PURPOSE: It is critical that evidence from research is applied to everyday nursing practice to improve the quality of care and health outcomes. Aims of this study were to review high-risk infant related studies published in major nursing and non-nursing journals in Korea and to assess the quality of intervention studies. METHODS: Through the Korean literature search engine of RISS.KR the authors identified 132 studies, and two researchers evaluated each of these studies using the analysis criteria. The quality of intervention studies was assessed using the van Tulder Scale. RESULTS: Among the studies, 40.2% were either thesis or dissertation and 86.4% were quantitative studies. Convenience sampling was the most commonly used sampling method. All experimental studies were quasi-experiment except one pre-experiment study. Sensory stimulation and kangaroo care were the most common interventions for high-risk infants. Over half of the intervention studies were assessed to be "low risk of bias" but both randomization and blinding processes were not adequately satisfied in most of the studies. CONCLUSION: Findings of this study suggest that high-risk infants are more likely to be recruited for experimental studies but types of interventions were very limited. To provide evidence-based care for high-risk infants, rigorously conducted experimental studies should be encouraged.
Humans ; Infant* ; Infant, Newborn ; Infant, Premature ; Clinical Trial* ; Korea ; Macropodidae ; Nursing ; Random Allocation ; Search Engine

Animal shoulder models are important in the investigation of the natural history of various pathologic conditions and for evaluation of the effectiveness of different treatments and biomaterials. The characteristics of animal shoulder models that may be used for rotator cuff related experiments are different with regard to the anatomy, behavioral pattern, advantages and disadvantages in application to each other. The lower primates and all the non-primate species, except the tree kangaroo, were neither functional overhead nor had a true rotator cuff. Utilizing more advanced primates, or perhaps even the tree kangaroo would be ideal and the most relevant to man as they possess a true rotator cuff. However, ethical concerns, costs, and many limitations in obtaining primates generally preclude the use of these animals for such research. Finally we should consider the differences in comparative anatomy and behavioral pattern of each animal model during performance or interpretation of rotator cuff experiments.
Anatomy, Comparative ; Animals ; Biocompatible Materials ; Macropodidae ; Models, Animal ; Natural History ; Primates ; Rotator Cuff* ; Shoulder*

PURPOSE: This study was conducted to investigate nursing students' knowledge and beliefs about Kangaroo care (KC). METHODS: A cross-sectional descriptive design was used. Undergraduate students enrolled in departments of nursing (n=322) from three universities in D city participated. Knowledge and beliefs about KC were measured using the Kangaroo Care Questionnaire (KCQ). RESULTS: The overall level of nursing students' knowledge about KC was very low with a mean score of 6.9 out of 17. The mean score for nursing students' beliefs about KC was 87.4 out of 100, indicating relatively positive beliefs. The students who had both education and exposure to KC had higher scores for knowledge and more positive beliefs about KC compared to students with no experience or exposure to KC. There was a positive correlation between knowledge and beliefs about KC (r=.371, p<.001). CONCLUSION: The results suggest that there is a need to develop educational programs for nursing students in order to increase their knowledge and develop positive beliefs about KC.
Education ; Humans ; Infant, Newborn ; Infant, Premature ; Kangaroo-Mother Care Method ; Macropodidae* ; Nursing* ; Students, Nursing*

PURPOSE: A National survey was conducted to assess neonatal intensive care nurses' practice, barriers, knowledge, and belief regarding Kangaroo Care (KC). METHODS: A descriptive survey was conducted. Kangaroo care questionares were sent to nurses in all hospitals in Korea whose were identified as providing neonatal intensive care services(N=263). Descriptive statistics were used to summarized the data. RESULTS: Among 67 neonatal care units, 61.1% adapted KC in their practice. About 60% of nurses in the KC providing hospital actually practiced KC. Major barrier of practicing KC were infant safety concerns, as well as work load of nurses. Respondants who had practiced KC were more knowledgable and were more positive in their belief regarding KC. CONCLUSION: The findings suggest that in order to overcome barriers of practicing KC, educational programs are recommended designed for nurses. In addition, development of KC practice guideline is necessary to facilicate successful and safe KC.
Humans ; Infant ; Infant, Newborn ; Intensive Care, Neonatal ; Kangaroo-Mother Care Method ; Korea ; Macropodidae ; Practice Patterns, Nurses'

Animal shoulder models are important in the investigation of the natural history of various pathologic conditions and for evaluation of the effectiveness of different treatments and biomaterials. The characteristics of animal shoulder models that may be used for rotator cuff related experiments are different with regard to the anatomy, behavioral pattern, advantages and disadvantages in application to each other. The lower primates and all the non-primate species, except the tree kangaroo, were neither functional overhead nor had a true rotator cuff. Utilizing more advanced primates, or perhaps even the tree kangaroo would be ideal and the most relevant to man as they possess a true rotator cuff. However, ethical concerns, costs, and many limitations in obtaining primates generally preclude the use of these animals for such research. Finally we should consider the differences in comparative anatomy and behavioral pattern of each animal model during performance or interpretation of rotator cuff experiments.
Anatomy, Comparative ; Animals ; Biocompatible Materials ; Macropodidae ; Models, Animal ; Natural History ; Primates ; Rotator Cuff ; Shoulder

PURPOSE: The purpose of this study was to describe the components and content of nursing intervention studies on mother-infant interactions and to present strategies for future studies. METHODS: Four electronic databases in the Korean language were searched to identify studies done between January 1998 and December 2011. The search yielded 145 articles. From these articles, 19 studies met the inclusion criteria. RESULTS: Mother-infant interactions in these studies were found to include verbal and non-verbal communication basic for optimal growth and development of the child. Six kinds of interventions for mother-infant interactions were identified as follows: sensory stimulation, education program, whole body massage, kangaroo care, visiting support, and music therapy. CONCLUSION: Further studies with well designed clinical trials need to be done in the area of child nursing to provide evidence based data for the development of strategies to promote positive mother-infant interactions.
Child ; Education ; Growth and Development ; Humans ; Clinical Trial* ; Macropodidae ; Massage ; Mother-Child Relations* ; Music Therapy ; Nursing* ; Parent-Child Relations

The surgical correction of blepharoptosis is accomplished by operations utilizing the levator frontalis or superior rectus muscle. To obtain the best results in ptosis surgery, it is necessayr to select the appropriate operation for each case. When the levator action is relatively good, resection of the levator muscle is the operation of choice. The treatment of choice when the levator function is minimal or absent is suspending the ptotic upper lid from the brow. For this purpose sutures of cat gut, silk and gold chain or wire (gold, platinum, tantalum, stainless steel), or sling technique of Kangaroo tendon, silicone, fascia lata, skin, orbicularis muscle and sclera have been used. According to Berke, of the above, fascia lata is the best because it does not pull out of the tissues or become infected as often as do other materials. Allogeneic fascia lata seems to be a desirable material, but it is not readily available. The authors attached the ptotic upper lid to the brow by means of using the levator muscle. Instead of resecting the levator muscle as in the Berke ptosis operation through the skiu route, we did not resect the muscle but utilized it. In the course of Berke operation, after the levator muscle has been completely freed, it is divided into three equal parts by longitudinal severing with scissors. The levator muscle is sutured to the upper tarsal edge in correct position with 6-0 cat gut. Next, three stab skin incisions are made at the eyebrow, one near the center, one in the nasal third, one in the temporal third. Three tunnels are made under the skin from the eyebrow incisions to the lid incis:ons. A small forceps is passed through this tunnel and a tongue of the levator muscle drown up and sutured to the frontalis muscle. The other two tongues of the levator muscle are sutured in the same way. The skin incisions are closed with 6-0 black silk, then Frost suture and pressure dressing are applied. The advantages of this method are remarkable, that is, increment of the post operative motility of the upper lid and utilzation of living autogeheic levater muscle VS. heterotopic graft of fascia lata or other materials in all six cases of our report, good results were obtained and infections or complications did not occur.
Animals ; Bandages ; Blepharoptosis ; Cats ; Eyebrows ; Fascia Lata ; Macropodidae ; Platinum ; Sclera ; Silicones ; Silk ; Skin ; Surgical Instruments ; Sutures ; Tantalum ; Tendons ; Tongue ; Transplants

This study was performed to investigate the effect of kangaroo care on anxiety and confidence and gratification of mothering role in mothers of low birth weight infants. The subjects were 30 mothers of low birth weight infants, sixteen for the kangaroo care group and fourteen for the control group, whose infants hospitalized in two neonatal intensive care unit at two university-affiliated hospital. The kangaroo care was applied 9 times during the twenty six days with 40 minutes for each session. The kangaroo care provides the skin-to-skin contact during which a low birth weight infant wearing a diaper and a hat is placed on its mother's chest. The questionnaire, state anxiety was completed before beginning the first intervention. The questionnaire, state anxiety and confidence and gratification of mothering role were completed at 2 weeks after discharge. The data were analyzed by a SPSS program. The results were as follows : 1. There were no significant differences in the state anxiety between the kangaroo care and the control group before beginning the first intervention. The state anxiety was significantly lower in kangaroo care group than in control group. 2.The confidence of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 3.The gratification of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 4. In mothers of low birth weight infants, the state anxiety was negatively correlated to the confidence of mothering role and the gratification of mothering role at 2 weeks after discharge. And the confidence of mothering role in mothers of low birth weight infants was positively correlated to the gratification of mothering role at 2 weeks after discharge. These results suggest that kangaroo care is an effective nursing intervention for mothers of low birth weight infants in reducing the state anxiety, improving the confidence and gratification of mothering role.
Anxiety* ; Humans ; Infant* ; Infant, Low Birth Weight* ; Infant, Newborn ; Intensive Care, Neonatal ; Macropodidae* ; Mothers* ; Nursing ; Thorax ; Child Health ; Surveys and Questionnaires

This study was performed to investigate the effect of kangaroo care on anxiety and confidence and gratification of mothering role in mothers of low birth weight infants. The subjects were 30 mothers of low birth weight infants, sixteen for the kangaroo care group and fourteen for the control group, whose infants hospitalized in two neonatal intensive care unit at two university-affiliated hospital. The kangaroo care was applied 9 times during the twenty six days with 40 minutes for each session. The kangaroo care provides the skin-to-skin contact during which a low birth weight infant wearing a diaper and a hat is placed on its mother's chest. The questionnaire, state anxiety was completed before beginning the first intervention. The questionnaire, state anxiety and confidence and gratification of mothering role were completed at 2 weeks after discharge. The data were analyzed by a SPSS program. The results were as follows : 1. There were no significant differences in the state anxiety between the kangaroo care and the control group before beginning the first intervention. The state anxiety was significantly lower in kangaroo care group than in control group. 2.The confidence of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 3.The gratification of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 4. In mothers of low birth weight infants, the state anxiety was negatively correlated to the confidence of mothering role and the gratification of mothering role at 2 weeks after discharge. And the confidence of mothering role in mothers of low birth weight infants was positively correlated to the gratification of mothering role at 2 weeks after discharge. These results suggest that kangaroo care is an effective nursing intervention for mothers of low birth weight infants in reducing the state anxiety, improving the confidence and gratification of mothering role.
Anxiety* ; Humans ; Infant* ; Infant, Low Birth Weight* ; Infant, Newborn ; Intensive Care, Neonatal ; Macropodidae* ; Mothers* ; Nursing ; Thorax ; Child Health ; Surveys and Questionnaires

PURPOSE: This paper identified the effects of kangaroo care (KC) on maternal self-esteem and the growth and physiological stability of premature infants hospitalized in the neonatal intensive care unit. METHODS: The experiment was conducted with an experimental group of 17 infants, and a control group of 17 infants selected by convenience sampling. KC was given to the infants one time a day for 30 minutes after feeding for two weeks. Their weight was measured every morning, and their physiological stability was measured in terms of their body temperature, respiratory rate, heart rate, oxygen saturation, and stability of the cardio-respiratory system in premature infants (SCRIP) score, as physiological responses at every 10 minutes during the intervention. Maternal self-esteem was assessed by a maternal self-report inventory. RESULTS: The experimental group showed significant increase in the self-esteem of mothers. Also, KC was effective on physiological stabilization of preterm infants. CONCLUSION: This study suggests that KC can be provided in clinical settings more widely in Korea as one of the nursing interventions aimed at promoting maternal self-esteem as well as infants' physiological stabilization.
Body Temperature ; Heart Rate ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Intensive Care, Neonatal ; Korea ; Macropodidae ; Mothers ; Oxygen ; Respiratory Rate