Purpose
The purpose of this study was to explore the in-depth perceptions of newborn care among North Korean refugee women through focus group interviews. This research aims to provide foundational data for developing newborn care education programs tailored for North Korean refugee women preparing for motherhood.
Methods
This qualitative study employed focus groups to investigate perceptions of neonatal care among North Korean refugee women of childbearing age (20–45 years old). Conducted from August to September 2022, the sessions included five non-pregnant women and four who were currently pregnant.
Results
Both pregnant and non-pregnant women expressed ambivalent feelings, characterized by a blend of expectation and fear regarding childrearing. Pregnant women articulated specific parenting strategies and viewed childrearing as a more tangible responsibility in light of physical changes and social isolation. In contrast, non-pregnant women expressed vague aversion and anxiety about the lack of information and support systems, stating that they could only endure childrearing with adequate external support. Notably, pregnant women emphasized the psychological conflict stemming from disrupted self-realization and shifts in their identities as mothers.
Conclusion
This study revealed differences in childrearing perceptions among North Korean refugee women based on their pregnancy status. It underscores the necessity for developing customized education programs that consider life stages and psychological readiness, as well as the importance of establishing social support systems.

Citations

• Service design for improving pregnancy, childbirth, and childcare competency among North Korean refugee women in South Korea: a qualitative service-design study
  In-Sook Lee
  Child Health Nursing Research.2026; 32(1): 52.     CrossRef

Purpose
The purpose of this study was to investigate perceptions of fatherhood among fathers of high-risk neonates and their confidence regarding neonatal care.
Methods
A study was conducted of 100 fathers whose neonates had been admitted to a neonatal intensive care unit (NICU) for at least 48 hours. Perceptions of fatherhood, neonatal characteristics, and fathers' confidence regarding neonatal care were measured using a self-reported questionnaire. The survey took approximately 10 minutes to complete and was completed anonymously. The factors that affected fathers' confidence regarding neonatal care were analyzed using multiple regression.
Results
The scores for positive and negative perceptions of fatherhood were relatively high at 4.27 and 3.42 out of 5 points, respectively. A positive perception of fatherhood was found to influence fathers' confidence regarding neonatal care.
Conclusion
NICU nurses should encourage fathers to effectively perform their parenting roles by implementing educational programs and interventions to promote positive perceptions of fatherhood and fathers' confidence regarding neonatal care after discharge.

Citations

• Gender perspectives on experiences of kangaroo mother care for preterm infants in neonatal intensive care unit in China: A qualitative study
  Ying Xin Li, Yan Ling Hu, Han Mei Peng, Yuan Li, Xing Li Wan, Yue Li, Wen Qian Su, Li Ming Yang, Xi Huang, Qiong Chen
  International Journal of Nursing Studies.2026; 176: 105350.     CrossRef
• Determinación de la relación entre la percepción del rol paterno y la autoconfianza de los padres de recién nacidos: un estudio correlacional
  Pınar Doğan, Hatice Yildirim Sari, Defne Engür
  Enfermería Clínica.2026; : 502510.     CrossRef
• Supporting Fathers in the Neonatal Intensive Care Unit
  William Hull, Alejandra Rodriguez, Nathan Talarico, Curry Bordelon
  Journal of Perinatal & Neonatal Nursing.2025; 39(2): 94.     CrossRef
• Fathers in the neonatal unit: A narrative review
  Claire Webber, Paula Foran, Karen Walker
  Journal of Neonatal Nursing.2025; 31(2): 101617.     CrossRef
• Review of the Research Literature on the Impact of Father Absence on Child Development in Alignment with the Sustainable Development Goals (SDGS)
  Hadiye Kucukkaragoz
  Journal of Lifestyle and SDGs Review.2025; 5(4): e06117.     CrossRef
• Parenting Self‐Efficacy Within the First Year Postpartum in Non‐Birthing Parents: A Scoping Review
  Justine Dol, Jennifer A. Parker, Christine T. Chambers, Phillip Joy, Patricia Leahy‐Warren, Cindy‐Lee Dennis, Marilyn Macdonald, Kristy Hancock
  Family Process.2025;[Epub]     CrossRef
• Parents’ Participation in Care during Neonatal Intensive Care Unit Stay in COVID-19 Era: An Observational Study
  Emanuele Buccione, Davide Scarponcini Fornaro, Damiana Pieragostino, Luca Natale, Adelaide D’Errico, Valentina Chiavaroli, Laura Rasero, Stefano Bambi, Carlo Della Pelle, Susanna Di Valerio
  Nursing Reports.2024; 14(2): 1212.     CrossRef

Purpose
North Korean refugee women struggle with the double burden of adaptation and parenting as mothers in a new environment. This study aimed to identify the knowledge, confidence, and educational needs regarding newborn care among North Korean refugees, and to determine differences between these variables according to participants' characteristics.
Methods
Data were collected from September to October 2022, and 150 North Korean refugee women recruited using convenience sampling participated in the study. Descriptive statistics, the t-test, analysis of variance, and Pearson correlation analysis were used for data analysis.
Results
The mean scores were as follows: parenting knowledge, 14.97 out of 25; infection prevention knowledge and confidence, 20.09 out of 33 and 51.37 out of 80, respectively; and educational needs, 245.86 out of 310. Significant differences were observed in newborn care, knowledge, and confidence according to maternal age, educational level, family structure, and pregnancy history. Significant positive correlations were observed between the participants' newborn care knowledge, confidence, and educational needs.
Conclusion
Personalized educational programs should be implemented to enhance North Korean refugee women's confidence in newborn care, focusing on areas with low knowledge levels and high educational needs and enabling women to achieve healthy pregnancy and childbirth, and to parent well.

Citations

• Service design for improving pregnancy, childbirth, and childcare competency among North Korean refugee women in South Korea: a qualitative service-design study
  In-Sook Lee
  Child Health Nursing Research.2026; 32(1): 52.     CrossRef
• Perceptions of newborn care among North Korean refugee women in South Korea: a qualitative study using focus group interview: comparison between pregnant and non-pregnant groups
  In-Sook Lee
  Child Health Nursing Research.2025; 31(4): 221.     CrossRef
• Knowledge of atopic dermatitis and food allergies, as well as health information literacy, among North Korean refugee mothers: a descriptive survey study
  In-Sook Lee, Jeong-Hee Jeon
  Child Health Nursing Research.2023; 29(4): 300.     CrossRef

Purpose
This study was conducted to investigate the educational needs for practicing neonatal intensive care among Korean nursing students.
Methods
An explorative, sequential, mixed-methods design was used. Qualitative content analysis was conducted of in-depth interviews of six nursing students, five clinical practice faculty members, and five nurses in the neonatal intensive care unit. The results of a survey of 174 nursing students were analyzed quantitatively.
Results
Nursing students, clinical practice faculty members, and nurses wanted opportunities for direct nursing practice and education in school during neonatal intensive care practice. In terms of specific educational content, nursing students expressed the highest observation-related educational needs for communication with medical team members, and they expressed the highest practice-related educational needs for operating medical equipment used for neonatal intensive care. The nursing students' needs with regard to the method of practice education were highest for orientation from the head nurses.
Conclusion
Communication and operating medical equipment were found to be areas with high educational needs for practicing neonatal intensive care among Korean nursing students. Further research is needed to develop an educational framework and setting for practicing neonatal intensive care that would meet their needs.

Citations

• Tutoring experiences of a high-risk newborn care simulation among nurse tutors and nursing student tutees in South Korea: a qualitative study
  Hyun Young Koo, Bo Ryeong Lee, Hyeran An
  Child Health Nursing Research.2025; 31(1): 40.     CrossRef
• Using Backward Design to Develop a Neonatal Course for Baccalaureate Nursing Students
  Kailey Rinaldi, Rebecca Koerner
  Nurse Educator.2024; 49(5): E299.     CrossRef
• Conceptualising a wellbeing-centred approach to neonatal nursing education: A discussion paper
  Jane Staples, Makaylah Starkey, Kendall Davis
  Journal of Neonatal Nursing.2024; 30(5): 424.     CrossRef
• The effect of peer tutoring on pediatric nursing education: a systematic review
  Hyun Young Koo, Hyeran An, Bo Ryeong Lee
  Child Health Nursing Research.2024; 30(4): 215.     CrossRef
• Development of a virtual reality program in South Korea for the measurement of vital signs in children: a methodological study
  Sun Nam Park, Hye Young Hwang, Hyun Young Koo
  Child Health Nursing Research.2023; 29(2): 137.     CrossRef
• Association between Parity and Preterm Birth—Retrospective Analysis from a Single Center in Poland
  Monika Szyszka, Ewa Rzońca, Sylwia Rychlewicz, Grażyna Bączek, Daniel Ślęzak, Patryk Rzońca
  Healthcare.2023; 11(12): 1763.     CrossRef
• Development and evaluation of case video-based debriefing on a simulation of high-risk neonatal care for nursing students in South Korea: a mixed-methods study
  Hyun Young Koo, Bo Ryeong Lee, Hyeran An
  BMC Nursing.2023;[Epub]     CrossRef
• Development of a Project-Based Learning Program on High-Risk Newborn Care for Nursing Students and Its Effects: A Quasi-Experimental Study
  Hyun-Young Koo, Young-Eun Gu, Bo-Ryeong Lee
  International Journal of Environmental Research an.2022; 19(9): 5249.     CrossRef
• Impact of the COVID-19 Pandemic on Neonatal Nursing Practicum and Extended Reality Simulation Training Needs: A Descriptive and Cross-Sectional Study
  Sun-Yi Yang
  International Journal of Environmental Research an.2022; 20(1): 344.     CrossRef

Purpose
While clinical practice is crucial for nursing students to acquire the skills needed to provide professional, high-quality nursing care, further studies on improving undergraduate nursing programs are needed to provide a supportive clinical learning environment for student nurses. This study aimed to understand nursing students' clinical experiences in newborn nurseries and neonatal intensive care units and to provide basic data for the establishment of strategies to promote effective clinical education.
Methods
Interviews were held with 15 nursing students at J University who had clinical practice experience in the newborn nursery and neonatal intensive care unit. The collected data were analyzed using the phenomenological analysis method developed by Colaizzi (1978).
Results
The nursing students' experiences were grouped into four categories: expectations for and anxiety about clinical practice, acquisition of a wide range of knowledge regarding neonatal nursing, challenges faced in clinical practice, and experiencing interpersonal changes.
Conclusion
The current neonatal practice nursing education system provides students with positive learning experiences. However, the lack of practice opportunities, insufficient instruction, and the theory-practice gap were identified as major issues hindering students' learning needs. These study results are expected to provide basic data for curriculum development to improve undergraduate nursing education.

Citations

• Japanese midwifery preservice professionals’ journal reflections on practicum experiences working with mothers and infants
  Tomomi Mitsutake, Takahiro Sato, Cathy McKay, Chie Kataoka
  Multicultural Learning and Teaching.2026; 21(1): 129.     CrossRef
• Mixed reality simulation to enhance neonatal care skills in nursing students
  Ah Rim Kim
  Teaching and Learning in Nursing.2026; 21(1): e46.     CrossRef
• Self-efficacy of clinical performance in nursing students and its relationship with the motivation of field choice and clinical education status
  Maryam Momeni, Mohammadreza Asadi, Haniyeh Shadin, Sajad Noorian, Mojtaba Senmar
  BMC Medical Education.2025;[Epub]     CrossRef
• Clinical Lived Experience of Nursing Students in a Mother and Child Center: An Interpretive Phenomenological Analysis
  Amina Upasheva, Paolo C. Colet, Jonas Preposi Cruz, Ejercito Mangawa Balay-odao, Marcos Lopes
  Nursing Forum.2025;[Epub]     CrossRef
• Integrative Review of Sources of Baccalaureate Nursing Students' Clinical Practice Anxiety
  Kathleen B. Gaberson, Ruth M. Foreman, Richard Brzustowicz
  Journal of Nursing Education.2024; 63(6): 349.     CrossRef
• Experiences of Nursing Interns in the Neonatal Intensive Care Unit in Saudi Arabia: A Phenomenological Study
  Ahmad Ismail, Rawan Gashgari
  Cureus.2024;[Epub]     CrossRef
• Nursing students experiences in neonatal care: A qualitative study
  Carina Barreira, Inês Rodrigues, Fernanda Loureiro
  Journal of Neonatal Nursing.2023; 29(3): 559.     CrossRef
• Evaluation of the effectiveness of artificial intelligence assisted interactive screen-based simulation in breast self-examination: An innovative approach in nursing students
  Sahika Simsek-Cetinkaya, Selda Karaveli Cakir
  Nurse Education Today.2023; 127: 105857.     CrossRef
• Development and Validation of a Clinical Practicum Transition Shock Scale (CPT-Shock) for Korean Nursing Students
  Soo-Yeon Kim, Yeong-Ju Ko
  Healthcare.2023; 11(20): 2789.     CrossRef
• The state of clinical education and factors affecting effective clinical education: the point of view of nursing and midwifery students
  Mohammadreza Asadi, Sajad Noorian, Sanaz Motefakker, Fatemeh Heydari, Neda Shahsavari, Mojtaba Senmar
  BMC Medical Education.2023;[Epub]     CrossRef
• Nursing students' experience during their practicum in an intensive care unit: A qualitative meta-synthesis
  Yue Liu, Lingmin Wang, Haiyan Shao, Peng Han, Jinxia Jiang, Xia Duan
  Frontiers in Public Health.2022;[Epub]     CrossRef
• Student nurse experiences in public healthcare clinical practice during the COVID-19 pandemic: A qualitative study
  Yun-Jung Choi, Youn-Joo Um
  Nurse Education Today.2022; 119: 105586.     CrossRef
• Impact of the COVID-19 Pandemic on Neonatal Nursing Practicum and Extended Reality Simulation Training Needs: A Descriptive and Cross-Sectional Study
  Sun-Yi Yang
  International Journal of Environmental Research an.2022; 20(1): 344.     CrossRef
• Intensive care experiences of intern nurse students: A qualitative study
  Bilgehan Özkaya Sağlam, İzlem Sözeri Eser, Sermin Ayvaz, Neslihan Çağı, Hatice Mert, Özlem Küçükgüçlü
  Nurse Education Today.2021; 107: 105098.     CrossRef
• Developing and conducting appreciative inquiry interviews
  Fiona Arundell , Athena Sheehan , Kath Peters
  Nurse Researcher.2021; 29(4): 36.     CrossRef

Purpose
This study aimed to identify correlations between the status of the umbilical cord and neonatal health status.
Methods
In total, 172 newborns were enrolled who were admitted to the newborn nursery with a gestational age of 35 weeks or older and a body weight of 2 kg or above. Data were collected on the basic personal information of the newborns, the diameter and soft tissue status of the umbilical cord, and neonatal health status after birth. Analyses were performed using t-test, analysis of variance, x² test, and Fisher exact test.
Results
Umbilical cord diameter exhibited a statistically significant difference by sex (t=2.71, p=.007). A thin umbilical cord diameter was associated with a 1-minute Apgar score less than 8 points (t=2.47, p=.015) and with being transferred to the intensive care unit (t=2.45, p=.015). Poor soft tissue status of the umbilical cord was associated with a 1-minute Apgar score of less than 8 points (x²=16.68, p<.001) and with oxygen being supplied (x²=4.81, p=.028).
Conclusion
Assessing the umbilical cord diameter and status in newborns is an important tool for evaluating neonatal health status after birth, and this point also underscores the importance of professionals' careful observations in the newborn nursery.

Citations

• Rethinking navel size thresholds for omphalitis diagnosis in newborn dairy calves using machine learning
  A. Rico, A.F.A. Pires, N. Silva-del-Rio
  JDS Communications.2026;[Epub]     CrossRef
• The Impact of Maternal Diabetes and Hypothyroidism on Signaling Pathway Activation and Gene Expression in Fetal Mesenchymal Stem Cells
  Dominika Przywara, Wiktor Babiuch, Alicja Petniak, Bartosz Piszcz, Arkadiusz Krzyżanowski, Adrianna Kondracka, Janusz Kocki, Paulina Gil-Kulik
  Biomedicines.2026; 14(2): 436.     CrossRef
• Sex dimorphic associations of Prader–Willi imprinted gene expressions in umbilical cord with prenatal and postnatal growth in healthy infants
  Berta Mas-Parés, Gemma Carreras-Badosa, Ariadna Gómez-Vilarrubla, Antonio De Arriba-Muñoz, Olivia Lafalla-Bernard, Anna Prats-Puig, Francis De Zegher, Lourdes Ibañez, Andrea M. Haqq, Judit Bassols, Abel Lopez-Bermejo
  World Journal of Pediatrics.2025; 21(1): 100.     CrossRef
• EVALUATION OF UMBILICAL CORD THICKNESS AND ITS ASSOCIATION WITH ANTENATAL MATERNAL RISK FACTORS
  SWAROOP SINGH, PUNEET JAIN, SUNNY MALVIA
  Asian Journal of Pharmaceutical and Clinical Resea.2025; : 60.     CrossRef
• Effect of rooming‐in kangaroo mother care on breastfeeding and behavioral status of full‐term newborns
  Yin Ying, Sichao Chen, Lijun Bei, Junhua Ye, Shan Jin
  Journal of Obstetrics and Gynaecology Research.2024; 50(12): 2263.     CrossRef
• Evaluation of Umbilical Cord Thickness and Its Association with Antenatal Maternal Risk Factors: A Cross Sectional Prospective Study
  Jaiprakash Narayan, Deepali Bangalia, Laxman Singh Charan, Satyendr Sonkariya, Dinesh Kumar Barolia, Pukhraj Garg
  Journal of Comprehensive Pediatrics.2022;[Epub]     CrossRef

Purpose
The purpose of this study was to review studies investigating the effect of bereavement care provided for parents in the neonatal intensive care unit.
Methods
We conducted a literature review of databases (MEDLINE, Embase, Cochrane Library, and CINAHL) for studies published in English and four databases (RISS, KISS, NANET, and KoreaMed) for Korean studies. The selection criteria included original articles that evaluated the parents’ perceptions or responses to bereavement care provided in the neonatal intensive care unit. Of 889 articles from the initial screening, 66 articles underwent full-text review and five articles were finally selected for analysis.
Results
None of the studies was conducted in Korea. Only one study used a randomized control trial design. The forms of bereavement care reviewed included a provision of a memory package, grief information, and emotional and/or social support from peers or health care providers. The effectiveness of bereavement care was measured by including grief, social support, and depression.
Conclusion
Bereavement care can be considered to be beneficial for relieving grief reactions and enhancing the personal growth of bereaved parents. Future research should assess the needs of bereaved parents in Korea. Nurses may play a role in developing the bereavement care for parents.

Citations

• Grief, bereavement and prolonged grief disorder: scoping and mapping the evidence
  Gary Raine, Claire Khouja, Meena Khatwa, Helen Fulbright, Katy Sutcliffe, Amanda J. Sowden
  BJPsych Open.2025;[Epub]     CrossRef
• Maternal, infant, and perinatal mortality statistics and trends in Korea between 2018 and 2020
  Hyunkyung Choi, Ju-Hee Nho, Nari Yi, Sanghee Park, Bobae Kang, Hyunjung Jang
  Korean Journal of Women Health Nursing.2022; 28(4): 348.     CrossRef

Purpose
Nursing protocols for glucose management are well known for both healthy term newborns and high-risk newborns. However, for less risky newborns who are under only observation surveillance, hypoglycemia could be overlooked unless clinical symptoms develop.
Methods
A retrospective study was performed to explore factors influencing variations in glucose levels in 91 newborns who did not require any interventions, but were under nursing surveillance, at a level II neonatal intensive care unit. Data were retrieved from electrical medical records on glucose levels, demographic characteristics, and other clinical characteristics of newborns in their first day of life from January 2016 to May 2019.
Results
Glucose levels tended to stabilize within the normal range (60~80 mg/dL) as time passed during the first day of life. Cesarean section, multiple gestation, abnormal growth, and later preterm birth were associated with low glucose levels in the first 2 hours of life. Thirty-one newborns experienced a hypoglycemic episode (< 45 mg/dL) during the first 24 hours of life.
Conclusion
The findings of this study support the active encouragement of early feeding within 2 hours of birth and urgent adoption of a structural protocol for glucose surveillance in newborns with potential health problems immediately after birth.

Purpose
The purpose of this study was to explore nursing students' recognition and understanding of the clinical environment of high-risk neonatal nursing care after watching a documentary about the neonatal intensive care unit (NICU), where high-risk newborns are treated.
Methods
This study was a qualitative content analysis. In total, 151 nursing students’ personal essays describing their reactions to a documentary about the NICU were analyzed using the NVivo 12 program.
Results
Nursing students’ experiences of engaging with a documentary about the NICU were structured into four thematic categories: ‘actual observations of the imagined NICU’, ‘observation and recognition of nursing knowledge’, ‘empathy with people related to the baby’, and ‘establishing attitudes and values as a nurse’.
Conclusion
Based on the results of this study, it is suggested that documentaries can be applied in nursing education about high-risk newborns.

Citations

• The Effects of Documentary and Psychiatric Interviewing Methods on Empathy, Attitude, and Implicit Association in Psychiatric Nursing Education: A Randomized Controlled Study
  Sevgi Koroglu Gokbel, Gulgun Durat
  Western Journal of Nursing Research.2026; 48(2): 162.     CrossRef
• Chronological Changes in the Portrayal of Korean Nurses in TV Documentaries
  Eunjin Kim, Gumhee Baek, Aram Cho, Mijin Byun
  Journal of Korean Academy of Nursing Administratio.2023; 29(4): 341.     CrossRef
• The effects of neonatal resuscitation gamification program using immersive virtual reality: A quasi-experimental study
  Sun-Yi Yang, Yun-Hee Oh
  Nurse Education Today.2022; 117: 105464.     CrossRef

Purpose
This study aimed to characterize the relationship between parental stress and nurses’ communication as perceived by parents of high-risk newborns in a neonatal intensive care unit (NICU).
Methods
The participants were 54 parents of high-risk newborns in a NICU. Data were collected from January to March 2018. Parental stress and parents’ perceptions of nurses’ communication ability and styles were measured using a questionnaire.
Results
The average scores for parental stress and nurses’ communication ability were 3.39 and 4.38 respectively, on a 5-point scale. Parents most commonly reported that nurses showed a friendly communication style, followed by informative and authoritative styles. Mothers and fathers reported significantly different levels of parental stress. Parental stress showed a negative correlation with nurses’ perceived verbal communication ability. Higher scores for nurses’ verbal communication ability and for friendly and informative communication styles were associated with lower parental stress induced by the environment, the baby’s appearance and behaviors, and treatments in the NICU.
Conclusion
The findings of this study suggest that nurses need to offer proper information for parents and to support parents by encouraging them to express their emotions of stress and by providing parents with therapeutic communication and opportunities to participate in care.

Citations

• Addressing parental stress: The contribution of nursing care
  Rafaela Reis, Fernanda Loureiro
  Journal of Pediatric Nursing.2026; 88: 10.     CrossRef
• Influencing Factors of Coping Strategies in Mothers of High‐Risk Newborns: Perceived Stress and Nursing Support
  Jung‐A Kim, Hye‐Young Jang
  International Journal of Nursing Practice.2025;[Epub]     CrossRef
• Influence of perceived parental child-rearing attitudes and ego identity on college adjustment among Korean nursing students
  Hye Seon Choi, Sona Lee, Eunju Seo
  BMC Nursing.2024;[Epub]     CrossRef
• The experience of fathers whose infants were hospitalized in Neonatal Intensive Care Unit in South Korea: A scoping review
  Jiyeon Lee, Sunyeob Choi
  Journal of Pediatric Nursing.2023; 72: 36.     CrossRef
• Effects of a Noncontact Visit Program in the NICU for the Prevention of COVID-19
  Hye Young Ahn, Hee Jee Jo, Hyun Jeong Ko
  Healthcare.2023; 11(15): 2152.     CrossRef
• Effects of parent-provider communication during infant hospitalization in the NICU on parents: A systematic review with meta-synthesis and narrative synthesis
  Nanon H.M. Labrie, Nicole R. van Veenendaal, Ramona A. Ludolph, Johannes C.F. Ket, Sophie R.D. van der Schoor, Anne A.M.W. van Kempen
  Patient Education and Counseling.2021; 104(7): 1526.     CrossRef
• Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea
  Seol-Hee Moon, Ho-Ran Park, Dong Yeon Kim
  Child Health Nursing Research.2021; 27(3): 297.     CrossRef
• Factors influencing the quality of nursing care as perceived by mothers of hospitalized children in South Korea
  Ina Jin, Hun Ha Cho
  Child Health Nursing Research.2021; 27(3): 266.     CrossRef
• Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis
  Ah Rim Kim
  Asian Nursing Research.2020; 14(5): 327.     CrossRef

Purpose
The purpose of this study was to investigate the influence of perceptions of death, end-of-life (EOL) care stress, and emotional intelligence on attitudes toward EOL care among nurses in the neonatal intensive care unit (NICU).
Methods
The participants were 111 nurses working in a NICU who had experienced EOL care at least once. Data were analyzed using the t-test, Pearson correlation coefficient, and stepwise multiple regression analysis in SPSS for Windows.
Results
The mean score for perceptions of death was 3.16 out of 5, the mean score for EOL care stress was 3.61 out of 5, the mean emotional intelligence score was 4.66 out of 7, and the average score for EOL care attitudes was 2.77 out of 4. The factors affecting attitudes towards EOL care were academic degree, anxiety regarding death, negativity towards death, experiences of patient death, and emotional intelligence. The explanatory power of these variables for attitudes towards EOL care was 24.7%.
Conclusion
The results of this study are expected to serve as a basic reference for the development of nursing education programs and EOL care protocols to improve attitudes toward EOL care among NICU nurses.

Citations

• Perceived stress in end-of-life care: a qualitative study of Iranian nurses' experiences
  Royani Zahra, Yazdi Khadijeh, Mahmoodi Shen Gholam Reza
  International Journal of Palliative Nursing.2025; 31(1): 30.     CrossRef
• The Effectiveness of Emotional Intelligence-Driven End-of-Life Care Simulation for Nursing Students
  Nasreen M. Alghamdi, Hsiao-Lan Wang, Harleah G. Buck, Laura Szalacha
  Clinical Simulation in Nursing.2024; 87: 101490.     CrossRef
• Palliative Care for Infants in the Neonatal Intensive Care Unit
  Eun Sook Kim, Sue Kim, Sanghee Kim, Sujeong Kim, So Yoon Ahn, Hyejung Lee
  Journal of Hospice & Palliative Nursing.2024; 26(1): 14.     CrossRef
• Describing Nurses’ Work and Educational Needs in Providing Neonatal Palliative Care: A Narrative Review
  Julia St. Louis, Karen Benzies, Shelley Raffin-Bouchal, Shane Sinclair
  Neonatal Network.2024; 43(1): 35.     CrossRef
• Do spirituality and emotional intelligence improve the perception of the ability to provide care at the end of life? The role of knowledge and self-efficacy
  Maria de Lurdes da Costa Martins, Ana Paula Rodrigues, Carlos Duarte Coelho Peixeira Marques, Rui Miguel Barros Cunha Carvalho
  Palliative and Supportive Care.2024; 22(5): 1109.     CrossRef
• Simulation, Storytelling, and Pediatric End-of-Life Care: A Continuing Professional Development Approach for Nurse Residents
  Avery McNall, Karen Lucas Breda, Katherine A. Hinderer
  Journal of Pediatric Hematology/Oncology Nursing.2024; 41(3): 220.     CrossRef
• The Effect of Neonatal Intensive Care Nurses’ Attitudes Towards Palliative Care on Death Anxiety and Burnout: An Analytic Cross-Sectional Study
  Fatma Uslu-Sahan, Fusun Terzioglu, Evrim A. Dizdar, Neslihan Kayademir, Derya K. Mutlu, Garibe Adıguzel, Gönül Tozlu, Tugce Baykal
  OMEGA - Journal of Death and Dying.2024;[Epub]     CrossRef
• Educational Needs and Attitudes of Clinical Nurses Providing End-of-Life Care to Patients with Terminal Illness
  Kathryn Nicole Velichko, Annette Callis
  MEDSURG Nursing.2024; 33(3): 110.     CrossRef
• Profiling health professionals’ personality traits, behaviour styles and emotional intelligence: a systematic review
  C. Louwen, D. Reidlinger, N. Milne
  BMC Medical Education.2023;[Epub]     CrossRef
• The competence of neonatal intensive care nurses: A systematic review
  Eeva Talus, Hanna Seppänen, Kristina Mikkonen, Anna-Kaija Palomaa, Tarja Pölkki
  Nurse Education Today.2023; 128: 105892.     CrossRef
• Nurses’ attitudes and stress related to perinatal bereavement care in Korea: a cross-sectional survey
  Eunhui Kim, Hae Won Kim
  Korean Journal of Women Health Nursing.2022; 28(2): 134.     CrossRef
• Hospital Nurses’ Perception of Death and Self-Reported Performance of End-of-Life Care: Mediating Role of Attitude towards End-of-Life Care
  Hyo-Jin Park, Yun-Mi Lee, Mi Hwa Won, Sung-Jun Lim, Youn-Jung Son
  Healthcare.2020; 8(2): 142.     CrossRef

Purpose
The purpose of this study was to explore and describe the meaning and essence of a mother’s experience of hospitalization of her newborn in the neonatal intensive care unit (NICU).
Methods
This study employed a qualitative research design. An interview was conducted with a mother whose newborn was hospitalized in the NICU, and the data were analyzed using Giorgi’s phenomenological method.
Results
Five main themes and 19 formulated meanings were indentified. The 5 themes were ‘drowning in pain’, ‘just look outside the glass door’, ‘being a pillar’, ‘a deepening attachment’, and ‘prepare for nurturing with hope’.
Conclusion
The results of this study provided an in-depth understanding of the experience of a mother with a newborn in the NICU. These results can be used in the development of a nursing intervention program that provides psychological and emotional support to the mother and family.

Citations

• Phenomenological Study of Women’s Experiences of Neonatal Transport After Childbirth in Korea
  Hye Min Byun, Jeong Hee Eom
  Journal of Obstetric, Gynecologic & Neonatal Nursi.2024; 53(2): 151.     CrossRef
• A Qualitative Study of Psychoemotional Changes in Mothers with Children Prenatally Diagnosed with Congenital Heart Disease
  Eun Ju Jo, Jeong Yun Park
  Journal of Korean Association for Qualitative Rese.2024; 9(3): 151.     CrossRef
• Effects of a Noncontact Visit Program in the NICU for the Prevention of COVID-19
  Hye Young Ahn, Hee Jee Jo, Hyun Jeong Ko
  Healthcare.2023; 11(15): 2152.     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
• The physical and emotional health of South Korean mothers of preterm infants in the early postpartum period: a descriptive correlational study
  Jiyun Park, Kyung-Sook Bang
  Child Health Nursing Research.2022; 28(2): 103.     CrossRef
• Not being able to hug our baby before the cables: Early experiences of parents with premature babies
  Nurcan Akgül Gündoğdu, Zeynep Temel Mert, Emine Selda Gündüz
  Nursing Forum.2022; 57(6): 1193.     CrossRef
• Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea
  Seol-Hee Moon, Ho-Ran Park, Dong Yeon Kim
  Child Health Nursing Research.2021; 27(3): 297.     CrossRef
• Parenting Stress in Preterm and Full-term Infant Mothers by Their Children’s Developmental Stages
  Kieun Kim, Hyejung Lee
  Journal of The Korean Society of Maternal and Chil.2020; 24(3): 162.     CrossRef
• Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis
  Ah Rim Kim
  Asian Nursing Research.2020; 14(5): 327.     CrossRef
• South Korean nurses’ lived experiences supporting maternal postpartum bonding in the neonatal intensive care unit
  Sun Young You, Ah Rim Kim
  International Journal of Qualitative Studies on He.2020; 15(1): 1831221.     CrossRef
• The Relationship between Stress, Social Support, and Confidence in Paternal Role Perceived by Korean Fathers of High Risk Infants
  Jeong Hee Eom, YeoJin Im
  Journal of Pediatric Nursing.2019; 49: e21.     CrossRef
• Parenting Experience of Prematurity Parents Based on Grounded Theory
  Jeong Soon Kim
  Journal of The Korean Society of Maternal and Chil.2019; 23(4): 232.     CrossRef

Purpose
The study was conducted to measure stratum corneum hydration (SCH) and pH (SCP) in high-risk newborns in the early postnatal period and to explore the features related to patterns of change in those parameters.
Methods
SCH and SCP were measured on the dorsal hand in 99 hospitalized newborns during the first 14 days of life and the results were analyzed using a general linear model.
Results
The mean hydration was 42.9% on day 1, which decreased to 34.6% by 2 weeks (F=15.61, p=<.001). An association was observed between SCH and prematurity (F=21.12, p<.001), as well as for their interaction (F=8.11, p<.001). The mean SCP was 6.2±0.3 on day 1, and decreased to 5.7±0.2 (F=95.75, p<.001), with no association with prematurity. After adjusting for birth weight, SCH was higher in newborns with vaginal delivery (F=9.07, p=.023) and who received phototherapy (F=11.81, p=.011). For SCP, only delivery type had a significant influence (F=6.40, p=.044).
Conclusion
This study suggests that SCH is typically in the 30% range during the early postnatal period, and that an acid mantle on the SC surface is very unlikely to form; these findings could be applied to the nursing process for promoting skin integrity in high-risk neonates.

Citations

• The Effect of Sunflower Seed and Almond Oil on Preterm Infant Skin: A Randomized Controlled Trial
  Seda Caglar, Gizem Kerimoglu Yildiz, Ilkay Bakoglu, Ozgul Salihoglu
  Advances in Skin & Wound Care.2020; 33(8): 1.     CrossRef

Purpose
The purpose of this study was to explore nursing students’ experiences of debriefing after simulation-based learning and to obtain fundamental data to support the development of effective teaching strategies.
Methods
Sixty-seven nursing students participated in this study from April to May, 2017. This was a descriptive study analyzing the content of students’ descriptions of structured questions in 3 stages (description, analysis, and application) based on recorded videos.
Results
The description stage was classified into 3 categories for problem recognition, 4 categories for the nursing plan, and 6 categories for the nursing intervention. The analysis stage was classified into 6 categories for satisfactory practice, 3 categories for experience and 4 categories for what they learned through practice. The application stage was classified into 5 categories, that were to be mastered, and 6 categories, that were important to recognize.
Conclusion
This study succeeded in charaterizing learners’ experiences of debriefing. During the debriefing, students watched recorded videos, and we found that self-evaluation through structured questionnaires could be a very effective way to strengthen students’ core competencies. Our content analysis of the debriefing is expected to contribute to the development of effective strategies in simulation-based education for students and nurses.

Citations

• Influencing Factors on Nursing Students’ Learning Flow during the COVID-19 Pandemic: A Mixed Method Research
  JinRyung Park, Minjeong Seo
  Asian Nursing Research.2022; 16(1): 35.     CrossRef
• Effectiveness of Debriefing for Meaningful Learning-based simulation training on high-risk neonatal care: A randomized controlled simulation study
  Sun-Yi Yang, Yun-Hee Oh
  Clinical Simulation in Nursing.2021; 61: 42.     CrossRef
• Effect of Psychiatric Nursing Practice Online Education Using Case-Based VR
  Young Shin Lee, Juhang Kim, Ji Young Lim, Geun Myun Kim
  Journal of Korean Academy of psychiatric and Menta.2021; 30(4): 369.     CrossRef
• Influencing Factors of Learning Flow, Self Leadership and Debriefing Satisfaction on Problem Solving Ability of Nursing Students in Simulation Learning
  Gyoo-Yeong CHO, Mi-Kyung SEO
  JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2020; 32(2): 409.     CrossRef
• Effects of a Virtual Reality Simulation and a Blended Simulation of Care for Pediatric Patient with Asthma
  Mikang Kim, Sunghee Kim, Woo Sook Lee
  Child Health Nursing Research.2019; 25(4): 496.     CrossRef

Purpose
This study compared the pain and skin reactions of neonates according to the method of removing the adhesive eyepatch used for phototherapy.
Methods
The subjects included 20 neonates admitted at C University Hospital. In group 1 (n=10), DuoDERM dressing was attached under the adhesive eyepatch, which was removed with water, while in group 2 (n=10), the eyepatch was attached on the skin and removed with oil. Heart rate, oxygen saturation, the Neonatal Infant Pain Scale (NIPS), crying time were measured. Data were analyzed using repeated-measures analysis of variance.
Results
No interaction was found between group and timing for heart rate and oxygen saturation. In group 1, the NIPS score was higher and the crying time was longer than in group 2. No difference was observed in the erythema score between the groups.
Conclusion
Removing the adhesive eyepatch using oil can be used as a nursing intervention to reduce pain and improve comfort in neonates.

Purpose
Maintaining body temperature is a key vital function of human beings, but little is known about how body temperature of high-risk infants is sustained during early life after birth. The aim of this study was to describe hypothermia in high-risk infants during their first week of life and examine demographic, environmental, and clinical attributors of hypothermia.
Methods
A retrospective longitudinal study was done from January 1, 2013 to December 31, 2015. Medical records of 570 high-risk infants hospitalized at Neonatal Intensive Care Units (NICU) of a university affiliated hospital were examined. Body temperature and related factors were assessed for seven days after birth.
Results
A total of 336 events of hypothermia (212 mild and 124 moderate) occurred in 280 neonates (49.1%) and most events (84.5%) occurred within 24 hours after birth. Logistic regression analysis revealed that phototherapy (aOR=0.28, 95% CI=0.10-0.78), Apgar score at 5 minute (aOR=2.20, 95% CI=1.17-4.12), and intra-uterine growth retardation or small for gestational age (aOR=3.58, 95% CI=1.69-7.58) were statistically significant contributors to hypothermia.
Conclusion
Findings indicate that high-risk infants are at risk for hypothermia even when in the NICU. More advanced nursing interventions are necessary to prevent hypothermia of high-risk infants.

Citations

• Using a Plastic Drape to Reduce Hypothermia in Premature Neonates During Peripherally Inserted Central Catheter Placement
  Huong (Kelle) T. Phan, Teresa M. McIntyre
  Advances in Neonatal Care.2022; 22(3): 193.     CrossRef

Purpose
The aim of this study was to analyze Neonatal Intensive Care Unit nurses’ behaviors while soothing newborns with bronchopulmonary dysplasia.
Methods
An observational study was used to assess nurses’soothing behaviors. Data were collected from September, 2012 to March, 2013 using an audio-video recording system. Participants were eight babies and 12 nurses caring for those babies. After obtaining parental permission, the overall process of each episode from nurses’engagement in soothing to the end of soothing was recorded. Then a researcher interviewed each participating nurse. Data from 18 episodes were transcribed as verbal and nonverbal nursing behaviors and then categorized by two researchers.
Results
There were 177 observed soothing behaviors which were classified with the five sensory-based categories (tactile, oral, visual, auditory, vestibular). Most frequently observed soothing behavior was ‘Gently talking’ followed by ‘Removing irritant’, and ‘Providing non-nutritive sucking’. Nurses’ perceived soothing behaviors were similar to the observed soothing behaviors except for ‘Gently talking’.
Conclusion
Nurses used diverse and mixed soothing behaviors as well as recognizing those behaviors as essential nursing skills. Nurses’ soothing behaviors identified in this study can be used to comfort babies and to enhance their developmental potential in accordance with individual characterstics or cues.

Citations

• Factors influencing nursing care competences in neonatal intensive care units: Generalized equation estimation analysis
  Eun Sook Kim, Hyoyeong Kim, Heemoon Lim, Jungwoo Hwang, Hyejung Lee
  Journal of Neonatal Nursing.2025; 31(3): 101668.     CrossRef

Purpose
Oral glucose and pH are known as critical indicators for the growth of microorganism inside the oral cavity. This study was performed to identify oral glucose and pH variances in the early postnatal days of newborns.
Methods
An explorative study which included 67 newborns was conducted to measure the oral glucose and pH during the first three days of life. Oral secretions were collected every 8 hours for three days or 6 to 9 times immediately after birth up to discharge. Oral glucose and pH variances during the three days were analyzed using the SPSS 22.0.
Results
Oral glucose was 30.66±22.01mg/dl at birth then increased to 54.77±27.96mg/dl at the third day of life (F=8.04, p<.001) while oral pH decreased from 7.35±0.36 to 5.53±0.39 during the three days (F=113.35, p<.001). Oral glucose and pH were related to gestational age, regurgitation, and maternal diabetic mellitus. A negative correlation was found between oral glucose and pH (r=-.34, p<.001).
Conclusion
Oral glucose and pH can be utilized for oral health assessment in newborns. Further study is needed to explore the factors which influence oral glucose and pH in high-risk newborns.

Purpose
A longitudinal study was conducted to explore flora colonization and oral glucose high-risk newborns during the first 7 days after birth.
Methods
Oral secretions of hospitalized newborns were obtained for microbial cultures and glucose test at days 1-7 after birth.
Results
Among the total 112 newborns, 40% were girls and 73% were premature. Mean gestational age was 34.4±3.2 weeks and weight was 2,266±697.5 grams. The most common flora included Streptococcus (28.2%), Methicillin-resistant Staphylococcus aureus (MRSA, 10.9%), Staphylococcus (6.0%), and Coagulase- Negative Staphylococcus (CNS, 4.0%). The average oral glucose level was 29.2±23.0 mg/dL~58.2±39.5 mg/dL. Newborns with higher oral glucose than serum (crude odds ratio [ORc] =1.75; 95% confidence interval [CI] =1.03-2.97), phototherapy (ORc=3.30; 95% CI=2.29-4.76) and prone position (ORc= 2.04; 95% CI=1.13-3.69) were more likely to be colonized. Having oral tubes (ORc=0.42; 95% CI=0.29-0.59), parental nutrition (ORc=0.21; 95% CI=0.13-0.32) and antibiotics (ORc=0.51; 95% CI=0.36-0.73) had protective effects. For oral glucose statistical significances existed on time effect among newborns with Streptococcus (F=9.78, p=.024), MRSA (F=7.60, p=.037) or CNS (F=11.15, p=.019) and interaction between time and colonization among newborns with all of four flora (F=2.73, p=.029) or colonization with only Staphylococcus (F=2.91, p=.034).
Conclusion
High-risk newborns develop flora colonization at an early period of life. Their clinical features were associated with types and time of oral flora colonization. They need close monitoring and multifaceted intervention to improve oral environment and infection control.

Citations

• Glucose and pH of Oral Secretions in Newborns
  Namhee Kim, Youngmee Ahn
  Child Health Nursing Research.2017; 23(3): 353.     CrossRef

Purpose
This study was performed to explore the weight variations in high-risk term newborns hospitalized during the early postnatal period.
Methods
A retrospective explorative study was performed with 64 term newborns who were hospitalized in the NICU after birth. Data on daily weight, birth information, and clinical features such as phototherapy, placements, nutritional status were reviewed through medical records for 14 days of life. General Linear Model, GLM was applied to analyze the weight variation by clinical features of these high–risk term newborns for 14 days of life.
Results
Newborns at 40 weeks of gestation showed little weight loss during the few days after birth then steadily gained weight to 7.6% at the 14th day. Infants born at 37-39 gestation showed little weight gain for 14 days though the weight loss itself was not apparent. As well, return to birthweight was not observed in newborns with phototherapy, infants placed on a warmer or infants having gastrointestinal dysfunction for 14 days of life.
Conclusion
Even for term newborns, physiologic weight loss may not be warranted even if newborn is born at less than 40 week of gestation, or with high-risk conditions that warrant admission to NICU.

PURPOSE
This study was done to develop a scenario and evaluate student performance in simulation learning of care for children with respiratory distress syndrome in neonatal intensive care units.
METHODS
To test the application effect, a one group pre-test design was applied. The scenario based on actual patients and textbook material was developed through several meetings of experts. The scenario was used with 17 groups of 55 senior nursing students who participated voluntarily.
RESULTS
Contents were organized focusing on the nursing process for simulation learning. In the application of knowledge and skills, nursing students had high scores in the contents of observation of oxygen saturation, and care to relieve dyspnea. Participants' ability, especially in suction and oxygen supply in the evaluation of objective structured clinical examination was not adequate. There was a significant positive correlation between problem-solving ability and satisfaction in learning.
CONCLUSION
The respiratory distress syndrome simulation scenario developed in this study was an effective tool to give students experience in problem solving and critical thinking ability under conditions similar to reality. The development of various scenarios for child nursing care is needed.

Citations

• The Effects of Simulation Based Practical Education on Nursing Students' Self-efficacy, Performance Confidence, and Educational Satisfaction
  Inok Kim
  Physical Therapy Rehabilitation Science.2024; 13(1): 18.     CrossRef
• Utilizing Video vs Simulation Practice for Handoff Education of Nursing Students in Pediatric Nursing
  Sun-Nam Park, Young Soon Im
  Child Health Nursing Research.2018; 24(1): 27.     CrossRef
• Effects of nursing process-based simulation for maternal child emergency nursing care on knowledge, attitude, and skills in clinical nurses
  Sunghee Kim, Gisoo Shin
  Nurse Education Today.2016; 37: 59.     CrossRef
• Stress and Satisfaction from Simulation-based Practice and Clinical Practice on High-risk Newborn Nursing
  Sun-Nam Park, Yunsoo Kim
  The Journal of Korean Academic Society of Nursing .2015; 21(1): 86.     CrossRef
• Effects of Simulation-Based Learning in the Nursing Care of Children with Asthma
  Sun-Mi Chae, Kyung-Sook Bang, Juyoun Yu, Ji-Hye Lee, Hyun-Ju Kang, In Ju Hwang, Min Kyung Song, Ji-Sun Park
  The Journal of Korean Academic Society of Nursing .2015; 21(3): 298.     CrossRef
• Effectiveness of Simulation Integrated with Problem Based Learning on Clinical Competency and Self-efficacy in Nursing Students.
  Mijin Lee, Young Mee Ahn, Insook Cho, Min Sohn
  Child Health Nursing Research.2014; 20(2): 123.     CrossRef

PURPOSE
In this study changes were observed in body temperature, heart rate and arterial oxygen saturation (SaO2) of newborns after bathing and to determine the effects of covering their heads with cotton hats after bathing.
METHODS
Participants were 58 newborn infants, 31 in the experimental group had their heads covered with cotton hats after their bath while 27 in the control group did not. Body temperature, arterial oxygen saturation and heart rate were measured at 8 consecutive times after bathing. Data were analyzed using t-test and repeated measures ANOVA.
RESULTS
Body temperature declined shortly after bathing. The experimental group showed faster recovery (p<.001). Heart rate increased after bathing in both groups. Heart rate in the experimental group decreased for 120 minutes and gradually increased to baseline (p<.001). In the control group, heart rate decreased for 180 minutes and then increased but did not reach the baseline (p<.001). Arterial oxygen saturation decreased shortly after bathing and recovery to the baseline was more rapid in the experimental group (30 minutes vs. 60 minutes) (p<.001).
CONCLUSION
With significant changes observed in newborns' body temperature, arterial oxygen saturation and heart rate, covering the head right after bathing is effective in stabilizing infants' physiological system.

Citations

• Timing of Post-bath Skin Moisturizer Application to Newborn Infants: A Randomized Controlled Study
  Duygu Gözen, Özlem Akarsu, Şadiye Dur, Burcu Akça
  Advances in Skin & Wound Care.2023; 36(1): 1.     CrossRef
• Effect of Two Bathing Methods on Physiologic Parameters in Pediatric Intensive Care
  Özgül Öz, Gülzade Uysal, Duygu Sönmez Düzkaya
  Clinical Nursing Research.2022; 31(5): 858.     CrossRef
• First bathing time of newborn infants after birth: A comparative analysis
  Duygu Gözen, Sinem Y. Çaka, Selda A. Beşirik, Yıldız Perk
  Journal for Specialists in Pediatric Nursing.2019;[Epub]     CrossRef
• Effects of Underrunning Water Bathing and Immersion Tub Bathing on Vital Signs of Newborn Infants
  Işıl Ar, Duygu Gözen
  Advances in Neonatal Care.2018; 18(6): E3.     CrossRef

PURPOSE
This study was done to examine the incidence of pressure ulcers and associated factors, by inspecting the skin of newborn babies in a newborn unit or newborn intensive care unit (NICU).
METHODS
The participants were 101 newborn babies in either a newborn unit or NICU in D general hospital. The incidence of pressure ulcer was measured using the skin inspection tool for pressure ulcer, suggested by Agency for Health Care Policy and Research.
RESULTS
Incidence rate of pressure ulcer was 19.8%, and 80% of the newborns with pressure ulcers were premature babies. The commonest region of onset was the ear (36.8%), followed by the foot (31.6%), occipital region (15.8%) and knee (15.8%). Those are the regions related to external medical devices like nasal Continuous Positive Airway Pressure and Pulse Oximetry. Factors related to pressure ulcers were gestational period of 37 weeks or less, hospitalization for 7 days or more, birth weight under 2,500 g and a low level of serum albumin.
CONCLUSION
The results of the study show that the skin and underlying tissues of premature infants is at risk for pressure-related skin breakdown. As most pressure ulcers are caused by medical devices, nursing interventions are required to prevent further aggravation of the lesions.

Citations

• The incidence and prevalence rates of pressure ulcers in the paediatric population: A meta-review of systematic reviews
  Lauren Vickers, Carol Hilliard, Rosemarie Derwin, Fiona Boland, Zena Moore, Aglecia Moda Vitoriano Budri
  Journal of Tissue Viability.2025; 34(4): 100962.     CrossRef
• Incidence and prevalence of pressure injuries in children patients: A systematic review and meta-analysis
  Hongyan Zhang, Yuxia Ma, Qing Wang, Xiujuan Zhang, Lin Han
  Journal of Tissue Viability.2022; 31(1): 142.     CrossRef
• Characteristics Influencing the Occurrence of Respiratory Medical Device-related Pressure Ulcers in the Pediatric Intensive Care Unit
  Hae-kyung Kim, Younghae Kim, Hyun-Mi Son
  Child Health Nursing Research.2019; 25(2): 133.     CrossRef

PURPOSE
The purpose of this study was to examine and analyze the post operative fasting period of neonates in the intensive care unit (ICU) after receiving open heart surgery in order to provide optimal nutrition support for these neonates. The variables included biochemical nutrition indexes (albumin, total lymphocyte count, total cholesterol) and patient outcomes (duration of mechanical ventilation, ICU stay, hospital stay, infectious complication).
METHODS
The participants were 124 neonates in ICU after receiving open heart surgery, and the design of this study was to investigate their post operative fasting period retrospectively to analyze the biochemical nutrition indexes and patient outcomes according to post operative fasting period.
RESULTS
The results for 4 groups according to post operative fasting period showed that the group with less 48 hours of fasting had the best biochemical nutrition indexes and patient outcomes, followed by the 48-72 hour group, the 72-144 hour group, and the over 144 hour group.
CONCLUSION
The results indicate that for new born babies receiving open heart surgery, the period of fasting after the operation should be minimized and tube feeding should be started as soon as possible.

PURPOSE
This study aimed to confirm the effect of routine suctioning at a nursery for healthy newborns who have undergone immediate oronasopharyngeal bulb suctioning after birth in a delivery room through the observation of their oxygen saturation level, heart rate, respiration rate, the vomiting sign, and the number of instances of vomiting.
METHODS
Data were collected for 62 days from March 15 to May 15, 2009 at the nursery of a hospital located in Seoul. One hundred forty newborns were assigned to one of three groups: a no suction group, an oropharyngeal suction group, or a orogastric suction group. Collected data were analyzed with the SPSS WIN 15.0 program using ANOVA, cross tabulations and an independent 2-sample t-test.
RESULTS
Routine suctioning to healthy newborns resulted in decreasing oxygen saturation levels and increasing the heart and respiration rate regardless of the kind of suctioning. Stabilization of the oxygen saturation level and vital signs was also observed without suctioning.
CONCLUSION
To prevent healthy newborns from the side effect of suctioning, selective suctioning is recommended.

Citations

• Routine oro/nasopharyngeal suction versus no suction at birth
  Jann P Foster, Jennifer A Dawson, Peter G Davis, Hannah G Dahlen
  Cochrane Database of Systematic Reviews.2017;[Epub]     CrossRef

PURPOSE
Multiple studies have documented that high resting levels of cardiac vagal tone suggest higher levels of self-regulation. The aim of this study was to evaluate cardiac vagal tone as an indicator of autonomic nervous function in healthy newborn and premature infants. METHODS: This study was conducted using a descriptive comparison design and a convenience sampling strategy. The participants were 72 healthy and 62 premature infants delivered in a university hospital. Continuous heart rate data recordings from the infant's ECG were analyzed and Mxedit software was used to calculate mean heart period and an index of cardiac vagal tone. RESULTS: The healthy infants had significantly higher cardiac vagal tone than the premature infants, when the influence of gestational age was removed using analysis of covariance. However, there were no significant differences in heart rate and heart period between the two groups when the influence of gestational age was removed using analysis of covariance. CONCLUSION: The results of this study show that cardiac vagal tone may be used as an index for determining infant's autonomic nervous function. Nursing staff in pediatric departments can use cardiac vagal tone with ease, as this index can be calculated in a noninvasive method from the ECG.

Citations

• Cardiac Autonomic Function in the First Hours of Postnatal Life: An Observational Cross-Sectional Study in Term Neonates
  Leva A. Shayani, Carlos J. da Cruz, Luiz Guilherme G. Porto, Guilherme E. Molina
  Pediatric Cardiology.2019; 40(8): 1703.     CrossRef
• Linking Early Adversity, Emotion Dysregulation, and Psychopathology: The Case of Extremely Low Birth Weight Infants
  Lauren A. Drvaric, Ryan J. Van Lieshout, Louis A. Schmidt
  Child Development Research.2013; 2013: 1.     CrossRef
• The effect of biting tails and having tails bitten in pigs
  Manja Zupan, Andrew M. Janczak, Tore Framstad, Adroaldo J. Zanella
  Physiology & Behavior.2012; 106(5): 638.     CrossRef

PURPOSE
In order to identify the usability of inguinal temperature in a neonatal unit, this study was done to compare inguinal temperature of newborns with rectal, axillary, and tympanic temperatures.
METHOD
Fifty-one normal newborns admitted to the nursery of a university affiliated hospital participated in the study. Tympanic temperatures were taken with a tympanic thermometer. Inguinal, rectal, and axillary temperatures were taken with glass mercury thermometers, and were recorded every 1 minute until the reading remained constant for 2 times. The data were analyzed using the SPSS program.
RESULT
The measurement time for inguinal temperatures in newborns was significantly longer than that for rectal temperatures, but was shorter than that for axillary temperatures. The mean temperature for the newborn's inguinal site was lower than for rectal, axillary, and tympanic temperatures (the lower side), but wasn't different from tympanic temperature (the upper side). The inguinal temperature was significantly correlated with rectal, axillary, and tympanic temperature. The inguinal temperature was not different according to general characteristics of the newborn.
CONCLUSION
These findings indicate that measurement of inguinal temperature is a useful alternative to rectal temperature.

PURPOSE
To investigate the relationships among mother's perception of her own newborn, her caring-confidence level, and her child-rearing attitude; and to provide data for developing effective nursing education programs on maternal newborn care.
METHOD
Explorative survey questionnaires were completed by 159 married mothers of newborns from November 2003 to March 2004. Data were analyzed using SPSS/Win 10.0 by t-test and Pearson's Correlation coefficient.
RESULTS
The mean scores of the mother's perception of her own newborn, her caring-confidence level, and her child-rearing attitude were .26, 3.13, and 3.43 respectively. There was a positive correlation between mother's perception of her own newborn and her child-rearing attitude. There was a significant correlation between mothers caring-confidence level and her child-rearing attitude. Score of caring-confidence was significantly different depending on the availability of helper and history of delivery.
CONCLUSION
Availability of helper and history of delivery significantly affected mothers caring-confidence. This in turn, along with mothers perception of her own newborn, enhanced mothers child-rearing attitude. Thus, an effective education for mothers should include these factors.

PURPOSE
The purpose of study was : 1) to analyse the trend of research on the sensory stimulation in newborn in Korea, 2) to suggest direction for further study on the sensory stimulation in newborn and contributing to the use of intervention in newborn.
METHOD
Research studies on the sensory stimulation in newborn were selected from the dissertations, parents-child health. Academic Society Journal, and from Korean Journal of Pediatrcs which were conducted between 1984 and 2002. The total numbers of the studies were 15. These studies were analyzed for 1) time of publication or presentation 2) thesis for a degree or nondegree 3) characteristics of subjects 4) sample size 5) research design 6) type of sensory stimualtion 7) meaurement tool 8) result.
RESULT
1)The most year of studies were the 1996's~2000's. 2)The degree of studies were higher than nondegree. 3) The most characteristics of subjects were the premature infants. 4) The most frequent sample sizes were 11-20. 5)The all research design was nonequivalent control group pretest-posttest design in quasi experimental basis. 6)The most type of sensory stimulation was Field massage(tactile and kinesthetic). 7) The measurement tool used all objective tools. 8) The most research data were collected by the measure of the weight, heart rate, behavior state, respiration, stress hormon and positive results.
CONCLUSION
1) Human sensory stimulation did not seem to harm the infants. 2) several positive effects of sensory stimulation that have been reported previously must be reevaluated. 3)further research will be required large sample size, long-term outcome, individualized stimulation program, early parent-infant contact in order to enhance the development of attachment, to determine the underlying mechanism and theorical frame for these stimulation effect.

The purpose of this study was to compare the sleep characteristics between the prone and the supine position in healthy newborns. The 48 newborns were observed in the prone position and the supine position respectively on the 2nd day after birth. The data were collected from January to May, 1999. The state of a newborn was classified and categorized to 6 states (deep sleep, light sleep, drowsy, quiet alert, active alert, crying) by Barnard. The movements of eyes, face and extremities, pulse and arterial oxygen were observed and recorded continuously from the start of sleep after feeding until the time of being woken for the next feeding by a trained nurse. The data was analyzed by using paired t-test. The results of this study were as follows; 1. There was no significant difference in the length of sleeping time between the prone and the supine position. 2. There was no significant difference in the length and frequencies of each states(deep sleep, light sleep, drowsy, quiet alert, active alert, crying) between the prone and the supine position. But the frequency of light sleep in the supine position was significantly higher than that of the prone position. 3. There was no significant difference in the numbers of eyes movements between the prone and the supine sleep position. But the amount of facial and extremity movement in the supine position was significantly higher than those in the prone position 4. There was no significant difference in the arterial oxygen content between the prone and the supine sleep position. 5. There was no significant difference in the heart rates between the prone and the supine sleep position. The above results indicated that the newborns in the prone position moved less and slept deeper than those in the supine position, though there was no difference in the length of sleep or arterial oxygen content between the prone and the supine sleep position. But, Nurses and mothers should consider the relationship between the sleep position and SIDS suggested by previous researches. The infant's 'awakening' during sleep is a normal process and rather valuable because it can provide an opportunity to promote a stronger relationship between mother and baby. So, It is suggested that the supine sleep position is better than the prone sleep position for infants.

The purpose of this study was to find whether the educational program contributed to the increase of caring confidence and rearing attitude of the newborn mothers. The subjects for this study were 40 newborn mothers-20 control group and 20 experimental group-who delivered a normal neonate and were gotten general informations from the nurses at the K medical center in Seoul. Especially, the experimental group was educated for 30-40 minutes in maternal educational program through lectures, demonstrations, discussion with textbooks and visual materials by a researcher at 2-3 days after delivery. The data were collected two times-at 2-3 days after delivery and at 4 weeks after discharge-from October, 1998 to January, 1999 by investigators interviewing with a structured questionnaire. Pharis(1978)'s self confidence scale was used after some modification to measure caring confidence and Cohler's maternal attitude scale to check mother's rearing attitude. Analysis of data was done by using of frequency, %, chi-square-test, Independent sample t-test. The results of this study were as follows : 1. The Confidence of the experimental group was significant higher than the control group(t=2.519, p=.016) and the rearing attitude changed more positively(t=5.545, p=.000). 2. In the confidence scale, the statements having a significant change were holding a baby, changing diapers, feeding, and caring umblicus. 3. In the rearing attitude scale, the statements having a significant change were 12 of 20 statements.

Newborn period is a transitional stage for independent adaptation from intrauterine to extrauterine life by maintaining respiration, temperature and nutrition. In general, the adaptability of the newborn is proportional to the gestational age(GA), so knowing the accurate GA is critical to develop nursing process in the newborn nursery. A newborn maturity rating, a Ballard examination, has been used to measure GA by assessing the maturity of newborn. It consists a total of 12 items, which is the 6 items for the neuromuscular maturity and the 6 items for the physical maturity. A total of 75 newborn were assessed for the maturity and GA using the Ballard examination. The results are follows: 1) The score of each item of Ballard examination is proportional to GA using the Ballard examination as well as LMP. 2) There was a greater positive relationship between neuromuscular, physical and total maturity, and the GA measured by Ballard examination, than the GA measured by LMP. 3) Any stressful environment to the newborn could influence to the maturity of newborn. In summary, the study showed the Ballard examination is more reliable and clinically feasible method to measure the accurate GA, compared to the GA by LMP. Therefore, it suggests the application of Ballard examination to measure the newborn maturity and GA is beneficial in developing nursing process. The expansion of the study with the variety of the subject characteristics will enhance the clinical applicability of the examination.

PURPOSE
An exploratory study was done to examine the validity of the new Ballard scale with extended scoring system(eNBS) in estimating gestational age(AG) in full-term newborns.
METHOD
The eNBS scoring system was extended to include all numbers of total score of NBS and GA to allow a 3-days variation in GA estimation compared to the original scale which has a 2-week variation due to the application of a 5-score interval for the total NBS score and only even numbers for GA. GA by eNBS(GA-eNBS) was compared with GA by LMP(GA-LMP) and GA by standard NBS(GA-sNBS) in 133 full-term newborns. Difference between GA-LMP and GA-eNBS was analyzed for each GA.
RESULTS
Positive correlations were observed in GA-sNBS and GA-eNBS with GA-LMP. There was no difference between GA-LMP and GA-eNBS at 39GA and 40GA. At 37GA and 38GA, GA-eNBS overestimated GA-LMP up to 1 week, while underestimating up to 1 week at 41GA.
CONCLUSIONS
The accuracy of eNBS was validated within 3 days of variation in GA estimation at 39-40GA. Overestimation by eNBS suggests the possible acceleration of fetal maturity in premature newborns, while underestimation, of the deceleration of fetal maturity in postterm newborns.

PURPOSE
The purpose of this study was to develop a tool to assess the severity of illness in high risk newborns.
METHOD
The research design was a methodological study. The tool was developed in 4 stages: first, preliminary items were developed based on a questionnaire about the severity of illness index that was given to 8 health professionals in Neonatal Intensity Care Units (NICU) second, a panel of specialists reduced the preliminary items using 3 validity tests; third, final items were selected from the results of a pre-test. Finally, from July 2005 to May 2006, reliability and validity were tested with a sample of 160 high risk newborns admitted to the NICU.
RESULTS
The final tool to identify the severity of illness index in high risk newborns consisted 39 items and Cronbach's alpha coefficient for internal consistency was .922. Using factor analysis, 4 factors were extracted and these factors explained 54.451% of the total variance.
CONCLUSION
The instrument for assessing the severity of illness in high risk newborns developed in this study was identified as a tool with a high degree of reliability and validity. In this sense, this tool can be effectively utilized for assessing and implementing care for high risk newborns.

Purpose
This study was to verify the effects of infant massage on weight recovery from physiologic weight loss, physical development of infants, and identity of their mothers. Method: A study with quasi-experimental design with time delay method was conducted from October 20, 2004 through February 20, 2005 with mothers and infants recruited from postpartum care center. 20 infants in the experimental group (once a day massage group) and 22 control group remained for the final analysis. Data were analyzed using SPSS win 11.0 program by frequency, percentage, mean, standard deviation, t-test and x2-test. Results: There was no significant group difference in weight recovery from physiologic weight loss. However, experiment group showed significant increase in weight and chest circumference in 4 weeks after birth compare to the control group. For changes in behavior, experimental group showed more positive behavioral changes. The mothers who conducted massage for their infants showed higher score of identity as mothers.
Conclusion
Since massage applied once a day can be still effective on physical growth of the infants, massage training program for mothers should be developed to apply easily for their infants at home. Further study is suggested to identify influencing factors on performed by mothers and identity as mothers.