The purpose of this study was to classify the subjectivity type toward death among college students and to understand the characteristics of attitudes and orientations toward death of each type. Since attitudes and orientations toward death is very subjective and unique, Q-methodology was employed in this study. Q-methodology explains the respondent's subjectivity by objectifying his subjectivity for himself. The P-sample consisted of 63 students of K university in D city. Forty statements concerning attitudes and orientations toward death, which developed by Yeun(1999) were utilized for Q-sample. Forty Q-statements were sorted according to the level of agreement or disagreement by forced normal distribution. The Q-sorts by each subjects were coded and analysed with the PC-QUANL program. Five types of subjectivity toward death were identified and labeled. Type 1 'the death- preparation' think frequently about his own death and talk openly about the problem of death with a positive attitude. Type 2 'the life-esteemed' respect the dignity of life most of all. Type 3 'the realty-oriented' do not believe the afterlife and is very concerned about the present life itself instead of thinking about death. Type 4 'the ambivalent' think importantly the aspect of present life and orient the afterlife at the same time. This type reveals opposite attitude of preparing and scaring the death at the same time. Type 5 'the destiny-recipient' attribute death to the destiny and deny suicide. On the basis of this result, the studies about applying and developing educational program on death and hospice care for nurses who care terminal cancer patients and families are needed.

This study investigated the degree of self-care practice to maintain the stable respiratory function and the required respiratory nursing needs upon the elderly with chronic obstructive pulmonary diseases. The research subjects were 115 elderly people over 60 years old, who were diagnosed to have chronic obstructive pulmonary diseases (the mixed type, chronic bronchitis, bronchial asthma, emphysema) and were hospitalized in 3 university hospitals in Busan or treated as outpatient, and the data was collected over the period between June 1, 2002 and September 30, 2002. In order to measure the respiratory self-care practice degree and nursing needs of the subjects, the instrument on the self-care practice and the instrument on nursing needs were developed by the researcher. The research results are as follows: 1. The mean of respiratory self-care practice degree by the subjects was 2.41 out of 4 for each clause, and the degree of practicing general management was the highest(2.70), and nutrition control(2.66), respiratory exercise(2.65), expectoration of sputum (2.63), oxygen therapy(2.60), environment control(2.50), and medication control(2.36) succeeded. 2. The degree of self-care practice had a significant difference depending on age(F=2.82, P=0.02), frequency of hospitalization(F=3.11, P=0.01), and diagnosed disease(F=15.66, P=0.00). 3. The subjects nursing needs of respiratory system were 3.07 on the average out of 4.00, and 'I want to know how to prevent the infection of respiratory system such as cold scored the highest 3.83, while the clauses like 'want to know how to face the respiratory disorder properly'(3.77) and 'want the specific explanation of the symptoms of my disease'(3.66) also had scored high points. 4. The nursing needs of the respiratory system had a significant difference depending on diagnosed disease such as mixed type of chronic obstructive pulmonary diseases, emphysema, bronchitis, and asthma (F=6.70, P=0.00). The research showed that the subjects degree of self-care practice of respiratory system was low on the whole, while the nursing needs for managing respiratory organ were relatively high. Therefore, specific education concerning the nursing of the disease and self-care upon the elderly having chronic obstructive pulmonary disease is necessary.

This study was conducted to identify the ethical values of clinical nurses. 119 nurses working in clinical setting were selected Gwangju city and Chunnam area. Data were gathered from April. 1 to June. 27, 2001 by structured questionares. Analysis of data was done by SPSS using percentage, t-test, one-way ANOVA, pearson's correlation. The results obtained from data were as follows : 1. The ethical values of human life area slightly took up the position of utilitarian. In human life area mean score was 2.41. This area showed remarkerble individual differences between utilitarian and deontological position. 2. The ethical values of clients area took up the position of utilitarian position. In clients area mean score was 1.75. 3. The ethical values of nursing practice area took up deontological position. In nursing practice area mean score was 2.58. 4. The ethical values of nurses-co-worker area took up deontological position. In nurses- co-worker area mean score was 2.94. 5. Those who have younger, higher education level, less job experience, singles, religion, lower position, positive attitude of nursing and firm ethical standard took up more deontological position than those who have not. 6. There were significant relationship between human life area & client area(r=.566 p=.000), nursing practice area(r=.698 p=.000). There were significant relationship between client area & nursing practice area(r=.342 p=.001). There were significant relationship between nursing practice area & nurses-co-worker area(r=.491 p=.001).

Purpose: Nursing education should be considered the training for professional nurses who can deliver high quality care to meet the needs of health consumers. This study was aimed at evaluation on practice satisfaction of nursing student in the community. Method: The data was collected from 107 students at 4 colleges and 72 students at 3 universities in Daegu city from March 1st to June 30th, 2001. This study was investigated by the questionnaire which was consisted of general characteristics, recognition of nursing and practice satisfaction. The questionnaire of practice satisfaction used in this study was modified from Lee, S.J.(1980)'s and Park(1994)'s questionnaire. The data was analyzed by SAS(ver. 6.12) program and statistical methods used were mean, standard deviation and ANOVA(analysis of variables). Result: The findings of this study were as follows: 1. Students showed that nursing is a kind of activities for promotion of health, prevention of disease, recovery of health and relieving of pain in the recognition of the nursing. 2. Students showed that the community- practice gives an opportunity to learn the relationship with health team for the solution of trouble patients in the recognition for the necessity of the community-practice. 3. In the practice satisfaction, students gained high score in evaluation, but especially low score in instruct of the community-practice. 4. The general characteristics which affected practice satisfaction were grade, motivation of nursing selection and duration of practice in the community-practice. Conclusion: As theses results it was necessary to prepare the programed and developed practice-education in the community.

The purpose of this study was to identify the prevalence of urinary incontinence of community residing climacteric women, and to identify the relationship between urinary incontinence and quality of life. The subjects of this study were 156 women(45 to 59 years old). Data was collected from Sep. 1 to Dec. 1 2002 by an interview or self-reporting by a structured questionnaire. The questionnaire was composed of items of general characteristics, urinary characteristics, and conditions of urinary incontinence, using the modified Henderickson's stress incontinence scale(1981), and the quality of life scale developed by RO, You Ja(1988). The data was analyzed by the SPSS/WIN program using descriptive statistics, Pearson correlation coefficients, t-test and AVOVA. The results of the study were as follows : 1. The prevalence of urinary incontinence was 76.3%. Of the incontinent women, 42.0% had experienced urinary incontinence for a period of one to three years. Frequency of urinary incontinence was once or twice per day for 42.9% of the urinary incontinent women. Most of the participation with urinary incontinence(91.6%) had mild leakage of urine. In the whole urinary incontinent women, 70.6% had never treated or managed their urinary incontinence. Most of the subjects(79.8%) were mildly incontinent, and the prevalence of moderate and severe urinary incontinence was 20.2%. The mean scores among the items of urinary incontinence, in descending order, were increase of abdominal pressure($1.45{\pm}1.05$), coughing($1.16{\pm}0.93$), and sneezing($1.03{\pm}0.92$). 2. The average score in the level in the quality of life variables was 3.12. The urinary incontinence and quality of life were correlated negatively(r=-0.103, p<0.001). 3. There were statistically significant differences in the score of climacteric woman's self reported quality of life according to : amount of urinary incontinence(F=12.68, P=0.001), duration of urinary incontinence(F=6.97, P=0.009), number of urinary incontinence(F=4.77, P=0.03), existence of urinary incontinence(t=148, P=0.05). In conclusion, this study was a preliminary study to provide nursing practice guidelines for climacteric woman with urinary incontinence. Nurses working with climacteric woman should develop and provide adequate care for the incontinent climacteric subjects. In future research, it is recommended to identify comprehensive factors related to urinary incontinence, including the effective management of urinary incontinence.

Purpose: The purpose of this study was to identify changes in nurses' image of student nurses before and after their first clinical practice. Method: Study samples were composed of 78 student nurses who were from nursing dept. of one college in G city. All participants had their first clinical practice for 4 weeks at two general hospitals in Gwangju. The internal consistency of the total scale was Cronbach's $\alpha$= .883. Results: After the first clinical practice, the mean score of nurses' image in general was lower than that of nurses' image before the clinical practice. In five subcategories, before the first clinical practice, professionalism and expertness were the highest followed by role performance, vision of a career, and temperature as a nurse in order but after the first clinical practice, professionalism was the highest score followed by expertness, temperature as a nurse, role performance, vision of a career in the mean scores of nurses' image. Conclusion: Based upon these findings, clinical practice will play an important role in improving role performance and vision of a nursing career for student nurses, so nursing administrators should make efforts to improve image of nurses in a variety of practice.

Purpose: The main purpose of this study was to compare the effects of OSCE method and traditional evaluation method on nursing skills performance of students for the fever client. Method: The study was designed as a quasi-experimental, nonequivalent control group post test design with two classes of sophomore students attending fundamentals of nursing courses at one baccaleureate nursing school located in a metropolitan Seoul area. Control group was evaluated by using a traditional method and the experimental group was evaluated by using the OSCE method. Data were collected from April, 2001 to November, 2002. There were 35 students in the OSCE method group, 39 students in the control group. Data analysis was done using SPSS WIN 11.0. Result: The results showed that the students in the OSCE method group did significantly better in clinical nursing skills performance than the students in the traditional method group. And the OSCE method group showed significantly higher satisfaction score in the evaluation method than the control group. Conclusion: The OSCE method is an effective in evaluating clinical nursing skills performance for student nurses. It is necessary to explore more reliable ways to compare the evaluation method by the same student. Also, it is recommended to replicate similar studies in nursing education.

Purpose: The purpose of this study was to develop a PBL module in maternity nursing based on the clinical cases. A PBL module applied to maternity nursing class to test the effects on improving the learning ability of students. And it would be used for developing further PBL module even more perfectly. Method: We selected the concept of the PBL module which is based on the purpose of the contents of maternity nursing class and national test held by Korean Nursing Association. The module scenario was composed up of the cases of clinical practices and was also checked by clinical practice professionals as well as the nursing professionals in other colleges. We used this PBL module for the 20 second grade student nurses in K college for 6 weeks. Besides, we checked self-analyses on the PBL class, assessments done by students on the PBL class itself and on the academic adviser and analyzed the students' subjective statements on the PBL class . Results: The achievements of the experimental students given a PBL class, are better than those of the control group statistically. And the experimental group do their almost all learning planned actively for themselves and show their positive responses on the PBL class being helpful in practicing clinical cases. Conclusion: PBL class could be considered the method to fortify student nurses' abilities on adjusting themselves to clinical real situations through the learning planned by themselves. Afterwards it is necessary to activate PBL class in nurse education. Most of all, it is more important that nurse educators should recognize the values of this PBL class and try to apply it in reality.

The purpose of this study was to identify the effects of foot-bath on fatigue of nursing students in clinical practice. method: The research design was a nonequivalent control group pretest-posttest design. The subjects were randomly assigned to one of four groups and data collection was conducted from June to August 2001. For the experimental group the foot-bath was performed once a day for 3 days. The instrument was subjective fatigue scale and 150mm graphic rating scale. For four groups pretest was done on first day and posttest was done on third day. The data was analyzed by the t-test and paired t-test. results: The subjective fatigue scale score was not significantly after the foot-bath in day duty but significantly lower after the foot-bath in evening duty. The graphic rating scale score was significantly lower after the foot-bath. The subjective fatigue scale score and graphic rating scale score on 1st, 3rd foot-bath day were significantly lower in experimental group. conclusion: On the basis of the above findings, this study suggests that foot-bath can be an effective fatigue relieving method.

The purpose of this study is to test the motivation, attitude of voluntary service and self-esteem of college students. Therefore it can give the fundamental data of the institutionalization plan and to find the activative methods of voluntary system. This study is based on the questionaire, that was consisted of motivation, attitude of voluntary service and self-esteem. For this study, 223 college students were answered. The data was collected from 10th to 30th September 2002. The results of this study are as follows : 1. $\cdot$The mean score on the motivations scale of voluntary service was $3.221{\pm}0.42$. $\cdot$The mean score on the attitudes scale of voluntary service was $3.28{\pm}0.49$. $\cdot$The mean score on the self-esteem was $2.56{\pm}0.46$. 2. There were significant differences between voluntary service was self motivated(F= 11.12, p= 0.000), the students who will participate very active in voluntary service aftergraduation(F= 11.12, p= 0.000), and the motivations of voluntary service. 3. There were significant differences between the students who will participate very active in voluntary service after graduation (F= 8.23, p= 0.000) and the attitudes of voluntary service. 4. There were significant differences between voluntary service was self motivated (F=4.69, p= 0.004), the students who will participate very active in voluntary service after graduation(F=2.49, p=0.045), the parents who have the experience of voluntary service(F= 5.03, p= 0.026), the students who have the experience of voluntary service before college entrance. 5. There was positively significant correlation between the motivations of voluntary service and the attitudes (r= .693, P=0.01), the attitudes and self-esteem (r= .326, p=0.01), and the motivations of voluntary service and self-esteem (r= .305, p=0.01).

This study was conducted to investigate whether a computer information offered in advance of the test would decrease anxiety degree in coronary angiogram subjects. The study design was a nonequivalent control group, none-synchronized design. The subjects of study were 53 patients who were admitted at C hospital in K city for coronary angiogram. The 53 subjects were assigned to experimental(25) and control(28) groups. The computer information set up by researcher was used as the experimental treatment and 10 minutes long. Spielberger's state anxiety scale translated by Kim and Shin(1978) and sphygmomanometer were used for data collection. The data were collected from July 1, 2000 to March 31, 2001, and analyzed by chi-square, paried t-test, t-test, ANCOVA, and Pearson's Correlation Coefficients using SPSS/PC+. The results of this study were summarized as follows : 1. The first hypothesis that 'post-test state anxiety score will be lower than pre-test state anxiety score in experimental group' was supported(t=2.40, p=.020). 2. The second hypothesis that 'post-test systole will be lower than pre-test systole in experimental group' was not supported(t=-.30, p=.765). 3. The third hypothesis that 'post-test Diastole will be lower than pre-test diastole in experimental group' was not supported'(t=-1.42, p=.161). 4. The fifth hypothesis that 'the experimental group who is given the computer information will be lower in state anxiety score than the control group who is not given the computer information' was supported(F=9.17, p=.004). 5. The sixth hypothesis that 'the experimental group who is given the computer information will be lower in systole than the control group who is not given the computer information' was supported (F=7.16, p=.010). 6. The seventh hypothesis that 'the experimental group who is given the computer information will be lower in diastole than the control group who is not given the computer information' was not supported'(F=.55, p=.462). 7. The eleventh hypothesis that 'the lower the post-test state anxiety, the lower the uneasiness score during the test' was not supported(r=-.013, p=.926). 8. The eighth hypothesis that 'the lower the post-test state anxiety, the lower the nervousness score during the test' was supported(r=.326, p=.017).

Purpose: The purposes of this study are as follows: Identifying the types of bullying; describing the relationship among social support, parent-adolescent communication and bullying types; identifying factors influencing the bullying. Method: 374 subjects were 5-6th grade students of two elementary schools in Daejeon. We collected the data from June 10 to October 29, 2002. The data were analyzed by using the frequency, ANOVA, pearson's correlation and stepwise multiple regression in the SPSS. Result: The 7 % of the subjects were found as bullies and another 23.8 % as victims, while 25.9 % were found as bully-victim group. The number of the victims in peer-support got less than in the normal or bully group. In the correlation analysis, the score of bullies, victims and bully-victim group were reversely-correlated with the social support. The score of victims was reversely-correlated with the mother-adolescent communication. In regression analysis, the social support influenced significant effects on both the bullies and victims. Conclusion: Findings indicated that the health professionals need to identify social support and parent-adolescent communication according to bullying types. Therefore, adequate approaches for the three independent groups of bullying are necessary.

The purpose of this study was to test the reliability of visual analog scale in assessing the degree of acute pain related to blood sugar test. A sample of 113 subjects is composed of 56 DM patients and 57 their family who are admitted in a ward of medical part of C university hospital in Gwangju. Data are collected from July, 2001 to December, 2001. The degree of pain is twice measured in a week interval. Correlations were moderate between times in DM patients group and healty group. In both measures, correlations were high between VAS score and the score of color pain circle measurement tool. Visual analog scale is methodologically sound instrument for assessment of acute pain. Further study will be needed to evaluate the correlation with physiology measurement.

Recently, in the academic disciplines critical thinking has been emphasized as the new evolution in education. Problem-based learning is suggested as the evolutionary learning method in developing critical thinking. In the nursing education, PBL is offered as an appropriate teaching method to prepare nurse student for professional. PBL is a student-centered learning strategy aimed at developing critical thinking, motivating self-directed study and attaining autonomy. The purpose of this study was to develop the communication curriculum of nursing education based on PBL and implementing of it. PBL module was developed focused on five communication situations. And learning strategies to facilitate the learning process and the guided questions to stimulate student inquiry were also developed. This PBL education was conducted for six students in the master's course during the 14 weeks from March, 2000 to June, 2000. The outcomes of the PBL education were examined based on the content analysis of the students reflective journal. As a result, it was found that students experienced the effect of it focused on self-oriented, group-oriented, and practice-oriented domain. In the self-oriented domain, the findings indicate that there were 5 kinds of concepts including 'motivation for self-directed study', 'transition toward certainty in knowledge acquisition', 'attempt to apply their prior knowledge into new situation', 'enhancement of self-image in real situation', 'self-growth with self reflection'. In the group-oriented domain, there were 3 kinds of concepts including 'cognitive work in group', 'perception of co-responsibility in attaining learning objectives', 'socialization with group members'. In the practice-oriented domain, there were 3 kinds of concepts including 'linkage theoretical knowledge with real situation', 'attempt to apply in real situation', 'development problem solving skill in real situation'. In conclusion, PBL had a significant effect on self, group, and clinical domain. And assessing PBL outcomes is challenging because standardized instrument do not develop yet. So the findings of this study can suggest the basic data for examining the PBL outcome.

The comparative study of the administration policy that the government and the local self-governing body have enforced to a handicapped child and the family, was made in South Korea and Japan. As data, I utilized brochures distributed to a handicapped child's guardian in the government publication, health center, and hospital of both countries and the homepage that each organization manages. With the investigation of (1) the handicapped child's present condition, population and entering-school situation, (2) the organization which can consult about a juvenile entering-school problem, (3) the public service with which the parents of handicapped child, or a handicapped child are provided and (4) the feedback surveys of (3)’s services, the followings were proved. In (1), the handicapped child's population and their school attendance are not be specified by the South Korea side. In (2), a private consultation organization is mainly opened and be hard to say that use is simple from the little of a kind. In (3), there is almost nothing than rehabilitation education as the administration policy, which is universally held for the handicapped child. Besides they cannot receive freely the education. In (4), it became clear not to carry out. The improvement from the direction of both hard and soft aspects - the institution of basic education for the handicapped child who lives in all areas and the equal opportunity to all children - is called for urgently.