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Factors associated with weight loss behaviors among Korean female adolescents: a bio-psycho-social model approach. 韩国女性青少年减肥行为的相关因素:生物-心理-社会模型方法。
Child Health Nursing Research Pub Date : 2026-04-01 Epub Date: 2026-04-30 DOI: 10.4094/chnr.2025.035
Soon Ok Kim, Yeon-Hee Jeong
{"title":"Factors associated with weight loss behaviors among Korean female adolescents: a bio-psycho-social model approach.","authors":"Soon Ok Kim, Yeon-Hee Jeong","doi":"10.4094/chnr.2025.035","DOIUrl":"10.4094/chnr.2025.035","url":null,"abstract":"<p><strong>Purpose: </strong>Weight loss behaviors are common among Korean female adolescents and are often influenced by distorted body image and sociocultural pressures, leading some to unhealthy practices. This study examined biological, psychological, and social factors associated with weight loss behaviors using Engel's biopsychosocial model.</p><p><strong>Methods: </strong>This secondary analysis utilized data from the 19th Korea Youth Risk Behavior Survey (2023), focusing on 21,632 female middle and high school students. Logistic regression was conducted to analyze associations between weight loss behaviors and biopsychosocial variables such as body mass index (BMI), grade level, stress, anxiety, body image distortion, smoking, and nutrition education experience.</p><p><strong>Results: </strong>Among female adolescents, 46.5% reported having attempted weight loss. In logistic regression analysis, biological factors (grade level and BMI percentile), psychological factors (perceived stress, distorted body image, generalized anxiety disorder risk, and smoking), and social factors (nutrition education) were significantly associated with weight loss behaviors. Key predictors included being in middle school (odds ratio [OR], 1.22), higher BMI, elevated stress, distorted body image (OR, 1.90), generalized anxiety, smoking (OR, 1.53), and lack of nutrition education (OR, 1.10). Psychological factors, especially body image distortion and emotional distress, emerged as major contributors to weight loss behaviors.</p><p><strong>Conclusion: </strong>Weight loss behaviors among Korean female adolescents are influenced by complex biopsychosocial factors beyond physical health concerns. Nursing interventions should incorporate emotional regulation, body image education, and school-based health literacy programs. Early identification through multidimensional assessment is crucial for effective prevention.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 2","pages":"184-192"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783958","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}
引用次数: 0
A theory of planned behavior-based analysis of factors associated with human papillomavirus vaccination intentions among high school students in South Korea: a cross-sectional study. 韩国高中生人乳头瘤病毒疫苗接种意向相关因素的计划行为分析理论:一项横断面研究。
Child Health Nursing Research Pub Date : 2026-04-01 Epub Date: 2026-04-30 DOI: 10.4094/chnr.2025.057
Kyung-Ok Kim, In Young Cho
{"title":"A theory of planned behavior-based analysis of factors associated with human papillomavirus vaccination intentions among high school students in South Korea: a cross-sectional study.","authors":"Kyung-Ok Kim, In Young Cho","doi":"10.4094/chnr.2025.057","DOIUrl":"10.4094/chnr.2025.057","url":null,"abstract":"<p><strong>Purpose: </strong>This descriptive study identified factors influencing high school students' intentions to receive human papillomavirus (HPV) vaccination using Ajzen's theory of planned behavior as the guiding framework.</p><p><strong>Methods: </strong>Participants were 192 male and female high school seniors aged 18 years or older who could express their opinions independently. In April 2023, participants completed structured, self-administered questionnaires assessing HPV vaccination intention, HPV knowledge, attitudes toward HPV vaccination, subjective norms, and perceived behavioral control. Data were analyzed using independent t-tests, one-way analysis of variance with the Scheffé post hoc test, Pearson correlation coefficients, and hierarchical multiple regression.</p><p><strong>Results: </strong>Intention to receive HPV vaccination was significantly predicted by subjective norms (β=.31, p<.001), perceived behavioral control (β=.31, p<.001), attitudes (β=.22, p<.001), and school gender composition (β=.19, p=.005). Subjective norms and perceived behavioral control exerted the greatest influence and together explained 54% of the variance in intention (adjusted R2=.54).</p><p><strong>Conclusion: </strong>These findings provide fundamental evidence for developing effective interventions to enhance high school students' intentions to receive HPV vaccination. Efforts should focus on fostering positive perceptions of HPV vaccination by providing accurate information about its benefits and potential adverse effects, supported by credible public messaging.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 2","pages":"129-139"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783973","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}
引用次数: 0
Rejection parenting style is a key factor associated with child maltreatment during COVID-19 in Indonesia: a cross-sectional study. 一项横断面研究:拒绝型父母方式是与印度尼西亚COVID-19期间儿童虐待相关的关键因素。
Child Health Nursing Research Pub Date : 2026-04-01 Epub Date: 2026-04-30 DOI: 10.4094/chnr.2025.029
Robiyatul Adawiyah, Nani Nurhaeni, Nur Agustini, Mega Hasanul Huda, Fajar Tri Waluyanti
{"title":"Rejection parenting style is a key factor associated with child maltreatment during COVID-19 in Indonesia: a cross-sectional study.","authors":"Robiyatul Adawiyah, Nani Nurhaeni, Nur Agustini, Mega Hasanul Huda, Fajar Tri Waluyanti","doi":"10.4094/chnr.2025.029","DOIUrl":"10.4094/chnr.2025.029","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the factors contributing to child maltreatment in Indonesia during the COVID-19 (coronavirus disease 2019) pandemic, highlighting the overlooked impact of parenting practices on various maltreatment forms during this unprecedented period.</p><p><strong>Methods: </strong>Using a cross-sectional design, the research used the ICAST-C (Indonesian version of Child Abuse Screening Tools for Children) tool to assess instances of child maltreatment. The study consisted of 219 high school students from Bekasi and Bandung City in West Java, Indonesia, selected through a stratified proportionate random sampling approach, followed by recruitment and consent procedures. An online questionnaire facilitated data collection, which was analyzed using multivariate logistic regression.</p><p><strong>Results: </strong>Children experiencing parental rejection were significantly more likely to face violence (adjusted odds ratio [AOR], 2.99; p<.001). Rejection-based parenting was identified as a significant causal factor contributing to psychological maltreatment (AOR, 3.59; p<.001), whereas higher parental education levels directly contributed to increased psychological maltreatment (AOR, 1.99; p=.024). Additionally, rejection significantly influenced physical maltreatment (AOR, 5.17; p<.001) and neglect (AOR, 3.29; p<.001). Interestingly, emotional warmth is also linked to heightened neglect (AOR, 2.29; p=.017). These findings highlight rejection as a critical factor influencing overall child maltreatment (AOR, 6.99; p<.001).</p><p><strong>Conclusion: </strong>This study establishes a significant causal relationship between parental rejection and various forms of child maltreatment, excluding sexual violence. It emphasizes the need for targeted interventions, such as parenting education and community support, to address parental rejection and promote healthier parenting practices. Longitudinal studies are essential for further exploring these dynamics.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 2","pages":"213-223"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783991","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}
引用次数: 0
Latent class analysis of sexual behavior patterns and multidimensional health characteristics among Korean adolescents: a cross-sectional study. 韩国青少年性行为模式和多维健康特征的潜在分类分析:一项横断面研究。
Child Health Nursing Research Pub Date : 2026-04-01 Epub Date: 2026-04-30 DOI: 10.4094/chnr.2026.006
Seul Ki Park
{"title":"Latent class analysis of sexual behavior patterns and multidimensional health characteristics among Korean adolescents: a cross-sectional study.","authors":"Seul Ki Park","doi":"10.4094/chnr.2026.006","DOIUrl":"10.4094/chnr.2026.006","url":null,"abstract":"<p><strong>Purpose: </strong>Adolescents with same-sex or both-sex sexual experience face disproportionate health risks, yet research has predominantly examined single health problems rather than their multidimensional patterns. This study employed latent class analysis (LCA) to identify distinct health typological classes among Korean adolescents and characterize the distribution of sexual behavior patterns across these classes.</p><p><strong>Methods: </strong>We analyzed 278,066 middle- and high-school students in the 2013-2016 Korea Youth Risk Behavior Survey. The LCA used 17 indicators encompassing sexual behavior patterns, health behaviors, health perceptions, and mental health. Complex-sample weighted analyses examined associations between latent classes and sociodemographic characteristics, sexual behaviors, and diseases.</p><p><strong>Results: </strong>Four distinct classes were identified: mental health high-risk group (10.1%), substance use high-risk group (6.5%), average group (36.3%), and healthy group (47.1%). Adolescents with same-sex or both-sex sexual experience were disproportionately concentrated in the two high-risk classes, comprising 3.3% of the mental health high-risk group and 4.1% of the substance use high-risk group, compared with only 0.3% and 0.5% of the average group and the healthy group. The mental health high-risk group exhibited extremely elevated prevalence rates of suicidal ideation (96.2%), depressive symptoms (88.5%), and suicide attempts (27.5%), while the substance use high-risk group showed high rates of smoking (82.4%) and alcohol use (84.6%) but better mental health.</p><p><strong>Conclusion: </strong>Adolescents with same-sex or both-sex sexual experience demonstrate health inequality through disproportionate classification in the mental health high-risk group and the substance use high-risk group. The findings underscore the need for integrated interventions combining mental health support and substance use prevention.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 2","pages":"140-153"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783956","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}
引用次数: 0
Effect of upright nesting position with swaddling on physiological status, sleep duration, and feeding tolerance in preterm infants in Indonesia: a quasi-experimental study. 印度尼西亚早产儿直立窝位与襁褓对其生理状态、睡眠时间和喂养耐受性的影响:一项准实验研究。
Child Health Nursing Research Pub Date : 2026-04-01 Epub Date: 2026-04-30 DOI: 10.4094/chnr.2025.042
Dian Anggur Yulianti, Nyimas Heny Purwati, Dhea Natashia, Anita Apriliwati
{"title":"Effect of upright nesting position with swaddling on physiological status, sleep duration, and feeding tolerance in preterm infants in Indonesia: a quasi-experimental study.","authors":"Dian Anggur Yulianti, Nyimas Heny Purwati, Dhea Natashia, Anita Apriliwati","doi":"10.4094/chnr.2025.042","DOIUrl":"10.4094/chnr.2025.042","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the effects of upright nesting compared with swaddling on physiological status, sleep duration, and feeding tolerance in preterm infants in the neonatal intensive care unit.</p><p><strong>Methods: </strong>A total of 48 preterm infants, 24 per group, with gestational ages of 31 to 36 weeks, were enrolled. During the study, all infants were fed every 2 hours and did not receive sedation. Those requiring respiratory support or presenting with congenital abnormalities were excluded. At the unit level, participants were assigned to the \"upright nesting\" or the \"swaddling\" group. Physiological parameters, such as body temperature, oxygen saturation, heart rate, and respiratory rate, as well as sleep duration and feeding tolerance, were measured over 3 consecutive days. To examine group effects, time effects, and group-by-time interactions, linear mixed models were applied.</p><p><strong>Results: </strong>Baseline characteristics, including sex, birth weight, and gestational age, were comparable between groups. Infants receiving upright nesting showed higher mean body temperature and oxygen saturation, lower heart rate, longer sleep duration, and improved feeding tolerance. Linear mixed models presented significant main effects of time for temperature, oxygen saturation, and heart rate, while significant group effects were presented for sleep duration and feeding tolerance. Group by time interactions were not statistically significant, suggesting favorable trends without differential change over time.</p><p><strong>Conclusion: </strong>Upright nesting supports physiological stability, promotes longer sleep duration, and enhances feeding tolerance in preterm infants. Furthermore, it is a promising supportive strategy in neonatal intensive care, but larger studies are needed to confirm the results.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 2","pages":"193-202"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783975","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}
引用次数: 0
Sudden pertussis outbreaks in Guro-gu, Seoul: epidemiological characteristics and contributing factors in 2024. 首尔九老区2024年百日咳突发疫情:流行病学特征及影响因素
Child Health Nursing Research Pub Date : 2026-04-01 Epub Date: 2026-04-30 DOI: 10.4094/chnr.2025.058
Woosuk Han, Heejin Kimm, Yeun Soo Yang, Jun Wook Kwon, Euncheol Son
{"title":"Sudden pertussis outbreaks in Guro-gu, Seoul: epidemiological characteristics and contributing factors in 2024.","authors":"Woosuk Han, Heejin Kimm, Yeun Soo Yang, Jun Wook Kwon, Euncheol Son","doi":"10.4094/chnr.2025.058","DOIUrl":"10.4094/chnr.2025.058","url":null,"abstract":"<p><strong>Purpose: </strong>Although pertussis is a vaccine-preventable disease, its incidence increased rapidly in Guro-gu, Seoul, since May 2024. This study aimed to investigate the epidemiological characteristics of pertussis cases and outbreaks during this period.</p><p><strong>Methods: </strong>Data from epidemiologic investigations of 355 laboratory-confirmed pertussis cases reported in 2024 in Guro-gu, Seoul, were analyzed using national surveillance records. Demographics, vaccination status, outbreak-associated educational settings, and symptom-to-test intervals were analyzed using descriptive statistics and non-parametric tests.</p><p><strong>Results: </strong>Between May and December 2024, 355 cases were reported, 85.4% of which occurred among school-aged children and adolescents, representing a marked increase compared with previous years. Outbreaks were identified in two elementary schools, three middle schools, and four private academies, indicating clustered transmission in educational settings, with school-based attack rates ranging from 3.2% to 6.3%. Among 146 outbreak-associated school cases, 95.4% had completed age-appropriate vaccination on time. The symptom-to-test interval showed a right-skewed distribution (median, 6 days; interquartile range, 3-11), with longer delays observed in high school students.</p><p><strong>Conclusion: </strong>The sharp increase in pertussis cases among school-aged children underscores the need for strengthened surveillance in educational settings and improved timeliness of testing to reduce transmission. Delays in symptom-to-test intervals and the occurrence of cases despite age-appropriate vaccination suggest possible waning immunity, highlighting the importance of evaluating booster vaccination strategies and targeted age-specific public health interventions.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 2","pages":"203-212"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783998","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}
引用次数: 0
Impact of stress, loneliness, and emotional dysregulation on drug use potential among middle school students in South Korea: a cross-sectional study. 压力、孤独和情绪失调对韩国中学生吸毒潜力的影响:一项横断面研究
Child Health Nursing Research Pub Date : 2026-04-01 Epub Date: 2026-04-30 DOI: 10.4094/chnr.2026.001
Sun Nam Park, Jongeun Lee, Eunae Kim
{"title":"Impact of stress, loneliness, and emotional dysregulation on drug use potential among middle school students in South Korea: a cross-sectional study.","authors":"Sun Nam Park, Jongeun Lee, Eunae Kim","doi":"10.4094/chnr.2026.001","DOIUrl":"10.4094/chnr.2026.001","url":null,"abstract":"<p><strong>Purpose: </strong>This study is a descriptive survey examining the effects of stress, loneliness, and emotional dysregulation on adolescents' potential for drug use.</p><p><strong>Methods: </strong>Data were collected through face-to-face surveys conducted between August 28 and September 11, 2023, with a sample of 118 second-year students from a middle school in South Korea. The survey questionnaire included items on general characteristics, substance-related characteristics, adolescent stress, loneliness, emotional dysregulation, and drug use potential.</p><p><strong>Results: </strong>The analysis revealed significant differences in drug use potential based on academic achievement, school satisfaction, family relationship satisfaction, economic status, smoking experience, and substance use history. Furthermore, drug use potential showed a significant positive correlation with stress, loneliness, and emotional dysregulation. The key predictors of drug use potential were loneliness in family relationships, emotional dysregulation, and school satisfaction with a total explanatory power of 33.8%.</p><p><strong>Conclusion: </strong>To prevent adolescent drug use potential, it is essential to develop and implement nursing intervention programs that reduce family-related loneliness, provide support for emotional regulation difficulties, and promote smoking prevention.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 2","pages":"163-173"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783993","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}
引用次数: 0
Maternal experiences of home care for young children with tracheostomies in South Korea: a qualitative descriptive study. 韩国气管切开术幼儿的母亲家庭护理经验:一项定性描述性研究。
Child Health Nursing Research Pub Date : 2026-04-01 Epub Date: 2026-04-30 DOI: 10.4094/chnr.2025.049
Seonmin Lee, Sun-Mi Chae
{"title":"Maternal experiences of home care for young children with tracheostomies in South Korea: a qualitative descriptive study.","authors":"Seonmin Lee, Sun-Mi Chae","doi":"10.4094/chnr.2025.049","DOIUrl":"10.4094/chnr.2025.049","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored the maternal experiences of providing home care for infants and toddlers with tracheostomies in South Korea.</p><p><strong>Methods: </strong>Using a qualitative descriptive design, the study examined the experiences of 10 mothers with children under 36 months who had at least 3 months of home care experience. Semi-structured interviews were conducted between April and August 2024, lasting from 72 to 138 minutes. All interviews were audio-recorded, transcribed verbatim, and analyzed by employing thematic analysis.</p><p><strong>Results: </strong>Four main themes were identified: (1) navigating the demands of home care, (2) bearing witness to a constrained childhood, (3) drifting apart through caregiving strain, and (4) learning to carry the weight alone and together. These reflected the mothers' struggles with inadequate preparation, limited support, financial and emotional strain, along with the gradual development of caregiving expertise through lived experience and peer support, particularly via online.</p><p><strong>Conclusion: </strong>Mothers caring for young children with tracheostomies in South Korea faced interrelated systemic, economic, developmental, and psychosocial challenges, while developing a sense of competence and resilience. The findings highlight the need for context-responsive strategies in South Korea, including standardized caregiver education and transitional support, equitable access to essential resources, inclusive childcare opportunities, and integrated psychosocial services. Collectively, these efforts are essential to ensuring safer and more sustainable pediatric tracheostomy care at home.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 2","pages":"116-128"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784010","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}
引用次数: 0
Longitudinal changes and predictors of happiness in South Korean early adolescents: a panel study using latent growth modeling. 韩国早期青少年幸福感的纵向变化和预测因素:使用潜在增长模型的小组研究。
Child Health Nursing Research Pub Date : 2026-04-01 Epub Date: 2026-04-30 DOI: 10.4094/chnr.2025.041
Hyesun Jeong, Mi-Ae You, Yoonju Lee
{"title":"Longitudinal changes and predictors of happiness in South Korean early adolescents: a panel study using latent growth modeling.","authors":"Hyesun Jeong, Mi-Ae You, Yoonju Lee","doi":"10.4094/chnr.2025.041","DOIUrl":"10.4094/chnr.2025.041","url":null,"abstract":"<p><strong>Purpose: </strong>Early adolescence is a pivotal developmental stage characterized by rapid physical, emotional, and social changes. Happiness during this period is crucial as it influences later life outcomes. This study examined 4-year changes in happiness and identified predictors among Korean early adolescents.</p><p><strong>Methods: </strong>A secondary analysis of longitudinal panel data was conducted using latent growth modeling to assess changes in happiness over 4 years, utilizing data from the Panel Study on Korean Children (11th-14th waves) with a total of 1,177 participants. Descriptive statistics were computed using IBM SPSS ver. 29.0, and latent growth modeling, including unconditional and conditional models with associated factors variables, was conducted using IBM AMOS ver. 29.0.</p><p><strong>Results: </strong>A nonlinear trajectory was identified with a sharp decline in happiness, particularly between the ages of 11 and 12 years. Self-esteem, peer attachment, and a creative school environment emerged as protective factors mitigating this decline, whereas parental attachment influenced baseline happiness but not its trajectory. Higher self-esteem, stronger peer attachment, and supportive school environments were associated with a slower decline in happiness.</p><p><strong>Conclusions: </strong>Our findings highlight the importance of early interventions beginning around the age of 11 years, a critical period when happiness decreases more steeply. Practical implications include developing school-based and psychosocial programs that strengthen self-esteem and positive peer relationships, and fostering autonomy-supportive, creative educational environments. Coordinated efforts between schools and families are essential to promote adolescents' emotional well-being and ensure balanced development in academic and socio-emotional domains.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 2","pages":"174-183"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784039","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}
引用次数: 0
Challenges and strategic directions in pediatric nursing clinical practicum in South Korea: a descriptive study. 韩国儿科护理临床实习面临的挑战与战略方向:一项描述性研究。
Child Health Nursing Research Pub Date : 2026-04-01 Epub Date: 2026-04-30 DOI: 10.4094/chnr.2025.036
Ka Ka Shim, Eun Sun Ji
{"title":"Challenges and strategic directions in pediatric nursing clinical practicum in South Korea: a descriptive study.","authors":"Ka Ka Shim, Eun Sun Ji","doi":"10.4094/chnr.2025.036","DOIUrl":"10.4094/chnr.2025.036","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine the current status and key challenges of pediatric nursing clinical education in South Korea and to provide strategic directions for quality improvement based on competency-based learning outcomes.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 89 pediatric nursing faculty members working at various universities nationwide between February and July 2024. Quantitative data were analyzed using descriptive statistics, and qualitative responses were analyzed using inductive content analysis.</p><p><strong>Results: </strong>Practicum objectives primarily focused on inpatient care (98.9%) and core nursing skills (83.1%), while communication and problem-solving (22.4%) and ethics (21.3%) were underrepresented. Although high-fidelity simulation use reached 33.7%, interactive tools such as virtual reality (17.9%) and nursing process evaluations (7.8%) remained underutilized. Six themes emerged from the analysis of faculty perspectives on enhancing clinical practicum education: structural barriers in securing sites, inconsistent learning environments, overcrowding, limitations of observation-only learning, regulatory constraints, and excessive faculty burden.</p><p><strong>Conclusion: </strong>This study proposes establishing standardized clinical protocols, expanding hybrid simulation-based models to compensate for shrinking clinical sites, and institutionalizing industry-academic cooperative frameworks to ensure the quality and equity of pediatric nursing education. These approaches are essential to enhancing the quality and equity of pediatric clinical nursing education in Korea.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"32 2","pages":"154-162"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783985","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}
引用次数: 0
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