Hawai''i journal of health & social welfare最新文献_第5页

Database Versus Patient - Things to Consider when Utilizing the Hawai'i Prescription Drug Monitoring Program. 数据库与患者 - 使用夏威夷处方药监控计划时的注意事项。

Hawai''i journal of health & social welfare Pub Date : 2024-01-01

Miki Kiyokawa, Kassidy Kanja

引用次数: 0

Just World Beliefs among Medical Students and the General Public in Hawai'i. 夏威夷医科学生和普通公众的公正世界信仰。

Hawai''i journal of health & social welfare Pub Date : 2024-01-01

Paris N Stowers, Ronald Heck, Katalin Csiszar, Bliss Kaneshiro

{"title":"Just World Beliefs among Medical Students and the General Public in Hawai'i.","authors":"Paris N Stowers, Ronald Heck, Katalin Csiszar, Bliss Kaneshiro","doi":"","DOIUrl":"","url":null,"abstract":"Just World Beliefs (JWBs) are a psychological tendency to conclude the world is an inherently fair place in which people experience the outcomes they deserve. Strong JWBs positively correlate with a personal commitment to long-term ambitions and blaming people for their negative health outcomes. This study aimed to measure JWBs in medical students and the general population of Hawai'i. It was hypothesized that (1) medical students would have stronger JWBs than the general public, and (2) JWBs would be strongest for medical students in the latter part of their training. Current residents of Hawai'i and medical students at the University of Hawai'i at Mānoa were recruited to complete a web-based survey measuring JWBs using the Global Belief in a Just World Scale. A t-test was used to compare JWB strength between the groups. A regression analysis identified factors predicting strength of JWBs. Contrary to both hypotheses, medical students in Hawai'i possessed weaker JWBs than Hawai'i residents (P<.01), and JWBs did not differ based on training duration (P=.97). Age (P<.01) was the only demographic variable to significantly predict JWBs. The difference in JWBs among medical and non-medical cohorts was no longer significant after controlling for age. Among medical students, younger age was associated with weaker JWBs. Future studies should explore the prevalence and effects of JWBs among diverse populations and the medical professionals that care for them.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 1","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10782388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466898","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}

引用次数: 0

Hawai'i Interprofessional Education: Publications on Distance Learning Technologies. 夏威夷跨专业教育：关于远程学习技术的出版物。

Hawai''i journal of health & social welfare Pub Date : 2023-12-01

Sheri Tokumaru, Alan R Katz, Robin Arndt, Katherine Finn Davis, Lorrie Wong, Joanne R Loos, Kamal Masaki

引用次数: 0

Artificial Intelligence in Nursing Education: Opportunities and Challenges. 护理教育中的人工智能：机遇与挑战。

Hawai''i journal of health & social welfare Pub Date : 2023-12-01

Gary Glauberman, Avree Ito-Fujita, Shayna Katz, James Callahan

引用次数: 0

Prevalence and Risk Factors of Self-reported Vision Impairment among Native Hawaiians and Pacific Islanders in the United States. 美国夏威夷原住民和太平洋岛民自报视力受损的流行率和风险因素。

Hawai''i journal of health & social welfare Pub Date : 2023-12-01

John C Lin, Ingrid U Scott, Paul B Greenberg

{"title":"Prevalence and Risk Factors of Self-reported Vision Impairment among Native Hawaiians and Pacific Islanders in the United States.","authors":"John C Lin, Ingrid U Scott, Paul B Greenberg","doi":"","DOIUrl":"","url":null,"abstract":"Racial disparities in vision impairment have been reported among Black, Hispanic, and White Americans. However, there is a paucity of research on vision impairment among Native Hawaiians and Pacific Islanders (NHPIs). The objective of this study was to determine the prevalence of, and risk factors for, self-reported visual impairment in NHPI adults in the United States (US). Data from the NHPI and 2014 National Health Interview Surveys were analyzed using sample weights and variance estimates. Prevalence was calculated for vision impairment and blindness for the NHPI and overall US populations. Sociodemographic and clinical risk factors of vision impairment were explored using descriptive statistics, χ2 tests, and simple and multiple logistic regression. In total, 2 586 NHPIs and 36 673 individuals in the US were included. The prevalence of vision impairment was 8.8% among NHPIs and 9.1% for the overall US population, and the prevalence of blindness was 0.72% for NHPIs and 0.35% for the overall population. Independent risk factors associated with vision impairment were having a Charlson Comorbidity Index over 1 [OR: 2.89, 95% CI: (1.42-5.88)] and having a family income below $35 000 [OR: 2.03, 95% CI: (1.06-3.89)]. In summary, the rate of blindness is higher among NHPIs than the overall US population, especially for older and unemployed individuals with more comorbidities. Higher comorbidity burden, lower family income, and recent eye care were risk factors for vision impairment. More research is necessary to develop targeted and culturally sensitive interventions to promote NHPI eye health.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"82 12","pages":"296-301"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10713738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138810765","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}

引用次数: 0

A Literature Review on the Adherence to Screening Guidelines for Latent Tuberculosis Infection Among Persons Living With HIV. 关于艾滋病毒感染者中潜伏肺结核感染筛查指南遵守情况的文献综述。

Hawai''i journal of health & social welfare Pub Date : 2023-12-01

Rodson Allan Zorilla, Cecilia M Shikuma

{"title":"A Literature Review on the Adherence to Screening Guidelines for Latent Tuberculosis Infection Among Persons Living With HIV.","authors":"Rodson Allan Zorilla, Cecilia M Shikuma","doi":"","DOIUrl":"","url":null,"abstract":"Human immunodeficiency virus (HIV) infection increases the risk of reactivation of latent tuberculosis infection (LTBI). Although antiretroviral therapy decreases the progression of LTBI to tuberculosis disease (TBD), persons living with HIV (PLHIV) still have higher risk of TBD compared to the general population. LTBI screening is recommended for all newly diagnosed PLHIV to prevent TBD. However, several studies from low TBD incidence countries have reported sub-optimal implementation of these guidelines. This review aims to assess published studies on adherence to LTBI screening among PLHIV by identifying factors and determinants that affect the implementation of LTBI screening among PLHIV in low TBD incidence countries. Electronic databases were used to search for articles describing the adherence to LTBI screening guidelines. Fourteen studies were included in the final review. Ten studies assessed the frequency of PLHIV getting LTBI screening, and 4 studies assessed the compliance of health care providers in implementing the guidelines. PLHIV who were screened for LTBI ranged from 22.4% to 85%, of which 0.8% to 25.6% had positive results. Only 20% to 57.4% of surveyed physicians implemented the guidelines. Country of birth was an independent predictor of receiving LTBI screening. LTBI screening guidelines are inconsistently performed resulting in missed opportunities for TBD prevention. A comprehensive screening policy involving testing all PLHIV may be the best approach, rather than a targeted approach testing foreign-born individuals only. This will minimize missing domestic cases that can worsen disparity in HIV and tuberculosis infection among minority groups, including Asians, Native Hawaiians, and Pacific Islanders.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"82 12","pages":"289-295"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10713737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138810638","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}

引用次数: 0

Assessing Concussion Knowledge Among Recreational Surfers and Comparing Results to Concussion Knowledge Among Soccer Players: A Pilot Study. 评估休闲冲浪者的脑震荡知识并将结果与足球运动员的脑震荡知识进行比较：试点研究。

Hawai''i journal of health & social welfare Pub Date : 2023-12-01

William J Lew, Troy Furutani, Kyoko Shirahata, Nathan Murata, Hyeong Jun Ahn

引用次数: 0

Kūpuna "Older Adults" COVID-19 Vaccination Efforts in Hawai'i: Barriers and Successes. Kūpuna夏威夷“老年人”COVID-19疫苗接种工作:障碍与成功。

Hawai''i journal of health & social welfare Pub Date : 2023-11-01

Miquela Ibrao, Caroline M Cadirao, Derrick Ariyoshi, Keali'ialanikulani S Lopez, Lindsey Ilagan, Kathryn L Braun

{"title":"Kūpuna \"Older Adults\" COVID-19 Vaccination Efforts in Hawai'i: Barriers and Successes.","authors":"Miquela Ibrao, Caroline M Cadirao, Derrick Ariyoshi, Keali'ialanikulani S Lopez, Lindsey Ilagan, Kathryn L Braun","doi":"","DOIUrl":"","url":null,"abstract":"Prior to the availability of vaccines, kūpuna (older adults) accounted for the majority of COVID-19 hospitalizations and deaths. Hawaii's phased vaccine-release plan prioritized kūpuna, but it did not include guidance or strategies for kūpuna to get to mass vaccination sites, for those residing in care and foster homes, or for the homebound. This paper presents findings from statewide efforts to facilitate a quick uptake of vaccines among kūpuna of all ability levels. Researchers interviewed 32 individuals involved in kūpuna vaccination efforts from state and county government agencies, health care organizations, and non-profit organizations. Data on the percentage of kūpuna that initiated and completed the vaccination series by age group and island were obtained from the Hawai'i State Department of Health COVID-19 Dashboard. Overall, kūpuna vaccination efforts across the state were successful. By July 30, 2021, 94% of adults age 65+ were vaccinated, although prevalence varied by county-from 88% on Maui to 98% on Kaua'i. Key barriers included cumbersome online systems for scheduling vaccination appointments, difficulties for some elders in accessing mass vaccination sites, and the need for education and consent forms in multiple languages. Successful strategies included funding coalitions for effective partnerships, establishing county- and language-specific call centers, and supporting translation/interpretation services, mobile and pop-up clinics, and mechanisms for in-home vaccinations. Hawai'i worked hard to facilitate the quick uptake of COVID-19 vaccines among older adults. Funding for coalitions that could identify gaps, coordinate expertise across public and private sectors, and advocate for elders were crucial elements of the state's success.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"82 11","pages":"266-272"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10630539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650063","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}

引用次数: 0

Occupational Stress among Hospital-Based Nurses in Hawai'i during the COVID-19 Pandemic: A Cross-Sectional Survey. COVID-19大流行期间夏威夷医院护士的职业压力:一项横断面调查

Hawai''i journal of health & social welfare Pub Date : 2023-11-01

Sui Fan Yiu Lowe, Carrie M Oliveira, Katherine Finn Davis

{"title":"Occupational Stress among Hospital-Based Nurses in Hawai'i during the COVID-19 Pandemic: A Cross-Sectional Survey.","authors":"Sui Fan Yiu Lowe, Carrie M Oliveira, Katherine Finn Davis","doi":"","DOIUrl":"","url":null,"abstract":"The Coronavirus Disease 2019 (COVID-19) pandemic has caused unprecedented disruption in health care systems and may continue to do so. Nurses, the largest contingent of the nation's health care workforce, have borne the brunt of those disruptions, which have caused increased workload and resultant occupational stress. This study identified differences in nurses' occupational stress by practice specialty, time spent caring for patients with COVID-19, and nurses' demographic characteristics. A descriptive cross-sectional online survey of RNs and APRNs (N=328) was conducted at a Level 1 Trauma Center on the island of O'ahu, Hawai'i in September and October of 2021. Participants completed the 57-item Expanded Nursing Stress Scale (ENSS). Nurses reported an average overall stress score of 2.11 out of 4. The ENSS subscales of workload, patients and their families, inadequate preparation, and uncertainty concerning treatment all had higher mean scores than the total scale. Nurses working in perioperative/procedural areas and obstetrics reported lower overall occupational stress scores than nurses in other specialties. Nurses who spent > 50% of their time caring for patients with COVID-19 reported higher overall occupational stress scores than nurses who spent ≤ 50% of their time caring for patients with COVID-19 (F = 8.21, P < .001). Nurses over the age of 50 reported less stress than their younger counterparts (F = 5.75, P = .004). Understanding how occupational stress impacts acute care nurses can aid employers in allocating resources to address the problem, and thus improve workforce retention.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"82 11","pages":"247-255"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10630536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650064","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}

引用次数: 0

Rapid Cycle Quality Improvement of Telemedicine Protocols in a Skilled Nursing Facility During the COVID-19 Pandemic. COVID-19大流行期间熟练护理机构远程医疗协议的快速周期质量改进

Hawai''i journal of health & social welfare Pub Date : 2023-11-01

Lauren Okamoto, Matthew Uechi, Patricia Blanchette, Sabine von Preyss-Friedman, Kamal Masaki

{"title":"Rapid Cycle Quality Improvement of Telemedicine Protocols in a Skilled Nursing Facility During the COVID-19 Pandemic.","authors":"Lauren Okamoto, Matthew Uechi, Patricia Blanchette, Sabine von Preyss-Friedman, Kamal Masaki","doi":"","DOIUrl":"","url":null,"abstract":"Prior to the COVID-19 pandemic, telemedicine was not well adopted in US nursing facilities. Many nursing facilities have since acknowledged its value due to the need for stricter infection control and reduction of exposure risk from face-to-face visits. A quality improvement project was conducted to improve telemedicine protocols in a high-volume post-acute care nursing facility, enhance provider and facility capability for visits, improve attitudes and skills toward telemedicine, and expand patient access to medical care during the pandemic. Process improvement was facilitated through identifying core areas of need and implementing interventions to address them. Project impact was measured by a retrospective pre-post survey of 7 questions to evaluate process improvement, attitudes, skills, and perceptions using a 5-point Likert scale (5=strongly agree, 1=strongly disagree) completed by 22 respondents (8 medical providers and 14 staff). Scores from before and after implementation were compared using paired t-tests. Respondents expressed improvement in perceived value (3.2 vs 4.8), personal skill/efficiency (2.3 vs 4.2), comfort level (2.3 vs 4.5), and scheduling process (2.3 vs 3.9) for telemedicine visits (all P≤.001). Respondents expressed increased awareness of barriers/benefits of telemedicine (2.8 vs 4.7, P<.001) and improved leadership commitment (2.6 vs 4.4, P<.001). The weekly average number of telemedicine visits per respondent increased significantly after protocol implementation (6.5 vs 25.6, P=.002). With support of facility leadership, interdisciplinary team members and engagement of key stakeholders, a telemedicine protocol was implemented in a single, high-volume, post-acute care skilled nursing facility during the COVID-19 pandemic, allowing patients to receive needed care.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"82 11","pages":"256-265"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10630537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650065","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}

引用次数: 0