• 대한불안의학회:학술대회논문집
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• 2005.10a
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• pp.64-79
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• 2005

• Journal of Korean Academy of Nursing
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• v.49 no.4
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• pp.411-422
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• 2019

Purpose: The purpose of this study was to adapt, modify, and validate the Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale ($NASC-CDM^{(c)}$) for Korean nursing students. Methods: Participants were 183 nursing students with clinical practice experience in two nursing colleges. The construct validity and reliability of the final Korean version of the $NASC-CDM^{(c)}$ were examined using exploratory and confirmatory factor analyses and testing of internal consistency reliability. For adaptation and modification, the instrument was translated from English to Korean. Expert review and a cross-sectional survey were used to test the instrument's validity. Results: The Korean version of the $NASC-CDM^{(c)}$ (KNASC-CDM) was composed of 23 items divided into four dimensions: (i) Listening fully and using resources to gather information; (ii) Using information to see the big picture; (iii) Knowing and acting; and (iv) Seeking information from clinical instructors. The instrument explained 60.1% of the total variance for self-confidence and 63.1% of the variance for anxiety; Cronbach's ${\alpha}$ was .93 for self-confidence and .95 for anxiety. Conclusion: The KNASC-CDM can be used to identify anxiety and self-confidence in nursing students' clinical decision-making in Korea. However, further research should be done to test this instrument, as it is classified differently from the original $NASC-CDM^{(c)}$ version.

• The Journal of the Korea Contents Association
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• v.19 no.4
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• pp.293-302
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• 2019

This study examined effects of experience of nurses' incivility and social anxiety on emotional labor in nursing students during clinical practice. The participants were 161 nursing students in universities located in G province and C province. Data were collected from November 19 to December 15, 2018 through self reported structured questionnaire. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and stepwise regression. Experience of nurses' incivility correlated positively with social anxiety and emotional labor. Social anxiety was positively correlated with emotional labor. Participants' experience of incivility and social anxiety explained 21.9% of variance in emotional labor among nursing students. The findings indicate that experience of nurses' incivility and social anxiety are important factors to be considered in working to reduce emotional labor. Therefore, systematic programs to effectively manage and response the incivility problems in clinical practice and reduce social anxiety level should be developed.

• Journal of Hospice and Palliative Care
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• v.26 no.4
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• pp.160-170
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• 2023

Purpose: The aim of this study was to examine the effects of death anxiety and perceived end-of-life care competencies on the fear of terminal care among clinical nurses. Methods: This correlational study was conducted from June to July 2021. The study included 149 clinical nurses employed at a tertiary hospital and seven other hospitals. The measurement tools used in this study were the Thanatophobia Scale (Cronbach's α=0.87), the Death Anxiety Scale (Cronbach's α=0.80), and the Scale of End-of-life Care Competencies (Cronbach's α=0.94). These instruments were chosen to assess the levels of fear of terminal care, death-related anxiety, and competencies in end-of-life care. Results: The mean score for fear of terminal care was 3.32±1.32. Differences in fear of terminal care were observed based on the working unit, position, number of patients requiring terminal care, and experience with end-of-life care education. Fear of terminal care was significantly positively correlated with death anxiety and significantly negatively correlated with end-of-life care competencies. In multiple regression analysis, the factors influencing fear of terminal care were attitudes toward end-of-life care competencies (𝛽=-0.39, P<0.001), death anxiety (𝛽=0.24, P<0.001), knowledge of end-of-life care competencies (𝛽=-0.22, P=0.005), and behaviors related to end-of-life care competencies (𝛽=-0.16, P=0.021). These factors explained 64.6% of the total variance (F=25.54, P<0.001). Conclusion: This study suggests that developing nurses' end-of-life care competencies and reducing death anxiety are crucial for managing the fear of terminal care. Therefore, providing end-of-life care education and psychological support programs is important.

• Journal of Industrial Convergence
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• v.21 no.12
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• pp.113-122
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• 2023

This study investigates the effects of communication ability and interpersonal anxiety on self-esteem before the first clinical practice in nursing students. A survey was administered to third-year nursing students who had yet to begin their clinical practice from May 15 to May 20, 2023. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, multiple regression with the SPSS/WIN26.0 program. The results showed that self-esteem is positively correlated with communication ability(r=.564) and negatively correlated with interpersonal anxiety(r=-.590) and there was a negative correlation between communication skills and interpersonal anxiety(r=-.515). The impact on self-esteem was in the order of interpersonal anxiety (𝛽=-.41) and communication ability(𝛽=.35). In conclusion, the research results showed that the higher the communication ability and the lower the interpersonal anxiety, the more it affects self-esteem. Thus, it is important to develop and implement tailored programs that enhance communication skills and facilitate interpersonal interactions while reducing anxiety for nursing students at different school years and stages.

• Journal of Oriental Neuropsychiatry
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• v.16 no.2
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• pp.309-315
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• 2005

This study is designed to evaluate the effects of an oriental medicine therapy, namely insooksan(仁熟散), on anxiety disorders. The clinical data was analyzed on a patient with anxiety disorders due to Simdamheagub(心膽虛技) whose main symptoms were anxiety, dysarthria, tremor of hands. The patient was admitted at the Oriental Neuropsychiatry Department of DaeGu Hanny University DaeGu Oriental Medicine Hospital on May 25, 2005, and was treated with herbal medicine(insooksan), acupuncture. After treatment, the patient's main symptoms were disappeared and secondary symptoms were improved. This study suggests that Insooksan(仁熟散) is significantly effective in treatment of Anxiety disorders due to Simdamheagub(心膽虛怯).

• Korean Journal of Biological Psychiatry
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• v.19 no.1
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• pp.9-16
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• 2012

This article aimed to describe typical event-related potentials (ERP) components of emotional processing in patients with anxiety disorder and highly anxious individuals. ERP components associated with emotional processing could be broadly divided into three components with short, middle and long, respectively. Many studies show that patients with anxiety disorders are characterized by different emotional bias to specific stimuli and more sensitive to emotional stimuli than normal individuals. In addition, these emotional biases were stronger and quicker in patients with anxiety disorder than normal individuals. Some studies reported that anxious people show abnormality at the initial stage (e.g. P1) of emotional processing. However, other studies reported the abnormality at the late stage (e.g. LPP) or wholeness of emotional processing in anxious individuals. We summarized the updated finding of possible ERP components of emotional processing in patients with anxiety disorder and highly anxious individuals. The significance and clinical implication were discussed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.2
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• pp.554-561
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• 2012

The purpose of this study was to identify the relationship between anxiety, anger and fatigue among stress factor in clinical practice of nursing students. The subjects were 197 nursing students who have practiced at the hospital in T city. Data was analyzed by using descriptive statistics, ANOVA, t-test and pearson's correlation coefficient. The mean score for stress was 3.82. The mean score for anxiety was 48.82. The mean score for anger was 1.17. The mean score for fatigue was 30.96. The factor of stress was a significant difference of anxiety according to conference, theory and practice, satisfaction of clinical practice. The factor of stress was a significant difference of anger according to report, theory and practice, orientation, nurse, environment. The factor of stress was a significant difference of fatigue according to conference, orientation, environment, patient relationship. In results, This study revealed that there was a significant correlation among stress, anxiety, anger and fatigue of nursing students in clinical practice.

• The Journal of Korean Academic Society of Nursing Education
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• v.7 no.1
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• pp.54-67
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• 2001

This study was tried to investigate the effectiveness of assertive training on the state anxiety and assertive behavior which nursing students had experienced during clinical practice training from April 29, to June 5, 2000. Subjects for this study were thirty-six nursing students of practicing in a general hospital. Eighteen nursing students were assigned for the experimental group and trained by assertive training program during 4 weeks and eighteen nursing students were assigned for the control group. The assertive training program was composed of cognitive, behavioral and emotional assertive training. Post- test assessment was administrated to all subjects on a week later after the last session. The data were analyzed with SPSS PC programs. The results of this study were summarized as follows: 1) There were no significant differences between the experimental group and the control group on post- intervention comparisons of the state anxiety score (p=0.230), but in the experimental group, the anxiety score more decreased after the assertive training than that in the control group with significant differences(p=0.019). 2) There were no significant differences between the experimental group and the control group on post- intervention comparisons of assertive behavior (p=0.530). However, after the assertive training, the experimental group became more assertive than the control group with no significant differences(p=0.721). 3) The hypothesis that the more the assertive behavior, the less the state anxiety experienced by nursing students of clinical practice training was supported(r=-0.397, p=0.017). On the basis of this study results, the assertive training is effective for the reduction of the state anxiety experienced by nursing students of clinical practice training.

• Journal of Oriental Neuropsychiatry
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• v.20 no.4
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• pp.137-148
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• 2009

Objectives : The purpose of this study is to review the recent trends in the clinical trial studies that have been published since 2004. Methods : We reviewed the Medline & Pubmedcentral databases by using searching word of "acupuncture". Then 20 articles were selected within total 803 articles. In oriental medicine journals in Korea, we investigated 6 journals represented Korean Oriental medicine and chose 13 articles. Results & Conclusions : 1. We found 33 articles in journals. 2. The patterns of study were as follows: Randomized Controlled Trials(18), Single case series clinical study(9), Case-Control clinical study(4), Randomized crossover Trial(1) and Prospective Clinical analysis(1). 3. The fields of study were as follows: Combined anxiety, depression & other psychiatic symptoms(18), Stress & heart rate variablity(5), The single study of anxiety(5), The single study of depression(3), Stress & pupil variablity(1), Stress and heart rate & pupil variablity(1). 4. The methods of acupuncture were as follows: Acupuncture on points of 14 meridians(24), Auricular acupuncture(3), Electro acupuncture(2) and Both Auricular & Electro acupuncture(1). 5. Stomach meridian(足陽明胃經) and ST36(足三里) were used mostly.