Purpose: This study was done to investigate the predictors of maternal confidence between primipara and multipara mothers. Methods: The participants enrolled in this study were 145 mothers between 2 and 5 days postpartum. Data were collected using a questionnaire and analyzed using descriptive analysis, t-test, $X^2$ test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: The predictors of maternal confidence among primipara mothers were social support, self-esteem, mode of delivery ($R^2$=.287, p<.001). Whereas, gender of baby, antenatal fetal attachment, and educational status explained maternal confidence among multipara mothers ($R^2$=.270, p<.001). Conclusion: The results indicate that when nurses develop programs to encourage maternal confidence for new mothers, they should take into account the differences between predictors of maternal confidence according to the mothers' experience of birth.
Purpose: This study was to identify nursing interventive strategies centering around the meaning structure of elderly women self-esteem. Method: This study is based on a phenomenological approach. The participants were 6 women over the age of 65 selected in Mullae Senior Club or Yeongdeungpo Senior Welfare Center. The data was collected by in-depth and open- ended interviews from May to September, 2001. The analysis of the data was used the phenomenological analytic method suggested by Giorgi(1970). Result: Two essential themes in the selfesteem of relationships the elderly women emerged: (1) Self-identification through human relations: (2) The ability for self-control. Conclusion: There is a variety of programs and social meetings to confirm self and support systems, whether on the governmental level or the personal level, to help the ability for self-control should be expected to live a more qualitative life and successful aging for elderly women. In addition, this study will offer a better understanding of elderly women within the social and cultural context of South Korea.
Purpose: This study was aimed to explore and describe the disease experience of Korean women with eating disorders within psychological and sociocultural context. Methods: The participants were 12 young adult women suffering with eating disorders or have recovered from the diseases. Data were collected via in-depth interviews and analyzed according to the grounded theory methodology by Strauss and Corbin. Results: The core category of the disease experience was 'becoming the master of life through desperate efforts'. The disease experience was categorized into five different phases including 'falling under the influence of others', 'collapsing the self: life swallowed by loosening weight', 'facing the wrecked self', 'struggling between the self and others', 'truly facing the self'. The intervening conditions were various supporting systems such as 'support from family', 'economic support' and 'support from trustworthy health professionals'. Conclusion: The findings of this study indicate that it is necessary to develop nursing interventions to support women with eating disorders and alleviate their suffering from eating disorders. Also specialized educational programs are warranted to prevent the eating disorders, and to reduce social stigma of eating disorders.
Purpose: The purpose of this study was to provide basic data for nursing programs to reduce fatigue among middle-aged adults by looking at age group differences. Method: The study used a secondary analysis design and participants were 315 middle-aged adults. The data was analyzed using $x^2$-test, ANOVA, Pearson's correlation coefficient analysis, and stepwise multiple regression. Results: The findings revealed significant age group differences in socio-demographic variables for educational level, job, religion, economic status, consumption of cigarettes, experience with disease, satisfaction with spouse and children, and number of children. Scores of fatigue showed a significant difference between age groups. The factors influencing fatigue for subjects in their thirties were depression, level of education and self-efficacy. For those in their forties, factors were stress, depression, and self-efficacy. For those in their fifties, the factor was stress. Conclusion: For people in their thirties, school education or lifelong learning programs are needed to reduce fatigue. A disease prevention program and a family support program for people in their forties and fifties. Nurses need to provide customized nursing programs related to depression, stress and self-efficacy to reduce fatigue among middle-aged adults based on age groups.
Purpose: This study was conducted to identify factors that influence the suicidal ideation of the unemployed. Methods: Participants in this study consisted of 207 unemployed individuals from G city those who were participating in activities in a job center. A survey was conducted from June 13 to September 21, 2014. Research tools were suicidal ideation, self-esteem, somatization, job-seeking anxiety status, problem-focused coping, and family support. Data were analyzed using SPSS 12.0, and included the mean, standard deviation, t-test, one-way ANOVA and Scheffe test. Pearson's correlation coefficient and multiple regression by stepwise selection were also conducted to identify factors influencing suicidal ideation. Results: Suicidal ideation differed significantly according to marital status and spouse income. Suicidal ideation was positively correlated with somatization and job-seeking anxiety status, and negatively correlated with self-esteem and family support. Effective variables were family support (${\beta}=-.03$, p<.001), somatization (${\beta}=.22$, p=.001), spouse income (Yes)(${\beta}=-.18$, p=.003) and self-esteem (${\beta}=-.14$, p=.041). These variables explained 28.2% of the variance in suicidal ideation. Conclusion: Based on the results of this study, it is necessary to develop family support improvement programs to decrease suicidal ideation of the unemployed.
Purpose: This study was conducted to investigate the relationships among communication competence, professional self-concept, and stress in clinical practice of nursing students. Methods: The study participants were 308 senior year nursing students in D city and K province. Collected data were analyzed using t-tests, analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression with the SPSS Version 20.0. Results: There were significant differences in participants' stress of clinical practice based on their level of satisfaction on clinical practice, self-confidence of nursing and difficulty with relationships in clinical practice. A negative correlation was detected between stress in clinical practice and the professional self-concept of nursing students. Significant predictors of the perceived stress of clinical practice were satisfaction in clinical practice and pride in nursing. These accounted for 18% of the perceived stress of clinical practice in a regression model. Conclusion: The results may serve as basic data in support of the need to the develop effective systematic stress management programs and clinical training courses in order to attenuate the stress experienced during clinical practice of nursing students.
Purpose: This study aimed to identify the associations between job stress, social support, and nursing professionalism among nurses taking postgraduate courses, and to explore the factors influencing their nursing professionalism. Methods: The participants were 121 nurses who were enrolled in graduate school master's or doctoral programs in Korea. Data were collected from June 30 to August 31, 2021, using an internet-based self-report questionnaire. The data were analyzed by descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis using the IBM SPSS 23.0 program. Results: The mean scores of job stress, social support, and nursing professionalism among the participants were 2.47 out of 4, 4.06 out of 5, and 3.47 out of 5, respectively. There were statistically significant differences in nursing professionalism among the participants according to the degree program (F=-2.76, p=.007) and the length of nursing career (F=4.35, p=.015). Their nursing professionalism showed a positive correlation with social support (r=.45, p<.001) and a negative correlation with job stress (r=-.43, p<.001). As a result of the multiple regression analysis, factors influencing nursing professionalism of the participants were found to be job stress (β=-.28, p=.003), social support (β=.23, p=.015), and the length of nursing career (β=.19, p=.018). The explanatory power of the model was 28.0% (F=12.62, p<.001). Conclusion: The present study suggests that organized efforts are needed to alleviate job stress and to increase social support for nurses in postgraduate courses in order to ultimately improve their nursing professionalism.
Purpose: The purpose of this study is to understand and analyze the current status of dementia management and rehabilitation services in Busan, South Korea, in response to the rapid increase of people with dementia due to the aging of the population. Methods: To investigate the current status of dementia rehabilitation in Busan, a survey was disseminated to dementia safety centers and day- and night-care centers in 16 districts/counties in Busan. Of the 209 day- and night-care centers, 23 institutes were registered in the National Health Insurance Service and received the highest grade (Grade A) in the institute evaluation that was implemented in each district. A telephone interview was conducted, and survey questions were related to the existence of an ongoing dementia rehabilitation program, program presenter, number of participants, progress method, program time, program duration, program contents, and participation path. Results: Dementia safety centers were implementing dementia prevention program, cognitive enhancing program, dementia program, self-help meeting and education program for family of dementia patient. The majority of the presenters of all four dementia-related programs were occupational therapists. The highest number of participants in the dementia prevention program was 15, and the highest number of participants in the cognitive enhancing program, dementia program, self-help meeting and education program for family of dementia patient was 10. All institutes' programs delivered group therapy. As for the time and frequency of the program, most dementia program included three-hour sessions five times a week. Most dementia prevention program, cognitive enhancing program, self-help meeting and education program for family of dementia patient included 60-minute sessions once a week. The most frequently observed program duration for the dementia prevention program and cognitive enhancing program was six months, and the most frequently observed duration for the dementia program was three months. Lastly, study participants most often reported that self-help meeting and education program for family of dementia patient lasted for two months. Among day- and night-care centers in Busan, programs related to cognition were implemented in 18 institutes, and the majority of the program presenters were social workers. Conclusion: In response to the rapidly growing number of dementia patients due to the aging of the population, this study examined the current status of dementia rehabilitation in Busan. The study results underscore the need to develop systems that consider the circumstances in Busan and continuously and systematically support dementia programs.
Background and objective: This study was conducted to examine the effects of the theme-based garden book (photo book) making integration program on social skills and self-determination of college students with developmental disabilities. Methods: We analyzed the changes in social skills and self-determination of college students with developmental disabilities. The first step was defining the theme-based garden book (photo book) making integration program, which was done by focus group interviews (FGI) comprised of specialists in the industry and academia. The second step was carrying out 8 sessions of the program. The third step was examining the effects of the program on social skills and self-determination of college students with developmental disabilities. The participants of this study were 36 college students with developmental disabilities attending N University, and 17 students were in the experiment group and the other 19 in the control group. Results: The control group showed no statistically significant changes in the three sub-domains of social skills, while the experimental group showed statistically significant differences across all three sub-domains, such as cooperation(P < .05), assertion(P < .05), and self-control(P < .05). The experimental group, that participated in the program showed statistically significant differences across all four sub-domains of self-determination skills, such as behavior (P < .05), cognition(P < .05), school support(P < .05) and home support(P < .05). This proved that the theme-based garden book (photo book) making program contributed to bringing positive effects to self-determination and social skills. Conclusion: These results suggest that the theme-based garden book (photo book) making integration program could improve self-determination and social skills of college students with developmental disabilities. These positive changes are related to the high level of interest in theme-based garden design programs among college students with developmental disabilities, and thus these programs can be used effectively to improve social adjustment.
Purpose: This study was done to identify cell phone addiction in high school students and variables predicting this addiction. Methods: The participants were 469 adolescents from four high schools. Data were collected through self-report questionnaires, and analyzed using the SPSS program. Results: Of the high school students, 88.4% reported being average users, 7.5%, heavy users, and 4.1%, cell phone addicted. Cell phone addiction was significantly correlated with immediate self-control, self-efficacy, depression, and peer support. Predictors of cell phone addiction were the following: receiving text message on weekends, immediate self-control, main use (text message), minute per call on weekdays, listening to music, gender (female), monthly call charges, depression, person called (friends), and self-efficacy. These factors explained 39% of variance in cell phone addiction. Conclusion: The above findings indicate that cell phone addiction in high school students was influenced by gender, cell phone use, and psychological factors. Therefore the approach to effective cell phone addiction management for high school students is to consider these variables when developing programs for these students.
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