• Journal of Korean Academy of Nursing
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• v.43 no.1
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• pp.102-113
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• 2013

Purpose: This study was done to investigate the level of transcultural self-efficacy (TSE) and related factors and educational needs for cultural competence in nursing (CCN) of Korean hospital nurses. Methods: A self-assessment instrument was used to measure TSE and educational needs for CCN. Questionnaires were completed by 285 nurses working in four Korean hospitals. Descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression were used to analyze the data. Results: Mean TSE score for all items was 4.54 and score for mean CCN educational needs, 5.77. Nurses with master's degrees or higher had significantly higher levels of TSE than nurses with bachelor's degrees. TSE positively correlated with English language proficiency, degrees of interest in multi-culture, degree of experience in caring for multi-cultural clients, and educational needs for CCN. The regression model explained 28% of TSE. Factors affecting TSE were degree of interest in multi-culture, degree of experience in caring for multi-cultural clients, and educational needs for CCN. Conclusion: The results of the study indicate a need for nurse educators to support nurses to strengthen TSE and provide educational program for TSE to provide nurses with strategies for raising interests in cultural diversity and successful experiences of cultural congruent care.

• Research in Community and Public Health Nursing
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• v.29 no.2
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• pp.231-243
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• 2018

Purpose: This study tries to explore experiences with a special rating dementia service among family caregivers of elderly people with dementia. Methods: The participants were 11 family caregivers of elderly people with dementia and had used a day-care service from the special rating dementia service for more than 3 months. Data were collected through individual in-depth interviews and analyzed using content analysis. Results: Three categories emerged: "reminiscence of an entangled life", "feeling relieved from a stifled life", and "hope for a better life through help and support" with 8 sub-categories and 23 codes. By using the special rating dementia service, the participants experienced relief from the burden of caring for their elderly family member with dementia and restored their social relations or family relationships. They experienced a positive transition in which their caring for elderly family members with dementia was integrated into their daily lives, and they expressed their desires for better policies. Conclusion: These findings imply the importance and necessity of the special rating dementia service. Practical and systematic family support programs are necessary and proactive publicity activities by the government and public agencies are suggested to ensure that family caregivers can easily use the special rating dementia system.

• Journal of Korean Academy of Nursing
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• v.48 no.3
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• pp.311-322
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• 2018

Purpose: The purpose of this qualitative research was to investigate chronically ill patients' perception of hospital nurses. Methods: Individual in-depth interviews and qualitative content analysis were used for data collection and analysis respectively. Participants were 13 chronically ill hospitalized patients or outpatients in three universities hospitals. All interviews were recorded and transcribed verbatim. Data were analyzed using the qualitative content analysis suggested by Graneheim and Lundman (2004). Results: Three themes emerged from the 10 sub-themes, which were categorized from the 21 condensed meaning units by interpreting the underlying meanings. The three themes were "person giving comfort and support by caring", "person facilitating the process of healing", and "person taking the initiative in power relations". Two themes involved positive experiences of patients and the other included negative ones. Conclusion: The results showed that the participants perceived the hospital nurses as devoted to caring for patients and facilitating treatments, but authoritative in performing their duty. Based on these results, it is recommended that hospital nurses improve their nursing knowledge, skills and humanistic attitude.

• Journal of Families and Better Life
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• v.29 no.1
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• pp.21-40
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• 2011

This research is intended to find out the causes of the career interruption of highly-educated housewives, their experiences of caring for their children after career interruption, their psychological conflicts and coping strategies, and their attitudes toward reemployment. The participants were university-graduated housewives in their thirties who have pre-school children older than 2 years. The participants in this research consisted of twenty-nine participants. The essence of this study is the belief system that career and maternal roles are not compatible. Specifically, the participants possessed a certain motherhood ideology, so they gave up working in order to care for their children, deferring their careers for a while. The participants had ambivalent feelings about working mothers, and described their children by highlighting their negative aspects. Additionally, the participants experienced persistent conflicts about developing their careers and caring for their children during their period of career interruption. The participants seemed to possess a vague sense of hope about their careers, and their attitudes toward their careers were ambiguous in the past, present, and even in the future.

• The Journal of Korean Academic Society of Nursing Education
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• v.15 no.1
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• pp.53-61
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• 2009

Purpose: This study was conducted to evaluate the need for education for emergency care in nursing homes. Method: 312 people who were engaged in caring for the elderly at nursing homes in D-metropolitan c! ity answered the questionnaires about the experiences, the need, and the ideal methods of education for basic emergency care, from Jul. 1. 2007 to Jul. 30. 2007. Result: 69.9% were female. Only 7.1% were nurses and the rest did not have majors in the medical field. 83.0% had experienced education for emergency care, and 89.2%, 78.4% and 44.8% of them had been educated about cardiopulmonary resuscitation, airway obstruction care, and fracture/sprain/dislocation care respectively. Fifty-three who had not experienced education answered 'no opportunity' as a cause of non-education. The need for emergency care education was 4.53/5.00, and the desire to receive education was 2.81/3.00. Mainly workers wanted to be educated abo! ut airway obstruction (88.1%), and breathing assistance & cardiac massage (72.4%). Workers preferred to be educated 1-2 times per year for 2-3 subjects, through programs including both lecture and practice. Conclusion: It is essential to create an adequate program and apply it to the people engaged in caring for the elderly.

• Journal of the Korean Home Economics Association
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• v.50 no.8
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• pp.65-77
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• 2012

This study aimed to investigate how mothers' Korean fluency and children's experiences in child-care centers influenced the communication ability of children from multi-cultural families. The subjects were 600 children from multi-cultural families who enrolled in child-care centers in Gyeonggi province, their mothers, and 350 teachers caring for these children. The data were collected by administrating a questionnaire and analyzed with descriptive statistics and hierarchical regressions. The results of this study were as follows. The mothers' Korean fluency, number of years children had attended child-care centers, and language guidance provided by child-care centers for children from multi-cultural families all had positive effects on children's general and oral communication ability. On the other hand, the number of years that the children had attended child-care centers had no significant effect on the children's written communication ability, but the mothers' Korean fluency and language guidance provided by child-care centers for children from multi-cultural families had positive effects on children's written communication ability. Finally, the mothers' Korean fluency moderated the effects of children's child-care experiences on their communication ability. Specifically, the more fluent the mothers' Korean, the stronger the effects of children's child-care experiences on their communication ability.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.2
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• pp.394-401
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• 2016

This study examined the experience of long-term care workers who care for people with dementia at home. A descriptive exploratory methodology was applied within the qualitative research paradigm. The data were collected using individual in-depth interviews with 10 long-term care workers who had at least 3 years working experience caring for people with dementia. The data were analyzed within the qualitative content analysis. Job selection, struggling and strategies for the role accomplishment were found to be the main categories. This study emphasized the role of caring as social filial piety from the concept of nonpayment of work in the family.

• The Journal of the Korea Contents Association
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• v.13 no.5
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• pp.234-242
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• 2013

In 2007, Long-Term Care Insurance Law was enacted to share the family burden of caring for the elderly who are unable to perform every day living activities due to their old age and chronic diseases such as senile dementia, diabetes mellitus, stroke and more. Backed by this law, since 2008, care workers have been sent to the elderly care centers or each elder's home to help them not only with their recovery from illnesses, but also with general activities from dressing, eating, bathing, walking even to toileting. However, according to the recently released survey by National Human Rights Commission, it has been found that the caring workers are in a very poor working condition including low income, abused blanket wage system, shortage of welfare services, extra works and even sexual harrassment. It is becoming an important issue due to fast-ageing population, the fact that the care workers have had experiences of violation in their right of labor while they are at work needs to be carefully treated. In that sense, this article presents some difficulties the caring workers face and proposes effective ways to solve these problems through the perspective of human rights and human labor rights based on the report written by National Human Rights Commission. In short, for this law to function properly and to boost the worker's capability of providing better services to beneficiaries, followings can be good answers - enhanced management and supervision on caring plans and care centers, providing immediate counselling and protection for victimized care givers, training courses offered to promote service receiver's sincere respect and strengthened awareness upon care givers.

• Korean Journal of Adult Nursing
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• v.19 no.2
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• pp.178-190
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• 2007

Purpose: This study aimed to explore the constituents and structure of adaptation experiences in their everyday life among senior patients of a nursing home in order to provide nursing intervention data for the satisfaction and the improvement of life of senior patients by appreciating the nature of their adaptational experience. Methods: The participants were five female and one male senior patients who were 65-years old or older and admitted at a nursing home in a metropolitan city. The interview data were analyzed by the Giorgi's phenomenological analysis method. Results: As the results of analysis, the following three constituents have been found out: retrospective focus based on the meaning of admission, expanding a view and facing up to the reality, reconstructing views about the meaning of life and the world. Conclusion: With the increasing number of senior in facilities, nurses not only play a key role in caring for seniors but also in managing their maladaptation. Thus, it is considered that the results obtained from the this study provide valuable information for both the senior patients and their families as well as for the nurses, by presenting the data about senior patients' adaptational experiences of nursing home admission.

• Korean Journal of Adult Nursing
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• v.22 no.6
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• pp.663-675
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• 2010

Purpose: The purpose of this study was to explore the life experiences of patients with a severe Chronic Obstructive Pulmonary Disease (COPD). Methods: The data were collected through in-depth interviews of six patients suffering from severe COPD. The interviewed data were audio-recorded and transcribed verbatim and checked for accuracy. The Giorgi method of phenomenology was used for analyzing data. Results: Eight themes forming the, units of meaning, were: Repeated and Unpredictable Suffering of Dyspnea, Confidence Loss/Exhaustion Life due to non-efficient breathing, Gradually Deprived Liberty, Absolute Being to Sustaining my life, Source of Burden but Significant Person I am in the Family, Endless Tug-of-War-Capability/Endeavor to Breath, Longing for my Life, and Dead-end of breathing. Conclusion: The study results provide an in-depth understanding of life experiences of patients suffering from severe COPD. The findings will be useful to nurses caring for this population.