• Title/Summary/Keyword: 자기간호

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A Study on the Ego-Integrity Phenomenon of the Elderly (노인의 자아통합현상에 관한 연구)

  • Lee, Hyun-Ju
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.4
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    • pp.794-806
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    • 2020
  • This study was conducted in order to attain an in-depth understanding of and describe the Ego-Integrity Phenomenon of the elderly of age 65 and older. The data was collected from June 2020 to July 2020 as an in-depth interview consisting of semi-structured questions. The data was analyzed using the Colaizzi's method, one of the phenomenology methods. All interviews were recorded and transcribed for analysis. Through analysis, 309 significant statements were extracted, and 88 formulations of meaning, 53 themes, 16 theme clusters, and 5 categories were derived. The categories and the theme clusters are as such : 'reflecting on the past life with delight' ('fruitfulness over the lifetime', 'achieving through fulfilling responsibilities', 'achieved specially and gratefully'), 'Currently lonely and distressed due to the bitter old days' ('Physical health needs and psychosocial needs are not met', 'Wasn't able to make good choices for parents and children', 'Elderly life is not easy'), 'Satisfaction from enduring tough and difficult journeys in life' ('Compensated for hard work at workplace and home', 'Problem solved through endurance and overcoming', 'Living a healthy elderly life by escaping from the habits of the past'), 'Realizing the way of life as an elderly' ('Now is the best and most satisfying moment', 'Managing self in old age', 'Living passionately, though it may be late', 'Retiring from the forefront of life with an abundant heart'), 'Passing on beautifully' ('Desires toward the later years', 'Hope during the last moments', 'Appearance and emotions when death approaches'). It was observed that during the Ego-Integrity Phenomenon of the elderly, they have come to discern the meaning of life by reminiscing the regrets and difficulties of the past, and through this reminiscence, they have come to attain a positive and transcendental hope for the rest of their lives. The Ego-Integrity of the elderly appeared to be subjective, dynamic, and occurring simultaneously rather than continuously. It is recommended to develop a variety of nursing interventions while taking into consideration the age and the type of experience of the elderly.

The relationship between of Uncertainty, Depression, Physiologic Index and Basic Psychological Need of Hemodialysis Patients (혈액투석환자의 질병 불확실성, 우울, 생리지표와 기본심리욕구와의 관계)

  • Cho, Young-Mun;Yun, Kyung-Soon
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.281-291
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    • 2017
  • This purpose of study was to identify variables predicting basic psychological need in hemodialysis patients. The participants were 134 patients from two major general hospitals and two dialysis center located in J city. Data were collected using self-report questionnaires and physiological index. Data analysis was done by using SPSS WIN 18.0 program for one-way ANOVA, independent t-test, Pearson correlation coefficients, and multiple regression. This study showed a negative correlation between basic psychological need and uncertainty(r=--.464, p<.001), depression(r=-.422, p<.001). In addition, relationships and physiological index were Positively correlated. The uncertainty(${\beta}=-.345$), depression(${\beta}=-.279$), physiological index(${\beta}=-.117$) have a 29% explanatory power for the basic psychological need in hemodialysis patients. Physiological index, uncertainty and depression in turn influenced the basic psychological needs of hemodialysis patients. It is necessary to develop nursing strategies and programs to reduce disease uncertainty and depression in order to increase self-deterministic health behavior through autonomy, competence and relationship satisfaction.

Relationship between Basic Pychological Needs and Psychological Burnout of Nurse: Mediation Effect of Positive Psychological Capital and Moderated Mediation Effect of Authentic Leadership (간호사의 기본심리욕구와 심리적 소진 간의 관계: 긍정심리자본의 매개효과와 진성리더십의 조절된 매개효과)

  • Cho, Young-Mun;jang, Kyoung-Hee
    • Journal of Digital Convergence
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    • v.18 no.11
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    • pp.319-328
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    • 2020
  • This study aimed to investigate the relationships between basic pychological needs, positive psychological capital, authentic leadership and psychological burnout of clinical nurses, and to identify the mediation effect of positive psychological capital and moderated mediation effect of authentic leadership. The participants were 182 clinical nurses at 5 general hospital located in M city from April 2020 to June 2020 by questionnaire survey. Data analysis was done by using SPSS WIN 23.0 program and SPSS PROCESS MACRO program(model 4 and model 7). This study shows that the basic psychological need had an negative effect on psychological burnout, and the mediating effect of positive psychological capital and the moderated mediating effect of authentic leadership were confirmed in the relationship between basic psychological need and psychological burnout. Therefore, in order to reduce psychological burnout of general ward nurses, it is necessary to develop strategy to improve basic psychological needs and positive psychological capital of nurses, and leadership program for authentic leadership of nurse managers.

CD Program Development Applied Logotherapy to Improve Quality of Life of Older School-age Children with Terminal Cancer (학령후기 말기 암 환아의 삶의 질 증진을 위한 의미요법 CD 프로그램 개발)

  • Kang, Kyung-Ah;Kim, Shin-Jeong;Song, Mi-Kyung
    • Journal of Hospice and Palliative Care
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    • v.11 no.2
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    • pp.82-90
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    • 2008
  • Purpose: The purpose of this study was to develop a CD program of applied logotherapy to improve the quality of life of older school-age children with terminal cancer. Methods: Keller's ARCS (Attention, Relevance, Confidence, Satisfaction) theory and a model for developing learning materials (Dick and Cray) were applied to develop this program which comprised four distinct phases: planning, developing, applying, and evaluation stages. Results: This program was entitled 'Finding treasures in my mind' and consisted of 5 sessions, and its educational contents were made up as follows: "Treasure One" is 'learning three natures of the human mind', "Treasure Two" is 'learning creative value as first method to find meaning of life', "Treasure Three" is 'learning experiential value as second method to find meaning of life', "Treasure Four" is 'learning attitudinal value as third method to find meaning of life', and "Treasure Five" is 'Becoming the master of my life'. The sub-menu was made up of 'Beginning', 'What is it?', 'Travelling'. 'Laughing Song', and 'End'. Conclusion: This CD program is an applied logotherapy with flash animation technique as an emotional and spiritual intervention program for easier and more scientific application in pediatric oncology and hospice area.

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Relationship Between Job stress and Job Satisfaction Among Nurses in General Hospitals (종합병원 간호사들의 직무스트레스와 직무만족도와의 관련성)

  • Lee, Hyun-Joo;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.8
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    • pp.5314-5324
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    • 2015
  • The present study was intended to measure the relationship between job stress and job satisfaction among nurses working for a general hospitals. The self-administered questionnaires were given to 312 nurses during the period from February 25 to March 16, 2013. As a results, the level of job satisfaction of subjects was significantly lower in high group than low group in job demand, but it was significantly lower in low group than high group in job control, supervisor support and coworker support. In correlations, job satisfaction were found to be in a negative correlation with job demand, whereas in positive correlation with job control, supervisor and coworker support. In logistic analysis, the odds ratio of job satisfaction on job demand were significantly increased in the high group than in low group, but job control supervisor and coworker support were significantly decreased in the high group than in low group. In hierarchial multiple regression analysis, the affecting factors to the job satisfaction was selected variables such as educational background, work station, subject satisfaction of work, career choice motives, turnover experience, job stress contents(job demand, job control, supervisor support and coworker support). especially, job stress contents was significantly increased of explanatory power of job satisfaction. It suggested that the level of job satisfaction got more power by addition of job stress contents.

Fever Phobia: A Survey of Children's Parents in a Pediatric Outpatient Clinic (소아청소년과 외래를 방문한 부모들의 발열공포와 관련 요인)

  • Choi, Ae-Ran;Kim, Jin Sun
    • Child Health Nursing Research
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    • v.20 no.2
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    • pp.113-122
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    • 2014
  • Purpose: Purposes of this study were to identify the level of parental fever phobia and to investigate the relationship between level of parental concern about fever and related variables. Methods: Participants were 151 parents of children who visited a pediatric outpatient clinic. A selfreported structured questionnaire was used for data collection and data were analyzed using descriptive statistics and ${\chi}^2$-test. Results: Almost half of participants defined a minimum temperature for fever as $37.8^{\circ}C$ and a minimum temperature for high fever as $38.9^{\circ}C$. About 75% of participants identified harmful effects of fever as seizure and brain damage, were 'very worried' about fever, measured their child's temperature every hour or less, provided tepid massage and woke children to give antipyretics during febrile illness. There were significant relationships between level of parental concerns about fever and prior experience of febrile seizures, and/or being parents of a single child. Conclusion: Results indicate that fever phobia is prevalent among parents. Further studies are needed to develop and evaluate childhood fever management educational programs for parents. Considering health care providers as a primary information resource about fever management, health care providers should play a vital role to reduce parental unrealistic concerns about fever.

A Convergence Study about Influences of Coaching Behavior Level and Emotional Intelligence on Organizational Effectiveness of Nurse (간호사의 코칭행동수준과 감성지능이 조직유효성에 미치는 영향에 대한 융합연구)

  • Kwon, Jeong-Ok;Lim, Sun-Young
    • Journal of the Korea Convergence Society
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    • v.8 no.7
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    • pp.63-73
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    • 2017
  • The purpose of this convergence study is to confirm the effects of nurses' coaching behavior level and emotional intelligence on organizational effectiveness. Subjects of study were 182 nurse in four general hospitals and they answer self-report questionnaire between March 2nd to March twenty three 2017. and date analyzed using the SPSS/WIN 21.0 program. As a result, coaching behavior level $3.28{\pm}0.42point$, Emotional Intelligence $3.27{\pm}0.45point$ and Organizational commitment $2.89{\pm}0.52point$, Job satisfaction $2.94{\pm}0.53point$, Turnover intention $3.24{\pm}0.56point$ among organizational effectiveness. Organizational commitment was positively correlated with coaching behavior level and emotional intelligence, significantly affecting Convergence Factors on organizational effectiveness were analysed into Experience preceptor(${\beta}=.25$, p=.001), Nursing satisfaction(${\beta}=.26$, p<.001), Coaching behavior level(${\beta}=.26$, p<.001) and the explanation ability was 25%. In order to enhance organizational commitment of nurse, the characteristics of the job is satisfied and if there is an intervention program that improve the level of coaching behavior, it is expected the effectiveness of the organization will be enhanced.

Development of a Cell Phone Addiction Scale for Korean Parents of Young Children (아동의 휴대전화 중독 사정을 위한 부모용 도구 개발)

  • Koo, Hyun-Young
    • Child Health Nursing Research
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    • v.19 no.1
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    • pp.29-38
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    • 2013
  • Purpose: This study was done to develop a cell phone addiction scale for Korean parents of young children, and to evaluate the reliability and validity of the developed scale. Methods: The scale was developed through construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. Participants were 465 parents and 178 children. Data were analyzed using item analysis, factor analysis, criterion related validity, internal consistency, and split-half reliability. Results: Twenty items were categorized into three factors explaining 60.3% of total variance. Factors were named as withdrawal - 4 items, loss of control - 9 items, and persistence - 7 items. Scores for the scale were significantly correlated with self-control, impulsiveness, cell phone use, and cell phone addiction of children as measured by a scale for Korean children. Cronbach's alpha coefficient for the 20 items was .94, and Guttman coefficient was .87. Scale scores identified children as high risk users, at risk users, or average users by standard scores. Conclusion: The results suggest that the cell phone addiction scale for Korean parents is a reliable and valid instrument to measure cell phone addiction in young children.

Pruritus in Burn Survivors (화상환자의 소양증 특성 조사)

  • Kim, Kyung Ja;Won, Mi Hwa
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.1
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    • pp.45-53
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    • 2016
  • This study examined pruritus to provide the data based on burn patient pruritus. A self-report questionnaire survey was conducted among ninety five burn survivors, who were over 18 years of age with admission periods longer than two weeks. The results indicated that the average burn range was $18.95{\pm}17.10%$, severity was $48.83{\pm}23.96$, and distress was $46.42{\pm}25.80$. A significant difference in pruritus consequences was observed according to frequency. The patients consistently experienced pruritus, even if it happened less often, difficulty in falling asleep (F=4.817, p=.004), poor mood (F= 5.955, p=.015)), and loss of concentration (F=6.483, p<.000). A significant difference in the pruritus consequences according to duration was observed, lasting for 30 minutes for all groups, more than the population and less than 30 minutes, difficulty in falling asleep (F=7.452, p<.000), poor mood (F=3.655, p<.015), and loss of concentration (F=12.564, p<.000). The frequency, duration (r=.29, p=.004), severity (r=.45, p<.000), distress (r=.44, p<.000), and consequences of pruritus in burn patients (r=.29, p=.004) showed a positive correlation. The results of this study could be used as a base material for the care of burn patients experiencing pruritus.

Explorations of Dating Violence Related Factors that Affect Professional Help-Seeking Attitudes of College Students (대학생의 데이트 폭력 관련 전문적 도움추구 태도 영향 요인)

  • Kim, Youngeun;Yoon, Mi-Sun;Lee, Hyun-Jung
    • Journal of Convergence for Information Technology
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    • v.11 no.10
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    • pp.258-269
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    • 2021
  • The purpose of this study was to explore relations between college students' dating violence perception and professional help-seeking attitudes and other factors that affect professional help-seeking attitude and their effect size. 508 students from a college in Chungcheong region responed to self-report questionnaires. Data were analyzed by Partial correlation coefficients and regression analysis using the SPSS 22.0 program. As a resullt, self-disclosure and anticipated utility on self-disclosure had positively effect on professional help-seeking attitudes. In contrast, violence perception, perceived social support, risk on self-disclosure and barriers to seeking help had negative effect on professional help-seeking attitudes. The total effect size was 46.1%, and the effect size of anticipated utility on self-disclosure was the largest, followed by risk on self-disclosure and barriers to seeking help. This study contributed to the broading of dating violence research topics and provided the directions to the endavour to increase the use of professional services among college students