• The Journal of the Convergence on Culture Technology
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• v.5 no.2
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• pp.23-30
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• 2019

The purpose of this study was to examine job stress, job satisfaction, and turnover intention of the nurses who work at the comprehensive nursing service units in two academic medical institutions that provide healthcare service at the tertiary care level in Korea. A descriptive study was conducted with the nurses by using self-reported questionnaires. We used descriptive statistics to summarize the data and Mann-Whitney U test for group comparison. The mean scores of job stress, job satisfaction, and turnover intention were $89.17{\pm}12.56$, $107.25{\pm}6.85$, $37.19{\pm}4.86$, respectively. Nurses with religion showed more job stress than those without. Nurses with their age below 30 years old had significantly less job satisfaction than those older than 30 years old. Monthly income was significantly associated with turnover intention in our data. The top three sub-category of the job stress were conflict with physicians, patients and their caregivers, and conflicts with others; and those of the job satisfaction were pay and promotion and task requirement. Job stress, job satisfaction, and turnover intention were significantly correlated. In order to reduce turnover intention of nursing professionals in the comprehensive nursing service, job stress related to issues on relationships with patients, their family, health care providers need to be taken into consideration. Policy and administrative support are needed to improve their work environment.

• The Journal of the Korea Contents Association
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• v.14 no.11
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• pp.328-336
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• 2014

This work has performed to find what activities of daily living are required for the intensive interests when inpatient elderly more than 3 months has been supported and convalescent care, where the inpatient elderly were judged by the inpatient assessment report in the time of December, 2013. According to the estimation with logistic function of the relationship between the state of decision making recognition technology and the Activities of Daily Living(ADL), the intensive cares for the elderly are required in the parameters of 'Having meal' and 'transferring sitting' when they are severed and convalescently cared as the degree of functional independence for ADL are severly proceeded. In addition, the senescence and disease the activities except 'Having meal' and 'transferring sitting' seem to be influenced by the decline of body function more than the state of decision making recognition technology for daily living.

• The Journal of the Convergence on Culture Technology
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• v.10 no.3
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• pp.69-88
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• 2024

Purpose : This study was conducted to examine the Experience of Adaption to Work in Comprehensive Nursing Service Units of Nurses. Methods : Empirical data were collected from 8 nurses through in-depth interviews. Eight participants who had more than 6 months of clinical experience in the general ward and had more than 6 months of work experience in Comprehensive Nursing Service Units were selected as participants. The main question was what does it mean to work in Comprehensive Nursing Service Units? All interviews were recorded and transcribed, and then analyzed using Giorgi's interview. Results: As a result of the analysis, five topics were derived. 'Facing a changed work environment', 'A sense of unexpected heterogeneity in work', 'Evaluation of immediate reality.', 'Finding strategies and promoting balance', 'Growing up as a professional nurse.' Conclusion: Based on these findings, There is a need to build a system that can adapt to work and continue to develop programs for capacity building in Comprehensive Nursing Service Units of Nurses.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.6
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• pp.119-128
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• 2017

This study estimated the optimal nursing workforce and financial costs of providing comprehensive nursing services at hospitals under the national health insurance system. Data on registered nurses, nursing aids, medical institutions, and number of patients were obtained from the Health Insurance Review and Assessment Service. The optimal size of the nursing workforce was calculated using the workload model. A bottom-up approach was used to estimate the annual total financial cost of comprehensive nursing services. The number of registered nurses and nursing aids would need to be increased by 81.75% and 83.23%, respectively, in order to fully apply comprehensive nursing care on a national scale. The additional financial costs for comprehensive nursing services at all hospitals was estimated to be as much as 110.39% of the current cost. For the comprehensive nursing service, nurses with a career and newcomers need to be retained at their hospitals, and the validity of the nurse-patient ratio should be continuously checked. The financial shock to the national health insurance system could be minimized by gradually extending the system to all hospitals.

• Journal of the Korea Convergence Society
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• v.7 no.6
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• pp.275-285
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• 2016

The purpose of this study is to identify the factors influencing on the burden on the family caregivers of patient with more than second degree burn. The participants of this study were 120 family caregivers sampled for convenience from 4 Burn hospitals in D, S, B, P cities in South Korea. Data analysis was performed by t-test, ANOVA, Scheffe' test, Multiple linear regression. According to the result, the burden of assess & mean of care and the future of the patient was the highest score for family caregivers. Factors that affect the burden of family caregiver with burn patients were marital status, time, care, skin transplants, body surface area (%) and these factors explained 25.9%. This study concludes that intervention program is developed to reduce physical and emotional burden and nursing care services is required to adjust the amount time to care for the family caregivers with burn patients for a long time.

• The Journal of the Korea Contents Association
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• v.13 no.6
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• pp.370-379
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• 2013

In an effort to resolve the burden of patients hiring patient sitters, this study sought to review the Ministry-of-Health-and-Welfare-initiated pilot program of running hospitals without patient-sitter to identify its background, operation method, performance results, and limitations. Based on the review, the study derived the necessity of introducing a hospital system without patient-sitter as well as its operation and systemization methods. The ministry-initiated pilot programs were conducted twice: in 2007, and in 2010. A review of the 2007 pilot program revealed that the patients and families' satisfaction score with nursing services was 9.1 points (on a 10-point scale), their intention to reuse the service was 97.8%, and their intention to recommend the service was 98.0%, all high scores. Appropriate nursing manpower, derived from the 2007 pilot project, indicated 2.3 patients per nurse and 4.0 patients per nurse aid. The 2010 pilot project results indicated that the patients and families' satisfaction was high at 8.0-9.1 points (on a 10-point scale), and that the intention to reuse and recommend the service was also high. Compared with the 2007 pilot project, however, the types of medical institutions and the nurse to patient ratios were diverse, offering limitations. In conclusion, to systemize hospitals without patient-sitter, it is necessary to develop policies designed to establish criteria for the appropriate nurse to patient ratio and skill-mix, to standardize the work, to prepare finances for securing nursing staff, to evaluate the nursing demands, and to monitor the quality management.

• Korean Journal of Psychosomatic Medicine
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• v.27 no.2
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• pp.191-201
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• 2019

Objectives : The purpose of this study was to investigate the effects of meaning centered and mindfulness-based stress management program with using marine resources on positive changes in mood, sleep, quality of life and cognitive function. Methods : Nine family caregivers of patients with severe disability experienced meaning centered and mindfulness-based stress management program for four-days in marine areas near Uljin-gun, Gyeongsangbuk-do in South Korea. Subjective questionnaires and objective assessments were conducted and statistically analyzed to examine changes in mood, sleep, quality of life, and cognitive function before, after, and after 6 weeks of participation. Results : After participating in the program, moods including depression improved significantly. This effect lasted until 6 weeks. Participants' sleep quality, quality of life and cognitive function improved significantly after 6 weeks of program participation. Conclusions : This new specialized stress management program using marine resources for family caregivers of patients with severe disability is expected to be used effectively in terms of improving their overall quality of life, mental health status and cognitive efficiency.

• Korean Journal of Psychosomatic Medicine
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• v.13 no.1
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• pp.24-31
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• 2005

The aim of this study was to assess effects of aromatherapy on anxiety and depression of caregivers for patients in rehabilitation therapy and to provide basic data for the aromatherapy. Beck Anxiety Inventory(BAI) and Beck Depression Inventory(BDI) for the preliminary assessment of anxiety and depressive mood were administered to caregivers for patients in rehabilitation therapy in Chungbuk National University Hospital. Forty two out of seventy subjects who got scores above 10 in BDI were selected. Forty two Participants were divided into orange group, lavender group and control group. They had got the aromatherapy by using the lamp diffusion method for 4 weeks. Only forty participants completed a trial. Effects of the aromatherapy were measured using BAI, Hamilton Anxiety Rating Scale(HAM-A), BDI, Hamilton Depression Rating Scale(HAM-D), Self Esteem Scale(SES) and Index of Wellbeing(IOWB) before and after the aromatherapy. Orange group showed significant difference in the change of BDI scores compared with control group. Lavender group showed significant difference in the mean change of BAI, BDI and IOWB scores compared with control group. These results suggested that aromatherapy with orange oil was effective for depression and the aromatherapy with lavender oil was effective for anxiety as well as depression.

• Journal of Digital Convergence
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• v.19 no.3
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• pp.195-202
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• 2021

This study is a systematic review study to confirm the characteristics, effects, and application strategies of domestic and foreign virtual reality programs provided by dementia education. This study is based on the literature published up to July 2020, CINAHL, Cochrane, EMBASE, and Pubmed electronic databases were used overseas, and RISS, KISS, and DBpia were searched in Korea. Based on the selection criteria and exclusion criteria, the final six papers were used for analysis. As a result of the analysis, the subjects of the selected literature were two informal caregivers (33.3%), one general (16.7%), and three students (50.0%) including nursing students and medical and pharmacy students. The virtual reality program was effective in a total of five areas(empathy ability, dementia attitude including knowledge and comfort of dementia, trust in own abilities, dyadic relationship scale), of which 75% of the studies measured empathy ability had significant effects. The results of this study confirm that virtual reality technology can be used for human-centered nursing based on empathy.

• Korean Journal of Psychosomatic Medicine
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• v.22 no.2
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• pp.71-78
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• 2014

Objectives : Behavioral and psychological symptoms of dementia(BPSD) represent significant clinical problems, resulting in functional decline, caregiver distress, institutionalization and increased mortality. A recent study showed gender differences have important role in the development of BPSD, but relationship between BPSD and gender has never been studied in Korea. This study was designed to examine whether patients with Alzheimer's disease show gender differences in behavioral and psychological symptoms of dementia(BPSD). Methods : Ninety-eight subjects with Alzheimer's disease were included in this study. We carried out history taking and cognitive assessment for the diagnosis of Alzheimer's disease based on DSM-IV. Cognitive impairment and BPSD were measured using the Mini Mental State Examination(MMSE), Global Deterioration Scale (GDS), Clinical Dementia Rating(CDR) and the Korean Neuropsychiatric Inventory(K-NPI). Independent samples t-test was used to examine the differences across gender in BPSD. Correlation analysis between MMSE, CDR, GDS and NPI was performed using Pearson's correlation coefficient. Results : There were no significant gender differences between the gender in BPSD. We found statistically significant negative correlations between MMSE with NPI total score, and with scores of several sub-domains such as hallucination. Conclusions : This study showed that gender differences in BPSD are not significant. Further research is necessary to identify whether BPSD affect gender differences or individual differences.