• Child Health Nursing Research
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• v.30 no.2
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• pp.142-153
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• 2024

Purpose: This study aimed to describe the process of developing a validated pediatric nursing simulation scenario template using the real-time Delphi method. Methods: A panel of 13 pediatric nursing experts participated in a real-time Delphi survey conducted over two rounds. Initially, 83 items were included in the questionnaire focusing on the structure and content of the simulation scenario template. Data analysis involved calculating the content validity ratio (CVR) and the coefficient of variation to assess item validity and stability. Results: Through iterative rounds of the Delphi survey, a consensus was reached among the experts, resulting in the development of a pediatric nursing simulation scenario template comprising 41 items across nine parts. The CVR values ranged from 0.85 to 1.0, indicating a high consensus among experts regarding the inclusion of all items in the template. Conclusion: This study presents a novel approach for developing a pediatric nursing simulation scenario template using real-time Delphi methods. The real-time Delphi method facilitated the development of a comprehensive and scientifically grounded pediatric nursing simulation scenario template. Our template aligns with the International Nursing Association for Clinical Simulation and Learning standards, and provides valuable guidance for educators in designing effective simulation scenarios, contributing to enhanced learning outcomes and better preparation for pediatric clinical practice. However, consideration of cultural and contextual adaptations is necessary, and further research should explore alternative consensus criteria.

• Korean Journal of Adult Nursing
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• v.25 no.6
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• pp.622-632
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• 2013

Purpose: This study was conducted to compare the nurse licensure examination system in Korea with that of the United States (US). Methods: Focus interviews with the administrative staff of the National Council of State Boards of Nursing (NCSBN) were held. two areas were explored in the interviews: the item development process and the general administrative operating procedures. Results: NCLEX-RN items are designed for entry-level practice. The items are subjected to a series of 12 steps including a item writing panel, a content and editorial review, a sensitivity panel, a pre-test, a Differential item functioning panel and a committee review. NCSBN is responsible for the test for registered nurses and one for practical nurses. In contrast the Korean National Health Personnel Licensing Board (KNHPLB) is responsible for nursing is and 21 other health related licensure. Another difference is that in Korea there is no consistent and specialized staff to develop question items. Items are developed by educators who are not active nurses (this last statemtne is not a finding but a point of view usually not given in findings.). Conclusion: Korean nurses form the largest group of health related job categories and the most direct to health care consumers. Therefore, the nursing licensure exam should be acknowledged as the most influential licensure exam in health care services. We recommend a nursing specialized licensing institution to be established with active nurse' participation in item development process to reflect clinical practice into licensure exam.

• Journal of the Korean Society of School Health
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• v.10 no.1
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• pp.51-63
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• 1997

Changes in disease patterns increase the importance of health-promoting lifestyles in a healthy society. Thus health education in elementary schools is very important because the knowledge of health and health habits in this period become a habitual part of life. The purpose of this study is to identify the performance in promoting healthy lifestyles of elementary school nurses. Such data helps to provide data to judge whether they are capable health educators or not. The subjects were 365 elementary school nurses selected by purposive sample. The data were collected by a self reporting questionnaire from August to October of 1996. The methods used in this study were the health-promoting lifestyle profile developed by Park In Sook (1995) and Licker's flour-point scale. A Cronbach's ${\alpha}$, percentage, mean, standard deviation, ANOVA, Pearson's correlation coffcient and stepwise multiple regression in the SAS package were used to analyze the data. The results of this study were as follows: 1. 37.7% of the sample were aged between 30 and 39 and 33.7% were between 40 and 49. 44.9% of the sample had attended college. 87.7% of the sample were married. 42.5% of the sample were people with a career of 11~20 years, and 26.0% of it had 21 years or more of working experience as an elementary school nurses. 2. The average scores of the family function and the social support were 2.97 and 2.98 respectively. 3. 86.5% of the sample were satisfied with their job. 4. 85.8% of the sample answered that they were healthy and 14.2% answered that they were unhealthy. The average scores of the internal health locus of control and self-esteem were 3.35 and 3.15 respectively. 5. The average score of performance in health-promoting lifestyle variables was 3.16; the average scores for harmonious relationships, regular diet professional health maintenance, sanitary life, self-control, emotional support, diet, rest and sleep, exercise and activity. self-achievement, and diet control were 3.47, 3.30, 2.52. 3.60, 2.92, 3.18, 3.14, 3.11, 2.96, 3.26 and 3.12. The variable with the highest degree of correlation was a sanitary life, whereas the one with the lowest degree was professional health maintenance. 6. A significant difference was found in self-esteem according to age. There was a significant difference in the average score of internal health locus of control according to age and career. 7. There were significant differences in the health-promoting lifestyle performance depending on age, career and monthly household income. The longer the career, the higher the health-promoting lifestyle performance. 8. A weak positive correlation was found between self-esteem and health-promoting lifestyles performance(r=0.417, p<0.001) Also, a weak positive correlation was found between the internal health locus of control and health-promoting lifestyles performance (r=0.386, p<0.001). 9. Heath-promoting lifestyle performance showed significant correlations with family function, social support and job satisfaction. 10. Stepwise multiple regression analysis revealed that the most powerful predictor was the variance of family function. Social support, age, self-esteem, internal health locus of control, perceived heath status and job satisfaction accounted for 55.9% of the variance in heath-promoting lifestyle performance.

• Journal of Korean society of Dental Hygiene
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• v.6 no.4
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• pp.325-337
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• 2006

The purpose of this study was to examine the oral health state of the elderly in an effort to pave the way for dental health project planning for the elderly for the city of Jeonju and to help promote the oral health of the elderly population to which health care services weren't accessible a lot. The subjects in this study were 300 elderly people who were in their 60s and up and used 10 different welfare establishments for the elderly in Jeonju. A survey was conducted from May 3 through 13, 2005, by interviewing them in person, and the collected data were analyzed. The findings of the study were as follows: 1. In terms of the period of oral health examination, 44.1 percent of the 66-70 age group, 48.1 percent of the elementary school graduates and 39.4 percent of the house owners had their teeth examined whenever they had a toothache. So their cycle of oral health examination was statistically significantly different according to age(p<.05), education(p<0.001) and form of residence(p<0.001). 2. Regarding the necessity of prosthesis, prosthesis was needed by 52.1 percent of the age group from 71 to 80, 44.3 percent of the women, 48.9 percent of the men, 60.0 percent of the community college graduates and 55.9 percent who rent a house on a deposit or monthly basis. But there was no statistically significant gap among the groups. 3. As for the necessity of oral health education, the necessity of it was absolutely supported by 89.7 percent of the 66-70 age group, 76.0 percent of the women, 87.2 percent of the men, 95.3 percent of the middle school graduates and 87.7 percent of the house owners. Their age(p<.0.01), gender(p<0.05) education(p<0.05) and form of residence(p<0.01) made a statistically significant difference to that. 4. Concerning oral health education experience, 79.3 percent of the high school graduates and 79.8 percent of the house owners had never received oral health education, and that experience statistically significantly varied with education(p<0.001) and form of residence (p<0.001). 5. As to the biggest reason for oral health care, 50.0 percent found it necessary to take care of their teeth to ensure their own perpetual oral health, and 33.7 percent felt the need for that because they had a toothache. The above-mentioned findings indicated that the elderly people were definitely in want of oral health education. Dental hygienists in public dental clinics should serve as dental health educators to address their needs, and regular oral health care programs should be prepared to spread awareness about the importance of oral health among elderly locals.

• Journal of dental hygiene science
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• v.10 no.6
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• pp.425-430
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• 2010

According to the result of examining the recognition on subjective oral health knowledge and elderly oral health management with a self-administered questionnaire survey conducted to 233 workers of elderly care facilities located in Gyeonggi-do, it was shown that their general oral health knowledge level was high while their elderly oral health knowledge was lower than general oral health knowledge. And it was found that respondents answering they had keen interest in the level of oral health knowledge according to the interest in elderly oral health showed a higher level of oral health knowledge than those answering they had no interest in it, which indicated statistically significant difference (p<.001). Regarding the study subjects' elderly oral health management and educational demand, quite a high percentage of 83,7% responded the education is needed. A response that it is appropriate for dental hygienists to give elderly oral health management and the education showed 57.9%, which was the most. Also, it was shown that in the level of oral health knowledge according to the recognition of elderly oral health managers and educators, subjects recognizing that it is needed to be dental hygienists indicated a high level of oral health knowledge, which showed statically significant difference (p<.05).

• Journal of Nutrition and Health
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• v.44 no.6
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• pp.577-591
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• 2011

A food exchange system for diabetes is a useful tool for meal planning and nutritional education. The first edition of the Korean food exchange lists was developed in 1988 and the second edition was revised in 1995. With recent changes in the food marketplace and eating patterns of Koreans, the third edition of food exchange lists was revised in 2010 by the Korean Diabetes Association, the Korean Nutrition Society, the Korean Society of Community Nutrition, the Korean Dietetic Association and the Korean Association of Diabetes Dietetic Educators through a joint research effort. The third edition is based on nutritional recommendations for people with diabetes and focuses on adding foods to implement personalized nutrition therapy considering individual preferences in diverse dietary environment. Foods were selected based on scientific evidence including the 2007 Korea National Health and Nutrition Examination Survey data analysis and survey responses from 53 diabetes dietetic educators. While a few foods were deleted, a number of foods were added, with 313 food items in food group lists and 339 food items in the appendix. Consistent with previous editions, the third edition of the food exchange lists included six food categories (grains, meat, vegetables, fats and oils, milk, and fruits). The milk group was subdivided into whole milk group and low fat milk. The standard nutrient content in one exchange from each food group was almost the same as the previous edition. Korea Food & Drug Administration's FANTASY (Food And Nutrient daTA SYstem) database was used to obtain nutrient values for each individual food and to determine the serving size most appropriate for matching reference nutrients values by each food group. The revised food exchange lists were subjected to a public hearing by experts. The third edition of the food exchange lists will be a helpful tool for educating people with diabetes to select the kinds and amounts of foods for glycemic control, which will eventually lead to preventing complications while maintaining the pleasure of eating.

• Journal of the Korean Dietetic Association
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• v.12 no.2
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• pp.105-117
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• 2006

The purpose of this study was to investigate the needs of educators, learners and parents in elementary schools for implementing a systematic nutrition education program by nutrition teachers to begin in 2006. The subjects were 833 dietitians, 808 principals, 3,141 teachers, 7,577 students and 6,003 parents in elementary schools. A fairly large proportion of the principals (98.4%), teachers (95.5%), parents (96.6%) and students (62.8%) responded that nutrition education is urgently needed. Every dietitian, principal and teacher has recognized that for the enforcement of a nutrition program in the future, the placement of one nutrition teacher in every school is needed without a moment's delay. Many subjects responded that elementary low grades are the most proper time for nutrition education for students and it is also needed to extend this not only to students, but also parents and teachers who have a direct influence on them. In the education hour, they responded that it is proper one hour a month for teachers and one hour a week for students. Fifty-six percent of dietitians, 58.3% of principals and 67.0% of teachers responded that the best educational way to heighten the effect of nutrition education was education through discretional activities. It was found that 46.4% of students have wanted nutrition education to be enforced during special activities. Education through their school homepage or in-school broadcasting system, while it has been most utilized, was low in a degree of preference with 10.9%. In regards to a nutrition program, principals and parents have attached much importance to the dining etiquette, dietary attitudes, and relations of foodstuffs with health, while dietitians and teachers have made much of a balanced eating habit, and the relations of dietary life with health. Finally, for a nutrition program to be enforced towards a direction that the educators and students want, it is judged that first of all the role of nutrition teachers is the most important, furthermore the support of manpower and the budget should be made.

• Nutritional Sciences
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• v.8 no.4
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• pp.256-261
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• 2005

Although nutrition education for pregnant women is important, few such programs have been carefully examined from the participants' perspective in Korea. Focus groups were used to identify 1) perceived eating behaviors during pregnancy and lactation, 2) factors associated with healthy eating behaviors, and 3) needs for nutrition education programs. Using a trained moderator, we conducted 7 focus group interviews with 44 pregnant women over a four-month period. Focus group discussions were video - and audio - taped, transcribed and categorized by major themes. Participants expressed interest in receiving nutrition education regarding healthy eating, weight control after delivery, weaning foods and health management, yet they showed little interest in breastfeeding. The majority of them said that meal balance and meal regularity were the most important components of good health during pregnancy. They were less likely to be confident about taking dietary supplements, including Oriental medicines. life stress and poor appetite associated with pregnancy were major barriers to healthy eating habits during pregnancy. The most important sources of nutrition and health information were friends and family members, especially those who had become pregnant recently. Qualified educators and reliable information appeared to be the most important aspects of program development. Regarding types of nutrition education, participants tended to prefer a combination of individual counseling and small group education with hands-on materials and interactive formats. The use of Web-based nutrition education was well received Major concerns about Web-based nutrition education were authenticity, tailored messages and interactive formats for sharing information. These results offer useful information for designing nutrition education programs for pregnant and lactating women in Korea for health promotion.

• Journal of Korean Academy of Nursing
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• v.40 no.2
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• pp.182-190
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• 2010

Purpose: This study was done to identify self-directed learning readiness, achievement goal orientations, learning satisfaction and learning achievement, and to evaluate the factors affecting learning achievement for nursing students using a web-based Health Assessment e-Book. Methods: The research design was a cross-sectional study with a structured questionnaire and data were collected before using the web-based Health Assessment e-Book and 1 week after finishing. The participants were 80 nursing students who were taking the Health Assessment class from March to June 2009. Results: Mean score for subjective learning achievement was 31.26 and for objective learning achievement, 69.25. Subjective and objective learning achievement were positively correlated with self-directed learning readiness, mastery goal, attitude toward distance education, and learning satisfaction. In subjective learning achievement, learning satisfaction and mastery goal were significant predictive factors and explained 64% of the variance. Objective learning achievement was significantly predicted by learning satisfaction and self-directed learning readiness, which explained 24% of the variance. Conclusion: Learning satisfaction, mastery goal and self-directed learning readiness were found to be very important factors associated with learning achievement for nursing students using a web-based Health Assessment e-Book. To provide high quality and effective web-based courses and to improve nursing students' learning achievement and learning satisfaction, educators should consider the learner's characteristics from the initial stages of lecture planning.

• Korean Journal of Health Education and Promotion
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• v.25 no.2
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• pp.61-72
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• 2008

Objectives: This study was conducted to examine the relationships among body image, self-esteem and sociability according to perception of body shape and obesity level. Methods: The subjects in this study were 325 elementary school youngsters in their sixth year. A survey was conducted, and one-way ANOVA, Scheffe test, Pearson's correlation analysis and path analysis were used for data analysis. Results: Normal weight group accounted for 43.4%, under weight group 34.8% and obesity group 21.8%. In underweight group, 53.1% of the subjects perceived their body was normal or fatty while 17% of subjects in normal group perceived their body was fatty. There were significant differences in body image according to the perception of body shape by grade(F=15.90, p=.000) and to the level of obesity(F=6.18, p=.002). There was a significant difference in self-esteem according to the perception of body shape by grade(F=3.17, p=.430). There was a significant difference in sociability according to the level of obesity(F=3.48, p=.032). There was significantly strong positive correlation among their body image, self-esteem and sociability. A structural equation model was tested and fitted the data well. Conclusions: This study suggested that health education is needed to establish the correct body image from the elementary school periods by school health educators. The right body image is more important than anything else to improve self-esteem and sociability.