scholarly journals How Public Health Nurses Identify and Intervene in Child Maltreatment Based on the National Clinical Guideline

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Paavilainen Eija ◽  
Helminen Mika ◽  
Flinck Aune ◽  
Lehtomäki Leila
Keyword(s):  
Public Health ◽  
Child Maltreatment ◽  
Clinical Guideline ◽  
Public Health Nurses ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Content Areas ◽  
Maltreated Children ◽  
The Public

Objectives. To describe how Finnish public health nurses identify and intervene in child maltreatment and how they implement the National Clinical Guideline in their work.Design and Sample. Cross-sectional survey of 367 public health nurses in Finland.Measures. A web-based questionnaire developed based on the content areas of the guideline: identifying, intervening, and implementing.Results. The respondents reported they identify child maltreatment moderately (mean 3.38), intervene in it better (4.15), and implement the guideline moderately (3.43, scale between 1 and 6). Those with experience of working with maltreated children reported they identify them betterP<0.001, intervene betterP<0.001, and implement the guideline betterP<0.001than those with no experience. This difference was also found for those who were aware of the guideline, had read it, and participated in training on child maltreatment, as compared to those who were not aware of the guideline, had not read it, or had not participated in such training.Conclusions. The public health nurses worked quite well with children who had experienced maltreatment and families. However, the results point out several developmental targets for increasing training on child maltreatment, for devising recommendations for child maltreatment, and for applying these recommendations systematically in practice.

scholarly journals COVID-19 Related Misconceptions and Prevention Practices Among the Public in a Southeastern City in Nigeria

2021 ◽  
Vol 5 (2) ◽  
pp. 149-159
Author(s):  
Sorochi Iloanusi ◽  
Osaro Mgbere ◽  
Nchebe-Jah Raymond Iloanusi ◽  
Ismaeel Yunusa ◽  
Ekere J. Essien
Keyword(s):  
Public Health ◽  
Scientific Evidence ◽  
Demographic Characteristics ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Anambra State ◽  
The Public ◽  
Creative Commons ◽  
Study Population ◽  
The Government

Introduction: The COVID-19 pandemic brought several misconceptions that could hinder individuals from taking necessary measures to prevent infection, thus, undermining the public health containment efforts. We aimed to assess the prevalence of COVID-19 related misconceptions and their associations with demographic characteristics and prevention practices in Onitsha city in Anambra state, Nigeria. Methods: We analyzed data from a cross-sectional survey of 140 adult residents of Onitsha city in Anambra state, Nigeria, conducted in March 2020. Descriptive and inferential statistics were used to describe the study population and determine the associations between COVID-19 misconceptions, demographic characteristics, and implementation of COVID-19 prevention practices. Data management and statistical analyses were conducted using SAS JMP Statistical DiscoveryTM Software version 14.3 (SAS Institute, Cary, North Carolina, USA). Results: The participants’ average age was 34.5 (SD: ±10.9) years, and most were males (54.3%). Misconceptions about COVID-19 among the study population resulted in markedly reduced compliance with nearly all prevention practices. Some participants believed that COVID-19 would not spread in Nigeria (34.4%, p<0.0001), was not fatal (10.8%, p<0.0001), can be prevented and cured through spiritual means (48.2%, P <0.0001), use of herbs (13.6%, P <0.0001), use of antibiotics (11.4%, p<0.0001) and that COVID-19 vaccine was available (25.4%, p<0.01). Misconception about the possibility of COVID-19 spread was significantly associated with non-compliance to all prevention practices (P<0.05) except travel restrictions. Conclusions and Implications for Translation: Our study suggests the need for the government to tailor interventions targeting the common misconceptions in Onitsha in order to improve the public’s trust and compliance with recommended COVID-19 prevention practices. Misconception has become a significant public health challenge, primarily as its prioritization over scientific evidence and guidelines directly affects the pandemic preparedness and control efforts and may cause more people to be at risk of contracting COVID-19.   Copyright © 2021 Iloanusi et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

scholarly journals Influence of A Public Health Emergency On Care For Patients With Duchenne Muscular Dystrophy: An Online, Cross-Sectional Survey

2022 ◽  
Author(s):  
Shu Zhang ◽  
Shaoxia Wang ◽  
Yuru Dong ◽  
Xinyu Chen ◽  
Miao Hu ◽  
...  
Keyword(s):  
Public Health ◽  
Duchenne Muscular Dystrophy ◽  
Muscular Dystrophy ◽  
Public Health Emergency ◽  
Daily Activities ◽  
Rehabilitation Services ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Public

Abstract Background: The public health emergency has created challenges for the care of patients, particularly those with chronic diseases such as Duchenne muscular dystrophy. To elucidate the challenges faced by Chinese patients with Duchenne muscular dystrophy during the public health emergency coronavirus disease 2019 pandemic, we conducted an online cross-sectional survey, the responses of which were collected between March 27 and June 30, 2021. Results: In total, valid questionnaire responses were obtained from 2,105 patients, of whom 49 lived in pandemic lockdown areas. Of the 2,056 responders from non-lockdown areas, 42.8% reduced their outside daily activities, 49.4% reduced their use of rehabilitation services, 39.7% postponed regular follow-up appointments, and 40.8% complained of accelerated declines in motor function over the previous year. The corresponding figures for the 49 participants from lockdown areas were almost all higher, with 67.3% reducing outside daily activities, 44.9% reducing their use of rehabilitation services, 79.6% postponing regular follow-up appointments, and 55.1% complaining of accelerated declines in motor function. When asked whether they expected more assistance from society than they had received before the pandemic, 60.8% of patients in non-lockdown areas and 87.8% of those in lockdown areas responded affirmatively. When asked whether they felt more anxious than they had before the pandemic and needed psychological counseling, 11.5% of respondents in non-lockdown areas and 18.4% of respondents in lockdown areas responded affirmatively. In non-lockdown areas, 76% of respondents had at least one telemedicine visit, and 71% of them thought that telemedicine was helpful. In lockdown areas, 91.8% had used telemedicine at least once, and 66.7% of them found it helpful.Conclusions: These public health emergency control measures have affected the care of patients with chronic diseases worldwide, particularly pronounced in lockdown areas. It is imperative that healthcare workers assist patients and establish more robust chronic disease management systems. Telemedicine is an effective model for providing healthcare to such patients.

scholarly journals Public Health Problems associated with Informal Settlements around Waterfront Communities in Port Harcourt, Nigeria

2021 ◽  
pp. 1-9
Author(s):  
D. N. Ogbonna ◽  
J. O. Ogbuku ◽  
S. A. Ngah ◽  
A. Ayotamuno
Keyword(s):  
Public Health ◽  
Informal Settlements ◽  
Childhood Mortality ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Drainage Systems ◽  
The Public ◽  
Worm Infestation ◽  
Port Harcourt ◽  
The Government

Port Harcourt municipality, southern Nigeria, is faced with environmental problems with slums and informal settlements communities, ranging from use of poor and overstressed facilities and inadequate water and electricity supplies and lack appropriate garbage disposal facilities and good drainage systems resulting in perennial flooding due to blocked drainage systems resulting in a number of diseases, such as malaria, diarrhea, cold and cough. Communities are densely populated, with more than five people living in a room. Therefore this study was carried out to assess the public health status of slums/ informal settlements in Port Harcourt Municipality in Rivers state. The study utilized a mixed-method approach. A cross-sectional survey questionnaire and in-depth interview were used to collect data. A total of 180 Questionnaires were distributed across the  five (5) selected waterfronts communities in the survey and key informants were interviewed to obtain detailed information about the status of the various communities in the Informal settlements studied. The results of the study revealed that the most prevalent illnesses in all Slums/Informal Settlements were malaria, typhoid, dysentery, diarrhea, coughing, worm infestation, and skin infection. The prevalence rate of infectious disease recorded for all slums/Informal settlements show that Malaria had 15-17%; Typhoid fever14-16%, Diarrhea 11-13%, Dysentery 12-14%, Cough 5-10%, Worm infestation 8-11% and Skin infections 2-4%.  However, Malaria remains the foremost killer disease in Nigeria. It accounts for over 25% of under 5 mortality, 30% childhood mortality and 11% maternal mortality. These results suggest that people living in slums are predisposed to severe outbreak of epidemics, therefore requires an urgent attention for comprehensive interventions from the government and other organizations to strengthen existing programs to improve the public health and quality of life of this vulnerable population.

scholarly journals Evaluation of community pharmacists’ readiness to implement the Falsified Medicines Directive (Directive 2011/62/EC): an English cross-sectional survey with geospatial analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e033405 ◽  
Author(s):  
Ravina Barrett
Keyword(s):  
Public Health ◽  
Community Pharmacists ◽  
Health Campaigns ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Public ◽  
Falsified Medicines ◽  
Ethical Approval ◽  
Nationally Representative ◽  
Public Health Campaigns

ObjectivesTo evaluate the readiness to implement the Falsified Medicines Directive (FMD) by community pharmacies in England. Eight secondary objectives were assessed.SettingCommunity/retail pharmacies.ParticipantsWe invited pharmacists from 501 pharmacies to complete a survey. Non-contractors, non-pharmacists or pharmacists practising abroad were excluded. We randomly selected addresses, ensuring that they were nationally representative.InterventionsWe mailed the survey in October 2018 with a single follow-up in January 2019. Respondents were invited to provide self-reported answers. A prepaid self-addressed envelope was provided. We received favourable ethical approval.Results102 responses (20.44% response rate) were received. Readiness to implement was poor: 4 (3.9%) said very much, while 40 (39.2%) said not at all and 29 (28.4%) said not really. Increased workload and reduced profitability were anticipated, accompanied with improved patient safety. Prevalence of ‘substandard and falsified (SF) medical products’ was estimated at 1%–5%, with erectile dysfunction at greatest risk of falsification. Different packaging would raise suspicions. Five (4.9%) had identified SFs (p<0.001 one-sample binomial test). Of these, three (2.9%) informed the medicines agency. None had been involved in any public health campaigns. Confidence and self-efficacy was low. Strategies to reduce SFs reaching the public are described. Pharmacist’s role in combating SFs was elucidated. SFs were identified in deprived areas 4 (9%) more often than in affluent areas 1 (2%).ConclusionsMany pharmacies are not ready to implement FMD, potentially not capturing anticipated benefits of the directive, with greatest risk of harm in deprived area. We further validated a confidence scale. Limited public health campaigns may result in a lack of awareness among pharmacy professionals and patients. Limited awareness of technologies to identify falsified medicines exist, though further training is welcome. A worrying trend of under-reporting maybe prevalent. A larger sample study using this survey would be valuable.

scholarly journals Community Health Nursing Competency and Psychological and Organizational Empowerment of Public Health Nurses in Taiwan: A Cross-Sectional Survey

2020 ◽  
Author(s):  
Ching-Pyng Kuo ◽  
Yu-Ling Hsiao ◽  
Hsiao-Mei Chen ◽  
Shang-Yu Yang ◽  
Pei-Lun Hsieh
Keyword(s):  
Public Health ◽  
Community Care ◽  
Communication Competence ◽  
Community Empowerment ◽  
Public Health Nurses ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Organizational Empowerment ◽  
The Mean ◽  
Care Nursing

Abstract Background: This study explored the effect of public health nurses’ current community care nursing competency on the psychological and organizational empowerment of public health services in Taiwan.Method: A cross-sectional survey design and a self-developed structured questionnaire were administered to Taiwanese public health nurses, recruited using a purposive sampling technique, who participated in community health care workshops offered by Ministry of Health and Welfare in 2019.Results: The majority of subjects were aged between 40 and 49 years and reported working in public health for over 10 years. Furthermore, 89.30% of the subjects worked in a Public Health Center. The mean score of Community Care Nursing Competence (CCNC) was 3.92 ± 0.83 (measured using a five-point Likert scale). The mean score in Community Empowerment (CE) was 3.66 ± 0.90, between “Neutral” and “Agree.” The CCNC was positively correlated with the workplace. The CE was positively correlated with age. The CCNC was positively correlated with psychological and organizational empowerment. The stepwise regression revealed that age (B = 0.18, p = .021) and communication competence (B = 0.17, p = .002) positively predicted community empowerment. Conclusions: The study revealed that age and communication competence were crucial factors in public health nurses working in the community. With age and through the accumulation of practical experience, Taiwanese public health nurses’ communication competence may also improve, which can further enhance their psychological and organizational empowerment in the nursing workplace.

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