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  1. Article ; Online: Non-pharmacological interventions for delirium in the pediatric population: a systematic review with narrative synthesis.

    Kim, Kyua / Jeong, Ju Hee / Choi, Eun Kyoung

    BMC pediatrics

    2024  Volume 24, Issue 1, Page(s) 108

    Abstract: Background: Delirium is a serious complication experienced by hospitalized children. Therefore, preventive management strategies are recommended for these patients. However, comprehensive analyses of delirium interventions in children remain ... ...

    Abstract Background: Delirium is a serious complication experienced by hospitalized children. Therefore, preventive management strategies are recommended for these patients. However, comprehensive analyses of delirium interventions in children remain insufficient. Specifically, this systematic review aimed to summarize non-pharmacological interventions for pediatric delirium, addressing the urgent need for a comprehensive understanding of effective strategies. We also explored frequently measured outcome variables to contribute evidence for future research on delirium outcomes in children.
    Methods: This systematic review searched articles from PubMed, Web of Science, Cumulative Index to Nursing and Allied Health Literature, and Excerpta Medica databases. The eligibility criteria were formed under the population, intervention, comparator, outcome, and study design framework. Studies were included if they involved (1) children aged under 18 years receiving hospital care, (2) non-pharmacological delirium interventions, (3) comparators involving no intervention or pharmacological delirium interventions, and (4) outcomes measuring the effectiveness of non-pharmacological delirium interventions. Only peer-reviewed articles published in English were included.
    Results: Overall, 16 studies were analyzed; of them, 9 assessed non-pharmacological interventions for emergence delirium and 7 assessed interventions for pediatric delirium. The intervention types were grouped as follows: educational (n = 5), multicomponent (n = 6), and technology-assisted (n = 5). Along with pediatric and emergence delirium, the most frequently measured outcome variables were pain, patient anxiety, parental anxiety, pediatric intensive care unit length of stay, agitation, analgesic consumption, and postoperative maladaptive behavior.
    Conclusions: Non-pharmacological interventions for children are effective treatments without associated complications. However, determining the most effective non-pharmacological delirium intervention for hospitalized children based on current data remains challenging.
    MeSH term(s) Humans ; Child ; Adolescent ; Emergence Delirium ; Delirium/prevention & control ; Pain ; Intensive Care Units, Pediatric ; Child, Hospitalized
    Language English
    Publishing date 2024-02-12
    Publishing country England
    Document type Systematic Review ; Journal Article
    ZDB-ID 2041342-7
    ISSN 1471-2431 ; 1471-2431
    ISSN (online) 1471-2431
    ISSN 1471-2431
    DOI 10.1186/s12887-024-04595-4
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  2. Article ; Online: Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis.

    Park, Jisu / Choi, Eun Kyoung

    Child health nursing research

    2022  Volume 28, Issue 2, Page(s) 154–165

    Abstract: Purpose: This study aimed to analyze the concept of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards.: Methods: The hybrid model by Schwarz-Barcott and Kim was used to analyze the ... ...

    Abstract Purpose: This study aimed to analyze the concept of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards.
    Methods: The hybrid model by Schwarz-Barcott and Kim was used to analyze the characteristics of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards.
    Results: Transfer anxiety was defined by the following attributes: 1) stress concerning the adaptation process, 2) concern about the child's condition worsening due to the parent's caregiving, and 3) involuntary changes in daily life due to the treatment. Transfer anxiety has the following antecedents: 1) uncertainty; 2) a lack of knowledge about the illness, medical devices, and caregiving; and 3) a lack of social support. It resulted in 1) caregiver burden, 2) a decrease in the capacity for coping with caregiving, 3) delays in the child's physical and psychological recovery, and 4) decreased quality of life.
    Conclusion: It is necessary to develop an assessment scale that considers the attributes of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Furthermore, an effective nursing intervention should be developed to reduce transfer anxiety.
    Language English
    Publishing date 2022-04-30
    Publishing country Korea (South)
    Document type Journal Article
    ISSN 2287-9129
    ISSN (online) 2287-9129
    DOI 10.4094/chnr.2022.28.2.154
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  3. Article ; Online: Healthcare Interventions for Children Using Nonimmersive Virtual Reality: A Mixed Methods Systematic Review.

    Yun, Hyeseon / Park, Mina / Lee, Hooyun / Choi, Eun Kyoung

    Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners

    2024  

    Abstract: Introduction: Nonimmersive virtual reality (NIVR), a computer-generated virtual reality experience wherein users are not fully immersed, has been increasingly used in pediatric healthcare. This study aimed to identify the effects of NIVR-based ... ...

    Abstract Introduction: Nonimmersive virtual reality (NIVR), a computer-generated virtual reality experience wherein users are not fully immersed, has been increasingly used in pediatric healthcare. This study aimed to identify the effects of NIVR-based interventions for children.
    Method: A mixed methods systematic review of relevant studies published until December 2023 was conducted. We included samples of healthy children and those with chronic conditions or disabilities, findings related to self-management or social skills, and the NIVR interventions applied. A convergent-integrated design was used for the synthesis.
    Results: This review included 22 studies, of which 15 examined children having autism spectrum disorders. Utilizing NIVR was found to be effective in enhancing social skills. Participating in virtual communities with peers having similar conditions was determined to facilitate social support and identity exploration.
    Discussion: Healthcare interventions using NIVR need to be explored further to improve self-management and social skills in children with various conditions.
    Language English
    Publishing date 2024-03-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1036356-7
    ISSN 1532-656X ; 0891-5245
    ISSN (online) 1532-656X
    ISSN 0891-5245
    DOI 10.1016/j.pedhc.2024.01.008
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  4. Article ; Online: The association between nurse continuity and hypospadias repair patient outcomes: A retrospective study.

    Ji, Yoonhye / Choi, Eun Kyoung / Han, Sang Won

    Journal of advanced nursing

    2023  Volume 79, Issue 9, Page(s) 3513–3521

    Abstract: Background: Recently, nurse continuity, the intensity and consistency of a patient's exposure to nurses during hospitalization, has been shown to be associated with patient outcomes. However, little is known about how nurse continuity is related to ... ...

    Abstract Background: Recently, nurse continuity, the intensity and consistency of a patient's exposure to nurses during hospitalization, has been shown to be associated with patient outcomes. However, little is known about how nurse continuity is related to patients' surgical outcomes.
    Aims: To examine the association between nurse continuity and outcomes of hypospadias repair to clarify the importance of nurse continuity as a nursing practice.
    Design: This is a retrospective study.
    Methods: We analysed the data from electronic health records of patients under 1 year who had undergone proximal hypospadias repair between January 2014 and December 2016. Nurse continuity was measured using the Continuity of Care Index. Since approximately half of the patients reportedly needed further operations in the long term, the primary outcome was whether patients with proximal hypospadias repair had two or more additional operations within 3 years of discharge.
    Results: The rate of undergoing two or more follow-up operations in 3 years was significantly higher in patients with low nurse continuity-38.6% versus 12.8% for high continuity.
    Conclusion: This study identified nurse continuity as an important factor related to patients' surgical outcomes. These findings suggest that nurse continuity be considered an important nursing strategy for patient outcomes and further research is needed on this topic.
    Impact statement: As empirical evidence regarding the association between nurse continuity and patient outcomes grows, nurse managers and policymakers should view nurse continuity as a critical factor for positive patient outcomes when considering nursing workforce regulations.
    No patient or public contribution: The data for this study were obtained from electronic health records, and the entire process of this study did not involve patient or public participation.
    MeSH term(s) Male ; Humans ; Retrospective Studies ; Hypospadias/surgery ; Personnel Staffing and Scheduling ; Hospitalization ; Nursing Staff, Hospital
    Language English
    Publishing date 2023-04-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.15678
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  5. Article ; Online: Hypertension literacy: Concept analysis.

    Konlan, Kennedy Diema / Lee, Hyeonkyeong / Choi, Eun Kyoung

    Nursing open

    2023  Volume 10, Issue 9, Page(s) 6078–6090

    Abstract: Aim: Analysis of the concept of hypertension literacy to ensure clarity, reduce ambiguities and promote consistency in usage.: Design: Walker and Avant's concept analysis method was adopted.: Methods: Searched four electronic databases using ... ...

    Abstract Aim: Analysis of the concept of hypertension literacy to ensure clarity, reduce ambiguities and promote consistency in usage.
    Design: Walker and Avant's concept analysis method was adopted.
    Methods: Searched four electronic databases using keywords combined with the appropriate Boolean operators. After removing duplicates, thirty titles were identified, and ten articles met the basic criteria for inclusion. The analysis was done using a convergent synthesis design to integrate results and transform them into qualitative descriptions.
    Results: Hypertension literacy's defining attributes were hypertension information search skills, comprehension of numeracy associated with blood pressure and medication and utilization of hypertension prevention information. The identified antecedents were formal education and improved cognitive, social, economic and health-related experiences. Consequences of hypertension literacy included improved self-reported and increased health awareness. Hypertension literacy allows nurses to assess and accurately improve knowledge and facilitate people to adopt prevention behaviours.
    MeSH term(s) Humans ; Literacy ; Concept Formation ; Hypertension
    Language English
    Publishing date 2023-05-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2809556-X
    ISSN 2054-1058 ; 2054-1058
    ISSN (online) 2054-1058
    ISSN 2054-1058
    DOI 10.1002/nop2.1829
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  6. Article ; Online: Digital health intervention on patient safety for children and parents: A scoping review.

    Park, Jisu / Jeon, Heejung / Choi, Eun Kyoung

    Journal of advanced nursing

    2023  Volume 80, Issue 5, Page(s) 1750–1760

    Abstract: Aim: To explore digital health interventions on patient safety for children and their parents.: Design: A scoping review.: Methods: The PCC 'Participants, Concepts, and Contexts' guided the selection of studies that focused on children under 19 ... ...

    Abstract Aim: To explore digital health interventions on patient safety for children and their parents.
    Design: A scoping review.
    Methods: The PCC 'Participants, Concepts, and Contexts' guided the selection of studies that focused on children under 19 years of age or their parents, patient safety interventions for children, and digital health technology for patient safety interventions. This study was conducted using the Arksey and O'Malley framework's five steps. We reported the review according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews Checklist.
    Data sources: PubMed, CINAHL, Embase, Web of Science, and Cochrane were searched for articles published up to November 2022.
    Results: A total of 13 articles were included and categorized according to the following criteria to describe the results: intervention characteristics, type of digital technology, and outcome characteristics. Regarding intervention characteristics, we identified two categories, prevention and risk management. Additionally, we identified four types of digital technology, mobile applications, web-based technologies, computer kiosks and electronic health records. Finally, in studies focussing on child safety, parental safety behaviours were used to assess injury risk or detect changes related to prevention.
    Conclusion: Patient safety interventions provided through appropriate digital technologies should be developed to enhance continuum of care for children from hospitalization to home after discharge.
    Implications for the profession and/or patient care: Digital health interventions can bolster the role of healthcare providers in patient safety in and out of hospitals, thus improving children's safety and quality of care.
    Impact: What problem did the study address? Although the various advantages of digital health technology have been demonstrated, the potential role of digital technology in patient safety interventions for children has not been explored. What were the main finding? Preventive patient safety interventions and risk management for children have been developed. Where and on whom will the research have an impact? Digital health interventions on patient safety can improve children's safety and quality of care by promoting non-face-to-face engagement of children and parents after discharge and expanding healthcare providers' roles.
    Trial and protocol registration: Registered on the Open Science Framework (https://osf.io/dkvst).
    Patient or public contribution: No patient or public contribution.
    MeSH term(s) Child ; Humans ; Patient Safety ; Digital Health ; Parents ; Mobile Applications ; Hospitalization
    Language English
    Publishing date 2023-11-10
    Publishing country England
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.15954
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  7. Article ; Online: Prophylactic effect of pilocarpine on acute sialadenitis following radioactive iodine therapy in thyroid cancer patients.

    Choi, Eun Kyoung / Oh, Jin Kyoung / Chung, Yong-An / Jeong, Hyeonseok / Choi, Hoon / Jo, Kwanhoon

    International journal of medical sciences

    2024  Volume 21, Issue 3, Page(s) 492–495

    Abstract: Purpose: ...

    Abstract Purpose:
    MeSH term(s) Male ; Humans ; Female ; Middle Aged ; Thyroid Neoplasms/drug therapy ; Thyroid Neoplasms/radiotherapy ; Iodine Radioisotopes/adverse effects ; Pilocarpine/adverse effects ; Sialadenitis/etiology ; Sialadenitis/prevention & control ; Acute Disease ; Adenocarcinoma
    Chemical Substances Iodine Radioisotopes ; Pilocarpine (01MI4Q9DI3)
    Language English
    Publishing date 2024-01-01
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2151424-0
    ISSN 1449-1907 ; 1449-1907
    ISSN (online) 1449-1907
    ISSN 1449-1907
    DOI 10.7150/ijms.84590
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  8. Article ; Online: Effects of parental holding on pain response in young children during cystometry: A randomized controlled trial.

    Park, Jieun / Lee, Hyejung / Han, Sang Won / Choi, Eun Kyoung

    Neurourology and urodynamics

    2023  Volume 43, Issue 1, Page(s) 196–204

    Abstract: Introduction: Cystometry is essential for evaluating bladder function. However, children may react negatively to the physical pain of urethral catheterization or anxiety and fear of an unfamiliar environment. These pain responses during the cystometry ... ...

    Abstract Introduction: Cystometry is essential for evaluating bladder function. However, children may react negatively to the physical pain of urethral catheterization or anxiety and fear of an unfamiliar environment. These pain responses during the cystometry procedure may interfere with the cystometry procedure and make it difficult to interpret the cystometry result. In this regard, the International Children's Continence Society has advised performing cystometry while holding infants as an effective nonpharmacological pain management method, but there is insufficient evidence to support this.
    Purpose: This study aimed to analyze the effect of parental holding on reducing pain in children during cystometry.
    Methods: This was an experimental study in a randomized controlled pre-post test design. A total of 64 participants aged 6-18 months were recruited. During cystometry, the participants in the experimental group were placed on the parent's laps and held in the parents' arms. The participants in the control group were laid down on the examination table. During the procedure, both groups of parents were allowed to touch their children in all ways except holding them and to use the pacifier if they wished. The behavioral (face, leg, activity, cry, consolability scale) and physiological (oxygen saturation and heart rate) pain responses were measured at three-time points (immediately, 3, and 10 min after urethral catheter insertion).
    Results: Comparing the two groups, in the experimental group, the behavioral pain response at 3 min after urethral catheter insertion (t = -2.165, p = 0.034) and 10 min after (t = -3.155, p = 0.002) was decreased compared with that immediately after urethral catheter insertion. In addition, oxygen saturation increased more (t = 2.021, p = 0.048), and the heart rate decreased more (t = -2.033, p = 0.047) at 10 min than at 3 min after urethral catheter insertion in the experimental group.
    Conclusions: This study revealed that parental holding could reduce pain responses during cystometry in children. Further research is required to confirm the applicability and usefulness of parental holding during cystometry.
    MeSH term(s) Infant ; Child ; Humans ; Child, Preschool ; Pain/etiology ; Urinary Catheterization ; Heart Rate ; Anxiety/etiology ; Parents
    Language English
    Publishing date 2023-09-25
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 604904-7
    ISSN 1520-6777 ; 0733-2467
    ISSN (online) 1520-6777
    ISSN 0733-2467
    DOI 10.1002/nau.25284
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    Zs.A 1828: Show issues Location:
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  9. Article ; Online: An Online-Based Transition Care Program for Adolescents with Spina Bifida Using Intervention Mapping: A Protocol for Program Development.

    Choi, Eun Kyoung / Yun, Hyeseon / Bae, Eunjeong

    International journal of environmental research and public health

    2022  Volume 19, Issue 3

    Abstract: Adolescents with spina bifida (SB) face challenges in their transition to adulthood due to intensive medical regimens and delayed development of independence. Despite an increasing interest in the transition of adolescents with SB to adulthood, the ... ...

    Abstract Adolescents with spina bifida (SB) face challenges in their transition to adulthood due to intensive medical regimens and delayed development of independence. Despite an increasing interest in the transition of adolescents with SB to adulthood, the clinical evidence of transition care remains limited, and existing studies have focused on the effects of intervention programs. This study aims to describe the process of systematically developing an online-based transition care program for adolescents with SB using the intervention mapping (IM) protocol. IM consists of six steps: (1) logic model of the problem; (2) program objectives; (3) program design; (4) program production; (5) plan to implement the program; (6) plan for evaluation. At first, five problems faced during the transition were identified, based on which four program objectives and six program strategies were established. The online transition care program for adolescents with SB was developed as a six-week program. The main strength of this program is that it reflects the diverse perspectives of adults with SB and health care professionals and is easy to apply because it is online. We aim to further validate the feasibility of this transitional care program to evaluate its effect based on our evaluation plan.
    MeSH term(s) Adolescent ; Adult ; Behavior Therapy ; Health Personnel ; Humans ; Program Development ; Spinal Dysraphism/therapy ; Transitional Care
    Language English
    Publishing date 2022-01-18
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19031056
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  10. Article ; Online: Nurse-led eHealth transition care program for adolescents with spina bifida: A feasibility and acceptability study.

    Choi, Eun Kyoung / Bae, Eunjeong / Yun, Hyeseon

    Journal of pediatric nursing

    2022  Volume 67, Page(s) 44–51

    Abstract: Purpose: This study aimed to evaluate the feasibility and acceptability of a nurse-led eHealth transition care program for adolescents with spina bifida.: Design and methods: This study used a single-arm, pretest-posttest intervention study. ... ...

    Abstract Purpose: This study aimed to evaluate the feasibility and acceptability of a nurse-led eHealth transition care program for adolescents with spina bifida.
    Design and methods: This study used a single-arm, pretest-posttest intervention study. Adolescents with spina bifida, aged 12-15 years, and their parents participated in the program. A 6-week program was delivered through an online platform in real-time by nurses. We evaluated feasibility and acceptability using criteria such as the completion rate, program satisfaction, changes in transition readiness, social support, career preparation behavior, sexual knowledge, and sexual worries at three time points from July to September 2021.
    Results: Thirteen adolescents completed all sessions and surveys (13/14, 92.9%). All adolescents expressed high satisfaction with both the content and delivery methods of the program. Significant benefits in transition readiness, career preparation behavior, and sexual knowledge were identified over the study period. However, the evaluation of social support and sexual worries did not demonstrate any significant improvements. Additionally, through family counseling, adolescents benefited from experiences such as reflecting on their current transition readiness, setting and achieving individualized goals and plans using a self-checklist with their parents and nursing professionals.
    Conclusion: This nurse-led eHealth intervention was feasible and acceptable for adolescents with spina bifida. Furthermore, our results highlight the practicability and the potential for strategic dissemination of using this eHealth program in transitional care during the COVID-19 pandemic.
    Practice implications: The eHealth transition care program contributes to broadening existing nursing interventions not only in medical areas but also in daily life areas.
    Language English
    Publishing date 2022-08-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632731-x
    ISSN 1532-8449 ; 0882-5963
    ISSN (online) 1532-8449
    ISSN 0882-5963
    DOI 10.1016/j.pedn.2022.07.004
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