• Korean Parent-Child Health Journal
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• v.18 no.1
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• pp.11-18
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• 2015

Purpose: This study was to compare the knowledge and confidence of newborn care between mother and father. In furthermore, to develop a nursing intervention based on the data. Methods: A descriptive design was used, the participants of this study were 85 couples of mother and father of newborn, hospitalized in postpartum care center. Knowledge and confidence of newborn care was measured from the two postpartum care center located in G province. Descriptive statistics, paired t-test, t-test and ANOVA were used to analyze the data using SPSS. Results: Comparing to the mothers', the scores for fathers' knowledge and confidence of newborn care were lower. Particularly, fathers of first-born showed lower score of knowledge and confidence of newborn care. Also, fathers were lacking of knowledge and confidence related to health problem management. Conclusion: The results showed that nursing intervention which encourage fathers to raise the confidence in involvement of newborn care is needed to be developed. Also evaluation of the effect of newborn care education for parents, and longitudinal study of effect on infant and child development is suggested.

• Journal of Families and Better Life
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• v.23 no.1 s.73
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• pp.187-195
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• 2005

The purpose of this study is to examine the influence of parent-to-child financial transfers and economic resources on financial transfers, caregiving, and time donated from middle-aged adult children to their elderly parents. Analyzing data from the Wisconsin Longitudinal Study, which provides long-term observations of financial reciprocity and recent reports about elder care, the current study finds strong positive effects of prior parent-to-child financial transfers in the models of caregiving and time; which indicates the importance of reciprocity. In terms of determinants of resource transfers, the findings of logistic regression analyses suggest that the economic resources of parents and adult children are strong determinants of child-to-parent financial resource transfers. Sociodemographic characteristics of parents and respondents were observed as strong determinants of caregiving or time. In addition, caregiving responds more to the health and income levels of parents whereas donated time is responsive to the net worth of parents and parents' status. For adult children, gender is a strong determinant of both caregiving and time donation. The long-term health problem of adult children is a statistically significant predictor of caregiving, while the employment status of adult children and the number of siblings have statistically a significant association with time donated to care for the parents.

• Child Health Nursing Research
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• v.14 no.2
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• pp.138-145
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• 2008

Purpose: This study, using a pre-posttest design of non-equivalence comparative groups, was done to determine effects of KC (kangaroo care) on weight and SH (stress hormone) of premature infants. Method: Participants were 31 premature infants assigned to KC(14) or CG(control group)(17). Data were collected from June 2006 to February 2007. KC was given for 60 minutes at a time, Mon, Wed, and Fri for a 10 times. Body weight was measured at a fixed time daily and serum cortisol was examined as part of routine blood testing, frequent for premature infants. Results: The weight for infants in the KC group was higher than the control. The difference was significant between both the two groups, and the 2 measurement times(F=12.7, p=.001). SH(cortisol) in infants of KC group decreased than CG, but there was no valid difference from the statistical viewpoint. Conclusion: The result of the study suggest that KC contributes to weight increase in premature infants and also that KC is effective for SH reduction in spite of the lack of statistical validity. Therefore, our conclusion is that KC can be used as an independent nursing intervention for development and advance of premature infants.

• Journal of Korean Academy of Nursing
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• v.37 no.1
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• pp.125-134
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• 2007

Purpose: The study aimed to identify the effects of a newborn care education program on newborn care confidence and behavioral accuracy of primiparas in a postpartum care center. Method: This was a quasi-experimental study with a non-equivalent control group non-synchronized design. Subjects were 29 primiparas selected from a postpartum care center in D and P hospitals in Ulsan. The intervention was a newborn care education program which was composed of education with a booklet, demonstration, watching a video, and verbal encouragement. The outcome variables were newborn care confidence and behavioral accuracy. Data was collected from Feb. 1 to Mar 22 in 2005 with self-administered questionnaires and observation by researchers. Data was analyzed using the $X^2-test$, Fisher's exact test, t-test and ANCOVA. Result: The experimental group showed significantly higher score changes between the pre-test and post-test in confidence and behavioral accuracy than the control group. Conclusion: The newborn care education program showed positive effects on newborn care confidence and behavioral accuracy of primiparas in a postpartum care center. Therefore, we recommend that this program should be applied in postpartum care centers.

• Child Health Nursing Research
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• v.15 no.4
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• pp.335-342
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• 2009

Purpose: This study, using a pre-post test design of non-equivalence comparative group, was done to determine effects of Kangaroo care (KC) on growth in premature infants and on maternal attachment (MA). Methods: Fifty-three premature infants were assigned to the KC (24) or control group (CG) (29). Data were collected from July 2007 to June 2008. KC was given for 60 min at a time, Monday, Wednesday, and Friday for 10 times. Weight, height, and head circumference (HC) of premature infants were checked before the program started. Following the initial measurement, the program was given and measurements were taken again at the end of the program. For measurement of attachment between mother and infant, data collection was done using structured self-reported questionnaires. Results: KC group had a higher weight (t=2.565, p=.013), height (t=2.182, p=.034) and HC (t=2.468, p=.017) than the CG. Compared to the CG, the KC had significantly higher scores in MA (t=2.026, p=.048). Conclusion: The results of this study suggest that the practice of KC in the nursing environment might actively promote attachment between mother and infant as well as acceleration of growth for premature infants as one of the most efficient nursing intervention.

• Child Health Nursing Research
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• v.22 no.4
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• pp.299-308
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• 2016

Purpose: To investigate the perception and barriers of Kangaroo-Mother Care (KMC) among nurses in Neonatal Intensive Care Units (NICU). Methods: Participants were 131 nurses working in NICU who completed self-report questionnaires which included information regarding perception, barriers, and practice of KMC. Collected data were analyzed using SPSS 18.0 program for descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients. Results: Of the participants, 33.6% reported the practice of KMC in their NICU, with 75.6% wanting to receive training in KMC and 31.3% having received KMC education. Most of the participants agreed that KMC enhances attachment, parental confidence, and effective breast feeding but they reported a negative perception in providing KMC for premature infants weighing less than 1000 grams or intubated premature infants. Major barriers to practicing KMC were safety of infants, possible work overload for nurses, as well as absence of consistent guidelines. Barriers to KMC among nurses who received the KMC training were lower than nurses who did not receive the KMC training (t=-2.11, p=.037). Conclusion: Education program and standardized clinical practice protocol should be developed to foster the positive perception and to reduce nurse barriers to KMC.

• Child Health Nursing Research
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• v.23 no.1
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• pp.70-80
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• 2017

Purpose: In this study a caregiver's role improvement program was developed and tested to identify the effect on uncertainty, stress, and role performance of caregivers with hospitalized children. Methods: The design of this study was a quasi-experimental study with a nonequivalent control group and a non-synchronized design. Thirty-three caregivers were assigned to the experimental group and 33 to the control group. Data were collected from March 5 2016 to April 10 2016. For the experimental treatment, each individual was given on-site education with situated learning (given 30 minutes each, for 2 sessions), and self-repetition learning activities were performed from the e-book. Data were analyzed using t-test, ${\chi}^2-test$, Fisher's exact test, paired t-test, and independent t-test. Results: The level of uncertainty and stress decreased, and role performance level improved for these caregivers with hospitalized children. Conclusion: The findings of this study show that using on-site education through situated learning and self-repetition learning with an e-book as in the caregiver's role improvement program is an effective intervention. Therefore, utilizing the caregiver role improvement program developed in this study is recommended as an effective intervention for caregivers of hospitalized children.

• Child Health Nursing Research
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• v.23 no.4
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• pp.494-504
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• 2017

Purpose: The aim of this study was to analyze Neonatal Intensive Care Unit nurses' behaviors while soothing newborns with bronchopulmonary dysplasia. Methods: An observational study was used to assess nurses' soothing behaviors. Data were collected from September, 2012 to March, 2013 using an audio-video recording system. Participants were eight babies and 12 nurses caring for those babies. After obtaining parental permission, the overall process of each episode from nurses' engagement in soothing to the end of soothing was recorded. Then a researcher interviewed each participating nurse. Data from 18 episodes were transcribed as verbal and nonverbal nursing behaviors and then categorized by two researchers. Results: There were 177 observed soothing behaviors which were classified with the five sensory-based categories (tactile, oral, visual, auditory, vestibular). Most frequently observed soothing behavior was 'Gently talking' followed by 'Removing irritant', and 'Providing non-nutritive sucking'. Nurses' perceived soothing behaviors were similar to the observed soothing behaviors except for 'Gently talking'. Conclusion: Nurses used diverse and mixed soothing behaviors as well as recognizing those behaviors as essential nursing skills. Nurses' soothing behaviors identified in this study can be used to comfort babies and to enhance their developmental potential in accordance with individual characterstics or cues.

• Child Health Nursing Research
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• v.22 no.1
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• pp.61-69
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• 2016

Purpose: This study was conducted to investigate nursing students' knowledge and beliefs about Kangaroo care (KC). Methods: A cross-sectional descriptive design was used. Undergraduate students enrolled in departments of nursing (n=322) from three universities in D city participated. Knowledge and beliefs about KC were measured using the Kangaroo Care Questionnaire (KCQ). Results: The overall level of nursing students' knowledge about KC was very low with a mean score of 6.9 out of 17. The mean score for nursing students' beliefs about KC was 87.4 out of 100, indicating relatively positive beliefs. The students who had both education and exposure to KC had higher scores for knowledge and more positive beliefs about KC compared to students with no experience or exposure to KC. There was a positive correlation between knowledge and beliefs about KC (r=.371, p<.001). Conclusion: The results suggest that there is a need to develop educational programs for nursing students in order to increase their knowledge and develop positive beliefs about KC.

• Child Health Nursing Research
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• v.10 no.3
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• pp.311-320
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• 2004

Purpose: To investigate the relationships among mother's perception of her own newborn, her caring-confidence level, and her child-rearing attitude; and to provide data for developing effective nursing education programs on maternal newborn care. Method: Explorative survey questionnaires were completed by 159 married mothers of newborns from November 2003 to March 2004. Data were analyzed using SPSS/Win 10.0 by t-test and Pearson's Correlation coefficient. Result: The mean scores of the mother's perception of her own newborn, her caring- confidence level, and her child-rearing attitude were .26, 3.13, and 3.43 respectively. There was a positive correlation between mother's perception of her own newborn and her child-rearing attitude. There was a significant correlation between mothers caring-confidence level and her child-rearing attitude. Score of caring-confidence was significantly different depending on the availability of helper and history of delivery. Conclusion: Availability of helper and history of delivery significantly affected mothers caring-confidence. This in turn, along with mothers perception of her own newborn, enhanced mothers child-rearing attitude. Thus, an effective education for mothers should include these factors.