• Title/Summary/Keyword: Counseling process

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Exploring the Nature of Caring in Hwa-Byung - Transpersonal Caring-Healing Model - (화병에서의 돌봄의 본질 -Transpersonal Caring-Healing Model을 중심으로-)

  • Khim Soon-Yong;Lee Cho-Sik;Kong Byung-Hye;Shin Joo-Young
    • Journal of Korean Academy of Nursing
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    • v.35 no.2
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    • pp.225-238
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    • 2005
  • Hwa-Byung(HB) has been categorized as a Korean culture-bound syndrome that is prevalent in married women of low socioeconomic status. Purpose: The Purpose of the study was to search for the essence of HB and a caring-healing process of HB. Then the research result discusses whether the Transpersonal Caring-Healing Model has been congruent with it. Method: Case examples resulted from in-depth telephone counseling over a period of time at the Women's Hot Line with a client who is a housewife with HB. The counseling content was analyzed through Giorgi's method of descriptive phenomenology. Result: The core meaning of the essence of HB was 'injustice'; and essential themes were 'lack of reciprocity', 'infidelity' 'suppressed aggression and powerlessness' and 'need for recognition'. The core meaning of the essence of the caring-healing process was 'caring-healing experience(maintaining a trust relationship)'; and essential themes were 'active listening', 'empathy' and 'forming a therapeutic relationship'. According to Watson, 'active listening', 'empathy' and 'forming a therapeutic relationship' were identified as intentionality, intersubjectivity and transpersonal. Conclusion: Transpersonal caring can release inner power and strength and help the person to gain a sense of inner harmony. Transpersonal caring is as important to healing as are conventional treatment approaches and even more powerful in the long run.

A Fundamental Study for a System Establishment of Advanced Practice Nursing for Gynecological Cancer Patients (부인암 전문간호사 제도 확립을 위한 기초조사)

  • Park, Chai-Soon
    • Women's Health Nursing
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    • v.12 no.2
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    • pp.87-96
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    • 2006
  • Purpose: This study was conducted to provide fundamental information for a system establishment of advanced practice nursing for gynecological cancer patients (APN-GCP). Method: Data was collected by focus group and individual interviews and analyzed in the framework of the Grounded theory method mapped by Strauss and Corbin (1990). There were 13 subjects in this study (nurses, doctors, patient and her family). Result: We identified 87 concepts, 22 sub-categories, and 10 categories. Categories for role expectation were arrangement of diagnosis and treatment process, giving information of treatment course, support of treatment process, patients' right toward making a decision of treatment, counseling and teaching after discharge from hospital, medical insurance and financial problems, counseling about sexual problems and use of family and community resources. All subjects perceived the necessity of an APN-GCP. An APN-GCP requires over 2$\sim$7 years clinical experience and a master's degree. Services would be performed from initial registration to termination of treatment or death, and accomplished on an outpatient clinic basis. Conclusion: The nursing delivery system and curriculum should be developed for a women's health nurse practitioner including APN-GCP. As a further step, cost-effectiveness and projected estimation of manpower of APN-GCP should be studied in the future.

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Establishing and Operating Cohort Evaluation at Kosin University College of Medicine (고신대학교 의과대학 코호트 구축과 운영 사례)

  • Sejin Kim
    • Korean Medical Education Review
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    • v.25 no.2
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    • pp.114-118
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    • 2023
  • Multiple cohorts (e.g., current students and graduates) were formed to collect information on the entire educational process from admission to graduation regarding students' educational performances at Kosin University College of Medicine. Data that had already been collected and analyzed by different committees for different purposes were grouped into a more systematic and comprehensive system called the cohort system, enabling the necessary data to be collected promptly and analyzed in accordance with the purpose of providing meaningful information in each area of the educational process. Therefore, comprehensive cohort data that can be used for mission statement revision, curriculum development and improvement, student counseling, and student selection were established and utilized. The cohort data were collected from performance evaluation indicators including self-evaluation surveys, evaluation tools for learning outcomes, academic achievement, results of the Korean Medical Licensing Examination, and career placement. Based on the results obtained by analyzing cohort data, a comprehensive cohort report has been published. The data analyzed through the cohort were reported to each committee and used in various ways. Currently, however, only some data have been analyzed and used. In the future, after complete data collection, the cohort data can be used as meaningful basic data for achieving the institution's mission and educational goals, developing and improving the curriculum, counseling students, and selecting students through the analysis of learning performance data from student admission to graduation and after graduation.

Genetic Counseling in Korean Health Care System (한국 의료제도와 유전상담 서비스의 구축)

  • Kim, Hyon-J.
    • Journal of Genetic Medicine
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    • v.8 no.2
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    • pp.89-99
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    • 2011
  • Over the years Korean health care system has improved in delivery of quality care to the general population for many areas of the health problems. The system is now being recognized in the world as the most cost effective one. It is covered by the uniform national health insurance policy for which most people in Korea are mandatory policy holders. Genetic counseling service, however, which is well recognized as an integral part of clinical genetics service deals with diagnosis and management of genetic condition as well as genetic information presentation and family support, is yet to be delivered in comprehensive way for the patients and families in need. Two major obstacles in providing genetic counseling service in korean health care system are identified; One is the lack of recognition for the need for genetic counseling service as necessary service by the national health insurance. Genetic counseling consumes a significant time in delivery and the current very low-fee schedule for physician service makes it very difficult to provide meaningful service. Second is the critical shortage of qualified professionals in the field of medical genetics and genetic counseling who can provide the service of genetic counseling in clinical setting. However, recognition and understanding of the fact that the scope and role of genetic counseling is expanding in post genomic era of personalized medicine for delivery of quality health care, will lead to the efforts to overcome obstacles in providing genetic counseling service in korean health care system. Only concerted efforts from health care policy makers of government on clinical genetics service and genetic counseling for establishing adequate reimbursement coverage and professional communities for developing educational program and certification process for professional genetic counselors, are necessary for the delivery of much needed clinical genetic counseling service in Korea.

The Classification of Standard Nursing Activities in Korea (한국 표준 간호행위 분류)

  • 박정호;성영희;송미숙;조정숙;심원희
    • Journal of Korean Academy of Nursing
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    • v.30 no.6
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    • pp.1411-1426
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    • 2000
  • A nursing activity classification for hospitalized patients was performed based on an article review regarding nursing definition and nursing activity classification system. The study was conducted as follows: 1) Taxonomy was developed by the research team through the Delphi process and review article. The taxonomy consists of four nursing processes, (assessment, diagnosis, intervention and evaluation) and twelve nursing activity domains space (resperation, nutrition, elimination, exercise/alignment maintenance, comfort, hygiene, safety, spiritual support, counseling/ education, medication, communication, patient and information management). 2) First, nursing activities of the intervention process were listed and then classified by the nursing process of assessment, diagnosis, intervention and evaluation. The list consists of twelve nursing activity domains and 136 nursing activities. 3) A pilot study was conducted in two hospitals to verify validity and appropriateness of nursing activities. 4) The content validity index, which was calculated by 6 clinical practice experts, was 0.95. Also, a nursing activity classification system should also be developed in the department of community nursing and home health care nursing.

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The Effects of a Career Barriers Searching Program for Girl's High School Students (여고생을 대상으로 한 진로장벽 탐색 프로그램의 효과)

  • Lee, Sang-Youn;Kim, In-Yung
    • The Journal of the Korea Contents Association
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    • v.14 no.8
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    • pp.485-493
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    • 2014
  • This study is targeted at high school girls explore career barriers to validate the effectiveness of group counseling. Recognize and overcome barriers to careers in the process of setting and achieving career goals for the academic focus and the will to help school adjustment. Career barriers is composed of 7 sub-factors. There are lack of self-apprehension, lack of self-confidence, sex-role conflict and sex discrimination, disapproval by significant others, uncertainty about future, lack of career-related information and lack of financial support. The subjects participated voluntarily 32 girl's high school students were conducted. The study conducted by career barriers for group counseling program students than the control group students relaxed awareness of career barriers respectively. Considering these results, it can be said that the carriers barriers exploration program has an effect on decrease the whole career barriers and four subordinate areas of the girl's high school students.

Motivational Interviewing Training Using Role Play in Dental Hygiene Students

  • Han, Ye Seul;Cho, Young Sik
    • Journal of dental hygiene science
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    • v.18 no.1
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    • pp.50-59
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    • 2018
  • The purpose of this study was to develop a motivational interviewing (MI) training program to improve competency in communication and to effect the evaluated changes that would occur in dental students' counseling techniques as result of the training in the program. The study proceeded through the program via role-play practice, which was explained effectively during the MI program training process. A convenience sample of 43 fourth-year dental hygiene students was recruited. Twenty-two students were randomly assigned to the intervention group and 21 to the control group in the order of recruitment. The theoretical lecture was delivered over 3 hours and the practice was done in parallel by applying cases occurring in clinic settings. The practice was technical training, partner practice, and small group practice. The intervention group received three hour MI lecture while the control group received no lecture. Evaluation through role-play practice was separated according to "researcher's viewpoint," "counselor's role viewpoint," and "patient's role viewpoint." The results of the analysis showed that the intervention group had higher MI skills and ability than the control group. Furthermore, program participants showed positive impressions to the MI training program. The use of coaching sessions improved the MI techniques and counseling skills of dental hygiene students learning MI. The effect of the application of the MI training program was that the MI training improved counseling skills and interviewing abilities. Moreover, continuous training and feedback enhanced MI techniques and core skills. Training using lectures in parallel with practice rather than education through theory alone improved students' techniques. Application of role play through the combined method of the MI program was confirmed by an effective training method.

A Study on the Effectiveness of the ROK Soldiers' Suicide Prevention Program for Conscripted Airmen (한국군 자살예방 프로그램의 효과성에 관한 실증연구)

  • Lee, Do Kyun;Lee, Dae Sik;Sung, Kyu Sun;Byun, Sang Hae
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.7 no.4
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    • pp.179-186
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    • 2012
  • The purpose of this research is to analyze how the suicide prevention affects private soldiers' stress-coping method, problem-solving ability, depression, and idea of suicide. In order to achieve such research hypothesis, Air Force ${\bigcirc}{\bigcirc}$ Unit has previously classified 64 soldiers, who have signs of suicide, and are assorted to have suicidal symptoms by the Unit, and think that they have such symptoms and need our program. Following that, overall 16 times of suicide prevention program was carried out for them. For a statistical process of collected materials after testing the effectiveness of Korean Soldiers suicide prevention program, we practiced Frequency Analysis, Analysis of Variance, Correlation Analysis, and Paired t-test by using the statistical package program of SPSS 12.0 for Windows. In result, suicide prevention program shows positive effects upon improving stress-coping method and problem-solving ability as well as reducing depression and suicide thoughts.

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The Influence of Inter-Parental Conflicts on the Mental Health of Adolescents : The Mediation Effect of Resilience (부모의 부부갈등이 청소년의 정신건강에 미치는 영향: 회복탄력성의 매개효과)

  • Jo, A-Ra;Yang, Myong-suk;Jeon, Ji-Kyung
    • Journal of Digital Convergence
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    • v.16 no.1
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    • pp.177-186
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    • 2018
  • The purpose of this study was to examine the influence of Inter-Parental Conflict(IPC) on the Mental Health(MH) of 2nd grade high school students and verify the mediating effects of Resilience. Data collected from 730 students in Daejeon and Chungcheong region was analyzed by descriptive statistics, t-test, one-way ANOVA, hierarchical analysis and correlation analysis using SPSS 18.0. As the results, 1. a significant difference was observed in the IPC, MH, and resilience depending on the socio-demographic variable. 2. resilience showed mediating effects on the process where IPC influenced MH. The implication and limitations of the study also was suggested for MH of adolescents with follow-up study.

Mediation effect of career self-regulation on the relation between family strength and career decision-making difficulties (대학생의 가족건강성과 진로결정 어려움 간의 관계에서 진로자기조절의 매개효과)

  • Shin, Yun-Jeong;Jun, Joo-Ram
    • Korean Journal of Family Social Work
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    • no.56
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    • pp.105-133
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    • 2017
  • The purpose of this study was to examine the relationship between family strength and career decision-making difficulties and the mediating effect or career self-regulation. The results of the present study suggested the significance of family strength and career self-regulation in understanding career decision-making difficulties. With 172 Korean college students, there were both significant direct and indirect effects from family strength to career decision-making difficulties. Specifically, the mediation roles of career self-regulation was confirmed. Comparing the partial mediation model with full mediation model, the partial mediation model fits better with the data. These results have significant clinical implication that counseling practitioners need to address the possible influence of family strength on college student's perceived difficulties in career decision-making process and to assist students develop appropriate level of competencies of regulating one's emotion, thoughts, and behavior related to career problems.