Public Health Nursing最新文献

{"title":"Contraceptive Intention, Religious Attitudes and Sources of Spirituality in Married Muslim Women: A Descriptive Correlational Study in Türkiye.","authors":"Zehra Çerçer, Duygu Ayar","doi":"10.1111/phn.13486","DOIUrl":"10.1111/phn.13486","url":null,"abstract":"<p><strong>Objective: </strong>This study was carried out to reveal the relationship between contraceptive intents, religious attitudes, and spiritual resources of married Muslim women.</p><p><strong>Methods: </strong>The study was conducted using a descriptive-correlational design. The study was conducted with 273 participants between July and November 2023. To collect data, the Personal Information Form, Trait Sources of Spirituality Scale, Ok-Religious Attitude Scale, and Contraceptive Intent Questionnaire were used. The data were evaluated using Mann-Whitney U, Kruskal-Wallis, and Spearman correlation tests.</p><p><strong>Results: </strong>No significant relationship was found between the total and sub-scales of the Contraceptive Intent Questionnaire, Trait Sources of Spirituality Scale, and Ok-Religious Attitude Scale (p > 0.05). A positive and high correlation was detected between the total, emotion, relationship, and behavior sub-scales of the Trait Sources of Spirituality Scale and Ok-Religious Attitude Scale (p < 0.05). The contraceptive intent levels of women were found to be associated with some of their socio-demographic and obstetric variables (age, previous delivery method, sex of existing children, and contraceptive method used). The only variable that showed a significant relationship with all three scales was found to be the sex of the existing children of women.</p><p><strong>Conclusion: </strong>Some socio-demographic and obstetric characteristics of married Muslim women are related to the sex of the child they have, their contraceptive intents, spiritual resources, and religious attitudes. In contraceptive counseling services provided to Muslim women, their religious attitudes and spiritual resources should be taken into consideration.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592212","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":"Implementation and Effectiveness of a Nurse-Led Oral Hygiene Program for Schoolchildren: A Quasi-Experimental Study.","authors":"Amal H Mohamed, Howayda Mohammed Ali, Daniel Joseph E Berdida, Cyrelle D Agunod, Adelina M Santos","doi":"10.1111/phn.13483","DOIUrl":"10.1111/phn.13483","url":null,"abstract":"<p><strong>Objectives: </strong>Good oral hygiene is essential for schoolchildren's well-being. However, lack of knowledge, negative attitudes, and poor oral hygiene practices may predispose to oral-related diseases. This study aimed to examine the effectiveness of a nurse-led oral hygiene program on schoolchildren's knowledge, attitudes, and practices.</p><p><strong>Design: </strong>A quasi-experimental design with pre-and-post-test was used.</p><p><strong>Sample: </strong>Using the convenience sampling technique, we recruited 400 schoolchildren, aged 11-12 and in grades 5-6, from two primary schools in Egypt.</p><p><strong>Methods: </strong>The study was conducted from September 2022 to May 2023. The Oral Hygiene Program served as the primary intervention. This program contains health education topics (e.g., the importance of oral hygiene, techniques for effective tooth brushing, and dietary choices that promote dental health). Three visits were conducted (Visit 1: introduction of the program purpose and objectives and pre-test scores collection, Visit 2: implementation of oral hygiene topics, and Visit 3: post-test scores collection). We used three self-report instruments (Oral Health Knowledge Questionnaire, Hiroshima University's Dental Behavioral Inventory, and Oral Health Practice Questionnaire) for pre- and post-test. Paired T test and Pearson correlation analysis were used for data analysis.</p><p><strong>Results: </strong>After the intervention program, the oral hygiene program effectively enhanced schoolchildren's knowledge, attitudes, and practices. The post-intervention mean scores were 7.83 ± 0.488 (knowledge), 6.63 ± 1.7 (practices), and 9.33 ± 1.1 (attitudes). High statistically significant differences were noted between schoolchildren's oral health knowledge, attitudes, and practices before and after implementing the program (p = 0.000).</p><p><strong>Conclusion: </strong>There were enhancements in the level of knowledge, with improved positive attitudes and satisfactory practices among schoolchildren after the implementation of the oral hygiene program. Integrating oral hygiene programs into the general curriculum in primary schools and training school nurses, caregivers, and teachers in implementing oral hygiene programs could improve oral health knowledge, attitudes, and practices for preventing oral problems.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592220","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":"Factors Influencing Professional Help-Seeking Intentions for Sexual and Gender-Based Violence Among Female University Students in Eswatini.","authors":"Mi Sook Jung, Nondumiso Satiso Dlamini","doi":"10.1111/phn.13477","DOIUrl":"https://doi.org/10.1111/phn.13477","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the prevalence of sexual and gender-based violence (SGBV) among female college students, identify factors influencing intention to seek professional help among SGBV survivors, and compare help-seeking determinants among survivors based on their prior utilization of healthcare services.</p><p><strong>Design: </strong>A cross-sectional online survey was employed among female students aged 18-24 years from two universities in Eswatini.</p><p><strong>Measurements and sample: </strong>A total of 271 female college students were recruited to assess SGBV experience, attitudes, social norms, perceived control, help-seeking intention, and other factors not originally included in the theory of planned behavior. Data analyses utilized descriptive statistics, comparative analyses, and multiple regression methods.</p><p><strong>Results: </strong>Among the participants, 73.1% reported experiencing one or more forms of SGBV, while only 43.4% sought professional help through health services. Help-seeking intentions of survivors were significantly associated with positive attitudes, subjective norms, and marital status, collectively explaining 66% of the variance. In subgroup analyses, the subjective norm and attitude emerged as the most robust predictors of help-seeking intentions.</p><p><strong>Conclusion: </strong>The results revealed a high prevalence of SGBV and a concerning trend of low help-seeking behavior, with attitudes and subjective norms emerging as the most influential factors shaping intention. These results provide valuable insights for designing theory-driven and culturally sensitive public health nursing interventions and educational programs aimed at effectively supporting SGBV survivors.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583440","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 Mobile Application Follow-Up on Treatment Compliance and Self-Care Management in Patients With Hypertension: Randomized Controlled Trial.","authors":"Alev Yildirim Keskin, Nurhan Özpancar Şolpan, Hasan Değirmenci","doi":"10.1111/phn.13476","DOIUrl":"https://doi.org/10.1111/phn.13476","url":null,"abstract":"<p><strong>Background: </strong>Hypertension (HT) is a global health problem. Although there are effective treatment protocols, patients have difficulty in adapting to regular use of drugs, diet, and lifestyle changes. Mobile apps can be a potential alternative for managing HT and improving self-care behavior.</p><p><strong>Purpose: </strong>This study aimed to determine the effect of mobile application follow-up on treatment compliance and self-care management in patients with HT.</p><p><strong>Methods: </strong>This randomized controlled trial was conducted in November 2021 and March 2022 with 40 experimental and 40 control group patients with HT. Research data were collected using a patient information form, \"Hill-Bone Hypertension Treatment Compliance Scale (HBHTTCS),\" \"Hypertension Self-Care Profile-Motivation Scale (HTSPMS),\" a mobile application program (daily blood pressure, pulse, medication, diet, exercise tracking) uploaded to the mobile phones of the patients, and individual motivational messages.</p><p><strong>Results: </strong>The mean total score of the HBHTTCS at Week 6 was 14.57 ± 1.89 and the mean total score of the HTSPMS was 78.15 ± 2.05. There was a statistically significant difference in mean total HTSPMS (p = 0.000) and HBHTTCS (p = 0.000) scores and mean scores on medical (p = 0.002) and nutrition (p = 0.002) subscales of HBHTTCS between the first interview (1st-week follow-up) and the last interview (6th-week follow-up) of patients in the intervention group.</p><p><strong>Conclusions: </strong>This study showed that mobile application follow-up increased motivation levels and treatment compliance in patients with HT and resulted in better self-care. These positive findings indicate importance of integrating mobile applications in the disease management of HT patients.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov ID: NCT05334446, https://clinicaltrials.gov/ct2/show/NCT05334446.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570022","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":"Developing a Scale to Measure Public Health Nurses' Advocacy Practices in Group and Community Settings in Japan.","authors":"Yoko Hatono, Hiroko Suzuki, Taeko Shimazu","doi":"10.1111/phn.13478","DOIUrl":"https://doi.org/10.1111/phn.13478","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to develop a scale to assess public health nurses' (PHNs') advocacy practices in groups and communities in Japan and determine its reliability and validity.</p><p><strong>Design and sample: </strong>This study is a cross-sectional investigation. The sample comprised PHNs across various municipalities in Japan.</p><p><strong>Measurements: </strong>Anonymous self-administered questionnaires were conducted, including the attributes of PHNs, a preliminary scale, and external criteria. Reliability was assessed by calculating the alpha coefficient. To ascertain construct validity, exploratory and confirmatory factor analyses were conducted.</p><p><strong>Results: </strong>A total of 432 questionnaires were analyzed. The scale comprised 27 items divided into five factors: \"Raising awareness of the challenging situation faced by disadvantaged individuals,\" \"Empowering disadvantaged individuals to improve their situation autonomously,\" \"Establishing a foundation in local governments and community groups of disadvantaged individuals for advocacy initiatives,\" \"Working toward policy changes,\" and \"Collaborating with stakeholders and organizations to enhance the effectiveness of activities.\" The Cronbach's alpha coefficient for this scale was 0.945. Model fit indices included a comparative fit index of 0.907, a goodness-of-fit index of 0.840, an adjusted goodness-of-fit index of 0.806, and a root mean square approximation of 0.067.</p><p><strong>Conclusions: </strong>The developed scale demonstrated satisfactory reliability and validity.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575792","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 Nursing Practice in Hypertension Management in China: Qualitative Analysis Using a Bourdieusian Framework.","authors":"Bo Li","doi":"10.1111/phn.13470","DOIUrl":"https://doi.org/10.1111/phn.13470","url":null,"abstract":"<p><strong>Objective: </strong>This study explores the practices of Chinese community nurses in hypertension management, using Pierre Bourdieu's theory of practice to understand how their routines are shaped by sociocultural and institutional forces, along with their professional dispositions.</p><p><strong>Design: </strong>A qualitative descriptive study was conducted in Shenzhen, China, between March and June 2024, and is reported following the COREQ guidelines.</p><p><strong>Sample: </strong>Eighteen nurses, each with at least 1 year of full-time experience in hypertension care within the local community healthcare system, were recruited from a participant pool established through prior research.</p><p><strong>Measurements: </strong>Face-to-face individual semistructured interviews were conducted using a structured interview protocol, and data were analyzed through thematic analysis.</p><p><strong>Results: </strong>Community nurses face tensions between traditional health beliefs and modern hypertension care, as well as institutional pressures that prioritize efficiency over personalized care. Power imbalances, particularly the authority of doctors, complicate their role. However, nurses adapt their care strategies through embodied practices, balancing clinical standards with patient needs.</p><p><strong>Conclusions: </strong>Community nurses are not mere enforcers of guidelines but adaptive professionals who navigate complex sociocultural norms, institutional demands, and power dynamics in hypertension care. This study underscores the necessity for flexible, culturally sensitive practices to improve public health outcomes.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565322","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":"Fear of the Cancer Coming Back: A Metasynthesis of Fear of Recurrence in Breast Cancer.","authors":"Kai-Yue Wang, Hui Li, Nan Qin","doi":"10.1111/phn.13467","DOIUrl":"https://doi.org/10.1111/phn.13467","url":null,"abstract":"<p><strong>Objective: </strong>This review aimed to consolidate existing knowledge on this phenomenon by incorporating direct testimonies from individuals who have experienced breast cancer.</p><p><strong>Methods: </strong>A thorough metasynthesis of qualitative studies was conducted. English articles published prior to September 18 2023 were searched from eight databases, including PubMed, Cochrane Library, Web of Science, Embase, the Chinese biomedical literature service system, the China National Knowledge Infrastructure, the Wanfang Database, and the Wipu Database. After screening the titles, abstracts, and full texts, six articles were finally included in the quality appraisal and metaaggregation.</p><p><strong>Results: </strong>A total of 30 research findings were distilled and integrated into three themes: causes of fear of cancer recurrence (FCR); feelings of FCR; coping with FCR; and six subthemes: disease treatment factors; psychological factors; FCR is worry and fear; overcoming; negative response; positive response.</p><p><strong>Conclusions: </strong>FCR is a subjective feeling; it is influenced by the interplay between the external environment (adjuvant therapy) and internal environment (psychological factors). Therefore, future care measures should be designed comprehensively, considering the individual characteristics of breast cancer survivors and the external environment. This could be the primary focus for addressing FCR in cancer patients in the future.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565324","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":"Rethinking rural: Public health advocates' views on ENDS cessation for young adults in rural areas.","authors":"Vipavee Thongpriwan, Wilawan Christraksa, Anwar Eyadat, Seok Hyun Gwon","doi":"10.1111/phn.13397","DOIUrl":"10.1111/phn.13397","url":null,"abstract":"<p><p>Electronic nicotine delivery systems (ENDS, commonly referred to as e-cigarettes), have become popular among young adults (YAs, 18-24 years) in the United States. YAs in rural areas increasingly consume more ENDS than those in urban areas. However, there is a knowledge gap regarding the perspectives of public health advocates (PHAs) on ENDS use and cessation among YAs in rural areas. The objectives of the study are to describe the perspectives of PHAs and identify strategies to strengthen the capacity for promoting the cessation of ENDS among YAs in rural communities. A qualitative study and interpretive description were used with semi-structured interviews. The content analysis was used to analyze the data. Twenty-two PHAs, including public health officers, nurses, and tobacco-free educators, from Wisconsin, Minnesota, and North Dakota, were invited to the semi-structured interviews. Four themes emerged: (a) Perceived ENDS use and cessation; (b) rural contexts and infrastructure influencing ENDS use; (c) essential public health responsibilities controlling ENDS use in rural areas; and (d) regulating ENDS use: Policies and law. PHAs stressed the importance of increased awareness of ENDS use in YAs, improved regulation, and tailored policies to tackle rural communities' distinct challenges. The study emphasizes the urgency for specialized programs to aid YAs in quitting ENDS in rural areas. A comprehensive strategy is needed to effectively address ENDS use among YAs in rural areas, involving education, policy adjustments, and community-based initiatives.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1313-1321"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114828","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":"Workload of home care nurses: Italian adaptation, validity, and reliability of the National Aeronautics and Space Administration Task Load Index questionnaire.","authors":"Francesco Zaghini, Michela Calzolari, Marco Di Nitto, Yari Longobucco, Rosaria Alvaro, Giancarlo Cicolini, Loreto Lancia, Duilio Fiorenzo Manara, Laura Rasero, Gennaro Rocco, Maurizio Zega, Beatrice Mazzoleni, Loredana Sasso, Annamaria Bagnasco","doi":"10.1111/phn.13387","DOIUrl":"10.1111/phn.13387","url":null,"abstract":"<p><p>The aim of this study was to adapt the National Aeronautics and Space Administration Task Load Index (NASA-TLX) to the home care setting and translate and validate it in Italian. An online questionnaire containing the Italian version of the NASA-TLX adapted to the home care setting was administered to home care nurses to measure workload. Content Validity Index, Exploratory, and Confirmatory Factor Analyses were used to measure the psychometric characteristics of the modified NASA-TLX. The modified Italian version of NASA-TLX_HC-IT showed good psychometric characteristics in measuring the workload of home care nurses, with excellent fit indices. The reliability, calculated with Cronbach's alpha, was 0.73, indicating adequate reliability. A negative correlation between workload and job satisfaction among home care nurses, as well as a positive association between high workload and intention to leave the workplace, was verified. The modified Italian version of the NASA-TLX_HC-IT was confirmed to be a valid and reliable instrument to measure workload in home care nursing. Furthermore, the correlation between workload and the intention to leave the workplace among home care nurses was an important result that community nursing managers should consider preventing the shortage of home care nurses.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1480-1490"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876744","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":"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":" ","pages":"1622-1632"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","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}