Search results for "Primary health"
showing 10 items of 185 documents
Qualitative analysis by experts of the essential elements of the nursing practice environments proposed by the TOP10 questionnaire of assessment of e…
2020
Background: A short TOP10 scale based on the Practice Environment Scale-Nursing Work Index questionnaire measures the characteristics of nursing work environments. Positive environments result in better quality care and health outcomes. Objective: To identify a small number of core elements that would facilitate more effective interventions by nurse managers, and compare them with the essential elements proposed by the TOP10. Method: Qualitative research by a nominal group of eight experts. The content analysis was combined with descriptive data. Results: Ten most important items were selected and analyzed by the expert group. A high level of consensus in four items (2, 15, 20, 31) and an a…
Lifestyle counseling in type 2 diabetes prevention: a case study of a nurse's communication activity to produce change talk.
2006
As a case study, this article describes a nurse's communication activity, focusing on change talk during lifestyle counseling in primary healthcare. All videotaped counseling sessions with a single patient within a period of two years were transcribed verbatim. In the analysis, an emphasis was placed on the nurse's communication activity that produced change talk, how the nurse initiated change talk, and how the patient received it. The observations provide evidence that the dilemma of simultaneously maintaining professional authority and patient perspective leads to sensitivity in lifestyle counseling. Three categories of change talk were identified: rejected, restrictive, and expansive ch…
Nurse‐led counseling for coronary artery disease patients: A 1‐year follow‐up study
2021
Nurse-led counseling and systematic follow-up has been shown to reduce cardiovascular risk factor levels. The study aim was to investigate if cardiovascular risk factor levels could be reduced in patients with coronary artery disease with a nurse-led intervention and to report patients’ evaluations of nurse-led counseling. The study design was a real-life longitudinal follow-up counseling intervention. Data were collected from November 2017 to May 2020. The nurse-led intervention and patients’ follow-up time was one year. Of the 78 patients recruited, 74 completed the study. The most significant findings were in the levels of total cholesterol, low-density lipoprotein cholesterol and trigly…
Pap Testing in a High-Income Country with Suboptimal Compliance Levels: A Survey on Acceptance Factors among Sicilian Women
2018
Cervical cancer screening is uncommon, especially in low-income countries and among lower socioeconomic status people in high-income countries. The aims of this study were to examine the adherence of Sicilian women to Pap testing and to identify the determinants of this in a population with a secondary prevention attitude lower than high-income countries and the national average. A cross-sectional study called &ldquo
Evaluation of the video-simulation as a teaching methodology for the motivational interview in nursing students
2019
espanolIntroduccion: La Video-Simulacion como herramienta pedagogica ha sido escasamente utilizada. Pretendemos evaluar la utilidad y la satisfaccion con la metodologia utilizada en el aprendizaje de entrevista motivacionales mediante VS. Metodologia: Estudio observacional descriptivo transversal (2015) con estudiantes de enfermeria de 4.o curso de la Escuela de Enfermeria La Fe (Valencia, Espana). Se diseno un cuestionario Likert de 12 items. Se midieron las puntuaciones obtenidas, la fiabilidad, y se realizo un analisis factorial. Resultados: La edad media fue 23,6±4,5 anos. Alfa de Cronbach de 0,91. El analisis factorial identifico dos dimensiones que explican el 32,4% y el 32,1% de la v…
Reflexiones sobre cómo evaluar y mejorar la respuesta a la pandemia de COVID-19
2020
La pandemia de COVID-19 ha afectado de manera particularmente intensa a España, pese a su nivel de desarrollo y la elogiada solidez de su Sistema Nacional de Salud. Para comprender qué ha pasado e identificar cómo mejorar la respuesta creemos imprescindible una evaluación independiente multidisciplinaria de la esfera sanitaria, política y socioeconómica. En este trabajo proponemos objetivos, principios, metodología y dimensiones a evaluar, además de esbozar el tipo de resultados y conclusiones esperadas. Nos inspiramos en los requerimientos formulados por el panel independiente de la Organización Mundial de la Salud y en las experiencias evaluativas en otros países, y detallamos la propuest…
Variables that Modulate Home Care Effectiveness in Patients with Chronic Cardiovascular Disease
2019
Introduction: The growing population of patients with chronic cardiovascular disease has many complex biomedical and psychosocial needs and requires an integrated teamwork approach. There is a need to develop a model for assessing the effectiveness of home care in patients with chronic cardiovascular disease, which would take the needs of informal caregivers into account.The purpose of the study was to determine the variables affecting the level of effectiveness of home care, defined as the co-occurrence of high: quality of life (QoL), health behaviours and met needs.Subjects and method: The study involved 193 patients under the care of district nurses and 161 informal caregivers. The study…
Lipid-lowering drug use in Italian primary care: effects of reimbursement criteria revision
2008
OBJECTIVE: To assess whether the prescribing pattern of lipid-lowering drugs (LLD) changed after reimbursement criteria revision in a general practice in southern Italy. METHODS: From the Caserta-1 Local Health Service database, 93 general practitioners (GPs) who had consistently sent data about their patients during the years 2003-2005 were recruited. Prevalence of use and incidence of new treatments were calculated for each year, stratified by three drug cohorts: statins, omega-3 fatty acids, and fibrates. Subanalyses by gender, age, and indication of use were performed. RESULTS: Overall, 1-year prevalence of LLD use increased from 2003 to 2004. After reimbursement criteria revision (Nove…
Geographical variability in violence against women in Spain
2010
Objetivos: Describir la prevalencia global y por comunidades autónomas (CC.AA.) de la violencia por un compañero íntimo, sus características y la violencia fuera de la pareja, así como estudiar la relación entre la prevalencia de violencia por un compañero íntimo y la frecuencia de denuncias y muertes por este motivo. Métodos: Encuesta transversal mediante cuestionario autoadministrado en 11.475 mujeres que acuden a consultas de atención primaria durante los años 2006-2007. Diseño muestral estratificado y polietápico, con una muestra representativa por CA. Además de la violencia por un compañero íntimo y la violencia fuera de la pareja, se recogieron denuncias y muertes por la primera. Se r…
Variabilidad geográfica de la violencia contra las mujeres en España Geographical variability in violence against women in Spain
2010
Objetivos: Describir la prevalencia global y por comunidades autónomas (CC.AA.) de la violencia por un compañero íntimo, sus características y la violencia fuera de la pareja, así como estudiar la relación entre la prevalencia de violencia por un compañero íntimo y la frecuencia de denuncias y muertes por este motivo. Métodos: Encuesta transversal mediante cuestionario autoadministrado en 11.475 mujeres que acuden a consultas de atención primaria durante los años 2006-2007. Diseño muestral estratificado y polietápico, con una muestra representativa por CA. Además de la violencia por un compañero íntimo y la violencia fuera de la pareja, se recogieron denuncias y muertes por la primera. Se r…