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Influences on the early training of nurses in Denmark.

This paper attempts to uncover some of the factors that may have influenced the choice of model for the systematic training of nurses in Denmark. From a historical analysis of selected historical literature, nursing magazines, and archival documents, three themes emerge: the interest from (and of) the medical profession, the strategy on nurse training of the Danish Nurses' Organization, and the societal context of the time. Despite there being a Deaconess Institution in Copenhagen from 1863, it was ultimately the Nightingale model that formed the basis for the training programme. Findings suggest that the Nightingale influence within the medical establishment and among leaders in Danish nursing played a vital role in this choice. As well, the Danish Nurses' Organization actively promoted their preferred 3-year training model, which had strong similarities to the Nightingale model. Changes in family and social life after the 1864 defeat in the Prussian war fostered a growing demand for the liberalization of women's rights and a need for increased professionalization in the nursing and caring function.

Denmark↗

Do elective surgery patients use the internet to look for information about their condition?

BACKGROUND: As 54% of Australians have access to the internet, it might be expected that people scheduled for surgery would look for information on it. No reported Australian studies have quantified internet use by patients before surgery. METHODS: Patients scheduled for elective surgery in two Sydney teaching hospitals were asked to complete self-administered questionnaires while waiting in preadmission clinics. Detail on sources of information consulted about their condition was requested. A small sample was asked about the sites visited and the self-reported usefulness of the information found. RESULTS: Ten per cent (95% CI: 8.5-11.5) of 1571 patients who participated had searched the internet for information relating to their condition. Logistic regression showed that these patients were significantly more likely to be younger than 60 years (P < 0.001; OR: 3.28; CI: 1.99-5.4), to be employed (P < 0.001; OR: 2.27; CI: 1.52-3.4), and to have a higher level of education (P = 0.001; OR: 1.9; CI: 1.28-2.83). Patients of Hospital 1 were significantly more likely to access the internet for information on their condition than those at Hospital 2 (P = 0.002; OR: 1.85; CI: 1.28-2.7). The most nominated sources of information were friends and relatives (20%) and books or magazines (15%). CONCLUSION: In contrast to anecdote, use of the internet to access information prior to elective surgery appears low. Its absolute use compared with other sources of information is also low. More traditional forms of communication appear to still pay an important role in this setting.

Adolescent↗

Are switches in perception of the Necker cube related to eye position?

The issue of the relation of eye position to perceptual reversals of the ambiguous figure of the 'Necker cube' dates back to Necker's original article [L.A. Necker (1832) The London & Edinburgh Philosophical Magazine and Journal of Science, 1, 329-337]. Despite the investigations of many distinguished psychophysicists since then, the question of whether perceptual switching is a cause or a consequence of associated changes in eye position has remained a matter of debate. In the present study we overcame methodological problems that have bedevilled many previous studies. We avoided any instruction that could interfere with the human subjects' free viewing of the Necker cube, tracked the eye position precisely and used biased versions of the cube that produced unambiguous percepts to determine how each subject actually looked at the cube. We show that, under these free-viewing conditions, there is a close link between the perception of the Necker cube and eye position. The average eye position of most subjects is at an extreme value at about the time when the subject's perception switches. From the biased cube trials we can infer that the polarity of the extreme corresponds to the percept which the subject had before the switch. These data indicate a bidirectional coupling between eye position and perceptual switching so that, after a subject's perceptual state changes, their eye position shifts to view the newly established percept. When the eye position approaches the corresponding extreme, the percept, in turn, becomes more and more likely to switch. This result suggests that the changed eye position itself might provide a negative feedback signal that suppresses the percept.

Adult↗

Evaluation of antenatal smoking cessation programs for pregnant women.

Smoking during pregnancy has been linked to health problems, including the risk of low birthweight, preterm labour, spontaneous abortion and perinatal death. Two trials to investigate the efficacy of self-help materials were undertaken. During the first trial, a self-help booklet developed overseas was evaluated through a randomised controlled design to determine the effects of the booklet alone, compared with the booklet with midwife counselling for the women. We recruited 217 women into the study and followed them up at 20 weeks' gestation to ascertain smoking cessation and to measure process variables. Smoking cessation rates were lower than expected, and process measures indicated that materials were not being used. A second trial was commenced after a comprehensive review of the materials with focus groups of pregnant women and one-to-one interviews of nurses and doctors. Trial 2 was based new materials, and used a magazine-style (smoking cessation) booklet designed by the focus groups. A total of 119 women were randomly allocated into the new-materials group or a usual-care group. The materials were well received, relevant and pertinent, and were used by the women. Smoking cessation rates at 20 weeks' gestation were biochemically validated and indicated that 9 per cent in the intervention group and none in the usual-care group had stopped smoking. The use of overseas programs needs to be approached with caution.

Australia↗

Discourse about menopause in selected print media.

OBJECTIVE: In Western societies, menopause has negative connotations with variable effects for women at midlife. To assess the power of the stereotype, selected popular print media were surveyed for their depiction of menopause. METHOD: Ten years' output of two daily newspapers and four women's magazines was surveyed for menopause-related copy. Both content and discourse analyses were applied to quantify retrieved copy (using SPSS) and identify dominant discourse (using NUD.IST). RESULTS: A database of 302 items was analysed. No consistency in reporting trends was found although there were thematic peaks for 'menopause' in the late 1980s and 'hormone replacement therapy' three years later. With few exceptions, discourse about menopause drew on and reinforced schemata of ill-health, psychological disturbance, vulnerability, decrepitude, biological determinism and disease management. CONCLUSIONS: The limited discourse about menopause in the surveyed media was characterised by strong themes of illness, medical management and fear. A general perception that menopause affects women's health and competence from midlife was reflected by this public discourse. IMPLICATIONS: Public health awareness that menopause is not synonymous with dysfunction will contribute to a paradigmatic shift in public discourse that affords value to all of women's lifespan, not just the procreative.

Attitude to Health↗

Health check for Latvia: opportunities for information professionals in a new democracy.

BACKGROUND: This paper outlines developments in medical information in Latvia since independence from the former USSR in 1991, and analyses the health information gap faced by professionals. OBJECTIVES: To explore international initiatives and co-operation in health information provision in Latvia; to describe the activities of Latvian medical librarians at national, regional and international level; to look at health information provision by specialist information centres; and to discuss the role of librarians in health information provision in public libraries. METHODS: An extensive search was made of databases and medical library and health information centre staff were interviewed; a questionnaire survey of librarians was carried out. RESULTS: International initiatives and co-operation by medical librarians have extended their services at national, regional and international level. Health information portals exist, with online contacts and links to smaller health centres and organizations, but rarely employ qualified librarians or information professionals. Ninety-three per cent of public librarians had provided health information, with 79% using the Internet. The most popular sources of health information were magazines, books, local pharmacies and the Internet, but mostly for healthy lifestyle, not medical problems. CONCLUSIONS: E-health and medical informatics are high government priorities. Medical librarians are actively involved in these initiatives.

Databases as Topic↗

Sexual incidents in an extended care unit for aged men.

A survey was conducted among the nursing staff of a 400-bed extended-care unit for aged men by questionnaire to find out what patient behaviors were identified as sexual by the staff and how they reacted to these behaviors. Three types of behavior were identified as sexual and as "causing problems": sex talk (e.g., using foul language); sexual acts (e.g., touching or grabbing, exposing genitalia); and implied sexual behavior (e.g., openly reading pornographic magazines). As many as 25 per cent of the residents were thought to create such incidents. Acceptable sexual behavior identified by the staff were limited to hugging and kissing on the cheek, although their answers implied that residents could need more intimate touching and affection. The survey raised questions about the nature and causes of different types of sexual behavior in the institutionalized elderly and about the roles nursing staff, physicians, and administrators can play in recognizing individual needs while safeguarding both the residents and the staff from the consequences of unacceptable incidents.

Aged↗

Consumer journalism: a unique nursing opportunity.

Consumer magazines have become a major source of health education. Yet most health articles are written by journalists, or "medical writers," who lack the background and training in patient education that nurses have. For nurses who know how to write, or who are willing to learn, the field of consumer journalism provides a way to share their expertise with millions of readers and offers innumerable opportunities for financial reward, professional growth and personal satisfaction.

Health Education↗

An international survey of nurse editors' roles and practices.

PURPOSE: To describe the editorial practices of nurse editors, including proprietary arrangements, manuscript processing systems, and editorial review, and to ascertain editors' opinions on effective editorial practices. DESIGN: A descriptive study in which an author-designed 108-question survey was distributed and collected by e-mail. Of 177 international nursing editors identified, 164 e-mail addresses could be located, and 137 nurse editors expressed willingness to participate. Ninety journals were represented in the final purposive convenience sample, including 71 published in the US and 19 outside the US. Data were analyzed using descriptive statistics, t test, chi square, and content analysis. FINDINGS: Of the 90 journals, 78 were characterized by their editors as scholarly journals. Fifty-two were official journals of associations. The nurse editors' average age was 53, with over 20 years of experience in nursing and 8 years as editor. Although practices and compensation at U.S. and international journals did not differ significantly, scholarly journals and "other" publications such as magazines and newsletters were managed differently. Blinded peer review was in place at 98% of journals. Editors generally used manuscript reviewers as advisors rather than as voters; only 30% of editors thought their ultimate decision must agree with the majority of reviewers. Nurse editors often needed 3-5 years to feel comfortable in the role. Editors of association journals often reported struggling with the issue of editorial independence versus association control. Editors believed their role was influential in maintaining scholarly excellence and evidence-based practice, but many noted the constant pressure of deadlines and dealing with poor writing from authors as challenges of the work. CONCLUSIONS: The role of nurse editor is not part of the formal preparation of nurse scholars or clinicians; standards for nurse editors are not readily apparent, and nurse editors often work in isolation, lacking professional support. This survey included data by which nurse authors and readers of nursing journals can understand how nurse editors work and make decisions about manuscripts, ultimately influencing knowledge dissemination in nursing journals. Nurse editors can use this information to compare their practices with that of others, and advocate for adequate preparation, compensation, and assistance with production.

Adaptation, Psychological↗

Infant feeding choice and the adolescent mother.

A descriptive study of 25 pregnant adolescents was conducted to determine where information about feeding is obtained and when the information has the most impact. Family and social environment was a source of information for all of the subjects; the next most frequently cited source of information on infant feeding was magazines. Only two of the subjects identified clinical nurses as a source of infant feeding information. Data indicate that the majority of the subjects had made their feeding decisions in early pregnancy. Results of this study indicate that nurses need to improve their image as a source of information for the adolescent who is trying to make the important feeding decision.

Adolescent↗

Investigation of lay knowledge of the management of avulsed permanent incisors.

The prognosis of replanted avulsed permanent incisors depends largely on prompt and appropriate emergency management. The aim of this study was to investigate lay knowledge and attitudes in this respect. Postal questionnaires were sent to all physical education teachers, school nurses and secretaries, attendants in swimming baths and leisure centres and to 220 parents of teenage children in a defined area of North West England. The overall questionnaire response rate was 86.9%. Knowledge of methods of dealing with this problem was generally inadequate in both parents and the other groups. Although 53.6% of respondents claimed to have received first aid training only 3.1% could remember dental injuries being included. There was evidence that dental health education in this field can be effective, since the highest mean knowledge score was found in the 11.5% of respondents who recalled receiving advice from sources such as posters, magazines and newspapers. More than 80% of the respondents stated that they would not want to replant an avulsed incisor themselves, the main reason being lack of knowledge and training. It is suggested that there is a need for potentially effective dental health education in relation to this problem.

Caregivers↗

Effects of Ill Health on the Service of Scottish Presbyterian Missionaries 1867-1929.

The experience of Scottish Presbyterian missionaries serving overseas between 1867 and 1929 was analyzed. Data were compiled during a 4-year postgraduate research program from such sources as the General Assembly Reports of the Foreign Mission Committees of the Church of Scotland, numerous missionary magazines, school records, medical directories, and newspaper and medical journal obituaries. Data show that the year of appointment, the mission station and continent location, and medical knowledge were all influencing factors on the length of missionary service, early retirement on account of ill health, death in service, and age at death. This method of comparative, historical study may have further useful applications in looking at the health experience of other groups who lived and worked abroad at the turn of the century, such as civil servants, the military, or other comparable missionary groups.

Journal Article↗

News from health research: toward a better understanding.

News about health research findings, especially regarding controversial topics, can seem confusing and conflicting to students and the general public. Many people eventually develop a "turned-off" attitude toward all health news. Yet medical information is one of the key factors involved in health decision-making, because it influences a person's judgment about the potential health impact of a behavior choice. As part of their health education, youngsters need to learn skills to better understand and evaluate reports of research news, so the information available for health decision-making will be more complete and accurate. Such news is already abundant in television, radio, newspaper and magazine reports and will continue to increase as research advances, knowledge expands and health "facts" are revised. This article outlines concepts and skills to help teachers and students understand the changes and controversies in health news. To most effectively use new information generated by medical research, students need to: 1) understand basic concepts about the nature of research and the research process; 2) apply critical thinking approaches to health news; and 3) locate additional health information resources. Generating ways to address these needs is a high priority of the school health education work at the National Heart, Lung and Blood Institute. Comments are invited on this approach.

Adolescent↗

High school students' perceptions and misperceptions of AIDS.

This study examines the knowledge, beliefs, and sources of information of junior and senior high school students concerning AIDS. The students were found to have a very limited knowledge of AIDS. Males were more knowledgeable about AIDS than were females, but the majority of students were not personally worried about contracting AIDS. The primary sources of AIDS information were TV, newspapers, magazines, and radio. Schools were one of the least often mentioned sources of information.

Acquired Immunodeficiency Syndrome↗

Black and white adolescents' perceptions of their weight.

Black and white adolescents' perceptions of their weight were examined in this study. A 22-item questionnaire on weight perceptions and weight control was administered to 341 adolescents from two inner city schools in the midwest (138 black and 193 white students). Students were classified as thin, normal, or heavy based on National Health Survey data on height and weight measurements for youth ages 12-17. Significant differences (p less than .05) occurred in how the heavy black and white males and females perceived their weight in comparison to actual weight. All heavy white females perceived they were heavy, in comparison to only 40% of heavy black females; 78% of heavy white males labeled themselves heavy vs. 36% of heavy black males. Thin black and white females were dieting and exercising to lose weight and thin white males were exercising to lose weight. Black males were significantly more likely to believe emotions did not affect their weight when compared to white males. Black females believed exercise levels accounted for their weight, while white females attributed their weight to eating habits. Beliefs about exercise and eating contributed 23% to the variance found in perceived weight status of black males. White males believed access to food and their emotions accounted for their perceived weight. Leading sources of weight control information regardless of ethnicity were television, family members, friends and magazines for females; males used TV, family members, and athletic coaches.

Adolescent↗

Rural women and osteoporosis: awareness and educational needs.

CONTEXT: Little is known about rural women's knowledge about osteoporosis. PURPOSE: To explore what women from high-prevalence rural communities know about osteoporosis and to assess their learning preferences. METHODS: We surveyed 437 women in rural Washington and Oregon. FINDINGS: The response rate was 93% (N = 406). The mean age of respondents was 63 years (range 16-95) and 74% (n = 301) of women were postmenopausal. While 27% over age 40 (n = 111) reported having a fracture as an adult, less than half of this group (42%, n = 47) considered themselves at risk for osteoporosis. Of the 42% (n = 171) who rated their knowledge of osteoporosis good or excellent, only 18% (n = 30) answered calcium and vitamin D questions correctly. About half (53%; n = 214) exercised 3 or more times per week. Reported sources of osteoporosis information included television, magazines, health care providers, and personal contacts. Over half of the women in this study wanted more information about osteoporosis, most wanted it before age 50, and health care providers were a preferred source. Less than half of participants reported having Internet access. CONCLUSIONS: While many participants underestimated their osteoporosis risk, most women wanted to learn more about osteoporosis and health care providers remain a preferred source of information.

Adolescent↗

The prevalence of lice on sheep and control practices in South Australia.

OBJECTIVE: To assess the prevalence of infestations of lice in sheep flocks and to survey control practices for lice in South Australia DESIGN: A total of 201 managers of sheep flocks, 75 chosen randomly from the high rainfall zone (HR), 76 from the cereal sheep zone (CS) and 50 from the pastoral zone (PA), were surveyed by telephone interview. PROCEDURE: Interviews were conducted between May 19 and May 25, 1999, according to a set questionnaire. Information was collected on presence of lice at last shearing, control practices for lice, factors important for gaining good effect from chemical treatments, sources of information on control practices and property details. Survey results were analysed by agricultural region. RESULTS: The apparent state prevalence of flocks infested with lice was 21%, with 13% infested in the HR, 21% in the CS and 25% in the PA. Ninety one percent of managers claimed to take precautions to prevent the introduction of lice and 91% routinely checked their flocks for lice. Seventy eight percent treated their sheep for lice annually and 85% had treated within the last 12 months. Of those treating in the last year, 69% had used a backline application, 16% had used a shower dip and 17% had used plunge dipping. Only 4% of producers used a long wool treatment. Synthetic pyrethroid (SP) based products were used by 50% of producers who used backline treatments in the preceding 12 months, compared to 42% and 8% for insect growth regulator and organophosphorous (OP) based products, respectively. Only 34% of managers identified SP-based products as having potential resistance problems. Of those producers who used shower or plunge dips in the last 12 months, 75% used an OP based product. Rural newspapers and magazines were by far the most commonly noted source of information for the control of lice on sheep.

Animal Husbandry↗

Oral health knowledge and attitudes of elementary schoolteachers in Michigan.

Teachers at elementary schools in two areas (urban and rural) of Michigan were surveyed to determine their sources of information about oral health and their knowledge and attitudes about dental diseases and disease prevention. Questionnaires were completed by 404 teachers (62% response rate). More than 80 percent of respondents from both areas were female. Demographic characteristics that were significantly different between groups included: median ages of urban and rural respondents (P less than .01), median numbers of years in teaching (P less than .01), and median years in residence (P less than .03). Despite these differences, responses to the questionnaire varied little. For both groups, the most frequently cited sources of information about dental health were dentist's office (82%), followed by magazines and books (74%). The teachers considered preventing tooth decay as the most important reason for good oral hygiene. When asked to rank the effectiveness of ten methods of preventing caries in children, teachers ranked efficacious methods such as fluoridated water and pit and fissure sealants lower than making regular dental visits and reducing intake of sugared foods. Asked to rank the most effective method for children to receive fluoride, urban respondents ranked fluoridated water first, while rural respondents ranked this measure third. Findings suggest that teachers' knowledge about oral health and current methods of prevention is incomplete, is inaccurate in some instances, and varies little by geographic area.

Adult↗