Public Health Nursing最新文献

{"title":"A Scientometric Analysis of the Global Epidemiology of Childhood Vaccine Hesitancy Among Turkish Parents.","authors":"Gülay Yılmazel, Emre Keleş","doi":"10.1111/phn.70022","DOIUrl":"https://doi.org/10.1111/phn.70022","url":null,"abstract":"<p><strong>Objective: </strong>Vaccine hesitancy among parents is a significant threat to global health, contributing to the resurgence of vaccine-preventable diseases. Understanding the global epidemiology of childhood vaccine hesitancy is crucial for developing effective strategies to address the sustainable development of immunity systems. In this study, our scientometric analysis provides a comprehensive overview of childhood vaccine hesitancy research in Turkey from 2014 to 2024.</p><p><strong>Methods: </strong>The PubMed, Scopus, and Web of Science databases were used to retrieve all related publications. The bibliometrix R-package, CiteSpace, and VOSviewer were applied to collect information on annual citations and publications, notable journals and authors, the most productive countries and organizations, popular topics, and keywords.</p><p><strong>Results: </strong>A total of 1850 publications were retrieved. The publication output showed a gradual upward trend from 2014 to 202. The most-cited paper was a review article that was published in 2021. According to the analysis results, Turkey was the most prolific contributor to this research area. The closest collaboration was observed between Turkish institutions and international organizations. The journal \"Journal of Pediatric Vaccines and Immunization\" published the most papers. The most frequently used keywords were \"vaccine hesitancy,\" \"childhood vaccines,\" \"immunization,\" \"parental attitudes,\" and so on.</p><p><strong>Conclusion: </strong>Childhood vaccine hesitancy significantly impacts public health efforts in Turkey. However, many studies focus on theoretical aspects, with fewer empirical studies addressing practical interventions. The scientometric analysis offers researchers a clear picture of the current state of research and emerging trends in this field. From our study, researchers may identify key areas that merit further investigation and development.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276611","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":"Health Professionals' Thoughts and Experiences on the Effects of the Global Climate Crisis on Patients' Mental Health: A Phenomenological Study.","authors":"Elif Güzide Emirza, Sevda Uzun, Medine Şenses","doi":"10.1111/phn.70031","DOIUrl":"https://doi.org/10.1111/phn.70031","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined healthcare professionals' perceptions of the climate crisis's impact on patients' mental health.</p><p><strong>Background: </strong>The global climate crisis poses significant challenges to mental health, influencing individuals' psychological well-being and their ability to adapt to changing environmental conditions.</p><p><strong>Materials and methods: </strong>A phenomenological research approach was adopted, employing a qualitative design. In-depth semi-structured interviews were conducted with 15 healthcare professionals working in various regions of Türkiye. Participants were recruited through snowball sampling, and interviews continued until data saturation was achieved. All sessions were audio-recorded, transcribed verbatim, and analyzed using thematic analysis. The study adhered to the COREQ checklist for reporting qualitative research.</p><p><strong>Results: </strong>Analysis revealed three main themes: the effects of climate change on healthcare professionals' mental health, patients' perceptions of climate change's impact on mental health, and the reflections of the global climate crisis on patient care. Seven sub-themes were also identified: direct, indirect, social, psychological, and physical effects. Findings indicated that both healthcare professionals and their patients experience negative mental health outcomes related to climate change.</p><p><strong>Conclusion: </strong>The study highlights that the global climate crisis adversely affects the mental health of healthcare providers and patients. These findings underscore the need for health policies and interventions that address the psychological consequences of climate change within healthcare settings.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276619","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":"Educational Interventions in Clinical and Community Nursing Over the Last Decade: A Bibliometric and Content Analysis.","authors":"Ecem Çiçek Gümüş, Ayşegül Korkmaz Doğdu","doi":"10.1111/phn.70024","DOIUrl":"https://doi.org/10.1111/phn.70024","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate the evolving trends and assess the impact of educational interventions in clinical and community nursing of published literature.</p><p><strong>Design: </strong>This study used bibliometric and content analysis.</p><p><strong>Sample and measurements: </strong>Data were retrieved from the Web of Science database. VOSviewer was used for bibliometric analysis and visualization. Content analysis identifying basic trends in health education was performed by examining co-occurrence keywords.</p><p><strong>Results: </strong>The study analyzed 3553 publications from 106 countries and 13,729 researchers, featuring 6686 keywords across 194 journals. Revista Brasileira de Enfermagem, Journal of Clinical Nursing, and Journal of Advanced Nursing published the most articles, with the Journal of Clinical Nursing showing the highest co-citation frequency and link strength. Common keywords included \"health education,\" \"patient education,\" \"nursing,\" \"health promotion,\" and \"self-care.\" Key health education trends: digital health, chronic disease management, older adult health, discharge education, readmission, and reproductive and sexual health for teens.</p><p><strong>Conclusion: </strong>Health education research in nursing increasingly focuses on patient-centered approaches, digital innovations, and sustainable interventions. Nurses play a key role in addressing chronic disease, reproductive health, and healthy aging through structured educational strategies. Strengthening digital literacy and interdisciplinary collaboration is crucial for improving long-term health outcomes.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276616","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":"Experience Related to the Earthquake Among the Nurses of Nursing Homes in Zagreb 2020.","authors":"Ana Puljak, Silvia Rusac, Dinko Štajduhar, Branko Kolarić","doi":"10.1111/phn.70026","DOIUrl":"https://doi.org/10.1111/phn.70026","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to investigate work stress and possible professional burnout, and to gain deeper insight into the emotional and work experiences and coping strategies of nurses in nursing homes related to the 2020 earthquakes in the City of Zagreb.</p><p><strong>Introduction: </strong>In 2020, the City of Zagreb was hit by a strong earthquake, a series of weaker earthquakes, and an earthquake with its epicenter in Petrinja. These stressful events required changes in work organization within the health and social system, putting pressure on workers' adaptive abilities. The COVID-19 pandemic had an additional impact.</p><p><strong>Methods: </strong>The study was conducted in May and June 2022 in 11 nursing homes in the City of Zagreb, through semi-structured, in-depth interviews with 11 participants and inductive thematic analysis as a qualitative research method. The consolidated criteria for reporting qualitative research (COREQ) checklist was included in the reports.</p><p><strong>Results: </strong>Four major themes were highlighted-Stress/burden, Organizational difficulties, Protective mechanisms, and the Sense of duty/importance of nurses in nursing homes. In addition to the four main themes, 14 sub-themes were defined.</p><p><strong>Conclusion: </strong>Disasters require organizational preparation of the nursing system, as well as the implementation of burnout syndrome prevention measures and health preservation strategies.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276680","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":"Serving the Underserved Through Nurse-Led Mobile Primary Care.","authors":"Catherine Nadeau, Autumn Mreczko, Kristine Gauthier, Elizabeth Remo, Duellyn Pandis, Laura Szalacha, Kumar Jairamdas, Usha Menon","doi":"10.1111/phn.70020","DOIUrl":"https://doi.org/10.1111/phn.70020","url":null,"abstract":"<p><strong>Objectives: </strong>To develop and implement a nurse-led mobile health clinic affiliated with an academic college of nursing to improve access to care in underserved communities and support workforce development through experiential nursing and interprofessional education.</p><p><strong>Design: </strong>A descriptive, community-based quality improvement initiative detailing the operationalization of a nurse-led mobile health unit (MHU) serving underserved communities.</p><p><strong>Sample: </strong>The first 200 patients served by the MHU across five high-need community locations were identified using census data and the social vulnerability index.</p><p><strong>Measurements: </strong>Patient demographic data, visit type, and satisfaction were collected. Additional process measures included clinic staffing, services delivered, and student involvement.</p><p><strong>Intervention: </strong>The Mo-Bull Nurse Medical Clinic delivered free primary care services while serving as a training site for undergraduate and graduate nursing students and interprofessional learners.</p><p><strong>Results: </strong>Among 200 patients, 175 were adults (mean age 48), and 25 were children (mean age 9.2). Adults were 43.5% female, 51.5% White, 20.5% Hispanic, and 18% Black. Most children sought school/sports physicals (88%). Common adult visits included well-care (16%), hypertension (13.1%), and alcohol abuse remission (9.7%). Over 99% reported high satisfaction.</p><p><strong>Conclusions: </strong>Nurse-led mobile clinics are a scalable, equity-driven model that expands access to care and supports hands-on workforce development in underserved communities.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226447","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 Implementation of Public Health Strategies to Address COVID-19 Disparities in a Community Setting: A Qualitative Study Using the RE-AIM Framework.","authors":"Marissa McElrone, Emily Holden, Charles Brown, Justin Ballew","doi":"10.1111/phn.70021","DOIUrl":"https://doi.org/10.1111/phn.70021","url":null,"abstract":"<p><strong>Background: </strong>Health disparities, particularly among racial and ethnic minority populations, were exacerbated by the COVID-19 pandemic due to factors like social determinants of health, vaccine hesitancy, and pre-existing health conditions. Local government leaders within an urban city received federal funds to address these disparities by improving health literacy and engaging in culturally responsive outreach and education among Black and Latinx communities within a mid-sized city in the southeastern United States.</p><p><strong>Objective: </strong>To identify facilitators and barriers to implementing public health strategies aimed at addressing COVID-19 health disparities in a community guided by the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework.</p><p><strong>Design: </strong>The research team conducted qualitative, semi-structured interviews via telephone, Zoom, or in person between March 20th and April 12th, 2024.</p><p><strong>Participants/setting: </strong>Fifteen participants, including local governmental health office staff (e.g., nurse navigators, administrative staff) and employees from community center partner sites, were included in the study.</p><p><strong>Analysis: </strong>Two coders applied both a priori codes guided by the RE-AIM framework and data-driven inductive codes to transcripts in NVivo 14. A final interrater reliability measurement, Cohen's kappa coefficient (k = 0.74), was calculated, indicating a moderate level of agreement between coders. NVivo 14 data visualization tools (e.g., coding matrices) were used to inform thematic content analysis.</p><p><strong>Results: </strong>Themes were identified within each RE-AIM dimension, highlighting various facilitators and barriers to implementing the selected public health strategies. Working in synergy with community center staff and other community partners to create tailored services and resources was vital for successful implementation. Transparency and timely communication, additional full-time program implementers (i.e., nurse navigators), and sustainable funding sources were identified as key elements to enhance effective implementation.</p><p><strong>Conclusions: </strong>Insights from the local governmental health office and community center staff's experiences in this study highlight recommendations for effective implementation of locally tailored public health strategies to address COVID-19 health disparities in similar community-based settings. Future research should capture the perceptions and experiences of community members to better understand acceptability, accessibility, and utilization in similar initiatives.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226410","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":"Knowing \"Luan\" but Craving: An Interpretative Phenomenological Analysis on the Perceptions About Methamphetamine Use, Chemsex, and HIV Risk Among Chinese Men Who Have Sex With Men.","authors":"Jing Zhou, Qidi Zhou, Zhao Ni, Fei Li, Qijian Deng, Xianhong Li","doi":"10.1111/phn.70015","DOIUrl":"https://doi.org/10.1111/phn.70015","url":null,"abstract":"<p><strong>Objective: </strong>To understand the perceptions of Chinese MSM regarding methamphetamine use, chemsex, and HIV risk, and interpret the meaning of such experiences and their impact on their health and social well-being.</p><p><strong>Methods: </strong>Data collection consisted of semi-structured interviews with 24 Chinese MSM who were current or former methamphetamine users, and interpretative phenomenology analysis was applied to analyze the transcripts of the interviews.</p><p><strong>Results: </strong>Two superordinate and six subordinate themes emerged: 1. Ambivalence about methamphetamine use: (1) Perceived \"hi\" () but \"luan\" (), (2) Perceived under control but out of control in reality, and (3) Perceived popularity but being stigmatized. 2. Inevitability of HIV infection: (1) Unwritten rule of using methamphetamine, (2) Fears of getting infection, and (3) \"Techniques\" to reduce HIV risk.</p><p><strong>Conclusion: </strong>The current or former methamphetamine users of Chinese MSM experienced significant societal stigma and self-devaluation due to their perceived immoral and illegal behaviors. They felt compelled to engage in chemsex within the subculture of methamphetamine users and believed that contracting HIV was inevitable despite their fear of it. Future interventions for drug use and HIV prevention among MSM should address their ambivalent circumstances and implement tailored and comprehensive strategies.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226392","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":"Development and Psychometric Properties of Pregnancy-Specific Climate Change Awareness Scale.","authors":"Damla Kısrık, Burcu Avcıbay-Vurgeç, Ali Derya Atik","doi":"10.1111/phn.70017","DOIUrl":"https://doi.org/10.1111/phn.70017","url":null,"abstract":"<p><strong>Objective: </strong>Climate change is a global health problem and threatens our society from all aspects. Pregnant women, fetuses, and newborns are considered vulnerable groups in the context of climate change. Steps to increase awareness about the consequences of climate change on maternal and child health and future generations are important for adaptation strategies.</p><p><strong>Aim: </strong>This study aims to develop a measurement tool that assesses pregnancy-specific awareness of the effects of climate change on maternal-fetal health.</p><p><strong>Method: </strong>This study used a cross-sectional and methodological design. Data were collected through face-to-face interviews with pregnant women who agreed to participate in the study between May and July 2022. Thirty-six items were rated on a 5-point Likert scale (from entirely disagree to entirely agree) and applied to 500 voluntary pregnant. SPSS Statistics 22 and Mplus 7 programs were used for data analysis.</p><p><strong>Results: </strong>As a result of EFA, a 21-item, 3-factor final scale was obtained from the 36-item draft version scale. Result of CFA, the fit index values were found as RMSEA = 0.074, NFI = 0.978, and CFI = 0.975. The fit indices of the awareness scale model were significant (x² = 428.438, sd = 181, p = 0.0000, x²/sd = 2.367). The total internal consistency Cronbach's α coefficient of the 21-item final scale is 0.946.</p><p><strong>Conclusion: </strong>In line with these data, Pregnancy-Specific Climate Change Awareness Scale is a valid and reliable measurement tool that can be used to evaluate the pregnancy-specific climate change awareness level. Studies testing the applicability of the scale in the population of midwives and obstetricians working with pregnant women are recommended.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139363","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":"Being a Climate Activist in Türkiye: Life Experiences, Psychosocial Challenges, and Emotional Burdens of the Guardians of the Planet.","authors":"Çiçek Ediz, Sevda Uzun","doi":"10.1111/phn.70019","DOIUrl":"https://doi.org/10.1111/phn.70019","url":null,"abstract":"<p><strong>Objective: </strong>The study aims to evaluate the life experiences, psychosocial challenges, and emotional burdens of climate activists, the guardians of the planet, related to the climate crisis, using a phenomenological approach.</p><p><strong>Methods: </strong>This research was conducted in November 2023, utilizing an inductive qualitative framework. In-depth individual interviews were undertaken with 21 climate activists living in diverse regions of Türkiye through the WhatsApp mobile application. The research adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.</p><p><strong>Results: </strong>Data analysis, three themes, and seven sub-themes were identified: climate crisis awareness and motives for becoming an activist (experiences, people involved, and personal attributes); the effects of being a climate activist on mental health (emotional burdens and coping with emotional burdens); and actions taken to reduce carbon footprints in addressing the climate crisis (social and behavioral).</p><p><strong>Conclusion: </strong>Our study highlighted the challenges and coping mechanisms encountered by climate activists in their efforts to combat the climate crisis and revealed that these activists undergo psychosocial challenges and emotional burdens as a result of their engagement in this struggle. Certain activists struggle to manage their psychosocial challenges and consequently seek psychological assistance. Psychosocial support programs should be established for activists experiencing distress over climate change.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132726","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":"Cyberbullying and Empathy Levels in Adolescents and Predictive Factors: A Cross-Sectional Study.","authors":"Büşra Dağcı-Günal, Sultan Ayaz-Alkaya","doi":"10.1111/phn.70016","DOIUrl":"https://doi.org/10.1111/phn.70016","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to investigate cyberbullying prevalence, empathy levels, and their predictors among adolescents in Turkiye.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 303 adolescents (aged 10-13) from two secondary schools. Data were collected using the Personal Information Form; the Cyberbullying Triangle Scale; and the Cognitive, Emotional, and Physical Empathy Scale for Children. Linear regression analyses were conducted. Ethical and institutional approvals were obtained.</p><p><strong>Findings: </strong>The mean age was 11.79 ± 0.89, and 47.2% were female. Half of the adolescents spent ≤2 h online daily, mainly for gaming and social media. Cyberbully, victim, and bystander rates were 23.8%, 35.3%, and 51.2%, respectively. The empathy mean score was 34.17 ± 11.95. Cyberbullying involvement was associated with longer internet use (β = 0.340), active social media use (β = 0.249), and lower empathy (β = -0.723). Empathy was higher among females (β = 0.187) and successful students (β = -0.152), and lower among cyberbullies (β = -0.497).</p><p><strong>Conclusion: </strong>Most adolescents were involved in cyberbullying, primarily as bystanders, followed by victims and perpetrators. Internet and social media use predicted cyberbullying, while sex and academic achievement predicted empathy. Programs enhancing empathy and safe internet use led by school nurses are recommended.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076503","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}