Purpose
This study aimed to explore nurses’ experiences with hospitalized children’s fall accidents. The findings are intended to provide foundational data for developing strategies to strengthen patient safety for children.
Methods
Participants were purposively sampled. The sample consisted of eight nurses working in the pediatric departments of hospitals located in Daegu and Seoul in South Korea. All participants had experienced at least one fall accident involving a hospitalized child within the past year. Data were collected through in-depth interviews conducted between February 1 and April 30, 2025. The collected data were analyzed using Colaizzi’s phenomenological analysis method.
Results
The data analysis revealed four themes and 12 subthemes, which were derived from 111 significant statements and reflect pediatric ward nurses’ experiences with inpatient fall incidents. The four themes were: “encountering fall risks beyond nurses’ control,” “ineffective fall education and formalized safety practices,” “limitations of assessment tools and the growth of reflective practice,” and “moving toward comprehensive fall prevention and management strategies.”
Conclusion
Nurses recognized that the risk of pediatric falls was often beyond their control, and that fall prevention education did not always translate into practice. Reflective analysis of fall incidents, age- and patient-specific fall nursing interventions, and the establishment of an integrated support system are needed for effective fall prevention and management. These findings are expected to provide basic data to guide nursing care that prevents fall accidents and improves children’s patient safety.

Purpose
Education on infant safe sleep practices has been known to reduce the risk of sleep-related sudden unexpected infant death. Since sleep environments may vary across sociocultural contexts, infant safe sleep education needs to reflect specific sociocultural settings. This study aimed to develop an educational Protocol for Infant Safe Sleep (PISS) for primary caregivers in Korea that considers parenting behaviors and cultural characteristics.
Methods
This study was conducted in three key methodological steps: (1) retrieval, defining, and systematic classification of PISS content; (2) the structural formulation of the content as an educational protocol; and (3) content validation. For the first step, a literature review was conducted, along with an analysis of educational materials from institution websites related to infant safe sleep and online parenting communities. Field observations were also conducted to identify relevant Korean culture characteristics. Based on these findings, the PISS was developed. Content validity index was assessed by six professionals, and the results were reflected into the educational program.
Results
The PISS intervention provided an educational video and booklet and enhanced learning via phone counseling and educational kit, which comprised an illustrated safe sleep sticker and a calendar-style activity diary. The educational content consisted of (1) sleep location, (2) sleep position, (3) bedding, (4) clothes and temperature, and (5) other considerations.
Conclusion
This study developed the PISS, an intangible educational intervention based on Korean sociocultural characteristics and specific guidelines for primary caregivers. Future research should evaluate the effectiveness of this program in promoting safe sleep practices.

Purpose
This study aimed to evaluate the effects of a virtual reality (VR) program and simulation training on nursing students’ ability to measure vital signs in children.
Methods
This mixed-methods study, which included a randomized controlled trial and a qualitative study, was conducted from June 12 to November 15, 2023. Forty-four nursing students from a university in South Korea were randomly assigned to either the experimental or control group. The experimental group first participated in a VR program focused on measuring vital signs in children, followed by a high-fidelity simulation training. The control group received the training in the reverse order. The participants’ knowledge, confidence in practice, and satisfaction with the practice were analyzed using the repeated-measures analysis of variance. VR learning experiences were analyzed through qualitative content analysis.
Results
Both the experimental and control groups showed significant increases in knowledge and confidence in practice after the interventions compared to baseline. However, there were no significant differences in changes in knowledge, confidence in practice, and satisfaction with practice between the two groups. Three themes were identified from the nursing students’ experiences with VR learning: ‘realistic learning training,’ ‘overcoming learning limitations,’ and ‘perceiving drawbacks.’
Conclusion
The VR program was as effective as high-fidelity simulation training in improving nursing students’ ability to measure children’s vital signs. Moreover, VR program offered additional benefits in addressing limitations of simulation-based learning. These findings suggest that VR program can serve as a valuable educational tool to enhance pediatric nursing skills.

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.

Purpose
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.

Citations

• Exploring peer tutoring experiences in improving nursing students’ academic success and performance: A qualitative study among Emirati undergraduate nursing students
  Jacqueline Maria Dias, Fatema Salim Bati Salim Al Kaabi, Sara Tamim Al Hooti, Nada Osamah Hammadi, Rana Karim, Nabeel AlYateem, Fatma Reefat Ahmed, Mini Sara Abraham, Vidya Seshan, Muhammad Arsyad Sub, Ambrose Richard Dias, Richard Mottershead
  F1000Research.2025; 14: 1416.     CrossRef

Purpose
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

• Development of an Immersive Virtual Reality-Based Nursing Program Involving Patients with Respiratory Infections
  Eun-Joo Ji, Sang Sik Lee, Eun-Kyung Lee
  Bioengineering.2026; 13(1): 98.     CrossRef
• Effects of a virtual reality program and simulation training for nursing students on the measurement of vital signs in children: a mixed-methods study in South Korea
  Sun Nam Park, Hyun Young Koo, Hye Young Hwang
  Child Health Nursing Research.2025; 31(4): 296.     CrossRef
• Digital Educational Tools for Undergraduate Nursing Education: A Review of Serious Games, Gamified Applications and Non-Gamified Virtual Reality Simulations/Tools for Nursing Students
  Vasiliki Eirini Chatzea, Ilias Logothetis, Michail Kalogiannakis, Michael Rovithis, Nikolas Vidakis
  Information.2024; 15(7): 410.     CrossRef

Purpose
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

• 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
• Child Nursing Simulation Scenario Content Analysis: A Directed Qualitative Content Analysis
  Eun Joo Kim, Kyung Mi Cho, Sung Sook Song
  Clinical Simulation in Nursing.2024; 87: 101488.     CrossRef
• Effects of peer tutoring-based simulation education on caring for children with respiratory infections among nursing students: A mixed-methods study
  Hyun Young Koo, Bo Ryeong Lee
  Heliyon.2024; 10(16): e36014.     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

Purpose
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

• Effects of a virtual reality program and simulation training for nursing students on the measurement of vital signs in children: a mixed-methods study in South Korea
  Sun Nam Park, Hyun Young Koo, Hye Young Hwang
  Child Health Nursing Research.2025; 31(4): 296.     CrossRef
• Nursing students’ experiences using photovoice with team-based learning in pediatric nursing education
  Fatemeh Ebrahimpour
  BMC Medical Education.2025;[Epub]     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

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

• 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
• Effects of a virtual reality program and simulation training for nursing students on the measurement of vital signs in children: a mixed-methods study in South Korea
  Sun Nam Park, Hyun Young Koo, Hye Young Hwang
  Child Health Nursing Research.2025; 31(4): 296.     CrossRef
• Effects of peer tutoring-based simulation education on caring for children with respiratory infections among nursing students: A mixed-methods study
  Hyun Young Koo, Bo Ryeong Lee
  Heliyon.2024; 10(16): e36014.     CrossRef
• Development and Validation of a Clinical Practicum Assessment Tool for the NAACLS-Accredited Biomedical Science Program
  Taghreed Abunada, Atiyeh M. Abdallah, Rajvir Singh, Marawan Abu-Madi
  International Journal of Environmental Research an.2022; 19(11): 6651.     CrossRef
• Development and evaluation of a pediatric nursing competency-building program for nursing students in South Korea: a quasi-experimental study
  Hyun Young Koo, Bo Ryeong Lee
  Child Health Nursing Research.2022; 28(3): 167.     CrossRef

Citations

• Celebration of the 30th anniversary of the Korean Academy of Child Health Nursing
  Hyun Young Koo
  Child Health Nursing Research.2024; 30(1): 1.     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
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.

Citations

• Journal statistics, directions for development, and appreciation for reviewers
  Hyun Young Koo
  Child Health Nursing Research.2022; 28(1): 5.     CrossRef

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

• Effects of a case-based simulation fever management education program for parents of hospitalized children in South Korea: a quasi-experimental study
  Bora Nam, Hyunju Kang
  Child Health Nursing Research.2025; 31(4): 237.     CrossRef
• Febrile seizure: What information can caregivers access through YouTube?
  Juyeon Oh, Sun Young You
  Seizure.2021; 91: 91.     CrossRef

Purpose
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

• The effects of a hospital-to-home care transition program on perceived stress and readiness for hospital discharge in mothers of children with congenital heart disease undergoing corrective surgery
  Zohre Komijani, Meimanat Hosseini, Malihe Nasiri, Parvaneh Vasli
  Journal of Pediatric Nursing.2024; 78: e66.     CrossRef
• The Children’s National Hospital Outcomes Registry: a plea for a benchmarking tool that provides longitudinal outcomes for patients and families
  Alyssia Venna, Mitchell Haverty, Janet Kreutzer, Rittal Mehta, Alix Fetch, Aybala Tongut, Manan Desai, Can Yerebakan, Yves d’Udekem
  Cardiology in the Young.2024; 34(8): 1619.     CrossRef
• Needs for Discharge Education of Family Caregivers of Pediatric Patients: An Integrative Review
  Hyunjie Lee, Seung Eun Lee, Sang Hwa Lee
  Journal of Korean Academy of Fundamentals of Nursi.2023; 30(2): 137.     CrossRef

Purpose
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.

Citations

• Nurses’ experiences of children’s fall accidents in South Korea: a phenomenological study
  Hye Jin Kim, Hyun Young Koo
  Child Health Nursing Research.2026; 32(1): 39.     CrossRef

Purpose
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

• Child-rearing experiences of mothers with early adolescents in Korean multicultural families
  Sangmi Lee, Hyun Young Koo
  Child Health Nursing Research.2021; 27(2): 190.     CrossRef

Purpose
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

• Effects of night eating on oral health characteristics and symptoms of poor oral health in adolescents: a cross-sectional study using the 18th Korea Youth Risk Behavior Survey
  Seung–Hee Hong
  Korean Journal of Community Nutrition.2025; 30(2): 150.     CrossRef
• Combined effects of sugar-sweetened beverage consumption, screen-based sedentary behavior, and sleep duration on South Korean adolescent obesity: a cross-sectional study
  Jin Suk Ra, Do Thi Thu Huyen
  Child Health Nursing Research.2024; 30(2): 77.     CrossRef
• Dietary safety management competency for the sustainable health management of adolescents
  Yunhwa Kim
  Journal of Nutrition and Health.2022; 55(3): 406.     CrossRef
• Disparity between Subjective Health Perception and Lifestyle Practices among Korean Adolescents: A National Representative Sample
  Aniceto Echalico Braza, Jinsoo Jason Kim, Sun Hee Kim
  Journal of Lifestyle Medicine.2022; 12(3): 153.     CrossRef

Purpose
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.

Purpose
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

• Individual power in human motivation – Review and theoretical perspective
  João M.S. Carvalho, Ana Conde
  Acta Psychologica.2024; 249: 104452.     CrossRef
• Changes of ego identity and psychosocial maturity in nursing students: A longitudinal study
  Hyun Young Koo, Jae Suk Lee
  Nurse Education Today.2020; 94: 104574.     CrossRef

Purpose
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

• 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
• Changes of ego identity and psychosocial maturity in nursing students: A longitudinal study
  Hyun Young Koo, Jae Suk Lee
  Nurse Education Today.2020; 94: 104574.     CrossRef
• Experiences of the Development of Parent-Child Relations among Korean College Students
  Hyun Young Koo
  Child Health Nursing Research.2018; 24(4): 420.     CrossRef

Purpose
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

• Effects of Career Anchors on Nursing Students’ Professional Self-concept and Work Values
  Jae Woo Oh, Ji Ah Song
  Journal of Korean Academy of Fundamentals of Nursi.2024; 31(4): 435.     CrossRef
• Career choice experiences of nursing students
  Hyun Ju Kim, Ji Hyun Kim
  The Journal of Korean Academic Society of Nursing .2022; 28(2): 127.     CrossRef
• Factors Influencing Career Preparation Behavior of Mature Age Student Nurses
  Jong Mi Lim, Ok-Hee Cho
  Journal of Korean Academy of Fundamentals of Nursi.2021; 28(1): 23.     CrossRef
• Experiences of the Development of Parent-Child Relations among Korean College Students
  Hyun Young Koo
  Child Health Nursing Research.2018; 24(4): 420.     CrossRef
• Korean Nursing Students’ Experience of Ego Identity Development
  Hyun Young Koo
  Child Health Nursing Research.2017; 23(3): 340.     CrossRef

Purpose
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

• Path Analysis of Career Decision-making Among Nursing Students: A Descriptive Cross-sectional Study
  Seohyun Kwon, Taewha Lee
  Asian Nursing Research.2025;[Epub]     CrossRef
• Effects of Self-Esteem, Problem-Solving Ability, and Professional Nursing Values on the Career Identity of Nursing College Students in South Korea: A Cross-Sectional Study
  Jisun Min, Hyunlye Kim, Jaeyong Yoo
  International Journal of Environmental Research an.2021; 18(16): 8531.     CrossRef
• Effect of Self-Esteem, Emotional Intelligence and Psychological Well-Being on Resilience in Nursing Students
  Young Eun Lee, Eunyoung Kim, Sun Young Park
  Child Health Nursing Research.2017; 23(3): 385.     CrossRef

PURPOSE
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

• Effects of a Prevention Program for Media Addiction on Television Addiction, Internet Addiction, Cellular Addiction, and Impulsiveness in Elementary School Students.
  Hyun Young Koo
  Child Health Nursing Research.2013; 19(4): 270.     CrossRef

PURPOSE
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

• Development of a Cell Phone Addiction Scale for Korean Parents of Young Children.
  Hyun Young Koo
  Child Health Nursing Research.2013; 19(1): 29.     CrossRef
• Effects of a Prevention Program for Media Addiction on Television Addiction, Internet Addiction, Cellular Addiction, and Impulsiveness in Elementary School Students.
  Hyun Young Koo
  Child Health Nursing Research.2013; 19(4): 270.     CrossRef

PURPOSE
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

• Self-concept clarity and Internet addiction disorder among junior high school students: A moderate mediation model
  Yue Wang, Weiyi Tang, Lei Cao, Ying Li
  Frontiers in Psychiatry.2022;[Epub]     CrossRef
• A Systematic Review of Prevention and Intervention Strategies for Smartphone Addiction in Students: Applicability During the COVID-19 Pandemic
  Xiao-xia Liu Liu
  Journal of Evidence-Based Psychotherapies.2021; 21(2): 1.     CrossRef
• Problematic cell phone use, depression, anxiety, and self-regulation: Evidence from a three year longitudinal study from adolescence to emerging adulthood
  Sarah M. Coyne, Laura Stockdale, Kjersti Summers
  Computers in Human Behavior.2019; 96: 78.     CrossRef
• Relationship between Knowledge, Attitude and Practice of Breast-Self Examination among Middle and High School Girls
  Shin Jeong Kim, Jung Min Lee, Hae Young Min, Hye Young Min
  Child Health Nursing Research.2017; 23(2): 147.     CrossRef
• Effects of Self Esteem, Impulsive Behavior and Mental Health on Cellular Phone Addiction of Adolescents
  Hea-Shoon Lee
  The Journal of the Korea Contents Association.2014; 14(6): 200.     CrossRef
• Effects of a Prevention Program for Media Addiction on Television Addiction, Internet Addiction, Cellular Addiction, and Impulsiveness in Elementary School Students.
  Hyun Young Koo
  Child Health Nursing Research.2013; 19(4): 270.     CrossRef
• Effects of a Cell Phone Use Education Program on Knowledge, Attitude, Self-efficacy, and Self-control of Cell Phone Use in Elementary School Students
  Hyun-Young Koo
  Journal of Korean Academy of Child Health Nursing.2012; 18(3): 109.     CrossRef

PURPOSE
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

• Development and Effects of a Prevention Program for Cell Phone Addiction in Middle School Students
  Hyun-Young Koo
  Journal of Korean Academy of Child Health Nursing.2011; 17(2): 91.     CrossRef

PURPOSE
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

• The relationship between problematic internet use, WhatsApp and personality
  Cristina Bernal-Ruiz, Ana Isabel Rosa-Alcázar
  Europe’s Journal of Psychology.2022; 18(1): 6.     CrossRef
• Smartphone addiction in students: A qualitative examination of the components model of addiction using face-to-face interviews
  Sayma Jameel, Mohammad Ghazi Shahnawaz, Mark D. Griffiths
  Journal of Behavioral Addictions.2019; 8(4): 780.     CrossRef
• Cell Phone Use Habits Among the Spanish Population: Contribution of Applications to Problematic Use
  José De-Sola, Gabriel Rubio, Hernán Talledo, Luis Pistoni, Henk Van Riesen, Fernando Rodríguez de Fonseca
  Frontiers in Psychiatry.2019;[Epub]     CrossRef
• Fatal Attractions: Attachment to Smartphones Predicts Anthropomorphic Beliefs and Dangerous Behaviors
  Jessica E. Bodford, Virginia S.Y. Kwan, David S. Sobota
  Cyberpsychology, Behavior, and Social Networking.2017; 20(5): 320.     CrossRef
• Prevalence of problematic cell phone use in an adult population in Spain as assessed by the Mobile Phone Problem Use Scale (MPPUS)
  José de-Sola, Hernán Talledo, Fernando Rodríguez de Fonseca, Gabriel Rubio, Aviv M. Weinstein
  PLOS ONE.2017; 12(8): e0181184.     CrossRef
• Development of a Brief Multicultural Version of the Test of Mobile Phone Dependence (TMDbrief) Questionnaire
  Mariano Chóliz, Lourdes Pinto, Sukanya S. Phansalkar, Emily Corr, Ayman Mujjahid, Conni Flores, Pablo E. Barrientos
  Frontiers in Psychology.2016;[Epub]     CrossRef
• Cell-Phone Addiction: A Review
  José De-Sola Gutiérrez, Fernando Rodríguez de Fonseca, Gabriel Rubio
  Frontiers in Psychiatry.2016;[Epub]     CrossRef
• Cell Phone Addiction in School-Age Children and Related Factors.
  Hyun Young Koo, Eun Jung Kim
  Child Health Nursing Research.2015; 21(1): 55.     CrossRef
• Effects of Self-Control and School Adjustment on Smartphone Addiction among Elementary School Students
  Jeongmin Lee, Boram Cho
  International Journal of Contents.2015; 11(3): 1.     CrossRef
• Development of a Cell Phone Addiction Scale for Korean Parents of Young Children.
  Hyun Young Koo
  Child Health Nursing Research.2013; 19(1): 29.     CrossRef
• Effects of a Cell Phone Use Education Program on Knowledge, Attitude, Self-efficacy, and Self-control of Cell Phone Use in Elementary School Students
  Hyun-Young Koo
  Journal of Korean Academy of Child Health Nursing.2012; 18(3): 109.     CrossRef
• Development and Effects of a Prevention Program for Cell Phone Addiction in Middle School Students
  Hyun-Young Koo
  Journal of Korean Academy of Child Health Nursing.2011; 17(2): 91.     CrossRef

PURPOSE
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

• Nomophobia and Health Hazards: Smartphone Use and Addiction Among University Students
  Azra Daei, Hasan Ashrafi-rizi, Mohammad Reza Soleymani
  International Journal of Preventive Medicine.2019;[Epub]     CrossRef
• Disability and haptic mobile media
  Gerard Goggin
  New Media & Society.2017; 19(10): 1563.     CrossRef
• Development of a Brief Multicultural Version of the Test of Mobile Phone Dependence (TMDbrief) Questionnaire
  Mariano Chóliz, Lourdes Pinto, Sukanya S. Phansalkar, Emily Corr, Ayman Mujjahid, Conni Flores, Pablo E. Barrientos
  Frontiers in Psychology.2016;[Epub]     CrossRef
• Effects on mobile phone functional use of ego resilience, peer attachment and mobile phone-related characteristics in male and female middle school students - focused on uses of SNS & messenger, music and internet in era of convergence-
  Eun-Ju Kim
  Journal of Digital Convergence.2016; 14(8): 383.     CrossRef
• Comparison of Factors associated with SmartPhone over-Usage: Focusing on Self-Control, Mental health and Interrelationship
  Hee-Jung Jang, Youn-Kyoung Kwag
  Journal of the Korea Academia-Industrial cooperati.2015; 16(1): 146.     CrossRef
• Relationships between Self-Control and Addictive Mobile Phone Use by Nursing Students
  Mi Sook Kim, Sue Kyung Sohn
  Journal of the Korea Academia-Industrial cooperati.2014; 15(11): 6719.     CrossRef
• Factors Affecting Smartphone Addiction among University Students
  Gyoo-Yeong Cho, Yun-Hee Kim
  Journal of the Korea Academia-Industrial cooperati.2014; 15(3): 1632.     CrossRef
• The influence of internet addiction on health behavior, sexual behavior and mental health of college student
  Mun-Hee Nam, Jeoung-Mi Kim
  Journal of Digital Convergence.2014; 12(4): 367.     CrossRef
• Effects of Self Esteem, Impulsive Behavior and Mental Health on Cellular Phone Addiction of Adolescents
  Hea-Shoon Lee
  The Journal of the Korea Contents Association.2014; 14(6): 200.     CrossRef
• Effects of a Prevention Program for Media Addiction on Television Addiction, Internet Addiction, Cellular Addiction, and Impulsiveness in Elementary School Students.
  Hyun Young Koo
  Child Health Nursing Research.2013; 19(4): 270.     CrossRef
• Analysis of Gender Difference in Time Perspectives and Relationship with Self-Efficacy about Mobile Phone Addiction of Adolescent
  Jung-Suk Hyun, Chan-Jung Park, Hwan-Ho Ha
  The Journal of the Korea Contents Association.2013; 13(6): 412.     CrossRef
• Development of a Cell Phone Addiction Scale for Korean Parents of Young Children.
  Hyun Young Koo
  Child Health Nursing Research.2013; 19(1): 29.     CrossRef
• The Janus Face of the 'New Ways of Work': Rise, Risks and Regulation of Nomadic Work
  Jan Popma
  SSRN Electronic Journal.2013;[Epub]     CrossRef
• Effects of a Cell Phone Use Education Program on Knowledge, Attitude, Self-efficacy, and Self-control of Cell Phone Use in Elementary School Students
  Hyun-Young Koo
  Journal of Korean Academy of Child Health Nursing.2012; 18(3): 109.     CrossRef
• Development and Validation Study of a Cell Phone Addiction Scale for Korean Children
  Hyun-Young Koo, Myung-Sook Yoo
  Journal of Korean Academy of Child Health Nursing.2012; 18(2): 76.     CrossRef
• Factors related to the Overuse of Mobile Phone in Elementary School Students
  Kyoung Sook Lee, Hwang Ran Ahn, Kyung Hee Lee
  Journal of Korean Academy of Psychiatric and Menta.2011; 20(3): 271.     CrossRef
• Development and Effects of a Prevention Program for Cell Phone Addiction in Middle School Students
  Hyun-Young Koo
  Journal of Korean Academy of Child Health Nursing.2011; 17(2): 91.     CrossRef
• Cell Phone Addiction in Highschool Students and Its Predictors
  Hyun Young Koo
  Journal of Korean Academy of Child Health Nursing.2010; 16(3): 203.     CrossRef
• Educational Needs for Prevention of Cell Phone Addiction in Korean Adolescents
  Hyun Young Koo, Hyun Sook Park
  Journal of Korean Academy of Child Health Nursing.2010; 16(4): 304.     CrossRef

PURPOSE
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

• Needs for Pediatric Palliative Care among Parents of Children with Complex Chronic Conditions
  Hyeseon Yun, Ae Ran Hwang, Sanghee Kim, Eun Kyoung Choi
  Child Health Nursing Research.2018; 24(4): 527.     CrossRef
• Relationship Among Nurses’ Knowledge, Attitude Towards Palliative Care and Perception of Death in Neonatal Intensive Care Units
  Da Hee Wi, Sook Jung Kang
  Child Health Nursing Research.2016; 22(4): 257.     CrossRef
• Nursing Need and Satisfaction of Patients in Hospice Ward
  Jung Ah Kim, Kyunghee Kim, Hee Sun Kang, Ji-su Kim
  The Korean Journal of Hospice and Palliative Care.2014; 17(4): 248.     CrossRef
• Experience in Acceptance of Hospice by Patients with Terminal Cancer : A Phenomenological Research
  Su Young Kwak, Byoung Sook Lee
  Journal of Korean Academy of Nursing.2013; 43(6): 781.     CrossRef
• Needs for Hospice Care among Families of Children with Cancer for Outpatients
  Young-Soon Chung, Sang-Youn Park
  Journal of the Korea Academia-Industrial cooperati.2012; 13(4): 1706.     CrossRef
• Effects of Depression Scale, Interaction Anxiety and School Adjustment on Cellular Phone Addiction of Teenagers
  Sung-Hwa Jang, Kyung-Duk Cho
  The Journal of the Korea Contents Association.2010; 10(11): 285.     CrossRef

PURPOSE
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.

PURPOSE
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

• Development and psychometric analysis of the smombie scale for adolescents
  Sunhee Park, Sumi Oh
  Journal of Pediatric Nursing.2024; 75: 89.     CrossRef
• Smartphone Use Patterns of Smartphone-dependent Children
  Jeong Hye Park
  Child Health Nursing Research.2020; 26(1): 47.     CrossRef
• A Study on the Longitudinal Relation Between Early Adolescents' Mobile Phone Dependency and Self-Regulated Learning Using an Autoregressive Cross-Lagged Modeling: Multigroup Analysis Across Gender
  Yea-Ji Hong, Soon-Hyung Yi
  Korean Journal of Child Studies.2016; 37(4): 17.     CrossRef
• Influence of Parental Media Use, Educational Needs, and Media Guidance for Children on Children’s Media Use
  Hyun-Young Koo, Eun-Jung Kim
  Child Health Nursing Research.2015; 21(2): 183.     CrossRef
• Longitudinal Relationship between Addictive Use of Mobile Phones and Learning Activities for Elementary School Students : Multiple and Complex Group Analysis across Gender
  Sang-Min Jun
  Journal of Digital Convergence.2015; 13(8): 267.     CrossRef

PURPOSE
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

• Managing Problematic Usage of the Internet and Related Disorders in an Era of Diagnostic Transition: An Updated Review
  Bernardo Dell’Osso, Ilaria Di Bernardo, Matteo Vismara, Eleonora Piccoli, Federica Giorgetti, Laura Molteni, Naomi A. Fineberg, Calogero Virzì, Henrietta Bowden-Jones, Roberto Truzoli, Caterina Viganò
  Clinical Practice & Epidemiology in Mental Health.2021; 17(1): 61.     CrossRef
• LA PRÉVENTION DE L’UTILISATION PROBLÉMATIQUE D’INTERNET : EXPLORATION DU POINT DE VUE DES JEUNES
  Gabrielle St-Arnaud, Magali Dufour1, Andrée-Anne Légaré, Joël Tremblay, Karine Bertrand, Yasser Khazaal, Natacha Brunelle, Mathieu Goyette
  Revue québécoise de psychologie.2019; 40(2): 115.     CrossRef
• Policy and Prevention Approaches for Disordered and Hazardous Gaming and Internet Use: an International Perspective
  Daniel L. King, Paul H. Delfabbro, Young Yim Doh, Anise M. S. Wu, Daria J. Kuss, Ståle Pallesen, Rune Mentzoni, Natacha Carragher, Hiroshi Sakuma
  Prevention Science.2018; 19(2): 233.     CrossRef
• Prevention and Policy Related to Internet Gaming Disorder
  Daniel L. King, Paul H. Delfabbro
  Current Addiction Reports.2017; 4(3): 284.     CrossRef
• Professional Identity of Elementary School Health Teachers: A Grounded Theory Approach
  Jin Ok Kwon, Jina Oh, Eun Ha Kim, Dae Dong Hahn
  Child Health Nursing Research.2015; 21(1): 64.     CrossRef
• Influence of Parental Media Use, Educational Needs, and Media Guidance for Children on Children’s Media Use
  Hyun-Young Koo, Eun-Jung Kim
  Child Health Nursing Research.2015; 21(2): 183.     CrossRef

PURPOSE
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

• Development and Validation of an Ego Strength Scale for Early School-Age Children
  Se Young Kim
  Korean Journal of Child Studies.2018; 39(6): 175.     CrossRef
• Cell Phone Addiction in School-Age Children and Related Factors.
  Hyun Young Koo, Eun Jung Kim
  Child Health Nursing Research.2015; 21(1): 55.     CrossRef
• Development of Korean Smartphone Addiction Proneness Scale for Youth
  Dongil Kim, Yunhee Lee, Juyoung Lee, JeeEun Karin Nam, Yeoju Chung, Amanda Bruce
  PLoS ONE.2014; 9(5): e97920.     CrossRef

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.

PURPOSE
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.

PURPOSE
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.

PURPOSE
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.

PURPOSE
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.

PURPOSE
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.

Purpose
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.