• Title/Summary/Keyword: End of Life Care

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The Influencing Factors on the Degree of Nurse's Suffering Experience Caring for Terminal Cancer Patient (말기 암 환자를 간호하는 간호사의 고통경험 정도에 영향을 미치는 특성요인)

  • Jo, Kae-Hwa;Kim, Yeong Kyeong
    • Korean Journal of Adult Nursing
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    • v.16 no.3
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    • pp.378-387
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    • 2004
  • Purpose: The study was undertaken to examine the degree of nurse's suffering experience and to identify the influencing factors on nurses' suffering experience in Korea. Method: Data were collected using a questionnaire for 271 nurses working at 5 general hospitals in Daegu and Kyung-book province from Sep. 1, to Sep. 30, 2003. The questionnaire consists of 54 items, general characteristics(10) and nurse's suffering experience(44). All surveys were sorted and studied by frequency analysis, mean score, standard deviation, range, independent t-test, one way ANOVA, Pearson's correlation coefficient and Multiple regression. Result: The findings of this survey indicate 1) The degree of suffering experienced by nurses caring for terminal cancer patients was 2.96; 2) Demographic variables affecting the degree of nurses' suffering experience were age(F=5.62, p=.000), marital status(F=20.53, p=.000), religion(F=5.44, p=.020), career of clinical experience(F=6.96, p=.000), and feelings of end-life care(F=3.11, p=.016); 3) There were slight correlation between the subitem of nurse's suffering experience and general characteristics of subjects. For 'expanding self consciousness', age, career duration, and position; for 'forming empathy with family', age and career duration ; for 'spiritual sublimation', age, and career duration were affected variables. 4) As a result of the multiple regression analysis for predictable variables affecting nurses' suffering, it was found that 'career of clinical experience' was most significant(F=23.100, p=.000). The explanatory power of this regression formula was 17.6%. Conclusion: This study can provide the basic data useful towards improvement of nursing services for terminal cancer patients and the health of the nurse.

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A Study on Project Information Integrated Management Measures Using Life Cycle Information in Road Construction Projects (도로건설사업의 생애주기별 정보를 이용한 건설사업정보 통합관리방안 연구)

  • Kim, Seong-Jin;Kim, Bum-Soo;Kim, Tae-Hak;Kim, Nam-Gon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.208-216
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    • 2019
  • Construction projects generate a massive amount of diverse information. It takes at least five years to more than 10 years to complete, so it is important to manage the information on a project's history, including processes and costs. Furthermore, it is necessary to determine if construction projects have been carried out according to the planned goals, and to convert a construction information management system (CALS) into a virtuous cycle. It is easy to ensure integrated information management in private construction projects because constructors can take care of the whole process (from planning to completion), whereas it is difficult for public construction projects because various agencies are involved in the projects. A CALS manages the project information of public road construction, but that information is managed according to CALS subsystems, resulting in disconnected information among the subsystems, and making it impossible to monitor integrated information. Thus, this study proposes integrated information management measures to ensure comprehensive management of the information generated during the construction life cycle. To that end, a CALS is improved by standardizing and integrating the system database, integrating the individually managed user information, and connecting the system with the Dbrain tool, which collectively builds artificial intelligence, to ensure information management based on the project budget.

Structural Analysis of Factors Influencing University Students' Happiness (대학생의 행복에 영향을 미치는 요인에 관한 구조분석)

  • Choi, Min-soo;Cho, Seung-hyun
    • Journal of Families and Better Life
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    • v.34 no.1
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    • pp.49-63
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    • 2016
  • This study was conducted to investigate a correlation of factors that have an influence on the happiness of college students, and to investigate the effect of factors on happiness of college students by analyzing the structure of influencing factors of happiness. To this end, 430 freshmen in college were selected and tested on character, self-esteem, self-leadership, and happiness. The measurement tools used in this study were the 30 questions of Character Scale that Choi Min-Soo and Im Eun-Young(2013) developed and modified by Im Eun-Young(2015), a Self-Leadership Scale of Manz(1998) classified into behavioral strategy and cognitive strategy that Wang Ji-Seon(2011) translated and modified. a Self-Esteem Scale(SES) of Rosenberg(1986) that the researcher modified and used, and The Oxford Happiness Questionnaire of Hills and Argyle(2002) that Choi Yo-Won(2002) translated and the researcher modified. According to the research result, for correlation with happiness, self-esteem was .86, self-leadership was .74, and character was .66, and for correlation with self-leadership, character was .70, self-esteem was .66, and correlation between character and self-esteem was .57. Secondly, for direct effect on happiness, self-esteem was .62, character as .20, self-leadership was .19, and for direct effect on self-leadership, character was .49 and self-esteem was .38. Thirdly, indirect effect of character on happiness through self-leadership was .94 and indirect effect of self-esteem on happiness through self-leadership was .73. Through these research results, it was identified that character, self-esteem, and self-leadership of college students are the influencing factors on happiness, and that self-esteem is the biggest influencing factor on happiness of college students among the three variables. The results of this study suggested that university students' personality had a positive relationship with self-esteem and that university students' personality, self-esteem, and self-leadership altogether had a direct influence on happiness. Moreover, both personality and self-esteem of university students had an indirect influence on happiness through their self-leadership.

Advanced development of the core competency diagnosis tool for college students for future-oriented competency education: Focusing on the case of Y University (미래지향적 역량교육을 위한 전문대학생 핵심역량 진단 도구 고도화 개발: Y대학 사례를 중심으로)

  • Hyo-Jung Gil;Boc-Nam Park;Jong-Il Ahn
    • Journal of the Health Care and Life Science
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    • v.10 no.1
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    • pp.69-80
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    • 2022
  • The purpose of this study is to advanced and develop a core competency diagnosis tool that junior college students must have in order to implement competency-oriented education to nurture talents required by the future society, and to verify its validity and reliability. To this end, the existing diagnostic tools were analyzed and preliminary questions were derived through analysis of prior research, collecting opinions of members, FGI, and expert advice. A total of 46 items were derived, which were verified as content validity. Afterwards, a preliminary survey was conducted targeting 380 applicants among current students. To verify the validity of the construct, an exploratory factor analysis was performed using AMOS 18.0. As a result, 30 final questions composed of 6 core competencies were derived. The core competency diagnosis tool is expected to be actively used as a future-oriented competency education execution, evaluation, and quality management tool by diagnosing the competencies of current students.

A Study on Emotional Intelligence and Resilience Pre-Service Childhood Teachers According to the Level of Teaching Efficacy (교수효능감 수준에 따른 예비유아교사의 정서지능 및 회복탄력성에 관한 연구)

  • Se-Ru Kim
    • Journal of the Health Care and Life Science
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    • v.9 no.2
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    • pp.237-244
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    • 2021
  • The purpose of this study is to examine the differences in emotional intelligence and resilience of pre-service early childhood teachers according to the level of teaching efficacy. To this end, 112 prospective early childhood teachers attending the Early Childhood Education Department located in the G were surveyed. The collected data was analyzed by one-way ANOVA and Scheffe post-test analysis. As a result of the study, first, according to the level of teaching efficacy, there were statistically significant differences in the emotional intelligence and the sub-factors. Second, according to the level of teaching efficacy, there were statistically significant differences in resilience and sub-factor s. These results will serve as basic data to explore various ways to improve the level of teaching efficacy of pre-service early childhood teachers and to enhance the personal qualities required for pre-service early childhood teachers.

Effects of Taping Therapy on Pain and Physical Functions of Aged People with Degenerative Knee Arthritis (테이핑요법이 퇴행성 슬관절염 노인의 통증 및 신체기능에 미치는 효과)

  • Chung, Kyoung Hwa;Lee, Eun Sook
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.3
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    • pp.129-140
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    • 2008
  • Purpose: This study was to examine the effect of a taping therapy on pain relief and the improvement of daily living for elderly having degenerative knee arthritis. Method: This study was conducted with a non-equivalent control-group pre-test and post-test design. Data were collected conveniently with 63 elderly who had having(a) pain due to degenerative knee arthritis, and (b) inconvenience in daily life(30 for an experimental group and 33 for a control group). The subjects were recruited from the elderly, participating in welfare programs held in a welfare organization and day-care facilities. The experimental group received an intervention of taping therapy offered twice a week, for 4 weeks. The data collection from the experimental group was done from the beginning of the therapy throughout two weeks later after the end of the therapy. Results: For the experimental group, pain scores came to more decreased significantly, as the periods in which taping therapy was conducted were getting longer. Physical function scores became also more decreased at significantly level, as taping therapy was more conducted. However, compared to the control group, the score change for the experimental was not significantly showed in physical function after the therapy ended. That is, there was no longer-lasting effect on physical function improvement. Conclusion: This study found that this therapy could be a useful self-management method that the elderly with degenerative knee arthritis can use easily at home. Because of insignificant result in longer-lasting effect, this taping therapy would be applied properly with the interval of 2~3days.

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Demographic and Survivorship Disparities in Non-muscle-invasive Bladder Cancer in the United States

  • Seo, Munseok;Langabeer, James R. II
    • Journal of Preventive Medicine and Public Health
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    • v.51 no.5
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    • pp.242-247
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    • 2018
  • Objectives: To examine survivorship disparities in demographic factors and risk status for non-muscle-invasive bladder cancer (NMIBC), which accounts for more than 75% of all urinary bladder cancers, but is highly curable with early identification and treatment. Methods: We used the US National Cancer Institute's Surveillance, Epidemiology, and End Results registries over a 19-year period (1988-2006) to examine survivorship disparities in age, sex, race/ethnicity, and marital status of patients and risk status classified by histologic grade, stage, size of tumor, and number of multiple primary tumors among NMIBC patients (n=29 326). We applied Kaplan-Meier (K-M) and Cox proportional hazard methods for survival analysis. Results: Among all urinary bladder cancer patients, the majority of NMIBCs were in male (74.1%), non-Latino white (86.7%), married (67.8%), and low-risk (37.6%) to intermediate-risk (44.8%) patients. The mean age was 68 years. Survivorship (in median life years) was highest for non-Latino white (5.4 years), married (5.4 years), and low-risk (5.7 years) patients (K-M analysis, p<0.001). We found significantly lower survivorship for elderly, male (female hazard ratio [HR], 0.96), Latino (HR, 1.20), and unmarried (married HR, 0.93) patients. Conclusions: Survivorship disparities were ubiquitous across age, sex, race/ethnicity, and marital status groups. Non-white, unmarried, and elderly patients had significantly shorter survivorship. The implications of these findings include the need for a heightened focus on health policy and more organized efforts to improve access to care in order to increase the chances of survival for all patients.

The Experience of Teachers' Self-supervision at After-school Nurseries (방과후 어린이집교사의 자기장학 체험 이야기)

  • Kim, Jin Seon
    • Korean Journal of Childcare and Education
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    • v.9 no.4
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    • pp.235-257
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    • 2013
  • This study intended to deeply understand teachers' experiences about their self-supervision at after-school nurseries through many different stories. This study composed field texts based on the data collected through face-to-face talks with participants, their journals, and e-mails and phone conversations given and taken with participants for a total of 4 months from September to the end of December, 2012. The teachers all had ten years teaching experience, and worked as after-school nursery teachers in S-gu, S-si. The study found many things such as experiencing the joy of learning things that were unknown through self-supervision, hardship involved in self-supervision, co-workers dedicated to joint learning, and time and spaced used to better understand children. The study figured out that the meaning of self-supervision lay in the pursuit of learning and bright eyes(seeing what was not seen before), despite the difficult condition to self-supervise, the after-school nursery teachers unceasing passion for self-supervision brings happiness within oneself. As a result, this study discussed the implications which the experience of after-school nursery teachers who found a happy meaning of life through self-supervision in spite of the actual difficult conditions offered to after-school nursery teachers.

Evaluation of ATM usability test for improving financial life of Impaired elderly (인지저하 노인들의 금융생활 라이프 향상을 위한 ATM 사용성 평가)

  • Choi, Yoo-jung;Choi, Hun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.24 no.1
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    • pp.77-82
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    • 2020
  • As Korea enters an aging age, social efforts to improve the IADL of the elderly are increasing. In this study, to improve the performance of financial management activities that the elderly is particularly burdened, we aim to learn the elderly through ATM simulation education contents so that they can use ATM smoothly. To this end, interviews were conducted with seniors to derive four major financial activities (deposits, withdrawals, deposit inquiries and bank account arrangements), and developed tablet PC-based ATM education contents identical to the existing bank ATM interfaces. The experiment was conducted on 20 elderly people in the Elderly Day Care Center, and their satisfaction, fatigue and performance were measured before and after education. The results of this study can provide ATM design guidelines for the elderly who have difficulty using ATM.

The Influence of the Early Childhood Teacher's Play Teaching Efficacy and Play Sensitivity on Young Children's Play Flow (유아교사의 놀이교수효능감 및 놀이 민감성이 유아의 놀이몰입에 미치는 영향)

  • In-Sook Choi
    • Journal of the Health Care and Life Science
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    • v.11 no.1
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    • pp.49-57
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    • 2023
  • The purpose of this study is to analyze the relationship between early childhood teachers' play teaching efficacy and play sensitivity and children's play immersion, and to investigate the effect of play teaching efficacy and play sensitivity on children's play immersion. To this end, a survey was conducted targeting 359 early childhood teachers working in kindergartens and daycare centers located in J province. The research tools used in this study were 'Efficacy in Play Teaching' and 'Teacher's Play Sensitivity Scale' targeting teachers and 'Infant Play Immersion Test' targeting infants. As a result of the study, first, the correlation between play teaching efficacy and play sensitivity and young children's play immersion showed that there was a positive correlation between all variables other than the transformation of the sense of time among the teacher's play sensitivity sub-factors and play observation and children's play immersion sub-factors. Second, as a result of examining the effect of teacher's play teaching efficacy and play sensitivity on young children's play immersion, it was found to have a partially statistically significant effect.