Reni Asmara Ariga, Rebecca Aurelia, Paskah Thio Dora Anak Ampun, Cindy Patresia Hutabarat, Ferdinand Batiscta Panjaitan
{"title":"Enhancing Nursing Excellence: Exploring the Relationship between Nurse Deployment and Performance.","authors":"Reni Asmara Ariga, Rebecca Aurelia, Paskah Thio Dora Anak Ampun, Cindy Patresia Hutabarat, Ferdinand Batiscta Panjaitan","doi":"10.3390/ijerph21101309","DOIUrl":"https://doi.org/10.3390/ijerph21101309","url":null,"abstract":"<p><p>Proper nurse placement is crucial for enhancing the performance and quality of health services. This study aims to explore in-depth the relationship between nurse placement and performance in order to promote nursing excellence. A quantitative analysis was conducted using a descriptive correlational methodology. The population in this study consisted of 214 executive nurses at Medan Government Hospital, with a sample size of 139. The study's findings revealed that nurses performed exceptionally well in providing nursing care, scoring 94.2%, with those well-placed scoring 90.6%. The results from the Spearman rho correlation test showed that nursing qualifications, experience, work environments, and team dynamics have significant relationships with nurse performance. Meanwhile, the nurse's rho factor towards patients and the policy or regulation component showed low significance and relationship. The novelty of this study lies in its indication that nursing performance can be enhanced by aligning the placement of nurses with their abilities and experience, and fostering a work environment and positive team dynamics that encourage collaboration and efficiency. These findings provide vital insights for nursing staff management in order to enhance nursing care quality and patient health outcomes. This study highlights the need for suitable placement and professional development for nurses in order to attain maximum performance.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Identity-Driven Targeted Violence in a College Setting: An Overview of Prevalence and Behavioral Responses.","authors":"Patrick T McGonigal, Mario J Scalora","doi":"10.3390/ijerph21101312","DOIUrl":"https://doi.org/10.3390/ijerph21101312","url":null,"abstract":"<p><strong>Background: </strong>Online and offline identity-driven harassment disproportionately affects minoritized college students, contributing to poorer academic performance and attrition. Because victims are often hesitant to formally report incidents, additional research is needed to understand the genuine prevalence of these experiences as well as the responses victims engage in following the incidents.</p><p><strong>Methods: </strong>A large undergraduate sample (<i>N</i> = 2000) from a Midwestern university responded to an anonymous survey assessing the frequency of identity-driven behavior occurring on-campus and beyond, in addition to how they responded to harassment.</p><p><strong>Results: </strong>The results unveiled that perpetrators most often targeted an individual's sex and gender, followed by their sexual orientation and race. Specific behaviors ranged from more frequent, mild forms of harassment (i.e., verbal harassment, invading space) to less frequent, severe forms of harassment (i.e., physical and sexual assault). Victims reported engaging in informal activities following harassment, such as relying on social support or ignoring the perpetrator.</p><p><strong>Conclusions: </strong>The current study unveiled patterns of identity-driven behaviors experienced by college students as well as how they respond to victimization. Future directions and practical implications are discussed.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11508175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aarnav D Shah, Christina Laternser, Priyamvada Tatachar, Priscilla Duong
{"title":"The COVID-19 Pandemic and Its Effects on Mental Health-A before, during, and after Comparison Using the U.S. Census Bureau's Household Pulse Survey.","authors":"Aarnav D Shah, Christina Laternser, Priyamvada Tatachar, Priscilla Duong","doi":"10.3390/ijerph21101306","DOIUrl":"https://doi.org/10.3390/ijerph21101306","url":null,"abstract":"<p><strong>Background: </strong>Although significantly increased mental health concerns were noted globally during the first year of the COVID-19 pandemic, much less is known about the mental health trends during the COVID-19 recovery period. We aimed to compare current anxiety or depression rates to those before and during the first year of the pandemic and to evaluate demographic differences.</p><p><strong>Methods: </strong>We analyzed Household Pulse Survey data prospectively collected from a representative U.S. population sample. We compared the anxiety or depression rates from the first pandemic year (04/2020-05/2021) and recovery period (06/2023-03/2024) from the national cohort and demographic subgroups using two-sided paired <i>t</i>-tests and regression analyses and compared these to pre-pandemic (01/2019-12/2019) rates using one-sided <i>t</i>-tests.</p><p><strong>Results: </strong>The national estimates for anxiety or depression improved during the recent COVID-19 recovery period as compared to the first year (29.5 ± 5.5 vs. 37.6 ± 3.1; <i>p</i> < 0.0001) but did not return to the pre-pandemic benchmark (29.5% vs. 10.8%; <i>p</i> < 0.001). Higher rates were noted in younger individuals aged 18-29 years (<i>p</i> < 0.0001), in individuals with less than a high school diploma (<i>p</i> < 0.0001), or with disabilities (<i>p</i> < 0.0001). Non-Hispanic Asians reported the lowest rates (<i>p</i> < 0.0001), and no significant gender differences were noted.</p><p><strong>Conclusion: </strong>The U.S. population's mental health concerns have improved since the first year of the pandemic but remain above pre-pandemic benchmarks. Certain demographic subgroups are at higher risk, indicating the need for targeted health care and economic policy interventions to address these disparities.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142516705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perceived Community Control in Adults with Acute Low Back Pain: A Community-Based Study.","authors":"Flavia P Kapos, Colleen A Burke, Adam P Goode","doi":"10.3390/ijerph21101310","DOIUrl":"https://doi.org/10.3390/ijerph21101310","url":null,"abstract":"<p><strong>Background: </strong>Low back pain (LBP) is the leading cause of disability for individuals and societies globally. Prior investigations have predominantly centered around biological and psychological factors. Addressing social determinants is critical for enhancing the effectiveness and equity of pain interventions. We aimed to characterize social factors, sleep, and pain among adults with acute LBP, focusing on perceived community control.</p><p><strong>Methods: </strong>A community-based sample of adults with acute LBP was recruited from two cities in North Carolina, United States, and followed up at 3 months. We used descriptive statistics to characterize social factors, sleep, and pain, overall and by levels of perceived community control.</p><p><strong>Results: </strong>In total, 110/131 enrolled participants had data on perceived community control (lower scores indicate higher control). Overall, the median perceived community control was 14 (interquartile range [IQR] = 11, 15). People with high perceived community control also had, on average, higher perceived individual control, better-perceived neighborhood walkability, lower number of sites with bothersome comorbid pain, and higher sleep quality. A higher proportion of participants with high perceived community control were of male sex, White race, and had a higher socioeconomic position.</p><p><strong>Conclusions: </strong>Community control and related constructs may be further explored in future intervention development as potentially modifiable social factors that may reduce pain burden.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11508047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tiago Maia, Renata Yokota, Sofie Arnetorp, Joanne Smith, Gail Rae-Garwood, Gabriella Settergren, Marie Eckerd, Paul Williams
{"title":"Life after Lockdown: An Exploratory Qualitative Study of Behaviors and Impacts of Avoiding COVID-19 in Individuals at High Risk of Severe COVID-19 and Their Caregivers.","authors":"Tiago Maia, Renata Yokota, Sofie Arnetorp, Joanne Smith, Gail Rae-Garwood, Gabriella Settergren, Marie Eckerd, Paul Williams","doi":"10.3390/ijerph21101307","DOIUrl":"https://doi.org/10.3390/ijerph21101307","url":null,"abstract":"<p><p>This exploratory qualitative study involved semi-structured interviews with adults and caregivers of adults at high risk of severe COVID-19, addressing current COVID-19 avoidance and protective behaviors and how these behaviors impacted their lives. Results were interpreted in a separate think tank session. Insights were developed into a conceptual model of COVID-19 avoidance and protective behaviors and the associated impacts on health-related quality of life and overall functioning. Data were interpreted using a hybrid inductive and deductive thematic analysis. Twelve high-risk individuals and two caregivers were interviewed across four focus groups (April-July 2022). Major behavioral themes included physical distancing, physical and medical protection, quality of support services and networks, and information to make decisions. Major impacts included family, social, and emotional functioning; work and finances; and healthcare access. The final conceptual model comprised 13 behaviors to avoid COVID-19 categorized within four themes, and 13 impacts within five themes. Individuals at high risk of severe COVID-19 and their caregivers continue practicing COVID-19 avoidance behaviors post-lockdown and feel left behind by the general population. Our conceptual model may be used to inform health authorities and other governing bodies' decisions in executing strategies aimed at improving these individuals' lives.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chulwoo Park, Mark Edberg, Janet Yougi Bang, Avizia Yim Long
{"title":"Mixed Methods Study Protocol: Language Identity, Discrimination, and Mental Health among Multilingual 1.5 Generation Asian/Asian American Immigrant Young Adults.","authors":"Chulwoo Park, Mark Edberg, Janet Yougi Bang, Avizia Yim Long","doi":"10.3390/ijerph21101311","DOIUrl":"10.3390/ijerph21101311","url":null,"abstract":"<p><p>Language identity, an understudied factor, can influence isolation and discrimination, leading to disparities in well-being and mental health among immigrants. This study aims to investigate the role of language identity on structural racism and discrimination among 1.5 generation Asian/Asian American immigrants in a diverse U.S. state. We developed a three-step sequential approach: Stage 1-qualitative analysis (1A, focus group discussion; 1B, in-depth interviews); Stage 2-quantitative analysis (2A, language identity measurement scale; 2B, cross-sectional online survey; 2C, multivariate multiple linear regression); Stage 3-another round of qualitative analysis (3A, follow-up in-depth chronological interviews). Therefore, this study will contribute to the field by introducing a novel three-step mixed methods approach, marking a notable improvement over conventional explanatory or exploratory sequential designs.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Radon Risk Communication through News Stories: A Multi-Perspective Approach.","authors":"María-Cruz Negreira-Rey, Jorge Vázquez-Herrero, Tania Forja-Pena","doi":"10.3390/ijerph21101302","DOIUrl":"https://doi.org/10.3390/ijerph21101302","url":null,"abstract":"<p><p>Radon is, after tobacco, the most frequent cause of lung cancer. Communicating about its risks with a didactic perspective so that citizens become aware and take action to avoid radon remains a challenge. This research is framed in Spain, where 17% of the territory exceeds the maximum radon limits allowed by the WHO, and aims to study the role and impact of the media in radon risk communication. A mixed methodological design is applied, combining content analysis of news published in the last two decades by local media in the most affected areas with interviews with journalists and a survey of citizens to provide a multi-perspective approach. The results show that, although news coverage of radon is becoming more frequent, it is a topic that fails to position itself on the agenda for effective communication. The media are the most frequent source of information on radon, although they are not considered by the public the most trustworthy one. News stories about radon focus mainly on health and research to inform about the radon levels to which citizens are exposed and the risks associated with cancer. Collaborative strategies between the media, organizations, and public administration seem key to advancing the fight against radon.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11506878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Challenges for EU User Testing Policies for Patient Information Leaflets.","authors":"Nicola Pelizzari","doi":"10.3390/ijerph21101301","DOIUrl":"https://doi.org/10.3390/ijerph21101301","url":null,"abstract":"<p><p>Patient information leaflets (PILs) are essential tools in healthcare, providing crucial information about medication use. In the European Union, the European Medicines Agency (EMA) oversees the regulation and standardisation of PILs to ensure their readability and accessibility. However, challenges persist in ensuring these documents are comprehensible and user-friendly. This study employs a qualitative analytical approach, reviewing existing literature and regulatory documents to identify gaps in the EU user testing policies for PILs. It focuses on the diversity of participant samples, the independence of the testing process, and the robustness of user testing protocols. Findings indicate that current user testing practices often lack diversity and may be biased when pharmaceutical companies conduct their own tests. Additionally, there is a lack of user testing protocols for translated PILs, potentially compromising their accuracy and cultural relevance. To improve the efficacy of PILs, it is essential to include diverse and representative samples in user testing, mandate independent third-party evaluations, implement protocols for user testing on translated PILs, and ensure continuous updates to guidelines based on the latest best practices in health communication. These measures will enhance patient safety and understanding of medication information.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Revisiting Factors Influencing Under-Five Mortality in India: The Application of a Generalised Additive Cox Proportional Hazards Model.","authors":"Maroof Ahmad Khan, Sumit Kumar Das","doi":"10.3390/ijerph21101303","DOIUrl":"https://doi.org/10.3390/ijerph21101303","url":null,"abstract":"<p><strong>Background: </strong>Despite the implementation of various preventive measures, India continues to experience an alarmingly high under-five mortality rate (U5MR). The most recent nationwide data on U5MRs has provided an opportunity to re-examine the associated factors of U5MRs using advanced techniques. This study attempted to identify the associated determinants of U5MRs via the generalised additive Cox proportional hazards method.</p><p><strong>Methods: </strong>This study analysed the fifth round of unit-level data for 213,612 children from the National Family Health Survey (NFHS-5) to identify the risk factors associated with U5MRs, employing a generalised additive Cox proportional hazards regression analysis.</p><p><strong>Results: </strong>The children who had a length of pregnancy of less than 9 months had a 2.621 (95% CI: 2.494, 2.755) times greater hazard of U5MRs than the children who had a gestational period of 9 months or more. The non-linear association with U5MRs was highest in the mother's age, followed by the mother's haemoglobin, the mother's education, and household wealth score. The relationships between the mother's age and the mother's haemoglobin level with the U5MR were found to be U-shaped.</p><p><strong>Conclusions: </strong>This study highlights the importance of addressing maternal and socioeconomic factors while improving access to healthcare services in order to reduce U5MRs in India. Furthermore, the findings underscore the necessity for more sophisticated approaches to healthcare delivery that consider the non-linear relationships between predictor variables and U5MRs.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natalia Vázquez-Colón, Andrea López-Cepero, Claudia Amaya, Katherine L Tucker, Catarina I Kiefe, Sharina D Person, Milagros C Rosal, Cynthia M Pérez
{"title":"The Association between Food Insecurity and Insomnia Symptoms among Young Adults in Puerto Rico and the Mediating Role of Psychological Distress Symptoms.","authors":"Natalia Vázquez-Colón, Andrea López-Cepero, Claudia Amaya, Katherine L Tucker, Catarina I Kiefe, Sharina D Person, Milagros C Rosal, Cynthia M Pérez","doi":"10.3390/ijerph21101296","DOIUrl":"https://doi.org/10.3390/ijerph21101296","url":null,"abstract":"<p><p>Residents of Puerto Rico face a high burden of food insecurity (FI), which has been associated with insomnia symptoms (IS). However, this association remains understudied in Puerto Rican young adults, a vulnerable group experiencing an elevated prevalence of FI and poor sleep. We evaluated the association between FI and IS and the mediating role of psychological distress symptoms among young adults in Puerto Rico. Data are derived from the PR-OUTLOOK cohort (2020-2023) of adults aged 18-29 y. We assessed FI with the six-item USDA Household Food Security Scale and IS with the 5-item Women's Health Initiative Insomnia Rating Scale. Psychological distress symptoms included depressive symptoms (CES-D-10), anxiety (STAI-10), and perceived stress (PSS-4). Poisson's regression models estimated prevalence ratios (PRs) with 95% confidence intervals (CIs). The Karlson-Holm-Breen method estimated the mediation percentage of each psychological distress symptom on the association between FI and IS. Notably, 24.8% of participants experienced FI, and 30.4% reported elevated IS. FI was associated with IS (PR = 1.41, 95% CI = 1.24, 1.60), an association partially mediated by depressive (31.6%), perceived stress (17.6%), and anxiety symptoms (17.2%), accounting for 35.8% of the mediation percentage. Future research should confirm these findings using objective assessments of sleep and psychosocial stress.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}