• Title/Summary/Keyword: 4P's strategies

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Factors Influencing Adherence to Vestibular Rehabilitation Exercise Program in Patients with Dizziness (어지럼 환자의 전정재활 운동요법 이행과 관련요인: 건강신념변수를 중심으로)

  • Lee, Hyun Jung;Choi-Kwon, Smi
    • Korean Journal of Adult Nursing
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    • v.26 no.4
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    • pp.434-443
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    • 2014
  • Purpose: This study investigated the level of adherence to vestibular rehabilitation exercise program(VREP) and evaluated how health belief model (HBM) variables are related with adherence to VREP in patients with dizziness. Methods: The data were collected from 150 individuals, who agreed to participate in the study between December, 2012 and May, 2013. Adherence to VREP, severity of dizziness, health belief variables (health belief scale) and self-efficacy (self-efficacy scale) were measured. Results: The result of this study showed poor adherence to VREP. The mean adherence score to VREP was $2.11{\pm}1.05$ (1-5). In multivariate analysis, severity of dizziness (p<.001), taking sedative medication (p<.001), high self-efficacy (p<.001), high perceived seriousness (p=.019) & benefit (p=.036) were independent predicting factors explaining 57.7% of adherence to VREP. Conclusion: Adherence to VREP was poor among these patients. To improve the patient's adherence to VREP, strategies to increase perceived seriousness, benefit, or self-efficacy and to decrease barriers are urgently needed.

Relationship between Verbal Abuse Experience, Emotional Labor and Health-Promoting Behavior of Nurses in Small and Medium-Sized Hospitals (중소병원 간호사의 언어폭력 경험, 감정노동 및 건강증진행위와의 관계)

  • Cho, Jin-Young
    • Journal of Convergence for Information Technology
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    • v.11 no.4
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    • pp.211-219
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    • 2021
  • The purpose of this study is to investigate the level of verbal abuse experiences, emotional labor, and health-promoting behaviors of nurses in small and medium hospitals and to identify the relationship between them. Participants were 138 nurses from 2 small-medium sized hospitals. Collected data were analyzed using t-test, ANOVA, and Pearson's correlation coefficients with the SPSS 20.0 for Windows Program. As a result of the study, 82.7% of them experienced verbal abuse, and there were differences in the degree of health- promoting behavior according to gender (p=.032) and department (p=.009). Besides, it was found that emotional labor was related to health-promoting behavior (p=.039), and spiritual growth (p=<.01), and stress management (p=.028) as sub-factors. Accordingly, this study will be used as basic data for developing strategies and customized programs to reduce emotional labor, increase health-promoting activities, and contribute to the stable securing of nursing personnel.

Factors Influencing the Retention intention of Home visiting nurses with Long-term care insurance system in Korea: Focusing on Professionalism, Job satisfaction and Resilience (노인장기요양보험 방문간호사의 재직의도에 영향을 미치는 요인 : 전문직업성, 직무만족도, 회복탄력성을 중심으로)

  • Yoo, Jae Soon;Kim, Je Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.322-332
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    • 2019
  • This is a descriptive research study that aims to identify the effects of professionalism, job satisfaction, and resilience on the retention intention of home visiting nurses from the long-term care insurance system of Korea. Data were collected from self-administered surveys completed by 141 home visiting nurses of registered visiting-nursing institutions in the long-term care insurance database (April 1-May 31, 2019). Analyses were independent t-tests, one-way analysis of variance (ANOVA), the Scheffé test, Pearson's correlation analysis using SPSS/WIN 22.0, and multiple hierarchical regression analyses. Results showed that the mean professionalism score was 3.51/5, 3.27/5 for job satisfaction, 3.79/5 for resilience, and 4.04/5 for retention intention. A positive correlation existed between retention intention and professionalism (r = .272), job satisfaction (r = .201), and resilience (r = .530). The final regression model showed that resilience (β = .455, p < .001) and job satisfaction (β = .175, p = .016) significantly affect retention intention. The variables' model explanation power was 32.0% (F = 11.968, p < .001). The results show the need for strategies to improve resilience, followed by strategies to improve job satisfaction to increase the retention intentions of these home visiting nurses.

An explanatory model of quality of life in high-risk pregnant women in Korea: a structural equation model

  • Mihyeon Park;Sukhee Ahn
    • Women's Health Nursing
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    • v.29 no.4
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    • pp.302-316
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    • 2023
  • Purpose: This study aimed to develop and validate a structural model for the quality of life (QoL) among high-risk pregnant women, based on Roy's adaptation model. Methods: This cross-sectional study collected data from 333 first-time mothers diagnosed with a high-risk pregnancy in two obstetrics and gynecology clinics in Cheonan, Korea, or participating in an online community, between October 20, 2021 and February 20, 2022. Structured questionnaires measured QoL, contextual stimuli (uncertainty), coping (adaptive or maladaptive), and adaptation mode (fatigue, state anxiety, antenatal depression, maternal identity, and marital adjustment). Results: The mean age of the respondents was 35.29±3.72 years, ranging from 26 to 45 years. The most common high-risk pregnancy diagnosis was gestational diabetes (26.1%). followed by preterm labor (21.6%). QoL was higher than average (18.63±3.80). Above-moderate mean scores were obtained for all domains (psychological/baby, 19.03; socioeconomic, 19.00; relational/spouse-partner, 20.99; relational/family-friends, 19.18; and health and functioning, 16.18). The final model explained 51% of variance in QoL in high-risk pregnant women, with acceptable overall model fit. Adaptation mode (β=-.81, p=.034) and maladaptive coping (β=.46 p=.043) directly affected QoL, and uncertainty (β=-. 21, p=.004), adaptive coping (β=.36 p=.026), and maladaptive coping (β=-.56 p=.023) indirectly affected QoL. Conclusion: It is essential to develop nursing interventions aimed at enhancing appropriate coping strategies to improve QoL in high-risk pregnant women. By reinforcing adaptive coping strategies and mitigating maladaptive coping, these interventions can contribute to better maternal and fetal outcomes and improve the overall well-being of high-risk pregnant women.

Correlation between Depression and Spiritual Health in Women with Cancer (여성암 환자의 영적 건강과 우울의 관계)

  • Tae, Young-Sook;Kim, Mi-Yea
    • Asian Oncology Nursing
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    • v.7 no.2
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    • pp.169-178
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    • 2007
  • Purpose: This study was to identify the relationship between depression and spiritual health in patients suffering from female cancer. Methods: The study utilized a cross-sectional descriptive study design. Data was collected by questionnaires from 106 female patients who were diagnosed with cancer of female organs at three university hospitals and one general hospital. The instruments used in this study included, "the Depression Scale" developed by Zung(1965) and "Spirituality Health Inventory" developed by Highfield(1992) and amended by Kim. The collected data were analyzed using frequency, percentage, t-test, ANOVA, and Pearson's correlation coefficients. Results: There was significantly negative correlation between spiritual health and depression in female cancer patients (r= -.65, p< .0001). There were significant differences in spiritual health according to the monthly income (F=4.30, p= .016), the degree of pain (F=2.85, p= .041), the degree of fatigue (F=3.42, p= .020), the frequency of attendance at worship services (F=3.26, p= .014), the effect of religion on personal life (F=9.41, p= .000). There were significant differences in depression, according to the residence type (F= .75, p= .012), the cancer insurance (t=7.86, p= .006), the degree of pain (F=2.78, p= .045). Conclusions: There is a necessity to develop strategies to improve the spiritual health and to reduce depression in female cancer patients. The significant several characteristics related to depression and spiritual health should be considered in psychsocial nursing intervention of female cancer patients.

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Influence of Moisture, pH, Depth of Burial and Submerged Conditions on Seed Germination and Seedling Emergence of Major Weed Species in Coconut Plantations of Sri Lanka

  • Senarathne, S.H.S.;Sangakkara, U.R.
    • Korean Journal of Weed Science
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    • v.30 no.3
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    • pp.206-214
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    • 2010
  • The laboratory and green house studies evaluated the effect of three different environmental factors on the seed germination, seedling emergence and survival of four major weed species in coconut plantations, Mimosa pudica, Ureana lobata, Panicum maximum and Pennisetum polystachyon. Germination percentage of all the weed species was significantly reduced with increasing soil moisture stress, no germination was observed at -0.9 MPa. Germination of both grass seeds ranged from 8% to 25% and 10% to 45% as moisture stress decreased from -0.4 MPa to 0 MPa, respectively. In contrast, seeds of M. pudica, and U. lobata were moderately tolerant to soil moisture stress and best adapted to moist environment. All the weed species seeds germinated over a wide range of soil pH values with the highest germination occurring at pH 6. In all the species, seedling emergence was declined rapidly with increasing depth with the exception of U. lobata. Seedling emergence significantly declined when the duration of flooding was three days or longer in dicotyledonous weed species and two days or longer in monocotyledonous weeds. This study illustrates the adaptability of these weeds to different environmental conditions which would enable the development of management strategies to reduce their populations below economic threshold levels in coconut plantations.

Intraoperative Cerebrospinal Fluid Leak in Extradural Spinal Tumor Surgery

  • Ropper, Alexander E.;Huang, Kevin T.;Ho, Allen L.;Wong, Judith M.;Nalbach, Stephen V.;Chi, John H.
    • Neurospine
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    • v.15 no.4
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    • pp.338-347
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    • 2018
  • Objective: Patients with extradural spine tumors are at an increased risk for intraoperative cerebrospinal fluid (CSF) leaks and postoperative wound dehiscence due to radiotherapy and other comorbidities related to systemic cancer treatment. In this case series, we discuss our experience with the management of intraoperative durotomies and wound closure strategies for this complex surgical patient population. Methods: We reviewed our recent single-center experience with spine surgery for primarily extradural tumors, with attention to intraoperative durotomy occurrence and postoperative wound-related complications. Results: A total of 105 patients underwent tumor resection and spinal reconstruction with instrumented fusion for a multitude of pathologies. Twelve of the 105 patients (11.4%) reviewed had intraoperative durotomies. Of these, 3 underwent reoperation for a delayed complication, including 1 epidural hematoma, 1 retained drain, and 1 wound infection. Of the 93 uncomplicated index operations, there were a total of 9 reoperations: 2 for epidural hematoma, 3 for wound infection, 2 for wound dehiscence, and 2 for recurrent primary disease. One patient was readmitted for a delayed spinal fluid leak. The average length of stay for patients with and without intraoperative durotomy was 7.3 and 5.9 days, respectively, with a nonsignificant trend for an increased length of stay in the durotomy cases (p=0.098). Conclusion: Surgery for extradural tumor resections can be complicated by CSF leaks due to the proximity of the tumor to the dura. When encountered, a variety of strategies may be employed to minimize subsequent morbidity.

Relationships between Nursing Students' Knowledge on Dementia, Care Performance and Empathy (간호대학생의 치매에 대한 지식, 돌봄 이행 및 공감과의 관계)

  • Jang, Hyun-Jung;Lim, Dong-Young
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.2
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    • pp.521-531
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    • 2021
  • This study was conducted to examine the relationships between nursing students' knowledge on dementia, care performance, and empathy, thus providing the foundation of dementia patient nursing intervention strategies for nursing students. For the analysis to examine the relationships, this study used descriptive statistics, t-test, ANOVA, Scheffé test, and Pearson's correlation coefficient. The analysis showed that the higher students' year of study and the higher their interest in dementia (F=5.02, p=.008), the higher their knowledge on dementia (t=-4.03, p<.001), and also that the higher their satisfaction with clinical training (F=3.91, p=.023), the higher their care performance. It was found that nursing students' knowledge on dementia and their care performance (r=.21, p=.023) were positively correlated at a statistically significant level. Based on the results, this study suggests the need to develop and utilize education programs that can help students gain knowledge on dementia prior to clinical training so that they can have more knowledge on dementia and be encouraged to practice caring for patients with dementia.

A Study on Consumer's Response Depending on Congruent . Incongruent Shopping Situation -Focusing on the comparison of online shopping mall and off-line department store- (조화ㆍ부조화 쇼핑상황에서의 소비자 반응에 관한 연구 -온라인 인터넷쇼핑몰과 오프라인 백화점의 비교를 중심으로-)

  • 김원겸;김형순;박주영
    • Journal of Distribution Research
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    • v.8 no.2
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    • pp.1-18
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    • 2003
  • This study has tried an integrated approach toward consumer response difference between the online internet shopping mall and the off-line department store focusing on the moderating role of shopping value according to shopping situation. This study has analyzed consumer behavior differences between online and off-line channel formats in one framework and identified differences in consumer behaviors between the two channel formats. Managerial implications of this paper include measuring the effects of the integration of online and off-line channel and developing multichannel strategy. This paper suggests marketers to develop channel strategies based on customer segmentation criteria reflecting different consumer shopping value between online and off-line channel formats rather than developing strategies based only on the conventional marketing mix.

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A Study on Quality Improvement of Korean Restaurants Perceived by Workers for the Globalization of Korean Food (한식당 종사자가 인식하는 한식 세계화를 위한 한식당 품질개선 방안)

  • Yi, Na-Young;Lee, Ju-Yeon;Kwak, Tong-Kyung
    • Korean journal of food and cookery science
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    • v.31 no.1
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    • pp.72-82
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    • 2015
  • The purpose of this study was to investigate workers' perception on the quality improvement of Korean restaurants for the globalization of Korean food. A total of 342 workers at Korean restaurants in Seoul and Gyeonggi province were surveyed using a self-administrated questionnaire. Excluding responses with significant missing data, 250 responses were used for data analysis. In terms of the improvement of service quality attributes, the 'sanitation management (4.51)' category received the highest score, followed by 'service skill (3.93)', 'menu development (3.90)', 'serving method (3.88)', 'facility and ambiance (3.84)', and 'food taste (3.40)'. There were significant differences of workers' perception on the improvement of service quality which were 'menu development (p<0.01)', 'service skill (p<0.001)', 'facility and ambiance (p<0.001)', and 'sanitation management (p<0.01)' by restaurant operation type, and 'service skill (p<0.001)' and 'facility and ambiance (p<0.001)' by workers' position. The mean score of each service quality category showed that Korean restaurants managed by a franchisor were ranked the highest. In each service quality category, the items which showed the highest scores for the improvement were 'developing the finest cuisine (4.08)', 'providing food seasoning according to customer requests (3.70)', 'proving ladles, tongs, and extra plates which enable customers to take as much food as they want (4.12)', 'staff's ability to explain menu (4.08)', 'using tableware appropriate to each dish (4.03)', 'sanitary management of the provided tableware (dishes, spoons and knives) (4.57)', and 'thorough toilet management (4.57)'. This research suggests that Korean restaurants need to improve service quality to globalize Korean food, and the strategies for service quality management should be developed to be applied to each restaurant operation type.