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New Insights into Understudied Phenomena in Healthcare
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New Insights into Understudied Phenomena in Healthcare

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences".

Deadline for manuscript submissions: closed (30 September 2024) | Viewed by 7911

Special Issue Editors

Dr. José Manuel Hernández Padilla

E-Mail Website
Guest Editor
Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almeria, Spain
Interests: aging; healthy aging; aged 80 and over; questionnaire design; quantitative research; educational techniques; pedagogy
Special Issues, Collections and Topics in MDPI journals
Dr. Cayetano Fernández-Sola

E-Mail Website
Guest Editor
Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almeria, Spain
Interests: end-of life care; terminal care; qualitative research; transients and migrants; sexology–gender studies
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Healthcare is a complex and dynamic phenomenon. Understanding health as a complete state of well-being has introduced previously unfamiliar challenges to healthcare professionals. Alongside changes in paradigm positions, the emergence of new diseases, the use of new technologies, the research into new therapeutic approaches and the development of new disciplines in healthcare all contribute to emerging understudied phenomena. Unfortunately, understudied phenomena have received little attention in healthcare research. Whether these phenomena have traditionally been irrelevant for healthcare disciplines or have recently emerged as a consequence of the advancements in healthcare, it is clear that they require new insights into how we understand them.

Various research approaches, methodologies and designs can improve our understanding of understudied phenomena in healthcare. Therefore, we invite colleagues from all healthcare disciplines to submit papers using qualitative, quantitative or mixed-methods approaches. As an example, submitted papers could focus, on new insights into our understanding of understudied populations’ healthcare needs, analyzing the characteristics and/or effects of innovative care programmes delivered for understudied populations, or describing ground-breaking educational interventions to improve healthcare professionals’ competence to care for understudied populations.

You may choose our Joint Special Issue in Healthcare.

Dr. José Manuel Hernández Padilla
Dr. Cayetano Fernández-Sola
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • emerging diseases
  • new technologies
  • innovative healthcare approaches
  • rare diseases
  • innovative research methods
  • social dimension of health
  • patient rights
  • demographic challenges
  • understudied populations
  • vulnerable populations
  • gender issues

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Published Papers (3 papers)

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Research

10 pages, 286 KiB  
Article
Phylum Firmicutes in the Faecal Microbiota Demonstrates a Direct Association with Arterial Hypertension in Individuals of the Kazakh Population Without Insulin Resistance
by Gulshara Abildinova, Tamara Vochshenkova, Alisher Aitkaliyev, Aizhan Abildinova, Valeriy Benberin, Anna Borovikova, Nazira Bekenova and Balzhan Kassiyeva
Int. J. Environ. Res. Public Health 2024, 21(12), 1546; https://doi.org/10.3390/ijerph21121546 - 22 Nov 2024
Viewed by 72
Abstract
The gut microbiota plays a fundamental role in the host’s energy metabolism and the development of metabolic diseases such as arterial hypertension, insulin resistance, and atherosclerosis. Our study aimed to investigate the potential role of the gut microbiota in arterial hypertension among individuals [...] Read more.
The gut microbiota plays a fundamental role in the host’s energy metabolism and the development of metabolic diseases such as arterial hypertension, insulin resistance, and atherosclerosis. Our study aimed to investigate the potential role of the gut microbiota in arterial hypertension among individuals of the Kazakh population without insulin resistance. 16S rRNA gene sequencing of faecal samples from 197 Kazakh subjects was performed. Preliminary binary comparisons of the faecal microbiota composition depending on the presence of arterial hypertension and insulin resistance revealed statistically significant differences in the abundance of the phylum Firmicutes. Logistic regression analysis showed that only the phylum Firmicutes influenced hypertension risk in individuals without insulin resistance after adjusting for age, sex, BMI, fasting glucose, triglycerides, and triglyceride–glucose index. The higher the abundance of the phylum Firmicutes in faeces, the greater the risk of arterial hypertension (OR = 1.064 [95% CI 1.005–1.125]). Correlation analysis revealed a negative association between the abundance of the phylum Firmicutes and the triglyceride–glucose index, primarily driven by triglyceride levels. These findings suggest the potential role of the gut microbiota, especially the phylum Firmicutes, in the development of hypertension in individuals without insulin resistance. Full article
(This article belongs to the Special Issue New Insights into Understudied Phenomena in Healthcare)
25 pages, 723 KiB  
Article
U.S. Physicians’ Training and Experience in Providing Trauma-Informed Care in Clinical Settings
by M. Lelinneth B. Novilla, Kaitlyn Tan Bird, Carl L. Hanson, AliceAnn Crandall, Ella Gaskin Cook, Oluwadamilola Obalana, Lexi Athena Brady and Hunter Frierichs
Int. J. Environ. Res. Public Health 2024, 21(2), 232; https://doi.org/10.3390/ijerph21020232 - 16 Feb 2024
Cited by 2 | Viewed by 3298
Abstract
Trauma-informed care (TIC) is a comprehensive approach that focuses on the whole individual. It acknowledges the experiences and symptoms of trauma and their impact on health. TIC prioritizes physical and emotional safety through a relationship of trust that supports patient choice and empowerment. [...] Read more.
Trauma-informed care (TIC) is a comprehensive approach that focuses on the whole individual. It acknowledges the experiences and symptoms of trauma and their impact on health. TIC prioritizes physical and emotional safety through a relationship of trust that supports patient choice and empowerment. It provides a safe and respectful healing environment that considers specific needs while promoting a greater sense of well-being, patient engagement, and partnership in the treatment process. Given the prevalence of trauma, this descriptive cross-sectional study examined the attitudes and perspectives of U.S. physicians (N = 179; 67% males; 84% White; 43% aged 56–65) in providing trauma-informed care using an anonymous 29-item online survey administered by Reaction Data. Findings showed that 16% (n = 18) of physicians estimated that >50% of their patients have a history of trauma. Commonly perceived barriers to providing TIC were resource/time/administrative constraints, provider stress, limited awareness of the right provider to refer patients who experienced trauma, and inadequate TIC emphasis in medical education/training. Expanding physicians’ knowledge base of trauma through training and organizational policy/support is crucial in enhancing their TIC competence, particularly in caring for patients with complex care needs whose social determinants increase their risk of exposure to adverse experiences that carry lasting physical and psychological effects. Full article
(This article belongs to the Special Issue New Insights into Understudied Phenomena in Healthcare)
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20 pages, 396 KiB  
Article
Nurses’ Perceptions of Ethical Conflicts When Caring for Patients with COVID-19
by Pedro Ángel Caro-Alonso, Beatriz Rodríguez-Martín, Julián Rodríguez-Almagro, Carlos Chimpén-López, Cristina Romero-Blanco, Ignacio Casado Naranjo, Antonio Hernández-Martínez and Fidel López-Espuela
Int. J. Environ. Res. Public Health 2023, 20(6), 4763; https://doi.org/10.3390/ijerph20064763 - 8 Mar 2023
Cited by 7 | Viewed by 3565
Abstract
The COVID-19 pandemic has caused ethical challenges and dilemmas in care decisions colliding with nurses’ ethical values. This study sought to understand the perceptions and ethical conflicts faced by nurses working on the frontline during the first and second waves of the COVID-19 [...] Read more.
The COVID-19 pandemic has caused ethical challenges and dilemmas in care decisions colliding with nurses’ ethical values. This study sought to understand the perceptions and ethical conflicts faced by nurses working on the frontline during the first and second waves of the COVID-19 pandemic and the main coping strategies. A qualitative phenomenological study was carried out following Giorgi’s descriptive phenomenological approach. Data were collected through semi-structured interviews until data saturation. The theoretical sample included 14 nurses from inpatient and intensive care units during the first and second waves of the pandemic. An interview script was used to guide the interviews. Data were analyzed following Giorgi’s phenomenological method using Atlas-Ti software. Two themes were identified: (1) ethical conflicts on a personal and professional level; and (2) coping strategies (active and autonomous learning, peer support and teamwork, catharsis, focusing on care, accepting the pandemic as just another work situation, forgetting the bad situations, valuing the positive reinforcement, and humanizing the situation). The strong professional commitment, teamwork, humanization of care, and continuous education have helped nurses to deal with ethical conflicts. It is necessary to address ethical conflicts and provide psychological and emotional support for nurses who have experienced personal and professional ethical conflicts during COVID-19. Full article
(This article belongs to the Special Issue New Insights into Understudied Phenomena in Healthcare)
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