• Child Health Nursing Research
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• 제24권4호
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• pp.465-474
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• 2018

Purpose: The purpose of this study was to identify and describe health care providers' perceptions of family-centered care in pediatrics. Methods: A qualitative descriptive study was designed. Data were collected from individual interviews using open-ended questions. Fifty-six pediatric health care providers participated in the study from January to April 2015. Data were analyzed using qualitative content analysis to identify the major perceptions of pediatric health care providers. Results: The providers perceived that the concept of family-centered care has been incompletely implemented. Five themes (respecting a child's family, taking care of a child with the child's family, sharing information about children, supporting a child's family, a child's family participating in child care) with 11 sub-themes were identified in the providers' experiences with families. To achieve the goal of family-centered care in pediatrics, medical and nursing conditions must be improved, education about family-centered care must be provided, and improvements should be made in the mindset of health care providers regarding patients and in families' willingness to participate in care. Conclusion: The findings from this study provide insight into pediatric health care providers' perceptions of family-centered care. It will contribute to the establishment of a foundation for implementing family-centered care in pediatric nursing.

• 아동학회지
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• 제34권1호
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• pp.141-159
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• 2013

This study was conducted in order to develop an observation scale for analyzing the responses of child and therapist in child-centered play therapy in terms of item discrimination, validity, and reliability. The observation scale was developed on the basis of child-centered play therapy literature, the author's experience of child-centered play therapy, the observation of video tapes of play therapy session, and discussions with child-centered play therapy experts. The participants in this study were 54 children aged from 4 to 9 years old who have emotional and behavioral problems, and 7 therapists who consult with the children. The reliability of factors, as measured by inter-rater reliability and Cronbach's', ranged from .72 to .77. The results of factor analysis identified 2 factors and 21 items associated with the reponses of the children, and 2 factors and 19 items associated with the responses of the therapists. The significant factors identified were as follows; (1) the child's response style; (2) the child's response content (adaptability, initiation, structuring, flexibility); (3) the therapist's response style, and (4) the therapist's response content (facilitative response, structuring, nonfacilitative response). In conclusion, these results demonstrated that the observation scale provides a valid and reliable means of analyzing the responses of child and therapist in child-centered play therapy.

• 한국보육지원학회지
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• 제14권6호
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• pp.35-51
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• 2018

Objective: The purpose of this study was to examine the effect of early childhood teacher-led child-centered group play therapy on young children's sociability. The changes of sociability in the therapeutic process were also examined. Methods: The subjects of this study were 12 young children who were five years old and attended a child care center in Gangwon-do. Subjects were divided into an experimental group and a control group. The experimental group received 15 early childhood teacher-led child-centered group play therapy sessions twice a week. The sociability scale was used for pre-post tests and the data were analyzed using SPSS 23.0. Every session was video-taped and recorded verbatim. Qualitative data were analyzed to examine changes in sociability. Results: Children who participated in the early childhood teacher-led child-centered group play therapy demonstrated significant improvement in sociability. During the therapy sessions, children's expressions and behaviors associated with sociability gradually increased. Conclusion/Implications: This study supports the use of early childhood teacher-led child-centered group play therapy as an effective intervention strategy for young children to improve their sociability.

• 아동학회지
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• 제37권5호
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• pp.101-116
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• 2016

Objective: This study aimed to investigate how the eco-centered early childhood education by seasonal divisions influences the child's nature-friendly attitude and emotional intelligence. Methods: Forty 5-year-olds from 2 preschools in Gyeonggi were selected through convenience sampling and were divided into the experimental group (21) and the comparative group (19). The experimental group received eco-centered childhood education by seasonal divisions 2 or 3 times a week (33 in total). Pre-post data were collected on both groups and analyzed via t-test and ANCOVAs. Results: The key result was as follows: eco-centered childhood education by seasonal divisions influenced positively the nature-friendly attitude and emotional intelligence of children. Conclusion: Based on the result, it is recommended that eco-centered early childhood education be applied in childhood education and that relevant program be developed. Eco-centered education by seasonal divisions is meaningful in early childhood so that children can be harmonious with the nature. Furthermore, the study should be continued for the development of qualified eco-centered education.

• 한국보육지원학회지
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• 제16권4호
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• pp.93-110
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• 2020

Objective: The purpose of this study was to explore the early childhood education teacher's ability to implement play-centered curriculum that is recognized by an early childhood education expert based on an analysis of focus group interviews. Methods: Two professors of early childhood education, two directors of daycare centers, and two early childhood education teachers participated in the focus group interview. The interview was conducted three times. The interviewed data were categorized and compared. Results: The action competence of the play-centered curriculum required for early childhood teachers were categorized into the following categories; comprehending play, recognizing play, and practicing child-centered play. Detailed factor competencies were required for understanding play, reflective thinking, reading play, recording play, playing like a child, and supporting play. Conclusion/Implications: For actualizing play-centered curriculum, early childhood education teachers needed to comprehend, recognize, and practice for child's play. Furthermore, we discussed the necessity and direction of teacher education to improve the teacher's action competence for play-centered curriculum.

• Child Health Nursing Research
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• 제22권2호
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• pp.107-116
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• 2016

Purpose: Involvement of families in rounds is one strategy to implement patient- and family-centered care to help families get clear information about their child, and be actively involved in decision making. The purpose of this paper was to identify the major concepts of family-centered rounds for hospitalized children. Methods: We searched five electronic databases for relevant articles and used Whittemore and Knafl's integrative review methods to synthesize the literature. Articles published between June 2003 and January 2016 were reviewed and through full text screening 24 peer-reviewed articles were found that met the selection criteria for this review. Results: Through in-depth discussion and investigation of the relevant literature, four overarching components emerged: (a) cognition of parents and medical staff, (b) effective communication, (c) collaboration of family and medical staff, (d) coaching of medical staff. Conclusion: For successful family-centered rounds positive cognition is important. Appropriate communication skills and consideration of multi-cultural family can lead to effective communication. Offering consistent and transparent information is important for collaboration between family and medical staff. Prior education on family-centered rounds is also important. Four major components have been identified as basic standards for implementing family-centered rounds for hospitalized children.

• 가정과삶의질연구
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• 제30권3호
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• pp.13-27
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• 2012

This study explored the parental belief types of mothers who had defected from North Korea and found out its relationship to the mother's child-rearing behaviors and socio-demographical variables and the child's age. 89 mothers who had defected from North Korea with the youngest child being under 20 years old, responded to the questionnaire. The data were statistically analyzed by cluster analysis, MANOVA, and $X^2$-test. The results showed that the parental beliefs were clustered into 3 types: 'high child- and parent-centered & low cultural transformation'(cluster 1)(37.08%), 'low child- and parent-centered & middle cultural transformation'(cluster 2)(46.03%), and 'high child- and parent-centered & high cultural transformation'(cluster 3)(16.85%). The differences among the clusters were found in the warmth-acceptance and rejection-restriction dimensions of the mother's child-rearing behaviors. The frequencies of each cluster were meaningfully different depending on the mother's age, educational level, length of residence in South Korea, and their child's age. Based on these findings, the implications and suggestions were discussed.

• Child Health Nursing Research
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• 제23권1호
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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.

• 가정과삶의질연구
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• 제33권2호
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• pp.71-88
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• 2015

The purpose of this study was to look into how married working men with a child younger than six years old spent their weekend time either alone or with their wives on housework, family care, and leisure activities, and to find out whether different types of time use brought about different levels of satisfaction to their use of time on weekends. Factors associated with each type were also explored. We analyzed 857 weekend time diaries of married men with a preschooler and men who worked more than 40 hours a week. This data came from the 2009 Time Use Survey conducted by Statistics Korea. Descriptive statistics and cluster analysis results showed that weekend time distribution to those three activities was classified into four different types, namely, 'nonparticipation', 'personal leisure centered', 'couple leisure centered', and 'family centered'. Time use satisfaction for 'couple leisure centered' and 'family centered' types which involved wife and child was significantly higher than the other two types. Age and traditional gender role attitude were associated with the personal leisure and couple leisure centered types, while work related factors such as work hours, regular day off, employment status, and occupation functioned as determinants of the nonparticipation type. Findings from this study suggest that weekend time spent together with family could be the source of satisfaction, but almost half of the respondents were deprived of their weekend family time due to work schedules on weekends. This study supports the need for organizational and policy efforts to ensure non-working weekends for fathers and husbands.

• 한국보육지원학회지
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• 제11권1호
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• pp.249-267
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• 2015

본 연구는 아동중심 집단놀이치료 프로그램이 위축성향을 보이는 유아의 일상적 스트레스, 불안, 또래상호작용 및 뇌파변화에 미치는 효과를 알아보기 위해 진행되었다. 연구 대상은 유치원 교사에 의한 아동행동평가척도인 K-CBCL에서 임상범위에 해당되는 만 3세-5세의 위축유아 12명이었다. 이 유아들은 실험집단 6명, 통제집단 6명으로 나눈 뒤 실험집단 유아에게 주 2회 35분씩 총 12회기의 아동중심 집단놀이치료를 실시하였고, 통제집단 유아에게는 아무런 처치를 하지 않았다. 아동중심 집단놀이치료의 전과 후를 비교하기 위해 프로그램 사전-사후에 일상적 스트레스척도, 불안척도, 또래 상호작용척도 및 뇌파검사를 한 후 결과처리를 위해 맨 휘트니(Mann-Whitney-U)검증과 윌콕슨(Wilcoxon)검증을 실시하였다. 아동중심 집단놀이치료 종료 후 실험집단 유아의 일상적 스트레스, 불안은 감소하였고 긍정적 또래상호작용과 뇌파의 정서지수가 유의미하게 증가하였다. 그러나 통제집단 유아에게는 아무런 변화가 나타나지 않았다. 이 연구결과는 아동중심 집단놀이치료가 위축성향을 보이는 유아의 정서적인 어려움을 다루는데 효과적인 접근방법의 기초자료를 제공해 주었다는 점에서 의의가 있다.