Public Health Nursing最新文献

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.

Background: ASD impacts not only the person diagnosed with the condition but also the entire family, and the family's life is altered in various ways. The research was carried out to understand the experiences of mothers of children diagnosed with autism spectrum disorder in safeguarding their children's health.

Design and methods: In this study, which employed the phenomenological research approach, semi-structured, in-depth interviews were held with 19 individuals who are parents of children diagnosed with autism spectrum disorder in a province located in northern Türkiye.

Results: The data analysis identified five main themes (child health protection practices, mothers' domestic practices, the first thing mothers do when their child is ill, application to health centers and care support in health protection). The sub-themes of adopting a healthy eating routine, choosing clothes suitable for weather conditions, traditional and cultural practices, keeping the house clean, regular sleep, eliminating self-care inadequacy, exercise and movement, and so forth, were determined for child health protection practices. It was revealed that the mothers thought that they were more observant, controlling, and careful to protect their health in a holistic dimension by paying attention to the characteristics of their children.

Practice implications: As a result of the study, it was found that mothers of children with autism spectrum disorder exerted greater effort in physical, emotional, and social aspects both inside and outside the home, taking into account their children's specific characteristics to safeguard their health. Awareness of mothers' experiences in protecting the health of a child with ASD is vital in addressing the need for the type of care and support required for children with ASD.

Objectives: The aim of this study is to examine the relationship between nursing students' worry about climate change and their environmental sensitivity.

Design and method: This research is a descriptive and correlational study. It was conducted with 432 nursing students. The data were collected using a Personal Information Form, the Climate Change Worry Scale, and the Environmental Sensitivity Scale. Descriptive statistics (frequency, percentage, mean, standard deviation), independent groups t-test, Mann-Whitney U test, one-way ANOVA, and multiple regression analysis were used to analyze the data.

Results: The mean score of nursing students on Climate Change Worry Scale was 30.74 ± 6.92, and the mean score on the Environmental Sensitivity Scale was 4.24 ± 0.44. A statistically significant moderate negative correlation was found between nursing students' worry about climate change and their level of environmental sensitivity (r = -0.694, p < 0.01).

Conclusions: The study revealed a moderate negative correlation between climate change worry and environmental sensitivity among nursing students. Reducing worry about climate change and enhancing environmental sensitivity may enable the students to take an active role in protecting public health in their professional careers.

Introduction: The present study sheds light on the care provided to immigrants by revealing the problems faced by nurses due to the privacy perceptions of such patients.

Method: This qualitative study constituted a sample of 15 nurses who had previously cared for immigrants. Data were collected through semi-structured individual interviews and processed through thematic analysis.

Results: Six sub-themes were identified from the thematic analysis of the interviews: (1) what first comes to mind when thinking of privacy; (2) the difficulties encountered while providing care to immigrants (e.g., cultural factors); (3) the effects of cultural values on the perceptions of privacy held; (4) the differences between immigrants and nurses as to their perceptions of privacy; (5) the difficult situations encountered by nurses when providing care due to the perceptions of privacy held by patients; (6) the solutions perceived as to the problems encountered by nurses due to the perceptions of privacy held by patients.

Discussion: This study highlights that differences exist between nurses' and immigrant patients' perceptions of privacy. It has been found that immigrants from Eastern cultures associate privacy with bodily privacy, which results in nurses facing difficulties when caring for immigrant patients of the opposite gender.

Objective: To evaluate the relationship between social support and resilience in cognitive functioning in older adults with mild cognitive impairment (MCI).

Background: The increase in the number of older adults with MCI poses a serious public health problem. Existing studies suggest that psychosocial factors, such as social support and resilience, can maintain or delay cognitive decline, but the mechanism behind this is not entirely clear.

Methods: A convenient sampling survey of 330 patients with MCI in the community, who were screened from February 2022 to December 2022, was conducted using the General Information Questionnaire, the Montreal Cognitive Assessment Scale (MoCA), the Connor-Davidson Resilience Scale (CD-RISC-10), the Geriatric Depression Scale (GDS-5), and the Social Support Rating Scale (SSRS). SPSS 25.0 and AMOS26.0 software were used for descriptive analysis, correlation analysis, structural equation model, and confirmatory factor analysis.

Results: The scores of cognitive function, resilience, and social support were 22.56 ± 1.40, 25.15 ± 3.60, and 35.96 ± 3.76, respectively. Resilience, social support, and cognitive function were all strongly correlated, and resilience mediated between social support and cognitive function.

Conclusion: Social support and resilience scores are relatively low among Chinese older adults with MCI, which is influenced by various sociodemographic factors. In addition, the findings suggest that social support affects cognitive function through the mediating effect of resilience. Therefore, we should pay more attention to the degree of social support for the elderly with cognitive impairment, enhance the level of resilience, promote healthy behaviors, and delay the occurrence of MCI.

Introduction: We reviewed the literature related to what is known about community supervision engagement to address health outcomes amongst individuals with criminal justice oversight.

Methods: We searched eight databases. After removing duplicates, we reviewed 482 article titles and abstracts and retrieved 56 articles for full-text review.

Results: Eleven articles met final inclusion. The findings are organized into two themes: (1) Health Outcomes and (2) Programming Issues. Two studies focused on health outcomes, eight on programmatic implementation, and one on health outcomes and implementation. Only one study involved gender-specific programming for childbearing women.

Conclusion: More research that utilizes randomized control trial methods, larger samples, and measures to evaluate the effectiveness of community-based programming on health outcomes within community supervision is warranted. Considering women of childbearing age are most likely deferred to community supervision and maternal and child morbidity and mortality is an ever-growing public health crisis, more investigation is needed specific to this population.

Background: Breast cancer remains a major global health issue, with early detection playing a key role in reducing mortality rates. University students represent an important population for promoting health responsibility and preventive behaviors such as breast self-examination (BSE). Peer education has emerged as a promising strategy to enhance health-related knowledge and practices among young adults.

Objective: This study aims to evaluate the impact of peer education on early breast cancer detection, health responsibility, health beliefs, knowledge, and practices among university students.

Methods: This randomized controlled experimental study involved 244 students (124 in the intervention group and 120 in the control group). Data were collected using a Demographic Information Form, the Comprehensive Breast Cancer Knowledge Test (CBCKT), the Champion's Health Belief Model (CHBM), and a BSE skill assessment test. The intervention group received education on breast cancer and BSE. Both groups were assessed 6 months after the intervention. Data analysis included frequency, percentage, mean, standard deviation, Chi-square, eta squared, independent samples t-test, and paired samples t-test.

Results: Before the peer education, no significant differences were observed between the groups. However, following the intervention, significant improvements were noted in breast cancer knowledge, health responsibility, health beliefs, and BSE practices in the intervention group. Additionally, while only 4.8% of students performed BSE in 12 steps before the intervention, this increased to 58.1% after the education.

Conclusions: Peer education significantly enhanced breast cancer knowledge, health responsibility, health beliefs, and BSE practices. Nurses play a vital role in supporting these interventions, promoting early detection, and improving health outcomes through targeted education strategies.

Objective: This study was conducted in honor of Public Health Nursing's 40th anniversary. The study was unique as it provided the first bibliometric analysis revealing the evolution of Public Health Nursing's publications.

Design and methods: This study was a bibliometric analysis. The study was carried out by analyzing 2985 publications. Data were collected from the Web of Science Core Collection (WoSCC) database on December 31, 2024. The data analysis and graphical presentation were conducted using the Bibliometrix Package in R software and WoSCC.

Results: Public Health Nursing has had a rapidly growing impact on the field of public health nursing in terms of publications and citations. The most productive and collaborative country was the United States. "COVID-19," "vaccination," "older adults," "knowledge," "climate change," and "attitude" were the trending topics in recent years. According to the thematic map, more studies addressing the topics of "physical activity, obesity, adolescents" were required.

Conclusion: The journal has an increasing contribution and impact on public health nursing studies. It was determined that the journal's publishing network was in good condition worldwide, and the thematic diversity was high. In addition, focusing on the topics that need further study can contribute to the field of public health nursing.

Objectives: To investigate the levels, predictors, and relationships between preparedness, demand, and burden among informal caregivers of stroke survivors.

Design: Longitudinal study.

Sample: One hundred and forty-two informal caregivers of stroke survivors.

Measurements: Preparedness, demand, and burden of informal caregivers were assessed at 2 days pre-discharge (T0), 2 weeks post-discharge (T1) and 4 weeks (T2) post-discharge.

Results: Caregiver preparedness was lowest and demand and burden were highest at T0. Preparedness increased over time, whereas demand and burden decreased. Preparedness was predicted by caregiver occupation and stroke survivor age, while demand was predicted by caregiver age, education, occupation, and caregiver-stroke survivor relationship. Burden was predicted by the caregiver-stroke survivor relationship. Additionally, caregiver preparedness was significantly negatively correlated with demand, and demand was positively correlated with burden.

Conclusions: Informal caregivers had low preparedness, as well as high demand and burden, 2 days before discharge, highlighting the need for tailored nursing interventions to support their transition from hospital to home care.

Trial registration: Chinese Clinical Trial Registry (ChiCTR2300076487).