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"Psychological stress"

Original Articles
Purpose
This study investigated the factors that influence parenting stress, including hardiness, parent-child interactions, and social support, to provide basic data for developing a program to reduce parenting stress in North Korean refugee mothers.
Methods
A descriptive study design was used. Data were collected between September and December 2021, and 123 North Korean refugee mothers participated.
Results
The mean scores were 69.42 out of 135 for hardiness, 48.45 out of 144 for interactions, 47.32 out of 90 for social support, and 51.84 out of 90 for parenting stress. The parental distress score was higher than that of child-related stress. Hardiness was significantly related to North Korean refugee mothers' parenting stress. Multiple regression analysis indicated that the explanatory power for hardiness and the number of supporters was approximately 19% for parenting stress (F=6.84, p<.001). As such, the factors with a relatively strong influence on parenting stress were hardiness (β =-.40, p<.001) and having four or more supporters (β=-.27, p=.027).
Conclusion
This study's findings suggest the need to identify ways to increase North Korean refugee mothers' psychological hardiness and encourage them to extend their sources of social support and enhance their style of parenting.

Citations

Citations to this article as recorded by  
  • 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
  • Factors influencing children’s emotional and behavioral problems perceived by North Korean refugee mothers: a descriptive study
    In-Sook Lee, Jeong-Hee Jeon
    Child Health Nursing Research.2024; 30(2): 129.     CrossRef
  • Characterizing sociodemographic disparities and predictors of Gestational Diabetes Mellitus among Asian and Native Hawaiian or other Pacific Islander pregnant people: an analysis of PRAMS data, 2016–2022
    Mallory Go, Natasha Sokol, L. G. Ward, Micheline Anderson, Shufang Sun
    BMC Pregnancy and Childbirth.2024;[Epub]     CrossRef
  • Knowledge, confidence, and educational needs of newborn care among North Korean refugee women: a descriptive study
    In-Sook Lee
    Child Health Nursing Research.2023; 29(1): 72.     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
  • 4,959 View
  • 129 Download
  • 5 Crossref
Purpose
The aim of this study was to examine the relationships among parenting role sharing, parenting stress, happiness, and parenting behavior of mothers with 6-year-old children.
Methods
This study used data from the seventh Panel Study of Korean Children, which began collecting longitudinal data on a sample of newborn households nationwide in 2008 and will continue yearly until 2027. The participants were 1,560 mothers of children aged 6 years. We conducted statistical analyses using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression.
Results
The mean age of the mothers was 36.8±3.7 years. The mothers' perceived parenting role sharing (r=.07, p=.007), parenting stress (r=-.54, p<.001), and happiness (r=.38, p<.001) were significantly correlated with warm parenting behavior. Stepwise multiple regression analysis revealed that parenting stress (β=-.47, p<.001), happiness (β=.15, p<.001), and parenting role sharing (β=.11, p<.001) were significant predictors for warm parenting behavior by mothers.
Conclusion
It is essential to reduce mothers' stress and increase their positive emotions (happiness). Fathers should actively share parenting roles in raising children to enhance mothers' warm parenting behavior.

Citations

Citations to this article as recorded by  
  • Relationship Satisfaction in Relation to Gender Essentialism and Gender Equality Views
    Dorottya Ocsenás, Judit Kovács
    Marriage & Family Review.2025; : 1.     CrossRef
  • Parenting, Peer Relationships, and School Adaptation’s Influence on Self-Perception in Adolescents with Chronic Atopic Disease
    YeoJin Im, Sunyoung Jung, Eunjung Kim, YoungAh Park
    International Archives of Allergy and Immunology.2025; 187(1): 11.     CrossRef
  • 6,513 View
  • 198 Download
  • 2 Crossref
Purpose
This study investigated the factors that influence depression in adolescents diagnosed with asthma in South Korea, providing basic data supporting efforts to improve adolescents' mental health.
Methods
Multiple regression analysis was conducted on 4,020 subjects who had been diagnosed with lifelong asthma among the 57,303 respondents to the 15th Korea Youth Risk Behaviour Web-Based Survey from 2019.
Results
The participants were more likely to have depression if they were female, in middle school, their academic achievement was poor, they were drinkers or smokers, if they felt a very high amount of stress, and if they experienced very inadequate recovery from fatigue. Adolescents with asthma were 9.00 times more likely to experience depression when they felt a very high amount of stress (95% confidence interval [CI]= 5.51-14.69, p<.001) than when they felt no stress.
Conclusion
Given these factors, measures to improve the mental health of adolescents should be developed and expanded, especially to decrease their stress levels. A separate program that is different from the school's regular health curriculum should be developed to manage the stress levels of adolescents with asthma, such as an after-school program or a program conducted at a local community centre.

Citations

Citations to this article as recorded by  
  • Digital equity in nursing research: A methodological review of nursing studies requiring internet connection
    Matthew S. Farmer, Drew Herbert, Christa Torrisi, Arthur Zacharjasz, Gerard Castaneda, Takara Schomberg, Michelle Dardis, Nicole Montgomery, Mary E. Melvin
    Nursing Outlook.2026; 74(1): 102667.     CrossRef
  • Symptoms of Depression and Inhaler Adherence Among Adolescents With Asthma: Is There an Association?
    K. H. Naveen, Prawin Kumar, Prem Prakash Sharma, Akhil Dhanesh Goel, Jitender Aneja, Manoj Kumar Gupta, Pankaja Raghav, Naveen Dutt
    Pediatric Pulmonology.2025;[Epub]     CrossRef
  • Changes in Daily life due to the COVID-19 Pandemic and Mental Health Status in Korean Adolescents
    Taeseok Kang, Sangjin Kim, Eunseo Kim, Jinhyeong Kim, Jihoon Yoon, Donggeun Lee, Jeesoo Lee, Mi Ah Han
    Psychiatric Quarterly.2024; 95(3): 469.     CrossRef
  • 6,072 View
  • 133 Download
  • 3 Crossref
The Relationship between Parental Stress and Nurses' Communication as Perceived by Parents of High-risk Newborns
Chang Hee Lee, Mi Heui Jang, Yong Sung Choi, Hyunsook Shin
Child Health Nurs Res 2019;25(2):184-195.   Published online April 30, 2019
DOI: https://doi.org/10.4094/chnr.2019.25.2.184
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

Citations to this article as recorded by  
  • 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
  • 10,222 View
  • 402 Download
  • 8 Crossref
Stress due to End-of-Life Care, Coping Strategies, and Psychological Well-being among Nurses in Neonatal Intensive Care Units
Eun Hee Kwon, Hyeon Ok Ju, Eun Ok Jeung, Chun Hee Han, Jin Ju Im, You Ri Lee, Min Seung Jung, So Yeon Park
Child Health Nurs Res 2018;24(4):475-483.   Published online October 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.4.475
Purpose
This study aimed to identify stress levels due to end-of-life care, coping strategies, and psychological well-being among nurses in neonatal intensive care unit, and to investigate the effect of stress levels and coping strategies on their well-being.
Methods
A total of 128 nurses in the neonatal intensive care units of general hospitals in B city participated. The data were collected using a self-report questionnaire. The collected data were analyzed using descriptive statistics, the t-test, ANOVA, the Pearson correlation coefficient, and hierarchical regression with SPSS version 22.0.
Results
The coping strategy that nurses most often used was seeking social support. The factors affecting the well-being of the participants were wishful thinking, problem-focused coping and seeking social support, in order. Those 3 variables explained 21 % of the total variance in psychological well-being. Problem-focused coping and seeking social support were positively associated with psychological well-being, while wishful thinking showed a negative association.
Conclusion
In order to improve the psychological well-being of nurses in neonatal intensive care units, it is necessary to provide nurses with a program to build a social support system and to improve their problem-based coping skills.

Citations

Citations to this article as recorded by  
  • Emotional and psychological experiences of nursing students caring for dying patients: an explorative study at a national referral hospital in Uganda
    Asha K. Nabirye, Ian G. Munabi, Aloysius G. Mubuuke, Sarah Kiguli
    BMC Medical Education.2025;[Epub]     CrossRef
  • Comprender la fatiga emocional: revisión sistemática de sus causas, consecuencias y estrategias de afrontamiento
    Sara Gonçalves, Rita S. Matos
    Enfermería Clínica.2025; 35(5): 502190.     CrossRef
  • Understanding emotional fatigue: A systematic review of causes, consequences, and coping strategies
    Sara Diogo Gonçalves, Rita S. Matos
    Enfermería Clínica (English Edition).2025; 35(5): 502190.     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
  • NICU nurses' moral distress surrounding the deaths of infants
    Soojeong Han, Haeyoung Min, Sujeong Kim
    Nursing Ethics.2023; 30(2): 276.     CrossRef
  • Psychometric properties of the Korean version of the Palliative Care Nursing Self-Competence scale for infant use
    Eun Sook Kim, Sujeong Kim, Kyua Kim, Hyejung Lee
    Australian Critical Care.2023; 36(6): 1019.     CrossRef
  • A Systematic Review of the Stress-Coping Scales Used in Korean Nursing
    Hyeon Ok Ju, So Yeon Park, Jaeyoung Lee, Hye-Ryeon Park
    Korean Journal of Health Promotion.2023; 23(2): 45.     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
  • Personal and Emotional Factors of Nursing Professionals Related to Coping with End-of-Life Care: A Cross-Sectional Study
    María Povedano-Jiménez, Carmen Ropero-Padilla, Miguel Rodriguez-Arrastia, María Paz García-Caro
    International Journal of Environmental Research an.2021; 18(18): 9515.     CrossRef
  • Factors influencing well‐being in clinical nurses: A path analysis using a multi‐mediation model
    Sung Reul Kim, Ok Lae Park, Hye Young Kim, Ji Young Kim
    Journal of Clinical Nursing.2019; 28(23-24): 4549.     CrossRef
  • 8,252 View
  • 219 Download
  • 10 Crossref
Effects of a Neonatal Nursing Practice Program on Students’ Stress, Self-efficacy, and Confidence
Yunsoo Kim, Horan Park, Sung Sil Hong, Hee Jin Chung
Child Health Nurs Res 2018;24(3):319-328.   Published online July 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.3.319
Purpose
The purpose of this study was to examine the effects of a neonatal nursing practice program for nursing students on students’ stress, self-efficacy, and confidence.
Methods
A 1-group pre- and post- study design was used. The participants consisted of 64 nursing students who were in a pediatric nursing clinical practicum at a nursing college in Seoul from September 2015 to May 2016. The program consisted of 3 stages-orientation, practice, and debriefing-and was conducted for 3 hours during a 2-week period of the pediatric nursing clinical practicum. The dependent variables were neonatal nursing practice stress, self-efficacy, and confidence. Data were analyzed using the paired t-test, the Pearson correlation coefficient, the x2 test, and descriptive statistics with SPSS for Windows version 22.0.
Results
The neonatal nursing practice program was effective at decreasing clinical practice-related stress and increasing confidence and self-efficacy regarding neonatal nursing practice.
Conclusion
The neonatal nursing practice program may effectively promote the integration of theoretical knowledge and practice. In the future, we propose to develop various educational programs that reinforce basic nursing skills for neonates as part of an effective pediatric nursing clinical practicum.

Citations

Citations to this article as recorded by  
  • Development and Evaluation of a Simulation Training Program for Neonatal Intensive Care Unit Nurses on Severe Respiratory Emergency among Extremely Low Birth Weight Infants
    Youngae Song, Jaehee Lee, Jiyoon Kang, Heekyung Kang, Junghee Lee, Inkyung Bong
    Journal of Korea Society for Simulation in Nursing.2025; 13(1): 15.     CrossRef
  • Development and Psychometric Evaluation of the Body Temperature Management Self-Efficacy Scale (BTM-SES) for Surgical Patients
    Ozlem Sahi̇n Akboga
    Journal of PeriAnesthesia Nursing.2025;[Epub]     CrossRef
  • Approaches for boosting self-confidence of clinical nursing students: A systematic review and meta-analysis
    Elahe Ramezanzade Tabriz, Masoumeh Sadeghi, Ensieh Tavana, Hamid Heidarian Miri, Fatemeh Heshmati Nabavi
    Heliyon.2024; 10(6): e27347.     CrossRef
  • Relationship between nursing students’ levels of liking children and self-efficacy in paediatric medication administration
    Mehmet Bulduk, Veysel Can, Eda Nur Muhafiz
    BMC Medical Education.2024;[Epub]     CrossRef
  • Clinical Stress and Clinical Performance in Prelicensure Nursing Students: A Systematic Review
    Susan R. Welch
    Journal of Nursing Education.2023; 62(1): 36.     CrossRef
  • Self‐efficacy in the context of nursing education and transition to practice as a registered practitioner: A systematic review
    Mousa Abusubhiah, Nuala Walshe, Rena Creedon, Brendan Noonan, Josephine Hegarty
    Nursing Open.2023; 10(10): 6650.     CrossRef
  • The Relationship between Nursing Students' Fear of COVID-19 and General Self-Efficacy and Clinical Stress Levels
    Leyla Zengin Aydın, Aysel Doğan
    Hacettepe Üniversitesi Hemşirelik Fakültesi Dergis.2023; 10(3): 214.     CrossRef
  • Hastaların Hemşirelik Öğrencilerine Yönelik Bakım Algısı Ölçeğinin Türkçe Uyarlaması: Geçerlik ve Güvenirlik Çalışması
    Özlem KARATANA, Tuğba ÖZTÜRK YILDIRIM
    Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi.2023; 5(3): 213.     CrossRef
  • Preparing the future workforce for 2030: the role of higher education institutions
    Bharti Pandya, Umar Ruhi, Louise Patterson
    Frontiers in Education.2023;[Epub]     CrossRef
  • Underrepresented Ethnic Minority Nursing Students’ Perceptions of Factors That Enhanced or Hindered Their Self-Efficacy
    Julianne Page
    Nursing Education Perspectives.2022; 43(6): E70.     CrossRef
  • Applying the Technology Acceptance Model to Explore Nursing Students' Behavioral Intention to Use Nursing Information Smartphones in a Clinical Setting
    Ching-Yi Lai, Tzu-Ying Lee, Shu-Chuan Lin, I-Hsiang Lin
    CIN: Computers, Informatics, Nursing.2022; 40(7): 506.     CrossRef
  • HEMŞİRELİKTE TEORİK EĞİTİM VE MESLEKİ UYGULAMA ARASINDAKİ ETKİLEŞİMİN, ÖĞRENCİLERİN ÖZ YETERLİK DÜZEYİ İLE İLİŞKİSİ
    Behire SANÇAR, Aynur ÇELİK, Meryem Türkan IŞIK
    Samsun Sağlık Bilimleri Dergisi.2021; 6(2): 401.     CrossRef
  • Nursing Skills Fair in an Austere Military Environment
    Laura Ogle, Gwen Harville
    Journal of Emergency Nursing.2020; 46(1): 21.     CrossRef
  • Análise da efetividade do estágio prático internacional de enfermagem em relação ao estágio prático nacional de enfermagem
    Esther O. Park
    Acta Paulista de Enfermagem.2019; 32(2): 153.     CrossRef
  • 12,987 View
  • 251 Download
  • 14 Crossref
Concept Analysis of Stress in Siblings of Patients with Childhood Cancer
Juyoun Yu, Kyung-Sook Bang
Child Health Nurs Res 2017;23(2):190-198.   Published online April 30, 2017
DOI: https://doi.org/10.4094/chnr.2017.23.2.190
Purpose
This study was conducted to define the concept of stress in siblings of childhood cancer patients.
Methods
The hybrid model was used to perform the concept analysis of stress in childhood cancer patients’ siblings. Through reviews of 16 studies in the theoretical phase and interviews with 20 siblings in the field phase, the derived results were brought together in the integration phase.
Results
The concept of stress in siblings of patients with childhood cancer was found to have 6 attributes and 28 indicators in 3 domains. Personal factors included 2 attributes (fear about childhood cancer and immature coping skills), and family factors had 2 attributes (changes in relationships with family and changes in family environment), social factors had 2 attributes (changes in relationships with friends and in the school experience, and insufficient social support).
Conclusion
The stress of siblings of childhood cancer patients was defined as a state of tension associated with personal, family, social factors that can be related to their siblings’ childhood cancer. The findings in this study provide the base for the development of a tool for measuring siblings’ stress and/or the development of nursing programs for these siblings.

Citations

Citations to this article as recorded by  
  • Educational needs of people with type 1 diabetes mellitus and their parents: A cross‐sectional study
    Mi‐Kyoung Cho, Mi Young Kim
    Nursing Open.2023; 10(7): 4849.     CrossRef
  • Development of a Stress Scale for Siblings of Childhood Cancer Patients
    Juyoun Yu, Kyung-Sook Bang, Hyoung Kang
    Children.2021; 8(4): 265.     CrossRef
  • A Systematic Review of Interventions with Siblings of Pediatric Cancer Patients
    Soo-yeon Han, Ji-Hye Hwang, Cho-hee Kim, Hye-young Jang, Kyung-Sook Bang
    Child Health Nursing Research.2017; 23(3): 394.     CrossRef
  • 10,257 View
  • 290 Download
  • 3 Crossref
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