• 한국보육지원학회지
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• 제13권3호
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• pp.103-119
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• 2017

Objective: This study investigated the relationships between preschoolers' difficult temperament, resilience, problematic behaviors, and maternal parenting stress. In addition, the research examined the moderating effects of resilience on the relationships between maternal parenting stress, preschoolers'difficult temperament and problematic behaviors Methods: The participants were 200 four to six year olds attending kindergartens and daycare centers in Seoul, Gyeonggi-do, or Gangwon-do. Mothers completed the questionaries to measure children's temperament, parenting stress, and problem behaviors. Children's resilience was assessed by teacher ratings. Results: Significant correlations were found among maternal parenting stress, preschoolers' difficult temperament and problematic behaviors. Moreover, resilience moderated the associations between difficult temperament and problematic behaviors but it did not moderate the relation between maternal parenting stress and problematic behaviors. Conclusion/Implications: The results suggest that it is necessary to provide comprehensive intervention to reduce maternal parenting stress and improve preschoolers'resilience in order to prevent their problematic behaviors.

• 한국보육지원학회지
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• 제16권1호
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• pp.1-20
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• 2020

Objective: The purpose of this study was to explore the application of the multidisciplinary model, which is customized evidence-based counseling for abused preschool children done by a day care center teacher. Methods: The participants were 16 preschool children which were abused by a day care center teacher and their parents. The data were analyzed by using the Wilcoxon Signed-rank test. Results: The multidisciplinary cooperative service model based on customized evidence-based counseling for abused preschool children, their parents, and day care center teachers was developed. Based on this model, customized evidence-based Post-Traumatic Stress Disorder (PTSD) emergency intervention was provided to preschool children abused by a day care teacher in Incheon. The multidisciplinary cooperative emergency intervention service proved to be effective in reducing emotional and behavioral problems of abused preschool children and enhancing the mental health of parents. Conclusion/Implications: The results of this study indicated that the customized evidence-based counseling for abused preschool children done by a day care center teacher using the multidisciplinary cooperative linkage system would be effective, and that child abuse prevention by day care center teachers and intervention services should be provided systematically at the national level.

• 한국보건간호학회지
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• 제34권1호
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• pp.99-111
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• 2020

Purpose: This study was conducted to verify model for predicting health promotion behavior and the health status of child care teachers based on Pender's health promotion model and Dahlgren and Whitehead's health determinants model. Methods: The data was collected from January to February 2018 from 205 child care teachers in day care centers in Seoul. Results: This model was suitable to explain the health status and health promotion behavior of child care teachers. In this study, health promotion behavior had the most direct affect on the health status of child care teachers. Health promotion behavior was directly affected by social support, self-efficacy, and depression. Job stress had an indirect affect on health promotion behavior. Conclusion: Considering the factors identified in this study that influence the health promotion behavior of child care teachers, we propose the development of interventions to improve the health status of child care teachers.

• 중환자간호학회지
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• 제11권2호
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• pp.1-10
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• 2018

Purpose : This study aimed to develop an in-depth and comprehensive understanding of the experiences of critical care nurses caring for dying patients. Method : Eleven critical care nurses with experience in caring for dying patients were recruited from four tertiary hospitals. Semi-structured face-to-face interviews were conducted between November 2016 and March 2017. The transcribed data were analyzed using qualitative content analysis to identify major themes and sub-themes that represented the experiences of critical care nurses. Results : The following six themes, and twelve sub-themes, were identified: (1) the gap between expectation and reality, (2) a distorted meaning of death, (3) repeated emotional pain and stress, (4) finding a solution alone, (5) sublimation into mission and calling, and (6) integration into one's own life. Conclusion : This study found that critical care nurses experience various psychological difficulties while caring for dying patients, and they made efforts on their own to overcome them. These findings are expected to inform the development of specialized programs to support critical care nurses to tackle these challenges, create guidelines on caring for dying patients, and help promote death education.

• 근관절건강학회지
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• 제27권2호
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• pp.169-176
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• 2020

Purpose: This study aims to investigate the factors affecting fatigue of care helpers in long-term care facilities. Methods: The subjects consisted of 131 care helpers at six long-term care facilities in Chungcheongnam-do. A survey was conducted between July and September 2019 to collect data, which were analyzed using t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis.Results: An increase in fatigue of care helpers owing to taking care of over 10 patients a day, increase in emotional labor and sleep disturbance, and a decrease in economic status was observed. Their fatigue decreased when there was an increase in their subjective health status and job satisfaction. Work-related stress (β=.37, p<.001), emotional labor (β=.21, p=.014), and sleep disturbance (β=.18, p=.026) significantly predicted fatigue. These factors explained 37% of the total variance in fatigue (F=10.48, p<.001).Conclusion: In addition to improving the work environment, interventions that alleviate emotional labor and improve sleep quality, are needed to lower the fatigue of care helpers.

• Journal of Korean Neurosurgical Society
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• 제38권1호
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• pp.77-79
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• 2005

We report a case of early stress fracture of the pelvic ring following an extension of a multilevel instrumented lumbosacral fusion in an osteopenic female. Surgeons should be aware of possibilities of pelvic complications in osteopenic patients with lumbosacral arthrodesis and should take care when harvesting iliac bone graft.

• 아동학회지
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• 제37권4호
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• pp.145-158
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• 2016

Objective: This study investigated the moderating effect of emotional dysregulation on the relationship between teacher efficacy and job stress among teachers in the Early Childhood Education and Care (ECEC). Methods: The participants included 586 ECEC teachers from 99 centers in Seoul, Gyeonggi-do, Daejeon, Chungcheong-do, Jeolla-do, and Gyeongsang-do. The data were analyzed through frequencies, percentages, and Pearson's correlations using SPSS 21.0 (IBM Co., Armonk, NY). To analyze the moderating effect, Ping's (1996) two-step approach was used via AMOS 20.0 (IBM Co., Armonk, NY). Results: The main findings are as follows. First, the mean scores of ECEC teacher efficacy and job stress showed above the average, and the mean score of emotional dysregulation was the nearly average. Second, fit statistics indicated that the proposed model, as revised, provided an acceptable fit to the sample data. This proposed model showed that the emotional dysregulation of teachers in ECEC had a moderating effect on the relationship between teacher efficacy and job stress. Conclusion: These findings imply that the ECEC teachers showed the higher level of self-trust and self-confidence than average regarding their own work, and suffered from the work overload. Also, the positive and supportive working environment would help the ECEC teachers to reduce their emotional dysregulation. In addition, there was a moderating effect of the ECEC teachers' emotional dysregulation on the relationship between teacher efficacy and job stress. These findings imply that the workshop or counselling programs need to be provided to teachers in order to help control their emotion dysregulation and reduce their job stress.

• 한국의료질향상학회지
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• 제12권1호
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• pp.18-39
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• 2006

Background : This study was carried out to examine the changes of job stress after adoption of order communication system(OCS) and its related factors. Methods : Two hundreds and twenty one employees in a university hospital were surveyed 4 months before and 1 year after the OCS had been adopted. Author used Korean version of Karasek's job content questionnaire(K-JCQ) to evaluate job stress. The questionnaire developed by Doll's was used to assess the satisfaction for the OCS. Result : With the adoption of OCS, the scores of skill discretion increased significantly from 29.9 to 30.8 that meant job stress was decreased. In use of OCS, direct user group showed significant increase of skill discretion, whereas the indirect user group showed significant increase in psychological job demand, and it was statistically significant when compared to direct user group(p<0.05). Among the changes in job stress, skill discretion score change was significantly different by age(p<0.05). This study revealed that there was statistically significant relationship between the change of skill discretion score and time computer use, level of satisfaction for content of provided information(p<0.05). And psychological job demand score change was significantly different by time of computer use(p<0.05). Conclusion : Adoption of OCS into hospital may increase job stress, but when it is adopted wisely and appropriately, it may enhance skill discretion of each individual, and decision authority while reducing psychological job demand.

• Human Ecology Research
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• 제52권2호
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• pp.141-150
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• 2014

The purpose of the present study was to determine the structural relationship among the father's participation in childcare, parenting stress, marital satisfaction, and the job satisfaction of working mothers. This study is based on the 2011 Panel Study on Korean Children, a large, population-based study conducted by the Korea Institute of Child Care and Education. The participants were 431 working mothers. To ensure the reliability and validity of the questions, descriptive statistics of the frequency, ratio, average, standard deviation, skewness, and kurtosis were obtained using SPSS 21.0. Exploratory factor, variables correlation, and reliability analysis were also performed. The structural analysis using AMOS 20.0 in the bootstrapping method was conducted to perform a path analysis among the variables and to assess the suitability of the model. A hypothetical model was proposed, which was composed of a father's participation in childcare as an exogenous variable and parenting stress, marital satisfaction, and job satisfaction of a working mother as the endogenous variables. The results of this study are as follows: First, a father's participation in childcare and the parenting stress and marital satisfaction of a working mother affect the job satisfaction of the mother. The most influential factor is marital satisfaction. Second, marital satisfaction has mediating effects between the father's participation in childcare and the parenting stress and job satisfaction of the working mother. Third, parenting stress does not affect job satisfaction.

• 한국농촌간호학회지
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• 제1권1호
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• pp.40-48
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• 2006

Purpose: This study was done to identify the experience of stress and burn-out in caregivers of patients with senile dementia. Method: To evaluate the degree of stress and burn-out in caregivers of patients with senile dementia, 64 caregivers and matched to 64 patients with senile dementia at a Primary Health Care Post in South Kyung Sung Province were selected. The study was carried out from March 6 to March 30, 2001. Data on the degree of dementia in the patients was measured by the MMSE-K (Mini-Mental State Examination-Korea) and caregiver characteristics such as, sex, age, marital status, educational level, job, socioeconomic status, religion, number in family, relationship with patient, duration of care, and chronic disease in caregiver were collected by direct interview with a questionnaire. Results: Of 64 patients with senile dementia, 15.6% were classified as mild dementia (MMSE score 20-24) and 84.4%, as severe dementia. There were no significant characteristics of caregivers associated with the degree of stress and burn-out experience. The degree of burn-out in these caregivers of patients with severe dementia (mean value 94.3) was significantly higher than the 81.4 for those caring for patients with mild dementia (p<0.05). However, the degree of stress was not significantly related with the degree of dementia. The proportion experiencing severe burn-out (above score 4) was 54.7% in the physical domain, 90.6% in the emotional domain, and 73.4% in psychiatric domain, respectively. Conclusion: The above findings suggest that the degree of stress and burn-out experienced by caregivers of patients with senile dementia are high. Also the degree of burn-out experienced by in caregivers of patients with severe dementia was higher than for those caring for patients with mild dementia.