Implementation of Advanced Nursing Practices Through the Adoption of a Patient-Centered Approach

IGI Global eBooks, Год журнала: 2025, Номер unknown, С. 305 - 348

Опубликована: Апрель 2, 2025

The patient-centered approach (PCA) represents a significant evolution in modern healthcare, particularly within advanced nursing practices. PCA emphasizes patient needs, preferences, and values. Integrating these elements into clinical decision-making, enhance care quality satisfaction. Advanced practice nurses (APNs), equipped with skills holistic perspectives conduct comprehensive assessments, make autonomous decisions, manage chronic care, collaborate other professionals, all while centering the patient's experience. Grounded theories such as Carl Rogers' empathy biopsychosocial model, prioritizes respect, communication, emotional support. APNs' training use of evidence-based practices further bolster their role improving outcomes. However, challenges like regulatory barriers resource limitations remain hinder implementation PCA. Overcoming obstacles will be crucial for fully realizing potential transforming healthcare delivery especially thank to APNs.

Язык: Английский

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Prevalence and determinants of vaccination intention towards routine immunizations in university students: a systematic review and meta-analysis

BMC Public Health, Год журнала: 2025, Номер 25(1)

Опубликована: Апрель 17, 2025

It is well known that, to be effective, vaccination programs require a high and consistent population uptake. Nevertheless, vaccine coverage often insufficient. University students occupy unique position within the broader population: they are highly mobile socially active individuals who serve as influential figures among their peers younger age groups, making them an ideal target for educational campaigns. This review (CRD42022309724) quantified intention rates routine immunizations in university systematically examined determinants of acceptance. Cross-sectional studies that analyzed at least one immunization using multivariable logistic regression were included. We used random-effects models calculate pooled proportions intention. Determinants categorized into contextual factors (such socio-demographic, economic cultural factors), individual/group knowledge, awareness, peer opinions, infection risk perceptions) vaccine-specific issues effectiveness policies). Thirty-six articles included: 29 on human papilloma virus (HPV) seven influenza vaccine. The proportion intending get vaccinated was 54% (95% CI: 47-60%) HPV 43% 26-61%) influenza. strongest positive factors, such higher knowledge pro-vaccine personal experience with vaccinations, perception infection, previous history By contrast, influences played minor role both while concerns, particularly about costs availability, negatively influenced vaccines. Given suboptimal towards we found, addressing key determinants, awareness risks benefits, essential increase acceptance achieve coverage.

Язык: Английский

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Chinese parents' willingness to vaccinate their children against COVID-19: A systematic review and meta-analysis

Frontiers in Public Health, Год журнала: 2022, Номер 10

Опубликована: Дек. 15, 2022

Introduction To evaluate Chinese parents' willingness to vaccinate their children against COVID-19, identify its predictors, and provide a reference for raising the COVID-19 vaccination rate children. Method PubMed, Cochrane Library, Embase, databases in Chinese, including CNKI, WanFang, VIP, CBM, were searched from December 2019 June 2022, citation tracking was used relevant studies. calculate with 95% confidence intervals (CI), random-effects model used. explore sources of heterogeneity, sensitivity analysis subgroup conducted. This registered on PROSPERO (CRD42022346866) reported compliance PRISMA guidelines. Result Overall, 80 studies screened, 13 47994 parents included after removing duplicates excluding 19 that did not meet selection criteria by title, abstract full-text screening. The pooled 70.0% (95% CI: 62.0~78.0%). Level education, perceived susceptibility infected parental attitudes toward (such as efficacy safety vaccines, themselves, hesitancy, history children's influenza) main predictors intention Discussion is moderate, factors education level, affect this decision. Fully identifying these mechanism will be essential further raise rate. Systematic review registration https://www.crd.york.ac.uk/PROSPERO/ , identifier: CRD42022346866.

Язык: Английский

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Characterizing predictors of COVID-19 vaccine refusal in an urban southern California jail population

Vaccine, Год журнала: 2024, Номер 42(4), С. 777 - 781

Опубликована: Янв. 9, 2024

Язык: Английский

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Vaccination against emerging and reemerging infectious diseases in places of detention: a global multistage scoping review

Frontiers in Public Health, Год журнала: 2024, Номер 12

Опубликована: Янв. 29, 2024

Background Despite the elevated risks of infection transmission, people in prisons frequently encounter significant barriers accessing essential healthcare services many countries. The present scoping review aimed to evaluate state availability and model delivery vaccination within correctional facilities across globe. Methods Following methodological framework for reviews adhering Preferred Reporting Items Systematic Reviews Meta-Analyses (PRISMA) extension criteria, we conducted a systematic search four peer-reviewed literature databases (Medline via PubMed, Web Science, Cochrane Library, Science Direct, EBSCO), as well 14 sources grey literature. Two researchers meticulously examined identified papers independently extract pertinent data published between 2012 2022. quality selected publications was assessed using established assessment tools. Results Of 11,281 52 met inclusion criteria. With exception one, all included presented from high-income countries, predominantly originating United States. Across world, most prevalent vaccines available prison settings were COVID-19 HBV vaccines, typically distributed response health crises such pandemics, epidemics, local outbreaks. Vaccine coverage uptake rates displayed noteworthy disparities among various countries regions. Besides, individual organizational facilitating factors emerged discussed text. Discussion lack combined with low living working represents cause concern. Prisons are not isolated broader community, therefore, efforts increase vaccine who live work will yield public benefits.

Язык: Английский

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Effectiveness of interventions to increase healthcare workers’ adherence to vaccination against vaccine-preventable diseases: a systematic review and meta-analysis, 1993 to 2022

Eurosurveillance, Год журнала: 2024, Номер 29(9)

Опубликована: Фев. 29, 2024

Background Vaccination adherence among healthcare workers (HCWs) is fundamental for the prevention of vaccine-preventable diseases (VPDs) in healthcare. This safeguards HCWs' well-being, prevents transmission infections to vulnerable patients and contributes public health. Aim systematic review meta-analysis aimed describe interventions meant increase HCWs’ vaccination estimate effectiveness these interventions. Methods We searched literature eight databases performed manual searches relevant journals reference lists retrieved articles. The study population included any HCW with potential occupational exposure VPDs. experimental quasi-experimental studies presenting at increasing against post-intervention rate was set as main outcome. effect random-effects subgroup meta-analyses. Results considered 48 on influenza Tdap from database searches, 43 were meta-analysed. A statistically significant, positive seen multi-component randomised controlled trials (relative risk (RR) = 1.37; 95% CI: 1.13–1.66) observational (RR 1.43; 1.29–1.58). higher community care facilities 1.58; 1.49–1.68) than hospitals 1.24; 0.76-2.05). Conclusion Interventions VPDs are effective, especially ones. Future research should determine most effective framework each setting, using appropriate design their evaluation, compare intervention components understand contribution effectiveness.

Язык: Английский

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Global pattern and determinants of coronavirus disease 2019 (COVID-19) vaccine coverage and progression: a global ecological study

Global Health Journal, Год журнала: 2023, Номер 7(1), С. 18 - 23

Опубликована: Фев. 9, 2023

Understanding and minimizing existing global coronavirus disease 2019 (COVID-19) vaccination disparities is critical to population health eliminating inequities. The study aims investigate the of coverage progression associated economic educational determinants inform COVID-19 strategies.COVID-19 data from 206 countries used in were derived "Our World Data" website. After obtaining indicators, we fitted indicators for vaccination. Correlation multiple linear regression analysis examine effects gross domestic product (GDP) per capita, Gini index, education, their interactions on vaccination.The ranged less than 30 doses more 150 hundred people, 15% 75% proportion people vaccinated, 60% fully vaccinated. Similarly, 0.1 0.6 total number doses, 0.3 0.4 GDP capita education positively with progression, while index was negatively progression. Negative interaction between also observed (β = -0.012 -0.011, P < 0.05) 0.05).Substantial geographic existed Economy are two important factors contributing disparities. Different may adopt varied strategies promote national distribution vaccines.

Язык: Английский

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Challenges to Global Health Emerging from the COVID-19 Pandemic

Sustainability, Год журнала: 2023, Номер 15(9), С. 7633 - 7633

Опубликована: Май 6, 2023

The COVID-19 pandemic deepened challenges and opened new fronts where old unresolved problems met with triggered by the itself. There are several issues, problems, related to post-COVID world we in. This paper discusses some of them from different perspectives elaborates on future their solutions, which need be tackled. Apart pre-existing now also facing military conflicts, interrupted supply chains, even in medicines supplies, as well worsening climate change, further complicated conflicts a potential global economic crisis. left many uncertainties about there seem few answers ready tackle combination fallout coupled challenges. Inequalities terms socio-economic differences inequalities health driving disease burden, will again marked population aging non-communicable diseases (NCDs). Global collaboration joint search for solutions have become inevitable. Research into behavioral determinants promotion essential understanding sources controversy regarding resistance proven public interventions.

Язык: Английский

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The second dose of COVID-19 vaccine booster hesitancy among health care workers in China: A multicenter cross-sectional study

American Journal of Infection Control, Год журнала: 2023, Номер 52(5), С. 525 - 532

Опубликована: Ноя. 23, 2023

Язык: Английский

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Attitude and Acceptance towards COVID-19 Booster Doses among Literacy Advantaged Population in Pakistan: A Cross-Sectional Study

Vaccines, Год журнала: 2023, Номер 11(7), С. 1238 - 1238

Опубликована: Июль 14, 2023

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has affected billions of lives and is expected to impose a significant burden on the economy worldwide. Vaccination only way prevent infection. However, convincing people get themselves vaccinated challenging in developing countries such as Pakistan. Therefore, cross-sectional questionnaire-based study was conducted (n = 982 participants) all over Pakistan evaluate perception, knowledge, attitude, acceptance general public towards SARS-CoV-2 vaccine, general, booster dose SARS-CoV-2, particular. The highest number participants were from province Punjab (84.5%), followed by Islamabad (3.8%), Sindh (3.7%), Khyber Pakhtunkhwa (2.7%), Baluchistan (2.6%), Gilgit Baltistan (1.4%), Azad Jammu Kashmir (1.4%). A total 915 against COVID-19, out which 62.2% received one dose, double doses (25.5%) single vaccine shots (12.3%). (85.8%), (3.9%), (2.8%); (2.6%); (2.3%); Gilgit-Baltistan (1.3%); Azad, Jammu, (1.2%). Among individuals, 71.4% unemployed, 27.4% employed (653), 1.2% retired service. no association observed among genders educational levels regard vaccine. outcomes revealed that increased vaccines associated with intent personal family protection. Moreover, individuals low socioeconomic status pregnant females showed least inoculation. also decline trend accepting children.

Язык: Английский

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