• Journal of Korean Critical Care Nursing
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• v.13 no.1
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• pp.27-43
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• 2020

Purpose : This integrative review aimed to synthesize studies on intensive care unit (ICU) nurses' attitude, perceptions, and experiences toward end-of-life care decision-making. Methods : Using Whittermore and Knafl (2005)'s methods, we identified and synthesized research articles published in domestic journals between the years 2003 and 2019 and evaluated the quality of selected articles using the Mixed Methods Appraisal Tool. Results : In the 13 studies reviewed, 12 were published prior to enactment of the "The Act for Hospice and Palliative Care and Decision-Making about Life-Sustaining Treatment (2018)." All nine quantitative studies identified were based on cross-sectional descriptive survey. In four qualitative studies, content analysis (n=2) and phenomenology (n=2) were used. Overall, ICU nurses were well-aware of the necessity of communicating and limiting life-sustaining treatments. Many ICU nurses had positive attitude towards limiting life-sustaining treatments to promote patients' comfort and dignity. Although nurses were willing to take active roles, they also reported having experienced high stress in the process of decision-making and implementation. Conclusions : It is important to prepare ICU nurses with proper knowledge and attitude regarding the topic area. It is also equally important to develop systems to support nurses' emotional stress and moral distress during communication, decision-making, and implementation.

• Journal of Preventive Medicine and Public Health
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• v.48 no.6
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• pp.330-341
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• 2015

Objectives: Emergency medical personnel (EMPs) are pre-hospital emergency responders who are at risk of exposure to infections and may also serve as a source for the transmission of infections. However, few studies of infection control have specifically addressed EMPs in the Republic of Korea (hereafter Korea). The goal of this study was to assess the current status of infection prevention and control programs (IPCPs) for EMPs in Korea. Methods: A cross-sectional survey was conducted to quantitatively assess the resources and activities of IPCPs. A total of 907 EMPs in five metropolitan cities completed a structured questionnaire from September 2014 to January 2015. The data were analyzed using descriptive statistics, multi-response analysis, and the chi-square test. Results: The mean age of the participants was $34.8{\pm}15.1years$. IPCPs were found to have weaknesses with regard to the following resources: the assignment of infection control personnel (ICP) (79.5%), hand hygiene resources such as waterless antiseptics (79.3%), the use of paper towels (38.9%), personal protective equipment such as face shields (46.9%), and safety containers for sharps and a separated space for the disposal of infectious waste (10.1%). Likewise, the following activities were found to be inadequately incorporated into the workflow of EMPs: education about infection control (77.5%), post-exposure management (35.9%), and the decontamination of items and spaces after use (88.4%). ICP were found to have a significant effect on the resources and activities of IPCPs (p<0.001). The resources and activities of IPCPs were found to be significantly different among the five cities (p<0.001). Conclusions: IPCPs for EMPs showed some limitations in their resources and activities. IPCPs should be actively supported, and specific IPCP activities for EMPs should be developed.

• Research in Community and Public Health Nursing
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• v.13 no.3
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• pp.423-432
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• 2002

This study was conducted to test the validity of characteristics of family nursing phenomena in Korea identified in a previous study by Yoon, S. Y, et al. (1999). Data for this study were collected from 355 (first measurement 186, second measurement 169) nurses whose family nursing careers were more than one year using a cross sectional survey method. The distribution per one characteristic ranged between 0 to 5. The phenomena that had two or more characteristics and had a score of 3.0 points or more included disturbance in marital role', 'disturbance in family communication', 'inappropriate family coping', 'lack of family intimacy', 'unhealthy life style', 'deficit of financial management skill and support', 'inadequate care management sick member', and' inadequate home-making'. The essential characteristics of the 8 phenomena presented above included 27 items. Further studies on family nursing phenomena in Korea are needed to support the evidence through surveys of families in the field. A reconfirmation study, as well as qualitative research on the low validity of the characteristics, needs to be more performed in the future.

• Journal of East-West Nursing Research
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• v.14 no.1
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• pp.14-23
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• 2008

Purpose: The purpose of this study was to identify the relationship between health promoting lifestyle and general characteristics of the person undergoing health checkups in cancer prevention center. Method: A cross-sectional survey was used. This study has been done from February 1 to March 31, 2005 and the subjects of the study were 199 persons who had undergone health checkups in Cancer Prevention Center located in Seoul. Data were collected by using self reporting questionnaire on the health promoting lifestyle. The collected data were analyzed by using t-test, ANOVA, and Pearson's correlation coefficient. Result: The average score of performance in the health promoting lifestyle was 162.99(range of score is 60-240). There were significant differences in scores of health promoting lifestyle according of marital status, age, education and smoking. The score of health promoting lifestyle of the married group was higher than that of the single group. The score of health promoting lifestyle was higher in those aged 60-69 years than in those aged 20-29 years. As compared to college graduates the score of health promoting lifestyle was higher among those whose schooling is less than middle school and higher than a master`s program. The score of health promoting lifestyle was higher among non-smokers than among those who used a cigarette in their life time. There were no differences in scores of health promoting lifestyle according to sex, cancer family history, disease family history and drinking.There was positive relationship between age and health promoting lifestyle. Conclusion: Marital status, age, education and smoking affected Health Promoting Lifestyle of the person undergoing health checkups in Cancer Prevention Center.

• Journal of muscle and joint health
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• v.17 no.2
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• pp.192-202
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• 2010

Purpose: The purpose of the study was to examine the predictive relationships between predictors [(difficulty on daily activities due to arthritis, falls, and pain, grip strength, and activities of daily living (ADLs)], and perceived health in community-living older adults in Korea. Method: A descriptive, cross-sectional survey design was used. Data were obtained from Korean Longitudinal Study of Ageing conducted in 2006. A stratified sample was selected of 5,545 older adults who were over 60 years old for analysis of this study. Descriptive statistics, t-test, Pearson's correlations, and multiple regressions were used. Result: Mean age was 70.27 years (SD=7.27) ranged from 60 and 105 years old. Perceived health was significantly associated with grip strength, and ADL. With multiple regression, all main variables explained 22.1% for perceived health. Difficulty on daily activities due to pain was the strongest predictor on perceived health. Grip strength, ADLs, gender, and difficulty on daily activities due to arthritis and falls were also significant predictors on perceived health. Conclusion: When developing nursing intervention to improve perceived health in older adults, their difficulties on daily activities, grip strength, and ADLs should be assessed.

• Journal of the Korean Society of School Health
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• v.30 no.1
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• pp.1-11
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• 2017

This study was conducted to identify the impact of burnout on job satisfaction of school health teachers (school nurses) and the mediating effects of self-leadership on the relationship between burnout and job satisfaction. Methods: The research is a cross-sectional survey. The participants were 131 school health teachers (school nurses) in Korea. Data was collected using a self-reporting questionnaire covering demographic characteristics, self-leadership, burnout, and job satisfaction. The collected data was analyzed through t-test, ANOVA, correlation, and multiple regression using SPSS/WIN (ver. 23). Results: Significant positive correlations were found between self-leadership and job satisfaction (r=.384, p<.001). Significant negative correlations were found between burnout and job satisfaction (r=-.748, p<.001) and between burnout and self-leadership (r=-.308, p<.001). The factors that enhance job satisfaction were found to be lower burnout and higher self-leadership. The results of the 3-step regression are as follows: First, burnout had a significant negative effect on self-leadership. Second, burnout had a significant negative effect on job satisfaction. Third, self-leadership had a significant positive effect on job satisfaction and had a mediating effect on the relationship between burnout and job satisfaction (Zab=3.271, p<.001). Conclusion: Based on these results, self-leadership is needed in order to raise job satisfaction and reduce burnout.

• Korean Business Review
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• v.17
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• pp.1-26
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• 2004

After IMF crisis in late 1997, the environment of banking industry has become competitive. To survive in this circumstance, the Local Nong-Hyup is needed to understand the customer's needs and improve the service quality. To achive the purpose, two methods were employed in this study. The first corvered the review of related literature on service. The second adopted field survey approach for data. The study model was developed using Venkatakrishnan & Jagannathan's "An Enhanced Model for Measuring Service Quality" model and details of study as follows. 1. What is the determination factors of service quality for Local Nong-Hyup. 2. Are there differences between "service perception" and "service expectation" for Local Nong-Hyup. 3. Does banking service determination factor of Local Nong-hyup affects customer's satisfaction. 4. Does banking service determination factor of Local Nong-hyup affects customer's repurchase. 5. Does customer's satisfaction for Local Nong-hyup relates repurchase. The samples of this study were extracted at random from the customers of Local Nong-hyup. The results of the questionnaire were analyzed to do frequency analysis, factor analysis, t-test, regression analysis, cross sectional analysis using SPSS Win 10. The results are as follows, First, as determination factors of service quality for Local Nong-Hyup "Reliability, Empathy, Tangibles, Convenience" were extracted by factor analysis. Secondly, using t-test, it was found that there are factor's gap between service anticipation and service perception. Thirdly, using regression analysis, it was found that except Convenience factor, Reliability, Empathy and Tangibles factors affect customer's satisfaction. Forthly, using regression analysis, it was found that all the factors affect repurchase. Finally, using cross sectional analysis, it was found that customer's satisfaction and customer's repurchase correlate.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.9
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• pp.4285-4288
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• 2012

Background: Opisthorchis viverrini infection is a serious public-health problem in Southeast Asia. It is associated with a number of hepatobiliary diseases and the evidence strongly indicates that liver fluke infection is the etiology of cholangiocarcinoma. Objectives: This study aimed to determine Opisthorchis viverrini infection in elderly people in Surin province, Northeastern Thailand. Methods: A community-based cross-sectional survey was conducted among 333 elderly in 17 districts of Surin province, during one year period from January to December 2011. O. viverrini infection was determined using Kato's Thick Smear technique and socio-demographic were collected using predesigned semi-structured questionnaires, respectively. Results: A total of 333 elderly including 116 males and 217 females were selected from different study sites. Overall intestinal parasitic infection was 16.2%, predominantly in O. viverrini (9.91%) and followed by Strongyloides stercolaris (4.80%) and hookworm (1.50%), respectively. The O. viverrini infection was found higher in males (13.8%) than females (7.83%), and frequently in elderly 60-70 year old with 14.2%. Chi-square testing indicated that education and occupation were significantly associated with O. viverrini infection (P value = 0.02). The distribution of O. viverrini infection was found in 11 districts which was covered 64.7% of the studies areas. The highest prevalence was found in Thatum with 39.1%, and followed by Sangkha (24.0%), Buachet (21.1%), Samrong Thap (19.1%), Si Narong (15.0%), and Ratanaburi (13.3%) districts. Conclusion: This findings stress that O viverrini is still a problem in Thailand. We confirmed, for the first time, the high endemicity of human O. viverrini infections in elderly in Surin province of Thailand, underlying the fact that mass treatment and health education are urgently required.

• KDI Journal of Economic Policy
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• v.27 no.1
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• pp.1-38
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• 2005

Our paper aims to estimate a household consumption function in the presence of liquidity constraints as well as household characteristics. Empirical findings from a Korean cross-sectional data (National Survey of Household Income and Expenditure) reveal that several family characteristics, such as household size, number of working members, children in school, and educational level and age of the household head, turn out to be critical determinants of household consumption. Especially, the influence of household size on consumption decision is shown to be highly significant, not only indirectly through its impact on household income, but also directly by affecting the household's preference for consumption itself. While, the other family characteristics primarily influences household income. Our paper distinguishes itself from existing literature in that it greatly improves the explanatory power of the estimated household consumption function by measuring the degree of the liquidity constraint rather than simply identifying its presence. Based on the assumption that the present value of human capital is a function of household characteristics, the degree of the liquidity constraint is represented by the underestimated portion of the human capital. Such a method of implementing the liquidity constraint is useful in treating various types of assets according to their liquidity. Finally, our estimated household consumption function is applied to decompose cross-sectional variances of consumption inequality. The analysis confirms that the overall alleviation in liquidity constraints in Korea after the 1997 currency crisis reduced consumption inequality despite the worsening of income inequality and changes in the demographic composition of family characteristics during the same period.

• Journal of Preventive Medicine and Public Health
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• v.41 no.2
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• pp.115-120
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• 2008

Objectives : The purpose of this study was to examine the relationship between serum ferritin and the metabolic syndrome (MS). Methods : We conducted a cross-sectional study of 1,444 adults over age 40 and under age 70 that lived in a rural area and participated in a survey conducted as part of the Korean Rural Genomic Cohort Study (KRGCS). The MS was defined as the presence of at least three of the followings : elevated blood pressure, low high density lipoprotein cholesterol, elevated serum triglycerides, elevated plasma glucose, or abdominal obesity. After adjustment for age, alcohol intake, menopausal status, body mass index (BMI), high sensitivity C-reactive protein (hs-CRP), and alanine aminotransferase (ALT), odds ratios (ORs) for the prevalence of the MS by sex were calculated for quartiles of serum ferritin using logistic regression analysis. Results : The MS was more common in those persons , with the highest levels of serum ferritin, compared to persons with the lowest levels, in men (37.1% vs. 22.4%, p=0.006) and women (58.8% vs. 34.8, p<0.001). In both sexes, the greater the number of MS components presents, the greater the serum ferritin levels. After adjustment for age, alcohol intake, and menopausal status, the OR for metabolic syndrome, comparing the fourth quartile of ferritin with the first quartile, was 2.21 (95% confidence interval; CI=1.26-3.87; p-trend=0.024) in men and 2.10 (95% CI=1.40-3.17; p-trend=0.001) in women. However, after further adjustment for BMI, hs-CRP, and ALT, the ORs were statistically attenuated in both sexes. Conclusions : Moderately elevated serum ferritin levels were not independently associated with the prevalence of the MS after adjusting for other risk factors. Further studies are needed to obtain evidence concerning the association between serum ferritin levels and the MS.