The study purposes were to explore school nurses' experience, perceived barriers, and education needs in diabetes management at school. Methods: This study was a cross sectional study and the study participants were recruited conveniently at continuing education seminars for school nurses at Incheon Metropolitan City. Results: Data for 101 school nurses were analyzed. The nurses were all women and their mean age was 46.9 ± 9.3 years. About 66% of them had experience with children with diabetes at school. The school nurses reported that 74.6% of the students tested their blood glucose by themselves, the school clinic was the most common place for blood glucose tests (47.8%) and insulin injections (50.8%) and the nurses knew students' diagnosis through the student health survey (58.2%). About half of the nurses (53.7%) reported that glucagon should be available at school and 49.2% were willing to inject glucagon when necessary. The most frequently reported barrier in diabetes management was role confusion (6.0 ± 1.3) and the most common educational need was emergency responses (5.9 ± 1.4). Conclusions: School health policy for diabetes management and diabetes resources are necessary to minimize role confusion of school nurses, improve emergency response, and facilitate health promotion activities in diabetes management.

PURPOSE: This study was conducted to examine the effects of simulation education integrated with problem based learning (SIM-PBL) on clinical competency and self-efficacy in post operation nursing care for children.METHODS: This study was a quasi-experimental design. Thirty six students in the third year of a 4-year baccalaureate nursing program were recruited conveniently and assigned to the control or intervention groups using time difference.Students were all in a pediatric nursing clinical practicum.The control group received the regular clinical practicum in a hospital setting. For the intervention group, a SIM-PBL education replaced 150 minutes of their clinical practicum.RESULTS: The intervention group showed greater improvement in two areas of clinical competency compared with the control group; physical assessment (t=3.019, p=.005) and post operation advice (t=2.428, p=.021). However, no statistically significant differences in improvement in any areas of self-efficacy were found between two groups.CONCLUSION: The results indicate that the SIM-PBL education is effective in improving some areas of clinical competence, but not self-efficacy in post operation nursing care for children. Further study is needed to develop SIM-PBL programs for various clinical topics and evaluate the effectiveness on the learning outcomes.

This quasi-experimental study was conducted to identify the effects of dental health education on dental health knowledge and dental hygiene status in preschoolers. Methods: Forty-one children were recruited from two daycare centers, one of which served as the experimental group and the other as the comparative group without dental health education. Dental health education consisted of knowledge-oriented lecture and individual practice with a tooth simulator. The dental health knowledge was measured using a self-report questionnaire and dental hygiene using a dental plague index. The measurements were taken before and after the education program in the experimental group while only before the education program in comparative group. Results: Increases in dental health knowledge and decreases in dental plague index were observed 4 days after the education and lasted at least 8 days after the education. Conclusion: The findings of this study indicate that dental health care education consisting of a lecture with simulation practice can be effective in improving dental health care in preschoolers at day care center.

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Background: To provide evidence on the global epidemiological situation of neonatal hypothermia and to provide recommendations for future policy and research directions.