• Journal of Korean Academy of Nursing
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• v.51 no.4
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• pp.489-504
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• 2021

Purpose: This study was investigated the mediating effect of coping behaviors in the relationship between the second victim experiences after patient safety incidents and the nursing practice changes. Methods: A cross-sectional survey was performed using structured questionnaires. Participants were 218 clinical nurses in general tertiary hospitals in South Korea. Data were collected through an online survey and snowball sampling from August 11 to September 6 2020. Data were analyzed using SPSS 23.0 program. A mediation analysis was performed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval. Results: The mean scores of second victim experiences was 3.41/5. Approach coping (β = .55, p < .001) and the avoidant coping (β = - .23, p = .001) showed mediation effects in the relationship between second victim experiences and constructive change in nursing practice. Avoidant coping (β = .29, p < .001) showed a mediation effect in the relationship between second victim experiences and defensive change in nursing practice. Conclusion: Coping behaviors has a mediating effect on the relationship between second victim experiences and nursing practice changes. To ensure that nurses do not experience second victim, medical institutions should have a culture of patient safety that employs a systematic approach rather than blame individuals. They also need to develop strategies that enhance approach coping and reducing avoidant coping to induce nurses' constructive practice changes in clinical nurses in experiencing second victims due to patient safety incidents.

• Health Policy and Management
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• v.32 no.2
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• pp.216-227
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• 2022

Background: Food insecurity may contribute to mental health indicators such as stress, anxiety, or depression. We investigated whether food insecurity was associated with mental health indicators and health-related quality of life (HRQoL) in a representative sample of the Korean population. Methods: This study enrolled 12,987 adults without a history of medically serious disease from the 2012, 2013, and 2015 Korea National Health and Nutrition Examination Survey. Household food security status was categorized as "food security," "mild food insecurity," and "moderate/severe food insecurity." The association between mental health and HRQoL was evaluated using a multivariate logistic regression model with food security as the reference group. Results: The adjusted odds ratio of adverse mental health or low HRQoL increased significantly in mild or moderate/severe food insecurity compared to food security. In the moderate/severe food insecurity group, it was 1.98% (95% confidence interval [CI], 1.31-2.99) higher for perceived stress, 3.58% (95% CI, 2.44-5.26) higher for depression symptoms, 4.16% (95% CI, 2.68-6.45) higher for suicidal ideation, and 2.81% (95% CI, 1.91-4.15) higher for quality of life. Conclusion: Food insecurity was strongly associated with negative mental health status and poor HRQoL. There is a need for a dietary support program that provides psychosocial support to those experiencing food insecurity.

• Journal of Korea Trade
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• v.23 no.4
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• pp.58-79
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• 2019

Purpose - This study focused on the effect of mobile app information system quality on re-use intention in the medical service trade, and examined how the Chinese, currently the main consumer of Korea's medical service trade, obtained information through mobile apps, and the status of satisfaction felt by experiencing medical services. Design/methodology - The survey period was from November 2018 to January 2019, and was conducted on Chinese who voluntarily experienced medical services. The collected data verified causality of the study model through the statistical program, SPSS.24. The results showed that the most popular medical institution through the medical service mobile app is dermatology, and the quality of the app's information system plays a mediating role in influencing re-use intention. Findings - Overall, the current trade in medical services is first accessed and acquired through mobile apps, and as a result, consumers revisit medical institutions according to the reliability of information. Comments and likes, another new form of the word of mouth that has greatly influenced revisiting in the past, are seen to be spreading through the app's medical information. Originality/value - The previous market for the medical services trade was formed by very conservative word of mouth, but now we believe that the app's information system actively influences the revisit effect. This means that apps can be used in diverse areas in the medical service trade market. In addition, the medical service market needs to further develop a mobile app environment that can reflect consumers' diverse needs, behaviors, and culture from time to time in order to revitalize the service trade. Such an app environment development will have tremendous promotional effects on the trade market and provide directions for expanding trade in medical services.

• Journal of the Korean Geotechnical Society
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• v.39 no.9
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• pp.35-50
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• 2023

A preliminary study is conducted to develop seismic design guidelines for temporary retaining structures in a deep excavation. The study involved a comprehensive literature review of the seismic design standards applied domestically and internationally, as well as various methods to calculate seismic earth pressure for pseudostatic analysis. The FLAC 2D, a two-dimensional finite difference analysis program, was utilized to perform pseudostatic analysis using the Semirigid pressure method, Wood method, and Mononobe-Okabe method. The resulting analysis data for the wall moment and axial force of the strut were compared with the dynamic analysis outcomes to evaluate the applicability of pseudostatic analysis. The Semirigid pressure method predicted the most reasonable moment for Stiff walls experiencing horizontal displacements up to 0.4%H. Predicting the axial force of the strut exactly was challenging because the pseudostatic analysis cannot consider dynamic soil-structure interaction; however, it is deemed available for conservative preliminary review to ensure safety.

• Journal of Korea Entertainment Industry Association
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• v.13 no.7
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• pp.229-235
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• 2019

Currently, Korean society has seen a rapid increase in international marriages since the mid-1990s, and the number of their children entering school age has been increasing every year in recent years. With the growing number of students with parents from various social and cultural backgrounds in our society, the difficulties they face are emerging as a new social problem that we should pay attention to and solve. Although the difficulties they are experiencing vary depending on their parents' nationality, social, economic status, and attitude toward raising their children, it is generally reported that they are suffering from language barriers in elementary school, study barriers in high school, and friendship barriers in middle school. In particular, the school started this research based on the problem that when students from multi cultural families did not mix well with ordinary students and could not narrow the distance between them, they could become adults and enter society in the future, causing social conflict.

• The Journal of Korean Academic Society of Nursing Education
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• v.29 no.1
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• pp.60-71
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• 2023

Purpose: The purpose of this study was to identify changes in the experience rate and level of symptoms of visual display terminal syndrome in college students attending online classes during the COVID-19 pandemic. Methods: Data were collected from February 22 to June 8, 2021 at three measurement points. A total of 117 college students were administered a visual display terminal syndrome survey just before online classes (T1), one month after the start of online classes (T2), and three months after the start of online classes (T3). The collected data were analyzed by frequency and percentage, paired t-test, McNemar test, and repeated measures analysis of variance using the IBM SPSS 25.0 program. Results: The intensity of college students' visual display terminal syndrome during online classes increased at T2 and T3 compared to T1. The rate of experiencing back discomfort or pain increased abruptly at T2 compared to T1. The intensity of college students' eye related symptoms and skin related symptoms increased at T2 and T3 compared to T1, while the intensity of college students' psychological symptoms, general body discomfort, and musculoskeletal symptoms increased at T3 compared to T1. Conclusion: The results of this study suggest that self-care programs are needed to prevent visual display terminal syndrome in college students who are in long-term online classes.

• Journal of Korean Academy of Dental Administration
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• v.11 no.1
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• pp.54-61
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• 2023

This study was conducted to identify factors related to discomfort while speaking in the elderly and provide fundamental data for establishing oral health care policies for a healthy old age. Using the raw data from the 8th wave of the National Health and Nutrition Examination Survey (2020), we conducted an analysis to examine the relationship between speaking discomfort and mental health, as well as oral health care behavior, among 1,278 elderly individuals in Korea. Differences in speaking discomfort were analyzed based on general characteristics, mental health, and oral health care behavior using complex sample cross-analysis. Additionally, factors associated with speaking discomfort were analyzed using complex sample multiple logistic regression analysis. As a result, individuals with depression experienced higher levels of speaking discomfort (p<0.05), and individuals experiencing high levels of stress also reported higher levels of speaking discomfort (p<0.05). As a factor affecting speaking discomfort, it was found that speaking discomfort was 2.56 times higher (p<0.001) when dental care was not met, and speaking discomfort was 3.05 times higher (p<0.05) when teeth brushing was less frequent. As a result of the aforementioned findings, it is believed that a customized oral health promotion program is necessary to expand dental health insurance coverage for the elderly and improve oral healthcare.

• Journal of Venture Innovation
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• v.5 no.4
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• pp.117-133
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• 2022

Telecommuting is rapidly spreading because of the prevalence of Covid-19 but the research on the psychological characteristics of telecommuters and their attitudes(organizational commitment, job satisfaction, etc.) in the workplace is not abundant. We would like to verify whether the number of telecommuting affects social alienation and whether LMX moderates this relationship. Further, the alienation affects, in turn, job satisfaction and organizational commitment. A survey of 317 male and female workers aged 18 or older who are currently experiencing telework was conducted. The results are as follows. Firstlty, we confirmed that the number of telecommuting has a significant impact on social alienation and that LMX moderates this relationship. Secondly, we found that social alienation affects organizational commitment and that job satisfaction showed a mediating effect between social alienation and organizational commitment. Implications and limitations are discussed.

• Korean Journal of School Psychology
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• v.8 no.2
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• pp.133-152
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• 2011

This is a short-term longitudinal study investigating the relationships between changes in mental health and academic burnout among Korean middle school students. Study sample consisted of 409 middle school students in Seoul provision, with 161 male, 216 female, and 32 unidentified. Both Symptom Check List(SCL-47) and Maslach Burnout Inventory-Student Survey(MBI-SS) were used. In order to examine the pattern of changes in mental health and academic burnout among students, standardized residuals were calculated using regression equations which were then put into canonical correlation analysis. The results of this study are as follows. First, according to Function 1, among sub-factors of mental health, decreases in depression, compulsion, anxiety, and hostility were particularly associated with decreases in exhaustion and cynicism among academic burnout. Put in another way, students who showed increases in depression, compulsion, anxiety, and hostility experienced more academic exhaustion and cynicism. Second, according to Function 2, increases in phobic anxiety, compulsion with decreases in anxiety, depression were associated with decrease in academic exhaustion and increase in cynicism. Considering Russell's dimensional theory of emotion, Function 1 showed that mental health symptoms including both aroused and non-aroused affects were related with increases in exhaustion and cynicism while Function 2 showed that mental health symptoms including only aroused aspects were related with decrease in exhaustion and increase in cynicism. Thus, a conclusive intervention program seems to be required to deal with both aroused and non-aroused affects of students who are experiencing increased exhaustion and cynicism. On the other hand, an intervention program focused on aroused affects seems appropriate to students who are experiencing decreased exhaustion and increased cynicism. This study has its value in that it has enhanced understanding of students in school and counseling settings by revealing the relationships between mental health and academic burnout among adolescents and suggested differentiated intervention strategies based on patterns of students' academic burnout.

• Journal of Korean Academy of Nursing
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• v.22 no.4
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• pp.506-525
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• 1992

Older people, because of the psychological and physiological changes related to the aging process are more vulnerable to experiencing powerlessness than any other age group. This self destructive cycle of depression in older people related to the experience of continued and long term powerlessness can lead even to death. The purpose of this study was to measure powerlessness and resources to increase power in older people, and to measure the effectiveness of a psychological rehabilitation program for reducing powerlessness. The research methodology used was a two step process. In the first step, a survey was done of perceived powerlessness and power resources comparing four groups of elderly people ; those living at home, those in hospital, those living in nursing homes and those attending educational programs for the elderly. The total sample size was 236. In the second step, a psychological rehabilitation program was carried out, pre and post measurements were taken related to this program. The sample consisted of 29 residents in a nursing home. The results of the study are as follows : 1. Powerlessness was classified as cognitive, emotional, activity and learning. The lowest score for powerlessness was in the area of activity, that is the people in the sample felt more power concerning their activities. The highest score was in the area of cognition where they felt they had less power. 2. When the different groups of elderly were compared, it was found that the residents of the nursing home had the highest score on perceived powerlessness and the group who were living at home had the lowest score. 3. Among the general characteristics, the factors influencing the powerlessness score were age, sex, level of education, financial resources and health status. In the interaction effects among these factors, it was found that level of education and health status were factors influencing perceived powerlessness. The elderly with lower education and poorer health status had the higher scores for perceived powerlessness. 4. The power resources could be classified into the following areas : physical strength, emotional strength, positive self-image, energy, knowledge, motivation and belief system. Belief system was given the highest score among the power resources and energy, knowledge and motivation were given low scores. 5. The group participating in an educational program for the elderly had the highest score for power resources while the group made up of residents of a nursing home had the lowest score as well as the highest score for perceived powerlessness. 6. The factors influencing the power resource scores were sex, level of education, financial resources and health status. In the analysis of the interaction effect among the factors, it was found that sex, level of education and financial resources were the factors that influenced the power resource score, that is, women, those with a low level of education and those with poor financial resources reported a lower level of power resources. 7. There was a negative correlation between perceived powerlessness and power resources in the elderly in this study. Since power resources explainded 49% of the variance for powerlessness, it can be concluded that the power resources can be used to reduce powerlessness. 8. The psychological rehabilitation program was carried out with the nursing home residents over a period of five weeks. No statistically significant difference was found in the scores on powerlessness between the pre and post tests, but there was a slight decrease in the raw scores on the post test for emotional, activity and learning powerlessness. There was a statistically significant increase in the power resource scores for emotional strength, positive self-image, energy, knowledge and motivation in the post test as compared to the pre test. In conclusion, the study indicates that a psychological rehabilitation program for the elderly could be effective in increasing power resources and this in turn could lead to a decrease in perceived powerlessness.