Purpose
This study aimed to identify predictive factors affecting adolescents’ subjective happiness using data from the 2023 Korea Youth Risk Behavior Survey. A random forest model was applied to determine the strongest predictive factors, and its predictive performance was compared with traditional regression models.
Methods
Responses from a total of 44,320 students from grades 7 to 12 were analyzed. Data pre-processing involved handling missing values and selecting variables to construct an optimal dataset. The random forest model was employed for prediction, and SHAP (Shapley Additive Explanations) analysis was used to assess variable importance.
Results
The random forest model demonstrated a stable predictive performance, with an R2 of .37. Mental and physical health factors were found to significantly affect subjective happiness. Adolescents’ subjective happiness was most strongly influenced by perceived stress, perceived health, experiences of loneliness, generalized anxiety disorder, suicidal ideation, economic status, fatigue recovery from sleep, and academic performance.
Conclusion
This study highlights the utility of machine learning in identifying factors influencing adolescents’ subjective happiness, addressing limitations of traditional regression approaches. These findings underscore the need for multidimensional interventions to improve mental and physical health, reduce stress and loneliness, and provide integrated support from schools and communities to enhance adolescents’ subjective happiness.

Purpose
To describe the process of systematically developing an integrated health promotion program for school-age children from vulnerable families.
Methods
In this study, we applied the first three steps—analysis, design, and development (ADD)—of the analysis, design, development, implementation, and evaluation (ADDIE) model. The analysis step involved a literature review and needs assessment. In the design step, program components were considered and a program draft was developed. The program content was modified based on expert validation in the development step. The preliminary program was administered in the implementation step, and the final program was confirmed in the evaluation step.
Results
The program contents were based on the literature review, needs assessment, and Ryan’s integrated theory of health behavior change. The content was valid, and the educational material was appropriate for school-age children from vulnerable families. The finalized program consists of six sessions to promote physical, psychological, and social health using individual/group and face-to-face/online methods, including two that involve both parents and children.
Conclusion
This study presents a detailed description of how the program was developed and illustrates the critical elements that should be considered during similar program development. The effect of this program on health promotion behavior should be examined in future research.

Purpose
This study explored the intrapersonal, interpersonal, and school factors, following the socioecological model, associated with sugar-sweetened beverage (SSB) consumption in Korean high-school students.
Methods
A total of 231 students from first to third grade, aged 15–18 years, participated in this cross-sectional study. Multiple linear regression analysis was conducted to identify the factors.
Results
Among the intrapersonal factors, fast-food consumption (β=0.13, t=1.97, p=.050) and habit strength of SSB consumption were positively associated (β=0.35, t=4.30, p<.001), and sleep duration was negatively associated with SSB consumption (β=–0.14, t=–2.02, p=.045). Among interpersonal factors, perceived SSB consumption by peers was positively associated (β=0.30, t=4.93, p<.001), and among school factors, vending machines at school (β=0.13, t=2.07, p=.039) and supermarkets and convenience stores near schools were positively associated with SSB consumption (β=0.17, t=2.87, p=.005).
Conclusion
School nurses should propose policies and interventions that consider the multilevel factors to reduce SSB consumption in adolescents.

Purpose
This study aimed to develop a multicultural education program for Mother and Baby Unit (MBU) nurses by using concept mapping, and to evaluate its effectiveness in enhancing the nurses’ cultural competence and multicultural acceptance.
Methods
This study utilized the ADDIE model (which comprises the Analysis, Design, Development, Implementation, and Evaluation stages) to design and implement a concept mapping-based multicultural education program for MBU nurses in a quasi-experimental pre- and post-test design. This program was structured into five sessions, each incorporating the use of concept maps to facilitate self-reflection and critical thinking. All sessions were conducted using the online Zoom platform, allowing participants to engage without restrictions on time or location. A total of 53 nurses participated, with 26 assigned to the experimental group and 27 to the control group. The program’s effectiveness was assessed through changes in cultural competence and multicultural acceptance, measured using validated scales.
Results
The results demonstrated significant improvements in both cultural competence and multicultural acceptance in the experimental group compared to the control group, supporting the hypotheses that such educational interventions can enhance nurses’ ability to provide culturally appropriate care.
Conclusion
Concept mapping fosters self-reflection and critical thinking, effectively increasing MBU nurses’ cultural competence and multicultural acceptance. This study offers a practical framework for integrating multicultural education into nursing training, ultimately improving care for foreign mothers and reducing the challenges faced by MBU nurses.

Purpose
This study aimed to explore tutoring experiences related to a high-risk newborn care simulation among nurses and nursing students to derive insights into developing effective neonatal nursing practice.
Methods
A qualitative content-analysis study was conducted in March 2023. Data were collected through narrative surveys and focus group interviews with four neonatal intensive care unit nurses and 12 senior nursing students participating in a 1-day high-risk newborn care simulation program. A content analysis was performed on the collected data.
Results
Three categories (“efforts to foster a sense of presence,” “efforts to promote positive awareness of the neonatal intensive care unit,” and “establishing one’s role as an educator”) and six subcategories were derived from the nurses’ responses. Three categories (“growth through a realistic virtual simulation,” “improved learning effects,” and “hope for continued development”) and six subcategories were derived from the nursing students’ responses.
Conclusion
The nursing students experienced realistic practice with their nurse tutors in the high-risk newborn care simulation, which helped them form their professional identity as future nurses. After tutoring, the nurses’ perceptions of nursing students changed positively, which affected their teaching methods.

Purpose
This study aimed to systematically review studies on the effect of peer tutoring on pediatric nursing education for nursing students and identify its contents and characteristics.
Methods
A comprehensive search was conducted from November to December 2023 across databases including PubMed, Embase, CENTRAL, CINAHL, ProQuest, and others. We included both published and unpublished literature in English or Korean. Three reviewers independently screened and selected eligible studies that involved undergraduate nursing students participating in peer tutoring programs focused on pediatric nursing education. We analyzed quantitative outcomes related to learning effects and learner responses. The quality of the studies was assessed using the revised Cochrane risk-of-bias tool for randomized trials and the risk of bias assessment tool for non-randomized studies.
Results
Five studies were reviewed, encompassing randomized controlled trials, a non-randomized controlled trial, a cohort study, and a before-after study. These interventions were conducted in school settings or pediatric clinical environments and featured different forms of peer teaching: horizontal, near-peer, and reciprocal. The tutor-to-tutee ratios ranged from 1:3 to 1:36.5. The educational content covered nursing care for major neonatal diseases, communication skills, medication administration, and resuscitation techniques. Significant improvements in cognitive knowledge and communication skills were observed among nursing students. However, there was noticeable variability in the design and reporting of the studies.
Conclusion
Peer tutoring programs can effectively enhance pediatric nursing education by improving nursing students’ knowledge and skills. For future meta-analyses, more studies in this field reported according to reporting guidelines are needed.

Purpose
It is essential to investigate the users’ needs in developing user-centered, family-based applications (apps) for managing childhood obesity.
Methods
This study conducted focus group interviews with ten parents, ten children, and four app developers to investigate the need to develop a family-based mobile app for childhood obesity. The interview period was from July 17 to August 30, 2023. The data were analyzed using thematic analysis.
Results
The results highlighted 31 key themes critical to family-based app development, including the need for comprehensive content promoting healthy lifestyle habits, tailored expert support, and motivational factors for app engagement, which were categorized as intrinsic, extrinsic, and social motivations and technological features. Participants also highlighted potential challenges, such as app usability issues and the need for a user-friendly interface. The pivotal role of parents in guiding and supporting their children’s health behaviors was emphasized, particularly in creating a supportive environment that encourages sustained engagement with the app.
Conclusion
These findings provide a comprehensive understanding of the needs and preferences of parents, children, and app developers in managing childhood obesity. Emphasis on integrating healthy lifestyle content, providing expert support, and incorporating motivational strategies is crucial for the app’s success. Additionally, addressing potential difficulties and recognizing the pivotal role of parents are essential considerations. These insights will inform the design and development of a user-centered mobile app that supports families in managing childhood obesity.

Purpose
This study develops a chatbot for school violence prevention (C-SVP) among elementary school students.
Methods
Among the analysis, design, development, implementation, and evaluation (ADDIE) models, ADD phases were applied to develop a C-SVP. Students’ learning needs were identified by constructing content with a design that attracted their attention. Subsequently, a formative evaluation was conducted on the developed C-SVP to test its applicability by ten elementary school students targeting the 5th and 6th grades.
Results
The chatbot was designed using KakaoTalk and named “School Guardian Angel.” The formative evaluation revealed that the developed C-SVP was easily accessible and useful for elementary school students.
Conclusion
The developed C-SVP is expected to be effective in preventing violence among elementary school students. However, further research involving children of various age groups is required.

Citations

• Implementation of the ADDIE Model in Chatbot Development using Diagramflow
  Fadhil Mureno Ega Nugraha , Muhammad Setiyawan
  Journal of Technology and System Information.2025; 2(2): 9.     CrossRef
• Effects of School Violence Prevention Education Using a Chatbot (SVPE-C) on Sixth-Grade Students in South Korea
  Shin-Jeong Kim, Sunyeob Choi, Kyung-Ah Kang
  The Journal of School Nursing.2024;[Epub]     CrossRef
• Essential Elements for Implementing AI Tools in Elementary School: A Systematic Literature Review
  Jorge Arriola-Mendoza, Gabriel Valerio-Ureña
  Education Sciences.2024; 14(12): 1292.     CrossRef

Purpose
This pilot study aimed to assess the feasibility, preliminary efficacy, and effects of a mobile app healthcare coaching program developed based on self-regulation theory among youths with type 1 diabetes.
Methods
A mixed-method design was utilized. Participants were randomly assigned into intervention (n=23, 12-week coaching program) or control groups (n=16, usual care). Pre- and post-intervention assessments included self-efficacy, diabetes management behavior, and health outcomes (quality of life, depression, and HbA1c). Quantitative data were analyzed with SPSS/WIN ver. 26.0. The narrative information from the participants in the healthcare coaching program underwent content analyzed.
Results
The intervention group had significantly lower depression scores (t=2.57, p=.014) than the control group. No significant differences were observed in self-efficacy, diabetes management behavior, and health outcomes between the two groups. The average frequency of health behavior monitoring per week among the participants was 1.86±1.60. The qualitative findings indicated that participants perceived improved diabetes self-management with the intervention; however, challenges during vacations, dietary control difficulties, and a lack of disease awareness were identified.
Conclusion
The healthcare coaching program improved psychological aspects for youth with type 1 diabetes. Further research is needed to develop and implement mobile app interventions aimed at enhancing compliance with diabetes management in pediatric and adolescent populations.

Citations

• Academic library online chat services under the impact of artificial intelligence
  LiLi Li, Kay Coates
  Information Discovery and Delivery.2025; 53(2): 192.     CrossRef
• Filipino Nurse Researchers' Knowledge, perception, and attitudes toward ChatGPT and Their Research Productivity
  Cyruz P. Tuppal, Marina Magnolia G. Ninobla, Richard D. Loresco, Mara R. Cabradilla, Shanine Mae P. Tuppal, Leah Kalayaan A. Pellacoeur, Mary Nellie T. Roa, Judith Mary Ann R. Chan, Iril I. Panes, Ana Libabel U. Ferreras
  IJERI: International Journal of Educational Resear.2025;[Epub]     CrossRef
• Man Versus Machine: A Comparative Study of Human and ChatGPT-Generated Abstracts in Plastic Surgery Research
  Sophia M. Pressman, John P. Garcia, Sahar Borna, Cesar A. Gomez-Cabello, Syed Ali Haider, Clifton R. Haider, Antonio Jorge Forte
  Aesthetic Plastic Surgery.2025;[Epub]     CrossRef
• English Education Students' Perception of the Use of ChatGPT in Writing Articles
  Uswatun Hasanah, Ivan Achmad Nurcholis
  Pubmedia Jurnal Pendidikan Bahasa Inggris.2024; 1(2): 10.     CrossRef
• Ethics and the use of generative AI in professional editing
  Renée Otmar, Rose Michael, Sharon Mullins, Katherine Day
  AI and Ethics.2024;[Epub]     CrossRef
• Editorial policies of Journal of Educational Evaluation for Health Professions on the use of generative artificial intelligence in article writing and peer review
  Sun Huh
  Journal of Educational Evaluation for Health Profe.2023; 20: 40.     CrossRef

Purpose
Falls are a common cause of unintentional injuries in infants. This study was conducted to examine the patterns of healthcare utilization following infant falls in South Korea.
Methods
This cross-sectional descriptive study utilized an online survey designed to gather information regarding the general characteristics of parents and infants, fall-related variables, and healthcare use.
Results
The most serious falls identified by parents occurred at an average infant age of 6.97 months. Most fall incidents took place indoors (95.7%), and many occurred under the supervision of caregivers (68.0%). Following the fall, 36.4% of the participants used healthcare services. Logistic regression analysis revealed that healthcare use following an infant fall was significantly associated with being a firstborn child (odds ratio [OR]=5.32, 95% confidence interval [CI], 2.19-15.28) and falling from a caregiver's arms (OR=4.22; 95% CI, 1.45-13.68).
Conclusion
To prevent and decrease the frequency of infant falls, improvements are needed in both the domestic environment and parenting approaches.

Purpose
This study aimed to derive a conceptual definition and attributes for nursing students' rights in clinical practice in South Korea.
Methods
This concept-analysis study was conducted at a nursing school in South Korea. The participants were recruited using purposive sampling. The inclusion criteria were being a fourth-year nursing student and having two or more semesters of practical experience. The hybrid model used in this study had three stages. First, 12 studies were reviewed during the theoretical stage. Second, 10 in-depth interviews were conducted during the fieldwork stage. Third, in the analytical stage, the concept of nursing students' rights related to clinical practice was defined and the attributes were derived.
Results
The analysis established five attributes of nursing students' rights: the right to learn, the right to be protected from infections and accidents, the right to be cared for and supported, the right to be respected, and the right to be recognized as a member of a nursing team. A key theme that emerged from this study was having the right to learn in a safe and supportive environment.
Conclusion
It is necessary to develop a measurement tool based on the above five attributes and to verify its effectiveness.

Purpose
Adolescent self-harm is a public health problem. Research suggests a link between adverse childhood experiences (ACEs) and self-destructive behaviors. Few studies, however, have examined the effects of ACEs on self-harm among Asian adolescents. This study explored the association between lifetime ACEs and a history of self-harm among Korean children and adolescents in elementary, middle, and high schools.
Methods
A cross-sectional, retrospective medical record review was conducted on a dataset of a national psychiatrist advisory service for school counselors who participated in the Wee Doctor Service from January 1 to December 31, 2020. The data were analyzed using multiple logistic regression to predict self-harm.
Results
Student cases (n=171) were referred to psychiatrists by school counselors for remote consultation. Multiple logistic regression analyses revealed that the odds of self-harm were higher among high school students (adjusted odds ratio [aOR]=4.97; 95% confidence interval [CI]=1.94-12.76), those with two or more ACEs (aOR=3.27; 95% CI=1.43-7.47), and those with depression (aOR=3.06; 95% CI=1.32-7.10).
Conclusion
The study's findings provide compelling evidence that exposure to ACEs can increase vulnerability to self-harm among Korean students. Students with a history of ACEs and depression, as well as high school students, require increased attention during counseling. School counselors can benefit from incorporating screening assessment tools that include questions related to ACEs and depression. Establishing a systematic referral system to connect students with experts can enhance the likelihood of identifying self-harm tendencies and offering the essential support to prevent self-harm.

Citations

• Adverse childhood experiences and health-related outcomes in early adulthood: Evidence from the Korean Welfare Panel Study
  Changyong Choi, Joshua P. Mersky
  Children and Youth Services Review.2025; 170: 108158.     CrossRef
• Global burden of all cause-specific injuries among children and adolescents from 1990 to 2019 : a prospective cohort study
  Cong Li, Jinghua Jiao, Guangyao Hua, Gantugs Yundendorj, Shunming Liu, Honghua Yu, Lijun Zhang, Xiaohong Yang, Lei Liu
  International Journal of Surgery.2024;[Epub]     CrossRef

Purpose
Artificial intelligence (AI) has had a profound impact on humanity; in particular, chatbots have been designed for interactivity and applied to many aspects of daily life. Chatbots are also regarded as an innovative modality in nursing education. This study aimed to identify nursing students' awareness of using chatbots and factors influencing their usage intention.
Methods
This study, which employed a descriptive design using a self-reported questionnaire, was conducted at three university nursing schools located in Seoul, South Korea. The participants were 289 junior and senior nursing students. Data were collected using self-reported questionnaires, both online via a Naver Form and offline.
Results
The total mean score of awareness of using chatbots was 3.49±0.61 points out of 5. The mean scores of the four dimensions of awareness of using chatbots were 3.37±0.60 for perceived value, 3.66±0.73 for perceived usefulness, 3.83±0.73 for perceived ease of use, and 3.36±0.87 for intention to use. Significant differences were observed in awareness of using chatbots according to satisfaction with nursing (p<.001), effectiveness of using various methods for nursing education (p<.001), and interest in chatbots (p<.001). The correlations among the four dimensions ranged from .52 to .80. In a hierarchical regression analysis, perceived value (β=.45) accounted for 60.2% of variance in intention to use.
Conclusion
The results suggest that chatbots have the potential to be used in nursing education. Further research is needed to clarify the effectiveness of using chatbots in nursing education.

Citations

• Predicting nursing students’ behavioral intentions to use AI: The interplay of ethical awareness, digital literacy, moral sensitivity, attitude, self-efficacy, anxiety, and social influence
  Mohammad Abuadas, Zainab Albikawi
  Journal of Human Behavior in the Social Environmen.2025; : 1.     CrossRef
• Integrating artificial intelligence ethically in nursing education
  Dawn L. Riess
  Nursing.2025; 55(4): 56.     CrossRef
• The Turkish Version of the Technology Acceptance Model-Based Scale TAME-ChatGPT: A Validity and Reliability Study
  Ebru Küçük, Buket Meral, Kıymet Yesilçiçek Çalık, Cantürk Çapık
  International Journal of Human–Computer Interactio.2025; : 1.     CrossRef
• Evolution of Chatbots in Nursing Education: Narrative Review
  Fang Zhang, Xiaoliu Liu, Wenyan Wu, Shiben Zhu
  JMIR Medical Education.2024; 10: e54987.     CrossRef
• The Impact of Artificial Intelligence-Assisted Learning on Nursing Students' Ethical Decision-making and Clinical Reasoning in Pediatric Care
  Hyewon Shin, Jennie C. De Gagne, Sang Suk Kim, Minjoo Hong
  CIN: Computers, Informatics, Nursing.2024; 42(10): 704.     CrossRef
• Artificial intelligence tools utilized in nursing education: Incidence and associated factors
  Samar Thabet Jallad, Khitam Alsaqer, Baker Ishaq Albadareen, Duaa Al-maghaireh
  Nurse Education Today.2024; 142: 106355.     CrossRef
• The association of artificial intelligence ethical awareness, attitudes, anxiety, and intention-to-use artificial intelligence technology among nursing students
  Moh''d Khair Migdadi, Islam Ali Oweidat, Mohammad R. Alosta, Khalid Al-Mugheed, Amany Anwar Saeed Alabdullah, Sally Mohammed Farghaly Abdelaliem
  DIGITAL HEALTH.2024;[Epub]     CrossRef
• UNLOCKING THE TRANSFORMATIVE POWER OF ARTIFICIAL INTELLIGENCE FOR SUSTAINABLE DEVELOPMENT IN HIGHER EDUCATION
  TIJJANI MUHAMMAD, MARY DAVID
  Innovare Journal of Social Sciences.2024; : 19.     CrossRef

Purpose
This study investigated knowledge of atopic dermatitis and food allergies, as well as health information literacy, among North Korean refugee mothers with preschool-age children and explored how these variables were related to participants' characteristics.
Methods
A descriptive study design was used. Data from 130 North Korean refugee mothers were collected between January and March 2023.
Results
The mean scores were 14.48 of 30 for atopic dermatitis knowledge; 2.77 of 10 for food allergy knowledge, and 56.95 of 80 for health information literacy. Significant differences were observed in knowledge of atopic dermatitis based on breastfeeding duration (F=4.12, p=.009), and in knowledge of food allergies based on mixed feeding (F=3.11, p=.049). Health information literacy showed significant relationships with education level (F=3.76, p=.026), occupation (F=3.99, p=.021), checking nutritional information (t=2.91, p=.004), mixed feeding (F=4.50, p=.014), and atopic dermatitis diagnosis (t=6.86, p=.001). Significant positive correlations were observed between atopic dermatitis knowledge, food allergy knowledge, and health information literacy.
Conclusion
Personalized educational programs should be implemented to improve awareness of allergies and health information literacy among North Korean refugee mothers, which would help them find, evaluate, and understand health-related information. These programs should focus on providing nutrition and dietary education to promote healthy growth in children and prevent diseases.

Citations

• How to Conduct High-Quality Systematic Review and Meta-analysis in Radiology and Interventional Radiology
  Manish Shaw, Sanjiv Sharma
  Indian Journal of Radiology and Imaging.2025; 35(S 01): S128.     CrossRef
• Endocrine Parameters and Climate Change
  Borros Arneth
  Endocrines.2025; 6(1): 5.     CrossRef
• Effect of preoperative hair removal vs. no removal on surgical site infections: a systematic review and meta-analysis
  Abdulsalam Aleid, Saud Nayef Aldanyowi, Abdulmajeed Aljabr, Hasan Ali Abdullah Alaidarous, Zainab Aleid, Abdulaziz Alharthi, Mutlaq Alsubaie, Lama AlOraini, Abdulrahman Almoslem, Abbas Al Mutair
  F1000Research.2024; 13: 1487.     CrossRef

Purpose
This study examined the literature concerning the burdens of parents of preschool-aged children diagnosed with type 1 diabetes mellitus.
Methods
We employed an integrative review methodology based on Whittemore and Knafl's framework. The literature search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines across four electronic databases: PubMed, Web of Science, the Cumulative Index to Nursing Allied Health Literature (CINAHL), and PsycINFO. Ultimately, 18 articles were included in the review.
Results
The review yielded four themes: (1) parental burdens, (2) factors related to the burdens, (3) coping strategies, and (4) implications for clinical practice. Parents experienced psychological, physical, and social burdens due to the diabetes care of their children. Several factors influenced burdens, including child-related characteristics such as age, severity of diabetes, and hospitalization experience, as well as parental factors like family income, race, and residential area. Parents initially felt burdened when their child was diagnosed with type 1 diabetes, but over time, they often adapted to the situation through support and sharing of responsibilities. Parents desired education and interventions reflecting the unique characteristics of preschoolers.
Conclusion
This integrative literature review revealed that parents experience numerous burdens when their child is diagnosed with diabetes. Future research should focus on developing interventions to address parents' psychological difficulties, including tracking parental psychological changes over time. Tailored nursing interventions should also be provided to parents of preschool-aged children, as opposed to the more generic nursing interventions traditionally applied across all age groups of children in clinical settings.

Citations

• Distinguishing risk factors for depression and burnout in parents managing type 1 diabetes mellitus in children
  Sumbule Koksoy Vayisoglu, Ebru Koc, Emine Oncu
  Journal of Pediatric Nursing.2025; 80: 32.     CrossRef
• Factors affecting care burden and life satisfaction among parents of children with type 1 diabetes
  Tuğba Bilgehan, Ezgi Bağrıaçık, Münevver Sönmez
  Journal of Pediatric Nursing.2024; 77: e394.     CrossRef
• Preferences for Peer Support Amongst Families Engaged in Paediatric Screening Programmes: The Perspectives of Parents Involved in Screening for Type 1 Diabetes in Children Aged 3–13
  Ian Litchfield, Lauren M. Quinn, Felicity Boardman, Olga Boiko, Parth Narendran, Shivam Choundhary, Naga Setti, Veer Sheth, Sheila M. Greenfield
  Health Expectations.2024;[Epub]     CrossRef

Citations

• Digital competency among pediatric healthcare workers and students: a questionnaire survey
  Sang-Sang Ren, Wei-Ze Xu, Zhi Chen, Jia-Jia Chen
  World Journal of Pediatrics.2025; 21(2): 192.     CrossRef
• Artificial intelligence for digital healthcare in the low and medium income countries
  Sinegugu Emgard Sibiya, Rajendraparsad Hurchund, Bernard Omondi, Peter Owira
  Health and Technology.2025; 15(2): 323.     CrossRef
• Developing and validating a 2D digital version of the Brazilian Children's anxiety questionnaire
  Valquiria Moreira Lacerda Martins, Juliana Bastoni da Silva, Janaina Chinaque Francisco, Gabriela Rossi Dos Santos, Gabriely Silva dos Santos, Stefan Nilsson, Marla Andreia Garcia de Avila
  Journal of Pediatric Nursing.2024; 76: 160.     CrossRef
• Acceptance of Digital Health Care Technology and the Role of Nursing Education
  Jiyoung Han, Meeyoung Kim, Kum Hei Ryu, Kwangsoo Shin
  The Journal of Continuing Education in Nursing.2024; 55(12): 575.     CrossRef
• Artificial intelligence: A huge augmentation in nursing curriculum
  Rupa Ashok Verma, Ankita Nancy Anil Das, Rama Hari Danapure, Priyanka Dadarao Kosare, Smita Bhimrao Moon, Ashish Ganesh Chokhare
  IP Journal of Paediatrics and Nursing Science.2024; 7(4): 125.     CrossRef

Purpose
This study investigated the effects of healthy lifestyle interventions (HLSIs) on health-related quality of life (HR-QoL) in childhood and adolescent cancer survivors (CACS).
Methods
Major databases were searched for English-language original articles published between January 1, 2000 and May 2, 2021. Randomized controlled trials (RCTs) and non-RCTs were included. Quality was assessed using the revised Cochrane risk-of-bias tool, and a meta-analysis was conducted using RevMan 5.3 software.
Results
Nineteen studies were included. Significant effects on HR-QoL were found for interventions using a multi-modal approach (exercise and education) (d=-0.46; 95% confidence interval [CI]=-0.84 to -0.07, p=.02), lasting not less than 6 months (d=-0.72; 95% CI=-1.15 to -0.29, p=.0010), and using a group approach (d=-0.46; 95% CI=-0.85 to -0.06, p=.02). Self-efficacy showed significant effects when HLSIs provided health education only (d=-0.55; 95% CI=-0.92 to -0.18; p=.003), lasted for less than 6 months (d=-0.40; 95% CI=-0.69 to -0.11, p=.006), and were conducted individually (d=-0.55; 95% CI=-0.92 to -0.18, p=.003). The physical outcomes (physical activity, fatigue, exercise capacity-VO2, exercise capacity-upper body, body mass index) revealed no statistical significance.
Conclusion
Areas of HLSIs for CACS requiring further study were identified, and needs and directions of research for holistic health management were suggested.

Citations

• Team Survivors: Preliminary Analysis of an Innovative Intervention to Promote Physical Activity in Survivors of Childhood Cancer and Hematopoietic Stem Cell Transplant
  Meghan K. Flannery, Jocelyn Morin, Katrina O’Malley, Debra Schmidt, Jennifer A. Hoag
  Children.2025; 12(4): 399.     CrossRef
• Effectiveness of a healthy lifestyle program based on a mobile serious game for childhood cancer survivors: A quasi-randomized trial
  Kyung-ah Kang, Han-ho Kim, Shin-jeong Kim, In-hye Song, Min-jin Lee, Su-yong Lee, Sae-rom Han, Ki-hyuk Lee, So-won Kim, Hye-rin Nam, Mi-na Park, Hye-min Lee, Hee-jin Yoon
  Journal of Pediatric Nursing.2024; 77: 35.     CrossRef
• Barriers, facilitators, and other factors associated with health behaviors in childhood, adolescent, and young adult cancer survivors: A systematic review
  Ismay A. E. de Beijer, Eline Bouwman, Renée L. Mulder, Philippa Steensma, Morven C. Brown, Vera Araújo‐Soares, Magdalena Balcerek, Edit Bardi, Jeanette Falck Winther, Line Elmerdahl Frederiksen, Marloes van Gorp, Sara Oberti, Rebecca J. van Kalsbeek, Toma
  Cancer Medicine.2024;[Epub]     CrossRef

Purpose
We developed a virtual reality (VR) program for use in pediatric nursing practicums to help nursing students learn to measure vital signs in children.
Methods
The analysis, design, development, implementation, and evaluation model was employed between July 2021 and December 2021 at a university in South Korea. In the analysis phase, in-depth interviews were conducted with four nursing students, two nursing school graduates, and four experts. The topic and contents of the VR program were settled in the design phase. The VR program was developed and subsequently used and evaluated by 20 nursing students and four experts.
Results
The contents of the VR program for pediatric nursing practicums included the measurement of vital signs in a newborn baby and a young child, as well as an evaluation system. The mean score for the nursing students' satisfaction with practice was 4.02 out of 5 points. The mean scores for overall satisfaction with the VR program were 4.15 and 4.79 out of 5 points for nursing students and experts, respectively.
Conclusion
The VR program developed in this study allows nursing students to practice measuring vital signs in children, thus improving the students' clinical performance in pediatric nursing.

Citations

• Digital Educational Tools for Undergraduate Nursing Education: A Review of Serious Games, Gamified Applications and Non-Gamified Virtual Reality Simulations/Tools for Nursing Students
  Vasiliki Eirini Chatzea, Ilias Logothetis, Michail Kalogiannakis, Michael Rovithis, Nikolas Vidakis
  Information.2024; 15(7): 410.     CrossRef

Purpose
This study aimed to identify the main keywords and research topics used in research on problematic smartphone use (PSU) among children (6-12 years old), including parental factors.
Methods
The publication period for the literature was set from January 2007 to January 2022, as smartphones were first released in 2007. In total, 395 articles were identified, 230 of which were included in the final analysis. Text network analysis was performed using NetMiner 4.5.
Results
Research on this topic has steadily increased since 2007, with 40 papers published in 2021. Eight main research topics were derived: group 1, parental attitudes; group 2, children's PSU behavior and parental support; group 3, family environment and behavioral addiction; group 4, social relationships; group 5, seeking solutions; group 6, parent-child relationships; group 7, children's mental health and school adaptation; and group 8, PSU in adolescents.
Conclusion
Parental factors related to PSU have been studied in various aspects. However, more active research on school-age children's PSU needs to be conducted due to the paucity of research in this population compared to studies conducted among adolescents. The results of this study provide useful data for selecting research topics in the field of PSU.

Citations

• Can lifestyle medicine improve global mental health?
  Steven G. Sugden, Gia Merlo, Sam Manger
  Academia Mental Health and Well-Being.2024;[Epub]     CrossRef
• An Integrative Review of Interventions for Preventing Internet and Smartphone Addiction in Elementary School Students: Based on the IMB Model
  Hyemin Park, Bohye Kim, Jaehee Jeong, Hwa Jeong Kim, Yebin Kim
  STRESS.2024; 32(3): 133.     CrossRef

Purpose
Based on the health belief model and theory of planned behavior, this study investigated how age group (adolescence and emerging adulthood) moderated the relative effects of perceived susceptibility, perceived severity, and subjective norms on preventive behavior against coronavirus disease 2019 (COVID-19).
Methods
This secondary data analysis utilized data from adolescents (n=272) and emerging adults (n=239). Hierarchical multiple regression analysis was performed to test the moderating effect of age group on the relationships among variables.
Results
Higher perceived susceptibility (β=.21, p<.001), perceived severity (β=.14, p=.002), subjective norms (friends) (β=.26, p<.001), subjective norms (parents) (β=.44, p<.001), and subjective norms (schools) (β=.28, p<.001) enhanced COVID-19 preventive behaviors. Moderated regression analysis showed that subjective norms (friends and school) impacted preventive behavior in adolescents more than in emerging adults.
Conclusion
Given the need to increase perceived susceptibility and severity among adolescents and emerging adults, these findings provide baseline data for designing effective COVID-19 prevention interventions that consider the developmental characteristics of different age groups. Interventions by health centers at universities can strengthen COVID-19 preventive behavior among emerging adults. As adolescents are influenced by friends, their peer roles must be strengthened to enhance adherence to COVID-19 preventive guidelines.

Citations

• Predicting cybersecurity behaviors in the metaverse through the lenses of TTAT and TPB: a hybrid SEM-ANN approach
  Rawan A. Alsharida, Bander Ali Saleh Al-rimy, Mostafa Al-Emran, Mohammed A. Al-Sharafi, Anazida Zainal
  Online Information Review.2025;[Epub]     CrossRef
• Theory of Planned Behaviour and Sexting Intention of College Student
  Arta Dodaj, Kristina Sesar, Lucijana Bošnjak, Martina Vučić
  Emerging Adulthood.2024; 12(2): 163.     CrossRef
• Factors associated with the COVID-19 booster vaccine intentions of young adults in the United States
  Hyunmin Yu, Stephen Bonett, Ufuoma Oyiborhoro, Subhash Aryal, Melanie Kornides, Karen Glanz, Antonia Villarruel, José Bauermeister
  Human Vaccines & Immunotherapeutics.2024;[Epub]     CrossRef
• Factors Related to the COVID-19 Prevention Behaviors of Adolescents: Focusing on Six Middle and High Schools in Korea
  Shinae Lee, Gye-Hyun Jung, Hye-Young Song
  Healthcare.2023; 11(20): 2779.     CrossRef

Purpose
This systematic literature review and meta-analysis explored extended reality (XR)-based pediatric nursing simulation programs and analyzed their effectiveness.
Methods
A literature search was conducted between May 1 and 30, 2022 in the following electronic databases: MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and CINAHL. The search period was from 2000 to 2022. In total, 6,095 articles were reviewed according to the inclusion and exclusion criteria, and 14 articles were selected for the final content analysis and 10 for the meta-analysis. Data analysis was performed using descriptive statistics and the Comprehensive Meta- Analysis program.
Results
XR-based pediatric nursing simulation programs have increased since 2019. Studies using virtual reality with manikins or high-fidelity simulators were the most common, with six studies. The total effect size was statistically significant at 0.84 (95% confidence interval=0.50-1.19, z=4.82, p<.001).
Conclusion
Based on the findings, we suggest developing standardized guidelines for the operation of virtual pediatric nursing simulation education and practice. Simultaneously, the application of more sophisticated research designs for effect measurement and the combined applications of various virtual simulation methods are needed to validate the most effective simulation methodology.

Citations

• Identifying Research Priorities in Digital Education for Health Care: Umbrella Review and Modified Delphi Method Study
  Alison Potter, Chris Munsch, Elaine Watson, Emily Hopkins, Sofia Kitromili, Iain Cameron O'Neill, Judy Larbie, Essi Niittymaki, Catriona Ramsay, Joshua Burke, Neil Ralph
  Journal of Medical Internet Research.2025; 27: e66157.     CrossRef
• Augmenting pediatric nursing clinical education with low-cost simulations
  Valerie C. Martinez, Desiree A. Díaz, Mindi Anderson, Samantha Stephenson, Syretta Spears
  Journal of Pediatric Nursing.2025; 81: 136.     CrossRef
• Child Nursing Simulation Scenario Content Analysis: A Directed Qualitative Content Analysis
  Eun Joo Kim, Kyung Mi Cho, Sung Sook Song
  Clinical Simulation in Nursing.2024; 87: 101488.     CrossRef
• Development of neonatal Apgar scoring training program utilizing contactless hand tracking in immersive virtual reality
  Sun-Yi Yang, Yun-Hee Oh
  Nurse Education Today.2024; 140: 106294.     CrossRef
• Enhancing Nursing Simulation Education: A Case for Extended Reality Innovation
  Shanna Fealy, Pauletta Irwin, Zeynep Tacgin, Zi Siang See, Donovan Jones
  Virtual Worlds.2023; 2(3): 218.     CrossRef

Purpose
This study aimed to validate the Child Healthy Lifestyle Profile as an instrument for screening healthy behaviors in school-aged children in South Korea.
Methods
Self-reported questionnaires were administered to 454 students, comprising elementary-school students (n=221) and child cancer survivors (n=233). Reliability and validity were assessed using Cronbach's ⍺, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA).
Results
Cronbach's ⍺, as a reliability test, was 0.87. Varimax rotation yielded nine factors with eigenvalues greater than 1 in the EFA, which explained 61.0% of the total variance. In the CFA, both convergent and discriminant validities were acceptable. Therefore, the Child Healthy Lifestyle Profile was validated as an assessment tool for Korean school-aged children.
Conclusion
Based on the results of this study, the Child Healthy Lifestyle Profile was identified as a reliable and valid instrument for assessing healthy lifestyles in elementary-school children in South Korea.

Citations

• Effectiveness of a healthy lifestyle program based on a mobile serious game for childhood cancer survivors: A quasi-randomized trial
  Kyung-ah Kang, Han-ho Kim, Shin-jeong Kim, In-hye Song, Min-jin Lee, Su-yong Lee, Sae-rom Han, Ki-hyuk Lee, So-won Kim, Hye-rin Nam, Mi-na Park, Hye-min Lee, Hee-jin Yoon
  Journal of Pediatric Nursing.2024; 77: 35.     CrossRef

Purpose
This study investigated correlations between the actual sleep time 24 hours prior to an examination and the time to achieve chloral hydrate sedation in pediatric patients.
Methods
With parental consent, 84 children who were placed under moderate or deep sedation with chloral hydrate for examinations from November 19, 2020 to July 9, 2022 were recruited.
Results
Patients' average age was 19.9 months. Pediatric neurology patients and those who underwent electroencephalography took significantly longer to achieve sedation with chloral hydrate. There was a negative correlation between the time to achieve sedation and actual sleep time within 24 hours prior to the examination. Positive correlations were found between the actual sleep time 24 hours prior to the examination and the second dose per weight, as well as between the sedation recovery time and awake hours before the examination.
Conclusion
Sleep restriction is not an effective adjuvant therapy for chloral hydrate sedation in children, and sedation effects vary according to pediatric patients' characteristics. Therefore, it would be possible to reduce the unnecessary efforts of caregivers who restrict children's sleep for examinations. It is more important to educate parents about safe sedation than about sleep restriction.

Citations

• Risk factors for chloral hydrate sedation failure in pediatric patients: a retrospective analysis
  Young-Eun Jang, Jung-Bin Park, Pyoyoon Kang, Sang-Hwan Ji, Eun-Hee Kim, Ji-Hyun Lee, Hee-Soo Kim, Jin-Tae Kim
  Korean Journal of Anesthesiology.2024; 77(5): 526.     CrossRef

Purpose
North Korean refugee women struggle with the double burden of adaptation and parenting as mothers in a new environment. This study aimed to identify the knowledge, confidence, and educational needs regarding newborn care among North Korean refugees, and to determine differences between these variables according to participants' characteristics.
Methods
Data were collected from September to October 2022, and 150 North Korean refugee women recruited using convenience sampling participated in the study. Descriptive statistics, the t-test, analysis of variance, and Pearson correlation analysis were used for data analysis.
Results
The mean scores were as follows: parenting knowledge, 14.97 out of 25; infection prevention knowledge and confidence, 20.09 out of 33 and 51.37 out of 80, respectively; and educational needs, 245.86 out of 310. Significant differences were observed in newborn care, knowledge, and confidence according to maternal age, educational level, family structure, and pregnancy history. Significant positive correlations were observed between the participants' newborn care knowledge, confidence, and educational needs.
Conclusion
Personalized educational programs should be implemented to enhance North Korean refugee women's confidence in newborn care, focusing on areas with low knowledge levels and high educational needs and enabling women to achieve healthy pregnancy and childbirth, and to parent well.

Citations

• Knowledge of atopic dermatitis and food allergies, as well as health information literacy, among North Korean refugee mothers: a descriptive survey study
  In-Sook Lee, Jeong-Hee Jeon
  Child Health Nursing Research.2023; 29(4): 300.     CrossRef

Purpose
This study aimed to conduct a concept analysis of health-related quality of life in children with epilepsy to promote conceptual clarification and facilitate mutual understanding of the concept.
Methods
Walker and Avant's concept analysis method was adopted.
Results
Health-related quality of life in children with epilepsy consists of six attributes: health status, inner strength, close relationships, resource-rich community, social acceptance, and changeability. According to the ecological system paradigm, these attributes are structured into five dimensions: organism, microsystem, macrosystem, exosystem, and chronosystem. These dimensions provide a comprehensive approach to the relationship between children with epilepsy and their environment. Epilepsy and interactions with multilevel ecological systems that are directly and indirectly related to children with epilepsy precede the concept, followed by positive and negative affective responses.
Conclusion
The findings of this study may support effective communication in various practice settings, thereby contributing to the health and well-being of children with epilepsy, as well as the development and expansion of interventions to improve their health-related quality of life.

Purpose
This study aimed to conduct a scoping review of studies on interventions for the prevention of safety accidents involving infants.
Methods
The scoping review method by Arksey and O'Malley was used to conduct an overview based on information spanning a wide range of fields. Multiple electronic databases, PubMed, CINAHL, RISS, and KISS, were searched for articles written in English or Korean published from 2012 to the present on safety accident prevention interventions. A total of 2,137 papers were found, and 20 papers were ultimately analyzed.
Results
Most studies were conducted in the United States (55.0%) and in the medical field (45.0%), and most were experimental studies (35.0%). The results were organized across five categories: 1) preventive precautions, 2) characteristics of children's developmental stages, 3) encouraging voluntary participation, 4) continuity of interventions, and 5) teaching methods.
Conclusion
Safety accident prevention interventions should cover the establishment of a safe home environment, include voluntary participation, and provide routine follow-up interventions. Additionally, practical training and teaching methods that incorporate feedback rather than a lectureoriented approach should be adopted.

Citations

• Infant Home Safety Programs for Parents to Prevent Injuries: A Systematic Review
  Mi Hye Kim, Mi-Seon Kim, SunHwa Park
  Home Health Care Management & Practice.2025;[Epub]     CrossRef
• Prevalence and Risk Factors of Home Accidents Among Children Under Five Years of Age in Al-Baha, Saudi Arabia
  Fahad Alamr, Hadeel Mohammed A Alzahrani, Ahmed Mohammed A Alghamdi , Abdulrhman Saleh A Alzhrani, Feras Atiyah A Alzahrani, Lama Mohammad A Alkhediwi, Mohammed Ahmed A Alghamdi, Meelaf Ali M Alhomrani , Omer M Aburaida
  Cureus.2023;[Epub]     CrossRef

Purpose
This study investigated the parenting experiences of mothers of young children born moderate-to-late preterm (MLPT) in South Korea.
Methods
In this qualitative study, semi-structured focus group interviews were conducted with 10 mothers of MLPT children from infancy to preschool age. The interviews were video-recorded, transcribed verbatim, and analyzed using qualitative content analysis.
Results
Four categories resulted from the analysis of parenting experiences of mothers with young MLPT children, as follows: "becoming a mother of an early-born child", "difficulties as the primary caregiver for a high-risk child", "helpful social support, but still a lack of professional support for parenting a high-risk child", and "mothers and children growing together".
Conclusion
Mothers of young MLPT children experienced difficulties due to concerns about their child's health, growth and development, and insufficient child-rearing support. Therefore, social support systems should be strengthened and more aggressive nursing strategies should be adopted for mothers of young MLPT children.

Citations

• Impact of the child's birth weight on maternal misperceptions of young children's weight: A retrospective study with nationally representative data
  Sangmi Lee
  Japan Journal of Nursing Science.2024;[Epub]     CrossRef
• Impact of moderate-to-late preterm birth on neurodevelopmental outcomes in young children: Results from retrospective longitudinal follow-up with nationally representative data
  Sangmi Lee, Yuri Han, Min Kyung Lim, Hun Jae Lee, Shaonong Dang
  PLOS ONE.2023; 18(11): e0294435.     CrossRef

Purpose
Nursing students are susceptible to medication safety incidents in the neonatal intensive care unit (NICU) related to a lack of communication experience. The purpose of the present study was to investigate the impact of a NICU medication safety simulation (NMSS) focusing on communication clarity, patient hand-off confidence, and patient safety competency in senior-year nursing students.
Methods
The study utilized a nonequivalent control group pretest-posttest design. In total, 60 nursing students were assigned to two groups. The experimental group participated in the NMSS, which included three medication error scenarios. Pairs of students completed the scenarios together in 10 to 20 minutes. Data were analyzed using the chi-squared test, independent t test, and ANCOVA.
Results
The experimental group showed significant improvements in communication clarity (p=.015), and patient safety competency (p<.001) compared to the control group. Using the pretest values as covariates, patient hand-off confidence scores significantly increased (p=.027).
Conclusion
Implementing the NMSS focusing on communication in the pediatric nursing curriculum helped students to communicate clearly and concisely about medication errors, and its use is recommended to promote patient safety competency in the NICU.

Citations

• Medication safety simulation training for anesthesia professionals
  Sarah Rollison, Anne M. Sauri, Ramon L. Medina, Darlena G. Jones, Wuraola Olawole, Virginia C. Simmons
  Clinical Simulation in Nursing.2025; 98: 101660.     CrossRef
• Development of a Patient Safety Simulation Program for New Nurses in the Intensive Care Unit
  Su Jin Jung, Jin-Hee Park
  Journal of Korean Academy of Fundamentals of Nursi.2024; 31(1): 100.     CrossRef
• Development and Effectiveness of Progressive Simulation Education Program on Medication Safety for Nursing Students
  Se-Young Jung, Eun-Young Kim
  Journal of Korean Academy of Nursing.2024; 54(4): 563.     CrossRef
• Effect of Team-based Simulation Training on Nursing Students' Patient Safety Competence and Performance Confidence
  Min-Jeong Chae, Hyo-Ju Jeong
  Journal of Digital Contents Society.2024; 25(11): 3449.     CrossRef
• Simulation-based training program on patient safety management: A quasi-experimental study among new intensive care unit nurses
  Su Jin Jung, Ju-Eun Song, Sun Hyoung Bae, Youngjin Lee, Seok Hyun Gwon, Jin-Hee Park
  Nurse Education Today.2023; 126: 105823.     CrossRef