The coronavirus disease 2019 (COVID-19) pandemic is an unprecedented public health crisis worldwide. This pandemic has led to the spread of online misinformation, closure of schools, postponement of re-opening of schools, and restrictions on healthy outdoor activities. These, in turn, have caused a disruption in the daily life of middle school students. This study aimed to identify the relationships between eHealth literacy, awareness of pandemic infectious diseases, and healthy lifestyle in middle school students. For this purpose, we conducted a descriptive, correlational study in two cities in the capital of South Korea. A total of 138 middle school students completed self-reported questionnaires about eHealth literacy, awareness of pandemic infectious diseases, and healthy lifestyle. Middle school students displayed moderate levels of eHealth literacy (3.72 ± 0.97), awareness of pandemic infectious diseases (3.33 ± 0.92), and healthy lifestyle (2.98 ± 0.72). Positive correlations were found between eHealth literacy and awareness of pandemic infectious diseases (r = 0.44, p < 0.001), between eHealth literacy and healthy lifestyle (r = 0.52, p < 0.001), and between awareness of pandemic infectious diseases and healthy lifestyle (r = 0.38, p < 0.001). These findings suggest that eHealth literacy may be an important aspect of increasing the awareness about pandemic infectious diseases and forming healthy lifestyle habits in Korean middle school students during the COVID-19 pandemic.
Purpose: This study aimed to investigate the knowledge, opinions, competence, and barriers of nurses providing trauma-informed care (TIC) to children in hospitals.Methods: Data were collected from 198 nurses nationwide using the TIC Provider Survey developed by the Center for Pediatric Traumatic Stress in July, 2024. Descriptive statistics, t tests, and one-way ANOVA were conducted using the IBM SPSS Statistics software (ver. 23.0, IBM Corp.).Results: Of the 13 items assessing knowledge of TIC, seven had a correct response rate of over 90%. However, the correct response rate for these three items were less than 30%. Regarding opinions on the TIC, more than 90% of participants agreed with five of the seven items. In self-rated competence in providing TIC, they were not competent in responding to a child’s (or parent’s) questions about whether the child is going to die or understanding how traumatic stress may present differently according to developmental stages. The major barriers to providing TIC were time constraints, lack of training, and organizational support. Items with relatively low performance rates were ‘teach parents what to say to their child after a difficult/sick/scary experience, and teach child or parents the specific ways to cope with unpleasant experiences’.Conclusion: This study suggests that it can contribute to the development of specific guidelines for nurses to effectively apply TIC in pediatric and family nursing practice, emphasizing the need for educational programs to support this implementation.
Purpose: The Trauma-Informed Climate Scale-10 is a short form developed to efficiently measure staff perceptions of the values of trauma-informed care within the service environment. This study aimed to evaluate the reliability and validity of the Korean version of the Trauma-Informed Climate Scale-10 (KTICS-10) among Korean nurses. Methods: The K-TICS-10 underwent a linguistic validation process, including translation, backtranslation, and expert committee review. Data were collected from 218 nurses in a tertiary general hospital in South Korea. Internal consistency reliability was assessed using Cronbach's a. Structural validity was tested through confirmatory factor analysis. Convergent validity was examined using Pearson's correlation with affective commitment and burnout. Item-convergent validity was evaluated to examine the internal structure of the scale. Results: The Korean version of the TICS-10 demonstrated reliable internal consistency, with Cronbach's a of .82. The fitness of the modified model was acceptable (c2/Df = 2.85, goodness-of-fit index = .92, root mean square error of approximation = .09, standardized root mean square residual = .08, Normed fit index = .88, Tucker-Lewis index = .88, and comparative fit index = .91). Convergent validity of the KTICS-10 was confirmed by significant correlation with affective commitment (r = .56, p < .001) and burnout (r = -.53, p < .001), respectively. The average extracted variances (.34) and composite reliability (.81) indicated adequate convergent validity of the items. Conclusion: The findings of this study support the satisfactory psychometric properties of the K-TICS-10, indicating its utility for evaluating the trauma-informed climate within the nursing work environment in Korea.
Unmarried mothers living in residential facilities (UMLFs) in Korea face complex and challenging physical, psychological, and socioeconomic issues. This study developed a physical and mental health promotion program using urban forests for UMLFs based on the transtheoretical model and evidence. We utilized an intervention mapping approach (IMA) and assessed the needs of UMLFs by analyzing previous quantitative studies. Moreover, we conducted a qualitative hermeneutic phenomenological study involving nine participants. Based on the needs assessment, important and changeable determinants were identified; further, the program performance and change objectives were classified to achieve the program goals and establish the intervention strategy. We found that physical activity using forests, self-reflection using metaphors, five-sense activities, achievement activities using natural objects, building interpersonal relationships in the forest, and designing future plans, are desirable methods for improving the health of UMLFs. The IMA was deemed appropriate for the systematic development of health promotion programs for UMLFs through clear links among change objectives, theoretical methods, and practice strategies. These results should be applied to future intervention studies.
Purpose: This study aimed to conduct a concept analysis of health-related quality of life in children with epilepsy to promote conceptual clarification and facilitate mutual understanding of the concept. Methods: Walker and Avant's concept analysis method was adopted.Results: Health-related quality of life in children with epilepsy consists of six attributes: health status, inner strength, close relationships, resource-rich community, social acceptance, and changeability. According to the ecological system paradigm, these attributes are structured into five dimensions: organism, microsystem, macrosystem, exosystem, and chronosystem. These dimensions provide a comprehensive approach to the relationship between children with epilepsy and their environment. Epilepsy and interactions with multilevel ecological systems that are directly and indirectly related to children with epilepsy precede the concept, followed by positive and negative affective responses.Conclusion: The findings of this study may support effective communication in various practice settings, thereby contributing to the health and well-being of children with epilepsy, as well as the development and expansion of interventions to improve their health-related quality of life.
14 November 2025 in Child: Care, Health and Development
Background: Creating a supportive environment for the health and well‐being of children with disabilities is essential to enhancing their quality of life and promoting positive outcomes for families and society. In South Korea, children with disabilities face numerous structural and social challenges that threaten their well‐being and lower their life satisfaction. This study aimed to examine the factors affecting life satisfaction among school‐attending children with disabilities aged 19 years or younger in South Korea, using a framework based on the social determinants of health. Methods: A secondary data analysis was conducted using the 2022 Panel Survey of Disability and Life Dynamics by the Korea Disabled People's Development Institute. A total of 569 children were included. Variables were selected based on the five domains of the Healthy People 2030 framework: economic stability, education access and quality, health care access and quality, neighbourhood and built environment and social and community context. Hierarchical regression analysis was used to determine the influence of these factors on life satisfaction. Results: Children with disabilities in South Korea reported lower life satisfaction than other vulnerable groups, which also face constraints on health and well‐being due to socioeconomic, cultural or environmental factors. Significant predictors of life satisfaction were functional limitations, parental depression, type of education, experience with learning accommodations, satisfaction with disability welfare services, family strength, peer attachment, subjective health and self‐esteem. Conclusions: This study highlights the importance of addressing the social determinants of health that shape the life satisfaction of children with disabilities in South Korea. Future research should broaden the scope to include diverse populations and contexts, thereby informing more inclusive and tailored strategies to promote their health and well‐being.