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Enebeli MO, Saint V, Hämel K. Nurses' health promotion practices in rural primary health care in Nigeria. A qualitative study. Health Promot Int 2024; 39:daae120. [PMID: 39322423 PMCID: PMC11424163 DOI: 10.1093/heapro/daae120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/27/2024] Open
Abstract
Nurses play a vital role in providing high-quality primary healthcare and health promotion services. The state of research highlights their often complex operational realities and shows the need for an evidence-based understanding of nurses' perspectives on health promotion practices, especially in low-resource settings. This study focuses on how community health nurses in rural primary healthcare centers in Nigeria perceive their health promotion role and the opportunities and challenges of, and potential entry points for strengthening, their practice. A sample of 10 nurses from eight rural primary healthcare centers in eight local government areas of Anambra state, Nigeria, was purposively selected. Data were collected via semistructured telephone and written interviews and analyzed by qualitative content analysis using a deductive-inductive approach. Nurses emphasized their commitment to supporting patients and communities to develop skills and take control of their own lives. Nurses described their role as facilitators of behavioral and environmental change, individual and community empowerment facilitators as well as social activists. Factors that enhance the health promotion practice of nurses include adequate skills, sufficient human and material resources and community support and participation. Inhibiting factors included insufficient funding, poor working conditions, staff shortages, high workload, lack of training opportunities and low participation of community members. Overcoming challenges and facilitating health promotion activities in rural communities require bolstering nurses by providing further training opportunities for enhancing their health promotion competencies and creating supportive environments. Future research should focus on how to strengthen nurses' health promotion efforts through interprofessional and intersectoral collaboration.
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Affiliation(s)
- Maria Oluomachi Enebeli
- Department of Health Services Research and Nursing Science, School of Public Health, Bielefeld University, Universitätsstrasse 25, 33615, Bielefeld, Germany
| | - Victoria Saint
- Department of Population Medicine and Health Services Research, School of Public Health, Bielefeld University, Universitätsstrasse 25, 33615, Bielefeld, Germany
| | - Kerstin Hämel
- Department of Health Services Research and Nursing Science, School of Public Health, Bielefeld University, Universitätsstrasse 25, 33615, Bielefeld, Germany
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Torabi P, Chouinard MC, Sévigny MM, Bilodeau K. Health promotion nursing interventions for female breast cancer survivors: A scoping review. J Adv Nurs 2024. [PMID: 39011943 DOI: 10.1111/jan.16328] [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: 01/04/2024] [Revised: 05/23/2024] [Accepted: 06/29/2024] [Indexed: 07/17/2024]
Abstract
AIM Map the existing health promotion nursing interventions for female breast cancer survivors (BCS) to describe the approaches used and the characteristics of these interventions in the available studies. DESIGN A scoping review. DATA SOURCE Five electronic databases were systematically searched for eligible studies, published between 2002 and 2022. METHODS Following the Joanna Briggs Institute's methodology, two reviewers independently used Covidence to screen the title, abstract and full text of evidence against the inclusion criteria and extracted data using an extraction table. The PRISMA Extension for Scoping Reviews (PRISMA-ScR) guided the reporting. No patient or public contribution was necessary. RESULTS This review included 22 studies on nursing health promotion interventions for BCSs, primarily conducted in specialized care centres. In 20 of 22 studies, nurses employed the educational approach to promote the health of BCSs. Many interventions aimed to support survivors in adopting healthy lifestyles, improving their sexual health, promoting overall well-being and addressing their individual needs by equipping them with self-care skills. Nurses utilized self-monitoring, health education materials and technologies to support survivors' health. CONCLUSION The review concludes that the nurse used various approaches and interventions with different characteristics to improve the health of BCSs. This review also emphasizes that a limited number of determinants of health have been considered by nurses in the development of health promotion interventions. IMPACT The review highlights the important role that nurses can play in enhancing the health of female BCSs after cancer treatments. This review can guide future research for developing nursing health promotion interventions in primary care settings for female BCSs. Additionally, the review offers insights to support future research, education and training on diverse approaches and characteristics that nurses can utilize to establish interventions that enhance the health of female BCSs.
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Affiliation(s)
- Pegah Torabi
- Faculty of Nursing, University of Montreal, Montreal, Quebec, Canada
- Centre Intégré Universitaire de Santé et de Services Sociaux du Nord-de-l'Ile-de-Montréal Research Center, Montreal, Quebec, Canada
- Maisonneuve-Rosemont Hospital Research Centre, Montreal, Quebec, Canada
| | - Maud-Christine Chouinard
- Faculty of Nursing, University of Montreal, Montreal, Quebec, Canada
- Centre Intégré Universitaire de Santé et de Services Sociaux du Nord-de-l'Ile-de-Montréal Research Center, Montreal, Quebec, Canada
| | - Marie-Maxim Sévigny
- Centre Intégré Universitaire de Santé et de Services Sociaux de l'Est-de-l'Île-de-Montréal, Montreal, Quebec, Canada
| | - Karine Bilodeau
- Faculty of Nursing, University of Montreal, Montreal, Quebec, Canada
- Maisonneuve-Rosemont Hospital Research Centre, Montreal, Quebec, Canada
- Centre Intégré Universitaire de Santé et de Services Sociaux de l'Est-de-l'Île-de-Montréal, Montreal, Quebec, Canada
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Bulfone G, Bressan V, Zerilli I, Mazzotta R, Favara G, Magnano San Lio R, Barchitta M, Agodi A. Nursing students' Health Literacy skills: a scoping review protocol for driving research. BMJ Open 2024; 14:e075682. [PMID: 38382950 PMCID: PMC10882316 DOI: 10.1136/bmjopen-2023-075682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Accepted: 01/31/2024] [Indexed: 02/23/2024] Open
Abstract
INTRODUCTION The healthcare systems in Europe are changing rapidly due to the increased complexity of healthcare needs, specifically for the ageing population with chronic diseases. Nurses play a key role in providing care for patients with chronic diseases, encouraging patients to take care of their own health improving their Health Literacy (HL) too. Previous works have highlighted the paucity of HL content in nursing curricula, and the need to prioritise the development of HL skills in academic teaching and assessment methods. The aim of this study is to analyse HL skills nursing literature to further develop scientific knowledge in this area of research. METHODS AND ANALYSIS This scoping review will be conducted following Arksey and O'Malley's framework. This study is based on the Joanna Briggs Institute manual. A systematic search will be performed by four researchers using the electronic databases of MEDLINE (via PubMed), the Education Resources Information Centre, the Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science and Google Scholar. We will include any paper that focuses on HL skills and undergraduate nursing students. We will select every primary study (quantitative, qualitative and mixed method design) published in peer-reviewed journals up until February 2023, in both Italian and English language, without any time limit. ETHICS AND DISSEMINATION This scoping review is part of a large project of the University of Catania which aims at developing higher educational standards for nursing student. This project will not involve patients/public and does not require ethical committee approval. This scoping review will be submitted to international peer-reviewed journals. REGISTRATION DETAILS The protocol was registered with the Open Science Framework on 20 April 2023 (https://osf.io/cn8d7).
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Affiliation(s)
- Giampiera Bulfone
- Department of Medical, Surgical Science and Advanced Technology "G. F. Ingrassia", University of Catania, Catania, Italy
| | - Valentina Bressan
- Department of Specialistic Medicine, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - Irene Zerilli
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Roma, Italy
| | - Rocco Mazzotta
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Roma, Italy
| | - Giuliana Favara
- Department of Medical, Surgical Science and Advanced Technology "G. F. Ingrassia", University of Catania, Catania, Italy
| | - Roberta Magnano San Lio
- Department of Medical, Surgical Science and Advanced Technology "G. F. Ingrassia", University of Catania, Catania, Italy
| | - Martina Barchitta
- Department of Medical, Surgical Science and Advanced Technology "G. F. Ingrassia", University of Catania, Catania, Italy
| | - Antonella Agodi
- Department of Medical, Surgical Science and Advanced Technology "G. F. Ingrassia", University of Catania, Catania, Italy
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Pereira AF, Escola JJJ, Almeida CMT, Rodrigues VMCP. Health education provided by nurses to children and young people: parents' assessment. BMC Nurs 2023; 22:287. [PMID: 37626341 PMCID: PMC10463446 DOI: 10.1186/s12912-023-01447-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 08/14/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND Healthy literacy is a determinant key children/teenager's health and health outcomes. The aim of this study to identify the parents' assessment about Health Education practice to children and teenagers. METHODS We opted for a descriptive, quantitative and cross-sectional research, with a non-probabilistic convenience sample. The inclusion criteria were: being a parent who uses attending children health appointments in primary health care; being a parent who has a child hospitalized and is accompanying him/her in the pediatric hospital inpatient ward. A questionnaire survey was built with three sections: sample characterization, Health Education practices performed by nurses (5 questions) and a scale that measured Health Education Assessment Scale (HEAS), which contained 48 items and was validated. It was applied from September to December 2018. RESULTS The survey was filled in by 113 parents. The results showed that 100% (n = 113) of the parents feel comfortable to talk with nurses about children/teenagers health; 79.6% (n = 90) consider that nurses have time availability for the doubts clarification; 61.9% (n = 70) point out that nurses identify child/teenager needs; Healthy eating" (60.2%; n = 68), the "National Vaccination Plan" (53.1%; n = 60) and "Harmful behaviors prevention" (46.9%; n = 53) are the most important topics; 56.6% (n = 64) of the parents, when in doubt, turn first to the pediatrician, and 66.4% (n = 75) considered that this practice was equal important, compared with other nursing interventions. DISCUSSION This study shows that Health Education provided by nurses is based on the need's identification, with a perspective of involvement and participation, promoting health and conscious changes which reinforces the nurses' position as health educators.
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Affiliation(s)
| | - Joaquim José Jacinto Escola
- Institute of Philosophy of the University of Porto, School of Human and Social Sciences, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - Carlos Manuel Torres Almeida
- Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD Clinical Academic Center of Trás-os-Montes e Alto Douro Doctor Nuno Grande-CACTMAD Vila Real, School of Health, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - Vítor Manuel Costa Pereira Rodrigues
- Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, Clinical Academic Center of Trás-os-Montes e Alto Douro Doctor Nuno Grande-CACTMAD Vila Real, School of Health, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
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Galindo Neto NM, Sá GGDM, Barros LM, Lima MMDS, Santos SMJD, Caetano JÁ. Effectiveness of educational video on deaf people's knowledge and skills for cardiopulmonary resuscitation: a randomized controlled trial. Rev Esc Enferm USP 2023; 57:e20220227. [PMID: 37216652 DOI: 10.1590/1980-220x-reeusp-2022-0227en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Accepted: 03/13/2023] [Indexed: 05/24/2023] Open
Abstract
OBJECTIVE To analyze the effectiveness of an educational video on deaf people's knowledge and skills about cardiopulmonary resuscitation. METHOD A randomized trial, carried out at three schools with 113 deaf people (control group = 57 and intervention group = 56). After the pre-test, the control group was exposed to the lecture, while the intervention group was exposed to the video. The post-test occurred immediately after the intervention and was repeated after 15 days. A validated instrument was used, with 11 questions, presented in video/Libras (to enable understanding by deaf people) and in written/printed form (to record the answers). RESULTS In the analysis of knowledge, the median of correct answers in the pre-test was similar between the groups (p = 0.635), while the intervention group had a higher accuracy in the immediate post-test (p = 0.035) and after 15 days (p = 0.026). In the skill analysis, the median of correct answers in the pre-test was higher in the control group (p = 0.031). There was no difference in the immediate post-test (p = 0.770), and there was a higher accuracy in the intervention group in the post-test after 15 days (p = 0.014). CONCLUSION The video proved to be effective in increasing deaf people's knowledge and skills about cardiopulmonary resuscitation. Brazilian Registry of Clinical Trials: RBR-5npmgj.
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Affiliation(s)
- Nelson Miguel Galindo Neto
- Instituto Federal de Educação, Ciência e Tecnologia de Pernambuco, Departamento de Enfermagem, Pesqueira, PE, Brazil
| | - Guilherme Guarino de Moura Sá
- Instituto Federal de Educação, Ciência e Tecnologia de Pernambuco, Departamento de Enfermagem, Belo Jardim, PE, Brazil
| | - Lívia Moreira Barros
- Universidade da Integração Internacional da Lusofonia Afro-Brasileira, Instituto de Ciências da Saúde, Redenção, CE, Brasil
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Bekaert S, Seemungal F, Nott E. The Domestic Abuse Act 2021 England and Wales: implications for nurses. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2022; 31:1046-1050. [PMID: 36370407 DOI: 10.12968/bjon.2022.31.20.1046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
As the COVID-19 pandemic enveloped the globe there was a parallel increase in the incidence of domestic abuse (DA). This has been ascribed to the restrictions in movement and growing tensions during lockdown periods. The Domestic Abuse Act covering England and Wales was about to be passed prior to the COVID-19 outbreak, but progress halted as attention focused on managing infection control and treatment nationally. The unfolding DA 'shadow pandemic' led to pressure groups lobbying for specific changes to the Act which, in its revised form, became law in April 2021. This article sets out the changes in definition, statutory response and prevention of DA and relates these to nursing practice. Health education and promotion theory is considered and linked to nursing practice with those who are both victims/survivors and perpetrators of DA.
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Affiliation(s)
- Sarah Bekaert
- Senior Lecturer, Faculty of Health and Life Sciences, Oxford Brookes University, Oxford
| | - Florence Seemungal
- Research Associate, Centre for Criminology, University of Oxford, St Cross Building, Oxford
| | - Emma Nott
- Circuit Judge, Reading Crown Court, The Forbury, Reading
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McBride-Henry K, Roguski M, Miller C, Van Wissen K, Saravanakumar P. Re-orientating health and nursing care: a qualitative study on indigenous conceptualisations of wellbeing. BMC Nurs 2022; 21:294. [PMID: 36324117 PMCID: PMC9628117 DOI: 10.1186/s12912-022-01063-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Accepted: 10/07/2022] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND Health systems often fail to address the wellbeing needs of older Indigenous populations; this is attributed to a lack of knowledge of Indigenous health systems arising from a privileging of dominant western biomedical epistemologies. In Aotearoa/New Zealand, there is a dearth of nursing knowledge relating to Māori, which negatively impacts on the provision of holistic nursing care. This research explores insights and perspectives of older Māori adult's (pakeke) perceptions of wellbeing so nurses can provide culturally responsive care and support the wellbeing of Indigenous New Zealanders. METHODS An Indigenous kaupapa Māori methodology underpinned and directed this research project. Audio-recorded interviews were conducted face to face in participants' homes, marae (meeting house) and workplaces. Pakeke over the age of 55 participated in in-depth interviews. A total of 10 pakeke were interviewed and narratives were thematically analysed in accordance with meanings derived from Māori worldviews. RESULTS Wellbeing was attributed to the holistic interconnection and balancing of whānau (wider family), whanaungatanga (social connectedness), hinengaro (mental and emotional wellbeing), taha tinana (physical wellbeing) and wairua (spirituality). CONCLUSION The findings offer unique insights into how wellbeing is constructed for pakeke; the results are unique but consistent with international accounts of older Indigenous peoples. Pakeke wellbeing can be supported by acknowledging existing cultural and spiritual beliefs and peer-support initiatives. Nursing models of care should prioritise Indigenous ways of knowing; this research offers nursing-focused recommendations to improve care.
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Affiliation(s)
- Karen McBride-Henry
- grid.267827.e0000 0001 2292 3111School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Victoria University of Wellington, Wellington, New Zealand
| | | | - Charissa Miller
- grid.267827.e0000 0001 2292 3111School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Victoria University of Wellington, Wellington, New Zealand
| | - Kim Van Wissen
- grid.267827.e0000 0001 2292 3111School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Victoria University of Wellington, Wellington, New Zealand
| | - Padmapriya Saravanakumar
- grid.117476.20000 0004 1936 7611School of Nursing & Midwifery, Faculty of Health, University of Technology Sydney, Ultimo, NSW Australia
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Tsemach R, Enden‐Izhaki A, Amit Aharon A. Intervention training of urology healthcare staff to counsel acute care inpatients on smoking cessation: An evaluation study. Nurs Open 2022; 10:828-837. [PMID: 36059078 PMCID: PMC9834151 DOI: 10.1002/nop2.1351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Revised: 07/24/2022] [Accepted: 08/22/2022] [Indexed: 01/16/2023] Open
Abstract
AIM To evaluate the differences, following intervention training, in the knowledge, attitudes, role perception, self-capacity and intention of urology staff to counsel inpatients on smoking cessation. DESIGN A descriptive evaluation study of intervention training in counselling on smoking cessation. The study was designed following guidance by the Medical Research Council. METHODS The evaluation was based on a closed-end questionnaire with four time-point measurements from May 2018-December 2019 (N = 29 at each time-point). A repeated measure within-subjects ANOVA was conducted to explore the variance in participants' attitudes, role perception, self-capacity and intention to counsel patients regarding smoking cessation. Eta squared and Bonferroni post hoc tests were used to interpret the results. RESULTS No change was observed in the research variables after theoretical science-based learning of the smoking hazards and the benefits of cessation. A statistically significant difference was found following procedural knowledge based on training, practical experience and skill development.
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Affiliation(s)
- Ronit Tsemach
- Urology DepartmentTel Aviv Sourasky Medical CenterTel AvivIsrael,Nursing Department, Steyer School of Health Professions, Sackler Faculty of MedicineTel Aviv UniversityTel AvivIsrael
| | - Anat Enden‐Izhaki
- Macabi Health ServicesSecretary of the Israel Medical Association for Smoking Prevention and CessationTel AvivIsrael
| | - Anat Amit Aharon
- Nursing Department, Steyer School of Health Professions, Sackler Faculty of MedicineTel Aviv UniversityTel AvivIsrael
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Abu-Baker NN, Khwaileh GM, AlBashtawy M, Al-Dwaikat T. Attitudes Toward Health Promotion Among Nurses in Primary Care Settings: A Cross-Sectional Study. Open Nurs J 2022. [DOI: 10.2174/18744346-v16-e2205091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background:
Health promotion is a process of enabling people to increase control over and improve their health. Understanding the concept of health promotion and using it in practice is crucial for nurses in primary care settings.
Aims:
To assess attitudes toward health promotion and related demographic variables among nurses in Jordanian primary care settings.
Methods:
A cross-sectional, correlational design was utilized from November 2020 to February 2021. Convenience sampling was used to recruit 145 nurses in primary care settings in northern Jordan. A self-reported questionnaire was distributed to all eligible nurses. It was part of the “nurses’ knowledge and attitudes toward health promotion questionnaire” which was used in a study before.
Results:
Positive attitudes were found with a mean score of 25.26 out of 32 (SD = 2.96). While 87.6% of participants agreed that nurses should assume more responsibility for health promotion, 60.7% agreed that patients found health promotion dull and boring. While 71% claimed to have the necessary skills to conduct health promotion, only 43.4% agreed that they had enough time to conduct health promotion. Furthermore, nurses with a bachelor’s degree had significantly higher attitude scores compared to nurses with an associate degree (t [143] = -2.053, p = .042).
Conclusion:
The value of health promotion should be emphasized early on among nursing students; more time and resources should be devoted to facilitate health promotion in primary settings, and policymakers and administrators should establish clear guidelines and a supportive environment to enhance the nursing role in providing health promotion.
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Woods A. Applying the principles of health promotion in nursing practice. Nurs Stand 2022; 37:40-45. [PMID: 35187909 DOI: 10.7748/ns.2022.e11774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/13/2021] [Indexed: 11/09/2022]
Abstract
Health promotion is a relatively new concept that is grounded in the definition of health proposed in 1946 by the World Health Organization. The thinking behind health promotion departs from the biomedical model of health and considers how biological, psychological and social factors interact to affect the health and health outcomes of individuals, communities and population groups. An accurate and in-depth understanding of what health means to people and how health is experienced enables healthcare professionals, planners and policymakers to develop and deliver health promotion interventions that prevent suboptimal health and address health inequalities. This article describes the concepts, frameworks and models that underpin health promotion and discusses the different types of health promotion interventions that can be applied in nursing practice.
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Affiliation(s)
- Angela Woods
- School of Health and Human Sciences, University of Bolton, Bolton, England
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Betke K, Basińska MA, Andruszkiewicz A. Nurses' sense of coherence and stress management strategies against the types of health status. Nurs Open 2021; 8:3403-3410. [PMID: 33942554 PMCID: PMC8510759 DOI: 10.1002/nop2.886] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Revised: 03/07/2021] [Accepted: 03/21/2021] [Indexed: 11/29/2022] Open
Abstract
Aim The main objective of this paper was to establish types of health status in the group of practicing nurses. Design Positive psychology defines human health as the underlying resource for all life activities, including professional work. Practicing nurses are exposed to a variety of professional pressures, most notably high‐stress burden. Long‐term functioning in conditions of work‐related overburden and stress may compromise the health status of nurses and make them vulnerable to somatic or psychosomatic conditions. Methods In this study, we used original worksheets for collecting socio‐economic data and health‐related data, Orientation to Life Questionnaire (SOC‐29), General Health Questionnaire (GHQ‐28), Brief COPE Inventory (Mini‐COPE) and the somatic symptom scale. K‐means clustering analysis for cases was used to identify types of health status among the surveyed nurses. Results This survey discovered that specific types of health status can be distinguished among practicing nurses. The nurses represented various types of health status, levels of the sense of coherence and the use of stress management strategies.
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Affiliation(s)
- Katarzyna Betke
- Faculty of Health Sciences, Nicolaus Copernicus University in Torun Ludwik Rydygier Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland
| | | | - Anna Andruszkiewicz
- Faculty of Health Sciences, Nicolaus Copernicus University in Torun Ludwik Rydygier Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland
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Pueyo-Garrigues M, Pardavila-Belio MI, Whitehead D, Esandi N, Canga-Armayor A, Elosua P, Canga-Armayor N. Nurses' knowledge, skills and personal attributes for competent health education practice: An instrument development and psychometric validation study. J Adv Nurs 2020; 77:715-728. [PMID: 33245152 DOI: 10.1111/jan.14632] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Revised: 08/20/2020] [Accepted: 10/26/2020] [Indexed: 11/28/2022]
Abstract
AIM To develop and psychometrically test the Nurse Health Education Competence Instrument for assessing nurses' knowledge, skills and personal attributes concerning competent health education practice. DESIGN A psychometric instrument development and validation study. METHODS A four-step approach was used: Step 1) operational definition based on an up-to-date concept analysis and experts' judgement; step 2) item generation and content validation by expert panel and target population; step 3) item analysis based on acceptability, internal consistency and face validity; and step 4) psychometric evaluation based on construct validity, criterion validity, internal consistency and stability, conducted from January -February 2019 with 458 hospital-care nurses. RESULTS The operational framework and expert groups showed good content validity, resulting in the first version. From the initial 88-item pool, 58 items were retained after item analysis. Exploratory factor analysis revealed three scales concerning the cognitive (three-factor solution with 23 items), psychomotor (two-factor solution with 26 items) and affective-attitudinal (one-factor solution with nine items) competency domains, which respectively accounted for 58%, 53% and 54% of the variance. Known-group study demonstrated significant differences by years working in the service and training received in health education, providing evidence for the measure's sensitivity. The three scales correlated positively with the criterion variable. Overall Cronbach alphas for the cognitive, psychomotor and affective-attitudinal scales were 0.95, 0.95 and 0.90, respectively. Intraclass correlation coefficients were >0.70. CONCLUSIONS The newly developed Nurse Health Education Competence Instrument is an original and tested self-reporting psychometric tool, being the first to identify nurses' knowledge, skills and attributes necessary for planning and assessing health education practice competency. IMPACT The instrument permits measurable insights into nurses' perceptions regarding their health education competence and related educational needs. This study provides a valid and specific learning tool that is appropriate to use both in clinical practice and in nursing education programmes.
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Affiliation(s)
- María Pueyo-Garrigues
- School of Nursing, Department of Community, Maternity and Pediatric, University of Navarra, Pamplona, Spain.,IdiSNa, Navarra Institute for Health Research, Navarra, Spain
| | - Miren Idoia Pardavila-Belio
- School of Nursing, Department of Community, Maternity and Pediatric, University of Navarra, Pamplona, Spain.,IdiSNa, Navarra Institute for Health Research, Navarra, Spain
| | - Dean Whitehead
- College of Nursing and Health Sciences, Flinders University, Bedford Park, SA, Australia
| | - Nuria Esandi
- IdiSNa, Navarra Institute for Health Research, Navarra, Spain.,School of Nursing, Department of Nursing Care for Adult Patients, University of Navarra, Pamplona, Spain
| | - Ana Canga-Armayor
- IdiSNa, Navarra Institute for Health Research, Navarra, Spain.,School of Nursing, Department of Nursing Care for Adult Patients, University of Navarra, Pamplona, Spain
| | - Paula Elosua
- School of Psychology, Social Psychology and Methodology of Behavioral Sciences, University of the Basque Country, San Sebastian, Spain
| | - Navidad Canga-Armayor
- School of Nursing, Department of Community, Maternity and Pediatric, University of Navarra, Pamplona, Spain.,IdiSNa, Navarra Institute for Health Research, Navarra, Spain
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Parents' Perspectives on the Health Education Provided by Clinicians in Portuguese Pediatric Hospitals and Primary Care for Children Aged 1 to 10 Years. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17186854. [PMID: 32961741 PMCID: PMC7557745 DOI: 10.3390/ijerph17186854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 09/16/2020] [Accepted: 09/17/2020] [Indexed: 11/19/2022]
Abstract
This study aimed to analyze parents’ perspectives of the health education practice provided by health professionals to children and parents. This is a descriptive research with a qualitative approach, based on the conceptual framework of health education provided by health professionals to children/young people and families. The selection took place by non-probabilistic sampling of convenience, and was developed with parents/users of health units for pediatric hospitalization and primary health care in northern Portugal. Data were collected using semi-structured interviews with 20 parents from March to April 2019, and were analyzed using the content analysis technique. Health education was understood to enhance health, and the evaluation was carried out according to planning and partnership. The most frequent topics were food, the national vaccination plan, and accident prevention. The evaluation shown is very positive, pointing to the nurse as the professional of choice for this practice and thus contributing to the visibility of nursing. We can state that the perspectives of parents about the health education carried out by health professionals show a practice that values health; is adaptable to the complexity of the binomial child and parents; is capable of influencing health determinants with sustainability, efficacy, and effectiveness; and gives visibility to nurses’ positions as health educators.
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Galindo-Neto NM, Lima MB, Barros LM, Santos SCD, Caetano JÁ. Sign language instrument for assessing the knowledge of deaf people about Cardiopulmonary Resuscitation. Rev Lat Am Enfermagem 2020; 28:e3283. [PMID: 32520239 PMCID: PMC7282720 DOI: 10.1590/1518-8345.3535.3283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2019] [Accepted: 05/06/2020] [Indexed: 11/21/2022] Open
Abstract
Objective: to build and validate the content on Cardiopulmonary Resuscitation (CPR) of a
sign language instrument for assessing the knowledge of the deaf. Method: methodological study in which the content validity process was used by 22
specialists in cardiac arrest and 16 deaf people. In the validation of
internal consistency, 113 deaf people participated. For the assessment of
the deaf, the Assistive Technology Assessment Questionnaire was used and, in
the content validity, an instrument with a Likert scale was used, which
included the content, clarity, objectivity, organization and language. Items
with a minimum agreement of 80% were considered valid, according to the
Content Validity Index (CVI) and binomial test. The internal consistency was
verified by Cronbach’s alpha. Results: The instrument contains 11 questions about the identification of
cardiorespiratory arrest, activation by aid and high quality chest
compression. It had a minimum content validity of 81% by the specialists,
90% by the deaf participants and internal consistency by the Cronbach alpha
of 0.86, being considered high. Conclusion: the instrument can be used in research to survey the previous knowledge of
deaf people about CPR, as well as in pre and/or post-testing studies that
test educational interventions with this public.
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Affiliation(s)
- Nelson Miguel Galindo-Neto
- Instituto Federal de Educação, Ciência e Tecnologia de Pernambuco (IFPE), Campus Pesqueira, Pesqueira, PE, Brazil
| | - Magno Batista Lima
- Universidade Federal do Piauí, Colégio Técnico de Bom Jesus, Bom Jesus, PI, Brazil
| | - Lívia Moreira Barros
- Universidade Estadual Vale do Acaraú, Departamento de Enfermagem, Sobral, CE, Brazil
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Lima WLD, Paula LBD, Duarte TTDP, Magro MCDS. Conhecimento dos enfermeiros da atenção primária à saúde sobre fatores de risco para Lesão Renal Aguda. ESCOLA ANNA NERY 2020. [DOI: 10.1590/2177-9465-ean-2019-0280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo Descrever o conhecimento dos enfermeiros sobre a identificação, medidas de prevenção e de autocuidado direcionadas à lesão renal aguda (LRA) em hipertensos e/ou diabéticos na atenção primária à saúde (APS). Método Estudo transversal e quantitativo. Amostra constituída de 57 enfermeiros atuantes na APS. Adotou-se questionário semiestruturado para coleta de dados. Realizou-se análise descritiva e inferencial. Considerou-se significativo resultado com p≤0,05. Resultados O perfil dos enfermeiros era jovem (idade 42± 9 anos) e tempo de exercício profissional de 9±6 anos. O conhecimento sobre aspectos gerais relacionados a LRA mostrou-se abaixo da média (48±19 pontos), embora, uma maioria, tenha descrito o conceito corretamente 41 (71,9%). Os fatores de risco relacionados à LRA foram majoritariamente: exposição às drogas 56 (98,2%) e diabetes mellitus 49 (86%). O tempo de atuação na APS aliado ao conhecimento insuficiente sobre alteração do valor da creatinina sérica implicou na decisão sobre a necessidade de encaminhamento ao nefrologista (p=0,004). Conclusões e implicações para a prática O conhecimento dos enfermeiros mostrou-se insuficiente para reconhecimento dos fatores de risco, prevenção e autocuidado da doença renal. Evidencia-se, portanto, a necessidade de capacitação dos enfermeiros da APS para otimizar a identificação precoce da LRA, evitando progressão e cronificação dessa doença.
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