• 제목/요약/키워드: life experiences

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생애말 치료결정 과정에 대한 중환자실 간호사의 인식, 태도, 경험: 국내 연구논문의 통합적 고찰 (Attitudes, Perceptions, and Experiences toward End-of-Life Care Decision-Making among Intensive Care Unit Nurses in Korea: An Integrative Review)

  • 최지연;손연정;이경훈
    • 중환자간호학회지
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    • 제13권1호
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    • pp.27-43
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    • 2020
  • Purpose : This integrative review aimed to synthesize studies on intensive care unit (ICU) nurses' attitude, perceptions, and experiences toward end-of-life care decision-making. Methods : Using Whittermore and Knafl (2005)'s methods, we identified and synthesized research articles published in domestic journals between the years 2003 and 2019 and evaluated the quality of selected articles using the Mixed Methods Appraisal Tool. Results : In the 13 studies reviewed, 12 were published prior to enactment of the "The Act for Hospice and Palliative Care and Decision-Making about Life-Sustaining Treatment (2018)." All nine quantitative studies identified were based on cross-sectional descriptive survey. In four qualitative studies, content analysis (n=2) and phenomenology (n=2) were used. Overall, ICU nurses were well-aware of the necessity of communicating and limiting life-sustaining treatments. Many ICU nurses had positive attitude towards limiting life-sustaining treatments to promote patients' comfort and dignity. Although nurses were willing to take active roles, they also reported having experienced high stress in the process of decision-making and implementation. Conclusions : It is important to prepare ICU nurses with proper knowledge and attitude regarding the topic area. It is also equally important to develop systems to support nurses' emotional stress and moral distress during communication, decision-making, and implementation.

유학 심성론의 심리치료와 한의학적 활용에 대한 소고 -율곡의 인심도심도론을 중심으로- (A Study on Use of Psychotherapy and Korean Medicine for Eastern Philosophy -Focus on Diagram Theory of InShimDoShim of Yulgok)

  • 이정환;정선용;김종우
    • 동의신경정신과학회지
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    • 제29권3호
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    • pp.165-181
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    • 2018
  • Objectives: The purpose of this study is to use in therapy through considering representative oriental philosophical thought in terms of psychotherapy and Oriental medicine. Methods: This study examines psychotherapy and oriental aspects of "Diagram theory of InShimDoShim" that Yulgok, a Neo-Confucian scholar in the Joseon Dynasty, wrote about action of the mind and suggests ways to use it. Results and Conclusion: Diagram theory of InShimDoShim contains much content that can be applied in psychotherapy. It has a positive perspective of human nature and looked at life as realization of nature and life as subjective self-realization. Positive and negative experiences of life are expressions of positive nature. By reinterpreting these experiences, humans contribute to the goal of life that expresses their nature in a healthy way. Yulgok defines a healthy mind capable of living a good life as "an inshim who listens to doshim's command". Therapists can adopt this mindset as the goal of psychotherapy. Yulgok said that the way of manifesting nature is only possible through energy, and that the clear and tidy of this temperament creates a healthy and unhealthy mind. In this part, it is possible to apply therapeutic intervention of the diagram theory of InShimDoShim and Oriental medicine. Oriental medicine can calm temperament by using a treatment method to regulate energy, and clear energy creates a healthy mind and body. The principle that the mind is composed of nature and energy provides a basis for psychosomatic medicine.

고학력 전문직 중년여성의 이혼 후 삶의 경험 (Life's Experiences of Middle-aged Divorced Women with Higher Education and Profession)

  • 박형숙;배영실;이성화;유수정;전소영
    • 여성건강간호학회지
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    • 제22권1호
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    • pp.11-20
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    • 2016
  • Purpose: Today, an increasing number of divorce is shifting family forms and gender role practices. The purpose of this qualitative study was to understand life's experiences of middle-aged divorced women with higher education and profession lives in Korea. Methods: For this study, 6 middle-aged divorced women with similar backgrounds were recruited from December 2013 to June 2014, using in-depth individual interviews. Data analysis was performed using Giorgi's phenomenological methodology. Results: Individual interviews revealed the following 15 meaning of themes and 5 themes. 1) A woman considering herself to be ashamed that she has not lived an ordinary life. 2) The destiny of a woman not having a fortune. 3) An exhilarated mood like a teenage girl's 4) Suppressing an instinctive desire of sex. 5) Being a mother as a woman head of household. Conclusion: This study provides deep understanding of middle-aged divorced women with higher levels of education and professional lives of women who experienced difficult times and overcame their problems. Based on the results of this study, nursing strategies for enhancing quality of life need to be created and implemented for all professional women by Korean community networking gradually.

가상현실공간에서 아바타를 통한 원격학습이 아바타 사용자의 교수효능감에 미치는 영향 (The effects of distance learning experiences through an avatar in a virtual world on users' distance teaching efficacy beliefs)

  • 박정환;정동욱
    • 한국산학기술학회논문지
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    • 제14권4호
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    • pp.1644-1651
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    • 2013
  • 이 연구의 목적은 가상현실공간에서 아바타를 이용한 원격강의 경험이 사용자의 교수효능감에 미치는 영향을 알아보는 것이다. 이 연구를 위해 J대학교 교육학 전공 강좌의 수강생 9명이 연구에 참여하였다. 이들은 모두 교육학 전공의 박사과정 학생들이었다. 이 강좌의 첫 번째 강의에서 6시간 동안 세컨드라이프 사용법에 대해 면대면 강의가 이루어졌으며, 이후 3시간씩 14회의 강의는 모두 세컨드라이프 내 강의실에서 이루어졌다. 설문에 응한 5명의 참여자로부터의 성찰노트, 연구자 관찰 및 면담 내용을 분석한 결과, 세컨드라이프에서 아바타를 사용한 원격강의 수강과 발표 경험은 세컨드라이프에서 아바타를 사용한 원격 강의를 수행할 수 있는 자신감에 영향을 미친 것으로 나타났다. 이 연구는 세컨드라이프라는 가상현실공간에서 아바타를 사용한 원격교육의 가능성을 확인하였다는 것에 의의가 있으며, 향후 원격 교육에 대한 연구를 촉진할 것으로 기대된다.

The Theory of Meaning in Hospice Care

  • Starck, Patricia L.
    • Journal of Hospice and Palliative Care
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    • 제20권4호
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    • pp.221-225
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    • 2017
  • 인간의 영혼에 대한 보살핌은 양질의 임종간호의 핵심 요소이다. 의미치료는 인간의 주요 동기가 삶의 의미와 목적을 발견하는 것이라는 전제에 기반을 두고 있으며, 호스피스 간호에서 환자, 가족 및 사랑하는 사람들에 대한 보살핌에 도움이 될 수 있다. 자신의 인생 경험, 가치관, 태도에 관한 질문을 제기할 때 소크라테스식 대화법을 사용하는 것은 성찰을 불러 일으키는 유용한 방법이다. 마지막 순간까지도 의미의 추구를 위한 지침은 세 가지 범주의 과제 또는 행동, 사랑과 아름다움의 경험 및 변화될 수 없는 운명에도 불구하고 선택된 태도들에서 찾을 수 있다. 자기 초월, 또는 다른 사람들의 이익을 위해 자아를 벗어나는 것은 삶에 의미를 부여할 수 있다. 고난에는 의미가 없지만 고난에도 불구하고 의미를 찾을 수 있다. 의미 중심의 치료 프로토콜의 적용이라는 새로 급성장하는 연구는 영적안녕과 삶의 의미 및 목적에 대한 인식을 향상시키는 데 유망하다.

성인병 환자들의 건강과 관련된 자기조절에 대한 현상학적 연구 (Phenomenological Approach of Self Regulation Related to Health of patients with Adult Disease)

  • 김숙영
    • 대한간호학회지
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    • 제25권3호
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    • pp.562-580
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    • 1995
  • This research was an attempt to make it possible to provide nursing care and health education meet- ing the need not of care givers but of patients by identifying the nature of patients' self regulation experiences. The specific objective of this study was : 1) to explore self regulation experiences of patients with adult disease. The phenomenological approach in qualitative studies is used to serve this purpose. Colaizzi's method is used for the phenomenological analysis of the data in this study, which were collected from 25 patients hospitalized in the internal medical ward and oriental medical ward of a Seoul hospital, suffering from adult disease such as hypertension, arteriosclerosis and diabetes mellitus. The research was conducted over a period of March to September, 1994. The investigator conducted participated observations and in-depth unstructured interviews which were audiotaped under the permission of patients. The investigator read the data repeatedly to identify and categorize significant statements, formulating meanings, themes and theme clusters. The result is categorized as follows : Self regulation activities, their barriers and predisposing factors of a disease. Thirteen theme clusters of self regulation activities related to health identified were. “maintaining diet regimen”, “maintaining exercise regimen”, “maintaining medication regimen”, “maintaining oriental medical regimen”, “maintaining health monitoring regimen”, “maintaining self effort”, “maintaining religious life”, “maintaining social sup-port systems”, “maintaining peaceful mind”, “maintaining moderation in life”, “maintaining sincere attitude in life”, “maintaining natural life”, and “maintaining folk remedy” This findings confirm the fact that self regulation is complicatedly and diversely influenced by oriental medicine and folk remedy, and Korean traditional ideas melted in Confucianism, Buddhism, Taoism and Shamanism, and modern medical care and western culture. Seven theme clusters of self regulation barriers identified were : "lack of knowledge and self aware-ness", "lack of social supports", "lack of awareness of need in continuous regimen and treatment", "dissatisfaction with hospital and health care provider", "lack of self management ", "lack of will to combat illness", and "overconfidence in folk remedy" Four theme clusters of predisposing factors of a disease were : "cumulation of stressors", "fatalism", "careless life style", and "family history". In conclusion, this. study will prove helpful not only in understanding clients in light of our traditional culture but also in providing them with the kind of nursing care and health education satisfying their demands and particularly cultural needs.

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이공계 대학생의 대학생활 경험과 취업의 질 : 성별차이를 중심으로 (Does College Experience Effect Job Quality Of Science And Engineering Graduates? -Focusing On Gender Gap)

  • 신하영;문보은
    • 공학교육연구
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    • 제20권5호
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    • pp.59-73
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    • 2017
  • This study aims to examine whether a gender works to make the difference on the university experiences of natural sciences and engineering major students; and the income and quality gap between the graduates. In this study, university experiences means job market and job searching related experiences such as job fair attending, The main research questions are as follows; fist, what are the significant university experiences related job preparation and application, and is there a gender gap on those experiences? Second, how is the job market performance of the national sciences and engineering graduates for their income level and quality job, and is there a gender gap on the job market performance of the sample? Third, which variables among the university experiences for job searching and application impacts the job quality and income level of the natural sciences and engineering graduates? To find out the research results, this study conducts a panel data analysis with GOMS (Graduates Occupational Mobility Survey) throughout survey year of 2006 to 2015, towards 568,264 as weighted value number. As analysis methods, this study carries out a descriptive analysis, ANOVA, discriminant analysis, linear regression and T-test. Therefore, here are the brief outputs of the study; first, for natural sciences and engineering students, the off-campus experiences such as job fair, job recruit festival and internship programs are more favored; second, female students are more likely to attend personal and self-driven job preparation programs; third, on job market performance, the graduates' income level and company scale rate are higher in the male but job stability is higher in the female; fourth, as a result of the linear regression, gender factor decides the income level in considerable degree; additionally, gender factor shows the difference of the job satisfaction and self-effectiveness on one's job as a qualitative variables. For obtaining strictness, university program factors are controlled through model fitness process. As above, this study finds out the main factors of university life of natural sciences and engineering graduates which are related their job searching and preparation experiences and figures out stronger factors in job market; and examines the statistically significance of the gender in this casual-effect relationship between job preparation and job quality of the graduates.

의료기관 비정규직의 차별경험과 삶의 질 관계 분석 (Association between Discrimination Experience and Quality of Life among Non-regular workers in Hospitals)

  • 양종현
    • 한국병원경영학회지
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    • 제23권3호
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    • pp.16-27
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    • 2018
  • Purposes: The purpose of this study was to analyze the association between discrimination experience and quality of life among non-regular workers in hospitals. Methodology: The data was collected from 292 employees of 7 university hospitals using a standardized questionnaire. In research methodology, the data was analyzed with descriptive statistics, t-test, ANOVA, pearson's correlation, multiple regression analysis. Findings: In case of non-regular workers, inequality of distribution, position unfairness, employment instability, number of discrimination experiences were found to have a negative(-) effect on quality of life. Religion, income in general characteristics had a significant positive(+) effect on quality of life. And the discrimination of non-regular woman workers was higher and the quality of life was lower than that of men. Practical Implications: These results showed that hospitals needed active efforts to create non-regular woman-friendly work environment. In addition, active religious activities gave emotional stability and positive effect to no-regular workers.

여성지체장애인의 건강상태가 삶의 질에 미치는 영향 (The Effect of Physically Challenged Women's Health Condition On Quality of Life)

  • 김소희;김초강
    • 보건교육건강증진학회지
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    • 제16권2호
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    • pp.105-119
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    • 1999
  • A human being's pursuit is that of a better quality of life and the disabled naturally want to do so. But challenged people's lives have not improved apace with the general development of our society as a whole. Specially, in a patriarchal society like Korea, challenged women are in a less favorable situation. Challenged women can enjoy more healthy and more happy life in a given condition. Thus, in this research, we closely examined the women's general characteristics, disabled characteristics, health condition(subjective health condition, experiences of diseases, stress value, etc), satisfaction value of life who have handicaps of limb or/and body. On the 17th of September through the 14th of October '98, a nation-wide retardation compaign was held and 200 people were served by telephone. Then we analysed primary factors on quality of life. As results, monthly income, how they think of their economic level, their subjective health condition, and the stress level that the success depends on self influenced quality of life.

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로버트 로월 "인생연구"에 나타난 고백시의 특징 (The characteristics of confessional poetry in Robert Lowell's Life Studies)

  • 양현철
    • 영어어문교육
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    • 제16권3호
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    • pp.253-268
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    • 2010
  • Robert Lowell is one of the major poets in the modern American poetic world. His major work, Life Studies, is a representative of confessional poetry. It presented American spiritual civilization and universality for life from the late 1950s to 1960s. It dealt with the subject of the poet's private life under the psychological pressure. Lowell described his distinctive vision of the relationship of painful world and suffering self in his poetry. An important feature of his confessional poems was the criticism on modern civilization by means of characterization. Life Studies was written as a kind of therapy to overcome his early trauma, as well as the social problems of contemporary Americans which Lowell was confronted with. Through his personal experiences, Lowell exposed and judged the collapse of traditional value and moral confusion in the society. Therefore, he is a poet who opened his own world of poetry with his poetic achievements.

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