• 가정∙방문간호학회지
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• 제23권2호
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• pp.206-215
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• 2016

Purpose: The purpose of this study was to investigate the level of cultural competence, intercultural communicative competence, and multi-cultural job stress among healthcare workers and to explore factors that are related to their cultural competence. Methods: The study subjects were 142 healthcare workers at a general hospital. Data were collected using a questionnaire on cultural competence, intercultural communicative competence, and multi-cultural job stress. A t-test, ANOVA Pearson's correlation coefficient, and multiple regression analysis were conducted using SPSS. Results: Cultural competence was significantly related to the necessity of multi-cultural education, and intercultural communicative competence was significantly related to age, a vocational career, communication in foreign languages, and having multi-cultural neighbors. Moreover, multi-cultural job stress was significantly related to religion. In multiple regression results, cultural competence was found to be related to intercultural communicative competence and multi-cultural job stress. Conclusion: Healthcare workers who are set to care for multi-cultural patients should improve intercultural communicative competence and reduce multi-cultural job stress.

• 가정∙방문간호학회지
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• 제24권2호
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• pp.133-141
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• 2017

Purpose: This descriptive study aims to analyze the effects of the satisfaction level in the relationship between mother-in-law and daughter-in-law, conflicts between them, acculturative stress and stress coping strategies on elderly depression in multi-cultural families. Methods: The survey was conducted on 89 mothers-in-law, aged 65 or older, in multi-cultural families with a foreign daughter-in-law. Data were collected through structured questionnaires, and then were used to conduct t-test, ANOVA, correlation and multiple regression analyses using the statistical program SPSS 21.0. Results: This study found several factors contributing to depression of mothers-in-law in multi-cultural families. Those factors include living alone without a spouse, poor health, a high level of perceived discrimination and a passive reaction in terms of stress coping strategies. Conclusion: A sense of discrimination perceived by the mothers-in-law having a foreign daughter-in-law implies that the people around them and the community should make efforts to reject distorted perspectives and remove prejudice against foreign daughters-in-law. In addition, the mothers-in-law should receive education and training to use more active and positive stress coping strategies in a stressful situation with the foreign daughter-in-law.

• 한국응용과학기술학회지
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• 제39권2호
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• pp.193-204
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• 2022

본 연구는 한국의 다문화 청소년 및 일반 청소년의 건강위험행위와 폭력피해경험을 비교하고 폭력피해 경험과 관련된 요인을 건강위험행위를 중심으로 규명하고자 하였다. 제15차 청소년 건강행태 온라인 설문조사(2019)의 자료를 사용하여 35,574명의 청소년을 대상으로 하였다. 자료 분석은 SPSS/Win 22.0을 사용하여 복합 표본 분석을 하였다. 연구 결과, 다문화청소년은 일반청소년보다 흡연, 습관적 약물사용, 폭력피해 경험이 유의하게 더 높았다. 다문화청소년과 일반청소년 모두 가족과 함께 거주하지 않을수록, 흡연경험과 습관적 약물사용 경험이 많을수록 폭력피해경험이 더 많았다. 일반청소년의 폭력피해경험은 성별, 학력, 경제적 상태, 음주경험과 유의한 관련이 있었다. 따라서 다문화 청소년과 일반 청소년의 폭력피해 경험을 예방하기 위해서는 가족과 함께 살지 않는 청소년에 대한 사회적 지원이 필요하며, 흡연 및 습관적 약물 사용 경험이 있는 청소년에 대한 세심한 주의가 필요하다. 또한 다문화 청소년은 일반 청소년에 비해 건강위험 행위와 폭력피해에 더 취약하므로 다문화청소년의 올바른 건강행위 실천과 폭력피해경험을 예방하기 위한 교육 프로그램이 필요하다.

• 한국산학기술학회논문지
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• 제13권11호
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• pp.5066-5075
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• 2012

본 연구는 한국에 여성결혼이민자가 경험하는 다문화가족 적응 형태를 그들의 입장에서 바라봄으로써 보다 질적이고 개별적인 간호중재 전략을 개발하는 기틀을 제공하고자 하는데 있다. 연구문제는 "여성결혼이민자의 자녀양육은 어떻게 이루어지고 있는가?"이다. 연구참여자는 여성결혼이민자 총 13명이다. 연구방법은 관찰과 심층면접, 상담, 그리고 주변 인물들을 통한 비공식적인 대화를 통해 자료를 수집하여 Spradley(1990)의 문화기술지 방법론을 적용한 질적 연구로 서술하였다. 결론적으로는 여성결혼이민자에서의 양육경험을 통해 다문화가정 어머니에게는 '의사소통의 장애', '열약한 양육환경', '이질적인 문화', '양육책임의 떠맡음', '고국가족에 대한 그리움', '미래에 대한 걱정'으로 나타났다. 다문화가정 가족에게는 '수치감', '양육의 무관심'으로 나타났다. 자녀에게는 '외톨이', '언어발달의 장애', '학습능력의 부족', '영양불량', '문제행동'이 나타났다. 다문화가정 어머니와 가족의 공통적인 요소에는 '다문화 이해부족', '의사소통 단절', '종속관계', '신뢰감부족'으로 나타났다. 다문화가정 어머니와 자녀의 공통적인 요소에는 '외모의 차이', '가족 사회적 차별'로 나타났다. 가족과 자녀의 공통적인 요소에는 '양육 참여 부족', '놀아주지 않음'으로 나타났다. 다문화가정 어머니와 가족, 그리고 자녀에 나타나는 공통적인 요소는 '사회적 편견', '불안정한 가족분위기', '저소득', '한국인으로 뿌리내리기'로 나타났다.

• 한국보건간호학회지
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• 제14권1호
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• pp.61-67
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• 2000

뉴욕시 정부의 이민자들에 대한 다각적인 접근과 시도에도 불구하고 의료 서비스 제공자들과 대상자간에 언어적 장벽과 문화적 차이로 인한 상호협조의 어려움은 계속되고있다. 본 연구는 뉴욕시 보건국 소속 다민족 다문화 계층의 의료수준 향상을 위한 노력의 일환으로 실시된 프로젝트 중 일부이다. 뉴욕시의 한국 이민자들이 뉴욕시에서 증가하는 추세를 감안할 때, 이들의 의료시설 이용 및 서비스 수혜에 대한 기초 조사를 실시하여 한국 이민자들의 문화적 배경과 그로 기인한 건강 신념을 알고자하는 시 정부 차원의 요구가 이 연구의 배경이다. 즉, 한국이민 사회의 독특한 특성을 뉴욕시 정부 관련 의료서비스 제공자들에게 그 이해를 높여서 한국 이민자들의 미국에서의 의료서비스 수혜의 기회를 높이고자 한 것이다. 기초 관련 연구가 전무한 한국 이민자들의 건강관련 이슈를 다루기 위해 미국 센서스와 병원 입퇴원 기록 현황에 나타난 한국인 혹은 아시안의 의료보장 실태 등을 고찰하였고, 한국이민사회의 주요 기관의 대표들과의 면담과 이민자들을 대상으로 한 직접 설문조사로 자료를 수집하여 분석한 결과는 다음과 같다. 한국 이민자들은 한국어를 주요 언어$(83\%)$로 사용하는 것으로 나타나 문화의 동화율이 낮았고, 낮은 문화 동화율은 의료 서비스 접근도를 낮추는 요인으로 나타났다. 또한, 의료 보험이 없는 것$(55\%)$이 가장 큰 요인으로 지적되었는데, 이는 미국 직장에 적응하기 어려운 이민생활로 자영업을 주로 하는 생활 양태가 비싼 사 보험(private health insurance)을 사지 못하는 요인과 관련되어있다고 본다. 따라서, 주로 이용하는 의료 서비스의 종류에도 많은 제한점이 있어서, $60\%$가 한국인 의사를 선호하며, $31\%$가 한국인 약사에게 건강관리를 의존하는 것으로 나타나 미국사회의 의료 서비스 접근도는 극히 취약한 것으로 드러났다. 의료서비스 접근을 막는 주요 장벽으로는 비싼 의료비 $(53\%)$ , 의사소통장애$(37\%)$로 나타났다. 보건의료 서비스를 위해 주로 이용하며 생활의 정보를 얻는 통로로는 한국어 신문$(69\%)$과 한국어 TV$(61\%)$, 한국어 라디오 $(57\%)$로 밝혀졌다. 결론적으로 한국 이민자들에게 좀더 나은 의료 서비스 수혜를 위해서는 문화 친밀도가 높은 의료환경 조성 및 의료 서비스 제공자들의 이해를 높이는 일 등과 함께 한국 이민자들이 의료보험을 살수 있도록 한국어로 된 의료 서비스 정보를 제공하는 등의 노력이 필요할 것으로 생각한다.

• 대한간호학회지
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• 제42권6호
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• pp.879-888
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• 2012

Purpose: There is evidence that parent-child cohesion is a potentially influential factor in children's self-esteem and acculturation. However, no research to date has examined cohesion with parents as a potential pathway between Korean proficiency and self-esteem or acculturation among children from multicultural families. This study was done to address these limitations by examining whether and to what extent cohesion with parents mediated the effect of Korean proficiency on self-esteem and acculturation among children from multicultural families. Methods: Data were collected from a sample of 138 mothers and their children living in Seoul, Daegu, Kyungi province, and Kyungpook province. Multiple regression analysis was used to examine the relationships between the variables of interest. Mediation effects of cohesion with parents were tested by following the procedure recommended by Baron and Kenny (1986). Results: Cohesion with parents partially mediated the relationship between Korean proficiency and self-esteem. For children's acculturation, the effect of Korean proficiency was partially mediated through father-child cohesion. Mother-child cohesion completely mediated the relationship between Korean proficiency and acculturation. Conclusion: These findings suggest that to help children from multicultural families experiencing difficulties with self-esteem or acculturation, it might be useful to develop programs that are aimed at strengthen cohesion with parents.

• 한국학교보건학회지
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• 제32권1호
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• pp.10-19
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• 2019

Purpose: The purpose of this study was to compare the factors related to depression between non-multicultural and multicultural middle school students. Methods: In this study, data were collected using structured questionnaires targeting students of 9 middle schools in G Province, Korea. Finally, the data of 304 students were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation, and multiple regression analyses using SPSS 24.0. Results: The multicultural students showed a higher depression score ($47.14{\pm}8.33$) than the counterpart ($44.22{\pm}8.11$) (p<.001). The results of the multiple regression analysis revealed that academic stress (${\beta}=.33$, p<.001), peer attachment (${\beta}=-.13$, p<.02), and body image (${\beta}=.25$, p<.001) were the influencing factors on depression in non-multicultural students. However, in multicultural students, depression was related to peer attachment (${\beta}=-.16$, p=.03) and self-esteem (${\beta}=-.42$, p<.001). Conclusion: To prevent and manage depression in non-multicultural middle school students, it is essential to help them relieve academic stress and build peer relationships and positive body image. For multicultural middle school students, helping them to have high self-esteem and peer attachment would be the first measure to prevent and manage depression.

• Perspectives in Nursing Science
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• 제6권1호
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• pp.1-20
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• 2009

This research examines, based on nursing's point of view, the current status and problems of the healthcare-related multi-cultural policy which is one of the major issues of contemporary Korea. Today, Korean society is facing a drastic increase of migrant workers and marriage for migration in Korea that leads to the transition to multiculturalism. Each field of society is providing prevalent supports to solve the problems of multicultural families and to promote adoption to Korean society. The activities and researches for multicultural families in nursing area were found and analyzed. 11 researches and 2 books were published. Among these 13 publications, 10 were on the marriage with immigrant women. 8 researches out of 11 (72.7%) were defined as the descriptive surveys, and 3 researches (27.3%) were defined as quasi-experimental studies. Although Korea Nurses Association (KNA) led various activities, more researches and activities by nurses and nursing scholars are required to contribute in improving the health of multicultural families.

• Child Health Nursing Research
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• 제24권4호
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• pp.434-442
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• 2018

Purpose: The purpose of this study was to investigate factors affecting the experience of depression in school-aged children from multicultural families. Methods: Data from 1,812 school-aged children of multicultural families were collected from the 2015 National Multicultural Family Survey. Logistic regression was conducted based on complex sample analysis using SAS 9.4. Results: Significant predictors for experiencing depression were lower self-esteem, lower Korean proficiency, less time spent conversing with the father, lower degree of parental interest, poorer school adjustment, greater difficulties with schoolwork, and experiencing violence at school. Conclusion: This study showed that factors related to the individual, family, and school environment influenced the experience of depression. Based on a consideration of these factors, it is necessary to develop an effective program to prevent depression by establishing high-risk criteria for depression.

• Child Health Nursing Research
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• 제25권4호
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• pp.367-376
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• 2019

Purpose: Study purpose was to describe the child safety injury experiences, injury prevention behaviors and educational needs of immigrant Vietnamese women on Jeju Island, and to explore associations among those factors. Methods: A descriptive correlational study was conducted using structured questionnaires to collect data from immigrant Vietnamese women who visited a multicultural centers on Jeju Island from January to April, 2017. Results: Data from 60 women were analyzed. They were $28.2{\pm}5.5$ years old, had resided in Korea for $40.6{\pm}31.1$ months, and had $1.5{\pm}0.6$ children on average. In total, 51.7% had previous injury prevention education, 68.2% had experienced child safety injuries, and 95.0% wanted to receive education on how to prevent child safety injuries. The mean total score of child injury prevention behaviors was $27.33{\pm}17.79$, and that variable was associated with a longer duration of formal education (t=2.41, p=.021) and with women's experiences of child safety injury (t=5.97, p<.001). Conclusion: Immigrant Vietnamese women experienced a higher frequency of child safety injuries and needed educational opportunities to prevent these injuries. Further research is necessary to develop the essential content and effective methods for education on child safety injury prevention among this unique multicultural population.