• 제목/요약/키워드: Return experience

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암 생존자의 일상생활 복귀 경험 (The Experience of Cancer Survivor's Return to Everyday Life)

  • 김선영
    • 한국산학기술학회논문지
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    • 제21권5호
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    • pp.327-336
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    • 2020
  • 본 연구는 암 생존자의 일상생활 복귀 경험의 이해를 통해 성공적인 일상생활 복귀와 삶의 질 향상 방안을 모색하고자 시도되었다. 암 치료 후 5년이 경과되어 완치 판정을 받은 19명을 암 생존자 환우회 및 인터넷 카페에 연구목적과 방법을 공지하여 모집하였다. 자료 수집은 2017년 1월 18일부터 2월 25일까지로 심층면담을 통해 실시되었으며, 자료가 포화될 때까지 이론적 표출을 시도하였다. 1회 면담 시간은 90분에서 120분 정도 소요되었으며, 인터뷰 이후 불충분한 내용은 추가 면담을 통해 내용을 확인 받았다. 면담 횟수는 1~3회였다. 근거이론에 따른 자료 분석을 실시하였으며, 암 생존자의 일상생활복귀 경험은 '고달픈 현실', '육체적 소진', '심리적 소진', '경제적 소진'이라는 인과적 조건으로 인해 '벗어날 수 없는 현실', '내일을 알 수 없는 불확실한 현실'이라는 중심현상이 발견되었다. '가족의 지지부족', '노동 취약계층으로의 이동', '미비한 지원시스템', '사회적 지원체계 희망', '위축된 성', '암/암환자에 대한 편견', '찾기 힘든 완치 이후 삶에 대한 정보' 등의 맥락적 조건에 따라 '적극적 건강관리', '긍정적 경험', '절대적 존재에 의지하기' 전략을 선택적으로 수행하였다. 이러한 전략 수행 과정은 중재적 조건인 '든든한 울타리', '효과적인 암보험'의 영향을 받았다. 그 결과는 '새로운 삶 구축하기' 또는 '견디기'로 나타났다. 암 생존자의 성공적인 일상생활 복귀를 위해서는 일상생활 복귀 과정에서 경험할 수 있는 문제들과 관련된 포괄적인 정보 제공 및 보건·복지적 개입이 필요하며, 향후 암 생존자 관리를 위한 시스템 구축 시 암 생존자의 요구를 반영한 지원 프로그램 개발이 필요하다.

말기 암환자의 체험에 관한 현상학적 연구 (Lived Experience of patients with Terminal Cancer : Parses Human Becoming Methodology)

  • 이옥자
    • 대한간호학회지
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    • 제25권3호
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    • pp.510-537
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    • 1995
  • Human health is an integral part of experience in the process of Human Becoming. Through continual interaction with the environment human beings freely choose experience and develop as responsible beings. The process of the health experience of patient with terminal cancer is a unique. he objective of this study is to understand the lived experience of patients with terminal cancer in order to provide basic information for nursing care in the clinical setting and to develop a theoretical background for clinical practice. This study is to de-scribe and define the lived experience of patients with terminal cancer in order to provide a foundation for nursing research and education. Data collection has been done between December 1993 and November 1994. The subjects included five persons -four females and one male : one who was in her sixties, one in his fifties, two in their forties, and one who was in her thirties. The researcher has met with these patients 35 times, but at eight times the patient was in a stuporous condition and not able to participate, so these were not included in the data analysis. Parse's "Human Becoming Methodology", an existential phenomenological research methodology is used for this study. Data has been collected using he dialogical engagement process of "I and You", the participant researcher and the participant subject. Dialogical engagement was discontinued when the data was theoretically saturated. Data was analyzed using the extraction - synthesis and heuristic interpretation. The criteria of Guba and Lincoln(1985). and Sandelo wski(1986) : credibility, auditability, fitness and objectivity were used to test the validity and reliability of the data. The following is a description of the structure of the lived experience of patients with terminal cancer as defined by this study : 1. Structure : 1) Suffering through the reminiscence of past experience 2) The appearance of complex emotions related to life and connectedness 3) The increasing importance of significant people and of the Absolute Being 4) The increasing realization of the importance of health and belief 5) Desire for a return to health and a peaceful life or for acceptance of dying and a comfortable death In summary the structure of the lived experience of these patients can be said to be : suffering comes through reminiscence of past experience, and there are complex emotions related to life and connectedness. Significant people and the Absolute Being become increasingly important along with a realization of the importance of health and faith. And finally there is a desire for either a return to health and a peaceful life or for the acceptance of dying and a comfortable death. 2. Heuristic Interpretation : Using Parse's Human Becoming Methodology, the structure of the lived experience of patients with terminal cancer identified in this research is interpreted as. The lived experience of patients with terminal cancer involves the solving of past conflicts, and the experience of the healing and valuing of sorrow and pain. Through the relation of life and health, and the complex emotions that arise, the lived experience of revealing - concealing is of paradoxical emotions. The increasing importance of significant others and of the Absolute Being shows Connecting and Separating an on- going process of nearness and farness. Revision of thoughts about health and faith is interpreted as transforming and desire for restoration to health and a peaceful life or acceptance of dying and a cowfortable death, as powering. In summary, it is possible to see, in the lived experience of patients with terminal cancer, the relationship of the five concepts of Parse's theory : valuing, revealing -concealing, connecting-separating, transforming, and powering. From Parse's theory, the results of this study show that meaning is related to valuing, rhythmicity to revealing-concealing and connect-ing-separating, and cotranscendence to transforming and powering.

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경수완전손상환자의 재활병동생활 경험 - 퇴원을 중심으로 - (Experience of Discharge from Rehabilitation Facility)

  • 이은희
    • 재활간호학회지
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    • 제14권1호
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    • pp.13-23
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    • 2011
  • Purpose: The purpose of this study was to explore and describe the essence of hospital life concerning discharge from rehabilitation facility as defined by clients with complete quadriplegia. Method: This was a qualitative research using Giorgi's descriptive phenomenology. Four participants with complete quadriplegia were participated. Results: The lived experience of discharge from rehabilitation facility among clients with complete quadriplegia was structured by 10 components and was defined as a life event which those patients felt fears and worries to leave the therapeutic environment and to return to their community with various changes due to their disability. During their hospital stay, the patients with quadriplegia were concerning to prepare proper living conditions and their health conditions so that they could keep their life independent and worthy. They also cherished a hope for cure for their cervical injury even at the moment of discharge. Conclusion: This study suggests developing a discharge program which relieves the clients' emotional burden for discharge from inpatient rehabilitation facility and helps them to take an active role in preparing for returning to their daily life.

Debriefing in pediatrics

  • Cho, Su Jin
    • Clinical and Experimental Pediatrics
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    • 제58권2호
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    • pp.47-51
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    • 2015
  • Debriefing is a conversational session that revolves around the sharing and examining of information after a specific event has taken place. Debriefing may follow a simulated or actual experience and provides a forum for the learners to reflect on the experience and learn from their mistakes. Originating from the military and aviation industry, it is used on a daily basis to reflect and improve the performance in other high-risk industries. Expert debriefers may facilitate the reflection by asking open-ended questions to probe into the framework of the learners and apply lessons learned to future situations. Debriefing has been proven to improve clinical outcomes such as the return of spontaneous circulation after cardiac arrest and the teaching of teamwork and communication in pediatrics. Incorporating debriefing into clinical practice would facilitate the cultural change necessary to talk more openly about team performance and learn from near misses, errors, and successes that will improve not only clinical outcome but also patient safety.

Management of traumatic neuralgia in a patient with the extracted teeth and alveoloplasty: a case report

  • Yoo, Jae-Ha;Oh, Ji-Hyeon;Kang, Se-Ha;Kim, Jong-Bae
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제15권4호
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    • pp.241-245
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    • 2015
  • A majority of patients who sustain injuries to the peripheral sensory nerves of the face and jaws experience a slow but gradual return of sensation that is functional and tolerable, if not the same as before the injuries. However, long-term effects of such injuries are aggravating for many patients, and a few patients experience significant suffering. In some of these patients, posttraumatic symptoms become pathological and are painful. The predominant painful components are (1) numbing anesthesia dolorosa pain, (2) triggered neuralgiaform pain, (3) burning and aching causalgiaform pain, and (4) phantom pain. This is a case report of conservative management of traumatic neuralgia and neuritis as part of posttraumatic pain syndromes in geriatric patients who have undergone the teeth extraction and alveoloplasty.

고객경험관리를 통한 기업가치 극대화 방법에 관한 연구 (A StudyOn the Maximization of Enterprise Equity through Customer Experience Management)

  • 김한신;김영민;이창호
    • 대한안전경영과학회지
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    • 제8권2호
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    • pp.103-114
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    • 2006
  • Today the usage of DB already becomes an important issue for many companies' survival. Especially, the companies which have adopted CRM could not gain the return to be expected because of the lack of understanding about the relationship with customers. Professor Schmitt introduced 'the complete CEM(Customer Experience Management) model', but no specific methodology for analysis was introduced. Therefore, in this study we use HOQ, GA, and ANP to build 'the complete CEM model' and present the integrated CEM model based on the integrated analytic process to help the company's decision about the stage to be begun first out of 5 stages of CEM and the priorities of investment in customer experiences.

간호대학생의 전공 융합 프로그램을 통한 해외 단기연수 경험 (Nursing Students' Experience of Major Converged Short-term Study Abroad Program)

  • 문원희;김영주
    • 한국융합학회논문지
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    • 제6권2호
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    • pp.1-11
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    • 2015
  • 본 연구의 목적은 상징적 상호작용론적 견해에 바탕을 둔 근거이론 방법을 이용하여 간호대학생의 전공 융합한 해외 단기연수 경험에 대한 실체이론을 도출하고, 해외 단기연수가 나아가야 할 방향을 조명하는데 있다. 연구결과를 보면 참여자들은 연수 후 경험으로 내 안의 또 다른 '나'를 발견하고 더 넓은 세상으로 나가고자 하는 열망이 강하게 생기면서 삶에 대한 태도를 변화하기 시작하였고 이는 자아성숙으로 나타났다. 그러나 일부 참여자는 현실에 짓눌려 열망을 내려놓고 예전 삶으로의 회귀를 나타내기도 하였다. 본 연구결과를 토대로 볼 때, 전공 융합한 해외 단기연수 후에는 반드시 추후 프로그램을 운영하여 긍정적으로 변화된 열망, 동기, 자신감 등을 강화 유지시켜 주는 것이 필요하고, 개인 성향에 따른 맞춤형 추후 프로그램을 운영하는 것이 요구된다. 또한 추후 프로그램 운영 시 연수에 참여한 학생들에 대한 주기적인 평가를 통해 추후 시점마다 심리적 또는 교육적 지지자원을 분배 투입하는 것이 필요하다.

공정관광객의 방문 동기에 따른 시장세분화 - 국내 공정관광객을 대상으로 - (Segmenting Responsible Tourists by Motivation - Focusing on Domestic Tourism -)

  • 김경희;이선민
    • 농촌지도와개발
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    • 제22권3호
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    • pp.245-260
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    • 2015
  • Since the Discussion on responsible tourism sector began in the 1980s, the interest in responsible tourism has increased. Responsible tourism aims to preserve the local culture and environment, and make the benefits return benefits to local stakeholders. This study aims to obtain an empirical understanding of the responsible tourism market by using a segmentation approach to provide better information for responsible tourism marketers in Korea. A self-administered survey was obtained from 471 tourists in seven responsible tourism sites. As for the motivations of responsible tourism, seven factors ('faimly togetherness', 'escape relaxation', 'personal growth', 'social interaction', 'various experience', 'learning' and 'natural experience') were extracted. Six distinct segments were identified based on the motivation: escape from daily life relaxation seekers (19.15%), overall low motivation (7.8%), family togetherness seekers (21.18%). various experience seekers (12.77%), noverlty learning seekers (22.46%) and want-it-all (16.55%). Socio-demographic characteristics and tourism behaviors of each segmentation were also analyzed. The findings should be of interest to practitioners of responsible tourism marketing and operation.

초국가적 입양과 탈경계적 정체성 -제인 정 트렌카의 『피의 언어』 (Transnational Adoption and Beyond-Borders Identity: Jane Jeong Trenka's The Language of Blood)

  • 김현숙
    • 영어영문학
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    • 제57권1호
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    • pp.147-170
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    • 2011
  • This paper elucidates the characteristics of transnational adoption, estimates the possibility of beyond-borders identity of transnational adoptees, and tries to analyze Jane Jeong Trenka's The Language of Blood in its context. Though it has been regarded as one of the most humanitarian ways of helping orphans and poor children of the world, transnational adoption, a one-way flow of children from poor Asian countries to rich white countries, has been operated under the market logic between countries. Transnational adoptees, who had been abandoned and forced to be taken away from their birth mother, and later, to fulfill the desire of white parents for a perfect family, perform an ideological labor, serving to make the heterogeneous nuclear family complete. Korean transnational adoptees, forced to transcend the borders of nation, culture, and ethnicity, experience racial conflict and alienation in white adoptive family and society. Their diaspora experience of violent dislocation creates frustration and confusion in establishing their identity as a whole being. When they return to Korea to find their birth mother and their true identity, Korean adoptees, however, are faced with other obstructing issues, such as language problem, culture conflict, and maternal nationalism. Finally, Korean transnational adoptees reject Korean nationalism discourse based on blood, and try to redefine themselves as beyond-borders subjectivities with new and fluid identities. Jane Jeong Trenka's The Language of Blood, an autobiographical novel based on her experiences as a transnational adoptee, represents a Korean adopted girl's personal, cultural, and racial conflict within her white adoptive family, and questions the image of benevolent white mother and the myth of multiculturalism. The novel further represents Jane's return to Korea to find out her true identity, and shows Jane's disappointment and alienation in her birth country due to her ignorance of language and culture. Returning to USA again, and trying to be reconciled with her American mother, Jane shows the promise of accepting her new identity capable of transcending the borders, and thus, the possibility of enlarging the category of belonging.

벤처캐피탈의 투자경험과 직무적합도가 펀드결성과 투자수익률에 미치는 영향력에 관한 연구 (A Study on the Impact of Venture Capital Investment Experience and Job Fit on Fund Formation and Investment Rate of Return)

  • 김대희;하규수
    • 벤처창업연구
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    • 제18권4호
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    • pp.37-50
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    • 2023
  • 벤처캐피탈은 유망한 기술력과 우수인력을 갖춘 창업 초기 단계부터 성장단계의 유망 중소벤처기업에 필요한 자본을 투자하고 경영 및 기술 등을 지원하여 성장 이후 다양한 수단을 통해 투자금을 회수하여 이익을 실현하는 벤처생태계의 핵심주체로서의 역할을 하고 있다. 벤처캐피탈의 업무는 다양한 출자자(LP)를 모집하여 벤처투자조합(펀드)을 결성을 통해 성장성이 있는 중소벤처기업에 투자하고 기업이 성장함에 따라 투자금을 회수하여 출자자들에게 배분과 재투자를 하는 것이다. 벤처투자에 있어 가장 중요한 역할을 담당하고 있는 벤처캐피탈리스트의 주요 업무는 유망기업발굴, 기업분석 및 평가, 투자심사, 사후관리, 투자회수 등이며 특히 임원급 이상의 경우 펀드레이징(펀드결성)이 중요한 업무이다. 벤처캐피탈의 성공지표는 펀드결성과 투자수익률에 있으며 벤처캐피탈리스트는 투자와 회수 및 펀드결성등의 업무성과로 연봉, 성과급, 승진 등 보상이 이루어지고 있다. 최근 급격히 성장하는 벤처투자시장에 비해 투자인력은 부족하며 이에 투자성과 제고를 위해 인력양성과 장기근속을 위한 인프라와 시스템을 갖추기 위해 벤처캐피탈은 많은 노력을 하고 있으나 다른 산업에 비해 벤처캐피탈 산업의 연구 자체가 부족할 뿐만 아니라 주로 계량적인 관점에서 연구가 이루어졌다. 이에 본 연구는 벤처캐피탈의 투자 경험, 권한위임, 직무적합성, 동료 관계 등이 펀드결성과 투자수익률에 미치는 영향력을 연구하고 실증적인 분석하였으며, 투자 경험이 많을수록, 권한위임이 클수록, 직무적합성이 높을수록 동료 관계가 좋을수록 투자성과에 정(+)의 영향을 미쳤다. 이러한 실증연구 결과는 향후 벤처캐피탈은 직무적합성이 높고 투자 경험이 많은 벤처캐피탈리스트가 장기근속을 할 수 있도록 직무환경 조성과 인력운영 전략이 필요하다는 시사점을 제시하였다.

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