Purpose
Atopic dermatitis (AD) is prevalent among children and often requires family members to assume significant management responsibilities. Family management affects the child’s disease prognosis and health as well as the family’s functioning and overall quality of life. This integrative study aimed to identify the impact of AD on children and their families and examine child- and family-related factors that influence family management.
Methods
Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), a systematic search was conducted across five electronic databases (Cumulative Index to Nursing and Allied Health Literature, PubMed, Web of Science, Research Information Sharing Service, and Korean Information Service System) for studies published between 2000 and May 2024. Studies were screened using predefined inclusion and exclusion criteria, and the Mixed Methods Appraisal Tool was used to evaluate methodological quality.
Results
In total, 1,144 records were identified, and 14 studies met the inclusion criteria. The findings indicate that the impact of AD extends to both children, who experience psychological distress, sleep disturbances, impaired academic performance, and negative self-image, and families, who face treatment challenges, disrupted routines, and economic burden. Factors influencing family management were categorized into child-related factors (developmental stage and disease severity) and family-related factors (family burden, social support, coping strategies, and concerns regarding topical steroid use).
Conclusion
Family management of pediatric AD is shaped by a complex interplay of child- and family-related factors. Therefore, interventions should be designed to strengthen coping resources, enhance social support, and reduce the management burden, promoting child well-being and family resilience.

Purpose
Parental satisfaction is essential for evaluating pediatric care quality and influences healthcare practices and performance. Pediatric patients frequently experience anxiety, affecting their and their parents’ satisfaction. Nurses play a key role in reducing anxiety and improving care interactions. Meeting parents’ expectations shapes long-term outcomes and impacts the hospital’s reputation. While instruments such as the Child ZAP (Zufriedenheit in der Arztpraxis) provide comprehensive measures of satisfaction, their use in Indonesia has not been explored. This study aimed to validate the Child ZAP and offer insights to improve pediatric care quality in Indonesia.
Methods
A cross-sectional study was conducted with 139 mothers whose children were older than 5 years and received treatment at private hospitals. Structured questionnaires were analyzed using partial least squared-structural equation modeling in SmartPLS 4, and a disjoint two-stage method was used to test dimensionality.
Results
All hypotheses were significant (p<.05), demonstrating strong support. All Child ZAP dimensions, treated as lower-order constructs, effectively measured parents’ satisfaction as a higher-order construct. Overall parental satisfaction significantly influenced behavioral intention and mediated its relationship with Child ZAP. The mother’s and the child’s age served as moderating factors. The research model exhibited strong predictive power, underscoring pediatric nurses’ pivotal role in improving communication among parents, physicians, and children to ensure quality care.
Conclusion
The Child ZAP instrument effectively evaluates parental satisfaction by examining how children interact and communicate with medical staff. It assesses doctors’ engagement with children and their communication skills, highlighting nurses’ essential role in providing family-centered pediatric care.

Citations

• Indonesian Patients’ Experiences and Emotional Attachment to Healthcare Services Abroad: A Qualitative Study
  Cashtri Meher, Fotarisman Zaluchu
  Patient Preference and Adherence.2025; Volume 19: 3873.     CrossRef

Purpose
To identify the childbearing intentions of young adults in South Korea and examine the factors influencing them using a social-ecological model (SEM).
Methods
A descriptive cross-sectional study design was used. Unmarried employed men and women (n=181) aged 25–40 years completed an online survey. The data included socio-demographic characteristics and responses at four levels: (1) intrapersonal (perception of parenthood and fertility knowledge), (2) interpersonal (quality of family relationships), (3) institutional (work-family culture), and (4) community and public policy (adequacy of government policies and social support systems). Data were analyzed using descriptive statistics, correlations, and multiple logistic regression.
Results
Approximately 77% of the participants planned to have children, and more than 60% wanted to have two or more children. Among the four levels of SEM, only intrapersonal factors, including intention to marry, fertility knowledge, and attitudes toward parenthood, were statistically significant in influencing childbearing intentions. The model explaining the intention to have a child demonstrated an explanatory power of 59.6%, incorporating factors such as marital intention, perceptions of parenthood, and fertility knowledge.
Conclusion
A noticeable gap exists between childbearing intentions and childbirth in South Korea. These findings provide insights into the nursing educational content needed for delivering family planning education to young adults. Targeted interventions such as counseling services and community education should be integrated into nursing practice. Moreover, nursing curricula should discuss factors influencing childbearing intentions to equip future nurses better to support young adults' family planning decisions.

Purpose
This study aimed to investigate the knowledge, opinions, competence, and barriers of nurses providing trauma-informed care (TIC) to children in hospitals.
Methods
Data were collected from 198 nurses nationwide using the TIC Provider Survey developed by the Center for Pediatric Traumatic Stress in July, 2024. Descriptive statistics, t tests, and one-way ANOVA were conducted using the IBM SPSS Statistics software (ver. 23.0, IBM Corp.).
Results
Of the 13 items assessing knowledge of TIC, seven had a correct response rate of over 90%. However, the correct response rate for these three items were less than 30%. Regarding opinions on the TIC, more than 90% of participants agreed with five of the seven items. In self-rated competence in providing TIC, they were not competent in responding to a child’s (or parent’s) questions about whether the child is going to die or understanding how traumatic stress may present differently according to developmental stages. The major barriers to providing TIC were time constraints, lack of training, and organizational support. Items with relatively low performance rates were ‘teach parents what to say to their child after a difficult/sick/scary experience, and teach child or parents the specific ways to cope with unpleasant experiences’.
Conclusion
This study suggests that it can contribute to the development of specific guidelines for nurses to effectively apply TIC in pediatric and family nursing practice, emphasizing the need for educational programs to support this implementation.

Citations

• Overcoming Workplace Struggles: The Mediating Role of Trauma‐Informed Climate on Psychological Well‐Being, Emotional Resilience and Job Performance Among Critical Care Nurses
  Haitham Mokhtar Mohamed Abdallah, Mohammed ElSayed Zaky, Shaimaa Mohamed Amin, Eman Yasser Hammouda, Mohamed Hussein Ramadan Atta, Sameer A. Alkubati, Sally Mohammed Farghaly Abdelaliem, Nagwa Ibrahim Mohamed Hamad
  Nursing in Critical Care.2026;[Epub]     CrossRef
• The Knowledge, Attitude, and Practice of Nurses Regarding Trauma‐Informed Care for Traumatic Injured Patients: A Multicenter Cross‐Sectional Study
  Lingxiao He, Yunting Luo, Jun Chen, Renrong Gong, Dengbin Liao, Lesley Barr
  Journal of Nursing Management.2025;[Epub]     CrossRef

Purpose
This study aimed to examine pediatric hospital nurses' perceptions and performance of family-centered care.
Methods
A descriptive study design was used. This study surveyed 162 nurses who worked at a single tertiary children's hospital in South Korea. The modified Family-Centered Care Scale was used to assess nurses' perceptions and performance of family-centered care. Barriers to the implementation of family-centered care were described in an open-ended format.
Results
Pediatric hospital nurses had a higher score for perceptions (mean score=4.07) than for performance (mean score=3.77). The collaboration subscale had the lowest scores for both perceptions and performance. The perceptions of family-centered care differed significantly according to the nurses’ clinical career in the pediatric unit and familiarity with family-centered care, while performance differed according to clinical career only. Perceptions and performance were positively correlated (r=.594, p<.001). Barriers to implementation included a shortage of nursing personnel, a lack of time, and the absence of a family-centered care system.
Conclusion
To improve the performance of family-centered care, nurses’ perceptions of family-centered care should be improved by offering education programs and active support, including sufficient staffing, and establishing systems within hospitals.

Citations

• Dimensions, challenges, and improvement strategies of family-centered care in emergency pediatric settings: A mixed-methods systematic review
  Arezoo Ghavi, Zohreh Nabizadeh-Gharghozar, Leila Valizadeh, Aydin Feyzi
  Journal of Pediatric Nursing.2026; 86: 300.     CrossRef
• “My image of the elderly …”: an analysis of elderly representations in children's drawings
  Mükerrem Kabataş Yıldız, Oya Sevcan Orak
  Journal of Pediatric Nursing.2026; 87: 209.     CrossRef
• Family experiences regarding treatments and therapies for children with developmental disabilities: A qualitative study
  Yoomi Shin, Naeun Park, Hyunyoung Lee, Anna Lee
  Children and Youth Services Review.2026; 182: 108783.     CrossRef
• The parent-doctor-child triangle: a structural equation modeling-based study in pediatric outpatient clinics in Indonesia
  Areta Idarto, Ferdi Antonio
  Child Health Nursing Research.2025; 31(1): 63.     CrossRef
• Development of an atraumatic care education model based on family-centered care to improve maternal behavior in reducing children's stress during hospitalization
  Dera Alfiyanti, Yuni Sufyanti Arief, Ilya Krisnana, Mira Triharini, Arief Yanto
  Journal of Pediatric Nursing.2025; 83: 218.     CrossRef
• Association Between Family Importance in Nursing Care and Parental Satisfaction: A Cross-sectional Study
  Mehdi Mahmoudzadeh, Mohammad Ali Mohammadi, Shohreh Moshfeghi, Behrouz Dadkhah
  Journal of Nursing and Midwifery Sciences.2025;[Epub]     CrossRef
• การปฏิบัติและอุปสรรคในการดูแลโดยมีครอบครัวเป็นศูนย์กลางของพยาบาลเด็ก
  เพชรสุนีย์ ทั้งเจริญกุล, เต็มดวง บุญเปี่ยมศักดิ์, กิติยากร สร้อยนาค, พุทธสิริ เชื้อสกุล
  Thai Red Cross Nursing Journal.2025; 18(3): 103.     CrossRef
• Impact of Management-Integrated Learning Materials on the Promotion of Child- and Family-Centered Care in Peripheral IV Placement
  Keiko Aizawa, Kyoko Kobayashi, Yuki Yonekura, Chifumi Yoshida, Mika Hirata, Noyuri Yamaji, Hiromi Oku
  Comprehensive Child and Adolescent Nursing.2025; : 1.     CrossRef
• Family-centred care as a mediator in the relationship between parental nurse support and parental stress in neonatal intensive care units
  Ahmed Loutfy, Mohamed Ali Zoromba, Mai Adel Mohamed, Heba Emad El-Gazar, Shaherah Yousef Andargeery, Ahmed Hashem El-Monshed, Corrien Van Belkum, Ahmed Salah Ali
  BMC Nursing.2024;[Epub]     CrossRef
• “It's challenging but not impossible”: Exploring clinical instructors' experiences of child and family centered care in clinical nursing education
  Mohammad Al-Motlaq
  Journal of Pediatric Nursing.2024; 78: 172.     CrossRef
• Parent Education and Counseling (PairEd-C) Intervention to Improve Family-Centered Care: Protocol for a Prospective Acceptability Study Using the Theoretical Framework of Acceptability
  Leul Deribe, Eshetu Girma, Nataliya Lindström, Abdulkadir Gidey, Solomon Teferra, Adamu Addissie
  JMIR Research Protocols.2024; 13: e54914.     CrossRef
• A validity and reliability of the atraumatic care education model questionnaire based on family-centred care in minimising the stress of hospitalisation in children
  Dera Alfiyanti, Arief Sufyanti, Ilya Krisnana, Mira Triharini, Satriya Pranata
  Scripta Medica.2024; 55(5): 537.     CrossRef

Purpose
The purpose of this study was to investigate the effect of family-centered interventions on improving health outcomes in children and adolescents with type 1 diabetes mellitus (T1DM).
Methods
A literature search was conducted according to the PRISMA guidelines, using six electronic databases: EMBASE, CINAHL, Medline, CENTRAL, Scopus, and Web of Science. The inclusion criteria encompassed studies with populations of children and adolescents (age <18 years) and at least one parent/caregiver, or only parents/caregivers if the children were very young, and studies that investigated the health outcomes of children and parents/caregivers diagnosed with T1DM.
Results
From 2,746 published studies, only nine studies met the inclusion criteria. The key interventions were non-technology-based interventions (n=4), technology-based interventions (n=2), and combined technology- and non-technologybased interventions (n=3). The interventions had effects on glycated hemoglobin, adherence to diabetes management, diabetes self-management behaviors, and parentchild teamwork in diabetes management. Other essential effects were children's quality of life, children's problem-solving skills, parents' quality of life, and parents' coping and depression.
Conclusion
Family-centered interventions can effectively improve health outcomes in children and adolescents with T1DM. In the future, family-centered interventions integrated with other approaches, theories, and models should be developed to achieve the best possible outcomes.

Citations

• Family therapy and systemic interventions for child‐focussed problems: The evidence base
  Alan Carr
  Journal of Family Therapy.2025;[Epub]     CrossRef
• A Family Peer Advocate Model to Address Disparities in Access to Care for Minority Autistic Children with Co-Occurring Attention-Deficit/Hyperactivity Disorder
  Pilar Trelles, Behrang Mahjani, Emma Wilkinson, Nicholas Buonagura, Lauren Donnelly, Jennifer Foss Feig, Danielle Halpern, Mary McKay, Paige Siper, Joseph D Buxbaum, Alexander Kolevzon
  Journal of Developmental and Physical Disabilities.2025; 37(2): 217.     CrossRef
• Pre-Type 1 Diabetes in Adolescents and Teens: Screening, Nutritional Interventions, Beta-Cell Preservation, and Psychosocial Impacts
  Brody Sundheim, Krish Hirani, Mateo Blaschke, Joana R. N. Lemos, Rahul Mittal
  Journal of Clinical Medicine.2025; 14(2): 383.     CrossRef
• Integrating Theory With a User-Centered Design Approach to Maximize mHealth Acceptability and Usability
  A. Susana Ramírez, Guadalupe Xochitl Ayala, Mary Murillo, Debora C. Glik, Alma D. Guerrero
  Health Education & Behavior.2025; 52(3): 329.     CrossRef
• Pediatric Non-Alcoholic Fatty Liver Disease (NAFLD): Trends, Mortality, and Socioeconomic Disparities in the U.S., 1998–2020
  Paul Wasuwanich, Joshua M. So, Mustafa Sadek, Chaowapong Jarasvaraparn, Songyos Rajborirug, Ruben E. Quiros-Tejeira, Wikrom Karnsakul
  Children.2025; 12(1): 71.     CrossRef
• Impact of family environment on mental disorders and quality of life in children with type 1 diabetes mellitus: a cross-sectional study and intervention policy analysis
  Jing Liu, Jinhong Li, Lichang Li, Kun Zeng
  Frontiers in Pediatrics.2025;[Epub]     CrossRef
• Parental Determinants in Childhood Diabetes Prevention and Management: A Scoping Review Examining Impacts and Strategies
  Sahara Dhakal, Juraporn Tangpukdee, Wasana Ruaisungnoen, Thiwawan Thepha, Alok Kafle
  Nursing & Health Sciences.2025;[Epub]     CrossRef
• Diabetes tipo 1 em crianças: análise qualitativa das percepções e estratégias de enfrentamento
  Eleny Rosa Guimarães Gonçalves, Elídia Fabiana de Souza Xavier, Mariana Moro Bernardes, Maria Caroline da Silva Basso, Rodolfo de Oliveira Medeiros, Tereza Laís Menegucci Zuttin, Bárbara Marques, Larissa Fonseca, Gisela Toni Guizardi, Luiz Fernando Fregat
  Caderno Pedagógico.2025; 22(8): e17489.     CrossRef
• Review of Health Care Professional-Delivered Behavioral Interventions for Youth with Type 1 Diabetes
  Emma Straton, Amanda Perkins, Giselle Maya, Sydney White, Jody Grundman, Marisa E. Hilliard, Randi Streisand
  Current Diabetes Reports.2025;[Epub]     CrossRef
• Psychometric Properties of the Serbian Teen Version of the Problem Areas in Diabetes Scale—A Validation Study
  Mirjana Smudja, Tatjana Milenković, Ivana Minaković, Vera Zdravković, Sandra Mitić, Ana Miljković, Dragana Milutinović
  Nursing Reports.2025; 15(9): 326.     CrossRef
• Parenting interventions for parents of children with type 1 diabetes—a systematic review
  Mandy Jansen, Paul G Voorhoeve, Lianne Wiltink, Judith B Prins, Giesje Nefs
  Journal of Pediatric Psychology.2025; 50(12): 1115.     CrossRef
• Psychosocial Care for Youth with Type 1 Diabetes
  Jenna B. Shapiro, Kimberly P. Garza, Marissa A. Feldman, Madeleine C. Suhs, Julia Ellis, Amanda Terry, Kelsey R. Howard, Jill Weissberg-Benchell
  Endocrinology and Metabolism Clinics of North Amer.2024; 53(1): 107.     CrossRef
• Moderating Effect of Depression on Glycemic Control in an eHealth Intervention Among Black Youth With Type 1 Diabetes: Findings From a Multicenter Randomized Controlled Trial
  Deborah Ellis, April Idalski Carcone, Thomas Templin, Meredyth Evans, Jill Weissberg-Benchell, Colleen Buggs-Saxton, Claudia Boucher-Berry, Jennifer L Miller, Tina Drossos, M Bassem Dekelbab
  JMIR Diabetes.2024; 9: e55165.     CrossRef
• Adolescents and type 1 diabetes: A grounded theory on adolescents' experiences of adaptation to type 1 diabetes
  Lobna Harazneh, Malakeh Z. Malak, Ahmad Ayed
  Journal of Pediatric Nursing.2024; 76: e159.     CrossRef
• Self-care activities in pediatric patients with type 1 diabetes mellitus
  Mirjana Smudja, Tatjana Milenković, Ivana Minaković, Vera Zdravković, Jovan Javorac, Dragana Milutinović, Myriam M. Altamirano-Bustamante
  PLOS ONE.2024; 19(3): e0300055.     CrossRef
• Educational needs of school health teachers caring for students with type 1 diabetes: An analysis using the Borich needs assessment and the locus for focus models
  Heewon Seok, Ju-Yeon Uhm
  The Journal of Korean Academic Society of Nursing .2024; 30(4): 347.     CrossRef
• Alphabetical approach to managing type 1 diabetes in a limited resource setting: implications and solutions- a perspective from India
  Mahira Saiyed, Apoorva Gomber, Rutul Gokalani, Archna Sarda, Banshi Saboo, Sanjay Karla
  The Evidence.2024;[Epub]     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.

Purpose
This study was conducted to investigate nurses’ perceptions and performance of family-centered care (FCC) at a children’s hospital in Sri Lanka and to explore the feasibility of implementing FCC in the context of the Sri Lankan healthcare system.
Methods
A convergent, parallel, mixed-methods design was applied to understand Sri Lankan nurses’ perspectives on FCC. In total, 157 nurses working at a large teritagy children’s hospital responded to a self-report survey and 18 nurses participated in focus group interviews.
Results
Of the factors of FCC, family participation in caring for children received the highest score (4.09±0.51) for perceptions, and information-sharing received the highest score (3.54±0.55) for performance. The qualitative data revealed the following five themes: (a) importance of the family in caring for children; (b) helping families during children’s hospitalization; (c) taking steps to implement FCC, even with imperfect knowledge; (d) barriers in the current situation; and (e) suggested strategies to promote FCC.
Conclusion
Participants endorsed the concept of FCC and demonstrated some aspects of it in their day-to-day practice. The results indicate a clear knowledge deficit and several challenges, which need to be addressed to effectively implement FCC.

Citations

• Dimensions, challenges, and improvement strategies of family-centered care in emergency pediatric settings: A mixed-methods systematic review
  Arezoo Ghavi, Zohreh Nabizadeh-Gharghozar, Leila Valizadeh, Aydin Feyzi
  Journal of Pediatric Nursing.2026; 86: 300.     CrossRef
• A scoping review of the perceptions and practices of pediatric nurses’ toward family-centered care
  Haytham Mohammad Al-Oran, Mahmoud Ayed Al-Frejat
  Frontiers of Nursing.2025; 12(2): 177.     CrossRef
• Análisis de la Relevancia e Impacto de la Enfermería Pediátrica en los Distintos Contextos de la Salud
  Velkys Marlenys Castillo Sánchez, Yasmery Yamileth Moreno Flores
  Estudios y Perspectivas Revista Científica y Acad.2025; 5(3): 3374.     CrossRef
• Association Between Family Importance in Nursing Care and Parental Satisfaction: A Cross-sectional Study
  Mehdi Mahmoudzadeh, Mohammad Ali Mohammadi, Shohreh Moshfeghi, Behrouz Dadkhah
  Journal of Nursing and Midwifery Sciences.2025;[Epub]     CrossRef
• Family-Centered Care in the Pediatric Intensive Care Unit
  Elizabeth A. Olafson, Ivette Hidalgo, Luzmary Ocampo
  Critical Care Nursing Clinics of North America.2025;[Epub]     CrossRef
• Nurses' Experiences of the Prerequisites for Implementing Family-Centered Care to Prevent Pediatric Delirium
  Tiina Saarenpää, Miia Jansson, Heli Kerimaa, Riitta Alanko, Outi Peltoniemi, Miikka Tervonen, Tiina Lahtela, Tarja Pölkki
  Clinical Nurse Specialist.2024; 38(5): 221.     CrossRef
• Parent Education and Counseling (PairEd-C) Intervention to Improve Family-Centered Care: Protocol for a Prospective Acceptability Study Using the Theoretical Framework of Acceptability
  Leul Deribe, Eshetu Girma, Nataliya Lindström, Abdulkadir Gidey, Solomon Teferra, Adamu Addissie
  JMIR Research Protocols.2024; 13: e54914.     CrossRef
• Family-Centered Care from the Point of View of Undergraduate Nursing Students Studying in Selected Public Universities: A Cross-Sectional Study
  Haytham Al-Oran, Ahmad Al-Sagarat, Hala Obeidat
  Health Scope.2024;[Epub]     CrossRef
• A Cross-Sectional Study of Pediatric Nurses’ Perceptions and Practices of Family-Centered Care in Governmental Pediatric Setting
  Haytham Al-Oran, Ahmad AL-Sagarat, Faris Alsaraireh, Deema Mahasneh
  Journal of Comprehensive Pediatrics.2023;[Epub]     CrossRef
• The perceptions and performance of family-centered care among pediatric nurses at a children's hospital in South Korea: a descriptive study
  Suk-Jin Lim, Kyung-Sook Bang
  Child Health Nursing Research.2023; 29(3): 207.     CrossRef

Purpose
This study was conducted to investigate factors affecting health behaviors in late school-aged children from multicultural families.
Methods
This study included 401 children (112 from multicultural families and 289 from non-multicultural backgrounds) in grades 4~6 in 11 elementary schools. Data on health behaviors and related factors (school adjustment, the mother-child relationship, self-efficacy, etc.) were collected from the children using self-reported questionnaires between May and June in 2019. The collected data were analyzed through a univariate analysis and multiple regression analysis.
Results
The health behavior score of multicultural children was lower than that of non-multicultural children (t=3.32, p=.001). In multicultural children, school adjustment (β=.55, p<.001), mother-child relationship (β=.25, p=.001), and perceived health status (very healthy=1; β=.19, p=.011) were significant factors affecting their health behavior and explained 47.0% (F=30.93, p<.001) of the variance.
Conclusion
Multicultural late school-aged children are at risk to engage in a lower level of health behaviors than their non-multicultural counterparts. More attention should be paid to ways of improving multicultural children’s perceptions of their health status, maternal relationships, and school adjustment in order to promote health behaviors.

Citations

• The Moderating Effect of South Korean Children’s Encounter with Children from Multicultural Families on the Relationship between Their Fathers' Perception of Multicultural Families and Their Racial Awareness
  Juan Ouyang, Kyung Eun Jahng
  Child Indicators Research.2021; 14(6): 2197.     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
• Exploration of Family-Centered Care in NICUs: A Grounded Theory Methodology
  Young Ah Park, YeoJin Im
  Qualitative Health Research.2025; 35(10-11): 1231.     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
• 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
The purpose of this study was to obtain research-based evidence on the relationships among general characteristics, family strength, self-control, and happiness among late school-aged children using a correlational research design.
Methods
The participants were 172 fifth- and sixth-grade students from two public elementary schools. Data were collected by employing structured questionnaires, including the Korean Family Strengths Scale for Strengthening Family II, a self-control scale, and a happiness scale. Data analysis was conducted using SPSS version 23.0.
Results
The level of happiness of late school-aged students showed significant correlations with family strength (r=.78, p<.001), and self-control (r=.59, p<.001). Family strength had a significant positive correlation with self-control (r=.55, p<.001). The factors with a significant impact on participants’ happiness were family strength (β=.63, p<.001), self-control (β=.21, p<.001), exercise frequency, and self-perceived health. The total explanatory power of the model was 69%, and the explanatory power of family strength for the level of happiness was 61%, showing that the family strength was the most important factor that promoted happiness in late school-aged students.
Conclusion
These findings imply that improving family strength is an important aspect of promoting happiness among late school-aged children. Interventions to strengthen late school-aged children’s self-control are also necessary.

Citations

• The Concept of Happiness in Children, Adolescents and the Factors that Influence it: a Systematic Literature Review
  Magdalini Vampa, Mitjana Profiri, Elona Kodhel, Dashamir Bërculli, Kaltrina Kelmendi, Natyra Agani-Destani
  Journal of Lifestyle and SDGs Review.2025; 5(3): e05405.     CrossRef
• Peer bonds and nature’s embrace: exploring the influence of pet caregiving on social well-being and nature connection among Taiwanese children
  Tzuhui Angie Tseng, Hsiao-Yen Fang, Ching-Cheng Shen, Yun-Chen Chang
  Frontiers in Public Health.2024;[Epub]     CrossRef
• Predictors of Adolescents’ Subjective Happiness Based on Roy’s Adaptation Model: A Longitudinal Study
  Jeong-Eun Yang, SeolHwa Moon
  The Open Public Health Journal.2024;[Epub]     CrossRef
• Investigation of aggression and happiness level in parents of 8-11 years old children playing sports
  Mehmet Metín, Servet Özoruç
  Sportis. Scientific Journal of School Sport, Physi.2024; 11(1): 1.     CrossRef
• Effects of Health Intentions and Health-promoting Behavior on Selfesteem among School-aged Children in South Korea
  Jin Kim, Ga Eul Jeon, Nam Hyun Cha
  Current Pediatric Reviews.2023; 19(3): 304.     CrossRef

Purpose
The purpose of this study was to identify and describe health care providers’ perceptions of family-centered care in pediatrics.
Methods
A qualitative descriptive study was designed. Data were collected from individual interviews using open-ended questions. Fifty-six pediatric health care providers participated in the study from January to April 2015. Data were analyzed using qualitative content analysis to identify the major perceptions of pediatric health care providers.
Results
The providers perceived that the concept of family-centered care has been incompletely implemented. Five themes (respecting a child's family, taking care of a child with the child's family, sharing information about children, supporting a child's family, a child's family participating in child care) with 11 sub-themes were identified in the providers’ experiences with families. To achieve the goal of family-centered care in pediatrics, medical and nursing conditions must be improved, education about family-centered care must be provided, and improvements should be made in the mindset of health care providers regarding patients and in families’ willingness to participate in care.
Conclusion
The findings from this study provide insight into pediatric health care providers’ perceptions of family-centered care. It will contribute to the establishment of a foundation for implementing family-centered care in pediatric nursing.

Citations

• Exploration of Family-Centered Care in NICUs: A Grounded Theory Methodology
  Young Ah Park, YeoJin Im
  Qualitative Health Research.2025; 35(10-11): 1231.     CrossRef
• A scoping review of the perceptions and practices of pediatric nurses’ toward family-centered care
  Haytham Mohammad Al-Oran, Mahmoud Ayed Al-Frejat
  Frontiers of Nursing.2025; 12(2): 177.     CrossRef
• Investigation of predictor factors of the nursing students attitudes toward parents' participation in care
  Sibel Serap Ceylan, Türkan Turan
  Journal of Pediatric Nursing.2023; 73: e503.     CrossRef
• Levels of Partnership between Nurses and Parents of Hospitalized Children and the Quality of Pediatric Nursing Care as Perceived by Nurses
  So Yeon Yoo, Haeryun Cho, Yae Young Kim, Ji Hyeon Park
  Child Health Nursing Research.2020; 26(1): 64.     CrossRef

Purpose
This study aimed to test the validity and reliability of the Korean version of the Families’ Importance in Nursing Care-Nurses’ Attitudes (FINC-NA) instrument developed by Saveman et al.
Methods
The 222 pediatric nurses’ data were collected from 13 hospitals in South Korea and were analyzed using descriptive statistics, exploratory factor analysis, the Pearson correlation coefficient, and the Cronbach’s ⍺ in SPSS software. The AMOS program was used to conduct confirmatory factor analysis of construct validity.
Results
Of the 26 initial items, 24 were ultimately selected after evaluating content validity, construct validity, and reliability. The following 6 factors were included in the Korean version of the Families’ Importance in Nursing Care-Pediatric Nurses’ Attitudes (KFINC-PNA): family as a ‘conversational partner’, ‘participant in care’, ‘supporter for the nurse’, ‘burden’, ‘recipient of empowerment’, and ‘its own resource’.
Conclusion
The KFINC-PNA was partially modified to explain differences in language and culture, but its validity and reliability were verified. Pediatric nurses’ attitudes can be assessed using the KFINC-PNA, and adjustments to the care of hospitalized children and their families can be made based on these items. We recommend developing and verifying intervention methods that will improve family-centered care for hospitalized children and their families.

Citations

• A framework to improve family involvement in the hospital nursing care of an autistic child
  Neil A. Williams, Dudu G. Sokhela, Thembelihle S.P. Ngxongo
  Curationis.2025;[Epub]     CrossRef
• Nursing Role in Managing Care for Patients Without Family Support
  Hadiya Saray Suwailem Al-Shammari, Nefayed Aldahw S Alhazmi, Mohammed Hameed Hamed Alzaidi, Abdullah Ibrahim Alothman, Alsultan, Mohammed Abdulrahman A, Mona Abdullah Husain Alanazi, Badriah Ali Alshamrani, Faizah Saleh Dhahawi Alanazi, Dalal Fal
  International Journal of Computational and Experim.2024;[Epub]     CrossRef
• Nurses’ Attitudes Toward the Importance of Families in Nursing Care: A Multinational Comparative Study
  Lisa A. Cranley, Simon Ching Lam, Sarah Brennenstuhl, Zarina Nahar Kabir, Anne-Marie Boström, Angela Yee Man Leung, Hanne Konradsen
  Journal of Family Nursing.2022; 28(1): 69.     CrossRef
• Wise Infant Development®: creation of a software for teaching in pediatric nursing education
  Wesley Soares de Melo, Isabelle e Silva Sousa, Samara Pereira Souza Mariano, Aglauvanir Soares Barbosa, Dayllanna Stefanny Lopes Lima Feitosa, Vanessa Emille Carvalho de Sousa Freire, Emanuella Silva Joventino Melo, Flávia Paula Magalhães Monteiro
  Revista Brasileira de Enfermagem.2022;[Epub]     CrossRef
• Exploring the Influences of Nurses’ Partnership with Parents, Attitude to Families’ Importance in Nursing Care, and Professional Self-Efficacy on Quality of Pediatric Nursing Care: A Path Model
  So Yeon Yoo, Haeryun Cho
  International Journal of Environmental Research an.2020; 17(15): 5452.     CrossRef
• Canadian Hospital and Home Visiting Nurses’ Attitudes Toward Families in Transitional Care: A Descriptive Comparative Study
  Lisa Hoplock, Michelle Lobchuk, Leslie Dryburgh, Nicole Shead, Rashid Ahmed
  Journal of Family Nursing.2019; 25(3): 370.     CrossRef

Purpose
This study aimed to identify the effects of the mother-medical staff partnership on mothers’ condition management ability for children with chronic allergic diseases.
Methods
A total of 109 Korean mothers caring for a child with a chronic allergic diseases, identified according to the allergic march, such as food allergy, atopic dermatitis, allergic rhinitis, and allergic asthma, were recruited from the pediatric department of a general hospital in Seoul through convenience sampling. Data were collected using structured self-reported questionnaires from August 1, 2017 to October 31, 2017. and analyzed by descriptive statistics and multiple regression using SPSS version 22.0.
Results
The Mother-medical staff partnership had a statistically significant effect on mothers’ condition management ability for children with chronic allergic diseases (p<.05). Among the general characteristics, satisfaction with nursing services had a statistically significant effect on mothers’ condition management ability (p<.05).
Conclusion
In conclusion, strategies to support children with chronic allergic diseases, as well as their caregivers, should consider the mother-medical staff partnership as part of a family-centered approach.

Citations

• Impact of Pediatric Nurses’ Nursing Professionalism on Quality of Nursing Care: Double Mediating Effect of Clinical Decision Making and Pediatric Nurse-Parent Partnership
  Jung-Eun Lee, Mi-Young Choi
  Journal of Korean Academy of Nursing Administratio.2024; 30(1): 55.     CrossRef
• Effects of Anxiety, Parenting Efficacy, and Partnership With Nurses on the Caring Behaviors of Mothers of Hospitalized Children
  Yu Jin Hong, Hyeon Ok Kim
  Journal of Korean Maternal and Child Health.2024; 28(3): 111.     CrossRef
• Ecological factors affecting first-time mothers’ satisfaction with Sanhujoriwons (postpartum care centres) from South Korea: a cross-sectional and correlational study
  Ju-Eun Song, Soyeon Lee, Min Kyong Lee, Hyun-Ju Chae
  BMC Pregnancy and Childbirth.2023;[Epub]     CrossRef
• Patient-Nurse Partnerships to Prevent Medication Errors: A Concept Development Using the Hybrid Method
  Hee-Ja Jeong, Eun-Young Park
  International Journal of Environmental Research an.2022; 19(9): 5378.     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
• Tracing the Use of the Family Management Framework and Measure: A Scoping Review
  Kathleen A. Knafl, Janet A. Deatrick, Agatha M. Gallo, Beth Skelton
  Journal of Family Nursing.2021; 27(2): 87.     CrossRef

Purpose
This paper is a report on the concept analysis of family-centered care for hospitalized children.
Methods
The concept analysis approach of Walker and Avant was used. A search of multidisciplinary literature published between 1960 and 2016 was undertaken using the keyword ‘family centered care’ or ‘family centered nursing’ combined with hospitalized children. Attributes, antecedents, and consequences were inductively derived from the citations analyzed (n=19).
Results
The attributes of family-centered care included (1) family respect, (2) collaboration, (3) family support, and (4) information sharing. These attributes are influenced by the ‘willingness of family to participate’, ‘competency and willingness of staff,’ and ‘institution policy and system.’ Additionally, family-centered care does significantly impact ‘the health of the children’, ‘family empowerment’ and ‘work satisfaction and self-confidence of staff’.
Conclusion
Family-centered care of hospitalized children as defined by the result of this study will contribute to the theoretical foundation for application in pediatric nursing practice.

Citations

• Factors affecting pediatric nurses’ development of partnerships with parents of hospitalized children: An evaluation based on the stress-coping adaptation model
  In Young Cho, So Hyoung Hong, Ji Yeong Yun
  Journal of Child Health Care.2025; 29(1): 53.     CrossRef
• Development of an atraumatic care education model based on family-centered care to improve maternal behavior in reducing children's stress during hospitalization
  Dera Alfiyanti, Yuni Sufyanti Arief, Ilya Krisnana, Mira Triharini, Arief Yanto
  Journal of Pediatric Nursing.2025; 83: 218.     CrossRef
• Mothering children at a paediatric intensive care unit with strict visiting hours: A qualitative study
  Na‐Ry Chung, Sun‐Mi Chae
  Nursing in Critical Care.2024; 29(6): 1654.     CrossRef
• Assessing the maturity of the “Family Centered Care” concept: A review of concept analyses studies
  Mohammad Al-Motlaq, Mandie Foster, Maggie Zgambo, Sarah Neill
  Journal of Pediatric Nursing.2024; 79: 150.     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
• A validity and reliability of the atraumatic care education model questionnaire based on family-centred care in minimising the stress of hospitalisation in children
  Dera Alfiyanti, Arief Sufyanti, Ilya Krisnana, Mira Triharini, Satriya Pranata
  Scripta Medica.2024; 55(5): 537.     CrossRef
• The perceptions and performance of family-centered care among pediatric nurses at a children's hospital in South Korea: a descriptive study
  Suk-Jin Lim, Kyung-Sook Bang
  Child Health Nursing Research.2023; 29(3): 207.     CrossRef
• Psychometric Validation of the Korean Version of the Family-Centered Care Questionnaire—Revised
  Jihee Han, Won-Oak Oh, YooJin Heo, Sunho Kim
  Journal of Nursing Measurement.2023; 31(3): 347.     CrossRef
• Effects of the Discharge Education Program on Family Caregivers Caring for Patients on Mechanical Home Ventilation in Korea: A Pilot Test
  Hyang Sook Kim, Gwang Suk Kim, Hyangkyu Lee, JiYeon Choi, Young Sam Kim, Eui Geum Oh
  Home Health Care Management & Practice.2022; 34(4): 258.     CrossRef
• Research Trends of Follow-Up Care after Neonatal Intensive Care Unit Graduation for Children Born Preterm: A Scoping Review
  So Ra Kang, Haeryun Cho
  International Journal of Environmental Research an.2021; 18(6): 3268.     CrossRef
• Levels of Partnership between Nurses and Parents of Hospitalized Children and the Quality of Pediatric Nursing Care as Perceived by Nurses
  So Yeon Yoo, Haeryun Cho, Yae Young Kim, Ji Hyeon Park
  Child Health Nursing Research.2020; 26(1): 64.     CrossRef
• Developing a conceptual model of pediatric inpatient safety accidents: A mixed methods approach
  Won‐Oak Oh, EunJoo Kim, YeoJin Im, Jihee Han, Mirim Kim
  Nursing & Health Sciences.2020; 22(3): 777.     CrossRef
• Medication self-management and the quality of discharge education among parents of children with epilepsy
  Hyun Jie Lee, Eun Kyoung Choi, Hee Soon Kim, Hoon Chul Kang
  Epilepsy & Behavior.2019; 94: 14.     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
• Validity and Reliability of the Korean Version of the Families’ Importance in Nursing Care-Pediatric Nurses’ Attitudes Instrument
  Jina Oh, Yae Young Kim, So Yeon Yoo, Haeryun Cho
  Child Health Nursing Research.2018; 24(3): 274.     CrossRef
• Health Care Providers’ Perceptions of Family-centered Care in Pediatrics
  So Young Jung
  Child Health Nursing Research.2018; 24(4): 465.     CrossRef
• Comparison of the Quality of Nursing Care as Perceived by Pediatric Nurses and Mothers of Hospitalized Children
  So Yeon Yoo, Yae Young Kim, Haeryun Cho
  Child Health Nursing Research.2018; 24(4): 373.     CrossRef

Purpose
Involvement of families in rounds is one strategy to implement patient- and family-centered care to help families get clear information about their child, and be actively involved in decision making. The purpose of this paper was to identify the major concepts of family-centered rounds for hospitalized children.
Methods
We searched five electronic databases for relevant articles and used Whittemore and Knafl’s integrative review methods to synthesize the literature. Articles published between June 2003 and January 2016 were reviewed and through full text screening 24 peer-reviewed articles were found that met the selection criteria for this review.
Results
Through in-depth discussion and investigation of the relevant literature, four overarching components emerged: (a) cognition of parents and medical staff, (b) effective communication, (c) collaboration of family and medical staff, and (d) coaching of medical staff.
Conclusion
For successful family-centered rounds positive cognition is important. Appropriate communication skills and consideration of multi-cultural family can lead to effective communication. Offering consistent and transparent information is important for collaboration between family and medical staff. Prior education on family-centered rounds is also important. Four major components have been identified as basic standards for implementing family-centered rounds for hospitalized children.

Citations

• Analysis of Communication Content on Bedside Rounds in a Hospital - Implications for Patient Centered Communication
  Yeon-Hoon Jang, Myoung-Soon You, Gi-Beom Park, Bong-Won Suh, Chang-Eun Song
  Quality Improvement in Health Care.2023; 29(1): 43.     CrossRef
• Psychometric Validation of the Korean Version of the Family-Centered Care Questionnaire—Revised
  Jihee Han, Won-Oak Oh, YooJin Heo, Sunho Kim
  Journal of Nursing Measurement.2023; 31(3): 347.     CrossRef
• Levels of Partnership between Nurses and Parents of Hospitalized Children and the Quality of Pediatric Nursing Care as Perceived by Nurses
  So Yeon Yoo, Haeryun Cho, Yae Young Kim, Ji Hyeon Park
  Child Health Nursing Research.2020; 26(1): 64.     CrossRef
• Pediatric Nurses' Perspectives on Family-Centered Care in Sri Lanka: A Mixed-Methods Study
  Rishani Deepika Gangodage Done, Jina Oh, Mihae Im, Jiyoung Park
  Child Health Nursing Research.2020; 26(1): 72.     CrossRef
• State anxiety, uncertainty in illness, and needs of family members of critically ill patients and their experiences with family-centered multidisciplinary rounds: A mixed model study
  Jiyeon Kang, Young-Jae Cho, Seunghye Choi, Andrew Carl Miller
  PLOS ONE.2020; 15(6): e0234296.     CrossRef
• Medication self-management and the quality of discharge education among parents of children with epilepsy
  Hyun Jie Lee, Eun Kyoung Choi, Hee Soon Kim, Hoon Chul Kang
  Epilepsy & Behavior.2019; 94: 14.     CrossRef
• Validity and Reliability of the Korean Version of the Families’ Importance in Nursing Care-Pediatric Nurses’ Attitudes Instrument
  Jina Oh, Yae Young Kim, So Yeon Yoo, Haeryun Cho
  Child Health Nursing Research.2018; 24(3): 274.     CrossRef
• Health Care Providers’ Perceptions of Family-centered Care in Pediatrics
  So Young Jung
  Child Health Nursing Research.2018; 24(4): 465.     CrossRef
• A Survey of Smartphone-Based Health Education Needs for Parents
  Shin-Jeong Kim, Jung Min Lee, Hye Young Min
  Child Health Nursing Research.2016; 22(4): 346.     CrossRef

Purpose
Purpose of this study was to investigate factors influencing wellness, and provide basic data for development of intervention programs to improve wellness in mothers of children with disabilities.
Methods
Participants were 147 mothers of children with disabilities from an elementary school and kindergarten for children with disabilities located in J and C cities in G province. Data were collected from February 24 to April 24, 2015 using questionnaires.
Results
Mean scores were 3.24±0.38 of 5 for wellness, 2.40±0.41 of 4 for self-esteem, and 2.87±0.36 of 4 for family function. There were significant differences in wellness according to religion, education, and type of education program for the children. There were positive correlations between self-esteem, family function, social support, and wellness. Factors influencing wellness were self-esteem (β = .450), family function (β = .313), type of education program for the children (β = .140), and religion (β = .127). These factors explained 42.7% of the variance in wellness.
Conclusion
Findings show that levels of wellness in these mothers are not sufficient to allow them to care for their children and to maintain their own overall health. Therefore to increase wellness of mothers of children with disabilities, intervention strategies that focus on improving self-esteem and family functioning need to be developed.

Citations

• A Predictive Model of Resilience in Mothers of Children with Developmental Disabilities
  Youyoung Cho, Hyeonok Kim
  Journal of Korean Academy of Nursing.2022; 52(4): 407.     CrossRef
• Mediating and Moderating Effects of Family Cohesion between Positive Psychological Capital and Health Behavior among Early Childhood Parents in Dual Working Families: A Focus on the COVID-19 Pandemic
  In Young Cho, Sun-Hee Moon, Ji Yeong Yun
  International Journal of Environmental Research an.2021; 18(9): 4781.     CrossRef
• Effects of a Parent Empowerment Program Applying MBTI for Mothers of Elementary School Students
  Hee-Sook Kim, Pan-Hee Kim
  Journal of Korean Academy of Psychiatric and Menta.2017; 26(4): 353.     CrossRef

Purpose
In this study self-efficacy, emotional labor, pediatric nurse-parent partnership and job stress of pediatric nurses were examined. Factors affecting job stress of pediatric nurses were also investigated.
Methods
The study was done between June and September 2014, with a convenience sample of 145 nurses from 3 advanced general hospitals, 5 general hospitals and 2 children’s hospitals. Research data were collected via questionnaires and analysed using SPSS version 18.0.
Results
Average levels of self-efficacy, emotional labor and job stress were similar to other general nurses and the average level of pediatric nurse-parent partnership was also similar to other pediatric nurses. Job stress of pediatric nurses showed a positive correlation with emotional labor and negative correlations with self-efficacy and pediatric nurse-parent partnership. The most significant factor affecting job stress in pediatric nurses was emotional labor (β = 0.372, p < .001). The combination of emotional labor, pediatric nurse-parent partnership and self-efficacy accounted for 25.4% of job stress in pediatric nurses.
Conclusion
These results suggest that nursing management strategies to decrease emotional labor and improve pediatric nurse-parent partnerships and self-efficacy are critical to decrease job stress for pediatric nurses. Continued development of nursing management interventions to decrease job stress in pediatric nurses is suggested.

Citations

• Secondary traumatic stress among pediatric nurses: Relationship to peer-organizational support and emotional labor strategies
  Einat Yehene, Adi Asherman, Gil Goldzweig, Hadar Simana, Amichai Brezner
  Journal of Pediatric Nursing.2024; 74: 92.     CrossRef
• Impact of Pediatric Nurses’ Nursing Professionalism on Quality of Nursing Care: Double Mediating Effect of Clinical Decision Making and Pediatric Nurse-Parent Partnership
  Jung-Eun Lee, Mi-Young Choi
  Journal of Korean Academy of Nursing Administratio.2024; 30(1): 55.     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
• 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
• 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
• Factorial Validity of the Pediatric Nurse Parent Partnership Scale—Pediatric Nurses (PNPPS-PN)
  Mi-Young Choi, Ju-Yeon Uhm
  Healthcare.2022; 10(6): 991.     CrossRef
• Influence of Communication Competence and Communication Style on the Nurse-Parent Partnership in Pediatric Nurses
  Hyun Jin Cho, Hyoung Sook Park
  Journal of Korean Academy of Fundamentals of Nursi.2022; 29(2): 170.     CrossRef
• The development and evaluation of a pediatric nurse education program to improve nursing competency for newly graduated nurses in a children’s hospital
  Hae-kyung Shin, Hyo-yeong Kim, Hyun-Jung Kim, Min-kyung Kim, Hyun-joo Shin, Hoo-yun Lee, Jee-hee Han, Hye-jung Lee
  The Journal of Korean Academic Society of Nursing .2022; 28(2): 179.     CrossRef
• The Experience of Emotional Labor and Its Related Factors among Nurses in General Hospital Settings in Republic of Korea: A Systematic Review and Meta-Analysis
  Da-Jung Ha, Jung-Hyun Park, Su-Eun Jung, Boram Lee, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi, Chan-Young Kwon
  Sustainability.2021; 13(21): 11634.     CrossRef
• The Relationships of End-of-life Care Stress with Compassionate Competence and Attitudes toward End-of-life Care among Pediatric Nurses
  Ki Young Park, Jeong Hee Jeong
  The Korean Journal of Hospice and Palliative Care.2021; 24(4): 235.     CrossRef
• Exploring the Influences of Nurses’ Partnership with Parents, Attitude to Families’ Importance in Nursing Care, and Professional Self-Efficacy on Quality of Pediatric Nursing Care: A Path Model
  So Yeon Yoo, Haeryun Cho
  International Journal of Environmental Research an.2020; 17(15): 5452.     CrossRef
• Effects of the Mother-Medical Staff Partnership on Mothers’ Condition Management Ability for Children with Chronic Allergic Diseases
  Hae Kyoung Son, Hyo Bin Song, Dong Hee Kim
  Child Health Nursing Research.2018; 24(1): 101.     CrossRef
• Effects of Clinical Decision-making on Job Satisfaction among Pediatric Nurses: The Mediating Effect of the Nurse-Parent Partnership
  Kyoung-Suk Shin, Hye-Young Kim
  Child Health Nursing Research.2018; 24(1): 9.     CrossRef
• Relationship between Job Stress and Compassion Satisfaction, Compassion Fatigue, Burnout for Nurses in Children’s Hospital
  Heekang Choi, Jisun Park, Mijeong Park, Bobae Park, Yeseul Kim
  Child Health Nursing Research.2017; 23(4): 459.     CrossRef

PURPOSE
The purpose of this study was to identify the effect of family stressors, family strains, general family values, family values for hospitalized children and family hardiness on family adaptation based upon McCubbin's family resilience model for families of hospitalized children in China.
METHODS
A survey using a self-report questionnaire was conducted with 330 hospitalized children's parents. Six instruments were used in this model. The data were analyzed using SPSS WIN 19.0 and AMOS 19.0 program.
RESULTS
Family strain had a significant negative direct effect, general family values and family hardiness had a significant positive direct effect, and family values for hospitalized children had a significant positive direct effect and indirect effect on family adaptation of hospitalized children.
CONCLUSION
In this study McCubbin's resilience model and resiliency factors were identified. According to the finding of this study nursing interventions to reduce family stress, enhance family hardiness and consolidate general family values and family values for hospitalized children can help to increase family adaptation in families of hospitalized children. Therefore, the significance of this study is that the results can be used to develop family nursing intervention programs based on family resilience to strengthen family adaptation in families of hospitalized children.

PURPOSE
The purpose of this study was to identify the relationship of self-differentiation, family function and mental health among adolescents.
METHODS
The data were collected from 967 adolescents and analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson correlation coefficient and Stepwise multiple regression with the SPSS program.
RESULTS
Mental health differed according to grades, sibling position, father's education and mother's education. Self-differentiation and family function had a significant negative correlation with mental health. Multiple regression analysis showed recognition.emotional function, emotional cutoff and family projection as influencing self-differentiation, Grades, affective responsiveness in family function, and sibling position explained 20.8% of the total variance in mental health.
CONCLUSION
The findings show that self-differentiation and family function influence mental health, indicating a need to develop nursing intervention programs to enhance adolescents' mental health and prevent negative outcomes. For these programs, the family must be included.

Citations

• Perceived Family Functioning of Adolescents with Affective Disorders: A Multicentric Cross-Sectional Study
  Huan Wang, Xing Xie, Zuowei Li, Lian Xue, Qiaoling Liao
  Psychology Research and Behavior Management.2024; Volume 17: 2505.     CrossRef
• Development of a Family-Based Mental Health Program for Runaway Adolescents Using an Intervention Mapping Protocol
  Dabok Noh, Soobin Choi
  International Journal of Environmental Research an.2020; 17(21): 7794.     CrossRef
• Mediating Effects of Cognitive Emotion Regulation on Influences of Self-differentiation and Family Function in High School Students' Problem Behavior
  Jin Joo Chang, Sung Hee Shin
  Journal of Korean Academy of Psychiatric and Menta.2017; 26(3): 248.     CrossRef
• Effect of Self-differentiation and Self-esteem on School Adjustment among Adolescents
  Hea-Shoon Lee
  The Journal of the Korea Contents Association.2013; 13(1): 333.     CrossRef
• Relation of the Self differentiation, Self esteem and Mental Health in Adolescents
  Hea Shoon Lee
  Journal of Korean Academy of Psychiatric and Menta.2011; 20(2): 199.     CrossRef

PURPOSE
The purpose of this study was to examine the influence of parents rearing attitude on family cohesion and adolescents' self-esteem.
METHODS
The participants were 1,299 high school students from Seoul city and Kyunggi Province in Korea. Data were collected using self-report questionnaire and analyzed using descriptive statistics, Pearson correlation coefficients, stepwise regression with SPSS 14.0 win program.
RESULTS
The major results are as follows. First, parents' rearing attitude was significantly influence to the family cohesion. Second, parents' rearing attitude and family cohesion were significantly affect to the adolescent self-esteem. Third, compare the influence size between the parents' rearing attitude and family cohesion to the adolescent self-esteem, the family cohesion was higher than the parents' rearing attitude.
CONCLUSION
The findings may provide useful insights to researchers who want to develop social support program for adolescents.

Citations

• The Intergenerational Transmission of Self-Esteem in Young Elementary School Children: Focusing on Family Interactions
  Suhyun Lee, Hyeeun Chung
  Korean Journal of Child Studies.2020; 41(5): 73.     CrossRef
• Factors Influencing Adolescents’ Self-control According to Family Structure
  In Young Cho, Ja Sook Kim, Ja Ok Kim
  Journal of Child and Family Studies.2018; 27(11): 3520.     CrossRef
• The Prevalence of Malocclusion and Related Self-Esteem of Adolescents in Yangsan
  Hyunjung Ryu, Hyungjun Kim, Taesung Jeong, Jiyeon Kim, Shin Kim
  THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DEN.2013; 40(4): 296.     CrossRef
• Types of Child Rearing Behavior of Parents during Early Childhood: Q-Methodological Approach
  Sun-Jung Park, Kyung-Ah Kang, Shin-Jeong Kim
  Journal of Korean Academy of Nursing.2013; 43(4): 486.     CrossRef
• Effect of Self-differentiation and Self-esteem on School Adjustment among Adolescents
  Hea-Shoon Lee
  The Journal of the Korea Contents Association.2013; 13(1): 333.     CrossRef
• Effects of Korean Proficiency and Parent-child Cohesion on Self-esteem and Acculturation among Children from Multicultural Families
  Mi Ye Kim, Ji Young Lim, Grace H. Chung
  Journal of Korean Academy of Nursing.2012; 42(6): 879.     CrossRef
• Relation of the Self differentiation, Self esteem and Mental Health in Adolescents
  Hea Shoon Lee
  Journal of Korean Academy of Psychiatric and Menta.2011; 20(2): 199.     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
Helicopter parenting is an emerging concept as a way of rearing adolescents and adult children. However, helicopter parenting from a nursing perspective has not been elucidated. Therefore, we undertook a concept analysis to understand the attributes, antecedents and consequences of helicopter parenting in the context of nursing.
METHODS
Using Rodgers' evolutionary concept analysis, we analyzed literature on helicopter parenting to discover critical attributes, antecedents, and consequences of this phenomenon. Data were collected from seven electronic search engines. Twelve studies matching inclusion criteria were reviewed RESULTS: Three core attributes of helicopter parenting were hovering, highly deep involvement, and proxy decision making. The antecedents and consequences were retrieved from three important domains including social, parent, and child aspects. Surrogate terms were black hawk, hummingbird, and hovercraft parenting, and related terms were stealth fighter and Kamikaze parenting.
CONCLUSION
Based on the results of this study, helicopter parenting has both positive and negative effects on both children and parents. To enhance the positive effects, measurement tools for helicopter parenting and nursing interventions on parenting need to be developed.

Citations

• Helicopter Parenting and Career Decision-Making in University Students: Mediation by Fear of Failure and Self-Efficacy
  Subin Park, JeeEun Karin Nam, Kyungeun Kim
  Journal of Career Development.2025; 52(5): 599.     CrossRef
• An Investigation of Brain-Based Learning Principles in Today's Changing Conditions
  Burak Can Korkmaz
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PURPOSE
This study was done to examine the relationship between sexual permissiveness, family function and parent-adolescent communication among adolescents.
METHOD
A descriptive correlation approach was used and the participants were 956 male and female students. Data were collected by questionnaire survey using convenience sampling. The instruments were the Family APGAR Questionnaire by Smilkstein(1978), PAC by Olson and Barnes(1982), and the Premarital Sexual Permissiveness Questionnaire by Reiss(1967). Data were analyzed using the SPSS 10.0 program with descriptive statistics, Pearson correlation coefficients, t-test, and ANOVA.
RESULTS
Family function was significant according to school record, economic status, living arrangement of parent. Parent-Adolescent Communication was significant according to religion, economic status, having a boy/girl friend, and experience of sexual intercourse. Sexual permissiveness was significant for all except economic status. Correlation among the variables showed that parent-adolescent communication was negatively correlated to sexual permissiveness(r=-.127, p=.000) and positively to family function(r=.368, p=.000).
CONCLUSION
The findings suggest that parent-adolescent communication and family function are associated with sexual permissiveness, and the findings of this study are expected to make a contribution to creating an ideal sexual culture for youth.

The Purpose of this study was to identify factors that influence the self-esteem of the schooler of families in poverty. A descriptive, correlational, and cross-sectional study design was used. The data were collected from February to March, 2001. Convenient sampling was done from 194 subjects living in Jeju Do, but 167 subjects among these were used for the study analysis. Hierarchical Stepwise Regression was used to identify significant factors. The results of this study were as follows: In general, self-esteem status of the schooler in poor families was relatively poor. In stepwise regression analysis, self-esteem status was significantly influenced by emotional home environment, duration of poverty and frequency of parent-child tactics. These variables explained 26.8% of the variance of schooler's self-esteem. Conclusively, it is recommended that nursing intervention programs for schooler in poor family should be a focus to enhance the economic context as well as family effect.

PURPOSE
The purpose of this study is to investigate the degree of school children's internet addiction and to explicit the relationship among the internet addiction, family environment and school adjustment.
METHOD
The subjects of the study were 640 students from 5th and 6th year children of five elementary schools in G city. The data were analyzed by SAS program with frequency, percentage, means, standard deviation, chi2-test, ANOVA and Pearson's Correlation Coefficient.
RESULT
In the degree of the internet addiction were 10.0% of addiction group, 58.0% of intermediate group, and 32.0% of nonaddiction group. There were significant differences in family environment score(F=25.09, p=.0001) and school adjustment score(F=34.46, p=.0001) regarding internet addiction degree. The relationship among internet addiction score, family environment score and school adjustment score revealed a significant inverse correlation(r=-0.32, p=.0001, r=-0.35, p=.0001). And the relationship between family environment score and school adjustment score revealed a significant correlation(r=0.52, p=.0001).
CONCLUSION
The degree of school children's internet addiction has been found to be very high and correlated to the family environment and school adjustment. Therefore, programs should be developed in order to improve this situation.

Families of children with cancer face many illness-related demands. The perceived social support is a critical resource for the family adaptation process. And the patterns of family adaptation to childhood cancer varies as characteristics of disease, which is prognosis, the influence of cognition function, and treatment process. The conceptual definition of social support is not unidimensional. However, most studies focus on general aspect of mediating effects on adaptation. Diverse dimensions of perceived social support should be considered in its effectiveness for intervention. Therefore, this study was undertaken to determine whether family's perceived social support influences the family adaptation of family with pediatric cancer and what dimension influences mostly in family adaptation as the characteristics of disease in the family of children with cancer. The subject was consisted of 102 families with pediatric cancer who had been diagnosed as leukemia or brain tumor last 2 years. Those families had participated in the education program or meetings for family who have with pediatric cancer children. The measurement for this study were Personal Resource Questionnaire (PRQ) Part- ll developed by Brandt and Weinert to measure parents' perceived social support, and the McCubbin's Coping Health Inventory for Parents (CHIP) to measure family coping. The results of this study can be summarized as follows; Regression analysis showed that perceived social support has effect on family adaptation with beta=.43, p < .01. In the group of family of child with leukemia, social support as general has effect on adaptation (beta=.40, p < .01) and specially, social support perceived as intimacy was strongly effect on family adaptation. And In the group of brain tumor, Social support has effect on adaptation(beta=.46, p < .01) and among the social support domains, the self esteem dimension was most predictable to family adaptation. In conclusion, the perceived social support is a predictor on family adaptation and useful vehicle to help family who has child with pediatric cancer. An important clinical implication is that specified support program for intervention may be useful and critical for the family who has diverse pediatric conditions of childhood cancer. Further studies should stress the effects of family support for clinical intervention and is needed with diverse stage of development and pediatric conditions.

PURPOSE
This study was conducted to test the reliability and validity of Family Burden Questionnaire.
METHOD
The subjects were 156 caregivers of children with acute or chronic disease. To test the reliability, internal consistency using Cronbach's alpha coefficient was analyzed, and factor analysis, known-group technique, and concurrent validity were utilized for validity test.
RESULT
Cronbach's alpha coefficient of the tool was .89. Six factors were identified and explained 58.7% of the total variance. Through analysis using known-group technique, the difference of family burden between acute and chronic disease groups was statistically significant(t= -4.09, p <.001). Correlations with mood state, other family burden score by Family Burden Interview Schedule, quality of life, and health symptoms were also relatively high and statistically significant.
CONCLUSION
Family Burden Questionnaire showed a relatively high validity and reliability to measure the burden of caregivers caring patients with various chronic conditions in Korea. For the further study, it may be reconsidered to identify the factor structure of the Family Burden Questionnaire with the various subjects from different age groups.

As a family respond to any stressful situation as a whole system, cancer diagnosis of a child, as a serious life event, could be emotional shock to destroy homeostasis of the family system. A family has a resilient capacity to adjust and adapt to stressful events. Previous studies have been focused on family stress and adaptation, but little attention has been given to family value as one of resilient factors. The data for model testing were collected from July 18, 2000 to August 30, 2000 and the analysis included 309 parents of children who are diagnosed as cancer, 18 or less years of age, and treated either hospitalized or at the outpatient clinics. The data analysis utilized SAS 6.12 and LISREL 8 for descriptive statistics, correlation, cluster analysis, factor analysis, and LISREL. The study findings are as follows. 1) Monthly income ( gamma =-0.28, t=-5.81) was the most important factor to explain family strain along with family support ( gamma =-0.11, t=-2.43), severity of children's illness ( gamma =0.26, t=5.22), and family stressor ( gamma =0.22, t=4.62). All of these factors together explained 40% of variance in family strain. 2) Among general family value, the relationship with the parents ( gamma =0.28, t=4.89) and relationship with the children ( gamma =0.20, t=3.60) showed positive effects to family value for cancer children, while relationship with the spouse ( gamma =-0.19, t=-3.22) and the age of the cancer children ( gamma =-0.11, t=-2.21) showed negative effects. These predictors together explained 22% of variance in family value for cancer children. 3)Family hardiness was explained mostly by family strain ( gamma =-0.53, t=-8.65) along with direct negative effects of family persistency and indirect negative effects of severity of children's illness, family stressor, relationship with the spouse, and the children's age. Family value for cancer children was the most important predictor with positive effect ( gamma =0.44, t=6.76) along with indirect effects of monthly income, relationship with the parents, relationship with the children, support from family and significant others, and confidence with the health professionals. 51% of variance in family hardiness was explained by all of these predictors. 4)The most important predictor for family adaptation was family stressor ( gamma =-0.50, t=-6.85) with direct and indirect negative effects along with the severity of children's illness ( gamma =-0.27, t=-5.21). However, family value for cancer children showed compromised total effect ( gamma =-0.13, t=-1.99) with negative direct effects ( gamma =-0.28, t=-3.43) and positive indirect effects ( gamma =0.14, t=3.01). Similarly, confidence with the health professionals also showed compromised total effect ( gamma =0.09, t=1.99) with positive direct effects and negative indirect effects. Family hardiness showed the biggest positive direct effects while other factors such as monthly income, family stressor, family persistence, support of family and significant others, relationship with the parents, relationship with the children, and relationship with the spouse, and children's age showed indirect effects only. 39% of variance in family adaptation was explained by all of these predictors.

Congenital heart disease is now estimated to be the most prevalent chronic illness in children. The overall purpose of study is to enhance our understanding of mother's perception of family stress, perceived social support, and coping who has a child newly diagnosed with congenital heart disease. In this investigation, the relationship between family stress, perceived social support, and coping within the context of a acute, non life- threatening chronic illness in the situation of newly diagnosed as Rolland's typology of chronic illness. The study employed data from a subset of a large longitudinal study, children's chronic illness: parents and family adaptation conducted by M. McCubbin (5 R29 NR02563) which was funded by the NIH. The subject for this study were 92 mothers who have a child under age 12 who was newly diagnosed with congenital heart disease within the last 3-4 months. Results form correlational and regression analysis revealed that perceived social support operated as a resiliency factor between family stress and coping of mothers. Child and family characteristics appeared to be important predictors of perceived social support and mother's coping. Therefore, the findings provide an incremental contribution to the explanation of effects for perceived social support and may challenge resiliency model in previous literature. Further, these findings suggest that perceived social support and coping are both influencing in the resiliency of relatively high risk groups of families who has a child with congenital heart disease.

The family value is expected to play a crucial role in adjusting a new environment for the family, especially in the critical situation as having a child with cancer in the family. The purpose of the study was to analyze the family values of the family with cancer children in order to offer descriptive data, which will facilitate family adjustment with cancer children. The survey was conducted from July 18, 2000 to August 30, 2000 and the analysis included 309 parents of the children who have been diagnosed as cancer, 18 years of age or less, and treated either hospitalized or at the outpatient clinics. Two instruments were used to measure family value. The modified form of General family value scale was 18 items with a 5 points of Likert response format (Cronbach alpha= .78) and Family value scale was developed for the study with 12 items on a 5 points of Likert response format(Cronbach alpha= .73). The data analysis utilized SAS 6.12 for percentage, frequency, Mean, and t-test of demographic characteristics and mean, F score, ANOVA, and Duncan follow-up test of variable relationships. The study findings were as follows. 1) In General family value, the fathers gave the higher scores to 'The children should live with their parents'(M=4.01), and 'A parents and their children are like one body' (M=3.91). The item with lowest score was 'Its not impossible for man to have extramarital relationship'(M=1.92). The mothers thought the most important items were 'A parents and their children are like one body'(M=3.79), and 'A wife needs to be patient to keep harmony of the family' (M=3.56), and the item with lowest score was 'Its not impossible for man to have extramarital relationship'(M=1.44). 2) The mean scores of the mothers were higher than the fathers for all items in family value with cancer children, while fathers gave more points for items in general family value. Both of parents gave the highest score to 'The health of the family is most important to me'(M=4.85 for fathers, M=4.97 for mothers), and followed by 'The husband and wife need to be patient and understand each other to overcome the difficulties'. The item with lowest scores was 'The parents can have conflicts in making decisions since their child was sick'(M=3.34 for fathers, M=3.37 for mothers). 3) There were significant differences between fathers and mothers in items of General family value; fathers gave more points to the items of 'The children should live with their parents', 'Its essential to hold the ceremony to respect their forefathers', 'Its not impossible for man to have extramarital relationship', 'A woman with two daughters should have one more baby to succeed the generation', 'The husbands are responsible for the household economy', and 'When his mother and wife dont get along, the man should be on his mothers side'. However, there was no significant difference between fathers and mothers in items of Family value with cancer children. 4) The general family value was significantly different by the birth order of cancer children, mothers age, mothers education level, and types of payment. On the other hand, the family value with cancer children was significantly different by the age of cancer children, period of illness, period after completing treatment, family type, the number of family members, and the number of total children.

The object of this study is to provide the basic data for the caring of parents by understanding emotional status, physical status, and family support of parents with cardiac disease children. The subjects of this study were consisted of 105 parents of cardiac disease children admitted at 'G' hospital in Inchon, and 'S' hospital in Puchon. The data were collected from November 6 to December 21, 2000. Four instruments were used to collect the data : Spielberger's STIS, Cornell Medical Index(CMI), Yang's stress scale, and Moos's Family Environment Scale Form R, the latter 3 are modified by researcher. The collected data were tested using frequencies, percentiles, means, t-test, ANOVA, and Pearson correlation coefficient with SPSSWIN program. The results of this study were as follows: 1. There were statistically significant differences in degree of anxiety on age, number of children, and children's order of birth. 2. There was a statistically significant difference in degree of physical status on presence of the other patient in family. 3.There were not statistically significant differences in degree of stress and family support on demographic factors. 4.There were positive correlations between physical status and family support, and between anxiety and stress, but negative correlations between family support and stress, between anxiety and family support, between anxiety and physical status, and between stress and physical status.

The purposes of the study were to develop an instrument for family value and to identify the relationships of family value, family hardiness, and family adaptation by appling the family value scale to family with cancer children. The study was conducted in three phases. 1) A survey was conducted from July 20 to August 20, 1999 and 18 items of general family value scale was modified from the data of 153 fathers and 164 mothers. 2) In-depth interviews were made with 29 parents of cancer children from April 20, 1998 to May 20, 1999 to develop family value scale with cancer children, and 12 statements were developed. 3) The final survey was conducted from July 18, 2000 to August 30, 2000 and the data from 309 parents of children who are diagnosed as cancer, 18 or less years of age, and treated either hospitalized or at the outpatient clinics were analyzed to identify the relationships of the concepts. The data analysis utilized SAS 6.12 and LISREL 8 for descriptive statistics, correlation, and Regression for path analysis. The study findings are as follows. The psychometric testing of general family value scale was Cronbach's alpha = 0.78. The reliability of the family value scale with cancer children showed the reliability as Cronbach's alpha = 0.73. Demographic characteristics showing significant correlations were cancer children's age, period of illness, period after completing treatment, mother's age, mother's education level, monthly income, payment type, confidence with health professional, and severity of children's illness. The correlation coefficients among major variables showed that family stressor was positively related with family strains(r=0.33, p < .001), and negatively related with family hardiness(r=-0.21, p < .001). Family strains was negatively related with family hardiness(r= -0.41, p < .001) and family adaptation(r=-0.46, p < .001). Correlations of family hardiness was positive with family value with cancer children(r=-0.31, p < .001), and negative with general family value(r=-0.16, p < .01). Family hardiness was positively related with family adaptation(r=0.35, p < .001). The causal relationship between study variables showed that family strains predicts general family value( gamma =0.12, t=2.02), family value with cancer children predicts family hardiness( gamma =0.31, t=6.30), family strains predicts family hardiness( gamma =-0.40, t=-7.70), family value with cancer children predicts family adaptation( gamma =-0.23, t=-4.11), and family hardiness predicts family adaptation( gamma =0.43, t=7.78).

This study is the descriptive survey for the purpose of providing the basic data that establishes the strategy to promote adolescent's hope by the examining of self-esteem, academic achievement, family functioning and hope of adolescents and the investigating of the factors influencing the hope in adolescents. The subjects for this study were 456 students of the first and second year of man's senior high school that located in Seoul. The data were gathered from 16th to 31st of the October 2000. For the survey tool, it was used that the Family Assessment Device(FAD) of Epstein, Baldwin & Bishop(1983), the Self-Esteem Inventory(SEI) of Coopersmith(1975), the class record order and Hinds & Gatusso(1991)'s Hopefulness Scale for Adolescents(HSA). The collected data was analyzed by statistics methods as the descriptive and frequency analysis, t-test, ANOVA, Pearson and Spearman correlation coefficients and Stepwise multiple regression of SAS program. The results of this study were following : 1. The mean score of self-esteem of young people was 51.06 +/- 6.83 and the mean grade was 2.04. The high academic achievement was 29.2%, middle grade was 52.7%, and low grade was 18.1%. The mean score of the family functioning was 38.30 +/- 6.98 and the mean grade was 2.25. The mean score of hope was 84.26 +/- 16.45 and the mean grade was 3.51. 2. The hope in adolescents was significantly different according to their father's school career. The mean score of the group that the father's school career was below junior high school was 77.32. That was significantly lower than the mean score 84.59 of the group that the father's school career was above college and the mean score 85.18 of senior high school group(F=4.04, P= 0.0183). 3. The self-esteem was represented the positive correlation with family functioning(r=0.43) and the all of the 4 subscales(r=0.31, 0.41, 0.39, 0.30). And, it was highly ranked as much as family functioning was good. The academic achievement was represented the positive correlation with self-esteem(r= 0.15). Also, the positive correlation was shown between the affective responsiveness, role recognition and emotional support as the subscales of family functioning and academic achievement(r=0.11, 0.12). And so, academic achievement was high as much as self- esteem was high and affective responsiveness and role recognition and emotional support were good. The hope was represented positive correlation with self-esteem and academic achievement(r=0.42, 0.26), and with the whole of family functioning(r=0.15) and the 4 subscales(r=0.13, 0.16, 0.11, 0.13). So, hope was high as much as self-esteem was high, academic achievement was high and family functioning was good. 4. The influencing factors on the hope of adolescents were self-esteem(17.63%), academic achievement(3.41%), father's school career(0.84%). These factors made it possible to explain 21.88% of hope.

The purpose of the descriptive correlation study was to examine relations among the hope, the burden and the family function in mothers caring for children with cancer. 145 mothers completed the three questionaires of the study divided into tree sections: a) The Hope Scale, b) The Burden Scale, c) FACES-lll. The collected data was analysed with t-test, ANOVA, Scheffe test and Pearson correlation coefficients. The results were as follows: 1) The average age of mothers of children with cancer was 35.6 years old and the ages between 30 to 39 were the most abundant. 57.3% of the mothers had an education level of below high school education and 66.0% had religion. The average age of the children was 8.6 years old. Ages between 1 to 7 were the most and 60.8% were diagnosed as leukemia. 2) Regarding the section of degree of burden, mothers of children with cancer marked 2.6 out of 5, and the degree of hope 3.2 out of 4. The result for family function came out to be 3.5 out of 5, an average of family cohesion of 3.9 and family adaptation of 3.1. 3) There were significantly less burden to the mothers who were living together with a spouse compared to the mothers who were not. Also mothers who replied that they preserved good health came out to be exposed to less burden compared to the mothers who did not. In analysing hope according to the general characteristics of mothers of children with cancer, mothers who were employed marked high in the degree of hope compared to unemployed mothers. Furthermore, the degree of family cohesion marked higher with mothers who had higher education of college graduate, mothers with religion and mothers with a monthly family income of over W3,000,000, compared to the group of mothers with lower education of high school graduate, non-religious or with a monthly family income of less than W1,000,000. 4) Excluding the fact that the group sorted with children diagnosed as leukemia marked a perceivably high score regarding family cohesion, compared to groups with other cancers, the degree of burden, hope and family cohesion did not show any noticeable difference according to characteristics of children with different cancers. 5) In the correlation of the hope, the burden and the family function regarding the mothers of children with cancer, the burden did not have any manifest relationship with hope or family function. However, the degree of hope and family function cohesion had a direct proportional relationship, as family cohesion marked higher when the degree of hope were high.

Nurses working with families who has a hospitalized child are aware of the complexity of the tasks and stresses they deal with new setting of environment. The challenge is to assess the family coping activity that require the most immediate intervention for the effective nursing care for child and family. This study describe the family coping inventory for the clinical guidance to identify a family coping with stressors. The purpose of this study was to look at the factors related to the family's coping activity when the child was hospitalized. The data were collected with a questionnaire between July and August, 1999, in a sample of 106 families who have hospitalized child. Family coping was assessed using Family Crisis Oriented Personal Evaluation Scale(F-COPES). Data was analyzed using correlation coefficent and analysis of variance. Positive correlation was found between social support, reframe with mobilizing the family to acquire and accept help in sub-domain of family coping. Strongest correlation existed between the family's spiritual support and total family coping. The type of diagnosis, the level of family income, religion, and child's age were significantly different in family coping. The result show that the family coping is affected by the characteristics of child and family, as well as the factors of coping activity. Therefore, early assessment of family coping skill and activity is important to the prevention of problem with function toward wholeness as a unit and child's well being. It can be used with a broad range of child's hospitalization process. It also serve as a nursing record and planning tool for documenting issues that may become priorities for future interventions.

Today, more chronically ill and handicapped children are being cared for at home by a family member caregiver. The task of caring for a family member may feel burden that the caregiver has less time and money and more work. Family functioning and their burden have influence on coping and adaptation of families with chronically-ill children. This study attempted to identify the levels of burden and family functioning in families of children with cerebral palsy and to examine their relationships. The instruments were burden scale developed by Suh and Oh(1993), and a modified Feetham Family Functioning Survey based on Roberts and Feetham.(1982). The subjects were 98 parents of children, under 15 years, who have cerebral palsy and being treated and living in Pusan. Data were collected through a self-administered questionaire from April 26 to May 29. The collected data were tested using frequencies, percentiles, means, t-test, ANOVA, and Pearson correlation coefficient with SPSSWIN program. The results of this study were as follows ; 1. The mean rating scores of burden and family functioning were 2.79 +/- .51 and 4.12 +/- .69, respectively. 2. The relationships between general characteristics and burden were statistically significant difference : degree of children's handicap(F=6.333, P <.01). The relationships between general characteristics and family functioning were statistically significant differences : familial relation with the children(F=3.628, P <.05), caregiver's health status(F=4.359, P <.05), age of children (F=4.185, P <.05), and duration of treatment (F=6.802, P <.01). 3. In families of children with cerebral palsy, there was significantly negative correlation between the burden of parents and the performance of family functioning(r=-.230, P <.05). There were significantly negative correlations between the burden of parents and the satisfaction of family functioning (r=-.211, P <.05), and between the perceived importance and the satisfaction of family functioning(r=-.481, P <.01); however, there was a positive correlation between the performance and the perceived importance of family functioning(r=.425, P <.01). In conclusion, this study suggests that families of children with cerebral palsy need family-focused nursing interventions as supportive care for relieving their burden and for improving family functioning.

PURPOSE
The purpose of this study was to investigate the relationship between high school students' self-differentiation, family function and their level of stress.
METHOD
A questionnaire which consisted of questions on general characteristics of the high school students, and 36 questions on self-differentiation, 17 questions on family function, and 37 questions on level of stress was used to collect the data. Participants were 201 second grade high school students from Bucheon City. Descriptive statistics, T-test, ANOVA, correlation and multiple regression were used with SPSS 10.0 to analyze the data.
RESULTS
The mean scores for self-differentiation, family function, and levels of stress were 3.27, 3.39, and 2.61 respectively. The relationship between self-differentiation and level of stress revealed a significant negative correlation. The relationship between self-differentiation and family function showed a significant positive correlation. The relationship between family function and stress level showed a significant negative correlation.
CONCLUSION
The results of the study show that variation in level of stress was related to family regression, recognition/emotional function, family projection, role recognition and emotional support and emotional cutoff which together explained 40.9% of the variance in level of stress.

PURPOSE
This study was conducted to survey and examine the relationship of family strengths, family function, ego-identity and depression in adolescence in Busan, and to provide basic data for a health promoting intervention to improve their family health.
METHOD
Data were collected from four colleges in Busan and, 680 students were enrolled in the study. Descriptive statistics, t-test or ANOVA with Scheffe's test and Pearson's correlation coefficients were used to analyze the data.
RESULTS
The mean score for family strengths was 3.58, family function 4.31, ego-identity 55.4 and depression 17.9. The scores for family strengths differed significantly according to subjective social economic state and father's job, parent's religion, parent's marital status and family composition. The scores for family function differed significantly according to parent's religion, parent's marital status and subjective social economic state. The scores for ego-identity differed according to mother's education level, parent's religion, parent's marital status and family composition. There were a positive correlations between family strengths and family function, between family strengths and ego-identity, between family function and ego-identity. There were negative correlations between family strengths and depression, between family function and depression, between ego-identity and depression.
CONCLUSION
In order to promote ego-identity and to decrease depression in adolescence, it is necessary to develop supporting interventions to develop family strengths.

PURPOSE
This study was conducted to identify the relationship between resilience, coping mechanism, social support and family strengths and to explore predictors of resilience in high school adolescents.
METHOD
The participants in this study were 296 high school adolescents residing in two urban areas in Korea. The students completed self-report questionnaires measuring Resilience (Jew et al., 1997), Coping Mechanism (Carver et al., 1989), Social Support (Lee, 1997) and Family Strengths (Olson, 1982).
RESULTS
Socio-demographic characteristics of the students were found to influence resilience, coping mechanism, social support and family strengths. The results showed that resilience, problem-focused coping, social support and family strengths were correlated positively and self-esteem support, problem-focused coping, sibling's and mother's help, and instrumental support were the predictors of resilience in these students.
CONCLUSION
We found there were specific attributes of individual, social and family factors which predict resilience for adolescents in school. These results suggest further study to investigate the relationship between stress and resilience, identify other predictors of resilience for Korean students, and to examine whether protective factors for adolescents' problem behaviors have a similar influence on resilience.

PURPOSE
The purposes of this study were to describe resilience in children with chronic illness and also to describe family resilience, and to identify correlations between the two.
METHOD
Data were collected from 108 children being treated by hospitals C and K in Seoul and from their families. The children were diagnosed with nephrotic syndrome, IgA nephritis, diabetes, or asthma of at least six months duration. Descriptive, t-test, one-way ANOVA, and Pearson correlation coefficients were used.
RESULTS
The mean score for resilience in children was 101.31 and for family resilience, 60.14. The variables showing statistically significant differences in resilience of the children according to a general characteristics were gender of the child (t=6.209, p<.05), diagnosis (F=6.315, p<.01), age of the mother (t=2.237, p<.05), and school grades (F=12.838, P<.01). In terms of family resilience according to a general characteristic, the variable showing a statistically significant difference was birth order of the child (F=13.468, p<.01). There was a significant positive correlation between resilience in the children and family resilience (r=.356, p<.01).
CONCLUSIONS
From the results of this study we proposed the implementation of programs to increase resilience in children with chronic illnesses and in order to positively affect the resilience in children, the implementation of programs to increase family resilience.

PURPOSE
The purpose of this study was to explore family function,social support, perceived quality of life (QOL) in adolescents and to identify correlations between family function, social support, and the perceived QOL.
METHOD
The questionnaire to obtain the data consisted of questions on general characteristics of the adolescents, 20 questions on family function, 11 questions on social support, and 8 questions on perceived QOL in adolescents. The participants were 128 adolescents who were living in S area. The data were analyzed using percentages, means, t-test, ANOVA and Pearson' correlation coefficients. The WINSPSS program was used to assist in data analysis.
RESULTS
The mean score for family function was 3.07 (out of 5) and there was a significant difference between middle and high school students. The mean score for social support was 2.86 (out of 5) and there were no significant differences. The mean score for perceived QOL was 4.02 (out of 7) and there was a significant difference according to physical health. There was a positive correlation between family function, social support, and perceived QOL in adolescents.
CONCLUSION
The results indicate a need to develop programs, policy assistance and implementation to strengthen factors contributing to a high perceived quality of life in these adolescents