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Evidence-based practice and undergraduate nursing curriculum: Trends and perspectives 循证实践与本科护理课程:趋势与展望
Pub Date : 2022-08-01 DOI: 10.32920/ihtp.v2i2.1626
C. Baixinho, Ó. Ferreira, M. Medeiros, Ellen Oliveira
Evidence-based practice is recognized as key to improving the quality of health care, increasing patient safety, controlling costs, and improving outcomes for people with healthcare and nursing needs. Despite its advantages, the use of evidence in healthcare settings is not yet a standard of healthcare in the world. How can students learn and develop skills to use evidence-based-practice (EBP) in current nursing curriculum and how can researchers work with students and clinical professionals to increase EBP? Changes in nursing education will require close collaboration with clinical contexts because learning about evidence takes place outside the classroom.
循证实践被认为是提高医疗保健质量、提高患者安全、控制成本和改善有医疗保健和护理需求的人的结果的关键。尽管有其优势,但在卫生保健环境中使用证据尚未成为世界卫生保健的标准。在当前的护理课程中,学生如何学习和发展使用循证实践(EBP)的技能?研究人员如何与学生和临床专业人员合作以提高EBP?护理教育的变化将需要与临床环境密切合作,因为对证据的学习发生在课堂之外。
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引用次数: 0
Pleasure and suffering in the work of palliative oncology nurses: A reflective discursive presentation 姑息肿瘤学护士工作中的快乐和痛苦:一个反思性的话语呈现
Pub Date : 2022-08-01 DOI: 10.32920/ihtp.v2i2.1547
Ana Dulce Santana dos Santos, Silvio Arcanjo Matos Filho, Ricardo Souza Evangelista Sant'Ana, Norma Valéria Dantas de Oliveira Souza, Zulmerinda Meira Oliveira, Octávio Muniz da Costa Vargens
In palliative care, nursing work is characterized by the concept of suffering as nurses cope with not only the death of patients, but also challenges with interacting with families. This suffering however, if offset by the concept of pleasure, as patients find meaning in illness, pain, and in the acceptance of death as a natural process, which generates pleasure. This reflective discursive presentation is based on the theoretical framework of Dejours’ psychodynamics of work and highlights the area of palliative oncology nursing as a source of suffering and pleasure. The daily life of palliative oncology nurses, subjectivity at work, and constant interactions between psychic, social, individual, and collective factors are discussed. In their clinical practice, palliative oncology nurses break with the prescribed way of engaging in care while building on various meanings of work that transforms and is also transformed. Considerations related to the need for teaching and research activities to examine pleasure and suffering in palliative oncology nursing is presented.
在姑息治疗中,护理工作的特点是痛苦的概念,因为护士不仅要应对病人的死亡,还要应对与家属互动的挑战。然而,这种痛苦如果被快乐的概念所抵消,因为病人在疾病、痛苦和接受死亡中找到了意义,这是一个产生快乐的自然过程。这种反思性的话语呈现是基于Dejours工作的心理动力学的理论框架,并强调姑息性肿瘤护理领域作为痛苦和快乐的来源。姑息肿瘤学护士的日常生活,工作中的主观性,以及心理,社会,个人和集体因素之间的持续互动进行了讨论。在临床实践中,姑息肿瘤学护士在打破规定的护理方式的同时,建立在各种工作意义上,这些工作意义是转化的,也是被转化的。考虑到需要教学和研究活动来检查姑息肿瘤学护理中的快乐和痛苦。
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引用次数: 1
An exploration of Francophone and Francophile men’s representation of prostate cancer: An ethnographic study 法语和亲法语男性前列腺癌表现的探索:一项民族志研究
Pub Date : 2022-08-01 DOI: 10.32920/ihtp.v2i2.1597
M. Zanchetta, M. Cognet, F. Desgrandchamps, Mary Rachel Lam-Kin-Teng, Marie Elisabeth Dumitriu
Background. Worldwide, men’s health and wellness promotion employ various models and conceptions of masculinity. Masculinities are subjectively experienced and influenced by social differences such as race, class, and sexual orientation. Largely because it threatens men’s gender identity and sexuality, prostate cancer is a prominent and sensitive health issue. How men think, speak about, and represent prostate cancer is affected by their cultural, social, moral, and religious values and beliefs. Methods. Based on data from a larger ethnographic study, this article reports on Francophone and Francophile immigrant men’s experiences and representations of prostate cancer.  Data were collected from interviews with 19 men in the cities of Gonesse and Paris, France, using a tool inspired by (core) social representation theory, and submitted to content analysis. Results. Similar views between the two groups of men suggest that the representation of prostate cancer prevalent in French society held more sway over the men’s attitudes and thoughts than any alternative cultural views from the immigrants’ particular ethnic backgrounds. Conclusions. The confirmed view of prostate cancer as a disease with neither a positive nor a negative meaning offered opportunities for the men to re-evaluate their lives and plan their future with realistic expectations.
背景。在世界范围内,男性健康和保健推广采用了各种男性气概的模式和概念。男子气概是一种主观体验,并受到种族、阶级和性取向等社会差异的影响。前列腺癌是一个突出而敏感的健康问题,很大程度上是因为它威胁到男性的性别认同和性行为。男性如何思考、谈论和代表前列腺癌受到他们的文化、社会、道德和宗教价值观和信仰的影响。方法。基于一项大型人种学研究的数据,本文报告了讲法语和亲法移民男性的前列腺癌经历和表现。数据收集自对法国戈内斯和巴黎的19名男性的采访,使用了一种受(核心)社会表征理论启发的工具,并提交给内容分析。结果。两组男性的相似观点表明,法国社会中前列腺癌的普遍性比来自移民特定种族背景的其他文化观点更能影响男性的态度和思想。结论。前列腺癌是一种既没有积极意义也没有消极意义的疾病,这种被证实的观点为男性提供了重新评估他们的生活和以现实的期望规划未来的机会。
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引用次数: 0
Transition to online education in Sri Lanka during COVID-19: A descriptive phenomenological study 2019冠状病毒病期间斯里兰卡向在线教育过渡:一项描述性现象学研究
Pub Date : 2022-08-01 DOI: 10.32920/ihtp.v2i2.1632
S. Subasinghe, A. Pathiranage
The novel coronavirus (COVID-19) that originated in China was declared a global pandemic by the World Health Organization in March 2020. To limit the spread of the disease, the Sri Lankan government announced the closure of all educational institutes. The school closure encouraged the use of home-based learning, and this transition was a critical period for both teachers and students. Because most Sri Lankan children reside in rural areas, our study examined how teachers in rural schools experienced the lockdown in relation to their teaching role during the pandemic.  We used a descriptive phenomenological study design with purposive sampling until we achieved the saturation point. In-depth interviews were conducted via the Zoom platform, using a validated guideline that was piloted before the study and analyzed based on the thematic analysis approach. We identified five major themes: (1) adjustment to the online teaching/learning process; (2) experience of challenges; (3) experience of new opportunities; (4) impact of parental involvement; and (5) impact of teachers’ and children’s physical, psycho-social well-being. The study identified lack of access to technology and lack of proper guidance from the family as challenges during home-based learning. Parental involvement during teaching sessions decreased teachers’ autonomy. Inadequate and inaccurate evaluation of the students disrupts the learning process. Teachers perceived that children’s distance from classroom learning and their peer groups will affect the children’s development. 
起源于中国的新型冠状病毒(COVID-19)于2020年3月被世界卫生组织宣布为全球大流行。为了限制疾病的传播,斯里兰卡政府宣布关闭所有教育机构。学校的关闭鼓励了以家庭为基础的学习,这一转变对教师和学生来说都是一个关键时期。由于大多数斯里兰卡儿童居住在农村地区,我们的研究调查了农村学校的教师在大流行期间如何经历与他们的教学角色相关的封锁。我们采用描述性现象学研究设计,有目的的抽样,直到我们达到饱和点。深入访谈是通过Zoom平台进行的,使用的是研究前试点的有效指南,并根据主题分析方法进行分析。我们确定了五个主要主题:(1)适应在线教学/学习过程;(2)挑战经历;(3)体验新机遇;(4)父母参与的影响;(5)教师和儿童身体、心理和社会幸福感的影响。研究发现,缺乏技术和缺乏来自家庭的适当指导是在家学习的挑战。在教学过程中,家长的参与降低了教师的自主性。对学生不充分和不准确的评价会扰乱学习过程。教师认为儿童与课堂学习和同伴群体的距离会影响儿童的发展。
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引用次数: 0
Tele-rehabilitation interventions for individuals living with dementia during the COVID-19 pandemic: Mixed-method systematic review COVID-19大流行期间痴呆症患者的远程康复干预:混合方法系统评价
Pub Date : 2022-08-01 DOI: 10.32920/ihtp.v2i2.1649
Thilanka Jagoda, S. Rathnayake
Background: Considering COVID-19, individuals living with dementia are more vulnerable, and tele-rehabilitation can be incorporated into dementia care. Objective: To analyse the evidence of the availability and effectiveness of tele-rehabilitation interventions for individuals living with dementia in the community during the COVID-19 pandemic. Methods: A mixed-method systematic review was conducted. Cochrane, ProQuest, PubMed and Google Scholar databases were searched using keywords that include dementia, tele-rehabilitation, and COVID-19. Article quality was assessed using the Mixed Methods Appraisal tool. Results: Thirteen articles were included. Finding suggest, most tele-interventions were being implemented in European and high-income countries. These interventions included: videoconferences, telephone-based interventions, television-based assistive technology, and human-robot. Conclusion: Despite the lack of rigorous studies, tele-rehabilitation is effective in improving cognition, behavioural and psychological symptoms, quality of life, and social connectedness. Rigorous methodologies, i.e., randomised control trials, are recommended.
背景:考虑到2019冠状病毒病,痴呆症患者更加脆弱,远程康复可以纳入痴呆症护理。目的:分析COVID-19大流行期间社区痴呆症患者远程康复干预的可得性和有效性证据。方法:采用混合方法进行系统评价。检索Cochrane、ProQuest、PubMed和Google Scholar数据库,关键词包括痴呆、远程康复和COVID-19。采用混合方法评价工具评价文章质量。结果:纳入13篇文章。研究结果表明,大多数远程干预措施是在欧洲和高收入国家实施的。这些干预措施包括:视频会议、基于电话的干预、基于电视的辅助技术和人机。结论:尽管缺乏严谨的研究,远程康复在改善认知、行为和心理症状、生活质量和社会联系方面是有效的。建议采用严格的方法,即随机对照试验。
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引用次数: 0
Arabic-speaking older immigrants’ perceived acceptability of interventions for preventing elder abuse 讲阿拉伯语的老年移民对预防虐待老年人的干预措施的可接受性
Pub Date : 2022-08-01 DOI: 10.32920/ihtp.v2i2.1650
S. Guruge, S. Sidani, Ernest Leung, Souhail Boutmira
Objective: Although research has identified interventions to address risk factors for elder abuse, it is unclear which interventions are relevant to specific immigrant communities. This study examined how Arabic-speaking immigrants in the Greater Toronto Area perceived the acceptability of interventions for elder abuse and explored gender differences in these perceptions. Methods: Older women and men (N = 37) who self-identify as Arabic-speaking immigrants residing in the Greater Toronto Area rated the acceptability of 14 interventions. The literature describes these interventions as addressing the risk factors for elder abuse as reported at the levels of older adults, the family, their relationship, and the social environment. Four items, adapted from a validated measure, were used to assess the interventions’ acceptability. The data were analyzed using descriptive statistics (objective 1) and independent sample t-test (objective 2). Results: Arabic-speaking older immigrants perceived five interventions to prevent elder abuse in their community as highly acceptable: case management, community outreach, advocacy, community-outreach programs, and peer-support programs. Gender differences were found for four interventions: two interventions (case management and community outreach) targeted older adults, one intervention (education) targeted the family, and one (advocacy) focused on the social environment. Conclusion: Findings can inform service providers, managers, and policymakers about which interventions must be prioritized to address elder abuse in the Arabic-speaking immigrant community.
目的:虽然研究已经确定了解决虐待老人风险因素的干预措施,但尚不清楚哪些干预措施与特定移民社区有关。本研究调查了大多伦多地区讲阿拉伯语的移民对虐待老人的干预措施的可接受性的看法,并探讨了这些看法中的性别差异。方法:居住在大多伦多地区的自称阿拉伯语移民的老年男女(N = 37)对14项干预措施的可接受性进行了评分。文献将这些干预措施描述为在老年人、家庭、他们的关系和社会环境的层面上解决虐待老年人的风险因素。四个项目,改编自一个有效的措施,被用来评估干预措施的可接受性。使用描述性统计(目标1)和独立样本t检验(目标2)对数据进行分析。结果:讲阿拉伯语的老年移民认为,在他们的社区中预防老年人虐待的五种干预措施是高度可接受的:病例管理、社区外展、宣传、社区外展项目和同伴支持项目。在四项干预措施中发现了性别差异:两项干预措施(病例管理和社区外展)针对老年人,一项干预措施(教育)针对家庭,一项(宣传)侧重于社会环境。结论:研究结果可以为服务提供者、管理人员和政策制定者提供信息,让他们了解必须优先采取哪些干预措施来解决阿拉伯语移民社区的老年人虐待问题。
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引用次数: 0
Gender, time-use, and health: A scoping review 性别、时间利用和健康:范围审查
Pub Date : 2022-08-01 DOI: 10.32920/ihtp.v2i2.1637
Kanika Sharma, Ramila Bisht
Introduction: Time-use research is a useful approach to examine the health impacts of how people spend their time and the factors that influence their time. One such factor is gender. Aim: This study undertakes a scoping review to map and synthesize recent research done on the interrelationships among gender, time-use, and health. Design: Web of Science and PubMed electronic databases were searched to identify research published between 2015 and 2020. Forty-four studies that met the eligibility criteria were selected. Results: Most studies on the topic are quantitative in nature, focus on developed country contexts, and have mental health and nutrition as thematic health focus. There is diversity in the kinds of population being studied, with an increasing focus on children and adolescent populations. Conceptual findings reveal multi-directional and life-course aspects of the relationship; point that the relationship between time-use and health varies by the stage of the epidemiological and the nutrition transition; and highlight the need to study the health and well-being impacts of gendered caregiving. Conclusion:  This review highlights the need to conduct qualitative studies, give attention to health outcomes such as chronic illnesses, occupational health issues, and physical pain, and increase research focus on developing country contexts where gender inequality in time-use and health is severe.
导言:时间利用研究是检验人们如何利用时间以及影响时间的因素对健康的影响的一种有用方法。其中一个因素是性别。目的:本研究对近期关于性别、时间利用和健康之间相互关系的研究进行了范围综述和综合。设计:检索Web of Science和PubMed电子数据库,以确定2015年至2020年间发表的研究。44项符合入选标准的研究入选。结果:关于这一主题的大多数研究本质上是定量的,侧重于发达国家的情况,并将精神健康和营养作为专题卫生重点。正在研究的人口种类多种多样,越来越注重儿童和青少年人口。概念上的发现揭示了这种关系的多向和终身方面;指出时间利用与健康的关系因流行病学阶段和营养转变阶段而异;并强调有必要研究性别护理对健康和福祉的影响。结论:本次审查强调有必要进行定性研究,关注慢性病、职业健康问题和身体疼痛等健康结果,并加强对发展中国家情况的研究,这些国家在时间利用和健康方面存在严重的性别不平等。
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引用次数: 0
Are nurses being heard? The power of Freirean dialogue to transform the nursing profession 护士的声音被听到了吗?自由对话改变护理职业的力量
Pub Date : 2022-08-01 DOI: 10.32920/ihtp.v2i2.1651
I. Costa
Nurses need to acquire knowledge about interactive communication, apply critical thinking in prevention and management of illness, and act as patient advocates especially among marginalized and vulnerable populations. This three-pronged approach usually begin during their student years and should include a dialogue framework for use during nursing encounters with patients, family members, and other healthcare providers and for improving the safety and effectiveness of patient care. Therefore, the nursing curriculum should not only include topics related to illness prevention and management, but also prepare nurses to identify and advocate for social justice and health equality by creating a lively and interactive learning environment to allow nurses to build their self-confidence to act and become change agents. Certainly, the COVID-19 pandemic, which exacerbated a nursing shortage and led to limited access to services and poor quality of care for all, underscores the urgency of the Freirean dialogic approach of action-reflection-action. Using this approach, all stakeholders collaborate, discuss, and implement solutions, grow together, and become change agents toward improving nursing care for all.
护士需要掌握互动沟通的知识,在疾病预防和管理中运用批判性思维,并作为患者的倡导者,特别是在边缘化和弱势群体中。这种三管齐下的方法通常在学生时期开始,应该包括一个对话框架,用于与患者、家庭成员和其他医疗保健提供者的护理接触,并提高患者护理的安全性和有效性。因此,护理课程不仅应包括与疾病预防和管理相关的主题,还应通过创造一个生动互动的学习环境,使护士能够建立行动和成为变革推动者的自信,从而使护士做好识别和倡导社会正义和健康平等的准备。当然,2019冠状病毒病大流行加剧了护理人员短缺,导致所有人获得服务的机会有限,护理质量低下,这凸显了自由人采取行动-思考-行动的对话方法的紧迫性。使用这种方法,所有利益相关者合作,讨论和实施解决方案,共同成长,并成为改善所有人护理的变革推动者。
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引用次数: 1
(Im)mobilities and life satisfaction in times of COVID-19: The case of older persons in Switzerland COVID-19时期的流动性和生活满意度:以瑞士老年人为例
Pub Date : 2022-04-01 DOI: 10.32920/ihtp.v2i1.1590
Iuna Dones, R. Ciobanu, M. Baeriswyl
The COVID-19 pandemic led to changes in mobilities worldwide. Physical movement and social contact are shown to be correlated to life satisfaction. In this paper we are interested in how during the pandemic other types of mobilities relate to life satisfaction. The paper draws on a survey (N=643) among persons aged 65+ in Switzerland. Results show that engagement in communicative mobilities are related to higher life satisfaction, imaginative mobilities only partially relate to life satisfaction, and virtual mobilities have no correlation.
2019冠状病毒病大流行导致全球流动性发生变化。身体运动和社会接触被证明与生活满意度相关。在这篇论文中,我们感兴趣的是在大流行期间其他类型的流动性如何与生活满意度相关。这篇论文引用了一项对瑞士65岁以上老年人的调查(N=643)。研究结果表明,交际活动参与与生活满意度有显著的相关性,想象活动参与与生活满意度有部分相关性,虚拟活动参与与生活满意度无显著相关性。
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引用次数: 0
The need for clarification of terminology and labels in interprofessional care: A commentary 澄清专业间护理术语和标签的必要性:评论
Pub Date : 2022-04-01 DOI: 10.32920/ihtp.v2i1.1627
Kateryna Metersky, Rostislav Axenciuc, Emily Mitchell, Sifelipilu Nyathi
Background: The current healthcare environment is filled with numerous team caring models, which are often used interchangeably, but ultimately mean different levels of collaboration among HCPs, and between HCPs and patients: multiprofessional collaboration, transprofessional collaboration, and interprofessional patient-centered collaborative (IPCC) care. Furthermore, the labels for these care models are not patient-friendly, portraying that only HCP ‘professionals’ comprise the team membership. Clarity is required around the terminology and labeling of these caring models to ensure enhanced patient involvement within interprofessional teams. Discussion: The definitions of the three team care models are provided with an explanation of how these models of care connect to the 55-year-old patient’s case and impact on the relationship between HCPs and patient. Conclusion: While IPCC care is considered as the gold standard for the collaboration between a variety of HCP professional groups and the patient, work needs to be done on the label applied to this caring model. Future research should explore, from patients’ perspectives, the labels used in IPCC care and propose an alternative title that is more inclusive of patients as team members.
背景:当前的医疗环境充满了众多的团队护理模式,这些模式通常可以互换使用,但最终意味着不同级别的医护人员之间以及医护人员与患者之间的协作:多专业协作、跨专业协作和跨专业以患者为中心的协作(IPCC)护理。此外,这些护理模式的标签对患者并不友好,描绘出只有HCP“专业人员”组成团队成员。需要明确这些护理模式的术语和标签,以确保加强患者参与跨专业团队。讨论:提供了三种团队护理模式的定义,并解释了这些护理模式如何与55岁患者的病例联系起来,以及对医护人员和患者之间关系的影响。结论:虽然IPCC护理被认为是各种HCP专业团体与患者之间合作的金标准,但应用于这种护理模式的标签需要做更多的工作。未来的研究应从患者的角度探索IPCC护理中使用的标签,并提出一个更包容患者作为团队成员的替代标题。
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引用次数: 0
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International Health Trends and Perspectives
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