1.A Conversational Analysis about Patient's Discomfort between a Patient with Cancer and a Nurse.
Journal of Korean Academy of Nursing 2007;37(1):145-155
PURPOSE: The purpose of this study was to describe and to analyze real communication about a patient's discomfort between a patient with cancer and a nurse. METHOD: A dialogue analysis method was utilized. Fifteen patients and 4 nurses who participated in this research gave permission to be videotaped. The data was collected from January, 3 to February 28, 2006. RESULTS: The communication process consisted of 4 functional stages: 'introduction stage', 'assessment stage', 'intervention stage' and 'final stage'. After trying to analyze pattern reconstruction in the 'assessment stage' and 'intervention stage', sequential patterns were identified. In the assessment stage, if the nurse lead the communication, the sequential pattern was 'assessment question-answer' and if the patient lead the communication, it was 'complaint-response'. In the intervention stage, the sequential pattern was 'nursing intervention-acceptance'. CONCLUSION: This research suggests conversation patterns between patients with cancer and nurses. Therefore, this study will provide insight for nurses in cancer units by better understanding communication behaviors.
Adult
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Aged
;
*Communication
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Female
;
Humans
;
Inpatients
;
Male
;
Middle Aged
;
Neoplasms/nursing/*psychology
;
Nurse's Role/psychology
;
Nurse-Patient Relations
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Nursing Methodology Research
;
Nursing Staff, Hospital/*psychology
;
Tape Recording
2.Activities of Daily Living of The Elderly with a Chronic Disease and Burden on Family Care-givers.
Su Hyang BANG ; Hee Jeong JANG
Journal of Korean Academy of Nursing 2007;37(1):135-144
PURPOSE: The purpose of this study was to help families decrease and alleviate the burden on family care-givers taking care of elderly patients. METHOD: Data was collected by a questionnaire from 100 family members who were registered in the department of home health care nursing at 4 hospitals of H University Medical Center from September 20 to October 25, 2005. The collected data was analyzed using Mean and Standard Deviation, Pearson Correlation Coefficient, t-test and One-Way ANOVA with the Duncan's test, and Stepwise multiple regression. RESULT: The average burden on family care-givers of elderly patients with chronic diseases was 3.31. The social burden was the highest(M=3.68), the lowest was the emotional burden (M=2.95). In ADL of elderly patients with chronic diseases, all 10 questions showed an average point above 2.50. The dependency level of going up and down the stairs was the highest (M=2.88). CONCLUSION: This research is necessary for the application of a plan in the social support system in order to reduce the burden on family care-givers who are taking care of elderly patients with a chronic disease.
*Activities of Daily Living
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Adult
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Aged
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Body Burden
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Caregivers/*psychology
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Chronic Disease/*nursing/psychology
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Cost of Illness
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Dependency (Psychology)
;
*Family
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Female
;
Humans
;
Male
;
Middle Aged
;
Questionnaires
;
Regression Analysis
;
Social Behavior
3.Sleep Patterns and Circadian Types of Nursing Students during Shift Schedules.
Hyun Sook KIM ; Mi Ran EOM ; Eun Kyung KIM
Journal of Korean Academy of Nursing 2010;40(1):43-51
PURPOSE: The purpose of this study was to investigate sleep habits, sleep disturbance, and circadian types, and to identify factors influencing sleep disturbance in nursing students. METHODS: Participants were 140 senior nursing students. The data were collected from May 19 to 27, 2008 using self-report questionnaires. RESULTS: 1) Evening type delayed sleep-wake schedules were more frequent than for morning type, especially during weekend and evening shift duty. 2) In total sleep time, there were no significant statistical differences between morning type and evening type during weekdays, weekend, day or evening shift duty. 3) On weekdays and day shift duty, the mean score for sleep disturbance was significantly higher in the evening type compared to the morning type. 4) Sleep disturbance in weekday and day shift duty was influenced by circadian types, eating habits, and gender. CONCLUSION: The circadian types are a very important factor for determining the sleep quantity and quality in nursing students.
*Circadian Rhythm
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Female
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Humans
;
Male
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Questionnaires
;
Sex Factors
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*Sleep
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Sleep Disorders, Circadian Rhythm/prevention & control
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Students, Nursing/*psychology
;
Young Adult
4.Analysis of Nursing-related Content Portrayed in Middle and High School Textbooks under the National Common Basic Curriculum in Korea.
Myun Sook JUNG ; Hyeong Wook CHOI ; Dong Mei LI
Journal of Korean Academy of Nursing 2010;40(1):33-42
PURPOSE: The purpose of this study was to analyze nursing-related content in middle, and high school textbooks under the National Common Basic Curriculum in Korea. METHODS: Nursing-related content from 43 middle school textbooks and 13 high school textbooks was analyzed. RESULTS: There were 28 items of nursing-related content in the selected textbooks. Among them, 13 items were in the 'nursing activity' area, 6 items were in the 'nurse as an occupation' area, 2 items were in the 'major and career choice' area, 6 items were 'just one word' and 1 item in 'others'. CONCLUSION: The main nursing related content which portrayed in the middle and high school textbooks were caring for patients (7 items accounting for 46.5%), nurses working in hospitals (6 items accounting for 21.4%). In terms of gender perspective, female nurses (15 items accounting for 53.6%) were most prevalent.
Adolescent
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*Curriculum
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Humans
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*Nursing
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Prejudice
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Republic of Korea
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*Schools
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*Textbooks as Topic
5.Predictors of Sexual Desire, Arousal, Lubrication, Orgasm, Satisfaction, and Pain in Women with Gynecologic Cancer.
Journal of Korean Academy of Nursing 2010;40(1):24-32
PURPOSE: This study was done to identify psychosocial factors that might be predictive of sexual desire, arousal, lubrication, orgasm, satisfaction, and pain in women with gynecologic cancer. METHODS: Two hundred and twelve women with cervical, ovarian, or endometrial cancer completed questionnaires on the Female Sexual Function Index including sexual desire, arousal, lubrication, orgasm, satisfaction, and pain, and data on their psychosocial factors including body image, sexual attitude, sexual information, depression, and marital intimacy. Stepwise multivariable regression analysis was performed to explore psychosocial predictors of women's sexual function domains. RESULTS: Predictors were identified as sexual attitude, depression, sexual information, and body image for sexual desire; sexual information, depression, and sexual attitude for sexual arousal; sexual information, marital intimacy, and depression for lubrication; sexual information, marital intimacy, depression, and body image for orgasm; marital intimacy, sexual information, sexual attitude, and depression for satisfaction; sexual information, depression, and marital intimacy for pain. CONCLUSION: The results indicate that women's sexual function needs to be approached to domains of female sexual function psychosocially as well as to general sexual function. These factors should be considered in future interventions to positively promote sexual function in women with gynecologic cancer.
Adult
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*Arousal
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Body Image
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Depression/psychology
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Female
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Genital Neoplasms, Female/*psychology
;
Humans
;
Libido
;
Middle Aged
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*Orgasm
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*Pain
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*Personal Satisfaction
;
Questionnaires
;
*Sexual Behavior
6.A Comparative Study of Youth Health Risk Behaviors by Region: Focused on Metropolitan Areas, Medium Sized and Small City Areas, and Rural Areas.
Journal of Korean Academy of Nursing 2010;40(1):14-23
PURPOSE: This study was done to compare health risk behavior prevalence for youth living in metropolitan, medium sized and small cities or rural area, in order to enhance understanding regional differences. METHODS: For this study, data from the 2006 Youth Health Risk Behavior Online Survey collected by the Korean Center for Disease Control were analyzed using SPSS. RESULTS: In the metropolitan areas, prevalence for disease and perceived obesity were higher than in other areas. Lack of intense or moderate physical activity, obesity, fast food intake, and insufficient sleep showed higher prevalence than in rural areas. Prevalence of lifetime smoking, lifetime alcohol consumption, present alcohol use, fruit intake less than once a day, and not wearing a seat belt were higher in rural areas than in urban areas. Gender, smoking, and alcohol use were correlated. Spearman correlation between living with parent and skipping breakfast were significant. Smoking, alcohol use, and sexual behavior were correlated. CONCLUSION: As significant differences in prevalence of youth health risk behaviors exist between regional areas, health education and health promotion programs considering these differences have to be developed and implemented for adolescents. Programs for prevention of smoking and alcohol use, programs for improvement of fruit intake and safety are suggested for adolescents in rural areas, whereas programs to enhance physical activity and obesity management are suggested for adolescents in metropolitan areas.
Adolescent
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*Adolescent Behavior
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Alcohol Drinking/psychology
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Female
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*Health Behavior
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Humans
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Male
;
Obesity/etiology
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Risk-Taking
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Rural Population
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Sexual Behavior
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Smoking
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Urban Population
7.Evaluation of Nurses' Competency in Nurse-Patient Communication about Medications: Conversational Analysis Approach.
Journal of Korean Academy of Nursing 2010;40(1):1-13
PURPOSE: The purpose of this study was to develop evaluation criteria for conversations about medication and to demonstrate conversational analysis with actual dialogues on medication as examples. METHODS: This study was a secondary analysis of qualitative research using conversational analysis which showed functional phases and patterns of dialogue about medication (greeting, identifying the patient, medicating, finishing). Nurse-patient conversations were videotaped and transcribed and 75 conversations were used for analysis. RESULTS: Not all functional phases were showed in the conversations about medication. Therefore, conversations about medication can be considered as incomplete dialogues. The evaluation-criteria were represented in terms of the structure and content of the dialogues. Structural evaluation-criteria were the same as the functional phases, as functional stage is the standard for evaluation. The criteria of evaluation for content suggested 3 domains, content, expression, and interaction with 20 items scored on a Likert-type scale of 5-points. Finally, analysis of actual conversations about medication according to the evaluative criteria were provided. CONCLUSION: The results provide the basic data to develop educational programs and strategies to improve nurses' competency in conversation about medication.
Clinical Competence
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*Communication
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Humans
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Medication Adherence
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*Nurse-Patient Relations
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Nursing Staff, Hospital/*psychology
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*Pharmaceutical Preparations
;
Videotape Recording
8.Experience of Becoming a Father of a High Risk Premature Infant.
Jeong Eon PARK ; Byoung Sook LEE
Journal of Korean Academy of Nursing 2017;47(2):277-288
PURPOSE: This study was performed to identify the experience of becoming a father of a high risk premature infant. METHODS: Grounded theory was used for this research. The participants were 12 fathers who had premature infants lighter than 2,500g of birth weight, less than 37 weeks of gestational age and having stayed 2 weeks or longer in a NICU right after birth. Theoretical sampling was done to identify participants and indepth interviews were done for the data collection. For data analysis, the process suggested by Corbin and Strauss was used. RESULTS: For these participants the core phenomenon of the experience of becoming a father of a high risk premature infant was ‘striving through with belief and patience’. The phenomenon was ‘being frustrated in an unrealistic shock’. Contextual conditions were ‘uncertainty in the health status of the premature baby’ and ‘no one to ask for help’ and intervening conditions were ‘possibility in the health recovery of the premature baby’ and ‘assistance from significant others’. Action/interaction strategies were ‘withstanding with belief in the baby’ and ‘enduring with willpower as head of the family’ and the consequence was ‘becoming a guardian of the family’. CONCLUSION: For the participants, the process of becoming the father of a high risk premature infant was striving through the situation with belief in their babies' ability to overcome the crisis and waiting for the babies' recovery with patience.
Birth Weight
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Data Collection
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Fathers*
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Gestational Age
;
Grounded Theory
;
Head
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Humans
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Infant, Newborn
;
Infant, Premature*
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Life Change Events
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Parturition
;
Qualitative Research
;
Statistics as Topic
9.The Recovery Process of Alcohol Dependent Men Living in a Therapeutic Community.
Journal of Korean Academy of Nursing 2017;47(2):267-276
PURPOSE: The purpose of this study was to explore the recovering process of men who had abused alcohol and has lived in a therapeutic community. METHODS: Individual in-depth interviews were used to collect data from 10 of these men who has lived in the therapeutic community for more than one year. Qualitative data from field notes and transcribed notes were analyzed using the grounded theory methodology developed by Strauss and Corbin. RESULTS: The core category about the recovering process of the men who had abused alcohol and are now in the therapeutic community was identified as “reconstructing a broken life”. The recovering process of these men in the therapeutic community consisted of four phases; ‘self-awareness stage’, ‘unfreezing stage’, ‘readjustment stage’, and ‘challenging stage’. CONCLUSION: In this study “reconstructing a broken life”, as the core category vividly showed joys and sorrows of men who had abused alcohol and has lived in the recovering process of managing the yoke of life-long disease. In this process of recovery from alcoholic dependence the men gradually adjusted themselves to their given condition. Also they gained coping strategies to care for, and protect themselves. Therefore health care providers can establish supportive programs in the clinical field to empower these men by reflecting their proactive coping strategies.
Alcoholics
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Grounded Theory
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Health Personnel
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Humans
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Male
;
Qualitative Research
;
Therapeutic Community*
10.A Structural Model for Premenstrual Coping in University Students: Based on Biopsychosocial Model.
Myung Ock CHAE ; Hae Ok JEON ; Ahrin KIM
Journal of Korean Academy of Nursing 2017;47(2):257-266
PURPOSE: The aims of this study were to construct a hypothetical structural model which explains premenstrual coping in university students and to test the fitness with collected data. METHODS: Participants were 206 unmarried women university students from 3 universities in A and B cities. Data were collected from March 29 until April 30, 2016 using self-report structured questionnaires and were analyzed using IBM SPSS 23.0 and AMOS 18.0. RESULTS: Physiological factor was identified as a significant predictor of premenstrual syndrome (t=6.45, p<.001). This model explained 22.1% of the variance in premenstrual syndrome. Psychological factors (t=-2.49, p=.013) and premenstrual syndrome (t=8.17, p<.001) were identified as significant predictors of premenstrual coping. Also this model explained 30.9% of the variance in premenstrual coping in university students. A physiological factors directly influenced premenstrual syndrome (β=.41, p=.012). Premenstrual syndrome (β=.55, p=.005) and physiological factor (β=.23, p=.015) had significant total effects on premenstrual coping. Physiological factor did not have a direct influence on premenstrual coping, but indirectly affected it (β=.22, p=.007). Psychological factors did not have an indirect or total effect on premenstrual coping, but directly affected it (β=-.17, p=.036). CONCLUSION: These findings suggest that strategies to control physiological factors such as menstrual pain should be helpful to improve premenstrual syndrome symptoms. When developing a program to improve premenstrual coping ability and quality of menstrual related health, it is important to consider psychological factors including perceived stress and menstrual attitude and premenstrual syndrome.
Dysmenorrhea
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Female
;
Humans
;
Models, Structural*
;
Premenstrual Syndrome
;
Psychology
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Single Person
;
Young Adult