• 제목/요약/키워드: care crisis

검색결과 149건 처리시간 0.021초

초산모의 양육경험에 대한 근거이론적 연구 (A Grounded Approach to Bringing up experiences in Mothers who have the first baby)

  • 김미종
    • 부모자녀건강학회지
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    • 제5권1호
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    • pp.62-74
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    • 2002
  • The purpose of this study was to explore bringing-up process of mothers with first baby in the context of Korean culture. The field survey was performed with four primiparae during four months from September, 2000 and grounded theory approach was used for data analysis. The results indicated that there were 27 primary categories and 12 secondary categories. Unclearness was extracted as an expression of the core category of bringing-up process. The subjects was faced with care of their baby after delivery and experienced formation and deepening of unclearness. After that, they also went through expression and disentanglement of complication caused by unclearness. It is found that the core concept of this study, the unclereness("Magmagham" in Korean) means a confusion, a burden, a helplessness and a hardness. New mothers make an effort to resolve this situation with strong motherhood in their mind. By supports from significant others, they are empowered and some mothers get depressive feelings. The findings of this study are contributed for nurses to understand new mothers in developmental crisis. We suggested that the nursing intervention strategies including learning baby care skills and preparing emotionally a motherhood must be given new mother during pregnancy period.

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자살사고를 보이는 암환자에 대한 실제적 접근 및 간호 중재 (Practical Approach and Nursing Intervention for Cancer Patients with Suicidal Idea)

  • 권신영;조성진
    • Journal of Hospice and Palliative Care
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    • 제6권1호
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    • pp.58-64
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    • 2003
  • Cancer is a life crisis which inflicts major psychological and physical trauma upon the victim. Most of the cancer patients suffer from major depression, profound frustration, and impaired social adjustment. Therefore suicidal ideation and suicidal attempt are also becoming a serious threat to cancer patients and their families. Hospice is patient-centered, and accepts the inevitability of 'death' while simultaneously being life-affirming. Even though there is no chance of physical cure, there is much scope for psychosocial and spiritual healing. Most of cancer patients who commit suicide suffer hem many mental problems. Hospice specialists must play an important role in evaluating and managing emotional or behavioral problems associated with suicidal ideatior and are also are expected to serve as informed commentators regarding suicide. It is crucial that hospice specialists define their role and develop clinical skills to intervene in suicidal event effectively. A systematic approach to suicidal cancer patients is a essential, and there is need for specific training for all hospice professionals. In this case report, the author introduced knowledge and clinical guidelines for a desirable approach to suicidal cancer patient.

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정신건강간호의 실체규명을 위한 업무경험 탐색 (An Exploration of Essentials of Psychiatric and Mental Health Nursing)

  • 오인옥;남경아
    • 정신간호학회지
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    • 제27권4호
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    • pp.415-426
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    • 2018
  • Purpose: This study aimed to explore the essentials of psychiatric and mental health nursing by identifying the care experience of the psychiatric nurses. Methods: Eleven psychiatric nurses were recruited across five geographical areas in the Korea. Data were collected using semi-structured interviews from two focus groups, which were analyzed with an inductive content analysis. Results: Participants constructed two categories including 'nursing tasks for the client' and 'nursing tasks for the organization'. Subcategories of nursing tasks for the client are 'staying alert on crisis prevention', 'leading them to be real with eager and persistent will', 'nursing beyond role boundaries', 'tuning the needs of clients' family', 'taking journey with clients' personal life history', and 'doing invisible but recognizable nursing'. Subcategories of nursing tasks for the organization are 'working as a responsible team member', 'integrating team competencies at the center of team', and 'balancing protection and control'. Conclusion: Psychiatric nurses played professional and holistic care roles for the clients, and managerial roles for the organizations. This study provides essential data for defining psychiatric nursing and estimating the appropriate ratio of psychiatric nursing staffing.

COVID-19 환자를 간호한 지방의료원 간호사의 간호서비스 질 영향요인 (Factors Affecting Nursing Service Quality of Nurses at Local Medical Centers for COVID-19 Patients)

  • 곽민정;김희경
    • 가정∙방문간호학회지
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    • 제29권1호
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    • pp.40-49
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    • 2022
  • Purpose: This study aimed to analyze the effects of fatigue, resilience, and self-leadership on nursing service quality of local medical center nurses who nursed COVID-19 patients. Methods: The participants were 135 nurses who worked at regional public hospitals located in H-gun, G, and C-city in province C. The collected data were analyzed using descriptive statistics, t-test, analysis of variance (ANOVA), Pearson's correlation coefficients, and stepwise multiple regression using IBM SPSS Statistics version 25. Results: The participants' nursing service quality showed significant positive correlation with resilience (r=.53, p<.001), and self-leadership (r=.60, p<.001). The factors affecting participants' nursing service quality were commitment to self-leadership (β=.57, p<.001) and work position (chief nursing officer) (β=.26, p<.001), which explained 42% of the participants' nursing service quality. Conclusion: During a crisis such as the COVID-19 pandemic, it is necessary to help nurses enhance their self-leadership skills and build their career continuously by developing relevant policies, systems, and nursing intervention programs. Future studies could expand the knowledge base by including more participants to explore other ways to improve nursing service quality during the COVID-19 pandemic.

청소년의 영양과 성장 (Adolescent nutrition and growth)

  • 박상희
    • Clinical and Experimental Pediatrics
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    • 제49권12호
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    • pp.1263-1266
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    • 2006
  • Nutrition is an essential component of total adolescent health care. Two important changes occurring during adolescence can cause a crisis in the teenager's nutritional needs. First, growth in height, weight, and body component is greater and more rapid than at any time since infancy. Second, an adolescent's eating habits may change from regular meals prepared at home to irregular meals, skipped meals, and nutrition-poor snacks and fast-food meals. Adolescents have been found to have the highest prevalence of any age group of an unsatisfactory nutritional status. To understand the nutritional requirements of the adolescent, health practitioners should be aware of the intensity and timing of the adolescent growth spurt, the differences in the growth spurt between males and females, and the individual variation in timing of the growth spurt from teenager to teenager.

간호사가 인식하는 근로 가치에 관한 주관성 연구 (A Study on the Subjectivity of Perceived Work Values in Nurses)

  • 한혜숙
    • 간호행정학회지
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    • 제15권4호
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    • pp.506-514
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    • 2009
  • Purpose: Nowadays nursing is facing a constantly increasing shortage of employees. While there are many causes for the present nursing shortage, a major contributing factor is the revolution in fundamental values what we expect in life. An understanding of the change can assist in identifying interventions that can be used to address this crisis in healthcare. The purpose of this study is to identify the features they look for in work and the underlying factors of the work values domain. Methods: Using Q methodology, 37 nurses rated 34 selected Q-statements on a scale of 1-9. The collected data were analyzed using pc-QUNAL software. Results: The results showed that work values, which nurses indicate as most important through working, were perceived as 4 factors; 'compensation oriented', 'security oriented', 'professional role oriented' and 'freedom oriented' work value. Conclusion: Providing for these findings will result in greater job satisfaction among nurses, better nurse retention and enhanced patient care within a supportive and harmonious organization.

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단기 아동보호시설 연구 - 아동상담소와 청소년쉼터를 중심으로 - (A Study on Emergency Short Term Shelters)

  • 이옥
    • 아동학회지
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    • 제21권1호
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    • pp.163-178
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    • 2000
  • Institutions included in this study of emergency short term shelters for children in crisis included 2 public counseling centers providing short term protection services for children and 12 emergency shelters for runaway children located in a metropolitan city in Korea. The institutions were examined with respect to their establishment, management, and programs. The researcher visited and interviewed workers employed in the institutions. In additions, 12 children who had been cared for emergency shelters were surveyed with open-ended questions. The data consisted of information on founders, locations, purpose, current management, personnel, length of care, and number and grouping of children. Programs and daily schedules were also examined. Effective models of emergency short term shelters were discussed on the basis of the collected data.

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보건소 비정규직 고용 비율에 영향을 미치는 요인 (Determinants of Contingent Workers' Ratio in Public Health Centers)

  • 이수진
    • 보건행정학회지
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    • 제20권4호
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    • pp.114-125
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    • 2010
  • Objectives : This study investigates the determinants of contingent workers' ratio in public health centers. Since the economic crisis in 1997, there have been many studies on contingent workers in Korea. But, previous studies have been not conducted focusing on public health center. Methods : This study used 253 public health centers, installed and operated since December 31, 2008. in Korea as units of analysis. To examine the determinants of contingent workers' ratio, this study uses Pearson correlation and multiple regression analysis. Results : The following appeared as significant variable affecting contingent workers' ratio in public health centers; degree of the local government's financial independence(p<0.001), rate of increase/decrease in ages 65 and over(p<0.001), rate of increase/decrease in basic livelihood security recipients(p<0.01) and rate of increase/decrease in registered disabled persons(p<0.01). In contrast, internal organizational environment characteristics related variables were not statistically significant. Conclusions : Contingent workers' ratio in public health center is significantly affected by financial vulnerability of the local government and increase in demand of health care services.

이창래의 디아스포라 로맨스 (Chang-rae Lee and Diasporic Romance)

  • 김정하
    • 미국학
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    • 제42권1호
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    • pp.1-22
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    • 2019
  • This paper suggests a genealogy of romance in Chang-rae Lee's Native Speaker, A Gesture Life, and The Surrendered. A flexible textual performance and literary strategy spanning issues of beauty and love, romance in Lee registers the writer's distinctive diasporic negotiation with sites of departure and arrival, in particular with traumatic histories of the m/other country. Native Speaker resolves the crisis of public immigrant love within the compromise in the domestic melodrama. As Lee turns to the scenes of historical trauma in the twentieth century transpacific, romance becomes a key strategy through which his aestheticized framing and deframing of comfort woman is performed and the Korean War finds odd comfort in the aesthetic energy of perverse care in Italy. Through the dehistoricizing movement outside of the historical into the realm of myth and nostalgia, Lee's diasporic romance breaks away from mandates of representation and works within the excess of mistranslation.

The threat of Monkeypox in the Philippines: another problematic preparation and management for the healthcare system?

  • Dalmacito A. Cordero Jr.
    • Clinical and Experimental Vaccine Research
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    • 제12권1호
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    • pp.77-79
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    • 2023
  • The Philippines is still in a tight battle with the coronavirus disease 2019 pandemic since many cases are detected daily. With the continuous spread of another disease worldwide-monkeypox, many Filipinos are alarmed if the country's healthcare system is prepared enough, especially with the detection of its first case. Learning from the unfortunate experiences of the country during the current pandemic is essential in facing another health crisis. With this, recommendations for a robust healthcare system are proposed centered on: a massive digital information campaign about the disease; training healthcare workers to raise awareness about the virus and its transmission, management, and treatment; an intensified surveillance and detection procedure to monitor cases and execute contact tracing properly; and a persistent procurement of vaccines and drugs for treatment, with a well-designed vaccination program.