The purpose of the study was to determine the effects of the 8-week, 15-session group art therapy program on self-esteem and mental health status in chronic schizophrenic inpatients. The sample consisted of two groups of chronic schizophrenic inpatients: 10 patients with an average of total disease duration of 8.90 years who participated in a 8-week group art therapy program, and 8 comparison subjects with an average of total disease duration of 8.25 years who did not participate in the program. A pretest-posttest quasiexperimental design was used to assess self-esteem and mental health status at the beginning and at the end of the 8-week, 15-session group art therapy program. The time points for obtaining data were matched for both groups. The effectiveness of the 8-week group art therapy program was assessed by Rosenberg's Self-esteem Scale(Rosenberg, 1965) and SCL-90- R(Derogatis et al., 1973). SPSSWIN 8.0 was utilized for data entry and analysis employing Mann-Whitney U test. The findings of the study indicated the followings : (a) No significant differences were found between two groups in self-esteem and (b) The experimental group showed significantly lower scores in obsessive-compulsive symptom dimension and interpersonal sensitivity symptom dimension on the SCL-90-R than the comparison group after participating in the group art therapy program. In conclusion, the findings showed the possibility of applying group art therapy as an effective nursing intervention for patients with lack of verbal communication skills and social interaction to improve their interpersonal relationship.
Kim, Sueun;Ok, Jong Sun;Choi, Jin Yi;Choi, Heejung
The Journal of Korean Academic Society of Nursing Education
/
v.29
no.4
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pp.381-394
/
2023
Purpose: This study aimed to develop an intentional rounding protocol to enhance the clinical competence of nursing students. Methods: An intentional rounding protocol for nursing students' clinical practice was developed following the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model. A convenient sampling method was used to select 23 junior year university nursing students during their clinical practice in adult nursing. The program evaluation included a quantitative assessment (communication and relationship efficacy, empathy, and patient safety competency) and focus group interviews. Results: The intentional rounding protocol focused on the 4Ps (pain, position, potty, and possessions) and encompassed aspects such as level of consciousness, pain management, personal care needs, intravenous injection, oxygen administration, nasogastric/nasoenteric tube care, maintenance of urine collection bags, and the identification of environmental fall risks. Nursing students performed intentional rounding at least twice a day. Following the implementation of this protocol, nursing students demonstrated a significant improvement in communication and interpersonal efficacy. The focus group interviews revealed four main themes: growth of human relationships, acquiring knowledge in and about the clinical field, becoming a nurse, and barriers in reality. Conclusion: The intentional rounding protocol has the potential to enhance nursing students' communication and interpersonal skills during clinical practice and to provide them with positive experiences in nursing clinical education. Therefore, it is recommended that this protocol be incorporated into nursing clinical practice education.
Kim, So Yeon;Kong, Wanji;Koo, Se Jun;Kim, Hyeri;Park, Hye Yoon;Seo, Eunchong;Lee, Eun;An, Suk Kyoon
Korean Journal of Schizophrenia Research
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v.24
no.1
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pp.26-35
/
2021
Objectives: Social function deficit is known as a core feature of schizophrenia. This study aimed to investigate differences in empathic tendencies and theory of mind (ToM) skills between healthy controls and young individuals with schizophrenia, and to examine the associations between empathic tendencies, ToM skills and schizotypy, and executive function in schizophrenia. Methods: Thirty patients with schizophrenia and 30 healthy controls were enrolled and assessed using the interpersonal relationship index (IRI; perspective taking, fantasy, empathic concern, and personal distress subscales), ToM-Picture Story Task (ToM-PST; sequence and cognitive questionnaire), Wisconsin schizotypy scale (revised physical anhedonia and perceptual aberration), and Stroop tests for empathic tendencies, ToM skills, schizotypy, and executive function. Results: In individuals with schizophrenia, the IRI for perspective taking and ToM-PST score for cognitive function were lower, and the IRI for personal distress was higher than those in healthy controls. The IRIs for perspective taking and fantasy were related to revised physical anhedonia, and that for empathic concern was associated with revised physical anhedonia and perceptual aberration. The ToM-PST score for sequence was associated with the Stroop test score for schizophrenia. Conclusion: These findings indicate deficits in empathic tendencies and ToM skills, which may be independently and primarily associated with schizotypy and executive function in young individuals with schizophrenia.
The purpose of this study was to investigate how children from low-income families perceived their family strength, ego-resilience and school adjustment. The relative magnitude of effects of family strength, ego-resilience and school adjustment were compared. Data were collected from 217 children in grade 4 through 6 who were attending local child welfare centers located in Seoul, Korea. The key research findings were as follows. Ego-resilience and perceived family strength were related to school adjustment among children in poverty. The relatively greater effect of ego-resilience implied that programs for children in poverty need to focus on developing interpersonal relationship skills or coping strategies designed to enable children from disadvantaged environments to deal with stressful events and to promote their ego-resilience. Additionally, the recovery or enhancement of family strength and ego-resilience will be effective at protecting and solving various adaptive problems that children from low-income families may experience at school.
This study investigated the relationships between experiencing verbal violence and the emotional responses and coping behaviors of dental hygienists who worked in Jeonju between February 24 and March 18, 2017 to prepare strategies for managing verbal violence and establish a healthy working environment for dental hygienists. The following findings were obtained in this study. The dental hygienists primarily experienced verbal violence from patients and guardians (1.67 points). The most common verbal violence type was, "Someone treated me impolitely." The most common emotional response to verbal violence was "anger" (3.52 points). The coping style of most dental hygienists was problem-focused coping (3.28 points), followed by emotion-focused coping (2.75 points). Most hygienists with the problem-focused coping style stated that they resolve the problem through dialogue (3.51 points), while most hygienists with the emotion-focused coping style responded that they just ignore the situation (3.78 points). The relationship between experiencing verbal violence and the emotional responses and coping behaviors of dental hygienists showed a statistically significant positive correlation (p<0.05) with emotional responses and problem- and emotion-focused coping associated with experiencing verbal violence from dentists, patients, and guardians. These findings confirm the need to reduce verbal violence, control emotional responses after exposure to verbal violence, and use more problem-focused coping measures. Dental hygienists must develop interpersonal skills and communication techniques and promote professionalism in their workplace to protect themselves from verbal violence at work.
Purpose: The purpose of this study was to explore the communication experience of intensive care unit (ICU) nurses in the workplace. Methods: The present study utilized a qualitative approach using focus group interview method. A total of three focus groups of 15 ICU nurses from two university hospitals were formed. The conversations during the focus group interviews were recorded and analyzed through Colaizzi's phenomenological method. Results: As a result of analyzing participants' conversation, Five theme clusters were elicited, namely, "one-way communication", "differences in the position of senior and junior nurses", "communication crisis", "beginning of understanding", and "movement toward change" out of 15 themes and 138 significant sentences. Conclusion: ICU nurses report having experienced communication crisis because of the one-way communication of the ICU nursing environment and the hierarchical differences in junior and senior nurses' position. Systematic education and continuous training on communication skills need to be provided to improve interpersonal relationship among nurses and work environment in the ICUs.
Journal of Korean Academy of Nursing Administration
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v.8
no.3
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pp.381-392
/
2002
Purpose : The purpose of this study was to examine the degrees of turnover intention among Korean staff nurses(N=175) and to identify discriminating factors of their turnover intention. Method : The data were driven from a larger study and staff nurses who had worked more than 1 year as nurses were included in the analyses. The original data were collected from May 1999 to March 2000. Descriptive and discriminant analyses were utilized. Results : 87% of the participants reported turnover intention. Nurses were grouped into three group(GP)s depending on the frequencies of turnover intention: Never GP(N=23), Sometimes GP(N=107), Frequent GP(N=43). With three GPs, two functions were produced and only function 1 was significant that significantly discriminated Never and Frequent GPs. Additional discriminant analysis with only Never and Frequent GPs produced function classified 93% of the participants correctly into two GPs. Sub-dimensions of work satisfaction were significant discriminating factors. Nurses who are satisfied with doctor and nurse relationship, pay, and hospital administration tend to report no intention in turnover. Conclusion : Based on the findings of this study, possible managemental intervention for increasing interpersonal skills and assertiveness of nurses, inviting medical residents in ward team meeting, increasing incentives or baseline adjustment of annual income for registered nurses were suggested.
This study was conducted to identify an initial clinical experience of nursing students, so to better understanding to students' experience in clinical setting. The study subjects were 39 nursing students working in C department of nursing in C city. This study was approached by phenomenological method, collected data were analyzed by Colaizzi's method. The results were followed. From the protocol, 236 significant statements were organized into 56 formulated meanings. From formulated meanig, 27 themes were identified, organized into 13 theme clusters, and then into 6 categories. Theose nursing students experienced $\mathbb{\ulcorner}$tension$\mathbb{\lrcorner}$ in adjusting themselves to new clinical settings, $\mathbb{\ulcorner}$fear and anxiety$\mathbb{\lrcorner}$ in using unskillful nursing skills. They also went through $\mathbb{\ulcorner}$stress> by difficulties in applying their knowledge and skill to nursing practice, in lack of nursing knowledge and skill, in dealing with making interpersonal relationship with clinical staffs, in insufficiency of clinical instructions and in role ambiguity among nursing students. Physical $\mathbb{\ulcorner}$fatigue$\mathbb{\lrcorner}$ and $\mathbb{\ulcorner}$disappointment and doubt$\mathbb{\lrcorner}$ by the difference between reality and expectation caused by clinical experience. However, clinical experience enabled nursing students to enhance their understanding of human beings, learning, their satisfaction. to nursing practice, to identify the confirmation of nursing identity, so to gain $\mathbb{\ulcorner}$sense of accomplishment$\mathbb{\lrcorner}$. The results of this study are to use as basic data for students attending clinical experience for the first time.
Journal of the Korea Academia-Industrial cooperation Society
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v.21
no.5
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pp.206-215
/
2020
This study analyzes the relationship between K-CESA of undergraduate students, and their coaching skill and creativity confluence competences. Totally, 344 students attending private colleges in G province were evaluated for their competence. The data collected were analyzed by descriptive statistics, Pearson's correlation analysis, multiple regression analysis and Sobel test, using the SPSS/PC 22.0 computer program. Our results indicate that K-CESA, coaching skill, and creative convergence fulfill the assumption of normality. Moreover, significant positive relationships were determined between K-CESA and creativity confluence, as well as between coaching skill and creativity confluence. Furthermore, K-CESA was an important factor that predicts the creativity confluence competency, and coaching skill had mediating effects on the relationship between K-CESA and creativity confluence competency. In conclusion, our results indicate that K-CESA and coaching skills are important factors that will help strengthen creativity confluence competences.
The purpose of this study was to examine the clinical practice-related anxiety and coping strategies in music therapists. 81 music therapists who are members of the National Korean Music Therapist Association, completed the self-report questionnaires. Results in this study showed that the highest rating scores were found with relationship anxiety, followed by musical performance anxiety and performance anxiety. As causing factors for each anxiety type, uncooperative behaviors and attitudes of clients were reported to highly affect interpersonal anxiety; improvising music during music therapy sessions for musical performance anxiety, and observations of music therapy sessions by staff and related professionals for performance anxiety. Regarding coping strategies used by the respondents, cognitively questioning anxiety issues was most frequently used to deal with performance anxiety; actively involving in behavior modification of clients for relationship anxiety, and practicing music skills for musical performance anxiety. The results provided descriptive information of anxiety and coping strategies that music therapists experienced. Also, this study indicates how music therapists would deal with anxiety-inducing situations and develop their coping strategies for better clinical practice.
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