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This qualitative study aimed to develop a substantive theory of the process of adaptation to motherhood in Central Asian-Korean immigrants to Korea.
Individual, in-depth interviews were conducted from July to September 2017, with 18 women who emigrated of Korean ethnicity from Central Asia to Korea, and took care of their baby for at least a year after their first delivery in Korea. The interviews were audio-recorded and transcribed verbatim. Data from the transcriptions were analyzed through Strauss and Corbin's grounded theory method, and data analysis was conducted simultaneously with data collection.
As a result of categorizing the interview data through the process of open coding, 10 categories, with 31 subcategories and 102 concepts were drawn, and “growth as a Central Asian-Korean mother in an unfamiliar, historical hometown” was found to be the core category of the process of adaptation to motherhood in Central Asian-Korean immigrants to Korea.
A characteristic of the process of adaptation to motherhood in Central Asian-Korean immigrants to Korea, drawn from this study, is that it differs according to the level of initiative to carry out interaction strategies, and the use of various supportive social resources. The findings indicate the need for Medicare eligibility adjustment for antenatal care, the extension of the visa renewal period during childbirth, the development of web- or mobile application-based educational programs in Russian language, and the establishment of integrated visiting healthcare services, community service resources, and policy support to enable these women to utilize various supportive social resources.
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This study aimed to introduce and elucidate changes in Strauss and Corbin's grounded theory and discuss its application to the field of nursing in South Korea.
The changes in grounded theory by Strauss and Corbin were examined through a literature review of grounded theory from its inception.
Strauss and Corbin acknowledged their philosophical backgrounds of symbolic interactionism and pragmatism; however, their methodology based on positivism overwhelmed their epistemology and ontology. This inconsistency has been represented by the coding paradigm and the premise of “emergent from the data.” In the revised version of
Strauss and Corbin's revised grounded theory did not fully address the inconsistency of their epistemology and ontology between their acknowledgement and methodology. However, these changes constitute a meaningful step toward resolving inconsistencies and highlight the development of substantive theory. This has implications for Korean nursing researchers who have utilized methodologies in grounded theory with dogmatic approaches; grounded theory, with its evolving nature, is not a finalized method and calls for open approaches for the development of a grounded theory that fits Korean nursing.
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This study was conducted to derive a substantive theory on lived experiences of elderly cancer patients.
The data were collected from February to March 2018 through in-depth personal interviews with 14 elderly cancer patients. The collected data were analyzed based on Corbin and Strauss's grounded theory.
The core category was “the journey to find balance in daily lives as a cancer patient by recovering disturbed ego integrity.” The core phenomenon was “shattered by suffering from cancer,” and the causal conditions were “physical change” and “limitations in daily life.” The contextual conditions were “decreased self-esteem,” “feelings of guilt toward the family,” and the sense of “economic burden.” The participants’ action and interaction strategies were “maintaining or avoiding social relations,” “seeking meaning of the illness,” “falling into despair,” and “strengthening the willingness to battle the cancer.” The intervening conditions were “support from health care providers and family,” “dissatisfaction with health care providers,” “spiritual help from religion,” and “the improvement or worsening of health conditions.” The consequences were “having a new insight for life,” “living positively along with cancer illness,” and “the loss of willingness to live.” A summary of the series of processes includes the “crisis stage,” “reorganizing stage,” and the “ego integration stage.”
This study explored the holistic process of ego integrity impairment and the recovery experience of elderly cancer patients. This study is expected to be used as a basis for the development of nursing interventions that can support patients when coping with all stages of their cancer illness trajectory.
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The aims of this study are to provide a theoretical framework for improving the self-care of adults with severe hypertension and to examine the practical suitability of a middle-range theory of self-care for chronic illness by validating the structural model.
Data were collected at a university hospital in D metropolitan city from July 1 to August 14, 2015. A total of 224 Korean adult patients with severe hypertension were recruited. Data were analyzed using SPSS 22.0 and AMOS 22.0.
The results show that the fit index of the hypothetical model meets the recommended level; 7 out of 8 hypothetical model paths were statistically significant. Motivation, self-efficacy, support from others, and accessibility to care showed statistical significance and explained 67.3% of the self-care process. The self-care process explained 45.3%, 63.6%, and 26.5% of quality of life, health, and illness stability, respectively.
This model can be used as a theoretical framework for improving self-care among adult Korean patients with severe hypertension. Moreover, the practical suitability and validity of the middle-range theory of self-care for chronic illness is secured.
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This qualitative study aimed to explore the experience of incivility among nursing students.
Sixteen nursing students who had experienced incivility during their clinical placement were invited for one-on-one interviews until the point of theoretical saturation. The grounded theory approach of Corbin and Strauss was adopted to analyze transcribed interview contents.
Incivility occurred in the context of a hierarchical organizational culture, due to nursing students’ position as outsiders, non-systematic clinical education, and poor nursing work environment. The experience of incivility was identified as “being mistreated as a marginal person,” and nursing students responded to this phenomenon in the following three steps: reality shock, passive action, and submissive acceptance. This process caused students to lose self-esteem and undergo role conflict. Furthermore, nursing students’ experience of incivility could eventually lead to workplace bullying in nurses.
The results of this study suggest that nursing students’ experience of incivility can be a process that threatens their identity. It is necessary to develop educational programs and provide appropriate counseling services so that nursing students can actively cope with the incivility. In addition, institutional plans are needed to ensure safe and supportive clinical learning environments.
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The majority of studies on breastfeeding consists of descriptive correlational studies identifying the incidence and correlates of breastfeeding. The theory of planned behavior has been shown to yield great predictive power for behavioral goals over which individuals have only limited control such as improving school grades and weight loss. The purpose of this study was to test the "theory of planned behavior" in the prediction of breastfeeding of mothers who delivered vaginally. One hundred mothers who delivered vaginally in one general hospital in Seoul and one general hospital and three private hospitals in Taejeon participated in this study. The instruments used for data collection in this study were developed by the researchers following the guidelines suggested by Ajzen and Fishbein(1980) and Ajzen and Madden(1986). The instruments included measurement of attitude, subjective norm, perceived behavioral control and intention. The collected data were analyzed using descriptive statistics, Pearson product moment correlation, hierachical multiple regression and logistic regression. The results are as follows : 1. Intention to breastfeed correlated significantly with attitude, subjective norm and perceived behavioral control. Both attitude and subjective norm did not make a significant contribution to the prediction of intention, but the addition of perceived behavioral control to the regression equation greatly improved the model's predictive power, increasing the R(2) from .05 to .52. 2. Intention to breastfeed alone had a significant predictive effect on actual breastfeeding, resulting in a regression coefficient of .16(x2=8.60, p<.01), but when perceived behavioral control was added to the equation, intention was not a significant predictive variable and only perceived behavioral control showed significant predictive power on actual breastfeeding, resulting in a regression coefficient of .12(x2=4.68, p<.05). In sum, breastfeeding behavior lent only partial support to the second version of the theory of planned to the second version of the theory of planned behavior, and because perceived behavioral control had a strong effect on intention to breastfeed and actual breastfeeding, it would be desirable to develop nursing intervention programs which focus on strengthening the perceived behavioral control for the promotion of breastfeeding.
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The purpose of the study is to explore and describe the lived experience of family members with gastric cancer patients using the grounded theory methodology. The participants were ten spouses of gastric cancer patients who had some kind of treatment at the hospital. They were asked open-ended and descriptive questions in order for them to talk about their experiences in their owl terms. As the interview progressed the questions became more specific to discuss themes and working hypotheses that emerged from the analysis of previous interviews. All interviews were tape-recorded and transcribed for the analysis. Constant the core category that was emerged from the comparative analysis is "magmaggam" which can be described as a psychological distress due to a high level of uncertainty regarding the health of the patient and the future of the caregivers. Psychological distress includes several emotional feelings such as frustration, anxiety, fear, guilty, and self depreciation. Subcategories or strategies related to the core category are 1) managing illness, 2) using folk medicine, 3) giving the patient a reason to live, 4) being patient, 5) losing reality, 6) anticipatory experience on the patient's death and parting, and 7) changing interpersonal relationships. The results of this study would help clinical nurses to develop nursing intervention to help spouses of gastric cancer patients establish efficient coping strategies in dealing with the problems they face.

The universe had its order of yang and yin ; all creation are continuously generated, grow and die, which is the results of the harmonious operation by yang and yin. Among all creation, the human is one of the samjae(three bases of the world, which are heaven, earth, and man) and he is from the combined sukhi(a superior khi) of yang and yin. And human life itself is basically a condensed jonghyul(life blood) and at the same time it is only a transient joining of sadae(the four elements of earth, air, fire and water). Yang and yin, the two axes of the world, therefore, are the most crucial and fundamental concept to explain the generation and extinction of all creation, to understand people in time and space, to find out the reality of human life as an organism, and at last, to observe the state of human health. If so, what is the most essential idea in yang and yin? It is taegeuk(chungkhi) or tao(of one yang and one yin). If the property of heaven and earth is kongon, taegeuk is a khi and tao a principle. And it can be sid that a human body is merely a union of hyung and khi, that human life is an essence of sambo, jeongkhishin, that human health is a harmonized coordination of yang and yin because it is from the combined sukhi of yang and yin because it is from the combined sukhi of yang and yin. Hyung, a vessel for smbo, jeongkhishin, is at the bottom and shin is on the top ; the personality and the disposition of individuals differ according to their working. Thus, on the basis of the above discussion, the following can be offered as some suggestions for Korean Nursing Theory. Though human beings are part of Nature, they are the most eminent microcosm among all creation. So, as a subject for nursing, a person should be understood with khijok kyoryu rather than with logical thinking, then mutual trust between the patient and the nurse can be established. The health of a person on the harmony of yang and yin. To be healthy, a person should consider harmonization with Nature(including his surroundings) as well as a balanced human relationships in society. Moreover, it is crucial for each person to obtain hoshim as a method of mind control rather than to only treat the symptoms of disease.

PURPOSE: The purpose of this study is to describe the health behavior experience of middle-aged Korean women in rural areas, and to help understand their health practice, perceive their nursing needs and provide guidelines to developing appropriate nursing interventions. METHOD: The participants were 18 healthy middle-aged women living in rural areas, with no serious illness that require hospitalization. The data was collected through interviews and participant observation, analyzed by the grounded theory methodology of Strauss and Corbin(1997). The data collection period was from April to November of 2001. RESULT: Depending on the paradigm model, the central phenomenon was family-oriented pursuing of yangsaeng. The causal condition was less confidence on one's own health, responsibilities in caring for family. The contexts were cultural system. The intervening condition was information system, support system, limitation of approaching a medical institution. The action/ interaction strategies were yangsaeng through dietary practice, yangsaeng through promoting clothing and housing, yangsaeng through exercise, practice of folk therapy, yangsaeng through mental hygiene, and use of medical institution. The consequences were stabilization of body and mind, and stabilization of family. CONCLUSION: It is recommended for nurses to understand health behavior experience of middle-aged women, and provide nursing intervention with theoretical scheme and practical principles so that these women can pursue the family-oriented process of yangsaeng.
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PURPOSE: The number of residents in elderly institution has been increasing due to the change of the family support system. This study was focused on understanding the process of adjustment of the institutionalized elderly using the Grounded Theory approach. METHOD: There were seven participants, 4 men and 3 women living in 3 different elderly facilities. The data was collected through in-depth interviews and participant observation from June 20, 1999 to January 10, 2000 and analyzed by the Strauss and Corbin's analysis method. RESULT: 125 concepts were found and grouped into 30 sub-categories and then grouped into 13 categories. These categories are <humiliation>, <fear>, <reluctance>, <difficulty of economic status>, <health problem>, <process of entrance>, <loss of family support>, <facility support>, <personality disposition>, <positive self mind-control>, <negative self mind-control>, <adjustment> and <maladjustment>, which were synthesized into the process of adjustment. <The Control of Reluctance (to live in facility)> being the core category. The adjustment process of the facility elderly consisted of: 1. expressive phase of 'reluctance' 2. control phase of 'reluctance' 3. latent phase of 'reluctance' CONCLUSION: This study offers better understandings on the adjustment process of the institutionalized elderly and provides more appropriate nursing care to the New Comers of these facilities.
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Feasibility of a Mobile Meal Assistance Program for Direct Care Workers in Long-Term Care Facilities in South Korea

PURPOSE: This study was conducted to develop and test the hypothetical model which explains smoking cessation behavior was established based on the Triandis' interpersonal behavior theory.
METHOD
The data were collected from the 400 university student smokers enrolled in the universities located in Seoul and Kyung-In province. The study was analyzed by path analysis with LIESREL 8 program.
RESULTS
All of the fit statistics, except the Chi-square value, it showed the hypothetical model was well fitted to the data. Benefit, affect, and social influences related to smoking cessation behavior had significant direct effect on intention to smoking cessation as shown in the study of the hypothetical model. Perceived barrier and the physiologic arousal related to smoking cessation had significant direct effects on performing smoking cessation behavior, whereas numbers of previous attempts to quit smoking and intention to smoking cessation did not.
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PURPOSE: This study aimed at uncovering the experience of adaptation of the new nursing staff in hospital setting.
METHODS
For this study, 15 new graduate nurses participated. The data was collected through the in-dept interviews and analysed in terms of Strauss and Corbin's grounded theory methodology.
RESULTS
The core category was identified with "entering orbit". The new graduate nurses, who experienced the taeoom because of their unskilled professions, tried to enter orbit by overcoming difficult situations through reducing stress, maintaining good interpersonal relationship, grasping, compensating, persisting, and introspecting. Noticeably, in the process of adaptation, negative image of nursing, conflict of interpersonal relationship and the educational program for the new nursing staff had effect on the intervening factors. Finally, this study confirmed that the processes of new nurses' adaptation are confusing, confrontating, becoming a member and settling in hospital setting.
CONCLUSION
Therefore, the educational programs reflecting new nursing staffs' experiences should be developed.
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The Purpose of the study was to understand the experience of chronic renal failure
patients for the qualified individual care for them. The purpose of this study was to
explore the experience of patients living with chronic renal failure and to identify the
meaning and structure of their experience.
The subjects were four patients, two females and two males. The age range was from
21 to 54. Data was collected with a few in-depth interviews by the authors until the
data was fully saturated. The framework and methodology of this study was based on
Parse's "Human Becoming methodology," an existential phenomenological research
method
ology.
The findings of this study were as follows. Three experience structures of chronic renal
failure patients were :
1. Sufferings and conflicts originated in the frustration caused by uncurable disease.
2. Dependence upon God and significant others with complex emotions.
3. Acceptance of sufferings, emerging hope for serving people, and gratitude for living.
In conclusion the experience of chronic renal failure patients could be described from the
findings (three structures) as "Experiencing the sufferings, conflicts originated in the
frustration caused by uncurable disease, dependence upon God and significant others
with complex emotion, acceptance of the suffering and hope for serving people, and
gratitude for living." The three structures of the lived experience of patients with
chronic renal failure, the findings of this study, could be explained by the three concepts
of "Theory of Human Becoming," the first structure could be explained with values, the
second with revealing-concealing, and the third with transforming.

Twenty-three research studies regarding nurses or nursing students intention to care for HIV disease patients were reviewed. Studies on this issue were sporadic and not systematic. A majority of the studies were limited to one institution at one point in time. Convenience sampling was prevalent. Only 5 studies used random sampling (Jemmott III et al., 1992; Kelly et al., 1988; Planter & Foster, 1993; Scherer et al., 1989; Van Servellen et al., 1988). Consequently the findings of most studies can not be generalized to the population at large. In addition, between 1985 and 1994, the emphasis on descriptive studies continued even though correlational and experimental studies were being conducted. The development of the body of knowledge on this issue is still in a primitive stage. Correlational or comparative studies reviewed rarely had a theoretical basis for the study questions. Only two studies were found that cited a theoretical basis (Laschinger & Goldenberg, 1993; Goldenberg & Laschinger, 1991). A variety of attitude instruments were developed by investigators and used in their own studies. The constructs of the instruments were quite varied. For example, some studies identified fear as the attitude to be measured, while others measured opinion or intention as the attitude. None of the studies reviewed reported content, construct or convergent validity of the instruments. Reliability data for most instruments used in the studies were either not reported or low. Such a lack of information limits the interpretation of the findings. Study findings were inconclusive. Some descriptive studies indicated that nurses or nursing students were willing to care for HIV disease patients, while others revealed they were not willing to do so. Three correlational studies examining the relationship between attitude and intention obtained inconsistent findings. Findings from one study (Jemmott et al., 1992) indicated a positive relationship, while others found no relationship between them (Cole & Slocumb, 1994; Jemmott et al., 1992). Descriptive studies identified that families or friends stigmatization were the important factors. Only two correlational studies on this issue were found, but study findings were inconsistent (Laschinger & Goldenberg, 1993; Glodenberg & Laschinger, 1991). Studies focusing on nursing students intentions or attitude were limited. Only 7 of the 23 research reviewed were conducted using nursing students (Lawrence & Lawrence, 1989; Lester & Beard, 1988; Mueller et al., 1992; Oerman & Gignac, 1991; Jemmott et al., 1992; Jemmott III et al., 1992; Wiely et al., 1988). This review leads to the conclusion that there is a need for study of this issue with nursing students as the target population. Studies with questions based upon a theoretical framework provide a basis for linking findings. In addition, reliable instruments and sophisticated statistical analysis are also needed when studying this topic.

The theory of unpleasant symptoms is a middle-range theory proposed by Lenz and her colleagues (1997). Analysis and evaluation of this theory was performed using Fawcett (1999) and Fawcett and Downs's (1992) guidelines. Results of the theory analysis and evaluation suggest that the theory of unpleasant symptoms has theoretical and social significance and parsimony. However, a lack of internal consistency was evident. For empirical adequacy of the theory, it is recommended that research be conducted examining the complexities of the interaction effects, reciprocal relationships, and medication effects among physiological, psychologic, and situational factors, symptoms, and performance. The knowledge derived from the research findings should be used in practice for patients experiencing symptoms.
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The objectives of this study were to verify the effectiveness of the Theory of Planned Behavior in predicting exercise intention and exercise behavior, and to examine the determinants of exercise intention and exercise behavior in the sample of middle-aged women. The subjects who participated in this study were 263 middle-aged women. The instruments used for this study was a survey of general characteristics, attitude (18 items), subjective norm (2 items), perceived behavioral control (19 items), intention (3 items), and exercise behavior (7 items and 23 items for each). Analysis of data was done by use of descriptive statistics and correlation analysis with SAS PC program. The hypothetical model based on the Theory of Planned Behavior was tested by use of LISREL 8.12a program. 1) The overall fit of the hypothetical model to the data was good(chi-square=11.76, p=0.03, RMSEA=0.07, standardized RMR= 0.03, GFI=0.99, AGFI=0.94, NFI=0.97, NNFI=0.95). 2) Perceived behavioral control, attitude, and subjective norm were significant determinants of exercise intention, and these variables explained 35% of the total variance of exercise intention. 3) Perceived behavioral control, intention, and attitude were significant determinants of exercise behavior. But, subjective norm was not a significant determinants. These four variables explained 69% of the total variance of exercise behavior. In conclusion, this study shows the applicability of the Theory of Planned Behavior in explaining exercise behavior of middle-aged women, and suggests that health care providers should focus on perceived behavioral control and attitude rather than subjective norm to improve exercise behavior of middle-aged women.
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This study purports to review traditional health concepts of Korea by age, and to compare them to health concepts defined in western societies. Furthermore the study offers these results as the basis of construction for Korean nursing theory. Literature for the review were traditional health books published in Korea. These books are Euibangyoochui, Hyangyakjibsungbang, Dongeuibogam, Eiyangpyun, Dongeuisoosebowon, & Hwangjaenaekyung. In addition, articles that studied traditional literature or Korean medical history were reviewed when no publication of a primary source was available. In ancient Korean society, health was viewed as a 'good relationship or harmony with a supernatural subject', 'harmony of earth, water, fire, and air', and a 'long life with no illness'. The treatment aspect of medicine was emphasized in the middle-aged society. The health concepts in the pre-modern society included such concepts as 'jeongkhibojeon', 'adjustment to the nature', 'harmony between yang and yin', 'strengthening of jeongkhishin', 'circulation of owoonyookchi', 'kyungjok mind-body state' and 'jeongshimjeonghang'. Major health concepts in western literature were 'adaptation', 'role performance', 'actualization of human potential', 'adaptation and actualization of potential', and 'comfort'. Traditional health concepts of Korea focus on principles. They deliver abstract meanings, which make their measures uneasy. They believe in holism and unity with nature and especially emphasize the mental aspect. On the other hand, health concepts of western societies focus on phenomena. Their meanings are somewhat concrete, which make their measurements relatively easy. They see a person adapts positively to the environment as an independent being from the environment. These concepts have biopsychosocial aspects with no partial emphasis in the mental aspects. These traditional concepts of health were classified into two main perspectives. One is the unity of heaven & man, and the other is the unity of mind and body. The former perspective is based on the main concept of Chi. The latter has the main concept of ruling of the mind. The two main concepts discussed above need further examination for development of a nursing theory for Korean society. The application of circulation of Chi needs balance and harmony, and the application of ruling of mind needs temperance.
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The purpose of this study was to explore decision making phenomenon of living kidney donation experienced by kidney donors. Data were collected through semi-structured indepth interviews from 12 kidney donors. All interviewes were audiotaped and transcribed verbatim. Constant comparative analysis was used to analyze the data with NUDIST4.0 software program. The core category emerged was "wish to give (a kidney)". "Wish to give" in the deliberation process have effects on the execution of kidney donation. Based on the degree of "wish to give", three distinct patterns were identified: Voluntary, compromising, and passive. The voluntary decision making was the most frequent one, while the passive the least. The degree of "wish to give" was influenced by intimacy between the donor and the receipient, geographical locations, economical efficiency of kidney transplantation, and religion. Each pattern was explained by describing interfering and facilitating factors as well as other issues occured in the decision making process. The results of this study will help nurses make effective nursing intervention by understanding the characteristics of decision- making patterns and decision-making process to donate a living kidney.
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The purpose of this study was to generated a grounded theory of how families with kidney donor or recipient copel with kidney transplantations. Interview data from twelve familes involved in didney transplants was analyzed using the grounded theory method. Data analysis revealed that "protecting the family" was the main theme that represented family member experiences. In order to maintain family function and to protect the family from breaking up, family members had to adjust the family structure from the traditional style of a husband-centered family, to one that was patient health-centered. the process of this adjustment was a very long and difficult one, taking several years from the recognition of the kidney disease to the kidney transplants. Family members, especially spouses, employed nine different strategies to deal with various problems and conflicts which occurred during the process : 1) paying attention to the patient's illness and complications ; 2) accepting the patients's illness as the family's illness as well ; 3) managing the patient's illness and complications that occurred ; 4) being thrifty ; 5) supporting the kidney donor ; 6) accepting and replacing the lost roles of the patient ; 7) keeping composure and encouraging the patient ; 8) sustaining the patient's independence ; 9) self-restraining sexual desires.
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The purpose of this study is to understand the structure of mothers of mentally handicapped daughters' lived experience, to apprehend the connectedness of the structure of the experience with concept of Parse's human becoming theory, and to provide a foundation for nursing research and education. Data collection was conducted from October 1995 to April 1996. Research participants were eight mothers of mentally handicapped daughters whose ages ranged from 12 to 18 attending special schools located in either Inchon or Seoul. The researcher had interviews with them over their lived experience conducted tape recorded, and made an analysis according to Parse's "human becoming research methodology." The data were collected using the dialogical engagement process "I and You," the participant researcher and the participant subject. The data were analyzed using the extraction-synthesis and heuristic interpretation. The structural integration is illustrated in the following: 1) Realizing the mother's role of mentally handicapped daughters and admitting situation. 2) Concealing a part of their relationship with others is interpreted as revealing-concealing. 3) Their fight back voluntarily to improve the situation is interpreted as powering. The conceptual integration which emerged was the lived experience of mothers is powering through the revealing-concealing and connection-separating of valuing.

The purpose of this study was to test the Theory of planned Behavior in the prediction of contraceptive behavior among married women. This study used a descriptive correlational design to examine the relationships among the study variables. Eighty married women in Seoul and Kyungki-do participated in this study. Research instruments used were the tool for measuring TPB variables search as attitude toward contraception , subjective norm, perceived behavior control, and intention: and the tool for measuring contraceptive behavior . The former was modified by the researcher according to Ajzen and Fishbein(1980)'s guidelines for tool development and Jee(1993)'s tool. The latter was developed by the research. Data was collected from July 20, 1996 to October 25, 1996. The results are as follows: The three factors, attitude, subjective norm and perceived behavioral control of contraception can explain 30% of the variance in contraceptive intention. Inspection of path coefficient for each of the three predictor variables revealed that subjective norm and perceived behavior control were the predictor variables on intention, while attitude was not ; and intention and perceived behavior control factors can explain 42% of the variance in contraceptive behavior. Inspection of path coefficient for each of the two predictor variables revealed that intention and perceived behavior control were the predictor variables on behavior. In conclusion, this study identified that Theory of Planned Behavior was a useful model in the prediction of contraceptive behavior, and the contraceptive service program based on the TPB variables would be an effective nursing intervention for the change in contraceptive behavior.
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The purpose of this study was to explore the process of smoking cessation behavior in adults with a history of smoking cessation. The subjects were 17 adults selected by theoretical sampling. The data were collected by in-depth interviews using audiotape recording over a period of six months. The data were analyzed simultaneously by a constant comparative method in which new data were continuously coded in categories and properties according to Strauss and Corbin' methodology. Analysis of the data resulted in the identification of 12 categories. The result of this study are as follows : 1. Smoking cessation in adults is caused by fear about health, environmental pressure of smoking cessation, and intention of smoking cessation. 2. Smoking cessation occurs in connection with situations of limited smoking. 3. Maintenance of smoking cessation is related to psychological stress, and environmental cues to smoking. 4. In the smoking cessation process, adults experienced either health promotion or relapse. It is suggested that the result of this study may contributed to the development of a strategy for decreasing smoking behavior among adults.
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This study is to define the caring experience of mothers with insulin-dependent diabetes mellitus children, by finding core category, contextual factors, intervening factors, and the patterns of caring, and to develop a practice theory on it. Research method followed grounded theory methodology by Strauss and Corbin. Subjects were six mothers, whose children have had insulin-dependent diabetes mellitus for 4 months to 14 years by the interview time. They were selected by theoretical sampling. Data were collected from September, 1995 to January, 1996. Interview were done by long interview took 50 minutes to 2 hours. Content of interview was recorded and transcribed later. Based on the results of previous interview, content of next interview was planned until data reached to the saturation point. Results were as follows : One hundred and forty concepts were found. These concepts were grouped into thirty-three categories, and then to ten categories. Mothers with diabetic child were revealed to face "being overwhelmed by burden". Overwhelming by burden is found to be progressed through the cycle production-coping-decrease or in crease process. Mothers showed four patterns of adaptation in caring the diabetic children. 1) If mothers felt large amount of overwhelming by burden because of difficulty of caring and unsympathizing but they had sufficient support, no condition of the child, and their coping mechanism was positive, most of them overcome with strong will, but some fell into burnout. 2) If mothers felt large amount of overwhelming by burden because of difficulty of caring, unsympathizing, insufficient support, serious condition of the child, and their coping mechanism was negative, they fell into burnout by coping with feeling. 3) In mothers felt small amount of overwhelming by burden because of little difficulty of caring and sympathizing, sufficient support, no serious condition of the child, but their coping was negative, most of them fell into burnout by coping with feeling, but some overcome. 4) If mothers felt small amount of overwhelming by burden because of little difficulty of caring and unsympathizing, sufficient support, no serious condition of the child, and their coping was positive, they overcome with strong will. On the basis of the above result, in order to help mothers take good care of their children, nursing assesment and intervention on life readjustment, and getting support should be required. Especially, through understanding mothers' personalities, individual support consistent with each of them should be required. Therefore education, counseling, mutual support and exchange of information will have to be accomplished.
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The purpose of this study was to explore and describe the experiences of the family caregivers using a nursing home for their elderly family members.
Participants for this study were 1 man and 9 women caregivers. Data was collected through in-depth interviews from October, 2005 to April, 2006 and analyzed using Strauss and Corbin's grounded theory methodology.
“Finding a way to live together” emerged as a core category and it reflected expanding consciousness allowing them to see each other in a more positive view. The basic social process of “finding a way to live together” includes 3 phases: 1) recognizing the problems, 2) finding solutions to the problems, and 3) accepting the changes in their surrounding. Lack of privacy, family troubles, extreme distress, and unavailable caregivers are reflected in the process of recognizing the problems. The process of finding solutions was making a decision, obtaining family agreement, choosing the best nursing home, and enduring the financial burden. Possible outcomes of the last phase include recovering peace of mind and continuing conflict.
Findings from this study offer suggestions for developing a strategy to help not only the elderly but also the family caregivers.
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To determine the effects of provision of information on mother's problem focused coping ability during their child's intravenous procedure.
Data were collected from 56 mothers whose children have admitted to pediatric ward in the hospital. The participants included 27 intervention group mothers and 29 control group mothers. For the information intervention, “Programmed Information for Parental Coping before Intravenous Procedure (PIPC-IP)”, video program was made based on self-regulation theory for the experimental group mothers. Mother's coping ability was measured by parental supportive behavior, parental beliefs and Profile of Mood State (POMS).
Mothers who received PIPC-IP showed significantly higher levels of supportive behavior (t = 3.55, p = .005) and Parental Beliefs (t = 2.95, p = .005), but no significant difference in negative mood on POMS (t = .15, p = .87) compared to mothers in the control group.
These results demonstrate that PIPC-IP is an effective intervention to increase the supportive behaviors and beliefs of mothers' problem focused coping ability but not the negative mood.
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This study examined Korean clinical nurses' intentions to care for SARS patients and identify determinants of the intentions. Theory of planned behavior was the framework to explain the intentions of Korean nurses for SARS patients care.
A convenient sample of six hundreds and seventy nine clinical nurses from four university-affiliated hospitals located in Seoul and in Kyung-gi province was used. Self-administered (83-items) questionnaire was used to collect data. Intentions, attitude, subjective norm, perceive behavioral control, behavioral beliefs, normative beliefs, and control beliefs were the study variables. All items were measured using 7-point Likert scale (−3 to +3). Data were analyzed using descriptive statistics, Pearson correlation method, and stepwise multiple regression methods.
Intentions and attitudes toward SARS patient care among Korean clinical nurses were moderate, but their subjective norm and perceive behavioral control of SARS patients care were negative. Stepwise multiple regression analysis indicated that attitude toward SARS patient care, perceived behavioral control, subjective norm were the determinants of the intentions for SARS patients care as theory proposed. Among the behavioral beliefs, “SARS-patient caring would be a new experience”, “during SARS-patient caring, I should be apart from my family”, “after completing SARS-patient caring, I would be proud of myself being able to cope with a stressful event” and “with my SARS-patient caring, patients could recover from SARS” were the significant determinants. Among the normative beliefs, colleague approval, spouse approval, and physician approval were significant determinants of the intentions. Among the control beliefs, “SARS-patient caring would be a challenge” “SARS-patient caring is a professional responsibility”, “tension during the care of SARS patients” and “support from team members” were the significant determinants of the intentions.
Korean clinical nurses in this study were not willing to care for SARS patients and showed negative attitude toward the care. They believed their friends and family were not approved their care for SARS patients. Nurses were in conflicts between professional responsibilities to care for SARS patients and personal safety. This study was the first to understand stress and burden of Korean clinical nurses who are in front line to care for newly developed communicable disease such as SARS. Under the circumstance where several fatal communicable diseases are predictable, conflicts between professional responsibility and their personal risks should be taken into considerations by nurses themselves and by nursing administrators in order to improve quality of care.
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The main purpose of this study was to develop a substantive theory on the process of the spiritual experience in Christian terminal cancer patients in the context of Korean society and culture. The question for the study was ‘ What is the spiritual process in Christian terminal cancer patients?’.
The research method used was the Grounded Theory Method developed by Strauss and Corbin (1998). Participants for this study in total were 9 Christian terminal cancer patients. Data was collected using in-depth interviews during April 2003 to March. 2004. Data collection and analysis were carried out at the same time.
From the analysis 58 concepts and 20 categories emerged. The categories were presented into a paradigm, which consisted of condition-actions/ interactions-consequences. The theoretical scheme was described by organizing categories. In total, 4 stages were developed from the condition-actions/ interactions-consequences. Throughout these stages, the ‘ overcoming process of unbalanced interconnectedness’ was the core category discovered.
This study provides a framework for the development of individualized care interventions in the ‘ overcoming process of unbalanced interconnectedness’ for Christian terminal cancer patients.

The purpose of this study was to explore the experiences of gastric cancer couples in Korea and to generate a substantive theory integrating the experiences of gastric cancer survivors and their spouses as a whole. The specific aims of this study were to explore major problems gastric cancer couples faced and how they resolved these problems, focusing on inter-relational dynamics within the couples and on similarities and differences between the couples.
This was a secondary analysis study using grounded theory techniques. The study used the data of 11 married couples which was collected from in-depth interviews from two primary studies. The unit of analysis was dyads of gastric cancer survivors and their spouses.
The basic social psychological process that emerged from the analysis was “taking charge of their health.” Major categories involved in this process were identified as 1) adjusting to new diets, 2) reinforcing physical strength, 3) seeking information, 4) strengthening Ki, 5) lowering life-expectations, and 6) going their separate ways. These six categories represent major strategies in overcoming critical problems that occurred in day-to-day experiences. In terms of the process, the first five categories characterize the earlier stage of the process of “taking charge of their health,” while “going their separate ways” indicates the later stage and also the beginning of their separate ways: “pursuing spiritual life” for the survivors, and “preparing for the future” for the spouses.
The results of this study will help design family care for the people with gastric cancer by providing in-depth understanding and insight on the lives of gastric cancer couples.
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The purpose of this study was to explore adjustment pattern of illness process of people with hemophilia in Korea.
23 people with hemophilia had participated for this study. The data were collected through in-depth interviews and analyzed using Strauss & Corbin's grounded theory method.
“would be free from” was emerged as a core category and it reflects that all participants wanted to be free from the constraints of the disease. The adjustment process was categorized into two stage, the ‘ unstable stage’ and the ‘ stable stage’. In the process of “would be free from” four different patterns were identified: hopelessness type; appreciation type; challenge type; and transcendence type. These types were identified based on the degree of pursuing normal life and managing the disease, and social support. The most frequently occurring type was hopelessness type but the participants of this type suffered the most. The transcendence type was the most ideal type, but it occurred the least.
The results of this study indicate that people with hemophilia in Korea still suffer from the disease and they need supports. The results would be useful for health care professionals in establishing education and counseling program for the people with hemophilia.
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The aim of this study was to identify turnover experiences of men in nursing and to derive a substantive theory on the turnover experience of men who are nurses.
Data were collected through in-depth interviews with 13 men who had worked as a nurse for 1 year or more, and had a turnover experience during that period. Collected data were analyzed on the basis of Strauss and Corbin's grounded theory.
The core category in the turnover experiences of the respondents was ‘seeking a stable place for me’. In the analysis of the core category, types of ‘contentment’, ‘seeking’, ‘survival’ and ‘confusion’ were identified. The sequential stages of these nurses’ turnover experience were ‘confrontation’, ‘incertitude’, ‘retrying’ and ‘realization’. However, when a problem arose in the process, they returned to the stage of confusion. Thus, these stages could occur in a circular fashion.
These findings provide a deep understanding of the turnover experience of men in nursing and offers new information about how they adapt to nursing practice. The findings should be useful as foundational data for men who hope to become nurses and also for managers responsible for nurses who are men.
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The purpose of the study was to explore and describe the adaptation process of older people to group homes.
Participants were twenty older adults aged 65 or older who were living in group homes. Data were collected from January to April, 2015. In-depth unstructured interviews were conducted with individual participants. Data were analyzed using Strauss and Corbin's grounded theory method.
From open coding, 100 concepts, 38 sub-categories, and 14 categories were identified. Analysis showed that the central phenomenon of the adaptation process of older people to group homes was ‘gradually giving up’. Causal conditions were ‘good-for-nothing body’, contextual conditions were ‘pushed’, ‘beleaguered’. Intervening conditions were ‘reliable pillar: children’, ‘having affection (情) more than having it from family: facility workers’, ‘comfort - like feeling at home’, ‘relieved: system’. Action/interaction strategies were ‘facing the unfamiliar reality’, ‘building relationships with other people’, ‘accepting reality’. Consequences were ‘a good place, more than expected’, ‘hope for the remaining days’, ‘waiting for a peaceful death’.
The results of this study provide an in-depth understanding of the experience of the adaptation process of older people to group homes. The findings from this study can be used as basic data to establish policies to increase the number of small scale facilities which can help older adults adapt easily to the facilities.
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The purpose of this qualitative study was to explore the workplace bullying experience of Korean nurses.
Participants were twenty current or former hospital nurses who had experienced workplace bullying. Data were collected through focus group and individual in-depth interviews from February to May, 2015. Theoretical sampling method was applied to the point of theoretical saturation. Transcribed interview contents were analyzed using Corbin and Strauss’s grounded theory method.
A total of 110 concepts, 48 sub-categories, and 17 categories were identified through the open coding process. As a result of axial coding based on the paradigm model, the central phenomenon of nurses’ workplace bullying experience was revealed as ‘teaching that has become bullying’, and the core category was extracted as ‘surviving in love-hate teaching’ consisting of a four-step process: confronting reality, trial and error, relationship formation, and settlement. The relationship formation was considered to be the key phase to proceed to the positive settlement phase, and the participants utilized various strategies such as having an open mind, developing human relationships, understanding each other in this phase.
The in-depth understanding of the workplace bullying experience has highlighted the importance of effective communication for cultivating desirable human relationships between nurses.
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Effective transitional care is needed to improve the quality of life in older adult patients with chronic illness and avoid discontinuity of care and adverse events. The aim of this article is to provide an overview of the key features, broader implications, and the utility of Meleis' transition theory intended for the transitional care of older adults with chronic illnesses. We present the role of nurse in the context of transitional care and propose future directions to increase the quality of nursing care.
The online databases Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and Science Direct were searched for relevant literature published since 1970 along with textbooks regarding nursing theory.
An evaluation of the usefulness of transition theory based on transitional care in older adult patients with chronic illnesses is provided. Healthy transition should be the expected standard of nursing care for older adults across all healthcare settings.
Nurses need to contribute to the development of transitional care for vulnerable populations; however, transition theory needs to be enhanced through additional theoretical work and repeated evaluations of the applicability in areas of transitional care.
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This study was done to explore the process of accepting CATs among nurses who experienced CATs in Korea.
Grounded theory methodology was utilized. Data were collected from 10 nurses during individual in-depth interviews. Theoretical sampling was used until the data reached saturation. Data were analyzed using the constant comparative analysis method.
The core category emerged as "resolving the doubt and integrating" explaining the process of accepting CATs. The nurses engaged in three stages: need awareness, look for solution and integration. Causal conditions were interest as a nursing intervention and orthodox medical limitations. Context was lack of basis for application and increase in social interest. Strategies were new knowledge acquisition, having a strong will, combined with existing knowledge, and individualized intervention. Intervening conditions were others' eye, exhaustion for nurses and physical environment. Consequences were expanding of the nursing role and improved nurse satisfaction.
The results of the study should facilitate application of CATs in nursing practice. To help nurses who are interested in CATs, there is a need for education programs, and further research on CATs.
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This study aimed to identify contents and trends of Korean nursing doctoral dissertations in terms of research methodology and theoretical characteristics.
The design of the study was descriptive study and a total of 1,089 quantitative studies completed between 1982 and 2010 were reviewed using the analytical framework developed by the researchers.
The majority of studies utilized the experimental design (51.5%) and the others were survey design (38.8%) and methodological design (5.0%). Study subjects were shown as patients (45%), care givers (11.2%), ordinary persons (40.6%) and others (3.2%). There were growing trends in experimental design and patients as subjects. The prevailing data collection settings were hospitals (45.8%) and community (27.8%). The theoretical frameworks that studies were based on were the existing theories (37%) and a newly developed theoretical framework by a researcher (25.2%). a framework derived from other studies by the researcher (25.2%). Majority of studies (78.5%) employed a single theory as a theoretical framework. However, 31.8% of studies had no theoretical framework based on.
Findings of this study provided the opportunities to shed new light on the current status of Korean doctoral dissertation and to deliberate on the future direction of nursing studies in Korea.
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This study done to identify the experiences of families caring for patients with terminal cancer. The question was, "What is the caregiving experience of a family who has a member with terminal cancer?"
Grounded Theory was applied and in-depth interviews were done with 11 family members. Interviews were recorded with the interviewees' consent and were transcribed and analyzed. Participants' relationships to patients were 6 spouses, 4 daughters, and 1 mother. The ages of the participants were between 32 and 62, with an average of 47.5.
The study showed "enduring with bonds" as the main category and the main factor affecting this category was the "patients' diagnosis of terminal cancer." The caregiving experience was divided into four stages: shock, confusion, struggle, and acceptance. Mediating factors were relationship with the patient, intimacy with the patient, social support, communication, and trust. Conclusively, participants underwent internal maturity, and changes occurred in family and social and personal life.
The families took care of the patients with responsibility and love. The study results should help with the understanding of a family with a member with terminal cancer and should be used to develop nursing, mediating, and consulting programs for these caregivers.
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Understanding daily life experiences of patients admitted to hospital with recurrent breast cancer.
The grounded theory method was used for this study.
Consistent comparative analysis was used throughout the study to obtain the results. Results showed that inpatients with recurrent breast cancer experience 'a co-existence of life suffering and fear of death'. The causal condition of this result was determined to be 'patient's response to cancer recurrence (acceptance/despair)', including contextual conditions such as, 'previous experience with cancer treatment', 'patient's current physical condition', and 'treatment methods for recurrent cancer'. Intervening conditions, such as 'a strong will to live', 'family support', 'moral support providers', and action/interaction strategies were found to provide patients with 'a strength to live'. Shown in these results, inpatients with recurrent breast cancer were seen to have a simultaneous 'hope for life and fear of death'.
When providing nursing services to inpatients with recurrent breast cancer, people must recognize there is a notable difference between individual patients' contextual conditions and interactive strategies. Henceforth, proper cognitive nursing must be provided which encourages patients to maintain a strong will to overcome the many hardships of treatment as well as physical nursing, such as management of side effects caused by chemotherapy.
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In the present study, an analysis of the life of adolescents with complex congenital heart disease (CHD) was done using grounded theory. Consideration was given to the socio-cultural context of Korea.
After approval from the institutional review board of Y hospital, 12 patients ranging in age from 14 to 35 were recruited. Data were gathered using in-depth interviews. Theoretical sampling was performed until the concepts were saturated.
The results confirmed the life of adolescents with complex CHD as a 'journey to finding uniqueness of oneself as a person with CHD'. The life consisted of 3 stages. In the crisis stage, participants had a feeling of threat to self-existence, and made an effort to be the same as others. In the self-recognition stage, participants who had sufficient role-performance built self-esteem while those who did not fell into self-accusation. In the self-establishment stage, participants who reached sufficiency in independence and knowledge planned the future, whereas those who did not conformed to the realities of life.
The results of present study provide help in understanding the experiences of adolescents with CHD and provide a basis for developing nursing intervention strategies for these patients.
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Guided by Newman's theory of health as expanding consciousness, this study was done to explore the health experience of adolescents having depression.
The researcher engaged in six to eight in-depth interviews with six adolescents. To begin the dialog, the researcher asked each participant to recount the first important memory he/she had. All the narrative and diagram sharing between the researcher and participants were summarized according to recognized patterns and later elaborated in following interviews based on Newman's praxis methodology.
The significant individual pattern of early health experience was during the binding stage. At the turning point, individual patterns for participants revealed a personal journey of self-discovery and then emergence of reflecting behaviors. After the turning point, the participants changed as they evolved from the initial period of disruption and disorganization to organization at a higher level. The results suggest that adolescents who are depressive find new ways of relating to friends, family, healthcare providers, and the community by expanding their consciousness.
Newman's praxis methodology is a good way of helping and studying adolescents with depression because it emphasizes participant-nurse/researcher partnership and pattern recognition as nursing practice.
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The purpose of this study was to explore the experiences of parenting from the parents of children with ADHD and to develop a grounded theory about their experiences.
This study was a qualitative research study that used a grounded theory to understand and discuss the parenting experiences of parents of children with ADHD in a greater depth. Grounded data was collected through an in-depth interview from twelve participants with ADHD children. The data was analyzed using the grounded theory method.
“Approaching the normal” emerged as the core phenomenone. Parenting experiences for parents of children with ADHD referred to a process of bringing the children, back on track of normal growth development, and their functioning in the family at a normal level and establishing a new normalcy. The process of approaching the normal involved a basic social-psychological process, such as ‘living a day in hell’, ‘accepting’, ‘confronting the conflicts’, ‘lowering expectations’, and ‘making a new normalcy’.
The outcomes of this study, which observed the parenting process of parents of children with ADHD, could enhance nurses' understanding of ADHD and help nurses become major mental health service providers for the mental health of children with ADHD and their families.
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This study was done to develop and test validity and reliability of on instrument for predicting nursing intention for SARS patient care.
The psychometric properties of a SARS patient care attrition prediction tool, based on the Theory of Planned Behavior, were examined in this study. The Three-phase design involved a) salient beliefs generated from clinical nurses (n=43) b) content validation by expert panel evaluations(n=5) c) face validation by plot testing (n=10) d) and instrument validation in a cross sectional survey (n=299). Psychometric analysis of survey data provided empirical evidence of the construct validity and reliability of the instrument.
Principal component analysis verified the hypothesized 6-factor solution, explaining 68.2% of variance, and Alpha coefficients of .7538 to .9389 indicated a high internal consistency of the instrument.
The instrument can be used by nurse administrators and researcher to assess clinical nurses' salient beliefs about caring for SARS patients, guide tailored intervention strategies to effective caring, and evaluate the effectiveness of interventions.
Citations
Psychometric Evaluation of Persian Version of Nurses’ Intention to Care Scale (P-NICS) for Patients with COVID-19

