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1.
J Fish Biol ; 103(3): 623-634, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37249574

RESUMO

There is intense public interest surrounding the conservation and management of sharks, including a debate over whether sustainable shark fisheries are possible or fishing bans on sharks are needed to conserve these animals. An important but rarely discussed data point in discussions of global shark fisheries is the case of British Columbia's fishery for Pacific spiny dogfish, Squalus suckleyi, which in 2011 became the first Marine Stewardship Council-certified shark fishery anywhere in the world. A few years later, despite reportedly healthy local stocks and thriving global markets for this shark, the fishery voluntarily withdrew its MSC certification, and in recent years more than 95% of the quota for Pacific spiny dogfish has been left in the water. This study provides insight into what happened to this fishery through a review of grey literature and a series of stakeholder interviews with British Columbian fishermen, fish processors, managers and environmentalists. It is a rare case study of a fishery that largely ceased operations without a clear mechanistic explanation like a stock collapse, a government mandate to limit fishing or a clear shift in market demand. This fishery appears to have been affected by the combination of several factors, including a temporary reduction in biomass due to oceanographic effects, potential blowback from overly broad environmental messaging that did not distinguish between sustainable and unsustainable shark fisheries, management changes resulting in altered fishing incentives and changes to processing capacity associated with consolidating the fishing industry into ownership by relatively few large companies.


Assuntos
Conservação dos Recursos Naturais , Tubarões , Animais , Conservação dos Recursos Naturais/métodos , Pesqueiros , Biomassa , Alimentos Marinhos
2.
Ambio ; 52(6): 1098-1111, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36820961

RESUMO

We build on environmental attitude research to provide a foundation for considering policies making economic and environmental trade-offs. We conducted a large online survey of Florida public attitudes (n = 829), a state grappling with trade-offs between economic development and environmental quality. Findings provide the first baseline understanding of Floridian perceptions of relationships between key economic drivers and the environment. Environmental problems were generally considered important and pro-environmental policy options are highly supported. The environment was considered more important to Florida's culture and future than key industries, with only tourism considered more important to the economy. Development was considered least important. Individual differences, including gender, political party, and industry affiliation, predicted policy support and attitudes toward trade-offs. Modeled together, attitudes toward government involvement and the importance of the environment to Florida predicted additional variance in policy support. Results highlight the intersection of social identities and ideological attitudes in shaping environmental policy attitudes.


Assuntos
Atitude , Opinião Pública , Florida , Inquéritos e Questionários
3.
Environ Sci Pollut Res Int ; 30(2): 3804-3816, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35960469

RESUMO

Environmental media discourse analysis allows researchers to explore thematic patterns in media coverage of environmental issues through qualitative observations and quantitative coding. In this paper, we review newspaper media coverage in Florida pertaining to the connections between agriculture, other non-point pollution sources, and downstream ecosystem health. We analyzed 930 articles from 2007 through 2019 to determine common patterns in how these issues are covered by Florida media, including patterns in the causes of environmental problems, potential solutions, and stakeholders mentioned. Findings suggest that water quality problems are often framed as unpredictable or episodic rather than chronic, and as requiring (and only potentially being remediated by) state-level centralized technological or infrastructural solutions. Stakeholder relationships are framed as adversarial, with environmentalists and the agricultural sector as opponents. This case study highlights key power dynamics, barriers, and opportunities for better managing and communicating about agricultural land use practices and associated downstream environmental impacts.


Assuntos
Meios de Comunicação , Ecossistema , Florida , Meio Ambiente , Agricultura
4.
PLoS One ; 17(11): e0256842, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36327262

RESUMO

Despite evidence of their importance to marine ecosystems, at least 32% of all chondrichthyan species are estimated or assessed as threatened with extinction. In addition to the logistical difficulties of effectively conserving wide-ranging marine species, shark conservation is believed to have been hindered in the past by public perceptions of sharks as dangerous to humans. Shark Week is a high-profile, international programming event that has potentially enormous influence on public perceptions of sharks, shark research, shark researchers, and shark conservation. However, Shark Week has received regular criticism for poor factual accuracy, fearmongering, bias, and inaccurate representations of science and scientists. This research analyzes the content and titles of Shark Week episodes across its entire 32 years of programming to determine if there are trends in species covered, research techniques featured, expert identity, conservation messaging, type of programming, and portrayal of sharks. We analyzed titles from 272 episodes (100%) of Shark Week programming and the content of all available (201; 73.9%) episodes. Our data demonstrate that the majority of episodes are not focused on shark bites, although such shows are common and many Shark Week programs frame sharks around fear, risk, and adrenaline. While criticisms of disproportionate attention to particular charismatic species (e.g. great whites, bull sharks, and tiger sharks) are accurate and supported by data, 79 shark species have been featured briefly at least once. Shark Week's depictions of research and of experts are biased towards a small set of (typically visual and expensive) research methodologies and (mostly white, mostly male) experts, including presentation of many white male non-scientists as scientific experts. While sharks are more often portrayed negatively than positively, limited conservation messaging does appear in 53% of episodes analyzed. Results suggest that as a whole, while Shark Week is likely contributing to the collective public perception of sharks as bad, even relatively small alterations to programming decisions could substantially improve the presentation of sharks and shark science and conservation issues.


Assuntos
Mordeduras e Picadas , Tubarões , Humanos , Animais , Masculino , Feminino , Ecossistema , Alimentos Marinhos , Pesquisadores , Conservação dos Recursos Naturais
5.
Sci Rep ; 11(1): 16626, 2021 08 17.
Artigo em Inglês | MEDLINE | ID: mdl-34404844

RESUMO

Many species of sharks are threatened with extinction, and there has been a longstanding debate in scientific and environmental circles over the most effective and appropriate strategy to conserve and protect them. Should we allow for sustainable fisheries exploitation of species which can withstand fishing pressure, or ban all fisheries for sharks and trade in shark products? In the developing world, exploitation of fisheries resources can be essential to food security and poverty alleviation, and global management efforts are typically focused on sustainably maximizing economic benefits. This approach aligns with traditional fisheries management and the perspectives of most surveyed scientific researchers who study sharks. However, in Europe and North America, sharks are increasingly venerated as wildlife to be preserved irrespective of conservation status, resulting in growing pressure to prohibit exploitation of sharks and trade in shark products. To understand the causes and significance of this divergence in goals, we surveyed 155 shark conservation focused environmental advocates from 78 environmental non-profits, and asked three key questions: (1) where do advocates get scientific information? (2) Does all policy-relevant scientific information reach advocates? and (3) Do advocates work towards the same policy goals identified by scientific researchers? Findings suggest many environmental advocates are aware of key scientific results and use science-based arguments in their advocacy, but a small but vocal subset of advocates report that they never read the scientific literature or speak to scientists. Engagement with science appears to be a key predictor of whether advocates support sustainable management of shark fisheries or bans on shark fishing and trade in shark products. Conservation is a normative discipline, and this analysis more clearly articulates two distinct perspectives in shark conservation. Most advocates support the same evidence-based policies as academic and government scientists, while a smaller percentage are driven more by moral and ethical beliefs and may not find scientific research relevant or persuasive. We also find possible evidence that a small group of non-profits may be misrepresenting the state of the science while claiming to use science-based arguments, a concern that has been raised by surveyed scientists about the environmental community. This analysis suggests possible alternative avenues for engaging diverse stakeholders in productive discussions about shark conservation.


Assuntos
Conservação dos Recursos Naturais , Tubarões , Animais , Monitoramento Ambiental/métodos
6.
Aust N Z J Public Health ; 45(3): 263-269, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33818842

RESUMO

OBJECTIVE: To test the hypothesis that a culturally tailored sugar-sweetened beverage (SSB) campaign designed specifically for the Victorian Aboriginal community will not only be valuable for Aboriginal Victorians but will also have cross-over benefits for non-Aboriginal Victorians. METHODS: An online survey was completed by 155 Victorians (78 Aboriginal, 77 non-Aboriginal) four months after the Aboriginal Rethink Sugary Drink (RSD) advertisement was launched. Differences between Aboriginal and non-Aboriginal respondents were assessed using χ2 and Wilcoxon rank-sum tests. RESULTS: Seventy-six per cent of Aboriginal respondents recalled seeing the advertisement compared to 56% of non-Aboriginal respondents (p<0.05). A high proportion of respondents (59% for Aboriginal, 55% for non-Aboriginal) who had seen the advertisement correctly identified the sugar content of a 600mL drink. The perceived relevance of the advertisement was high (78% for Aboriginal vs. 47% for non-Aboriginal; p=0.003), as was the response that it motivated action to improve health (82% vs. 50%; p=0.001). CONCLUSION: Notwithstanding the small sample size, the Aboriginal advertisement appeared to engage both Aboriginal and non-Aboriginal Victorians and promote SSB knowledge and motivation to improve health, particularly among Aboriginal Victorians, who were the target population. Public health campaigns should be designed with Aboriginal Australians to ensure equitable reach and impacts across the whole population. Implications for public health: Aboriginal-led health promotion campaigns may be beneficial for both Aboriginal and non-Aboriginal audiences.


Assuntos
Promoção da Saúde , Meios de Comunicação de Massa , Marketing Social , Bebidas Adoçadas com Açúcar/efeitos adversos , Publicidade , Estudos Transversais , Assistência à Saúde Culturalmente Competente , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Havaiano Nativo ou Outro Ilhéu do Pacífico , Saúde Pública , Inquéritos e Questionários
7.
iScience ; 23(6): 101205, 2020 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-32553133

RESUMO

Sharks are a taxon of significant conservation concern and associated public interest. The scientific community largely supports management policies focusing on sustainable fisheries exploitation of sharks, but many concerned members of the public and some environmental advocates believe that sustainable shark fisheries cannot and do not exist and therefore support total bans on all shark fisheries and/or trade in shark products. The belief that sustainable shark fisheries cannot and do not exist persists despite scientific evidence showing that they can and do, and are important to livelihoods. Additionally, many concerned members of the public are only aware of one threat to sharks and are unaware of other threats-or of most available policy solutions. Here we assess whether the popular press plays a role in spreading misinformation and misunderstanding about these issues via the agenda-setting, priming, and cultivation roles of the media, with the goal of better understanding the causes and consequences of public confusion.

8.
Healthc Q ; 22(4): 40-46, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32073390

RESUMO

The Rural Hastings Health Link coordinates care for the 1-5% of the local population whose complexity represents two-thirds of healthcare spending. Gateway Community Health Centre developed a primary care-led model with local partners in primary care and the broader health and social sector built on four interventions: a structure to support integrated system thinking with partners, system navigators embedded in primary care addressing medical and social needs, a digital care-coordination tool and data management supporting accountability. It has altered how providers respond to clients' needs and, as an integrated system of care, created a shared culture of change driven by trust.


Assuntos
Navegação de Pacientes/organização & administração , Atenção Primária à Saúde/organização & administração , Qualidade da Assistência à Saúde/organização & administração , Comorbidade , Gerenciamento de Dados/organização & administração , Humanos , Ontário , Organização e Administração , Planejamento de Assistência ao Paciente , Satisfação do Paciente , Pobreza , Atenção Primária à Saúde/métodos , População Rural
10.
Aust J Prim Health ; 25(5): 457-463, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31138398

RESUMO

The aim of this study is to identify if Victorian local governments prioritise Aboriginal health and wellbeing issues through policy and explore the key factors influencing policy and program development and implementation. A sequential explanatory mixed-methods study design utilised a survey to quantify commitment to Aboriginal health policy followed by in-depth interviews that explored how and why policy or programs were in place. Data were analysed separately and then interpreted together. Representatives from 39 of Victoria's 79 local governments (49%) responded to the survey and 14 were interviewed. Seventy-four per cent had policy and programs addressing Aboriginal health and wellbeing. The key factors influencing policy and program development were: (i) the process of policy and program development and implementation and the role of other policies; (ii) the influence of Aboriginal community characteristics; and (iii) advocacy for Aboriginal health and wellbeing. Underpinning these factors was that local government is 'working together (in partnership and through collaboration) towards reconciliation'. Victorian local governments that participated in this study appear to prioritise Aboriginal health and wellbeing, especially where collaboration with the Aboriginal community is strong. The effect of policies and their subsequent programs on the health of Aboriginal peoples warrants further exploration.


Assuntos
Prioridades em Saúde , Serviços de Saúde do Indígena , Governo Local , Havaiano Nativo ou Outro Ilhéu do Pacífico , Política de Saúde , Prioridades em Saúde/organização & administração , Serviços de Saúde do Indígena/organização & administração , Humanos , Entrevistas como Assunto , Inquéritos e Questionários , Vitória
11.
Health Promot J Austr ; 30(2): 212-218, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30144362

RESUMO

ISSUE ADDRESSED: The reach and impact of the LiveLighter and Aboriginal sugar-sweetened beverage (SSB) advertisements among Aboriginal and Torres Strait Islander adults. METHODS: The Aboriginal SSB advertisement launched online in January 2015 and aired on NITV in October/November 2015 as part of the Government-funded LiveLighter campaign. The advertisement was developed in Victoria and featured members of the Victorian Aboriginal community. Another LiveLighter advertisement targeting the general population was broadcast over the same period. Online surveys were completed by 150 Aboriginal and/or Torres Strait Islander adults in November/December 2015. RESULTS: Around half of respondents reported seeing either the Aboriginal (47%) or the LiveLighter (56%) SSB advertisement, and the proportion was significantly greater in Victoria (Aboriginal: 60%, LiveLighter: 66%) than other states/territories (Aboriginal: 29%, LiveLighter: 43%). Compared to the LiveLighter advertisement, the Aboriginal campaign was seen to be more believable, to be more relevant and to have an important message for the Aboriginal community (P < 0.001). Participants from Victoria were significantly more likely to identify the sugar content of regular soft drink, compared with those from other states/territories (68% vs 40%, P < 0.001). Sixty per cent of participants who had seen the Aboriginal SSB advertisement reported they drank less SSBs compared with 48% of those not exposed, though the difference was not statistically significant (P > 0.05). CONCLUSIONS: Results suggest the Aboriginal advertisement resonated with Aboriginal and Torres Strait Islander people and impacted knowledge about the sugar content of SSBs, particularly in Victoria where the campaign originated. SO WHAT?: This study highlights the importance of Aboriginal and Torres Strait Islander-led health promotion campaigns and tailoring health messages to the local Aboriginal and/or Torres Strait Islander community.


Assuntos
Publicidade/estatística & dados numéricos , Açúcares da Dieta/administração & dosagem , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde/métodos , Promoção da Saúde/estatística & dados numéricos , Bebidas Adoçadas com Açúcar/estatística & dados numéricos , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Havaiano Nativo ou Outro Ilhéu do Pacífico , Vitória , Adulto Jovem
12.
Resuscitation ; 130: 81-87, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-29964145

RESUMO

OBJECTIVES: Community consultation (CC) is fundamental to the Exception from Informed Consent (EFIC) process for emergency research, designed to inform and receive feedback from the target study population about potential risks and benefits. To better understand the effectiveness of different techniques for CC, we evaluated EFIC processes at two centers participating in a trial of early cardiac catheterization following out-of-hospital cardiac arrest. METHODS: We studied the Institutional Review Board-approved CC activities at Maine Medical Center (MMC) and University of Arizona (AZ) in support of NCT02387398. In Maine, the public was consulted by survey at a professional basketball game and in the emergency department waiting room (in-person group), by multimedia direction to an online website (online group), and by mail (mailing group). Arizona respondents were either approached at a county fair (in-person group) or were directed to an online survey (online group) via social media advertising. RESULTS: Among 2185 survey respondents, approval rates were high for community involvement and personal participation without individual consent. Community consultation using in-person, online, and mailed surveys offered slightly different approval rates, and the rate of responses by modality differed by age and education level but not ethnicity. Print advertising was the least cost effective at $442 per completed survey. CONCLUSIONS: Canvassing at public events was the most efficient mode of performing CC, with approval rates similar to mailings, online surveys, and canvassing in other locations. Print advertisements in local papers had a low yield and cost more than other approaches.


Assuntos
Pesquisa Biomédica , Participação da Comunidade/métodos , Medicina de Emergência , Pesquisa Biomédica/economia , Pesquisa Biomédica/métodos , Pesquisa Biomédica/organização & administração , Custos e Análise de Custo , Humanos , Consentimento Livre e Esclarecido , Parada Cardíaca Extra-Hospitalar/terapia , Projetos de Pesquisa , Mídias Sociais
14.
Public Health Nutr ; 20(16): 3019-3028, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28803580

RESUMO

OBJECTIVE: The present study aimed to explore how Australian local governments prioritise the health and well-being of Aboriginal populations and the extent to which nutrition is addressed by local government health policy. DESIGN: In the state of Victoria, Australia, all seventy-nine local governments' public health policy documents were retrieved. Inclusion of Aboriginal health and nutrition in policy documents was analysed using quantitative content analysis. Representation of Aboriginal nutrition 'problems' and 'solutions' was examined using qualitative framing analysis. The socio-ecological framework was used to classify the types of Aboriginal nutrition issues and strategies within policy documents. SETTING: Victoria, Australia. SUBJECTS: Local governments' public health policy documents (n 79). RESULTS: A small proportion (14 %, n 11) of local governments addressed Aboriginal health and well-being in terms of nutrition. Where strategies aimed at nutrition existed, they mostly focused on individual factors rather than the broader macroenvironment. CONCLUSIONS: A limited number of Victorian local governments address nutrition as a health issue for their Aboriginal populations in policy documents. Nutrition needs to be addressed as a community and social responsibility rather than merely an individual 'behaviour'. Partnerships are required to ensure Aboriginal people lead government policy development.


Assuntos
Prioridades em Saúde , Disparidades nos Níveis de Saúde , Governo Local , Saúde das Minorias , Modelos Organizacionais , Política Nutricional , Estado Nutricional , Assistência à Saúde Culturalmente Competente/ética , Assistência à Saúde Culturalmente Competente/etnologia , Assistência à Saúde Culturalmente Competente/legislação & jurisprudência , Prioridades em Saúde/ética , Prioridades em Saúde/legislação & jurisprudência , Humanos , Saúde das Minorias/etnologia , Saúde das Minorias/legislação & jurisprudência , Havaiano Nativo ou Outro Ilhéu do Pacífico , Avaliação das Necessidades , Política Nutricional/legislação & jurisprudência , Estado Nutricional/etnologia , Formulação de Políticas , Vitória
15.
Health Promot J Austr ; 27(3): 236-242, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27816066

RESUMO

Issue addressed The study examined effective ways to build the capacity of health organisations and professionals in the public health sector to reduce Aboriginal chronic disease risk factors. It investigated the capacity-building strategies of the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) nutrition team in the facilitation of the statewide implementation of the Victorian Aboriginal Nutrition and Physical Activity Strategy 2009-2014 (VANPAS). Methods Using a qualitative design, the study analysed the VACCHO program from 2009-2014 across five domains of capacity development: workforce, resources, organisations, partnerships and leadership. Data were sourced from archival program documents and 62 semi-structured participant interviews. Results Diverse Aboriginal and non-Aboriginal professional, organisation representatives and community participants engaged in the implementation of the VANPAS. The VACCHO team used the VANPAS to solidify participant buy-in, strengthen workforce effectiveness, increase health promotion and resource appropriateness, improve organisational policy and build an evidence-base through collaborative dialogue using action-reflection principles. Conclusion A credible, high-profile Aboriginal community led and evidence-based statewide program and a commitment to dialogue through action-reflection provided a meaningful basis for both Aboriginal community and mainstream organisational engagement. Upon this foundation, the VACCHO team built a coherent sectoral system with increased capacity to enhance the nutrition of Aboriginal Victorians. So what? In an historical context of mistrust and unmet expectations, program implementation methods that build confidence amongst collaborating Aboriginal and non-Aboriginal health agencies is fundamental to building capacity to enhance Aboriginal nutrition and health.


Assuntos
Fortalecimento Institucional , Promoção da Saúde/métodos , Serviços de Saúde do Indígena/organização & administração , Política Nutricional , Assistência à Saúde Culturalmente Competente , Feminino , Humanos , Entrevistas como Assunto , Liderança , Masculino , Havaiano Nativo ou Outro Ilhéu do Pacífico , Avaliação de Programas e Projetos de Saúde , Pesquisa Qualitativa , Vitória
16.
Aust J Prim Health ; 22(3): 239-243, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-25720592

RESUMO

Aboriginal community controlled health organisations (ACCHOs) and cooperatives function at the centre of community life for local Aboriginal people across Victoria. Local Aboriginal people govern them, work within them as managers and service providers, access health and community services from them and form the constituents who determine their directions. Victorian ACCHOs reflect the unique characteristics of the local Aboriginal community. Thus, potentially, Victorian ACCHOs are key strategic sites for health promotion activities that seek to establish and nurture healthy community, family and peer norms. The Victorian Aboriginal Community Controlled Health Organisation (VACCHO) partnered five metropolitan, regional and rural ACCHOs in a pilot project towards the establishment of healthy food policies and practices in their organisations. Project activities combined both 'top-down' policy-oriented and 'bottom-up' practice-oriented strategies. This paper, drawing upon both baseline and follow-up quantitative and qualitative data, describes initiatives leading to increases in healthy catering choices and related challenges for Aboriginal workplace health promotion practice.


Assuntos
Promoção da Saúde , Serviços de Saúde do Indígena/organização & administração , Havaiano Nativo ou Outro Ilhéu do Pacífico , Política Nutricional , Local de Trabalho , Adulto , Feminino , Humanos , Masculino , Desenvolvimento de Programas , Vitória
17.
Can J Nurs Res ; 47(1): 72-96, 2015 Mar.
Artigo em Inglês, Francês | MEDLINE | ID: mdl-29509451

RESUMO

Mi'kmaq women are reported to have lower rates of Papanicolaou (Pap) screening and higher rates of cervical cancer than non-Aboriginal women. This qualitative participatory study used postcolonial feminist perspectives and Indigenous principles to explore Mi'kmaq women's experiences with Pap screening within the contexts that shaped their experiences. Community facilitators assisted with the research process. Talking circles and individual in-depth interviews were conducted with 16 Mi'kmaq women. Also, health-care providers were interviewed in 2 Mi'kmaq communities. The findings indicate that historical and social contexts are shaping Mi'kmaq women's screening experiences and that these experiences are diverse, as are their understandings about screening. Some women were accessing regular screening despite challenging personal circumstances. The results highlight the need for nurses and other health-care providers to understand the uniqueness of each woman's experiences with Pap screening. Improvements in screening rates depend on multifaceted nursing approaches developed in partnership with Mi'kmaq women.


Selon les données, les Micmaques subissent le test de Papanicolaou (Pap) en plus petite proportion que les femmes non autochtones et présentent un taux plus élevé de cancer du col de l'utérus. La présente étude qualitative et participative adopte une approche féministe postcoloniale et s'appuie sur les principes autochtones pour examiner la façon dont les Micmaques vivent le dépistage du cancer du col de l'utérus (test de Pap), et les différents contextes où leur expérience de ce dépistage prend forme. Des animateurs communautaires ont pris part au processus de recherche. Des cercles de discussion et des entrevues individuelles approfondies ont eu lieu auprès de 16 Micmaques. Des fournisseurs de soins de santé ont également fait l'objet d'entrevues dans deux communautés micmaques. Les constatations indiquent que les contextes social et historique contribuent à façonner l'expérience vécue par les Micmaques au moment du test de Pap et que cette expérience varie, de même que la compréhension qu'ont les femmes du dépistage. Certaines femmes participent à un dépistage régulier, malgré une situation personnelle difficile. Les résultats obtenus font ressortir la nécessité pour les infirmières et les autres fournisseurs de soins de santé de comprendre le caractère unique de l'expérience de dépistage vécue par chaque femme. L'amélioration des taux de dépistage est tributaire de la mise en place d'approches à multiples facettes des soins infirmiers élaborées en partenariat avec les Micmaques.

18.
Aust J Prim Health ; 20(4): 373-8, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25116591

RESUMO

Food insecurity is a significant issue in the Victorian Aboriginal population, contributing to the health disparity and reduced life expectancy. Community food programs are a strategy used to minimise individual level food insecurity, with little evidence regarding their effectiveness for Aboriginal populations. The aim of this study was to explore the role of community food programs operating for Aboriginal people in Victoria and their perceived influence on food access and nutrition. Semistructured interviews were conducted with staff (n=23) from a purposive sample of 18 community food programs across Victoria. Interviews explored the programs' operation, key benefits to the community, challenges and recommendations for setting up a successful community food program. Results were analysed using a qualitative thematic approach and revealed three main themes regarding key factors for the success of community food programs: (1) community food programs for Aboriginal people should support access to safe, affordable, nutritious food in a socially and culturally acceptable environment; (2) a community development approach is essential for program sustainability; and (3) there is a need to build the capacity of community food programs as part of a strategy to ensure sustainability. Community food programs may be an effective initiative for reducing food insecurity in the Victorian Aboriginal population.


Assuntos
Assistência Alimentar/estatística & dados numéricos , Abastecimento de Alimentos/métodos , Havaiano Nativo ou Outro Ilhéu do Pacífico , Feminino , Acessibilidade aos Serviços de Saúde , Humanos , Entrevistas como Assunto , Masculino , Vitória
19.
Cancer Nurs ; 36(1): 72-88, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23235501

RESUMO

BACKGROUND: In oncology, where the number of patients is increasing, there is a need to sustain a quality oncology nursing workforce. Knowledge of the context of oncology nursing can provide information about how to create practice environments that will attract and retain specialized oncology nurses. OBJECTIVE: The aims of this review were to determine the extent and quality of the literature about the context of oncology nursing, explicate how "context" has been described as the environment where oncology nursing takes place, and delineate forces that shape the oncology practice environment. METHODS: The integrative review involved identifying the problem, conducting a structured literature search, appraising the quality of data, extracting and analyzing data, and synthesizing and presenting the findings. RESULTS: Themes identified from 29 articles reflected the surroundings or background (structural environment, world of cancer care), and the conditions and circumstances (organizational climate, nature of oncology nurses' work, and interactions and relationships) of oncology nursing practice settings. CONCLUSIONS: The context of oncology nursing was similar yet different from other nursing contexts. The uniqueness was attributed to the dynamic and complex world of cancer control and the personal growth that is gained from the intense therapeutic relationships established with cancer patients and their families. IMPLICATIONS FOR PRACTICE: The context of healthcare practice has been linked with patient, professional, or system outcomes. To achieve quality cancer care, decision makers need to understand the contextual features and forces that can be modified to improve the oncology work environment for nurses, other providers, and patients.


Assuntos
Relações Enfermeiro-Paciente , Enfermagem Oncológica/organização & administração , Cultura Organizacional , Local de Trabalho/organização & administração , Canadá , Humanos , Enfermagem Oncológica/tendências , Qualidade da Assistência à Saúde , Recursos Humanos
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