Public Health Nursing最新文献

Objective: The study aims to evaluate the life experiences, psychosocial challenges, and emotional burdens of climate activists, the guardians of the planet, related to the climate crisis, using a phenomenological approach.

Methods: This research was conducted in November 2023, utilizing an inductive qualitative framework. In-depth individual interviews were undertaken with 21 climate activists living in diverse regions of Türkiye through the WhatsApp mobile application. The research adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.

Results: Data analysis, three themes, and seven sub-themes were identified: climate crisis awareness and motives for becoming an activist (experiences, people involved, and personal attributes); the effects of being a climate activist on mental health (emotional burdens and coping with emotional burdens); and actions taken to reduce carbon footprints in addressing the climate crisis (social and behavioral).

Conclusion: Our study highlighted the challenges and coping mechanisms encountered by climate activists in their efforts to combat the climate crisis and revealed that these activists undergo psychosocial challenges and emotional burdens as a result of their engagement in this struggle. Certain activists struggle to manage their psychosocial challenges and consequently seek psychological assistance. Psychosocial support programs should be established for activists experiencing distress over climate change.

Objective: To understand the perceptions of Chinese MSM regarding methamphetamine use, chemsex, and HIV risk, and interpret the meaning of such experiences and their impact on their health and social well-being.

Methods: Data collection consisted of semi-structured interviews with 24 Chinese MSM who were current or former methamphetamine users, and interpretative phenomenology analysis was applied to analyze the transcripts of the interviews.

Results: Two superordinate and six subordinate themes emerged: 1. Ambivalence about methamphetamine use: (1) Perceived "hi" () but "luan" (), (2) Perceived under control but out of control in reality, and (3) Perceived popularity but being stigmatized. 2. Inevitability of HIV infection: (1) Unwritten rule of using methamphetamine, (2) Fears of getting infection, and (3) "Techniques" to reduce HIV risk.

Conclusion: The current or former methamphetamine users of Chinese MSM experienced significant societal stigma and self-devaluation due to their perceived immoral and illegal behaviors. They felt compelled to engage in chemsex within the subculture of methamphetamine users and believed that contracting HIV was inevitable despite their fear of it. Future interventions for drug use and HIV prevention among MSM should address their ambivalent circumstances and implement tailored and comprehensive strategies.

Objective: This study retrospectively examines how family nutrition and physical activity habits, influenced by parents, contribute to childhood obesity.

Design: A retrospective case-control study was conducted in three schools, including 804 children and their parents (229 cases, 575 controls). Data were collected using the Family Nutrition and Physical Activity Scale, anthropometric measurements, and a data collection form.

Results: Higher parental education improved nutrition and activity scores, while maternal employment had a negative impact. Father's employment and higher income levels positively influenced children's activity and health. Parental BMI was inversely related to nutrition and activity, with higher BMI indicating poorer habits. Logistic regression showed that increased screen time raised obesity risk, while family activity and father's education reduced it, and higher maternal BMI lowered it.

Conclusion: Family behaviors are critical in shaping children's nutrition and physical activity habits. Our findings highlight the critical role of family nutrition and physical activity behaviors in shaping childhood obesity outcomes, emphasizing the need for school health policies and practices that integrate family engagement strategies to promote health equity and sustainable behavioral change.

Community health nurses can enhance the elderly's quality of life (QoL) through personalized care, lifestyle counselling, and preventive measures. The primary objective of this study was to develop artificial intelligence (AI)-based prediction models to identify the key influencing factors that can impact the QoL in the elderly population. The estimated sample size was 500, and participants were selected using a systematic sampling technique. The pre-processing stage was applied to the primary dataset. Following this, basic machine learning (ML), deep learning (DL), and ensemble models were implemented to predict QoL. The SMOTE method was applied to balance the dataset. AdaBoost was the best-performing model, achieving an accuracy of 93.7%, with excellent recall (96.8%) and specificity (96.8%). Physical activity (48.9%) and daily activity ability (30.8%) were key QoL predictors, while regression analysis revealed physical activity (coefficient: 1.2260, p < 0.001) as a positive contributor. AI approaches help the community health nurses to predict the factors required for improving QoL early on, enabling them to provide the elderly population with the appropriate advice and future plans to manage aging challenges.

Background: Nerina Gigliucci (London, 1878-Florence, 1963) is known as the biographer of the volunteer nurses in the Italian Red Cross of Florence during World War 1. Her figure is much more complex and crucial in orienting her commitment to nursing professionalization and to the development of the Public Health System in Italy.

Purpose: The aim of the study is the reconstruction of a specific phase in the history of nursing, focusing on new aspects of the life and work of Nerina Gigliucci and exploring the early history of public health nursing education in Italy.

Methods: The study utilized new archival and bibliographical sources, examined in an integrated way, focusing on new aspects of Nerina's biographical profile and exploring the early history of public health nursing education in Italy.

Results: Nerina's participation in women's movements highlights her role as the first port of call with international organizations that introduce standardized procedures for the construction of a Public Health System in Italy through the cause of assistance and hygiene.

Discussion: A key element pointed out in Nerina's biography is the dialogue between Italian institutions and international organizations, committed to hygiene and assistance that contextualizes the development of basic nursing education in Italy into the rising Public Health System in a social and political framework needs. New comparative studies are expected to reread the history of nursing in Italy in a global perspective, integrated with the history of public health system.

Objective: This study aims to investigate the evolving trends and assess the impact of educational interventions in clinical and community nursing of published literature.

Design: This study used bibliometric and content analysis.

Sample and measurements: Data were retrieved from the Web of Science database. VOSviewer was used for bibliometric analysis and visualization. Content analysis identifying basic trends in health education was performed by examining co-occurrence keywords.

Results: The study analyzed 3553 publications from 106 countries and 13,729 researchers, featuring 6686 keywords across 194 journals. Revista Brasileira de Enfermagem, Journal of Clinical Nursing, and Journal of Advanced Nursing published the most articles, with the Journal of Clinical Nursing showing the highest co-citation frequency and link strength. Common keywords included "health education," "patient education," "nursing," "health promotion," and "self-care." Key health education trends: digital health, chronic disease management, older adult health, discharge education, readmission, and reproductive and sexual health for teens.

Conclusion: Health education research in nursing increasingly focuses on patient-centered approaches, digital innovations, and sustainable interventions. Nurses play a key role in addressing chronic disease, reproductive health, and healthy aging through structured educational strategies. Strengthening digital literacy and interdisciplinary collaboration is crucial for improving long-term health outcomes.

Objective: This study aims to explore the experiences of older adults in Türkiye regarding widely used digital health information systems in healthcare and to develop a conceptual process model based on these experiences.

Design and sample: The research was conducted based on a qualitative approach using a grounded theory design. In-depth interviews were conducted with nine individuals aged 65 and above, selected through criterion and snowball sampling. Data were analyzed using content analysis.

Results: The categories identified through in-vivo coding were: "We have grown old…" (f = 115), "It is necessary to be prepared for everything" (f = 69), "It is difficult to keep up with the digital age" (f = 97), and "It is not difficult" (f = 93).

Conclusion: The study revealed that older adults prefer traditional methods for healthcare access and encounter barriers like lack of knowledge, usability issues, and technological anxiety with digital systems. However, they also recognized the benefits of digital health. It concludes that digital services should be more inclusive and user-friendly for older adults.

Background: The stigma surrounding mental health is a key public health issue that can impede timely help-seeking and weaken the therapeutic relationships between individuals with mental health conditions and healthcare professionals. Although stigma among health profession students in the Arab region has been studied, its exploration among United Arab Emirates health science students remains limited. This gap highlights the novelty and significance of the present study.

Objective: This study explored attitudes related to mental health stigma toward individuals with mental illnesses among Year 3 baccalaureate students.

Design: A qualitative, exploratory, and descriptive approach was used.

Methods: Semi-structured interviews were conducted with 25 students enrolled in seven healthcare programs. Thematic analysis was adopted for the data analysis.

Results: Four distinct interrelated themes were extracted from our content analysis: (1) perception and knowledge of mental health, (2) unpacking stigma surrounding mental illness, (3) attitudes toward mental health, and (4) advocacy and education: recognizing the urgency of promoting mental health awareness and initiatives.

Conclusions: Students generally held positive views on mental health, though some expressed stigma and noted insufficient education depth. These findings suggest the need for targeted curriculum interventions to better prepare health science students for future roles.

Objective: Nurses encounter increased occupational stress levels due to their involvement in patient care with intricate healthcare issues, influencing their physical and mental well-being. Thus, occupational stress is a major interest of health and nursing research. This study aimed to identify sources and predictors of occupational stress among public health nurses.

Design: A cross-sectional research design.

Sample: The data collected from 170 public health nurses randomly selected from ten comprehensive health care centers.

Measurements: The data collected by utilizing the Nursing Stress Scale (NSS).

Results: Public health nurses perceived "workload" and "conflict with physicians" as the most significant occupational stressors, while "insufficient support" was the least. No significant associations were found between socio-demographics and nurses' perceived occupational stress, except for marital status (married public health nurses had more occupational stress) and years of experience (public health nurses with 5-10 years had more occupational stress).

Conclusions: Occupational stress among public health nurses was evident, necessitating stress reduction programs targeting addressed stressors.

Background: Climate change is a growing global concern with significant implications for public health, especially for women of reproductive age. Environmental literacy, climate capability, and risk perception are crucial in shaping individuals' responses to climate change.

Aim: The study aimed to evaluate environmental literacy, climate capability, and climate change risk perception among women of reproductive age and explore their interrelationships.

Methods: A cross-sectional descriptive design was employed with a two-stage random sampling strategy. Three hundred thirty-seven women were selected from four primary healthcare facilities in the Tanta district. The study used the Arabic versions of the Environmental Literacy Scale for Adults (ELSA), the Climate Capability Scale (CCS), and the Climate Change Risk Perception Scale. Data were analyzed using descriptive and inferential statistics, correlation analysis, and reliability testing.

Results: The study showed that the mean score for environmental literacy was 63.2 (SD = 10.2), indicating moderate awareness among participants. The mean score for climate capability was 38.7 (SD = 7.1), suggesting a moderate ability to engage with climate-related issues. The mean climate change risk perception score was 27.4 (SD = 5.4), indicating moderate risk awareness. Pearson's correlation analysis revealed a significant positive correlation between environmental literacy and climate capability (r = 0.63, p < 0.001) and between climate capability and climate change risk perception (r = 0.56, p < 0.001). Cronbach's alpha values for the scales were 0.84 for ELSA, 0.87 for CCS, and 0.91 for the Climate Change Risk Perception Scale, indicating good internal consistency.

Conclusion: The findings highlight moderate levels of environmental literacy, climate capability, and risk perception among women of reproductive age. These findings highlight the importance of enhancing environmental literacy to strengthen climate capability and improve risk perception among this population.

Implication: As primary healthcare providers, nurses can significantly influence health promotion, particularly in vulnerable populations, by educating them about the health risks associated with climate change and encouraging preventive measures.