Public Health Nursing最新文献

{"title":"Healthy Life Awareness, Blood Pressure Awareness and Insight Among Adult Individuals: A Population-Based Cross-Sectional Study.","authors":"Handan Terzi, Sultan Ayaz-Alkaya, Eylül Yeşilyurt","doi":"10.1111/phn.13465","DOIUrl":"10.1111/phn.13465","url":null,"abstract":"<p><strong>Objective: </strong>To measure healthy life awareness, blood pressure awareness and insight levels, along with their predisposing factors among adult individuals.</p><p><strong>Design: </strong>A population-based cross-sectional study.</p><p><strong>Sample: </strong>The population consisted of adult individuals in a rural district of a city in Türkiye. Voluntary individuals who visited the population screening, organized as the May Measurement Month activity, were invited to the study (n = 290).</p><p><strong>Measurements: </strong>The data were collected by a questionnaire, the Healthy Life Awareness Scale (HeLAS), and the Blood Pressure Awareness and Insight Scale (BASIS). Descriptive statistics, Pearson Correlation, and multiple linear regression were used to analyze the data.</p><p><strong>Results: </strong>The mean scores of the HeLAS and the BASIS were 49.62 ± 8.30 and 2.89 ± 1.43, respectively. Income level, regular physical activity habits, and formerly being diagnosed with hypertension were positively associated with a healthy life awareness level. Former diagnosis of hypertension, regular medication usage, and being unemployed were the significant predisposing factors of blood pressure awareness and insight level.</p><p><strong>Conclusions: </strong>Most adult individuals displayed a moderate level of healthy life awareness and a low level of blood pressure awareness and insight. Nurses could take on the leading role in developing healthy lifestyle habits among individuals, ensure medication treatment adherence, and prevent hypertension prevalence.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"87-94"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481066","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":"Improving Clinical Preparedness: Community Health Nurses and Early Hypoglycemia Prediction in Type 2 Diabetes Using Hybrid Machine Learning Techniques.","authors":"Sachin Ramnath Gaikwad, Mallikarjun Reddy Bontha, Seeta Devi, Dipali Dumbre","doi":"10.1111/phn.13440","DOIUrl":"10.1111/phn.13440","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to analyze the data of diabetic patients regarding warning signs of hypoglycemia to predict it at an early stage using various novel machine learning (ML) algorithms. Individual interviews with diabetic patients were conducted over 6 months to acquire information regarding their experience with hypoglycemic episodes.</p><p><strong>Design: </strong>This information included warning signs of hypoglycemia, such as incoherent speech, exhaustion, weakness, and other clinically relevant cases of low blood sugar. Researchers used supervised, unsupervised, and hybrid techniques. In supervised techniques, researchers applied regression, while in hybrid classification ML techniques were used. In a 5-fold cross-validation approach, the prediction performance of seven models was examined using the area under the receiver operating characteristic curve (AUROC). We analyzed the data of 290 diabetic patients with low blood sugar episodes.</p><p><strong>Results: </strong>Our investigation discovered that gradient boosting and neural networks performed better in regression, with accuracies of 0.416 and 0.417, respectively. In classification models, gradient boosting, AdaBoost, and random forest performed better overall, with AUC scores of 0.821, 0.814, and 0.821, individually. Precision values were 0.779, 0.775, and 0.776 for gradient boosting, AdaBoost, and random forest, respectively.</p><p><strong>Conclusion: </strong>AdaBoost and Gradient Boosting models, in particular, outperformed all others in predicting the probability of clinically severe hypoglycemia. These techniques enable community health nurses to predict hypoglycemia at an early stage and provide the necessary therapies to patients to prevent complications resulting from hypoglycemia.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"286-303"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513080","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":"383-394"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","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":"Constructing a Competency Training Index System in Public Health Emergencies for Community Nurses.","authors":"Hui Wan, Jiahui Ma, Guolian Liu, Wenlian Yao, Zhirong Xu","doi":"10.1111/phn.13448","DOIUrl":"10.1111/phn.13448","url":null,"abstract":"<p><strong>Objective: </strong>A competency training index system was designed in public health emergencies for community nurses. The purpose of this approach is to provide community nurses with guidelines for standardized training programs on how to respond to public health emergencies.</p><p><strong>Methods: </strong>Through semi-structured interviews, a literature review, and team discussion, the first draft of competency training index system in public health emergencies for community nurses was formed. The Delphi method was used for two rounds of expert consultation to screen, modify and determine indicators. Finally, the analytic hierarchy process was utilized to calculate the weights of indicators at all levels.</p><p><strong>Results: </strong>A total of 15 expert consultants were included. The effective recovery rate of the two rounds of expert consultation questionnaire was 100%, the expert authority coefficient was 0.880, 0.887, and the Kendall coordination coefficient was 0.172 and 0.171 (p < 0.001). Expert opinions have determined that the final revised competency index system in public health emergencies for community nurses training consists of 2 primary indicators, 10 secondary indicators, and 46 tertiary indicators.</p><p><strong>Conclusion: </strong>The study has developed a competency training index system in public health emergencies for community nurses. This system can serve as a foundation for standardized training in community health service institutions. It is characterized by its high demand, scientific approach, reliability, and rationality.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"349-362"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481051","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":"Nursing and Social Justice-A Scoping Review.","authors":"Anitha M Tind, Bente Hoeck, Helle Elisabeth Andersen, Laura Wacher Qvistgaard, Charlotte Delmar","doi":"10.1111/phn.13436","DOIUrl":"10.1111/phn.13436","url":null,"abstract":"<p><strong>Background: </strong>Nursing is historically, ethically, and theoretically mandated to champion social justice.</p><p><strong>Objective: </strong>To investigate how the concept of \"social justice\" has been explored in nursing research regarding extent, range, and nature.</p><p><strong>Methods: </strong>The five-stage framework by Arksey and O'Malley was adopted, and JBI and PRISMA guidelines further informed the study. The search strategy comprised three steps: an initial search, a systematic search in several databases, and finally, a reference, citation, and gray literature search. A total of 55 studies meeting the inclusion criteria were included in the analysis.</p><p><strong>Results: </strong>Almost all the included studies were authored in the English-speaking world. Most studies were published from 2014 onward, and qualitative methods were by far the most prominent. A total of 13 specific definitions or understandings of social justice were identified. Five themes were identified across the included studies: (1) education, (2) concept, (3) theory, (4) public health and community nursing, and (5) maternal and child health.</p><p><strong>Conclusion: </strong>The literature on social justice and nursing is limited, albeit growing. The conceptualization of social justice within nursing is becoming broader and more nuanced. Only a few studies have focused on specific patient groups or specialties.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"547-563"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11700953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481070","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":"Community Nursing Practice in Hypertension Management in China: Qualitative Analysis Using a Bourdieusian Framework.","authors":"Bo Li","doi":"10.1111/phn.13470","DOIUrl":"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":"315-324"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","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":"Effect of Multimorbidity on Old-Age Disability Among Adults Over 50 Years Old: Evidence From a Meta-Analysis.","authors":"Jiao Lu, Yanping Li, Lijing Cao, Heng Zhao","doi":"10.1111/phn.13444","DOIUrl":"10.1111/phn.13444","url":null,"abstract":"<p><p>This is a meta-analysis study to assess the relationship between multimorbidity and disability among older adults over 50 years old. Population-based studies, aged ≥ 50 years, assessing associations between multimorbidity (numbers and patterns) and disability in older adults, and reporting risk estimation with odds ratios (OR), were included. Homogeneity (I²), risk of bias, and publication bias were assessed. PROSPERO registration: 411007, and this meta-analysis was reported in accordance with the preferred reporting items for systematic reviews and meta-analyses (PRISMA) recommendations. Twelve studies were included. For the older adults with 2 chronic conditions and ≥ 3 chronic conditions, the ORs of disability are 2.52 (95% CI 2.30-2.76) and 3.38 (95% CI 3.05-3.75), respectively. Among three multimorbidity patterns, the combination of cardiovascular and metabolic diseases pattern (OR 8.01, 95% CI 7.60-8.44) had the highest disability incidence rate. Chronic conditions in the multimorbidity patterns of combination of cardiovascular and metabolic diseases and mental health problems have an enhancement effect (1 + 1 > 2) on old-age disability impairment, whereas those in the multimorbidity pattern of musculoskeletal disorders have a dampening effect (1 + 1 < 2). The differentiated and specific early interventions should be developed based on the different multimorbidity patterns to prevent the old-age functional decline and disability in older adults.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"524-534"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395263","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":"Knowledge, Attitudes, and Practices Toward Breast Cancer and Breast Cancer Screening Among Arab Females in the Middle East: A Literature Review.","authors":"Hamza Alduraidi, Alaa Tarazi, Laith Theeb, Mohammad AlKasaji","doi":"10.1111/phn.13447","DOIUrl":"10.1111/phn.13447","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer is one of the most diagnosed cancers in Arab countries. Lack of knowledge and awareness regarding breast cancer screening has increased the breast cancer-related morbidity and mortality.</p><p><strong>Purpose: </strong>This literature review aimed to assess published research papers with a focus on the levels of knowledge, attitude, practice, and barriers of women in Arab countries of the Middle East toward breast cancer and its screening.</p><p><strong>Method: </strong>SCOPUS, MEDLINE, and Google Scholar were searched using specific terms for relevant, quantitative, original studies published between 2017 and 2022. All English articles that matched the inclusion criteria were included in this review. Fourteen studies focusing on knowledge, attitudes, and barriers regarding breast cancer were included. Two independent reviewers performed screening and extraction.</p><p><strong>Results: </strong>Among the reviewed studies, a range from 19.6% in Oman to 67% in Saudi Arabia had poor knowledge of breast cancer. Past personal or family history was a well-recognized risk factor (n = 5), and being worried about the results was the most common barrier to screening. Although most women were aware of screening methods, the majority did not practice screening. Social media and the internet were the most used sources of information used by women to obtain knowledge regarding breast cancer and its screening (n = 6).</p><p><strong>Conclusion: </strong>Most of the Arab female population had low levels of knowledge, attitudes, and practices regarding breast cancer and its screening. Programs designed to raise awareness are necessary, and more policy changes must take place on the national level in Arab, Middle Eastern countries to address the low knowledge, the negative attitudes, and the limited access to breast cancer screening.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"579-588"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481069","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 Cervical Cancer Education Given to Women in Turkey on Knowledge, Attitudes, and Health Beliefs: A Randomized Controlled Study.","authors":"Hatice Gül Öztaş, Kevser Işik","doi":"10.1111/phn.13456","DOIUrl":"10.1111/phn.13456","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to ascertain the impact of cervical cancer education provided to women in Turkey on their knowledge, attitudes, and health beliefs.</p><p><strong>Design: </strong>The study was conducted in accordance with the pretest-posttest randomized controlled trial model.</p><p><strong>Sample: </strong>The participants were randomly assigned to either the experimental or the control groups. The study was completed with a total of 105 women, 51 of whom were in the experimental group and 54 of whom were in the control group.</p><p><strong>Measurements: </strong>The personal information form, the human papillomavirus (HPV) knowledge scale, and the health belief model scale for cervical cancer and Pap smear test were employed as data collection instruments. The data were analyzed using the SPSS 25.0 package program, and the number, percentage, independent samples t-test, and paired t-test were utilized for data analysis.</p><p><strong>Results: </strong>Upon completion of the training program, the mean scores of the experimental group demonstrated a statistically significant increase in knowledge related to general HPV information, HPV screening tests, general HPV vaccines, and HPV vaccine programs when compared to the control group (p < 0.001). Upon conclusion of the educational intervention, it was determined that the mean scores of cervical cancer sensitivity, caring, health motivation, Pap smear utility, and motivation of women in the experimental group exhibited an increase, while their general perception of Pap smear demonstrated a decrease (p < 0.05).</p><p><strong>Conclusion: </strong>The findings of this study indicate that educational initiatives targeting women regarding cervical cancer have a beneficial impact on their knowledge, attitudes, and health beliefs.</p><p><strong>Trial registration: </strong>NCT05990270 registered on https://clinicaltrials.gov/.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"363-373"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481087","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":"Range and Nature of Social Services for Children With Disabilities and Their Families: A Descriptive Study.","authors":"Hyejin Jeon, Hyunsook Shin, Dahae Rim, Soonyoung Shon","doi":"10.1111/phn.13454","DOIUrl":"10.1111/phn.13454","url":null,"abstract":"<p><strong>Objective: </strong>Children with disabilities and their families continue to face challenges in social inclusion and accessing resources. This study aimed to evaluate the availability and associated challenges of using services for these children and their families.</p><p><strong>Methods: </strong>A descriptive study was conducted to analyze social services for children with disabilities. Data were collected from the official websites of both public and private institutions across three regions in South Korea. These data included information on the service contents and the characteristics of the target beneficiaries.</p><p><strong>Results: </strong>A total of 12,841 service units were analyzed and grouped into 10 domains and 35 categories of social services. The most frequently identified service content was \"Healthcare,\" followed by \"Child and family care\" and \"Community services.\" The most frequently used characteristic of target beneficiaries was \"Residential area,\" followed by \"Income level,\" \"Benefit,\" and \"Type of disability.\"</p><p><strong>Conclusion: </strong>The current services are limited in meeting the needs of children with disabilities, particularly in terms of selection criteria, service content, and the integration of policies and delivery systems, contributing to a lack of social inclusion and lower quality of life. Constructing a national scheme to expand eligibility and support tailored to individual circumstances and needs is necessary.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"246-264"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513083","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}