PURPOSE: This qualitative study aimed to develop a substantive theory of the process of adaptation to motherhood in Central Asian-Korean immigrants to Korea.METHODS: Individual, in-depth interviews were conducted from July to September 2017, with 18 women who emigrated of Korean ethnicity from Central Asia to Korea, and took care of their baby for at least a year after their first delivery in Korea. The interviews were audio-recorded and transcribed verbatim. Data from the transcriptions were analyzed through Strauss and Corbin's grounded theory method, and data analysis was conducted simultaneously with data collection.RESULTS: As a result of categorizing the interview data through the process of open coding, 10 categories, with 31 subcategories and 102 concepts were drawn, and “growth as a Central Asian-Korean mother in an unfamiliar, historical hometown” was found to be the core category of the process of adaptation to motherhood in Central Asian-Korean immigrants to Korea.CONCLUSION: A characteristic of the process of adaptation to motherhood in Central Asian-Korean immigrants to Korea, drawn from this study, is that it differs according to the level of initiative to carry out interaction strategies, and the use of various supportive social resources. The findings indicate the need for Medicare eligibility adjustment for antenatal care, the extension of the visa renewal period during childbirth, the development of web- or mobile application-based educational programs in Russian language, and the establishment of integrated visiting healthcare services, community service resources, and policy support to enable these women to utilize various supportive social resources.
Adaptation, Psychological ; Asia ; Clinical Coding ; Data Collection ; Delivery of Health Care ; Emigrants and Immigrants ; Female ; Grounded Theory ; Humans ; Korea ; Medicare ; Methods ; Mothers ; Parturition ; Qualitative Research ; Social Welfare ; Statistics as Topic

PURPOSE: This purpose of study was to describe the adaptation process in the workplace in Korean adults with alcohol use disorder. METHODS: Twelve participants were recruited at hospital outpatients, Alcoholic Anonymous, and addiction treatment centers from October 2016 to January 2017. Inclusion criteria were Korean adults aged 18 and older who were diagnosed with alcohol use disorder and had a job for at least one year. Data were analyzed using Strauss and Corbin's grounded theory method. RESULTS: From open coding, 74 final concepts, 18 sub-categories, and 10 categories were identified. Results showed that the central phenomenon was ‘struggling to stand confidently’. The core categories were ‘withstanding life by embracing reality as an addict’, and the adaptation process appeared ‘selection stage’, ‘determination stage’, and ‘management stage’. The adaptation process of Korean adults with alcohol use disorder in the workplace was compared to ‘pearl in oyster’, which can be a process of breaking through pain. CONCLUSION: Our study findings provide an in-depth understanding of the experiences of an alcoholic's job life. Mental health nurses need to be actively involved in developing vocational rehabilitation programs for addicts.
Adult ; Alcoholics ; Anonyms and Pseudonyms ; Clinical Coding ; Grounded Theory ; Humans ; Mental Health ; Methods ; Occupations ; Outpatients ; Rehabilitation, Vocational ; Social Adjustment

In order to examine the issue of women and health in Korean society, we need to adopt a new approach to consider health and body as a subject of social theory beyond the biomedical model. Health and diseases are not objective entities defined by universal standards that are separate from the patient or physician's life experience, but rather the products of social, cultural, and political processes. From this point of view, this paper explores Korean women and health in two aspects of health and medical field, that is, women as medical service beneficiaries and providers. First, the gender paradox phenomenon—women live longer, but suffer from more illnesses—was confirmed by evaluating the physical and mental health status of women. The life expectancy of Korean women is longer, but their morbidity rate of physical and mental health and subjective health evaluation is worse than men. Second, as medical service providers, the present status of female doctors showed the horizontal and vertical segregation in the medical labor market despite of the increase of female doctors and medical students. We pointed out the problems of gender inequality in health care sector and discuss policy implications of ‘gender specific medicine’ to improve women's health and medical education.
Diagnostic Self Evaluation ; Education, Medical ; Female ; Health Care Sector ; Health Occupations ; Health Policy ; Humans ; Korea* ; Life Change Events ; Life Expectancy ; Male ; Mental Health ; Sex Factors ; Social Theory ; Socioeconomic Factors ; Students, Medical ; Women's Health

For the last half-century, interprofessional education (IPE) has been identified and discussed as a critical educational process to facilitate collaboration in order to improve healthcare outcomes for healthcare participants. While the concept is not new, outcome-based research has provided few valid and reliable explanations of whether and how IPE can be effective in healthcare quality improvement. This challenge stems from the struggle to understand the epistemological meaning of IPE. The purpose of this literature review paper is to provide a synthesized understanding of IPE, its meaning, and to provide practical guidance for medical educators. The paper reviewed several key aspects of IPE. Professionalility was discussed to understand the historical background of IPE, followed by an explanation of the international trend of embracing the complexity of health care practice and the need for interprofessional collaboration. Additionally, several theoretical perspectives, such as general systems theory, social identity theory, and community of practice were reviewed to pinpoint what constitutes IPE. Several existing definitions were discussed with similar concepts (i.e., disciplinary vs. professional, and multi-, inter-, vs. trans-) to clarify the nature of knowledge and collaboration in IPE. Three concepts, including practice, authenticity of context, and socialization were proposed as key constructs of IPE, followed by appropriate timing of IPE, outcome research, directions for future research, and guidance for implementation. Community-based medical education practice, professional socialization within a community, and longitudinal system-based outcome research are recommended as future directions for research and practice.
Cooperative Behavior ; Delivery of Health Care ; Education ; Education, Medical ; Education, Professional ; Interprofessional Relations ; Professional Practice ; Quality of Health Care ; Social Identification ; Socialization ; Systems Theory

Neuroeconomics is an interdisciplinary field that seeks to explain human decision making using a combination of research methods from neuroscience, (behavioral) economics, and cognitive and social psychology. With recent advances in functional neuroimaging and computing power, neuroeconomics suggests the possibility of examining psychopathology using a quantitative model based on objective metrics. The purpose of this paper is to introduce the theory of neuroeconomics and to review the literature on its application to psychiatric research. First, the concept of utility function in economic decision theory can be used to explain depressive symptoms with regard to lack of interest in money. Second, differences in attitudes toward uncertainty and risk suggest that avolition and anhedonia can be expected to reduce the influence of uncertainty on decision making. Third, some parametrically varied values of delay discounting show the relation of discounted value to risk of addiction. Finally, economic game theory can provide a model including social factors to address psychiatric conditions ; thus, it provides a useful framework for the current diagnostic classification systems for consideration of interpersonal factors. We expect that conduct of more interdisciplinary research in neuroeconomics and psychiatry will clarify diagnosis and contribute to the description of psychiatric disorders.
Anhedonia ; Decision Making ; Decision Theory ; Depression ; Functional Neuroimaging ; Game Theory ; Humans ; Neurosciences ; Psychology, Social ; Psychopathology ; Uncertainty

PURPOSE: This qualitative study aimed to explore how Turkish women experience nausea and vomiting in pregnancy based on the Roy Adaptation Model. METHODS: To collect data, in-depth interviews were undertaken with 35 pregnant women who had nausea and vomiting. The sample of the study included pregnant women who were in their first 12 weeks of gestation, did not have medical problems and had nausea, retching and/or vomiting for at least the last 3 days. Data were collected in semi-structured interview form based on the Roy Adaptation Model and with a background data sheet. Data were analyzed using direct content analysis. RESULTS: Data were classified into four adaptive modes according to the Roy Adaptation Model. The behaviors in the physiological mode were nausea, vomiting, fatigue, changes in sleep patterns, inadequate nutrition, inguinal pain, burning sensation and irritation in the throat, ketosis, and urinary incontinence. The behaviors in the self-concept mode were feeling weak, crying, inadequate self-care, changes in sexual intercourse, and social isolation. The behaviors in the role function mode were being unable to fulfill the responsibilities at home and work. The behaviors in the interdependence mode were dissatisfaction with relationships. CONCLUSION: The study findings help nursing staff detect the stimuli and the behaviors of pregnant women with nausea and vomiting. Further research may evaluate the impact of a counseling program prepared under the guidance of a nursing model on nausea and vomiting in pregnancy.
Burns ; Coitus ; Counseling ; Crying ; Fatigue ; Female ; Humans ; Ketosis ; Models, Nursing ; Nausea* ; Nursing Staff ; Nursing Theory ; Pharynx ; Pregnancy Complications ; Pregnancy* ; Pregnant Women ; Qualitative Research ; Self Care ; Sensation ; Social Isolation ; Urinary Incontinence ; Vomiting*

PURPOSE: The purpose of this study was to investigate the effects of the professional nurse's postpartum breast-feeding support on breast-feeding prevalence for mothers who delivered in Baby-Friendly Hospitals (BFH). METHODS: This quasi experimental study was designed with a nonequivalent control group post test. The subjects of this study were 55 mothers who were hospitalized in the delivery room of a university hospital which was selected as a BFH in Daegu from October 1, 2005 to June 30, 2006. Twenty nine mothers were assigned to the experimental group and 26 mothers to the control group. Postpartum breast-feeding support by nurses' telephone calls to the experimental group was provided once a week for 4 weeks postpartum and then once a month for 16 weeks postpartum. Four post tests were given at postpartum week 4, 8, 12, and 16. The control group was given a telephone call at postpartum week 4, 8, 12, and 16. RESULTS: The breastfeeding prevalence of the experimental group was significantly higher than that of the control group for each period. CONCLUSION: Postpartum breast-feeding support by nurses may be a useful intervention to increase breast-feeding prevalence.
Adult ; *Breast Feeding/epidemiology/psychology/statistics & numerical data ; Female ; Health Education/methods ; Humans ; Infant ; Infant Care ; Infant, Newborn ; Maternal-Child Nursing ; Nursing Theory ; *Postnatal Care ; Postpartum Period ; Pregnancy ; *Social Support ; Young Adult

PURPOSE: To determine the effects of provision of information on mother's problem focused coping ability during their child's intravenous procedure. METHODS: Data were collected from 56 mothers whose children have admitted to pediatric ward in the hospital. The participants included 27 intervention group mothers and 29 control group mothers. For the information intervention, "Programmed Information for Parental Coping before Intravenous Procedure (PIPC-IP)", video program was made based on self-regulation theory for the experimental group mothers. Mother's coping ability was measured by parental supportive behavior, parental beliefs and Profile of Mood State (POMS). RESULTS: Mothers who received PIPC-IP showed significantly higher levels of supportive behavior (t = 3.55, p = .005) and Parental Beliefs (t = 2.95, p = .005), but no significant difference in negative mood on POMS (t = .15, p = .87) compared to mothers in the control group. CONCLUSIONS: These results demonstrate that PIPC-IP is an effective intervention to increase the supportive behaviors and beliefs of mothers' problem focused coping ability but not the negative mood.
*Adaptation, Psychological ; Adult ; Attitude to Health ; *Child, Hospitalized/psychology ; Child, Preschool ; Double-Blind Method ; Emotions ; Female ; Health Education/*organization & administration ; Humans ; Infant ; Korea ; Male ; Mother-Child Relations ; *Mothers/education/psychology ; Nursing Evaluation Research ; *Phlebotomy/adverse effects/psychology ; Problem Solving ; *Programmed Instruction as Topic ; Psychological Theory ; Questionnaires ; Social Support ; Videotape Recording

PURPOSE: To explore how young adults in their 20s adjust to hemophilia. METHOD: Grounded theory method guided the data collection and analysis. A purposeful sample of 15 young adults with hemophilia participated during the period of 2000-2001. The data were collected by semi-structured individual interviews, focus group interviews, and participant observations. All interviews were audio taped and transcribed verbatim. Constant comparative analysis was employed to analyze the data. RESULT: "Living like a normal person" emerged as the basic social-psychological process. Two dimensions of the self were identified: normal self and abnormal self. "Living like a normal person" means conscious effort to focus on normal self rather than abnormal self. Five subcategories were identified : 1) pretending as if he is not hemophiliac; 2) relieving the burden; 3) maintaining best physical conditions; 4) becoming independent; and 5) reconciliating with their mothers. CONCLUSION: The results of this study indicate that young adults with hemophilia strive for living a life as a normal person. But there is a question whether it is good for their ultimate quality of life. The results indicate that our society needs to be more tolerant to differences that hemophiliacs have.
Data Collection ; Focus Groups ; Grounded Theory ; Hemophilia A* ; Humans ; Methods ; Mothers ; Quality of Life ; Social Adjustment ; Young Adult*

OBJECTIVES: Group psychotherapy is more economic than individual psychotherapy and effective to adolescents especially. Group psychotherapy with adolescents will be used widely when adolescents problems are becoming more important so that government focuses on them. This article aims for the readers to understand group psychotherapy easily. METHODS: This article is based on reviewing lots of articles related to adolescent group psychotherapy published at home and abroad and our researches and practical experiences in regard with inpatient and outpatient group with adolescents for a long time. This article is described in order of history, theory, model, development stage, and therapeutic factor. RESULTS: Theories of group psychotherapy have been affected by about 200 psychotherapy theories. Among a lot of theories, psychoanalytic theory and cognitive-behavioral theory have been accepted as a perennial effective therapeutic modality. In Korea, structuralized cognitive-behavioral group therapy is currently pervaded in Youth Counselling Center or General Social Welfare Center. But because that is generally consist of skill training and problem solving centered approach, it is difficult to achieve therapeutic goal of ultimate behavioral change in basis of genetic insight. On the contrary, it is known that psychoanalytic group therapy has more benefit to raise adolescent universal value, group norms, group rules, confidentiality, and community consciousness for adolescents. and that group therapy provides adolescents with more secure and caring conditions. Here and now, adolescent group therapists apply wide theories and various techniques with flexible attitudes to go together with unapproachable adolescents. Models of group psychotherapy have various mode related to age, disorders, functional level, developmental level, clinical environment, structural modalities, and intervention goal. Developmental stages of the group psychotherapy consist of formal stage, conflictual stage, normal stage, and performing stage. And then those are divided with the first stage, middle stage, and the last stage in an adolescent group. Therapeutic factors of an adolescent group are as follows. Interpersonal learning, catharsis, existential factor, and group cohesiveness are highly evaluated in an encounter group and a long-term group for personality change. And catharsis, universality, identification, and group cohesiveness are highly evaluated in a short-term group. To handle the adolescent group, therapist capability is very critical. Special knowledge, technique, and endurance are needed for the group therapist to lead an adolescent group. Even though some therapist lead the adult group for a long time, they have to get special training and supervision to lead the adolescent group. CONCLUSIONS: Group psychotherapy has been formally accepted as one of therapeutic modalities that must be as equally effective as individual psychotherapy even if it derives from individual psychotherapy. Adolescent group psychotherapy is currently accepted as one of the most important therapeutic modalities although it is not highlighted as same as adult group psychotherapy. Group therapy is the most desirable therapeutic method for adolescents because they go through a transitional critical time for change and they are especially affected by peer group.
Adolescent* ; Adult ; Catharsis ; Confidentiality ; Consciousness ; Humans ; Inpatients ; Korea ; Learning ; Organization and Administration ; Outpatients ; Peer Group ; Problem Solving ; Psychoanalytic Theory ; Psychotherapy ; Psychotherapy, Group* ; Sensitivity Training Groups ; Social Welfare