• Title/Summary/Keyword: adaptation process

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A Grounded-theory Approach to the Process of Life Adaptation in Women with Cervical Cancer (자궁경부암 여성의 삶의 적응에 관한 근거이론적 접근)

  • Lee, Sook-Hee;Kim, Jeung-Im;Lee, Hae-Kyung;Kang, Nam-Mi;Kim, Hae-Won;Lee, Eun-Hee;Hur, Myung-Haeng;Park, Young-Sook
    • Women's Health Nursing
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    • v.10 no.1
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    • pp.32-41
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    • 2004
  • Purpose: The purpose of this study was to explore and describe the process of life adaptation in women with cervical cancer. Method: A grounded theory method with guided data collection and analysis was used. Fifteen women with cervical cancer who had some kind of treatment at the hospital were asked open-ended and descriptive questions with a guideline. All interviews were tape-recorded and transcribed verbatim. Result: The core category that emerged from the comparative analysis was "overcoming cancer" named as a process of life adaptation in the participants. The process of overcoming cancer evolved three stages - "admitting reality", "attempting health-care" and "continuing health-care". Depending on the paradigm model, the central phenomena of the experiences was "powerlessness". The internal factors motivating women to overcome cancer were "denial of cancer" and "desire for life". Strategies of overcoming cancer included "living as a cancer patient," "selective food eating," "steady exercising," "getting rid of stress," and "preparing for death". The intervening conditions, "supportive system," "forms of life," and "burden on family," influenced overcoming cancer. Conclusion: The results of this study could help clinical nurses to understand life adaptation in cervical cancer patients and establish efficient coping strategies in dealing with the problems they face.

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Clinical Survival: Male Nurses Adaptation Process for Female Nurses (임상에서의 생존: 여성간호사에 대한 남성간호사의 적응 과정)

  • Kim, HyunSu;Yun, HeeJang
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.2
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    • pp.139-146
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    • 2019
  • The purpose of this study is to find meaning of male nurses's adaptation to female nurses by grsping deeply what the adaption process of male nurses is from male nurses's point of views. What is the adaptation of male nurses to female nurses? With this research subject, we explored the adaptation process of male nurses to female nurses through phenomenological method. The study participants were 12 male nurses with more than 25 months of experience working in hospitals who agreed to the intention and method of the study. The results of this study were derived from 39 meanings of composition, 13 theme bundles, and 4 categories. As for the category, it was revealed that, in the case of maladjustment situation, there was a tendency to assimilate into force, interpersonal relationship, to improve the job ability, and to become a dedicated nurse. The results of this study can be used as basic data to develop effective nursing workforce management measures in the clinical field by understanding the adaptation process to female nurses of male nurses.

Adaptation Processes of Mothers of Children with Autism (자폐아 어머니의 장애적응과정과 지지)

  • Lee Ki-Sook;Jung Soon-Jung
    • Journal of Families and Better Life
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    • v.23 no.5 s.77
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    • pp.39-51
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    • 2005
  • This study aims at investigating the adaptation process of the mothers of autistic children. A qualitative research method was adopted for this study: in-depth interviews were conducted using semi-structured questionnaires, then the transcribed interviews were analyzed to sort out patterns of adaptation and social support. Major results of the study are as follows: First the interviewees had common processes and patterns in their experiences and went through similar emotional and psychological processes. More specifically, most of the interviewees went through the stages of denial and isolation, anger, bargaining, depression, and acceptance. However, the interviewees did not experience the stages in the exact sequence, as the stages sometimes would repeat, or would overlap one with another, Second, the data showed that many of the mothers of autistic children could not obtain the social support that they acutely needed Also, it was found that when adequate social support was provided, it relieved the stress of the interviewees, improved their adaptation, reduced the negative effects of crises or changes in the family, and further strengthened the solidarity of the family.

A Review of Studies on Vulnerability Indicator for the Climate Change Adaptation over South Korea (한반도 기후 변화 적응을 위한 취약성 지수 산정에 관한 고찰)

  • Kim, Cheol-Hee;Kim, Eun-Hwa;Song, Chang-Keun;Hong, You-Deog;Yoo, Jeong-A;Hong, Sung-Cheol
    • Journal of Environmental Science International
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    • v.20 no.6
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    • pp.789-798
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    • 2011
  • Climate change assessment, together with climate change adaptation process, would be one of the worldwide important issues, and the study on climate change vulnerability indicator has been an essential problem for climate change adaptation. Vulnerability indicator can be used as a good tool to estimate the impact of climate change and to map out the distribution of its vulnerability over the given area both in Korea and other countries. This study addressed the conceptual summary on the assessment of climate change and its adaptation process. Previous studies on how to yield the vulnerability indicators of climate change are reviewed and several previous results of vulnerability indicators applied to Korean provinces are also discussed here.

Adaptation Experience of Living Kidney Donors after Donation (생체 신장 공여자의 공여 후 적응 경험)

  • Kang, Da-Hai-Som;Yang, Jinhyang
    • Journal of Korean Academy of Nursing
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    • v.46 no.2
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    • pp.271-282
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    • 2016
  • Purpose: This study was done to explore adaptation experience of living kidney donors after donation. Specific aims were to identify challenges donors face in the process of adaptation following surgery and how they interact with recipients and other people. Methods: Grounded theory methodology was utilized. Participants were 13 living kidney donors at six months or more after donation. Data were collected by in-depth interviews with individual participants. Data were analyzed using constants comparative method with theoretical saturation. Results: A core category emerged as 'keeping the fences of my family in spite of vulnerability'. The adaptation process after donation was manifested in four phases: exploration, balance, maintenance, and acclimatization. Phenomenon was perception of vulnerability. Strategies to manage the vulnerability were assessing changes of body awareness, tailoring regimen to one's own body condition, coping with health problems, keeping restoration of health, and ruminating on the meaning of one's kidney donation. Consequences were reestablishing family well-being, realizing the values of one's kidney donation, and living with uncertainty. Conclusion: Findings of the study indicate that there is a need for health professionals to understand the vulnerability of living kidney donors and help their family system maintain a healthy and productive life. The results of this study can be used to develop phase-specific, patient-centered, and tailored interventions for living kidney donors.

Differences in Coping and Adaptation Processing, Organizational Socialization according to the New Nurse's Experience of Bullying in Workplace (신규간호사의 직장 내 괴롭힘 경험에 따른 대처적응과정과 조직사회화의 차이)

  • Kim, Hee Jin;Song, Chi Eun
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.3
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    • pp.337-343
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    • 2020
  • Purpose: This study is a descriptive study to identify the degree of workplace bullying experience of newly graduated nurses and the difference in coping and adaptation processing, organizational socialization in relation to workplace bullying experience. Methods: The Study participants were newly graduated nurses with 3 months to 1-year clinical experience (N=186) and conveniently sampled from a small to medium-sized hospital located in G Metropolitan City. Data were collected in July 2018, using structured questionnaires. Results: Half of the participants (50.0%) reported workplace bullying experience. Most bulling experiences were person or work related. Newly graduated nurses who experienced bullying in the workplace demonstrated significantly lower coping and adaptation process (t=3.34, p=.001) and organizational socialization (t=7.46, p=<.001) than nurses who did not experience bullying in the workplace. Conclusion: Orientation programs for newly graduated nurses need to include contents that can improve the coping and adaptation process. Nursing managers at small and medium-sized general hospitals should actively support the mentor-mentee program to promote the organizational socialization of newly graduated nurses.

The Lived Experience of Dietary Adaptation in Peritoneal Dialysis Patients: A Phenomenological Study (복막투석환자의 식이적응경험: 현상학적 연구)

  • Lee, Hyun-Jung;Kim, Bong-Hee;Kang, Hee-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.364-374
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    • 2020
  • This paper describes the experience of the dietary adaptation of patients undergoing peritoneal dialysis due to end-stage renal failure by identifying the meanings and structure of the experience. In the research method, the data from nine patients were collected using individual in-depth interviews and analyzed using Colaizzi's phenomenological method. The experience of the dietary adaptation of participants undergoing peritoneal dialysis was organized into four theme-clusters and 15 themes. These four theme-clusters were characterized as follows: 'the double sufferings of peritoneal dialysis process and dietary adaptation', 'vague and ambiguous diet management', 'the hardship of diet management felt by experiencing diet using one's body', and 'realizing the importance of diet management with peritoneal dialysis, resetting one's goal in life'. This paper describes the dietary adaptation process experienced by peritoneal dialysis patients was a process of adhering to a better life, even though it was the double sufferings of peritoneal dialysis process and dietary adaptation. In conclusion, the findings in this study provide a deep understanding of the lived experience of the dietary adaptation in peritoneal dialysis patients and should help in the development of tailored diet interventions for patients on peritoneal dialysis.

Risk Assessment and Clasification for Climate Change Adaptation: Application on the Method of Climate Change Risk Assessment in the UK (기후변화 적응을 위한 리스크 평가 및 유형화: 영국의 정성적 리스크 평가 방법론 적용)

  • Kim, Dong Hyun
    • Journal of Environmental Policy
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    • v.14 no.1
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    • pp.53-83
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    • 2015
  • Recently, climate change risk assessment has been discussed as a medium process for making climate change adaptation policies in the research field of climate change adaptation. Climate change risk assessment has been understood to have an intermediary role among impact assessment, vulnerable assessment and policy, and is used in the process of devising adaptation policies in the United Kingdom (UK). This paper quantitatively assessed the risks of climate change in Korea, applied the methods used in the UK, underwent the classification process and suggested implications of Korean adaptation policies. A survey of experts, based on Delphi's method and the classification criterion developed by Klinke and Renn(2002), was also carried out. A list of climate risks was created from the climate change impact and vulnerability assessment report of Korea, first national adaptation policy of Korea, and general climate risks of the UK. From the results, 42 risks out of total 125 risks were selected based on their importance. The assessed risks with factors, such as high impact and urgency, are related to repeated and large scale damage from storms and floods caused by abnormal or extreme weather events. Ecological changes and social infrastructure risks were engaged as required as a policy response for medium to longer term. As for making the classification, types of climate risks were suggested to manage the basic capacity in relation to social trust, triggering mechanism and responsibility. Following suggestions are put forward as the base of autonomous adaptation: increasing the capacity of civil society, mutual trust and civil participation in adaptation policy process.

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The Mediated Effects of Emotion Regulation in the Relations between Maternal Parenting and Children's Adaptation to School Life of Elementary School Students (어머니의 양육행동이 초등학생의 학교생활적응에 미치는 영향 : 정서조절력 매개효과)

  • KIM, Du-Gyu;KANG, Mun-Suk
    • Journal of Fisheries and Marine Sciences Education
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    • v.29 no.2
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    • pp.365-379
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    • 2017
  • The purpose of this study was to test the mediated effects of emotional regulation in the relations between maternal parenting and children's adaptation to school life of elementary school students. Three-hundred Seven elementary school students completed the maternal parenting scale, the emotional regulation scale, and the adaptation to school life scale. In order to find to identify how maternal parenting, emotional regulation were related with their adaptation to school life, Pearson correlation coefficients were used in the computation. To examine the effects of maternal parenting, emotional regulation on adaptation to school life, multiple regression analyses were conducted. To examine whether emotional regulation as a mediating variable in the process that maternal parenting is influencing children's adaptation to school life, hierarchical regression analyses were performed. The results of this study were summarized as follows. First, the analysis of the relationship of maternal parenting, emotional regulation with adaptation to school life shows that there is a significant positive correlation between maternal parenting, emotional regulation and adaptation to school life. Second, in the multiple regression analysis with maternal parenting and emotional regulation as a predictor and adaptation to school life as an outcome variable it has been shown that the emotional regulation were significant in adaptation to school life, but maternal parenting were not significant in adaptation to school life. The higher the emotional regulation is the better can children adapt themselves to school life. Third, the analysis on the mediating effects of emotional regulation in the relationship of maternal parenting and adaptation to school life showed that emotional regulation full mediates the relationship of maternal parenting with adaptation to school life.

Perceived Social Support as a Predictor on Adaptation of Family Who has a Child with Pediatric Cancer (소아암 환아 가족이 인지한 사회적 지지가 적응에 미치는 영향)

  • Tak Young-Ran;Yun E-Hwa;Chon Young-Shin;An Ji-Yeon
    • Child Health Nursing Research
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    • v.9 no.1
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    • pp.9-17
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    • 2003
  • Families of children with cancer face many illness-related demands. The perceived social support is a critical resource for the family adaptation process. And the patterns of family adaptation to childhood cancer varies as characteristics of disease, which is prognosis, the influence of cognition function, and treatment process. The conceptual definition of social support is not unidimensional. However, most studies focus on general aspect of mediating effects on adaptation. Diverse dimensions of perceived social support should be considered in its effectiveness for intervention. Therefore, this study was undertaken to determine whether family's perceived social support influences the family adaptation of family with pediatric cancer and what dimension influences mostly in family adaptation as the characteristics of disease in the family of children with cancer. The subject was consisted of 102 families with pediatric cancer who had been diagnosed as leukemia or brain tumor last 2 years. Those families had participated in the education program or meetings for family who have with pediatric cancer children. The measurement for this study were Personal Resource Questionnaire (PRQ) Part-Ⅱ developed by Brandt and Weinert to measure parents' perceived social support, and the McCubbin's Coping Health Inventory for Parents (CHIP) to measure family coping. The results of this study can be summarized as follows; Regression analysis showed that perceived social support has effect on family adaptation with β=.43, p<.01. In the group of family of child with leukemia, social support as general has effect on adaptation (β=.40, p<.01) and specially, social support perceived as intimacy was strongly effect on family adaptation. And In the group of brain tumor, Social support has effect on adaptation(β=.46, p<.01) and among the social support domains, the self esteem dimension was most predictable to family adaptation. In conclusion, the perceived social support is a predictor on family adaptation and useful vehicle to help family who has child with pediatric cancer. An important clinical implication is that specified support program for intervention may be useful and critical for the family who has diverse pediatric conditions of childhood cancer. Further studies should stress the effects of family support for clinical intervention and is needed with diverse stage of development and pediatric conditions.

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