• 한국보건간호학회지
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• 제31권1호
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• pp.19-33
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• 2017

Purpose: This study was conducted to explore the meaning and contents of high-quality aged care facilities and provide basic data for evaluation of service quality in such facilities. Methods: The focus group interviews and participants consisted of two user groups, for a total of 16 family caregivers of the elderly living in facilities and four service provider groups, for a total of 26 chief managers and caregivers working in aged care facilities. All interviews were recorded and transcribed as they occurred. Content analysis was used and debriefing notes were referred to in order to analyze the data. Results: Four themes of a high-quality aged care facility emerged from the analysis; 1) a place to rest for comfortable later years; 2) systematic value-based management; 3) providing professional care; 4) comprehensive service provision in response to diverse needs. Conclusion: The findings of the study showed the importance of client centered care and ethical mindset of providers, which had not been included in the existing quality evaluation programs. Based on these results, medical treatments, end-of-life care and more comprehensive and extended services including family care need to be provided in facilities to ensure good quality aged care.

• 한국보건간호학회지
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• 제29권2호
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• pp.325-343
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• 2015

Purpose: This study was conducted in order to identify and describe the experiences of health care during pregnancy, birthing, and postpartum period for Vietnamese marriage immigrants. Methods: The participants were 15 Vietnamese married immigrant women who became pregnant and gave birth within the last five years. Data were collected by in-depth interview with Vietnamese women. Data were analyzed using Colaizzi's method of phenomenology. Results: Six theme clusters were extracted as follows: 'being left with no other option in loneliness and longing filled in a limited life', 'continued trials and errors amidst frustration and fear', 'silently following orders despite the quality of medical services that change with each medical care provider', 'compromise by selecting amidst confusion between the Korean way and the way at home', 'depending on family, who is the communication channel, but becoming disappointed', and 'finding the reason for existence and struggling by herself to become a mother amidst doubled confusion'. Conclusion: A program for effective empowerment of Vietnamese immigrant women should be developed. In addition multicultural family centered programs should be developed with emphasis on acceptance of women's culture, respect for her culture, and supports. Medical staffs and nurses should also improve culturally sensitive competence in order to provide care for immigrant women.

• 성인간호학회지
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• 제28권4호
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• pp.388-398
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• 2016

Purpose: The purposes of this study were to identify nurses' empathy, attitude and pain management for patients with dementia and the factors associated with their performance of pain management. Methods: The study design was a cross-sectional survey. The participants in the study were 114 nurses working at 12 geriatric hospitals. This study utilized the Interpersonal Reactivity Index (IRI), which measures four empathy factors. Nurses' attitudes toward pain and performance of pain management, and general and pain related characteristics were measured by self-administered questionnaires. Results: Barriers to pain management for patients with dementia were absence of guidelines, prejudice of pain in dementia, and lack of time and knowledge deficit. There was a significant positive correlation between empathic concern and attitudes, perspective-taking of empathy and pain management. There was also a correlation between empathy and pain management. Stepwise linear regression analysis indicated that the significant factors affecting the performance of pain management included perspective-taking of empathy, use of pain management in dementia guideline and attitudes toward pain. These factors explained 24.0% of variance. Conclusion: The findings from this study suggest that empathy and positive attitude are the important provider attributes which needs to be enhanced by educational programs. It is also necessary to develop and disseminate guidelines for a dementia specific pain management.

• 기본간호학회지
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• 제19권3호
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• pp.343-352
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• 2012

Purpose: The purpose of this study was to develop and test a hypothetical model which explains health behavior adherence in elderly people with prehypertension. The model was based on self-determination theory (SDT). Methods: Data were collected from June 21 to July 15, 2010, using self-report questionnaires. The participants were 140 elders with prehypertension who lived in D Metropolitan City. Collected data were analyzed using PASW 18.0 for descriptive statistics and correlation analysis and AMOS 5.0 for covariance structure analysis. Results: It appeared that the overall fit index was good with a ${\chi}^2$ score of 13.23 (p<0.05), GFI of 0.97, AGFI of 0.79 and RMR of 0.28 in the modified model. The results revealed that significant main effects of both health provider's autonomy support and autonomous motivations were found on the measure of health behavior adherence. These factors explained 72% of variance in the participants, health behavior adherence. Conclusion: The overall findings may provide useful assistance in developing effective motivation-enhanced programs for health behavior adherence.

• 지역사회간호학회지
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• 제13권3호
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• pp.566-573
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• 2002

A concept is a building block of a theory. The purpose of a concept analysis is to clarify the critical attributes of a concept and identify its real meaning, particularly if the concept is not understood in a clear and accurate manner. This study was conducted to analyze the concept of support, which has been adopted from another discipline and unclearly used in nursing science. For concept analysis of this study, Walker and Avant's method was used. Support is defined as a domain with emotional. informational. material and evaluative aspects. Critical attributes of the concept of support included (1) an experience of support between a support provider and a client, (2) communication, (3) a relationship of mutual interchange of emotional, informational, material, evaluative support, and (4) intention, Cases related to the concept of support included model cases and appendix cases (against. boundary, and related). Antecedents of support were anxiety, depression, and loss of self-esteem, and consequences of support were comfort, increase of self-esteem, and trust. Based on these results, a nursing intervention that can provide a better quality of life for the prevention of diseases, health management, and health promotion may be developed in the future.

• 지역사회간호학회지
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• 제7권1호
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• pp.29-37
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• 1996

The purpose of this study is to exmine the effects of reminiscence therapy on deprssion of the elderly residing at home. The subjects were sampled from the members of senior citizens' centres located in Kwangju City. Total number was 73, 38 for the control group and 35 for the experimental group. The study was carried out after a non-equivalent pretest-posttest design. Data were collected from 23 Jun. to 11 Nov. 1993. Reminiscence therapy was applied only to the experimental group. once a week for 6 weeks. Depression level was measured by the questionnaire before and after treatment given. The results were as follows: 1. Religion and family-attachment among socioeconomic charactiristics were significantly different with the level of depression. 2. Religion and pocket - money provider among socioeconomic charactiristics were significantly different with the level of life-satisfaction. 3. The relationship between depression and life -satisfaction was a significant negative correlation(r=-0.777, P=0.000). 4. The depression level of the experimental group was significantly decreased after the treatment as contrasted with that of control group(P=0.004). On the basis of this study it can be concluded that reminiscence therapy reduces depression level.

• 한국직업건강간호학회지
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• 제14권1호
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• pp.34-43
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• 2005

Purpose: The purpose of this study is to develop the curriculum model for occupational health nurse specialist in Korea. Method: Internet searching was conducted to analyze the type of master program for occupational health nurses in the U. S. To identify the importance of occupational health nurse specialist (OHNS)'s role, self-administrative questionnaire survey was done to335 occupational health nurses through postal mail and continuing education in 2003. SPSSWIN 10.0 was used for data analysis. Results: In the U. S., two main types of nurse practitioner program and nurse manager program are separately operated for occupational health nurses as master level. Under the governmental support, geographical and financial barrier can be decreased through the distance learning and the appointment of regional ERC. Most occupational health nurses recognized importantly the role of OHNS as direct care provider, educator, consultant, and manager. Conclusion: It is recommended that the job standard for OHNS needs to be developed, and regulation has to be changed for the diverse curriculum based on the need of occupational health nurses, and governmental support must be strengthened for occupational health nurses to apply more easily to the program.

• 한국간호교육학회지
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• 제27권4호
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• pp.392-401
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• 2021

Purpose: This study was conducted to identify the relationship of health status, aging anxiety, social networking, generativity, and happiness and to investigate the main factors influencing happiness of late middle-aged adults. Methods: The study collected data from a total of 153 middle-aged men and women aged 50 to 64 years old from a consumer panel of Macromill-Embrain, the biggest online survey provider in Korea. The data were analyzed using descriptive statistics, Pearson's correlation coefficient and a stepwise multiple regression using the SPSS 22.0 program. Results: The subjects' happiness mean score was 16.17±9.29. Statistically significant differences in happiness were found according to education (F=4.38, p=.014), economic status (t=5.13, p<.001), and religion (t=2.18, p=.031). Happiness was correlated significantly with health status (r=.41, p<.001), aging anxiety (r=-.62, p<.001), family support (r=.43, p<.001), friend support (r=.36, p<.001) and generativity (r=.63, p<.001). The factors influencing happiness of late middle-aged adults were generativity (𝛽=.37, p<.001), aging anxiety (𝛽=-.35, p<.001), family support (𝛽=.20, p<.001), and economic status (𝛽=.13, p=.033). The explanatory power of the model was 58.0%. Conclusion: This study will be used as basic data when developing a nursing intervention program for successful aging by identifying factors that affect the happiness of late middle-aged adults.

• 산업융합연구
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• 제18권3호
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• pp.45-51
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• 2020

본 연구는 간호윤리교육이 간호대학생의 영적 안녕, 죽음에 대한 태도와 호스피스 완화간호에 대한 인식에 미치는 영향을 탐색하기 위한 단일군 사전·사후설계 연구이다. 일개 대학 간호학과 3학년 학생 42명을 대상으로 총 6주간 30시간의 간호윤리교육을 실시하였고 교육 전과 후에 자료를 수집하였다. 수집된 자료는 SPSS 18.0 프로그램을 이용하여 기술통계, Paired t-test로 분석하였다. 연구 결과, 간호윤리교육은 간호대학생의 영적 안녕, 죽음에 대한 태도, 호스피스 완화간호에 통계적으로 유의한 변화를 가져오지는 못하였다. 그러나 한 가지 흥미로운 점은 본 연구의 결과와 마찬가지로 선행연구에서 실시된 다양한 교육 프로그램 또한 죽음에 대한 태도에 유의한 변화를 가져오지는 못했다는 것이다. 따라서 간호대학생이 죽음에 대한 긍정적 태도를 형성할 수 있도록 돕는 교육 프로그램의 개발 연구가 필요할 것으로 생각된다.

• 한국융합학회논문지
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• 제10권10호
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• pp.309-320
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• 2019

본 연구는 신문매체에서 표현되고 있는 간호사 관련 주제들이 내포하고 있는 의미를 융합적 관점에서 탐색하고자 하였다. 자료 수집은 2003년 8월부터 2013년 9월까지 경향신문, 동아일보, 조선일보, 한겨레신문의 기사를 수록한 인터넷 데이터베이스를 통해 수집하였고 총 9,749건의 자료 중 자료수집기준에 적절한 2,700건을 Braun과 Clarke[17]의 주제분석 6단계를 따라 분석하였다. 신문에 표현된 간호사의 모습은 '소명의식을 가지고 환자를 돌봄', '전문직으로 자리매김함', '윤리의식이 결여되어 있음', '업무대비 열악한 처우를 받음', '유망직종으로 부상함'으로 나타났다. 본 연구의 결과는 매스미디어에 추후 바람직한 간호사 이미지를 창출을 위한 간호사이미지 홍보 전략에 필요한 근거 자료를 제시하였다는데 의의가 있다. 추후 연구는 구독자의 반응까지 파악하여 신문에서의 간호사 이미지가 궁극적으로 어떻게 받아들여지는지에 대한 연구를 제언한다.