• Title/Summary/Keyword: rapport

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A Case Report of a Schizophrenic Patient Treated with Art Therapy and Korean Traditional Medicine (한의치료와 미술치료을 통한 조현병 환자 치험례)

  • Park, Na-Eun;Park, Jun-Hyun;Kim, Dae-Eok;Kim, Sang-Ho;Chung, Dae-Kyoo
    • Journal of Oriental Neuropsychiatry
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    • v.27 no.3
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    • pp.147-155
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    • 2016
  • Objectives: Schizophrenia is a serious disease that influences not only the patients themselves but also their family and the society. In this case, we employed art therapy and Korean traditional medicine for treating a schizophrenia patient.Methods: The patient was diagnosed with schizophrenia, and the main complaints were hallucination, visual hallucination and catatonic behavior. We treated the patient with art therapy and Korean traditional medicine including acupuncture, moxa and herbal medicine. We used the Brief Psychiatric Rating Scale (BPRS) and the Positive and Negative Syndrome Scale (PANSS) for assessment.Results: After treatment, clinical symptoms were improved and the BPRS and PANSS scores were decreased, especially the scores for anxiety, depression and poor rapport.Conclusions: Combined treatment with art therapy and Korean traditional medicine can be effective for treating chronic schizophrenia.

A Grounded Theory-Based Approach to Practice Adaptation Process of Hemodialysis Unit Nurses (혈액투석실 간호사의 실무적응과정에 대한 근거이론적 접근)

  • Park, Eui Jung;Kim, Young Hae
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.1
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    • pp.128-134
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    • 2013
  • Purpose: The purpose of this study was to generate a grounded substantive theory for the practice adaptation process of hemodialysis unit nurses. Methods: Participants in this study were 10 nurses working in one of two hemodialysis units. Data were collected through tape recorded in-depth interviews done between December, 2011 and February, 2012. Data were analyzed using grounded theory methodology. Results: From the participants' statements, 43 concepts, 18 subcategories and 10 categories were extracted through the open cording process. The 10 categories were: "Burden", "Role conflict", "Fearful", "Conflict of emotion", "Lack systematic job training", "Lack support system", "Compassion", "Rapport created", "Sense of duty", and "Growth". The core category was discovered to be 'recognized growth'. Phenomenon was identified as 'burnout' and this series of processes was categorized as having three stages: 'conflict', 'acceptance', 'growth'. Conclusion: The results of this study provide useful information about the needs of Hemodialysis Unit Nurses during the practice adaptation process based on their stages and types of practice adaptation. Finally, this study contributes data for the development of intervention programs that support the Hemodialysis Unit Nurses' practice adaptation.

Qualitative Study on Clinical Nurses' Intention to Stay in Hospital (병원 간호사의 조직 잔류의도에 대한 질적 연구)

  • Park, Kwang-Ok;Kim, Jong Kyung;Kim, Se Young
    • Korean Journal of Adult Nursing
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    • v.26 no.6
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    • pp.681-692
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    • 2014
  • Purpose: The purpose of this study was to evaluate the experience of hospital nurses regarding their intention to stay at hospital. Methods: Experiential data were collected from 10 experienced nurses through in-depth interviews. The main question was "Could you describe your experience and your work during your years at the hospital?" Qualitative data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology. Results: The core category of experience regarding hospital nurses' intention to stay was 'following a stable rather than a challenging path'. Participants used three interactional strategies: 'being encouraged via rapport with peers', 'accept reality', and 'find vitality in academic pursuits'. Conclusion: The retention of experienced nurses is critical to human resource management in nursing departments. This study found that experienced nurses have a vague uncertainty about their future in the hospital. Therefore, nursing managers should support experienced nurses by providing them with the opportunities needed to develop their careers, by managing conflicts in nursing units, and by implementing new programs to increase confidence.

Experiences of the Teachers in the Practical Problem-Based Home Economics Class (가정과 실천적 문제 중심 수업에서 교사의 경험에 대한 연구)

  • Han, Ju;Chae, Jung-Hyun
    • Human Ecology Research
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    • v.54 no.4
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    • pp.351-363
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    • 2016
  • This study examined in depth what teachers experience in a practical problem-based home economics class. This study established the research question, "What do teachers experience in the practical problem-based home economics class?" and selected three teacher participants who had steadily performed a practical problem-based home economics class to directly observe classes and conducted intensive interviews with the class performing teachers. The three research participants performed the practical problem-based class as a method of practicing their educational beliefs and based on a problem consciousness that textbook centered classes focusing on concepts cannot manage. They also tried to make efforts to reconstruct the textbook centered with practical problems to promote the critical thinking abilities of students. In practicing the practical problem-based class, the research participants recognized that it was important to show the present problems in reality to the students, teach broad value concepts, and establish rapport with students. They tried to make class content correspond to class evaluation. They felt awarded in how they influenced the development of students and the perception of home economics subjects in a positive way as well as experienced various actual difficulties in performing the practical problem-based class. The three research participants examined themselves through the agony and reflection of the class, and integrated the class with daily activities by applying problem solving methods of practical problem-based classes to their lives.

Brachial Plexus Injury after Wedge Resection by Axillary Thoractomy (액와 개흉술에 의한 기흉수술시 발생한 상완신경총 손상)

  • 김동원
    • Journal of Chest Surgery
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    • v.27 no.4
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    • pp.328-330
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    • 1994
  • Brachial plexus injury developing after axillary thoracotomy is an uncommon complication. But if it occurs, it may cause annoying events. We recently experienced 2 patients who developed brachial plexus injury after wedge resection by axillary thoracotomy . The first patient was a 22 year-old man with right spontaneous pneumothorax . After wedge resection of the right upper lung by axillary thoracotomy, he complained total paralysis of the right arm. An electromyogram was obtained at 7 days after operation, with the confirmation of brachial plexus injury. He was discharged at 22days after operation and brachial plexus injury was completely recovered 4 months after discharge. The second patient was a 17 year-old man with recurrent right pneumothorax. He underwent wedge resection of the right upper lung by axillary thoracotomy. Electromyogram confirmed the diagnosis of brachial plexus injury in the immediate postoperative period. He was discharged at 15 days after operation and brachial plexus injury was recovered 2months after discharge.Brachial plexus injury after axillary thoracotomy is caused by stretching around the clavicle and tendon of pectoralis minor by fixation of the abducted arm to the frame. Thus, when we perform wedge resection by axillary thoracotomy, we must avoid over-stretching of the brachial plexus in positioning. If brachial plexus injury develops, immediate attention and management with close rapport are important to avoid possible medicolegal problems.

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The Meaning and Use of Modified Songs by Teachers in Early Childhood Classrooms (유치원 교실에서 교사가 부르는 변형된 노래의 양상과 의미 연구)

  • Jung, Kyoung-Su;Son, Sung-Haak;Lim, Boo-Yeon
    • Korean Journal of Child Studies
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    • v.35 no.4
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    • pp.263-279
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    • 2014
  • The purpose of this paper is to explore the role of the variation of songs by teachers in early childhood classrooms where songs play an important role in managing the daily activities for young children. Early childhood teachers have demonstrated a high degree of competency to transform and modify a variety of songs that fit into children's developmental levels. The use of such songs enable both teachers and young learners to fully enjoy such classroom activities and are an important means for establishing rapport. The data were collected from direct observation and video recording in three early childhood classrooms, as well as through interviews with the teachers, and through the researcher's journals. The results of the study revealed that the teachers exhibit a high degree of professionalism in creating variations of the kind of songs that children seem to enjoy, and thereby creating high levels of classroom enjoyment generally. This study also showed that using a good variety of songs in early childhood classroom can facilitate understanding of the content in the curriculum Finally, this study also suggests that the teachers' skills in designing variations of songs can make early childhood education classrooms culturally attractive and aesthetically more creative.

Nonverbal Communication between Patients with Dementia and Their Nurses in an Elderly Care Institution (일개 노인요양기관에 입소한 치매노인과 간호사의 비언어적 커뮤니케이션 연구)

  • Yi, Myung-Sun
    • Korean Journal of Adult Nursing
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    • v.21 no.1
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    • pp.105-116
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    • 2009
  • Purpose: The purpose of the study was to describe nonverbal behaviors of nurses in communication with patients with dementia in an elderly care institution in Korea. Methods: Conversation analysis was utilized to analyze the data which were collected using video camera to capture non-verbal as well as verbal behaviors. A total of 66 episodes of everyday conversations were analyzed using seven nonverbal categories: affirmative head nodding; illustrative gestures; patient-directed eye gaze; smiling and/or laughing; forward leaning; affective touch; and instrumental touch. Results: Among seven categories, patient-directed eye gaze(94%) was the most frequently utilized among nurses followed by affirmative head nodding(67%) and forward leaning(67%), while smiling was the least used(32%). Affective touch was identified in 39 episodes(59%). Among them, the most frequently touched area was hand or handshaking(59%) followed by shoulder or back, arm, and face. There were wide differences among nurses in terms of using affective touch, ranging from 0% to 98%. Nonverbal behaviors were more frequently identified in effective episodes than in ineffective episodes. Conclusion: Actively utilizing effective nonverbal behaviors may help geriatric nurses in promoting communication and in establishing rapport with patients with dementia.

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Jextile & Clothing Design During the Russian Revolution (러시아 혁명기의 직물과 의상 디자인)

  • Choi, Hyon Sook
    • Journal of the Korean Society of Clothing and Textiles
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    • v.17 no.1
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    • pp.89-101
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    • 1993
  • The Russian revolution and the successive "art into production" atmosphere provided a unique model of a strict inter-relation between social process and innovative process in the taste. Influenced by CUBISM, RAYONISM and SUPREMATISM emerged in Russia around the time of Russian revolution and gave way to CONSTRUCTIVISM, based on Tatlin's theory, which played a vital role to combine art with social committment. One of the first question to be established after the revolution was the function of art within the new society. First, it should be propagandistic and empahsise the benefit of the new state. Secondly, art could take on an affirmatory role putting foward ideal views of the society as example to be disscussed and followed. Thirdly, the Constructivists' view, "Death to Art" was their slogan. Their view was that the artists' work in the new society was to be based on the material value and beauty in fuction as this alone could be consistent with the aesthetics of Marx and Lenin. It sould be pointed out that among the various applied arts, textiles and clothing design were considered one of the most important role in propaganda and in support of the new socialst ideas. Traditionl handicrafts provided a repository of popular images and folk art continued to assert an influence on the textiles and clothing design after the revolution. Constructivists, such as Stepanova and Popova, went to the factory as direct answer to the invitation for the art-industry rapport. Thematic or propagandistic designs were directly connected to the daily life and national transformation.

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Strategies for Rural Hospitals in Korea (농촌지역 병원들의 경영개선을 위한 전략)

  • 박종연;강명근;최귀선;조우현
    • Health Policy and Management
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    • v.10 no.1
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    • pp.148-173
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    • 2000
  • This thesis is a kind of case report on the managerial difficulties and strategies to overcome them for the rural hospitals in Korea. We examined environmental situations and SWOT(Strength, Weakness, Opportunity, Threat) of the hospitals, and suggested some strategies to improve the hospital business through analysing secondary data and brief survey to staffs and patients at 3 case hospitals. Among the strategies were included establishment of their identity as community hospitals, positioning towards high-touch services rather than high-tech services to improve their competence. For this positioning, patient satisfaction should be emphasized to make rapport with the residents in the community, and a few service areas should be selected and strengthened. Emergency care and geriatric health services are recommended to be covered strongly, because rural hospitals are usually the one and only hospital in the region and rural communities have aged population structure. In addition to these, networking is necessary among rural hospitals nationwide and with local clinics and tertiary hospitals near urban areas. And also, complementary role division with community health post should be developed to lessen the competitive relationship between public and private sectors. To support these strategies, fresh organizational culture should be built up to make hospital staff creative and enthusiastic on their job. Finally, inducement of governmental assistance will be necessary to make the environment advantageous to the rural hospitals.

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Diplopia after Inferior Alveolar Nerve Block Anesthesia -A Case Report- (하악공 전달마취후 복시 -증례보고-)

  • Choi, Eun-Hae;Seo, Ji-Young;Jung, Bock-Young;Kim, Sung-Tae;Kim, Kee-Deog;Park, Won-Se
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.7 no.2
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    • pp.131-134
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    • 2007
  • Inferior alveolar nerve block anesthesia is one of the most common procedures in dental clinic. Although it is well known as safe procedure, complications always can be occurred. Ocular complications such as diplopia, loss of vision, opthalmoplegia are very rare, but once it happens, dentist and patient can be embarrassed and rapport will be decreased between them. We experienced one diplopia case after inferior alveolar nerve block anesthesia and treated without any further complication. We report this case and describe the cause, diagnosis, and treatment objectives of diplopia caused by inferior alveolar nerve block anesthesia.

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