• 제목/요약/키워드: caring attributes

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감성(Sensibility)의 개념 분석 (Analysis of the Concept of Sensibility)

  • 박현주;최진
    • 기본간호학회지
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    • 제13권1호
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    • pp.140-149
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    • 2006
  • Purpose: The concept of sensibility as sensitive perception is a part of the most important elements in human relations and nursing. However, sensibility has not been a focus of nursing research and it seems important to clarify the meaning of sensibility. Therefore, in this study the meaning of sensibility as a cognitive faculty of humans was explored. The results will contribute to the development of nursing science and art. Method: The process described by Walker and Avant to analyze concepts was used to define the concept of sensibility. Results: Attributes of sensibility were defined as 'emotional ability to feel', 'delicate, sensitive awareness of emotion' 'appreciative, tender hearted about oneself and others', 'awareness of intellectual, moral values', 'liability to be vulnerable', 'direct interrelation with individual'. Conclusion: The sensibility mentioned above included the attribute of caring within nurses intrinsic disposition which is achieved through the process of interrelational communication. Therefore continuous study and development of this concept should not only provide resources for nursing but also have a positive effect in therapeutic personal relationships.

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아동간호의 질에 대한 개념분석 (Quality of Pediatric Nursing Care: Concept Analysis)

  • 최미영;방경숙
    • 대한간호학회지
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    • 제40권6호
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    • pp.757-764
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    • 2010
  • Purpose: This paper is a report of a concept analysis of 'quality of pediatric nursing care', Methods: Rodgers's evolutionary method of concept analysis was used. Data were collected from published literature related to quality of pediatric nursing care. Results: Quality of pediatric nursing care was identified with three dimensions and seven attributes: 1) nurse's character: technical competence, interpersonal competence, 2) nurse's activities: developmentally appropriate care, attentiveness, entertainment, 3) nurse-parent interaction: nurse-parent partnership, emotional support. Antecedents of quality of pediatric nursing care were 'child and parent's expectation about pediatric nursing care', 'previous caring experience of pediatric nurses'. Consequences of quality of pediatric nursing care were 'meet child and parent's needs' and 'better health outcomes.' Conclusion: 'Quality of pediatric nursing care' is a core concept in pediatric nursing practice. Appropriate instruments to operationalize the concept need to be developed.

정신장애인 가족의 돌봄 역량 개념 분석 (Concept Analysis of Caregiving Competence of Family Caregivers of Individuals with Mental Illness)

  • 조현미;전원희
    • 가정간호학회지
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    • 제29권2호
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    • pp.153-164
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    • 2022
  • Purpose: This is a concept analysis study to evaluate family caregivers' competence in caring for individuals with mental illness. Method: A hybrid model was used to analyze through three phases scoping literature review. with family caregivers of individuals with mental illness. In the final analysis stage, the concept of caregiving competence was defined. These attributes were derived by integrating stages. Results: The characteristics of caregiving competence were identified as requesting help from the surroundings, minimizing negative effects related to diseases, skilled care, and ability to utilize community resources. The results indicate a need to promote the integration of individuals with mental illness and their families into the community by maintaining productive care. Conclusion: This study improves the accuracy and validity of caregiving competence's concept measurements.

중환자실 간호사가 경험한 사람-중심의 관계 돌봄에 대한 해석 현상학적 분석 연구 (Person-Centered Relational Care Experienced by Critical Care Nurses: An Interpretative Phenomenological Analysis Study)

  • 장명선;김성재
    • 대한간호학회지
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    • 제49권4호
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    • pp.423-436
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    • 2019
  • Purpose: The aim of the study was to explore nurses' experience of person-centered relational care in the context of critical care. Methods: Key interview questions were developed based on the human-to-human relationship model suggested by Travelbee. Data were collected through indepth interviews with a purposive sample of 11 nurses having more than 2 years of working experience in intensive care units. An interpretative phenomenological analysis was conducted to analyze the data. Results: Four super-ordinate and nine sub-ordinate themes were identified. Emerged super-ordinate themes were as follows: (1) encountering a live person via patient monitoring systems; (2) deep empathic connection; (3) humanistic and compassionate care, and (4) accompanying the journey to the end. Study findings revealed that nurses in intensive care units experienced 'balancing emotions' and 'authenticity' in caring when entering human-to-human relationships with dying patients. The phenomenon of person-centered relational care in intensive care units was found to subsume intrinsic attributes of empathy, compassion, and trust, similar to the central concepts of Travelbee's theory. Conclusion: The interpretative findings in this study provide deeper understanding of Travelbee's human-to-human relationship model. The technological environment in intensive care units did not hinder experienced nurses from forming human-to-human relationships. These themes need to be emphasized in critical care nursing education as well as in nursing management. The results of this study will contribute to understanding nurse-patient caring relationships in depth, and help improve the quality of nursing care in intensive care units.

간호사가 생각하는 손의 의미 (The Meanings of Hands among Clinical Nurses in a Tertiary Hospital)

  • 유혜진;서은영;신연희;최정선;박광희;김정윤;김현선;강지영
    • 중환자간호학회지
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    • 제12권3호
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    • pp.50-60
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    • 2019
  • Purpose : The purpose of this study was to explore and describe the meanings of hands among clinical nurses. Methods : A descriptive qualitative study design was used. Participants were 1,048 nurses working in a tertiary hospital in G city. From April to May 2018, an open-ended survey on how nurses felt about their hands and what their hands meant to them was conducted. The collected data were analyzed using MAXQDA 2018 version as well as content analysis. Results : A total of 1,048 pieces of data were analyzed, and 2,094 units of analysis were categorized based on their attributes, resulting in physical, emotional, and social domains. The data in the social domain were reported in a narrative format; thus, they were analyzed using content analysis. Three themes and eight sub-themes were elicited. The three themes included "meaning as an instrument," "meaning of infection control," and "meaning of caring." Conclusion : Nurses imbue essential meanings of caring on their hands even though they face negative skin symptoms. Furthermore, nurses understand the importance of hand hygiene on infection control. The findings of this study provide an in-depth look into nurses' perceptions of their hands.

치매 환자의 가족 돌봄 제공자가 인식하는 사회적지지: 개념 분석 (Perceived Social Support of Family Caregivers for People with Dementia: Concept Analysis)

  • 김애리;김정연;우경미
    • 지역사회간호학회지
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    • 제32권4호
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    • pp.540-554
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    • 2021
  • Purpose: Most of the currently used concepts and measurements of social support have been relevant for general population. The main purpose of this study is to conduct the concept analysis of perceived social support(PSS) of family caregivers for people with dementia. Methods: This study adopted the Walker and Avant concept analysis methodology. Results: Findings from this concept analysis suggested four defining attributes of PSS of family caregivers for people with dementia: 1) PSS is help or assistance that family caregivers perceive as available when needed; 2) PSS is offered through socio-ecological structure; 3) PSS has a specific function to meet the needs of family caregivers; and 4) PSS includes quality aspects where family caregivers choose, use, or evaluate it. Borrowing from the socio-ecological model, this study proposed the structural aspects of PSS. This study also identified functional aspects of PSS, such as emotional support, informational support, appraisal support, and practical support. Finally, this study assessed quality aspects of PSS, such as satisfaction, timeliness, usefulness, accessibility, and coordination. Conclusion: Focusing on family caregivers for people with dementia, we proposed a new model of PSS. The present study helped refine and clarify the concept of PSS of family caregivers for people with dementia. The results of this study may also contribute to promoting the development of more effective instruments for the concept.

복지권 관점에서 본 한국 장애인 거주시설의 개선방안 -자립과 돌봄 사이- (A Study on the Residential Institution for the Disabled in Korea based on Welfare Rights - between Self-Reliance and Caring -)

  • 유동철;김경미;김동기;신유리
    • 사회복지연구
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    • 제44권2호
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    • pp.409-436
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    • 2013
  • 본 연구는 장애인 거주시설의 성격을 규명하고 거주시설을 이용하는 장애인의 사회접 배제를 방지하기 위해 복지권과 돌봄의 윤리 관점에서 거주시설 개선 방안을 제안하는 것을 목적으로 한다. 우리나라 장애인 거주시설의 주요한 특성으로는 집단성, 격리성, 권력불평등성, 비선택성을 지적하였으며, 이를 위해서는 돌봄의 윤리와 복지권의 관점에서 보충성의 원칙, 정상화의 원칙, 신뢰의 원칙, 개별성의 원칙에 따라 거주시설이 운영되어야 함을 제시하였다. 또한 이를 실현하기 위한 정부의 과제로는 서비스신청권을 통한 일괄 조사, 시설의 소규모화와 지역사회 배치, 사례관리(개별지원)의 체계화, 서비스 제공과정의 구조화 등을 제시하였고, 시설운영자의 과제로서는 시설사회화의 노력 강화, 이용자 참여의 활성화를 제시하였다.

아버지의 영아 돌봄에 관한 문헌연구 (A Study of father's care giving in infancy)

  • 김영희
    • 부모자녀건강학회지
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    • 제1권
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    • pp.75-87
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    • 1998
  • These days social and economical changes have influence on the structure of family and the role of family members. Working mothers and widowers with children are increasing because of economical difficulties. Support from relatives are decreasing because of the conspicuous trend toward nuclear families. According to these reasons androgynous fathers are required. Today's fathers in Korea socially and culturally have learned about traditional parenting, but they are changing their fathering styles to meet the demands of the times. However they don't have their own fathering models. Therefore nurses who hold an advantageous position to teach and support from clinic have to encourage them to care their infants. The purposes of this study were to define father's care giving in infancy, understand influencing factors on fathering, and the differences between fathering and mothering, then contribute to nursing implementation for supporting fathers. This study was designed to review references about father's care giving. The results were follows: Six aspects of parent participation were direct care. indirect care, play, decision-making concerning the child, amount of time of sole responsibility for the child and overall availability to the child. Direct care involved feeding, bathing, going to child if child awakens. dressing, putting child to bed, taking child to doctor, nurse, or dentist, transporting child to and from sitter, day care, or school, washing child's hair. Indirect care involved cleaning up after child, preparing child's food, fixing child's broken playthings, washing child's clothes, arranging baby-sitting, shopping for child's toys and clothes, transporting baby-sitter to and from your home. Young fathers were gradually participating in direct care like feeding, taking child to doctor. Father's care giving stimulated mothering and promoted parent-infant relationship. Influencing factors of fathering would be divided into father characteristics, surrounding factors, infant attributes. Father characteristics were age, role perception, relationship with parent. Surrounding factors were the opportunity of early contact, support system, spouse's expectation, marital adjustment, feeding type, past experience of care giving. Infant attributes were temperament, behavior, age, sex. The differences between fathering and mothering were reviewed. Fathers were poor at care giving. but their caring was similar to mother's. This subtle difference positively worked upon infant's growth and development. On the basis of these theoretical data, nurses can empower fathers to cooperate with mothers in caring infants.

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고통(Suffering) 개념분석과 개발 -혼종모형(Hybrid Model) 방법 적용- (Concept Analysis and Development of Suffering -Application of Hybrid Model Method-)

  • 강경아
    • 대한간호학회지
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    • 제26권2호
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    • pp.290-303
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    • 1996
  • There is a need to define the concept of suffering more appropriate in the context of Korean culture. This research is an attempt to analyze and develop the concept of suffering by applying the Hybrid Model suggested by Schwartz-Barcott and Kim. The data were collected from March 20, 1995 to September 17,1995. The subjects of the study were eight persons including in-patients and out-patients of a general hospital who were diagnosed as having cancer and those resting in sanatoria for natural treatment of cancer. Qualitative research methods of in-depth interview and participant observation were used for data collection. The contents of the interviews were recorded on tape. Data-analysis progressed according to the 3 phases suggested by the Hybrid Model. For each case, in-depth interview data and participant observation data were included and the attributes of suffering revealed in these data were analyzed. Finally, by summarizing the results from each case, the attributes of suffering, its dimensions, definition, and processes observed in the field were suggested. According to the results of the study, the followlng new definition of suffering is suggested : Suffering is a fundamental and inevitable experience of all human beings. When each individual experiences loss, damage, and pain which threaten one's personal integrity, suffering is perceived differently among each individual depending on their personal inner factors, one's significant others, exterior circumstances and stimuli, and the ultimate meaning of life. Suffering brings severe and unendurable distress which accompany despair, powerlessness, anxiety, bitterness, fear, anguish, guilt, depression, withdrawal and anger. The results of this study suggest that the more responsibility and burden a cancer patient felt, the more suffering she/he experienced and it tended to be more relevant to one's significant others and exterior circumstances and stimuli : the less responsibility and burden a cancer patient had, the less suffering she/he experienced and it tended to be related to one's inner factors. These findings have implications for nursing profession. When caring for patients who experience suffering, nurses need to consider the influence of responsibility, burden, and each dimension of suffering. Moreover, appropriate nursing interventions aimed at relieving pain and satisfying the spiritual need of patients experiencing loss need to be developed and implemented more widely.

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입원 환아 간호에 대한 부모의 참여 개념분석 (Parent Participation in care of Hospitalized Children: Concept Analysis)

  • 최미영
    • Child Health Nursing Research
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    • 제20권2호
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    • pp.105-112
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    • 2014
  • 목적 본 연구는 입원 환아에게 최적의 간호를 제공하기 위한 전제조건인 입원 환아 간호에 대한 부모의 참여의 개념을 탐색함으로써 아동간호 실무에 대한 이해를 증진시키고자 시도되었다. 방법 Walker와 Avant (2005)의 개념분석 방법을 사용하였으며, 선행연구를 근거로 1994년부터 2012년 사이에 이루어진 부모의 참여 관련 논문 중 입원 환아 간호, 부모참여를 주요어로 하여 고찰한 논문 30편을 통해 속성, 선행요인, 결과를 확인하였다. 결과 입원 환아 간호에 대한 부모의 참여의 속성은 협상, 돌봄 활동 수행, 개별화된 간호 제공으로 확인되었다. 선행요인은 환아의 연령과 상태, 환아 부모 참여 필요성에 대한 환아 부모와 아동간호사의 태도 및 상호 이해이며, 결과는 환아 부모와 아동간호사의 효율적인 파트너십이 이루어지고, 환아 부모와 아동간호사를 임파워먼트시키게 되는 것으로 확인되었다. 결론 본 연구에서 확인된 입원 환아 간호에 대한 부모의 참여의 개념 정의와 속성은 아동간호실무 이론 개발의 기초자료로 활용될 것이다.