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"Delivery of health care"

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"Delivery of health care"

Original Article

Factors associated with healthcare utilization for infant falls in South Korea: a cross-sectional online survey
Soo-Yeon Han, Cho Hee Kim
Child Health Nurs Res 2023;29(4):252-259.   Published online October 31, 2023
DOI: https://doi.org/10.4094/chnr.2023.29.4.252
Purpose
Falls are a common cause of unintentional injuries in infants. This study was conducted to examine the patterns of healthcare utilization following infant falls in South Korea.
Methods
This cross-sectional descriptive study utilized an online survey designed to gather information regarding the general characteristics of parents and infants, fall-related variables, and healthcare use.
Results
The most serious falls identified by parents occurred at an average infant age of 6.97 months. Most fall incidents took place indoors (95.7%), and many occurred under the supervision of caregivers (68.0%). Following the fall, 36.4% of the participants used healthcare services. Logistic regression analysis revealed that healthcare use following an infant fall was significantly associated with being a firstborn child (odds ratio [OR]=5.32, 95% confidence interval [CI], 2.19-15.28) and falling from a caregiver's arms (OR=4.22; 95% CI, 1.45-13.68).
Conclusion
To prevent and decrease the frequency of infant falls, improvements are needed in both the domestic environment and parenting approaches.
  • 4,172 View
  • 169 Download

Original article

Development of Parent Coaching Domains for the Health Management of Childhood Leukemia Survivors
Sung Hyun Lim, Won-Oak Oh
Child Health Nurs Res 2018;24(1):68-77.   Published online January 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.1.68
Purpose
The purpose of this study was to develop parent coaching domains for the health management of childhood leukemia survivors.
Methods
In this study, we conducted a literature review and in-depth interviews with 6 parents of childhood leukemia survivors who were identified using convenience sampling. We identified areas of parent coaching through the 4 stages of the GROW model, which are: goal setting, realistic grasp, confirmation of realization, and search for alternatives.
Results
Nine domains and 27 subcategories emerged from the study. The 9 parent coaching domains for the health management of childhood leukemia survivors were routine life management, education and information provision, emotional support for the surviving children, social support for the surviving children, follow-up management, family support, school life management, symptom management, and improvement of growth and development.
Conclusion
This research developed 9 parent coaching domains for the health management of children surviving leukemia. The results of this study are expected to contribute to the efficient health management of childhood leukemia survivors by enabling practitioners to continuously identify new coaching domains as needed for their health management. Researchers should improve the health management of childhood leukemia survivors by developing nursing interventions for these new coaching areas.

Citations

Citations to this article as recorded by  
  • A structural equation model of developing a partnership between pediatric nurses and parents of children with cancer in South Korea
    Sung-Hyun Lim, In Young Cho
    Journal of Pediatric Nursing.2022; 63: e27.     CrossRef
  • 9,230 View
  • 360 Download
  • 1 Crossref
Original Article
PURPOSE
This study was conducted to identify current health care management and barriers in health care management according to ecological systems, and to develop an ecological model for enhancing health care in child care centers.
METHODS
Focus group interviews were conducted with directors and teachers of child care centers, and with parents of children enrolled in child care. Data were analyzed by the latent content analysis method.
RESULTS
Twelve categories of health care management were identified. Barriers to child health care included knowledge deficit and lack of competence in health care by teachers, lack of useful health care manuals, non-existence of professional child health care personnel in child care centers, lack of mutual information sharing and disagreement on child health conditions between child care personnel and parents, lack of specific health related child care inspection criteria and time flexible child care centers with a lack of policy on collaboration with health care facilities. The ecological model developed included specific strategies to improve health care management in child care.
CONCLUSION
The proposed ecological model to improve child health care management should be useful to plan future health care program considering both the immediate and indirect social environment surrounding children in child care.

Citations

Citations to this article as recorded by  
  • Κλίμακα αξιολόγησης της σχολικής ετοιμότητας για παιδιά προσχολικής ηλικίας 5-6 ετών: κατασκευή και ψυχομετρικά χαρακτηριστικά
    Δέσποινα Τσαούση, Ασημίνα M. Ράλλη, Πέτρος Ρούσσος, Φαίη Αντωνίου
    Psychology: the Journal of the Hellenic Psychologi.2023; 28(1): 292.     CrossRef
  • 6,899 View
  • 74 Download
  • 1 Crossref
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