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Ben Natan M, Makhoul Khuri M, Hammer H, Yarkoni M. Nursing Students' Intention to Work in Hospice Care in the Future: A Cross-sectional Study. J Hosp Palliat Nurs 2024; 26:E55-E61. [PMID: 37815276 DOI: 10.1097/njh.0000000000000990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/11/2023]
Abstract
Studies reveal that nursing students rank hospice nursing among their least preferred career choices. The purpose of this study was to explore the association between nursing students' intention to work in hospice care in the future and their attitudes toward caring for dying patients, death anxiety, personal and/or professional experience of caring for dying patients, and type of nursing program studied. In this cross-sectional study, 200 nursing students completed an online survey based on the Frommelt Attitude Toward Care of the Dying Scale and the Turkish Death Anxiety Scale. Only 11% of the respondents were found to express interest in working in hospice care in the future. Studying in the accelerated program for nonnursing Bachelor of Arts graduates predicted a higher intention to work in hospice care in the future, than studying in the generic program (β = 0.27, P < .001). Completion of clinical experience in a medical ward predicted lower intention (β = -0.21, P < .01). These findings suggest that nursing students in the accelerated program for nonnursing Bachelor of Arts graduates should be provided with appropriate experience and support to maintain their interest in hospice nursing. Clinical experience in medical wards does not seem to be a good substitute for clinical experience in hospice care.
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Yonai Y, Ben Natan M, Maman D, Ezra O, Berkovich Y. Characteristics of injuries related to traffic crashes in Israel before and during the COVID-19 pandemic. Traffic Inj Prev 2024; 25:589-593. [PMID: 38546462 DOI: 10.1080/15389588.2024.2331218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Accepted: 03/11/2024] [Indexed: 04/16/2024]
Abstract
OBJECTIVES This study explored differences in patient characteristics, injury characteristics, treatment modalities, and treatment outcomes among patients who presented to the Emergency Department (ED) following traffic crashes during the COVID-19 period (from March 15, 2020 to March 15, 2022) in comparison to the previous corresponding period between 2017 and 2019. METHODS The study is a retrospective chart review study. The study included a random sample of 610 patients who presented to the ED of a major hospital located in northern-central Israel following traffic crashes: 305 patients who presented during the COVID-19 period (from March 15, 2020 to March 15, 2022) and 305 patients who presented during the previous corresponding period (from March 15, 2017 to March 15, 2019). Socio-demographic data, data regarding the traffic crashes, and medical data of the patients were collected from their medical records, and the data were compared. RESULTS In the context of the COVID-19 period, a notable surge in the percentage of cyclist victims was evident, marking an increase from 7.5% to 19% compared to the corresponding period. Conversely, the incidence of pedestrian victims during the COVID-19 period dropped to 19.7%, in contrast to 30.8% in the corresponding period. Notably, patients involved in pedestrian crashes amid the COVID-19 period exhibited a shorter hospital stay (M = 2.8 days, SD = 3.3) compared to the corresponding period (M = 4.3 days, SD = 7.1) [t = 1.8 (df = 141), p < 0.05]. However, a higher fatality rate was observed among these patients during the COVID-19 period compared to the corresponding period (6.7% vs. 0%) [χ2 = 6.4 (df = 1), p < 0.05]. CONCLUSIONS The study reveals significant changes in traffic crashes characteristics during the pandemic period, including a notable increase in cyclist victims and a decrease in pedestrian incidents. These shifts may be attributed to factors such as changes in transportation patterns, increased use of bicycles for essential travel. Despite these changes, the proportion of severe crashes remained relatively consistent. These findings underscore the importance of understanding the underlying causes behind these shifts and highlight the ongoing need for public education and awareness initiatives to promote traffic safety, particularly for vulnerable road users, during pandemic periods.
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Affiliation(s)
- Yaniv Yonai
- The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
| | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - David Maman
- The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
| | - Ofir Ezra
- The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
| | - Yaron Berkovich
- The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
- Medical Department, Technion University, Haifa, Israel
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Ben Natan M, Gharra A, Faduos B, Magadlah A, Biadsy A. Examining the association between stigmatizing attitudes in nursing students and their desire for a career in mental health nursing: A comparative analysis of generic and accelerated programs in Israel. J Psychiatr Ment Health Nurs 2024. [PMID: 38375931 DOI: 10.1111/jpm.13034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 01/14/2024] [Accepted: 01/18/2024] [Indexed: 02/21/2024]
Abstract
WHAT IS KNOWN ON THE SUBJECT?: Mental health nursing is generally viewed as the least attractive career choice among nursing students. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: Studying in the generic nursing program influence higher desire for a career in mental health nursing. Nursing students who have prior experience working in mental health and have provided care to psychiatric patients are more inclined to express a desire to pursue a career in this field WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Nursing students enrolled in the generic program, who have previous work experience in mental health or experience caring for a person with a mental illness, and who have a lower level of stigmatizing attitudes, may constitute the future workforce in mental health nursing. ABSTRACT INTRODUCTION: Mental health nursing is often perceived as an unattractive career choice among nursing students, and it remains unclear whether the type of nursing program influences this view. AIM This cross-sectional study aimed to explore the association between stigmatizing attitudes in nursing students and their desire for a career in mental health nursing, comparing students in generic and accelerated programs. METHOD A total of 220 nursing students from generic and accelerated programs in North-Center Israel participated in this cross-sectional study, completing a questionnaire on stigmatizing attitudes and their interest in a mental health nursing career. RESULTS Nursing students displayed a generally low desire for mental health nursing, influenced by factors such as enrollment in the generic program, previous mental health work experience and stigmatizing attitudes. DISCUSSION Students in the generic program, with lower stigmatizing attitudes and prior mental health experience, exhibited a higher inclination towards mental health nursing. IMPLICATIONS FOR PRACTICE Prospective mental health nursing professionals may be identified in the generic program, particularly those with prior mental health experience and lower stigmatizing attitudes. Additional studies are required to confirm and broaden their applicability to other contexts.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
- Department of Nursing, Sackler Faculty of Medicine, Steyer School of Health Professions, General Nursing Degree Program, Tel Aviv University, Tel Aviv-Yafo, Israel
| | - Adam Gharra
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
- Department of Nursing, Sackler Faculty of Medicine, Steyer School of Health Professions, General Nursing Degree Program, Tel Aviv University, Tel Aviv-Yafo, Israel
| | - Baher Faduos
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
- Department of Nursing, Sackler Faculty of Medicine, Steyer School of Health Professions, General Nursing Degree Program, Tel Aviv University, Tel Aviv-Yafo, Israel
| | - Abedallah Magadlah
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
- Department of Nursing, Sackler Faculty of Medicine, Steyer School of Health Professions, General Nursing Degree Program, Tel Aviv University, Tel Aviv-Yafo, Israel
| | - Abedalrahman Biadsy
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
- Department of Nursing, Sackler Faculty of Medicine, Steyer School of Health Professions, General Nursing Degree Program, Tel Aviv University, Tel Aviv-Yafo, Israel
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Abbou B, Kessel B, Ben Natan M, Gabbay-Benziv R, Dahan Shriki D, Ophir A, Goldschmid N, Klein A, Roguin A, Dudkiewicz M. When all computers shut down: the clinical impact of a major cyber-attack on a general hospital. Front Digit Health 2024; 6:1321485. [PMID: 38433989 PMCID: PMC10904636 DOI: 10.3389/fdgth.2024.1321485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2023] [Accepted: 02/05/2024] [Indexed: 03/05/2024] Open
Abstract
Importance Healthcare organizations operate in a data-rich environment and depend on digital computerized systems; thus, they may be exposed to cyber threats. Indeed, one of the most vulnerable sectors to hacks and malware is healthcare. However, the impact of cyberattacks on healthcare organizations remains under-investigated. Objective This study aims to describe a major attack on an entire medical center that resulted in a complete shutdown of all computer systems and to identify the critical actions required to resume regular operations. Setting This study was conducted on a public, general, and acute care referral university teaching hospital. Methods We report the different recovery measures on various hospital clinical activities and their impact on clinical work. Results The system malfunction of hospital computers did not reduce the number of heart catheterizations, births, or outpatient clinic visits. However, a sharp drop in surgical activities, emergency room visits, and total hospital occupancy was observed immediately and during the first postattack week. A gradual increase in all clinical activities was detected starting in the second week after the attack, with a significant increase of 30% associated with the restoration of the electronic medical records (EMR) and laboratory module and a 50% increase associated with the return of the imaging module archiving. One limitation of the present study is that, due to its retrospective design, there were no data regarding the number of elective internal care hospitalizations that were considered crucial. Conclusions and relevance The risk of ransomware cyberattacks is growing. Healthcare systems at all levels of the hospital should be aware of this threat and implement protocols should this catastrophic event occur. Careful evaluation of steady computer system recovery weekly enables vital hospital function, even under a major cyberattack. The restoration of EMR, laboratory systems, and imaging archiving modules was found to be the most significant factor that allowed the return to normal clinical hospital work.
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Affiliation(s)
- Benyamine Abbou
- Hospital Administration, Hillel Yaffe Medical Center, Hadera, Israel
- Ruth and Bruce Rappaport Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
| | - Boris Kessel
- Ruth and Bruce Rappaport Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
- Surgical Division, Hillel Yaffe Medical Center, Hadera, Israel
| | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Rinat Gabbay-Benziv
- Ruth and Bruce Rappaport Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
- Division of Obstetrics and Gynecology, Hillel Yaffe Medical Center, Hadera, Israel
| | | | - Anna Ophir
- Ruth and Bruce Rappaport Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
- Surgical Division, Hillel Yaffe Medical Center, Hadera, Israel
| | - Nimrod Goldschmid
- Ruth and Bruce Rappaport Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
- Risk Management Department, Hillel Yaffe Medical Center, Hadera, Israel
| | - Adi Klein
- Ruth and Bruce Rappaport Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
- Division of Pediatrics, Hillel Yaffe Medical Center, Hadera, Israel
| | - Ariel Roguin
- Ruth and Bruce Rappaport Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
- Division of Cardiology, Hillel Yaffe Medical Center, Hadera, Israel
| | - Mickey Dudkiewicz
- Hospital Administration, Hillel Yaffe Medical Center, Hadera, Israel
- Ruth and Bruce Rappaport Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
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Mostovoy D, Masarwa D, Niazov Y, Ben Natan M. Ophthalmologists' Attitudes, Knowledge, and Willingness to Report Child Abuse. Child Maltreat 2024; 29:47-52. [PMID: 35833516 DOI: 10.1177/10775595221114778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The aim of the present study was to explore ophthalmologists' attitudes, knowledge, and willingness to report child abuse. One-hundred-and-seven ophthalmologists employed in various hospitals in Israel completed an online questionnaire. Less than half the ophthalmologists (44.9%) reported that they had treated children whom they identified or suspected as being victims of child abuse, while only 43.9% of these reported child abuse. Despite generally positive attitudes towards reporting of child abuse among the ophthalmologists, their average level of knowledge was low. Ophthalmologists who had received training on child abuse and residents displayed a higher level of knowledge. In addition, female ophthalmologists tended to agree more that ophthalmologists are obligated to screen for and report child abuse. Moreover, female ophthalmologists expressed higher willingness to report child abuse. The present study reveals that underreporting of child abuse, and more precisely the discrepancy between identification and reporting, is present among ophthalmologists. It seems that lack of knowledge regarding identification and reporting of child abuse is the main barrier to reporting, especially among medical specialists. These findings underscore the importance of training programs on child abuse, both during formal education in medical school, and post-qualification, for all ophthalmologists, irrespective of seniority.
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Affiliation(s)
- Dina Mostovoy
- Department of Ophthalmology, Barzilai Medical Center, Ashkelon, Israel
| | - Dua Masarwa
- Department of Ophthalmology, Barzilai Medical Center, Ashkelon, Israel
| | - Yulia Niazov
- Department of Ophthalmology, Barzilai Medical Center, Ashkelon, Israel
| | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
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Ben Natan M, Igbarin H, Watted A. Mothers' satisfaction with emergency care when their child has an autism spectrum disorder. J Pediatr Nurs 2024; 74:35-40. [PMID: 37992479 DOI: 10.1016/j.pedn.2023.11.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 11/05/2023] [Accepted: 11/05/2023] [Indexed: 11/24/2023]
Abstract
PURPOSE This study aimed to examine factors identified by mothers as affecting their satisfaction with the care provided to their children in the Emergency Department (ED), among mothers of children with autistic spectrum disorder (ASD) in comparison to mothers of children without ASD. DESIGN AND METHODS In this correlational quantitative study, 128 Israeli mothers - 59 (46%) mothers of children with ASD and 69 (54%) of children without ASD - completed an online survey based on a Ministry of Health national survey of patient experience. RESULTS Mothers of children with ASD expressed lower satisfaction with the care provided. The difference was particularly evident concerning waiting times for examination of the child by nurses and physicians in the ED, whether the nurses were attentive and responsive to the mother's questions and concerns, whether the ED staff demonstrated coordination and cooperation with regard to medical care of the child, and whether work in the ED was conducted in an orderly and organized manner. The presence of communication difficulties in children predicted mothers' satisfaction with care. CONCLUSIONS These findings suggest that certain needs of mothers and/or their children with ASD do not receive an appropriate response in the ED. PRACTICE IMPLICATIONS It is important to raise the awareness of healthcare providers in EDs regarding the needs of children with ASD and their parents, especially children with communication difficulties. Strategies should be implemented to improve the experience of children with ASD and their parents in the ED.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel.
| | - Heba Igbarin
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Arwa Watted
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
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Ben Natan M, Abd El Hadi M, Zoubi F. What motivates young Arab Muslim women to choose nursing as a profession: A cross-sectional study. Int Nurs Rev 2023. [PMID: 37908122 DOI: 10.1111/inr.12897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Accepted: 10/17/2023] [Indexed: 11/02/2023]
Abstract
AIM This study examines the impact of nurse uniforms, the coronavirus pandemic, and the image of nurses and the nursing profession on the career choice of young Muslim Arab women in nursing, with a focus on policy implications. BACKGROUND The global nursing shortage poses significant challenges, including in Israel. Attracting young Muslim Arab women to nursing careers is vital. Understanding how nurse uniforms, the pandemic, and perceptions of nurses and the nursing profession shape their career decisions can inform policy interventions. METHODS A cross-sectional study utilized digital questionnaires administered to 200 Muslim Arab women aged 20-30 in Israel. The study adhered to the EQUATOR checklist for cross-sectional studies. RESULTS Only 29.2% of participants expressed interest in studying nursing. Findings revealed a positive correlation between the pandemic's impact and intention to pursue nursing. A linear regression analysis shows the impact of the white uniform, the image of nurses, and the image of the profession on the choice of a career in nursing. DISCUSSION The study emphasizes the significance of nurse uniforms, the image of nurses, and the image of the nursing profession in shaping young Muslim Arab women's career choices in nursing. Policy interventions should raise awareness about nursing roles, expand responsibilities, and highlight nurses' contributions to society. CONCLUSION Strategies to attract young Muslim Arab women to nursing careers should address nurse uniforms, the image of nurses, and the image of the nursing profession. IMPLICATIONS FOR POLICY Policy interventions should prioritize diversity, promote positive images of nurses and the nursing profession, and raise awareness of nursing roles and contributions among young Muslim Arab women.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
- Department of Nursing, General Nursing Degree Program, Sackler Faculty of Medicine, Steyer School of Health Professions, Tel Aviv University, Tel Aviv, Israel
| | - Miriam Abd El Hadi
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Fardus Zoubi
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
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Rubin L, Avraham Y, Sharabi-Nov A, Shebly T, Ben Natan M, Rothem DE. Acupuncture Effect on Analgesic Consumption and Cortisol Levels Following Total Knee Arthroplasty: A Randomized Controlled Trial. Med Acupunct 2023; 35:230-235. [PMID: 37920858 PMCID: PMC10618810 DOI: 10.1089/acu.2023.0024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2023] Open
Abstract
Objective Pain following total knee arthroplasty (TKA) is common. Various modalities of treating orthopedic postoperative pain (POP) exist; however, the optimal management of POP remains unclear. The purpose of this study was to examine acupuncture's effect on postoperative analgesic consumption and cortisol levels in patients undergoing TKA. Materials and Methods In this randomized controlled trial, 80 patients scheduled for elective TKA surgery were recruited and randomly assigned to 2 groups: (1) an intervention group, receiving acupuncture treatment on days 1 and 2 in addition to standard POP management (n = 40) and a control group, who received standard POP management only (n = 40). Results There was no statistical difference between the groups in analgesic consumption on days 1 and 3 postoperatively. On day 5 postoperatively, lower analgesic consumption was seen in the intervention group, compared to the control group. However, this difference was not statistically significant (1.4 versus 2.3, respectively; P = 0.215). There was no statistical difference between the groups in cortisol levels on day 1 postoperatively. In contrast, on day 2 postoperatively, cortisol level was significantly lower in the intervention group, compared to the control group (296 nmol/L versus 400 nmol/L, respectively; P < 0.05). Conclusions The findings suggest that acupuncture may have some effect on patients' analgesic consumption short-term after TKA. Further studies with larger samples are required for establishing these results.This trial was registered at ClinicalTrials.gov (Registration #: NCT03415204).
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Affiliation(s)
- Littal Rubin
- Orthopedics Surgery Department, Ziv Medical Center, Safed, Israel
| | - Yaniv Avraham
- Orthopedics Surgery Department, Ziv Medical Center, Safed, Israel
| | - Adi Sharabi-Nov
- Orthopedics Surgery Department, Ziv Medical Center, Safed, Israel
- Tel-Hai Academic College, Kiryat Shemona, Israel
| | - Tanous Shebly
- Orthopedics Surgery Department, Ziv Medical Center, Safed, Israel
| | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - David E. Rothem
- Orthopedics Surgery Department, Ziv Medical Center, Safed, Israel
- Azrieli Faculty of Medicine, Bar -Ilan University, Safed, Israel
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Ben Natan M, Masarwa R, Steinfeld Y, Yonai Y, Berkovich Y. Injury and Sociodemographic Characteristics of Intimate Partner Violence in Women in Israel: A Single-Center Retrospective Cohort Study. J Trauma Nurs 2023; 30:222-227. [PMID: 37417673 DOI: 10.1097/jtn.0000000000000732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/08/2023]
Abstract
BACKGROUND Intimate partner violence is a growing public health concern worldwide, and nurses are uniquely positioned to help identify and refer patients for services. Yet, intimate partner violence injury patterns and characteristics often go unrecognized. OBJECTIVE The purpose of this study is to explore injury and sociodemographic characteristics associated with intimate partner violence in women presenting to a single emergency department in Israel. METHODS This retrospective cohort study analyzed medical records of married women injured by their spouse who presented to a single emergency department in Israel from January 1, 2016, to August 31, 2020. RESULTS In total, 145 cases were included, of which 110 (76%) were Arab and 35 (24%) were Jewish, with a mean age of 40. Patients' injury patterns consisted of contusions, hematomas, and lacerations to the head, face, or upper extremities, not requiring hospitalization, and having a history of emergency department visits in the past 5 years. CONCLUSION Identifying intimate partner violence characteristics and patterns of injury will help nurses identify, initiate treatment, and report suspected abuse.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel (Dr Ben Natan); and The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel (Drs Masarwa, Steinfeld, Yonai, and Berkovich)
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Ben Natan M, Masarwa R, Yonai Y, Finkel B, Berkovich Y. Mortality, Survival, and Readmissions During a 12-Month Follow-Up After Hip Fracture: Inpatient Rehabilitation Versus Home Rehabilitation. Rehabil Nurs 2023; 48:140-144. [PMID: 37417864 DOI: 10.1097/rnj.0000000000000423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/08/2023]
Abstract
PURPOSE This study compared readmissions, survival, and mortality during a 12-month follow-up period of inpatient rehabilitation and home rehabilitation for older persons who had experienced a hip fracture. METHODS This work was retrospective cohort research. Between January 1 and December 30, 2019, the medical records of 280 elderly patients who were admitted to a hospital with a hip fracture were analyzed. Of these patients, 74.3% received inpatient rehabilitation, whereas 25.7% received home rehabilitation. RESULTS In terms of readmissions and death, there were no appreciable differences between the inpatient rehabilitation and home rehabilitation groups. The patients in the inpatient rehabilitation group were older; more likely to need assistance with activities of daily living; and were taking, on average, more prescription drugs on a daily basis than those in the home rehabilitation group. CONCLUSIONS AND CLINICAL RELEVANCE In conclusion, as better outcomes were expected for the home rehabilitation group, which on average included less complicated patients, our findings suggest that the home rehabilitation pathway may not be a good alternative to the inpatient rehabilitation pathway.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Rawan Masarwa
- Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
| | - Yaniv Yonai
- Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
| | - Binyamin Finkel
- Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
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Masarwa D, Niazov Y, Ben Natan M, Mostovoy D. The role of parental health beliefs in seeking an eye examination for their child. BMC Ophthalmol 2023; 23:269. [PMID: 37312052 DOI: 10.1186/s12886-023-02994-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 05/24/2023] [Indexed: 06/15/2023] Open
Abstract
BACKGROUND We aimed to explore the role of parental health beliefs in parent seeking of eye examinations for their children, using the Health Belief Model. METHODS In this quantitative correlational survey study, 100 parents who presented to Barzilai University Medical Center in July 2021 to perform an eye examination to their child completed a questionnaire. RESULTS Only 29.6% of the parents knew that a vision screening is performed in first grade, and 10% of the parents were unsure about where to find local eye care for their kids. Moreover, 19% of the parents indicated that they were concerned that their child would be prescribed glasses unnecessarily, and 10% believed that wearing glasses would weaken their child's eyes. Various parental health beliefs regarding children's eye examinations were found associated with parent seeking of eye examinations for their child. Thus, perceived susceptibility (r = 0.52, p < 0.01), perceived benefits (r = 0.39, p < 0.01), and perceived barriers (r=-0.31, p < 0.01) are associated with parent seeking of eye examinations for their child. Also, parents' level of knowledge was associated with seeking eye examinations for their child (r = 0.20, p < 0.01). CONCLUSION Parent perceptions of the child's susceptibility to vision problems and perceived barriers to seeking eye examinations predicted parents seeking of eye examinations for their child. Interventions aimed at increasing timely eye examinations among children should focus on raising parent awareness of vision problems in childhood, dispelling misconceptions, and providing parents with practical information regarding available services.
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Affiliation(s)
- Dua Masarwa
- Department of Ophthalmology, Barzilai Medical Center, Ashkelon, Israel
| | - Yulia Niazov
- Department of Ophthalmology, Barzilai Medical Center, Ashkelon, Israel
| | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel.
| | - Dina Mostovoy
- Department of Ophthalmology, Barzilai Medical Center, Ashkelon, Israel
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Yonai Y, Masarwa R, Steinfeld Y, Ben Natan M, Berkovich Y. Israeli Female Physicians' Motives for Choosing Orthopedics as Their Specialty Choice. World J Surg 2023; 47:1364-1370. [PMID: 36894699 DOI: 10.1007/s00268-023-06953-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/05/2023] [Indexed: 03/11/2023]
Abstract
BACKGROUND Orthopedics is not a popular field of specialization among female medical students. Therefore, the purpose of the study was to examine factors related to women's choice of orthopedics as their field of specialty, compared to those who chose other fields. METHODS In this cross-sectional survey, 149 female medical residents from Israel-33 specializing in orthopedics and 116 in other fields-completed a questionnaire. A comparison was held between the two groups. RESULTS Orthopedic residents were more likely to have received clinical training in this field during their medical studies and were more likely to have expressed a desire to specialize in orthopedics before and at the completion of their studies. In addition, orthopedic residents ascribed greater importance to job security when choosing a field of specialty and, in contrast, ascribed no importance at all to lifestyle. No difference was found between the two groups in their level of dissatisfaction as a result of their residency. However, orthopedic residents were more inclined to perceive gender discrimination in the field of orthopedics but, despite this, had a greater intention to recommend a residency in orthopedics. A negative association was found between the level of dissatisfaction as a result of the residency and intention to recommend a residency in orthopedics. CONCLUSIONS Differences between the two groups point to potential factors that might have been related to women's choice of orthopedics as their field of specialty. The findings may help form strategies for attracting women to specialize in orthopedics.
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Affiliation(s)
- Yaniv Yonai
- The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
| | - Rawan Masarwa
- The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
| | - Yaniv Steinfeld
- The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
| | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel.
| | - Yaron Berkovich
- The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
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Berkovich Y, Wiestov E, Rothem Y, Ben Natan M, Rothem DE. Cross-sectional Analysis Study Between SIGMA Knee System and ATTUNE in a Cruciate-Retaining Fixed-Bearing Total Knee Replacement, with no Patellar Resurfacing. Indian J Orthop 2023; 57:429-435. [PMID: 36825267 PMCID: PMC9941388 DOI: 10.1007/s43465-022-00814-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 12/27/2022] [Indexed: 01/28/2023]
Abstract
Background The purpose of our study was to compare the knee implant SIGMA to the ATTUNE knee implant in a cruciate-retaining (CR) fixed-bearing (FB) total knee replacement (TKR) surgery, with no patellar resurfacing. Methods We examined 40 patients (19 SIGMA; 21 ATTUNE) who underwent a TKR FB CR surgery, without patellar resurfacing, due to osteoarthritis, between August 2013 and July 2017. All surgeries were performed by a single surgeon. We performed a cross-sectional analytical study based on preoperative patient data and data collected in follow-up sessions. All patients were asked to fill a quality-of-life (QOL) questionnaire, SF-36 translated to the Hebrew language. All patients were clinically evaluated using the Knee Society Score (KSS) and the Knee Function Score (KFS). Results Patients from the SIGMA cohort reported fewer postoperative physical function limitations in the SF-36 (p = 0.01) and the KFS (p = 0.04). Patients who underwent surgery using the SIGMA implant reported increased vitality when compared to the ATTUNE (p = 0.02). No significant differences were found between the groups in other measures of quality of life, ranges of motion, valgus, and postoperative knee stability. The average follow-up period was significantly longer for the SIGMA (p < 0.00001). Conclusion Significant differences were found in postoperative physical function and vitality scores between SIGMA and ATTUNE knee implants. SIGMA cohort presented superior results. Presumably, these findings are due to the differences in follow-up times.
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Affiliation(s)
- Yaron Berkovich
- Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel
| | - Eden Wiestov
- Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel
| | | | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, P.O.B. 169, 38100 Hadera, Israel
| | - David E. Rothem
- Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel
- Orthopedic Surgery Department, Ziv Medical Center, Safed, Israel
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Mostovoy D, Bunin A, Eyni Y, Ben Natan M. Pediatricians' knowledge, attitude and practice on treating children with red eye disease. BMC Ophthalmol 2023; 23:65. [PMID: 36782135 PMCID: PMC9923891 DOI: 10.1186/s12886-022-02755-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 12/21/2022] [Indexed: 02/15/2023] Open
Abstract
BACKGROUND Pediatricians play an important role in the early detection and prompt treatment of ocular disorders in children, including red eye disease. Our aim was to examine the knowledge level of pediatricians regarding treating children with red eye disease, as well as the factors that affect the knowledge level, and the potential implications of a low level of knowledge. METHODS In this correlational quantitative study, 152 expert pediatricians completed a questionnaire that included questions on knowledge, attitudes, and experience in treating red eye disease. RESULTS Respondents' mean level of knowledge was moderate. Most of the respondents (89.5%) knew that the most likely diagnosis for a child with red eyes and a discharge is viral conjunctivitis and that pain, blurred vision, and a clouded cornea, are symptoms indicative of a more complex systemic problem. In contrast, 78.3% of the pediatricians claimed that the treatment of choice for viral conjunctivitis is a conservative treatment that includes eye flushing and strict hygiene. However, 14.5% (n = 22) of the pediatricians were found to prescribe antibiotics. A negative association was found between the pediatrician's age and years of experience, and level of knowledge concerning treatment of children with red eye. A strong positive association was found between pediatricians' level of knowledge and their attitudes to performing eye tests. Moreover, a negative association was found between the level of knowledge and the number of cases in which pediatricians prescribed antibiotics for children with red eye. CONCLUSIONS The research findings indicate that lack of knowledge was more conspicuous among pediatricians with more experience. Knowledge appears to be critical both for readiness to treat red eye and for proper treatment. It is necessary to provide pediatricians with tools for treating eye disorders in children and to refresh their knowledge on red eye, particularly among pediatricians with more years of experience.
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Affiliation(s)
- Dina Mostovoy
- grid.414259.f0000 0004 0458 6520Department of Ophthalmology, Barzilai Medical Center, Ashkelon, Israel
| | - Anna Bunin
- grid.7489.20000 0004 1937 0511Ben Gurion University, Beer Sheva, Israel
| | - Yotam Eyni
- grid.7489.20000 0004 1937 0511Ben Gurion University, Beer Sheva, Israel
| | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, P.O.B. 169, 38100, Hadera, Israel.
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15
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Masarwa R, Yonai Y, Paz I, Steinfeld Y, Ben Natan M, Berkovich Y. Falls among older patients with total knee arthroplasty. International Journal of Surgery Open 2022. [DOI: 10.1016/j.ijso.2022.100510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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16
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Lustig L, Fishenson E, Natan MB. Characteristics of Women Presenting at the Emergency Department Who Choose Not to Disclose Being Subjected to Intimate Partner Violence. J Interpers Violence 2022; 37:NP12133-NP12145. [PMID: 33678031 DOI: 10.1177/0886260521997943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Literature suggests that some women refrain from disclosing being subjected to intimate partner violence (IPV) upon their contact with the health care system. Such disclosure becomes critical when the violence compels women to seek urgent medical care. The purpose of the present study was to compare characteristics of women who disclose and women who do not disclose being subjected to domestic violence, when presenting at the Emergency Department (ED). In this chart review study, characteristics of 56 randomly sampled women who disclosed and 50 who did not disclose being subjected to domestic violence, when presenting at the ED in a medical center located in central-northern Israel between 2015 and 2018, were compared. It was found that women who did not disclose were more likely to be pregnant, legally defined as helpless, and dependent on others to some extent. In addition, they were more likely to be hospitalized, which may indicate a more severe injury, and were more likely to have been subjected to psychological abuse or neglect alone. A trauma informed approach should guide specific interventions with a focus on women with these characteristics in the ED, in order to facilitate their disclosure of IPV.
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17
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Yonai Y, Lever L, Ben Natan M, Steinfeld Y, Seroguon Y, Berkovich Y. [REGENERATIVE MEDICINE IN ORTHOPEDICS - UPDATES AND COMMON USES]. Harefuah 2022; 161:443-447. [PMID: 35833431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Regenerative medicine is a medical field that aims to heal, rehabilitate, repair, and facilitate the regeneration of diseased and damaged cells, tissues and organs. Regenerative medicine is based on mobilizing the body's self-healing abilities. The use of regenerative medicine to treat various musculoskeletal conditions is an evolving field within orthopedics and sports medicine called 'ortho-biology' or 'ortho-regenerative medicine'. There are currently well-founded findings regarding the safety of ortho-biological treatments, their manner of action, effect, and potential effectiveness. However, there is need for more controlled studies with strong scientific proof in order to better understand the potential of these treatments and how to best use them.
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Affiliation(s)
- Yaniv Yonai
- Orthopedic Unit B, Hillel Yaffe Medical Center Hadera, Israel
| | - Lior Lever
- Orthopedic Unit B, Hillel Yaffe Medical Center Hadera, Israel
| | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Yaniv Steinfeld
- Orthopedic Unit B, Hillel Yaffe Medical Center Hadera, Israel
| | - Yossef Seroguon
- Orthopedic Unit B, Hillel Yaffe Medical Center Hadera, Israel
| | - Yaron Berkovich
- Orthopedic Unit B, Hillel Yaffe Medical Center Hadera, Israel
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18
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Yonai Y, Ben Natan M, Steinfeld Y, Berkovich Y. Combined Effect of Seasonality and Hyponatremia on the Occurrence of Hip Fractures Among Older Adults. Indian J Orthop 2022; 56:856-861. [PMID: 35547345 PMCID: PMC9043052 DOI: 10.1007/s43465-021-00557-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 10/24/2021] [Indexed: 02/06/2023]
Abstract
Background It is unclear whether climate may play a role in the association between hyponatremia on admission and increased mortality risk among hip fracture patients following a hip fracture repair surgery. We aimed (1) to explore if there is any combined effect of seasonality and hyponatremia on the occurrence of hip fractures among older adults and (2) to explore the effect of hyponatremia on admission on mortality rate at latest follow-up among hip fracture patients following a hip fracture repair surgery in the context of the subtropical climate of Israel. Methods We conducted a retrospective cohort study of older patients who underwent a surgery for hip fracture repair in a major 495-bed hospital located in northern-central Israel in 2017-2020. Patients were divided into two groups: hyponatremic (n = 107) and normonatremic (n = 757) patients. Characteristics of the two groups were compared, as well as their survival probability. Results Hyponatremic patients were most frequently hospitalized during winter season. Such seasonal variation was observed only among hyponatremic patients. Moreover, patients who were hospitalized during winter season were more likely to be hyponatremic on admission. Hyponatremia on admission was found as a significant independent predictor of mortality rate at latest follow-up (adjusted hazard ratio = 0.377 [0.26-0.52]), when compared to normonatremia. Conclusion There is a combined effect of seasonality and hyponatremia on the occurrence of hip fractures among older adults, with hyponatremic patients being at a higher risk of sustaining a hip fracture during winter season than during other seasons. In addition, the association between hyponatremia on admission and mortality rate at latest follow-up among hip fracture patients has been confirmed.
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Affiliation(s)
- Yaniv Yonai
- grid.414084.d0000 0004 0470 6828The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
| | - Merav Ben Natan
- grid.414084.d0000 0004 0470 6828Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, P.O.B. 169, 38100 Hadera, Israel
| | - Yaniv Steinfeld
- grid.414084.d0000 0004 0470 6828The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
| | - Yaron Berkovich
- grid.414084.d0000 0004 0470 6828The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel ,grid.6451.60000000121102151The Technion, Haifa, Israel
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19
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Ben Natan M, Ionov A, Baum M, Gotkin Y. Women's Intention to Consent to Universal Screening for Intimate Partner Violence (IPV) at Well Baby Clinics. J Interpers Violence 2021; 36:NP11464-NP11478. [PMID: 31762389 DOI: 10.1177/0886260519888202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The Israeli Ministry of Health requires medical and nursing staff in both hospitals and community settings, screen all women for Intimate Partner Violence (IPV). This study explored factors associated with the intention of Israeli women to consent to universal IPV screening during their visits to well baby clinics, using the Theory of Planned Behavior (TPB). Two hundred Jewish women of childbearing age completed a questionnaire based on the TPB. Only 52% of the women reported that they had undergone IPV screening conducted by nurses at well baby clinics in the last year. The TPB was found to predict 44% of the variance in women's intention to consent to universal IPV screening, whereas control beliefs, perceived behavioral control, and normative beliefs with regard to universal screening, were found to be the most significant predictors. These findings may help design interventions aimed at raising women's intentions to consent to universal IPV screening.
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Affiliation(s)
| | | | - Moshe Baum
- Hillel Yaffe Medical Center, Hadera, Israel
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20
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Masarwa R, Ben Natan M, Yonai Y, Steinfeld Y, Berkovich Y. Awareness, Knowledge, and Screening for Intimate Partner Violence Among Orthopedic Surgeons in Israel. Violence Against Women 2021; 28:2877-2888. [PMID: 34665082 DOI: 10.1177/10778012211035808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study examines factors associated with screening of female patients for intimate partner violence (IPV) by orthosurgeons in a sample of 100 Israeli orthosurgeons. Findings reveal positive attitudes toward screening female patients but a significant lack of knowledge. Arab orthosurgeons held slightly more negative attitudes toward screening for IPV and had a more prominent lack of knowledge regarding screening for IPV, compared to their Jewish counterparts. Nationality and feeling uncomfortable asking female patients about IPV predicted screening for IPV. The importance of training orthosurgeons on the assessment and treatment of IPV cannot be overemphasized, especially among Arab orthosurgeons.
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Affiliation(s)
- Rawan Masarwa
- The Orthopedics B Department, 26736Hillel Yaffe Medical Center, Hadera, Israel
| | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, 26736Hillel Yaffe Medical Center, Hadera, Israel
| | - Yaniv Yonai
- The Orthopedics B Department, 26736Hillel Yaffe Medical Center, Hadera, Israel
| | - Yaniv Steinfeld
- The Orthopedics B Department, 26736Hillel Yaffe Medical Center, Hadera, Israel
| | - Yaron Berkovich
- The Orthopedics B Department, 26736Hillel Yaffe Medical Center, Hadera, Israel
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21
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Ben Natan M, Yonai Y, Goldschmid N, Berkovich Y. Characteristics of those who fall during orthopedic hospitalization - A retrospective case-control study. Int J Orthop Trauma Nurs 2021; 43:100868. [PMID: 34438357 DOI: 10.1016/j.ijotn.2021.100868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 04/19/2021] [Accepted: 04/23/2021] [Indexed: 11/20/2022]
Abstract
BACKGROUND The causes of falls are heterogeneous and represent an interaction between patient and environmental factors. This study aimed to explore the characteristics of patients who fell in an in-patient orthopedic department and explore possible reasons for their falls. METHODS A retrospective case-control study of adults in an orthopedic in-patient setting at a major hospital, who sustained a fall. Sociodemographic and medical characteristics of randomly sampled patients who fell (cases, n = 128) and their controls (n = 128) were compared. RESULTS Fallers were younger, had less comorbidities, took less medications, and had a shorter length of stay than non-fallers. Moreover, fallers' reasons for hospitalization were not necessarily associated with limited mobility. Fall events occurred most frequently from the patient's bed, in the bathroom and during night shifts. CONCLUSIONS Our study portrays atypical fallers; that is, patients who had no obvious risk factors for falls and, thus, were not expected to fall. It appears that reduction in falls among high-risk patients may artificially create a population of atypical fallers. The patients may overestimate their abilities and avoid asking for assistance. Our findings suggest that emphasizing the importance of asking for assistance among both low-risk and high-risk patients as well as male and female patients should be an integral part of patient education in orthopedic departments.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel.
| | - Yaniv Yonai
- Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
| | | | - Yaron Berkovich
- Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel
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22
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Steinfeld Y, Ben Natan M, Yonai Y, Berkovich Y. Hip Fracture Following a Fall among Older Adults during the COVID-19 Pandemic. Isr Med Assoc J 2021; 23:479-483. [PMID: 34392621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
BACKGROUND Little is known regarding the impact of the coronavirus disease-2019 (COVID-19) pandemic on the incidence of hip fractures among older adults. OBJECTIVES To compare the characteristics of patients with a hip fracture following a fall during the COVID-19 pandemic year and during the preceding year. METHODS We conducted a retrospective cohort study of older patients who had undergone surgery for hip fracture repair in a major 495-bed hospital located in northern central Israel following a fall. Characteristics of patients who had been hospitalized in 2020 (pandemic year, n=136) and in 2019 (non-pandemic year, n=151) were compared. RESULTS During the pandemic year, patients were less likely to have fallen in a nursing facility, to have had muscle or balance problems, and to have had a history of falls and fractures following a fall. Moreover, the average length of stay (LOS) in the hospital was shorter; however, the average time from the injury to hospitalization was longer. Patients were less likely to have acquired a postoperative infection or to have died. During the pandemic year, postoperative infection was only associated with prolonged LOS. CONCLUSIONS The COVID-19 pandemic may have had a positive impact on the behavior of older adults as well as on the management of hip fracture patients. However, healthcare providers should be aware of the possible reluctance to seek care during a pandemic. Moreover, further research on the impact of the change in management during COVID-19 on hip fracture survival is warranted.
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Affiliation(s)
- Yaniv Steinfeld
- Department of Orthopedics B, Hillel Yaffe Medical Center, Hadera, Israel
- Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
| | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Yaniv Yonai
- Department of Orthopedics B, Hillel Yaffe Medical Center, Hadera, Israel
- Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
| | - Yaron Berkovich
- Department of Orthopedics B, Hillel Yaffe Medical Center, Hadera, Israel
- Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
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23
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Ben Natan M, Steinfeld Y, Yonai Y, Berkovich Y. Retrospective study of older patient characteristics that increase the likelihood that a fracture was associated with abuse. J Elder Abuse Negl 2021; 33:221-229. [PMID: 34096472 DOI: 10.1080/08946566.2021.1934769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Searching for clinical manifestations of elder abuse may help healthcare professionals identify cases of elder abuse. The aim of the present study was to explore characteristics of older patients with fractures that increase the likelihood that the fracture was associated with abuse. This is a retrospective chart review study of 1,000 patients aged 65 and older who presented to an emergency department in northern-central Israel with a fracture during 2019. The chart review included participant characteristics - sociodemographic data, medical data, data regarding the fracture, and data on the presence of forensic markers of elder abuse in individual patients. Descriptive statistics and regression models were used for the analyses. Older age, presence of dementia, and hand and facial fractures were associated with the presence of forensic markers, and were also found to predict having at least one forensic factor. This study provides further support for the creation of clinical guidelines for identification of elder abuse.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Yaniv Steinfeld
- The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel Hillel Yaffe Medical Center, Hadera, Israel
| | - Yaniv Yonai
- The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel Hillel Yaffe Medical Center, Hadera, Israel
| | - Yaron Berkovich
- The Orthopedics B Department, Hillel Yaffe Medical Center, Hadera, Israel Hillel Yaffe Medical Center, Hadera, Israel
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24
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Ben Natan M, Zeevi S, Goldschmid N. Patients Who Leave the Emergency Department Before Treatment Completion: A Retrospective Cohort Study. J Emerg Med 2021; 61:82-88. [PMID: 33648784 DOI: 10.1016/j.jemermed.2021.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 01/05/2021] [Accepted: 01/11/2021] [Indexed: 10/22/2022]
Abstract
BACKGROUND Patients leaving the emergency department (ED) before treatment completion (LBTC) is a common universal occurrence. We hypothesized that the characteristics of the Israeli health care system, as well as its policy, intended to reduce the burden of nonurgent ED visits, may have an impact on factors associated with LBTC. OBJECTIVES The purpose of this study was to explore factors associated with LBTC in the Israeli context. METHODS This was a retrospective cohort study of patients who visited the ED in a major hospital located in northern-central Israel during 2016-2019. Characteristics of 130 randomly sampled LBTC patients and of 130 non-LBTC patients that constituted the control group, were compared. Odds ratios (OR) are presented. RESULTS A low-acuity triage score (OR 8.18, p < 0.01) and a longer length of stay (OR 1.15, p < 0.01) were found to be risk factors for LBTC, and female gender (OR 0.40, p < 0.01) was found to be a protective factor. In contrast, age and nationality were not found as risk factors. Significant differences were found between the two groups with regard to the main presenting complaint. However, both groups had similar rates of presentations with a psychiatric condition. Approximately half of the LBTC patients presented at times when primary clinics were active. CONCLUSIONS These findings reflect the strengths of the Israeli health care system. Despite the policy intended to reduce the burden of nonurgent ED visits, there are possible shortcomings in the system that should be addressed.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Suzy Zeevi
- The Risk Management Unit, Hillel Yaffe Medical Center, Hadera, Israel
| | - Nimrod Goldschmid
- The Risk Management Unit, Hillel Yaffe Medical Center, Hadera, Israel
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25
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Abstract
PURPOSE The purpose of this paper is to compare the ability of the Morse Fall Scale (MFS) and Farmer's fall-risk assessment tool (FFAT) to identify correlations between risk factors and falls among older adult long-term care (LTC) facility residents. DESIGN/METHODOLOGY/APPROACH This was a correlational retrospective study. 200 medical records of older adults hospitalized in a LTC facility in central Israel, from January 2017 to January 2018, were examined. FINDINGS Of all the residents, 75% and 99.5% of the residents were identified as having a high fall risk according to the MFS and FFAT, respectively. Only 12.5% of residents actually fell. MFS score was weakly correlated with actual falls (odds ratio = 1.035). It was also found that all fallers fell during their first week at the facility. RESEARCH LIMITATIONS/IMPLICATIONS Future research should explore the ability of the tools to capture changes in the fall risk by repeat assessments, as this has not been examined in the present study. PRACTICAL IMPLICATIONS The MFS and FFAT tool may have little value in assessing fall risk in older adult LTC facility residents. Therefore, nurses should perform a clinical evaluation of each individual patient. In addition, nurses should place a particular emphasis on fall risk and prevention during the first week following admission. ORIGINALITY/VALUE The findings of the present study raise doubts regarding the utility of the common practice of assessing fall risk in older adult LTC facility residents using the tools MFS and the FFAT, thus emphasizing the need to adopt a different approach.
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Affiliation(s)
| | | | - Merav Ben Natan
- Department of Nursing, Pat Matthews Academic School of Nursing, Hadera, Israel
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26
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Heyman N, Osman I, Ben Natan M. Ageist attitudes among healthcare professionals and older patients in a geriatric rehabilitation facility and their association with patients' satisfaction with care. Int J Older People Nurs 2020; 15:e12307. [DOI: 10.1111/opn.12307] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Revised: 12/11/2019] [Accepted: 01/03/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Noemi Heyman
- Department of Geriatrics Shoham Medical Center Pardes Hanna Israel
- Affiliated with the Rappaport Faculty of Medicine Technion – Israel Institute of Technology Haifa Israel
| | - Iyad Osman
- Department of Geriatrics Shoham Medical Center Pardes Hanna Israel
- Affiliated with the Rappaport Faculty of Medicine Technion – Israel Institute of Technology Haifa Israel
| | - Merav Ben Natan
- Pat Matthews Academic School of Nursing Hillel Yaffe Medical Center Hadera Israel
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Shahar I, Asher I, Ben Natan M. Compassion fatigue among nurses working in a long-term care facility: The Israeli experience. Nurs Health Sci 2019; 21:291-296. [PMID: 30663220 DOI: 10.1111/nhs.12594] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2018] [Revised: 11/25/2018] [Accepted: 11/26/2018] [Indexed: 11/26/2022]
Abstract
Nurses working in a long-term care facility could be at risk of developing compassion fatigue due to the nature of their work. In this descriptive, cross-sectional survey, we explored the level of compassion fatigue among nurses working in a long-term care facility, as well as the associated sociodemographic and occupational factors. In total, 103 nurses employed in various departments of a long-term care facility in central Israel completed the Hebrew version of the Professional Quality of Life Scale R-IV. Nurses scored moderate-high on the compassion fatigue (mean = 3.6, standard deviation = .5), burnout (mean = 3.5, standard deviation = .5), and compassion satisfaction (mean = 3.8, standard deviation = .5) scales. Older nurses scored lower on compassion fatigue, while nurses with higher qualifications scored higher on compassion satisfaction. In this study, we implicate that it is necessary to raise awareness about compassion fatigue, both in nursing education and training and in long-term care organizations. It is necessary to improve understanding of this phenomenon in order to help nurses acquire appropriate coping skills to address this critical issue.
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Affiliation(s)
- Irit Shahar
- Dorot Geriatric Medical Center, Netanya, Israel
| | - Irit Asher
- Dorot Geriatric Medical Center, Netanya, Israel
| | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
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Ben Natan M, Abu Husayn A, Haj Muhamad R. Intention to undergo faecal occult blood testing in an ethnic minority. Int J Nurs Pract 2019; 25:e12721. [PMID: 30644142 DOI: 10.1111/ijn.12721] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2018] [Revised: 11/26/2018] [Accepted: 12/15/2018] [Indexed: 12/11/2022]
Abstract
AIM To explore factors associated with the intention of an ethnic minority of Israeli Arabs to undergo faecal occult blood testing using the Health Belief Model. METHODS This was a quantitative correlational study that utilized a questionnaire constructed based on the Health Belief Model. The questionnaire was administered to a convenience sample of 200 Israeli Arabs aged 50 and over. Data were collected during January to March 2018. FINDINGS The research findings show that respondents had a high intention to undergo faecal occult blood testing in the future, although only 66.5% of the respondents had ever undergone it in the past. Physicians and nurses were the most significant sources of information regarding the faecal occult blood testing. The Health Belief Model explained 46% of variance in the intention to undergo the faecal occult blood testing among Israeli Arabs, with perceived benefits of testing being the most significant predictor of this intention. CONCLUSION The Health Belief Model can serve as a basis for planning intervention programmes to be implemented by health care professionals to raise the intention of ethnic minorities to undergo faecal occult blood testing.
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Affiliation(s)
- Merav Ben Natan
- Nursing, Pat Mathews Academic School of Nursing, Hadera, Israel
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Heyman N, Etzion I, Ben Natan M. A coordination project for improvement of osteoporosis medication use among patients who sustained an osteoporotic fracture: The Israeli experience. Osteoporos Sarcopenia 2018; 4:134-139. [PMID: 30775556 PMCID: PMC6372825 DOI: 10.1016/j.afos.2018.11.084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Revised: 11/11/2018] [Accepted: 11/21/2018] [Indexed: 11/25/2022] Open
Abstract
Objectives The aim of this study was to examine whether coordination between healthcare providers at an inpatient rehabilitation facility and healthcare providers in a community setting improves osteoporosis medication use in the community. Methods In 2012, a coordination project between an inpatient geriatric rehabilitation facility located in north-central Israel and general practitioners in the community setting was initiated. In this retrospective pseudo-experimental study, we compared osteoporosis medication use among patients who were hospitalized at the facility following an osteoporotic fracture during 2011–2012, and who constituted the control group (n=120), and patients who were hospitalized at the facility during 2013–2015, and who constituted the trial group (n=129). Data were collected from the patients' records and from records of the health maintenance organization concerning medications issued to the patients by pharmacies. Results Differences were observed between the trial and the control group in osteoporosis medication management by healthcare providers, both at the inpatient rehabilitation facility and in the community, suggesting favorable trends. However, osteoporosis medication use in the community was slightly lower in the trial group, then in the control group (32.8% vs. 34.2%, respectively). A regression analysis indicated that the only variable predicting use of osteoporosis medications in the community was a previous diagnosis of osteoporosis in the community. Conclusions The study results indicate that mere coordination between the healthcare settings is insufficient in order to ensure continued care in the community, emphasizing the need for an osteoporosis coordinator.
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Shahar I, Mendelson G, Gerbi S, Ben Natan M. Pain Assessment and Management by Nurses in a Geriatric Setting: Discrepancies between Guidelines and Documented Practice. Pain Manag Nurs 2018; 19:456-463. [DOI: 10.1016/j.pmn.2018.04.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Revised: 02/26/2018] [Accepted: 04/02/2018] [Indexed: 11/25/2022]
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Ben Natan M, Haikin T, Wiesel R. Breastfeeding knowledge, attitudes, intentions, and perception of support from educational institutions among nursing students and students from other faculties: A descriptive cross-sectional study. Nurse Educ Today 2018; 68:66-70. [PMID: 29886287 DOI: 10.1016/j.nedt.2018.05.026] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Accepted: 05/27/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND Nursing education aims to promote positive health practices among the general population as well as among nurses themselves. Breastfeeding is one of these important health practices. However, to date there is little evidence regarding the extent to which nursing education affects nursing students' attitudes, knowledge, intentions, and their perception of institutional support regarding breastfeeding. OBJECTIVES To compare breastfeeding attitudes and knowledge among nursing students and students from other faculties, as well as their perception of their academic institution's support for breastfeeding, and to explore the association between these factors and students' intention to breastfeed during the course of their studies. DESIGN This study was a descriptive cross-sectional study. SETTINGS The study was conducted at a large university in central Israel. PARTICIPANTS One hundred female students from the faculty of nursing and 100 female students from other faculties, of childbearing age, who were either pregnant or mothers. METHODS The students completed a questionnaire regarding their breastfeeding knowledge, intentions, attitudes, and their perception of their academic institution's support for breastfeeding. RESULTS Nursing students' level of breastfeeding knowledge was very high, and higher than that among students from other faculties. However, both groups had similar moderately positive overall scores for attitudes towards breastfeeding. In addition, both groups expressed similar moderate intentions to breastfeed during the course of their studies. Students' perception of their academic faculty as supportive of breastfeeding, their breastfeeding attitudes, and breastfeeding knowledge, were found to predict their intention to breastfeed during the course of their studies. CONCLUSIONS Nursing programs should place more emphasis on improving nursing students' attitudes towards breastfeeding. In order to promote breastfeeding among students during their studies, it is important to ensure a pro-breastfeeding environment on campus.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel; Department of Nursing, School of Health Professions, Tel Aviv University, Israel.
| | - Tali Haikin
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Rosa Wiesel
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
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Merims D, Ben Natan M, Milawi D, Boguslavsky T. The clock-drawing test: normative data in adult and elderly Israeli Arabs. Psychogeriatrics 2018; 18:175-181. [PMID: 29415342 DOI: 10.1111/psyg.12305] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2017] [Revised: 07/20/2017] [Accepted: 10/22/2017] [Indexed: 11/30/2022]
Abstract
AIM Despite the widespread use of the clock-drawing test (CDT), normative data and information regarding the influence of sociodemographic factors on test performance by adult and elderly Israeli Arabs are lacking. The current study aimed to establish normative data for this population group by exploring the impact of sociodemographic factors such as age, education, and gender on CDT performance. In addition, this study examined the association between CDT performance and Mini-Mental State Examination (MMSE) scores. METHODS The sample consisted of 295 community-dwelling healthy adult and elderly Israeli Arabs, aged 20-86 years, with a MMSE score ≥24. The MMSE and the CDT were administered to participants. RESULTS Statistical analyses revealed that age had a negative effect on CDT performance, which was most pronounced in the 60-86 age group, but education and occupation (academic vs non-academic) had a positive effect. Gender and place of residence (urban vs rural) had no effect. CDT performance predicted the MMSE score. CONCLUSIONS The present study provides preliminary normative data on adult and elderly Israeli Arabs. The CDT appears to be applicable to Israeli Arabs, while the normative data might help interpret cognitive function results in this population.
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Affiliation(s)
- Doron Merims
- Department of Geriatrics, Shoham Geriatric Center, Affiliated with the Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Pardes Hana, Israel
| | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Deep Milawi
- Department of Geriatrics, Shoham Geriatric Center, Affiliated with the Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Pardes Hana, Israel
| | - Tania Boguslavsky
- Director, Shoham Geriatric Center, Affiliated with the Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Pardes Hanna, Israel
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Ben Natan M, Brandin Rimkus A, Tseytlin Eryomine A. Factors associated with intention of Israeli-born women and immigrant women from the Former Soviet Union to take folic acid before and during pregnancy. Int J Nurs Pract 2018; 24:e12622. [PMID: 29417703 DOI: 10.1111/ijn.12622] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2017] [Revised: 10/24/2017] [Accepted: 12/27/2017] [Indexed: 11/27/2022]
Abstract
AIM Folic acid supplementation before and during pregnancy decreases rates of neural tube defects. However, many women fail to adhere to folic acid supplementation recommendations. This study explored factors associated with women's intention to take folic acid before and during pregnancy, using the Theory of Planned Behaviour, with an emphasis on differences between Israeli-born women and immigrant women from the Former Soviet Union. METHODS In this cross-sectional study, 100 Israeli born-women and 100 women from the Former Soviet Union of childbearing age completed a questionnaire, based on the Theory of Planned Behaviour. RESULTS The findings indicated a significant difference in the rates at which Israeli-born and FSU-born women took folic acid before and during pregnancy, as well as a significant difference in their intention to take folic acid supplementation in future pregnancies. The theoretical model explained 88.7% of variance in women's intention to take folic acid, with the most influential variable being behavioural attitudes towards taking folic acid. CONCLUSION The study emphasizes the need to increase knowledge and change attitudes and beliefs about folic acid supplementation among women and their significant others, as well as the importance of cultural, language, and economic barriers when treating Former Soviet Union immigrant populations.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Alina Brandin Rimkus
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
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Ben Natan M, Drori T, Hochman O. The Impact of Mental Health Reform on Mental Illness Stigmas in Israel. Arch Psychiatr Nurs 2017; 31:610-613. [PMID: 29179829 DOI: 10.1016/j.apnu.2017.09.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2017] [Revised: 08/29/2017] [Accepted: 09/03/2017] [Indexed: 11/16/2022]
Abstract
This study examined public perception of stigmas relating to mental illness six months after a reform, which integrated mental health care into primary care in Israel. The results reveal that the public feels uncomfortable seeking referral to mental health services through the public health system, with Arab Israelis and men expressing lower levels of comfort than did Jewish Israelis. The current reform has not solved the issue of public stigma regarding mental health care. The study suggests that the current reforms must be accompanied over time with appropriate public education regarding mental illness.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Centre, 38100, P.O.B. 169, Hadera, Israel.
| | - Tal Drori
- Tirat Carmel Mental Health Center, 17, ela st., Tirat Carmel 30200, P.O.B. 9, Israel.
| | - Ohad Hochman
- Hillel Yaffe Medical Center, Hadera 38100, P.O.B. 169, Israel.
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Ben Natan M, Sharon I, Mahajna M, Mahajna S. Factors affecting nursing students' intention to report medication errors: An application of the theory of planned behavior. Nurse Educ Today 2017; 58:38-42. [PMID: 28829995 DOI: 10.1016/j.nedt.2017.07.017] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2016] [Revised: 07/13/2017] [Accepted: 07/30/2017] [Indexed: 06/07/2023]
Abstract
BACKGROUND Medication errors are common among nursing students. Nonetheless, these errors are often underreported. OBJECTIVES To examine factors related to nursing students' intention to report medication errors, using the Theory of Planned Behavior, and to examine whether the theory is useful in predicting students' intention to report errors. DESIGN This study has a descriptive cross-sectional design. SETTINGS Study population was recruited in a university and a large nursing school in central and northern Israel. PARTICIPANTS A convenience sample of 250 nursing students took part in the study. METHODS The students completed a self-report questionnaire, based on the Theory of Planned Behavior. RESULTS The findings indicate that students' intention to report medication errors was high. The Theory of Planned Behavior constructs explained 38% of variance in students' intention to report medication errors. The constructs of behavioral beliefs, subjective norms, and perceived behavioral control were found as affecting this intention, while the most significant factor was behavioral beliefs. The findings also reveal that students' fear of the reaction to disclosure of the error from superiors and colleagues may impede them from reporting the error. CONCLUSIONS Understanding factors related to reporting medication errors is crucial to designing interventions that foster error reporting.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel.
| | - Ira Sharon
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Marlen Mahajna
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Sara Mahajna
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
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Ben Natan M, El Kravchenko B, Sakashidlo K, Mor S. What drives pregnant women's decisions to accept the pertussis vaccine? Appl Nurs Res 2017; 38:60-63. [PMID: 29241521 DOI: 10.1016/j.apnr.2017.09.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Accepted: 09/23/2017] [Indexed: 10/18/2022]
Abstract
The aims of this study were to identify factors associated with pregnant women's intention to receive the pertussis vaccine during pregnancy, using the Health Belief Model; while comparing between pregnant native-born Israeli women and Israeli women born in the former Soviet Union. Convenience and snowball sampling methods were used to recruit 200 pregnant Israeli native-born women and women born in the former Soviet Union. Data were collected using a cross-sectional questionnaire survey. Regression results revealed that susceptibility to pertussis, seriousness of pertussis, perceived benefits of the vaccine, knowledge of risk factors of pertussis, and general health motivation together explained 76% of the variance of women's intention to receive the pertussis vaccine. Perceived benefits of the vaccine was the most significant factor affecting pregnant women's intention to receive the pertussis vaccine during pregnancy (p<0.05). Native-born women had higher intention to be vaccinated and more positive health beliefs (p<0.05).
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel.
| | - Bat El Kravchenko
- Pat Matthews School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Ksenya Sakashidlo
- Pat Matthews School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Shelly Mor
- Pat Matthews School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
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Heyman N, Tsirulnicov T, Ben Natan M. Prediction of geriatric rehabilitation outcomes: Comparison between three cognitive screening tools. Geriatr Gerontol Int 2017; 17:2507-2513. [PMID: 28707303 DOI: 10.1111/ggi.13117] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Revised: 04/26/2017] [Accepted: 05/09/2017] [Indexed: 02/06/2023]
Abstract
AIM Comparison between the predictions of functional rehabilitation outcomes at a department of geriatric rehabilitation using three cognitive screening tools - Mini Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE). METHODS This study is a prospective study. The study participants were 212 patients aged 65 and older admitted to rehabilitation departments at a geriatric facility in central Israel, from April 2016 to October 2016. The cognitive functioning of each patient was assessed using the MMSE, MoCA, and IQCODE. Upon discharge, rehabilitation outcomes were examined using the Functional Independence Measure (FIM), cognitive FIM, delta FIM (Δ FIM), and ADL. RESULTS Cognitive impairment was found to interfere with the rehabilitation process. The MMSE was the best predictor of functional rehabilitation outcomes at discharge, compared to the IQCODE, while the MoCA did not predict these measures. In addition, when distinguishing between patients by ethnicity (Jewish versus Arab), the MMSE and the IQCODE predicted FIM upon discharge among Jewish patients, while only the IQCODE predicted FIM upon discharge among Arab patients. CONCLUSIONS The research findings show that cognitive assessment upon admission for rehabilitation - MMSE among Jewish patients and IQCODE among Arab patients - can help predict functional rehabilitation outcomes and make the appropriate adaptations in the rehabilitation program. Geriatr Gerontol Int 2017; 17: 2507-2513.
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Affiliation(s)
- Noemi Heyman
- Department of Geriatrics, Shoham Medical Center, Pardes Hana, Israel.,Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Pardes Hana, Israel
| | - Tatyana Tsirulnicov
- Department of Geriatrics, Shoham Medical Center, Pardes Hana, Israel.,Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Pardes Hana, Israel
| | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Israel
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Ben Natan M, Midlej K, Mitelman O, Vafiliev K. Intention of Mothers in Israel to Vaccinate their Sons against the Human Papilloma Virus. J Pediatr Nurs 2017; 33:41-45. [PMID: 28081933 DOI: 10.1016/j.pedn.2017.01.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Revised: 01/03/2017] [Accepted: 01/05/2017] [Indexed: 10/20/2022]
Abstract
PURPOSE This study investigated the intention of mothers in Israel to vaccinate their sons against HPV, using the Health Belief Model (HBM) as a framework, while comparing between Arab and Jewish mothers. DESIGN AND METHODS The study has a quantitative cross-sectional design. A convenience sample of 200 Jewish and Arab mothers of boys aged 5-18 completed a questionnaire based on the HBM. RESULTS The research findings indicate that only 14% of the mothers, constituting mostly Arab mothers, vaccinated their sons against HPV. Moreover, mothers showed a moderate level of intention to vaccinate their sons. This level was similar among Arab and Jewish mothers. However, the health beliefs of Jewish and Arab mothers differed. The HBM was found to explain 68% of mothers' intention to vaccinate their sons against HPV, and the perceived benefits of the vaccine were the factor most affecting this intention. CONCLUSIONS Although mothers' health beliefs concerning vaccinating their sons against HPV may vary between sectors, the HBM can be used to explain what motivates mothers to vaccinate their sons. PRACTICE IMPLICATIONS The research findings can assist in designing a national project among mothers of boys aimed at raising HPV vaccination rates, in both the Jewish and the Arab sector.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel.
| | - Kareem Midlej
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Olga Mitelman
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Katya Vafiliev
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
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Shahar I, Mendelson G, Ben Natan M. Intention to receive the seasonal influenza vaccine among nurses working in a long-term care facility. Int J Nurs Pract 2017; 23. [PMID: 28112461 DOI: 10.1111/ijn.12512] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Revised: 10/24/2016] [Accepted: 11/18/2016] [Indexed: 11/30/2022]
Abstract
The factors affecting influenza vaccine uptake among nurses might vary between different medical facilities. The purpose of the present study was to explore factors that affect the intention of nurses at a long-term care facility to receive the influenza vaccine and whether the health belief model predicts this intention. In this cross-sectional quantitative correlational study, a convenience sample of 150 nurses employed at a large long-term care facility in central Israel completed a questionnaire based on the health belief model. Data collection took place between January and February of 2016. Forty-two percent of the respondents reported having been vaccinated against influenza in the current year. The health belief model explained 53% of the variance (p < .01), with perceived (personal) benefits of the vaccine being the most significant factor. The number of times of receiving the influenza vaccine in the past was strongly correlated with the intention to receive the vaccine (p < .01). To improve nurses' compliance with influenza vaccination at long-term care facilities, we find that it is necessary to emphasize the benefits of vaccination and, particularly, the personal benefits. Annual vaccination behavior should be promoted to make it become a routine.
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Affiliation(s)
| | | | - Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
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Drori T, Guetta H, Ben Natan M, Polakevich Y. Patient Violence Toward Psychiatric Health Care Workers in Israel as Viewed Through Incident Reports. J Am Psychiatr Nurses Assoc 2017; 23:143-148. [PMID: 28060602 DOI: 10.1177/1078390316687372] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Rates of violence perpetrated by patients toward health care workers are known to be higher in psychiatry than in other fields. Objective standardized reports of violent incidents may clarify this phenomenon. OBJECTIVE The purpose of this study was to assess the characteristics of patient violence, as evident from objective reports. STUDY DESIGN In this retrospective chart review study, conducted at a large mental health hospital in Israel between 2013 and 2015, reports of violent incidents perpetrated by people diagnosed with mental health problems against health care workers of the hospital were reviewed. RESULTS A total of 80 violent incidents were recorded. The findings outline the characteristics of a typical assailant, a typical victim, and a typical incident, and demonstrate associations between some of these characteristics. CONCLUSIONS This information may be beneficial for planning interventions for efficient coping with and prevention of violence at psychiatric inpatient facilities.
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Affiliation(s)
- Tal Drori
- 1 Tal Drori, MD, Tirat Carmel Mental Health Center, Tirat Carmel, Israel
| | - Hava Guetta
- 2 Hava Guetta, MA, RN, Tirat Carmel Mental Health Center, Tirat Carmel, Israel
| | - Merav Ben Natan
- 3 Merav Ben Natan, PhD, RN, Hillel Yaffe Medical Center, Hadera, Israel
| | - Yaakov Polakevich
- 4 Yaakov Polakevich, MD, Tirat Carmel Mental Health Center, Tirat Carmel, Israel
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Ben Natan M, Khater M, Ighbariyea R, Herbet H. Readiness of nursing students to screen women for domestic violence. Nurse Educ Today 2016; 44:98-102. [PMID: 27429336 DOI: 10.1016/j.nedt.2016.05.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Revised: 04/19/2016] [Accepted: 05/12/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND Although domestic violence against women is common in Israel and elsewhere, and though medical staff in Israel have a universal obligation to screen women for domestic violence, actual screening rates remain low. OBJECTIVES To examine which variables affect nursing students' intention to screen women for domestic violence when providing treatment, and whether the Theory of Planned Behavior (TPB) developed by Ajzen (1991) predicts this intention. DESIGN This study is a quantitative cross sectional study. SETTINGS A large academic nursing school in central Israel. PARTICIPANTS A convenience sample of 200 nursing students who had completed at least one year of studies took part in the study. METHODS Students completed a questionnaire based on the TPB. RESULTS Nursing students showed high intention to screen women for domestic violence when providing treatment. Normative beliefs, subjective norms, behavioral beliefs, perceived control, and knowledge were found to affect students' intention to screen women for domestic violence. The opinion of the clinical instructor was most significant for students. CONCLUSIONS The theoretical model predicted 32% of students' intention to screen women for domestic violence, with normative beliefs being the most significant variable.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews School of Nursing, Hillel Yaffe Medical Center, Hadera, Department of Nursing, School of Health Professions, Tel Aviv University, Israel.
| | - Marva Khater
- Pat Matthews School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Raeqa Ighbariyea
- Pat Matthews School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Hanin Herbet
- Pat Matthews School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
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Ben Natan M, Kabha S, Yehia M, Hamza O. Factors That Influence Israeli Muslim Arab Parents' Intention to Vaccinate Their Children Against Influenza. J Pediatr Nurs 2016; 31:293-8. [PMID: 26850937 DOI: 10.1016/j.pedn.2015.12.014] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2015] [Revised: 11/25/2015] [Accepted: 12/02/2015] [Indexed: 11/19/2022]
Abstract
UNLABELLED The purpose of the current study was to explore factors related to the intention of parents from the Muslim Arab ethnic minority in Israel to vaccinate their children against influenza, using the Health Belief Model (HBM). DESIGN AND METHODS This study is a cross sectional quantitative study. A convenience sample of 200 parents of children aged 12 and younger completed a questionnaire based on the HBM. RESULTS Perceived susceptibility, severity, benefits, and barriers predicted 88% of parents' intention to vaccinate their children. Parents who vaccinated their children in the past year were younger and had fewer children. Community nurses and physicians were identified as important cues to action. CONCLUSIONS The HBM components predicted a high percentage of parents' intention to vaccinate their children PRACTICE IMPLICATIONS Interventions to raise vaccination coverage rates among children belonging to an ethnic minority of Israeli Muslim Arabs should begin on the micro level of the parent-health care professional encounter.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel; Department of Nursing, School of Health Professions, Tel Aviv University, Israel.
| | - Samih Kabha
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Mamon Yehia
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Omar Hamza
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
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Ben Natan M, Wiener A, Ben Haim Y. Women׳s intention to exclusively breast feed: The Israeli perspective. Midwifery 2016; 34:173-177. [DOI: 10.1016/j.midw.2015.11.013] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2015] [Revised: 10/31/2015] [Accepted: 11/12/2015] [Indexed: 10/22/2022]
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Ben Natan M. Interest in nursing among academic degree holders in Israel: A cross-sectional quantitative study. Nurse Educ Today 2016; 38:150-153. [PMID: 26684895 DOI: 10.1016/j.nedt.2015.11.025] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Revised: 11/22/2015] [Accepted: 11/26/2015] [Indexed: 06/05/2023]
Abstract
BACKGROUND The shortage of nurses is a global problem. One strategy for producing more registered nurses worldwide and in Israel in particular is to offer graduate entry nursing programs for individuals with non-nursing academic degrees. In order to recruit academic degree holders into the nursing profession, it is important to identify factors that might attract them. OBJECTIVES The purpose of this study was to explore whether the perception of nurse characteristics by academic degree holders is associated with their interest in enrolling in a graduate entry nursing program or in recommending this program to a family member, and whether ethnic background, gender and interaction with a nurse have an effect on this interest. DESIGN A cross-sectional quantitative study. SETTINGS The setting of the study was on the campus of Tel Aviv University. PARTICIPANTS A convenience sample of 522 individuals with an academic education, men and women, aged 18-60 and equally distributed between Jewish and Arab Israelis, took part in the study. METHODS Participants completed a questionnaire based on the Porter Nursing Image Scale. RESULTS A moderate positive correlation was found between perception of nurses and interest in nursing (r=0.32, p<0.01). Arab Israelis, women, and individuals who have or have had interactions with nurses, viewed nurses in a more positive light and had a higher interest in nursing than their counterparts. CONCLUSIONS Efforts should be made to foster a positive public image of nursing among the population of people with an academic education. Recruitment strategies should be tailored to each of this population's subgroups.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews School of Nursing, Hillel Yaffe Medical Center, Hadera; Department of Nursing, School of Health Professions, Tel Aviv University, Tel Aviv, Israel.
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Ben Natan M, Zilberstein S, Alaev D. Willingness of Future Nursing Workforce to Report for Duty During an Avian Influenza Pandemic. Res Theory Nurs Pract 2016; 29:266-75. [PMID: 26714354 DOI: 10.1891/1541-6577.29.4.266] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
UNLABELLED Nursing students are the future nursing workforce. Exploring factors associated with nursing students' willingness to report for duty during an avian influenza (flu) pandemic, might help nurse managers develop strategies in advance for efficient management of personnel during a pandemic of avian flu. AIM To examine the factors associated with the willingness of future nursing workforce to report for duty during an avian flu pandemic, using the theory of self-efficacy. METHODS The study employed a cross-sectional quantitative correlational design. A convenience sample of 200 Israeli nursing students completed a questionnaire based on the theory and the literature review. RESULTS Approximately one-half (49%) of the students intended to report for duty during an avian flu pandemic in the future. Perceived self-efficacy and working conditions were found associated with this willingness. Male students and students from the Arab Muslim sector were more willing to report for duty during a pandemic than female students or students from the Jewish sector. DISCUSSION These finding may have implications for disaster planning and staffing management in health care settings during an avian flu pandemic, with the aim to ensure optimal nursing care and an efficient functioning of the entire health care system.
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Natan MB, Heyman N, Israel JB. Identifying Risk Factors for Elder Falls in Geriatric Rehabilitation in Israel. Rehabil Nurs 2016; 41:54-9. [DOI: 10.1002/rnj.170] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/13/2014] [Indexed: 11/10/2022]
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Abstract
PURPOSE Despite the significant rise in the use of complementary and alternative medicine (CAM) in Israel, the factors affecting the decision to do so remain unclear. Thus, the purpose of the study was to explore factors that affect Israelis' intention to use CAM, using the theory of planned behavior (TPB). DESIGN A quantitative correlational study. METHOD A convenience sample of 200 Hebrew-speaking Israelis aged 21+ completed a questionnaire based on the TPB. FINDINGS Respondents expressed moderate intention to use CAM. The TPB predictability of this intention was 57% (R2 = .57), with behavioral beliefs being the most influential factor. The family was identified as another significant factor. Previous experience with CAM was also found to raise the intention to use it in the future. CONCLUSIONS When referring a patient for services of CAM, it is important to provide in-depth explanations emphasizing positive anticipated outcomes of these services in order to effect a change in the patient's behavioral beliefs. Patient's family should be considered as a possible resource to promote usage of CAM.
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Affiliation(s)
- Merav Ben Natan
- Hillel Yaffe Medical Center, Hadera, Israel .,Tel Aviv University, Tel Aviv, Israel
| | - Maayan Perelman
- Hillel Yaffe Medical Center, Hadera, Israel.,Tel Aviv University, Tel Aviv, Israel.,Hillel Yaffe Medical Center, Hadera, Israel
| | - Gal Ben-Naftali
- Hillel Yaffe Medical Center, Hadera, Israel.,Tel Aviv University, Tel Aviv, Israel.,Hillel Yaffe Medical Center, Hadera, Israel
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Ben Natan M, Drori T, Hochman O. Associative stigma related to psychiatric nursing within the nursing profession. Arch Psychiatr Nurs 2015; 29:388-92. [PMID: 26577552 DOI: 10.1016/j.apnu.2015.06.010] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2015] [Accepted: 06/26/2015] [Indexed: 10/23/2022]
Abstract
This study deals with stigmas towards mental illness, individuals with mental illness, psychiatric nurses, and the role of psychiatric nursing within the nursing profession. Responses from 108 psychiatric nurses and 108 non-psychiatric nurses indicated that stigmas towards mental illness, individuals with mental illness, and the role of psychiatric nursing, are more prevalent among non-psychiatric nurses; associations between these stigmas were found among both psychiatric and non-psychiatric nurses. The findings suggest that both psychiatric and non-psychiatric nurses harbor associative stigma related to the practice of psychiatric nursing. Implications are discussed.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Israel, Hadera.
| | - Tal Drori
- Tirat Carmel Mental Health Center, 17, ela st., Tirat Carmel.
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Ben Natan M, Ashkenazi M, Masarwe S. Intentions of Muslim Arab women in Israel to attend prenatal classes. Women Birth 2015; 29:e8-12. [PMID: 26275721 DOI: 10.1016/j.wombi.2015.07.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2014] [Revised: 04/06/2015] [Accepted: 07/23/2015] [Indexed: 11/29/2022]
Abstract
BACKGROUND Prenatal education has many benefits to both mother and child. In Israel, prenatal classes are offered to pregnant women in their third trimester from all cultures and sectors. However, Israeli Muslim Arab women often do not attend these classes. AIM To explore factors influencing the intention of Muslim Arab women in Israel to attend prenatal classes, using the Theory of Planned Behavior. METHODS The study was a cross-sectional quantitative correlational design. A convenience sample consisting of 200 Arab Muslim women completed a questionnaire based on the literature review and the theoretical model. FINDINGS The research findings indicate that women's intention to attend prenatal classes increases with more positive beliefs and attitudes toward prenatal education, greater subjective social pressure to attend classes, and with higher perceived control of attending such classes. The higher a woman's age and level of education, the greater her intention to attend classes. This study shows that the spouse is the most significant factor influencing women's decisions on this matter. CONCLUSION In order to raise the intentions of Muslim Arab women in Israel to attend prenatal classes, policy makers must design programs to increase the awareness of prenatal education among both women and men in the Muslim Arab sector, emphasizing its benefits for mothers, infants, and families as a whole. Classes should reflect the uniqueness of Israeli Muslim Arab culture and combine traditional and modern outlooks.
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Affiliation(s)
- Merav Ben Natan
- Pat Matthews School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel; Department of Nursing, School of Health Professions, Tel Aviv University, Israel.
| | - Maayan Ashkenazi
- Pat Matthews School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
| | - Safaa Masarwe
- Pat Matthews School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel
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Ben Natan M, Danino S, Freundlich N, Barda A, Yosef RM. Intention of Nursing Students to Work in Geriatrics. Res Gerontol Nurs 2015; 8:140-7. [DOI: 10.3928/19404921-20150219-03] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2014] [Accepted: 10/28/2014] [Indexed: 11/20/2022]
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