The purpose of this study was to build a substantive theory about the experience of the maternal uncertainty in childhood chronic illness. The qualitative research method used was grounded theory. The interviewees were 12 mothers who have cared for a child who had chronic illness. The data were collected through in-depth interviews with audiotape recording done by the investigator over a period of nine months. The data were analyzed simutaneously by a constant comparative method in which new data were continuously coded into categories and properties according to Strauss and Corbin's methodology. The 34 concepts were identified as a result of analyzing the grounded data. Ten categories emerged from the analysis. The categories were lack of clarity, unpredictability, unfamiliarity, negative change, anxiety, devotion normalization and burn-out. Causal conditions included : lack of clarity, unpredictability, unfamiliarity and change ; central phenomena : anxiety, being perplexed ; context. seriousness of illness, support ; intervening condition : belief action/interaction strategies devotion, overprotection ; consequences : normalization, burn-out. These categories were synthesized into the core concept-anxiety. The process of experiencing uncertainty was 1) Entering the world of uncertainty, 2) Struggling in the tunnel of uncertainty, 3) Reconstruction of the situation of uncertainty. Four hypotheses were derived from the analysis : (1) The higher the lack of clarity, unpredictability, unfamiliaity, change, the higher the level of uncertainty (2) The more serious the illness and the less the support, the higher the level of uncertainty. (3) The positive believes will influence the devoted care and normalization of the family life. Through this substantive theory, pediatric nurses can understand the process of experiencing maternal uncertainty in childhood chronic illness. Further research to build substantive theories to explain other uncertainties may contribute to a formal theory of how normalization is achieved in the family with chronically ill child.
The purpose of this study was to develop and test the structural model of a contraceptive behavior in Married Korean women. A hypothesis model was constructed on the basis of the health belief model, the theory of planned behavior and extensive literature review of contraception. The model was built by seven constructs. Four exogeneous variables included in the model were consisted of the contraceptive knowledges, the perceived threats, the sexual autonomy and the communication within a couple. Four endogenous variables were consisted of the attitudes toward contraception, the perceived control, the ability to plan a intercourse and the contraceptive behaviors. Empirical data for testing the hypothetical model were collected by the self report questionnaires from 243 Korean married women. The questionnaires used in this study were developed by this researcher and their Cronbach's alpha scores were ranged from .60 to .88. The collected data were analyzed by SPSS program(ver. 8.0) for descriptive statistical analysis and LISREL program(ver. 8.12a) for covariance structural analysis. On the basis of this results, it could be suggested that contraceptive behaviors be greatly affected by the perceived threats, the communications within couple, the attitudes toward contraception and the perceived control. Finally this model would be useful for the practice, theory and research of nursing.
This study was conducted to investigate determinants of intention of smoking cessation behavior. We sampled 204 university student smokers using questionaires and analyzed the data using the t-test, ANOVA, Pearson product-moment correlation, and multiple regression. The results are as follows: 1. The attitudes concerning smoking cessation behavior are related to a student's course of study, religion and is further related to whether or not they tried to stop smoking. The subjective norm is related to smoking cessation recommendations. Perceived behavioral control is related to a growth criterion, the smoking amount and whether or not they have tried to stop smoking. The intention of smoking cessation behavior is related to smoking amount and whether or not they nare tried to stop smoking. 2. Total symptom number is related to smoking amount and smoking period. 3. Total symptom number is related to behavioral belief, attitude, and the intention to stop smoking. In conclusion, it was found that university students smoke far too much, however the intention to stop smoking is very low. Therefore, an intention promoting program of smoking cessation behavior is needed to reduce the smoking rate and relaxation therapy is necessary for in changing health promoting habits.
The main purpose of this research is to understand the strongest predictors of wearable adoption among athletes with an emphasis on the perceived ethics of biometric data. We performed a word co-occurrence study of biometrics research to determine the ethical constructs of biometric data. A questionnaire incorporating the Unified Theory of Acceptance and Use of Technology (UTAUT), Health Belief Model and Biometric Data Ethics was then designed to develop a neural network model to predict the adoption of wearable sensors among athletes. Our model shows that wearable adoption's strongest predictors are perceived ethics, perceived profit, and perceived threat; which can be categorized as professional stressors. The key theoretical contribution of this paper is to extend the literature on UTAUT by developing a predictive modeling of factors affecting acceptance of wearables by athletes, and highlighting the ethical implications of athlete's adoption of wearables.
Objectives: The purpose of the study was to test the applicability of the Theory of Planned Behavior(TPB) to Korean adult smokers in order to obtain an enhanced understanding of their smoking-cessation intention and to establish strategies for effective smoking-cessation interventions at the community clinic. Methods: The data came from a survey that was conducted on adult male smokers who visited the smoking-cessation clinic at H community clinic in Korea from January to November in 2006 (N=434). Included in the survey were questions asking core variables and salient belief variables dictated by TPB. A structural equation model was established using TPB and data were analyzed to examine the applicability of the theory to the understanding of the structure of variables leading to intention. Results: The analysis of the structural model revealed that the study model was statistically significant(p<.001), suggesting the high validity of TPB in explaining the structure of the data. Among the relationships in the model, negative behavioral beliefs were not significant(p>.05), and negative control beliefs and subjective norm were significant(p<.05) but not as highly as other variables in the model(p<.001). Conclusion: TPB was useful in understanding smoking-cessation intention of smokers who visited community clinic to stop smoking. More specific strategies for counseling and education need to be developed to enhance attitude and perceived behavioral control (self-efficacy) toward smoking-cessation intention, such as emphasizing health benefits of quitting smoking, and eliciting values and life principles that can help increase the intention to stop smoking.
The purpose of this study is to examine the causal relationship between self-efficacy and safety consciousness of health belief factors and how they affect the disaster prevention behavior of construction workers using TBM. To this end, a research model is presented that applies the main variables of the Health Belief Theory, a social psychological health behavior change model developed to predict and explain health-related behaviors. To empirically verify the research model of this study, a survey was conducted among construction workers who have experience in using TBMs for chemical plant construction. The results showed that, first, the perceived severity of construction workers utilizing chemical plant construction has a significant effect on self-efficacy and safety consciousness; second, the perceived probability of construction workers utilizing chemical plant construction has a significant effect on self-efficacy and safety consciousness. Third, the perceived obstacles of construction workers utilizing chemical plant construction have a significant effect on self-efficacy and safety consciousness. Fourth, the perceived benefits of construction workers utilizing chemical plant construction were found to have a significant effect on self-efficacy and safety awareness. The purpose of this study is to reduce critical accidents through disaster prevention behavior of chemical plant construction workers through TBM.
Purpose: The Covid-19 pandemic has triggered several herd purchase behaviors, and online shopping has been considered a health-related preventative behavior. Thisstudy aimsto the relative impact of health threat beliefs concerning Covid-19 (perceived susceptibility and perceived severity) and herd mentality on consumers' online shopping post-adoption disconfirmation and continuance intention of online shopping. Research design, data and methodology: An internet survey was conducted with Vietnamese consumers, and upon screening, usable data of 292 responses were analyzed using PLS-SEM. Results showed that while herd mentality positively affects disconfirmation, health threat beliefs including perceived susceptibility and perceived severity of Covid-19 do not. Results: Results also provided further support for the notion that disconfirmation is a crucial determinant of post-adoption continuance intention. Moreover, herd mentality also has a significantly negative influence on online shopping post-adoption continuance intention. Conclusions: The research provides evidence supporting the role of herd mentality and post-adoption disconfirmation in driving consumers' intention to continue online shopping. However, the research shows that neither the perceived susceptibility of Covid-19 nor the perceived severity of Covid-19 has significant impact on post-adoption disconfirmation, adding mixed evidence to the application of health belief theory in technology (such as online shopping) adoption.
Purpose: The purpose of this study was to review behavior change theories in terms of important variables, concept definitions, and applicability to diabetes self-management behavior. Methods: Six behavior change theories (the Transtheoretical Model, the Health Belief Model, the Theory of Reasoned Action, the Theory of Planned Behavior, Social cognitive theory, and Information-Motivation-Behavioral skills Model) were reviewed which were applied in diabetes self-management interventions. Results: The five key concepts from the five non-stage behavior change theories were delineated. Based on the key concepts, a theoretical framework was formulated as the explanatory model of diabetes self-management behaviors. The four major concepts in Information-Motivation- Behavioral skills Model were included. The cognitive arm of the proposed theoretical framework included constructs related to diabetes knowledge, motivation (beliefs, attitude, social norm), self-efficacy, and intention. Conclusion: The theoretical framework described here includes the key factors of successful diabetes self- management intervention. However, the concept of motivation needs further exploration and clarification for operationalization.
Where people within a certain cultural sphere have formed their own peculiar cultural beliefs including health belief, health value and health practice, care-givers have a good understanding of health management as those practices exist in the client's sociocultural background. The purpose of this study was to describe various caring behaviors in traditional childbearing management and ultimately to provide basic data for nursing practice and sustantive maternity nursing theory. To investigated taring behaviors, the ethnographic approaches were used. The fieldwork for this study has been conducted from December, 1991 to September, 1992. The data collection method was used in-depth interview. The key informants were 19 womans aged from 60 to 84, and general Informant was a native aged 50. Results of the study were as follows. The components of caring behavior inculded heeding, preventing from impurities, encouraging the power, praying, warming up one's body, enduring, helping, healing, resting, making preparations, utilizing mugwort, creating good blood circulation, tabooing, This components of taring behavior were 6 categories, making every effort, encouraing, contriving an easy labor, healing, making preparations, enduring, The prominent caring beehavier during childbearing process was making every effort. In conclusion, for more effective childbearing management of care-givers must eliminate from their own minds 'primitive' or 'supertitious' attitudes toward traditional childbearing management. Also it is desirable that they establish Korean style nursing intervention along with modern scientific practices in conjunction with the traditional childbearing management.
Purpose: The purpose of this study is to survey health requirements of middle-aged women and their families and to provide guidelines for developing nursing interventions by describing the process of family health maintenance experienced by middle-aged women and its conceptual system. Methods: To get saturated data, each of four researchers conducted two or three times of in-depth interview with eight middle-aged women aged between 40-64 years old and living in Seoul and Chuncheon from the 10th to the 30th of October 2004 and each interview was continued one or two hours. The Grounded theory adopted by Strauss & Corbin (1998) is a substantive theory that can explain the experiencing process of middle-aged women. Results: We found that the casual condition of family health maintaining by middle-aged women was 'confidence of health belief', and 'pouring by body moving' was found to be its phenomenon. A textual condition that might respond to the phenomenon was 'fatal roles acceptance', and intervening conditions that promote their family health were 'retracing' and 'gathering health information'. These intervening conditions impacted middle-aged women's confidence in family health and led them to take actions/interactions such as 'being a model of health', 'adapting to circumstances', 'do-it-myself', 'taking-care' 'harmonious mind' and 'the pursuit of cleanness'. These actions/interactions produced results such as 'being stronger', 'being unmanageable' and 'being fruitful'. Conclusions: Health confidence and practical health behaviors were observed in the process that the middle-aged female participants experienced unmanageable circumstances but they accepted their roles and responsibilities and recognized that they must be get stronger. The behaviors of health-together-with were divided into enthusiastic type, adaptation type and self-sacrificing type. Therefore middle-aged woman with the understanding of family health maintaining process as well as the theoretical system and practical principals needs to implement the intervention in acceptable level of family health process of preventing psychological and physical problems.
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