• Research in Community and Public Health Nursing
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• v.5 no.2
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• pp.130-146
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• 1994

Our medical care system is trying to diversify in order to meet the client's needs, and to adjust to a medical environment which is changing very rapidly. Because current nursing theory and practice focus on holistic care, health care management, education, and research, contrary to the traditional emphasis on only assisting a physician, more autonomy and specialization for the implementation of nursing are required. Considering these trends and actual needs, the category of clinical nurse specialist should be established as soon as possible. In order to develop strategies for implementing this new professional specialty, the authors conducted a field survey and literature review of the current system in Korea. As a result, various obstacles and constraints were discovered as follows : 1) There are few accredited educational programs for the training of CNS's. 2) Several hospitals already have staff designated as clinical nurse specialist (CNS) even though the term CNS is not yet standardized or adopted in nationwide. 3) The role of the CNS is not clearly understood by the medical societies, or even nursing societies. A nurse who works in specific nursing areas such as central supply, kidney dialysis, intensive care, coronary care, etc. for a long time, considers herself /himself a CNS. Based upon the above findings, the following alternatives are recommended. 1) The role of the CNS should be defined according to specified functions and authority : professional autonomy ; counselling and educating patients and their familes, nurses, and even other medical personnel ; research on improvement of nursing ; and management of the nursing environment including medical resources, information, and cases. 2) the qualification of CNS should be attained only by a nurse who has an RN license and clinical experience of more than 3 years in a specific nursing field: passes a qualifying examination; and contributes to the professional development of peers, colleagues, and others. A master's degree should only be optional, because of the insufficient of graduate programs which are well designed for the CNS. 3) The CNS should initially be a head nurse rather than line staff in order to deal with as wide an experience base as possible. 4) The nursing specialty could be divided into two areas such as a clinical field and a community field. The clinical field could then be categorized by the Styles' classification such as diseases and pathogenics, systems, ages, acuity, skills/techniques, and function/role ; the community field could be classified according to work site.

• The Journal of Korean Academy of Sensory Integration
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• v.22 no.1
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• pp.54-68
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• 2024

Purpose : This study aimed to explore the clinical experiences of occupational therapists who have transitioned from adult to child occupational therapy to provide a basis for developing programs to facilitate rapid clinical adjustment for transitioning occupational therapists. Method : Telephone interviews and Colaizzi's phenomenological research method were employed. The interviewees were six occupational therapists with at least three years of clinical experience who had transitioned from hospital-based adult occupational therapy to sensory integration-focused children's occupational therapy. The interviews were recorded, transcribed, and analyzed with the participants' consent. Results : The analysis of the interview transcripts yielded 3 categories, 7 themes, and 17 meanings. The three categories were the challenges facing transitioning occupational therapists in clinical practice, the strengths gained from their post-transition clinical experiences, and the facilitators needed before the transition to ensure quick clinical adjustment. Conclusion : Training and institutional arrangements must be in place to ensure that adult occupational therapists transitioning to sensory integration-focused child occupational therapy can quickly adapt clinically and professionally to their new environments.

• Korean Journal of Psychosomatic Medicine
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• v.10 no.2
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• pp.176-180
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• 2002

Hypnosis as a traditional healing method, in its recent development, has generated a multitude of techniques. These serve as practical tools which can be combined with other therapy techniques for the treatment of a variety of psychiatric and medical conditions. The empirical evidence for the effectiveness of hypnosis is considerable and proves its clinical impact in various areas of application. This case review describes the integration of hypnotherapeutic methods into the continuum of psychiatric encounters in a general practice. Guidelines for the application of hypnosis in approaching and treating each patients with headache, sexual dysfunction and bronchial asthma were illustrated. As hypotheses mechanism of effectiveness in psychosomatic disorders has been formulated. Training in hypnotherapy provides the psychiatrist with skills needed to address psychophysiological disorders. Emphasis is placed on the necessity and opportunity for research on the efficacy and specific technique of hypnosis in the psychosomatic disorders.

• Journal of Sensor Science and Technology
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• v.14 no.6
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• pp.415-422
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• 2005

Using stretch sensors, a stuttering treatment training device that improve the abnormal breathing of stutterer was designed and developed. To improve stutterer's inadequate breathing method that is one of principal reason of stammering, the device estimates breathing method by checking the changes of the stretch sensor's resistances those are put on the chest and abdomen of user. And a vocal exercise program that carry out exercises only when the user maintains the abdominal breathing was designed. Using a PIC16C711 device that includes an A/D convertor, a main controller was designed and the vocal exercises software was developed using Director and C program with graphic user interface for user convenience. The controller sends the resistance data of sensors to PC through the serial port and the software verifies the breathing method. And the device was designed that the RTS (request to send) pin of serial port in PC is used as a power source so that it can work without any battery or other power source. Three stutterers have carried out the clinical experiments using the implemented device for two months and the results showed it was excellent to alleviate the stuttering.

• The Journal of Korean Academic Society of Nursing Education
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• v.23 no.3
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• pp.341-352
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• 2017

Purpose: To identify the types and characteristics of subjective structures among nursing students toward individuals who attempt suicide. Methods: A group of 32 third- and fourth-year nursing students with experience in clinical practice rated 35 Q-statements on a nine-point scale according to their opinion. Data analysis was conducted using the PC-Quanl program. Results: Subjectivity among nursing students toward individuals who attempt suicide was analyzed for three types. Type 1 (social responsibility emphasis) subjectivity recognizes the social responsibility for suicide attempts and emphasizes the importance of social support systems as a preventive effort. Type 2 (rational reprimand) subjectivity emphasizes the willpower and effort to overcome challenges in life, because happiness and unhappiness are dependent on one's thoughts and will. Type 3 (situation acceptance) subjectivity regards the suicide attempt as an optional means to avoid a deeply strenuous, painful, and difficult situation. Conclusion: This study investigated the subjectivity of nursing students toward individuals who attempt suicide and to provide a better understanding of them. In addition, the development of training programs that take advantage of the subjective characteristics of individuals based on subjectivity types demonstrated in this study is expected to provide nursing students with useful educational materials for their future careers as nurses.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.10
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• pp.6131-6134
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• 2013

Background: The two basic methods that are currently accepted to identify the HER2 status are immunohistochemistry and flyorescence in situ hybridization (FISH). The aim of this study was to perform the dual-color silver in situ hybridization (dc-SISH) technique as an alternative to FISH. Materials and Methods: A total of 40 invasive breast carcinoma cases were assessed for HER2 gene amplification by FISH and dual-color SISH. Results: Significant correlation was found in the HER2 expression results obtained with the two approaches (p=0.001, p<0.05). The concordance rate was 92.3%. Conclusions: Foutine practical use of the dc-SISH method, which is much easier to apply, score, and evaluate, has many advantages. HER2 and CEN17 status can be evaluated simultaneously with the newly developed "Dual-Color Probe". All these specifications and the reliable results obtained support the widespread use of SISH technique in clinical practice.

• Journal of Korean Critical Care Nursing
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• v.13 no.3
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• pp.41-50
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• 2020

Purpose : This descriptive research study aimed to identify the factors influencing nursing students' empathy and gender role identity and their effect on communication competence. Methods : Participants were 183 senior nursing students who had completed a clinical practice and simulation-based practical training course. Using the IBM SPSS/WIN 21.0 program, general characteristics were analyzed using descriptive statistics, independent variables were compared with t-tests and 𝑥² tests, and influencing factors on each variable and communication underwent multiple linear regression analysis. Results : Communication competence showed significant correlations with empathy (r=.40, p<.001), gender role identity (r=.53, p<.001), major satisfaction (r=.18, p=.013), and peer relationships (r=.24, p<.001). When gender was entered as a covariate, empathy (t=4.41, p<.001) and gender role identity (t=6.97, p<.001) were identified as predictors affecting communication competence with 36% explanation power (R²=.36, p<.001). Conclusion : The findings of this study suggest that course subjects considering the gender identities of students should be developed through various programs to establish students' identity as nurses and improve their empathy and communication.

• The Korean Journal of Rehabilitation Nursing
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• v.18 no.2
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• pp.75-87
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• 2015

Purpose: The purpose of this study was to develop a home-based self-management support intervention (SMSI) for enhancing pulmonary rehabilitation (PR) in patients with chronic obstructive pulmonary disease (COPD) in Korea. Methods: This methodological study was conducted by following these 4 steps: constructing the preliminary draft of a home-based SMSI from existing recommendation and a literature review on PR and self-management interventions; testing content validity with 6 experts in COPD; exploring clinical applicability of the intervention by applying it to 4 COPD patients; determining the final intervention. Results: The final intervention included 4 components and contents identified from the literature review as essentials for self-management of COPD patients: education; exercise training and practice including breathing, muscle strengthening and aerobic exercises; cognitive behavioral strategies including informative self-decision making, collaborative goal setting and supportive advice; and action planning for exacerbation. The intervention was designed to be run by a trained nurse and had 8 weekly sessions consisting of three 60-minute face-to-face sessions and five 20-minute phone-call sessions. Conclusion: The intervention developed in this study incorporates essential components of self-management, i.e. action plan and cognitive behavioral strategies, and will contribute to enhancing and maintaining effects of PR by increasing self-management in COPD patients.

• The Korean Journal of Health Service Management
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• v.10 no.1
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• pp.155-165
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• 2016

Objectives : The purpose of this study was to evaluate the effect of critical thinking disposition and self-esteem to self-leadership in nursing students. Methods : In this study, 273 data was collected from nursing students of K-university in South Korea from Sep. 2015 to Nov. 2015, and the collected data was analyzed using SPSS 22.0 Statistics Program. Results : The results showed that both of critical thinking disposition and self-efficacy according to school year are significant to self-esteem. It was found that critical thinking disposition, self-esteem and self-leadership has a positive correlation. Critical thinking disposition and self-esteem were predictors of self-leadership with 46% of influence. Conclusions : The nursing training program needs to be developed to promote critical thinking and self-esteem in the nursing curriculum, so that the nursing students can demonstrate the ability as a nursing leader in the various fields of clinical practice and health care.

• Management & Information Systems Review
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• v.18
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• pp.163-182
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• 2006

In social welfare arena field practicum has been an essential instrument and method for social work students to get socialized to the social work professional. However, to whom involve in the actual field practicum-universities(or colleges), institutes - have some difficulties. On the base of community welfare is a clinical approach in this times. To strengthen community welfare policy, the beginning of community welfare committee is such a good opportunity to tackle the problems of the field practicum. This study suggest that the problem of the field training are 1) a guidance of an individual social work institute, 2) the lack of social work institute, 3) the absence of the trainee's sense of values, 4) the bad conditions of the field practicum for social work students in undergraduate courses at the university(or college), and 5) the lack of professionalism for supervisors. This study makes the following social work suggestions to vitalize field practicum in community welfare. It is more likely important to 1) make the law of the field practicum for undergraduate social work courses, 2) make the coordinated programs of the field practicum for undergraduate social work course in community welfare, 3) enlarge the opportunity that a field specialist take further education, 4) support and carry of supervisor reeducation, 5) make the program development of trainee's personal experiences in social work values, and 6) social work professors make a practice in the social work field.