Public Health Nursing最新文献

Objectives: Characteristics and perceived impact of the COVID-19 pandemic on the health of governmental public health nurses were compared to all registered nurses.

Design: Cross-sectional descriptive design using data from the 2022 Wisconsin RN Workforce Survey.

Sample: The sample included 87,100 registered nurses, including 1350 governmental public health nurses.

Measurements: The online survey was administered during February 2022. Responses to "Working as a nurse" and "Primary place of work" were used to classify governmental public health nurses. Data elements included demographics, employment, income, education, specialized knowledge, certifications, and COVID-19 pandemic measures.

Results: Compared to all registered nurses, governmental public health nurses reported older age, greater race/ethnic diversity, and higher frequency of the baccalaureate as the highest degree. Most governmental public health nurses reported no plans for additional education. Income for governmental public health nurses lagged income for all registered nurses. The proportion of governmental public health nurses intending to remain in their present type of work for fewer than 10 years was higher than for all registered nurses, as was the proportion of governmental public health nurses who rated their overall health as "worse or much worse" than before the pandemic.

Conclusion: This analysis raises concerns about the size and preparation of the governmental public health nurse workforce given ongoing population health disparities and future health threats.

Aim: The primary aim of the study was to explore the impact of women's climate change awareness on fertility desire, while the secondary aim was to explore the factors influencing women's fertility desire.

Material and methods: The study was performed descriptive and correlational type with 440 women without children between March and October 2023. The women's characteristics form and Fertility Desire Scale and Climate Change Awareness Scale were used for data collection.

Results: The mean age of the women was 26.2 ± 4 years, with 55.2% aged 26 or younger; 54.3% held university degrees, and 93% had health insurance. Findings indicate a significant mean total score of 50.7 ± 7.6 on the Fertility Desire Scale, influenced by education, health insurance, income level, marital duration, and type of marriage. Women with higher education levels and those in couple-initiated marriages reported lower fertility desire. The Climate Change Awareness Scale showed a mean score of 210.8 ± 23.2, with higher awareness among those over 26, employed, and with higher education. Multiple linear regression analysis revealed significant predictors of fertility desire, including marital duration and income level. Notably, climate change awareness negatively correlated with fertility desire, explaining 3.1% of the variance.

Conclusions: These findings highlight the complex interplay between environmental concerns and reproductive intentions among women, indicating a need for further research in this area.

Background: The global population is undergoing rapid aging, resulting in a significant increase in scientific publications addressing diseases and health challenges in the elderly population.

Methods: A literature search for publications on diseases in the elderly population was conducted using PubMed, Web of Science Core Collection, and Embase from January 1, 2000, to January 1, 2024. Bibliometric and visualization analyses were performed using VOSviewer software.

Results: A total of 16,862 publications were retrieved, with a notable increase in publication output after 2016. The United States led in both publication numbers (n = 6502, 38.56%) and citations (342,586), underscoring its substantial contribution to this field. Influential institutions such as the University of Pittsburgh and Karolinska Institute played key roles. Keywords analysis identified 631 meaningful topics, classified into five clusters, with research hotspots focusing on cardiovascular diseases, dementia, frailty, and quality of life. Emerging keywords in public health and nursing, such as "mild cognitive impairment," "multimorbidity," and "frailty," have been frequently highlighted in recent studies, indicating critical priorities for future research in elderly care.

Conclusions: This study provides a comprehensive bibliometric and visualization analysis of global research trends on diseases in the elderly population. It highlights key research areas and offers valuable insights to guide future directions in public health and nursing strategies, emphasizing the importance of interdisciplinary approaches to address aging-related challenges.

Objective: To explore the facilitators and barriers to standardized hypertension management in community health centers (CHCs) as perceived by service providers (community doctors and nurses) and recipients (elderly patients with hypertension and their caregivers).

Methods: This qualitative study consisted of two parts: Study 1 involved service providers, while Study 2 involved service recipients. Both studies utilized interview guides based on the tailored implementation for chronic disease (TICD) framework. Data were collected in Changsha, China, from July to September 2022, and analyzed using Directed Content Analysis.

Results: Study 1 involved 16 participants, and Study 2 included 37 participants. Both service providers and recipients identified facilitators and barriers to standardized community hypertension management for older adults across seven domains of the TICD framework and three levels (initiators, service providers, and service recipients, along with their interconnections). The prominent facilitators and barriers were perceived differently by service providers and recipients, who also noted both common and differing influencing factors.

Conclusion: These facilitators and barriers underscore the complex and multidimensional nature of hypertension management. The findings can assist primary healthcare institutions in optimizing nursing practices. Through the collaborative efforts of initiators, service providers, and recipients, the effective implementation of standardized hypertension management can be enhanced.

Objective: The aim of this study was to evaluate the peer-supported e-health module implemented for university students to gain healthy lifestyle behaviors.

Design: The study was planned in a quasi-experimental research design. The study participants were 81 university students. The peer-supported e-health module was applied to all students in the sample. The "Introductory Information Form," "Healthy Lifestyle Behaviors Scale II," and "Peer Mentoring Assessing Scale" were used as data collection instruments. Data analysis was performed using SPSS 22.00. Descriptive statistics, percentage and frequency distributions, the one-way repeated measures ANOVA, and Wilks' Lambda test were used in the study.

Results: Of the students who participated in the study, 91.4% had not received training similar to the e-health module, and 82.7% had not received peer-supported training previously. The total scores of the Healthy Lifestyle Behaviors Scale II were 127.06 ± 18.48 at the pre-test and 149.69 ± 20.85 at the post-test, and there was a significant difference between the scores (p < 0.001). The e-health module increased students' scores by 56.7% with a significant and greater effect (η² = 0.567). The total score of the scale on assessing peer mentoring of the students after the module was 56.79 ± 10.45.

Conclusions: It was observed that the peer supported e-health module supported students' healthy lifestyle behaviors and was an effective module. To raise awareness about sustainable health approaches, it is recommended to increase similar training programs in which students are more involved in the process.

Objective: Health-seeking behavior related to the utilization of health services has experienced exceptionally noteworthy changes after the COVID-19 pandemic. That is telemedicine, which has become more commonplace amid lockdowns. The pandemic status has ended today, but since telemedicine utilization has numerous benefits, the innovation must stay accessible. This systematic review aimed to describe telemedicine utilization and which factors could become enablers and barriers.

Design: The literature search for the review was conducted in November 2024. The articles reviewed were published in 2019-2024 and selected from Science Direct, Springer, ProQuest, and EBSCOhost databases.

Results: The articles were research articles and used qualitative methods. Based on search results, screening process, and review articles, we describe enabling factors and barriers of telemedicine utilization through users' (patients) and providers' (health practitioners) points of view. We also define infrastructures, such as smart city development, that contribute to the development of telemedicine.

Conclusions: Future research into people's perception of telemedicine, developing telemedicine technology, and finding alternatives to getting electricity and internet connection with a low budget will promote telemedicine utilization.

Introduction: Much primary prevention in public health dentistry depends on parents' having accurate knowledge about pediatric oral health. In areas with minimal education levels and few oral health professionals, information on this topic is available from the widespread use of the social medial resource YouTube. This study assessed the quality and viewer engagement of YouTube Arabic videos on pediatric oral health practices.

Methods: Using standard procedures to search YouTube, we identified Arabic-language pediatric oral health videos. A social media content analysis was conducted and videos analyzed for viewer engagement metrics, country of origin, and creator occupation. The DISCERN instrument was used to evaluate video quality, reliability, and information quality; statistical correlations were examined between these parameters and video statistics.

Results: A majority of the 47 videos that were identified originated from Egypt and were created by pediatric dentists, attracting an average of 13,328.7 views and 218.7 likes. Quality assessment found 61.7% of videos with moderate quality; 63.8% had only medium levels of reliability (63.8%) and 63.8% medium information quality (63.8%); only a minor segment achieving high reliability and information quality. Correlation analysis revealed a positive but weak association between DISCERN scores and viewer engagement metrics (e.g., likes, comments, views), suggesting that while better quality videos tend to engage more viewers, other factors also contribute to engagement. Additionally, a stronger correlation was noted between the overall quality of videos and both information quality and reliability, indicating that videos with higher-quality content were perceived as more reliable and informative by viewers.

Conclusion: While a significant volume of pediatric oral health content is available online, variability in quality highlights the need for stringent evidence-based standards to ensure the provision of reliable, quality educational materials.

In the past two decades, disasters have directly affected the lives of nearly 1.23 million people. Asia is the most affected region in the world by all types of disasters, such as war and natural disasters, accounting for 44% of all disasters, 58% of total deaths, and 70% of all victims. Iran has remained one of the most heavily impacted countries by various disasters. Emergency nurses are expected to use their professional expertise to provide the necessary nursing services to reduce disaster-related risks. Nurses at all levels of healthcare play a crucial role in disaster risk management and must possess the readiness and core competencies to respond to disasters. Therefore, core nursing competencies in emergency situations are essential for dealing with disasters. Policymakers have been too busy or lack the expertise to read and understand complex scientific articles. As a result, they need policy briefs that cover the key points so they can plan and implement the necessary interventions based on evidence. Thus, the aim of this study is to provide a framework for producing policy briefs for policymaking and enhancing nurses' core competencies in disasters by policymakers in government and health authorities. Implications for Policy: Policymakers and hospital managers should design and implement structured training programs to improve nurses' core competencies. Before disasters occur, a written plan with clear roles that are understandable for all nursing staff should be established; this can increase nurses' response times in assisting affected people. It is essential that nursing managers provide specific guidelines for standard and structured training during disasters to enhance nurses' awareness of disasters and communication skills.

Background: There is a notable increase in sexual behaviors closely related to the increased risk of sexually transmitted infections, which is a problem that affects public health. The aim of this study was to analyze the relationship between sexual behaviors and the prevalence of sexually transmitted infections in the population who attended the Centre for Sexually Transmitted Diseases and Sexual Orientation of the province of Granada during the period 2000-2018.

Methods: This is a cross-sectional study, with 1671 clinical histories of subjects who attended a specialized center between 2000 and 2018 for a consultation related to sexually transmitted infections. Sociodemographic and clinical data, frequency and type of sexual behavior, frequency of condom use, and positive or negative diagnosis of infection were collected. Univariate, bivariate, and multivariate analyses were performed. The dependent variable was the diagnosis of sexually transmitted infections. As independent variables, variables classified as socio-demographic, medical, and other variables conceived as possible risk factors were collected.

Results: The results indicated that vaginal intercourse was the most frequent sexual activity during the entire period and that condom use was also the most common. Positive sexually transmitted infection diagnosis was related to anal sex: penis-anal (penetrative anal intercourse) (p = 0.033) and anal-penis (receptive anal intercourse) (p = 0.001). Multivariate analysis only showed association with receptive anal intercourse sexual behaviors.

Conclusions: The prevalence of sexually transmitted infections in the population attending a specialized center is related to the behavior of anal sex in passive subjects (receptive anal intercourse). An increase in oral sex behavior and almost no practice of use of condom in oral sex has been observed. There is a need to respond to sexual diversity and variability of sexual behavior.

In early 2023, Association of Community Health Nursing Educators (ACHNE) convened a task force of public health nursing education thought leaders from the United States (US) to revise their position paper on the state of graduate public health nursing education. [Correction added on May 16, 2025. after first online publication: In the preceding sentence, the legal name of the organization (ACHNE) has been corrected in this version.] At the time the task force began their work, the COVID-19 pandemic was still producing new variants, but the world had largely moved on without prevention restrictions, little to no tracking on the nightly news, and schools and universities going back to business as usual. Public health nurses (PHNs) served heroic roles in the face of the pandemic overall. However, public health nursing practice remained somewhat in the shadows of the spotlight on acute care clinicians combating the virus, even as some PHN leaders faced the end of their careers in their roles as enforcers of pandemic restrictions. In addition, although advanced practice nursing roles in the United States have proliferated in the past 20 years, they have been almost exclusively focused on care of individuals, despite evidence of the need to broaden the scope of healthcare to include a population focus. Advanced practice roles at the population and systems levels are much less understood and have a smaller footprint in the current healthcare system. The convening of this Task Force served as a "timeout" to reflect on the roles of PHN leaders in the months after pandemic emergency orders were finished and to articulate the future of graduate education in nursing at the population level, both its value added to the health of the public and how this value can be maximized. The result was the ACHNE white paper, Advanced Practice Public Health Nursing: Roles and Education, presented here.