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Effective Relationships Between Younger Caregivers and Older Care Recipients Across a Continuum of Formal Residential Care Settings: A Scoping Review and a Critical Analysis 在不同的正式寄宿护理环境中,年轻护理人员与老年护理对象之间的有效关系:范围审查和批判性分析
IF 5.5 Q1 Nursing Pub Date : 2024-03-27 DOI: 10.3389/phrs.2024.1606562
Carol-Ann Dixon, Vera Roos, Matthews Katjene, Jaco Hoffman
Objective: This article aims to conduct a scoping review of what constitutes effective relational interactions between caregivers (CGs) and older persons (OPs) across formal residential care settings.Methods: A scoping review of publications between January 2000 and December 2021 yielded 10,929 articles, and after removing duplicates and applying exclusion criteria, 36 articles were analysed.Results: Articles were scrutinised for interactions involving both CGs and OPs, using a thematic framework analysis to identify effective relational constructs. Four themes emerged: 1) Diverse perspectives on the same context: for OPs it is home, and for CGs, workplace. 2) CGs move for a one-up position and OPs submit to a one-down, or as friends. 3) Relational qualities have been mostly associated with CGs, confirming care as a unidirectional action 4). Relationships between CGs and OPs result either in effective or ineffective care outcomes.Conclusion: The dual meanings attached to the same context limit the authentic interactions between CGs and OPs. We propose a relational caregiving approach by considering the interactions of both CGs and OPs, changing the relational definition, and demonstrating effective relational qualities.
摘要本文旨在对正式寄宿护理环境中护理人员(CGs)与老年人(OPs)之间有效关系互动的构成要素进行范围界定:方法:对 2000 年 1 月至 2021 年 12 月间发表的 10929 篇文章进行了范围界定审查,在去除重复文章并应用排除标准后,对 36 篇文章进行了分析:采用主题框架分析法仔细研究了涉及保育员和业务官员的互动文章,以确定有效的关系构建。出现了四个主题:1)对同一环境的不同视角:对 OP 而言,环境是家,对 CG 而言,环境是工作场所。2) CG 为一上位置而行动,OP 则服从于一下位置,或作为朋友。3)关系特质主要与 CG 有关,这证实了关爱是一种单向行动 4)。4) CG 与 OP 之间的关系导致了有效或无效的护理结果:结论:同一语境下的双重含义限制了 CGs 和 OPs 之间的真实互动。我们提出了一种关系护理方法,即考虑 CG 和 OP 的互动,改变关系定义,并展示有效的关系品质。
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引用次数: 0
Systematic Review of Longitudinal Evidence and Methodologies for Research on Neighborhood Characteristics and Brain Health 关于邻里特征与脑健康研究的纵向证据和方法的系统回顾
IF 5.5 Q1 Nursing Pub Date : 2024-03-26 DOI: 10.3389/phrs.2024.1606677
Yvonne L Michael, A. Senerat, Channa Buxbaum, Ugonwa Ezeanyagu, Timothy M. Hughes, Kathleen M Hayden, Julia Langmuir, Lilah M. Besser, Brisa N. Sánchez, Jana A. Hirsch
Objective: Synthesize longitudinal research evaluating neighborhood environments and cognition to identify methodological approaches, findings, and gaps.Methods: Included studies evaluated associations between neighborhood and cognition longitudinally among adults >45 years (or mean age of 65 years) living in developed nations. We extracted data on sample characteristics, exposures, outcomes, methods, overall findings, and assessment of disparities.Results: Forty studies met our inclusion criteria. Most (65%) measured exposure only once and a majority focused on green space and/or blue space (water), neighborhood socioeconomic status, and recreation/physical activity facilities. Similarly, over half studied incident impairment, cognitive function or decline (70%), with one examining MRI (2.5%) or Alzheimer’s disease (7.5%). While most studies used repeated measures analysis to evaluate changes in the brain health outcome (51%), many studies did not account for any type of correlation within neighborhoods (35%). Less than half evaluated effect modification by race/ethnicity, socioeconomic status, and/or sex/gender. Evidence was mixed and dependent on exposure or outcome assessed.Conclusion: Although longitudinal research evaluating neighborhood and cognitive decline has expanded, gaps remain in types of exposures, outcomes, analytic approaches, and sample diversity.
目标:综合评估邻里环境和认知的纵向研究,确定研究方法和发现以及差距:综合评估邻里环境和认知能力的纵向研究,以确定方法、发现和差距:纳入的研究对居住在发达国家、年龄大于 45 岁(或平均年龄为 65 岁)的成年人的邻里关系与认知能力之间的关系进行了纵向评估。我们提取了有关样本特征、暴露、结果、方法、总体发现和差异评估的数据:结果:40 项研究符合我们的纳入标准。大多数研究(65%)只测量了一次暴露情况,而且大多数研究侧重于绿色空间和/或蓝色空间(水)、社区社会经济状况以及娱乐/体育活动设施。同样,半数以上的研究对事件损伤、认知功能或衰退进行了研究(70%),其中一项研究对核磁共振成像(2.5%)或阿尔茨海默病(7.5%)进行了研究。虽然大多数研究使用重复测量分析来评估脑健康结果的变化(51%),但许多研究并未考虑邻里间任何类型的相关性(35%)。只有不到一半的研究评估了种族/民族、社会经济地位和/或性别/性取向对效果的影响。证据参差不齐,且取决于所评估的暴露或结果:尽管评估邻里关系和认知能力下降的纵向研究有所扩大,但在暴露类型、结果、分析方法和样本多样性方面仍存在差距。
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引用次数: 0
Why Female Smokers Have Poorer Long-Term Health Outcomes than Male Smokers: The Role of Cigarette Smoking During Pregnancy. 为什么女性吸烟者的长期健康结果比男性吸烟者差?怀孕期间吸烟的作用。
IF 5.5 Q1 Nursing Pub Date : 2024-02-29 eCollection Date: 2024-01-01 DOI: 10.3389/phrs.2024.1605579
Li Yang, Yunchun Zhou, Mingyan Jiang, Wendy Wen, Yanfang Guo, Smita Pakhale, Shi Wu Wen

Objectives: Women's health status is better than men but the opposite is true for female smokers who usually have poorer long-health outcomes than male smokers. The objectives of this study were to thoroughly reviewed and analyzed relevant literature and to propose a hypothesis that may explain this paradox phenomenon. Methods: We conducted a search of literature from three English databases (EMBASE, MEDLINE, and Google Scholar) from inception to 13 November 2023. A combination of key words and/or subject headings in English was applied, including relevant terms for cigarette smoking, sex/gender, pregnancy, and health indicators. We then performed analysis of the searched literature. Results: Based on this review/analysis of literature, we proposed a hypothesis that may explain this paradox phenomenon: female smokers have worse long-term health outcomes than male smokers because some of them smoke during pregnancy, and the adverse effects of cigarette smoking during pregnancy is much stronger than cigarette smoking during non-pregnancy periods. Conclusion: Approval of our pregnancy-amplification theory could provide additional evidence on the adverse effect on women's long-term health outcomes for cigarette smoking during pregnancy.

目标:女性的健康状况优于男性,但女性吸烟者的健康状况却恰恰相反,她们的长期健康状况通常比男性吸烟者差。本研究的目的是全面回顾和分析相关文献,并提出可能解释这一悖论现象的假设。研究方法我们检索了三个英文数据库(EMBASE、MEDLINE 和 Google Scholar)中从开始到 2023 年 11 月 13 日的文献。我们使用了英文关键词和/或主题词组合,包括吸烟、性别、怀孕和健康指标等相关术语。然后,我们对检索到的文献进行了分析。结果:根据对文献的回顾/分析,我们提出了一个可以解释这一悖论现象的假设:女性吸烟者的长期健康结果比男性吸烟者差,因为其中一些人在怀孕期间吸烟,而怀孕期间吸烟的不良影响比非怀孕期间吸烟的不良影响要大得多。结论我们的妊娠放大理论可以为孕期吸烟对女性长期健康结果的不利影响提供更多证据。
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引用次数: 0
Statement of the ASPHER Task Force on War and Public Health on the Conflict in Israel/Palestine ASPHER 战争与公共卫生特别工作组关于以色列/巴勒斯坦冲突的声明
IF 5.5 Q1 Nursing Pub Date : 2024-02-23 DOI: 10.3389/phrs.2024.1607047
Oliver Razum, P. Barach, Tomasz Bochenek, Colette Cunningham, N. Davidovitch, Polychronis Kostoulas, Jutta Lindert, Henrique Lopes, Vladimir Prikazsky, John Reid, M. K. Tiljak, John Middleton
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引用次数: 0
Importance of Community Health Workers for Maternal Health Care Management. 社区保健员对孕产妇保健管理的重要性。
IF 5.5 Q1 Nursing Pub Date : 2024-02-22 eCollection Date: 2024-01-01 DOI: 10.3389/phrs.2024.1606803
Archana Gupta, Saba Khan

Objectives: Community Health Workers (CHWs) are important healthcare professionals and key members of team. The purpose of this research is to identify the roles and responsibilities of CHWs in developed and developing countries who provide healthcare assistance to pregnant and lactating women. Methods: For this particular study, a comparison was conducted between CHWs role in seven developed countries, seven South Asian developing countries, and India, with special emphasis on improving maternal health status. Results: CHW programs are essential in communities, institutional health programs, and outreach delivery systems. Without active community involvement, CHWs cannot reach their full potential. Developed countries have frameworks for CHWs, such as the Swasthya Shebika Program, Village Health Worker Cadret, Lady Health Worker Programme, and Accredited Social Health Activist program. CHWs are well-paid in developed nations and work with marginalized groups to spread health messages. However, up to 60% of community health workers in low- and lower-middle-income countries do not receive remuneration. Conclusion: Health systems must support CHWs in choosing technical interventions and providing necessary training, supervision, and logistical support.

目的:社区保健工作者(CHWs)是重要的医疗保健专业人员,也是团队的关键成员。本研究旨在确定发达国家和发展中国家为孕妇和哺乳期妇女提供医疗保健援助的社区保健员的角色和责任。研究方法:在这项特殊研究中,对七个发达国家、七个南亚发展中国家和印度的保健社工的角色进行了比较,重点是改善产妇的健康状况。研究结果社区保健员计划在社区、医疗机构计划和外展服务系统中至关重要。没有社区的积极参与,社区保健员就无法充分发挥其潜力。发达国家为社区保健员制定了各种框架,如 Swasthya Shebika 计划、乡村保健员干部计划、女保健员计划和经认可的社会保健活动家计划。在发达国家,社区保健员收入丰厚,他们与边缘化群体一起传播健康信息。然而,在低收入和中低收入国家,多达 60% 的社区保健员得不到报酬。结论:卫生系统必须支持社区保健员选择技术干预措施,并提供必要的培训、监督和后勤支持。
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引用次数: 0
Governance and Public Health Decision-Making During the COVID-19 Pandemic: A Scoping Review COVID-19 大流行期间的治理和公共卫生决策:范围审查
IF 5.5 Q1 Nursing Pub Date : 2024-02-16 DOI: 10.3389/phrs.2024.1606095
Sumegha Asthana, Sanjana Mukherjee, Alexandra L Phelan, C. Standley
Objective: We provide an in-depth understanding of how governance and decision-making during the COVID-19 pandemic has been empirically characterized in the literature to identify gaps in research and highlight areas that require further inquiry.Methods: We searched peer-reviewed publications using empirical data published between Jan 1, 2020 and Jan 31, 2022 in three electronic databases to examine the process of governance and decision-making during the COVID-19 pandemic. Two authors independently screened the records and 24 publications were extracted for the review.Results: Governance is analyzed by its level at national, sub-national, community and by its aspects of process, determinants and performance. While different methodological approaches are used, governance is conceptualized in four ways 1) characteristics and elements, 2) leadership, 3) application of power and 4) models or arrangements of governance.Conclusion: For future pandemic preparedness, there is a need for more empirical research using a unified conceptual approach to governance, which integrates decision-making processes and can guide governance structures and mechanisms across different countries and contexts. We call for more inclusivity in who performs the research on governance and where.
目的我们将深入了解文献中对 COVID-19 大流行期间的治理和决策是如何进行实证描述的,从而找出研究中的不足之处,并强调需要进一步探究的领域:我们使用 2020 年 1 月 1 日至 2022 年 1 月 31 日期间发表的经验数据在三个电子数据库中检索了同行评审出版物,以研究 COVID-19 大流行期间的治理和决策过程。两位作者对记录进行了独立筛选,并摘录了 24 篇出版物进行综述:结果:从国家、次国家和社区层面,以及治理过程、决定因素和绩效等方面对治理进行了分析。虽然采用了不同的方法,但治理的概念有四个方面:1)特征和要素;2)领导力;3)权力的应用;4)治理的模式或安排:对于未来的大流行病防备工作,需要使用统一的治理概念方法开展更多的实证研究,这种方法整合了决策过程,可以指导不同国家和背景下的治理结构和机制。我们呼吁在由谁来开展治理研究以及在何处开展治理研究方面更具包容性。
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引用次数: 0
Digital Intervention Services to Promote HIV Self-Testing and Linkage to Care Services: A Bibliometric and Content Analysis—Global Trends and Future Directions 促进艾滋病毒自我检测和护理服务链接的数字干预服务:文献计量与内容分析--全球趋势与未来方向
IF 5.5 Q1 Nursing Pub Date : 2024-02-16 DOI: 10.3389/phrs.2024.1606354
Frank Mhando, Marwa Nyankomo, Christa Hall, Kelia Olughu, M. Hlongwa, Samuel Janson, L. Idahosa, D. Conserve
Objective: The global burden of HIV remains a critical public health challenge, particularly in sub-Saharan Africa, home to over two-thirds of individuals living with HIV. HIV self-testing (HIVST) has emerged as a promising strategy endorsed by the World Health Organization to achieve UNAIDS targets. Despite its potential, challenges persist in linking self-testers to care post a positive result. Digital health interventions, including chatbots and mobile applications, offer innovative solutions to address this gap. However, a comprehensive bibliometric analysis of the collaboration and growth in the literature at the intersection of HIVST and digital interventions is lacking.Methods: The study employs a bibliometric approach, leveraging data from the Web of Science, to analyze the characteristics, citation pattern and content of 289 articles spanning 1992–2023. The analysis involves performance assessment, scientific collaboration analysis, science mapping, and content analysis. Key bibliometric indicators, such as annual growth rate, citation impact, and authorship patterns, are explored. Collaboration patterns among countries, institutions, and authors are elucidated, and thematic mapping provides insight into the key research themes.Results: The analysis reveals a dynamic and expanding field, with an annual scientific growth rate of 12.25%. Notable contributions come from diverse sources, including North America, Europe, and Africa. High-impact journals such as JMIR mHealth and uHealth play a crucial role in disseminating research findings. African authors, including Lebelonyane R, Ford N, and Lockman S, feature prominently, reflecting a positive trend in diverse authorship. Co-citation analysis highlights influential manuscripts, with systematic reviews dominating the top-cited articles. Collaboration analysis underscores strategic partnerships globally, particularly involving the United States, Australia, South Africa, and the United Kingdom.Conclusion: This bibliometrics analysis provides a comprehensive overview of the digital health landscape in HIVST and linkage to care. It identifies key contributors, high-impact journals, and collaborative networks. The thematic map reveals nuanced research domains, including alcohol dependence, men’s health, outcomes, and user acceptance. The findings offer insights for researchers, policymakers, and practitioners, guiding future directions in the evolving intersection of HIVST and digital health interventions.
目标:艾滋病毒给全球带来的负担仍然是一项严峻的公共卫生挑战,尤其是在撒哈拉以南非洲地区,那里有超过三分之二的艾滋病毒感染者。艾滋病毒自我检测(HIVST)已成为世界卫生组织为实现联合国艾滋病规划署(UNAIDS)目标而认可的一项大有可为的战略。尽管这种方法很有潜力,但在检测结果呈阳性后,如何将自我检测者与护理联系起来仍是一项挑战。包括聊天机器人和移动应用程序在内的数字健康干预为解决这一问题提供了创新解决方案。然而,目前还缺乏对 HIVST 与数字干预交叉领域文献合作与增长情况的全面文献计量分析:本研究采用文献计量学方法,利用 "科学网"(Web of Science)的数据,分析了 1992-2023 年间 289 篇文章的特点、引用模式和内容。分析涉及绩效评估、科学合作分析、科学绘图和内容分析。其中探讨了一些关键的文献计量指标,例如年增长率、引文影响力和作者模式。对国家、机构和作者之间的合作模式进行了阐释,并通过主题图谱对关键研究主题进行了深入分析:结果:分析表明,该领域充满活力,不断扩展,年科学增长率为 12.25%。显著的贡献来自不同的来源,包括北美、欧洲和非洲。JMIR mHealth 和 uHealth 等高影响力期刊在传播研究成果方面发挥了重要作用。包括 Lebelonyane R、Ford N 和 Lockman S 在内的非洲作者在其中占有突出地位,反映了作者多元化的积极趋势。联合引用分析突出了有影响力的稿件,其中系统综述占据了被引用次数最多的文章。合作分析强调了全球战略合作伙伴关系,尤其是美国、澳大利亚、南非和英国:这项文献计量学分析全面概述了艾滋病毒检测和护理联系方面的数字健康状况。它确定了主要贡献者、高影响力期刊和合作网络。主题图揭示了细微的研究领域,包括酒精依赖、男性健康、结果和用户接受度。研究结果为研究人员、政策制定者和从业人员提供了真知灼见,为 HIVST 和数字健康干预不断发展的交叉领域指引了未来的方向。
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引用次数: 1
Giving Bad Science the Stamp of Approval: Policy and Legal Consequences of a Vaccine Scare in Italy 给错误的科学盖章:意大利疫苗恐慌的政策和法律后果
IF 5.5 Q1 Nursing Pub Date : 2024-02-14 DOI: 10.3389/phrs.2024.1606756
M. Rizzi, Katie Attwell
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引用次数: 0
Giving Bad Science the Stamp of Approval: Policy and Legal Consequences of a Vaccine Scare in Italy 给错误的科学盖章:意大利疫苗恐慌的政策和法律后果
IF 5.5 Q1 Nursing Pub Date : 2024-02-14 DOI: 10.3389/phrs.2024.1606756
M. Rizzi, Katie Attwell
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引用次数: 0
A Scoping Review on the Opportunities for Social Engagement and Cognitive Frailty in Older Adults 关于老年人社会参与机会和认知能力衰弱的范围界定研究
IF 5.5 Q1 Nursing Pub Date : 2024-02-08 DOI: 10.3389/phrs.2024.1606494
Sally Fowler Davis, Charlotte Benkowitz, Carol Holland, Alan Gow, Charlotte Clarke
Cognitive frailty (CF) is defined as the clinical syndrome of the combination of physical frailty and cognitive impairment, without dementia. Numerous risk factors for CF have been previously identified but this scoping review focusses on the critical need for social engagement and the association with cognition. The focus of this scoping review on the opportunity for social engagement rather than on perception or experience of loneliness. Based on the results of 55 studies were synthesised into four social engagement categories, namely participation, household, network, and habitat. Social engagement is associated with maintaining or improving cognition, particularly through active participation in social roles. Habitat (i.e., rural or urban settings) also influences cognition and the challenge is to enable social participation.
认知功能虚弱(Cognitive frailty,CF)被定义为身体虚弱与认知功能障碍(无痴呆症)并存的临床综合征。此前已发现了许多导致认知功能衰弱的风险因素,但本范围界定综述侧重于社会参与的关键需求以及与认知功能的关联。本范围界定综述的重点是社会参与的机会,而不是对孤独的感知或体验。根据 55 项研究的结果,我们将其归纳为四个社会参与类别,即参与、家庭、网络和栖息地。社会参与与维持或改善认知有关,特别是通过积极参与社会角色。栖息地(即农村或城市环境)也会影响认知,挑战在于如何实现社会参与。
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引用次数: 0
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PUBLIC HEALTH REVIEWS
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