Public Health Nursing最新文献

Objective: To define the effect of environmental and child health education given to midwives and nurses working in primary health care services.

Design: The quasi-experimental study with the pretest-post-test.

Sample: Forty-two midwives/nurses.

Measurements: The Environmental Health Awareness Form, Knowledge Test, and Training Evaluation Form.

Intervention: The face-to-face 2-day training.

Results: The participants got an average score of 20.29 ± 5.69 in the pretest and 31.07 ± 0.68 (95% confidence interval difference: lower: -12.61, upper: -8.962) in the post-test. The mean knowledge scores increased significantly (t = 11.949, p < 0.001). The mean score of the evaluation of the training content by the participants was 4.69 ± 0.60 (min: 3, max: 5).

Conclusions: It has been determined that the awareness of midwives and nurses working in primary health care services can be increased by improving their knowledge of the relationship between child health and the environment, and participants have expressed their need for training in this area. It can be recommended that work be initiated to spread these trainings throughout the country through online training within the Ministry of Health of the Republic of Türkiye, and that these programs be organized under the leadership of public health nurses.

Aim: The aim of this study was to investigate work stress and possible professional burnout, and to gain deeper insight into the emotional and work experiences and coping strategies of nurses in nursing homes related to the 2020 earthquakes in the City of Zagreb.

Introduction: In 2020, the City of Zagreb was hit by a strong earthquake, a series of weaker earthquakes, and an earthquake with its epicenter in Petrinja. These stressful events required changes in work organization within the health and social system, putting pressure on workers' adaptive abilities. The COVID-19 pandemic had an additional impact.

Methods: The study was conducted in May and June 2022 in 11 nursing homes in the City of Zagreb, through semi-structured, in-depth interviews with 11 participants and inductive thematic analysis as a qualitative research method. The consolidated criteria for reporting qualitative research (COREQ) checklist was included in the reports.

Results: Four major themes were highlighted-Stress/burden, Organizational difficulties, Protective mechanisms, and the Sense of duty/importance of nurses in nursing homes. In addition to the four main themes, 14 sub-themes were defined.

Conclusion: Disasters require organizational preparation of the nursing system, as well as the implementation of burnout syndrome prevention measures and health preservation strategies.

Objectives: This study demonstrated the usability of a co-designed benchmarking dashboard for supervisory public health nurses (PHNs) and their staff and identified supervisory PHNs' management challenges and strategies for system use.

Design: Descriptive case study.

Sample: Fifty-seven PHNs from three municipalities participated in the study using snowball sampling.

Measurements: Feedback was collected before, during, and after the dashboard development on the Kintone app. Participant attrition and System Usability Scale (SUS) scores were used to evaluate the dashboard's feasibility and usability using descriptive statistics. Content analysis was conducted to identify supervisory PHNs' management challenges and strategies for system use.

Results: There were no dropouts. The dashboard achieved an SUS score of 67.5, slightly higher than that of the existing system (66.0). Management challenges included human resource development, managing numerous individual cases, and conducting communityased activities. Dashboard use strategies included advancing evidence-based human resource development and strengthening data-driven management.

Conclusions: Per the findings, strategies for developing the benchmarking dashboard supported evidence-based workforce management and promoted reflective practices, suggesting that dashboard systems can enhance supervisory PHNs' leadership and improve the quality and equity of community health services.

Trial registration: University Hospital Medical Information Network (UMIN) Clinical Trials Registry: UMIN000051509 [https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000058761].

This study aims to examine the burden of disease experienced by multiple sclerosis patients and to deeply examine the impact of the disease on sexual life. A phenomenological research design was used in this study. This qualitative research was conducted with 20 multiple sclerosis patients. Interviews were conducted individually and face-to-face. The data were analyzed using Colaizzi's phenomenological analysis method. Two main themes (effects of the disease and sexual life) and five sub-themes (physical effects, mental effects, social effects, problems related to sexual life, sexual issues, and coping) were identified in the analysis of the data. As a result of the study, it was determined that the patients experienced serious physical, mental, and social problems due to multiple sclerosis, and their sexual lives were also negatively affected. Individuals experience significant issues related to their sexual life due to multiple sclerosis. Since multiple sclerosis is a multifaceted disease, it is thought that professional evaluation of sexuality in patients, diagnosis of sexual dysfunctions, and taking timely measures are of great importance to improve the quality of life of multiple sclerosis patients.

Aim: This study aimed to examine the bibliographic characteristics of publications on refugees in the nursing field.

Design: A bibliometric analysis design was adopted for the study.

Sample: Included the articles scanned in the Web of Science Core Collection database. The study excluded the other databases and gray literature.

Measurements: The 2120 articles published between 1980 and 2024 that met the inclusion criteria were analyzed using Bibliometrix in RStudio, VOSviewer, and Microsoft Excel software.

Results: The majority of publications were published in 2024. The United Kingdom, the United States, Canada, and Australia have the highest publications, citations, and international cooperation. Additionally, "mental health" is one of the most frequently used keywords in studies.

Conclusions: The increased migration rates and the growing need for healthcare for refugees underscore the importance of investing in nursing research within this field. Nurses and researchers should establish partnerships and share best practices with leading countries.

Objective: The purpose of this study was to measure healthcare worker awareness of climate change and concern about its impact on health.

Design: Cross-sectional population study.

Sample: Researchers administered the CHANT Tool to a convenience sample of 691 employees of a large health system in North Texas ranging from 20 to 75 years of age. About 71% were nurses.

Measure: The 52-item CHANT 2024: Climate and Health Tool measured engagement with climate change. Subscales measure familiarity with climate concepts, awareness of extreme weather events in respondents' region, concern about impact of climate change, conservation behaviors, and optimism regarding climate change. Respondents rated scaled items on a 5-point Likert-type scale from 0 (most negative or least) to 4 (most positive or greatest). In this sample subscales had acceptable internal reliability with Cronbach's alphas ranging from 0.69 to 0.96.

Results: Respondents (79%) were familiar with the existence of climate change, but not that US Healthcare delivery is responsible for a significant proportion of the greenhouse gas emissions associated with it (36%). Most respondents were not optimistic about preparation for the impacts of climate change or preventing further climate change (56% and 59%, respectively). Degree of concern about the health impacts of climate change was significantly associated with six variables, including race, awareness that warming is associated with human activity, awareness that vulnerable populations are more at risk, personal exposure to extreme heat, observations of heat illness in patients, and observations of mental health in patients related to climate events. Most respondents (>50%) wanted to change practice to prepare for health impacts of climate change.

Conclusions: North Texas healthcare workers are familiar with climate change and believe it has potential to harm patients but are generally not optimistic about preparation for its effects or changing its course. However, they wish to change practice to make a positive difference.

Objective: Climate change is a global health problem and threatens our society from all aspects. Pregnant women, fetuses, and newborns are considered vulnerable groups in the context of climate change. Steps to increase awareness about the consequences of climate change on maternal and child health and future generations are important for adaptation strategies.

Aim: This study aims to develop a measurement tool that assesses pregnancy-specific awareness of the effects of climate change on maternal-fetal health.

Method: This study used a cross-sectional and methodological design. Data were collected through face-to-face interviews with pregnant women who agreed to participate in the study between May and July 2022. Thirty-six items were rated on a 5-point Likert scale (from entirely disagree to entirely agree) and applied to 500 voluntary pregnant. SPSS Statistics 22 and Mplus 7 programs were used for data analysis.

Results: As a result of EFA, a 21-item, 3-factor final scale was obtained from the 36-item draft version scale. Result of CFA, the fit index values were found as RMSEA = 0.074, NFI = 0.978, and CFI = 0.975. The fit indices of the awareness scale model were significant (x² = 428.438, sd = 181, p = 0.0000, x²/sd = 2.367). The total internal consistency Cronbach's α coefficient of the 21-item final scale is 0.946.

Conclusion: In line with these data, Pregnancy-Specific Climate Change Awareness Scale is a valid and reliable measurement tool that can be used to evaluate the pregnancy-specific climate change awareness level. Studies testing the applicability of the scale in the population of midwives and obstetricians working with pregnant women are recommended.

Objective: The purpose of this study is to determine the radiation hazards of building materials to humans through multivariate statistical analysis based on these radioactive nuclides and parameters.

Design: An experimental study was conducted by collecting materials from different parts of Hunan and using experimental analysis and statistical calculation methods to determine the degree of harm that materials pose to humans.

Results: Among all the sample materials, the brick samples made from soil without a pollution background have the lowest activity concentration values of ²³⁸U, ²²⁶Ra, ²³²Th, and ⁴⁰K, which are far below the average level in Hunan. The radiological hazards are calculated as the external and internal hazard indices (H_ex, H_in), alpha index (I_α), gamma index (I_γ), and indoor and outdoor annual effective dose, all of which are much less than 1. The value of Ra_eq is well below the prescribed safe limit of 370 Bq/kg, indicating no radiological hazards to the population from the samples. (II) Through pilot experiments, it has been found that the radioactive content of bricks made by mixing associated slag with local background soil should be considered based on the proportion of the mixture, especially the radioactive level before the associated slag. To a certain extent, it is of great significance for the impact or magnitude of safety hazards in later judgment. (III) This study revealed that there is radioactive equilibrium between ²³⁸U and ²²⁶Ra, and between ²³⁸U and ²³²Th, and that a functional relationship was observed. At the same time, it is noted that a strong correlation was found between ²³⁸U and ²²⁶Ra, and between ²³⁸U and ²³²Th, indicating a good positive correlation. The radiological parameters of the bricks made from the natural background in soil are the smallest; the products of naturally occurring radioactive materials are the highest. This is due to the issue of proportion between the natural soil and tailings.

Conclusions: The results have shown that the proportion of mixture in the natural soil and tailings must be reasonable in building materials. Therefore, the results of this study will help evaluate the radiation hazards of building materials to humans and the environment.

Objective: The objective of this study is to evaluate the effect of gender on nursing students' attitudes toward violence against women using metaphor analysis.

Methods: The study was conducted with 64 nursing students from January to April of 2023. Metaphor analysis was used as a research method. In the Metaphor Identification Form on Violence Against Women, students were asked, "Violence against women is similar to …………………. Because……………………………." and they were asked to complete the blank space in this sentence by explaining a metaphor and the reason for the metaphor. The study adhered to the COREQ checklist.

Results: The four main themes that emerged from the male students' metaphors were as follows: (1) violence injures women, (2) the perpetrator of violence is not a human being, (3) violence threatens the future of society, and (4) violence must be resolved. Similarly, four principal themes were derived from the metaphorical expressions of female students: (1) violence is destructive and kills, (2) violence separates women from life, (3) the perpetrator of violence is weak and powerless, and (4) violence destroys society.

Conclusions: Female students generated metaphors that were more solution-oriented. Male students used negative metaphorical language to characterize the perpetrator of violence. It was proposed that the nursing curriculum be enhanced by incorporating relevant courses and implementing social responsibility projects.