Public Health Nursing最新文献

Aim: The aim of this study is to examine the disaster management experiences and psychosocial problems of individuals who survived the earthquake in Turkey during the earthquake of the century.

Materials and methods: A qualitative research design, phenomenological research, was applied in this study. This qualitative study included 33 volunteer earthquake survivors. The interviews were conducted using WhatsApp. Colaizzi's phenomenological analysis method was used to analyze the data.

Results: In the analysis of the data, five themes (perception of the earthquake concept, things to do during an earthquake, actions taken to survive under the rubble, meeting everyday chores and dealing with post-earthquake challenges, perceptions of disaster management), and fifteensubthemes (features of the earthquake, emotions, thoughts, correct actions, incorrect actions, actions for the body, situation-oriented actions, housing, nutrition, hygiene, sleep, security, preparation, coping, and intervention) were identified.

Conclusion: The study showed that the earthquake negatively affected individuals psychosocially, but the effective spiritual coping mechanisms utilized to cope with the catastrophic event under the rubble supported the survival process. In addition, it was determined that the participants believed that religion and spirituality were important in coping with the earthquake.

Objective: This study examined the influence of nutrition literacy and neighborhood on diet quality within the Mexican-origin population residing in the United States, addressing a gap in existing literature that lacks focus on specific Latinx subgroups.

Design: This study used a descriptive, correlational design to examine the relationships between nutrition literacy, neighborhood ranking, and diet quality.

Sample: A total of 130 Mexican origin participants living in the United States completed all components of this study.

Measurements: Participants completed demographics, the Nutrition Literacy Assessment Instrument (NLit), Area Deprivation Index (ADI), and Diet History Questionnaire III (DHQ3).

Results: Compared to the national average of 59, participants' average score was 63.16. When examining subgroups of diet quality, participants scored poorly compared to the national average for saturated fats, seafood, and plant proteins. Nutrition literacy was a predictor of total protein foods, seafood, and plant proteins, while the ADI was a predictor of increased refined grains score.

Conclusion: The present study provides insights about the influencing factors of diet quality in this population. Given the essential role diet has in shaping health outcomes and preventing chronic illness, addressing dietary subgroups within the Latinx population is critical to accurately informing nursing interventions and patient education.

Objective: To identify the determinants of cervical cancer (CC) screening among underserved rural women in Zimbabwe.

Design: Community-based cross-sectional survey.

Sample: 840 rural women (25-65 years).

Measurements: A structured, pretested questionnaire was used to collect data on sociodemographic characteristics and factors influencing screening. The outcome was defined as self-reported ever screening for CC. Multivariable logistic regression was used to examine the association between CC screening and independent variables.

Results: Of the 840 women included, 33% had a history of screening. Women 25-45 years (adjusted odds ratio (aOR): 0.43; 95% CI: 0.30-0.61) and without medical insurance (aOR: 0.66; 95% CI: 0.45-0.97) had reduced odds of CC screening. Conversely, women who had seen or heard messages on CC screening (aOR: 1.48; 95% CI: 1.03-2.13), were living with HIV (aOR: 1.87; 95% CI: 1.22-2.87) reported recent antibiotic use (aOR: 4.50; 95% CI: 1.47-13.79) and had malaria in the last 6 months (aOR: 2.45; 95% CI: 1.02-5.86) had increased odds of CC screening.

Conclusion: There is a need for intensified efforts to improve CC screening uptake, particularly in underserved rural areas with suboptimal screening rates and high CC burden. Strategies should include widespread tailored awareness messaging targeting younger women, women living with HIV, and women without medical insurance.

Background: The integrated care for older people (ICOPE) program, developed by the World Health Organization, serves as a public health initiative to maintain older adults' functional abilities and promote healthier aging. Here, we adapted the ICOPE approach to assess overall prevalence of frailty in rural and semi-urban areas. We also investigated health-related quality of life and physical activity and sedentary behavior in older people.

Methods: The FRAGING multicenter cohort study was performed on screening days dedicated to older adults (≥65 years) without chronic disease in a rural area (RU) and in a semi-urban area (SU).

Results: The study included a total of 105 participants: 98.4% of participants were frail, with a mean of 4.3 [SD: 2.5] frailties per participant. RU participants had higher number of frailties (p = 0.02) and a higher percentage of frail participants in the dimensions of health-related quality of life (p < 0.0001), socioeconomical level (p = 0.008), colorectal cancer screening (p = 0.022), and tetanus booster doses (p = 0.008). Globally, women were less sedentary than men (p = 0.02) and engaged more in low physical activity (LPA) than men (p = 0.01). RU participants engaged more in LPA than SU participants (p = 0.03).

Conclusions: The prevalence of frailty is alarmingly underestimated in older adults without chronic disease. This study demonstrated the need to propose appropriate, validated screening tests that consider territorial issues and organization of care delivery. The ICOPE framework serves as a good startpoint for reorganizing person-centered healthcare pathways.

Background: This study seeks to thoroughly investigate the generation mechanism of the integrated management pathway for comorbidities, as well as its implementation and execution in practical settings. The findings aim to offer insights for the development of an integrated mechanism for comorbidity services.

Method: The collected raw data was coded and analyzed in depth by utilizing grounded theory as the research methodology, in conjunction with NVivo 14.0 software for qualitative analysis, and by adhering to domestic and international guidelines and consensus on comorbidity management.

Result: Following the three-level coding process, a total of 49 initial categories, 14 main categories, and 4 core categories (supply-type, demand-type, collaboration-type, and environment-type) were identified. Subsequently, a four-dimensional comprehensive comorbidities management pathway model, referred to as the "Derivative driving force-management pathway-main body network-operation mechanism," was developed.

Conclusion: The model integrates the four paths of supply-type, demand-type, collaboration-type, and environment-type with the derived dynamics, subject network, and operation mechanism of comorbidities management. This not only enhances the comprehensiveness and continuity of comorbidities management but also establishes clear direction and evaluation indices for future empirical research.

Aim: Assessment of children's communicable disease status is effective in preventing child morbidity. This study aims to evaluate the infectious disease status of children aged 0-14 in Türkiye.

Methods: The research is a cross-sectional study conducted using the microdataset of the "Türkiye Health Survey 2022" obtained from the Turkish Statistical Institute. Seven thousand nineteen individuals aged 0-14 were included in the analysis. Data on communicable diseases of children aged 0-14 years in the 6-month period before the survey date was obtained by asking the household head.

Results: In our research, the data of 7019 individuals aged 0-14 was evaluated. It was determined that 2.2% of children had a vaccine-preventable infectious disease in the last 6 months. It was observed that the frequency of upper respiratory tract infection, lower respiratory tract infection, urinary tract infection, and diarrhea in children was higher in the 0-6 age group than in the 7-14 age group. Urinary tract infections were more common in girls, whereas respiratory tract infections, communicable diseases, and diarrhea were more common in boys.

Conclusion: It was determined that diarrhea and upper respiratory tract infections occur in approximately one out of every three children in the 0-6 age group.

Aim: To identify factors protecting and hindering the well-being of critical care nurses during the COVID-19 pandemic.

Background: The unique work challenges of critical care nurses can undermine their professional and mental well-being; as evidenced by the prevailing literature on burnout, compassion fatigue, and moral distress. The COVID-19 pandemic has seen these professionals on the front lines and has raised many questions about professional well-being. Identifying the factors that protect and hinder the well-being of critical care nurses would help to develop the strategies necessary to reduce worrying phenomena associated with professional malaise.

Evaluation: A systematic review was conducted using electronic databases including PubMed, CINAHL, Scopus, Cochrane, PsycINFO, and Web on Science.

Key issues: After full text analysis, 25 papers were included in the current systematic review. Factors influencing the well-being of critical care nurses have been grouped into "Protective" and "Hindering."

Conclusions: This review shows that critical care nurses' well-being is influenced by factors like personal resilience and supportive work environments, which enhance their experience. Challenges include sociodemographic issues and the COVID-19 pandemic's impact. Addressing these factors is crucial for their well-being and the effectiveness of healthcare systems.

Implications for clinical practice: The well-being of nurses is intricately linked to the quality and security of patient care, ultimately influencing clinical outcomes. This review delves deeply into the multifaceted factors that affect the professional well-being of critical care nurses during the COVID-19 pandemic. Recognizing these elements is critical for directing health policy toward the development of initiatives that bolster healthcare workers' welfare. Prioritizing the professional well-being of nurses is imperative, as it is fundamental in mitigating the increasing inclination towards job turnover, a challenge that is profoundly impacting the healthcare sector.

Objective: To assess the effect of newborn care education programs on mothers' self-confidence, care knowledge, and exclusive breastfeeding behavior and anxiety.

Methods: We searched for intervention studies comparing newborn care education programs versus standard care for mothers in five comprehensive databases (July 2024). The risk of bias was assessed using the Cochrane Collaboration Risk of Bias Tool. The R software version 4.2.2 software was used to perform the meta-analysis on mothers' self-confidence, care knowledge, exclusive breastfeeding behavior, and anxiety, and the GRADE approach was used to evaluate the certainty of evidence.

Results: Twenty trials involving 6136 mothers were included. The results of meta-analysis revealed that newborn care education program improved mothers' confidence scores (SMD = 1.25, 95% CI: [0.22, 2.28], p < 0.05), care knowledge level scores (SMD = 1.05, 95% CI: [-0.00, 2.09], p < 0.05), the frequency of exclusive breastfeeding (RR = 1.15, 95% CI: [1.10, 1.20], p < 0.05), and significantly decreased anxiety scores (SMD = -0.40, 95% CI: [-0.73, -0.07], p < 0.05) than standard care programs.

Conclusion: Our evidence supports the benefits of newborn care education programs in improving mothers' self-confidence, care knowledge, exclusive breastfeeding behavior (optimal duration of more than 6 months), and reducing anxiety. Newborn care education program is beneficial to mothers both in behaviors and psychology state of taking care of newborn. It is recommended conducting more well-designed intervention with large samples to verify current findings.