• Child Health Nursing Research
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• 제23권4호
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• pp.459-469
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• 2017

Purpose: Nurses experience burnout related to various factors. For this descriptive research job stress, compassion satisfaction, and compassion fatigue were examined as to their relationship to burnout in nurses from children's hospital. Methods: The participants were 305 nurses working in children's hospital. Self-report questionnaires were used to measure job stress, compassion satisfaction, compassion fatigue and burnout. Results: Nurses in children's hospital experienced a greater than moderate degree of job stress, compassion satisfaction, compassion fatigue and burnout, whereas differences existed according to general characteristics. Job stress, compassion fatigue and burnout showed a significant positive correlation and results of compassion fatigue and burnout were similar. Also, job stress, compassion satisfaction and compassion fatigue were associated with burnout in nurses working in children's hospital. Conclusion: Findings indicate that as longer work experience is accompanied by higher job stress and burnout, it is necessary to develop intervention programs to reduce burnout among career nurses exposed to greater job stress in children's hospital.

• Child Health Nursing Research
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• 제21권3호
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• pp.204-215
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• 2015

Purpose: This descriptive research was conducted to identify educational needs in pediatric nursing handoff training to improve students' handoff skills. Methods: Data were collected using a survey with 188 senior nursing students and 48 pediatric nursing professors and clinical nurses. The survey included items on general information as well as experiences in handoff training, necessity, training content, and items for a handoff training program in pediatric nursing. Results: Of the nursing students, 30.5% reported receiving handoff training during their clinical hours. After their handoff training, the students' confidence index was only 3.78 out of 10. Significantly, 98.3% of the respondents said that pediatric handoff training is necessary. In addition, participants reported that simulation practice (26.5%) is an appropriate educational method, and the time required for handoff training should be 8.16 hrs. Admission process was placed first as the most critical circumstance for handoff (56.8%). High demands were observed for the necessity of training content for patients with respiratory problems. Conclusion: The results of this study show the various educational needs for developing a patient safety pediatric handoff training program to promote nursing students' skills in handoff.

• 성인간호학회지
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• 제24권1호
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• pp.38-51
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• 2012

Purpose: In this study the literature of compassion fatigue in nurses was reviewed in order to analyze the trends of overall research for level of fatigue, symptoms, and factors. Methods: For this study, five databases were searched using the key words 'compassion fatigue', 'secondary traumatization', 'secondary traumatic stress', and 'vicarious traumatization'. Thirty-six papers were analyzed. Results: Most of the compassion fatigue research (86%) was conducted between 2006 and 2011 and the most frequent research approach was quantitative research with the ProQOL which was the most frequently used instrument in the studies. He research was conducted in pediatric, emergency & trauma, oncology, psychiatric, and hospice units with no consistent patterns of t compassion fatigue levels. Factors affecting compassion fatigue were personal factors such as age, education background, work-related factors such as caring for trauma patients, work hours, psychological factors such as work stress, burnout, and support/coping factors such as organizational support, and coping resources. Conclusion: Nurses' compassion fatigue varied from low to high by nursing specialties. Many factors affected the compassion fatigue of nurses. In the future there is a need for study on Korean nurses, and identification of groups at risk for compassion fatigue. Furthermore there is a need to develop management programs on compassion fatigue in nurses, stress reduction and wellbeing.

• Child Health Nursing Research
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• 제14권2호
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• pp.129-137
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• 2008

Purpose: To examine the effects on skin injury, pain, and anxiety when nurses and children simultaneous wash their hands before IV injections. Method: A nonequivalent control group, non-synchronized design study was used with 61 children. For a month and a half, children in the experimental group(30) following hand-washing guidelines, washed their hands with nurses before IV insertion. Anxiety and pain were observed and recorded during IV insertion using the Anxiety Reaction Scale and FACES pain scale. After 48-72 hours on IV therapy with an arm-board, skin condition was checked by a research assistant according to guidelines for assessing skin injury developed by the researcher. t-test, ${\chi}^2$-test, Pearson correlation, and Kendall's tau b were used to analyze data with the SPSS program. Results: Children who washed their hands with the nurse before IV insertion showed less pain (p =.021) and skin injury (p <.001) compared to the control group. Conclusion: This finding suggests that simultaneous hand washing by nurse and child before IV injection has a strong effect on skin injury caused by arm-boards used to maintain IV therapy as well as on pain during IV insertion. This program demonstrates an effective intervention to prevent skin injuries in children on IV therapy.

• 한국간호교육학회지
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• 제30권1호
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• pp.29-38
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• 2024

Purpose: This study aimed to investigate student nurses' satisfaction by type of clinical practicum and to determine predictors of clinical competence in pediatric nursing. Methods: A total of 189 Junior and Senior student nurses across seven colleges in the Busan Metropolitan City were enrolled in the study. The participants completed a structured questionnaire containing items about their learning satisfaction with different types of pediatric nursing practicums and their clinical competence. Data were analyzed using the mean, standard deviation, independent t-test, ANOVA, and multiple regression analysis. Results: Regarding satisfaction with each type of clinical practicum, the mean satisfaction score (out of 10) was 8.18±2.26 for on-site clinical rotations and 7.35±2.20 for alternative practicums. Among the different types of alternative practicum approaches, those with a satisfaction score of 7 or higher included fundamental nursing skills, watching videos, simulation etc., while those with a satisfaction score of less than 6 were virtual simulation and problem-based learning. The predictors of clinical competence in pediatric nursing were learning satisfaction with practice, school year, and alternative practicum, accounting for 35.0% of the variance in clinical competency. Conclusion: It would be helpful to combine on-site clinical rotations with alternative practicum approaches and to develop various alternative practice programs using simulation practice, virtual reality, immersive interactive systems, and standardized patients to enhance students' clinical competency.

• 한국간호교육학회지
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• 제30권3호
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• pp.280-289
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• 2024

Purpose: This study aimed to develop and evaluate the effectiveness of a preceptor educational program in a children's hospital. The program's impact was assessed by measuring improvements in clinical competency, communication competency, and leadership competency. Methods: Four day pediatric nurse preceptor education program was developed using the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model. A single-group pretest-posttest design was employed to assess the program's effects with seventeen participants who were newly trained preceptors. Additionally, participant satisfaction with the program was measured. Results: Following the implementation of the program, significant improvements were observed in clinical competency (Z=-3.62, p<.001), communication competency (Z=-2.77, p=.006), leadership competency (Z=-2.08, p=.038), other competence (Z=-2.64, p=.008), and total competency (Z=-3.52, p<.001) among participants. The overall satisfaction score was 4.41±0.62 on a 5-point scale. Conclusion: The pediatric nurse preceptor educational program significantly enhances the overall nursing competencies of preceptor nurses in a children's hospital. Further research is needed to evaluate the effects of this preceptorship on newly graduated nurses.

• 한국산학기술학회논문지
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• 제22권5호
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• pp.492-501
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• 2021

본 연구는 간호대학생과 산과 및 아동 간호사의 미혼모에 대한 인식과 성태도를 확인하고 대상자의 일반적 특성에 따른 차이를 파악하기 위해 실시하였다. 연구대상자는 B광역시와 U광역시에 간호대학에 재학 중인 3·4학년 학생 94명과 산과 및 소아청소년과에서 근무하는 8개 병원 간호사 101명이다. 자료수집은 2018년 9월부터 2019년 1월까지 실시하였다. 수집된 자료는 빈도와 백분율, 평균과 표준편차, independent t-test, one-way ANOVA로 분석하였다. 간호대학생과 간호사의 미혼모에 대한 인식과 성태도의 정도를 확인한 결과, 간호대학생의 미혼모에 대한 인식과 성태도의 정도 모두 유의한 차이가 있었다. 간호대학생의 일반적 특성에 따른 미혼에 대한 인식의 차이는 학년, 나이, 형제관계에서 유의한 차이가 있었고, 간호사는 나이, 직급, 총 근무기간, 현부서 근무기간, 결혼 여부, 자녀 유무에서 유의한 차이가 있었다. 간호대학생의 일반적 특성에 따른 성태도의 차이는 자신의 주변에서 미혼모 접촉 경험에서 유의한 차이가 있었고, 간호사는 주변에서 미혼모 접촉 경험, 병원 규모, 결혼 여부에서 유의한 차이가 있었다. 본 연구는 간호대학생과 간호사의 미혼모에 대한 인식과 성태도를 규명하고 대상자의 특성에 따른 차이를 확인하여, 향후 간호대학생과 간호사의 미혼모에 대한 인식과 성태도와 관련된 연구와 교육의 기초자료로 활용하고자 한다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권8호
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• pp.3593-3599
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• 2014

Background: Efficacy of childhood cancer treatment in low-income countries may be impacted by parents' and health-care providers' perspectives on chemotherapy-related side-effects. This study explores prevalence and severity of side-effects in childhood cancer, and compares health beliefs about side-effects between parents and health-care providers, and between nurses and doctors in Indonesia. Materials and Methods: Semi-structured questionnaires were filled in by 40 parents and 207 health-care providers in an academic hospital. Results: Parents exporessed a desire to receive more information about side-effects (98%) and worried about this aspect of treatment (90%), although side-effects were less severe than expected (66%). The most frequent was behavior alteration (98%) and the most severe was hair loss. Only 26% of parents consulted doctors about side-effects. More parents, compared to health-care providers, believed that medicines work better when side-effects are more severe (p<0.001), and accepted severe side-effects (p=0.021). More health-care providers, compared to parents, believed that chemotherapy can be stopped or the dosage altered when there are side-effects (p=0.011). More nurses, compared to doctors, stated that side-effects were unbearable (p=0.004) and made them doubt efficacy of treatment (p<0.001). Conclusions: Behavior alteration is the most frequent and hair loss the most severe side-effect. Apparent discrepancies in health beliefs about side-effects exist between parents and health-care providers. A sustainable parental education program about side-effects is recommended. Health-care providers need to update and improve their knowledge and communication skills in order to give appropriate information. Suchmeasures may improve outcome of childhood cancer treatment in low-income countries, where adherence to therapy is a major issue.

• 한국간호교육학회지
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• 제21권3호
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• pp.308-319
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• 2015

Purpose: The purpose of this study was to identify the effects size of simulation education targeting korean nurses and nursing students. Methods: Meta-analysis was conducted with 48 papers in domestic master and doctorate degree dissertations and academic journals from 2000 to 2014. Results: The entire effect size in simulation education was relevant to big effect size. Regarding the effect size of individual variables, nurse was identified to have biggest effect size in study subject, standardized patient was identified to have biggest effect size in simulation methods and pediatric nursing was identified to have biggest effect size in study subjects. Effect size in each effect variable was highest in psychomotor domain. Conclusion: This study identified the effect size of simulation education and provided the basic data to contribute to the quality improvement of simulation education which is based on the reasons.

• Child Health Nursing Research
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• 제27권3호
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• pp.266-275
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• 2021

Purpose: This study aimed to identify the factors affecting the quality of nursing care as perceived by mothers of hospitalized children and provide basic data for the development of nursing care quality improvement programs. Methods: The participants consisted of 167 mothers, each of whom had a child hospitalized at a specific children's hospital. Data were collected from June 22 to August 8, 2019. Results: The factors that affected how mothers perceived the quality of nursing care were the communication ability of nurses (β=.44, p<.001) and the mother-nurse partnership (β=.33, p=.001). The total explanatory power of these factors was 54.1%. Conclusion: To improve the quality of pediatric nursing care, it is necessary to improve the communication abilities of nurses and to promote partnership between nurses and the mothers of hospitalized children.