A cluster analysis of physical activity profiles and resilience in intensive care nurses

PurposeLimited evidence exists regarding a group of nurses' physical activity patterns and association with resilience. Less is known about the physical activity health paradox in nurses (the positive health effects of leisure time physical activity vs the negative health effects of occupational physical activity). This study aimed to explore the profiles of intensive care nurses' physical activity behaviours and associations with resilience, following a developed study-specific job demands–recovery framework.Design/methodology/approachA cross-sectional study was conducted with intensive care unit (ICU) nurses to explore their physical activity profiles and associations with resilience. The Connor-Davidson Resilience Scale 25 (CD-RISC 25) was used to assess resilience, and accelerometry was utilised to record participants' four-day activity (two workdays, two non-workdays). Hierarchical cluster analysis was employed to define groups of nurses by activity behaviours.FindingsParticipants (N = 93) were classified as low actives (n = 19), standers (n = 36), sitters (n = 31) and movers (n = 7). During two 12-h shifts, movers had the highest mean level of dynamic standing and the lowest mean level of sitting. During two non-workdays, movers had the highest mean level of walking as well as the lowest mean level of sitting and sleep time.Originality/valueThe uniqueness of this study was that it analysed ICU nurses' physical activity profiles and associations with resilience using identified clusters. However, the small number of participants limited this study's ability to determine significant relationships between resilience and the grouped physical activity profiles.

Positive health during the COVID-19 pandemic: a survey among community-dwelling older individuals in the Netherlands

Background Coronavirus Disease 2019 (COVID-19) reached the Netherlands in February 2020. To minimize the spread of the virus, the Dutch government announced an “intelligent lockdown”. Older individuals were urged to socially isolate completely, because they are at risk of a severe disease course. Although isolation reduces the medical impact of the virus, the non-medical impact should also be considered. Aim To investigate the impact of COVID-19 pandemic and associated restrictive measures on the six dimensions of Positive Health in community-dwelling older individuals living in the Netherlands, and to identify differences within subgroups. Methods In May/June 2020, community-dwelling older individuals aged ≥ 65 years completed an online survey based on Huber’s model of Positive Health. Positive Health was measured regarding the appreciation of the six dimensions (categorized as poor/satisfactory/excellent) and a comparison with a year before (categorized as decreased/unchanged/increased) using frequencies (%) and a chi-square test. Results 834 older individuals participated (51% women, 38% aged ≥ 76 years, 35% living alone, 16% self-rated poor health). Most respondents assessed their bodily functions, mental well-being and daily functioning as satisfactory, their meaningfulness and quality of life (QoL) as excellent, and their social participation as poor. 12% of the respondents reported a deterioration of 4–6 dimensions and 73% in 1–3 dimensions, compared to the past year. Deterioration was most frequently experienced in the dimension social participation (73%), the dimension mental well-being was most frequently improved (37%) and quality of life was in 71% rated as unchanged. Women more often observed a deterioration of 4–6 dimensions than men (15% vs. 8%, p = 0.001), and individuals with self-rated poor health more often than individuals with self-rated good health (22% vs. 10%, p < 0.001). Older individuals living alone experienced more frequently a decrease in meaningfulness compared to older individuals living together. Conclusion The COVID-19 pandemic and associated restrictive measures had a substantial impact on all six dimensions of Positive Health in community-dwelling older individuals, especially in women, respondents living alone and respondents with self-rated poor general health.

Understanding Apple Attribute Preferences of US Consumers

Apple preferences of US consumers are widely explored. However, the key factors that drive the importance that US consumers place on apple attributes are rather unexplored. To fill this literature gap, an online survey with 383 US apple buyers was conducted. A two-step analysis consisting of descriptive statistics and partial least squares structural equation modelling indicates that subjective knowledge was the most important factor, determining both the discernment of buyers and attitudes towards US fruit growers. Objective knowledge and sociodemographic factors, other than education, were not found to have any impact. The discernment of a buyer and their ability to distinguish apple varieties had the greatest impact on the importance that US consumers placed on physical and commercial product attributes. It was also found that attitudes towards growers impacted on the importance which consumers place on both types of attributes. Given that consumer attitudes were shown to be a strong driver of their buying preferences, growers and grower associations should also consider highlighting the positive health and societal benefits that their products provide.

A Systems Approach to Achieve Equity in Healthcare Research

Healthcare in the United States is inequitable. The consequence of inequity is that the burden of serious chronic disease, such as diabetes, falls disproportionately on populations experiencing health disparities, predominantly Black, Indigenous, and people of color. [1] The reasons for the inequity include the negative impact of the social determinants of health of individuals and families from these communities, being underrepresented as participants in clinical research, having limited access to technologies that support self-care, and a lack of researchers and clinicians from these same populations. [2] To achieve equity and fairness, there is a need for a paradigm shift in healthcare research and innovation based on improving access, trust, and self-efficacy [3] to convert new knowledge into positive health outcomes.

Impact of feed supplementation with balsam poplar buds on performance of young bulls

There is an urgent need to develop new strategies to minimize the environmental impact of animal production and support sustainability of food production and consumption. Feed additives have been for a long time used in animal nutrition to improve animal growth and performance as well as animal health. Balsam poplar plants (Populus balsamifera) is well known as a rich source of bioactive compounds with positive health effects, and might be used in agriculture as a feed additive for ruminants. The aim of the present study was to evaluate the effect of balsam poplar-based additives on growth and performance of fattening young bulls of Simmental breed. In the present study, we used 4 combinations of extract from balsam poplar buds or its components as a feed additives. The animals were given the supplements at the age of 15 months, 3 months before slaughter. The growth and slaughter characteristics of young bulls were studied. After the first and second month of feeding with dietary supplements, animals from the groups fed 10% balsam poplar buds extract and dry shredded balsam poplar buds had significantly higher live weight compared to the control animals fed a diet without any supplements (P < 0.05). At slaughter, group fed 10% balsam poplar buds extract had significantly higher live weight compared to control. Average daily gain was also greatest in that group. Major sensory as well as physical and chemical parameters were not affected by balsam poplar-based supplements (p > 0.05 for all) and were in line with regulatory meat hygiene requirements.

My Digital Healthcare Record

In the 21st century, the digital revolution is disrupting every sector of the economy. Australia has adopted the digital healthcare technological revolution such as My Health Record (MyHRC) to improve healthcare practice for clinicians/medical professionals and empower consumers to provide positive health management experience with a patient-centred approach to digital health revolution and digital literacy. My Health Record has its benefits, but it has been a challenge for the healthcare practitioners, hospital staff, as well as patients as consumers to accept, embrace, and uptake digital technologies and manage their healthcare records amidst concerns of slow adoption by the patient, data privacy, and implications of the secondary use of their personal data by non-government entities.

Blenderized tube feeding for children: an integrative review

ABSTRACT Objective: To analyze scientific evidence on the use of blenderized tube feeding in children regarding nutritional composition, family satisfaction, and health outcomes. Data source: Survey was conducted in the PubMed, Scopus, Embase, and Virtual Health Library (VHL) databases using the following search terms: blenderized tube feeding OR blended tube feeding OR homemade OR pureed AND enteral nutrition AND enteral tube. The methodological quality of the selected articles was evaluated using the Critical Appraisal Skill Programme and Hierarchical Classification of Evidence. Data synthesis: After analysis, 11 articles were included in the present review. Most studies demonstrated improvements in health outcomes and greater family satisfaction after replacing the commercial enteral feeding with blenderized tube feeding. Conclusions: When guided and monitored by the healthcare team, a blenderized tube feeding ensures an adequate nutritional composition. The use of this method is also associated with positive health outcomes such as reductions in gastrointestinal symptoms and hospitalizations. Moreover, a high frequency of family satisfaction was verified.%

Applying Salutogenesis in Residential Care Settings

This chapter focuses on aged and highly aged patients who have long and rather comprehensive contacts with healthcare institutions of long-term care, either in residential aged care or in community-dwelling. Therefore, it is well accepted in the literature that a salutogenic orientation and health promotion measures could contribute to the quality of life, well-being, and health of this group. Furthermore, a good sense of coherence (SOC) can be considered as a positive resource for coping with the physical, mental, and social challenges and transitions related to aging.But the state of descriptive research on salutogenesis focusing not only on residents but also somewhat less so on community dwellers is still scarce and has mostly been conducted in few countries. Concerning intervention research only very few studies have specifically applied salutogenic principles to promote positive health among older people.In light of this scarce research situation, the authors make recommendations for further research in this relevant and growing area of health care.

Healthcare: action research with trans people living on the streets

ABSTRACT Objectives: to analyze the representations of healthcare provided to trans people living on the streets. Methods: ten women (three trans) and three cisgender men participated in this action research. Popular health education groups, focus groups, seminars and interviews were held, the data of which were organized in the software Nvivo®, submitted to content analysis and interpreted in the light of intersectionality theory. Results: healthcare was represented by the technical, relational, structural and citizenship dimensions. The relationship between gender and poverty determines the specific health needs of trans people living on the streets. Final Considerations: the need to expand conceptions and practices on healthcare to meet the specific health needs of trans people living on the streets was evidenced. Nursing, with competence and cultural sensitivity, can contribute to positive health outcomes and, consequently, break with the logic of exclusion, illness and poverty.

Applying Salutogenesis in the Workplace

This chapter presents models, measures, and intervention approaches that relate to the double nature of work and its salutogenic quality. Hereby, the view of Aaron Antonovsky is enhanced insofar that health-promoting, salutogenic job characteristics are not solely understood as mitigating the pathogenic effects of stressors at work but have a distinct effect on positive health outcomes. In the chapter, Antonovsky’s original model is first specified and simplified for the context of work. Next, Antonovsky’s line of thinking is related to frameworks researching job resources and demands. After a review of the prevalence of salutogenic measures in worksite health promotion, the point of making salutogenesis more visible in work-related research and practice is elaborated. This is illustrated with a practical example of a survey-feedback process promoting salutogenic work.