Public Health Nursing最新文献

{"title":"Impact of Community Proactive Health Management Application on Electronic Health Literacy and Self-Management of Hypertensive Patients.","authors":"Yueyan Jiang","doi":"10.1111/phn.13424","DOIUrl":"https://doi.org/10.1111/phn.13424","url":null,"abstract":"<p><strong>Objective: </strong>Investigating the impact of the Community Proactive Health Management Application on electronic health literacy, self-management level, and blood pressure in hypertensive patients within the community.</p><p><strong>Methods: </strong>Between September and November 2020, two communities in Hengyang City, Hunan Province, China were selected as the intervention and control groups using convenience sampling. Subsequently, 30 hypertensive patients from each of the two communities were randomly selected to participate as study subjects. The control group patients received foundational hypertension management, whereas the intervention group received additional care through the Community Proactive Health Management Application.</p><p><strong>Results: </strong>Following a 3-month period, the intervention group exhibited significantly higher total scores (t = 2.193, p = 0.032) and application dimension scores (t = 2.605, p = 0.012) for electronic health literacy compared to the control group. The total scores of electronic health literacy scale for both the intervention (t = -5.671, p < 0.001) and control (t = -3.613, p = 0.001) groups were higher after the intervention compared to before. The total score of the self-management scale (t = 3.872, p < 0.001), as well as the scores for the treatment management (t = 6.580, p < 0.001) and habit management dimensions (t = 2.315, p = 0.024) of hypertensive patients in the intervention group, were significantly higher than those in the control group. The self-management scores of both groups of hypertensive patients showed a significant increase compared to preintervention levels (intervention group t = -14.391, p < 0.001; control group t = -6.584, p < 0.001). The intervention group exhibited a statistically significant decrease in systolic blood pressure compared to the control group (Z = -2.036, p = 0.042). Following the intervention, both groups exhibited a significant reduction in systolic and diastolic blood pressure levels compared to preintervention levels (all p < 0.001).</p><p><strong>Conclusions: </strong>The Community Proactive Health Management Application has the potential to enhance the electronic health literacy and self-management capabilities of hypertensive patients, enabling them to engage in better health management, reduce hypertension levels, and elevate their overall quality of life.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301120","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 of an emergency science popularization capacity index system for nurses in China—A Delphi study","authors":"Minghui Lu, Qianwen Chai, Li Wei, Yanmei Wang, Cancan Cao","doi":"10.1111/phn.13406","DOIUrl":"https://doi.org/10.1111/phn.13406","url":null,"abstract":"AimTo construct a popularization of an emergency science capacity index system for nurses based on the iceberg model.DesignA mixed‐method research design incorporating quantitative and qualitative components was used.MethodsIn this study, the first draft of the questionnaire was developed through literature analysis and semi‐structured interviews. According to the Delphi expert inclusion criteria, 20 experts with rich experience in the field of science popularization were selected, and the system of emergency science popularization ability of nurses was ultimately developed through two rounds of consultation according to the Delphi method. The weights of various indicators were determined through hierarchical analysis.ResultsFollowing two rounds of Delphi surveys, a total of 3 primary, 6 secondary, and 26 tertiary indicators were identified. The indicators were found to be highly significant, with variation coefficients ranging from 0.063 to 0.140. The Kendall's harmonization coefficients for the primary, secondary, and tertiary indicators were 0.350, 0.341, and 0.146, respectively. The popularization of the emergency science capacity system has a certain scientific and practical significance, which is of guidance to the competency of nurses in public health emergencies.Patient or public contributionNo patient or public contribution. This study did not involve patients, service users, caregivers, or members of the public.","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142259209","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 an instrument to evaluate missed nursing care in home care: A validation study","authors":"Marco Di Nitto, Francesco Zaghini, Valeria Caponnetto, Fabio Ferraiuolo, Francesca Napolitano, Rosaria Alvaro, Loreto Lancia, Duilio Fiorenzo Manara, Laura Rasero, Gennaro Rocco, Beatrice Mazzoleni, Loredana Sasso, Annamaria Bagnasco","doi":"10.1111/phn.13414","DOIUrl":"https://doi.org/10.1111/phn.13414","url":null,"abstract":"ObjectiveTo develop and validate a questionnaire to evaluate missed nursing care (MNC) in a home care setting.DesignA new instrument was developed and tested performing a preliminary analysis of a multicenter cross‐sectional study in Italy. Reporting was performed according to COnsensus‐based Standards for the selection of health status Measurement INstruments (COSMIN) guidelines.SampleEight hundred out of a total of 2549 home care nurses enrolled in AIDOMUS‐IT were considered for the validation of the Missed Nursing Care in Home Care (MNC_HC).MeasurementsThe MNC_HC instrument was developed by a panel of experts and underwent content and face validation. Exploratory (EFA) and confirmatory factor analyses (CFA) were conducted.ResultsEFA revealed a one‐factor solution, explaining 56% of the total variance for MNC_HC. CFA confirmed excellent structural validity, with a one‐factor model showing an exceptional fit (<jats:italic>χ<jats:sup>2</jats:sup></jats:italic> (27) = 141.39, <jats:italic>p</jats:italic> &lt; .001, RMSEA = 0.04, SRMR = 0.04, CFI = 0.99, TLI = 0.99, factor loadings &gt; 0.5). MNC_HC also demonstrated high reliability (Cronbach's <jats:italic>α</jats:italic> = 0.92). The activity with the highest rate of missed care was the documentation of nursing care (77%), while activities related to nursing techniques (e.g., injections, dressings, etc.) were reported to be missed less (33.63%).ConclusionsMNC_HC is a quick‐filling, valid, reliable, and psychometrically sound instrument for measuring MNC in home care useful for future research.","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142259210","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":"Technological disasters in Asia: Epidemiological profile from the year 2000 to 2021","authors":"Andrea Fernández García, Rick Kye Gan, José Antonio Cernuda Martínez, Pedro Arcos González","doi":"10.1111/phn.13419","DOIUrl":"https://doi.org/10.1111/phn.13419","url":null,"abstract":"BackgroundTechnological disasters in Asia have significant public health and environmental implications, but there is limited epidemiological analysis of these events. This study aims to characterize the epidemiological profile of technological disasters in Asia from 2000 to 2021, focusing on morbidity and mortality trends.MethodsA retrospective descriptive observational analysis was conducted using data from emergency events database (EM‐DAT), DesInventar, NatCAt, and Sigma. The study categorized disasters into transport, industrial, and miscellaneous accidents. Statistical analyses were used to examine frequencies, trends, and correlations among the different disaster types.ResultsFrom 2000 to 2021, Asia experienced 2333 technological disasters, with transport accidents being the most frequent (55.77%), followed by industrial (26.10%) and miscellaneous accidents (18.13%). The overall trend showed a statistically significant decrease in the frequency of these disasters and in average mortality and injury rates. The study highlighted the varying impact of different disaster types, with industrial accidents causing the highest fatality and affected rates despite being less frequent than transport accidents.ConclusionsThe study indicates a declining trend in the frequency and severity of technological disasters in Asia, reflecting improved safety measures and disaster management. However, the high impact of industrial accidents underscores the need for targeted prevention strategies.","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142180428","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":"Physical activity habits and associated factors in open green spaces of young adults: A cross‐sectional study","authors":"Ahmet Furkan Süner, Adem Sümen","doi":"10.1111/phn.13421","DOIUrl":"https://doi.org/10.1111/phn.13421","url":null,"abstract":"ObjectivesThis study was conducted to determine the relationship between green space usage habits and physical activity in young adults.DesignA cross‐sectional and correlational design.SampleThe study was conducted with 455 young adults who were studying at a faculty between February and May 2023.MeasurementsThe research data were collected face‐to‐face using a form prepared by the researchers in line with the literature and tested before collection. The form includes questions about green space use habits, green exercise levels, and leisure time activities in green spaces.ResultsThe probability of male young adults to do physical activity in green spaces compared to women aOR: 2.4 (95% CI: 1.4–3.9, <jats:italic>p</jats:italic> = .001), the probability of young adults with higher family income to do physical activity in green spaces than those with low‐income aOR: 5.4 (95% CI: 2.7–10.8, <jats:italic>p</jats:italic> &lt; .001), the probability of young adults who do physical activity in indoor spaces to do physical activity in green spaces compared to those who do not aOR: 2.4 (95% CI: 1.5–3.6, <jats:italic>p</jats:italic> &lt; .001), 500 m away from the green space aOR: 2.8 (95% CI: 1.6–4.9, <jats:italic>p</jats:italic> &lt; .001) is more likely for those living farther away to engage in physical activity in green spaces than those living closer than 100 m.ConclusionsYoung adults' gender, income, distance to green spaces, and sports activities under various conditions have an impact on physical activity in open green spaces.","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142223689","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":"Balancing barriers and strategies - Nurses' experiences of conducting lifestyle counseling.","authors":"Lina Behm, Maja Brånhage, Sofie Jönsson, Marie Rask","doi":"10.1111/phn.13417","DOIUrl":"https://doi.org/10.1111/phn.13417","url":null,"abstract":"<p><strong>Objectives: </strong>Over 70% of the disease burden in Europe is the result of chronic diseases caused by lifestyle. Lifestyle counseling can improve lifestyle habits and thereby health. However, according to research, there are several barriers to healthcare personnel carrying out counseling. The aim of this study was to explore nurses' experiences of conducting lifestyle counseling.</p><p><strong>Design: </strong>A qualitative descriptive study was conducted in southern Sweden between August 2021 and December 2021.</p><p><strong>Sample: </strong>Eleven nurses were recruited from both inpatient and outpatient care in northeastern Sweden through a combination of purposive and snowball sampling.</p><p><strong>Measurements: </strong>Individual semistructured interviews were performed digitally using an interview guide. The interviews were analyzed via qualitative content analysis.</p><p><strong>Results: </strong>The nurses experienced several challenges in performing lifestyle counseling. However, knowledge gaps, sensitive topics, organizational dynamics, and time constraints were balanced using strategies. The theme of their responses can be explained by the following categories: \"Collaboration with patients is key,\" \"From self-interest to teamwork,\" and \"The organization can assist or hinder.\"</p><p><strong>Conclusions: </strong>Lifestyle counseling needs to be prioritized within healthcare. Nurses need tools and knowledge to be able to feel comfortable with the task. All healthcare organizations need to work with lifestyle counseling in a structured way according to national guidelines.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156659","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":"Relationship of sustainable development goals, holistic nursing competence, and social justice advocacy role in public health nurses.","authors":"Özlem Karatana, Mesut Karaman","doi":"10.1111/phn.13418","DOIUrl":"https://doi.org/10.1111/phn.13418","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to examine the relationship between public health nurses' holistic nursing and social justice advocacy competencies in terms of their attitudes toward sustainable development goals.</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Sample: </strong>The study sample consisted of 384 public health nurses.</p><p><strong>Measurements: </strong>Data were collected with the personal information form, the Attitudes toward Sustainable Development Scale, the Holistic Nursing Competence Scale, and the Social Justice Advocacy Scale.</p><p><strong>Results: </strong>The sub-dimensions of environment, public, education, and economy were found to significantly affect social justice advocacy, and the indirect effects of 0.191, 0.222, 0.205, and 0.201 were found to be statistically significant with the inclusion of holistic nursing competence in the model, respectively. It was found to explain 32%, 30%, 29%, and 22% of the total effect, respectively.</p><p><strong>Conclusion: </strong>It supports the claim that developing public health nurses' holistic nursing competence and social justice advocacy skills is an important criterion for achieving sustainable development goals.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156660","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":"Nipah virus and implications for the nursing workforce and public health: A rapid review.","authors":"Floro Cubelo, Dominika Kohanová, Hannele Turunen, Andrea Solgajová, Daniel Joseph Berdida","doi":"10.1111/phn.13413","DOIUrl":"https://doi.org/10.1111/phn.13413","url":null,"abstract":"<p><strong>Background: </strong>The Nipah virus has raised significant concerns in global health security. During the COVID-19 pandemic, the nursing workforce continues to face numerous challenges, including inadequate preparedness for pandemics, a shortage of nursing personnel, physical, and mental exhaustion.</p><p><strong>Objective: </strong>This rapid review aimed to synthesize existing literature on the Nipah virus and its implications for the nursing workforce.</p><p><strong>Design: </strong>A rapid review was conducted to synthesize the available literature on the Nipah virus, facilitating the provision of timely and pertinent information to policymakers and decision influencers. A systematic search strategy was implemented between January 22 and February 9, 2024, from PubMed, CINAHL (EBSCO), Scopus, and Google Scholar without year limitation. Out of 149 studies, six studies were evaluated using the Joanna Briggs Institute Critical Appraisal Checklists, and one study was excluded based on this evaluation, resulting in five studies being included. Then these were reviewed using narrative synthesis. The study adhered to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines.</p><p><strong>Results: </strong>The selected research indicated that the virus was transmitted throughout the community and during hospital admissions, resulting in unexpected mortality. The healthcare staff, especially nurses, had a limited understanding of the infection. Although there is a lack of confidence in policy and decision-makers, many public health initiatives have been implemented such as providing education on infection prevention and control methods to healthcare personnel, including nurses and support staff.</p><p><strong>Conclusion: </strong>There is a need to integrate continuing professional development programs in both primary health care and specialized medical care to strengthen the preparedness of healthcare personnel for future pandemics. Support systems not only for healthcare staff members, especially nurses, but also for allied personnel working with them to create conducive working environments.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141798","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":"Experiences of nursing students providing support in disaster areas: A qualitative study.","authors":"Maksude Yildirim, Fatma Bozdağ, Öznur Başdaş","doi":"10.1111/phn.13412","DOIUrl":"https://doi.org/10.1111/phn.13412","url":null,"abstract":"<p><p>This study was conducted as a qualitative inquiry to deeply explore the thoughts and experiences of nursing students involved in support activities in disaster areas. It was conducted as a qualitative study. Data for the study were collected through face-to-face interviews or video conferencing using a Personal Information Form and a Semi-Structured Interview Form created by the researcher. Data analysis was conducted using the MAXQDA software. The population of this qualitative study consisted of nursing students actively involved in support activities in 11 provinces affected by the magnitude of 7.7 earthquake centered in Kahramanmaraş/Turkey. The sample of the study comprised nursing students who responded to our call shared with nursing student groups and met the inclusion criteria. Through qualitative analysis, three themes were identified: initial emotions experienced during the earthquake, difficulties faced during the earthquake process, and emotions following the earthquake experience. Students participating in support activities in the earthquake-affected region provided explanations regarding their emotions, encountered ethical dilemmas, infrastructure issues, as well as deficiencies in organization and education.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134479","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":"Different impacts of physical activity on health in urban and rural older adults.","authors":"Shu-Fen Lin, Chia-Hsiang Chu, Wei-Ting Chou, Tsung-Cheng Hsieh, Yu-Lun Kuo","doi":"10.1111/phn.13416","DOIUrl":"https://doi.org/10.1111/phn.13416","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the impact of physical activity on health among older adults in urban and rural areas in Taiwan.</p><p><strong>Methods: </strong>This study employed a cross-sectional design and data were analyzed from 2015 to 2019 from the Hualien County Health Bureau. Participants were divided into urban (n = 4780) and rural groups (n = 4983), and logistic regression models were employed to examine how physical activity relates to their health condition in urban and rural older adults.</p><p><strong>Results: </strong>Results indicated lower physical activity levels and higher unhealthy behavior rate in rural older adults compared to their urban counterparts. Rural older adults had higher rates of cardiovascular diseases and diabetes but lower rates of mental illness. Physical activity demonstrated greater physical health benefits for urban older adults than rural older people. Conversely, rural individuals who engaged in physical activity 150 min/week exhibited greater mental health benefits than their urban counterparts.</p><p><strong>Conclusions: </strong>Physical activity offers significant mental health benefits for both urban and rural older adults; however, notable improvements in physical health among urban older adults was found. If in the presence of unhealthy behaviors, regular physical activity may not effectively prevent chronic diseases. It is crucial to promote physical activity and healthy behaviors in rural areas.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134478","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}