Awareness of using chatbots and factors influencing usage intention among nursing students in South Korea: a descriptive study

Purpose@#Artificial intelligence (AI) has had a profound impact on humanity; in particular, chatbots have been designed for interactivity and applied to many aspects of daily life. Chatbots are also regarded as an innovative modality in nursing education. This study aimed to identify nursing students' awareness of using chatbots and factors influencing their usage intention. @*Methods@#This study, which employed a descriptive design using a self-reported questionnaire, was conducted at three university nursing schools located in Seoul, South Korea. The participants were 289 junior and senior nursing students. Data were collected using self-reported questionnaires, both online via a Naver Form and offline. @*Results@#The total mean score of awareness of using chatbots was 3.49±0.61 points out of 5. The mean scores of the four dimensions of awareness of using chatbots were 3.37±0.60 for perceived value, 3.66±0.73 for perceived usefulness, 3.83±0.73 for perceived ease of use, and 3.36±0.87 for intention to use. Significant differences were observed in awareness of using chatbots according to satisfaction with nursing (p<.001), effectiveness of using various methods for nursing education (p<.001), and interest in chatbots (p<.001). The correlations among the four dimensions ranged from .52 to .80. In a hierarchical regression analysis, perceived value (β=.45) accounted for 60.2% of variance in intention to use. @*Conclusion@#The results suggest that chatbots have the potential to be used in nursing education. Further research is needed to clarify the effectiveness of using chatbots in nursing education.

Psychometric validation of the Child Healthy Lifestyle Profile in South Korea: a cross-sectional study

Purpose@#This study aimed to validate the Child Healthy Lifestyle Profile as an instrument for screening healthy behaviors in school-aged children in South Korea. @*Methods@#Self-reported questionnaires were administered to 454 students, comprising elementary-school students (n=221) and child cancer survivors (n=233). Reliability and validity were assessed using Cronbach's ⍺, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA). @*Results@#Cronbach's ⍺, as a reliability test, was 0.87. Varimax rotation yielded nine factors with eigenvalues greater than 1 in the EFA, which explained 61.0% of the total variance. In the CFA, both convergent and discriminant validities were acceptable. Therefore, the Child Healthy Lifestyle Profile was validated as an assessment tool for Korean school-aged children. @*Conclusion@#Based on the results of this study, the Child Healthy Lifestyle Profile was identified as a reliable and valid instrument for assessing healthy lifestyles in elementary-school children in South Korea.

Healthy lifestyles in childhood cancer survivors in South Korea: a comparison between reports from children and their parents

Purpose@#This study investigated childhood cancer survivors' behavior related to a healthy lifestyle during their survival period by comparing reports between childhood cancer survivors and their parents. @*Methods@#In this comparative descriptive study, a survey was conducted with a 33-item questionnaire and one open-ended question about areas for improvement. The participants comprised 69 childhood cancer survivors and 69 of their parents, for a total of 138. @*Results@#The total mean healthy lifestyle score, on a 4-point Likert scale, reported by childhood cancer survivors was 2.97, while that reported by their parents was 3.03. No significant differences in children's healthy lifestyles were found between childhood cancer survivors' and their parents' reports (t=0.86, p=.390). For the open-ended question, the main keywords based on the results of degree and eigenvector centrality were "exercise", "unbalanced diet", and "food". These keywords were present in both the children's and parents' responses. @*Conclusion@#Obtaining information on childhood cancer survivors' healthy lifestyles based on reports from themselves and their parents provides meaningful insights into the improvement of health care management. The results of this study may be used to develop and plan healthy lifestyle standards to meet childhood cancer survivors' needs.

An integrative review of studies of condom use among Korean college students

Purpose@#The purpose of this study was (a) to synthesize studies of condom use among South Korean college students, and (b) to appraise the quality of each article using Gough's weight of evidence. @*Methods@#Studies published in English and Korean were searched in electronic databases using the terms "student or college student or university student or undergraduate", "condom", and "Korea*". @*Results@#Twenty studies met the inclusion criteria, showed appropriate quality, and were therefore selected for review. The variables related to condom use were measured in terms of condom-related factors, factors related to non-condom-related knowledge and attitudes, and other factors. Knowledge, attitudes, and self-efficacy were associated with condom use, and there were differences in condom-related factors among men and women. @*Conclusion@#Based on these findings, it was confirmed that sexual education is needed for both men and women to promote condom use. Education on condom use should not only focus directly on condoms, but should also address other aspects of knowledge and attitudes to influence health beliefs. In addition, developing educational programs targeting adolescents and parents will have a positive effect on college students' condom use.

Empathy, cyberbullying, and cybervictimization among Filipino adolescents

Purpose@#The purpose of this study was to gain insights into empathy, cyberbullying, and cybervictimization among Filipino adolescents. @*Methods@#The participants were 168 junior high school students in the 7th to 10th grades at a public high school in Cavite Province, Philippines. Data were collected on demographic characteristics, the Basic Empathy Scale, and Revised Cyber Bullying Inventory-II scores. The data were analyzed in SPSS using descriptive statistics (frequency and mean), the independent t-test, bivariate correlation, and one-way analysis of variance. @*Results@#The degree of empathy did not show a statistically significant relationship with cyberbullying (r=-.07, p=.359) but did show a significant relationship with cybervictimization (r=.18, p=.025). Furthermore, cyberbullying had a statistically significant association with cybervictimization (r=.60, p<.001). @*Conclusion@#Although empathy does not necessarily affect cyberbullying, higher levels of empathy were found among cyberbullying victims. However, an alarming result of this study is the possibility that victims may become cyberbullies. Therefore, we should highlight empathy as part of efforts to prevent cyberbullying and to solve various cyber-related problems. Since cyberbullying and cybervictimization are closely related, it is important to focus on this relationship and to make multilateral efforts to ensure that cyberbullying does not lead to other negative issues.

Development of a Violence Prevention Educational Program for Elementary School Children Using Empathy (VPEP-E)

Purpose@#This study describes the development of a violence prevention educational program for elementary school children using empathy (VPEP-E) that teachers can use during class. @*Methods@#Hoffman's theory of empathy and Seels and Richey's (1994) ADDIE model were applied to develop this program. @*Results@#The developed program consisted of eight sessions: "Orientation/definition of violence and empathy", "Types and boundaries of violence", "Look into my feelings", "Say it with a facial expression", "Preventing non-empathic violence due to social prejudice", "Preventing physical violence", "Verbal and online violence prevention: empathic conversation", and "I can do well: review of the whole curriculum". The program was evaluated by 15 elementary school teachers, who considered it to be easily accessible to elementary school students. The final VPEP-E, which will be provided in eight times for 40 minutes each for fifth-grade students, will provide a basis for preventing violence by fostering empathy. @*Conclusion@#We expect the developed educational program to be effective in preventing violence among elementary school students. However, further research involving children from various age groups is needed.

Attitudes towards Parenthood and Fertility Awareness in Female and Male University Students in South Korea

Purpose@#This study investigated intentions and attitudes towards future parenthood and awareness of fertility among university students in South Korea. @*Methods@#The participants comprised 166 female and male undergraduate students enrolled at five universities. A cross-sectional survey was conducted from May to July 2019 using the Korean version of the Fertility Awareness Questionnaire and Attitudes of Parenthood. The data were analyzed using descriptive statistics based on participants' general characteristics, the x2 test to identify differences in intentions, and the t-test to evaluate attitudes towards parenthood and awareness of fertility in female and male students. @*Results@#Both female and male students desired to have two children, but they lacked awareness about fertility. The possibility of combining work and having children, along with the availability of childcare resources, impacted the desire for parenthood. Male students tended to consider parenthood as less impactful on their lives and careers than female students. Social structures might also impact the decision to have children. @*Conclusion@#It is important to provide health education emphasizing fertility awareness and parenthood in young adulthood so participants can consider these facts in advance. In addition, the government should provide resources for couples making parenthood decisions.

The Influence of Social Media Affinity on Eating Attitudes and Body Dissatisfaction in Philippine Adolescents

Purpose@#This study aimed to examine the influence of social media affinity on eating attitudes and body dissatisfaction among adolescents in the Philippines. @*Methods@#The participants were 114 junior high school students enrolled in 7th to 10th grade in Cavite Province, Philippines. The collected data were analyzed in SPSS, using descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and stepwise multiple linear regression. @*Results@#The factors affecting eating attitudes were body dissatisfaction (β=-.47, p<.001), social media affinity (β=.33, p<.001) and grade (10th grade) (β=-.28, p<.001), and the factors influencing body dissatisfaction were eating attitudes (β=-.65, p<.001) and social media affinity (β=.17, p=.041). @*Conclusion@#In order to promote healthy eating attitudes and to improve body satisfaction among Philippine adolescents, educational strategies tailored to social media users will be needed.

Empathy, Awareness and Attitudes toward Violence among Elementary School Students

Purpose@#The purpose of this study was to investigate empathy, awareness, and attitudes toward violence among elementary school students. @*Methods@#The participants were 195 fifth and sixth grade students in Y elementary school. The data collection period was from June 24 to July 4, 2019. @*Results@#Empathy scores significantly differed according to participants' gender and need for education on violence prevention. Attitudes towards violence (permissive and neglectful) significantly differed according to students' grade and need for education on violence prevention. Empathy was negatively correlated with permissive attitudes toward violence (r=-.26, p<.001) and neglectful attitudes toward violence (r=-.24, p=.001). @*Conclusion@#The results of this study are expected to be utilized as basic data for education on violence prevention through empathy.

An Integrative Literature Review on Pain Alleviation Interventions for Hospitalized Children

Purpose@#The purpose of this study was to review pain alleviation intervention for Korean pediatric inpatients with reference to Kolcaba’s Theory of Comfort. @*Methods@#Whittemore and Knafl’s integrative review methods were used. Articles published in Korean or English were identified through electronic search engines and scholarly web sites. Scientific, peer-reviewed articles published between 2006 and 2019 were included in this review. Twenty-seven articles that met the inclusion criteria were analyzed. @*Results@#Among the 27 selected studies, three were descriptive, while 24 were interventional studies related to pain alleviation interventions. Pain alleviation interventions showed three attributes: identifying pain triggers and the child’s response to pain, effective strategies for pain relief, and nurses’ competence in pain management. @*Conclusion@#The three attributes of pain alleviation interventions using the theory of comfort shown in this study were identified as important factors for obtaining evidence-based data on how to enhance the comfort of hospitalized pediatric patients. In addition, the attributes of pain alleviation interventions should be considered for hospitalized pediatric patients and their family members.

An Integrative Literature Review on Sexual Abuse Prevention Education Programs for Elementary School Students in South Korea

PURPOSE: The purpose of this study was to review sexual abuse prevention education program for Korean elementary school students.METHODS: Whittemore and Knafl's integrative review methods were used and Gough's weight of evidence was employed as a quality appraisal tool. Articles published in Korean or English were identified through electronic search engines and scholarly web sites using three keywords: “elementary school student”, “sexual abuse”, and “prevention education”. Peer-reviewed articles published between 2000 and 2018 were included in this review.RESULTS: Twelve articles met the inclusion criteria and were appraised as being high-quality. Among the 12 selected studies, seven were descriptive, while five were intervention studies. Sexual abuse prevention education programs were effective in improving perceptions, knowledge, attitudes, and preventive behaviors among elementary school students. However, deficiencies were found in the variety of educational methods, utilization of experts, and standardization of the content of sexual abuse prevention education.CONCLUSION: We need to provide various educational methods that are appropriate for specific developmental stages, and the sexual abuse prevention content should draw upon the current sexual education program administered to this population. Furthermore, parents and trained teachers or school health teachers should be included to provide effective education programs for elementary students.

An Integrative Review of Smartphone Utilization for Nursing Education among Nursing College Students in South Korea / 한국간호교육학회지

PURPOSE: The purpose of this study was to (a) synthesize nursing education literature using a smartphone for Korean nursing college students based on Whittemore and Knafl's integrative five-step review method and to (b) evaluate the quality appraisal of each article using Gough's weight of evidence. METHODS: Articles published in Korea were identified through electronic search engines and scholarly websites using a combination of three search terms, including nursing student, smartphone, and education. Scientific, peer-reviewed articles in nursing education for Korean college nursing students, written in Korean or in English, and published between January 2000 and May 2018 were included in this review. Thirteen papers met the inclusion criteria and had above average ratings in quality appraisals. RESULTS: Three characteristics related to nursing education using a smartphone were derived: (a) as a familiar media, motivating learning and enabling self-directed learning, (b) for the purpose of education or evaluation utilizing the educational movie of application, and (c) the iterative exercise of smartphone usage reinforces student learning. CONCLUSION: Smartphone use is an effective tool for improving nursing knowledge and skills for nursing college students in nursing education. Future research is needed to standardize smartphone applications across schools for nursing education.

Content Analysis of Debriefing after Simulation-based Nursing Education on Respiratory Distress Syndrome in the Neonatal Intensive Care Unit

PURPOSE: The purpose of this study was to explore nursing students' experiences of debriefing after simulation-based learning and to obtain fundamental data to support the development of effective teaching strategies. METHODS: Sixty-seven nursing students participated in this study from April to May, 2017. This was a descriptive study analyzing the content of students' descriptions of structured questions in 3 stages (description, analysis, and application) based on recorded videos. RESULTS: The description stage was classified into 3 categories for problem recognition, 4 categories for the nursing plan, and 6 categories for the nursing intervention. The analysis stage was classified into 6 categories for satisfactory practice, 3 categories for experience and 4 categories for what they learned through practice. The application stage was classified into 5 categories, that were to be mastered, and 6 categories, that were important to recognize. CONCLUSION: This study succeeded in charaterizing learners' experiences of debriefing. During the debriefing, students watched recorded videos, and we found that self-evaluation through structured questionnaires could be a very effective way to strengthen students' core competencies. Our content analysis of the debriefing is expected to contribute to the development of effective strategies in simulation-based education for students and nurses.

Development of a Sexual Abuse Prevention Education Program for Elementary School Students Using a Hybrid Application

PURPOSE: The purpose of this study was to develop a sexual abuse prevention education program for elementary school students. METHODS: Orem's Self-Care Theory (1995) and Seels & Richey's ADDIE model (1994) for developing learning materials were applied to develop this program. RESULTS: The development progress of the program consisted of 5 distinct phases: analysis, design, development, implementation, and evaluation. The contents was classified into 6 categories: the definition of sexual abuse, how to deal with sexual abuse, the situational reaction, areas with a high risk for sexual abuse, related organizations, and a wrap-up quiz. The app was easily accessible for elementary school students. CONCLUSION: A sexual abuse prevention program using a hybrid app may be an effective way to reach elementary students, and further research for children of various ages is required.

Knowledge, Attitudes, and Practices of Infection Prevention in Mothers of Young Children

PURPOSE: The purpose of this study was to investigate mothers' knowledge, attitudes, and practices of infection prevention for their children. METHODS: In this descriptive study, data were collected using a questionnaire. A total 157 mothers of young children were surveyed regarding their knowledge, attitudes, and practices of infection prevention. RESULTS: The mean score of knowledge, attitudes, and practices of infection prevention in mothers was found to be above average. There were significant differences in knowledge according to whether the mother was employed (t=2.82, p=.005) and in attitudes according to the mother's age (t=2.13, p=.035). In addition, a significant correlation was found between knowledge and attitudes (r=.16, p=.014), and between attitudes and practices (r=.50, p < .001). CONCLUSION: This research provides baseline information to understand mothers' approaches to infection prevention for their children, and it may serve as a basis for providing educational programs that help infection prevention.

Model Structure for Mother-Child Relationship for Korean Infants and Toddlers and Their Mothers

PURPOSE: The purpose of this study was to set up a hypothetical model to explain causal relationships among influential variables in the mother-child relationship for Korean infants and toddlers and their mothers. The research was based on Barnard's (1978) mother-child relations model, and goodness-of-fit was examined. METHODS: The participants were 207 mothers with infants or toddlers. Data were analyzed using SPSS and AMOS programs. RESULTS: Regarding the influence of the variables on the mother-child relationship between infants and toddlers and their mothers, social support had a 75% explanation of mother-child relationships, and attachment had a 58% explanation of social support. Attachment had both direct and indirect effects on the mother-child relationships, and social support had direct and total effects on the mother-child relationships. Among child-related variables, child temperament had a moderating effect on the mother-child relationships. CONCLUSION: The findings indicate that the model has utility in developing effective nursing intervention methods to boost mother-child relationships between infants and toddlers and their mothers.

Parents' Perception and Behaviors regarding Child Safety Accidents

PURPOSE: The purpose of this study was to investigate parents' perception and behaviors in the case of a child safety accident. METHODS: The participants were 254 parents of children under 12 years old. Data were collected from October 12 to November 25, 2016 using self-report questionnaire. RESULTS: The mean score for parental perception and behaviors showed a high score of 3.12±0.30. In addition, the top three categories were drug management (3.45±0.54), prevention of burns (3.34±0.52), and vehicle safety (3.34±0.44). The overall difference in categories of perception and behaviors about child safety accidents according to demographic characteristics of participants, was developmental age (F=5.616, p=.004). Most of the categories had significant correlation with other categories. CONCLUSION: Findings in this study show parental perception and behaviors were relatively high. It is recommended that safety education for parents should be done for a healthy life for their children.

Effects of an Adolescent Obesity Management Educational Program on Middle and High School Teachers in South Korea

PURPOSE: This study aimed to examine the effects of an adolescent obesity management educational program (AOMEP) on middle and high school teachers. METHODS: A quasiexperimental, pretest post-test design was performed to test primary variables, including adolescent obesity management knowledge, attitudes, perceived behavioral control, and behavioral intention based on the concepts presented in the Theory of Planned Behavior. RESULTS: A total of 61 teachers participated. The experimental group (n = 30) received 15 hours of AOMEP, whereas the control group (n = 31) did not receive any. The experimental group showed significant improvement in knowledge (t = 2.53, d = .65, p = .014) and attitude (t = 2.77, d = .71, p = .008) toward adolescent obesity management compared to the control group. However, there were no significant differences in perceived behavioral control or behavioral intention between the groups. CONCLUSIONS: AOMEP may be utilized as an effective obesity management program for adolescent students in schools.

Relationship between Knowledge, Attitude and Practice of Breast-Self Examination among Middle and High School Girls

PURPOSE: This study was done to investigate the relationship between knowledge, attitude, and practice toward breast self-examination (BSE) among middle and high school girls. METHODS: A cross-sectional descriptive study was conducted using self-report questionnaires. Participants were 412 students, 137 middle and 275 high school girls. Data were collected from December 7 to 23, 2016 and analyzed using t-test and Spearman correlation coefficient. RESULTS: The percentage of correct answers for knowledge about breast self-examination among middle and high school girls was 29.2%. The mean score for practice (5.89±0.10) among middle and high school girls was low. For knowledge, there were significant differences according to grade (t=5.93, p<.001), having heard about BSE (t=4.02, p<.001), experience of BSE (t=2.51, p=.012), and need for education (t=3.37, p=.001). In practice, there were significant differences according to having heard about BSE (t=3.64, p<.001), experience of BSE (t=2.64, p=.017). Knowledge level of BSE positively correlated with practice of BSE (r=.21, p<.001). CONCLUSION: Research results suggest that education on BSE for middle and high school girls is needed to increase the possibility of early detection of breast cancer.

A Survey of Nurses' Perceptions on Child Abuse

PURPOSE: The purpose of this study was to investigate nurses' perceptions on child abuse. METHODS: In this cross-sectional descriptive study, data were collected using a questionnaire and 217 nurses working in seven general hospitals were surveyed. The perception scale was divided into 4 subscales: physical, psychological, sexual abuse and neglect. RESULTS: Nurses who suspected child abuse accounted for 18.1% of the nurses, and 41.9% of the nurses stated that they did not to report suspected child abuse. The nurses reported receiving only a little education about the prevention of child abuse. The mean score for perception on child abuse was high (3.59±0.31). Recognition of sexual abuse ranked highest, psychological abuse ranked lowest. CONCLUSION: The findings from this research provide baseline information for understanding nurses' perceptions on child abuse, and may help in the development of appropriate education programs that will enable nurses to report child abuse.