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.
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Purpose This study aimed to develop and evaluate a mobile application focusing on developmental support care for infants born prematurely.
Methods An application was developed using the analysis, design, development, implementation, and evaluation model. In the analysis phase, previous research was evaluated through big data text-mining and a literature review. In the design phase, the preliminary content of the application was designed, and the content validity and comprehension were verified. A hybrid application was developed and used by eight experts and ten users, who evaluated the layout of the mobile application and their satisfaction with it.
Results The content of the designed application comprised a diary, customized information, developmental play, and community. The mean scores for layout were 3.73±0.47 and 3.43±0.68 out of 4 points among the experts and users, respectively. Users’ mean satisfaction score was 3.70±0.70 out of 5 points.
Conclusion The information provided by the mobile application was evaluated as consistent and systematic. The application was also found to be satisfactory by infants’ parents. The mobile application developed through this study is expected to be effective in supporting the development of children born prematurely.
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Purpose The purpose of this study was to identify the gaps in research related to developmentally supportive care in the neonatal intensive care unit (NICU). The ultimate goal was to explore directions of further research on developmentally supportive care for premature patients.
Methods The Arksey and O'Malley scoping review method was used. Articles on developmentally supportive care for preterm infants in the NICU, written in English or Korean, were identified through electronic search engines. A total of 279 papers were identified in the initial search, of which 22 full-text papers were included in this review.
Results Several nursing studies have been published in the past 5 years. The important elements of developmentally supportive care were family-centered care and management of the NICU environment. The primary developmentally supportive care interventions were training programs to promote the care competency of NICU nurses.
Conclusion It is necessary to actively develop comprehensive developmental support interventions that consider the various elements of developmentally supportive care for preterm infants. Additional studies should be done to develop programs that provide direct intervention for premature infant and their families.
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Purpose The purpose of this study was to identify the supportive care needs of parents of preterm children in South Korea using text data from a portal site.
Methods In total, 628 online newspaper articles and 1,966 social network service posts published between January 1 and December 31, 2019 were analyzed. The procedures in this study were conducted in the following order: keyword selection, data collection, morpheme analysis, keyword analysis, and topic modeling.
Results The term "yirundung-yi", which is a native Korean word referring to premature infants, was confirmed to be a useful term for parents. The following four topics were identified as the supportive care needs of parents of preterm children: 1) a vague fear of caring for a baby upon imminent neonatal intensive care unit discharge, 2) real-world difficulties encountered while caring for preterm children, 3) concerns about growth and development problems, and 4) anxiety about possible complications.
Conclusion Supportive care interventions for parents of preterm children should include general parenting methods for babies. A team composed of multidisciplinary experts must support the individual growth and development of preterm children and manage the complications of prematurity using highly accessible media.
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Purpose The purpose of this study was to review pain alleviation intervention for Korean pediatric inpatients with reference to Kolcaba’s Theory of Comfort.
Methods Whittemore and Knafl’s integrative review methods were used. Articles published in Korean or English were identified through electronic search engines and scholarly web sites. Scientific, peer-reviewed articles published between 2006 and 2019 were included in this review. Twenty-seven articles that met the inclusion criteria were analyzed.
Results Among the 27 selected studies, three were descriptive, while 24 were interventional studies related to pain alleviation interventions. Pain alleviation interventions showed three attributes: identifying pain triggers and the child’s response to pain, effective strategies for pain relief, and nurses’ competence in pain management.
Conclusion The three attributes of pain alleviation interventions using the theory of comfort shown in this study were identified as important factors for obtaining evidence-based data on how to enhance the comfort of hospitalized pediatric patients. In addition, the attributes of pain alleviation interventions should be considered for hospitalized pediatric patients and their family members.
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Purpose The purpose of this study was to investigate empathy, awareness, and attitudes toward violence among elementary school students.
Methods The participants were 195 fifth and sixth grade students in Y elementary school. The data collection period was from June 24 to July 4, 2019.
Results Empathy scores significantly differed according to participants' gender and need for education on violence prevention. Attitudes towards violence (permissive and neglectful) significantly differed according to students' grade and need for education on violence prevention. Empathy was negatively correlated with permissive attitudes toward violence (r=-.26, p<.001) and neglectful attitudes toward violence (r=-.24, p=.001).
Conclusion The results of this study are expected to be utilized as basic data for education on violence prevention through empathy.
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Purpose This study investigated the relationship of the partnership between nurses and parents of hospitalized children with the quality of pediatric nursing care as perceived by pediatric nurses.
Methods A cross-sectional descriptive study was conducted among 90 nurses. The data collected were analyzed using the independent t-test and the Pearson correlation coefficient.
Results The level of partnership between nurses and parents showed significant differences by nurses’ age (t=2.22, p=.029) and marital status (t=2.54, p=.013). The quality of pediatric nursing care was found to significantly differ by the nurses’ age (t=2.62, p=.013), marital status (t=4.17, p<.001), whether nurses had children (t=2.53, p=.020), pediatric ward work experience (t=2.43, p=.020), and total work experience (t=2.51, p=.016). The level of partnership between nurses and parents was positively correlated with the quality of pediatric nursing care (r=.48, p<.001).
Conclusion To improve the quality of nursing care for hospitalized children and their parents, it is important to consider the specific characteristics of pediatric nurses, whose clinical skills should be improved.
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Purpose This study aimed to compare the quality of nursing care as perceived by registered nurses and mothers of hospitalized children in South Korea.
Methods This was a descriptive study that recruited 70 mothers of hospitalized children and 70 nurses in pediatric units in university hospitals as participants. The quality of pediatric nursing care was measured using importance and performance scores for 19 items describing various elements of nursing care. The collected data were analyzed using descriptive statistics and the independent t-test.
Results The hospitalized children mothers’mean importance scores were significantly higher than those of the nurses (t=2.94, p=.004). However, there were no significant differences in the mean performance scores of nurses and mothers (t=0.91, p=.363) or between nurses’and mothers’perceptions of quality of nursing care, with the exception of a significant difference for the quality of explanations (t=2.78, p=.006). The quality of explanations was assessed more positively by nurses than by mothers.
Conclusion This study suggests that when developing strategies to improve the quality of nursing care in pediatric wards, ensuring that pediatric nurses provide detailed explanations should be considered as a way to improve the quality of nursing care in pediatric units.
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Purpose This study aimed to test the validity and reliability of the Korean version of the Families’ Importance in Nursing Care-Nurses’ Attitudes (FINC-NA) instrument developed by Saveman et al.
Methods The 222 pediatric nurses’ data were collected from 13 hospitals in South Korea and were analyzed using descriptive statistics, exploratory factor analysis, the Pearson correlation coefficient, and the Cronbach’s ⍺ in SPSS software. The AMOS program was used to conduct confirmatory factor analysis of construct validity.
Results Of the 26 initial items, 24 were ultimately selected after evaluating content validity, construct validity, and reliability. The following 6 factors were included in the Korean version of the Families’ Importance in Nursing Care-Pediatric Nurses’ Attitudes (KFINC-PNA): family as a ‘conversational partner’, ‘participant in care’, ‘supporter for the nurse’, ‘burden’, ‘recipient of empowerment’, and ‘its own resource’.
Conclusion The KFINC-PNA was partially modified to explain differences in language and culture, but its validity and reliability were verified. Pediatric nurses’ attitudes can be assessed using the KFINC-PNA, and adjustments to the care of hospitalized children and their families can be made based on these items. We recommend developing and verifying intervention methods that will improve family-centered care for hospitalized children and their families.
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Purpose The purpose of this study was to investigate mothers’ knowledge, attitudes, and practices of infection prevention for their children.
Methods In this descriptive study, data were collected using a questionnaire. A total 157 mothers of young children were surveyed regarding their knowledge, attitudes, and practices of infection prevention.
Results The mean score of knowledge, attitudes, and practices of infection prevention in mothers was found to be above average. There were significant differences in knowledge according to whether the mother was employed (t=2.82, p=.005) and in attitudes according to the mother’s age (t=2.13, p=.035). In addition, a significant correlation was found between knowledge and attitudes (r=.16, p=.014), and between attitudes and practices (r=.50, p<.001).
Conclusion This research provides baseline information to understand mothers’ approaches to infection prevention for their children, and it may serve as a basis for providing educational programs that help infection prevention.
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Purpose This study examined the effects of an empathy ability improvement program on empathy ability and parenting efficacy among mothers of elementary school students.
Methods This was a quasi-experimental study using a pre-test/post-test control group design. The experimental group (n=23) completed an empathy ability improvement program, while 22 mothers were assigned to the control group. Pre-test and post-test analyses were conducted using the empathy ability scale and parenting efficacy scale. The data were analyzed using the x2 test and test independent t-test.
Results The experimental group showed a statistically significant improvement in empathy ability (t=2.79, d=4.48, p=.008) and parenting efficacy (t=2.87, d=0.89, p=.006) in comparison to the control group.
Conclusion The results of this study indicate that empathy education may be effective for improving empathy ability and parenting efficacy in mothers of school-age children.
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Purpose The purpose of this study was to analyze addiction prevention related content shown in middle school text books.
Methods Using a combination of the terms “addiction”, “drug”, “medicine”, “personal preference”, “smoking”, “drinking”, “sex”, “misuse” or “abuse” as key words, the researchers screened the table of contents of 23 randomly selected middle school textbooks from the 2009 curriculum. Finally 13 textbooks (physical education=10, health=3) were selected for this study, and analyzed using Krippendorff’s contents analysis.
Results Through indepth discussion and investigation of the relevant textbooks, content related to addiction prevention included material addiction (77.8%) and behavioral addiction (22.2%). The construction of addiction prevention in middle school textbooks included understanding addiction, rejection of peer temptation, and empowerment of self-control.
Conclusion When developing an intervention for addiction prevention that targets middle school students, education with accurate addiction information must be considered so that the students have the correct knowledge about addiction and addiction prevention. Additionally, the ability to reject peer temptation when invited to act upon related addiction behaviors should be treated seriously. The empowerment of self-control is also important, and can be promoted through strengthening self-regulation competence.
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Purpose This study was done to provide basic data for sexual abuse prevention programs for elementary school students by comparing stated needs of the students and teachers.
Methods The participants were 4th, 5th, and 6th grade elementary school students and elementary school teachers. Data from questionnaires completed by 1,372 students and 162 teachers were analyzed.
Results 1) The mean scores for felt need for sexual abuse prevention education was relatively high in both of the elementary school student and teacher groups but there was a significant difference between the two groups (t = 15.28, p < .001). 2) In the elementary school students, there was a significant difference in the degree of need for sexual abuse prevention education according to father’s educational level (t = 2.89, p = .004), experience of sexual education (t = 3.11, p = .006), and recognition of the necessity of sexual abuse education (t = 7.56, p < .001). 3) In the elementary school teachers, there was no significant difference in the degree of need for sexual abuse prevention education according to the participants’ socio-demographic and sexual abuse prevention education related characteristics.
Conclusion When planning educational programs on child sexual abuse prevention, needs of the elementary school students should be considered. Then, the educational program at school would be more effective.
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Purpose The purpose of this study was to develop and evaluate a school adaptation program (SAP) for school-age children with emotional and behavioral problems who attended public elementary schools.
Methods SAP, developed by the authors, addresses school adaptation and academic efficacy and consists of 10 sessions based on five categories (i.e., school life, classroom activity, relationship with friends, relationship with teacher, and school environment). Sixteen children with emotional and behavior problems answered questionnaires before and after participation in the program.
Results The results showed that there was a significant difference between pre and post-test on school adaptation (t=-2.78, p = .015) and academic efficacy (t = -4.62, p < .001) after the 10 sessions of SAP.
Conclusion The results indicate that SAP can could serve as a practical program for school nurses and teachers. Further studies based on SAP in various school settings are recommended.
Purpose The purpose of this study was to develop an instrument that evaluated QUality Of care Through patients’ Eyes for hospitalized child (QUOTE-Child), and examine the validity and reliability.
Methods Preliminary items were reviewed through expert content validity and face validity. To test the validity and reliability of the instrument, the data were collected from 221 care givers of hospitalized children. Data were analyzed using exploratory factor analysis, Pearson correlation coefficient, Cronbach’s alpha and Spearman-Brown coefficient.
Results Factor analysis yielded 19 items in four factors including 1) respect, 2) explanation, 3) kindness, and 4) skillfulness, with a cumulative explanatory variance of 70.68%. For criterion-related validity, a significant positive relationship was found between quality of care and pediatric family satisfaction. For internal consistency reliability, the Cronbach’s α was .93 (importance) and .95 (performance) for the overall instrument. The half split reliabilities were .86, .95 (importance) and .92, .97 (performance). The Cronbach’s α of 110 data was .92 (importance) and .94 (performance).
Conclusion Researchers and practitioners can use this instrument to systematically assess quality of care for hospitalized children and identify areas of support for hospitalized children and their family.
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PURPOSE The patient's perspective in the assessment of quality of care has become increasingly important. The purpose of this paper was to introduce the concept of 'QUality Of care Through patient's Eyes (QUOTE)', to analyze the papers using QUOTE through an integrative review method, and to present the attributes of the QUOTE evaluation. METHODS Data were collected from electronic databases.
Inclusion criteria were publication in English from 1997 to 2013, as a peer-reviewed research article, with an empirical study focused on QUOTE. Thirty two papers met the criteria and were analyzed. RESULTS QUOTE had been applied to various groups of patients such as those with various diseases since 1997 in the Netherlands. Four themes were retrieved from synthetic analysis of the thirty-two papers using QUOTE; 1) acceptance of individuation of the patient and family, 2) evaluation of diverse nurses' competencies, 3) evaluation of quality of nursing environments, and 4) participation of patient in the whole process of evaluation. CONCLUSION The strengths of QUOTE are that it attempts to overcome the conceptual and methodological problems associated with evaluation of quality of care. Our results imply that QUOTE evaluation could be an effective strategy to improve care of patients in clinical setting.
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PURPOSE The purpose of this study was to examine levels of knowledge, attitude towards infant oral health, and related health behavior of parents. METHODS The sample consisted of 380 parents who were providing care for a child ranging in age from 11 to 16 months. RESULTS Participants obtained information on infant oral health via the internet, infant care books, and friends.
While showing the correct attitude towards infant oral health, the parents were ill-informed regarding infant oral health and engaged in low levels of appropriate health behavior. There were statistically significant differences in infant oral health knowledge according to parents age, education, income, and age of infant. Attitude towards infant oral health was significantly different according to parents education and income. Also, there were significant differences in health behavior practice for infant oral health according to parents age, income, caregiver, and infant age. A significant positive relationship was found between knowledge and attitude to infant oral health. CONCLUSION The results of this study indicate that for maintenance and improvement of infant oral health, the parents and caregivers of infants should be provided with information and specific methods for infant oral health care.
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