Purpose This study was conducted to identify factors related to developmental care performance among neonatal intensive care units (NICU) nurses.
Methods The participants were 139 nurses who had provided care to premature infants for more than 6 months and were recruited from the NICU of 8 hospitals. Data were collected from September 1 to December 1, 2017 through questionnaires that encompassed developmental care performance, developmental care perceptions, and the nursing work environment.
Results More than half (51.8%) of the participants responded that they had never received developmental care education, and for 89.6% of those who had received developmental care education, it was a one-time event. The average developmental care performance of NICU nurses was 0.81, with a range of 0.5~1 point. Multiple regression analysis, demonstrated that the nursing work environment (β=.27, p=.001) and developmental care perceptions (β=.23, p=.004) influenced developmental care performance, with a total explanatory power of 14%.
Conclusion Based on these results, developmental care education for the NICU nurses must be provided systematically. In addition, strategies to improve nurses' perceptions of developmental care and to provide appropriate support for the nursing work environment can promote developmental care performance.
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Purpose This study was conducted to evaluate cognitive ability in preschoolers born prematurely and to investigate related factors.
Methods A prospective, longitudinal study was conducted with 64 children at 5-6 years of corrected age (CA) (second follow-up) among 76 children who had been assessed at 2.0~3.5 years of CA (first follow-up) from a sample of 343 preterm infants born from 2008 to 2010. To evaluate each child’s cognitive ability, during a home visit, we used the Kaufman Assessment Battery for Children-II (KABC-II) at the second follow-up. To explore factors related to cognitive ability, we measured children’s hemoglobin level at the second follow-up and used the data collected in our previous study, including the Bayley Scale of Infant Development-II (BSID-II) at the first follow-up.
Results The mean total KABC-II quotient was 117.0±14.4. The 5-minute Apgar score (β=.29, p=.006), hemoglobin level (β=.22, p=.032), and the mental development index quotient of the BSID-II (β=.51, p<.001) were statistically significant predictors of the KABC-II quotient in multiple linear regression analysis.
Conclusion The cognitive function of young children born prematurely was influenced by early neurodevelopment and factors reflecting their health status, such as anemia and a low 5-minute Apgar score.
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Effect of a Follow-up Program Involving an Early Intervention and Self-help Group on Parenting Stress, Depression, and Parenting Efficacy for Mothers of Premature Infants Eun Sun Ji, Jinhee Choi, Kaka Shim Journal of The Korean Society of Maternal and Chil.2023; 27(4): 256. CrossRef
Purpose The study aimed to develop a play toolkit to facilitate infants’ and toddlers' symbolic thought and fine motor development.
Methods This study used a methodological study design including two phases of development and evaluation. After reviewing the play culture and developmental health issues in Kyrgyzstan through a literature review and interviews with local experts and parents, the toolkit was developed and evaluated using content validity and utilization tests.
Results The toolkit was based on Westby’s symbolic play and the fine motor milestones in the Bright Futures Guidelines. The Toolkits were composed of an overall suggested play schedule according to the child’s age, four kinds of play props, and a utilization guidebook for parents. The play props were a felt book, sorting and assembling blocks, cup blocks, and a tangram. The guidebook contained age-appropriate operating methods and alternative ways to use the materials.
Conclusion A play toolkit was developed to enhance nurturing practices among parents of infants and toddlers. The findings may help facilitate effective interactions between parents and their children. Considering that nurturing care is critical for achieving better child health outcomes, enhancing parenting resources and parent-child relations could function as an effective strategy for promoting child health.
Purpose This prospective study aimed to examine the development of premature infants at 12 and 24 months and to explore the factors related to their development.
Methods Of the 80 premature infants who were recruited, 52 participants at 12 months and 31 participants at 24 months were included in this study. The development of the infants was examined using the Korean Bayley scale of infant development-II. Postnatal depression, husband’s support, social support, mother-infant attachment, and the home environment were assessed using self-report questionnaires completed by the mothers and through the researcher’s observations.
Results There was significant difference between normal and delay group at psychomotor development at 12 months depending on social support at 6 months (t=2.03, p=.049). Mother-infant attachment at 6 months (r=.71, p<.001), 12 months (r=.37, p=.043), and 24 months (r=.40, p=.026), as well as social support (r=.38, p=.034) and the home environment (r=.41, p=.022) at 24 months, were correlated to mental development at 24 months. There was a significant positive correlation between mother-infant attachment at 6 months and psychomotor development at 24 months (r=.40, p=.046).
Conclusion To reduce the risk of developmental delay and to promote healthy development in premature infants, early nursing interventions targeting mother-infant attachment, the home environment, and the mother’s social support structure are needed.
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Early Parenting Interventions to Enhance Development in Infants and Children Born Prematurely: A Systematic Review and Meta-Analysis Won-Oak Oh, Yoo-Jin Heo Journal of Pediatric Health Care.2024; 38(6): e1. CrossRef
Effect of a Follow-up Program Involving an Early Intervention and Self-help Group on Parenting Stress, Depression, and Parenting Efficacy for Mothers of Premature Infants Eun Sun Ji, Jinhee Choi, Kaka Shim Journal of The Korean Society of Maternal and Chil.2023; 27(4): 256. CrossRef
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Purpose The purpose of this study was to examine how child development knowledge, child rearing knowledge, and use of healthcare services after discharge affect maternal confidence among mothers of premature infants.
Methods Participants in this study were 55 mothers who were involved in internet communities for mothers with premature infants and 30 mothers who visited hospitals for follow up care after having their babies discharged from Neonatal Intensive Care Units (NICU) in South Korea.
Results Presence of operation history, child development and rearing knowledge, and use of healthcare service explained 12.2% of maternal confidence. Presence of operation history (β=.32, p<.05) and child development knowledge (β=.52, p<.05) were significant predictors for maternal confidence.
Conclusion The results of this study suggest that mothers with premature infants need further education especially on motor development, developmental knowledge, and knowledge related to operations for mothers whose child had surgery in the NICU. Also information about services provided from community health services for premature infants need to be advertised and distributed.
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Development of a mobile application focusing on developmental support care for Korean infants born prematurely: a methodological study Ji Hyeon Park, Haeryun Cho Child Health Nursing Research.2022; 28(2): 112. CrossRef
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Purpose This study was conducted to monitor the development of Korean premature infant at six-month age and to explore factors related to developmental status of the premature infants.
Methods Participants were 58 premature infants whose corrected age was six-months old and their mothers. The developmental states of infants were followed-up with the Korean Prescreening Developmental Questionnaire (KPDQ-II). Clinical characteristics of the infants were identified from the medical records. Other characteristics including Edinburgh Postnatal Depression Scale, husband’s support, social support, and mother-infant attachment were assessed using self-report questionnaires from the mothers.
Results Forty three percent of the infants were in the group of questionable status of development on the KPDQ-II. There were significant differences between the premature infants with normal developmental status and those with questionable developmental status depending on gender (χ2 = 5.03, p = .034), gestational age (t = 2.59, p = .012), hospital stay (p = .013), revised Neurobiologic Risk Score (p = .005) and mother-infant attachment score (t = 2.12, p = .040).
Conclusion Mother-infant attachment, as well as physiological state of premature infants, is an important variable in early development. Therefore, early monitoring for the development has to be done for physiologically vulnerable premature groups. Also, providing proper nursing support to improve maternal attachment needs to be considered.
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Developmental Characteristics of High‐Risk Infants According to the Bayley Scales of Infant and Toddler Development–Third Edition Ju‐Young Park, Nam‐Hae Jung Child: Care, Health and Development.2025;[Epub] CrossRef
Perception and Educational Needs of Developmentally Supportive Care At-Home for Parents of Pre-Term Newborns Jeong Soon Kim, Hae Ran Kim Healthcare.2023; 11(12): 1700. CrossRef
The Effects of a Continuous Olfactory Stimulation Using Breast Milk (COSB) on Behavioral State and Physiological Responses in Korean Premature Infants Young Ah Park, Yeo Jin Im Journal of Pediatric Nursing.2020; 53: e114. CrossRef
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PURPOSE The purpose of this study was to define and clarify the concept of developmental care for preterm infants. METHODS The hybrid model method was used to identify the main attributes and indicators. In the field work stage, data were collected in Seoul and Cheonan, Korea. The participants were 5 nurses working in the NICU. RESULTS The concept of developmental care was found to have six attributes and ten indicators in 2 dimensions. For the nursing practice dimension, four attributes were derived.
They were being like intrauterine state, individualization, interaction, and integrative care with awareness of development. For the family centeredness dimension, supporting parental attachment and professional alliance were attributes of developmental care. CONCLUSION Developmental focused care can facilitate the identification of behavioral responses of newborns and provide individualized interventions for fostering growth and development. This concept analysis could provide guidelines for "developmental care" nursing practice and be useful for research in the neonatal field.
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Effectiveness of Nicu nurses’ competence enhancement program for developmentally supportive care for preterm infants: A quasi-experimental study Han Na Lee, Haeryun Cho Heliyon.2023; 9(1): e12944. CrossRef
Effects of a Neonatal Supportive Positioning Training Video Program for Preterm Infants on the Knowledge and Performance of Nurses in Neonatal Intensive Care Units Hyun Jin Moon, Kyung Sook Cho, Mi Young An, Dong Woo Son Asian Nursing Research.2022; 16(1): 25. CrossRef
Analysis of research on developmentally supportive care for prematurity in neonatal intensive care unit: a scoping review Hanna Lee, Ji Hyeon Park, Haeryun Cho Child Health Nursing Research.2022; 28(1): 9. CrossRef
Development and effectiveness of an educational program on developmental positioning for neonatal intensive care unit nurses in South Korea: a quasi-experimental study Eun-Ju Yun, Tae-Im Kim Child Health Nursing Research.2022; 28(1): 70. CrossRef
Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care Da-Ae Shin, Kyung-Sook Bang The Journal of Korean Academic Society of Nursing .2021; 27(3): 261. CrossRef
Factors Influencing Developmental Care Practice Among Neonatal Intensive Care Unit Nurses Jisun Park, Ji-Soo Kim Journal of Pediatric Nursing.2019; 47: e10. CrossRef
Development of the Developmental Support Competency Scale for Nurses Caring for Preterm Infants Jeong Soon Kim, Hee Sun Shin Journal of Korean Academy of Nursing.2016; 46(6): 793. CrossRef
PURPOSE The purpose of this study was to examine relationship of preschool child and mother interaction, child's health status, health-related quality of life and social development. Also, it was intended to provide a basis for development of mother-child interaction programs. METHODS The present study was a descriptive research.
Participants in this study were a convenience sample of 230 preschool children and their mothers. For the final analysis 209 questionnaires were used after eliminating questionnaires with incomplete responses. Data were analyzed using the SPSS 18.0 program. RESULTS The mean score for interaction between preschool child and mother was 3.96+/-0.55 out of 5 points, for child health status, 3.75+/-0.62 out of 5 points, for child's health-related quality of life, 83.89+/-10.20 out of 100 points and for child's social development, 19.66+/-3.57 out of 24 points. Positive correlations were found between interaction of preschool child and mother, child's health status, health-related quality of life, and social development. CONCLUSION The results demonstrate the importance of the quality of the relationship between mother, the child's primary caregiver, and her child for the healthy growth and development of preschool children. It is suggested that intervention programs for preschool child-mother interaction should be developed using evidence based data.
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PURPOSE Nurse educators can use film effectively to promote nursing students' motivation and indirect experiences. The purpose of this study was to develop a teaching-learning design using films based on Kolb's experiential learning model for understanding of child growth and development, and to evaluate students' satisfaction with cinenurducation according to learning type and content. METHODS Participants were seventy-four first year nursing students in the spring semester of 2013 at a private university located in Busan. In each class, participants watched film, participated in peer-to-group discussion and an educator's lecture, and wrote a composition based on Kolb's four learning stages. After class, participants filled out a questionnaire developed by the researchers. RESULTS Results showed a high satisfaction with cinenurducation regardless of learning type and content concerning child growth and development. Advantages of cinenurducation included it being "fun and interesting," "helpful to understand the characteristics of children," and "develop critical thinking through discussions." Disadvantages included "length of time needed," and "burdensome." CONCLUSION: Films are advantageous in that they provide indirect experience for nursing students. Selection of appropriate films and evaluation of learning goal achievements are important to maximize the effectiveness of cinenurducation.
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PURPOSE The purpose of this study was to investigate factors associated with suspicious developmental delay in infants and early childhood. METHODS Participants were 133 infants, aged from birth to 6 years old and their mothers, who were being seen at 16 Public health centers in B city. Korean Denver II was used to test infant development. chi2-test, Fisher's exact test and multiple logistic regression were used with SPSS 19.0 to analyze data. RESULTS Of participant infants, 7.5% were below the 3rd percentile for the weight percentile, 8.4% is a weight curve that crosses more than 2 percentile lines on the growth charts after previous achievement, and 9.8% had suspicious developmental delay according to Korean Denver II. Further the predictive factors related to suspicious development delay in the children were decrease of weight percentile (Odds Ratio [OR]=6.69, Confidence Interval [CI])=1.22-36.45), low economic state (OR=6.26, CI=1.50-26.00), and developmental delay perceived by their mothers (OR=4.99, CI=1.24-20.06). CONCLUSION It is necessary to build a government level system to follow management of development of infants and children from the time of birth. Especially, it is necessary to develop a program for children in low income families.
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Health-Related Quality of Life in the Early Childhood of Premature Children. Eun Hee Lim, Hyeon Ok Ju Child Health Nursing Research.2015; 21(1): 37. CrossRef
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