• Quality Improvement in Health Care
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• v.5 no.1
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• pp.28-40
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• 1998

Background : Many patients have been frequently complaining that they have to spend couples of hours in hospital on visiting outpatient clinic. Among several steps, two major time consuming steps were waiting to see a doctor and/or waiting at pharmacy to get medicine. Therefore not only to provide the proper guidance for medication or counseling on health affairs but also to make waiting time short is very important for the better hospital services. The aim of this study is to validate several time-saving processes to reduce waiting time at outpatient pharmacy and its efficacy. Methods : We surveyed the time interval actually taken to receive medicine after issuing prescription by doctors, and analyzed the data on the bases of relevant or possible causative factors. Then following processes were given to reduce waiting time and resurveyed and compared both data to validate efficacy of those processes : 1. No work-off on Monday and Tuesday 2. Work hour shift to start 30 minutes earlier 3. Changeable work shift between outpatient pharmacy and ward pharmacy according to work load 4. Use of pre-made medicines prescribed more frequently by certain doctors at certain time 5. Cooperation with doctors to use set prescriptions. Results : Before the process, mean waiting time at pharmacy was 29.2 minutes and most time consuming period was from noon to 1 PM, 3 to 4 PM, 1 to 2 PM in order of frequency. Only 37.7 % of patients could get the medicine within 20 minutes. Three times of surveys after process showed mean waiting time at pharmacy were 18.1 minutes, 19.0 minutes, and 17.6 minutes, respectively. And 72.7 %, 81.3%, and 82.2% of patients could get the medicine within 20 minutes. Conclusion : The mean waiting time was markedly reduced with above mentioned processes which applied intradepartmently event hough with little cooperation from other department. Consequently, the complaints of patients were decreased with increasing the satisfaction degree. In conclusion, those suggestions were recommanded to improve the degree of satisfaction of patients.

• Journal of Digital Convergence
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• v.19 no.1
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• pp.443-451
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• 2021

The purpose of this study is to investigate the mediating effects of depression, academic helplessness, and smartphone addiction tendency in the relationship between self-esteem and grit of adolescents. Data from the 2018 (first-year) Korean Children and Youth Panel Survey were used in this study. The subjects of this study were 1,375 male and 1,166 female students in seventh grade school. The multiple mediation model analysis was conducted using the SPSS and PROCESS macro program. The results of this study are as follows. First, there was a positive correlation between self-esteem and grit, while self-esteem and grit had negative correlations with depression, academic helplessness, smartphone addiction. Second, it was found that the relationship between self-esteem and grit was mediated by depression, academic helplessness, and smartphone addiction tendency, respectively, and furthermore, it was found that all pathways mediated sequentially were also significant. These results suggest that education and intervention considering self-esteem, depression, academic helplessness, and smartphone addiction to be useful as a way to help adolescents develop interest in specific goals and continue their efforts in these days when smartphone use is common.

• The Journal of the Korea Contents Association
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• v.21 no.6
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• pp.392-403
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• 2021

The purpose of this study was to examine the effect of emotion regulation strategy on posttraumatic growth and to confirm serial multiple mediating effects of self disclosure on a traumatic experience and social support in relationship between suppression strategy of emotional expression and posttraumatic growth. A survey was conducted for adults over the age of 18. Data of 663 adults (222 men, 441 women) were analyzed. According to analysis by using SPSS Process Macro, the less suppression strategy of emotional expression was used, the higher posttraumatic growth was. Simple mediating effect of self disclosure was confirmed between suppression strategy of emotional expression and posttraumatic growth. Serial multiple mediating effects of self disclosure and social support were shown in relationship between suppression strategy of emotional expression and posttraumatic growth. It means that the more people who use less suppression of emotional expression as their emotion regulation strategy, the more they disclose on their traumatic experience, then, they will receive emotional comfort and support from the people around, finally reaching posttraumatic growth. The importance of self disclosure and social support on posttraumatic growth was verified. Counseling intervention method was suggested for involuntary clients who usually suppress emotional expression, to enhance their posttraumatic growth. Lastly, significance and limitations of this study were suggested for follow-up studies.

• 한국노년학
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• v.40 no.2
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• pp.269-289
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• 2020

The purpose of this study was to analyze the policy and programs of the Seoul50Plus Foundation and to propose policies and programs to promote active aging of middle-aged and elderly people. A single case study was utilized as a research method. The analysis framework of case was approached with four frameworks: the context of policy and program, ideology-goal analysis of policy and program, supplier and customer analysis of policy and program, and process and domain analysis of policy and program. The analysis data included the homepage content of the Seoul50Plus Foundation, related 50+ policy and program data, active aging research papers at home and abroad, and presentation and meeting materials. The results of the research showed that the policy and program background and environment were essential elements for responding to environmental changes in the aging society. In terms of the philosophy-goal, job creation, social participation, and approach to life design were systematically carried out for the ideology of 'creating a new life vision' and promoting active aging. In terms of subject-target, the subject of policy implementation is systematically composed of three stages: 50+ foundation, 50+ campus, and 50+ center. The target was limited to 50+ generations(age 50~64) and had a problem that is limited to applicants. In the process-area analysis, programs such as educational support, work and entrepreneurship support, counseling information, and new-age cultural creation activities were designed to increase added value according to the characteristics of the middle-aged people. In conclusion, the future Seoul50Plus Foundation's policy and lifelong learning programs need to be systematically promoted through cooperation with businesses and universities, expanding the target audience, matching the characteristics of the middle-aged and elderly, and linkage among programs.

• Korean Journal of School Psychology
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• v.18 no.2
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• pp.269-290
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• 2021

This study was conducted to examine the moderated mediation effect of self-esteem through internet overdependence on the effect of academic stress on depression and anxiety. Surveys were conducted as part of the 13th wave of the Korea Welfare Panel Study. The survey included academic stress, internet overdependence, depression and anxiety, and self-esteem scales. A total of 383 middle school students completed surveys. Data was analyzed using SPSS 21.0 and SPSS PROCESS Macro. There were three major results. First, internet overdependence partially mediation the effect of academic stress on depression and anxiety. Second, self-esteem moderated the relationship between internet overdependence and depression and anxiety. Third, self-esteem also moderated the mediating effect of academic stress on depression and anxiety through internet overdependence. These results indicate that self-esteem is a protective factor against the negative effects of internet overdependence on mental health and of academic stress on depression and anxiety in middle school students. This paper discusses the implications of these results, this study's limitations, and suggestions for future studies.

• 한국노년학
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• v.29 no.2
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• pp.529-546
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• 2009

Depression in old age not only is prevalent but also causes a considerable amount of burden in physical, psychosocial, and economic terms. Intervention, however, is often delayed due to the understanding that considers depressive symptoms as a normal process of aging or signs of physical illnesses. Since the recognition of symptoms often initiate one's help seeking process, a correct identification of symptoms can contribute to early detection and intervention to depression in oneself as well as in others. This study interviewed 104 older adults living in an urban area, and explored their ability to correctly identify depressive symptoms and factors related to identification. The study results show that respondents who were able to correctly identify symptoms of depression were only 14%, and the rest defined the symptoms as social, economic, and other psychological issues. Of the factors in the logistic regression model, age being 75 and over and mass media as source of mental health information affected negatively their ability to correctly identify symptoms; mental health education programs affected positively their ability. Based on these results, it is suggested that such strategies as employing a face-to-face provision of concrete information and counseling can be more effective than delivering information via large-scale lectures. Additionally, a future research deems necessary to conduct an in-depth examination of mental health/illness-related contents on mass media.

• Korean Journal of Culture and Social Issue
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• v.30 no.2
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• pp.221-238
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• 2024

The purpose of this study was to explore the effects of intolerance of uncertainty and experiential avoidance on relationship addiction and to investigate the mediating effect of experiential avoidance in the relationship between intolerance of uncertainty and relationship addiction among unmarried adults. For this purpose, an online survey was conducted on unmarried adults aged 20 to 29 who are currently engaged in opposite-sex romantic relationships, and a total of 302 data were used for analysis.. The collected data were analyzed using SPSS 29.0 and PROCESS MACRO v4.2. The main results of this study are as follows. First, intolerance of uncertainty and experiential avoidance had significant effects on relationship addiction. Second, experiential avoidance had a significant mediating effect between intolerance of uncertainty and relationship addiction tendencies. This study identified individual psychological factors that induce relationship addiction. Based on the research results, this study suggests directions for counseling interventions to reduce relationship addiction tendencies and promote healthier relationship patterns among unmarried adults.

• Journal of Family Resource Management and Policy Review
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• v.27 no.4
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• pp.19-33
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• 2023

The purpose of this study was to examine the mediating effect of ego resilience on the relationship between family strengths of Chinese international students and Social Networking Services(SNS) addiction tendency. The data were collected through a survey of 349 Chinese international students studying in Korea and analyzed using the SPSS Statistics version 28 program and SPSS Process Macro 4.3. The main results are as follows. First, Chinese international students exhibited higher-than-average levels of SNS addiction tendency, family strengths, and ego resilience. Second, the SNS addiction tendency of Chinese international students had a significant positive correlation with the average time spend on SNS per day. while demonstrating a negative correlation with family strengths and ego resilience. Third, the hierarchical regression analysis revelated that gender, frequency of contact with family, average time spend on SNS per day, qualitative bond as a sub variable of family strengths, and control as a sub variables of ego resilience were significant factors influencing SNS addiction tendency of Chinese international students. Fourth, the study confirmed the complete mediation of ego resilience in the effect of family strengths on SNS addiction tendency. Based on the research results, this study suggested specific directions for counseling interventions aimed at mitigating SNS addiction tendencies among Chinese international students.

• Sim-seong Yeon-gu
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• v.38 no.1
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• pp.45-111
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• 2023

This paper examines the apparition of the Virgin Mary revealed in Rue du Bac, Paris, France, in 1830, from a perspective of analytical psychology. To do so, it amplifies the archetypal motifs manifested in the images of the Virgin Mary of Rue du Bac by introducing the medieval alchemical picture titled "Glorification of the body portrayed as the coronation of the Virgin Mary" from Reusner's Pandora (1588). This image of the Virgin Mary is full of archetypal motifs that show the process and end result of individuation, which is the main idea of Jungian psychology. These symbols that depict the individuation process, both in Reusner's Pandora and in the Mary of Rue du Bac, are expressions of mythologems, constituent elements of the collective unconscious. Jung noted that these mythologems are the ultimate base and matrix of all religions. Through examining the archetypal motifs, which appear in the Mary of Rue du Bac, the apparition of the Mary turns out to be the revelation of the archetypal image of the Self in a space-time continuum, which is constellated in the collective unconscious. That is, an archetypal figure revealed itself to a witness' ego-consciousness to whom a space-time continuum functions as a cognitive category. The Mary of Rue du Bac represents the union of the opposites of divinity and humanity, which lacks in the symbolism of the Cross in Christianity. In this regard, she is an image of the new savior, who opens the new aeon of the Aquarius. The revealed image of Mary shows that divinity originates from the inner realm of the human psyche, that corporeal human beings are the matrix in which the divine incarnates, and that human being is the subject of psychological redemption. The image of Mary awakens us to the value of divinity in the human psyche in the times when the spiritual values Christianity has retained declines drastically.

• Research in Community and Public Health Nursing
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• v.13 no.2
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• pp.205-215
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• 2002

Objectives: This study was designed to develop and evaluate a stage matched exercise intervention program to effectively increase exercise behaviors in urban elders. Methods: The study included three phases: preliminary descriptive data collection, program development, and program evaluation. The data for the preliminary descriptive phase were collected between May and June 2001. The study participants were 89 urban elders who responded a questionnaire that included general characteristics, exercise related experiences, stage, and process of change in exercise behaviors. Data were analyzed using descriptive statistics, $x^2$-test, and content analysis. Development of the program was based on the preliminary data. and a literature review, and was guided by the tran theoretical model. It consisted of strategies to facilitate the process of changes used in each stage. Evaluation of the program was achieved from October to December 2001, using a case study method, in which eight urban female elders participated. Interviews were conducted on a weekly basis in the form of either an individual interview, or group discussion. Each elder subject received education in accordance with the program strategies and education materials. In the case that a subject's stage of change moved into another one, the scores for the process of change were re-measured. The data were analyzed using the content analysis technique. Results: The results were as follows: 1. Elders who participated in the preliminary data collection phase were over 75 years of age, and the majority of them were women. They had a higher educational level, and fewer number of illnesses than the subjects in other studies. Their stage of change was divided into pre-contemplation and maintenance. The social liberation scores were the highest across all stages of change. There was no difference between men and women on scores for processes of change in each stage. 2. The stage matched exercise intervention program that was developed in this study consisted of one counseling type program and three distinguished educational booklet materials. 3. The results of the case studies are as follows: 1) The study participants were 8 women between 75 and 87 years of age. At the first interviews, all of them were in the pre-contemplation stage. All of them reached the action stage before the 7th week. The scores for processes of change that were the focus in each stage increased more than the scores for other processes of change. During the early stages of change, experimental processes increased more than behavioral processes. However. this pattern was reversed during later stages of change. 2) Characteristics of the subjects in each stage were identical as presented at the tran theoretical model. The intervention strategies were effective in the transition occurred in any stage. 3) Barriers for exercise included unwillingness to exercise, fatigue, shortness of breath, and pain. Ways to overcome these barriers were 'learning an alternative exercise method that can be done at home', 'self-promising/ exercise-promising', and 'use of cues to exercise'. 4) The factors that affected the application of the program were consideration of age and personal preference in selecting an exercise pattern, individualized intervention, and use of education materials appropriate to elders. Women over 80 years of age preferred muscle strengthening and stretching exercise, because they can be easily done at home. They also preferred individualized interventions, materials that were easy to read, and education contents appropriate for elders. Conclusion: In conclusion, the stage matched exercise intervention program that considered the characteristics of the elders was effective to facilitate exercise behaviors of the elders.