• 제목/요약/키워드: approach coping

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신체활동에 대한 건강행동과정접근모델(Health Action Process Approach Model) 관련 변인의 효과: 체계적 문헌고찰 및 메타분석 (Effects of the Variables related to the Health Action Process Approach Model on Physical Activity: A Systematic Literature Review and Meta-analysis)

  • 최윤;양숙자;송혜영
    • 지역사회간호학회지
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    • 제29권3호
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    • pp.359-370
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    • 2018
  • Purpose: The purpose of this study is to identify effects of the variables of Health Action Process Approach (HAPA) Model on physical activity. Methods: This study has conducted a systematic literature review and meta-analysis. Sixteen articles were searched through electronic databases (PsycINFO, PubMed, CINAHL, Web of science, Science Direct, RISS, KMBASE, KoreaMed, KISS, DBpia) and additional journals from 2000 to July, 2017. To estimate the effect size (ES), the meta-analysis of the studies was performed by using Comprehensive Meta-Analysis programs. Results: The overall effect size of the variables of HAPA on physical activity was median (ES=.28). Of the core variables of HAPA model, action control (ES=.43) showed the largest effect size, followed by coping self-efficacy (ES=.31) and planning (ES=.31).Additional variables were identified as preparatory behavior (ES=.39) and past physical activity (ES=.24). Through the moderator effect analysis, the effect size was higher in the volitional phase than in the motivational phase, and higher in the healthy group than in the patient group. The higher the proportion of males and the lower the age, the larger the effect size. Conclusion: This finding shows empirical evidence that all core variables of the HAPA model are useful for predicting physical activity. We propose the use of the HAPA model to develop physical activity promotion intervention.

사서의 직업사회화 경험의 통합 요인 - 질적 다방법 연구 - (Integrated Factors Related to Occupational Socialization of Librarians: A Qualitative Multimethod Study)

  • 김갑선
    • 한국도서관정보학회지
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    • 제41권4호
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    • pp.99-126
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    • 2010
  • 본 연구는 질적 다방법을 적용하여 복합 현상인 직업 사회화 경험의 실체이론을 구성하는 요인들을 통합 도출한 것이다. 순차적으로 이루어진 일련의 3개 질적 선행연구의 총 참여자는 이론적 표집에 의한 42명의 현직 사서 및 사서교사들이다. 질적 다방법 접근의 최종 통합방법으로서 근거이론 접근을 적용하여 3개의 선행연구 결과 및 심층면담자료의 최종분석과 비교, 재검토, 통합이 이루어졌다. 그 결과 도출된 통합 구성요인은 다음과 같다: 전공 공감, 주변부 인식 극복하기, 사회적 몰이해, 열악함, 업무 공감, 사회 변화, 이용자에 대한 인식, 도서관 조직문화, 조직인간관계, 지속교육과 교류, 전문성 추구, 업무 전략, 대인관계 전략, 슬럼프와 위기 대응 전략, 개인 성장 및 발전도모전략, 조직 대응 및 몰인식 대응 전략, 사서직과 자아일치, 자아 불일치.

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폴리텍대학 NCS 직업기초능력 수업에서 액션러닝방식이 학습자의 학습동기와 문제해결력에 미치는 영향 (Effects of Action Learning Approach on Learning Motivation and Problem-solving Capacity in NCS Vocational Competency Class of Polytechnic College)

  • 김연철;이은철
    • 한국콘텐츠학회논문지
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    • 제16권11호
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    • pp.38-52
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    • 2016
  • 본 연구는 폴리텍대학 NCS 직업기초능력 수업에서 액션러닝방식이 학습자의 학습동기 증진과 문제해결력 향상에 미치는 영향을 분석하였다. 이를 위해 충남소재 B폴리텍대학 학생들을 연구대상으로 하였고 연구방법은 실험연구로써 실험집단 53명을 대상으로 액션러닝방식을 적용하였고 통제집단 64명을 대상으로 직접교수방식을 적용하였다. 자료 분석은 기술통계분석과 학습동기 및 문제해결력의 하위요인에 대한 다변량분산분석(MANOVA)을 실시하였다. 그 결과 학습동기의 하위요인 중 관련성, 자신감, 만족감에서 액션러닝방식의 학습효과가 높게 나타났고 문제해결력의 하위요인 중 문제명료화, 원인분석, 대안개발, 계획/실행, 수행평가에서 액션러닝방식의 학습효과가 높게 나타났다. 뿐만 아니라 액션러닝 방식의 학습은 과제중심의 팀 학습을 하는 과정에서 다양한 관점에 대한 이해, 의사소통, 리더십, 대인관계, 자기개발, 갈등관리, 회의운영 방법 등을 자연스럽게 터득하면서 직업기초능력을 함양할 수 있기 때문에 폴리텍대학 NCS 직업기초능력 수업의 교수학습방법으로 활용이 요구된다.

혈액투석환자의 적응과정 경험 (Adjustment Process of Hemodialysis Patients : A Grounded Theory Approach)

  • 김효빈
    • 재활간호학회지
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    • 제5권2호
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    • pp.217-225
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    • 2002
  • Purpose : This research is aimed at developing a substantive theory related to the experience of adjustmented hemodialysis patients by identifying and analyzing the nature, process, and types of adjustment experienced by them. For this purpose, this study takes a grounded theory approach. Method : Data were collected from April, 2002 through September, 2002 through in-depth interviews and close observations of eleven hemodialysis patients who have experienced adjustment. With their consent, the interviews were recorded by audio tapes and later transcribed. Observation memos were also prepared on the subjects' behavior during the interviews. Data collection continued until saturated. The data were analyzed into concepts, subcategories, and categories with the open coding process. The axial coding was done to identify the relationships of the concepts and categories. And the selective coding was done to develop a core category, which is the central phenomenon of the hemodialysis patients who experienced adjustment. Result : This process resulted in 88 concepts, which may be grouped into 24 subcategories and 6 core categories. The 6 categories, in fact, depict the process of changes the patients experience from the sense of crisis, self-control, new life meaning, support system, coping ability, and quality of life improvement. And its core is self-control, which encompasses the dynamic stages from recognition, change attempts, belief solidification, and empowerment. Conclusion : The results of the research offer the following implications. First, research on adjustment is a formative stage in nursing, it is imperative for nursing researchers to develop them, which may be more relevant to nursing. Second, it is important to develop nursing intervention techniques that may be most effective in adjustment of hemodialysis patients and at the same time for each stage of changes taking place in adjustmented hemodialysis patients.

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홧병 연구에 관한 고찰 (Literatures Review in Hwabyung Research)

  • 박영숙;채선옥
    • 지역사회간호학회지
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    • 제12권3호
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    • pp.705-715
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    • 2001
  • This study examined 19 papers published from 1977 to 2000 based on the objective frame evaluation. This purpose of this study was to examine the trend of Hwabyung research and to serve as a guide for the future 'Hwabyung' study. The results of studies were as follow. In the design of research, clinical studies are definitely dominant. As for the fields of research, the concept of Hwabyung was studied more frequently than the others. As for the authorship. psychiatrists prevailed but nursing professionals are on the increase. Research subject in clinical and survey study, patient was definitely dominant and the place of study was almost always a hospital (75%), data collection was higher on interview (58.3%). Hwabyung was considered unique culture bounded syndrome related to Korean culture. Frequent etiologic factor of Hwabyung were a husband's extra-marital affair, conflicts between houses wives and mothers-in-laws, and financial loss and suffering. From the incidence of Hwabyung, a greater number of patients with Hwabyung were middle aged women in the low economic and educational classes, and these were connected with the culture and the family system. The symptoms of Hwabyung included psychological and physical symptom, neurological disorder and disease behavior. Defense mechanisms and coping strategies for Hwabyung were somatization, suppression, orality, withdrawal, isolation, regression, help-seeking, complaining, and wreaking anger. Treatment of Hwabyung were medication, effort by herself, communication with families, consultation with psychologist, acupuncture, negative therapy, moxa, and Qi-kong. Psychiatric therapy, behavior therapy, nursing intervention on multi-interdisciplinary approach and psychiatric nursing approach were recommended for the nursing care of a Hwabyung patient.

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An Analytic Framework to Assess Organizational Resilience

  • Patriarca, Riccardo;Di Gravio, Giulio;Costantino, Francesco;Falegnami, Andrea;Bilotta, Federico
    • Safety and Health at Work
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    • 제9권3호
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    • pp.265-276
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    • 2018
  • Background: Resilience engineering is a paradigm for safety management that focuses on coping with complexity to achieve success, even considering several conflicting goals. Modern sociotechnical systems have to be resilient to comply with the variability of everyday activities, the tight-coupled and under-specified nature of work, and the nonlinear interactions among agents. At organizational level, resilience can be described as a combination of four cornerstones: monitoring, responding, learning, and anticipating. Methods: Starting from these four categories, this article aims at defining a semiquantitative analytic framework to measure organizational resilience in complex sociotechnical systems, combining the resilience analysis grid and the analytic hierarchy process. Results: This article presents an approach for defining resilience abilities of an organization, creating a structured domain-dependent framework to define a resilience profile at different levels of abstraction, and identifying weaknesses and strengths of the system and potential actions to increase system's adaptive capacity. An illustrative example in an anesthesia department clarifies the outcomes of the approach. Conclusion: The outcome of the resilience analysis grid, i.e., a weighed set of probing questions, can be used in different domains, as a support tool in a wider Safety-II oriented managerial action to bring safety management into the core business of the organization.

A Systems Engineering Approach to Predict the Success Window of FLEX Strategy under Extended SBO Using Artificial Intelligence

  • Alketbi, Salama Obaid;Diab, Aya
    • 시스템엔지니어링학술지
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    • 제16권2호
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    • pp.97-109
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    • 2020
  • On March 11, 2011, an earthquake followed by a tsunami caused an extended station blackout (SBO) at the Fukushima Dai-ichi NPP Units. The accident was initiated by a total loss of both onsite and offsite electrical power resulting in the loss of the ultimate heat sink for several days, and a consequent core melt in some units where proper mitigation strategies could not be implemented in a timely fashion. To enhance the plant's coping capability, the Diverse and Flexible Strategies (FLEX) were proposed to append the Emergency Operation Procedures (EOPs) by relying on portable equipment as an additional line of defense. To assess the success window of FLEX strategies, all sources of uncertainties need to be considered, using a physics-based model or system code. This necessitates conducting a large number of simulations to reflect all potential variations in initial, boundary, and design conditions as well as thermophysical properties, empirical models, and scenario uncertainties. Alternatively, data-driven models may provide a fast tool to predict the success window of FLEX strategies given the underlying uncertainties. This paper explores the applicability of Artificial Intelligence (AI) to identify the success window of FLEX strategy for extended SBO. The developed model can be trained and validated using data produced by the lumped parameter thermal-hydraulic code, MARS-KS, as best estimate system code loosely coupled with Dakota for uncertainty quantification. A Systems Engineering (SE) approach is used to plan and manage the process of using AI to predict the success window of FLEX strategies under extended SBO conditions.

부부상담 프로그램 개발 및 효과성 연구 : 부부갈등해결을 위한 통합적 접근 적용 (Study on the Development and Effectiveness of Marital Counseling Program : Applied Integrated Approach for Marital Conflict Solution)

  • 최규련
    • 가정과삶의질연구
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    • 제27권3호
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    • pp.181-200
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    • 2009
  • The purpose of this study was to develop Marital Counseling Program for marital conflict solution and to verify the effects of the developed program both quantitatively and qualitatively. This marital counseling program consisted of conjoint marital counseling(5 session) and group marital counseling(6 sessions). Each 13 couples of the experiment group and the control group were analysed. The effectiveness of this program was evaluated by pretest, post test, and follow-up after 3 months. It was analyzed by Mann-Whitney U Test and Wilcoxon Matched Pairs Signed-Rank Test. Also, as for the experiment group, the level of objective change perception, qualitative evaluation, and program evaluation were investigated. The major results were as follows: This marital counseling program for conflict solution was effective to decrease the level of marital conflict and explosive conflict coping and to increase the level of emotional interaction, communication skill, marital satisfaction, and self-esteem among experiment group. These positive effects maintained at follow-up. Additionally, participants(experiment group) reported positive changes of psycho-emotional state, spouse interaction behavior, marital communication and marital relationships. However, in the control group, there were no change according to the time. Future research and practical implications were added.

유자녀 입양가족 어머니의 양육경험에 관한 연구 (A Study on the Parenting Experiences of Adoptive Mothers with their Biological Children)

  • 임경미;양성은
    • 가정과삶의질연구
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    • 제29권5호
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    • pp.33-50
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    • 2011
  • This study aims to examine experiences of adoptive families, mainly focusing on mothers with their biological children and adopted a child, through a phenomenological approach. The subjects of this study are adoptive family's mothers with their biological children according to a criterion-based selection. 15 mothers who adopted children under 12 months, who are currently aged over 6, are selected and given personal and in-depth interviews, questions ranging from the process before adoption, foster care and changes in family relationships to the issues caused by adoption and coping methods. 6 steps of a phenomenological method that Colaizzi(1978) proposed are applied to analyze the data. The results of this study are as follows. The central theme of this study is 'A family which has harmonized with love beyond blood ties'. First, the participants have shown difficulties in different aspects over adoption than those of sterile families. The motive of their adoption is to let adopted children experience a happy childhood in a loving family. Secondly, the participants have adjusted themselves to new adoptive families, have committed to the care of their new children, and have experienced a change in family relationships. Finally, adoptive families have successfully been settled while overcoming difficulties together.

척수손상인의 적응과정에 관한 근거이론적 접근 (A Ground Theory Approach to the Adaptation Process of the Spinal Cord Injured Persons)

  • 송충숙
    • 동서간호학연구지
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    • 제22권2호
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    • pp.158-169
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    • 2016
  • Purpose: This study is a qualitative research on the adaptation of the spinal cord injury after fortuitous the accident. Methods: The subjects are fifteen spinal cord injuries. As a study method, this author employed Grounded theory, one of the qualitative research methods. For data analysis, the procedures of Grounded theory methodology was adopted, and then the data collection were collected for six months from March to September 2009. Concerning the frequence of interviewing, each participants went through individual interviewing twice at least and up to four times if necessary. Results: As a result of open coding, total thirty six concepts and twenty categories were drawn. To synthesize these categories, they came to choose 'Going into the new self-made spinal cord injury' as a nuclear category. Typological analysis based on the result of the paradigm model divided them into a reality-avoiding, passive coping, reality-maintaining, reality-overcoming, and self-fulfillment type. Conclusion: As a result of this study, family support to those with spinal cord disability is an important factor for their motive for rehabilitation and adjustment, spinal disabilities were accepted to mostly the disabilities in relations with colleagues. Thus it is necessary to give them a nursing intervention through disability group for successful adjustment to life with disability.