• 한국간호교육학회지
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• 제29권2호
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• pp.170-179
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• 2023

Purpose: This descriptive study aimed to identify the contribution of nurses' communication styles, nurse-mother partnerships, and mothers' anxiety levels to the coping of mothers of hospitalized children, with the goal of establishing effective intervention strategies based on these factors. Methods: Data were collected using a structured questionnaire from July 12 to October 29, 2018. The study's participants were 200 hospitalized children's mothers in the pediatric ward of a university hospital. Results: The coping of hospitalized children's mothers showed a significant relationship with nurses' informative communication style (r=.26, p<.001), affective communication style (r=.28, p<.001), nurse-mother partnership (r=.50, p<.001), authoritative communication style (r=-.28, p<.001), and mothers' anxiety (r=-.23, p=.001). A multiple regression analysis (adjusted R²=.32) indicated that the factors affecting the mothers' coping included nurse-mother partnership (𝛽=.47, p<.001), another caregiver (yes) (𝛽=.17, p=.006), and mothers' subjective health status (very healthy) (𝛽=.15, p=.047). Conclusion: Considering that the formation of cooperative partnerships between mothers and nurses found in this study had a positive effect on the mothers' coping skills, it appears necessary to develop and implement programs for improving nurses' communication skills and ability to form partnerships, beginning from undergraduate education.

• 임상간호연구
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• 제17권2호
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• pp.228-238
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• 2011

Purpose: The purpose of this study was to investigate parent expectation and satisfaction with respect to pediatric inpatient care and to identify the variables related to parent satisfaction. Methods: The study was conducted in pediatric wards of a tertiary children's hospital in Korea. The participants were 361 parents of children who were inpatients. Data were collected using a structured questionnaire (The Pediatric Family Satisfaction Questionnaire) at the time of discharge. Results: The highest parent expectation domain was medical service. The parents were most satisfied with nursing service and least satisfied with general hospital service and accommodation. The parents expressed lower satisfaction with hospital facilities, equipment, noise, cleanliness, and communication by health care professionals. Parents with younger children reported higher expectation from the complete hospital service and those who had a longer length of stay reported higher expectation from the nursing service. Conclusion: To improve the quality of hospital services, we need to understand parent expectation and improve and provide clear communication. In addition, the general hospital service and accommodation should not be overlooked for improvement.

• 임상간호연구
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• 제15권2호
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• pp.5-21
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• 2009

Purpose: This study was aimed to develop a tool for evaluating nurses' performance by using Balanced Score Card (BSC) in hospital units. Methods: Preliminary survey was done in 10 hospitals to investigate evaluation criteria for nurses' performance. For the main study, each of 14 nursing managers evaluated 2 nursing units (total of 28 nursing units) to verify the sensitivity of the tool criteria. The evaluation result drawn from the preliminary BSC tool was analyzed to verify the sensitivity and validity of the tool. Results: As a result, nurses' performance evaluation tool consisted of 4 categories, 8 objectives, and 14 criteria was developed. Conclusion: The BSC tool for nurses' performance evaluation provides meaningful data in evaluating nursing performance in hospital units.

• Child Health Nursing Research
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• 제30권1호
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• pp.54-66
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• 2024

Purpose: This study investigated participation in and perceptions of antibiotic stewardship among nurses at a children's hospital. Methods: This descriptive study included 125 nurses working in the inpatient ward, intensive care unit and emergency room of a single tertiary children's hospital. The study measured 14 factors influencing antibiotic stewardship behaviors using the theoretical domains framework. Each factor was analyzed by categorizing it into components (capability, opportunity, and motivation) that have been proposed as influencing factors in the COM-B model of behavior. One-way analysis of variance and Pearson correlation coefficients were used to explore differences in antibiotic stewardship behaviors and influencing factors according to general characteristics and the correlation between antibiotic stewardship behaviors and COM-B components. Results: No statistically significant difference in antibiotic stewardship behaviors was found based on the experience of antibiotic stewardship education or the nursing department. However, significant differences were observed in the perception levels of factors related to antibiotic stewardship behaviors according to the experience of antibiotic stewardship education in skill (physical) (p=.042), knowledge (p=.027), intentions (p=.028), and social influences (p=.010). Additionally, significant differences were observed in perception levels according to the sub-components of the COM-B model, specifically physical capability (p=.042), psychological capability (p=.027), and social opportunity (p=.010). Conclusion: To expand nurses' involvement and roles in antibiotic stewardship, nurses should acknowledge the significance of appropriate antibiotic use, aiming to enhance the quality of medical care and ensure patient safety. In pursuit of this objective, tailored education aligning with the specific needs and practices of nurses is essential.

• 임상간호연구
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• 제27권1호
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• pp.85-97
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• 2021

Purpose: The purpose of this study was to develop a video education program (VEP) for the caregivers and to verify its effectiveness on the maintenance of a peripheral intravenous catheter (PIVC) among hospitalized children. Methods: The VEP was developed through a literature review, educational need assessment of caregivers, and interviews with pediatric nurses, and validation of an expert group. The effectiveness of the VEP was tested on 102 caregivers and their children in a children's hospital at D city. A nonequivalent control group pretest-posttest design was used in which different types of intervention were given to caregivers in intervention group (n=51) and control group (n=51). All caregivers received brief verbal information about the PIVC maintenance. The intervention group was additionally provided with VEP using a smartphone. Data were analyzed using SPSS/Win 21.0 program. Results: The caregivers' knowledge score on PIVC maintenance in the intervention group was significantly higher than that of the control group. The numbers of flushing in case of blockage of PIVC and gauze dressing change of the intervention group was significantly lower than those of the control group. Conclusion: These results suggest that the VEP developed in this study can be useful for the maintenance of PIVC among hospitalized children.

• Child Health Nursing Research
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• 제12권2호
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• pp.160-169
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• 2006

Purpose: This study was to explore the child's health and learning needs of mother of children with leukemia in a children school of a hospital and to describe the basic material for intervention program development. Methods: Participants in this study was 7 mother of children with leukemia. Data collection consisted of in-depth focus group interviews done from April 21 to 30 in 2005. Results: 3 categories emerged from 9 theme clusters. The categories was 'tutorial service', 'emotional service' and 'disease control'. Conclusion: The results of this study show that pediatric nurses need to pay attention to the learning needs of mother and children in the children school of hospital and develop the program to support the children with leukemia and chronic disease.

• Child Health Nursing Research
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• 제22권4호
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• pp.279-288
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• 2016

Purpose: The purposes of this study were to explore knowledge, barriers, and self-efficacy in relation to pain management practice, and to identify factors influencing pain management practice in pediatric nurses. Methods: A descriptive correlational study was conducted. The participants were 237 pediatric nurses from a metropolitan city. Data were analyzed using t-test or analysis of variance and Pearson correlation and multiple regression analyses. Results: The mean percentage of correct answers on the children's pain management knowledge scale was 58.8%. Child and parent related factors were the main barriers for pain management. Self-efficacy to assess children's pain across developmental stages was particularly low. Pain management practices for assessing pain and non-pharmacological interventions were relatively low. Factors significantly affecting children's pain management practice were current conditions of work department and self-efficacy in pain management, and these factors accounted for 37.5% of the variance in pain management practice. Conclusion: The results suggest that an integrative education program needs to be developed to improve self-efficacy in children's pain management practice. Moreover, good communication, building cooperative relationships with children and parents, and a more active role by pediatric nurses are required to carry out more effective pain management.

• Child Health Nursing Research
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• 제3권2호
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• pp.142-153
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• 1997

Empathy is an essential factor for establishing therapeutic relationship. Especially for pediatric nursing, the nurses need to know how to perceive children's feeling and thought and to express her understanding about them affectively. So, empathy is considered as an important concept in pediatric nursing. This study was attempted to measure the empathic ability of pediatric nurses by pediatric nurses and mothers of hospitalized children. The subject of this study consisted of 83 pediatric nurses and 106 mothers of hospitalized children in 4 hospitals in Seoul and 1 hospital in Kyung-Gi. Data were collected from Jan. 14 to Feb. 6, 1997, by the questionnair method. The instrument for this study was the Empathic Construct Rating Scale : ECRS(60-item, 5 point scale). Data were analyzed by descriptive statistics, t-test and ANOVA. Results of this study are summarized as follows 1. Pediatric nurses perceived their empathic ability to be moderately high (Mn=3.71). The level of perceived empathic ability of the pediatric nurses showed no significance by general characteristics. 2. The mothers of hospitalized children perceived nurses' empathic ability to be moderate(Mn=3.27). The level of perceived nurses' empathic ability of the mothers of hospitalized children showed significant differences by the experience of hospitalization of the children and the age of the mothers. 3. The perceived nurses' empathic ability of the mothers was significantly low than of the pediatric nurses(t=6.50, P<.001). From the above results, it can be concluded, that the empathic ability of the pediatric nurses is not sufficient for caring children and mothers of ficiently. So, the pediatric nurses' empathic ability is needed to improve through facilitative relationship training as refreshment in-service education program.

• Child Health Nursing Research
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• 제24권4호
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• pp.364-372
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• 2018

Purpose: The aim of this study was to test whether maternal uncertainty and the general characteristics of mothers and children influenced maternal coping. Methods: In this cross-sectional study, 190 mothers whose children had been admitted to the pediatric ward of a general hospital completed self-report questionnaires during their children's hospitalization. The questionnaires assessed the general characteristics of the mothers and children, maternal uncertainty, and maternal coping. Multiple regression analysis was used to test the research model. Results: In the multivariable model, help from one's spouse (t=3.10, p=.002), religion (t=2.68, p=.008), overall ambiguity (t=2.64, p=.009), and family income (t=2.33, p=.021) were associated with higher coping scores. Conclusion: This research model presents possible guidelines for pediatric nurses to provide comprehensive and accurate information on children's illnesses and treatments for mothers of children hospitalized in general hospitals. In particular, nurses should pay more attention to mothers who are not receiving help from their spouses, are not religious, and have a low family income.

• Child Health Nursing Research
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• 제9권4호
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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.