Public Health Nursing最新文献

{"title":"Development and Validation of Self-Management Infographics for Patients With Type 2 Diabetes Mellitus in Rural Kenya.","authors":"Pauline Muthoni Maina, Melanie Pienaar","doi":"10.1111/phn.70087","DOIUrl":"10.1111/phn.70087","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the study was to develop and validate a set of infographics tailored for self-management by patients with Type 2 diabetes mellitus (T2DM) in rural Kenya, to prevent chronic kidney disease.</p><p><strong>Design: </strong>In collaboration with two graphic designers and through an iterative participatory process, the authors developed self-management infographics tailored for patients with T2DM. The authors followed the following steps in the development process: goal identification, target audience identification, definition of the intended message, identification of relevant symbols or graphics and infographic compilation.</p><p><strong>Sample: </strong>The images were validated by using participatory groups with patients with T2DM (n = 13) and healthcare workers (n = 7) caring for patients with T2DM. The International Organization for Standardization (ISO) 9186 testing guided the comprehension level of images.</p><p><strong>Results: </strong>In total, 28 infographics received a score greater than 66%. The following characteristics significantly affected the comprehensibility of the infographics: whether written text was included, prior knowledge, viewers' frames, image characteristics, whether images were familiar/commonly encountered, the positioning of images, and colors and measurements that could be interpreted intuitively.</p><p><strong>Conclusions: </strong>The authors conclude that an iterative approach is viable for developing tailored infographics for specific populations.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"847-855"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272706","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":"Implementing the 4M's in Rural Public Health.","authors":"Betty Mallen, Harleah G Buck","doi":"10.1111/phn.70092","DOIUrl":"10.1111/phn.70092","url":null,"abstract":"<p><strong>Background: </strong>Local public health departments (LHD) geographic distribution and scope of practice result in them as a primary source of care for rural older adults. The 4M's framework (What Matters, Medications, Mentation, Mobility) was developed to assess their needs. Public health is a good fit for implementing the 4M's framework.</p><p><strong>Purpose: </strong>Phase 1) develop and implement a quality improvement project; Phase 2) adapt the project as needed and measure implementation outcomes (percentage of older adults assessed using the 4Ms; continued agency funding after project end) METHODS: The project utilized the Institute for Healthcare Improvement Plan-Do-Study-Act (PDSA) process to design and measure change. Seven PDSA cycles were conducted over a seven-month period at LHD clinics.</p><p><strong>Findings: </strong>285 participants accessed a clinic with 80 participants completing the 4M's assessment tool for a 28% completion rate. Leadership identified four existing funding sources to reallocate and five potential new grants to sustain the project.</p><p><strong>Discussion: </strong>Utilizing LHDs is an innovative approach for 4M's implementation. Obtaining data provides valuable information on what is important to older adults. Expansion of the 4M's to other programs, connecting older adults to resources, and tying results to patient-centered outcomes will be important next steps.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"633-638"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146260012","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 Culturally Tailored Educational Program for Breast Cancer Risk Reduction in Korean Immigrant Women: A Community-Based Pilot Study.","authors":"Jin Young Seo, So-Hyun Park, Sungeun Choi, Angelica Sanchez, Minkyung Lee, Shiela M Strauss","doi":"10.1111/phn.70109","DOIUrl":"10.1111/phn.70109","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated the effectiveness of a culturally tailored educational program, the Korean Breast Cancer Risk Reduction Program (KBCRRP), to reduce breast cancer (BC) risk factors and increase screening among Korean American (KA) women.</p><p><strong>Methods: </strong>Guided by the PRECEDE-PROCEED and Health Belief Models, the KBCRRP targeted healthy weight, physical activity, diet, and BC screening. A quasi-experimental design involved KA women (age ≥ 40 years, BMI ≥ 23 kg/m²) from a community organization in New York City. The intervention group (IG, n = 14) attended eight in person weekly sessions and received 16 weeks of smartphone follow-up. The control group (CG, n = 14) received written cancer prevention materials. Anthropometric measurements and self-reported questionnaires were collected in weeks 1, 8, and 24. Changes in BMI, physical activity, diet, and BC screening were analyzed using descriptive statistics, paired t-tests, and McNemar tests.</p><p><strong>Results: </strong>Participants (N = 28; IG = 14, CG = 14) had an average age of 58.07 years (SD = 6.78). At eight weeks, IG participants demonstrated a significant reduction in BMI (p = 0.001) and decreased calorie intake at both eight weeks (p = 0.046) and 24 weeks (p = 0.042). CG participants showed an increase in waist-hip ratio at both time points (p < 0.01). Mammography uptake improved in both groups, with no significant group difference.</p><p><strong>Conclusion: </strong>Despite a small sample size, the KBCRRP showed a significant reduction in key BC risk factors among KA women.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"639-652"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312166","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 a Position Paper on Faculty Qualifications for Community and Public Health Nursing.","authors":"Priscella Correa, Kim A Decker, Shawna Hebert, Conni DeBlieck, Florence M Weierbach, Mark Siemon, Lynn P Blanchette","doi":"10.1111/phn.70094","DOIUrl":"10.1111/phn.70094","url":null,"abstract":"<p><p>This brief report describes the work of the Association of Community Health Nursing Educators (ACHNE) to update the Position Paper Faculty Qualifications for Community/Public Health Nursing (C/PHN) and recommend qualifications for C/PHN faculty and clinical preceptors in undergraduate and graduate programs. Work group members conducted a literature review and a survey of public health faculty, practicing public health nurses, and other nurse educators in 2023. The revised position paper highlights the need for faculty who are academically and experientially prepared to teach community, public, and population health nursing courses. It stresses the importance of well-qualified instructors in both undergraduate and graduate nursing programs. The American Association of Colleges of Nursing added Population Health as a new domain to The Essentials: Core Competencies for Professional Nursing Education. In an effort to meet the new domains it is essential to consider faculty that have the academic and experiential qualifications to be hired or selected to teach C/PHN courses in nursing programs.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"866-869"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312362","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":"Family-Centered Care in Well-Child Maternal and Child Health Nursing Before and During COVID-19: A Survey of Nurse Coordinators in Victoria, Australia.","authors":"Lael Ridgway, Stacey Hokke, Lisa McKenna, Naomi Hackworth, Jan M Nicholson","doi":"10.1111/phn.70089","DOIUrl":"10.1111/phn.70089","url":null,"abstract":"<p><strong>Objective: </strong>To describe implementation of family-centered care in maternal and child health (MCH) nursing services, before and during the COVID-19 pandemic.</p><p><strong>Sample: </strong>Forty MCH Nurse coordinators of services providing population-wide, free, preventative health care for children aged 0-5 years and their families throughout Victoria, Australia.</p><p><strong>Design: </strong>Cross-sectional survey conducted in early 2021. Study-developed and validated tools, adapted to context, were used to explore family-centered care in 2019 and during pandemic disruptions in 2020. Descriptive analysis compared service structures, local adaptations, and ways of working.</p><p><strong>Results: </strong>Participants reported shifting to telehealth, shorter and fewer face-to-face consultations, reduced flexibility, and disruptions to parent groups and other community strengthening activities. Family-centered care scores were lower during the pandemic when services needed to prioritize most vulnerable children and families.</p><p><strong>Conclusion: </strong>While family-centered care is evident throughout MCH policy and practice, there is scope for improvement. Key learnings, including new technologies and ways of working, are likely to guide future policy and practice. Local variations in service provision and community needs should be considered when evaluating, and exploring options for, preventative health care of children in the future.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"667-680"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146260108","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":"Vaccination Coverage and Factors Associated With Incomplete Vaccination Schedules in Children Under 5 in a Peripheral Area of the Federal District of Brazil.","authors":"Ivea Rayane Mendes Nicacio Viana, Henry Maia Peixoto","doi":"10.1111/phn.70066","DOIUrl":"10.1111/phn.70066","url":null,"abstract":"<p><strong>Objective: </strong>To estimate vaccination coverage (VC) and analyze the factors associated with the incomplete vaccination schedule (IVS) in children under 5 years of age in two Basic Health Units in the Federal District of Brazil.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Sample: </strong>The study included 162 children in two Basic Health Units; 54.94% were male, and all were under 5 years of age.</p><p><strong>Measurements: </strong>Guardians were interviewed using a structured questionnaire, and their vaccination booklets were photographed. VC was estimated and prevalence ratios (PR) were calculated using Poisson regression analysis.</p><p><strong>Results: </strong>Twenty percent of the children had an IVS. None of the vaccines evaluated reached the VC considered correct in terms of age and interval between doses. Factors associated with IVS were age under 2 years (adjusted PR: 2.55; 95% CI: 1.53-4.24), difficulties arising from the COVID-19 pandemic (adjusted PR: 2.71; 95% CI: 1.51-4.86) and a negative response when asked whether all vaccines were administered in the same location (adjusted PR: 1.97; 95% CI: 1.13-3.44).</p><p><strong>Conclusions: </strong>A high proportion of children presented IVS, associated with factors such as age, lack of continuity of vaccination in the same location and difficulties caused by the COVID-19 pandemic.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"543-553"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088107","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":"Association Between Neighborhood Opportunity, School Demographics, and Presence of a School Nurse in Los Angeles County Public Schools: A Cross-Sectional Study.","authors":"Natalie Glassman, Nikhita Datar, Shadassa Ourshalimian, Pradip P Chaudhari, Ryan G Spurrier","doi":"10.1111/phn.70085","DOIUrl":"10.1111/phn.70085","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate associations between the Child Opportunity Index (COI), school demographics, and presence of school nurse(s) for Los Angeles (L.A.) County schools.</p><p><strong>Design, sample, and measurements: </strong>A cross-sectional study of L.A. County schools was conducted for 2023-2024. School demographic characteristics were obtained from a publicly available database. Forty-six L.A. County district nursing offices (encompassing 813 schools) received an electronic survey about school nurse staffing. COI quintiles were assigned using school zip codes. Simple bivariate analyses examined associations between categorical variables and school nurse presence, while Kruskal-Wallis tests assessed differences across groups for continuous variables.</p><p><strong>Results: </strong>Twenty-six school districts responded to the survey (response rate 56.5%), representing 462 included schools. Negative associations were found between the proportions of socioeconomically disadvantaged (p < 0.0001) and Hispanic (p < 0.0001) students with the presence of a full-time school nurse. Significant variations between COI levels and school nurse presence (p < 0.0001) were observed. Schools from very high COIs had the highest likelihood of possessing full-time nurses, while schools from very low COIs had the lowest likelihood.</p><p><strong>Conclusions: </strong>The findings of this study demonstrate significant associations between COI, school demographics, and the presence of a school nurse, illustrating disparities in access to school healthcare for L.A. County students and highlighting the importance of improving equity in school nurse staffing.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"575-584"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214915","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 Integrative Review of Community Health Volunteer-Led Training to Improve Water, Sanitation, and Hygiene Practices in Haiti.","authors":"Temitayo Adebiyi, Sabianca Delva, Angela Chang Chiu, Catherine Wolf, Diana-Lyn Baptiste","doi":"10.1111/phn.70078","DOIUrl":"10.1111/phn.70078","url":null,"abstract":"<p><strong>Background: </strong>Water, sanitation, and hygiene (WASH) are foundational determinants of public health and community development. Globally, approximately 2.3 billion people still lack access to safe drinking water and sanitation services. These disparities are most pronounced in low- and middle-income countries such as Haiti, and regions affected by conflict, political instability, or fragile health infrastructure.</p><p><strong>Purpose: </strong>An integrative review was conducted to evaluate the best practices in community health volunteers' training on WASH practice outcomes in underserved communities.</p><p><strong>Method: </strong>A literature search was performed, including articles published between 2015 to 2025 in PubMed, CINAHL, and Embase. Whittemore and Knafl's method of integrative review was employed to ensure a rigorous approach for the review, and the Johns Hopkins Nursing Evidence-Based Practice appraisal tool was used for quality and grading. Nine studies were included in the review that involved CHV training interventions in underserved populations. Results were synthesized and interpreted using the COM-B behavioral change framework.</p><p><strong>Findings: </strong>Four themes were identified across the literature, which included (1) behavioral change, (2) knowledge and capability, (3) confidence and motivation, and (4) community engagement and opportunity, to promote successful community volunteer-led WASH training programs. Knowledge improved in most studies, but behavioral change was inconsistent. Given that the COM-B model supports that only one of the domains need to change to elicit behavior change, findings in this study suggest that building knowledge/capacity, or promoting opportunity, or encouraging motivation alone can be powerful.</p><p><strong>Discussion: </strong>Recommendations from the literature support the implementation of community volunteer-led WASH training programs to improve overall knowledge and confidence among those engaged in WASH efforts. The recommendations are applicable to the context of WASH practices in Haiti, which remains sparse, especially in rural areas. Community-engaged research plays an integral role in how communities can embrace the behavior change necessary to achieve long-term improvements in hygiene and sanitation.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"885-895"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214917","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":"The Effect of Gardening Activities Applied to Older People in a Nursing Home on Psychological Wellness and Depression: A Single-Blind Randomized Controlled Study.","authors":"Mürselcan Kabakci, Hacer Gök Uğur, Şeyma Şengür","doi":"10.1111/phn.70084","DOIUrl":"10.1111/phn.70084","url":null,"abstract":"<p><strong>Objective: </strong>This research defines the effect of gardening activities applied to older people in nursing homes on psychological well-being and depression.</p><p><strong>Design: </strong>This research was applied as randomized controlled single-blind experimental study, which was conducted between January 2022 and December 2022.</p><p><strong>Sample: </strong>The population of this study included older person in a Nursing Home in Türkiye, and the sample consisted of 46 older people in this nursing home.</p><p><strong>Measurements: </strong>In this study, Older Person Information Form, Standardized Mini Mental Test, Geriatric Depression Scale, Psychological Well-Being Scale, and Satisfaction Assessment Form were used.</p><p><strong>Intervention: </strong>Gardening activity was applied to the experimental group's older people once a week for three months.</p><p><strong>Results: </strong>In the study, the average age of the older individuals was 74.26 ± 9.65 in the experimental group and 77.04 ± 7.57 in the control group. The pre- and post-test difference values of the \"PERMA Scale\" of the older person were significant, with an effect size of 3.391, and a high effect level was found (p < 0.001). A significant difference between the pre-test and post-test difference median values of the \"Geriatric Depression Scale\" of the older person in experimental and control groups with an effect size of 2.652, a high effect level was found (p < 0.001).</p><p><strong>Conclusions: </strong>Gardening activities applied to older people in the experimental group increased psychological well-being and decreased depression.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT05256680.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"834-846"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167563","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":"Adherence to Human Papillomavirus Vaccination in the Province of Oujda-Angad, Morocco.","authors":"Ouafae El Ajroudi, El Mahdi Razzok, Zaouia Khadija, Housni Safae, Chadmi Hiba","doi":"10.1111/phn.70100","DOIUrl":"10.1111/phn.70100","url":null,"abstract":"<p><strong>Background: </strong>In a global context, where millions of women have died from cervical cancer, hesitancy toward the human papillomavirus (HPV) vaccine remains high, and this reluctance continues to contribute to preventable mortality.</p><p><strong>Objective: </strong>This study aimed to examine the determinants of human papillomavirus vaccination adherence in the province of Oujda-Angad, eastern Morocco.</p><p><strong>Methods: </strong>A cross-sectional community-based study was conducted between December 2024 and May 2025 and included 434 participants stratified into two distinct categories (girls aged 11-26 years and parents of minor girls). Participants were recruited from urban and rural areas. Data were collected using a structured questionnaire in Moroccan Arabic dialect covering sociodemographic characteristics, awareness of the HPV infection, cervical cancer, HPV vaccine, and decision-making processes. Associations were tested using chi-square, with p < 0.05 considered statistically significant.</p><p><strong>Results: </strong>The study findings revealed an overall low vaccination coverage (6.7%) and a low level of knowledge about HPV infection (39.3%). While a high proportion of participants demonstrated awareness of cervical cancer severity (92.3%), fewer correctly identified the link between HPV infection and cervical cancer (25.5%) or were aware of existence of the HPV vaccine (31.7%). Only 16.4% of young adult women reported being solely responsible for the vaccination decision-making. Religious and cultural beliefs were identified as barriers to vaccine acceptance. HPV vaccination status was significantly associated with monthly income (p = 0.049), knowledge of HPV infection (p < 0.0001), knowledge of HPV transmission, and awareness of its link to cervical cancer (p < 0.001). In turn, awareness of HPV vaccination was significantly associated with educational level, occupation, and monthly income (p < 0.001).</p><p><strong>Conclusions: </strong>Persistent structural and sociocultural barriers were revealed by our study, including distrust in the healthcare system, deficits in communication and information, social circle influences, and religious and moral beliefs. These findings underscore the need to strengthen the role of healthcare professionals and to implement coordinated, targeted educational outreach strategies to improve vaccine perception and increase HPV vaccination coverage in Morocco.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"595-605"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277646","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}