• 대한간호학회지
• /
• 제51권3호
• /
• pp.320-333
• /
• 2021

Purpose: The study was conducted to explore the experiences of job retention among working people with mental illness. Methods: The participants were members with mental illness at the S Community Mental Health Center in Gyeonggi Province and who had been working for more than six months. The data were collected through in-depth interviews with 11 participants between June 27 and August 20, 2018. The data were analyzed through Corbin and Strauss's grounded theory method. Results: The core category was struggling to take root in the community as a productive member. The core phenomenon was the desire to be a productive person, and the causal condition was the willingness to change for a purposeful life. The action and interaction strategies included maintaining regular living patterns, maintaining medication, developing one's tips for self-management, and self-approval. The intervening conditions were difficulties in forming social relationships, presence of symptoms, social resources, and acceptance of one's mental illness. The consequences were restoration of family relationships, healthy pleasure through work, social inclusion, development of self-worth, and transition to an independent person. Conclusion: Working people with mental illness are struggling to take root in the community as a productive member. This study suggests that a holistic understanding of the job retention experience among people with mental illness is required. The findings will provide the basis for developing interventions that can improve job retention among working people with mental illness.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제33권1호
• /
• pp.2-15
• /
• 2022

Objectives: Children with attention-deficit/hyperactivity disorder (ADHD) tend to be noisy and violate rules with their disruptive behaviors, resulting in greater difficulties with off-task behaviors and being at risk for social refusal. The visual activity schedule (VAS) intervention program is a frequently used method to teach multiple skills involving on-task, use of schedules, transition behaviors, social initiation, independent play skills, classroom skills, and academic skills. The current systematic review aimed to examine the efficacy of using VAS intervention in reducing problem behaviors in children with ADHD between 5 and 12 years of age. Methods: Systematic searches were conducted using two electronic databases (PubMed and Scopus) to identify relevant studies published in English between 2010 and 2020. Four studies met the inclusion criteria: two studies examined the effect of schedule-based tasks and the use of an iPad on classroom skills, while the other two examined randomized clinical trials (RCTs) of psychosocial treatment for ADHD inattentive type and a cross-sectional study examined the impact of the group size on task behavior and work productivity in children with ADHD. Results: The findings indicate that the interventions used in all four studies could lead to increased satisfaction among participants and parents, as well as a reduction in problem behavior. In terms of the research indicators, the RCT had low quality, while the others were of high quality. Conclusion: A larger number of studies and the ADHD clinical population would help to increase the generalizability of future reviews of treatments in this context.

• Safety and Health at Work
• /
• 제14권4호
• /
• pp.358-367
• /
• 2023

Background: This study aimed to develop and assess the psychometric features of the Physical Activity at Workplace Questionnaire (PAWPQ) based on the Social Cognitive Theory (SCT) to evaluate employees' physical activity (PA) behaviors at the workplace. Methods: This psychometric cross-sectional study was conducted on 455 employees working in one of the gas refineries in Iran. The participants were selected using the proportional stratified sampling method in 2019. The data collection tools were a demographic information questionnaire, the short form of the International Physical Activity Questionnaire (IPAQ), and a questionnaire developed based on the SCT, whose psychometric features were confirmed in terms of validity and reliability. Data were analyzed using SPSS₂₂ and AMOS₂₀ software. Results: The first version of PAWPQ-SCT had 74 items. After evaluating content and face validity, nine items were removed. The results of the content validity index (0.98), content validity ratio (0.86), and impact score (3.62) were acceptable for the whole instrument. In exploratory factor analysis, after removing seven items-58-item final version of the scale-six factors could explain 73.54% of the total variance. The results of structural equation modeling showed the acceptable fit of the model into the data (RMSEA = 0.052, CFI = 0.917, NFI = 0.878, TLI = 0.905, IFI = 0.917, CMIN/DF = 2.818). Cronbach's alpha coefficient and Intraclass Correlation were 0.90 and 0.86, respectively. Conclusion: This study confirmed that the psychometric features of the 58-item final version of PAWPQSCT constructs were acceptable in a sample of Iranian employees. This questionnaire can be used as a valid and reliable tool to evaluate Iranian employees' PA behaviors and develop effective educational interventions for workers and managers.

• 사회복지연구
• /
• 제42권2호
• /
• pp.467-491
• /
• 2011

본 연구는 청소년 자살성(suicidality)의 성별차이를 일반긴장이론(general strain theory)에 근거하여 살펴보았다. 이를 위해 서울시 서대문구 3개 중학교 학생 819명을 대상으로 설문조사를 실시한 후 t-test와 로지스틱 회귀분석(logistic regression)을 사용하여 자료를 분석하였다. 그 결과 첫째, 관계적 긴장에 해당하는 아버지의 학대 피해와 학교폭력 피해는 남자 중학생의 경험이 유의미하게 더 많았다. 둘째, 자살성에 영향을 미치는 요인에서 남자 중학생은 지위적 긴장에 해당하는 경제적 상황이, 여자 중학생은 관계적 긴장 요인에 해당하는 아버지의 비신체적 학대 피해가 유의미한 것으로 나타났다. 셋째, 비신체적 학교폭력 피해는 남녀 모두의 자살성에 유의미한 영향요인이었다. 이러한 결과를 바탕으로 중학생의 주요 생활환경인 가정과 학교에서의 사회복지적 접근을 통해 남자 중학생의 지위적 특성과 여자 중학생의 관계적 특성에 주목한 개입이 이루어져야 하며 학교사회복지사 및 관련기관의 네트워크가 필요함을 제시하였다.

• 한국사회복지학
• /
• 제66권2호
• /
• pp.51-74
• /
• 2014

본 연구는 독거노인의 스트레스와 자살생각 간의 관계에서 자기비판과 고독감의 다중매개효과를 검증하고자 하였다. 또한 연구모형의 인과관계에서 사회적 지지의 조절효과가 있는지를 확인하고자 하였다. 이를 위해 서울시의 강북구, 관악구, 금천구, 영등포구에 거주하고 있는 65세 이상 독거노인 572명을 대상으로 설문조사한 자료를 활용하여 구조방정식모형으로 매개효과와 조절효과를 검증하였다. 연구 결과는 첫째, 본 연구에서 설정한 경로모형은 관찰된 자료와 잘 부합하는 것으로 나타났다. 이는 스트레스가 자살생각에 곧바로 정적인 영향을 미치는 것이라기보다, 스트레스가 높을수록 자기비판이 증가하고, 증가된 자기비판이 고독감을 증가시키며, 증가된 고독감은 자살생각을 증가시키는 것으로 나타났다. 둘째, 본 연구모형에서 사회적 지지는 독거노인의 고독감이 자살생각에 미치는 경로에서 사회적 지지의 정도에 따라 조절효과를 나타냈다. 본 연구에서는 독거노인의 자살생각을 감소시키기 위해서는 직접적으로 스트레스를 다루는 개입뿐만 아니라, 높은 수준의 자기비판과 고독감을 낮추는 동시에 사회적 지지를 증진시키는 개입이 병행되어야 함을 시사하고 있다.

• International Journal of Human Ecology
• /
• 제17권2호
• /
• pp.1-15
• /
• 2016

This is a descriptive study that introduces programs that support family caregivers looking after the elderly, by focusing on the case of Georgia, in the United States. The U.S. is one of the few countries that support family caregivers by law. In this study, we focus on the evidence-based interventions implemented through the Alzheimer's Disease Supportive Services Program (ADSSP), a federal policy that complements the National Family Caregiver Support Program (NFCSP). Our findings show that one-on-one evidence-based programs (EBPs) for family caregivers are both economical and effective in assisting caregivers. In our discussion, we highlight how the implementation of the latest EBPs can build an infrastructure to support family caregivers. ADSSP funding is useful as it constructs a caregiver support through the implementation of programs in the local community. The result is the creation of a well-coordinated division of labor among government agencies, academia and NGOs, which produces a synergetic effect in funding, research and development, translation and implementation of programs, and staff training. We conclude that the implementation of EBPs funded by the government is a useful reference for Korea and other rapidly aging countries, if we are to create an infrastructure for caregiver support, which can effectively prevent a crisis in caregiving.

• 대한간호학회지
• /
• 제47권5호
• /
• pp.589-599
• /
• 2017

Purpose: The purpose of this study was to develop a scale to assess the transition shock experienced by newly graduated nurses, and test the validity and reliability of the scale. Methods: The initial items were identified through a review of literature and in-depth interviews with nine newly graduated nurses. Content validation of the items was evaluated by five nurse professors and three nurses. Participants were 269 newly graduated nurses who worked at six acute care hospitals in Busan, Ulsan, and Yangsan, South Korea. Data were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion related validity, and internal consistency. Results: The final scale consisted of 18 items and six factors (conflict between theory and practice, overwhelming workload, loss of social support, shrinking relationship with co-workers, confusion in professional nursing values, and incongruity in work and personal life), which explained 71.3% of the total variance. The six subscale model was validated by confirmatory factor analysis. Cronbach's alpha for the total items was. 89. Convergent validity was evaluated by analyzing total correlation with burnout (r=.71, p<.001) and turnover intention (t=5.84, p<.001). Conclusion: This scale can be used in the development of nursing interventions to reduce the transition shock experienced by newly graduated nurses.

• Child Health Nursing Research
• /
• 제27권3호
• /
• pp.225-242
• /
• 2021

Purpose: This study aimed to systematically develop an obesity prevention program for adolescents to promote healthy eating and physical activity in schools. Methods: The development of the Let's Eat Healthy and Move at School program for adolescents followed the six steps of intervention mapping (IM). IM is a widely used protocol for developing systematic and effective interventions based on theories and evidence. Results: To better understand the problem and identify the needs of adolescents, interviews were conducted with teachers, school nurses, and students (step 1). In step 2, the desired behaviors and their determinants were established and combined into a matrix comprising 16 change objectives. In step 3, theoretical methods such as persuasive communication and consciousness-raising were chosen. The program was segmented into three educational activity sessions in step 4. In step 5, an implementation manual was developed for program instructors to ensure effective and accurate implementation. Finally, practices for evaluating the program's effectiveness and procedures were designed in step 6. Conclusion: The Let's Eat Healthy and Move at School program will provide adolescents with guidelines to promote healthy living and prevent obesity in everyday life using strategies for sustainable adolescent obesity prevention and management.

• The Journal of Asian Finance, Economics and Business
• /
• 제8권2호
• /
• pp.1147-1156
• /
• 2021

This study aims to examine the role of resilience in academic engagement and also to evaluate the theoretical model of the relationships between resilience and engagement. A survey of faculty members in 20 study programs from 12 universities in Jakarta was conducted, Where 247 questionnaires were returned from the 495 distributed. Furthermore, 240 valid data were available for evaluation in order to test the model, and a confirmatory Structural Equation Modelling was conducted, using AMOS 20. Criteria of goodness-fit demonstrated the relatively adequate model, and the coefficient of structural path describes the potential of the links. Three out of four paths available significantly showed the role of developmental persistency and positive emotions on work engagement. The participants of the study include only constituted academics of private universities in Indonesia. Thus there is a need for better care in interpreting the level of resilience and engagement, as engagement may vary when used in a different context. The study suggests interventions for practitioners, not only for academia in the higher education context but also for other professionals in managing engagement at the individual or team level. Therefore, combining resilience and engagement programs may contribute to an enhancement in the productivity of employees.

• 한국사회복지학
• /
• 제35권
• /
• pp.399-426
• /
• 1998

본 연구는 과제중심 모델을 재가노인을 위한 사례관리의 방법으로서 적용해보고 그 결과와 적용과정을 분석하며 효과성과 한계점을 조사한 것이다. 과제중심 모델은 3군데의 지역사회복지관에서 12명의 재가노인을 대상으로 실시하였으며 면접회수는 6회에서 10회까지였다. 12 사례에서 제시된 표적문제는 57개이며 표적문제를 해결하기 위하여 제시된 과제는 83개였다. 표적문제의 82.5%를 클라이언트들이 제시하였으며 과제제시는 약80%를 사회복지사들이 제시하였다. 그러나 과제수행에서는 37%를 클라이언트가 수행하도록 하였다. 문제의 변화는 평균 8.1로서 대부분의 문제들이 많이 좋아졌다고 평가되었다. 표적문제의 인식 자에 따른 문제 해결 정도는 내담자가 표적문제라고 인식하였을 때 가 사회복지사가 문제라고 인식한 경우보다 문제 해결이 더 많이 되었다. 이와 같은 결과를 보아 클라이언트가 인식한 문제를 표적문제로 하였을 때 문제해결이 훨씬 더 가능함을 알 수 있다. 과제 중심모델을 적용 과정을 분석한 결과에 의하면 모델의 적용을 통하며 재가 노인들의 요구를 파악하고 문제 해결에 대한 노인들의 적극적인 참여를 유도 할 수 있었으며 잠재된 능력을 발견하는 기회가 되기도 하였다. 재가노인을 위한 사례관리의 방법으로서 과제 중심 모델을 적용할 때 다음과 같은 것을 제안 할 수 있다. 첫째 처음 접수를 받는 클라이언트를 대상으로 적용하는 것이 효과적이며 둘째는 정기적인 슈퍼비젼을 통하며 진행을 점검하는 것이 중요하고 문제 해결을 위한 다양한 과제나 가능한 사회 자원에 대한 목록을 만드는 것이 필요하다.