• Title/Summary/Keyword: coping adaptation

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Nurses Attitudes toward Death, Coping with Death and Understanding and Performance Regarding EOL Care: Focus on Nurses at ED, ICU and Oncology Department (임종 다빈도 부서 간호사의 죽음에 대한 태도 및 대처정도와 생애 말기환자 간호와의 관계 - 응급실, 중환자실, 종양내과 병동 간호사를 중심으로)

  • Seo, Min-Jeong;Kim, Jung Yeon;Kim, Sanghee;Lee, Tae Wha
    • Journal of Hospice and Palliative Care
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    • v.16 no.2
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    • pp.108-117
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    • 2013
  • Purpose: The objectives of this study were to 1) explore nurses' attitudes toward death, coping with death, understanding and performance regarding end-of-life (EOL) care, 2) describe correlations among the above factors, and 3) determine the factors affecting nurses' EOL care performance. Methods: Study participants were 187 nurses stationed at departments that post higher mortality than others such as the oncology department, intensive care unit (ICU) and emergency department (ED). Data were collected from three urban university-affiliated hospitals. Multi-dimensional measure was performed for study instruments such as "attitude toward death", "coping with death" and "understanding and performance regarding EOL care". Data were analyzed by using descriptive statistics, correlation, and multiple regressions. Results: First, nurses showed significantly different attitudes toward death by age, religion, work unit and EOL care education. Younger nurses tend to score low on the understanding of EOL care, and ED nurses' score was lower than their peers at the oncology department and ICU. Second, EOL care performance was positively correlated with attitude toward death (P<0.001), coping with death (P=0.003) and understanding of EOL care (P<0.001). Third, nurses' EOL care performance was affected by work unit (P<0.001) and understanding of EOL care (P<0.001). Conclusion: Because nurses' performance was influenced by their work unit and understanding of EOL care, they should be provided with appropriate training to improve their understanding of death and EOL care according to work unit.

Evaluation of Marginal and Internal Gap of Cobalt-Chromium Sintering Metal Coping Fabricated by Dental CAD/CAM System (치과 CAD/CAM 시스템으로 제작한 코발트-크롬 소결 금속 코핑의 변연 및 내면 적합도 평가)

  • Kim, Dong-Yeon;Sin, Chun-Ho;Jung, Il-Do;Kim, Ji-Hwan;Kim, Woong-Chul
    • Journal of dental hygiene science
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    • v.15 no.5
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    • pp.536-541
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    • 2015
  • The purpose of this study was to evaluate the marginal and internal gap of Cobalt (Co)-Chromium (Cr) sintering metal coping fabricated by dental computer-aided design/computer-aided manufacturing systems. Abutment tooth 46 of universal numbering system was selected for the study. Twenty Co-Cr metal copings of two groups were manufactured and scanned. Co-Cr cast metal copings (CCM) group of ten were fabricated using investment, burnout and casing after subtractive manufacturing of wax block. Also, Co-Cr sintering metal copings (CSM) group of ten were fabricated using sintering processing after subtractive manufacturing of Co-Cr soft metal bock. Marginal and internal gap of Co-Cr metal copings of twenty were measured by digital microscope (${\times}160$) with silicone replica technique. The data was analyzed from IBM SPSS Statistics ver. 22.0 Statistical software for Mann-Whitney U test (${\alpha}=0.05$). $Mean{\pm}standard$ deviation of marginal gap of CCM group was $90.12{\pm}61.73{\mu}m$ of CSM group was $60.17{\pm}24.83{\mu}m$. However, two groups was statistically not different (p>0.05). This study showed that CSM group was clinically acceptable adaptation.

Impact of Interpersonal Relationship Ability, Job Stress, and Stress Coping Type on Turnover Intention of Nurses in the Early Stage of their Careers: Focusing on Job Stress (초보간호사의 대인관계능력, 직무 스트레스, 스트레스 대처유형이 이직의도에 미치는 영향: 직무 스트레스를 중심으로)

  • Jeoung, Ja Yong;Kim, Chul-Gyu
    • Korean Journal of Occupational Health Nursing
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    • v.27 no.1
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    • pp.36-47
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    • 2018
  • Purpose: This study aimed to examine the effects of interpersonal relationship ability, job stress, and stress coping type on the turnover intention of nurses in the early stage of their careers. Methods: Data were collected from 136 early stage nurses from two general hospitals and one tertiary hospital in Chungbuk province. An early stage nurse was defined as the nurse with a work experience of 3 to 36 months. The collected data were analyzed using independent t-test, one-way ANOVA, Mann-Whitney U test, Person's correlation coefficient, and stepwise multiple regression. Results: It was seen that turnover intention had a negative correlation with interpersonal competency (r=-.20, p=.020) and a positive correlation with job stress (r=.56, p<.001). Job stress due to work over load, inadequate compensation and working environment, interpersonal relationship ability, and length of clinical career were significant factors influencing turnover intention (p<.05). These variables explained for 50.4% of the variance in turnover intention. Conclusion: It is necessary to develop an interpersonal relationship ability improvement program to decrease turnover intention among early stage nurses by helping them to successfully adapt to their job. Moreover, it is important to bring about continuous improvements in terms of provision of adequate workload and appropriate rewards, and creation of a suitable work environment to reduce the job stress of early stage nurses.

Hospitalization Stress in Child : Concept Analysis (아동의 입원 스트레스에 대한 개념분석)

  • Lee, Young-Ok
    • Journal of the Korea Convergence Society
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    • v.11 no.1
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    • pp.327-335
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    • 2020
  • The purpose of this study was to investigate conception of children's hospitalization stress and to make clear concepts, and to use Walker & Avant's concept analysis method. Children's hospitalization stress attributes were derived from physiological changes, individual-environmental interactions, cognitive and psychosocial developmental stage responses, and intrinsic and outward changes due to coping styles. The prerequisites for hospitalization stress of children were disease severity, biological factors, and support system, and the results were hospitalization adaptation, disease and health recovery, improvement of child development, and acquisition of coping skills. In order to solve the prerequisites for Hospitalization stress of children, it is necessary to be aware of the disease and to establish a support system of parent-family. Afterwards, we suggest more qualitative research on the hospitalization stress of children, the development of tools that reflect the characteristics of the hospitalization stress of children, and the development of programs to solve the Hospitalization stress.

A Study on the Direction of Urban Planning for Coping with Climate Change focusing on Urban Metabolism (도시 메타볼리즘 중심의 기후변화대응 도시 계획 방향에 관한 연구)

  • Lee, Sung Hee;Kim, Jong Kon
    • Journal of Climate Change Research
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    • v.4 no.3
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    • pp.279-290
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    • 2013
  • This study aims to suggest the direction of urban planning for coping with climate change focusing on urban metabolism. The study consists of two main parts: literature review and case study. The cases are selected for mixed-use housing estate in Europe, which established the plans for energy saving and efficient use of resources and waste. The case study was carried out in accordance with the framework, which had four aspects that are 'to minimize energy input,' 'to use renewable energy sources,' 'to recycle waste,' and 'to reuse natural resources.' As a result, in all the cases, analysis showed that the circular metabolism system was built for energy, waste and water resources and that the plan satisfying all the aspects of the framework was established. Moreover, main planning elements are different reflecting resource conditions for each case. In conclusion, in order to achieve urban metabolism, it will be necessary to analyze various conditions including the surrounding environment of the region and to introduce planning elements that can maximize the regional potential.

Exploring the Study Experiences of Southeast Asian Students at a Korean University in Seoul (서울 A대학 동남아시아 유학생의 학업 경험에 대한 탐색적 연구)

  • KIM, Jeehun
    • The Southeast Asian review
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    • v.23 no.3
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    • pp.135-179
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    • 2013
  • This study explores the study experiences of Southeast Asian students at a reputable Korean private university in Seoul. In particular, this study focuses on difficulties and coping strategies of both non-native speaker of English and native-speakers of English who are working for their undergraduate or postgraduate degrees. Interviews of fourteen students from five Southeast Asian countries were collected and analyzed by NVivo 9. Thematic analysis result shows that many students, particularly non-native speakers of English, had much more difficulties than their counterparts, in contemporary Korean university context, where internationalization indices-driven strategies including expanding courses conducted in English language. Also, this study observes and documents contrasting patterns of different degree of difficulties experienced by students, depending on their degree levels and majors. Undergraduate students in science and engineering majors had the greatest degree of difficulties among all. In contrast, their graduate counterparts seem to have less difficulties. This might be related to the fact that graduate students in science and engineering majors are mostly working with their peers in their own labs, which provides institutional support. Coping strategies of students show that international students, facing unfavorable or unfriendly treatments by their Korean peers, developed innovative strategies, including using the internet technology to catch up with the classes that they could not fully understand. As a whole, adaptation process of international students do not seem to be passive or one-way. This study also provides policy implications for international students, particularly, who can be categorized as linguistic and ethnic minorities.

A Study on the Sense of Crisis in Mid-Life and the Meaning in Life (중년기 위기감과 삶의 의미에 관한 연구)

  • Bae, Na-Rae
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.517-522
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    • 2022
  • Mid-life is a period of transition and crisis in human development. A multidimensional approach is needed to understand the meaning of the mid-life crisis. In order to understand the crisis of middle age, it is required to understand the psychological aspects of individuals, behavioral and social aspects. Jung referred to the middle age as the period of individuation. In other words, it is a process of stabilizing and integrating several individuals with fragmented personalities. The discovery of the meaning in life in middle age relates to the meaning of existence and to become a true community member through understanding of others and oneself. The sense of crisis in middle age has a deep correlation with the meaning in life, and the sense of crisis in middle age can be lowered through the meaning of life. However, in the process of discovering the meaning in life, adaptation to family and social crises and coping with stress will be important factors.

Evaluation of marginal and internal fit of metal copings fabricated by selective laser melting (SLM 방식으로 제작한 도재관 금속하부구조물의 변연 및 내면 적합도 평가)

  • Sung-Ryung Bae;Ha-Bin Lee;Mi-Jun Noh;Ji-Hwan Kim
    • Journal of Technologic Dentistry
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    • v.45 no.1
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    • pp.1-7
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    • 2023
  • Purpose: To evaluate the marginal and internal fit of metal coping fabricated by a metal three-dimensional (3D) printer that uses selective laser melting (SLM). Methods: An extraoral scanner was used to scan a die of the prepared maxillary right first molar, and the coping was designed using computer-aided design software and saved as an stereo lithography (STL) file. Ten specimens were printed with an SLM-type metal 3D printer (SLM group), and 10 more specimens were fabricated by casting the castable patterns output generated by a digital light processing-type resin 3D printer (casting the 3D printed resin patterns [CRP] group). The fit was measured using the silicon replica technique, and 8 points (A to H) were set per specimen to measure the marginal (points A, H) and internal (points B~G) gaps. The differences among the groups were compared using the Mann-Whitney U-test (α=0.05). Results: The mean of marginal fit in the SLM group was 69.67±18.04 ㎛, while in the CRP group was 117.10±41.95 ㎛. The internal fit of the SLM group was 95.18±41.20 ㎛, and that of the CRP group was 86.35±32 ㎛. As a result of statistical analysis, there was a significant difference in marginal fit between the SLM and CRP groups (p<0.05); however, there was no significant difference in internal fit between the SLM group and the CRP group (p>0.05). Conclusion: The marginal and internal fit of SLM is within the clinically acceptable range, and it seems to be applicable in terms of fit.

Verification Effect of Family Resilience Model of married immigrant women (결혼이주여성의 가족 회복력 모형검증)

  • Oh, Jaewoo;Park, Insook
    • Journal of Digital Convergence
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    • v.11 no.5
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    • pp.355-370
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    • 2013
  • This study was aimed at the married immigrant women and was attempted to provide the basic data of the nursing practice useful in identifying the relationship aspects and the influence of resilience factor and promoting the family adaptation. This study was conducted for the married immigrant women who were located in urban-rural complex area around Daejeon city and in Chungnam region, and the multi-cultural families supporting program of community welfare halls among those who had resided over 1 year in Korea. The data was collected from Feb, 2012 to July, 2012 and in the end, 216 questionnaires were made the subjects of data analysis. For the collected data, frequency analysis, percentage, ANOVA, t-test and correlation analysis were conducted using SPSS, LISREL. The overall index of hypothesis model showed a good congruence like ${\chi}^2$ = .06 (p= .812), df=1, ${\chi}^2$(df)=.06, GFI=1.0, AGFI= 1.0, SRMR=.002, NFI= 1.0, NNFI=1.0, RMSEA=0.000, CN=266. Looking at the results of hypothesis testing suggested by the model, the variables which affected the family adaptation were family stress and parenting stress, while social support, family hardness, problem solving communication, and problem solving coping didn't affect the family adaptation. It is considered that based on the results of this study, nursing intervention which helps the family adaptation of the married immigrant women who are in a crisis situation must be done with a program which can help them have a positive view on the stress situation and reduce the stress happening in the family relationship and parenting.

Perception of Local Residences on Multicultural Library Service: An Exploratory Study (공공도서관 다문화서비스의 주민 인식에 관한 탐색적 연구)

  • Oh, Haeyeon;Kim, Giyeong
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.25 no.2
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    • pp.125-145
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    • 2014
  • As Korea becomes a multi-cultural society, Korean government ministries are enforcing various multi-cultural services. Especially, Ministry of Culture, Sports and Tourism, which is in charge of public libraries, is operating multi-cultural services for cultural diversity. The trends in the research on the multi-cultural services in public libraries, however, are rather on adaptation of the multi-cultural people in Korea than on the cultural diversity. In this exploratory study, we investigated the perception of local residences on multi-cultural library services with several in-depth interviews with the local residences not only for the adaptation but also for the cultural diversity. The results shows that they tended to regard public libraries as an institution of local life-long education, and then they think public libraries can take a role for coping with social adaptation and prevention of social problems in terms of multi-cultural population. Based on the results, public libraries would better consider to inform their roles in this multi-cultural society to their local residences based not only on adaptation but also on cultural diversity. For this, the libraries would develop programs, in which both multi-cultural and non-multi-cultural people can be participated, to encourage communication between them.