{"title":"Expanding the role of midwives in Korea.","authors":"Kyung Won Kim","doi":"10.4069/kjwhn.2021.09.09.1","DOIUrl":"https://doi.org/10.4069/kjwhn.2021.09.09.1","url":null,"abstract":"167 http://kjwhn.org According to the State of the World’s Midwifery 2021 report, there are about 1.9 million midwives worldwide, but a shortage of 900,000 midwives remains. The workforce of midwives is insufficient in European countries, the United States, Australia, and Japan, where midwives help with childbirth, as well as in Africa, where the maternal mortality rate is high [1]. In Korea, where 99.5% of newborns are born in hospitals, midwives are also facing a crisis due to the deteriorating circumstances in the field of obstetrics and gynecology resulting from the ultra-low birth rate [2]. As apprenticeships for midwives have disappeared, it has become difficult to train midwives. Midwives are also losing their jobs and closing birth centers in response to the decreasing number of midwife-assisted births, after an earlier period of growth due to the popularity of natural childbirth. Accordingly, this article was written to shed light on the role of midwives during the transition process of the Korean midwifery system and to explore ways of broadening the role of Korean midwives in the future by analyzing examples of the expansion of midwives’ role in other countries.","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 3","pages":"167-170"},"PeriodicalIF":0.6,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40654895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mijong Kim, Geum Hee Jeong, Hae Sook Park, Sukhee Ahn
{"title":"Impact of the COVID-19 pandemic on women's health nursing clinical practicums in the spring 2020 semester in Korea: a nationwide survey study.","authors":"Mijong Kim, Geum Hee Jeong, Hae Sook Park, Sukhee Ahn","doi":"10.4069/kjwhn.2021.09.17.1","DOIUrl":"https://doi.org/10.4069/kjwhn.2021.09.17.1","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated the impact of coronavirus disease 2019 (COVID-19) on women's health nursing clinical practicums in undergraduate nursing schools in Korea during the spring 2020 semester.</p><p><strong>Methods: </strong>A cross-sectional online survey on clinical practicum teaching experiences in the spring 2020 semester was distributed to members of the <i>Korean Society of Women Health Nursing</i> (KSWHN) who taught undergraduate nursing. One faculty member from each of 203 institutions was requested to respond and there were no duplicate participants. Seventy-nine participants (38.9%) responded and 74 responses were analyzed. Descriptive statistics were presented for all survey items.</p><p><strong>Results: </strong>Fifty-two faculty members (70.3%) belonged to universities and 22 (29.7%) taught at colleges. Thirty-eight (51.4%) answered that their institutions had affiliated teaching hospitals. More than half (52.7%) conducted hospital-based clinical practicums either entirely (n=20) or partially (n=19), whereas the rest of them (47.3%) conducted clinical practicums at school or home via online teaching. The typical teaching methods for offline or online education were case conferences, tests or quizzes, scenario studies, nursing skill practicums, (virtual) nursing simulations, and simulated patient education. Most of faculties (93.2%) supported the development of an educational platform to share educational materials and resources, such as case scenarios.</p><p><strong>Conclusion: </strong>Nursing faculty members utilized various teaching methods to enhance clinical skills and mitigate limited clinical exposure during the early stage of the COVID-19 pandemic. The KSWHN should move forward to develop an education platform and modalities for members who face many challenges related to the accessibility and quality of nursing education contents.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 3","pages":"256-264"},"PeriodicalIF":0.6,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hyeyeon Lee, Mihui Kim, Ocksim Kim, Sue Kim, Seongmi Choi
{"title":"Mothers' experience of caring for home-quarantined children after close contact with COVID-19 in Korea: an exploratory qualitative study.","authors":"Hyeyeon Lee, Mihui Kim, Ocksim Kim, Sue Kim, Seongmi Choi","doi":"10.4069/kjwhn.2021.09.11","DOIUrl":"https://doi.org/10.4069/kjwhn.2021.09.11","url":null,"abstract":"Purpose The world saw a shift into a new society consequent to the coronavirus disease 2019 (COVID-19), which made home quarantine mandatory for a person in close contact with those who tested positive. For children, however, home quarantine was not limited only to themselves but parents, especially mothers were involved and required to quarantine. This qualitative study aimed to explore and understand mothers’ experience and their related psychosocial issues while caring for their school-aged children in Korea, who had to home quarantine after coming in close contact with COVID-19 positive individuals. Methods Data were collected from October 2020 to January 2021 via in-depth, semi-structured interviews with nine mothers of children who had to home quarantine. Interviews were conducted face-to-face in an independent space near the participant’s home or workplace (n=5) or via online platforms or telephone (n=4). The data were analyzed using thematic analysis through several iterative team meetings. Results Thematic analysis revealed the following four themes: “Unable to be relieved due to uncertain situations surrounding me,” “Blame and hurt toward me, others, and one another,” “Pulling myself together for my children in my broken daily life,” and “Changes in the meaning of life amid COVID-19.” Conclusion The narratives show that mothers experienced psychosocial difficulties while caring for their children during home quarantine. It is necessary to reduce the social stigma toward individuals in home quarantine and establish policies to ensure work-family compatibility for such mothers.","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 3","pages":"220-229"},"PeriodicalIF":0.6,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40654896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The development of a lifestyle modification mobile application, \"Health for You\" for overweight and obese breast cancer survivors in Korea.","authors":"Su-Jin Seo, Ju-Hee Nho, Youngsam Park","doi":"10.4069/kjwhn.2021.09.14","DOIUrl":"10.4069/kjwhn.2021.09.14","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to develop a lifestyle modification (LSM) mobile application based on the Android operating system for overweight and obese breast cancer survivors (BCS) in Korea and evaluate its usability.</p><p><strong>Methods: </strong>The content analysis, design, development, implementation, and evaluation of the LSM intervention mobile application for overweight and obese BCS was conducted by identifying survivors' needs, searching the literature, and reviewing existing mobile applications. The survey was conducted from June 1 to December 28, 2020 at Jeonju city, Korea.</p><p><strong>Results: </strong>The mobile application for BCS included dietary and exercise information, weight logs, as well as distress and daily achievement check. It also included information and videos on the prevention of breast cancer recurrence and used a communication bulletin board. Expert and user usability evaluation of its content and functions confirmed that it was appropriate and satisfactory for overweight and obese BCS.</p><p><strong>Conclusion: </strong>This LSM mobile application developed for overweight and obese BCS was found to be appropriate for use. It can be applied for further study of effectiveness on improving their health and maintaining a healthy lifestyle, to ultimately improve quality of life.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 3","pages":"243-255"},"PeriodicalIF":1.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40654897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fahima Khatun, Tae Wha Lee, Hye Jung Lee, Jeongok Park, Ju Eun Song, Sue Kim
{"title":"Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning?: a non-synchronized quasi-experimental study.","authors":"Fahima Khatun, Tae Wha Lee, Hye Jung Lee, Jeongok Park, Ju Eun Song, Sue Kim","doi":"10.4069/kjwhn.2021.09.08","DOIUrl":"10.4069/kjwhn.2021.09.08","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to test the efficacy of a nurse-led postpartum self-care (NLPPSC) intervention at reducing postpartum fatigue (PPF) and depressive mood and promoting maternal functioning among first-time mothers in Bangladesh.</p><p><strong>Methods: </strong>A non-synchronized quasi-experimental design was used. First-time mothers were recruited during postpartum and assigned to the experimental or control group (34 each). The experimental group received the NLPPSC in the hospital, a 1-day intervention that focused on increasing self-efficacy. The control group received usual care. Data on PPF, depressive mood, maternal functioning, self-care behaviors, postpartum self-efficacy, and self-care knowledge were collected at postpartum 2 weeks (attrition 23.5%) and 6 weeks (attrition 16.1%). Data were analyzed using descriptive statistics, bivariate statistics, and linear mixed model analysis.</p><p><strong>Results: </strong>One-third (33.3%) of new mothers experienced depressive mood (Edinburgh Postnatal Depression Scale scores of ≥13 points). The NLPPSC intervention was statistically significant in decreasing PPF (β=-6.17, SE=1.81, t=-3.39, <i>p</i><.01) and increased maternal functioning at postpartum 6 weeks in the experimental group (β=13.72, t=3.73, <i>p</i><.01) compared to the control. Knowledge was also statistically significant for increased maternal functioning over time (β=.37, SE=.18, t=2.03, <i>p</i><.05). However, there were no statistically significant differences in depressive mood over time.</p><p><strong>Conclusion: </strong>The NLPPSC intervention was feasible and effective in improving fatigue and maternal functioning in Bangladeshi mothers by postpartum 6 weeks. Postpartum care knowledge was effective in improved maternal functioning and thus supports implementing the NLPPSC intervention for new mothers after childbirth.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 3","pages":"196-208"},"PeriodicalIF":1.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Experiences of hospitalization among pregnant women with preterm labor in Korea: a phenomenological study.","authors":"Joon-Young Lee, Yeoungsuk Song","doi":"10.4069/kjwhn.2021.09.09","DOIUrl":"10.4069/kjwhn.2021.09.09","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to describe pregnant women's lived experiences of hospitalization due to preterm labor in Korea.</p><p><strong>Methods: </strong>This qualitative study adopted a phenomenological approach. Individual in-depth interviews were conducted with nine participants, over the age of 20 years, who had been hospitalized for more than 1 week after being diagnosed with preterm labor. All interviews were audio-taped and verbatim transcripts were made for analysis. The data were analyzed following Colaizzi's phenomenological method.</p><p><strong>Results: </strong>The participants' ages ranged from 26 to 36 years, and all were married women. They were hospitalized for 13.1 days on average. Five thematic clusters emerged from the analysis. 'Withstanding hospitalization for the fetus's well-being' describes women's feelings during preterm labor and their endurance during their prolonged hospitalization, rooted in their conviction that the fetus comes first. 'Endless frustration in the hospital' encompasses women's emotions while lying in bed and quietly thinking to themselves. 'Unmet physiological needs' describes participants' awareness of their inability to independently handle human physiological needs given the need for careful and limited movement. 'Gratitude for the support around oneself' reflects the support from family and medical staff. 'Shifting perceptions and accepting one's circumstances' describes accepting hospitalization and making efforts to spend their remaining time in the hospital in a meaningful way.</p><p><strong>Conclusion: </strong>The findings in this study provide a deeper understanding and insights into the experiences of Korean women with preterm labor during hospitalization, underscoring the need to develop interventions for these patients.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 3","pages":"209-219"},"PeriodicalIF":1.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40654893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Expansion of the role of midwives in gender equity and sexual/reproductive health issues in Japan.","authors":"Yoko Shimpuku","doi":"10.4069/kjwhn.2021.08.24.1","DOIUrl":"10.4069/kjwhn.2021.08.24.1","url":null,"abstract":"","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 3","pages":"171-175"},"PeriodicalIF":1.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40654899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Psychometric properties of an instrument 3: convergent, discriminant, known-groups, and criterion validity].","authors":"Eun-Hyun Lee","doi":"10.4069/kjwhn.2021.08.18","DOIUrl":"https://doi.org/10.4069/kjwhn.2021.08.18","url":null,"abstract":"<p><p>Before evaluating convergent, discriminant, and known-groups validity, it is suggested to design an instrument that reflects hypothetical relationships or differences with other comparator instruments or groups. For criterion validity, a gold-standard instrument measuring the same construct should be carefully selected.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 3","pages":"176-179"},"PeriodicalIF":0.6,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40654894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of nonpharmacological interventions on the psychological health of high-risk pregnant women: a systematic review and meta-analysis.","authors":"Hyeji Yoo, Sukhee Ahn","doi":"10.4069/kjwhn.2021.09.17","DOIUrl":"10.4069/kjwhn.2021.09.17","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to summarize the current evidence on the effects of nonpharmacological interventions on psychological health outcomes for women with high-risk pregnancies due to conditions such as preeclampsia, gestational diabetes, or preterm labor.</p><p><strong>Methods: </strong>The following databases were searched from January 2000 to December 2020: PubMed, Ovid Embase, CINAHL, Web of Science, DBpia, RISS, and KISS. Two investigators independently reviewed and selected articles according to the inclusion/exclusion criteria. RoB 2 and the ROBINS-I checklist were used to evaluate study quality.</p><p><strong>Results: </strong>Twenty-nine studies with a combined total of 1,806 pregnant women were included in the systematic review and meta-analysis. Psychological health improvements were found in women with preeclampsia (Hedges' g=-0.67; 95% confidence interval [CI], -0.91 to -0.44), gestational diabetes (Hedges' g=-0.38; 95% CI, -0.54 to -0.12), and preterm labor (Hedges' g=-0.73; 95% CI, -1.00 to -0.46). The funnel plot was slightly asymmetrical, but the fail-safe N value and the trim-and-fill method showed no publication bias.</p><p><strong>Conclusion: </strong>Nonpharmacological interventions for women with high-risk pregnancies due to conditions such as preeclampsia, gestational diabetes, and preterm labor can improve psychological parameters such as anxiety, stress, and depression. Nurses can play a pivotal role in the nursing management of pregnant women with high-risk conditions and apply various types of nonpharmacological interventions to meet their needs in uncertain and anxious times during pregnancy.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 3","pages":"180-195"},"PeriodicalIF":1.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of a maternal nursing competency reinforcement program on nursing students' problem-solving ability, emotional intelligence, self-directed learning ability, and maternal nursing performance in Korea: a randomized controlled trial.","authors":"Sun-Hee Kim, Bo Gyeong Lee","doi":"10.4069/kjwhn.2021.09.13","DOIUrl":"10.4069/kjwhn.2021.09.13","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to develop a maternal nursing competency reinforcement program for nursing students and assess the program's effectiveness in Korea.</p><p><strong>Methods: </strong>The maternal nursing competency reinforcement program was developed following the ADDIE model. This study employed an explanatory sequential mixed methods design that applied a non-blinded, randomized controlled trial with nursing students (28 experimental, 33 control) followed by open-ended interviews with a subset (n=7). Data were analyzed by both qualitative and quantitative analysis methods.</p><p><strong>Results: </strong>Repeated measures analysis of variance showed that significant differences according to group and time in maternal nursing performance; assessment of and intervention in postpartum uterine involution and vaginal discharge (F=24.04, <i>p</i><.001), assessment of and intervention in amniotic membrane rupture (F=36.39, <i>p</i><.001), assessment of and intervention in delivery process through vaginal examination (F=32.42, <i>p</i><.001), and nursing care of patients undergoing induced labor (F=48.03, <i>p</i><.001). Group and time improvements were also noted for problem-solving ability (F=9.73, <i>p</i><.001) and emotional intelligence (F=4.32, <i>p</i>=.016). There were significant differences between groups in self-directed learning ability (F=13.09 <i>p</i>=.001), but not over time. The three themes derived from content analysis include \"learning with a colleague by simulation promotes self-reflection and learning,\" \"improvement in maternal nursing knowledge and performance by learning various countermeasures,\" and \"learning of emotionally supportive care, but being insufficient.\"</p><p><strong>Conclusion: </strong>The maternal nursing competency reinforcement program can be effectively utilized to improve maternal nursing performance, problem-solving ability, and emotional intelligence for nursing students.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 3","pages":"230-242"},"PeriodicalIF":1.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40654898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}