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.

A high prevalence of dyslipidemia has recently been shown not only in adults, but also in adolescents. When occurring in adolescence, dyslipidemia is a risk factor for cardiovascular disease in adulthood. This study aimed to identify significant factors affecting dyslipidemia in South Korean adolescents. We used data from the third year of the 8th Korea National Health and Nutrition Examination Survey (KNHANES VIII-3) on 381 Korean adolescents aged 12–18 years. The data were analyzed using frequency analysis, descriptive statistics, the Rao–Scott χ test, the t-test, and univariate and multivariate logistic regression using complex sample analysis. On a weighted population basis, 28.1% of the adolescents among the participants were identified as the group with dyslipidemia. Obesity, waist circumference, serum uric acid, and alanine aminotransferase (ALT) were significantly related to the prevalence of dyslipidemia. Physical activity 4–7 days a week was related to a decrease in the prevalence of dyslipidemia only in male adolescents. The results of this study can be used as evidence for the risk assessment of adolescent dyslipidemia and the establishment of systematic health management guidelines according to risk factors for the prevention of adolescent dyslipidemia.

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.

The purpose of this study was to identify significant factors affecting diabetes and pre-diabetes in South Korean adolescents, including adolescents’ and parental factors. We used data on 416 Korean adolescents aged 12–18 years and their parents (302 fathers and 375 mothers) from the eighth National Health and Nutrition Examination Survey gained in 2020. The data were analyzed by descriptive statistics, t-test, Rao–Scott χ² test, and univariate logistic regression using complex sample analysis. Among the participants, 101 adolescents (22.7%) were classified as the high-risk group for diabetes. Significant factors affecting the risk for adolescent diabetes in both sexes were higher BMI, fasting plasma glucose, hemoglobin A1c, and insulin. The father’s high degree of stress perception was only related to male adolescents, and the father’s poor subjective health status was related to females at risk for diabetes. In mothers, physician-diagnosed diabetes, fasting plasma glucose, and hemoglobin A1c were factors affecting both sexes. Results from this study can be used as preliminary data for the early detection of high-risk groups for diabetes in adolescents, and for the development of systematic health care guidelines to prevent diabetes in adolescents.

Background: Trauma-informed care involves providing services to traumatized patients with an understanding of and sensitivity to their experiences. This scoping review examines the literature concerning trauma-informed care for children.Methods: We conducted a comprehensive literature search across domestic (RISS, NDSL, KISS, and DBpia) and international (PubMed, Embase, CINAHL, and PsycINFO) databases. The search terms were “trauma,” “PTSD,” “trauma-informed,” “trauma-focused,” “trauma-sensitive,” “newborn,” “neonate,” “premature infant,” “infant,” “child,” “adolescent,” “teen,” “juvenile,” “adolescence,” “pediatric,” and “nursing”. The final selection comprised 18 documents that were analyzed for general characteristics (publication year, study country, academic sector, research design, and data collection method), population demographics, variables, and measurement tools.Results: Literature on this topic considerably increased since 2017, with the United States being the predominant research hub (50.0%) and nursing representing the primary academic sector (55.6%). The research designs were mainly quantitative (33.3%) and mixed-method studies (33.3%). Quantitative studies predominantly utilized surveys, while qualitative research employed observations, in-depth interviews, and focus group discussions. Most of the participants were nurses, doctors, and allied health professionals. As a result of analyzing the main variables measured in the literature through WordCloud, variables such as “stress,” “care,” and “knowledge” had the highest frequency. Three studies incorporated or adapted tools to assess trauma-informed care.Conclusions: The findings of this review serve as foundational data for proposing future research trajectories in trauma-informed care and for enhancing awareness and strategic planning in clinical practice.

Purpose: Trauma-informed care (TIC) provides a framework for recognizing and responding to trauma in healthcare settings. However, little is known about how pediatric oncology nurses in South Korea understand and practice TIC, which has not yet been systematically implemented in pediatric oncology wards. This study explored pediatric oncology nurses’ perceptions and experiences of TIC through individual in-depth interviews.Methods: This descriptive qualitative study used purposive sampling. Eight female nurses from tertiary hospitals in the capital region, each with at least 1 year of experience caring for children with cancer, participated in individual in-depth interviews. Data were collected from January to March 2024 and analyzed using thematic analysis guided by the conceptual framework of trauma-informed nursing care.Results: Four major themes emerged: (1) trauma-uninformed care emerging within constrained environments, (2) emergent trauma-informed strategies aligned with core principles, (3) emotional burdens and tensions endured under structural constraints, and (4) bearing fruit of the partial enactment of TIC through mutual trust building.Conclusion: Despite structural limitations, pediatric oncology nurses recognized the presence and effects of trauma and implemented informal trauma-informed practices. System-level adoption of TIC, including universal trauma precautions, screening protocols, and staff-support systems, is needed to provide TIC for both patients and healthcare professionals.