• Title/Summary/Keyword: Child nursing

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영유아 성장발달 크리닉 운영모형개발 및 시범사업 결과 분석 -서울시 일개 보건소를 중심으로- (The Study on the Model Development and Analysis of 'Child Growth and Developmental Clinic' - Focusing on the public health center -)

  • 한경자;방경숙;윤손녕
    • 지역사회간호학회지
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    • 제12권1호
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    • pp.49-59
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    • 2001
  • Purpose: This study was intended to develop the framework of public health center based 'Child growth and developmental clinic' and analyze the efficiency of services. This was the part of Mother-Child Health Guidance Project by the Public Health Center in Seoul. The purposes of this project were to improve children's health and development with early detection of developmental delay by screening test, and to assist and guide the parent for child care and rearing, so that children can reach their maximum potential. Method: Framework and standards for operation of 'Child growth and development clinic' were developed. We selected screening tool. developed parent education materials, and educated the personnel of public health center. Result: 243 children were enrolled for developmental screening, and we detect the children with developmental delay and referred them for further evaluation. The proportion of developmental delayed children was approximately 2% of the enrolled children. Also, we analyzed the characteristics of enrolled children, and their parental needs and attitude on child rearing. Some problems in operation of developmental clinic were discussed. Conclusion: Though we can found some limitations, we are confident that pubic health center can be charge of important role for improving child development for the majority. This study will be the basis of children's developmental clinic running by public health center.

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간호대학생의 아동체벌에 대한 태도와 아동 권리인식이 아동학대 신고의도에 미치는 영향 (The influence of Nursing Students' Attitudes Toward the Use of Corporal Punishment on Children and Recognition of Children's Right on the Intention to Report Child Abuse)

  • 이주연
    • 문화기술의 융합
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    • 제9권6호
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    • pp.347-354
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    • 2023
  • 본 연구는 간호대학생을 대상으로 아동체벌에 대한 태도, 아동 권리인식과 아동학대 신고의도와의 관계를 살펴보고, 아동학대 신고의도에 미치는 영향 요인을 파악하기 위한 서술적 조사연구이다. 자료수집은 2023년 4월 1일부터 2023년 6월 30일까지였으며, 구조화된 설문지를 이용하여 194명의 간호대학생을 대상으로 조사하였다. 자료분석은 IBM SPSS/WIN 26.0 프로그램을 사용하여 기술적 통계, independent-test와 ANOVA, Scheffe' test, Pearson's correlation coefficients, Multiple Regression analysis를 이용하였다. 본 연구결과 아동체벌에 대한 태도는 아동 권리인식과 아동학대 신고의도와 유의한 음의 상관관계가 나타났으며, 아동 권리인식은 아동학대 신고의도와 양의 상관관계가 나타났다. 아동학대 신고의도에 영향을 미치는 요인으로 아동체벌에 대한 태도와 아동학대 신고의도로 총 설명력은 19%였다. 따라서 아동학대 신고의무가 있는 예비 간호사로서 아동학대에 대한 민감성을 높이고 아동학대 신고의도를 향상시키기 위해 아동학대 사례를 경험할 수 있는 교육프로그램을 개발하는 것이 필요하다.

뇌성마비아 어머니의 경험 (Lived experience of mothers who have child with cerebral palsy)

  • 이화자;김이순;이지원;권수자;강인순;안혜경
    • Child Health Nursing Research
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    • 제2권1호
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    • pp.93-111
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    • 1996
  • The purpose of the study is to identify the lived experience of mothers who have children with cerebral palsy in order to understand their agony. Moreover, the result of study was to find some nursing intervention for disabled children and their mothers. For this purpose, ten mothers who are willing to cooperate with this research were selected at random from those who have children with the cerebral palsy, currently using the municipal facilities for the handicapped with cerebral malfunction. Data collection was done from October 4, 1994 th December 31, 1994. The data were collected by asking the mothers mentioned above with some unstructured open-ended questions, recorded on the tapes with permission by the interviewee in order to prevent missing of the interviewed contents. These collected data have been substantiated and properly analyzed on the basis of phenomenological approach initiated by Colaizzi's method. The results and validity are proved to be credible by means of the individual checking of the interviewed mothers. The results of this study are as follows : 1. When the mother is first informed of the diagnosis of cerebral palsy on her child, she usually misses the crucial timing needed for proper treatment of the child's disorder because she is notified through the doctor's indifference and his apparently inactive, matter-of-fact attitude. At first she suspects the doctor's diagnosis and tries to attribute it to the unknown cause from a certain genetic problem and then she quickly wants to deny the whole situation that her child is really suffering from the cerebral palsy. The reality is too much for her to accept as it is and she would not believe her child is abnormal. Therefore, she even attempts depend on the power of God for its solution. 2. The mother, who goes thorough this kind of uncommon experiences, is totally devoted to the treatment and care of the child and completely ignores her own life and happiness. At the same time, she feels sorry for her other normal children she believes having not enough care and concern. Also, she feels sorry for the sick child when the child's brothers or sisters show special concern for the patient out of sympathy. It is sorry and not satisfied for her that the child is growing with abnormality and neighbor other around have inappropriate attitudes. Likewise, she is discontent with her husband's lack of concern about the child's treatment. She believes that the health care system in this society isn't fulfilling its due purpose. In the state of her utmost distress and anxiety, she always feels the need of competent consultants, and is angry about that her child is treated as an abnormal being, she is trying to hide the child from other people and to make him or her disappear, if possible. Although she doesn't have harmonious relation with her husband, she id happy when he shows his affection for the child and she feels relieved and thankful when the relatives don't mention about the child's condition Since the child's overall status of health is continuously in unstable conditions, requiring her all-time readiness for an emergency, she feels guilty of her child's illness toward the fEmily members as if it was her own fault to have borne such an abnormal child and she feels responsible for the child morally and financially if necessary Because her life is centered on taking care of the child, she cannot afford to enjoy her own life and happiness. She is a lonely mother, fatigued, with no proper relationship with other people around her. With this sense of guilt and responsibility as a mother of an unusual disease, she has no choice but to grieve her destiny from which she is not allowed to escape. 3. Nevertheless, the mother with the child suffering from the cerebral palsy does not easily give up the hope of getting her child cured and she believes that in the long run, though slower than hoped, her abnormal son or daughter will be eventually cured to become a normal sibling someday. This kind of hope is sustained by the mother's strong faith coming from observing the progress of other similar children getting better. Sometimes she is encouraged to have this faith by other mothers who share the same painful experiences, believing that her child will improve even more rapidly than others with the same palsy. Full of hope, she painstakingly waits for the child's healing. Moreover, she plans to have another child. she thinks that the patient child's brothers and sisters only can truly understand and look after the patients. However, when she notices that the progress of other children under the treatment does not look so hopeful, she is distressed by the thoughts that her child may never get well. Too, she is worried that the patient's brother or sister will be born as the same invalid with the cerebral disease. She is discouraged to have another baby as much as she is encouraged to. She is also troubled by the thought that in case she has another baby, she will have to be forced. to neglect the patient child, especially when she does have an extra hand or some reliable person to help her with taking care of the patient.

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전화 아기건강상담을 통해 나타난 우리나라 어머니들의 육아문제 분석 (Analysis of Telephone Counseling Service on Child Health)

  • 송지호;한경자;오가실;조결자;이자형;박은숙;조갑출;탁영란;안영미
    • Child Health Nursing Research
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    • 제7권2호
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    • pp.245-257
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    • 2001
  • This study analyzed the services as operated by the Child Health Telephone Service Center. The Center is a toll free service operated as part of the community services of the Korean Academic Society of Child Health Nursing. The aim of the study was to describe the concerns of child caregivers regarding child health care as discussed during telephone counseling. Specific objectives were as follows: 1. To analyze the activities of the Center. 2. To describe the characteristics of caregivers who made phone calls for counseling services and also the characteristics of their children. 3. To analyze the content of the counseling sessions. 4. To analyze counseling content according to the characteristics of the caregivers and their children. Data used for the study were obtained from the counseling records for the period from Sept. to Dec. 1999, as kept by the three counselors at the Center. The total number of calls was 8,261 and that consisted of 15,150 questions. The total questions were merged into 13,236 by eliminating those questions which overlapped or were of similar content. The final 13,236 questions were used for the final analyses. Almost of the callers (98.4%) were mothers. Among them 89.6% were between 25 and 35 years of age. Geographical distribution of the callers covered the whole nation. The largest numbers who made the calls were from the Seoul metropolitan area (36%), followed by 28% from Kyung Gi Province, and 20% were from the Kyung Sang area. Among 8,261 callers, 72.8% were first users. Sex of the babies and children in question for counseling was about even for males and females and ages ranged from one month to six years. The largest group (62.5%) was the less than six month age group. The finalized 13,236 questions/problems were categorized into 11 problem areas. They were in order of frequency, physical problems, feedings and nutrient concerns, information on child rearing, growth and development, guidance on utilization of child care facilities, elimination problems, sleeping concerns, immunization related concerns, behavior problems, injury and accidents, and safety measures. The most frequent problems for counseling were physical signs and symptoms (27.3%), followed by feeding and nutrients, information on child rearing, and growth and development. Of physical problems, abnormal gastrointestinal signs and symptoms were the most frequent concern and skin problems were next at 25% and 23.3% respectively. Loose bowels, vomiting and constipation were the most frequent gastrointestinal problems. Atopic dermatitis had the highest frequency at 53.3% with diaper rash being the second highest among the skin problems. About 80% of the growth and developmental category were physical development concerns related to physiological, body growth, and motor and sensory development. This study constitutes the activity report for the first year of the Center. The findings correspond with literature reports on child health problems and parents educational needs. One recommendation from this study is that since the services of the Center are carried out only by telephone, the psychology of the counselees and the counselor relationship must be considered for better services.

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소아과 외래와 응급실 내원 아동 부모의 불확실성 인지와 간호서비스 만족도 (Perception of Uncertainty and Satisfaction for Nursing Service of Children's Parents Visiting to Pediatrics Outpatient Department and Emergency Room)

  • 오진아
    • 부모자녀건강학회지
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    • 제13권1호
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    • pp.35-43
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    • 2010
  • Purpose: This study was a descriptive research to provide fundamental data in ensuring a high quality of nursing service needed by children's parent according to perception of uncertainty and care satisfaction of them between pediatric outpatient department and emergency room. Methods: For this study, 192 children's parents were questioned in a general hospital located in Busan from August 1 to 31. 2009. The collected data were scored by use of frequencies, $x^2$ test, t-test, AONVA, Pearson's correlation coefficient via SPSS/WIN 17.0. Results: With the compare of characteristics related to children's parents visiting emergency room and pediatric outpatient department, there were statistically significant difference in relation and age of parent, main caregiver, cause of arrival, and waiting time from arrival to procedure. The perception of uncertainty for parent in the emergency room showed significant difference to outpatient department. In nursing service, the highest score was category of professional skill and technic. In addition, overall parents' perceptions on providing information showed lower than any other nursing service. Last but not least, a significant correlation indicated between the perception of uncertainty and satisfaction of nursing service. Conclusion: Efforts to improve parent satisfaction for nursing service are needed to decrease their perception of uncertainty. Providing information and communication by nurses are necessary to improve quality of nursing service.

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초산모의 영아 양육자신감에 미치는 영향요인 (Factors Influencing Parenting Confidence in First-time Mothers of Infants in Their First Year)

  • 김희순;김태임;;;;심미경
    • Child Health Nursing Research
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    • 제13권2호
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    • pp.119-127
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    • 2007
  • Purpose: The purpose of this study was to identify factors influencing parenting confidence in first-time mothers and to provide basic data for development of maternal role education programs. Method: The participants were 194 first-time mothers of babies aged 1-6 months who visited well-baby clinics in 4 hospitals. Instruments used in this study were self-reported questionnaires. The data were analyzed using descriptive statistics, Pearson correlation coefficient and stepwise multiple regression. Results: The parenting confidence level was moderate with a mean score of 3.26(range 1-6). Infant temperament was significantly correlated with maternal role confidence. Maternal role confidence was significantly correlated with child-rearing environment. Infant temperament and parenting stress were significant predictors explaining 50% maternal role confidence. Conclusions: Nursing Interventions to promote parenting confidence among first-time mothers of infants in their first year are needed to improve maternal perception to infant temperament and reduce parenting stress.

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지지간호중재가 암환아의 신체상 및 자존감에 미치는 영향 (Study on the Effects of the Supportive Nursing Intervention Program for Body Image and Self Esteem of the Child with Cancer)

  • 오상은
    • 대한간호학회지
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    • 제29권3호
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    • pp.679-687
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    • 1999
  • The increased potential for the lifespan of a child with cancer is largely due to advances in drug treatment, radiation treatment, and surgical techniques. In this generation cancer has become associated with chronic illness. Therefore supportive nursing intervention for children with cancer is needed to promote normal growth and development. This study was designed to develop and test the supportive nursing intervention program for promoting body image and self-esteem of children with cancer The supportive nursing intervention program involved emotional, physical, informational, and social support. The subjects were 41 children with cancer(20 in intervention group, 21 in control group) in K city. Measurements were taken concerning body image and self-esteem from both groups during pre and post test The data were analyzed using Cronbach's alpha, x$^2$-test, paired t-test and t-test. The results were as follows : The intervention group had a more positive body image as measured by the Body Cathexis Scale (t=2.436, p=.020) and a more self esteem as measured by the Cpopersmith self-inventory (t=2.768, p=.009) than the control group at post test. According to this study, the supportive nursing intervention program was effective for promoting the body image and self-esteem of children with cancer. Repeated research is needed to develop a refined supportive nursing intervention program for children with chronic illness.

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Posner 이론을 적용한 여성건강간호학 교육과정 분석 (Women's Health Nursing Curriculum Analysis using Posner's Theory in Korean Nursing Baccalaureate Education)

  • 김현경
    • 부모자녀건강학회지
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    • 제18권1호
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    • pp.39-45
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    • 2015
  • Purpose: This study aimed to analyze the women's health nursing curriculum in Korean nursing baccalaureate education. Methods: This study was conducted with women's health nursing curriculum from one nursing school. Data were collected through one nursing school in A city, Korea from November to December, 2014. Data were analyzed using 4 domain of Posner's curriculum analysis. Results: Curriculum documentation and origins were based on the nursing standard from Korean Accreditation Nursing Board Education and the learning goal of maternal nursing from Korean Nursing Association. The purpose and content of the curriculum were composed with cognitive, affective, and psychomotor domains. The curriculum was organized deductively and multidisciplinary. Conclusion: The continuity, sequence, integration, and articulation were advantage of the curriculum. The concept map of women's health nursing curriculum can contribute to share the objectives between teachers and learners.

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신생아중환자실 간호사의 통증간호중재에 영향을 미치는 요인 (Factors Affecting Nursing Interventions for Pain among Nurses in Neonatal Intensive Care Unit)

  • 김은희;최미영
    • Child Health Nursing Research
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    • 제23권2호
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    • pp.179-189
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    • 2017
  • Purpose: The purpose of this study was to investigate NICU nurses' nursing interventions for pain and factors affecting nursing interventions for pain. Methods: Participants were 120 NICU nurses from 5 university hospitals located in Daejeon Metropolitan City and Chungcheong Province. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA and Duncan test, Pearson correlation coefficients and multiple regression analysis with SPSS Windows 23.0 IBM program. Results: The factors affecting nursing interventions for pain included knowledge about non-pharmacological nursing interventions for pain and self-efficacy about nursing interventions for pain. These variables explained 28.3% of nursing interventions for pain. Conclusion: The results of this study suggest that it is necessary to develop education programs in which effective nursing interventions for neonatal pain are considered. The programs should be made available to NICU nurses.

아동학대 예방교육이 부모의 긍정정서 반응, 양육 스트레스, 아동학대 잠재성에 미치는 영향: 무작위 대조군 사전·사후 연구 (The effects of child abuse prevention education on parents' response to positive emotion, parenting stress, and child abuse potential: A randomized controlled pretest posttest design)

  • 김미현;박부경
    • 한국간호교육학회지
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    • 제30권1호
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    • pp.19-28
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    • 2024
  • Purpose: The purpose of this study was to develop a child abuse prevention education program for parents. Furthermore, the aim was to investigate the impact of child abuse prevention education on parents' response to positive emotion, parenting stress, and potential for child abuse. Methods: A randomized controlled pretest posttest design was used. A total of 60 participants, who were parents with children aged 1~5 and attending 8 nurseries and kindergartens located in Daegu, were recruited. They were randomly assigned to an experimental group (n=30) and a control group (n=30). The collected data were analyzed by an independent t-test, paired t-test, and χ2-test along with descriptive statistics using IBM SPSS Statistics 25.0. Child abuse prevention education for the experimental group included four modules on child rights, understanding child abuse, proper child discipline, and positive parenting attitudes. Results: The experimental group showed a significant difference in positive rumination from the control group (t=2.15, p=.036). The experimental group reported a significant difference in dampening from the control group (t=-2.49, p=.016). Additionally, the experimental group reported a significant difference in parenting stress from the control group (t=-2.12, p=.038) and also reported significant differences in child abuse potential from the control group (t=-2.26, p=.028). Conclusion: The results of this study indicate that child abuse prevention education for parents can improve positive rumination, reduce dampening, and reduce parenting stress and child abuse potential. Therefore, this study is useful in demonstrating how parental susceptibility to child abuse can be decreased. Future studies should pursue long-term programs and counseling programs.