• Title/Summary/Keyword: Confidence in labor

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Does a preterm labor-assessment algorithm improve preterm labor-related knowledge, clinical practice confidence, and educational satisfaction?: a quasi-experimental study (조기진통 사정 알고리즘은 실습 시 조기진통 관련 지식, 임상수행자신감, 교육만족도에 유효한가?: 유사실험 연구)

  • Hee-Young Choi;Jeung-Im Kim
    • Women's Health Nursing
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    • v.29 no.3
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    • pp.219-228
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    • 2023
  • Purpose: Preterm birth is increasing, and obstetric nurses should have the competency to provide timely care. Therefore, training is necessary in the maternal nursing practicum. This study aimed to investigate the effects of practice education using a preterm-labor assessment algorithm on preterm labor-related knowledge and clinical practice confidence in senior nursing students. Methods: A pre-post quasi-experimental design with three groups was used for 61 students. The preterm-labor assessment algorithm was modified into three modules from the preterm-labor assessment algorithm by March of Dimes. We evaluated preterm labor-related knowledge, clinical practice confidence, and educational satisfaction. Data were analyzed with the paired t-test and repeated-measures analysis of variance. Results: The practice education using a preterm-labor assessment algorithm significantly improved both preterm labor-related knowledge and clinical practice confidence (paired t=-7.17, p<.001; paired t=-5.51, p<.001, respectively). The effects of the practice education using a preterm-labor assessment algorithm on knowledge lasted until 8 weeks but decreased significantly at 11 and 13 weeks after the program, while the clinical practice confidence significantly decreased at 8 weeks post-program. Conclusion: The practice education using a preterm-labor assessment algorithm was effective in improving preterm labor-related knowledge and clinical practice confidence. The findings suggest that follow-up education should be conducted at 8 weeks, or as soon as possible thereafter, to maintain knowledge and clinical confidence, and the effects should be evaluated.

Effects of Providing Information on Stress and Maternal Role Confidence of Women with Preterm Labor (정보제공이 조기진통임부의 스트레스와 모성역할자신감에 미치는 효과)

  • Oh, Jin-A
    • Korean Parent-Child Health Journal
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    • v.10 no.2
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    • pp.99-109
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    • 2007
  • Purpose: The purpose of this study was to examine the effects of providing information on Stress and maternal role confidence of pregnant women with preterm labor. Methods: The sample were 66 pregnant women with preterm labor admitted at 1 hospital in Busan. In the subjects, 33 were the experimental group and 33 were the control. Data was collected from March 1st to October 31st, 2007. A hand-out including the knowledge of preterm labor, fetus state and curing process. The tool for the stress had 14 questionnaires including the levels of anxiety and depress. And the tool for the maternal role confidence had 23 questionnaires. The data analyzed by $X^2$-test, t-test and pearson correlation coefficient with SPSS 12.0/pc program. Results: After providing information, the stress of the experimental group decreased significantly than the control(t=1.95, p=.048). And the maternal role confidence of the experimental group increased significantly than the control(t=-2.40, p=.016). There is a significant correlation between the stress and maternal role confidence(p<.01). Conclusion: The special program or educational nursing intervention should be created for each pregnant women with preterm labor and ante-natal nursing service may assessed and consulted on anxiety-depression and maternal role confidence.

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Effects of a Yoga-focused Prenatal Program on Stress, Anxiety, Self Confidence and Labor Pain in Pregnant Women with In Vitro Fertilization Treatment (요가중심 산전프로그램이 체외수정 시술 임산부의 스트레스, 불안, 분만 자신감 및 분만통증에 미치는 효과)

  • Shim, Chung-Sin;Lee, Young-Sook
    • Journal of Korean Academy of Nursing
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    • v.42 no.3
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    • pp.369-376
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    • 2012
  • Purpose: The purpose of this study was to identify the effects of a Yoga-focused prenatal program on the stress, anxiety, self confidence and labor pain of pregnant women who had in vitro fertilization (IVF) treatment. Methods: A quasi experimental study with a non-equivalent control group pretest-posttest design was used. The data collection period and meditation program were between January 9 and August 31, 2009. Forty-six women who were pregnant following IVF, and were between 12-20 weeks gestation, participated in the study (23 experimental group, 23 control group). Data were analyzed using Chisquare test, Mann-Whitney U Test, ANCOVA, and Cronbach's alpha coefficients with the SPSS 12.0 for Windows Program. Results: Although the sample size was limited, women who participated in the program showed statistically significant improvements in stress, anxiety, labor pain, and labor confidence for women pregnant after IVF. Conclusion: The result indicate that this 12-week Yoga-focused educational program can be utilized for women pregnant following IVF to reduce their stress, anxiety, and labor pain, and to increase delivery confidence. It is suggested that the Yoga-focused educational program be offered to every pregnant woman.

Analysis on the Effects of Community Based Health Education Program for Pregnant Women (보건소 중심의 건강교실 운영효과 분석 -임부 대상 교육을 중심으로-)

  • Kim Yong Soon;Park Jee Won;Bang Kyung Sook
    • Journal of Korean Public Health Nursing
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    • v.17 no.2
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    • pp.192-202
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    • 2003
  • This descriptive study aimed to determine the effects of community based health education program for pregnant women on their confidence in labor and breastfeeding. Data were obtained using several questionnaires and administered to 174 pregnant women who have participated (n=49) and have not participated(n=125) in health education program, and 244 mothers of infants who lived in one city in Kyunggi province. Summaries of finding were as follows; First, pregnant women who have participated in health education program showed significantly higher score in confidence in labor than those who have not. Also, confidence in labor was different according to the level of education. Second, pregnant women participated in health education program showed higher score in knowledge and attitude on breastfeeding, but the differences were not significant. Knowledge on breastfeeding was higher in multipara. More positive attitude on breastfeeding was found in working mothers and highly educated mothers. Third, $54.1\%$ of mothers continued breastfeeding over six months. Main reasons for discontinuing breastfeeding were lack of breast milk amount, and health problems in infants and mothers. In this study, we could identify the positive effects of health education program for pregnant women provided by public health center, and find the related factors of confidence in labor and breastfeeding. Community based health education program for pregnant women, especially for vulnerable group should be expanded.

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Effects of Paters' Duola Touch during Labor on the Paternal Attachment and Role Confidence to Neonate and Couple Attachment (아버지의 듀라터치 참여 분만이 부성애착, 부성역할 자신감, 부부애착에 미치는 영향)

  • Choi, Myung-Sook;Kim, Gum-Jung
    • Women's Health Nursing
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    • v.17 no.4
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    • pp.426-437
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    • 2011
  • Purpose: The purpose of this study was to identify the effects of paters' doula touch during labor on paternal attachment and role confidence to neonate and couple attachment. Methods: The participants were 60 couples of laboring woman and her husband who were hospitalized from May 2010 to december 2010. Among 60 couples, 30 couples were assigned to an experimental group and the other 30 couples to a control group. All of them had any other complications of pregnancy. During one month, the paters' duola touch was applied to the experimental group of 32~42 gestation once a week and be in labor. Data were analyzed using SPSS/WIN 14.0 Win program. Results: The scores for role confidence to neonate and couple attachment in the experimental group were significantly higher than those for the control group. The paternal attachment score of the experimental group was higher than that of the control group, but it was not significant. Conclusion: From these findings, it is concluded that paters'doula touch during pregnancy and labor can be helpful to improve attachment to the neonate and his/her spouse.

A Study on the New Paradigm of Korea Labor Movement (한국 노동운동의 뉴 패러다임에 관한 연구)

  • Park, Min-Saeng;Byun, Sang-Woo
    • Management & Information Systems Review
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    • v.25
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    • pp.407-428
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    • 2008
  • The purpose of the study is to examine a new paradigm of Korea labor movement so that Korea labor union may adapt itself to change of labor environment and raise its organizing rate. Examining assignments to have to practice for a new paradigm of a labor union in the 21st century. First, common industrial relations should be constructed. To achieve it, it is necessary that labor and management have a strong partnership as a group sharing common destiny on the basis of mutual confidence. Second, unionism in the side of social reform should be settled down. Labor and capital should grope coexistence and co-prosperity through conversation and negotiation, escaping from opposition and fighting. Third, service function of a labor union should be strengthened. A labor union should offer service as pursuit of diversity, self-management and autonomy in work for laborers. Fourth, labor and management should try to stabilize industrial relations followed by industrial-level negotiations. Fifth, labor and management should try to develop human resources in cooperation between the two. Labor and management should participate in developing human resources on the basis of cooperation. If a labor union has a positive practice for a new paradigm of labor movement as above and recognition about a labor union is changed, industrial relations will realize more developmental relation.

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The effects of emotional labor and stress on job satisfaction in oral health professional (치과 의료기관 종사자의 감정노동과 직무스트레스가 직무만족에 미치는 영향)

  • Lee, Young-Soo;Jang, Jong-Hwa;Moon, Ae-Eun
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.5
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    • pp.823-831
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    • 2011
  • Objectives : This study was to investigate the level of emotional labor and stress on job satisfaction and the significant factors influencing job satisfaction in oral health professional. Methods : Data were obtained from a cross-sectional survey of 297 oral health professional(mean age=$29.95{\pm}8.10$). Participants in the study were recruited when they attended the dental health form in Gwangju. Emotional labor was classified into two factors: external, inner. Stress consisted of four factors: sleep disorder&anxiety, self-confidence, health&vital, social role work. job satisfaction included growth development, stability chase. The data was analysed using t-test, one-way ANOVA, Pearson correlation and multiple regression. Results : The mean score of emotional labor and score was 3.13 out of a maximum 7 points. job satisfaction was negatively correlated with emotional labor and stress. job satisfaction explained 32.0%. Conclusions : Based on the findings, The emotional labor and stress was correlated with job satisfaction. These results suggest that further development should be continued to develop the effective emotional labor and stress to improve the job satisfaction of oral healthcare professional.

Factors Influencing Self Confidence during Delivery in Laboring Women (산부의 분만 자신감 결정요인에 관한 연구)

  • Lee, Mi-Kyeong
    • Women's Health Nursing
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    • v.11 no.1
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    • pp.20-26
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    • 2005
  • Purpose: The purpose of this study was to understand self confidence during delivery in laboring women and to identify the factors influencing self confidence for delivery. Method: The participants of the study were 166 women who were admitted to a delivery room at C hospital in Seoul from July 1 to October 31, 2002. Data was collected using a structured questionnaire, self confidence scale, anxiety scale, knowledge of childbirth scale and graphic rating scale. The data was analyzed by the SPSS PC+ program. For the analysis of collected data, frequency analysis, Pearson's correlation, multiple linear regression analysis and stepwise selection method was used. Result: Self confidence during delivery had negative correlation coefficients with anxiety, and positive correlation coefficients with endurance of pain, husband support during pregnancy, age and parity. Anxiety was the highest factor influencing self confidence for delivery(40.0%). Endurance of pain, husband support during pregnancy and age accounted for 49.0% of self confidence in laboring women. Conclusion: The factors influencing self confidence during delivery were anxiety, endurance to pain, husband support during pregnancy and age. Further studies need to be done to identify interventions for overcoming on anxiety, promoting endurance of pain, and increasing husband support during pregnancy.

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The Effects of Symptoms from Emotional Airline Labors on Their Job-related Stress, Service Delivery Level and Customer-Oriented Work Activities (항공사 종사자의 감정노동이 직무스트레스와 서비스 제공수준, 고객 지향적 행동에 미치는 영향)

  • Kim, Kwang Il;Lee, Su Mi
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.25 no.4
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    • pp.76-82
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    • 2017
  • I studied existing research and thesis which are relating emotional labor, job-related stress, and service level to set up the structural model and potential factors that form this structural model. The result showed that emotional labor is affecting job-related stress, service delivery level and customer-oriented activities. And service delivery level is affecting customer-oriented activities under 95% confidence levels. Also from the analysis of group survey by working group, check-in agent's emotional labor is affecting on job-related stress, service delivery level and customer-oriented activities. And service level is affecting on customer-oriented activities. By the result of how emotional labor and customer-oriented activities are related, I strongly believe it contributed the study of emotional labor theory.

The Effects of Education on Knowledge and Confidence in Postpartal Self-care and New baby care (산모교육의 효과 측정 - 산욕기 자가간호와 신생아양육에 대한 지시와 자신감을 중심으로-)

  • Kwang, Youn-Hee;Lee, Mi-La
    • Women's Health Nursing
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    • v.2 no.2
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    • pp.284-297
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    • 1996
  • A maternity ward in a hospital in Seoul has an educational program for postpartal mothers since its opening, but evaluation on the program has not been done. This study was to find whether the educational program contributed to increase of knowledge and confidence of the post-partal mothers in the area of postpartal self-care and the newborn baby care or not. This study aimed at improvement of the educational program for posrpartal mothers and the newborn babies. Subjects were 40 primiparae who were admitted to the obstetric ward in a general hospitals in Seoul from August 20th to September 10th, 1995. Subjects were those who had no labor pain at the admission time, had no complications during labor and delivery, gave a birth to a healthy baby, and agreed to participate in this study. All subjects were well educated and were in well-to-do group. Most of them received antenatal care adequately. They were tested on knowledge and self-confidence in the area of postpartal self-care and infant care two times, one at the admission time and the other prior to discharge. After the first test, nurses in a maternity ward and nursery taught them on postpartal self-care and infant care. Education consisted of a 1 hour planned program and incident teachings done at bed side. Four tools were developed by authors based literature review. The test tool for knowledge of postpartal self-care consisted of 15 items which included the definition of postpartum, dangerous symptoms in postpartum, lochia, time to begin coitus, postpartum exercise, sitz-bath, and perineal care. The test tool for self-confidence in postpartal self-care included such items as emergency care on dangerous symptoms in postpartum, sexual life and contraception after postpartum, self-confidence in postpartum exercise and perineal care. The test tool for knowledge of newborn baby care consisted of 18 items which included bathing, umbilical cord care, vaccination, breast feeding, abnormal symptoms of neonate. The test tool for self confidence in the newborn baby care included umbilical cord care, vaccination, breast feeding, emergency care for baby. Analysis of demographic data were analyzed with calculation of percentage. Score differences between the first test and the second test were analyzed with paired t-test. SAS / PC (Release 6.04 for DOS) program are as follows. 1. Mothers' knowledge of postpartal self-care increased significantly after education (t=10.04, df=38, p=0.0001). 2. Mothers' self-confidence in postpartal self-care increased significantly after education (t=6.53, df=38, p=0.0001). 3. Mother's knowledge of the newborn abay care increased significantly after education (t=9.74, df=38, p=0.0001). 4. Mothers' self-confidence in the newborn baby care increased significantly after education(t=8.22, df=38, p=0.0001) Suggestions for further studies and nursing practice were as follows. 1. We suggest studies by randomized control-group pretest-posttest design or nonequivalent control group pretest-posttest design will be done. 2. We suggest follow-up studies to find if mothers's confidence will last or not after discharge. 3. We suggest general hospitals to establish a phone-counseling system.

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