• Women's Health Nursing
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• v.20 no.1
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• pp.14-28
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• 2014

Purpose: This study was to identify relationships of maternal psychosocial factors including mother's mood state, childcare stress, social support and sleep satisfaction with breastfeeding adaptation and immune substances in breast milk, especially secretory immunoglobulin A (sIgA) and transforming growth factor-beta 2 (TGF-${\beta}2$). Methods: Data were collected from 84 mothers who delivered full-term infants by natural childbirth. Structured questionnaires and breast milk were collected at 2~4 days and 6 weeks postpartum. Data were analyzed using descriptive statistics, Pearson's correlation, multiple linear regression, and generalized estimating equation (GEE). Results: Scores for the breastfeeding adaptation scale were significantly related with child care stress, mood state and social support. Mother's anger was positively correlated with the level of sIgA in colostrum (p<.01). Immune substances of breastmilk was significantly influenced by time for milk collection (p<.001) and the type of breastfeeding (sIgA, p<.001, TGF-${\beta}2$, p=.003). Regression analysis showed that breastfeeding adaptation could be explained 59.1% by the type of breastfeeding, childcare stress, the Profile of Mood States, emotional support and sleep quality (F=16.67, p<.001). Conclusion: The findings from this study provide important concepts of breastfeeding adaptation program and explanation of psychosocial factors by immune substances in breast milk. Future research, specially, bio-maker research on breast milk should focus on the ways to improve breastfeeding adaptation.

• Child Health Nursing Research
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• v.26 no.2
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• pp.309-322
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• 2020

Purpose: The purpose of this integrative review was to synthesize previous research on perceptions of school health care among school-aged children and adolescents with chronic diseases. Methods: This study was performed in accordance with Whittemore and Knafl's stages of an integrative review (problem identification, literature search, data evaluation, data analysis, and presentation of the results). Four databases (PubMed, CINAHL, Embase, and Web of Science) were used to retrieve relevant articles. Results: Eighteen articles were included in this review. We identified five thematic categories: peer-related issues, a safe school environment, self-perception of an existing disease, self-management, and a supportive school environment. Conclusion: It is necessary to establish a school health care system with a supportive environment for children and adolescents with chronic diseases.

• Journal of the Korean Applied Science and Technology
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• v.37 no.4
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• pp.944-957
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• 2020

This study is an integrated literature review of concept analysis research published in the Journal of the Korean Nursing Society and the journal of branch science for the last 10 years from 2009 to 2018. A total of 30 papers were analyzed, including the metaparadigm of nursing, the type of concept, the method of concept analysis, the degree of utilization, etc. As a result, the metaparadgim of nursing was the most common human being, with 23 human beings, 5 nursing, 1 health, and 1 environment, and all kinds of concepts were identified as abstract concepts. As for concept analysis methods, Walker & Avent had the most number of workers and events with 13 workers, 10 hybrids, and 7 evolutionary methods, but all of them were hybrid methods after 2018. The progress toward tool development has not been confirmed. The diversity of nursing paradigm based on research results and the development of tools based on it are also necessary.

• Research in Community and Public Health Nursing
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• v.1 no.1
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• pp.582-594
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• 1989

The purpose of this study is to analyze the factors affecting the school health teachers' self-confidence. This study was conducted with 87 school health teachers working in Jeonbuk province, from September to December, 1986, The results are follows; 1. Demographic characteristics of school health teachers 1) Age mean ; 34, range; 23-54 2) School Nursing experience mean; 11 years, range; 0-24 3) Clinical experience mean; 1.5 years, range: 0-13 2. Status of school health resources & nursing activities 1) Personnel resource school health teacher: pupils : 1 : 1,436 'classes=1:31 'general teacher=1:39 2) Budget Total school operating budget: School health budget : 100 : 4.2 (52.2 thousand Won) Half of the school health budget expend on medicine. 3) Clinic 80% of all schools have health clinic seperately. 71.32 of all schools have less than $35m^2$, 23.9%, $36-66m^2$. 4) Only 20% of all schools have organization for health 5) Average of clinic visitor for 1 year; 2,084 Major problem is on digestive system. And other problem: respiratory, skin, musculo - skeletal system, dental problem, etc... 6) Literal message for 1 year; 12 times. For health education (4), vaccination (3), examination of parasites (2), etc... 3. The degrees of the school health teachers' self-confidence 1) Program planning & evaluation; 2.9. 2) Clinic management; 2.8 3) Health education; 2.8 4) Management of school environment; 2.7 5) Health care services; 2.5. 6) Operating of school health organization; 2.3 4. Significances to self-confidence on school health nursing activities 1) Program planning & evaluation: home message (r=.228, p<.05) No. of clinic visitor (r=.220, p<.05) expending time for clinic management (r=.229, p<.05) religion (t: 2.5, p<.05) level of school (F=6.3, p<.005) 2) Clinic management: age of school health teacher (r=-.202, p<.05) school health experience (r=-.211, p<.05) salary step (r=.187, p<.05) expending time for clinic management (r=.315, p<0.1) marital status (t=3.97, p<.005) level of school (F=3,139, p<0.5) 3) Management of school environment: level of school (F=3.899, p<.05) expending time for clinic management (r=-,216, p<0.5) 4) Health care service: age of school health teacher (r=-.186, p<.05) marital status (t= 3.67, pH.005) 5) Health education: expending times for clinic management (r=-.252, p<05) level of school (F=5.343, p<.01) 6) Operating of health organization; age of school health teacher (r=-.258, p<.01)salary step (r=.188, p<.05) Based on the above results, the suggestions are as follows; 1. Need to raise ,appointment rate school health teacher. 2. Need to raise self-confidence on school health nursing activities through the inservice education or re-inforcement. 3. Need to secure adequate budget for school health. 4. Participation of school health teacher and support of school master for school health services are required. 5. Need for use the health clinic seperately, adequate facilities and free utilization by visitors.

• Research in Community and Public Health Nursing
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• v.20 no.1
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• pp.96-104
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• 2009

Purpose: The purpose of this study was to provide fundamental materials for improving school health promotion programs by investigating school nurses' awareness of the importance, performance level, and perceived competence level of school health promotion programs in Gangwon-do. Methods: The subjects of this study were 173 school nurses who were working in Gangwon-do. The instrument for this study was a scale for awareness of importance, performance level, and perceived competence level. Data were collected on December 15, 2007 and analyzed using SPSS 13.0 for Windows. Results: The mean score of awareness of importance was 3.51(range: $1{\sim}4$). The mean score of performance level and the mean score of perceived competence level were 3.35 (range: $1{\sim}4$) and 3.29 (range: $1{\sim}4$), respectively. The younger school nurses were (F=4. 380, p=. 014 ), the higher their awareness of importance was. The performance level was lowest in high school nurses (F=5.013, p=.008). There were significant correlations between awareness of importance, performance level, and perceived competence level in school nurses. Conclusion: In order to improve the effectiveness of school health promotion programs, training and education programs for school nurses' competencies and technical support systems for school nurses should be provided.

• Research in Community and Public Health Nursing
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• v.10 no.1
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• pp.173-182
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• 1999

The objectives of this study were to measure the index of school health promoting behaviors and to identify the influencing factors in performing these behaviors. School health pro motion indexes were composed of 6 areas developed by the WHO. The data were collected by questionnaires from June to September, 1998. The subjects were 199 elementary school nurses and data were analyzed by a SAS - PC program. The results of this study were as follows: 1) The total mean of the elementary school health promotion indexes was 3.45 with school health service being the highest score at 3.68. Other scores were 3.58-personal health skills and 3.03-community relationship. 2) There were significant relationships between school health promoting behaviors and independent variables. The important variables influencing to the school physical environment were school health budgets and the career of school nurses. Also the educational background and the career of school nurses were significant variables in school health service. From these results, it is recommended that a comprehensive school health promoting program including the 6 areas of health promotion be developed. A training program for school nurses in health promotion is necessary.

• Journal of Korean Academy of Nursing Administration
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• v.21 no.4
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• pp.435-446
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• 2015

Purpose: This study was done to review and summarize trends in research related to image of nursing in Korea and to explore directions for future research. Methods: Thirty-five studies published from 2003 to 2014 were reviewed, and the analysis was performed according to criteria adopted from Kim & Lee (2003). Results: There was a three-fold increase in the number of studies compared to a prior analysis study. Of these studies 50% were carried out with nursing students and 71.4% were survey type research. Elementary school students, patients, and guardians had positive images of nursing compare to middle school students and health related personnel. Experience of hospital admission or patient visit did not influence the nursing image of participants. Satisfaction with nursing as a career and clinical practicum were related to nursing image among nursing students and their satisfaction, and their nursing professional value and self-esteem had a positive correlation with nursing image. Conclusion: The findings of this study suggest that recent trends of nursing research on nursing image indicate a need for further research to eliminate negative stereotypes and build a more professional image for nursing are recommended.

• The Journal of Korean Academic Society of Nursing Education
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• v.18 no.3
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• pp.465-473
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• 2012

Purpose: The purpose of this study was to investigate the experiences of nursing college students who are now pursuing a bachelor degree of nursing at a three year nursing school. Method: The study employs a Qualitative research method. For this study 19 nursing students of a reformed nursing college were interviewed. All of them are now taking the fourth-year classes. Results: The experiences of the interviewees are categorized into the following five themes: 1) Education reform news that could make the bachelor degree happen; 2) Relaxed but uncomfortably long winter break; 3) Looking forward to the fourth year of nursing education; 4) Facing the fourth year and possible double classes; and 5) Unregrettable choice. The study found that the students are putting their best effort forward for the fourth-year classes in a hope that the bachelor degree could rebuild their self-esteem and self-identity as a full-member of the nursing profession. They also hope that the existing societal prejudice and differential treatments toward them will disappear in future nursing practices. Conclusion: This study concludes with some practical implications for nursing education for reformed nursing schools.

• Research in Community and Public Health Nursing
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• v.4 no.2
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• pp.158-169
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• 1993

Health promotions have been identified as foundamental concepts for nursing practice, especially in community health nursing. Nurses have been regarded as having important role's in health promotion activities. According to a review of literature, the concepts of health promotion consist of prevention services, health protection. Health prevention services have three levels : Primary secondary and tertiary. The objectives of this study are (1) to analyze the health promotion activities in school nursing. (2) to analyze health promotion activities in community health nursing posts. (3) to analyze the health promotion activities in industrial nursing while suggesting future direction for health promotion in community health nursing areas. The major results are first, Prevention services are most actively performed rather than health protection, and health education in three areas: School, industries, and community. Health nursing, secondary prevention services follow emergency care, and ordinary diseases control are especially active. Health promotion can ultimately from changing life be accomplished styles, and health behavior. As a consequence, future directions promoting health in community health nursing are desirable areas. Focusing on health protection, and health education that is not activated presently.

• Journal of Korean Academy of Nursing
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• v.50 no.6
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• pp.737-739
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• 2020