• The Journal of the Korea Contents Association
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• v.17 no.1
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• pp.718-727
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• 2017

The purpose of this study is to analyze the effects of the financial preparations for aging on the life satisfaction of single households are different according to their experiences of having been married or not, and thereby to suggest an alternative policy which differenciate single households with their exposure to married life from those without their exposure to married life. The analyzed data is based on social statistics in 2015 of the Statistics Korea, with 4,406 people, over 30, who are either never married singles or married but divorced or bereaved singles. Finding are, first, there was a statistically significant difference in financial preparations for aging between unmarried single households and married, and unmarried single households are more prepared than married ones. Second, life satisfaction of unmarried single households was higher than married ones. Third, the effects of the financial preparations for aging on the life satisfaction were shown from both groups, and married single households were more sensitive to the effect of financial preparations for aging on the life satisfaction.

• Journal of Korean Society of Archives and Records Management
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• v.15 no.4
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• pp.173-194
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• 2015

The study reports a preliminary analysis for the No-Gun Ri massacre documentation strategy based on Hackman and Wornow-Blewett's implementation model, as an appraisal and selection method for No-Gun Ri Digital Archives. It intends to review the theoretical background for this process, inlcuding a history of the No-Gun Ri massacre and the development of documentation strategy. From the theoretical analysis, this study identified the No Gun Ri documentation strategy processes in 5 categories: "cooperative collecting", "collecting in specific areas", "identifing missing areas" and "advisory group". With these 5 categories, this study discusses the application of the Hackman and Wornow-Blewett's implementation model in the No Gun Ri case and reviews the strategy's pros and cons. As a result, firstly, we classfy focusing groups into "victims and bereaved family", "government", "civil society", "the press" and "literature and art". Secondly, we also classify documentation categories into "massacre records", "investigation activity records" and "cherish memory".

• Journal of Korean Academy of Nursing
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• v.49 no.3
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• pp.329-339
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• 2019

Purpose: The purpose of this study was to investigate the frequency, patterns, and factors of reversals in decisions about life-sustaining treatment (LST) among older patients with terminal-stage chronic cardiopulmonary disease. Methods: This was a retrospective correlational descriptive study based on medical chart review. De-identified patient electronic medical record data were collected from 124 deceased older patients with terminal-stage cardiopulmonary disease who had made reversals of LST decisions in an academic tertiary hospital in 2015. Data were extracted about the reversed LST decisions, LST treatments applied before death, and patients' demographic and clinical factors. Multivariate logistic regression analysis was used to identify the factors associated with the reversal to higher intensity of LST treatment. Results: The use of inotropic agents was the most frequently reversed LST treatment, followed by cardiopulmonary resuscitation, intubation, ventilator therapy, and hemodialysis. Inconsistency between the last LST decisions and actual treatments occurred most often in hemodialysis. One-third of the reversals in LST decisions were made toward higher intensity of LST treatment. Patients who had lung diseases (vs. heart diseases); were single, divorced, or bereaved (vs. married); and had an acquaintance as a primary decision maker (vs. the patients themselves) were significantly more likely to reverse the LST decisions to higher intensity of LST treatment. Conclusion: This study demonstrated the complex and turmoil situation of the LST decision-making process among older patients with terminal-stage cardiopulmonary disease and suggests the importance of support for patients and families in their LST decision-making process.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.32 no.2
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• pp.89-101
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• 2022

Objectives: By comparing and examining how important issues concerning industrial health information for workers are viewed in other advanced countries, it is intended to ascertain problems in the approach found in Korean legislation and obtain legal and policy implications. Methods: The results of a survey were introduced and analyzed through a comparative method for each case after investigating in detail what and how important issues surrounding workers' right to know industrial health information are reflected in the legislation of Germany, the U.S., the U.K., and Japan. Based on the results of this comparative analysis, theoretical and policy implications and legal policy improvement tasks were drawn to strengthen workers' right to industrial health information for each case in Korea. Results: For access to industrial health information, most of the other advanced countries clearly stipulate a right to access for current and past workers and/or their representatives. As a result, workers or their representatives do not need to use the Information Disclosure Act to access exposure records, and there is no debate over the Information Disclosure Act. In other words, industrial health information is focused on ensuring free access to workers or their representatives and is not interested in reporting it to the government. Conclusions: In order to strengthen workers' right to know about industrial health, it is most important to address the legal issues related to this right, which is considered insufficient by comparative law. This should start with a concrete and effective definition of what and how to guarantee workers' rights to industrial health, such as the right to freely access industrial health information, including for retired workers and bereaved families of deceased workers.

• Journal of Hospice and Palliative Care
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• v.24 no.2
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• pp.130-134
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• 2021

In the era of coronavirus disease 2019 (COVID-19), social distancing and strict visitation policies at hospitals have made it difficult for medical staff to provide high-quality end-of-life (EOL) care to dying patients and their families. There are various issues related to EOL care, including psychological problems of patients and their families, difficulties in EOL decision-making, the complicated grief of the bereaved family, moral distress, and exhaustion of medical staff. In relation to these issues, we aimed to discuss practical considerations in providing high-quality EOL care in the COVID-19 pandemic. First, medical staff should discuss advance care planning as early as possible and use the parallel planning strategy. Second, medical staff should play a role in facilitating patient-family communication. Third, medical staff should actively and proactively evaluate and alleviate dying patients' symptoms using non-verbal communication. Lastly, medical staff should provide care for family members of the dying patient, who may be particularly vulnerable to post-bereavement problems in the COVID-19 era. Establishing a system of screening high-risk individuals for complicated grief and connecting them to bereavement support services might be considered. Despite the challenging and limited environment, providing EOL care is essential for patients to die with dignity in peace and for the remaining family to return to life after the loved one's death. Efforts considering the practical issues faced by all medical staff and healthcare institutions caring for dying patients should be made.

• Journal of Families and Better Life
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• v.25 no.3 s.87
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• pp.1-23
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• 2007

This study provides basic materials that assist in marital counselling and marital therapy intervention through its analysis of the effects of marital communication and marital intimacy on psychological well-being and its systematic focus on middle-aged married men and women of social interest and importance. The subjects of this study were married men and women, aged 40 to 59, living in the metropolitan areas of Seoul and Kyeonggi; the study excluded those who were divorced, bereaved or whose last child was in over high school, but included those who were separated or in a second marriage. A total of 396 people, 134 men and 262 women, were included in the study. The major findings of this study are as follows. First, middle-aged married men recorded higher levels of marital communication and marital intimacy than middle-aged married women. While women showed higher levels of depression than men, there was no difference between men and women in terms of overall life satisfaction. Second, there were differences in marital communication, marital intimacy, and psychological well-being among middle-aged married men and women according to background variables. Third, marital communication and marital intimacy were shown to affect the life satisfaction of both middle-aged married men and women. Of the two, marital communication had more the influence. Marital communication also had the biggest influence on levels of depression among both middle-aged married men and women.

• The Journal of the Korea Contents Association
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• v.15 no.9
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• pp.233-242
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• 2015

This study was carried out as a preliminary study to analyze how emotion(depression and anxiety) after spouse bereavement in old age affects social interaction and to set a direction of developing programs based on the cause and period of bereavement to promote social interaction for those bereaved people. To that end, welfare facilities and schools for the elderly and churches located in Seoul, and Suwon and Osan areas were visited and surveys were executed on 350 aged people who had experienced spouse bereavement from September 26 through October 25, 2014. Analysis was executed for 325 questionnaires out of the total of 350 using SPSS WIN 20. Study findings are as follows: first, the average of emotion and social interaction due to bereavement was not significantly different between groups; second, the average of emotion and social interaction due to bereavement period was not significantly different between groups; third, the impact of bereavement type and period statistically significant. These findings implies that social interaction programs for the aged people can be developed regardless of bereavement cause or period.

• Journal of Korean Academy of Nursing
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• v.38 no.5
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• pp.739-747
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• 2008

Purpose: This study aimed to uncover the fundamental nature of living alone in female elderly. Methods: The phenomenological research approach developed by van Manen was adopted. Results: The theme was 'taking a firm stand alone on the edges of life'. The composition elements of living alone experienced by elderly women were as follows: 1) Corporeality: participants perceived their bodies by their health status. Unhealthy participants were suffering with diseases and dependant on other persons, while healthy participants were free from family responsibility and kept on moving. 2) Spatiality: participants felt both freedom and loneliness while they stayed home. 3) Relationality: participants felt pity and yearning for their bereaved husband and sometimes talked to his picture. According to their children's filial piety, participants were pleased or displeased. However, they incessantly devoted themselves to their children. 4) Temporality: participants considered the rest of their life as extra-time which was proceeding to death, and tried to keep themselves busy before they died. Conclusion: A nurse should understand the multifarious aspects of elderly women's life, and then intervene to consolidate their strengths for self-supporting the final years of life.

• Asian Oncology Nursing
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• v.4 no.2
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• pp.143-153
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• 2004

Death of spouse is the most heartbreaking stressful and inevitable tragic life event. In middle aged men who belong to the social middle class and accomplished their occupational success, experiences of spousal bereavement are great shock. The aim of this study was to find out how they overcome their mental and physical pain and to obtain the basic materials to develop suitable nursing care programs for them. The methodological approach of this study is Giorgi's phenomenological analysis meaning unit. This method also makes theme focal meaning, situated structural description and create general structural description grasped by participator's experience through situated structure description. This study performed from November 2002 to May 2004, and participators were four men. Data collected through in-depth personal interviews. which had been tapped and analysed the Giorgi's method. Finally, the five focal meaning below have been abstracted. Theme 1. Physical symptom loss of appetite, fatigue, insomnia. outbreak of illness, weight loss. Theme 2. life of spiritless lack of desire, sense of emptiness, unstableness, prosaic life. wandering. indifference of appearances, avoidance of meeting people. Theme 3. life of retrospction reflection for his wife, yearning, grief, muttering to himself, never-to-be forgotten wife, leading a lonely life. Theme 4. negative emotion reproaching, feeling hurt, marriage of daughter, feeling heavy, getting angry, sexual desire, awareness of his sinfulness. loneliness Theme 5. social support and adjustment getting his wife off his mind, curring favor with children, support and consolation by his daughter-in-law, appreciation for hospice nurse, considering remarriage, taking care of himself, good relation with his children. The result of this study showed that middle aged men bereaved of their wife by cancer need other's concern. And we have to study further to understand their experience. Until now hospice nursing is concentrated on cancer patients But from now we have to provide their families suitable nursing care programs to adjust themselves to social life before and after death of patients.

• The Journal of the Korea Contents Association
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• v.15 no.1
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• pp.252-263
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• 2015

Since 2004 suicide in Korea was the number 1 cause of mortality among OECD countries, the suicides and suicide mortality rate is constantly increasing. Using AHP(Analytic Hierarchy Process), we examined the main approaches and detailed policies of suicide prevention to confirm an effective suicide policy. A workshop and survey were conducted on August 23rd and 26th, 2013, with 30 people. There were 20 academics (4 social workers, 7 mental health workers, 5 psychiatrists, 4 clinical psychologists), and 5 policymakers and 5 administrative staff. In additional 5 people from social welfare and 5 from clinical psychology fields were survey from september 9 to 12 by e-mail. The research found 4 priorities. They include, suicide attempt management, building up public infrastructure for suicide prevention, support to bereaved families, and crisis management of high risk groups in society.