International journal of healthcare最新文献

{"title":"Using AI-based virtual triage to improve acuity-level alignment of patient care seeking in an ambulatory care setting","authors":"George A. Gellert, Lawrence Garber, Aleksandra Kabat-Karabon, Kacper Kuszczyński, Tim Price, Eric J. McLean, Katarzyna Trybucka, Matthew W. Nichols, Jennifer M. Pike, Michael J. Powers, Piotr M. Orzechowski","doi":"10.5430/ijh.v10n1p41","DOIUrl":"https://doi.org/10.5430/ijh.v10n1p41","url":null,"abstract":"Objective: Evaluate how an AI-based virtual triage (VT) and care referral technology impacted live triage and care referral in an outpatient/ambulatory care network.Methods: Analysis of a dataset of 8,088 outpatient online encounters assessed how VT influenced patient care seeking action/behavior.Results: There were modest decreases in patients seeking outpatient care, including in-person or video face-to-face encounters (-12.5%), or engaging self-care (-8.2%). Patient engagement of virtual care through e-visits and telephone calls increased moderately (19.1%). One-third (35.0%) of patients changed care seeking likely as a result of VT care referral. Another third (32.3%) reported a pre-VT care intent aligned with the VT care recommendation, and a third (32.7%) did not change care sought when their pre-VT intent was not aligned. A total of 12.0% de-escalated acuity of care seeking as recommended by VT, most frequently from outpatient care to virtual care (6.5%) or self-care (4.3%). When VT recommended care de-escalation, 53.5% de-escalated care. In 21.2% care acuity was escalated, of whom 10.6% pursued virtual care and 7.5% pursued outpatient care instead of self-care, while 3.1% whose care intent was virtual care instead pursued outpatient care. When VT recommended care escalation, 96.2% escalated care. Overall, 26.7% of patients required no further action or involvement of clinical staff.Conclusions: Virtual triage impacted patient care seeking action/behavior among almost half of patients whose pre-VT intent differed from the VT recommendation, with patients nearly twice as likely to follow recommendations to seek higher rather than lower levels of care acuity, while modestly reducing the number of face-to-face visits and increasing virtual care. Overall, a quarter of patients using VT were able to perform self-care without interacting with the healthcare team. Virtual triage has the potential to efficiently and effectively redirect patients to more appropriate levels of care.","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141354152","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":"School-based strategies to prevent depression in adolescents: An integrative review","authors":"Suada Hezam Abdullah AlKurbi, Ameneh Toosi, Daniel Forgrave, Sumayya Ansar","doi":"10.5430/ijh.v10n1p29","DOIUrl":"https://doi.org/10.5430/ijh.v10n1p29","url":null,"abstract":"Background: Adolescents are vulnerable to psychological disorders due to rapid physical, cognitive, and psychosocial changes. Depression affects 20% of adolescents worldwide, making it a leading cause of disability. Schools are the ideal places for preventative strategies for school-aged children.Aim: To provide a synthesis of effective school-based strategies to prevent depression in adolescents in Qatar.Methods: The integrative review framework developed by Whittemore and Knafl was utilized to guide this review. The CINAHL, MEDLINE, and Academic Search Complete databases were systematically searched for peer-reviewed primary studies published between 2016 and 2022. Ten articles were included after considering inclusion and exclusion criteria. The quality of the included studies was assessed using the Mixed-Methods Appraisal Tool (MMAT). The Population Health Promotion Model guided the data analysis and presentation of results.Results: The implementation of school-based strategies at individual and family levels is effective in preventing depression in adolescents. At the individual level, the focus is on creating a supportive environment and developing personal skills (social, behavioural regulation, emotional regulation, cognitive regulation, resilience, and coping). At the family level, the focus is on creating a supportive environment and developing personal skills (parental and social).Conclusion: Prevention of depression in adolescents requires multidisciplinary school-based strategies that must focus on creating a supportive environment and developing the personal skills of students and their families. National and organizational policies should be developed in support of multidisciplinary school-based strategies to prevent depression in adolescents.","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141386477","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":"Green buildings and their impact on health outcomes and dietary intake: What do we know?","authors":"Amir Alakaam, Mikayla V. King","doi":"10.5430/ijh.v10n1p22","DOIUrl":"https://doi.org/10.5430/ijh.v10n1p22","url":null,"abstract":"Background: While numerous research has been conducted on the energy efficiency advantages of green buildings, there remains a limited exploration of their effects on individuals’ health conditions and dietary intake. Green building’s structure and design aim to reduce the impact on the surrounding environments while also helping to improve the quality of health of individuals who live within them.Aim: The objective of this study was to examine the impact of green buildings on health outcomes and dietary intake.Method: Using four databases (Agricola, EBSCO, PubMed, and Web of Science), search of literature was directed with the following keywords: green buildings, green homes, built environment, housing design, health outcomes, dietary patterns, dietary intake, eating behavior, food choices, and others. We reviewed 33 articles, and 19 met our inclusion criteria.Results: The synthesis of literature revealed four overarching themes: the association between green buildings and respiratory diseases, mental health, dietary intake, and physical activity level. Our findings suggest an association between green buildings and the improvement of certain health conditions, including asthma, depression, and obesity.Conclusion: The results emphasize the necessity for additional research to investigate the sustained impact of green buildings on residents’ health and dietary habits over an extended period. The implications of the findings are significant for policymakers, urban planners, and researchers, underscoring the potential of green building initiatives in promoting healthy living environments.","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140990159","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":"Ukrainian refugee women’s experiences of settlement and navigating health and social services in Canada","authors":"Areej Al-Hamad, Kateryna Meterskey, Rosanra Yoon, Denise McLane-Davison, Yasin M Yasin, Caitlin Gare, Molly Hingorani","doi":"10.5430/ijh.v10n1p10","DOIUrl":"https://doi.org/10.5430/ijh.v10n1p10","url":null,"abstract":"This qualitative descriptive study explores Ukrainian refugee women’s settlement experiences and how they negotiate the social and health care services to support their mental health and well-being in Canada. Utilizing an intersectional lens data from the lived experience of 16 Ukrainian refugee women was thematically analyzed. Four prominent themes emerge from the women’s narratives of their migration and settlement journey – a) confluence of oppressions; b) multifaceted and interwoven paths to cultural integration and adaptation, c) convergence of identity in professional development; and d) navigating settlement. Research findings reveal the complexities of self-reconstruction and socialization as experienced by refugee women. We are of the opinion that hosting refugee women in a new country and providing hope for a new life mean offering them meaningful choices built on forms of affordable and accessible culturally appropriate health and social services and ensuring that their settlement and integration in their new country is successful.","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140686020","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":"Whether sodium and fluid restriction reduce exacerbations and readmissions for patients with heart failure: An integrative review","authors":"Lindsay K. MacArthur, Linda K. Jones","doi":"10.5430/ijh.v10n1p1","DOIUrl":"https://doi.org/10.5430/ijh.v10n1p1","url":null,"abstract":"Heart failure (HF) is a chronic medical condition becoming increasingly prevalent around the world. This condition is linked to poor quality of life (QoL) due to the impact it has on patients functional status and mental health. There have been several advancements in the care and management of patients with HF with little change to self-care interventions resulting. Two self-care interventions which are recommended throughout clinical guidelines are sodium and fluid restriction. These are widely used and encouraged through patient education. Research, however, has questioned their validity and demonstrated a lack of evidence on improved outcomes. In order to determine whether changes to current practice is warranted, an integrative review has been completed. The aim is to assess whether these self-care interventions improve outcomes for patients with HF. From this review identified themes include a lack of robust data, the potential harm of interventions, and various outcomes extending beyond HF exacerbations and readmissions. There appears to be a lack of recent data on the impact of a fluid restriction as an independent variable. However, there are noted improvements in a variety of outcomes from both interventions outside of hospital readmissions which demonstrates they are valuable. Given these findings there is not enough evidence to remove restrictions but there are recommendations which can be made to modify current practice. These recommendations include liberalizing sodium and fluid restrictions and making restrictions more specific to the severity of HF for patients going forward.","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139626333","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":"Exploring factors contributing to the risk of falls in community-dwelling older adults: A review of the literature","authors":"Ola Hassan Hamato, Jessie Johnson, Hajer Arbabi, Daniel Forgrave, Sumayya Ansar","doi":"10.5430/ijh.v9n2p34","DOIUrl":"https://doi.org/10.5430/ijh.v9n2p34","url":null,"abstract":"Background: Falling is a big threat to community-dwelling older adults’ independence. The chance of falling increases as people become older, which increases morbidity and mortality. The outcomes related to falls impact families, communities, and healthcare systems. As a result, the Primary Health Care Corporation (PHCC) seeks to decrease the number of falls for community-dwelling older adults in Qatar.Aims: To explore the risk factors for falls in community-dwelling older adults. To inform the education of PHCC nurses so that they might begin to look at prevention strategies.Method: Cronin et al.’s framework guided this integrative literature review. CINAHL, Academic Search Complete, Embase, and PubMed databases were utilized to search for relevant articles. The search process returned 20 articles that met the inclusion requirements.Results: Various intrinsic and extrinsic factors lead to falls in community-dwelling older adults. The intrinsic factors include socio-demographic factors, physical health factors, physiological factors, sensory factors, psychological factors, and social factors. Environmental factors were the sole extrinsic factor.Conclusion: The findings of this literature review can be used to inform the creation of an educational program to improve home care nurses’ understanding of and attitudes toward the causes of falls in community-dwelling older adults. Through this program, nurses may begin to predict factors that lead to falls and, therefore, find strategies that help to reduce them.","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136102304","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":"Understanding the healthcare issues of Afghan refugees settling in rural Victoria, Australia","authors":"Kaitlyn Kelly, Linda K. Jones","doi":"10.5430/ijh.v9n2p19","DOIUrl":"https://doi.org/10.5430/ijh.v9n2p19","url":null,"abstract":"Introduction: Hazaras have experienced prolonged and repetitive marginalisation, stigmatisation, persecution and conflict as a minority ethnic group in Afghanistan for their linguistic, religious and ideological differences. As a marginalised group they are a product of generally poor socioeconomic and health status with resultant ill effects. Hazaras make up the largest group of refugees who have resettled in Victoria, particularly Shepparton. Part of the reason for this is that the region supports the largest food-based manufacturing industries in the country and so there are good work opportunities for those that do not have recognisable skills with limited English.Aim: To explore the health care issues and challenges of Hazara located in Shepparton, Australia.Results: The literature review identified that the Hazara community have multiple physical and psychological health needs most likely a result of the trauma and torture when in Afghanistan, plus from the often, dangerous journey to Australia and then from what is usually prolonged periods in immigration detention centres. On top of this are the challenges that occur with their resettlement including language and cultural differences and low health literacy as well as lack of understanding of health services in Australia. All creating barriers to access.Discussion: The recommendation is to outline the rationale and process for the development of Health Hub (HHH) for the Hazara community within Community Health @ GV Health, the major community health centre in Shepparton, Victoria. Through fostering strong relationships between the Hazaras and their primary care team in consultation with the Hazara community will, therefore, ensure the outcomes are tailored to their individual needs and help improve their health outcome.","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135569343","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":"Framework for roles and responsibilities of nurses in nurse-led cardiovascular disease clinics in primary health care: An integrative review","authors":"Fanar Salem Elhamaida, Fadi Khraim, Hajer Arbabi, Daniel Forgrave, Sumayya Ansar","doi":"10.5430/ijh.v9n2p26","DOIUrl":"https://doi.org/10.5430/ijh.v9n2p26","url":null,"abstract":"Background: Cardiovascular disease (CVD) is a global health issue. Literature has shown that primary care nurse-led cardiovascular disease clinics improve cardiac patient outcomes. These clinics improve the level of services provided, increase patient satisfaction, and decrease the mortality rate.Aim: This literature review aims to identify the roles and responsibilities of nurses working in CVD nurse-led clinics and to identify the outcomes of these nurse-led clinics.Method: Whittemore and Knafl’s framework guided this integrative review. Seventeen studies published between 2017 and 2022 were included in the review. The Mixed-Method Appraisal Tool was used to assess the quality of the studies.Results: Three themes emerge in this literature review: roles and responsibilities of nurse-led CVD clinics, the impact of nurse-led CVD clinics, and the qualifications of nurses working in these clinics.Conclusions: This integrative review identifies a framework for the roles and responsibilities of nurse-led CVD clinics and highlights the positive patient outcomes. This framework will help CVD nurse-led clinics to meet the needs of patients and achieve a high level of patient satisfaction.","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135569928","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":"Supporting the resilience of healthcare workers in the Gulf Cooperation Council countries: An integrative review","authors":"Noura Hammad Farraj, Ameneh Toosi, Aisha Al Qahtani, Daniel Forgrave, Sumayya Ansar","doi":"10.5430/ijh.v9n2p8","DOIUrl":"https://doi.org/10.5430/ijh.v9n2p8","url":null,"abstract":"Background: A wide range of evidence has shown that there is a crisis in the mental health of healthcare workers (HCWs) due to the nature of their work. Resilience has been recognized as an essential component in supporting mental health. No synthesized literature concretely defines the concept of resilience or outlines the factors that affect the resilience of HCWs in the Gulf Cooperation Countries (GCC).Aim: To explore the definition of resilience and to provide a synthesis of the factors that affect the resilience of HCWs in the GCC.Method: Whittemore and Knafl’s framework guided this integrative review. Cumulative Index to Nursing and Allied Health (CINHAL), Medical Literature Analysis and Retrieval System (MEDLINE), and Excerpta Medica Database (Embase) were searched systematically for peer-reviewed primary studies published between 2011 and 2022. Considering inclusion and exclusion criteria, a total of nine articles were included. The Mixed-Methods Appraisal Tool (MMAT) was used to assess the quality of the studies. The socio-ecological model was used for data extraction, analysis, and presentation of findings.Results: The definition of resilience varies across the included studies. The factors that affect the resilience of HCWs fall within three main themes: intrapersonal factors (individual characteristics and internal influences), interpersonal factors (teamwork and camaraderie), and organizational factors (work setting, availability of resources, shift length, and leadership style).Conclusions: The resilience of HCWs can be affected by multiple factors. As a result, the interventions targeting the improvement of resilience should be multi-dimensional. Organizational policies should be developed in a way that supports a culture that fosters the resilience of HCWs in the GCC.","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135968019","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":"Advocate for children receiving medical care: A study on pediatric care and children’s rights","authors":"Kyoko Tanaka, H. Tsujii, Ayako Itoh, Kou Hirahara","doi":"10.5430/ijh.v9n2p1","DOIUrl":"https://doi.org/10.5430/ijh.v9n2p1","url":null,"abstract":"Background: Advocacy for children is an essential part of pediatric medical practice. The rights of children receiving medical care should be protected while accommodating each individual’s attributes. The current study aimed to identify the policies and practices on medical care and children’s rights based on a survey conducted at 907 hospitals and clinics in 2016 by the Kanto Bar Association.Methods: The survey results were analyzed with the approval of the Kanto Bar Association. This research focused on the rights of children receiving medical care to make their own decisions and psychosocial factors involved in medical practice.Results: Explanation was actively provided to children receiving medical care. Moreover, support was found to be important in providing children with easy-to-understand explanations, assuring that consent was obtained from children, and assessing psychosocial factors affecting decision-making. Improving the physical and human environment can promote and enable the voluntary participation of children. That is, information about the right to voluntary participation among children should be disseminated, medical staffs must be educated, medical fees should be evaluated, and professionals must be trained.Conclusions: This study recommends to protect the personal integrity and dignity of children receiving medical care by respecting them as individuals and ensuring their right to express opinion and self-determination.","PeriodicalId":73454,"journal":{"name":"International journal of healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76826054","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}