Foundation Of Care Research Articles

Care in the era of digital health: experiences from Norwegian general practitioners

Objective This study explores the experiences of General Practitioners (GPs) in Norway, examining the role of care in their practice and the impact of digital health technologies on their caregiving approach. Design A qualitative study employing semi-structured interviews. The data was analysed by systematic text condensation. Setting Conducted in various general practice settings within an urban region in southwestern Norway. Subjects Eleven GPs were interviewed, chosen to reflect a diverse mix of ages, genders, and professional experiences. Results The findings reveal that care occupied a central and multifaceted role in GPs daily practice, and that the care aspect of their practice was experienced as a source of personal fulfilment. Technologies such as Secure Digital Messaging (SDM) and Electronic Health Records could enhance the efficiency of care delivery and facilitate better management of patient interactions, however these technologies also present challenges in maintaining the depth of personal engagement that is central to the care ethics that characterise their caring role. The GPs emphasized the necessity of integrating digital tools in a way that supports the relational and ethical foundations of their caregiving role. Conclusion This study underscores the enduring importance of care in general practice, even as digital technologies become increasingly prevalent. GPs maintain their caregiving roles by navigating the complexities of digital tools, highlighting the need for a careful balance between leveraging digital advancements and preserving the core values of care. The findings suggest a need for ongoing evaluation of digital tools to align them with the ethical foundations of care in general practice.

Streamlining Patient Data Processing for Payer Compliance with Scalable Big Data Automation

In the fast-changing environment of value-based healthcare, providers must prepare and submit diagnosis files for patients to payers with ever-changing requirements from CMS for contracts. Changing specifications from payers repeatedly requires a flexible system to automatically process items with little reliance on human intervention. It provides a scalable data engineering framework that makes use of PySpark and Apache Airflow to automate and streamline the generation of patient diagnosis files. Its design allows it to be dynamically adapted to changes in specifications, which enhances both operational efficiency and compliance with the automation of complex data transformation processes and large-scale data processing. This framework not only optimizes the reimbursement process but also strengthens the foundations of value-based care by supporting improved patient outcomes and ensuring financial alignment with payer requirements through improving accuracy, timeliness, and reducing manual coding efforts. The proposed framework significantly enhances data processing speed, achieving a 50% reduction in processing time compared to the traditional ETL approach. It offers scalability improvements, allowing data handling from 1 TB to 5 TB—an increase of four times the previous limit—while minimizing manual effort through automation with Airflow, resulting in a 70% reduction in manual intervention.

Association between hospital characteristics and rate of prophylactic antibiotic use over 1 day for clean surgery: A nationwide cohort study.

The timing of prophylactic antibiotic use has become a hospital's surgical quality indicator. This study aims to assess the association of hospital characteristics with rate of prophylactic antibiotic use over 1 day for clean surgery. The retrospective cohort study was conducted using open government data, and hospitals must legally disclose to Taiwan's National Health Insurance Administration (NHIA). We identified 278 hospitals that reported 9491 records of prophylactic antibiotic use over 1 day for clean surgery from the 2009 first quarter to the 2019 fourth quarter. Regression models with generalized estimating equations were estimated. Overall, the median rate of prophylactic antibiotic use over 1 day for clean surgery in hospitals was 11.1% (interquartile range: 1.9% to 30%). Multivariable analyses showed that regional (coefficient [B] = 9.45, 95% confidence interval [CI]: 6.02-12.87, P < .001) and local hospitals (B = 15.04, 95% CI: 9.61-20.47, P < .001) had higher rates of prophylactic antibiotic use more than 1 day for clean surgery than medical centers. Moreover, public (B = 4.94, 95% CI: 0.61-9.28, P = .025) and medical care corporation hospitals (B = 8.17, 95% CI: 0.85-15.49, P = .029) experienced significantly greater proportions of antibiotic use over 1 day for clean surgery than medical care foundation hospitals after adjustments. This study revealed that low-level, public, and medical care corporation hospitals had higher rates of prophylactic antibiotic use over 1 day for clean surgery. These findings may represent a quality improvement opportunity for postoperative antibiotic use.

Motivations behind end-of-life care: a qualitative study of Iranian nurses’ experiences

BackgroundProviding high-quality end-of-life care is currently a paramount health priority. Given that the standard of care is intrinsically linked to nurses’ motivations, it is becoming too imperative to explore the contributing factors Consequently, this study was undertaken to elucidate the experiences of Iranian nurses regarding their motivation for delivering end-of-life care.MethodsThis research is a qualitative, descriptive inquiry employing conventional content analysis, carried out at two governmental hospitals in Gorgan, northern Iran, from February to July 2023. 12 nurses were purposefully selected to participate in the study, ensuring maximal diversity. The data were collected through semi structured interviews and analyzed using Graneheim and Lundman’s five-step method. The coding process was facilitated by the useof MAXQDA version 10 software. To establish rigor, the four criteria outlined by Guba and Lincoln were applied.Resultsthe participants included eight women and four men with an average age of 39.6 ± 6.31 years. The data analysis yielded five main categories and fifteen subcategories. The main categories were: “The Foundations of professional care in nursing”, “Core Drivers in Optimal End-of-Life Care”, “Family Involvement in End-of-Life Care”, “Incorporating Spiritualism in Care” and “Dominant motivational Issues Within the Caregiving Atmosphere”.ConclusionsThis study delineates the experiences that influence the provision of end-of-life care from the perspective of Iranian nurses. Innate traits such as empathy and a passion for nursing, in addition to nurses’ moral compass and spiritual beliefs, serve as pivotal motivational stimuli. Leveraging these findings can be instrumental in shaping healthcare practices and policies to enhance the quality of end-of-life care.

Application of detailed nursing management intervention in neurosurgical nursing.

In the contemporary healthcare environment, optimizing patient care strategies is of importance, particularly in neurosurgical environments. While traditional nursing methods have the foundation of patient care, there exists a growing recognition of the potential benefits of comprehensive nurse management. Despite this acknowledgment, there remains a gap in understanding the comparative effectiveness of comprehensive nurse management versus traditional approaches in reducing postoperative psychological stress, enhancing patient satisfaction, and promoting adherence in neurosurgical patients. This study compares the efficacy of comprehensive nurse management against traditional methods in facilitating the postoperative recovery of neurosurgical patients. Taking the traditional nursing management and detailed nursing management of neurosurgical patients in a municipal neurosurgical hospital from March 2021 to March 2022 as an example, the neurosurgery was divided into 50 patients in the detailed nursing management group and 50 patients in the traditional nursing management group. In the clear nursing management group, there were 50 patients, 20 male patients, with an average age of 58.7 ± 3.8 years, and 30 female patients, with an average age of 60.4 ± 4.3 years; In the traditional nursing management group, there were 50 patients, 26 male patients, with an average age of 59.7 ± 3.7 years, and 24 female patients, with an average age of 59.4 ± 3.9 years; Among the 100 patients, there were 60 cases of cerebral infarction, 25 cases of intracerebral hemorrhage and 15 cases of other neurosurgical diseases. Hundred neurosurgical patients were divided into two groups: comprehensive nursing management group and traditional nursing management group. The results showed that the comprehensive treatment effect of patients with detailed nursing management was better than that of the routine nursing group. At the same time, the complications were reduced, and the patient's satisfaction was higher. Through retrospective analysis and investigation of patients, this paper discusses the clinical application of a detailed nursing management model in neurosurgery, which can reduce the probability of infection and other complications and improve the quality of life and treatment effect of patients.

Vaccines: Do they have a role in orthopedic trauma?

Although vaccines have been hailed as one of the greatest advances in medicine based on their unparalleled cost-effectiveness in eradicating life-threatening infectious diseases, their role in orthopedic trauma-related infections is unclear. This is largely because vaccines are primarily made against pathogens that cause communicable diseases rather than opportunistic infections secondary to trauma, and most successful vaccines are against viruses rather than biofilm forming bacteria. Nonetheless, the tremendous costs to patients and healthcare systems warrant orthopedic trauma vaccine research, which has been a focal topic in recent international consensus meetings on musculoskeletal infection. This subject was also covered at the 2023 Osteosynthesis and Trauma Care Foundation (OTCF) meeting in Rome, Italy, and the purpose of this supplement article is to (1) highlight the osteoimmunology, animal models, translational research and clinical pilots that were discussed, (2) the proposed future directions that could lead to diagnostics and prognostics that are critically needed for evidence-based decision making, and (3) vaccines and passive-immunization strategies that could potentially be utilized to treat patients with orthopedic infections.

Nduga Human Development Index 35.19 / 0.35: PENA as an Alternative to Human Resource Development in Mountainous Papua

This study examines alternative strategies for human resource development in Nduga Regency, Mountainous Papua, where the Human Development Index (HDI) is still very low. The region faces significant challenges, including economic underdevelopment, low access to education, and ongoing conflict. This research focuses on the efforts of the Tunas Harapan Papua Care Foundation (Pena Papua) in improving access to education for students from underprivileged backgrounds. Through qualitative descriptive methods, data are collected through interviews, observations, and document reviews involving stakeholders from foundations, students, and local communities. The findings show that Pena Papua has contributed significantly to improving access to quality education and character development among students. However, cultural erosion, particularly the loss of mother tongues, was identified as a critical problem. The study concludes that although foundations have made significant progress in developing human resources, the preservation of cultural identity remains a challenge that must be addressed along with educational initiatives.

Kajian Teologis tentang Mazmur 23:1-6 dan Penerapannya dalam Pelayanan Gereja Masa Kini

Psalm 23:1-6 is one of the most well-known passages in the Christian tradition, portraying the intimate relationship between God as the Shepherd and His people as the sheep. In the context of contemporary church ministry, a deep understanding of these verses is crucial, as they offer theological and practical guidance for the faith community in overcoming various spiritual and emotional challenges. This study aims to explore the theological relevance of Psalm 23 in the context of modern church ministry. The primary objective of this research is to conduct a theological analysis of Psalm 23:1-6 and to explore its application in today's church ministry context. This study also seeks to identify how the principles contained in this Psalm can serve as a foundation for pastoral care, spiritual strengthening, and congregation development in the modern church. The research employs a qualitative approach, using literature review and textual analysis methods. The primary sources used include the Hebrew text of Psalm 23:1-6 and modern translations, while secondary sources comprise various theological literature, Bible commentaries, and writings from related theological experts. This research also utilizes hermeneutical methods to delve deeper into the meaning of the text and its interpretation in various historical and theological contexts. The results indicate that Psalm 23 portrays God as a Shepherd who nourishes, protects, and guides His people, creating a sense of security and trust for those who follow Him. These attributes are relevant to contemporary church ministry, particularly in the context of pastoral care and spiritual support for congregants facing life crises. The findings also suggest that the application of the values contained in Psalm 23 can strengthen church ministry strategies in providing comfort, trust, and hope to its members. This study concludes that Psalm 23 holds strong and practical relevance for modern church ministry, as it offers an ideal depiction of divine care that can be applied in pastoral ministry. The church can use the principles from this Psalm to build trust and hope among congregants, as well as to provide more effective spiritual support in addressing the challenges of modern times.

Simulated GP clinic closure: effects on patient access in the Irish Mid-West.

Rural communities can experience more barriers to accessing health care than their urban counterparts, largely due to fewer healthcare staff and services, and geographical isolation. The purpose of this study is to examine the availability of GP practices in rural communities across the Mid-West of Ireland and the potential impact of practice closure on patient access. GP clinic locations were identified in Ireland's Mid-West, specifically counties Limerick and Clare. Administrative subdivisions of both counties, Small Areas (SAs), were identified and their XY geographic centre coordinates recorded. SAs were indexed into six levels of rurality according to Irish Central Statistics Office urban/rural classifications (1, cities; 2, satellite urban towns; 3, independent urban towns; 4, rural areas with high urban influence; 5, rural areas with moderate urban influence; 6, highly rural/remote areas). The direct linear distance from the centre of each SA to its respective closest GP clinic was calculated. Simulated closure of each GP clinic was assessed programmatically by removing practices from the overall dataset and calculating the new direct linear distance from each SA to the next closest GP clinic. The majority of the SAs in County Clare (63%) and County Limerick (66%) are classified as rural (rurality index &ge;4), with the exception of Limerick City, where all SAs were defined as urban. Rural SAs have longer travel distances to GP clinics than their urban counterparts, and these distances are greater with increasing rurality of a population. Simulated closure of GP clinics revealed increasing travel distances to the next closest clinic with increasing level of rurality in a stepwise fashion (r2=0.31). Rural community dwellers across the Mid-West of Ireland face longer travel distances to GP clinics than their urban counterparts. Thus rural communities will be, on average, more adversely affected should their local GP clinic close. While these findings are unsurprising, our methodology calculates a discrete number that can be used to rank vulnerability of local communities. Rural areas are particularly vulnerable to GP clinic closure, and maintaining a solid foundation of primary care in these areas will require careful service and workforce planning.

How the Local Church Can Develop a Strategy for Healthy Sending and Supporting

The local church is both the means and the ends of seeing the Great Commission fulfilled. Throughout the New Testament, the local church is the primary agent God uses to send and support missionaries to proclaim the gospel and plant healthy, reproducible churches. Churches often have not seen themselves in this role and have relied heavily on a mission agency to carry the load in sending and supporting their members on the mission field. How can churches regain a faithful biblical framework and develop a practical strategy to both send and care for their missionaries sent to the nations? This article seeks to lay forth key passages to lay a foundation for missionary care, while also giving churches practical steps for sending and supporting 'for the sake of the Name.'

6809 Natural History Of Classic Congenital Adrenal Hyperplasia: Results From Pediatric And Adult Patients In The CAHtalog Registry

Abstract Disclosure: P.C. White: Consulting Fee; Self; Neurocrine Biosciences, Inc.. Research Investigator; Self; Neurocrine Biosciences, Inc. G.P. Sen: Employee; Self; Neurocrine Biosciences, Inc. F. Tang: Employee; Self; Cytel. J. Chen: Employee; Self; PicnicHealth. K. Lin-Su: Advisory Board Member; Self; CARES Foundation. D. Matos: Employee; Self; CARES Foundation. H. Cheng: Employee; Self; Neurocrine Biosciences, Inc. E. Roberts: Employee; Self; Neurocrine Biosciences, Inc. J.L. Chan: Employee; Self; Neurocrine Biosciences, Inc. G.S. Jeha: Employee; Self; Neurocrine Biosciences, Inc.. Introduction: Patients with congenital adrenal hyperplasia (CAH) are exposed to excess androgens and glucocorticoids (GC), which can affect growth and lead to obesity and other metabolic complications. CAHtalog is an active US-based CAH registry developed in partnership with CARES Foundation on the PicnicHealth platform to abstract retrospective and prospective medical record data. This study reports auxological and comorbidity data for pediatric and adult patients in the CAHtalog registry. Methods: All available medical records for consented adult and pediatric patients were collected. Data were abstracted and structured into a de-identified dataset. CAHtalog data available as of October 2023 were included for analysis. Auxological data were compared to the 2000 CDC growth data. Changes in body mass index (BMI) since the first documented measurements were evaluated. Comorbidities were defined based on diagnosis codes (ICD-9/10), laboratory measurements, vital signs, and/or clinical notes. Results: Data from 32 adult (mean age: 35.8±12.7 years; 72% female) and 35 pediatric patients (mean age: 12.7±5.5 years; 51% female) were available. From the first through last medical record with relevant ages (≥18 or &amp;lt;18 years), median follow-up durations were 13 years (adult) and 11 years (pediatric). Pediatric patients had early growth acceleration (that was more pronounced in females) with 95% confidence intervals for height-for-age of 66-99th percentile for females (2-10 years) and 42-87th percentile for males (2-13 years), followed by blunted pubertal growth. The mean peak bone age to chronological age ratio was 1.2±0.2 at age 7 years. The mean BMI-for-age consistently exceeded the 90th percentile in children aged ≥6 years, particularly for females. In adults, obesity (BMI ≥30) was highly prevalent in both females (74%) and males (33%) at all ages (61% overall), exceeding NHANES 2017-2018 general population prevalence (42%). Hypertension (53%), fatigue (47%), acne (36%), hyperlipidemia (33%), and insomnia/sleep disturbances (28%) were common comorbidities. Conclusion: Our CAH data reveal a persistent abnormal growth pattern, characterized by accelerated growth in early childhood and a deceleration in adolescents; early obesity was noted and sustained into adulthood. The anomalous growth trajectory and high rate of comorbidities reiterate the importance of early intervention and targeted disease management in this population. Presentation: 6/2/2024

12575 Exploring Patient And Parent Perceptions Of Administering Hydrocortisone Injection During Adrenal Crisis: A Cross-Sectional Study

Abstract Disclosure: S.V. Llahana: None. J. Anhony: Employee; Self; Solution Medical LLC. Background: Adrenal insufficiency (AI) necessitates lifelong glucocorticoid replacement therapy for most patients, with parenteral hydrocortisone crucial for managing adrenal crisis, a potentially life-threatening complication. Despite this, approximately 1 in 6-12 patients are hospitalised at least once a year, while 1 in 200 patients die from a potentially preventable adrenal crisis. While timely self-administration of hydrocortisone mitigates these risks, the complexity of current injection devices, requiring up to 20 steps to administer, often impedes effective self-treatment. Evidence shows that although 70% of patients possess emergency hydrocortisone injection kits, only 19% have received training for self-administration. Aim: This study aimed to investigate the experiences and perceptions of patients with AI and their caregivers regarding the usage of Solu-Cortef Act-O-Vial (parenteral hydrocortisone) for adrenal crisis management. Methods: A cross-sectional online survey was conducted, involving participants recruited through USA-based patient advocacy groups, CARES Foundation and Adrenal Insufficiency United. Participants provided insights into factors influencing their ability to manage adrenal crisis using Solu-Cortef Act-O-Vial. Content analysis generated themes, which were quantitatively analyzed using SPSS descriptive statistics and correlations. Results: The survey encompassed 689 patients and caregivers. Content analysis revealed eighteen themes across three domains: patient-based factors, external influences, and emotional aspects. Predominant themes, identified by over 80% of participants, included the complexity of the hydrocortisone device, the necessity for assistance during adrenal crisis episodes, and emotional distress due to fear associated with injection. Conclusion: This study underscores the necessity for a simpler injection device to enhance patient self-confidence and self-administration ability. Heightened awareness among healthcare professionals and the public regarding adrenal crisis is imperative for timely management and prevention of avoidable hospital admissions. Presentation: 6/3/2024

Moral values and vaccination behavior in Russia during the COVID-19 pandemic

ObjectiveEffective persuasive communication necessitates message matching; the conveyed message should resonate with the recipient's characteristics, including individual moral values. While studies examining the relationship between moral values and vaccination behavior have been conducted in a limited number of countries, this study seeks to provide evidence on this relationship beyond Western democracies. MethodsA cross-sectional online survey was conducted from November 4 to December 17, 2021, in Russia. Participants reported their COVID-19 vaccination behavior and completed the Moral Foundations Questionnaire, designed to measure the endorsement of moral values (n = 415). Regression analysis was employed to assess the association between each moral foundation and COVID-19 vaccination behavior. ResultsOur findings indicate that the moral foundations of Care, Loyalty, Fairness, and Sanctity significantly influence vaccination behavior. Individuals who strongly endorse Fairness (AME = −0.019; 95 % CI = −0.033, −0.005) and Sanctity (AME = −0.016; 95 % CI = −0.031, −0.002) were less likely to be vaccinated. Conversely, individuals endorsing Care (AME = −0.018; 95 % CI = −0.031, −0.005) and Loyalty (AME = −0.015; 95 % CI = −0.028, −0.001) were less likely to report refusal of vaccination. These results remain robust after adjusting for sociodemographic variables related to vaccination barriers. ConclusionOur findings carry public health implications; an understanding of the moral psychology underlying vaccination behavior can facilitate more targeted and effective health communication. Employing skillfully crafted moral appeals may mitigate negative attitudes toward vaccination and enhance vaccination rates.

EP.17F.01 Care Pathways for Lung Cancer: Building a Foundation for Optimal Care

EP.17F.01 Care Pathways for Lung Cancer: Building a Foundation for Optimal Care

Challenges Facing Juvenile Delinquent Rehabilitation Institutions in Palestine Considering the Sustainable Development Goals

Introduction: A widespread occurrence, juvenile delinquency affects children's development and poses a serious threat to society. Despite being a global problem, its impacts are more noticeable in developing countries like Palestine, since there are not enough resources to help them recover from it. Objective: therefore, the current study was designed to determine the challenges facing juvenile delinquent rehabilitation institutions in Palestine. Method: In this study, the quantitative approach to data collection and analyses was used. Questionnaires were used in data collection after testing their validity and reliability. The target population was all juvenile delinquents with a number of 55 and all social workers at Al-Rabie Foundation for juvenile care of Gaza and their number 14, data were collected during August 2023. The data were tabulated, and frequency distribution tables were prepared. descriptive statistics were used to analyse the data by statistical analysis SPSS version 26 statistical analysis programme. Results and Discussion: The results of the study showed that the Palestinian government in Gaza should renovate the Al-Rabie Foundation to its full potential, this should involve both infrastructure and personnel development, and adequate funds should be made available to meet the basic needs of juvenile delinquents such as food, clothing, and cleanliness.

Description of Medical and Surgical Conditions Requiring Referral by Physical Therapy Providers in Primary Contact Musculoskeletal Practice

OBJECTIVE: The Academy of Orthopaedic Physical Therapy of the American Physical Therapy Association's clinical practice guideline recommendations provide a foundation for clinicians' musculoskeletal care. Some patients’ presenting clinical findings suggest conditions that would benefit from medical or surgical evaluation and management. Guidelines are not available that direct this referral. DESIGN: This practice description directs the development of guidelines for clinicians working as first provider musculoskeletal practitioners on the diagnostic criteria for referring clients for medical or surgical management. METHODS: The foundational step in developing these guidelines is to identify the conditions that first provider musculoskeletal practitioners are likely to encounter during clinical practice. This study used standard practice analysis methodology to identify and describe these conditions. RESULTS/CONCLUSION: The ensuing clinical practice guideline, based on systematic methods to evaluate and classify evidence, will provide graded recommendations on the criteria to identify, level of confidence with identifying, and urgency for referring patients, with the conditions described in this practice analysis, for medical and surgical evaluation and management.

Various Diabetes Management Activities: A Comprehensive Overview

Diabetes management is a multifaceted process crucial for preventing complications and improving the quality of life for individuals with diabetes. This comprehensive review explores various aspects of diabetes management, including education, self-monitoring, medication adherence, dietary management, physical activity, psychological support, and technological innovations. Diabetes self-management education (DSME) forms the foundation of effective care, equipping patients with the knowledge and skills necessary for optimal self-care. Self-monitoring of blood glucose (SMBG) and continuous glucose monitoring (CGM) are essential for tracking and adjusting treatment plans. Medication management, including insulin therapy and oral medications, is vital for maintaining glycemic control, while personalized dietary plans and regular physical activity contribute to overall health. Psychological support and motivational strategies are crucial for addressing the emotional burden of diabetes and sustaining long-term self-care. Technological advancements, such as digital health tools and artificial pancreas systems, enhance diabetes management by providing real-time data and facilitating remote consultations. This review underscores the importance of an integrated approach to diabetes care, combining education, self-monitoring, medication management, lifestyle modifications, psychological support, and technological innovations to achieve better health outcomes and improve patient well-being. Keywords: Diabetes Management, Diabetes Self-Management Education, Insulin Therapy, Oral Medications.

Optimization of Digital Media Utilization for Anti-Bullying Campaigns Among Generation Z

Digital learning media based on applications are rarely found in anti-bullying education, yet the impact of using such learning tools cannot be underestimated. Therefore, this study aims to develop a digital learning media product based on an application to promote anti-bullying among Generation Z in junior high schools. This research adopts a Research and Development (R&amp;D) approach using the ADDIE model, focusing on the process of producing application-based digital learning media suitable for educational purposes. The research subjects consist of media experts, content experts, and the director of the Children's Care Foundation (KAKAK) in Surakarta. Data collection techniques involved media validation questionnaires, which were then analyzed using percentages and described to provide an overview of the suitability level of this media. The research results show that the average validation results were 88%, while the average results from content were 87%. After validation, this digital media fall into the 'Very Good' qualification. Therefore, based on assessments from media experts, content experts, and the director of the KAKAK Foundation, it is concluded that this application-based digital learning media product is categorized as 'feasible' for use as an alternative learning medium in promoting anti-bullying in junior high schools. The existence of this media is evidently an innovative learning tool that enriches the process of anti-bullying education.

Awareness and knowledge of glaucoma among the patients attending a tertiary eye hospital with and without glaucoma diagnosis

Background: Glaucoma, a leading cause of irreversible blindness, remains under-recognized in many regions, including Bangladesh. This study aimed to assess the awareness and knowledge of glaucoma among the patients attending a tertiary eye hospital with and without glaucoma diagnosis. Methods: This cross-sectional study was conducted on 300 individuals attending deep eye care foundation, Rangpur, from April 2023 to September 2023. Informed consent was obtained from eligible participants over 18 years. The questionnaire, available in both English and Bengali, collected demographic data and included questions on glaucoma awareness and knowledge. Data were analysed using SPSS 25, and the chi-square test was applied to determine statistical significance. Results: Among the participants, 34.7% had heard of glaucoma, with doctors/hospitals being the primary source of information. Awareness varied significantly based on age, residency, education, occupation, and income levels. Among those aware of glaucoma, 59.6% had poor knowledge, 33.7% had average knowledge, and only 6.7% had good knowledge. No significant association was found between glaucoma patients and non-glaucoma patients regarding knowledge level. Conclusions: This study revealed a substantial gap in glaucoma awareness and knowledge in Bangladesh. While a notable portion of the population had heard of glaucoma, their understanding of the condition was limited, emphasizing the need for targeted awareness campaigns and improved access to eye care services. Addressing these gaps is crucial for early diagnosis, treatment, and preventing irreversible blindness while reducing the economic burden associated with glaucoma-related healthcare costs.

Newly Qualified Canadian Nurses' Experiences With Digital Health in the Workplace: Comparative Qualitative Analysis.

Clinical practice settings have increasingly become dependent on the use of digital or eHealth technologies such as electronic health records. It is vitally important to support nurses in adapting to digitalized health care systems; however, little is known about nursing graduates' experiences as they transition to the workplace. This study aims to (1) describe newly qualified nurses' experiences with digital health in the workplace, and (2) identify strategies that could help support new graduates' transition and practice with digital health. An exploratory descriptive qualitative design was used. A total of 14 nurses from Eastern and Western Canada participated in semistructured interviews and data were analyzed using inductive content analysis. Three themes were identified: (1) experiences before becoming a registered nurse, (2) experiences upon joining the workplace, and (3) suggestions for bridging the gap in transition to digital health practice. Findings revealed more similarities than differences between participants with respect to gaps in digital health education, technology-related challenges, and their influence on nursing practice. Digital health is the foundation of contemporary health care; therefore, comprehensive education during nursing school and throughout professional nursing practice, as well as organizational support and policy, are critical pillars. Health systems investing in digital health technologies must create supportive work environments for nurses to thrive in technologically rich environments and increase their capacity to deliver the digital health future.