Evaluation of Dietitian Counselling Access Revealed Reduced Pediatrician-Reported Hospital Admissions and Increased Parental Knowledge and Confidence

2017 ◽  
Vol 78 (2) ◽  
pp. 81-85 ◽  
Author(s):  
Katherine (Kay) Watson-Jarvis ◽  
Lorna Driedger ◽  
Tanis R. Fenton
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Hospital Admissions ◽  
Response Rate ◽  
Parental Knowledge ◽  
Well Being ◽  
Public Health Nurses ◽  
Child Feeding ◽  
N 93 ◽  
High Degree

Based on a 1999 needs assessment a pediatric community-based outpatient dietitian counselling service was created. By 2010 annual referrals had grown to almost 1500 (62% from physicians; 38% from public health nurses). An evaluation was undertaken to gather perspectives of practitioners and parents about access, satisfaction, referral practices, and changes in knowledge, attitudes, behaviour, and child well-being. Health professionals surveyed via email were 62 pediatricians (response rate 71%), 25 family physicians (21%), 87 public health nurses (31%), and 7 dietitian providers (100%). Parents (n = 93, response rate 75% of those contacted) were interviewed by telephone. Pediatricians reported a significantly lower rate of 7% (95% confidence interval (CI), 0.8%–23%) for admitting children to hospital to access a dietitian, compared to 1999 of 39% (95% CI, 22%–59%) (P = 0.005). Health professionals reported a high degree of agreement on benefits of the service to their practice and on child health problems and a high degree of satisfaction with the service. Parents reported gaining knowledge (76%), confidence (93%), and making behaviour changes in foods offered (77%). Our evaluation demonstrated health practitioners saw a need for access to dietitians for pediatric dietitian counselling and parents reported more confidence and improved child feeding practices after dietitian counselling.

scholarly journals Information needs of public health professionals in Russia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T Kaygorodova ◽  
I Kriukova
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Information Needs ◽  
Well Being ◽  
Information Resources ◽  
World Health ◽  
Cochrane Library ◽  
Excessive Alcohol Consumption ◽  
Public Health Professionals ◽  
Types Of Information

Abstract Purpose To analyze information needs of the Russian public health professionals Methods Statistical, sociological, bibliometrics and content analysis Objectives To analyze results of a survey of information needs of public health professionals; To analyze requests by public health professionals; To present topics and types of information resources needed by public health professionals Results public health professionals usually prepare informational and analytical reports and reviews for decision-makers. Therefore, it is important to understand what issues this group of information consumers is interested in, as well as what information resources they may need. To address this purpose, the authors have surveyed this group of specialists and analyzed their requests for information submitted to WHO Documentation Center in the Russian Federation. The results obtained made it possible to define major information needs of Russian public health professionals. By topics, they are arranged as follows: analysis and trends in mortality by age and cause of death; analysis and trends in fertility; analysis of information resources on healthy lifestyles, physical activity, healthy diet an risk factors, as well as analysis of international experience and comparisons. Distribution by information resources used by the public health professionals: Russian collections of statistical data, National report on health; articles from Russian journals on public health and nutrition; statistical databases of the World Health Organization; Eurostat; WHO reports on different public health issues (tobacco control, excessive alcohol consumption, obesity and unhealthy diet, etc.); WHO/Europe reports on health and well-being; WHO evidence reports on public health problems; PubMed - articles on public health questions; Cochrane library, etc. Key messages This poster presents the results of a study of the information needs of public health professionals. The study was conducted by interviewing these specialists at conferences and seminars.

scholarly journals The National Collaborating Centre for Methods and Tools: Supporting evidence-informed decision making

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Howarth ◽  
S Neil-Sztramko ◽  
M Dobbins
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Health Professionals ◽  
Well Being ◽  
Informed Decision ◽  
Rapid Review ◽  
Informed Decision Making ◽  
High Quality ◽  
Public Health Professionals ◽  
The World

Abstract Background Public health continuously evolves to address an uncertain future, and public health professionals must effectively and efficiently adapt to changes. Evidence-informed decision making (EIDM) is one way to adapt to change. The National Collaborating Centre for Methods and Tools (NCCMT) provides high quality resources, training and mentorship to support the EIDM process through both in-person and distance-based formats. Freely accessible resources including online training opportunities can help public health professionals globally put evidence into practice and be ready to respond to change. Objectives The NCCMT's work is driven by the belief that everyone deserves optimal health and well-being and this can be achieved by using the best available evidence in practice. Our training and education resources include thirteen online learning modules, an EIDM skills assessment, video series, a rapid review guidebook and regular webinars, amongst others. These resources are self-paced and they can be accessed when and where it is most convenient for public health professionals. Results The NCCMT's resources are highly accessed, with over 320, 000 visits to the NCCMT website from around the world from April 2018-March 2019. There were also over 42,000 downloads of knowledge products in the same time period. The NCCMT's resources have been integrated into public health organizations and curriculum in public health postsecondary programs in Canada. We are continuously evolving by engaging our users. We will be launching an updated version of our Learning Centre in April 2020. Conclusions The NCCMT houses useful resources for all public health professionals to learn about finding, understanding, and using evidence. Public health professionals from around the world have used the NCCMT's educational resources to put evidence into practice. The NCCMT is committed to working with global organizations to support them to achieve their EIDM goals. Key messages The NCCMT supports public health professionals to use the best available evidence in practice. The NCCMT offers high quality resources, training and mentorship to public health professionals.

scholarly journals Understanding Academic Best Practices in the Development of Entry-to-Practice Competencies for Public Health Nurses

2020 ◽  
Vol 3 ◽  
pp. 125-128
Author(s):  
Heather Jane Jessup-Falcioni ◽  
David Groulx
Keyword(s):  
Public Health ◽  
Best Practices ◽  
Nursing Faculty ◽  
Health Professionals ◽  
Collaborative Research ◽  
Public Health Nurses ◽  
Public Health Professionals ◽  
Canadian Association ◽  
Schools Of Nursing ◽  
Academic Practices

The researchers sought to identify the best academic practices and approaches relating to three Canadian Association Schools of Nursing (CASN) Entry-to-Practice Domains. Collaborative research was conducted with nursing faculty, public health professionals and BScN students in Northeastern Ontario.  

The Oxford Handbook of Public Health Ethics

2019 ◽  
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Well Being ◽  
The United States ◽  
Public Health Ethics ◽  
Vaccine Hesitancy ◽  
Noncommunicable Diseases ◽  
Ethical Frameworks ◽  
Health Ethics ◽  
Public Health Professionals

Public health is fundamentally concerned with promoting the health of populations through the prevention of disease and injury. It is, at its core, a moral endeavor, because the end it seeks is the advancement of human well-being. Vexing ethics issues are inherent in all aspects of public health practice and policy. They exist in top-of-the-news stories like infectious disease outbreaks and vaccine hesitancy, health disparities, and in more routine assessments of population health needs, data collection, program evaluation, and policy development. They may be distinctive or shared across diverse fields, such as environmental health, nutrition programs and policy, injury prevention, communicable and noncommunicable diseases, and reproductive health. This volume represents the first comprehensive examination of public health ethics in the United States and globally. The volume editors recruited top public health professionals, policy experts, and scholars in public health and ethics fields to offer varied perspectives on the diversity of the issues that define public health ethics. The volume begins with two sections examining the crosscutting conceptual foundations, ethical tensions, and ethical frameworks of and for public health and how public health does its work. It then proceeds topically, with thirteen sections analyzing the application of public health ethics considerations and approaches across the broad range of subject areas. While the fifteen sections can serve to orient the reader within a specific field, each of the more than seventy chapters is designed to serve as a stand-alone contribution. The approach makes the book, its sections, and individual chapters useful as part of course materials, as well as a seminal reference for students, scholars, and public health professionals.

scholarly journals Prevalence and costs of headaches for the public health system in a town in the interior of the state of São Paulo

2001 ◽  
Vol 59 (3A) ◽  
pp. 504-511 ◽  
Author(s):  
Marcelo E. Bigal ◽  
Janaína O.M. Bigal ◽  
Carlos A. Bordini ◽  
José G. Speciali
Keyword(s):  
Public Health ◽  
Health System ◽  
Hospital Admissions ◽  
Public Health System ◽  
Well Being ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
The Public

Despite the high prevalence, impact and economic importance of headaches, studies on this subject are rare in Brazil. The aim of the present study was to estimate the prevalence of headaches in the public health system of a town in the interior of the State of São Paulo, as well as to estimate the costs resulting from its management. Data refer to the year of 1998 and were obtained according to the following steps: 1) territorial and demographic characterization of the municipality; 2) characterization of the financial indices and social well-being; 3) budget characteristics of the municipality; 4) evaluation of the structuring of the medical service; 5) determination of the prevalence of headaches at different patient care levels; and 6) calculation of the costs of headaches. Headaches represented 7.9% of all visits at basic health units, 9.7% in the emergency room and 1.1% of hospital admissions. The total costs were R$ 85,131.31 (US$ 70,942.76) corresponding to R$ 7.59 (US$ 6,32) per inhabitant/year. The present study shows the need for epidemiological and economic impact studies, which would provide the basis for the rational use of health funds.

scholarly journals What Are the Predictors of Self-Assessed Health in Lithuanian Health Professionals?

Medicina ◽  
2013 ◽  
Vol 49 (1) ◽  
pp. 5
Author(s):  
Irena Misevičienė ◽  
Loreta Strumylaitė ◽  
Birutė Pajarskienė ◽  
Kristina Žalnieraitienė
Keyword(s):  
Health Status ◽  
Health Professionals ◽  
Access To Health Care ◽  
Response Rate ◽  
Musculoskeletal Diseases ◽  
Heart Diseases ◽  
Multivariate Logistic Regression Analysis ◽  
Well Being ◽  
The Self ◽  
Self Assessed Health

Background and Objective. Scientific evidence indicates that patient safety and access to health care is linked to the well-being of health professionals. The self-assessed health status has been widely used as a health measure in different surveys. The aim of this study was to examine and determine the factors related to the self-assessed health status of health professionals. Material and Methods. The cross-sectional questionnaire surveys of nurses and physicians were carried out in randomly selected hospitals. A total of 1025 health professionals (739 nurses and 286 physicians) from 3 hospitals of different size located in 1 geographical region of Lithuania participated in the survey. The response rate among the nurses and the physicians was 89.2% and 52.5%, respectively. The overall response rate was 74.7%. The data on self-assessed health, demographic factors, anthropometric data, blood pressure, cholesterol level in blood, personal history of diseases, smoking, and alcohol consumption were gathered with the help of the questionnaire. Results. About two-thirds (64.1%) of the health professionals reported good or quite good health, and only 1.5% of the respondents reported quite poor or poor health. Multivariate logistic regression analysis revealed that the SAH status of health professionals was dependent on age (odds ratio [OR], 1.03; 95% confidence interval [CI], 1.02–1.05 [Model 1]; OR, 1.04; 95% CI, 1.02–1.06 [Model 2]), diseases (OR, 7.32; 95%, 5.18–10.35), heart diseases (OR, 12.09; 95% CI, 2.9–50.35), hypertension (OR, 2.53; 95% CI, 1.55–4.14), cancer (OR, 6.19; 95% CI, 1.27–30.13), gastrointestinal (OR, 3.54; 95% CI, 1.59–7.86) and musculoskeletal diseases (OR, 3.21; 95% CI, 1.71–6.02), smoking (OR, 2.1; 95% CI, 1.28–3.45 [Model 1]; OR, 2.00; 95% CI, 1.26–3.16 [Model 2]), and occupation (OR, 1.47; 95% CI, 1.04–2.07 [ Model 1]; OR, 1.54; 95% CI, 1.11–2.16 [Model 2]). Conclusions. Diseases are the main predictors of self-assessed health in health professionals. Advancing age and smoking also contribute to poorer self-assessed health.

scholarly journals Public health nursing interventions to promote quality of life in older adult populations: A systematic review

2017 ◽  
Vol 7 (11) ◽  
pp. 92
Author(s):  
Marjorie A. Schaffer ◽  
Mary Kalfoss ◽  
Kari Glavin
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Systematic Review ◽  
Older Adult ◽  
Experimental Studies ◽  
Public Health Intervention ◽  
Well Being ◽  
Functional Health ◽  
Public Health Nurses

This review analyzes how nurse-led public health interventions promote quality of life (QoL) among older populations. Using Medline and Cinahl databases, authors completed a systematic review of experimental and quasi-experimental studies published between January 2010 and March 2016 that described interventions used by public health nurses to address health needs of older adult populations. Lawton’s theoretical QoL concepts and the Public Health Intervention Wheel model, which names interventions at the individual, community and systems levels, were used to interpret results. The 23 studies were widely distributed geographically. Four of Lawton’s theoretical QoL domains (Health, Functional Health, Personal Competency, Psychological Well-Being) were addressed in the majority of studies. Although public health nurses used Wheel interventions at all levels of practice, individual level interventions were featured in studies to a greater extent in comparison to community and systems level interventions. Few studies used QoL measures to determine intervention effectiveness.  Nurses should consider QoL domains, as they design individual, community, and systems level interventions to improve the health of older adult populations.

Job Strain and Family Well-being Among Public Health Nurses in Bangkok Metropolitan Administration, Thailand

2011 ◽  
Vol 24 (4) ◽  
pp. 556-564 ◽  
Author(s):  
Ann Jirapongsuwan ◽  
Orawan Likitpornswan ◽  
Somporn K. Triamchaisri ◽  
Pimsupa Chandanasotthi
Keyword(s):  
Public Health ◽  
Job Strain ◽  
Well Being ◽  
Public Health Nurses

scholarly journals COVID-19-Related Free Telephone Consultations by Public Health Nurses

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 940-941
Author(s):  
Yuka Sumikawa ◽  
Chikako Honda ◽  
Kyoko Yoshioka-Maeda ◽  
Riho Iwasaki-Motegi ◽  
Noriko Yamamoto-Mitani
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Older Persons ◽  
Health Centers ◽  
Public Health Nurses ◽  
Infectious Disease Control ◽  
Telephone Consultation ◽  
City Population ◽  
Initial Action ◽  
The University

Abstract Public health centers are located in each municipality in Japan and are responsible for infectious disease control including COVID-19. Public health nurses (PHNs) are stationed at the centers and work at the forefront, covering a variety of services from individual consultations to hospital escort for those tested positive. Starting January, PHNs at A city (population approx. 210,000) established a free telephone consultation hotline for COVID-19. This study aims to review the PHNs’ telephone consultations during the first wave of COVID-19. The number of calls were aggregated weekly and their time-trend was examined. The study was approved by the University of Tokyo Ethics Review Board. During the first wave between January and May, there were 3,242 calls, with the highest number of calls (n=491/week) in the second week of April. At this point the regular PHNs were not enough to meet the hightened needs of consultations and PHNs from other departments were temporalily transferred for support. The number of consultation calls fluctuated weekly. The increase of calls seemed to preceed the increase of positive cases by one week. We consider that the call may be an initial action of those who suspected possible infection, and the consultation by the PHN might have led them to proper clinic visits and PCR testing. Telephone consultation is an easy tool to use for general public, especially older persons. Having health professionals respond directly to calls may have had the advantage of providing appropriate guidance for infection control and PCR testing and mental support.

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