FACTORS AFFECTING FAST FOOD CONSUMPTION BEHAVIOR IN STUDENTS OF NURSING FACULTY OF MEDICINE DIPONEGORO UNIVERSITY

ABSTRACT Background: Lifestyle changes of modern society affect the diet tendency to consume fast food. Fast food processed in restaurants mostly contains limited nutrient. Mostly it contains fat which gives a significant contribution to the risk of disease. The risk the food is not processed according to the standard quality of health. Objective: The aim of this research was to know the quick service, ease of access, low price, good taste, high nutrition content, and a means of socializing as factors that affect the behavior of fast food consumption. Methods: The study is a descriptive survey research of 78 nursing students in Diponegoro University taken by accidental sampling technique. Results: The result showed that means of socializing was the most dominant factors affecting in consuming fast food. Other results showed quick service affecting respondent (60,3%), ease of access (55,1%), low price (60,3%), good taste (60,3%), high nutrition content (51,3%), and a means of socializing (67%) as significant factors that affect the participants’ behavior of fast food consumption. Discussion: Nursing students who generally have a very high activity that takes their time to eat would be greatly helped by the fast service offered by the diner/fast food restaurant. Ease of access make students do not need to spend a lot of cost for transportation to fulfill the needs of eating. The more affordable the price, the greater the purchasing decisions of the consumers conducted. Recommendation for further research is to investigate the attitude and effort of modern society to improve the quality of food consumption. Keywords: Fast food, consuming behavior, studen

Integration of Tobacco Treatment Services into Cancer Care at Stanford.

As part of a National Cancer Institute Moonshot P30 Supplement, the Stanford Cancer Center piloted and integrated tobacco treatment into cancer care. This quality improvement (QI) project reports on the process from initial pilot to adoption within 14 clinics. The Head and Neck Oncology Clinic was engaged first in January 2019 as a pilot site given staff receptivity, elevated smoking prevalence, and a high tobacco screening rate (95%) yet low levels of tobacco cessation treatment referrals (<10%) and patient engagement (<1% of smokers treated). To improve referrals and engagement, system changes included an automated "opt-out" referral process and provision of tobacco cessation treatment as a covered benefit with flexible delivery options that included phone and telemedicine. Screening rates increased to 99%, referrals to 100%, 74% of patients were reached by counselors, and 33% of those reached engaged in treatment. Patient-reported abstinence from all tobacco products at 6-month follow-up is 20%. In July 2019, two additional oncology clinics were added. In December 2019, less than one year from initiating the QI pilot, with demonstrated feasibility, acceptability, and efficacy, the tobacco treatment services were integrated into 14 clinics at Stanford Cancer Center

Toward Excellence: Exploring Leader Strategies in Chronic Wound Care Centers

The number of chronic wounds is rising in the United States, and health leaders face the economic and health burdens these wounds pose to the U.S. health care system. Many investigators have documented the importance of leadership in promoting excellence and reducing health care costs in chronic disease. Yet, the literature lacks information regarding leader strategies used to promote wound treatment cultures of excellence directed toward improved quality and reduced health costs. This study examined leader strategies used to promote excellence in chronic wound treatment to address the problem of the economic and health burdens associated with chronic wounds. The full range leadership theory (FRLT), concepts of patient-centered care, and the disease-specific centers of excellence (COE) model served as the framework for this study. The research questions focused on identifying key leader strategies used to promote quality and excellence in chronic wound centers. Sources of information used in this case study included a questionnaire, company documents, and news articles. A sample of 30 wound COE leaders within the same company were randomly selected. Open coding and thematic data analysis of participant questionnaires generated themes of quality, communication, patient-centeredness, leadership, work environment, and team work. The study results indicated many of the leaders exhibited leadership styles and behaviors consistent with the FRLT; moreover, the use of patient-centered concepts fostered cultures of excellence. This study is important to health leaders and contributes to positive social change by identifying leadership strategies that improve health outcomes, increase quality of care, and reduce health costs associated with chronic wounds

Proceeding: 3rd Java International Nursing Conference 2015 “Harmony of Caring and Healing Inquiry for Holistic Nursing Practice; Enhancing Quality of Care”, Semarang, 20-21 August 2015

This is the proceeding of the 3rd Java International Nursing Conference 2015 organized by School of Nursing, Faculty of Medicine, Diponegoro University, in collaboration with STIKES Kendal. The conference was held on 20-21 August 2015 in Semarang, Indonesia. The conference aims to enable educators, students, practitioners and researchers from nursing, medicine, midwifery and other health sciences to disseminate and discuss evidence of nursing education, research, and practices to improve the quality of care. This conference also provides participants opportunities to develop their professional networks, learn from other colleagues and meet leading personalities in nursing and health sciences. The 3rd JINC 2015 was comprised of keynote lectures and concurrent submitted oral presentations and poster sessions. The following themes have been chosen to be the focus of the conference: (a) Multicenter Science: Physiology, Biology, Chemistry, etc. in Holistic Nursing Practice, (b) Complementary Therapy in Nursing and Complementary, Alternative Medicine: Alternative Medicine (Herbal Medicine), Complementary Therapy (Cupping, Acupuncture, Yoga, Aromatherapy, Music Therapy, etc.), (c) Application of Inter-professional Collaboration and Education: Education Development in Holistic Nursing, Competencies of Holistic Nursing, Learning Methods and Assessments, and (d) Application of Holistic Nursing: Leadership & Management, Entrepreneurship in Holistic Nursing, Application of Holistic Nursing in Clinical and Community Settings

Nurse-led Design and Development of an Expert System for Pressure Ulcer Management

The use of Clinical Practice Guidelines (CPGs) is known to enable better care outcomes by promoting a consistent way of treating patients. This paper describes a user-centered design approach involving nurses, to develop a prototype expert system for modelling CPGs for Pressure Ulcer management. The system was developed using Visirule, a software tool that uses a graphical approach to modeling knowledge. The system was evaluated by 5 staff nurses and compared nurses’ time and accuracy to assess a wound using CPGs accessed via the Intranet of an NHS Trust and the expert system. A post task qualitative evaluation revealed that nurses found the system useable with a systematic design, that it increased access to CPGs by reducing time and effort required by other usual methods of access, that it provided opportunities for learning due to its interactive nature, and that its recommendations were more actionable that those provided by usual static CPG documents

Post-sternotomy pain syndrome following cardiac surgery. case report

Over 2 million people undergo sternotomy worldwide for heart surgery each year, and many develop post-sternotomy pain syndrome (PSPS) which persists in the anterior thorax. In some patients, PSPS lasts for many years or suddenly reappears a long time after the sternotomy. The exact etiology of PSPS is unknown. This article presents a case report of a patient with a diagnosis of PSPS (after cardiac surgery 4 years prior) for whom an osteopathic approach was used, which successfully eliminated the pain. In a previous study, we demonstrated that this osteopathic procedure could reduce sternal pain associated with a recent surgical wound. Further efforts are needed to understand the reasons for PSPS. In light of new scientific data, these osteopathic techniques could contribute to a multidisciplinary approach to solve the proble

Pressure Ulcer Development and Prevention in Long-Term Care Facilities in Virginia: A Descriptive Survey

The development of pressure ulcers is a common occurrence among older persons who may be temporarily immobilized or confined to a bed. An estimated 60,000 deaths annually can be attributed to complications from pressure ulcers. Guidelines recommended by the Agency for Health Care Policy and Research have been disseminated nationally and continue to be recommended as the standard of care for pressure ulcer prevention. In spite of the use of the recommended guidelines, pressure ulcer rates persist, suggesting there are other factors contributing to pressure ulcer development in long-term care facilities. A survey was conducted to investigate which provider related factors and patient related factors most likely contribute to pressure ulcer development in residents of long-term care facilities. Questionnaires were mailed to 150 long-term care nursing facilities in Virginia. A total of 50 completed surveys were returned. The results indicated that the provider related factors of most importance were infrequent education and training in pressure ulcer prevention and the high turnover rate of CNAs. The patient related factor of most importance was the presence of more than two chronic conditions in most residents. There is a need for increased frequency of training directed at CNAs, improvement in CNA retention, frequent assessment of high-risk patients by nursing staf

A Model of Basic Surgical Skills Course to Supplement the Training of Foundation-Year Doctors by Efficient Use of Local Resources

INTRODUCTION: This study investigates the efficiency of teaching basic surgical skills to foundation-year doctors and medical students by using local resources. METHODS: A course comprising 4 workshops, once a week, of 3 hours duration per session was delivered using local education center facilities and using the local faculty of consultants and surgical trainees. Teaching methods include practical skill stations supplemented with short didactic lectures and group discussion. Precourse and postcourse assessments were completed by candidates and analyzed to measure outcomes of the course both subjectively and objectively. RESULTS: A total number of 20 participants completed the course. On completion of the course, (1) participants' theoretical knowledge improved significantly (p < 0.0001), as measured by multiple-choice questions, and scores improved by 35% (mean 44%, standard deviation = 16%) before the course compared to (mean = 79%, standard deviation = 13) after the course; (2) the level of confidence in knowledge and skills was measured by a questionnaire on a scale of 1 to 5, and there was a significant (p < 0.0001) improvement on postcourse assessment (mean difference = 1.5, 95% CI: 0.7-2.4); and (3) practical skills such as suture position, knot tying, and wound apposition significantly improved after the course, χ(2) (2) = 16, p < 0.001; χ(2) (2) = 18, p < 0.001; and χ(2) (2) = 22, p < 0.0001, respectively. CONCLUSION: Effective delivery of basic surgical skills to foundation-year doctors by using local resources can be achieved at low cost

Technology and Caregiving: Emerging Interventions and Directions for Research.

An array of technology-based interventions has increasingly become available to support family caregivers, primarily focusing on health and well-being, social isolation, financial, and psychological support. More recently the emergence of new technologies such as mobile and cloud, robotics, connected sensors, virtual/augmented/mixed reality, voice, and the evermore ubiquitous tools supported by advanced data analytics, coupled with the integration of multiple technologies through platform solutions, have opened a new era of technology-enabled interventions that can empower and support family caregivers. This paper proposes a conceptual framework for identifying and addressing the challenges that may need to be overcome to effectively apply technology-enabled solutions for family caregivers. The paper identifies a number of challenges that either moderate or mediate the full use of technologies for the benefit of caregivers. The challenges include issues related to equity, inclusion, and access; ethical concerns related to privacy and security; political and regulatory factors affecting interoperability and lack of standards; inclusive/human-centric design and issues; and inherent economic and distribution channel difficulties. The paper concludes with a summary of research questions and issues that form a framework for global research priorities