Purpose
To develop a fall risk assessment tool to predict fall risk in pediatric inpatients.
Methods
Three tools widely used in clinical practice (Humpty Dumpty Fall Scale, General Risk Assessment for Pediatric Inpatient Falls, and Seoul National University Hospital Pediatric Fall Risk Scale) were examined, and assessment items were extracted. Employing a case-control design, 29 children who experienced falls during hospital stays were selected as the "fall" group, and a control group (93 children) was selected based on age and sex matching. The sensitivity, specificity, and positive and negative predictive values of the newly developed tool ("Newfs-PI") were analyzed.
Results
The Newfs-PI consisted of seven items: age, activity, history of falls, length of hospital stay, and medication. The total score ranged from 0 to 15. Its sensitivity and specificity were 62.07% and 74.19%, respectively.
Conclusion
The Newfs-PI has high specificity and sensitivity, which are essential for a fall risk assessment tool that complements existing tools. These values are high relative to those of existing assessment tools and satisfy both sensitivity and specificity criteria. As the EMR enables monitoring of the components of the Newfs-PI, the tool can be used as a fall risk assessment and prevention scale for pediatric inpatients.

Citations

• Sarcopenia in children: Lecture
  A. N. Zavyalova, V. P. Novikova, M. N. Yakovleva
  Meditsinskiy sovet = Medical Council.2024; (1): 245.     CrossRef
• Fall prevention in a pediatric unit: a best practice implementation project
  Nydjia Lawrence, Robin Christian, Michelle Palokas, Linda Upchurch
  JBI Evidence Implementation.2024; 22(2): 149.     CrossRef
• Development of an evidence‐based care bundle protocol for preventing falls in hospitalized children: Delphi study and trial test
  Lixia Chen, Wenjing Liu, Hong Li
  Nursing Open.2023; 10(3): 1715.     CrossRef
• Escala Humpty Dumpty: adaptação transcultural e validação para cultura brasileira
  Elke Sandra Alves Rodrigues, Daniela Fernanda dos Santos Alves, Ana Márcia Chiaradia Mendes-Castillo, Thaís Moreira São-João, Giselli Cristina Villela Bueno, Deborah Hill-Rodriguez, Renata Cristina Gasparino
  Acta Paulista de Enfermagem.2023;[Epub]     CrossRef
• The use of pediatric fall risk assessment tool in gastrointestinal endoscopic procedures: A prospective study
  Nadir YALÇIN, Mehmet Akif GÖKTAŞ, Ersin GÜMÜŞ
  Akademik Gastroenteroloji Dergisi.2023; 22(2): 103.     CrossRef
• The revised Humpty Dumpty Fall Scale: An update to improve tool performance and predictive validity
  Danielle Altares Sarik, Deborah Hill-Rodriguez, Karina A. Gattamorta, Jacqueline L. Gonzalez, Jenny Esteves, Katherine Zamora, Jennifer Cordo
  Journal of Pediatric Nursing.2022; 67: 34.     CrossRef

Purpose
The purpose of this study was to review pain alleviation intervention for Korean pediatric inpatients with reference to Kolcaba’s Theory of Comfort.
Methods
Whittemore and Knafl’s integrative review methods were used. Articles published in Korean or English were identified through electronic search engines and scholarly web sites. Scientific, peer-reviewed articles published between 2006 and 2019 were included in this review. Twenty-seven articles that met the inclusion criteria were analyzed.
Results
Among the 27 selected studies, three were descriptive, while 24 were interventional studies related to pain alleviation interventions. Pain alleviation interventions showed three attributes: identifying pain triggers and the child’s response to pain, effective strategies for pain relief, and nurses’ competence in pain management.
Conclusion
The three attributes of pain alleviation interventions using the theory of comfort shown in this study were identified as important factors for obtaining evidence-based data on how to enhance the comfort of hospitalized pediatric patients. In addition, the attributes of pain alleviation interventions should be considered for hospitalized pediatric patients and their family members.

Citations

• Effects of a thermoelectric element tourniquet on venipuncture pain and stress relief in Korea: a randomized controlled trial
  Tae Jung Lee, Jihoo Her, Myung-Haeng Hur
  Journal of Korean Biological Nursing Science.2025; 27(2): 179.     CrossRef
• Caregiver Views on Prospective Use of Robotic Care in Helping Children Adapt to Hospitalization
  Meiling Jin, Hanna Choi
  Healthcare.2022; 10(10): 1925.     CrossRef

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

Citations

• Effects of an App-Based Visitation Program for Mothers of High-Risk Infants in the Neonatal Intensive Care Unit
  Nameun Yu, Mi Yu
  Journal of Perinatal & Neonatal Nursing.2025; 39(2): 174.     CrossRef
• Parents' experiences of family-centred care in neonatal intensive care units: A qualitative thematic synthesis
  Mawahib Almalki, Aideen Gildea, Breidge Boyle
  Journal of Neonatal Nursing.2025; 31(3): 101655.     CrossRef
• Exploration of Family-Centered Care in NICUs: A Grounded Theory Methodology
  Young Ah Park, YeoJin Im
  Qualitative Health Research.2024;[Epub]     CrossRef
• Fostering Partnership Between Pediatric Nurses and Parents of High-Risk Infants: A Mixed Method Approach
  In Young Cho, Won-Oak Oh
  Journal of Child and Family Studies.2023; 32(9): 2681.     CrossRef
• Effects of Systematic Discharge Education Program on Anxiety and Parenting Confidence in Mothers of Premature Infants
  Eunyoung Kim, Aeran Jo, Meenam Hwang, Hyunjin Moon, Daeun Jeong, Myungjin Jang, Choyeon Lim
  Journal of The Korean Society of Maternal and Chil.2023; 27(2): 71.     CrossRef
• Beliefs and attitudes of nurses towards open visiting policy in neonatal intensive care units: A descriptive cross-sectional study in northwest of Iran
  Fatemeh Ghorbani, Mahnaz Jabraeili
  Journal of Neonatal Nursing.2022; 28(2): 123.     CrossRef
• Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea
  Seol-Hee Moon, Ho-Ran Park, Dong Yeon Kim
  Child Health Nursing Research.2021; 27(3): 297.     CrossRef
• Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care
  Da-Ae Shin, Kyung-Sook Bang
  The Journal of Korean Academic Society of Nursing .2021; 27(3): 261.     CrossRef
• Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis
  Ah Rim Kim
  Asian Nursing Research.2020; 14(5): 327.     CrossRef

PURPOSE
The patient's perspective in the assessment of quality of care has become increasingly important. The purpose of this paper was to introduce the concept of 'QUality Of care Through patient's Eyes (QUOTE)', to analyze the papers using QUOTE through an integrative review method, and to present the attributes of the QUOTE evaluation.
METHODS
Data were collected from electronic databases. Inclusion criteria were publication in English from 1997 to 2013, as a peer-reviewed research article, with an empirical study focused on QUOTE. Thirty two papers met the criteria and were analyzed.
RESULTS
QUOTE had been applied to various groups of patients such as those with various diseases since 1997 in the Netherlands. Four themes were retrieved from synthetic analysis of the thirty-two papers using QUOTE; 1) acceptance of individuation of the patient and family, 2) evaluation of diverse nurses' competencies, 3) evaluation of quality of nursing environments, and 4) participation of patient in the whole process of evaluation.
CONCLUSION
The strengths of QUOTE are that it attempts to overcome the conceptual and methodological problems associated with evaluation of quality of care. Our results imply that QUOTE evaluation could be an effective strategy to improve care of patients in clinical setting.

Citations

• The Effect of Intentional Nursing Rounds Based on the Care Model on Patients' Perceived Nursing Quality and their Satisfaction with Nursing Services
  Nayeon Shin, Jummi Park
  Asian Nursing Research.2018; 12(3): 203.     CrossRef
• Development of an Instrument to Measure the Quality of Care through Patients’ Eyes for Hospitalized Child
  Haeryun Cho, Jina Oh, Dukyoo Jung
  Child Health Nursing Research.2015; 21(2): 131.     CrossRef
• An Integrative Review on Development of “QUality Of care Through the patients' Eyes” (QUOTE) Instruments
  Jina Oh, Haeryun Cho, Yae Young Kim, Hyun Jung Park, Hyun Kyoung Kim
  Journal of Nursing Care Quality.2015; 30(4): E26.     CrossRef

The purpose of this study was to identify metacommunicative behaviors between nurses and patients in a pediatric unit. The research method included observation using videotaping. Data were collected from December, 2001 to February, 2002. Total six nurses, and eight patients and their mothers in a pediatric unit participated in this study. The interactions were videotaped under the participants' consent. The participants were observed for total 8 hours over 2-day period. Special episodes which were identified as metacommunicative behaviors in the taped interactions were transcribed. Transcription included verbal and nonverbal interactions. Selected episodes were classified using Mitchell's definition. Each classified definitions were named, and categorized by its purpose. The results were as follows: Nineteen metacommunicative behaviors which used frequently by nurses-approaching, mediating eye level, eye contact, touching, encouraging, turnabout, mimic voice, giving choices, friendly demand, expansion, tagging, repeating and confirming, identification, reflection, baby talk, symbolization, description of acts, relaxed posture, turning away- were identified and organized into four categories. They were call for attention, facilitating response, empathy, and tension release. In conclusion, nurses in this study used metacommunicative behaviors frequently and these behaviors were effective in interacting with children. It is suggested that any educational programs to teach communication skills to nurses need to include techniques on metacommunicative behaviors. This will help nurses to be more sensitive to different characteristics of their patients.

This study was attempted to help in explore new direction about classification of the severity of the pediatric patients visiting emergency center. Data were collected from 276 patients who visited emergency center of E University Hospital during 3 months period from March 1, to May 31,1999. The results were as follows: 1. The degree of severity of the pediatric patients visiting emergency center shown ranged 0-18 and averaged .87. 2. With the respect to the severity of the pediatric patients visiting emergency center, there were statiscally significant difference in patients' visiting time(F=2.607, p=.025), disease classification(F=9.606, p=.000), consciousness level(F=71.499, p=.000), period of symptom manifestation (F=2.262, p=.030), pediatric patients protector's thinking about pediatric patients state (F=16.833, p=.000), treatment outcome (t=5.362, p=.000), duration of stay at emergency center(F=23.944, p=.000).

The purpose of this study was to provide qualified nursing care to examine the degree of satisfaction with nursing care of pediatric patients visiting emergency center. Data were collected from March, 8 to June, 5, 1999 from 304 subjects including 2 University hospitals located in Seoul. Using the 23 item questionnaire, which made out by Davis CHECSS tool through modification and supplement by researchers. The collected data were scored by use of means and standard deviations according to the degree of satisfaction with nursing care of pediatric patients visiting emergency center and each item as an independent variable was analysed by t-test and ANOVA test. The results are as follows. 1. The degree of satisfaction with the nursing care of pediatric patients visiting emergency center showed as an average of 3.69. 2. With the resept of general characteristics related to pediatric patients visiting emergency center, there were statiscally significant difference in duration of stay at emergency center(F=2.908, p=.014), type of disease(F=1.777, p=.046). The degree of satisfaction with the nursing care of pediatric patients of examiners showed relatively high, but emotional care and information supply are required.

The purpose of this study was to provide basic data of nursing intervention through understanding disease pattern of pediatric patients. Data were collected from 3,016 patients who visited emergency center of E university Hospital during one year period from January to December, 1997. The results were as follows : 1. The most common type of disease was respiratory disease(26.7%). 2. According to the developmental age, toddler (35%) ranked first followed by preschooler(22.1%), infant(18.5%), schooler(16.0%), adolescent (5.6%), neonate(2.7%). 3. The proportion of males to females, male patients(59.8%) outnumbered female(40.2%) by the ratio of 1.48 : 1. 4. Visiting patients were seasonally more frequent in spring(29.8%) and summer(29.3%) than fall or winter. 5. Comparing weekly distribution, week end involing holiday outnumbered week day(48.5%). 6. The visiting time predominattly high from 8 : 00 PM to 0 : 00 AM (29.8%) during a day. 7. The majority duration of stay at Emergency center was 1-6 hours. 8. Most patients discharged from the emergency center in good condition(76.5%).

PURPOSE
This study was done to provide basic data for the development of a systematic discharge educational programs for pediatric cancer patients.
METHOD
The participants in this study were 132 mothers whose children were diagnosed with cancer and being treated at 3 university hospitals in Pusan. Data were collected from December 1, 20004 to February 28, 2005, and were analyzed using SPSS WIN 10.0.
RESULTS
The degree of education demand at the time of discharge from hospital was statistically significantly lower than the educational demand after the discharge. Such demand significantly varied in accordance with the length of time from discharge. Mother's educational demands were significantly different according to general characteristics of the child with cancer, especially during the first period of hospitalization and when there were changes in weight.
CONCLUSION
As mothers of children with cancer had higher educational demands after the child's discharge from hospital than at the time when education was provided at discharge and. the demands differented according to the length time since the child's discharge from hospital, there is a need to develop educational programs specific to these needs of the mothers.