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1.
Violence Against Women ; : 10778012211035808, 2021 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-34665082

RESUMO

This study examines factors associated with screening of female patients for intimate partner violence (IPV) by orthosurgeons in a sample of 100 Israeli orthosurgeons. Findings reveal positive attitudes toward screening female patients but a significant lack of knowledge. Arab orthosurgeons held slightly more negative attitudes toward screening for IPV and had a more prominent lack of knowledge regarding screening for IPV, compared to their Jewish counterparts. Nationality and feeling uncomfortable asking female patients about IPV predicted screening for IPV. The importance of training orthosurgeons on the assessment and treatment of IPV cannot be overemphasized, especially among Arab orthosurgeons.

2.
Isr Med Assoc J ; 23(8): 479-483, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34392621

RESUMO

BACKGROUND: Little is known regarding the impact of the coronavirus disease-2019 (COVID-19) pandemic on the incidence of hip fractures among older adults. OBJECTIVES: To compare the characteristics of patients with a hip fracture following a fall during the COVID-19 pandemic year and during the preceding year. METHODS: We conducted a retrospective cohort study of older patients who had undergone surgery for hip fracture repair in a major 495-bed hospital located in northern central Israel following a fall. Characteristics of patients who had been hospitalized in 2020 (pandemic year, n=136) and in 2019 (non-pandemic year, n=151) were compared. RESULTS: During the pandemic year, patients were less likely to have fallen in a nursing facility, to have had muscle or balance problems, and to have had a history of falls and fractures following a fall. Moreover, the average length of stay (LOS) in the hospital was shorter; however, the average time from the injury to hospitalization was longer. Patients were less likely to have acquired a postoperative infection or to have died. During the pandemic year, postoperative infection was only associated with prolonged LOS. CONCLUSIONS: The COVID-19 pandemic may have had a positive impact on the behavior of older adults as well as on the management of hip fracture patients. However, healthcare providers should be aware of the possible reluctance to seek care during a pandemic. Moreover, further research on the impact of the change in management during COVID-19 on hip fracture survival is warranted.


Assuntos
Acidentes por Quedas , COVID-19 , Fixação de Fratura , Fraturas do Quadril , Controle de Infecções , Complicações Pós-Operatórias , Acidentes por Quedas/prevenção & controle , Acidentes por Quedas/estatística & dados numéricos , Idoso , COVID-19/epidemiologia , COVID-19/prevenção & controle , Feminino , Fixação de Fratura/métodos , Fixação de Fratura/reabilitação , Fixação de Fratura/estatística & dados numéricos , Fraturas do Quadril/epidemiologia , Fraturas do Quadril/etiologia , Fraturas do Quadril/cirurgia , Humanos , Controle de Infecções/métodos , Controle de Infecções/organização & administração , Israel/epidemiologia , Tempo de Internação/estatística & dados numéricos , Masculino , Avaliação de Processos e Resultados em Cuidados de Saúde , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Estudos Retrospectivos , SARS-CoV-2/isolamento & purificação
3.
Int J Orthop Trauma Nurs ; 43: 100868, 2021 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-34438357

RESUMO

BACKGROUND: The causes of falls are heterogeneous and represent an interaction between patient and environmental factors. This study aimed to explore the characteristics of patients who fell in an in-patient orthopedic department and explore possible reasons for their falls. METHODS: A retrospective case-control study of adults in an orthopedic in-patient setting at a major hospital, who sustained a fall. Sociodemographic and medical characteristics of randomly sampled patients who fell (cases, n = 128) and their controls (n = 128) were compared. RESULTS: Fallers were younger, had less comorbidities, took less medications, and had a shorter length of stay than non-fallers. Moreover, fallers' reasons for hospitalization were not necessarily associated with limited mobility. Fall events occurred most frequently from the patient's bed, in the bathroom and during night shifts. CONCLUSIONS: Our study portrays atypical fallers; that is, patients who had no obvious risk factors for falls and, thus, were not expected to fall. It appears that reduction in falls among high-risk patients may artificially create a population of atypical fallers. The patients may overestimate their abilities and avoid asking for assistance. Our findings suggest that emphasizing the importance of asking for assistance among both low-risk and high-risk patients as well as male and female patients should be an integral part of patient education in orthopedic departments.

4.
J Elder Abuse Negl ; 33(3): 221-229, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34096472

RESUMO

Searching for clinical manifestations of elder abuse may help healthcare professionals identify cases of elder abuse. The aim of the present study was to explore characteristics of older patients with fractures that increase the likelihood that the fracture was associated with abuse. This is a retrospective chart review study of 1,000 patients aged 65 and older who presented to an emergency department in northern-central Israel with a fracture during 2019. The chart review included participant characteristics - sociodemographic data, medical data, data regarding the fracture, and data on the presence of forensic markers of elder abuse in individual patients. Descriptive statistics and regression models were used for the analyses. Older age, presence of dementia, and hand and facial fractures were associated with the presence of forensic markers, and were also found to predict having at least one forensic factor. This study provides further support for the creation of clinical guidelines for identification of elder abuse.


Assuntos
Abuso de Idosos , Idoso , Serviço Hospitalar de Emergência , Medicina Legal , Humanos , Estudos Retrospectivos
5.
J Emerg Med ; 61(1): 82-88, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33648784

RESUMO

BACKGROUND: Patients leaving the emergency department (ED) before treatment completion (LBTC) is a common universal occurrence. We hypothesized that the characteristics of the Israeli health care system, as well as its policy, intended to reduce the burden of nonurgent ED visits, may have an impact on factors associated with LBTC. OBJECTIVES: The purpose of this study was to explore factors associated with LBTC in the Israeli context. METHODS: This was a retrospective cohort study of patients who visited the ED in a major hospital located in northern-central Israel during 2016-2019. Characteristics of 130 randomly sampled LBTC patients and of 130 non-LBTC patients that constituted the control group, were compared. Odds ratios (OR) are presented. RESULTS: A low-acuity triage score (OR 8.18, p < 0.01) and a longer length of stay (OR 1.15, p < 0.01) were found to be risk factors for LBTC, and female gender (OR 0.40, p < 0.01) was found to be a protective factor. In contrast, age and nationality were not found as risk factors. Significant differences were found between the two groups with regard to the main presenting complaint. However, both groups had similar rates of presentations with a psychiatric condition. Approximately half of the LBTC patients presented at times when primary clinics were active. CONCLUSIONS: These findings reflect the strengths of the Israeli health care system. Despite the policy intended to reduce the burden of nonurgent ED visits, there are possible shortcomings in the system that should be addressed.


Assuntos
Serviço Hospitalar de Emergência , Triagem , Feminino , Hospitais , Humanos , Estudos Retrospectivos , Fatores de Risco
6.
Int J Health Care Qual Assur ; ahead-of-print(ahead-of-print)2020 Mar 24.
Artigo em Inglês | MEDLINE | ID: mdl-32202398

RESUMO

PURPOSE: The purpose of this paper is to compare the ability of the Morse Fall Scale (MFS) and Farmer's fall-risk assessment tool (FFAT) to identify correlations between risk factors and falls among older adult long-term care (LTC) facility residents. DESIGN/METHODOLOGY/APPROACH: This was a correlational retrospective study. 200 medical records of older adults hospitalized in a LTC facility in central Israel, from January 2017 to January 2018, were examined. FINDINGS: Of all the residents, 75% and 99.5% of the residents were identified as having a high fall risk according to the MFS and FFAT, respectively. Only 12.5% of residents actually fell. MFS score was weakly correlated with actual falls (odds ratio = 1.035). It was also found that all fallers fell during their first week at the facility. RESEARCH LIMITATIONS/IMPLICATIONS: Future research should explore the ability of the tools to capture changes in the fall risk by repeat assessments, as this has not been examined in the present study. PRACTICAL IMPLICATIONS: The MFS and FFAT tool may have little value in assessing fall risk in older adult LTC facility residents. Therefore, nurses should perform a clinical evaluation of each individual patient. In addition, nurses should place a particular emphasis on fall risk and prevention during the first week following admission. ORIGINALITY/VALUE: The findings of the present study raise doubts regarding the utility of the common practice of assessing fall risk in older adult LTC facility residents using the tools MFS and the FFAT, thus emphasizing the need to adopt a different approach.


Assuntos
Acidentes por Quedas/prevenção & controle , Instituição de Longa Permanência para Idosos , Casas de Saúde , Medição de Risco/métodos , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Israel , Assistência de Longa Duração , Masculino , Reprodutibilidade dos Testes , Estudos Retrospectivos
7.
Int J Older People Nurs ; 15(2): e12307, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32034887

RESUMO

AIM: The aim of this study was to explore the prevalence of ageist attitudes among older adults hospitalised in a geriatric rehabilitation facility, as well as the association between satisfaction with care and ageist attitudes. In addition, this study also explores the prevalence of ageist attitudes among healthcare professionals. BACKGROUND: An ageist environment may potentially increase internalisation of stereotypes by older adults, which in turn may have a negative impact on care outcomes. METHODS: In this quantitative correlational study, a questionnaire was completed by 100 older patients hospitalised in a rehabilitation department of a geriatric medical centre located in North-Central Israel, and 87 healthcare professionals working in the same department. RESULTS: The attitudes of older patients towards their peers were neither definitely positive nor definitely negative, as were the attitudes held among healthcare professionals working in the facility. Patients with lower knowledge about old age, women and patients born in former Soviet Republics had more ageist attitudes. Older patients' satisfaction with care was relatively high and was not associated with ageist attitudes towards their peers. CONCLUSIONS: Both healthcare professionals and older patients held ageist attitudes to some extent. Certain older patients' sociodemographic characteristics, as well as lower knowledge about old age, have been found associated with more ageist attitudes towards their peers. In contrast, satisfaction with care does not seem to affect older patients' attitudes towards their peers. Healthcare professionals working in a geriatric facility should be aware of the prevalence of ageism among older patients. IMPLICATIONS FOR PRACTICE: The findings highlight the importance of educational interventions among healthcare professionals to increase awareness of the prevalence of ageism among older patients in a geriatric setting.


Assuntos
Ageismo , Pessoal de Saúde/psicologia , Pacientes Internados/psicologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Serviços de Saúde para Idosos , Humanos , Israel , Masculino , Satisfação do Paciente , Fatores Socioeconômicos , Inquéritos e Questionários
8.
J Interpers Violence ; : 886260519888202, 2019 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-31762389

RESUMO

The Israeli Ministry of Health requires medical and nursing staff in both hospitals and community settings, screen all women for Intimate Partner Violence (IPV). This study explored factors associated with the intention of Israeli women to consent to universal IPV screening during their visits to well baby clinics, using the Theory of Planned Behavior (TPB). Two hundred Jewish women of childbearing age completed a questionnaire based on the TPB. Only 52% of the women reported that they had undergone IPV screening conducted by nurses at well baby clinics in the last year. The TPB was found to predict 44% of the variance in women's intention to consent to universal IPV screening, whereas control beliefs, perceived behavioral control, and normative beliefs with regard to universal screening, were found to be the most significant predictors. These findings may help design interventions aimed at raising women's intentions to consent to universal IPV screening.

9.
Nurs Health Sci ; 21(3): 291-296, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30663220

RESUMO

Nurses working in a long-term care facility could be at risk of developing compassion fatigue due to the nature of their work. In this descriptive, cross-sectional survey, we explored the level of compassion fatigue among nurses working in a long-term care facility, as well as the associated sociodemographic and occupational factors. In total, 103 nurses employed in various departments of a long-term care facility in central Israel completed the Hebrew version of the Professional Quality of Life Scale R-IV. Nurses scored moderate-high on the compassion fatigue (mean = 3.6, standard deviation = .5), burnout (mean = 3.5, standard deviation = .5), and compassion satisfaction (mean = 3.8, standard deviation = .5) scales. Older nurses scored lower on compassion fatigue, while nurses with higher qualifications scored higher on compassion satisfaction. In this study, we implicate that it is necessary to raise awareness about compassion fatigue, both in nursing education and training and in long-term care organizations. It is necessary to improve understanding of this phenomenon in order to help nurses acquire appropriate coping skills to address this critical issue.


Assuntos
Fadiga por Compaixão/diagnóstico , Assistência de Longa Duração/normas , Enfermeiras e Enfermeiros/psicologia , Adaptação Psicológica , Adulto , Idoso , Fadiga por Compaixão/psicologia , Feminino , Humanos , Israel , Satisfação no Emprego , Assistência de Longa Duração/organização & administração , Assistência de Longa Duração/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/estatística & dados numéricos , Psicometria/instrumentação , Psicometria/métodos , Inquéritos e Questionários
10.
Int J Nurs Pract ; 25(2): e12721, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30644142

RESUMO

AIM: To explore factors associated with the intention of an ethnic minority of Israeli Arabs to undergo faecal occult blood testing using the Health Belief Model. METHODS: This was a quantitative correlational study that utilized a questionnaire constructed based on the Health Belief Model. The questionnaire was administered to a convenience sample of 200 Israeli Arabs aged 50 and over. Data were collected during January to March 2018. FINDINGS: The research findings show that respondents had a high intention to undergo faecal occult blood testing in the future, although only 66.5% of the respondents had ever undergone it in the past. Physicians and nurses were the most significant sources of information regarding the faecal occult blood testing. The Health Belief Model explained 46% of variance in the intention to undergo the faecal occult blood testing among Israeli Arabs, with perceived benefits of testing being the most significant predictor of this intention. CONCLUSION: The Health Belief Model can serve as a basis for planning intervention programmes to be implemented by health care professionals to raise the intention of ethnic minorities to undergo faecal occult blood testing.


Assuntos
Árabes/psicologia , Neoplasias Colorretais/diagnóstico , Intenção , Sangue Oculto , Idoso , Neoplasias Colorretais/etnologia , Feminino , Humanos , Israel , Masculino , Pessoa de Meia-Idade , Modelos Psicológicos , Inquéritos e Questionários
11.
Nurse Educ Today ; 68: 66-70, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29886287

RESUMO

BACKGROUND: Nursing education aims to promote positive health practices among the general population as well as among nurses themselves. Breastfeeding is one of these important health practices. However, to date there is little evidence regarding the extent to which nursing education affects nursing students' attitudes, knowledge, intentions, and their perception of institutional support regarding breastfeeding. OBJECTIVES: To compare breastfeeding attitudes and knowledge among nursing students and students from other faculties, as well as their perception of their academic institution's support for breastfeeding, and to explore the association between these factors and students' intention to breastfeed during the course of their studies. DESIGN: This study was a descriptive cross-sectional study. SETTINGS: The study was conducted at a large university in central Israel. PARTICIPANTS: One hundred female students from the faculty of nursing and 100 female students from other faculties, of childbearing age, who were either pregnant or mothers. METHODS: The students completed a questionnaire regarding their breastfeeding knowledge, intentions, attitudes, and their perception of their academic institution's support for breastfeeding. RESULTS: Nursing students' level of breastfeeding knowledge was very high, and higher than that among students from other faculties. However, both groups had similar moderately positive overall scores for attitudes towards breastfeeding. In addition, both groups expressed similar moderate intentions to breastfeed during the course of their studies. Students' perception of their academic faculty as supportive of breastfeeding, their breastfeeding attitudes, and breastfeeding knowledge, were found to predict their intention to breastfeed during the course of their studies. CONCLUSIONS: Nursing programs should place more emphasis on improving nursing students' attitudes towards breastfeeding. In order to promote breastfeeding among students during their studies, it is important to ensure a pro-breastfeeding environment on campus.


Assuntos
Aleitamento Materno/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Intenção , Estudantes de Enfermagem/psicologia , Universidades , Adulto , Estudos Transversais , Currículo , Feminino , Humanos , Israel , Pessoa de Meia-Idade , Percepção , Inquéritos e Questionários
12.
Pain Manag Nurs ; 19(5): 456-463, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-29773355

RESUMO

BACKGROUND: Pain is a common subjective symptom among older adults in general and among older adult residents in long-term geriatric facilities in particular. Pain diminishes older adults' quality of life and may impair their ability to recover from various illnesses. Therefore, the Israeli Ministry of Health has issued guidelines on effectively assessing and treating pain in this population. AIMS: To examine discrepancies between the Ministry of Health's pain assessment guidelines and documented practice by nursing staff at a long-term geriatric care facility and whether these discrepancies correlate to characteristics of the nurses, the wards, and the patients' characteristics. DESIGN AND SETTINGS: A descriptive cross-sectional design study conducted at a large geriatric facility in central Israel. PARTICIPANTS: A random sample of 200 computerized patient records of pain assessment and management performed by 69 individual nurses. METHODS: The study used an original checklist based on Israeli Ministry of Health guidelines to assess nursing documentation regarding 19 aspects of pain assessment and management. RESULTS AND CONCLUSIONS: There were discrepancies found between the Ministry of Health's pain assessment guidelines and documented practice by the nursing staff. An average of 13.8 out of 19 aspects of pain assessment and management were documented. As nurses' knowledge about pain assessment and management increased and as staffing ratios improved, the greater was the adherence to Ministry of Health guidelines, resulting in fewer discrepancies between the guidelines and documented practice. There was less pain assessment and management documentation for mechanically ventilated patients and for male patients.


Assuntos
Documentação/normas , Fidelidade a Diretrizes/normas , Manejo da Dor/métodos , Idoso , Idoso de 80 Anos ou mais , Atitude do Pessoal de Saúde , Estudos Transversais , Documentação/métodos , Feminino , Enfermagem Geriátrica/métodos , Enfermagem Geriátrica/normas , Humanos , Israel , Assistência de Longa Duração/métodos , Assistência de Longa Duração/normas , Masculino , Medição da Dor/métodos , Inquéritos e Questionários
13.
Int J Nurs Pract ; 24(2): e12622, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29417703

RESUMO

AIM: Folic acid supplementation before and during pregnancy decreases rates of neural tube defects. However, many women fail to adhere to folic acid supplementation recommendations. This study explored factors associated with women's intention to take folic acid before and during pregnancy, using the Theory of Planned Behaviour, with an emphasis on differences between Israeli-born women and immigrant women from the Former Soviet Union. METHODS: In this cross-sectional study, 100 Israeli born-women and 100 women from the Former Soviet Union of childbearing age completed a questionnaire, based on the Theory of Planned Behaviour. RESULTS: The findings indicated a significant difference in the rates at which Israeli-born and FSU-born women took folic acid before and during pregnancy, as well as a significant difference in their intention to take folic acid supplementation in future pregnancies. The theoretical model explained 88.7% of variance in women's intention to take folic acid, with the most influential variable being behavioural attitudes towards taking folic acid. CONCLUSION: The study emphasizes the need to increase knowledge and change attitudes and beliefs about folic acid supplementation among women and their significant others, as well as the importance of cultural, language, and economic barriers when treating Former Soviet Union immigrant populations.


Assuntos
Ácido Fólico/uso terapêutico , Conhecimentos, Atitudes e Prática em Saúde , Cuidado Pré-Concepcional , Cuidado Pré-Natal , Complexo Vitamínico B/uso terapêutico , Adulto , Estudos Transversais , Suplementos Nutricionais , Emigrantes e Imigrantes , Feminino , Humanos , Israel , Defeitos do Tubo Neural/prevenção & controle , Gravidez , Inquéritos e Questionários , U.R.S.S.
14.
Psychogeriatrics ; 18(3): 175-181, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29415342

RESUMO

AIM: Despite the widespread use of the clock-drawing test (CDT), normative data and information regarding the influence of sociodemographic factors on test performance by adult and elderly Israeli Arabs are lacking. The current study aimed to establish normative data for this population group by exploring the impact of sociodemographic factors such as age, education, and gender on CDT performance. In addition, this study examined the association between CDT performance and Mini-Mental State Examination (MMSE) scores. METHODS: The sample consisted of 295 community-dwelling healthy adult and elderly Israeli Arabs, aged 20-86 years, with a MMSE score ≥24. The MMSE and the CDT were administered to participants. RESULTS: Statistical analyses revealed that age had a negative effect on CDT performance, which was most pronounced in the 60-86 age group, but education and occupation (academic vs non-academic) had a positive effect. Gender and place of residence (urban vs rural) had no effect. CDT performance predicted the MMSE score. CONCLUSIONS: The present study provides preliminary normative data on adult and elderly Israeli Arabs. The CDT appears to be applicable to Israeli Arabs, while the normative data might help interpret cognitive function results in this population.


Assuntos
Árabes , Transtornos Cognitivos/diagnóstico , Entrevista Psiquiátrica Padronizada/normas , Testes Neuropsicológicos/normas , Idoso , Idoso de 80 Anos ou mais , Feminino , Avaliação Geriátrica , Humanos , Masculino , Valores de Referência , Reprodutibilidade dos Testes , Características de Residência
15.
Osteoporos Sarcopenia ; 4(4): 134-139, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30775556

RESUMO

Objectives: The aim of this study was to examine whether coordination between healthcare providers at an inpatient rehabilitation facility and healthcare providers in a community setting improves osteoporosis medication use in the community. Methods: In 2012, a coordination project between an inpatient geriatric rehabilitation facility located in north-central Israel and general practitioners in the community setting was initiated. In this retrospective pseudo-experimental study, we compared osteoporosis medication use among patients who were hospitalized at the facility following an osteoporotic fracture during 2011-2012, and who constituted the control group (n=120), and patients who were hospitalized at the facility during 2013-2015, and who constituted the trial group (n=129). Data were collected from the patients' records and from records of the health maintenance organization concerning medications issued to the patients by pharmacies. Results: Differences were observed between the trial and the control group in osteoporosis medication management by healthcare providers, both at the inpatient rehabilitation facility and in the community, suggesting favorable trends. However, osteoporosis medication use in the community was slightly lower in the trial group, then in the control group (32.8% vs. 34.2%, respectively). A regression analysis indicated that the only variable predicting use of osteoporosis medications in the community was a previous diagnosis of osteoporosis in the community. Conclusions: The study results indicate that mere coordination between the healthcare settings is insufficient in order to ensure continued care in the community, emphasizing the need for an osteoporosis coordinator.

16.
Appl Nurs Res ; 38: 60-63, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29241521

RESUMO

The aims of this study were to identify factors associated with pregnant women's intention to receive the pertussis vaccine during pregnancy, using the Health Belief Model; while comparing between pregnant native-born Israeli women and Israeli women born in the former Soviet Union. Convenience and snowball sampling methods were used to recruit 200 pregnant Israeli native-born women and women born in the former Soviet Union. Data were collected using a cross-sectional questionnaire survey. Regression results revealed that susceptibility to pertussis, seriousness of pertussis, perceived benefits of the vaccine, knowledge of risk factors of pertussis, and general health motivation together explained 76% of the variance of women's intention to receive the pertussis vaccine. Perceived benefits of the vaccine was the most significant factor affecting pregnant women's intention to receive the pertussis vaccine during pregnancy (p<0.05). Native-born women had higher intention to be vaccinated and more positive health beliefs (p<0.05).


Assuntos
Aceitação pelo Paciente de Cuidados de Saúde , Vacina contra Coqueluche/administração & dosagem , Adulto , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Intenção , Israel , Gravidez , Inquéritos e Questionários , U.R.S.S. , Adulto Jovem
17.
Arch Psychiatr Nurs ; 31(6): 610-613, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29179829

RESUMO

This study examined public perception of stigmas relating to mental illness six months after a reform, which integrated mental health care into primary care in Israel. The results reveal that the public feels uncomfortable seeking referral to mental health services through the public health system, with Arab Israelis and men expressing lower levels of comfort than did Jewish Israelis. The current reform has not solved the issue of public stigma regarding mental health care. The study suggests that the current reforms must be accompanied over time with appropriate public education regarding mental illness.


Assuntos
Reforma dos Serviços de Saúde/métodos , Transtornos Mentais/etnologia , Serviços de Saúde Mental/estatística & dados numéricos , Estigma Social , Adulto , Árabes/psicologia , Estudos Transversais , Feminino , Humanos , Israel/epidemiologia , Israel/etnologia , Judeus/psicologia , Masculino , Transtornos Mentais/epidemiologia , Setor Público , Fatores Sexuais , Inquéritos e Questionários
18.
Nurse Educ Today ; 58: 38-42, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28829995

RESUMO

BACKGROUND: Medication errors are common among nursing students. Nonetheless, these errors are often underreported. OBJECTIVES: To examine factors related to nursing students' intention to report medication errors, using the Theory of Planned Behavior, and to examine whether the theory is useful in predicting students' intention to report errors. DESIGN: This study has a descriptive cross-sectional design. SETTINGS: Study population was recruited in a university and a large nursing school in central and northern Israel. PARTICIPANTS: A convenience sample of 250 nursing students took part in the study. METHODS: The students completed a self-report questionnaire, based on the Theory of Planned Behavior. RESULTS: The findings indicate that students' intention to report medication errors was high. The Theory of Planned Behavior constructs explained 38% of variance in students' intention to report medication errors. The constructs of behavioral beliefs, subjective norms, and perceived behavioral control were found as affecting this intention, while the most significant factor was behavioral beliefs. The findings also reveal that students' fear of the reaction to disclosure of the error from superiors and colleagues may impede them from reporting the error. CONCLUSIONS: Understanding factors related to reporting medication errors is crucial to designing interventions that foster error reporting.


Assuntos
Atitude do Pessoal de Saúde , Intenção , Erros de Medicação/psicologia , Autorrelato/normas , Estudantes de Enfermagem/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Israel , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Universidades/organização & administração
19.
Geriatr Gerontol Int ; 17(12): 2507-2513, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28707303

RESUMO

AIM: Comparison between the predictions of functional rehabilitation outcomes at a department of geriatric rehabilitation using three cognitive screening tools - Mini Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE). METHODS: This study is a prospective study. The study participants were 212 patients aged 65 and older admitted to rehabilitation departments at a geriatric facility in central Israel, from April 2016 to October 2016. The cognitive functioning of each patient was assessed using the MMSE, MoCA, and IQCODE. Upon discharge, rehabilitation outcomes were examined using the Functional Independence Measure (FIM), cognitive FIM, delta FIM (Δ FIM), and ADL. RESULTS: Cognitive impairment was found to interfere with the rehabilitation process. The MMSE was the best predictor of functional rehabilitation outcomes at discharge, compared to the IQCODE, while the MoCA did not predict these measures. In addition, when distinguishing between patients by ethnicity (Jewish versus Arab), the MMSE and the IQCODE predicted FIM upon discharge among Jewish patients, while only the IQCODE predicted FIM upon discharge among Arab patients. CONCLUSIONS: The research findings show that cognitive assessment upon admission for rehabilitation - MMSE among Jewish patients and IQCODE among Arab patients - can help predict functional rehabilitation outcomes and make the appropriate adaptations in the rehabilitation program. Geriatr Gerontol Int 2017; 17: 2507-2513.


Assuntos
Testes de Estado Mental e Demência , Reabilitação , Árabes , Cognição , Transtornos Cognitivos , Humanos , Israel , Judeus , Estudos Prospectivos , Resultado do Tratamento
20.
J Pediatr Nurs ; 33: 41-45, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28081933

RESUMO

PURPOSE: This study investigated the intention of mothers in Israel to vaccinate their sons against HPV, using the Health Belief Model (HBM) as a framework, while comparing between Arab and Jewish mothers. DESIGN AND METHODS: The study has a quantitative cross-sectional design. A convenience sample of 200 Jewish and Arab mothers of boys aged 5-18 completed a questionnaire based on the HBM. RESULTS: The research findings indicate that only 14% of the mothers, constituting mostly Arab mothers, vaccinated their sons against HPV. Moreover, mothers showed a moderate level of intention to vaccinate their sons. This level was similar among Arab and Jewish mothers. However, the health beliefs of Jewish and Arab mothers differed. The HBM was found to explain 68% of mothers' intention to vaccinate their sons against HPV, and the perceived benefits of the vaccine were the factor most affecting this intention. CONCLUSIONS: Although mothers' health beliefs concerning vaccinating their sons against HPV may vary between sectors, the HBM can be used to explain what motivates mothers to vaccinate their sons. PRACTICE IMPLICATIONS: The research findings can assist in designing a national project among mothers of boys aimed at raising HPV vaccination rates, in both the Jewish and the Arab sector.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde/etnologia , Núcleo Familiar/etnologia , Infecções por Papillomavirus/prevenção & controle , Vacinas contra Papillomavirus/administração & dosagem , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Vacinação/psicologia , Adolescente , Adulto , Árabes/estatística & dados numéricos , Criança , Estudos Transversais , Feminino , Humanos , Israel , Judeus/estatística & dados numéricos , Modelos Lineares , Masculino , Mães/psicologia , Análise Multivariada , Papillomaviridae/patogenicidade , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Pesquisa Qualitativa , Inquéritos e Questionários
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