http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Duckhee Chae,Keiko Asami,Jaeson Kim,Kukhyeon Kim,Jeeheon Ryu 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aims: There is a higher prevalence of depression and lack of exercise in midlife immigrant women than in native women. Virtual reality videos can provide emotional well-being and activity trackers that can facilitate physical activity. However, no combined intervention has targeted midlife immigrant women. The purpose of this pilot test is to assess the feasibility, acceptability, and preliminary efficacy of home-based intervention with virtual reality and Fitbit activity trackers. Methods: One group pre- and post-test design was used. Participants were 11 community-dwelling midlife immigrant women in South Korea. The 4-week home-based intervention consisted of a wearable activity tracker and 360-degree nature videos in virtual reality. Participants were taken through an orientation and provided with brochures on the proper use of virtual reality headsets (Oculus Go) and activity monitors (Fitbit charge 3). During the intervention period, participants were instructed to practice the intervention at their home for 35-40 minutes (5-10 minutes of virtual videos and 30 minutes of walking) every day, at least 5 days per week. Feasibility was assessed by examining participant retention, while acceptability was assessed using a 5-point scale of satisfaction. Physical activity, mood, depression, self-efficacy, and body composition were compared before and after intervention. To evaluate the difference between the baseline and 4 weeks after, paired t tests were conducted. Results: Participant retention was 91.7%. Participants had significant improvements in activity hours (t=-5.23, p<.001) and negative affect (t=2.82, p=.018). There were no statistically significant differences in body composition, depression, positive affect, and self-efficacy. Furthermore, most participants (90.9%) answered “satisfied” or “very satisfied” with the intervention. Conclusions: Home-based intervention delivered through virtual reality videos and Fitbit activity trackers seems feasible and has preliminary efficacy in improving mood and physical activity. Further research is warranted to evaluate the effectiveness in a more rigorous randomized controlled trial.
Development and Cross-Validation of the Short Form of the Cultural Competence Scale for Nurses
Duckhee Chae,Yunhee Park 한국간호과학회 2018 Asian Nursing Research Vol.12 No.1
Purpose: To develop and validate the short form of the Korean adaptation of the Cultural Competence Scale for Nurses. Methods: To shorten the 33-item Cultural Competence Scale for Nurses, an expert panel (N ¼ 6) evaluated its content validity. The revised items were pilot tested using a sample of nine nurses, and clarity was assessed through cognitive interviews with respondents. The original instrument was shortened and validated through item analysis, exploratory factor analysis, convergent validity, and reliability using data from 277 hospital nurses. The 14-item final version was cross-validated through confirmatory factor analysis, convergent validity, discriminant validity, known-group comparisons, and reliability using data from 365 nurses belonging to 19 hospitals. Results: A 4-factor, 14-item model demonstrated satisfactory fit with significant factor loadings. The convergent validity between the developed tool and transcultural self-efficacy was significant (r ¼ .55, p < .001). The convergent validity evaluated using the Average Variance Extracted and discriminant validity were acceptable. Known-group comparisons revealed significant differences in the mean scores of the groups who spent more than one month abroad (p ¼ .002) were able to communicate in a foreign language (p < .001) and had education to care for foreign patients (p ¼ .039). Cronbach's a was .89, and the reliability of the subscales ranged from .74 to .91. Conclusion: The Cultural Competence Scale for Nurses-Short Form demonstrated good reliability and validity. It is a short and appropriate instrument for use in clinical and research settings to assess nurses' cultural competence.
Chae, Duckhee,Kim, Hyunlye,Yoo, Jae Yong,Lee, Jina Elsevier 2019 Asian Nursing Research Vol.13 No.3
<P><B>Summary</B></P> <P><B>Purpose</B></P> <P>This study aimed to seek agreement on the core components of an e-learning cultural competence program for Korean public health workers (PHWs) while prioritizing educational content areas.</P> <P><B>Methods</B></P> <P>A two-round Delphi study was performed with 16 Korean experts from five disciplines. Data were collected between August 30 and November 24, 2017. A questionnaire was developed from literature reviews and previous focus group interviews concerning PHWs. The panel members were asked to rate the importance and urgency of educational content areas and the effectiveness of teaching–learning methods and gave opinions on their appropriate frequency, duration, and target audience. Responses were analyzed using descriptive statistics. A median of 4.0 or greater or a rate of agreement of 75% or greater was considered a “consensus” for the purposes of this study.</P> <P><B>Results</B></P> <P>All consenting participants responded to two-round surveys. Participants reached consensus on thirty-one educational content areas. Of these, the highest priorities were “necessity of cultural competence of PHWs,” “health characteristics according to race and ethnicity,” and “establishing trusting relationships with migrants.” The most effective teaching–learning method was case-based learning, with seven to eight sessions of training and duration of fewer than 30 minutes per session.</P> <P><B>Conclusion</B></P> <P>Multidisciplinary experts proposed 12 prioritized educational content areas and effective teaching–learning methods as well as their frequency, duration, and target audiences, reflecting Korea-specific multicultural phenomena and the nature of the work of PHWs. These findings can contribute to preparing PHWs to provide culturally competent services to migrants in their communities.</P>
국내 결혼이주여성의 주관적 건강상태에 영향을 미치는 요인
채덕희(Chae, Duckhee),강경화(Kang, Kyeong Hwa) 한국보건간호학회 2021 韓國保健看護學會誌 Vol.35 No.2
Purpose: This study aimed to identify factors associated with the self-rated health of married immigrant women in South Korea. Methods: Data, collected in August 2018, were derived from the 2018 National Multicultural Family Survey. Study subjects were 9,230 married immigrant women. Data were analyzed using logistic regression. Results: Of the study subjects, 23.2% rated their health as poor. Results showed that individual factors (age, ethnic affiliation, duration in South Korea, and depressive symptoms); social and community networks (relationship with spouse, parenting efficacy, Korean proficiency, perceived discrimination, social support, and social activities); and living and working conditions (life satisfaction and unmet heath needs) were associated with health. Married immigrant women in their 50s or older, living in Korea for more than 15 years, experiencing depressive symptoms, low life satisfaction, and having unmet health needs were especially at high risk of poor health. Conclusion: More detailed health policy that considers age, length of stay, and country of origin. To prevent the rapidly deteriorating health of married immigrant women after middle age, mental health support should be given priority, and systematic improvement is needed to increase accessibility healthcare services.