Development of a virtual reality program in South Korea for the measurement of vital signs in children: a methodological study

Purpose@#We developed a virtual reality (VR) program for use in pediatric nursing practicums to help nursing students learn to measure vital signs in children. @*Methods@#The analysis, design, development, implementation, and evaluation model was employed between July 2021 and December 2021 at a university in South Korea. In the analysis phase, in-depth interviews were conducted with four nursing students, two nursing school graduates, and four experts. The topic and contents of the VR program were settled in the design phase. The VR program was developed and subsequently used and evaluated by 20 nursing students and four experts. @*Results@#The contents of the VR program for pediatric nursing practicums included the measurement of vital signs in a newborn baby and a young child, as well as an evaluation system. The mean score for the nursing students' satisfaction with practice was 4.02 out of 5 points. The mean scores for overall satisfaction with the VR program were 4.15 and 4.79 out of 5 points for nursing students and experts, respectively. @*Conclusion@#The VR program developed in this study allows nursing students to practice measuring vital signs in children, thus improving the students' clinical performance in pediatric nursing.

Utilizing Video vs Simulation Practice for Handoff Education of Nursing Students in Pediatric Nursing

PURPOSE: The purpose of this study was to develop a model for handoff education for nursing students based on simulation using video and to identify educational effects of a simulated situation in pediatric care units. METHODS: Data were collected from May 1 to 30, 2016. Participants were 84 senior nursing students in Seoul(video group: 43, simulation group: 41). Both groups were given a lecture and pre-briefing on handoff education. The simulation group had nursing practice on resolving health issues for respiratory distress using a high-fidelity baby simulator. The video group watched a video recording of a scenario based simulation, and used a summarized handoff situation to practice patient handoff to another student. RESULTS: There was no significant difference between the two groups for handoff self-confidence, problem solving ability, handoff competence(self-assessment of students), or learning satisfaction. Self-confidence increased significantly in both groups. Handoff competency evaluated by the instructor was higher in the video group compared to the simulation group(t=2.33, p=.022). CONCLUSION: Nursing student education for handoff practice utilizing a video in the pediatric unit was more cost effective. Therefore, it could be a useful educational method for students in learning patient handoff practices and helpful for related research.

Needs for Children's Health Promotion Education as Perceived by Child Care Center Teachers and Mothers

PURPOSE: The purpose of this study was to determine the needs for children's health promotion education programs as perceived by child care center teachers and mothers. METHODS: This study conducted a survey of 88 child care center teachers and 70 mothers of preschool children in Seoul from January 4 to February 5, 2016. This study aimed to characterize the current conditions of health promotion education for preschool children and the needs for health promotion education as perceived by child care center teachers and mothers of preschool children. RESULTS: Areas of high need for health promotion education included lifestyle improvements for preventing diseases in children and awareness of the importance of health in educational objectives, standardized educational manuals, health educators as educators, child care centers as educational places, local health centers as educational support organizations, regular class hours as educational time, role play for training, and actual models in the educational medium. The educational subjects for which a high need was reported included safety and accident prevention, the role of smartphones and TV watching in mental health, and personal hygiene and disease prevention. CONCLUSION: These findings suggest that it is necessary to develop a health promotion education program for preschool children.

Perception on Parental Coping on Unintentional Injury of Their Early Infants and Toddlers: Q Methodological Approach

PURPOSE: The purpose of this study was to identify parental coping strategies in the face of early infant and toddler injury, and to provide basic data for a parental education program and the most desirable directions it should take. METHODS: A Q-methodology to analyze the subjectivity of each item was used. Thirty-four Q-statements were derived from a literature review and interviews. Forty-seven parents were classified into a shape of normal distribution using a 9-point scale. Collected data were analyzed by the pc-QUANL program. RESULTS: Five types of parental coping in early infant and toddler injury were identified. Type I was “hospital treatment focused”, type II was “Improving the safety of the child's environment”, type III was “expression of negative emotion”, type IV was “taking the lead in problem solving”, and type V was “Interrogating the person in charge of the situation in which the injury occurred”. CONCLUSION: The results of this study indicate that different approaches to educational programs can be used for parents in early childhood injury.

Persistence of Integrated Nursing Simulation Program Effectiveness / 기본간호학회지

PURPOSE: This study was done to evaluate the persistency of effects of an integrated nursing simulation program on interest in learning, recognition of importance of communication, communication skills, and problem-solving abilities. METHOD: Forty-seven nursing students were recruited for this quasi-experimental design research. The experimental group (n=23) performed the simulation program for two weeks, and the control group (n=24) performed traditional clinical nursing practice for two weeks. Data were collected at baseline, immediately after the intervention, at 4 weeks, and finally at 8 weeks. RESULTS: With respect to all variables, no significant differences were found between the experimental group and the control group. Interest in learning showed a significant increase in the control group (F=3.59, p=.018) at 4 weeks, and there was a significant increase in problem-solving abilities in the experimental group (F=4.98, p=.004) immediately after the intervention. CONCLUSION: Findings from this study suggest that the integrated nursing simulation program is as effective as the traditional clinical nursing practice, and the integrated nursing simulation program could be used as an alternative.

Impact of Job Stress, Depression and Perceived Health Status on Job Satisfaction among Child Care Teachers / 한국직업건강간호학회지

PURPOSE: This study examined the effect of job stress, depression and perceived health status on job satisfaction among child care teachers. METHODS: Data were from a convenient sample of 169 child care teachers with self-administered questionnaires from January 5th to 30th, 2015. Collected data were analysed using SPSS/WIN 18.0. RESULTS: Child care teachers had upper-medium level of perceived health status, lower level of depression and job stress and above medium level of job satisfaction. Affecting factors of job satisfaction among child care teachers included depression, and job stress (Adj.R²=.58, F=78.60, p<.001). CONCLUSION: These results suggest that development of emotional supportive program and supportive system are needed to increase the job satisfaction among child care teachers. Exploration of strategies to reduce the depression and job stress will be necessary in order to increase the job satisfaction.

Stress and Satisfaction from Simulation-based Practice and Clinical Practice on High-risk Newborn Nursing / 한국간호교육학회지

PURPOSE: The purpose of this study was to compare practice stress and practice satisfaction between clinical practice and simulation-based practice groups. METHODS: A total of 159 nursing students (85 in the simulation group and 74 in the NICU group) participated in the study. Research tools measuring practice stress and practice satisfaction were used. Data was analyzed utilizing a t-test, Mann Whitney U-test, and descriptive statistics. RESULTS: The simulation group showed a lower level of practice stress(practice instruction, practice evaluation, interpersonal relationship) a higher level of practice satisfaction compared with the NICU group. CONCLUSION: Simulation-based practice is an effective learning method for high-risk newborn nursing and can be used as an alternative to clinical practice.

Effects of Integrated Nursing Practice Simulation-based Training on Stress, Interest in Learning, and Problem-Solving Ability of Nursing Students / 기본간호학회지

PURPOSE: In this study the time point of effects that repeat exposure to simulation-based nursing training has on stress, interest in learning, and problem-solving abilities were identified. METHODS: Participants for this study were 75 nursing college students in Seoul. In a preliminary survey data were collected and measured for the general characteristics, stress, interest in learning, and problem-solving abilities of the students. Then, stress was assessed before performance of each of four-rounds of simulation training scenarios. After each simulation round, interest in learning and problem-solving abilities were assessed. RESULTS: With respect to stress, no significant differences were found when comparing the results of the preliminary survey to those of each of the simulation-based training exercises. For the sub-items of interest in learning, interest in nursing knowledge and interest in clinical training significantly increased between the preliminary survey and the 4th survey. Interest in lab training increased significantly at the 1st survey. Problem solving abilities showed a significant increase from the preliminary at each of the survey points. CONCLUSION: Increasing the exposure of nursing students to simulation-based training enhances their interest in learning and problem-solving abilities. Therefore it is necessary to have education strategies that includes various simulation experiences for students.

Educational Needs Assessment in Pediatric Nursing Handoff for Nursing Students

PURPOSE: This descriptive research was conducted to identify educational needs in pediatric nursing handoff training to improve students' handoff skills. METHODS: Data were collected using a survey with 188 senior nursing students and 48 pediatric nursing professors and clinical nurses. The survey included items on general information as well as experiences in handoff training, necessity, training content, and items for a handoff training program in pediatric nursing. RESULTS: Of the nursing students, 30.5% reported receiving handoff training during their clinical hours. After their handoff training, the students' confidence index was only 3.78 out of 10. Significantly, 98.3% of the respondents said that pediatric handoff training is necessary. In addition, participants reported that simulation practice (26.5%) is an appropriate educational method, and the time required for handoff training should be 8.16 hrs. Admission process was placed first as the most critical circumstance for handoff (56.8%). High demands were observed for the necessity of training content for patients with respiratory problems. CONCLUSION: The results of this study show the various educational needs for developing a patient safety pediatric handoff training program to promote nursing students' skills in handoff.

Nursing Core Competencies Needed in the Fields of Nursing Practice for Graduates in Nursing / 간호행정학회지

PURPOSE: This study was done to provide information on issues of nursing core competencies needed in the fields of nursing practice for graduates in nursing, from the perspective of nursing managers, and to make suggestion for improving nursing education programs. METHODS: Ten nursing managers participated in this study. They were in charge of clinical nursing education in the fields of nursing practice. Data were collected using focus group interviews and analyzed with the content analysis methodology of Downe - Wamboldt's. RESULTS: Six types of nursing core competency - therapeutic nursing competency, professional nursing competency, administrative nursing competency, humanistic nursing competency, relational nursing competency, and personal nursing competency - were identified as nursing core competencies needed in the fields of nursing practice for graduates in nursing. CONCLUSION: Results of the study show important evidence for decision-making about nursing curriculum revision based on nursing core competency, both in the classroom and in nursing practice areas. These results should contribute to the development of evaluation indicators for nursing students or new nurses. Further research is required to measure degree of nursing core competency in graduates of nursing and to identify the effect of competency-based education for improving nursing core competency.

Exercise Performance and Exercise-related Factors of Korean and Korean-Chinese Nursing Students: A comparative Study

PURPOSE: The purpose of this study was to compare exercise performance with related factors between Korean and Korean-Chinese nursing students. METHODS: This study used a cross-sectional comparative survey method. One hundred sixty five Korean nursing students in Seoul, South Korea and 161 Korean-Chinese nursing students in Yanbian, China were recruited through convenience sampling. They were at the age of 19-26. Exercise performance and exercise-related factors were measured using the exercise performance degree scale and the scales of self-efficacy, perceived barriers, perceived benefits, and affection related to exercise. RESULTS: No significant difference in exercise performance was seen between the two groups. Self-efficacy and perceived benefits related to exercise performance were significantly higher in the Korean nursing students than in the Korean-Chinese nursing students. However, there were no significant differences in affection and perceived barriers related to exercise. CONCLUSION: We suggest that the reasons for the differences in self-efficacy and in perceived benefits between these two groups need to be explored though future studies. We suggest more studies comparing different groups having the same ethnicity as Korean but who were born into different societies to give answers regarding the influence of immigrated transition on health.

Needlestick/Sharps Injuries in Nursing Students in Korea: A Descriptive Survey / 병원감염관리

BACKGROUND: The purpose of this study was to examine the frequency and characteristics of needlestick/sharps injuries (NSIs) in nursing students in Korea. METHODS: The study was based on a survey of questionnaires completed by 341 nursing students who had sustained at least one NSI during clinical practice in hospitals. RESULTS: The NSI incidence rate was 36.4%. Approximately half of the students reported two to four NSIs. Most (90.2%) of the NSIs occurred on the fingertips and were caused by a hollow-bore needle (46.8%) or lancet (45.8%). Some students were exposed to used needles contaminated with unknown pathogens (37.3%), HBs Ag (2.3%), Venereal Disease Research Laboratory (VDRL) (0.8%), or HIV (0.6%). Students cited the reason for injury as carelessness, inexperience, hastiness, or recapping. Almost two-thirds of students who reported having experienced an NSI knew about post-exposure treatment. However, only one-third of the students with NSIs completed an official report. CONCLUSION: Korean nursing students lack knowledge about injury prevention, report procedures, and treatment after NSI. A revised educational approach with emphasis on occupational risk, skill development, and injury reporting is necessary to prevent NSI and to ensure that students obtain post-exposure prophylaxis.

Self-care, Family Support and Depression in Elderly Patients with Diabetes Mellitus / 기본간호학회지

PURPOSE: This study was done to investigate the degree of self-care, family support and depression, and relationship among these variables for elder with diabetes mellitus. METHOD: Participants were 202 diabetic patients, 65 years or over, living in Seoul, Korea. Data were collected using the self-care tool for diabetic patients by Kim (1996), the family support tool for diabetic patients by Park (1984), and Korea\' s BDI scale by Lee (1995). RESULTS: Of the patients, 43.1% showed HbA1c levels than higher 7%. The highest mean score was for self-care for medication compliance, and the lowest for blood glucose testing compliance. Factors affecting self-care were employment, education, HbA1c level, diabetic self-care education and complications. Factors affecting family support were living with family, diabetic self-care education, hospitalization and complications. Factors affecting depression were gender, living with family and complications. All of these factors were significant. Patients experiencing depression were 16.8% of patients. There was a significant positive correlation between self-care and family support, and significant negative correlations between self-care and depression, and family support and depression. CONCLUSION: For more effective management of diabetes mellitus in elders, improvement in self-care compliance, and family support are needed

Effect of a Tooth-brushing Education Program on Oral Health of Preschool Children

PURPOSE: To examine the effect of tooth-brushing education on the oral health of preschoolers. METHODS: A quasi-experimental design with a non-equivalent control group was used. Two kindergartens were selected and 39 preschoolers from one kindergarten were assigned to the experimental group with tooth-brushing education and 39 from the other kindergarten to the control group. The tooth-brushing education program included 1 session on oral health education, individual tooth-brushing instruction for 1 week and supervised tooth-brushing after lunch for 4 weeks. Oral health behavior including use of tooth paste, tooth-brushing time and method of tooth-brushing, plague, streptococcus mutans, lactobacillus and dental caries were measured before and after the education. Fisher's exact test, t-test and paired t-test with the Window SAS 9.1 program were used to analyze the data. RESULTS: A significant increase in the use of tooth paste, tooth-brushing time and the practice of correct tooth-brushing and a decrease in plague and development of dental caries were observed in the experimental group. CONCLUSION: This tooth-brushing education was partially effective in improving oral health of preschoolers.

Research Trends in the Journal of Korean Academy of Fundamental Nursing: Based on Analysis of the Journal of Korean Academy of Fundamental Nursing from 2001 to 2007 / 기본간호학회지

PURPOSE: The purpose of this study was to analyze articles published in the Journal of Korean Academy of Fundamental Nursing from 2001 to 2007. METHOD: Three hundred articles were analyzed using descriptive statistics. The focus was on research type, methodolgy and keywords. RESULTS: Thirty percent of the research was supported financially. Ninety-four percent was quantitative research and of these the majority were surveys (73.2%). The rate of adoption for hypotheses in experimental studies were 55.07% but only 3% of the research included conceptual framework. The most common settings for data collection were clinical settings (51.99%), followed by community settings (43.71%). For data analysis, descriptive statistics (27.5%), t-test (17.1%), ANOVA (15.3%) and chi-square (7.9%) were most frequently used. Keywords were categorized into four nursing metaparadigms : human-beings, health, nursing, and environment. The most frequently used domain was health. CONCLUSION: The number of research papers published in the Journal of Korean Academy of Fundamental Nursing has increased and the quality has improved compared with articles published before 2001 year. Research topics varied and were mostly conducted on the basis of logical positivism.

Factors Influencing Basic Nursing Skill Competency in Nursing Students / 기본간호학회지

PURPOSE: This research was conducted to identify major factors that influence competency for nursing students in basic nursing skills. METHOD: Data were collected by questionnaires from 290 first year students in one college of nursing. The instrument tools included motivation for admission to nursing, concern about fundamentals of nursing, perceived importance of fundamentals of nursing, level of active participation in fundamentals of nursing, number of times to use open Lab, Lab class satisfaction, self-efficacy, self-evaluation and student attitude. RESULTS: There was no significant correlation between competency in basic nursing skills and motivation for admission to nursing, concern about fundamentals of nursing, perceived importance of fundamentals of nursing, or number of times to use open Lab. Competency in basic nursing skill in these students showed a significantly positive correlation to Lab class satisfaction, self-efficacy, self-evaluation, student attitude and level of active participation in fundamentals of nursing. The major factors that influenced competency in basic nursing skills for nursing students were student attitude, self-efficacy and number of times to use open Lab. These factors explained 15.5% of the variance in competency. CONCLUSION: Basic nursing skill practice education programs should be developed to improve self-efficacy and active participation.

An Analysis of Research Trends Published in the Journal of Korean Academy of Fundamentals of Nursing (JKAFN) based on Knowledge Development Classifications of Nursing: 2006 Year of Publication Articles in JKAFN / 기본간호학회지

PURPOSE: This study was conducted to identify the nature the research trends of articles published in the Journal of Korean Academy of Fundamentals of Nursing (JKAFN). METHOD: Comparison analysis between articles in JKAFN (Volume 13, Number 1-3) and articles in the Journal of Korean Academy of Nursing (Volume 36, Number 1-3, 5-7) based on knowledge development classification was used to identify the nature of research trends in JKAFN. RESULTS: Based on comparison with Journal of Korean Academy of Nursing, research trends in JKAFN were dominant; in personal knowledge in the pattern of knowing in nursing, in the desiderative focus in cognitive needs for nursing epistemology, in advancing of various aspects of nursing in the focus of knowledge, and practice domain in the domains for nursing. CONCLUSION: The major focuses on research trends in JKAFN were nursing practice, actions of nurses in practice and practice guideline applicable in nursing education.

Comparison of Sleep Pattern, Factors of Sleep Disturbance and Sleep Enhancement Behaviors between Sleep Disturbance and Non-Sleep Disturbance Aged Patients / 기본간호학회지

PURPOSE: This study was done to compare sleep patterns, factors of sleep disturbance and sleep enhancement behaviors between sleep disturbance and non-sleep disturbance elderly patients. METHOD: The participants were 117 patients over 65 years old who were hospitalized at 5 general hospitals in Seoul. There were 83 patients in the good sleeper group and 34 in the poor sleeper group. The survey questionnaires included questions on general characteristics, sleep patterns, sleep disturbing factors, and sleep enhancement behaviors of the patients. RESULTS: For sleep patterns and environmental factors of sleep disturbance, the poor sleepers was significantly higher than that of the good sleepers. Significant differences between good sleepers and poor sleepers were also found on the following variables: Environmental factors of sleep disturbance -'Sound of other patient's or care-giver's', 'Discomfort of bed, linen, pillow and patient's gown', 'Light in the room', 'Emergency situations', 'Temperature of patients rooms too hot or too cold'. The significant physical factor of sleep disturbance was 'Hard to breath even without moving' and for sleep enhancement behaviors: 'Use of ear plugs or eye covers'. CONCLUSION: Consequently it is necessary to develop positive and differentiated programs for sleep enhancement for the inactive and poor sleeper among the elderly patients.

The Effect of Disinfection and the MRSA Isolation from Hand Disinfectant in ICU Nurses / 기본간호학회지

PURPOSE: This study was a within subject repeated pretest-posttest design done to compare the effect of disinfection and the degree of MRSA(Methicillin-resistant staphylococcus aureus) isolation from hand disinfectant in ICU nurses. METHOD: Out of the total internal medicine/surgery ICU nurses at a university hospital in Seoul, 29 female nurses who were participating in direct patient care were participants in this study. After collection of samples, Staphylococcus aureus and MRSA were isolated from the palms, nails and nasal cavities of the nurses according to disinfectants (soap and beta-scrub). RESULTS: The effect of disinfection was greater in the beta-scrub group than in the soap group, and the effect of disinfection on palms was higher in the beta-scrub group than in the soap group. As for the degree of MRSA isolation, there was more isolation in palms in the soap group than in the beta-scrub group but there was no difference in the degree of MRSA isolation from the hand disinfectant in nails and nasal cavities. CONCLUSION: Beta-scrub showed a superior prolonged effect against transient bacteria compared with soap. Further, to reduce MRSA infection, we recommend interventions focused on these aspects.

Knowledge, Compliance and Levels of Risk Factor Recognition for Needlestick Injuries in Student Nurses / 기본간호학회지

PURPOSE: The purpose of this study was to investigate the levels in student nurse of knowledge, compliance and risk factor recognition for needlestick injuries. METHOD: Nine hundred and thirty eight(938) student nurse from 3 universities and 3 junior colleges participated in this study. Completed questionnaires were collected between October and November 2004. They were analyzed by using the descriptive statistics and chi2-test, t-test with the SAS program. RESULTS: There were no significant differences in the general characteristics of participants between the two groups - Needlestick Injury(NSI) group and non-Needlestick Injury(non-NSI) group. The scores for knowledge levels of treatment after needlestick injuries and the risk factor recognition level were significantly higher in the NSI group. The scores for performance level as to handling and using needles after needlestick injuries were significantly higher in the non-NSI group. CONCLUSION: It is necessary to develop a preventive program to decrease the needlestick injury rate among student nurse.