• Title/Summary/Keyword: Adaptation Strategies

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Role Adaptation Processes of Family Caregivers with Patients Transferred from Intensive Care Unit to General Ward: Becoming almost a Nurse with Hope and Fear (중환자실에서 일반병동으로 전실하는 환자 가족 돌봄제공자의 역할 적응 과정: 희망과 두려움 속에서 반(半)간호사 되어가기)

  • Kwon, Heui-Kyeong;Song, Misoon
    • Korean Journal of Adult Nursing
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    • v.26 no.6
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    • pp.603-613
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    • 2014
  • Purpose: The purpose of this study was to explore and identify the role adaptation processes of family caregivers with patients transferred from intensive care unit to general ward. Methods: Using a grounded theory methodology, in-depth individual interviews were conducted. Data were collected from 11 participants. The participants were asked about their experiences of role adaptation considering situational contexts and interactional strategies. Transcribed data and field notes were analyzed using constant comparative analysis. Results: The core category was 'becoming almost a nurse with hope and fear'. The identified phenomena by the participants were the joy of being alive, having hope for a full recovery, anxiety and fear of uncertain future, feeling burdensome on a given role. The results included both role adaptation and mal-adaptation of caregivers. Conclusion: The role adaptation processes of family caregiver with patients transferred from intensive care unit to general ward can be explained as becoming almost a nurse with hope and fear. The findings of the study provided fundamental information for developing programs to support the given family caregivers for successful role adaptation.

Mediating Effect of Self-identity on the Relationship between Aggression and School Life Adaptation of Early Adolescent in Single Parent Families (한부모가정 초기 청소년의 공격성이 자아정체성을 매개로 학교생활적응에 미치는 영향)

  • Jun, Soo-Young
    • The Journal of Korean Society for School & Community Health Education
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    • v.19 no.2
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    • pp.31-42
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    • 2018
  • Objectives: This study was conducted to analyze the mediating effect of self-identity on the relationship between aggression and school life adaptation of early adolescents. Methods: This study used the 5th-year data of the Korean Children & Youth Panel Survey (KCYPS) including 159 middle school 2nd students from single-parent families. The data was analyzed with open source statistics program R 3.5.0 to determine whether self-identity had a mediating effect on school life adaptation as an independent variable. Results: A moderate correlation was found among aggression, self-identity, and school life adaptation. As a result of the Sobel test, self-identity of early adolescents demonstrated a significant mediating effect on the relationship between aggression and school life adaptation. Conclusions: Given the significant mediating factor of self-identity, the strategies for early adolescents to boost their overall school life adaptation should be considered through intervention programs that help to enhance their self-identity.

The influence of adaptation of dental hygiene students to campus life on satisfaction in major (치위생학과 학생의 대학생활 적응 정도가 학과 만족에 미치는 영향)

  • Lee, Sun-Mi;Lee, Jung-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.3
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    • pp.281-290
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    • 2021
  • Objectives: The purpose of this study was to identify the degree of adaptation of dental hygiene department students to campus life, and to provide basic data to prepare management strategies for effective campus life adaptation. Methods: Three hundred students in the department of dental hygiene in Busan Metropolitan City and Gyeonggi Province were surveyed from October 1 to October 30, 2020 and 291 questionnaires were used in the final data analysis. Results: Better adaptation to campus life was observed in subjects who participated in club activities, possessed an extrovert personality, were well adapted to the dental hygiene department, and had no conflict in interpersonal relationships, thereby showing a significant difference. Regarding the factors affecting the degree of satisfaction with the department, the higher the degree of satisfaction in the major, excellence in major, and coping ability, the higher was the degree of satisfaction with the department. Conclusions: For effective campus life adaptation of the university students as a way to increase the degree of satisfaction with the department, increasing the ability to adapt to campus life through achievement of pride in the major and participation in various interpersonal activities is a possibility. It is necessary to develop a program to create an environment for good adaptation to campus life.

Stress and Adaptation in Family with Physical Disabled Children (신체적 장애아 가족의 스트레스와 적응 과정에 관한 고찰)

  • 양숙자
    • Journal of Korean Academy of Nursing
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    • v.29 no.2
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    • pp.238-247
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    • 1999
  • The purpose of this study was to describe the relationship between family stress and adaptation in families with a disabled child through literature review using McCubbin's Double ABCX family crisis framework. The literature review focused on (1) family stress and factors affecting family stress, (2) the critical individual, familial and social resources which families acquire and employ over time in managing crisis situation. (3) the changes in definition and meaning families develop in an effort to make sense out of their predicament. (4) the coping strategies families employ. and (5) the range of outcomes of these family efforts The results showed that families reported financial difficulties and the burden of care-giving demands as major family stressors. Siblings of disabled children manifested depressive symptoms and social isolation. but was not consistent study results. The parents' views of the cause of the disabling condition fundamentally affected their behavior toward their disabled child. Especially. the fathers' views of the child's characteristics made the greatest contribution to positive changes in the mothers' perceptions. The term perceived social support refers to the cognitive appraisal by individuals that they are cared for and valued, that significant others are available to them if needed, and that they are satisfied with their interpersonal relationships. The perceived social support was more protective than social support source. network size and network density. Parental adaptation was found to be related to the child's communication competence rather than family coping strategies proposed by Lazarus and Folkman. One study results showed that there was no difference in depressive symptoms and physical health between mothers with a disabled child and those without all though mothers with a disabled child had negative attitudes and perceived themselves as having significantly less social support and lower family functioning. But a longitudinal study revealed decreases in the negative impact of the child and increases in sibling and overall family adaptation.

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A Grounded-theory Approach to the Process of Life Adaptation in Women with Cervical Cancer (자궁경부암 여성의 삶의 적응에 관한 근거이론적 접근)

  • Lee, Sook-Hee;Kim, Jeung-Im;Lee, Hae-Kyung;Kang, Nam-Mi;Kim, Hae-Won;Lee, Eun-Hee;Hur, Myung-Haeng;Park, Young-Sook
    • Women's Health Nursing
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    • v.10 no.1
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    • pp.32-41
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    • 2004
  • Purpose: The purpose of this study was to explore and describe the process of life adaptation in women with cervical cancer. Method: A grounded theory method with guided data collection and analysis was used. Fifteen women with cervical cancer who had some kind of treatment at the hospital were asked open-ended and descriptive questions with a guideline. All interviews were tape-recorded and transcribed verbatim. Result: The core category that emerged from the comparative analysis was "overcoming cancer" named as a process of life adaptation in the participants. The process of overcoming cancer evolved three stages - "admitting reality", "attempting health-care" and "continuing health-care". Depending on the paradigm model, the central phenomena of the experiences was "powerlessness". The internal factors motivating women to overcome cancer were "denial of cancer" and "desire for life". Strategies of overcoming cancer included "living as a cancer patient," "selective food eating," "steady exercising," "getting rid of stress," and "preparing for death". The intervening conditions, "supportive system," "forms of life," and "burden on family," influenced overcoming cancer. Conclusion: The results of this study could help clinical nurses to understand life adaptation in cervical cancer patients and establish efficient coping strategies in dealing with the problems they face.

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The Mediating Effect of Depression in the Impact of Cultural Adaptation Stress on School Life Adaptation of Multicultural Adolescents: Searching for Converged Intervention Strategies (다문화가정 청소년의 문화적응 스트레스가 학교생활적응에 미치는 영향에서 우울의 매개효과: 융합적 대응방안 모색)

  • Ann, Hye-Woo;Um, Myung-Yong
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.297-310
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    • 2020
  • The current study examined whether multicultural students' depression level mediated between cultural adaptation stress and school life adaptation in South Korea. A total of 1,329 students in the sixth year (2016) of the National Youth Policy Institute (NYPI) 's multicultural youth panel data were analyzed using regression analysis. The main results of the study are as follows. First, cultural adaptation stress of adolescents in multicultural families had a direct influence on school life adaptation. Second, depression partly mediated between cultural adaptation stress and school life adaptation. These findings have major implications for policies and interventions in regard to cultural adaptation stress and school life adaptation of the youth in multicultrual families.

A Grounded Theory Approach on Peoples' Adaptation Experience with Fibromyalgia Syndrome (섬유근통증후군 환자의 질병 적응경험에 관한 근거이론 연구)

  • Jeong, Chu-Yeong;Kim, Myung-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.381-393
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    • 2016
  • This was a qualitative study to explore and better understand the adaptation experience and processes of peoples with fibromyalgia syndrome (FMS), as well as to develop a substantive theory using the grounded theory method. There were 13 patients (12 females and 1 male) who received FMS treatment from Rheumatic Medicine outpatient department of one general hospital. The data were collected through an in-depth interview between January and May of 2014. Transcribed interview contents were analyzed by the grounded theory method of Corbin and Strauss (2008). As a result, a total of 98 concepts, 26 sub-categories, and 10 categories were identified through the open coding process. The process of adaptation experience showed 4 steps: perception of uncertainty and limited condition, evaluation of self-control possibility and determinations of expectations of life, searching and trying of strategies, as well as self-regulation. The 4 types of adaptation experience were expansionary, complacently, effusively and withering. The 'protective self-regulation' theory was derived from the core category of 'learning to self-regulation method'. Patients with FMS has repeatedly attempted these strategies of protective self-regulation in order to gain stability from uncertainty and limited condition of the disease. Based on these results, it is necessary to develop an educational program for patients and families which has appropriate nursing intervention strategies in accordance with the types of adaptation.

Influence of Positive Thinking and Self-esteem on School Adjustment of Freshmen in a Nursing Department (간호학과 신입생의 긍정적 사고, 자기효능감이 학교생활 적응에 미치는 영향)

  • Kim, Su-Ol
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.1
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    • pp.72-79
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    • 2018
  • Purpose: The purpose of this study was to investigate the effects of positive thinking and self-esteem on school adaptation among freshmen in a nursing department. Methods: Data were collected by questionnaires from 172 nursing students in the month of December 2017. The collected data were analyzed using descriptive statistics, an independent t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Results: A positive correlation was found for school adaptation with positive thinking and self-esteem. Positive thinking, self-esteem, major satisfaction and interpersonal relationships were all significant predictors of school adaptation. The model explained 43.6% of the variables. Conclusion: The results of this study suggest that positive thinking should be considered when developing strategies to increase school adaptation among freshmen in nursing departments.

Study on Plans for the Establishment of Strategy on Climate Change Adaptation in Korea (국가 기후변화 적응 전략 수립 방안에 관한 연구)

  • Kwon, Won-Tae;Baek, Hee-Jeong;Choi, Kyung-Cheol;Chung, Hyo-Sang
    • Atmosphere
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    • v.15 no.4
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    • pp.213-227
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    • 2005
  • The global mean surface temperature has already increased by $0.6{\pm}0.2^{\circ}C$ over the last century, and warming in Korea is approximately twice as large as the global average. The Intergovernmental Panel on Climate Change (IPCC) has concluded that the majority of warming over the past 50 years could be attributed to human activities (IPCC, 2001a). In addition, the global surface temperature is expected to increase by 1.4 to $5.8^{\circ}C$ depending on the greenhouse gas emission scenarios during the $21^{st}$ century.Climate change resulting from increased greenhouse gas concentrations has the potential to harm societies and ecosystems. Reductions in emissions of greenhouse gases and their concentration in the atmosphere will reduce the degree and likelihood of significant adverse conditions due to the anticipated climate change. Mitigation policy has generally been the primary focus of public attention and policy efforts on climate change. However, some degree of climate change is inevitable due to the combination of continued increases in emissions and the inertia of the global climate system. Adaptation actions and strategies are needed for a complementary approach to mitigation. The United Nations Framework Convention on Climate Change (UNFCCC) currently addresses vulnerability and adaptation in the context of climate change negotiations and in future adaptation may be an important element of work under the Kyoto Protocol. There are several on-going programs to develop effective adaptation strategies and their implementation. But in general, many other countries are still on an initiating stage. The climate change science programs of the United States, Japan, England, and Germany are initiated to understand the current status of climate change science and adaptation researches in the developed countries. In this study, we propose the improvement on systems in policy and research aspects to effectively perform the necessary functions for development of nation-wide adaptation measures and their implementation. In policy aspect, the Korean Panel on Climate Change (KPCC) is introduced as a coordinating mechanism between government organizations related with climate change science, impact assessment and adaptation. Also in research aspect, there is a strong consensus on the need for construction of a national network on climate change research as trans-disciplinary research network.

Experience of Role Adaptation from Nurse to Member of the Nursing Faculty (간호사에서 교수로의 역할적응 경험)

  • Park, Kwang-Ok;Kim, Jong Kyung;Yu, Mi
    • Journal of Korean Academy of Nursing
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    • v.46 no.2
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    • pp.168-182
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    • 2016
  • Purpose: The purpose of this qualitative study was to evaluate the experience of role adaptation from nurse to member of the nursing faculty. Methods: Data were collected from 13 members of a nursing faculty through in-depth interviews. The main question asked was "Could you describe your experience from being a nurse to becoming a member of the nursing faculty?" Qualitative data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology. Results: The core experiential category of role adaptation from nurse to member of the nursing faculty was 'striving for survival from culture shock'. The participants used the following three interactional strategies: 'recognizing everything and entering the school environment', 'self-reflection on being a professor and integration of experiences', and 'finding a way of adapting'. Conclusion: The participants tried to adapt to life as a professor and reflected on and integrated their experiences into their new life on the faculty. College faculty need to understand the impact of changes and challenges faced by new professors during role adaptation and to support this adaptation through mentorship and organized orientation programs.