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Journal of Community Health Nursing

Hanul Lee, Jiwon Lee, Jong-Eun Lee
The aim of this study was to gain an understanding of the experiences of families who care for older adults with non-cancer diseases at the end of their lives. The data accrued through in-depth interviews, analyzed using Giorgi's phenomenological method: caregiving burden; situational responsibility; consolation by support; and mourning for the deceased. In Korean culture, adult children had the responsibility of caring for their aged parents as a burden of caregiving and as a main motive for caregiving. Educational and psychological support programs for caregivers should aim to boost confidence, rather than merely focusing on their burden...
January 2019: Journal of Community Health Nursing
Julie H Alexander-Ruff, Elizabeth Kinion
Integrating cultural consciousness into nursing curricula is important for preparing a global nursing workforce. This article evaluated the impact of a teaching strategy designed to facilitate nursing students' cultural consciousness beyond the classroom during a 1-week field experience within a rurally isolated Native American community. Cultural consciousness health care is a central element of health care delivery that integrates clinical knowledge, sensitivity, and cultural understanding. This study used an intrinsic single case study design bounded by 30 nursing students' perceptions of their week-long immersion experience within a rurally isolated American Indian community...
October 2018: Journal of Community Health Nursing
Paige Ricca, Carolyn Wahlskog, Martha Dewey Bergren
Lesbian, gay, bisexual, transgender, or queer (LGBTQ)-identified individuals, particularly transgender individuals, experience significant health inequities such as increased risk for chronic health conditions and mental health concerns. Discrimination by health care professionals is a major deterrent for LGBTQ individuals to seek health care. The purpose of the article is to offer practice recommendations using targeted community actions to enhance LGBTQ cultural sensitivity in community health care settings...
October 2018: Journal of Community Health Nursing
Bonnie H Bowie, Lauren Valk Lawson
Compiling a health needs profile of a difficult-to-reach population such as the homeless can be challenging, particularly when using a community-based participatory research approach. In this article, we describe our experience using the Vulnerability Index® (VI), a questionnaire developed by 100,000 Homes Campaign to assess and prioritize individuals in need of housing based on their risk of mortality. We found the VI easy to administer and helpful in creating a health needs profile of participants.
October 2018: Journal of Community Health Nursing
Pooja Bhalla, Karla Damus, Terri LaCoursiere-Zucchero, Michelle Beauchesne
PURPOSE: This quality improvement, educational intervention project aimed to develop nurse leaders at a large urban federally funded Health Care for the Homeless Program (HCH), using the Nursing Leadership Institute Competency Model. METHODS: A leadership seminar series which addressed six leadership topics for homeless health care nurses was developed, implemented, and evaluated using a one group pre/posttest design. The Leadership Practices Inventory (LPI) was also administered before and after the seminar series...
October 2018: Journal of Community Health Nursing
Kathleen Bornhoeft
Background and Problem Statement: Obesity is a prevalent chronic disease associated with decreased life expectancy, increased morbidity and mortality, and escalating health care costs. PURPOSE: To explore perceptions, attitudes, and behaviors toward obesity management by providers in primary care. METHOD: Data were collected through a descriptive qualitative design using semi-structured face-to-face interviews at primary care practices. RESULTS: Common barriers to obesity management were identified and three major themes emerged; provider centered obstacles, perceived organizational obstacles, and provider perception of patient obstacles...
July 2018: Journal of Community Health Nursing
Melessa N Kelley, John R Lowe
This community-based study explored the effectiveness of an after-school cultural-based intervention for Native American youth at risk for obesity. A standard health education after-school program served as the comparison control condition. Cherokee self-reliance (cultural identity), perceived stress, and obesity knowledge and related behaviors were the three outcome measures evaluated at baseline and immediate post-intervention. Findings revealed that participants who completed the cultural-based intervention had better results on the three outcome measures in comparison to the standard health education program...
July 2018: Journal of Community Health Nursing
Jeana M Holt, Teresa S Johnson, Bev Zabler
This explorative qualitative study describes the lived experiences of urban-dwelling African American (AA) women who participated in a nurse-led community-based health-promotion program for up to 20 years. Data were collected using semistructured interviews and analyzed using a phenomenological approach. Two central themes arose, the program facilitated behavior change and supported retention and recruitment. The findings suggest that AA women will attend classes and invite other participants when facilitators embed relevant community-engaged principles in the program...
July 2018: Journal of Community Health Nursing
Jinjiao Wang, Sandra F Simmons, Cathy A Maxwell, David G Schlundt, Lorraine C Mion
The objectives of this study were (1) to describe home health care (HHC) nurses' perception of and care processes related to geriatric depression and frailty, and (2) to identify barriers to care delivery for older persons with these two conditions. Ten semi-structured interviews were conducted with HHC nurses, and 16 HHC nursing visits to 16 older patients (≥65 years) were observed. Mixed method analysis showed that HHC nurses did not routinely assess for frailty and depression. Major barriers to care delivery included insufficient training, documentation burden, limited reimbursement, and high caseload...
July 2018: Journal of Community Health Nursing
Angela A Sanchez
Curanderismo is a system of traditional folk practices and beliefs that address health and healing in the Hispanic community. Curanderismo serves a function in the daily lives of Hispanics worldwide, providing them access to culturally appropriate healthcare, and agency over their own, and their family's health. Cultural competency in the area of curanderismo is invaluable, as curanderismo is a folk resource that if acknowledged and embraced by nurses and healthcare practitioners can aid in healthcare delivery and increased healthcare utilization among Hispanic populations...
July 2018: Journal of Community Health Nursing
Katie Fisher, Brenda Cassidy, Dianxu Ren, Ann M Mitchell
A bully is defined as anyone who participates in any form of repetitive negative and hurtful behavior, with the intent of inflicting harm (Highmark & Center for Safe Schools, 2013). PURPOSE: The purpose of this project was to evaluate the feasibility of implementing a bullying awareness, prevention, and screening program for teachers and school nurses. METHODS: The sample included 174 fifth-graders from a public-school district in rural, southwestern Pennsylvania...
April 2018: Journal of Community Health Nursing
Jamie Leslie
This study was a test of the feasibility of educating a convenience sample about normo-carbohydrate nutrition (NCN). From May 2015 and May 2016, 51 participants were enrolled in this intervention study about NCN. Participants were measured for chest, waist, abdomen, and hip circumferences, weight, and height at start and month 1, 2, and 3. After 1 month, there was a significant reduction in hip circumference, weight, and BMI with similar findings after 2 and 3 months. Significant reductions in chest, hips, and weight among participants after repeated measures provide hope for this promising nutritional strategy...
April 2018: Journal of Community Health Nursing
Tara N Cavazos, Rachel L Richesson, Amanda G Hall, A Lee Dukes
The purpose of this project was to standardize the referral and documentation process for diabetes education in patients with type 2 diabetes. The goal was to refer all eligible patients with type 2 diabetes into diabetes education. A standardized template within the clinical note was created to capture if the patients had ever received diabetes education. Use of this template by the clinician improved documentation about diabetes education and increased referrals into diabetes education programs. The findings of this project can be applied to other primary care clinics to help increase the historically low referrals rates into diabetes education...
April 2018: Journal of Community Health Nursing
Rosemary W Eustace, Maura C Boesch
Integrating global health concepts in nursing curricula is important for a competent contemporary global nursing workforce. This article describes a teaching strategy that facilitates students' translation of global health content from classroom to the community. A community-academic partnership and a train-the-trainers' approach to support community capacity for working with refugees was implemented. The Community-As-A Partner model was used as the guiding framework. Additionally, the DEAL model was used to support students' reflections on their clinical experiences...
April 2018: Journal of Community Health Nursing
Sujayalakshmi Devarayasamudram, Jennie C De Gagne, Neeraja P Kurudi, Hee Sun Kang
India has the third highest number of persons living with HIV in the world. We evaluated the effectiveness of a structured teaching program on HIV-related knowledge and attitudes among 600 young women, aged 20-40 years, in India. This study employed a quasi-experimental pre-post design. Significant differences were found in the level of the participants' knowledge of (t = 78.89, p < .05) and attitudes toward (t = 64.14, p < .05) HIV after the intervention. Our findings suggest that the structured teaching program could be utilized in increasing young women's knowledge of, and improving their attitudes about, HIV...
April 2018: Journal of Community Health Nursing
Malerie Lazar, Lisa Davenport
Having a low-income presents a variety of problems for families and children, with access to health care being the most complex and prevalent. Although there are many challenges for low-income families to access adequate health care in the United States, the key barriers identified in this review of literature are a lack of education, complications with health insurance, and a distrust of health care providers. Each obstacle is influenced by a myriad of factors that affect vulnerable sub-groups of low-income families...
January 2018: Journal of Community Health Nursing
Paige Johnson, Michele Montgomery, Patrick Ewell
Hypertension (HTN) is a significant public health problem in adults, and rates of HTN are rising in children as well. The purpose of this study was to determine blood pressure (BP) and body mass index (BMI) levels in low-income, rural preschool children and investigate the relationship between child and maternal factors that impact BP and BMI in these children. Results indicated high rates of overweight/obesity and elevated BP levels in this sample. Maternal hypertension during pregnancy also emerged as a predictor of elevated BP in their children...
January 2018: Journal of Community Health Nursing
Jingxuan Zhou, Ping Peng, Xiaohua Xie
This study aimed to screen the prevalence of pain in Chinese community-dwelling older adults and to evaluate the effects of a brief mindfulness-based intervention on chronic pain. The prevalence of pain among Chinese older adults was 40.5%. The brief mindfulness intervention had significant effects on reducing pain intensity (P = 0.004), and increasing the mindfulness measures: observing, acting with awareness, non-judging and non-reactivity inner experience (all P values < 0.05). Pain prevalence among Chinese older adults was relatively high...
January 2018: Journal of Community Health Nursing
Sheila Q Hartung, Mindi Miller
The aim of this qualitative study was to describe the communication perceptions of nurse managers in rural areas. Prior research in tertiary settings was the impetus for studying viewpoints in other settings. Grounded theory methods were used to collect and analyze interview data with nine managers from regional, critical access hospitals, and home health settings in central Pennsylvania. Nurse Managers associated successful communication with job satisfaction, work efficiency, and employee retention. Circumstances influencing communication involved discussion tones, techniques, resources, and environmental factors...
January 2018: Journal of Community Health Nursing
Katie Fisher, Brenda Cassidy, Ann M Mitchell
Bullying is not a new concept or behavior, and is now gaining national attention as a growing public health concern. Bullying leads to short- and long-term physical and psychological damage to both the victims and the bullies. The serious implications of bullying drive a clinical mandate for teachers and school nurses to be educated and adequately trained to identify and address bullying within schools. This review of the literature describes screening tools that can be utilized to identify both victims and bullies...
October 2017: Journal of Community Health Nursing
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