• Journal of Korean Academy of Nursing Administration
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• v.6 no.3
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• pp.431-449
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• 2000

The purpose of this study is to contribute to a understanding the philosophical foundation of Parse's and Watson's theory of nursing. Parse's human becoming Research Methodology, Principle and main concepts are based on existential phenomenology. And Watson's theory of human care indicate that the optimal method for studying and inquiring theory of trans-personal caring is phenomenological-existential methodology. The chief theme of this study ist to illuminate how ideas and concepts of existential phenomenology are applied to Parse's and watson's theory of nursing. Content of this Study are summarized as follow; 1. Principles, concepts, theoretical structure of Man-Living-Health theory were investigated in Parse's theory of nursing as Human science. 2. Essential assumptions, chief concepts and methodology of human science and human care were investigated in Watson's theory of trans- personal caring. 3. Phenomenological analysis of "Human being" und poetic thinking of truth were described in the context of the Heidegger's fundamental ontology und existential phenomenology. 4. Meaning of existential subjectivity, freedom and choice war interpreted according to Sartre's existential philosophy 5. Phenomenological analysis of perception und function of body were investigated in the context of Merleauponty's existential phenomenology. 6. Ultimately this study provided how ideas and concepts of existential phenomenology war applied to Parse's und Watson's nursing theory und methodology.

• Journal of Korean Academy of Nursing Administration
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• v.19 no.1
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• pp.138-145
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• 2013

Purpose: This study was done to provide fundamental ontological understanding of caring and inquiring into the possibility of a caring practice in nursing based on existential phenomenology. Methods: According to Heidegger's existential phenomenology, caring has been interpreted as a fundamental ontological basis for caring practice in nursing. Further, based on Merleau-Ponty's phenomenology, the meaning of the lived experience of illness and the way of caring practice have been described from the aspect of the existential involvement in the embodied life world. Results: Heidegger's phenomenology provided ontological thinking about caring, which is understood in a basic way as the possibility of human existence and dwelling in oneself in the confrontation of the illness experience. Merleau-Ponty's phenomenology offered a meaning of human existence according to bodily intention and situated freedom in the life world. This perspective of embodiment enables nurses to understand bodily experiences of patients and recovery of their bodily capacity in responding to the situation in caring practice. Conclusion: Existential phenomenology gives insight into fundamental reflection for caring attitude and practice in nursing. Existential phenomenological nursing research can provide descriptions and meaning of the lived experience of illness and a way of coping with the crisis of human existence in caring practice.

• Women's Health Nursing
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• v.8 no.4
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• pp.494-505
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• 2002

The purpose of this study was to identify the relationship between self-empowerment and a existential spiritual well-being in pregnant women, and to provide the basic data for nursing intervention. The subjects were 182 women who visited 2 OBGY hospitals in Taegu, Korea and ranged in age from 21 to 40. The data was collected during the period from May 6th toMay 24th, 2002. The instruments were the revised existential spiritual well-being scale developed by Paloutzian and Ellison(1982). Originally the instruments were developed by Spreitzer(1995) and Jung Hea Joo(1998), who translated it into Korean. The data was analyzed using t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. The results of this study were as follows : 1. Mean score of total empowerment was 3.72 and the subcategory 'meaning', had the highest score at 4.15. 2. Mean score of existential spiritual well- being was 4.16. 3. Existential spiritual well-being was positively related to self-empowerment (r=.400, P=000). 4. A significant statistical difference between education, religion and self-empowerment was found. 5. A significant statistical difference between hope of pregnancy and a existential spiritual well-being was found. 6. The most important variable affecting the existential spiritual well-being was meaning which accounted for 15% of the total variance in stepwise multiple regression analysed. Three variables, competence and hope of pregnancy accounted for 22% in existential spiritual well-being. From the results of the study, the following recommendations are presented : 1) Indeed, we should identify existential spiritual well-being for real meaning of spiritual well-being in future. 2) It is required to check the effect of existential spiritual well-being and self-empowerment through the repeated studies. 3) We need to take a serious view of the meaning affecting existential spiritual well-being in pregnant women.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.24 no.4
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• pp.286-295
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• 2017

Purpose: The World Health Organization identifies spiritual care as a component of health and thus nursing care. There is a need to identify how self-esteem, communication and existential well-being affects spiritual care competence in nurses. Methods: The participants were 189 nurses in G metropolitan city. The survey was conducted from March 21 to April 8, 2016, with a self-report questionnaire. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient and stepwise multiple regression analysis using SPSS version 21.0. Results: Differences in spiritual care competence were statistically significant according to education level, work department, position, having received spiritual care education, experience of providing spiritual care, experience of asking religionist to provide spiritual care for a patient and recognition of need for spiritual care. The spiritual care competence of nurses showed a significantly positive correlation with self-esteem, communication and existential well-being. Factors influencing spiritual care competence were communication, experience of providing spiritual care and existential well-being which explained about 37.5% of spiritual care competence. Conclusion: It's necessary for nurses to develop intervention programs to strengthen spiritual care competence through improving communication, providing opportunities for spiritual care and existential well-being.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.22 no.3
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• pp.328-337
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• 2015

Purpose: This study was conducted to identify effects of self-esteem, empathy and existential well-being on spiritual care competence in nursing students. Methods: Participants were 357 nursing students from three colleges in G metropolitan city. The survey was conducted from March 11 to April 3, 2015, with a self-report questionnaire. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Scheffe test, Pearson correlation coefficient and stepwise multiple regression analysis with SPSS version 21.0. Results: Differences in spiritual care competence were statistically significant according to experience in providing spiritual care and recognition of need for spiritual care. There were significant differences in self-esteem, empathy and existential well-being according to satisfaction with major, satisfaction with life and recognition of the need for spiritual care. Spiritual care competence of nursing students showed a significantly positive correlation to self-esteem, empathy and existential well-being. Factors influencing spiritual care competence were recognition of need for spiritual care, self-esteem, empathy and experience in providing spiritual care, which explained about 16% of spiritual care competence. Conclusion: Results indicate the importance of developing an intervention program for nursing students to strengthen spiritual care competence through improved recognition of needs for spiritual care, self-esteem, empathy and experience in providing spiritual care.

• The Journal of Korean Academic Society of Nursing Education
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• v.21 no.2
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• pp.190-201
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• 2015

Purpose: This study was conducted to explore the influence of academic institutional interest, open parent-adolescent communication, social (friend) support, and existential spiritual well-being on suicidal ideation of college students. Methods: The research design was descriptive survey research involving 285 college students in city G. Data was collected from May 18, 2011 to November 2, 2011 and analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and hierarchical regression analysis. Results: The findings reveal that suicidal ideation of college students was low, i.e., average score was $9.2{\pm}3.65$ (possible range 5~25). This study determined that suicidal ideation is negatively correlated with interest on the part of the academic institution, open parent-adolescent communication, social support from friends, and existential spiritual well-being. The extent of existential spiritual well-being was a significant predictor of suicidal ideation, controlling for general characteristics variables (gender, number of close friends, first supporter) and institutional interest, open parent-adolescent communication, and social support. Existential spiritual well-being accounted for 50% of the explanation of suicidal ideation of college students. Conclusion: Based on the outcomes of this study, designing an intervention program that emphasizes existential spiritual well-being in order to decrease suicidal ideation of tertiary education students is strongly recommended.

• The Journal of Korean Academic Society of Nursing Education
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• v.9 no.2
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• pp.222-233
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• 2003

The purpose of this study was to identify the relationship between existential spiritual well-being, hope and self-empowerment in middle aged women. The subjects were 190 women who lived in Taegu, Korea and ranged in age from 35 to 59. The data was collected during the period from October 2nd to October 18th, 2002. The instruments were the revised existential spiritual well-being scale developed by Paloutzian and Ellison (1982), hope scale developed hope scale developed Nowotny(1989) and empowerment scale by Spreitzer(1995). The data was analyzed using descriptive statistics, pearson correlation coefficients and stepwise multiple regression. The results of this study were as follows : 1. Mean score of existential spiritual well-being was 4.18. Mean score of hope was 2.80. Mean score of empowerment was 3.73. 2. The score of existential spiritual well-being showed significantly positive correlation with the score of hope(r=.508, P=.000), self-empowerment(r=.458, P=.000). 3. There were significant differences in existential spiritual well-being according to age, presence of religion, leisure time activity. 4. There were significant differences in hope according to leisure time activity. 5. The most powerful predictor of existential spiritual well-being was hope and the variance explained was 25.8%. A combination of competence, leisure time activity, meaning, impact for 37.2% of the variance in existential spiritual well-being of middle aged women. Further studies need to be done to identify the effect of competence through the repeated studies and to develop a hope promoting program which can cause positive effects on a existential spiritual well-being.

• The Journal of Korean Academic Society of Nursing Education
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• v.22 no.3
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• pp.366-375
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• 2016

Purpose: This study was conducted to identify factors which influence suicidal ideation in students in girls' high schools. Methods: The participants were 202 students attending a girls' high school and a specialized girls' high school in D city. Data were collected from October 8 to December 23, 2013. Research tools were suicidal ideation, existential spiritual well-being, interpersonal relations, and depression. Data were analyzed using t-test, one-way ANOVA with Scheffe-test, Pearson's correlation coefficient, and multiple regression by stepwise selection with SPSS/WIN 12.0. Results: Suicidal ideation was negatively correlated with existential spiritual well-being, interpersonal relations, and positively correlated with depression. Effective variables were depression (${\beta}=0.54$, p<.001), existential spiritual well-being (${\beta}=-0.22$, p=.001), and grades (${\beta}=-0.10$, p=.042). These variables explained 52% of the variance in suicidal ideation. Conclusion: Based on the outcomes of this study, it is necessary to design an intervention program that teachers and community mental health nurses can use to increase existential spiritual well-being and decrease the depression and suicidal ideation for students in girls' high schools.

• Journal of Korean Academy of Nursing
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• v.26 no.4
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• pp.759-767
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• 1996

This study was done to provide an understanding of nursing in relation to the existential philosophy of the West and Buddhistic philosophy, It examined how human beings and death are interpreted and understood in existential philosophy as well as in Buddhistic philosophy. Then the study suggested that nursing should focus on helping the sufferer to find meaning and a sense of responsibility in his or her existence. When people have the opportunity to realize certain important but painful truths about their existence, they develop internal strength and control of their lives. Just as people learn to face their being, so can they come to terms with their non-being. According to the causal process in Buddhism, Human Being is not always annihilation of self. Therefore, birth, aging, disease and death go through the process of natural change and it is the appearance of human existence which is inherent in the health of every human being. To promote our health we must gain an insight about this phenomenon. This study viewed nurses' clients as 〈good friend〉 rather than 〈patient〉 which focuses on a disease-oriented concept. The concept of 〈good friend〉 views nurses' clients as active participants to create their life and as responsible persons in a constantly changing life. The study also examined the concept of recovery which means to come back to the previous healthy state and it suggested that the concept of recovery should be changed to 〈good change〉, because in existential philosophy, human beings are viewed as never going back to the past but moving on to the future by creating their existence. This study also suggested that nursing should help 〈good friend〉enlighten their existence to be free from pain and death and to get control over their existence.

• Research in Community and Public Health Nursing
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• v.24 no.2
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• pp.245-254
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• 2013

Purpose: This study was conducted to investigate factors influencing suicidal ideation in people with mental disorder. Methods: The subjects were 176 people with mental disorder from community mental health centers, social rehabilitation facilities, and university hospital psychiatric outpatient departments. The instruments used included a suicidal ideation questionnaire, a self-esteem scale, a spiritual well-being scale, a family support scale, and a professional support scale. Data were analyzed with t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical regression analysis. Results: Suicidal ideation was influenced by age, history of suicidal attempts, and existential spiritual well-being. This study shows that suicidal ideation has negative correlation with existential spiritual well-being, self-esteem, family support, and age. Existential spiritual well-being, history of suicidal attempts, and age accounted for 30% regarding suicidal ideation in people with mental disorder. Conclusion: The lower existential spiritual well-being and age, the higher suicidal ideation. And also suicidal ideation was higher in people who had attempted suicide than in those who had not. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes existential spiritual well-being in order to decrease suicidal ideation in young people with mental disorder.