• Title/Summary/Keyword: family process

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A Producing Process for Korean Nursing Knowledge and Discourse on Analytic Prospects (한국 간호지식체의 생산과정과 담론분석적 전망)

  • 권봉숙;박형숙
    • Journal of Korean Academy of Nursing
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    • v.27 no.1
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    • pp.61-70
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    • 1997
  • The purpose of this study was to identify the producing process for Korean nursing knowledge as applied by Foucault's discourse analytic method. By Foucault's discourse analytic method, the problem is not what is knowledge but what sort of knowledge is made up through specific level of practice. A Korean body of nursing knowledge has been discussed since 1980. At the end of 19th century, missionaries transplanted western nursing knowledge and method to Korea. Western nursing knowledge and methods have been developed continuously with both merits and demerits to Korean society. Recently our world has be come a global community via advances in transportation and correspondence. Although each person is different in skin color and shape. there is a clear line between Oriental people and Western people. Nursing science is only one in our world. but western humanistic nursing practice based on western worldview and human life has limits. It is natural that the Koreans as Oriental people have a systemic nursing science to reveal the specific experiential and concrete body of nursing knowledge rooted in the Korean worldview and human life. Nursing science is to understand human beings, to promote health. to prevent illness. to restore health. to alleviate suffering and to search for principles needed throughout all of human life. In Korea, now is the quickening period to shape a Korean body of nursing knowledge because of a shortage of nursing language in matters of intellectual recognition, and unfamiliar practical nursing field where there is no familiarity in the system of nursing research methodology. In reviewing articles from the Journal of the Nurses' Academic Society on Korean body of nursing knowledge, it was found that there are two common features. The first, human body and mind are inseperable that is one unit in this world and health is keeping a harmonious relationship between human body and mind. The second, Korean nursing practice is based on human nature and family ties. Accordingly discourse analysis has a good future prospect to produce a Korean body of nursing knowledge for analytic research on body and mind monism and family centered care based on human nature and family ties.

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The Planning Concepts and Design Principles of Dok-Rak-Dang Block (독락당(獨樂堂) 일곽(一郭)의 계획개념과 설계원리)

  • Jang, Sun-Joo
    • Journal of the Korean housing association
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    • v.24 no.6
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    • pp.93-101
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    • 2013
  • This research purposes to understand architectural aim which the owners of buildings in the Doa-Rak-Dang block pursue through the history of family and construction. Moreover its other purpose is to find the design concepts which were selected to achieve the aim and the design elements which were applied to realize the design concepts. To accomplish the objects, it got rid of a stationary viewpoint but it approached with a dynamic viewpoint which can read the changes in the steps during various periods. Through the 100-year history of construction, the architectural aim of the Doa-Rak-Dang block is to establish the tradition of the Ok-San-Pa family to get over the social limitations of the family of a child by a concubine which began from Lee, Eun-Juk's mistress. The design concepts which were used by the owners of the Dok-Rak-Dang block to achieve the purpose are the extension of public territory and the enrichment of territoriality which have social-political, economical and symbolic means. The geometric applications such as axises and regulating lines were the design elements which were chosen to fulfill the concepts. If the establishment of the architectural aim and design concepts, the process of selecting and constructing proper design elements, and the geometric application in the process are the design principles of the Doa-Rak-Dang block, the principles can be summarized as the geometric applications of axises and regulating lines interacting as the standard of the extension of public area.

A Study on Community Rehabilitation Program of the two Public Health Center (2개 보건소의 방문보건재활사업에 관한 연구)

  • Jo, Kye-Suk;You, In-Ja;Bae, Jung-Hee;Lee, Young-Ja
    • Journal of Home Health Care Nursing
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    • v.4
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    • pp.86-100
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    • 1997
  • The purpose of the study is to evaluate the community rehabilitation program of the two Public Health Center. Data were collected from the 138 clients who received rehabilitation services from visiting public health nurses. Data were analysed by SAS computer program. The result were as follows. 1. The clients have been average 7years disabled state until public health nurse visit them. 78.3% of them can't advance rehabilitation process because of insufficient family or social support. 2. The clients' burden due to their family's help was average 80.0 and that due to economic distresst was average 76.0. That factors were same that interfere rehabilitation process. 3. The clients needed exercise and modality therapy(78.2), economic support(76.0) and rehablitation advices (64.0). The needs of welfare benefit, medical service and social participation were 68.0, 61.5 and 54.5. 4. The pulblic health nurse visited the clients 2.3 time every month. And they have served emotional support (95.7%, exercise therapy (94.9%), family education(82.6%) and blood pressure management (71.7%), One client have received average 60% of the medical rehabilitation services and 27% of the refer services. 5. The rehabilitation effects of clients' attitude, knowledge and practice were 73.3, 81.0 and 68.7. The physical rehabilitation effect was 70.0. After receving rehabilitation services, the clients' preforrence to pulblic health center was 82.0. 6. The clients hopped that public health nurse visit them earlier (80.0). On the basis of this results, the following suggestions are proposed. 1. The pulblic health center is important institution in community rehabilition program, and every pulblic health center must participate in this program. 2. Various strateges have to be tryed and analysed to improve the visiting nurses' rehabilitation services. 3. For successful community rehabilitation, social welfare rehabilitation program must be developed and correlated with that of the pulblic helth center.

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Housing Experience of Married Women in Multi-Cultural Families from an Ecological Perspective (생태학적 접근으로 본 다문화가정 기혼여성의 주거경험에 관한 연구)

  • Hwang, Shin-Hye;Hong, Hyung-Ock
    • Human Ecology Research
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    • v.54 no.2
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    • pp.141-154
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    • 2016
  • This study examined the nature of multi-cultural families' housing problems living in South Korea. A qualitative research was conducted through in-depth interviews with immigrant women from three Southeast Asian countries. The subjects of this study were 15 married immigrants from the Philippine, Cambodia, and Vietnam living in Seoul. The major findings were as follows: firstly, reciprocity for the in-between person and environment: the preferred to blend into Korean society instead of making a community based on national origin. Secondly, intention to housing: all participants were passive about moving and the Vietnamese and Cambodians placed more importance on the family community than the Filipinas. Thirdly, meaning of housing and interaction: for the most important area in the house, the Vietnamese and Cambodians stated that rooms were for a couple and treated family space more importantly than Filipinas who pursuit personal comfort. Fourthly, housing adaptation process: adapting to climate difference between home countries and Korea was the biggest difficulty. Fifthly, residential satisfaction/dissatisfaction: mostly satisfied with housing facilities; however, they were dissatisfied with the number of rooms and house size due to a necessity for personal space. In conclusion, ideas implied from native country of married immigrants in multicultural families did not change significantly in preference of the current environment. The needs for an ethnic community was not great, because they seemed able to assimilate positively by living with a Korean husband and relatives. Gradual assimilation through a cultural acculturation process can be considered desirable.

The Lived Experience of Suffering of Family with Cancer Patients: Parse's Human Becoming Research Method (암환자 가족의 고통체험 - Parse의 인간되어감 연구방법 -)

  • Choi, Ye-Sook
    • Journal of Hospice and Palliative Care
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    • v.19 no.2
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    • pp.127-135
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    • 2016
  • Purpose: The purpose of this study was to discover the structure of the lived experience of suffering of families with cancer patients to develop a theoretical foundation that can be used to reinforce nursing practice for cancer patients and their families. Methods: A qualitative study was performed using Parse's research method. Participants were four families with cancer patients. From February 2009 through April 2010, data were collected via dialogical-engagement between participants and the researcher and analyzed through the extraction-synthesis and heuristic interpretation processes. Results: The structure was identified as follows. The families' lived experience of suffering was a process through which they experienced a psychological shock of cancer diagnosis and difficulties associated with reshuffled roles among family members, and made efforts to care for the patients. Conclusion: Amidst sadness, pain, anxiety, guilt, fear and agony, the families focused on the human-health-universe aspect and found meanings of their experiences as love, triumphant, responsibility and hope. As such, the study results suggest that the suffering of families with cancer patients is a human becoming process of positive transformation.

The Comparative Study of Software Optimal Release Time Based on Gamma Exponential and Non-exponential Family Distribution Model (지수 및 비지수족 분포 모형에 근거한 소프트웨어 최적방출시기에 관한 비교 연구)

  • Kim, Hee-Cheul;Shin, Hyun-Cheul
    • Journal of the Korea Society of Computer and Information
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    • v.15 no.5
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    • pp.125-132
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    • 2010
  • Decision problem called an optimal release policies, after testing a software system in development phase and transfer it to the user, is studied. The applied model of release time exploited infinite non-homogeneous Poisson process. This infinite non-homogeneous Poisson process is a model which reflects the possibility of introducing new faults when correcting or modifying the software. The failure life-cycle distribution used exponential and non-exponential family which has various intensity. Thus, software release policies which minimize a total average software cost of development and maintenance under the constraint of satisfying a software reliability requirement becomes an optimal release policies. In a numerical example, after trend test applied and estimated the parameters using maximum likelihood estimation of inter-failure time data, estimated software optimal release time.

Migration Preparation and Adaptation to Rural Area of Returning Farmers after Retirement (은퇴 후 귀농인의 농촌 이주준비 및 농촌 적응과정 실태에 관한 연구)

  • Park, Gong-Ju;Kim, Yang-Hee;Park, Jeong-Yun
    • Journal of the Korean Home Economics Association
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    • v.45 no.1
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    • pp.9-21
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    • 2007
  • This research investigated the retired elderly who had moved to rural areas. The propose of the study was to examine the point at which there must be a difference in the patterns of a return to farming and determine the actual condition of their preparations for migration. This study had surveyed 408 seniors who wereare over 50 years old and had moved to rural areas after their retirement and analyzed the data by the SPSS PC 11.0 program. The results were as follows. First, the relevancy of U-turn, J-turn, and I-turn types that were affected by social demography was found to be dependent on their education levels and family patterns. Second, the actual conditions of the process of preparation by the types of a return to the farming were different according to the motivation and preparation fund. Nevertheless, the most important factor was the influence of their spouses. Third, the actual conditions of the process of adaptation by the patterns of a return to the farming showed no difference between the degree of efforts of the social supportand elevation of the friendship among the neighbors. The recognition of rural life problems were more acquainted towards the area of farming life. Among the 6 problem areas, leisure, health care, and economic problems were highly considered.

A Qualitative Study on Experience of Parents Who Use Community Welfare Center Supporting Their Children's Career in the Underprivileged Families (지역사회복지관을 이용하는 빈곤가정 부모의 청소년자녀 진로지원경험 연구)

  • Kim, Kyung Hee;Park, Ju Hye
    • Korean Journal of Family Social Work
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    • no.60
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    • pp.101-132
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    • 2018
  • The aim of this qualitative study was to explore and understand the roles, efforts, difficulties and challenges parents have in the process of raising teenage children and supporting their career development in the underprivileged families. The research was conducted through focus group interviews with low-income parents, with support from 11 local community welfare centers nationwide, and then thematic analysis was done with collected data. And we could draw on findings on the difficulties those parents are dealing with while assisting career plans of their children, the endeavors they make when doing so, the helpful support from the society, and things to be done in the future. With the results, we provide final recommendations on family-centered action plans and the roles of community welfare center that can effectively assist career development of teenage kids in the process of child upbringing of the underprivileged families.

Participation and Influencing Factors in the Decision-Making of Life-Sustaining Treatment: A Focus on Deceased Patients with Hematologic Neoplasms

  • Jae Eun Jang;Jeong Moon Ryu;Min Hee Heo;Do Eun Kwon;Ji Yeon Seo;Dong Yeon Kim
    • Journal of Hospice and Palliative Care
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    • v.26 no.2
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    • pp.69-79
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    • 2023
  • Purpose: This study aimed to investigate the involvement of patients who died from hematologic neoplasms in the decision-making process surrounding the withdrawal of life-sustaining treatment (LST). Methods: A total of 255 patients diagnosed with hematologic neoplasms who ultimately died following decisions related to LST during their end-of-life period at a university hospital were included in the study. Data were retrospectively obtained from electronic medical records and analyzed utilizing the chi-square test, independent t-test, and logistic regression. Results: In total, 42.0% of patients participated in the decision-making process regarding LST for their hematologic neoplasms, while 58.0% of decisions were made with family involvement. Among these patients, 65.1% died in general wards and 34.9% in intensive care units (ICUs) as a result of decisions such as the suspension of LST. The period from the LST decision to death was longer when the decision was made by the patient (average, 27.15 days) than when it was made by the family (average, 7.48 days). Most decisions were made by doctors and family members in the ICU, where only 20.6% of patients exercised their right to make decisions regarding LST, a rate considerably lower than 79.4% observed in general wards. Decisions to withhold or withdraw LST were more commonly made by patients themselves than by their families. Conclusion: The key to discussing the decision to suspend hospice care and LST is respecting the patient's self-determination. If a patient is lucid prior to admission to the ICU, considerations about suspending LST should involve the patient input.

Death with Dignity and the Right to Decide (생명권과 자기결정권, 그리고 의사의 진료의무)

  • Yoo, Seung-Ryong
    • The Korean Society of Law and Medicine
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    • v.9 no.2
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    • pp.11-52
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    • 2008
  • Based on foreign examples and past debates, the minimal conditions for passive euthanasia can be suggested as following; (1) The patient is incurable by modem medical practice and his death is impending (less than 6 months), (2) Euthanasia is practiced solely to relieve physical pain of the patient, (3) If the patient can express his will, there should be a clear and sincere request or consent, (4) More than 2 doctors including doctor in charge should consent, (5) Euthanasia should be practiced in ethical way, (6) Patient family should agree(when the patient will is assumed.) It is hard to resolve issues regarding euthanasia based on past rulings and cases without concrete law. As in United States and Germany, clear and objective provisions of euthanasia and definitive method for patient's advanced directive should be legislated to resolve medical conflict and to relieve patient and family from agony. And death with dignity debate will not be able to proceed if it is only substantively approached because of unclear definition of euthanasia and benefit comparison way of thinking. Thus it is important to establish definitive process to decided legislation of euthanasia act and resolving conflicts arising from each step of the process among interested parties exchanging medical/ethical opinions.

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