• Child Health Nursing Research
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• 제13권4호
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• pp.454-466
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• 2007

Purpose: To explore the experiences of parenting from the mothers of children with severe CHD and to develop a grounded theory about their experiences. Method: Grounded theory method guided the data collection and analysis. A purposeful sample of 16 mothers of children with severe CHD participated during the period 2003. The data were collected by semi-structured individual interviews. Results: "Raise with dignity" emerged as the core phenomenon. 'Powerlessness' came up as the central concept. The causal conditions working on powerlessness was 'living with a bomb in the heart': uncertainty and the context were 'confronting people's eyes', 'developing child's adaptability'. An intervening condition was 'forming a support system' and consequences for coping with powerlessness were 'overcome' or 'ambivalence' using the strategies for mother's positive personality, care role perception, accepting, acknowledgement, and managing the body and mind. Conclusions: In the results of this study, the mothers of children with severe CHD are continue to struggle with life during children's growth and repeated attacks of disease. They need to be provided with skills to cope with physical and mental problems in rearing the children with expertized information for the entire period of growth.

• Child Health Nursing Research
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• 제26권1호
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• pp.72-81
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• 2020

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

• Child Health Nursing Research
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• 제10권1호
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• pp.48-58
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• 2004

Purpose: Internet addiction is a newly recognized problem in the adolescents. The purpose of this study was to identify and analyze the educational needs for Internet addiction in middle school students of Korea. Method: The subjects of this study were 450 middle school students. The data were collected from open and structured questionnaire about the educational needs for Internet addiction. Result: As a result of content analysis of educational needs for Internet addiction, 9 domains and 19 themes were categorized from 542 statements. 9 Domains are : Definition, Etiology, Status, Process, Diagnosis, Influence, Coping and Prevention of Internet Addiction and General Information of Internet Use. These results were revealed that middle school students had comprehensive education needs for Internet Addiction. Also, there were the difference of need contents and frequency between school boy and girl students. Most of students had high educational needs for Internet addiction based on school health care program. Conclusion: It would be necessary to develop on Internet addiction prevention program for adolescents concerning these findings. In the future, there should be study to identify the psychological characteristics of adolescent associated with Internet addiction.

• KIEAE Journal
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• 제16권2호
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• pp.67-77
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• 2016

Purpose: The purpose of this study is to suggest a implication and improvement which can provide direction when proposing prospective housing policies which comply the peculiar and changing needs of rural communities. Method: Accordingly this study reviewed for rural housing regulations and policies that appear in the process of developing Japanese Excellent Rural Housing. According to the case study, municipal organizations have implemented independent housing programs base on the Promotion of Rural Residence Act for returning farmers. Result: They provide service to provide returning farmers comprehensive counseling and information about employment, child-rearing and education, housing, and etc. The service program is run by a cooperative way. In addition the Japanese Excellent Rural Housing projects nowadays focus on promoting voluntary establishments of local communities by providing comprehensive plans for local community formation and interaction for harmony between existing residents and returning farmers. In the case of Korea, targeting existing residents and returning farmers for settlement environment in rural areas need jobs, child care, education, and comprehensive housing counseling. In addition, this suggests the need for linkages between the various community programs and residents.

• 동아시아식생활학회지
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• 제21권4호
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• pp.577-586
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• 2011

본 연구는 경기 지역 보육시설 시설장을 대상으로 급식운영 관리의 전반적인 실태를 시설유형별로 분석하여 영유아 보육시설의 실제적인 급식운영 방안 마련을 위한 기초자료를 제공하고자 하였다. 본 연구의 결과를 요약하면 다음과 같다. 1. 시설장은 여성이 97.1%로 대부분이었으며, 학력은 전문대졸 이상이 80.2%로 높은 편이었다. 운영기간은 5년 이하(72.2%)가 가장 많았는데, 특히 가정보육시설이 83.7%로 최근 크게 증가한 것을 알 수 있었다(p<0.01). 원아 수는 20명 이하(52.5%)가 가장 많았고 국 공립의 75.0%, 민간시설 84.0%, 가정보육시설 100.0%가 원아 100인 이하 시설이었다. 영양사 고용은 8.8%로 매우 낮았으나, 조리사 56.9%, 조리원은 35.6% 고용하고 있었고 시설별 차이(p<0.001)를 보였다. 2. 급식은 직영이었으며, 급식 횟수는 1회가 77.2%로 가장 많았으며, 간식은 대부분 2회 제공(89.2%)이었고, 1일 평균 급식비는 1,877원으로 유형별 차이는 없었다. 3. 조리실은 97.0%가 갖추었으나, 식당은 4.0%에 불과해, 배식은 88.7%가 교실에서 이루어져 위생관리의 어려움이 있을 것으로 보인다. 식품보관 창고는 29.7%가 있다고 응답했으며, 국 공립 55.0%, 가정보육시설 24.6%, 민간시설 20.8% 였다(p<0.001). 4. 식단은 94.1%가 주기적으로 작성하였으나 보육정보센터 이용이 47.1%로 가장 많았으며, 식단작성시 메뉴에 대한 정보 또한 보육정보센터 이용(86.4%)인 것으로 나타나, 보육정보센터의 활용에 대한 체계적인 관리가 필요할 것으로 보인다. 식단작성시 고려사항으로는 영양적 균형이 86.2%로 높았다. 급식생산에 표준레시피는 38.0%가 사용하고 있었고 국 공립이 68.4%로 가장 많았고 민간시설 37.5%, 가정보육시설 28.1%로 유의적인 차이가 있었다(p<0.01). 5. 식재료 구매는 시설장(86.7%)이 주로 담당하였고 조리사(10.2%), 영양사(3.1%)의 순이었다(p<0.001). 구매 방법은 직접 구매 방식이 85.7%로 대부분이었고, 수의계약은 5.1%에 불과한 것으로 나타났다(p<0.001). 구매 횟수는 매일(36.0%), 주 2~3회(32.0)%, 필요할 때마다(18.0%), 주 1회 (14.0%)의 순으로 매일 구매가 가장 많았다(p<0.05). 6. 조리기구 중 전자레인지(92.2%), 믹서기(83.3%)의 보유율은 높았으나, 오븐(36.3%), 토스터기(27.5%), 튀김기(19.6%)의 보유정도는 낮았다. 위생기구에서는 정수기는 전체의 90.2%대부분의 시설에서 갖추고 있었으나 식기세척기는 37.3%만이 갖추고 있었고 칼도마 소독고와 자외선 식기소독고의 보유율은 시설유형별 차이가 있었다(p<0.01). 손전용 세정대는 52.9%가 보유하고 있어 개인위생을 위해 확대 설치가 필요할 것으로 보인다. 적온급식을 위한 보온/보냉고는 37.3%에 불과하였고 특히 보존식 전용 냉동고는 36.3%로 국공립(70.0%), 민간시설(40.0%), 가정보육시설(22.8%) 순으로 유의적인(p<0.001) 차이가 있었는데, 급식위생기기 보유 정도는 낮은 편이었다. 경기 지역의 보육시설은 2010년 현재 11,373개로 전체 보육시설의 29.6%를 차지할 정도로 비중이 크다고 할 수 있다. 본 연구에서 보다 많은 시설을 대상으로 조사가 이루어지지 못해서 결과의 해석에 한계가 있을 것으로 보여지며, 특히 최근 가정보육시설의 급속한 증가에 비해 급식운영에 대한 연구가 부족한 실정으로 앞으로 보육시설의 규모와 특성, 시설유형에 따른 운영방식을 고려한 많은 연구가 이루어져야 할 것으로 사료된다.

• Child Health Nursing Research
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• 제2권1호
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• pp.112-126
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• 1996

The purpose of this study was to investigate the current status of the need of telephone call and to identify the status of nursing intervention through telephone. Head nurses of the pediatric nursing unit and a nurse of pediatric outpatient clinic wrote down the telephone record of calls by parents of children discharged from hospital from 7 am to 3 pm during the period of March to June, 1995. Content of 120 telephone calls but for 26 calls with incomplete record among 146 calls were analyzed into frequency of general characteristics, needs and nursing intervention. The needs of telephone call were identified and classified into 11 areas and analyzed into frequency of detailed content by 11 areas. Nursing intervention was identified and classified into 10 categories, and analyzed into frequency of detailed content by 10 categories. The findings of this study were as follows ; The need of telephone call was identified with nutritional state, medication, vital signs, language retardation, personal hygiene, vaccination, administration procedure, physical symptoms, follow up care management and others. The most frequent needs were physical symptoms and vaccination. A kind of food among nutrition dose of drugs among medication, fever among vital signs, cough among physical symptoms, and content of vaccination among vaccination was the most frequent needs. Nursing intervention through telephone was identified with instruction, knowledge offer, information offer, judgement, solicitation, referral and instruction, referral, connection, reassurance, reservation, and regulation. Instruction, knowledge offer and information offer was the most frequent nursing intervention by telephone call. Instruction was about a visit to hospital, a visit to nearby clinic, instruction about symptoms,, instruction about nursing care procedure, retelephoning and vaccination. Knowledge offer was about vaccination, knowledge related to medication, and dental care. Information offer and judgement was about vaccination and medication. Referral and instruction delivery was about instruction delivery following consultation to doctor, visit to emergency room and a visit to hospital following consultation to doctor. These results suggest that telephone call intervention program should be established as a field of extended pediatric nursing role in health care delivery system for the children.

• 한국사회복지학
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• 제44권
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• pp.262-287
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• 2001

The purpose of this study is to monitor the implementation of UN Convention on the Rights of the Children (CRC) and to find out new directions for the promotion on the children's rights in Korea. Based on the module of International Save the Children Alliance (1993) about the children's rights and the Indicators of Korean Children's Wellbeing (Korean Council for Children's Rights, 1999), the revised Korean child welfare law (2000) as a related domestic law has compared with the 54 articles of CRC (1989). The results of this study are analyzed as follows: The Korean child welfare law has only 2 articles on the civil and political rights of the children in special need and neglects the economic, social and cultural rights of the general children at home. In consequence the Korean law has few survival rights of the general children for securing their adequate living standards and supplementing their parents' role. And it limits only to the development rights of the children in special need, therefore, it neglects the genera: children's rights to information, play and leisure, cultural activities. Above all, it has only 2 articles on the participation rights of the children in special circumstances. On the other hand, based on the indicators of Korean Children's Wellbeing, the collected data say that the budget for the child welfare is only 1.12% of the total budget of the ministry of the health and welfare and its 96.28% is for the children in substitutional care. Based on the results, implications for practice and future research are discussed, and new directions for the promotion of the children's rights are also suggested.

• 한국보육지원학회지
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• 제13권1호
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• pp.143-166
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• 2017

Objective: The purpose of this study is to gain basic information for parental education by investigating parent's implementation and perception of children's right to play. Methods: The subjects of this study were 458 parents who have a child in kindergarten or 1st grade of elementary school in J city. The research tool used in this study, the Parent's Perception of and Implementation for Children's Right to Play(PPICRP), was developed by researchers. PPICRP is a 5type rating scale questionnaire which includes the selection of a space for play, play time, play mate, instrument, etc. The data were analyzed by using the SPSS 18.0 program. Results: The results showed that the parent's implementation for children's right to play was lower than the parent's perception of it except for the selection of play instrument. Conclusion/Implications: The results of this study imply that there is a need for parent education which contains concepts and stresses the importance of play, which implement children's right to play. The unexpected result in the play instrument, the excessive organization of the play by adults, and the difference of parent's implementation according to the gender of their children were further discussed.

• 대한간호학회지
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• 제26권2호
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• pp.443-466
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• 1996

Young children need continuous care and fostering by their family. They help children organize and develop their potential and grow to be and integrated individuals. Children are influenced by then family at first and continuously when they grow up and develop their capability. Especially, mothers spend a lot of time with time to their children, encourage children's growth, give advice, and do their best to take care of their children. The ethnographic study is to understand the patterns and rules of human behaviors. This study utilized this method in order to interpret the maternal health promoting behaviors for their children. The data were collected through the participant observation and direct interview for about 18 months in P city. The participants were 7 mothers, from 32 to 37 years old. They have children of ages 3 to 10 and 1 or 2 children in total. The data were analyzed through the Spradley's Ethnographic method and the results were summarized as follows : The viewpoints which influence maternal health promoting behaviors include “having childlike appearance”. “having childlike character”, “living without illness”, and “eating well”. The maternal health promoting behaviors for children are classified as “adapting to nature”, “supporting of ability”, “sharing with the family”, “training”, and “praying”. The adapting behaviors include “recognizing child's innate character”, “controlling maternal desires”, “preparing natural food”, which includes breast feeding. The supporting behaviors include “recognizing childlikeness”, “empowering”, and “restricting certain actions to preventing accidents”. In order to promote child's health, it is essential to promote mother's health first of all. The sharing with the family includes “promoting family concord or acquaintanceships concord” and “adapting to circumstances beyond family”. The training behaviors include “forming good habits” and “having good moral value”. It is very important to form good habits in childhood. The praying behavior include “waiting for opportunities” and “endeavoring activity to promote child's health”. The above 5 behaviors by mothers appeared to be able to promote children's health. The results of this study can be utilized to provide the basic information necessary to develop the patterns of maternal health promoting behaviors consistent with our culture and can contribute us develop the body of knowledge about the maternal health promotion for children in nursing.

• 한국보육지원학회지
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• 제11권2호
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• pp.283-310
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• 2015

본 연구의 목적은 보육경험과 어머니의 양육행동이 유아의 문제행동에 미치는 주효과와 상호작용 효과를 살펴보는 것이다. 만 3-5세 유아 248명(남아: 112명, 여아: 136명)과 그들의 어머니가 본 연구에 참여하였으며, 어머니들은 보육경험(보육 시작 시기, 1일 평균 보육시간, 주당 평균 보육일, 보육기관 변경횟수), 양육행동, 유아의 문제행동에 관한 문항들이 포함된 질문지에 응답하였다. 본 연구의 주요결과는 다음과 같다. 첫째, 보육경험 중 보육기관 변경횟수가 잦을수록 유아는 공격성을 더 보였다. 둘째, 어머니의 양육행동 중 논리적 설명, 강압, 방임이 유아의 문제행동에 영향을 미쳤다. 마지막으로 보육경험과 어머니의 양육행동은 상호작용하여 유아의 문제행동에 영향을 미쳤다. 이러한 결과는 보육경험이 모든 유아에게 동일한 영향을 미치는 것이 아니며, 어머니의 양육행동에 따라 보육경험의 영향에 차이가 있을 수 있음을 제안한다.