• Title/Summary/Keyword: 문화 간호

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The effect of global disaster competency development program on paramedic and nursing undergraduate students (글로벌 재난 역량 개발 프로그램이 응급구조과와 간호학과 학생에게 미치는 효과)

  • Kang, Sun-Joo;Piao, Mei-Hua
    • The Korean Journal of Emergency Medical Services
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    • v.18 no.1
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    • pp.83-94
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    • 2014
  • Purpose : This study assessed the improvement of competency levels for participants, as well as their satisfaction from completion of the special international disaster response program. Methods : The program structure followed an intensive two-week course that included a combination of lectures, discussions, case studies, and field trips. "ICN Framework of Disaster Nursing Competencies" was used for designing the program. A pre-post survey was done to measure the change in the competencies of students and assess their satisfaction after finishing the program. Focus group interviews were also performed to further understand the attitudes of participants toward the disaster issues. Results : The overall pre-program test score for disaster competency was $2.18{\pm}0.68$ and the post-program test score was $6.30{\pm}0.84$, which showed statistically significant gains in all competency items (p <.001). The general satisfaction of participants with the program was quite high, demonstrated by a mean score of $4.5{\pm}0.51$. The benefits for students from program participation included increased knowledge and better understanding of the important roles of international organizations and NGOs. Conclusion : The international disaster education programs are necessary to provide an opportunity for students to increase their disaster competency. In addition, future development of a unified educational competency framework is also necessary.

An Ethnographic Study on Middle aged Women's Hwa-Byung with Upper Limb Arthropathy (중년여성의 화병과 상지관절동통에 관한 문화기술지)

  • Kim, Mee-Young
    • Journal of East-West Nursing Research
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    • v.13 no.2
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    • pp.160-169
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    • 2007
  • Background: Hwa-Byung is known as a specific Korean cultural syndrome which corresponds to DSM-IV(MMPI). Some Korean women who have experienced heart aching anger(Hwa-Byung) complain physical pains as well as psychological problems. As for these physical pains, upper limb arthropathy(e.g. golf elbow pains, tennis elbow pains, or shoulder-joint pains) have not been paid attentions. In spite of not having done her excessive physical endeavor or exercise, some Korean middle aged women complain those arthropathy pains. And they go round orthopedics, pain clinics, and oriental medicine clinics. Purpose: This study was practiced in Severance Oriental Medicine Clinic. The oriental medicine doctor had a question about the major origin of upper limb pains which were not caused by excessive physical endeavor. To answer the question, this study has been practiced. In the process of interview with some those women, the major cause of those syndromes has been revealed as Hwa-Byung. The purpose of this study is to discover the meanings of the women's life who have been experienced Hwa-Byung with upper limb arthropathy. Results: These upper limb arthropathy can be explained by meridian theory. Shoulder-joint pain and golf elbow with Hwabyung can be explained by Heart meridian of hand-shoyin and the points of these pains are in the flow of this meridian. Tennis elbow with Hwabyung can be explained by Small intestine meridian of hand-taiyang and this point is in the flow of this meridian. The results of interview with 9 middle aged women was analyzed and interpreted according to Spradley's method of ethnography. The analysis revealed three core cultural themes : 1) There are certainly external cause to provoke Hwa-Byung. A patricentric family system, husband's playing around with another woman, cruel treatment by husband's family, or financial failure may be present anteriorly. 2) The chief existing condition is the discord between husband and wife. The stoppage of mutual communication, lacking in understanding, unfeeling, heartless, or unsympathetic is an major phenomenon of married life. So the important factor is not the sexual relations or problems but the discords of communication. 3) The feeling of anger, the sense of nihility, the desire to escape, and the effort to forgiveness coexist together. At a glance, they seemed to be a process. For example, anger seemed to present at first, then nihility seemed at second, then escape seemed at third, and then forgiveness seemed at last. But at point of visiting clinic to be treated, they are mixed up together as if in a jumble.

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A Study about the Experienced Problems and the Demands of Counseling of the Adolescents according to the Physical, Psychological, Sexual and the Socio-cultural Problem Categories (일부 지역 청소년들의 신체적$\cdot$정신적$\cdot$성적$\cdot$사회문화적 영역별 문제경험정도와 상담의 필요성에 관한 연구)

  • Kim Jin Kyung;Kim Eun Sook;Lee Jung Ae
    • Journal of Korean Public Health Nursing
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    • v.11 no.2
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    • pp.152-170
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    • 1997
  • The purpose of this study was to identify physical. psychological. sexual and socio-cultural problems that the adolescents have experienced and to assess the demands of counseling about the experienced problems. The design of this study was descriptive-survery study. The sample size was 601 middle and high school students. Data analysis was done by frequencies. Percent. t -test. ANOVA. Pearson correlation coefficiency, stepwise regression and Cronbach's $\alpha$ Score was produced for the reliability of the tool by using the item analysis method. The results was as follows : 1. The distribution of the each item that the adolescents experienced according to the physical, psychalogical. Sexual and Socio-cultural problem Categories was examined. In the physical problem category, the number of items that half and more than half of the adolescents experienced of often or frequently were 10 among all 19 items. In the psychological problem category. 13 item were among all 19 items. In the sexual problem category, 1 item among all 17 items and in the socio-cultural problem category, 10 items were among all 30 items. 2. The distribution of the each items that the adolescents wanted to the counseling according to the physical. psychological. sexual and socio-cultural problem categories was examined. In the physical problem category, the numbers of the items that half and more than half of the adolescents wanted counseling were 1 among all 19 items. In the psychological problem category, the numbers of the items that half and more than half of the adolescents wanted counseling were 2 items among all 19 items. In the sexual problem category, 0 item among all 17 items and in the socio-cultural problem category, 2 items were among all 30 items. 3. In the comparison of the female student and male student about the experienced problems and the demands of counseling according to the physical. psychological. sexual and socio-cultural problem categories. There was a significant difference statistically in all categories between groups(P<.001) 4. In the comparison of high school students and middle school students about the demands of counseling according to the physical. psychological. sexual and socio-cultural problem categories(P<.001). Particulary, grade II of high school students have experienced problems according to the physical. psychological. sexual and socio-cultural problem categories. There was a significant difference statistically in all categories(P<.001). 5. In the correlation between the experienced problem and the demands of counseling according to 4 categories. there was the positive correlation at P<.001 level. 6. The less the satisfaction for family and school life. the more experienced problems according to the physical. psychological. sexual and socio-cultural problem categories. There was a significant difference statistically in all categories(P<.001).

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Conceptual Analysis of Yangsaeng (양생(Yangsaeng)의 개념 분석)

  • Shin, So-Hong;Kang, Hee-Sook;Shin, Seung-Ho;Lee, Jeong-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.435-445
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    • 2020
  • This study is a conceptual analysis of Yangsaeng, which is used as a key factor for healthcare in Oriental medicine that identifies the attributes of the concept of Yangsaeng and establishes a clear definition of the term. For this, the Walker and Avant approach to conceptual analysis was employed. The antecedents included the daily routine habits required for a healthy life and reducing the risk factors in daily life by promoting physical and mental health. The results were prolonged healthy life by preventing diseases, enhanced subjective well-being, and improved quality of life. This is defined as a tool for preventing and treating diseases through positive habits in daily life and for pursuing health and quality of life. This study is a re-evaluation of existing Yangsaeng measurement tools to resolve the antecedents of Yangsaeng and proposes a need for research aimed at developing a practical, new, stand-alone tool that allows the attributes of Yangsaeng and Korean culture to be incorporated. This study is significant in that it investigates and defines the attributes that are vague and abstract and can be applied as a practical basis for nursing intervention in the nursing field at the working level.

An Evolutionary Concept Analysis of Helicopter Parenting (헬리콥터 양육에 대한 진화론적 개념분석)

  • Lee, Yong-Wha;Kim, Ji-Hyun;Yim, So-Youn;Chae, Myung-Ock;Lee, Hye-Rim;Oh, Jina
    • Child Health Nursing Research
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    • v.20 no.4
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    • pp.237-246
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    • 2014
  • Purpose: Helicopter parenting is an emerging concept as a way of rearing adolescents and adult children. However, helicopter parenting from a nursing perspective has not been elucidated. Therefore, we undertook a concept analysis to understand the attributes, antecedents and consequences of helicopter parenting in the context of nursing. Methods: Using Rodgers' evolutionary concept analysis, we analyzed literature on helicopter parenting to discover critical attributes, antecedents, and consequences of this phenomenon. Data were collected from seven electronic search engines. Twelve studies matching inclusion criteria were reviewed. Results: Three core attributes of helicopter parenting were hovering, highly deep involvement, and proxy decision making. The antecedents and consequences were retrieved from three important domains including social, parent, and child aspects. Surrogate terms were black hawk, hummingbird, and hovercraft parenting, and related terms were stealth fighter and Kamikaze parenting. Conclusion: Based on the results of this study, helicopter parenting has both positive and negative effects on both children and parents. To enhance the positive effects, measurement tools for helicopter parenting and nursing interventions on parenting need to be developed.

Caring related to Health in Korea - Ethncgraphy centered Wichon-ri, Kangwon-do - (한국인의 건강과 관련된 돌봄 - 강원도 위촌리 지역민을 중심으로 한 문화기술지 -)

  • 황혜연
    • Journal of Korean Academy of Nursing
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    • v.30 no.1
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    • pp.194-201
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    • 2000
  • The propose of the study is to try to support the practice of caring suitable for our cultural emotion by cognating the meaning of caring related to health which is melted in korean culture. Concrete purposes were as followings; to first, confirm the caring of civilian in Kangwon-do, to secondly search the caring in the traditional culture idea, and to thirdly present the conceptual frame about the caring. The methodology of this research is the ethnography to use the depth interview and the participative observation. The geographical area of this research was in Wichon-ri, Songsan- myon, Study participants were, 6men and 18women, totally 24 persons. Their average age was 72.6 years old. The period of data collection was from January, 1998 to April, 1999, which original data became saturation. Data collection was done after accept allowance of the participants, their stories were recorded in cassettee, by the way of the Spradley analysis was applied and adjusted. The results which was analyized as domain, category and property were as following; First, the category was the life serving other persons, which is the for mind, the benefiting one, the comprehensive one, the respective one, on soon. Second, the category was the controling life, and its property was the moderate mind, that is, vegetables were tried to be fed moderately, pleasantly and comfortable. Thirdly, the category was the eagerness life, and the properties were diligent mind, and mind which accomplished the complete resposibility. Fourth, the category was a happy life, and the properties were positive mind, satisfying one, thankful one, one of their ancestors benefit, and supplicatory one. Fifth, the category was the accepting life, and the properties were the submissive mind, resign one. Sixth, the category was the joint life all together and the properties were the harmonized mind, and the mutual helping one. Seventh, the category was the ruling life, and the properties were the pure mind, the ones which controls the body, the mind, the nature; which could surely confirmed the source of the life that lived with the nature, the native idea of our people. Eighth, the category was the retaining life, and the properties were the inherits the native custom, and the one that keep public morals. According to the result of examining the caring in ethnography, the general caring was performed the conceptual frame about the caring which is related to health was found in the principle of consideration, harmony, compliance, and transcendence.

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Effects of Psychological Variances in Internet Addiction of 4th, 5th, and 6th Graders from Low Income Families (심리적 변인이 저소득층 초등학교 고학년 아동의 인터넷 중독에 미치는 영향)

  • Hong, Yeon-Ran;Do, Eun-Young
    • Child Health Nursing Research
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    • v.20 no.2
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    • pp.67-74
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    • 2014
  • Purpose: The purpose of this study was to investigate factors contributing to internet addiction in 4th, 5th, and 6th graders from low income families. Methods: Participants for this study were 201 4th, 5th, and 6th graders from low income families living in Taegu. Data were collected from March, 2 to May, 29, 2013 using self-report structured questionnaires. Data were analyzed using SPSS/Win 20.0 programme. Results: Among the students, 78.6% were regular users, 14.4% were potential users, and 7.0% were high-risk users. The factors influencing internet addiction, in order of importance, were; conversation with family, followed by depression. Conclusion: These results suggest that efforts should make to monitor use of internet by elementary school children from low income families, and preventive strategies should be developed taking into consideration factors that influence internet addiction.

An Ethnographic Research Study on Childbearing Process of Mother with Children in Korea (자녀를 둔 어머니의 출산과정 경험)

  • Kim, Young-Hee
    • Women's Health Nursing
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    • v.7 no.3
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    • pp.271-283
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    • 2001
  • The childbearing process is a sociocultural phenomenon of a woman who gives birth to a child as well as a biological phenomenon. The purpose of this ethnographic research study was to explore the experience of childbearing process of mothers with children from pregnancy to the 3 months postpartum in Korea and to understand deeply the perspectives of childbearing women reflected on Korean sociocultural values. A convenient sample of 10 childbearing women were observed from January to October 2000 through field work in Seoul, Korea. Data analysis was accomplished under ongoing process. The results of this study were as follows : The mothers with children experienced self-reflection, family relation, and physical adaptation during pregnancy. In self-reflection, all mothers experienced universality and diversity in their self-discovering process. The universal experiences were maturation, life with family and priority on maternal value between being a mother and a woman. The diverse experiences were taking a dual role of working mother, emotional drift of a resigned mother, and disheartened life of a mother who has two daughters. In family relation, the foundation of the new marital relationship were attained during childbearing process and sexual life were changed for the benefit of a healthy mother and a healthy baby. All mothers established friendly relations with their mothers, but established friendly or conflicting or constraining relations with their mother-in-laws due to husband based family culture. In physical adaptation, the informants endured well the physical discomfort and recognized general appearance change. Also maternal-fetal interaction occurred and mothers realistically felt motherhood and accepted themselves as mother-to-be. The mothers prepared for the best delivery, look for a safe childbirth center, newborn goods, endorsed family coping during hospitalization and responded labor pain to make it more endurable, less painful, fast passed owing to labor recognition of the natural process to be a mother. After childbirth, they felt emancipation, satisfaction, accomplishment, more easiness, actually feeling as mother-to-be, emptiness, and showed response to the sex of newborn. Their Sanhujori practice was different according to the Sanhujori environment including provider, place, time in postpartum and reflected on Sanhubyung. The mothers felt actually mother-to-be and happiness during lactation regardless of feeding pattern. These mothers had a different maternal image about rearing subjecthood through their child-rearing experience. But all mothers felt need for family support and social support. The universal rearing response were actual feeling of mother-to-be, a strenuous experience, a pride on child-rearing, confusion, reflecting marital relationship, and wondering rivalry among children. In conclusion, mother of all with children went through self-discovery, self-reflection and made connections with the family as a mother and as a woman simultaneously during the childbearing process. Therefore it is suggested when harmony and balance between a mother and a woman is accomplished, the woman will lead a healthy and high quality of life. Also, this study sought to confirm the sociocultural factors affecting the childbearing process from the perspectives of the women with children. Therefore health care providers must understand deeply the childbearing women with children based on this finding of and try a integrative approach with new ideology of maternity with biocultural perspectives in a clinical setting.

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Awareness of Patient Safety and Performance of Patient Safety Activities among Hospitalized Patients (입원환자의 환자안전인식과 환자안전활동 수행 정도)

  • Kim, An-Na;Park, Jeong-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.229-240
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    • 2021
  • The purpose of this study was to investigate the relationship between the awareness of patient safety and performance of patient safety activities among hospitalized patients, and to provide basic data for the development of programs to improve them. The subjects were 103 adult patients at a general hospital in D city. Data were collected from Feb. 22 to Mar. 12, 2021, using structured questionnaires to measure the awareness of patient safety and performance of patient safety activities. The mean (±standard deviation) scores of awareness of patient safety and performance of patient safety activities were 4.22±0.52 out of 5 and 3.35±0.48 out of 4, respectively. The awareness of patient safety varied significantly depending on patient safety education (t=4.85, p<.001). The performance of patient safety activities varied significantly depending on marital state (t=2.75, p=.007) and patient safety education (t=3.88, p<.001). There was a significant correlation between the awareness of patient safety and the performance of patient safety activities (r=.59, p<.001). It is thus necessary to promote the improvement of the patient safety culture by developing programs to improve awareness of patient safety and performance of patient safety activities in hospitalized patients and to apply them systematically in clinical practice.

Analysis of related to unmet healthcare needs for the disabled in Korea using focus groups: Focused on the 2nd Pilot project for primary care for people with disabilities (포커스그룹을 이용한 한국 장애인 미충족 의료 관련 요인 분석: 장애인 건강주치의 2차 시범사업을 중심으로)

  • Kim, Mi So;Choi, Kyung-Hwa;Kim, Jung Ae;Park, Jinah;Jeong, Eunhye
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.443-451
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    • 2021
  • This study is a qualitative research using focus group interviews with disabled people and their families to understand the unmet healthcare needs perceived themselves and to analyze the experiences of 'The 2nd pilot project for primary care for people with disabilities', from 9 to 17 February 2021. The subjects of the study was the disabled who can express their opinions (group 1) or the guardians of the subjects who can not express their opinions (group 2). The participants were interviewed for about 100 minutes for each group once or twice. As a result of this study, the factors regarding unmet healthcare needs were extracted in subject, provider, institutional, and socio-cultural aspects. Further, the factors resolved and unresolved by the pilot project were extracted. Based on the results, we can recommend that the expanded application to the visiting service, inclusion of doctors from various departments, multidisciplinary approach including physical or occupational therapists, minimizing disconnection among the hospitals and healthcare centers, improvement of service quality by collecting opinions from people with disabilities, and more publicity activities should be applied.