The Effect of Behavioral Relaxation Training on Distress and Cancer Screening Intention of Patients with Upper Gastrointestinal Endoscopy / 한국간호교육학회지

PURPOSE: This study evaluates the effect of behavioral relaxation training on distress and cancer screening intention of patients with upper gastrointestinal endoscopy.METHODS: The research was conducted in a non-equivalent control group posttest design. Data were collected from endoscopy subjects in B city from October to November of 2018. Fifteen minutes of behavioral relaxation training were provided to the experimental group (n=40) and traditional relaxation therapy methods were provided to the control group (n=40). Outcome measures were distress and cancer screening intention of patients with upper gastrointestinal endoscopy. Data were analyzed with a χ²-test, independent t-test, Fisher's exact test with SPSS/PC version 23.0.RESULTS: The objective discomfort (t=8.81, p<.001) of the experimental group was lower than that of the control group; there were no significant differences in the subjective discomfort (t=1.73, p=.088). The cancer screening intention (t=−5.85, p<.001) of the experimental group was significantly higher than that of the control group.CONCLUSION: Behavioral relaxation training was effective in heightening cancer screening intention. Therefore it can be usefully applied to increase cancer screening intention.

Subjectivity About Turnover Intention Among Male Nurses in South Korea: A Q-Methodological Study

PURPOSE: Around the world, male nurses face a variety of difficulties within clinical settings; accordingly, a large number of male nurses consider changing their occupation. In particular, male nurses in a number of Asian countries with a Confucian heritage experience difficulties. Thus, the purpose of this study was to explore individual differences in turnover intention among male nurses in one such country, South Korea, and on that basis to suggest concrete strategies for reducing turnover among male nurses in Confucian cultures. METHODS: Q methodology, which is used to analyze human subjectivity, was applied. Q statements were derived from 207 candidate statements gathered from various documents and interviews; 40 statements were finalized. A purposive sample of 41 male nurses was selected as likely to have diverse opinions on turnover intention of male nurses. The collected data were analyzed using PQMethod software. RESULTS: Four distinct types of subjectivity about turnover intention among male nurses were identified: (1) “Pursuing occupational values,” (2) “Dissatisfaction with treatment,” (3) “Seeking a relaxed and stable life,” and (4) “Conflict related to organizational culture.” CONCLUSION: This study suggests various ways of reducing turnover and increasing retention among male nurses based on the four identified perspectives, especially in Confucian heritage regions.

A Study of Subjectivity about Happiness among Undergraduate Students: Q methodological approach / 한국간호교육학회지

PURPOSE: The purpose of this study was to investigate the subjectivity of undergraduate students about happiness. METHODS: Q methodology, which scientifically measures individual subjectivity, was used. Thirty-four Q-statements selected from 40 participants were classified into a shape of normal distribution using a nine-point scale. The collected data were analyzed using a PQMethod PC program. RESULTS: Type I: Self-directed, growth-seeking type. This group of people searches for their objectives and direction in life while consistently making efforts to realize their goals. Type II: Oriental and wealth-seeking type. This group of people sympathizes with the oriental worldview and believes in having luck such as wealth or health. Type III: Realistic and pleasure-seeking type. This group of people tries to think positively but while rooted in reality, searches for pleasure and satisfaction in their surroundings. Type IV: Altruistic and relationship-seeking type. This group of people stresses the importance of religious life, small happiness in life, and relationship with friends or neighbors. CONCLUSION: The results of this study provide the foundation for understanding college students' perception about their happiness. Furthermore, these results suggest the necessity of specific and integrated education to improve happiness.

Spiritual Health in Korean Culture: Q methodological approach / 기본간호학회지

PURPOSE: This paper is a basic study done to establish spiritual health concepts according to Korean culture. The focus was on identifying perceived concepts of spiritual health in Korean people. METHODS: The Q method, which is effective in measuring individual subjectivity, was used in this study. RESULTS: Perception of the concept of spiritual health was found to have 3 independent types, Type I is a self-directed, present life centered type. This is a group stressing the importance of planning self-directed life and the people of this group consider the values of the present life as important. Type II is a faith-oriented, afterlife centered type. This is a group whose essence of spiritual health is religious devotion like faith in god and the people of this group do not sympathize with the oriental world view. Type III is an oriental, value-sharing type. This is a group with an oriental world view and the people of this group stress importance in sharing values with communities or others. CONCLUSION: These results not only become the basis for understanding the concept of spiritual health among Koreans, but also suggest the necessity of comprehensive education for spiritual health promotion.

A Study on the Cognition and Attitude on Well-Dying in Undergraduate Students: Q methodological approach / 기본간호학회지

PURPOSE: The purpose of this study was to investigate the subjectivity of undergraduate students about well-dying. METHODS: Q-methodology, which is effective in scientifically measuring individual subjectivity, was used. The result of the Q-short of the 34 Q-statements by 42 participants was analyzed using the PQM program. RESULT: Four cognitive types of subjectivity about well-dying were identified and labeled as follows. Type 1: oriental and family-centered type, Type 2: Individual and fate-adapted type, Type 3: altruistic and afterlife-centered type, Type 4: self-leading and secularistic type. CONCLUSIONS: Undergraduate students have a well-dying concept which tends to be self-centered and secularistic. At the same times, they also have a well-dying concept which has a basically oriental view, that is, family-centered and fate-adapted views.

A Study on the Subjectivity of Koreans about Well Dying: Q Methodological Approach / 기본간호학회지

PURPOSE: The purpose of this study was to investigate the subjectivity of Koreans about well-dying by dividing the cognition and attitudes of Koreans about well-dying into five types and analyzing and interpreting each type. METHOD: Q-methodology, which is effective in scientifically measuring individual subjectivity, was used. The result of the Q-shorting of the 34 Q-statements by 42 participants was analyzed with the PQM program. RESULT: Five cognitive types of the subjectivity about well-dying were identified and labeled as follows. Type I: Individual and preparation for the other world. Type II: Receptive to nature and fate. Type III: Oriental and family centered. Type IV: Realistic and self-independent. Type V: Altruistic and preparing for the other world. CONCLUSIONS: This study generally show that traditional family connections and blood relationship are declining, and western rationalism and the pursuit of the positive meaning of well-dying are beginning to be accepted in the cognition of modern Koreans.

A Study on Concepts of Health in Older Korean Women: Q Methodological Approach / 기본간호학회지

PURPOSE: This paper is a basic study done to establish a theory of health according to Korean culture. The focus is on identifying perceived concepts of health in older Korean women. METHOD: The Q-method, which is effective in measuring individual subjectivity, was used in this study. RESULTS: Perception of the concept of health was found to have 4 independent types, as follows. 1. Type I: natural & couple-oriented type. Women with this type not only have a naturalistic view of health but also put weight on being couple-centered. 2. Type II: oriental & children-oriented type. These women have traditional oriental views of the world, and are strongly dependent on their children. 3. Type III: western & altruistic type. These women do not agree with oriental concepts of health. They are positive altruists, pursuing the meaning of life. 4. Type IV: modern & self-oriented type. Women with this type not only interpret the concepts of health within western medicine, but also positively accept oriental views of the world. CONCLUSIONS: Health concepts of older Korean women are complicated, not only with western-medical concepts of health, but also more strongly complicated with concepts from oriental medicine.

A Study on Shamanism from a standpoint of Nursing / 간호학회지

The purpose of this study is to construct the nursing-policy and nursing-theory of Korean style by understanding the type of recognition and attitude immanent in Korean people through of Korean people to the Shamanism. And this paper is using Q methodology by operant definition. Because individual recognition and attitude to Shammanism is very subjective and individualistic and many-sided. Q statements in this paper are ultimately 38 statements divided into 5 regions, which are abstracted from 285 Q samples. 38 persons in all are objects of P-population. The results of analyses on the characters of each type are as follows. The men who belong to type I is positive to the Shamanism in recognition and attitude at the same time. The men who belong to type II are negative the analysis of the recognition and attitude to Shamanism in recognition, but positive to Shamanism in practical attitude. The men who belong to type III are evidently negative to Shamanism in recognition and attitude at the same time. The men who belong to type IV are positive to Shamanism, but negative or reservative to it in attitude. In conclusion, we could affirm that shamanic care-act which modern medicine discard as only superstition is very deeply rooted in the Korean people'need. In short, Korean people is already and always related to Shamnism, whether positively or negatively. I dare to think this paper might contribute the other disciplines of sciences as basic data.

A Survey on Perception and Attitude of Patients and their Families to the Korean Shamanism / 기본간호학회지

This survey was done to construct a nursing theory according to Korean culture and to identify the Korean traditional view. From ancient time until now, shamanism has played an important role as determinant of Korean culture and of the personality formation of Korean people. The subjects are 321 patients and member of their families who were over 18 years old, and who are living in five large cities and two rural communities on Korea. Data collection was done from March, 8th to April, 29th in 1999. The tool developed by the investigator through literature review was used to measure the perception and the attitude of patients and their families to Korean shamanism. Collected data were analyzed by frequency, percent and test with SPSS program. The results are summarized as follows : 1) While 35% of respondents answered that the destiny or fate was only relied on the abilities and endeavor of individual, 65% of respondents were fatalists or eclectic are compromised between the fate and endeavor. 2) While half of the respondents belief in divination to some degree, the rest of them reported hardly any belief in divination. 3) There were almost twice as many respondents who directly consulted fortunetellers were as respondents who did not consult fortunetellers. 4) The reasons for consulting fortunetellers were job problems, home problems, health problems by in that order. 5) The respondents almost always interpreted the cause of physical disease and mental disease as being psycho-sociological, but 1% of them explained mental disease as a shamanistic manifestation. 6) In case of disease, the reasons for consulting a fortuneteller was a) no hope of recovery from the sickness in any other way, b) the chronic disease in that order. 7) Of the respondents, 65% answered that disease could not be cured by a 'Gut'(the performance done by the shaman), but 27% of respondents thought that disease could be cured by a 'Gut' in the case of mental disease. 8) Sixty six percent of the respondents answered that they have experienced praying for their wishes with clean water. 9) While 54% of the respondents answered that they have seen or heard the 'Beung Gut'(the performance to pray for recovery of sickness done by the shaman), 46% responded that they have they have never seen or heard it. 10) To the question, "do you intend to have a 'Beung Gut'", 51.7% of respondents answer "no" stongly, but 48% of them say "yes" or took a compromising attitude. 11) Generally the respondents differed in perception and attitude to shamanism. In short, females more than males, old aged more than younger aged, lower educated more than higher educated, believers in Buddhism more than believers in any other religion, and blue color more than white color have more positive attitudes to shamanism. Also men living in rural communities have more positive attitude to shamanism than men living in the large cities. Consequently, Shamanism can be understood as an anxiety relieving cultural system even though Shamanism itself looks like a cultural complex.