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Original Articles
Review of Environment in the Korean Traditional Thought
Moon Sil Kim, Young Ran Han, Yun Hee Shin
Journal of Nurses Academic Society 1994;24(2):251-263.   Published online March 31, 2017
DOI: https://doi.org/10.4040/jnas.1994.24.2.251
AbstractAbstract PDF

This paper reviewed the concept of the environ merit in Korean traditional thought according to Shamamism, Buddhism, Confucianism, and Taoism. The differences in the views of the environment between Korean traditional thought and Western thought were compared according to the ontological point of view. This study attempted to investigate the concept of environment, one of the four metaparadigm(hu-man, environment, health, nursing)as it is experssed in Korean traditional thought. However, it was difficult to find the concept of environment separated out in the traditional thought pattern. Instead, environment concepts are represented in the natural views and universal views. Even though the four traditional thought patterns (Shamaism, Buddhism, Confucianism, and Taoism) represent some difference in their view of nature, the combination of natural and human, harmony, anti-dichotomy and so forth are emphasized in common in four thought patterns. Korean traditional thought includes a more comprehensive meaning than the unitary-transformative perspective discussed in modern Westen thought patterns. Environment has been dealt with in narrow view until now. Now we avoid this narrow view and must regard environment as an integrated concept with person. Through this research, it is hoped that a contribution will be made to the development of nursing knowledge suitable to Korean culture.

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Development of a Family Pattern Appraisal to Guide a Rogerian Nursing Practice
Gwang Oak Lee, Young Ran Han, Hee Jung Kim
Journal of Nurses Academic Society 1995;25(4):751-773.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1995.25.4.751
AbstractAbstract PDF

We, clinical nurse specialists practising and guiding student practice in a Community health nursing clinic, wanted to develop a family pattern appraisal consistent with Rogers'conceptual system, the nursing model guiding our practice. We use Rogers model because it is harmonious with the traditional Korean view of the one human, natural and cosmic world. The purpose of our research was to contribute to science-based nursing practice, not only, one helpful model, but also a model of how to use, in guiding practice, a conceptual system which reflects nurse practitioners' philosophy of nursing, is intellectually satisfying, and enriches meaning in daily nursing life. ture on Rogers' model and analyse it according to Kim's five-level analytical framework, to explore Rogers' definition of family, to review appraisals based on Rogers' model, and to develop a family appraisal which is culturally appropriate for use in our community. This work including the use of the appraisal and its refinement with families in our practice which was done during 1994 and 1995, in Seoul, in the Capital of the Republic of Korea. At the highest level of analysis, Rogers conceptual system emphasizes acausality and multidime-ntional meaning: the world view is characterized by process, movement and wholeness. The epistem-ology is one of holism and the knowledge base includes all forms of experience, from sensory to mystical, objective, and subjective. At the metaparadigm level, nursing focuses on the unitary human being and the environment. At the level of nursing philosophy, the model identifies human being, nursing, nurse, and illness and health. At the paradigm level the model assumes the irriducibility of the human to parts, noncausality and continual change. Rogers' practice methodology consists of pattern manifestation appraisal and deliberative mutual patterning. Understanding patterns and patterning of people is the key to helping them achieve their potential. At the theory level, the basic assumptions, key concepts, and homeodynamic principles were identified. Rogers states the family energy field is an undividable, four-dimensional negentropic energy field which is in a larger environmental field showing such characteristics as cannot be predicted by knowledge of individual family members. Based on the word of Rogers scholars, we chose Rogers' correlates of patterning to understand the family unit as a whole-frequency, rhythms, motion, time perception, sleeping-waking beyond waking, pragmatic-imaginative-visionary to develop the appraisal. We, also used some of Barret's(1988) criteria including interpersonal network and professional health care access and use, and Gordon's(1982) criteria including self perception-self concept modified to fit the family. Our family pattern appraisal included 1. Influencirg data, 2. Professional health care access and use, 3. Family self perception-self concept, 4. Family interpersonal network, 5. Sleep-wake-be yond waking, 6. Pragmatic-imaginary-vsionary, 7. Family frequency and rhythm, 8. Family motion, 9. Family time perception. The appraisal was used with four families and modified to eliminate overlap and to make it possible for the family member to express themselves more easily. We plan to gain more experience with the appraisal toward further development of the tool.

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The Effect of AIDS Education on Baccalaureate Nursing Students
Young Ran Han
Journal of Korean Academy of Nursing 2001;31(3):467-476.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.3.467
AbstractAbstract PDF

PURPOSE: to evaluate the effects of AIDS education for baccalaureate nursing students.
METHOD
a one-time AIDS education was delivered to 175 nursing students and knowledge and attitude toward HIV/AIDS were measured before and after the AIDS education using a questionnaire. RESULT: 1) Before the AIDS education, the average knowledge score of the students was 64.30 points out of 103 points while the average attitude score was 25.77 points out of 36 points. 2) Before the AIDS education, school grade, former experience of AIDS education and religion were founded to be the significantly related to the student's knowledge on AIDS. 3) There was a significant increase in AIDS related knowledge (t=-24.21, p=.000). There was also a significant improve- ment in attitude toward HIV/AIDS (t=4.67, p=.000) after the AIDS education. 4) There was a significant correlation between the knowledge and the attitude toward HIV/AIDS before the AIDS education, while no correlations was found between the AIDS knowledge and attitude after the education. CONCLUSION: AIDS education is necessary and effective for baccalaureate nursing students. It is necessary to develop comprehensive AIDS education program to improve the level of knowledge and preventive behavior for HIV/AIDS as well as to allay the fears for AIDS.

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Grounded Theory Approach to Health Care of Older Adults at a Doctorless Farm Village
Young Ran Han, Young Hee Kim
Journal of Korean Academy of Nursing 2004;34(5):771-780.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.5.771
AbstractAbstract PDF
Purpose

The purpose of this study was to explore how older adults kept their health good at a doctorless farm village.

Method

Data was collected through in-depth interviews with 32 participants who were over 65 years old and analyzed in terms of Strauss and Corbin`s (1990) grounded theory methodology.

Result

The Core Category of health care of older adults was identified as “enduring physical changes by themselves”. The process of this could be divided into 4 stages : the stage of bearing, the stage of managing daily living activities, the stage of passively collecting information and the stage of minimally utilizing health care services. Older adults accepted the aging process positively but health sources limitation passively, so they managed daily living activities and used natural food for health. In addition, they collected information related to health care and used health care services minimally.

Conclusion

We found that participants managed their health passively because of negative attitudes toward active health behaviors of older adults by themselves and the difficulty of access to health care services. Therefore, various community health services for older adults need to be developed to empower older adults in the community.

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Corrigendum
Corrigendum: The Effects of a Cognitive Enhancement Group Training Program for Community-dwelling Elders
Young Ran Han, Mi Sook Song, Ji Young Lim
J Korean Acad Nurs 2013;43(1):144-144.   Published online February 28, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.1.144
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Original Article
The Effects of a Cognitive Enhancement Group Training Program for Community-dwelling Elders
Young Ran Han, Mi Sook Song, Ji Young Lim
J Korean Acad Nurs 2010;40(5):724-735.   Published online October 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.5.724
AbstractAbstract PDF
Purpose

In this study a cognitive enhancement group training program of 10 sessions was provided for community-dwelling elders and the effects on cognitive function, depression and quality of life were tested.

Methods

A quasi-experimental study using a nonequivalent control group, pre-post design was used. The participants were 87 elders whose cognitive function was within the normal range. Of these elders, 45 were assigned to the experimental group and 42 to the control group. The intervention was conducted once a week for 10 weeks. Chi-square test, t-test, paired t-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used to analyze the data.

Results

After the program, the cognitive function (t=-2.85, p=.006), depression (z=2.82, p=.005) and quality of life (t=2.79, p=.007) of the experimental group was significantly better than those of the control group. Especially, immediate recall (z=2.45, p=.014) and concentration (z=2.58, p=.010) in the subcategory of cognitive function were significantly better than that of the control group.

Conclusion

The findings indicate that the cognitive enhancement group training program was effective in enhancing the cognitive function, depression and quality of life for elders and could therefore be considered as a positive program for emotional and cognitive support for community-dwelling elders.

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