Purpose
This study aimed to identify differences in perceived task performance, task importance, and educational needs for novice-level tasks among neonatal intensive care unit (NICU) nurses with varying levels of clinical experience and to provide foundational data for developing systematic educational programs to strengthen the competencies of novice nurses.
Methods
Participants were recruited from the NICUs of three hospitals—one university-affiliated hospital and two general hospitals located in B Metropolitan City, South Korea. Using convenience sampling, 116 staff nurses with at least 3 months of NICU experience were surveyed between March and November 2025. For comparative analysis, participants were divided into three career groups based on their NICU experience: <3 years, 3–9 years, and ≥9 years. Data were analyzed using descriptive statistics, analysis of variance, and the Scheffé test with IBM SPSS ver. 25.0, and importance–performance analysis (IPA) was conducted to prioritize educational needs.
Results
Across all career groups, the “direct nursing performance” domain showed the highest task performance. Novice nurses with <3 years of experience reported significantly higher performance in central line care and transfusion management than those with ≥9 years of experience. The IPA identified central line management, and transfusion management as priority areas for improvement, while vital sign monitoring, respiratory surveillance and discharge education for parents were common educational needs regardless of experience level.
Conclusion
Educational programs for novice NICU nurses should focus on strengthening patient safety–related competencies and should be progressively structured with simulation and case-based learning to enhance clinical performance.

Purpose
To explore nurses’ perceptions of end-of-life care in neonatal and pediatric intensive care units, focusing on the components, facilitators, and challenges of such care in daily practice.
Methods
A qualitative descriptive study was conducted. Data were collected from June to October 2023 through semi-structured individual interviews with 17 nurses from the neonatal and pediatric intensive care units of four tertiary general hospitals in a metropolitan area of South Korea, and were analyzed using thematic analysis techniques.
Results
We identified three themes and nine subthemes: (1) supporting families’ emotional and relational closure, (2) perceiving relational and systemic support as enabling end-of-life care, and (3) feeling constrained by systemic and practical challenges. Participants perceived fostering an emotional connection with the child, ensuring opportunities for meaningful farewell, and supporting emotional acceptance of death as ways to support families’ emotional and relational closure with their child. Although relational and systemic support, such as collaborative teamwork, clear communication, shared planning, and structured tools, enabled compassionate care, participants also felt unprepared, burdened by heavy workloads, and hindered by environmental barriers.
Conclusion
The findings highlight that delivering quality end-of-life care in neonatal and pediatric intensive care units requires supporting families’ emotional needs, strengthening relational and systemic support, and addressing practical challenges. Further research is needed to develop and test practical strategies (e.g., specialized education in compassionate communication, standardized protocols, and supportive care environments) that can improve the quality of end-of-life care for neonatal and pediatric patients and their families.

Purpose
The purpose of this study was to investigate perceptions of fatherhood among fathers of high-risk neonates and their confidence regarding neonatal care.
Methods
A study was conducted of 100 fathers whose neonates had been admitted to a neonatal intensive care unit (NICU) for at least 48 hours. Perceptions of fatherhood, neonatal characteristics, and fathers' confidence regarding neonatal care were measured using a self-reported questionnaire. The survey took approximately 10 minutes to complete and was completed anonymously. The factors that affected fathers' confidence regarding neonatal care were analyzed using multiple regression.
Results
The scores for positive and negative perceptions of fatherhood were relatively high at 4.27 and 3.42 out of 5 points, respectively. A positive perception of fatherhood was found to influence fathers' confidence regarding neonatal care.
Conclusion
NICU nurses should encourage fathers to effectively perform their parenting roles by implementing educational programs and interventions to promote positive perceptions of fatherhood and fathers' confidence regarding neonatal care after discharge.

Citations

• Gender perspectives on experiences of kangaroo mother care for preterm infants in neonatal intensive care unit in China: A qualitative study
  Ying Xin Li, Yan Ling Hu, Han Mei Peng, Yuan Li, Xing Li Wan, Yue Li, Wen Qian Su, Li Ming Yang, Xi Huang, Qiong Chen
  International Journal of Nursing Studies.2026; 176: 105350.     CrossRef
• Supporting Fathers in the Neonatal Intensive Care Unit
  William Hull, Alejandra Rodriguez, Nathan Talarico, Curry Bordelon
  Journal of Perinatal & Neonatal Nursing.2025; 39(2): 94.     CrossRef
• Fathers in the neonatal unit: A narrative review
  Claire Webber, Paula Foran, Karen Walker
  Journal of Neonatal Nursing.2025; 31(2): 101617.     CrossRef
• Review of the Research Literature on the Impact of Father Absence on Child Development in Alignment with the Sustainable Development Goals (SDGS)
  Hadiye Kucukkaragoz
  Journal of Lifestyle and SDGs Review.2025; 5(4): e06117.     CrossRef
• Parenting Self‐Efficacy Within the First Year Postpartum in Non‐Birthing Parents: A Scoping Review
  Justine Dol, Jennifer A. Parker, Christine T. Chambers, Phillip Joy, Patricia Leahy‐Warren, Cindy‐Lee Dennis, Marilyn Macdonald, Kristy Hancock
  Family Process.2025;[Epub]     CrossRef
• Parents’ Participation in Care during Neonatal Intensive Care Unit Stay in COVID-19 Era: An Observational Study
  Emanuele Buccione, Davide Scarponcini Fornaro, Damiana Pieragostino, Luca Natale, Adelaide D’Errico, Valentina Chiavaroli, Laura Rasero, Stefano Bambi, Carlo Della Pelle, Susanna Di Valerio
  Nursing Reports.2024; 14(2): 1212.     CrossRef

Purpose
Nursing students are susceptible to medication safety incidents in the neonatal intensive care unit (NICU) related to a lack of communication experience. The purpose of the present study was to investigate the impact of a NICU medication safety simulation (NMSS) focusing on communication clarity, patient hand-off confidence, and patient safety competency in senior-year nursing students.
Methods
The study utilized a nonequivalent control group pretest-posttest design. In total, 60 nursing students were assigned to two groups. The experimental group participated in the NMSS, which included three medication error scenarios. Pairs of students completed the scenarios together in 10 to 20 minutes. Data were analyzed using the chi-squared test, independent t test, and ANCOVA.
Results
The experimental group showed significant improvements in communication clarity (p=.015), and patient safety competency (p<.001) compared to the control group. Using the pretest values as covariates, patient hand-off confidence scores significantly increased (p=.027).
Conclusion
Implementing the NMSS focusing on communication in the pediatric nursing curriculum helped students to communicate clearly and concisely about medication errors, and its use is recommended to promote patient safety competency in the NICU.

Citations

• Proactive Nursing for Medication Safety: An Interpretative Phenomenological Study of Neonatal Intensive Care Nurses' Experiences of Initiating Medication Queries
  Osama Mohamed Elsayed Ramadan, Nadia Bassuoni Elsharkawy
  Nursing in Critical Care.2026;[Epub]     CrossRef
• Medication safety simulation training for anesthesia professionals
  Sarah Rollison, Anne M. Sauri, Ramon L. Medina, Darlena G. Jones, Wuraola Olawole, Virginia C. Simmons
  Clinical Simulation in Nursing.2025; 98: 101660.     CrossRef
• The effect of web-based double-eye control program on the prevention of pediatric medication errors of nursing students: A quasi-experimental study
  Beste Özgüven Öztornaci, Atiye Karakul, Esra Ardahan Akgül, Pinar Doğan, Hatice Yildirim Sari, Zümrüt Başbakkal
  Medicine.2025; 104(49): e46222.     CrossRef
• Reducing medication errors and near misses in an associate degree nursing program
  Leslie Catalano, Marilyn A. Prasun
  Teaching and Learning in Nursing.2025;[Epub]     CrossRef
• Development of a Patient Safety Simulation Program for New Nurses in the Intensive Care Unit
  Su Jin Jung, Jin-Hee Park
  Journal of Korean Academy of Fundamentals of Nursi.2024; 31(1): 100.     CrossRef
• Development and Effectiveness of Progressive Simulation Education Program on Medication Safety for Nursing Students
  Se-Young Jung, Eun-Young Kim
  Journal of Korean Academy of Nursing.2024; 54(4): 563.     CrossRef
• Effect of Team-based Simulation Training on Nursing Students' Patient Safety Competence and Performance Confidence
  Min-Jeong Chae, Hyo-Ju Jeong
  Journal of Digital Contents Society.2024; 25(11): 3449.     CrossRef
• Simulation-based training program on patient safety management: A quasi-experimental study among new intensive care unit nurses
  Su Jin Jung, Ju-Eun Song, Sun Hyoung Bae, Youngjin Lee, Seok Hyun Gwon, Jin-Hee Park
  Nurse Education Today.2023; 126: 105823.     CrossRef

Purpose
The purpose of this study was to investigate how pediatric intensive care unit (PICU) nurses and the mothers of hospitalized children perceived their partnership and identify the detailed differences in the common domains of partnership between them.
Methods
A qualitative descriptive design with semi-structured and open-ended interviews was used. Interviews with mothers of hospitalized children and nurses in the PICU were conducted at a national university hospital in South Korea.
Results
Five integrated categories were identified concerning nurses' and mothers' perceptions of partnership. Five common domains were derived by merging the partnership categories perceived by each PICU mother and nurse: expectation of trust, sharing and communication, participation in care, equality in the relationship, and coordination of opinion However, there were significant differences in the composition of the categories of these common domains.
Conclusion
These results may facilitate more effective partnerships between parents and PICU nurses. Efforts should be taken to promote the formation of trust between nurses and parents and create an environment that is conductive to regular open communication in particular, steps should be taken to reduce gaps in awareness concerning this partnership and information sharing, nursing methods, and decision-making.

Citations

• Experiences of trust in mothers of hospitalized children toward pediatric nurses
  Mi-Ra Kim, Sun-Mi Chae
  Journal of Child Health Care.2025; 29(2): 368.     CrossRef
• Exploring ‘family’ in paediatric intensive care family-centred-care research: A concept analysis
  Ashleigh E. Butler, Elizabeth Bichard, Kate Masterson, Jessica Appleyard, Efa Apriyanti, Nega Degefa Megersa, Claire Collins, Stephen McKeever, Joseph C. Manning, Sarah E. Seaton
  Intensive and Critical Care Nursing.2025; 88: 103972.     CrossRef
• Estrategias de humanización en cuidados intensivos pediátricos: una revisión de alcance
  María Esther Salgado-Reguero, Sara Furtado-Eraso, Arantxa Bujanda-Sainz de Murieta, Cristina García-Vivar, Nelia Soto-Ruiz, Paula Escalada-Hernández
  Enfermería Intensiva.2025; 36(2): 500531.     CrossRef
• Topics and Trends in Neonatal Family-Centered Care
  In Young Cho, Cho Hee Kim
  CIN: Computers, Informatics, Nursing.2025;[Epub]     CrossRef
• Humanization strategies in pediatric intensive care: A scoping review
  María Esther Salgado-Reguero, Sara Furtado-Eraso, Arantxa Bujanda-Sainz de Murieta, Cristina García-Vivar, Nelia Soto-Ruiz, Paula Escalada-Hernández
  Enfermería Intensiva (English ed.).2025; 36(2): 500531.     CrossRef
• Associations Between Care Environments and Environmental Modifications in the Daily Living Settings of Children with Medical Complexity
  Yumi Mizuochi, Yukako Shigematsu, Yoshitomo Fukuura
  Nursing Reports.2025; 15(11): 400.     CrossRef
• Implementation of a partnership involving parents in the care of critically ill children: an integrative review
  Tuti Seniwati, Nani Nurhaeni, Dessie Wanda
  Acute and Critical Care.2025; 40(4): 521.     CrossRef
• Effectiveness and family experiences of interventions promoting partnerships between families and pediatric and neonatal intensive care units: a mixed methods systematic review
  Shannon Barnes, Ibo Macdonald, Zahra Rahmaty, Véronique de Goumoëns, Chantal Grandjean, Cécile Jaques, Anne-Sylvie Ramelet
  JBI Evidence Synthesis.2024; 22(7): 1208.     CrossRef
• Pediatri Hemşireliğinde Aile ile İletişim
  Dilara Aydın, Emine Efe
  Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi.2024; 7(1): 12.     CrossRef
• Exploration of trust between pediatric nurses and children with a medical diagnosis and their caregivers on inpatient care units: A scoping review
  Lyndsay Jerusha MacKay, Una Chang, Elizabeth Kreiter, Emma Nickel, Janice Kamke, Rubinder Bahia, Sarah Shantz, Heather Meyerhoff
  Journal of Pediatric Nursing.2024; 78: e1.     CrossRef
• Voice of the nurse in paediatric intensive care: a scoping review
  Kate Masterson, Michael Connolly, Denise Alexander, Maria Brenner
  BMJ Open.2024; 14(12): e082175.     CrossRef

Purpose
Preventing missed care is important in neonatal intensive care units (NICUs) due to neonates’ vulnerabilities. This study examined missed care and its influencing factors among NICU nurses.
Methods
Missed care among 120 Korean NICU nurses was measured using a cross-culturally adapted online questionnaire. The frequency of missed care for 32 nursing activities and the significance of 23 reasons for missed care were collected.
Results
All participants had missed at least 1 activity, missing on average 19.35 activities during a typical work-day. The most common missed item was “provide developmental care for the baby”. The most common reason for missed care was “emergency within the unit or deterioration of one of the assigned patients”. The final regression model explained 9.6% of variance in missed care. The average daily number of assigned patients receiving inotropes or sedation over the last month influenced the total number of missed care items.
Conclusion
Missed care was affected by nurses’ workload related to the number of patients taking medication. Frequently missed activities, especially those related to developmental care, require patience and time, conflicting with safety prioritization and inadequate working conditions. NICU nurses’ working conditions should be improved to ensure adequate time for nursing activities.

Citations

• Status Quo and Real Experience of Missed Nursing Care in ICUs: A Scoping Review
  Runfang Guo, Yiling Li, Jie Jing, Qin Yang, Hejia Wan, Wanwan Qiao
  Nursing in Critical Care.2026;[Epub]     CrossRef
• A mixed-methods systematic review of factors affecting missed nursing care in intensive care
  Huimiao Jing, Xue Bai, Weiguang Wen, Ni Yang, Jie Zhai, Yingli Gao
  Intensive and Critical Care Nursing.2026; 93: 104344.     CrossRef
• Altruism and Missed Nursing Care Among Intensive Care Nurses: A Descriptive Correlational Study
  Sümeyye Akçoban, Betül Tosun
  Journal of Evaluation in Clinical Practice.2026;[Epub]     CrossRef
• Job satisfaction, work environment, and burnout as predictors of missed nursing care in pediatric units: A descriptive cross-sectional study
  Sinem Ozmen, Havva Arslan Yurumezoglu
  Journal of Pediatric Nursing.2025; 81: e1.     CrossRef
• The effect of nursing workload and patient acuity on missed nursing care among NICU nurses in northern Jordan
  Raeda AbuAlRub, Nagham Abdullateef Mahmmoud, Heyam Fawaz Dalky, Abdullah Alkhawaldeh
  Journal of Neonatal Nursing.2025; 31(3): 101653.     CrossRef
• Missed nursing care and its causes and effects on moral distress in neonatal intensive care nurses
  Burcu Bakırlıoğlu, Bengü Çetinkaya, Rabia Nur Teki
  Nursing in Critical Care.2025;[Epub]     CrossRef
• Missed care in neonatal intensive care unit: effect of electronic reminders
  Bahrami Fereshteh, Azizzadeh Forouzi Mansooreh, Nematollahi Monirsadat, Kalisch Beatrice, Bagherian Behnaz
  BMC Pregnancy and Childbirth.2025;[Epub]     CrossRef
• Nurses experiences with an intervention enhancing skill-mix in Kenyan neonatal units with severe workforce deficits: A qualitative study
  Nancy Odinga, Caroline Waithira, Justinah Maluni, Gloria Ngaiza, Vincent Kagonya, Onesmus Onyango, Abdulazeez Imam, David Gathara, Michuki Maina, Kenneth Karumba, Fred Were, Sebastian Fuller, Mike English, Edna Mutua, Sassy Molyneux, Caroline Jones, Dorot
  International Journal of Nursing Studies.2025; 171: 105202.     CrossRef
• Pediatri kliniklerinde çalışan hemşirelerin karşılayamadıkları bakım gereksinimlerinin incelenmesi
  Ayşe Zişan Olcay, Rana Yiğit
  Mersin Üniversitesi Sağlık Bilimleri Dergisi.2025; 18(2): 132.     CrossRef
• Fading connections: A phenomenological study of oncology nurses’ experiences of Missed Nursing Care during an infectious disease outbreak
  Mahsa Pourshaban, Atefeh Allahbakhshian, Hadi Hasankhani, Federica Canzan,
  PLOS One.2025; 20(11): e0336174.     CrossRef
• The relationship between resilience and missed nursing care in neonatal intensive care units: a cross-sectional study in Iran
  Fatemeh Khoshnavay Fomani, Mahdie Pasha Zanoosi, Mohammad Mehdi Rajabi
  BMC Research Notes.2025;[Epub]     CrossRef
• Mapping the Contributing Factors to Missed Nursing Care in Hospital Settings During a Global Health Crisis: A Systematic Scoping Review
  Mahsa Pourshaban, Atefeh Allahbakhshian, Majid Purabdollah, Jacopo Fiorini
  Journal of Nursing Management.2025;[Epub]     CrossRef
• Pediatrik ve Yenidoğan Birimlerde Karşılanmamış Hemşirelik Bakımı: Kapsamlı Bir Literatür Derleme
  Sinem Özmen, Havva Arslan Yürümezoğlu
  İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri F.2024; 9(2): 281.     CrossRef
• Title Missed Nursing Care and Its Associated Factors: An Integrative Review
  Mohammad Yeganeh, Fatemeh Salmani
  Medical-Surgical Nursing Journal.2024;[Epub]     CrossRef
• Investigating the Quality of Nursing Records and its Relationship to Missed Care by Neonatal Intensive Care Nurses
  L Hajtaghi, M Arshadi, M Rahkar Farshi
  Journal of Health and Care.2024; 25(3): 279.     CrossRef
• Evaluation of missed nursing care in neonatal intensive care units: A cross-sectional study
  Dominika Kohanová, Branislav Malý, Daniela Bartoníčková, Katarína Žiaková
  Journal of Neonatal Nursing.2023; 29(5): 791.     CrossRef
• Qualitative evaluation of missed nursing care in neonatal intensive care units in a teaching hospital in Jordan
  Rania Ali Albsoul, Muhammad Ahmed Alshyyab, Rana Yaser Albayyari, Dana Hani Alselaibi, Salsabil Awni Flefil, Laila Hussam Jardaneh, Sohayla Yaseen Fayiz Dababseh, Baraa Ayed Al Odat, Fatima Abdulsattar Alkubaisi, Majd Hussein AlKhawaldeh, Gerard FitzGeral
  Journal of Pediatric Nursing.2023; 73: e277.     CrossRef
• Exploring Missed Nursing Care in the NICU: Perspectives of NICU Nurses in Saudi Arabia’s Eastern Health Cluster
  Nasreen Alsalem, Fatima Abu Rashid, Saleh Aljarudi, Mohammed I. Al Bazroun, Roqayah Mirza Almatrouk, Fatimah M. Alharbi, Lames Al Mansour, Nahid Baker Abuzaid
  Pediatric Reports.2023; 15(4): 571.     CrossRef

Purpose
The purpose of this study was to identify the gaps in research related to developmentally supportive care in the neonatal intensive care unit (NICU). The ultimate goal was to explore directions of further research on developmentally supportive care for premature patients.
Methods
The Arksey and O'Malley scoping review method was used. Articles on developmentally supportive care for preterm infants in the NICU, written in English or Korean, were identified through electronic search engines. A total of 279 papers were identified in the initial search, of which 22 full-text papers were included in this review.
Results
Several nursing studies have been published in the past 5 years. The important elements of developmentally supportive care were family-centered care and management of the NICU environment. The primary developmentally supportive care interventions were training programs to promote the care competency of NICU nurses.
Conclusion
It is necessary to actively develop comprehensive developmental support interventions that consider the various elements of developmentally supportive care for preterm infants. Additional studies should be done to develop programs that provide direct intervention for premature infant and their families.

Citations

• Innovation in nursing led maternal and infant care: emerging trends and impact in Indian clinical setting
  Riya Patel Shukal, Kavita V. Matere, Phanindrareddy Badduri, Mohammed Umar, Pooja Bakshi, Selvi R., Yamunadevi Shanmugam, Dana Baby, Regina P. F., Anne Roslin, Suhashini
  International Journal of Reproduction, Contracepti.2026; 15(2): 695.     CrossRef
• Health Workers' Knowledge and Practice of Developmentally Supportive Care for Premature Infants in Four Ugandan Neonatal Units: A Cross‐Sectional Study
  Zelee Hill, Victoria Nakibuuka, Robert Serunjogi, Robert Ssekitoleko, Ritah Nasiima, Sanyu Nalunga‐Atuhe, James Nyonyintono, Albert Kamugisha
  Health Science Reports.2026;[Epub]     CrossRef
• Content Validity for the NICU Caregiver Behavior Checklist
  Amy Carroll, Cecilia Roan, Catherine Verrier Piersol, Michele Kacmarcik Savin
  Nursing for Women's Health.2025; 29(1): 44.     CrossRef
• Assessing Developmentally Supportive Care in Neonatal Nursing in China
  Qian Sun, Jing Wang, Jiuqiao Xu, Longyan Wu
  AJN, American Journal of Nursing.2025; 125(7): e1.     CrossRef
• Developmental supportive care in preterm and low birth weight neonates
  Rinki H. Shah, Ridhdhi D. Dangar
  International Journal of Contemporary Pediatrics.2025; 12(8): 1372.     CrossRef
• Comprehensive Overview of Preterm Developmental Supportive Care: Narrative Review
  Hasan Saud Abdul Hussein, Adraa Hussein Shawq
  International Journal of Child Health and Nutritio.2025; 14(4): 408.     CrossRef
• Rectal Stimulation in Premature and Full-Term Newborns: A Narrative Review
  Silvia Rossi, Simona Calza, Chiara De Rosa, Giulia Ottonello, Nicoletta Dasso, Roberta Da Rin Della Mora, Ilaria Artuso, Giuseppe Minniti Caracciolo, Simona Serveli, Silvia Scelsi
  Children.2025; 12(12): 1656.     CrossRef
• Application and effect of developmental supportive care on growth and neurobehavioral development in preterm infants
  Xiaoqing Niu, Ling Li, Yachao Jing
  Frontiers in Pediatrics.2025;[Epub]     CrossRef
• Competency based performance of mothers on preterm neonatal care through Neonatal Integrative Developmental Care (NIDC) interventions: An interventional pilot project
  Sandra Jyothi Saldanha, Veena Gretta Tauro
  Journal of Neonatal Nursing.2024; 30(2): 130.     CrossRef
• Maternal Participation in Sensory Care of Preemies: A Pilot Study Examining the Effect on Neonatal Outcome in NICU
  Renilda Shanthi Lobo, Theresa Leonilda Mendonca
  Journal of Health and Allied Sciences NU.2024; 14(02): 202.     CrossRef
• Effects of white noise on preterm infants in the neonatal intensive care unit: A meta‐analysis of randomised controlled trials
  Qing Zhang, Qiugui Huo, Peizhen Chen, Wenying Yao, Zhihong Ni
  Nursing Open.2024;[Epub]     CrossRef
• Exploring Effect of Postdischarge Developmental Support Program on Preterm Infant Neurodevelopment and BDNF Gene DNA Methylation
  Jun Zhang, Mi Cao, Shaoting Yue, Jingmin Yan, Yanyan Shang
  Advances in Neonatal Care.2023; 23(2): E50.     CrossRef
• Effectiveness of Nicu nurses’ competence enhancement program for developmentally supportive care for preterm infants: A quasi-experimental study
  Han Na Lee, Haeryun Cho
  Heliyon.2023; 9(1): e12944.     CrossRef
• Knowledge and perception on developmentally supportive care for preterm babies among staff nurses working in the neonatal intensive care unit of Tertiary Care Center in South India
  Lavanya Subhashini, V Saritha, Monappa
  BLDE University Journal of Health Sciences.2023; 8(1): 69.     CrossRef

Purpose
This study aimed to develop and evaluate the effectiveness of an educational program on developmental positioning (EPDP) for nurses in neonatal intensive care units (NICUs).
Methods
The study utilized a non-equivalent control group pretestposttest design. Sixty NICU nurses were recruited from two university hospitals in Daejeon, South Korea. The EPDP consisted of a 7-week program: 3 weeks of education and practice, followed by 4 weeks of encouragement messages using social networking services. Developmental positioning (DP) posters and DP aids were also provided during the intervention period. The intervention group (n=30) received the EPDP, but not the control group. The data were analyzed using the x2 test, the Fisher exact test, the independent t-test, and repeated-measures analysis of variance.
Results
Participants' knowledge (t=7.49, p<.001), attitudes (t=1.99, p=.001), self-efficacy (t=2.99, p=.004), performance of DP (t=2.98, p=.004) and Infant Positioning Assessment Tool (IPAT) scores (F=29.50, p<.001) were significantly higher in the intervention group than in the control group.
Conclusion
The EPDP can be an effective and useful program for improving the performance of DP among NICU nurses by increasing their knowledge, attitudes, and self-efficacy of DP. However, further research involving various NICU settings is needed to gather more empirical evidence.

Citations

• The knowledge, attitude and practice of nurses on the posture management of premature infants: status quo and coping strategies
  Xiaojue Zhong, Shanshan Cai, Huiyun Wang, Longyan Wu, Yanan Sun
  BMC Health Services Research.2025;[Epub]     CrossRef
• Reported use of implementation science theories, models, and frameworks in 151 implementation trials: secondary analysis of a systematic review targeting nursing practice
  Charlene Weight, Rachael Laritz, Simonne E Collins, Meagan Mooney, Billy Vinette, Sonia A Castiglione, Nicola Straiton, Gabrielle Chicoine, Shuang Liang, Justin Presseau, Kristin Konnyu, Marie-Pierre Gagnon, Sonia Semenic, Sandy Middleton, Natalie Taylor,
  Translational Behavioral Medicine.2025;[Epub]     CrossRef
• The effect of comprehensive developmental positioning program training on nurses’ performance and infant comfort hospitalized in the neonatal intensive care unit
  Tina Karami, Afsaneh Arzani, Ali Zabihi, Hossein-Ali Nikbakht, Zahra Akbarian rad, Seyedeh Roghayeh Jafarian amiri
  BMC Medical Education.2025;[Epub]     CrossRef
• Maternal Participation in Sensory Care of Preemies: A Pilot Study Examining the Effect on Neonatal Outcome in NICU
  Renilda Shanthi Lobo, Theresa Leonilda Mendonca
  Journal of Health and Allied Sciences NU.2024; 14(02): 202.     CrossRef
• Developmental care education in Australian surgical neonatal intensive care units: A cross-sectional study of nurses’ perceptions
  Nadine Griffiths, Sharon Laing, Kaye Spence, Maralyn Foureur, Himanshu Popat, Leah Hickey, Lynn Sinclair
  Heliyon.2024; 10(10): e30572.     CrossRef
• Effectiveness of Nicu nurses’ competence enhancement program for developmentally supportive care for preterm infants: A quasi-experimental study
  Han Na Lee, Haeryun Cho
  Heliyon.2023; 9(1): e12944.     CrossRef
• Effects of a Noncontact Visit Program in the NICU for the Prevention of COVID-19
  Hye Young Ahn, Hee Jee Jo, Hyun Jeong Ko
  Healthcare.2023; 11(15): 2152.     CrossRef

Purpose
This study was conducted to investigate the educational needs for practicing neonatal intensive care among Korean nursing students.
Methods
An explorative, sequential, mixed-methods design was used. Qualitative content analysis was conducted of in-depth interviews of six nursing students, five clinical practice faculty members, and five nurses in the neonatal intensive care unit. The results of a survey of 174 nursing students were analyzed quantitatively.
Results
Nursing students, clinical practice faculty members, and nurses wanted opportunities for direct nursing practice and education in school during neonatal intensive care practice. In terms of specific educational content, nursing students expressed the highest observation-related educational needs for communication with medical team members, and they expressed the highest practice-related educational needs for operating medical equipment used for neonatal intensive care. The nursing students' needs with regard to the method of practice education were highest for orientation from the head nurses.
Conclusion
Communication and operating medical equipment were found to be areas with high educational needs for practicing neonatal intensive care among Korean nursing students. Further research is needed to develop an educational framework and setting for practicing neonatal intensive care that would meet their needs.

Citations

• Tutoring experiences of a high-risk newborn care simulation among nurse tutors and nursing student tutees in South Korea: a qualitative study
  Hyun Young Koo, Bo Ryeong Lee, Hyeran An
  Child Health Nursing Research.2025; 31(1): 40.     CrossRef
• Using Backward Design to Develop a Neonatal Course for Baccalaureate Nursing Students
  Kailey Rinaldi, Rebecca Koerner
  Nurse Educator.2024; 49(5): E299.     CrossRef
• Conceptualising a wellbeing-centred approach to neonatal nursing education: A discussion paper
  Jane Staples, Makaylah Starkey, Kendall Davis
  Journal of Neonatal Nursing.2024; 30(5): 424.     CrossRef
• The effect of peer tutoring on pediatric nursing education: a systematic review
  Hyun Young Koo, Hyeran An, Bo Ryeong Lee
  Child Health Nursing Research.2024; 30(4): 215.     CrossRef
• Development of a virtual reality program in South Korea for the measurement of vital signs in children: a methodological study
  Sun Nam Park, Hye Young Hwang, Hyun Young Koo
  Child Health Nursing Research.2023; 29(2): 137.     CrossRef
• Association between Parity and Preterm Birth—Retrospective Analysis from a Single Center in Poland
  Monika Szyszka, Ewa Rzońca, Sylwia Rychlewicz, Grażyna Bączek, Daniel Ślęzak, Patryk Rzońca
  Healthcare.2023; 11(12): 1763.     CrossRef
• Development and evaluation of case video-based debriefing on a simulation of high-risk neonatal care for nursing students in South Korea: a mixed-methods study
  Hyun Young Koo, Bo Ryeong Lee, Hyeran An
  BMC Nursing.2023;[Epub]     CrossRef
• Development of a Project-Based Learning Program on High-Risk Newborn Care for Nursing Students and Its Effects: A Quasi-Experimental Study
  Hyun-Young Koo, Young-Eun Gu, Bo-Ryeong Lee
  International Journal of Environmental Research an.2022; 19(9): 5249.     CrossRef
• Impact of the COVID-19 Pandemic on Neonatal Nursing Practicum and Extended Reality Simulation Training Needs: A Descriptive and Cross-Sectional Study
  Sun-Yi Yang
  International Journal of Environmental Research an.2022; 20(1): 344.     CrossRef

Purpose
This descriptive study compared the perceived parental stress levels between parents with very low birth weight infants (VLBWIs) and nurses in the neonatal intensive care unit (NICU).
Methods
In total, 83 parents of VLBWIs and 78 NICU nurses were enrolled. Data were collected with the Parental Stress Scale (PSS) and analyzed using the t-test and analysis of variance in SAS version 9.4.
Results
The average PSS score was 3.31 among parents and 3.45 among nurses. The stress score was significantly higher among nurses with children (t=2.46, p=.016) and senior nurses (t=2.12, p=.037). There was a significant difference in the stress score according to parents' education (t=3.29, p=.002) and occupation (F=3.14, p=.049) in the sights and sounds subscale. Mothers had significantly higher stress scores than fathers in the parental role alterations subscale (t=2.32, p=.023). Parental stress scores were higher than those perceived by nurses in the infant's appearance and behaviors subscale for breathing patterns (t=2.95, p=.004), followed by jerky/ restless behavior (t=2.70, p=.008).
Conclusion
Nurses should provide explanations to parents of VLBWIs in order to reduce parental stress about the appearances and behavior of VLBWIs. This is more important than aspect of the NICU environment and education about parental roles.

Citations

• What Influences Maternal Stress in The NICU Among Mothers of Preterm Infants?
  Halyna Pavlyshyn, Iryna Sarapuk
  Journal of Multidisciplinary Healthcare.2025; Volume 18: 5713.     CrossRef
• Relationship between Maternal Stress and Neurobehavioral Indicators of Preterm Infants in the Neonatal Intensive Care Unit
  Bruna Abreu Ramos, Cibelle Kayenne Martins Roberto Formiga, Nayara Rodrigues Gomes de Oliveira, Patricia Gonçalves Evangelista Marçal, Rui Gilberto Ferreira, Tárik Kassem Saidah, Waldemar Naves do Amaral
  Children.2024; 11(8): 889.     CrossRef
• Parental stress and nurse-parent support in the neonatal intensive care unit: a cross-sectional study
  Dilek Konukbay, Mürşide Vural, Dilek Yildiz
  BMC Nursing.2024;[Epub]     CrossRef
• Fatores associados ao estresse de pais em Unidade de Terapia Intensiva Neonatal
  Jaquiele Jaciára Kegler, Eliane Tatsch Neves, Augusto Maciel da Silva, Diúlia Calegari de Oliveira, Kellen Cervo Zamberlan
  Acta Paulista de Enfermagem.2023;[Epub]     CrossRef
• The experience of fathers whose infants were hospitalized in Neonatal Intensive Care Unit in South Korea: A scoping review
  Jiyeon Lee, Sunyeob Choi
  Journal of Pediatric Nursing.2023; 72: 36.     CrossRef

Purpose
The aim of this study was to clarify and define the concept of nursing support as perceived by mothers of preterm infants.
Methods
The research was conducted using Schwartz-Barcott and Kim's hybrid model. Sixteen articles were analyzed during the theoretical phase. In-depth interviews were conducted with 10 mothers of preterm infants in the fieldwork phase. In the final analytical phase, the attributes of nursing support were defined.
Results
There were four themes and 10 attributes of nursing support as perceived by mothers of preterm infants. Professional care and emotional care for the baby were identified as attributes of baby care support. Information related to the disease, inpatient environment, baby's daily hospital life, and mother-centered care were identified as attributes of information delivery support. Empathy for mothers and therapeutic communication with the mother were identified as attributes for mental care support. Lastly, providing a chance for the mother to take care of the baby and reinforcement of the maternal role were identified as attributes of maternal role support.
Conclusion
The 10 attributes of this study could provide a base for the development of a nursing support instrument and practical guidelines for mothers in neonatal intensive care units.

Citations

• Effective Therapeutic Communication Model in Reducing Stunting in Secanggang District, Langkat Regency, North Sumatra
  Dewi Kurniawati, Nurmaini Nurmaini, Aulia Rahma Ritonga
  Salud, Ciencia y Tecnología.2026; 6: 2562.     CrossRef
• Trust as the foundation to care: Parents of Medically Fragile Infants' experiences of developing trust with nurses
  Lyndsay Jerusha MacKay, Emma Nickel, Rubinder Bahia, Janice Kamke, Lily Ragan, Heather Meyerhoff
  Journal of Pediatric Nursing.2026; 87: 381.     CrossRef
• The Effect of Breast Massage and Warm Compress Application on Milk Production and Anxiety in Mothers with Premature Newborn: A Randomized Controlled Trial
  Şeyma Ertugral Mollaahmetoglu, Gulten Guvenc
  Breastfeeding Medicine.2025; 20(6): 416.     CrossRef
• Transforming neonatal nursing: a randomized controlled trial comparing kangaroo care and standard protocols for survival in preterm infants with respiratory distress syndrome
  Osama Mohamed Elsayed Ramadan, Afrah Madyan Alshammari, Abeer Nuwayfi Alruwaili, Nadia Bassuoni Elsharkawy, Ali Alhaiti, Nagwa Ibrahim Mabrouk Baraka
  BMC Nursing.2025;[Epub]     CrossRef
• Mother-child separation in critical care: emotional implications, impact on the bond and intervention strategies
  Jorge Leodan Cabrera Olvera , Carmen Graciela Zhizhpon Gavidia , Jonathan David Velasco Cedeño , Gabriela Lisbeth Sinchiguano Moreno
  Salud, Ciencia y Tecnología.2025; 5: 1440.     CrossRef
• “More than medical care”: a qualitative study on family support systems in the neonatal intensive care unit in Ghana
  Mary Boadu, Lillian Akorfa Ohene, Vivian Efua Senoo-Dogbey
  BMC Pediatrics.2025;[Epub]     CrossRef
• Influencing Factors of Coping Strategies in Mothers of High‐Risk Newborns: Perceived Stress and Nursing Support
  Jung‐A Kim, Hye‐Young Jang
  International Journal of Nursing Practice.2025;[Epub]     CrossRef
• What matters to families about the healthcare of preterm or low birth weight infants: A qualitative evidence synthesis
  Lisa Hurt, David Odd, Mala Mann, Hannah Beetham, Emma Dorgeat, Thomas CW Isaac, Annie Ashman, Fiona Wood
  Patient Education and Counseling.2023; 115: 107893.     CrossRef
• Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis
  Maryam Maleki, Abbas Mardani, Celia Harding, Mohammad Hasan Basirinezhad, Mojtaba Vaismoradi
  Women's Health.2022;[Epub]     CrossRef
• Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea
  Seol-Hee Moon, Ho-Ran Park, Dong Yeon Kim
  Child Health Nursing Research.2021; 27(3): 297.     CrossRef
• The Development and Validation of a Perceived Nursing Support Scale for Mothers of Preterm Infants
  Mihae Im, Jina Oh
  Asian Nursing Research.2021; 15(5): 317.     CrossRef

Purpose
This study aimed to evaluate the effects of a rational emotive behavior therapy (REBT)-based emotional regulation program for mothers of premature infants in the neonatal intensive care unit (NICU).
Methods
The study utilized a nonequivalent control group pretest-posttest design. Seventeen mothers were recruited for the experimental group and 21 mothers for the control group. Data were collected from July 9, 2018, to Oct 12, 2018 from mothers of premature infants in the NICU regarding parental stress, state anxiety, depression, and maladaptive cognitive emotion regulation. The experimental group received eight sessions of the REBT-based emotional regulation program for 3-4 weeks, and the control group only received standard nursing care.
Results
Significant differences were found between the two groups in maladaptive cognitive emotion regulation (Z=-3.88, p<.001), stress (Z=-2.76, p=.006), state anxiety (Z=-3.72, p<.001), and postpartum depression(Z=-2.62, p=.009) after the intervention in the experimental group.
Conclusion
The REBT-based emotional regulation program for mothers of premature infants was effective for reducing maladaptive cognitive emotion regulation, stress, anxiety, and postpartum depression. Therefore, it may be necessary to provide an REBT-based emotional regulation program for mothers of premature infants in the NICU in clinical practice.

Citations

• Effectiveness of psychosocial interventions for parents with preterm infants: A commentary on a systematic review
  Victoria Gray, Jay Thomas, Marilena Hadjittofi, Natalie Holman, James Edward Hill, Catherine Harris
  Journal of Family and Child Health.2025; 2(12): 533.     CrossRef
• Effectiveness of psychosocial interventions on the psychological outcomes of parents with preterm infants: A systematic review and meta-analysis
  Sian Hui Chan, Shefaly Shorey
  Journal of Pediatric Nursing.2024; 74: 23.     CrossRef
• Predicting Children’s Mental Well-Being During COVID-19 Pandemic Based on Maternal Cognitive Emotion Regulation
  Delaram Dehnashi
  Psychology and Behavioral Sciences.2024; 13(5): 129.     CrossRef
• PREDICTING CHILDREN’S MENTAL WELL-BEING DURING COVID-19 PANDEMIC BASED ON MATERNAL COGNITIVE EMOTION REGULATION
  Delaram Dehnash
  ASEAN Journal of Psychiatry.2024;[Epub]     CrossRef
• Fordyce happiness training program on the competence of mothers of premature infants admitted to the NICU from Middle East: A quasi-experimental study
  Fereshteh Ghaljaei, Marie Hastings-Tolsma, Nasrin Rezaee
  Pediatrics & Neonatology.2023; 64(5): 512.     CrossRef
• Identifying the common elements of psychological and psychosocial interventions for preventing postpartum depression: Application of the distillation and matching model to 37 winning protocols from 36 intervention studies
  Yuping Lin, Xiangchun Zhang, Tianchun Zhou, Feng Xu, Xinli Zhu, Huixin Zhou, Xiao Wang, Yan Ding
  Early Intervention in Psychiatry.2023; 17(10): 947.     CrossRef
• Mindfulness Intervention Improves Coping and Perceptions of Children’s Behavior among Families with Elevated Risk
  Jill T. Krause, Samantha M. Brown
  International Journal of Environmental Research an.2023; 20(23): 7092.     CrossRef
• The effect of Mindful Parenting Training on Parent–Child Interactions, Parenting Stress, and Cognitive Emotion Regulation in Mothers of Preschool Children
  Zahra Bondar kakhki, Ali Mashhadi, Seyed Amir Amin Yazdi, Shirin Saleh
  Journal of Child and Family Studies.2022; 31(11): 3113.     CrossRef

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

Citations

• Development and Evaluation of Infection Control Nursing Simulation Education Program for Nurses in a NICU
  Min-hee Cho, Sunghee Kim
  Journal of Korea Society for Simulation in Nursing.2024; 12(2): 1.     CrossRef
• Noise Produced by Neonatal Ventilators Inside and Outside of the Incubators
  Lea Bergez, Gilles Jourdain, Daniele De Luca
  Respiratory Care.2023; 68(12): 1693.     CrossRef
• Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea
  Seol-Hee Moon, Ho-Ran Park, Dong Yeon Kim
  Child Health Nursing Research.2021; 27(3): 297.     CrossRef

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

Citations

• Grief, bereavement and prolonged grief disorder: scoping and mapping the evidence
  Gary Raine, Claire Khouja, Meena Khatwa, Helen Fulbright, Katy Sutcliffe, Amanda J. Sowden
  BJPsych Open.2025;[Epub]     CrossRef
• Maternal, infant, and perinatal mortality statistics and trends in Korea between 2018 and 2020
  Hyunkyung Choi, Ju-Hee Nho, Nari Yi, Sanghee Park, Bobae Kang, Hyunjung Jang
  Korean Journal of Women Health Nursing.2022; 28(4): 348.     CrossRef

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

Citations

• A cross-sectional study on posttraumatic growth and influencing factors among parents of premature infants
  Wang Xingyanan, Lv Yuanhong, Liu Yang, Xiao Zhitian
  BMC Pregnancy and Childbirth.2025;[Epub]     CrossRef
• Research Progress on Influencing Factors and Intervention of Postpartum Post-Traumatic Growth
  铭浚 文
  Nursing Science.2025; 14(10): 1653.     CrossRef
• Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea
  Seol-Hee Moon, Ho-Ran Park, Dong Yeon Kim
  Child Health Nursing Research.2021; 27(3): 297.     CrossRef
• Relationship dynamics: the protective effect of relationship satisfaction and dependency on parents’ mental health after having a preterm baby
  İlknur Okay, Çiğdem Yavuz Güler
  Health Psychology Report.2021; 9(4): 372.     CrossRef

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

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

Citations

• The Effects of Documentary and Psychiatric Interviewing Methods on Empathy, Attitude, and Implicit Association in Psychiatric Nursing Education: A Randomized Controlled Study
  Sevgi Koroglu Gokbel, Gulgun Durat
  Western Journal of Nursing Research.2026; 48(2): 162.     CrossRef
• Chronological Changes in the Portrayal of Korean Nurses in TV Documentaries
  Eunjin Kim, Gumhee Baek, Aram Cho, Mijin Byun
  Journal of Korean Academy of Nursing Administratio.2023; 29(4): 341.     CrossRef
• The effects of neonatal resuscitation gamification program using immersive virtual reality: A quasi-experimental study
  Sun-Yi Yang, Yun-Hee Oh
  Nurse Education Today.2022; 117: 105464.     CrossRef

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

Citations

• Health Workers' Knowledge and Practice of Developmentally Supportive Care for Premature Infants in Four Ugandan Neonatal Units: A Cross‐Sectional Study
  Zelee Hill, Victoria Nakibuuka, Robert Serunjogi, Robert Ssekitoleko, Ritah Nasiima, Sanyu Nalunga‐Atuhe, James Nyonyintono, Albert Kamugisha
  Health Science Reports.2026;[Epub]     CrossRef
• “Effectiveness of a Multimodal Teaching Program on Nurses” Knowledge Acquisition, Practice, and Perception of Neurodevelopmental Supportive Care in NICU: A Non-randomized Controlled Trial
  Raghu V A, Manju Vatsa, Neeraj Gupta, Latha, Thuileiphy T
  Journal of Neonatology.2025; 39(4): 341.     CrossRef
• Nurses’ perspectives on implementing sleep protection for premature infants in the neonatal intensive care unit: a qualitative study
  Yujing Gu, Yunfei Tang, Yan Xue, Juan Wu, Jun Xie
  BMC Health Services Research.2025;[Epub]     CrossRef
• A Cross‐Sectional Study on Nurse‐Parent Partnership in the Pediatric Intensive Care Units
  Premalatha Paulsamy, Shadia Hamoud Alshahrani, Krishnaraju Venkatesan, Kousalya Prabahar, Manjula Gopinathan Bhagavathy, Mathar Mohideen Nagoor Thangam, Vinoth Prabhu Veeramani, Samya Mohamed Hegazy, Rehab Ahmed, Vigneshwaran Easwaran, Haseena T. A., Hala
  International Journal of Clinical Practice.2024;[Epub]     CrossRef
• Korean nurses’ knowledge, opinions and current practice of trauma-informed pediatric nursing care in South Korea: a descriptive study
  Kyung-Sook Bang, Sun Woo Hong, Hwal Lan Bang, Ji-Hye Choe, Sinyoung Choi
  Child Health Nursing Research.2024; 30(4): 309.     CrossRef
• Factors influencing neonatal intensive care unit nurses' parent partnership development
  Eun Kyoung Kim, In Young Cho, Ji Yeong Yun, Bobae Park
  Journal of Pediatric Nursing.2023; 68: e27.     CrossRef
• Effectiveness of Nicu nurses’ competence enhancement program for developmentally supportive care for preterm infants: A quasi-experimental study
  Han Na Lee, Haeryun Cho
  Heliyon.2023; 9(1): e12944.     CrossRef
• Developmentally Supportive Care Among Neonatal Intensive Care Unit Nurses in South Korea
  Han Na Lee, Ji Hyeon Park, Haeryun Cho
  Advances in Neonatal Care.2023; 23(3): E60.     CrossRef
• Preterm Infant Care Practice among Nurses in Neonatal Care Units of Selected Hospitals of Nepal: A Cross-Sectional Study
  Tumla Shrestha, Archana Pandey Bista, Sarala Shrestha, Radhika Regmi, Foroozan Atashzadeh-Shoorideh
  Nursing Forum.2023; 2023: 1.     CrossRef
• Effects of a Neonatal Supportive Positioning Training Video Program for Preterm Infants on the Knowledge and Performance of Nurses in Neonatal Intensive Care Units
  Hyun Jin Moon, Kyung Sook Cho, Mi Young An, Dong Woo Son
  Asian Nursing Research.2022; 16(1): 25.     CrossRef
• Analysis of research on developmentally supportive care for prematurity in neonatal intensive care unit: a scoping review
  Hanna Lee, Ji Hyeon Park, Haeryun Cho
  Child Health Nursing Research.2022; 28(1): 9.     CrossRef
• Missed nursing care and its influencing factors among neonatal intensive care unit nurses in South Korea: a descriptive study
  Soohyun Kim, Sun-Mi Chae
  Child Health Nursing Research.2022; 28(2): 142.     CrossRef
• Simulation Training Needs of Nurses for Nursing High-Risk Premature Infants: A Cross-Sectional Study
  Sun-Yi Yang
  Healthcare.2022; 10(11): 2197.     CrossRef
• Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care
  Da-Ae Shin, Kyung-Sook Bang
  The Journal of Korean Academic Society of Nursing .2021; 27(3): 261.     CrossRef

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

Citations

• Enhancing nurse-parent partnership for NICU nurses by investigating multi-modal learning with a hybrid simulation approach that integrates metaverses and real-world training
  Hee Young Kim, Soon Hyun Myung, In Young Cho
  Nurse Education in Practice.2025; 84: 104294.     CrossRef
• Spousal support, parent–nurse partnership and caregiver burden among parents of children with chronic diseases: A cross‐sectional study
  Jihye Kim, Heemin Chae, Yoonjung Kim
  Journal of Clinical Nursing.2024; 33(7): 2649.     CrossRef
• Research trends in nurse–parent partnership: A scoping review of the paediatric field in South Korea
  Seo Jin Park, Ji Yeong Yun, Jina Lee, In Young Cho
  Nursing Open.2024;[Epub]     CrossRef
• Association of nurse–mother partnerships with parenting stress and family resilience among South Korean mothers of children with congenital heart disease
  Youna Chang, Jiyoung Lim, Hye Won Yoon
  Journal of Pediatric Nursing.2024; 79: 16.     CrossRef
• Fostering Partnership Between Pediatric Nurses and Parents of High-Risk Infants: A Mixed Method Approach
  In Young Cho, Won-Oak Oh
  Journal of Child and Family Studies.2023; 32(9): 2681.     CrossRef
• Effects of a Noncontact Visit Program in the NICU for the Prevention of COVID-19
  Hye Young Ahn, Hee Jee Jo, Hyun Jeong Ko
  Healthcare.2023; 11(15): 2152.     CrossRef
• Discharge Readiness Scale for Parents of High-Risk Infants: A Systematic Review
  Ki-Eun Kim, Hyejung Lee, Na-Young Jeon
  Journal of The Korean Society of Maternal and Chil.2022; 26(4): 205.     CrossRef
• Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care
  Da-Ae Shin, Kyung-Sook Bang
  The Journal of Korean Academic Society of Nursing .2021; 27(3): 261.     CrossRef
• Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis
  Ah Rim Kim
  Asian Nursing Research.2020; 14(5): 327.     CrossRef

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

Citations

• Effects of an App-Based Visitation Program for Mothers of High-Risk Infants in the Neonatal Intensive Care Unit
  Nameun Yu, Mi Yu
  Journal of Perinatal & Neonatal Nursing.2025; 39(2): 174.     CrossRef
• 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
This study aimed to characterize the relationship between parental stress and nurses’ communication as perceived by parents of high-risk newborns in a neonatal intensive care unit (NICU).
Methods
The participants were 54 parents of high-risk newborns in a NICU. Data were collected from January to March 2018. Parental stress and parents’ perceptions of nurses’ communication ability and styles were measured using a questionnaire.
Results
The average scores for parental stress and nurses’ communication ability were 3.39 and 4.38 respectively, on a 5-point scale. Parents most commonly reported that nurses showed a friendly communication style, followed by informative and authoritative styles. Mothers and fathers reported significantly different levels of parental stress. Parental stress showed a negative correlation with nurses’ perceived verbal communication ability. Higher scores for nurses’ verbal communication ability and for friendly and informative communication styles were associated with lower parental stress induced by the environment, the baby’s appearance and behaviors, and treatments in the NICU.
Conclusion
The findings of this study suggest that nurses need to offer proper information for parents and to support parents by encouraging them to express their emotions of stress and by providing parents with therapeutic communication and opportunities to participate in care.

Citations

• Addressing parental stress: The contribution of nursing care
  Rafaela Reis, Fernanda Loureiro
  Journal of Pediatric Nursing.2026; 88: 10.     CrossRef
• Influencing Factors of Coping Strategies in Mothers of High‐Risk Newborns: Perceived Stress and Nursing Support
  Jung‐A Kim, Hye‐Young Jang
  International Journal of Nursing Practice.2025;[Epub]     CrossRef
• Influence of perceived parental child-rearing attitudes and ego identity on college adjustment among Korean nursing students
  Hye Seon Choi, Sona Lee, Eunju Seo
  BMC Nursing.2024;[Epub]     CrossRef
• The experience of fathers whose infants were hospitalized in Neonatal Intensive Care Unit in South Korea: A scoping review
  Jiyeon Lee, Sunyeob Choi
  Journal of Pediatric Nursing.2023; 72: 36.     CrossRef
• Effects of a Noncontact Visit Program in the NICU for the Prevention of COVID-19
  Hye Young Ahn, Hee Jee Jo, Hyun Jeong Ko
  Healthcare.2023; 11(15): 2152.     CrossRef
• Effects of parent-provider communication during infant hospitalization in the NICU on parents: A systematic review with meta-synthesis and narrative synthesis
  Nanon H.M. Labrie, Nicole R. van Veenendaal, Ramona A. Ludolph, Johannes C.F. Ket, Sophie R.D. van der Schoor, Anne A.M.W. van Kempen
  Patient Education and Counseling.2021; 104(7): 1526.     CrossRef
• Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea
  Seol-Hee Moon, Ho-Ran Park, Dong Yeon Kim
  Child Health Nursing Research.2021; 27(3): 297.     CrossRef
• Factors influencing the quality of nursing care as perceived by mothers of hospitalized children in South Korea
  Ina Jin, Hun Ha Cho
  Child Health Nursing Research.2021; 27(3): 266.     CrossRef
• Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis
  Ah Rim Kim
  Asian Nursing Research.2020; 14(5): 327.     CrossRef

Purpose
This prospective study was conducted to determine the incidence and related characteristics of respiratory medical device-related pressure ulcers (MDRPU) in children admitted to a pediatric intensive care unit (PICU).
Methods
The participants were 184 children who were admitted to the PICU of P University Hospital from April 2016 to January 2017. Data were collected on the occurrence of respiratory MDRPU and characteristics regarding the application of respiratory medical devices.
Results
Respiratory MDRPU occurred in 11.9% of participants (58.3%: stage I ulcers, 37.5%: mucosal ulcers). The devices associated with respiratory MDRPU were endotracheal tubes (54.2%), high-flow nasal cannulas (37.5%), and oximetry probes (8.3%). Respiratory MDRPU associated with an endotracheal tube were significant differences according to the site and strength of fixation, the use of a bite block and adhesive tape, skin dryness, and edema. In high-flow nasal cannulas, significant differences were found according to the site of fixation, immobility after fixation, and skin dryness.
Conclusion
The occurrence of respiratory MDRPU is significantly affected by the method and strength of fixation, as well as skin dryness and edema. Therefore, appropriate consideration of these factors in nursing care can help prevent respiratory MDRPU.

Citations

• Development of a care package to prevent medical device‐related pressure injuries using the Delphi Method: A maintenance care package development study
  Erhan Elmaoğlu, Zerrin Çiğdem
  Journal of Evaluation in Clinical Practice.2025;[Epub]     CrossRef
• Risk factors and prevalence of medical device-related pressure injuries in pediatric intensive care
  Müge Seval, Emine Uzuntarla Güney, Tülay Kuzlu Ayyıldız, Nazife Şirin Kuzlu Alkan
  Journal of Pediatric Nursing.2025; 82: e31.     CrossRef
• Adaptation and Validation of a Turkish Language Version of Braden QD Scale for Predicting Risk of Medical Device-Related Pressure Injuries in Pediatric Patients
  Zerrin Çiğdem, Erhan Elmaoğlu, Serkan Usgu, Selver Güler
  Journal of Wound, Ostomy & Continence Nursing.2025; 52(2): 147.     CrossRef
• The incidence and prevalence rates of pressure ulcers in the paediatric population: A meta-review of systematic reviews
  Lauren Vickers, Carol Hilliard, Rosemarie Derwin, Fiona Boland, Zena Moore, Aglecia Moda Vitoriano Budri
  Journal of Tissue Viability.2025; 34(4): 100962.     CrossRef
• The Characteristics and Risk Factors of Medical Device Related Pressure Injury in Intensive Care Unit Patients
  Mi Hyeon Jo, Hye-Ran Choi
  Journal of Korean Critical Care Nursing.2023; 16(2): 28.     CrossRef
• Incidence and prevalence of pressure injuries in children patients: A systematic review and meta-analysis
  Hongyan Zhang, Yuxia Ma, Qing Wang, Xiujuan Zhang, Lin Han
  Journal of Tissue Viability.2022; 31(1): 142.     CrossRef

Purpose
This study aimed to investigate incidence of delirium in the pediatric intensive care unit (PICU) and to analyze associated risk factors.
Methods
The participants were 95 patients, newborn to 18 years, who were admitted to the PICU. The instruments used were the Richmond Agitation Sedation Scale (RASS), and the Cornell Assessment of Pediatric Delirium. Data analysis was performed using the descriptive, x2 test, t-test, and logistic regression analyses.
Results
The incidence of delirium in children admitted to the PICU was 42.1%. There were significant differences according to age (x2=14.10, p=.007), admission type (x2=7.40, p=.007), use of physical restraints (x2=26.11, p<.001), RASS score (x2=14.80, p=.001), need for oxygen (x2=5.31, p=.021), use of a mechanical device (x2=9.97, p=.041), feeding (x2=7.85, p=.005), and the presence of familiar objects (x2=29.21, p<.001). Factors associated with the diagnosis of delirium were the use of physical restraint (odds ratio [OR]=13.82, 95% confidence interval [CI]=4.16~45.95, p<.001) and the presence of familiar objects (OR=0.09, 95% CI=0.03~0.30, p=.002).
Conclusion
Periodic delirium assessments and intervention should be actively performed. The use of restraints should be minimized if possible. The caregiver should surround the child with familiar objects and ensure a friendly hospital environment that is appropriate for the child.

Citations

• Short-term effects of eye masks and earplugs on delirium and pain in awake, spontaneously breathing pediatric intensive care patients: A randomized controlled trial
  Hamza Ek, Şenay Aras Doğan, Arzu Oto
  Journal of Pediatric Nursing.2026; 88: 117.     CrossRef
• Pediatric Delirium in Pediatric Intensive Care Setting: A Review of Recognition and Prevalence
  Patricia Savrimuthu, Putri Yubbu
  Malaysian Journal of Paediatrics and Child Health.2025; 31(1): 33.     CrossRef
• Hyperactive Delirium and Short-Term Quetiapine Treatment: A Pediatric Case
  Feride Burcu Taflan, Melis Elif Elçi, Miraç Barış Usta
  Cyprus Turkish Journal of Psychiatry and Psycholog.2025; 7(4): 438.     CrossRef
• Nursing experiences and knowledge of paediatric delirium: Analysing knowledge‐practice gaps
  Soonyoung Shon, Minkyung Kang
  Nursing in Critical Care.2024; 29(5): 923.     CrossRef
• Non-pharmacological interventions for delirium in the pediatric population: a systematic review with narrative synthesis
  Kyua Kim, Ju Hee Jeong, Eun Kyoung Choi
  BMC Pediatrics.2024;[Epub]     CrossRef
• Delirium in neonates and infants: a scoping review protocol
  Soonyoung Shon, Mi-So Shim, Minkyung Kang, Inah Kim
  BMJ Open.2024; 14(7): e084474.     CrossRef
• Effects of a Multifaceted Pediatric Delirium Education Program for Pediatric Intensive Care Unit Nurses on their Delirium Knowledge, Self-confidence in Delirium Nursing, and Delirium Assessment Accuracy: A One Group Pretest-Posttest Design
  Song Yi Nam, Su Jung Choi, Sa Rang Oh, Ji Eun Choi, Ki Young Park
  Journal of Korean Critical Care Nursing.2023; 16(1): 56.     CrossRef
• A Systematic Review and Pooled Prevalence of Delirium in Critically Ill Children*
  Diarmaid Semple, Moninne M. Howlett, Judith D. Strawbridge, Cormac V. Breatnach, John C. Hayden
  Critical Care Medicine.2022; 50(2): 317.     CrossRef
• Pediatri Yoğun Bakımlarda Deliryum Yönetiminde Hemşirenin Sorumlulukları ve Rolleri
  İlçim ERCAN, Evrim KIZILER
  Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi.2021; 4(1): 67.     CrossRef

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

Citations

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

Purpose
The study was conducted to measure stratum corneum hydration (SCH) and pH (SCP) in high-risk newborns in the early postnatal period and to explore the features related to patterns of change in those parameters.
Methods
SCH and SCP were measured on the dorsal hand in 99 hospitalized newborns during the first 14 days of life and the results were analyzed using a general linear model.
Results
The mean hydration was 42.9% on day 1, which decreased to 34.6% by 2 weeks (F=15.61, p=<.001). An association was observed between SCH and prematurity (F=21.12, p<.001), as well as for their interaction (F=8.11, p<.001). The mean SCP was 6.2±0.3 on day 1, and decreased to 5.7±0.2 (F=95.75, p<.001), with no association with prematurity. After adjusting for birth weight, SCH was higher in newborns with vaginal delivery (F=9.07, p=.023) and who received phototherapy (F=11.81, p=.011). For SCP, only delivery type had a significant influence (F=6.40, p=.044).
Conclusion
This study suggests that SCH is typically in the 30% range during the early postnatal period, and that an acid mantle on the SC surface is very unlikely to form; these findings could be applied to the nursing process for promoting skin integrity in high-risk neonates.

Citations

• The Effect of Sunflower Seed and Almond Oil on Preterm Infant Skin: A Randomized Controlled Trial
  Seda Caglar, Gizem Kerimoglu Yildiz, Ilkay Bakoglu, Ozgul Salihoglu
  Advances in Skin & Wound Care.2020; 33(8): 1.     CrossRef

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

Citations

• Confidence, not competence: Reframing roles to embed FICare
  Rachel Louise Collum, Ailie Hodgson, Sue Thompson, Claire Campbell
  Journal of Neonatal Nursing.2024; 30(1): 88.     CrossRef
• Effects of an App-Based Visitation Program for Mothers of High-Risk Infants in the Neonatal Intensive Care Unit
  Nameun Yu, Mi Yu
  Journal of Perinatal & Neonatal Nursing.2024;[Epub]     CrossRef
• Translation and Validation of Maternal Confidence Questionnaire (MCQ) In Iran: Persian Version
  Mona Alinejad-Naeini, Mansoureh Ashghali Farahani, Farhad Abolhasan Choobdar, Roqayeh Aliyari
  Child Care in Practice.2023; : 1.     CrossRef
• Does antibiotic awareness campaigns exposure decrease intention to demand antibiotic treatment? Testing a structural model among parents in Western Australia
  Aaron Lapuz Alejandro, Wei Wei Cheryl Leo, Mieghan Bruce, Kaymart Gimutao, Saurav Basu
  PLOS ONE.2023; 18(5): e0285396.     CrossRef
• Effects of Systematic Discharge Education Program on Anxiety and Parenting Confidence in Mothers of Premature Infants
  Eunyoung Kim, Aeran Jo, Meenam Hwang, Hyunjin Moon, Daeun Jeong, Myungjin Jang, Choyeon Lim
  Journal of The Korean Society of Maternal and Chil.2023; 27(2): 71.     CrossRef
• Identifying Latent Topics and Trends in Premature Infant–Related Nursing Studies Using a Latent Dirichlet Allocation Method
  Myeong Seon Lee, Seonah Lee
  CIN: Computers, Informatics, Nursing.2023; 41(12): 957.     CrossRef
• Effects of a Noncontact Visit Program in the NICU for the Prevention of COVID-19
  Hye Young Ahn, Hee Jee Jo, Hyun Jeong Ko
  Healthcare.2023; 11(15): 2152.     CrossRef
• The effect of the supportive care program based on Bandura's self-efficacy on stress and participation of the mothers of the neonates admitted to neonatal intensive care unit
  Shima Heidary, Haydeh Heidari, Roya Choopani, Morteza Sedehi
  Journal of Education and Health Promotion.2023;[Epub]     CrossRef
• A Delphi study on the Needs for the Development of a Customized Program based on Augmented Reality for Preterm infants and their Families in the Neonatal Intensive Care Unit
  Jae Eun Sin, Ah Rim Kim
  Journal of Digital Contents Society.2022; 23(3): 455.     CrossRef
• Development of a mobile application focusing on developmental support care for Korean infants born prematurely: a methodological study
  Ji Hyeon Park, Haeryun Cho
  Child Health Nursing Research.2022; 28(2): 112.     CrossRef
• “Always a Preemie”: Maternal Experiences Parenting a Very Preterm Infant into Toddlerhood
  Megan Quist, Megan M. Julian, Meera Meerkov, Megan H. Pesch
  Journal of Neonatology.2022; 36(2): 113.     CrossRef
• Development and Evaluation of the Parenting Support Group Program for Mothers with Infants
  Sun Hwa Park, Kyung Ja June
  Journal of Korean Academy of Community Health Nurs.2021; 32(1): 40.     CrossRef
• Effects of an Infant Care Education Program for Mothers of Late-preterm Infants on Parenting Confidence, Breastfeeding Rates, and Infants' Growth and Readmission Rates
  Eun Hye Jang, Hyeon Ok Ju
  Child Health Nursing Research.2020; 26(1): 11.     CrossRef
• An Integrative Review of Family Interventions based on a Philosophy of Family-Centered Care in Neonatal Intensive Care Units
  Nary Chung, Yeseul Kim, Eunyoung Park, Lisa Yeo, Jiwon Hwang
  Perspectives in Nursing Science.2019; 16(1): 35.     CrossRef
• A Mother’s Experience of Hospitalization of Her Newborn in the Neonatal Intensive Care Unit
  Euna Choi, Youngeun Lee
  Child Health Nursing Research.2018; 24(4): 407.     CrossRef

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

Citations

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

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

Citations

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

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

Citations

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

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

Citations

• Factors influencing the perception of shared decision-making among parents of children with type 1 diabetes mellitus: A cross-sectional study guided by the Ottawa Decision Support Framework
  In Hyeong Choi, In Young Cho
  Journal of Pediatric Nursing.2025; 85: 346.     CrossRef
• Influencing Factors of Coping Strategies in Mothers of High‐Risk Newborns: Perceived Stress and Nursing Support
  Jung‐A Kim, Hye‐Young Jang
  International Journal of Nursing Practice.2025;[Epub]     CrossRef
• The experience of fathers whose infants were hospitalized in Neonatal Intensive Care Unit in South Korea: A scoping review
  Jiyeon Lee, Sunyeob Choi
  Journal of Pediatric Nursing.2023; 72: 36.     CrossRef
• Effects of a Noncontact Visit Program in the NICU for the Prevention of COVID-19
  Hye Young Ahn, Hee Jee Jo, Hyun Jeong Ko
  Healthcare.2023; 11(15): 2152.     CrossRef
• Reviewing recordings of neonatal resuscitation with parents
  Maria C den Boer, Mirjam Houtlosser, Ruben S G M Witlox, Roosmarijn van der Stap, Martine C de Vries, Enrico Lopriore, Arjan B te Pas
  Archives of Disease in Childhood - Fetal and Neona.2021; 106(4): 346.     CrossRef
• Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea
  Seol-Hee Moon, Ho-Ran Park, Dong Yeon Kim
  Child Health Nursing Research.2021; 27(3): 297.     CrossRef
• Developing Nursing Standard Guidelines for Nurses in a Neonatal Intensive Care Unit: A Delphi Study
  Hanna Lee, Da-Jung Kim, Jeong-Won Han
  Healthcare.2020; 8(3): 320.     CrossRef
• The Relationship between Stress, Social Support, and Confidence in Paternal Role Perceived by Korean Fathers of High Risk Infants
  Jeong Hee Eom, YeoJin Im
  Journal of Pediatric Nursing.2019; 49: e21.     CrossRef
• Parental anxiety regarding premature infants and factors affecting parental concern
  Ju Yun Lee, Jung Hyun Lee, Gyu Min Yeon, Yu Jin Jung
  Journal for Specialists in Pediatric Nursing.2019;[Epub]     CrossRef
• Correlations between a Flexible Parental Visiting Environment and Parental Stress in Neonatal Intensive Care Units
  Su Jin Lee, Eun Kyoung Choi, Jeongok Park, Hee Soon Kim
  Child Health Nursing Research.2019; 25(4): 377.     CrossRef
• Experience of Becoming a Father of a High Risk Premature Infant
  Jeong Eon Park, Byoung Sook Lee
  Journal of Korean Academy of Nursing.2017; 47(2): 277.     CrossRef

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

Citations

• Development and Effectiveness of a Central Venous Catheter Management Education Program for Nurses in Hematology-Oncology Wards
  Soohee Park, Jihyun Kim
  Nursing: Research and Reviews.2026; Volume 16: 1.     CrossRef
• Knowledge, Attitude, and Practices of Mothers Working as Nurses Toward Multidrug-Resistant: Impact of an Educational Program in Neonatal Intensive Care Unit
  Sawsan Abuhammad, Dalya Alwedyan, Shaher Hamaideh, Mohammed AL-Jabri
  Infection and Drug Resistance.2024; Volume 17: 1937.     CrossRef
• Development and Evaluation of Infection Control Nursing Simulation Education Program for Nurses in a NICU
  Min-hee Cho, Sunghee Kim
  Journal of Korea Society for Simulation in Nursing.2024; 12(2): 1.     CrossRef
• Perceived Importance, Performance, Barriers, and Strategies of VRE Infection Control among Nurses in Wards with Cohort Isolation Rooms: A Mixed-methods Study
  Yunhee Won, Jeonghyun Cho, Eunyoung Park
  Korean Journal of Adult Nursing.2023; 35(4): 393.     CrossRef
• Development of a high-risk neonatal infection control competency scale
  Mi Yu, Hyunju Kang, Jisun Park, Miran Yang
  Journal of Child Health Care.2021; 25(3): 393.     CrossRef
• Factors Influencing Self-Confidence in Performance of Infection Control for Multi-Drug Resistant Organisms among Nurses in Long-Term Care Hospitals
  So Jin Lee, Mi Ran Kim
  Journal of Korean Academy of Fundamentals of Nursi.2021; 28(2): 226.     CrossRef

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

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

Citations

• Task performance, task importance, and educational needs for novice-level nursing tasks as perceived by neonatal intensive care unit nurses with various levels of experience in South Korea: a cross-sectional study
  You La Ha, Hun Ha Cho
  Child Health Nursing Research.2026; 32(1): 80.     CrossRef
• Experiences of Nursing Interns in the Neonatal Intensive Care Unit in Saudi Arabia: A Phenomenological Study
  Ahmad Ismail, Rawan Gashgari
  Cureus.2024;[Epub]     CrossRef
• Nursing students experiences in neonatal care: A qualitative study
  Carina Barreira, Inês Rodrigues, Fernanda Loureiro
  Journal of Neonatal Nursing.2023; 29(3): 559.     CrossRef
• Development of a protocol for guidance in the pediatric nursing practicum in South Korea: a methodology study
  Hyun Young Koo, Bo Ryeong Lee
  Child Health Nursing Research.2022; 28(1): 51.     CrossRef
• Development of a Project-Based Learning Program on High-Risk Newborn Care for Nursing Students and Its Effects: A Quasi-Experimental Study
  Hyun-Young Koo, Young-Eun Gu, Bo-Ryeong Lee
  International Journal of Environmental Research an.2022; 19(9): 5249.     CrossRef
• Effectiveness of neonatal emergency nursing education through simulation training: Flipped learning based on Tanner’s Clinical Judgement Model
  Sun‐Yi Yang
  Nursing Open.2021; 8(3): 1314.     CrossRef
• Educational needs for practicing neonatal intensive care among Korean nursing students
  Hyun Young Koo, Bo Ryeong Lee
  Child Health Nursing Research.2021; 27(4): 339.     CrossRef
• Nursing Students' Practice Experience on Community Visiting Nursing
  Jae-Hyun Ha, Jeong-Hee Park
  Journal of Korean Academy of Community Health Nurs.2020; 31(1): 43.     CrossRef
• Developing Nursing Standard Guidelines for Nurses in a Neonatal Intensive Care Unit: A Delphi Study
  Hanna Lee, Da-Jung Kim, Jeong-Won Han
  Healthcare.2020; 8(3): 320.     CrossRef
• Levels of Nursing Students’ Core Skills Performance, Satisfaction, and Clinical Judgment According to Four Types of High-risk Neonatal Nursing Simulation during Three Phases
  Eun Jung Cho, Won Kee Lee
  Journal of Health Informatics and Statistics.2019; 44(2): 206.     CrossRef

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

Citations

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

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

Citations

• NICU nurses’ knowledge, attitudes, practices, and influencing factors regarding breastfeeding of newborns: a scoping review
  Hanmei Peng, Xia Li, Xuemei Guo, Ying-Xin Li, Xi Huang, Liangni Zeng, Chengmei Liu, Yuan Li, Yanling Hu
  International Breastfeeding Journal.2026;[Epub]     CrossRef
• Development and Validation of Breastfeeding Knowledge Test for Women with Gestational Diabetes Mellitus
  Jung Eun Hong, Soo-Young Yu, Jeonghee Ahn, Hye Ok Park, Seungmi Park
  Diabetology.2026; 7(2): 36.     CrossRef
• Development of a Protocol for the Direct Breastfeeding of Premature Infants in Neonatal Intensive Care Units
  Eun Sook Kim, Hyun Gi Min, Ji Yeon Lee, Ji Yoon Lee, Young Hee Yi
  Journal of Perinatal & Neonatal Nursing.2024; 38(1): 73.     CrossRef
• Evaluation of a Mobile-based Maternal Feeding Education Program for Overweight Prevention in Infants
  Jin Suk Ra
  Asian Nursing Research.2021; 15(2): 136.     CrossRef
• Knowledge of and Attitude toward Breastfeeding among Medical Staff Working in the Neonatal Intensive Care Unit and Obstetric Unit
  Eun Sook Kim, Young Hee Cho, Hyejung Lee
  Journal of The Korean Society of Maternal and Chil.2020; 24(2): 102.     CrossRef
• Influencing Factors on Breastfeeding Nursing Activities of Nursing Students
  Ya Ki Yang
  Journal of Korean Academic Society of Nursing Educ.2019; 25(1): 83.     CrossRef
• Impact of Breastfeeding Knowledge, Attitude, and Barriers on Breastfeeding Practice among Twin Mothers
  Jae In Shim, Sook Jung Kang
  Korean Journal of Women Health Nursing.2017; 23(2): 89.     CrossRef

PURPOSE
This study was done to define nursing behavior in neonatal intensive care units so as to estimate resource-based relative value-.
METHOD
Participating in this study were 292 nurses in neonatal intensive care units. The study surveyed physical and mental labor, stress and time involved in nursing work. Tool used in this study was a nursing labor per relative value tool. For analyzes, the relative value of each nursing behavior was calculated, where the mean value of the three components, labor intensity and component-by-component explanatory power were in percentage terms.
RESULTS
1. Nursing behaviors in neonatal intensive care unit were classified and defined at three levels: 5 main domains, 17 mid-domains, and 42 small domains. 2. The per component explanatory power of intensity involved in nursing labor showed physical effort to be 32.45%, mental 32.86%, and stress 34.69%. 3. The reliability of nursing labor factors was very strong, Cronbach's alpha value of 0.96.
CONCLUSION
In this research, which is a first in defining nursing behavior in neonatal intensive care units, individual nursing behavior were broken down using resource-based relative value for nursing cost, and each nursing behavior was successfully translated to a numerical value.

The purpose of this study was to reveal what influences the divergent methodological researches have brought the nursing practice in during the past 3 decades. The nursing record sheets ie, the nursing discourses were analyzed to know the knowledges that were recorded, accepted and communicated in nursing practice at pediatric intensive care units, and unclosed the philosophical and methodological position of that knowledges. The texts were 13 sheets, 3 kinds of nursing record(7 24hours flow charts, 4 nursing information record sheets and 2 transfer record sheets) used at 4 hospitals. The unit of analysis was 'word'. First, all words of the sheets were listed up, clustered into categories based on their contents. And then, the larger conceptual themes were drawn to elucidate the effect of the knowledge/power and the philosophical and methodological position of that knowledges. To enhanced the validity of the analysis, the data were analyzed by two researchers. The 'words' were classified into 3 categories; 'general information', 'assessment' and 'intervention'. The conceptual themes of the texts were 'the gaze for quantification and objectification' and 'technical/assimilated caring'. This themes reflected the logic positivistic and biomedical view that had dominated at clinical practice. Nursing has endeavored to resist the logic- positivistic knowledge/power and to established the nursing knowledge/power based on multiple philosophies and methodologies, especially phenomenological-interpretative. But the results of this study revealed that such efforts in nursing theory and research couldn't influenced the knowledge of practice. Logic positivism was yet so strong and the biomedical model yet dominated in the clinical practice. It identified that the borrowed theory and the knowledge from the received view gave nursing the power. But they were modalities that reinforced the dominant, medical power. Nursing has investigate the other positions (feminism, Habermas' critical social theory and Foucault's discourse theory). This positions suggest different assumptions but share the common concepts; equality, emancipation and freedom. The important point is how make these concepts the practical for nursing knowledge/ power in practice. We must recognize that the praxis at clinical setting take place at the field unlike theoretical praxis. The change of clinical practice is the social, economic and political change.