• Journal of Hospice and Palliative Care
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• 제18권4호
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• pp.276-284
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• 2015

목적: 본 연구의 목적은 임상간호사의 임종간호수행에 미치는 영향요인을 파악하는 것이다. 방법: 대구 경북지방의 임상간호사 175명을 대상으로 하였으며, 자가 보고식 설문지로 자료를 수집하였으며, IBM SPSS WIN 19.0 program을 이용하여 데이터를 분석하였다. 결과: 임상간호사의 고통경험, 공감역량, 돌봄행위 및 임종간호수행 간에는 유의한 상관관계가 있었다. 임종간호수행에 영향을 미치는 요인에는 부서, 공감역량 및 돌봄행위가 통계적으로 유의한 예측변인으로 나타났으며, 이들 변인의 설명력은 43.52%였다. 결론: 본 연구의 결과 임상간호사의 임종간호수행 능력은 공감역량과 돌봄행위 역량의 증진을 통해 높아질 수 있음을 시사한다.

• 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.

• 대한안전경영과학회지
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• 제22권2호
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• pp.57-71
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• 2020

The purpose of this study is to explore the effects of fire officers' experience of traumatic events and subsequent forest healing on their occupational burnout. The results are as follows: First, the experience of traumatic events, social and psychological healing, and relieving stress by strolling had a significant effect on burnout. The more fire officers are exposed to traumatic events, the more they lose self-control in social and psychological aspects, and the lower the level of stress relieved through strolling, the higher the level of burnout. Thi sresult suggests that the more fire office rsare called out for fire fighting, the more they see their colleagues with severein juries, and the higher the level of mental and physical an xiety, the more they areex hausted. Moreover, for es thealing help store duce the irmental and physi calfatig uecaused by traumatic events, thu spreven ting them from suffering from burn out. Second, the experience of traumatic events, social and psychological healing, and relieving stress by strolling had a significant impact on occupational stress. The more fire officers are exposed to traumatic events, the more they lose self-control in social and psychological aspects, and the lower the level of stress relieved through strolling, the higher the level of occupational stress. This result indicates that to relieve job stress caused by fire fighting, increased forest healing activities, including various programs such as psychotherapy, developing interpersonal relationships and self-control, and creating a positive mind-set, can reducejobstress and help fire officers recover from it. Lastly, job stress had a mediation effect on the effects of the experience of traumatic events and forest healing on burnout. This implies that burnout can be prevented when fire officers gain high emotional stability through social and psychological healing and stress-relief strolling over a traumatic experience, and stronger support from the organization and family can keep them from being emotionally drained, thus contributing to the prevention of burnout.

• 문화기술의 융합
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• 제8권6호
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• pp.243-250
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• 2022

본 연구는 성인여성의 주양육자인 어머니와의 사별에 대한 정서경험(emotional experience)의 본질적 의미를 탐구하고자 하였다. 이를 위해 어머니와 사별경험이 있는 성인여성 3명을 대상으로 삶의 경험과 그 의미를 심층면접방법으로 진행하였다. 수집된 자료의 분석은 Colaizzi의 현상학적 연구방법으로 적용하여 분석하였다. 연구결과를 도출하는 방법으로 어머니를 사별한 성인여성이 겪은 정서경험에 대한 본질과 자신과 가족들의 삶에 미치는 영향에 대한 연구를 실시하여 '사별경험', '정서경험', '관계경험', '성장경험' 4개의 범주가 도출되었다. 본 연구는 애착대상인 어머니의 죽음으로 인하여 고통과 상실의 외상을 겪었음에도 시간의 경과와 극복의지에 따라 긍정적인 삶의 변화로 치유해감으로써 회복과 성장 도모에 기여한 점에 의의가 있다.

• 대한장애인치과학회지
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• 제11권1호
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• pp.9-16
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• 2015

Pain and sensory disorder resulting from injury to peripheral nerves of the face and jaws are a major source of patient dissatisfaction and suffering. The majority of patient who sustain injuries to the peripheral sensory nerves of the face and jaws experience a slow but orderly return of sensation that is functional and tolerable in quality, if not "normal". For many patients, however, the long-term effects are a source of aggravation, and for a few, a significant cause of suffering. Common complaints relate to reduced sensory information causing embarrassing food accumulations or drooling, biting a burning the lip or tongue, and difficulty in performing routine activities such as shaving and apply makeup. For some patients posttraumatic symptoms become pathological and frankly painful. The predominent pain components are (1) numbing anesthesia dolorosa pain, (2) triggered neuralgiaform pain, (3) burning, aching causalgiaform pain, and (4) phantom pain. This is a report of cases about posttraumatic pain syndrome associated with dental treatment in a psychologically disabled patient.

• 대한간호학회지
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• 제35권5호
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• pp.955-966
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• 2005

Purpose: The purpose of this study was to understand the meaning and nature of pain experienced among patients with chronic pain. The present study adopted a hermeneutic phenomenological method which was developed by van Manen. Method: The participants for this study were 4 men and 5 women, who were over the age of 20 with chronic pain more than 6 months. Data was collected by using in-depth interviews and observations from September, 2004 to December, 2004. The contents of the interviews were tape-recorded with the consent of the subject. Result: The essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were 'untamed and unremitting pain', 'the body as an obstacle', 'continuity of suffering time as if the moment would never end', 'a narrow radial range of action' and 'separating from other people'. Conclusion: Patients with chronic pain experienced and perceived the world through the filter of their pain. It is necessary for nurses to understand the experiences of chronic pain patients and to provide more empathic, supportive care. Further research is needed on nursing interventions that could help chronic patients cope with and find the meaning in their suffering.

• 아동학회지
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• 제33권1호
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• pp.41-62
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• 2012

This study explored the case of sandplay therapy for a 4th grade girl suffering from selective mutism. Her selective mutism apparently began following an extremely embarrassing experience in kindergarten. Her symptoms were a combination of symbiotic, reactive and passive- aggressive type behaviors. The goal of the therapy undertaken with this child was to enable her to express her repression and suppression, within a free and protective space during sandplay therapy. There were a total of 60 sessions of sandplay therapy. The client described the situations she had experienced in the first sandtray, by placing babies absent caring adults and food on the sandbox. She also placed baby fish away from their mother. In the mid-point of the sessions, she repeated her regressive behaviors by babbling like a baby and fought with snakes and monsters. In the final sessions, she showed integration and adaptation by engaging in snow play, expressing the union of opposites, placing blue and red mig and making a cross on the sand. This study showed the effectiveness of sandplay therapy since her selective mutism was lessened.

• 유통과학연구
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• 제19권2호
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• pp.25-36
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• 2021

Purpose: This paper attempts to explore a Christian perspective on the process leading to growth after complex trauma caused by family violence experience. To achieve it, the article tackles the analysis of relationship between the inflictor father and victim, interpersonal relationship, and relationship with God in terms of growth after suffering from the trauma of family violence with a Christian perspective. Research design, data, and methodology: This study employed an in-depth interview as a methodology. Seven Christian adults who have experienced family violence in childhood are selected for the qualitative case study. 58 concepts, 24 low-level categories, and eight high-level categories are derived from each interview case. Results: The results of the case study show that the negative emotion caused by family violence during childhood is likely to lead to narcissistic rage. It is found that the reflection for posttraumatic growth starts with crying to God, simultaneously expressing pain and suffering. Conclusions: The interesting thing is that they are willing to forgive in the process of trauma therapy. It should be noted that the research results also demonstrate that relationship restoration entails the meaning reconstruction in the interpersonal relations.

• 사회복지연구
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• 제41권4호
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• pp.45-79
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• 2010

본 연구는 한국사회의 대리모 여성의 심리사회적 고통 체험의 구조를 심층적으로 이해하기 위하여 실행되었다. 자료는 미디어를 통해 수집된 질적 2차 자료를 상호주관적 삶으로서의 역동성과 의미를 잘 나타내주는 파시(Parse)의 현상학적-해석학적 연구방법에 적용하여 분석하였다. 분석 결과 대리모 여성의 체험은 경제적 고통으로 선택한 최선의 대안이었으나 출산과 양육이 분리된 모성은 일방적 관계로의 위험에 노출되나 보상과 입양의 맞물림으로 잊혀 질 모성의 현실을 수용하는 과정이라는 구조로 나타났다. 그러한 구조를 전환시키면 대리모 여성의 체험은 생의 마지막 선택이라 여기나 죄책감과 혼란스러움으로 드러낼 수 없는 존재로서 모성을 도구화하는 것으로 파악되었다. 이러한 해석은 파시의 추상성 높은 개념으로 통합하여 대리모 여성의 체험은 가치화를 가능-제한, 노출-은폐하여 독특성을 강화하고 변형시켜가는 과정으로 재해석 되었다. 대리모 여성에 대한 경제적·의료적·법적 차원에서의 논의와 함의를 다루었다.

• 사회복지연구
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• 제42권2호
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• pp.235-274
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• 2011

본 연구는 군사정권시대에 간첩으로 몰려 고문폭력에 희생되었던 개인이 반추한 고문의 고통 체험의 구조를 심층적으로 이해하기 위하여 실행되었다. 자료는 본 연구대상의 체험이 담긴 텍스트에서 수집한 자료를 상호주관적 삶으로서의 역동성과 의미를 잘 나타내주는 파시(Parse)의 현상학적-해석학적 연구방법에 적용하여 분석하였다. 분석 결과 군사정권시대 간첩혐의 고문폭력생존자가 반추한 고문의 고통 체험은 자기(self)를 파괴시키는 가혹성에 주저앉았고, 신(神)이 내린 '죽음에 이르는 형벌' 로 억압받아 그늘진 세월에 묶여 생존하였으나 존재로서의 고유한 인간성을 회복해가는 구조로 나타났다. 그러한 구조를 전환시키면 온갖 폭력과 왜곡으로 간첩이 되었고 가족의 낙인과 시달림을 지켜보는 고통을 받아 억울하나 가려진 존재로 남아 견디어 희생자였던 과거를 보듬으며 응집된 자기(self)를 향한 통합을 추구하는 것으로 파악되었다. 이러한 해석은 파시의 추상성 높은 개념으로 통합하여 상상화, 언어화, 가치화를 가능-제한, 노출-은폐시켜 강화성으로 변형되어가는 과정으로 재해석되었다. 끝으로 고문폭력에 대한 인권적 접근과 치료적 이해를 논의하고 실천적 함의를 다루었다.