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6 "Hardiness"
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Original Articles
A Concept Analysis of Hardiness
Young Ae Lee
Journal of Nurses Academic Society 1994;24(4):616-622.   Published online March 31, 2017
DOI: https://doi.org/10.4040/jnas.1994.24.4.616
AbstractAbstract PDF

Precise concept analysis has been neglected because of a lack of understanding of its necessity and a lack of conceptual analytic knowledge. Concept analysis is the mental work of examining parts, phenomenon and the interrelated whole of a thing. Focus in this article is to extract the critical attributes of hardiness and make an operational definition. The process of concept analysis is illustrated and documented using the analytic approach described by Walker and Avant(1983). To explore the explicit or implicit meanings of hardiness, existing literature was reviewed. The evolution of hardiness and the dictionary definitions were also added. Hardiness can be defined as follows: A condition of being inured to fatigue or hardship which has three subcomponents-challenge, control and commitment. Critical attributes of hardiness were extracted that may be used in naming the occurrence of the phenomenon. Model case, contrary case, borderline case and related case were described. Antecedents and consequences were explored. The defining critical attributes of hardiness are: 1. Resistance-hardiness involves resistance of stress or hardship. 2. Hardiness involves appraisal of change as a chance. 3. Hardiness implies interpretation of events and self as influential,. 4. Hardiness requires active involving reaction. Implications for nursing and for further study are added.

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Grief, Family Hardiness and Family Resource for Management after Bereavement of Family Member
Mi Young Chon
Journal of Korean Academy of Nursing 2000;30(6):1569-1579.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.6.1569
AbstractAbstract PDF

The purpose of this study was to identify the level of grief experience, family hardiness and family resource for management after bereavement of a family member. The subjects of this study were 100 family members who had lost a family member from cancer within the past two years. The data was analyzed using the SPSS program for descriptive statistics, t-test, ANOVA, Duncan test, and Pearson correlation. The results were as follows. 1. The mean score for the level of grief was 2.84 +/- 0.66. The mean score for the a family hardiness was 3.08 +/- 0.39. The mean score for the level of family resource management was 2.70 +/- 0.35. 2. The level of grief experience differed according to respondent's age was F=2.95, p=.02, and type of bereavement was t=2.01, p=.04. 3. The level of family hardiness was not significantly different according to respondent's and familial characteristics. 4. The level of family resource management differed according to monthly income of the family (F=3.98, p=.01). 5. There were negative correlations between grief experience and family hardiness (r= -.551, p<.001), grief experience and family resource for management (r=-.351, p<.001). Family hardiness was positively related with family resource for management (r=.709, p<.001). In conclusion, family hardiness and family resource management were identified as important variables that contributed to reduce the grief experience. Therefore, it is important to develop nursing intervention that enhances family hardiness and family resource for management for bereaved family.

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Hardiness: Determinants of Psychological Distress from Stress
Mi Ra Lee, Hee Young So, Eun Kyong Ahn, Tae Sook Kim
Journal of Korean Academy of Nursing 1998;28(3):583-590.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.3.583
AbstractAbstract PDF

This study was understand in order to examine the effect of hardness on stress-causing factors, defined in this study as burnout in nursing. The subjects were 248 nurses working in three general hospitals in Taejon. The instruments used for this study were a survey of general characteristics, modified Health-Related Hardiness Scale(HRHS) (25 items), job stress scale (63 items), and burnout scale(20 items). Analysis of data was done through the mean, percentage, Person correlation coefficient, and stepwise multiple regression done with a SAS program. The results of this study are as follows. 1) The average item score for the job stress was high at 4.44. In the subcategories, the highest degree of stress was night duty(5.11), and work overload(4.70), responsibility for extra affairs(4.70), conflict in nurse-doctor relationships(4.69), and low reward (4.63) in that order. 2) In the stepwise multiple regression analysis, hardiness(11.55%) was a significant determinant of burnout along with job stress(17.24%) and job duration(12.94%). The results of this study show that hardiness has an effect on psychological distress caused by stress.

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Family Functioning and Quality of Life of the Family Care-giver in Cancer Patients
Kuem Sun Han, Soon Yong Khim, Sook Ja Lee, Eun Sook Park, Young Joo Park, Jeong Hwa Kim, Kwang Mi Lee, Hyun Chul Kang, Ji Won Yoon
Journal of Korean Academy of Nursing 2006;36(6):983-991.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.6.983
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the relationship among quality of life, family coherence, family hardiness, and family resources of the family care-giver caring for a cancer patient.

Method

Data was collected by questionnaires from 137 families with a cancer patient at a General Hospital and Government Cancer Hospital. Data was analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression.

Results

The score of quality of life showed a significant positive correlation with the score of the level of family sense of coherence, family hardiness, and family resources. The most powerful predictor of quality of life was sense of coherence and the variance was 30%. A combination of sense of coherence and family resources account for 34 % of the variance in quality of life of the family care-giver caring for a cancer patient.

Conclusion

The results showed that family sense of coherence, hardiness, and family resources were significant influencing factors on the quality of life of the family care-giver caring for a cancer patient.

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Family Resiliency Facto for the Adaptation of Family who have a Congenital Heart Disease
Young Ran Tak, E Hwa Yun, Ji Yeon An, Sang Hwa Kim
Journal of Korean Academy of Nursing 2004;34(7):1298-1306.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.7.1298
AbstractAbstract PDF
Purpose

The purpose of this study was to explore the relationships of family strain, perceived social support, family hardiness, and family adaptation and identify the family resiliency factors for the adaptation of families who have a child with congenital heart disease.

Method

The sample consisted of 90 families who had a child diagnosed with congenital heart disease and completed surgical treatment. Data was collected from parents using a questionnaire.

Results

Results from path analyses revealed that family strain had a direct effect on both perceived social support and family hardiness, and an indirect effect on family adaptation. Also, the findings revealed that perceived social support had a direct effect on both family hardiness and family adaptation, and family hardiness had a direct effect on family adaptation. Thus, these results indicated that perceived social support and family hardiness had a mediating effect on family strain.

Conclusion

Findings provide the evidence for the theoretical and empirical significance of perceived social support and family hardiness as family resiliency factors for family adaptation. Clinical implications of these findings might be discussed in terms of family-centered nursing interventions for the families who have a child with congenital heart disease based on an understanding of family resiliency for adaptation.

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Influencing Factors on File-up Stress of Family Caregivers with a Family Member having a Chronic Mental Illness
Kuem Sun Han, Pyoung Sook Lee, Eun Sook Park, Young Joo Park, Ho Shin Rhyu, Hyun Chul Kang
Journal of Korean Academy of Nursing 2004;34(3):586-594.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.3.586
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the factors influencing file-up family stress in the family with a family member having a chronic mental illness.

Method

Data was collected by questionnaires from 365 families with a member having a chronic mental illness, in an outpatient clinic of a General Hospital and Government Psychiatric Hospital in Seoul. The data was analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression.

Result

The score of file-up stress showed a significantly negative correlation with the score of level of hardiness (r=-.31, p=.00), family support (r=-.13, p=.00), family cohesion (r=-.25, p=.00), and sense of coherence (r=-.26, p=.00). The most powerful predictor of file-up stress was family hardiness and the variance was 11.1%. A combination of hardiness, family support, and sense of coherence account for 14.8 % of the variance in file-up stress of the family with a member having a chronic mental illness.

Conclusion

This study suggests that family support, hardiness, cohesion, and sense of coherence are significant influencing factors on file-up stress inthe family with a member having a chronic mental illness.

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