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  • 2010

  • Cohen, Miri; Azaiza, Faisal (2010): Increasing breast examinations among arab women using a tailored culture-based intervention. In: Behavioral medicine (Washington, D.C.) 36 (3), S. 92-99. DOI: 10.1080/08964280903521313

    DOI: http://www.ncbi.nlm.nih.gov/pubmed/20801757 

    Abstract: This study aimed to assess outcomes of a culture-specific intervention devised to reduce barriers to breast cancer screening among Arab women in Israel. Women in intervention (n = 42) and control (n = 24) groups answered breast examination performance and Arab culture-specific barriers and health beliefs questionnaires at pre- and postintervention. Women in the study group received tailored telephone intervention between the 2 interviews. Although the study and control groups did not differ in rate of attending clinical examinations and mammography at pre-intervention, at post-intervention, almost 48% of the intervention group and 12.5% of the control group scheduled or attended a clinical examination, and 38.5% of women in the intervention group and 21.4% of the control group attended or scheduled a mammography. Of the cultural barriers, a significant group x time effect was found for the cultural barriers of exposure, social barriers, and self-uneasiness with body, with a higher decrease in the intervention group. Of the health beliefs, a group x time effect was found for perceived vulnerability and perceived barriers to clinical examination and mammography, which significantly decreased in the intervention group, but not in the control group. The preliminary results showed that the culture-based intervention was effective in reducing barriers and increasing the rate of breast cancer examinations.

    Keywords: Adult, Analysis of Variance, Arabs/ethnology, Breast Neoplasms/diagnosis/prevention & control, Breast Self-Examination, Culture, Female, Health Knowledge, Attitudes, Practice, Humans, Israel/ethnology, Middle Aged, Patient Education as Topic, Proxemik, Status / biologische Marker, Surveys and Questionnaires, Telephone, Women's Health/ethnology

  • 2008

  • Garrett, Bernard; Klein, Gerri (2008): Value of wireless personal digital assistants for practice: perceptions of advanced practice nurses. In: Journal of clinical nursing 17 (16), S. 2146-2154. DOI: 10.1111/j.1365-2702.2008.02351.x

    DOI: http://www.ncbi.nlm.nih.gov/pubmed/18705736 

    Abstract: AIMS AND OBJECTIVES The aims were to explore advanced practice nurses' perceptions on wireless Personal Digital Assistant technologies, to establish the type and range of tools that would be useful to support their practice and to identify any requirements and limitations that may impact the implementation of wireless Personal Digital Assistants in practice. BACKGROUND The wireless Personal Digital Assistant is becoming established as a hand-held computing tool for healthcare professionals. The reflections of advanced practice nurses' about the value of wireless Personal Digital Assistants and its potential to contribute to improved patient care has not been investigated. DESIGN A qualitative interpretivist design was used to explore advanced practice nurses' perceptions on the value of wireless Personal Digital Assistant technologies to support their practice. METHODS The data were collected using survey questionnaires and individual and focus group interviews with nurse practitioners, clinical nurse specialists and information technology managers based in British Columbia, Canada. An open-coding content analysis was performed using qualitative data analysis software. RESULTS Wireless Personal Digital Assistant's use supports the principles of pervasivity and is a technology rapidly being adopted by advanced practice nurses. Some nurses indicated a reluctance to integrate wireless Personal Digital Assistant technologies into their practices because of the cost and the short technological life cycle of these devices. Many of the barriers which precluded the use of wireless networks within facilities are being removed. Nurses demonstrated a complex understanding of wireless Personal Digital Assistant technologies and gave good rationales for its integration in their practice. CONCLUSIONS Nurses identified improved client care as the major benefit of this technology in practice and the type and range of tools they identified included clinical reference tools such as drug and diagnostic/laboratory reference applications and wireless communications. RELEVANCE TO CLINICAL PRACTICE Nurses in this study support integrating wireless mobile computing technologies into their practice to improve client care.

    Keywords: Assistenz, Attitude of Health Personnel, Attitude to Computers, British Columbia, computer literacy, Computers, Handheld, Data Collection, Decision Support Systems, Clinical, Drug Information Services, Focus Groups, Health Knowledge, Attitudes, Practice, Humans, Medical Records Systems, Computerized, Mensch-Roboter-Interaktion, Motivation, Nurse Clinicians/education/organization & administration/psychology, Nurse Practitioners/education/organization & administration/psychology, Nurse's Role/psychology, Nursing Methodology Research, Qualitative research, Quality of Health Care, Surveys and Questionnaires, Technology Assessment, Biomedical, Time Management, Workload
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