• Title/Summary/Keyword: psychological barriers

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Experiences of Families in the Intensive Care Unit: Interactions with Health Care Providers (중환자실 환자 가족의 경험: 의료인들과의 상호작용)

  • Lee, Mimi;Yi, Myungsun
    • Korean Journal of Adult Nursing
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    • v.29 no.1
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    • pp.76-86
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    • 2017
  • Purpose: The purpose of the study was to provide deep understanding of the reported experiences of families with their loved one in the intensive care unit (ICU), focusing on interactions with healthcare providers. Methods: The data were collected by individual interviews of eleven participants. The transcribed data were analyzed using qualitative content analysis to identify major themes and sub-themes that represented the experiences of families. Results: Five themes and 13 sub-themes emerged. "Captive of patients' delayed death: Fear and anxiety" describes psychological problems arising when the family member became critically ill enough to warrant being admitted to the ICU. "Families as the weak: Suppression and resistance" describes interpersonal difficulties arising due to lack of information and trust with healthcare providers. "Deprivation of authority and duty as families: Helplessness" illustrate situational barriers in attempting to protect and support family member. "Re-establishment of trust relationship with healthcare providers: Gratitude and appreciation" describes how they satisfied with themselves by regaining trust relationship. Lastly, "Acceptance of reality through direct care participation: Relief and peace" illustrates peace of mind by gaining sense of reality through active direct care participation. Conclusion: This study demonstrates the positive and negative experiences of families with ICU patients. The results will be useful in developing family-centered nursing interventions.

Factors Associated with the Use of Gastric Cancer Screening Services in Korea: The Fourth Korea National Health and Nutrition Examination Survey 2008 (KNHANES IV)

  • Shin, Ji-Yeon;Lee, Duk-Hee
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.3773-3779
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    • 2012
  • Objective: Despite government efforts to increase participation in gastric cancer screening, the rate is still suboptimal in Korea. Therefore, we explored barriers to and predictors of gastric cancer screening participation among a nationally representative sample. Methods: We used the Health Interview Survey sub-dataset derived from the Fourth Korean National Health and Nutrition Examination Survey 2008 (KNHANES IV) to evaluate participation in gastric cancer screening and factors associated with attendance in individuals age ${\geq}40$ years. We enrolled 4,464 subjects who completed the questionnaire and were not previously diagnosed with gastric cancer. Four groups of factors were considered potential predictors of gastric cancer screening in a multivariate analysis: sociodemographic, health behavior, psychological and cognitive, and dietary factors. Results: Overall, 41.3% complied with the gastric cancer screening recommendations. Younger age, lower education level, living without a spouse, frequent binge drinker, and current smoker were significantly associated with less participation in gastric cancer screening. Conclusions: To improve participation in gastric cancer screening, more focused interventions should be directed to vulnerable populations, such as groups with low socioeconomic status or unhealthy behavior. In addition, there should be new promotional campaigns and health education to provide information targeting these vulnerable populations.

Structural Modeling of an Authoritarian Parenting Style and Academic Achievement among College Students (대학생이 지각한 부모의 지배형 양육태도와 학업성취도의 구조적 관계)

  • Moon, Sunhee
    • Journal of Families and Better Life
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    • v.31 no.6
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    • pp.11-21
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    • 2013
  • The main purpose of this study is to explore the relationship between perceived the authoritarian parenting style and academic achievement among college students. Specifically, it is hypothesized that authoritarian parenting would indirectly affect the academic achievement of college students through self-differentiation level and career decision-making self-efficacy. 283 college students, after the consideration of their grade and gender, were selected for this study as participants. Methods describing the primary analytical technique of Structural Equation Modeling were used for the study. The results demonstrate that an authoritarian parenting style negatively affected the academic achievement of college students. There are mediation effects of self-differentiation and career decision-making self-efficacy between the perceived authoritarian parenting style and academic achievement among college students. The findings imply that the positive development of adult children requires more egalitarian parenting styles than those used on early adolescents. Next, for female students, specialized career counseling programs focusing on reducing psychological career barriers and career stress are needed. Lastly, it is implied that parenting styles used on adult children in Korea may differ from Western styles. Therefore, it may be difficult to explain the relationship between parents and adult children with a traditional theoretical framework.

A Study to Promote the EC Collaboration of the South and North Korea based on the Preemptive Dispute Resolution Policies (남북한 전자상거래 추진에 따른 활성화 방안 -분쟁방지를 위한 사전조정 기능을 중심으로-)

  • Choi, Yong-Rok
    • Journal of Arbitration Studies
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    • v.16 no.3
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    • pp.191-216
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    • 2006
  • It has been talked about the responsibility of the South-North Korean e-market place(e-MP) collaboration project every you since 2003. However, the feasibility as the business has not been dealt with in detail due to the uncertain environment as well as the complicated procedures of the project. The research focuses on the workable mechanism of the South-North Korean E-Market Place collaboration project. The feasibility of the project results from the newly installed fiber telecommunication network as well as the 1 billion dollars of the trading volume between South and North Korea. The research analyzes on the capabilities as well as willingness of the South and North Korea for the e-MP, and concludes with two paradigms of the future tasks. First, the unified but step-wise structure should be made to promote the project by the political committee (South and North Korea EC Committee) and the economical administration body (South and North Korea EC Corporation). Second, the market-oriented resolution system such as South and North Korea Arbitration Body should be involved to create legal environment. Above all, the discussion should be on the main body of e-MP settlement to abolish the psychological as well as practical barriers to enter the South-North Korean electronic commerce.

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A Phenomenological Study on the Exercise Experience of Patients with Low Back Pain (요통환자의 운동경험에 대한 현상학적 연구)

  • Lee Jong-Kyung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.1
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    • pp.114-129
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    • 1999
  • The purpose of this study was to use phenomenological perspectives to identify the meaning and structure of the exercise experiences in patients with low back pain. The participants were 20 patients who live in one city. The patients were asked to describe their exercise experiences. With permission of the subjects, the interviews were recorded and transcribed. Colaizzi's method was used for the phenomenological analysis. The investigator analysed the data to identify and categorize themes and basic structural elements. The process of the exercise experiences in patients with low back pain has three proposed phases pre-exercise phase, exercise phase, post-exercise phase. 150 formulating meanings, 54 themes, 20 theme clusters were identified. The interview data were organized by theme clusters into 9 categories : 'difficulties with activities of Daily Living', 'Psychological Distress', 'Support', 'Effectiveness after Exercise', 'Confidence of Healing', 'Importance of Exercise', 'Exorcise Self-Efficacy', 'Control', and 'Barrier'. Since the importance of exercise and exercise self-efficacy were identified as significant factors in this study, it may be important to plan nursing interventions to assist clients to realize the exercise self-efficacy and importance of exercise. Also, continuous support from health professionals, family, and experienced persons are needed. Further strategies for reducing barriers should be devised.

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Factors influencing Health Promoting Behaviors of Visiting Nurses in Seoul (방문간호사의 건강증진행위에 영향을 미치는 요인 - 서울시 방문건강관리사업을 중심으로 -)

  • Kim, Yun Su;Baek, Hee Chong
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.25 no.2
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    • pp.209-218
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    • 2018
  • Purpose: This study is to identify the health promoting behaviors, health belief, and self-efficacy of visiting nurses working for the Health Visiting Project in Seoul and to determine the predictors of influencing health promoting behaviors. Methods: Data were collected from an online survey of 496 visiting nurses form 25 districts in Seoul. Using SPSS ver. 24, the study performed descriptive statistics, t-test, one-way ANOVA, correlations, and stepwise multiple regression. Results: The mean scores for health promoting behaviors and self-efficacy were slightly higher than that of the median, whereas health belief showed in the median. The factors influencing health promoting behavior were perceived barriers, perceived sensitivity, self-efficacy, and age. These variables explained 36.0% of health promoting behaviors(F=60.62, p<.05). Conclusion: To prevent illness and to promote the health of the population, the visiting nurse mainly performs health screening, health education and counseling. To fulfill these responsibilities, the visiting nurse should be healthy and perform health promoting behaviors well, effectively serving as a model for their clients. Most of the visiting nurses were middle-aged, thus, it is necessary to strengthen health promotion activities that manage physical and psychological health at the individual level.

Myths and truths about pediatric psychogenic nonepileptic seizures

  • Yeom, Jung Sook;Bernard, Heather;Koh, Sookyong
    • Clinical and Experimental Pediatrics
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    • v.64 no.6
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    • pp.251-259
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    • 2021
  • Psychogenic nonepileptic seizures (PNES) is a neuropsychiatric condition that causes a transient alteration of consciousness and loss of self-control. PNES, which occur in vulnerable individuals who often have experienced trauma and are precipitated by overwhelming circumstances, are a body's expression of a distressed mind, a cry for help. PNES are misunderstood, mistreated, under-recognized, and underdiagnosed. The mind-body dichotomy, an artificial divide between physical and mental health and brain disorders into neurology and psychiatry, contributes to undue delays in the diagnosis and treatment of PNES. One of the major barriers in the effective diagnosis and treatment of PNES is the dissonance caused by different illness perceptions between patients and providers. While patients are bewildered by their experiences of disabling attacks beyond their control or comprehension, providers consider PNES trivial because they are not epileptic seizures and are caused by psychological stress. The belief that patients with PNES are feigning or controlling their symptoms leads to negative attitudes of healthcare providers, which in turn lead to a failure to provide the support and respect that patients with PNES so desperately need and deserve. A biopsychosocial perspective and better understanding of the neurobiology of PNES may help bridge this great divide between brain and behavior and improve our interaction with patients, thereby improving prognosis. Knowledge of dysregulated stress hormones, autonomic nervous system dysfunction, and altered brain connectivity in PNES will better prepare providers to communicate with patients how intangible emotional stressors could cause tangible involuntary movements and altered awareness.

Formation of Pre-Service Teachers' Reflective Skills in Information Environment

  • Dmitrenko, Natalia;Voloshyna, Oksana;Boiko, Anna;Hudym, Iryna;Zelinskyi, Vitalii
    • International Journal of Computer Science & Network Security
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    • v.22 no.9
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    • pp.396-402
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    • 2022
  • The study deals with the problem of the formation of pre-service teachers' reflective skills in information environment. The role of reflection as a mechanism of formation of a modern teacher's self-consciousness was cleared up. The technology of formation of pre-service teachers' reflective skills was characterized and tested. The main stages of the technology were: a motivational and cognitive stage, a problematic and practical stage, and a reflective and operational stage. The substantiated pedagogical conditions of formation of pre-service teachers' reflective skills were adhered. The criterial and evaluative characteristics of the formation of pre-service teachers' reflective skills were worked out: components (reflection of personal conformity, reflection of the psychological and pedagogical barriers, reflection of professional growth); criteria (criterion of consistency, criterion of difficulty, criterion of potential); indicators (cognitive-evaluative, value-motivational, activity-creative). The levels of formation of pre-service teachers' reflective skills (insufficient level, acceptable level, and optimum level) were determined. The analysis of students' surveys showed the effectiveness and expediency of using the technology of formation of pre-service teachers' reflective skills in the process of professional training.

What Do Consumers Expect and Gain from the Sharing Economy? A Systematic Literature Review (2016-2021) on the Antecedents and Outcomes

  • Jeesoo Kim;Soyeong Lee;Zhenghao Tong;Hongjoo Woo
    • Journal of the Korean Society of Clothing and Textiles
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    • v.48 no.2
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    • pp.367-381
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    • 2024
  • The sharing economy (SE) describes an economic system in which consumers share a product or service via collaborative consumption. Reasonably, the SE receives much attention in the fashion industry as a sustainable form of consumption. However, a systematic review of the antecedents and outcomes of consumer participation in SE is limited by researchers' and practitioners' hindered understanding of what consumers expect and gain from the SE. This study offers a systematic review of the SE research conducted from January 2016 to July 2021 and proposes a conceptual model. In terms of antecedents, three factors, composed of nine categories and 153 variables, were identified: 1) consumer factors (80 variables), 2) platform/product factors (69 variables), and 3) environmental factors (4 variables). The outcomes included 14 variables divided into two categories: 1) positive outcomes (8 variables) and 2) negative outcomes (6 variables). The results provide recommendations for future research on applying the SE to the fashion sector. First, to more thoroughly investigating antecedents of consumer participation in fashion sharing, the research must focus on barriers and environmental factors, in addition to demographic and psychological variables. Secondly, research on the outcomes of participating in fashion sharing, including economic and social benefits, is needed.

Effects of Digital Shadow Work on Foreign Users' Emotions and Behaviors during the Use of Korean Online Shopping Sites

  • Pooja Khandagale;Joon Koh
    • Asia pacific journal of information systems
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    • v.33 no.2
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    • pp.389-417
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    • 2023
  • Social distancing required the use of doorstep delivery for nearly all purchases during the COVID-19 pandemic. Foreign users in Korea are forced to participate in superfluous tasks, leading to an increase in their anxiety and fatigue while online shopping. This study examines how digital shadow work stemming from the language barrier can affect the emotions and behaviors of foreign shoppers that use Korean shopping sites. By interviewing 37 foreign users in Korea, this draft examined their experiences, behaviors, and emotional output, classifying them into 14 codes and seven categories. Using grounded theory, we found that online shoppers' emotions, feelings, experiences, and decision making may be changed in the stages of the pre-use, use, and post-use activities. User responses regarding shadow work and related obstacles can be seen with the continue, discontinue, and optional (occasional use) of Korean online shopping sites. Pleasure and satisfaction come from high efficiency and privileges, whereas anger and disappointment come from poor self-confidence and pessimism. Furthermore, buyer behavior and product orientation are identified as intervening conditions, while the online vs. offline shopping experiences are identified as contextual conditions. In conclusion, language barriers and other factors make online shopping difficult for foreign shoppers, which negatively affects their psychological mechanisms and buying behaviors. The implications from the study findings and future research are also discussed.