Pub Date : 2023-10-10DOI: 10.1097/nr9.0000000000000037
Xiaochun Yang, Haobin Zhuang, Wenjie Miao, Wuyang Hong, Li Zhang
Abstract Objective: Based on the hierarchical medical system, this study evaluated the accessibility of medical facilities (MFs), analyzed their geographic allocation, and put forward suggestions for the balanced allocation of MFs in Shenzhen. Methods: This study implemented a two-step floating catchment area (2SFCA) method to evaluate the accessibility of MFs. Statistical and spatial analysis methods were used to analyze the spatial characteristics and service equity of accessibility in Shenzhen. Results: The spatial allocation of the accessibility of low-level medical facilities (LMFs) in Shenzhen was characterized by the emergence of point-like high-accessibility areas in a large low-accessibility area. Here, there is the problem of insufficient service capacity, which limits the implementation of the hierarchical medical system. The spatial characteristics of the accessibility of high-level medical facilities (HMFs) in Shenzhen included a high degree of agglomeration, large differences inside and outside the original special economic zone (SEZ), and large areas with weak accessibility. There was a spatial imbalance in the overall accessibility of MFs, wherein individuals with higher incomes typically have better and more equitable accessibility. Conclusions: A balanced geographic allocation of MFs can ensure the implementation of the hierarchical medical system and enhance the equity of medical services. Strategies for balanced geographic allocation of MFs are proposed as follows: comprehensively improving the service capacity and construction standards of community healthcare centers (CHCs); promoting the construction of primary hospitals (PHs) and community hospitals (CHs) in areas with a high population density; establishing additional secondary hospitals (SHs) and tertiary hospitals (THs) in areas with low accessibility to HMFs; and encouraging coordinated urban development and medical facilities construction.
{"title":"Research on the balanced geographic allocation of medical facilities in Shenzhen City based on the hierarchical medical system","authors":"Xiaochun Yang, Haobin Zhuang, Wenjie Miao, Wuyang Hong, Li Zhang","doi":"10.1097/nr9.0000000000000037","DOIUrl":"https://doi.org/10.1097/nr9.0000000000000037","url":null,"abstract":"Abstract Objective: Based on the hierarchical medical system, this study evaluated the accessibility of medical facilities (MFs), analyzed their geographic allocation, and put forward suggestions for the balanced allocation of MFs in Shenzhen. Methods: This study implemented a two-step floating catchment area (2SFCA) method to evaluate the accessibility of MFs. Statistical and spatial analysis methods were used to analyze the spatial characteristics and service equity of accessibility in Shenzhen. Results: The spatial allocation of the accessibility of low-level medical facilities (LMFs) in Shenzhen was characterized by the emergence of point-like high-accessibility areas in a large low-accessibility area. Here, there is the problem of insufficient service capacity, which limits the implementation of the hierarchical medical system. The spatial characteristics of the accessibility of high-level medical facilities (HMFs) in Shenzhen included a high degree of agglomeration, large differences inside and outside the original special economic zone (SEZ), and large areas with weak accessibility. There was a spatial imbalance in the overall accessibility of MFs, wherein individuals with higher incomes typically have better and more equitable accessibility. Conclusions: A balanced geographic allocation of MFs can ensure the implementation of the hierarchical medical system and enhance the equity of medical services. Strategies for balanced geographic allocation of MFs are proposed as follows: comprehensively improving the service capacity and construction standards of community healthcare centers (CHCs); promoting the construction of primary hospitals (PHs) and community hospitals (CHs) in areas with a high population density; establishing additional secondary hospitals (SHs) and tertiary hospitals (THs) in areas with low accessibility to HMFs; and encouraging coordinated urban development and medical facilities construction.","PeriodicalId":73407,"journal":{"name":"Interdisciplinary nursing research","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136294909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-02DOI: 10.1097/nr9.0000000000000034
Yuanxiang Xia, Wenjian Zhu
Abstract Objectives: The rational planning and allocation of hospitals significantly improves residents’‘ health and quality of life. However, the unequal allocation of medical resources remains a significant issue in large Chinese cities. This study investigated the disparities in access to healthcare among different social groups in Shenzhen and explored the discrepancy in equity and its influencing mechanisms. Methods: The population was divided into five social groups based on housing prices: high-income, middle-high-income, middle-income, middle-low-income, and low-income. The actual travel times of residential neighborhoods and general hospitals under both driving and public transportation were accessed through the application programming interface Amap, a mapping technology application. The accessibility of general hospitals was calculated by the Gaussian-based two-step floating catchment area method. The Gini coefficient was used to further investigate the equity in medical facility services. Results: Accessibility to first- and second-level hospitals was adequate for the high-income group. However, a significant spatial mismatch in the allocation of hospitals was identified for the middle-low-income and low-income groups, especially those reliant on public transportation. Conclusions: This study reveals an inequitable allocation of hospitals, with driving accessibility generally superior to public transport accessibility in Shenzhen, and a significant spatial mismatch for middle-low-income and low-income groups. This study suggests optimizing public transportation around hospitals and middle-low-income or low-income neighborhoods through urban planning to improve the accessibility of public service facilities for middle-low-income and low-income households, thereby promoting more health equity.
{"title":"The social equity and the spatial accessibility of general hospitals in big Chinese cities: An exploration based on different income groups and transportation modes in Shenzhen","authors":"Yuanxiang Xia, Wenjian Zhu","doi":"10.1097/nr9.0000000000000034","DOIUrl":"https://doi.org/10.1097/nr9.0000000000000034","url":null,"abstract":"Abstract Objectives: The rational planning and allocation of hospitals significantly improves residents’‘ health and quality of life. However, the unequal allocation of medical resources remains a significant issue in large Chinese cities. This study investigated the disparities in access to healthcare among different social groups in Shenzhen and explored the discrepancy in equity and its influencing mechanisms. Methods: The population was divided into five social groups based on housing prices: high-income, middle-high-income, middle-income, middle-low-income, and low-income. The actual travel times of residential neighborhoods and general hospitals under both driving and public transportation were accessed through the application programming interface Amap, a mapping technology application. The accessibility of general hospitals was calculated by the Gaussian-based two-step floating catchment area method. The Gini coefficient was used to further investigate the equity in medical facility services. Results: Accessibility to first- and second-level hospitals was adequate for the high-income group. However, a significant spatial mismatch in the allocation of hospitals was identified for the middle-low-income and low-income groups, especially those reliant on public transportation. Conclusions: This study reveals an inequitable allocation of hospitals, with driving accessibility generally superior to public transport accessibility in Shenzhen, and a significant spatial mismatch for middle-low-income and low-income groups. This study suggests optimizing public transportation around hospitals and middle-low-income or low-income neighborhoods through urban planning to improve the accessibility of public service facilities for middle-low-income and low-income households, thereby promoting more health equity.","PeriodicalId":73407,"journal":{"name":"Interdisciplinary nursing research","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135828288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-27DOI: 10.1097/nr9.0000000000000035
Xiaohua Zhong, Fuqin Wang
Abstract Objective: Based on the theory of spatial production, the built environment is considered a mediating mechanism for health inequality. This study tested the hypothesis that communities, where populations with a higher socioeconomic status live, have a higher-quality built environment, which, in turn, promotes their mental health. Methods: Based on data from the 2019 Shanghai Community Survey (n=3233), the general linear regression model (OLS) and the classical three-step method developed by Baron and Kenny (1986) were used to test the mediation effects; subsequently, a structural equation model (bootstrap) was used to examine average direct effects (ADE) and average causal mediation effects (ACME). Results: There were fewer types of aversive facilities, more green spaces or sports fields conducive to leisure and exercise, and better environmental hygiene in communities with higher-income populations, all of which improved their mental health. The total effect of income on mental health was 0.145 ( P <0.001), of which the ACME effect through the built environment was 0.013 ( P <0.05), accounting for approximately 8.97%. Among the three dimensions of the built environment, the sanitation environment had a greater effect, accounting for 55.07% of the total mediation effect. Surrounding facilities accounted for 34.73%, while community green and sports spaces accounted for approximately 10.19%. Conclusions: The built environment quality of communities where low-income groups reside is worse, resulting in lower levels of their mental health. In the spatial planning of built environments, the socioeconomic characteristics of different residential groups should be considered, and the environmental quality of low-income communities should be improved using targeted measures.
摘要目的:基于空间生产理论，研究建成环境对健康不平等的中介机制。这项研究验证了这样一个假设，即社会经济地位较高的人群居住的社区拥有更高质量的建筑环境，这反过来又促进了他们的心理健康。方法:基于2019年上海市社区调查数据(n=3233)，采用一般线性回归模型(OLS)和Baron and Kenny(1986)经典的三步法对中介效应进行检验;随后，采用结构方程模型(bootstrap)检验了平均直接效应(ADE)和平均因果中介效应(ACME)。结果:高收入人群的厌恶设施类型较少，有利于休闲和锻炼的绿地或运动场较多，环境卫生状况较好，有利于改善其心理健康状况。收入对心理健康的总效应为0.145 (P <0.001)，其中通过建筑环境的ACME效应为0.013 (P <0.05)，约占8.97%。在建筑环境的三个维度中，卫生环境的中介效应较大，占总中介效应的55.07%。周边设施占34.73%，社区绿地和运动空间约占10.19%。结论:低收入群体居住的社区建筑环境质量较差，导致其心理健康水平较低。在建筑环境的空间规划中，应考虑不同居住群体的社会经济特征，并有针对性地改善低收入社区的环境质量。
{"title":"The mediating effect of built environment on the relationship between socioeconomic status and mental health: findings from the 2019 Shanghai community survey","authors":"Xiaohua Zhong, Fuqin Wang","doi":"10.1097/nr9.0000000000000035","DOIUrl":"https://doi.org/10.1097/nr9.0000000000000035","url":null,"abstract":"Abstract Objective: Based on the theory of spatial production, the built environment is considered a mediating mechanism for health inequality. This study tested the hypothesis that communities, where populations with a higher socioeconomic status live, have a higher-quality built environment, which, in turn, promotes their mental health. Methods: Based on data from the 2019 Shanghai Community Survey (n=3233), the general linear regression model (OLS) and the classical three-step method developed by Baron and Kenny (1986) were used to test the mediation effects; subsequently, a structural equation model (bootstrap) was used to examine average direct effects (ADE) and average causal mediation effects (ACME). Results: There were fewer types of aversive facilities, more green spaces or sports fields conducive to leisure and exercise, and better environmental hygiene in communities with higher-income populations, all of which improved their mental health. The total effect of income on mental health was 0.145 ( P <0.001), of which the ACME effect through the built environment was 0.013 ( P <0.05), accounting for approximately 8.97%. Among the three dimensions of the built environment, the sanitation environment had a greater effect, accounting for 55.07% of the total mediation effect. Surrounding facilities accounted for 34.73%, while community green and sports spaces accounted for approximately 10.19%. Conclusions: The built environment quality of communities where low-income groups reside is worse, resulting in lower levels of their mental health. In the spatial planning of built environments, the socioeconomic characteristics of different residential groups should be considered, and the environmental quality of low-income communities should be improved using targeted measures.","PeriodicalId":73407,"journal":{"name":"Interdisciplinary nursing research","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135536483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-22DOI: 10.1097/nr9.0000000000000032
Joshua Evans, Ariel MacDonald
Abstract Objectives: The objective of this article is to explore how housing practitioners navigate the challenge of tenant retention within Permanent Supportive Housing (PSH) programs, and the practices they associate with program success. Methods: This article draws on semi-structured interviews with ten housing practitioners from seven organizations operating eight PSH programs in Edmonton, a city with roughly one million people in Alberta, Canada. Results: This article focuses on three specific challenges that have implications for the retention of residents: interpersonal conflict, property damage, and guest management. It also focuses on three “promising practices” that practitioners have utilized to mitigate these challenges: relationship-building, community-building, and security of the buildings. Conclusions: Tenant retention is integral to the realization of positive program outcomes in PSH. There are several factors affecting tenant retention. To address these challenges, the staff interviewed in this research found success in building programmatic elements that fostered positive interpersonal relationships, managed the behavior of guests on the property, and ensured the physical integrity of the buildings.
{"title":"Relationship-building, community-building, and security of the building: staff perspectives on tenant retention in permanent supportive housing","authors":"Joshua Evans, Ariel MacDonald","doi":"10.1097/nr9.0000000000000032","DOIUrl":"https://doi.org/10.1097/nr9.0000000000000032","url":null,"abstract":"Abstract Objectives: The objective of this article is to explore how housing practitioners navigate the challenge of tenant retention within Permanent Supportive Housing (PSH) programs, and the practices they associate with program success. Methods: This article draws on semi-structured interviews with ten housing practitioners from seven organizations operating eight PSH programs in Edmonton, a city with roughly one million people in Alberta, Canada. Results: This article focuses on three specific challenges that have implications for the retention of residents: interpersonal conflict, property damage, and guest management. It also focuses on three “promising practices” that practitioners have utilized to mitigate these challenges: relationship-building, community-building, and security of the buildings. Conclusions: Tenant retention is integral to the realization of positive program outcomes in PSH. There are several factors affecting tenant retention. To address these challenges, the staff interviewed in this research found success in building programmatic elements that fostered positive interpersonal relationships, managed the behavior of guests on the property, and ensured the physical integrity of the buildings.","PeriodicalId":73407,"journal":{"name":"Interdisciplinary nursing research","volume":"144 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136060303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-13DOI: 10.1097/nr9.0000000000000031
Karen K. Lee
Abstract Globally, non-communicable diseases (NCDs) are leading causes of mortality, morbidity, and healthcare costs. Growing evidence demonstrates that key protective factors for NCDS (e.g., physical activity, healthy eating, and social connections) can be influenced through better design of and amenities in our community and building environments. Guidelines for multi-sector professionals that provide strategies for bettering these environments have proven successful in improving NCD outcomes in jurisdictions that have implemented them into policies and practices across settings. In 2023, the Healthy Community Guidelines informed by the latest evidence and multi-sector practitioner inputs are being released. There is great need to implement its strategies broadly across our cities and towns so we may create environments for better NCD prevention and management. In doing so, we have the opportunity to achieve our goals of improved NCD outcomes, life expectancies and more sustainable healthcare systems in the next decade.
{"title":"Need for continued improvements to our communities and buildings for health","authors":"Karen K. Lee","doi":"10.1097/nr9.0000000000000031","DOIUrl":"https://doi.org/10.1097/nr9.0000000000000031","url":null,"abstract":"Abstract Globally, non-communicable diseases (NCDs) are leading causes of mortality, morbidity, and healthcare costs. Growing evidence demonstrates that key protective factors for NCDS (e.g., physical activity, healthy eating, and social connections) can be influenced through better design of and amenities in our community and building environments. Guidelines for multi-sector professionals that provide strategies for bettering these environments have proven successful in improving NCD outcomes in jurisdictions that have implemented them into policies and practices across settings. In 2023, the Healthy Community Guidelines informed by the latest evidence and multi-sector practitioner inputs are being released. There is great need to implement its strategies broadly across our cities and towns so we may create environments for better NCD prevention and management. In doing so, we have the opportunity to achieve our goals of improved NCD outcomes, life expectancies and more sustainable healthcare systems in the next decade.","PeriodicalId":73407,"journal":{"name":"Interdisciplinary nursing research","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135786483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Our study aimed to explore the link between environment and health, driven by a virtual volunteering program, and discuss the implications of virtual volunteering in community support in the post-pandemic era. Using a purposive sampling strategy, we recruited 21 participants with diverse backgrounds, including age and sex. They participated in individual interviews of one to two hours, all of which followed a semi-structured interview guide centered on topics such as volunteer experiences, impacts, and understanding of volunteering. The audio recordings were transcribed verbatim and analyzed using a grounded theory approach. Our data showed that interpersonal interactions through the virtual volunteering program helped participants deal with loneliness, and boosted their mental health. The social network provided participants with social support. Moreover, activities such as dancing, yoga, Tai Chi, and singing facilitated physical health. Participants not only learned various skills, but also served as mentors, through which they increased self-efficacy through reciprocal role transformation. Our study concludes that Virtual volunteer programs have a positive impact on people’s physical and mental health. The participants demonstrated different levels of resilience when their environments changed. By situating virtual volunteering as the center of people’s health, our findings suggest that people gain informational, instrumental, and emotional support through virtual volunteering. Future research should examine the experiences of individuals from other ethnic groups and settings to supplement this study.
{"title":"Virtual volunteering, community support, and Self-Care in Chinese communities in Canada","authors":"Weijia Tan, Yidan Zhu, Liuxi Wu, Jingyi Hou, Jingjing Yi, Tianyang Qi, Weiguo Zhang","doi":"10.1097/nr9.0000000000000030","DOIUrl":"https://doi.org/10.1097/nr9.0000000000000030","url":null,"abstract":"\u0000 \u0000 \u0000 Our study aimed to explore the link between environment and health, driven by a virtual volunteering program, and discuss the implications of virtual volunteering in community support in the post-pandemic era.\u0000 \u0000 \u0000 \u0000 Using a purposive sampling strategy, we recruited 21 participants with diverse backgrounds, including age and sex. They participated in individual interviews of one to two hours, all of which followed a semi-structured interview guide centered on topics such as volunteer experiences, impacts, and understanding of volunteering. The audio recordings were transcribed verbatim and analyzed using a grounded theory approach.\u0000 \u0000 \u0000 \u0000 Our data showed that interpersonal interactions through the virtual volunteering program helped participants deal with loneliness, and boosted their mental health. The social network provided participants with social support. Moreover, activities such as dancing, yoga, Tai Chi, and singing facilitated physical health. Participants not only learned various skills, but also served as mentors, through which they increased self-efficacy through reciprocal role transformation.\u0000 \u0000 \u0000 \u0000 Our study concludes that Virtual volunteer programs have a positive impact on people’s physical and mental health. The participants demonstrated different levels of resilience when their environments changed. By situating virtual volunteering as the center of people’s health, our findings suggest that people gain informational, instrumental, and emotional support through virtual volunteering. Future research should examine the experiences of individuals from other ethnic groups and settings to supplement this study.\u0000","PeriodicalId":73407,"journal":{"name":"Interdisciplinary nursing research","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78366811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-21DOI: 10.1097/nr9.0000000000000029
T. Ren
{"title":"Environment, care and health","authors":"T. Ren","doi":"10.1097/nr9.0000000000000029","DOIUrl":"https://doi.org/10.1097/nr9.0000000000000029","url":null,"abstract":"","PeriodicalId":73407,"journal":{"name":"Interdisciplinary nursing research","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87078603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain is the main symptom of arthritis. Microneedling is a new method of transdermal drug delivery that relives the pain in arthritis according to the mechanisms of pain in arthritis. This paper provides a review of the mechanisms of pain in arthritis and the use of different types of microneedles (MNs) in pain relief in arthritis. The mechanism of pain in arthritis is primarily a joint tissue lesion that causes the release of inflammatory factors by pro-inflammatory cells, resulting in pain. MNs can carry various drugs to reduce inflammatory factors, cartilage destruction and thus the symptom of pain. MNs can be classified into five types, which are solid MNs, hollow MNs, coated MNs, dissolving MNs, and swelling MNs. Among them, dissolving MNs and swelling MNs have better prospects for application in long-term management of pain in arthritis due to the biosafety of their materials and its convenience brought by the sustained-release design.
{"title":"Microneedling in the relief of pain in arthritis: a brief review","authors":"Kexin Chen, Xiaowei Mao, Mingming Yu, Weijiao Zhou, Shaomei Shang","doi":"10.1097/nr9.0000000000000027","DOIUrl":"https://doi.org/10.1097/nr9.0000000000000027","url":null,"abstract":"\u0000 Pain is the main symptom of arthritis. Microneedling is a new method of transdermal drug delivery that relives the pain in arthritis according to the mechanisms of pain in arthritis. This paper provides a review of the mechanisms of pain in arthritis and the use of different types of microneedles (MNs) in pain relief in arthritis. The mechanism of pain in arthritis is primarily a joint tissue lesion that causes the release of inflammatory factors by pro-inflammatory cells, resulting in pain. MNs can carry various drugs to reduce inflammatory factors, cartilage destruction and thus the symptom of pain. MNs can be classified into five types, which are solid MNs, hollow MNs, coated MNs, dissolving MNs, and swelling MNs. Among them, dissolving MNs and swelling MNs have better prospects for application in long-term management of pain in arthritis due to the biosafety of their materials and its convenience brought by the sustained-release design.","PeriodicalId":73407,"journal":{"name":"Interdisciplinary nursing research","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78259589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-27DOI: 10.1097/nr9.0000000000000022
Tingting Cai, C. Yuan
{"title":"Iron triangle framework for the health recommender system: perspectives from intelligent care","authors":"Tingting Cai, C. Yuan","doi":"10.1097/nr9.0000000000000022","DOIUrl":"https://doi.org/10.1097/nr9.0000000000000022","url":null,"abstract":"","PeriodicalId":73407,"journal":{"name":"Interdisciplinary nursing research","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73432197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1097/NR9.0000000000000020
Hongxiao He, Hong Lu, Yan Wang, Ruyan Pang, L. Qiu, Jiasi Yao, Hong Zhou, Xiu Zhu
Abstract Objective: The goal of this study is to apply Birthrate Plus (BR+) methodology in Chinese midwifery settings to assess the midwifery workforce status and to calculate the potential demand for more midwives. Methods: This was a retrospective multisite study using 12,443 maternal medical records from 49 midwifery settings in Zhejiang Province, China. Data needed in the BR+, including the types of childbearing women and the number of midwifery service hours, were extracted and then calculated to assess the estimated demand and shortage of midwives. Results: The study included 599 midwives across 49 settings, with a range of 1–35 full-time equivalent midwives per setting, totaling 465 full-time equivalent midwives. Using BR+ methodology, the analysis revealed a shortage of midwives in 61.2% of the surveyed settings and a surplus in 22.4%. The shortage varied significantly across different levels of settings (H=6.505, P<0.05). Conclusions: Overall, the midwifery services provided were significantly insufficient in the surveyed regions, and workforce allocation was unbalanced among different areas.
{"title":"Application of the birthrate plus (BR+) methodology to identify midwifery workforce shortages in China: a retrospective multisite study","authors":"Hongxiao He, Hong Lu, Yan Wang, Ruyan Pang, L. Qiu, Jiasi Yao, Hong Zhou, Xiu Zhu","doi":"10.1097/NR9.0000000000000020","DOIUrl":"https://doi.org/10.1097/NR9.0000000000000020","url":null,"abstract":"Abstract Objective: The goal of this study is to apply Birthrate Plus (BR+) methodology in Chinese midwifery settings to assess the midwifery workforce status and to calculate the potential demand for more midwives. Methods: This was a retrospective multisite study using 12,443 maternal medical records from 49 midwifery settings in Zhejiang Province, China. Data needed in the BR+, including the types of childbearing women and the number of midwifery service hours, were extracted and then calculated to assess the estimated demand and shortage of midwives. Results: The study included 599 midwives across 49 settings, with a range of 1–35 full-time equivalent midwives per setting, totaling 465 full-time equivalent midwives. Using BR+ methodology, the analysis revealed a shortage of midwives in 61.2% of the surveyed settings and a surplus in 22.4%. The shortage varied significantly across different levels of settings (H=6.505, P<0.05). Conclusions: Overall, the midwifery services provided were significantly insufficient in the surveyed regions, and workforce allocation was unbalanced among different areas.","PeriodicalId":73407,"journal":{"name":"Interdisciplinary nursing research","volume":"9 1","pages":"100 - 106"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78645431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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