Purpose
This study investigated participation in and perceptions of antibiotic stewardship among nurses at a children's hospital.
Methods
This descriptive study included 125 nurses working in the inpatient ward, intensive care unit and emergency room of a single tertiary children's hospital. The study measured 14 factors influencing antibiotic stewardship behaviors using the theoretical domains framework. Each factor was analyzed by categorizing it into components (capability, opportunity, and motivation) that have been proposed as influencing factors in the COM-B model of behavior. One-way analysis of variance and Pearson correlation coefficients were used to explore differences in antibiotic stewardship behaviors and influencing factors according to general characteristics and the correlation between antibiotic stewardship behaviors and COM-B components.
Results
No statistically significant difference in antibiotic stewardship behaviors was found based on the experience of antibiotic stewardship education or the nursing department. However, significant differences were observed in the perception levels of factors related to antibiotic stewardship behaviors according to the experience of antibiotic stewardship education in skill (physical) (p=.042), knowledge (p=.027), intentions (p=.028), and social influences (p=.010). Additionally, significant differences were observed in perception levels according to the sub-components of the COM-B model, specifically physical capability (p=.042), psychological capability (p=.027), and social opportunity (p=.010).
Conclusion
To expand nurses' involvement and roles in antibiotic stewardship, nurses should acknowledge the significance of appropriate antibiotic use, aiming to enhance the quality of medical care and ensure patient safety. In pursuit of this objective, tailored education aligning with the specific needs and practices of nurses is essential.

Citations

• Evaluation of the Rational Use of Broad-Spectrum Antibiotics According to Regulatory Guidelines in Hospitalized Patients: A Descriptive Study
  Alireza Kananinambani, Majid Shohrati, Mahdi Bagheri, Bita Najafian
  Iranian Journal of Pharmaceutical Research.2025;[Epub]     CrossRef

Purpose
The purpose of this study was to explore the structure of variables in studies related to unmarried mothers (UMs) based on Neuman's systems model, and the stressors and stress responses of UMs.
Methods
Whittemore and Knafl’s methodology for integrative reviews was applied. The literature was searched using five electronic databases (KISS, KMbase, KoreaMed, NDSL, and RISS) and a total of 99 variables were collected from 15 studies published between 2009 and 2019.
Results
The main stressors for UMs were a sense of loss and burden caused by childbirth and childrearing. The main stress responses were parenting stress and depression, respectively. Within the basic structure of variables related to UMs, self-esteem played a crucial role by helping UMs adapt to their situation. Meanwhile, social support of UMs was significantly correlated with parenting stress, depression, and self-esteem.
Conclusion
In order to understand UMs' stress, is necessary to explore their sense of loss, burden, and self-esteem. Furthermore, it is important to assess the level of parenting stress and depression of UMs and to provide effective interventions to alleviate these stressors. The results of this study provide useful knowledge that can be applied to nursing assessment and interventions for stress management in UMs.

Citations

• Change in self-construal: a repertory grid technique study of women admitted to a Mother and Baby Unit
  Eleanor E. Wozniak, Dougal Julian Hare, Lynsey Gregg, Anja Wittkowski
  Frontiers in Psychiatry.2024;[Epub]     CrossRef
• Effectiveness of a natural wellness group program using interactive real-time video for unmarried mothers: A quasi-experimental study
  Kyung-Sook Bang, Sungjae Kim, Sinyoung Choi, Gumhee Lee, Misook Kim, Da-Ae Shin, Jan Christopher Cwik
  PLOS ONE.2023; 18(4): e0284340.     CrossRef
• Effects of emotion coaching group programme for mothers of preschool children with smart device overdependence: a mixed methods study
  Gumhee Lee, Sungjae Kim
  BMC Nursing.2023;[Epub]     CrossRef
• Intervention Studies on the Enhancement of Self-Concept Among Adolescent Mothers: A Systematic Review
  Kyung-Sook Bang, Sungjae Kim, Gumhee Lee, Yeseul Jeong, Da-ae Shin, Misook Kim
  Journal of Psychosocial Nursing and Mental Health .2022; 60(3): 31.     CrossRef
• Factors Related to Smartphone Overdependence in Mothers of Preschoolers: A Systematic Review and Meta-Analysis
  Gumhee Lee, Eunjin Yang
  Journal of Psychosocial Nursing and Mental Health .2022; 60(3): 40.     CrossRef
• The experience of unmarried mothers raising their children in residential facilities: a phenomenological qualitative study
  Sungjae Kim, Kyung-Sook Bang, Yeseul Jeong, Gumhee Lee, Da-Ae Shin, Misook Kim
  BMC Women's Health.2022;[Epub]     CrossRef
• Role of community health nurse in the prevention of elderly dehydration
  Mostafa SHABAN, Huda Hamdy MOHAMMED, Sahar Hassan
  Journal of Integrative Nursing.2022; 4(3): 166.     CrossRef
• The Development of a Health Promotion Program for Unmarried Mothers Living in Residential Facilities Using Urban Forests: An Intervention Mapping Approach Based on the Transtheoretical Model
  Kyung-Sook Bang, Sungjae Kim, Gumhee Lee, Sinyoung Choi, Da-Ae Shin, Misook Kim
  International Journal of Environmental Research an.2021; 18(16): 8684.     CrossRef

Purpose
This study was conducted to examine the effect of education on infection control for multidrug resistant organism (MDRO).
Methods
One group pre-post time series design was used. Infection control education for MDRO infection was provided to nurses working in the Neonatal Intensive Care Unit (NICU). Knowledge and recognition were evaluated before and after education. Hand hygiene compliance, MDRO isolation rate and central line-associated bloodstream infection (CLABSI) rate were used as outcome variables. Data from 45 nurses was used for analysis.
Results
General knowledge about MDRO increased (p=.011). Responses to questions about image of MDRO and MDRO management tended to change in a positive direction (p = .046). Hand hygiene compliance was 100% at pre-test, 79.5% during education period and 98.4% at post-education period. MDRO isolation rate was 6.83 per 1,000 patient days at pre-test, 10.24 during education period and 6.68 at post-education period. CLABSI rate was 3.76 per 1,000 central line days at pre-test, 6.84 during education period and 4.71 at post-education period.
Conclusion
Findings indicate that the education program is effective in improving knowledge about MDRO in NICU nurses. However, more reliable indicators should be used to determine long-term effects.

Citations

• Development and Effectiveness of a Central Venous Catheter Management Education Program for Nurses in Hematology-Oncology Wards
  Soohee Park, Jihyun Kim
  Nursing: Research and Reviews.2026; Volume 16: 1.     CrossRef
• Knowledge, Attitude, and Practices of Mothers Working as Nurses Toward Multidrug-Resistant: Impact of an Educational Program in Neonatal Intensive Care Unit
  Sawsan Abuhammad, Dalya Alwedyan, Shaher Hamaideh, Mohammed AL-Jabri
  Infection and Drug Resistance.2024; Volume 17: 1937.     CrossRef
• Development and Evaluation of Infection Control Nursing Simulation Education Program for Nurses in a NICU
  Min-hee Cho, Sunghee Kim
  Journal of Korea Society for Simulation in Nursing.2024; 12(2): 1.     CrossRef
• Perceived Importance, Performance, Barriers, and Strategies of VRE Infection Control among Nurses in Wards with Cohort Isolation Rooms: A Mixed-methods Study
  Yunhee Won, Jeonghyun Cho, Eunyoung Park
  Korean Journal of Adult Nursing.2023; 35(4): 393.     CrossRef
• Development of a high-risk neonatal infection control competency scale
  Mi Yu, Hyunju Kang, Jisun Park, Miran Yang
  Journal of Child Health Care.2021; 25(3): 393.     CrossRef
• Factors Influencing Self-Confidence in Performance of Infection Control for Multi-Drug Resistant Organisms among Nurses in Long-Term Care Hospitals
  So Jin Lee, Mi Ran Kim
  Journal of Korean Academy of Fundamentals of Nursi.2021; 28(2): 226.     CrossRef