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            "title": "Using a validated health promotion tool to improve patient safety and increase health care personnel influenza vaccination rates",
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                    "firstName": "Kevin",
                    "lastName": "Real"
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                    "firstName": "Sujin",
                    "lastName": "Kim"
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                    "firstName": "Joseph",
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            "abstractNote": "BACKGROUND: This study employed the risk perception attitude (RPA) framework to determine whether health care personnel (HCP) influenza-related risk perceptions and efficacy beliefs could be used to segment individuals into meaningful groups related to vaccination uptake, absenteeism, and patient safety beliefs.\nMETHODS: After pilot interviews, a questionnaire was administered to 318 hospital-based HCP (80%) and nonclinical support staff (20%) in Lexington, KY, in 2011. Follow-up interviews were conducted with 29 respondents.\nRESULTS: Cluster analysis was used to create 4 groups that correspond to the RPA framework: responsive (high risk, strong efficacy), avoidance (high risk, weak efficacy), proactive (low risk, strong efficacy), and indifference (low risk, weak efficacy). A significant association was found between membership in 1 or more of the 4 RPA groups and the 3 study variables of interest: influenza vaccination uptake (F7,299 = 2.51, P < .05), influenza-related absenteeism (F7,269 = 3.6, P < .001), and perceptions of patient safety climate (F7,304 = 6.21, P < .001). A subset of respondents indicated the principal reasons for not getting vaccinated were \"had one before and got sick anyway,\" \"concerned about vaccine safety,\" and \"no convenient time.\" In follow-up interviews, HCP indicated that employee vaccinations were altruistic, increased herd immunity, and important for patient safety.\nCONCLUSION: The RPA framework is a valid health promotion tool for improving patient safety, targeting specific groups for interventions, and improving HCP influenza vaccination rates.",
            "publicationTitle": "American journal of infection control",
            "publisher": "",
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            "abstractNote": "OBJECTIVE: to analyse the differences between genders in the description in the professional, domestic and total work hours and assess its association with health-related behaviour among nurses.\nMETHODS: this is a transversal study carried out in 18 different public hospitals in the municipality of Rio de Janeiro. The data collection procedure was based on questionnaires. All nurses working with assistance were considered eligible (n=2,279).\nRESULTS: men and women showed significant differences in relation to working hours. The female group showed longer domestic and total work hours when compared to the group of men. In contrast, the number of hours spent on professional work was higher among men. For the women, both the professional hours and total work hours were often associated with excessive consumption of fried food and also coffee, lack of physical exercise and also the greater occurrence of overweight and obesity.\nCONCLUSION: both the professional hours and the domestic work hours need to be taken into account in studies about health, self-care and also the care provided within the context of nursing workers, particularly among women. The results add weight to the need for actions for health promotion in this occupational group and the importance of assessing the impact of long working hours on the health of workers.",
            "publicationTitle": "Revista latino-americana de enfermagem",
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            "abstractNote": "OBJECTIVE: To determine the health promotion lifestyle behaviors (HPLB) of nurses working in a university medical faculty hospital in Turkey and to investigate the factors related behaviors.\nMETHODS: This descriptive and cross-sectional study was conducted in Ankara University Medical Faculty Hospital, Ankara, Turkey, between January 2008 and 23 January 2009. Two hundred and eighty nurses were recruited randomly out of 550 female nurses. However, 10 of them were removed from the research due to the annual leave. The study was conducted among 270 nurses. Health promotion lifestyle behaviors were evaluated using Personal Information Form and Health Promoting Lifestyle Profile (HPLP II). Data were analyzed using independent t-test and analysis of variance (ANOVA), Kruskall Wallis, Tukey test by SPSS Version 16 package with significance level of p<0.05.\nRESULTS: The highest sub-scale score with 26.0+/-5.00 was detected from self-realization and the lowest was detected from physical activity with 13.9+/-4.50 points. Nurses` self-realization scores differed significantly by perception of health status (p=0.029). Income status differed significantly by health responsibility (p=0.049), interpersonal relations (p=0.032), stress management (p=0.027) subscales, and total score of the HPLP II (p=0.043). The physical activity subscale score of the HPLP II differed significantly by marital status (p=0.036) and situation of having a child but singles scored better than married (p=0.001).\nCONCLUSION: Low exercise score indicated the need for intervention programs for the nurses surveyed. New regulations aim to raise the income level of nurses should be applied.",
            "publicationTitle": "Saudi medical journal",
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            "title": "A telehealth service model for the treatment of hypertension",
            "creators": [
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                    "creatorType": "author",
                    "firstName": "Mei-Ju",
                    "lastName": "Chen"
                },
                {
                    "creatorType": "author",
                    "firstName": "Kuan-Yu",
                    "lastName": "Chen"
                },
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                    "firstName": "Shuo-Ju",
                    "lastName": "Chiang"
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                    "firstName": "Masao",
                    "lastName": "Daimon"
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                    "firstName": "Jiun-Shiou",
                    "lastName": "Lee"
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                    "firstName": "Ernest Wr",
                    "lastName": "Yu"
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                    "firstName": "Chin-Yu",
                    "lastName": "Ho"
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            "abstractNote": "We evaluated the effectiveness of a home telehealth service in hypertension control. Patients with hypertension were divided into two groups based on the frequency that they measured blood pressure (BP) at home: the regular group made >3 measurements per week and the irregular group made ≤ 20 measurements per month. Both groups were provided with home monitoring equipment (the Citizen Telemedical Care Service System, CTCS) which contained a computer and video communication device. A total of 160 participants were enrolled and 156 completed the 12-month study. There were 101 participants in the regular BP measurement group and 55 in the irregular group. There was a significant reduction in the average systolic BP from baseline after 6 months in the regular group (P < 0.001) and after 1 month in the irregular group (P < 0.001). There was no difference in average diastolic BP between the two groups. For both groups, the systolic BP control was good, especially for irregular group. The results suggest that patients who used CTCS tele-monitoring achieved better BP control than those who self-measured BP at home only.",
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