Purpose This study was done to identify the level and correlation of knowledge and practice of fever management at home and provide data for the development of an intervention program to improve the fever management ability of mothers of preschool age children.
Methods Participants were 112 mothers with children between 1 and 6 years of age and attending one of three daycare centers located in J city. The participants had a history of using medication and tepid massage. Data were collected during April, 2016.
Results The mean scores were 27.55 (correct answer rate 70.64%) of 39 for knowledge, and 75.93 of 92 for fever management practice. There were significant differences in scores for knowledge according to the number of children and number of visits to doctors for treatment of a fever. There were no differences in scores for practice. There was a positive correlation between knowledge and practice.
Conclusion Results indicate that mothers’ knowledge and practice of childhood fever management were insufficient to provide accurate management of childhood fevers. Therefore, to improve the mothers’ ability to provide appropriate fever management, educational strategies that focus on increasing knowledge need to be developed.
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Purpose The purpose of this study was to identify the influence of early menarche on sexual experience among high school girls in South Korea.
Methods The study sample was comprised of 16,286 high school girls. Using statistics from the 11th (2015) Korea Youth Risk Behavior Web-based Survey, hierarchical logistic regression analysis was conducted.
Results Among the girls, 5.8% reported early menarche. Early menarche was associated with sexual experience (Odds Ratio (OR), 5.27; 95% Confidence Interval (CI), 4.11-6.77). Controlled for sociodemographic, emotional and health behavior characteristics, early menarche was associated with sexual experience (OR, 3.98; 95% CI, 3.04-5.21).
Conclusion The results indicate that early menarche predicts an increase in sexual experience among female adolescents. Therefore, health education programs and health policy for interventions to improve sexual health are required for girls who are expected to experience early menarche.
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Purpose This study was done to investigate the relationship between knowledge, attitude, and practice toward breast self-examination (BSE) among middle and high school girls.
Methods A cross-sectional descriptive study was conducted using self-report questionnaires. Participants were 412 students, 137 middle and 275 high school girls. Data were collected from December 7 to 23, 2016 and analyzed using t-test and Spearman correlation coefficient.
Results The percentage of correct answers for knowledge about breast self-examination among middle and high school girls was 29.2%. The mean score for practice (5.89±0.10) among middle and high school girls was low. For knowledge, there were significant differences according to grade (t=5.93, p<.001), having heard about BSE (t=4.02, p<.001), experience of BSE (t=2.51, p=.012), and need for education (t=3.37, p=.001). In practice, there were significant differences according to having heard about BSE (t=3.64, p<.001), experience of BSE (t=2.64, p=.017). Knowledge level of BSE positively correlated with practice of BSE (r=.21, p<.001).
Conclusion Research results suggest that education on BSE for middle and high school girls is needed to increase the possibility of early detection of breast cancer.
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Purpose The purpose of this study was to investigate the ecological factors influencing school adjustment of adolescents from low-income families.
Methods Secondary data analysis was performed using data of 1,321 low-income adolescents in 123 regions found on the Survey on Service Satisfaction with Community Child Care Center.
Results The results of multi-level analysis identified the factors influencing school adjustment of low-income adolescents as follows: individual-level factors were gender, grade in school, and emotional problem; an interpersonal-level factor was family structure; organizational-level factors were length of time attending center and satisfaction with the service of the center; community-level factors were region and perception of community.
Conclusion The results suggest that low-income adolescents’ adjustment to school is influenced not only by individual factors but also by diverse environmental factors. Community factors suggest that more education support systems and leisure facilities for adolescents need to be built in small and medium cities. Strategies to enhance positive perception of community are also needed for this population. Further, it is necessary to develop multi-level interventions to improve the school adjustment of adolescents from vulnerable social groups.
Purpose The purpose of this study was to explore and describe the experiences of career decision making by Korean nursing students.
Methods The participants were 18 nursing students from one nursing college. Data were collected through in-depth individual interviews, and the main question was, “Could you describe your experience of making a career decision?” Data from the field and transcribed notes were analyzed using Strauss and Corbin’s grounded theory methodology.
Results Core category of nursing students’ experiences in making career decisions was ‘trying to find the way of being a nurse’. Action/interaction strategies were ‘becoming one’s own self’, ‘actively exploring the way of being a nurse’, and ‘experiencing one’s own achievement as a future nurse’. Consequences were ‘deciding on the career on one’s own’ and ‘career indecision on one’s own’.
Conclusion The findings indicate that nursing students tried to know themselves, explore careers and experience their achievements, and that their efforts were influenced by real situations and support systems. Therefore, nurse educators should develop systems and programs to help students in nursing make career decisions.
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Purpose The purpose of this study was to investigate NICU nurses’ nursing interventions for pain and factors affecting nursing interventions for pain.
Methods Participants were 120 NICU nurses from 5 university hospitals located in Daejeon Metropolitan City and Chungcheong Province. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA and Duncan test, Pearson correlation coefficients and multiple regression analysis with SPSS Windows 23.0 IBM program.
Results The factors affecting nursing interventions for pain included knowledge about non-pharmacological nursing interventions for pain and self-efficacy about nursing interventions for pain. These variables explained 28.3% of nursing interventions for pain.
Conclusion The results of this study suggest that it is necessary to develop education programs in which effective nursing interventions for neonatal pain are considered. The programs should be made available to NICU nurses.
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Purpose This study was conducted to define the concept of stress in siblings of childhood cancer patients.
Methods The hybrid model was used to perform the concept analysis of stress in childhood cancer patients’ siblings. Through reviews of 16 studies in the theoretical phase and interviews with 20 siblings in the field phase, the derived results were brought together in the integration phase.
Results The concept of stress in siblings of patients with childhood cancer was found to have 6 attributes and 28 indicators in 3 domains. Personal factors included 2 attributes (fear about childhood cancer and immature coping skills), and family factors had 2 attributes (changes in relationships with family and changes in family environment), social factors had 2 attributes (changes in relationships with friends and in the school experience, and insufficient social support).
Conclusion The stress of siblings of childhood cancer patients was defined as a state of tension associated with personal, family, social factors that can be related to their siblings’ childhood cancer. The findings in this study provide the base for the development of a tool for measuring siblings’ stress and/or the development of nursing programs for these siblings.
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Purpose The purpose of this study was to explore perception of the clinical learning environment, resilience and perfectionism in relation to practice burnout and to identify factors influencing practice burnout in student nurses.
Methods A descriptive correlational study was conducted. The participants were 313 student nurses from three universities in B and U city. Data were analyzed using t-test, ANOVA, Pearson correlation coefficient, Scheffés test and multiple regression analysis.
Results Mean score for practice burnout in student nurses was 2.92 out of 5 points. Practice burnout explained 44.7% of the variance in perfectionism (β=.245, p<.001), satisfaction with college life (β=.232, p<.001), resilience (β=-.228, p<.001), clinical learning environment (β=-.193, p<.001), satisfaction with major (β=.180, p=.001), practical relationships with peers (β=.128, p=.005), and satisfaction with clinical practice (β=.124, p=.039).
Conclusion Research results suggest that the important variable for student nurses’ practice burnout is perfectionism. Therefore education is needed to develop strategies to manage perfectionism and reduce practice burnout.
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Purpose The purpose of this study was to investigate parents’ perceptions and attitudes regarding a screening test for and subsequent management of students’ emotional and behavioral problems.
Methods A descriptive research design was used, and included disproportional stratified and cluster random sampling. The sample comprised 223 parents of elementary, middle, and high school students. Data were analyzed using descriptive statistics, Chi-squared test, and ANOVA with SPSS/WIN 21.0.
Results Overall, parents responded that they knew of the goals, types, and tools of screening tests for students’ emotional and behavioral problems. In total, 64.6% of parents reported having information for the screening test in advance. Only 13.5%(n=30) of students had emotional and behavioral problems in the last year. Among these students, 56.7%(n=17) were referred to mental health facilities but only 29.4%(n=5) of them received ongoing management from these facilities.
Conclusion These findings suggest that parents should receive information about the screening test for and subsequent management of students’ emotional and behavioral problems. Health professionals need to build strategies to provide ongoing management for students who have emotional and behavioral problems.
Purpose The purpose of this study was to understand and explore the essences of Korean mothers‘ experiences of caring for visually impaired children.
Methods Data were collected through individual in-depth interviews using open-ended questions. Five mothers of children with visual impairments participated in the interviews. Verbatim transcripts were analyzed using phenomenological analysis.
Results Analysis with Colaizzi’s method showed two categories which included 14 themes in 4 theme clusters. The first category was ‘surviving in the dark reality’ included 2 theme clusters, of ‘outcrying in the darkness’ and ‘enduring the darkness while caring for my child alone’. The second category was ‘living as the light of maternal affection’ including 2 theme clusters of ‘preparing the light to shine in the darkness’ and ‘going through the darkness with the lights of love’.
Conclusion The findings from this study provide deep understanding of mothers‘ experiences of caring for visually impaired children. Based on the results of the study, health professionals can develop effective family nursing interventions to improve the quality of life for these families including the visually impaired children and their mothers.
Purpose The purpose of this study was to investigate nurses’ perceptions on child abuse.
Methods In this cross-sectional descriptive study, data were collected using a questionnaire and 217 nurses working in seven general hospitals were surveyed. The perception scale was divided into 4 subscales: physical, psychological, sexual abuse and neglect.
Results Nurses who suspected child abuse accounted for 18.1% of the nurses, and 41.9% of the nurses stated that they did not to report suspected child abuse. The nurses reported receiving only a little education about the prevention of child abuse. The mean score for perception on child abuse was high (3.59±0.31). Recognition of sexual abuse ranked highest, psychological abuse ranked lowest.
Conclusion The findings from this research provide baseline information for understanding nurses’ perceptions on child abuse, and may help in the development of appropriate education programs that will enable nurses to report child abuse.
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Purpose The main purpose of this study was to explore the adaptation experience of adolescent cancer survivors during and after cancer treatment, and their perceived social support networks.
Methods This study was a qualitative descriptive study using the in-depth interview. Eight adolescent cancer survivors who were diagnosed with cancer between 11 to 18 years old participated in the study.
Results The adaptation experiences of adolescent cancer survivors over time were identified within five categories for during their treatment such as “being catapulted from one’s life,” “standing at the center of discomfort,” “falling behind the line,” “accepting the change,” “being developed”, and another five categories for after the treatment including “being shackled,” “encountering the forgotten reality,” “overcoming and emerging from the reality,” “growing into adulthood,” “entering into a new orbit.” Participants reported the various members of their social support network and their roles during and after the treatment as well.
Conclusion While adolescent cancer survivors adjusted to their changing situations after the cancer diagnosis, their internalized adaptation, as well as perceived social support from their diverse surrounding network, played significant roles. These findings will become a valuable asset for developing age-appropriate nursing interventions to promote psychosocial adjustment of adolescents with cancer.
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Purpose The aim of this study was to assess the body weight perception of adolescents and to investigate the difference between mental health and weight control behavior according to body weight perception.
Methods Study data on 12-18 years old adolescents with normal BMI was obtained from the 6th Korea National Health and Nutrition Examination Survey (2013-2015). Rao-Scott Chi-square test and ANOVA were used for the analysis.
Results The percentage of adolescents with a misperception of body weight was 43.3%, and their subjective health status (p=.013), stress perception (p=.001), and depression (p=.001) were worse than for adolescents who had the correct perception of their body weight. The percentage of adolescents who were trying to lose weight while perceiving their body weight as normal was 36.9%. Body weight control behavior had significant differences according to dietary intake (frequency of eating dinner (p=.015)), energy intake (p=.004), and carbohydrate intake (p<.001), but there was no significant difference according to exercise.
Conclusion Parents, school teachers, and nurses should make efforts to ensure that Korean adolescents perceive their body weight correctly, and prevent unhealthy weight control behaviors.
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