Public Health Nursing最新文献

{"title":"Recovery From Heroin Addiction: A Qualitative Study.","authors":"Jessica Krowka, Loretta Aller","doi":"10.1111/phn.13526","DOIUrl":"10.1111/phn.13526","url":null,"abstract":"<p><strong>Objective: </strong>Understanding the recovery process from heroin addiction is crucial as nonmedical opioid use persists. This study aims to comprehensively describe the recovery journey, focusing on the experiences and challenges faced by individuals in recovery to inform treatment approaches and support strategies.</p><p><strong>Methods: </strong>This qualitative study, guided by critical social theory, emphasized balancing power dynamics and fostering equal participation to ensure all voices are heard, challenging traditional hierarchies and promoting inclusivity. Data were collected through audio-recorded and semi-structured interviews, and analyzed using Diekelmann's framework. Participants included 10 adults in recovery from heroin addiction, recruited through convenience and snowball sampling methods.</p><p><strong>Results: </strong>A relational theme \"As normal as you can get\" was supported by four categories of (a) Being ready: You have to want this; (b) Structure: I need to do certain things through my week and I need to let you know why; (c) Obligation: You realize death was at your door, so many people are dying and you've been granted this gift; and (d) Acceptance: I am who I am today.</p><p><strong>Conclusion: </strong>Understanding recovery experiences is essential for effective education and support for those at risk of relapse. Insights from this study can help guide the selection of successful treatment and recovery options.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"744-753"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911136","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":"Transforming Healthcare in Low-Resource Settings With Artificial Intelligence: Recent Developments and Outcomes.","authors":"Ravi Rai Dangi, Anil Sharma, Vipin Vageriya","doi":"10.1111/phn.13500","DOIUrl":"10.1111/phn.13500","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence now encompasses technologies like machine learning, natural language processing, and robotics, allowing machines to undertake complex tasks traditionally done by humans. AI's application in healthcare has led to advancements in diagnostic tools, predictive analytics, and surgical precision.</p><p><strong>Aim: </strong>This comprehensive review aims to explore the transformative impact of AI across diverse healthcare domains, highlighting its applications, advancements, challenges, and contributions to enhancing patient care.</p><p><strong>Methodology: </strong>A comprehensive literature search was conducted across multiple databases, covering publications from 2014 to 2024. Keywords related to AI applications in healthcare were used to gather data, focusing on studies exploring AI's role in medical specialties.</p><p><strong>Results: </strong>AI has demonstrated substantial benefits across various fields of medicine. In cardiology, it aids in automated image interpretation, risk prediction, and the management of cardiovascular diseases. In oncology, AI enhances cancer detection, treatment planning, and personalized drug selection. Radiology benefits from improved image analysis and diagnostic accuracy, while critical care sees advancements in patient triage and resource optimization. AI's integration into pediatrics, surgery, public health, neurology, pathology, and mental health has similarly shown significant improvements in diagnostic precision, personalized treatment, and overall patient care. The implementation of AI in low-resource settings has been particularly impactful, enhancing access to advanced diagnostic tools and treatments.</p><p><strong>Conclusion: </strong>AI is rapidly changing the healthcare industry by greatly increasing the accuracy of diagnoses, streamlining treatment plans, and improving patient outcomes across a variety of medical specializations. This review underscores AI's transformative potential, from early disease detection to personalized treatment plans, and its ability to augment healthcare delivery, particularly in resource-limited settings.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1017-1030"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774721","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":"Adolescent Pregnancy and Parenthood: A Qualitative Study Examining Nurses' Perspectives.","authors":"Yeliz Dinçer, Aysel Topan, Betül Akkoç, Emine Uzuntarla Güney, Sümeyye Özdemir","doi":"10.1111/phn.13496","DOIUrl":"10.1111/phn.13496","url":null,"abstract":"<p><strong>Objective: </strong>It is a well-established fact that the utilization of health services by pregnant adolescents is associated with the views and care provided by nurses. This study, aiming to reveal the perspectives of nurses working in a state hospital in Turkey on adolescent pregnancies and parenthood, contributes valuable insights for designing interventions to improve adolescent pregnancy outcomes.</p><p><strong>Design: </strong>This research was carried out using the \"individual in-depth interview\" data collection technique as a phenomenological study, which is one of the qualitative research methods.</p><p><strong>Sample: </strong>The study included 15 health professionals who met the criteria to participate. The data were analyzed in six stages using a thematic approach.</p><p><strong>Results: </strong>It emerged in relation to the feelings of the adolescent; the situations encountered, the factors affecting the awareness of being an adolescent pregnant and a parent, the difficulties encountered in care, social pressure, and touching the adolescent's life.</p><p><strong>Conclusions: </strong>It was observed that nurses and midwives had mixed feelings towards adolescent pregnant women and parents and reflected these feelings in their caregiving styles.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"822-832"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774905","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":"Understanding the Interaction Between Family Dynamics and Childhood Obesity in the Middle Eastern Population: A Qualitative Study.","authors":"Basma Al Yazeedi, Samir Al-Adawi, Mostafa Waly, Fathiya Al Qassabi, Hanan Al-Azkawi, Atika Khalaf","doi":"10.1111/phn.13508","DOIUrl":"10.1111/phn.13508","url":null,"abstract":"<p><strong>Objective(s): </strong>We aim to understand the interaction between family dynamics and lifestyle behaviors of school-age children with overweight or obesity in Oman. The outcomes would clarify the mediating familial determinants that contribute to childhood obesity in the Middle East population.</p><p><strong>Design: </strong>A qualitative phenomenological approach.</p><p><strong>Sample: </strong>Mothers of school-age children with overweight or obesity.</p><p><strong>Measurements: </strong>Semi-structured interviews were conducted following an interview guide, and thematic analysis was used to identify key themes and subthemes.</p><p><strong>Results: </strong>The study identified three main themes based on data collected from 12 participants. The first theme, \"Children's Lifestyle Behaviors,\" highlighted the need to address unhealthy food consumption, low physical activity, and inconsistent sleeping habits. The second theme, \"Parenting Lifestyle behaviors,\" underscored the importance of regaining control over children's eating behaviors, fostering shared interest in outdoor activities, and establishing a consistent sleep routine. Lastly, the third theme, \"Determinants of Parenting Lifestyle Behaviors,\" identified factors such as parental stress, the high cost of healthy options, cultural influence on healthy eating, limited outdoor activity options, and the availability of unhealthy snacks in schools.</p><p><strong>Conclusion: </strong>Our study underscores the need for family-centered obesity programs that address several determinants of parenting lifestyle behaviors, including psychological, financial, social, and environmental challenges.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"848-856"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787795","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":"Influence of Policy Awareness and Satisfaction With Service on the Willingness to Engage in Rural Elderly Medical and Nursing Care Service Programs in Rural China.","authors":"Lin Wenyi, Rong Zhiyun, Li Qin","doi":"10.1111/phn.13507","DOIUrl":"10.1111/phn.13507","url":null,"abstract":"<p><strong>Background: </strong>In rural China, the participation of residents in elderly medical and nursing care service programs is notably low. To understand the reasons behind this underutilization or reluctance to use such services, an empirical study is warranted.</p><p><strong>Design: </strong>This study adopts a cross-sectional research design, utilizing survey data collected between January and March 2023.</p><p><strong>Sample: </strong>Retired elderly individuals aged 50 and above who were permanent residents of LS Town.</p><p><strong>Measurements: </strong>The survey collects data concerning several key aspects of the older adult population, including their fundamental demographic information, awareness levels regarding integrated medical and nursing care services offered by local township health clinics, their current enrollment status in family doctor contract services, and their propensity to subscribe to such healthcare arrangements.</p><p><strong>Results: </strong>The findings indicate a significant positive relationship between awareness of the integrated medical and elderly care nursing model and the willingness of rural older adults to adopt these services. Furthermore, satisfaction with the services also directly influences the willingness to engage with these services.</p><p><strong>Conclusion: </strong>This study contributes to the existing body of knowledge by highlighting the significance of policy dissemination and enhancing service quality as pivotal strategies for governments and health service organizations to foster increased uptake of these services among the rural elderly population.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"699-708"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830871","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-Engaged Insights: Understanding the Housing Needs of Rural Caregivers During Hospital Treatment.","authors":"Jennifer A Owens, Angie Bush, Peter Campbell, Roger J Ward, Flavius R W Lilly","doi":"10.1111/phn.13522","DOIUrl":"10.1111/phn.13522","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored the experiences of rural caregivers who require temporary housing during hospital treatment when healthcare is not available in their home communities. Understanding these experiences can identify challenges and inform solutions for improving rural access to healthcare.</p><p><strong>Methods: </strong>We conducted a community-engaged qualitative study using semi-structured interviews with caregivers who stayed at a healthcare hospitality house in Charlotte, NC. Data were collected through virtual interviews in the fall of 2023 and analyzed by three independent reviewers using thematic analysis.</p><p><strong>Findings: </strong>Caregivers faced significant financial, logistical, and emotional challenges associated with accessing healthcare far from home. Financial burdens were notable, with substantial out-of-pocket expenses despite reduced costs from the hospitality house. Proximity to hospitals was crucial, with participants favoring hospitality houses over hotels for their convenience and security. Emotional support from peers provided meaningful social bonds and alleviated feelings of isolation. Practical amenities, such as laundry facilities and kitchens, eased the daily living obligations. Participants also highlighted the need for advocacy and coordination in navigating care logistics.</p><p><strong>Conclusion: </strong>Our findings highlight key themes showcasing the challenges faced by rural caregivers experiencing a health crisis and who must travel to access healthcare outside their home communities. Medical housing can serve multifaceted social needs during a health crisis and support the interconnectedness of financial, emotional, and practical aspects of healthcare access. Future research should explore broader and more diverse samples and continue to consider community-engaged approaches to deepen the understanding of health-related social needs needed to access healthcare.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"981-985"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878480","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":"Exploration of Psychological, Social, and Familial Issues of Females Living in the Shelter in Iraqi Kurdistan Through an Art-Based Qualitative Study.","authors":"Bayar Mohammed Omar Abdulla, Deldar Morad Abdulah, Zuhair Rushdi Mustafa","doi":"10.1111/phn.13513","DOIUrl":"10.1111/phn.13513","url":null,"abstract":"<p><strong>Objective: </strong>Female young prisoners may not be willing to discuss their familial and social issues through direct interviews. Therefore, other academic techniques, such as art-based techniques, could be used in this context. We aimed to explore female prisoners' psychological, familial, and social issues through an art-based approach.</p><p><strong>Methods: </strong>In this thematic qualitative study, we conducted a 2-h painting training program for females (21-48 years) who were confined in women's shelters in the Kurdistan Region. To carry out this initiative, we collaborated with the administration of women's prisoners in Duhok, Erbil, and Sulaymaniyah governorates in the Kurdistan Region.</p><p><strong>Results: </strong>The paintings included in this study explored the social and familial issues faced by girls and women who were imprisoned for various reasons. The paintings of the participants were categorized under the following three main headings: familial issues, social pressure, and women's rights. The artwork expresses that these girls and women suffer from a wide range of familial and social issues. They share that they lack the rights, as men do, to discuss their opinions and feelings within their societies and families. Additionally, these women experience pressure from their families and society for various reasons, as mentioned hereafter.</p><p><strong>Conclusions: </strong>This study revealed that the lack of meeting females' rights and their inability to practice their wishes and rights could be the main reason for the familial and social issues in Kurdish society. The findings suggest that the restrictions and limitations placed on women's agency and autonomy contribute significantly to the challenges and hardships faced by women within their families and communities. Addressing these issues and promoting gender equality may be essential in fostering a more inclusive and harmonious society in the Kurdistan region.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"912-929"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923678","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":"Behavioral Determinants of Older Adults' and Caregivers' Willingness to Deprescribe: A Systematic Review.","authors":"Sara Alves Jorge, Stephan Van den Broucke, Ruth-Janet Koumba Maguena, Anne Spinewine","doi":"10.1111/phn.13516","DOIUrl":"10.1111/phn.13516","url":null,"abstract":"<p><strong>Background: </strong>Deprescribing is a strategy to optimize medication use and to prevent medication harm. Despite the fact that behavioral theories have been shown to be useful in explaining health behaviors, the literature on deprescribing relies almost exclusively on attitudes as an explanatory factor for deprescribing behavior. This study systematically reviews the literature that made explicit use of the constructs included in health behavior theories (HBTs) to explain older adults' and informal caregivers' deprescribing behavior and outcomes.</p><p><strong>Methods: </strong>Studies were screened from five electronic databases by two reviewers. Quantitative interventional and non-interventional studies applying at least one HBTs or construct from these theories to older adults' or informal caregiver' intention or behavior to deprescribe, were included. Studies that used the patients' attitudes toward deprescribing (PATD) questionnaire or its revised version were excluded.</p><p><strong>Results: </strong>A total of 11 non-interventional studies and 11 interventional studies were identified, seven of which applied HBTs, and the other 15 used constructs from the HBTs. Health literacy and locus of control were identified as moderator variables. Only two studies targeted informal caregivers' deprescribing intentions or behavior.</p><p><strong>Conclusions: </strong>HBTs are not systematically used. However, combining the main HBT constructs reported in the literature offers a better explanation of the (intention to) engage in deprescribing.</p><p><strong>Trail registration: </strong>The study protocol (ID: CRD42022378157) was published on PROSPERO.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1084-1114"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911108","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":"Determinants of Cervical Cancer Screening Among Rural Women in Zimbabwe.","authors":"Paddington T Mundagowa, Oscar Tapera, Bothwell Guzha, Megan Burke Fitzpatrick, Racheal S Dube Mandishora, Mufaro Kanyangarara","doi":"10.1111/phn.13490","DOIUrl":"10.1111/phn.13490","url":null,"abstract":"<p><strong>Objective: </strong>To identify the determinants of cervical cancer (CC) screening among underserved rural women in Zimbabwe.</p><p><strong>Design: </strong>Community-based cross-sectional survey.</p><p><strong>Sample: </strong>840 rural women (25-65 years).</p><p><strong>Measurements: </strong>A structured, pretested questionnaire was used to collect data on sociodemographic characteristics and factors influencing screening. The outcome was defined as self-reported ever screening for CC. Multivariable logistic regression was used to examine the association between CC screening and independent variables.</p><p><strong>Results: </strong>Of the 840 women included, 33% had a history of screening. Women 25-45 years (adjusted odds ratio (aOR): 0.43; 95% CI: 0.30-0.61) and without medical insurance (aOR: 0.66; 95% CI: 0.45-0.97) had reduced odds of CC screening. Conversely, women who had seen or heard messages on CC screening (aOR: 1.48; 95% CI: 1.03-2.13), were living with HIV (aOR: 1.87; 95% CI: 1.22-2.87) reported recent antibiotic use (aOR: 4.50; 95% CI: 1.47-13.79) and had malaria in the last 6 months (aOR: 2.45; 95% CI: 1.02-5.86) had increased odds of CC screening.</p><p><strong>Conclusion: </strong>There is a need for intensified efforts to improve CC screening uptake, particularly in underserved rural areas with suboptimal screening rates and high CC burden. Strategies should include widespread tailored awareness messaging targeting younger women, women living with HIV, and women without medical insurance.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"621-630"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640457","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":"Public Health Education Service for HealthStudents: Feedback From Experience in France.","authors":"Anne-Laure Lejot, Stéphanie Bouget Mohammedi","doi":"10.1111/phn.13514","DOIUrl":"10.1111/phn.13514","url":null,"abstract":"","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"986-991"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933669","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}