• 제목/요약/키워드: hopelessness

검색결과 123건 처리시간 0.027초

예기치 않게 직위해임을 당한 간호부서장의 대처경험 (The Coping Process of Chief Executive Nurses(CENs) Who Had Experienced Unexpected Dismissal)

  • 윤순녕;서은영;김춘미
    • 한국직업건강간호학회지
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    • 제19권2호
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    • pp.140-149
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    • 2010
  • Purpose: The purpose of this study was to explore the coping process of chief Executive Nurses(CENs) Who Had Experienced Unexpected Dismissal.The research question was "would you tell me about your experience of sudden dismissal?" Method: The methodology of collecting and analyzing data used in this study followed the ground theory of Strauss and Corbin (1998). Data were collected through in-depth interviews with open-ended questions about the subjects' coping experiences, which were audio-taped and transcribed. The survey was conducted between April and May, 2007. The subjects of this study were 5 CENs. Result: The results of the study are as follows. Core category of This Study was "Battling unsupported against the overwhelming reality." The participants had to face the most unexpected reality of being laid off. Their emotional/psychological response were betrayal, powerlessness, lonesomeness, sorrow, and hopelessness. They felt like a general who is facing overwhelming enemy in a war. The coping process was found to have four stages: shocked stage, resisting stage, negotiating stage and reflecting and transcending stage. Conclusion: The result of this study suggested that ceaseless exertion and cooperation at organizational and individual levels are needed to establish stable status and power of nursing departments and CENs in hospitals.

시설청소년을 위한 예비부모교육 프로그램 개발 및 효과 검증 (Development and Effectiveness of Pre-parent Education Program for Adolescents in the Residential Care)

  • 배은숙;강기정
    • 가족자원경영과 정책
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    • 제12권2호
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    • pp.173-190
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    • 2008
  • The purpose of this study is to develop and evaluate the effectiveness of the pre-parent education program and its application to adolescents in residential care. The following research question will be used in the evaluation of the program's effectiveness: a change in self-esteem of the adolescents in residential care and a change in defining an ideal family. With these research questions, a survey of the requirements for its contents and previous studies were researched, and adolescents in residential care participated in the program in 12 sessions of 4 stages. The research showed a meaningful change of p>.001 for self-esteem and the ideal family in pre, post-test to the experimental group and control group. That proved the effectiveness of the pre-parent education program. Observing the experimental group's change process, the researcher proved the following results. At the beginning of the program experimental group showed hopelessness and disliked participating in the program. At the end of this, they had active attitudes, confidence and challenge to the vision. This study contains theory and various practical family activities. This study made a contribution to help adolescents in residential care enhance self-esteem and define the future ideal family.

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게임 중독의 정신분석적 함의와 치료 요인에 대한 고찰 (The Research of the Psychoanalytical Implications and Therapeutic Elements of Game Addiction)

  • 한주연
    • 한국게임학회 논문지
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    • 제20권4호
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    • pp.33-46
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    • 2020
  • 본고는 게임 중독의 환경적 원인과 미디어의 영향력을 분석하고 내담자의 치료를 위한 게임 공간을 조성하기 위한 연구의 일환으로 작성되었다. 초기에 외상을 입은 유아는 공격성과 망상, 분열과 우울, 통합된 자아감 결여, 감정 인식 능력 저하, 대상에 대한 강박적 집착, 사회 규범에 대한 반항, 현실 인식 능력 저하 등의 증상을 가상공간에 투사한다. 게임공간은 한편으로는 개인의 병리적 욕구를 드러내고 다른 한편으로는 자발적인 행동과 정서 경험을 촉구하는 양가적 공간이다. 게임공간의 현전성, 전능감과 무망감, 자아상의 분열, 감정의 이중성, 몰입감, 운동성 등의 특징들은 역기능적으로 또는 순기능적으로 활용될 수 있다.

미국 대학생의 건강수준, 건강행동 및 건강관련요인에 관한 변화 추이 분석 (An Analysis on the Change of Health Status, Health Behavior, and Influencing Factors Among American College and University Students)

  • 김영복
    • 보건교육건강증진학회지
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    • 제27권4호
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    • pp.153-163
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    • 2010
  • Objectives: Analysis and understanding on the health trend of college and university students are paramount to creating healthy campus communities. We evaluated the change of health status, health behavior, and influencing factors among them in the last ten years. Methods: Using the results of the ACHA-National College Health Assessment from 2000 to 2009, we reanalyzed the trend of health condition, health behavior, and health risk factors in linear regression model. Results: In general health of college and university students, major health problem were allergy problems, back pain, and sinus infection. Academic impacts were stress, sleep difficulties, cold/flu, concern for troubled friend or family member, relationship difficulty, and internet use or computer games. Although regular exercise was decreasing among them, it were more likely to have never smoking, no sexual partner, and eating of fruits/vegetables as time passed (p<0.05, p<0.01). Obesity and sleeping difficulty were increasing, while it were less likely to have feeling very sad, feeling hopelessness, and considering attempting suicide (p<0.05, p<0.01). Conclusion: These data expand the understanding of the health needs and capacities among young adults. For Korean college and university students, it is necessary to standardize the data-collection survey to set the college health and healthy campus.

Psychoeducation Intervention to Improve Adjustment to Cancer among Turkish Stage I-II Breast Cancer Patients: A Randomized Controlled Trial

  • Dastan, Nihal Bostanci;Buzlu, Sevim
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권10호
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    • pp.5313-5318
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    • 2012
  • Psycho-educational interventions are not a substitute for analgesics, but they may serve as adjuvant therapy. Nurses can provide psychoeducational programmes to cancer patients to assist them in optimizing behavior that strengthen adjustment. The aim here was to determine the effects of psychoeducation on levels of adjustment to cancer in stage I-II breast cancer patients who met the study criteria (experimental group: 38 women, control group:38 women). The psychoeducational program consisted of eight 90 minute weekly sessions and data were collected using a questionnaire and the Mental Adjustment to Cancer Scale three times: before, six weeks and six months after the intervention. Data analysis was performed using descriptive statistical methods as well as the Chi square test, the Mann Whitney U test, repeated measures analysis of variance, the matched pairs t test and the Post Hoc Bonferroni test. The results at 6 weeks and 6 months after the program revealed that the experimental group had higher levels of "fighting spirit", lower levels of "helplessness/hopelessness, anxious preoccupation and fatalism" but there was no significant change in levels of "avoidance/denial" compared to the control group with regard to adjustment to cancer. In this study, psychoeducation was shown to cause positive changes in levels of adjustment to cancer in breast cancer patients

여성노인의 삶의 질에 대한 주관적 구조 (A Study of the Subjectivity of Quality of Life in Elderly Women)

  • 김분한;김윤숙;전혜원
    • 성인간호학회지
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    • 제19권5호
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    • pp.92-103
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    • 2007
  • Purpose: The purpose of the study were to categorize the subjectivity of the quality of life in elderly women and to thereby understand the differences regarding quality of life desires. Methods: This study used a Q-methodology to measure the quality of life in elderly women. A Q sample was collected from in-depth and objective interviews and WHOQLO. Fourteen participants rated 28 selected Q-statements on a scale of 1 - 7. The collected data was analyzed using PC Quanl. Results: The principal component analysis identified 4 factors regarding the quality of life of elderly women. These categories were labeled 'hopelessness-oriented', 'relationship/adaptation-oriented', 'physical suffering-oriented', and 'self satisfaction-orientated'. Conclusion: Some of the factors regarding the quality of life of elderly women were determined through this research. Further research is necessary to set up and apply different the quality of life between men and women based on this result. The results of this study indicate that different approaches toward quality of life promotion programs are recommended based on the four factors of quality of life among elderly women.

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Exploring Communication Difficulties in Pediatric Hematology: Oncology Nurses

  • Citak, Ebru Akgun;Toruner, Ebru Kilicarslan;Gunes, Nebahat Bora
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권9호
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    • pp.5477-5482
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    • 2013
  • Background: Communication plays an important role for the well being of patients, families and also health care professionals in cancer care. Conversely, ineffective communication may cause depression, increased anxiety, hopelessness and decreased of quality life for patients, families and also nurses. Objective: This study aimed to explore communication difficulties of pediatric hematology/oncology nurses with patients and their families, as well as their suggestions about communication difficulties. Materials and Methods: It was conducted in a pediatric hematology/oncology hospital in Ankara, Turkey. Qualitative data were collected by focus groups, with 21 pediatric hematology/oncology nursing staff from three groups. Content analysis was used for data analysis. Results: Findings were grouped in three main categories. The first category concerned communication difficulties, assessing problems in responding to questions, ineffective communication and conflicts with the patient's families. The second was about the effects of communication difficulties on nurses and the last main category involved suggestions for empowering nurses with communication difficulties, the theme being related to institutional issues. Conclusions: Nurses experience communication difficulties with children and their families during long hospital stays. Communication difficulties particularly increase during crisis periods, like at the time of first diagnosis, relapse, the terminal stage or on days with special meaning such as holidays. The results obtained indicate that pediatric nurses and the child/family need to be supported, especially during crisis periods. Feeling of empowerment in communication will improve the quality of care by reducing the feelings of exhaustion and incompetence in nurses.

폭력 경험이 있는 청소년의 자살 생각 및 자살 시도에 영향을 미치는 요인 (Factors Affecting Suicidal Ideation and Suicidal Attempts in Adolescents who have been Bullied)

  • 김지인;부윤정;이지선
    • 한국학교보건학회지
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    • 제28권2호
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    • pp.89-98
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    • 2015
  • Purpose: The purpose of this study was to determine the factors that influence suicidal ideation and suicidal attempts of adolescents who had been bullied. Methods: This study used data extracted from Korea Youth Risk Behavior Web-Based Survey of 2014. The data of 1,926 adolescents, in total, who had experienced violence were included in the analysis, The analysis was done using SPSS/WIN. Results: The adolescents with an experience of being bullied were more likely to engage in suicidal ideation and suicidal attempts than the average teenagers in Korea. In addition, suicidal thoughts were affected by gender, experience of habitual drug use, subjective happiness, as well as sadness and despair. Suicidal attempts were influenced by gender, grade, smoking experience, experience of habitual drug use, size of the city of residence, subjective happiness, sadness and hopelessness, existence of people to get counseling, and habit of walking for 10 minutes every day. Conclusion: More attention should be given to the suicidal risk of adolescents having experienced violence. Further studies are required to develop an intervention program for suicide prevention targeting adolescents who have experienced violence and assess the program's effectiveness.

사상체질에 따른 여대생의 월경전 증후군 양상에 관한 연구 (Study of Premenstration Syndrome of Female College Students According to Sasang Constitution)

  • 이수진
    • 사상체질의학회지
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    • 제29권2호
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    • pp.104-115
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    • 2017
  • Objectives The purpose of this study was to investigate the premenstrual symptoms according to Sasang constitution and to utilize for understanding the characteristics of Sasang constitution. Methods Thirty one female university students participated in this study and Sasang Constitution and patterns of premenstrual symptoms was determined by Questionnaire for Sasang Constitution Classification (QSCC) II and premenstrual symptoms screening tool, respectively. For statistical analysis, chi-square test, analysis of variance and correlation test has been used. Results There existed significant differences in menstrual symptoms between Sasang constitutions. Taeumin had higher body mass index in severe PMS(Premenstrual Symptoms) group than normal/mild PMS group, and Soyang in and Soeumin are vice versa. Taeumin showed depressed mood and hopelessness, decreased interest in school activities, Soyangin showed decreased interest in home activities, and Soeumin showed decreased interest in social activities. In terms of interfered functional activities, Soyangin had increased feeling overwhelmed or out of control and Taeumin and Soeumin had increased hypersomnia. Conclusion Menstrual symptoms are different among Sasang constitutional types based on PSST(Premenstrual Symptoms Screening Tool). These results may serve as the basis in identifying and treating premenstrual syndromes related to Sasang constitution.

폭력에 대한 응급실 간호사의 반응 유형: Q-방법론적 접근 (The Reactions of Emergency Department Nurses to Violence: Q-Methodological Approach)

  • 박은영;서지민;주현옥;이은남
    • 대한간호학회지
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    • 제37권5호
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    • pp.762-771
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    • 2007
  • Purpose: The purpose of this study was to identify the reactions of emergency department nurses to violence. Methods: Q-methodology which provides a method of analyzing the subjectivity of each item was used. Thirty emergency department nurses classified 33 selected Q-statements into a normal distribution using a 9 point scale. The collected data was analyzed using the Quanl PC Program. Results: Three types of reactions to violence were identified. The first type(emotional and physical reactions) showed a sense of regret on the selection of an occupation and emotional and physical reactions such as anxiety, fear, depression, hopelessness, heart palpitations and trembling hands due to the violence. The second type(problem solving) actively coped to prevent the occurrence of violence, grasped the causes of violence and sought out a problem solving plan. The third type(anger reactions) felt a lot of anger against violence, and resented their reality of working under conditions of inadequately secured facilities and systems. Conclusion: The emotional and physical reactions type and the anger reactions type should be required to attend educational programs to improve attitudes and abilities to solve the problems in a more active and positive manner.