Public Health Nursing最新文献

Background: Modern societies are seeing a steady rise in individuals living alone. This study examines the impact of dietary habits, physical activity, and perceived health status on the health-related quality of life (QoL) of adults aged 40 and older with chronic diseases, comparing living-alone households to multi-person households.

Methods: Data from the 2022 Korean Community Health Survey, including 65,861 respondents, were analyzed. The analysis utilized the Rao-Scott χ² test, independent t-test, and multiple logistic regression with a complex sample design to assess differences in variables affecting QoL by household type.

Results: Individuals living alone were more likely to be female, older, less educated, economically inactive, divorced or separated, and have lower household incomes compared to those in multi-person households. Physical activity, perceived health status, and QoL were higher in multi-person households. Although all variables influenced QoL in multi-person households, nutritional labeling awareness and frequency of physical activity showed no significant association with QoL in living-alone households.

Conclusion: Living-alone households with chronic diseases face notable demographic disparities. Additional research is needed to understand why nutritional labeling awareness and physical activity frequency do not significantly affect QoL in this group. The influence of mental health warrants further investigation to guide targeted interventions.

Objective: Preference for outdoor and indoor exercises is essential when choosing a place to exercise. This study compared adults' healthy lifestyle behaviors and life satisfaction according to physical activity location preferences.

Subject and methods: The study is conducted using a cross-sectional design between May and October 2023, with visitors to a gym (n = 270). The study sample included participants in the activities of two outdoor sports groups and two gyms operating.

Study: The questionnaire for data collection consists of demographic characteristics, Health Promotion Lifestyle Profile (HPLP), Life Satisfaction Scale (SLS), Three-Factor Eating Questionnaire-R (TFEQ). Percentage, mean, standard deviation, t-test, ANOVA posthoc analysis, and Chi-square tests were used to analyze the data.

Results: The mean age of the participants was 25.87 ± 8.59 years. The rate of people doing indoor activity is 67.4%. The rate of those who prefer outdoor exercise is 87.8%. Many parameters were significant for indoor and outdoor exercisers compared to those in a single location (p < 0.05).

Conclusion: Healthy lifestyle behaviors are better for those who prefer both locations for exercise. A fuller picture of this study is that balance is important for the preference of outdoor and indoor exercises. Individuals should be encouraged to exercise outdoors and indoors.

Background: The World Health Organization (WHO) emphasizes the critical need to enhance disaster preparedness among nurses and nursing students due to concerns over their current levels of competency in disaster management.

Objective: This study aimed to investigate the influence of demographic characteristics, disaster-related experience, and attitudes toward disasters on the disaster preparedness of nursing students.

Design: A descriptive correlational design was employed to examine the relationships between selected variables and disaster preparedness.

Methods: A total of 235 nursing students participated in the study, selected through cluster sampling. Data were collected using Google Forms, incorporating demographic questions and three validated scales: Adapted Disaster Preparedness Evaluation Tool (DPET), Adapted Measurement of the Severity of Disaster Experience, and Adapted Attitudes toward Disaster Management Scale. Statistical analyses included descriptive statistics and Pearson Correlation Coefficient using SPSS Version 23.0.

Results: The findings revealed statistically insignificant correlations between disaster preparedness and several demographic variables, namely: year level (r = -0.069, p = 0.292), monthly household income (r = 0.004, p = 0.957), and type of housing (r = 0.106, p = 0.104), and NSTP component taken (r = -0.015, p = 0.822). Additionally, disaster attitude (r = 0.091, p = 0.163) was not significantly associated with disaster preparedness among nursing students. However, disaster experience showed a significant relationship with disaster preparedness (r = 0.979, p = 0.001). This finding highlights the critical role of firsthand disaster exposure in shaping students' readiness to respond effectively to emergencies which suggests that experiential learning opportunities, such as disaster simulations or active participation in disaster response efforts, may be more effective in enhancing preparedness than demographic factors or classroom-based training alone.

Conclusion: The authors concluded that demographic factors and attitudes towards disasters were not significantly associated with disaster preparedness among nursing students. However, the findings revealed a positive relationship between previous disaster experiences and disaster preparedness of the participants, suggesting that firsthand exposure to disasters enhances preparedness. Future research should explore additional factors through qualitative and longitudinal approaches. Targeted educational interventions are recommended to address specific gaps identified in this study.

Introduction: Recent health crises, like COVID-19, have increased the need for nurses with public health competencies, but students lack knowledge and are unconvinced of the importance of the field.

Methods: Pre-licensure nursing students (n = 341) engaged with a public health simulation-infused program (PHSIP) that scaffolded throughout the curriculum. Public health knowledge was tested pre- and post-simulation-based education (SBE), and the simulation effectiveness tool-modified (SET-M) was used to evaluate Learners' perception of the SBE experience.

Results: Learners' overall mean SET-M scores were 47.1/57 (83%), ranging from 49.5 to 54 out of 57. Post-test knowledge scores were found to be significantly higher than pre-test (p < 0.001), with an average overall mean knowledge score of 70% (±0.25) and an effect size of 0.82.

Discussion: Scaffolding public health SBEs across the curriculum allowed continuous exposure to public health content. Lessons learned include the need to chunk pre-SBE training to prevent cognitive overload, and the time and resources needed to create a PHSIP.

Conclusion: Nursing educators should embrace the PHSIP curriculum to provide an opportunity for students to gain an appreciation for the field and gain the knowledge, skills, and resources needed to care for the public's health.

Background: Grasping the nuanced needs of older adults is paramount for the efficacious provision of day-care services. Our study sought to identify the demand patterns for day-care services in China and to explore the underlying factors. This study aims to offer useful evidence that can refine nursing care strategies and guide policy development within day-care settings.

Methods: We implemented a comprehensive electronic survey comprising 46 questions targeting older adults across nine day-care centers in Nanjing, China. Employing latent profile analysis (LPA), we systematically examined and categorized the demand characteristics for day-care services. This analysis was conducted using Mplus version 8.3 and SPSS version 26.0 software, ensuring a rigorous and precise methodological approach.

Results: Our study involved a comprehensive survey of 1016 older adults. The participants were categorized into three groups based on their demand for day-care services: high demand (n = 127), medium demand (n = 197), and low demand (n = 692). The low-demand group exhibited higher levels of social support and better activities of daily living (ADL) scores compared to their counterparts. Multivariate regression analysis indicated that older adults characterized by male gender, advanced age, higher levels of education, receipt of support from a child, presence of chronic diseases, and lower social support and ADL scores exhibited a statistically significant inclination towards moderate to high demand for day-care services (p < 0.05).

Conclusion: The demand for day-care services for older adults in China is intricately influenced by a complex array of interrelated factors. Tailoring service offerings to meet the varied physical and emotional needs of older adults is essential, with a particular focus on health and wellness management in day-care centers.

Objective: This study explores the influence of social network structures on self-management behaviors among older adults with diabetes in rural Korean villages, focusing on dietary management, physical activity, and blood glucose monitoring.

Design: Employing social network analysis (SNA), the study assessed network structures in three villages, focusing on variations in degree, closeness, and betweenness centralities to understand their impact on health behavior dissemination and adoption.

Results: The analysis identified significant differences in network configurations across the villages. Village C, characterized by the highest closeness centrality, facilitated the efficient diffusion of health-related information, thereby promoting the rapid adoption of self-management behaviors. In contrast, Village B exhibited a prominent central node with considerable influence, underscoring its potential as a strategic focal point for targeted health interventions.

Conclusion: Social network analysis is useful for identifying influential nodes within community structures to enhance chronic disease management strategies. By tailoring interventions to the unique attributes of a community's network, significant improvements in diabetes self-care efficacy can be achieved. This approach presents a scalable and sustainable framework for community-oriented health interventions. It provides a foundation for further research into the structural and functional dynamics of diabetes self-management networks.

Background: Climate change is the most important problem that threatens the health of individuals, public health, and health systems on a global scale. The International Council of Nurses emphasizes that nurses should strive to reduce the effects of climate change and help individuals and systems adapt. In addition, it is stated that climate change should be integrated into nursing education curricula and nursing students, who are future healthcare providers, should be prepared to reduce the effects of climate change and promote a healthier environment.

Aim: The aim of this study is to examine the effect of the Climate Change and Health course on global warming knowledge and attitude, environmental literacy, and eco-anxiety levels in nursing students.

Design and methods: In this study, a pretest-posttest comparative quasi-experimental design type was used. The research was conducted with 117 students taking the "Climate Change and Health" course added to the curriculum at the Nursing Department of a private university in Istanbul between February 2023 and June 2023. Data were collected before and after the intervention using the Descriptive Characteristics Form, Global Warming Knowledge Questionnaire, Global Warming Attitude Scale, Environmental Literacy Scale for Adults, and Eco-Anxiety Scale.

Results: After taking the Climate Change and Health course, nursing students' global warming knowledge and attitude total scores increased, and a statistically significant increase was detected in the eco anxiety total and behavioral symptoms subscale mean scores. There was no statistically significant change in the Environmental Literacy Scale total and subscale mean scores.

Conclusions: It can be stated that the Climate Change and Health course positively improved nursing students' knowledge and attitudes toward global warming and increased their sensitivity about climate change. Nurses, who constitute the most important part of the healthcare workforce worldwide, have an important role in creating a healthy and safe environment and in combating the effects of global warming and climate change. For this reason, in order to train knowledgeable and equipped health professionals on this subject, it is recommended that courses on the effects of climate change, adaptation, and coping with it be added to the nursing curriculum and integrated into all subjects every year to ensure continuity.

Objectives: This study aimed to assess the levels and determinants of health-promoting behaviors (HPBs) and their correlations between HPBs, anxiety, depression, and social support among nursing students.

Design and methods: A cross-sectional, correlational study was performed from March to June 2024 with 268 nursing students in the College of Nursing at the University of Hail using a self-structured questionnaire. Data were analyzed using t-test, one-way analysis of variance, Pearson's correlation, and multiple stepwise regression.

Results: The mean score of nursing students on the HPLP-II scale was 2.60 ± 0.47 overall, with the spiritual growth subscale scoring the highest (3.05 ± 056) and physical activity scoring the lowest (2.25 ± 0.75). More than a quarter of the students were classified into the borderline range for anxiety (28.4%) and depression (26.9%). In comparison, 19.4% and 16% of the students experienced anxiety and depression, respectively. There were significant weak negative correlations between the HPBs and anxiety (r = -0.396; p < 0.001) and between social support and anxiety (r = -0.335; p < 0.001). Likewise, there were significant weak negative correlations between HPBs and depression (r = -0.343; p < 0.001) and between social support and depression (r = -0.313; p < 0.001). In contrast, significant weak positive correlations were observed between HPBs and social support (r = 0.354; p < 0.001) and between anxiety and depression (r = 0.380; p < 0.001). Multiple linear regression analysis of factors affecting HPBs, anxiety, depression, and social support showed that the model was significant for all (p = 0.026, p = 0.005, p < 0.001, p = 0.003, respectively).

Conclusion: Although students reported a satisfactory level of HPBs, especially for spiritual growth and social relations, nutrition and physical activity require attention. The presence of anxiety and depression affected a substantial proportion of the students, especially those from lower socioeconomic status, and studying in the early years of the study. Family income, occupation, and education level have been reported to have a significant impact on health outcomes.

Objectives: Develop a primary health care-based nurse-led culturally tailored hypertension self-care intervention for rural residents.

Design: The culturally tailored hypertension self-care intervention was developed using a six-step intervention mapping approach that involved: needs assessment using literature review and interviews; setting program goals using integrated thematic synthesis method; selecting intervention modules through the process dimension of the self-care theory of chronic illness; producing program components and materials by developing intervention modules using the motivational interviewing and behavior change techniques; planning program adoption by encouraging sustainable behavior; and evaluation using the education content validity index in health and the intervention acceptability, appropriateness, and feasibility scale.

Measurements: Education content validity index in health and the intervention acceptability, appropriateness, and feasibility scale.

Intervention: The culturally tailored hypertension self-care intervention modules included health literacy, adherence to therapy, continuous monitoring, reduction of the modifiable risk factors of hypertension; self-care management strategies, and strategies for sustaining behavior.

Results: The culturally tailored hypertension self-care intervention addresses community-based facilitators and barriers to self-care behavior and ultimately blood pressure control as described in the process dimension of the self-care theory of chronic illness.

Conclusion: This culturally tailored hypertension self-care intervention is to be implemented by nurses working in primary health care settings in Ghana where they have direct access to and daily interaction with patients with uncontrolled hypertension.

Introduction: It is crucial to understand the effects that traumatic events related to natural disasters have on individuals in as much detail as possible. However, the literature investigating the traumatic life experiences of nurses, who play a key role in disaster management, is still limited.

Objective: The aim of this study was to explore in depth the traumatic life experiences of volunteer nurses who participated in relief efforts after two major earthquakes in the southeastern region of Türkiye.

Methods: This qualitative study was conducted using a phenomenological design. The study sample consisted of 16 nurses selected by the purposive and snowball sampling methods. The data were evaluated using interpretative phenomenological analysis in the Maxqda 2020 program.

Results: Four themes were generated: (1) shocking facts, (2) coping methods, (3) traumatic stress reactions, and (4) traumatic growth.

Conclusion: While traumatic life experiences in the earthquake area led to acute stress reactions in the volunteer nurses, these experiences also contributed to their traumatic growth and development. Healthcare managers and policymakers should develop comprehensive strategies and intervention programs to safeguard the mental health of nurses in the context of natural disasters. It may also be useful to improve clinical education programs and support systems by reviewing international policies and procedures.