Background Pregnant women at work often encounter barriers to participating in prenatal education or conducting appropriate self-care practices due to their working conditions. Purpose We aimed at developing a mobile-based intervention application (SPWW) for Korean pregnant women at work and testing its usability and preliminary effects to enhance their self-care practices. Patients and Methods The application was developed and tested with thirty-one pregnant women at work and thirteen women’s healthcare providers. The instruments used in this study were a modified Health Practices in Pregnancy Questionnaire II and a System Usability Scale. Descriptive analyses and t-tests were performed using SPSS 25.0. The participants’ open-ended answers were analyzed using ATLAS. ti 8. Results We developed the application focusing on four self-care topics: healthy diet, physical activity, sufficient rest, and stress management. After using the application for two weeks, participants’ levels of exercise (p = 0.006), adequate fluid intake (p = 0.002), and limiting daily caffeine intake (p = 0.048) significantly improved. In addition to good usability scores, the suggestions for improvement made by the participants included diversifying the educational materials and adding individually customizable functions to the application. Conclusion The application developed in this study enhanced self-care practices of pregnant women at work and showed adequate levels of usability. We expect the developmental process and details of the application provided in this study to serve as a sample guide for future studies.

ObjectivesWhile the number of employed women has increased worldwide, they still have difficulties in practicing prenatal care at work. Previous studies have found that smartphone‐based prenatal education has increased access to healthcare and contributed to improving pregnant women's health. The objective of this study was to evaluate the effectiveness of a mobile‐based intervention—Self‐care for Pregnant Women at Work (SPWW)—in enhancing the self‐care practices of pregnant women who work.MethodsA randomized repeated measures design was used in the study. The 126 women were randomly assigned to either an intervention group that used the SPWW mobile application for 4 weeks or a control group that used an application that only had surveys. Both groups completed surveys at preintervention, week 2, and week 4 of their participation in the study. The primary study variables were work stress, pregnancy stress, fear of childbirth, pregnancy experience, and health practices in pregnancy.ResultsA total of 116 participants' data (60 in the intervention group and 56 in the control group) were analyzed. Significant group‐by‐time interaction effects were noted for pregnancy stress, pregnancy hassles, and health practices in pregnancy. The effect size of the intervention was small to medium for pregnancy stress (d = −0.425), pregnancy uplifts (d = 0.333), pregnancy hassles (d = −0.599), and health practices in pregnancy (d = 0.490).ConclusionsA mobile‐based intervention using a comprehensive health application is effective in pregnant women at work. Developing educational content and methods targeted at this population would be helpful.

The purpose of this study was to identify the influence of moral sensitivity and critical thinking dispositionson the biomedical ethics awareness of nursing students. Data collection was done using aself-report questionnaire answered by 508 nursing students from six universities located in G city and Jprovince. The collected data was analyzed using a t-test, ANOVA, Pearson's correlation coefficients, andstepwise multiple regression using SPSS 20.0 program. Biomedical ethics awareness had a significantpositive correlation with moral sensitivity (r=.55, p<0.001) and critical thinking dispositions (r=.59,p<0.001). Ethical values, critical thinking dispositions, moral sensitivity, intent to attend biomedical ethicsclass, religion, academic year, and university transfer significantly predicted 60.4% of the biomedicalethics awareness of nursing students. The results of this study suggest that the biomedical ethics awarenessof nursing students may be increased through curricula and teaching strategies that aim to nurturestudents’ moral sensitivity and critical thinking dispositions.

BACKGROUND Pregnant women at work often encounter barriers to maintaining proper self-care practices due to their working conditions. Participating in prenatal education or even drinking enough water and eating healthy food are often limited in this population. OBJECTIVE The purpose of this study was to develop a mobile-based intervention application for pregnant women at work to enhance their self-care practices, which can contribute to a healthy pregnancy. METHODS The Self-care for Pregnant Women at Work (SPWW) mobile application was developed based on the findings of a systematic review of this topic. The usability tests were performed by 31 pregnant women at work and expert reviews were performed by ten women’s health-care clinicians. Both groups used the application for two weeks and evaluated its usability. The instruments used in this study were a modified Health Practices in Pregnancy Questionnaire II (HPQ-II) and a System Usability Scale (SUS). Descriptive analyses and t-tests were performed using SPSS 25.0. The participants’ open-ended answers were analyzed using ATLAS.ti 8. RESULTS The application program was developed focusing on four self-care topics: healthy dieting, physical activity, sufficient rest, and stress management. A total of eight education sessions covering the four topics were delivered through the application. The pregnant women’s health practices on enhancing exercise, drinking adequate fluid, and limiting daily caffeine intake significantly improved after using the application for two weeks. The SUS scores from both the experts and the pregnant women demonstrated good usability. Several improvements for feasibility, usability, and acceptability were suggested by expert and pregnant women. CONCLUSIONS The application developed in this study aimed to enhance the self-care practices of pregnant women at work. The application showed adequate levels of feasibility, usability, and acceptability from both the experts and the pregnant women. Future research is necessary to test the long-term effects of this application on larger sample sizes.