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The Effect of Pineapple Juice (Ananas comosus) on the Uterine Involution of Postpartum Mothers at Pratama Jannah and Dermawati Maternity Clinics of Deli Serdang Regency in 2019 2019年德里Serdang县Pratama Jannah和Dermawati妇产诊所菠萝汁对产后母亲子宫复旧的影响
Pub Date : 2022-09-19 DOI: 10.5539/gjhs.v14n10p22
A. Batubara, Fitriyani Pulungan
Uterine involution is the enlarged uterus that undergoes a physiological involution of about 6 weeks returning to its nonpregnant condition. Uterine subinvolusion occurs due to the uterus cannot contract properly, causing bleeding, leading possibility to death. Various synthetic drugs have been used in accelerating uterine involution by inducing uterine contractions and preventing uterine subinvolution often lead to anaphylactic reactions, short-term arterial hypotension, hot flashes and reflex tachycardia, nausea, vomiting, and heart rhythm disturbances. Concerning the adverse effects of the synthetic drugs in accelerating uterine contractions and preventing uterine subinvolution, many researchers had conducted studies pertaining to the beneficial of natural medicinal plants in accelerating uterine involution by inducing uterine contractions and preventing uterine subinvolution, including pineapple (Ananas comosus). The aim of the current study was to determine the effect of pineapple juice on the uteral involution in postpartum mothers at Pratama Jannah and Dermawati Maternity Clinics of Deli Serdang Regency in 2019. The study design was a quasi-experiment with pretest and posttest using independent t-test. The sample numbers were 40 postpartum mothers that consisted of 20 samples in the control group and 20 samples in the intervention group by predetermined criteria. The dependent variable of uteral involution by inducing uterine contractions was fundal height (the distance between the symphisis pubis and the uterine fundus) and the independent variable was pineapple juice. Fundal height was measured using a metric tape. Data collection was carried out by the means of direct interview using questionnaires and observation sheets. The data were analyzed using independent t-test. The statistical test used was t-test. Results of the statistical t-test revealed that p-value =0.0001 < α = 0.05, in which Ho was rejected, meaning that there was a significant difference in the group control group and the intervention group on the uterine involution in postpartum mothers with p-value was 0.002 (α <0.05). It was concluded that pineapple juice showed a significant effect in reducing uterine subinvolution and accelerated uterine involution of postpartum mothers at Pratama Jannah and Dermawati Maternity Clinics in Deli Serdang Regency. It is suggested to use pineapple juice as natural therapy in reducing the adverse effects of uteral involution.
子宫复旧是指子宫增大,经过大约6周的生理复旧,恢复到未怀孕的状态。子宫亚内陷是由于子宫不能正常收缩,引起出血,导致死亡的可能性。各种合成药物用于促进子宫复旧,通过诱导子宫收缩和防止子宫复旧,常导致过敏反应、短期动脉低血压、潮热和反射性心动过速、恶心、呕吐和心律紊乱。关于合成药物在加速子宫收缩和防止子宫退化方面的不良作用,许多研究人员对天然药用植物在促进子宫收缩和防止子宫退化方面的益处进行了研究,其中包括菠萝(Ananas comosus)。本研究的目的是确定菠萝汁对2019年德里Serdang县Pratama Jannah和Dermawati产科诊所产后母亲子宫复旧的影响。研究设计为准实验,采用独立t检验进行前测和后测。样本数为40名产后母亲,其中对照组20名,干预组20名。诱导子宫收缩引起子宫复旧的因变量为子宫底高度(耻骨联合与子宫底之间的距离),自变量为菠萝汁。用公制卷尺测量基底高度。数据收集采用问卷调查和观察表直接访谈的方式进行。采用独立t检验对数据进行分析。统计学检验采用t检验。统计学t检验结果显示,p值=0.0001 < α = 0.05, Ho被拒绝,即组对照组与干预组在产后母亲子宫复旧率上差异有统计学意义,p值为0.002 (α <0.05)。结论是菠萝汁在德里Serdang县的Pratama Jannah和Dermawati产科诊所对产后母亲的子宫退化和加速子宫复旧有显著效果。建议使用菠萝汁作为自然疗法,以减少子宫复旧的不良反应。
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引用次数: 1
Detection of Imported Measles Outbreak (Clusters) in Al-Buraimi Governorate during COVID-19 Pandemic: A Case Series Study 2019冠状病毒病大流行期间Al-Buraimi省输入性麻疹暴发(聚集性)的检测:病例系列研究
Pub Date : 2022-09-19 DOI: 10.5539/gjhs.v14n10p29
Hanan Al-Marbouai, Muhammad Muqeet Ullah, Ahmed Yar Al-Buloshi, Aisha Al-Quraini, Shahira Al-Maqbali, S. Al-Mahruqi, Prakash Kp, Ghulam Ali Memon, S. Al-Saidi, S. Almudaraa, R. Nooh
During the first wave of pandemic in 2020, the initial prodromal symptoms of COVID-19 were similar to vaccine preventable diseases like Measles apart from typical rash and probability of missing such cases during COVID-19 will lead to local spread of cases. The most significant risk lies in children below five years, especially unvaccinated expatriate children who contribute to imported cases of measles from highly endemic countries. After initial confirmation of 3 cases in April 2020, this outbreak was epidemiologically investigated in Al Buraimi Governorate, Oman, which included data on clinical symptoms, exposure information, travel history, immunization, and history of contact with others. Among the positive cases, 75% were girls; 6 were Afghani nationals and 2 were Pakistani nationals. However, most cases were reported between Afghani nationals 6 (75%) due to their low vaccination status. Genotyping B3 was isolated, and the virus traced back to Pakistan as the country of origin. In 2019, the Regional Verification Commission for Measles and Rubella (RVC), has declared Oman as a measles and rubella-free nation. The rationale of this study is to have a clear understanding of the events that led to the importation of genotype B3 measles outbreak in Al Buraimi Governorate, Oman, during initial phase of first wave of COVID-19 pandemic in April 2020 which highlighted the existence of vigilant surveillance system of the country. The field investigation was done to confirm an outbreak and to prevent transmission by isolating the cases and vaccinating the unvaccinated children and lastly to make critical recommendations that should be applied to prevent similar outbreaks in the future.
在2020年第一波大流行期间,COVID-19的初始前驱症状与麻疹等疫苗可预防疾病相似,除了典型的皮疹,并且在COVID-19期间遗漏此类病例的可能性将导致病例的局部传播。最严重的风险在于五岁以下儿童,特别是未接种疫苗的外籍儿童,他们会从高度流行的国家输入麻疹病例。在2020年4月初步确认3例病例后,在阿曼布赖米省对此次疫情进行了流行病学调查,其中包括临床症状、暴露信息、旅行史、免疫接种和与他人接触史等数据。在阳性病例中,75%是女孩;其中6人是阿富汗人,2人是巴基斯坦人。然而,大多数病例报告发生在阿富汗国民之间(75%),因为他们的疫苗接种率低。分离出基因分型B3型病毒,该病毒可追溯到巴基斯坦作为原产国。2019年,麻疹和风疹区域核查委员会(RVC)宣布阿曼为无麻疹和风疹国家。本研究的基本原理是清楚地了解在2020年4月第一波COVID-19大流行的初始阶段导致阿曼Al Buraimi省输入性基因型B3麻疹疫情的事件,这突显了该国存在警惕监测系统。实地调查的目的是确认疫情,并通过隔离病例和为未接种疫苗的儿童接种疫苗来防止传播,最后提出重要建议,以防止今后发生类似疫情。
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引用次数: 0
The Effects of Workplace Discrimination on Job Stress and Depression Among Nurses: A Test of Mediation 职场歧视对护士工作压力和抑郁的影响:一项中介检验
Pub Date : 2022-09-13 DOI: 10.5539/gjhs.v14n10p1
Rahim Mosahab, Arya Mosahab
The present study was intended to examine the effect of discrimination on the development of job stress and depression, and the mediating role of job stress between workplace discrimination and depression among nurses in hospitals in Iran. The sample comprised 166 nurses holding a bachelor’s degree or higher and working in hospitals located in the districts of 5 and 17 of Tehran, the capital city of Iran, which are usually inhabited by economically middle- and low-income people respectively. A random sampling technique was employed based on a cross-sectional design. This study revealed that workplace discrimination was positively correlated with job stress (β = .178, p = .000) and depression (β = .142, p = .002). Job stress was positively correlated with depression (β = .253 and p = .000). The study analysis revealed that job stress partially mediated the relationship between workplace discrimination and depression among nursing professionals. The study suggests that workplace discrimination can be considered a predictor of negative health outcomes and nurses may be vulnerable to job stress, resulting in depression.
本研究旨在探讨歧视对伊朗医院护士工作压力和抑郁发展的影响,以及工作压力在工作场所歧视与抑郁之间的中介作用。样本包括166名拥有学士学位或更高学位的护士,他们在伊朗首都德黑兰第5区和第17区医院工作,这些地区通常分别由经济上的中低收入人群居住。采用基于横断面设计的随机抽样技术。本研究发现,职场歧视与工作压力(β = .178, p = .000)和抑郁(β = .142, p = .002)呈正相关。工作压力与抑郁呈正相关(β = 0.253, p = 0.000)。研究分析发现,工作压力在护理专业人员职场歧视与抑郁的关系中起部分中介作用。研究表明,工作场所的歧视可以被认为是负面健康结果的预测因素,护士可能容易受到工作压力的影响,从而导致抑郁。
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引用次数: 0
Use of Diaion HP20 Resin to Achieve High Rutin Containing Moringa oleifera Extract: Its Solubility and Anti-Bacterial Properties and Possible Applications in Nebulizer Formulation for COVID Patients 使用diai_hp20树脂制备高芦丁含量辣木提取物:其溶解度和抗菌性能及其在新冠肺炎患者雾化器配方中的应用
Pub Date : 2022-09-13 DOI: 10.5539/gjhs.v14n10p7
Shital B. Shital B. Palghadmal, R. Bhosale, Prajakta Kulkarni, S. Kolhe, S. Yewale, S. Padmanabhan
Rutin with several pharmacological properties has been reported to be an effective inhibitor for SARS-COV-2 viral protease. Due to lack of specific drugs available for treatment of covid infection, hunt is on for possible herbal supplements that will impact multiplication of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and also provide immunity to people against such infections. We report a simple and cost-effective method for extraction of rutin from Moringa oleifera, a plant with high nutritive value due to its rich contents in minerals, vitamins and other essential phytochemicals. The solubility of rutin in water was achieved using rutin-arginine mixture (identified as a good water-soluble version of rutin) and tested for its antibacterial activity against Klebsiella pneumoniae and E. coli by MIC studies and compared with rutin solubilized in methanol. Our results demonstrate easy scale of the rutin extraction process and such a process could be applicable to extraction of rutin from other medicinal plants as well. We demonstrate that rutin purified through column chromatography has 20% higher solubility in water and maintains its anti-bacterial properties against Klebsiella pneumoniae and E. coli. Our findings reveal new possibilities of using resin column chromatography for concentrating rutin from plant extracts. Also, potential use of water soluble rutin is envisaged for development of nebulizers for treatment of asthma, hyperglycemia, and pneumonia, seen in COVID-19 affected patients.
芦丁具有多种药理特性,据报道是SARS-COV-2病毒蛋白酶的有效抑制剂。由于缺乏治疗covid - 19感染的特定药物,人们正在寻找可能的草药补充剂,这些补充剂将影响严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)的繁殖,并为人们提供对此类感染的免疫力。辣木是一种富含矿物质、维生素和其他必需化学物质的植物,具有很高的营养价值,本文报道了一种简单、经济的提取方法。用芦丁-精氨酸混合物(确定为芦丁的良好水溶性版本)获得了芦丁在水中的溶解度,并通过MIC研究测试了其对肺炎克雷伯菌和大肠杆菌的抗菌活性,并与甲醇溶解的芦丁进行了比较。实验结果表明,该工艺具有较好的可规模性,可应用于其他药用植物中芦丁的提取。我们证明,通过柱层析纯化的芦丁在水中的溶解度提高了20%,并保持了对肺炎克雷伯菌和大肠杆菌的抗菌性能。我们的发现揭示了用树脂柱色谱法从植物提取物中浓缩芦丁的新可能性。此外,考虑到水溶性芦丁的潜在用途,可用于开发用于治疗COVID-19患者中出现的哮喘、高血糖和肺炎的雾化器。
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引用次数: 0
Quality of Life among Methadone Maintenance Patients after the 4th Wave of COVID-19 in Ho Chi Minh City, Vietnam 越南胡志明市第四波新冠肺炎疫情后美沙酮维持患者的生活质量
Pub Date : 2022-08-30 DOI: 10.5539/gjhs.v15n9p45
Le Bao Chau, Dao Thi Thanh Nga
INTRODUCTION: This study aimed to assess the quality of life (QOL) of methadone maintenance patients in Ho Chi Minh City after the most devastating wave of COVID-19 and to explore factors that influence their QOL. METHODS: A cross-sectional study was conducted on 230 people who were in a methadone maintenance phase at the Tan Binh methadone treatment clinic using WHOQoL-BREF questionnaires. Ten in-depth interviews were carried out with patients and health staff, who were purposely selected. RESULTS: The overall QOL score of study participants according to the 100-point WHOQoL-BREF scale was 64.6 ± 9.8, in which the highest average score was the physical health domain (68.3 ± 11.1 points) and the lowest was the social relationship domain (59.1 ± 13.5 points). MMT patients’ employment was found to be strongly affected by the COVID-19 epidemic, with higher unemployment or unstable jobs that negatively influence their QOL. In contrast, the take-home dose policy applied during lockdown was reported as a positive factor and well accepted. Family support and marriage also positively affected their QOL scores, whereas those with positive urine test results reported lower QOL scores. CONCLUSION: Employment and social support for MMT patients has emerged, and further studies should be carried out to provide adequate evidence for methadone treatment improvement, including a multi-day take-home dose initiative.
前言:本研究旨在评估胡志明市最具破坏性的COVID-19浪潮后美沙酮维持患者的生活质量(QOL),并探讨影响其生活质量的因素。方法:采用WHOQoL-BREF问卷对在Tan Binh美沙酮治疗诊所处于美沙酮维持期的230人进行横断面研究。对有意挑选的病人和保健工作人员进行了10次深入访谈。结果:按100分WHOQoL-BREF量表,研究对象生活质量总分为64.6±9.8分,其中身体健康领域平均得分最高(68.3±11.1分),社会关系领域平均得分最低(59.1±13.5分)。MMT患者的就业受到新冠肺炎疫情的强烈影响,失业率较高或工作不稳定,对其生活质量产生负面影响。相比之下,据报道,在封锁期间实施的带回家剂量政策是一个积极因素,并得到了广泛接受。家庭支持和婚姻也对他们的生活质量得分有积极影响,而尿检结果呈阳性的人的生活质量得分较低。结论:MMT患者的就业和社会支持已经出现,需要开展进一步的研究,为美沙酮治疗的改善提供充分的证据,包括多天带回家剂量的倡议。
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引用次数: 0
Determinants of HIV Testing Uptake among Undergraduate Students Aged 17-26 Years at the University of Nairobi, Kenya 肯尼亚内罗毕大学17-26岁本科生接受艾滋病毒检测的决定因素
Pub Date : 2022-08-30 DOI: 10.5539/gjhs.v14n9p41
Paulina Kalimbo, Emmanuel Magesa, R. Opiyo, S. Nyawade
BACKGROUND: The human immunodeficiency virus infection among young people remains a public health concern around the global. To reduce HIV incidences among the young people. To reduce the HIV incidences among the group of young people, the identification of the determinants that influence the uptake of HIV testing especially students are mandatory. Hence help to prevent and control the epidemic. OBJECTIVE: The aim of this study was to identify the determinants that associated with the uptake of HIV testing among undergraduate students at the college of Health Sciences. METHODS: Analytical cross-sectional study was conducted at the University of Nairobi among undergraduate students aged 17- 26 years. Stratified proportionate sampling technique was used to select participants for each school within a college. Data was collected using a closed ended questionnaire and STATA version 11.2 developed by Stata Corp was used to analyse data in which multivariable logistic regression analysis were performed. Confidence interval and level of significance were set at 5% and 20% respectively.  RESULTS: Determinants associated with the HIV testing uptake among the young students were as follows; privacy of the location of Testing center (AOR:8.1; 95%Cl:2.7-24.6; p<0.01), peer influence (AOR:1.6; 95%Cl:1.0-2.4; p=0.05), duration in the academic programme (AOR:0.77; 95%Cl:0.25-2.28; p=0.03), and whether the participants were sexually active or not (AOR:2.1; 95%Cl:1.3-3.2; p<0.01). CONCLUSION: The uptake of HIV testing was increased by, privacy of Testing location, sexually active and peer influence.
背景:青少年人类免疫缺陷病毒感染仍然是全球关注的公共卫生问题。减少青年人的艾滋病毒感染率。为了减少年轻人群体中的艾滋病毒发病率,必须确定影响接受艾滋病毒检测的决定因素,特别是学生。从而有助于预防和控制疫情。目的:本研究的目的是确定与健康科学学院本科生接受艾滋病毒检测相关的决定因素。方法:在内罗毕大学对17- 26岁的本科生进行分析性横断面研究。采用分层比例抽样的方法,对一所大学的每个学院进行抽样。采用封闭式问卷收集数据,使用STATA公司开发的STATA 11.2版本进行数据分析,并进行多变量logistic回归分析。置信区间和显著性水平分别为5%和20%。结果:影响青年学生接受HIV检测的因素如下;检测中心位置的隐私性(AOR:8.1;95% cl: 2.7 - -24.6;p<0.01),同伴影响(AOR:1.6;95% cl: 1.0 - -2.4;p=0.05),学习时间(AOR:0.77;95% cl: 0.25 - -2.28;p=0.03),以及参与者是否性活跃(AOR:2.1;95% cl: 1.3 - -3.2;p < 0.01)。结论:HIV检测的接受程度受检测地点隐私、性行为活跃和同伴影响等因素的影响。
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引用次数: 0
Prevalence and Clinical Predictors of Severe Pneumonia among School-Aged Children: A Systematized Review 学龄儿童重症肺炎的患病率和临床预测因素:一项系统综述
Pub Date : 2022-08-30 DOI: 10.5539/gjhs.v14n9p49
J. Jimenez, Prince Jacob
This study aims to explore proof of the occurrence and clinical predictors of pneumonia among school-aged children. A systematic review was conducted, where studies published between the years, 2013 to 2020 were included based on the inclusion and exclusion criteria. The search strategy included free-text terms such as the title and research purpose. However, upon filtration and exclusion of studies based on different reasons, 17 studies were finally selected. Despite the various pathogenesis of pneumonia, findings indicated that environmental conditions contribute significantly to pneumonia, especially when there is poor sanitization and indoor moisture. Studies show that the disease disproportionately affects children from low-income households and regions. Due to the economic status of most of these children, antibiotics are the most prevalent medication administered. This has raised tremendous worry about the risk of developing resistant strains.
本研究旨在探讨学龄儿童肺炎发生的证据及临床预测因素。进行了系统回顾,根据纳入和排除标准纳入了2013年至2020年间发表的研究。搜索策略包括自由文本术语,如标题和研究目的。然而,经过不同原因的筛选和排除,最终选择了17项研究。尽管肺炎的发病机制多种多样,但研究结果表明,环境条件对肺炎有重要影响,特别是在卫生条件差和室内潮湿的情况下。研究表明,这种疾病对低收入家庭和地区儿童的影响尤为严重。由于大多数这些儿童的经济状况,抗生素是最普遍使用的药物。这引起了人们对产生耐药菌株风险的极大担忧。
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引用次数: 0
CLIMB® Program Evaluation of Quality of life, the Stress Response, Self Esteem in Children Whose Parent Has Cancer: Pilot Study 父母患有癌症的儿童的生活质量、压力反应和自尊的CLIMB®项目评估:试点研究
Pub Date : 2022-08-24 DOI: 10.5539/gjhs.v14n9p15
Yuko Akagawa, H. Andoh, Tomoko Ito, Mai Narita, Kaori Osawa, S. Heiney, Sachiko Makabe
Children with a parent who has cancer express fears about cancer contagion, parental death and security of their life. CLIMB® (Children’s Lives Include Moments of Bravery) is a support program to improve children’s ability to cope with their parent’s cancer. This pilot study aims to describe the emotional impact of CLIMB® on children with a parent who has cancer. The elementary school version of QOL (Quality of life), the SRS-C (Stress Response Scale for Children), Self Esteem, and satisfaction were evaluated. Participants were seven children (three girls, four boys). All participants were satisfied with CLIMB®. The QOL scores significantly increased from 79.9 (SD, 19.1; median, 86.7) points before the intervention to 85.1 (SD, 15.7; median, 90.0) points after the intervention, indicating an improvement in the QOL (p=0.046). Subscale was no significant difference according to sex. In the SRS-C scores no item showed significant differences in the pre- and post-intervention scores. The total score had decreased, indicating a decrease in the stress response. The boys showed a slight increase in the scores on the physical state subscale. The self-esteem scale scores were difference between the pre- and post-intervention scores increased significantly for the total score (p=0.028) and the subscales of “self in relationships” (p=0.042) and “self-assertion and self-determination” (p=0.038). During CLIMB®, children received accurate cancer knowledge; and valued sharing their feelings among others who are in the same situation. Children were highly satisfied with the program, although small changes were seen in QOL and stress.
父母患有癌症的孩子会表达对癌症传染、父母死亡和生命安全的恐惧。CLIMB®(儿童生命包括勇敢时刻)是一项支持计划,旨在提高儿童应对父母癌症的能力。本初步研究旨在描述CLIMB®对父母一方患有癌症的儿童的情感影响。评估小学生生活品质量表(QOL)、儿童压力反应量表(SRS-C)、自尊及满意度。参与者为7名儿童(3名女孩,4名男孩)。所有参与者都对CLIMB®感到满意。生活质量评分从79.9分显著提高(SD, 19.1;干预前的中位数为86.7分,干预前为85.1分(SD, 15.7;中位数,90.0)分,表明生活质量有所改善(p=0.046)。量表的性别差异无统计学意义。在干预前和干预后的SRS-C得分中,没有项目显示出显著差异。总分下降,表明应激反应下降。男孩们在身体状态量表上的得分略有上升。自尊量表总分(p=0.028)、自我关系量表(p=0.042)和自我主张与自我决定量表(p=0.038)干预前与干预后得分差异显著增加。在CLIMB®期间,儿童获得了准确的癌症知识;并且重视与处于相同情况的人分享他们的感受。孩子们对这个项目非常满意,尽管在生活质量和压力方面有很小的变化。
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引用次数: 1
Responding to Post-School Education Policy Reforms: A Case Study on the Incorporation of Nursing Colleges into the Post-School Education and Training System of South Africa 对学校后教育政策改革的回应:以南非护理学院纳入学校后教育培训体系为例
Pub Date : 2022-08-24 DOI: 10.5539/gjhs.v14n9p29
N. Makhanya, V. E. Matahela, Gcinile Buthelezi
Amongst the diverse providers of nursing education in South Africa, public nursing colleges have over the years produced 80% of pipeline nursing professionals. The demand imposed by the reorganisation of health services toward universal health coverage, together with the recent changes to the post-school legislation introduced by the Department of Higher Education and Training has required a repositioning of nursing colleges within the new milieu. If public nursing colleges did not comply with post-school education prescripts, they would not be eligible to offer programmes that are aligned to the Higher Education Qualification Sub-framework. The purpose of this article is to provide an account on progress and lessons learnt towards repositioning public nursing colleges within the new higher education milieu as a legal requirement for offering new nursing programmes leading to registration in any of the new nursing categories prescribed in the Nursing Act. The National Department of Health has, through the stewardship of its Chief Nursing Officer facilitated an intense process from 2016 to 2019 of preparing public nursing colleges to meet the requirements for accreditation as higher education institutions. Chief among these activities was the development of a national policy for nursing education informed by and designed around health service demands and underpinned by higher education principles to direct provisioning of nursing education and training. Parallel to the policy, the state of readiness of public nursing colleges was measured against the Council for Higher Education determined criteria for programme accreditation. Lessons emanating from this process are being used to accelerate preparation for accreditation of programmes leading to professional qualifications in nursing and other related health sciences programmes offered at college level to ensure sustained production of nurses with requisite skills mix required for a responsive health care system.
在南非多样化的护理教育提供者中,公立护理学院多年来培养了80%的后备护理专业人员。保健服务机构的重组对全民健康覆盖提出了要求,加上高等教育和培训部最近对毕业后立法进行了修改,这要求护理学院在新的环境中重新定位。如果公立护理学院不遵守学校后教育规定,他们将没有资格提供与高等教育资格子框架一致的课程。本文的目的是提供关于在新的高等教育环境中重新定位公立护理学院的进展和经验教训的说明,作为提供新的护理课程的法律要求,这些课程导致在《护理法》规定的任何新的护理类别中注册。国家卫生部通过其首席护理官的管理,在2016年至2019年期间促进了一个紧张的过程,使公立护理学院能够满足高等教育机构认证的要求。这些活动中最主要的是制定护理教育国家政策,以保健服务需求为依据并围绕其设计,并以高等教育原则为基础,直接提供护理教育和培训。与该政策平行的是,公立护理学院的准备状态是根据高等教育委员会确定的课程认证标准来衡量的。从这一过程中获得的经验教训正被用来加速准备对大学一级提供的护理专业资格和其他有关保健科学方案的认证,以确保持续培养具有反应迅速的保健系统所需的必要技能组合的护士。
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引用次数: 0
Development and Validation of An Evaluation Scale for Audiovisual Production for Health Interventions - ZIKAMOB 健康干预视听制作评价量表的开发与验证——ZIKAMOB
Pub Date : 2022-08-15 DOI: 10.5539/gjhs.v14n9p1
Emily Galdino da Costa, Izabelly Dutra Fernandes, Victor Albino, Roberta Smania-Marques, R. Olinda, Leandro Fernandes da Silva, Adrielly Karoliny de Lima, Eli Mateus Barbosa Lourenço, Steffany Sales Galisa, Emanuelly Oliveira Muniz e Albuquerque, Matt Smith, J. Traxler, Silvana Santos
According to the World Health Organization, intervention actions and Health Education achieve better performance when based on Behavior Change Theories associated with new technologies. This work aimed to build and validate an Audiovisual Production Assessment Scale (APAS) for use in educational interventions. One hundred videos of up to 90 seconds in length, produced by high school students from Northeast Brazil, were analyzed. The APAS contains twenty statements, grouped into five sections, some of which are based on the Social Cognitive Theory (observational learning; facilitators) and others, such as the halo effect and cognitive comfort, were proposed by Daniel Kahneman. It was found that, of the twenty statements, 15 of them had no significant difference between different evaluators; having obtained a value of 0.941 for Cronbach's Alpha, showing excellent internal reliability of the APAS. On average, 22 (33.8%) videos received a score greater than 60 points, indicating that they have the potential to significantly contribute to population behavior change in relation to the prevention of mosquito-borne arboviruses; 28 (41.3%) contribute satisfactorily; 15 (22.9%), partially and from one to two videos were scored with values lower than 19 points. Altogether, 12% of the videos received maximum scores in relation to the total score and subjective score. The APAS is, therefore, an example of an effective tool for assessing audiovisual content that can be used in educational interventions in health, with good internal reliability. The scale allows evaluating any content, classifying the production into categories that reveal its potential to promote behavior change.
根据世界卫生组织的说法,当基于与新技术相关的行为改变理论时,干预行动和健康教育可以取得更好的效果。本研究旨在建立并验证用于教育干预的视听制作评估量表(APAS)。研究人员分析了100个长度不超过90秒的视频,这些视频是由巴西东北部的高中生制作的。APAS包含二十个语句,分为五个部分,其中一些是基于社会认知理论(观察学习;如光环效应和认知舒适等,都是由丹尼尔·卡尼曼提出的。结果发现,在20个评语中,有15个评语在不同评价者之间无显著差异;Cronbach’s Alpha的值为0.941,表明APAS具有良好的内部信度。平均有22个(33.8%)视频得分超过60分,表明它们有可能在预防蚊媒虫媒病毒方面显著促进人口行为改变;28名(41.3%)表现良好;15个(22.9%),部分和1 ~ 2个视频得分低于19分。总的来说,12%的视频在总分和主观得分方面获得了最高分。因此,APAS是评估视听内容的有效工具的一个例子,这些内容可用于卫生教育干预,具有良好的内部可靠性。该量表允许评估任何内容,将产品分类,以揭示其促进行为改变的潜力。
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Global Journal of Health Science
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