Nathalie Turville, Lara Alamad, Jane Denton, Robert Cook, Merryl Harvey
{"title":"Supporting multiple birth families: Perceptions and experiences of health visitors.","authors":"Nathalie Turville, Lara Alamad, Jane Denton, Robert Cook, Merryl Harvey","doi":"10.1111/phn.13008","DOIUrl":"https://doi.org/10.1111/phn.13008","url":null,"abstract":"<p><strong>Objective: </strong>To explore the current practice and perceptions of health visitors in supporting multiple birth families.</p><p><strong>Design and sample: </strong>Practicing health visitors across the United Kingdom were invited to complete a cross-sectional, descriptive, online survey. The questionnaire covered multiple birth caseload, education received about multiples and the experience of working with families. Two-hundred and ninety health visitors completed the questionnaire. Descriptive and inferential statistics were used for analysis of the quantitative components and thematic analysis for the qualitative data.</p><p><strong>Results: </strong>Most health visitors had twins on their current workload. Most health visitors had not received any specific training or continuing professional development regarding the needs of multiple birth families. Supporting the families within the confines of reduced time and increased workload was challenging. Daily tasks of caring for multiples were the main areas that health visitors and parents wanted more information about.</p><p><strong>Conclusions: </strong>In the United Kingdom, health visitors are uniquely positioned to support multiple birth families, in particular during the more challenging early years. However, the findings of this study suggest that many health visitors are aware that the care and support that they are able to provide multiple birth families falls short of meeting their needs.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"229-237"},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/eb/PHN-39-229.PMC9299212.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39610429","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}
{"title":"Psychometric validation of the children's environmental health questionnaires in community nurses.","authors":"Kangkang Miao, Qin Chen, Huili Fang, Siyu Liu","doi":"10.1111/phn.13024","DOIUrl":"https://doi.org/10.1111/phn.13024","url":null,"abstract":"<p><strong>Objectives: </strong>To translate, cross-cultural adapt and psychometrically validate the Children's Environmental Health Knowledge Questionnaire (ChEHK-Q) and the Children's Environmental Health Skills Questionnaire (ChEHS-Q) for community nurses in China.</p><p><strong>Design: </strong>This was an observational, cross-sectional study undertaken in two phases: (1) translation and cultural adaptation process; (2) psychometric evaluation.</p><p><strong>Sample: </strong>A total of 294 nurses from 23 community health service centers in cities of Henan province participated in the study.</p><p><strong>Methods: </strong>These two questionnaires were analysed psychometrically based on IRT. ChEHK-Q was analyzed based on basic Rasch Model, and ChEHS-Q based on Rating Scale Model (RSM). EFA, expert validity, threshold analysis, retest reliability, item and individual reliability were used to evaluate the psychometric attributes of these two questionnaires.</p><p><strong>Results: </strong>The Infit and Outfit values for most items are within reasonable limits. The person reliability of ChEHK-Q was 0.85 and the item reliability was 0.97. The person reliability of ChEHS-Q was 0.94 and the item reliability was 0.93. The test-retest reliability of the ChEHK-Q was 0.85 and the ChEHS-Q was 0.87.</p><p><strong>Conclusions: </strong>ChEHK-Q and ChEHS-Q are reliable and valid instruments with satisfactory psychometric properties for nurses in China. Future studies should recruit a more representative sample to verify the applicability of these two questionnaires.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"326-335"},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39943567","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}
Tenzin Phagdol, Baby S Nayak, Leslie Edward Lewis, Binu Margaret, Anice George
{"title":"Designing a mobile health intervention for preterm home care: Application of conceptual framework.","authors":"Tenzin Phagdol, Baby S Nayak, Leslie Edward Lewis, Binu Margaret, Anice George","doi":"10.1111/phn.13020","DOIUrl":"https://doi.org/10.1111/phn.13020","url":null,"abstract":"<p><p>Mobile health (mHealth) solutions are being widely explored in low- and middle-income countries (LMICs) due to its scope in reducing the healthcare access gap and improving health outcomes. The fit of mHealth solutions to specific users and their viability in a particular setting plays a significant role in the successful adoption and sustainable implementation. This article describes the process of designing a sustainable mHealth application for delivering preterm home care to babies discharged from the neonatal intensive care unit (NICU) in India. Intended end-users are the parents, who are primary caregivers at home, especially mothers of preterm babies and healthcare providers who cared for them at the hospital. This mHealth application is designed to facilitate continuity of care for these preterm babies transitioning from an intensive healthcare setting to home with unique and complex health care needs. It is equipped to remotely monitor the growth and development for early detection of growth impairment and developmental delay often seen in preterm babies in their early years. Therefore, a mHealth application was designed applying a relevant conceptual framework for successful adoption and an ecological model for sustainability in the Indian setting.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"296-302"},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39573928","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}
Glorieuse Uwizeye, Holli A DeVon, Linda L McCreary, Crystal L Patil, Zaneta M Thayer, Julienne N Rutherford
{"title":"Global Public Health Nursing.","authors":"Glorieuse Uwizeye, Holli A DeVon, Linda L McCreary, Crystal L Patil, Zaneta M Thayer, Julienne N Rutherford","doi":"10.1111/phn.13023","DOIUrl":"https://doi.org/10.1111/phn.13023","url":null,"abstract":"<p><strong>Background: </strong>An often under addressed and tragic legacy of genocide is the conception of children from rape. While the experience has been documented from their mothers' perspective, the perspectives and needs of individuals born of genocidal rape has been under-studied.</p><p><strong>Methods: </strong>We conducted an integrative review of all peer-reviewed articles that reported on studies conducted among individuals born of genocidal rape published through 2020. We used an inductive process to identify and describe the themes from those studies.</p><p><strong>Results: </strong>Twelve studies met the inclusion criteria. Ten articles reported on youth born of genocidal rape in Rwanda aged between 16 and 21 years, and two articles represented the perspective of adolescents in the former Yugoslavia aged 1416 years. Four themes were indentified: (1) birth origin stories associated with the crime of the father, (2) fractured sense of belonging to the victim-mother, perpetrator-father, their families, and the community at large, (3) intergenerational legacy of trauma and family identity, and (4) strategies to move forward including knowing the truth about one's origin, mental health, and peer support.</p><p><strong>Conclusion: </strong>These findings suggest that understanding increased risk of adverse health outcomes of youth born of genocidal rape could inform the design of evidence-based interventions for these and similar populations.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"350-359"},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39582045","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}
Marit Alstveit, Sari Lahti, Sigríður Sía Jónsdóttir, Nina Egeland, Susanne Klit Sørensen, Anna Josse Eklund
{"title":"Public health nurse education in the Nordic countries.","authors":"Marit Alstveit, Sari Lahti, Sigríður Sía Jónsdóttir, Nina Egeland, Susanne Klit Sørensen, Anna Josse Eklund","doi":"10.1111/phn.13029","DOIUrl":"https://doi.org/10.1111/phn.13029","url":null,"abstract":"<p><strong>Background: </strong>Higher education should promote critical reflection and guide students towards international activities. In the Nordic countries public health nurse educational programmes are mostly based on guidelines issued by national educational authorities, which describe students' learning outcomes.</p><p><strong>Aim: </strong>The aim of this paper is twofold: to give an overview of public health nurse education and service in the Nordic countries and thereby discuss opportunities for collaboration within the programmes.</p><p><strong>Data sources and compilation of data: </strong>National legislations for public health nurse education and services are used as data. Since all sources are written in the language of each country, all the authors wrote the parts that describe each countries conditions in English and contributed to the compilation of data.</p><p><strong>Results: </strong>We found both similarities and differences in public health nurse education and services. Opportunities for collaboration between the programmes are discussed.</p><p><strong>Conclusion: </strong>Critical reflection by the public health nurse students can be enhanced by arranging collaboration projects, an exchange of clinical placement, and joint master projects. Collaboration among academic staff within the educational programmes, in education and research, have the potential to enhance quality both within public health nurse education and in developing the profession of public health nursing.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"270-278"},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39582046","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":"Novice public health nurses' home-visit skills in Japan: A one-year longitudinal study.","authors":"Takako Miyata, Michiyo Hirano, Kazuko Saeki","doi":"10.1111/phn.13025","DOIUrl":"https://doi.org/10.1111/phn.13025","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to clarify the status of novice public health nurses' home-visit skills during their first year of practice.</p><p><strong>Design and sample: </strong>A one-year longitudinal observational study was conducted with 80 novice public health nurses. The participants were recruited from the four Japanese prefectures and their affiliated municipalities selected by using stratified sampling.</p><p><strong>Measurements: </strong>Self-administered questionnaires were distributed three times between April 2016 and March 2017, asking about home-visit experiences, understandings of the significance of home-visit, and the levels of home-visit skills. Data were analyzed with paired t-tests and Wilcoxon signed-rank tests.</p><p><strong>Results: </strong>All of twenty skills' self-ratings significantly increased between the fourth and eighth months; five skills continually increased between the eighth and twelfth months. Both of Physical Assessment and Relationship Development Skills improved to the \"Can do, almost by myself\" level at the twelfth month; other skills remained at the \"Can do, with a little advice\" level.</p><p><strong>Conclusion: </strong>Although novice public health nurses improved to conducted home-visits independently, they didn't perceive themselves as being able to do so in their first year. Therefore, through preparing guideline, organizations should provide intentional support to assist their skill acquisition during their first, and even in their second year.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"262-269"},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39718246","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}
Elizabeth Moxley, Kashica J Webber-Ritchey, Laura L Hayman
{"title":"Global impact of physical inactivity and implications for public health nursing.","authors":"Elizabeth Moxley, Kashica J Webber-Ritchey, Laura L Hayman","doi":"10.1111/phn.12958","DOIUrl":"https://doi.org/10.1111/phn.12958","url":null,"abstract":"<p><p>Physicalinactivity has been a public health problem worldwide for more than a decade. Of those who are physically active, a substantial percentage engage solely in low or very low physical activity (PA) levels. In the last 3 decades, the prevalence of PA in the United States has decreased with approximately 80% of adults not meeting the recommended guidelines for aerobic and muscle strengthening PA. The PA levels of youth have dramatically decreased with 85% of adolescents reporting no PA. Regular PA participation can aid in preventing chronic diseases. A strong inverse dose-response relationship exists between PA and the incidence of cardiovascular disease, all-cause and cardiovascular mortality. Moreover, low cardiorespiratory fitness levels are a risk factor for cardiovascular diseases: the leading cause of death and disability globally. Conversely, high amounts of moderate-to-vigorous intensity PA at levels 3-5 times recommended in guidelines reduce risk for all cause mortality. Socio-ecological determinants of PA are essential considerations for promoting across the life course. In health care and community settings, public health nurses have opportunities to promote PA through a socio-ecological approach across the life course of individuals and diverse populations.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"180-188"},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/phn.12958","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39307368","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}
Veronica Bohlin, Margaretha Jenholt Nolbris, Helena Wigert
{"title":"Child health care nurses' experiences of language barriers during home visits.","authors":"Veronica Bohlin, Margaretha Jenholt Nolbris, Helena Wigert","doi":"10.1111/phn.12977","DOIUrl":"https://doi.org/10.1111/phn.12977","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to explore the communication tools that child healthcare nurses can use during home visits to families when language barriers exist.</p><p><strong>Design: </strong>Qualitative study using data collected from focus group sessions.</p><p><strong>Sample: </strong>Six semi-structured focus group interviews with twenty nurses in child healthcare services.</p><p><strong>Measurements: </strong>The results were analyzed with a thematic content analysis.</p><p><strong>Results: </strong>The analysis resulted in two themes: Using pictures as support in the conversation, with subthemes Not using pictures as support, Wanting to know how to use pictures as support, Pictures as support for invitations, Different types of pictures as support, and Alternative means of communication with the subthemes Possibilities of using an interpreter, Obstacles to using an interpreter, Mixed communication.</p><p><strong>Conclusion: </strong>If language barriers are present during home visits, decision-making nurses in Child Health Care (CHC) put families in an unequal position when communicating with them. These results point to a need for more education, guidelines and support regarding alternative and augmentative communication (AAC) tools and structures to assist in overcoming language barriers.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"146-152"},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39447085","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}
Mehrnoush Bonakdar Tehrani, Lynn Kemp, Kelly Baird
{"title":"Sustained nurse home-visiting with culturally and linguistically diverse families: Australian nurses' perspectives.","authors":"Mehrnoush Bonakdar Tehrani, Lynn Kemp, Kelly Baird","doi":"10.1111/phn.12996","DOIUrl":"https://doi.org/10.1111/phn.12996","url":null,"abstract":"<p><strong>Background: </strong>In Australia, sustained nurse home-visiting (SNHV) programs are designed and implemented to promote positive outcomes for mothers with young children experiencing complex life challenges. Despite the crucial role of trained public health nurses, there is a dearth of research about their experiences delivering these programs to culturally and linguistically diverse (CALD) families with limited English proficiency (LEP).</p><p><strong>Aim: </strong>This study aimed to explore the experiences of public health nurses in providing services to CALD families with LEP.</p><p><strong>Method: </strong>Two focus groups were conducted with 13 public health nurses in two major local health districts in Sydney. The focus groups were audio recorded for transcription purposes, and thematically analyzed. A socioecological framework was applied during the analysis process.</p><p><strong>Result: </strong>Five major themes were identified: (1) program issues; (2) service system issues in understanding and responding to diverse women; (3) issues working with interpreters; (4) trusting relationships; and (5) mother-related facilitators.</p><p><strong>Discussion: </strong>To achieve better access and engagement for CALD families, it is crucial that public health nurses increase their knowledge and awareness about potential challenges, such as female interpreter availability, and facilitators, such as engaging the broader family, in order to effectively deliver healthcare services to diverse populations.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"40-47"},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39549103","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":"Public health nurses' encounters with undocumented migrant mothers and children.","authors":"Eli Kvamme, Nanna Voldner","doi":"10.1111/phn.13019","DOIUrl":"https://doi.org/10.1111/phn.13019","url":null,"abstract":"<p><strong>Objectives: </strong>Undocumented migrant children (UMC) are often affected by policies and practices that do not take their best interests into account. The aim of this study was to describe how public health nurses (PHNs) experienced challenges and dilemmas in ensuring the best interests of the undocumented migrant child.</p><p><strong>Design: </strong>This study had a qualitative descriptive design.</p><p><strong>Sample: </strong>Focus group interviews and semi-structured interviews were conducted with seven PHNs in four different child health centers (CHCs).</p><p><strong>Results: </strong>Qualitative content analysis was applied. Three main themes were identified: building trust, ensuring the best interests of the child, and dilemmas and challenges in ensuring the best interests of the child. The study revealed examples of immigration policy being prioritized over the best interests of the child. PHNs experienced frustration when the best interests of the child were not taken into account. Strategies for managing these conflicting demands were identified.</p><p><strong>Conclusion: </strong>Conflicting demands appeared when national immigration policies collided with fundamental human rights and ethical standards. Rules that exclude certain groups are incompatible with PHNs professional ethics.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"286-295"},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39718693","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}