Objectives:This study aims to enhance researchers’and nurses’understanding of how to best support migrant patients with heart failure in self-care management.Previous research on self-care in heart failure patients ...Objectives:This study aims to enhance researchers’and nurses’understanding of how to best support migrant patients with heart failure in self-care management.Previous research on self-care in heart failure patients has highlighted its importance,particularly among migrant populations.Nurses play an important role in informing and engaging patients with chronic conditions like heart failure to support their active participation in self-care.However,nurses’experiences of providing self-care counseling to migrant populations with heart failure have not been studied.Methods:A qualitative study was conducted.Nurses working with migrant patients with HF(n?13)from different types of facility in Western Sweden were interviewed between October and December 2020.Data were collected using semi-structured interviews and analyzed using inductive thematic analysis.Results:The main theme that emerged from the interviews was the difficulty for nurses“to find balance”in self-care counseling.The nurses during self-care counseling had:“to accept challenges,”“to use creative strategies,”faced“problems related to health literacy,”and“to work according to their(the nurses’)obligations.”It was evident that nurses faced several challenges in counseling migrants in self-care,including language and cultural barriers,time resource constraints,low levels of health literacy,and experienced disharmony between the law and their professional norms.They perceived building caring relationships with their patients to be crucial to fostering health-promoting self-care processes.Conclusions:To increase self-care adherence,nurses must become more sensitive to cultural differences and adapt self-care counseling to patients’health literacy.The findings of this research support and challenge nurses in providing the best counsel to migrant patients with heart failure living in Sweden’s multi-ethnic society.Policymakers in the health care organization should act to facilitate mutual cultural understanding between all involved partners for patient-safe self-care counseling.展开更多
This paper discusses recent research findings together with management schemes in preventing and managing of thermal stress by handling external and internal factors in livestock production systems. Preventive measure...This paper discusses recent research findings together with management schemes in preventing and managing of thermal stress by handling external and internal factors in livestock production systems. Preventive measures against thermal stress are described as basic structural adjustments and the modifications that can be implemented readily, according to animal health and welfare requirements and refer to （1） environmental modification and thermal comfort in various housing systems; （2） action on animals, such as genetic selection for breeds resistant to infectious disease, parasites and climate extremes; （3） action on feed and （4） action on staff handling the animals. Moreover, measures to be taken both in situations of chronic thermal stress and heat or cold strokes are presented as they are applied to （1） limit stress, （2） monitor the temperature felt by animals, （3） adapt diet and drinking water supplies and （4） correct physiological imbalances. Examples are given for different farm species （cattle, sheep, goat, poultry and pigs） and different production systems （intensive, extensive and alternative）. The paper concludes with a practical guide for the effective handling of thermal stress at farm level, summarizing the results from recent research studies on the specific topic.展开更多
文摘Objectives:This study aims to enhance researchers’and nurses’understanding of how to best support migrant patients with heart failure in self-care management.Previous research on self-care in heart failure patients has highlighted its importance,particularly among migrant populations.Nurses play an important role in informing and engaging patients with chronic conditions like heart failure to support their active participation in self-care.However,nurses’experiences of providing self-care counseling to migrant populations with heart failure have not been studied.Methods:A qualitative study was conducted.Nurses working with migrant patients with HF(n?13)from different types of facility in Western Sweden were interviewed between October and December 2020.Data were collected using semi-structured interviews and analyzed using inductive thematic analysis.Results:The main theme that emerged from the interviews was the difficulty for nurses“to find balance”in self-care counseling.The nurses during self-care counseling had:“to accept challenges,”“to use creative strategies,”faced“problems related to health literacy,”and“to work according to their(the nurses’)obligations.”It was evident that nurses faced several challenges in counseling migrants in self-care,including language and cultural barriers,time resource constraints,low levels of health literacy,and experienced disharmony between the law and their professional norms.They perceived building caring relationships with their patients to be crucial to fostering health-promoting self-care processes.Conclusions:To increase self-care adherence,nurses must become more sensitive to cultural differences and adapt self-care counseling to patients’health literacy.The findings of this research support and challenge nurses in providing the best counsel to migrant patients with heart failure living in Sweden’s multi-ethnic society.Policymakers in the health care organization should act to facilitate mutual cultural understanding between all involved partners for patient-safe self-care counseling.
文摘This paper discusses recent research findings together with management schemes in preventing and managing of thermal stress by handling external and internal factors in livestock production systems. Preventive measures against thermal stress are described as basic structural adjustments and the modifications that can be implemented readily, according to animal health and welfare requirements and refer to （1） environmental modification and thermal comfort in various housing systems; （2） action on animals, such as genetic selection for breeds resistant to infectious disease, parasites and climate extremes; （3） action on feed and （4） action on staff handling the animals. Moreover, measures to be taken both in situations of chronic thermal stress and heat or cold strokes are presented as they are applied to （1） limit stress, （2） monitor the temperature felt by animals, （3） adapt diet and drinking water supplies and （4） correct physiological imbalances. Examples are given for different farm species （cattle, sheep, goat, poultry and pigs） and different production systems （intensive, extensive and alternative）. The paper concludes with a practical guide for the effective handling of thermal stress at farm level, summarizing the results from recent research studies on the specific topic.
