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Preventive Health Management Self-Efficacy related to Premature Labor (PHMSE-PL) scale for Korean women of childbearing age: instrument development and validation. 韩国育龄妇女与早产相关的预防性健康管理自我效能感量表(PHMSE-PL):工具开发与验证。
Q3 Medicine Pub Date : 2022-07-01 Epub Date: 2022-07-31 DOI: 10.4094/chnr.2022.28.3.218
Sun-Hee Kim, Yu-Jin Lee

Purpose: This study aimed to develop and examine the validity and reliability of a self-efficacy scale for preventive health management related to premature labor (PHMSE-PL) for women of childbearing age.

Methods: Instrument development and validation were undertaken in three steps: conceptualization through a literature review and in-depth interviews, item generation and evaluation of content validity, and evaluation of construct validity and reliability. The content validity, factorial structure validity, and internal consistency reliability of the PHMSE-PL were evaluated, and cognitive interviewing was undertaken. Data were analyzed using confirmatory factor analyses, Cronbach's α, and 95% confidence intervals (CIs).

Results: The content validity was assessed by experts and was strengthened through cognitive interviews with women of childbearing age. The PHMSE-PL comprised 34 items across five factors. The construct validity of the PHMSE-PL was supported. Cronbach's α for the total scale was .97 (95% CI=.96-.97).

Conclusion: An evaluation of the psychometric properties of the PHMSE-PL scale found it to be a valid and reliable tool for women of childbearing age. The scale appears to be useful for women of childbearing age to self-assess their preventive health management self-efficacy related to premature labor and for health professionals to evaluate and promote women's preventive health management.

目的:本研究旨在编制育龄妇女早产相关预防健康管理自我效能感量表,并检验其效度和信度。方法:工具的开发和验证分三个步骤进行:通过文献回顾和深度访谈进行概念化,项目生成和内容效度评估,以及结构效度和信度评估。评估PHMSE-PL的内容效度、析因结构效度和内部一致性信度,并进行认知访谈。采用验证性因子分析、Cronbach’s α和95%置信区间(ci)对数据进行分析。结果:内容效度经专家评估,并通过对育龄妇女的认知访谈得到强化。PHMSE-PL包括5个因素中的34个项目。PHMSE-PL的结构有效性得到了支持。总量表的Cronbach's α为0.97 (95% CI= 0.96 - 0.97)。结论:对PHMSE-PL量表的心理测量特性的评估发现它是一个有效和可靠的育龄妇女的工具。该量表有助于育龄妇女自我评价其与早产有关的预防性健康管理自我效能,也有助于保健专业人员评价和促进妇女的预防性健康管理。
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引用次数: 1
Development and evaluation of a pediatric nursing competency-building program for nursing students in South Korea: a quasi-experimental study. 韩国护理专业学生儿科护理能力培养计划的开发与评估:一项准实验研究。
Q3 Medicine Pub Date : 2022-07-01 Epub Date: 2022-07-31 DOI: 10.4094/chnr.2022.28.3.167
Hyun Young Koo, Bo Ryeong Lee

Purpose: The present study aimed to develop and examine the effectiveness of a pediatric nursing competency-building program for nursing students.

Methods: This was a quasi-experimental study with a nonequivalent control group pretest-posttest design conducted between October and December 2021. The participants included 40 nursing students (20 each in the experimental and control groups) at a university in a South Korean city. The pediatric nursing competency-building program integrated problem-based learning and simulation into clinical field practice. The experimental group participated in the program, while the control group did not. Data were analyzed using the x2 test, the independent t-test, and repeated-measures analysis of variance.

Results: Pediatric nursing competency and clinical performance showed a greater increase in the experimental group than in the control group. However, the change in problem-solving ability in the experimental group was not significantly different from that in the control group.

Conclusion: The pediatric nursing competency-building program effectively improved students' pediatric nursing competency and clinical performance.

目的:本研究旨在为护理专业学生制定儿科护理能力培养计划并检验其有效性:这是一项准实验研究,采用非等效对照组前测-后测设计,于 2021 年 10 月至 12 月间进行。参与者包括韩国某市一所大学的 40 名护理专业学生(实验组和对照组各 20 名)。儿科护理能力培养项目将基于问题的学习和模拟融入到临床实践中。实验组参加了该项目,而对照组没有参加。数据分析采用 x2 检验、独立 t 检验和重复测量方差分析:结果:实验组的儿科护理能力和临床表现比对照组有更大的提高。结果:实验组儿科护理能力和临床表现的提高幅度大于对照组,但实验组解决问题能力的变化与对照组无显著差异:儿科护理能力培养项目有效提高了学生的儿科护理能力和临床表现。
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引用次数: 0
Differences in the perceptions of partnership between nurses and mothers of children in a pediatric intensive care unit in South Korea: a qualitative study. 韩国儿科重症监护室护士和儿童母亲对伙伴关系的看法差异:一项定性研究。
Q3 Medicine Pub Date : 2022-07-01 Epub Date: 2022-07-31 DOI: 10.4094/chnr.2022.28.3.197
Bobae Park, Won-Oak Oh

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.

目的:本研究的目的是调查儿科重症监护病房(PICU)护士和住院儿童的母亲如何感知她们的伙伴关系,并确定她们之间在共同伙伴关系领域的详细差异。方法:采用半结构化和开放式访谈的定性描述设计。在韩国国立大学医院对住院儿童的母亲和PICU的护士进行了访谈。结果:确定了护士和母亲对伴侣关系的看法的五个综合类别。通过合并每位PICU母亲和护士感知的伙伴关系类别,得出了五个共同领域:信任期望、分享和沟通、参与护理、关系平等和意见协调,但这些共同领域的类别构成存在显著差异。结论:本研究结果可促进家长与重症监护病房护士之间更有效的合作。应努力促进护士和家长之间信任的形成,并创造一个有利于定期公开沟通的环境,特别是应采取措施减少对这种伙伴关系和信息共享、护理方法和决策的认识差距。
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引用次数: 1
Nutritional status and related factors among ethnic preschool children in Northern Thailand: a cross-sectional study. 泰国北部少数民族学龄前儿童营养状况及相关因素的横断面研究。
Q3 Medicine Pub Date : 2022-07-01 Epub Date: 2022-07-31 DOI: 10.4094/chnr.2022.28.3.176
Jantip Janpeang, Chatmongkon Suwannapoom, Natnaree Anukunwathaka

Purpose: This study investigated the nutritional status of ethnic (belonging to minority groups) preschool children in Northern Thailand.

Methods: In this cross-sectional descriptive study, the sample group included 147 parents and 147 preschool children (2-6 years old). Participants volunteered to complete a questionnaire on the personal information of children and parents, as well as family- and school-related factors. Data were analyzed using descriptive statistics, a nutritional status calculator, and logistic regression analysis.

Results: A birth weight of less than 2,500 g was related to weight-for-age and weight-for-height. Not having been breastfed and having been breastfed for less than 6 months were related to weight-for-height. An elementary school education level among parents was related to children's height-for-age. Familial unhealthy food consumption for 1-2 days per week was related to weight-for-age and height-for-age.

Conclusion: This study reflects the importance of nutritional care for children at the beginning of pregnancy and continuing to the preschool age, as well as the importance of breastfeeding. Families were found to be a key factor in supporting good nutrition among children.

目的:调查泰国北部少数民族学龄前儿童的营养状况。方法:采用横断面描述性研究,样本组包括147名家长和147名学龄前儿童(2-6岁)。参与者自愿完成一份关于孩子和父母个人信息以及家庭和学校相关因素的调查问卷。使用描述性统计、营养状况计算器和逻辑回归分析对数据进行分析。结果:出生体重小于2500 g与年龄体重和身高体重有关。未母乳喂养和母乳喂养不足6个月与身高体重比相关。父母的小学教育程度与儿童的年龄身高有关。每周1-2天的家庭不健康食品消费与年龄体重和年龄身高有关。结论:本研究反映了从怀孕初期到学龄前对儿童进行营养护理的重要性,以及母乳喂养的重要性。研究发现,家庭是支持儿童获得良好营养的关键因素。
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引用次数: 0
Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis 在韩国,从儿童重症监护病房转到普通病房的儿童父母的转移焦虑:混合概念分析
Q3 Medicine Pub Date : 2022-04-01 DOI: 10.4094/chnr.2022.28.2.154
Jisu Park, Eun Kyoung Choi
Purpose This study aimed to analyze the concept of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Methods The hybrid model by Schwarz-Barcott and Kim was used to analyze the characteristics of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Results Transfer anxiety was defined by the following attributes: 1) stress concerning the adaptation process, 2) concern about the child’s condition worsening due to the parent’s caregiving, and 3) involuntary changes in daily life due to the treatment. Transfer anxiety has the following antecedents: 1) uncertainty; 2) a lack of knowledge about the illness, medical devices, and caregiving; and 3) a lack of social support. It resulted in 1) caregiver burden, 2) a decrease in the capacity for coping with caregiving, 3) delays in the child’s physical and psychological recovery, and 4) decreased quality of life. Conclusion It is necessary to develop an assessment scale that considers the attributes of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Furthermore, an effective nursing intervention should be developed to reduce transfer anxiety.
目的本研究旨在分析从儿童重症监护室转至普通病房的儿童家长的转移焦虑概念。方法采用Schwarz-Barcott和Kim的混合模型,分析小儿重症转普通病房患儿家长的转移焦虑特征。结果转移焦虑的定义为:1)对适应过程的压力;2)对父母照顾导致儿童病情恶化的担忧;3)因治疗导致的日常生活的非自愿改变。迁移焦虑有以下前因:1)不确定性;2)对疾病、医疗器械和护理缺乏了解;3)缺乏社会支持。它导致了1)照顾者的负担,2)应对照顾的能力下降,3)儿童身体和心理恢复的延迟,以及4)生活质量下降。结论有必要编制一份考虑儿童重症监护转至普通病房患儿家长转移焦虑属性的评估量表。此外,应制定有效的护理干预措施,以减少转移焦虑。
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引用次数: 1
Analysis of court rulings on involuntary manslaughter or at-fault injury due to professional negligence by pediatric nurses: a systematic content analysis study 儿科护士过失杀人或过失伤害的法院判决分析:一项系统的内容分析研究
Q3 Medicine Pub Date : 2022-04-01 DOI: 10.4094/chnr.2022.28.2.91
S. Song, Eun Joo Kim
Purpose This study systematically analyzed cases in South Korea wherein nurses were prosecuted for involuntary manslaughter or injury due to professional negligence in pediatric care. Methods We analyzed the precedents using the methodology of Hall and Wright (2008) and Austin (2010). Of the 618 cases retrieved from the Supreme Court Decisions Retrieval System in South Korea, we selected the 12 cases in which children were the victims and nurses were the defendants, using a case screening methodology. Results The most frequent penalty was a fine, and newborns were the most frequent victims. The distribution of cases according to Austin's violation categories was: improper administration of medications (n=5), failure to monitor for and report deterioration (n=4), ineffective communication (n=4), failure to delegate responsibly (n=4), failure to know and follow facility policies and procedures (n=1), and improper use of equipment (n=1). Conclusion To ensure the safety of children, nurses are required to teach and practice a high standard of care. Nursing education programs must improve nurses’ awareness of their legal obligations. Nursing organizations and leaders should also work towards enacting effective nursing laws and ensuring that nurses are aware of their legal rights and responsibilities.
目的本研究系统分析了韩国护士因儿科护理专业疏忽而被起诉过失杀人或伤害的案例。方法采用Hall和Wright(2008)以及Austin(2010)的方法对判例进行分析。在从韩国最高法院判决检索系统检索到的618起案件中,我们使用案件筛选方法,选择了12起儿童为受害者、护士为被告的案件。结果最常见的处罚是罚款,新生儿是最常见的受害者。根据奥斯汀的违规类别,病例分布为:用药不当(n=5)、未能监测和报告病情恶化(n=4)、沟通无效(n=4。结论为了确保儿童的安全,护士需要高标准的护理教学和实践。护理教育项目必须提高护士对其法律义务的认识。护理组织和领导还应努力制定有效的护理法,确保护士意识到自己的合法权利和责任。
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引用次数: 0
Development of a mobile application focusing on developmental support care for Korean infants born prematurely: a methodological study. 开发一个专注于韩国早产婴儿发育支持护理的移动应用程序:一项方法研究
Q3 Medicine Pub Date : 2022-04-01 Epub Date: 2022-04-30 DOI: 10.4094/chnr.2022.28.2.112
Ji Hyeon Park, Haeryun Cho

Purpose: This study aimed to develop and evaluate a mobile application focusing on developmental support care for infants born prematurely.

Methods: An application was developed using the analysis, design, development, implementation, and evaluation model. In the analysis phase, previous research was evaluated through big data text-mining and a literature review. In the design phase, the preliminary content of the application was designed, and the content validity and comprehension were verified. A hybrid application was developed and used by eight experts and ten users, who evaluated the layout of the mobile application and their satisfaction with it.

Results: The content of the designed application comprised a diary, customized information, developmental play, and community. The mean scores for layout were 3.73±0.47 and 3.43±0.68 out of 4 points among the experts and users, respectively. Users' mean satisfaction score was 3.70±0.70 out of 5 points.

Conclusion: The information provided by the mobile application was evaluated as consistent and systematic. The application was also found to be satisfactory by infants' parents. The mobile application developed through this study is expected to be effective in supporting the development of children born prematurely.

目的本研究旨在开发和评估一款专注于早产儿发育支持护理的移动应用程序。方法使用分析、设计、开发、实施和评估模型开发应用程序。在分析阶段,通过大数据文本挖掘和文献综述对先前的研究进行了评估。在设计阶段,设计了应用程序的初步内容,并验证了内容的有效性和理解力。八位专家和十位用户开发并使用了一个混合应用程序,他们对移动应用程序的布局和满意度进行了评估。结果设计的应用程序的内容包括日记、定制信息、开发游戏和社区。专家和用户的布局平均得分分别为3.73±0.47和3.43±0.68(满分4分)。用户的平均满意度得分为3.70±0.70(满分5分)。结论移动应用程序提供的信息是一致的和系统的。婴儿的父母也认为该申请令人满意。通过这项研究开发的移动应用程序有望有效支持早产儿童的发展。
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引用次数: 0
Missed nursing care and its influencing factors among neonatal intensive care unit nurses in South Korea: a descriptive study 韩国新生儿重症监护病房护士护理失误及其影响因素的描述性研究
Q3 Medicine Pub Date : 2022-04-01 DOI: 10.4094/chnr.2022.28.2.142
S. Kim, S. Chae
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.
目的由于新生儿的脆弱性,预防新生儿重症监护病房(NICUs)的遗漏护理很重要。本研究旨在调查新生儿重症监护病房护士的疏漏护理及其影响因素。方法采用跨文化在线问卷对120名韩国新生儿重症监护病房护士的护理遗漏情况进行调查。收集32项护理活动的漏护频次及23项漏护原因的意义。结果所有参与者至少缺席1项活动,在一个典型工作日平均缺席19.35项活动。最常见的遗漏项目是“为婴儿提供发育照顾”。错过护理的最常见原因是“单位内的紧急情况或指定患者之一的病情恶化”。最终的回归模型解释了遗漏护理的9.6%的方差。在过去的一个月里,平均每天接受肌力药物或镇静的指定患者数量影响了错过护理项目的总数。结论护士工作量与服药人数相关,影响护理遗漏。经常错过的活动,特别是那些与发育护理有关的活动,需要耐心和时间,与安全优先事项和不适当的工作条件相冲突。应改善新生儿重症监护病房护士的工作条件,确保有足够的时间进行护理活动。
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引用次数: 3
Korean college students’ attitudes toward a tobacco-free campus: a cross-sectional descriptive study 韩国大学生对无烟校园的态度:横断面描述性研究
Q3 Medicine Pub Date : 2022-04-01 DOI: 10.4094/chnr.2022.28.2.124
Min Sohn, Boae Im, Minhee Suh, H. Lee
Purpose A tobacco-free campus (TFC) is the most advanced tobacco-control policy for college campuses, but it has rarely been explored in Korea. This study aimed to explore Korean college students’ attitudes toward TFC and related factors. Methods This cross-sectional descriptive study enrolled college students who were taking an elective course on smoking cessation and a healthy lifestyle at a university located in Incheon, Korea. Data were collected from March 1 to December 31, 2019 using a structured questionnaire, and study participants were recruited using convenience sampling. Results Data on 309 college students were analyzed. Of those participants, 6.1% supported the TFC policy. Multiple logistic regression analysis showed that female gender (adjusted odds ratio [aOR]=5.80, 95% confidence interval [CI]=1.47-22.95), taking the course to quit smoking oneself (aOR=11.03, 95% CI=1.04-117.05), anxiety in the past month (aOR=4.27, 95% CI=1.06-17.31), and being a current smoker (aOR=0.06, 95% CI=0.01-0.70) were statistically significant independent predictors of TFC support. Conclusion Women, students taking the course to quit smoking themselves, nonsmokers, and students who felt anxious in the past month were more likely to support TFC. Further research with more representative samples is required to examine the characteristics of people who favor TFC.
目的无烟草校园(TFC)是大学校园最先进的烟草控制政策,但在韩国很少探索。本研究旨在探讨韩国大学生对TFC的态度及相关因素。方法这项横断面描述性研究招募了在韩国仁川一所大学选修戒烟和健康生活方式选修课的大学生。数据是在2019年3月1日至12月31日期间使用结构化问卷收集的,研究参与者是通过方便抽样招募的。结果对309名在校大学生的数据进行分析。在这些参与者中,6.1%的人支持TFC政策。多元逻辑回归分析显示,女性(调整后的比值比[aOR]=5.80,95%置信区间[CI]=1.47~2.95)、主动戒烟(aOR=11.03,95%CI=1.04~17.05)、过去一个月的焦虑(aOR=4.27,95%CI=1.06~17.31)和现在吸烟(aOR=0.06,95%CI=0.01-0.70)是TFC支持的统计学显著独立预测因素。结论女性、参加戒烟课程的学生、不吸烟者和过去一个月感到焦虑的学生更有可能支持TFC。需要对更具代表性的样本进行进一步的研究,以检验支持TFC的人的特征。
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引用次数: 0
Effects of a hybrid online and offline program for facilitating father-infant interactions in South Korea: a quasi-experimental study 韩国线上线下混合项目促进父子互动的效果:一项准实验研究
Q3 Medicine Pub Date : 2022-04-01 DOI: 10.4094/chnr.2022.28.2.132
S. Park, K. Bang
Purpose This study examined the effects of an educational program for fathers on improving father-infant interactions, child-rearing knowledge, and attachment. Methods In this quasi-experimental study, the participants were recruited by convenience sampling among fathers with infants (2-6 months of age) residing in three districts of Seoul. Fifteen participants in the experimental group and 17 participants in the control group completed the follow-up investigation. A 5-week online and offline intervention program with five sessions was provided to the experimental group. The data were analyzed using generalized estimating equations (GEEs). Results There was a significant difference in the change in father-infant interaction scores of the experimental group, especially in the caregiver aspect with a significance level of .100 in time and group-to-group interactions (B=6.46, p=.051, 95% confidence interval [CI]=-0.02-12.94). The changes between the groups and times were not statistically significant when it came to infant development knowledge and father-infant attachment. Conclusion We conclude that hybrid online and offline education should be implemented as an effective method to improve fathers’ interactions with their children based on accurate knowledge about infant development.
目的本研究探讨父亲教育计划对改善亲子互动、育儿知识和亲子依恋的影响。方法准实验研究采用方便抽样的方法,在首尔3个区有2-6个月婴儿的父亲中进行。实验组15人,对照组17人完成随访调查。实验组接受为期5周的线上和线下干预,共5次。采用广义估计方程(GEEs)对数据进行分析。结果试验组亲子互动得分的变化差异有统计学意义,特别是在照顾者方面,在时间和组与组互动方面差异有统计学意义(B=6.46, p= 0.100)。051, 95%可信区间[CI]=-0.02-12.94)。当涉及到婴儿发展知识和父子依恋时,组间和时间间的变化没有统计学意义。结论在正确认识婴儿发育的基础上,应实施线上线下混合教育,作为改善父亲与孩子互动的有效方法。
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引用次数: 4
期刊
Child Health Nursing Research
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