• Journal of Korean Academy of Nursing
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• v.27 no.4
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• pp.892-900
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• 1997

The purpose of this study was to use phenomenological perspectives to identify the meaning and structure of the observational experience of labor and delivery by student nurses in the clinical setting. The participants were 115 junior and senior students from Christian College of Nursing in Kwang Ju. The students were asked to write about their observational experience in the delivery room. Colaizzi's method was used for phenomenological analysis. The investigator analysed the data to identify and categorize themes and basic structural elements. Twelve themes and eight basic structure were identified. The process of the observational experience in labor and delivery has three proposed phases : anticipatory, observational and post-observational. In the anticipatory phase, nursing students were related only to the event of anticipated labor and delivery of clients. Structure 1, feeling of expectation and fear, was identified. In the observational phase, students were related to the labor and delivery situation, a woman delivered and a newborn. Structure 2, shock and suffering, was identified in relation to the labor and delivery situation. Structure 3, need for caring and satisfaction, was identified in relation to the woman delivered. Structure 4, feeling of mystery and joy, was identified in relation to the newborn. In the post-observational phase, relations between students and the life of a human being, students and self in the future, students and their mothers and students and women and God appeared. And in these relations 〈structure 5, valuable〉, 〈structure 6, feeling of expectation and fear〉, 〈structure 7, love and appreciation〉 and 〈structure 8, greatness〉 were identified.

• Women's Health Nursing
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• v.21 no.2
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• pp.115-127
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• 2015

Purpose: The purpose of this study was to explore the experiences of nursing college students who attended delivery practices at midwifery clinic. Methods: This was a qualitative study using focus groups. Data were collected by group interviews with a total of 12 students who observed natural childbirth at midwifery clinic. Data were analyzed through Colaizzi's method in which meaningful statements were extracted. Results: The meanings of experiences were identified five theme clusters from thirteen themes and thirty-one sub-themes. The five theme clusters were 'ultimate process of natural childbirth', 'allowed birth', 'role recognition of the midwife', 'positively changed perception', and 'barriers'. Conclusion: This study showed that observation of delivery at midwifery clinic was helpful for nursing students in terms of positive impression about natural childbirth with maternal and baby being centered. Nursing students expressed value and concern about delivery at midwifery clinic. Further in-depth study of natural childbirth in terms of husband and family perspective is required. For quality improvement of maternity nursing care, natural childbirth process needs to be included in nursing care at hospitals as well as students' clinical practicum.

• Women's Health Nursing
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• v.17 no.1
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• pp.64-76
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• 2011

Purpose: This study was to understand the meaning of experience in delivery room practice of male nursing students. Methods: This is qualitative research using focus groups. Data were collected by group interviews from May 22 to June 20, 2010. The focus group interviews were conducted to 14 male nursing students who had experience clinical practice in delivery room. Data were analyzed through Colaizzi's method, in which meaningful statements were extracted. Results: Five theme clusters were identified from thirteen themes and twenty four sub-themes. The five theme clusters were 1) cultural perception of gender role, 2) perceived reality of male nurse, 3) difficulty in approaching clients, 4) counter-educational environment, 5) insight and new perception. Conclusion: For the purposes of remedying male nurse students' problems experienced during clinical practice in delivery room, it seems that there is a need for reeducating nurses' perception of male nurse students and develop programs specially dedicated to clinical practice of male nurse students.

• Women's Health Nursing
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• v.24 no.2
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• pp.126-137
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• 2018

Purpose: To evaluate the effectiveness of an experience-focused prenatal program on stress, anxiety, childbirth confidence, and maternal-fetal attachment for women in their first pregnancy. Methods: The participants were 57 pregnant women at 32 weeks or more of a first pregnancy who agreed to participate in this study. The data were analyzed with descriptive statistics, t-test, $x^2$ test, and Fisher's exact test using the SPSS 21.0 program. Results: The experimental group showed significant differences in stress, anxiety, childbirth confidence, and maternal-fetal attachment from the control group. Conclusion: The four-week experience-focused prenatal program can be used for women in their first pregnancy to reduce their stress and anxiety and to increase their childbirth confidence and maternal-fetal attachment.

• Women's Health Nursing
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• v.16 no.3
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• pp.215-223
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• 2010

Purpose: This study was intended to explore the essential structure and the meanings of childbirth experiences among Korean women participated in Lamaze childbirth education. Methods: Giorgi's phenomenological method was used to analyze data collected by in-depth interviews with six primiparous women from March to July 2009. Results: Five components identified in the meanings of experience: 'Simplicity', 'Self-control', 'Uncontrollable pain', 'Spiritual maturity', 'Physiologic event'. Conclusion: The study results revealed that the childbirth experience was positive generally, partially influenced by Lamaze childbirth education. But, meanings of childbirth experience with Lamaze childbirth education were mostly physiological respect related to labor pain or one's own efforts to endure labor pain. Therefore, nursing strategies for drawing emotional and socio-environmental experiences from childbirth experience with Lamaze childbirth education is needed.

• Journal of Korean Academy of Nursing
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• v.31 no.6
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• pp.1088-1097
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• 2001

This study was formed to propose a theoretical background trying to create a positive delivery experience by understanding college women's subjective accounts (their view and attitude) on delivery. Method: Q- methodology was used to appreciate the highly abstract concept in an objective manner, since delivery can be assessed differently with each experience. Result: There were three types of opinions about the delivery in college women. The first type (matured type) understood delivery to be a precious experience that enables women to gain the value of life through labor pain, and granted then more appreciation to their own mothers. The second type (will type) recognizes delivery as an option rather than an obligation for women. They think women chooses whether or not to experience the process, especially since delivery requires a great deal of responsibility. The third type (positive type) takes delivery as a valuable, worthwhile, and marvelous process that they wish to experience. They are not even afraid of giving birth multiple times. Conclusion: The study explains and allows us to understand college women's overall opinion and attitudes about delivery. Thus this study aids the seizure of an opportunity to build a theoretical base for delivery management.

• Women's Health Nursing
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• v.23 no.2
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• pp.78-88
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• 2017

Purpose: This study aimed to understand meaning and essentials in work experiences of delivery room nurses. Methods: A phenomenological perspective was used for this qualitative research. Ten delivery room nurse with more than 3 years of work experience participated in this study. Data were collected through individual in-depth interviews with the nurses, between December 2012 and April 2013. Data were analyzed using Colaizzi's method. Results: Nine theme clusters and four categories emerged from the data as follows: 1) factors influencing career decision-making, 2) gap between reality and expectations, 3) difficulties with working in the delivery room, and 4) motivation to work in the delivery room. Conclusion: Based on the results of this study, strategies to improve working environment of the delivery room nurses are necessary. Also, better policy are required to firmly establish the role of the delivery room nurses' role as recognized professionals.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.11
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• pp.5627-5635
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• 2013

The purpose of this study was to determine factors of women's satisfaction of hospital environment following childbirth. Data were collected using a structured questionnaire from 783 women visited at 101 hospitals for delivery and frequencies, t-test, ANOVA, Pearson's correlation, and multiple regression analyses were performed. Women's satisfaction was significantly related with personal and environmental factors. Specifically, a kind of patient room, using a shared room regardless of their preference, using family delivery room, planned hospitalization, gestational week at delivery, and hospital locations significantly predicted the variance of women's satisfaction. Therefore, hospital user satisfaction should be carefully understood as a consequence of interaction of person and environment and the level of satisfaction can be represented by the degree of congruency between personal and environmental characteristics. Furthermore, healthcare providers should develop strategies to reduce gaps between personal preferences/will/control and environmental situations, contributing to women's satisfaction with hospital following childbirth.

• Women's Health Nursing
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• v.23 no.4
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• pp.221-232
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• 2017

Purpose: This study aimed to conduct a systematic review and to describe characteristics of the birth experience assessment instrument. Methods: Literature related to the development of the birth experience assessment instrument was examined using a systematic review method. A literature search was conducted using the keywords as '[normal birth]; [$satisfac^*$ OR care quality]; [instrument OR scale] AND (development)' through PubMed, CINAHL, SCOPUS, PsycINFO, and RISS. The search used quality appraisal through QUADAS (Quality Assessment of studies of Diagnostic Accuracy included Systemic reviews) yielding 17 records. Results: The birth experience assessment instrument was categorized for instrumental characteristics: birth satisfaction (n=8), perception of labor experience (n=5), and birth care quality assessment in normal and operative birth experiences (n=4). Important key elements for content characteristics were as follows: nursing practice (n=10), pain control (n=5), environment (n=5), participation (n=4), and support (n=4). Conclusion: This study demonstrated that the birth experience instrument is appropriate for measuring quality of birth care in various clinical conditions. This review of the birth experience instrument reports that an appropriate psychometric tool for enhancing quality of birth care is important.

• Journal of Convergence for Information Technology
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• v.8 no.1
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• pp.69-77
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• 2018

This study is to find the convergence effect of a husband's help on self-efficacy and postpartum depression in mother. Each husband did mother and baby care until postpartum 6th week after completing three sessions of education. The data was collected in the 1st and 6th week postpartum, and analyzed using SPSS 20.0. Husbands's practice rate was 80%. Factors affecting to mothers' self-efficacy were parity, antepartum admission and husband's job, and to their postpartum depression were mothers' education, monthly income and antepartum depression. Prevalence of postpartum depression in the 1st and 6th week were 33.3% and 1.7% each. There were significant differences in increasing self-efficacy and in decreasing postpartum depression(p<.001), and there was a negative correlation between two variables(r=-.62, p=.01). Husbands' help brought convergence effects on increasing mothers' self-efficacy and decreasing postpartum depression(p<.001). This results could be used in developing intervention programs in managing mothers' self-efficacy and postpartum depression after repeated studies with wider range of subjects.