• 여성건강간호학회지
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• 제18권1호
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• pp.1-16
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• 2012

Purpose: The purpose of this study was to describe the experiences of the process of the change in cognitive function for women treated with chemotherapy for breast cancer. Methods: There were ten participants in total in this study. Data were gathered utilizing in-depth interviews over 3 times from September 2010 to January 2011. Data were analyzed by employing Strauss and Corbin's (1998) grounded theory methodology. Results: Findings indicate that causal conditions of these results were 'side effects of chemotherapy' and 'menopausal state', including contextual conditions as, 'mental fatigue' and 'anxiety about recurrence'. The core category was identified as 'confronting with unexpected chaos'. Intervening conditions were 'support from other people', 'lack of information on cognitive impairment'. Interaction strategies were 'changing the habit of life', 'making efforts for living life' and 'seeking for medical information'. Consequences of the process were 'physical restriction', 'difficulty in social life', 'disturbed working ability' and 'psychological distress'. Conclusion: The results of this study show that nurses should recognize there is a notable difference between individual patient's contextual conditions and interactive strategies. Furthermore educational information and individualized intervention should be provided to improve cognitive function for women with breast cancer.

• 대한물리의학회지
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• 제13권3호
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• pp.49-60
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• 2018

PURPOSE: This study was conducted to investigate the intervention effect obtained by applying an ICF tool to improve the dressing in a patient with rotator cuff syndrome to schematize the problems and approaching with PNF to solve the problems. METHODS: The subject of this study was a 44-year-old patient who underwent surgery after complete right rotator cuff tear. To treat his symptoms, the processes of clinical practice were implemented in the order of examination, assessment, diagnosis, prognosis, intervention, and outcome. During examination, patient information was collected using the ICF core set. In the assessment, the problems were schematized, and an ICF assessment sheet was used to identify the interaction of the problems. The diagnosis was made by clearly describing the causal relationship derived from the assessment in ICF terms. To solve the problems, the intervention was given in the order of indirect, direct, and task based on the philosophy of PNF. To evaluate the outcome, the differences before and after the intervention were compared. Additionally, the comparison for the ICF qualifier is presented with the ICF evaluation display. RESULTS: The results of the study showed clinical advantages in shoulder strength, eccentric control, range of motion, scapular stability, and shoulder pain. Overall, our patient with rotator cuff syndrome showed improvement in dressing and undressing activity in response to the PNF strategy. CONCLUSION: Application of the PNF intervention strategy after complete rotator cuff tear would have a positive effect on patient upper extremity function.

• 지식경영연구
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• 제18권4호
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• pp.63-96
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• 2017

In a competitive organizational environment, members view completing tasks to perfection without mistakes as the requirement for success and good evaluation from others. However, unrealistically strong perfectionism can have negative effects on members' psychological states and organizational performance. This study focuses on evaluative concerns perfectionism, the negative aspect of perfectionism, based on positive psychology theory to explore the positive mechanism that comes into place in the process of strengthening organization members' resilience. For this purpose, we performed a moderated moderation analysis to investigate whether the moderating effect of leaders' social support (primary moderator) is moderated by their emotional intelligence (secondary moderator). To verify our research model, we conducted a two-part survey of 252 employees in various industries with a time interval to minimize the common method bias. Job rank and positive affectivity were set as control variables to identify the clear causal relationship among variables. Our findings showed that first, evaluative concerns perfectionism reduced resilience; second, leaders' social support positively moderated the relationship between evaluative concerns perfectionism and resilience; and third, the leaders' emotional intelligence positively moderated the two-way interaction between evaluative concerns perfectionism and the leaders' social support, confirming a moderated moderation. Our findings suggest the need for leaders to assume multidimensional roles to enhance the positive traits of organization members, especially in today's complex business environment. The implications of our findings are further discussed in relation to knowledge management and the development of organization members who exhibit evaluative concerns perfectionism, along with suggestions for future research.

• 대한간호학회지
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• 제26권1호
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• pp.107-126
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• 1996

The Purpose of this study was to build a substantive theory about the experience of postpartum depression. The qualitative research method used was rounded theory. The interviewees were eight others who had experienced postpartum depression. The data were collected through in-depth interviews with audiotape recording done by the investigator over a period of twelve months. he data were analyzed simultaneously by a constant comparative method in which new data were continuously coded into categories and properties according to Strauss and Corbin's methodology. Analysis the grounded data resulted in 28 concepts being identified. Eight categories emerged from the analysis. The categories were regret, loss of freedom, isolation of oneself, heartache, loss, emotional upset, avoidance, recovery. These substantive categories are consistent with precious research results. Causal conditions included : regret, loss of freedom. Phenomena : heartache, loss, emotional upset. Context : isolation oneself. Intervention condition : avoidance. Action/interaction strategies : desire for recovery. Consequences : recovery. These categories were synthesized into the core concept-The process of filling the empty loss of self. The process of the experienced postpartum depression was ① change after delivery, ② searching for a reason for depression, ③ effort to recover from postpartum depression, ④ recovery from postpartum depression and return to previous life. The process of recovery from postpartum depression was proceeded by ① support from others, especially husband, ② resolution of stressful life events, ③ reconstructing of life goals and resolution strategies, ④ acceptance of depression and seeking psychiatric treatment. Seven hypotheses were derived from the analysis. ① Mothers who experienced stressful life event and economic problem are more depressive. ② Mothers who have conflict with parents are more depressive. ③ The more somatic symptoms, the more depression. ④ Social support facilitates recovery from postpartum depression. ⑤ Mothers who have lower self-esteem are more depressive. ⑥ Mother's role overload disturbs recovery from postpartum depression. ⑦ Ideal maternal identity facilitates recovery from postpartum depression. Through this substantive theory, nurses can understand the importance of postpartum depression management.

• 한국보육지원학회지
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• 제9권2호
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• pp.97-115
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• 2013

본 연구에서는 Mihaly Csikszentmihalyi가 제시한 인지적, 정의적, 동기적 차원의 플로우 개념을 바탕으로, 어린이집 교사가 직업적 상황에서 경험하는 일 플로우를 측정하였다. 그리고 일 플로우가 어린이집교사의 역할갈등의 다양한 요인들과 어떠한 관계를 가지는지 분석해 보고자 하였다. 이를 위해 154명의 어린이집 교사들로부터 자료를 수집하였으며, 일 플로우 변수군(몰입, 즐거움, 내재적 동기)과 역할갈등 변수군(교사개인, 유아, 조직구성원, 학부모, 행정 및 업무지원, 장학, 사회적 인식) 간의 관계를 검증하고 각 개별변수들의 상호 영향력을 검증하기 위하여 정준상관분석을 실시하였다. 분석결과, 어린이집교사의 일 플로우와 역할갈등 변수군 간의 관계는 상호교호적인 한편, 일 플로우의 예측변수로서 역할갈등을 설정하는 인과관계모형의 가능성을 확인할 수 있었다. 그리고 어린이집교사의 일 플로우의 변수 중 몰입과 즐거움은 교사개인 및 장학관련 역할갈등과의 상호영향력이 높고, 즐거움은 행정 및 업무지원과 장학관련 역할갈등과의 상호영향력이 높음을 알 수 있었다. 연구결과를 바탕으로 관련 국내 외 연구와의 비교 및 이론적 논의점을 기술하였고, 어린이집교사의 개인적, 조직적 맥락의 다양한 변수를 고려한 플로우 연구의 필요성을 제안하였다.

• 대한간호학회지
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• 제41권2호
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• pp.225-235
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• 2011

Purpose: To describe psychosocial adjustment of low-income Koreans who have cancer. Methods: Data were collected during 2008 using individual in-depth interviews with 18 Korean people with cancer. The income status of the participants was low, 11 were recipients of the National Basic Livelihood Protection program. Mean age was 58.3 yr and 11 were female. Five participants had stomach cancer, five, colorectal cancer, and four, breast cancer. Data were analyzed using grounded theory methodology. Results: The core category emerged as 'bearing up alone with double suffering'. 'Poverty and cancer: A double suffering' emerged as a causal condition. The adjustment process consisted of three stages: 'forming a treatment will to live', 'practicing for the cure', and 'restructuring self and repaying favors'. Each stage indicated action-interaction strategies which were employed to bear up alone with double suffering during the illness process. Self-reflection, parental responsibility, and support from the public sector played important roles in overcoming the double suffering. Two types of consequences were identified: Transcended life and strained life suppressed by poverty and cancer. Conclusion: The results provide insights into the psychosocial adjustment process for low income Korean with cancer and can be used in developing and implementing efficient home-care services for these people.

• 한국과학교육학회지
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• 제18권1호
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• pp.83-92
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• 1998

본 연구에서는 제한물질을 포함하고 있는 화학양론에 관한 개념 회상 및 응용에 미치는 비유물의 체계성과 표현 방식의 효과를 조사하였다. 체계성은 인과 구조를 어느 정도 명확하게 포함하느냐에 따라 구분하였고 표현 방식은 언어 형태와 언어와 그림 양 형태로 구성하였다. 137명의 중학생들에게 네 가지 유형의 비유물을 무선 배치하고 이를 학습하도록 하였다. 처치 이전에 Group Assessment of Logical Thinking 검사를 실시하고 그 점수를 공변인으로 사용하였다. 처치 이후에 연구자가 제작한 개념 검사를 바로 실시하고 4주 후에 파지 검사를 실시하였다. ANCOVA 분석 결과 체계성은 표현 방식에 관계없이 학습 직후 개념 응용에 긍정적인 영향을 미쳤다. 그러나 파지 검사의 개념 응용 문제에서는 체계성에 따른 주효과는 없고 표현 방식과의 상호작용 효과가 있었다. 이러한 결과는 언어와 그림 양 형태로 제작한 체계적인 비유물이 개념 응용에 가장 효과적임을 나타낸다. 이에 대한 교육학적 합의를 논의하였다.

• Child Health Nursing Research
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• 제4권2호
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• pp.207-220
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• 1998

The purpose of this study was to build a substantive theory about the experience of the maternal uncertainty in childhood chronic illness. The qualitative research method used was grounded theory. The interviewees were 12 mothers who have cared for a child who had chronic illness. The data were collected through in-depth interviews with audiotape recording done by the investigator over a period of nine months. The data were analyzed simutaneously by a constant comparative method in which new data were continuously coded into categories and properties according to Strauss and Corbin's methodology. The 34 concepts were identified as a result of analyzing the grounded data. Ten categories emerged from the analysis. The categories were lack of clarity, unpredictability, unfamiliarity, negative change, anxiety, devotion normalization and burn-out. Causal conditions included : lack of clarity, unpredictability, unfamiliarity and change ; central phenomena : anxiety, being perplexed ; context. seriousness of illness, support ; intervening condition : belief action/interaction strategies devotion, overprotection ; consequences : normalization, burn-out. These categories were synthesized into the core concept-anxiety. The process of experiencing uncertainty was 1) Entering the world of uncertainty, 2) Struggling in the tunnel of uncertainty, 3) Reconstruction of the situation of uncertainty. Four hypotheses were derived from the analysis : (1) The higher the lack of clarity, unpredictability, unfamiliaity, change, the higher the level of uncertainty (2) The more serious the illness and the less the support, the higher the level of uncertainty. (3) The positive believes will influence the devoted care and normalization of the family life. Through this substantive theory, pediatric nurses can understand the process of experiencing maternal uncertainty in childhood chronic illness. Further research to build substantive theories to explain other uncertainties may contribute to a formal theory of how normalization is achieved in the family with chronically ill child.

• 한국사회복지학
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• 제62권4호
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• pp.223-248
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• 2010

본 연구는 지역사회복지 환경에서 주민 자원조직 참여 네트워크의 내용과 상호작용을 살펴보고 주민참여 네트워크를 활성화 할 수 있는 방안을 제시하고자 했다. 연구는 근거이론 방법으로 접근하여 수행하였으며 총 연구참여자는 24명이였다. 자료는 심층면담과 문서기록 수집을 통해 수집되었으며, 자료분석은 스트라우스와 코빈 (Strauss and Corbin)이 제시한 방법으로 이루어졌다. 분석결과는 다음과 같다. 개방코딩에서는 총 133개의 개념과 32개의 하위범주, 13개의 범주를 구성했다. 축코딩에서는 개방코딩 결과를 패러다임에 따라 정리했다. 인과적 조건은 욕구의 질적 상승, 복지소비자 주권 의식의 대두, 중심현상은 실천기반의 동요와 탈출구 모색, 맥락적 조건은 자원의 위기, 사회복지회의론, 중재적 조건은 사회복지의식의 성숙, 공동체 책임주의의 확산으로 나타났다. 전략은 자생적 조직의 사회복지 자원화, 복지 핫라인 구축, 현장 밀착형 서비스체계로 나타났다. 결과는 풀뿌리 복지, 전략형 맞춤서비스 전달체계로 나타났다. 선택코딩에서 핵심범주는 사회복지 환경을 타개하기 위한 아래로 부터의 실천혁명으로 구성했다.

• 한국콘텐츠학회논문지
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• 제13권2호
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• pp.235-243
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• 2013

이 연구는 지방분권을 위한 정책수단으로 재정분권이 어떠한 방식으로 이해될 수 있으며, 왜 필요한지에 대해 시스템사고의 이론을 바탕으로 지방재정시스템을 구성하는 변수들의 상호작용관계를 분석하였다. 연구를 통해 얻어진 결과는 다음과 같다. 첫째, 지방재정시스템을 구성하는 변수들은 상당한 수준에서상호작용관계가 형성되고 있으며, 5개의 양(+)의 피드백 루프가 중심이 되어 급속한 성장과 급속한 쇠퇴를 거듭한다는 점을 발견할 수 있었다. 둘째, 지방재정분권화의 타당성에 대한 전략 지점이 인과지도 모델링을 통해 발견되었다. 특히, 선순환구조를 악순환의 구조를 변질시키는 변수(국고보조금, 부동산거래과세, 중앙정부차원의 지방재정조정제도, 지방정부채무 등)이 지속적으로 작동함으로써 지방재정시스템을 쇠퇴시키는 것으로 나타났으며, 이를 바탕으로 전략적 정책과제가 도출 될 수 있었다. 이러한 연구는 지방재정분권에 대해 부분에 지식이 아닌 전체적 지식의 관점에서 지방재정시스템을 이해하고 지방재정의 학문적 폭을 높여 줄 것으로 판단된다.