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Nygaard HS, Øen KG. Public health nurses' experiences following up children with overweight and obesity according to national guidelines. A qualitative study. Int J Qual Stud Health Well-being 2024; 19:2306658. [PMID: 38262000 PMCID: PMC10810652 DOI: 10.1080/17482631.2024.2306658] [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: 02/24/2023] [Accepted: 01/14/2024] [Indexed: 01/25/2024] Open
Abstract
PURPOSE This study aimed to develop knowledge of how the follow-up regarding overweight and obesity among children in primary school is experienced by the PHN and how the guidelines may be used to improve health services in this follow-up. METHODS We analysed semi-structured interviews of 9 PHNs using qualitative content analysis. RESULTS Two themes emerged: Following up with children with overweight and obesity is an important but challenging duty; The PHNs call for clearer guidelines. Following five sub-themes: PHNs strive to adhere to the guidelines, show compassion in the follow-up, have difficulty handling parents' feelings and reactions, feel alone with the responsibility, and have suggestions for clearer guidelines. CONCLUSIONS PHNs call for enough resources to communicate the results of the child's weight in a sufficient form. PHNs and families should establish common goals. The PHN should avoid one-way communication but meet the parents' concerns and needs. This requires the PHN to focus on building a secure relation to the child and the families, as described by Peplau. Guidelines must include instructions and tools on how to communicate and meet the family's concerns. Political action and increased funding could strengthen the follow-up and thereby prevent more obesity among children, which can be a predictor of poorer health outcomes later in life.
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Affiliation(s)
- Hanna Skjelbred Nygaard
- Department of Public Health, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway
| | - Kirsten Gudbjørg Øen
- Department of Public Health, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway
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Kett PM, Shahrir S, Bekemeier B. Public Health Nurses' Proficiencies and Training Needs in an Emergency Response: A Cross-Sectional Observational Study. J Public Health Manag Pract 2024; 30:354-366. [PMID: 38489524 DOI: 10.1097/phh.0000000000001888] [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: 03/17/2024]
Abstract
OBJECTIVE To address gaps in understanding the public health nursing workforce regarding competencies recognized as critical during an emergency response. DESIGN, SETTING, AND PARTICIPANTS A cross-sectional observational study using data with information on local health department staff- and organizational-level characteristics collected from across the United States in 2021. We used logistic regression to estimate the association between 2 binary nurse-specific predictors-(1) whether the staff person was a nurse and (2) whether the staff worked in a local health department that was "nurse-led" (directed by a nurse)-and reported proficiencies important to the COVID-19 response. Models controlled for relevant local health department and community characteristics. RESULTS In the sample, 19% were nurses and 37% were at nurse-led health departments. Nurse versus nonnurse staff had higher odds of reporting proficiencies in skills related to Justice, Equity, Diversity, and Inclusion and in the skill "identifying/applying evidence-based approaches to address public health issues." However, nurses, compared with their nonnurse peers, had higher odds of reporting training needs in domains related to community engagement, policy engagement, and cross-sectoral collaboration. Conversely, staff at nurse-led health departments, compared with non-nurse-led staff, had higher odds of reporting proficiencies in many of these same areas, including "collaborating across the public health system" and "influencing policies external to the organization that affect community health." There were no areas in which nurse-led staff had lower odds of reporting proficiencies or higher odds of identifying training needs. CONCLUSIONS Findings from this study highlight areas of strength for public health nurses, particularly strengths related to diversity, equity, and inclusion, as well as areas where more training is needed. Such findings can help guide future public health nurse workforce development as well as underscore the value of public health nursing leadership and staff at local health departments for supporting community health.
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Affiliation(s)
- Paula M Kett
- Author Affiliations: Center for Health Workforce Studies, Department of Family Medicine, School of Medicine (Drs Kett and Shahrir); and Department of Child, Family, and Population Health, School of Nursing (Dr Bekemeier), University of Washington, Seattle, Washington
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Hoshi M, Nakano K, Iwamoto M, Omori J. A concept of "cultural competence" among public health nurses in Japan. Public Health Nurs 2024; 41:562-572. [PMID: 38506329 DOI: 10.1111/phn.13307] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 10/28/2023] [Accepted: 02/22/2024] [Indexed: 03/21/2024]
Abstract
OBJECTIVES To clarify the conceptual structure of "cultural competence (CC)" among Japanese public health nurses (PHNs), to enhance culturally appropriate support. METHODS A modified grounded theory approach (M-GTA) was used. A total of 11 municipal PHNs participated in this study. Data were collected through semistructured interviews. Interviews were audiotaped and transcribed. A comparative analysis was performed using M-GTA. RESULT Five categories were identified. Japanese PHNs supported foreign residents while (1) maintaining a sincere attitude with curiosity and humility toward others regarding CC; (2) deepening their realization of issues arising from awareness of one's own and other cultures; (3) developing their knowledge about clients' cultures and the surrounding environments; and (4) mastering the skills of building a relationship with clients while creating supportive systems surrounding them. As they gained more experience in supporting foreign residents, as indicated in the above categories, their cultural competence grew, allowing them to (5) gain experience while encountering individuals without holding stereotypes and prejudice. CONCLUSIONS The concepts of CC that emerged are based on cultural humility and are cultivated through supportive activities. The concepts identified in this study can serve as educational guidelines for health nurses and other care providers in Japan.
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Affiliation(s)
- Momoko Hoshi
- Division of Child and Family Support, Totsuka-ward Health and Welfare Center, Yokohama, Kanagawa, Japan
| | - Kumiko Nakano
- Division of Public Health Nursing, Department of Health Sciences, Graduate School of Medicine, Tohoku University, Sendai, Miyagi, Japan
| | - Megumu Iwamoto
- Division of Public Health Nursing, Department of Health Sciences, Graduate School of Medicine, Tohoku University, Sendai, Miyagi, Japan
| | - Junko Omori
- Division of Public Health Nursing, Department of Health Sciences, Graduate School of Medicine, Tohoku University, Sendai, Miyagi, Japan
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O'Brien MA, Lofters A, Wall B, Elliott R, Makuwaza T, Pietrusiak MA, Grunfeld E, Riordan B, Snider C, Pinto AD, Manca D, Sopcak N, Cornacchi SD, Huizinga J, Sivayoganathan K, Donnelly PD, Selby P, Kyle R, Rabeneck L, Baxter NN, Tinmouth J, Paszat L. Adaptation and qualitative evaluation of the BETTER intervention for chronic disease prevention and screening by public health nurses in low income neighbourhoods: views of community residents. BMC Health Serv Res 2024; 24:427. [PMID: 38575938 PMCID: PMC10993474 DOI: 10.1186/s12913-024-10853-z] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Accepted: 03/11/2024] [Indexed: 04/06/2024] Open
Abstract
BACKGROUND The BETTER intervention is an effective comprehensive evidence-based program for chronic disease prevention and screening (CDPS) delivered by trained prevention practitioners (PPs), a new role in primary care. An adapted program, BETTER HEALTH, delivered by public health nurses as PPs for community residents in low income neighbourhoods, was recently shown to be effective in improving CDPS actions. To obtain a nuanced understanding about the CDPS needs of community residents and how the BETTER HEALTH intervention was perceived by residents, we studied how the intervention was adapted to a public health setting then conducted a post-visit qualitative evaluation by community residents through focus groups and interviews. METHODS We first used the ADAPT-ITT model to adapt BETTER for a public health setting in Ontario, Canada. For the post-PP visit qualitative evaluation, we asked community residents who had received a PP visit, about steps they had taken to improve their physical and mental health and the BETTER HEALTH intervention. For both phases, we conducted focus groups and interviews; transcripts were analyzed using the constant comparative method. RESULTS Thirty-eight community residents participated in either adaptation (n = 14, 64% female; average age 54 y) or evaluation (n = 24, 83% female; average age 60 y) phases. In both adaptation and evaluation, residents described significant challenges including poverty, social isolation, and daily stress, making chronic disease prevention a lower priority. Adaptation results indicated that residents valued learning about CDPS and would attend a confidential visit with a public health nurse who was viewed as trustworthy. Despite challenges, many recipients of BETTER HEALTH perceived they had achieved at least one personal CDPS goal post PP visit. Residents described key relational aspects of the visit including feeling valued, listened to and being understood by the PP. The PPs also provided practical suggestions to overcome barriers to meeting prevention goals. CONCLUSIONS Residents living in low income neighbourhoods faced daily stress that reduced their capacity to make preventive lifestyle changes. Key adapted features of BETTER HEALTH such as public health nurses as PPs were highly supported by residents. The intervention was perceived valuable for the community by providing access to disease prevention. TRIAL REGISTRATION #NCT03052959, 10/02/2017.
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Affiliation(s)
- Mary Ann O'Brien
- Department of Family and Community Medicine, Temerty Faculty of Medicine, University of Toronto, Fifth Floor, 500 University Ave, Toronto, ON, M5G 1V7, Canada.
| | - Aisha Lofters
- Department of Family and Community Medicine, Temerty Faculty of Medicine, University of Toronto, Fifth Floor, 500 University Ave, Toronto, ON, M5G 1V7, Canada
- Women's College Research Institute, Women's College Hospital, 76 Grenville St, Toronto, ON, M5S 1B2, Canada
- Peter Gilgan Centre for Women's Cancers, Women's College Hospital, 76 Grenville St, Toronto, ON, M5S 1B2, Canada
- Dalla Lana School of Public Health, University of Toronto, 155 College Street, Suite 424, Toronto, ON, M5T 3M6, Canada
| | - Becky Wall
- Durham Region Health Department, Regional Municipality of Durham, 605 Rossland Road East, Whitby, ON, L1N 6A3, Canada
| | - Regina Elliott
- Durham Region Health Department, Regional Municipality of Durham, 605 Rossland Road East, Whitby, ON, L1N 6A3, Canada
| | - Tutsirai Makuwaza
- Women's College Research Institute, Women's College Hospital, 76 Grenville St, Toronto, ON, M5S 1B2, Canada
| | - Mary-Anne Pietrusiak
- Durham Region Health Department, Regional Municipality of Durham, 605 Rossland Road East, Whitby, ON, L1N 6A3, Canada
| | - Eva Grunfeld
- Department of Family and Community Medicine, Temerty Faculty of Medicine, University of Toronto, Fifth Floor, 500 University Ave, Toronto, ON, M5G 1V7, Canada
- Ontario Institute for Cancer Research, 661 University Ave, Suite 510, Toronto, ON, M5G 0A3, Canada
| | - Bernadette Riordan
- Durham Region Health Department, Regional Municipality of Durham, 605 Rossland Road East, Whitby, ON, L1N 6A3, Canada
| | - Cathie Snider
- Durham Region Health Department, Regional Municipality of Durham, 605 Rossland Road East, Whitby, ON, L1N 6A3, Canada
| | - Andrew D Pinto
- Department of Family and Community Medicine, Temerty Faculty of Medicine, University of Toronto, Fifth Floor, 500 University Ave, Toronto, ON, M5G 1V7, Canada
- Dalla Lana School of Public Health, University of Toronto, 155 College Street, Suite 424, Toronto, ON, M5T 3M6, Canada
- MAP Centre for Urban Health Solutions, St. Michael's Hospital, 30 Bond Street, Toronto, ON, M5B 1W8, Canada
- Department of Family and Community Medicine, St. Michael's Hospital, 61 Queen St E #3, Toronto, ON, M5C 2T2, Canada
| | - Donna Manca
- Department of Family Medicine, Faculty of Medicine & Dentistry, University of Alberta, 6 - 10 University Terrace, Edmonton, AB, T6G 2T4, Canada
| | - Nicolette Sopcak
- Department of Family Medicine, Faculty of Medicine & Dentistry, University of Alberta, 6 - 10 University Terrace, Edmonton, AB, T6G 2T4, Canada
| | - Sylvie D Cornacchi
- Department of Pediatrics, McMaster University, 1280 Main St West, Hamilton, ON, L8S 4K1, Canada
| | - Joanne Huizinga
- Durham Region Health Department, Regional Municipality of Durham, 605 Rossland Road East, Whitby, ON, L1N 6A3, Canada
| | - Kawsika Sivayoganathan
- MAP Centre for Urban Health Solutions, St. Michael's Hospital, 30 Bond Street, Toronto, ON, M5B 1W8, Canada
| | - Peter D Donnelly
- Dalla Lana School of Public Health, University of Toronto, 155 College Street, Suite 424, Toronto, ON, M5T 3M6, Canada
- School of Medicine, University of St Andrews, St Andrews, Fife, KY16 9TF, UK
| | - Peter Selby
- Department of Family and Community Medicine, Temerty Faculty of Medicine, University of Toronto, Fifth Floor, 500 University Ave, Toronto, ON, M5G 1V7, Canada
- Centre for Addiction and Mental Health, 1025 Queen Street West, 5Th Floor, Toronto, ON, M6J 1H4, Canada
| | - Robert Kyle
- Durham Region Health Department, Regional Municipality of Durham, 605 Rossland Road East, Whitby, ON, L1N 6A3, Canada
| | - Linda Rabeneck
- Dalla Lana School of Public Health, University of Toronto, 155 College Street, Suite 424, Toronto, ON, M5T 3M6, Canada
| | - Nancy N Baxter
- Melbourne School of Population & Global Health, University of Melbourne, 207 Bouverie Street, Melbourne, VIC, 3053, Australia
| | - Jill Tinmouth
- Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada
| | - Lawrence Paszat
- Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada
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Akamatsu Y, Ojima T, Fukunaga I, Ohsaka G, Saeki K, Shimamura M, Shirai C, Nagai H, Miyazono M, Uchida K. [Relationship between the number of public health nurses and the total number of people receiving home-visit nursing services for mental health/intractable diseases, and those numbers' regional differences]. Nihon Koshu Eisei Zasshi 2024; 71:167-176. [PMID: 38123331 DOI: 10.11236/jph.23-064] [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] [Subscribe] [Scholar Register] [Indexed: 12/23/2023]
Abstract
Objectives The primary aim of this study was to clarify the relationship between the number of public health nurses (PHNs) and the total number of people who received home-visit nursing services for mental health or intractable diseases. The secondary aim was to clarify the extent of regional differences in the number of PNHs and mental health or intractable diseases.Methods This study used the total number of people who received home-visit nursing services for mental health or intractable diseases in 2019 from the Portal Site of Official Statistics of Japan (e-Stat) and population and area data in January 2020. Single and multiple regression analyses (covariates: population and area) were performed on the relationship between the number of PHNs per 100,000 population (abbreviated as "ratios of PHNs") and the total number of people who received home-visit nursing services for mental health or intractable diseases per 100,000 population (abbreviated as "mental health/intractable disease achievements"). Regional differences in ratios of PHNs and mental health/intractable disease achievement were examined using mean, standard deviation, maximum/minimum values, and Gini coefficients. Analyses were performed for each of the five units: the prefectures as a whole, prefectural public health centers, municipalities within the jurisdiction of prefectural public health centers, and cities in which public health centers are established (including or not including special wards).Results Regression analyses indicated a positive relationship between the ratios of PHNs and mental health/intractable disease achievements. Multiple regression analysis indicated that both achievements were positively associated with population size and negatively associated with area size. The largest regression coefficients between the ratios of PHNs and achievements were 34.07 and 5.48 regarding mental health achievements and intractable disease achievements, respectively. For regional differences, the smallest Gini coefficient was the ratios of PHNs, and the largest was intractable disease achievements. The smallest and largest coefficient of the prefectures as a whole was 0.15 and 0.34, respectively. The maximum/minimum values of the prefectures as a whole also indicated that the smallest was 3.8 in the ratio of PHNs and the largest was 30.0 in intractable disease achievement.Conclusions Increasing number of PHNs is needed to provide more home-visit nursing services for mental health and intractable diseases. It is particularly important to fill up the larger number of PHNs in smaller populations or larger area prefectures. Due to regional differences in the home-visit nursing service, it is important to promote the increase in the level of these activities.
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Affiliation(s)
- Yuri Akamatsu
- Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine
- Department of Health Informatics, School of Public Health, Kyoto University
| | - Toshiyuki Ojima
- Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine
| | - Ichiro Fukunaga
- Chuo-Nishi Public Health and Welfare Office, Kochi Prefectural Government
| | | | - Keigo Saeki
- Department of Epidemiology, Nara Medical University School of Medicine
| | | | | | - Hitomi Nagai
- Ibaraki Public Health Center, Osaka Prefectural Government
| | - Masaya Miyazono
- Public Health and Medical Administration Office, Department of Public Health and Medical Affairs, Osaka Prefectural Government
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Cantu AG. Personal reflections of a public health nurse on the small things that promote well-being. Public Health Nurs 2024; 41:198-199. [PMID: 37997473 DOI: 10.1111/phn.13265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Accepted: 11/11/2023] [Indexed: 11/25/2023]
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Hamnøy IL, Kjelsvik M, Baerug AB, Dahl BM. A balancing act-midwives' and public health nurses' experiences with breastfeeding counselling. Scand J Caring Sci 2024; 38:92-103. [PMID: 37496198 DOI: 10.1111/scs.13198] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 06/14/2023] [Accepted: 07/12/2023] [Indexed: 07/28/2023]
Abstract
AIMS AND OBJECTIVES To explore midwives' and public-health nurses' experiences of breastfeeding counselling in order to provide a deeper insight into breastfeeding counselling. METHODOLOGICAL DESIGN AND JUSTIFICATION A qualitative design was used, and qualitative content analysis was conducted to analyse the data in accordance with the phenomenological hermeneutic tradition. ETHICAL ISSUES AND APPROVAL The Norwegian Centre for Research Data approved this study. All participants provided written consent. RESEARCH METHODS Four focus-group interviews were conducted on a sample of eight midwives and 13 public-health nurses in Norway. RESULTS Three interrelated themes describing the meaning of midwives' and public-health nurses' experiences with breastfeeding counselling emerged from the analysis: Breastfeeding Counselling Means Responsibility for Collaboration and Facilitation, Being Confident as a Breastfeeding Counsellor Means Striving for Professional Competence and Supporting the Individual Breastfeeding Family Means Being Sensitive and Adapting to Novel Situations. STUDY LIMITATIONS The focus groups comprised a mix of midwives and public-health nurses, which may have inhibited honest declaration of these professionals' opinions of each other. CONCLUSION Midwives and public-health nurses regard structural factors and prioritising breastfeeding support in society as important for providing good breastfeeding counselling. Midwives and public-health nurses strive to find a balance between relying on their own competence, promoting breastfeeding in accordance with guidelines and respecting mothers' choices. Healthcare professionals require knowledge about breastfeeding, good clinical judgement, a listening attitude and openness to how breastfeeding affects mother's everyday life to provide good breastfeeding care.
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Affiliation(s)
- Ingvild Lande Hamnøy
- Department of Health Sciences in Ålesund, Faculty of Medicine and Health Sciences, NTNU- Norwegian University of Science and Technology, Ålesund, Norway
| | - Marianne Kjelsvik
- Department of Health Sciences in Ålesund, Faculty of Medicine and Health Sciences, NTNU- Norwegian University of Science and Technology, Ålesund, Norway
| | | | - Berit Misund Dahl
- Department of Health Sciences in Ålesund, Faculty of Medicine and Health Sciences, NTNU- Norwegian University of Science and Technology, Ålesund, Norway
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Barrett EO, Laholt H, Lorem GF, Wang CEA. Exploring public health nurses' acceptability of clinical assessment tools in a Norwegian child health centre. Prim Health Care Res Dev 2024; 25:e10. [PMID: 38343358 PMCID: PMC10894717 DOI: 10.1017/s146342362400001x] [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] [Indexed: 02/15/2024] Open
Abstract
BACKGROUND Infants' symptoms of mental struggle are often diffuse and undifferentiated, and health services do not identify many infants at risk of poor development. However, primary health care is advantageous for early identification, given there are frequent consultations during the infant's first two years. Health policy encourages using evidence-based screening but use varies in primary health care. The Alarm Distress Baby Scale (ADBB) is an assessment tool targeting social withdrawal in infants 2-24 months of age. AIM To explore contextual factors related to public health nurses' (PHNs) acceptability of clinical assessment tools in a Norwegian child health centre. METHODS Prior to an upcoming ADBB training, we used focus group discussions with PHNs to explore their views on their professional role and practice and how this concurs with using assessment tools. FINDINGS Thematic analysis resulted in the following themes: (1) A Role requiring Supporting the Parents and Safeguarding the Infant; (2) The Challenge of Interpreting Infant Expressions; and (3) Organisational Preconditions for Accepting New Methods. CONCLUSION Our findings show that PHNs regard assessment tools as an aid to detect infants at risk, but that systematic use of such tools can hinder their ability to be flexible, egalitarian, and resource-focused. We also find that acceptability of assessment tools requires a system for continuous training and a well-established referral routine.
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Affiliation(s)
- Elisabeth Ovanger Barrett
- Faculty of Health Sciences - Department of Psychology/Specialist in Clinical Community Psychology, UiT - The Arctic University of Norway, Municipality of Tromsø, Norway
| | - Hilde Laholt
- Faculty of Health Sciences - Department of Health and Care Sciences, UiT - The Arctic University of Norway, Municipality of Tromsø, Norway
| | - Geir Fagerjord Lorem
- Faculty of Health Sciences - Department of Psychology, UiT - The Arctic University of Norway, Municipality of Tromsø, Norway
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Kitazoe N, Mimoto S, Fukunaga I, Hamaguchi M, Hatakenaka Y, Gillberg C. The ESSENCE-Q: Can specialist supervision improve scoring agreement across specialist and public health nurses/nursery teachers? Acta Paediatr 2024; 113:267-275. [PMID: 37846436 DOI: 10.1111/apa.17001] [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: 06/22/2023] [Revised: 09/28/2023] [Accepted: 10/04/2023] [Indexed: 10/18/2023]
Abstract
AIM This study aimed to explore whether the supervision of community public health nurses (PHNs) and nursery school teachers (NSTs) by a specialist, familiar with Early Symptomatic Syndromes Eliciting Neurodevelopmental Clinical Examinations (ESSENCE), improved the agreement of ESSENCE-Questionnaire (ESSENCE-Q) scoring, across raters. METHODS A PHN, two NSTs, and a speech-language pathologist (SLP), familiar with ESSENCE, independently assessed 32 children. The ESSENCE-Q results were divided into the first (child 1-18) and second groups (the 19th child and the following children). Changes in score discrepancies were analysed for ESSENCE-Q cutoff scores and total ESSENCE-Q scores across raters. The SLP scores were used as a reference to evaluate sensitivity and specificity. RESULTS The total ESSENCE-Q scores of the PHN and NSTs showed higher concordance in the second group (p < 0.05). Comparisons of the differences between the PHN/NSTs and SLP in total ESSENCE-Q scores showed a significantly smaller difference in the NSTs' scores in the second group (p < 0.05). CONCLUSION The findings suggest that specialist supervision may lead to a better agreement between PHN and NSTs regarding ESSENCE-Q scores.
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Affiliation(s)
- Noriko Kitazoe
- Kochi Gillberg Neuropsychiatry Centre, Kochi Treatment and Welfare Center, Kochi, Japan
| | - Sae Mimoto
- Kochi Gillberg Neuropsychiatry Centre, Kochi Treatment and Welfare Center, Kochi, Japan
| | - Ichiro Fukunaga
- Kochi Gillberg Neuropsychiatry Centre, Kochi Treatment and Welfare Center, Kochi, Japan
- Chuo-Nishi Public Health and Welfare Office, Kochi Prefectural Government, Kochi, Japan
| | - Masako Hamaguchi
- Kochi Gillberg Neuropsychiatry Centre, Kochi Treatment and Welfare Center, Kochi, Japan
- The child development support programs COLORFUL PIECE, Kochi, Japan
| | - Yuhei Hatakenaka
- Kochi Gillberg Neuropsychiatry Centre, Kochi Treatment and Welfare Center, Kochi, Japan
- Faculty of Humanities and Social Sciences, University of the Ryukyus, Okinawa, Japan
- Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Christopher Gillberg
- Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Helle C, Hillesund ER, Øverby NC. A qualitative study of public health nurses' perspectives and experiences on nutritional guidance for parents of infants and toddlers. Matern Child Nutr 2024; 20 Suppl 2:e13546. [PMID: 37439563 PMCID: PMC10765362 DOI: 10.1111/mcn.13546] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 04/26/2023] [Accepted: 06/07/2023] [Indexed: 07/14/2023]
Abstract
In Norway, public health nurses (PHNs) are responsible for giving parents nutritional knowledge, but limited research describes how they perceive this task. This study explores PHNs' perceptions and experiences on nutritional guidance for parents of infants and toddlers. Semistructured interviews with six PHNs were conducted and transcribed verbatim. Data were subjected to thematic analysis. Five main themes were identified: (1) Dietary guidance for parents is central to the work; (2) PHNs perceive they have parents' trust, and parents are in general open to nutrition counselling; (3) food and meals must be seen in light of the family context; (4) The dialogue must be adapted to the individual family; and (5) PHNs have expertise on nutrition; however, updating knowledge is difficult. Nutritional guidance was perceived by PHNs as a core activity. They felt that they had parents' trust, and that parents were particularly open to nutritional guidance during the first 2 years. Counselling was generally well received, but conversations on overweight were perceived as difficult. PHNs strove to tailor their guidance to individual needs. However, providing guidance on a wide range of issues in different families and cultures could be challenging. They acknowledged a need for updating knowledge but the offer of courses was sparse. Our findings suggest a discrepancy between how nutrition is prioritized in the education of PHNs and what they encounter in clinical practice. In the future, this should be given more attention given the PHNs' unique position to promote healthy eating and long-term health.
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Affiliation(s)
- Christine Helle
- Department of Nutrition and Public Health, Faculty of Health and Sport SciencesUniversity of AgderKristiansanNorway
| | - Elisabet R. Hillesund
- Department of Nutrition and Public Health, Faculty of Health and Sport SciencesUniversity of AgderKristiansanNorway
| | - Nina Cecilie Øverby
- Department of Nutrition and Public Health, Faculty of Health and Sport SciencesUniversity of AgderKristiansanNorway
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Wu F, Sun J, Wu H, Su M, Lin C. The experiences of public health nurses during the COVID-19 in Taiwan: A qualitative study. Nurs Open 2024; 11:e2091. [PMID: 38268278 PMCID: PMC10784424 DOI: 10.1002/nop2.2091] [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: 02/07/2023] [Revised: 09/04/2023] [Accepted: 12/26/2023] [Indexed: 01/26/2024] Open
Abstract
AIM The coronavirus disease 2019 (COVID-19) pandemic has had a substantial effect on frontline health care workers and caused public health nurses (PHNs) to come under various forms of pressure. PHNs face high-risk challenges in their work environment, and their professional commitment and adaptability are key concerns. The aim of this qualitative study was to describe the experiences of PHNs during the COVID-19 outbreak. METHODS/DESIGN Twenty PHNs who worked during the COVID-19 outbreak were recruited from seven public health centres through posters. Data were collected through in-depth interviews that comprised semi-structured and open-ended questions; subsequently, the data were analysed through content analysis. RESULTS Three themes emerged from the study findings, namely (1) the disorderliness of COVID-19 pandemic prevention work, (2) managing stress and fear, and (3) the establishment of a new normal. Because of the severity of the pandemic, the workload and stress associated with epidemic prevention policies continue to increase. PHNs may infect their family members and experience a sense of alienation and distance. They must also deal with irrationality and reactions in the people within their community. CONCLUSION Health department directors and policymakers should provide the necessary support and assistance to frontline pandemic prevention workers to increase the efficiency of pandemic prevention efforts. PATIENT OR PUBLIC CONTRIBUTION The participants agreed to participate in the qualitative study during the study period.
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Affiliation(s)
- Fei‐Ling Wu
- Department of NursingChang Gung University of Science and TechnologyTaoyuan CityTaiwan
- Department of Internal MedicineChang Gung Memorial HospitalTaoyuan CityTaiwan
| | - Jui‐Chiung Sun
- Department of NursingChang Gung University of Science and TechnologyTaoyuan CityTaiwan
| | - Hsueh‐Ching Wu
- Department of NursingHsin Sheng Junior College of Medical Care and ManagementTaoyuan CityTaiwan
| | - Mei‐Chen Su
- School of NursingNational Taipei University of Nursing and Health SciencesTaipei CityTaiwan
| | - Chia‐Ling Lin
- Department of NursingChang Gung University of Science and TechnologyTaoyuan CityTaiwan
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Harada S, Goto H, Fukui M, Uno C, Kurohashi M. [Development of an educational program for novice public health nurses in Shiga prefecture during the COVID-19 pandemic: Challenges and efforts]. Nihon Koshu Eisei Zasshi 2023; 70:843-851. [PMID: 37673598 DOI: 10.11236/jph.22-126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 09/08/2023]
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13
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Bergvoll LM, Fjelldal SS, Clancy A, Martinussen M, Laholt H. How do public health nurses in Norwegian school health services support siblings of children with complex care needs? Scand J Caring Sci 2023; 37:1100-1108. [PMID: 37246570 DOI: 10.1111/scs.13184] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 03/20/2023] [Accepted: 05/12/2023] [Indexed: 05/30/2023]
Abstract
AIMS There is a paucity of data regarding the care and support provided by Norwegian school health services to siblings of children with complex care needs. Public health nurses are an integral part of these universal services, which focus on health promotion and disease prevention in primary and secondary schools. This study aimed to explore health promotion interventions by public health nurses for siblings in Norwegian schools and to identify regional differences. METHODS An online national questionnaire was distributed to Norwegian public health nurses and leaders of public health nursing services (N = 487). The questions were related to how the nurses support siblings of children with complex care needs. The quantitative data were analysed using descriptive statistics. An inductive thematic analysis of free-text comments was conducted. ETHICAL APPROVAL The study was approved by the Norwegian Centre for Research Data. RESULTS The majority of public health nursing leaders (67%) reported that the services in their municipality had no system to identify siblings or to provide them with routine care. However, 26% of public health nurses reported that routine support was provided to siblings. Regional differences were identified. STUDY LIMITATIONS This study included responses from 487 PHNs from all four health regions in Norway. The study design is limited and gives a brief outline of the current situation. Further data are needed to provide in-depth knowledge. CONCLUSIONS This survey provides important knowledge for health authorities and professionals working with siblings, about inadequate support and regional differences in care provided to siblings by school health services.
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Affiliation(s)
- Lise-Marie Bergvoll
- Department of Health and Caring Science, UiT - The Arctic University of Norway, Harstad, Norway
| | | | - Anne Clancy
- Department of Health and Caring Science, UiT - The Arctic University of Norway, Harstad, Norway
| | - Monica Martinussen
- Regional Centre for Child and Youth Mental Health and Child Welfare, UiT - The Arctic University of Norway, Harstad, Norway
| | - Hilde Laholt
- Department of Health and Caring Science, UiT - The Arctic University of Norway, Harstad, Norway
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Midtsund AD, Garnweidner-Holme L, Valla L, Lukasse M, Henriksen L. A qualitative study of public health nurses' experiences detecting and preventing child maltreatment in primary care settings. J Adv Nurs 2023; 79:4660-4671. [PMID: 37358075 DOI: 10.1111/jan.15761] [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: 02/13/2023] [Revised: 05/23/2023] [Accepted: 06/15/2023] [Indexed: 06/27/2023]
Abstract
AIM To explore how public health nurses in child and family health centres experience detecting and preventing child maltreatment. DESIGN Qualitative study. METHODS Fourteen semi-structured individual interviews with public health nurses who worked in 11 different child and family health centres were conducted. The interviews were analysed using thematic analysis. RESULTS Three themes were identified: (i) integrating knowledge to prevent child maltreatment as part of their everyday job, (ii) striving hard to detect child maltreatment and (iii) experiencing the assignment to be complex and demanding. CONCLUSION Despite extensive experience, knowledge and following the guidelines, public health nurses in this study had difficulties finding children exposed to child maltreatment in child and family health centres. Public health nurses called for mutual multidisciplinary cooperation with other services and organizational facilitation, such as enough time and clear guidelines to effectively address this issue. IMPLICATIONS FOR PRACTICE This study provides knowledge about how public health nurses work with child maltreatment at the Child and Family Health Center, which can serve as valuable foundation for further research as well for collaborating services. REPORTING METHOD EQUATOR guidelines were followed, using the COREQ checklist. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Astrid Durdei Midtsund
- Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
- Oslo Municipality, Grünerløkka Child and Family Health Center, Oslo, Norway
| | | | - Lisbeth Valla
- Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
- Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP), Oslo, Norway
| | - Mirjam Lukasse
- Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
- Department of Nursing and Social Sciences, Institute of Nursing and Health Sciences, University of South-Eastern Norway, Kongsberg, Norway
| | - Lena Henriksen
- Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
- Division of General Gynaecology and Obstetrics, Oslo University Hospital, Nydalen, Norway
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Nagai T, Yonekura Y, Umeda M, Asahara K, Kawasaki C, Kobayashi M, Shimazu T, Endo N, Omori J, Mitsumori Y, Egawa Y, Nagata S, Saeki K, Sagawa K, Konishi M. [Developing scales to evaluate community practices among municipal public health nurses: content, perceptions of public health nurses, and organizational environment]. Nihon Koshu Eisei Zasshi 2023; 70:759-774. [PMID: 37544747 DOI: 10.11236/jph.22-067] [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] [Subscribe] [Scholar Register] [Indexed: 08/08/2023]
Abstract
Objectives This study aimed to develop scales for evaluating the level of implementation of community practices and explore the perception of public health nurses in municipalities regarding their community practices.Methods Draft scales were developed based on a literature review and interviews with municipal public health nurses. Subsequently, a questionnaire survey was conducted with municipal public health nurses across Japan in response to these draft scales. Respondents were recruited based on the municipality population size. Questionnaires were distributed to 2,074 individuals from 52 municipalities ensuring representation from diverse municipalities. Exploratory factor analysis was performed to determine the number of factors, while confirmatory factor analysis was performed to determine the factor structure. The reliability of the scales was assessed by calculating Cronbach's alpha coefficients, and their validity was tested by examining correlations with existing scales, namely the Moral Competence Scale for Public Health Nurses and the Professional Identity Scale for Public Health Nurses, and years of experience as a public health nurse.Results A total of 721 (34.8%) valid respondents were included in the analysis. Three scales, methods of community practices (three factors, nine items), perceptions of public health nurses toward community residents through community practices (three factors, 10 items), and organizational environment supporting community practices (two factors, 11 items) were developed as indicators of the implementation of public health nurses' community practices. Cronbach's alpha coefficients for the three scales were 0.896, 0.913, and 0.868, respectively. As hypothesized, each subfactor exhibited a positive correlation with the existing scales. However, certain subfactors did not demonstrate any correlation with years of experience.Conclusion The three scales developed in this study were individually examined for reliability and validity. These scales can be used independently or in combination, allowing public health nurses to select the most suitable scale(s) based on their objective. A notable contribution of this study is the establishment of concrete indicators for evaluating community practices, addressing the previously vague nature of this evaluation. By incorporating the scale items into daily health practices, we anticipate that these indicators can be employed to evaluate community practices at the organizational and individual levels.
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Affiliation(s)
| | - Yuki Yonekura
- Graduate School of Nursing Science, St. Luke's International University
| | - Maki Umeda
- Research Institute of Nursing Care for People and Community, University of Hyogo
| | - Kiyomi Asahara
- Graduate School of Nursing Science, St. Luke's International University
| | - Chie Kawasaki
- Faculty of Nursing, Nagano University of Health and Medicine
| | - Maasa Kobayashi
- Graduate School of Nursing Science, St. Luke's International University
| | - Taeko Shimazu
- Graduate School of Health and Welfare Sciences, International University of Health and Welfare
| | - Naoko Endo
- Faculty of Nursing, National College of Nursing
| | - Junko Omori
- Tohoku University Graduate School of Medicine
| | | | - Yuko Egawa
- School of Health Sciences, Tokyo University of Technology
| | - Satoko Nagata
- Faculty of Nursing and Medical Care, Keio University
| | - Kazuko Saeki
- Faculty of Nursing, Toyama Prefectural University
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Kuug AK, Sindiwe J, Jardien-Baboo S. Exploring the challenges of public health nurses in the management of infertility in Northern Ghana: a qualitative descriptive study. BMJ Open 2023; 13:e078344. [PMID: 37989385 PMCID: PMC10668180 DOI: 10.1136/bmjopen-2023-078344] [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: 07/30/2023] [Accepted: 10/31/2023] [Indexed: 11/23/2023] Open
Abstract
OBJECTIVE To explore the challenges public health nurses (PNHs) face in managing infertility in rural settings of the Talensi and Nabdam districts in the Upper East Region of Ghana. DESIGN The study adopted a qualitative descriptive design approach where PHNs who worked in rural settings were interviewed using a semistructured interview guide. Thematic analysis was employed to analyse the data. SETTING Primary healthcare setting in the Upper East Region of Ghana. PARTICIPANTS The study participants were 15 PHNs working in primary health centres with a mean age of 36.9 years (SD=6.40). RESULTS This study revealed that couples with infertility issues face challenges in seeking care for their condition. The challenges expressed by the participants that affect individual and couples' access to infertility care were (1) lack of material and human resources, (2) lack of specialists and guides for infertility treatment and (3) inadequate and inconsiderate communication. CONCLUSION This study provides evidence of the challenges experienced by PHNs in managing infertility among couples. Adequate measures are therefore required to ameliorate these challenges to improve care provision for couples with infertility.
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Affiliation(s)
| | - James Sindiwe
- Department of Nursing Science, Nelson Mandela University, Port Elizabeth, South Africa
| | - Sihaam Jardien-Baboo
- Department of Nursing Science, Nelson Mandela University, Port Elizabeth, South Africa
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Wanyo CA. Wald's leadership: Public health nurses' response to the 1918 influenza pandemic. Public Health Nurs 2023; 40:868-875. [PMID: 37555505 DOI: 10.1111/phn.13242] [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: 07/18/2023] [Revised: 07/28/2023] [Accepted: 07/31/2023] [Indexed: 08/10/2023]
Abstract
COVID-19 pandemic brings to light similarities to the 1918 influenza pandemic, one of the deadliest outbreaks in United States history. The work of the Henry Street Visiting Nurse Service also referred to the public health nurses for that time, was a critical part of the New York City response. This case study examined Lillian Wald's leadership in directing the public health nursing response in New York City during the second wave of the influenza pandemic, from September through December of 1918. A historical social framework was used. Primary sources included the Lillian Wald Papers in the Rare Book and Manuscript Library, Columbia University in New York, Wald's (1934) Windows on Henry Street, medical, public health and nursing documents, journals, and newspaper articles published during the early 20th century. Secondary source material include works by historians Sarah Abrams, Arlene Keeling, Karen Buhler-Wilkerson, Sandra Lewenson, John Barry, and Alfred Crosby. Key findings included developing a community wide strategic plan, using data driven decisions, implementing visiting nursing services, teaching in the home, and maintaining a diverse workforce. Lessons learned can guide leadership in emergency planning, system change, infection control and disease prevention, all familiar practices of public health nursing.
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Affiliation(s)
- Carol A Wanyo
- School of Nursing, Mount Saint Mary College, Newburgh, New York
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18
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Easley CE. Dr. Iris R. Shannon: Quiet leader, passionate public health nurse. Public Health Nurs 2023; 40:903-904. [PMID: 37592850 DOI: 10.1111/phn.13241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 07/29/2023] [Indexed: 08/19/2023]
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Pirsch AM, Austin RR, Martin L, Pieczkiewicz D, Monsen KA. Critical consciousness of public health nurses: A descriptive, comparative survey. Public Health Nurs 2023; 40:905-913. [PMID: 37602938 DOI: 10.1111/phn.13245] [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: 03/20/2023] [Revised: 08/04/2023] [Accepted: 08/07/2023] [Indexed: 08/22/2023]
Abstract
BACKGROUND Public Health Nurses (PHN) caring for vulnerable populations amid systemic inequality must navigate complex situations, and consequently they may experience serious moral distress known to be detrimental to PHN wellbeing. OBJECTIVE Given PHN awareness of social inequities, the study aimed to determine if PHNs were motivated to enact social change and engage in social and political action to address inequality. DESIGN AND SAMPLE A survey of 173 PHNs was conducted in fall 2022. The convenience sample was mainly female (96.5%), White (85%), had associate/bachelor's degrees (71.7%), and worked in governmental public health settings (70.7%). MEASURE The study employed the Short Critical Consciousness Scales' subscales: Critical Reflection, Critical Motivation, and Critical Action. RESULTS PHNs were highly motivated to address inequities (Critical Motivation = 20.83; SD = 3.16), with similarly high awareness (Critical Reflection = 17.89; SD = 5.18). However, social and political action scores were much lower (Critical Action = 7.13; SD = 2.63). A subgroup of PHNs with strong agreement regarding the impact of poverty were more likely to be younger (p = .039) and work in a community setting (p = .003); with higher scores across subscales (p < .001). CONCLUSIONS High critical reflection and motivation among PHNs aligned with literature. Lower Critical Action scores warrant investigation into validity for PHNs, and possible role constraints.
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Affiliation(s)
- Anna M Pirsch
- School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
| | - Robin R Austin
- School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
| | - Lisa Martin
- School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
| | - David Pieczkiewicz
- Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA
| | - Karen A Monsen
- School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
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Walsh A, McCluskey R, Cassidy D, McGoldrick G, Howlin C, Muldoon K, Butler É, Byrne G. The Support Needs and Current Practices of Public Health Nurses in the Republic of Ireland Who Provide Support to Breastfeeding Mothers: A Cross-Sectional Survey. J Hum Lact 2023; 39:733-742. [PMID: 37232139 PMCID: PMC10580677 DOI: 10.1177/08903344231172991] [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: 08/31/2022] [Accepted: 04/13/2023] [Indexed: 05/27/2023]
Abstract
BACKGROUND Breastfeeding continuation rates are low in Ireland. The Breastfeeding Observation and Assessment Tool (BOAT) was developed to assist public health nurses in assessing breastfeeding challenges; however, little is known of its actual usage, the level of training experienced or desired by public health nurses, or their level of confidence in the support they provide to breastfeeding mothers. RESEARCH AIM To identify the current practices and support needs of public health nurses who provide breastfeeding support in Ireland. METHOD An online questionnaire was devised to collect respondents' confidence with breastfeeding issues, caseload, and practices. It was distributed to public health nurses with a current child health caseload in one Community Healthcare Organization. Mann Whitney U tests were used to ascertain the relationship between public health nurses' confidence level and those with qualifications in midwifery or as an International Board Certified Lactation Consultant (IBCLC). RESULTS The survey was completed by 66 public health nurses. Only 14 respondents (21.2%) indicated that they always used the BOAT. The most common reason for not doing so was a lack of education on its use (n = 17, 25.8%). Postholders also certified as IBCLCs were considered by participants to be the most appropriate professionals to resolve certain breastfeeding issues. Confidence levels to manage breastfeeding issues were highest among public health nurses with IBCLC credentialing (U = 12.5, p = .001) while no difference was seen when comparing those with a midwifery degree to those without (U = 184.0, p = .92). Face-to-face workshops and blended-learning approaches were ranked as the preferred formats for breastfeeding education (Median rank = 2). CONCLUSIONS Breastfeeding education incorporating a face-to-face component is needed to support public health nurses who work with breastfeeding mothers, as is prioritization of recruitment in the community of public health nurses with IBCLC credentials.
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Affiliation(s)
- Annemarie Walsh
- Dublin South, Kildare and West Wicklow Community Healthcare Organisation 7 (CHO 7), Health Service Executive, Dublin, Ireland
| | - Rachel McCluskey
- Dublin South, Kildare and West Wicklow Community Healthcare Organisation 7 (CHO 7), Health Service Executive, Dublin, Ireland
| | - Deirdre Cassidy
- Dublin South, Kildare and West Wicklow Community Healthcare Organisation 7 (CHO 7), Health Service Executive, Dublin, Ireland
| | - Gerardine McGoldrick
- Dublin South, Kildare and West Wicklow Community Healthcare Organisation 7 (CHO 7), Health Service Executive, Dublin, Ireland
| | - Claire Howlin
- Trinity Centre for Practice and Healthcare Innovation, School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
- Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK
| | - Kathryn Muldoon
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Éadaoin Butler
- Trinity Centre for Practice and Healthcare Innovation, School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Gobnait Byrne
- Trinity Centre for Practice and Healthcare Innovation, School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
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Lee J, Austin RR, Mathiason MA, Monsen KA. Prioritizing nutrition interventions for low-income clients receiving public health nurses' home visiting services: a latent class analysis study of Omaha System data. J Am Med Inform Assoc 2023; 30:1794-1800. [PMID: 37187156 PMCID: PMC10586036 DOI: 10.1093/jamia/ocad079] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 04/11/2023] [Accepted: 05/01/2023] [Indexed: 05/17/2023] Open
Abstract
OBJECTIVE This study aimed to identify phenotypes of nutritional needs of home-visited clients with low income, and compare overall changes in knowledge, behavior, and status of nutritional needs before and after home visits by identified phenotypes. MATERIALS AND METHODS Omaha System data collected by public health nurses from 2013 to 2018 were used in this secondary data analysis study. A total of 900 low-income clients were included in the analysis. Latent class analysis (LCA) was used to identify phenotypes of nutrition symptoms or signs. Score changes in knowledge, behavior, and status were compared by phenotype. RESULTS The five subgroups included Unbalanced Diet, Overweight, Underweight, Hyperglycemia with Adherence, and Hyperglycemia without Adherence. Only the Unbalanced Diet and Underweight groups showed an increase in knowledge. No other changes in behavior and status were observed in any of the phenotypes. DISCUSSION AND CONCLUSIONS This LCA using standardized Omaha System Public Health Nursing data allowed us to identify phenotypes of nutritional needs among home-visited clients with low income and prioritize nutrition areas that public health nurses may focus on as part of public health nursing interventions. The sub-optimal changes in knowledge, behavior, and status suggest a need to re-examine the intervention details by phenotype and develop strategies to tailor public health nursing interventions to effectively meet the diverse nutritional needs of home-visited clients.
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Affiliation(s)
- Jiwoo Lee
- School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
| | - Robin R Austin
- School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
| | | | - Karen A Monsen
- School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
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22
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Campbell KA. Her strength: Reflections on nurse home-visiting. Public Health Nurs 2023; 40:766-768. [PMID: 37289142 DOI: 10.1111/phn.13218] [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: 11/16/2022] [Revised: 05/23/2023] [Accepted: 05/25/2023] [Indexed: 06/09/2023]
Abstract
The Nurse-Family Partnership is a targeted parenting intervention designed to improve maternal and child health. In Canada it is delivered exclusively by public health nurses who provide complex care to adolescent girls and young women. A process evaluation was conducted to better understand the experiences of public health nurses delivering the Nurse-Family Partnership program in Canada. Although the traditional qualitative data analysis led to the creation of significant findings and clinical implications, it lacked the "heart" of public health nursing practice. Through a reflective process, and to present an evocative account of the multifaceted nursing care provided by the study participants, direct quotes were used to create a poetic display of nurses' experiences. Through the power of found poetry, the complexities of clients' lives, as well as the challenges and joys of home-visitation nursing, were illuminated.
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Yoshioka-Maeda K, Katayama T, Fujii H, Shiomi M, Hosoya N, Mayama T. Effectiveness of a web-based learning program for promoting local healthcare planning competencies. Public Health Nurs 2023; 40:685-695. [PMID: 37482903 DOI: 10.1111/phn.13229] [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: 04/07/2023] [Revised: 07/06/2023] [Accepted: 07/11/2023] [Indexed: 07/25/2023]
Abstract
OBJECTIVE To determine the effectiveness of a web-based educational program regarding local healthcare planning by public health nurses (PHNs) in Japan. DESIGN A single-blind randomized controlled trial. SAMPLE Full-time PHNs working for local governments across Japan. MEASUREMENTS The primary outcome was nurses' self-perception of competencies in public health policy. The secondary outcome was self-perception of knowledge, skills, and perspectives regarding local healthcare planning. We analyzed intergroup differences using the intention-to-treat principle and the Mann-Whitney U-test. INTERVENTION The intervention group received six web-based learning modules including substantial knowledge and skills regarding local healthcare planning based on the analysis, design, development, implementation, and evaluation model and adult learning theory. RESULTS Totally, 273 PHNs registered, and 38 were excluded without completing the baseline survey; 235 were randomly allocated to either the intervention (n = 118) or control (n = 117) groups. Sixty-four participants in the intervention group completed the program. Over 70% of the participants lacked opportunities to learn about local healthcare planning. The intervention group showed significant improvement in self-perception of competencies, knowledge, and skills regarding local healthcare planning, except for items related to evaluation. CONCLUSIONS The web-based learning program effectively improved participants' self-perception of competencies in local healthcare planning.
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Affiliation(s)
- Kyoko Yoshioka-Maeda
- Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
| | - Takafumi Katayama
- Department of Statistics and Computer Science, College of Nursing Art and Science, University of Hyogo, Akashi City, Hyogo, Japan
| | - Hitoshi Fujii
- Department of Medical Statistics, School of Nursing, Mejiro University, Saitama City, Saitama, Japan
| | - Misa Shiomi
- Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto City, Kyoto, Japan
| | - Noriko Hosoya
- Department of Nursing, Faculty of Healthcare Sciences, Chiba Prefectural University of Health Sciences, Chiba City, Chiba, Japan
| | - Tatsushi Mayama
- Faculty of Policy Studies, Doshisha University, Kyoto City, Kyoto, Japan
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Pirsch AM, Austin RR, Martin L, Pieczkiewicz D, Monsen KA. Using data visualization to characterize whole-person health of public health nurses. Public Health Nurs 2023; 40:612-620. [PMID: 37424148 DOI: 10.1111/phn.13224] [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: 04/10/2023] [Revised: 06/20/2023] [Accepted: 06/21/2023] [Indexed: 07/11/2023]
Abstract
OBJECTIVE To characterize patterns in whole-person health of public health nurses (PHNs). DESIGN AND SAMPLE Survey of a convenience sample of PHNs (n = 132) in 2022. PHNs self-identified as female (96.2%), white (86.4%), between the ages 25-44 (54.5%) and 45-64 (40.2%), had bachelor's degrees (65.9%) and incomes of $50-75,000 (30.3%) and $75-100,000/year (29.5%). MEASUREMENTS Simplified Omaha System Terms (SOST) within the MyStrengths+MyHealth assessment of whole-person health (strengths, challenges, and needs) across Environmental, Psychosocial, Physiological, and Health-related Behaviors domains. RESULTS PHNs had more strengths than challenges; and more challenges than needs. Four patterns were discovered: (1) inverse relationship between strengths and challenges/needs; (2) Many strengths; (3) High needs in Income; (4) Fewest strengths in Sleeping, Emotions, Nutrition, and Exercise. PHNs with Income as a strength (n = 79) had more strengths (t = 5.570, p < .001); fewer challenges (t = -5.270, p < .001) and needs (t = -3.659, p < .001) compared to others (n = 53). CONCLUSIONS PHNs had many strengths compared to previous research with other samples, despite concerning patterns of challenges and needs. Most PHN whole-person health patterns aligned with previous literature. Further research is needed to validate and extend these findings toward improving PHN health.
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Affiliation(s)
- Anna M Pirsch
- School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
| | - Robin R Austin
- School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
| | - Lisa Martin
- School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
| | - David Pieczkiewicz
- Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA
| | - Karen A Monsen
- School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
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Castner J, Stanislo K, Castner M, Monsen KA. Public health nursing workforce and learning needs: A national sample survey analysis. Public Health Nurs 2023; 40:339-352. [PMID: 36683284 PMCID: PMC10328423 DOI: 10.1111/phn.13171] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 12/12/2022] [Accepted: 12/26/2022] [Indexed: 01/24/2023]
Abstract
OBJECTIVES Generate national estimates of the public health nursing workforce's (1) demographic and work characteristics and (2) continuing education learning needs in the United States. DESIGN Secondary data analysis of the 2018 National Sample Survey of Registered Nurses. SAMPLE Total 7352 of the 50,273 survey respondents were categorized as public health nurses (PHNs), representing an estimated 467,271 national workforce. MEASUREMENTS Survey items for demographics, practice setting, training topics, and language(s) spoken fluently were analyzed. RESULTS Workforce demographic characteristics are included. Mental health training was the most frequently endorsed topic by PHNs, followed by patient-centered care and evidence-based care. Training topic needs vary by practice setting. CONCLUSIONS Results here can be used as a needs assessment for national public health nursing professional development and education initiatives. Further research is needed to refine and survey a nationally representative sample in a manner meaningful to public health nursing practice.
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Affiliation(s)
- Jessica Castner
- Administration, Castner Incorporated, Grand Island, New York
| | | | - Martin Castner
- Administration, Castner Incorporated, Grand Island, New York
- David B. Falk College of Sport and Human Dynamics, College of Arts and Sciences, Castner Incorporated, Syracuse University, Syracuse, New York
| | - Karen A Monsen
- University of Minnesota School of Nursing, Minneapolis, Minnesota
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Kodama S, Uwatoko F, Koriyama C. Relationship between changes in the public health nurses' workforce and the empirical Bayes estimates of standardized mortality ratio: a longitudinal ecological study of municipalities in Japan. BMC Health Serv Res 2023; 23:266. [PMID: 36932374 PMCID: PMC10022064 DOI: 10.1186/s12913-023-09273-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 03/09/2023] [Indexed: 03/19/2023] Open
Abstract
BACKGROUND The role of public health nurses (PHNs) in the community is expected to become increasingly important, along with the promotion of a comprehensive community care system. However, a comprehensive study of all municipalities is yet to be undertaken, and the relationship between the workforce of PHNs and health indicators is yet to be clarified. This study examined the effect of workforce change among PHNs, one of the structural indicators of PHNs' activities regarding changes in the empirical Bayes estimate of standardized mortality ratios (EBSMRs). METHODS An ecological study was conducted using municipality-level aggregate data. The data used were publicly available Japanese government statistics. The first-difference model of panel data analysis was used to examine the relationship between changes in EBSMR and changes in the number of PHNs per 100,000 population from 2010 to 2015, adjusting for the effects of population and other healthcare resources, including the number of physicians, medical clinics, general hospitals, and welfare facilities. The variation by the 47 prefectures was added to the linear model as a random effect. We also performed a sensitivity analysis using the full Bayesian inference using the Besag-York-Mollie model. RESULTS For males, EBSMRs for all causes and malignant neoplasms significantly decreased with an increase in the number of PHNs per population (coefficients: -1.00 and -0.89, p values: 0.008 and 0.043, respectively). For females, although all EBSMRs except malignant neoplasms showed decreased tendencies due to the increase in the number of PHNs per population, none of them were significant. The full Bayesian inference confirmed these associations. CONCLUSIONS An increase in the number of PHNs per population was significantly associated with a greater reduction in deaths from all causes and malignant neoplasms in males. The results of the full Bayesian inference also suggest that the workforce of PHNs may be related to changes in standardized mortality ratios for deaths from all causes in females.
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Affiliation(s)
- Shimpei Kodama
- Department of Comprehensive Community-Based Nursing Science, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8544, Japan.
| | - Futoshi Uwatoko
- Department of Epidemiology and Preventive Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
| | - Chihaya Koriyama
- Department of Epidemiology and Preventive Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
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Furushima D, Tateyama M, Chiba T, Ishikawa S, Sonobata A, Hagihara M, Matsutani M, Toyokura S. [Perception of Public Health Nurses on Health Foods and Utilization of Health Food Informationduring Specific Health Guidance]. Shokuhin Eiseigaku Zasshi 2023; 64:167-173. [PMID: 37880095 DOI: 10.3358/shokueishi.64.167] [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] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Abstract
This study aimed to investigate the awareness of public health nurses (PHNs) regarding health foods and the actual utilization of health food-related information in specific health guidance. A questionnaire survey among PHNs working in municipalities in Kagoshima Prefecture (n=170, response rate; 41.5%) was conducted in September 2022. As a result, 39.4% of the PHNs had experience using health foods, and 43.5% consulted about health food from local residents. Major topics of consultation included effectiveness (78.4%) and drug interactions (35.1%). Approximately 10.2% of the PHNs always confirm the use of health food during specific health guidance, while 41.6% did not ever check. Additionally, 36.3% of the PHN were aware of the obligation to report adverse events caused by health foods to the prefectural governments and Ministry of Health, Labor, and Welfare. The present study showed that recognition and intelligibility on health foods varied among PHNs. Therefore, knowledge acquisition on safety and efficacy is needed for proper use of health foods.
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Affiliation(s)
| | - Miku Tateyama
- School of Health Science, Faculty of Medicine, Kagoshima University
| | - Tsuyoshi Chiba
- Department of Food Function and Labeling, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition
| | - Shoko Ishikawa
- School of Health Science, Faculty of Medicine, Kagoshima University
| | - Asami Sonobata
- School of Health Science, Faculty of Medicine, Kagoshima University
| | - Miki Hagihara
- School of Health Science, Faculty of Medicine, Kagoshima University
| | - Mai Matsutani
- School of Health Science, Faculty of Medicine, Kagoshima University
| | - Serika Toyokura
- School of Health Science, Faculty of Medicine, Kagoshima University
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Valla L, Telle Hjellset V, Cvancarova Småstuen M, Sparboe-Nilsen B. Quality of life and associated factors among Norwegian public health nurse students during the first months of the COVID-19 pandemic: A cross-sectional study. PLoS One 2023; 18:e0282653. [PMID: 36928254 PMCID: PMC10019636 DOI: 10.1371/journal.pone.0282653] [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] [Received: 07/05/2022] [Accepted: 02/20/2023] [Indexed: 03/18/2023] Open
Abstract
The main objective of this study was to investigate the association between quality of life (QOL) and civil status, self-efficacy, loneliness, and physical and mental health among public health nurse (PHN) students during the COVID-19 pandemic in April 2020. PHN students were recruited from eight universities and university colleges in Norway. A range of potential predictive factors were entered into a model using a stepwise linear regression approach. In general, the PHN students reported a high level of QOL during the first month of the pandemic. The students' civil status, perceived physical health, self-efficacy and loneliness were all significantly correlated with QOL. Among these, the strongest predictive factors for QOL were found to be perceived loneliness and self-efficacy. Our results provide insight into the QOL of PHN students, which managers in the higher education sector can use to outline specific coping strategies that can help students during a pandemic.
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Affiliation(s)
- Lisbeth Valla
- Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
- Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP), Oslo, Norway
- * E-mail:
| | - Victoria Telle Hjellset
- Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
| | - Milada Cvancarova Småstuen
- Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
| | - Bente Sparboe-Nilsen
- Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
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Yokomizo A, Nagae H, Athurupana R, Nakatsuka M. Collaborative support for child abuse prevention: Perspectives of public health nurses and midwives regarding pregnant and postpartum women of concern. PLoS One 2023; 18:e0281362. [PMID: 36877696 PMCID: PMC9987797 DOI: 10.1371/journal.pone.0281362] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 01/21/2023] [Indexed: 03/07/2023] Open
Abstract
Child abuse is a globally prevalent problem, and its numbers have continuously increased in Japan over the past 30 years. Prevention of child abuse depends on the support available to pregnant and postpartum women from the time of pregnancy. Public health nurses and midwives are expected to provide preventive support in cooperation, as they can support pregnant and postpartum women from close proximity and recognize their health problems and potential signs of child abuse. This study aimed to deduce the characteristics of pregnant and postpartum women of concern, as observed by public health nurses and midwives, from the perspective of child abuse prevention. The participants comprised ten public health nurses and ten midwives with five or more years of experience working at the Okayama Prefecture municipal health centers and obstetric medical institutions. Data were collected through a semi-structured interview survey and analyzed qualitatively and descriptively using an inductive approach. The characteristics of pregnant and postpartum women, as confirmed by public health nurses, included four main categories: having "difficulties in daily life;" "a sense of discomfort of not feeling like a normal pregnant woman;" "difficulty in child-rearing behavior;" and "multiple risk factors checked by objective indicators using an assessment tool." The characteristics observed by midwives were grouped into four main categories: "mental and physical safety of the mother is in jeopardy;" have "difficulty in child-rearing behavior;" "difficulties in maintaining relationships with the surrounding people;" and "multiple risk factors recognized by an assessment tool." Public health nurses evaluated pregnant and postpartum women's daily life factors, while midwives evaluated the mothers' health conditions, their feelings toward the fetus, and stable child-rearing skills. To prevent child abuse, they utilized their respective specialties to observe those pregnant and postpartum women of concern with multiple risk factors.
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Affiliation(s)
- Akemi Yokomizo
- Graduate School of Health Sciences, Okayama University, Okayama City, Okayama Prefecture, Japan
- Department of Nursing, Faculty of Health, Medical and Welfare Sciences, Kibi International University, Takahashi City, Okayama Prefecture, Japan
- * E-mail:
| | - Hiroko Nagae
- Kameda University of Health Science, Kamogawa City, Chiba Prefecture, Japan
| | - Rukmali Athurupana
- Graduate School of Health Sciences, Okayama University, Okayama City, Okayama Prefecture, Japan
| | - Mikiya Nakatsuka
- Graduate School of Health Sciences, Okayama University, Okayama City, Okayama Prefecture, Japan
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Hosoya N, Sato N, Sugimoto K, Amamiya Y, Taira M. [Public health nurses' activities during normal times and factors associated with their promotion of residents' mutual support during disasters]. Nihon Koshu Eisei Zasshi 2022; 69:606-616. [PMID: 35545512 DOI: 10.11236/jph.21-027] [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] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Objective To clarify the actual state of activities conducted by public health nurses (PHNs) during normal times and assess factors related to the implementation of such activities for the promotion of residents' mutual support during disasters, across different municipalities in Japan.Methods We conducted a nationwide cross-sectional self-report questionnaire survey of PHNs in 1,463 municipalities. The questionnaires included descriptions of municipalities, activities related to disaster prevention and the rationale for them, and the details of activities that were being conducted to promote residents' mutual support in times of disaster. We conducted multiple logistic analyses to examine the associated factors.Results We analyzed 535 responses (valid response rate of 36.6%). The proportion of municipalities in which oriented district activity systems and oriented business activity systems were used jointly by PHNs was 81.7%. The proportion of municipalities in which PHNs participated in the formulation of regional disaster prevention plans was 31.6%. "Individual support" would be implemented for persons requiring support in evacuation activities in 41.7% of municipalities; "cooperative support for community organizations," in 34.8%; and other "activities for the purpose of residents' mutual support," in 29.9%. Reasons for not implementing such measures included "outside the division of duties" and "having no contact with residents' organizations." Logistic regression analyses showed that the oriented district activity system, participation of PHNs in the formulation of regional disaster prevention plans, and preparation of an activity manual on disaster countermeasures for PHNs were significantly associated with the performance of activities during normal times for promotion of residents' mutual support during disasters.Conclusion Our findings clarified that the PHNs' activities during normal times for the promotion of residents' mutual support during disasters were not carried out sufficiently. It is important to review activities according to the district, to ensure supervisory PHNs play a greater role, to provide external support to municipalities for the participation of PHNs in the formulation of regional disaster prevention plans, and to prepare an activity manual on disaster countermeasures for PHNs.
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Affiliation(s)
- Noriko Hosoya
- Department of Nursing, Chiba Prefectural University of Health Sciences
| | - Noriko Sato
- Department of Nursing, Chiba Prefectural University of Health Sciences
| | - Kentaro Sugimoto
- Department of Nursing, Chiba Prefectural University of Health Sciences
| | - Yuko Amamiya
- Department of Nursing, Chiba Prefectural University of Health Sciences
| | - Masumi Taira
- Department of Nursing, Chiba Prefectural University of Health Sciences
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Nishitani R, Tabuchi S, Tsukinoki R. [The practice of providing continuous employment support for the mentally handicapped by public health nurses]. Nihon Koshu Eisei Zasshi 2022; 69:536-543. [PMID: 35400727 DOI: 10.11236/jph.21-101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
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Iwasaki-Motegi R, Yoshioka-Maeda K, Honda C, Yamamoto-Mitani N. Prefectural public health nurses' support in human resource development of municipal public health nurses in Japan. Nihon Koshu Eisei Zasshi 2022; 69:417-423. [PMID: 35400724 DOI: 10.11236/jph.21-078] [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] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objective This study aimed to explore the support extended by prefectural public health nurses (PHNs) toward the human resource development (HRD) of municipal PHNs in Japan.Methods We performed a qualitative descriptive study involving nine prefectural PHNs from April 2019 to May 2020. The data were collected through semi-structured interviews using an interview guide, described qualitatively, coded, and then categorized.Results Five categories were extracted. "Clarifying the needs and problems related to HRD and daily PHN activities in the municipalities," "Creating an environment where all municipal PHNs have equal opportunities for off-the-job training," and "Helping municipal PHNs recognize the meaning of practice and develop an evaluation perspective" were extracted from the prefectural government PHNs and prefectural health center (HC) PHNs. "Clarifying problems and future prospects to encourage the growth of PHNs" and "Creating an environment where the significance and value of the activities of PHNs are recognized within the organization and HRD can easily take place" were extracted from the HC PHNs.Conclusion Much of the HRD support provided by the prefectural PHNs to the municipal PHNs was analogous to the PHN activities provided to the community and residents. To promote HRD effectively, prefectural PHNs should apply their individual care skills to the HRD of municipal PHNs.
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Affiliation(s)
- Riho Iwasaki-Motegi
- Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine & Global Nursing Research Center, The University of Tokyo
| | | | - Chikako Honda
- Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine & Global Nursing Research Center, The University of Tokyo
| | - Noriko Yamamoto-Mitani
- Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine & Global Nursing Research Center, The University of Tokyo
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Monsen KA. Trust, Translation, and Transparency in Public Health Nurse Family Home Visiting. Am J Public Health 2022; 112:S220-S221. [PMID: 35679571 PMCID: PMC9184908 DOI: 10.2105/ajph.2022.306850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2022] [Indexed: 11/04/2022]
Affiliation(s)
- Karen A Monsen
- Karen A. Monsen is with the School of Nursing, University of Minnesota, Minneapolis. She is also a Guest Editor for this special issue
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Harris OO, Taylor KD, Maher A, Willard-Grace R. Health Coaching Across the Stages of Vaccine Readiness and Action: A Practical Guide for Public Health Nurses. Am J Public Health 2022; 112:S245-S249. [PMID: 35679570 PMCID: PMC9184909 DOI: 10.2105/ajph.2022.306774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/26/2022] [Indexed: 11/04/2022]
Affiliation(s)
- Orlando O Harris
- Orlando O. Harris is with the Department of Community Health Systems, School of Nursing, and the Center for AIDS Prevention Studies, Division of Prevention Science, Department of Medicine, University of California, San Francisco. Kelly D. Taylor and Andrew Maher are with the University of California, San Francisco Pandemic Initiative for Equity and Action, Institute for Global Health Sciences, University of California, San Francisco. Rachel Willard-Grace is with the Center for Excellence in Primary Care in the Department of Family & Community Medicine, University of California, San Francisco
| | - Kelly D Taylor
- Orlando O. Harris is with the Department of Community Health Systems, School of Nursing, and the Center for AIDS Prevention Studies, Division of Prevention Science, Department of Medicine, University of California, San Francisco. Kelly D. Taylor and Andrew Maher are with the University of California, San Francisco Pandemic Initiative for Equity and Action, Institute for Global Health Sciences, University of California, San Francisco. Rachel Willard-Grace is with the Center for Excellence in Primary Care in the Department of Family & Community Medicine, University of California, San Francisco
| | - Andrew Maher
- Orlando O. Harris is with the Department of Community Health Systems, School of Nursing, and the Center for AIDS Prevention Studies, Division of Prevention Science, Department of Medicine, University of California, San Francisco. Kelly D. Taylor and Andrew Maher are with the University of California, San Francisco Pandemic Initiative for Equity and Action, Institute for Global Health Sciences, University of California, San Francisco. Rachel Willard-Grace is with the Center for Excellence in Primary Care in the Department of Family & Community Medicine, University of California, San Francisco
| | - Rachel Willard-Grace
- Orlando O. Harris is with the Department of Community Health Systems, School of Nursing, and the Center for AIDS Prevention Studies, Division of Prevention Science, Department of Medicine, University of California, San Francisco. Kelly D. Taylor and Andrew Maher are with the University of California, San Francisco Pandemic Initiative for Equity and Action, Institute for Global Health Sciences, University of California, San Francisco. Rachel Willard-Grace is with the Center for Excellence in Primary Care in the Department of Family & Community Medicine, University of California, San Francisco
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Van Lieshout RJ, Layton H, Savoy CD, Haber E, Feller A, Biscaro A, Bieling PJ, Ferro MA. Public Health Nurse-delivered Group Cognitive Behavioural Therapy for Postpartum Depression: A Randomized Controlled Trial. Can J Psychiatry 2022; 67:432-440. [PMID: 35060398 PMCID: PMC9152236 DOI: 10.1177/07067437221074426] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
OBJECTIVES To examine the effectiveness of group cognitive behavioural therapy (CBT) for postpartum depression (PPD) delivered by public health nurses with little to no previous psychiatric training at improving depression, worry, social support and the mother-infant relationship. METHODS Mothers (n = 141) living in Ontario, Canada with Edinburgh Postnatal Depression Scale Scores ≥10 and an infant <12 months of age were randomized to receive nine weekly 2-h sessions of in-person group CBT for PPD delivered by two public health nurses plus treatment as usual (TAU; experimental group) or TAU alone (control group). Primary outcomes were change in EPDS score and current major depressive disorder (Mini International Neuropsychiatric Interview) assessed immediately post-treatment (T2). Secondary outcomes included maternal worry, social support, and quality of the mother-infant relationship. All outcomes were assessed again six months post-treatment (T3). RESULTS Participants in the experimental group had statistically significantly greater reductions in PPD symptoms immediately post-treatment (T2) (B = -5.35, p < 0.01), were more likely to manifest a clinically significant improvement in EPDS scores (≥4 points; OR = 3.44, 95%CI: 1.49-7.94), and no longer have symptoms consistent with current MDD (OR = 5.31, 95% CI: 1.78-15.83). Six months post-treatment (T3), experimental group participants had higher odds of clinically significant PPD improvement (OR = 5.10, 95%CI: 1.89-13.78), while 25% of the experimental group and 70% of remaining control group participants reported current MDD (p < 0.01). Statistically significant improvements in worry and the mother-infant relationship were also observed, decreases maintained at six months post-treatment. CONCLUSIONS Public health nurses with little to no previous psychiatric training can be trained to deliver effective group CBT for PPD to improve depression, worry, and the mother-infant relationship. Task shifting PPD treatment with group CBT to public health nurses could improve treatment uptake and lead to better outcomes for mothers, families, and the healthcare system.(Trial Registration NCT03039530).
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Affiliation(s)
- Ryan J. Van Lieshout
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
| | - Haley Layton
- Health Research Methodology Graduate Program, McMaster University, Hamilton, Ontario, Canada
| | - Calan D. Savoy
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
| | - Erika Haber
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
| | - Andrea Feller
- Public Health and Emergency Services, Regional Municipality of Niagara, Thorold, Ontario, Canada
| | - Anne Biscaro
- Family Health Division, Niagara Region Public Health and Emergency Services, Thorold, Ontario, Canada
| | - Peter J. Bieling
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
| | - Mark A. Ferro
- School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada
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Monsen KA, Waters CM, McCauley LA. Public Health Nurses: The Most Essential Single Factor. Am J Public Health 2022; 112:S213. [PMID: 35679554 PMCID: PMC9184922 DOI: 10.2105/ajph.2022.306885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Kneipp SM, Edmonds JK, Cooper J, Campbell LA, Little SH, Mix AK. Enumeration of Public Health Nurses in the United States: Limits of Current Standards. Am J Public Health 2022; 112:S292-S297. [PMID: 35679547 PMCID: PMC9184893 DOI: 10.2105/ajph.2022.306782] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/07/2022] [Indexed: 11/04/2022]
Abstract
Recent national initiatives in nursing and public health have emphasized the need for a robust public health nursing (PHN) workforce. In this article, we analyze the extent to which recent national enumeration surveys base their counts of this workforce on the definitions, scope, and standards for practice and practice competencies of the PHN nursing specialty. By and large, enumeration surveys continue to rely on practice setting to define the PHN workforce, which is an insufficient approach for meeting the goals of major nursing and public health initiatives. We make recommendations for the development of new standards for PHN enumeration to strengthen the broader public health infrastructure and evaluate PHN contributions to population-level outcomes. (Am J Public Health. 2022;112(S3):S292-S297. https://doi.org/10.2105/AJPH.2022.306782).
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Affiliation(s)
- Shawn M Kneipp
- Shawn M. Kneipp is with the School of Nursing, University of North Carolina at Chapel Hill, and is the immediate past chair of the American Public Health Association's Public Health Nursing Section. Joyce K. Edmonds is with the William F. Connell School of Nursing, Boston College, Chestnut Hill, MA, and is the current chair of the American Public Health Association's Public Health Nursing Section. Jennifer Cooper is with the Hood College Department of Nursing, Frederick, MD. Lisa A. Campbell is with the School of Nursing, Texas Tech University Health Sciences Center, Lubbock, and is chair of the Council of Public Health Nursing Organizations. Susan Haynes Little is with the North Carolina Department of Health and Human Services Division of Public Health, Raleigh. Aisha K. Mix is with the US Public Health Service, Washington, DC
| | - Joyce K Edmonds
- Shawn M. Kneipp is with the School of Nursing, University of North Carolina at Chapel Hill, and is the immediate past chair of the American Public Health Association's Public Health Nursing Section. Joyce K. Edmonds is with the William F. Connell School of Nursing, Boston College, Chestnut Hill, MA, and is the current chair of the American Public Health Association's Public Health Nursing Section. Jennifer Cooper is with the Hood College Department of Nursing, Frederick, MD. Lisa A. Campbell is with the School of Nursing, Texas Tech University Health Sciences Center, Lubbock, and is chair of the Council of Public Health Nursing Organizations. Susan Haynes Little is with the North Carolina Department of Health and Human Services Division of Public Health, Raleigh. Aisha K. Mix is with the US Public Health Service, Washington, DC
| | - Jennifer Cooper
- Shawn M. Kneipp is with the School of Nursing, University of North Carolina at Chapel Hill, and is the immediate past chair of the American Public Health Association's Public Health Nursing Section. Joyce K. Edmonds is with the William F. Connell School of Nursing, Boston College, Chestnut Hill, MA, and is the current chair of the American Public Health Association's Public Health Nursing Section. Jennifer Cooper is with the Hood College Department of Nursing, Frederick, MD. Lisa A. Campbell is with the School of Nursing, Texas Tech University Health Sciences Center, Lubbock, and is chair of the Council of Public Health Nursing Organizations. Susan Haynes Little is with the North Carolina Department of Health and Human Services Division of Public Health, Raleigh. Aisha K. Mix is with the US Public Health Service, Washington, DC
| | - Lisa A Campbell
- Shawn M. Kneipp is with the School of Nursing, University of North Carolina at Chapel Hill, and is the immediate past chair of the American Public Health Association's Public Health Nursing Section. Joyce K. Edmonds is with the William F. Connell School of Nursing, Boston College, Chestnut Hill, MA, and is the current chair of the American Public Health Association's Public Health Nursing Section. Jennifer Cooper is with the Hood College Department of Nursing, Frederick, MD. Lisa A. Campbell is with the School of Nursing, Texas Tech University Health Sciences Center, Lubbock, and is chair of the Council of Public Health Nursing Organizations. Susan Haynes Little is with the North Carolina Department of Health and Human Services Division of Public Health, Raleigh. Aisha K. Mix is with the US Public Health Service, Washington, DC
| | - Susan Haynes Little
- Shawn M. Kneipp is with the School of Nursing, University of North Carolina at Chapel Hill, and is the immediate past chair of the American Public Health Association's Public Health Nursing Section. Joyce K. Edmonds is with the William F. Connell School of Nursing, Boston College, Chestnut Hill, MA, and is the current chair of the American Public Health Association's Public Health Nursing Section. Jennifer Cooper is with the Hood College Department of Nursing, Frederick, MD. Lisa A. Campbell is with the School of Nursing, Texas Tech University Health Sciences Center, Lubbock, and is chair of the Council of Public Health Nursing Organizations. Susan Haynes Little is with the North Carolina Department of Health and Human Services Division of Public Health, Raleigh. Aisha K. Mix is with the US Public Health Service, Washington, DC
| | - Aisha K Mix
- Shawn M. Kneipp is with the School of Nursing, University of North Carolina at Chapel Hill, and is the immediate past chair of the American Public Health Association's Public Health Nursing Section. Joyce K. Edmonds is with the William F. Connell School of Nursing, Boston College, Chestnut Hill, MA, and is the current chair of the American Public Health Association's Public Health Nursing Section. Jennifer Cooper is with the Hood College Department of Nursing, Frederick, MD. Lisa A. Campbell is with the School of Nursing, Texas Tech University Health Sciences Center, Lubbock, and is chair of the Council of Public Health Nursing Organizations. Susan Haynes Little is with the North Carolina Department of Health and Human Services Division of Public Health, Raleigh. Aisha K. Mix is with the US Public Health Service, Washington, DC
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Huling JD, Austin RR, Lu SC, Doran MM, Swarr VJ, Monsen KA. Public Health Nurse Tailored Home Visiting and Parenting Behavior for Families at Risk for Referral to Child Welfare Services, Colorado: 2018-2019. Am J Public Health 2022; 112:S306-S313. [PMID: 35679563 PMCID: PMC9184901 DOI: 10.2105/ajph.2022.306792] [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] [Accepted: 02/12/2022] [Indexed: 11/04/2022]
Abstract
Objectives. To examine public health nurse (PHN) intervention tailoring through the Colorado Nurse Support Program (NSP). Our 2 specific aims were to describe the NSP program and its outcomes and to determine the effects of modifying interventions on short- and long-term outcomes among NSP clients. Methods. In our retrospective causal investigation of 150 families in Colorado in 2018-2019, intervention effects were modeled via longitudinal modified treatment policy analyses. Results. Families served by PHNs improved in terms of knowledge, behavior, and status outcomes after receiving multidimensional, tailored home visiting interventions. Case management interventions provided in the first month of PHN home visits had lasting effects on behavior outcomes, and 2 additional case management interventions in the first month were estimated to have even more of an impact. Conclusions. Modern causal inference methods and real-world PHN data revealed a nuanced, fine-grained understanding of the real impact of tailored PHN interventions. Public Health Implications PHN programs such as the NSP and use of the Omaha System should be supported and extended to advance evaluations of intervention effectiveness and knowledge discovery and improve population health. (Am J Public Health. 2022;112(S3):S306-S313. https://doi.org/10.2105/AJPH.2022.306792).
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Affiliation(s)
- Jared D Huling
- Jared D. Huling is with the University of Minnesota School of Public Health, Minneapolis. Robin R. Austin and Karen A. Monsen are with the University of Minnesota School of Nursing. Sheng-Chieh Lu is with the Department of Symptom Research, University of Texas MD Anderson Cancer Center, Houston. Mary M. Doran and Vicki J. Swarr are with the Tri-County Health Department, Westminster, CO. Karen A. Monsen is also a Guest Editor for this special issue
| | - Robin R Austin
- Jared D. Huling is with the University of Minnesota School of Public Health, Minneapolis. Robin R. Austin and Karen A. Monsen are with the University of Minnesota School of Nursing. Sheng-Chieh Lu is with the Department of Symptom Research, University of Texas MD Anderson Cancer Center, Houston. Mary M. Doran and Vicki J. Swarr are with the Tri-County Health Department, Westminster, CO. Karen A. Monsen is also a Guest Editor for this special issue
| | - Sheng-Chieh Lu
- Jared D. Huling is with the University of Minnesota School of Public Health, Minneapolis. Robin R. Austin and Karen A. Monsen are with the University of Minnesota School of Nursing. Sheng-Chieh Lu is with the Department of Symptom Research, University of Texas MD Anderson Cancer Center, Houston. Mary M. Doran and Vicki J. Swarr are with the Tri-County Health Department, Westminster, CO. Karen A. Monsen is also a Guest Editor for this special issue
| | - Mary M Doran
- Jared D. Huling is with the University of Minnesota School of Public Health, Minneapolis. Robin R. Austin and Karen A. Monsen are with the University of Minnesota School of Nursing. Sheng-Chieh Lu is with the Department of Symptom Research, University of Texas MD Anderson Cancer Center, Houston. Mary M. Doran and Vicki J. Swarr are with the Tri-County Health Department, Westminster, CO. Karen A. Monsen is also a Guest Editor for this special issue
| | - Vicki J Swarr
- Jared D. Huling is with the University of Minnesota School of Public Health, Minneapolis. Robin R. Austin and Karen A. Monsen are with the University of Minnesota School of Nursing. Sheng-Chieh Lu is with the Department of Symptom Research, University of Texas MD Anderson Cancer Center, Houston. Mary M. Doran and Vicki J. Swarr are with the Tri-County Health Department, Westminster, CO. Karen A. Monsen is also a Guest Editor for this special issue
| | - Karen A Monsen
- Jared D. Huling is with the University of Minnesota School of Public Health, Minneapolis. Robin R. Austin and Karen A. Monsen are with the University of Minnesota School of Nursing. Sheng-Chieh Lu is with the Department of Symptom Research, University of Texas MD Anderson Cancer Center, Houston. Mary M. Doran and Vicki J. Swarr are with the Tri-County Health Department, Westminster, CO. Karen A. Monsen is also a Guest Editor for this special issue
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Yokoyama Y, Hatakeyama N, Murakami N. [Perceptual changes among public health nurses brought on through a newly adopted system for providing continuous support in the municipality: Modelled at its core on Finnish practice for maternity and child health clinics (Neuvola)]. Nihon Koshu Eisei Zasshi 2022; 69:357-367. [PMID: 35296591 DOI: 10.11236/jph.21-066] [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] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objectives This study targeted public health nurses in a Japanese municipality that had newly adopted the core components of the Finnish system to provide continuous support to families with children until preschool. It sought to analyze changes in their perceptions for activities in maternal and child health care before and after the adoption.Methods Relevant data were collected through semi-structured focus group interviews, following an interview guide, conducted from September to October 2020. The study protocol was approved by the Ethics Committee of Osaka City University in Japan.Results A total of 12 public health nurses participated. Prior to the adoption of the system modelled on Finnish practice, these nurses were dedicated to addressing the risks regarding families with children (especially those at high risk) through continuous engagement. However, they were hesitant to proactively engage with families at lower risk as non-continuous, one-off engagements resulted in a patchwork response. After the system was adopted, the nurses became aware of the trust cultivated with families under their care, which included those at lower risk, that enabled them to respond to the changing needs flexibly. The nurses recognized that they had acquired the capability to notice the subtle signs of changes, engage more proactively with the families under their care, and deliver the necessary preventive interventions at an early stage. They also demonstrated joy and satisfaction derived from the growth of children and mothers under their care, as well as keen awareness of the need to improve their professional skills, even though they were busy.Conclusion These findings indicate that the continuous support system modelled on the core components from Finland enables public health nurses to proactively engage with families at lower risk and deliver preventive interventions at an early stage. The system also motivated Japanese public health nurses who found greater pleasure in their work.
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Chang TH, Liou HC, Lee LL, Lin YP, Hsieh MH, Lee I, Liou YM, Chen CM, Wang HH, Tsai HM. [Reflections on the Prospective Professional Competency of Taiwan Public Health Nurses]. Hu Li Za Zhi 2022; 69:89-96. [PMID: 35318636 DOI: 10.6224/jn.202204_69(2).11] [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] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Societal ageing, the rising prevalence of chronic diseases, and the COVID-19 pandemic have changed the global healthcare environment dramatically. These challenges have significantly burdened community medical and healthcare systems and complicated the work of public health nursing. As an important care provider on the frontlines of primary care, public health nurses (PHNs) must keep up with the current state of the medical environment and statistical data interpretation, scientific data translation, community resource sharing, and telehealth applications. These demands have greatly impacted the traditional routines and existing professional core competencies of PHNs. Discussions among 12 Taiwanese public healthcare experts and the definition of public health nursing capacity from World Health Organization were considered in this review. In addition to reflecting on social changes and the professional development of public health nursing, eight prospective recommendations were provided in this review to enhance the professional competence of PHNs and better prepare them for future changes in the health environment and primary healthcare. The suggestions provide a reference for updating the position statement of PHNs.
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Affiliation(s)
- Tsai-Hsiu Chang
- PhD, RN, Associate Professor, Department of Nursing, HungKuang University, Taiwan, ROC
| | - Hsiao-Chien Liou
- BSN, RN, Dongshi District Public Health Center, Taichung City, Taiwan, ROC. and Director, Taiwan Community Health Nurses Association, Taiwan, ROC
| | - Ling-Ling Lee
- PhD, RN, Associate Professor, Department of Nursing, Tzu Chi University of Science and Technology, Taiwan, ROC
| | - Yun-Ping Lin
- PhD, RN, Associate Professor, School of Nursing, China Medical University, Taiwan, ROC
| | - Mei-Hui Hsieh
- PhD, RN, Minister, Department of Nursing, Landseed International Hospital, Taiwan, ROC
| | - I Lee
- PhD, RN, Assistant Professor, Department of Nursing, I-Shou University, Taiwan, ROC
| | - Yiing-Mei Liou
- PhD, RN, Distinguished Professor, Institute of Community Health Care, National Yang Ming Chiao Tung University, Taiwan, ROC
| | - Ching-Min Chen
- DNS, RN, Professor, Department of Nursing, National Cheng Kung University, Taiwan, ROC
| | - Hsiu-Hung Wang
- PhD, RN, FAAN, Professor, College of Nursing, Kaohsiung Medical University, Taiwan, ROC
| | - Hsiu-Min Tsai
- PhD, RN, Distinguished Professor, College of Nursing, Chang Gung University of Science and Technology, and Research Fellow, Management Department, Linkou Chang Gung Memorial Hospital, Taiwan, ROC.
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Kasahara M, Chiba A, Ohnishi M. [Impact of COVID-19 on Japanese municipal public health nurses and public health practices related to communication with community residents]. Nihon Koshu Eisei Zasshi 2022; 69:225-235. [PMID: 35082223 DOI: 10.11236/jph.21-054] [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] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Objective This study analyzed the impact of COVID-19 on municipal public health nurses and public health practices related to communication with community residents.Method A self-administered questionnaire survey targeted 474 public health nurses working in 40 municipalities in Japan's Aomori Prefecture. Participants were asked about the following basic attributes: whether they provided care for people who were COVID-19 positive or were in close contact with infected people; physical or mental impacts; how each work area was impacted; how mask-wearing affected their communication with community residents; positive and negative aspects of current infection-control measures; how they communicated and shared information with residents as they provided care; challenges and initiatives; and creative work efforts. We conducted the survey from September 23 to October 7, 2020, and analyzed the data using SPSS and KH Coder.Results We received 228 responses (48.1% valid responses); 11.4% reported that they provided care or were in close contact with people who were COVID-19 positive. At least 60% of respondents had been impacted mentally. Mask-wearing hindered communication with community residents, however, it did not significantly impact trust-building. COVID-19 measures had a positive impact on respondents' public health work as infection-prevention awareness increased and infection-control measures advanced. Meetings, including online conferences, became more efficient, and nurses had opportunities to reexamine their work performance. Negative consequences included weakened communication with residents, slander against infected people, increased stress among residents, repercussions from not going out, and difficulty implementing necessary public health services. Most of the interaction, information sharing, and support for residents were carried out over the phone. Responses regarding new challenges and initiatives were classified into six categories: public health services that consider infection-control measures; various preventive measures; efforts to establish new lifestyles; review of methods for conducting group-health check-ups; review of operations and implementation of creative efforts in providing health guidance; and review of meetings, training sessions, and online conferences.Conclusion The survey revealed that COVID-19 affected most public health nurses mentally. Challenges in providing in-person care were reported. Nurses faced significant obstacles communicating with residents; however, they reported that services incorporating infection-control measures were progressively gaining traction. Nurses are exploring new communication methods based on established community trust. Furthermore, it is necessary to explore public health services that fulfill both the current and future community requirements.
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Marcellus L, Tonmyr L, Jack SM, Gonzalez A, Sheenan D, Varcoe C, Kurtz Landy C, Campbell K, Catherine N, MacMillan H, Waddell C. Public health nurses' perceptions of their interactions with child protection services when supporting socioeconomically disadvantaged young mothers in British Columbia, Canada. Child Abuse Negl 2022; 124:105426. [PMID: 34995927 DOI: 10.1016/j.chiabu.2021.105426] [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: 05/19/2021] [Revised: 11/10/2021] [Accepted: 12/01/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND Children of girls and young women experiencing socioeconomic disadvantage are at risk of maltreatment and associated health and developmental problems. Nurse-Family Partnership (NFP) is an early intervention program designed to improve child and maternal health outcomes. The effectiveness of NFP is being evaluated in British Columbia (BC) through a randomized controlled trial, augmented by a process evaluation to identify influences on how NFP was implemented. OBJECTIVE To describe how public health nurses providing NFP perceived their interactions with child protection professionals. PARTICIPANTS AND SETTING Forty-seven public health nurses across BC. METHODS The principles of interpretive description informed the qualitative component of the process evaluation. Data from interviews and focus groups were analyzed using the framework analysis approach. A thematic framework was generated through processes of coding, charting and mapping, with a focus on organizational and systems influences. RESULTS Nurses' practice in supporting families often involved engagement with child protection services. Four themes about the nature of this work were identified: 1) developing a deeper understanding of the disciplinary perspectives of child protection, 2) striving for strengthened collaboration, 3) navigating change and uncertainty, and 4) responding to family and community complexity. CONCLUSIONS Participants valued the contribution of child protection professionals and expressed willingness to collaborate to support families. However, collaboration was constrained by multiple structural barriers. Collaborative models offer possibilities for integrated practice, although can be difficult to implement within current health and child protection systems and child protection regulatory contexts.
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Affiliation(s)
- Lenora Marcellus
- School of Nursing, University of Victoria, PO Box 1700 STN CSC, Victoria, BC, Canada.
| | - Lil Tonmyr
- Public Health Agency of Canada, Family Violence Surveillance, 785 Carling, AL 6807B, Ottawa, ON K1A 0K9, Canada.
| | - Susan M Jack
- School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada.
| | - Andrea Gonzalez
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada.
| | - Debbie Sheenan
- Children's Health Policy Centre, Faculty of Health Sciences, Simon Fraser University, 515 West Hastings Street, Vancouver, BC V6B 5K3, Canada
| | - Colleen Varcoe
- School of Nursing, T201-2211 Wesbrook Mall, University of British Columbia, Vancouver, BC V6T 2B5, Canada.
| | | | - Karen Campbell
- School of Nursing, Western University, London, ON N6A 3K7, Canada.
| | - Nicole Catherine
- Children's Health Policy Centre, Faculty of Health Sciences, Simon Fraser University, 515 West Hastings Street, Vancouver, BC V6B 5K3, Canada.
| | - Harriet MacMillan
- Offord Centre for Child Studies, McMaster Innovation Park, Suite 201A, McMaster University, 1280 Main St. West, Hamilton, ON L8S 4K1, Canada.
| | - Charlotte Waddell
- Children's Health Policy Centre, Faculty of Health Sciences, Simon Fraser University, 515 West Hastings Street, Vancouver, BC V6B 5K3, Canada.
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Kim MN, Yoo YS, Cho OH, Hwang KH. Emotional Labor and Burnout of Public Health Nurses during the COVID-19 Pandemic: Mediating Effects of Perceived Health Status and Perceived Organizational Support. Int J Environ Res Public Health 2022; 19:ijerph19010549. [PMID: 35010814 PMCID: PMC8744956 DOI: 10.3390/ijerph19010549] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 12/31/2021] [Accepted: 01/02/2022] [Indexed: 02/06/2023]
Abstract
The purpose of this study was to identify the mediating effects of perceived health status (PHS) and perceived organizational support (POS) in the association between emotional labor and burnout in public health nurses (PHNs). The participants were 207 PHNs convenience sampled from 30 public health centers and offices in Jeju, Korea. Data regarding emotional labor, PHS, POS, and burnout were collected between February and March 2021 using a structured questionnaire. Collected data were analyzed by Pearson’s correlation coefficient and multiple regression analysis. Burnout of PHNs was positively correlated with emotional labor (r = 0.64, p < 0.001) and negatively correlated with PHS (r = −0.51, p < 0.001) and POS (r = −0.51, p < 0.001). In the association between emotional labor and burnout, PHS (B = −1.36, p < 0.001) and POS (B = −0.42, p = 0.001) had a partial mediating effect. Reduction of burnout among PHNs requires not only effective management of emotional labor but also personal and organizational efforts to improve PHS and POS.
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Affiliation(s)
- Mi-Na Kim
- College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seoul 06591, Korea;
| | - Yang-Sook Yoo
- College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seoul 06591, Korea;
- Correspondence:
| | - Ok-Hee Cho
- Department of Nursing, College of Nursing and Health, Kongju National University, 56 Gongju-deahak-ro, Gongju-si 32588, Korea;
| | - Kyung-Hye Hwang
- Department of Nursing, Suwon Science College, 288 Seja-ro, Hwaseong-si 18516, Korea;
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Ergin E, Altinel B, Aktas E. A mixed method study on global warming, climate change and the role of public health nurses from the perspective of nursing students. Nurse Educ Today 2021; 107:105144. [PMID: 34537496 DOI: 10.1016/j.nedt.2021.105144] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 02/14/2021] [Revised: 08/26/2021] [Accepted: 09/07/2021] [Indexed: 06/13/2023]
Abstract
AIM This study aims to evaluate the knowledge and awareness of the nursing students taking the Public Health Nursing course about global warming, climate change, the impact on health and the role of the public health nurse. DESIGN The study is a mixed method study that includes descriptive data and focus group discussions on global warming, the effects of climate change and the role of the public health nurse. METHODS The data were collected from the nursing faculty of a university located in the Central Anatolia region, where agricultural lands are widespread and climate change effects are most commonly observed. The data were collected from 154 undergraduate senior nursing students between February 2020 and May 2020. Firstly, the students completed the Global Warming Questionnaire that includes 26 items about global warming, climate change, their effects and the role of the public health nurse. Secondly, some students (n = 19) selected through the purposive sampling method participated in online focus group meetings. RESULTS Our study revealed that 87.7% of the students know the main cause of climate change. The mean scale scores of the students who watch documentaries on the environment, who participate in activities related to the environment, and who know that climate change, sustainable development and health services are closely related were found to be statistically significantly higher (p ≤ 0.005). The views of the students on global warming and the environment were analyzed in focus group interviews according to five themes (global warming perception; the impact of global warming on health; methods of protection; roles of nurses; nursing education). CONCLUSION Global warming and climate change are sensitive and important issues that cannot be evaluated considering only knowledge level. IMPACT Global warming, climate change, their effects on health and the roles and responsibilities of nurses need to be included in the nursing curricula so that health professionals who can take measures against global warming, climate change and their health effects can be educated.
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Affiliation(s)
- Emine Ergin
- Istanbul Aydin University, Faculty of Health Science, Nursing Department, Istanbul, Turkey.
| | - Busra Altinel
- Selcuk University, Faculty of Health Science, Nursing Department, Konya, Turkey.
| | - Emine Aktas
- İstanbul University-Cerrahpaşa, Florence Nightingale Faculty of Nursing, Public Health Nursing Department, Istanbul, Turkey.
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Zhang D, Liao H, Jia Y, Yang W, He P, Wang D, Chen Y, Yang W, Zhang YP. Effect of virtual reality simulation training on the response capability of public health emergency reserve nurses in China: a quasiexperimental study. BMJ Open 2021; 11:e048611. [PMID: 34551944 PMCID: PMC8460527 DOI: 10.1136/bmjopen-2021-048611] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE To develop a virtual reality simulation training programme, and further verify the effect of the programme on improving the response capacity of emergency reserve nurses confronting public health emergencies. DESIGN A prospective quasiexperimental design with a control group. PARTICIPANTS A total of 120 nurses were recruited and randomly divided into the control group and the intervention group. INTERVENTION Participants underwent a 3-month training. The control group received the conventional training of emergency response (eg, theoretical lectures, technical skills and psychological training), while the intervention group underwent the virtual reality simulation training in combination with skills training. The COVID-19 cases were incorporated into the intervention group training, and the psychological training was identical to both groups. At the end of the training, each group conducted emergency drills twice. Before and after the intervention, the two groups were assessed for the knowledge and technical skills regarding responses to fulminate respiratory infectious diseases, as well as the capacity of emergency care. Furthermore, their pandemic preparedness was assessed with a disaster preparedness questionnaire. RESULTS After the intervention, the scores of the relevant knowledge, the capacity of emergency care and disaster preparedness in the intervention group significantly increased (p<0.01). The score of technical skills in the control group increased more significantly than that of the intervention group (p<0.01). No significant difference was identified in the scores of postdisaster management in two groups (p>0.05). CONCLUSION The virtual reality simulation training in combination with technical skills training can improve the response capacity of emergency reserve nurses as compared with the conventional training. The findings of the study provide some evidence for the emergency training of reserve nurses in better response to public health emergencies and suggest this methodology is worthy of further research and popularisation.
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Affiliation(s)
- Dandan Zhang
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
| | - Hongwu Liao
- Institute of Clinical Research, Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, China
| | - Yitong Jia
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
| | - Wenren Yang
- Institute of Clinical Research, Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, China
| | - Pingping He
- School of Nursing, Hengyang Medical School, University of South China, Hengyang, Hunan, China
| | - Dongmei Wang
- Institute of Clinical Research, Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, China
| | - Yongjun Chen
- Institute of Clinical Research, Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, China
| | - Wei Yang
- Institute of Clinical Research, Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, China
| | - Yin-Ping Zhang
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
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O'Byrne P, Vandyk A, Orser L, Haines M. Nurse-led PrEP-RN clinic: a prospective cohort study exploring task-Shifting HIV prevention to public health nurses. BMJ Open 2021; 11:e040817. [PMID: 33414144 PMCID: PMC7797243 DOI: 10.1136/bmjopen-2020-040817] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 10/31/2020] [Accepted: 12/11/2020] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE To report the results of a nurse-led pre-exposure prophylaxis (PrEP) delivery service. DESIGN This was a prospective cohort study conducted from 5 August 2018 to 4 March 2020. It involved manual chart review to collect data. Variables were described using frequencies and percentages and analysed using χ2 testing. Those significant in bivariate analysis were retained and entered into a binary multiple logistic regression. Hierarchical modelling was used, and only significant factors were retained. SETTING This study occurred in an urban public health unit and community-based sexually transmitted infection (STI) clinic in Ottawa, Canada. PARTICIPANTS Of all persons who were diagnosed with a bacterial STI in Ottawa and everyone who presented to our STI clinic during the study period, there were 347 patients who met our high-risk criteria for PrEP; these criteria included patients who newly presented with any of the following: HIV contacts, diagnosed with a bacterial STI or single use of HIV PEP. Further, eligibility could be determined based on clinical judgement. Patients who met the foregoing criteria were appropriate for PrEP-RN, while lower-risk patients were referred to elsewhere. Of the 347 patients who met our high-risk criteria, 47% accepted and 53% declined. Of those who accepted, 80% selected PrEP-registered nurse (RN). PRIMARY AND SECONDARY OUTCOME MEASURES Uptake, acceptance, engagement and attrition factors of participants who obtained PrEP through PrEP-RN. FINDINGS 69% of participants who were eligible attended their intake PrEP-RN visit. 66% were retained in care. Half of participants continued PrEP and half were lost to follow-up. We found no significant differences in the uptake, acceptance, engagement and attrition factors of participants who accessed PrEP-RN regarding reason for referral, age, ethnicity, sexual orientation, annual income, education attainted, insurance status, if they have a primary care provider, presence or absence of depression or anxiety and evidence of newly acquired STI during the study period. CONCLUSIONS Nurse-led PrEP is an appropriate strategy for PrEP delivery.
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Affiliation(s)
- Patrick O'Byrne
- School of Nursing, University of Ottawa, Ottawa, Ontario, Canada
| | - Amanda Vandyk
- School of Nursing, University of Ottawa, Ottawa, Ontario, Canada
| | - Lauren Orser
- School of Nursing, University of Ottawa, Ottawa, Ontario, Canada
| | - Marlene Haines
- School of Nursing, University of Ottawa, Ottawa, Ontario, Canada
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Mori H, Obuchi SP, Sugawara Y, Nakayama T, Takahashi R. Comparison of Two Evacuation Shelter Operating Policies and the Role of Public Health Nurses after the Great East Japan Earthquake: A Qualitative Study. Int J Environ Res Public Health 2020; 17:ijerph17228310. [PMID: 33182733 PMCID: PMC7696834 DOI: 10.3390/ijerph17228310] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 11/05/2020] [Accepted: 11/07/2020] [Indexed: 11/16/2022]
Abstract
This study describes shelter operations by public health nurses (PHNs) in Kesennuma City, located near the epicenter of the Great East Japan Earthquake, which occurred on March 11, 2011. The data were semi-structured interviews with 10 PHNs, 2 nutritionists, and 2 general administrators conducted from July 2013 to January 2014. All transcripts were analyzed using the constructivist grounded theory approach. We identified two operating methods for shelters: shelters stationed by PHNs in the Old City, and shelters patrolled by PHNs in the merged district. These methods were compared using four themes. In emergency situations, "operational periods," a predetermined short term for a leader to perform his/her duties responsibly, could be adopted for relatively small organizations on the frontline. PHNs must not only attempt to operate shelters on their own but also encourage residents to manage the shelters as well. Moreover, human resource allocation should be managed independently of personal factors, as strong relationships between shelter residents would sometimes disturb the flexibility of the response. Even when a situation requires PHNs to stay in shelters, frequent collecting of information and updating the plan according to response progress will help to maintain effective shelter operations.
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Affiliation(s)
- Hiroko Mori
- Human Care Research Team, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan; (S.P.O.); (Y.S.); (R.T.)
- Department of Health Informatics, Kyoto University School of Public Health, Kyoto 606-7501, Japan;
- Correspondence:
| | - Shuichi P. Obuchi
- Human Care Research Team, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan; (S.P.O.); (Y.S.); (R.T.)
| | - Yasuhiro Sugawara
- Human Care Research Team, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan; (S.P.O.); (Y.S.); (R.T.)
| | - Takeo Nakayama
- Department of Health Informatics, Kyoto University School of Public Health, Kyoto 606-7501, Japan;
| | - Ryutaro Takahashi
- Human Care Research Team, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan; (S.P.O.); (Y.S.); (R.T.)
- Tamadaira-no-Mori Hospital Tokyo, Hino 191-0062, Japan
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Ravindran S, Yoganathan S, Cairncross ZF, Dennis CL, Enders J, Graves L, Mill C, Telner D, Brown HK. Pilot Randomized Controlled Trial of an Interconception Intervention Provided by Public Health Nurses. Matern Child Health J 2020; 24:1161-1169. [PMID: 32656692 DOI: 10.1007/s10995-020-02980-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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] [Indexed: 11/25/2022]
Abstract
OBJECTIVES Preconception health impacts perinatal outcomes, but the difficulty in engaging reproductive-aged individuals in health promotion activities is a barrier to effective implementation of preconception interventions. Since most women have more than one pregnancy and many risk factors repeat across pregnancies, the time between pregnancies-the interconception period-may be an opportune time to improve health. Our objective was to examine the feasibility and acceptability of an interconception intervention delivered by public health nurses. METHODS We conducted a pilot randomized controlled trial in three small urban and rural public health units in Ontario, Canada, in 2017-2018 among women who were ≥ 18 years of age and between 2 and 12 months postpartum after a first birth. Women randomly allocated to the intervention group received a preconception risk assessment, tailored health education, and referral for clinical follow-up as needed, while those in the control group received standard care. Primary outcomes were intervention feasibility, adherence, and acceptability. RESULTS Of 66 eligible women, 61% agreed to participate and were randomized to the intervention (n = 16) or control (n = 24) groups. The follow-up rate was 78% at 1 month and 71% at 3 months. Most women (83%) were satisfied with the intervention, including the number and length of sessions and content of recommendations. CONCLUSIONS FOR PRACTICE Results demonstrate the potential feasibility and acceptability of an interconception intervention delivered in a public health setting. The short- and long-term impacts of the intervention on knowledge, behavior, and health should be tested in a larger sample.
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Affiliation(s)
- Saranyah Ravindran
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Shaira Yoganathan
- Interdisciplinary Centre for Health & Society, University of Toronto Scarborough, Toronto, ON, Canada
| | - Zoe F Cairncross
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Cindy-Lee Dennis
- Women's College Research Institute, Women's College Hospital, Toronto, ON, Canada
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada
- Department of Psychiatry, Faculty of Medicine, Toronto, ON, Canada
- Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada
| | - Joanne Enders
- Ontario Public Health Association, Toronto, ON, Canada
| | - Lisa Graves
- Department of Family and Community Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA
| | - Catriona Mill
- Ontario Public Health Association, Toronto, ON, Canada
- Toronto Public Health, Toronto, ON, Canada
| | - Deanna Telner
- Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Hilary K Brown
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
- Interdisciplinary Centre for Health & Society, University of Toronto Scarborough, Toronto, ON, Canada.
- Women's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
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Li M, Okamoto R, Tada A, Kiya M. Factors Associated with Prenatal Smoking Cessation Interventions among Public Health Nurses in Japan. Int J Environ Res Public Health 2020; 17:E6135. [PMID: 32846936 PMCID: PMC7503931 DOI: 10.3390/ijerph17176135] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 08/09/2020] [Accepted: 08/19/2020] [Indexed: 11/27/2022]
Abstract
This study aimed to identify the factors associated with prenatal smoking cessation interventions based on the 5As model among public health nurses (PHNs) in Japan. A nationwide cross-sectional study was conducted from December 2019 to February 2020 via a self-administered questionnaire. The study subjects were 1988 PHNs working in 431 health centers of municipalities and special wards across the country. Of the 1988 questionnaires mailed, 521 responses (26.2%) were included in the analysis. Of the 521 responses, most of the respondents were female (98.1%) and the mean age was 37.5 years. There were statistically significant differences on age, work regions, experience years working as a PHN and smoking cessation training after becoming a PHN in implementing the 5As. Self-efficacy, professional development competency, research utilization competency, age and experience years working as a PHN were positively associated with the 5As. Social nicotine dependence was negatively associated with the 5As. Furthermore, self-efficacy mediated the relationship between the 5As and professional development competency, research utilization competency, social nicotine dependence, age and experience years working as a PHN. In the future, smoking cessation intervention training should be widely implemented to improve self-efficacy and prenatal smoking cessation interventions among Japanese PHNs.
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Affiliation(s)
| | - Reiko Okamoto
- Division of Health Sciences, Osaka University Graduate School of Medicine, Suita City 565-0871, Osaka Prefecture, Japan; (M.L.); (A.T.); (M.K.)
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Shimazu T. Validation of the PHNs precepting experiential learning causal model for preceptors of novice public health nurses in Japan. Nurs Open 2020; 7:961-968. [PMID: 32587714 PMCID: PMC7308676 DOI: 10.1002/nop2.468] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Accepted: 02/16/2020] [Indexed: 11/16/2022] Open
Abstract
Aims The purpose of this study was to analyse the relationship among public health nurse (PHN) precepting experiential learning (PHN-PEL) and the outcomes. Background The government supported PHNs' systematic career development and precepting learners. Design A nationwide questionnaire survey was conducted for PHNs who precepted novice PHNs in governmental units from 2012 to 2015. Methods "PHN Precepting Experiential Learning Scale," "Professional Development for Public Health Nurses" and "Awareness of Responsibility for Organization" were examined through structural equation modelling. Results Usable responses were 378 (43.5%). Significant relationships were as follows: "Role Performance of Fostering Novice PHN" related to "Self-development as a PHN" (β = 0.72, p < .001); "Role Performance of Fostering Novice PHN" related to "Sharing to Foster Novice PHN" (β = 0.52, p < .001) and "Sharing to Foster Novice PHN" related to "Improving Career Development Environment" (β = 0.69, p < .001). "Role Performance of Fostering Novice PHN" and "Self-development as a PHN" related to "Professional Development for Public Health Nurse" (β = 0.31, p < .001; β = 0.29, p < .001). Moreover, "Improving Career Development Environment" related to "Awareness of Responsibility for Organization" (β = 0.33, p < .001).
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