PURPOSE: The purpose of this study was to explore psychiatric nurses' experiences of positive and negative factors in the workplace that may influence the nurse to burnout or engagement. METHODS: Three focus groups of 15 psychiatric nurses working in 3 mental hospitals were interviewed. Qualitative descriptive methods and qualitative content analysis were used. RESULTS: For negative factors, there were 6 domains (compensation and welfare, manpower, organizational support, duty, work load, role identity), 9 categories (poor benefits, low level of salaries and unreasonable pay system, nurse shortage, lack of nurse competency, poorly prepared assistant staff, lack of support systems for development, irrational duty assignments, work overload, identity crisis as a psychiatric nurse) and 17 subcategories. For positive factors, there were 3 domains (client, colleagues, nurses' role), 4 categories (rapport with client, client recovery, respect and support from colleagues and head nurses, nursing leadership and participation in the treatment process) and 7 subcategories. CONCLUSION: Results of this study suggest the following: a) further research is needed to identify strategies to improve negative factors, particularly, he establishment of a rational nursing personnel policy b) recognizing and encouraging positive factors to strengthen nurses' work engagement with support from institutions and nurse administrators.
Focus Groups ; Hospitals, Psychiatric* ; Humans ; Identity Crisis ; Leadership ; Nurse Administrators ; Nursing ; Nursing, Supervisory ; Psychiatric Nursing ; Qualitative Research ; Salaries and Fringe Benefits

Diabetes is a chronic disease resulting from an absolute or relative shortage of insulin, and it is a disease that requires continuous management throughout the lifetime. Most past diabetes education programs used educational methods for training; however, only a small number of studies on individual education methods were conducted for diabetic patients. Along with individualized educational methods, various instructional methods for knowledge delivery and self-control have been attempted, and one of these is a one-on-one mentoring process. Through such a program, children can acquire knowledge and management of diabetes, and systematic management can be maintained through mentoring and use of diabetic resources. Also, shared cultural and life experiences between the mentor and the mentee can help the children overcome the identity crisis of adolescence to produce a suitable emotional experience. These positive effects can reduce the socio-economic costs associated with diabetes through improved management of problems that can arise in diabetics.
Adolescent ; Child ; Chronic Disease ; Diabetes Mellitus ; Education* ; Health Education ; Humans ; Identity Crisis ; Insulin ; Life Change Events ; Mentors* ; Self-Control ; Teaching*

OBJECTIVE: This study was aimed to understand the life and development of adolescents in North Korea. METHODS: The authors interviewed North Korean adolescent defectors on the past life history in North Korea, and also collected information by questionanire from North Korean adult defectors on their views about the life and development of North Korean adolescents. RESULTS: The lives of adolescents in North Korea seem to be poor, tough, dry, and monotonous. However, familial bonds seem to be strong, which is contrast to the general impression that family is not important anymore in a socialist nation. Social pressure seems to be strong enough to force adolescents to leave home at an early age. The school education seems to be focused on shaping them according to socialist ideology and national policy. The social atmosphere seems to be authoritative and of patriarchy, probably influenced by traditional confucian philosophy. In general, filial piety for the father figures(including a national father, the late president, Kim Il Sung and the current leader, Kim Jung Il) altruism, social contribution, patriotism, and a moral socialist personality are strongly emphasized in education. The effectiveness of teaching methods mainly based on a punishment system and public criticism seems to be very limited in being integrated to true mature personality development. Recently, the life view and behavior pattern of adolescents in North Korea seem to be changing according to the severe economic crisis and expanding knowledge about the outside world. Particularly, their interest in making money is increasing with a parallel increase of delinquent behavior. Physical development seems to be delayed along with a delay in psychosocial development. Their cognitivefunctioning looks also to be delayed due to the uniformity of education andlimitations in intellectual and psychosocial stimulation. In contrast to the literal equality in the rights of men and women in socialist countries, girls' rights are usually ignored by boys. Establishment of psychosexual identity seems delayed and theopportunity for relations with people of the opposite sex seems to be limited. Rather, peer relationships with the same sex and group loyalty are considered to be more valuable. This group orientation seems to lead to national loyalty, loyalty for the Communist Party and eventually its leader in adult life. Pervasive violent political oppression seems to be the dominating social power. Whole social authorities(father, teacher, Party, nation, leader)seem to be power-oriented figures. Adolescents have been programmed to bow down and resign to oppression rather than to protest against it. And this compliant behavior has become stereotyped. Identity crises, which so often characterize the adolescent period, seem not to be so turbulent, develop later and finish early with resignation because of the limitation mainly inposed by the political status of their family origin. Ideological morality seems to develope in unbalanced form, related with school education and repeated stereotyped self-criticism. However, their daily lives do not seem to be really moralistic. CONCLUSION: This study suggests that the life and development of adolescents in North Korea are different in many aspects from those in South Korea. However, compared with the individualism and egocentricism which are known to be personality characteristice of adolescents in South Korea, those of adolescents in North Korea, such as simple mindedness, compliant behavior, strong familial bond, group orientation and loyality and altruism, are considered to make a positive contribution along with a proper education for the future construction of the nation after reunification. These findings also suggest that mutual adaptation problem between people of South and North Korea after reunification will not be simple and both Koreans have to prepare themselves in advance for future problems through prior studies.
Adolescent* ; Adult ; Altruism ; Atmosphere ; Cooperative Behavior ; Democratic People's Republic of Korea* ; Education ; Family Characteristics ; Fathers ; Female ; Human Rights ; Humans ; Identity Crisis ; Korea ; Male ; Morals ; Personality Development ; Philosophy ; Power (Psychology) ; Punishment ; Self-Assessment ; Teaching