선택한 단어 수는 입니다.
최소 단어 이상 선택하여야 합니다.
최소 단어 이상 선택하여야 합니다.
선택한 단어 수는 30입니다.
최대 10 단어까지만 선택 가능합니다.
최대 10 단어까지만 선택 가능합니다.
문제 정의
- Mercer (1995) has suggested that factors which have an effect on mother-infant interaction and becoming a mother aretheinfant’s characteristics (signal delivery ability, sensitivity), and health. Therefore, the focus was on mother-premature infant interaction and premature infant health management in this study. Theresults of analysis of previous discharge education programs for enhancing mother premature infant interaction were included (Kwon&Kwon, 2007; Lee& Kim, 2008; Shin&Lee, 2003)in theme development.
- This study was a methodological research study to develop an educational video discharge program for mothers of premature infants, utilizing Jung's (1999) Network-based Instructional System Design (NBISD) model.
제안 방법
- Thus, the main purpose of this study was doneto develop and evaluate dischargeeducation using a video program focusing on mother-infant interaction aswell as health management of premature infants.
- This study was a methodological research study to develop an educational video discharge program for mothers of premature infants, utilizing Jung's (1999) Network-based Instructional System Design (NBISD) model. For program evaluation, pre-experimental study was conducted with mothers of premature infants.
- For the motivation design, the purpose of education was clearly delivered during the introduction, and thecontent was presented in a storytelling method following the daily timeline of a premature infant. To increase motivation forlearning, a premature infant was used as the infant model, and the narration was read in a story telling method.The content was presented in two sessions to prevent boredom.
- In preparation for the first recording, the recording team visited the infant model's house,checking the house structure for recording angles and lighting.
- Following this evaluation, the video was modified by adding captions of the infant model's birth weight, gestational age, current weight, current age, so the viewers could relate to premature infants.
- The purpose of the video and confidentiality were explained to the mother before she signed the permission. To record images of premature infants for the beginning and end of the video, the researcher and the two recorders visited the NICU and obtained the permission to video the infants.
- Evaluation through model operation was done twice. The first edition was evaluated by 2 producers of broadcasting stations to determine the quality of video.The second edition was evaluated 24 pediatric nurses enrolled in advanced nurse practitioner program, and 6 mothers of premature infants for the quality of the video and appropriateness of content.
- The program was conducted with small groups of 2 to 3 mothers, and the program started when mothers finished their visit to the NICU at 1:00 P.M., and took about 40 to 60 minutes. The first session took an additional 10 minutes to develop rapport and present a short introduction.
- (1981) was used to measure of maternal role adaption. The focus of this tool is on cognitive and emotional factors, and questions were modified according to the self-evaluation of improvement of maternal role confidence. The questionnaire includes 14 questions with an answer range from “Strongly disagree” to “Strongly agree”.
- Based on the analysis of questions and concerns of mothers of premature infants, the mothers wanted education not only on skills in caring for their infants, but also on mother-infant interaction related issues such as understanding the infant’s signals and states.
- The participants evaluated the effects of the program on their infant interaction, maternal sensitivity, and maternal role confidence.
- One of the limitations of the program is that the infant model’s age is closed to full-term since it was difficult to have a premature infant as a model.
- The program was evaluated by self-administered questionnaires which were developed by the researcher and semi-structured interview method. Eleven questionnaires and interviews were included.
대상 데이터
- Twelve mothers of premature infants participated in program operation. However, one mother didn't take part in evaluation because she didn’t want to answer questionnaire.
- However, one mother didn't take part in evaluation because she didn’t want to answer questionnaire. Therefore, 11 participants included in evaluation.
- , 2006) (Table 2). The selected sub-themes of the program and specific content were validated by theexpert group for scenario development and 6 mothers of premature infants.
- Infant model was recruited at an outpatient pediatric clinic with help from NICU head nurse. The model was a male infant with a gestational age of 35 weeks and 2 days, and birth weight of 2.
- Infant model was recruited at an outpatient pediatric clinic with help from NICU head nurse. The model was a male infant with a gestational age of 35 weeks and 2 days, and birth weight of 2.1kg. His age at the production time was 39 weeks 24 days and weight was 2.
- The video production team included the researcher, 2 video recorders who were experienced in professional education videos, 2 video editors, and a professional voice actor. Before recording, 2 meetings were held between the researcher and recorders to construct continuity for each part of the education content.
- Before recording, 2 meetings were held between the researcher and recorders to construct continuity for each part of the education content. Recording equipments were prepared by researcher, while a 6mm camera and two microphones were rented for special recording. In preparation for the first recording, the recording team visited the infant model's house,checking the house structure for recording angles and lighting.
- Three rehearsals were conducted a day before to decide the order of the recording according to theinfant's daily life. To prepare for the second recording, recorders visited a hospital to examine the NICU structure and infants.
- The recording took a total of 7 hours and was edited by 2 professional video editors.The editing took a week.
- The first edition was evaluated by 2 producers of broadcasting stations to determine the quality of video.The second edition was evaluated 24 pediatric nurses enrolled in advanced nurse practitioner program, and 6 mothers of premature infants for the quality of the video and appropriateness of content.
- The completed video program was presented to 12 mothers of premature infants who were scheduled to be discharged from a hospital located in Incheon, South Korea. These 12 mothers of premature infants participated in the actual use of the discharge education video.
- The program was developed from October 2010 to January 2011. For program operation and evaluation, participants were recruited from among mothers of premature infants who were admitted between March and May 2011 to an NICU located in Incheon.
- The program was developed from October 2010 to January 2011. For program operation and evaluation, participants were recruited from among mothers of premature infants who were admitted between March and May 2011 to an NICU located in Incheon. Self-evaluation of the program effects in aspects of improvement of mother-infant interaction, maternal sensitivity, and maternal role confidence was conducted a month after discharge.
- The content validity was tested with an expert group of 1 neonatologist, 5 NICU nurses with more than 5 years of experience, and 24 pediatric nurses enrolled in advanced nurse practitioner programs. Examination showed that all 38 items a CVI higher than 0.
이론/모형
- This study employed the NBISD model (Jung, 1999) to develop the video discharge education program for mothers of premature infants. The NBISD model comprises the 5 phases; analysis, design, development, operating, and evaluation.
성능/효과
- Many mothers thought that infants’crying meant they were hungry.The mean score on effects for maternal role confidence was 39.71 points, with a range from 33.00 to 52.00 points(Table 4).
- The results of the study show that the mother-premature infant relationship, such as mother-premature infant interaction, maternal sensitivity, and maternal role confidence is an essential education area in the development of becoming a mother. Also, video is appropriate media for education on mother-infant interaction.
후속연구
- Suggestion is made to evaluate the program in different clinical settings. Also, to approve results of the study, a randomized controlled study should be conducted.
- Finally, it is suggested that further development of education programs with various issues for mothers of premature infants should be done. Cooperation among multidisciplinary professional groups to develop standardized discharge education is necessary in the development process.
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