Lack Of Privacy Research Articles

Service Quality, Trust as a Moderating Variable, Security and Perceived Risk of Purchasing Decisions at Shopee

Abstract. Introduction. Consumers should also carefully consider the purchase of a product online, as online buying and selling cannot be separated from the issue of risk. This phenomenon mainly results from the fact that most transactions between sellers and buyers are conducted over the internet, where fraud, lack of privacy, delivery risk, and lack of quality assurance of goods are commonplace. Purpose. This study aims to obtain empirical evidence by understanding and analyzing the impact of service quality with trust as a moderating variable on purchasing decisions, the impact of service quality on purchasing decisions, the impact of safety on purchasing decisions, and the impact of perceived risk on purchasing decisions at Shopee. This study used a sample of 160 18- year-old male and female residents of South Sumatra who had used the Shopee application-selected using a sampling technique for a specific purpose. The research was analyzed using descriptive statistical methods with data on the frequency of respondents' responses regarding the given variables and Statistical Product and Service Solutions (SPSS). Results. Results of the study indicating that the trust variable significantly moderates the effect of service quality on purchasing decisions, service quality influences a positive effect on purchasing decisions, and security has a positive effect on purchasing decisions. Conclusions. Trust significantly moderates the effect of service quality on purchasing decisions at Shopee. Service quality has a significant effect on purchasing decisions at Shopee. Security has a significant effect on purchasing decisions at Shopee. Perceived risk has a significant effect on purchasing decisions at Shopee.

An artificial intelligence lightweight blockchain security model for security and privacy in IIoT systems

The Industrial Internet of Things (IIoT) promises to deliver innovative business models across multiple domains by providing ubiquitous connectivity, intelligent data, predictive analytics, and decision-making systems for improved market performance. However, traditional IIoT architectures are highly susceptible to many security vulnerabilities and network intrusions, which bring challenges such as lack of privacy, integrity, trust, and centralization. This research aims to implement an Artificial Intelligence-based Lightweight Blockchain Security Model (AILBSM) to ensure privacy and security of IIoT systems. This novel model is meant to address issues that can occur with security and privacy when dealing with Cloud-based IIoT systems that handle data in the Cloud or on the Edge of Networks (on-device). The novel contribution of this paper is that it combines the advantages of both lightweight blockchain and Convivial Optimized Sprinter Neural Network (COSNN) based AI mechanisms with simplified and improved security operations. Here, the significant impact of attacks is reduced by transforming features into encoded data using an Authentic Intrinsic Analysis (AIA) model. Extensive experiments are conducted to validate this system using various attack datasets. In addition, the results of privacy protection and AI mechanisms are evaluated separately and compared using various indicators. By using the proposed AILBSM framework, the execution time is minimized to 0.6 seconds, the overall classification accuracy is improved to 99.8%, and detection performance is increased to 99.7%. Due to the inclusion of auto-encoder based transformation and blockchain authentication, the anomaly detection performance of the proposed model is highly improved, when compared to other techniques.

Labouring women perspectives on mistreatment during childbirth: a qualitative study.

Respectful care during labour and childbirth, which has recently received a great deal of attention around the world, is vital for providing high-quality maternity care. However, this area has been underexplored in developing countries including Iran. This study aimed to assess postpartum women's views regarding disrespect and abuse during labour and childbirth in Iran. A qualitative study that involved a purposive sample of 21 postpartum women was conducted in Tehran, Iran, between 2019 and 2020. Following the semi-structured individual interviews, a conventional content analysis was performed. This research approved by Shahid Beheshti University of Medical Sciences in Tehran, Iran, with the ethical approval number 1396.810. Following explanation of the study's objectives, eligible women consented to participate in the study. The confidentiality of the participants' information and the anonymity of the analysis were maintained at all stage of the study. All data was stored on the password protected file in the researcher computer The findings were only disseminated in summary form, with no identifying of individual participants. Analysis of the data resulted in two main themes: 'inappropriate interaction' and 'inadequate quality care'. The 'inappropriate interaction' theme includes 'lack of empathy' and 'verbal abuse'. The second theme includes five sub-themes 'lack of participation in decision-making', 'lack of privacy', 'ignorance of women's pain and medical needs', 'rushed labour and painful procedures', and "unsatisfying facilities'. Providing supportive care, respectful communication, adequate participation in decision-making, maintaining privacy, attending to women's labour pain and medical needs, and improving the quality of the physical birth environment are all examples of what labouring women consider to be respectful maternity care. To minimise disrespect and maltreatment of women during childbirth, an all-inclusive strategy engaging women, communities, healthcare professionals, managers, and educators is required.

Healthcare providers perceptions regarding the presence of Birth Companion during childbirth at a tertiary care hospital in India

BackgroundDespite an increase in institutional births and a fall in maternal mortality, the satisfaction of women with their birthing experience in public health institutions is low. Birth Companion (BC) is an important part of the Labour Room Quality Improvement Initiative introduced by the Government of India in 2017. Despite mandates, its implementation has been unsatisfactory. Little is known about the perception of healthcare providers about BC.MethodsWe conducted a facility-based, cross-sectional quantitative study with doctors and nurses in a tertiary care hospital in Delhi, India to gauge their awareness, perception and knowledge about BC. Following universal total population sampling, the participants were administered a questionnaire, which was completed by 96 of 115 serving doctors (response rate of 83%), and 55 of 105 serving nurses (response rate of 52%).ResultsMost (93%) healthcare providers were aware of the concept of BC, WHO’s recommendation (83%) and Government’s instructions (68%) on BC during labour. A woman’s mother was the BC of choice (70%) closely followed by her husband (69%). Ninety-five percent of providers agreed that the presence of a BC during labour will be beneficial, in providing emotional support, boosting the woman’s confidence, providing comfort measures, helping in the early initiation of breastfeeding, reducing post-partum depression, humanizing labour, reducing the need for analgesia and increasing chances of spontaneous vaginal births. Yet, support for the introduction of BC in their hospital was low due to institutional barriers like overcrowding, lack of privacy, hospital policy, risk of infection; privacy issues and costs.ConclusionsWidespread adoption of the concept of BC would require, besides directives, a buy-in by the providers, and action on their suggestions. These include greater funding for hospitals, creating physical partitions to ensure privacy, sensitization and training of health providers and BC, incentivizing hospitals and birthing women, formulation of guidelines on BC, standards setting and a change in institutional culture.

Perspectives and Experiences of Young Mothers Utilizing Public Healthcare Services in a South African Township

The prevalence of disrespectful and abusive care by public healthcare workers toward women during labor has been widely described as a health concern in the continent of Africa. Studies conducted in South Africa have outlined the different forms of abusive care, which include disrespect, neglect as well as abandonment. Research conducted on the mistreatment have focused on matured and married women as it has been assumed that childbearing occurs after marriage. This study placed emphasis on the experiences of young women utilizing public healthcare services during childbirth. Using a qualitative method, the study aimed to shed insights into the experiences of young women utilizing public healthcare services. Semi-structured interviews were conducted with 20 young women aged 20 to 25 years living in a South African township. The study findings were thematically analyzed. The interviews suggest that young women experienced different forms of abusive care including, disrespect, abandonment and lack of privacy. The study recommends that the healthcare system in South Africa should effectively address the causes of abusive care and take appropriate action to ensure accountability and that women receive professional and dignified childbirth experience.

Attitudes of Caribbean undergraduate medical students towards e-learning of orthopaedics during the Covid-19 pandemic

ABSTRACT Objective To determine undergraduate medical students’ attitudes to e-learning of orthopaedics implemented due to lockdowns resulting from the Covid-19 pandemic. Methods An anonymised online survey was distributed to all final year medical students at The University of the West Indies (UWI) in Trinidad after completing the distance-learning module of the Trauma and Orthopaedics clerkship. Results Sixty-seven completed questionnaires were analysed, response rate 32.7% (67/205). There were 37 female students (55.2%), with a mean age of 24.7 years (range 22 - 44 years, SD 3.13). Although all students were familiar with e-learning platforms, only 44.8% had previously used e-learning resources. Minimising exposure to Covid-19 was identified as the most significant benefit of e-learning (17.9%, n=12). Other advantages included being able to work at their own pace and style of learning (11.9%, n=8), ease of access to teaching material (10.5%, n=7), and equity of resources (10.5%, n=7). The greatest disadvantages to e-learning were loss of direct interaction with patients (26.9%, n=18) and lack of privacy at home (19.4%, n=13). Most students (71.6%, n=48) were satisfied with e-learning; however, the majority (67.2%, n=45) felt that this method could not singularly achieve clinical competence. Conclusion E-learning was widely accepted by students as an effective method of curriculum delivery but insufficient for mastering the clinical skills required to be a competent doctor. The use of blended programmes which combine e-learning and traditional bedside teaching should be encouraged in the post-pandemic future. Keywords: Caribbean, e-learning, Covid-19, orthopaedics, medical education

Attitudes of the general public toward community pharmacy services in Saudi Arabia: A cross-sectional study.

This research was conducted to evaluate the attitudes of the general public toward community pharmacy services in Saudi Arabia. The current study followed a cross-sectional design using an online anonymous self-administered questionnaire. The study was conducted in Saudi Arabia between February and April 2022. The study participants were selected and recruited using a convenience sampling strategy. The questionnaire was adapted from previous work and involved four sections: demographic information, use of community pharmacy, perception and willingness to use community pharmacist services, and barriers to approaching a community pharmacist for advice. A total of 449 participants agreed to take part in this study and completed the questionnaire. Just above half (55%) of the participants indicated that they had visited a community pharmacy at least once a month over the last 12 months. The most frequently reported reason for visiting community pharmacies was to buy over-the-counter (OTC) medications. The majority (n = 318) of the participants were satisfied or highly satisfied with community pharmacy services in Saudi Arabia. A willingness to use community pharmacy services was expressed mostly for the essential community pharmacist roles, involving selecting over-the-counter products, management of minor ailments, selecting non-pharmaceuticals and receiving counseling on using medications. However, an unwillingness was noted to approach a community pharmacist for counseling on alcohol dependence and drug misuse. Lack of privacy in the community pharmacy was found to be the most frequently reported barrier that would hinder individuals from approaching community pharmacists to get help or advice. Policymakers in Saudi Arabia could considerably advance the community pharmacy practice and improve the public utilization of various community pharmacist services beyond their limited essential roles such as dispensing and counseling.

Factors affecting the transition to adulthood of Korean young adults with spina bifida: a qualitative study

BackgroundTransition to adulthood to live independently while self-managing health and daily life without parental help is crucial for young adults with chronic conditions. Despite its importance as a precursor to effectively managing lifelong conditions, little is known about the experiences of young adults with spina bifida (SB) in transition to adulthood in Asian countries. This study aimed to explore the experiences of Korean young adults with SB to identify the facilitators or barriers to the transition from adolescence to adulthood from their perspectives.MethodsThis study used a qualitative descriptive design. The data were collected in South Korea through three focus group interviews with 16 young adults with SB, aged 19–26, from August to November 2020. We conducted a qualitative content analysis using a conventional approach to identify the factors that facilitated and hindered the participants’ transition to adulthood.ResultsTwo themes emerged as facilitators and barriers to the transition to adulthood. a) Facilitators: understanding and acceptance of SB, acquiring self-management skills, parenting styles encouraging autonomy, parents’ emotional support, school teachers’ thoughtful consideration, and participation in self-help groups. b) Barriers: overprotective parenting style, experience of being bullied by peers, damaged self-concept, concealing one’s chronic condition from others, and the lack of privacy in school restrooms.ConclusionsKorean young adults with SB shared their experiences of struggling to properly manage their chronic conditions on their own, particularly concerning regular bladder emptying, during the transition from adolescence to adulthood. To facilitate the transition to adulthood, education on the SB and self-management for adolescents with SB and on parenting styles for their parents are important. To eliminate barriers to the transition to adulthood, improving negative perceptions of disability among students and teachers and making school restrooms CIC-friendly are needed.

Motivations for blood donation by HIV-positive individuals on antiretrovirals in South Africa: A qualitative study.

We performed a mixed-methods study to explore the motivations associated with blood donation by donors with known, but undisclosed HIV-positive status and ARV use (HIV+/ARV+), seeking potential strategies to reduce such donations and mitigate risk for blood recipients. Here, we report predominantly the qualitative component. A safe and sustainable blood supply is dependent in part, on effective pre-donation donor assessment. We previously described failure by HIV+/ARV+ blood donors to disclose their status. Such donations may lead to transfusion-transmitted HIV. The social ecological model provided the conceptual framework for this study. Previously identified HIV+/ARV+ donors were invited to complete a survey (including a validated stigma scale) and qualitative interview, which underwent inductive and deductive thematic analysis. We uncovered two primary motivational paths to HIV+/ARV+ blood donations: privacy and altruism. The latter included a motivation not previously reported in the literature: donating specifically for other people living with HIV (PLWH). The other primary factor was a lack of privacy. These accounts often included donors encountering donation opportunities when accompanied by people to whom they had not and did not plan to disclose their HIV status. Most were highly confident their donations would be identified as HIV-positive and discarded. We demonstrated a complex interaction between individual, social, cultural, and structural/policy factors in blood donations by PLWH who take ARV. Recommendations to limit HIV + ARV+ donations include: (1) Targeted communication strategies to increase knowledge among PLWH of their deferral from blood donation-without increasing stigma, and (2) development of procedures to assist those who feel unable to opt-out of donation due to privacy concerns.

Self-rated health implications of noise for open-plan office workers: An overview of the literature

In open-plan offices (OPO), workspaces without ground-to-ceiling dividers, noise is one of the most complained about aspects, causing physical and psychological impacts. With the increasing interest for a human-centric design, notably after the publication of ISO 22955, this review aims to identify the main noise sources in this office layout and the employees’ perception of related health effects, evaluating the interventions proposed to overcome their impacts. Following the PRISMA guidelines, a review was conducted using the Scopus and PubMed databases, considering subjective questionnaires distributed in offices, which could include physical workspace assessment. It excluded studies limited to: (a) laboratory experiments; (b) isolated cognitive tests; (c) office layouts other than OPO; (d) systematic reviews; and (e) mathematical models. Sixty studies were identified and the screening process resulted in 11 selected for inclusion, which indicated irrelevant speech, chatting, and telephone ringing as the main noise sources causing productivity loss, stress, and low comfort rates due to distraction and lack of privacy. To overcome these impacts, researchers suggested the use of sound-absorbing surfaces, separated zones for different tasks and headphones, although their effectiveness relies on human behaviour and economic feasibility. Thus, the evidence indicates that noise is a recurrent issue in OPOs, it demonstrates the importance of appropriate acoustic performance of the workspace and the necessity of new studies regarding OPO workers’ perception of noise and their health, particularly after the COVID-19 new safety guidelines.

Coping and Caregiving: Leveraging Environmental Design to Moderate Stress Among Healthcare Workers in the Emergency Department Setting.

Due to exposure to overwhelming work stressors, approximately half of emergency department (ED) physicians and nurses experience burnout, leading to lower productivity, lower quality of care, higher risk of medical errors, higher rates of absenteeism, and eventually turnover. Growing evidence suggests that the physical environment can be leveraged to support healthcare workers' well-being. This study aimed to identify (1) self-care behaviors that healthcare workers engage in to help them cope with job-related stress, (2) where they engage in those behaviors, (3) attributes of the built environment that may support coping behaviors. A mixed-methods study was conducted in three EDs, using online questionnaires (n = 85) and interviews (n = 20). Job-related stress was derived from interruptions, workload and inability to take breaks, insufficient workspace, lack of privacy, unpredictability of EDs, and security concerns. Talking with a colleague, getting something to eat or drink, listening to music, and taking a walk were considered destressing activities. The bathroom was considered a place for destressing by the majority of participants, followed by outside areas, physician-only areas, and care team stations. Supportive environmental features included sufficient workspace, maximized privacy, reduced noise and clutter, controlled temperature and lighting, spaces for decompressing, spaces for documentation, close-by breakrooms with enough eating space and massage chairs, chairs with back support, standing desks, food options, and convenient bathrooms. Design decisions play an important role in supporting stress reduction among healthcare workers. This study provides several strategies to achieve this aim.

Adaptability in Interior Space: Public Housing for Lower-Middle Income Group in Dhaka

This research examines the spatial characteristics of domestic spaces, their use, and adaptations to analyse their changing morphology. It also examines inhabitants' preferences and requirements for the functional utilisation of the interiority of dwellings. Fifteen apartments in Dhaka were analysed to compare the initial design with the later modifications by occupants. The research followed an ethnographical method to depict the lives and experiences of individuals. The research has identified significant changes in activity zoning and their pattern, thus creating a new spatial organisation of the house that is different from the original design. Activity analysis reveals that most spaces are multipurpose; moreover, maintaining segregation and privacy is challenging. Lack of privacy is a significant concern during the alterations. Households are usually the extended type with a large number of members. Hence, this research finds the need for extra rooms within the given space. Another reason for alterations is the need for adequate functional space. A discrepancy exists between the dwelling space design and the actual needs and preferences of the occupants. This discrepancy highlights gaps between the designer's solution and the user demand, which prompts adjustments in the aspirations of the house through modifications and adaptations.

Stateless Rohingya Refugees in Bangladesh: Life and Livelihood Challenges

Rohingya is one of the most persecuted ethnic minority groups in the world, as identified by United Nations. More than one million Rohingya refugees, over half of whom are children, live at various camps in Cox’s Bazar district in Bangladesh. This study uses a mixed methodology approach based on primary data to examine the life and livelihood challenges of Rohingya people in the refugee camps. The study's findings reveal that there is a severe scarcity of basic human needs in the Rohingya camps and a prevalence of widespread human rights violations. Among the life and livelihood challenges in the camps are- poor health services, the weak structure of shelter, scarcity of nutritious food, inadequate water and sanitation infrastructure, lack of education facilities after secondary school, gender-based violence, insecurity, congestion and lack of privacy, limited freedom of movement, and high risk of landslide. The study's findings may guide governments and NGOs operating in Rohingya camps to ensure the community's basic needs and human rights.

Perception of the community toward the transition of pharmaceutical care services from ministry of health primary healthcare centers to community pharmacies

Introduction: There is a lack of research on the impact of the transition of pharmaceutical care service from Ministry of Health (MOH) primary healthcare centers (PHCs) to community pharmacies (Wasfaty service) in Saudi Arabia. This study explored the Saudi community’s perception toward the transition of pharmaceutical care service. Community needs and expectations from the Wasfaty service were assessed, and its experience, concerns, and limitations were evaluated.Methods: Qualitative, in-depth, semistructured interviews of Saudi community members who visited community pharmacies with electronic prescriptions from MOH PHCs were conducted. The data obtained from participants were thematically organized and analyzed using NVivo software.Results: Seven themes related to the new Wasfaty service were identified and divided into three categories: perception toward the transition in pharmaceutical care, experience with the Wasfaty service, and concerns about limitations of the Wasfaty service. The Saudi community was generally satisfied with the new Wasfaty service and highlighted its benefits compared to PHCs pharmacies. These include: easier access, time flexibility, lower crowds, better communication with pharmacists, better medication education, better medication availability, better control over dispensing, and easier refills. However, the community complained about the lack of privacy in community pharmacies, the lack of female pharmacists, and the low number of Saudi pharmacists. They also were concerned about the number and location of community pharmacies featuring the Wasfaty service, some technical issues, and the lack of labels on medications (i.e., receiving no instructions about medication storage).Conclusions: The Saudi community showed its need for the transition in pharmaceutical care services.

Studying Users’ Perceptions of COVID-19 Mobile Applications in Saudi Arabia

In Saudi Arabia, several mitigating measures were implemented in response to the COVID-19 pandemic, including the creation of COVID-19 mobile applications (apps) for public use. The Saudi government has made the use of these apps mandatory for its citizens and residents. However, it is essential to explore the perception that common users have regarding using these apps in terms of usability and user experience. Therefore, this paper assesses user experience in terms of effectiveness, efficiency, and user satisfaction with the usability of the Saudi COVID-19 apps. The reviews of five mobile apps launched by the Saudi Data and AI Authority (SDAIA) and the Ministry of Health in the Apple Store were extracted using an online tool and analyzed using the content analysis method. The number of collected reviews was 29 for Sehha, 406 for Sehhaty, 442 for Mawid, 107 for Tabaud, and 1338 for Tawakkalna. The results of the study showed that Mawid (82%) and Tabaud (81%) had the highest usability of all the apps studied. Sehha (−138%) and Sehhaty (−107%) received the lowest usability scores, followed by Tawakkalna (−22%). Based on these results, we identified several usability issues with each app. Some of the main problems reported by users were increased battery drain, lack of privacy, and technical issues.

Community-based counselling programme for pregnant women with alcohol problems in Cape Town, South Africa: a qualitative study of the views of pregnant women and healthcare professionals.

South Africa lacks services to detect and address alcohol use during pregnancy, particularly outside of health-care facilities. This study aimed to explore pregnant women and healthcare providers' perceptions of the acceptability, feasibility and appeal of a community-based counselling programme for pregnant women with alcohol problems. Twenty-eight in-depth interviews with pregnant women who drink, Community Health Workers (CHWs) and antenatal service providers were conducted. Transcribed interviews were analyzed thematically using a combined deductive and inductive approach. Women reported feeling uncomfortable seeking help for their alcohol use at antenatal clinics, limiting usefulness of current support services. All stakeholders perceived a community-based intervention to be acceptable and feasible as it could be integrated with other CHW-delivered services. Participants thought an intervention should facilitate early linkage to antenatal services and should include partners or family members. The feasibility of an intervention may depend on the relationship between CHWs and clinic-based antenatal staff, and their relationships with pregnant women. Clinic and community challenges to implementation were raised. Clinic-level challenges included shortage of space, staff capacity, high number of pregnant women, long waiting times, financial burden of having to travel to a clinic, lack of comfort and privacy and staff attitudes. Community-level challenges included crime, lack of privacy, lack of attention given competing interests in the home, fear due to abuse, and stigma and discrimination from other community members. Suggestions for overcoming these challenges were provided. Findings provide essential information to facilitate the adaptation of a community-based alcohol counselling programme for greater acceptability, feasibility and cultural appropriateness for the South African context. Intensive training, supervision and support is required to ensure the programme is delivered as planned.

To explore patients’ perceptions about motivators and barriers of adherence to highly active antiretroviral therapy among people living with HIV: A qualitative study

ABSTRACT Objective: For people living with HIV (PLHIV), strict adherence to highly active antiretroviral therapy (HAART) is the key to effective treatment and retention in human immunodeficiency virus (HIV) care. There are many factors which promote or halt the antiretroviral therapy (ART) adherence practices. Therefore, the present study aimed to examine the HAART adherence levels and to explore patients’ views about barriers and facilitators to HIV treatment adherence. Methods: Semi-structured interviews were conducted among 15 PLHIV at the ART clinic of Dr. Ram Manohar Lohia Hospital, New Delhi. Interviews were audio-recorded in the local Hindi language, and bilingual experts (English and Hindi) transcribed verbatim. Qualitative data were coded for themes and subthemes and analyzed using a phenomenological approach as per thematic content analysis. Results: Feeling of hopelessness, delayed ART initiation, difficult initial phase of ART, forget to take ART on time, fear of disclosure of HIV diagnosis, lack of privacy and negative social support, and impact of lockdown due to COVID-19 were revealed as significant barriers to ART adherence. At the same time, commitment to raise and educate children, ART to increase life span, maintain oneself to be physically fit and healthy, only a single pill per day, very supportive counselors and health-care professionals, and hope to give birth to a healthy child were identified as facilitators of HIV retention. Conclusion: Understanding patient’s perception about ART adherence, its motivational and barrier factors which are directly affecting ART adherence and retention of PLHIV in HIV treatment and follow-ups are of utmost importance to improve ART adherence during HIV patient care services.

Experience of telehealth for receipt of primary health care: an online survey of young people in a geographic region of Aotearoa New Zealand.

Telehealth became more widely used when the global COVID-19 pandemic restricted access to in-person consultations for primary care during periods of 'lockdown'. In 2021 (August-September), 15-to 25-year-olds in the Wellington region of Aotearoa New Zealand were invited to participate in an online survey that aimed to find out about telehealth experiences, perceived advantages and disadvantages, and willingness to use it for receipt of primary care. Surveys were completed by 346 participants, 133 of whom had ever used telehealth (38%). Overall, 73% (84/115) were happy with health care received via telehealth, but only 26% preferred it to in-person consultations. Perceived benefits related to convenience and time efficiency, but participants had concerns about the inability to be physically examined, technological issues, clarity around follow-up actions, payment and lack of privacy. All participants had access to a phone or device, yet almost half reported challenges with connectivity, coverage or data that might limit their ability to access telehealth (47.3%, 159/336). Half of participants wanted to use telehealth in future (preferring phone over video (160/315)). Young people surveyed acknowledged the convenience of telehealth, but many were hesitant about receiving primary care in this way. Understanding young people's reservations and provision of detailed information about what telehealth entails will help prepare and support them to use telehealth in future.

PERCEPÇÃO DOS ENFERMEIROS SOBRE TELECONSULTA DE ENFERMAGEM NA ATENÇÃO PRIMÁRIA

ABSTRACT Objective analyze the nurse’s perception about nursing teleconsultation in Primary Health Care through the workflows characterization, potential, challenges and teleconsultation in nursing feasibility. Method exploratory-descriptive study with a qualitative approach. Data were collected, between the months of May and June 2021, with 19 nurses from four health districts of a capital in south of Brazil, using digital questionnaire. Data were systematized in Microsoft ExcelⓇ and analyzed following the criteria of the Discourse of the Collective Subject. This process was carried out with the support of the DSCsoftⓇ Program. Results the results were organized into five thematic categories: Nursing teleconsultation flow in Primary Health Care; Teleconsultation process; Instruments used during the teleconsultation; Potentialities and challenges identified during the teleconsultation in the Primary Health Care; and, Applicability: services that can be resolved through teleconsultation. Among the challenges are the inherent problems of communication and internet connectivity and the distrust of users in relation to this new consultation modality. Conclusion telecare in nursing is a recent technological innovation, with several challenges as: the possible failure in communication between the professional and the user; internet connection problems; lack of ability to travel from new tools; lack of privacy and excessive noise and distrust of users about the service provided. With the teleconsultation, there was an extension of the users' access to the health services, there was greater agility and efficiency in the services provided to the population.

Factors Influencing Uptake of Prostate Cancer Screening among Men Aged 40 Years and Above in Kazo Town Council, Kazo District, Uganda: A Cross-Sectional Study.

Prostate cancer accounts for 20.3% of all cancers in men in sub-Saharan Africa. Early screening among at-risk groups is challenging in Uganda, with limited data on prostate cancer screening uptake in most districts, including newly established ones. The purpose of this study was to determine factors influencing the uptake of prostate cancer screening among men aged ≥ 40 in Kazo Town Council, Kazo District, a newly created district. We used a descriptive cross-sectional study design that employed both quantitative and qualitative data collection methods. Participants were recruited through simple random sampling between November 2020 and January 2021. Structured questionnaires were used for quantitative data (n = 300). Statistical analyses to determine associations were carried out using inferential and chi-square tests followed by logistic regression. In-depth interviews were conducted with 10 key informants and analyzed thematically to explore a range of perceptions related to prostate cancer screening. Only 10 (3.33%; 95% CI: 0.018-0.60) respondents had ever screened for prostate cancer. Lack of privacy (p < 0.033), access to prostate cancer information (p < 0.014), and distance to health facilities (p < 0.001) were significantly associated with the uptake of prostate cancer screening. Marital status (OR = 7.93; 95% CI: 1.85-33.99; p = 0.005), positive health worker attitudes (OR = 0.002; 95% CI: 0.000-0.023, p < 0.001), and perceived affordability (OR = 0.001; 95% CI: 0.000-0.011, p < 0.001) were independently associated with uptake of prostate cancer screening. Key barriers included lack of information, access to screening centres, and fear of screening. The level of uptake of prostate cancer screening was considerably low among men aged 40 and above in the Kazo District. Targeted community interventions to improve access to prostate cancer information, screening, sensitization, and addressing perceived and actual barriers are needed in newly created districts to bolster the uptake of prostate cancer screening. This has implications for prioritizing research evaluating district resource allocation to support optimized and integrated evidence-based service delivery in primary healthcare centres, especially for specialized services in newly created districts.