107 research outputs found
Associations between Home- and School-Based Violent Experiences and the Development of Sexual Behavior in Young Adolescent Girls in the Rural Southern Region of Malawi
Studies show that adolescent girls who experience violence grow up with fear and develop survival mechanisms that increase their susceptibility to sexually transmitted infections including HIV. However, the relationship between violence and the development of sexual behavior in young adolescent girls is under-investigated. We examined the Malawi Schooling and Adolescent Study data to explore the associations between home- and school-based violence and sexual behaviors in 416 young adolescent girls in rural Southern Malawi. Bivariate Logistic Regression analysis was applied to determine associations. Of 353 (84.9%) girls who had sex with a male partner, 123 (34.8%) experienced home-based violence, and 53 (15%) experienced school-based violence. The odds of girls who experienced home-based violence (OR = 2.46, 95% CI = 1.21, 5.01) and those who first experienced home-based violence between 13 and 14 years (OR = 2.78, 95% CI = 1.35, 5.74) were higher among girls who had multiple sexual partners than those with a single sexual partner. With school-based violence, sexual initiation, having multiple sexual partners, and not using protection were positively associated with experiencing teasing, sexual comments, punching, and touching in private areas in transit to school and by a teacher. These results suggest that home- and school-based violence should be essential components of research and biobehavioral interventions targeting the sexual behaviors of young adolescent girls
HIV/AIDS issues among Chilean women: Cultural factors and perception of risk for HIV/AIDS acquisition.
HIV/AIDS issues among Chilean women: Cultural factors and perception of risk for HIV/AIDS acquisition
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Self‐objectification in the context of breastfeeding: A concept analysis
To increase the overall rate of breastfeeding initiation and duration, factors involved in a mother's decision to breastfeed must be identified. Self‐objectification in the context of breastfeeding was a concept selected for exploring factors associated with negative views of breastfeeding. A concept analysis following the eight‐step Walker & Avant method provides clarity and context to the concept of self‐objectification in the context of breastfeeding. The antecedents of self‐objectification in the context of breastfeeding include living in a culture of sexualization and objectification of women and the internalization of the values of objectification. Attributes of self‐objectification in the context of breastfeeding are a prioritization of physical appearance attributes of the breast over the health benefits of breastfeeding and a preoccupation with physical appearance. Consequences include negative views toward breastfeeding initiation, duration, and public breastfeeding. A concept analysis on self‐objectification in the context of breastfeeding will provide definition and clarity to this phenomenon, lend to theory and measurement, and add literature to the sociocultural factors impacting breastfeeding decisions
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Health Literacy in Relation to Health Outcomes: A Concept Analysis
Health literacy is a concept discussed in the literature of many disciplines, but the definitions used are varied. Using the Walker and Avant method of concept analysis, the authors explore health literacy in relation to health outcomes-the defining attributes, antecedents, consequences, and empirical referents. In addition, cases are provided that illustrate health literacy in relation to health outcomes. This concept analysis allows for colleagues in nursing to have a better understanding of this concept and facilitates further development of tools to assess and improve health literacy and ultimately improve health outcomes overall
Disparidad en Salud: Un Fenómeno Multidimensional
La Disparidad en Salud (DS) ha llamado la atención pública desde el siglo pasado, ha sido analizada desde diversas perspectivas y enfoques incluso variados términos han sido utilizados como sinónimos pudiendo llevar a confusión e inequidades al momento de su operacionalización. Sin embargo es importante señalar que las publicaciones coinciden en que la DS es uno de las determinantes esenciales a considerar al momento de definir polĺticas públicas. El propósito de esta publicación es analizar la disparidad en salud incorporando; a) los aspectos claves de su conceptualización, b) la evolución histórica del concepto, c) las estrategias que se han generado para enfrentarla, d) los factores considerados determinantes, y e) los aspectos éticos y la contribución de la investigación en la disminución de la DS
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Patient safety culture, compassion fatigue, compassion satisfaction: Impact on nurse-sensitive patient outcomes.
Improved patient safety has been one of the most critical issues facing the healthcare industry. The 1999 IOM report To Err Is Human stated avoidable medical errors contributed to 44,000 to 98,000 deaths in the United States. Current estimates are now between 210,000 and 440,000 patients annually. This study aimed: To examine the relationships between: a) inpatient nursing units' patient safety culture (PSC), b) nurse compassion fatigue (CF), c) nurse compassion satisfaction (CS), and d) the impact on nurse-sensitive patient outcomes. Bronfenbrenner's bioecological model guided this quantitative descriptive correlational design, which used primary and secondary data. Primary data were collected through a convenience sampling of registered nurses (N = 127), employed at a teaching hospital in South Florida, who responded to a self-administered electronic survey. The hospital provided secondary administrative 2013 data on nurse-sensitive patient outcomes. Pearson's correlations, three-way ANOVA, and multiple regression statistical analyses were used to analyze the data.Of the total participants, the two components of CF, burnout (BO) and secondary traumatic stress (STS), were present, with 29.1% of the nurses at risk for BO, and 19.7% were at risk for STS. Significant correlations were found between PSC, CF, and CS. Inclusion of demographic variables, covariates, and additional patient safety culture variables did explain variances in the sample. This study was a unique exploration of PSC, CF, and CS. The study results demonstrates the need for further nursing research to better understand these constructs which would lead to development of effective strategies to improve patient safety outcomes
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Patient safety culture, compassion fatigue, compassion satisfaction: Impact on nurse-sensitive patient outcomes.
Improved patient safety has been one of the most critical issues facing the healthcare industry. The 1999 IOM report To Err Is Human stated avoidable medical errors contributed to 44,000 to 98,000 deaths in the United States. Current estimates are now between 210,000 and 440,000 patients annually. This study aimed: To examine the relationships between: a) inpatient nursing units' patient safety culture (PSC), b) nurse compassion fatigue (CF), c) nurse compassion satisfaction (CS), and d) the impact on nurse-sensitive patient outcomes. Bronfenbrenner's bioecological model guided this quantitative descriptive correlational design, which used primary and secondary data. Primary data were collected through a convenience sampling of registered nurses (N = 127), employed at a teaching hospital in South Florida, who responded to a self-administered electronic survey. The hospital provided secondary administrative 2013 data on nurse-sensitive patient outcomes. Pearson's correlations, three-way ANOVA, and multiple regression statistical analyses were used to analyze the data.Of the total participants, the two components of CF, burnout (BO) and secondary traumatic stress (STS), were present, with 29.1% of the nurses at risk for BO, and 19.7% were at risk for STS. Significant correlations were found between PSC, CF, and CS. Inclusion of demographic variables, covariates, and additional patient safety culture variables did explain variances in the sample. This study was a unique exploration of PSC, CF, and CS. The study results demonstrates the need for further nursing research to better understand these constructs which would lead to development of effective strategies to improve patient safety outcomes
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