Purpose:The purpose of this study is to describe and understand the meaning and the structure of subjective experiences of intensive care nurses with death of patients with do-not-resuscitate (DNR) orders. Methods: Data were collected from eight intensive care nurses at general hospitals using individual in-depth interviews and analyzed by phenomenological research method. Results: The nurses' experiences were grouped into four theme clusters: 1) ambiguity of death without correct answer, 2) a dilemma experienced at the border between death and work, 3) the weight of death that is difficult to carry and 4) death-triggered reflection of life. Conclusion: It is necessary to develop accurate judgment criteria for DNR, detailed regulations on the DNR decision process, guidelines and education on DNR patient care for nurses. It is also needed to develop an intervention program for DNR patients' families.
Purpose: This study was done to evaluate the effects of laughter therapy in victimized community residence and to suggest that the practice is an effective nursing intervention to reduce anger, anger expression and to improve mental health. Methods: The research design was a non-synchronized design with a nonequivalent control group. Laughter therapy was used as the experimental treatment from March 21 to April 16 2009. The 31research participants were assigned to an experimental (15) or control (16) group. Laughter therapy was administered four times to the experimental group. Data analysis was done with SPSS/win 17.0 for Mann-Whitney U test and ANCOVA. Results: There were significant changes in the level of trait anger and somatization. There were no significant changes in the level of anger expression, depression, anxiety, phobic anxiety, psychosis, obsessive-compulsive, paranoid and interpersonal sensitivity. Conclusion: These results show that laughter therapy is an effective nursing intervention to decrease the level of trait anger and somatization.
Purpose: The purpose of the study was to explore and describe the experience of Korean college students on suicide attempts. Methods: Eight students participated and data were collected through in-depth individual interviews between September, 2011 and April, 2012. Data were analyzed using Strauss and Corbin's grounded theory method. Results: Analysis showed that the central phenomenon of suicide attempt experience of college students was 'inextricable despair'. Causal conditions were 'sense of shame by failure to achieve perfect independence' and 'a big gap between reality and ideals'. Contextual conditions were 'extreme situation of being cornered' and 'excessive changes in emotions'. Intervening conditions were 'important others' and 'perspectives on the world'. Action/interaction strategies were 'temporary efforts' and 'gathering up one's mind'. Consequences were 'trauma as one's own hurt', 'conflict between life and death' and 'becoming mature'. Conclusion: The results of this study provide an in-depth understanding of the experience of college students with attempted suicide. It is necessary to develop programs to prevent suicide attempts by college students and these results can be used as a basis for program development. If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.