Public Health Nursing最新文献

Objectives: This study was conducted to determine the relationship between climate change concerns and mental well-being levels in adult individuals.

Design: A descriptive and correlational study.

Sample: The study was conducted with 513 adult individuals who applied to primary healthcare institutions between May and October 2022 in Türkiye.

Measurements: The research data were collected face-to-face using an introductory information form, the Climate Change Worry Scale (CCWS), and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS).

Results: Among the occupations of the adults participating in the survey, the group most affected by climate change was greenhouse cultivation with 30.8%. The top three most common events experienced by the participants in the study are forest fire (40.6%), earthquake (29.2%), and flood (19.7%). In the study, the mean CCWS score of adults was 33.92 ± 10.27 and the mean WEMWBS score was 50.20 ± 11.88. A positive correlation was found between the total, anxiety, and feeling of helplessness sub-dimensions of the CCWS and the mean score of WEMWBS (p < 0.001). The mean scores of CCWS and WEMWBS of the participants who stated that they experienced an extraordinary event related to climate change, who had a relative who experienced these events, who followed these events from the media, and the mean scores of CCWS of those who experienced these events themselves were found to be significantly higher (p < 0.05). The mean scores of CCWS and WEMWBS were higher for those who experienced forest fire and flood disasters; CCWS for those who experienced tornado; and WEMWBS for those who experienced earthquake and storm/hurricane (p < 0.05).

Conclusions: One of the most important results of the study is that there is a positive relationship between the sub-dimensions of helplessness due to climate concern and the level of mental well-being. It is important to increase climate change awareness activities at individual and community levels.

Objective: Factors such as the risk of the spread of infectious diseases, global health crises, and disasters are among the major health and security challenges facing societies. Informed protective measures and effective risk awareness are necessary to cope with these challenges. As young adults, university students represent a significant segment of society, making studies conducted on this group critical for implementing effective measures against infectious disease risks. This study aimed to investigate university students' awareness and prevention behaviors regarding communicable diseases, their perception of disaster risk, and the role of social support networks.

Method: The descriptive study was conducted with a total of 372 undergraduate students studying at a university in Türkiye. Data were collected using a sociodemographic characteristics form, the Communicable Disease Risk Awareness and Prevention Scale, the Disaster Risk Perception Scale for University Students, and the Multidimensional Scale of Perceived Social Support. Data were analyzed using IBM SPSS Statistics 27.0, employing independent sample t-tests, one-way ANOVA tests, Pearson correlation, and multiple linear regression analysis.

Results: The mean age of the university students participating in the study was 21.19 ± 2.08 years (min. 18.00-max. 32.00), with 64.5% (n = 240) being female. Participants generally exhibited high levels of awareness and preventive behaviors regarding communicable diseases. Significant contributors to awareness included gender (β = 9.51, p < 0.05), increased disaster risk perception (β = 8.80, p < 0.01), obtaining information from health organization websites (β = 7.90, p < 0.01), preparing an emergency kit (β = 5.56, p < 0.05), and obtaining information from news websites (β = 4.81, p < 0.05). It was found that an increase in perceived social support positively impacted students' awareness and prevention levels (β = 0.48, p < 0.01). Additionally, an increase in disaster risk perception was positively correlated with communicable disease risk awareness (β = 0.01, p < 0.05).

Conclusion: The study concludes that robust social support networks enhance students' health awareness and protective health behaviors. Universities should organize educational programs and drills to increase student disaster awareness and preparedness. Such training will help students better prepare for and effectively cope with disaster situations.

Aim(s): This discursive article aims to examine how systemic factors (both) reproduce the structure of settler colonialism and influence health outcomes among Indigenous peoples in the United States through settler colonial determinants of Indigenous health (SCDoIH).

Design: Discursive paper.

Methods: This discursive paper demonstrates how settler colonialism and health relate to each other within a nursing context. The concept of settler colonialism that was consolidated into a scholarly field beginning in the late 1990s is used to identify and contextualize SCDoIH for individuals residing in the United States as an entry point to advance scholarship on settler colonialism and nursing.

Results: A research framework that identifies factors of settler colonialism and SCDoIH within the United States is presented.

Conclusion: The structure of settler colonialism in the United States includes settler colonial determinants of health for Indigenous populations that have detrimental effects on health outcomes.

Implications for nursing: To provide holistic nursing care, nurses must be aware of settler colonialism as a determinant of health. Nurses providing care to Indigenous peoples need to be attuned to the pathways and processes through which settler colonialism leads to exposures that may affect their patients' health.

Objectives: To investigate temporal trends in childhood and adolescent overweight/obesity in Jiangsu Province, China, evaluating the effects of age, period, and birth cohort.

Design: Cross-sectional study.

Sample: Participants were 210,168 students aged 6-17 years from the five waves of the consecutive cross-sectional Jiangsu provincial surveillance project in 2017-2021.

Measurements: Overweight/obesity was assessed according to the sex- and age-specific body mass index. We used age-period-cohort (APC) analysis to explore the temporal trends of overweight/obesity and to estimate the effects of age, period, and birth cohort on the prevalence.

Results: The overall prevalence of overweight/obesity has increased from 32.08% to 38.60% between 2017 and 2021. The 6-9-year-old group and the 10-13-year-old group were significantly associated with a higher risk of overweight/obesity, in contrast to 14-17-year-olds. The pandemic was also significantly associated with a much higher risk. The cohort 2000-2003 was associated with higher risk, and such association continued until the cohort 2012-2015, denoting a significantly lower risk.

Conclusions: Despite an increasing trend in the prevalence of overweight/obesity, especially during the COVID-19 pandemic, the latest cohort effect was significantly associated with a lower risk. We recommend continuous efforts on preventive interventions and more research about prevalence trends.

Background: Physical inactivity in middle-aged and older adults is a major health problem. Exercise snacks are an emerging form of physical activity characterized by shorter single bouts of high-intensity exercise spread out repeatedly throughout the day which can provide more exercise opportunities for middle-aged and older adults.

Purpose: To summarize perceptions and experiences of exercise snacks among middle-aged and older adults, and explore the barriers and facilitators of promoting exercise snacks.

Methods: We followed the PRISMA and systematically searched five databases from the earliest to May 2024. The Critical Appraisal Skills Program tool is used to quality assess and the Capability, Opportunity, and Motivation Model of Behavior (COM-B model) is used to guide thematic synthesis.

Results: Fourteen categories from nine studies were summarized, and 277 findings were identified. Three synthesized findings were: capability of middle-aged and older adults (including health-related exercise disorders, learning and mastery skills, and health literacy), opportunities for exercise snacks (including flexible and free, easy and quick, integration into life, social and family support, and application of mobile health technology), and motivation of exercise snacks (including pleasurable experiences, gaining physical and mental benefits, effective reminders, incentives and feedback, personalized needs, and self-efficacy).

Conclusion: Exercise snacks are a promising approach， however, they need to be continuously optimized. Our results can provide evidence for designing and optimizing exercise snack programs. Medical workers should assist middle-aged and older adults in developing appropriate exercise snack strategies.

Trial registration: PROSPERO (CRD42024544089).

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.

Objectives: This study aimed to explore the gap between current practices and perceived importance of school nursing services among South Korean school nurses and identify educational priorities to enhance these services.

Design: A cross-sectional online survey was conducted using the Korean version of the Scope of School Nursing Practice Tool (K-SSNPT).

Sample: The study included 360 school nurses currently working in elementary, middle, and high schools across South Korea.

Method: Participants completed a self-reported questionnaire measuring their perceptions of the importance and current practices on 24 items of the K-SSNPT. Data were analyzed using descriptive statistics, paired t tests, and the Borich needs assessment and the Locus for Focus model to prioritize educational needs.

Results: The gap between current practice and perceived importance was observed in 23 out of 24 items (p < 0.05). The top-priority educational items included "Monitor student health plans to determine progress and identify interventions that may need to be changed," "Regularly review student data to identify trends" within the using the nursing process dimension, and "Stay current on legislation related to school nursing" within the connecting with the community dimension.

Conclusions: The findings highlight the need for targeted educational programs to enhance school nurses' competencies, particularly in applying the nursing process, fostering collaboration with community, and staying up to date with legislation related to school nursing. These results provide a foundation for developing comprehensive educational programs to improve school health services.

Alcohol and substance use disorders (ASUD), are increasing worldwide, and these psychiatric disorders are difficult to treat. The search for new treatments for these disorders continues. Psychosocial interventions (PI) are among them, and it is important to evaluate their effectiveness. This study aimed to assess the effectiveness of PI applied to individuals with ASUD. This meta-analysis was conducted by searching PubMed, Web of Science, EBSCOhost, Google Scholar, and YOK Thesis Center databases without year restrictions between October and December 2023. After reviewing the studies, 18 research articles were included in the analysis. The meta-analysis revealed that PI applied to individuals with ASUD were effective in reducing depression (SMD: -0.753, 95% CI: -1.215 to -2.91; I² = 94.515; p < 0.05) and enhancing self-efficacy (SMD: 0.709, 95% CI: 0.096-1.321; I² = 93.34; p < 0.05). However, these interventions were not found to be effective in improving self-esteem (SMD: 0.655, 95% CI: -1.641 to 0.331).

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.