• The Journal of Korean Academic Society of Nursing Education
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• v.26 no.4
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• pp.366-373
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• 2020

Purpose: The study aimed to investigate the relationship between moral distress and the quality of nursing care. Methods: This cross-sectional correlation study included nurses working at oncology nursing units of two secondary general hospitals in Seoul and Gyeonggi-do, Korea. A total of 207 nurses participated. Moral distress was measured by the Moral Distress Scale-Revised Nurse Questionnaire and quality of nursing care was evaluated by the Quality of Oncology Nursing Care Scale. Data were collected from October 5 to 31, 2018. Data analysis included descriptive statistics, independent t-test, ANOVA, Pearson's correlation coefficient and multiple regression analysis. Results: The quality of oncology nursing care showed a negative correlation with moral distress (r=-.19, p=.007). The factors affecting the quality of oncology nursing care were religion (β=-.22, p=.001), clinical experience in oncology units (β=.27, p=.007), and moral distress (β=-.16, p=.018). Moral distress showed a statistically significant predictive power of 13% in the regression model (F=8.70, p=<.001). Conclusion: The findings of this study suggest that management of moral distress is important to increase the quality of oncology nursing care.

• The Journal of Korean Academic Society of Nursing Education
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• v.23 no.4
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• pp.430-440
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• 2017

Purpose: The purpose of this study was to explore the relationship between moral distress, physical symptoms, and burnout among clinical nurses. Methods: Data were collected by self-report questionnaires targeting 140 nurses from a university hospital in Chungju. The data were analyzed by, Kruskal-Wallis, Pearson correlation coefficient, and stepwise multiple regression. Results: Moral distress due to the general characteristics of the participants showed a statistically significant difference at the current working department (${\chi}^2=36.01$, p<.001). Hospital nurses' moral distress had a statistically significant correlation with burnout (r=.358, p<.001) and physical symptoms (r=.440, p<.001). Factors influencing hospital nurses' burnout, pro were physical symptoms, moral distress, and marital status, accounting for 36% of the variance. Conclusion: The findings indicate that moral distress and physical symptoms influence burnout among hospital nurses. Therefore, interventions for burnout among hospital nurses should include an empowerment program to reduce physical symptoms and moral distress.

• Tuberculosis and Respiratory Diseases
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• v.40 no.2
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• pp.91-97
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• 1993

Pulmonary surfactant is a lipoprotein complex composed primarily of phospholipid and lung specific apoproteins that reduces surface tension in the alveolus and maintains alveolar stability at low lung volume. Adult respiratory distress syndrome still carries a very high morbidity and mortality. The surfactant system is vital to the maintenance of proper lung function, any type of surfactant deficiency, whether primary or secondary, will contribute significantly to the development of pulmonary pathophysiology. Various mechanisms in adult respiratory distress syndrome may be responsible for such alterations in the surfactant system. Surfactant replacement is now an established treatment for neonatal respiratory distress syndrome, reducing both incidence of complications and mortality. With the current knowledge of surfactant physiology and the pathophysiology of the adult respiratory distress syndrome exogenous surfactant treatment or stimulation of endogenous surfactant synthesis and secretion will prove to be beneficial in preventing and treating the adult respiratory distress syndrome. The study of clinical surfactant therapy for adult respiratory distress syndrome is just beginnig and this can be viewed as an area with exciting potential. As soon as surfactant preparations become more widely available trials should begin to define the role of surfactant treatment in the adult respiratory distress syndrome as an adjunct to available treatment techniques.

• Journal of Korean Clinical Nursing Research
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• v.25 no.1
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• pp.15-24
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• 2019

Purpose: The purpose of this study was to investigate relationships among menopausal symptoms, functional status, and distress and to identify factors influencing distress in premenopausal breast cancer patients who had been on endocrine therapy. Methods: A descriptive correlational study was conducted. Data were collected using questionnaires from 140 patients with breast cancer undergoing endocrine therapy at a general hospital. Data were analyzed using descriptive statistics, t-test, ANOVA, Tukey HSD test, Pearson's correlation analysis and hierarchical regression analysis. Results: The mean scores for menopausal symptom, functional status, and distress were $19.65{\pm}7.86$, $2.67{\pm}0.33$ and $3.69{\pm}2.19$, respectively. The menopausal symptoms and distress were positively correlated (r=.76, p<.001). The menopausal symptoms and functional status (r=-.43, p<.001) and functional status and distress (r=-.31, p<.001) were negatively correlated. The most influential factor for distress was menopausal symptoms (${\beta}=.79$, p<.001). Conclusion: Based on the findings of this study, developing nursing intervention programs focusing on decreasing menopausal symptoms and distress are recommended.

• The Journal of the Convergence on Culture Technology
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• v.5 no.3
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• pp.119-124
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• 2019

The study aimed to identify the relationship between moral distress and ethical values among nursing student. The participants were 150 nursing students. The data were analyzed with SPSS 21.0 program. In the results, moral distress and ethical values showed positive correlations. Statistically significant differences were found in moral distress according to grade, select the reason for department and ethical values according to age, grade, select the reason, one's associate for department. Moral distress was positively correlated with ethical values. The findings suggest that programs aimed at decreasing moral distress and ethical values intention should be developed. Furthermore, future studies should explore variables that influence moral distress.

• Journal of the Korea Convergence Society
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• v.10 no.7
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• pp.383-390
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• 2019

This study was done to evaluate current spiritual distress assessment tools and to assess nursing research adapted this spiritual distress assessment tools. Spiritual distress assessment tools were identified through systematic review. Ten studies about spiritual distress assessment tools were identified. In these studies, three international and one domestic standardized assessment tools were found. The purpose of developing these tools was to provide spiritual care through assessing spiritual distress. Domestic assessment tool had low reliability, was not proved by constructive validity, and did not include multidimensional spiritual concepts. International assessment tools may take into account cultural and religious backgrounds in the context for cultural adaptation of instruments. Based on these results, the development of Korean version of spiritual distress assessment tool is recommended.

• The Journal of Asian Finance, Economics and Business
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• v.8 no.3
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• pp.373-381
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• 2021

This study aims to investigate the impact of financial distress on the cash holding of non-financial companies in Indonesia as the largest emerging economy among ASEAN countries. Furthermore, the sub-sample business group to be investigated were divided into two, groups namely affiliated and non-affiliated groups. This was carried out to ascertain the difference in the impact of financial distress on cash holding between both groups. Sample collection was based on all firms listed on the Indonesian Stock Exchange (IDX) during 2008-2017, comprising 137 firms. The results showed that using the two-step system Generalized Method of Moments (GMM), the coefficients for financial distress (Z-Score) indices were positive and significant for all models. Therefore, the higher the Z-Score value, the lower the company's financial distress and vice versa. This implies that the lower the company's financial distress, the lower the cash holding. Furthermore, a positive and significant impact of the Z-Score on cash holding for non-affiliated groups was discovered. This implies that there are differences in the amount of cash holding between affiliated and non-affiliated groups. This result indicates that non-affiliated groups hold more cash during financial distress. However, these results had cash policy implications, particularly for non-affiliated groups.

• The Korean Nurse
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• v.37 no.4
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• pp.85-95
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• 1998

Because cancer is not curable, patients who suffer from the cancer disease may have physical, psychological and spiritual problems for the rest of their lives. Especially, when cancer patients do not have the meaning in their lives, they will experience spiritual distress seriously. This study was conducted to provide a basis for nursing intervention strategies to minimize the cancer patients' spiritual distress and understand the relationship between the meaning of life and the spiritual distress in cancer patients. The samples were composed of 62 cancer patients who were inpatients or outpatients of three university hospital and one general hospital in Seoul. Data collection was carried out from January 10,1998 to May 30, 1998. Data were analyzed using a SAS program for descriptive statistic, Pearson correlation, t-test, ANOVA, LSD test and linear regression. The results were as follows; 1. The scores on the meaning of life scale ranged from 20 to 140 with a mean of 94. 16(Standard error: 2.79). 2. The scores on the spiritual distress scale ranged from 13 to 91 with a mean of 62. 29(Standard error: 1.38). 3. There were significant correlations between the meaning of life and the spiritual distress(r=.53. p=.00). 4. The linear regression analysis showed that the meaning of life explained 29% of the spiritual distress. 5. In the degree of the meaning of life and the spiritual distress according to the general characteristics, the level of the meaning of life in cancer patients were different by age(F=3. 42, p=.03), marriage status(F=6.06, p=.00), religion(F=4.21, p=.01), thought about treatment of cancer(F=3.76, p=.04). And the level of the spiritual distress in cancer patients were different by religion(F=7.56, p=.00). In conclusion, the meaning of life was identified as important variable that was contributed to reduce the spiritual distress in cancer patients.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.4
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• pp.1621-1625
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• 2015

Background: Financial distress due to the cost of cancer treatments is prevalent among cancer patients. Identifying the level of financial distress and its affecting factors has an important role in providing supportive services. Accordingly, the aims of this study were to determine these parameters among Iranian cancer patients. Materials and Methods: This descriptive-correlational study was undertaken among 262 cancer patients admitted to both private and public hospitals in East Azerbaijan province, Iran. The financial distress/financial well being scale was used to determine financial distress. The data were analyzed using SPSS software using descriptive and inferential statistics (multiple linear regression). Results: Among the 262 cancer patients, 57.3% were male and their mean age was 47.0 years. The mean score for financial distress was 4.12 (2.01). The final regression model demonstrated that the independent variables (predictors) of income less than living expenses, income equal to living expenses, having an employed spouse in governmental job and living with parents, with regression coefficients of -1.029, -0.515, 0.198, and 0.096, respectively, were predictors of financial distress among cancer patients. These variables accounted for 50% of changes in variance of financial distress. Conclusions: Iranian cancer patients have moderate to high levels of financial distress. Considering policies for managing direct and indirect costs of cancer treatments must be followed.

• Proceedings of the Fisheries Business Administration Society of Korea Conference
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• 2007.12a
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• pp.167-184
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• 2007

The objectives of this paper are to identify the causes of the corporate distress and to develop a distress prediction model with the financial information in fishery industry. In this study, the corporate distress is defined as economic failure and technical insolvency. Economic failure occurs by reduction, shut-down, or change of the business and technical insolvency results from failure to pay the financial debt of companies. The 33 distressed firms from 1991 to 2003 were composed by 14 economic failure companies, 15 technical insolvency companies. 4 companies applied to the both cases. The analysis of distress prediction of fishery companies were accomplished according to the distress definition. The analysis was carried out as two steps. The first step was the univariate analysis, which was used for checking the prediction power of individual financial variable. The t-test is used to identify the differences in financial variables between the distressed group and the non-distressed group. The second step was to develop distress prediction model with logistic regression. The variables showed the significant difference in univariate analysis were selected as the prediction variables. The financial ratios, used in the logistic regression model, were selected by backward elimination method. To test stability of the distress prediction model, the whole sample was divided as three sub-samples, period 1(1990$\sim$1993), period 2(1994$\sim$1997), period 3(1998$\sim$2002). The final model built from whole sample appled each three sub-samples. The results of the logistic analysis were as follows. the growth, profitability, stability ratios showed the significant effect on the distress. the some different result was found in the sub-sample (economic failure and technical insolvency). The growth and the profitability were important to predict the economic failure. The profitability and the activity were important to predict technical insolvency. It means that profitability is the really important factor to the fishery companies.