• Title/Summary/Keyword: 입원 환아 부모

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Parent Participation in care of Hospitalized Children: Concept Analysis (입원 환아 간호에 대한 부모의 참여 개념분석)

  • Choi, Mi-Young
    • Child Health Nursing Research
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    • v.20 no.2
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    • pp.105-112
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    • 2014
  • Purpose: The purpose of this paper was to explore the meaning of parent participation (PP), to clarify the concept of PP as a benefit to children and their families, and to increase understanding of PP in pediatric nursing practice. Methods: Walker and Avant's approach to concept analysis was used. A search of multidisciplinary literature published between 1994 and 2012 was undertaken using the keyword, 'parent participation' combined with hospitalized children. Attributes, antecedents and consequences were inductively derived from the citations analyzed (n=30). Results: PP was identified as having three attributes: Negotiation, Performing caring activity, Providing individualized care. Antecedents of PP were 'Parents & pediatric nurses' attitudes', 'Children's age', 'Children's conditions'. Consequences of PP were 'Effective partnership', 'Mutual empowerment'. Conclusion: Parent participation as defined by the results of this study should contribute a foundation for theory development in pediatric nursing practice.

NURSING PROBLEMS OF THE INPATIENTS WITH CONDUCT DISORDER (행동장애 입원환아의 간호문제)

  • Im, Sook-Bin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.116-124
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    • 1991
  • Nursing problems of 48 hospitalized patients with Conduct Disorder at a Child-Adolescent psychiatry inpatient were analyzed by reviewing nursing records. The results showed that the problems such as ineffective individual coping, impaired social interaction, disturbance in self-concept, potential for violence, alteration in parenting, altered growth and development were continued from early to later phase of the hospitalization and the other problems such as self-care deficit, anxiety, sleep disturbance, altered nutrition, hyperthermia were temporary. The etiologic factors related to these problems were underdeveloped ego, low self-esteem, dysfunctional parent-child relationship, some situational crises in family and handicap like mental retardation or epilepsy. Therefore nursing approach for the patients with Conduct Disorder should focus on ego growth and improvement of interpersonal relationship through systematic and long-term nursing plans and interventions for these patients and their family.

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Associated Factors in Pediatric Nurse Parent Partnership (아동간호사의 환아 부모와의 파트너십 영향요인)

  • Choi, Miyoung;Kim, Jisoo
    • Child Health Nursing Research
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    • v.20 no.3
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    • pp.176-184
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    • 2014
  • Purpose: The purpose of this study was to investigate pediatric nurse parent partnership and factors associated with this partnership. Methods: A survey was conducted with 158 nurses working in pediatric practice at one of 7 hospitals in Seoul, Incheon, and Chungcheongbuk Province. Data were collected from September to December 2013, and analyzed with SPSS Windows 21.0. Results: In hierarchial multiple regression analysis, self-efficacy (${\beta}$=.19, p=.016), clinical decision making (${\beta}$=.15, p=.046), and empowerment (${\beta}$=.29, p=.001) were associated with pediatric nurse parent partnership, after adjusting for marital status, children, education, position and satisfaction with work unit. These factors accounted for 44.0% of the variance in the pediatric nurse parent relationship. Conclusion: These results suggest that pediatric nurse parent partnership could be influenced by the predictors. Ultimately, intervention programs focusing on these factors should be effective in helping pediatric nurses improve partnership with parents.

The Contribution of Competence in Parenting: Uncertainty related Children's Diseases, and Nursing Educational Need (입원 환아 어머니의 부모 역할 효능감 영향 요인: 질병에 대한 불확실성, 간호 교육 요구도)

  • Nam, Hyun A;Lee, Hwa Jin;Kim, Mi Ok
    • Korean Parent-Child Health Journal
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    • v.17 no.1
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    • pp.29-36
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    • 2014
  • Purpose: Competence in parenting helps the parent to recognize the ability to resolve problems arising to children, allowing positive interactions with children through desirable child-rasing behavior and smooth communication with children. This study aims to identify the contribution of uncertainty and educational needs to the competence in parenting. Methods: Total 159 mothers responded a questionnaire developed to measure uncertainty, educational needs, and competence in parenting. t-test, ANOVA, and stepwise multiple regression with the SPSS program were used to analyze the data. Results: We found that uncertainty, nursing educational need, and mothers' age had influence to the competence in parenting. Conclusion: Nursing interventions provided to the mothers of hospitalized children for better parental competence need to include programs for alleviating uncertainty and satisfying the need for nursing education.

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Nurse's Communication Skills as Perceived by the Parents of Inpatients (입원 환아 부모가 지각한 간호사의 의사소통 기술)

  • Park, Kyung-Im;Jeong, Yong-Sun
    • Korean Parent-Child Health Journal
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    • v.14 no.2
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    • pp.69-75
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    • 2011
  • Purpose: This study is descriptive survey research that examined nurses' communication skills perceived by inpatient children's parents for short period due to acute diseases in children's hospital and aimed to make a qualitative improvement of nursing with the basic materials for improving nursing service for inpatient children. Methods: The subjects were 177 parents of children who were hospitalized in a children's hospital in Gwangju from May 1 to June 16, 2009. A structured questionnaire which consisted of a communication and interpersonal skills developed by Yodkowsky et al. (2006). Data collected from them were processed and analyzed with the SPSS/WIN program. Results: Nurses' communication skills as perceived by the parents of inpatients scored an average 4.11, communication scored 4.02, and interpersonal relationship scored 4.18. The scores of interpersonal relationship were mostly higher. Nurses' communication skills as perceived by the parents of inpatients according to general characteristics showed statistically significant differences depending on the number of children and the birth order. Conclusion: it was considered that nurses' emotional characteristics were important for inpatient children. it is thought that the positive communication skills considering the emotional aspects in planning and performing nursing for inpatient children should be achieved.

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A Study on the Nursing Needs of Parents with Hospitalized Child (소아과에 단기 입원한 환아 부모의 간호 요구도 조사)

  • Yoo, Kyung-Hee;Kim, Ae-Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.2
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    • pp.323-332
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    • 2001
  • This study was to investigate the level of nursing needs of parents who have hospitalized child. The subjects for this study were 70 parents who have hospitalized child at pediatric ward in S University Hospital, and the period of data collection was from June 5, 2000 to July 15, 2000. The research instruments used in this study was the Nursing Needs Scale and the cronbach's $\alpha$ of this scale was .92. This instrument had four dimensions : physical nursing needs, therapeutic nursing needs, emotional nursing needs and educational nursing needs. In data analysis, SPSSWIN 10.0 program was used for descriptive statistics. The results were as follows. 1) The range of nursing needs scores was from 104 to 156 and the mean score of the nursing needs was 132.64. 2) The mean score of the therapeutic nursing needs dimension was the most with 3.56 compared to emotional nursing needs(3.25), educational nursing needs(3.25), physical nursing needs(3.14). 3) There was a significant difference in nursing needs of parents according to the level of child's physical function(F=3.39, p<.05). 4) There was a significant correlation between nursing needs and child's physical function(r=-.262, p<.05).

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Nursing Needs of Parents with Hospitalized Child (입원환아 부모의 간호요구)

  • Seo Young Mi;Kwon In Soo;Cho Myeong Ock;Choi Woon Ju
    • Child Health Nursing Research
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    • v.5 no.1
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    • pp.59-69
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    • 1999
  • The main purpose of this study is to identify nursing needs of parents who have hospitalized child. Research design is a descriptive survey. The subjects for the study were 79 parents who have hospitalized child at a pediatric ward of one of the general hospital attached to a university in J city. The data was collected by researchers using a structured questionnaire. The questionnaire was Likert type 5 point scale, composed of 5 categories with 61 items. The data was analyzed by SPSS/PC. The results of the study were as follows ; 1) Mean score of nursing needs of subjects were 3.93 at 2nd day of admission and 3.99 at 7th day of admission. 2) Among the categories, the highest nursing need at the End day and 7th day of admission was ‘dilect nursing’, in desending order, ‘facilities and environment’, ‘education and counseling’, ‘nursing assessment’. The lowest nursing need was ‘reference’. 3) Differences between the nursing needs of subjects at 2nd day and 7th day were as follows : (1) By categories, there was a significant difference only in the ‘reference’ categoly(t=2.74, P=.008). (2) By items, there were significant differences in items of ‘to check necessary materials(t=2.31, P=.024)’, ‘to understand family function and family relationship(t=2.12, P=.041)’, ‘to set up study room(t=2.22, P=.030)’, and ‘to mediate parent's meeting group(t=3.89, P=.000)’. The above result indicated that nursing needs of parents with hospitalized child were above average, especially very high in items about disease process, and items directly associated with treatment and nursing care. So, nurses have to focus on information about the patient's state of disease, treatment, test and procedure, and in efficiently giving direct nursing care to implement mure effective care for the hospitalized children and their parents. And some future researche is needed to identify the difference of degree of nursing needs of parents with hospitalized child according to admission duration using a different sample and a longer sampling interval.

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RELATIONSHIP BETWEEN DEPRESSION/ANXIETY AND PARENTAL REARING PATTERNS IN ADOLESCENTS WITH CONDUCT DISORDER (품행장애 청소년에서의 우울, 불안 증상과 부모양육특성)

  • Han, Sung-Hee;Choe, Kyoung-Min
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.1
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    • pp.83-91
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    • 1997
  • Objects:This study investigated whether depression, anxiety and perceived parental rearing patterns of the conduct disorder patients are different from those of the normal control group. The correlations were also assessed between perceived parenting style and depression, anxiety, severity of conduct problems and age at onset of conduct disorder in adolescents with conduct disorder. Methods:Thirty hospitalzed patients who met the DSM-Ⅳ criteria of conduct disorder, and 30 normal control subjects completed self-report questionnaires containing the Children’s Depression Inventory(CDI), the State-Trait Anxiety Inventory for Children(STAIC) and the Parental Bonding Instrument(PBI). Results:In the conduct disorder group, the results were as follows:1) The mean scores of CDI and STAIC-T(Trait) were not significantly different from those of the control group, but STAIC-S (State) showed significantly higher scores. 2) Parenting style was perceved to be less caring and more overprotective than in the control subjects. 3) There were negative correlations between maternal care and CDI and between maternal care and severity of conduct problems. 4) There were positive correlations between maternal overprotection and STAIC-T(Trait). 5) There were no correlations between paternal rearing patterns and depression, anxiety, severity of conduct problems, or age at onset of conduct disorder. Conclusion:We failed to identify depression and anxiety as common comorbid disorders in conduct disorder. Parental rearing patterns are thought to be significantly negativistic in conduct disorder group. It is guessed that less caring and more overprotective rearing style of parents, especially of mothers, could have much influence on depression and anxiety, more severe conduct problems and earlier age at onset of conduct disorder in the adolescents with conduct disorder.

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The Influence of Atopic Findings on Severity of Pneumonia in Children with 2009 Pandemic Influenza A (H1N1) Infection (2009 신종 인플루엔자 A (H1N1) 폐렴 환아에서 아토피 소견이 폐렴의 중증도에 미치는 영향)

  • Kim, Jong Hee;Kim, Hyun Jeong;Kang, Im Ju
    • Pediatric Infection and Vaccine
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    • v.18 no.2
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    • pp.182-192
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    • 2011
  • Purpose : Atopic findings may be associated with severity of pneumonia in 2009 pandemic influenza A (H1N1) infection, which could suggest a possible association between atopic findings and the severity of viral infections. Thus, we studied association between atopic findings and severity of disease in children with H1N1 influenza infection. Methods : A retrospective study was performed in 74 children admitted in a single tertiary institute and confirmed as H1N1 patients by reverse transcriptase (RT) - polymerase chain reaction (PCR). They were divided into 2 groups according to the severity of pneumonia. We evaluated whether the atopic finding is risk factor between the two groups. Results : Children with severe pneumonia had higher percentages of serum eosinophilia (88% vs 40%, P <0.001), asthma (65% vs 35%, P =0.011), allergic rhinitis (71% vs 40%, P =0.009), and IgE level (P =0.007). We found positive correlations between aeroallergen sensitizations and severity of pneumonia (82% vs 53%, P =0.007). Conclusion : Among patients with H1N1 pneumonia, asthma and atopic findings are risk factors for severity of pneumonia.

Nursing Needs of the Parents of Infants in Neonatal Intensive Care Unit (신생아집중치료실 입원 환아 부모의 간호요구)

  • Park, Ji-Sun;Bang, Kyung-Sook
    • Journal of East-West Nursing Research
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    • v.20 no.2
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    • pp.136-144
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    • 2014
  • Purpose: The purposes of this study were to identify the perceived nursing needs and the differences by general characteristics of parents of infants in a neonatal intensive care unit (NICU) and to provide useful evidences developing a new intervention for family-centered care in NICU. Methods: A convenience sample of 121 parents of infants in NICU was used and the participants asked to complete the Korean version of NICU Family Needs Inventory (NFNI) from April to May, 2014. Data were analyzed using descriptive statistics, t-test and ANOVA. Results: The participants reported high average score in the perceived nursing needs. In subscales, needs for assurance rated highest score and needs for information, proximity, support, and comfort were followed. Mothers reported higher nursing needs score than fathers except the subscale of support. Conclusion: The findings suggest that nurses in NICU actively provide information about treatment, nursing, results of laboratory tests, and current status to give reassurance to parents. Not only providing informational support of parents of NICU infants, but also finding methods to contact to parents is necessary. In addition, nurses need to provide optimized intervention in current healthcare system and hospital environment.