Public Health Nursing最新文献

{"title":"HPV Knowledge, Anxiety and Vaccine Acceptance Among Adults in Saudi Arabia: A Cross-Sectional Study.","authors":"Abdullah E Alsobaie, Fahad A Alqurashi, Muath S D Alotaibi, Mohammad I A Alwuthaynani, Ahmed R G Alotaibi, Ahmed N Alghamdi, Ali H S Alzahrani, Ahmad F Eweas, Youssef A S Abdel-Moneim, Naifa Alenazi, Ahmed S Abdel-Moneim","doi":"10.1111/phn.70172","DOIUrl":"10.1111/phn.70172","url":null,"abstract":"<p><p>Human Papillomavirus (HPV) causes various infections and serious health complications, including cancer. Vaccine hesitancy and anxiety continue to hinder its control. This study assessed HPV-related knowledge, infection anxiety, and vaccine hesitancy among the adult population in Saudi Arabia (including both citizens and non-Saudi residents), as well as exposure to skin and genital warts. A total of 2014 adults (≥ 18 years) completed an online survey covering demographics, HPV knowledge, and the modified Generalized Anxiety Disorder-7 (GAD-7) scale adapted to measure HPV-specific concerns. Skin warts were common, particularly among females aged 21-50 years, whereas genital warts were less frequent, peaking in the 21-40 age group. Anxiety was highest among participants aged 18-30 years. Notable knowledge gaps existed regarding HPV transmission and vaccine benefits. Younger participants showed better understanding, but males were less aware of vaccine availability. Healthcare professionals and medical students demonstrated superior knowledge. Multinomial logistic regression showed that gender was the only significant predictor of vaccine willingness (p < 0.001). Males were more likely than females to say \"yes\" (aOR = 1.409, p = 0.009) and \"no\" (aOR = 1.633, p < 0.001), indicating that females were disproportionately hesitant (\"not sure\"). A high school education (vs. a medical background) was associated with lower willingness (aOR = 0.631, p = 0.030). Overall, the findings emphasize the need for targeted educational campaigns to improve HPV awareness and promote vaccine acceptance.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1546-1555"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809455","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":"Negative Public Attitudes Toward Cancer in Türkiye: Implications for Nurse-Led Education.","authors":"Perihan Güner, Kardelen Dolgunöz","doi":"10.1111/phn.70187","DOIUrl":"10.1111/phn.70187","url":null,"abstract":"<p><p>This study examined public attitudes toward cancer in Türkiye and identified sociodemographic predictors of negativity, fatalism, and stigma. Understanding these patterns can inform culturally sensitive, nurse-led strategies that promote openness, early screening, and equitable cancer prevention. A descriptive, cross-sectional online survey was conducted among adults in all seven geographical regions of Türkiye. Data were collected using the Public Attitudes Toward Cancer and Cancer Patients Scale and a structured sociodemographic questionnaire. Group differences were examined using independent-samples t tests, one-way analysis of variance with Tukey HSD post hoc comparisons, and Kruskal-Wallis tests with Games-Howell pairwise comparisons, as appropriate. Logistic regression analysis was conducted to identify predictors of negative disclosure attitudes toward cancer diagnosis. A total of 1022 adults (54.8% female; M age = 34.7, SD = 10.8 years) participated. Disclosure of diagnosis had the highest mean subscale score (M = 1.77, SD = 0.76), followed by impossibility of recovery/stigma (M = 1.72, SD = 0.56) and discrimination (M = 1.37, SD = 0.55). Significant subgroup differences were observed according to gender, age, education, residence, and chronic illness status. In the logistic regression model, female participants had significantly lower odds of negative disclosure attitudes than male participants (OR = .594, 95% CI [.427,.827], p = .002); age, marital status, and chronic illness were not significant predictors. At the item level, 22.8% would not disclose a diagnosis to neighbours, and 18.1% would not disclose it to coworkers. Negative attitudes toward cancer remain prevalent, particularly among socially disadvantaged groups. Disclosure-related stigma and fatalistic beliefs continue to hinder open communication, help-seeking, and timely participation in screening.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1494-1504"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148972346","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":"From Moral Commitment to Systemic Neglect: Health System Perspectives on Preconception Care in Ethiopia From Healthcare Workers, Leaders, and Policymakers.","authors":"Yared Asmare Aynalem, Pauline Paul, Zohra S Lassi, Salima Meherali","doi":"10.1111/phn.70164","DOIUrl":"10.1111/phn.70164","url":null,"abstract":"<p><strong>Objective(s): </strong>To explore how healthcare workers, managers, and policymakers understand, perceive, and operate preconception care (PCC).</p><p><strong>Design: </strong>An interpretive descriptive qualitative study was conducted (April-September 2025) in two government hospitals. Data from interviews, focus groups, document review, and observations were analyzed using constant-comparative methods to generate an explanatory account of PCC practice.</p><p><strong>Sample: </strong>Thirty-six participants were purposively recruited, including healthcare workers, hospital managers, policymakers, health bureau staff, and NGO stakeholders. Data were collected in Amharic, transcribed, translated, and analyzed inductively, focusing on patterns, tensions, and system-level influences.</p><p><strong>Results: </strong>Preconception care emerged as structurally unsupported yet sustained through individual effort, shaped differently across system levels. Frontline providers delivered it through moral commitment and improvisation within routine services, rendering it invisible and inconsistent. Fragmented knowledge, shaped by a biomedical focus, limited training, and confusion with antenatal care, further undermined consistent delivery. Managers described the absence of training, supervision, and performance indicators, limiting accountability and integration into service delivery. Policymakers emphasized it as a strategic priority but highlighted gaps in operationalization, coordination, and resource allocation. Across levels, gendered norms and reliance on community trust networks shaped access and reinforced inequities, revealing a persistent misalignment between policy intent and practice.</p><p><strong>Conclusions: </strong>PCC functions as an informal practice sustained by individual agency within weakly institutionalized systems. Strengthening implementation requires bridging policy and practice through system integration, managerial accountability, and gender-responsive, community-engaged care models.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1523-1533"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610201","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":"Public Health Nurses' Contributions to Planetary Health Practice in Public Health Departments: A Qualitative Study.","authors":"Jessica LeClair, Laura Block, Te-Lien Ku, Betty Bekemeier","doi":"10.1111/phn.70179","DOIUrl":"10.1111/phn.70179","url":null,"abstract":"<p><p>Public health nurses (PHNs) may be well positioned to address planetary health challenges through their clinical, population health, and community-based roles, yet their contributions to planetary health practice remain understudied. This qualitative study used reflexive thematic analysis to examine PHNs' roles, contributions, and capacities related to planetary health practice in public health departments. Semi-structured interviews were conducted from October 2024 to February 2025 with 30 participants, including 13 PHNs, 11 public health leaders, and 6 community-based organization representatives across 10 U.S. states. Participants described a spectrum of PHN engagement in planetary health work, ranging from active practice to unrealized capacity. Four interrelated themes described mutually reinforcing dimensions of PHN practice relevant to planetary health: ethical and justice-oriented responsibility, trust-based relational care, bridging clinical and population health, and translating environmental data into action and advocacy. Across participant groups, PHNs were described as trusted community partners able to integrate clinical insight with systems-level public health action. These capacities were enacted to varying degrees across public health department contexts. Leadership support, workforce development, and organizational alignment may strengthen integration of these capacities into routine public health nursing practice.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1644-1651"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901668","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":"Public Health Nursing as Connective Infrastructure: A Health Policy Perspective on Family Homelessness and Health Equity.","authors":"Kate Frazer, Anne McDonald, Jacqueline Austin","doi":"10.1111/phn.70174","DOIUrl":"10.1111/phn.70174","url":null,"abstract":"<p><p>Family homelessness is shaped by social and structural determinants of health, including poverty, housing insecurity, fragmented services, and unequal access to support. Families with infants and young children are particularly vulnerable to the health and developmental effects of housing instability. Public Health Nurses (PHNs) are uniquely positioned at the interface of health services, family life, and community systems. Through universal reach, relational continuity, developmental surveillance, safeguarding, advocacy, and interagency coordination, PHNs help families remain connected to care despite repeated moves and service fragmentation. However, this connective work is often under-recognized in policy, workforce planning, and service evaluation. This policy perspective paper argues that family homelessness is a public health and health equity issue that requires explicit recognition of PHNs as essential connective infrastructure and continuity providers within integrated responses to family homelessness. Strengthening the role of PHNs requires policy and organizational investment in clear referral pathways, digital connectivity supports, adequate staffing, clinical supervision, and evaluation frameworks that capture prevention, advocacy, and sustained connection to care. Making PHN work visible is both a professional nursing priority and a health policy requirement. Recognizing, resourcing, and evaluating PHN continuity work is essential to reducing inequalities and protecting the health and wellbeing of families experiencing homelessness.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1563-1568"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978819","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":"Public Health Nurse Preceptors in Ireland: Exploring Recognition, Preparedness, and Support for Professional Development.","authors":"Niamh Vickers, Denise Mc Guinness, Karl F Conyard, Keighleigh Byrne, Deirdre McEldowney, Jacqueline Austin, Cathy Geraghty, Gonne C Barry, Kate Frazer","doi":"10.1111/phn.70177","DOIUrl":"10.1111/phn.70177","url":null,"abstract":"<p><strong>Background: </strong>Preceptorship is a widely recognized pedagogy which positions experienced nurses as mentors, educators and assessors in the clinical environment. Public Health Nurse (PHN) preceptors are instrumental to the education and development of PHN students. This study aimed to evaluate PHN preceptors' perceived recognition, preparedness and support in their roles and to determine overall satisfaction.</p><p><strong>Methods: </strong>A cross-sectional survey included a validated instrument modified for the Irish community context and convenience sampling methods to target PHN preceptors associated with one Higher Education Institution, following low-risk ethical approval in 2024. Subscale domains included preparedness, recognition, support and satisfaction. Data were analyzed using descriptive and inferential statistics and STROBE guidelines used for reporting.</p><p><strong>Results: </strong>A response rate of 35.8% (n = 86) was attained. The Preparedness domain demonstrated the highest consensus (M = 12.48, SD = 2.06), indicating that respondents felt prepared for their Preceptorship role. Respondents demonstrated high levels of agreement with pedagogical competencies related to making objective student assessments and supporting skills development. Barriers included insufficient time to engage with preceptorship. The results reveal a disconnect between preceptors perceiving that they were highly valued by students but that the preceptorship role was not formally acknowledged as part of their workload at an organizational level. High attendance was reported at preceptor education sessions (87.2%) and a preference for future education to be delivered online (46.4%).</p><p><strong>Conclusion: </strong>PHN preceptors are critical to integrating theoretical learning in the clinical practice environment. While results demonstrate high satisfaction and confidence, significant challenges exist at the systems level to balance the role and demands of preceptorship, within workloads due to time constraints. At a time when primary care settings are being prioritized for healthcare, the workforce challenges need to be understood and solutions co-created. Future research should incorporate qualitative methods to explore the experiences of preceptors and PHN students.</p><p><strong>Clinical trial registration: </strong>Clinical trial registration was not applicable to the study.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1598-1605"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148834678","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 Randomized Controlled Trial of Targeted Training on Nursing Interns' Preparedness for Public Health Emergencies: A Study From West China Hospital, 2022.","authors":"Lin Lan, Qian Xiao, Na He, Yue Dai, Yao Wu, Hong Li","doi":"10.1111/phn.70171","DOIUrl":"10.1111/phn.70171","url":null,"abstract":"<p><strong>Objective: </strong>To explore the effects of coronavirus-specific education and training on nursing interns' self-efficacy, stress levels, and knowledge.</p><p><strong>Methods: </strong>74 nursing interns were randomly allocated to either an intervention group (n = 37) or a control group (n = 37). The intervention group received a 3-h training session covering: Basic knowledge of coronavirus disease, diagnostic and treatment procedures for suspected/confirmed cases, including precautions, practical skills (e.g., PPE donning/doffing), Psychological relaxation techniques. The control group independently studied the same material. Pre-intervention (T1), both groups completed questionnaires assessing: General demographics, self-efficacy, stress levels, skill levels. Post-intervention (T2), the same assessments were repeated. Paired sample t-tests compared within-group differences (T1 vs. T2).</p><p><strong>Results: </strong>No significant differences (p > 0.05) were observed between groups at baseline (demographics, self-efficacy, stress, or skill levels).Post-intervention, the intervention group showed: Increased self-efficacy (p < 0.05), reduced stress levels (p < 0.05), improved skill levels (p < 0.05).No significant improvements were observed in the control group.</p><p><strong>Conclusion: </strong>Targeted education on coronavirus-specific enhances nursing interns' self-efficacy, knowledge, and technical skills while reducing stress, underscoring its value in pandemic preparedness training.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1540-1545"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764065","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":"Revising the Cornerstones of Public Health Nursing for Global Relevance.","authors":"Marjorie A Schaffer, Kari Glavin","doi":"10.1111/phn.70175","DOIUrl":"10.1111/phn.70175","url":null,"abstract":"<p><strong>Background: </strong>The Cornerstones of Public Health Nursing encompass the values and beliefs foundational to public health nursing practice. A comparison of the original Cornerstones, developed more than 20 years ago, with recent revisions of nursing ethical guidelines led to an update of the Cornerstones to enhance their global relevance.</p><p><strong>Method: </strong>We compared the Cornerstones with nursing ethical guidelines to identify missing concepts in the Cornerstones, surveyed members of the Global Network of Public Health Nursing (GNPHN) about suggested revisions, and consulted with two public health nurse experts involved in the original development of the Cornerstones.</p><p><strong>Results: </strong>Feedback from GNPHN members and expert public health nurses led to the retention of four Cornerstones and the revision of six. Major changes included emphasizing global public health nursing practice and creating a new Cornerstone to focus on relationships with coworkers and the responsibility to self.</p><p><strong>Discussion: </strong>The updated Cornerstones reflect values and beliefs predominant in nursing ethical guidelines and are more relevant to global public health nursing practice.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1505-1513"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892842","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":"Nurses' Perceptions and Behaviors Regarding Climate Change and Health: A Correlational Study Aligned With Saudi Vision 2030.","authors":"Yasir S Alsalamah, Lisa Babkair, Monerh A Alfalaij, Abeer Mohamed Abdelkader, Mona Gamal Mohamed, Mirna Fawaz, Ashraf Jehad Abuejheisheh, Thamer Alslamah, Azza Abdeldayem Ata, Manal Saleh Moustafa Saleh","doi":"10.1111/phn.70173","DOIUrl":"10.1111/phn.70173","url":null,"abstract":"<p><p>Climate change is an escalating threat to population health, placing increasing pressure on healthcare systems. Nurses play a pivotal role in delivering climate-resilient healthcare; however, evidence regarding their perceptions and climate-related health behaviors in Saudi Arabia remains limited. This study examined the relationship between nurses' perceptions of climate change and their climate-related health behaviors in support of the population health objectives of Saudi Vision 2030. A cross-sectional survey was conducted among 307 nurses in Saudi Arabia using the validated Perceptions and Behaviors regarding Climate Change and Health (PBCH) questionnaire, which assessed awareness, concern, and climate-related behaviors in both domestic and clinical settings. Data were analyzed using descriptive statistics, reliability testing, Pearson correlation, Ordinary Least Squares (OLS) regression, and quantile regression to examine predictors across different levels of behavioral engagement. The findings revealed moderate PBCH scores (mean percentage approximately 68%-69%) and excellent internal consistency (Cronbach's α up to 0.96). Awareness and concern demonstrated strong positive correlations with PBCH scores and consistently predicted climate-related health behaviors across OLS and all quantiles (0.25, 0.50, and 0.75), whereas demographic characteristics showed minimal predictive value. These findings suggest that strengthening nurses' awareness of and concern about the health impacts of climate change may significantly enhance sustainable nursing practices, improve population health protection, and support the achievement of Saudi Vision 2030.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1661-1671"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892919","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":"Every Student Deserves a School Nurse: Building Equitable Access to School Nursing for Child Health.","authors":"Nakia C Best","doi":"10.1111/phn.70183","DOIUrl":"10.1111/phn.70183","url":null,"abstract":"","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1443-1445"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914297","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}