May K Kealoha, Sandra L Sinclair, Karol K Richardson
{"title":"Mālama nā makua i nā keiki me ka hānō: Native Hawaiian Parents Caring for Their Children with Asthma (Part 2).","authors":"May K Kealoha, Sandra L Sinclair, Karol K Richardson","doi":"10.31372/20190403.1020","DOIUrl":"https://doi.org/10.31372/20190403.1020","url":null,"abstract":"<p><p><i>Objective</i>: Native Hawaiian children have the highest prevalence of asthma among all ethnicities in Hawai'i. Mālama Part 2 describes continuing research, exploring contemporary native Hawaiian parents' perspective, and experience of caring for their children with asthma in the context of uncertainty while living on the islands of Hawai'i, Kaua'i, Maui, Moloka'i and Lāna'i. <i>Design</i>: Descriptive qualitative approach by means of directed content analysis using focus groups was applied to this study. Eight open-ended questions elicited asthma history, asthma management, and how the Hawaiian culture affects parents' health practices. Directed content analysis applied Mishel's Uncertainty in Illness Theory (UIT) to guide data collection, organization, and analysis. <i>Sample</i>: Thirty-three native Hawaiian parents with a child with asthma met in 9 separate focus groups during 2012-2015 on the islands of Hawai'i, Kaua'i, Maui, Moloka'i, and Lāna'i. <i>Results</i>: The study's findings were congruent with the first Mālama study results of focus groups on O'ahu. Contextual influences including indigenous worldview, cultural values, history, and assimilation and acculturation factors affected native Hawaiian parents' perceptions and experiences with conventional asthma care. Moreover, Hawaiian parents living on islands outside of metropolitan O'ahu reported geographic barriers that contributed to their uncertainty. <i>Conclusion</i>: Political action is required for comprehensive medical care, health education, and nursing services to be delivered to families living on all islands. Integrating Hawaiian cultural values, involving '<i>ohana</i>, and applying complementary alternative therapies as well as standard asthma management will strongly support native Hawaiian parents caring for their children with asthma.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"4 3","pages":"97-107"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41221045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Binu Ninan, Umamaheswari Balakrishnan, A. Mohamed, M. Manjula, T. Abiramalatha, Ashok Chandrasekaran, P. Amboiram
{"title":"Impact of Lactation Support Program on Initiation of Breastfeeding in Term Infants","authors":"Binu Ninan, Umamaheswari Balakrishnan, A. Mohamed, M. Manjula, T. Abiramalatha, Ashok Chandrasekaran, P. Amboiram","doi":"10.31372/20190403.1059","DOIUrl":"https://doi.org/10.31372/20190403.1059","url":null,"abstract":"Abstract Purpose: Early initiation of breastfeeding (EIBF) significantly decreases neonatal mortality and improves exclusive breastfeeding. The objective of the present study was to assess the effect of lactation support program (LSP) on early initiation of breastfeeding (BF) among term well infants. Methods: A “before-and-after” design was used to study the effect of the LSP on EIBF at a tertiary care institute in India over a period of two and half years. EIBF was defined as BF initiated <1 hour in vaginal delivery (VD) and <2 hours in cesarean section (CS). Impact of LSP was assessed by comparing baseline data (control group) with data after initiation of LSP (study group). Even after 1 year of initiation of LSP, EIBF in CS remained low, hence a hospital policy was implemented to alter a modifiable factor to promote EIBF in CS. Data of the study group was analyzed over two time periods, as study group A (prior to implementation of hospital policy) and study group B (following the commencement of hospital policy). Results: A total of 2,769 postnatal mothers were included for the study with 537 in the control group, 1,157 in study group A, and 1,075 in study group B. In VD, EIBF rate increased significantly from 92.6% at baseline to 99.8% and 99.6%, in study group A and study group B, respectively (p value < 0.001). In CS, EIBF rate increased from 0.4% at baseline to 1.9% and 92.7% in study group A and study group B, respectively (p < 0.001). The time of initiation of BF reduced from 1.3 (0.9) to 0.7 (0.3) hours in VD and from 4.2 (0.71) to 1.8 (0.66) hours in CS with both having a p value of < 0.001. Conclusion: Lactation support program is a simple but effective way of implementing appropriate steps towards promotion of exclusive BF.","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"4 1","pages":"108 - 115"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69585337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association between Alcohol Consumption and Body Mass Index in University Students.","authors":"Uraiporn Booranasuksakul, Alongkote Singhato, Narisa Rueangsri, Piyapong Prasertsri","doi":"10.31372/20190401.1035","DOIUrl":"https://doi.org/10.31372/20190401.1035","url":null,"abstract":"<p><p><i>Objective</i>: The aim of this study was to determine the correlation between alcohol consumption and body mass index in university students in Eastern Thailand. <i>Methods</i>: Undergraduate students (19-23 years, <i>n</i> = 396) were randomly surveyed via questionnaires, which included general information, alcohol consumption, and unhealthy food consumption. Average daily alcohol consumption was then calculated from grams of ethanol consumed per day. A subject, who has body mass index (BMI) more than 23 kg/m<sup>2</sup>, was defined as excessive weight. Difference between genders of each variable was compared using independent <i>t</i>-test. Mean of each variable between groups was compared using analysis of variance (ANOVA). The correlation between average daily alcohol consumption and BMI, unhealthy consumption and BMI were analyzed by applying Pearson correlation coefficient. <i>Results</i>: 229 university students consumed alcohol (58%). After 229 subjects were divided into three categories, the average daily alcohol consumption of the overweight group was significantly higher than the underweight and normal weight groups in women; meanwhile, unhealthy food consumption frequencies was not different between groups. Average daily alcohol consumption levels for overweight group were 74.17 and 73.45 g/day in men and women, respectively. Furthermore, higher daily alcohol consumption was independently associated with higher BMI (95% confidence interval [CI] <i>R</i> = 0.161: <i>p</i> = 0.015; men <i>R</i> = 0.120: <i>p</i> = 0.236; women <i>R</i> = 0.214: <i>p</i> = 0.015). <i>Conclusion</i>: There was a positive relationship between alcohol consumption and BMI in university students in Eastern Thailand. This study supports that the daily alcohol consumption is a risk factor for excessive weight and gender may contribute to the correlation.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"4 1","pages":"57-65"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.31372/20190401.1035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37360084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Air Quality and Employee Hygiene-related Behavior in a Post Anesthesia Care Unit in Thailand.","authors":"Somphorn Kampan","doi":"10.31372/20190401.1005","DOIUrl":"https://doi.org/10.31372/20190401.1005","url":null,"abstract":"<p><p>Post anesthesia care units (PACU) are sanitary spaces at hospitals. Bacterial and fungal contaminants in ambient air can pose significant threats to patient recovery. Excess waste anesthetic gases such as nitrous oxide and desflurane can also pose reproductive, genetic, and other health risks to PACU staff who suffer longterm exposure. Healthcare institutions routinely monitor and study PACU air quality as required by occupational health and safety acts and related regulations, and professional standards of care. This study presents recent data from a PACU intervention at Rajavithi Hospital in Bangkok, Thailand. Rajavithi took measurements of concentrations of airborne fungi, bacteria, desflurane, and nitrous oxide before and after installation of a new ventilation system. Concurrently, the hospital surveyed employees before and after a hazard communication and conducted a training campaign in efforts to understand employee attitudes toward health and safety procedures, and to increase their perceived importance of several PACU-specific protocols. Results showed bacterial contamination fell from 1,307 CFU/m<sup>3</sup> to 182 CFU/m<sup>3</sup>, fungi fell from 70.4 CFU/m<sup>3</sup> to 35.8 CFU/m<sup>3</sup>, desflurane fell from 0.25 ppm to 0.21 ppm, and nitrous oxide fell from 21.86 ppm to 20.47 ppm during the intervention while PACU worker attitudes toward health and safety improved. Additional monitoring, communication, and training are recommended for Rajavithi and other healthcare institutions.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"4 1","pages":"11-19"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.31372/20190401.1005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37198532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of Knowledge about Smoking and Passive Smoking and Urinary Cotinine Levels in Pregnant Women and their Partners in Mongolia: A Cross-sectional Study.","authors":"Naoko Hikita, Megumi Haruna, Masayo Matsuzaki, Emi Sasagawa, Minoru Murata, Ariunaa Yura, Otgontogoo Oidovsuren","doi":"10.31372/20190401.1032","DOIUrl":"https://doi.org/10.31372/20190401.1032","url":null,"abstract":"<p><p>This study aimed to compare knowledge about smoking, including passive smoking, and urinary cotinine (UC) levels in pregnant women and their partners in Mongolia. The study was conducted between November 2015 and January 2016 in Darkhan-Uul Province, Mongolia. Pregnant women with less than 20 weeks' gestation were recruited, and their partners were also invited to participate. Self-administered questionnaires and urine samples were used to collect data. Knowledge about smoking including passive smoking was measured using 14 questions. Data were analyzed using a Student's <i>t</i>-test, a chi-squared test, a one-way analysis of variance, and the Tukey-Kramer method for post-hoc analysis. Correlations were measured by computing Pearson's <i>r</i> or Spearman's <i>ρ</i>. A total of 508 pregnant women and 227 partners participated in this study; of these, 221 couples' data were analyzed. Pregnant women's scores on knowledge about smoking and passive smoking were significantly higher than those of their partners (9.4 ± 2.9 and 8.7 ± 3.1, respectively; <i>p</i> = 0.017). Pregnant women's and their partners' scores were slightly correlated (<i>r</i> = 0.163, <i>p</i> = 0.015). Pregnant women's and their partners' UC levels were significantly correlated (<i>ρ</i> = 0.250, <i>p</i> < 0.001). This study is the first to examine knowledge about smoking and passive smoking and UC levels among pregnant women and their partners in Mongolia. Because pregnant women's and their partners' scores and UC levels were positively correlated, health education on the harm caused by smoking and passive smoking should be provided to both pregnant women and their partners.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"4 1","pages":"47-56"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6484199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37198535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"It’s a Matter of Perspective: The Role of Aging Expectations and Self-Efficacy Towards Engagement in Healthy Lifestyles Among Older Adults","authors":"Johnny J. Yao","doi":"10.31372/20190403.1057","DOIUrl":"https://doi.org/10.31372/20190403.1057","url":null,"abstract":"Abstract This study aimed to investigate whether aging expectations predict engagement in healthy lifestyles. Furthermore, it aimed to determine whether self-efficacy mediates the relationship between aging expectations and engagement in healthy lifestyles. This study enlisted 95 respondents who were 60 years old and older in a large metropolitan area in the Philippines. A four-part instrument package was utilized to measure the respondent’s (1) demographic profile, (2) aging expectations using the Expectations Regarding Aging (ERA-12) Survey, (3) engagement in healthy lifestyles using Health-Promoting Lifestyle Profile II (HPLP-II), and (4) self-efficacy using the Self-efficacy for Self-direction in Health Scale. Data were analyzed using linear regression and mediation analysis. Results show that aging expectations and self-efficacy predicted engagement in healthy lifestyles. Moreover, self-efficacy was found to be a significant mediator between the variables. Programs that promote a positive aging expectation and high self-efficacy should be pursued by the government and non-government organizations.","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"4 1","pages":"116 - 122"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69585790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lived Experience of Health Seeking and Healthcare Utilization Among Korean Immigrant Women Living in Suburban Communities","authors":"J. Seo, Wooksoo Kim, S. Hewner, S. Dickerson","doi":"10.31372/20180301.1086","DOIUrl":"https://doi.org/10.31372/20180301.1086","url":null,"abstract":"Despite the rapid increase in Korean immigrant women in the United States, research on healthcare utilization and health-seeking behavior among Korean immigrant women is limited. The present study was designed to understand the health-seeking behavior and healthcare utilization of premenopausal Korean immigrant women living in suburban communities in the United States. The study was designed and guided by interpretive hermeneutic phenomenology. Twenty participants were recruited from suburban communities in Western New York. Individual, semistructured interviews were conducted and analyzed using a team approach. Korean immigrants experienced difficulties using the US healthcare system and significant differences between the US and Korean healthcare systems. They actively sought health information through local ethnic networks, using the Internet, and they relied on self-management that was based on Korean traditional medicine. They also utilized Korean healthcare services whenever they visited Korea. They resided in-between spaces of two healthcare systems that included both geographic and cultural space. They carefully calculated usefulness, cost-effectiveness, convenience, familiarity, and accessibility to make choices between the two. This study emphasizes the importance of minimizing structural and cultural barriers to healthcare access for new immigrants. Ethnic networks and media could be utilized as an informational reservoir to promote various healthcare resources, disseminate information, and navigate new immigrants through a complex healthcare system.","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46001223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Hanifi, Zshra Namadian, Masoumeh Namadian, N. Motamed
{"title":"The Effect of Patient Safety Educational Program on Nurses' Patient Safety Culture and Patient Safety Indicators","authors":"N. Hanifi, Zshra Namadian, Masoumeh Namadian, N. Motamed","doi":"10.31372/20180301.1089","DOIUrl":"https://doi.org/10.31372/20180301.1089","url":null,"abstract":"The need to improve patient’s safety is to change the patient’s safety culture. This study was conducted to determine the effect of the patient safety education program on nurses’ patient safety culture and patient safety indicators. This single-blind clinical trial was conducted in two cardiac medical wards that were randomly selected as research settings among the hospital teaching wards of the Zanjan city in Zanjan. Twenty-six nurses participated in this study under in the experimental and control groups. The experimental group received the educational program for two sessions, and the control group received a booklet about patient safety. The nurses’ patient safety culture was assessed using the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire before and 3 months after intervention. The patient safety indicators were assessed 1400 times before and 3 months after intervention using a standard checklist by direct observation of all indicators ( N = 100 for each). The results revealed that the patient safety educational program could improve some safety indicators, and overall perception of patient safety composite from safety culture, positively ( P = 0.034). The patient safety indicators in pharmacological considerations ( P = 0.001), personal information considerations ( P = 0.001), and proper implementation of procedure considerations ( P = 0.001) were significantly improved in the experimental group compared to the control group. It seems that changing the patient’s safety culture using educational program requires more training courses.","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42965640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pain, Depression, and Health-Related Quality of Life of Older Haenyeos (Women Divers)","authors":"Eunjung Ko, K. Kang","doi":"10.31372/20180301.1092","DOIUrl":"https://doi.org/10.31372/20180301.1092","url":null,"abstract":"This study aimed to provide basic data in order to develop effective intervention plans to improve the health-related quality of life of older haenyeos (professional female free divers). The study’s participants consisted of older haenyeos (≥65 years old) from seven fishing villages on Jeju Island, Korea. Data were collected using a questionnaire-based survey method, and the responses of 149 participants were analyzed. The participants’ mean pain score was 2.43 out of 5 points and their mean score for health-related quality of life was 61.18 out of 100 points. Depression was the strongest factor influencing health-related quality of life; other influencing factors included pain, the number of drug side effects, number of drugs prescribed, age, and diving time. Intervention plans for chronic-disease management and self-management programs tailored to the characteristics of older haenyeos are needed for the effective control of depression, pain, and improvement in their health-related quality of life.","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45247177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Features of Women's Leadership and Nursing in Japanese Culture.","authors":"Reiko Sakashita","doi":"10.31372/20180302.1081","DOIUrl":"https://doi.org/10.31372/20180302.1081","url":null,"abstract":"<p><p>Mutual respect and harmonious relationships between people can be viewed as the fundamental spirit of Japanese culture. Japanese leaders try to keep the peace in human relations, rather than to achieve a goal. They become leaders due to internal and external conditions, rather than their own abilities. Japanese society has been basically male-dominated though the ratio of women leaders has increased recently. Higher education and development of academic societies in nursing have been very successful during the last two decades and nursing is one of the most trusted professions in Japan. However, some Japanese people still think a nurse is just an assistant to doctors. The purpose of this paper is to clarify features of women's leadership in Japan from the nursing point of view. In Japanese culture, leaders need to possess human resource leadership as an indispensable element, while good leaders may have advantages in all four frames of leadership including structural, human resource, political, and symbolic frames. Japanese organizations are also supported by excellent followership which might be influenced by the structure of Japanese society which is called \"the vertical society\" where leaders are fostered from among followers. What is important in Japanese leadership is to have a vision that leadership leads to the happiness of all people in a shareable form.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"3 2","pages":"50-55"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8f/23/apinj-03-050.PMC6467435.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37196091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}