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End of life care stress and Nursing Work Environment in Geriatric Hospitals Nurses affect burn out (요양병원 간호사의 임종간호스트레스와 간호근무환경이 소진에 미치는 영향)

  • Lee, Ji-Hyean;Park, Jung-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.449-458
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    • 2017
  • This research is a descriptive correlation research for comprehending the end of life care stresses, work environment, and reduction of nurses in geriatric hospitals and analyzing the factors influencing their burnout. We recruited 195 nurses from 8 geriatric hospitals in B metropolitan city and collected data on the end of life care stress, work environment and reduction using organized questionnaires. The data were analyzed with SPSS WIN 21.0 program. The average grade of end life care stress was $3.84{\pm}0.56$, nursing work environment $3.25{\pm}0.60$, and burnout $2.93{\pm}0.52$. There was a positive correlation between the end of life care stress and reduction(r=.206, p=.004) but a negative correlation between nursing work environment and reduction(r=-.431, p<.001). The most influential factor on the reduction was nursing satisfaction(${\beta}=-.302$), followed by work environment(${\beta}=-.294$), age(${\beta}=.286$), duty style(${\beta}=-.17$), and end of life care stress(${\beta}=.164$). The overall explanatory power was 41.2%.These results suggest that in order to minimize the reduction of nurses in geriatric hospitals, the provision of a supportive work environment which enhances their pride and responsibility as a nurse and offers incentives is required with effective distribution of duties, development of the end of life nursing education and administrative tools for reducing their stress.

Nurses' Recognition about Successful Aging of Hospitalized Elderly in long-Term care Hospital: A Focus Group Study (요양병원 입원노인의 성공적 노화에 대한 간호사의 인식: 포커스 그룹 연구)

  • Kang, Moon-Hee;Park, Jeong-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.458-470
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    • 2016
  • The purpose of this study was to understand and describe nurses' recognition regarding successful aging of hospitalized elderly in long-term care hospitals. Data were collected using focus group interviews in 2016. Three focus group interviews were held in three long-term care hospitals, and a total of 14 nurses participated. All interviews were recorded and transcribed as they were spoken, and data were analyzed using qualitative content analysis. A total of 25 concepts were identified, 15 subcategories, and five major categories emerged from the analysis. The five categories of the nurses' recognition about successful aging of hospitalized elderly in long-term care hospitals were "adjusting themselves to a lifestyle of long-term care hospital," "living positively in each situation," "communicating with each other and making a relationship," "obtaining interest and support of their families," and "maintaining economic independence". Therefore, further qualitative study will be performed and compared with this study results on successful aging of hospitalized elderly in long-term care hospitals. Moreover, based on these study results, it is necessary to develop and apply programs for successful aging of hospitalized elderly in long-term care hospitals.

Influence of elderly drinkers' subjective health perception on the change in the trajectory of depression (음주노인의 주관적 건강인식이 우울 변화 궤적에 미치는 영향)

  • Park, Gyu-Hee;Heo, Won Gu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.509-519
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    • 2016
  • This study intends to examine how the subjective health perception of drinkers influences the depression trajectory change by using longitudinal data for elderly drinkers. This study has set up a balanced panel by combining the results from "Aging study panel research" conducted in the year 2006 (1st), 2008 (2nd), 2010 (3rd), 2012 (4th). A total of 543 elderly drinkers, who have responded to each research have been selected as targets for the final analysis. In the analyses, descriptive statistics and Latent Growth Modeling were conducted to examine the causal relationship between the observed and latent variables. The results are as follows: First, it was found that there was a negative correlation-with statistical significance-between the initial value of subjective health perception and the initial status of depression symptom. Second, there was a positive correlation between the initial value of subjective health perception and the changes of depression symptom. This indicates that elderly drinkers with high health perception usually have high degree of depression change; however, this does not mean it was statistically significant. Third, there was a statistically significant correlation between subjective health perception change and depression symptom change. It was found that the depression change level would be low if the subjective health perception change level was high. Thus, we can assume that the depression symptoms of elderly drinker c would slow down if the subjective health perception level increases.

Effect of Motive for Major Selection on Major Satisfaction, Campus-life Satisfaction, and Self-directed Learning Ability among Nursing Students (간호대학생의 전공선택동기가 전공만족도, 대학생활만족도 및 자기주도 학습능력에 미치는 영향)

  • Kim, Yu-Jeong;Yoo, Hana;Park, Mijeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.261-270
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    • 2016
  • This study attempted to survey nursing students' motives for choosing nursing as their major, and to examine how such motives affect their satisfaction with their major, campus-life satisfaction, and self-directed learning ability. This study was conducted as a descriptive survey. Data were collected using a self-report questionnaire during the period from the 1st to 15th of April, 2015, and the questionnaires from 195 nursing students were used in the analysis using Fisher's exact test, t-test, one way ANOVA, Mann Whitney test, and ANCOVA. Only 41.5% of the nursing students chose nursing as their major because of their aptitude and interest. The motive for the selection of the major was found to have a significant effect on their satisfaction with the major (p<.001), campus-life satisfaction (p=.008), and self-directed learning ability (p=.001). Middle and high school students should be provided with various types of information on nursing, so that they can have the opportunity to choose nursing based on their aptitude and interest before entering university. Once they start university, nursing students' adjustment to campus-life and learning ability should be enhanced through various extracurricular activity programs in order to stimulate their interest in the major.

A Quality Assessment of Meta-Analyses Research in Social Work (국내 사회복지 관련 메타분석 연구의 질 평가)

  • Cho, Mi-Kyoung;Kim, Hee-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.158-167
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    • 2016
  • This study was conducted to evaluate the quality of meta-analysis of social work in South Korea using the Assessment of Multiple Systematic Review (AMSTAR). Electronic databases including the Korean Studies Information Service System (KISS), DBpia, and RISS4U were searched for 'meta-analysis', 'social work', and 'social welfare' from 2000 to December 2015, and 42 meta-analysis studies were included. Data were analyzed using descriptive statistics, t-tests, and ANOVA. The mean score for AMSTAR evaluation was $4.766{\pm}1.66$, while 19 studies (45.2%) were classified at the low-quality level, and 22 (52.4%) were at the moderate-quality level. The scores of quality assessment were analyzed by publication year, participants, number of studies included, number of DB, reporting study quality, extraction diagram and topics. The findings indicated that the following changes should be implemented to improve the quality and reliability of meta-analysis results in social work research: 1) common reporting guidelines should be provided for the social work field, 2) quality analyses of each study should be conducted to achieve a high level of evidence of effectiveness of social work interventions, 3) the characteristics of the included studies should be provided, and 4) a consensus and procedure based on at least two independent data extractors should be reported.

Prevalence of Dry Eye Disease Its Affecting Factors by Using OSDI Questionnaire (OSDI 설문지를 이용한 안구건조증 유병률과 관련요인)

  • Han, Seung-Hee;Kim, Eun-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.93-103
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    • 2016
  • This study consisted of descriptive research to determine the prevalence of dry eye disease using the Ocular Surface Disease Index (OSDI) questionnaire targeting workers in hospitals to understand the differences between general and health related characteristics depending on whether people have dry eye disease, and to determine the influencing factors of the disease. The subjects were 502 (Male: 51, Female: 451) general hospital employees in G-city. The data were collected from October 1 to October 31, 2015. Logistic regression was used to analyze the data. The results showed that hospital workers' prevalence of dry eye disease was 76.1%. Factors influencing DED in this population included currently having or adjusting medication (OR: 4.73), among those who felt their eyes dry, those who visited clinics and received medical treatment (artificial tears) (OR: 2.37), those who felt eye dryness (OR: 2.23), and not eating regularly (OR: 0.55). Moreover, 54.0% of those who had dry eye disease reported serious conditions. Accordingly, education to manage the risk factors of the disease and improve lifestyle is needed to prevent and manage dry eye disease.

Factors Affecting Intention to Use Smartphone Healthcare Applications (스마트폰 헬스케어 어플리케이션 수용의도에 영향을 미치는 요인)

  • Park, Mijeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.143-153
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    • 2017
  • This was a descriptive survey to determine the intention of users to use smartphone healthcare applications (SHAs) and to clarify factors that may influence such intention. The data were collected during the month of April in 2015, using a structured self-report questionnaire that was distributed to 300 participants aged 20 to 70 years; 285 complete copies were used for the final analysis. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficients, and hierarchical multiple regression. First, according to the results, the average intention to use SHAs was 3.28 out of 5, which varied according to age, final education, economy level, vacation, current disease, total period of smartphone use, and etc. Second, significant correlations were shown by exercise behavior, dietary management behavior, stress management, satisfaction with smartphone use, and satisfaction with using SHAs. Third, the explanatory power of the predictive model involving all general, health-related, smartphone use-related, and SHA use-related factors was 45.5%; and the economic level, interest, status, and awareness satisfaction of patients using SHA were identified to be the main influential factors. The results indicate that SHA developers need to put efforts into improving consumers' app recognition and to develop plans in provoking consumers' interests to increase the use of SHAs.

Influencing Factors on Uncertainty of Patients Undergoing Chemotherapy for Lung Neoplasms (항암화학요법을 받는 폐암환자의 불확실성 영향요인)

  • Mo, Moon-Hee;Chung, Bok-Yae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.248-259
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    • 2017
  • This descriptive correlational study was conducted to identify the factors influencing the uncertainty of patients undergoing chemotherapy for lung neoplasms. One hundred and eleven patients were recruited from the chemotherapy clinic of a university hospital. Data were collected from July 25 to December 31, 2014, and analyzed by descriptive statistics, the t-test, ANOVA, the Scheffe test, Pearson's product moment correlation coefficients and multiple regression analysis with SPSS for Windows Version 18.0. The mean score of the uncertainty of the patients undergoing chemotherapy for lung neoplasms was 2.61(${\pm}0.46$), which was higher than that of the patients with other diseases. The uncertainty was positively correlated with the seriousness of the illness (r=.74, p<.01) and consistency of the symptoms (r=.27, p<.01). Multiple regression analysis showed that the (main) factor influencing the uncertainty was the seriousness of the illness, which explained 54% of the uncertainty of the patients undergoing chemotherapy for lung neoplasms. As a result, nursing interventions are needed to reduce the uncertainty of lung neoplasm patients who are receiving chemotherapy. The seriousness of the illness should be considered when developing nursing interventions to reduce the uncertainty of lung neoplasm patients.

Effects of Depression on the Rehabilitation Motivation of Middle-Aged Stroke Patients - Focused on the Mediating Effects of Resilience (뇌졸중 중년 환자의 우울이 재활동기에 미치는 영향 - 극복력의 매개효과 중심으로)

  • Oh, Soo-Yong;Hwang, Seon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.58-66
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    • 2017
  • This study was a descriptive correlational study investigating the mediating effects of resilience in the relationship between depression and rehabilitation motivation in middle-aged stroke patients. There was a total of 185 middle-aged patients aged 40 to 64 years, who were diagnosed with stroke at a university hospital and rehabilitated at three local hospitals located in S city and four hospitals in U city. The data were collected using a self-reported questionnaire between the 1st and 31st of December in 2016. The data were analyzed using t-test, ANOVA, Pearson's correlation coefficient, and step-wise causal method using SPSS/WIN 22.0 statistical program. To test the statistical significance of the mediation effect, PROCESS and bootstrapping were used. The mean age of the subjects were $56.26{\pm}6.37$ years. There were 70.3% male subjects, an average depression level was $21.21{\pm}7.09$, an average resilience was $25.52{\pm}9.63$, and rehabilitation motivation was $47.44{\pm}5.87$. Depression was negatively related to resilience and rehabilitation motivation. However, resilience and rehabilitation motivation have a static correlation. These results confirmed that resilience appears to be a complete mediating effect in the relationship between depression and rehabilitation motivation. Therefore, it is important to develop a resilience enhancement program to improve the motivation of rehabilitation for stroke patients.

A Study on Interdisciplinary Understanding of Modern Science Culture - Focusing on Case Study of 'STS Course' (현대 과학문화의 간학문적 이해에 대한 연구 - '과학기술과 사회' 교양강좌 사례분석을 중심으로)

  • Kim Dong-Kwang
    • Journal of Science and Technology Studies
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    • v.4 no.2 s.8
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    • pp.33-66
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    • 2004
  • In these days, science is too complex and comprehensive scientific practices to be reduced to scientific knowledge. Also it's actors go beyond the limit of scientist society to the broad range of supporting system scientific journalism, education, and business. Science is very important cultural practice of our times. This Study focus on the effect of interdisciplinary approach in understanding modern science culture. First, this paper suggest the approach of public understanding of science(PUS) as a framework PUS has provided new perspectives for the relation of scientific knowledge and understanding. Traditional approach(so-called 'deficit model') regarded understanding as mere transportation of scientific knowledge. So it may be called 'knowledge-oriented approach' to understanding. But PUS consider understanding process of 'dynamic reconstructing' which is occurred in complex socio-cultural context. Second, this article analysis the Korea University STS course(2002-2003) 'Science Technology & Society' as the case study. The case study examine how interdisciplinary approach help students to understand 'sciene in the making'.

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