• Title/Summary/Keyword: depth context

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Disease Experience of Korean Women with Eating Disorders (식사장애를 가진 여성의 질병 경험)

  • Han, Dallong
    • Korean Journal of Adult Nursing
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    • v.27 no.6
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    • pp.695-706
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    • 2015
  • Purpose: This study was aimed to explore and describe the disease experience of Korean women with eating disorders within psychological and sociocultural context. Methods: The participants were 12 young adult women suffering with eating disorders or have recovered from the diseases. Data were collected via in-depth interviews and analyzed according to the grounded theory methodology by Strauss and Corbin. Results: The core category of the disease experience was 'becoming the master of life through desperate efforts'. The disease experience was categorized into five different phases including 'falling under the influence of others', 'collapsing the self: life swallowed by loosening weight', 'facing the wrecked self', 'struggling between the self and others', 'truly facing the self'. The intervening conditions were various supporting systems such as 'support from family', 'economic support' and 'support from trustworthy health professionals'. Conclusion: The findings of this study indicate that it is necessary to develop nursing interventions to support women with eating disorders and alleviate their suffering from eating disorders. Also specialized educational programs are warranted to prevent the eating disorders, and to reduce social stigma of eating disorders.

Communication Patterns in Korean Families during BRCA Genetic Testing for Breast Cancer (BRCA 돌연변인 검사 중 유방암 환자 가족의 커뮤니케이션 패턴)

  • Anderson, Gwen;Jun, Myung-Hee;Choi, Kyung-Sook
    • Asian Oncology Nursing
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    • v.11 no.3
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    • pp.200-209
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    • 2011
  • Purpose: The purpose of this micro-ethnography is to examine whether science and societal changes impact family communication patterns among a convenience sample of 16 Korean women. Methods: The authors observed family communication in the context of a new breast cancer genetic screening and diagnostic testing program to detect BRCA gene mutations in Korean women at highest risk. Results: Analysis of in-depth interviews and field notes taken during participant observation illustrated that communication patterns in families vary according to a woman's position in the family. If a grandmother tests positive for a gene mutation, her daughters make decisions on her behalf; they open and maintain the communication channel among family members. If a housewife is diagnosed with cancer and a genetic mutation, she immediately consults her husband and her sisters. The husband creates an open communication channel between his wife, his parents and his siblings. As a result, a woman's cancer is a concern for the whole family not merely a woman's secret or crisis. Conclusion: Cultural differences are important to consider when designing new genetic service programs in different countries.

Experiences of Admission for Critically Ill Patients in ICU (중환자실 환자의 입원 경험)

  • Yang, Jin-Hyang
    • Korean Journal of Adult Nursing
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    • v.20 no.1
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    • pp.149-162
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    • 2008
  • Purpose: The purpose of this study was to understand the meanings and nature of ICU admission experienced among patients with critical illness. The present study adopted a hermeneutic phenomenological method which was developed by van Manen. Methods: The participants for this study were 6 men and 3 women, who were over the age of 20 with ICU admission period more than 3 days. Data were collected by using in-depth interviews and observations from March, 2007 to September, 2007. The contents of the interviews were tape-recorded with the consent of the subject. Results: The essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were as follows: a body that cannot react the way it wants, a wave of fear and insecurity everywhere, a struggle to survive, coming out from death's door, loss of time path, a long and continued waiting until escaping, more of machinery room than a patient's room, existence of life and death, an abyss of suffering seen thru another patient, taken care of by a doctor, trust and distrust, family, the ultimate safe zone. Conclusion: Critically ill patients in ICU experienced feelings of discomfort, unsafety, and insecurity. The result of this study can give nurses some insight into these experiences and help promote empathetic care.

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The Experience of Life Experiences among Patients with Chronic Low Back and Extremity Pain (만성 요$\cdot$하지통 환자의 생활세계 경험)

  • Yang Jin-Hyang
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.955-966
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    • 2005
  • Purpose: The purpose of this study was to understand the meaning and nature of pain experienced among patients with chronic pain. The present study adopted a hermeneutic phenomenological method which was developed by van Manen. Method: The participants for this study were 4 men and 5 women, who were over the age of 20 with chronic pain more than 6 months. Data was collected by using in-depth interviews and observations from September, 2004 to December, 2004. The contents of the interviews were tape-recorded with the consent of the subject. Result: The essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were 'untamed and unremitting pain', 'the body as an obstacle', 'continuity of suffering time as if the moment would never end', 'a narrow radial range of action' and 'separating from other people'. Conclusion: Patients with chronic pain experienced and perceived the world through the filter of their pain. It is necessary for nurses to understand the experiences of chronic pain patients and to provide more empathic, supportive care. Further research is needed on nursing interventions that could help chronic patients cope with and find the meaning in their suffering.

Decision Making Experience of VIP Ward Nurses in the Clinical Practice Adjustment Process (특실병동 간호사의 실무적응과정에서의 의사결정 경험)

  • Kim, Chun-Mi;Kim, Jung-Soo;Kim, Duck-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.3
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    • pp.391-402
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    • 2009
  • Purpose: The purpose of this research was to describe the decision making experience of VIP ward nurses in the clinical practice adjustment process. The research question was about "how nurses adjust their clinical practice to nursing situations and develop decision making process in a VIP ward." Method: The methodology of collecting and analyzing the data was based on the grounded theory of Strauss and Corbin(1998). The data was collected through in-depth interviews with 10 nurses from July to November, 2007. Results: The core category of nursing care decision making process was named as "adjusting with flexibility and deepened insight." The clinical practice adjustment process in nursing care decision making has progressed through four preceding interlocking phases: 1) dependent phase, 2) defensive phase, 3) independent phase, 4) integrative phase. These phases were classified by the level of nurses' dependency, proactivity, presupposition and integration. Conclusion: The result of this study indicated that nurse's decision making depended on their experiences and the nature of social context in which nursing occurs. Therefore, it is important to elaborate an effective training program for nurses to develop the phases of nursing care decision making.

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Hospital Nurses' Uses of Evidence, and Barriers to and Enablers of Evidenced-based Practice (병원 간호사들의 근거활용 경험 및 장애요소와 촉진요소에 대한 탐색)

  • Hwang, Jee-In
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.2
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    • pp.292-303
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    • 2013
  • Purpose: The purpose of this study was to explore nurses' experience of evidence-based nursing practice in general hospitals. Methods: Data were collected from 13 nurses through in-depth interviews about their experiences with evidence-based practice. The research questions were "What kind of evidence are you using in your practice?" and "What are the barriers to and enablers of evidence-based practice that you have experienced?" Qualitative data from field and transcribed notes were analyzed using qualitative content analysis methodology. Results: Major themes of using evidence were identified as 'research as primary valid evidence', 'information from local context and internet as realistic evidence', and 'clinical experience as pragmatic evidence'. Patient experience was not used as evidence in solving nursing problems. Barriers to and enablers of evidence-based practice were linked. They included both external, organizational factors and individual factors. Main issues were 'lack of evidence and poor work environment', and major facilitating factors were 'improving knowledge and skills related to evidence-based practice' and 'communicating and sharing evidence'. Conclusion: The study findings provide useful information for understanding nurses' experience of using external and internal evidence along with their meaning. A multidimensional approach is needed to overcome barriers to and implement evidence-based practice.

Usability Evaluation Scale for Product of Intelligent Homecare based on Retail Consumer

  • KWON, Jieun;LEE, Jin-Suk
    • Journal of Distribution Science
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    • v.17 no.12
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    • pp.55-62
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    • 2019
  • Purpose: The number intelligent homecare products are focused on the development of technology, resulting in a lack of realistic environments or requirements for consumers. The purpose of this paper is to define the consumer and context for intelligent homecare products and to develop a usability evaluation scale. Research design, data and methodology: For this study, first, consumer and contexts related to intelligent homecare products were analyzed through literature review. Second, the primary usability evaluation factors were derived for intelligent homecare products by collecting the factors related to usability evaluation and conducting in-depth interviews with experts. Third, the second usability evaluation factors were derived through survey and statistical analysis based on the derived usability evaluation factors. Results: As a result, users of intelligent homecare products were classified as primary users and secondary consumers and six related contexts. The usability evaluation scale was established with four factors - Functionality, Error, Convenience, and Emotion - and 13 items. Conclusions: This study can be the basis for developing and distributing products that meet the consumer environment and requirements related to intelligent homecare products that will contribute to securing the competitiveness of companies and developing the technology and service value of related industries.

Needs Analysis of Converged Education on Engineering and Human Resource Development: Focused on Students' Project Experience for Graduation in H University (공학과 HRD 융합교육에 대한 요구분석: H대학교 재학생의 졸업작품 수행 경험을 중심으로)

  • Lim, Se-Yung;Park, Yoon-Hee;Bae, Gwang-Min
    • Journal of Engineering Education Research
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    • v.19 no.3
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    • pp.54-64
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    • 2016
  • The purpose of this study was to analyze needs of convergence education on engineering and human resource development (HRD) for students in H university for increasing creative problem solving skills. To achieve the research purpose, needs analysis was conducted to students through in-depth interview about students' project experience for graduation in H university. The research finding shows that the converged areas between engineering and HRD are: connecting technologies to social context, problem solving skills, leadership, communication skills, and teamwork skills. Based on the derived five converged areas, objectives and method of the engineering-HRD convergence education are discussed. As an effective teaching and learning method, a problem-based learning and a project method are suggested. Finally, considerations for successful implementation of the engineering-HRD convergence education are discussed.

공공연구기관의 기술라이센싱 모형 연구 : 방법론과 함의를 중심으로

  • 박종복;류태규;이정동;김태유
    • Journal of Technology Innovation
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    • v.10 no.2
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    • pp.19-44
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    • 2002
  • All over the world, the attention on the exploitation of public research, which is mainly implemented by technology transfer, has increased in recent years. Licensing, which is one of representative mechanisms for public-to-private technology transfer, is accompanied by the frequent conflicts in negotiating a license payment between public research institutes (PRIs) and private firms. In spite of the body of literature on technology transfer in a licensing context, it focuses on contracts between private firms. Even the existing literature, which addresses public-to-private technology transfer through licensing, to our knowledge, has not yet formalized an established licensing model. This paper develops a mathematical model of public-to-private licensing, not hitherto tried by academics. The model addresses important issues to be applied comprehensively in licensing practice, such as determining a royalty rate, balancing between an initial payment and a running royalty, designing an inventor's incentive system, and setting a minimum payment as a screening criterion. The paper also provides reasonable management implications to controversial issues in technology transfer from PRIs to private firms, partly employing the comparative analysis between current stylized licensing practice and the one suggested in the model. We hope that study contributes to providing the foundation on which the theory on public-to-private licensing would extend to an in-depth level.

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A Study on the PET/CT Fusion Imaging (PET/CT 결합영상진단 검사에 관한 연구)

  • Kim, Jong Gyu
    • Korean Journal of Clinical Laboratory Science
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    • v.36 no.2
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    • pp.193-198
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    • 2004
  • PET/CT combines the functional information from a positron emission tomography (PET) exam with the anatomical information from a computed tomography (CT) exam into one single exam. A CT scan uses a combination of x-rays and computers to give the radiologist a non-invasive way to see inside your body. One advantage of CT is its ability to rapidly acquire two-dimensional pictures of your anatomy. Using a computer these 2-D images can be presented in 3-D for in-depth clinical evaluation. A PET scan detects changes in the cellular function - how your cells are utilizing nutrients like sugar and oxygen. Since these functional changes take place before physical changes occur, PET can provide information that enables your physician to make an early diagnosis. The PET exam pinpoints metabolic activity in cells and the CT exam provides an anatomical reference. When these two scans are fused together, your physician can view metabolic changes in the proper anatomical context of your body. PET/CT offers significant advantages including more accurate localization of functional abnormalities, and the distinction of pathological from normal physiological uptake, and improvements in monitoring treatment. A PET/CT scan allows physicians to measure the body's abnormal molecular cell activity to detect cancer (such as breast cancer, lung cancer, colorectal cancer, lymphoma, melanoma and other skin cancers), brain disorders (such as Alzheimer's disease, Parkinson's disease, and epilepsy), and heart disease (such as coronary artery disease).

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