Journal of Community Health Nursing最新文献

{"title":"Evaluating the Effectiveness of Using the Teach-Back Method to Improve the Health Literacy of Individuals in the Community.","authors":"Charles Brown,Brenna Dotson,Juandria Montgomery,Chastity Sutterfield,Geeta Maharaj","doi":"10.1080/07370016.2024.2399347","DOIUrl":"https://doi.org/10.1080/07370016.2024.2399347","url":null,"abstract":"PURPOSEThe purpose was to evaluate the effectiveness of the teach-back method in improving communication between registered nurses and people receiving healthcare services in a community-based setting to address the issue of low health literacy.DESIGNA quasi-experimental study, pre- and post-test design with an intervention group and a comparison group was conducted to study the teach-back method and the quality of communication between registered nurses and people receiving healthcare services in a community-based setting.METHODSFor the intervention group, the registered nurses integrated the teach-back method into the delivery of healthcare services to enhance communication with people who received services at various community-based sites. The comparison group received healthcare services at various community-based sites, without the teach-back method. A retrospective pre- and post-test questionnaire was administered to the participants in the study to measure communication with registered nurses.FINDINGSThe post-test mean score (M = 5.58, SD = .743) of the intervention group was significantly higher than their mean pre-test score (M = 5.17, SD = 1.195), t(434) = -7.727, p < .001, Cohen's d = .371. The difference between the pre- and post-test mean scores of the comparison group was not statistically significant.CONCLUSIONSThe findings confirmed the effectiveness of the teach-back method for improving patient communication among people receiving healthcare services in a community-based setting.CLINICAL EVIDENCECommunity health nurses can utilize the teach-back method while delivering healthcare services to improve patient communication and address health literacy among people in the community.","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Randomized Control Trial on Internet-Based Self-Management of Arteriovenous Fistula in Hemodialysis Patients.","authors":"Lian-Shun Jin, Hui-Ling Lv, Li-Na Li, Ying-Ai Jin","doi":"10.1080/07370016.2024.2389970","DOIUrl":"https://doi.org/10.1080/07370016.2024.2389970","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the impact of incorporating internet-based resources and popular science workshops on self-care management among hemodialysis patients with arteriovenous fistula.</p><p><strong>Design: </strong>A randomized controlled trial involving 110 hemodialysis patients with arteriovenous fistula, randomly assigned to either the experimental or control group.</p><p><strong>Methods: </strong>The experimental group received self-management training utilizing internet resources and interactive workshops, while the control group received conventional health education methods. After the intervention, the self-management proficiency of both groups was assessed, including comprehension of arteriovenous fistula-related information, satisfaction levels, self-care abilities, engagement in functional exercises, quality of life, and other relevant factors.</p><p><strong>Findings: </strong>Patients in the experimental group exhibited significantly greater proficiency in arteriovenous fistula self-management knowledge, higher levels of patient satisfaction, enhanced self-management abilities, improved functional exercise performance, and better overall quality of life compared to those in the control group (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>The combination of internet resources and popular science workshops presents a novel and promising approach for educating and promoting self-care management among hemodialysis patients with arteriovenous fistula. This method holds potential for widespread dissemination and implementation in science education.</p><p><strong>Clinical evidence: </strong>The study demonstrates the tangible benefits of integrating internet-based resources and popular science workshops into self-management training for arteriovenous fistula among hemodialysis patients, as evidenced by improved knowledge, satisfaction, abilities, exercise performance, and quality of life in the experimental group compared to the control group.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning Outcomes of Flipped Classroom on Community Health Nursing Course.","authors":"Tsai-Hsiu Chang, Yu-Cheng Hsu","doi":"10.1080/07370016.2024.2389964","DOIUrl":"https://doi.org/10.1080/07370016.2024.2389964","url":null,"abstract":"<p><strong>Purpose: </strong>To improve the quality of community health nursing practice, the learning outcomes of nursing students in community health nursing courses must be enhanced. Although the flipped classroom is considered an effective innovative teaching strategy, evidence of its application in community health nursing courses is limited. Therefore, this study aimed to examine the effects of a flipped classroom approach on community nursing competence, academic performance, course engagement, and learning satisfaction for a community health nursing course.</p><p><strong>Design: </strong>A quasi-experimental study design was adopted between September 2021 and January 2022.</p><p><strong>Methods: </strong>Two classes of nursing students (<i>n</i> = 92) from a 2-year nursing program at a university in Taiwan were recruited. The classes were randomly assigned to the intervention group (<i>n</i> = 50) that attended a flipped classroom and the control group (<i>n</i> = 42) that received traditional lecture-based instruction.</p><p><strong>Findings: </strong>Compared with the control group, the intervention group demonstrated significantly greater improvements in community nursing competence (<i>p</i> = .012) and significantly higher academic performance (<i>p</i> = .005). In addition, the course engagement and learning satisfaction of the two groups were high, but not significantly different.</p><p><strong>Conclusions: </strong>A flipped classroom can be an important strategy to enhance community nursing competence and academic performance.</p><p><strong>Clinical evidence: </strong>The flipped classroom strategy can enhance community nursing competence of nursing students, which may improve the quality of population-based healthcare.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Build It and They Will Come: Interdisciplinary Wellness Clinics in Low-Income Senior Housing.","authors":"Barbara Resnick, Nicole Brandt, Sarah Holmes, N Jennifer Klinedinst","doi":"10.1080/07370016.2024.2388043","DOIUrl":"https://doi.org/10.1080/07370016.2024.2388043","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to describe the first 4 months of implementation of the University of Maryland Interdisciplinary Wellness Clinic (UM-IWC). The UM-IWC provided health care services that are difficult for older adults in low-income senior housing communities to access.</p><p><strong>Design: </strong>This was a descriptive study including four low-income communities.</p><p><strong>Methods: </strong>Measures included health information, participation, and services provided.</p><p><strong>Findings: </strong>A total of 165 residents were seen (44%). The residents were mostly female (80%), Black (63%), and non-Hispanic (83%), with an average age of 77 years. We provided 253 patient visits with 98 residents seen once, 38 twice, 19 three times, and 10 four times. Visits included 165 intake assessments, 61 immunizations, 193 blood pressure checks, 28 foot care treatments, 12 cerumen removals, 12 completions of advance directives, 14 Annual Wellness Visits, and 3 home visits for acute medical problems.</p><p><strong>Conclusions: </strong>There was strong engagement of the residents, and we were able to provide a large number of services that were not easily accessible to these individuals. Future work will focus on increasing and maintaining the engagement of residents and sustainability of the clinics.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a Community-Based Ostomy Nursing Technique to Enhance the Delivery of Patient Care and Quality of Life.","authors":"Lichao Bao, Hong Jin, Xiaoyue Lu, Feifei Wang","doi":"10.1080/07370016.2024.2370833","DOIUrl":"https://doi.org/10.1080/07370016.2024.2370833","url":null,"abstract":"<p><p>This study aimed to develop and validate a community-based ostomy care training program for nursing staff, with the goal of enhancing their ostomy nursing competencies and improving patient satisfaction. Between March 2021 and October 2021, 20 registered nurses and 50 patients with enterostomy surgery who took part in the promotion of a new nursing technique in five community health service centers in the Wuxing District, Huzhou City, were enrolled in this study (forming the intervention group). In addition, 15 registered nurses and 40 patients with enterostomy surgery from four community health service centers with similar economic and health conditions in the same area were randomly selected as the control group. All community health service centers were independent institutions. The indexes before and after the promotion of the technique were compared, and the effectiveness of the training was evaluated by observing the improvement in nursing skills and changes in patient quality of life after the training. The \"quality-of-life scale\" was used to analyze the quality of life of patients who had undergone colostomy surgery. The new approach to ostomy care delivered in a community setting was found to improve staff knowledge and skill in ostomy care (<i>p</i> < 0.001), improve the quality-of-life scores of patients and reduce patient travel time and medical expenses. The promotion of ostomy nursing techniques in community health service centers has several benefits. It improves the ostomy nursing skill levels of community medical staff. This reduces the occurrence of ostomy complications. Additionally, it establishes an effective connection between tertiary hospitals and community health service centers. This connection is conducive to better nursing care for patients who have undergone ostomy surgery. The hospital - community - family nursing model can improve self-management abilities and reduce the incidence of complications of enterostomies.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing and Retaining Homecare Nurses Through Employer-Based Tuition Assistance Programs: A Mixed Methods Study.","authors":"Frances Bruno, Sonia Nizzer, Nicole A Moreira, Tonya Martin, Emily C King, Sandra M McKay","doi":"10.1080/07370016.2024.2314077","DOIUrl":"10.1080/07370016.2024.2314077","url":null,"abstract":"<p><strong>Purpose: </strong>This study describes how an employer-based tuition-assistance program for homecare workers at one Canadian homecare organization enabled nursing career advancement and retention.</p><p><strong>Design: </strong>A convergent parallel mixed-methods design.</p><p><strong>Methods: </strong>We reviewed existing administrative data and concurrently conducted semi-structured interviews. Descriptive statistics were used on quantitative data and qualitative data was analyzed using thematic analysis. A joint data display was developed to integrate findings from both quantitative and qualitative data together.</p><p><strong>Findings: </strong>Tuition assistance reduced financial barriers to career advancement; 83% of recipients remained with their employer for at least 1-year post-studies but only 29% experienced career advancement. Psychosocial supports, career navigation and coaching to ease the licensing and role transition processes were identified as opportunities to support learners.</p><p><strong>Conclusion: </strong>Employer-based tuition assistance programs are impactful in helping to develop skilled employees. Practical enhancements to further support career transitions may maximize retention to address urgent homecare staffing challenges.</p><p><strong>Clinical evidence: </strong>Employer-based tuition assistance can be a useful strategy to support nursing career growth and staff retention.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Health Education in Combination with Nutrition Support Nursing on the Nutritional Status and Quality of Life in Patients with Pulmonary Tuberculosis.","authors":"Lifei Dong, Shuo Kong, Meixin Deng, Di Zhang","doi":"10.1080/07370016.2024.2329632","DOIUrl":"10.1080/07370016.2024.2329632","url":null,"abstract":"<p><p>This study aimed to ascertain the effects of health education combined with nutrition support nursing on the nutritional status and quality of life of patients with pulmonary tuberculosis. A clinical study was conducted. Sixty-four patients with tuberculosis were selected as the study participants and divided into control and observation groups (<i>n</i> = 32). Both groups received antituberculosis drugs. The control group received standard nursing care, while the observation group received health education in conjunction with nutrition support nursing. After 3 months of intervention, the total effective treatment rate and adherence were compared. Before and after the intervention, the albumin (ALB), prealbumin (PA), transferrin (TF), and hemoglobin (Hb) level, body mass index (BMI), and Short Form-36 (SF-36) scores were compared. The occurrence of adverse reactions during intervention was recorded. Following the intervention, the observation group exhibited a higher treatment total effective rate and increased levels of ALB, PA, TF, Hb, and BMI compared with the control group (<i>p</i> < 0.05). The observation group demonstrated a higher total adherence rate and a lower incidence of adverse reactions compared with the control group (<i>p</i> < 0.05); the SF-36 score of the observation group was higher than that of the control group (<i>p</i> < 0.05). The integration of health education and nutrition support nursing can effectively enhance the therapeutic outcomes of patients with pulmonary tuberculosis. This approach not only improves their nutritional status, treatment adherence, and quality of life, but also reduces the incidence of adverse reactions. The findings of this study lay a solid foundation for further exploration of the combined effects of health education and nutrition support nursing on pulmonary tuberculosis.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Family-Centered Empowerment Model in Home Care of Older Adult Patients After Total Knee Arthroplasty.","authors":"Huijuan Liang, Jianwei Hou, Jing Xiong","doi":"10.1080/07370016.2023.2276744","DOIUrl":"10.1080/07370016.2023.2276744","url":null,"abstract":"<p><strong>Purpose: </strong>In the present study, we investigated the effect of the family-centered empowerment model (FCEM) in the home care of older adult patients after total knee arthroplasty (TKA).</p><p><strong>Design: </strong>The current study was a randomized controlled study.</p><p><strong>Methods: </strong>Two hundred eighty older adult patients who underwent TKA in our hospital from December 2020 to December 2022 were selected. They were divided into intervention and control groups using the random number table method, with 140 cases in each group. After follow-up and attrition, 133 patients were assigned to the intervention group and 130 to the control group. The control group received conventional care, and the intervention group received the care provided using the FCEM. The general characteristics of the study subjects were compiled using a general information questionnaire designed by the researcher. The chi-square test and <i>t</i>-test were used to compare the changes in self-care efficacy, knee function, and the occurrence of postoperative complications in the two groups before and after the intervention.</p><p><strong>Findings: </strong>The results suggest that the adoption of FCEM improved patient motivation and self-care efficacy, promoted the recovery of knee function in the short term after surgery, and reduced the likelihood of occurrence of complications.</p><p><strong>Conclusion: </strong>The present study highlights the importance of extending the FCEM to multiple domains to fill the gaps in the currently available medical care system for older adults. In addition, the study provides a reference basis for reducing the occurrence of complications and improving patient prognosis.</p><p><strong>Clinical evidence: </strong>The FCEM model is an effective strategy to improve the effectiveness of home nursing for older adults.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives on Emergency Preparedness Among Indigenous Pacific People in Hawaii: A Qualitative Study.","authors":"Gary Glauberman, Philmar Mendoza Kabua, Melveen Camba, Marissa Dela Cruz, Holly B Fontenot","doi":"10.1080/07370016.2024.2309375","DOIUrl":"10.1080/07370016.2024.2309375","url":null,"abstract":"<p><strong>Purpose: </strong>This study sought an improved understanding of household emergency preparedness (EP) among Native Hawaiian, Pacific Islander, and Filipino (Indigenous Pacific People [IPP]) parents in Hawaii.</p><p><strong>Design: </strong>We conducted an exploratory qualitative descriptive study with 60-minute interviews occurring from October 2022 through March 2023. A semi-structured interview guide exploring participant household EP was employed.</p><p><strong>Methods: </strong>Prospective participants were females who identified as IPP, caregivers of a 0-12-year-old child, spoke English, and received health services at a federally qualified health center clinic. Two researchers conducted qualitative content analysis on interview transcripts. Initial coding of transcripts identified broad categories or themes. The process was reviewed continuously to verify data and coding procedures. Three investigators independently verified final themes and subthemes.</p><p><strong>Findings: </strong>Participants (N=25) were female, between 30-49 years of age (68%), had received some college education (60%), and were fully employed (68%). Major themes included: 1) Perceptions of family EP and current behaviors, 2) Barriers and challenges to family EP, and 3) Perspectives on strategies to improve family EP. Subthemes included risk perception for emergencies; family EP practices; health protection and pandemic preparedness; lack of knowledge and experience; social, cultural and economic barriers; and clinic-based, technology-driven, and community-based interventions.</p><p><strong>Conclusion: </strong>Factors impeding access to healthcare services also impede family EP among IPP groups and their ability to mitigate the impact of future public health emergencies.</p><p><strong>Clinical evidence: </strong>Targeted, innovative interventions, including ones led by health clinics and those that utilize technology, are needed to overcome common barriers faced and to facilitate the uptake of household EP behaviors among IPP families.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11128344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Perceptions Among Undergraduate Nursing Students Using Virtual Reality in a Community Course: A Mixed-Methods Explanatory Study.","authors":"Justin Fontenot, Michael Hebert, Hung-Chu Lin, Arun K Kulshreshth","doi":"10.1080/07370016.2023.2280617","DOIUrl":"10.1080/07370016.2023.2280617","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated undergraduate nursing students' perceptions of integrating virtual reality (VR) technology into a community nursing course, specifically home and environmental patient safety assessments.</p><p><strong>Design: </strong>This study used a mixed-methods approach with an explanatory design.</p><p><strong>Methods: </strong>Participants were recruited from a community health course. The students engaged in a VR simulation involving home visits using the vizHome platform. Quantitative and qualitative data were gathered using the Technology Acceptance Model (TAM) and the System Usability Scale (SUS). Semi-structured interviews were conducted. Quantitative data were collected through Qualtrics and secure Zoom connections for the interviews. The data were analyzed with SPSS and MAXQDA.</p><p><strong>Findings: </strong>The results indicated that participants perceived VR as valuable and easy to use for learning home assessment skills. The System Usability Scale (SUS) score revealed room for improvement. Technical limitations were identified as challenges that must be addressed to enhance the user experience.</p><p><strong>Conclusion: </strong>Participants acknowledged VR's potential to supplement traditional learning methods, providing safe and realistic exposure to diverse home environments. While VR was seen as beneficial, it was not considered a replacement for actual home visits in community nursing education.</p><p><strong>Clinical evidence: </strong>This study provided clinical teaching evidence on the usability and student perceptions of VR in community courses.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}