PURPOSE: This study is a qualitative research to identify new nurses' adaptation experience to sleep changes. METHODS: Grounded theory methodology was utilized. Participants were 10 new nurses from one university hospital. The information was collected and analyzed using the grounded theory of Corbin and Strauss'(2008). RESULTS: Through constant comparative analysis, central phenomenon was identified as 'Shaky daily life due to the sleep change'. A core category emerged as 'In the shaky daily life, go grab my position', Causal conditions were 'Heaviness in shift work', 'Not released after getting off work', and 'Body and mind are exhausted'. Context were 'An environment that does not tolerate mistakes' and 'Clogged breathing due to worries'. Intervening factors were 'Support of colleagues', 'Recovery volition in restoration of altered relationships due to sleep'. Action/Interaction Strategies were 'To strive for a good sleep', 'Require a reasonable duty schedule' and 'Find a breakthrough'. Consequences were 'Become the master of shaky daily life' and 'Accepting the life of a nurse'. CONCLUSION: New nurses experience sleep patterns changes from the hospital shift system. but throughout the process of adaptation, came to accept sleep disorder as part of the life of a nurse.
Qualitative Research ; Respiration ; Volition

The intercourse for mutual understanding between the doctor and the patient is an essential factor of successful medical treatment. The law should confine its duties to forming conditions where the remedial discourse can be held freely and peacefully. Under the Art. 16 of the medical law, however, the structure of free remedial discourse is distorted by asymmetrically distributing the rights and obligations between the doctor and the patient.; The doctor's responsibility to treat the patient ends as soon as the recipient decides to terminate it on his or her own volition. In the case of patients requiring immediate attention the doctor and the patient should discuss the matters of the medical, ethical and political aspects of the termination of treatment with religious men or women etc. If the above mentioned is properly carried out, any decision is fully legitimated regardless of the its content.
Female ; Human Rights ; Humans ; Jurisprudence ; Male ; Volition

PURPOSE: The purpose of this study was to define and clarify the concept of volition for health behavior. METHODS: For this study the process of Walker & Avant’s concept analysis was used. Seventeen studies from electronic data basses met criteria for selection. RESULTS: Volition can be defined by the following attributes: 1) planning, 2) maintenance of self-efficacy, and 3) self regulation. The antecedents of volition consisted of: 1) risk awareness, 2) outcome expectation, 3) perceived self-efficacy, and 4) social support. The consequences occurring as a result of volition were: 1) prevention of disability and complications, 2) improvement of functional ability, and 3) enhencement of quailty of life. CONCLUSION: Definition and attributes of volition identified by this results can be applied to develop measurements and intervention programs for chronic patients health behavior.
Bass ; Chronic Disease* ; Health Behavior* ; Humans ; Self-Control ; Volition* ; Walkers

PURPOSE: The purpose of this study was to assess current levels of awareness of clinical trials (CTs), perceptions regarding their benefits and willingness to participate to CTs among Korean cancer patients. MATERIALS AND METHODS: From December 2012 to August 2015, we distributed questionnaires to cancer patients receiving systemic anti-cancer therapy at Seoul National University Hospital, Seoul, Korea. RESULTS: A total of 397 out of 520 requested patients (76.3%) responded to the survey. Among the 397 patients, 62.5% were female and the median age was 52 years. Overall, 97.4% (387/397) answered that they have at least heard of CTs. When asked about their level of awareness, 23.8% (92/387) answered that they could more than roughly explain about CTs. The average visual analogue scale score of CT benefit in all patients was 6.43 (standard deviation, 2.20). Patients who were only familiar with the term without detailed knowledge of the contents had the least expectation of benefit from CTs (p=0.015). When asked about their willingness to participate in CTs, 56.7% (225/397) answered positively. Patients with higher levels of awareness of CTs showed higher willingness to participate (p < 0.001). Heavily treated patients and patients with previous experience regarding CTs also showed a higher willingness to participate (p < 0.001). The perceived benefit of CTs was higher in the group willing to participate (p=0.026). CONCLUSION: The patient’s level of awareness regarding CTs was positively related to the positive perception and willingness to participate. Although the general awareness of CTs was high, a relatively large proportion of patients did not have accurate knowledge; therefore, proper and accurate patient education is necessary.
Female ; Humans ; Korea ; Patient Education as Topic ; Seoul ; Volition

Higher cognitive functions refer to the highest level of human intellectual functioning, including formation, reasoning, and executive functions. The executive functions can be conceptualized as having four components ; volition, planning, purposive action, and effective performance. Because higher cognitive functions represent the most advanced stages of intellectual development, they are often highly susceptible to the effects of brain injuries and mental disorders. The ability to perform effectively within the environment is determined in large part by an individual's adequacy in performing such higher-order function. Especially executive functions are necessary for appropriate, socially responsible, and effectively sell-serving adult conduct. Therefore, an assessment of the psychiatric patient's performance in these areas will provide useful diagnostic information, as well as information concerning social and vocational prognosis.
Adult ; Brain Injuries ; Executive Function ; Humans ; Mental Disorders ; Prognosis ; Volition

PUPPOSE: The purpose of this study is to describe the psychological aspects of experiences of men living in a homeless shelter in Seoul. This study focused on understanding about the life of the homeless in the shelter by Phenomenological method. METHOD: The participants in this study were seven men who are living in a homeless shelter in Seoul. The following data were collected though the in-depth interviews and analyzed by the Phenomenological analytic method of Giorgi. RESULT: There are five focal significances about the life of the homeless. (1) Unplanned Life : Difficult life comes from outside situation, Freedom, The acceptance of unconsciousness life, Laziness, Unreliability, The dissolute life, No purpose to life, Relying on drinking, (2) Self-rationalization : Feeling of defeat, Give up, Desire for a support system, Lack of willingness, Anxiety, Chivalry, Falsehoods, (3) Superficial Interpersonal Relationships : Ignorance, Pressure, Discord, Hiding from one anther, avoidance. (4) A sense of devestation : Negative perspective, Mental weakness, Difficulties in employment, ambivalance with social structure, The place to escape, Complaining against the opposite sex, Sense of regret, Lack of relationship with family, The lack of self-confidence, Loss of volition (5) The Hope of new life : Realization, Desire for change, Dreaming of married life, Dependence in God CONCLUSION: The conclusion of this study shows that the men in the shelter had various psychological reasons for being in the homeless shelter. Further studies need to be done to validate this information and formulate ways to assist these men with their psychological needs.
Anxiety ; Drinking ; Employment ; Freedom ; Hope ; Humans ; Life Change Events* ; Male ; Seoul ; Unconsciousness ; United Nations ; Volition

PURPOSE: The purpose of this study was to identify turnover intentions in workers with mentally disabilities working in manufacturing industry. METHODS: Participants were 147 workers with mentally disabled living in B-city and Y-city. The data were collected from September 1st to November 30th, 2011 using self-report questionnaires including measurements of turnover intentions, family support, work volition, working environment, job satisfaction and internalized stigma. Data analysis was done using the SPSS/WIN 18.0 program. RESULTS: The average score for turnover intention was 2.9+/-0.7. Turnover intention was related to job satisfaction, working environment, family support and internalized stigma. The predicting factors for turnover intention were job satisfaction, internalized stigma and gender. Those factors accounted for 41.9% of turnover intention. CONCLUSION: The results imply that workers with mentally disabled need to reduce internalized stigma as well as to increase job satisfaction in order to decrease turnover intention.
Humans ; Intention ; Job Satisfaction ; Mentally Disabled Persons ; Personnel Turnover ; Surveys and Questionnaires ; Rehabilitation, Vocational ; Statistics as Topic ; Volition

Serotonin selective reuptake inhibitors have been demonstrated to be effective in the treatment of patients who are vulnerable to antidepressant-induced side effects. However, fluoxetine known as generally safe and well tolerated drug, has been recently reported to induce mania. Also we have observed a case of fluoxetine-induced mania and report it here. Mr. A, 56 year-old male patient who has fluoxetine-treatment history with range of 10-40 mg/day due to depressive episode for 2 months, visited our outpatient department because of recurrent depressive episode. Upon that time Mr. A had not received any psychotropics and so he was free from any antidepressive agent for about 1 year. He has been suffering from moderate to severe recurrent depressive episode with depressed mood, loss of appetite, insomnia, and loss of volition upon visiting us. Fluoxetine 20 mg/day at morning was prescribed for control of his depressive symptoms without combined psychotropics. 31 days later he became overtly manic, with sleep deterioration, pressured speech, increased energy, elevated mood, and hyperactivity and so was admitted to hospital by his family. The fluoxetine was discontinued immediately and, mood stabilizer and antipsychotic were given to him. His manic symptom was started to remit in 10 hospital days and Mr. A left hospital with euthymic state on 42th hospital day.
Appetite ; Bipolar Disorder* ; Depression ; Fluoxetine* ; Humans ; Male ; Middle Aged ; Outpatients ; Serotonin ; Sleep Initiation and Maintenance Disorders ; Volition

PURPOSE: The purpose of this study was to elucidate the role of Korean women nurses in the independence movement and to examine their activities during the Japanese occupation from 1910 to 1945. METHODS: Nurses studied were women nurses referred to as Ganhowon, Ganhobu, Gyeonseupganhobu, Sanpa, and Josanbu at that time. Five participants such as descendents or relatives of nurses who participated in independence movements, were selected for interview to provide oral historical materials. An historical research approach was used and all of the data were analyzed according to period, region, and pattern of the independence movement. RESULTS: Throughout the historical literature and oral historical materials, it was found that from 1914 to 1945, thirty-eight women nurses actively participated in various types of independence activities such as mass hurrah demonstrations, raise the spirit of war, red cross activities, enlightenment movement and armed struggle to encourage the public to stand up against Japanese imperialism locally and abroad. CONCLUSION: The findings indicate that women nurses, as enlightened women, endeavored to solve social issues with their autonomous volition, and these action can serve as meaningful evidence for enhancing the social status of nurses.
Arm ; Asian Continental Ancestry Group* ; Female ; History of Nursing ; Humans ; Occupations* ; Qualitative Research ; Red Cross ; Volition

OBJECTIVES: This study was intended to develop the Korean Depression Scale (KDS) which reflects our culture and custom. METHODS: Participants were 3,707 normal adults selected from 12 administrative districts (Do) and 142 depressed patients. Internal consistency was calculated and construct and discrimination validation were performed. And ROC analysis was used to testify diagnostic efficiency for depressed patient. RESULTS: KDS was proved to be a reliable instrument (Cronbach alpha=.95) and it consisted of 6 factors; Negative thinking toward the future, Negative thinking toward the self, Worry and agitation, Depressed mood, Somatization, and Loss of volition. Patients' KDS score mean was higher than normal group's significantly. Diagnostic efficiency was 73.1% and the male's full scale cutoff score was 65, female 70. CONCLUSION: These results suggest that KDS is a reliable and valid tool which reflects Korean culture and custom. And the KDS will be useful in diagnostic evaluation of depression and treatment outcome study.
Adult ; Depression* ; Dihydroergotamine ; Discrimination (Psychology) ; Female ; Humans ; Korea* ; ROC Curve ; Thinking ; Treatment Outcome ; Volition