Purpose
Falls are a common cause of unintentional injuries in infants. This study was conducted to examine the patterns of healthcare utilization following infant falls in South Korea.
Methods
This cross-sectional descriptive study utilized an online survey designed to gather information regarding the general characteristics of parents and infants, fall-related variables, and healthcare use.
Results
The most serious falls identified by parents occurred at an average infant age of 6.97 months. Most fall incidents took place indoors (95.7%), and many occurred under the supervision of caregivers (68.0%). Following the fall, 36.4% of the participants used healthcare services. Logistic regression analysis revealed that healthcare use following an infant fall was significantly associated with being a firstborn child (odds ratio [OR]=5.32, 95% confidence interval [CI], 2.19-15.28) and falling from a caregiver's arms (OR=4.22; 95% CI, 1.45-13.68).
Conclusion
To prevent and decrease the frequency of infant falls, improvements are needed in both the domestic environment and parenting approaches.

Purpose
To investigate factors that may affect the method of feeding among preterm infants at 4 weeks after discharge.
Methods
This study included 222 mother-infant dyads born before a gestational age of 37 weeks. The feeding method and general medical characteristics of the participants were assessed at 4 weeks after discharge using a structured questionnaire. Multinomial logistic regression analysis was used to examine which factors were associated with breastfeeding at home.
Results
Of the 222 infants who qualified for the study, 71 (32.9%) continued to receive breastmilk at 4 weeks post-discharge. Multinomial logistic regression analysis showed that breastfeeding at 4 weeks post-discharge was associated with higher breastfeeding self-efficacy, vaginal delivery (experience), direct breastfeeding in the neonatal intensive care unit (NICU), gestational age between 30 and 34 weeks, and breastmilk consumption in the NICU. The following factors were associated with mixed feeding at 4 weeks post-discharge: being employed, having higher breastfeeding self-efficacy, and direct breastfeeding in the NICU.
Conclusion
NICU nurses should provide opportunities for direct breastfeeding during hospitalization and support breastfeeding to enhance breastfeeding self-efficacy. These factors may help to ensure the continuation of breastfeeding after discharge. Moreover, factors that affect breastfeeding should be considered when providing interventions.

Citations

• Identifying Latent Topics and Trends in Premature Infant–Related Nursing Studies Using a Latent Dirichlet Allocation Method
  Myeong Seon Lee, Seonah Lee
  CIN: Computers, Informatics, Nursing.2023; 41(12): 957.     CrossRef

Purpose
The purpose of this study was to review interventions available to nurses caring for siblings of children with cancer.
Methods
Searches of CINAHL, MEDLINE, PubMed, EMBASE, and RISS identified ten intervention studies published from January, 2000 to November, 2016.
Results
Ten studies on interventions for siblings of pediatric cancer patients were identified as follows: 4 included camps, 4 included support groups, and 2 provided individual interventions. Theoretical frameworks were mainly cognitive behavioral theory and most studies were led by psychologists and multidisciplinary teams. The purpose of the interventions was primarily enhancing psychosocial adjustment. Siblings’ fear of disease, self-esteem, and social support were improved significantly after the interventions. Findings were inconsistent with regard to depression, anxiety, behavioral problems, post-traumatic stress, health-related quality of life, and siblings’ perceptions of the illness.
Conclusion
Study findings showed the potential for enhancing emotional and behavioral outcomes in siblings of children with cancer. However, the number of studies was very small, and several methodological limitations were identified. In the future, more randomized controlled trials with larger samples are needed to extend the evidence base. Moreover, future research should identify sibling’s characteristics and circumstances most likely to bring benefits to the siblings.

Citations

• Development and effects of an internet-based family resilience-promoting program for parents of children with cancer: A randomized controlled trial
  Mina Park, Sunah Kim, Hyejung Lee, Yoon Jung Shin, Chuhl Joo Lyu, Eun Kyoung Choi
  European Journal of Oncology Nursing.2023; 64: 102332.     CrossRef
• Measurement Properties of Self-Report Questionnaires Measuring the Social Adjustment for Youth after Treatment of Childhood Cancer: Systematic Review
  Su-Mi Oh, Sun-Young Park, Hye-Jung Lee, Ju Hee Lee
  Child Health Nursing Research.2018; 24(1): 78.     CrossRef

Purpose
The purpose of this study was to examine the paternal stress and nursing support as perceived by fathers of high risk infants admitted to Neonatal Intensive Care Units (NICU).
Methods
The study participants included 88 fathers of high risk infants in NICUs. Their parental stress and nursing support were measured using a self-report questionnaire.
Results
The parental stress level of the fathers was 3.57 of a possible 5. Among the parental stress items, ‘Relationship with infant and parental role’ had the highest scores. The perceived nursing support level was a relatively high, 3.90 on a 5-point scale. The lowest score was for the item ‘showed concern about my well-being.’ The parental stress was lower in fathers with low income, higher in fathers in nuclear families and when the infants’ condition was serious.
Conclusion
The findings indicate that fathers of high risk infants experience intense parental stress. Thus when designing care to provide support for these fathers and their infants, it is necessary to encourage the fathers’ engagement, provide information on how to respond to the baby, and include supportive care to the fathers.

Citations

• The experience of fathers whose infants were hospitalized in Neonatal Intensive Care Unit in South Korea: A scoping review
  Jiyeon Lee, Sunyeob Choi
  Journal of Pediatric Nursing.2023; 72: 36.     CrossRef
• Effects of a Noncontact Visit Program in the NICU for the Prevention of COVID-19
  Hye Young Ahn, Hee Jee Jo, Hyun Jeong Ko
  Healthcare.2023; 11(15): 2152.     CrossRef
• Reviewing recordings of neonatal resuscitation with parents
  Maria C den Boer, Mirjam Houtlosser, Ruben S G M Witlox, Roosmarijn van der Stap, Martine C de Vries, Enrico Lopriore, Arjan B te Pas
  Archives of Disease in Childhood - Fetal and Neona.2021; 106(4): 346.     CrossRef
• Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea
  Seol-Hee Moon, Ho-Ran Park, Dong Yeon Kim
  Child Health Nursing Research.2021; 27(3): 297.     CrossRef
• Developing Nursing Standard Guidelines for Nurses in a Neonatal Intensive Care Unit: A Delphi Study
  Hanna Lee, Da-Jung Kim, Jeong-Won Han
  Healthcare.2020; 8(3): 320.     CrossRef
• The Relationship between Stress, Social Support, and Confidence in Paternal Role Perceived by Korean Fathers of High Risk Infants
  Jeong Hee Eom, YeoJin Im
  Journal of Pediatric Nursing.2019; 49: e21.     CrossRef
• Parental anxiety regarding premature infants and factors affecting parental concern
  Ju Yun Lee, Jung Hyun Lee, Gyu Min Yeon, Yu Jin Jung
  Journal for Specialists in Pediatric Nursing.2019;[Epub]     CrossRef
• Correlations between a Flexible Parental Visiting Environment and Parental Stress in Neonatal Intensive Care Units
  Su Jin Lee, Eun Kyoung Choi, Jeongok Park, Hee Soon Kim
  Child Health Nursing Research.2019; 25(4): 377.     CrossRef
• Experience of Becoming a Father of a High Risk Premature Infant
  Jeong Eon Park, Byoung Sook Lee
  Journal of Korean Academy of Nursing.2017; 47(2): 277.     CrossRef