• Korean Journal of Occupational Health Nursing
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• v.18 no.2
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• pp.141-152
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• 2009

Purpose: The purpose of this research was to describe the decision making of nurses in a VIP ward. Method: The methodology of collecting and analyzing the data was based on the grounded theory of Strauss and Corbin (1998). The data were collected through an in-depth interview, which were audio-taped and transcribed. The data were collected from 10 nurses from July to November 2007. Results: The core category on VIP ward nurses' decision making was named as "adjusting with flexibility and deepened insight". The causal condition was established by 'the patients who wanted to be treated specially'. The contextual conditions included 'caring patients from various departments', 'differences depending on the nurses' clinical experience', and 'client-centered atmosphere in the VIP ward'. The intervening conditions included 'problem solving styles of nurses', 'attitudes of patients and family members', 'nurse-doctor relationships', and 'accessibility to information'. It was confirmed that nurses changed their action-interaction strategies depending on the intervening conditions, thus resulted in the nurses' role conflict and the need to expand their consciousness. Conclusion: The result of this study indicates that nurse's decision making depends on their experiences and the nature of social context in which nursing occurs.

• Women's Health Nursing
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• v.14 no.1
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• pp.44-55
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• 2008

Purpose: This study was done to assess the personal experiences of the coping process during pregnancy for single mothers. Methods: The participants were 17 single mothers who had stayed in a social welfare facility. Data was collected with an in-depth unstructured interview. Data analysis was done by the grounded theory method. Results: One-hundred twelve concepts and 49 sub-categories were confirmed in the analysis. The sub-categories were grouped into 19 categories; escape from a miserable family, wrong meeting, openness of sex, defenseless state of pregnancy, inevitable result of pregnancy, heartbreak by herself, closure, isolation, difficult situation of being alone, stigma, supporting & protecting, helplessness, seeking, empowering, feeling of loss, conflict, facing issues, assuring a fresh start and becoming-mature. "Being driven over the edge of a cliff" was the key phenomenon which the single mothers experienced during the process of pregnancy. Conclusion: The above results will help nurses assessing single pregnancy mothers' needs and developing a nursing intervention program for supporting them. Therefore, nurses will be able to stop them from "being driven over the edge of cliff". A more vigorous nursing intervention is suggested for the research of the vulnerable classes of medical health care including single pregnant mothers.

• Journal of Korean Academy of Nursing
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• v.41 no.1
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• pp.61-71
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• 2011

Purpose: The purpose of this study was to examine the meaning and essence of suicide for elderly people who had previously attempted suicide as an older person. Methods: Giorgi's descriptive phenomenology was used for analysis. The researchers carried out in-depth interviews, recordings and memos individually with four elders. The elders were individuals who had attempted suicide sometime in the past 5 yr. They were interviewed from 5 to 10 times using open-ended questions and a semi-structural format. Demographic data were also collected. Results: The meaning of suicide before a suicide attempt in older people had four core components: conflict with family, powerlessness and despair in their life with a drop in self-esteem, using internal and external resources to resolve their troubles and awareness of imminent crisis. Conclusion: These results of this study will increase understanding of suicide in older people by defining their subjective experience of suicide attempts and applying grounded data in the development of programs that provide concrete intervention strategies to prevent suicide in elderly people.

• Journal of Korean Critical Care Nursing
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• v.2 no.1
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• pp.1-14
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• 2009

Purpose: This study was designed to identify levels of job stress and assertiveness behaviors and the relationship between them among ICU nurses. Methods: A correlational descriptive survey was used to these relationships among 454 ICU nurses from 25 hospitals which were members of Korean Association of Critical Care Nurses. Data were collected using a structured questionnaire which included 58 items of job stress and assertiveness scale from November 4 to 14, 2008. Descriptive statistics, Pearson correlation coefficients were used to analyze the data. Results: ICU nurses experience mild to moderate degree of job stress, A score of assertiveness behaviors was 2.86. There was a negative relationship between job stress and assertiveness behaviors(r=-.106, p=.024) as influenced by role conflict, lack of professional knowledge and skills, and inappropriate treatment. Conclusion: ICU nurses, especially nurses with 3-6 year clinical experience, are in need of support to manage their job stress. These nurses should be supported through provision of adequate stress management and assertiveness program.

• Health Policy and Management
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• v.25 no.2
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• pp.129-139
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• 2015

Background: Policy network theory was proved to be an appropriate analytic tool for the current social welfare policy making process. This study aimed to analyze policy making process related to the nurse expansion and policy output while focusing on the interactions and activities among various policy actors. Methods: In this study, we used reports related to the need for expansion of nursing personnel journals, dissertations, newspaper articles, for hearings and debate policies for securing nurse data, and interviews. We examined three components of policy network, that is, policy actors, interactions, linkage of interest. Results: For that to expand the nurse before the 2000s in expanding the supply of medical supplies have been conducted without much disagreement among policy actors under the government's initiative. However, there was lacked a close relationship between the expanding supply of nurses and inaccurate analysis of supply and demand. As the policy is applied between the various policy actors' needs and claims, conflict was intensified and many policy options had been developed. Government only took a role as a coordinator among policy actors in the 2000's. Also, it was difficult to find sufficient and clear evidence that policy-making process based on fair judgment. Conclusion: Therefore, it is urgently required to determine the policy through a social consensus to address the appropriate policy means and the process by correct analysis of the policy issues.

• Journal of Korean Public Health Nursing
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• v.22 no.1
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• pp.39-48
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• 2008

Purpose: To identify the experience of violence and physical and psychiatric health in women residing in shelters. Method: A descriptive correlation research design was employed. The participants were 116 women living in shelters who consented to participate in this study. The women lived in one of 23 of the 48 shelters registered with the Ministry of Gender and Equality(2004). Their experience of violence was measured using the Conflict Tactics Scale II revised by the Ministry of Gender and Equality and their health status using the Cornell Medical Index revised by Nam(1965). Analysis included descriptive statistics, and Pearson's correlation coefficients. Results: The results confirmed the women in shelters to have been exposed to severe physical, psychological and sexual violence from their spouses, which had led to serious problems in their musculoskeletal system and also depression. There was a significant relationship between the experience of violence and health status. Conclusion: Future research is needed to develop programs to improve the situations of these women.

• Korean Journal of Occupational Health Nursing
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• v.23 no.4
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• pp.219-226
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• 2014

Purpose: This study aims to determine the association between psychosocial work environment and self-rated health among general hospital nurses. Methods: A total of 195 nurses working in one general hospital were eligible for data analysis by multivariate logistic regression. The psychosocial work environment was measured with the Korean version of the Copenhagen Psycosocial Questionnaire version II (COPSOQ-K). Self-rated health was recoded as good (excellent/good) and not good (fair/poor/bad) to the question, "In general, how would you rate your health status?" Results: 40% of nurses rated their health positively. Commitment to the workplace (OR=1.27), predictability (OR=1.32), recognition and reward (OR=1.41), role clarity (OR=1.32), and social support from colleagues (OR=1.25) were positively associated with self-rated health of nurse participants. Work-family conflict (OR=0.82) was negatively associated with self-rated health. Conclusion: The findings suggest that psychological work environment predicts self-rated health of hospital nurses. Good psychological work environment may be helpful in improvement of nurses' health.

• The Korean Journal of Pain
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• v.26 no.1
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• pp.3-13
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• 2013

Chronic noncancer pain is a significant and growing public health challenge in the United States. Lacking effective alternative interventions for effective chronic noncancer pain management, many physicians have turned to opioid pharmacotherapy. Increased opioid prescribing brings not only gains in therapeutic benefit but also a higher incidence of adverse drug events including increased medication misuse and opioid related mortality. Currently the United States must confront the dual problems of widespread undertreated chronic noncancer pain and a prescription opioid abuse crisis. Withholding pain relieving drugs from patients in need is unjustifiable, yet drug diversion, abuse and adverse drug events have become major social as well as medical problems. At the heart of this crisis is the lack of definitive evidence about the risk to benefit ratio of opioid pharmacotherapy for chronic noncancer pain both on an individual case and on a population basis. This article describes the extent and severity of the American chronic noncancer pain problem and the history of opioid pharmacotherapy for chronic noncancer pain in the United States. It then discusses the concept of evidence based practice and reviews current evidence supporting opioid pharmacotherapy for chronic noncancer pain as well as adverse drug events related to opioid pharmacotherapy including misuse and abuse. Finally, it considers the conflict of providing pain relief versus protecting society and reviews steps that governmental agencies, industry and others are taking to contain and ultimately resolve the problems of excessive prescribing and conflicting priorities.

• Journal of the Institute of Convergence Signal Processing
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• v.20 no.1
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• pp.24-30
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• 2019

Modern people argue that mental health care is necessary because of various factors such as unstable income and conflict with others. Recently, equipments capable of measuring electrocardiogram (ECG) in wearable equipment have been widely used. In the case of overseas, it can be seen as a medical assistant [14]. By using such functions, studies are being conducted to distinguish representative emotions (joy, sadness, anger, etc.) with objective values. However, most studies are increasing accuracy by collecting complex bio-signals in a limited environment. Therefore, we examine the factors that have the greatest influence on the change and discrimination of biometric information on each stimulus.

• 대한상한금궤의학회지
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• v.13 no.1
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• pp.165-178
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• 2021

Objective: This study aimed to report the improvement of a patient with chronic insomnia who was treated with Baekho-tang based on the Shanghanlun disease pattern identification diagnostic system (DPIDS). Methods: The patient's symptoms were checked on days 19, 37, and 52 after taking Baekho-tang. Chronic insomnia was evaluated by the degree of insomnia, hours spent asleep, and the number of times the patient woke up during the night, which were all assessed by a visual analog scale (VAS) with the Leeds Sleep Evaluation Questionnaire. In addition, new clinical implications for the interpretation of the 350th Shanghanlun provision were reviewed. Results: After administering Baekho-tang for 52 days, based on the 350th Shanghanlun provision according to the DPIDS, the VAS score decreased from 10 to 1. Conclusions: The patient recovered from chronic insomnia. This case report suggests that the words "滑," "厥," and "裏" in the 350th provision of Shanghanlun mean physical and psychological causes of insomnia. In addition, Baekho-tang had a therapeutic effect in improving the chief complaint of the patient. Therefore, the interpretation of the 350th Shanghanlun provision requires a new definition that includes the patient's lifestyle, family conflict, and past history of the patient as a cause of chronic insomnia.