• Journal of Hospice and Palliative Care
• /
• v.23 no.1
• /
• pp.27-38
• /
• 2020

Purpose: The purpose of this study was to compare differences in spiritual needs (SNs) and factors influencing SNs between patients with progressive terminal kidney disease and their family caregivers. Methods: An explorative comparative survey was used to identify the SNs of patients (N=102) with progressive terminal kidney disease undergoing hemodialysis and their family caregivers (N=88) at a general hospital located in Seoul, South Korea. The data were analyzed using descriptive statistics, the chi-square test, the independent t-test, one way analysis of variance, the Scheffe test, and multiple regression with dummy variables. Results: The SNs among family caregivers were higher than in the patient group. SNs were higher among those who were religious in both groups. Loving others was the highest-ranked subdimension in the patient group, followed in descending order by maintaining positive perspective, finding meaning, Reevaluating beliefs and life, asking "why?", receiving love and spiritual support, preparing for death, and relating to God. In the family group, the corresponding order was maintaining positive perspective, loving others, finding meaning, receiving love and spiritual support, preparing for death, relating to God, and asking "why?". The factors that had a negative influence on the level of SNs were not being religious in the patient group and having only a middle school level of education in the family group. Conclusion: The results of this study may serve as evidence that spiritual care for non-cancer patients' family caregivers should be considered as an important part of hospice and palliative care.

• Journal of the Korea Convergence Society
• /
• v.10 no.10
• /
• pp.309-320
• /
• 2019

This study was to explore the meaning and implications of nurses' representations in newspapers from the perspective of convergence. Four different Korean newspaper articles from Aug. 2003 to Sep. 2013 were analyzed by using a descriptive exploratory qualitative study, thematic analysis. Five themes were derived from the data analysis. In the newspaper, in general, professional nurses were described as patient-centered nursing provider with sense of calling for nursing. Also their positive portrayals as health professionals have noticeably emerged. Yet in contrast, nurses' negative portrayals as neglectful, lazy, and discriminating against the poor have been reported. The study findings indicate significantly enhanced nursing professionalism and nursing as a future-promising occupation. The results can be used to develop strategies to improve nursing public image in the media. For further exploratory study on the subscriber's image of nurses after reading the articles is needed.

• Women's Health Nursing
• /
• v.2 no.1
• /
• pp.106-124
• /
• 1996

This paper reviews battering, sexual violence and divorce experienced among women. There three problems have negative influence on health status in women and are further developed to social problems such as family dissolution. The victims of the problems may manifest physical injury, emotional difficulties and social withdrawl, while their children may show problems caused by lack of parental caring and by resembling abusive behaviors of their parents. Hence, nurses need to pay attention to batting, sexual violence, and divorce and to develop relevant nursing interventions for them. Some strategies of dealing with those problems are presented in the following. First, we have to eliminate sexism prevailing in out society. Our society is assigning inequal and asymmetrical gender role. Mass media should inspire equality between genders and show a healthy model of family and community. Second, social system and laws should be changed through collective efforts. Those living conditions of women cannot be changed by the effort of women themselves only. We all need to work for establishing and changing the law, so that those women in suffering can obtain immediate and adequate protection. Third, social support system of consulting and referring women's problems should be established. Such support system as hot line, shelter and counseling clinics would help women in crisis. Fourth, job training and arrangement should be available to women who are divorced. Fifth, there should be self-help group for those women in suffering. Self-help group would help those women in sharing their problems and feelings and in establishing coping strategies. Nurses, as the largest group among health professionals, are sensitive and respond to health needs of clients and have an effect on managing women's health. However, we nurses have not been ready for dealing with problems of women, although most of us are women. we not need to change our perspective of women's health problems from a traditional medical perspective to feministic one. Accordingly, nurses need to develop realistic way of caring those women in suffering and to assist them in making decisions for their lives by themselves.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.9
• /
• pp.6044-6052
• /
• 2015

This study was conducted to identify the level of empathy and clinical practice stress and the relationship between empathy and clinical practice stress in nursing students. Data were collected from 252 nursing students between 1st September and 31st December 2013. 249 questionnaires were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient. The mean scores of empathy level in the subcategories for perspective taking 3.57, fantasy 3.59, empathic concern 3.72 and personal distress 3.15 were above median and the mean score for clinical practice stress 3.03 was above median. Clinical practice stress positively correlated with personal distress on empathy. These findings indicate that there is a need to manage personal distress on empathy for nursing students with high level of personal distress to lessen stress in clinical practice of nursing students.

• Korean Institute of Interior Design Journal
• /
• v.26 no.1
• /
• pp.43-52
• /
• 2017

Although nursing homes where physically weak seniors live must be planned as an healing environment for maintaining and improving holistic health conditions of the senior residents, many of the nursing homes in Korea are currently placed in poor environment due to lack of minimum criteria or design guideline for spatial planning. Therefore, this study aims to extract healing elements shown in nursing home design guidelines that have been developed and utilized in several developed welfare countries where aging has started before Korea. The subjects of this study were 4 international nursing homes design guidelines; and they were analyzed by the content analysis technique. As for analysis units, design guideline items were selected; and spatial composition, three dimensions of health, and healing elements for supporting the health conditions were used as analysis categories. As results, firstly, among total 259 guidelines, the guidelines that commonly applied to all the spaces turned out to be the most, then the guidelines to be applied in bathroom turned out to be the most. Secondly, in terms of holistic health, the proportion of design guideline for supporting physical health turned out to be highest followed by the one for mental health and social health. Thirdly, In terms of healing elements, items for safety, accessibility, comfort, and convenience that supported physical health and cognition that supported mental health turned out to be high. This study is expected to provide the framework for comprehensively understanding the existing design guidelines of nursing homes in the perspective of healing and to be utilized as fundamental resource for spatial planning to improve healing effects in the nursing homes in the future.

• Journal of Korean Academy of Nursing
• /
• v.53 no.2
• /
• pp.260-273
• /
• 2023

Purpose: This study aimed to explore the weight loss experience of highly obese young people who underwent bariatric surgery. Methods: Data were collected, from October 2021 to April 2022, through individual in-depth interviews with eight highly obese young adults who underwent bariatric surgery and analyzed using Colaizzi's phenomenological method. Results: The following four theme clusters were extracted. First, 'The unbearable sorrow of obese people' explains the process of choosing bariatric surgery after fluctuations and frustration despite countless repeated weight loss attempts. Second, 'The impact aftermath of bariatric surgery' revealed participants struggling in the face of unexpected changes due to bariatric surgery. Third, 'Efforts to rebuild a healthy myself' demonstrated the struggle to regain health by using the surrounding support system to overcome the difficulties of this surgical procedure. Lastly, 'Facing life by getting rid of the yoke of obesity' displayed the experiences of the participants who felt ambivalent about their changed appearance, but coping positively with the new life. Conclusion: This study provides an in-depth understanding of the weight loss experiences of highly obese adolescents who underwent bariatric surgery and presents a new perspective on clinical practice. The results of this study are expected to be useful in developing and applying systematic and customized nursing interventions before and after bariatric surgery.

• Journal of Industrial Convergence
• /
• v.20 no.12
• /
• pp.235-244
• /
• 2022

Purpose: This study aimed to develop and evaluate the effects of an nursing process education program based flipped learning and design thinking for undergraduate nursing students. Methods: The study employed a single-group pre-post design. A total of 41 nursing students were recruited from sophomore nursing students. Learning self-efficacy, problem-solving ability, empathy, and learning satisfaction were analyzed. Results: There were statistically significant differences in learning self-efficacy (t=-2.11, p=.041), problem-solving ability (t=-2.11, p=.042), and learning satisfaction (t=-6.40, p<.001). In empathy, but among the sub-categories, perspective-taking increased significantly from 24.56 to 25.41 (t=-2.11, p=.041). Conclusion: It is suggested to develop educational programs for nursing students applying various teaching and learning methods.

• Korean Journal of Adult Nursing
• /
• v.21 no.5
• /
• pp.504-518
• /
• 2009

Purpose: The purpose is to explore the illness experience of Korean women with breast cancer using feminist phenomenology. Methods: Data were collected by individual in-depth interviews from ten women with total mastectomy. The data were analyzed using Colaizzi's method from feminist perspective to reveal implicit socio-cultural norms that oppress women with breast cancer. Results: Two categories and seven major themes emerged: cancer-related experience (1) unfairness of having breast cancer; (2) being confined to the gaze of the others; patriarchy-related experience (3) hardness of being daughter-in-law; (4) struggling to keep on being good mother; (5) continued housework as duty; (6) recognizing self as precious wife, and (7) awakening of true self. All participants felt it was very unfair to get breast cancer because they had done their best for roles of mother, wife, and daughter-in-law. They struggled to free themselves from the social disgrace like the roles imposed by the patriarchal society. By awakening their true selves, they could manage a balance between other-oriented life and self-oriented life. Conclusion: Oncology nurses need to provide psychosocial support for women with breast cancer in finding their true selves in a traditional patriarchal society where women are oppressed and breast cancer is stigmatized.

• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.19 no.2
• /
• pp.158-167
• /
• 2012

Purpose: To determine the mediating as well as moderating effect on both the emotional labor and burnout of professional self-concept perspective organ transplantation coordinators (OTC)'. Method: A self-report questionnaire was collected from 86 OTCs nationwide. The data were analyzed using t-test, ANOVA, Scheffe' test, Pearson' Correlation Coefficients, AMOS 20.0, and multiple regression. Results: For effects of professional self-concept on emotional labor and burnout, higher emotional labor was related to higher burnout. When professional self-concept was mediated, emotional labor had a greater effect on burnout however, a partial mediating effect was detected. From the regression analysis with the independent variables of emotional labor (A) and professional self-concept (B), adding relation of both variables ($A{\times}B$) increased the explained variance to 56.3% ($p$<.05). It was confirmed that professional self-concept had a moderating effect on emotional labor and burnout. Conclusion: The results of this study indicate that, when professional self-concept was mediated emotional labor of an OTC decreased, and burnout decreased when professional self-concept was high. Also, by controlling professional self-concept, emotional labor and burnout decreased. Therefore, it's necessary to map out the environment and develop strategies to reduce emotional labor and burnout in organ transplantation coordinators.

• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.16 no.4
• /
• pp.515-523
• /
• 2009

Purpose: The purpose of this study was to examine the relationship between work-family conflict, social support, job satisfaction, and organizational commitment which are closely linked to staff turnover from the perspective of married hospital nurses. Method: A survey was conducted using self-report structured questionnaire from 220 married nurses. Data analysis included descriptive statistics, t-test, one-way ANOVA, correlation and multiple linear regression with SPSS Win 17.0 program. Results: Job satisfaction, social support, work-family conflict and age were strong predictors of organizational commitment. These variables explained 46.5% of the variance of the organizational commitment. Higher levels of organizational commitment were associated with greater job satisfaction and social support. Nurse with lower levels of work-family conflict and older age reported a high level of organizational commitment. Conclusion: These results show that improving job satisfaction has the best effect on enhancing nurses' organizational commitment. Also supportive relationships, reduction of work-family conflict and older age were significantly correlated with organizational commitment. Organizations should design more family-friendly policies and provide opportunities for career development to health professionals to induce organizational commitment.