Factors influencing the caregiving performance of mothers of hospitalized toddlers with acute respiratory diseases: A path analysis.

Studies on the management of respiratory diseases in children have focused on family members' participation and caregivers' needs. However, evidence-based data on the effectiveness of mothers' management of acute respiratory diseases (ARDs) in toddlers are lacking. This study aimed to examine the factors influencing the caregiving performance of mothers of toddlers hospitalized for an ARD and to test a hypothetical causal model based on the Caregiving Effectiveness Model (CEM). A cross-sectional design was used, and participants included 291 mothers of toddlers aged 12-36 months who were hospitalized for an ARD. Based on the CEM, data were analyzed to identify the path of relationships between the factors influencing mothers' care of their hospitalized children and the mothers' caregiving performance. The modified path model had a good fit with the data, with optimal values for all fit indices. The mothers' caregiving performance was influenced by the children's number of hospitalizations, the mother-child relationship, and the mothers' anxiety level. These three factors explained 51.4% of the variance in the mothers' caregiving performance. Educational interventions targeting controllable factors such as mother-child relationships and mothers' anxiety levels may be considered to improve mothers' caregiving performance.

The Moderating Effects of Social Support between Emotional Labor and Job Satisfaction in Clinical Nurses / 한국직업건강간호학회지

PURPOSE: The purpose of this study was to investigate the moderating effects of social support between emotional labor and job satisfaction in clinical nurses. METHODS: Participants were 311 clinical nurses and data were collected from July 11th to 18th, 2014. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and hierarchical multiple regression with SPSS 21.0. RESULTS: The job satisfaction indicated a significant relationship to surface-acting (r=-.191, p=.001), deep-acting (r=.179, p=.002) and social support (r=.342, p<.001) respectively. Emotional labor significantly affected job satisfaction (F=11.592, p<.001), and explained 5.4% of the variance in job satisfaction. The social support acted as a moderator on the relationship between emotional labor and job satisfaction at significant level (F=11.416, p<.001). CONCLUSION: The results of this study suggest that it is important to develop social support promoting and stress relief program for clinical nurses to improve job satisfaction.

Disease Prevalence, Parent's Educational Needs, and Disease Management according to Severity of Respiratory Infections in Early Childhood

PURPOSE: The purpose of this study was to investigate disease prevalence, parent's educational needs, and disease management according to severity of respiratory infections in early childhood. METHODS: Participants for this study were 173 mothers whose child was admitted to I university hospital in Seoul and whose child was an infant or toddler. Data were collected from December, 17, 2014 to February, 15, 2015 using self-report structured questionnaires. Data were analyzed using IBM/SPSS 21.0 program. RESULTS: There were significant differences in the severity of respiratory infection according to neonatal admission due to dyspnea, feeding type, atopic dermatitis in the infant or allergic disease in father and siblings. Parent's educational needs for the severe respiratory infection group were higher than for the non-severe group. Parent's disease management for the severe respiratory infection group was lower than the non-severe group. CONCLUSION: As important care factors in neonatal admissions include dyspnea, cow milk feeding, eczema, family history of allergies, parent's educational needs and disease management, they should be considered when caring for young children with respiratory infections and their parents.