Purpose
This study aimed to examine engagement and satisfaction with a mobile web-based education program (HiChart) among pregnant women.
Methods
A cross-sectional descriptive study was conducted of 97 pregnant women hospitalized for obstetric care. Data were collected from October 1 to November 30, 2016, and were analyzed with descriptive statistics.
Results
Among participants, 16.5% engaged fully with HiChart, while 43.3% engaged partially. The overall satisfaction with HiChart was high. Some main reasons for not engaging with the education were participants’ unawareness of the text messages, lack of time, and poor internet connection. The participants suggested that more educational content needed to be covered, such as coping with infant emergencies and information about the neonatal intensive care unit.
Conclusion
To increase pregnant women’s engagement with mobile web-based education, efforts are needed to strengthen the system of sending text messages as part of mobile web-based education to all patients, to inform pregnant women that an educational web link was sent, and to encourage them to engage with mobile web-based education. Furthermore, it is essential to improve the HiChart service by providing educational content corresponding to users’ needs.

Citations

• Exploring Pregnant Women’s Experiences With Mobile Chatbot-Based Antenatal Education: A Qualitative Descriptive Study
  Chien-Huei Kao, Hsiu-Chuan Chi, Ching-Yi Chang
  Western Journal of Nursing Research.2026;[Epub]     CrossRef
• Evaluation of a Novel Supplemental Interactive Postpartum Telehealth Program: A Pilot Project
  Stacia L. Fridley, Tanya Tringali, Cindy L. Farley, Pamela Biernacki
  The Journal for Nurse Practitioners.2026; 22(3): 105690.     CrossRef
• Sistema de Enfermagem apoio-educação na promoção do autocuidado a gestante de alto risco
  Ryanne Carolynne Marques Gomes Mendes, Priscila Cabral Melo Holanda, Cleide Maria Pontes, Suzana de Oliveira Mangueira, Francisca Márcia Pereira Linhares
  REME-Revista Mineira de Enfermagem.2023;[Epub]     CrossRef
• Process evaluation of a mobile healthcare program among employees with overweight and obesity: a 12-week intervention study investigating the role of engagement
  Imhuei Son, Jiyoun Hong, Young Hee Han, Bo Jeong Gong, Meng Yuan Zhang, Woori Na, Cheongmin Sohn, Taisun Hyun
  Korean Journal of Community Nutrition.2023; 28(6): 466.     CrossRef

Purpose
This study aimed to investigate incidence of delirium in the pediatric intensive care unit (PICU) and to analyze associated risk factors.
Methods
The participants were 95 patients, newborn to 18 years, who were admitted to the PICU. The instruments used were the Richmond Agitation Sedation Scale (RASS), and the Cornell Assessment of Pediatric Delirium. Data analysis was performed using the descriptive, x2 test, t-test, and logistic regression analyses.
Results
The incidence of delirium in children admitted to the PICU was 42.1%. There were significant differences according to age (x2=14.10, p=.007), admission type (x2=7.40, p=.007), use of physical restraints (x2=26.11, p<.001), RASS score (x2=14.80, p=.001), need for oxygen (x2=5.31, p=.021), use of a mechanical device (x2=9.97, p=.041), feeding (x2=7.85, p=.005), and the presence of familiar objects (x2=29.21, p<.001). Factors associated with the diagnosis of delirium were the use of physical restraint (odds ratio [OR]=13.82, 95% confidence interval [CI]=4.16~45.95, p<.001) and the presence of familiar objects (OR=0.09, 95% CI=0.03~0.30, p=.002).
Conclusion
Periodic delirium assessments and intervention should be actively performed. The use of restraints should be minimized if possible. The caregiver should surround the child with familiar objects and ensure a friendly hospital environment that is appropriate for the child.

Citations

• Short-term effects of eye masks and earplugs on delirium and pain in awake, spontaneously breathing pediatric intensive care patients: A randomized controlled trial
  Hamza Ek, Şenay Aras Doğan, Arzu Oto
  Journal of Pediatric Nursing.2026; 88: 117.     CrossRef
• Pediatric Delirium in Pediatric Intensive Care Setting: A Review of Recognition and Prevalence
  Patricia Savrimuthu, Putri Yubbu
  Malaysian Journal of Paediatrics and Child Health.2025; 31(1): 33.     CrossRef
• Hyperactive Delirium and Short-Term Quetiapine Treatment: A Pediatric Case
  Feride Burcu Taflan, Melis Elif Elçi, Miraç Barış Usta
  Cyprus Turkish Journal of Psychiatry and Psycholog.2025; 7(4): 438.     CrossRef
• Nursing experiences and knowledge of paediatric delirium: Analysing knowledge‐practice gaps
  Soonyoung Shon, Minkyung Kang
  Nursing in Critical Care.2024; 29(5): 923.     CrossRef
• Non-pharmacological interventions for delirium in the pediatric population: a systematic review with narrative synthesis
  Kyua Kim, Ju Hee Jeong, Eun Kyoung Choi
  BMC Pediatrics.2024;[Epub]     CrossRef
• Delirium in neonates and infants: a scoping review protocol
  Soonyoung Shon, Mi-So Shim, Minkyung Kang, Inah Kim
  BMJ Open.2024; 14(7): e084474.     CrossRef
• Effects of a Multifaceted Pediatric Delirium Education Program for Pediatric Intensive Care Unit Nurses on their Delirium Knowledge, Self-confidence in Delirium Nursing, and Delirium Assessment Accuracy: A One Group Pretest-Posttest Design
  Song Yi Nam, Su Jung Choi, Sa Rang Oh, Ji Eun Choi, Ki Young Park
  Journal of Korean Critical Care Nursing.2023; 16(1): 56.     CrossRef
• A Systematic Review and Pooled Prevalence of Delirium in Critically Ill Children*
  Diarmaid Semple, Moninne M. Howlett, Judith D. Strawbridge, Cormac V. Breatnach, John C. Hayden
  Critical Care Medicine.2022; 50(2): 317.     CrossRef
• Pediatri Yoğun Bakımlarda Deliryum Yönetiminde Hemşirenin Sorumlulukları ve Rolleri
  İlçim ERCAN, Evrim KIZILER
  Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi.2021; 4(1): 67.     CrossRef