• Journal of Korean Critical Care Nursing
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• v.17 no.1
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• pp.1-16
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• 2024

Purpose : This study aimed to explore and describe intensive care unit (ICU) nurses' experience of clinical adaptation. Methods : The participants were 14 ICU nurses with more than two years of working experience in the ICU. Data were collected through in-depth individual interviews conducted between July and October 2021. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using the Strauss and Corbin method. Results : A total of 79 concepts, 37 subcategories, and 16 categories were identified through open coding. Axial coding based on the paradigm model revealed that the central phenomenon was "The harsh adversity faced in the nursing field where life and death are determined" and the core category was "Enduring the adversity of caring for critically ill patients and achieving self-realization." ICU nurses' clinical adaptation process was explained in five phases: "confrontation period," "turbulent period," "seeking period," "struggling period," and "stabilized period." The five phases that affect interventional conditions were "Support from reliable people," "Recognition of administrative and financial support." Conclusion : This study provided novel insights for a comprehensive understanding of ICU nurses' clinical adaptation processes. Furthermore, the findings are expected to be used as basic data to develop multifaceted strategies to help ICU nurses' adaptation to critical care.

• Journal of the Korean Society of Food Culture
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• v.35 no.3
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• pp.265-277
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• 2020

This study was conducted to investigate dietary adaptations and use of university foodservice in Korea according to the religion of international students. The survey was conducted from April to June in 2017 and included 609 subjects studying at a university in Busan. Muslims showed the highest percentage of eating three meals per day (42.4%) but the highest rate of eating unbalanced meals (64.7%) and midnight meals (41.8%). The most frequent problematic eating habit among Buddhists was irregular mealtimes (46.0%). Adaptation frequency to Korean diet was lowest among Muslims and highest among Christians. Securing halal foods was difficult for Muslims in Korea, and demand for halal foods as a school restaurant menu was high. The response rate for experiencing Korean food at university foodservice was highest among Christians (79.7%) and lowest among Muslims (45.3%). The main reason for not using university foodservice for Muslims was "no menu to eat" for religious reasons, and other religious groups cited "lack of menu variety." Preferred types and recipes of meats, fish, and vegetables also showed significant differences according to religion. As a result, efforts should be made to increase adaptation to life abroad in Korea, including changes in university foodservice management, considering the religious characteristics of international students.

• Journal of Korean Academy of Nursing
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• v.45 no.6
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• pp.868-878
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• 2015

Purpose: The aim of this study was to verify psychosocial issues faced by psychiatric and community mental health nurse practitioners (PCMHNP) working in community mental health centers, and to identify the adaptation processes used to resolve the issues. Methods: Data were collected through in-depth interviews between December 2013 and August 2014. Participants were 11 PCMHNP working in community mental health centers. Analysis was done using the grounded theory methodology. The first question was "How did you start working at a community mental health center; what were the difficulties you faced during your employment and how did you resolve them?" Results: The core category was 'regulating within relationships.' The adaptation process was categorized into three sequential stages: 'nesting,' 'hanging around the nest,' and 'settling into the nest.' Various action/interaction strategies were employed in these stages. The adaptation results from using these strategies were 'psychiatric nursing within life' and 'a long way to go.' Conclusion: The results of this study are significant as they aid in understanding the psychosocial adaptation processes of PCMHNP working in community mental health centers, and indicate areas to be addressed in the future in order for PCMHNP to fulfill their professional role in the local community.

• Journal of Korean Academy of Nursing
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• v.46 no.2
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• pp.271-282
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• 2016

Purpose: This study was done to explore adaptation experience of living kidney donors after donation. Specific aims were to identify challenges donors face in the process of adaptation following surgery and how they interact with recipients and other people. Methods: Grounded theory methodology was utilized. Participants were 13 living kidney donors at six months or more after donation. Data were collected by in-depth interviews with individual participants. Data were analyzed using constants comparative method with theoretical saturation. Results: A core category emerged as 'keeping the fences of my family in spite of vulnerability'. The adaptation process after donation was manifested in four phases: exploration, balance, maintenance, and acclimatization. Phenomenon was perception of vulnerability. Strategies to manage the vulnerability were assessing changes of body awareness, tailoring regimen to one's own body condition, coping with health problems, keeping restoration of health, and ruminating on the meaning of one's kidney donation. Consequences were reestablishing family well-being, realizing the values of one's kidney donation, and living with uncertainty. Conclusion: Findings of the study indicate that there is a need for health professionals to understand the vulnerability of living kidney donors and help their family system maintain a healthy and productive life. The results of this study can be used to develop phase-specific, patient-centered, and tailored interventions for living kidney donors.

• Journal of Families and Better Life
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• v.23 no.5 s.77
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• pp.39-51
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• 2005

This study aims at investigating the adaptation process of the mothers of autistic children. A qualitative research method was adopted for this study: in-depth interviews were conducted using semi-structured questionnaires, then the transcribed interviews were analyzed to sort out patterns of adaptation and social support. Major results of the study are as follows: First the interviewees had common processes and patterns in their experiences and went through similar emotional and psychological processes. More specifically, most of the interviewees went through the stages of denial and isolation, anger, bargaining, depression, and acceptance. However, the interviewees did not experience the stages in the exact sequence, as the stages sometimes would repeat, or would overlap one with another, Second, the data showed that many of the mothers of autistic children could not obtain the social support that they acutely needed Also, it was found that when adequate social support was provided, it relieved the stress of the interviewees, improved their adaptation, reduced the negative effects of crises or changes in the family, and further strengthened the solidarity of the family.

• Journal of Families and Better Life
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• v.24 no.4 s.82
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• pp.1-10
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• 2006

The main purpose of this study was to identify a typology of career decision status by using the quadrants formed by the decidedness and comfort scale and to examine the differences in career maturity and college adaptation using that typology. We gathered data from a total of 789(237 male, 552 female) students from a middle-sized university in Jollanam-do completed a Career Decision Profile(CDP), a Career Maturity Inventory(CMI) and the Student Adaptation to College Questionnaire(SACQ). We found that 29.5% of students were categorized as decided-comfortable, 36.4% were decided-uncomfortable, 6.9% were undecided-comfortable, and 27.3% were undecided-uncomfortable. ANOVA indicated that there were significant differences in the reasons dimension of COP, career maturity and college adaptation as a function of career decision status categories. In general, decided-comfortable students showed the highest scores while undecided-uncomfortable students showed the lowest scores in all scales. Only in the Career Choice Importance scale did undecided-comfortable students showed the lowest scores.

• Child Health Nursing Research
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• v.23 no.2
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• pp.238-248
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• 2017

Purpose: The main purpose of this study was to explore the adaptation experience of adolescent cancer survivors during and after cancer treatment, and their perceived social support networks. Methods: This study was a qualitative descriptive study using the in-depth interview. Eight adolescent cancer survivors who were diagnosed with cancer between 11 to 18 years old participated in the study. Results: The adaptation experiences of adolescent cancer survivors over time were identified within five categories for during their treatment such as "being catapulted from one's life," "standing at the center of discomfort," "falling behind the line," "accepting the change," "being developed", and another five categories for after the treatment including "being shackled," "encountering the forgotten reality," "overcoming and emerging from the reality," "growing into adulthood," "entering into a new orbit." Participants reported the various members of their social support network and their roles during and after the treatment as well. Conclusion: While adolescent cancer survivors adjusted to their changing situations after the cancer diagnosis, their internalized adaptation, as well as perceived social support from their diverse surrounding network, played significant roles. These findings will become a valuable asset for developing age-appropriate nursing interventions to promote psychosocial adjustment of adolescents with cancer.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.11
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• pp.364-374
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• 2020

This paper describes the experience of the dietary adaptation of patients undergoing peritoneal dialysis due to end-stage renal failure by identifying the meanings and structure of the experience. In the research method, the data from nine patients were collected using individual in-depth interviews and analyzed using Colaizzi's phenomenological method. The experience of the dietary adaptation of participants undergoing peritoneal dialysis was organized into four theme-clusters and 15 themes. These four theme-clusters were characterized as follows: 'the double sufferings of peritoneal dialysis process and dietary adaptation', 'vague and ambiguous diet management', 'the hardship of diet management felt by experiencing diet using one's body', and 'realizing the importance of diet management with peritoneal dialysis, resetting one's goal in life'. This paper describes the dietary adaptation process experienced by peritoneal dialysis patients was a process of adhering to a better life, even though it was the double sufferings of peritoneal dialysis process and dietary adaptation. In conclusion, the findings in this study provide a deep understanding of the lived experience of the dietary adaptation in peritoneal dialysis patients and should help in the development of tailored diet interventions for patients on peritoneal dialysis.

• Journal of Microbiology and Biotechnology
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• v.15 no.4
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• pp.831-837
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• 2005

Low-temperature adaptation and cryoprotection were studied in Leuconostoc mesenteroides SYl, a strain isolated from Kimchi. L. mesenteroides SY1 cells grown in exponential growth phase at $30^{\circ}C$ were exposed to $15^{\circ}C,\;10^{\circ}C$, and $5^{\circ}C$ for 2, 4, and 6 h, respectively, and then frozen at $- 70^{\circ}C$ for 24 h. Survival ratio was measured after the cells were thawed. The freezing-thawing cycles were repeated four times. Preadapted cells survived better than non-adapted control cells, and the highest survival ratio ($96\%$) was observed for cells preadapted for 2 h at $5^{\circ}C$, whereas control cells showed only $22\%$. The 2D gel showed that two proteins (spots A and B) were induced in cells preadapted at lower temperatures. Spots A and B have the same molecular weight (7 kDa), but the pI was 4.6 for spot A and 4.3 for spot B. The first 29 and 15 amino acid sequences from spots A and B were determined, and they were identical, except for one amino acid. A csp gene was cloned, and nucleotide sequencing confirmed that the gene encoded spot A cold shock protein.

• Journal of Digital Convergence
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• v.15 no.6
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• pp.513-523
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• 2017

The purpose of this study is to examine how career decision-making self-efficacy and ego-resilience of college students after military service influence college life adjustment. For this purpose, the questionnaire was administered to 234 male college students who returned to the four-year university in Jeonbuk area. The collected data were analyzed by correlation analysis and hierarchical regression using SPSS 18.0. As a result of examining the correlation between each variables, the subscale adaptation of college life adjustment and university environment adaptation showed a positive correlation with the goal selection of career decision self-efficacy and optimistic attitude of ego-resilience. Future plan of career decision-making self-efficacy, optimistic attitude of ego-resilience and personal-emotional adaptation of college life adaptation showed a positive correlation between self-evaluation of career decision self-efficacy and self-resilience confidence. As a result of hierarchical regression analysis, it was found that ego-resilience had more influence on college life adjustment than career decision self-efficacy. The limitations of this study were discussed along with the significance of this study, which was revealed through data collection only for students who came back after military service.