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Analyse comparative des initiatives One Health en Guinée et en République Démocratique du Congo : Un appel à l’opérationnalisation/ Comparative analysis of One Health initiatives in Guinea and the Democratic Republic of Congo: A call for operationalization 分析同一个健康组织在几内亚和刚果的公共健康组织的比较倡议:对同一个健康组织在几内亚和刚果民主共和国的行动的比较分析:呼吁实施
Pub Date : 2022-12-01 DOI: 10.32920/ihtp.v2i3.1703
Stéphanie Maltais, S. Bangoura, Rolly Nzau Paku, Marlène Metena Mambote, Castro Hounmenou, S. Rüegg, J. Masumu, Rodrigue Deuboué Tchialeu, Sheila Makiala, A. Touré, A. Camara, A. Keita, Sanni Yaya
La Guinée et la République Démocratique du Congo (RDC) sont deux pays confrontés à des maladies zoonotiques (ré)émergentes, lesquelles représentent de graves menaces pour la santé publique et pour l’économie. Cela renforce l’importance de mettre l'accent sur les approches interdisciplinaires pour la prévention, la détection et l’atténuation des maladies infectieuses afin de mettre en place des systèmes de réponses adéquats. Dans les dernières années, des efforts ont été fournis dans les deux pays pour la conception, la mise en œuvre et la promotion de l’approche “Une Seule Santé” (One Health) qui offre des solutions à l’interface homme-animal-plante-écosystèmes. Cependant, dans ces pays, il n’existe pas une approche systémique “Une Seule Santé” qui soit réellement opérationnelle. Ainsi, cet article vise à faire une analyse comparative des initiatives « One Health » (OH) en Guinée et en RDC. Les résultats suggèrent qu'il existe un engagement fort de la part du gouvernement guinéen à signer un ordre conjoint de collaboration entre les trois départements clés, mais la coopération et la collaboration entre les différents secteurs et disciplines font défaut. En RDC, trois plateformes existent, mais leurs actions ne sont pas coordonnées, ce qui démontre les lacunes dans la vision globale que devrait avoir l’approche OH. Le défi majeur dans ces deux pays est d'adopter une approche holistique pour dépasser les structures et les paradigmes organisationnels et disciplinaires pour développer une véritable coopération entre tous les secteurs directement ou indirectement touchés par les maladies à potentiel épidémique. Guinea and the Democratic Republic of Congo (DRC) are two countries facing (re)emerging zoonotic diseases, which pose serious threats to public health and the economy. This reinforces the importance of emphasizing interdisciplinary approaches for the prevention, detection, and mitigation of infectious diseases to put in place adequate response systems. In recent years, efforts have been made in both countries for the design, implementation, and promotion of the “One Health” (OH) approach which offers solutions at the human-animal-animal-plant-ecosystems interface. However, in these countries, there is no operational OH systemic approach. Thus, this article aims to make a comparative analysis of the OH initiatives in Guinea and the DRC. Findings suggest there is a strong commitment on the part of the government of Guinea to sign a joint order of collaboration between the three key departments, but cooperation and collaboration between different sectors and disciplines is lacking. In the DRC, three platforms exist but are not coordinated, which shows gaps in the overall vision that OH should be in the country. The major challenge in these two countries is to adopt a holistic approach to go beyond organizational and disciplinary structures and paradigms to develop real coordination and cooperation between all the sectors directly or indirectly a
几内亚和刚果民主共和国是两个面临(重新)新出现的人畜共患病的国家,对公共卫生和经济构成严重威胁。这加强了强调预防、检测和减轻传染病的跨学科方法的重要性,以便建立适当的应对系统。近年来,两国努力设计、实施和推广“一个健康”方法,为人-动物-植物-生态系统界面提供解决方案。然而,在这些国家,并没有真正有效的“一个卫生”系统方法。因此,本文旨在对几内亚和刚果民主共和国的“一个健康”(OH)倡议进行比较分析。结果表明,几内亚政府强烈承诺签署三个关键部门之间的联合合作命令,但缺乏不同部门和学科之间的合作和协作。在刚果民主共和国,有三个平台,但它们的行动没有协调,这表明OH方法应该具有的全球视野存在差距。这两个国家面临的主要挑战是采取全面办法,超越组织和学科结构和模式,在直接或间接受流行病潜在影响的所有部门之间发展真正的合作。几内亚和刚果民主共和国是面临(重新)出现的人畜共患病的两个国家,对公共卫生和经济构成严重威胁。这加强了强调跨学科方法预防、检测和减轻传染病的重要性,以便建立适当的应对系统。近年来,两国都在努力设计、实施和推广“一个健康”(OH)方法,在人-动物-动物-植物-生态系统界面提供解决方案。但是,在这些国家,没有可操作的或系统的办法。因此,本文旨在对几内亚和刚果民主共和国的OH倡议进行比较分析。调查结果表明,几内亚政府强烈承诺签署三个关键部门之间合作的联合命令,但不同部门和学科之间的合作与协作仍然缺乏。在刚果民主共和国,有三个平台存在,但没有协调,这显示出该国本应具备的整体愿景存在差距。这两个国家面临的主要挑战是采取全面办法,超越组织和学科结构和模式,在直接或间接受具有流行潜力的疾病影响的所有部门之间发展真正的协调与合作。
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引用次数: 0
Examining the mental health impacts of the COVID-19 pandemic on international postsecondary students in Canada: A cross sectional analysis COVID-19大流行对加拿大国际高等教育学生心理健康的影响:横断面分析
Pub Date : 2022-12-01 DOI: 10.32920/ihtp.v2i3.1662
Shirui Tan, F. Şekercioğlu
Globally, the mental health challenges of university and college students are a considerable public health challenge that has been further exacerbated by the COVID-19 pandemic. Across Canada, international postsecondary students have reported experiencing increase financial stress, lack of social support, racist aggression, and travel restrictions. This cross-sectional study aimed to assess the mental health impacts of COVID-19 on international postsecondary students in Canada. Data from 177 international students attending universities and colleges in Canada was collected over a 2-month period. Results suggest 36.2% of all students reported a high level of perceived stress, with moderate to severe anxiety and depression symptoms reported by 64.4% of the sample. Stress (p = 0.015) along with anxiety and depression (p = 0.019) were significantly higher in female study participants. Coping strategies related to engaging in activities of daily living were identified. Strategies to support international students' mental health and well-being during the pandemic and beyond have been put forward.
在全球范围内,大学生的心理健康挑战是一项相当大的公共卫生挑战,COVID-19大流行进一步加剧了这一挑战。在加拿大各地,国际高等教育学生报告说,他们经历了越来越大的经济压力、缺乏社会支持、种族主义侵略和旅行限制。本横断面研究旨在评估COVID-19对加拿大国际高等教育学生心理健康的影响。研究人员在两个月的时间里收集了177名在加拿大大学和学院就读的国际学生的数据。结果表明,36.2%的学生报告了高水平的感知压力,64.4%的样本报告了中度至重度的焦虑和抑郁症状。压力(p = 0.015)以及焦虑和抑郁(p = 0.019)在女性研究参与者中显著更高。确定了参与日常生活活动的应对策略。已经提出了支持国际学生在大流行期间和之后的心理健康和福祉的战略。
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引用次数: 0
Person-Centred Care and Interprofessional Practice Through Me 以人为本的护理和跨专业实践通过我
Pub Date : 2022-12-01 DOI: 10.32920/ihtp.v2i3.1665
Kateryna Metersky
This poetic expression piece outlines and includes the key elements of person-centred and interprofessional care vital for healthcare providers to understand and apply in their care delivery and collaboration with patients. The author uses her first had experience with being a past recipient of care as well as her research work to share a perspective, from the patient’s point of view, of what is important for patients when seeking care from a humanistic perspective.
这个诗意的表达作品概述并包括以人为本和跨专业护理的关键要素,这对于医疗保健提供者理解和应用他们的护理交付和与患者合作至关重要。作者用她的第一次经历,作为一个过去的护理接受者,以及她的研究工作,分享一个角度来看,从病人的角度来看,从人文主义的角度来看,什么是重要的病人寻求护理。
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引用次数: 1
Regenerative economics for planetary health: A scoping review 地球健康的再生经济学:范围审查
Pub Date : 2022-12-01 DOI: 10.32920/ihtp.v2i3.1704
Geordan D Shannon, R. Issa, C. Wood, I. Kelman
Introduction: The relationship between humans and our planet is conditioned by an economic system that undermines rather than supports health. There has been an emerging focus on the relationship between economic structures and planetary health, but alternative economic approaches to support health for people and the planet require further development. Regenerative economics offers a compelling approach to transform humankind’s relationships with each other and their environment. Regenerative economics fosters grounded, pragmatic solutions to wider human and ecological crises that moves beyond a sustainability discourse towards one of regeneration. While there are, notionally, large areas of overlap between regenerative economics and planetary health, to date these have not been systematically articulated. Methods: A scoping review was performed to examine the background, principles, and applications of regenerative economics, and their implications for planetary health. Five databases (SCOPUS, Ovid Medline, Web of Science, Geobase, IEEE Xplore) were searched for peer-reviewed literature using key terms relating to regenerative economics and planetary health. Findings were reported using thematic synthesis. Results: The review identified a total of 121 articles and included 30 papers in the final review, from economics, industrial design, business, tourism, education, urban design and architecture, energy, technology, and food and agriculture. The principles of regenerative economics focused on people, place, planet, position, peace, plurality, and progress. Putting these principles into action requires identifying and valuing different forms of capital, taking a dynamic systems approach, applying regenerative design, developing a true circular economy, good governance, and transdisciplinary education and advocacy. Conclusions: While the principles of regenerative economics and planetary health are well aligned, the tools and actions of each field differ substantially. Planetary health can learn from regenerative economics’ grounding in natural design principles, systems-based approaches, actions at the right scale and cadence, respect for diversity, community and place, and mindset that moves beyond sustainability towards a regenerative future.
导言:人类与我们的星球之间的关系受到损害而不是促进健康的经济制度的制约。经济结构与地球健康之间的关系日益受到重视,但支持人类和地球健康的其他经济办法需要进一步发展。再生经济学提供了一种令人信服的方法来改变人类与彼此以及他们的环境的关系。再生经济学为更广泛的人类和生态危机提供了切实可行的解决方案,超越了可持续发展的话语,转向了再生的话语。虽然在理论上,再生经济和地球健康之间有很大的重叠领域,但迄今为止,这些领域还没有得到系统的阐述。方法:对再生经济学的背景、原理和应用及其对地球健康的影响进行范围审查。五个数据库(SCOPUS, Ovid Medline, Web of Science, Geobase, IEEE Xplore)检索了使用再生经济学和地球健康相关关键术语的同行评议文献。使用专题综合方法报告了调查结果。结果:审查共确定了121篇文章,最终审查包括30篇论文,来自经济学,工业设计,商业,旅游,教育,城市设计和建筑,能源,技术以及食品和农业。再生经济的原则侧重于人、地点、星球、地位、和平、多元化和进步。将这些原则付诸行动需要识别和评估不同形式的资本,采用动态系统方法,应用再生设计,发展真正的循环经济,良好的治理,以及跨学科的教育和宣传。结论:虽然再生经济学和地球健康的原则是一致的,但每个领域的工具和行动却有很大不同。地球健康可以借鉴再生经济学的自然设计原则、基于系统的方法、适当规模和节奏的行动、对多样性、社区和地方的尊重,以及超越可持续性走向可再生未来的思维方式。
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引用次数: 3
Examining the quality of life of patients living with breast cancer in Southern Sri Lanka: A descriptive cross-sectional study 检查斯里兰卡南部乳腺癌患者的生活质量:一项描述性横断面研究
Pub Date : 2022-12-01 DOI: 10.32920/ihtp.v2i3.1656
E. Weeratunga, C. Senadheera, M. Hettiarachchi, B. Perera
Introduction: Globally breast cancer (BC) is the most common cancer among women and Sri Lanka is not an exception. Cancer influences the quality of life (QoL) of cancer patients. The survival rates and the QoL of BC patients have improved significantly over the last few decades. However, factors associated with the QoL of patients with BC have not been well studied in Sri Lanka. The aim of the study was to assess the QoL and its correlates among patients with BC treated at a tertiary care hospital in Southern Sri Lanka. Methods: Ninety-seven BC patients were investigated using an interviewer-administered questionnaire. The World Health Organization- Quality of Life- Brief (WHOQOL-BREF) was used to measure QoL. The WHOQOL-BREF measure QoL in four domains: physical, psychological, social, and environmental. Scores range from 0 to 100, and higher scores indicate a greater QoL. Results: The mean age of the sample subjects was 52 years (SD = 8.7), and the majority were married (78%). Physical (60.97±11.56), psychological (63.52±11.63), and environmental (69.05 ±8.79) domains of QoL were at a satisfactory level whereas QoL score related to social relationships was found to be low (47.86±13.89) in this sample. Physical QoL was higher in young participants and psychological QoL was higher among those with a fewer number of comorbidities and disabilities and those with no body image changes. Social QoL was higher among married and environmental QoL was higher among those who reported having no disabilities. Conclusion: Social support in the form of family support and emotional support seems to play a major role in lowering the QoL of BC patients. Psycho-social support services should target patients experiencing physical disabilities, a higher number of comorbidities, and those who were subjected to changes in their body image.
导读:全球乳腺癌(BC)是女性中最常见的癌症,斯里兰卡也不例外。癌症影响癌症患者的生活质量。在过去的几十年里,BC患者的生存率和生活质量有了显著的提高。然而,与BC患者生活质量相关的因素在斯里兰卡尚未得到很好的研究。本研究的目的是评估在斯里兰卡南部一家三级医院接受治疗的BC患者的生活质量及其相关因素。方法:采用访谈问卷对97例BC患者进行调查。使用世界卫生组织生活质量简表(WHOQOL-BREF)来测量生活质量。WHOQOL-BREF从四个方面衡量生活质量:身体、心理、社会和环境。得分范围从0到100,得分越高表示生活质量越好。结果:样本对象的平均年龄为52岁(SD = 8.7),以已婚居多(78%)。生理(60.97±11.56)、心理(63.52±11.63)、环境(69.05±8.79)三个方面的生活质量得分较好,而社会关系方面的生活质量得分较低(47.86±13.89)。年轻参与者的身体生活质量更高,而那些合并症和残疾较少以及没有身体形象变化的人的心理生活质量更高。已婚人士的社会生活质量较高,无残疾人士的环境生活质量较高。结论:以家庭支持和情感支持为主要形式的社会支持在降低BC患者生活质量中起主要作用。心理社会支持服务应该针对有身体残疾、合并症较多以及身体形象发生变化的患者。
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引用次数: 1
Examining students’ knowledge of infant feeding: A non-experimental descriptive study 考察学生对婴儿喂养的知识:一项非实验描述性研究
Pub Date : 2022-12-01 DOI: 10.32920/ihtp.v2i3.1628
Jennifer Abbass-Dick, Barbara Chyzzy, Megan E. McCutcheon, M. Lemonde
Introduction: Breastfeeding rates in Canada are suboptimal, putting mothers and their infants’ health at risk. Understanding breastfeeding knowledge and attitudes in the university student population is important as many are likely to become parents in the future. University students’ knowledge and attitudes regarding infant feeding has been studied internationally; however, no studies including both female and male students have been conducted in Canada. The purpose of this study was to determine breastfeeding experiences, education, knowledge, infant feeding attitude and perceptions of the difference in mode of infant feeding among university students which can be used to inform future health promotion campaigns and school curriculum. Methods: A non-experimental, descriptive cross-sectional study was conducted in which data from university students was collected to to identify knowledge and attitude toward breastfeeding identify differences in knowledge of breast and bottle feeding. Results: Findings suggest 65% (n=117) of university students had no previous knowledge of breastfeeding practices.  Conclusion: Breastfeeding information within the high school curriculum is needed to support evidence-informed preconception infant feeding choices and increase future parents' understanding of how breastfeeding works to assist them in meeting their future infant feeding goals and increase breastfeeding rates.  
简介:加拿大的母乳喂养率不理想,使母亲及其婴儿的健康处于危险之中。了解大学生群体的母乳喂养知识和态度很重要,因为许多人将来可能成为父母。国际上对大学生对婴儿喂养的知识和态度进行了研究;然而,在加拿大没有进行过包括男女学生的研究。本研究旨在了解大学生的母乳喂养经历、教育、知识、婴儿喂养态度和对婴儿喂养方式差异的认知,为今后的健康促进活动和学校课程提供信息。方法:采用非实验的、描述性的横断面研究方法,收集大学生对母乳喂养的知识和态度,以及母乳喂养和奶瓶喂养知识的差异。结果:调查结果显示,65% (n=117)的大学生以前没有母乳喂养的知识。结论:需要在高中课程中提供母乳喂养信息,以支持循证知情的孕前婴儿喂养选择,并增加未来父母对母乳喂养如何起作用的理解,以帮助他们实现未来的婴儿喂养目标并提高母乳喂养率。
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引用次数: 0
Agir pour la santé de la planète en intégrant une démarche écoresponsable dans les cabinets : une expérimentation française en cabinet dentaire/ Acting for planetary health by integrating an eco-responsible approach in practices : A french experiment in dental practice 通过在实践中整合生态负责任的方法为地球健康采取行动:法国牙科实践实验/通过在实践中整合生态负责任的方法为地球健康采取行动:牙科实践中的法国实验
Pub Date : 2022-10-31 DOI: 10.32920/ihtp.v2i3.1713
Alice Baras
Introduction : Les activités humaines modernes entraînent des changements fondamentaux dans la biosphère et perturbent de nombreux systèmes naturels de la planète. Le dérèglement climatique, la pollution de tous les milieux - air, eau, sols -, le taux d’effondrement de la biodiversité ou encore les changements majeurs dans l'utilisation des terres menacent les conditions de santé et de bien-être humain et du vivant. Face à cette urgence écologique et sanitaire, les professionnels de santé ont un rôle prépondérant à jouer pour être promoteur de la santé planétaire. Intégrer une démarche écoresponsable au cœur de leurs pratiques est l’opportunité d’être acteur et ambassadeur de la transformation écologique aujourd’hui nécessaire. Celle-ci doit être réalisée tout en continuant à assurer la qualité et la sécurité des soins. Pour cela, il semble indispensable de créer et développer un outil intégré de qualité sécurité environnement qui réponde aux recommandations professionnelles et n’entrave en aucune manière la réalisation des soins et l’accueil des patients. C’est l’objectif de l’expérimentation pionnière qui a été menée auprès de praticiens français. Méthodes : Menée au sein de 8 cabinets dentaires volontaires en France de septembre 2019 à juillet 2020, l’action vise à accompagner les praticiens, et leur équipe éventuelle, à l’aide de plusieurs outils et ressources à intégrer une démarche écoresponsable en cabinet dentaire selon une approche systémique. Résultats : Le projet « Prévention Environnement Patients Soignants » a permis d’éprouver l’intégration d’un programme d’accompagnement à l’intégration de l’écoresponsabilité en santé avec pour moteur le bénéfice sanitaire, social, environnemental et économique d'une évolution des pratiques et d’observer les freins et leviers à son développement à plus grande échelle. Conclusion : Mener ce projet a permis aux praticiens accompagnés d’avancer dans la démarche de santé globale aujourd’hui nécessaire. Il appelle à un développement et à un soutien élargi de l’ensemble des parties prenantes du secteur médical. Des études pour évaluer quantitativement les avantages écologiques, sociaux, sanitaires et économiques d’une telle démarche sont nécessaires. Introduction: Modern human activities are causing fundamental changes in the biosphere and disrupting many of the world's natural systems. Climate disruption, pollution of all environments - air, water, soil -, the rate of collapse of biodiversity or major changes in land use threaten the conditions of human and living health and well-being. Faced with this ecological and health emergency, health professionals have a major role to play in promoting global health. Integrating an eco-responsible approach into the heart of their practices is an opportunity to be an actor and ambassador of the ecological transformation that is needed today. This transformation must be achieved while continuing to ensure the quality and safety of care. To do this, it seems esse
简介:现代人类活动正在导致生物圈的根本变化,并扰乱地球上许多自然系统。气候变化、空气、水、土壤等所有环境的污染、生物多样性的崩溃速度以及土地利用的重大变化都威胁着人类和生命的健康和福祉。面对这一生态和健康紧急情况,卫生专业人员在促进全球健康方面可发挥关键作用。将生态负责任的方法融入他们实践的核心,是成为当今必要的生态转型的演员和大使的机会。这必须在继续确保护理质量和安全的同时进行。为了实现这一目标,似乎有必要创建和开发一种综合的质量和环境安全工具,以满足专业建议,并以任何方式不妨碍护理和患者护理的实现。这就是在法国从业者中进行的开创性实验的目的。方法:该行动于2019年9月至2020年7月在法国的8个志愿牙科诊所进行,旨在支持从业人员及其潜在团队,使用几种工具和资源,根据系统的方法在牙科诊所整合生态负责任的方法。结果草案:«预防护理病人»环境得以体验l’écoresponsabilité集成配套方案的融合与以引擎中获得健康保健、社会、环境和经济发展的实践和观察刹车和其发展的更大规模的杠杆。结论:开展这一项目使从业人员能够在当今必要的全球健康方法方面取得进展。它呼吁所有医疗利益攸关方扩大发展和支持。需要进行研究,定量评估这种方法的生态、社会、健康和经济效益。简介:现代人类活动正在造成生物圈的根本变化,并破坏世界许多自然系统。气候破坏、空气、水、土壤等所有环境的污染、生物多样性崩溃的速度或土地利用的重大变化都威胁着人类的健康和福祉。面对这一生态和卫生紧急情况,卫生专业人员在促进全球卫生方面可发挥重要作用。将对生态负责的做法纳入其实践的核心,是一个机会,可以成为当今所需要的生态转型的行动者和大使。这一转变必须在继续确保护理质量和安全的同时实现。要做到这一点,似乎必须设计和开发一种综合的质量安全环境工具,既能满足专业建议,又不会妨碍护理的提供和病人的接待。这就是与法国实践者进行的开创性实验的目的。方法:2019年9月至2020年7月在法国开展了8项自愿牙科实践,该行动旨在支持从业人员及其最终团队,借助一些工具和资源,通过系统方法将生态责任方法整合到牙科实践中。Results: The Environment«预防病人Caregivers尽可能»project made it to The integration test of a support program for The integration of eco-responsibility in with The health care,健康、社会、环境、and economic benefits of an in The practices and to看到进化的障碍和里维斯for its发展有规模大。结论:实施这一项目使所陪同的从业人员能够推进当今所需要的全球卫生方法。它呼吁医疗部门的利益攸关方进一步发展和支持。需要进行研究,以定量评估这种方法的生态、经济、社会和健康效益。
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引用次数: 1
Environmental stewardship in healthcare: Use of bio-plastics in surgery 医疗保健中的环境管理:外科手术中生物塑料的使用
Pub Date : 2022-10-31 DOI: 10.32920/ihtp.v2i3.1698
Katie North
The Covid-19 pandemic has contributed to a significant increase in the amount of waste generated by the healthcare industry. Due to a lack of ecologically conscious options and policies, much of the healthcare industries’ waste ends up in landfills or incinerated, contributing to landmass pollution and methane gas production and the release of toxic chemicals into the air. Environmental pollutants have been contributing to worsening climate conditions for decades, and the planet is facing a dire climate emergency in the coming years. Surgical departments produce a significant portion of healthcare-generated waste (HCGW) but can positively influence the health sector to pursue ecologically protective adaptations. Procedural and product changes to environmentally friendly products, like bio-plastics, can help limit plastic waste produced by surgical departments and reduce overall waste created by the industry. By integrating bio-plastic alternatives into hospital surgical practices, surgery departments can demonstrate how environmental stewardship can be prioritized within the healthcare industry.
2019冠状病毒病大流行导致医疗保健行业产生的废物量大幅增加。由于缺乏具有生态意识的选择和政策,许多医疗保健行业的废物最终被填埋或焚烧,造成陆地污染和甲烷气体的产生,并向空气中释放有毒化学物质。几十年来,环境污染物一直在加剧气候条件的恶化,而地球在未来几年将面临可怕的气候紧急情况。外科部门产生了医疗保健产生的废物(HCGW)的很大一部分,但可以积极影响卫生部门追求生态保护适应。对环境友好型产品(如生物塑料)的程序和产品变更可以帮助限制外科部门产生的塑料废物,并减少该行业产生的总体废物。通过将生物塑料替代品整合到医院外科实践中,外科部门可以展示如何在医疗保健行业中优先考虑环境管理。
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引用次数: 0
Listening to older adults’ perspectives on climate change: Focus group study 倾听老年人对气候变化的看法:焦点小组研究
Pub Date : 2022-10-31 DOI: 10.32920/ihtp.v2i3.1697
J. Salma, Savera Aziz Ali, McKenzie H. Tilstra, Ishwar Tiwari, Charlene C. Nielsen, K. Whitfield, Allyson Jones, Alvaro Osornio Vargas, O. Bulut, Shelby S Yamamoto
 This study explores climate change knowledge, attitudes, and experiences of community-dwelling older adults in Edmonton, Alberta. A qualitative descriptive methodology was used where thirty-nine older adults participated in one of six focus groups. A thematic data analysis helped identify three key themes synthesized from participants’ narratives: (a) Making sense of climate change, (b) lack of leadership in managing climate change; and (c) actions to address climate change that include an emphasis on individual responsibility and valuing the contributions of older adults. Older adults vary in their climate change literacy and levels of concern about climate change but share a commitment to environmental stewardship and community wellbeing. Expanding opportunities for older Canadians to learn about climate change and engage in climate initiatives will bring multiple benefits to this population and to the climate change movement.
本研究探讨艾伯塔省埃德蒙顿社区居住老年人的气候变化知识、态度和经验。采用定性描述方法,39名老年人参加了六个焦点小组中的一个。专题数据分析有助于从与会者的叙述中综合确定三个关键主题:(A)理解气候变化;(b)在管理气候变化方面缺乏领导力;(c)应对气候变化的行动,包括强调个人责任和重视老年人的贡献。老年人的气候变化知识和对气候变化的关注程度各不相同,但他们都致力于环境管理和社区福祉。扩大加拿大老年人了解气候变化和参与气候倡议的机会,将为这一人口和气候变化运动带来多重利益。
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引用次数: 1
Implementing a nurse-led quality improvement project in nursing home during COVID 19 pandemic: A qualitative study 在COVID - 19大流行期间实施护士主导的养老院质量改进项目:一项定性研究
Pub Date : 2022-08-01 DOI: 10.32920/ihtp.v2i2.1631
S. Gonella, P. Di Giulio, Marianna Angaramo, V. Dimonte, S. Campagna, K. Brazil, MySupport Study Group
Background: There is broad consensus that the quality of nursing home (NH) care is a research priority to advance NH practice. However, NHs often fail to implement quality improvement (QI) research projects and complex circumstances such as Coronavirus disease 19 (COVID-19) pandemic may further hinder compliance. This study aims to describe the challenges associated with implementing a nurse-led QI project in NH during COVID-19 pandemic and potential strategies for their overcoming. Methods: A descriptive qualitative study was performed, and three data collection strategies employed, including: 1. semi-structured, open-ended interviews with follow-up questions (one NH manager, three members of the NH staff, and two family caregivers of people with advanced dementia); 2. research diary; and 3. in-the-field-notes. A combined deductive and inductive content analysis was adopted to analyze data. Results: Challenges may be anticipated or unanticipated. QI projects should include preliminary assessments to identify the willingness to change and establish partnerships at multiple levels with all stakeholders, adjust the implementation plan to the organizational context, and be open to ongoing changes. Conclusions: Early and regular engagement of stakeholders strengthen relationships. Moreover, an ongoing reflective practice throughout the entire implementation process promotes openness to change, and finally learning and improvement.
背景:广泛的共识是,养老院(NH)护理的质量是推进NH实践的研究重点。然而,NHs往往无法实施质量改进(QI)研究项目,而诸如冠状病毒病19 (COVID-19)大流行等复杂情况可能进一步阻碍合规性。本研究旨在描述在COVID-19大流行期间在NH实施护士主导的QI项目所面临的挑战以及克服这些挑战的潜在策略。方法:采用描述性定性研究,采用三种数据收集策略,包括:1。半结构化、开放式访谈和后续问题(一名NH经理、三名NH工作人员和两名晚期痴呆症患者的家庭照顾者);2. 研究日记;和3。in-the-field-notes。采用演绎与归纳相结合的内容分析方法对数据进行分析。结果:挑战可能是预料到的,也可能是预料不到的。QI项目应该包括初步评估,以确定变更的意愿,并在多个层次上与所有涉众建立伙伴关系,根据组织环境调整实施计划,并对正在进行的变更保持开放的态度。结论:利益相关者的早期和定期参与加强了关系。此外,贯穿整个实施过程的持续反思实践促进了对变化的开放,并最终促进了学习和改进。
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引用次数: 2
期刊
International Health Trends and Perspectives
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