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Factors affecting to the Person-Centered Care among Critical Care Nurses (중환자실 간호사의 인간중심간호에 영향을 주는 요인)

  • Choi, Seunghye
    • Journal of Korean Critical Care Nursing
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    • v.13 no.2
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    • pp.36-44
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    • 2020
  • Purpose : The person-centered care is essential for better patient outcome. This study was conducted to identify the factors affecting to the person-centered care among intensive care unit (ICU) nurses. Method : This study was cross sectional survey, and the participants included 107 ICU nurses who provided a written consent to participate in the study. Using a structured survey, nurse's compassion fatigue, compassion satisfaction, and person-centered care among ICU nurses were assessed. The collected data were analyzed using t-test, ANOVA, and Pearson correlation test with SPSS 23.0 program. The factors affecting patient-centered care were analyzed using multiple regression. Results : According to the multiple regression analysis, education level, perceived caregivers need priority and compassion satisfaction were positive affecting factors to the person-centeredness of ICU nurses. Conclusion : In conclusion, the compassion satisfaction was an affecting factor to the person-centered care, however compassion fatigue didn't affect to the person-centered care among ICU nurses. Therefore, the strategy enhancing compassion satisfaction among ICU nurses will be needed to increase person centeredness.

Factors Influencing Posttraumatic Growth in Fathers of Chronically ill Children (만성질환아 아버지의 외상 후 성장에 영향을 미치는 요인)

  • Kim, Mi Young
    • Journal of Korean Academy of Nursing
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    • v.45 no.6
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    • pp.890-899
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    • 2015
  • Purpose: The purpose of this study was to identify the level of distress and posttraumatic growth in fathers of chronically ill children and also, to identify the relation between characteristics of the fathers and children and their posttraumatic growth and to investigate factors that influence posttraumatic growth. Methods: In this study, 48 fathers who visited a university hospital in Seoul, Korea and who gave written consent completed the questionnaire between September 23 and November 19, 2013. Data were analyzed using Mann-Whitney U test, Kruskal-Wallis test, Pearson correlation coefficient and stepwise multiple regression. Results: The level of distress in fathers of chronically ill children was relatively high and the majority of them were experiencing posttraumatic growth. Models including the variable (deliberate rumination, religiousness, optimism) explained 64.3% (F=26.38, p <.001) of the variance for posttraumatic growth. Deliberate rumination (${\beta}=.59$, p <.001) was the most influential factor. Conclusion: The findings demonstrate that it is essential for nurses to intervene and facilitate continuously so as to promote posttraumatic growth and relieve distress in fathers of chronically ill children. Furthermore, it is also necessary for nurses to find ways to develop ideal interventions to activate deliberate rumination and offer spiritual care and help maintain optimism in these individuals.

Development and Testing of a Health Education Program for Immigrant Women Married to Koreans (여성결혼이민자를 위한 건강교육프로그램 개발 및 효과검증)

  • Ahn, Yang-Heui
    • Journal of Korean Public Health Nursing
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    • v.22 no.2
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    • pp.200-210
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    • 2008
  • Purpose: To assess the effectiveness of an 8-session health education program to promote the health of married immigrant women. Methods: A quasi-experimental research design was employed. The subjects included 36 female marriage immigrant women (17 in the experimental group and 19 in the control group) who agreed to participate in this study. The intervention involved 8 sessions with a partnership strategy and was led by Public Health Nurses and the researcher. Our analysis included descriptive statistics, Fisher's exact test, t-test, and Pearson correlation coefficients. Results: The results revealed significant mean differences in terms of self-efficacy between the two groups. The mean of their self-efficacy was higher in the experimental group than in the control group, whereas there no mean differences were detected between the two groups in terms of health knowledge and self-esteem. Additionally, the knowledge of the immigrant women was correlated with their self-efficacy. Conclusion: The 8-session health education program was found to have an effect on self-efficacy, even with the limitations to methodological rigors posed by the subject-specific conditions. In the future, health education materials written in the native language of such women will need to be develop. Additionally, repeated studies will be required that involve randomized controlled trials characterized by better methodological strength and strategies to enhance participants’ interests and motives.

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간호진단 한글 표준화에 대한 연구

  • Choi, Young-Hee;Rhee, Hyang-Yun;Kim, Hea-Sook;Kim, So-Sun;Park, Kwang-Ok;Park, Hyoun-Kyoung
    • The Korean Nurse
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    • v.35 no.4
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    • pp.37-50
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    • 1996
  • Nursing Diagnosis has evolved in the guest to define nursing and its functions. But for the application to clinical practice an unified system of terminology that helps nurses to assess selected data and identify potential or actual client problems is required. Consistent terminology that captures the real meanings of the nursing diagnosis makes oral and written communication more accurate and efficient. Therefore,' this study was performed to deliver a Korean-translated version of the nursing diagnoses through the process of content validity tests and translations. Data collection for the first content validity test was done from June 27, 1996 to August 1. 1996. Among 20 questionnaires only 16 were used for analysis. With the results of content validity, the list of 109 nursing diagnoses were reviewed by two linguists, one specialized in Korean and the other in English. To clear confusion on a diagnostic label "Incontinence" a urology specialist was invited for consultation. From this analysis and discussions a total of 98 nursing diagnoses was delivered and quesitons containing 98. 98 diagnoses were mailed to 741 subjects to test content validity from August 13, 1996 to October 7, 1996. Among 741 questionnaires, 343 were used for analysis. Total mean score of the diagnoses was 4.30 on the 5 point likert scale. The diagnoses that acquired less than 3.50 were "High risk for altered body temperature"(3.34), "Ineffective thermoregulation" (3.34), "Perceived cosntipation"(3.24). "Stress incontinence"(3.42), "Ineffective airway clearance"(3. 48), "Altered sexuality patterns"(3.35).

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Characteristics of Subgroups on Patients with Hypertension for Hypertension Management - Based on Knowledge, Attitudes, and Behavior Related to Medication and Health Lifestyle - (고혈압관리를 위한 고혈압환자 유형별 특성 - 투약과 건강생활양식의 지식, 태도, 행위를 기반으로 -)

  • Ahn, Yang-Heui
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.112-122
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    • 2007
  • Purpose: The purpose of this study was to identify and profile distinct subgroups of patients with hypertension based on knowledge, attitudes, and behavior regarding their medication and health lifestyle. Method: A descriptive-exploratory research design was employed. Two hundred and twenty-three patients with hypertension using W Public Health Center were randomly recruited on the basis of being over 30 of age. Upon the receipt of their written consents, direct interview with a structured questionnaire were conducted by a public health nurse. Descriptive statistics and $X^2-test$ were utilized. Results: Three subgroups were identified. Group I members had a low score on all three factors including knowledge, attitudes and behavior related to medication and health lifestyle. Group II members had a low score on one or two of the factors. Group III members had a high score on all three factors. The three subgroups were significantly associated with education level, economic status, non-smoking and non-drinking. Conclusions: Further research should be conducted to validate these findings and test tailored nursing intervention for patient compliance.

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Death Attitude, Death Anxiety and Knowledge toward Advance Directives among Nursing Students (간호대학생의 죽음태도, 죽음불안 및 사전연명의료의향서에 관한 지식)

  • Choo, In Hee;Kim, Eunha
    • Journal of Korean Public Health Nursing
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    • v.34 no.2
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    • pp.211-224
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    • 2020
  • Purpose: This study was conducted to investigate death attitude, death anxiety, and knowledge toward advance directives of nursing students. Method: Participants were 157 nursing undergraduates in Korea. The students responded to a self-reporting questionnaire that included demographics, Death Attitude Profile-Revised (DAP-R), Revised Death Anxiety Scale (RDAS), and knowledge toward advance directives. The data collection period was December, 9-13, 2019. Data were analyzed by descriptive test, independent t-test, one-way ANOVA, and Pearson's correlation coefficient with SPSS/WIN 23.0. Results: The mean scores for death attitude, death anxiety, and knowledge toward advance directives were 2.70±0.58, 2.45±0.49, and 7.94±2.04, respectively. Knowledge toward advance directives was significantly different according to age, grade, and experience of end-of-life care education. Death attitude was significantly associated with death anxiety (r=. 27, p<.001). Conclusion: Knowledge toward advance directive was relatively low compared to the findings of previous studies. Therefore, nursing colleges need to include legal and institutional aspects when writing written letters on advance directive, death attitude, and ethical approaches to death anxiety.

A study on the Project Method Applied in Teaching Clothing and Textiles for Better Learning Effect at a High school (구안법을 응용한 고등학교 가정과 교수방법 개선에 관한 연구)

  • 이춘화;이전숙
    • Journal of Korean Home Economics Education Association
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    • v.2 no.1
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    • pp.29-44
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    • 1990
  • The purpose of this study is to provide more efficient teaching method in teaching home Economics in High School. For this study, total 205 girls’high school students in the 2nd grade, among whom 103 students of 2 classes were in Chonju and 102 students of another 2 classes in Kunsan, were selected. Each one classes apiece of two areas were control group. Lessons on laundering were given to students in Chonju and lessons on arrangement of clothing were given to ones in Kunsan. The project Method of education was applied to the experimental group and the cramming system of education was applied to the control group. The difference of two groups were statistically analysed by t-test after the written examination, Practitude, creative ability and interest test. The results of this study are ; 1. The experimental group was higher in practical attitude, creative ability and interest than the control group. 2. Teaching through project method will give changes to the students’attitude toward their household affaires. 3. Teaching-learning method will be improved if lessons applied by project method is given, as the recognisable effect rises through the positive way of thinking and empirical method.

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The Effects of Alphabet Knowledge on Korean Kindergarteners' Reading of Hangul Words (한글 자음과 모음에 대한 유아의 지식이 단어 읽기에 미치는 영향)

  • Choi, Na-Ya;Yi, Soon-Hyung
    • Journal of Families and Better Life
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    • v.25 no.3 s.87
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    • pp.151-168
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    • 2007
  • The purpose of this study was to investigate the causal relationship of kindergarteners' alphabet knowledge to their ability to read words, in connection with the features of the Korean alphabet 'Hangul'. A total of 289 children aged four to six from three kindergartens in Busan participated in the study. The main results are as follows. To begin with, the participants showed continuous development in the knowledge of consonant names, vowel sounds, the vowel stroke-adding principle, and the alphabet composition principle. Meanwhile, discontinuous development was found in the knowledge of consonant sounds and the consonant stroke-adding principle, which indicated that kindergartners could show differential speed in various sub-skills of literacy development. The kindergartners' naming of consonants developed before their recall of consonant sounds, and the knowledge of consonant sounds had an effect on the knowledge of vowel sounds. Children had difficulty in treating more complicated letters of the alphabet stroke-adding principle test, and eve syllables of the alphabet composition principle test. Most importantly, the children's alphabet knowledge was strongly related to their ability to read words written in Hangul, as kindergarteners with a greater knowledge of alphabet names, sounds, and principles were shown to read words better.

Two Dimensional Analysis for the External Vessel Cooling Experiment

  • Yoon, Ho-Jun;Kune Y. Suh
    • Nuclear Engineering and Technology
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    • v.32 no.4
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    • pp.410-423
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    • 2000
  • A two-dimensional numerical model is developed and applied to the LAVA-EXV tests performed at the Korea Atomic Energy Research Institute (KAERI) to investigate the external cooling effect on the thermal margin to failure of a reactor pressure vessel (RPV) during a severe accident. The computational program was written to predict the temperature profile of a two-dimensional spherical vessel segment accounting for the conjugate heat transfer mechanisms of conduction through the debris and the vessel, natural convection within the molten debris pool, and the possible ablation of the vessel wall in contact with the high temperature melt. Results of the sensitivity analysis and comparison with the LAVA-EXV test data indicated that the developed computational tool carries a high potential for simulating the thermal behavior of the RPV during a core melt relocation accident. It is concluded that the main factors affecting the RPV failure are the natural convection within the debris pool and the ablation of the metal vessel, The simplistic natural convection model adopted in the computational program partly made up for the absence of the mechanistic momentum consideration in this study. Uncertainties in the prediction will be reduced when the natural convection and ablation phenomena are more rigorously dealt with in the code, and if more accurate initial and time-dependent conditions are supplied from the test in terms of material composition and its associated thermophysical properties.

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The trends of Nursing Research in the Journal of Korean Academy of Adult Nursing (최근 3년간 성인간호학회지 게재 논문의 내용과 경향 분석 (2004-2006년))

  • Park, Yeon-Hwan;Lee, Young-Whee;Kim, Ok-Soo;Cho, Myung-Ok
    • Korean Journal of Adult Nursing
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    • v.20 no.1
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    • pp.176-186
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    • 2008
  • Purpose: The purpose of this study was to analyze the published articles in the Journal of Korean Academy of Adult Nursing from 2004 through 2006. Methods: Two hundreds and ten articles were analyzed focusing on research methodology and key words using descriptive statistics. Results: The proportion of quantitative research was 88.1%, while the proportion of qualitative research was 5.2%. The majority of the qualitative research design was survey(67.1%). Seventy-four percent of the research had verbal consent and 8% had written consent from the participants. Eight percent of the research provided conceptual framework. The prevailing data collection settings were hospitals(50.5%) and community(37.1%). For the data analysis, 95% used parametric analysis methods; descriptive statistics(26.2%), chi-square test(18.3%), t-test(18%) and ANOVA(17.4%). Key words were categorized into four nursing domain: human, health, nursing, and environment. The most frequently used domain was health. Conclusion: The number of the published articles in the Journal of Korean Academy of Adult Nursing has been increased and quality has been improved compared with the articles published before the 2000 year. Varied research methodology and data analysis methods were utilized.

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