• Title/Summary/Keyword: Powerlessness

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Effects of Family Support, Ageism Experience, Loneliness and Powerlessness on Death Anxiety in Elders (노인의 사회적 요인(노인차별경험, 가족지지) 및 심리 정서적 요인(고독, 무력감)과 죽음불안 관계)

  • Kim, Kui Bun;Choi, Youn Joo
    • Korean Journal of Adult Nursing
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    • v.26 no.5
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    • pp.584-591
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    • 2014
  • Purpose: The aim of this study was to explore the factors contributing to death anxiety among elders through family support, ageism experience, loneliness and helplessness. Methods: The participants were 155 elders who lived in S city. The data were collected through a self-reported questionnaire in elders over age 65. In addition, their levels of death anxiety, family support, ageism experience, loneliness, helplessness and death anxiety were measured using a likert scale Data analysis using a t-test, one-way ANOVA, Pearson correlation and multiple regression analysis with the SPSS 20 program. Results: Significant differences were found in the levels of perceived death anxiety between the variables affecting death anxiety in elders. Pearson's Correlation were found family support (p<.001), ageism experience (p<.001), loneliness (p<.001) and helplessness (p<.001) with death anxiety. Conclusion: It is concluded that such variables should be considered for decreasing death anxiety by family support, ageism experience, loneliness and helplessness in elders.

A Comparative Study on Related Variables of Ego-Integrity in Elderly by Age Groups (노인의 연령집단별 자아통합감에 대한 관련요인 비교)

  • Kim, Hee Kyung
    • Korean Journal of Adult Nursing
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    • v.19 no.5
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    • pp.12-26
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    • 2007
  • The purpose of this study was to examine what types of customized nursing intervention for the elderly were most effective by looking at age group difference and other factors related to ego integrity. Methods: A secondary analysis was used with 104 elderly people. The data were analyzed using $\chi^2$-test, Fisher's exact test, ANCOVA, Pearson's correlation analysis and multiple regression. Results: For those 80 and older, powerlessness was higher than for those in their 60s and 70s. The factors influencing ego integrity for those in their 60s were powerlessness, economic condition, source of discretionary money, and health condition; for those in their 70s - life satisfaction, self-esteem, and health condition; and for those 80 and older - life satisfaction and source of discretionary money. Conclusion: In nursing for the elderly, age differences should be taken into consideration. The study suggests that for people in their 60s, the creation of jobs that allow them to earn money is important. For people in their 70s over, offering of health care and self-esteem programs through community health centers are equally important. For people in their 80s over, nursing programs for advocacy, support, and psychological care are needed in order to elevate their life satisfaction.

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A Study on the Group Program Development for Reinforcing Family Relations of Single-mother Families (편모가족관계 강화를 위한 집단 프로그램 개발에 관한 연구)

  • Chung, Soo-Kyoung
    • Korean Journal of Social Welfare
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    • v.44
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    • pp.288-317
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    • 2001
  • The purpose of this study is to develop the group program model for reinforcing family relations of single-mother families as one approach to family welfare service. As previous research findings about problems of single parent families were reviewed and the framework for the program development was identified, a 6 sessions group program was planned and applied to 9 single-mother families from June 2nd to July 7th. Program evaluation questionnaire, Scales measuring powerlessness and FACESIII for family relations, social support network tool, and group process recording were used for the evaluation of this program. The participants evaluated this program as very supportive, useful, and educational. The powerlessness was reduced in a statistically meaningful way before and after the program and the result was found to be maintained for 4 months in the follow-up session. The family relations according to FACES III were mostly balanced and didn't show some significant change after the termination of this program. The single mothers had little concrete supports from others, if any, had some from relatives. They rather had to give supports for the other family members and reciprocally gave and took emotional or informational supports with friends or neighbors. Based on these results, the 2 step model consisted of brief group program and long term support group was developed and the practical methods were suggested for the single-mother families with low income.

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The Concept of Hope of Stroke Patient: A Review of the Literature for Nursing (뇌졸중 환자의 희망에 대한 이론적 고찰)

  • Kim, Lee-Sun;Huang, Bo-Sun
    • Research in Community and Public Health Nursing
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    • v.6 no.2
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    • pp.212-233
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    • 1995
  • Cerebrovascular diseases in Korea is an important health problem since mortality and mobidity have been increasing rapidly. Cerebrovascular diseases marked the 2nd rank of cause specific death rate in 1993. The ploblem of emotion after a stroke has received very little attention from the nursing profession until recently. Even the frequency of the emotional disorder after stroke is uncertain, and there has been very little research. Emotional disorder after stroke was related to limited social function, guilty conscience, helplessness, hopelessness, powerlessness, alienation, and damage of self-image. In the stroke patient, hope may be related to a rehabilitation or enhancing physical condition. Inspiring hope is necessary when stroke patients are unable to mobilize energy on their own behalf and perceive limited or no person choices available. Inspiring hope is an intervention that can be used with many nursing diagnoses, especially when feelings of helplessness, hopelessness, powerlessness, and depression are present. The nurse can inspire hope by understanding the hoping process. On the basis of this literature review, the following suggestions are prosed. 1) Qualitative studies on hope have been done to indentify variables that affect maintenance of hope in the chronically ill patients. 2) In the development of an instrument to measure hope, the validity, reliability, and cultural property of the hope have been estabilished.

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Relationship between Sense of Belonging, Powerlessness and Nutritional status of Elderly People (노인의 소속감, 무력감과 영양 상태와의 관계)

  • Kim, Mi-Hye;Chung, Hae-Kyung
    • Journal of the Korean Society of Food Culture
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    • v.30 no.1
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    • pp.118-128
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    • 2015
  • This study was performed to analyze health problems in older adults in a comprehensive manner, including usual living habits, nutritional status, and society psychological factors. Research was conducted by a structured questionnaire by interviews with a test group of 316 people over the age of 65 from April 2012 to August 2012. Elderly people's dietary intake was assessed using NSI (Nutrition Screening Initiative) by the 24-hour retrospective method, and elderly people's feeling of helplessness and sense of belonging were assessed using the measuring device. Material analysis, descriptive statistics, and regression analysis were performed using SPSS. Elderly people with increased age showed higher chances of being in the high-risk and undernourished group. Elderly with high NSI showed low intake of fat, protein, fibrin, vitamin C, E, $B_1$, $B_2$, Niacin, K, Fe, Zn, and Cu than those with low NSI. Findings from this comparative analysis indicate that elderly with better nutritional status showed a lower feeling of helplessness than those with poor nutritional status. Overall, elderly people consumed a b road variety of foods, and social emotional stability of elderly people increased at optimal dietary levels.

Multiple Meanings of Silence in Charlotte Brontë's Villette

  • Hyun, Sook Kyong
    • Journal of English Language & Literature
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    • v.56 no.6
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    • pp.1235-1253
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    • 2010
  • Lucy Snowe, the heroine and narrator of Charlotte Brontë's Villette, has oftentimes been studied in terms of her silence. However, the critics' approach to Lucy's silence has been mostly negative as her silence has often been interpreted as an illustration of her sense of absence, powerlessness, unreliability, or mental deprivation. Lucy's silence, however, is complex in nature as the functions and meanings of her silence vary depending on when, why, and how silence is performed. This article particularly looks into the moments in which Lucy's silence generates multifarious meanings and resonances depending on the contexts in and the purpose for which it is exercised, such as a sense of wholeness, marginality, power and individuality. First of all, Lucy's silence about herself during the recount of her childhood days at Bretton implies the feeling of entirety and peacefulness where the identification of the "I" becomes unnecessary. Second, Lucy's silence in relation to Paulina at Bretton denotes her social marginality and powerlessness. Third, as an older self/narrator, Lucy chooses to be silent in order to exert power over the readers. And lastly, Lucy's conscious refusal to tell the readers what she already knows also serves to reveal her sense of individuality. Through the instances of Lucy Snowe's silence in Bronte's Villette, I demonstrate the possibility to reveal various aspects of one's self through silence.

Factors Effect on Quality of Life of Spinal Cord Injury Patients (척수 손상 환자의 삶의 질 영향요인 분석)

  • 신성례;김애리
    • Journal of Korean Academy of Nursing
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    • v.31 no.1
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    • pp.126-138
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    • 2001
  • The purpose of this study is to act nursing intervention strategies to promote quality of life (QOL) in Spinal Cord Injury patients. Therefore, the study is designed to evaluate religion, marital status, educational background economic status, level of injury, voiding pattern, transportation by driving, rehabilitation education, self-concept, sexual status, perceived barrier, powerlessness, depression, hope, social support, self-efficacy, anxiety, ADL, perceived hopelessness, personality and pain for QOL at the same time. It was gathered empirical data was collected using a self report questionnaire from 61 patients during a six month period after SCI at 5 general hospitals, at 2 rehabilitation centers and at 2 rehabilitation schools province from Jun. 18, 1999 through Sep. 28, 1999. The reliability of the 19 instruments was tested with Cronbach's alpha which ranged from .6319 to .9769. For the data analysis a SAS program was used for Pearson correlation coefficients, and stepwise multiple regression. The results were as follows; 1. The mean of total item score in the QOL scale was 2.814, which showed a much lower score than the cancer points. 2. There was a significant correlation between self concept, transportation by driving, perceived barrier, powerlessness, depression, hope, social support, self-efficacy, anxiety, ADL and QOL.(${\gamma}$= .27~-.79, p< .05) 3. Stepwise multiple regression analysis showed that; a) Depression was the main predictor of QOL and account for 53.7% of the variance in QOL. b) Hope, ecomic status and body satisfaction accounted for 8%, 4%, 3.4% respectively and these variables combined accounted for 69.2% of the variance in QOL. In conclusion, to begin with, it is important to reduce depression and to help for SCI points to inspire hope, economic status and body satisfaction. That will be short cut for nursing strategies to enhance QOL.

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The Factors Influencing the Mental Health of Middle School Students in Korea, China and Japan (한.중.일 중학생의 정신건강에 영향을 미치는 요인)

  • Choe, Eun-Hee;Nam, Eun-Woo;Jin, Gi-Nam;Lee, Kyu-Sik;Houri, Daisuke;Min, Liu Zhong;Matsumoto, Kenji
    • Korean Journal of Health Education and Promotion
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    • v.27 no.4
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    • pp.39-49
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    • 2010
  • Objectives: This study analyzed the factors that influence the mental health of adolescents in Korea, China, and Japan. Methods: The survey was conducted in each country between November 2008 and January 2009. The respondents were 1,390 Korean, Chinese, and Japanese students aged between 14 years and 16. The mental health was measured by the School Mental Health Scale of Ochanomizu University (2004), which is composed of six scales: physical symptoms, eating disorders, depression, interpersonal relationship, powerlessness, and impulsiveness. Results: The relationship with family and friends are strongly associated with mental health. As for Korean and Chinese female students experienced mental illness more than male. Regarding Korean students, the time to use TV computer game is related to relationship and impulsiveness. The mobile phone use more than three hours is related to depression and relationship for Japanese, and the number of family member less than three, is associated with powerlessness for Chinese. Conclusion: Regular and effective health education is required in order to improve students lifestyles and family and peer relationships. This study also offers the fundamental information for health promotion programs for Korean, Chinese and Japanese students.

A Phenomenological Study on Nurses' Experiences of Turnover (간호사의 이직경험에 관한 현상학적 연구)

  • Kang, Myung-Ja;Lee, Hae-Jung
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.3
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    • pp.305-314
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    • 2003
  • Purpose: The purpose of this study is to examine nurses' turnover experiences and to provide basic information for developing turnover intervention program for effective human resources management. Methods: This study is an inductive, descriptive phenomenological research that uses profound interviews and observations. The subjects of the study were nurses retired from a hospital. Results: The themes were classified into the three theme clusters. The first theme was about 'deepening inside wound' which was described as experiencing stresses due to introversion, feeling a heavy burden about responsibilities as experienced nurses, feeling guilty about limits of performance and hurt about reproaches by seniors and having conflicts with physicians. The second theme cluster focused on 'powerlessness as time goes', which was stated as having difficulty in adaptation to the new rotated wards, feeling tired and having no spare time and difficulty in night duty, experiencing stagnation and powerlessness and feeling disappointed about inadequate rewards. The third was about 'can't find the exit' which were expressed with wanting to change the speciality because of concerns about future, having affection to motherhood, feeling conflict over the nursing profession itself, concentrating on the matter of turnover and facing related personal situations, and regretting turnover. Conclusion & Suggestions: Considering all these experiences, field managers in nursing should build up a support system that helps nurses overcome risks related to decision-making about turnover. In addition, nurse managers need to develop a human resources development program in which competent nurses are continuously won over through education and counseling.

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A Study on Privacy Attitude and Protection Intent of MyData Users: The Effect of Privacy cynicism (마이데이터 이용자의 프라이버시 태도와 보호의도에 관한 연구: 프라이버시 냉소주의의 영향)

  • Jung, Hae-Jin;Lee, Jin-Hyuk
    • Informatization Policy
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    • v.29 no.2
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    • pp.37-65
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    • 2022
  • This article analyzes the relationship between the privacy attitudes of MyData users and the four dimensions of privacy cynicism (distrust, uncertainty, powerlessness, and resignation) as to privacy protection intentions through a structural equation model. It was examined that MyData user's internet skills had a statistically significant negative effect on 'resignation' among the privacy cynicism dimensions. Secondly, privacy risks have a positive effect on 'distrust' in MyData operators, 'uncertainty' in privacy control, and 'powerlessness' in terms of privacy cynicism. Thirdly, it was analyzed that privacy concerns have a positive effect on the privacy cynicism dimensions of 'distrust' and 'uncertainty', with 'resignation' showing a negative effect. Fourthly, it was found that only 'resignation' as a dimension of privacy cynicism showed a negative effect on privacy protection intention. Overall, MyData user's internet skills was analyzed as a variable that could alleviate privacy cynicism. Privacy risks are a variable that reinforces privacy cynicism, and privacy concerns reinforce privacy cynicism. In terms of privacy cynicism, 'resignation' offsets privacy concerns and lowers privacy protection intentions.