Journal of Community Health Nursing最新文献

{"title":"Relationship Between Resilience Factors and Caregiving Status of Families of Patients with Amyotrophic Lateral Sclerosis (ALS) in Japan.","authors":"Marina Yamamoto, Keiko Tsukasaki, Kaoru Kyota","doi":"10.1080/07370016.2023.2254771","DOIUrl":"10.1080/07370016.2023.2254771","url":null,"abstract":"<p><strong>Purpose: </strong>To identify innate and acquired factors leading to amyotrophic lateral sclerosis (ALS) caregivers' resilience, the relationships among these factors, and caregiving situations.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Questionnaires measuring resilience, caregiver burden, and family functioning were mailed to caregivers of ALS patients in Japan.</p><p><strong>Findings: </strong>The 370 responses showed that increases in both innate and acquired factors were related to having an ALS association membership, while decreases were associated with reduced family function. Increases in innate factors were related to employment and those consenting to ventilators, while decreases were associated with being male and having a sense of the care burden. Decreases in acquired factors were related to the presence of an alternative caregiver.</p><p><strong>Conclusions: </strong>By identifying the caregiving situation based on innate and acquired factors, we were able to identify the significance and direction of specific caregiving support.</p><p><strong>Clinical evidence: </strong>Community health nurses should focus on improving family function and creating a supportive environment. Further, support for male and non-working caregivers should be strengthened and consultation on the use of respiratory equipment promoted to reduce the caregiving burden.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"44-56"},"PeriodicalIF":1.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10161284","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":"Exploring Frontline Shelter Staff Perspectives on the Healthcare Needs of Clients Experiencing Homelessness.","authors":"Molly Korab, Kelley Kilpatrick, Irene Sarasua","doi":"10.1080/07370016.2023.2256307","DOIUrl":"10.1080/07370016.2023.2256307","url":null,"abstract":"<p><strong>Purpose: </strong>To examine healthcare service development needs for persons experiencing homelessness from the perspective of frontline staff at a homeless shelter in Montreal, Quebec.</p><p><strong>Design: </strong>Qualitative descriptive design.</p><p><strong>Methods: </strong>Purposive sampling, semi-structured interviews with frontline shelter staff (<i>n</i> = 8), and thematic analysis.</p><p><strong>Findings: </strong>Themes included: 1) Challenges meeting healthcare service needs in a shelter environment. 2) Visions for improving healthcare services while accounting for health issues and barriers to care. 3) Participants' own knowledge gaps around health and healthcare services.</p><p><strong>Conclusions: </strong>Future research should emphasize this group's crucial role in homelessness healthcare services development.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"30-43"},"PeriodicalIF":1.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41168758","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":"The Effects of Nursing Case Management on Self-Care Behaviors, Clinical Outcomes, and Quality of Life Among Community-Dwelling Older Adults with Poorly Controlled Type 2 Diabetes in Thailand.","authors":"Chonthicha Taaon, Phachongchit Kraithaworn, Noppawan Piaseu","doi":"10.1080/07370016.2023.2266433","DOIUrl":"10.1080/07370016.2023.2266433","url":null,"abstract":"<p><p>This study evaluated the effectiveness of nursing case management on self-care, clinical outcomes, and quality of life in community-dwelling older adults with poorly controlled type 2 diabetes in Thailand. The research employed a quasi-experimental, single-group, pretest - posttest design. Methods: Twenty-three participants participated in a 12-week nursing case management program, which was tailored to the individual's needs and abilities, as well as their family, community, and healthcare context. Self-care behaviors increased significantly (<i>p</i> = .000) after implementation of the case management program, while waist circumference, fasting capillary blood glucose, and hemoglobin A1c decreased significantly (<i>p</i> = .001, <i>p</i> = .000, <i>p</i> = .003, respectively) from pre-intervention values. Quality of life was significantly better after the program (<i>p</i> = .000) than before. Results suggest that implementing tailored nursing case management could increase self-care behaviors and quality of life while decreasing waist circumference, fasting capillary blood glucose, and hemoglobin A1c in community-dwelling older adults with poorly controlled type 2 diabetes. The effectiveness of nursing case management depends on the healthcare context, the training and expertise of case managers, as well as the patient's needs and preferences. Furthermore, the availability of families and communities can influence the nursing case management outcomes.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"11-20"},"PeriodicalIF":1.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240678","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":"Hospice and Palliative Care Handbook: Quality, Documentation and Reimbursement","authors":"Alice Schroeder","doi":"10.1080/07370016.2023.2293709","DOIUrl":"https://doi.org/10.1080/07370016.2023.2293709","url":null,"abstract":"Published in Journal of Community Health Nursing (Ahead of Print, 2023)","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":"78 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138576817","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":"The Effect of Virtual Presence and Self-Efficacy on Nursing Students' Evaluation of Virtual Simulation Training.","authors":"Min-A Kim,&nbsp;So-Eun Choi,&nbsp;Jiyeong Lee","doi":"10.1080/07370016.2023.2197886","DOIUrl":"https://doi.org/10.1080/07370016.2023.2197886","url":null,"abstract":"<p><p>The study aims to determine the effect of virtual simulation practice in nursing students using the Virtual Patient Learning System Evaluation (VPLSE) tool. The study uses descriptive research, centering on correlation and regression analysis. 295 nursing students in Grades 3 and 4 who have experienced virtual simulation practice within the past year were included. The main variables of VPLSE comprise four sub-domains: nursing knowledge improvement, clinical competency development, confidence in nursing performance, and nursing care plan application. In addition to the VPLSE, two other tools, measuring virtual presence and self-efficacy, were utilized. The VPLSE was significantly positively correlated with virtual presence and self-efficacy, respectively. The VPLSE subdomain of \"clinical competency development\" had a strong positive correlation with virtual presence. To increase the effect of virtual simulation education, it is necessary to maintain the advantages of virtual simulation practice, such as freedom from space and time, repeated learning, psychological stability and application of nursing plans.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":"40 3","pages":"157-166"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9640743","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":"Effects of a Multiple-Intervention Program on the Depressive Tendencies, Social Support, and Life Satisfaction of Older Adults in Taiwan.","authors":"Wan-Chun Cheng,&nbsp;Shou-Yu Wang,&nbsp;Pei-Yu Lee","doi":"10.1080/07370016.2023.2197893","DOIUrl":"https://doi.org/10.1080/07370016.2023.2197893","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluated the effectiveness of a multiple-intervention program (MIP) on the life satisfaction, social support, and depressive tendencies of older adults.</p><p><strong>Design: </strong>A cross-sectional, pretest-posttest design involving a questionnaire survey was adopted.</p><p><strong>Methods: </strong>Thirty-seven older adults were recruited from 2 daycare centers for an 8-week MIP comprising 60-min sessions conducted once a week. The questionnaire comprised the Short Portable Mental Status Questionnaire, Geriatric Depression Short Form-15 (GDS-SF15), Life Satisfaction Scale (LSS), and Inventory of Social Support Scale (ISSB).</p><p><strong>Findings: </strong>The participants' average GDS-SF15 score decreased considerably (by 35.3%), their average ISSB score increased from 61.9% to 80.9%, and their average LSS score increased from 48% to 64%.</p><p><strong>Conclusions: </strong>The outcomes for depressive tendencies, social support, and life satisfaction were measured before and after the intervention, and the participants successfully engaged in the MIP throughout its duration and exhibited improvement. The MIP can serve as a basis for planning group activities for older adults.</p><p><strong>Clinical evidence: </strong>The MIP benefits older adults at daycare centers. Incorporating multiple activities into daily care can help increase the diversity, uniqueness, and innovativeness of a daycare center.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":"40 3","pages":"194-206"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9646662","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 Qualitative Meta-Synthesis of the Challenges Perceived by Nurses in Home Health Nursing.","authors":"Lingli Wang, Yi Qin, Chenhui Wang, Tianxi Chen, Yuhui Gu, Yunlan Ji","doi":"10.1080/07370016.2023.2181084","DOIUrl":"10.1080/07370016.2023.2181084","url":null,"abstract":"<p><strong>Purpose: </strong>To aggregate and synthesize the findings of qualitative studies exploring the challenges perceived by nurses in home health nursing.</p><p><strong>Design: </strong>A qualitative meta-synthesis.</p><p><strong>Method: </strong>A comprehensive search of multiple databases was conducted in December 2020 and updated in October 2022. Data were analyzed using the meta-aggregation method, and the analytical process used to derive themes was inductive.</p><p><strong>Findings: </strong>Eleven qualitative studies were included, and four major challenges perceived by nurses were identified: (1) challenges in the performance of duties, (2) struggles with specific and restricted factors related to practice, (3) underestimation of the value of emotion, and (4) a difficult-to-surmount relationship gap.</p><p><strong>Conclusions and clinical evidence: </strong>Home health nursing is associated with numerous challenges due to its complexity and high demand. The findings of this study are beneficial with respect to obtaining a deeper understanding of the challenges associated with home nursing. After considering the existing problems, it is necessary to take measures to overcome these challenges, and individuals, families and society should make efforts to develop this profession further.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":"40 3","pages":"182-193"},"PeriodicalIF":0.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9696874","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":"Domestic Violence: Views of Married Men and Factors Affecting Violence.","authors":"Selver Bezgin,&nbsp;Sevim Buzlu","doi":"10.1080/07370016.2023.2196960","DOIUrl":"https://doi.org/10.1080/07370016.2023.2196960","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to investigate the views of married men regarding domestic violence and factors that facilitate this violence against women.</p><p><strong>Design: </strong>This cross-sectional, descriptive study was conducted on a sample of married men registered to a Family Health Center in Turkey.</p><p><strong>Methods: </strong>This study included 1110 married men. Data were collected using the \"Perception of Gender\" scale, and a questionnaire. Descriptive statistics and multivariate logistic regression were used for data analysis.</p><p><strong>Findings: </strong>It was found that the average score of men on the Perception of Gender Scale was 74.39 ± 19.08. 57% of participants perpetrated violence on their wives, 66% were subjected to domestic violence during childhood and 57% witnessed domestic violence against women during childhood. The most significant factor affecting domestic violence against women was that the man witnessed domestic violence against women during childhood.</p><p><strong>Conclusion: </strong>This study demonstrated that married men commonly perpetrated violence on their wives, Witnessing domestic violence against women during childhood was the most significant factor affecting domestic violence against women.</p><p><strong>Clinical evidence: </strong>The study revealed that childhood witness to domestic violence against women was the most significant factor affecting participants' domestic violence against women.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":"40 3","pages":"207-218"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10004796","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":"Understanding How Community Health Workers Build Trust with Low-Income Women of Color At-Risk for Maternal Child Health Disparities: A Grounded Theory Study.","authors":"Elbina Batala Rafizadeh, Elizabeth Rice, James Smith, Janice Bell, Theresa A Harvath","doi":"10.1080/07370016.2023.2168124","DOIUrl":"10.1080/07370016.2023.2168124","url":null,"abstract":"<p><p>This article examines how Community Health Workers (CHWs) build trust with low-income women of color who have a historical distrust of the healthcare system, and are at risk for maternal-child health disparities. This qualitative study used a grounded theory methodology guided by Charmaz's inductive social constructivist approach. Data were collected using open-ended semi-structured interviews and focus groups with CHWs who worked in community-based and hospital-based programs in California, Oregon, Illinois, Texas, South Carolina, New York, and Maine. Thirty-two CHWs participated, with 95% of participants being of Latinx and African American ethnicity. They served women from Latinx, African American, and Migrant communities. The CHW communication strategies represent aspects of respect and client-centered care and are applied in the development of a theoretical framework. CHWs were able to build and sustain trust at the initial encounter through these specific strategies: 1) addressing immediate needs related to social determinants of health; 2) embodying mannerisms and dress; 3) speaking appropriately to the client's age, culture, and knowledge; 4) easing client's fears through locus of control, and 5) allowing for time flexibility. These findings have implications for practice through interventions to train healthcare providers to build trust with low-income women of color who have a historical distrust of the healthcare system and who are at risk for maternal-child health disparities. Future research is recommended to explore how the communication trust-building constructs also benefit all other groups at similar risk, including those with mental health disorders and infectious diseases. The findings indicate specific communication strategies through which trust can be built, beginning at the initial encounter with low-income women at risk for maternal-child health disparities and who have a historical distrust of the healthcare system.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":"40 3","pages":"219-231"},"PeriodicalIF":0.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9648589","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":"\"We Eat Without Thinking: We Just Eat, Eat, Eat\" - A Thematic Exploration of Cultural Practices of Ethnically Diverse Youth and Their Parents Who Are at Risk for Prediabetes and Type 2 Diabetes.","authors":"Jill M G Bally,&nbsp;Shelley Spurr,&nbsp;Kasha Mcharo","doi":"10.1080/07370016.2023.2211066","DOIUrl":"https://doi.org/10.1080/07370016.2023.2211066","url":null,"abstract":"<p><strong>Purpose: </strong>Cultural beliefs and practices influence management of type 2 diabetes (T2D) in youth and their parents, and have been minimally explored, limiting our understanding and implementation of preventative healthcare. An enhanced evidence base may inform comprehensive, effective community health nursing (CHN). Thus, the purpose of this research was to explore the influence of youths' and their parents' understandings of cultural practices on risk for prediabetes and T2D.</p><p><strong>Design: </strong>A secondary thematic analysis was conducted. Qualitative data were obtained from semi-structured interviews with 24 participants who were purposefully recruited from two mid-western Canadian high schools.</p><p><strong>Findings: </strong>Three themes and one subtheme were developed including: 1) Food Culture and related subtheme, Acculturation to New Food Choices; 2) Exercise Culture: Adapting Physical Activity in a New Country; and, 3) Risk Perception of the Effects of T2D on Loved Ones: Behavior Modifications and Motivation. Cultural practices and acculturation to food such as dietary choices, preparation, large portions, different dietary staples, food availability, and food gathering patterns influenced health behaviors. Similarly, changes in exercise patterns including adapting to Western video game culture, weather in Canada, and the new way of life emerged as important factors that impacted health. Participants who perceived a familial risk of diabetes identified behavior modifications such as regular diabetes screening, nutrition counseling, healthier food choices, smaller food portions, and an increase in physical activity as strategies to reduce risk of prediabetes and diabetes.</p><p><strong>Conclusions: </strong>There is a critical need for research aimed at prediabetes and T2D prevention, and intervention programs targeting ethnically diverse groups where prediabetes and T2D is most prevalent.</p><p><strong>Clinical evidence: </strong>Community health nurses are at the core of implementing and supporting disease prevention and, therefore, may consider the findings from this research to develop family-focused, intergenerational, and culturally-based interventions.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":"40 3","pages":"167-181"},"PeriodicalIF":1.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9674976","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}