Hyun Young Koo | 45 Articles |
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Purpose
This study aimed to explore tutoring experiences related to a high-risk newborn care simulation among nurses and nursing students to derive insights into developing effective neonatal nursing practice. Methods A qualitative content-analysis study was conducted in March 2023. Data were collected through narrative surveys and focus group interviews with four neonatal intensive care unit nurses and 12 senior nursing students participating in a 1-day high-risk newborn care simulation program. A content analysis was performed on the collected data. Results Three categories (“efforts to foster a sense of presence,” “efforts to promote positive awareness of the neonatal intensive care unit,” and “establishing one’s role as an educator”) and six subcategories were derived from the nurses’ responses. Three categories (“growth through a realistic virtual simulation,” “improved learning effects,” and “hope for continued development”) and six subcategories were derived from the nursing students’ responses. Conclusion The nursing students experienced realistic practice with their nurse tutors in the high-risk newborn care simulation, which helped them form their professional identity as future nurses. After tutoring, the nurses’ perceptions of nursing students changed positively, which affected their teaching methods.
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This study aimed to systematically review studies on the effect of peer tutoring on pediatric nursing education for nursing students and identify its contents and characteristics. Methods A comprehensive search was conducted from November to December 2023 across databases including PubMed, Embase, CENTRAL, CINAHL, ProQuest, and others. We included both published and unpublished literature in English or Korean. Three reviewers independently screened and selected eligible studies that involved undergraduate nursing students participating in peer tutoring programs focused on pediatric nursing education. We analyzed quantitative outcomes related to learning effects and learner responses. The quality of the studies was assessed using the revised Cochrane risk-of-bias tool for randomized trials and the risk of bias assessment tool for non-randomized studies. Results Five studies were reviewed, encompassing randomized controlled trials, a non-randomized controlled trial, a cohort study, and a before-after study. These interventions were conducted in school settings or pediatric clinical environments and featured different forms of peer teaching: horizontal, near-peer, and reciprocal. The tutor-to-tutee ratios ranged from 1:3 to 1:36.5. The educational content covered nursing care for major neonatal diseases, communication skills, medication administration, and resuscitation techniques. Significant improvements in cognitive knowledge and communication skills were observed among nursing students. However, there was noticeable variability in the design and reporting of the studies. Conclusion Peer tutoring programs can effectively enhance pediatric nursing education by improving nursing students’ knowledge and skills. For future meta-analyses, more studies in this field reported according to reporting guidelines are needed.
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We developed a virtual reality (VR) program for use in pediatric nursing practicums to help nursing students learn to measure vital signs in children. Methods The analysis, design, development, implementation, and evaluation model was employed between July 2021 and December 2021 at a university in South Korea. In the analysis phase, in-depth interviews were conducted with four nursing students, two nursing school graduates, and four experts. The topic and contents of the VR program were settled in the design phase. The VR program was developed and subsequently used and evaluated by 20 nursing students and four experts. Results The contents of the VR program for pediatric nursing practicums included the measurement of vital signs in a newborn baby and a young child, as well as an evaluation system. The mean score for the nursing students' satisfaction with practice was 4.02 out of 5 points. The mean scores for overall satisfaction with the VR program were 4.15 and 4.79 out of 5 points for nursing students and experts, respectively. Conclusion The VR program developed in this study allows nursing students to practice measuring vital signs in children, thus improving the students' clinical performance in pediatric nursing. Citations Citations to this article as recorded by
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This study aimed to explore nursing students' experiences of neonatal nursing simulations using peer tutoring. Methods In this qualitative content analysis study, data were collected using a narrative survey and focus group interviews with 27 third-year nursing students and six fourth-year nursing students from April to May 2022. Content analysis of the collected data was conducted. Results Four categories—"stabilizing emotionally through each other", "advancing together", "difficulties in relationships", and "hoping to continue"—and nine sub-categories were extracted. The sub-categories "reduced burden" and "gaining confidence" were grouped into the first category, "stabilizing emotionally through each other". The sub-categories "being motivated to learn," "increased learning ability", and "preparation as a process" were grouped under "advancing together", and "attitudes affecting study environment" and "depending on help" were grouped into the third category of "difficulties in relationships". The fourth category of "hoping to continue" had "wanting to supplement for development" and "wanting to participate in different roles" as sub-categories. Conclusion Based on the results of this study, we expect pediatric nursing practicum education to improve through the active use of neonatal nursing simulation education incorporating peer tutoring. Citations Citations to this article as recorded by
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The present study aimed to develop and examine the effectiveness of a pediatric nursing competency-building program for nursing students. Methods This was a quasi-experimental study with a nonequivalent control group pretest-posttest design conducted between October and December 2021. The participants included 40 nursing students (20 each in the experimental and control groups) at a university in a South Korean city. The pediatric nursing competency-building program integrated problem-based learning and simulation into clinical field practice. The experimental group participated in the program, while the control group did not. Data were analyzed using the x2 test, the independent t-test, and repeated-measures analysis of variance. Results Pediatric nursing competency and clinical performance showed a greater increase in the experimental group than in the control group. However, the change in problem-solving ability in the experimental group was not significantly different from that in the control group. Conclusion The pediatric nursing competency-building program effectively improved students' pediatric nursing competency and clinical performance. Citations Citations to this article as recorded by
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Purpose
Practical training in pediatric nursing gives students the opportunity to apply nursing knowledge to children in a realistic clinical context. Clinical practice faculty (CPF) and clinical nursing instructor (CNI) have played important roles in the pediatric nursing practicum. This study was conducted to develop a protocol to guide clinical practicum in pediatric nursing. Methods A service design methodology was employed between August 2020 and May 2021 at four universities and four hospitals in South Korea. The participants were five CPFs, five CNIs, five nursing college graduates, and 60 nursing students. The service design process had four phases: discovery, definition, development, and delivery. Data were collected through self-report questionnaires, in-depth interviews, and observations. The data were analyzed using content analysis and descriptive statistics. Results The participants reported needs for providing concrete guidance and explanation, nursing practice experience, and a link between school and the clinical field. A protocol was developed to fulfill the participants' needs. The protocol comprised detailed information, teaching methodology, and partnership to guide students in the pediatric nursing practicum. Conclusion The protocol developed in this study can be used to provide guidance for students' clinical practice in the field of pediatric nursing. Citations Citations to this article as recorded by
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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 Citations to this article as recorded by
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This study was conducted to explore the child-rearing experiences of mothers with early adolescents in Korean multicultural families. Methods The participants were six mothers with early adolescents in Korean multicultural families. Data were collected through in-depth interviews. The main question was, "Could you tell me about your child-rearing experiences with your adolescent child?" The data were analyzed using qualitative content analysis. Results Four categories resulted from the analysis of child-rearing experiences of mothers with early adolescents in Korean multicultural families, as follows: "separation between myself and others", "distance between myself and my adolescent child", "making efforts to bridge the gap between myself and others", and "trying to connect with my adolescent child closely". Conclusion These findings indicate that mothers in Korean multicultural families made many efforts to bridge the gap between themselves and other people, and tried to connect with their children closely. The findings of this study emphasize specific aspects of how mothers with early adolescents experienced child-rearing in Korean multicultural families.
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Purpose
This study was conducted to identify correlations between how much fever management information mothers obtained from the internet and their actual knowledge and practices of fever management. Methods This was a descriptive survey of 172 mothers with children aged between 0 and 3 attending five daycare centers located in the city of Daegu. Descriptive statistics, the independent t-test or one-way analysis of variance, and Pearson correlation coefficients were used for data analysis. Results In total, 75% of the mothers had searched the internet for information on fever management. The overwhelming majority (92.2%) used information from the internet to help manage fever in their children. Positive correlations were found between acquiring fever management information from the internet and fever management practices (r=.18, p=.038), and between mother’s knowledge and practices of fever management (r=.27, p<.001). Conclusion Based on the results of this study, to improve fever management practices, it is necessary to increase mothers’ knowledge. Therefore, resources should be developed to augment mothers’ knowledge of fever management through the internet. Citations Citations to this article as recorded by
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This study was conducted to investigate the educational needs of parents of infants and toddlers with congenital heart disease (CHD) after hospital discharge. Methods Qualitative content analysis was conducted of in-depth interviews of eight parents, and the results of an online survey of 171 parents were analyzed quantitatively. Results Only 16.4% of parents reported that they had received education after hospital discharge on how to provide care for a child with CHD at home. The main reason why parents did not receive education on this topic was that they did not have sufficient opportunities or information (75.5%). In addition, 97.1% of parents stated that they needed educational programs that would be available at home after discharge. In terms of specific educational content, parents expressed the highest needs for education on the symptoms of CHD and ways to cope with them, the prognosis of CHD, and the growth and development of infants and toddlers with CHD. Conclusion The study showed that parents’ educational needs were high in many ways. However, the information and educational opportunities offered after discharge were insufficient compared to those needs. Further research is needed to develop post-hospital educational programs that meet their needs. Citations Citations to this article as recorded by
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This study was conducted to design services for improving the quality of care of hospitalized children with acute diseases. Methods The service design process had four phases: discovery, definition, development, and delivery. The participants were 23 mothers of hospitalized children with an acute disease, and seven nurses and three doctors working at a pediatric hospital. Data were collected through self-report questionnaires, in-depth interviews, and observations. The data were analyzed using content analysis and descriptive statistics. Results The participants reported needs for explanations about the treatment, skillful nursing, and environmental improvements. The concept of the services was familiarity and enjoyment, aimed at solving the problems of unfamiliarity and boredom. A six-guideline was presented for improving the quality of care of hospitalized children with acute diseases: improvement of awareness, development of educational materials, improvement of skills, environmental improvements, play activities, and evaluations of user satisfaction. Conclusion These findings indicate that nursing services should deliver familiarity and enjoyment to hospitalized children and their families. The findings of this study emphasize that the service design methodology can be used to improve the quality of care of hospitalized children with acute diseases.
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This study was conducted to explore Korean mothers’ experiences of the development of parent-adolescent relationships. Methods The participants were 18 Korean parents of adolescents. Data were collected through in-depth interviews. The main question was, “Could you tell me about your experiences of developing a relationship with your adolescent child?” The data were analyzed using Strauss and Corbin’s grounded theory methodology. Results The central phenomena of the experiences of parent-adolescent relationships among Korean mothers were “trying to reduce my expectations, but not being able to” and “having no idea where to go”. The major action/interaction strategies were “putting aside my desires and adapting to my child's needs” and “waiting and seeing at a distance”. The consequences included “appreciating myself and my child at the same time”. Conclusion These findings indicate that mothers tried to adapt to their children's needs and to keep their children at a distance. Their efforts were influenced by advice from friends and family members. The findings of this study emphasize specific aspects of how Korean mothers experienced the process of developing respectful relationships with their children. Citations Citations to this article as recorded by
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This study was conducted to examine factors associated with obesity among Korean adolescents. Methods The participants were 436 Korean adolescents aged 12~18 years who took part in the seventh Korea National Health and Nutrition Examination Survey (2016). The data were analyzed by descriptive statistics, the x2 test, one-way analysis of variance, and multinomial logistic regression using complex sample analysis. Results Among the participants, 9.7% were classified as being obese, and 11.9% as being overweight. Several health parameters, including systolic blood pressure, diastolic blood pressure, waist circumference, and triglyceride, fasting blood sugar, and alanine aminotransferase levels, varied according to obesity. Distorted perceptions of body shape showed a significant negative association with overweight, and carbohydrate intake was negatively associated with obesity. Conclusion These findings indicate that obesity in Korean adolescents was associated with lifestyle and health parameters. Therefore, intervention programs for obese or overweight adolescents should focus on preventing them from developing health problems. Citations Citations to this article as recorded by
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This study was conducted to explore experiences of the development of parent-child relations among Korean college students. Methods The participants were 18 Korean college students. Data were collected through in-depth interviews, and the main question was, "Could you tell me about how your relationship with your parents has developed?". Data were analyzed using Strauss and Corbin's grounded theory methodology. Results The central phenomena of the experiences of parent-child relations among Korean college students were 'new realizations about parent-child relations' and 'competing against parents'. The major action/interaction strategies were 'having an equal status to one's parents' and 'keeping parents at a distance'. Consequences included 'going beyond the bounds of parental guidance'. Conclusion These findings indicate that students tried to give back to their parents, and also endeavored to stand apart from their parents in order to obtain independence. Their efforts were influenced by their parents' efforts to be tolerant towards their children. The findings emphasize that Korean college students experienced the process of building new, interdependent relations with their parents.
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This study was conducted to characterize the influence of achievement motivation and the parent-child relationship on ego identity in Korean nursing students. Methods The participants were 217 Korean nursing students in the first and fourth year of university. Data were collected through self-report questionnaires composed of items assessing ego identity, achievement motivation, the parent-child relationship, and demographic characteristics. The data were analyzed using descriptive statistics, one-way analysis of variance, the x2 test, and multinomial logistic regression analysis. Results Ego identity was related to achievement motivation; moreover, the achievement motivation of students with moratorium and achieved identity status was significantly higher than that of students with low-profile moratorium and diffused identity statuses. Ego identity was not related to the mother-child relationship, but the father-child relationship of students in foreclosure was significantly higher than that of students with diffused identity status. The factors influencing achieved identity compared to diffused identity were achievement motivation, year in school, satisfaction with school, and having religious beliefs. Conclusion These findings indicate that nursing students’ ego identity attainment was more influenced by achievement motivation than by the parent-child relationship. It emphasizes that highly motivated students can develop their own identities regardless of the parent-child relationship. Citations Citations to this article as recorded by
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This study was done to explore the experiences of ego identity development in Korean nursing students. Methods Data were collected from 16 nursing students through in-depth interviews. The main question was, “Could you tell me your experience of developing an ego identity?” Data were analyzed using Strauss and Corbin’s grounded theory methodology. Results The core category of the experiences of ego identity development in Korean nursing students was ‘trying to be a different new person’. Action/interaction strategies were ‘solving the problem using experiences’, ‘making one’s own success story’, and ‘making harmony with others’. Consequences were ‘being sure of oneself as a new person’. Conclusion Korean nursing students tried to use their experiences, achieve success, and harmonize with others. Their efforts were influenced by conflicts and supports of people around. Therefore, nurse educators should understand contextual and intervening conditions of nursing students, and try to help them achieve ego identities. Citations Citations to this article as recorded by
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The purpose of this study was to explore and describe the experiences of career decision making by Korean nursing students. Methods The participants were 18 nursing students from one nursing college. Data were collected through in-depth individual interviews, and the main question was, “Could you describe your experience of making a career decision?” Data from the field and transcribed notes were analyzed using Strauss and Corbin’s grounded theory methodology. Results Core category of nursing students’ experiences in making career decisions was ‘trying to find the way of being a nurse’. Action/interaction strategies were ‘becoming one’s own self’, ‘actively exploring the way of being a nurse’, and ‘experiencing one’s own achievement as a future nurse’. Consequences were ‘deciding on the career on one’s own’ and ‘career indecision on one’s own’. Conclusion The findings indicate that nursing students tried to know themselves, explore careers and experience their achievements, and that their efforts were influenced by real situations and support systems. Therefore, nurse educators should develop systems and programs to help students in nursing make career decisions. Citations Citations to this article as recorded by
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The purpose of this study was to identify personal, contextual, and cognitive factors influencing the career preparation behavior of Korean nursing students. In this study, an examination was done of the fitness of a path model for the relationship among these factors based on the social cognitive career theory. Methods The participants were 413 nursing students in South Korea. Data were collected using self-report questionnaires that included self-esteem, social support, self-efficacy, outcome expectation, career decision level, and career preparation behavior. Data were analyzed using descriptive statistics, Pearson correlation analysis, and path analysis. Results The factors influencing career preparation behavior were self-efficacy, career decision level, self-esteem, outcome expectation, and social support. The factors influencing career decision level were self-efficacy, outcome expectation, self-esteem, and social support. Conclusion The findings indicate that self-efficacy is an important factor influencing the career behavior of Korean nursing students. Nurse educators should consider personal, contextual, and cognitive factors of nursing students and develop systemic career guidance programs to help nursing students’ career preparation behavior. Citations Citations to this article as recorded by
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The purpose of this study was to identify cell phone addiction in school-age children and factors influencing addiction. METHODS The participants were 163 parents of elementary school students in the 1st to 4th grades. Data were collected through self-report questionnaires completed by the parents, and analyzed using the SPSS/WIN 19.0 IBM program. RESULTS Of the children, 86.5% were reported as being average users, 9.2%, at risk users, and 4.3%, at high risk users. Cell phone addiction in the children was significantly different according to games played by the children and parents' monthly income. Significant factors influencing cell phone addiction in the children were children's self-control, games played by the children, parents' cell phone addiction and parental control for children's cell phone use, explaining 24% of variance in cell phone addiction. CONCLUSION The findings indicate that cell phone addiction in school-age children is influenced by parent-related factors as well as personal factors. Therefore approaches to education programs on cell phone use in school-age children should include parent-related factors as well as personal factors of the children. Citations Citations to this article as recorded by
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This study was done to develop a prevention program for media addiction in elementary school students, and to examine its effects on television addiction, internet addiction, cellular phone addiction, and impulsiveness. METHODS The study was designed using a nonequivalent control group pretest-posttest design. The participants were 58 elementary school students (29 in the experimental group and 29 in the control group). Students in the experimental group were given the prevention program for media addiction. The data were analyzed using the SPSS/WIN 19.0 program. RESULTS Students in the experimental group reported a significant decrease in television addiction compared to students in the control group. CONCLUSION The results of the study indicate that the prevention program for media addiction was effective in decreasing television addiction in elementary school students. Citations Citations to this article as recorded by
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This study was done to develop a cell phone addiction scale for Korean parents of young children, and to evaluate the reliability and validity of the developed scale. METHODS The scale was developed through construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. Participants were 465 parents and 178 children. Data were analyzed using item analysis, factor analysis, criterion related validity, internal consistency, and split-half reliability. RESULTS Twenty items were categorized into three factors explaining 60.3% of total variance. Factors were named as withdrawal - 4 items, loss of control - 9 items, and persistence - 7 items. Scores for the scale were significantly correlated with self-control, impulsiveness, cell phone use, and cell phone addiction of children as measured by a scale for Korean children. Cronbach's alpha coefficient for the 20 items was .94, and Guttman coefficient was .87. Scale scores identified children as high risk users, at risk users, or average users by standard scores. CONCLUSION The results suggest that the cell phone addiction scale for Korean parents is a reliable and valid instrument to measure cell phone addiction in young children. Citations Citations to this article as recorded by
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This study was done to develop an education program on cell phone use for elementary school students, and examine its effects on their knowledge, attitude, self-efficacy, and self-control in cell phone use. METHODS The study was designed using a nonequivalent control group pretest-posttest design. The participants were 64 elementary school students (31 in the experimental group and 33 in the control group). Students in the experimental group were given the education program on cell phone use. The data were analyzed using the SPSS/WIN 19.0 program. RESULTS Students in the experimental group reported increased knowledge and attitude regarding cell phone use which were significantly higher than students in the control group (p<.001, p<.001). But, self-efficacy and self-control for students in the experimental group were not different from those in the control group. CONCLUSION The study results indicate that the education program for cell phone use is effective in increasing knowledge and attitude regarding cell phone use in elementary school students. Citations Citations to this article as recorded by
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This study was done to develop a cell phone addiction scale for Korean children. METHODS The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 268 children from grades 4 to 6 in two urban elementary schools. Construct validity, internal consistence reliability, and split-half reliability were used to analyze the data. RESULTS Nine items were categorized into 2 factors explaining 61.29% of total variance. The factors were labeled as obsessive compulsion (6 items) and dependency (3 items). Cronbach's alpha coefficient for the 9 items was .87, and Spearman-Brown coefficient was .83. Scale scores identified children as high risk users, at risk users, or average users by standard scores. CONCLUSION The above findings indicate that the cell phone addiction scale for children has good validity and reliability when used with Korean children. Citations Citations to this article as recorded by
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This study was done to develop a cell phone addiction prevention program for middle school students, and to examine the effects of the program on self-esteem, self-efficacy, impulsiveness, and cell phone use. METHODS The study was designed using a nonequivalent control group pre-test-post-test design. The participants were 63 middle school students (31 in the experimental group and 32 in the control group). Students in the experimental group were given the cell phone addiction prevention program. The data were analyzed using the SPSS/WIN 14.0 program. RESULTS Students in the experimental group reported a significant increase in self-esteem compared to students in the control group. Students in the experimental group also reported a significant decrease in cell phone use compared to students in the control group. CONCLUSION The results of the study indicate that the cell phone addiction prevention program was effective in increasing self-esteem and decreasing cell phone use in middle school students. Citations Citations to this article as recorded by
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This study was done to develop an educational needs scale for the prevention of cell phone addiction and to investigate the educational needs for prevention of cell phone addiction in Korean adolescents. METHODS The participants were 609 adolescents in one middle school and two high schools. Data were collected through self-report questionnaires, and analyzed using the SPSS program. RESULTS Twenty items regarding the educational needs for prevention of cell phone addiction were selected for the final scale, and categorized into 3 factors (diagnosis and management, properties, and definition and actual condition) which explained 61.09% of the total variance. The educational needs for the prevention of cell phone addiction in adolescents were moderate, with items related to diagnosis and management ranked as most important. The educational needs for prevention of cell phone addiction varied by gender, grade, academic achievement, perception of health status, satisfaction with school, and text messaging participants. CONCLUSION The findings indicate that educational needs for diagnosis and management of cell phone addiction ranked as most important in adolescents. Therefore, programs related to the prevention and management of cell phone addiction based on the educational needs of adolescents should be provided. Citations Citations to this article as recorded by
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This study was done to identify cell phone addiction in high school students and variables predicting this addiction. METHODS The participants were 469 adolescents from four high schools. Data were collected through self-report questionnaires, and analyzed using the SPSS program. RESULTS Of the high school students, 88.4% reported being average users, 7.5%, heavy users, and 4.1%, cell phone addicted. Cell phone addiction was significantly correlated with immediate self-control, self-efficacy, depression, and peer support. Predictors of cell phone addiction were the following: receiving text message on weekends, immediate self-control, main use (text message), minute per call on weekdays, listening to music, gender (female), monthly call charges, depression, person called (friends), and self-efficacy. These factors explained 39% of variance in cell phone addiction. CONCLUSION The above findings indicate that cell phone addiction in high school students was influenced by gender, cell phone use, and psychological factors. Therefore the approach to effective cell phone addiction management for high school students is to consider these variables when developing programs for these students. Citations Citations to this article as recorded by
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This study was done to identify factors influencing cell phone addiction in adolescents. METHODS The participants were 548 adolescents in two middle schools and four high schools. Data were collected through self-report questionnaires which were constructed to include a cell phone addiction scale, an impulsiveness scale, media specific factors, and cell phone use. The data were analyzed using the SPSS program. RESULTS Of the adolescents, 88.7% reported being average users, 8.4%, heavy users, and 2.9%, cell phone addicted. Cell phone addiction was significantly correlated with impulsiveness and media specific factors. Significant factors influencing cell phone addiction were gender, sending and receiving text messages on weekends, monthly call charges, impulsiveness, recreational reasons, and cultural reasons. CONCLUSION The above findings indicate that cell phone addiction in adolescents is influenced by gender, text message use, call charges, impulsiveness and media specific factors. Therefore the development of prevention and management programs for cell phone addiction in adolescents should be based on these factors which influence cell phone addiction. Citations Citations to this article as recorded by
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This study was done to investigate the cognition and needs for hospice care among parents of children with cancer. METHOD: The participants were 73 parents of children with cancer. Data were collected through self-report questionnaires and analyzed using the SPSS/WIN Program. RESULTS Less than half of parents (49.3%) told the child about the disease. If the child could not be treated medically, 39.5% of the parents answered that they would have the child treated in a hospital until his/her last days, while 62.8% of the parents replied that it would be appropriate for the child to get hospice care when all medical treatments for the child failed, or when the end of the child's life was near. Needs for hospice care for the parents were high, and the physical care of the child ranked as the most important. CONCLUSION: The above findings indicate that the parents were not cognitive enough about hospice care, but needed hospice care, especially as it is related to the physical care of the children. Therefore hospice care, based on cognition and needs of parents, should be provided for children and their families. Citations Citations to this article as recorded by
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This study was done to investigate the educational needs of families of children who underwent hematopoietic stem cell transplantation and to compare these needs with the educational importance as perceived by nurses. METHODS The participants were 44 families of children who underwent hematopoietic stem cell transplantation and 50 nurses who cared for these children. Data was collected through self-report questionnaires which included items on educational needs and the degree of educational importance. The data was analyzed using the SPSS/WIN program. RESULTS The educational needs of families before and after transplantation were high, with items on disease and treatment, and direct care ranked as most important, respectively. The degree of educational importance as perceived by nurses was different from that of families. CONCLUSION The findings indicate that the educational needs of families before hematopoietic stem cell transplantation were different from those after the procedure. Also, the perception of educational importance was different for families compared to nurses. Therefore nursing education programs based on the educational needs of families should be provided.
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This study was done to verify the effects of information using photographs on preoperative anxiety of children and their parents. METHODS Participants were 48 hospitalized children and their parents (48 pairs). In the experiment group (18 pairs) photographs were used with the children and parents to provide information before the child underwent an operation. Children and parents in control group (30 pairs) received regular care. Anxiety of children and their parents was measured using both a self-report and physiologic responses (heart rate and blood pressure). The data were analyzed using the SAS program. RESULTS Compared with the control group, self-reports of the experimental group indicated a significant difference in subjective anxiety. However, there was no decrease in physiologic anxiety as shown by heart rate and blood pressure in those in the experimental group as compared to the control group. CONCLUSIONS Preoperative information using photographs were shown to be an effective method to reduce anxiety of children and their parents.
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This study was done to investigate internet addiction, sexual attitudes and gender egalitarianism in middle school students, and to identify the differences of sexual attitude and gender egalitarianism according to the level of internet addiction. METHOD The participants were 344 students from two middle schools in Seoul. Data were collected through self-report questionnaires which included an internet addiction test, a sexual attitude scale, and a Korean gender egalitarianism scale for adolescents. The data were analyzed using the SPSS program. RESULTS Of the students, 63.1% reported being average on-line users, 33.4%, heavy on-line users, and 3.5%, internet addicted. Sexual attitudes and gender egalitarianism of average on-line users were different from those addicted to the internet. Internet addiction, sexual attitudes and gender egalitarianism of students were different according to general characteristics, time spent on-line, and exposure and contact to cyber obscenities. CONCLUSION Sexual attitudes and gender egalitarianism in middle school students were influenced by internet addiction. Therefore nursing interventions to prevent and manage internet addiction need to be developed and provided to middle school students. Also a variety of programs for teaching sexuality to adolescents should be developed.
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This study was done to evaluate the effects of distraction using balloon art on pain experienced by preschool children when undergoing an intravenous injection. METHODS: Participants were 40 hospitalized preschool children. Children in the experimental group (20) were distracted by balloon art while undergoing an intravenous injection. Children in the control group (20) received regular care. Pain experienced by the children was measured using self-report, observation tools, heart rate and oxygen saturation. The data were analyzed using the SAS program. RESULTS Compared with the control group, children in the experimental group showed significant difference in pain as shown by pulse rate. However, children in the experimental group did not show a decrease in pain in the self-report or behavior observation when compared with children in the control group. CONCLUSION Distraction using balloon art can be used to reduce pain for preschool children when undergoing an intravenous injection. Further nursing interventions need to be developed and provided to preschool children when undergoing painful procedures.
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This study was done to verify the effects of preeducation and health contract on anxiety and adaptability of children with leukemia when undergoing a spinal puncture. METHODS Children in experimental group 1 (10) were given preeducation prior to the procedure and children in experimental group 2 (13), a health contract. Children in the control group (16) received the regular hospital preparation. Observation tools were used to evaluate adaptability and anxiety. Heart rate and oxygen saturation was also used as a measure of anxiety. The data were analyzed using the SPSS program. RESULTS Compared with the control group, experiment groups 1 and 2 showed significant difference in adaptability regarding the number of assistants and test posture. Experiment groups 1 and 2 showed significant difference in voice tone and movement level when compared with the control group. Elevation level in heart rate showed significant differences between the three groups. Conclusions Preeducation and nursing mediation through health contracts were shown to be effective methods to reduce anxiety and increase adaptability in children with leukemia who were undergoing a spinal tap.
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The purpose of this study was to investigate the physical conditions and social adaptation of children who have undergone hematopoietic stem cell transplantation. METHODS The participants in this descriptive survey were 37 children who had undergone hematopoietic stem cell transplantation at least one year ago. Data were collected through observation and questionnaires and processed with the SAS program. RESULTS Compared to the time of diagnosis, WBC, RBC and platelet counts had increased significantly. The children were taller than at the transplantation stage, but there was no change in weight and73% of the children had physical symptoms. Boys who were between 6 to 11 years of age had lower rates of socialization and academic progress than normal Korean boys. Boys between 12 to 17 years of age had higher rates of socialization, but lower rates of academic progress. Girls between 6 to 17 years of age scored lower than normal Korean girls in both categories. CONCLUSION The above findings indicate that children who have undergone hematopoietic stem cell transplantation try hard to participate in everyday activities. Therefore nursing interventions to improving normal growth and development and facilitate social adaptation should be provided for them.
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This study was done to investigate stress, coping and social support of mothers of children with seizure disorders, and to identify the relationship between these variables. Method: The participants were 105 mothers of children with seizure disorders. Data were collected through self-report questionnaires which were constructed to include stress, coping and social support. The data were analyzed using the SAS program. Result: Stress of mothers was significantly different according to number of times the child had been hospitalized and the mothers perception of the state of the child's health. Coping by mothers was significantly different according to religion, general health state and if mother knew the child's diagnosis. Social support for mothers was significantly different according to education level, monthly medical expenses and number of times the child had been hospitalized. Social support for mothers was correlated with stress and coping. Conclusion The above findings indicate that coping in mothers of children with seizure disorder is related to social support. Therefore nursing interventions to reduce stress and improve coping should be provided for mothers of children with seizure disorder.
PURPOSE
This study was done to investigate satisfaction with life in adolescents, and to identify factors affecting satisfaction with life for adolescents. METHOD: The participants were 540 adolescents. Data were collected through self-report questionnaires which were constructed to include satisfaction with life, mental health, family adaptability and cohesion, and school adjustment. The data were analyzed using the SPSS program. RESULTS: Satisfaction with life in adolescents correlated with mental health, family adaptability and cohesion, and school adjustment. Satisfaction with life in adolescents was significantly different according to scholastic achievement, parents being alive, economic level of family, and types of family cohesion and adaptability. Significant predictors influencing satisfaction with life in adolescents were school adjustment, family cohesion, mental health, and economic level of family, and these predictors accounted for 28.3% of the variance in satisfaction with life. CONCLUSION: The above findings indicate that satisfaction with life in adolescents is influenced by mental health, family function, and school adjustment. Therefore when nursing interventions are developed to improve satisfaction with life in adolescents, these factors need to be considered.
PURPOSE
This study was done to identify the scope of internet addiction in school age children in early grades of elementary school in Korea, and to identify factors affecting internet addiction for these children. METHOD: The participants were 408 children from in grades 1 to 4 in four urban elementary schools. Data were collected through self-report questionnaires which were constructed to include a parent-child internet addiction test, a self-control rating scale, and a scale of parent control of on-line use. The data were analyzed using the SPSS program. RESULTS: Of the children, 71.6% reported being average on-line users, 27.9%, heavy on-line users, and 0.5%, internet addicted. Self control and parent control of on-line use for average on-line users were different from that of heavy on-line users. Significant predictors influencing internet addiction were time spent on-line, self control, gender, father's occupation, on-line games, on-line use alone, and conversation with parents. These predictors accounted for 42% of variance in internet addiction. CONCLUSION: The prevalence of heavy on-line use in children was higher than expected, and internet addiction was influenced by self control, time spent on-line, and related factors. Therefore nursing interventions for prevention and management of internet addiction need to be developed and provided to these children.
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.
This study was performed to compare the educational needs of the families of the hospitalized children with respiratory problems and the degree of nurses' educational performances perceived by the families. The subjects consisted of 120 families with respiratory infected children in one university- affiliated hospital in Daegu. Data were collected through self-report questionnaires which were developed to investigate the educational needs of the families of the hospitalized children with respiratory problems and nurses' educational performances perceived by the families. The data were analyzed by an SPSS program. The results were as follows: 1. Among the educational needs of the families, the item of the diagnostic test was ranked as the highest one. Among the degree of nurses' educational performances perceived by the families, the item of the diagnosis was ranked as the highest one. 2. The educational needs of the families were very high, but the degree of nurses' educational performances perceived by families was relatively low. 3. The educational needs of the families were not influenced by the general characteristics of the subjects. These results suggest that the educational needs of the families was different to the degree of nurses' educational performances perceived by the families of the hospitalized children with respiratory problems. Therefore the nursing education program should be based on the educational needs of the families.
The purpose of this study was to investigate the level of uncertainty and anxiety in families of hospitalized children. Data were collected through self-report questionnaires which were constructed to include parent's perception of uncertainty and state anxiety. The subjects consisted of 126 families of hospitalized children in one university-affiliated hospital in Daegu. The data were analyzed by the SPSS program. The results were as follows; 1. The mean score of uncertainty was 64.70 (Range=31-95).
The mean scores of subsets of the uncertainty were followed as: lack of clarity (2.59), unpredictability (2.46), lack of information (2.22) and ambiguity (2.14). 2. The mean score of state anxiety was 47.93 (Range=20-67). 3.The level of uncertainty was positively correlated to the level of state anxiety.
4. The level of anxiety was different depending on their religion and monthly income. The above findings indicated that the level of uncertainty and the state anxiety in families of hospitalized children were positively correlated. Therefore, nursing intervention for reducing uncertainty and anxiety and improving coping method should be provided for families of hospitalized children.
This study was performed to investigate the effect of kangaroo care on anxiety and confidence and gratification of mothering role in mothers of low birth weight infants. The subjects were 30 mothers of low birth weight infants, sixteen for the kangaroo care group and fourteen for the control group, whose infants hospitalized in two neonatal intensive care unit at two university-affiliated hospital.
The kangaroo care was applied 9 times during the twenty six days with 40 minutes for each session. The kangaroo care provides the skin-to-skin contact during which a low birth weight infant wearing a diaper and a hat is placed on its mother's chest. The questionnaire, state anxiety was completed before beginning the first intervention. The questionnaire, state anxiety and confidence and gratification of mothering role were completed at 2 weeks after discharge. The data were analyzed by a SPSS program.
The results were as follows : 1. There were no significant differences in the state anxiety between the kangaroo care and the control group before beginning the first intervention. The state anxiety was significantly lower in kangaroo care group than in control group. 2.The confidence of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge.
3.The gratification of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 4. In mothers of low birth weight infants, the state anxiety was negatively correlated to the confidence of mothering role and the gratification of mothering role at 2 weeks after discharge. And the confidence of mothering role in mothers of low birth weight infants was positively correlated to the gratification of mothering role at 2 weeks after discharge. These results suggest that kangaroo care is an effective nursing intervention for mothers of low birth weight infants in reducing the state anxiety, improving the confidence and gratification of mothering role.
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.
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