Public Health Nursing最新文献

{"title":"I Found It on Instagram: Exploring the Impact of Social Media on Public Health Communication.","authors":"Lucía Carton-Erlandsson, María Sanz-Guijo, Raúl Quintana-Alonso","doi":"10.1111/phn.13554","DOIUrl":"10.1111/phn.13554","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the perspectives of social media users and health influencers on the use of these platforms as tools for health communication and literacy.</p><p><strong>Design: </strong>To address the objective, a qualitative descriptive study was conducted using focus groups with general social media users and health content influencers.</p><p><strong>Results: </strong>During the discussions, participants revealed that everyone accesses health information on social media, either actively or unintentionally, thus exposing themselves to this reality. Additionally, a paradigm shift was highlighted due to the 2020 pandemic in relation to the consumption of health information on these platforms. This shift increased interest in the topic as well as general distrust toward official institutions and the phenomenon of misinformation. In response, the importance of the presence of health professionals on social media was emphasized, as well as the need to educate the public to consume this type of information safely.</p><p><strong>Conclusion: </strong>Social media plays a significant role as a public health communication tool, and its use for this purpose is increasingly widespread. However, it is crucial to educate the public to engage in informed and responsible consumption to avoid the consequences of misinformation prevalent on these platforms.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1534-1543"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056048","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":"Analysis of the Impact of E-Health Literacy on Health Behavior Among the Elderly in Jiangsu: Structural Equation Model.","authors":"Aojie Chen, Xiquan Wang, Anying Xu, Qingyu Liu, Biying Tong","doi":"10.1111/phn.13565","DOIUrl":"10.1111/phn.13565","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to determine the correlation between e-health literacy, physiology, and health behaviors of older adults in Jiangsu to assess the factors influencing digital health in older adults.</p><p><strong>Methods: </strong>Data were collected through a 1:1 face-to-face survey conducted in hospitals and elderly communities from May 1 to June 14, 2024, using a structured questionnaire. In this study, the electronic health literacy questionnaire, the quality-of-life questionnaire, and the Anderson health behavior model were used. According to the collected data, the structural relationship between electronics and health literacy, physiological function, and health behavior of the elderly aged 60 years and above was confirmed, and the structural equation modeling (SEM) analysis was carried out.</p><p><strong>Results: </strong>E-health literacy significantly positively impacted physiological function (β = 0.916, p < 0.001), while physiological function showed a positive but non-significant association with health behaviors (β = 0.343, p = 0.091). The mediating role of physiological function between e-health literacy and health behaviors was confirmed (*indirect effect = 0.005, 95% CI: -0.010 to 0.125*). Pearson correlations revealed significant relationships: e-health literacy with physiological function (γ = 0.331, p < 0.001) and physiological function with health behaviors (γ = 0.146, p < 0.01).</p><p><strong>Conclusion: </strong>In the era of big data and the aging society, it is necessary to strengthen publicity and guidance to improve the e-health literacy of older adults, especially those with poor physiological function. Explain the potential threats of some health information and ensure healthy digital aging through multi-stakeholder societal participation.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1461-1468"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999728","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":"Policy Analysis to Strengthen Healthcare Access for Illinois Farmworkers.","authors":"Susan Tracy, Catherine Yonkaitis","doi":"10.1111/phn.70001","DOIUrl":"10.1111/phn.70001","url":null,"abstract":"<p><p>US farmworkers are among the most vulnerable members of the labor force, facing hazardous working conditions and limited healthcare access. This policy analysis examines ways to improve healthcare access for farmworkers in Illinois to reduce health disparities and enhance public health. To identify viable policy options, the analysis incorporated an environmental scan, expert consultations, and a comprehensive literature review to map the healthcare landscape, reveal service gaps, and incorporate stakeholder perspectives. These options were then evaluated using the Centers for Disease Control and Prevention (CDC) Policy Analytical Framework and Kingdon's model, which assess feasibility, public health impact, and alignment with current political conditions. Four key options emerged: increasing Medicaid access by reopening and uncapping the Health Benefits for Immigrant Adults and Seniors Programs, pursuing a Section 1332 State Innovation Waiver, establishing Medicaid billing for community health workers, and improving Medicaid reimbursement rates for Federally Qualified Health Centers (FQHCs). Enhancing FQHC reimbursement was identified as the most feasible and impactful approach, enabling FQHCs to expand capacity, retain staff, and open new centers in underserved areas. Nurses play a critical role in advocating for equitable healthcare access. This analysis highlights the need for targeted, sustainable policy interventions to advance health equity for farmworkers.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340592","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":"Privacy Perceptions in the Care Provided to Immigrants: A Qualitative Study With Nurses.","authors":"Elanur Uludağ, Ulviye Aydan Nacak","doi":"10.1111/phn.13578","DOIUrl":"https://doi.org/10.1111/phn.13578","url":null,"abstract":"<p><strong>Introduction: </strong>The present study sheds light on the care provided to immigrants by revealing the problems faced by nurses due to the privacy perceptions of such patients.</p><p><strong>Method: </strong>This qualitative study constituted a sample of 15 nurses who had previously cared for immigrants. Data were collected through semi-structured individual interviews and processed through thematic analysis.</p><p><strong>Results: </strong>Six sub-themes were identified from the thematic analysis of the interviews: (1) what first comes to mind when thinking of privacy; (2) the difficulties encountered while providing care to immigrants (e.g., cultural factors); (3) the effects of cultural values on the perceptions of privacy held; (4) the differences between immigrants and nurses as to their perceptions of privacy; (5) the difficult situations encountered by nurses when providing care due to the perceptions of privacy held by patients; (6) the solutions perceived as to the problems encountered by nurses due to the perceptions of privacy held by patients.</p><p><strong>Discussion: </strong>This study highlights that differences exist between nurses' and immigrant patients' perceptions of privacy. It has been found that immigrants from Eastern cultures associate privacy with bodily privacy, which results in nurses facing difficulties when caring for immigrant patients of the opposite gender.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303610","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":"Effect of Peer Education on Early Breast Cancer Detection, Health Responsibility, Health Beliefs, Knowledge, and Practices Among University Students.","authors":"Sabahat Coskun, Nisa Alibekiroğlu, Gamzenur Gençyürek","doi":"10.1111/phn.70000","DOIUrl":"https://doi.org/10.1111/phn.70000","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer remains a major global health issue, with early detection playing a key role in reducing mortality rates. University students represent an important population for promoting health responsibility and preventive behaviors such as breast self-examination (BSE). Peer education has emerged as a promising strategy to enhance health-related knowledge and practices among young adults.</p><p><strong>Objective: </strong>This study aims to evaluate the impact of peer education on early breast cancer detection, health responsibility, health beliefs, knowledge, and practices among university students.</p><p><strong>Methods: </strong>This randomized controlled experimental study involved 244 students (124 in the intervention group and 120 in the control group). Data were collected using a Demographic Information Form, the Comprehensive Breast Cancer Knowledge Test (CBCKT), the Champion's Health Belief Model (CHBM), and a BSE skill assessment test. The intervention group received education on breast cancer and BSE. Both groups were assessed 6 months after the intervention. Data analysis included frequency, percentage, mean, standard deviation, Chi-square, eta squared, independent samples t-test, and paired samples t-test.</p><p><strong>Results: </strong>Before the peer education, no significant differences were observed between the groups. However, following the intervention, significant improvements were noted in breast cancer knowledge, health responsibility, health beliefs, and BSE practices in the intervention group. Additionally, while only 4.8% of students performed BSE in 12 steps before the intervention, this increased to 58.1% after the education.</p><p><strong>Conclusions: </strong>Peer education significantly enhanced breast cancer knowledge, health responsibility, health beliefs, and BSE practices. Nurses play a vital role in supporting these interventions, promoting early detection, and improving health outcomes through targeted education strategies.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303609","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":"Climate Change Worry and Environmental Sensitivity Among Nursing Students.","authors":"Alime Selçuk Tosun, Ümmügülsüm Ünsal Yüceer, Büşra Demirdağ, Nurcan Akgül Gündoğdu, Neslihan Lök","doi":"10.1111/phn.13580","DOIUrl":"https://doi.org/10.1111/phn.13580","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study is to examine the relationship between nursing students' worry about climate change and their environmental sensitivity.</p><p><strong>Design and method: </strong>This research is a descriptive and correlational study. It was conducted with 432 nursing students. The data were collected using a Personal Information Form, the Climate Change Worry Scale, and the Environmental Sensitivity Scale. Descriptive statistics (frequency, percentage, mean, standard deviation), independent groups t-test, Mann-Whitney U test, one-way ANOVA, and multiple regression analysis were used to analyze the data.</p><p><strong>Results: </strong>The mean score of nursing students on Climate Change Worry Scale was 30.74 ± 6.92, and the mean score on the Environmental Sensitivity Scale was 4.24 ± 0.44. A statistically significant moderate negative correlation was found between nursing students' worry about climate change and their level of environmental sensitivity (r = -0.694, p < 0.01).</p><p><strong>Conclusions: </strong>The study revealed a moderate negative correlation between climate change worry and environmental sensitivity among nursing students. Reducing worry about climate change and enhancing environmental sensitivity may enable the students to take an active role in protecting public health in their professional careers.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287080","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":"Impact of Screen Time on Sleep and Quality of Life: A Structural Equation Modeling Analysis.","authors":"Wegdan Bani-Issa, Lin Naing, Sharimawati Sharbini, Samah Ibrahim","doi":"10.1111/phn.13570","DOIUrl":"https://doi.org/10.1111/phn.13570","url":null,"abstract":"<p><strong>Objective: </strong>We explored Screen Time (ST)'s effects on sleep and quality of life (QOL) in adolescents.</p><p><strong>Methods: </strong>Data collected, in February-May 2021, from 2000 students aged 12-19, includes the Pittsburgh Sleep Quality Index, and STs on television (TV) (st_tv), TV-linked devices (st_tvd), laptops (st_lap), smartphones (st_smp), and in bed (st_bed), and QOL using the KINDL^R questionnaire.</p><p><strong>Results: </strong>Direct effects of ST on Sleep included st_tv and st_lap on four sleep domains during weekdays; st_tv, st_tvd, and st_lap on three sleep domains during weeknights; st_lap and st_smp on four sleep domains on weekends; and st_bed on all sleep domains, except medication. Direct effects of ST on QOL domains included st_lap on general feeling on weekdays; st_tv on self-esteem, st_tvd on friends and physically, and st_lap on family and physically on weeknights; st_tv on school, st_lap on family, friends, and physical wellbeing, and st_smp and st_bed on all QOL scales on weekends. In overall, st_bed showed the highest effect on QOL, followed by st_smp and st_lap.</p><p><strong>Conclusions: </strong>It highlights the need for ST-related campaigns whereby public health nurses, especially school nurses and community nurses, may play a leading role together with parents and teachers to minimize effects on sleep and QoL.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276739","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":"Association Between Chronic Pain and Depression in Elderly Chinese Women: Results From the China Health and Retirement Longitudinal Study.","authors":"Xiaolong Du, Siyuan Zhang, Xiwang Hao, Huanling Gao","doi":"10.1111/phn.13579","DOIUrl":"https://doi.org/10.1111/phn.13579","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain and depression are very common in the elderly population and have a profound impact on quality of life. However, studies specifically focusing on the elderly female population are relatively scarce, especially in the Chinese cultural context, where elderly women may face greater psychological pressure due to their social roles, such as family care, which increases the risk of depression. The aim of the present study was to explore the relationship between chronic pain and depression in Chinese elderly women.</p><p><strong>Materials and methods: </strong>This study was based on data from the China Health and Retirement Longitudinal Study (CHARLS) and collected basic characteristics and information on chronic pain and depression status of elderly Chinese women aged 60 and above. Chronic pain conditions were assessed by self-report, and depressive symptoms were assessed using the 10-item Center for Epidemiological Studies Depression Scale (CESD-10). Logistic regression models were used to analyze the relationship between chronic pain and the risk of depressive symptoms, adjusting for main covariates associated with depression in elderly women.</p><p><strong>Results: </strong>Of the 7215 subjects analyzed at baseline, the mean age of participants was 62.1 years (SD 9.7). Two thousand nine hundred and twenty-five (40.5%) participants were classified as chronic pain and 3550 (49.2%) as depressive symptoms. After adjusting for age and BMI, the risk of developing depression for subjects with chronic pain was 1.133 times higher compared to those without chronic pain (OR 1.133, 95% CI 1.029-1.246; p = 0.011). Further adjustment for sociodemographic, behavioral lifestyle, and health-related factors only slightly weakened this association (OR 1.125, 95% CI 1.024-1.236; p = 0.014).</p><p><strong>Conclusion: </strong>This study revealed a significant association between chronic pain and depressive symptoms in elderly Chinese women, supporting the use of chronic pain screening as an effective tool to identify individuals at high risk of depression, with advantages of low cost and easy implementation.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250809","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":"Characteristics of Governmental Public Health Nurses With Recommendations for Public Health Nurse Workforce Planning.","authors":"Susan J Zahner, Katie Gillespie, Kristin Merss, Paula Bizot","doi":"10.1111/phn.13576","DOIUrl":"https://doi.org/10.1111/phn.13576","url":null,"abstract":"<p><strong>Objectives: </strong>Characteristics and perceived impact of the COVID-19 pandemic on the health of governmental public health nurses were compared to all registered nurses.</p><p><strong>Design: </strong>Cross-sectional descriptive design using data from the 2022 Wisconsin RN Workforce Survey.</p><p><strong>Sample: </strong>The sample included 87,100 registered nurses, including 1350 governmental public health nurses.</p><p><strong>Measurements: </strong>The online survey was administered during February 2022. Responses to \"Working as a nurse\" and \"Primary place of work\" were used to classify governmental public health nurses. Data elements included demographics, employment, income, education, specialized knowledge, certifications, and COVID-19 pandemic measures.</p><p><strong>Results: </strong>Compared to all registered nurses, governmental public health nurses reported older age, greater race/ethnic diversity, and higher frequency of the baccalaureate as the highest degree. Most governmental public health nurses reported no plans for additional education. Income for governmental public health nurses lagged income for all registered nurses. The proportion of governmental public health nurses intending to remain in their present type of work for fewer than 10 years was higher than for all registered nurses, as was the proportion of governmental public health nurses who rated their overall health as \"worse or much worse\" than before the pandemic.</p><p><strong>Conclusion: </strong>This analysis raises concerns about the size and preparation of the governmental public health nurse workforce given ongoing population health disparities and future health threats.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250810","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":"Community Supervision Engagement to Examine Health Outcomes: A Scoping Review.","authors":"Allison D Crawford, Haley Zettler, Stacy Braddy, Matt Hayward, Rebecca Howe, Jennifer Rowe, Jacqueline M McGrath","doi":"10.1111/phn.13577","DOIUrl":"https://doi.org/10.1111/phn.13577","url":null,"abstract":"<p><strong>Introduction: </strong>We reviewed the literature related to what is known about community supervision engagement to address health outcomes amongst individuals with criminal justice oversight.</p><p><strong>Methods: </strong>We searched eight databases. After removing duplicates, we reviewed 482 article titles and abstracts and retrieved 56 articles for full-text review.</p><p><strong>Results: </strong>Eleven articles met final inclusion. The findings are organized into two themes: (1) Health Outcomes and (2) Programming Issues. Two studies focused on health outcomes, eight on programmatic implementation, and one on health outcomes and implementation. Only one study involved gender-specific programming for childbearing women.</p><p><strong>Conclusion: </strong>More research that utilizes randomized control trial methods, larger samples, and measures to evaluate the effectiveness of community-based programming on health outcomes within community supervision is warranted. Considering women of childbearing age are most likely deferred to community supervision and maternal and child morbidity and mortality is an ever-growing public health crisis, more investigation is needed specific to this population.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217605","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}