• The Journal of Korean Academic Society of Nursing Education
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• v.23 no.3
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• pp.300-308
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• 2017

Purpose: The purpose of this study is to examine the factors that influence the clinical practice of nursing students and to identify the mediating effects of spiritual well-being in the relation between stress of clinical practice and burnout caused by clinical practice. Methods: Data were collected by self-report questionnaires targeting 420 nursing students in three nursing colleges located in Gyeonggi and Chungnam province. Results: Burnout of clinical practice according to general characteristics of the study subjects showed significant difference in religion (t=1.895, p=.049). Stress of clinical practice and burnout of clinical practice showed positive correlation (r=.42, p<.001), existential spiritual well-being showed negative correlation between stress of clinical practice (r=-.17, p<.001) and burnout of clinical practice (r=-.47, p<.001). In addition, religious spiritual well-being in spiritual well-being showed no mediating effects and existential spiritual well-being showed mediating effects between burnout in clinical practice stress. Conclusion: In order to alleviate the stress of clinical practice for burnout of clinical practice prevention of nursing students, solutions to improve the existential spiritual well-being will be required in the future.

• Korean Institute of Interior Design Journal
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• v.24 no.3
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• pp.186-196
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• 2015

This research comprehended the fundamental cause of elderly nursing home residents' negative feelings of loneliness, depression, fear, and loss of self-usefulness as existential issue, since they already went through loss, death of loved ones, geriatric disease and disability. The purpose of this research is to explore how existentialism and existential psychotherapy theory of Irvin D. Yalom can be applied to nursing home environment design, and to suggest design directions. Based on his framework of human's ultimate interest, death, freedom followed by responsibility, isolation, and meaninglessness, interior design suggestions and applicable spaces were presented. Four cases from Australia, Denmark, Japan and Korea were analyzed according to design suggestions to grasp the current situation and to draw further proposition. The conclusions are as follows. (1)Environment should support nursing home residents to resolve existential issues. (2)Death is the least supported issue on all of the cases. Environmental elements that can induce residents to think and discuss on death, hospice program and space for memorial service is necessary. (3)Regarding to freedom, the environment should support resident's disability to maintain independence as much as possible and residents autonomy and decision should be respected. Single/double rooms, motorized bed, free and safe usage of kitchen and garden are necessary. (4)For isolation, Space and time for meditation should be provided. (5)To find meaning of life, environment should support residents in both physical and cognitive aspect so that they can contribute to others. Space for hobby is necessary for continued creativity and self-realization.

• The Journal of Korean Academic Society of Nursing Education
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• v.20 no.3
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• pp.372-381
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• 2014

Purpose: This study aims to investigate the effects of a peer gatekeeper training program on existential spiritual well-being, interpersonal relationship with friends, and suicide probability for middle school students. Methods: The participants were fifty students who were at a vocational middle school in D city from october 13, 2012 to november 10, 2012. To test the effects of the peer gatekeeper training program, the participants were divided into two groups in the way of matching distribution, an experimental group(24) and a control group(26). Data were analyzed by Chi-square test, t-test, and Fisher exact probability test using the SPSS/WIN 12.0 program. Results: After attending the peer gatekeeper training program, significant differences between the experimental group and the control group were found in existential spiritual well-being(t=2.80, p=.007) and interpersonal relationship with friends scores(t=2.67, p=.010). However, there was no statistically significant difference in suicide probability between the two groups. Conclusion: The results indicate that the peer gatekeeper training program enhance existential spiritual well-being and interpersonal relationship with friends of middle school students. Therefore, this program could be a good strategy that teachers and community mental health nurses can use for suicide prevention of middle school students.

• Journal of Korean Academy of Nursing
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• v.30 no.4
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• pp.893-904
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• 2000

The sample of this study consisted of 140 informal caregivers who provided care to the older adults(over 60 years of age) in Great Cleveland, USA. Self-rated questionnaires were utilized to collect information. The purpose of the study was to identify coping strategies most frequently utilized by informal caregivers of older adults and to examine predictors of the caregivers' health responses to the caregiving situation applying Lazarus and Folkman stress model(1984). Stepwise multiple regression was used to identify significant predictors among caregivers' demographic-socio-economic factors, older adult's dependency of activities of daily living(ADLs), caregiver's appraisal to the caregiving situation, and coping strategies. Informal caregivers (N=140) included in the study utilized help-seeking and problem-solving coping strategies more than self-blame and minimization of threat coping strategies. Caregivers' responses to the caregiving situation were observed by caregivers' perceived physical health, depression and life satisfaction. For perceived physical health, threat appraisal, older adult's dependency on ADLs, existential growth coping strategy, and monthly income accounted for 25% of the variance. Caregivers who appraised the caregiving situation as more threatening, reported higher dependency on ADLs, used more existential growth coping strategy, and had higher monthly income reported better physical health. For depression, threat appraisal, stress appraisal, existential growth coping strategy, self-blame coping strategy, and monthly income accounted for 48% of the variance. Caregivers who used more existential growth coping and less self-blame coping, appraised the situation as less threatening, less stressful, and had higher monthly income reported less depression. For life satisfaction, self-blame coping, existential growth coping, monthly income, stress appraisal accounted for 49% of the variance. Caregivers who used more existential growth coping, less self-blame coping, less stress appraisal, lower monthly income reported better life satisfaction. In conclusion, informal caregivers in this study utilized positive coping strategies such as problem-focused, existential growth, help-seeking, rather than negative coping strategies including self-blame. When they utilized positive coping strategies more often, caregivers experienced higher perceived physical health, higher life satisfaction and lower depression. Therefore, nursing intervention which utilized positive coping strategies is needed to enhance informal caregivers to have positive health responses to the caregiving demands.

• Journal of Korean Public Health Nursing
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• v.28 no.2
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• pp.347-358
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• 2014

Purpose: The purpose of this study was to identify the factors influencing suicidal ideation in male baby boomers. Methods: This was a descriptive survey study. Data were collected from December, 2012 to June, 2013 from 194 participants. The instruments used included a suicidal ideation questionnaire, somatic symptoms scale, spiritual well-being scale, communication with spouse scale, and social support scale. Data were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression analysis. Results: Suicidal ideation was influenced by learning needs on psychological coping, somatic symptoms, existential spiritual well-being, and communication with spouse. Somatic symptoms (${\beta}$=.39, p<.001), existential spiritual well-being (${\beta}$=-.20, p=.009), learning needs on psychological coping (${\beta}$=.16, p=.008), and communication with spouse (${\beta}$=-.15, p=.031) accounted for 37% regarding suicidal ideation in male baby boomers. Conclusion: We found an association of lower levels of existential spiritual well-being and communication with spouse, higher suicidal ideation. Higher suicidal ideation was also observed in people who had no learning needs on psychological coping compared with those who had. Based on the outcomes of this study, design of an intervention program that emphasizes existential spiritual well-being and communication with spouse is necessary in order to decrease suicidal ideation in male baby boomers.

• Journal of Korean Academy of Nursing
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• v.38 no.5
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• pp.758-767
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• 2008

Purpose: The purpose of this study was to explore and describe life-stories and meanings of life in wives of alcoholics by analyzing their autobiographies. Methods: Autobiographies were collected from 20 participants who produced their own autobiographies in the logotherapeutic autobiography program at community alcohol counseling centers in Korea. The data were coded to identify themes of agency and communion using the manual coding system developed by McAdams, and analyzed by the existential approach. Results: There were 214 coded episodes in twenty autobiographies. There were 128 agency themes and 86 communion themes. The most common themes were Love/Friendship. Five themes emerged from the autobiographical episodes on the existential perspective: 1) overcoming the suffering, 2) meaningful people and relationships, 3) spiritual maturation, 4) caring and helping, and 5) finding a meaning of life. Conclusion: These results showed that the wives of alcoholics who participated in the logotherapeutic autobiography program found the meaning of life through their suffering. Furthermore, a study on existential nursing interventions for people who have meaninglessness in life needs to be done.

• Women's Health Nursing
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• v.3 no.2
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• pp.157-179
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• 1997

The purpose of this study is to provide a basis for nursing intervention strategies to enhance health promoting practice that are constructive to a healthy lifestyle. Data were collected through self-reported questionnaires from 281 middle-aged women living in Seoul, Kyeung ki, Taegu, Kyeung pook, and Kyeung nam from July to September 1997. The following instruments were used in the study after some adaption : scale of perceived health status, self-esteem, perceived benefits, family hardiness index, purpose in life, Walker and other health promoting lifestyle profiles. The data were analyzed, by t-test, ANOVA Scheffe's Pearson's correlation & stepwise multiple regression, by using the SAS program. The results are as follows : 1) The average score for the health promoting lifestyle was 2.65. In the sub-categories, the highest degree of practice was self-actualization (2.91), and in the lower degree was health responsibility (2.13). 2) In the relation ship between social demographic and health promoting lifestyle there were significant differences ineducation, occupation, economic status, and type of family. 3) There is a significant correlation between perceived health status, self-esteem, perceived benefits, family hardiness index, existential vacuum and total & subcategory health promoting lifestyles. 4) Existential vacuum was the highest factor predicting a health promoting lifestyle for middle-aged women (38.0%). 5) Existential vacuum, commitment and self-esteem accounted for 45.9% of the total variance.

• Perspectives in Nursing Science
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• v.11 no.2
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• pp.94-100
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• 2014

Purpose: This article is aimed at broadening the perspectives of nursing by applying Heidegger's philosophical reasoning and views to nursing beliefs. Methods: Heidegger's main concepts on a human's way of being were the source for examining the encounter between care-receiver and care-giver in nursing. In addition, the paper illustrates the attitudes that nurses must present to their care-receiver in existential nursing. Results: As nurses and care-receivers experience existential crises due to anxiety about death and fear over uncontrollable situations, they both raise questions about the significance of their existences. By putting their deep reflections on these questions into nursing practice, nurses can exist as "Mitdasein" and be open to a number of possibilities in nursing. Conclusion: Nurses must be open to a number of possibilities in nursing by embracing various experiences of life and individuality without criticism, and pursuing the existing lives of their counterparts as well as their owns. They are able to take this attitude by raising fundamental questions about life and the existence of human beings through ceaseless reflections on their experiences, then implementing the result of these reflections in their lives and nursing practices.

• International Journal of Advanced Culture Technology
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• v.7 no.3
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• pp.1-9
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• 2019

This study was a cross-sectional descriptive investigation study that analyzed the effects of spiritual well-being on stress coping in twenties. Data collection period was from May 1, 2019 to May 20, and 207 people voluntarily participated in the study. The sub-factors of spiritual well-being consisted of religious well-being and existential well-being. The types of stress coping consist of active coping, passive coping, aggressive coping, evasive coping, and social supportive coping. Data was analyzed using frequency analysis, t-test, Pearson correlation and multiple regression analysis using SPSS 18.0. As a result of the analysis, 90 (43.5%) were male and 117 (56.5%) were female. The 71.0% of the participants had no religion, the Buddhists were 14.5%, other religions were 5.8%, Protestants were 4.3%, Catholics were 2.9%, and Won Buddhists were 1.4%. Active coping in stress coping was correlated with religious well-being (r=-.357, p<0.01) and existential well-being (r=.301, p<0.01) under statistical significance. Religious well-being was significantly higher in males (Mean=2.87, SD=.753) than females (Mean=2.49, SD=.772, p<0.01). Existential well-being was also higher in males (Mean=4.25, SD=.841) than in females (Mean=3.95, SD=.694, p<0.01). The religious well-being was significantly higher than active coping (t=6.183, p<0.01), passive coping (t=-3.595, p<0.01), aggressive coping (t=1.991, p<0.05). Existential well-being was significantly higher than active coping (t=5.339, p<0.01), aggressive coping (t=1.659, p<0.05), evasive coping (t=-3.709, p<0.05) at the statistical significance level. Based on the results, it can be suggested that it was necessary to systematically plan spiritual well-being program as a way to cope with stress by knowing that spiritual well-being positively affects active, aggressive stress coping.

• Journal of East-West Nursing Research
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• v.10 no.1
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• pp.86-94
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• 2004

This study has verified Family Functioning, Communication and Spiritual Wellbeing, to increase the family functioning in Adult Women. 236 adult women were chosen as the samples for the study, they are now currently registered in the church adult women in Seoul. The instruments used for this study were the Family functioning scale by Olson, the communication scale by David H. Olson and Howard L. Barnes and spiritual wellbing Scale by Palautzian and Ellison Folkman. Data collection were form March to April, 2003. To get the descriptive statistics, SPSS Program, Pearson Correlation Coefficients and stepwise multiple regression were used for analyzing data. The results were as following: 1. Represents the degree of family functioning, communication and spiritual wellbeing, on subjects. Means scores of this study are following: spiritual wellbeing 67.92, lower level of cohesive(5.19) and adaptive(3.93), communication 58.14, lower level of open(5.15) and closed(4.71) and family functioning 95.58, lower level of religious(7.70) and existential(7.63). All each lower level of family functioning, communication and spiritual wellbeing, on subjects were derived significantly different(p.05). There were significant correlation among the variables of subjects. The cohesive family functioning score was significant related to the adapted(r=.588). Especially, the closed communication score showed inverse correlations open family functioning(r=-.424) and open communication score(r=-.680). The existential spiritual wellbeing score also was significant related to the cohesive(p<.001) and adaptive(p<.05) family functioning, open communication(p<.05). Especially, the closed communication score showed inverse correlations existential spiritual wellbeing (r=-.202). The existential spiritual wellbeing score also was significant related to the religious(r=.815, p<.001). These results will not only emphasis the need of family functioning to elevate and decrease the Closed family communication but suggest the important points of gathering various data and analysis about economic, education and marital status. Finally, related to mental health nursing, a community can get the utmost out of these results to keep offering education and practice of family mental health for adult women.