The purpose of the study is to explore the mental health social workers' experiences concerning client's self-determination by grounded theory, one of the qualitative method. Although a lot of previous studies has proved that the practitioners have suffered from the ethical considerations in their practice, on which the matter of client's self-determination is centered, little attention is paid to deep exploration of practitioners' real experience about those aspects. To carry out the research question, first, through literature reviews focusing on clarify the underlying issues about client's self-determination, three intrinsic clues are found out; incompetence, medical benefits, the harm to the third party. Data obtained by in-depth interview with 10 participants are analyzed by employing the methode developed by Corbin and Strauss, which could categorize the raw data into several high-level concepts and constructs. The findings of the study show that most practitioners would consider the clients as the intrinsic subject of self-determination. Therefore, in practice, they are trying to support the client's self-determination even within the some constraints. In addition, they also experience the clients' latent potential in actualizing autonomy and self-determination, and identifies the positive effect of self-determination not only on the client's self-help and mental health but also on the practitioners themselves. The results of the study clearly suggests that it is critical to provide the practitioners with adequate ethical education and training to help them to overcome their ethical suffering concerning clients self-determination.
The Journal of the Convergence on Culture Technology
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v.5
no.4
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pp.115-121
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2019
The purpose of this study was to examine relation between perception on hospice and attitude toward death to provide baseline data for the development of programs for hospice or death-related education for university students. The survey was performed on 150 students in four universities in B metropolitan city. The data was collected from July 30 to August 13, 2019. Data were analyzed using descriptive analysis, t-test, ANOVA Pearson's correlation coefficient with the SPSS/WIN 26.0 program. The mean of perception on hospice score was 3.06 out of 4, of the attitude toward death, 'neutral acceptance', 'fear of death', 'death avoidance', 'approach acceptance', and 'escape acceptance' had average scores of 5.31, 3.77, 3.56, 3.15, and 3.06, respectively. There were significant differences in perception on hospice according to gender, major, and experience of hospice-related education and in attitude toward death according to gender, major, religion, subjective health status, experience of hospice-related education. The relationship between perception on hospice and neutral acceptance showed a significant positive correlation, and fear of death and death avoidance showed a significant negative correlation. Therefore, we need consider these variables to develop a hospice or death-related education program to enhance university students' attitudes to death and their perception of hospice.
We sought to define the main motivational factors promoting consumption of Prunus mume products. We surveyed both specialized high-volume consumers and public consumers, and focused on consumption of and preferences for Prunus mume and Prunus mume products. We investigated how products were preferentially consumed, purchase experience, purchase location, purchase price, consumption experience, factors important in a purchase decision, preference factors, dissatisfaction factors, consumption outlook, comments on new processed foods, and activation of consumption. A total of 534 responses were received and data were analyzed using the SAS program (Version 9.1) of the Frequency test; Chi-square test was used to detect significant factors. A greater percentage of high-volume(compared with low-volume) consumers processed personal products at home. The public consumer tended to buy commercial products. However, public consumers who were older, who had higher incomes, and who were heads of households, tended to both buy commercial products and to prepare foods at home. The common purchase methods used by high-volume consumers were internet and direct marketing, but the public consumer frequented department stores and hypermarkets. High-volume consumers observed that commercial products were expensive, and such consumers seemed to be particularly cost-sensitive. The decisive factor triggering purchase decisions in high-volume consumers was the geographical origin of the fruit, whereas the public consumer was more concerned with taste. In public, positive factors were that the product was good for health and had a pleasant taste. Some of those surveyed complained of a lack of variety in Prunus mume products and that the amount of Prunus mume in certain products was low. To promote and increase consumption, convenient-to-eat products with healthy images are needed.
Journal of Family Resource Management and Policy Review
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v.25
no.4
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pp.1-14
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2021
This study was conducted to examine the realistic problems of flexible work arrangements, which was a representative policy for work-family balance, based on a review of its effect and influence on double-income couples who were actual users of the system. In this study, an in-depth interview with three double-income couples, totaling 6 parents, with preschool children was conducted on the experience of their flexible work arrangements, and the purposes of the study were to figure out their experienced positive effectiveness and the problems with the difficulty of using the system and to look for their solutions. For the data analysis of the study, it was organized into three high categories and nine low ones by reviewing the entire data on the basis of the frame structured in the derived data through the interview and categorizing the subjects by area. The derived analysis results were changes in households, social and cultural perspectives, and demand for policy and social economic changes. This study is significant in the sense that the perspectives and voice of the actual users of flexible work arrangements have been reflected in the study, and in the future, we expect that it will provide justification and persuasive power for the improvement of flexible work arrangements and serve as basic data for establishing policy directions and support.
Journal of Family Resource Management and Policy Review
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v.25
no.3
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pp.47-68
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2021
The purpose of this study was to provide information on adoptive families and obtain the basis data for adoption-related programs that are useful to adoptive families by examining their experiences in the adoption process, post-adoption adaptation, and adoption programs. For the study, in-depth interviews were conducted on six mothers who publicly adopted elementary school children and had expressed high satisfaction with adopted families and their willingness to participate in this research voluntarily. The main results exhibited parents' happiness post-adoption along with positive changes, such as internal growth, marital love growth, favorable response from others, and child's unexpected responses to adoption. However, open adoption mothers have coped with efforts to sympathize with and accept their children's feelings as they suffer from adoption, and with active support from their spouses, parents, and their own children. Open adoption mothers participated in various adoption-related programs, support, and voluntary self-help groups provided by adoption agencies or public organizations, and above all, their experience in self-help groups and peer groups of adopted children was found to be very useful. Based on these main results, we suggested strengthening welfare services for open adoption families, implementing education to better understand adoption, education for school teachers, students, and welfare staff, providing practical programs for adoptive families, and promoting self-help groups.
Objectives: This study was aimed to investigate the weight change of the high-risk group and the general maternal group and weight-relating factors in the early postpartum period. Methods: We retrospectively reviewed the medical records of those who received postpartum care from January 1, 2020, to December 31, 2020, in the postpartum care center affiliated with one Korean Medicine hospital. A total of 257 postpartum women's medical charts were included and divided into the high-risk group and the general maternal group. We investigated the weight changes and Body mass index (BMI) of the postpartum women and compared the difference between the two groups after taking the postpartum care. Finally, we used a Pearson correlation analysis to identify the weight-relating factors in the early postpartum period. Results: All the postpartum women showed the following results; 33.81±4.03 years old as the mean age; 22.23±3.28 as pre-pregnancy BMI; 58.21±9.18 kg of pre-pregnancy weight increased into 70.75±9.70 kg in the last month of pregnancy. Of the total 257 patients, 149 (58.0%) of high-risk pregnancy experience and 108 (42.0%) of general pregnancy were included. The edema index right after childbirth was significantly higher in the high-risk group than in the general maternal group (p<0.001), but there was no significant difference in BMI. After treatment with Korean medicine treatments, body weight, BMI, and edema index decreased significantly in both groups (p<0.01). As a result of correlation analysis, weight gain during pregnancy had a significant negative correlation with pre-pregnancy weight and pre-pregnancy BMI and a significant positive correlation with weight and BMI of the last month of pregnancy. In particular, pre-pregnancy BMI and body weight showed a significant negative correlation only in the high-risk group. Postpartum weight loss was significantly positively correlated with pre-pregnancy weight, pre-pregnancy BMI, weight & BMI of the pregnancy last month, weight gain during pregnancy, and decrease in edema (p<0.01) Conclusions: The weight during pregnancy of the high-risk group increased in inverse proportion to the pre-pregnancy BMI. The level of edema right after childbirth was significantly higher than that of the general maternal group, but showed a significant decrease after 2 weeks of Korean medicine treatments. Although it implicates the need for active Korean medicine treatments in the early postpartum period, further studies with controlled groups are needed.
Kim, Hwasoon;Lee, Young-Whee;Jung, Da-Woe;Lee, Jee-Yeon
The Journal of the Korea Contents Association
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v.19
no.7
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pp.609-627
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2019
The purpose of this study was to explore service satisfaction of the elderly using dementia day care center and the meaning of day care experience. The subjects for this methodological triangulation study were 67 dementia elderly for 1:1 interview and 15 dementia elderly for focus group interview. All subjects were using dementia day care center. The mean age was $79.95{\pm}5.90$ for quantitative study and $80.07{\pm}5.78$ for qualitative study subjects. The mean scores of service satisfaction were ranged from $2.86{\pm}0.41$ to $2.96{\pm}0.30$. The lowest score domain was 'help and assistance', and the highest score domain was 'food and environment'. In 14 questions, satisfaction score was 3 point. According to content analysis, the experiences of dementia day care center were described with 20 themes such as 'mutual respect and understanding', 'pleasure and upset feelings about participation', etc. and 35 sub-themes. The overall satisfaction scores were high and in most cases the positive experiences with dementia day care service were described. Therefore it is recommended for mild dementia elderly to use dementia day care service and to be expanded.
Objectives: This study examined the status of children's favorite foods intake and the relationship with the policy environment based on the Special Act on Safety Control of Children's Dietary Life for suggesting a supportive policy strategy. Methods: The subjects were 4th grade students (n=1,638) in elementary school from 45 schools collected from seven areas (Seoul, Daegu, Daejeon, Gyeonggi, Chungnam, Jeonbuk, and Gyeongnam). The children participated in a self-administered questionnaire survey in class under the supervision of the teacher. The questionnaire consisted of items, such as social demographic characteristics, frequency of intake of the children's favorite foods, and policy cognition. A t-test and ANOVA were applied to explore the relationship between the frequency of children's favorite foods intake and policy cognition. The survey was implemented from August 2016 to September 2016. Results: For the boys, the frequency of 'high-calorie low nutrient foods intake' (HCLN) was significantly higher than that of the girls (p<0.01). For the children who received information on their favorite foods from the internet, the frequency of HCLN was higher than the other sources (p<0.01). The time of TV viewing and computer usage, and smartphone usage was associated with a higher frequency of HCLN, and a lower healthy favorite food intake (all p<0.001). The intake frequency of healthy favorite foods indicated a positive correlation with the policy cognition, including policy perception, usefulness, necessity and buying intention, and educational experience. Conclusions: This study showed a correlation with the frequency of children's favorite foods intake and policy. In particular, the frequency of children's healthy favorite foods intake indicated a meaningful relationship with the policy than the frequency of HCLN. This study also found that the consumption of children's healthy favorite foods was positively correlated with the educational experience. To develop a supportive policy for a good dietary environment for children, there is a need to focus on how to collaborate with multiple levels of influences, such as the national level, school level, and family.
This study aimed to identify workplace learning, job satisfaction and geriatric nursing practice, find the correlations between each variable, and investigate affecting factors on geriatric nursing practice. Subjects were 146 nurses in 9 long-term care hospitals including G City, and data were collected from May 1, 2016 through Jun. 30, 2016. Data analysis included independent t-test, one-way ANOVA, Pearson's correlation coefficient and multiple regression using the SPSS/WIN 20.0 program. The results showed that the correlations between each variable showed that incidental learning, a subregion of workplace learning (r=.20, p=.014), and job satisfaction (r=.29, p<.001) had a positive correlation with geriatric nursing practice, respectively. The affecting factors on geriatric nursing practice were job satisfaction, daytime working and nursing experience, and the explanatory power of the model was 20%(F=4.91, p<.001). Based on the results, job satisfaction should be increased to improve the quality of nursing in long-term care hospitals and various methods might be discussed to improve the job satisfaction. Daytime working was suggested one factor on geriatric nursing practice because nursing was provided mainly during daytime, and nursing experience was also one factor on geriatric nursing practice, so highly experienced geriatric nurses could provide high quality elderly patient care.
Journal of the Korea Academia-Industrial cooperation Society
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v.20
no.2
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pp.275-285
/
2019
The purpose of the present study was to investigate perceptions of mental health literacy and mental health services of local public officials in Korea. The participants were 273 civil servants working in three Gangwondo provinces. Data were collected from July 1, 2018 to August 15, 2018 using structured questionnaires, and SPSS Ver. 22.0 was used for data analysis. Results showed mental health literacy of public officials was 101.45 points (range 35-160). Mental health literacy level was found to be significantly dependent on occupation and levels of mental health education, mental health treatment experience, and family mental health treatment experience. Only 39.9% of respondents stated they were aware of mental health welfare centers. The most common condition that caused respondents to seek mental health services was depression (35.9%). In addition, 44.7% of the respondents opined that mental health care was improving due to community changes. An analysis of the relationship between perceptions of mental health welfare centers and mental health literacy scores showed a positive relationship between participant prior knowledge about mental health welfare centers and investment in mental health management (p=.012), suggesting a need for further development of educational programs using mental health nurses to improve mental health literacy among community officials.
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