As problems relating to children’s health increase, forest therapy has been proposed as an alternative. This study examined the effects of a combined health promotion program, using urban forests and nursing student mentors, on the perceived and psychosocial health of upper-grade elementary students. The quasi-experimental study ran from June to August 2017, with 52 upper-grade elementary students from five community after-school centers. With a purposive sampling, they were assigned to either an experimental group (n = 24), who received a 10-session health promotion program, or to a control group (n = 28). Seven undergraduate nursing students participated as mentors. Running over 10 weeks, each weekly session consisted of 30 min of health education and 60 min of urban forest activities. Data were analyzed by independent t-test, Mann-Whitney U-test, paired t-test, or Wilcoxon signed rank test. General characteristics and outcome variables of both groups were homogeneous. The experimental group showed significant improvement in self-esteem (p = 0.030) and a significant decrease in depressive symptoms (p = 0.020) after the intervention, compared to the control group. These results suggest that forest healing programs may contribute to the spread of health promotion programs that make use of nature.

Background: The purpose of this study was to analyze current research trends on parenting stress of unmarried mothers in Korea and explore the related concepts. Methods: For searching the literature, KMbase, Korea Med, RISS, NDSL was used. Fourteen studies from 2009 to 2019 were selected, and National Institute of Health (NIH) Study Quality Assessment Tool (SQAT) was applied. Results: Among the 14 studies, most frequently used study design was correlational study (64.3%), and majority of the study (78.6%) was conducted in the field of social welfare. Only one study was found in the nursing journal. Related concepts can be categorized as individual (cognitive, emotional, and behavioral) factors, and social/environmental factors. Among these, self-esteem, parenting self-efficacy, and health perception in cognitive concept domain, depression in emotional concept domain, parenting behavior in behavioral domain, and lastly, social and interpersonal support were studied as related factors with parenting stress. Overall parenting stress level was higher than moderate, and it was positively related to depression, and negatively related to health perception and social support. Various study tools were used even the original foreign tool was the same, thereby comparisons among studies were difficult. Conclusions: Future studies are suggested to explore unmarried mother’s physical health problems as well as emotional problems, and to develop reliable measurement tools which can be used in Korean situation. Also, various nursing intervention programs for health promotion and child rearing competence for unmarried mothers should be developed.

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.

Background: Birth outside of marriage has been gradually increasing in Korea. However, social perception of unmarried mothers is still negative, and a number of them are not accepted by their family. Therefore, the Korean government has implemented a policy to provide financial aid and communal residence to unmarried mothers who cannot raise children with their family, or afford residence. Unmarried young mothers who rely on this government policy have low economic independence and social adaptation skills. Additionally, they have a high chance of encountering numerous challenges in raising children due to their living conditions in residential facilities and social prejudice. This study was conducted to gain an in-depth understanding of the lived experience of unmarried mothers raising children in residential facilities. Methods: Data were collected through in-depth interviews with nine unmarried mothers living in residential facilities with their children. An interpretative phenomenological analysis was conducted to analyze the data. Results: The findings revealed that unmarried mothers struggled with various difficulties given the limitations of living in the facility, but attempted to navigate their uncertain future with the determination to be good mothers. Three main themes and eight sub-themes emerged: (1) adaptation to the identity of “unmarried mother”, (2) willingly undertaking the heavy burden of childrearing, (3) indispensable but insufficient supports from facilities. Participants had childrearing responsibilities, and tried to be good mothers for their children while struggling to adapt to their new identities. However, their self-doubt as a “good mother” and the absence of the child's father made them feel sorry for their child. Their daily experiences raising children and simultaneously preparing for their own independence were exhausting. The supports from the facilities were helpful but unsatisfactory and led to various psychosocial difficulties such as anxiety, depression, fear, guilty, and anger in unmarried mothers. Conclusions: Besides information and resources for parenting and independence, active approaches are needed to improve the psychological stability of unmarried mothers raising their children in facilities, and sustain a long-term socioeconomic support system. Thoughtful services tailored to mothers and children are also needed, instead of standardized services.

Background/Objectives: This study aimed to identify the mediating effect of parental support on the relationship between immigrant mothers’ mental health and adolescents’ self-esteem. Methods: This study utilized data from 1077 Korean multicultural adolescents and their immigrant mothers from the 9th Multicultural Adolescents Panel data obtained in 2019. The data were analyzed using descriptive statistics, Pearson’s correlation, Baron and Kenny’s regression analysis, and bootstrapping using the process macro. Results: Immigrant mothers’ mental health was significantly and positively associated with their adolescents’ self-esteem (r = 0.14, p < 0.001), and parental support was also significantly and positively associated with adolescents’ self-esteem (r = 0.50, p < 0.001). Parental support had a mediating effect on immigrant mothers’ mental health and adolescents’ self-esteem. Conclusions: The self-esteem of adolescents from multicultural families was found to be influenced by the mental health and support of their immigrant mothers. These findings highlight the mediating role of parental support in the relationship between immigrant mothers’ mental health and adolescents’ self-esteem, contributing to a deeper theoretical understanding of family dynamics in multicultural contexts. Therefore, these factors should be considered when developing parent education programs for immigrant mothers.

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.