• Title/Summary/Keyword: The Meaning of Suffering

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The Qualitative study about Recovery Process of the Spouses of Gambling Addicts. - Hermeneutical grounded theory methodology - (도박자 배우자들의 회복경험에 대한 질적연구 : 해석학적 근거이론 방법)

  • Kim, Jin Sook;Lee, Keun-Moo;Lee, Hyuk Koo
    • Korean Journal of Social Welfare Studies
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    • v.42 no.1
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    • pp.83-115
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    • 2011
  • This research is to study the psychological, emotional, physical pains of the spouses of gambling addicts and the recovery process from the suffering. From this, we expect to propose a supportive program to help the recovery. Nine of the spouses of gambling addicts joined this research and the hermeneutical grounded theory methodology was applied to interpret it. Data were collected by the depth interview and various written records and they were analyzed by Rennie(2007)'s methodology. We could construct 20 categories by analyzing and categorizing meaningful units of the data. The core theme of the recovery experience was presented as "Stopping rolling the Sysyphus's boulder, and returning to the routine peace." Based upon the research outcomes, we suggested a supportive program considering male and female differences and a way to improve the accessibility to the therapy system for the spouses of gambling addicts and the need for a meaning therapy.

Experience of Hemodialysis in the Chronic Renal Failure Clients (만성신부전 환자들의 혈액투석 경험)

  • Shin Mi-Ja
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.3 no.2
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    • pp.235-246
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    • 1996
  • The purpose of this study was to discover the experience of hemodialysis which clients confronted hemodialysis at the same time as CRF diagnosis and to understand the nature and meaning of their crisis experience. The research subjects were 6 clients receiving hemodialysis in Seoul from Jan. 1996 to Jul. 1996. Data were collected by informal indepth interview and participant observation. Content Analysis(by Seaman & Verhonick, 1982; Woods & Catanzaro, 1988) was applied to collect similar contents and common experience in order to derivate concepts and categories for better understanding of their hemodialysis experience. As a result, 6 categories derivated to indentify their hemodialysis experience of the CRF clients-confronted hemodialysis at the same time as CRF diagnosis-were as follows: 1) The category of shocking crisis composed the concepts of shock, amagement and suffocation. 2) The category of denial composed the concepts of disease refusal and hemodialysis refusal. They repeatedly visited hospitals or didn't visit hospital in order to refuse disease, then depended on folk remedy or shamanistic method. 3) The category of severe anxiety composed the concepts of abandoned feeling, shame, resentment, neurosis and anger. 4) The category of depression composed the concepts of grief, suffering of unfairness, tearing, desire to death. 5) The category of powerlessness composed the concept of hopelessness. 6) The category of resigned acceptance composed the concepts of resignation and acceptance. In this study, the CRF clients who confronted hemodialysis at the same time as CRF diagnosis experienced six stages in accepting hemodialysis but these stages were mingled simultaneously and went on.

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Experience of Patients Living with Chronic Renal Failure (만성신부전 환자의 체험)

  • 강성례;이병숙
    • Journal of Korean Academy of Nursing
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    • v.31 no.4
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    • pp.525-537
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    • 2001
  • The Purpose of the study was to understand the experience of chronic renal failure patients for the qualified individual care for them. The purpose of this study was to explore the experience of patients living with chronic renal failure and to identify the meaning and structure of their experience. The subjects were four patients, two females and two males. The age range was from 21 to 54. Data was collected with a few in-depth interviews by the authors until the data was fully saturated. The framework and methodology of this study was based on Parse′s "Human Becoming methodology," an existential phenomenological research methodology. The findings of this study were as follows. Three experience structures of chronic renal failure patients were : 1. Sufferings and conflicts originated in the frustration caused by uncurable disease. 2. Dependence upon God and significant others with complex emotions. 3. Acceptance of sufferings, emerging hope for serving people, and gratitude for living. In conclusion the experience of chronic renal failure patients could be described from the findings (three structures) as "Experiencing the sufferings, conflicts originated in the frustration caused by uncurable disease, dependence upon God and significant others with complex emotion, acceptance of the suffering and hope for serving people, and gratitude for living." The three structures of the lived experience of patients with chronic renal failure, the findings of this study, could be explained by the three concepts of "Theory of Human Becoming," the first structure could be explained with values, the second with revealing-concealing, and the third with transforming.

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The Observational Experience of Labor and Delivery by Student Nurses in the Clinical Setting (간호학생의 분만관찰경험)

  • 고명숙
    • Journal of Korean Academy of Nursing
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    • v.27 no.4
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    • pp.892-900
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    • 1997
  • The purpose of this study was to use phenomenological perspectives to identify the meaning and structure of the observational experience of labor and delivery by student nurses in the clinical setting. The participants were 115 junior and senior students from Christian College of Nursing in Kwang Ju. The students were asked to write about their observational experience in the delivery room. Colaizzi's method was used for phenomenological analysis. The investigator analysed the data to identify and categorize themes and basic structural elements. Twelve themes and eight basic structure were identified. The process of the observational experience in labor and delivery has three proposed phases : anticipatory, observational and post-observational. In the anticipatory phase, nursing students were related only to the event of anticipated labor and delivery of clients. Structure 1, feeling of expectation and fear, was identified. In the observational phase, students were related to the labor and delivery situation, a woman delivered and a newborn. Structure 2, shock and suffering, was identified in relation to the labor and delivery situation. Structure 3, need for caring and satisfaction, was identified in relation to the woman delivered. Structure 4, feeling of mystery and joy, was identified in relation to the newborn. In the post-observational phase, relations between students and the life of a human being, students and self in the future, students and their mothers and students and women and God appeared. And in these relations 〈structure 5, valuable〉, 〈structure 6, feeling of expectation and fear〉, 〈structure 7, love and appreciation〉 and 〈structure 8, greatness〉 were identified.

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Qualitative Study on the Experience of Patients with Meniere Disease (메니에르병 환자의 질병 체험 연구)

  • Joung, Woo Joung
    • Journal of Korean Academy of Nursing
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    • v.50 no.5
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    • pp.699-713
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    • 2020
  • Purpose: The purpose of this study was to understand and describe the experiences of patients with Meniere disease. Methods: Data were collected from February 19, 2019, to February 5, 2020, through individual in-depth interviews with 13 Meniere patients. Verbatim transcripts were analyzed using Colaizzi's phenomenological analysis. Results: The experiences of patients with Meniere disease were clustered into the following four themes from 22 meaning units: 1) Complex unfamiliar symptoms that shatter both balance of the body and peace of the heart; 2) A disease that medical treatment and health professionals cannot cure; 3) Suffering hardships that cannot be understood by non-Meniere sufferers; and 4) Making daily efforts to become healthier. Symptoms of Meniere disease are life-shattering and depressing because they are neither visible nor easily curable. Over time, as they accepted the reality of living with the disease, the participants would shift their focus from complete symptomatic cure to leading a healthy and more balanced life. Conclusion: This study shows that Meniere disease has a pervasive impact on all aspects of the patients' lives. Patients are prone to experiencing restrictions in their social functioning and activities. They also experience psychosocial problems due to the unseen nature of their symptoms. This study elucidates the experiences of Meniere patients and the need for nursing intervention to help improve their quality of life and ability to self-manage. Lastly, this study shows the need for a coordinated interdisciplinary approach to raising public awareness of the disease.

Elderly Women′s Grief (여성 노인의 슬픔)

  • 김귀분;이경호;오혜경
    • Journal of Korean Academy of Nursing
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    • v.31 no.6
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    • pp.1021-1033
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    • 2001
  • This study sought to find a nursing intervention tool for enhancing elderly women's lives by investigating the causes and the meaning of their grief. Method: This research was derived from a phenomenological tool such as qualitative research design. The data collection took place from December of 2000 until April of 2001 Through systematic interviews and participatory observations of five elderly women attending C welfare center located in downtown Seoul the data was collected. Each interview lasted an hour and a half and was arranged five times. The analysis of this research was conducted using the Giorgi method. Results: \circled1 There was obvious physical and physiological decline caused by aging old; as well as there being spouse health problems, additional physical suffering, signs of senility, and insomnia, \circled2 Further grief was imposed by unpleasant memories of the spouse; infidelity, incapability, and even disregard of her own well-being, \circled3 Then there was pity for children; unfaithful children, uncertain futures of the children, and early death of a child, \circled4 Also, regrettable fate, painful daily acttrities, unreliable factors, bad circumstances, and feelings emptiness were reported, \circled5 Finally, anxiety for the future; ac sense of despair, loneliness, economic hardship, and the fear of imminent death increased grief levels. Conclusion: A variety of programs and social meetings for the elderly to overcome their physiological or psychological crisis should be substantially developed and supported by the government. In order to implement the social welfare for the elderly women, special consideration whether on the governmental level or the personal level, should be devoted to the elderly who live without any financial support or social concern.

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Family Experiences of Living with Chronic Schizophrenic Patients - Application of Parse's Human Becoming Research Methodology - (만성정신분열환자 가족의 체험 - Parse의 인간되어감 연구방법론 적용 -)

  • Lee, Ok-Ja;Choi, Young-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.26-34
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    • 2007
  • Purpose: This study was aimed at understanding the nature of the suffering of families with patients in mental health nursing homes and hoped to contribute to the rehabilitation process of those with a chronic mental disorder. Method: Research methodology was based upon Parse's human becoming research methodology. Results: a) Despite the despair the family feels by the violence caused by their now-institutionalized relative, they also realize anew the importance of their role as protectors b) Although they fear social stigmatization they also try to be supportive, out of guilt feelings; c) They regret their severe rearing style and wish to be more sympathetic, d) They find courage and hope through family therapy, which leads to a better understanding of the illness, e) With hopes of rehabilitation, the family members feel happy and go through an emotional release, by sharing the pain with each other. Conclusion: Families of nursing home residents share a focus on the process of human-health-universe. This is a positive,'human-becoming' process with which, based on past feelings of despair, fear, resignation, and pain, one can render meaning into his or her experiences in the present in the pursuit of love, conquest, hope, liberty and success.

A Structured Markup Language for the Object-Oriented Representation and Management of Decision Models on the Web (웹상에서의 의사결정모형의 객체지향적 표현과 관리를 위한 구조적 마크업 언어)

  • Kim, Hyoung-Do
    • Asia pacific journal of information systems
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    • v.8 no.2
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    • pp.53-67
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    • 1998
  • The explosive growth of the Web is providing end-users access to ever-increasing volumes of information. The resources of legacy systems and relational databases have also been made available to the Web browser, which has become an essential business tool. Recently, model management on the Internet/Web is also proposed with its conceptual design or prototypical system like DecisionNet and DSS Web. However, they are also suffering from the same symptoms as the Web, Although we can identify the elements of a page with HTML tags and (declare) the relationships among the various document elements, they are semantically opaque to computer systems and have no domain-specific meaning. However, HTML is not extensible, so developers are forced to invent convoluted, non-standard solutions for embedding and parsing data. Extensible Markup Language (XML) is a simplified subset of SGML that has many benefits for folks who want to improve structure, maintainability, searchability, presentation, and other aspects of their document management. This paper proposes a structured markup language for model representation and management on the Web as an XML application. The language is based on a conceptual modeling framework, Object-Oriented Structured Modeling (OOSM), which is an extension of the structured modeling.

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Psychoanalytic Observations on Chest Pain (흉통(胸痛)의 정신분석적(精神分析的) 고찰(考察) -두사람의 증례(症例)를 중심으로-)

  • Lee, Moo-Suk
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.1
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    • pp.98-106
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    • 1995
  • This study presents the cases of two patients suffering from chest pain as the chief complaint and refers to related literatures to reveal the psychoanalytic meaning of chest pain. In the first case, the patient who was balked of the desire to be loved complained of her pain in the chest She had been bereaved of her husband and felt deserted by someone on whom she depended, and these experiences caused the chest pain. The drive related to this chest pain in a dependent and aggressive one. The second case, the chest pain of a 28-year-old unmarried woman, resulted from Oedipal conflict Her Oedipal conflict did not resolve successfully for the exessive sexual stimulation in her childhood such as her experiences of witnessing the primal scenes sleeping with her parents in the same room, even under a same blanket In addition, there were some other traumas which prevented her from that conflict: Her father bathed her until her puberty: She saw her father's back view as he urinated in a jerry: She heard her parents' frequent quarrels. This patient felt guilty about desire of Oedipal incest, and chest pain seemed to occur as a kind of self-inflicted punishment.

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소아암 환아의 영적 케어

  • Sin, Min-Seon
    • Korean Journal of Hospice Care
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    • v.5 no.2
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    • pp.54-63
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    • 2005
  • The purpose of this study is to examine the requirement for child life support specialist and fetal education for children with cancer. This research presented was composed with three chapters : First chapter, I presented the purpose, scope and definitions of this research. Second chapter, I defined about hospice care service for children with cancer and kind of pediatric cancer. And general characteristics of children with cancer, a understanding character of death and dietary therapy. Lastly, I defined and investigated about spiritual care. Third chapter, I concluded with some of findings and final suggestions based on the results. According to the developmental stages children with cancer are disability of communication competence and more dependence on their parents, therefore parents' decision making were more difficulty. And parents with a child who suffers from a cancer needs a counseling in order to discover the meaning of life. Parents' psychological experience about the caring for their child suffering from pediatric cancer was equal to broken hearts due to shadow of the child's death from time to time. In other words a parents with a child who suffers from a cancer needs comprehensive services such as hospice, consultor as well as wide experienced pediatrician and nurse. Child life support specialist can help them recover and improve their o주 potential strength in behalf of overcoming their difficulties. And pastoral counseling can help them reduce the fear and anxiety about unknown world and death. The systematically developed a school-based counseling program would help children adjust to the difficulties after a perfect cure because of children adjusted to school well when they have good peer relationships.

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