Public Health Nursing最新文献

{"title":"Evaluating the Effect of Gender on Nursing Students' Attitudes Toward Violence Against Women by Metaphor Analysis: A Qualitative Study.","authors":"Emine Delimehmet, Emel Bahadır Yılmaz","doi":"10.1111/phn.70006","DOIUrl":"https://doi.org/10.1111/phn.70006","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to evaluate the effect of gender on nursing students' attitudes toward violence against women using metaphor analysis.</p><p><strong>Methods: </strong>The study was conducted with 64 nursing students from January to April of 2023. Metaphor analysis was used as a research method. In the Metaphor Identification Form on Violence Against Women, students were asked, \"Violence against women is similar to …………………. Because…………………………….\" and they were asked to complete the blank space in this sentence by explaining a metaphor and the reason for the metaphor. The study adhered to the COREQ checklist.</p><p><strong>Results: </strong>The four main themes that emerged from the male students' metaphors were as follows: (1) violence injures women, (2) the perpetrator of violence is not a human being, (3) violence threatens the future of society, and (4) violence must be resolved. Similarly, four principal themes were derived from the metaphorical expressions of female students: (1) violence is destructive and kills, (2) violence separates women from life, (3) the perpetrator of violence is weak and powerless, and (4) violence destroys society.</p><p><strong>Conclusions: </strong>Female students generated metaphors that were more solution-oriented. Male students used negative metaphorical language to characterize the perpetrator of violence. It was proposed that the nursing curriculum be enhanced by incorporating relevant courses and implementing social responsibility projects.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709901","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":"Digital Health Applications in Access to Health Service From the Perspective of Older Adults: \"It Is Difficult to Keep up With the Digital Age …\".","authors":"Damla Şahin Büyük, Çetinkaya Aynur, Bilgin Nurcan","doi":"10.1111/phn.70005","DOIUrl":"https://doi.org/10.1111/phn.70005","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to explore the experiences of older adults in Türkiye regarding widely used digital health information systems in healthcare and to develop a conceptual process model based on these experiences.</p><p><strong>Design and sample: </strong>The research was conducted based on a qualitative approach using a grounded theory design. In-depth interviews were conducted with nine individuals aged 65 and above, selected through criterion and snowball sampling. Data were analyzed using content analysis.</p><p><strong>Results: </strong>The categories identified through in-vivo coding were: \"We have grown old…\" (f = 115), \"It is necessary to be prepared for everything\" (f = 69), \"It is difficult to keep up with the digital age\" (f = 97), and \"It is not difficult\" (f = 93).</p><p><strong>Conclusion: </strong>The study revealed that older adults prefer traditional methods for healthcare access and encounter barriers like lack of knowledge, usability issues, and technological anxiety with digital systems. However, they also recognized the benefits of digital health. It concludes that digital services should be more inclusive and user-friendly for older adults.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638719","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":"Unveiling Quality of Life Factors for the Elderly: A Public Health Nursing Approach Enhanced by Advanced ML and DL Techniques.","authors":"Seeta Devi, Roshan Yadav, Ranjana Chavan, Rupali Gangarde","doi":"10.1111/phn.70003","DOIUrl":"https://doi.org/10.1111/phn.70003","url":null,"abstract":"<p><p>Community health nurses can enhance the elderly's quality of life (QoL) through personalized care, lifestyle counselling, and preventive measures. The primary objective of this study was to develop artificial intelligence (AI)-based prediction models to identify the key influencing factors that can impact the QoL in the elderly population. The estimated sample size was 500, and participants were selected using a systematic sampling technique. The pre-processing stage was applied to the primary dataset. Following this, basic machine learning (ML), deep learning (DL), and ensemble models were implemented to predict QoL. The SMOTE method was applied to balance the dataset. AdaBoost was the best-performing model, achieving an accuracy of 93.7%, with excellent recall (96.8%) and specificity (96.8%). Physical activity (48.9%) and daily activity ability (30.8%) were key QoL predictors, while regression analysis revealed physical activity (coefficient: 1.2260, p < 0.001) as a positive contributor. AI approaches help the community health nurses to predict the factors required for improving QoL early on, enabling them to provide the elderly population with the appropriate advice and future plans to manage aging challenges.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576976","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 Natural Radioactivity Levels and Potential Radiological Risks of Radioactive Tailings and Common Building Materials in Hunan Dwellings.","authors":"Xiao Feng, Biaofu Cao, JinLan Shu","doi":"10.1111/phn.13572","DOIUrl":"https://doi.org/10.1111/phn.13572","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study is to determine the radiation hazards of building materials to humans through multivariate statistical analysis based on these radioactive nuclides and parameters.</p><p><strong>Design: </strong>An experimental study was conducted by collecting materials from different parts of Hunan and using experimental analysis and statistical calculation methods to determine the degree of harm that materials pose to humans.</p><p><strong>Results: </strong>Among all the sample materials, the brick samples made from soil without a pollution background have the lowest activity concentration values of ²³⁸U, ²²⁶Ra, ²³²Th, and ⁴⁰K, which are far below the average level in Hunan. The radiological hazards are calculated as the external and internal hazard indices (H_ex, H_in), alpha index (I_α), gamma index (I_γ), and indoor and outdoor annual effective dose, all of which are much less than 1. The value of Ra_eq is well below the prescribed safe limit of 370 Bq/kg, indicating no radiological hazards to the population from the samples. (II) Through pilot experiments, it has been found that the radioactive content of bricks made by mixing associated slag with local background soil should be considered based on the proportion of the mixture, especially the radioactive level before the associated slag. To a certain extent, it is of great significance for the impact or magnitude of safety hazards in later judgment. (III) This study revealed that there is radioactive equilibrium between ²³⁸U and ²²⁶Ra, and between ²³⁸U and ²³²Th, and that a functional relationship was observed. At the same time, it is noted that a strong correlation was found between ²³⁸U and ²²⁶Ra, and between ²³⁸U and ²³²Th, indicating a good positive correlation. The radiological parameters of the bricks made from the natural background in soil are the smallest; the products of naturally occurring radioactive materials are the highest. This is due to the issue of proportion between the natural soil and tailings.</p><p><strong>Conclusions: </strong>The results have shown that the proportion of mixture in the natural soil and tailings must be reasonable in building materials. Therefore, the results of this study will help evaluate the radiation hazards of building materials to humans and the environment.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546206","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":"Mediating Role of Disaster Knowledge Level in the Effect of Nurses' Crisis Leadership on Responsibility Taking Behavior After the Türkiye-Syria Earthquake.","authors":"Ferhat Onur Agaoglu, Murat Bas, Sinan Tarsuslu, Lokman Onur Ekinci","doi":"10.1111/phn.70004","DOIUrl":"https://doi.org/10.1111/phn.70004","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to examine the effect of nurses' crisis leadership on their responsibility-taking behaviors and determine whether the level of disaster-related knowledge mediates this relationship.</p><p><strong>Methods: </strong>This study was conducted using a cross-sectional, descriptive, and correlational design; statistical methods, including mediating variable analysis, were applied. The sample consisted of 563 nurses working in six Hatay province hospitals devastated by the earthquakes.</p><p><strong>Results: </strong>Crisis leadership was positively associated with nurses' taking responsibility behavior and disaster knowledge level. The level of disaster knowledge partially mediated the relationship between crisis leadership and taking responsibility.</p><p><strong>Conclusion: </strong>This study revealed that the effect of crisis leadership on nurses' responsibility-taking behavior was strengthened by their level of disaster knowledge. This finding suggests that education and information about disaster experiences play a critical role in increasing nurses' initiative-taking capacity.</p><p><strong>Implications for nursing practice and policies: </strong>These results highlight the need to provide comprehensive training programs and information materials for nurses to demonstrate effective leadership under disaster conditions. In addition, increasing the knowledge of nurses in the field of disaster management supports the health system in becoming more resilient to crises through policy changes and guidelines being put into practice.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546208","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 Bibliometric Analysis of Global Research Trends in Elderly Population Diseases.","authors":"Hao Wu, Zining Zhao","doi":"10.1111/phn.13557","DOIUrl":"10.1111/phn.13557","url":null,"abstract":"<p><strong>Background: </strong>The global population is undergoing rapid aging, resulting in a significant increase in scientific publications addressing diseases and health challenges in the elderly population.</p><p><strong>Methods: </strong>A literature search for publications on diseases in the elderly population was conducted using PubMed, Web of Science Core Collection, and Embase from January 1, 2000, to January 1, 2024. Bibliometric and visualization analyses were performed using VOSviewer software.</p><p><strong>Results: </strong>A total of 16,862 publications were retrieved, with a notable increase in publication output after 2016. The United States led in both publication numbers (n = 6502, 38.56%) and citations (342,586), underscoring its substantial contribution to this field. Influential institutions such as the University of Pittsburgh and Karolinska Institute played key roles. Keywords analysis identified 631 meaningful topics, classified into five clusters, with research hotspots focusing on cardiovascular diseases, dementia, frailty, and quality of life. Emerging keywords in public health and nursing, such as \"mild cognitive impairment,\" \"multimorbidity,\" and \"frailty,\" have been frequently highlighted in recent studies, indicating critical priorities for future research in elderly care.</p><p><strong>Conclusions: </strong>This study provides a comprehensive bibliometric and visualization analysis of global research trends on diseases in the elderly population. It highlights key research areas and offers valuable insights to guide future directions in public health and nursing strategies, emphasizing the importance of interdisciplinary approaches to address aging-related challenges.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1554-1563"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702249","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":"Evaluation of the Peer-Supported E-Health Module Implemented for University Students to Develop Healthy Lifestyle Behaviors.","authors":"Ayla Hendekci, Fatma Koç","doi":"10.1111/phn.13563","DOIUrl":"10.1111/phn.13563","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the peer-supported e-health module implemented for university students to gain healthy lifestyle behaviors.</p><p><strong>Design: </strong>The study was planned in a quasi-experimental research design. The study participants were 81 university students. The peer-supported e-health module was applied to all students in the sample. The \"Introductory Information Form,\" \"Healthy Lifestyle Behaviors Scale II,\" and \"Peer Mentoring Assessing Scale\" were used as data collection instruments. Data analysis was performed using SPSS 22.00. Descriptive statistics, percentage and frequency distributions, the one-way repeated measures ANOVA, and Wilks' Lambda test were used in the study.</p><p><strong>Results: </strong>Of the students who participated in the study, 91.4% had not received training similar to the e-health module, and 82.7% had not received peer-supported training previously. The total scores of the Healthy Lifestyle Behaviors Scale II were 127.06 ± 18.48 at the pre-test and 149.69 ± 20.85 at the post-test, and there was a significant difference between the scores (p < 0.001). The e-health module increased students' scores by 56.7% with a significant and greater effect (η² = 0.567). The total score of the scale on assessing peer mentoring of the students after the module was 56.79 ± 10.45.</p><p><strong>Conclusions: </strong>It was observed that the peer supported e-health module supported students' healthy lifestyle behaviors and was an effective module. To raise awareness about sustainable health approaches, it is recommended to increase similar training programs in which students are more involved in the process.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1525-1533"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996462","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":"Facilitators and Barriers to Standardized Community Hypertension Management in Chinese Older Adults From Service Providers and Recipients: A Qualitative Study.","authors":"Zhiyao Xiong, Xuyi Wu, Jie Yang, Jingping Zhang, Anni Wang","doi":"10.1111/phn.13564","DOIUrl":"10.1111/phn.13564","url":null,"abstract":"<p><strong>Objective: </strong>To explore the facilitators and barriers to standardized hypertension management in community health centers (CHCs) as perceived by service providers (community doctors and nurses) and recipients (elderly patients with hypertension and their caregivers).</p><p><strong>Methods: </strong>This qualitative study consisted of two parts: Study 1 involved service providers, while Study 2 involved service recipients. Both studies utilized interview guides based on the tailored implementation for chronic disease (TICD) framework. Data were collected in Changsha, China, from July to September 2022, and analyzed using Directed Content Analysis.</p><p><strong>Results: </strong>Study 1 involved 16 participants, and Study 2 included 37 participants. Both service providers and recipients identified facilitators and barriers to standardized community hypertension management for older adults across seven domains of the TICD framework and three levels (initiators, service providers, and service recipients, along with their interconnections). The prominent facilitators and barriers were perceived differently by service providers and recipients, who also noted both common and differing influencing factors.</p><p><strong>Conclusion: </strong>These facilitators and barriers underscore the complex and multidimensional nature of hypertension management. The findings can assist primary healthcare institutions in optimizing nursing practices. Through the collaborative efforts of initiators, service providers, and recipients, the effective implementation of standardized hypertension management can be enhanced.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1495-1511"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042519","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":"Enablers and Barriers of Telemedicine in Indonesia: A Systematic Review.","authors":"Dian Anandari, Arif Kurniawan, Elviera Gamelia","doi":"10.1111/phn.13552","DOIUrl":"10.1111/phn.13552","url":null,"abstract":"<p><strong>Objective: </strong>Health-seeking behavior related to the utilization of health services has experienced exceptionally noteworthy changes after the COVID-19 pandemic. That is telemedicine, which has become more commonplace amid lockdowns. The pandemic status has ended today, but since telemedicine utilization has numerous benefits, the innovation must stay accessible. This systematic review aimed to describe telemedicine utilization and which factors could become enablers and barriers.</p><p><strong>Design: </strong>The literature search for the review was conducted in November 2024. The articles reviewed were published in 2019-2024 and selected from Science Direct, Springer, ProQuest, and EBSCOhost databases.</p><p><strong>Results: </strong>The articles were research articles and used qualitative methods. Based on search results, screening process, and review articles, we describe enabling factors and barriers of telemedicine utilization through users' (patients) and providers' (health practitioners) points of view. We also define infrastructures, such as smart city development, that contribute to the development of telemedicine.</p><p><strong>Conclusions: </strong>Future research into people's perception of telemedicine, developing telemedicine technology, and finding alternatives to getting electricity and internet connection with a low budget will promote telemedicine utilization.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1575-1584"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796433","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 Impact of Social Support and Resilience on Cognitive Function in Older Adults With Mild Cognitive Impairment: A Cross-Sectional Study.","authors":"Ying Xia, Jialin Wang, Pengyu Yang, Shiya Yu, Qi Tang, Meng Yu, Qianqian Ren, Shuangshuang Feng","doi":"10.1111/phn.13569","DOIUrl":"https://doi.org/10.1111/phn.13569","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the relationship between social support and resilience in cognitive functioning in older adults with mild cognitive impairment (MCI).</p><p><strong>Background: </strong>The increase in the number of older adults with MCI poses a serious public health problem. Existing studies suggest that psychosocial factors, such as social support and resilience, can maintain or delay cognitive decline, but the mechanism behind this is not entirely clear.</p><p><strong>Methods: </strong>A convenient sampling survey of 330 patients with MCI in the community, who were screened from February 2022 to December 2022, was conducted using the General Information Questionnaire, the Montreal Cognitive Assessment Scale (MoCA), the Connor-Davidson Resilience Scale (CD-RISC-10), the Geriatric Depression Scale (GDS-5), and the Social Support Rating Scale (SSRS). SPSS 25.0 and AMOS26.0 software were used for descriptive analysis, correlation analysis, structural equation model, and confirmatory factor analysis.</p><p><strong>Results: </strong>The scores of cognitive function, resilience, and social support were 22.56 ± 1.40, 25.15 ± 3.60, and 35.96 ± 3.76, respectively. Resilience, social support, and cognitive function were all strongly correlated, and resilience mediated between social support and cognitive function.</p><p><strong>Conclusion: </strong>Social support and resilience scores are relatively low among Chinese older adults with MCI, which is influenced by various sociodemographic factors. In addition, the findings suggest that social support affects cognitive function through the mediating effect of resilience. Therefore, we should pay more attention to the degree of social support for the elderly with cognitive impairment, enhance the level of resilience, promote healthy behaviors, and delay the occurrence of MCI.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546209","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}