Journal of Public Health Research (PAGEPress Publications)
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New approaches to disease causation research based on the sufficient-component cause model
Get PDFUp to date, the sufficient-component cause model seems to be a theoretical framework for disease causation in epidemiology, and its implications in epidemiological research methods is currently still limited. Recently, pitfalls in current epidemiological research methods were addressed based on the sufficient-component cause model; hence, new research approaches are needed as alternatives. Therefore, this paper aims to review and suggest new epidemiological methods used to assess disease causation. A new approach was discussed to identify potential mechanisms of disease occurrence which may be useful for risk prediction and disease prevention. In addition, a novel “exposed case-control” design was introduced to identify potential component causes. Furthermore, this paper suggested a new approach of conducting a systematic review/meta-analysis related to causation studies
Factors affecting emergency nurses’ perceptions of the triage systems
Get PDFBackground: Emergency services use a triage system to prioritize patients according to their level of diagnosis. Triage is one of the mandated skills to be owned by an emergency unit nurse. This research aims to identify factors affecting emergency nurses’ perceptions of the triage systems. Design and Methods: 90 nurses were chosen based on quota sampling. Data were analyzed using Chi Square test (α=0.05) and logistic regression analysis. Results: The results show that nurses perceptions were influenced by knowledge (p=0.017), working experience (p=0.023), and training (p=0.041). The factor that had the strongest influence in the formation of nurses’ perceptions was knowledge (p=0.020 and OR=3.19). Conclusions: It can be concluded that knowledge, working experience and training influenced emergency nurses’ perceptions on triage systems
Nutritional status, family income and early breastfeeding initiation as determinants to successful exclusive breastfeeding
Get PDFBackground: The target by the Indonesian public health services to obtain at least 50% exclusively breastfeed babies during the first 6 months has not been achieved, due to the increased in infant morbidity. This study aims to determine factors associated with exclusive breastfeeding. Design and Methods: The cluster random sampling method was used to obtain data from a total of 273 babies in the first 1000 days of life i.e. aged 6-24 months and analyzed using linear regression at α= 0.05. The data obtained were based on exclusive breastfeeding using maternal age, education, family income, frequency of antenatal care, nutritional status before pregnancy, place and mode of delivery, gestational age at delivery. Results: The result showed that exclusive breastfeeding was significantly affected by nutritional status before pregnancy based on MUAC (P=0.15) and BMI (P=0.047), family income (P=0.047) and initiation of early breastfeeding (P=0.001). Conclusions: In conclusion, nutritional status before pregnancy tends to benefit the family income, therefore, initiating early breastfeeding need to be improved for successful exclusive breastfeeding
Effect of age and weight on physical activity
Get PDFBackground: Individuals tend to develop metabolic disorders and other chronic diseases, due to the poor conduction of physical activities. Meanwhile, a high level of physical activity positively affects the quality of life. However, irrespective of the numerous studies reported on the correlation between age, weight, and physical activity, there is limited study on the differences of physical activities in the geriatric and adult groups of obese and non-obese people. This study, therefore, aims to investigate the effect of age and weight on physical activity in geriatric and adult groups. Design and methods: The purposive sampling technique was used to obtain data from 154 respondents from community-integrated health care in Surabaya, East Java, Indonesia. These respondents were equally divided into two groups of adult (21-60 years) and geriatric (>60 years) groups. Results: The Chi-Square test showed that there were no significant differences between physical activity in the obese and nonobese people of the geriatric groups (P>0.05). Conversely, in the adult group, there were significant differences between physical activities and the age of obese and non-obese groups (P<0.05).Conclusions: In conclusion, age affects physical activity in adult and geriatric groups
Maternal complications and risk factors for mortality
Get PDFBackground: Maternal mortality could be prevented through early detection, including the period preceding pregnancy. Women of childbearing age are faced with extreme uncertainties, hence the purpose of this study was to analyse maternal complications and the possible high-risk factors connected to maternal mortality.Design and methods: A case-control study was used to study the causes of maternal mortalities amongst pregnant, delivering, and postpartum mothers between 2017 and 2018. A total sample size of 48 samples was selected through simple random sampling. Results: The result of logistic regression analysis showed nutritional status, prominence of anemia, history of illness, age, antenatal care ANC examination, method of delivery, late referral, occupational status, as well as postpartum complications, as the most influencing risk factors. This very high significance for maternal mortality was based on the chi-square value of 109.431 (p equal to 0.000), and R square (0.897). Conclusions: In conclusion, the potential risk factors of maternal mortality include nutritional status, state of anemia, history of illness, age, ANC examination, delivery method, late referral, occupational status, and pregnancy complications, which is specifically the most dominant factor
Installation of pedal-operated alcohol gel dispensers with behavioral nudges and changes in hand hygiene behaviors during the COVID-19 pandemic: a hospital-based quasi-experimental study
Get PDFWe conducted a quasi-experimental study and compared hand hygiene behaviors at potential pathogen transmission events among outpatient visitors (according to structured observations a trained enumerator) before and after installation of 12 pedal-operated alcohol gel dispensers with behavioral nudges (signs attached to the dispensers) at a tertiary hospital in southern Thailand during the COVID-19 pandemic. The enumerator observed 243 events during the pre-intervention period and 223 events during the post-intervention period. Prevalence of hand hygiene was significantly different between the pre-intervention and post-intervention periods (0 vs 24 events, or 0% vs 11%, respectively; p-value <0.001). However, 21 of 24 hand hygiene events were of participants who came from outside the observation area, used the dispensers, then left. Nonetheless, the intervention might have helped to increase access to hand hygiene materials and created opportunities for hand hygiene among hospital visitors in general
The association between recent sexual activity and the use of modern contraceptive methods among married/cohabiting women in Indonesia
Get PDFBackground: Modern contraceptive methods are considered more reliable for preventing and spacing pregnancy than traditional methods in sexual activity. The study aimed to analyze the association between recent sexual activity and the use of modern contraceptive methods among married/cohabiting women in Indonesia. Design: The samples used were married/cohabiting women aged 15-49 years old. The sample size was 34,467 women. The variables analyzed included modern contraceptive use, recent sexual activity, age groups, marital status, education level, and wealth status. Analysis using multinomial logistic regression.Results: It was found that women who were sexually not active last 4 weeks had the likely to use modern contraceptive non-LARC (long-acting reversible contraceptives) 0.416 times compared to women who were sexually active last 4 weeks. Women who were sexually active last 4 weeks were more likely to use modern contraceptive LARC 0.535 times than women who were sexually active last 4 weeks. The results of this analysis inform that women who are sexually active last 4 weeks have a higher possibility to use modern contraceptives, both non-LARC and LARC types.Conclusions: Based on the results of the research analysis it could be concluded that recent sexual activity was associated with modern contraceptive use among married/cohabiting women in Indonesia
Mathematical models in nursing research
Get PDFThis paper discusses the use of advanced mathematical tools in nursing research, such as mathematical models used in medicine for description and prediction of experimental tumor growth. They are rarely used in nursing research, but fortunately in the last decade, their use is increased, particularly due to the artificial intelligence and Big Data, with great benefits for further development of nursing. Therefore, a strong interaction between nurses and mathematicians is needed to improve nursing research, and consequently the nurses performance in daily work
Effect of COVID-19 pandemic on academic accreditation
Get PDFBackground: Higher education quality is an essential measurement for any country’s development, since education is a significant source of new sciences and its applications. This importance works as one of the cornerstones toward public health. The sudden change from traditional classroom teaching and learning to online education and learning process did not give educators the time to adjust the teaching material or, for that matter, did not give the program administrators the time to prepare for the needed documents toward the accreditation. This situation creates a dilemma for all members involved in certification. This research is addressing this issue from the accreditation point of view.
Design: Brainstorming methodology is used to study the effect of COVID-19 pandemic on the academic/health accreditation.
Methods: Cause and effect diagram (Fishbone diagram) is used to present the ideas presented by institutional participants related to the effect of COVID-19 on the accreditations processes.
Conclusions: The study shows that COVID-19 pandemics have dramatic influence on accreditation processes, which may lead to change and/or adjust the rules and the requirements of the educational institutions due to changes in the fulfillment of the accreditation by the institutions during this period
Validation of Dimensions of Learning Organization Questionnaire (DLOQ) in health care setting in Greece
Get PDFBackground: In health care systems the organizational learning is a continuous process to improve actions through better knowledge and detect or correct errors. This study examines the validity and reliability of the Dimensions of Learning Organization Questionnaire in addition to the applicability of the instrument in a Greek health care cultural context.Design and methods: Α cross-sectional study was carried out in 6 general hospitals of Attica and the sampling scheme was the stratified sampling. Questionnaires were distributed to 487 healthcare professionals and 380 valid questionnaires were returned. The research tool used in this survey is the extensive form of DLOQ, which has been adapted and translated into Greek language. Data analysis was carried out with SPSS 25.Results: Three leading experts of the health sector examined the face validity assessment of the translated DLOQ and stated that it is characterized by high face validity. As regard construct validity of the DOLQ throughout Multitrait-Multimethod Matrix, was proved that all the variables of the same factors are statistically significantly correlated (p<0.001), and their correlation coefficients have moderate to high power ranging between 0.563 and 0.798. Moreover, the discriminant validity was demonstrated as certain correlation coefficients between variables of different factors were found to be higher than of certain correlation coefficients between variables of the same factors. The internal consistency among the items of the DOLQ range between 0.842 and 0.977 and they are considered to be good to excellent.Conclusions: Our results confirmed that DLOQ is a valuable tool in measuring Learning Organizational in Greek public hospitals