PURPOSE: This study aimed to understand meaning and essentials in work experiences of delivery room nurses. METHODS: A phenomenological perspective was used for this qualitative research. Ten delivery room nurse with more than 3 years of work experience participated in this study. Data were collected through individual in-depth interviews with the nurses, between December 2012 and April 2013. Data were analyzed using Colaizzi's method. RESULTS: Nine theme clusters and four categories emerged from the data as follows: 1) factors influencing career decision-making, 2) gap between reality and expectations, 3) difficulties with working in the delivery room, and 4) motivation to work in the delivery room. CONCLUSION: Based on the results of this study, strategies to improve working environment of the delivery room nurses are necessary. Also, better policy are required to firmly establish the role of the delivery room nurses' role as recognized professionals.
Delivery Rooms* ; Methods ; Motivation ; Qualitative Research

PURPOSE: This study aimed to develop supplementary material about the electronic fetal monitoring for nursing students, and to test the effects on electronic fetal monitoring related knowledge and confidence on nursing performance in delivery room. METHODS: Totally 58 nursing students were recruited either experimental group (n=30) or a control group (n=28). A non-equivalent control group pretest-posttest design was employed to test the effects on fetal monitoring related knowledge and confidence on nursing performance in delivery room. The supplementary material about the electronic fetal monitoring was developed based on Analysis, Design, Development, Implement and Evaluation (ADDIE) model. Fetal monitoring related knowledge and confidence on nursing performance in delivery room were self-reported by the scales that author developed. Data were collected at pre-test and after the 6-week intervention. RESULTS: There was significant difference in confidence on nursing performance in delivery room between two groups after intervention. CONCLUSION: These findings suggest the importance of the supplementary material about the electronic fetal monitoring for nursing students to improve confidence on nursing performance in delivery room.
Delivery Rooms ; Fetal Monitoring* ; Humans ; Nursing* ; Students, Nursing* ; Weights and Measures

PURPOSE: Operating room management is the serious and complex task for hospital managers and the common approach is to develop relevant standard operational procedures. From patient and staff safety perspective, operating room management should be well-studied and hospital should identify and address any potential risks. Simultaneous usage of different imaging and less-invasive treatment technologies demands strong management control. MATERIALS AND METHODS: We have formed the multidisciplinary expert panel (surgeons, anesthesiologists, radiologists, healthcare managers etc.) for hybrid theater management standard operational procedure development. On the first stage the general concept of hybrid room design and patient routing was developed. The second stage included the technical details discussion. For patient safety improvement we modified the Surgical Safety Check-list in accordance with potential MRI-related safety challenges and concerns. RESULTS: WHO Surgical Safety Checklist is a simple and easy-to use tool which includes three blocks of question (grouped by the surgery process). We have developed two additional blocks of questions for the intraoperative magnetic resonance investigation. It is very important to have a special detailed routing with a strong control of ferromagnetic devices and anesthesiology care. CONCLUSION: High-energy MRI (1.5-3.0T) is characterized by potential influence on patient and staff safety in case of hybrid surgery. It is obvious to have a strong managerial control of ferromagnetic devices and anesthesiology care. Surgical Safety Checklist is the validated tool for improving patient safety. Modification and customization of this check-list potentially provides the opportunity for surgery processes improving.
Anesthesiology ; Checklist ; Delivery of Health Care ; Humans ; Magnetic Resonance Imaging ; Magnets ; Operating Rooms ; Patient Safety ; Safety Management*

OBJECTIVE: The purpose of this study is to compare the detection rate among diagnostic methods used for preterm premature rupture of membrane (PPROM). METHODS: The study population was composed of pregnant women who visited delivery room at our hospital due to vaginal watery discharge from 1 March 2002 to 28 February 2003. The gestational age was between 15 and 36+6/7 weeks of gestation. The study group was composed of 74 pregnant women. The rupture of membrane was tested by nitrazine test, ROM-check test and actim PROM test. It was regarded true positive that normal spontaneous preterm delivery was occurred within 72 hrs. The detection rates of each test were analyzed. RESULTS: There were positive results in 65 cases of nitrazine test, 23 cases of ROM-check test and 53 cases of actim PROM test. Of these positive cases, cases that delivered within 72 hours were in 33 cases of nitrazine test, 13 cases of ROM-check test and 30 cases of actim PROM test. Among three diagnostic methods, the sensitivity is highest for nitrazine test (86.8%) and the specificity is highest for ROM- check test (72.2%). The positive predictive value shows no significant difference among three methods and the negative predictive value is highest for actim PROM test (61.9%). The combination of ROM-check test and actim PROM test shows most accurate detection rates for diagnosis of preterm premature rupture of the membranes (sensitivity 84.2%, specificity 42.3%, positive predictive value 56.1%, negative predictive value 64.7%). CONCLUSION: Our data shows that combination of diagnostic methods might improve detection rate for PPROM. Future studies remain to improve detection rate of PPROM.
Delivery Rooms ; Diagnosis ; Female ; Gestational Age ; Humans ; Membranes* ; Pregnancy ; Pregnant Women ; Rupture* ; Sensitivity and Specificity

PURPOSE: The purpose of this study was to investigate the effect of aroma inhalation therapy on stress, anxiety, depression, and an autonomic nervous system reaction in high-risk hospitalized pregnant women. METHODS: A quasiexperimental study used a non-equivalent control group non-synchronized design. Fifty high-risk hospitalized pregnant women were selected as participants on delivery room and maternity ward at university hospital. Twenty-five were selected for the experimental group while 25 were assigned to a control group. Neroli essential oil was used for aroma therapy and was already identified as not being hazard to pregnant women. It provided emotional stability from previous study. The participants inhaled Neroli 2 minutes, 3 times (9 am to 10 am, 4 pm to 5 pm, just before sleep) a day. A total of 15 sessions were held from the day of the preliminary investigation. Pre and post written survey and measuring an autonomic nervous system reaction were collected from both groups. RESULTS: The data were analyzed by χ2 test, t-test, and paired t-test. There was a statistically significant difference in stress (t=-3.98, p<.001) between the experimental group and the control group. CONCLUSION: These findings indicate that aroma inhalation therapy is effective as a nursing intervention for the stress relief of hospitalized high-risk pregnant women.
Anxiety* ; Aromatherapy ; Autonomic Nervous System* ; Delivery Rooms ; Depression* ; Female ; Humans ; Inhalation* ; Nursing ; Pregnant Women* ; Respiratory Therapy*

The widespread use of microsurgery in numerous surgical fields has increased the need for basic microsurgical training outside of the operating room. The traditional start of microsurgical training has been in undertaking a 5-day basic microsurgery course. In an era characterised by financial constraints in academic and healthcare institutions as well as increasing emphasis on patient safety, there has been a shift in microsurgery training to simulation environments. This paper reviews the stepwise framework of microsurgical skill acquisition providing a cost analysis of basic microsurgery courses in order to aid planning and dissemination of microsurgical training worldwide.
Costs and Cost Analysis* ; Delivery of Health Care ; Education ; Microsurgery* ; Mortuary Practice ; Operating Rooms ; Patient Safety

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.
Anxiety ; Delivery Rooms ; Female ; Humans ; Linear Models ; Parity ; Parturition ; Pregnancy ; Surveys and Questionnaires ; Seoul ; Spouses

PURPOSE: The aim of this study was to explore patients' experience of participation in their hospital care. METHODS: Face-to-face interviews using a semi-structured interview guide were conducted with a total of 21 patients in a tertiary hospital in Seoul, South Korea. Collected data were analyzed using a qualitative content analysis. RESULTS: Two categories of patients' experience of participation in hospital care emerged: 1) Reactive participatory activity, 2) active participatory activity. Major participatory activities included ‘complying with medical instructions’, ‘listening’, ‘responding’ and ‘questioning’. Healthcare professionals' attentive attitudes and explanation, and availability of care equipment were facilitating factors affecting patient participation in their care, whereas limited accessibility to and poor communication with healthcare professionals, inconvenient patient room, and patient factors were barriers to their participation. CONCLUSION: The findings in this study reveal that patients tend to participate in their care in a reactive way and that healthcare professionals have a significant role in facilitating patients' participation. Furthermore, the care environment and patient factors need to be considered to promote patient participation in hospital care.
Delivery of Health Care ; Humans ; Korea ; Patient Participation ; Patients' Rooms ; Seoul ; Tertiary Care Centers

PURPOSE: This study was to understand the meaning of experience in delivery room practice of male nursing students. METHODS: This is qualitative research using focus groups. Data were collected by group interviews from May 22 to June 20, 2010. The focus group interviews were conducted to 14 male nursing students who had experience clinical practice in delivery room. Data were analyzed through Colaizzi's method, in which meaningful statements were extracted. RESULTS: Five theme clusters were identified from thirteen themes and twenty four sub-themes. The five theme clusters were 1) cultural perception of gender role, 2) perceived reality of male nurse, 3) difficulty in approaching clients, 4) counter-educational environment, 5) insight and new perception. CONCLUSION: For the purposes of remedying male nurse students' problems experienced during clinical practice in delivery room, it seems that there is a need for reeducating nurses' perception of male nurse students and develop programs specially dedicated to clinical practice of male nurse students.
Delivery Rooms ; Focus Groups ; Gender Identity ; Humans ; Interviews as Topic ; Male ; Nurses, Male ; Qualitative Research ; Students, Nursing

PURPOSE: The purpose of the study was to have an in-depth understanding of delivery room nurses'experiences of caring for stillborn babies and their parents. METHODS: After obtaining approval from the Institutional Review Board, data were collected from March 1 to August 30, 2016. A total of six nurses participated in the study. Semi-structured in-depth interviews were conducted and the data subsequently analyzed. RESULTS: Using thematic analysis, six themes were defined and refined: Emotional distress as a result of encountering stillborn babies; Caring for the deceased baby; Concerns for the mother's pain; Consideration for the father; Conflicts between accepting and dismissing parents' requests; and Strong mindset for the stillborn babies and their parents. CONCLUSION: The results showed that the nurses' experiences of caring for stillborn babies and their parents might be a difficult and lonely process. However, it could also be a process of attaining maturity by finding meaning and value in one's work. It would be helpful for the delivery room nurses to share examples of effective communication, train through simulation, and learn useful strategies that each nurse can use.
Delivery Rooms* ; Ethics Committees, Research ; Fathers ; Humans ; Parents* ; Qualitative Research ; Stillbirth