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Purpose@#This study aimed to analyze the tasks of midwives who lead natural childbirth in hospitals using the DACUM technique. @*Methods@#Data were collected from 42 hospital midwives between August 23 to October 12, 2022, and the importance, frequency, and professional difficulty of hospital midwives' tasks were assessed. The collected data were analysed using the IBM SPSS Statistics ver. 22.0 program as the average and standard deviation for the importance, difficulty, and frequency of performance the analyzed tasks. The importance, difficulty, and frequency of performance each task were indicated as high, medium, or low,; furthermore, the importance and difficulty were multiplied and analyzed using the coefficient of determination.Result: Midwives’ tasks in natural childbirth in hospitals were classified into 8 duties, 138 tasks, and 49 task elements. Duties were classified into ‘before childbirth,’ ‘during childbirth,’ ‘after childbirth,’ ‘management of high-risk pregnant women,’ ‘goods management,’ ‘administrative work,’ ‘self-development,’ and ‘newborn care.’ The most important and difficult tasks with the highest coefficient of determination were performing neonatal resuscitation if necessary (11.25), transporting and managing emergency patients (10.46), requesting hospitals to transfer patients in case of emergency (10.43), and transferring patients to a tertiary hospital in case of maternal of neonatal emergency (10.30). @*Conclusion@#In this novel study in Korea, the role of a midwife in a hospital for natural childbirth were defined, and task according to duties were analyzed.
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Purpose@#We aim to assess infertility stress, gratitude, and changes in couple relationship of the women under reproductive treatments and to identify the relationships between variables. @*Methods@#The subjects were 212 infertile women receiving reproductive treatments. The data were collected by self-administered questionnaires from June to August in 2019. The questionnaire consisted of the questions about infertility stress, gratitude and changes in their couple relationships. Descriptive statistics, t-tests, 1-way analysis of variance, and correlation coefficient were analyzed using the SPSS 26.0 Windows program. @*Results@#The level of Infertility stress, gratitude, and changes in couple relationship averaged 3.23±0.59 (range of 1 to 6), 4.85±1.06 (range of 1 to 6), 3.03±0.55 (range of 1 to 5), respectively. Infertility stress had a negative correlation with gratitude (r=-0.322, p<0.001) and changes in couple relationship (r= -0.371, p<0.001). Gratitude also had a negative correlation with changes in couple relationship (r=-0.370, p<0.001). @*Conclusion@#The results revealed that infertility stress has a negative correlation with gratitude and changes in couple relationship. Thus, psychological interventions that can alleviate negative emotions should be provided.
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Purpose@#We aim to assess infertility stress, gratitude, and changes in couple relationship of the women under reproductive treatments and to identify the relationships between variables. @*Methods@#The subjects were 212 infertile women receiving reproductive treatments. The data were collected by self-administered questionnaires from June to August in 2019. The questionnaire consisted of the questions about infertility stress, gratitude and changes in their couple relationships. Descriptive statistics, t-tests, 1-way analysis of variance, and correlation coefficient were analyzed using the SPSS 26.0 Windows program. @*Results@#The level of Infertility stress, gratitude, and changes in couple relationship averaged 3.23±0.59 (range of 1 to 6), 4.85±1.06 (range of 1 to 6), 3.03±0.55 (range of 1 to 5), respectively. Infertility stress had a negative correlation with gratitude (r=-0.322, p<0.001) and changes in couple relationship (r= -0.371, p<0.001). Gratitude also had a negative correlation with changes in couple relationship (r=-0.370, p<0.001). @*Conclusion@#The results revealed that infertility stress has a negative correlation with gratitude and changes in couple relationship. Thus, psychological interventions that can alleviate negative emotions should be provided.
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Purpose@#High-quality nursing care must be provided for women with infertility, and their nursing care needs must be identified. Although scales have been developed to assess infertility-related stress, quality of life, and psychosocial status, there is a lack of scales that assess the nursing care needs of women with infertility. The purpose of this study was to develop a needs assessment scale for nursing care in women with infertility and to verify its reliability and validity. @*Methods@#The 250 subjects in this study were women with infertility recruited from four hospitals. The scale was developed following the framework of DeVellis, through a literature review, in-depth interviews, development of preliminary items, verification of content validity, development of secondary items, verification of construct validity, and extraction of the final items. Date were analyzed using item analysis, factor analysis, confirmatory factor analysis, Pearson correlation coefficients, and Cronbach’s alpha. Reliability was tested using Cronbach’s alpha, and validity was evaluated using item analysis, exploratory factor analysis, and criterion validity. @*Results@#The final version of the nursing care needs assessment scale for woman with infertility consisted of 18 items. Four factors (physical and psychological nursing care needs, needs for information regarding treatment, needs for infertility-related understanding and concern, and supportive needs) explained 66.0% of the total variance. Cronbach’s alpha was .92 for the overall instrument and ranged from .88 to .91 for the subscales. @*Conclusion@#These results suggest that this needs assessment scale for nursing care in women with infertility demonstrated acceptable validity and reliability and contained items suitable for assessing the level of nursing care needed by women with infertility.
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Purpose@#This study explored the counseling experience of infertility nurses using in depth interview. @*Methods@#The study participants included nurses of infertility centers located “Seoul” city, Korea. The data collection involved fieldwork in nursing at the infertility center of 2 hospitals. Data were analyzed using text analysis and qualitative research was conducted to analyzed the data. @*Results@#The analysis yielded four essential themes: (1) therapeutic communication, (2) identifying the problem of infertile patients and proceeding consultation, (3) professional image and polite attitude, and (4) counseling relaxed comfortably. @*Conclusion@#Infertility nurses’ counseling experience is directed toward the development of an infertility counseling model.
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PURPOSE: The objective of this study was to investigate the patients' needs on integrated supportive service programs for the abortion women. METHODS: The 49 participants in this study were abortion experienced women in 2 infertility hospitals. Data were collected using a structure self-report questionnaire including medical treatment and nursing after abortion, symptom recognition and sexual problems after abortion, management in daily care after abortion and supportive system after abortion. RESULTS: Participants had an average score 3.54 for the need of medical treatment and nursing after abortion, 3.50 for the need of symptom recognition and sexual problems after abortion, 3.27 for the need of management in daily care after abortion and 3.28 for the need of supportive system after abortion. CONCLUSION: In order to effectively conduct integrated supportive service programs for the abortion women, it is necessary to understand appropriate nursing care for women after abortion.
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Female , Humans , Comprehensive Health Care , Health Services Needs and Demand , Infertility , Needs Assessment , Nursing Care , Nursing , Pregnancy ComplicationsABSTRACT
PURPOSE@#The purpose of this study was to identify the influences of recognition on low fertility and views of marriage on childbirth will in university students.@*METHODS@#Participants were 190 university students in Chungchungnamdo province, Korea. The data were collected from May to October 2018 and examined using descriptive statistics, t-test, analysis of variance, Pearson correlation and multiple regression with IBM SPSS Statistics ver. 24.0.@*RESULTS@#Childbirth will was significantly correlated with recognition on low fertility (r=0.20, p=0.002) and views on marriage (r=0.53, p<0.001). Factors associated with childbirth will were views on marriage (β=0.24, p<0.001).@*CONCLUSION@#Theses results suggests that views on marriage have important influences on childbirth will in university students. To improve childbirth will, the positive views on marriage need to be formulated in university students.
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PURPOSE: To develop nurses' educational needs scale for woman with infertility. METHODS: A total of 201 nurses in charge of infertility health services in 4 infertility hospitals and 1 public health center were enrolled for this study. The scale was developed through literature review, in-depth interview, development of preliminary items, verification of content validity, development of secondary items, verification of construct validity, and extraction of final items. Data were analyzed using item analysis, exploratory factor analysis, Pearson's correlation coefficients, and Cronbach's α. RESULTS: Nurses' educational needs scale for women with infertility consisted of 41 items. Three factors (education for disease and symptom of infertility, supporting and counselling for infertility patients, and education for daily life of infertile patients) explained 63.7% of the total variance. CONCLUSIONS: Nurses' educational needs scale for woman with infertility demonstrated acceptable validity and reliability. Its items could be used to assess the level of educational needs for nurses in charge of infertility health services.
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Female , Humans , Education , Health Services , Infertility , Needs Assessment , Public Health , Reproducibility of ResultsABSTRACT
PURPOSE: This study examined the effects of intentional nursing rounds based on the care model on patients' perceived nursing quality and their satisfaction with nursing services. METHODS: The study design was a nonequivalent control group pretest-posttest design. The participants were assigned to the intervention group or the control group in two orthopedic wards of a teaching hospital. A total of 9 rounds (at 7 AM, 9 AM, 12 PM, 3 PM, 5 PM, 8 PM, 10 PM, 2 AM, and 5 AM) were performed every 2 or 3 hours to the experimental group. The intentional nursing rounding intervention was developed through a theoretical development program involving six basic principles which are maintaining belief, knowing, being with, doing for, enabling, and patients' wellness. To evaluate the effects of intentional nursing rounds, data were collected through the Perception of Quality Nursing Care Scale and the Patients' Satisfaction with Nursing Care Quality Questionnaire. RESULTS: The participants were 70 patients (experimental group) and 75 patients (control group). Results of difference-in-difference analysis confirmed that the patient-perceived nursing quality level from the experimental group was 0.85 points (out of 5.00) higher (p = .041) and the satisfaction with nursing services level was 8.28 points (out of 110.00) higher (P < .001) than the control group. CONCLUSION: These results proposed that intentional nursing rounds based on the care model were effective in improving perception of quality nursing care and patients' satisfaction with nursing care. Structured patient-oriented intentional nursing rounds based on the care model are expected to expand to a variety of clinical settings further.