• Journal of Hospice and Palliative Care
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• 제19권1호
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• pp.1-4
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• 2016

As advance care planning is taking center stage in the field of end-of-life care, various tools have been developed to aid in the often emotional and difficult decision-making process. Video decision support tools are one of the most promising means of assistance, of which the modus operandi is to provide more comprehensive and precise information of medical procedures to patients and their families, allowing them to make better informed decisions. Despite such value, some are concerned about its potential negative impact. For example, video footages of some procedures may be shocking and unpalatable to non-medical professionals, and patients and families may refuse the procedures. One approach to soften the sometimes unpleasant visual of medical procedures is to show less aggressive or more relaxing scenes. Yet another potential issue is that the objectivity of video decision support tools might be vulnerable to the very stakeholders who were involved in the development. Some might argue that having multiple stakeholders may function as checks and balances and provide collective wisdom, but we should provide more systematic guarantee on the objectivity of the visual decision aids. Because the decision of the modality of an individual's death is the last and most significant choice in one's life, no party should exert their influence on such a delicate decision. With carefully designed video decision support tools, our patients will live the last moments of their lives with dignity, as they deserve.

• 대한간호학회지
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• 제43권6호
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• pp.781-790
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• 2013

Purpose: The purpose of this study was to further understanding of the experience in acceptance of hospice by patients with terminal cancer and to explore the structure of this experience. Methods: A phenomenological methodology was used for the study. Participants were nine patients who were admitted to the hospice unit of a university hospital. In-depth interviews were done for data collection and the data were analyzed using Colaizzi's method. Results: Four categories, eight theme clusters and 18 themes were identified for the experience in acceptance of hospice by patients with terminal cancer. The three categories were 'Hope for a comfortable death', 'Overcoming barrier of prejudice about hospice', 'Incessant craving for life', 'The last consideration for self and family' Conclusion: While accepting the hospice care, participants experienced inner conflict between giving up medical treatments that prolong life and choosing a comfortable death, and also experienced an incessant craving for life. By accepting hospice care, they showed a human dignity that entails careful concerns for both self and family members.

• 영어어문교육
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• 제12권3호
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• pp.211-226
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• 2006

This paper examines the crisis of the protagonist's Jewish identity in Philip Roth's Portnoy's Complaint. Jewish values are centered on the philosophy of Judaism and Jewish history. Judaism is based on an ethical monotheism which is Bible-centered. It is characterized by its covenant with God, its humanism, and its emphasis on moral action. It provides essential reasons for man's existence and stresses human confidence and sufficiency. Jewish values can be found in words such as "good," "humanity," "dignity," "responsibility," and "sense of community." These positive Jewish values pervade Philip Roth's fiction paradoxically. Throughout especially Portnoy's Complaint, the protagonist fails to embrace Jewish values in contrast to Bellow or Malamud's heroes and repeat the same mistakes eliciting fits of laughter from readers. The protagonist suffers from his strongly-felt ethical and altruistic impulses perpetually warring with his extreme sexual longings against which he struggles. His desperation grows as he finds himself unable to channel his dissatisfaction and change his situations. His dominating mother and his confusion over Jewishness and Americanism are the main obstacles to his establishment of self-identity. He attempts to build up his gender identity and Jewish identity through his ego-centric sexual relationship with shikses(female gentiles). His inability to embody Jewish values leads to the failure to fulfill his identity. Roth paradoxically shows that the protagonist's realization of Jewishness is essential to the cure for his fragmented self.

• 기본간호학회지
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• 제7권3호
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• pp.379-390
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• 2000

Euthanasia have received considerable attention recentely in medical literature, public discussion, and proposed state legislation. Almost all the discussion in this area has focused on the role of physicians. However, nurse may be in special position to understand the wishes of patients and to act on this understanding. Purpose of this study is to identity the meaning of euthanasia in terminal ill patients on the nurses' veiw. Forcused interveiw design was used to data collection The data were analyzed by semantic analysis, and analysis of the data resulted in identification of 14 categories representing the meaning of euthanasia. 1. The meaning of supported euthanasia is 'free of suffering', 'difficulty of economic status', 'right of patient and family', 'dignity of death', 'organ transplant', 'social legislation'. 2. The meaning of opposited euthanasia is 'artificial death', 'value of life', 'uncertainity', 'guilt feeling' 3. The meaning of care in terminalily ill patients is 'avoidance', 'powerlessness'. 'apathy'. 'passive attitude'. The policy debate about professional roles in action that end of lives of patients must be extended nurses. Nurses must take an active role in discussion and definition of acceptable practice at the end of life.

• 대한간호학회지
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• 제36권6호
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• pp.1055-1064
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• 2006

Purpose: The purpose of this study was to analyze and clarify the ambiguous concept of DNR, and to distinguish between DNR and euthanasia. Method: This study used the process of Walker & Avant's concept analysis. Result: The definable attributes of DNR were care for comfort, no further treatment and no CPR. The antecedents of DNR were the autonomy of patients and families feelings about death, the uselessness of treatment and the right to die with dignity. The process of the DNR decision should be documented and the antecedents of DNR also can be a basis for objective standards of DNR decision-making. The result of DNR was the acceptance of death by patients and families. Conclusion: DNR is decided and documented by the antecedents of DNR, and the result is a natural acceptance of death, the last process of human life. Hospice care should be activated and nurses must be patient's advocates and families' supporters in the process.

• 대한간호학회지
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• 제41권3호
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• pp.313-324
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• 2011

Purpose: The study was done to develop a dignified dying scale for Korean adults. Methods: The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 428 adults who lived in one of 3 Korean metropolitan cities: Seoul, Daegu, and Busan. Item analysis, factor analysis, criterion related validity, and internal consistency were used to analyze the data. Data collection was done from March to June 2010. Results: Thirty items were selected for the final scale, and categorized into 5 factors explaining 54.5% of the total variance. The factors were labeled as maintaining emotional comfort (10 items), arranging social relationship (9 items), avoiding suffering (3 items), maintaining autonomous decision making (4 items), and role preservation (4 items). The scores for the scale were significantly correlated with personal meanings of death scale. Cronbach's alpha coefficient for the 30 items was .92. Conclusion: The above findings indicate that the dignified dying scale has a good validity and reliability when used with Korean adults.

• 한국간호교육학회지
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• 제22권3호
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• pp.355-365
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• 2016

Purpose: This study explores the moral distress that nursing students experience during their clinical practice in Korea. Methods: Data were collected using focus group interviews, and analyzed using qualitative content analysis. Participants were recruited from three nursing schools in three different cities; each focus group interview lasted between one to two hours. Results: Twenty-two nursing students with more than one year of clinical practice experience participated. Three categories and ten themes were extracted. The following situational categories: "unprotected patients' right and dignity," "clinical settings in which standards of care are not upheld," "disrespectful hospital culture," and "inconsistent and unsystematic clinical education" caused moral distress. Types of responses to moral distress included: "shock and confusion over the gap between reality and moral standards," "powerlessness when cannot advocate patients," "fear and doubts about nursing career," and "moral desensitization and disappointment in oneself." "Expressions of moral distress and the need for advice" and "a search for meaning and hope" were identified as coping strategies. Conclusion: These results demonstrate the need for systematic clinical practicum and education programs to minimize moral distress. These programs may offer opportunities for students to turn moral distress into opportunities for learning and growth in the future.

• 복식문화연구
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• 제8권2호
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• pp.205-216
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• 2000

The purpose of study examined of historical changes of western men's nightclothes from middle ages to the modern ages and analyzed functions and features of men's nightclothes. This study presented meaning and importance of men's nightclothes. The method of study researched the many literatures and internet sources. Until medieval age, men slept naked or in a day-shirt. In the 16th century, a nightshirt was worn in bed. A night-cap was usual, in rather more elaborate form, also worn by day in the house, and even outdoors. In the 17th century, nightshirt was elabrated with ruffles and lace. The nightshirts of 18th century, resembled the day-shirt except that it was slightly longer and fuller in cut. The turn of 19th century, men weared nightshirt with a high folding collar, one button and night-cap of jellybag shape. In the early 19th century, nightshirt had a plain turned-down collar, buttoned at the neck. A night-cap with colored tassel was usual. The middle of 19th century, a nightgown was reaching to the ankle. Pyjamas, in the 1890s, were steadily replacing the nightshirt, before long pyjamas had become generally accepted in place of the nightshirt. A pyjamas which preseverved his male dignity by giving him trousers. Man's ingenuity also modified his nigntclothes so that these took on sexual characteristic. In 20th century, the fabrics had become lighter in weight, and the choice of materials wider. By 1930s, nightclothes had become the man's most colorful garment.

• 대한간호학회지
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• 제33권6호
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• pp.678-685
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• 2003

Purpose: The purpose of the study was to interpretate Caper's view of the aesthetical approach to nursing, to discover problems of her arguments, and to ultimately expand the horizon of the aesthetical thinking of nursing. Method: By means of the critical interpretation of Caper's paper, problems of her arguments were discovered. This then was suggested was the proper way of the aesthetical approach to nursing. Result: Caper's arguments of aesthetics were seen to be confused, regarding the pattern of the nursing art and the relationship between aesthetical knowing and practical art, and to have no the nursing's perspective as moral art. The proper paradigm for the distinct thinking of the nursing aesthetics could be offered here through applying some aesthetical theories as follows; a mode of aesthetical knowing could be characterized as emphatical awareness in relationship between nurse and client, and a practical art of nursing understood as moral art in sense of the expression of the human dignity. Conclusion: This study suggested fundamental theme for the proper aesthetical approach to nursing in view of the aesthetical knowing and the practical art. The horizon of the aesthetical thinking in nursing can be expended through the inquiry into aesthetical theories which offer theoretical the base for nursing as an art.

• 대한가정학회지
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• 제40권8호
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• pp.123-135
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• 2002

The purpose of this study is to examine the relationship between shopping orientation and purchasing satisfaction of apparels. To achieve the purpose, this study was carried out by means of questionnaires with female consumers aged from 20s to 50s in Daegu. The data were analysed by the frequency analysis, percentage, reliability test, factor analysis, Pearson's correlation analysis, cluster analysis, one-way ANOVA and Duncan's multiple range analysis. The statistical package for social science 9.0 for Window was used for the statistical processing of the data. The result of this study is summarized as follows. 1. To examine factors which construct female consumers' shopping orientation for apparels, a factor analysis was done, therefore, which obtained 6 factors. Also A factor analysis was done to examine the motivative factors of satisfaction with purchased apparels, 6 factors were obtained. 2. Based on the average score of shopping-orientation factors for apparels, a cluster analysis was done and it was classified into 3 clusters. There were differences in purchasing satisfaction of purchased apparels between the 3 clusters. 3. The differences in variety, shopping convenience, dignity, brand & preference, and convenient selection between the clusters were entirely p<0.001 which were very significant. There were no differences in the quality and service factors between the brand-/practicality-oriented cluster and entertainment-oriented cluster. With other factors, entertainment-oriented cluster was most satisfied than brand-/ practicality oriented cluster. But, self-reliance-oriented cluster was lowest purchasing satisfaction of apparels.