Proceedings of the Estonian Academy of Sciences最新文献_第4页

W-shaped chirp free and chirped bright, dark solitons for perturbed nonlinear Schrödinger equation in nonlinear optical fibers 非线性光纤中扰动非线性Schrödinger方程的w形啁啾自由和啁啾亮、暗孤子

IF 0.9 4区综合性期刊

Proceedings of the Estonian Academy of Sciences Pub Date : 2023-01-01 DOI: 10.3176/proc.2023.2.04

A. Muniyappan, M. Sharmila, E. Priya, S. Sumithra, A. Biswas, Y. Yıldırım, M. Aphane, S. Moshokoa, H. Alshehri

引用次数: 1

Factors influencing participation in shared decision making in the oncological setting 影响肿瘤环境中共同决策参与的因素

IF 0.9 4区综合性期刊

Proceedings of the Estonian Academy of Sciences Pub Date : 2023-01-01 DOI: 10.3176/proc.2023.3.02

B. Aasmäe, K. Lubi

{"title":"Factors influencing participation in shared decision making in the oncological setting","authors":"B. Aasmäe, K. Lubi","doi":"10.3176/proc.2023.3.02","DOIUrl":"https://doi.org/10.3176/proc.2023.3.02","url":null,"abstract":". The increasing prevalence of cancer and the decreasing number of oncology specialists in Europe’s workforce have led patients having to self-manage their conditions with the help of a health care professional. Ensuring cancer patients’ good understanding of molecular profiling data is crucial for their active participation in illness-related decisions. Although shared decision making improves patients’ knowledge and consideration of their needs, several difficulties remain in implementing shared decision making in cancer care. The objective of the research is to examine the relationship between sociodemographic aspects and knowledge of cancer-related topics and willingness to participate in cancer care. A cross-sectional study using a web-based questionnaire was conducted, including 1066 respondents among the population of Estonia. Logistic regression was used to answer research questions. There is a lack of knowledge and willingness of patients and their relatives to participate in shared decision making. Unlike in previous studies, higher readiness was observed among the ethnic minority and rural citizens. In addition to the factors previously identified, there is a need to consider a potential role of cultural and historical background of the health care system in determining the willingness and readiness of the general public to participate in shared decision making. These findings highlight the potential uniqueness of societies, in which paternalistic and autonomous approaches to patient care clash, and similar results may be found in other countries with a Soviet legacy. If there is a lack of readiness or willingness of a patient to participate, a physician should provide alternative means of support.","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69934539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation of person-centredness under structural constraints: a case of HPV vaccination 在结构约束下实施以人为本:一例HPV疫苗接种

IF 0.9 4区综合性期刊

Proceedings of the Estonian Academy of Sciences Pub Date : 2023-01-01 DOI: 10.3176/proc.2023.3.12

K. Lubi, M. Varsamaa, L. Kala, A. Torop, K. Sildver, M. J. Rooden

{"title":"Implementation of person-centredness under structural constraints: a case of HPV vaccination","authors":"K. Lubi, M. Varsamaa, L. Kala, A. Torop, K. Sildver, M. J. Rooden","doi":"10.3176/proc.2023.3.12","DOIUrl":"https://doi.org/10.3176/proc.2023.3.12","url":null,"abstract":". Person-centredness is claimed to be one of the aims of healthcare, placing the person at the centre of healthcare (services). However, individual responsibility is expected and stressed in the implementation with limited structural support. This has led to the situation where despite the availability of HPV vaccination as the most beneficial preventive method, the coverage for girls aged 12–14 is below the recommended (>70%) rate. The objective of the research was to analyse structural constraints experienced by parents and service providers of the target group of girls regarding HPV vaccination under the circumstances of a global pandemic. Qualitative methods were used, namely in-depth interviews (n = 18) with nurses and midwives and three focus group interviews (n = 13) with parents of girls aged 12–14 years, as well as thematic textual analysis with the combination of inductive and deductive analysis methods. The research was granted ethical permission. The results outline that for parents the main challenge is the ability to find relevant supportive information for decision-making. For nurses, the challenge is to find appropriate ways to counsel and support parents and girls. The study revealed the lack of a country-wide strategy as one of the weak links in supporting the continuation of necessary preventive activities despite the external situation. Also, the skills of counselling and development of innovative communicative and educational digital tools that are target group specific yet also country-and culture-specific should be improved, as this may lead to more person-centred healthcare service for cervical cancer prevention.","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69934552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Solitary waves, shock waves and conservation laws with the surface tension effect in the Boussinesq equation Boussinesq方程中具有表面张力效应的孤波、激波和守恒律

IF 0.9 4区综合性期刊

Proceedings of the Estonian Academy of Sciences Pub Date : 2023-01-01 DOI: 10.3176/proc.2023.1.03

A. Biswas, J. Vega-Guzmán, A. Bansal, A. Kara, M. Aphane, Y. Yıldırım, H. Alshehri

引用次数: 1

Men’s perceptions of the supportive use of health communication tools during the ante- and postnatal period 男子对产前和产后支助性使用卫生通讯工具的看法

IF 0.9 4区综合性期刊

Proceedings of the Estonian Academy of Sciences Pub Date : 2023-01-01 DOI: 10.3176/proc.2023.3.08

Hanna-Maria Trei, K. Lubi, B. Haage

{"title":"Men’s perceptions of the supportive use of health communication tools during the ante- and postnatal period","authors":"Hanna-Maria Trei, K. Lubi, B. Haage","doi":"10.3176/proc.2023.3.08","DOIUrl":"https://doi.org/10.3176/proc.2023.3.08","url":null,"abstract":"). Abstract. In the contemporary approach to ante-and postnatal care, where men are anticipated to participate more, men themselves also wish to be more included. Even though national health policy presents person-centred care as a central goal, it is not clear if and how it manifests itself for some, as men continue to feel excluded from the ante-and postnatal care process. The aim of this research was to identify the information sources that men in Estonia currently rely upon regarding the ante-and postnatal period in order to both understand the possible areas of development and the potential application of health communication tools to support men in ante-and postnatal care. The research, which was part of a master’s thesis, was a qualitative study conducted with 13 men who were fathers or were about to become fathers. The results indicate that despite the new standards in health policy, there is a lack of targeted support systems to address men’s information needs during the ante-and postnatal period in Estonia – a problem further intensified by the COVID-19 pandemic. The current results show that adequate information access requires advanced skills in source criticality, languages, health and digital literacy. The study found that the issue can be resolved through conscious use of health communication tools, which need to be in a person-centred format – easily found, user-friendly and logically structured. A systemic approach needs to be developed to further support men. Health communication strategies can mediate such an approach by being able to accommodate a wider range of skills and preferences.","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69934399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Family nurses’ perceptions of proactive management of high-risk patients and identification of pertinent training needs 家庭护士对高危患者主动管理的认知及相关培训需求的识别

IF 0.9 4区综合性期刊

Proceedings of the Estonian Academy of Sciences Pub Date : 2023-01-01 DOI: 10.3176/proc.2023.3.01

J. Steinmiller

{"title":"Family nurses’ perceptions of proactive management of high-risk patients and identification of pertinent training needs","authors":"J. Steinmiller","doi":"10.3176/proc.2023.3.01","DOIUrl":"https://doi.org/10.3176/proc.2023.3.01","url":null,"abstract":". Primary care is the basic level of care, where patients start their treatment journey. Proactive management at primary care level improves health access and quality of care through proactive approach for specific patient sub-groups, improves integration of care at different levels of the health care system, and improves patient outcomes. The aim of the study was to describe family nurses’ perceptions of high-risk patients’ proactive management and identify further training needs; therefore, a descriptive and empirical two-stage study design was used. A convenience sample of 16 family nurses was recruited in the first stage. The study was conducted at five Estonian primary health centers. Data were collected by Modified Patient Assessment of Chronic Illness Care (MPACIC) online questionnaire between September and December 2020. Ethical approval was obtained. The nurses evaluated their proactive management of high-risk patients positively. Higher results were related to patient support, encouragement, involvement in everyday care, and individual goal setting questions. Lower results were related to referral to professionals, follow-up visits, and suggesting specific health related programs and events from which the patients could benefit. As a second stage of the study, a training program was developed based on the acquired results and training was conducted for 18 nurses at one primary health center, where care management has been used since 2017. The training program was found to be useful. Nurses need specific knowledge about the proactive management and care plan of high-risk patients, which can be ensured through systematic training. The subject of nurses’ perceptions could benefit from further study by qualitative methods.","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69934527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

δ-r-hyperideals and φ-δ-r-hyperideals of commutative Krasner hyperrings 交换Krasner超环的δ-r-超环和φ-δ-r-超环

IF 0.9 4区综合性期刊

Proceedings of the Estonian Academy of Sciences Pub Date : 2023-01-01 DOI: 10.3176/proc.2023.1.09

P. Xu, M. Bolat, E. Kaya, S. Onar, B. A. Ersoy, K. Hila

引用次数: 0

Assessing the international Breastfeeding and Early Interaction Course in the COVID-19 era: student feedback and suggestions for improvement 评估国际母乳喂养和早期互动课程在COVID-19时代:学生反馈和改进建议

IF 0.9 4区综合性期刊

Proceedings of the Estonian Academy of Sciences Pub Date : 2023-01-01 DOI: 10.3176/proc.2023.3.16

M. Põldma, A. Ezeonodo, A. Kärema, L. Hannula

引用次数: 0

Appreciative management in healthcare and its connection with intention to work outside Estonia 保健领域的赞赏管理及其与在爱沙尼亚境外工作的意向的联系

IF 0.9 4区综合性期刊

Proceedings of the Estonian Academy of Sciences Pub Date : 2023-01-01 DOI: 10.3176/proc.2023.3.15

Merja Harmoinen, K. Rannus, Päivikki Roos, T. Suominen

{"title":"Appreciative management in healthcare and its connection with intention to work outside Estonia","authors":"Merja Harmoinen, K. Rannus, Päivikki Roos, T. Suominen","doi":"10.3176/proc.2023.3.15","DOIUrl":"https://doi.org/10.3176/proc.2023.3.15","url":null,"abstract":". Creating an attractive workplace in healthcare is an issue many countries will try to resolve because of a global shortage of healthcare professionals. This study aimed to describe how healthcare staff in Estonia assessed appreciative management and its connection to the country and workplace in which they would choose to work outside Estonia. A quantitative descriptive study was conducted via an electronic survey among healthcare staff. Over half of the respondents (53.7%, n = 151) had no intention of leaving the workplace; over three of five (64.4%, n = 181) did not intend to leave the profession within a year. Systematic management, equality, and promotion of well-being at work were weakly connected to moving to another country. The more systematic management, equality, and promotion of well-being at work, the less the respondents considered moving. Appreciation of know-how had no statistically significant connection to considering moving to another country. In conclusion, only a few healthcare professionals were willing to leave their workplace or their profession. Appreciative management may be one issue to further promote workplace attractiveness and reduce turnover. The workplaces in healthcare are part of their country and environment, meaning their international reputation is important when one wonders where to live and work. This study implied that most of the healthcare professionals were willing to stay in their workplace and/or profession in Estonia, positively acknowledging which factor to base healthcare development on in Estonia.","PeriodicalId":54577,"journal":{"name":"Proceedings of the Estonian Academy of Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69935692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Model design of an architectural grid-connected photovoltaic system 建筑光伏并网系统模型设计

IF 0.9 4区综合性期刊

Proceedings of the Estonian Academy of Sciences Pub Date : 2022-01-01 DOI: 10.3176/proc.2022.4.03

A. Lomi, M. Rumbayan, Y. Nakanishi, K. Iwamura, N. Estoperez, U. Lewlomphaisarl, E. Yandri, M. Zahoor, I. Zekker

引用次数: 0