PURPOSE In this study the effects of a self-growth program on self-esteem, inferiority and peer-relationships in children using a community child center were examined. METHODS A quasi-experimental design was used. Data were collected from August 26 to October 9, 2008. To test the effects of the self-growth program, the children were divided into two groups, an experimental group (28) and a control group (25). The self-growth program was used with the children in the experimental group. RESULTS The self-growth program effectively increased the self-esteem scores, and the peer-relationships scores of the children, and decreased the inferiority scores. CONCLUSION The results suggest that the self-growth program is a useful nursing intervention for improving self-esteem, decreasing inferiority, and positively affecting peer-relationships in these children.
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PURPOSE This study was done to identify the significance of smoking experiences in high school girls, and to define essential structures of the experience. METHODS A phenomenological approach was used for this study. Data were collected using in-depth interviews. Study participants were 8 high school girls who had experience with smoking. The method proposed by Giorgi (1985) was used to guide the process of data analysis. RESULTS Themes which emerged from the data were: 'Beginning to smoke affected by surroundings', 'Self intention to begin smoking', 'Stimulated smoking drive (appetite)', 'Giving emotional comfort', 'Mood of overlooking teenagers' smoking', 'Smoking dead zone', 'Knowing that smoking is not suitable', 'Habitual smoking', 'Prejudice against women smoking', and 'Admitting that women smoke'. CONCLUSION The findings provide an understanding of the smoking experience by high school girls and indicate that in order to develop the most effective nursing interventions to help female adolescents stop smoking, consideration needs to be given to the developmental stage of high school students.
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PURPOSE The purpose of this study was to develop and evaluate the effects of a safety education injury prevention program in elementary school students. METHODS To develop the safety education program, Dick & Carey's teaching model and Keller's ARCS theory were applied. A safety education programs was developed for lower grade students (1st-3rd) and for higher grade students (4th-6th). To evaluate the effect of the safety education program, a pre-post test questionnaire was used with experimental and control groups. The participants were 238 (119 in the experimental group, 119 in the control group) lower (3th) grade and 296 (148 in the experimental group, 148 in the control group) higher (5th) grade elementary school students. For students in each experimental group, safety education was provided for 40 min once a week for 10 weeks. RESULTS There were significant differences in the level of injury prevention knowledge, attitude, and practice between the experimental group and control group in both the lower and higher grade elementary students. CONCLUSION The findings of this study indicate that safety education is an effective nursing intervention to improve injury prevention knowledge, attitude, and practice in elementary school students.
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PURPOSE The purposes of this review were to identify whether available evidence supports the nursing interventions that are commonly used to reduce fever in children and to introduce research findings into practice. METHODS Journal databases and clinical guidelines from 1990 to 2009 were searched. The search terms were fever, febrile convulsion, fever management, fever phobia, child, antipyretics, temperature, external cooling, tepid sponge bath, and physical treatment. RESULTS Evidence suggests that uncomplicated fever is relatively harmless, but it is an important immunological defense. Antipyretics should not routinely be used with the sole aim of reducing body temperature in children with fever who are otherwise well. Currently a lack of evidence supports the practice of alternating acetaminophen and ibuprofen, and the routine use of tepid sponge bath. CONCLUSION Currently, fever management in children does not reflect research evidence. Pediatric nurses can play an important role by encouraging clinical research in this area and also by enhancing research utilization in their practice. Moreover, pediatric nurses can educate parents about evidence-based fever management. Evidence-based educational interventions for pediatric nurses need to be developed and evaluated to improve the quality of nursing care in the management of childhood fever.
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PURPOSE The purpose of this study was to examine the relationship of body image, self-esteem, and behavior problems comparing children of short stature and children of normal height, and to enhance growth development through early detection of social or emotional problems in children of short stature. METHODS The data were collected from June 2 to September 25, 2008. The participants were 38 children who were diagnosed with short stature and their mothers and 38 children of age appropriate stature and their mothers selected from 311 elementary students in D city. The participants were matched by using propensity analysis for controlling confounding variables. Sapiro-Wilk test, t-test, Wilcoxon test, and Pearson correlation coefficients with SPSS/WIN 14.0 program were used to analyze the data. RESULTS There were significant differences in body image and behavior problems between children of short stature and children of age appropriate stature. There was no significant difference in self-esteem between the two groups. Positive correlation was found between body image and self-esteem. In children of age appropriate stature, a negative correlation was found between body image and behavior problems. CONCLUSIONS A specialized program which focuses on behavior problems, body image, and self-esteem should be developed to help children of short stature in school-based settings.
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PURPOSE In this study an analysis was done of participants who were educated using a dental health program as compared to a control group who only used a booklet on the subject.
The participants were elementary school children and the education focused on dental health knowledge, behavior, health belief, and self-efficacy. METHODS Sixth grade students from two different schools in D-city were assigned to an experimental group which was educated using a dental health program over five weeks and a control group which was educated with a dental care booklet. RESULTS The experimental group showed significant increases in knowledge, behavior, sensitivity, severity, benefit, belief, and self-efficacy indicating that the program was effective, but there were no significant differences in self-efficacy, sensitivity, severity, importance, or disability between the two groups. Significant differences between the groups were found for knowledge, behavior, and benefits regarding dental health. CONCLUSION The results of this study indicate that a dental health program for elementary school students is effective in increasing their knowledge and behavior regarding dental health but the lack of significant differences in several of the variables in this study may be related to the education provided to the control group using a booklet.
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PURPOSE This study was done to identify factors associated with fatigue in pediatric patients with cancer in order to develop nursing interventions for this population. METHODS The participants were 95 pediatric cancer patients admitted to a university medical center in Seoul, Korea, and 95 parents. The PedsQL(TM), Multidimensional Fatigue Scale developed by Varni (2002) was used to measure fatigue. Data were analyzed with the SAS program and t-test, analysis of variance (ANOVA), Pearson correlation coefficients, and multiple regression were used to identify the association of factors with fatigue. RESULTS The mean score for fatigue was 30.42 in the pediatric cancer patients and 34.77 in the parents. Fatigue was higher in patients living with a single parent, in patients whose father had a lower education and those patients with a fever. Pain, frequency and intensity of nausea and vomiting, depression, anxiety, and disruption of usual activity were positively associated with fatigue. The predictive factors for fatigue were disruption of usual activity, depression and living with or without parents. CONCLUSION Pediatric patients with cancer experienced fatigue during their diagnosis and treatment. Of the multiple factors associated with fatigue, the association between disruption of usual activity and fatigue was the highest indicating a need to be concerned with this factor when providing interventions to alleviate fatigue.
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PURPOSE This study was designed to analyze recent trends in pediatric oncology research in Korea and suggest future research directions in this area. METHOD: Studies (105) selected from http://www.riss4u.net for last 15 yr were used. They were analyzed by publication type, field and design of the study, study participants, main theme, and outcome variables used in intervention studies. RESULTS 1. Of the 105 studies, 67 were master and doctoral dissertations and 49.5% of studies were conducted in nursing. 2. There were 73 (69.5%) quantitative studies and 20 (19.1%) qualitative research studies and the most frequently used study design was that of a descriptive study. 3. Children with cancer undergoing treatment and their parents, mostly mothers, were the participants most frequently studied. 4. Most themes were psychological/spiritual problems, coping, and family function. 5. Most frequently measured outcome variables were nausea/vomiting, fear/anxiety and adjustment. CONCLUSION The results indicate that future research should include more well-designed intervention studies to develop new intervention protocols and to confirm the effect of previous study findings. It is also necessary to use an interdisciplinary approach to deal with physical and psychosocial needs of these children and their families including siblings and fathers of children with cancer.
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PURPOSE One of the main reasons why mothers quit breast feeding is that the volume of breast milk is inadequate due to insufficiency in suckling. We believe suckling experience may be a factor affecting nipple confusion. So an alternative feeding method, namely cup, spoon, finger, or nasogastric tube feeding may be needed to prevent nipple confusion. The purpose of this study was to construct a predictive model for demand for alternative feeding education by nurses. METHODS A descriptive design with structured self-report questionnaires was used for this study. Data from 175 nurses working in hospitals in Busan were collected between April 1 and 15, 2009. Data were analyzed by decision tree method, one of the data mining techniques using SAS 9.1 and Enterprise Miner 4.3 program. RESULTS Of the nurses, 81.1% demanded alternative feeding education and 5 factors showed that most of them expressed intention to pay, desire to know about alternative feeding, age, and learning experience. From these results, the derived model is considered appropriative for explaining and predicting demand for alternative feeding education. CONCLUSION This confirms that knowledge and compliance in alternative breast feeding for newborn babies should be correct and any inaccuracies or insufficient information should be supplemented.
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