• Title/Summary/Keyword: longitudinal surveys

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Examining the Predictors of Turnover Behavior in Newly Employed Certified Nurse Aides: A Prospective Cohort Study

  • Hsiao-Ching Chen;Jiun-Yi Wang;Ya-Chen Lee ;Shang-Yu Yang
    • Safety and Health at Work
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    • v.14 no.2
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    • pp.185-192
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    • 2023
  • Background: The turnover rate of nurse aides in Taiwan is high. However, the predictors of turnover behavior in the newly employed are still unclear. Objective: To examine the predictors of turnover behavior in newly employed licensed nurse aides. Methods: A longitudinal study design was used and subjects were newly employed certified nurse aides from a nurse aid training association in Taiwan. A total of five questionnaire surveys were conducted. The questionnaire was mainly used to collect information on turnover behavior, personal socioeconomic background, workplace psychosocial hazards, worker health hazards, and musculoskeletal disorders. Results: A total of 300 participants were recruited in the study. Cox regression analysis results showed that short working experience (hazard ratio [HR] = 0.21, p < 0.01), work as non-home nurse aides (HR = 0.58, p = 0.01), low monthly salary (HR = 0.68, p < 0.01), high work mental load (HR = 1.01, p = 0.01), low workplace justice (HR = 0.97, p < 0.01), high workplace violence (HR = 1.60, p < 0.01), high burnout (HR = 1.01, p = 0.04), poor mental health (HR = 1.06, p = 0.04), and high total number of musculoskeletal disorder sites (HR = 1.08, p = 0.01) contribute to a higher risk of turnover. Conclusion: The results indicated that employment period, work as a home nurse aide, monthly salary, work mental load, workplace justice, workplace violence, work-related burnout, mental health, and total number of musculoskeletal disorder sites are predictors of turnover behavior in newly employed certified nurse aides.

Longitudinal analysis of the effects of social relationships with significant others in children and adolescents on academic achievement and school adjustment (아동·청소년기 중요타인과의 사회적 관계가 학업성취 및 학교적응에 미치는 효과 종단분석)

  • Soo Ran Kwak;Mi-Ok Song
    • Journal of the Health Care and Life Science
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    • v.11 no.1
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    • pp.33-48
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    • 2023
  • This study used the data from the 10th, 13th, and 16th child supplementary surveys of the Korea Welfare Panel to confirm the causal changes between social relationships, academic achievement, and school adjustment from elementary school to middle school and high school. Elementary school, which is childhood, and middle school, and high school, which is adolescence, are when relationships with parents, school teachers, and friends at home change very sensitively. is to check whether As a result of the analysis, the effect of the relationship between parents, teachers, and friends, who are important others, on academic achievement and school adjustment shows relatively different results according to each school level and gender group. The results of this study can confirm the effect of social relationships in childhood and adolescence on academic achievement and school adaptation, and furthermore, it is judged that it can be used as information to help healthy development of children and adolescents.

A Longitudinal Validation Study of the Korean Version of PCL-5(Post-traumatic Stress Disorder Checklist for DSM-5) (PCL-5(DSM-5 기준 외상 후 스트레스 장애 체크리스트) 한국판 종단 타당화 연구)

  • Lee, DongHun;Lee, DeokHee;Kim, SungHyun;Jung, DaSong
    • Korean Journal of Culture and Social Issue
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    • v.28 no.2
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    • pp.187-217
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    • 2022
  • The aim of this study is to examine the psychometric properties of the Korean version of the Post-traumatic Stress Disorder Checklist for DSM-5(PCL-5). For this purpose, online surveys were conducted for two times with a one year interval using the data from 1,077 Korean adults at time 1, and 563 Korean adults at time 2. First, from the result of the confirmatory factor analysis, comparing the model fit of the 1, 4, 6, and 7-factor model, the 4, 6, and 7-factor model showed a acceptable fit, and the best fit was seen in the order of the 7, 6, 4-factor model. Second, the internal consistency, omega coefficient, construct validity, average variance extracted, and test-retest reliability results were all satisfactory.. Third, a correlation analysis with the K-PC-PTSD-5 and the sub-factors of BSI-18 was conducted to check the validity of the Korean Version of PCL-5. As a result, a positive correlation was seen with both K-PC-PTSD-5 and BSI-18. Fourth, a hierarchical multiple regression was performed to examine whether the Korean Version of PCL-5 predicts future PTSD, depression, anxiety, and somatization. As a result, the Korean Version of PCL-5 measured at time 1 significantly predicted PTSD, depression, anxiety, and somatization symptoms at time 2. Fifth, by analyzing the ROC curve, the discriminant power of PCL-5 for screening PTSD symptom groups was confirmed, and the best cut-off score was suggested. As a result of the longitudinal validation of Korean version of PCL-5, it was found that this scale is a reliable and valid measure for Korean adults. By looking into the predictive validity of the scale, it was found that the Korean version of PCL-5 can predict not only PTSD symptoms but also PTSD-related symptoms such as depression, anxiety, and somatization. Also, this study differs from previous validation studies measuring PTSD symptoms in that it suggested a cut-off score to help differentiate PTSD symptom groups.

The Longitudinal Study on the Factors of Catastrophic Health Expenditure Among Disabled Elderly Households (장애노인 가구의 과부담 보건의료비 결정요인에 관한 종단적 연구)

  • Roh, Seung-Hyun
    • Korean Journal of Social Welfare
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    • v.64 no.3
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    • pp.51-77
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    • 2012
  • This study examines the scale of occurrence of Catastrophic Health Expenditure, and identifies the factors influencing Catastrophic Health Expenditure among disabled elderly households. Catastrophic Health Expenditure is defined by when the households' health care spending out of ability to pay exceeds 10%, 20%, 30%, and 40%. This study used the 2008, 2009, and 2010 surveys of the Panel Survey of Employment for the Disabled(PSED) to explore how gender, age, spouse, the level of education, the degree of disability, the type of disability, disability duration, subjective health status, chronic disease, the number of household members, the proportion of disabled households, the proportion of working households, the proportion of aged households, the type of poverty, household income, net asset, determine Catastrophic Health Expenditure among disabled elderly households. The study examines the frequency of Catastrophic Health Expenditure with 726 households, and conducted the panel logit model. The empirical results show that Catastrophic Health Expenditures are significantly related to age, spouse, the type of disability, subjective health status, chronic disease, the number of households, the proportion of disabled households, the proportion of aged households, the type of poverty. This study showed that the health care safety net in South Korea was insufficient for disabled elderly households and that a policy should be established in ordered to protect disabled elderly households from occurrence of Catastrophic Health Expenditure.

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Effects of Sedimentation on Benthic Macroinvertebrate Communities at Upper Song Stream Basin (고랭지 농업으로 인한 토사가 송천 상류역에 서식하는 저서성 대형무척추동물 군집에 미치는 영향)

  • Han, Seung-Chul;Jun, Yung-Chul;Hwang, In-Chul;Won, Doo-Hee
    • Korean Journal of Environmental Biology
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    • v.29 no.4
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    • pp.353-361
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    • 2011
  • This study was conducted to examine the effects of sedimentation caused by highland agriculture on benthic macroinvertbrate assemblages in upper Song Stream from 2006 to 2009. The mean concentrations of water quality parameters (pH, DO, EC, TDS, TN, and TP) were gradually increasing toward downstream but ORP was decreased. Furthermore, biological habitats at lower reaches were more homogeneous and unstable due to sand deposition than those at upper sites. A total 106 species of benthic macroinvertbrates in 47 families, 11 orders, 6 classes, and 5 phyla were identified during whole field surveys. Song Stream showed great declines of overall biological attributes along its longitudinal gradients, particularly in taxa richness and abundance. Of all functional groups scrapers and clingers were most affected against the degradation of habitat quality, whereas collector-gatherers and burrowers showed the opposite case. It was found that such results had close correlations with water quality parameters and substrate composition which played an important role in structuring macroinvertebrate communities. In conclusion, this study represents that disturbance caused by highland agricultural activities had negative effects on benthic macroinvertebrate communities by leading to sand deposition at adjacent stream ecosystems.

The Casual Relationship Between Depression and Somatic Symptom of the Adolescence Using an Autoregressive Cross-Lagged Modeling (자기회귀교차지연 모델을 활용한 청소년 우울과 신체화 증상의 인과관계)

  • Han, Jeong Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.646-652
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    • 2017
  • The objective of this study was to verify the longitudinal reciprocal causal relationship between depression and the somatic symptoms of depression among adolescents through an autoregressive cross-lagged model using data from the Korean Children & Youth Panel Survey. The subjects of this study included 1,968 adolescents, who participated in the second, fourth, and sixth Korean Children & Youth Panel Surveys. The results showed that both depression and the somatic symptoms of depression at a previous point in time affect depression and the somatic symptoms of depression at a later point in time. It was also found that depression at a previous point in time has a cross-lagged effect on the somatic symptoms of depression at a later point in time, implying that more severe depression at a previous point in time leads to increased severity of somatic symptoms at a later point in time. It was found that the somatic symptoms of depression at a previous point in time have a cross-lagged effect on depression at a later point in time, indicating that more severe somatic symptoms of depression at a previous point in time lead to increased severity of depression at a later point in time. This study is significant in that it provides baseline information about nursing interventions for adolescent mental health.

Age and Gender Differences in the Relationship of Cognitive Impairment, Vascular Risk Factors, and Subclinical Carotid Atherosclerosis from Community-based Elderly (나이와 성별에 따른 지역사회 거주 노인에서 무증상 경동맥 죽상경화증에 대한 혈관위험인자 및 인지장애와의 관련성)

  • Kim, Ji-Hee;Park, Hyun-Young;Kim, Dae-Won;Byun, Seung-Jae;Moon, Hyo-Jeong;Lee, In;Yang, Chung-Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.3
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    • pp.399-407
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    • 2012
  • To evaluate age and gender differences in the relation of cardiovascular risk factors, cognitive impairment, and subclinical carotid atherosclerosis from aged people using by a cross sectional method. Sixty-nine healthy elders living in the community who had not previously undergone carotid ultrasonography were included. We conducted life style surveys, and cognitive function tests including Korean-mini-mental state examination (K-MMSE) and clinical dementia rating-Korean. Various biomarkers from blood were assessed; fasting insulin-like growth factor-1, lipid-profile, high sensitivity C-reactive protein, total homocysteine, glucose, insulin, Homeostasis model assessment (HOMA) for insulin resistance index, vitamin B12, and folate level. Carotid intima-media thickness (C-IMT), and plaques were measured using carotid ultrasonography and aortic ultrasonography, a valid index of atherosclerosis. For the elderly subjects (aged 65-82 years), cognition impairment was more prevalent in females while subclinical atherosclerosis was more prevalentin males. Increased C-IMT has been kept in males, and C-IMT shows increasing trend and the peak at about 80 year-old in females with increasing age. The significant correlations between C-IMT and many vascular risk factors including age, triglyceride, abnormal homocysteinein male, and K-MMSE, insulin, HOMA index and abnormal aortic ultrasonography in female were different in each gender, with the exception of homocysteine (p<0.05). This data suggests that there were differences of age and gender characteristics in terms of subclinical atherosclerosis, cognitive impairment and vascular risk factors in community-living elders. Further larger and longitudinal studies across entire age are required to better understand the effects of risk factors on subclinical atherosclerosis.

Fish Fauna of the Main Channel in the Nakdong River (낙동강 본류의 어류상)

  • Cho, Ga-Ik;Joo, Gea-Jae;Jang, Min-Ho
    • Korean Journal of Ecology and Environment
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    • v.34 no.3 s.95
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    • pp.223-238
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    • 2001
  • Longitudinal distribution of the fish fauna of the 20 main channel and tributary sites in the Nakdong River was investigated from July 1999 to December 2000. A total of 4,791 individuals of fisHes were collected from three to seven sampling programs of all study sites and 48 species of 17 families were collected. Dominant family was Cyprinidae (25 species, relative abundance (RA): 91.8%). Zacco platypus (RA: 18.0%) was found to be the most abundant inhabitant. Subdominant species were Opsariichthys bidens (17,1%), Squalidus chankaensis tsuchigae (13.2%), Hemibarbus labeo (9.9%), and Z. temmincki (8.2%). Among the total species, 12 species were identified as endemic species (4 families, 24.5% of 1,172 individuals). Four exotic fishes were collected (Carassius cuvieri, 25 indv.; Micropterus salmoides, 214 indv.; Lipomis macrochirus, 14 indv.; Oreochromis niloticus, 6 indv.). M. salmoides was distributed in mid to lower part of the Nakdong River. As the result of cluster analysis, sampling sites were divided into three groups (upper, middle and lowerpart). Site below Gumi (St. 10) were considered as the lower part of the Nakdong River. Combined with previous surveys, about 80 species are present in the main channel and tributaries of the Nakdong River. Since the middle of 1990s, population density of the M. salmoides rapidly increased in the stagnant lower part of the river(RA 8.8% in lower 5 sites). The feeding strategy of M. salmoides was "generalized" on Daphnia sp. (<100 mm), and "specialization" about Cladocera (<150 mm) and Insecta(<200 mm).

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Analysis of Nursing Studies of Coping Conducted in Korea from 1978 to 1995 (대처 개념의 국내 간호연구 분석)

  • 소향숙;조복희;홍미순
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.709-729
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    • 1996
  • This study was done to analyze the trends of research on coping in Korea, to suggest future direction, for research on coping, and ultimately to contribute to an increase in explanation of adaptation. This article reviewed 79 nursing research papers on coping done since 1978 by examining them according to the period of publication or presentation, research design, type of subjects, measurement instruments, research for a degree or not, range of reliability, and association of coping and related variables. The results are as follows : The number of studies on coping increased rapidly from the mid-1980's and decreased slowly from the mid-1990's. The maority of the studies were surveys, comparative studies, or correlational studies. The subects of the 46 studies were healthy people, while those in the remaining studies were patients with a variety of illnesses. Thirth-eight studies on coping were done for master's thesis, three for dissertion, and 38 were not degrees. The Bell and Jalowiec coping scales have not been used since the early 1990's. In contrast, Lazarus and Folkman's W.C.C.L. has been used increasingly since that time. The reliabilities of the coping scale were reported in 37 cases and the Cronbach's alpha coefficients were .71 to .86. All subjects reported using more problem-oriented coping than emotion-oriented coping in short-term or emotion-oriented coping and healthy groups did more long-term coping. It was difficult to describe consistently the relationship between stress and coping according to the type of coping scale or research subjects, but generally moderate relationships were found. This was due to instrumental problems and no consideration of situational context. The subject group who used more short-term coping and less long-term coping reported poorer mental status, and higher scores in burnout and state anxiey than others. That is, the relationship between stress and adaptation increased the power of explanation with intervening the mediating effect of coping. The association of locus of control, mastery, social support, and self-concept with coping showed positive relationships : those of uncertainty and severity in illness with coping showed negativerelationships ; those of state anxiety and depression with short-term coping were positive, and those of self-esteem with long-term coping or problem-oriented coping were negative. There were significant differences in the scores of types of coping according to religion, level of education, and socio-economic status. That is, Presbyterians and Catholics, those with higher education levels and higher socio-economic status used more long-term or problem-oriented coping. On the basis of the above findings the following recommendations are made : 1. There is a need to test the mediating effect of coping variable in order to clarify the concept. 2. Longitudinal studies are needed to determine the patterns of change in coping strategies when stressful events are encountered. 3. It's necessary to develop a reliable and variable measurement tool for coping. 4. There is a need to identify subscales of coping to increase explanation of variance 5. It's necessary to consider personal, situational, and antecedent variables : the characteristics of subject populations, the natures of illness and treatment situations. 6. The power of explanation of studies designed to identify the stress-adaptation process should be increased using the combination model of process-oriented coping and cognitive-structural model.

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Effects of Professional Development for Equity: Focusing on High School Students' Attitudes toward Mathematics (교육 형평성을 위한 고등학교 수학 교사 교육 시행 효과: 학생들의 수학 정의적 영역을 중심으로)

  • Kim, Yeon
    • School Mathematics
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    • v.19 no.4
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    • pp.751-774
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    • 2017
  • Having mathematics for everyone in terms of students' mathematics achievement and attitudes toward mathematics is challenging in high school in South Korea. To gain such purpose, teachers are supposed to have a considerable amount of knowledge and develop mathematical and pedagogical reasoning and insight because equity can be fulfilled in mathematics classroom when any student share their ideas and have mathematical discussions. As a part of a large project aimed to develop and enact professional development for equity and examine its effects and, finally, to propose the direction of professional development to help students cognitively and affectively balanced grow in mathematics, the current study briefly introduces how such professional development was designed and implemented. This study reports its effect based on the statistical analysis of students' responses for the three different surveys, which are parts of the National Assessment of Educational Achievement study, TIMSS Advanced, and the survey about classroom interaction. The data collected in all students in school whose three mathematics teachers had participated in the professional development for two years. The findings consistently indicate the strong and impressive growths in students' attitudes toward mathematics, which are statistically significant. Furthermore, their attitudes toward mathematics are also related to interactions in a mathematics classroom. Based on such results, this study claims expansion of professional development for equity.