• 중환자간호학회지
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• 제11권3호
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• pp.35-44
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• 2018

Purpose : This study investigates pediatric nurses' knowledge and attitudes regarding iatrogenic narcotic analgesic withdrawal symptoms management (INAWSM). Methods : In this cross-sectional study, 253 pediatric nurses working at a tertiary hospital in Seoul participated. Instruments were the inventory consisting questionnaires on 35 items knowledge and 12 items attitude for INAWSM. Further, descriptive statistics, t-test, and analysis of variance were used to evaluate the nurses' knowledge and attitudes. Results : The correct answers rate of knowledge toward INAWSM was 44.9%. With respect to the pediatric nurses' attitudes, the participants scored an average value of $2.83{\pm}0.25$ out of 4 points. The factor related to the knowledge and attitude level was age, pediatric nursing experience, educational experience, and educational needs. Conclusions : Results revealed that pediatric nurses had inadequate knowledge and attitude on INAWSM despite a compulsory education. Therefore, it is necessary to develop an efficient INAWSM educational program.

• Asian Pacific Journal of Cancer Prevention
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• 제15권23호
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• pp.10199-10207
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• 2015

Background: This study was planned in an attempt to develop scales for the assessment of fatigue in pediatric oncology patients aged 7-12 as well as for their parents. Materials and Methods: In collecting the study data, we used the Child and Parent Information Form, Visual Fatigue Scale, Scale for the Assessment of Fatigue in Pediatric Oncology Patients Aged 7-12 and the Scale for the Assessment of Fatigue in Pediatric Oncology Patients Aged 7-12 for Parents. We also used Pearson correlation analysis, the Cronbach Alpha coefficient, Factor Analysis and ROC Analysis for the study data. Results: In this study, the total Cronbach alpha value of the parent form was 0.95, the total factor load was 0.52-0.95 and the total variance being explained was 85.7%. The cutoff point of the parent form was 82 points. The total Cronbach alpha value of the child form was 0.98, the total factor load was 0.71-0.94 and the total variance being explained was 84.7%. The cutoff point of the child form was 75 points. Conclusions: This study suggests that our scales for the assessment of fatigue in pediatric oncology patients aged 7-12 and their parents are valid and reliable instruments.

• Child Health Nursing Research
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• 제26권4호
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• pp.454-462
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• 2020

Purpose: Sudden unexplained infant death (SUID) is a major contributor to infant mortality, and pediatric nurses have the responsibility to educate parents on SUID-reducing strategies. This study was conducted to measure pediatric nurses' knowledge of SUID-related safe sleep practices (K-SSSP) and infant cardiopulmonary resuscitation (K-ICPR). Methods: In total, 136 pediatric nurses were administered a survey including K-SSSP (13 items), K-ICPR (5 items), confidence in K-SSSP education (1 item; 5 points), and other factors relating to SUID experiences or education. Results: The correct answer rates of the K-SSSP and K-ICPR were 62.6% and 62.5%, retrospectively. The mean score for confidence in K-SSSP education was 2.6±0.9. Only 18 nurses (13.2%) responded that they educated parents on the content of the K-SSSP, while 76 nurses had received education on SUID. Positive relationships were observed between K-SSSP scores and higher education, between K-ICPR scores and having own child(ren) and clinical experience, and between confidence in K-SSSP education and higher education or having one's own child(ren). Nurses caring for newborns performed more SUID education than nurses working in other units. Conclusion: There is a profound need to implement a systemic educational program on SUID and strategies to reduce SUID for pediatric nurses.

• Child Health Nursing Research
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• 제19권2호
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• pp.94-101
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• 2013

목적 본 연구는 아동간호사가 스스로 지각하고 있는 간호전문직관, 자기효능감을 파악하고 이러한 인식이 실무영역의 중요 인자인 아동간호사-부모 파트너십과 관련이 있는지 파악하여 아동간호사의 실무환경개선을 위한 기초자료를 제공하는데 그 목적이 있다. 방법 본 연구의 대상자는 서울 소재 1개 대학병원 어린이병원에 근무하는 간호사로서, 해당병동에서 6개월 이상 근무한 간호사를 표적모집단으로 하여, 그 중 연구의 목적을 이해하고 참여에 동의한 간호사 165명을 대상으로 하였다. 자료수집 기간은 2012년 4월 9일부터 18일까지였으며 설문지를 이용한 자가보고방식으로 실시하였다. 결과 간호전문직관과 자기효능감, 환아부모와의 파트너십은 모두 통계적으로 유의한 양의 상관관계를 나타냈다. 본 연구를 통해 간호전문직관, 자기효능감이 높을수록 아동간호사-환아부모 파트너십이 높다는 것을 확인하였으며, 간호전문직관, 자기효능감, 아동간호사-환아부모 파트너십에 각각 영향을 주는 아동간호사의 일반적 특성도 확인하였다. 결론 본 연구의 의의는 아동간호실무의 효율성에 영향을 미치고 있지만 외국의 경우에도 연구된 바가 거의 없는 아동간호사의 간호전문직관과 자기효능감에 대하여 조사한 것, 이들과 아동간호사-환아부모 파트너십과의 관계를 밝힌 것이다. 본 연구의 결과는 아동간호사의 실무환경 개선을 위한 기초자료로 활용될 수 있을 것이며, 향후 아동간호 실무현상영역에 대한 연구가 더욱 활발히 진행되기를 기대한다.

• 한국융합학회논문지
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• 제10권10호
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• pp.321-329
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• 2019

본 연구는 아동간호사의 말초정맥관 관련 간호교육프로그램의 기초자료를 얻기 위해 125명의 아동간호사를 대상으로 시행된 서술적 조사연구로, 최희강 외(2016)의 아동의 말초정맥주사관리 프로토콜과 간호교육평가원의 핵심 기본간호술 중 정맥주사프로토콜의 일부를 사용하여 수집된 자료를 SPSS 21.0으로 분석하였다. 아동간호사의 말초정맥관 관련 교육수행이 가장 낮았고, 부작용관리수행이 가장 높았다. 일반적특성에 따른 간호수행 하위영역에 부분적으로 유의한 차이가 있었다. 교육과 간호수행 간 정적 상관관계가 있었고(r=.486, p<.001), 간호수행에 영향을 미치는 요인은 교육(${\beta}=.472$), 근무부서(${\beta}=.216$) 및 결혼상태(${\beta}=.169$)이었다(adj $R^2=0.314$, p<.001). 본 연구결과는 대상자 수를 확대하여 반복 연구 후 아동간호사의 말초정맥관 관리 교육프로그램의 기초자료로 활용될 수 있다.

• Child Health Nursing Research
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• 제24권1호
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• pp.27-36
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• 2018

Purpose: The purpose of this study was to develop a model for handoff education for nursing students based on simulation using video and to identify educational effects of a simulated situation in pediatric care units. Methods: Data were collected from May 1 to 30, 2016. Participants were 84 senior nursing students in Seoul (video group: 43, simulation group: 41). Both groups were given a lecture and pre-briefing on handoff education. The simulation group had nursing practice on resolving health issues for respiratory distress using a high-fidelity baby simulator. The video group watched a video recording of a scenario based simulation, and used a summarized handoff situation to practice patient handoff to another student. Results: There was no significant difference between the two groups for handoff self-confidence, problem solving ability, handoff competence (self-assessment of students), or learning satisfaction. Self-confidence increased significantly in both groups. Handoff competency evaluated by the instructor was higher in the video group compared to the simulation group (t=2.33, p=.022). Conclusion: Nursing student education for handoff practice utilizing a video in the pediatric unit was more cost effective. Therefore, it could be a useful educational method for students in learning patient handoff practices and helpful for related research.

• 한국간호교육학회지
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• 제19권1호
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• pp.24-32
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• 2013

Purpose: The purpose of this study was to analysis the research trends of pediatric nursing intervention studies in Korea form 2000 to 2011. Methods: A literature search was conducted from the databases. RISS and 'Infant', 'Toddler', 'Preschooler', 'Schooler', 'Adolescent', 'Child', 'Effect', 'Program', 'Intervention' and 'Nursing' were used for keyword searches to find relevant studies. A total of 37 published articles and dissertations in Korea from 2000 to 2011 were reviewed using a structured analytical frame. Results: A quasi-experimental design was more common at 91.9% with a true experimental design at 2.7%. The portion of studies in which theoretical framework was suggested was 27.0%. Only 8.1% mentioned International Review Board (IRB) approval and 78.4% received only the participant's agreement. The participants' developmental stage was mostly preschool stage, and 37.0% of the child's health problem was a chronic disease. Sensory interventions made up 45.9% of the types of intervention and most of the sensory interventions were distraction interventions. The contents of intervention outcomes were physiological (54.0%) and psychological (28.0%) categories mostly. Conclusion: This study will help in identifying current research trends of pediatric nursing intervention studies in Korea and provide basic data for the direction of developing pediatric nursing interventions.

• Child Health Nursing Research
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• 제6권3호
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• pp.411-422
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• 2000

Considering the rapid change of modern nursing knowledge, it is necessary to make changes in the curriculum of nursing education periodically according to the patient-nursing needs and the students' needs. This means that nursing education has to provide opportunities for the development of knowledge, skills, and attitudes. Also, as the students of the RN-BSN program being all registered nurses, the education program for them is planned differently from the general undergraduate program. This study was conducted to establish the scope of educational contents of pediatric nursing in RN-BSN program. The contents of the pediatric nursing curriculum and its necessity was identified and reviewed. From June 5 to June 30 2000, data were collected from 309 RN-BSN students in 5 nursing schools. The questionnaire used for this study was developed by their researchers and the Korean Nursing Association and consisted of items according to the curriculum contents of pediatric nursing. The data were analyzed through frequency and percentages and was analyzed using SPSSWIN 10.0 programs. The results were as follows: 1.In the section surveying on the credits of pediatric theory and clinical practice, 3 out of 5 schools had 2 credits in theory (60.0%), and 2 credits for clinical practice in 2 schools, and 2 credits were given to the elective practice in 2 other schools. 2. In analyzing the degree of demand for lecture and clinical practice, 52.1% of students preferred lectures to be given by professors and 53.7% preferred their level of undergraduate knowledge updated and finally most of the students (81.9%) didn't want to do the clinical practice. 3.The students weighted the importance of current curriculum contents as follows : sex education of adolescence(60.8%), high-risk infant(59.5%), sex education of school age children(59.2%), the handicapped children (55.7%), health assessment(52.4%), children with pneumonia(51.5%), children with asthma (47.1%), children with burns(41.1%). In conclusion, there is a need for research to measure the degree of education satisfaction and needs in RN-BSN students and to improve the curriculum contents in pediatric nursing.

• Perspectives in Nursing Science
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• 제14권2호
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• pp.45-54
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• 2017

Purpose: The aim of this study was to compare the effect of training and implementation of a pediatric peripheral intravenous infusion protocol on the nurses' performance and infusion complication rate. Methods: A quasiexperimental study using a posttest comparison of a one group pretest-time series design was utilized. This method was developed to measure nursing knowledge and performance based on a pediatric peripheral intravenous infusion protocol. To calculate the occurrence rate of complications, the number of complications were divided into the number of intravenous insertions. Results: It was shown that the training developed by the study team in 2015 contributed to nurses' increased knowledge, as well as improved job performance. Furthermore, the implementation of the protocol revealed that the number of peripheral intravenous insertions, an invasive procedure, decreased. Additionally, the nursing workload related to pediatric intravenous infusions was reduced. Conclusion: This protocol may contribute to the improved scientific quality and efficiency of nursing management of peripheral intravenous infusions.

• Child Health Nursing Research
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• 제18권3호
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• pp.135-142
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• 2012

Purpose: The purpose of this study was to examine the effects of structured nursing intervention for caregivers on maintenance of intravenous (IV) infusions in infants. Methods: The structured nursing intervention was developed through the processes of interviews with nurses from pediatric wards. To identify the effects of the developed nursing intervention, a non-synchronized non-equivalent control group pretest-posttest design study was conducted with caregivers from the pediatric ward from a hospital in Seoul. Of 100 admitted infants, 50 caregivers were assigned to the intervention group and received the structured nursing intervention for maintenance of intravenous infusions in infants. The others were assigned control group and received routine care. Data were collected on patient factors, IV insertion factors, treatments, and IV related complications. The form developed for the structured nursing intervention was used by staff nurses. Results: Compared to the control group, IV insertion frequency in experimental group infants was significantly lower and IV related complications decreased (p<.05). Conclusion: These results suggest that the structured nursing intervention for caregivers on maintenance of intravenous infusions may have effects on maintenance of intravenous infusions in infants, and decreasing IV related complications. This nursing intervention can be used to improve IV related problems of admitted infants.