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Factors Affecting on Suicidal Ideation in Community Dwelling Elders (지역사회 노인의 자살생각에 영향을 미치는 요인)

  • Park, Keum-Sook;Kim, Young-Hee;Lee, Kyoung-Wan;Lyu, Yeoung-Su;Jeong, Heon-Young
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.1
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    • pp.39-48
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    • 2015
  • Objectives: This study was conducted to analyze the hwa-byung, self-perceived health, life-stress, social support, depression, and factors affecting on suicidal ideation in community dwelling elders. Methods: This study was a cross-sectional descriptive study. The subjects were 165 elderly in I city. The data was collected from November $21^{st}$ to December $5^{th}$ of 2014 by using structured questionnaire. T-test, Pearson's correlation coefficients, and stepwise multiple regression were performed by SPSS/PC 17.0. Results: There were more females than males in hwa-byung (t=.-3.068, p=.003). In the visit parent, more than once a month was a significantly higher in social support (t=.3.333, p=.001). Hwa-byung (t=.-2.577, p=.011), life-stress (t=.-3.800, p=.001), depression (t=.-2.776, p=.006), and suicidal ideation (t=.-4.316, p<.001) were shown to be high in the elders with lower level of living. Subjects with health insurance had high self-perceived health (t=-3.800, p=.001) and low hwa-byung (t=-4.102, p<.001), life-stress (t=-4.482, p<.001), depression (t=-5.296, p<.001), and suicidal ideation (t=.-2.152, p=.036), according to the type of insurance. In the correlation, sleeping hours (r=-.180, p=.020), self-perceived health (r=-.364, p,.001), and suicidal ideation had negative correlation; hwa-byung (r=.404, p<.001), life-stress (r=.300, p<.001), social support (r=-.310, p<.001), depression (r=.423, p<.001) and suicidal ideation had positive correlation. Factors affecting the suicidal ideation in community dwelling elders were depression (${\beta}$=.42, p<.001), hwa-byung (${\beta}$=.23, p=.004), social support (${\beta}$=-.18, p=.012), and level of living (${\beta}$=.24, p=.001). Discussion: For the prevention of elderly suicide, it is necessary to care for psychosocial status and solve economic difficulties through social support.

A Study of Social Workers' Understanding of Elderly Patients' and Family Caregivers' Rights to End-of-Life Care Decisions and of Their Own Roles in the Process (노인환자와 가족의 임종의료결정 권리 및 사회복지사 역할 이해도 - 장기요양 입소 시설 사회복지사를 대상으로 -)

  • Han, Sooyoun
    • Journal of Hospice and Palliative Care
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    • v.18 no.1
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    • pp.42-50
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    • 2015
  • Purpose: This study was aimed to analyze how social workers understand the rights for elderly patient and family caregiver to make end-of-life (EOL) care decisions and their roles the decision making process. Methods: The study employed a quantitative research method of collecting data from a structured questionnaire that was filled out by 334 social workers at long-term care facilities. Data were analyzed by descriptive statistics, mean differences, correlation between variables, using SPSS 20.0 program. Results: The mean score for the understanding the rights to an EOL care decision was $3.46{\pm}0.69$ and of their own roles $3.48{\pm}0.84$. The level of understanding significantly differed by social workers' experience of assisting a process to make an EOL care decision such as advance directives and life sustaining treatment, work experience, and the number of beds. Positive correlation was observed between the level of understanding of the rights for EOL care decisions and of social workers' roles (Pearson r=0.329, P<0.001). Conclusion: This study proposes development of an education program for social workers and devising standards for the EOL care decision making process to protect elderly patients, family caregivers as well as social workers in a long term care facility.

The Social Support of the Handicaped in Industrial Accident Compensation Insurance (산업재해 장애인의 사회적 지지에 관한 연구)

  • Lee, Hyun-Joo;Oh, Jin-Joo;Choi, Jeong-Myung;Hyun, Hye-Jin;Yoon, Soon-Nyung
    • Korean Journal of Occupational Health Nursing
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    • v.12 no.1
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    • pp.80-88
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    • 2003
  • Rehabilitation has emerged in recent years as major topic for the handicaped in industrial accident compensation insurance(IACI). Specially social support helps the handicaped adjust themselves psychosocially to handicap. This study was conducted to examine different contents and perceived social support, and provide guidlines for specific and proper rehabilitation for the handicaped of IACI. This study is a descriptive study which were collected through two phases using structured questionnaire. In the first stage, surveys were performed via telephone interviews. In the second stage, surveys were performed via home-visit subjects in the first stage included the handicaped of IACI. Finally data were collected from 338 subjects and analyzes by SPSS/PC+10. The instruments of this study were the perceived social support scale which developed by Lee(1996). These scales in the form of 5-point Likert type, consists of 20 items, including 3 subscales of emotional support, informational support, instrumental support. The mean score of social support was 57.2, emotional support 21.0, informational support 21.2 and instrumental support 15.2. The mean of depression for psychosocial factors is 37.5. Threre were significant differences in total perceived social support; age, job status, handicaped degree in IACI, post-traumatic complication and use of instrument. Emotional support was significant differences; age, number of dependent family, job status, handicaped degree in IACI, use of instrument and depression. Informational support was significant differences; job status, posttraumatic complication, use of instrument and depression. Instrumental support was significant differences; sex, job status, handicaped degree in IACI, use of instrument, and depression. The current system of the Labor Welfare institute is not appropriate for solving health problems of the handicaped in IACI. Therefore, it is necessary to develop the plan which can provide the handicaped in IACI high-quality rehabilitation services, so that they must use those services in the community without being dependent on hospitals. This study proposes home visit nursing services as the way to provide various health services within community for the handicaped in IACI.

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Influence Factors on Acculturative Stress among Chinese Students Studying in Korea: Focusing on Spiritual Well-Being (중국인 유학생의 문화적응스트레스 영향요인: 영적안녕을 중심으로)

  • Jeong, Hye-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4768-4776
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    • 2015
  • This study was conducted to identify factors affecting acculturation stress among Chinese students in Korea. 239 Chinese students in Korea were surveyed using a structured questionnaire from September 1, 2014 to January 31, 2015. The results were as follows. The subjects' acculturation stress was 3.29 out of 5. Their overall spiritual well-being was 3.10 out of 5, and their existential spiritual well-being and religious spiritual well-being were 3.67 and 2.54, respectively. On the other hand, demand for religious activities was 4.37 out of 6. Factors affecting acculturation stress among Chinese students in Korea were age, school year, period of stay in Korea, Korean language skill, demand for religion, and existential spiritual well-being, and their explanatory power was 36.1%. These findings suggest that religious activities need to include programs not only for guiding their lives of faith but also for improving their understanding of Korean culture and their Korean language skill and supporting their practical lives while studying in Korea.

Impact Of Convergence on the psychosocial well-being levels : On Some Care Service Providers (직무만족이 정신사회적 안녕수준에 미치는 융합적 영향 : 돌봄 사회 서비스)

  • Kim, Hyang-nyeong;Noh, Eun-Kyung;Kim, Seung-Hee;Jun, Mee-Jin
    • Journal of the Korea Convergence Society
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    • v.7 no.6
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    • pp.105-113
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    • 2016
  • This study was conducted to identify the Convergence influence of job satisfaction of care service providers on their psycho-social well-being status. A study subjects were 308 care service providers employed in local self-support centers for Social Service in Gwangju, Jeonam Jeonbuk province, from whom data was collected using self-administrated structured questionnaire after regular holiday education. In consequence hierarchical multiple regression analysis, research findings; adjusting general and occupational characteristics, the higher they perceived sub-dimensions of job satisfaction such as relationship with job demands(${\beta}=0.393$, p=.063), clients(${\beta}=0.669$, p=.000), relationship with peers and supervisors(${\beta}=0.229$, p=.068) the better their psychosocial well-being status was. And psychosocial well-being status of those who held certificate of care provider(${\beta}=4.815$, p=.003), helpers for neonate and mother(${\beta}=4.348$, p=.011) were higher than that of those who did not, which reflexed difference in their clients. As a results, promote mental health of care providers, it would be necessary to provide them training programs for facilitating human relationships with clients, peers and supervisors.

Stakeholders' Opinion on the Desired Characteristics of Nursing School Graduates and Factors Concerning Nursing Curriculum Development in Thailand

  • Kittiboonthawal, Prapai;Siriwanij, Wareewan;Ubolwan, Kanyarat;Maneechot, Munthana
    • Asian Journal for Public Opinion Research
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    • v.5 no.4
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    • pp.319-345
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    • 2018
  • Effective higher educational management in undergraduate nursing programs is an important issue from the viewpoint of stakeholders. This qualitative research aimed to examine the characteristics of nursing students and curriculum development of undergraduate nursing education from the opinions of Boromarajonani College of Nursing Saraburi, Thailand stakeholders. The population included 4 groups: 1) the alumni who have graduated within the past 5 years and currently work in primary, secondary, and tertiary care units, 2) the supervisors and colleagues of the alumni, 3) nursing lecturers, and 4) the current nursing students. The respondents who are the alumni, nursing lecturers, and current nursing student were selected using a purposive sampling, for the supervisors and colleagues were selected using snowball techniques. Semi-structured interview questions were used for data collection. Group discussions were conducted until saturation on 55 key informants. The qualitative data was analyzed using content analysis. Results showed the viewpoints of stakeholders on the characteristics of future nurse graduates were comprised of four elements: knowledge that meets standards; essential skills for self-development and lifelong learning process; good morals and professional ethics in providing nursing care; and nurse competencies in teamwork, communication, language, research, management, IT, life skills, and global literacy. The viewpoints on the development of the nursing curriculum focus on four elements: the learner, teaching and learning, course content, and instructor tasks. For learners, the admission criteria should include a minimum not only of knowledge, but also positive attitude, science, and art skills, since the nursing profession is both a science and the art of caring. Teaching and learning elements should be authentic, including exposure to real situations, an integrated network, and activities that improve nursing care. Course content was comprised of an updated curriculum, humanized nursing care, student center, theory and practice with moral integration, case-based study, critical thinking, multidisciplinary work, and love for the nursing profession. Instructor tasks are to elicit student ideas, provide opportunities to learn, support infrastructure, support technology use, and extra-curricular activities to develop the competencies of nursing students. Recommendations were that the curriculum administration should review the selection process of student candidates and instructional management to achieve expected outcomes of nursing characteristics in the future. The nurse lecturer should provide authentic and integrated instruction, decrease lecturing, cultivate a lifelong learning process, and sustain the nursing characteristics.

Analysis of Convergent Factors Related to Depression among Some College Women of Health Affiliated Educations (보건계열학과 일부 여대생들의 우울과 관련된 융복합적 요인 분석)

  • Kim, Seung-Hee;Bae, Sang-Yun
    • Journal of Digital Convergence
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    • v.13 no.10
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    • pp.367-376
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    • 2015
  • This study is executed to investigate convergent factors related to depression among some college women of health affiliated educations. It surveyed 419 college women in Honam area during the period from March 9th to April 30th, 2015. The structured self-administered questionary was delivered and they were collected without respondents' personal information. The results of multiple regression analysis show the followings. The depression level of respondents turned out to be significantly higher in following groups: a group that experienced school bullying or violence, a group in which sleeping time is improper, a group in which subjective health status is bad, a group in which subjective happiness is lower, a group in which type A behavior pattern is higher, a group in which job seeking stress is higher, a group in which self esteem is lower, a group in which hopelessness is higher. Their explanatory power was 42.8%. The results indicate that the efforts to prevent bullying and violence experience, to get the proper amount of sleep, to be healthy, to increase subjective happiness and self esteem, to decrease type A behavior pattern, job seeking stress and hopelessness, are required to reduce the depression level of the college women of health affiliated educations.

The Competence and Satisfaction on Inventory Management of the Operating Room Nurses (수술실 간호사의 물품관리 업무역량과 업무만족도 연구)

  • Son, Jeong-Sook;Choi, kyung-Sook;Kim, Hyun-Joo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.449-458
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    • 2016
  • The study verified the work capacity (job performance, perception, knowledge) and satisfaction on managing the inventory of operating room nurses working in a more than 700-bed hospital. The purpose of this study was to provide basic data of education for work capacity and satisfaction and quality insurance by analyzing the scores between the three different operating rooms and the correlation between the work capacity and satisfaction by investigating the related factors. This study presented a structured and self-administered questionnaire to 181 nurses who had been working in the operating room more than six months. The mean and standard deviation of the job performance, perception, knowledge, and satisfaction were 4.2(${\pm}0.56$), 3.4(${\pm}0.76$), 3.5(${\pm}0.40$), and 3.4(${\pm}0.55$), respectively. The work capacity and satisfaction of each group did not show a statistically significant difference. The correlations between the job performance and knowledge, knowledge and perception, perception and satisfaction were positive (r=.627, p<0.01), (r=.663, p<0.01) and (r=.485, p<0.01), respectively. Among the factors related to the general characteristics of operating room nurses, only age significantly affected their job performance. This study provides basic data on the maintenance and improvement of their competence and satisfaction by being served as a resource for sustainable human resources management and training, and efficient management of the communication channel between hospitals.

Effects of Academic Emotions and Interpersonal Relations on SNS Addiction Tendency by Gender Differences in College Students (성별에 따른 대학생의 학업정서와 대인관계 능력이 SNS 중독 경향성에 미치는 영향)

  • Jeon, Hae Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.269-277
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    • 2016
  • This study aims to grasp the influence of a college student's academic emotions and the ability of interpersonal relations according to gender on the SNS addiction tendency. Data were collected through a self-reported structured questionnaire from 130 college students using convenient sampling methods from September 1 to October 31, 2015. The research result showed that in the case of male college students, only the ability of interpersonal relations (${\beta}=-.41$, p=.009) was understood as a variable with an influence on the SNS addiction tendency, having approximately 16% power of explanation (F=2.26, p=.049) after controlling for age, daily average duration of using SNS, subjectively-perceived level of dependence on SNS, and one's own level of using SNS. In the case of female college students, it was understood that the daily average duration of using SNS (${\beta}=.42$, p<.001) and positive academic emotions(${\beta}=.27$, p=.010) were variables having an influence on the SNS addiction tendency, having approximately 28% power of explanation (F=5.19, p<.001). Accordingly, to solve the psycho-social health problems related to male and female students' SNS addiction based on this research, it might be helpful for planning a program by taking into account the differences between the related variables according to gender.

The Survey on the Influence of Clinical Nurse's Critical Thinking Disposition, Problem-solving Skill and Self-efficacy on Patients Safety Competencies (간호사의 비판적 사고성향, 문제해결능력 및 자기효능감이 환자안전역량에 미치는 영향)

  • Kim, Hyo-Sun;Han, Suk-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.598-608
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    • 2016
  • This study examined the relationships among patient safety competence, critical thinking disposition, problem-solving competence, and self-efficacy of clinical nurses to identify the factors influencing the patient safety competence. A convenience sample of 373 nurses working in 4 general hospitals in a Metropolitan area in Korea was selected. After obtaining IRB approval, data collection was done with a structured self-administered questionnaire from October 14th to November 4th, 2014. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple regression analysis using the SPSS WIN 21.0 program. The participants showed a moderate level of patient safety competence ($3.75{\pm}0.37$), of critical thinking disposition ($3.43{\pm}0.27$), of problem solving competence ($3.54{\pm}0.30$), and of self-efficacy ($3.58{\pm}0.47$). The patient safety competence of the participants showed a significant correlation with the critical thinking disposition (r=.493, p<.001), problem solving competence (r=.616, p<.001), and self-efficacy (r=.475, p<.001). The significant factors influencing the patient safety competence were problem solving competence (${\beta}=.403$, p<.001), self-efficacy (${\beta}=.156$, p=.005), critical thinking disposition (${\beta}=.130$, p=.018), and having the experience of reporting patient safety accidents (${\beta}=.137$, p=.002). The results suggest that educational programs to enhance the critical thinking disposition, problem-solving competence, and self-efficacy would develop the patient safety competence of clinical nurses. In addition, more effort should be placed into reinforcing the patient safety competence by activating the report of patient safety accidents.