Pub Date : 2021-04-20DOI: 10.4172/2471-9846.1000279
C. Ré
Postmodernity arises with the paradigm of Complexity Sciences (CC) with support for theories, models, and practices of holistic care. They break with prevalent postulates. Open to innovative theoretical development, experimentation, and research, they reconstruct knowledge with universalistic cognitive omnipresence. Founded on quantum physics, qualitative mathematics and computer science, Galena's scientific knowledge and theories are under review, although you close your eyes to certain findings. Nursing has the opportunity to overcome the linear limits imposed by the evident scientific rational structure, circumscribed to materiality, sheltered by the hegemonic medical model (MMH).
{"title":"Complexity and Emergent Care","authors":"C. Ré","doi":"10.4172/2471-9846.1000279","DOIUrl":"https://doi.org/10.4172/2471-9846.1000279","url":null,"abstract":"Postmodernity arises with the paradigm of Complexity Sciences (CC) with support for theories, models, and practices of holistic care. They break with prevalent postulates. Open to innovative theoretical development, experimentation, and research, they reconstruct knowledge with universalistic cognitive omnipresence. Founded on quantum physics, qualitative mathematics and computer science, Galena's scientific knowledge and theories are under review, although you close your eyes to certain findings. Nursing has the opportunity to overcome the linear limits imposed by the evident scientific rational structure, circumscribed to materiality, sheltered by the hegemonic medical model (MMH).","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46464784","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 : 2019-01-31DOI: 10.4172/2471-9846-C3-008
pNoppawan Piaseup
E Recovery Surgery (ERAS) is a multi-modal approach in improving medical and nursing outcomes to optimize patient perioperative processes and improve outcomes. Gastrointestinal resection of gastric cancer to the patient to bring physical and psychological stress, leading to metabolic disorders, the traditional preoperative fasting increased the degree of this reaction. The core is the occurrence of postoperative insulin resistance, a direct impact on the development of complications and clinical outcome. Preoperative oral carbohydrate updates the preoperative treatment measures, which can effectively regulate the metabolic response of patients with gastric cancer, improve the occurrence of postoperative insulin resistance, support the ultimate goal of ERAS program to promote the rapid recovery of the body, shorten the hospital stay. However, this reform of traditional clinical practice has not yet been broadened and standardized. To review the current status of preoperative oral carbohydrates in patients with gastric cancer under the concept of Enhanced Recovery Surgery, including the relationship between preoperative fasting and insulin resistance, the relationship between oral carbohydrate and insulin resistance before surgery and possible mechanisms, safety of oral carbohydrate before surgery, program and application effects (healing effects, immunity and inflammation, nutrition and body temperature), nursing interventions, etc., in order to provide guidance for the implementation of preoperative oral carbohydrates in patients with gastric cancer in clinical gastric cancer.
{"title":"Development of the model mobilizing nutrition health promotion and education in community","authors":"pNoppawan Piaseup","doi":"10.4172/2471-9846-C3-008","DOIUrl":"https://doi.org/10.4172/2471-9846-C3-008","url":null,"abstract":"E Recovery Surgery (ERAS) is a multi-modal approach in improving medical and nursing outcomes to optimize patient perioperative processes and improve outcomes. Gastrointestinal resection of gastric cancer to the patient to bring physical and psychological stress, leading to metabolic disorders, the traditional preoperative fasting increased the degree of this reaction. The core is the occurrence of postoperative insulin resistance, a direct impact on the development of complications and clinical outcome. Preoperative oral carbohydrate updates the preoperative treatment measures, which can effectively regulate the metabolic response of patients with gastric cancer, improve the occurrence of postoperative insulin resistance, support the ultimate goal of ERAS program to promote the rapid recovery of the body, shorten the hospital stay. However, this reform of traditional clinical practice has not yet been broadened and standardized. To review the current status of preoperative oral carbohydrates in patients with gastric cancer under the concept of Enhanced Recovery Surgery, including the relationship between preoperative fasting and insulin resistance, the relationship between oral carbohydrate and insulin resistance before surgery and possible mechanisms, safety of oral carbohydrate before surgery, program and application effects (healing effects, immunity and inflammation, nutrition and body temperature), nursing interventions, etc., in order to provide guidance for the implementation of preoperative oral carbohydrates in patients with gastric cancer in clinical gastric cancer.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70316589","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 : 2019-01-31DOI: 10.4172/2471-9846-C4-010
pKelly Holben Weberp
{"title":"The relationship between bullying and depression scales in the adolescent","authors":"pKelly Holben Weberp","doi":"10.4172/2471-9846-C4-010","DOIUrl":"https://doi.org/10.4172/2471-9846-C4-010","url":null,"abstract":"","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70316643","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}
{"title":"The associations among health literacy, diabetes self-management and glycemic control in older people with poorly controlled type-2 diabetes mellitus","authors":"pPiyawan Kanan Noppawan Piaseu Porntip Malathum, Thail, Basia Belzap","doi":"10.4172/2471-9846-C3-009","DOIUrl":"https://doi.org/10.4172/2471-9846-C3-009","url":null,"abstract":"","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70316628","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 : 2018-10-12DOI: 10.4172/2471-9846-C1-002
pJouni Tuomi Maiju Valimaa, AnnaMari Aimalap
{"title":"A digital game to awaken fertility awareness among young adults","authors":"pJouni Tuomi Maiju Valimaa, AnnaMari Aimalap","doi":"10.4172/2471-9846-C1-002","DOIUrl":"https://doi.org/10.4172/2471-9846-C1-002","url":null,"abstract":"","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70316546","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 : 2018-10-12DOI: 10.4172/2471-9846-C1-003
P. Leep
E arly childhood is the most valuable and rapid period of development in human life and it is a critical stage of foundations and improvement for children’s future wellbeing. The aim of the study was to investigate the opinions identified the determinants which affect to the poor ECCD practices among the mothers in Karuwalagashinna semi-urban village in Mihinthale medical health office area in Sri Lanka. This study is mixed method approach. We created two mothers groups with 32mothers of the under 05years old children. Data was collected from the discussions and using 05 questionnaires. We got the current knowledge and awareness about the ECCD practices of mothers through those methods. And they wrote two determinants web in each groups about the factors which affect to the ECCD practices. There were superficial determinants and hidden determinants according to the ice burgphenomena. Some of superficial determinants were poor knowledge of mothers, busy lifestyle, poor economic level, norms and believes in the society. Some of hidden determinants were lack of support from family members, media influence, instant food consumption and peers influence. Community based programs are successful in addressing the issues in the grass-root level through the health promotion process. Therefore, empowering the mothers is an effective way to improve the ECCD practices in communities.
{"title":"Enhancement of community nurses in providing safe and effective wound care in community","authors":"P. Leep","doi":"10.4172/2471-9846-C1-003","DOIUrl":"https://doi.org/10.4172/2471-9846-C1-003","url":null,"abstract":"E arly childhood is the most valuable and rapid period of development in human life and it is a critical stage of foundations and improvement for children’s future wellbeing. The aim of the study was to investigate the opinions identified the determinants which affect to the poor ECCD practices among the mothers in Karuwalagashinna semi-urban village in Mihinthale medical health office area in Sri Lanka. This study is mixed method approach. We created two mothers groups with 32mothers of the under 05years old children. Data was collected from the discussions and using 05 questionnaires. We got the current knowledge and awareness about the ECCD practices of mothers through those methods. And they wrote two determinants web in each groups about the factors which affect to the ECCD practices. There were superficial determinants and hidden determinants according to the ice burgphenomena. Some of superficial determinants were poor knowledge of mothers, busy lifestyle, poor economic level, norms and believes in the society. Some of hidden determinants were lack of support from family members, media influence, instant food consumption and peers influence. Community based programs are successful in addressing the issues in the grass-root level through the health promotion process. Therefore, empowering the mothers is an effective way to improve the ECCD practices in communities.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70316579","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 : 2018-10-12DOI: 10.4172/2471-9846-C1-001
pYvonne Hsiungp
{"title":"Taiwanese indigenous cancer survivors intent to advance care planning","authors":"pYvonne Hsiungp","doi":"10.4172/2471-9846-C1-001","DOIUrl":"https://doi.org/10.4172/2471-9846-C1-001","url":null,"abstract":"","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70316534","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 : 2018-01-01DOI: 10.4172/2471-9846.1000212
Barbara M. Brathwaite, M. Marino, P. Bruckenthal
Background: Health behavior risks prevail in older patients and can include unhealthy diet and nutrition, sedentary lifestyle and physical inactivity, alcohol use and abuse and poor oral hygiene. According to the Centers for Disease Control (CDC), most of the sickness, dependency, disability, use of resources, institutionalization and premature morbidity and mortality associated with chronic disease can be avoided through preventive measures and risk reduction. Preventive care is more effective in improving health than routine health care, yet research indicates that many patients do not seem to receive preventive strategies due to provider barriers. Evidence supports that training and education significantly improve practitioner knowledge, their decision to use strategies for behavior change and increases confidence.The emerging body of evidence supports brief motivational interventions as effective strategies that can help patients change health behaviors and affect outcomes. The purpose of this study was to assess nurse practitioner student confidence and attitudes in using a brief motivational intervention. A secondary aim was to assess the degree of completion of each patient’s selected behavioral plan. Methods: This investigator-initiated pilot study examined relationships among 15 nurse practitioner student confidence and attitudes toward delivery and implementation of a Brief Action Planning (BAP) intervention to 104 older adults. Nurse practitioner students received a BAP educational program and delivered BAP to older adults in an inter-professional collaborative practice that addresses the oral health, health promotion, clinical prevention and social services needs of community-dwelling older adults.Results: Findings showed a significant change (p<0.05) in NP effectiveness, confidence, belief in and the ease of learning and incorporating BAP and the value of adding BAP to care. Forty two percent of patients fully completed, 35% partially completed and 23% did not complete their selected plan to change a health behavior.Conclusion: An educational program increased NP confidence, effectiveness and belief in value and use of a brief motivational technique to change a health behavior. Provider training helps decrease barriers to implementing motivational techniques and prevention strategies. BAP shifts thinking about how to help motivate patients toward change, is easy to learn and feasible.
{"title":"Nurse Practitioner Confidence and Attitudes towards Brief Motivational Interventions to Improve Compliance with Health and Wellness Recommendations","authors":"Barbara M. Brathwaite, M. Marino, P. Bruckenthal","doi":"10.4172/2471-9846.1000212","DOIUrl":"https://doi.org/10.4172/2471-9846.1000212","url":null,"abstract":"Background: Health behavior risks prevail in older patients and can include unhealthy diet and nutrition, sedentary lifestyle and physical inactivity, alcohol use and abuse and poor oral hygiene. According to the Centers for Disease Control (CDC), most of the sickness, dependency, disability, use of resources, institutionalization and premature morbidity and mortality associated with chronic disease can be avoided through preventive measures and risk reduction. Preventive care is more effective in improving health than routine health care, yet research indicates that many patients do not seem to receive preventive strategies due to provider barriers. Evidence supports that training and education significantly improve practitioner knowledge, their decision to use strategies for behavior change and increases confidence.The emerging body of evidence supports brief motivational interventions as effective strategies that can help patients change health behaviors and affect outcomes. The purpose of this study was to assess nurse practitioner student confidence and attitudes in using a brief motivational intervention. A secondary aim was to assess the degree of completion of each patient’s selected behavioral plan. Methods: This investigator-initiated pilot study examined relationships among 15 nurse practitioner student confidence and attitudes toward delivery and implementation of a Brief Action Planning (BAP) intervention to 104 older adults. Nurse practitioner students received a BAP educational program and delivered BAP to older adults in an inter-professional collaborative practice that addresses the oral health, health promotion, clinical prevention and social services needs of community-dwelling older adults.Results: Findings showed a significant change (p<0.05) in NP effectiveness, confidence, belief in and the ease of learning and incorporating BAP and the value of adding BAP to care. Forty two percent of patients fully completed, 35% partially completed and 23% did not complete their selected plan to change a health behavior.Conclusion: An educational program increased NP confidence, effectiveness and belief in value and use of a brief motivational technique to change a health behavior. Provider training helps decrease barriers to implementing motivational techniques and prevention strategies. BAP shifts thinking about how to help motivate patients toward change, is easy to learn and feasible.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000212","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70315586","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 : 2018-01-01DOI: 10.4172/2471-9846.1000218
N. Fredland, J. Mcfarlane, John Maddoux, B. Binder
Millions of children globally are exposed to multiple forms of violence in their homes, neighborhoods and schools, making it difficult to quantify cumulative exposures. These children are at increased risk for poor health outcomes, such as internalizing and externalizing mental and behavioral symptoms. Objective: The aim of this analysis are to examine the frequency of bullying experiences in the lives of children who have experienced parental intimate partner violence and to examine the association between health outcomes and being bullied, specifically internalizing and externalizing symptoms. Method: This study considers sex roles and divides the children by ages over 12 and under 12; however, only the victim role is assessed. For this analysis 52 months data were collected as part of a 7 year prospective study. To our knowledge, this is the first prevalence and health outcomes data reported for this population of children (N=274, average age 11.2) exposed to parental intimate partner violence (IPV) and bullying. Results: Children experienced higher than national rates of bullying victimization, ranging from 22% to 47.4%, with physical bullying at 35.6% to 45.1%. Indirect bullying was higher in the under 12 age group (32.4%-46%). The only significant gender difference was that boys experienced physical bullying more than girls. Children who scored in the borderline/clinical range on the Child Behavior Checklist experienced significantly higher levels of bullying. Conclusion: Children who experience higher levels of bullying tend to also have significantly greater internalizing and externalizing problems. This study demonstrates that negative mental and behavioral health outcomes are associated with youth who experience both bullying and parental intimate partner violence.
{"title":"Youth exposed to parental intimate partner violence and bullying at school","authors":"N. Fredland, J. Mcfarlane, John Maddoux, B. Binder","doi":"10.4172/2471-9846.1000218","DOIUrl":"https://doi.org/10.4172/2471-9846.1000218","url":null,"abstract":"Millions of children globally are exposed to multiple forms of violence in their homes, neighborhoods and schools, making it difficult to quantify cumulative exposures. These children are at increased risk for poor health outcomes, such as internalizing and externalizing mental and behavioral symptoms. Objective: The aim of this analysis are to examine the frequency of bullying experiences in the lives of children who have experienced parental intimate partner violence and to examine the association between health outcomes and being bullied, specifically internalizing and externalizing symptoms. Method: This study considers sex roles and divides the children by ages over 12 and under 12; however, only the victim role is assessed. For this analysis 52 months data were collected as part of a 7 year prospective study. To our knowledge, this is the first prevalence and health outcomes data reported for this population of children (N=274, average age 11.2) exposed to parental intimate partner violence (IPV) and bullying. Results: Children experienced higher than national rates of bullying victimization, ranging from 22% to 47.4%, with physical bullying at 35.6% to 45.1%. Indirect bullying was higher in the under 12 age group (32.4%-46%). The only significant gender difference was that boys experienced physical bullying more than girls. Children who scored in the borderline/clinical range on the Child Behavior Checklist experienced significantly higher levels of bullying. Conclusion: Children who experience higher levels of bullying tend to also have significantly greater internalizing and externalizing problems. This study demonstrates that negative mental and behavioral health outcomes are associated with youth who experience both bullying and parental intimate partner violence.","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000218","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70316280","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 : 2018-01-01DOI: 10.4172/2471-9846.1000220
S. Håkonsen, M. Bjerrum, A. Bygholm, Heidi Hjort Kjelgaard, P. Pedersen
Primary health care faces challenges concerning high malnutrition rates. Attention to documentation is important for ensuring that health care professionals in primary health care deliver appropriate and timely nutritional care and treatment, hence maintaining continuity of care and enhancing patient outcomes. Healthcare professionals’ competencies have been shown to be of great importance in delivering high quality documentation and nutritional care. This aim of this study was to investigate the routines, knowledge and attitudes towards nutrition and documentation in primary health care of the primary healthcare workforce. Using a descriptive cross-sectional design, a validated questionnaire on registered nurses, social and health service assistants, social and health service helpers’ attitudes, routines and knowledge about nutrition and documentation was delivered to eligible participants. The questionnaire was distributed to 1,391 eligible participants in a municipality in Denmark. The overall response rate was 32%, leaving a total number of 449 respondents. The study shows that the level of nutritional knowledge and nutritional routines and documentation practices was poor in all three healthcare professional groups. The respondents showed large variations in knowledge and routines, hence complicating the accurate transfer of relevant nutritional related data in the patients’ healthcare record and thereby compromising continuity of care. Overall, the three groups of healthcare professionals indicated a somewhat positive attitude towards documentation and nutrition and regarded nutrition and documentation as a part of their area of responsibility, although there were discrepancies in the self-perceived degree of responsibilities among the groups of healthcare professionals. The regression analysis conducted in this study showed that a high degree of nutritional knowledge and attitudes did not determine nutritional routines. This information suggests that a focus on increasing healthcare professional’s nutritional knowledge may be redundant if the organizations and management do not continuously articulate and prioritize nutritional care and documentation. Citation: Håkonsen SJ, Bjerrum M, Bygholm A, Kjelgaard HH, Pedersen PU (2018) The Routines, Knowledge and Attitudes towards Nutrition and Documentation of Nursing Staff in Primary Healthcare: A Cross-Sectional Study. J Comm Pub Health Nursing 4: 220. doi:10.4172/24719846.1000220
初级保健面临着营养不良率高的挑战。注意记录对于确保初级卫生保健的卫生保健专业人员提供适当和及时的营养保健和治疗，从而保持护理的连续性和提高患者的治疗效果非常重要。医疗保健专业人员的能力已被证明在提供高质量的文件和营养护理方面非常重要。本研究的目的是调查初级卫生保健工作人员在初级卫生保健方面的常规、知识和态度。采用描述性横断面设计，向符合条件的参与者发放了一份关于注册护士、社会和卫生服务助理、社会和卫生服务助手的态度、习惯和营养知识的有效问卷。调查问卷分发给了丹麦一个城市的1391名合格参与者。整体回复率为32%，受访者总数为449人。研究表明，在所有三个医疗保健专业群体中，营养知识水平、营养常规和记录实践都很差。受访者在知识和日常生活方面表现出很大的差异，因此使患者医疗记录中相关营养相关数据的准确转移复杂化，从而损害了护理的连续性。总体而言，三组保健专业人员对文件和营养的态度有些积极，并将营养和文件作为其责任领域的一部分，尽管各保健专业人员群体之间在自我认识的责任程度上存在差异。本研究的回归分析显示，高程度的营养知识和态度并不能决定营养常规。这一信息表明，如果组织和管理层不能持续阐明和优先考虑营养护理和文件，那么关注于增加医疗保健专业人员的营养知识可能是多余的。引用本文:ha konsen SJ, Bjerrum M, Bygholm A, Kjelgaard HH, Pedersen PU(2018)初级卫生保健护理人员营养习惯、知识和态度与文献记录的横断面研究。[J] .中华医学会杂志，卫生护理学4:220。doi: 10.4172/24719846.1000220
{"title":"The Routines, Knowledge and Attitudes towards Nutrition and Documentation of Nursing Staff in Primary Healthcare: A Cross-Sectional Study","authors":"S. Håkonsen, M. Bjerrum, A. Bygholm, Heidi Hjort Kjelgaard, P. Pedersen","doi":"10.4172/2471-9846.1000220","DOIUrl":"https://doi.org/10.4172/2471-9846.1000220","url":null,"abstract":"Primary health care faces challenges concerning high malnutrition rates. Attention to documentation is important for ensuring that health care professionals in primary health care deliver appropriate and timely nutritional care and treatment, hence maintaining continuity of care and enhancing patient outcomes. Healthcare professionals’ competencies have been shown to be of great importance in delivering high quality documentation and nutritional care. This aim of this study was to investigate the routines, knowledge and attitudes towards nutrition and documentation in primary health care of the primary healthcare workforce. Using a descriptive cross-sectional design, a validated questionnaire on registered nurses, social and health service assistants, social and health service helpers’ attitudes, routines and knowledge about nutrition and documentation was delivered to eligible participants. The questionnaire was distributed to 1,391 eligible participants in a municipality in Denmark. The overall response rate was 32%, leaving a total number of 449 respondents. The study shows that the level of nutritional knowledge and nutritional routines and documentation practices was poor in all three healthcare professional groups. The respondents showed large variations in knowledge and routines, hence complicating the accurate transfer of relevant nutritional related data in the patients’ healthcare record and thereby compromising continuity of care. Overall, the three groups of healthcare professionals indicated a somewhat positive attitude towards documentation and nutrition and regarded nutrition and documentation as a part of their area of responsibility, although there were discrepancies in the self-perceived degree of responsibilities among the groups of healthcare professionals. The regression analysis conducted in this study showed that a high degree of nutritional knowledge and attitudes did not determine nutritional routines. This information suggests that a focus on increasing healthcare professional’s nutritional knowledge may be redundant if the organizations and management do not continuously articulate and prioritize nutritional care and documentation. Citation: Håkonsen SJ, Bjerrum M, Bygholm A, Kjelgaard HH, Pedersen PU (2018) The Routines, Knowledge and Attitudes towards Nutrition and Documentation of Nursing Staff in Primary Healthcare: A Cross-Sectional Study. J Comm Pub Health Nursing 4: 220. doi:10.4172/24719846.1000220","PeriodicalId":92236,"journal":{"name":"Journal of community & public health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2471-9846.1000220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70316383","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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