The purposes of this study were 1) to identify patterns and trends of studies of anxiety and stress and 2) to provide direction on which to base further research. Research studies of anxiety and stress were selected from journals of medical and nursing schools, the Korean Nurse, the Korean Nurses' Academic Society Journal, the Central Journal of Medicine, the New Medical Journal, Monthly Nurse, and from theses and dissertations, which had been conducted for the 20 years from 1970 to 1990. The total population of the studies numbered 463. Seven studies were excluded from the analysis because of duplication, so that 252 studies of anxiety and 204 of stress were analyzed. These studies were analyzed for 1) time of publication or presentation, 2) research design, 3) characteristics of subjects used in each study, 4) types of correlated variables, and 5) types of nursing interventions. Findings obtained in the study were as follows : 1. The number of studies related to anxiety and stress has increased rapidly since the early 1980's. 2. The studies were primarily descriptive throughout the 20 years. However, correlational studies, comparative studies and experimental studies slowly increased. 3. Anxiety studies tend to be conducted more on patients and stress studies with normal subjects in non-experimental research. However, experimental studies were conducted more with patients than with normal subjects. 4. In correlational studies, the trend was to study physical conditions in relation to anxiety, and coping and adaptation in relation to stress. 5. In experimental studies, teaching and information therapy and relaxation were the most popular interventions for anxiety, and supportive care for stress. On the bases of these findings, the following recommendations were made : 1. These patterns of studies related to anxiety and stress in Korea need to be compared with studies conducted in other countries. 2. More attention is needed in terms of research design, reliability and validity of tools, and results of statistical analysis. 3. Meta-analysis should be done to analyze and integrate the results of various studies. 4. For theory testing and identification of useful intervention methods, experimental studies with the same protocols must be conducted rather than more descriptive studies.

Caring has been identified as the essence and unifying domin of nursing(Leininger). Many nurses believe that the art of nursing is comprised of actions that are predominantly caring in nature. Although caring has been the traditional ideology of nurses, it is only now beginning to emerge as the central construct for the development of nursing research, theory and practice. The problem addressed by this study was to identify how hospitalized children and their nurses express the meaning of caring, how they think nurses experiences of being cared for. The purpose was to provide theoretical understanding of caring as perceived in Korea to contribute to the development of Korean nursing knowledge. The subjects were 76 hospitalized children admitted to pediatric units in five teaching hospitals and 66 nurses who were caring for these children. In this descriptive study, data were collected from Nov 11, 1991 to Jan 30, 1992 by interviews by van Kaam's method. Caring themes perceived by the children and their nurses were classified into eight categories,-helping, comfort, love, warmth(only by children), recovery from illness, health maintenance(only by nurses), presence, nurturance and responsibility. Ideal caring behaviors perceived by the children and their nurses were six categories, -to give help, provide comfort, give love, with, treat warmly and aid recovery. Subcategories of giving help were promptness and competence, detailed explanations and support and encouragement. Other subcategories of giving help reported only by nurses were individualizing care, recognizing needs and providing a familiar environment. Subcategories of maintaining comfort were making comfortable, alleviating pain ; one subcategory reported only by children was consolating. A subcategory of giving love was concern ; two subcategories reported only by nurses were compassion and respect. Subcategories of staying with were playing with and touching ; only nurses reported empathy. Subcategories of treating warmly were tenderness and kindness. In the experience of caring, there were 4 categories,-to give help, stay with, show concern and provide comfort. Both the hospitalized children and their nurses had experienced caring primarily from their mothers. Mothers' caring behaviors were direct, personal, basic, supportive nursing acts. On the other hand, nurses caring behaviors were task oriented skilled procedures and medically delegated acts. This study contributes understanding of the complexity of caring, more specifically the meaning and experience of caring and ideal caring behaviors. Research may be able to move into verification when instruments are developed to measure the complexity of caring beliefs, values and behaviors in Korean and other cultural settings.

The purpose of this study was to develop a ratio scale to measure job satisfaction of nurses and health workers in health centers. Of the 224 health centers in Korea, 105 were drawn as the sample using disproportional stratified random sampling. The data collection period was from May 1 to June 30, 1990 and 771 nurses and health workers working at 75 health centers participated. Subjects were instructed to rate, according to the level of satisfaction, from one to four points, 42 items revised from the tool made by Stamps et. al. (1978). The internal consistency reliability of the tool was measured by Cronbach alpha and the corrected item-total correlation coefficient. As a result of the item analysis, one item was excluded since the item had negative correlation with total items. As a result of factor analysis on the 41 items with varimax or above. Labeling and numbering of 6 factors were as follows ; factor 1 (8 items) ; professional status of job factor 2 (6 items) ; Interaction factor 3 (8 items) ; Autonomy factor 4 (8 items) ; Administration factor 5 (7 items) ; Pay factor 6 (4 items) ; Job(Task) Further studies are needed to identify the relationship between this tool and the effectiveness of the health center and more research is needed for generalization.

The purpose of this study was to determine the effect of exercise training on the length and circumference of atrophied muscles to see whether improvement in restoring the atrophied muscle mass, of either length or circumference growth could be induced through exercise training. Adult female Wistar rats maintained for 14 days with hindlimb suspension. Rats were then assigned randomly to a sedentary group or training group. The length and circumference of both atrophied soleus and plantaris muscle for the training and sedentary groups following hindlimb suspension were compared with those of a control group. Length and circumference of both atrophied soleus and plantaris muscle in trained group was compared with those in the sedentary group. The results can be summarized as follows ; 1) Atrophy of soleus and plantaris muscle was induced with hindlimb suspension. 2) The circumference of both the soleus and plantaris muscle following hindlimb suspension was reduced to 51.72%, 66.67% respectively compared to the control group. The length of both the soleus and plantaris muscle following hindlimb suspension did not show any difference compared to the control group. 3) There was no difference in length for either the atrophied soleus or plantaris muscle between the trained and the sedentary group during recovery from hindlimb suspension. 4) The circumference of both the atrophied soleus and plantaris muscle did not return to normal in the sedentary group, however, the circumference of both the atrophied soleus and pantaris muscle were significantly greater than of the control in the trained group, 14.22% and 9.38% respectively 5) The circumference of both the atrophied soleus and plantaris muscle in the trained group was significantly larger than that of both muscles in the sedentary group at day 28 of recovery. From these results, it can be suggested that improvement in restoring the atrophied muscle mass through exercise training might be induced by growth of the muscle circumference.

Nursing as it is practiced and taught, historically has been viewed as natural science. There are new movements to create a paradigm of nursing in the human sciences. A natural science methodologies elicit quantitative data from observable phenomena and reveal is the study of Unitary Man's participative experience in a situation, the simultaneity paradigm. In a theory of nursing rooted in human science assumptions about man and health are synthesized, and the practice of nursing is continuously expanded through research. To find independent nursing interventions especially cognitive nursing intervention models it has been necessary to consult a multitude of journals and text sources for references, and no one nursing textbook can be used in help patients achieve nursing goals. The goals of nursing in the simultaneity paradigm focus on the quality of life from the person's perspective. Cognitive interventions based on the person's perspective were selected from those that colleagues deemed appropriate to nursing and those that were identified in the nursing literature. They were supportive nursing care, reminiscence, meditation, relaxation and imagery. Nurses have been reluctant to make diagnoses, implement actions, and assume responsibility for this actions and this is of concern but can be understood because nurses have had little exposure to action and lack an intervention armamentarium from with which to choose actions to achieve nursing goals. Efforts in nursing education and nursing service are required to remedy this problem. Nurses must be convinced of the challenge and excitement associated with autonomous functioning. It is a characteristic of the true professional. Traditionally, nursing has prescribed on method for handling a situation. Fundamental nursing texts usually only present one way to handle a situation, because alternative interventions to achieve a client goal may be available. Considerably more research is necessary before these can be prescribed. However, unless a first step is taken, progress will not be made. The quality of health care or nursing care is enhanced when nurses transform dilemmas into committed action. This is apparent from widespread experiences of nurses.

This study was designed to identify the relation between the perceived family support and social adjustment of discharged patients with chronic mental illnesses. The subjects for this study were 50 patients with chronic mental illnesses receiving out-patient treatment at one general hospital and one private hospital in Seoul. The data were collected during the period from April 25, 1991 to May 27, 1991. The perceived family support was measured by the Family Support Scale developed by Hyun Sook Kang. A questionnaire which was developed by Weissman was modified by the author of this study to measure the Social Adjustment. The data were analyzed by descriptive statistics and Pearson Correlation Coefficients, using the SPSS program. The results of this study can be summarized as following ; 1) For the perceived family support, the mean was 2.63 points and the source of family support was almost always the mother. 2) For the social adjustment level, the mean was 2.63 points, and the results showed the best social adjustment was in the area of parental role and family adjustment, and the poorer adjustment was in the area of work and leisure. 3) The relationship between the perceived family support and social adjustment revealed a significant correlation.(r=.38, p<.05) Therefore the hypothesis "the higher the level of perceived family support, the higher the social adjustment level" was accepted. In conclusion, the study revealed that family support is an important factor related to the social adjustment level in patients with chronic mental illnesses.

Nursing's traditional concern for human well being includes concern for health promotion. Until recently textbooks of preventive medicine, public health and community health nursing have defined health prevention-the prevention of disease and health protection or maintenance, but not health promotion. Lack of clear definitions inhibit effective communication among health related disciplines. Therefore, this study's task was the analysis and definition of the concept of health promotion using walker & Avant's concept analysis methodology. This characteristics of the concept of health promotion are 1) orientation toward well-being, 2) empowering, 3) subjectivity, 4) change and 5) expanded connective. Antecedent of health promotion are 1) attaining of a health state, 2) having purpose and will to act, 3) persistent and realistic behaviour. The consequences of health promotion are 1) prolonged life, 2) self-actualizing potential, 3) increased well-being and a high level quality of life. The future direction of health promotion research should include that identification of the differences in the definition of between health professionals and health clients and research related to nursing theory of health promotion.

This study was done to identify the degree of congruence between nurses and patients on patients' health problems. The purposes of this study were 1. To compare the health problems of parturient women as identified by interview and in the nursing record. 2. To compare the health problems of patients who have had gynecological surgery as identified by interview and in the nursing record. 3. To compare the health problems of chemotherapy patients as identified by interview and in the nursing record. The design of this study was a comparative descriptive design. The subjects were 205 Obstetric-Gynecologic patients. The tool for this study was an 11 item questionnaire, including one open ended question on the patient's problem during the past one day. Data was collected through interviews and an audit of the nursing records during the period from March 22, 1992 to April 29, 1992. Data was analyzed using by frequencies and percentiles. The result of this study summarized as follows : Pain was the most prevalent complaint for parturient women by interview(60.3%) and from the nursing records(83.2%). There was no record in the nursing records about the complaints of lack of information and emotional problems even though there were complaints of communication problems(17.6%) and of emotional problems(3.5%) identified in the interviews but there were more records of cardiopulmonary problems in nurses record(9.1%) than the patient interviews(3.3%). In the nursing records 25.9% of the identified records identified pain problems compared with 23.3% in the interviews. In the nursing records, 22.3% of the records identified nutrition problem as compared with 18.2% in the interview. There were only a very few emotional problem identified in the nursing records(3.7%) as compared to 18.2% in th interviews. There were no comments about communication problems in the nursing records but 5.2% of the subjects mentioned of communication problems in the patient interview. There were problems is five categories for the parturient women ; comfort, communication, activity and rest, elimination, emotions, and there were problems in ten categories for the surgery patients : comfort, elimination, communication, emotions, nutrition, cardiopulmonary, thermoregulation, physical integrity, host defense and activity / rest. There were also problems in the same ten categories for chemotherapy patients. On the other hand, in the nursing records, only comfort activity / rest, and elimination problems were identified for the parturient women, there were only seven categories of problems ; comfort, elimination, cardiopulmonary, activity / rest, and nutrition for the gynecology surgical patients, and for the chemotherapy patients, comfort, nutrition, physical integrity, cardiopulmonary, activity / rest, thermoregulation, emotion and elimination were the categories identified, and no communication problems were identified. It was found that there was low congruence between the patients' problems as identified through patient interview and as recorded in the nursing records. Therefore it can be concluded that the main content of the nursing records is the physical problems of the patients and this is not in congruence with the patients' reported problems in the emotional and communication domain.

This study was designed to identify nursing students' attitudes toward life through a Q-methodology. A Q-sample was formed through a review of the literature and interviews(n=160). The final Q-sample consisted of 37 statements out of an initial 100 statements after consultation with an expert panel and pilot testing. The P-sample consisted of 14 university nursing students and 27 junior college nursing students, which was selected by convenience sampling method. Data were analyzed by the Q-analysis method. The correlation between type 2 and type 3 was relatively high (r=0.539) ; that between type 1 and type 3 was lowest(r=0.014). The first type of attitude was the "rational utilitarian" type. Students in this type valued life relative to the quality of life. They agreed with euthanasia and artificial abortion if the quality of life was threatened. The criteria for their judgement were scientific knowledge and rationality. The second type of attitude was the "Christian deontologic" type. These students appreciated the sanctity of life according to Christian dogma. They disagreed with euthanasia and artificial abortion. And they disagreed strongly that life should be created by scientific development, because only God creates life. The third type of attitude was the "unconditional deontologic" type. These students agreed with the sanctity of life, not from Christian belief but from belief in the sanctity of life. The final type of attitude was the "prima facie(conditional) deonologic" type. These students appreciated the value of life and humanity. They expressed concern for others' life and suffering. They do not want to afflict others with their own miseries. This group showed a dual value system toward themselves and others. So they experience conflict between their concern for their own and others' conditions. These nursing students' values may have been influenced by their clinical experience in hospitals and other nursing fields. Through this study, we may realize the importance of education in nursing ethics for discussion of ethical conflicts and to support ethical nursing practice.

The purpose of this study was to survey the use of a evaluation tools of clinical competency for nursing students. The sample consisted of the departments of nursing in 14 universities and 20 Junior college of nursing. Data analysis was done by frequency, percentage and factor analysis. The results of the study were as follows ; 1. A common measurement tools for evaluation in the clinical area was used by 74.4% of universities and Junior colleges of nursing. Only 0-4.5% of Junior colleges of nursing and 1.5-7.4% of universities used a evaluation tools developed according to their major. 2. Theoretically, 3% of those sampled applied the nursing process as an instrumental means of nursing practice. Bloom's theory was applied by 35.8% of the schools. Most of them used their own measurement tools for evaluation their students. 3. One half of them used quantitative scales, the other half used others. 4. Professional attitudes were included in their contents by 93.9% of universities and 94.1% of Junior colleges of nursing. The major areas of evaluation were knowledge skills, attitudes and interpersonal relationships in that order. Results ; From this study can be concluded that regardless of the number of academic years of nursing and professional area, common standard evaluation tools for nursing competency were found to be needed. Theoretically, an evaluation scheme which applies the nursing process should be required. Knowledge, skill attitude and interpersonal relationship would be essential elements to be evaluated. Maximizing the clinical competency and minimizing the conflict elements for nursing students is important. Nursing, education, students and environmental aspects must be consider in the goal of clinical education. A diagram, a checklist and a anecdote note in addition to the quantitative scale are necessary for efficient evaluation.