• Title/Summary/Keyword: 입원한 아동

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Development of an Instrument to Measure the Quality of Care through Patients' Eyes for Hospitalized Child (입원한 아동에게 제공되는 환자의 눈을 통한 간호의 질 측정도구 개발)

  • Cho, Haeryun;Oh, Jina;Jung, Dukyoo
    • Child Health Nursing Research
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    • v.21 no.2
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    • pp.131-140
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    • 2015
  • Purpose: The purpose of this study was to develop an instrument that evaluated QUality Of care Through patients' Eyes for hospitalized child (QUOTE-Child), and examine the validity and reliability. Methods: Preliminary items were reviewed through expert content validity and face validity. To test the validity and reliability of the instrument, the data were collected from 221 care givers of hospitalized children. Data were analyzed using exploratory factor analysis, Pearson correlation coefficient, Cronbach's alpha and Spearman-Brown coefficient. Results: Factor analysis yielded 19 items in four factors including 1) respect, 2) explanation, 3) kindness, and 4) skillfulness, with a cumulative explanatory variance of 70.68%. For criterion-related validity, a significant positive relationship was found between quality of care and pediatric family satisfaction. For internal consistency reliability, the Cronbach's ${\alpha}$ was .93 (importance) and .95 (performance) for the overall instrument. The half split reliabilities were .86, .95 (importance) and .92, .97 (performance). The Cronbach's ${\alpha}$ of 110 data was .92 (importance) and .94 (performance). Conclusion: Researchers and practitioners can use this instrument to systematically assess quality of care for hospitalized children and identify areas of support for hospitalized children and their family.

A Study of Humor as a Nursing Intervention for Hospitalized Children (입원아동을 위한 아동간호학 분야의 유머 중재에 관한 고찰)

  • Sim, In-Ok;Han, Kyung-Ja
    • Child Health Nursing Research
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    • v.12 no.1
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    • pp.114-121
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    • 2006
  • Purpose: Humor is an important part of life. Humor has many benefits as an intervention for hospitalized children. Humor is one strategy that pediatric nurses can use to help children cope with illness and hospitalizations. The purposes of the study were to 1) review the definition of humor, 2) identify methods and skills in using humor as an intervention, 3) identify the effects of humor as an intervention, and 4) suggest further research. Method: The design was a descriptive study with literature review. Previous studies were identified by searches of MEDLINE, CHNIAL, PUBMED and ProQuest. Results: Humor has positive physiological, psychological, social and communicative effects on patients and humor has a positive effect on the immune system. Conclusion: The main point identified from this study suggests that humor as a nursing intervention be developed for nurses to use with children who are hospitalized. Further research is needed to develop programs for humor as an intervention for health promotion and disease prevention in children.

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CLINICAL STUDY OF THE ABUSE IN PSYCHIATRICALLY HOSPITALIZED CHILDREN AND ADOLESCENTS (소아청소년 정신과병동 입원아동의 학대에 대한 임상 연구)

  • Lee, Soo-Kyung;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.10 no.2
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    • pp.145-157
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    • 1999
  • This study was performed by the children and adolescents who were abused or neglected physically, emotionally that were selected in child & adolescents psychiatric ward. We investigated the number of these case in admitted children & adolescents, and also observed characteristics of symptoms, developmental history, characteristics of abuse style, characteristics of abusers, family dynamics and psychopathology. We hypothesized that all kinds of abuse will influnced to emotional, behavioral problems, developmental courses on victims, interactive effects on family dynamics and psychopathology. That subjects were 22 persons of victims who be determined by clinical observation and clinical note. The results of the study were as follows:1) Demographic characteristics of victims:ratio of sex was 1:6.3(male:female), mean age was $11.1{\pm}2.5$. According to birth order, lst was 12(54.5%), 2nd was 5(23%), 3rd was 2(9%) and only child was 3(13.5%). 2) Characteristics of family:According to socioeconomic status, middle to high class was 3(13.5%), middle one was 9(41.% ), middle to low one was 9(41%), low one was 1(0.5%). according to number of family, under the 3 person was 3(13.5%), 4-5 was 17(77.5%), 6-7 was 2(9%). according to marital status of parents, divorce or seperation were 5(23%), remarriage 2(9%), severe marital discord was 19(86.5%). In father, antisocial behavior was 7(32%), alcohol dependence was 10(45.5%). In mother, alcohol abuse was 5(23%), depression was 17(77.3%), history of psychiatric management was 6(27%). 3) Characteristics of abuse:Physical abuse was 18(81.8%), physical and emotional abuse and neglect were 4(18.2%). according to onset of abuse, before 3 years was 15(54.5%), 3-6 years was 5(27.5%), schooler was 1(15%). Only father offender was 2(19%), only mother offender was 8(35.4%), both offender was 8(35.4%), accompaning with spouse abuse was 7(27%), and accompaning with other sibling abuse was 4(18.2%). 4) General characteristics and developmental history of victims:Unwanted baby was 12(54.5%), developmental delay before abuse was9(41%), comorbid developmental disorder was 15(68%). there were 6(27.5%) who didn‘t show definite sign of developmental delay before abuse. 5) Main diagnosis and comorbid diagnosis:According to main diagnosis, conduct disorder 6(27.3%), borderline child 5(23%), depression4(18%), attention deficit hyperactivity disorder(ADHD) 4(18%), pervasive developmental disorder not otherwise specified 2(9%), selective mutism 1(5%). According to comorbid diagnosis, ADHD, borderline intelligence, mental retardation, learning disorder, developmental language disorder, oppositional defiant disorder, chronic tic disorder, functional enuresis and encoporesis, anxiety disorder, dissociative disorder, personality disorder due to medical condition. 5) Course of treatment:A mean duration of admission was $2.4{\pm}1.5$ months. 11(15%) showed improvement of symtoms, however 11(50%) was not changed of symtoms.

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Design of Services for Improving the Quality of Care of Hospitalized Children with Acute Diseases (급성 질환으로 입원한 아동의 간호의 질 향상을 위한 서비스 디자인)

  • Koo, Hyun Young;Yi, Kyungmin;Gu, Young Eun
    • Child Health Nursing Research
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    • v.25 no.4
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    • pp.528-540
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    • 2019
  • Purpose: This study was conducted to design services for improving the quality of care of hospitalized children with acute diseases. Methods: The service design process had four phases: discovery, definition, development, and delivery. The participants were 23 mothers of hospitalized children with an acute disease, and seven nurses and three doctors working at a pediatric hospital. Data were collected through self-report questionnaires, in-depth interviews, and observations. The data were analyzed using content analysis and descriptive statistics. Results: The participants reported needs for explanations about the treatment, skillful nursing, and environmental improvements. The concept of the services was familiarity and enjoyment, aimed at solving the problems of unfamiliarity and boredom. A six-guideline was presented for improving the quality of care of hospitalized children with acute diseases: improvement of awareness, development of educational materials, improvement of skills, environmental improvements, play activities, and evaluations of user satisfaction. Conclusion: These findings indicate that nursing services should deliver familiarity and enjoyment to hospitalized children and their families. The findings of this study emphasize that the service design methodology can be used to improve the quality of care of hospitalized children with acute diseases.

Effects of Staff Training in Positive Behavior Support(PBS) on the Behaviors of Staff and Children with Developmental Disabilities in an Inpatient Unit (긍정적 행동지원 교육이 근무자의 상호작용 행동과 발달장애 아동의 행동에 미치는 영향)

  • Lee, Seung Ah;Chung, Kyong Mee
    • Korean Journal of School Psychology
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    • v.8 no.3
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    • pp.263-285
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    • 2011
  • The present study was designed to evaluate the effects of staff training in PBS on the behaviors of staff and children with developmental disabilities in an inpatient unit. The perceived significance of children's problem behavior and staff's caring stress significantly decreased with the intervention. A satisfaction survey reported staff's high satisfaction with the process and results of staff training. This study suggests that PBS is a socially valid and positive intervention with problem behavior of children with developmental disabilities. The implications and limitations of this study, with directions for future research, are also discussed.

A Study on Health/Illness Concepts in Hospitalized Children (입원아동이 지각한 건강과 질병개념에 관한 연구)

  • Sung Mi-Hae
    • Child Health Nursing Research
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    • v.7 no.2
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    • pp.149-160
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    • 2001
  • The purpose of this study was to explore the health and illness concepts of hospitalized children. The subjects were 129 hospitalized children from 3 to 12 years old in one general hospital. Data were collected through semistructured interviews by authors. This study was conducted from Jun. 1, 2000 to Dec. 31, 2000. Data were coded and categorized by content analysis. The results were as follows : 1. Perceived health concept were physical well-being, food, exercise, powerfulness, emotional stability, obeidence, cleanliness, sleep and ability of social adaptation. 2. Perceived health behavior to maintain health were food, treatment, exercise, cleanliness, obeidence, sleep, emotional stability, power-fulness and psychological stability, physical well-being. 3. Perceived prevention of illness were food, cleanliness, treatment, exercise, obedience, sleep, powerfulness, psychological stability, emotional stability, recreation and ability of social adaptation. 4. Perceived causes of illness were illness, trauma and food. 5. Perceived treatment of illness were treatment, sleep, rest, food, obedience, emotional stability, psychological stability, cleanliness, exercise and powerfulness.

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Factors Influencing Fatigue in Mothers of Hospitalized Children (입원 아동 어머니의 피로 영향 요인)

  • Song, Hee Seung
    • Child Health Nursing Research
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    • v.22 no.4
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    • pp.363-369
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    • 2016
  • Purpose: Fatigue in mothers of hospitalized children is an important component for her child's health. This study was done to identify factors influencing fatigue in mothers of hospitalized children. Methods: A descriptive correlation study design was used. Participants were 157 mothers of hospitalized children in a university hospital located in one city. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. Results: Mean score for fatigue in mothers of hospitalized children was $2.11{\pm}0.53$. There were significant differences in scores for fatigue in these mothers according to education, sleep satisfaction, and family support. Multiple regression analysis showed that the important factors related to fatigue in mothers of hospitalized children were parenting stress (${\beta}=.44$), hours of sleep (${\beta}=-.25$), and age (${\beta}=-.21$). These factors explained 38% of the total variance. Conclusion: Research results suggest that nursing interventions for mothers of hospitalized children are needed in order to improve the comfort and health of the mothers and facilitate the recovery of their child.

Family-Centered Care for Hospitalized Children: Concept Analysis (입원 아동의 가족중심돌봄 개념분석)

  • Jung, So Young;Tak, Young Ran
    • Child Health Nursing Research
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    • v.23 no.1
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    • pp.28-36
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    • 2017
  • Purpose: This paper is a report on the concept analysis of family-centered care for hospitalized children. Methods: The concept analysis approach of Walker and Avant was used. A search of multidisciplinary literature published between 1960 and 2016 was undertaken using the keyword 'family centered care' or 'family centered nursing' combined with hospitalized children. Attributes, antecedents, and consequences were inductively derived from the citations analyzed (n=19). Results: The attributes of family-centered care included (1) family respect, (2) collaboration, (3) family support, and (4) information sharing. These attributes are influenced by the 'willingness of family to participate', 'competency and willingness of staff,' and 'institution policy and system.' Additionally, family-centered care does significantly impact 'the health of the children', 'family empowerment' and 'work satisfaction and self-confidence of staff'. Conclusion: Family-centered care of hospitalized children as defined by the result of this study will contribute to the theoretical foundation for application in pediatric nursing practice.

Factors Affecting Nursing Students' Perception on Pediatric Patient Safety Culture and Nursing Activity (간호대학생의 입원아동 안전간호활동 인식 영향 요인)

  • Park, Eunsook;Oh, Won-Oak;Kim, Mirim
    • Child Health Nursing Research
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    • v.23 no.4
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    • pp.534-542
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    • 2017
  • Purpose: The purpose of this study was to identify the factors that affect nursing students' perception of pediatric safety nursing activities for children during hospitalization. Methods: The study sample included 304 nursing students who had participated in pediatric nursing practice. Data were analyzed using SAS 9.3 program. Results: Regression analysis showed that the model's explanatory power was 37%. Safety policy and procedure, safety priority, disaster experience, and knowing a place of refuge were factors affecting the perception of safety nursing activities for children during hospitalization. Conclusion: Findings show that safety policy and procedures and safety priority are major factors that affect the perception of safety nursing activities and indicate that effective education programs on safety policy and procedure and safety priority are necessary to improve the perception of safety nursing activities.

School aged Children's Adjustment to Hospital Life (학령기 아동의 입원생활 적응)

  • Oh Jina
    • Child Health Nursing Research
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    • v.9 no.4
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    • pp.399-407
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    • 2003
  • Purpose: The study was done to identify adjustment to hospital life of school aged children. This research was designed as a descriptive study. Method: A convenience sample of 186 patients who were hospitalized children, 6~12 years old. The instrument in this study were developed by researcher and constructed to include 5 sub categories about adjustment to hospital life. They ask children to rate each item on 5 Likert scale. The data were analyzed by SPSS Win Program. Result: The mean average score of adjustment to hospital life was 91.75(SD 11.22); the social support revealed the highest value, followed by self-esteem, stress on disease, stress on hospitalization, and defense strategies. There was differences on bibliographic data; hospital date, disease type. The relationship between adjustment and sub categories was significant, especially in the stress on hospitalization and disease, social support and self-esteem. The relationship between coping strategies and stress on diseases was reversed. Conclusion: These results suggest that pediatric nurses need to be aware of the adjustment to hospital life. A development of nursing intervention program may be useful and critical for hospitalized school aged children.

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