Purpose
The purpose of this study was to identify the noise level and frequency experienced by premature infants receiving incubator care in the neonatal intensive care unit (NICU).
Methods
The participants were 20 premature infants receiving incubator care in the NICU of a university hospital in Daejeon Metropolitan city. The noise level was measured using a professional sound-level meter (ET-958, FLUS, Shenzhen, China) based on a noise classification table developed by the author. The data were analyzed with descriptive statistics, the t-test, analysis of variance, and Pearson correlation coefficients using SPSS for Windows version 22.0.
Results
The average noise level experienced by premature infants receiving incubator care in the NICU was 51.25 dB (range: 45.0~81.7 dB). The frequency of noises was highest for factors related to nursing activities (40.3%), followed by human factors (29.1%), machine alarm sounds (20.1%), incubator operation (6.6%), and internal environmental factors (3.9%).
Conclusion
According to the above results, the noise level experienced by premature infants receiving incubator care in the NICU exceeded the recommendations of the American Academy of Pediatrics. Therefore, it is necessary to develop an interventional program to reduce noise in the NICU, and to conduct follow-up studies to verify its effectiveness.

Citations

• Development and Evaluation of Infection Control Nursing Simulation Education Program for Nurses in a NICU
  Min-hee Cho, Sunghee Kim
  Journal of Korea Society for Simulation in Nursing.2024; 12(2): 1.     CrossRef
• Noise Produced by Neonatal Ventilators Inside and Outside of the Incubators
  Lea Bergez, Gilles Jourdain, Daniele De Luca
  Respiratory Care.2023; 68(12): 1693.     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

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

Citations

• Maternal, infant, and perinatal mortality statistics and trends in Korea between 2018 and 2020
  Hyunkyung Choi, Ju-Hee Nho, Nari Yi, Sanghee Park, Bobae Kang, Hyunjung Jang
  Korean Journal of Women Health Nursing.2022; 28(4): 348.     CrossRef

Purpose
Caring for a vulnerable premature baby is a challenging task, but some mothers experience growth through that process. The purpose of this study was to investigate the factors influencing post-traumatic growth in mothers with premature infants admitted to the neonatal intensive care unit.
Methods
A correlational research design was used and 105 mothers of premature infants were recruited from an online community. Data were collected from January 15 to January 25, 2019. Post-traumatic growth was measured using the Korean version of the Posttraumatic Growth Inventory. Data were analyzed using descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and hierarchical multiple regression.
Results
The final model developed in this study explained 45.5% of post-traumatic growth (F=13.66, p<.001). Resilience (β=.54, p<.001) was the strongest predictor of post-traumatic growth, followed by the age of the mother when giving birth (β=.17, p=.028) and current employment status (β=.17, p=.049).
Conclusion
For mother with premature infants to grow psychologically after their experience, it may be needed to support them to develop and strengthen their resilience through either education or their own support network.

Citations

• A cross-sectional study on posttraumatic growth and influencing factors among parents of premature infants
  Wang Xingyanan, Lv Yuanhong, Liu Yang, Xiao Zhitian
  BMC Pregnancy and Childbirth.2025;[Epub]     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
• Relationship dynamics: the protective effect of relationship satisfaction and dependency on parents’ mental health after having a preterm baby
  İlknur Okay, Çiğdem Yavuz Güler
  Health Psychology Report.2021; 9(4): 372.     CrossRef

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

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

Citations

• Chronological Changes in the Portrayal of Korean Nurses in TV Documentaries
  Eunjin Kim, Gumhee Baek, Aram Cho, Mijin Byun
  Journal of Korean Academy of Nursing Administratio.2023; 29(4): 341.     CrossRef
• The effects of neonatal resuscitation gamification program using immersive virtual reality: A quasi-experimental study
  Sun-Yi Yang, Yun-Hee Oh
  Nurse Education Today.2022; 117: 105464.     CrossRef

Purpose
This study was conducted to identify factors related to developmental care performance among neonatal intensive care units (NICU) nurses.
Methods
The participants were 139 nurses who had provided care to premature infants for more than 6 months and were recruited from the NICU of 8 hospitals. Data were collected from September 1 to December 1, 2017 through questionnaires that encompassed developmental care performance, developmental care perceptions, and the nursing work environment.
Results
More than half (51.8%) of the participants responded that they had never received developmental care education, and for 89.6% of those who had received developmental care education, it was a one-time event. The average developmental care performance of NICU nurses was 0.81, with a range of 0.5~1 point. Multiple regression analysis, demonstrated that the nursing work environment (β=.27, p=.001) and developmental care perceptions (β=.23, p=.004) influenced developmental care performance, with a total explanatory power of 14%.
Conclusion
Based on these results, developmental care education for the NICU nurses must be provided systematically. In addition, strategies to improve nurses' perceptions of developmental care and to provide appropriate support for the nursing work environment can promote developmental care performance.

Citations

• “Effectiveness of a Multimodal Teaching Program on Nurses” Knowledge Acquisition, Practice, and Perception of Neurodevelopmental Supportive Care in NICU: A Non-randomized Controlled Trial
  Raghu V A, Manju Vatsa, Neeraj Gupta, ** Latha, Thuileiphy T
  Journal of Neonatology.2025;[Epub]     CrossRef
• Nurses’ perspectives on implementing sleep protection for premature infants in the neonatal intensive care unit: a qualitative study
  Yujing Gu, Yunfei Tang, Yan Xue, Juan Wu, Jun Xie
  BMC Health Services Research.2025;[Epub]     CrossRef
• A Cross‐Sectional Study on Nurse‐Parent Partnership in the Pediatric Intensive Care Units
  Premalatha Paulsamy, Shadia Hamoud Alshahrani, Krishnaraju Venkatesan, Kousalya Prabahar, Manjula Gopinathan Bhagavathy, Mathar Mohideen Nagoor Thangam, Vinoth Prabhu Veeramani, Samya Mohamed Hegazy, Rehab Ahmed, Vigneshwaran Easwaran, Haseena T. A., Hala
  International Journal of Clinical Practice.2024;[Epub]     CrossRef
• Korean nurses’ knowledge, opinions and current practice of trauma-informed pediatric nursing care in South Korea: a descriptive study
  Kyung-Sook Bang, Sun Woo Hong, Hwal Lan Bang, Ji-Hye Choe, Sinyoung Choi
  Child Health Nursing Research.2024; 30(4): 309.     CrossRef
• Factors influencing neonatal intensive care unit nurses' parent partnership development
  Eun Kyoung Kim, In Young Cho, Ji Yeong Yun, Bobae Park
  Journal of Pediatric Nursing.2023; 68: e27.     CrossRef
• Effectiveness of Nicu nurses’ competence enhancement program for developmentally supportive care for preterm infants: A quasi-experimental study
  Han Na Lee, Haeryun Cho
  Heliyon.2023; 9(1): e12944.     CrossRef
• Developmentally Supportive Care Among Neonatal Intensive Care Unit Nurses in South Korea
  Han Na Lee, Ji Hyeon Park, Haeryun Cho
  Advances in Neonatal Care.2023; 23(3): E60.     CrossRef
• Preterm Infant Care Practice among Nurses in Neonatal Care Units of Selected Hospitals of Nepal: A Cross-Sectional Study
  Tumla Shrestha, Archana Pandey Bista, Sarala Shrestha, Radhika Regmi, Foroozan Atashzadeh-Shoorideh
  Nursing Forum.2023; 2023: 1.     CrossRef
• Effects of a Neonatal Supportive Positioning Training Video Program for Preterm Infants on the Knowledge and Performance of Nurses in Neonatal Intensive Care Units
  Hyun Jin Moon, Kyung Sook Cho, Mi Young An, Dong Woo Son
  Asian Nursing Research.2022; 16(1): 25.     CrossRef
• Analysis of research on developmentally supportive care for prematurity in neonatal intensive care unit: a scoping review
  Hanna Lee, Ji Hyeon Park, Haeryun Cho
  Child Health Nursing Research.2022; 28(1): 9.     CrossRef
• Missed nursing care and its influencing factors among neonatal intensive care unit nurses in South Korea: a descriptive study
  Soohyun Kim, Sun-Mi Chae
  Child Health Nursing Research.2022; 28(2): 142.     CrossRef
• Simulation Training Needs of Nurses for Nursing High-Risk Premature Infants: A Cross-Sectional Study
  Sun-Yi Yang
  Healthcare.2022; 10(11): 2197.     CrossRef
• Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care
  Da-Ae Shin, Kyung-Sook Bang
  The Journal of Korean Academic Society of Nursing .2021; 27(3): 261.     CrossRef

Purpose
The purpose of this study was to identify the effects of an educational intervention by evaluating neonatal emergency airway management knowledge, critical thinking disposition, problem- solving ability, and confidence in clinical performance after developing and operating a simulation-based neonatal emergency airway management education program for nurses in a neonatal intensive care unit.
Methods
The participants were 30 nurses in a neonatal intensive care unit. Data were collected from June 6 to 15, 2018 and analyzed using IBM SPSS version 22.0.
Results
The results of the pretest and posttest for each educational group showed statistically significant improvements in neonatal emergency airway management knowledge, critical thinking, problem- solving ability, and confidence in clinical performance.
Conclusion
The simulation-based neonatal emergency airway management training program was an effective educational program that enhanced neonatal emergency airway management knowledge, critical thinking disposition, problem-solving ability, and confidence in clinical performance among nurses in a neonatal intensive care unit. Therefore, it is suggested that the program described in this study can contribute to improving nursing quality by enhancing the ability of nurses to cope with emergencies in practice. It can also be used for education for new nurses and contribute to the development of nurses’ practices.

Citations

• Enhancing nurse-parent partnership for NICU nurses by investigating multi-modal learning with a hybrid simulation approach that integrates metaverses and real-world training
  Hee Young Kim, Soon Hyun Myung, In Young Cho
  Nurse Education in Practice.2025; 84: 104294.     CrossRef
• Development and Effectiveness of a Rapid Cycle Deliberate Practice Neonatal Resuscitation Simulation Program: A Quasi-Experimental Study
  Sun-Yi Yang, Yun-Hee Oh
  Healthcare.2024; 12(1): 104.     CrossRef
• Development and Evaluation of Infection Control Nursing Simulation Education Program for Nurses in a NICU
  Min-hee Cho, Sunghee Kim
  Journal of Korea Society for Simulation in Nursing.2024; 12(2): 1.     CrossRef
• Implementation of a simulation-based education for mothers in managing respiratory emergencies in the neonatal intensive care unit
  Heemoon Lim, Hyejung Lee
  Journal of Neonatal Nursing.2023; 29(4): 662.     CrossRef
• Simulation Training Needs of Nurses for Nursing High-Risk Premature Infants: A Cross-Sectional Study
  Sun-Yi Yang
  Healthcare.2022; 10(11): 2197.     CrossRef
• Simulation-Based Education Improves Mothers’ Confidencein Managing Respiratory Emergency Situations
  Hee-moon Lim, hyejung Lee
  SSRN Electronic Journal .2022;[Epub]     CrossRef
• Educational needs for practicing neonatal intensive care among Korean nursing students
  Hyun Young Koo, Bo Ryeong Lee
  Child Health Nursing Research.2021; 27(4): 339.     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

Purpose
The purpose of this study was to investigate partnerships with nurses, social support and readiness for discharge among mothers of premature infants in the neonatal intensive care unit (NICU) and to examine the factors associated with readiness for discharge.
Methods
A survey was conducted among 85 mothers of premature infants hospitalized in a NICU in Seoul, Korea. The collected data were analyzed with descriptive statistics, the t-test, one-way analysis of variance, Pearson’ correlation coefficients, and multiple linear regression using SPSS version 25.0.
Results
The results of the regression analysis showed that partnerships with nurses (β=.32, p=.011) and parenting experience (β=.32, p=.001) were significantly associated with readiness for discharge.
Conclusion
To improve the readiness for discharge among mothers of premature infants, developing strategies to strengthen their partnership with nurses and to provide family-centered care will be needed.

Citations

• Enhancing nurse-parent partnership for NICU nurses by investigating multi-modal learning with a hybrid simulation approach that integrates metaverses and real-world training
  Hee Young Kim, Soon Hyun Myung, In Young Cho
  Nurse Education in Practice.2025; 84: 104294.     CrossRef
• Spousal support, parent–nurse partnership and caregiver burden among parents of children with chronic diseases: A cross‐sectional study
  Jihye Kim, Heemin Chae, Yoonjung Kim
  Journal of Clinical Nursing.2024; 33(7): 2649.     CrossRef
• Research trends in nurse–parent partnership: A scoping review of the paediatric field in South Korea
  Seo Jin Park, Ji Yeong Yun, Jina Lee, In Young Cho
  Nursing Open.2024;[Epub]     CrossRef
• Association of nurse–mother partnerships with parenting stress and family resilience among South Korean mothers of children with congenital heart disease
  Youna Chang, Jiyoung Lim, Hye Won Yoon
  Journal of Pediatric Nursing.2024; 79: 16.     CrossRef
• Fostering Partnership Between Pediatric Nurses and Parents of High-Risk Infants: A Mixed Method Approach
  In Young Cho, Won-Oak Oh
  Journal of Child and Family Studies.2023; 32(9): 2681.     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
• Discharge Readiness Scale for Parents of High-Risk Infants: A Systematic Review
  Ki-Eun Kim, Hyejung Lee, Na-Young Jeon
  Journal of The Korean Society of Maternal and Chil.2022; 26(4): 205.     CrossRef
• Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care
  Da-Ae Shin, Kyung-Sook Bang
  The Journal of Korean Academic Society of Nursing .2021; 27(3): 261.     CrossRef
• Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis
  Ah Rim Kim
  Asian Nursing Research.2020; 14(5): 327.     CrossRef

Purpose
The purpose of this study was to examine the correlation between a flexible parental visiting environment and parental stress in neonatal intensive care units (NICUs).
Methods
The study participants included 60 parents of premature infants in NICUs. Structured questionnaires and interviews, as well as observations by researchers using a caregiving behavior checklist, were used to measure the flexibility of the parental visiting environment and parents' stress levels. Quantitative and qualitative data were collected concurrently and were initially analyzed as separate data sets. Data collection extended from March 11, 2018 to June 30. 2018 and the data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, and Pearson correlation coefficients.
Results
There was a negative correlation (r=-.30, p=.021) between parental stress and the total number of visits in 7 days. We also found that the average duration of each visit and the number of caregiving behaviors performed by parents were positively correlated (r=.73, p<.001).
Conclusion
When designing a flexible visiting environment for parents, parents should be encouraged to visit their babies. By doing so, stress can be reduced both for babies and for parents. Therefore, it is suggested that the related polices and regulations in South Korea should be changed to provide more a flexible visiting environment to promote better parent-child attachment and family adjustment.

Citations

• Effects of an App-Based Visitation Program for Mothers of High-Risk Infants in the Neonatal Intensive Care Unit
  Nameun Yu, Mi Yu
  Journal of Perinatal & Neonatal Nursing.2025; 39(2): 174.     CrossRef
• Parents' experiences of family-centred care in neonatal intensive care units: A qualitative thematic synthesis
  Mawahib Almalki, Aideen Gildea, Breidge Boyle
  Journal of Neonatal Nursing.2025; 31(3): 101655.     CrossRef
• Exploration of Family-Centered Care in NICUs: A Grounded Theory Methodology
  Young Ah Park, YeoJin Im
  Qualitative Health Research.2024;[Epub]     CrossRef
• Fostering Partnership Between Pediatric Nurses and Parents of High-Risk Infants: A Mixed Method Approach
  In Young Cho, Won-Oak Oh
  Journal of Child and Family Studies.2023; 32(9): 2681.     CrossRef
• Effects of Systematic Discharge Education Program on Anxiety and Parenting Confidence in Mothers of Premature Infants
  Eunyoung Kim, Aeran Jo, Meenam Hwang, Hyunjin Moon, Daeun Jeong, Myungjin Jang, Choyeon Lim
  Journal of The Korean Society of Maternal and Chil.2023; 27(2): 71.     CrossRef
• Beliefs and attitudes of nurses towards open visiting policy in neonatal intensive care units: A descriptive cross-sectional study in northwest of Iran
  Fatemeh Ghorbani, Mahnaz Jabraeili
  Journal of Neonatal Nursing.2022; 28(2): 123.     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
• Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care
  Da-Ae Shin, Kyung-Sook Bang
  The Journal of Korean Academic Society of Nursing .2021; 27(3): 261.     CrossRef
• Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis
  Ah Rim Kim
  Asian Nursing Research.2020; 14(5): 327.     CrossRef

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

Citations

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

Purpose
This study compared nursing frequency, nursing time, and nursing intervention priorities depending on the method of neonatal induced hypothermia.
Methods
We observed 15 neonatal subjects receiving therapeutic hypothermia for 3 days each. Forty-five nurses experienced with nursing neonatal patients under therapeutic hypothermia provided responses about nursing intervention priorities. Analyses with the chi-square, the Fisher exact test, the paired t-test, the Wilcoxon signed rank test, and the Wilcoxon rank-sum test were performed on the data using SAS version 9.4.
Results
The frequency of nursing activities was higher for selective head therapeutic hypothermia (SHTH) than for systemic therapeutic hypothermia (STH), and nursing time was also significantly longer. In terms of nursing intervention priorities, there were priority differences in "risk for ineffective thermoregulation" and "risks for impaired skin integrity" for SHTH compared to STH.
Conclusion
Since SHTH for neonatal therapeutic hypothermia requires more nursing time and frequent nursing activities than STH, STH is therefore recommended if the therapeutic efficacy is similar. Appropriate nursing personnel should be allocated for neonatal SHTH nursing. Nurses should be aware of nursing interventions for therapeutic hypothermia as the priorities are different for different methods of neonatal therapeutic hypothermia.

Purpose
This study aimed to identify stress levels due to end-of-life care, coping strategies, and psychological well-being among nurses in neonatal intensive care unit, and to investigate the effect of stress levels and coping strategies on their well-being.
Methods
A total of 128 nurses in the neonatal intensive care units of general hospitals in B city participated. The data were collected using a self-report questionnaire. The collected data were analyzed using descriptive statistics, the t-test, ANOVA, the Pearson correlation coefficient, and hierarchical regression with SPSS version 22.0.
Results
The coping strategy that nurses most often used was seeking social support. The factors affecting the well-being of the participants were wishful thinking, problem-focused coping and seeking social support, in order. Those 3 variables explained 21 % of the total variance in psychological well-being. Problem-focused coping and seeking social support were positively associated with psychological well-being, while wishful thinking showed a negative association.
Conclusion
In order to improve the psychological well-being of nurses in neonatal intensive care units, it is necessary to provide nurses with a program to build a social support system and to improve their problem-based coping skills.

Citations

• Emotional and psychological experiences of nursing students caring for dying patients: an explorative study at a national referral hospital in Uganda
  Asha K. Nabirye, Ian G. Munabi, Aloysius G. Mubuuke, Sarah Kiguli
  BMC Medical Education.2025;[Epub]     CrossRef
• Comprender la fatiga emocional: revisión sistemática de sus causas, consecuencias y estrategias de afrontamiento
  Sara Gonçalves, Rita S. Matos
  Enfermería Clínica.2025; : 502190.     CrossRef
• Understanding emotional fatigue: A systematic review of causes, consequences, and coping strategies
  Sara Diogo Gonçalves, Rita S. Matos
  Enfermería Clínica (English Edition).2025; : 502190.     CrossRef
• Palliative Care for Infants in the Neonatal Intensive Care Unit
  Eun Sook Kim, Sue Kim, Sanghee Kim, Sujeong Kim, So Yoon Ahn, Hyejung Lee
  Journal of Hospice & Palliative Nursing.2024; 26(1): 14.     CrossRef
• NICU nurses' moral distress surrounding the deaths of infants
  Soojeong Han, Haeyoung Min, Sujeong Kim
  Nursing Ethics.2023; 30(2): 276.     CrossRef
• Psychometric properties of the Korean version of the Palliative Care Nursing Self-Competence scale for infant use
  Eun Sook Kim, Sujeong Kim, Kyua Kim, Hyejung Lee
  Australian Critical Care.2023; 36(6): 1019.     CrossRef
• A Systematic Review of the Stress-Coping Scales Used in Korean Nursing
  Hyeon Ok Ju, So Yeon Park, Jaeyoung Lee, Hye-Ryeon Park
  Korean Journal of Health Promotion.2023; 23(2): 45.     CrossRef
• Nurses’ attitudes and stress related to perinatal bereavement care in Korea: a cross-sectional survey
  Eunhui Kim, Hae Won Kim
  Korean Journal of Women Health Nursing.2022; 28(2): 134.     CrossRef
• Personal and Emotional Factors of Nursing Professionals Related to Coping with End-of-Life Care: A Cross-Sectional Study
  María Povedano-Jiménez, Carmen Ropero-Padilla, Miguel Rodriguez-Arrastia, María Paz García-Caro
  International Journal of Environmental Research an.2021; 18(18): 9515.     CrossRef
• Factors influencing well‐being in clinical nurses: A path analysis using a multi‐mediation model
  Sung Reul Kim, Ok Lae Park, Hye Young Kim, Ji Young Kim
  Journal of Clinical Nursing.2019; 28(23-24): 4549.     CrossRef

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

Citations

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

Purpose
This study aimed to evaluate the effects of an empowerment program on maternal stress, anxiety, depression and parenting confidence.
Methods
A total of 44 mothers of preterm infants were assigned into an experimental or a control group (n=22 each). The experimental group received the usual nursing care and 7 sessions of an empowerment program. The control group only received the usual care. The program was implemented from June to December, 2016 in the neonatal intensive care unit of K university-affiliated hospital in Daegu, Korea. The outcome variables measured were parental stress (PSS: NICU), anxiety (STAI), depression (CES-D) and parenting confidence. Data were analyzed using t-test or repeated measures ANOVA.
Results
Scores for both parental stress (t=3.07 p=.004) and depression (F=3.76, p=.26) were significantly lower in the experimental group than in the control group. However, there were no significant differences in anxiety between the groups (F=0.79, p=.505). Parenting confidence scores (F=9.05, p=.001) were significantly higher in the experimental group than in the control group.
Conclusion
A maternal empowerment program can be an effective means of reducing parental stress and depression as well as enhancing parenting confidence, for mothers of preterm infants.

Citations

• Confidence, not competence: Reframing roles to embed FICare
  Rachel Louise Collum, Ailie Hodgson, Sue Thompson, Claire Campbell
  Journal of Neonatal Nursing.2024; 30(1): 88.     CrossRef
• Effects of an App-Based Visitation Program for Mothers of High-Risk Infants in the Neonatal Intensive Care Unit
  Nameun Yu, Mi Yu
  Journal of Perinatal & Neonatal Nursing.2024;[Epub]     CrossRef
• Translation and Validation of Maternal Confidence Questionnaire (MCQ) In Iran: Persian Version
  Mona Alinejad-Naeini, Mansoureh Ashghali Farahani, Farhad Abolhasan Choobdar, Roqayeh Aliyari
  Child Care in Practice.2023; : 1.     CrossRef
• Does antibiotic awareness campaigns exposure decrease intention to demand antibiotic treatment? Testing a structural model among parents in Western Australia
  Aaron Lapuz Alejandro, Wei Wei Cheryl Leo, Mieghan Bruce, Kaymart Gimutao, Saurav Basu
  PLOS ONE.2023; 18(5): e0285396.     CrossRef
• Effects of Systematic Discharge Education Program on Anxiety and Parenting Confidence in Mothers of Premature Infants
  Eunyoung Kim, Aeran Jo, Meenam Hwang, Hyunjin Moon, Daeun Jeong, Myungjin Jang, Choyeon Lim
  Journal of The Korean Society of Maternal and Chil.2023; 27(2): 71.     CrossRef
• 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
• 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
• The effect of the supportive care program based on Bandura's self-efficacy on stress and participation of the mothers of the neonates admitted to neonatal intensive care unit
  Shima Heidary, Haydeh Heidari, Roya Choopani, Morteza Sedehi
  Journal of Education and Health Promotion.2023;[Epub]     CrossRef
• A Delphi study on the Needs for the Development of a Customized Program based on Augmented Reality for Preterm infants and their Families in the Neonatal Intensive Care Unit
  Jae Eun Sin, Ah Rim Kim
  Journal of Digital Contents Society.2022; 23(3): 455.     CrossRef
• Development of a mobile application focusing on developmental support care for Korean infants born prematurely: a methodological study
  Ji Hyeon Park, Haeryun Cho
  Child Health Nursing Research.2022; 28(2): 112.     CrossRef
• “Always a Preemie”: Maternal Experiences Parenting a Very Preterm Infant into Toddlerhood
  Megan Quist, Megan M. Julian, Meera Meerkov, Megan H. Pesch
  Journal of Neonatology.2022; 36(2): 113.     CrossRef
• Development and Evaluation of the Parenting Support Group Program for Mothers with Infants
  Sun Hwa Park, Kyung Ja June
  Journal of Korean Academy of Community Health Nurs.2021; 32(1): 40.     CrossRef
• Effects of an Infant Care Education Program for Mothers of Late-preterm Infants on Parenting Confidence, Breastfeeding Rates, and Infants' Growth and Readmission Rates
  Eun Hye Jang, Hyeon Ok Ju
  Child Health Nursing Research.2020; 26(1): 11.     CrossRef
• An Integrative Review of Family Interventions based on a Philosophy of Family-Centered Care in Neonatal Intensive Care Units
  Nary Chung, Yeseul Kim, Eunyoung Park, Lisa Yeo, Jiwon Hwang
  Perspectives in Nursing Science.2019; 16(1): 35.     CrossRef
• A Mother’s Experience of Hospitalization of Her Newborn in the Neonatal Intensive Care Unit
  Euna Choi, Youngeun Lee
  Child Health Nursing Research.2018; 24(4): 407.     CrossRef

Purpose
This study was conducted to assess the knowledge and performance of developmentally supportive positioning for premature infants (DSPP) among neonatal intensive care unit (NICU) nurses.
Methods
The participants in this study were 131 nurses working in the NICU at five university hospitals in Daejeon and the city of Cheong-ju. The collected data were analyzed with descriptive statistics, the t-test, analysis of variance, and Pearson correlation coefficients using SPSS for Windows version 22.0.
Results
NICU nurses’ average DSPP knowledge score was 24.7 out of 33.0, and their average DSPP performance score was 3.2 out of 4.0. A statistically significant positive correlation was observed between knowledge and performance of DSPP (r=.32, p<.001).
Conclusion
To improve the level of NICU nurses’ knowledge and performance of DSPP, educational programs should be developed and their effectiveness should be verified.

Citations

• Developmentally Supportive Care Among Neonatal Intensive Care Unit Nurses in South Korea
  Han Na Lee, Ji Hyeon Park, Haeryun Cho
  Advances in Neonatal Care.2023; 23(3): E60.     CrossRef
• Effects of Systematic Discharge Education Program on Anxiety and Parenting Confidence in Mothers of Premature Infants
  Eunyoung Kim, Aeran Jo, Meenam Hwang, Hyunjin Moon, Daeun Jeong, Myungjin Jang, Choyeon Lim
  Journal of The Korean Society of Maternal and Chil.2023; 27(2): 71.     CrossRef
• Effects of a Neonatal Supportive Positioning Training Video Program for Preterm Infants on the Knowledge and Performance of Nurses in Neonatal Intensive Care Units
  Hyun Jin Moon, Kyung Sook Cho, Mi Young An, Dong Woo Son
  Asian Nursing Research.2022; 16(1): 25.     CrossRef
• Analysis of research on developmentally supportive care for prematurity in neonatal intensive care unit: a scoping review
  Hanna Lee, Ji Hyeon Park, Haeryun Cho
  Child Health Nursing Research.2022; 28(1): 9.     CrossRef
• Development and effectiveness of an educational program on developmental positioning for neonatal intensive care unit nurses in South Korea: a quasi-experimental study
  Eun-Ju Yun, Tae-Im Kim
  Child Health Nursing Research.2022; 28(1): 70.     CrossRef
• Factors that impact the accuracy with which nurses place preterm infants with respiratory distress syndrome in the prone position
  Nur Fitri, Defi Efendi
  La Pediatria Medica e Chirurgica.2021;[Epub]     CrossRef
• Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care
  Da-Ae Shin, Kyung-Sook Bang
  The Journal of Korean Academic Society of Nursing .2021; 27(3): 261.     CrossRef
• Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis
  Ah Rim Kim
  Asian Nursing Research.2020; 14(5): 327.     CrossRef

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

Citations

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

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

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

Citations

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

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

Citations

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

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

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

Citations

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

Purpose
To investigate the perception and barriers of Kangaroo-Mother Care (KMC) among nurses in Neonatal Intensive Care Units (NICU).
Methods
Participants were 131 nurses working in NICU who completed self-report questionnaires which included information regarding perception, barriers, and practice of KMC. Collected data were analyzed using SPSS 18.0 program for descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients.
Results
Of the participants, 33.6% reported the practice of KMC in their NICU, with 75.6% wanting to receive training in KMC and 31.3% having received KMC education. Most of the participants agreed that KMC enhances attachment, parental confidence, and effective breast feeding but they reported a negative perception in providing KMC for premature infants weighing less than 1,000 grams or intubated premature infants. Major barriers to practicing KMC were safety of infants, possible work overload for nurses, as well as absence of consistent guidelines. Barriers to KMC among nurses who received the KMC training were lower than nurses who did not receive the KMC training (t=-2.11, p=.037).
Conclusion
Education program and standardized clinical practice protocol should be developed to foster the positive perception and to reduce nurse barriers to KMC.

Citations

• Developmentally Supportive Care Among Neonatal Intensive Care Unit Nurses in South Korea
  Han Na Lee, Ji Hyeon Park, Haeryun Cho
  Advances in Neonatal Care.2023; 23(3): E60.     CrossRef
• Barriers to and enablers of kangaroo mother care
  Soon Min Lee
  Clinical and Experimental Pediatrics.2020; 63(11): 431.     CrossRef
• Effects of Positioning Education Program through Oral Explanations or Brochures for Parents of Premature Infants with Brain Lesions and the Satisfaction Level of Physical Therapy at Discharge
  Hye-Young Lee, Dong-Yeon Kang
  The Journal of Korean Physical Therapy.2017; 29(5): 259.     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

Purpose
This study was conducted to examine the effect of education on infection control for multidrug resistant organism (MDRO).
Methods
One group pre-post time series design was used. Infection control education for MDRO infection was provided to nurses working in the Neonatal Intensive Care Unit (NICU). Knowledge and recognition were evaluated before and after education. Hand hygiene compliance, MDRO isolation rate and central line-associated bloodstream infection (CLABSI) rate were used as outcome variables. Data from 45 nurses was used for analysis.
Results
General knowledge about MDRO increased (p=.011). Responses to questions about image of MDRO and MDRO management tended to change in a positive direction (p = .046). Hand hygiene compliance was 100% at pre-test, 79.5% during education period and 98.4% at post-education period. MDRO isolation rate was 6.83 per 1,000 patient days at pre-test, 10.24 during education period and 6.68 at post-education period. CLABSI rate was 3.76 per 1,000 central line days at pre-test, 6.84 during education period and 4.71 at post-education period.
Conclusion
Findings indicate that the education program is effective in improving knowledge about MDRO in NICU nurses. However, more reliable indicators should be used to determine long-term effects.

Citations

• Knowledge, Attitude, and Practices of Mothers Working as Nurses Toward Multidrug-Resistant: Impact of an Educational Program in Neonatal Intensive Care Unit
  Sawsan Abuhammad, Dalya Alwedyan, Shaher Hamaideh, Mohammed AL-Jabri
  Infection and Drug Resistance.2024; Volume 17: 1937.     CrossRef
• Development and Evaluation of Infection Control Nursing Simulation Education Program for Nurses in a NICU
  Min-hee Cho, Sunghee Kim
  Journal of Korea Society for Simulation in Nursing.2024; 12(2): 1.     CrossRef
• Perceived Importance, Performance, Barriers, and Strategies of VRE Infection Control among Nurses in Wards with Cohort Isolation Rooms: A Mixed-methods Study
  Yunhee Won, Jeonghyun Cho, Eunyoung Park
  Korean Journal of Adult Nursing.2023; 35(4): 393.     CrossRef
• Development of a high-risk neonatal infection control competency scale
  Mi Yu, Hyunju Kang, Jisun Park, Miran Yang
  Journal of Child Health Care.2021; 25(3): 393.     CrossRef
• Factors Influencing Self-Confidence in Performance of Infection Control for Multi-Drug Resistant Organisms among Nurses in Long-Term Care Hospitals
  So Jin Lee, Mi Ran Kim
  Journal of Korean Academy of Fundamentals of Nursi.2021; 28(2): 226.     CrossRef

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

Purpose
This study was done to identify the meaning and substantial nature of NICU practice among nursing students by applying a research method based on hermeneutic phenomenology in an attempt to lay a foundation for enhancing theoretical and practical child nursing education.
Methods
The participants were eight nursing student who had experience in clinical practicing in NICU. In-depth interviews were performed from April to December, 2014 until data were fully saturated. Collected data were analyzed using Colaizzi’s method.
Results
Seven theme clusters were extracted from fourteen themes. The seven theme clusters of the nursing students’ clinical practice experience in NICU were: 1) Excitement about the clinical practice setting 2) Afraid of practice environment 3) Babies have priority over clinical practice 4) Comparing with adult nursing clinical practice 5) Feeling pity for babies and their parents 6) New awareness about the role of nurses 7) Demands of enhancing clinical practice.
Conclusion
The results of the study provide useful information in understanding nursing students’ practice experience in NICU and establishing effective strategies to support these nursing students.

Citations

• Experiences of Nursing Interns in the Neonatal Intensive Care Unit in Saudi Arabia: A Phenomenological Study
  Ahmad Ismail, Rawan Gashgari
  Cureus.2024;[Epub]     CrossRef
• Nursing students experiences in neonatal care: A qualitative study
  Carina Barreira, Inês Rodrigues, Fernanda Loureiro
  Journal of Neonatal Nursing.2023; 29(3): 559.     CrossRef
• Development of a protocol for guidance in the pediatric nursing practicum in South Korea: a methodology study
  Hyun Young Koo, Bo Ryeong Lee
  Child Health Nursing Research.2022; 28(1): 51.     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
• Effectiveness of neonatal emergency nursing education through simulation training: Flipped learning based on Tanner’s Clinical Judgement Model
  Sun‐Yi Yang
  Nursing Open.2021; 8(3): 1314.     CrossRef
• Educational needs for practicing neonatal intensive care among Korean nursing students
  Hyun Young Koo, Bo Ryeong Lee
  Child Health Nursing Research.2021; 27(4): 339.     CrossRef
• Nursing Students' Practice Experience on Community Visiting Nursing
  Jae-Hyun Ha, Jeong-Hee Park
  Journal of Korean Academy of Community Health Nurs.2020; 31(1): 43.     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
• Levels of Nursing Students’ Core Skills Performance, Satisfaction, and Clinical Judgment According to Four Types of High-risk Neonatal Nursing Simulation during Three Phases
  Eun Jung Cho, Won Kee Lee
  Journal of Health Informatics and Statistics.2019; 44(2): 206.     CrossRef

Purpose
This study was done to develop and evaluate an algorithm-based simulation scenario for emergency measures for high-risk newborns presenting with apnea.
Methods
A one shot case study design was used to evaluate the algorithm-based simulation scenario. Effects of the developed simulation scenario were evaluated using the Simulation Effectiveness Tool (SET) and the Lasater Clinical Judgement Rubric (LCJR). From March to November 137 senior nursing students completed the simulation using this scenario.
Results
The eight-frame simulation scenario was developed based on the Neonatal Resuscitation Program (NRP) and the nursing clinical judgment process. After use of the scenario, overall scores for SET and LCJR were 21.0 out of 26.0 and 32.4 out of 44.0 respectively. There were no significant differences in scores according to general characteristics. Positive correlation coefficients were identified among overall and subcategories of SET and LCJR. In addition, students provided positive feedback on the simulation experience.
Conclusion
Considering that nursing students have limited access to high-risk newborns during their clinical experience and that newborns presenting apnea are common in the neonatal intensive care unit, the simulation scenario developed in this study is expected to provide nursing students with more opportunities to practice emergency measures for high-risk newborns.

Citations

• Development and Effectiveness of a Rapid Cycle Deliberate Practice Neonatal Resuscitation Simulation Program: A Quasi-Experimental Study
  Sun-Yi Yang, Yun-Hee Oh
  Healthcare.2024; 12(1): 104.     CrossRef
• Implementation of a simulation-based education for mothers in managing respiratory emergencies in the neonatal intensive care unit
  Heemoon Lim, Hyejung Lee
  Journal of Neonatal Nursing.2023; 29(4): 662.     CrossRef
• The effects of neonatal resuscitation gamification program using immersive virtual reality: A quasi-experimental study
  Sun-Yi Yang, Yun-Hee Oh
  Nurse Education Today.2022; 117: 105464.     CrossRef
• Simulation-Based Education Improves Mothers’ Confidencein Managing Respiratory Emergency Situations
  Hee-moon Lim, hyejung Lee
  SSRN Electronic Journal .2022;[Epub]     CrossRef
• Effectiveness of Debriefing for Meaningful Learning-based simulation training on high-risk neonatal care: A randomized controlled simulation study
  Sun-Yi Yang, Yun-Hee Oh
  Clinical Simulation in Nursing.2021; 61: 42.     CrossRef
• Development and Evaluation of a Home-visit Simulation Scenario for Elderly People with Diabetes Mellitus Who Live Alone
  Won Ju Hwang, Jin Ah Kim
  Journal of Community Health Nursing.2020; 37(2): 89.     CrossRef
• Development and Evaluation of an Algorithm-Corresponding Instrument for Nursing Simulation
  Yu-nah Lee, Hyunsook Shin, Dahae Rim, Kaka Shim
  Journal of Nursing Education.2020; 59(11): 617.     CrossRef
• Effects of a Virtual Reality Simulation and a Blended Simulation of Care for Pediatric Patient with Asthma
  Mikang Kim, Sunghee Kim, Woo Sook Lee
  Child Health Nursing Research.2019; 25(4): 496.     CrossRef
• Development and Effects a Simulation-based Emergency Airway Management Education Program for Nurses in a Neonatal Intensive Care Unit
  Minjung Kim, Sunghee Kim
  Child Health Nursing Research.2019; 25(4): 518.     CrossRef
• Effects of Maternity Nursing Simulation using High-fidelity Patient Simulator for Undergraduate Nursing Students
  Ahrin Kim
  Journal of the Korea Academia-Industrial cooperati.2016; 17(3): 177.     CrossRef

PURPOSE
The purpose of this phenomenological study was to explore neonatal intensive care unit (NICU) nurses' experience in caring for infants who are approaching death and to identity the meaning and structure of their experiences.
METHODS
The participants were eight nurses who had experience in caring for these infants. In-depth interviews were performed from December, 2012 to February, 2013 until data were fully saturated. Collected data were analyzed using Colaizzi's method.
RESULTS
Four theme clusters were extracted from fifteen themes. The four theme clusters of the NICU nurses' experience in caring for infants who are dying were: 1) Crossroads between life and comfort of infants approaching death, 2) emotional suffering at the death of the infant, 3) adapting and coping with the death of the infant, 4) new expectations for caring for infants who are dying.
CONCLUSION
The results of the study provide useful information in understanding NICU nurses' experience in caring for infants who are dying and establishing effective strategies to support these nurses.

Citations

• Psychometric properties of the Korean version of the Palliative Care Nursing Self-Competence scale for infant use
  Eun Sook Kim, Sujeong Kim, Kyua Kim, Hyejung Lee
  Australian Critical Care.2023; 36(6): 1019.     CrossRef
• How Do Oncology Nurses Cope With the Psychological Burden of Caring for Dying Patients?
  Mikyoung Lee, Kwisoon Choe, Sangsuk Kim, Yuhwa Shim
  Cancer Nursing.2023; 46(4): E245.     CrossRef
• Nurses’ experiences of providing “sensitive nursing care” for terminally-ill individuals with cancer: A qualitative study
  Sinyoung Kwon, Miyoung Kim, Sujin Choi
  European Journal of Oncology Nursing.2020; 46: 101773.     CrossRef
• Development of an Instrument to Measure Stress in Korean Nurses Performing End-of-Life Care for Children
  So Yeon Park, Hyeon Ok Ju
  Journal of Pediatric Nursing.2020; 54: e84.     CrossRef
• Nurses' Experiences of End-of-life Care for Elderly Patients in Long-term Care Hospitals
  Chun Yee Lee, Ga Eon Lee
  Journal of Korean Academy of Community Health Nurs.2020; 31(2): 199.     CrossRef
• Influence of Perceptions of Death, End-of-Life Care Stress, and Emotional Intelligence on Attitudes towards End-of-Life Care among Nurses in the Neonatal Intensive Care Unit
  Ju-Young Park, Jina Oh
  Child Health Nursing Research.2019; 25(1): 38.     CrossRef
• Difficulties in End-of-Life Care and Educational Needs of Intensive Care Unit Nurses: A Mixed Methods Study
  Hyun Sook Kim, Eun Kyoung Choi, Tae Hee Kim, Hye Young Yun, Eun Ji Kim, Jin Ju Hong, Jeong A Hong, Geon Ah Kim, R.N. Sung Ha Kim
  The Korean Journal of Hospice and Palliative Care.2019; 22(2): 87.     CrossRef
• Neonatal ICU Nurses’ Coping with Death of High Risk Newborn
  Yu Mi Kim, Hyu Yong Yoon, Yong-Jun Choi, Dong-Soo Shin
  Journal of Health Informatics and Statistics.2019; 44(2): 103.     CrossRef
• Person-Centered Relational Care Experienced by Critical Care Nurses: An Interpretative Phenomenological Analysis Study
  Myoung Sun Jang, Sungjae Kim
  Journal of Korean Academy of Nursing.2019; 49(4): 423.     CrossRef
• Nurses’ roles and challenges in providing end-of-life care in neonatal intensive care units in South Korea
  Sujeong Kim, Teresa A. Savage, Mi-Kyung Song, Catherine Vincent, Chang G. Park, Carol Estwing Ferrans, Karen Kavanaugh
  Applied Nursing Research.2019; 50: 151204.     CrossRef
• Stress due to End-of-Life Care, Coping Strategies, and Psychological Well-being among Nurses in Neonatal Intensive Care Units
  Eun Hee Kwon, Hyeon Ok Ju, Eun Ok Jeung, Chun Hee Han, Jin Ju Im, You Ri Lee, Min Seung Jung, So Yeon Park
  Child Health Nursing Research.2018; 24(4): 475.     CrossRef
• Withdrawal of Life-Sustaining Treatment from Children: Experiences of Nurses Caring for the Children
  So Yeon Park, Hyeon Ok Ju, Ga Eon Lee
  Child Health Nursing Research.2017; 23(3): 364.     CrossRef
• Delivery Room Nurses' Experiences of Caring for Stillborn Babies and Their Parents
  Hye Young Jang, Chae Weon Chung
  Korean Journal of Women Health Nursing.2017; 23(3): 166.     CrossRef
• Concept Analysis of Nurses’ Acceptance of Patient Deaths
  Mi Joung Yi, Jeong Seop Lee
  The Korean Journal of Hospice and Palliative Care.2016; 19(1): 34.     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
• Hospice Palliative Nurses' Experience of Caring for Terminal Cancer Patients
  Suhye Kwon, Young Sook Tae, Minjoo Hong, Gum Hee Choi
  Asian Oncology Nursing.2015; 15(4): 264.     CrossRef

PURPOSE
This study was done to identify the effectiveness of the 'intervention - mother's recorded song' on low-birth weight infants in an neonatal intensive care unit (NICU).
METHODS
This study was conducted with a nonequivalent control group pre-posttest quasi-experimental design and the participant group was low-birth weight infants who were admitted to the NICU. Forty-eight infants, 24 in each from two groups, the experimental and control group, participated in the study.
RESULTS
For physical response according to vital signs, there were no significant statistical differences in heart rate, respiration rate and pulse oximetry saturation between the experimental group and the control group. For behavioral state, there was a significant statistical difference between the experimental and control group.
CONCLUSION
The study results indicate that the intervention using mother's song had some significance as a nursing intervention with positive impacts. Such an intervention can help pediatric nurses improve infants' stabilization of their vital signs and behavioral states. By showing the effectiveness of such an intervention, the results of this study provide further evidence-based information in developing the practice of pediatric nursing.

Citations

• Effects of Hearing Recorded Mother's Voice on Physiological Reactions and Behavioral State of Sleep, Weight of Very Low Birth Weight Infants.
  Mi Hyang Choi, In Soon Kang, Young Hae Kim
  Child Health Nursing Research.2014; 20(3): 185.     CrossRef
• Concept Analysis of Developmental Care for Preterm Infants: Hybrid Model.
  Jeongsoon Kim, Heesun Shin
  Child Health Nursing Research.2014; 20(4): 350.     CrossRef

PURPOSE
The purpose of this study was to describe breastfeeding knowledge, attitude and nursing practice of neonatal intensive care unit (NICU) nurses.
METHODS
Survey methodology using a self administered questionnaire was employed as the research design. A total of 153 questionnaires from 7 university hospital NICUs in Seoul, Daejeon, and Daegu were used for data analysis.
RESULTS
The percentage of correct answers on the breastfeeding knowledge questions for the NICU nurses was 59.3%. The nurses in NICU reported a somewhat positive attitude to breastfeeding, mean per item 3.70+/-0.41 on a scale of 5 points. Their breastfeeding nursing practice was at a moderate level, mean per item, 3.26+/-0.74. Breastfeeding knowledge had significant correlations with breastfeeding attitude (r=.554, p<.001) and nursing practice (r=.203, p=.002). Also, There was a significant correlation between breastfeeding attitude and nursing practice (r=.243, p=.002).
CONCLUSION
These results suggest that breastfeeding educational programs and strategies for NICU nurses should be developed to increase their breastfeeding knowledge, attitude, and nursing practice.

Citations

• Development of a Protocol for the Direct Breastfeeding of Premature Infants in Neonatal Intensive Care Units
  Eun Sook Kim, Hyun Gi Min, Ji Yeon Lee, Ji Yoon Lee, Young Hee Yi
  Journal of Perinatal & Neonatal Nursing.2024; 38(1): 73.     CrossRef
• Evaluation of a Mobile-based Maternal Feeding Education Program for Overweight Prevention in Infants
  Jin Suk Ra
  Asian Nursing Research.2021; 15(2): 136.     CrossRef
• Knowledge of and Attitude toward Breastfeeding among Medical Staff Working in the Neonatal Intensive Care Unit and Obstetric Unit
  Eun Sook Kim, Young Hee Cho, Hyejung Lee
  Journal of The Korean Society of Maternal and Chil.2020; 24(2): 102.     CrossRef
• Influencing Factors on Breastfeeding Nursing Activities of Nursing Students
  Ya Ki Yang
  Journal of Korean Academic Society of Nursing Educ.2019; 25(1): 83.     CrossRef
• Impact of Breastfeeding Knowledge, Attitude, and Barriers on Breastfeeding Practice among Twin Mothers
  Jae In Shim, Sook Jung Kang
  Korean Journal of Women Health Nursing.2017; 23(2): 89.     CrossRef