Health visiting in the first year of life in England: a longitudinal analysis of linked administrative data (Community Services Dataset) 2016-2020
Health visiting services provide public health interventions to support children and families in the early years. We describe how health visiting is delivered across the first year of life to children in England, including both the universal, mandated contacts offered to all families, and additional contacts for those families in need of further support.
Community Engagement for sustaining partnerships and networks: Knowledge Translation
Co-creating Community Engagement for Integrating Knowledge Translation in Action to Address Health Inequalities
Utilising the Competency Framework – An Approach
Perception of Health Deterioration in Older Adults Living Alone : Insights from Home-Visit Nurses
Establishing a Community of Practice for Advanced Practitioners (AP’s) in Health and Justice
Advanced Practice within the health and justice setting can be an isolating role with varying levels of support. Recognising this need for additional support, a national Community of Practice was established at the end of 2023. This poster showcases the work undertaken and the outcomes we have achieved so far with developing this Community of Practice.
HEALTH INEQUALITIES AMONG HOMELESS ADOLESCENTS
The relationship between heat habits, chronic inflammation, and atherosclerosis in young people
This study explores the relationship between thermal habits and inflammation-rerated proteins and arterial stiffness in healthy young adults. Chronic inflammation plays a key role in the development of atherosclerotic cardiovascular disease(ASCVD), and heat stimulation-such as immersion bathing-may help reduce this inflammation. Twenty-five participants (9 males and 16 females) without underlying metabolic diseases were recruited. Data were collected through interviews and questionnaires on bathing habits, including immersion type, water temperature, and use of thermal devices. Arterial stiffness was assessed via baPWV, and blood levels of IL-6, hsCRP, and HSP70 were measured using ELISA. The results showed that females who practiced immersion hot-tub bathing had significantly lower plasma IL-6 levels. Additionally, correlations were observes between bathing conditions and inflammatory markers or arterial stiffness, particulary in sex-specific analyses. These finding suggest that regular bathing habits may have potential as a simple, non-pharmacological approach to support vascular and inflammatory health in young adults. Further research is needed to confim these effects and their mechanisms.
Community Children’s Nurses experiences of health inequalities and deprivation. What difference can we make?
The poster demonstrates my findings for a service evaluation conducted to explore community children’s nurses perceptions and experiences of managing deprivation across two London boroughs.
Nursing Collaboration in Multidisciplinary Rehabilitation: A Study of Experiences and Challenges in Ukraine.
The poster presents a visually clear and structured overview of the evolving role of rehabilitation nurses in Ukraine amid ongoing challenges related to the Russian-Ukrainian war.It effectively utilizes graphical elements and concise textual summaries to illustrate key research findings on barriers such as insufficient professional autonomy and ineffective interdisciplinary communication.The design combines academic professionalism with readability, highlighting critical statistics and direct quotations to emphasize the urgent need for establishing a national professional nursing standard in multidisciplinary rehabilitation contexts.
Beyond wounds – barriers and facilitators in optimizing wound healing
This poster is part of a PhD-project about nurse-led wound healing in a communty healthcare setting. This study is about identifying barriers and facilitators in wound healing. There seems to be a lack of knowledge among healthcare professionals when it comes to wound healing, while nurses have a cenral role in the pateints´ care pathway. By identifying barriers and facilitators work can be done both on professional and organizational levels to optimize wound healing.
Barriers of Primary HealthCare Services Utilisation in Rural Communities of South Africa: A Quantitative Community Survey
Dear Colleagues
I was accepted for two abstract, However I managed to register for one Poster presentation on the Barriers of Primary HealthCare Services Utilisation in Rural Communities of South Africa: A Quantitative Community Survey
Mental health of young carers in England
It provides specific statistics on the prevalence and health behaviour of young carers; it highlights the health, wellbeing and risk behaviours associated with young carers; and it emphasizes the need for systematic screening, support services and awareness campaigns.
Older Adults in Primary care: Living with multimorbidity
This poster is to showcase key themes from semi-structured interviews as part a PhD research research project. interviewing health professionals from across community and primary care in an ICB in the North of England
How do we care for people with dementia
Clinical literature review to explore the perceived health and care inequalities for people with dementia across the disease trajectory from prodrome to end-of-life.
Assessment of Quality of Antenatal Care in the Central Region of Ghana
This study assesed ANC quality at the Central region of Ghana, revealing gaps between provider knowledge and practice. Despite high attendance, issues included poor communication, incomplete records, and limited counseling. Using a mixed-method design, data from 200 clients, 14 midwives, and 20 records showed inconsistent adherence to Focused ANC. Recommendations include improving protocol adherence, documentation, and client engagement.
Increasing the Uptake of Health Reviews for 1 and 2.5 Year Olds in Wandsworth and Richmond
BACKGROUND In 2023, the Wandsworth 0-19 team identified many parents declining appointments offered for their children’s health reviews or parents not bringing their children to booked appointments. Children’s Health and Development reviews happen at one year and 2.5 years of age (HR1 and HR2). By improving children’s access to reviews, their mandated health and development reviews can be conducted promptly, leading to earlier intervention of health and development concerns.
AIM To increase the uptake of Health and Development Reviews for children HR1 and HR2 in Wandsworth 0-19 children services to 85% starting September 2025.
METHODS A quality improvement project was established to review the uptake of health reviews. Surveys were sent to patients who declined appointments or did not bring their child to an arranged appointment. 5,285 expected health reviews were recorded through our clinical systems between July 2023 and June 2024. Travel time was calculated between the child’s postcode to the nearest clinic using TFL public transport estimations.
RESULTS Feedback showed that understanding the importance of health reviews, accessibility of appointments, and booking process were significant contributing factors. Interventions trialled included opening new clinics in less accessible areas and enhanced patient engagement from March 2024. Average public transport time decreased from 33 to 21 minutes. HR 1 average attendance stayed similar at 78% HR1 but HR2 increased from 65% to 69%.
CONCLUSIONS Reducing public transport times correlated with improved attendance for HR2. New clinics and patient engagement increased average attendance by 4% for HR2. Further use of digital tools could address booking challenges.
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Tackling heart failure health inequalities locally – ‘’The Whittington integrated approach’’
The Community Heart Failure Inequalities service is an initiative for adults living with heart failure in Haringey’s most deprived communities. It meets a vital component of the population health strategy and aligns with NCL Core Offer requirements. The service provision allows for the proactive triaging of heart failure registers per GP surgery enabling for diagnosis review, confirmation via ECHO (echocardiogram), and heart failure register efficiency through maintenance and data cleansing. This service is based on collaboration with acute trust, community providers, the Haringey GP Federation, and Voluntary Care Sector (VCS)partners though immersion within their activities and group sessions instead of the conventional clinic appointment offering. Patients are monitored and managed by a multi-disciplinary team (MDT) of nurses and allied health professionals, a Cardiologist, and support staff weekly. Home visits for housebound service users and clinic appointments are available for symptom management, medication optimisation, and titration. The current service utilises the DNA (Did not attend), ED (Emergency Department) frequent attenders lists and in-patient service users for Heart Failure (HF) as a primary diagnosis with the aim of ensuring timely follow-up and reassessment and a long-term goal of expanding to Whittington Haringey area.
POSTER- QUALITY OF ANTENATAL CARE SERVICES _LAZARUS N. GBIEL
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Study Title: “”Assessing Quality of ANC Services in Wa Municipal””
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Key Metric or Outcome: “”83% Quality Score—What Influenced It?””
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Presentation Context: “”Presented at ICCHNR Conference, 2025″”
Caring for Neonatal Near Miss Cases in Major Public Hospitals in the Western Region of The Gambia
Content validity evaluation of public health nurses’ medication support items for foreign-born patients with tuberculosis
In Japan, both the number and percentage of foreign-born patients with tuberculosis are increasing. These patients have many difficulties in continuing medication treatment. Public health nurses in Japan need to provide high-quality medication support for foreign-born patients with TB to help them complete their treatment.
We examined the content validity of items related to medication support that public health nurses can provide to help foreign-born patients with TB complete their medication regimen. We used draft item findings from our previous research.
Regarding the methods used, we conducted semi-structured interviews with four experts, two researchers, and two public health nurses.
The four main points to be corrected are shown, and specific examples of the related items are shown in gray boxes.
The final revision comprises two points. It is necessary to develop medication support items that reflect the characteristics of foreign-born TB patients in Japan and that are specific to foreigners. It is also important to consider patient characteristics and sociocultural backgrounds that may affect treatment adherence when developing a medication support plan.
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Exploring Patient Feedback on a Person-Centered, Group-Based, Culturally Appropriate Diabetes Education Model for Immigrants with Type 2 Diabetes
Exploring Patient feedback on a Person-Centred, Group-Based, Culturally Appropriate Diabetes Education Model For Immigrants With Type 2 Diabates
Suicidal Ideation among Older Adults in Korea: The Role of Social Group Participation and Leisure-Cultural Facility Use by Poverty Status
Suicidal Ideation among Older Adults in Korea: The Role of Social Group Participation and Leisure-Cultural Facility Use by Poverty Status
1. Background
– South Korea has the highest suicide rate and income poverty rate among older adults in OECD countries.
– Poverty has been identified as a factor contributing to social isolation and an increased risk of suicidal ideation.
– Participation in social group activities and use of leisure/cultural facilities have been shown to promote psychological well-being and decrease suicide risk.
2. Aim
– To compare the associations of social group participation and leisure-cultural facility use with suicidal ideation among older adults in South Korea, according to poverty status.
3. Methods
– A secondary analysis was conducted using data from the “2023 National Survey of Older Koreans” (≥65, N= 9,951)
– Poverty group: Household income below 50% of the national median income.
– Social group participation : Participation in club activities, social clubs, or political organizations in the past year
– Utilization of Leisure-cultural facility: Use of senior/community/welfare/education centers in the past year
– Chi-square test and independent t-test were used to examine differences by poverty status .
– Multivariate logistic regression was performed stratified by poverty status.
4. Results
– Compared to the non-poverty group, older adults in poverty showed lower participation in social group activities but higher use of leisure and cultural facilities.
– Among older adults in poverty, those who did not participate in social group were 2.6 times more likely to report suicidal ideation.
– Utilization of leisure-cultural facilities was not significantly associated with suicidal ideation in either group.
– Depressive symptoms were significantly associated with suicidal ideation in both the poverty and non-poverty groups, whereas marital status was significantly associated only in the poverty group and the number of chronic diseases only in the non-poverty group.
5. Discussion
– Social group participation may help prevent suicidal ideation among older adults in poverty by reducing isolation and providing emotional support.
– Leisure-cultural facility use showed no significant association, suggesting that simply accessing physical spaces may not be sufficient.
– In the non-poverty group, neither form of participation was associated with suicidal ideation, possibly due to other protective factors.
– Due to the small number of respondents reporting suicidal ideation, findings should be interpreted with caution, and further studies are needed to confirm these associations.
6. Conclusions
– Supporting social group activities may be a useful suicide prevention strategy for older adults in poverty.
Changes in the Lives of Youths with Home Mechanical Ventilation Using Online Tools During the COVID-19 Pandemic
Background
Following the COVID-19 pandemic, digitization has accelerated, and new online lifestyles have been adopted. An increasing number of children and youths with home mechanical ventilation (HMV) in Japan, use online tools to change their daily lives in this social context.
Aim
This study examined how the lives of youths with HMV in Japan changed through the use of online tools during the COVID-19 pandemic.
Methods
We conducted semi-structured interviews with seven youths (average age: 20 years) with HMV without intellectual disabilities. Data were collected on the online tools they used, the purpose of their use, and how their lives have changed.
Results
All seven respondents felt that their lives had changed through the use of online tools during the COVID-19 pandemic. Four participants used the tools for work and academic purposes, six for communication with acquaintances, and four for hobbies. The participants used these tools to increase their social connections, social skills, and vocabulary.
Conclusions
The participants used online tools not only for work and study but also to expand their relationships with many people and places. This helped their self-development, including the development of social skills.
Barriers and facilitator in the introduction of the Family and Community Nurse role in a primary care setting: a qualitative case study.
Background: The introduction of the Family and Community Nurse (FCN) role represents a key innovation in Italy’s healthcare reform, driven by the National Recovery and Resilience Plan and Ministerial Decree 77/2022. Despite national guidelines contextualizing this role, its implementation across regional healthcare systems remains heterogeneous, with limited accounts documenting practical integration experiences.
Aim: This study describes the adoption and implementation of the FCN role within a Local Health Authority in Northeastern Italy.
Methods: a single embedded qualitative case study was used to describe the implementation of the FCN role, defined as the critical transition from organizational decision-making to consistent application of the intervention. Participants included FCNs and district nursing managers, who were engaged through individual semi-structured interviews. The interview guide was defined using the constructs of the Consolidated Framework for Implementation Research (CFIR). Data were subsequently analyzed using the Framework Analysis approach.
Results: the study, conducted from May to July 2024, involved 22 participants. The majority of participants were female (N=18), with a mean age of 49 years (SD ± 7.5), and limited FCN experience (4 ± 3.8 years). The analysis identified 45 factors—barriers and facilitators—impacting implementation across four domains: outer setting (e.g., population characteristics), organizational context (inner setting), individual factors (e.g., capability, motivations), and process-related factors, including stakeholder engagement.
Conclusions and implications: implementing the FCN role required a multi-level change, influenced by contextual factors, organizational readiness, and individual engagement. These findings provide actionable insights for optimizing implementation strategies and identify facilitators potentially transferable to other contexts.
‘Listening to babies’ voices’- Feasibility and acceptability of using the Alarm Distress Baby Scale within health visiting practice in England
Babies in the UK are disproportionately affected by health inequalities. Health visitors, who are specialist community public health nurses, have privileged access to every child aged 0-5 years through their universal contacts and their model of proportionate universalism which provides increased support to those with the greatest needs. They are therefore ideally placed to reduce the health inequalities gap.
The Alarm Distress Baby Scale (ADBB) is a validated observation tool, designed to identify infant social withdrawal, with a modified version of the scale (m-ADBB) developed to help identify behaviour that may signify infant social withdrawal. Neither had been tested in the UK context.
This poster presents the findings of a mixed methods study exploring the feasibility and acceptability of using the Alarm Distress Baby Scale within universal health visiting practice in England.
Professional Regulation of Advanced Practice for nurses and midwives – the journey so far and implications for primary and community care
This poster outlines the Nursing Midwifery Council’s review of advanced practice, providing an update on the work, including methodology and progress in the development of additional regulation for nurses and midwives practising at an advanced level. Implications for primary and communiyt care is highlighted.
School nurse-based interventions to support child uptake ratesof Human papillomavirus (HPV) vaccines. Masters systematic review – pragmatism philosophy to promote health equity.
Using Community-Based Action Research to Support Syrian refugee Mothers in the Resettlement Period
Relationship between General Physical Complaints and Anxieties among Filipino Junior High School Students: A Pilot Study
Self-Efficacy Affects Quality of Life of Older People Living in Underpopulated Areas
This poster presents a study examining the structual relationships between factors influencing health related quality of life(HR-QOL) and self-efficay among older adults living in small mnicipality. The findings indicate that self-efficacy has a direct positive impact on quality of life, rather than via depressive symptoms or health behaviours.These results highlight the potential effectiveness of interventions aimed at enhancing self-efficacy to promote better quality of life in older people living in the community.
The Race to Retain Nursing Workforce in Healthcare: An Umbrella Review of Effectiveness of Retention Interventions and Strategies
The Race to Retain Nursing Workforce in Healthcare: An Umbrella Review of Effectiveness of Retention Interventions and Strategies
Evans Kasmai Kiptulon 1*, Mohammed Elmadani1, Anna Szőllősi1, Miklós Zrínyi1 and Adrienn Ujváriné Siket1
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
Corresponding author email: evanskasmai@yahoo.com
ABSTRACT
Background: The global shortage of nurses occasioned by high nurse turnover is posing a significant threat to the provision and sustainability of quality health care services worldwide. Therefore, studying effective retention intervention and strategies is of paramount importance.
Aim: To summarize from systematic literature reviews, the effectiveness of various interventions and strategies in retaining nurses in healthcare.
Design: An umbrella review.
Methods: This review was conducted following PRISMA guidelines. A comprehensive literature search of systematic reviews published between 2014-2024 was performed in July 2024, using PubMed, Ovid Medline, EMBASE, CINAHL, Scopus, and gray literature. Eligible studies were screened using Covidence, and their quality was assessed with A Measurement Tool to Assess Systematic Reviews (AMSTAR).
Results: The search yielded 1,094 articles, of which 14 met the inclusion criteria. A narrative synthesis categorized effective retention strategies into five primary groups: (1) onboarding and early career interventions (2) leadership; (3) work environment and organizational factors; (4) individual factors; and (5) the use of innovation, technology, and robotization.
Conclusions: No single intervention works in isolation; but rather, a network of strategies and interventions is necessary to effectively reduce turnover and retain nursing staff.
Keywords
Interventions, Nurses, retention, strategies, turnover, strategies, umbrella review
Home healthcare and the experiences of parents caring for children with cancer: “Returning to normality: ‘God sent gift’ ”
Home Healthcare Nurses’ experiences of home visits: a case of personal transformation
Moral distress among medical humanitarian fieldworkers; a literature review
Health Visitors: The key to progressing sustainable goals
To successfully work with children and families over a 5 year period to make a difference in the areas of poverty, food security, health & wellbeing and education with the aim of addressing inequalities, the Health Visitor has to gather cultural and societal information from and about families and communities. They require a significant depth of information to understand the needs, the gaps and the motivators in each family to make a difference.
Health Visitors (HVs) are currently viewed as specialist nurses but to be successful in their role, they have to operate like Applied Clinical Anthropologists, gaining the confidence of those they work with in order to gather the depth of data they require to create micro-ethnographies over the course of a 5 year period. This they use to inform direct change for children and families as well as to indirectly influence local and national policy by submitting the ethnographic findings to national survellience systems.
Currently Health Visiting services are noticing a decline in the funding the receive. Qualitative research, completed with 16 HV’s. indicates that one reason there is financial disinvestment is the lack of understanding national budget makers have on the unique anthropological role the Health Visitor has in illustrating what problems exist, who they exist for and how they can be addressed. They do not realise that without Health Visitors children and families become invisible in society. That issues and needs remain without intervention and children experience adversity that has a long term impact on them into adulthood causing the current issues health services and society experience to continue. Not investing in Health Visiting is not investing in children and if we do not invest in child health we will always have sick adults who have inequitable levels of poverty, food insecurity, education and wellbeing.
Informal Carers & Young Carers: the Unseen & Unpaid Workforce
Barriers faced by healthcare professionals when talking about Female Genital Mutilation / Cutting (FGM / C)
Female Genital Mutilation / Cutting (FGM / C) remains a global issue and this poster gives an overview of my research around barriers faced by health care professionals face when talking about FGM/C.
Partnering with Children and Young People to Improve Community Health Research: Utilising Insights From the Literature
Health and care research can lead to improved outcomes and enhanced quality of life for Children and Young People (CYP) and future generations. The author, a children’s and school nurse involved in community health research, emphasises the crucial role CYP have in informing research delivery, and the critical role community nurses have in advocating for CYP to be involved. The aim of the project was to understand the involvement of CYP in health research in England. A secondary aim was to use the insights gained to inform initiatives to involve CYP in the delivery planning of National Institute for Health Research (NIHR) studies and community-based research. Methodology A scoping literature review was conducted in 2023. The findings informed local initiatives involving CYP in research, which are detailed in case studies. Funding from the East of England Regional Research Delivery Network facilitated meetings with CYP at local Healthwatch groups from 2024 to the present. Results CYP can engage in research discussions with positive impacts on research delivery, when informed about available opportunities. Valuable insights from collaborations with CYP, have been compiled to enhance future research. Conclusion Creating opportunities for CYP to engage in community health research could enhance research delivery, and support in improving CYP outcomes and in the race to reduce health inequalities. The literature available supports nurses involved in CYP health to advocate for their involvement. Funding along with adult advocates of CYP involvement are key to facilitating this in practice.
Paediatric nurse practitioners leading the way in sustainable healthcare for children and young people in Heywood Middleton and Rochdale
Colorectal Cancer Screening among South Asians: Advancing Inclusive Disease Prevention
Background: South Asian (SA) immigrants have lower risk of colorectal cancer (CRC) upon migration due to the healthy immigrant effect; although, this changes over time. Population-based screening detects polyps, precancers and early cancers for improved outcomes. Research demonstrates that SA immigrants have limited knowledge of CRC and experience barriers to screening in western contexts. In Canada, there is limited understanding of CRC screening behaviours among SA immigrants. Aim: A cross-sectional study examined CRC screening rates and factors that influence screening uptake among SA immigrant communities in Canada. Methodology/Methods. A cross-culturally adapted survey was administered to SA immigrants in the Greater Toronto Area, Canada. Results: A total of 336 participants, age 50 -74 years of age, completed the survey; 58.3% underwent a home stool test, and 12% expressed willingness to undergo the test in future. Most participants were male (81%). Higher education, older age and longer residency correlated with less barriers to having a home stool test or colonoscopy. Conclusions and Implications: Research findings inform on uptake and barriers to CRC screening among SA immigrants in Canada; and addresses the sustainable development goal of applying research findings to tailoring education that is inclusive to promote health via disease prevention. Findings are significant to nurses working in diverse underserved communities in their efforts to promote outreach and secondary prevention education. This knowledge may be used to inform the development of tailored education that meets the health literacy needs of diverse SA communities to promote equitable access to prevention information and screening.
The awareness of hypertension based on their blood pressure level among community-dwelling people -NOSE study-
In a survey of 615 community-dwelling adults aged 40 and over in Nose, Osaka, Japan, about 30% of participants with hypertension mistakenly believed their blood pressure was “normal.” This highlights the need to improve public awareness and understanding of blood pressure.
Examining Ways to Improve the Health Care of People Experiencing Homelessness with Diabetes
https://www.pathway.org.uk/issues/diabetes-care/
Sexual Violence and Reproductive Health: A critical Examination of Factors Associated with Women of Reproductive Age at Fort Portal Regional Referral Hospital-Uganda
The poster titled “Sexual Violence and Reproductive Health: A Critical Examination of Factors Associated with Women of Reproductive Age at Fort Portal Regional Referral Hospital-Uganda” explores the intersection of sexual violence and reproductive health among women of reproductive age. It delves into factors such as gender inequality and the impact of sexual violence on women’s health outcomes. The keywords associated with the poster include sexual violence, women, reproductive age, gender inequality, and Fort Portal Regional Referral Hospital (FPRRH). The poster is part of a broader discussion on addressing health inequalities and improving reproductive health care in Uganda
Understanding Male Nursing Students’ Experiences in Jordan: A Mixed-Methods Study on Challenges, Motivations, and Cultural Influences
Pesonalised Care in Community Nursing
Intervention to Enhance Physical Function in People with Osteoarthritis at Home in Indonesia: a Systematic Review
To identify appropriate interventions for older people with osteoarthritis, particularly within home or community settings, a systematic review was conducted. Analysis of 21 selected articles revealed four categories of nursing-led interventions applicable in these settings: exercise-based interventions, self-management approaches, complementary or alternative therapies, and multicomponent interventions.
Creating sustainable care structures in the community – Perspectives of community support structures for individuals caring for a family member
