Purpose: : The purpose of this study was to identify factors influencing the clinical competence of nursing students. Methods: : The participants of this study were 209 nursing students who were in 3rd and 4th grade. The collected data were analyzed using one-way ANOVA, Kruskal-Wallis test, Mann-Whitney test, Pearson’s correlation coefficients, and stepwise multiple regression. Results: : Clinical competence had positive relationships with self-leadership (r=.59, p ＜.001) and resilience (r=.64, p ＜.001). Clinical competence was influenced by resilience (β=.45), self-leadership (β=.20), and grade (β=.20), with an explanatory power of 44.9%. Conclusions : Based on these results, it is suggested that future nursing education should develop a curriculum that enhances students’ personal abilities such as self-leadership and resilience, rather than only teaching knowledge and skills.

PURPOSE: Parents with a premature infant are usually confronted with difficulties in caring for their babies and need education on appropriate care. The purpose of this paper was to describe the components of caring education for parents with a premature infant based on an integrative literature review and to present strategies for future education. METHODS: Four electronic databases were searched to identify studies. Sixteen articles were selected through full text screening of related research published in domestic journals from January 1990 to October 2012. RESULTS: Through in-depth discussion and investigation of the relevant literature, three components emerged; (a) nurses as educators and parents as learners, (b) education content including caring on admission or discharge, and effects of education, and (c) education environment including timing, place and materials. CONCLUSION: Future education on caring for premature infant should include the nurse as educator and have diverse content including parent's role, interaction with healthcare providers, and special care for premature infants with special problems. Moreover, highly technical teaching materials should be provided, along with continuous support of institution and government to individual caregivers. Results of this study provide comprehensive prospective and basic standards for education on premature infant care.
Caregivers ; Electronics ; Electrons ; Health Personnel ; Humans ; Hypogonadism ; Infant, Newborn ; Infant, Premature ; Mass Screening ; Mitochondrial Diseases ; Ophthalmoplegia ; Parents ; Teaching Materials

PURPOSE: Involvement of families in rounds is one strategy to implement patient- and family-centered care to help families get clear information about their child, and be actively involved in decision making. The purpose of this paper was to identify the major concepts of family-centered rounds for hospitalized children. METHODS: We searched five electronic databases for relevant articles and used Whittemore and Knafl's integrative review methods to synthesize the literature. Articles published between June 2003 and January 2016 were reviewed and through full text screening 24 peer-reviewed articles were found that met the selection criteria for this review. RESULTS: Through in-depth discussion and investigation of the relevant literature, four overarching components emerged: (a) cognition of parents and medical staff, (b) effective communication, (c) collaboration of family and medical staff, (d) coaching of medical staff. CONCLUSION: For successful family-centered rounds positive cognition is important. Appropriate communication skills and consideration of multi-cultural family can lead to effective communication. Offering consistent and transparent information is important for collaboration between family and medical staff. Prior education on family-centered rounds is also important. Four major components have been identified as basic standards for implementing family-centered rounds for hospitalized children.
Child ; Child, Hospitalized* ; Cognition ; Cooperative Behavior ; Decision Making ; Education ; Family Nursing ; Humans ; Mass Screening ; Medical Staff ; Parents ; Patient Selection ; Teaching Rounds

Purpose: Many studies have maintained that nursing support is necessary and essential for mothers of preterm infants; however, the perceived nursing support for mothers of preterm infants has not been sufficiently measured. This study aimed to develop a perceived nursing support scale for mothers of preterm infants (PNSS-MP). Methods: The preliminary items of the PNSS-MP were developed through a literature review and in-depth interviews with mothers of preterm infants. Content and face validities were assessed by experts and mothers of preterm infants. A pilot study was conducted to confirm the feasibility and comprehension of the scale. To validate the PNSS-MP, 223 mothers of preterm infants were surveyed. Exploratory factor analyses were performed to confirm construct validity. Convergent and discriminant validities were analyzed using a multitrait-multimethod (MTMM) matrix. Reliability was tested by calculating Cronbach’s α and performing split-half testing. Results: The PNSS-MP consisted of 27 items and was categorized into five factors, explaining 65.3% of the total variance. The factors were named: “baby care support” (7 items), “mental care support” (6 items), “maternal role support” (6 items), “introducing resources support” (4 items), and “information delivery support” (4 items). The overall reliability of the scale was .95. Conclusion The PNSS-MP adequately reflected the neonatal intensive care unit (NICU) in South Korea. Additionally, the PNSS-MP proved relatively valid and reliable; therefore, it can be used to measure nursing support in the NICU.

Purpose: The aim of this study was to clarify and define the concept of nursing support as perceived by mothers of preterm infants. Methods: The research was conducted using Schwartz-Barcott and Kim's hybrid model. Sixteen articles were analyzed during the theoretical phase. In-depth interviews were conducted with 10 mothers of preterm infants in the fieldwork phase. In the final analytical phase, the attributes of nursing support were defined. Results: There were four themes and 10 attributes of nursing support as perceived by mothers of preterm infants. "Professional care" and "emotional care for the baby" were identified as attributes of baby care support. "Information related to the disease", "inpatient environment", "baby's daily hospital life", and "mother-centered care" were identified as attributes of information delivery support. "Empathy for mothers" and "therapeutic communication with the mother" were identified as attributes for mental care support. Lastly, "providing a chance for the mother to take care of the baby" and "reinforcement of the maternal role" were identified as attributes of maternal role support. Conclusion The 10 attributes of this study could provide a base for the development of a nursing support instrument and practical guidelines for mothers in neonatal intensive care units.

Purpose: Obesity among children from low-income families is becoming a social problem. The aim of this study was to evaluate the effectiveness of an obesity prevention program that included physical activity, nutrition education, behavioral modification, and primary caregiver participation components among children from low-income families. Methods: The study analyzed a nonequivalent control group using a pretest-posttest design. A total of 77 children were recruited from six community childcare centers using purposive sampling. For the intervention group (n=40), the pretest was administered before the combined intervention program involving the participants' primary caregivers was conducted for 8 weeks. The posttest was conducted immediately after the program and again four weeks after the program. Results: Flexibility (F=4.64, p=.020), muscular endurance (F=11.22, p<.001), nutritional knowledge scores (F=4.79, p=.010), body image satisfaction scores (F=4.74, p=.012), and self-esteem scores (F=3.81, p=.029) showed significant differences and interactions between group and time for the intervention and control groups. Conclusion Strategies to actively engage the primary caregivers of low-income families in children's obesity programs are needed. Obesity prevention programs for children based on the program in this study should be routinely developed, and continuing attention should be given to children from low-income families.

Purpose: The purpose of this study was to find core components of psychological intervention for firefighters by integrative literature review. Methods: Whittemore and Knafl’s integrative review methods was used to synthesize the literature. Articles published in Korean and English were identified through seven electronic databases. Nineteen studies were ultimately selected that met the selection criteria for this review. Results: Through in-depth discussion and investigation of the relevant literature, three overarching components emerged: (a) resilience prevention for primary prevention, (b) early crisis intervention for secondary prevention, and (c) tailored recovery intervention for tertiary prevention. Conclusion The three main components found in the results of this study can be important evidence-based data when developing a psychological intervention for firefighters.

Purpose: The purpose of this study was to find core components of psychological intervention for firefighters by integrative literature review. Methods: Whittemore and Knafl’s integrative review methods was used to synthesize the literature. Articles published in Korean and English were identified through seven electronic databases. Nineteen studies were ultimately selected that met the selection criteria for this review. Results: Through in-depth discussion and investigation of the relevant literature, three overarching components emerged: (a) resilience prevention for primary prevention, (b) early crisis intervention for secondary prevention, and (c) tailored recovery intervention for tertiary prevention. Conclusion The three main components found in the results of this study can be important evidence-based data when developing a psychological intervention for firefighters.

Purpose: Firefighters belong to an occupational group that is consistently exposed to psychological challenges, such as post-traumatic stress disorder (PTSD). This study examines firefighters’ perceptions of psychological intervention programs. Methods: Semi-structured interviews were conducted with 12 firefighters who were divided into two focus groups. Qualitative data were analyzed using content analysis. Results: Six barriers and seven suggestions regarding psychological intervention programs were identified. The barriers were “work overload”, “uncomfortable counseling situation”, “perfunctory programs”, “lack of consulting specialists”, “limited number of participants”, and “lack of replacement workers while attending the intervention programs”. Suggestions to overcome these barriers included developing “sustainable” and “highly accessible” intervention programs “focused on positive aspects of traumatic events”, considering “job characteristics” and “individual psychosocial characteristics”, as well as employing “experts with knowledge of firefighters’ duties”, and “creating a supportive work environment for psychological intervention”. Conclusion Based on these findings, the interventions should focus on the positive aspects of traumatic events, with flexibility and practicality, tailored to the individual and occupational characteristics of firefighters.

Purpose: : Developing infection control capabilities during the COVID-19 pandemic was critical. This study aimed to develop a simulation program to control patients with COVID-19 in nursing students and examine the effects on COVID-19 knowledge, COVID-19 nursing intention, self-efficacy learning, and clinical performance. Methods: : The study used nonequivalent control group pretest-posttest design. Sixty nursing students were recruited from two different colleges using purposive sampling. For the intervention group(n=30), the pretest was administered before the simulation program, involving six sessions of online lectures and simulation practices. Immediately, the posttest was conducted following the program. Results: : COVID-19 knowledge (t=9.87, p ＜.001), COVID-19 nursing intention (t=4.45, p ＜.001), learning self-efficacy (t=6.49, p ＜.001), and clinical performance (t=6.77, p ＜.001) increased significantly after the program, revealing the positive effect of the COVID-19 infection control simulation program in nursing students. Conclusion : The results of the study and the curriculum may be used as practical evidence for COVID-19 infection control in nursing schools and medical institutions.