Cardiovascular diseases are the leading cause of mortality and morbidity globally. Similar to other Western and Gulf countries, the incidence of cardiovascular disease and coronary artery diseases such as acute myocardial infarction is rising rapidly in Qatar. Diabetes mellitus, smoking, and hypertension are the most common risk factors causing acute myocardial infarction, congestive heart failure, and stroke. Additionally, obesity resulting from physical inactivity and unhealthy diet can lead to metabolic changes and raise the risk of heart diseases. Studies show that these health problems can be prevented and/or controlled by modifying lifestyle risk behaviours related to physical activity, diet, and smoking habits. The ultimate goal of this study was to find ways to effectively promote cardiovascular/coronary artery disease prevention and management activities among Qatari women by exploring factors affecting the ways in which Qatari women (citizen and resident Arabic women) participate in physical activities, healthy diet and smoking. An exploratory qualitative research approach using a semi-structured questionnaire consisting of open-ended questions was used in this study. Study participants included 50 Qatari women, 30 years of age and over, having a confirmed diagnosis of coronary vascular disease /coronary artery diseases. Results showed that socio-cultural factors play a key role in Qatari women's decisions to participate in healthy lifestyles. Counselling and guidance for patients by health care providers, especially physicians, regarding smoking cessation, weight loss, and exercise should be key interventions to modify lifestyle behaviors among cardiac patients.
Background Entanglement of marine species, particularly endangered sea turtles and cetaceans, in abandoned, lost or otherwise discarded fishing gear is a major conservation concern. Focus of the Article This case study applies Community-Based Social Marketing (CBSM) to reduce marine wildlife net entanglement in the waters surrounding Masirah Island, a marine biodiversity hotspot in Oman. Importance to the Social Marketing Field The study demonstrates the use of social marketing tools in biodiversity conservation, bringing new knowledge to the cross-application of these two fields. Methods The CBSM methodology was applied to select behaviours, identify barriers and benefits, develop strategies and design a pilot study. The responsible disposal of derelict nets in skip bins was selected as the target behaviour, and a mix of behavioural change tools was applied to achieve change: convenience (installation of three skip bins), education (installation of informative signs, distribution of awareness posters, one-to-one engagement with fishers on the beaches), prompts (installation of signs and posters on vessels) and social norms (one-to-one engagement with key influencers and decision makers). The monitoring of behaviour change took place through structured observations over 23 weeks, focussing on the number of nets disposed of in the allocated skip bins. Results Results showed a low level of behaviour adoption rate by skiff and launch vessel fisheries, respectively, 5.36% and 2.58%. Positive results were observed for a short time but did not reach the estimated target value throughout the study period. Recommendations for Research Our pilot study did not lead to broad-scale implementation and we recommend further awareness and engagement with the target audience, trials of various behaviour change tools and increase field monitoring time. We further recommend the application and funding of behaviour change methods applied to fishers with the incorporation of conventional financial, conservation and regulatory tools to support resource management. Limitations Our results show that focussing on specific behaviours with appropriate measurement is both resource and time demanding to solve pressing conservation problems, particularly ones generated by complex industries such as fishing. Various lessons, useful for other social marketers, have been drawn from our evaluation of the overall study.
Background:The COVID-19 pandemic has been a source of significant confusion and fear for healthcare workers as they try to maintain some sense of normalcy within their daily practices. One of the many areas affected by this pandemic has been palliative care. Palliative care nurses were thrust into a world of chaos as they faced increasing numbers of patients who were in the process of dying.Purpose: The aim of this research was to explore the caring experiences of palliative care nurses during the COVID-19 pandemic.Methods: A qualitative interpretive description design was used to explore the experience of nurses caring for dying patients in a palliative care unit during the COVID-19 pandemic. Twenty-two nurses working in a palliative care unit participated in this study. Data were collected during 1.5-to 2-hour focus group sessions that were guided by open-ended questions.Results: The collected data were analyzed and coded into themes, including (a) transitioning to the new normal, (b) ethical dilemmas, and (c) collaboration and support for fellow colleagues.Conclusions: Although the COVID-19 pandemic has not yet ended, this study provides relevant implications for practice. These implications include (a) holding continuing education sessions to help nurses better understand the meaning of pandemic conditions and how best to respond and (b) supporting nurses to better cope with the additional burdens faced because of increased patient loads. Overall, the nurses in this study were shown to have demonstrated reliance and resilience in the face of COVID-19.
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