J Korean Acad Nurs.  2014 Apr;44(2):119-128. 10.4040/jkan.2014.44.2.119.

A Structural Model for the Practice of Life Safety Behavior in School-age Children

Affiliations
  • 1Department of Nursing, Cheongju University, Cheongju, Korea. 7702cmo@korea.com

Abstract

PURPOSE
This study is an examination of the paths in which the primary factors of anxiety, impulsiveness, knowledge of life safety practice, attitudes towards life safety practice, interpersonal support, and self-efficacy from Pender's Health Promotion Model influence the practice of life safety behavior in school-age children.
METHODS
The sample consisted of 489 5th and 6th grade students recruited from five elementary schools in Seoul City and four provinces, South Korea. Data were analyzed using descriptive statistics, correlations, factor analysis, and structural equation modeling.
RESULTS
Attitudes towards life safety practice, interpersonal support, self-efficacy and impulsiveness directly influenced practice of life safety behavior. Anxiety did not have a direct influence on practice of life safety behavior, but indirectly affected it. In this modified model, 52.0% of the practice of life safety behavior was explained by the primary factors.
CONCLUSION
To facilitate the practice life safety behaviors in late childhood, a positive attitude towards life safety needs to be developed along with decreasing impulsiveness and enhancing self-efficacy.

Keyword

Safety; Practice; Behavior; School-age children

MeSH Terms

Anxiety
Child
Female
*Health Behavior
*Health Knowledge, Attitudes, Practice
Humans
Impulsive Behavior
Male
Models, Theoretical
Questionnaires
Self Efficacy
Social Support

Figure

  • Figure 1 Conceptual framework based on Pender's Health Promotion Model.

  • Figure 2 Path diagram for the modified model.


Reference

1. Bae JY. Development of the safety education program for children. Korean J Child Health Nurs. 2003; 9(2):162–172.
2. Statistics Korea. 2011 annual report on the causes of death statistics [Internet]. Daejeon: Statistics Korea;2012. cited 2012 November 19. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=260046.
3. Kim SK, Kim Y, Lee HN. Report No.: 2010-95. Monitoring implementation of the UN convention on the rights of the child: Implementation monitoring report. Seoul: Ministry of Health & Welfare, Korea Institute for Health and Social Affairs, Korea Monitoring Center for Children's Rights;2010.
4. Lee MS, Park KO. School safety education factors predicting injury prevalence among Korean adolescence. J Korean Soc Health Educ Promot. 2004; 21(2):147–165.
5. Ministry of Health & Welfare. Support for children and youth [Internet]. Seoul: Ministry of Health & Welfare;2012. cited 2012 December 12. Available from: http://www.mw.go.kr/front_new/jc/sjc0109mn.jsp?PAR_MENU_ID=06&MENU_ID=0609020403&page=1.
6. Choi JS, Cho SC. Assessment of anxiety in children: Reliability and validity of revised children's manifest anxiety scale. J Korean Neuropsychiatr Assoc. 1990; 29(3):691–702.
7. Yoon SH, Kim SJ. A study on the relativeness between safety knowledge and safety behavior of elementary school children. J Korean Soc Sch Health. 2012; 25(1):39–50.
8. Pender NJ. Health promotion in nursing practice. 3rd ed. Stamford, CT: Appleton & Lange Inc;1996.
9. Bae BR. Structural equation modeling with Amos 19: Principles and practice. Seoul: Chungram Books;2011.
10. Reynolds CR, Richmond BO. Factor structure and construct validity of "what I think and feel": The revised children's manifest anxiety scale. J Pers Assess. 1979; 43(3):281–283. http://dx.doi.org/10.1207/s15327752jpa4303_9.
11. Barratt ES, White R. Impulsiveness and anxiety related to medical students' performance and attitudes. J Med Educ. 1969; 44(7):604–607.
12. Lee HY, Kwon BA, Lee YA. The relationship of safety-accidents in school and personality: With special reference to impulsivity and extraversion-introversion. J Korean Soc Saf Educ. 2002; 5(1):21–34.
13. Kim SJ. Development and evaluation of a safety education program for injury prevention in elementary school students. J Korean Acad Child Health Nurs. 2010; 16(1):20–29. http://dx.doi.org/10.4094/jkachn.2010.16.1.20.
14. Coughlan AK, Humphrey M. Presenile stroke: Long-term outcome for patients and their families. Rheumatol Rehabil. 1982; 21(2):115–122.
15. Suh MJ. A study on factors influencing the state of adaptation of the hemiplegic patients. J Nurs Acad Soc. 1990; 20(1):88–117.
16. Kim SK, Kim Y. An oral health promotion behavior model for primary school children. J Korean Acad Dent Health. 2008; 32(4):563–574.
17. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction & validation. Psychol Rep. 1982; 51(2):663–671.
18. Bagozzi RP, Yi Y. On the evaluation of structural equation models. J Acad Mark Sci. 1988; 16(1):74–94. http://dx.doi.org/10.1007/BF02723327.
19. Jung CY, Choe RG. Statistical analysis using SPSSWin. 2nd ed. Seoul: Muyok Publisher;1996.
20. Yu JP. The concept and understanding of structural equation modeling. Seoul: Hannarae Publishing Co;2012.
21. Kim SJ, Lee JE, Song MK. Effect of the safety education on knowledge and attitude about injury prevention among elementary school children. Korean J Child Health Nurs. 2003; 9(4):349–358.
22. Kim SJ, Lee JE, Kim KM, Park MO, Baek SS, Song MK, et al. Safety education needs and knowledge and attitude of injury prevention of elementary school children. Korean J Child Health Nurs. 2003; 9(3):250–258.
23. Kwon SS. Development and effect evaluation of safety education program for higher grade students of elementary school. J Korean Soc Sch Health. 2005; 18(2):45–61.
24. Kim U, Park YS, Park D. Adolescents' causal attribution of accidents and their cognitive representation safety and safety efficacy. Korean J Psychol Soc Issues. 2001; 7(2):39–63.
25. Russell KM, Champion VL. Health beliefs and social influence in home safety practices of mothers with preschool children. Image J Nurs Sch. 1996; 28(1):59–64.
26. Kim CH, Park YS. The relationship between the personality of elementary school students and the safety accidents in the school. J Korean Soc Sch Health Educ. 2003; 4:1–20.
27. Hong YK, Lee KS, Song HJ, Baek MS. The effect of self focused attention, trait anxiety and self-efficacy on social phobia. J Spec Educ Rehabil Sci. 2012; 51(1):267–286.
28. Kim SJ, Lee JE. The effect of safety education on accident proneness prospect in preschooler. Korean J Child Health Nurs. 2000; 6(3):372–386.
29. Lee I. The behavior analysis of home injury prevention based on the model of family health protection. J Korean Community Nurs. 2001; 12(2):406–416.
30. Hockenberry MJ, Wilson D. YH Kim BS Kwon HK Nam MS Ahn YO Yang SE Oh . Wong's essentials of pediatric nursing. 8th ed. St. Louis, MO: Mosby Elsevier;2009.
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