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1.
JMIR Public Health Surveill ; 7(9): e27715, 2021 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-34468331

RESUMO

BACKGROUND: Health misinformation is a public health concern. Various stakeholders have called on health care professionals, such as nurses and physicians, to be more proactive in correcting health misinformation on social media. OBJECTIVE: This study aims to identify US physicians' and nurses' motivations for correcting health misinformation on social media, the barriers they face in doing so, and their recommendations for overcoming such barriers. METHODS: In-depth interviews were conducted with 30 participants, which comprised 15 (50%) registered nurses and 15 (50%) physicians. Qualitative data were analyzed by using thematic analysis. RESULTS: Participants were personally (eg, personal choice) and professionally (eg, to fulfill the responsibility of a health care professional) motivated to correct health misinformation on social media. However, they also faced intrapersonal (eg, a lack of positive outcomes and time), interpersonal (eg, harassment and bullying), and institutional (eg, a lack of institutional support and social media training) barriers to correcting health misinformation on social media. To overcome these barriers, participants recommended that health care professionals should receive misinformation and social media training, including building their social media presence. CONCLUSIONS: US physicians and nurses are willing to correct health misinformation on social media despite several barriers. Nonetheless, this study provides recommendations that can be used to overcome such barriers. Overall, the findings can be used by health authorities and organizations to guide policies and activities aimed at encouraging more health care professionals to be present on social media to counteract health misinformation.


Assuntos
COVID-19/epidemiologia , Comunicação , Informação de Saúde ao Consumidor/normas , Motivação , Enfermeiras e Enfermeiros/psicologia , Médicos/psicologia , Mídias Sociais/normas , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/estatística & dados numéricos , Médicos/estatística & dados numéricos , Pesquisa Qualitativa , Estados Unidos/epidemiologia
2.
Int J Med Inform ; 148: 104375, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33461008

RESUMO

BACKGROUND: Health misinformation on social media is a public health concern, and healthcare professionals can help correct it. However, research on how they correct health misinformation on social media is rare. OBJECTIVE: To develop a conceptual model that demonstrates how healthcare professionals correct health misinformation on social media. METHODS: In-depth semi-structured interviews were conducted between January and March 2020 with 30 U.S. healthcare professionals (15 registered nurses and 15 medical doctors). Participants were recruited through purposive and snowball sampling and interviewed via mobile phone calls (using their mobile phone number) or apps (via Zoom or Skype). Interview data were analyzed using a grounded theory approach. RESULTS: This study presents a two-phased conceptual model that shows healthcare professionals' acts of correcting health misinformation on social media (e.g., Twitter and Facebook). The first phase involves acts of authentication by which healthcare professionals verify health-related social media posts to be true or not. They undergo the process of internal acts of authentication (i.e., checking the author, checking for cues, checking the topic) and, if needed, external acts of authentication (i.e., examining the author and examining the content). When social media posts are deemed to contain health misinformation, they proceed to the second phase - acts of correction. In this phase, they undergo correction preparation (i.e., reflect, reveal, relate, and respect) and correction dissemination (i.e., private priming, public priming, public rebuttal, and private rebuttal). CONCLUSIONS: The study proposed a conceptual model that shows how healthcare professionals correct health misinformation on social media. The findings can guide healthcare professionals when identifying and correcting health misinformation on and off social media, and can guide health authorities when developing campaigns against health misinformation.


Assuntos
Mídias Sociais , Comunicação , Atenção à Saúde , Pessoal de Saúde , Humanos , Saúde Pública
3.
Int J Med Inform ; 142: 104250, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32828988

RESUMO

BACKGROUND: One key technology that has a significant implication on how nurses communicate and share information is the mobile phone, particularly the smartphone. However, its use for clinical work should be regulated by policies to minimize risks and maximize benefits. OBJECTIVE: To present policy recommendations on nurses' use of smartphones that are applicable in the context of clinical work in the Philippines. MATERIALS AND METHOD: The policy recommendations were developed by synthesizing findings of a mixed-method research on nurses' use of smartphones in the Philippines conducted from January to July 2017. RESULTS: The four policy recommendations are: (1) improving existing technologies to reduce smartphone usage, (2) providing adequate unit phones and service credits, (3) implementing realistic policies, and (4) educating nurses on the implications of using smartphones at work. DISCUSSION AND CONCLUSION: Although these recommendations might not be ideal considering that smartphone use also presents drawbacks, a pragmatic decision to allow nurses to use it for communication and information seeking purposes can help enhance the quality of care given to patients and nurses' work productivity in settings with scarce manpower and technology. Nonetheless, hospitals should find these recommendations as a temporary solution, and they should strive to come up with a long-term solution of providing nurses with appropriate technologies to facilitate clinical work.


Assuntos
Telefone Celular , Smartphone , Hospitais , Humanos , Filipinas , Políticas
4.
Inform Health Soc Care ; 45(4): 360-373, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-32484720

RESUMO

OBJECTIVE: This study examines how seniors in Singapore use mobile devices for healthcare purposes. METHODS: Semi-structured interviews with 35 mobile phone users aged between 58-82 years old. RESULTS: Seniors regard mobile phones as important personal devices for socialization, security, and emergency purposes. Most of the seniors consider mobile telephony (voice calls and text messaging) as an accessible platform to access healthcare. Perceived usefulness, ease of use, compatibility, technology anxiety, financial cost, and self-efficacy were identified as factors affecting the use of mHealth among seniors. Although a few adopt mHealth applications and mobile Internet for health-information seeking, some younger seniors show enthusiastic attitudes toward its adoption. Additionally, some seniors also have technology anxiety and resistance toward using mHealth applications. CONCLUSION: Seniors use mobile phones for healthcare purposes in their daily life, and its use involves several facilitators and barriers. Interpersonal training is likely to reduce their anxiety and increase mHealth literacy and adoption. Theoretical and practical implications are discussed.

5.
Int J Nurs Pract ; 26(1): e12774, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31423700

RESUMO

AIMS: To determine which stressor has the highest occurrence and what stressors are related to nurse outcomes, such as job satisfaction, perceived quality of care, and turnover intention. BACKGROUND: Numerous stressors have been identified in nursing practice, but it is unclear if specific stressors are related to nurse outcomes. DESIGN: The study used a cross-sectional and descriptive-correlational research design. METHODS: In July and August 2017, survey data were collected from 427 staff nurses employed in a large tertiary-level private hospital in Metro Manila, Philippines. The Nursing Stress Scale was used to measure stress frequency. Structural equation modelling was used to determine the relationship of stressors and nurse outcomes. RESULTS: Exploratory and confirmatory factor analyses indicate nine Nursing Stress Scale factors. Workload is the most frequent stressor. Moreover, workload was negatively related to job satisfaction and perceived quality of care. Workload and conflict with nurses were positively related to turnover intention. CONCLUSIONS: The Nursing Stress Scale has a different factor structure based on a survey of nurses in the Philippines. Only workload and conflict with nurses were related to specific nurse outcomes. Nurse managers should identify and mitigate stressors experienced by nurses since these can lead to turnover and poor quality of care.


Assuntos
Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Reorganização de Recursos Humanos , Qualidade da Assistência à Saúde , Adulto , Estudos Transversais , Feminino , Humanos , Intenção , Masculino , Pessoa de Meia-Idade , Enfermeiras Administradoras , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Filipinas , Inquéritos e Questionários , Carga de Trabalho , Adulto Jovem
6.
Artigo em Inglês | MEDLINE | ID: mdl-31757100

RESUMO

: Guided by the theory of reasoned action and media system dependency theory, this study examined attitude towards genetically modified foods (GMF) among university students in Kunming, China, as well as personal and media factors related to such attitude. Data were collected from an online survey with 467 university students across eight universities in Kunming. Results showed that attitude towards GMF were more negative than positive. Moreover, food neophobia and media attention were negatively associated with attitude towards GMF. In contrast, perceived benefit was positively associated with attitude towards GMF. Although the interaction between media dependency and media attention was significant, simple slope analysis confirmed that the interaction slopes were nonsignificant, suggesting that media attention did not moderate the association between media dependency and attitude towards GMF in this study. Theoretical and practical implications are discussed.


Assuntos
Atitude Frente a Saúde , Alimentos Geneticamente Modificados , Meios de Comunicação de Massa , Estudantes/psicologia , Adolescente , Adulto , China , Feminino , Humanos , Masculino , Inquéritos e Questionários , Universidades , Adulto Jovem
7.
Nurs Outlook ; 67(3): 259-269, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30612752

RESUMO

BACKGROUND: The quality of undergraduate nursing programs offered by higher education institutions (HEIs) in the Philippines is usually evaluated using Nurse Licensure Examination (NLE) results. PURPOSE: To describe NLE trends in 2010 to 2016, compare low- and high-performing HEIs, and examine the association of HEIs' characteristics with NLE passing rate. METHODS: NLE and HEI data were collected from two Philippine government agencies. Descriptive statistics were used to present NLE trends, while multiple linear regression was used to determine the association of HEI characteristics with NLE passing rate. DISCUSSION: There was a downward trend for NLE takers and passers from 2010 to 2016. Regression results showed that location, size, type, year of establishment, and student-faculty ratio were associated with NLE passing rate. CONCLUSION: HEIs should consider decreasing their student-faculty ratio to improve NLE performance. Relevant government agencies should take measures to improve most HEIs' NLE performance in the Philippines.


Assuntos
Desempenho Acadêmico/estatística & dados numéricos , Desempenho Acadêmico/tendências , Bacharelado em Enfermagem/estatística & dados numéricos , Bacharelado em Enfermagem/tendências , Licenciamento em Enfermagem/estatística & dados numéricos , Licenciamento em Enfermagem/tendências , Escolas de Enfermagem/tendências , Adulto , Feminino , Previsões , Humanos , Masculino , Pessoa de Meia-Idade , Filipinas , Escolas de Enfermagem/estatística & dados numéricos
8.
Comput Inform Nurs ; 37(2): 80-89, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30299305

RESUMO

While previous research has examined specific ways that nurses have used smartphones for work purposes in clinical settings, large-sample quantitative studies are limited, particularly in Asia. To address this research gap, this study provided a ranking on how nurses have used their smartphones for work purposes in clinical settings and identified differences based on demographic and organizational factors. In January to June 2017, a pen-and-paper survey was administered to 517 staff nurses employed in 19 tertiary-level general hospitals in Metro Manila, Philippines. Results show that nurses frequently used their smartphones to exchange voice calls and text messages with other nurses and doctors. Results also showed that specific items reflecting the use of smartphones for communication purposes differed according to gender, age, hospital ownership, nursing area, number of patients handled in last shift, and presence of a hospital-provided mobile phone. Next, some items for information-seeking purposes differed according to highest educational attainment and years of clinical experience. Moreover, some items for documentation purposes differed according to age, hospital ownership, and number of patients handled in last shift. Overall, the results of this study can be used to guide policies on the use of smartphones in clinical settings.


Assuntos
Informática em Enfermagem/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/psicologia , Smartphone/estatística & dados numéricos , Adulto , Comunicação , Feminino , Humanos , Relações Interprofissionais , Masculino , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Filipinas , Fatores Socioeconômicos , Inquéritos e Questionários , Centros de Atenção Terciária/estatística & dados numéricos , Envio de Mensagens de Texto , Adulto Jovem
9.
Trop Med Infect Dis ; 3(4)2018 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-30423898

RESUMO

Dengue is a major public health concern and an economic burden in the Philippines. Despite the country's improved dengue surveillance, it still suffers from various setbacks and needs to be complemented with alternative approaches. Previous studies have demonstrated the potential of Internet-based surveillance such as Google Dengue Trends (GDT) in supplementing current epidemiological methods for predicting future dengue outbreaks and patterns. With this, our study has two objectives: (1) assess the temporal relationship of weekly GDT and dengue incidence in Metropolitan Manila from 2009⁻2014; and (2) examine the health-seeking behavior based on dengue-related search queries of the population. The study collated the population statistics and reported dengue cases in Metropolitan Manila from respective government agencies to calculate the dengue incidence (DI) on a weekly basis for the entire region and annually per city. Data processing of GDT and dengue incidence was performed by conducting an 'adjustment' and scaling procedures, respectively, and further analyzed for correlation and cross-correlation analyses using Pearson's correlation. The relative search volume of the term 'dengue' and top dengue-related search queries in Metropolitan Manila were obtained and organized from the Google Trends platform. Afterwards, a thematic analysis was employed, and word clouds were generated to examine the health behavior of the population. Results showed that weekly temporal GDT pattern are closely similar to the weekly DI pattern in Metropolitan Manila. Further analysis showed that GDT has a moderate and positive association with DI when adjusted or scaled, respectively. Cross-correlation analysis revealed a delayed effect where GDT leads DI by 1⁻2 weeks. Thematic analysis of dengue-related search queries indicated 5 categories namely; (a) dengue, (b) sign and symptoms of dengue, (c) treatment and prevention, (d) mosquito, and (e) other diseases. The majority of the search queries were classified in 'signs and symptoms' which indicate the health-seeking behavior of the population towards the disease. Therefore, GDT can be utilized to complement traditional disease surveillance methods combined with other factors that could potentially identify dengue hotspots and help in public health decisions.

10.
J Am Med Inform Assoc ; 25(8): 1018-1025, 2018 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-29788375

RESUMO

Objective: This study reports the development and psychometric evaluation of the Smartphone for Clinical Work Scale (SCWS) to measure nurses' use of smartphones for work purposes. Methods: Items were developed based on literature review and a preliminary study. After expert consultations and pilot testing, a 20-item scale was administered in January-June 2017 to 517 staff nurses from 19 tertiary-level general hospitals in Metro Manila, Philippines. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to evaluate construct validity. Structural equation modeling (SEM) was used to test the predictive validity of SCWS on perceived work productivity. Results: EFA results show that 15 out of 20 items loaded on five factors: communication with clinicians via call and text, communication with doctors via instant messaging, information seeking, communication with nurses via instant messaging, and communication with patients via call and text. CFA results suggest that the five factors that form SCWS have adequate fit to the data, thus supporting construct validity. SEM results suggest predictive validity since SCWS was positively associated with perceived work productivity. Conclusions: The 15-item SCWS showed satisfactory psychometric properties for use in future studies. These studies can focus on identifying factors associated with nurses' use of smartphones for work purposes.


Assuntos
Pesquisa em Enfermagem , Recursos Humanos de Enfermagem no Hospital , Psicometria , Smartphone , Hospitais Gerais , Humanos , Filipinas , Projetos Piloto
11.
Int J Nurs Pract ; 23(5)2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28752519

RESUMO

AIM: To explore how and why mobile instant messaging applications are used by Filipino nurses as part of their work. METHODS: Guided by the uses and gratifications theory, in-depth interviews with 20 staff nurses working in 9 hospitals (ie, 4 private and 5 public hospitals) in the Philippines were conducted in July 2015. Interview data were analysed through a phenomenological perspective to thematic analysis. RESULTS: Results show that mobile instant messaging applications such as Facebook Messenger and Viber were mostly used by staff nurses and these were accessed using their own smartphones. Thematic analysis indicates that they were used to meet staff nurses' need for information exchange, socialization, and catharsis. Moreover, user interactions vary depending on members within a chat group. For instance, communication via mobile instant messaging applications are much formal when superiors are included in a chat group. CONCLUSION: In general, the results show that mobile instant messaging applications are routinely used by Filipino staff nurses not only for clinical purposes (ie, information exchange) but also for non-clinical purposes (ie, socialization and catharsis). This paper ends with several practical and theoretical implications including future research directions.


Assuntos
Aplicativos Móveis/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital , Smartphone , Envio de Mensagens de Texto/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Filipinas , Adulto Jovem
12.
J Health Commun ; 22(4): 346-354, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28323546

RESUMO

The widespread adoption of mobile phones has increased the potential of mHealth to improve health communication and health outcomes because these devices could serve as a ubiquitous and affordable means to disseminate health information to large populations. Given that mHealth apps offer free or limited trials as part of promotional strategies, potential users' trialability is a critical step of the preadoption process. Drawing from Rogers' diffusion of innovation theory, this study examines the relationships of adopters' perceived characteristics of mHealth apps (i.e., relative advantage, complexity, compatibility, and observability) with their trialability. It further investigates how the perceived control of mobile devices and trialability of mHealth apps influence two dimensions of mHealth literacy, namely seeking and appraisal of health information. This web survey recruited 295 young mHealth app users from a Singaporean university. Results of partial least squares regression show that the observability of mHealth apps is the only factor positively related to mHealth trialability. Perceived control of mobile devices and trialability of mHealth apps are positively associated with seeking and appraisal of health information. Practical and theoretical implications to mHealth are discussed.


Assuntos
Alfabetização/estatística & dados numéricos , Aplicativos Móveis/estatística & dados numéricos , Telemedicina , Feminino , Humanos , Masculino , Inquéritos e Questionários , Adulto Jovem
13.
Health Commun ; 32(6): 749-758, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-27392280

RESUMO

As Southeast Asia has experienced haze crises in recent years, encouraging Singaporeans to take preventive measures against negative health outcomes during haze is a growing concern. This study examines how communication factors (i.e., attention to traditional media and new media, interpersonal discussion, and knowledge) can inform Singaporeans about haze and influence their risk perceptions and intentions to undertake self-protective measures. The web survey of 410 respondents shows that attention to traditional media, attention to new media, interpersonal discussion, knowledge, and risk perception are positively associated with intention to take preventive measures. However, only interpersonal discussion is related to risk perception. Theoretical as well as practical implications of the findings are discussed.


Assuntos
Poluição do Ar/prevenção & controle , Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Intenção , Percepção , Poluição do Ar/efeitos adversos , Feminino , Humanos , Masculino , Meios de Comunicação de Massa/estatística & dados numéricos , Medição de Risco , Singapura , Inquéritos e Questionários , Adulto Jovem
14.
Int J Med Inform ; 95: 71-80, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27697234

RESUMO

BACKGROUND: Nurses' use of personal mobiles phones at work is a growing trend in healthcare organizations. Although recent studies have explored the positive and negative implications of nurses using personal mobile phones at work, none has yet analyzed the interactions of sociotechnical components (users, technology and policy) on nurses' use of personal mobile phones at work. OBJECTIVES: Identify sociotechnical interactions by analyzing each sociotechnical component (users, technology and policy) that affects nurses' use of personal mobile phones at work. METHODS: In-depth interviews were conducted with 30 nurses employed in 13 hospitals in the Philippines. The respondents include staff nurses (n=23), charge nurses (n=4), and nurse managers (n=3). Staff nurses were asked on their use of personal mobile phones at work, while charge and nurse managers were asked on their observations regarding staff nurses' use of personal mobile phones at work. Responses were analyzed qualitatively using sociotechnical analysis. RESULTS: Sociotechnical analysis indicated that staff nurses used their personal mobile phones at work in various ways because its use helped in their nursing work, but inevitably altered a few of their routines. Although most hospitals had policies that prohibit the use of mobile phones, staff nurses justified their use of personal mobile phones by using it for work purposes and for the benefit of their patients. Staff nurses highlighted the absence of hospital-provided mobile phones as a key reason for using personal mobile phones at work. Charge nurses and nurse managers also influenced staff nurses' use of personal mobile phones at work. CONCLUSIONS: Nurses could use their personal mobile phones at work for work purposes to enhance their clinical performance and improve patient care. Hospital administrators can leverage on nurses' use of personal mobile phones at work by formulating policies that consider both the benefits and potential drawbacks of mobile phone usage. Recommendations are made for the formulation of hospital policies to optimize the use of personal mobile phones of nurses at work.


Assuntos
Telefone Celular/estatística & dados numéricos , Hospitais/normas , Recursos Humanos de Enfermagem no Hospital/normas , Análise e Desempenho de Tarefas , Local de Trabalho/normas , Adulto , Telefone Celular/instrumentação , Telefone Celular/legislação & jurisprudência , Feminino , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/legislação & jurisprudência , Assistência Individualizada de Saúde , Gestão da Segurança , Adulto Jovem
15.
J Health Commun ; 21(7): 790-9, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-27315440

RESUMO

The annual Southeast Asian haze pollution raises public health concerns in this region. Based on a modified extended parallel process model, this study examines efficacy (self-efficacy and response efficacy) and perceived threat (susceptibility and severity) and incorporates new constructs of media trust and affective attitude. Results from a Web survey of 410 undergraduate students in Singapore show that response efficacy to seek haze-related information mediates the association between perceived self-efficacy and intention to take protective measures during haze. Moreover, self-efficacy is negatively associated with affective attitude (e.g., fear and worry) toward haze-related health problems. Next, perceived severity and perceived susceptibility are positively associated with response efficacy and affective attitude. Affective attitude toward haze is a stronger predictor than response efficacy for behavioral intention. Finally, trust in new media is positively associated with young Singaporeans' affective attitude, which positively affects their behavioral intention to take protective measures.


Assuntos
Poluição do Ar/prevenção & controle , Atitude Frente a Saúde , Comportamentos Relacionados com a Saúde , Intenção , Afeto , Poluição do Ar/efeitos adversos , Medo , Feminino , Humanos , Masculino , Meios de Comunicação de Massa , Autoeficácia , Singapura , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Confiança/psicologia , Universidades , Adulto Jovem
16.
Cyberpsychol Behav Soc Netw ; 18(11): 641-6, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26448499

RESUMO

Nowadays, social networking sites have provided an accessible means to convey social support to grievers who mourn for the dead. To explore how Twitter is used to convey social support after a non-celebrity's death, this study conducted a content analysis of 1,557 Twitter posts bearing the hashtag #Fallen44--a reference to the death of 44 elite Philippine policemen during a terrorist manhunt. Using a hybrid coding approach, the findings show that Twitter users conveyed social support by sending informational (56.28%) and emotional (39.76%) support messages. Informational support was mostly expressed by posting or sharing pictures and news articles relevant to the Fallen44, while emotional support was mostly conveyed by paying tribute, showing sympathy, and offering prayers for them. Moreover, a small proportion (3.96%) of tweets did not convey social support but reflected humor or anger or were spam messages. This study is one of the first to provide empirical support for the use of Twitter to convey social support after a non-celebrity's death in an Asian setting. Practical and theoretical implications for online social support are discussed.


Assuntos
Internet , Mídias Sociais , Apoio Social , Emoções , Humanos , Filipinas
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