Journal of Community Health Nursing最新文献

{"title":"Risk Factors for Falls Among Older Adults with Diabetes in the Community: A Zero-Inflated Negative Binomial Regression Model","authors":"Chan Mi Kang","doi":"10.1080/07370016.2024.2401874","DOIUrl":"https://doi.org/10.1080/07370016.2024.2401874","url":null,"abstract":"Older adults with diabetes are more likely to fall than the general older adult population. Some falls can even cause fatal damage. It is necessary to consider this when analyzing fall risk. This s...","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142268631","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":"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":"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}

{"title":"A Practical Guide to Implementing an Evidenced-Based Hands-On Naloxone Training.","authors":"Shameka L Cody, Cheryl B Hines","doi":"10.1080/07370016.2024.2314080","DOIUrl":"10.1080/07370016.2024.2314080","url":null,"abstract":"<p><p>Synthetic opioids contribute to the majority of opioid overdose-related deaths in the United States. Expansion of naloxone training to community laypersons is one strategy to mitigate opioid overdose-related deaths. A hands-on naloxone training demonstrated efficacy in improving opioid knowledge and overdose response in baccalaureate nursing students, Greek-affiliated students, and rural clinicians and staff post-training. The purpose of this practical guide is to provide detailed steps to implement an evidence-based hands-on naloxone training for laypersons in community settings. The hands-on naloxone training consisted of five components: evaluator training, a validated pre-post opioid knowledge questionnaire, an opioid lecture, a performance evaluation, and a satisfaction survey. Post-training, trainees demonstrated increased knowledge related to opioids and overdose response, and they felt comfortable administering naloxone to someone experiencing an opioid overdose. Researchers, educators, and community health nurses can adapt this evidence-based practical guide to train peers and acquaintances who are likely to witness an opioid overdose. Virtual training and multi-lingual protocols should be considered to successfully train diverse groups of community laypersons. An active hands-on naloxone training can improve confidence for community health nurses and other health care professionals, and it may reduce delays in response time and naloxone administration. Nurses can use this hands-on training to educate students, families, community members, and stakeholders how to respond to an opioid overdose event.</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":"139724836","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":"Assessment of Health-Related Quality of Life in Children with Totally Corrected Tetralogy of Fallot in Sulaymaniyah, Iraq.","authors":"Niaz Mustafa Kamal, Aso Faiq Salih, Bushra Mohammed Ali","doi":"10.1080/07370016.2023.2272996","DOIUrl":"10.1080/07370016.2023.2272996","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the health-related quality of life among children who have undergone surgery for tetralogy of Fallot (TOF) compared to healthy children.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>The study was carried out at Children's Heart Hospital and Primary Healthcare Centers in Sulaymaniyah, Iraq, between July 1, 2022, and November 1, 2022. The study involved 400 participants, comprised of 200 parents of healthy children and 200 parents with children with repaired TOF. Data collection involved utilizing a 5-point Likert Scale questionnaire administered through direct face-to-face interviews with the parents of the children.</p><p><strong>Findings: </strong>Children with surgically repaired TOF had markedly lower mean scores (<i>P</i> ≤ 0.001) in the overall dimension of QoL (Mean rank = 137) when compared to healthy children (Mean rank = 263). Furthermore, it was observed that children with repaired TOF had significantly lower mean scores (<i>P</i> < 0.001) across all subdimensions of QoL compared to their healthy counterparts. In the subject of children with repaired TOF, the impact of maternal education (illiterate and lower education) on overall QoL was found to be highly significant (<i>P</i> < 0.001). In addition, children with repaired TOF from lower socioeconomic status (SES) families had worse quality of life than those from medium and high SES families, with a p-value <0.001.</p><p><strong>Conclusions: </strong>Repaired TOF children exhibited notable deficiencies across all dimensions of QoL compared to healthy children. Moreover, SES emerged as a significant determinant influencing the QoL outcomes of repaired TOF children.</p><p><strong>Clinical evidence: </strong>Despite undergoing corrective surgery for TOF, the QoL in children with repaired TOF continues to be lower than that of their healthy counterparts. Notably, the economic and educational status of the family significantly impacts the way these children perceive and experience their QoL. This finding underscores the critical significance of factoring in socioeconomic elements when addressing the well-being of this particular group of children.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415170","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}