• Title/Summary/Keyword: Loss Experiences

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Theory Construction in Nursing of Uncertainty (불확실성의 간호이론 구성)

  • Oh, Hyun-Sook
    • Korean Journal of Adult Nursing
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    • v.13 no.2
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    • pp.200-208
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    • 2001
  • The purpose of this study was to understand the nature and structure of "uncertainty of chronically ill patients" by explaining it more scientifically. This study is based on the unique experiences, which individual uncertainty experiences differ from others. In this sense, Q-methodology which includes self-psychology and abductive logics is applied to the study. The results indicate that there are six types of uncertainty of chronically ill patients : my own fault, self-esteem loss, self-care determination, cure-doubt, reality-restructure, and past-tenacity reality-absence. Thus, "uncertainty of chronically ill patients" is defined from the study as the process in which continuous transition and evaluation of possibility cause changes in human recognition, attitude, action, etc.. The significance of the study is threefold : (1) discovery of six types of uncertainty of chronically ill patients in Korean people, (2) the better understanding of "uncertainty of chronically ill patients", (3) possible developments of nursing concept and assessment and intervention technique based on the new dimension of the understanding in uncertainty for nursing of chronically ill patients from this research.

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Factors that Help and Hinder South Korean Teachers' Bereavement Following Student Suicide: A Concept-Mapping Approach (학생 자살 후 교사의 애도 경험에 관한 개념도 연구: 어려움 및 도움 요인)

  • Seo, Jung Il;Lee, Hwa Yun;Kim, Ga Yeon;Lee, Dong-gwi
    • Korean Journal of School Psychology
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    • v.18 no.1
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    • pp.121-151
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    • 2021
  • This study aimed to identify the factors that helped and hindered secondary school teachers who experienced student suicide using the concept-mapping approach. Seven South Korean middle and high school teachers were interviewed from which 113 core statements were elicited. The participants sorted these core statements into categories by meaning. Multidimensional scaling and hierarchical cluster analysis were conducted to identify the underlying structure of the teachers' experiences. Four hindering factor clusters emerged: (1) regret over failing to prevent the suicide, (2) an apathetic atmosphere in the school, (3) a sense of helplessness related to suicide survivors, and (4) approach-avoidance conflicts related to suicide survivors. Six helpful factor clusters emerged: (1) cooperation and care offered between suicide survivors, (2) focusing on the present, busy life, (3) spiritual activity, (4) social support, (5) overcoming grief through altruistic behaviors, and (6) sympathy for the deceased. Two dimensions were found for both the hindering and helpful factors. The hindering factor dimensions were external system-internal experiences and related to suicide survivors-related to suicide decedents. The helpful factor dimensions were distancing from the loss-approaching the loss and professional activities-personal activities. The present study empirically explored and described the underlying structure of teachers' bereavement experiences after student suicides.

The Experience of Parents Whose Child is Dying with Cancer (암 환아 부모의 경험에 대한 질적 연구)

  • ;;Ida Martinson
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.491-505
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    • 1992
  • The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

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Distribution Feeder Reconfiguration Using Heuristic Rules (경험적 규칙을 이용한 배전계통의 재구성기법)

  • Cho, Si-Hyung;Choi, Byoung-Youn;Woo, Kwang-Bang
    • Proceedings of the KIEE Conference
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    • 1991.07a
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    • pp.363-365
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    • 1991
  • This paper presents a method for feeder reconfiguration in order to operate distribution systems efficiently using heuristic rules. The reconfiguration method presented here not only eliminates various abnormal states but also achieves minimum power loss and optimum load balance of the distribution feeders under normal operating condition transfering loads from one feeder to anoter applying the experiences of the experts. To implement the method effectively, a best-first tree searching strategy based on heuristics is used to evaluate the various load transfer alternatives. The development of a rule-based system aimed at the reduction of the search space is presented as a means of implementing the best-first searching strategy. The results of the computer simulation of the above procedure are as follows; 1) achieving minimum power loss of the distribution feeder adopting the optimum load transfer alternative. 2) Enhencing system reliability and achieving load balance through rational allocation of the feeder loads.

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Experience of Mothers who Gave Birth to Congenitally Anomalic Babies (기형아 출산 산모의 경험)

  • Choi, So-Young;Lee, Mi-La
    • Women's Health Nursing
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    • v.3 no.1
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    • pp.28-38
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    • 1997
  • Recently, the birth rate of congenitally anomalic babies is increasing in Korea. But there are few studies and articles in nursing field. So nurses are having difficulties in caring those mothers. This study is to reveal experiences of the mothers with congenitally anomalic babies. Subjects were six and data were gathered by interviews. Data were analyzed by Giorgi's method. Mother's responses were organized into five categories-shock, sadness, expectation, attribution and loss of confidence on future pregnancies. Loss of confidence on future pregnancies were categories which were not found in foreign articles. Based on the result of this study, author recommend that another studies which deal only same anomaly will be done, and genetic counseling system will be organized in hospitals.

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Quasi-Distributed Water Detection Sensor Based On a V-Grooved Single-Mode Optical Fiber Covered with Water-Soluble Index-Matched Medium

  • Kim, Dae Hyun;Kim, Kwang Taek
    • Journal of Sensor Science and Technology
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    • v.24 no.1
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    • pp.1-5
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    • 2015
  • The V-grooved single-mode fiber in which a surface part of the core was removed was investigated as a quasi-distributed water detection sensor. In the normal state, the V-grooved region is filled and covered with a specific RI (Refractive Index)-matched medium, and the sensor experiences minimal optical loss. As water invades the V-grooved region, the material is dissolved and removed, and a considerable optical loss occurs owing to the large RI difference between the fiber core and water. The experimental results showed the feasibility of the device as a sensor element of the quasi-distributed water detection sensor system based on general optical time domain reflectometry (OTDR).

FAIR-Based Loss Measurement Caused by Personal Information Breach of a Company (FAIR를 통한 개인정보 유출에 따른 기업의 손해금액 산출에 대한 연구)

  • Kim, Jeong-Gyu;Lee, Kyung-Ho
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.27 no.1
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    • pp.129-145
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    • 2017
  • This study proposes a methodology to estimate the financial damages by personal information breach of a company and to analyse risk systematically through a case study of a company which experiences private information breach. Using FAIR(Factor Analysis of Information Risk) model, estimate the loss amount and to analyse risk objectively of a company by personal information breach. This study estimates adequacy and importance of corresponding factors applying AHP(Analytic Hierarchy Process) on each factors for assessing loss amount. By adopting proposed methodology in this study, the person in charge of actual work can assess and prove the loss amount though the latest risk estimation methodology. In addition, the person in charge can select the proper parameters for the corresponding company and can obtain the objective quantitative estimation. Hence it can be reported to the management by accurately assessing loss amount caused by personal information breach.

School loss due to oral disease and the related factors for a middle schools and high schools in Busan, Gyeongnam province (중고등학생의 구강병으로 인한 학업손실실태와 연관요인)

  • Jang, Kyeung-Ae
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.4
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    • pp.784-794
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    • 2009
  • Objectives : This study was to prepare basic data about middle and high school students' school loss due to oral diseasea and to investigate the relevant factors. Methods : The survey is conducted for 575 middle school students in Busan and Gyeongnam. School loss was investigated based on the experiences of absences and leaving school early, which had happened from oral diseasea. The independent variables were oral health behaviors and sociopeconomic factors such as sex, age of their parents, educational level of their parents, family income. Factors related with school loss was analyzed by the multiple logistic regression method. Results : The experience ratio of leaving school early to the dental clinic or having difficulty in studying was higher in the case of high school student than in middle school student case. The parameters related with absence or leaving school early for oral disease were the education level, the distinction of sex, fear about medical examination and the standard of living. The reasons of absence or leaving early for visiting the dental clinic were related with education level, the distinction of sex, fear about medical examination, distrust of oral care and the satisfaction of oral health. The parameters having effect on school performance were education level, sex, fear about medical examination, distrust of oral care, cost burden, interests in oral health by the parents and school record. Conclusions : The oral health promotion should be developed to decrease school loss for students.

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A Study on the Behavior in Patieints with Orafacial Pain by Biobehavioral Pain Profile (Biobehavioral Pain Profile을 이용한 구강안면동통 환자의 행동양식에 관한 연구)

  • Shin, Min
    • Journal of Oral Medicine and Pain
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    • v.23 no.4
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    • pp.403-418
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    • 1998
  • The aim of this study was to measure effects of the following items to pain and pain behavior reaction in patients with chronic orofacial pain. Items that contribute to the first factor(Environmental Influences) measure environmental sources of information that may affect illness behavior; Second factro(Loss of Control) measure appraisals and attributions perceived to influence personal views aobut pain; Third factor(Health Care Avoidance) measures a variety of avoidant behaviors; Fouth factor(Past and Current Experiences) measures experiences with treatment); Fifth factor(Physiological Responsivity) measures physiological parameters that are experienced in association with pain; Sixth factor(Thoughts of Disease Progression) measures thoughts regarding the etiology and progression of disease in relation to pain. 150 patients that were consist of 40 male and 110 female were participated in this study. The obtained results of this study were as follows : 1. Environmental influences and loss of control scales were recorded high score in patients with chronic orofacial pain 2. "Physician's descriptions of what your pain will be like" and "Physician's facial expression when they ask about your pain" items from the environmental influences were recorded high score. These results indicated that responsibility of doctro is very important to the pain reaction behavior of patients. Also, items from thoughts regarding the etiology and progression of disease in relation to pain influenced to the pain reaction. 3. There were significant defferences on the "nurses' descriptions of what you pain will be like", "physician's and nurses' facial expression when they ask about your pain", "TV and radio", and "Literature" items from the environmental influences between male and female patients. 4. There were no significant differences on the each scale between arthrogenous and combitnation group and significant correlated with all 6 scales.

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An Analysis of Health Problems Experienced by the Clients Receiving Hemodialysis (혈액투석 환자들이 경험한 건강문제 분석)

  • 신미자
    • Journal of Korean Academy of Nursing
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    • v.26 no.4
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    • pp.903-916
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    • 1996
  • The purpose of this study was to discover practical health problems which hemodialysis clients experienced so as to present basic data for development of a health assessment tool. The research subjects were 70 clients receiving hemodialysis in Seoul and Inchon from Mar. 1996 to Sep. 1996. Data were collected by researcher's informal indepth interview and nurses' open ended question. Content analysis was applied to collect similar contents and common experiences in order to derivate concepts and categories for better understanding of hemodialysis clients' experiences. As a result, 9 categories derivated to identify the health problems of clients receiving hemodialysis were as follows : 1) They experienced 'the decreased digestive function' which contained the changed appetite, nausea, vomiting, constipation and diarrhea. 2) They experienced 'the decreased respiratory and circulatory function' which contained dyspnea, changed blood pressure, tingling sensation and the fear of aggrevated vascular condition. 3) They experienced 'the aggrevated oral condition' which contained dry mouth and destruction of teeth and their soft tissue. 4) They experienced 'the decreased sensory function' which contained visual disturbances, sensation difficulty, and hearing loss. 5) They experienced 'the aggrevated skin condition' which contained dark brown skin color, dry skin (and hyperpigmentatic freckle, seborrheric keratosis, scale), itching sense, and alopethia. 6) They experienced 'the decreased urinary reproductive function' which contained anuria or oliguria, dysmenorrhea, sterility and decreased libido. 7) They experienced 'the restricted activity' which contained decreased activity, muscle cramp and stiffness of joint. 8) They experienced 'the changed mental status' which contained memory disturbance, decreased cognition, disorientation, neurosis and psychosis. 9) They experienced 'the aggrevated general condition' which contained kyphosis, weight loss, fatigue, sleep disturbance, bleeding tendency, inflammation, generalized edema and foul oder of uremia.

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