Scott Seung W Choi, Jeong-Kyu Sakong, Hyo Ju Woo, Sang-Kyu Lee, Boung Chul Lee, Hyung-Jun Yoon, Jong-Chul Yang, Min Sohn
{"title":"The association between adverse childhood experiences and self-harm among South Korean children and adolescents: a cross-sectional study.","authors":"Scott Seung W Choi, Jeong-Kyu Sakong, Hyo Ju Woo, Sang-Kyu Lee, Boung Chul Lee, Hyung-Jun Yoon, Jong-Chul Yang, Min Sohn","doi":"10.4094/chnr.2023.29.4.271","DOIUrl":"10.4094/chnr.2023.29.4.271","url":null,"abstract":"<p><strong>Purpose: </strong>Adolescent self-harm is a public health problem. Research suggests a link between adverse childhood experiences (ACEs) and self-destructive behaviors. Few studies, however, have examined the effects of ACEs on self-harm among Asian adolescents. This study explored the association between lifetime ACEs and a history of self-harm among Korean children and adolescents in elementary, middle, and high schools.</p><p><strong>Methods: </strong>A cross-sectional, retrospective medical record review was conducted on a dataset of a national psychiatrist advisory service for school counselors who participated in the Wee Doctor Service from January 1 to December 31, 2020. The data were analyzed using multiple logistic regression to predict self-harm.</p><p><strong>Results: </strong>Student cases (n=171) were referred to psychiatrists by school counselors for remote consultation. Multiple logistic regression analyses revealed that the odds of self-harm were higher among high school students (adjusted odds ratio [aOR]=4.97; 95% confidence interval [CI]=1.94-12.76), those with two or more ACEs (aOR=3.27; 95% CI=1.43-7.47), and those with depression (aOR=3.06; 95% CI=1.32-7.10).</p><p><strong>Conclusion: </strong>The study's findings provide compelling evidence that exposure to ACEs can increase vulnerability to self-harm among Korean students. Students with a history of ACEs and depression, as well as high school students, require increased attention during counseling. School counselors can benefit from incorporating screening assessment tools that include questions related to ACEs and depression. Establishing a systematic referral system to connect students with experts can enhance the likelihood of identifying self-harm tendencies and offering the essential support to prevent self-harm.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 4","pages":"271-279"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522779","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":"Ethical consideration of the use of generative artificial intelligence, including ChatGPT in writing a nursing article.","authors":"Sun Huh","doi":"10.4094/chnr.2023.29.4.249","DOIUrl":"10.4094/chnr.2023.29.4.249","url":null,"abstract":"","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 4","pages":"249-251"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522775","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":"Nursing students' rights in clinical practice in South Korea: a hybrid concept-analysis study.","authors":"Sunghee Park, Mi-Young Choi","doi":"10.4094/chnr.2023.29.4.260","DOIUrl":"10.4094/chnr.2023.29.4.260","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to derive a conceptual definition and attributes for nursing students' rights in clinical practice in South Korea.</p><p><strong>Methods: </strong>This concept-analysis study was conducted at a nursing school in South Korea. The participants were recruited using purposive sampling. The inclusion criteria were being a fourth-year nursing student and having two or more semesters of practical experience. The hybrid model used in this study had three stages. First, 12 studies were reviewed during the theoretical stage. Second, 10 in-depth interviews were conducted during the fieldwork stage. Third, in the analytical stage, the concept of nursing students' rights related to clinical practice was defined and the attributes were derived.</p><p><strong>Results: </strong>The analysis established five attributes of nursing students' rights: the right to learn, the right to be protected from infections and accidents, the right to be cared for and supported, the right to be respected, and the right to be recognized as a member of a nursing team. A key theme that emerged from this study was having the right to learn in a safe and supportive environment.</p><p><strong>Conclusion: </strong>It is necessary to develop a measurement tool based on the above five attributes and to verify its effectiveness.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 4","pages":"260-270"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522778","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":"Weight status in survivors of childhood acute lymphocytic leukemia in South Korea: a retrospective descriptive study.","authors":"Yeongseon Kim, Kyung-Sook Bang","doi":"10.4094/chnr.2023.29.4.280","DOIUrl":"10.4094/chnr.2023.29.4.280","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated weight status in survivors of childhood acute lymphocytic leukemia (ALL) and identified related factors.</p><p><strong>Methods: </strong>A retrospective review of the electronic medical records of survivors of childhood ALL (n=230) was conducted. We analyzed the survivors' characteristics, including sex, age, weight status at diagnosis, central nervous system involvement, risk classification, length of treatment, radiation therapy, and hematopoietic stem cell transplantation. Analysis of variance and the chi-squared test were applied to investigate influencing factors.</p><p><strong>Results: </strong>The weight status distribution was as follows: 23 individuals (10.0%) were classified as underweight, 151 individuals (65.7%) were healthy weight, and 56 individuals (24.3%) were overweight/obese. Age at diagnosis (F=10.03, p<.001), weight status at diagnosis (x2=43.41, p<.001), and risk classification (F=10.98, p=0.027) showed significant differences among the weight status groups. Survivors who were older at diagnosis and those in the very high-risk category had a higher likelihood of experiencing underweight status during their survivorship, while survivors who were overweight/obese at diagnosis were more likely to remain overweight/obese at the time of survival.</p><p><strong>Conclusion: </strong>Considering the potential health implications related to an unhealthy weight status in survivors of ALL, it is imperative to undertake early identification and implement interventions for at-risk individuals.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 4","pages":"280-289"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522780","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":"Awareness of using chatbots and factors influencing usage intention among nursing students in South Korea: a descriptive study.","authors":"So Ra Kang, Shin-Jeong Kim, Kyung-Ah Kang","doi":"10.4094/chnr.2023.29.4.290","DOIUrl":"10.4094/chnr.2023.29.4.290","url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 4","pages":"290-299"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522774","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":"Factors associated with healthcare utilization for infant falls in South Korea: a cross-sectional online survey.","authors":"Soo-Yeon Han, Cho Hee Kim","doi":"10.4094/chnr.2023.29.4.252","DOIUrl":"10.4094/chnr.2023.29.4.252","url":null,"abstract":"<p><strong>Purpose: </strong>Falls are a common cause of unintentional injuries in infants. This study was conducted to examine the patterns of healthcare utilization following infant falls in South Korea.</p><p><strong>Methods: </strong>This cross-sectional descriptive study utilized an online survey designed to gather information regarding the general characteristics of parents and infants, fall-related variables, and healthcare use.</p><p><strong>Results: </strong>The most serious falls identified by parents occurred at an average infant age of 6.97 months. Most fall incidents took place indoors (95.7%), and many occurred under the supervision of caregivers (68.0%). Following the fall, 36.4% of the participants used healthcare services. Logistic regression analysis revealed that healthcare use following an infant fall was significantly associated with being a firstborn child (odds ratio [OR]=5.32, 95% confidence interval [CI], 2.19-15.28) and falling from a caregiver's arms (OR=4.22; 95% CI, 1.45-13.68).</p><p><strong>Conclusion: </strong>To prevent and decrease the frequency of infant falls, improvements are needed in both the domestic environment and parenting approaches.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 4","pages":"252-259"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522776","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":"Knowledge of atopic dermatitis and food allergies, as well as health information literacy, among North Korean refugee mothers: a descriptive survey study.","authors":"In-Sook Lee, Jeong-Hee Jeon","doi":"10.4094/chnr.2023.29.4.300","DOIUrl":"10.4094/chnr.2023.29.4.300","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated knowledge of atopic dermatitis and food allergies, as well as health information literacy, among North Korean refugee mothers with preschool-age children and explored how these variables were related to participants' characteristics.</p><p><strong>Methods: </strong>A descriptive study design was used. Data from 130 North Korean refugee mothers were collected between January and March 2023.</p><p><strong>Results: </strong>The mean scores were 14.48 of 30 for atopic dermatitis knowledge; 2.77 of 10 for food allergy knowledge, and 56.95 of 80 for health information literacy. Significant differences were observed in knowledge of atopic dermatitis based on breastfeeding duration (F=4.12, p=.009), and in knowledge of food allergies based on mixed feeding (F=3.11, p=.049). Health information literacy showed significant relationships with education level (F=3.76, p=.026), occupation (F=3.99, p=.021), checking nutritional information (t=2.91, p=.004), mixed feeding (F=4.50, p=.014), and atopic dermatitis diagnosis (t=6.86, p=.001). Significant positive correlations were observed between atopic dermatitis knowledge, food allergy knowledge, and health information literacy.</p><p><strong>Conclusion: </strong>Personalized educational programs should be implemented to improve awareness of allergies and health information literacy among North Korean refugee mothers, which would help them find, evaluate, and understand health-related information. These programs should focus on providing nutrition and dietary education to promote healthy growth in children and prevent diseases.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 4","pages":"300-312"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522777","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":"Factors influencing COVID-19 vaccination intention among parents of children aged 5-11 years in South Korea: a cross-sectional study.","authors":"Jung Hwa Kang, Yunsoo Kim","doi":"10.4094/chnr.2023.29.3.237","DOIUrl":"https://doi.org/10.4094/chnr.2023.29.3.237","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to identify factors affecting parents' intentions to have their children aged 5-11 years vaccinated against coronavirus disease 2019 (COVID-19).</p><p><strong>Methods: </strong>The participants of the study were 298 parents with children aged 5-11 years in South Korea. Data collection took place from October 20 to October 26, 2022 and used an online survey (Google Forms). Data were analyzed using descriptive statistics, the t test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and hierarchical regression in IBM SPSS version 26.0.</p><p><strong>Results: </strong>The factors influencing participants' vaccination intentions for their children aged 5-11 years were cognitive behavioral control (β=.40, p<.001), attitudes (β=.37, p<.001), subjective norms (β=.20, p<.001), and awareness of whether their child could receive the COVID-19 vaccine (β=.07, p=.016). The explanatory power of the regression equation was 89%.</p><p><strong>Conclusion: </strong>Parents' intentions to vaccinate their children against COVID-19 are influenced by their attitudes, subjective norms, and perceived behavioral control toward vaccines. Since parents are concerned about vaccine side effects, it is important to establish a trusted line of communication to keep them informed about vaccinations.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 3","pages":"237-247"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/54/b5/chnr-29-3-237.PMC10415840.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10353237","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":"Research trends over 10 years (2010-2021) in infant and toddler rearing behavior by family caregivers in South Korea: text network and topic modeling.","authors":"In-Hye Song, Kyung-Ah Kang","doi":"10.4094/chnr.2023.29.3.182","DOIUrl":"https://doi.org/10.4094/chnr.2023.29.3.182","url":null,"abstract":"<p><strong>Purpose: </strong>This study analyzed research trends in infant and toddler rearing behavior among family caregivers over a 10-year period (2010-2021).</p><p><strong>Methods: </strong>Text network analysis and topic modeling were employed on data collected from relevant papers, following the extraction and refinement of semantic morphemes. A semantic-centered network was constructed by extracting words from 2,613 English-language abstracts. Data analysis was performed using NetMiner 4.5.0.</p><p><strong>Results: </strong>Frequency analysis, degree centrality, and eigenvector centrality all revealed the terms ''scale,\" ''program,\" and ''education\" among the top 10 keywords associated with infant and toddler rearing behaviors among family caregivers. The keywords extracted from the analysis were divided into two clusters through cohesion analysis. Additionally, they were classified into two topic groups using topic modeling: \"program and evaluation\" (64.37%) and \"caregivers' role and competency in child development\" (35.63%).</p><p><strong>Conclusion: </strong>The roles and competencies of family caregivers are essential for the development of infants and toddlers. Intervention programs and evaluations are necessary to improve rearing behaviors. Future research should determine the role of nurses in supporting family caregivers. Additionally, it should facilitate the development of nursing strategies and intervention programs to promote positive rearing practices.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 3","pages":"182-194"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/b3/chnr-29-3-182.PMC10415838.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10353239","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":"Perception of precocious puberty among school-aged children in South Korea with the experience of treatment for precocious puberty: a Q methodological approach.","authors":"Sun Jung Park, Hye Ri Nam, Eun Ju Choi","doi":"10.4094/chnr.2023.29.3.195","DOIUrl":"https://doi.org/10.4094/chnr.2023.29.3.195","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the perceptions of precocious puberty and elucidate the distinct characteristics of each type of perception related to precocious puberty among school-aged children who had undergone treatment for the condition.</p><p><strong>Methods: </strong>This study applied the Q methodology to identify and classify the perceptions of precocious puberty among school-aged children who had undergone treatment for the condition. The analysis involved 34 questions from the Q sample and data from 35 individuals in the P sample, using the PC-QUANL Program for analysis.</p><p><strong>Results: </strong>The perceptions of precocious puberty among school-aged children who had undergone precocious puberty treatment were classified into the following four types: \"shyness - passive self-management,\" \"resentment - suppression,\" \"anxiety - fear,\" and \"adaptation - acceptance.\"</p><p><strong>Conclusion: </strong>This study investigated the experiences and perceptions of children who have undergone treatment for precocious puberty. Through the identification of four types of perceptions, we can see that there is a need to develop an intervention program for nursing that is tailored to the specific type of precocious puberty.</p>","PeriodicalId":37360,"journal":{"name":"Child Health Nursing Research","volume":"29 3","pages":"195-206"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/98/22/chnr-29-3-195.PMC10415841.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10357964","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}