RESUMO
Low health literacy (LHL) significantly impacts patients' ability to participate actively in their healthcare. Registered nurses (RNs) play a crucial role in identifying LHL and addressing patient knowledge gaps and skill deficits. This correlational study examined the relationship between RNs' predictions of patients' health literacy levels (HLL) and the actual HLL of a predominately Hispanic patient population. In addition, personal factors (i.e., demographics) were analyzed to determine their influence on the nurse's predictions and patients' HLL. Data were collected from 84 participant patient-nurse couplets admitted to a medical-surgical unit in a rural setting located on the United States-Mexico border. In addition to demographic information collected via survey, RNs were asked to predict their patient's health literacy abilities while the Newest Vital Sign, a health literacy assessment tool, was deployed to determine the actual HLL of patients participating in the study. Data were analyzed using descriptive statistics, t-tests, and chi-square tests while a Spearman correlational model was used to examine the relationship between predicted HLL and actual HLL. Finally, a logistic regression model was used to analyze the relationship between personal factors and HL data for RNs and patients. Analysis of the data revealed that RNs consistently overestimated patients' abilities, as evidenced by the disparity between patients' actual HLL (mean 1.71) and predicted HLL (mean 4.26) by RNs, with a moderately strong positive relationship (rs = .418). Notably, higher academic preparation and years of experience did not enhance the RNs' ability to identify LHL while the highest level of education completed was the only statistically significant predictor of adequate health literacy in the patient population sampled. These findings emphasize the need to prioritize effective health literacy education in RN academic preparation and clinical practice to support the detection of LHL when a standardized health literacy assessment tool is not utilized in the clinical setting. By recognizing the presence of LHL, healthcare professionals can better support patients' needs and bridge the knowledge gap, ultimately improving patient outcomes.
Assuntos
Letramento em Saúde , Humanos , Feminino , Masculino , Adulto , Inquéritos e Questionários , Pessoa de Meia-Idade , Hospitais Rurais , México , Estados Unidos , Hispânico ou Latino/estatística & dados numéricos , Recursos Humanos de Enfermagem Hospitalar/psicologiaRESUMO
Children are particularly vulnerable to the effects of natural disasters. This article aims to gain a deeper understanding of the specific effects of natural disasters on children and how they could better be involved in the disaster risk reduction (DRR) process. The article begins with a review of the literature published on the Child-led Disaster Risk Reduction (CLDRR) approach and describes the key issues. Then it identifies the effects of floods on children in Bangladesh and analyses the traditional coping mechanisms developed by communities, highlighting where they could be improved. Finally, it analyses how DRR stakeholders involve children in the DRR process and identifies the opportunities and gaps for the mainstreaming of a CLDRR approach in Bangladesh. This should contribute to a better understanding of how key DRR stakeholders can protect children during natural disasters. Encouraging the building of long-term, child-sensitive DRR strategies is an essential part of this process.
Assuntos
Proteção da Criança , Criança , Planejamento em Desastres , Inundações , Comportamento de Redução do Risco , Segurança , Bangladesh/etnologia , Comportamento Infantil/etnologia , Comportamento Infantil/fisiologia , Comportamento Infantil/psicologia , Proteção da Criança/economia , Proteção da Criança/etnologia , Proteção da Criança/história , Proteção da Criança/legislação & jurisprudência , Proteção da Criança/psicologia , Pré-Escolar , Planejamento em Desastres/economia , Planejamento em Desastres/história , Planejamento em Desastres/legislação & jurisprudência , Desastres/economia , Desastres/história , Inundações/economia , Inundações/história , História do Século XX , História do Século XXI , Humanos , Psicologia da Criança/economia , Psicologia da Criança/educação , Psicologia da Criança/história , Segurança/economia , Segurança/história , Segurança/legislação & jurisprudênciaRESUMO
One hundred and forty five bats of 13 species collected during february 1976 at three sites in the State of Zulia, Venezuela, were negative for hemagglutination-inhibition (HI) and neutralization antibodies to venezuelan encephalitis virus. One hundred and thirty seven of these were also negative for HI antibodies to both Eastern and Western encephalitis viruses. Due to small series for most species in the sample, negative results are difficult to interpret