Public Health Nursing最新文献

{"title":"Evaluating Age-Friendly Community Environments: Model Development and Application in Guangzhou, China.","authors":"Kun Li, Yi-Zhe Huang, Wen-Bing Mei, Qin-Hua Wu, Qian-Tong Liang","doi":"10.1111/phn.70057","DOIUrl":"10.1111/phn.70057","url":null,"abstract":"<p><p>Against the dual backdrop of China's rapid urbanization and deep population aging, a profound mismatch has emerged between the physical environments of old urban neighborhoods and the growing aspirations of older adults for a better quality of life. Developing a scientific evaluation system for age-friendly community environments has therefore become a task of both theoretical value and pressing practical significance. Using Guangzhou-a prototypical high-density metropolis-as a case study, this research constructs and empirically validates an evaluation model for age-friendly community environments, composed of four dimensions (\"road systems,\" \"social spaces,\" \"landscape configuration,\" and \"public facilities\") and 26 specific indicators. Taking the Huaqiao Garden Community in Yuexiu District as an empirical case, the study employs questionnaire surveys and statistical analysis to yield three key findings. First, the community road system is the most critical predictor of overall satisfaction among older adults (β = 0.294), exerting a significantly greater influence than \"public facilities,\" \"social spaces,\" or \"landscape configuration.\" This confirms that an accessible, safe, and continuous circulation environment constitutes the essential foundation for seniors' autonomy within the community. Second, the study identifies strong heterogeneity in environmental needs across different elderly groups, highlighting the ineffectiveness of \"one-size-fits-all\" construction models. Third, a pronounced \"expectation-perception gap\" is revealed: seniors' expectations for age-friendly community environments consistently exceed their actual experiences, particularly in terms of health and safety facilities. The study concludes that future age-friendly community retrofitting must adopt a \"road-rights-first\" principle as its core philosophy, thereby promoting precise and differentiated renewal strategies. These findings not only provide empirical evidence from a major Chinese metropolis for environmental gerontology but also offer a rigorous decision-making framework and practical guidance for urban managers seeking to optimize resource allocation and enhance the aging-support capacity of older urban communities.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"380-393"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145744985","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":"Global Insights Into Immigrant Cancer Screening: A Bibliometric Analysis of the Last Two Decades.","authors":"Ayse Dagistan Akgoz, Merve Siklaroglu, Sebahat Gozum","doi":"10.1111/phn.70060","DOIUrl":"10.1111/phn.70060","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to identify global trends and emerging issues in research on immigrant participation in and access to cancer screening over the past 20 years.</p><p><strong>Methods: </strong>This descriptive, retrospective bibliometric analysis was conducted with 669 data points obtained from the Web of Science Core Collection database on January 13, 2025. The Bibliometrix package in R software, VOSviewer, and Web of Science Core Collection were used for data analysis and graphical presentations in the research.</p><p><strong>Results: </strong>Research on immigrant participation in cancer screenings peaked in 2021 and declined in 2022. The most productive journal in the field was BMC Public Health, whereas the most productive and collaborative country was the United States. Trending topics included \"time,\" \"United States,\" \"smoking,\" and \"awareness.\" Additionally, research gaps persist in areas such as \"barriers,\" \"women,\" and \"disparities.\"</p><p><strong>Conclusion: </strong>There is increasing interest in research on immigrant participation and access to cancer screening. This area is likely to continue to be an active area of research for researchers in the coming years. Focusing on the topics of \"barriers,\" \"women,\" and \"disparities\" will contribute to filling the gap in the field.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"466-481"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859258","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 Mental Health Knowledge Among Brazilian Community Health Agents in a Training Program for a Self-Reported Mental Health Assessment.","authors":"Matheus R Dornelles, Sheila G Câmara, John P Hirdes, Jamila Geri Tomaschewski Barlem, Thomas Heimann, Alice Hirdes","doi":"10.1111/phn.70061","DOIUrl":"10.1111/phn.70061","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate a mental health training process that included the implementation of the interRAI Self-Reported Assessment for Mental Health (SAMH) tool among Community Health Agents (CHAs), to improve knowledge of mental health issues, as well as to assess the tool's feasibility and acceptability.</p><p><strong>Method: </strong>This is a quasi-experimental study. The participants were 24 CHAs from a municipality in the Metropolitan Region of Porto Alegre, Rio Grande do Sul, Brazil. The instruments used were a sociodemographic and work-related questionnaire; a pre-test and post-test questionnaire to assess the knowledge of mental health, and a questionnaire assessing the feasibility and accessibility of interRAI SAMH, which was part of the training process. To compare knowledge before and after the process, a paired-sample t-test was used. Feasibility and acceptability of the SAMH were evaluated using a questionnaire and qualitative data.</p><p><strong>Results: </strong>The training, combined with the SAMH data collection process, contributed to increased perceived knowledge of the following topics: psychiatric reform, human rights in mental health, Mental Health National Policy, Mental Health Care Models, Psychiatric Reform Law, risk factors for suicide, depression, alcohol and drugs, personalized therapeutic plan, psychoses, anxiety disorders, psychiatric urgences and emergencies, and interdisciplinary work. The results of feasibility and acceptability evidenced that CHAs feel more capable of recognizing psychiatric pathologies and emergencies, such as individuals at risk of suicide.</p><p><strong>Conclusion: </strong>The findings support the feasibility and acceptability of the interRAI SAMH tool and its potential to enhance CHAs' knowledge and ability to identify and refer individuals with mental health conditions in Primary Health Care.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"435-444"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12968501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835297","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":"Experiences of Mothers of Children With Autism Spectrum Disorder in Protecting Their Children's Health: A Phenomenological Study in Northern Türkiye.","authors":"Musa Özsavran, Fadime Üstüner Top, Tülay Kuzlu Ayyıldız","doi":"10.1111/phn.70025","DOIUrl":"10.1111/phn.70025","url":null,"abstract":"<p><strong>Background: </strong>ASD impacts not only the person diagnosed with the condition but also the entire family, and the family's life is altered in various ways. The research was carried out to understand the experiences of mothers of children diagnosed with autism spectrum disorder in safeguarding their children's health.</p><p><strong>Design and methods: </strong>In this study, which employed the phenomenological research approach, semi-structured, in-depth interviews were held with 19 individuals who are parents of children diagnosed with autism spectrum disorder in a province located in northern Türkiye.</p><p><strong>Results: </strong>The data analysis identified five main themes (child health protection practices, mothers' domestic practices, the first thing mothers do when their child is ill, application to health centers and care support in health protection). The sub-themes of adopting a healthy eating routine, choosing clothes suitable for weather conditions, traditional and cultural practices, keeping the house clean, regular sleep, eliminating self-care inadequacy, exercise and movement, and so forth, were determined for child health protection practices. It was revealed that the mothers thought that they were more observant, controlling, and careful to protect their health in a holistic dimension by paying attention to the characteristics of their children.</p><p><strong>Practice implications: </strong>As a result of the study, it was found that mothers of children with autism spectrum disorder exerted greater effort in physical, emotional, and social aspects both inside and outside the home, taking into account their children's specific characteristics to safeguard their health. Awareness of mothers' experiences in protecting the health of a child with ASD is vital in addressing the need for the type of care and support required for children with ASD.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"172-185"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304341","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":"Assessing the Preparedness of Prospective Nurses for Chemical, Biological, Radiological, and Nuclear Emergencies.","authors":"Beyzanur Akçay, Ülkü Saygılı Düzova","doi":"10.1111/phn.70070","DOIUrl":"10.1111/phn.70070","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate nursing students' knowledge, attitudes, and self-efficacy regarding chemical, biological, radiological, and nuclear (CBRN) threats.</p><p><strong>Methods: </strong>A descriptive, cross-sectional design was employed between January and May 2025 with 432 nursing students. Data were collected using an information form, the CBRN Knowledge Test, the CBRN Attitude Scale, and the CBRN Self-Efficacy Scale.</p><p><strong>Results: </strong>The mean scores were 19.47 ± 2.76 for knowledge, 3.59 ± 1.27 for attitude, and 3.44 ± 0.73 for self-efficacy. Female students demonstrated significantly higher knowledge and self-efficacy scores than males (p < 0.005). Knowledge, attitude, and self-efficacy scores differed significantly across academic years (p < 0.001), with fourth-year students showing the highest knowledge levels. Students who had received CBRN training reported higher knowledge and attitude scores (p < 0.001). Similarly, students expressing a desire for CBRN training had significantly higher knowledge, attitude, and self-efficacy scores (p < 0.005).</p><p><strong>Conclusions: </strong>The findings indicate that nursing students have notable gaps in practice-oriented domains such as triage, radiation safety, personal protective equipment use, and decontamination. These results underscore the importance of integrating structured, simulation-based CBRN training into undergraduate nursing education to enhance preparedness and practical competence.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"288-297"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971496","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":"Diarrhea, Rotavirus, and the Nursing Research Gap: A Bibliometric Analysis of Global Research and Implications for Public Health Nursing.","authors":"Muhammet Ali Aydin, Abdullah Adiyaman, Necla Kasimoğlu, Ayşe Gürol","doi":"10.1111/phn.70065","DOIUrl":"10.1111/phn.70065","url":null,"abstract":"<p><strong>Background: </strong>Rotavirus is a leading cause of severe diarrhea in children and continues to contribute significantly to childhood morbidity and mortality. While significant research has been conducted on the epidemiology and vaccination of rotavirus, the contributions of nursing to its prevention, management, and family-centered care are insufficiently documented. This study analyzes global research trends to identify gaps in nursing scholarship and emerging opportunities related to rotavirus.</p><p><strong>Methods: </strong>A bibliometric analysis was performed using Web of Science and Scopus (1966-2024). Co-occurrence, co-citation, and thematic mapping techniques were applied to examine research productivity, influential contributors, collaboration patterns, and thematic evolution.</p><p><strong>Results: </strong>The analysis included 210 publications from 146 sources authored by 1170 researchers. The most productive countries were the United States (18.7%), China (7%), and Canada (5.7%), while Brazil, India, and Australia demonstrated strong international collaboration. The dominant themes were immunization, infection control, and epidemiology. Emerging areas focused on zoonotic transmission and gut microbiota. Despite their importance in caregiver education, hydration management, and community prevention, nursing-led interventions were markedly underrepresented.</p><p><strong>Conclusions: </strong>Rotavirus research continues to grow, yet nursing contributions remain limited within the broader scientific landscape. Despite their importance in caregiver education, hydration management, and community-level prevention, nursing-led interventions remain markedly underrepresented in the global literature. Advancing nursing-led preventive strategies, vaccine advocacy, and community-based interventions represent a critical opportunity to strengthen public health responses to rotavirus.</p><p><strong>Clinical trial registration: </strong>No clinical trial number is required.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"445-459"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936311","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 Working With Refugee Children From Ukraine: An Interview Study With School Nurses.","authors":"Pernille Korf, Pernilla Garmy, Eva-Lena Einberg","doi":"10.1111/phn.70075","DOIUrl":"10.1111/phn.70075","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to investigate the experiences of school nurses working with refugee children from Ukraine.</p><p><strong>Design: </strong>This research was conducted as a qualitative interview study, using an inductive approach and a semi-structured interview guide.</p><p><strong>Sample: </strong>School nurses (n = 8) from different parts of Sweden were interviewed, and the data were analyzed through a qualitative content analysis. The COREQ guidelines were followed for reporting study findings.</p><p><strong>Results: </strong>Four categories were identified in the analysis: (1) Initial health conversations with the Ukrainian refugee children, (2) Experience of challenges during the health visits, (3) The impact of war on the Ukrainian refugee children, and (4) To have a health-promoting everyday life.</p><p><strong>Conclusion: </strong>The present study shows that the school nurse has an important function in promoting the health of Ukrainian refugee children, and describes the health conversation as a significant part of the meeting with these children. The work of public health nurses in schools in supporting Ukrainian refugee children can be optimized through increased cultural awareness, which can help promote the children's overall health.</p><p><strong>Patient or public contribution: </strong>The study question was identified in discussion with school nurses.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"394-401"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12968502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031749","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":"Understanding Barriers and Facilitators to Cardiovascular Rehabilitation Participation Among Rural Residents With Cardiovascular Disease in Brazil.","authors":"Mayara Moura Alves da Cruz, Lívia Tino de Roide, Anielle Brito de Oliveira Manzatto, Luiz Carlos Marques Vanderlei, José Vitor Barbosa Boro, Marcia Rodrigues Franco, Lais Manata Vanzella, Gabriela Lima de Melo Ghisi","doi":"10.1111/phn.70072","DOIUrl":"10.1111/phn.70072","url":null,"abstract":"<p><strong>Objective: </strong>This study explored barriers to cardiovascular rehabilitation (CR) participation among individuals with cardiovascular disease (CVD) and risk factors in a rural, low-resource setting.</p><p><strong>Design: </strong>A qualitative study using focus groups.</p><p><strong>Sample: </strong>21 individuals (76% women, 71% with CVD risk factors, 48% with incomplete elementary education) were recruited from a public health system.</p><p><strong>Measurements: </strong>Data were collected through six focus groups and analyzed using thematic analysis.</p><p><strong>Intervention: </strong>None.</p><p><strong>Results: </strong>Six overarching themes emerged. Participants had limited awareness of CR, with lack of knowledge being the primary barrier. Technological challenges hindered engagement with telerehabilitation programs. Medication was the most common treatment strategy, but patients expressed a need for more information. While physical exercise was recognized as important, barriers such as lack of time and motivation prevented participation. Perceptions of health status varied, with some reporting improvements and others experiencing deterioration. Family support and access to virtual programs were identified as facilitators of CR participation.</p><p><strong>Conclusions: </strong>Strategies to improve CR awareness, enhance virtual access, and strengthen patient education are needed to increase participation in rural populations.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"278-287"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12968503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146042200","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":"Gynecological Cancer Awareness and Determination of Healthy Lifestyle Levels Among Women in Türkiye.","authors":"Dilek Kaloğlu Binici, Emre Erkal, Aycan Avcı","doi":"10.1111/phn.70054","DOIUrl":"10.1111/phn.70054","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess gynecological cancer awareness and healthy lifestyle levels among women in Türkiye.</p><p><strong>Methods: </strong>A descriptive, cross-sectional design was applied with 656 women from various Turkish regions. Data were collected using a sociodemographic form, the Gynecological Cancer Awareness Scale, and the Healthy Lifestyle Screening Scale.</p><p><strong>Results: </strong>The median gynecological cancer awareness score was 147.00, and the median healthy lifestyle score was 95.00. A positive, significant correlation was found between awareness and healthy lifestyle scores (r_s = 0.359; p < 0.001). Awareness differed significantly by education, employment, motherhood, gynecological examination and Pap smear frequency, cancer knowledge, fear of cancer, and age (p < 0.05). Healthy lifestyle scores were significantly related to income, smoking, perceived health, and regular exercise (p < 0.05).</p><p><strong>Conclusions: </strong>Women generally demonstrated above-average gynecological cancer awareness, and higher awareness was linked to healthier lifestyles. Overall, 1.2% had a very low, 14.6% low, 75.9% good, and 8.3% very good healthy lifestyle level. These findings suggest that nurses should implement educational and counseling programs to enhance women's gynecological cancer awareness and promote healthy lifestyle behaviors.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"228-236"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745343","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":"Public Health Nursing and Advocacy for Health Equity.","authors":"David R Thompson, Alex M Clark","doi":"10.1111/phn.70074","DOIUrl":"10.1111/phn.70074","url":null,"abstract":"<p><p>Public health nursing plays a crucial role in advancing health equity and social justice. This is despite a lack of investment and recognition in public health nursing. This editorial argues that in order for public health nursing to optimise opportunities to pursue and advocate for health equity, it will require solid investment in the workforce and leadership and changes in health care design, organisation and delivery. It will also need to recruit and support a diverse workforce that mirrors the population it serves.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"169-171"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031730","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}