Journal of National Black Nurses' Association : JNBNA

Mentoring can enhance retention of academically at-risk students. The purpose of this project was to determine the feasibility of technology-enhanced faculty mentorship use in retention of minority undergraduate nursing students. The project consisted of a unique, blended (face-to-face and tablet-based) mentoring approach. Eight faculty mentors and 29 nursing student mentees participated across two cohorts. We used descriptive statistics instead of inferential statistics; therefore our findings are observational instead of inferential...

The purpose of this study was to encourage African-Americans to become active participants in advanced care planning through increased education and awareness. A quasi-experimental design was used in two local churches in Leon County. Thirty participants (N = 30) were African-Americans, 18 years of age and older, English speaking, from all socioeconomical levels, and from all educational backgrounds. The annotated 2003 Minnesota Survey was used to develop pre-survey and post-survey questions regarding advanced care planning...

African-Americans bear a disproportionate burden of HIV infections in the United States and African-American women make up 64% of new HIV infections. Therefore, this study aimed to explore the predictors of those who are more likely to use Pre-Exposure Prophylaxis (PrEP) among women reporting IPV, depression, and partner risk. This study used secondary data analysis to explore IPV, depression, and increased partner risk as predictors of PrEP use among 768 women (506 African-American women and 262 White women in the United States) who responded to survey questions regarding potential PrEP use and barriers to uptake...

This study describes a conceptual model about empowering self-care. Such a model is important because of its potential for influencing health outcomes in chronic conditions, a leading cause of illness and disability. A defining characteristic of chronic illness is the need for effective self-care management. Therefore, a self-care management plan that is collaboratively developed and considers the patient's goals, resources, culture, and lifestyle was proposed. The philosophical perspective of oppression and story theory provided the theoretical lenses used to define the concept empowering self-care...

MHealth provides a new way of promoting hypertension self-management behaviors. However, the acceptance, feasibility, and effectiveness of interventions incorporating mHealth technology have been understudied in African-Americans with hypertension. This study aimed to explore participants' (n = 30) experiences using a community and technology-based intervention to self-manage their hypertension (COACHMAN). Focus groups were conducted with African-Americans living with hypertension. Focus groups were audio-recorded, and the data were transcribed verbatim and analyzed qualitatively using thematic analysis...

No abstract text is available yet for this article.

Global warming and environmental heat stress are public health concerns. Urban heat islands, metropolitan areas with higher temperatures compared to their surrounding rural areas, compound the effects of increased environmental heat. In addition to acute heat-related illness, increased environmental heat is linked to exacerbation of chronic diseases. The purpose of this narrative review is to provide an overview of heat islands and how the effects of heat stress intersect with chronic diseases in the African American (AA) community...

In Immokalee, Florida, farmworkers returning for the fall harvest season and students returning to school for in-person classes combined to create fertile ground for a new outbreak of COVID-19 (ciw-online, 2020). In response to this situation, the goal of this service-learning experience was to provide health screenings and health education to migrant workers and their families in Immokalee, a rural medically underserved community. In the first immersion, RN-BSN students provided educational programs in three churches, at Boys & Girls Club and Pace Center for Girls, reaching 984 migrant workers and their families...

Dr. Gloria Smith's 1975 message "From Invisibility to Blackness: The Story of the National Black Nurses Association," still resonates today and in some instances, resonates even more. The need to promote the visibility of Black nurses in improving the health and well-being of Black communities and advancing the profession has never wavered. Dr. Gloria Smith's 1975 message still resonates today and in some instances, resonates even more. The need to promote the visibility of Black nurses in improving the health and well-being of Black communities and advancing the profession has never wavered...

In celebration of the 50th anniversary of the first Institute and Conference of the National Black Nurses Association, the following article was written three years after that first Conference was held (Smith, G. R. [1975]. Nursing Outlook, 23[1], 225-229). It is reprinted here with permission from Nursing Outlook..

The purpose of this study was to explore student nurses' awareness of implicit biases that may exist related to caring for individuals of different races. To further explore this subject, several student nurses were asked to analyze their Implicit Association Test (IAT) results and reconcile their findings with their lived experiences. The students' responses and assessments are reported in this study. Although several health disciplines are looking at those biases, there is a need for additional data to address those biases, specifically in nursing...

Healthcare providers face certain barriers to fully assessing different social needs and referring patients to community resources appropriately, perpetuating healthcare disparities. The purpose of this quality improvement study was to create an intervention to increase assessment of social determinants of health (SDOH) and referrals. A module incorporating concepts of SDOH was developed and delivered during two training sessions. This module focused on: Partnership, Acceptance, Compassion, and Evocation (PACE)...

Cervical cancer, one of the most common gynecological cancers in the United States, is highly preventable due to the papanicoloau (Pap) test with human papillomavirus (HPV) co-screening. However, there is increasing evidence of low adherence to screening guidelines by health care providers (HCP). The purpose of this study was to identify and improve health care providers' attitudes, beliefs, and knowledge of the most updated screening guidelines and to provide them with an evidence-based educational intervention to increase their confidence in the updated guidelines, improve their attitudes and beliefs, and screen their patients more appropriately...

The COVID-19 pandemic exposed the inequity and injustice that African-Americans and those in minority communities face when it comes to their fundamental health rights. The prejudice they see in social situations, politics, and finances has resulted in unfair, organized, and socially manufactured health inequities, especially in those minority communities in New York City. These disparities result in a mistrust of the healthcare system and, ultimately, hesitancy toward COVID-19 vaccines. To combat these issues, healthcare leaders such as those from the Greater New York City Black Nurses Association have partnered with community organizations to combat racism in our healthcare system and establish and successfully operate vaccination sites in these communities...

This study considers why selected information behaviors such as health information seeking, understanding communicated risks, and therapeutic misconceptions contribute to the decision not to participate in a clinical trial despite the possible benefit to the subject. Topics also presented include background regarding the nature of clinical trials in the United States, ethical and regulatory constraints facing researchers, and a consideration of why the history of medical experimentation on the African-American community may be a reason why members of this group decline participation in clinical trials...

This qualitative research study highlights medical mistrust as a significant barrier to quality health care for Black women. Unraveling mistrust is essential for reducing health disparities and improving well-being for women and their families. Three research sites were included: Florida, Ohio, and the U.S. Virgin Islands. Three 90-minute focus groups were convened with 10 women in each of them. The discussions were recorded. Five themes will be discussed through the voices of women from each of the sites. Mistrust of healthcare professionals was associated with fears about being rejected, embarrassed, and misunderstood during the clinical encounter...

As a result of severe acute respiratory syndrome coronavirus 2, there has been a surge in the prevalence and severity of non-syndromic pediatric overweight (NSPO) in the United States. Prevention interventions such as engagement in regular moderate-to-vigorous physical activity have been consistently shown to mitigate the development and maintenance of NSPO. Yet, African-American adolescent females, a subgroup of the population disparately impacted by NSPO, are less likely to engage in regular physical activity...

No abstract text is available yet for this article.

To measure the prevalence of diabetes mellitus among Haitian American Afro-Caribbeans, a quantitative descriptive cross-sectional study was conducted using a convenience sample of 151 Haitian Americans in New York, New Jersey, and Florida. The results of the study revealed an age-adjusted prevalence of diabetes mellitus of 39.9% (95% CI 29.8% - 50.1%). This is greater than the prevalence in the U.S. population (12%) (Z = 5.54, p < 0.05) and the prevalence in the Black, non-Hispanic population (16.8%) (Z = 3...

Roughly 88 million adults have prediabetes and over 84% are unaware that they even have prediabetes. African-Americans have an increased risk of being diagnosed with prediabetes. Faith-based organizations have a history of serving as a primary source of social support for African-Americans. Parishioners with prediabetes from four African-American churches participated in free, evidence-based group coaching to learn how to manage and control risk factors associated with type 2 diabetes. The weekly group coaching sessions took place at a local church and they were co-facilitated by two trained professionals: a lifestyle coach and a nurse practitioner...