• Journal of the Korean Applied Science and Technology
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• v.40 no.3
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• pp.392-401
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• 2023

This study was to identify the association between osteoporosis knowledge and performance of osteoporosis preventive behaviors among low-income middle-aged women, and to determine the impact of these variables on osteoporosis preventive behaviors. The subjects were 317 middle-aged women from low-income who visited three general hospitals in P city, and data were collected from February 1, 2021 to December 30, 2022 using structured questionnaires. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation, and Stepwise multiple linear regression using SPSS/WIN 27.0 program. As a result of the study, the osteoporosis knowledge of the subjects was low at 11.97±6.89 points, which showed a difference in the case of osteoporosis prevention education, fracture experience. The osteoporosis prevention behavior was low at 41.03±7.63 points, which showed a difference according to religion, comorbidity, osteoporosis prevention education and fracture experience, and subjective health status. There was a statistically positive correlation between osteoporosis knowledge and osteoporosis prevention behavior(r=.527, p<.001), and the factors affecting osteoporosis prevention behavior were fracture experience(𝛽=.415, p<.001), osteoporosis prevention education(𝛽=.359, p<.001), and self-rated health(𝛽=.186, p<.001). Therefore, it is necessary to develop a program that can promote osteoporosis prevention behavior of middle-aged women in low-income and to prepare measures to encourage participation.

• Journal of the Korean Applied Science and Technology
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• v.40 no.3
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• pp.462-475
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• 2023

This study is descriptive research to identify the effect of COVID-19 stress on premenstrual syndrome in female college students and the mediating effect of depression and coping with premenstrual syndrome. The data were collected through an on-line survey for 20 days from November 11 to November 30, 2021, targeting female college students attending C College located in S city. As a result of analyzing a total of 161 data, COVID-19 stress was positively correlated with premenstrual syndrome(r=.383, p<.001) and depression(r=.436, p<.001), and coping with premenstrual syndrome had a positive correlation only in premenstrual syndrome(r=.190, p=.016). As a result of verifying the mediating effect of depression and coping with premenstrual syndrome between COVID-19 stress and premenstrual syndrome, COVID-19 stress had a significant direct effect on premenstrual syndrome(β=4.907, p=.002), and depression(β=6.780, p<.001), and depression had a significant direct effect on premenstrual syndrome(β=.383, p=<.001), coping with premenstrual syndrome had a direct effect on premenstrual syndrome(β=4.292, p=.030) respectively. The indirect effect of verifying the mediating effect in the relationship between COVID-19 stress and premenstrual syndrome confirmed that there was a statistically significant effect only in the path via depression(95% CI, 1.282 to 4.140). Therefore, it is necessary to develop an intervention strategy to reduce depression and alleviate premenstrual syndrome symptoms by controlling related stress, such as COVID-19 stress, in preparation for the outbreak of new infectious diseases and pandemic situations such as COVID-19.

• 한국노년학
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• v.30 no.3
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• pp.1005-1020
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• 2010

This study was conducted to explore and understand the meaning of stigma of families having old people admitted to nursing home within the Korean culture. Data collection was performed through in-depth interviews and participant observations which were recorded and transcribed verbatim with the consent of the participants. The key informants were 12 people having the aged family member in nursing home. The data was collected from October 2008 to February 2009 until completed. Data were analyzed utilizing the taxonomic analysis method developed by Spradley. As a result, 24 themes, 8 categories and 4 cultural domains are founded from the cases. The cultural domains resulted from the analysis are: 『Incompetence of Oneself: 'Adaptation to Inevitable Realities', 'Difficulty of Economic Independence', 'Difficulty of the Subjective Self-assertion'』, 『Contradictoriness of Decision Making: 'Decision Making Different from Own Mind', 'Conflicts between Neighboring'』, 『Self-rationalization of Decision Making: 'Self-comfort of Decision Making'』, 『Shifting Responsibility: 'Services Different from that of Family', 'Laking in Sincerity of Responsible Institution'』. Theoretical model about stigma of the family having old people admitted to nursing home by the research result in the above was able to be confirmed that it was expressed with the original form of thought of recursive system which continuously showing the inconsistency of decision making, rationalizing decision making, and shifting one's own responsibility in the process of accomplishing the duty of supporting old people. Based on the results, I discussed the meaning of stigma of families having old people admitted to nursing home and provided recommendations for future research.

• 한국노년학
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• v.29 no.1
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• pp.243-258
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• 2009

Background: Falls are among the most common and serious health problems of older people. The psychological symptoms of falling have received relatively little attention compared to physical problems. Objective: The purpose of this study is to test a model to explain the factors that influence fear of falling among older adults living in a continuing care retirement community (CCRC) in Baltimore city, United States. Methods: A secondary analysis was conducted using data obtained from a Health Promotion Survey done on 149 older adults living in a CCRC. Data was originally obtained during face to face interviews with each participant. Descriptive statistics and bivariate correlations were used to describe the sample and evaluate simple correlations. A path analysis was done using the AMOS 4.0 statistical program. Results: Of the 49 hypothesized paths, 13 were statistically significant, and the model accounted for 22% of the variance in fear of falling among the elderly. There was support for the fit of the model to the data with a nonsignificant chi square at 0.478 (df=2, p=0.79), and the ratio of chi-square to degrees of freedom was 0.24, a CFI of 0.99 and RMSEA of 0.00. In particular, gender, a history of falling, and exercise were significant predictors of fear of falling. Conclusions/Implications: As anticipated, exercise is an important factor to prevent fear of falling. As a modifiable variable, self-efficacy and outcome expectation indirectly influence fear of falling through exercise.

• Journal of Practical Engineering Education
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• v.15 no.3
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• pp.721-728
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• 2023

In this study, we analyzed the effects of program participation aimed at enhancing self-directed learning abilities in university students on the motivational, cognitive, and behavioral aspects of self-directed learning. The study included 2,302 students enrolled in a university located in Region D, and data collection took place from March 2 to December 31, 2022. Comparing the experimental group(751 students) who participated in the program for self-directed learning improvement with the control group(1551 students), the experimental group exhibited a 0.24-point increase, whereas the control group showed a 0.08-point increase, demonstrating a significant difference between the two groups(t=34.89, p<.001). Furthermore, in the post-hoc analysis of self-directed learning ability scores based on the frequency of program participation, the mean difference between those who participated in 1 to 3 programs and those engaged in 4 to 6 programs was 0.067 points(p<.001). The mean difference between participants in 4 to 6 programs and those in 7 or more programs was -0.135 points(p<.001), and the mean difference between those involved in 1 to 3 programs and those in 7 or more programs was 0.067 points(p<.001). These results underscore the importance of recognizing self-directed learning abilities as a crucial competency in higher education and emphasize the significance of efforts to promote program participation and increase participation frequency.

• The Journal of the Convergence on Culture Technology
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• v.10 no.3
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• pp.267-278
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• 2024

This study was a descriptive research study targeting medical students to determine the impact of self-directed learning ability, self-regulated learning, and communication ability on self-efficacy in performing medical treatment. This study randomly selected medical students from Region J, located in Province G, as the approximate population, and a total of 125 copies were finally analyzed. Descriptive statistics were analyzed using t-test, ANOVA, correlation, and multiple regression analysis using IBM SPSS/25. Self-efficacy in performing medical treatment was related to self-directed learning ability (r=.61, p<.001), self-regulated learning (r=.50, p<.001), and communication ability (r=.33, p<.001). There was a positive correlation with all of them. As a result of analyzing the variables that affect the subject's self-efficacy in performing medical treatment using hierarchical multiple regression, self-directed learning ability was found to be the factor that best predicts self-efficacy in performing medical treatment, followed by self-regulated learning and communication ability. The total explanatory power was 46.6%. Acquiring specialized knowledge and becoming a doctor after graduation through clinical practice and acquiring the basic clinical practice skills necessary to successfully perform one's duties are important tasks that medical students must accomplish. Therefore, in order to improve medical students' self-efficacy in performing medical treatment, the importance of improving health care, major satisfaction, and life satisfaction must be recognized and managed. In addition, efforts to develop programs and improve systematic systems that can improve self-directed learning, self-regulated learning, and communication skills should also be supported.

• Journal of Hospice and Palliative Care
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• v.3 no.2
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• pp.126-135
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• 2000

Purpose : To evaluate the present status of bereavement care in Korean hospice service as a basic database for the effective bereavement care. Method : The data were collected two sets from September to October, 1999 and from November to December, 2000, 55 hospice institutions identified by the Hospice Education Institution, College of Nursing, Catholic University were contacted for a telephone survey. The researchers conducted telephone interviews with hospice administrators for 10 to 30 minutes. Result : 1) Among the 55 Korean Hospice institutions, 38 institutions(69.1%) provided bereavement services. 2) The contents of bereavement services consisted of telephone call 28 institutions(74.5%), bereaved family meeting 26 institutions(69.4%), home visiting 22 institutions(57.9%), mail 16 institutions(42.1%), personal counselling 7 institutions(18.4%). 3) The 26 hospice institutions(68.4%) which provided meetings for bereaved families met with the following frequency : Annually is 11 institutions(42.3%), biannually 6 institutions(23.1%), monthly 6 institutions(23.1%) and bimonthly 3 institutions(11.5%). 4) Only 4 hospice institutions(10.5%) used the assessment tool to screen for high risk of bereaved. 5) The major difficulties of current bereavement services were low attendance for the bereaved family meeting, shortage of professional managers and volunteers, limited accessibility to hospice institutions, little social awareness for the bereaved, and financial difficulties. 6) The hospice administrators expressed the need for the development of bereavement program, the education program for the bereavement services, trained professionals, the sufficient provision of human resource and financial support for more effective bereavement services. Conclusion : Although many hospice institutions(69.1%) provided bereavement services, they generally lacked capable bereavement professionals and various individualized bereavement services. In conclusion, it is required to develop the specified bereavement program and the training program for the staff and volunteers, so as to provide customized bereavement services based on individual needs. Further research will be necessary to evaluate the effects of customized bereavement services in Korea before applying to practice.

• Journal of Korean Academy of Nursing
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• v.19 no.2
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• pp.212-222
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• 1989

When the head nurse who is pivotal in the nursing service administration of the hospital performs efficiently as a first-line manager, the effectiveness of the nursing unit, which includes the quality of nursing care, the jab satisfaction of staff members, and the cohesiveness of staff members is increased. With this point of view in mind, the researcher carried out a study to determine the actual work (the content of the work, the work process, the role of the head nurse, the activity media, and the purpose of the work) of the head nurse in a university hospital in Korea. In addition, this study was also carried out for the purpose of preparing an ideal model for the work of the head nurse. The research subjects were 39 head nurses. This included all the head nurses in two university hospitals except those who were working in outpatient care, operating rooms, central supply, nursing administration, in-service education and emergency care. Data were collected from September 24th to October 21th, 1987 and April 4th to 12th, 1988. A work activity record on which the head nurse recorded directly in a chronological narrative form, was used as the research instrument. The 234 work activity records, 39 head nurse's continuous recording over 6 days(from Monday to Saturday) were collected and analysed. The results were as follows ; 1. With regard to the work content for the total daily work of the head nurse, 45.2% of the activities were managerial activities but 58.1% of the head nurse' s time was spent in direct patient care. 2. With regard to the work process of the head nurse, specifically the location, the size and membership of groups contacted, the results were as follows : 1) Of the total daily work activities 92.4% were carried out in the nursing unit and this occupied 84.5% of total daily work time. Direct patient care was generally performed on the nursing unit and managerial work was performed in other areas. 2) Of the total daily work activities, 73% was with one or more persons and 51.2% of total daily work time was spent in groups. 3) A total of 51 persons, working in different capacities were contacted. These included 21 persons giving patient care, 19 persons working in nursing unit management, and 7 persons working in human resource management. 3. With regard to the head nurse's role in work activity, 53.3% of total daily work activities involved the informational role, 26.9%, the interpersonal role and 19.9%, the decisional role. With regard to time, 57.7% was spent in the informational role, 23.9%, in the interpersonal role and 18.3%, in the decisional role. When the head nurse performed managerial work, she gave nearly equal emphasis to all three roles when she gave direct patient care the informational role was increased. 4. With regard to the activity media, the number of unscheduled activities accounted for 27.1% of the activities, scheduled activities, 24.3%, desk work activity, 22.1%, rounds, 12.5% and telephone calls, made or received, 14.0%. In daily total work time managerial work related to desk work and scheduled activities were high, ranging from 29.8% to 29.9% but for direct patient care time, scheduled activities and unscheduled activities were high, ranging from 23.6％ to 35.3%. 5. With regard to the purpose of the work performed, 54.4% of the total daily work was concerned with the team and 41.4% was concerned with the agency. The managerial work was concerned mainly with the team and the direct patient care was concerned mainly with the patient. When the frequency of an activity and time were compared no significant difference was found between the days for which the work was recorded for any of the variables : the work content, the work process, the work role, the activity media and purpose of the work. On the basis of this study the following are proposed as an ideal model for head nurse work in Korea : The managerial work should be increased to 70%. The decisional role activities should be increased to 40%. Twenty percent of the work activity should be allocated to agency, community and profession. It is believed that this model for the head nurse's work can contribute to guidelines for job description development. Finally, educational programs, organizational and structural devices, and administrative support are needed for the proper function of the head nurse in this proposed model.

• Korean Journal of Occupational Health Nursing
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• v.7 no.2
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• pp.143-154
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• 1998

The purpose of this research is to suggest basic materials for the practical infection precaution program to protect health care workers from hospital infection by grasping their compliance level of Universal Precautions and examining the factors affecting them. The number of the health care workers we studied were 486, including the doctors, the nurses, and the lab technicians who were working in a university hospital. The period of this research was from Aug. 18th, 1997 to Aug. 30th, 1997. The method of the study was to measure the compliance level of Universal Precautions with the item of "Universal Precautions" established by CDC in 1987, and examine the questionnaire of 52 questions dividing related factors into socio-populational, individual, socio-psychological and organizational management ones. The data was analyzed by t-test. ANOVA, and chi-square test. The results were as follows : 1. An the compliance level of Universal Precautions, hand washing had the highest score(85.4%), and doctors(18.9%), nurses(44.0%), and lab technicians(7.6%), had a low compliance level in the safe handling of an injection syringe, and item not to handle patients and their samples when the subject suffered from dermatitis or injury had the lowest score of 17.1%. 23.3% of them said that they wear protection gown, goggles and mask. 2. Female's Compliance level of Universal Precautions Was higher than male. 3. The health care workers who had high recognition on Universal Precautions got significantly higher compliance level of Universal Precautions than those have low recognition on Universal Precautions(P<0.001). 4. The health care workers experienced a needle stick injury had a significantly higher compliance level of Universal Precautions than those who had not(P<0.000). 5. The health care workers who had infection protection education got a significantly higher compliance level of Universal Precautions than those who didn't(P<0.000). 6. The health care workers who had a firm belief in the effect of Universal Precautions got a higher compliance level of Universal Precautions than those who didn't. 7. The health care workers who had less conflicts between treating patient arid protecting them-selves got a higher compliance level of Universal Precautions than others with many conflicts. 8. The health care workers who had a high score in organizational management factors got a significantly higher compliance level of Universal Precautions than those with a low score(P<0.000). 9. Only 16.9 percent of the all respondents(82 in number) answered that they knew well or a little about the Universal Precautions, which is very low rate of recognition. 10. The variables which affected the score in organizational management factors were age, sex, education period, work experience, the kind of work, recognition on Universal Precautions, the experience of needle stick injury, revealing dangerous circumstance related to infection, and training on precaution again infection. According to the result above, compliance level of Universal Precautions showed high correlation with sex, the recognition on Universal Precautions, the experience of needle stick injury, training on precaution against infection, the belief in the effect of Universal Precautions, the recognition degree of conflicts and organizatinal management factors. These results could be used as the basic materials for the developing infection protection programs. Also, There should have a systematic training course to elevate a effective compliance level of Universal Precautions as well as the manageeent of infection protection programs.

• Journal of Hospice and Palliative Care
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• v.11 no.3
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• pp.147-155
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• 2008

Purpose: This study aimed to assess the educational needs for nurses who care for terminal cancer patients and their families. To identify top needs along with key issues in consideration to develope hospice training program and provide specific recommendations. Methods: A cross-sectional design with nurses from nine universities' hospice specialist courses and seven cancer centers was used. Data were collected via e-mail or mail service from March to April in 2008. One hundred seventy three questionnaires were returned (return rate: 73.6%), and 156 questionnaires were eventually analyzed. The questionnaire consisted of Mason and Ellershaw's The Self-efficacy in Palliative Care (SEPC) and self-reporting confidence and educational needs in hospice care. Results: The mean age of the participants was 37.94 years, 82.1% were staff nurses, and 44.9% completed over six months hospice education. Mean$\pm$standard deviation score for total SEPC was $2.67{\pm}.62$, which was lower than average (score 3), with communication score being the lowest ($2.49{\pm}.69$). The lowest self-reporting confidence score was $2.03{\pm}.77$ in hospice administration and management, followed by providing complement therapy ($2.34{\pm}.77$), bereavement care ($2.34{\pm}.71$), lymph edema management ($2.35{\pm}.79$), and care planning ($2.36{\pm}.81$). The participants reported that additional education is needed in all topics, with pain management score being the highest ($3.71{\pm}.50$), followed by pain and symptom evaluation ($3.67{\pm}.52$), care for dying ($3.67{\pm}.52$), and communication and counseling ($3.63{\pm}.53$). There were significant subgroup differences in SEPC and self-reporting confidence between groups who completed 6 months hospice education or not, however, no significant difference in educational need between the groups. Conclusion: This study showed the need for developing hospice training program to improve compentency of nurses in hospice palliative care.