• 한국융합학회논문지
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• 제13권5호
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• pp.517-522
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• 2022

중년기는 인간발달 과정 중 전환의 시기이며 위기의 시기이다. 중년기 위기의 의미를 이해하기 위해서는 다차원적인 접근이 필요하다. 중년기의 위기를 파악하기 위해 개인의 심리적 측면, 행동·사회적 측면의 이해가 요청된다. Jung은 중년기를 개성화 시기라하며, 파편화된 성격의 여러 개체를 안정화시키고 통합하는 과정이라 하였다. 중년기 삶의 의미에 대한 발견은 타인과 자신의 이해를 통해 진정한 공동체 일원이 되는 것이며 실존의 의미와 연결된다. 중년기 위기는 삶의 의미와 깊은 상관관계를 가지며, 삶의 의미를 통해 중년의 위기감을 낮출 수 있다. 다만, 삶의 의미를 발견하는 과정에서 가족 및 사회적 위기상황에 대한 적응, 스트레스 대처 여부가 중요한 요인이 될 것이다.

• 대한간호학회지
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• 제46권2호
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• pp.215-225
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• 2016

Purpose: This study was performed to identify the meaning of life experience following suicide attempt among middle-aged men. Methods: A qualitative research design was adopted using van Manen's hermeneutic phenomenological approach. The participants were six middle-aged men who had attempted suicide at least one time. Data were collected in 2013 through in-depth interviews. Individual interviews were recorded; and literary, art works and phenomenological literature were searched to identify the meaning of the experience. Results: The five essential themes of the life experience of middle-aged men who attempted suicide were 'Bitter reality confronted again', 'Anger buried deep inside', 'Broken family, inescapable fetters', 'Blocked relationships, closed world' and 'A step towards a new life'. Conclusion: The meaning of lived experience found in this study provides deep insight into the experience following suicide attempt in middle-aged men and crucial information to give directions to appropriate support and nursing interventions.

• 대한간호학회지
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• 제24권3호
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• pp.413-431
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• 1994

The purpose of this study was to build a substantive theory about the experience of the family whose child has died of cancer The qualitative re-search method used was grounded theory. The interviewees were 17 mothers who had cared for a child who had died of cancer Traditionally in Korea, mothers are the care givers in the family and are considered sensitive to the family's thoughts, feelings. The data were collected through in-depth interviews by the investigator over a period of nine months. The data were analyzed simultaniously by a constant comparative method in which new data are continuously coded into categories and properties according to Strauss and Corbin's methodology. The 16 concepts which were found as a result of analyzing the grounded data were, -left over time, the empty place, meaninglessness, inner sadness, situational sadness, heartache, physical pain, guilt, resentment, regret, support / stigmatization, finding meaning in the death, changing attitudes about life and living, changing attitudes about health, changing religious practice and changing family relations. Five categories emerged from the analysis. They were emptiness, consisting of left over time, the empty place and meaninglessness ; sadness, consisting of inner sadness and situational sadness ; pain, consisting of heartache and physical pain ; bitterness, consisting of guilt, resentment, regret, sup-port / stigmatization and finding meaning in the death : and transition, consisiting of changing attitudes about life and living, changing attitudes about health, changing religious practice and changing family relations. These categories were synthesized into the core concept, -the process of filling the empty space. The core phenomenon was emptiness. Emptiness varied with the passing of time, was perceived differently according to support / stigmatization and finding meaning in the death, was followed by sad-ness, pain, and bitterness, and finally resulted in changes in attitudes about life and living and about health, and in changes in religious practice and family relations. The process of filling the empty space proceeded by ① accepting realty, ② searching for the reason for the child's death, ③ controlling the bitter feelings, ④ reconstructing the relationships ameng death, illness and health and ⑤ filling the emptiness by resolving causes of child's death, adopting, having another child or with work. Six hypotheses were derived from the analysis. ① The longer the bereavement, the mere the empty space becomes filled. ② The longer the hospitalization, the more sup-port the family needs. ③ The more the sadness, pain and bitterness are expressed, the mere positive changes emerge. ④ Family support faciliates the process of filling the empty space. ⑤ Higher family cohesiveness faciliates the process of filling the empty space. ⑥ The greater the variety of reasons attributed to the child's death, the greater the variety of patterns of change. Four propositions related to emptiness and bitter-ness were developed. ① When the sense of emptiness is great and bitterness is manifested by severe feelings of guilt and resentment, the longer the process of fill-ing the empty space. ② When the sense of emptiness is great and the family is highly motivated to get rid of the bitterness, the shorter the process of filling the empty space. ③ When the sense of emptiness is less and bitter-ness is manifested by severe feelings of guilt and resentment, the process of filling the empty space is delayed. ④ When the sense of emptiness is less and the family is highly motivated to get rid of the bitterness, the process of filling the empty space goes on to completion. Through this substantive theory, nurses under-stand the importance of emptiness and bitterness in helping the family that has lost a child through cancer fill the empty space. Further research to build substantive theories to explain other losses may con-tribute to a formal theory of how family health is restored after human tragedies are experienced.

• 한국보건간호학회지
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• 제8권2호
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• pp.35-56
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• 1994

This article was intended to survey whether Roy' Adapation model ('Roy Model') can be applied to family health assessment and to study whether application of the Roy Model to a Korean family is feasible. under the Roy Model, a family is viewed as an adaptation system having a series of process of input. process, feedback, and output. Further, the Roy Model indicates that a family contains Physiolosical, self-concept. role function and interdependent mode in respect of internal or external stimuli. In the event where the family health assessed, the adaptation mode of that family must be assess at the first stage. Then, the focal, contextual, residual stimuli affecting the family must be assessed. In 1984 Hanson suggested four types of family adaptation mode based upon the Roy Model and thereby enhanced the possibility for family health assessment. In order survey whether the Roy Model can be applied to the Korean family, the author of this article contracted adults of 169 who live in 'A' city to make open questions regarding family and then analyzed responses from them by utilizing Roy model. This study categorized family Adaptation mode based upon the' four types of family adaptation mode developed by Hanson. As a result of this study, family adaptation mode was categorized into 117 concepts. Those 117 concepts are consisted or Physiolosical mode of 47. self­concept mode of 56, role function mode of 9 and interdependent mode of 5. Further. stimuli affecting family were classified based upon Roy's definition as to three types of stimuli. Stimuli on a family are comprised focal stimuli concept of 19, contextual stimuli concepts of 19, one residual stimuli concept. this result implies that the Roy's Model can be applied to Korean family. Physiological mode shows meaning of survival. while self-concept mode reflects meaning of growth and emphasizes harmony among the family based on the familism. The role function mode shows continuity rather control of family member. By contrast, interdependent mode shows interaction with community to which the family belongs. but the degree of interaction does not appear too high. The analysis of family stimuli led this study to conclude that troubles within a family. changes in family structure and diease of family member generate stimuli. However, an application of the Roy Model contains the following problems: First, Roy argued that the family adaptation mode should be assessed at the first level family health assessment and then stimuli affecting family adaptation should be adaptation assessed at the second stage. To the belief of the author of this article. however, for checking family adaptation level. focal, contextual, residual stimuli should be confirmed by assessing stimuli at first stage. Then, the family adaptation mode in respect of such stimuli should be assessed. The rationale for this is that the family adaptation level is determined depending on degree of strength of focal. contextual. residual stimuli. Second. Whall (1991) raised a question 'Does one assess family adaptation mode and intervene in the stimuli?' 'Likewise, assessment of the family adaptation should be made in the following manner in order for family health to be enhanced. Third. Roy believes that additional stimuli (such as contextual and residual) are same as internal process (including nurturance. support, and socialization). However, the basis for this Roy's belief is not too clear. In spite of these problems which the author indicated above, it can be concluded that the Roy Model can serve as a good device for an assessment of family health and that the Roy Model can be applied to a Korean family. Finally, further research of family adaptation theory and family nursing theory is required for a development of these theories.

• 대한가정학회지
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• 제41권6호
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• pp.47-61
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• 2003

The purpose of this study is to develop and to evaluate the premarital preparation education program based on the integrated approach of family relation and resource management to attempt to reduce marital distress. Using a combination of previous premarital education program and survey result of educational need, it is consisted of 4 sessions (session 1: Meaning and expectation of the marriage, session 2: Couple Communication, session 3: Love and Sexuality, session 4: Family Life Planning) The result of the evaluation, the efficiency of this premarital preparation program was proved. In the 11 couples evaluation data, those who had taken premarital education program were more likely to satisfied program and more likely to invite the others to join this program. When asked what content areas were most helpful, the two top ranking went to the Couple Communication (41.9% rated as helpful), and Family Life Planning (35.5% rated as helpful).

• 가정∙방문간호학회지
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• 제10권1호
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• pp.41-51
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• 2003

The purpose of this study was the family caring for the patients under home care nursing in the two college hospitals in Busan and Kyungnam Province. Researchers deep-interviewed the participants and asked using the non-constructed questions. 'What did you experience through home care nursing?'. The results are summarized as follows ; First, there were 196 final meaningful statements in the end and 32 constructed meanings, which were classified into 13 themes. These themes were again divided into four categories such as introduction, development, turn and conclusion. In the 'Introduction' three themes were included as follows ; 'feeling their eyes blinded', 'feeling a burden to have such a patient at home', and so on. In the 'conclusion' consisted of four such as 'finding it worthwhile to take care of them at home despite in the suffocated reality', 'pinning hope on the patient', 'retiring the world at first, but later going outdoors and feeling better', and 'realizing the real meaning of family through the difficult situation'. On the basis of this research results, home care nurses have to include the patients' family among home care clients and gradually change the home care nursing into the positive direction by sensitively responding to their requests.

• 지역사회간호학회지
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• 제7권1호
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• pp.38-51
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• 1996

There is a increasingly growing emphasis on health promotion, disease prevention and optimum functioning for peaple including the chronically ill and disabled. According as the purpose of the nursing is the promotion of health, the value and belief of heal th within the nursing paradigm need to be defined in every culture. The paradigm components must be explored for meaning given by the aged in their traditional thought and philosophy, The problem addressed by this qualitative study was how the aged recognize value and belief of health, which contribute to the development of Korean nursing theory. Theoretical support for the study was from Leininger's cultural care theory and Korean philosophy and traditional oriented thought. Literature review refers to literature on the aged, health of the aged, and definition and meaning of general health concept. Grounded theory methodology guied the research methodology and analysis to build a substantive theory. The informants were 119 from a variety of social levels and family patterns; traditionally the aged are responsible for the health. The concentrated interviewing period was from may to june, 1995 ; the interviews were done by the researcher with two supporter and most were recorded on audio tape. Result from analysis of base datas follows; The value and belief of health that emerged from the categories and properties were the physical stability, the stability of mind, the stability of mind and body, the smoothness (harmony) of body function, the family concord, and the perfection of self. These values and beliefs of health are affected by the cosmic dual forces thought is based on the Great Absolute, family principle of confucian scholar, and Buddism. Among the values and beliefs of health, family concord is found out Korean culture peculiarities. These values and beliefs are all integrated into the idea of health. The study provided implications for nursing theory research, education, and practice change and development.

• 한국사회복지학
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• 제61권1호
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• pp.109-134
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• 2009

사회경제적 조건의 변화에 따라 늘어나는 가족 해체의 대안으로 조손가족에 대한 사회적 관심이 증가하고 있는 현재 다시 짚어보아야 할 것은 조손가족이 갖는 사회문화적 가치이다. 조손가족에 대한 접근은 정책결정자나 전문가의 관점에서만 이루어져 왔으므로 조손가족구성원들의 당사자 시각은 결여되어 있다. 본 연구는 이러한 반성에 기초하여, 조손가족 조모들의 양육 경험의 의미를 문화기술지 연구방법을 통해 알아보았다. 10명의 조손가족 조모들을 정보제공자로 하여 수집한 자료 분석 결과 조모들의 경험은 '다중의 경계 밖에 가족 만들기'라는 문화적 주제로 수렴되었다. 이러한 연구결과를 바탕으로 조손가족이 하나의 가족 체계로서 갖는 가치를 수용하고 이 체계의 고유성을 강화하고 보존하며, 조모들이 이미 가지고 있는 양육 기능을 더욱 계발하고, 조모와 손자녀 중간세대와의 연결을 꾀하는 실천적, 정책적 접근을 제안하였다.

• 한국가족복지학
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• 제57호
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• pp.69-98
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• 2017

본 연구의 목적은 일터영성(공동체 의식, 일의 의미)과 돌봄수행(정서적, 사회적, 영적) 그리고소진 간의 관계를 규명하고, 일터영성이 돌봄수행에 영향을 미치는 과정에서 소진의 조절효과를 파악하는 것이다. 설문조사는 전국 68개 완화의료 전문기관의 의사, 간호사, 사회복지사, 성직자를 대상으로 하였으며, 총 114부를 SPSS Statistics 21로 분석하였다. 분석결과, 첫째, 일터영성의 하위요인중에서 공동체의식은 심리적 돌봄에 영향을 미치고, 일의의미는 사회적 돌봄과 영적 돌봄에유의미한 영향을 미치는 것으로 나타났다. 둘째, 소진은 돌봄수행에 직접적인 영향을 미치지는않지만 소진의 독립적 영향력을 측정한 사후분석에서 사회적 돌봄과 영적 돌봄에 미미한 정도의 영향을 미치는 것으로 밝혀졌다. 셋째, 소진은 일터영성이 돌봄수행에 영향을 미치는 과정에서 조절효과가 없는 것으로 검증되었다. 이러한 연구 결과를 바탕으로 본 연구의 시사점, 제한점 및 추후 연구과제에 대하여 논의하였다.

• 가정과삶의질연구
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• 제30권5호
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• pp.1-15
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• 2012

The purpose of this study is various discussion and alternatives focusing on integration of center for enhancing family policy delivery system and family support service the long term. The subject is managers who work at Healthy Family Support centers and Multicultural Family Centers. And they are responded non-structural questionnaire. The results were follows: First, 82.4% respondents of healthy support center and 50% respondents were in favor of integration. Second, reason of integration are conformance for social integration, the efficiency of center operations, the adequacy of program for various family, doing program with the goal of both centers of the similarity, complementary, and user convenience, prevent duplication and missing of services and so on, If the amount charged against the project of the center dissimilarity of institutions, including the operating direction was different. Third, the Center for the meaning of integration are name, organization, reorganization or consolidation of functions, was regarded as entrusted to corporate consolidation. Fourth, the consolidation that occurs during problem solving to ensure the succession of budgeting and human resources and program alternative for dressing up, commissioning center was the difference as problem solving.