Public Health Nursing最新文献

Background: Interventions are needed to decrease measles and rubella (MR) vaccine hesitancy/refusal among Jordanian parents during the implementation campaign in Jordan by 2023. This study developed an educational video for parents with hesitancy or refusal to enhance their attitudes and decisions toward the MR vaccine.

Objective: This study aimed to assess the impact of video-based educational intervention on the attitudes of parents toward the MR vaccine and the decision to accept the MR vaccine.

Method: One group pretest-posttest experimental design was used. A 5-min MR vaccine education video was shown to parents. Parents' decisions on the MR vaccine and the parent attitudes about childhood vaccines (PACV) scale were collected before, immediately, and 2 weeks after the video, the differences in the scores were also measured.

Results: The initial PACV scale score averaged 24 ± 1.5. After watching the MR education video, the PACV scores immediately and after 2 weeks were 21 ± 1.6 and 21.8 ± 1.4, respectively, with a statistically significant difference (p value < 0.05). The parents' likelihood of refusing the MR vaccine decreased immediately and 2 weeks after watching the video (68% and 70.5%; respectively), and this decrease was sustained after 2 weeks (p value = 0.617).

Conclusion: An educational video intervention was associated with improved PACV and improved parents' attitudes toward the MR vaccine, potentially altering the decisions of hesitant or refusing parents to accept the vaccine during the 2023 MR vaccine campaign in Jordan. These positive effects appeared to persist even 2 weeks after the intervention.

Background: Public and community health nursing curriculum falls short in providing an assessment of student achievement through competency-based education. The aim of this evidence-based practice research was to demonstrate a lack of simulation use as a pedagogical means for the assessment of student achievement of community/public health nursing competencies (C/PHN) in prelicensure nursing programs.

Sample: A systematic review yielded 10 articles.

Method: Qualitative Comparative Analysis (QCA) was employed for theme analysis of a systematic review. A crosswalk was created aligning themes from the systematic review to the C/PHN core competencies relevant to public health nursing developed by the Quad Council Coalition (QCC) (2018).

Results: Three themes were identified from the systematic review that aligned with five of the eight domains from the C/PHN. Gaps in clinical and curricular exposure to specific public/community health concepts were identified.

Conclusion: Simulation has the potential to incorporate various public health concepts, including those related to social determinants of health.

Objective: To evaluate the effectiveness of mindfulness therapy as an adjunct to pharmacological treatment for improving blood pressure (BP) control in hypertensive adult patients at a health center in Lima, Peru.

Method: This study employed a quasi-experimental design with a quantitative and longitudinal cohort approach. The participants included 50 adults who were diagnosed with hypertension and who regularly attended the health center in the Villa El Salvador district of Lima, Peru. The data were collected using three instruments: the Depression Anxiety Stress Scale (DASS 21), validated in Peru; a sociodemographic questionnaire; and a BP recording sheet. The Wilcoxon test was utilized to assess the effectiveness of mindfulness therapy on BP control, while the nonparametric Friedman test was used to evaluate the effectiveness of mindfulness therapy considering confounding factors.

Results: Therapy resulted in favorable outcomes for BP control. After eight sessions, the average systolic BP decreased from 122.8 to 115.0 mm Hg (a reduction of 7%), and the average diastolic BP decreased from 78.1 to 69.9 mm Hg (a reduction of 11%).

Conclusions: Mindfulness is an effective complementary therapy for controlling BP in hypertensive adults. It also helps reduce confounding factors such as stress, anxiety, and depression.

Objective: This study was conducted to evaluate the effect of global climate change concern on environmental sensitivity in nursing students.

Design: This study was descriptive, cross-sectional, and correlational.

Sample: The study was conducted with undergraduate nursing students (n = 350).

Method: Descriptive Information Form, Climate Change Worry Scale, and Environmental Sensitivity Scale were used as data collection tools in the study. The relationship between global climate change concern and environmental sensitivity of nursing students was evaluated by Pearson correlation analysis, and the effect of climate change concern on environmental sensitivity of nursing students was evaluated by simple regression analysis.

Results: It was determined that there was a positive and moderately significant relationship between the mean total scores of the Climate Change Concern Scale and the mean total scores of the Environmental Sensitivity Scale (r = 0.388, p < 0.001).

Conclusions: As a result of this study, it was found that as nursing students' concern about global climate change increased, their sensitivity toward the environment also increased.

Objective: The present study aims to investigate the relationship between cyberbullying/victimization and technology addiction among Turkish adolescents.

Design and methods: A descriptive cross-sectional study was conducted with 572 adolescents between the ages of 14 and 18. The study employed the Bullying and Cyber Bullying Scale for Adolescents (BCS-A) to evaluate cyber victimization (BCS-A VCSs) and cyberbullying (BCS-A BCSs) subdimensions, in conjunction with the Technology Addiction Scale (TAS).

Results: Among adolescents, 38.5% exhibited a moderate level of technology addiction. The results revealed positive and weak correlations between TAS scores and BCS-A VCSs (p < 0.001), as well as between BCS-A VCSs and BCS-A BCSs scores at a moderate level (p < 0.001). The study revealed that exposure to inappropriate content, encountering humiliating expressions on social media, sending inappropriate messages or videos to friends, and facing threats were significant predictors of BCS-A VCS scores. Furthermore, the transmission of inappropriate messages or videos, the encounter of cyberbullying victims, the exclusion of friends from online platforms, the experience of distress caused by humiliating expressions, and the sharing of private content were identified as significant predictors of the total BCS-A BCSs score.

Conclusion: The study demonstrated a correlation between elevated technology addiction and involvement in cyberbullying or victimization among adolescents. Moreover, the study identified significant predictors of cyberbullying and cyber victimization. It is recommended that health professionals develop intervention programs for safe technology use and the prevention of cyberbullying and victimization. These programs should aim to raise societal awareness, particularly among parents and teachers.

Background: Extant literature on transgender and gender-diverse (TGD) people living in the United States is centered on bicoastal metropolitan cities. Little is known about the health status and health-related barriers among TGD people living in the middle of the country. Minority Stress Theory (MST) provides a framework for understanding how TGD people experience stressors that shape their health-related experiences.

Purpose: To describe health-related experiences of TGD people living in Colorado using the MST framework.

Method: The scoping review was limited to peer-reviewed, English-language studies published between January 2018 and November 2023. Data abstraction and synthesis were performed using Thomas and Harden's approach to thematic synthesis.

Results: Twenty-one articles were included in the review. Seventeen (80.9%) articles were quantitative studies, two (9.5%) were qualitative, and two (9.5%) were mixed methods. Most of the participants were transfeminine and 18 years old or younger. Three themes emerged (1) TGD Coloradans experience multiple health-related stressors, (2) these stressors contribute to poor health outcomes, and (3) overcome with coping strategies and/or social support.

Conclusion: TGD Coloradans experience multiple stressors related to their TGD identity that shape their health-related experiences. Nurses play a critical role in intervening in these stressors and addressing care disparities.

Objective: To evaluate the impact of climate change education on pregnant women's climate change awareness and anxiety.

Study design: Quasi-experimental research with pre- and post-test design.

Methods: This study was conducted among pregnant women who visited a tertiary maternity hospital between April and June 2023 to assess climate change awareness, perception, knowledge, behavioral and policy expectations, and anxiety before and after the introduction of climate change education. The first phase of the study was conducted by distributing a set of questions related to sociodemographics and completing the Climate Change Awareness Scale and the Climate Change Worry Scale, followed by climate change education where pregnant women were exposed to a brochure entitled "Pregnancy and Climate Change". After the intervention, pregnant women were assessed using the same questionnaire.

Results: There was a significant decrease in pregnant women's anxiety regarding climate change (p < 0.001). Participants' awareness (p < 0.001), perception (p < 0.001), knowledge (p < 0.001), and policy expectations regarding climate change significantly increased (p < 0.001), while their anxiety levels decreased (p < 0.001).

Conclusion: The study suggests that climate change education may reduce climate change anxiety among pregnant women while also enhancing their awareness, and improving their perceptions, knowledge, behaviors, and policy expectations about climate change.

Introduction: Investigating water consumption behaviors and perceptions of water sustainability among nursing students is crucial for effective resource management. This study employs machine learning (ML) techniques to analyze these factors in detail.

Methods: This descriptive cross-sectional study involved 182 senior nursing students from an accredited faculty in Istanbul, Turkey, during the 2023-2024 academic year. Data were collected through an online survey, including an information form, a visual analog scale toward foresight about water scarcity (VAS), and a water consumption behavior scale. Advanced ML techniques were utilized to identify intricate patterns and correlations in the students' behaviors and perceptions.

Results: The survey revealed that nursing students primarily rely on packaged water and perceive an imminent threat of water scarcity, though they exhibit limited awareness of their personal water footprint. High VAS scores indicated a strong awareness of global water crises but skepticism about local water scarcity. The ML model identified "Domestic Water Use Efficiency" as the primary factor influencing attitudes toward water sustainability, with "Water Awareness" and "Sustainable Water Ethics" also playing significant roles.

Conclusions: The study highlights the need to integrate sustainable water management education into nursing curricula and demonstrates nursing students' awareness and preparedness for sustainable practices.

Background: Hypertension (HT) is a global health problem. Although there are effective treatment protocols, patients have difficulty in adapting to regular use of drugs, diet, and lifestyle changes. Mobile apps can be a potential alternative for managing HT and improving self-care behavior.

Purpose: This study aimed to determine the effect of mobile application follow-up on treatment compliance and self-care management in patients with HT.

Methods: This randomized controlled trial was conducted in November 2021 and March 2022 with 40 experimental and 40 control group patients with HT. Research data were collected using a patient information form, "Hill-Bone Hypertension Treatment Compliance Scale (HBHTTCS)," "Hypertension Self-Care Profile-Motivation Scale (HTSPMS)," a mobile application program (daily blood pressure, pulse, medication, diet, exercise tracking) uploaded to the mobile phones of the patients, and individual motivational messages.

Results: The mean total score of the HBHTTCS at Week 6 was 14.57 ± 1.89 and the mean total score of the HTSPMS was 78.15 ± 2.05. There was a statistically significant difference in mean total HTSPMS (p = 0.000) and HBHTTCS (p = 0.000) scores and mean scores on medical (p = 0.002) and nutrition (p = 0.002) subscales of HBHTTCS between the first interview (1st-week follow-up) and the last interview (6th-week follow-up) of patients in the intervention group.

Conclusions: This study showed that mobile application follow-up increased motivation levels and treatment compliance in patients with HT and resulted in better self-care. These positive findings indicate importance of integrating mobile applications in the disease management of HT patients.

Trial registration: ClinicalTrials.gov ID: NCT05334446, https://clinicaltrials.gov/ct2/show/NCT05334446.

Aim and objectives: The aim of this study was to evaluate psychological symptoms in terms of childhood traumas, spirituality and conflict styles in women victims of violence staying in women's shelters.

Background: Violence against women is a major public health problem. Spiritual values and practices are especially important for women to cope with the negative effects of violence.

Materials and methods: The study was conducted in women's shelters in two provinces of the Ministry of Family and Social Policies in Türkiye. The sample consisted of 92 women who had been subjected to violence and stayed in a women's shelter for at least 15 days. The data were collected using the "Brief Symptom Inventory", "Conflict Tactic Scale", "Spiritual Well-Being Scale (SWBS)", "Childhood Abuse Experiences Scale Short Form", and "Introductory Information Form" created by the researcher, and the data obtained were evaluated in SPSS 22.0 program. Frequency, percentage, Pearson Product Moment correlation analysis, t-test, one-way analysis of variance (ANOVA) were used in the evaluation of the data. In all statistical analyses, p < 0.05 was accepted as the significance level.

Results: It was found that 64.1% of the women in the study had at least one psychiatric diagnosis and major depression was in the first place (32.2%). According to the mean scores of the Brief Symptom Inventory, the relationships between all subdimensions except the somatization subdimension and the mean scores of the SWBS were found to be inversely significant at p < 0.05 significance level. According to the mean scores of the SWBS, the relationships between all subdimensions except the transcendence subdimension and the mean scores of the Conflict Methods Scale were found to be inversely significant at the p < 0.05 level of significance.

Conclusion: According to the findings obtained from the study, it has been concluded that women should be encouraged to support them in order to be able to cope with the mental problems experienced in the psychiatric sense and to realize their spiritual beliefs and practices.