4) Cultures have folk and professional care values, beliefs, and practices. To promote the quality of nursing care we must understand the folk care value, beliefs, and practices. We undertook this study to understand caring in our traditional culture. The Goals of this study were as follows : 1) To identify patterns in caring behavior, 2) To identify the structural components of caring, and 3) To understand the meaning and some principles of caring. We faised several questions in this study. Who is the care-giver? Who is the care-receipient? Was the woman the major care -giver at any time? What are the patterns in caring behavior? What art the priciples underlying the caring process? We used an interdisciplinary team approach, composed of representatives from nursing and anthropology, to contribute in -depth understanding of caring through a socicaltural perspeetive. A Field study was conducted in Ro-Bong, a small agricultural kinship village. The subjects were nine women and one man aged be or more years of age. Data were collected from january 15 to 21, 1990 through opem-ended in-depth interviews and observations. The interview focused on caring behaviors sorrounding birth, aging, death and child rearing. We analysed these data for meaning, pattern and priciples of caring. In this report we describe caring behaviors surrounding childbirth. The care-givers were primarily mothers- in -low, other women in the family older than the mother - to- be, older neighbor woman, husbands, and mothers of the mother-to- be. The care receivers were the mother-to-be the baby, and the immediate family as a component of kinship. Emerging caring behavior included praying, helping proscribing, giving moral advice(Deug - Dam), showing concern, instructing, protecting, making preparations, showing consideration, touching, trusting, encouraging, giving emotional comfort, being with, worrying about, being patient, preventing problems, showing by an example, looking after bringing up, taking care of postnatal health, streng thening the health condition, entering into another's feelings(empathizing), and sharing food, joy and sorrow The emerging caring component were affection, touching, nurtuing, teaching, praying, comforting, encouraging, sharing. empathizing, self - discipline, protecting, preparing, helping and compassion. Emerging principles of. caring were solidarity, heir- archzeal relationships, sex - role distinction. Caring during birth expresses the valve of life and reflects the valued traditional beliefs that human birth is given by god and a unique unifying family event reaching back to include the ancestors and foreward to later generations. In addition, We found positive and rational foundations for traditionl caring behaviors surrounding birth, these should not be stigmatized as inational or superstitious. The nurse appropriately adopts the rational and positive nature of traditional caring behaviors to promote the quality of nursing care.

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가족 간 생체 간이식 환자 가족의 돌봄 경험 (The Caring Experience of Family Caregivers for Patients of Living Donor Liver Transplantation from the Family Members)

  • 방미선;권수혜
    • 대한간호학회지
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    • 제52권4호
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    • pp.435-450
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    • 2022
  • Purpose: The purpose of the study was to understand the care experiences of the family of living donor liver transplantation (LDLT) patients where the donation had occurred within the family. Methods: Participants were eight family caregivers who cared for recipients and donors of LDLT. Data were collected through individual in-depth interviews from November, 2020 to April, 2021. Data analysis was performed through a cyclical process of data collection and analysis by applying Giorgi's phenomenological research method. Results: The five main components extracted from the experiences of the family caregivers were: "A double-edged choice to save the family", "The harsh daily life of liver transplantation care", "The yoke of double care on both shoulders", "The power to withstand the adversity of caring", and "The recovery and growth of life pursued by trusting each other". Conclusion: The participants tried to do their best in their daily lives, while providing reassurance and care to the LDLT patients in the family; however, they expressed some worry and hardship while doing so. The results of this study provide a deeper understanding of the caring experience of the family caregivers, which may contribute to the development of nursing interventions that will aid these caregivers in providing care to their LDLT family members. Furthermore, the development and application of an integrated management program for LDLT patients in the family is required.

한국인의 대인관계에서의 기본도덕으로서의 의리분석 : 한국인에게 진정한 친구는 의리있는 친구인가 (An Analysis of Urie Consciousness and Behavioral Pattern in Close Relationships of the Korean People)

  • 김기범;김미희;최상진
    • 한국심리학회지 : 문화 및 사회문제
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    • 제8권1호
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    • pp.79-101
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    • 2002
  • 본 연구는 한국인들의 의리의식에 관한 것으로, 친밀한 대인관계 즉 우리성·정 관계에서의 의리행동 및 의리의식에 관해 개방형 질문지를 통한 질적인 접근 방법(연구 1)과 비디오(연구 2) 및 시나리오를 통한 실험(연구 3) 등의 양적 연구를 병행하여 실시하였다. 1차 연구에서는 의리있는 행동 및 의리없는 행동을 대비시켜 의리의 중요성을 조사하였고, 2차 연구에서는 두 친구간의 의리를 주제로 한 비디오를 보면서 의리행동에 관한 이해 및 공유된 의식 체계를 분석하였다. 이 비디오를 통한 실험은 피험자들이 자극으로 사용된 비디오를 보고 설명하는 방식과 이해하는 방식이 일반인들이 생각하고 이해하는 방식과 동일하다는 분석 방법에 따른 것이다. 마지막으로 3차 연구에서는 의리와 정의가 상충되는 상황을 시나리오를 통해 조작하여, 한국인들이 사회적 정의보다는 사(私)적인 정의이자 도덕인 의리를 더 중요시하는 가를 알아보았다. 연구 1, 2를 분석해 본 결과, 한국인들은 서로를 믿고, 어려울 때 도와주며, 아껴주는 마음을 보일 때 그리고 오랜 시간을 함께 보냈을 때 의리가 있는 것으로 생각하는 반면, 서로의 믿음을 저버리고 이기적일 때 의리가 없다고 생각하는 것으로 나타났다. 따라서 친구간에 어떠한 행동이 의리를 지키는 행동이고, 친구간에 의리를 지켜야하는 당위성 및 행위양식에 대한 인식을 가지고 있는 것으로 나타났다. 연구 3의 결과, 피험자들은 비록 사회적으로 정의롭진 않지만 친구와의 의리를 지키는 사람이 친구로서 바람직한 것으로 평가하였고, 의리를 지키는 것이 친구간에 관계를 유지하는데 중요한 요소로 나타났다.

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비영어권 외국인 입원환자를 돌보는 간호사의 경험 (Caring Experiences of the Nurses Caring for Foreign Inpatients of non-English Speaking)

  • 장혜영;이은
    • 한국산학기술학회논문지
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    • 제17권12호
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    • pp.415-426
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    • 2016
  • 한국 내 외국인 환자 수가 증가함에 따라, 실제적인 간호경험에 대한 연구를 통해 외국인 환자의 간호의 질을 관리하고 향상시키는 것이 필수적이다. 본 연구는 비영어권 외국인 입원환자를 돌보는 간호사의 경험을 이해하고 설명하기 위해 수행된 질적 연구이다. 본 연구의 참여자는 2년 이상의 병원임상경력을 가진 간호사 10명을 대상으로 하였다. 자료수집은 개인 심층면담을 통해 이루어졌으며, 수집된 자료는 질적내용분석 방법을 사용하여 분석하였다. 분석결과 비영어권 외국인 입원환자를 돌보는 간호사의 경험은 '문화적 차이 인식', '진심을 통한 신뢰관계 형성', '추가적인 간호업무', '진정한 간호로의 몰입', '아쉬움과 후련함'으로 총 5개의 주제모음이 도출되었다. 본 연구 결과는 비영어권 외국인 환자를 돌보는 간호사의 경험에 대한 이해를 제공하였으며, 간호사들이 비영어권 외국인 환자를 돌보면서 언어적 의사소통의 어려움과 문화적 차이에도 불구하고 진정한 간호를 위해 적극적인 전략들을 사용하고 있음을 확인할 수 있었다. 한편, 통역 서비스 등의 인적 자원이나 영문 이외의 다양한 언어로 된 진료 안내서와 교육 자료 등의 시스템적인 자원 부족이 있었으므로 이를 해결하기 위한 제도적 노력과 자원이 뒷받침되어야 하겠다.

간호사의 업무수행상의 권한과 행사전략 (Nurse's Power and Tactics in Nursing Practice)

  • 한혜자
    • 간호행정학회지
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    • 제5권1호
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    • pp.23-37
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    • 1999
  • This study is to understand and to describe the power that a nurse experiences on nursing practice and then. to present a basic data for nurse's power-development, power improving and empowering. Ethnography was used to understand and to describe experience on exercising various powers occurred on nursing practice. and to analyze and to understand the meaning of a nurse's power. The objects was nurses. Ten nurses who have more than three year's experience were selected as objects from Cuniversity's hospital in Seoul from May of 1996 to August of 1997 through in-depth interview. participant observation, and phone interview. Instruments werw a portable recorder and field notes. I described a case appeared in a data using Agar's 'Pencil and scissors' method right after collecting materials. Then, Idescribed a theme discovered commonly. Followings are the results of the study. 1. There were three categories of relationships with main objects when nurses exercised their power on their practices: a therapeutic caring relationship with patients, a relationship of companion, vertical cooperation, and a constituent person with a doctor, and a relationship of cooperation, and a constituent person with administrative workers and medical technicians. 2. There were many types of nurse's power, tactics and various patient's responses about them. 1) Types of nurse's power to patients were giving information, controling environment, helping for cure, emotional support, and performing discretion. 2) Nurse's tatics for performing power were positive tactics neutral tactics, and negative tactics. 3) Patient's responses were appeared as compliance and noncompliance. Compliance were agreeing. taking nurse's advice, trusting, understanding, being admitted, exposuring himself, and appreciating. 3. There were types of nurse's power and performing tactics. 1) Types of power to a doctor were advice, informing, demanding and mediation. 2) Performings of tactics to a doctor were positive tactics, neutral tactics, and negative tactics. 3) Doctor's responses were appeared as accepting and unaccepting. Acceptings were taking in and appreciating, and unacceptings were denying nurse's advice and authoritative. 4. There were types of nurse's power and tactics about administrative workers and medical technicians and responses about them. 1) Types of power about administrative workers and medical technicians were suggestions and demands. 2) Power performings tactics were positive tactics.neutral tactics, and negative tactics. 3) Responses of administrative workers and medical technicians about nurse's power performing were appeared appeared as accepting and unacce pting. Acceptings were taking in, and unacceptings were denying. Therefore, it can be said that types of nurse's power and performing tactics on nursing practice and nurse's power based on responses of a patient, a doctor, an administrative worker, and a medical technicians are power or influence for agreeing, taking advice, trusting, understanding, exposuring himself, appreciating, and taking in to objects. The results of this study helped to understand nurse's power. I expect that this study will improve nure's power by using expert power, referent power, and legitimate power effectively among powers acmpanied with the origin and that nurses make ef-ort to improve professional knowledge and human nature so that they use this study as a chance to develope expert nursing practice.

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