Risk Factors for Disease Aggravation in Older Patients With Non‐communicable Diseases: Interpretive Structural and Hierarchical Holographic Modelling

Journal of Advanced Nursing, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 7, 2024

ABSTRACT Aims This study aimed to analyse and determine the risk factors of disease aggravation faced by older patients with non‐communicable diseases (NCDs) their interwoven correlations. Design We employed a descriptive cross‐sectional study, which followed STROBE guidelines for reporting. Methods conducted semi‐structured in‐depth interview 26 NCDs from hospital in Qingdao, China between July August 2022 on basis literature review. Then, we analysed data using directed content analysis determined through focus group discussion Delphi consultation. Afterward, combined interpretive structural modelling hierarchical holographic construct structure model drew relationship framework diagrams exhibit diversified complex Results identified 30 individual, interpersonal, organisational, community policy levels. The constructed demonstrated four‐layer structure, individual interpersonal levels were at highest layer. identification process correlations organisational Conclusions Risk causing amongst are diverse. To delay progression NCDs, should comprehensively explore factors, interpret root causes effects risks multiple perspectives consider interaction multi‐level develop precise measures related control. Impact Controlling is an effective measure postpone aggravation. Through this provide scientific comprehensive clinical screening so that healthcare providers can sense potential patients' surroundings formulate targeted nursing according different patients. Patient or Public Contribution Patients participated interviews supplement included our study. Experts provided opinions inclusion, exclusion modification factors.

Language: Английский

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Involving national stakeholders in a systems approach to map causes and proposed actions to prevent childhood obesity in Denmark: The Generation Healthy Kids Project

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 14, 2024

Background Childhood obesity is a preventable global public health challenge, increasingly recognized as complex problem, stemming from causes. Obesity characterized by multiple interdependencies and diverse influences at different societal levels. Tackling childhood calls for holistic approach that engages with complexity recognises there no single ‘magic bullet’ intervention to prevent obesity. To facilitate shared understanding of the structures relationships determine children's weight development, systems approaches have shown promising potential. However, require more development research in health. Aim This paper describes processes gathering national stakeholders create system map causes Denmark, existing prevention initiatives define real-world actions local communities Denmark. The action ideas will inform community-based activities large-scale study – Generation Healthy Kids Project. Methods During two workshops, were involved generating revising map. We used scripted inspired group model building dynamics methods engage stakeholders, collect, visualize their knowledge on obesity, consensus drivers health, identify opportunities develop changes. Results identified following six sub-systems factors influencing obesity: 1) Family, 2) diet dietary habits, 3) physical activity active living, 4) mental well-being, 5) screen, media, sleep, 6) competencies professionals. Conclusion A was useful generate underlying overweight has potential informing level challenges experienced regarding usefulness mapping process, tension between step process towards means gain deeper how change system. Ethical approval this sought granted Danish Scientific Ethics Committee (S-20220059).

Language: Английский

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The Triple-E Model: Advancing Equestrian Research with Perspectives from One Health

Animals, Journal Year: 2023, Volume and Issue: 13(16), P. 2642 - 2642

Published: Aug. 16, 2023

Equestrian sport has various welfare issues and educational needs. To address these complex interactions, we propose an integrated approach called the Triple-E Model, which focuses on equine, equestrian, environmental triad. A literature review of existing models suggests that complexities interactions are overlooked, despite significant impact equine industries economics, healthcare, animal welfare. This paper discusses current theories used to evaluate equine–equestrian–environmental introduces Model foster multidisciplinary collaboration. Unlike One Health triad, disease emergence, transmission, zoonosis, extends non-infectious research, such as musculoskeletal injury. It promotes collaborative care rehabilitation within equestrian community by engaging multidisciplinary, multi-setting, multi-sectoral teams. Given nature human–animal interaction considerations, this model fills gap in understanding human–horse interactions. The highlights limitations explains how guides encourages holistic team collaboration community.

Language: Английский

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