Public Health Nursing最新文献

{"title":"Community-Based Care Interventions for Frail Older Adults: A Scoping Review of Multidimensional Strategies Across Pandemic Eras.","authors":"I-Chun Chen, Yi-Hsuan Chen, Anuchit Phanumartwiwath","doi":"10.1111/phn.70071","DOIUrl":"10.1111/phn.70071","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review evaluates the effectiveness of community-based interventions addressing frailty's multidimensional impacts (physical, nutritional, and psychosocial) in older adults, emphasizing nurses' roles in crisis-responsive care during pandemics.</p><p><strong>Design: </strong>A scoping review was conducted using Arksey & O'Malley's framework and PRISMA-ScR guidelines.</p><p><strong>Sample: </strong>Thirty-one studies were from 2019 to 2023, sourced from PubMed and Scopus, spanning five continents.</p><p><strong>Measurements: </strong>Study quality was assessed with the Newcastle-Ottawa Scale; outcomes included frailty reduction and quality-of-life metrics.</p><p><strong>Intervention: </strong>Interventions included physical rehabilitation (e.g., Otago Exercise Program), nutritional optimization, psychosocial support, technology-enhanced models (e.g., telemedicine), and social engagement.</p><p><strong>Results: </strong>Multicomponent interventions outperformed single-domain approaches, improving gait speed, reducing frailty progression, and mitigating depression. Telemedicine maintained 78% care continuity during lockdowns. Asian family-centered models excelled, but 84% of evidence came from high-income countries, highlighting low- and middle-income country (LMIC) gaps.</p><p><strong>Conclusions: </strong>Gerontological nurses are pivotal in delivering culturally adapted care by coordinating interprofessional home-based teams, integrating gerotechnology in resource-limited settings, and advocating for policy reforms to bridge urban-rural disparities. These findings underscore nursing's role in equitable, resilient frailty management.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"511-520"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991865","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":"Registered Nurses' Knowledge, Attitudes, and Practices Toward Climate-Sensitive Vector-Borne Diseases: Findings From a Cross-Sectional Survey.","authors":"Shannon Y Vandenberg, Tracy Oosterbroek, Andrea Chircop, Peter Kellett","doi":"10.1111/phn.70035","DOIUrl":"10.1111/phn.70035","url":null,"abstract":"<p><strong>Objective: </strong>Climate change is contributing to increasing rates of vector-borne diseases, affecting global population health. As the largest group of regulated health professionals, nurses play an integral role in climate-related health challenges. The purpose of this research study was to investigate the knowledge, attitudes, and practices of registered nurses in Canada related to climate sensitive vector-borne diseases.</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Sample: </strong>A national online survey was distributed to practicing registered nurses, through contact with nursing organizations and regulatory bodies, as well as social media.</p><p><strong>Measurements: </strong>Three hundred and eighty-two survey responses were included in data analysis.</p><p><strong>Results: </strong>Research findings suggest that nurses' knowledge on climate change and vector-borne diseases was limited, especially among frontline nurses and those in Western and Northern regions of Canada. There was greater knowledge of Lyme disease compared to West Nile virus, particularly among nurses working in endemic areas. Participants did not often consider vector-borne diseases in practice and demonstrated a lack of confidence and preparedness in addressing in practice.</p><p><strong>Conclusions: </strong>The study validates that while climate-related issues are important for nurses, nurses must be better prepared to address vector-borne diseases in practice and assume a greater role in leading change to advocate for a climate-resilient future.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"330-345"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12968512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460669","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":"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":"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":"5-22"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","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":"Homelessness and the Moral Imagination of Nursing: Bearing Witness in an Unequal World.","authors":"Debra Jackson","doi":"10.1111/phn.70048","DOIUrl":"10.1111/phn.70048","url":null,"abstract":"","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1-4"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589969","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":"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":"65-75"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","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":"A Comprehensive Examination of Poverty, Health-Seeking Behavior, and Access to Health Services With a Mixed-Methods Approach.","authors":"Eylül Gülnur Erdogan, Pınar Duru","doi":"10.1111/phn.70028","DOIUrl":"10.1111/phn.70028","url":null,"abstract":"<p><strong>Objective: </strong>The complex relationship between poverty, health-seeking behavior, and access to health services is critical to understanding health inequalities. This study aimed to deepen our understanding of this field by examining the relationships between poverty, health-seeking behavior, and access to health services with a mixed-methods approach.</p><p><strong>Methods: </strong>Between December 2023 and March 2024, a mixed-methods design (QUAN-QUAL) was employed using a convergent (sequential) approach. The quantitative phase adopted a cross-sectional research approach, while the qualitative part embraced a phenomenological approach. The quantitative stage involved 384 participants, and the qualitative stage involved 11 individuals. Quantitative data were collected using the Health Seeking Behavior Scale and the Healthcare Demand Procrastination Scale. In contrast, qualitative data were gathered through in-depth individual interviews using a semi-structured interview guide.</p><p><strong>Results: </strong>As household income levels increase, health-seeking behavior (r = 0.141, p < 0.001) and healthcare demand procrastination (r = 0.143, p < 0.001; β = 0.132, p = 0.003) significantly increase. Health-seeking behavior rises among individuals who perceive their general health status as good (F = 7.111, p < 0.001; β = 0.143, p = 0.004). In contrast, low income levels (t = 3.797, p < 0.001; β = -0.147, p = 0.004) and low education levels (F = 4.791, p < 0.001; β = -0.145, p = 0.004) are significantly associated with decreases in health-seeking behavior. Procrastination of healthcare demand is more common among workers (β = 0.176, p < 0.001). On the other hand, higher income levels and the distribution of health expenditures appear to reduce this tendency (β = -0.121, p = 0.015; β = -0.116, p = 0.021). The synthesis of interviews revealed two main themes: utilization of health services, and access to health services and inequalities. Within the theme of \"challenges in accessing health services,\" the qualitative thematic analysis highlighted key difficulties such as transportation problems, long waiting times, and insufficient personnel.</p><p><strong>Conclusion: </strong>Findings indicate that socioeconomic factors such as income level and education were determinants of health-seeking behavior and that healthcare demands procrastination behavior. Among the challenges encountered in accessing health services, transportation issues, long waiting times, and inadequate staff were prominent.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"76-90"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304289","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":"Shaping Tomorrow's Care: Assessing the Influence of Future Midwives' Knowledge and Concerns About Climate Change on Maternal and Child Health.","authors":"Yasemin Özhüner, Merve Akıncı","doi":"10.1111/phn.70033","DOIUrl":"10.1111/phn.70033","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate midwifery students' knowledge and concerns about climate change, especially how it affects maternal and child health.</p><p><strong>Design: </strong>The study is cross-sectional descriptive.</p><p><strong>Sample: </strong>The sample included all 103 4th-year midwifery students without selection.</p><p><strong>Measurements: </strong>The Introductory Information Form, Climate Change Anxiety Scale (CCAS) and Climate Change Knowledge Test (CCKT) were applied to gather data. Descriptive statistics and Kruskal-Wallis tests were used to perform comparisons, setting significance levels at p < 0.05.</p><p><strong>Results: </strong>Students were asked questions about how climate change affects maternal and child health. Students who thought that climate change causes heat-related illnesses had significantly higher CCAS anxiety subscale scores (KW = 10.778, p < 0.05). Students who thought that droughts, storms, floods, and fires caused physical or psychological problems had significantly higher CCAS and helplessness subscale scores (KW = 10.237, p < 0.05; KW = 10.172, p < 0.05). Students who thought that illnesses were caused by UV radiation and poor air quality had significantly higher CCAS scores (KW = 10.236, p < 0.05).</p><p><strong>Conclusions: </strong>Midwifery students recognize climate change impacts on maternal-child health while experiencing significant anxiety and helplessness about future implications. Preparing students for climate change roles and responsibilities and creating awareness-raising activities are important for their future professional success.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"145-156"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403037","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":"An Evaluation of the Post-Traumatic Change and Chronic Disease Self-Management in Individuals With Chronic Illness Following the February 6, 2023, Kahramanmaraş Earthquakes: A Descriptive Correlational Study.","authors":"Ahmet Seven, Ayşe Soylu, Dilek Soylu","doi":"10.1111/phn.70037","DOIUrl":"10.1111/phn.70037","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the post-traumatic change and chronic disease self-management in individuals with chronic illness who experienced the earthquake and determine the relationship between these dimensions.</p><p><strong>Background: </strong>The earthquake, the disaster of the century, had a traumatic effect on all individuals, especially those with chronic diseases.</p><p><strong>Methods: </strong>This descriptive, correlational study included 463 individuals with a chronic disease diagnosed at least 1 year before the earthquake. Data were collected between March and July 2024, using a Personal Information Form, the Post-Trauma Change Scale (PTCS), and the Chronic Illness Self-Management Scale (CISMS). Mann-Whitney U test, Pearson correlation, and multivariate linear regression analyses were used in the analyses. The STROBE checklist was used.</p><p><strong>Results: </strong>A negative correlation was determined between PTCS and the CISMS subscales of Self-Stigma and Treatment Adherence. A positive correlation was determined between PTCS and the CISMS subscales of Coping with Self-Stigma and Healthcare Efficacy. The CISMS subscale of Self-Stigma explained 9% of the PTCS Self-Confidence, Awareness, and Social Adaptability subscale total points. The CISMS subscale of Coping with Stigma explained 13% of the PTCS Self-Confidence and Awareness subscale total points. The Healthcare Efficacy subscale of the CISMS explained 13% of the PTCS Self-Confidence subscale total points. The CISMS Treatment Adherence subscale explained 4% of the PTCS Awareness subscale.</p><p><strong>Conclusion: </strong>The study results demonstrated that there was a neutral change in levels after the trauma, and chronic disease self-management was insufficient in the study participants. A negative correlation was determined between the PTCS and the CISMS subscales of Self-Stigma and Treatment Adherence. A positive correlation was determined between the PTCS and the CISMS subscales of Coping with Stigma and Healthcare Efficacy.</p><p><strong>Implications for nursing policy and health policy: </strong>According to our results, increasing self-confidence, awareness, and social adaptability will enable patients to achieve control of the traumatic event and chronic disease self-management in the long term. In traumatic events such as earthquakes, nurses should take an active role in the care, education, and guidance of individuals with chronic diseases who are in the vulnerable group. In addition, emergency health action plans should be determined in detail by health policy makers for individuals with chronic diseases, especially in risky regions.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"116-126"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439970","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":"Capturing Gender Identity Through Documentation: A Program Evaluation of a Rural Mental Health Clinic.","authors":"Pamela Byrnes, Julie Roebuck","doi":"10.1111/phn.70039","DOIUrl":"10.1111/phn.70039","url":null,"abstract":"<p><strong>Background: </strong>Gender identity documentation is an important component of gender-affirming care, particularly for LGBTQIA+ adolescents who may be hesitant to disclose their gender identities due to fear of rejection or discrimination. Without family support, these adolescents face higher rates of suicide, depression, and anxiety. Despite both clinical relevance and the importance of providing inclusive health care services, currently, there is no national standard for collecting gender identity information within clinical settings.</p><p><strong>Aim: </strong>This program evaluation assessed gender identity documentation practices for adolescents in a rural mental health clinic and examined compliance with the American Academy of Pediatrics (AAP) recommendations for inclusive care.</p><p><strong>Methods: </strong>A retrospective chart review of 151 patients aged 4-18 was conducted from 2020-2023 to evaluate baseline and longitudinal documentation of gender identity and pronouns.</p><p><strong>Results: </strong>Gender identity documentation improved from 0% in 2020 to 95% in 2023. Pronoun documentation remained inconsistent, and identity was assessed only at intake, limiting the ability to support adolescents with gender identities evolving over time. A case example of a transgender adolescent illustrated how gaps in documentation can contribute to distress and unmet mental health needs.</p><p><strong>Conclusion: </strong>Systematic gender identity documentation is feasible in a rural outpatient clinic and provides a replicable model for inclusive practice. These findings can guide public health nurses in reducing disparities, influencing policy, and supporting multi-step efforts to improve care of gender-diverse youth.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"34-37"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12780934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446298","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":"Vector-Borne Diseases and Climate Change: A Community Health Nursing Perspective Using an Umbrella Review.","authors":"Samira Soleimanpour, Shandiz Moslehi, Mohsen Dowlati, Asghar Tavan, Sajjad Narimani","doi":"10.1111/phn.70034","DOIUrl":"10.1111/phn.70034","url":null,"abstract":"<p><strong>Background: </strong>Climate change is intensifying the spread of vector-borne diseases through rising temperatures, changing rainfall patterns, and the potential release of ancient pathogens from melting polar ice. Community health nurses (CHNs) play a vital role in helping communities adapt to these evolving health threats. This study aims to synthesize evidence on the link between climate change and vector-borne disease outbreaks and to propose a theoretical framework, the Climate Change Adaptation Theory (CCAT), that supports CHNs in leading community adaptation strategies.</p><p><strong>Methods: </strong>An umbrella review was conducted by systematically searching PubMed, Scopus, Web of Science, and Embase databases for relevant systematic review articles. Selected studies were analyzed to identify key themes related to vector-borne diseases and climate change.</p><p><strong>Results: </strong>Of the total 2420 retrieved articles, 44 reviews were received, of which, after reviewing the full text of the articles, 18 articles met the inclusion criteria. Four main concepts were identified in the reviews around climate change: human activities facilitating disease emergence; global warming and the El Niño phenomenon; melting polar ice caps and pandemic risk; and the critical role of CHNs in climate change adaptation.</p><p><strong>Conclusion: </strong>CCAT integrates existing health education models and highlights the leadership role of CHNs in effectively educating communities on climate change adaptation, thus mitigating risks associated with vector-borne diseases.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"157-167"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410256","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}