PURPOSE The purpose of this study was to describe the reported experiences of health management among twenty elderly workers living in urban areas. METHODS Corbin and Strauss's grounded theory approach was used to capture the meaning of health management. Theoretical sampling technique was used in the interviews. Using open coding, axial coding, and selective coding, data were collected and analyzed simultaneously. RESULTS The core category was ‘pursuing health to take root in the workplace.’ Four stages of the elderly workers' health management were identified as ‘awareness of health changes’, ‘having the will to be healthy’, ‘utilization of health care resources’, and ‘reorganization of health habits.’ However, when the elderly workers reported limited capacity to manage their health, then two new categories were described: ‘awareness of health changes’ and ‘settlement with current health.’ CONCLUSION: To the elderly workers the concept of working was equated with being healthy. Further, the participants reported having a future oriented view of health and sought health to extend their working lives. The specialized intervention of health management targeting elderly workers in the settlement stage of current health habits should be provided.
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PURPOSE The purpose of this study was to explore the meaning and essence of good nursing from the perspective of patients undergoing hemodialysis. METHODS The data were collected through in-depth interviews of five hemodialysis patients who have been dialyzed for one year or longer. The data analysis was conducted using the Giorgi's phenomenological method. RESULTS The findings included six constituents and 13 sub-constituents. The six constituents were 'prompt and skillful response to mitigate distress', 'careful attention to provide relief', 'individualized education to promote self-management', 'an intimate relationship to regain isolated ego', 'warmhearted support to encourage strength to live in a exhausting life', and 'providing of comfortable environment to maintain stability'. CONCLUSION From the perspective of the hemodialysis patients, the concept of good nursing should stem from the integration of nurses' scientific knowledge, expert skills, and moral sensitivity. The finding suggests that strategies to develop nursing interventions for hemodialysis patients will be required on the basis of understanding of their sociocultural contexts and familism.
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PURPOSE The purpose of this study was to determine the effects of auricular acupressure on menstrual pain, dysmenorrhea and academic stress among college students. METHODS A non-equivalent pretest-posttest design was used. Participants were 57 female students recruited from one college. The treatment group (n=30) received an auricular acupressure on a valid zone and the control group (n=27) received an auricular acupressure on an invalid zone (placebo). The independent t-test and chi2-test were used to examine group differences by using SPSS/Win18.0. RESULTS Subjects in the treatment group reported much less menstrual pain of premenstrual day (p=.001), 1st day (p<.001), 2nd day (p=.003), and dysmenorrhea (p=.003). Of significance, participants in the treatment group reported much less academic stress (p=.049) following auricular acupressure. CONCLUSION The findings support that auricular acupressure is effective in controlling menstrual pain and academic stress related to menstruation. As the method is simple it would be useful for women students to be taught and encouraged to utilize this method to mitigate the symptoms related to menstruation through self care.
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PURPOSE This study was to examine the impact of acculturation and social support on the mental health among Korean-American registered nurses. METHODS Data were collected with a convenience sample of 203 Korean-American registered nurses living in New York state and New Jersey state from 8th May to 25th August in 2012. The structured questionnaires measured the degree of acculturation, social support, and mental health. Data analysis was conducted using t-test, ANOVA, Pearson correlation efficient, and Stepwise multiple regression. RESULTS Lower level of integration and higher level of marginalization were associated with the lower mental health. Social support was also positively related to mental health and had mediating effect on the relationship between acculturation and mental health. The five variables, including participants' educational background, work shift, integration, marginalization, and social support were significant to predict the level of mental health among Korean-American registered nurses, accounting for 41% of the variability. CONCLUSION The results imply that higher level of social support and strong identity of both home and host culture will enable Korean-American registered nurses to maintain sound mental health.
PURPOSE This study aimed to identify depression and its predictors among Korean community-dwelling elderly with mild cognitive impairment. METHODS Secondary data analyses of the data collected by the "Study on tailored integration program for reinforcing cognitive and physical function of the frail elderly. The study used data from one-to-one interviews using structured questionnaires. The subjects were 346 community-dwelling elderly who visited a healthcare center in Seoul, Korea. A descriptive correlational study design was utilized to explore depression and its predictors including physical factors and psychosocial factors among the elderly with mild cognitive impairment. Data were analyzed using t-test, Pearson's correlation, and hierarchical regression. RESULTS Mean score of depression was within normal limit 11.61+/-6.69. Somatic symptoms, negative life events (severity), social support were shown as significant predictors of depression. The most influential predictor for depression was somatic symptoms (beta=.340, p<.001). CONCLUSION To prevent and relieve depression in the elderly with mild cognitive impairment, nursing intervention strategies which consider well-balanced physical and psychosocial aspects are needed. In particular, a specific nursing intervention strategy is required to improve physical health of the elderly with mild cognitive impairment.
PURPOSE The purpose of this study was to understand the life of newly appointed professors of nursing by exploring the meaning and essence of their academic work and life experience. METHODS The participants consisted of 11 newly appointed female full-time professors with less than five years of experience who had been purposely sampled from three or four-year nursing colleges. Data were collected from October 2010 to December 2011 through the face-to-face interview and phone interview. Thematic analysis was conducted using hermeneutic phenomenological methodology. RESULTS The findings were classified into seven themes: 'Starting feeling hope and delight', 'putting sustained energy into lecturing and training', 'struggling in the tense atmosphere where assessments are often conducted', 'gaining courage in an associated relationship network', 'experiencing confusion of the identity as a professor', 'seeking compromise, handling their work and housework', and 'shedding new light on reality with self-awareness'. CONCLUSION This study is significant in that it offered the foundation for the creation of human resources networks and mentoring programs that help newly appointed professors to effectively adjust to university society on the basis of the sympathetic understanding of and support for their life.
PURPOSE This study aimed to identify the prevalence of mild cognitive impairment (MCI) among a group of community-dwelling elderly and to determine if there were differences in general characteristics, activities of daily living (ADL), perceived health status (PHS) between the MCI group and group of elderly with normal cognitive function. METHODS This study utilized a descriptive survey design. Six hundred and five subjects over the age 65 were recruited from an S public health center, Seoul. Data were gathered through a variety of instruments: MoCA-K, K-MMSE, K-MBI, S-IADL, and PHS scale. Data were analyzed by SPSS/WIN 18.0 using descriptive statistics, Chi-Square test and t-test. RESULTS The prevalence of MCI among the subjects was 46.0%. Differences in IADL, PHS, age, education, sex, and residing with a spouse were statistically significant between groups. The MCI group had lower IADL, lower PHS, were older, and had lower educational levels than the group with normal cognitive function. Further, the MCI group was less likely to live with a spouse. CONCLUSION It is suggested that MCI group should be targeted in developing and implementing nursing strategies to prevent dementia and improve the elderly cognitive function.
PURPOSE This study was to explore the process of belongingness experienced during the apprentice course for advanced practice nurses. METHODS: Data were collected through in-depth interviews with 15 people, who attended the apprentice course for advanced practice nurse, from three schools in Seoul from Jan. 19 until Feb. 25, 2010. The constant comparative method was adapted for data analysis. RESULTS: The core category of this study was the 'learning-connected process' and this process was categorized into three stages. These stages were: going along with the atmosphere, exchanging, and integrating. During the course, the 'uncomfortable participation' as the central idea meant a sense of responsibility and a tension about practice learning of the participant and was influenced by the quality of interaction and the distinct instruction of learning contents. Belongingness was characterized by the Joyful and happy participation which linked to the motivation of new learning opportunities. CONCLUSION: The findings indicate that there is a process to belongingness and a close relationship between belongingness and learning. Further studies would suggest exploring the components of belongingness, a concept analysis and incorporating the belongingness scale with other qualitative research on this topic.
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