Purpose The purpose of this integrative review was to synthesize previous research on perceptions of school health care among school-aged children and adolescents with chronic diseases.
Methods This study was performed in accordance with Whittemore and Knafl's stages of an integrative review (problem identification, literature search, data evaluation, data analysis, and presentation of the results). Four databases (PubMed, CINAHL, Embase, and Web of Science) were used to retrieve relevant articles.
Results Eighteen articles were included in this review. We identified five thematic categories: peer-related issues, a safe school environment, self-perception of an existing disease, self-management, and a supportive school environment.
Conclusion It is necessary to establish a school health care system with a supportive environment for children and adolescents with chronic diseases.
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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 was conducted to investigate the factors affecting health promotion behaviors in late school-aged children by establishing a hypothetical model based on the planned behavior theory.
Methods From July 19 to August 31, 2017, 460 questionnaires were distributed to fifth and sixth graders at three elementary schools in Korea, of which 318 were ultimately analyzed.
Results All the fit indices were shown to be appropriate, indicating satisfactory fit. In the final model, six of the nine paths included in the hypothetical model were supported. Specifically, perceived behavioral control had the most influence on intention, followed by subjective norms, self-esteem, and health knowledge. Intentions were the most influential factor for health-promoting behaviors, followed by self-esteem and health knowledge. Subjective norms, perceived behavioral control, and self-esteem explained 57.6% of intention to engage in health promotion behaviors and 61.7% of variation in health promotion behaviors was explained by health knowledge, self-esteem and intention.
Conclusion The findings of this study provide support for a model that can be used to facilitate the practice of health promotion activities in children in the later years of school age.
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Purpose The purpose of this study was to investigate psychological capital, sense of community and stress in relation to school adjustment and to identify factors influencing school adjustment in middle school students.
Methods This study population consisted of 150 middle school students. Data were analyzed using t-test, analysis of variance, Pearson correlation coefficient, and multiple regression analysis.
Results The mean score for school adjustment in middle school students was 3.68 out of 5 points. School adjustment explained 34% of the variance in sense of community (β=.39, p<.001), positive psychological capital (β=.35, p<.001), academic performance (β=.26, p<.001), and stress (β=-.21, p<.001).
Conclusion The results of our research suggest that sense of community is an important variable influencing school adjustment in middle school students. Therefore, to promote school adjustment in middle school students, it is necessary to develop and implement active educational strategies promoting sense of community, positive psychological capital, academic perfomance, and controlling stress.
Purpose The purpose of this study was to develop a sexual abuse prevention education program for elementary school students.
Methods Orem’s Self-Care Theory (1995) and Seels & Richey’s ADDIE model (1994) for developing learning materials were applied to develop this program.
Results The development progress of the program consisted of 5 distinct phases: analysis, design, development, implementation, and evaluation. The contents was classified into 6 categories: the definition of sexual abuse, how to deal with sexual abuse, the situational reaction, areas with a high risk for sexual abuse, related organizations, and a wrap-up quiz. The app was easily accessible for elementary school students.
Conclusion A sexual abuse prevention program using a hybrid app may be an effective way to reach elementary students, and further research for children of various ages is required.
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Purpose The purpose of this study was to verify the relationship among depression, school adjustment, parent-child bonding, parental control and smartphone addiction, and to identify factors which influence smartphone addiction in adolescents.
Methods A cross-sectional design was used, with a convenience sample of 183 middle school students from 3 middle schools. Data collection was conducted through self-report questionnaires from April to May, 2017. Data were analyzed using χ2 test, Fisher’s exact test, t-test, one-way ANOVA, correlation coefficient analysis, and binary logistic regression with SPSS Ver. 21.0.
Results The mean score for smartphone addiction was 29.40. Of the adolescents, 21.3% were in the smartphone addiction risk group. Logistic regression analysis showed that gender (OR=7.09, 95% Cl: 2.57~19.52), school life (OR=0.86, 95% Cl: 0.79~0.93), smartphone usage time (OR=1.32, 95% Cl: 1.04~1.66), and parental control (OR=4.70, 95% Cl: 1.04~21.29) were effect factors for the smartphone addiction risk group.
Conclusion Findings indicate that school satisfaction was an important factor in adolescents’ smartphone addiction. Control oriented parent management of adolescents’ smartphone use did not reduce the risk of smartphone addiction and may have worsen the addiction. Future research is needed to improve understanding of how teachers and parents will manage their adolescents’ use of smartphones.
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Purpose The purpose of this study was to investigate parents’ perceptions and attitudes regarding a screening test for and subsequent management of students’ emotional and behavioral problems.
Methods A descriptive research design was used, and included disproportional stratified and cluster random sampling. The sample comprised 223 parents of elementary, middle, and high school students. Data were analyzed using descriptive statistics, Chi-squared test, and ANOVA with SPSS/WIN 21.0.
Results Overall, parents responded that they knew of the goals, types, and tools of screening tests for students’ emotional and behavioral problems. In total, 64.6% of parents reported having information for the screening test in advance. Only 13.5%(n=30) of students had emotional and behavioral problems in the last year. Among these students, 56.7%(n=17) were referred to mental health facilities but only 29.4%(n=5) of them received ongoing management from these facilities.
Conclusion These findings suggest that parents should receive information about the screening test for and subsequent management of students’ emotional and behavioral problems. Health professionals need to build strategies to provide ongoing management for students who have emotional and behavioral problems.
Purpose The purpose of this study was to examine current status of somatic symptoms of late school-aged children using the school health clinic and to investigate the influence of perceived attachment security and social support on their somatic symptoms.
Methods For this descriptive study, self-report questionnaires were completed by fifth and sixth graders attending ‘A’ elementary school in Gyeonggi-do. Data from 216 students were included. Data analysis included descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis.
Results Most frequent somatic symptoms were headache, fainting, backache, numbness in a body part, and muscle ache in that order. More frequent somatic symptoms were reported by girls, students who recognized their family SES as low, students who used school health clinic often and students who were dissatisfied with school life. Somatic symptom showed negative correlations with attachment stability and perceived social support from family and teachers. In the regression analysis, the variables; low attachment stability, female gender, and low satisfaction with school affected more frequent somatic symptoms.
Conclusion Careful monitoring of late school-aged children expressing frequent somatic symptoms is required. Intervention programs to improve attachment security and satisfaction with school should be developed for school children, especially girls, presenting with somatic symptoms.
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Purpose The study purposes were to explore school nurses’ experience, perceived barriers, and education needs in diabetes management at school.
Methods This study was a cross sectional study and the study participants were recruited conveniently at continuing education seminars for school nurses at Incheon Metropolitan City.
Results Data for 101 school nurses were analyzed. The nurses were all women and their mean age was 46.9±9.3 years. About 66% of them had experience with children with diabetes at school. The school nurses reported that 74.6% of the students tested their blood glucose by themselves, the school clinic was the most common place for blood glucose tests (47.8%) and insulin injections (50.8%) and the nurses knew students’ diagnosis through the student health survey (58.2%). About half of the nurses (53.7%) reported that glucagon should be available at school and 49.2% were willing to inject glucagon when necessary. The most frequently reported barrier in diabetes management was role confusion (6.0±1.3) and the most common educational need was emergency responses (5.9±1.4).
Conclusions School health policy for diabetes management and diabetes resources are necessary to minimize role confusion of school nurses, improve emergency response, and facilitate health promotion activities in diabetes management.
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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 This study was conducted to explore the professional identity of elementary school health teachers. METHODS In-depth interviews with fifteen elementary school health teachers were conducted from July 2010 to August 2012. Qualitative data collected by the researcher including transcription and field notes were analyzed through an adapted methodology based on the Grounded Theory of Strauss and Corbin. RESULTS Fifteen categories, 35 sub-categories and 120 concepts were obtained. The key category that was consistently maintained in identity formation was 'keeping themselves being a teacher providing nursing' which has three styles, 'focusing on health education', 'combining nursing and education' and 'focusing on providing nursing care'. CONCLUSION Results of this study will provide basic information for preparing manuals regarding the range of activities in school health teachers' jobs, improving promotion and merit payment systems for school health teachers, creating support programs for them, and contributing to the formation and establishment of their professional identity.
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, Mi-Young Choi
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