João Vasco Santos, Filipa Santos Martins, Joana Vidal-Castro, Sofia Silva-Rocha, Rita Areias, António Oliveira, Sandra Santos, Cristina Lamelas, Helena Amorim, Alexandra Martins, Mariana Vieira, João Pedro Ramos, Marta Pinto
{"title":"Indicators for local health plan monitoring and evaluation: A modified Delphi consensus.","authors":"João Vasco Santos, Filipa Santos Martins, Joana Vidal-Castro, Sofia Silva-Rocha, Rita Areias, António Oliveira, Sandra Santos, Cristina Lamelas, Helena Amorim, Alexandra Martins, Mariana Vieira, João Pedro Ramos, Marta Pinto","doi":"10.1111/phn.13036","DOIUrl":"https://doi.org/10.1111/phn.13036","url":null,"abstract":"<p><strong>Objective: </strong>There is still a lack of health indicators for monitoring and evaluating health planning at the local level. In Portugal, local health plans (LHP) include a prioritized set of health priorities, which should be monitored and evaluated. This study is an example of a low-resource method to identify and reuse indicators for LHP monitoring and evaluation already collected for other purposes.</p><p><strong>Design and sample: </strong>A modified Delphi consensus method was applied, with three rounds of email rating questionnaires and a final meeting, between January 2018 and January 2019. The Delphi panel consisted of eight members from the Planning and Administration Group of the Espinho/Gaia Local Public Health Unit.</p><p><strong>Measurements: </strong>Panelists were asked to assess the indicators' validity for monitoring diseases/determinants from a pre-selected list of potential binomials between 140 PHC indicators and 15 diseases/determinants.</p><p><strong>Results: </strong>After four rounds, there was consensus in considering 141 binomials (34.0%) as appropriate, diabetes mellitus being the disease with more appropriate indicators.</p><p><strong>Conclusion: </strong>This study portrays the applicability of a commonly used, easy and low-resource method in a Portuguese Local Public Health Unit to select and reuse primary health care indicators for LHP monitoring and evaluation.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"752-759"},"PeriodicalIF":2.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39859281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kristen Frost, Andrea Stafos, Andrea L Metcalf, Whitney DeBourge, Mary Friesen, Renee Bryant, Leah Lawver, Jennifer Bullock, Karen Williams
{"title":"Knowledge and barriers related to food insecurity screening in healthcare settings.","authors":"Kristen Frost, Andrea Stafos, Andrea L Metcalf, Whitney DeBourge, Mary Friesen, Renee Bryant, Leah Lawver, Jennifer Bullock, Karen Williams","doi":"10.1111/phn.13040","DOIUrl":"https://doi.org/10.1111/phn.13040","url":null,"abstract":"<p><strong>Objective: </strong>Assess healthcare professionals' knowledge, referral practices, readiness, and barriers for food insecurity policy and practice implementation in Johnson County, Kansas.</p><p><strong>Design: </strong>An expert panel of regional anti-hunger advocates was convened to identify critical domains for instrument development.</p><p><strong>Sample: </strong>The questionnaire was disseminated via REDCap to approximately 2800 healthcare professionals.</p><p><strong>Measurements: </strong>The questionnaire was composed of 32 items related to demographics, general knowledge, referral knowledge, current practices, perceived challenges, and perceived advantages.</p><p><strong>Results: </strong>Social Workers' knowledge regarding food insecurity and referral was statistically greater (p = .0001 and p = .0001, respectively) than other professional groups. By department, Primary Care and Care Coordination's knowledge regarding food insecurity and referral was statistically greater (p = .008 and p = .0001, respectively) than Ancillary Care. Ninety-eight percent of respondents reported that food insecurity should be addressed in healthcare. Evaluation of the unique perspectives and needs related to food insecurity and perceived barriers of the healthcare providers serving the local population will guide an organization in building an implementation plan targeting the unique needs of the organization.</p><p><strong>Policy implications: </strong>As the need for food insecurity services grow during the coronavirus pandemic, this work can help build the foundation for better communication and awareness between healthcare, government, and community programs.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"770-777"},"PeriodicalIF":2.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39903639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of potentiality of traditional hygienic practices for the mitigation of the 2019-2020 Corona Pandemic.","authors":"Asha Ripanda, Hossein Miraji, Khalfani Sule, Salvatory Nguruwe, Julias Ngumba, Geofrey Sahini Mtabazi, Saidi Hamad Vuai","doi":"10.1111/phn.13054","DOIUrl":"https://doi.org/10.1111/phn.13054","url":null,"abstract":"<p><p>The coronavirus outbreak threatens global well-being, costing thousands of lives and an unstable economy. Traditional hand-washing (HaWa) with clean water and hand-washing sanitizers (HaWaSas) are among WHO recommended practices against the outbreaks. HaWaSa and HaWa lacked proper quality monitoring evaluation that may pose health risks. The current study investigates the potential of traditional hygienic practices adopted to mitigate the 2019-2020 Pandemic. It involved assessing the effectiveness of 15 HaWaSa collected from the Dodoma market. Thirty volunteered participants were subjected to different hygienic practices involving HaWa and HaWaSa. The obtained hand-swabbed samples were subjected to the streak plate technique for inoculation, followed by counting colonies. The results revealed that, among the collected HaWaSa brands, only 33.3% were certified by the Tanzania Bureau of Standards (TBS). In the setting under no hand-wash, each client had a different number of colony counts. HaWa did not eliminate all colonies since water acted as a secondary source while only one sanitizer proved effective. The p-values obtained in either setting were greater than 0.05, indicating that each variable was independent. Despite global awareness and fighting against the Coronavirus Disease 2019 (Covid-19) outbreak, quality monitoring of all diagnostic tools, preventive HaWaSa, and related drugs should be prioritized for human safeguard.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"867-875"},"PeriodicalIF":2.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39964028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maren M Hawkins, Alexa A Lopez, Marin E Schmitt, Vivian L Tamkin, Anne E Dressel, Peninnah Kako, Lucy Mkandawire-Valhmu, Lance S Weinhardt
{"title":"A qualitative analysis of perceptions of and reactions to COVID-19.","authors":"Maren M Hawkins, Alexa A Lopez, Marin E Schmitt, Vivian L Tamkin, Anne E Dressel, Peninnah Kako, Lucy Mkandawire-Valhmu, Lance S Weinhardt","doi":"10.1111/phn.13052","DOIUrl":"https://doi.org/10.1111/phn.13052","url":null,"abstract":"<p><strong>Objective: </strong>To understand communities' perceptions, beliefs, and health-related behavior choices related to COVID-19 in order to guide public health nursing communication and interaction with patients and the community.</p><p><strong>Design: </strong>A qualitative study, guided by the Health Belief Model (HBM), strove to comprehend the perceptions and reactions to COVID-19 among Wisconsinites.</p><p><strong>Sample: </strong>Twenty-five diverse Wisconsin residents aged 18 or older.</p><p><strong>Measurements: </strong>Semi-structured interviews provided information about individuals' attitudes, perceptions, and reactions to COVID-19. Interviews were audio-recorded, transcribed, and thematic analysis was conducted to identify themes.</p><p><strong>Results: </strong>We identified three major themes: (1) \"health care starts way before you ever enter the doors of a healthcare facility\"; (2) \"to live in a society is to help each other\"; and (3) mental health as impacted by COVID-19.</p><p><strong>Conclusions: </strong>This study demonstrated the need for greater public health support, as well as the role of Social Determinants of Health. Understanding perceptions and reactions to COVID-19 can help public health nurses understand and better respond to future pandemics.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"719-727"},"PeriodicalIF":2.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9115521/pdf/PHN-39-719.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39891384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tara F Bertulfo, Seongkum Heo, Patricia Troyan, Justus Randolph, Minjeong An
{"title":"An instrument assessing attitudes and beliefs toward human papillomavirus vaccination.","authors":"Tara F Bertulfo, Seongkum Heo, Patricia Troyan, Justus Randolph, Minjeong An","doi":"10.1111/phn.13046","DOIUrl":"https://doi.org/10.1111/phn.13046","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to test the psychometric properties of a brief attitudes and beliefs toward human papillomavirus (HPV) vaccination instrument in college students.</p><p><strong>Design: </strong>Cross-sectional, observational study.</p><p><strong>Sample: </strong>Eighty-six nursing students.</p><p><strong>Measurements: </strong>The Attitudes and Beliefs Toward Human Papillomavirus Vaccination was used to test the reliability (Cronbach's alpha), homogeneity (item-analyses), and validity (factor analysis and correlations).</p><p><strong>Results: </strong>The reliability of this 8-item instrument was supported by a Cronbach's alpha of .854. Item homogeneity was supported by coefficients for all items > .30. Convergent validity was supported by significant correlations of attitudes and beliefs assessed by this instrument to attitudes, subjective norm, and perceived behavioral control assessed by different instruments (all ps < .001). Construct validity was supported by exploratory and confirmatory factor analyses (all factor loadings ≥ .40). Predictive validity was supported by a significant relationship of attitudes and beliefs to completion of the vaccination (p < .001).</p><p><strong>Conclusions: </strong>The Attitudes and Beliefs Toward Human Papillomavirus Vaccination Questionnaire was a reliable and valid instrument. This short instrument can be used to assess and improve attitudes and beliefs toward HPV vaccination, and, in turn, to facilitate the completion of the vaccination.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"856-864"},"PeriodicalIF":2.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39679302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An assessment of the Libyan baccalaureate nursing education during political turmoil.","authors":"Lori Edwards, Andrew G Corley, Marguerite B Lucea","doi":"10.1111/phn.13047","DOIUrl":"https://doi.org/10.1111/phn.13047","url":null,"abstract":"<p><p>Since the Libyan Revolution in 2011, the country's nursing workforce has been struggling. Libyan nursing schools have focused on rebuilding the country's supply of nurses after many emigrated. Wanting to infuse the workforce with more baccalaureate-prepared nurses, Libyan nursing faculty invited nursing and public health representatives from a US-based academic medical institution and a non-governmental medical organization to collaborate with local stakeholders in a country-wide assessment. The purpose of this article is to outline the national programs' strengths and weaknesses and make recommendations for developing a strategy to elevate nursing education to meet international standards. This can serve as a launching point to strengthen Libya's health services provision capacity, particularly during this time of transition when opportunities may become available to move in new directions. The approach and findings may have wider application to other countries who are similarly experiencing civil and political turmoil.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"831-838"},"PeriodicalIF":2.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39679304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yui Matsuda, Valerie Halstead, Ashley Falcon, Beatriz Valdes, Deborah A Salani, Régine P Reaves
{"title":"Exploring the utility of nursing student-led health fairs: Educating the college population.","authors":"Yui Matsuda, Valerie Halstead, Ashley Falcon, Beatriz Valdes, Deborah A Salani, Régine P Reaves","doi":"10.1111/phn.13056","DOIUrl":"https://doi.org/10.1111/phn.13056","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study is to examine public health nursing (PHN) students' experiences delivering peer-to-peer health education to college students during a health fair.</p><p><strong>Design: </strong>A qualitative, descriptive research design was used.</p><p><strong>Sample: </strong>Senior-level nursing students (n = 13) completing the clinical portion of a PHN course.</p><p><strong>Measurements: </strong>A semi-structured focus group guide consisting of 10 questions and follow-up probes was used to elicit PHN student experiences. Focus groups were recorded, transcribed, and analyzed using a thematic analysis technique.</p><p><strong>Results: </strong>Five main themes were identified: (1) benefits of health fairs in general, (2) benefits of nursing-student-led health fairs, (3) negatives of nursing-student-let health fairs, (4) importance of interaction, and (5) suggestions for maximizing the potential of nursing student-led health fairs.</p><p><strong>Conclusions: </strong>Although challenges exist, PHN students experienced several benefits from the provision of peer-to-peer health education. College campuses represent a unique clinical site that allows nursing students to utilize their insider status to better assess, understand, and provide tailored health education to the college community. This clinical site has shown to provide positive experiences for nursing students and is critical in developing essential nursing skills and building confidence for future clinical rotations.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"847-855"},"PeriodicalIF":2.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39766361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara Dionisi, Emanuele Di Simone, Gloria Liquori, Aurora De Leo, Marco Di Muzio, Noemi Giannetta
{"title":"Medication errors' causes analysis in home care setting: A systematic review.","authors":"Sara Dionisi, Emanuele Di Simone, Gloria Liquori, Aurora De Leo, Marco Di Muzio, Noemi Giannetta","doi":"10.1111/phn.13037","DOIUrl":"https://doi.org/10.1111/phn.13037","url":null,"abstract":"<p><p>Many studies analyze the medication errors in the hospital setting, but the literature involving the home care setting seems scarce. The aim of this study is to identify the main risk factors that affect the genesis of medication errors and the possible solutions to reduce the phenomenon in the home care setting. This systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The critical analysis of the literature shows that medication errors in home care occur mainly during transitional care. The main risk factors related to transitional care are poor interprofessional communication, lack of a standardized process for medication reconciliation, the widespread use of computerized tools, and the inadequate integration of the pharmacist into the care team. The strategies to reduce the risk of errors from therapy at home are the implementation of the pharmacist in the health team to ensure accurate medication reconciliation and the use of computerized tools to improve communication between professionals and to reduce the dispersion of information.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"876-897"},"PeriodicalIF":2.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39772526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Care coordination for rural residents with chronic disease: Predictors of improved outcomes.","authors":"Andrew R Hansen, Susan F McLendon, Haresh Rochani","doi":"10.1111/phn.13038","DOIUrl":"https://doi.org/10.1111/phn.13038","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to assess the effect of an integrated system of coordinated care on chronic disease health outcomes of patients with poorly controlled diabetes, hypertension, and congestive heart failure (CHF) living in a rural area.</p><p><strong>Design and sample: </strong>Longitudinal study of patients aged 18 years or older, living in a rural area, with diabetes glycated hemoglobin (A1C) > 8%, hypertension blood pressure (BP) > 150/90, heart failure, and suffering excessive weight gain and hospital admission in last 6 months.</p><p><strong>Measures: </strong>Dependent variables were A1C, cholesterol, microalbumin, body mass index (BMI), BP, emergency department (ED) visits, and hospital admissions. Predictor variables included time in the program, age, sex, race, and Diabetes Self-Management Education (DSME) completion. Descriptive variables included telemedicine and specialty referrals and travel savings.</p><p><strong>Results: </strong>Time had a significant effect on A1C, microalbumin, BP, and ED visits. Race, sex, and DSME also impacted A1C and BP outcomes.</p><p><strong>Conclusions: </strong>Length of time in the program played a crucial role in improved outcomes for patients in the program for a year or more. Long-term, consistent reinforcement in the form of education and coordinated care provided by certified care coordination nurses achieve better health outcomes.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"760-769"},"PeriodicalIF":2.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39857193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vaccinated kindergartens: A community-based bottom-up initiative addressing vaccine hesitancy in Israel.","authors":"Ariela Popper-Giveon, Yael Keshet","doi":"10.1111/phn.13057","DOIUrl":"https://doi.org/10.1111/phn.13057","url":null,"abstract":"<p><strong>Background: </strong>Vaccine hesitancy (VH) has grown over recent decades. While most of the strategies implemented to cope with VH are top-down interventions, the present article focuses on a unique community-based bottom-up initiative conducted in Israel: Mehusgan-the vaccinated kindergarten.</p><p><strong>Objective: </strong>The objective of the study was to learn about the vaccinated kindergarten initiative: its implementation, benefits, and challenges as well as its broader potential impact.</p><p><strong>Methodology: </strong>During 2020, we conducted 13 semi-structured in-depth interviews with parents, kindergarten teachers and managers, and physicians.</p><p><strong>Findings: </strong>The interviews revealed that parents are encouraged to complete the vaccination program as recommended; additional kindergartens join the initiative; and additional kindergartens become vaccinated.</p><p><strong>Conclusions: </strong>Mehusgan is a unique and growing initiative that leads to vaccinated kindergartens and, therefore, contributes to public health. This case study can encourage other community-based bottom-up initiatives that seek to raise vaccination rates.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"806-811"},"PeriodicalIF":2.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39880333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}