• Title/Summary/Keyword: self-determination

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Experience and Task of Public Guardianship Service Activity for the mentally disabled -in Perspectives of advocacy (정신장애인의 공공후견서비스 활동 경험과 과제 -권익옹호의 관점에서)

  • Kim, Hyojung;Park, Inhwan;Choi, Yunyoung
    • Journal of Convergence for Information Technology
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    • v.9 no.5
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    • pp.228-235
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    • 2019
  • The purpose of this study is to explore the experiences and challenges of public guardianship services project for the mental disabled as a system of supporting the decision-making and the rights advocacy. For this purpose, interviews with 11 social workers who act as public guardians were conducted and a model of practice was suggested through analysis using the grounded theory of Strauss and Corbin(1998). As a results, the possibility of rights advocacy through public guardian services for the mentally disabled, the positive change of attitude of the facilities and the establishment of direction for the restoration of rights for the mentally disabled were derived. Public guardians experienced excessive empowerment of their guardians or difficulties in the process of their duties, but were also able to defend the rights of the mental disabled and support self-determination right. Through this study, expansion of budgets and expansion of beneficiaries for public guardianship services, establishment of infrastructure for integration in the community, set-up a support organization for public guardian services and Raising awareness of the mental disabled and public guardian services were suggested.

Family's Perception of Proxy Decision Making to Authorize Do Not Resuscitate Order of Elderly Patients in Long Term Care Facility: A Q-Methodological Study (심폐소생 금지 대리 결정에 대한 요양병원 노인 환자 가족의 인식 유형: Q 방법론적 접근)

  • Cho, Hyeon Jin;Kang, Jiyeon
    • Journal of Korean Academy of Nursing
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    • v.51 no.1
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    • pp.15-26
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    • 2021
  • Purpose: This study aimed to distinguish and describe the types of perceptions of do not resuscitate (DNR) proxy decisions among families of elderly patients in a long-term care facility. Methods: This exploratory study applied Q-methodology, which focuses on individual subjectivity. Thirty-four Q-statements were selected from 130 Q-populations formed based on the results of in-depth interviews and literature reviews. The P-samples were 34 families of elderly patients in a long-term care hospital in Busan, Korea. They categorized the Q-statements using a 9-point scale. Using the PC-QUANL program, factor analysis was performed with the P-samples along an axis. Results: The families' perceptions of the DNR proxy decision were categorized into three types. Type I, rational acceptance, valued consensus among family members based on comprehensive support from medical staff. Type II, psychological burden, involved hesitance in making a DNR proxy decision because of negative emotions and psychological conflict. Type III, discreet decisions, valued the patients' right to self-determination and desire for a legitimate proxy decision. Type I included 18 participants, which was the most common type, and types II and III each included eight participants. Conclusion: Families' perceptions of DNR proxy decisions vary, requiring tailored care and intervention. We suggest developing and providing interventions that may psychologically support families.

The Effects of Camp-type Group Counseling Program on the Control of Smartphone Use in University Students (캠프형 집단상담 프로그램이 대학생의 스마트폰 사용조절에 미치는 효과)

  • Kwon, Myung Soon;Kim, Mi Hun;Yu, Jeong Soon
    • Journal of Korean Public Health Nursing
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    • v.34 no.3
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    • pp.325-340
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    • 2020
  • Purpose: This study was undertaken to identify the effects of a camp-type group counseling program based on the self-determination theory, for controlling smartphone usage amongst university students. The program consisted of smartphone overdependence, basic psychological needs, and adaptation to college life. Method: This was a quasi-experimental research with a non-equivalent control group design (pre-test and post-test design). A total of 38 freshmen (17 experimental and 21 control) participated in the study. Experimental subjects attended a two nights and three days camp, where the group counseling program included meetings for basic psychological needs (eg., autonomy, competence, and relatedness). Results: This study showed significant differences in basic psychological needs (Z=-2.91, p=.003) and adaptation to college life (Z=-3.47, p<.001). Although no significant difference was obtained in the degree of smartphone overdependence (p=.194), mean score of the experimental group pre-test and post-test changed from the level of potential risk users to general users. Conclusion: The current findings indicate that by considering the basic psychological needs and adaptation to college life, our program could be an effective intervention for controlling smartphone usage amongst college students. Therefore, we propose that a camp-type counseling program could be considered for application as group therapy for programs associated with preventing smartphone overdependence.

The Phenomenological Study on Multi-cultural Youth's Experience of the Discrimination in School (다문화 청소년이 학교에서 경험하는 차별에 대한 현상학적 연구)

  • Lee, Su-Min;Yang, Nan-Mee;Lee, A Ra
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.776-793
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    • 2021
  • The purposed of this study is to deeply understand the discrimination experiences of multicultural youth in school. For this, an interview with 12 multicultural youth was conducted and the data was analyzed using Giorgi's method of psychological phenomenology. As a result, 58 main meaning units, 22 emerging themes, and 9 essential themes were drawn. The essential themes consist of 'Experience of unwanted exposure of multicultural origin and negative emotions', 'Determination of his or her existence based on the multicultural family', 'Not affected by the fact that he or she is from multicultural family', 'A favorable response on multiple cultures and experience of favor', 'Discrimination on grounds of unmanageable fact', 'Becoming a figure of fun and being bullied', 'Unhelpful multicultural education and interests from one's surroundings', 'The impact of unstoppable and unresolved discrimination' and 'Self-awareness as a multicultural youth'. Based on these results, discussion and implications of the study were presented.

Determination of Urinary Cotinine Cut-Off Point for Discriminating Smokers and Non-Smokers among Adolescents: The Third Cycle of the Korean National Environmental Health Survey (2015~2017) (청소년의 흡연자 선별을 위한 소변 중 코티닌 절사점 결정: 제3기 국민환경보건 기초조사(2015~2017))

  • Jung, Sunkyoung;Park, Sangshin
    • Journal of Environmental Health Sciences
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    • v.47 no.4
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    • pp.320-329
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    • 2021
  • Background: Smoking exposure may be objectively assessed through specific biomarkers. The most common biomarker for smoking is cotinine concentration in urine, and setting an optimal cut-off point can accurately classify smoking status. Such a cut-off point for Korean adolescents has never been studied. Objectives: The aim of this study was to determine a cut-off point for urinary cotinine concentration for the discrimination of smoking in adolescents. Methods: Participants were adolescents aged 13~18 years who participated in the third cycle of the Korean National Environmental Health Survey. We used urine samples to confirm the level of cotinine concentrations. Smoking status was determined by self-reported questionnaire. We identified the optimal cotinine cut-off point for discriminating smoking status using receiver operating characteristic curve analysis. Results: Of the 904 participants, 28 (3.1%) were smokers, among whom 20 (71.4%) were male. The median urinary cotinine concentrations in smokers was 218 ㎍/L (male: 215 ㎍/L, female: 303 ㎍/L), and that in non-smokers was 1.31 ㎍/L (male: 1.46 ㎍/L, female: 1.18 ㎍/L). We found significant differences in urinary cotinine concentration according to smoking status and sex (p<0.001). Urinary cotinine concentrations performed well for identifying smoking adolescents [area under the curve: 0.954 (male: 0.963, female: 0.908)]. The cut-off that optimally distinguished smokers from non-smokers was 39.85 ㎍/L (sensitivity: 89.3%, specificity: 97.4%). Male [39.85 ㎍/L (sensitivity: 90.0%, specificity: 94.9%)] had a different optimal cut-off point than female [26.26 ㎍/L (sensitivity: 87.5%, specificity: 99.6%)]. Conclusions: This study determined a cut-off point for urinary cotinine of 39.85 ㎍/L (male: 39.85 ㎍/L, female: 26.26 ㎍/L) to distinguish smokers from non-smokers in adolescents.

Current Issues with the Big Data Utilization from a Humanities Perspective (인문학적 관점으로 본 빅데이터 활용을 위한 당면 문제)

  • Park, Eun-ha;Jeon, Jin-woo
    • The Journal of the Korea Contents Association
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    • v.22 no.6
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    • pp.125-134
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    • 2022
  • This study aims to critically discuss the problems that need to be solved from a humanities perspective in order to utilize big data. It identifies and discusses three research problems that may arise from collecting, processing, and using big data. First, it looks at the fake information circulating with regard to problems with the data itself, specifically looking at article-type advertisements and fake news related to politics. Second, discrimination by the algorithm was cited as a problem with big data processing and its results. This discrimination was seen while searching for engineers on the portal site. Finally, problems related to the invasion of personal related information were seen in three categories: the right to privacy, the right to self-determination of information, and the right to be forgotten. This study is meaningful in that it points out the problems facing in the aspect of big data utilization from the humanities perspective in the era of big data and discusses possible problems in the collection, processing, and use of big data, respectively.

A Prediction Model of Exercise Level in Patients with Ankylosing Spondylitis (강직성 척추염 환자의 운동정도 예측모형)

  • Kim, Moon Ja;Lee, Eun Nam
    • Journal of Korean Academy of Nursing
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    • v.52 no.2
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    • pp.157-172
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    • 2022
  • Purpose: This study aimed to construct and test a hypothetical model to explain the predictive factors and causal pathways for exercise levels in patients with ankylosing spondylitis based on the self-determination theory. A conceptual framework was constructed assuming that autonomy support by health care providers would satisfy the three basic psychological needs of patients, which would increase their autonomous motivation for exercise, resulting in its initiation and continuation. Methods: This cross-sectional study included 221 patients with ankylosing spondylitis who were visiting rheumatology clinics in two tertiary hospitals. Health Care Climate Questionnaire-exercise regularly, Basic Psychological Needs Satisfaction scale, Behavior Regulation in Exercise Questionnaire-2, and exercise level were used to collect data. Results: The fitness of the hypothetical model met the recommended level (𝛘2/df ≤ 3, SRMR ≤ .08, RMSEA ≤ .08, GFI ≥ .90, AGFI ≥ .85, NFI ≥ .90, TLI ≥ .90, CFI ≥ .90). The model effect analysis revealed that autonomy support by health care providers had a positive effect on patients' autonomy, competence, relatedness, autonomous motivation, and exercise level. Competence and relatedness had positive effects on autonomous motivation and exercise level, respectively. Autonomous motivation had a positive effect on exercise level. Conclusion: The predictive factors of exercise level in patients with ankylosing spondylitis were autonomous motivation, health care providers' autonomy support, competence, and relatedness. Considering these factors, we recommend the development of an effective program for improving exercise levels in these patients.

A Study on Human-Centered IT Utilization in Caring for Elderly People Who Live Alone (독거노인 돌봄에 있어 인간중심의 IT 활용방안에 관한 연구)

  • Choi, So-Yun
    • Journal of Digital Convergence
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    • v.20 no.2
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    • pp.455-462
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    • 2022
  • This study was conducted to find ways to utilize human-centered IT in caring for elderly people who live alone. Through focus group interviews with experts, this study investigated the problems with delivery system, and ethical issues. Problems such as lack of trust, supplier-centered care, and uniform service provision were derived as major problems in the delivery system. These findings indicate that IT should be used as an auxiliary means of face-to-face services and to be controllable and convenient. Issues such as "guaranteeing the right to self-determination," "protecting privacy," "sufficiently guaranteeing the right to know," and "encompassing blind spots" were raised as important ethical issues related to human-centered IT utilization. Based on the research results, this study presented the necessity of designing user-centered information technology and the necessity of developing ethical indicators for the use of human-centered technology.

Formation of Research Competence Using Innovative Technologies to Improve the Quality of Training Future Specialists

  • Olena, Dobosh;Daria, Koval;Natalya, Paslavska;Natalia, Cherednichenko;Iryna, Bondar;Oksana, Vytrykhovska;Olena, Bida
    • International Journal of Computer Science & Network Security
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    • v.22 no.12
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    • pp.91-97
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    • 2022
  • Analyzing the psychological and pedagogical literature, we showed the interest of researchers in the problem posed. The concept of competence is considered, which is interpreted as giving the key to solving a wide range of educational and life tasks. Research competence implies the ability to cooperate, enter into contacts, readiness for changes, for self-determination and is an integral quality of the individual, expressed in the readiness and ability to independently search for solutions to new problems and creative transformation of reality based on a set of personal and meaningful knowledge, skills, methods of activity and value attitudes.The article offers conditions that certify the improvement of forms and methods of training students in the formation of research competence of future specialists. The use of innovative technologies contributes to improving the level of training of future specialists: students are better prepared for classes, take an active part in the assimilation of program material in laboratory classes. It is noted that this creates a subject-subject relationship between the student and the teacher, and changes the attitude of students to classes. In the process of such organization of educational activities, students are convinced of the need for knowledge and its effectiveness, learn to compare, generalize, classify, establish cause-and-effect relationships, express opinions, defend their point of view, they ensure success in their studies, and develop research competence. It is proved that in order to apply the latest technologies, the teacher himself must know them well, that is, constantly improve himself, master new methods, techniques, ideas, which will help him create new pedagogical technologies and implement them in the educational process.

South Korean State-Building, Nationalism and Christianity: A Case Study of Cold War International Conflict, National Partition and American Hegemony for the Post-Cold War Era

  • Benedict E. DeDominicis
    • International Journal of Advanced Culture Technology
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    • v.11 no.3
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    • pp.277-296
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    • 2023
  • The South Korean ethnic diaspora US lobby shows efficacy as an interest group in generating influence in American foreign and domestic public policy making. The persuasive portrayal of South Korea as a critical Cold War US ally reinforced US amenability to pro-South Korea lobbying. Also, the South Korean US diaspora is a comparatively recent immigrant group, thus its lingering resistance to assimilation facilitates its political mobilization to lobby the US government. One source of this influence includes the foundational legacy of proselytizing Western and particularly American religious social movement representatives in Korean religiosity and society. US protestant Christianity acquired a strong public association with emerging Korean nationalism in response to Japanese imperialism and occupation. Hostility towards Japanese colonialism followed by the threat from Soviet-sponsored, North Korean Communism meant Christianity did not readily become a cultural symbol of excessive external, US interference in South Korean society by South Korean public opinion. The post-Cold War shift in US foreign policy towards targeting so-called rogue state vestiges of the Cold War including North Korea enhanced further South Korea's influence in Washington. Due to essential differences in the perceived historical role of American influence, extrapolation of the South Korean development model is problematic. US hegemony in South Korea indicates that perceived alliance with national self-determination constitutes the core of soft power appeal. Civilizational appeal per se in the form of religious beliefs are not critically significant in promoting American polity influence in target polities in South Korea or, comparatively, in the Middle East. The United States is a perceived opponent of pan-Arab nationalism which has trended towards populist Islamic religious symbolism with the failure of secular nationalism. The pronounced component of evangelical Christianity in American core community nationalism which the Trump campaign exploited is a reflection of this orientation in the US.