• 제목/요약/키워드: vulnerable child

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취약계층 영유아의 건강과 안전관리 실태조사 (Survey on Health Care and Household Safety Management for Vulnerable Children)

  • 남혜경
    • 근관절건강학회지
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    • 제21권3호
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    • pp.246-254
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    • 2014
  • Purpose: This study aims to provide baseline data on children's health care and household safety management in one region and to support implementation of customized visiting health care services for children. Methods: 51 children and their caregivers from socially vulnerable group and 69 children and their caregivers from general group are selected as research participants. Data were collected through home visiting survey by 10 professional nurses. Results: Children from socially vulnerable group are at higher risks of poor health care and safety accidents in households than general group. Rates of taking developmental screening tests, medical check-up remain considerably low in vulnerable social group. Regarding home safety, vulnerable children are more likely to be exposed to unsafe conditions. Conclusion: These results indicate that in order to promote health care and safety conditions for vulnerable children, it is necessary to implement customized visiting health care programs which actually can reach vulnerable households and meet their demands. These findings can be used as baseline data to develop customized visiting health care programs for children.

3세의 기질 특성과 어머니 반응성이 5세의 문제행동 발달에 미치는 영향 (Predicting Children's Behavior Problems from Temperamental Attributes and Maternal Responsiveness During Preschool Period)

  • 정진나
    • 아동학회지
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    • 제38권2호
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    • pp.119-132
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    • 2017
  • Objective: This study aimed to examine the longitudinal relations of children's temperamental attributes (i.e., emotionality, activity, and sociability) and maternal responsiveness to overall and specific externalizing/internalizing behavior problems during the preschool period. Methods: Data (N=1,438) from the 4th and 6th wave of Panel Study on Korean Children (PSKC) were used in a series of hierarchical regression analyses. The analyses were conducted to determine the additive and interactive effects of maternal responsiveness and temperamental attributes of children at the age of 3 years on the broadband and narrowband scales of their behavior problems at the age of 5 years. Results: Overall, results confirmed the additive and interactive effects of maternal responsiveness and temperamental attributes on the levels of different domains of behavior problems. Examination of the interactive effects showed that maternal responsiveness was more strongly related to some behavior problems for temperamentally vulnerable children as compared to children with less temperamental vulnerabilities. Conclusion: The findings suggested that the beneficial effects of positive parenting on the development of behavior problems might be more pronounced for temperamentally vulnerable than for less vulnerable children.

정신건강 취약 청소년을 위한 대인적 돌봄 프로그램 개발 및 효과 연구 (Development and Effects of Interpersonal Caring Program for Vulnerable Adolescents in Mental Health Clinics)

  • 최은정;이영은
    • Child Health Nursing Research
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    • 제16권3호
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    • pp.184-194
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    • 2010
  • Purpose: The purpose of this research was to develop an interpersonal caring program "Muldan Dongsan" for vulnerable adolescents in mental health clinics and to identify the effect of this program. Methods: The interpersonal caring program was composed of group interpersonal caring (one time per week for two weeks, for a total of 8 hr) and individual interpersonal caring (1-2 times per day for 2 weeks). For this research, a non-synchronized quasi-experimental model including nonequivalent experimental and control groups was used. The experimental group was made up of 17 students and the control group, of 22 students. The data were collected from May 11 to July 25, 2009 and the collected data were analyzed using the SPSS/WIN 17.0 program. Results: The interpersonal caring program "Muldan Dongsan' was effective for mental health, including self-esteem, hope, and quality of life for vulnerable adolescents. Conclusion: The positive findings on the effectiveness of the interpersonal caring program "Muldan Dongsan" and the participants' high satisfaction with this program indicate that it can be utilized actively as a specific nursing intervention program for adolescents at school and in the community.

아동간호의 본질적 토대와 사명에 관한 논고(論考) (A Critical Discussion on the Academic Fundamentals and the Missions of Child Health Nursing)

  • 조갑출
    • Child Health Nursing Research
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    • 제21권4호
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    • pp.311-319
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    • 2015
  • Purpose: To reilluminate academic fundamentals and missions of child health nursing (CHN). Methods: Critical review of literature. Results & Conclusion: The academic fundamentals of CHN were analyzed for three different basis; philosophical, theoretical, and legal & ethical basis. The philosophical basis of CHN was summarized as six beliefs; A child is an important human resource and a valuable asset for future society; A child should be respected as a unique and dignified human being; A child has his/her own unique developmental needs; A child is a vulnerable client and should be advocated for; Atraumatic care should be provided to each child; Child health care should be family-centered. The essence of the theoretical basis were reilluminated into caring theory and client advocacy theory. The legal basis of CHN was stated as pertaining to the various child-related laws and international conventions, such as UN Convention on the Rights of the Child. The ethical basis were stated as 4 principles of biomedical ethics and The UNESCO Universal Declaration on Bioethics and Human Rights. The mission of the CHN was stated and the role of CHN was described as one who is a child rights advocator, professional caring service provider, policy maker, health educator, researcher.

Effects of child pick-up behavior on emergency evacuations

  • Jang, Sang Hoon;Hwang, Ha;Chung, Ji-Bum
    • Nuclear Engineering and Technology
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    • 제54권7호
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    • pp.2519-2528
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    • 2022
  • The child pick-up behavior of parents during an emergency can cause heavy traffic congestion and failing to evacuate an affected area successfully. In this study, we analyzed the effect of child pick-up behavior using, as an example, a nuclear power plant accident caused by an earthquake, which is a typical no-notice emergency. A quake was assumed to occur near the Shin-Kori nuclear power plant in Ulsan, Korea, resulting in a nuclear power plant accident. An agent-based dynamic simulation model using VISSIM was employed to conduct sensitivity analyses with different child pick-up rates. The results confirmed that parents are a major cause of congestion and a vulnerable class in an emergency evacuation. The child pick-up behavior caused significant traffic congestion, and parents who pick up their children showed a higher evacuation failure rate.

공익형 농촌 생활서비스 접근성 분석 (Analysis of Accessibility of Public interest related Living Service in Rural Area)

  • 신민지;박미정;전정배;박로운;김상범
    • 농촌계획
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    • 제25권3호
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    • pp.19-27
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    • 2019
  • The purpose of this study was to determine whether public services in rural areas performed the functions of public interest value that benefited all residents of rural areas. Therefore, the results were derived through spatial distribution and population characteristics analysis at the level of basic living service facilities. As a result, the status of spatial distribution in the Favorable and Vulnerable areas of rural villages and the status of population distribution in the vulnerable areas was analyzed for retail, child care and medical facilities. In the case of retail facilities, it was found that more than 80.0% of the country's farming villages were distributed in the favorable areas that could be reached within 15 minutes. In the case of child care facilities, 91.5% of the total number of favorable areas could be reached within 15 minutes, and the distribution of child care facilities nationwide was deemed proper. In the case of medical facilities, 90.8% or more villages could be reached within 15 minutes of travel time as a lawmaker, and in the case of hospitals and emergency medical services, 92.7% of hospitals and 68.2% of emergency medical services were analyzed as favorable areas. Through these results, the government intends to establish objective spatial data in rural areas to provide basic information on policy directions and contribute to planning.

취약계층 초등학생 대상 산림치유 프로그램 개발 (Development of Forest-based Health Promotion Program for Vulnerable School Children)

  • 방경숙;김성재;송민경;강경림;정예슬
    • Perspectives in Nursing Science
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    • 제17권1호
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    • pp.1-11
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    • 2020
  • Purpose: The purpose of this study was to develop a forest-based health promotion program for vulnerable school children. Methods: The specific process for program development involved establishing a program goal, assessing the needs of the participants, analyzing existing programs and constructing a forest-based program. Results: Each session of the program, which consisted of a total of 10 sessions, included 40 to 50 minutes of indoor education for children's physical and psychosocial health and 60 to 70 minutes of forest experience activities with nursing student mentors. For the application of the program, guidelines for mentor selection and prior education, physical environment check, children's safety, criteria for evaluation of the program effects and operation of the program were developed. Conclusion: This study presents the specific procedures and contents for developing a forest-based program for vulnerable school children. The results of this study will provide useful data to develop a community-based program to promote the physical and psychosocial health of vulnerable school children.

취약계층 임산부·어머니·영유아 대상 방문건강관리서비스에 대한 통합적 문헌고찰 (An Integrative Review of Home Care Service for Pregnant Women, Mothers, Infants, and Toddlers in Vulnerable Group)

  • 김다솜;이인숙
    • 대한간호학회지
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    • 제47권5호
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    • pp.577-588
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    • 2017
  • Purpose: This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groups through an integrative literature review. Methods: We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of community health nursing who had participated in the systematic review of literature. A framework was developed to identify the intervention patterns in the selected papers and categorize various elements. The extracted intervention elements were grouped into potential themes, which were verified by assessors on whether they clearly reflected the interventions in the papers. Results: Among 878 searched papers, we selected 16 papers after excluding literature that does not satisfy the selection criteria and quality evaluation. The intervention elements of 16 selected papers were categorized into six themes. The extracted intervention elements were divided into the themes of Patient-specific/Situation-specific care planning and intervention, Emphasis on self care competency, Intense home visit by developmental milestone, Reinforcing and modeling mother-child attachment, Communication and interaction across the intervention, Linkage with community resource and multidisciplinary approach. Conclusion: As a result of the analysis of proper interventions of home care services for mothers and children in vulnerable groups, it was found that it is necessary to consider indispensable intervention elements that can standardize the quality of home care services, and conduct studies on developing intervention programs based on the elements.

남녀 유아의 어머니-유아 친밀감과 또래수용 간 관계에서 부정적 정서성의 조절영향 (Moderating Effect of Negative Emotionality on the Association between Mother-Child Intimacy and Peer Acceptance)

  • 신유림
    • 가정과삶의질연구
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    • 제32권3호
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    • pp.147-156
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    • 2014
  • The purpose of this study was to investigate the moderating effect of negative emotionality on the association between mother-child intimacy and peer acceptance based on differential susceptibility model. According to differential susceptibility model, negative emotionality and difficult temperament is potential differential susceptibility factors. The participants were 3-year-old children recruited from preschools and daycare centers. Teachers completed measurement of negative emotionality. Peer acceptance was measured by peer nomination. Mother-child intimacy was reported by mothers. The results presented that negative emotionality significantly moderated the relation between mother-child intimacy and peer acceptance only for boys. For boys with high level of negative emotionality, mother-child intimacy significantly predicted peer acception. However, for boys with low level of negative emotionality, mother-child intimacy did not associate with peer acception. For girls, negative emotionality did not significantly influence the association between mother-child intimacy and peer acceptance. These findings support differential susceptibility hypothesis that vulnerable children are susceptible to positive parenting effects.

Perception of Child Abuse and Child Disciplinary Practice among Adults Abused as Children: Comparison to General Population

  • Moon, Ka Young;Lee, So Young Irene;Lee, A Reum;An, Ka Yeong;Jung, Kyung Soo;Paek, Kyoung-Il;Kang, Hyun Ah;Kang, Ji Young;Chung, Shun Ah
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제30권2호
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    • pp.57-65
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    • 2019
  • Objectives: The aim of this study was to compare differences in perception and knowledge of child abuse and child disciplinary practices according to the history of child abuse victimization. Methods: A questionnaire survey on child abuse was conducted with 491 adults raising children. We compared the perception and knowledge of child abuse and child disciplinary practices between two groups of adults with and without a history of childhood abuse victimization. Results: The group with a history of childhood abuse had lower levels of knowledge of child abuse (F=6.990, p<0.01) and engaged in more negative disciplinary practices (F=5.974, p<0.05) than those without. However, no differences in the perception of child abuse were observed between the two groups. Conclusion: The results suggest that adults with a history of childhood abuse have lower levels of knowledge of child abuse and use more negative disciplinary practices in raising their children. This highlights the need to administer not only educational but also more direct hands-on interventions to vulnerable parents in order to foster healthy parenting and disciplinary practices.