• Child Health Nursing Research
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• v.29 no.3
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• pp.218-228
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• 2023

Purpose: This study aimed to identify clinical characteristics of South Korean pediatric inflammatory bowel disease (IBD) in a children's hospital over the past 5 years, with a specific focus on comparing the features observed between Crohn's disease (CD) and ulcerative colitis (UC). Additionally, it aimed to examine the nursing diagnoses given to patients. Methods: This retrospective study analyzed the medical records of Korean pediatric patients under 18 years of age who were diagnosed with IBD and hospitalized at a children's hospital in Seoul, South Korea, from January 2017 to December 2021. Results: The number of pediatric patients diagnosed with IBD steadily increased. This finding was particularly prominent for CD patients, the majority of whom were male. Pediatric patients with CD had significantly higher rates of abdominal pain and perianal lesions, while pediatric patients with UC had a higher rate of bloody stool. Laboratory findings indicated that CD patients had higher levels of inflammatory markers and lower albumin levels than UC patients. The nursing diagnoses given during hospitalization mostly related to safety and protection, physical comfort, and gastrointestinal function. Conclusion: This study provides insights into Korean pediatric IBD patients, enabling early detection and the development of nursing intervention strategies. From a comprehensive perspective, nursing care should not only address patients' physical needs but also their psychosocial needs.

• Journal of Animal Science and Technology
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• v.63 no.2
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• pp.199-210
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• 2021

A number of management issues can be used as drivers for change in order to improve animal welfare and nursing capacity of the hyperprolific sow. Group housing of sows during gestation is a recommended practice from the perspective of animal welfare. Related health issues include reproductive health and the locomotor system. It appears that management of pregnant sows in groups is challenging for a producer and considerable skill is required. We explored the benefits and challenges of group housing, including feeding issues. Increasing litter size requires additional attention to the mammary gland and its ability to provide sufficient nursing for the growing litter. We discuss the fundamentals of mammary development and the specific challenges related to the hyperprolific sow. We also address challenges with the farrowing environment. It appears that the old-fashioned farrowing crate is not only outdated in terms of welfare from the public's perspective, but also fails to provide the environment that the sow needs to support her physiology of farrowing, nursing, and maternal behaviour. Studies from our group and others indicate that providing the sow with a loose housing system adequate in space and nesting material, along with reasonable chance for isolation, can be considered as fundamental for successful farrowing of the hyperprolific sow. It has also been shown that management strategies, such as split suckling and cross fostering, are necessary to ensure proper colostrum intake for all piglets born alive in a large litter. We thus conclude that welfare and nursing capacity of the sow can be improved by management. However, current megatrends such as the climate change may change sow management and force the industry to rethink goals of breeding and, for instance, breeding for better resilience may need to be included as goals for the future.

• Journal of the Korean Applied Science and Technology
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• v.40 no.5
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• pp.1176-1190
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• 2023

The purpose of this study was to clarify the attributes of the concept of clinical performance skills in simulation-based practical training and to organize them in order to establish theoretical foundations for clinical competence. The research method employed was the concept analysis process of Walker and Avant (2011). Papers related to clinical competence published between January 2000 and April 2023 were selected by searching various databases such as PubMed, CINAHL, Ovid-Medline, DBpia, KISS, and others. The attributes of clinical competence were found to be (1) the clinical competence of knowledge, judgment, and skills, (2) Adaptability to Changing Healthcare Environment (3) the ability to perform nursing roles appropriately in response to the demands of nursing subjects. This study is significant as a concept analysis study that recognizes the importance of nursing from a nursing perspective in a situation where research on clinical competence is active in simulation-based training. Based on the results of this study, it is necessary to develop training programs and tools including the attributes of clinical competence in simulation nursing education and to measure the effectiveness of the programs using them. nursing perspective in a situation where research on clinical competence is active. Based on the results of this study, it is necessary to develop training programs and tools including the attributes of clinical competence in simulation nursing education and to measure the effectiveness of the programs using them.

• Journal of Home Health Care Nursing
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• v.24 no.3
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• pp.325-335
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• 2017

Purpose: This study investigated the factors influencing mental health among university students based on ecological perspectives. Method: The subjects for this study were 416 students in two colleges in K province. The instruments used for measurement were: Symptom Checklist (Derogatis, 1977), Ego Resilience Scale (Block & Block, 1980), Perceived Stress Inventory (Cohen, Kamarck, & Mermelstein, 1983), and Social Support Scale (Park, 2002). The data was analyzed using the IBM SPSS program. Result: Ego resilience and perceived stress as intrapersonal factors and friends' support as interpersonal factor were the significant predictors of mental health. It was showed that these factors explained 47% of mental health. Conclusion: This study suggests that the factors influencing mental health are both intrapersonal and interpersonal factors. Thus, the findings of this study provide the basic data to develop a program for mental health of university students based on ecological perspectives.

• Journal of East-West Nursing Research
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• v.29 no.2
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• pp.141-149
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• 2023

Purpose: The purpose of this study was to verify the effects of virtual reality (VR) based anatomy education program on nursing students' learning presence, technology acceptance, learning motivation, and knowledge. Methods: A nonequivalent control group pre-test and post-test design was employed. The study participants included 113 nursing students (56 in the experimental group and 57 in the control group) from Ansan City. Data collection was conducted from June 1 through 23. Data were analyzed using χ²-test, Fisher's exact test, and t-test using SPSS 23.0 program. Results: The experimental group had a significant increase in learning presence, technology acceptance, and knowledge before and after the intervention compared to the control group. Conclusion: Virtual reality based anatomy education is an effective learner-centered educational program. From an educational perspective, VR anatomy education programs can improve anatomy knowledge by increasing students' acceptance of VR technology and increase their motivation to learn by increasing their sense of presence.

• Journal of Korean Academy of Nursing Administration
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• v.19 no.1
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• pp.138-145
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• 2013

Purpose: This study was done to provide fundamental ontological understanding of caring and inquiring into the possibility of a caring practice in nursing based on existential phenomenology. Methods: According to Heidegger's existential phenomenology, caring has been interpreted as a fundamental ontological basis for caring practice in nursing. Further, based on Merleau-Ponty's phenomenology, the meaning of the lived experience of illness and the way of caring practice have been described from the aspect of the existential involvement in the embodied life world. Results: Heidegger's phenomenology provided ontological thinking about caring, which is understood in a basic way as the possibility of human existence and dwelling in oneself in the confrontation of the illness experience. Merleau-Ponty's phenomenology offered a meaning of human existence according to bodily intention and situated freedom in the life world. This perspective of embodiment enables nurses to understand bodily experiences of patients and recovery of their bodily capacity in responding to the situation in caring practice. Conclusion: Existential phenomenology gives insight into fundamental reflection for caring attitude and practice in nursing. Existential phenomenological nursing research can provide descriptions and meaning of the lived experience of illness and a way of coping with the crisis of human existence in caring practice.

• Child Health Nursing Research
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• v.16 no.4
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• pp.249-258
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• 2010

Purpose: This study was done to provide a basis for future theory development by analyzing the phenomenon of parent-child relationships based on the 4 areas described by Kim (2000). Methods: A descriptive research design was used to identify research trends in nursing related to the phenomenon of parent-child relationships. Results: Before 1990, the trend in research design was quantitative designs, but since 1990, qualitative research has also been done. Mothers were the most popular research target for these studies followed by mothers and children together. In analyzing the 4 areas outlined by Kim (2000), it was found that most of the research was done on client domain and parents. The research concepts relevant to the essentialistic concept of research target, were 'child rearing', 'breast-feeding' and 'attachment'. For problematic concepts, the concept of 'stress' was continuously dealt with over the period and for the health-care experiential concept, 'adjustment' and 'coping' by parents were the main focus of research. Conclusion: The results show that parent-child relationship research was mainly concentrated on research participants and concepts. In the future, improvements should be made in research development of nursing practice programs and development of theory, to address the complete phenomenon of parent-child relationships.

• Journal of Korean Academy of Nursing
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• v.34 no.2
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• pp.315-323
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• 2004

Purpose: The purpose of this study was to identify the theoretical characteristics and direction of inquiry in the discipline of nursing by analyzing doctoral dissertations. Method: The materials used in this study were 277 doctoral dissertations from five universities in Korea. The framework for the study was derived from Kim's(l993) alternative linkage among philosophy, theory, and method in nursing science. Result: Of the 277 dissertations it was found that there were 13 types of linkages out of a possible 54 types. Most of the dissertations (128 of 277) were done within the linkage of realism/etic/quantitative/explanatory knowledge type. Of the 218 dissertations within scientific realism, 42 were within relativism, and 17 within practicism. There were 134 dissertations of the explanatory knowledge type, 112 descriptive ones, and 31 prescriptive ones. Studies done within the etic quantitative methodology included 209 dissertations and within the emic perspective, 43 with qualitative methodology, and 7 with quantitative. Conclusion: The results show that it is necessary to develop more alternative linkages for nursing practice and this will lead to expanding nursing knowledge.

• Women's Health Nursing
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• v.6 no.1
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• pp.46-53
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• 2000

The purpose of this study was to explore the structure of nursing needs during labor pain as perceived by women who have given birth. The phenomenological perspective of qualitative research theory guided the approach to the study. The sample consisted of 20 women who had undergone normal labor and had delivered a healthy baby at term. Collection of data was by means of in-depth interviews conducted 1-2 days after delivery in the admission room from March to may 1998. On average, the interviews lasted for about 30 minutes. Interviews were taken with the consent of the subjects. Data were analyzed by means of Giorgi's method and categorized according to the similarities of their contents. The investigator read the data repeatedly to identify themes and categories. Four categories were : 1) a sense of security 2) self esteem 3) willingness to learn 4) a sense of comfort. Under these categories there were twelve themes. I. A sense of security : (a) presence (b) conversation (c) touching II. Self esteem : (a) praise (b) encouragement (c) treating the women with respect (d) caregiver with good character III. Willingness to learn : (a) teaching (b) information IV. A sense of comfort : (a) self controlled pain relief (b) artificially controlled pain relief (c) skillfulness of caregiver The findings should sensitize nurses to the various needs of women in labor who are under their care. Further research should focus on developing instruments to assess the nursing needs of parturients. Researchers also need to identify ways to assess women's satisfaction with nursing needs.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.10 no.1
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• pp.47-56
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• 2003

Purpose: This study was done to provide information about issues of clinical competency from the perspective of new graduate nurses and to make suggestions for improving undergraduate education programmes. It was also done to clarify learning experiences between fundamentals of nursing and the other major areas of nursing. Method: For this study, 7 new graduates and 8 experienced nurses participated. The data were collected through in-depth interviews and analysed in terms of Strauss and Corbin's grounded theory methodology. Result: Core category and main categories, were delineated. Clinical nursing competency was found to be a dynamic process with each participant actively engaged in acquiring problem solving ability in diverse clinical settings. These findings have value in understanding the embedded meaning of clinical nursing competency. Conclusion: Therefore, the educational programs reflecting the experience of new nursing staff should be developed.