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Moyo P, Felix R. Nurses' obesity knowledge, attitudes and practices in private facilities in Oshana, Namibia. Health SA 2024; 29:2385. [PMID: 38445039 PMCID: PMC10913129 DOI: 10.4102/hsag.v29i0.2385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Accepted: 11/28/2023] [Indexed: 03/07/2024] Open
Abstract
Background The prevalence of obesity has been rising globally, and this is leading to an increase in other non-communicable diseases. The level of obesity knowledge among nurses may have an impact on how they treat and perceive obese patients. Aim The study aimed to ascertain the knowledge, attitudes and practices of nurses regarding obesity at private healthcare facilities located in Namibia's Oshana Region. Setting A total of four private healthcare facilities in Namibia's Oshana area served as the study's sites. Methods A quantitative cross-sectional research design using proportional stratified random sampling was used to choose 250 respondents for the study. A questionnaire that respondents self-administered was used to gather the data. The reliability and validity of the questionnaire were determined during a pilot study. IBM Statistical Package for the Social Sciences (SPSS) version 27 was used for data analysis. Results Of the participants, about two-fifths had a positive attitude (n = 112; 44.8%), slightly less than two-fifths had good practices (n = 96; 38.4%) and more than one-third had good knowledge (n = 97; 39%). There were differences in knowledge mean scores based on age, occupation, sex and educational level. Conclusion The results validate the necessity for healthcare facilities to implement nurse education and mentorship initiatives, as well as to recognise and reward nurses who effectively care for patients with obesity. Contribution This study added literature on knowledge, attitudes and practices of nurses in private healthcare facilities in Namibia, as well as factors that influence knowledge levels among the nurses.
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Affiliation(s)
- Perseverance Moyo
- Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
| | - Rehanna Felix
- Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
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Chen HH, Lai JCY, Chiou ST, Huang N, Chien LY. The effect of hospital-based health promotion on the health practices of full-time hospital nurses: a cross-sectional study. Sci Rep 2023; 13:9763. [PMID: 37328544 PMCID: PMC10275936 DOI: 10.1038/s41598-023-36873-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2022] [Accepted: 06/12/2023] [Indexed: 06/18/2023] Open
Abstract
Many studies have reported positive contributions of health promotion on the health behavior of nursing staff working in hospitals, including the maintenance of a regular healthy diet, engagement in physical activity, performance of routine screening practices, and participation in a health examination. Despite being considered a role model for healthy lifestyles, little is known about the effect of health-promoting hospital settings on nursing staff. The aim of this study was to perform a nationwide, hospital-based, cross-sectional, survey comparing health practices between full-time nurses of health-promoting hospitals and those of non-health-promoting hospitals in Taiwan. We conducted a nationwide, hospital-based, cross-sectional, survey in 100 hospitals from May to July 2011 using a questionnaire as the measurement tool. Nurses aged between 18 and 65 years from certified health-promoting hospitals (n = 14,769) were compared with nurses in non-health-promoting hospitals (n = 11,242). A multiple logistic regression model was conducted to estimate the effect of certified HPH status on the likelihood of performing health behavior, receiving general physical examination, undergoing cancer screening, and participating in hospital-based health-promoting activities. All nurses of HPH hospitals were more likely to perform physical activity, practice cancer screening, receive at least one general physical examination in the past 3 years, and had a higher chance of participating in at least one hospital-based health-promoting activity in the past year (particularly weight-control groups and sports-related clubs) than those of non-HPH hospitals. This study suggests the effectiveness of implementing health promotion on the health behavior of full-time nursing staff in hospitals.
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Affiliation(s)
- Hung-Hui Chen
- School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan, ROC
- Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan, ROC
| | - Jerry Cheng-Yen Lai
- Department of Medical Research, Taitung MacKay Memorial Hospital, Taitung, Taiwan, ROC
- Master Program in Biomedicine, College of Science and Engineering, National Taitung University, Taitung City, Taiwan, ROC
| | - Shu-Ti Chiou
- College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
- Cheng Hsin General Hospital, Taipei, Taiwan, ROC
| | - Nicole Huang
- Institute of Hospital and Health Care Administration, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
| | - Li-Yin Chien
- Institute of Community Health Care, College of Nursing, National Yang Ming Chiao Tung University, Yang-Ming Campus, No.155, Sec. 2, Linong St., Beitou Dist., Taipei City, 11221, Taiwan, ROC.
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Saarikko J, Axelin A, Huvinen E, Rahmani AM, Azimi I, Pasanen M, Niela-Vilén H. Supporting lifestyle change in obese pregnant mothers through the wearable internet-of-things (SLIM) -intervention for overweight pregnant women: Study protocol for a quasi-experimental trial. PLoS One 2023; 18:e0279696. [PMID: 36656819 PMCID: PMC9851496 DOI: 10.1371/journal.pone.0279696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Accepted: 11/22/2022] [Indexed: 01/20/2023] Open
Abstract
OBJECTIVES To assess, in terms of self-efficacy in weight management, the effectiveness of the SLIM lifestyle intervention among overweight or obese women during pregnancy and after delivery, and further to exploit machine learning and event mining approaches to build personalized models. Additionally, the aim is to evaluate the implementation of the SLIM intervention. METHODS This prospective trial, which is a non-randomized, quasi-experimental, pre-post intervention, includes an embedded mixed-method process evaluation. The SLIM Intervention is delivered by public health nurses (n = 9) working in maternity clinics. The public health nurses recruited overweight women (n = 54) at their first antenatal visit using convenience sampling. The core components of the intervention i.e. health technology, motivational interviewing, feedback, and goal setting, are utilized in antenatal visits in maternity clinics starting from gestational week 15 or less and continuing to 12 weeks after delivery. Mixed effect models are used to evaluate change over time in self-efficacy, weight management and weight change. Simple mediation models are used to assess calories consumed and moderate to vigorous physical activity (MVPA) as mediators between self-efficacy and weight change. Signal processing and machine learning techniques are exploited to extract events from the data collected via the Oura ring and smartphone-based questionnaires. DISCUSSION The SLIM intervention was developed in collaboration with overweight women and public health nurses working in maternity clinics. This study evaluates the effectiveness of the intervention among overweight women in increasing self-efficacy and achieving a healthy weight; thus, impacting the healthy lifestyle and long-term health of the whole family. The long-term objective is to contribute to women's health by supporting weight-management through behavior change via interventions conducted in maternity clinics. TRIAL REGISTRATION The trial was registered at the Clinicaltrials.gov register platform (ID NCT04826861) on 17 March 2021.
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Affiliation(s)
- Johanna Saarikko
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Anna Axelin
- Department of Nursing Science, University of Turku, Turku, Finland
- Department of Obstetrics and Gynaecology, Turku University Hospital and Faculty of Medicine, University of Turku, Turku, Finland
| | - Emilia Huvinen
- Department of Obstetrics and Gynaecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
| | - Amir M. Rahmani
- School of Nursing, University of California Irvine, Irvine, California, United States of America
- Department of Computer Science, University of California Irvine, Irvine, California, United States of America
- * E-mail:
| | - Iman Azimi
- Department of Future Technologies, University of Turku, Turku, Finland
| | - Miko Pasanen
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Hannakaisa Niela-Vilén
- Department of Nursing Science, University of Turku, Turku, Finland
- Department of Obstetrics and Gynaecology, Turku University Hospital and Faculty of Medicine, University of Turku, Turku, Finland
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Aoyanagi M, Shindo Y, Takahashi K. General Ward Nurses’ Self-Efficacy, Ethical Behavior, and Practice of Discharge Planning for End-Stage Cancer Patients: Path Analysis. Healthcare (Basel) 2022; 10:healthcare10071161. [PMID: 35885688 PMCID: PMC9321459 DOI: 10.3390/healthcare10071161] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 06/16/2022] [Accepted: 06/20/2022] [Indexed: 11/26/2022] Open
Abstract
General ward nurses play a key role in discharge planning for end-stage cancer patients. It is necessary to assess the factors regarding their practice to promote discharge planning in accordance with end-stage cancer patients’ wishes. This study aimed to investigate the relationships between general ward nurses’ practice of discharge planning for end-stage cancer patients, self-efficacy, ethical behavior, attitude, knowledge and experience, perceived skills, and perceived barriers. A total of 288 general ward nurses from nine hospitals in a city in Japan completed the questionnaire. Path analysis was conducted to test the hypotheses. The results showed that nurses’ self-efficacy, ethical behavior (do-no-harm, do-good), knowledge (experience of attending home care seminars), and perceived skills (assertiveness) were positively and directly related to the practice of discharge planning. Nursing experience and perceived skills (assertiveness) were positively associated with discharge planning practice, while perceived barriers (death discussion) and attitude (degree of leaving it to discharge planning nurses (DPNs)) were negatively associated, with self-efficacy acting as a mediator. Thus, our findings show that it is important to enhance self-efficacy and nursing ethical behavior to improve the practice of discharge planning. Accordingly, education regarding home care, assertive communication skills, death discussion, and ethics is needed for general ward nurses.
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Affiliation(s)
- Michiko Aoyanagi
- Faculty of Health Sciences, Hokkaido University, Sapporo 060-0812, Japan
- Correspondence: ; Tel.: +81-(11)-706-3401
| | - Yukari Shindo
- Faculty of Health Sciences, Japan Health Care University, Sapporo 062-0053, Japan;
| | - Keita Takahashi
- Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Sapporo 060-8648, Japan;
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Faro JM, Pbert L, Crawford S, Frisard CF, Pendharkar JA, Sadasivam RS, Geller AC, Mazor KM, Ockene JK. U.S. medical students personal health behaviors, attitudes and perceived skills towards weight management counseling. Prev Med Rep 2022; 27:101814. [PMID: 35656208 PMCID: PMC9152782 DOI: 10.1016/j.pmedr.2022.101814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 03/28/2022] [Accepted: 04/30/2022] [Indexed: 11/16/2022] Open
Abstract
Physicians' abilities to address obesity in routine care may be affected by their own health behaviors, skills in and attitudes toward weight management counseling (WMC). Gender differences have been noted amongst these factors as well. We examined gender differences in personal health behaviors and predictors of perceived WMC skills and attitudes of medical students enrolled in a WMC trial. Enrollment took place in 2020 and consisted of students from eight U.S. medical schools. Baseline measures included demographics, exercise, and weight management behaviors, WMC attitudes and perceived skills. Descriptive statistics were calculated, and linear mixed models used to assess the effect of personal health behaviors on outcomes of WMC attitudes and perceived skills. Complete data were available for 1145 medical students. More males reported exercising 4 or more days/week (58.6% v. 41.4%), being more likely to monitor their weight (75.6% v. 70.3%) and less likely to intentionally attempt weight loss in the past (50.3% v. 65.3%) compared to females (all p's < 0.05). Exercising 4 or more days per week was positively associated with perceived WMC skills in the adjusted model (β = 0.10, CI 0.06 to 0.14, p < 0.01). Exercise frequency was positively associated with perceived WMC skills, regardless of gender. WMC curriculum may consider focusing on personal health behaviors such as exercise to increase perceived WMC skills.
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Affiliation(s)
- Jamie M. Faro
- University of Massachusetts Chan Medical School, Department of Population and Quantitative Health Sciences, 368 Plantation St., Worcester, MA, United States
- Corresponding author.
| | - Lori Pbert
- University of Massachusetts Chan Medical School, Department of Population and Quantitative Health Sciences, 368 Plantation St., Worcester, MA, United States
| | - Sybil Crawford
- University of Massachusetts Chan Medical School, Department of Population and Quantitative Health Sciences, 368 Plantation St., Worcester, MA, United States
| | - Christine F. Frisard
- University of Massachusetts Chan Medical School, Department of Population and Quantitative Health Sciences, 368 Plantation St., Worcester, MA, United States
| | - Jyothi A. Pendharkar
- University of Massachusetts Chan Medical School, Department of Population and Quantitative Health Sciences, 368 Plantation St., Worcester, MA, United States
| | - Rajani S. Sadasivam
- University of Massachusetts Chan Medical School, Department of Population and Quantitative Health Sciences, 368 Plantation St., Worcester, MA, United States
| | - Alan C. Geller
- Harvard School of Public Health, Department of Social and Behavioral Sciences, 677 Huntington Ave., Cambridge, MA, United States
| | - Kathleen M. Mazor
- Meyers Health Care Institute, University of Massachusetts Medical School, 385 Grove St., Worcester, MA, United States
- University of Massachusetts Chan Medical School, Department of Medicine, 55 N Lake Ave., Worcester, MA, United States
| | - Judith K. Ockene
- University of Massachusetts Chan Medical School, Department of Population and Quantitative Health Sciences, 368 Plantation St., Worcester, MA, United States
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Kovalenko C, Vellenga B. A Descriptive Analysis of the Experiences of Nursing Students Who Participated in an International Service-Learning Project in Haiti. J Prof Nurs 2021; 37:1071-1078. [PMID: 34887025 DOI: 10.1016/j.profnurs.2021.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Studies have demonstrated multiple benefits of international service-learning experiences in nursing education. These benefits include personal and professional growth, increased cultural sensitivity, and increased self-efficacy. PURPOSE The purpose of this project was to describe the experiences of nursing students engaged in an international service-learning experience in Haiti. METHOD A descriptive qualitative outcomes evaluation project was utilized to understand student perceptions of this experience. Nine respondents were interviewed about their experiences that took place as part of a nursing capstone course offered at a private liberal arts university in the Midwest. Interview transcripts were analyzed by the authors for common themes. RESULTS The six themes identified included: a desire for an international experience to better understand healthcare in a developing country; culture shock; context of poverty; excitement and a sense of "helping" amidst the chaos; feelings of increased confidence, independence, and competence; and personal and professional growth. Responses indicated students felt more confident in caring for individuals from other cultures as well as in basic nursing skills and interprofessional communication after this experience. Participants' narratives also indicated intent to serve vulnerable populations in the future. CONCLUSIONS The nursing students perceived increased sociocultural understanding and self-efficacy following a 10-day international service-learning experience.
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Affiliation(s)
- Cheri Kovalenko
- School of Nursing, University of Sioux Falls, United States of America.
| | - Barbara Vellenga
- School of Nursing, University of Sioux Falls, United States of America
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Primanda Y, Herviani L. Nurse empowerment needs in diabetes self-management. ENFERMERIA CLINICA 2021. [DOI: 10.1016/j.enfcli.2021.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Hicking-Woodison LE. Providing patient education on portion control and healthy eating. Nurs Stand 2021; 36:45-50. [PMID: 33764017 DOI: 10.7748/ns.2021.e11670] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/23/2021] [Indexed: 11/09/2022]
Abstract
Maintaining a balanced and nutritious diet is essential to support optimal health and well-being. However, rates of overweight and obesity in the UK and internationally have risen significantly, alongside increases in food portion sizes. While it can be challenging to work in partnership with patients towards achieving a healthy weight, it is crucial that nurses are able to offer patients advice and support to assist them in following dietary guidelines. This article explores the development and practical application of recommended dietary guidelines such as the Eatwell Guide. It also discusses practical interventions that nurses can use to advise patients on healthy eating, such as using the hands as a guide to portion size.
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Affiliation(s)
- Lorraine Elizabeth Hicking-Woodison
- Hawkinge and Elham Valley Practice, Folkestone, England; healthcare support worker and training lead, Invicta Health Learning, Canterbury, England
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Schifferli-Castro I, Cofré-Jara S, Soto-Rodríguez F, Soto-Rodríguez L, Vargas-Nuñez K. Calidad de la dieta del personal de salud de un hospital chileno según el índice de alimentación saludable. REVISTA DE LA FACULTAD DE MEDICINA 2020. [DOI: 10.15446/revfacmed.v68n4.76500] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
Introducción. Se ha reportado que los trabajadores hospitalarios tienen una alta probabilidad de presentar factores de riesgo modificables asociados al desarrollo de enfermedades crónicas no transmisibles, tales como mala alimentación, altos niveles de estrés y cambios de los patrones del sueño.Objetivo. Determinar la calidad de la dieta del personal de salud que usa los servicios del Casino de Funcionarios del Hospital Regional de Temuco de acuerdo a sistemas de turno, sexo y edad. Para la medición de la calidad de la dieta se utilizó el índice de alimentación saludable (IAS).Materiales y métodos. Estudio transversal realizado en 201 trabajadores (156 mujeres y 45 hombres), a quienes se les solicitó completar una encuesta sobre consumo de alimentos para evaluar sus IAS; el instrumento estuvo dividido por grupos de alimentos.Resultados. La edad promedio fue 34.8±10.7 años y el puntaje promedio de IAS fue 67.5±14.5. El 12.9% de los participantes tenía hábitos alimenticios poco saludables, el 65.2% requería cambios dietarios y el 21.9% presentaba una alimentación saludable. Se observaron diferencias estadísticamente significativas respecto al IAS según sexo (p=0.033) y edad (p=0.009), pero no entre puntaje IAS y el sistema de turnos (p=0.334). Conclusiones. La mayoría de participantes necesita modificar sus hábitos alimenticios, por lo que es necesario que en los hospitales, como lugar de trabajo, se implementen acciones que promuevan la adopción de hábitos alimenticios saludables por parte del personal de salud, en particular en el caso de los hombres, quienes tuvieron puntajes de IAS significativamente bajos en varios grupos de alimentos en comparación con las mujeres.
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Antoñanzas-Baztan E, Pumar-Méndez MJ, Marín-Fernández B, Redín-Areta MD, Belintxon M, Mujika A, Lopez-Dicastillo O. Design, implementation and evaluation of an education course to promote professional self-efficacy for breastfeeding care. Nurse Educ Pract 2020; 45:102799. [PMID: 32460143 DOI: 10.1016/j.nepr.2020.102799] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2019] [Revised: 04/23/2020] [Accepted: 05/01/2020] [Indexed: 11/25/2022]
Abstract
The objective of this study was to determine the effect of an education short course on professional' self-efficacy in the area of breastfeeding care. The intervention had a pre-post design. A total of 43 healthcare professionals attended the course. The Kirkpatrick model for the development, implementation and evaluation of education actions was used for a 4.5-h course. The aspects evaluated included professionals' satisfaction and learning regarding confidence to support lactating mothers, perceived transfer of knowledge to the workplace and organizational changes. Data were collected using self-administered questionnaires (participants, unit managers, and education planners), before and after the intervention. Participants' satisfaction with the education action was high in all of the aspects measured (greater than 3.9 in scores of 0-5). Professionals showed a significant increase in self-efficacy levels for supporting breastfeeding (Wilcoxon test p-value = < 0.05, before intervention: median = 55, [IQR] = 11; after intervention: median = 60, [IQR] = 14). Participants, managers and organizers of the course identified changes in the way that professionals cared for breastfeeding mothers. In conclusion, this educational intervention enhanced professional self-efficacy and performance in breastfeeding care.
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Affiliation(s)
- Elena Antoñanzas-Baztan
- Complejo Hospitalario de Navarra, Irunlarrea 3, 31008, Pamplona, Spain; Public University of Navarra, Faculty of Health Sciences, Department of Health Sciences, Avenida de Barañain s/n, 31008, Pamplona, Spain; IMPULS Research Group, University of Navarra, Irunlarrea 3, 31008, Pamplona, Spain
| | - Maria-J Pumar-Méndez
- Universidad de Navarra. Facultad de Enfermería, Departamento de Enfermería Comunitaria y Materno-Infantil, Irunlarrea 1, 31008, Pamplona, Spain; IdiSNA, Instituto de investigación Sanitaria de Navarra, Irunlarrea s/n, 31008, Pamplona, Spain; IMPULS Research Group, University of Navarra, Irunlarrea 3, 31008, Pamplona, Spain
| | - Blanca Marín-Fernández
- Public University of Navarra, Faculty of Health Sciences, Department of Health Sciences, Avenida de Barañain s/n, 31008, Pamplona, Spain
| | - Maria D Redín-Areta
- Public University of Navarra, Faculty of Health Sciences, Department of Health Sciences, Avenida de Barañain s/n, 31008, Pamplona, Spain
| | - Maider Belintxon
- Universidad de Navarra. Facultad de Enfermería, Departamento de Enfermería Comunitaria y Materno-Infantil, Irunlarrea 1, 31008, Pamplona, Spain; IdiSNA, Instituto de investigación Sanitaria de Navarra, Irunlarrea s/n, 31008, Pamplona, Spain; IMPULS Research Group, University of Navarra, Irunlarrea 3, 31008, Pamplona, Spain
| | - Agurtzane Mujika
- Universidad de Navarra. Facultad de Enfermería, Departamento de Enfermería Comunitaria y Materno-Infantil, Irunlarrea 1, 31008, Pamplona, Spain; IdiSNA, Instituto de investigación Sanitaria de Navarra, Irunlarrea s/n, 31008, Pamplona, Spain; IMPULS Research Group, University of Navarra, Irunlarrea 3, 31008, Pamplona, Spain
| | - Olga Lopez-Dicastillo
- Universidad de Navarra. Facultad de Enfermería, Departamento de Enfermería Comunitaria y Materno-Infantil, Irunlarrea 1, 31008, Pamplona, Spain; IdiSNA, Instituto de investigación Sanitaria de Navarra, Irunlarrea s/n, 31008, Pamplona, Spain; IMPULS Research Group, University of Navarra, Irunlarrea 3, 31008, Pamplona, Spain.
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Abstract
Obesity, a chronic multifactorial disease, has been on the rise in the United States in recent years. It paves a way to other chronic conditions and related morbidity and mortality. The treatment of obesity should have a chronic approach involving lifestyle modifications from the very beginning. Along with reduced calorie diet, increased physical activity, and behavior modifications, various short- and long-term pharmacological agents are available to help with the weight loss. For qualifying patients, selection of an appropriate agent based on its mechanism, efficacy, and safety profile as well as patient preference can provide desired outcomes. This medical weight management should be a multidisciplinary approach involving nurses to provide continuous patient education and motivation.
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Saghafi-Asl M, Aliasgharzadeh S, Asghari-Jafarabadi M. Factors influencing weight management behavior among college students: An application of the Health Belief Model. PLoS One 2020; 15:e0228058. [PMID: 32032376 PMCID: PMC7006943 DOI: 10.1371/journal.pone.0228058] [Citation(s) in RCA: 48] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Accepted: 01/06/2020] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Overweight and obesity have become a significant public health concern in both developing and developed countries. Due to the health implications of weight-reduction behaviors, it is important to explore the factors that predict their occurrence. Therefore, the present study was performed to examine factors affecting the behavioral intention of weight management as well as assess the predictive power of the Health Belief Model (HBM) for body mass index (BMI). METHODS This cross-sectional study was conducted among 336 female students recruited from dormitories of Tabriz University of Medical Sciences, using quota sampling technique. Data were collected by a structured questionnaire in seven parts (including perceived severity, perceived susceptibility, perceived benefit, perceived barrier, cue to action, self-efficacy in dieting and physical activity, and behavioral intention of weight management), based on the HBM. Structural equation modeling (SEM) was conducted to identify the relationship between HBM constructs and behavioral intention of weight management. Linear regression model was performed to test the ability of the HBM to predict students' BMIs. RESULTS Higher level of perceived threats (sum of perceived susceptibility and severity) (β = 0.41, P<0.001), perceived benefits (β = 0.19, P = 0.009), self-efficacy in exercise (β = 0.17, P = 0.001), and self-efficacy in dieting (β = 0.16, P = 0.025) scales was significantly related to greater behavioral intention of weight management. Moreover, perceived threat mediated the relationships between perceived cue to action, perceived benefits, self-efficacy in exercise, and weight management practices. The fit indices of the SEM model seemed acceptable. The final regression model explained approximately 40% of variance in BMI (P<0.001). Additionally, perceived severity, barrier, and self-efficacy in dietary life were the significant variables to predict students' BMIs. CONCLUSIONS These findings suggest that health education programs based on the HBM needs to be integrated in preventive health programs and health interventions strategies to ensure adherence and well-being of the participants.
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Affiliation(s)
- Maryam Saghafi-Asl
- Nutrition Research Center, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Soghra Aliasgharzadeh
- Student Research Committee, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
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14
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Takeuchi Y, Kato M, Kitamura T, Toda D, Taniguchi Y, Shogenji M, Tsujiguchi H. Development of Professional Care Program for Nurses in Dementia Wards and Its Educational Effects. Am J Alzheimers Dis Other Demen 2020; 35:1533317520950925. [PMID: 32865422 PMCID: PMC11005323 DOI: 10.1177/1533317520950925] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/12/2024]
Abstract
PURPOSE To develop an education program for nurses specializing in dementia care, and to investigate its effects. METHODS An intervention study of nurses was conducted using a quasi-experiment with 3 randomly assigned groups. Participants were 51 nurses from a psychiatric hospital dementia ward, divided into an intervention program group (17 nurses), a knowledge-acquisition-only group (16 nurses), and a usual-care group (18 nurses) as controls. The program group intervention comprised 3 frameworks: motivation for achieving the task, acquisition of professional knowledge required for dementia care, and sharing of successful experiences based on professional knowledge. The knowledge-acquisition-only group received only the acquisition of professional knowledge framework, and the usual-care group received only the usual-care framework. The intervention period was 3 months. RESULTS Post-intervention, the program group had a significantly greater sense of self-efficacy associated with professional knowledge and significantly greater self-efficacy associated with practice compared with the knowledge-acquisition-only and the usual-care groups. Professional knowledge was acquired by 80% of the program group, compared with 70% of the knowledge-acquisition-only group. A co-occurrence network diagram of the multivariate analysis results produced by text mining of the descriptive data indicated that nurses provided care for symptoms specific to different diseases based on their pathological mechanisms. CONCLUSION Program implementation led to the acquisition of deeper knowledge and greater self-efficacy by sharing expertise-based practices and successful experiences, compared with desk-based learning in a single workshop lecture, suggesting the program's usefulness in clinical practice.
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Affiliation(s)
- Yoko Takeuchi
- Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan
- Kinjo University, Hakusan, Ishikawa, Japan
| | - Mayumi Kato
- Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan
| | - Tatsuru Kitamura
- Ishikawa Prefectural Takamatsu Hospital, Kahoku, Ishikawa, Japan
| | - Daisuke Toda
- Department of Nursing, Toyama Prefectural University, Toyama, Japan
| | - Yoshimi Taniguchi
- Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan
| | - Miho Shogenji
- Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan
| | - Hiromasa Tsujiguchi
- Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Ishikawa, Japan
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Attia MAS, Youseff MRL, Abd El Fatah SAM, Ibrahem SK, Gomaa NAS. The relationship between health care providers' perceived work climate, organizational commitment, and caring efficacy at pediatric intensive care units, Cairo University. Int J Health Plann Manage 2019; 35:469-481. [PMID: 31755158 DOI: 10.1002/hpm.2920] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2019] [Revised: 09/26/2019] [Accepted: 10/05/2019] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Healthy work environment has a significant impact on patients, health care workers, and organizations. OBJECTIVES In a trial to set up strategies to control stressors and weaknesses in the work environment, the present study took place in pediatric intensive care units (PICUs) to explore the work environment and its impact on the organization commitment and caring efficacy of health care providers. METHODS This study is a descriptive cross-sectional study, conducted over a period of 9 months starting from October 2018. A self-administered questionnaire, based on "The American Association of Critical Care Nurses Standards for Establishing and Sustaining Healthy Work Environments" and "Brewer & Look's organizational commitment scale and theory of self-efficacy," was given to 63 physicians and 73 nurses of PICUs at Cairo University Children Hospital in Egypt. RESULTS Nurses were significantly more pleased with their work climate and more committed to their organization and had higher self-efficacy than physicians. A significant direct correlation was detected between healthy environment perception and organizational commitment and between organization commitment and perceived caring efficacy. CONCLUSION AND RECOMMENDATIONS The study findings might be incorporated into practice to create a positive PICUs' environment, enhance staff satisfaction, and efficiency to promote quality of care paying attention to the junior staff especially physicians. Additional studies are required to recognize the coping strategies that health care providers use and to test the effectiveness of professional development program along with healthy environment interventions.
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Affiliation(s)
| | | | | | | | - Nancy A S Gomaa
- Pediatrics and Neonatology, Pediatrics Department, Cairo University, Giza, Egypt
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16
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Baris VK, Seren Intepeler S. Cross-cultural adaptation and psychometric evaluation of the Turkish version of the Self-Efficacy for Preventing Falls-Nurse. J Nurs Manag 2019; 27:1791-1800. [PMID: 31532040 DOI: 10.1111/jonm.12878] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2019] [Revised: 09/10/2019] [Accepted: 09/14/2019] [Indexed: 11/30/2022]
Abstract
AIM The aim of this study was to test the psychometric properties of the Turkish version of the Self-Efficacy for Preventing Falls-Nurse. BACKGROUND Patient falls have negative effects on patients and health care services. Nurses' self-efficacy for preventing falls can affect their performance in interventions to prevent falls. METHODS The sample of this methodological study included 326 nurses who work at a university, a training and a public hospital in Turkey. The construct validity of the scale was assessed using the exploratory factor analysis, the confirmatory factor analysis and the known-group technique. The reliability of the scale was assessed through internal consistency approaches and test-retest reliability. RESULTS Two factors were extracted through the exploratory factor analysis, and the factors explained 68.69% of total variance. The confirmatory factor analysis showed a significantly good fit for a two-factor structure. Satisfactory evidence was found for test-retest reliability and internal consistency reliability. CONCLUSION The Turkish version of the Self-Efficacy for Preventing Falls-Nurse is a reliable and valid scale for assessing nurses' self-efficacy for preventing falls. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers can assess nurses' self-efficacy for preventing falls by using the Turkish version of the Self-Efficacy for Preventing Falls-Nurse. Moreover, they can identify where to focus on improving nurses' self-efficacy by analysing scores of subscales and items.
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Affiliation(s)
- Veysel Karani Baris
- Nursing Faculty, Nursing Management Department, Dokuz Eylul University, Izmir, Turkey
| | - Seyda Seren Intepeler
- Nursing Faculty, Nursing Management Department, Dokuz Eylul University, Izmir, Turkey
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17
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Laine A, Välimäki M, Löyttyniemi E, Pekurinen V, Marttunen M, Anttila M. The Impact of a Web-Based Course Concerning Patient Education for Mental Health Care Professionals: Quasi-Experimental Study. J Med Internet Res 2019; 21:e11198. [PMID: 30821697 PMCID: PMC6418488 DOI: 10.2196/11198] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2018] [Revised: 11/15/2018] [Accepted: 11/25/2018] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Continuing education has an important role in supporting the competence of health care professionals. Although Web-based education is a growing business in various health sectors, few studies have been conducted in psychiatric settings to show its suitability in demanding work environments. OBJECTIVE We aimed to describe the impact of a Web-based educational course to increase self-efficacy, self-esteem, and team climate of health care professionals. Possible advantages and disadvantages of the Web-based course are also described. METHODS The study used nonrandomized, pre-post intervention design in 1 psychiatric hospital (3 wards). Health care professionals (n=33) were recruited. Self-efficacy, self-esteem, and team climate were measured at 3 assessment points (baseline, 8 weeks, and 6 months). Possible advantages and disadvantages were gathered with open-ended questions at the end of the course. RESULTS Our results of this nonrandomized, pre-post intervention study showed that health care professionals (n=33) had higher self-efficacy after the course, and the difference was statistically significant (mean 30.16, SD 3.31 vs mean 31.77, SD 3.35; P=.02). On the other hand, no differences were found in the self-esteem or team climate of the health care professionals before and after the course. Health care professionals found the Web-based course useful in supporting their work and relationships with patients. The tight schedule of the Web-based course and challenges in recruiting patients to use the patient education program with health care professionals were found to be the disadvantages. CONCLUSIONS Web-based education might be a useful tool to improve the self-efficacy of health care professionals even in demanding work environments such as psychiatric hospitals. However, more studies with robust and sufficiently powered data are still needed.
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Affiliation(s)
- Anna Laine
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Maritta Välimäki
- Department of Nursing Science, University of Turku, Turku, Finland.,School of Nursing, Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | | | - Virve Pekurinen
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Mauri Marttunen
- University of Helsinki, Helsinki, Finland.,Helsinki University Hospital, Helsinki, Finland
| | - Minna Anttila
- Department of Nursing Science, University of Turku, Turku, Finland
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18
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Nessen T, Opava CH, Demmelmaier I. Physiotherapists' Adoption of a Theory-Based Skills Training Program in Guiding People with Rheumatoid Arthritis to Health-Enhancing Physical Activity. Int J Behav Med 2019; 25:438-447. [PMID: 29971578 PMCID: PMC6061243 DOI: 10.1007/s12529-018-9716-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Purpose To describe physiotherapists’ (PTs’) adoption of a theory-based skills training program preparing them to guide people with rheumatoid arthritis (RA) to health-enhancing physical activity (HEPA) within a 1-year intervention trial. Method This was a longitudinal case study. Ten female PTs (age 25–59), delivering the HEPA intervention, participated. Data were collected on five occasions over a 19-month period: once before the training course, once after 4 course days, twice during the HEPA intervention and once after the HEPA intervention. Knowledge on about physical activity (score 0–6) and behavior change techniques (BCTs) (score 0–18), fear-avoidance beliefs (score 8–48) and self-efficacy to guide behavior change (score 9–54) were assessed with a questionnaire. Structured logbooks were used to register PTs’ self-reported guiding behavior. Criteria for PTs’ adherence to the protocol were pre-set. Results PTs’ knowledge on about BCTs and their self-efficacy increased significantly (p < 0.05) from median 9 to 13 and from median 38 to 46.5, respectively. Knowledge on about physical activity was high and fear-avoidance beliefs were low before the education (median 6 and 13.5, respectively) and did not change over time. Two out of ten PTs fulfilled the pre-set criteria for adherence throughout the intervention. Conclusion The results suggest that a theory-based skills training program improves PTs’ knowledge on about behavior change techniques and their self-efficacy to guide people with RA to HEPA. PTs’ adherence to the protocol was not complete but the clinical relevance of the adherence criteria need to be validated against observed PT behavior and patient outcomes.
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Affiliation(s)
- Thomas Nessen
- Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, 23100, SE14183, Huddinge, Sweden
| | - Christina H Opava
- Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, 23100, SE14183, Huddinge, Sweden
- Department of Rheumatology, Karolinska University Hospital, Stockholm, Sweden
| | - Ingrid Demmelmaier
- Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, 23100, SE14183, Huddinge, Sweden.
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19
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Kothe E, Lamb M, Bruce L, McPhie S, Klas A, Hill B, Skouteris H. Student midwives' intention to deliver weight management interventions: A theory of planned behaviour & self-determination theory approach. NURSE EDUCATION TODAY 2018; 71:10-16. [PMID: 30212705 DOI: 10.1016/j.nedt.2018.09.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2018] [Revised: 07/23/2018] [Accepted: 09/03/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVES Overweight and obesity during pregnancy is a risk to the health of mother and child. Midwives can modify this key risk factor by providing weight management interventions to women before and during pregnancy. This study investigated social cognitive determinants of pre-clinical student midwives' intention to provide weight management intervention in preconception and antenatal clinical contexts. Social cognitive determinants from the theory of planned behaviour (attitudes, subjective norms, perceived behavioural control) and self-determination theory (autonomous motivation) were used to predict pre-clinical students' intentions once they enter practice. METHOD The sample was 183 female pre-clinical student midwives from 17 Australian universities (age range = 18-54 years). Participants received a cross-sectional questionnaire that measured demographic items, attitudes, subjective norms, perceived behavioural control and autonomous motivation towards providing weight management intervention at two different stages of pregnancy - preconception and antenatal. RESULTS Attitudes, subjective norms, and perceived behavioural control accounted for 56% of intention to provide weight management interventions to women planning pregnancy; however, the addition of autonomous motivation was non-significant. In contrast, attitudes and subjective norms (but not perceived behavioural control) accounted for 39% of intention to provide weight management interventions to women during pregnancy. Furthermore, the addition of autonomous motivation to the model was significant and accounted for an additional 3.1% of variance being explained. IMPLICATIONS AND CONCLUSIONS Curriculum changes that support and increase pre-clinical student midwives' intention should focus on these specific correlates of intention in order to foster long term changes in clinical practice. Changes to the education and training of midwives should be carefully considered to understand their impact on these important determinants of intention to engage in this critical clinical skill.
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Affiliation(s)
- Emily Kothe
- Deakin University, School of Psychology, Geelong, Australia.
| | - Michelle Lamb
- Deakin University, School of Psychology, Geelong, Australia
| | - Lauren Bruce
- Monash Centre for Health Research & Implementation, Monash University, Australia
| | - Skye McPhie
- Deakin University, School of Psychology, Geelong, Australia
| | - Anna Klas
- Deakin University, School of Psychology, Geelong, Australia
| | - Briony Hill
- Monash Centre for Health Research & Implementation, Monash University, Australia
| | - Helen Skouteris
- Deakin University, School of Psychology, Geelong, Australia; Monash Centre for Health Research & Implementation, Monash University, Australia
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20
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Examining relationships between socio-demographics and self-efficacy among registered nurses in Australia. Collegian 2018. [DOI: 10.1016/j.colegn.2017.03.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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21
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Abstract
AIM There is a need to develop sound healthcare practices where patients and providers are able to succeed in meeting weight management goals. The aim of this analysis is to develop a better understanding the concept of weight management. BACKGROUND Obesity is a rapidly growing healthcare issue, reaching epidemic levels around the world. According to the World Health Organization, the current incident rate of obesity makes it the leading risk for death across the globe. DESIGN Walker and Avant's model for concept analysis. DATA SOURCE A literature search was accomplished using Cumulative Index to Nursing and Allied Health, Health Source: Nursing Academic Edition, Medline, and ProQuest Health and Medical Complete. REVIEW METHODS Keywords included weight management, weight control, weight loss, obesity, weight, and management. RESULTS Weight management is complex concept. Strategies to develop successful weight management programs need to be multifaceted to have impact on this healthcare crisis. CONCLUSION The critical attributes for weight management are dietary measures, physical activity, behavior modification, motivation, education, and lifelong changes. Unsuccessful weight management results in metabolic disorders and increased risk of mortality. Successful weight management practices include the prevention of weight gain, weight loss, and maintenance of ideal body weight.
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Affiliation(s)
- Connie L Winik
- Student, College of Nursing and Health Professions, University of Southern Indiana, Evansville, IN
| | - C Elizabeth Bonham
- Student, College of Nursing and Health Professions, University of Southern Indiana, Evansville, IN
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22
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Mujika A, Arantzamendi M, Lopez-Dicastillo O, Forbes A. Health professionals' personal behaviours hindering health promotion: A study of nurses who smoke. J Adv Nurs 2017; 73:2633-2641. [PMID: 28543954 DOI: 10.1111/jan.13343] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/05/2017] [Indexed: 11/28/2022]
Abstract
AIM To explore the views of current and ex-smoker nurses on their role in supporting patients to stop smoking. BACKGROUND Long-term conditions are closely linked to harmful lifestyle behaviours, including smoking and overeating. Health professionals have an important role to play in promoting healthier lifestyles. It has been described that nurses' health behaviours may be a barrier to their health promotion practice. There is a need to gain further understanding on why nurses' health promotion activity is influenced by their own health behaviour. DESIGN A secondary analysis of qualitative data gathered in 2010 in the context of a project that aimed to develop a smoking cessation intervention for nurses. METHODS Eleven transcripts of semi-structured interviews conducted with nurses (current and ex-smokers) working in one university hospital in Spain. Data were analysed using framework analysis. FINDINGS Nurses who smoked engaged in social justification in terms of social norms and work stress. Only nurses who had quit smoking were able to identify the negative feelings it generated and the effect that it had on their past health promotion practice. This was expressed by ex-smokers as an internal conflict that prevented them from supporting patients with their own habit. CONCLUSION Nurses who smoke may be inhibited as health promoters without being aware of it. Interventions that focus on helping these professionals deal with the challenges associated with these encounters are necessary if health promotion practices are to be enhanced. Targeting this conflict might also work to improve their lifestyle, which would expand the potential impact to professionals' own health.
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Affiliation(s)
- Agurtzane Mujika
- School of Nursing, University of Navarra, Pamplona, Spain.,Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.,Impuls Research Group, University of Navarra, Pamplona, Spain
| | - María Arantzamendi
- Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.,ATLANTES Research Program, Institute for Culture and Society (ICS), University of Navarra, Pamplona, Spain
| | - Olga Lopez-Dicastillo
- School of Nursing, University of Navarra, Pamplona, Spain.,Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.,Impuls Research Group, University of Navarra, Pamplona, Spain
| | - Angus Forbes
- Florence Nightingale School of Nursing and Midwifery, King's College London, London, UK
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23
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Chatdokmaiprai K, Kalampakorn S, McCullagh M, Lagampan S, Keeratiwiriyaporn S. Factors Predicting the Provision of Smoking Cessation Services Among Occupational Health Nurses in Thailand. Workplace Health Saf 2017; 65:253-261. [PMID: 28075716 DOI: 10.1177/2165079916670661] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The purpose of this study was to identify factors predicting occupational health nurses' provision of smoking cessation services. Data were collected via a self-administered questionnaire distributed to 254 occupational health nurses in Thailand. Analysis by structural equation modeling revealed that self-efficacy directly and positively influenced smoking cessation services, and mediated the relationship between workplace factors, nurse factors, and smoking cessation services. The final model had good fit to the data, accounting for 20.4% and 38.0% of the variance in self-efficacy and smoking cessation services, respectively. The findings show that self-efficacy is a mediator that influences provision of smoking cessation services by occupational health nurses. Interventions to enhance nurses' self-efficacy in providing smoking cessation services are expected to promote provision of smoking cessation services to workers.
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24
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Jun WH, Lee G. The mediating role of spirituality on professional values and self-efficacy: a study of senior nursing students. J Adv Nurs 2016; 72:3060-3067. [DOI: 10.1111/jan.13069] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/06/2016] [Indexed: 11/27/2022]
Affiliation(s)
- Won Hee Jun
- College of Nursing; Keimyung University; Daegu Korea
| | - Gyungjoo Lee
- College of Nursing; The Catholic University of Korea; Seoul Korea
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25
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Caruso R, Pittella F, Zaghini F, Fida R, Sili A. Development and validation of the Nursing Profession Self-Efficacy Scale. Int Nurs Rev 2016; 63:455-64. [PMID: 27291103 DOI: 10.1111/inr.12291] [Citation(s) in RCA: 50] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIM This study describes the development and validation of the Nursing Profession Self-Efficacy Scale. BACKGROUND Self-efficacy can be useful in predicting performance, job satisfaction or well-being. In the nursing field, there is a shortage of studies on self-efficacy with regard to nurses' global confidence in coping ability across a range of everyday, challenging work situations. METHODS To define the theoretical framework of nursing professional self-efficacy, two focus groups and a literature review were performed. An empirical study was then conducted to test validity and reliability. Face and content validity, construct validity, concurrent validity, internal consistency and test-retest reliability were examined. The content validity index was evaluated by 12 experts who suggested deleting 11 redundant items. The final developed tool was tested for construct analysis using a cross-validation approach, randomly splitting the overall sample of 917 nurses in two sub-groups. FINDINGS The construct validity indicated two dimensions. The face and content validity were adequate. Test-retest reliability displayed a good stability, and internal consistency (Cronbach's α) was acceptable. Moreover, concurrent validity using the Generalized Self-Efficacy Scale was in line with the theoretical framework. CONCLUSION The scale showed evidence of validity and reliability. The major limitation is the strong influence of the Italian context in the tool development. IMPLICATIONS FOR NURSING AND HEALTH POLICY The Nursing Profession Self-Efficacy Scale could be a fruitful tool that facilitates the application of theories (i.e. social-cognitive theory) in the nursing field and even development of interventions. Furthermore, a measurement of self-efficacy could be used to predict nursing clinical performance.
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Affiliation(s)
- R Caruso
- Department of Biomedicine and Prevention, University Tor Vergata of Rome, Rome, Italy.,Policlinico Tor Vergata, Rome, Italy
| | | | - F Zaghini
- Department of Biomedicine and Prevention, University Tor Vergata of Rome, Rome, Italy.,IRCCS Policlinico San Donato, Milan, Italy
| | - R Fida
- Norwich Business School, University of East Anglia, Norwich, UK
| | - A Sili
- Policlinico Tor Vergata, Rome, Italy.,University of Tor Vergata of Rome, Rome, Italy
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26
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AANP Forum. J Nurse Pract 2016. [DOI: 10.1016/j.nurpra.2016.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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27
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While AE. Promoting healthy behaviours - do we need to practice what we preach? LONDON JOURNAL OF PRIMARY CARE 2015; 7:112-114. [PMID: 26807154 PMCID: PMC4706031 DOI: 10.1080/17571472.2015.1113716] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The UK faces a public health challenge arising from unhealthy behaviours. Some health care workers engage in the same unhealthy behaviours as the general population. This paper explores the issues arising from some primary care staff adopting unhealthy behaviours upon healthcare organisations, professional practice and patient perceptions in terms of the promotion of health in the primary care setting.
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Affiliation(s)
- Alison E While
- Florence Nightingale Faculty of Nursing and Midwifery, King's College London , London , UK
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28
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Jay M, Chintapalli S, Squires A, Mateo KF, Sherman SE, Kalet AL. Barriers and facilitators to providing primary care-based weight management services in a patient centered medical home for Veterans: a qualitative study. BMC FAMILY PRACTICE 2015; 16:167. [PMID: 26572125 PMCID: PMC4647798 DOI: 10.1186/s12875-015-0383-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Accepted: 11/03/2015] [Indexed: 11/30/2022]
Abstract
Background Obesity is highly prevalent among Veterans. In the United States, the Veterans Health Administration (VHA) offers a comprehensive weight management program called MOVE!. Yet, fewer than 10 % of eligible patients ever attend one MOVE! visit. The VHA has a patient-centered medical home (PCMH) model of primary care (PC) called Patient-Aligned Care Teams (PACT) at all Veterans Affairs (VA) Medical Centers. PACT teamlets conduct obesity screening, weight management counseling, and refer to MOVE!. As part of a needs assessment to improve delivery of weight management services, the purpose of this study was to assess PACT teamlet and MOVE! staff: 1) current attitudes and perceptions regarding obesity care; 2) obesity-related counseling practices 3) experiences with the MOVE! program; and 4) targets for interventions to improve implementation of obesity care in the PC setting. Methods We recruited 25 PACT teamlet members from a single VA study site—11 PC physicians, 5 registered nurses, 5 licensed practical nurses, 1 clerical assistant, and 3 MOVE! staff (2 dietitians, 1 psychologist)—for individual interviews using a combination of convenience and snowball sampling. Audio recorded interviews were professionally transcribed and iteratively coded by two independent reviewers. The analytic process was guided by discourse analysis in order to discover how the participants perceived and provided weight management care and what specific attitudes affected their practices, all as bounded within the organization. Results Emerging themes included: 1) role perceptions, 2) anticipated outcomes of weight management counseling and programs, and 3) communication and information dissemination. Perceived role among PCPs was influenced by training, whereas personal experience with their own weight management impacted role perception among LPNs/RNs. Attitudes about whether or not they could impact patients’ weight outcomes via counseling or referral to MOVE! varied. System-level communication about VHA priorities through electronic health records and time allocation influenced teams to prioritize referral to MOVE! over weight management counseling. Conclusion We found a diversity of attitudes, and practices within PACT, and identified factors that can enhance the MOVE! program and inform interventions to improve weight management within primary care. Although findings are site-specific, many are supported in the literature and applicable to other VA and non-VA sites with PCMH models of care.
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Affiliation(s)
- Melanie Jay
- VA NY Harbor Healthcare System, 423 East 23rd Street, New York, NY, 10010, USA. .,NYU School of Medicine, 550 1st Avenue, New York, NY, 10016, USA.
| | - Sumana Chintapalli
- VA NY Harbor Healthcare System, 423 East 23rd Street, New York, NY, 10010, USA. .,NYU School of Medicine, 550 1st Avenue, New York, NY, 10016, USA.
| | - Allison Squires
- NYU School of Medicine, 550 1st Avenue, New York, NY, 10016, USA. .,NYU College of Nursing, New York, NY, 10003, USA.
| | - Katrina F Mateo
- VA NY Harbor Healthcare System, 423 East 23rd Street, New York, NY, 10010, USA. .,NYU School of Medicine, 550 1st Avenue, New York, NY, 10016, USA.
| | - Scott E Sherman
- VA NY Harbor Healthcare System, 423 East 23rd Street, New York, NY, 10010, USA. .,NYU School of Medicine, 550 1st Avenue, New York, NY, 10016, USA.
| | - Adina L Kalet
- NYU School of Medicine, 550 1st Avenue, New York, NY, 10016, USA.
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29
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Zhu D, While A, Norman I, Ye W. Weight management care practices of English and Chinese nurses. Int Nurs Rev 2015; 62:497-505. [DOI: 10.1111/inr.12219] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- D.Q. Zhu
- School of Nursing; Second Military Medical University; Shanghai China
| | - A.E. While
- Florence Nightingale Faculty of Nursing and Midwifery; King's College London; London UK
| | - I.J. Norman
- Florence Nightingale Faculty of Nursing and Midwifery; King's College London; London UK
| | - W.Q. Ye
- Nursing Department of First Affiliated Hospital; Second Military Medical University; Shanghai China
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30
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Perry L, Gallagher R, Duffield C. The health and health behaviours of Australian metropolitan nurses: an exploratory study. BMC Nurs 2015; 14:45. [PMID: 26339200 PMCID: PMC4558723 DOI: 10.1186/s12912-015-0091-9] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2014] [Accepted: 07/20/2015] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND Nurses make up the largest component of the health workforce and provide the majority of patient care. Most health education is delivered by nurses, who also serve as healthy living and behavioural role models. Anything that diminishes their health status can impact their credibility as role models, their availability and ability to deliver quality care, and is potentially disadvantageous for the health of the population. Study aims were to investigate nurses' overall health and the presence of chronic disease; to describe nurses' health-related behaviours and to compare them to those of the general population, with both groups matched by age and gender. METHODS Cross-sectional descriptive paper-based survey of nurses from two Sydney metropolitan hospitals using established instruments and questions and measurements taken with standardised methods. RESULTS This nursing sample (n = 381) had a mean age of 39.9 (SD 11.7, range 20-67) years, Most (n = 315; 82.7 %) were female, worked full-time (80.0 %), and were shift workers (93.0 %). The majority (94.0 %) indicated good, very good or excellent health, despite 42.8 % indicating they had chronic disease. The most common risk factors for chronic disease were inadequate vegetable (92.6 %) and fruit intake (80.1 %), overweight and obesity (44.0 %) and risky alcohol intake (34.7 %); health screening behaviours were not ideal. Aside from overweight and obesity, these risk factors were more prevalent in nurses than the equivalent group of the New South Wales population, particularly for risky alcohol intake which was much more common in female nurses and most marked in those aged under 35 years. However, 80 % met the guidelines for physical activity, more than the equivalent group of the New South Wales population. CONCLUSION There are early 'warning signs' concerning the health status of nurses. Despite perceiving current good health, support is required for nurses to prevent future chronic disease, particularly in the areas of nutrition and alcohol intake. With these concerns, the nursing workforce ageing and demands for care increasing, it is now time to implement health enhancing strategies for nurses.
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Affiliation(s)
- Lin Perry
- />Faculty of Health, University of Technology Sydney, Prince of Wales Hospital, East Wing Edmund Blackett Building, Randwick, 2031 NSW Australia
| | - Robyn Gallagher
- />Charles Perkins Centre and Sydney Nursing School, University of Sydney, Sydney, Australia
| | - Christine Duffield
- />Centre for Health Services Management, Faculty of Health, University of Technology Sydney, Sydney, Australia
- />Nursing and Health Services Management, Edith Cowan University, Mount Lawley, WA Australia
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Bakhshi S, Sun F, Murrells T, While A. Nurses' health behaviours and physical activity-related health-promotion practices. Br J Community Nurs 2015; 20:289-296. [PMID: 26043015 DOI: 10.12968/bjcn.2015.20.6.289] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Many registered nurses (RNs) are not achieving the recommended daily levels of physical activity. This study collected data from 623 RNs about their personal health behaviours and their professional, physical activity-related health-promotion practices. The findings showed that 75% of the sample reported engaging in personal physical activity, 25% were at risk of hazardous drinking or active alcohol use disorders, 17% were past smokers and 11% were current smokers, 47% reported having a normal body weight-size, and 73% desired to be a normal body weight-size. Nearly half of the sample reported that they were promoting physical activity within their clinical practice. Personal physical activity behaviour, perceived health status, length of clinical practice, clinical specialty, and actual body weight-size were significantly related to the RNs' professional, physical activity-related practices. This study highlights a need for training on physical activity-related counselling, including awareness of the latest recommendations and strategies to promote physical activity. Health-care employers should also consider addressing nurses' barriers to the promotion of physical activity within their clinical practice so that all health-care contacts are able to maximise opportunities to promote active ageing.
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Affiliation(s)
- Savita Bakhshi
- Savita Bakhshi, Visiting Research Associate, Florence Nightingale Faculty of Nursing and Midwifery, King's College London
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Ikram UZ, Essink-Bot ML, Suurmond J. How we developed an effective e-learning module for medical students on using professional interpreters. MEDICAL TEACHER 2015; 37:422-7. [PMID: 25109296 DOI: 10.3109/0142159x.2014.939579] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
BACKGROUND Language barriers may lead to poorer healthcare services for patients who do not speak the same language as their care provider. Despite the benefits of professional interpreters, care providers tend to underuse professional interpretation. Evidence suggests that students who received training on language barriers and interpreter use are more likely to utilize interpretation services. AIMS We developed an e-learning module for medical students on using professional interpreters during the medical interview, and evaluated its effects on students' knowledge and self-efficacy. METHODS In the e-learning module, three patient-physician-interpreter video vignettes were presented, with three different types of interpreters: a family member, an untrained bilingual staff member, and a professional interpreter. The students answered two questions about each vignette, followed by feedback which compared their responses with expert information. In total, 281 fourth-year medical students took the e-learning module during the academic year 2012-2013. We assessed their knowledge and self-efficacy in interpreter use pre- and post-test on 1 (lowest)-10 (highest) scale, and analysed the differences in mean scores using paired t-tests. RESULTS Upon completing the e-learning module, students reported higher self-efficacy in using professional interpretation. The mean knowledge score on the pre-test was 5.5 (95% confidence interval 5.3-5.8), but on the post-test this increased to 8.4 (95% CI 8.2-8.6). The difference was highly significant (p < 0.001). For self-efficacy, the mean score on the pre-test was 4.9 (95% CI 4.7-5.1), and on the post-test 7.0 (95% CI 6.8-7.1); p < 0.001. CONCLUSION This e-learning module improved students' knowledge and self-efficacy in using professional interpreters during the medical interview. Using such tools in medical curricula might encourage future doctors to use professional interpretation services to overcome language barriers, thereby potentially contributing to equitable healthcare services for a linguistically diverse patient population.
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Bleich SN, Bandara S, Bennett WL, Cooper LA, Gudzune KA. U.S. health professionals' views on obesity care, training, and self-efficacy. Am J Prev Med 2015; 48:411-8. [PMID: 25700652 PMCID: PMC4380783 DOI: 10.1016/j.amepre.2014.11.002] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2014] [Revised: 10/29/2014] [Accepted: 11/07/2014] [Indexed: 11/21/2022]
Abstract
BACKGROUND Despite emphasis of recent guidelines on multidisciplinary teams for collaborative weight management, little is known about non-physician health professionals' perspectives on obesity, their weight management training, and self-efficacy for obesity care. PURPOSE To evaluate differences in health professionals' perspectives on (1) the causes of obesity; (2) training in weight management; and (3) self-efficacy for providing obesity care. METHODS Data were obtained from a cross-sectional Internet-based survey of 500 U.S. health professionals from nutrition, nursing, behavioral/mental health, exercise, and pharmacy (collected from January 20 through February 5, 2014). Inferences were derived using logistic regression adjusting for age and education (analyzed in 2014). RESULTS Nearly all non-physician health professionals, regardless of specialty, cited individual-level factors, such as overconsumption of food (97%), as important causes of obesity. Nutrition professionals were significantly more likely to report high-quality training in weight management (78%) than the other professionals (nursing, 53%; behavioral/mental health, 32%; exercise, 50%; pharmacy, 47%; p<0.05). Nutrition professionals were significantly more likely to report high confidence in helping obese patients achieve clinically significant weight loss (88%) than the other professionals (nursing, 61%; behavioral/mental health, 51%; exercise, 52%; pharmacy, 61%; p<0.05), and more likely to perceive success in helping patients with obesity achieve clinically significant weight loss (nutrition, 81%; nursing, behavioral/mental health, exercise, and pharmacy, all <50%; p<0.05). CONCLUSIONS Nursing, behavioral/mental health, exercise, and pharmacy professionals may need additional training in weight management and obesity care to effectively participate in collaborative weight management models.
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Affiliation(s)
- Sara N Bleich
- Departments of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health.
| | - Sachini Bandara
- Departments of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health
| | - Wendy L Bennett
- Population, Family, Reproductive Health, Johns Hopkins Bloomberg School of Public Health; Department of Medicine, Division of General Internal Medicine, Johns Hopkins University School of Medicine
| | - Lisa A Cooper
- Department of Medicine, Division of General Internal Medicine, Johns Hopkins University School of Medicine; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, Maryland
| | - Kimberly A Gudzune
- Department of Medicine, Division of General Internal Medicine, Johns Hopkins University School of Medicine; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, Maryland
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Bleich SN, Bandara S, Bennett WL, Cooper LA, Gudzune KA. Impact of non-physician health professionals' BMI on obesity care and beliefs. Obesity (Silver Spring) 2014; 22:2476-80. [PMID: 25185506 PMCID: PMC4236247 DOI: 10.1002/oby.20881] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2014] [Accepted: 08/10/2014] [Indexed: 11/09/2022]
Abstract
OBJECTIVE Examine the impact of non-physician health professional body mass index (BMI) on obesity care, self-efficacy, and perceptions of patient trust in weight loss advice. METHODS A national cross-sectional Internet-based survey of 500 US non-physician health professionals specializing in nutrition, nursing, behavioral/mental health, exercise, and pharmacy collected between January 20 and February 5, 2014 was analyzed. RESULTS Normal-BMI professionals were more likely than overweight/obese professionals to report success in helping patients achieve clinically significant weight loss (52% vs. 29%, P = 0.01). No differences by health professional BMI about the appropriate patient body weight for weight-related care (initiate weight loss discussions and success in helping patients lose weight), confidence in ability to help patients lose weight, or in perceived patient trust in their advice were observed. Most health professionals (71%) do not feel successful in helping patients lose weight until they are morbidly obese, regardless of BMI. CONCLUSIONS Normal-BMI non-physician health professionals report being more successful than overweight and obese health professionals at helping obese patients lose weight. More research is needed to understand how to improve self-efficacy for delivering obesity care, particularly among overweight and class I obese patients.
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Affiliation(s)
- Sara N. Bleich
- Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore MD, USA
| | - Sachini Bandara
- Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore MD, USA
| | - Wendy L. Bennett
- Department of Medicine, Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore MD, USA
- Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore MD, USA
| | - Lisa A. Cooper
- Department of Medicine, Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore MD, USA
- Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore MD, USA
| | - Kimberly A. Gudzune
- Department of Medicine, Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore MD, USA
- Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore MD, USA
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Liu J, Kou Z, Tian Y. Diffuse axonal injury after traumatic cerebral microbleeds: an evaluation of imaging techniques. Neural Regen Res 2014; 9:1222-30. [PMID: 25206786 PMCID: PMC4146289 DOI: 10.4103/1673-5374.135330] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2014] [Indexed: 12/11/2022] Open
Abstract
Previous neuropathological studies regarding traumatic brain injury have primarily focused on changes in large structures, for example, the clinical prognosis after cerebral contusion, intracerebral hematoma, and epidural and subdural hematoma. In fact, many smaller injuries can also lead to severe neurological disorders. For example, cerebral microbleeds result in the dysfunction of adjacent neurons and the disassociation between cortex and subcortical structures. These tiny changes cannot be adequately visualized on CT or conventional MRI. In contrast, gradient echo sequence-based susceptibility-weighted imaging is very sensitive to blood metabolites and microbleeds, and can be used to evaluate traumatic cerebral microbleeds with high sensitivity and accuracy. Cerebral microbleed can be considered as an important imaging marker for diffuse axonal injury with potential relevance for prognosis. For this reason, based on experimental and clinical studies, this study reviews the role of imaging data showing traumatic cerebral microbleeds in the evaluation of cerebral neuronal injury and neurofunctional loss.
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Affiliation(s)
- Jun Liu
- Department of Radiology, Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China ; Department of Biomedical Engineering and Radiology, School of Medicine, Wayne State University, 3990 John R St, Detroit, MI, USA ; School of Public Administration, Central South University, Changsha, Hunan Province, China
| | - Zhifeng Kou
- Department of Biomedical Engineering and Radiology, School of Medicine, Wayne State University, 3990 John R St, Detroit, MI, USA
| | - Yongquan Tian
- School of Public Administration, Central South University, Changsha, Hunan Province, China
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Abstract
The proportion of older people drinking alcohol above the recommended levels has been increasing in the UK. Alcohol dependency and misuse can lead to various physical and psychological problems for older people. A range of factors can influence alcohol dependency and misuse among older adults, which need careful consideration when interventions are being developed to reduce consumption. Interventions to reduce alcohol consumption among older people can include: home visits, telephone support, mentoring, one-to-one and group programmes, family and community engagement programmes, outreach programmes, and targeted support groups focused on education and social activities. There is a need for the training of community nurses focused on improving the detection (screening and assessment), treatment and service provision for older people.
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Affiliation(s)
- Savita Bakhshi
- Research Associate, Florence Nightingale School of Nursing and Midwifery, King's College London
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