PURPOSE: Caring for patients with dementia is a challenging issue entailing heavy responsibility. Many interventions for caregivers have been developed, but their effectiveness is not clear. This study aimed to examine how, why, and under what circumstances interventions for dementia caregivers affected their burden of caring. METHODS: Authors used a realist review approach to explore the evidence for how different interventions reduce the burden of dementia caregivers. We completed the literature review about the burden of dementia caregivers and extracted the theoretical concepts to explain context-mechanism-outcome configuration why an intervention may be effective in some situations and not others. Six databases were searched for experimental or quasi-experimental studies conducted from 2008 to 2017. Of 1,225 screened studies, 10 studies were eligible for inclusion. RESULTS: None of the studies included all the derived contexts while explaining in detail the mechanism of the intervention effectiveness. Among contexts, the variable of other family members requiring care was not included in all studies. Among the analyzed studies, no studies have applied repeated intervention. Most studies included only some variables of context and mechanism, and these variables did not directly explain the effectiveness of intervention. The effect of outcome variables was significant for each study, and the effects of research intervention and national services could not be separately described. CONCLUSION: Authors conclude that Korean culture's emphasis on relationships with others increases the burden of care. In context, Confucian norms and traditional femininity of Korea were reflected in the core. It is necessary to check the homogeneity of participants and the design of intervention to verify the effectiveness of the outcome variable of psychological burden.
Caregivers ; Dementia ; Femininity ; Humans ; Korea ; Non-Randomized Controlled Trials as Topic

In the binary of gender, women and femininity came to be associated with motherhood, nurturing, and beauty whilst men and masculinity were associated with productivity, protection, and strength. No longer are we to systematically categorize an individual's gender in terms of polar opposite of femininity and masculinity, but instead we must acknowledge all that resides in between those two poles and allow for identity terms that best express their sense of self. The term ‘transgender has become an umbrella term for a broader and more encompassing array of gender narratives outside of the binary norm of gender. Gender dysphoria is managed and treatable through psychotherapy and through the social and medical transition of gender. The support of transgender individuals' preferred gender through social acknowledgment, gender expression, hormone therapy, and surgery has been proven to alleviate symptoms of gender dysphoria in transgender people, enabling them to incorporate back into society.
Beauty ; Efficiency ; Female ; Femininity ; Gender Dysphoria ; Gender Identity ; Humans ; Male ; Masculinity ; Psychotherapy ; Transgender Persons*

PURPOSE: The purpose of this study was to explore decision making experiences of Korean women with breast cancer who underwent breast reconstruction with/after a mastectomy. METHODS: Data were collected during 2015-2016 through individual in-depth interviews with 10 women who had both mastectomy and breast reconstruction, and analyzed using phenomenological method to identify essential themes on experiences of making a decision to have breast reconstruction. RESULTS: Five theme clusters emerged. First, “expected loss of sexuality and discovery of autonomy” illustrates various aims of breast reconstruction. Second, “holding tight to the reputation of doctors amid uncertainty” specifies the importance of a trust relationship with their physician despite a lack of information. Third, “family members to step back in position” describes support or opposition from family members in the decision making process. Fourth, “bewilderment due to the paradox of appearance-oriented views” illustrates paradoxical environment, resulting in confusion and anger. Lastly, “decision to be made quickly with limited time to oneself” describes the crazy whirling process of decision making. CONCLUSION: Findings highlight aims, worries, barriers, and facilitators that women with breast cancer experience when making a decision about breast reconstruction. Deciding on breast reconstruction was not only a burden for women in a state of shock with a diagnosis of breast cancer, but also an opportunity to decide to integrate their body, femininity, and self which might be wounded from a mastectomy. These findings will help oncology professionals provide effective educational counselling before the operation to promote higher satisfaction after the operation.
Anger ; Breast Neoplasms* ; Breast* ; Decision Making* ; Diagnosis ; Female ; Femininity ; Humans ; Mammaplasty* ; Mastectomy ; Methods ; Qualitative Research ; Sexuality ; Shock ; Wounds and Injuries

PURPOSE: This study was done to identify types and characteristics of gender role identity from the perspectives of nursing students who experience challenges and maladjustments that are distinct from students in other departments because nursing students have a curriculum that includes both academic courses and clinical practice. METHODS: Q Methodology was used to examine differences in the meaning of gender role identity among individual students. Data from 40 women nursing students, using 40 Q samples representing masculinity and femininity, were collected and analyzed. RESULTS: The participants' responses were classified into three types: 'Affectionate-sensitive type' represented by those who share traditional Korean feminine characteristics and are delicately sensitive. 'Affectionate-assertive type' represented by those who have strong characteristics of warm leaders, and are responsive and confident. 'Sensitive-expressive type' represented by those who are excellent in communication and have high empathic ability. CONCLUSION: Nursing professors or counselors need to provide nursing students with guidance and counseling related to adaptation to school life, career exploration, and career choice based on the their type of gender role identity.
Career Choice ; Counseling ; Curriculum ; Female ; Femininity ; Gender Identity* ; Humans ; Masculinity ; Methods* ; Nursing* ; Students, Nursing*

PURPOSE: The purpose of this study was to identify the specific types and characteristics of gender role identity in view of male nursing students. METHOD: Q-methodology, a technique for extracting subjective opinions, was used. Forty participants completed the Q-sort activity, rating each statement relative to the others. The Q sample has two categories, representing masculinity and femininity, and each category has 20 statements, resulting in 40 adjectives. The collected data were analyzed by QUANL PC program. RESULTS: Three types of gender role identity of male nursing students were identified: 'Taciturn warmth type', 'assertive power type', 'empathic warmth type'. Despite the differences among the types in this research, male nursing students are likely to have the understanding and keep faith. CONCLUSION: Male nursing students were exposed to many problems because of the gendered culture of nursing education. To understand the male nursing students' gender role identity will help to promote adaptation in nursing field.
Education, Nursing ; Femininity ; Gender Identity* ; Humans ; Male ; Masculinity ; Nursing ; Q-Sort ; Students, Nursing*

PURPOSE: This study aimed to analyze the experience of female trainees who were trained in hospitals after graduating from medical school, focusing on methods of representing their gender in training courses. METHODS: We interviewed 8 trainees who had been trained in a hospital in Seoul and 4 faculties from June 2010 to October 2010. We analyzed their similarities and differences and developed a vocational identity formation process to represent gender. RESULTS: Gender was represented contradictorily in their training course, affecting their choice of specialties and interactions with patients. But, female trainees did not want to their being distinguished from their male counterparts with regard to being a good doctor to be influenced by meritocracy. It was difficult for them to bear children and balance work and family life due to aspects of the training system, including long work hours and the lack of replacement workers. Consequently, they asked their parents to help with child care, because hospitals are not interested in the maternity system. Female trainees did not consider being a doctor to be a male profession. Likely, they believed that their femininity influenced their professionalism positively. CONCLUSION: The methods of representing gender are influenced by the training system, based a male-dominated apprenticeship. Thus, we will research the mechanisms that influence gender-discriminated choices in specialties, hospitals, and medical schools and prepare a maternity care system for female trainees. Strategies that maximize recruitment and retention of women in medicine should include a consideration of alternative work schedules and optimization of maternity leave and child care opportunities.
Appointments and Schedules ; Child ; Child Care ; Female ; Femininity ; Humans ; Male ; Parental Leave ; Parents ; Physicians, Women ; Prejudice ; Retention (Psychology) ; Schools, Medical ; Ursidae

As the breast of woman is considered as a symbol of femininity, the shoulder of man is regarded as a symbol of masculinity. Narrow shoulders disallow proper fitting of male clothing and result disproportionately large and unbalanced facial look in men. The purpose of this article was to evaluate the aesthetic outcomes of shoulder augmentation using soft silicone in patients with narrow shoulders. From April 2009 to July 2010, 21 male patients received shoulder augmentation by using silicone implants in the subfascial space of the deltoid muscle. The silicone implant was prefabricated according to the shape of the lateral portion of the deltoid muscle, and placed in subfascial pocket. After the operation, the shoulder width was increased by 6.6cm on average and patients were satisfied with their augmented shoulders, giving them more sharp figure when wearing their clothes. The firmness of the soft silicone is similar that of the deltoid muscle, and the curvature of the implant looks like a natural deltoid muscle. The subfascial position of the implant does not limit the range of motion of the shoulder joint. The authors expect that shoulder augmentation will take part in a new entity of body contouring surgery.
Breast ; Clothing ; Deltoid Muscle ; Female ; Femininity ; Humans ; Male ; Masculinity ; Range of Motion, Articular ; Shoulder ; Shoulder Joint ; Silicone Elastomers

PURPOSE: The purpose of this study was to explore gender-role identity and cyber delinquency in high school students. METHODS: Data were collected through self-administered questionnaires and analyzed by descriptive statistics, t-test, and ANOVA. The data survey was conducted with 1,208 conveniently selected high school students in Seoul, Gyung-gi and Chung-chung province. RESULTS: The cyber delinquency score was 38.94 and androgyny gender role identity was most common (34.0%). There were significant differences in cyber delinquency by academic year, gender, school record, economic status, educational background of parents, experiences of smoking, drinking, runaway, and gender-role identity. According to gender-role identity, the masculinity group showed highest cyber delinquency and the undifferentiated, androgyny, and femininity groups followed respectively. CONCLUSION: These findings are expected to make a contribution to creation of ideal interventions and to help discover early stage cyber delinquency in high school students as approached by gender role identity.
Adolescent ; Child ; Drinking ; Educational Status ; Femininity ; Gender Identity ; Homeless Youth ; Humans ; Juvenile Delinquency ; Masculinity ; Parents ; Surveys and Questionnaires ; Seoul ; Smoke ; Smoking

PURPOSE: The purpose of this study was to explore gender-role identity and cyber delinquency in high school students. METHODS: Data were collected through self-administered questionnaires and analyzed by descriptive statistics, t-test, and ANOVA. The data survey was conducted with 1,208 conveniently selected high school students in Seoul, Gyung-gi and Chung-chung province. RESULTS: The cyber delinquency score was 38.94 and androgyny gender role identity was most common (34.0%). There were significant differences in cyber delinquency by academic year, gender, school record, economic status, educational background of parents, experiences of smoking, drinking, runaway, and gender-role identity. According to gender-role identity, the masculinity group showed highest cyber delinquency and the undifferentiated, androgyny, and femininity groups followed respectively. CONCLUSION: These findings are expected to make a contribution to creation of ideal interventions and to help discover early stage cyber delinquency in high school students as approached by gender role identity.
Adolescent ; Child ; Drinking ; Educational Status ; Femininity ; Gender Identity ; Homeless Youth ; Humans ; Juvenile Delinquency ; Masculinity ; Parents ; Surveys and Questionnaires ; Seoul ; Smoke ; Smoking

PURPOSE: The purpose of this study was to describe experiences of sexual life among Korean women with breast cancer. METHODS: Data were collected by focus group and individual tape-recorded interviews. The data were analyzed using qualitative content analysis. RESULTS: Participants were 13 women who had stage I, II, or III breast cancer. Four major categories were discovered. "Not interested in sexual life at all" in which participants described their struggle to live while avoiding sexual life during initial stages of disease. "Sexual life that could not go back to previous normal life" in which participants described how they began to recognize many problems related to their sexual life resulting from the loss of femininity and pain during intercourse. "Dangerous marriage due to no sexual life" in which participants illustrated how no or unsatisfactory sexual life threatened their entire marriage and family life. Finally, "rediscovery of sexual life as a vital element in life" in which participants described how, with support from their spouse, they came to realize that sexual life was an important and vital part of their life. CONCLUSIONS: The results of this study could help in developing-educational programs to improve sexual well-being of women with breast cancer and their spouses.
Breast ; Breast Neoplasms ; Female ; Femininity ; Focus Groups ; Humans ; Marriage ; Porphyrins ; Sexuality ; Spouses