• 한국노년학
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• v.37 no.1
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• pp.125-149
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• 2017

The purpose of this study is to analyse the mediating effects of spirituality on the relationship between functional capacity and depression among the elderly. The conceptual framework was based on the integrated theory by Brief et al.(1993) to life satisfaction. The sample was collected through convenience sampling of 413 elderly persons who were 65 years of age or older drawn from senior welfare centers, community senior centers, and religious institutions in Seoul, Incheon, and Gyeonggi Province. Data analysis was performed using Structural Equation Modeling(SEM). The main findings of the present study are as following: First, spirituality had the mediated effects on which depression and IADL influenced life satisfaction. Particularly, existential spirituality on life satisfaction had larger effect size than religious spirituality. Second, the results showed that religious spirituality had positive effects on existential spirituality. These findings demonstrate that the development and implementation of programs geared for fostering religious spirituality and existential spirituality of senior citizens are needed to improve life satisfaction in the field of social welfare. To this end, the foundation of spiritual practice in the field of social work with older people should be constructed through a spirituality-related system and professional training.

• Journal of Hospice and Palliative Care
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• v.20 no.4
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• pp.215-220
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• 2017

Spiritual care is at the center of hospice and palliative care. Patients facing serious and life-threatening illness have important needs in regard to faith, hope, and existential concerns. The purpose of this article is to review the key aspects of this care, including the definitions of spirituality, spiritual assessment, and spiritual care interventions. A review of the current literature was conducted to identify content related to spiritual care in hospice and palliative care. A growing body of evidence supports the importance of spiritual care as a key domain of quality palliative care. The literature supports the importance of spiritual assessment as a key aspect of comprehensive patient and family assessment. Spirituality encompasses religious concerns as well as other existential issues. Future research and clinical practice should test models of best support to provide spiritual care.

• Korean Journal of Adult Nursing
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• v.15 no.4
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• pp.551-562
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• 2003

Purpose: All nurses should provide spiritual care for their clients. It is especially important to care spiritually for cancer patients facing the crisis of life. Therefore, the purpose of this study is to analyze the concept of spirituality which is one of the basic concepts for spiritual care in cancer patients. Method: The subjects of this study were 8 cancer patients; 2 Christians,3 Buddhists, and 3 persons who did not have any religion. The data was collected and analyzed by Hybrid Model. Result: The results of this study were as follows: Dimensions of spirituality(vertical dimension connected with the absolute being, horizontal dimension related to others, existential dimension related to seeking of meaning), attributes of spirituality(dynamic process strengthened in suffering due to struggle with cancer, connectedness with the absolute being or will and belief in oneself, transcendence of reality, meaning and purpose of life, future oriented), outcomes of spirituality(intrinsic, behavioral). Conclusion: The spirituality of cancer patients is manifested differently by his(her) religion, age, past experiences and burden of family, and is able to be strengthened with cancer. Therefore, nurses should recognize that diagnosis and deterioration of cancer is not only a spiritual crisis but can be a good chance for spiritual growth, as well.

• Journal of Hospice and Palliative Care
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• v.21 no.2
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• pp.41-50
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• 2018

Spirituality is an essential part of human beings. Spiritual care, designed to meet the spiritual needs of terminally ill patients and their families, is one of the most important aspects of hospice and palliative care (HPC). This study reviewed and analyzed literature utilizing the most commonly used Korean and international healthcare databases to identify care models that adequately address the spiritual needs of terminally ill patients and their families in practice. The results of this study show that spirituality is an intrinsic part of humans, meaning that people are holistic beings. The literature has provided ten evidence-based theories that can be used as models in HPC. Three of the models focus on how the spiritual care outcomes of viewing spiritual health, quality of life, and coping, are important outcomes. The remaining seven models focus on implementation of spiritual care. The "whole-person care model" addresses the multidisciplinary collaboration within HPC. The "existential functioning model" emphasizes the existential needs of human beings. The "open pluralism view" considers the cultural diversity and other types of diversity of care recipients. The "spiritual-relational view" and "framework of systemic organization" models focus on the relationship between hospital palliative care teams and terminally ill patients. The "principal components model" and "actioning spirituality and spiritual care in education and training model" explain the overall dynamics of the spiritual care process. Based on these models, continuous clinical research efforts are needed to establish an optimal spiritual care model for HPC.

• Research in Community and Public Health Nursing
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• v.24 no.2
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• pp.245-254
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• 2013

Purpose: This study was conducted to investigate factors influencing suicidal ideation in people with mental disorder. Methods: The subjects were 176 people with mental disorder from community mental health centers, social rehabilitation facilities, and university hospital psychiatric outpatient departments. The instruments used included a suicidal ideation questionnaire, a self-esteem scale, a spiritual well-being scale, a family support scale, and a professional support scale. Data were analyzed with t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical regression analysis. Results: Suicidal ideation was influenced by age, history of suicidal attempts, and existential spiritual well-being. This study shows that suicidal ideation has negative correlation with existential spiritual well-being, self-esteem, family support, and age. Existential spiritual well-being, history of suicidal attempts, and age accounted for 30% regarding suicidal ideation in people with mental disorder. Conclusion: The lower existential spiritual well-being and age, the higher suicidal ideation. And also suicidal ideation was higher in people who had attempted suicide than in those who had not. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes existential spiritual well-being in order to decrease suicidal ideation in young people with mental disorder.

• Korean Institute of Interior Design Journal
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• v.23 no.4
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• pp.149-156
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• 2014

In the Russian 'spirituality' which played an important role in realization of 'abstraction' in modern arts, the three elements of Universalism - Oriental thoughts, Universal ideas, and Froebelian influence - can be found with no difficulty. More notable is the fact that, along with theosophy, the emergence of modern existential thoughts such as Bergson, Schopenhauer, Nietzsche is a new search and a new recognition of nature and human as views of panentheism and humanism, essentially of Humane and Divine. Therefore, it goes without saying that the thoughts constituting the Suprematism or Constructivism in Russia are, in a word, implicit in the existential humanistic ideas of Panpneumatism or Panentheism that is explained as the nature of Russian religious ideas. Furthermore, which is not only Suprematist's metaphysical principle but also the expression of universal thoughts; interestingly, which is closely akin to several Oriental mystic ideas including Taoist thoughts, as well as the contents of Universalism including mystic Christianity, by extension, which ideas and principles have a remarkable resemblance with thoughts and principles of Froebel.

• Anxiety and mood
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• v.14 no.1
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• pp.14-20
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• 2018

Objective : The aims of this study are to investigate the correlation between spiritual well-being and the pattern of stress coping strategies, as well as understand how they impact depression and psychological well-being. Methods : We analyzed 320 undergraduate students in a capital area (135 males, 170 females; 15 students who answered irrelevantly were excluded). Spiritual well-being (religious and existential), stress coping strategies (active and passive), psychological well-being and, depression were rated using the Spiritual Well-Being scale, Ways of Coping checklist, Psychological Well-Being measurement, and Depression Scale (CES-D), respectively. For the analysis, we utilized Pearson correlation analysis and simple regression analysis. Results : The analysis revealed a positive correlation between Spiritual well-being and active coping strategies, a negative correlation between existential well-being and depression, and a positive correlation between religious well-being and psychological well-being. By regression analysis, it showed spiritual-well being affected depression negatively. Existential well-being, but not religious well-being, affected depression negatively. Furthermore, the impact of existential well-being on depression remained a strong predictor in males better than females. Existential well-being affected psychological well-being positively through active coping strategies. Conclusion : In this study, we verified a correlation between existential well-Being and active coping strategies which affected depression and psychological well-being in undergraduate students.

• The Journal of Korean Academic Society of Nursing Education
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• v.22 no.3
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• pp.366-375
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• 2016

Purpose: This study was conducted to identify factors which influence suicidal ideation in students in girls' high schools. Methods: The participants were 202 students attending a girls' high school and a specialized girls' high school in D city. Data were collected from October 8 to December 23, 2013. Research tools were suicidal ideation, existential spiritual well-being, interpersonal relations, and depression. Data were analyzed using t-test, one-way ANOVA with Scheffe-test, Pearson's correlation coefficient, and multiple regression by stepwise selection with SPSS/WIN 12.0. Results: Suicidal ideation was negatively correlated with existential spiritual well-being, interpersonal relations, and positively correlated with depression. Effective variables were depression (${\beta}=0.54$, p<.001), existential spiritual well-being (${\beta}=-0.22$, p=.001), and grades (${\beta}=-0.10$, p=.042). These variables explained 52% of the variance in suicidal ideation. Conclusion: Based on the outcomes of this study, it is necessary to design an intervention program that teachers and community mental health nurses can use to increase existential spiritual well-being and decrease the depression and suicidal ideation for students in girls' high schools.

• The Journal of Korean Academic Society of Nursing Education
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• v.23 no.3
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• pp.300-308
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• 2017

Purpose: The purpose of this study is to examine the factors that influence the clinical practice of nursing students and to identify the mediating effects of spiritual well-being in the relation between stress of clinical practice and burnout caused by clinical practice. Methods: Data were collected by self-report questionnaires targeting 420 nursing students in three nursing colleges located in Gyeonggi and Chungnam province. Results: Burnout of clinical practice according to general characteristics of the study subjects showed significant difference in religion (t=1.895, p=.049). Stress of clinical practice and burnout of clinical practice showed positive correlation (r=.42, p<.001), existential spiritual well-being showed negative correlation between stress of clinical practice (r=-.17, p<.001) and burnout of clinical practice (r=-.47, p<.001). In addition, religious spiritual well-being in spiritual well-being showed no mediating effects and existential spiritual well-being showed mediating effects between burnout in clinical practice stress. Conclusion: In order to alleviate the stress of clinical practice for burnout of clinical practice prevention of nursing students, solutions to improve the existential spiritual well-being will be required in the future.

• Journal of the Korea Convergence Society
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• v.7 no.5
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• pp.59-68
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• 2016

The purpose of this study is to understand the effect of spirituality of nursing college student on spiritual wellbeing. We collected data by conducting structural survey to 148 freshmen from 2 nursing college from October to December, 2014. The collected data was analyzed through SPSS 18 program by mean, SD, t-test, ANOVA, Pearson correlation, and multiple regressions. As for the correlation between subdivisions of spirituality and spiritual wellbeing, the result showed statistically significant positive relationship in all of the subdivisions. As for the multiple regression analysis result, the variables influencing religious wellbeing such as religious status, daily devotion, and inner resource of spirituality had 65.1% of explanation power, while the variables influencing existential wellbeing such as meaning of life, inner resource had 59.3% of explanation power. We expect this study will provide with base data to develop the improvement program of spiritual wellbeing considering the quality of nursing college student.