bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of the Beneficial Parenting Partnership Model Assimilation in Parent-Infant Centers
Authors: Bord S , Paldi Y , Baruch R , Stolerman E , Yeudai-Yadid M , Zimmerman D , Gens I , Schuman Adatto I , Yaari M 
Published: October 2024

Abstract

Background
The Beneficial Parenting Partnership (BPP) model is being implemented in Parent-Infant Centers (PIC) across Israel to improve the partnership skills of PIC nurses when working with parents, promote child development, and enhance parental well-being. This initiative is being led by the Israeli Ministry of Health, Goshen NGO, and Lotem company and is supported by the Yad Hanadiv and Bernard van Lear foundations.

Methods
The first data collection (T1) was held from December 2022 to January 2023 among 706 parents of children aged two weeks to 36 months (M = 8.17 months, SD = 7.48) who visited one of 18 PICs. Research assistants approached the parents and asked for their agreement to fill in the study questionnaire. Of these, 328 parents agreed to participate in the follow-up study (T2) held in January-February 2024 using a telephone survey. Differences in the parent’s satisfaction, visit experience, and parental well-being were assessed using parried sample T-tests. A linear regression model was calculated to assess the factors predicting the increase in the parent’s visit satisfaction.

Results
Significant differences were measured between T1 and T2 in parental satisfaction (M = 4.51 and 4.71 retrospectively, P &lt; 0.001), parental positive visit experience (M = 4.58 and 4.68 retrospectively, P = 0.019), and parental well-being (M = 3.81 and 3.97 retrospectively, P &lt; 0.001). Findings suggest a marked improvement in satisfaction, visit experience, and reported well-being after a year of BPP model assimilation among PIC nurses. The regression model, explaining 42% of the variance in increased parental satisfaction, indicated that a higher increase could be predicted by a higher increase in positive visit experience and a higher trust level in the PIC nurse at T1.

Conclusions
The BPP model’s assimilation among Israeli PIC nurses was successful, resulting in improved parent experience, satisfaction, and well-being.

Key messages
• The Beneficial Parenting Partnership model is well-suited for implementation among nurses working with parents of babies and toddlers to promote collaborative nurse-parent communication.
• During routine meetings at Parent-Infant Centers, nurses can act as a catalyst for promoting parental well-being.
Inequalities in access to early child services in Bulgaria
Authors: Nedelcheva S , Dokova K 
Published: October 2024

Abstract

Background
Children’s health has been a major focus of European health policy since 2000, with particular emphasis on early childhood and integrated services for children with chronic diseases. However, research on early child care in Bulgaria is sparse, mainly focusing on the role of nurseries, kindergartens and nursing care. Our aim is to investigate whether there are disparities in access to early childhood health services in Bulgaria.

Methods
A survey was conducted among mothers of children up to 7 years old between April and June 2022. The questionnaire, containing 49 questions, was based on the theoretical framework from the EU project ‘Models of child health appraise’, covering topics as: geographical and financial access to services, equity, quality, responsiveness to children and family needs, considered key features of outpatient child medical care. Statistical analysis utilized Chi-square, Fisher’s exact and ANOVA tests.

Results
A total of 413 Bulgarian women, with a mean age of 34.3 (±5.1), participated in the study. Almost all women (91.3%) reported that their children had a primary care provider. The mean time to reach the GP/pediatrician’s office was 16 minutes (95% CI 14.6 - 16.7), longest for residents of small towns and villages (21 minutes), p = 0.004. Parents from small towns (including villages) were six times more likely to experience financial difficulties related to their children’s healthcare services compared to those from the capital city (p = 0.047), as well as parents with low-income (p = 0.031). Emergency healthcare was the most demanded service by families with children under 7 years old, possibly due to its free availability. Parents with secondary education and from small towns lack access to non-medical health-promoting or preventive services such as breastfeeding consultations, speech therapy and others.

Conclusions
Significant financial and geographic disparities in access to early child health services exist in Bulgaria.

Key messages
• There are serious social health inequalities related to the access to outpatient child health services in Bulgaria.
• There is an urgent need for specific child and family health strategy based on the principles of proportionate universalism.
A Framework for Bariatric Surgery Patient Care: Patient and Professional Perceptions
Authors: Mendes C , Carvalho M , Gregório J 
Published: October 2024

Abstract

Introduction
A multidisciplinary health team for perioperative care of the bariatric patient, sustained in a viable framework to support a long-term follow-up service, may decrease rates of complications, help the recognition of the complexity of this chronic disease, and provide a comprehensive bariatric surgery process analysis. This study aimed to analyze patients’ and professionals’ experiences with the perioperative care process and identify their perceptions of the bariatric surgery process to support the long-term management of obesity surgical treatment.

Methods
This qualitative study was conducted in a bariatric surgery center in south Portugal. Seven health professionals participated in one focus group, and sixteen patients participated in one of the three focus groups. Patients’ focus group script had eleven open main questions with follow-up questions to probe for more information, addressing motivations, experiences with the pre-surgery and post-surgery process, and perceptions of lifestyle changes.

Results
Participants reported the need for a reference professional in the hospital to contact, the importance of psychological support to help patients deal with the ‘ups and downs’ of post-surgery life, and the financial support for physical activity programs.

Conclusions
This research helped identify a need for a framework for long-term follow-up and showed priorities to tailor health services for managing bariatric surgery patients. New bariatric surgery programs should incorporate a diverse health team, focusing on patient support in the long-term follow-up. This team should be led by a dedicated case manager and include physical activity specialists.

Key messages
• The positive effects of bariatric surgery go beyond weight loss, reinforcing the importance of developing a new conceptual framework based on a patient-centered care model.
• A case manager specialist on the bariatric surgery process may be the key to improving the long-term benefits of bariatric surgery.
Hospital satisfaction among older adults by European Union health system clusters
Authors: Pasupathy R , Hossein R , Queen C 
Published: October 2024

Abstract

Background
Health systems are influenced by political, historical, cultural and socio-economic factors and differ across countries. Classification of EU health systems into 5 clusters has allowed for international comparison and policy recommendations. This study is based on the Andersen’s Behavior Model, that predicts that a sequence of predisposing, enabling and need factors influence satisfaction and utilization of healthcare services.

Aim
Examine the nature and relationship of predisposing, enabling and need factors associated with hospital satisfaction of older adults across EU nations by health system classification clusters.

Methods
Data from Wave 9, of the Survey of Health, Ageing and Retirement in Europe (SHARE) were examined using a sample of older adults from 10 EU countries. Analysis: Non-parametric one-way ANOVA (Kruskal- Wallis test) and Multinominal Logistics regression were performed to test the null hypothesis that (1) hospital satisfaction is equal across all clusters, and (2) predisposing, enabling, and need factors, are not predictors of hospital satisfaction.

Findings
There was a statistically significant difference in hospital satisfaction by cluster [Chi Square= 231.44, df = 21; p&lt; .001]. Age, mental health, technology and chronic disease are predictors of healthcare facilities satisfaction. [Chi Square 50.94, df = 3, p&lt; .001], Among those that reported to be highly unsatisfied with healthcare facilities, [chronic disease (Beta = -2.64) and mental health (Beta = -4.41) df = 1 p&lt; .001] significantly predicted hospital satisfaction. Implications for Policy and Practice: Initiatives for the care of older adults should not only aim to increase access to care but also provide targeted services for sub populations such as older adults with mental health and chronic diseases. Further, significant investment is required in technology infrastructure within hospitals and technological assistance or training should be provided to older adults.

Key messages
• Older adults satisfaction with hospitals varies by health system clusters and is predicted by age, mental health, use of technology and chronic disease.
• Chronic disease and mental health are strong predictors of hospital dissatisfaction among older adults.
Semmelweis University’s innovative Center of Preventive Services in support of healthy ageing
Authors: Fazekas-Pongor V , Fehér Á , Fekete M , Varga P , Ádány R , Moizs M , Torzsa P , Purebl G , Ungvári Z 
Published: October 2024

Abstract

Issue/problem
Europe’s aging population presents substantial hurdles for healthcare sustainability. To alleviate the social and economic impacts of age-related diseases, promoting healthy aging is imperative. However, motivating individuals to adopt a healthier lifestyle proves challenging.

Description of the problem
Semmelweis University, a leading institution in medicine, health sciences, and health care in Hungary and Central Eastern Europe, has addressed this challenge by establishing the Center of Preventive Services (CPS), serving 12,500 Semmelweis University employees. The CPS conducts comprehensive health risk assessments and offers consultations with specialists in preventive medicine, public health, dietetics, physiotherapy, and health psychology. Motivational interviewing is used to enhance patient engagement and commitment to healthy lifestyle changes.

Results
The CPS has effectively integrated preventive services into the university’s healthcare system, reaching a significant number of employees. Early results show improvements in participants’ lifestyle and health behaviors due to the effective use of motivational interviewing. According to the first preliminary result, a study on step count conducted within the CPS found that those taking part in motivational interviewing session were able to increase their average daily step count by 1074 (95% Confidence Interval: 116-2033) steps more than controls.

Lessons
The Semmelweis University’s CPS provides valuable lessons for integrating healthy aging-focused preventive care into healthcare systems: 1. Effective preventive care requires targeted interventions based on detailed risk assessment and motivational interviewing; 2. Embedding preventive services within existing health infrastructure improves accessibility and utilization; 3. Collaborative and multidisciplinary approaches are essential to comprehensively address the needs of ageing populations.

Key messages
• Motivational interviewing boosts the effectiveness and engagement of preventive health services, which is essential to meet the challenges of ageing populations.
• The Semmelweis University’s model program shows that embedding preventive services into the infrastructure of existing institutions like universities is scalable for better public health.
A socially interactive communication skills training for competent health educators
Authors: Middleton N , Papapetrou M , Moore M , Nicolaou C , Karanikola M , Kyranou M , Kassianos A , Hadjigeorgiou E , Orpahnides-Eteokleous I , Kolokotroni O 
Published: October 2024

Abstract

Background
Every contact with expectant and new parents can be a “teachable moment” for promoting the health of mother-baby-family; yet, healthcare providers may not effectively perform their educational role. Previous studies have described various setting-specific challenges. Procedural knowledge, resulting in lack of confidence and avoidance, is a universal theme, challenging current communications skills training. Given the evolving role of midwives under the new Cyprus National Healthcare System, there is need for innovative practices.

Objectives
“Baby Buddy Communicators” designed, implemented and piloted tested a socially interactive digital environment on the Edubreak platform, where practicing (N = 8) and in-training (N = 7) Midwives completed an 8-week iterative hybrid communication skills course along with service-users.

Results
Four situational-based scenarios were co-created with ‘holders of the experience’ tapping on key priorities (elective caesarean, breastfeeding challenges, baby in NICU, postnatal depression). Participants produced video artefacts of role-play consultations and engaged in peer-to-peer and service-user feedback via the in-built video annotations and blog writing tools. Deductive content analysis of the rich material using the 18-item Health Professionals Communications Skills (HPCS) scale identified recurrent patterns tapping on both informational aspects (e.g. incomplete information gathering, overload without assessing comprehension) as well as social skills (e.g. agenda setting, early reassurance, assertiveness).

Conclusions
This cross-sectoral transfer of social video from sports training to healthcare is a “proof of concept”. Inverted (i.e. making current practices visible) and experiential learning (e.g. feedforward) with cross-sectoral (service-user involvement) and cross-module dimensions (i.e. communication skills and evidence-based practice) provided the basis for evaluation and a source of shared learning and reflection.

Key messages
• Several areas of improvement in communication skills of maternal healthcare providers were identified while peer-to-peer and service-user feedback was a source of reflection.
• The use of digital technology and social video allowed immersive role-playing, observation and constructive feedback loops providing a new paradigm in health communication skills training.
Strategies for primary healthcare in Ukraine: An integrated response to gender-based violence
Authors: Gheorghita S , Skipalska H , Piven N , Bruni E , Goncharuk V , Castillo T 
Published: October 2024

Abstract

Issue/problem
Survivors of gender-based violence (GBV) and conflict-related sexual violence (CRSV) in Ukraine face significant challenges in accessing appropriate healthcare services. Despite governmental commitment, acknowledgment and regulatory frameworks, including the ratification of the Istanbul Convention, gaps persist in integrating comprehensive GBV/CRSV services into primary healthcare (PHC) settings, exacerbated by the ongoing conflict with Russia.

Description of the problem
An analysis of healthcare providers’ knowledge has revealed deficiencies in effectively supporting GBV/CRSV survivors. Barriers include workload pressures, lack of inter-sectoral cooperation and case-management protocols, and insufficient training opportunities on survivor support. In collaboration with the World Health Organization, the global Clinical Management of Rape (CMR) guidelines was adapted for Ukrainian context. Among findings from CMR trainings attended by 443 PHC providers in 2022-2023 (213 participants in 2022 and 230 participants in 2023), the results underscore gaps in PHC workers’ basic knowledge and readiness to effectively support survivors during the war.

Results
Data from WHO training sessions underscored significant gaps in knowledge among healthcare professionals regarding legal protocols, available resources, and best practices in PHC service delivery. Identified barriers emphasized the urgent need for targeted interventions to enhance PHC workers’ capacity in GBV/CRSV response.

Lessons
Recommendations focus on systemic enhancements including revising regulatory frameworks, developing standardized protocols, and institutionalizing and providing comprehensive training programs. Innovative approaches like online courses, mentoring programs, and integrated service models are crucial for addressing multifaceted challenges.

Key messages
• A holistic GBV/CRSV response is an essential component in PHC.
• This intersectoral survivor-centered approach provides safe spaces that can be adapted to other contexts in Europe.
Reorganisation of the emergency network in the province of Verona
Authors: Dragoni L , Palladini F , Signorelli D , Valerio A , Messina G , Nante N 
Published: October 2024

Abstract

Background
In recent years, in the provincial context of Verona, has been perceived an increasing pressure on the Emergency Room (ER). There was therefore a need to identify possible actions to optimize the emergency network. The aim of the study was to evaluate the impact of the first corrective measure implemented: the redistribution of the municipalities’ afferences.

Methods
Data on the actual number of beds in each facility and on the emergency equipment were obtained from the various medical directions. Once the population/bed index had been calculated, it was adjusted according to the characteristics of the various facilities. Based on these data, the redistribution of afferences was carried out. The period monitored in the study covers the first three months after the reorganisation (January 2024) in comparison with the same period in 2023. The data collected were used to calculate both activity indicators for the PS and the Urgent Emergency Medical Service (UEMS).

Results
With a stable number of calls recorded in the two periods examined (20,366 in 2023 and 20,255 in 2024), with regard to the locations affected by the redistribution of municipalities, there is a decrease in the number of ambulance calls in San Bonifacio (-7.5%) and Villafranca (-16.2%) and an increase in Peschiera (+13.6%) and Negrar (+16.5%) compared to the quarter of the year 2023. There is no significant increase in Borgo Roma.

Conclusions
The organizational structure of the emergency services in the province of Verona is part of a highly complex framework. In any case, this first change has proved to be effective in addressing some of the factors influencing the contribution of the ER, but the overall impact and extent of the change will have to be studied in depth in order to optimize the network as much as possible.

Key messages
• The reorganisation of such a complex area is a very difficult challenge, but the path we are taking seems to be the right one.
• It will also be necessary to act at the level of the internal processes of each ER in order to successfully complete the reorganization.
A national job profile for infection control nurses in public health: the development and content
Authors: Noorland S A , De Groot K , Francke A L , Batenburg R S 
Published: October 2024

Abstract

Background
The COVID-19 pandemic emphasized the crucial role of infection control nurses (ICNs) in public health. ICNs working in multidisciplinary infection control teams face challenges, such as new infectious disease outbreaks and vaccination hesitancy. Recognizing the complexity in this domain, Dutch ICNs in municipal public health services expressed the need for a national job profile describing their tasks and responsibilities.

Methods
A mixed methods approach was used to develop a job profile. National and international documents on infection control professionals were studied by desk research. Insights from Dutch infection control professionals and experts were collected through a survey (n = 171), two interactive discussion meetings (18-22 participants) and meetings with an advisory group of stakeholders, including representatives of the Dutch nurses’ association. Descriptive statistics and deductive content analysis were used to analyze the data.

Results
The diverse methods facilitated the development of a job profile for Dutch ICNs. The profile describes that, within infection control teams, ICNs play a key role in coordinating and monitoring infection control measures. They facilitate collaboration among (at-risk) individuals, the infection control team, and the collaborating partners. Additionally, ICNs identify emerging risks for infection control and coordinate infection prevention activities in collaboration with the infection control team. During large-scale outbreaks, ICNs take a leading role and, where appropriate, delegate tasks such as contact tracing to crisis workers.

Conclusions
We developed the first job profile that outlines the tasks and responsibilities of ICNs in Dutch public health services. It contributes to strengthening infectious control services to face future challenges. Findings emphasize the ICNs’ pivotal role in coordinating and monitoring infection control efforts, while enhancing collaboration, even during large outbreaks.

Key messages
• In close collaboration with infection control professionals a robust job profile was developed, describing the tasks and responsibilities of infection control nurses in the Netherlands.
• The new job profile contributes to strengthening the position of infection control nurses working in municipal public health services and infection control teams.
Preventive Resilience: The Role of Long-Term Care Organizations’ Collective Agency Capacity
Authors: Pfaff H , Pförtner T , Hower K 
Published: October 2024

Abstract

Background
The COVID-19 pandemic has intensified pressure on healthcare organizations (HCOs), particularly long-term care organizations (LTCOs. An HCO’s resilience is closely linked to its proactive ability to address and manage both novel and persistent stressors. This proactive approach, termed ‘preventive resilience,’ involves preemptively averting stressors to safeguard the organization’s resilience mechanisms.

Objectives
The aim of this presentation is to examine the hypothesis asserting that preventive resilience is, to a significant extent, nurtured by the collective capacity of a Long-Term Care Organization (LTCO) to act and react as a cohesive social system. This collective agency capacity of an LTCO is posited to play a pivotal role in fortifying preventive resilience of HCOs.

Methods
We conducted a pooled cross-sectional study on long-term care organizations in Germany during the initial (April 2020) and subsequent waves of the pandemic (December 2020-January 2021). Our sample comprised 503 leaders during the first wave and 294 leaders during the second wave from various long-term care organizations. The study involved top managers of these facilities reporting their perceptions of the collective agency capacity of the LTCO, assessed using the AGIL short scale. Additionally, they were asked to gauge the facility’s exposure to both general non-pandemic demands and pandemic-specific demands.

Results
We discovered a notable inverse relationship between leaders’ perceptions of the collective agency capacity within their Long-Term Care Organizations (LTCO) and their assessments of general demands. However, no significant association was observed between the agency capacity and the magnitude of pandemic-specific demands.

Conclusions
The findings tentatively endorse the notion that cultivating the collective agency capacity of nursing facilities enhances their resilience to familiar general demands, particularly during periods of exceptional stress.

Key messages
• Cultivating the collective agency capacity of nursing facilities enhances their resilience to familiar general demands.
• The collective capacity to act and react in a cohesive way is a general resistance resource of healthcare organizations.