Increasing Intent to Vaccinate for Seasonal Influenza.
Authors: Valentino S, Suit L Abstract Background: The community college student is not currently armed with the resources or prevention information regarding influenza. Less than twenty percent of the college population receives influenza immunization annually.Purpose: The purpose of the project was to evaluate if an evidenced-based influenza and vaccine education intervention will affect nursing students' intent to vaccinate for influenza by increasing knowledge of the influenza vaccine using Zingg and Siegrist's Knowledge Scale.Methods: Participants were recruited voluntarily from their attendance at orientation ...
Source: Journal of Community Health Nursing - April 4, 2020 Category: Nursing Tags: J Community Health Nurs Source Type: research

Effects of Transcultural Nursing Education on the Professional Values, Empathic Skills, Cultural Sensitivity and Intelligence of Students.
Authors: Kaçan CY, Örsal Ö Abstract Purpose: To examine the effect of Transcultural Nursing education on nursing students' Professional Values, Empathic Skills, Cultural Sensitivity and Intelligence.Design: A posttest quasi-experimental study with a control group.Methods: The participants were second year nursing students (n = 125). The experiment group was composed of students who had enrolled in the Transcultural Nursing course (n = 65). The control group consisted of students who did not enroll in this course (n = 60).Findings: The posttest scores of the experiment ...
Source: Journal of Community Health Nursing - April 4, 2020 Category: Nursing Tags: J Community Health Nurs Source Type: research

Unmet Health Needs in Early Childhood in South Korea.
This study aimed to evaluate child health needs in South Korea and the country's healthcare system capacities to meet them. A comprehensive needs assessment was performed by reviewing child health programs in Korea, followed by focus group discussions and individual interviews with multiple health experts and practitioners. Analysis of the meeting and interview transcripts were identified seven major domains of child health needs and healthcare system capacities. Comparison of child health needs and healthcare system capacities revealed that a much-needed linkage system between child health resources and preventive healthc...
Source: Journal of Community Health Nursing - April 4, 2020 Category: Nursing Tags: J Community Health Nurs Source Type: research

Psychometric Properties of a Theory of Planned Behavior Questionnaire for Assessing the Midwives' Intention to Provide Planned Home Birth Services in Nigeria.
Authors: Muhammed A, Shariff-Ghazali S, Said SM, Hassan M, Lee K Abstract We developed and psychometrically tested a Theory of Planned Behavior (TPB) questionnaire which focused on assessing the midwives' intention to provide planned home birth (PHB) services. This is a quantitative, cross-sectional survey, conducted among 226 midwives working in ten participating health facilities. The reliability and validity of the theoretical constructs were assessed. The Cronbach's alpha values were>0.8 for all scales, suggesting satisfactory internal consistency. Confirmatory factor analysis revealed sufficient convergent ...
Source: Journal of Community Health Nursing - April 4, 2020 Category: Nursing Tags: J Community Health Nurs Source Type: research

Development and Evaluation of a Home-visit Simulation Scenario for Elderly People with Diabetes Mellitus Who Live Alone.
Conclusions: The home-visit simulation scenario was effective in providing students with a problem-solving experience in conditions similar to reality.Clinical Evidence: Further research is needed to develop various types of community simulation scenarios to enhance competency for community health practice. PMID: 32233948 [PubMed - in process] (Source: Journal of Community Health Nursing)
Source: Journal of Community Health Nursing - April 4, 2020 Category: Nursing Tags: J Community Health Nurs Source Type: research

Nursing Student Interprofessional Simulation Increases Empathy and Improves Attitudes on Poverty.
Authors: Phillips KE, Roberto A, Salmon S, Smalley V Abstract Poverty is increasing and it has adverse effects on health. Nurses need to understand how to help patients in poverty meet health goals within interprofessional teams. Nursing students and Veteran's Affairs employees, consisting of patient care and support staff, were recruited for an interprofessional poverty simulation. Prior to and directly following the simulation, participants were asked to complete the Attitudes about Poverty and Poor People (APPP) scale, the Toronto Empathy Questionnaire (TEQ), and the Self Reflection and Insight Scale (SRIS). Sco...
Source: Journal of Community Health Nursing - January 8, 2020 Category: Nursing Tags: J Community Health Nurs Source Type: research

Using Community Engagement to Map Pathways of Opioid Use and Recovery.
Authors: Adams N Abstract We created a tool for use by the community of Tippecanoe County Indiana and their Opioid Task Force to guide their collaborative efforts in addressing the opioid crisis. A community-engaged research strategy led to the creation of a map of opioid pathways based in a systems thinking approach that considers key stakeholders and community members as system components and reflects local resources, supply, and demand for services, and the social ecology unique to this community. Organizations are able to visualize the importance of their interactions with other organizations within the communi...
Source: Journal of Community Health Nursing - January 8, 2020 Category: Nursing Tags: J Community Health Nurs Source Type: research

Using the Omaha System to Evaluate the Integration of Behavioral Health Services into Nurse-Led Primary Health Care.
Authors: Holt JM, Brooke KL, Pryor N, Cohen SM, Tsai PY, Zabler B Abstract Integrating behavioral health services into nurse-led primary care at one location ensures that individuals receive a comprehensive array of preventive and restorative services, based on their varying needs. A formative program evaluation of a federally funded behavioral health integration (BHI) project in a small nurse-led clinic used the Omaha System taxonomy to explore the changes in the documented practice of providers due to the BHI implementation. The evaluation provided evidence of the benefits of a collaborative care model to urban l...
Source: Journal of Community Health Nursing - January 8, 2020 Category: Nursing Tags: J Community Health Nurs Source Type: research

Does Instructor Experience Impact Balance and Health-Related Quality of Life in Healthy Older Adult Participants following a Tai Chi for Arthritis Program?
Authors: Mercuris K, Lowry K, Espey S Abstract Tai chi improves balance in older adults; however, the level of instructor expertise on balance outcomes is not known. Older adults (mean age 72.6 ± 4.2 yrs.) were taught for 6 months by experienced (n = 15) or novice (n = 11) instructors. Both groups had large standardized response means (SRM) for the Four-Square-Step-Test. Only the experienced group had moderate to large SRMs (range 0.439-0.741) in all sway measures under challenge (standing with eyes closed on foam). Participants taught by experienced instructors had gr...
Source: Journal of Community Health Nursing - January 8, 2020 Category: Nursing Tags: J Community Health Nurs Source Type: research

Development of A Patient-Nurse Trust Scale in Underserved Community Setting.
This study developed and evaluated an instrument to measure the patient-nurse trust relationship in a medically underserved community. An exploratory sequential design was employed. In-depth interviews with 20 patients and 15 nurses were conducted to elicit their experiences regarding trust. Interview results were coded, analyzed and formatted into a Likert scale instrument. The instrument was administered to 120 patients. 19 items were retained for the final instrument with item-to-total correlational coefficients greater than 0.5, and a Cronbach's alpha of 0.95. Both construct validity and preliminary criterion validity ...
Source: Journal of Community Health Nursing - January 8, 2020 Category: Nursing Tags: J Community Health Nurs Source Type: research

The Effect of a Lifestyle Intervention on Weight Loss for University Employees.
Authors: Gillis LJ Abstract Obesity is a major health issue. A community-based intervention was implemented on a college campus to help employees lose body weight and fat. Participants were scanned using the InBody device at pre- and post-intervention, measuring body weight, fat, and waist circumference. Participants attended 11 classes on healthy lifestyle education. A comparison of pre- and post-intervention measurements was made using a paired t-test, resulting in a statistically significant difference in outcome measures. Correlation between class attendance and pounds lost showed a moderate negative correlatio...
Source: Journal of Community Health Nursing - October 18, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

The Effect of a Community Based Educational Intervention on Oral Health Knowledge Levels of Adult Caregivers of Young Children in the Rural Upper Peninsula of Michigan.
This study confirms a need for further oral health education. Increasing oral health literacy levels in adult caregivers of young children may lead to an increase in oral health seeking behaviors and a decrease in preventable dental caries in the pediatric population. PMID: 31621429 [PubMed - in process] (Source: Journal of Community Health Nursing)
Source: Journal of Community Health Nursing - October 18, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Efficacy-based Contraceptive Counseling for Women Experiencing Homelessness in Iowa City, Iowa.
This study evaluated homeless women's contraception knowledge and demonstrated improved knowledge following efficacy-based contraceptive counseling. Women were surveyed using a pre-test then post-test following standardized efficacy-based contraceptive counseling. 47 women participated. 13/19 (68.4%) of reproductive-aged women were not using contraception. After education there was significant increase in good-excellent self-rated knowledge (35, 75.5% vs 44, 93.6%; p
Source: Journal of Community Health Nursing - October 18, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Impact of the Alphabet Strategy on Improving Diabetes Care at a Free Health Clinic.
Authors: Robinson J, Lang B, Clippinger D Abstract The complexity and cost of diabetes care are barriers to a free health clinic attempting to provide quality care to uninsured patients. The alphabet strategy intervention was selected to increase the number of patients with diabetes receiving care according to the American Diabetes Association guidelines because it is simple and cost-effective. The project results revealed statistically significant increases in clinic uptake of diabetes education, blood pressure interventions, proteinuria, glucose control measurement and intervention, eye exams, and foot exams. The...
Source: Journal of Community Health Nursing - October 18, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Barriers to Healthcare Access Facing American Indian and Alaska Natives in Rural America.
Authors: Cromer KJ, Wofford L, Wyant DK Abstract We provide a literature review concerning healthcare access for Native Americans in rural areas. We group previous research around three themes; barriers in rural America; barriers within the Indian Health Services system (including provider recruitment and retention); and the scale of services offered. Considering a wide range of access measures, a general failure exists in providing Native Americans with services comparable to those received by other Americans There are repeated findings of disparities in specific resources available, such as staff and infrastructu...
Source: Journal of Community Health Nursing - October 18, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

The Process of Integrating an Evidence-Based Intervention into a Public Health Department to Improve Nutrition and Physical Activity Behaviors in Parents and Children.
Authors: Berry DC, Currin EG, Neal MN Abstract The purpose of this manuscript is to describe a mutually beneficial collaboration with a Public Health Department and a University to implement an evidence-based program to teach nutrition and physical activity to improve adult and child outcomes. We first assessed the needs of the Public Health Department to build sustainable capacity. Next, all collaborators were invited to work together to focus on success. We invested in the leadership structure and strategically planned together. Finally, all of the collaborators worked together to practice cultural awareness. The...
Source: Journal of Community Health Nursing - July 13, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Ease of Use and Usefulness of Medication Reminder Apps among Rural Aging Adults.
Authors: Shade M, Boron J, Manley N, Kupzyk K, Pullen C Abstract Older adults manage multiple medications for chronic disease and those living in rural areas are impacted by health care disparities due to health provider shortages and fewer pharmacies. The use of downloadable medication reminder apps on smartphones may serve as a strategy for medication self-management of chronic diseases. In this feasibility study, thirteen rural older adult participants downloaded Medisafe® and used the app to manage their daily medications. The community-dwelling aging adults in this pilot perceived the Medisafe® as not ...
Source: Journal of Community Health Nursing - July 13, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Partnerships to Evaluate the Social Impact of Dance for Health: A Qualitative Inquiry.
Conclusion: A participatory action research approach facilitates successful collaborations between community organizations and academic institutions and can be used to evaluate the impact of physical activity programs on urban community residents. Participants experienced interpersonal and social benefits from regular attendance at the "Dance for Health" program, subsequently contributing to program sustainability. Focused attention to social determinants of physical activity participation can improve physical activity maintenance in residents who reside in under-resourced communities. PMID: 31291771 [PubMed ...
Source: Journal of Community Health Nursing - July 13, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

A Slovenian Model of Comprehensive Care for Patients with Difficulties Accessing Healthcare: A Step Towards Health Equity.
Authors: Klemenc-Ketis Z, Benkovič R, Poplas-Susič A Abstract Patients that cannot come to their family medicine practice (i.e. who have difficulties with access) do not receive the same preventive screening activities and management of their chronic diseases as those who can. Community nurses who provide healthcare to patients in their homes were trained in additional competencies, including screening for risk factors for selected diseases and the management of patients with selected chronic diseases. The presented model enables equal management of all registered patients, regardless of accessibility. It also fo...
Source: Journal of Community Health Nursing - July 13, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Development and Evaluation of a Theory-Based Approach to Reducing Carbon Monoxide (CO) Morbidity and Mortality: The CO Blitz Model.
Authors: Dawson RM, Williams AP, Richardson J Abstract Carbon monoxide (CO) poisoning is preventable yet remains the most common cause of U.S. non-drug poisoning. The purpose of this non-experimental study was to develop and evaluate the theory-based CO Blitz Model. Events targeted five SC communities; volunteers provided education while local firefighters installed CO alarms. At the 4-6-month follow-up evaluation, all homes still had a functioning CO alarm; most recipients could name CO sources in their homes (78%) and what to do if the alarm sounded (90%). The theory-driven process evaluation revealed the CO Blit...
Source: Journal of Community Health Nursing - July 13, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Caring for Military Veterans in the Community: An Interprofessional Approach.
Authors: Crytzer ML Abstract Military veterans are at higher risk for poor health outcomes due to the myriad of physical and mental health problems that may occur during or after deployment to one or more military combat operations. To improve health outcomes for this vulnerable population, it is essential that healthcare providers employ an interprofessional approach when providing care. With increased numbers of veterans receiving healthcare in the civilian sector, community health nurses are in a unique position to implement and manage effective interprofessional collaboration that will ensure the provision of h...
Source: Journal of Community Health Nursing - April 18, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Meaning in Life for Socially Frail Older Adults.
Authors: Duppen Rn D, Machielse A, Verté Rn D, Dury S, De Donder L, Consortium DS Abstract Being connected with others is fundamental for the experience of a meaningful life. Unfortunately, several older adults have poor networks/social support. The present study focuses on the experience of meaning in life as well as the loss of meaning for socially frail older adults. Results indicate that socially frail older adults experience meaning in life in different dimensions. The article argues that home-care organizations and prevention programs aimed at reducing frailty are encouraged to include evaluations of m...
Source: Journal of Community Health Nursing - April 18, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

A Cost-Benefit Analysis of A Community Free Clinic.
Authors: Stillmank E, Bloesl K, McArthur E, Artz B, Lancaster RJ Abstract Uninsured patients lacking access to primary and preventive care continues to be an issue. The purpose of this analysis is to describe operating costs surrounding a nurse-driven freestanding community clinic and to calculate quality of life benefits using clinically preventable burden scores. A retrospective records review of patients (n = 200) receiving care at a free clinic were used. Annual costs were $387,252. The benefit gained in quality-adjusted life years is estimated to be 57.47-203.94 yielding a return on investment ranging fro...
Source: Journal of Community Health Nursing - April 18, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Increasing Follow-Up Rates at a Free Clinic.
Authors: Smith DW, Vess J, Johnson E Abstract This project aimed to increase the follow-up visit rates at a free medical clinic and evaluate the effects of SMS messaging on follow-up adherence, regardless of whether patients scheduled their follow-up appointments prior to leaving the clinic or if they received paper reminder cards. The use of the SMS application increased overall follow-up rate by 7%. This project supports that patients who received reminder messages via the SMS application kept their follow-up appointments consistently. PMID: 30990745 [PubMed - in process] (Source: Journal of Community Health Nursing)
Source: Journal of Community Health Nursing - April 18, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Low-Income Residents' Perceptions of Medication Availability.
Authors: Johnson R, Cook T Abstract Access to medications is a critical determinant of health which often mediates the effects of diseases and leads to healthier lifestyles. With limited access to pharmacies, neighborhoods become pharmacy deserts. The purpose of this study was to explore the medication needs and perceptions of low-income community residents. A purposive sample of 40 low-income community residents participated in focus groups. Content analysis revealed four themes: transitioning to the present, stereotyping, feelings of disconnectedness, and ideal pharmacy. These findings reiterate the difficulties ...
Source: Journal of Community Health Nursing - April 18, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Risk Factors and Birth Outcomes of a High-Risk Cohort of Women Served by a Community-Based Prenatal Home Visiting Program.
Authors: Tannis C, Sale-Shaw J, Lachapelle S, Garland E Abstract Our study explored risk factors and birth outcomes of a community maternal and child outreach program for high poverty mothers in East and Central Harlem. We conducted a retrospective chart review of 75 mother-infant dyads, with singleton pregnancies, receiving antepartum and postpartum home visits. Inexperienced parenting was associated with increased odds of giving birth to an infant weighing
Source: Journal of Community Health Nursing - February 24, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Evaluating Patient Navigation to Improve First Appointment No-show Rates in Uninsured Patients with Diabetes.
Authors: Weaver KR, Talley M, Mullins M, Selleck C Abstract Free clinics increase access to care, however, patients frequently miss appointments. The purpose of this quality improvement project was to determine if providing patient navigation affects first appointment no-show rates and hemoglobin A1c (HbA1c) in uninsured patients with diabetes at a free clinic. For 6 months, all patients scheduled for new appointments received weekly patient navigation calls. First appointment no-show rates decreased by 17.7% (p = 0.01). Among patients who received at least one patient navigation call, a significantly gre...
Source: Journal of Community Health Nursing - February 24, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Exploring the Need of HPV Education Programs in Korean American Communities.
This study found a lack of knowledge about HPV and the vaccine, along with negative perceptions about the vaccine, affects HPV vaccination decision-making. Ineffective conversations and a lack of HPV vaccine recommendations by health care providers influenced by cultural beliefs were found to be another major barrier. These findings reveal new insights to guide the development of HPV education programs. PMID: 30793961 [PubMed - in process] (Source: Journal of Community Health Nursing)
Source: Journal of Community Health Nursing - February 24, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

The Impact of Physiological Factors on 30-day Unplanned Rehospitalization in Adults with Heart Failure.
CONCLUSION: Many physiological factors were associated with 30-day HF unplanned rehospitalization. Identifying these factors will help health care providers to plan a variety of interventions that reduce 30-day HF unplanned rehospitalization. PMID: 30793963 [PubMed - in process] (Source: Journal of Community Health Nursing)
Source: Journal of Community Health Nursing - February 24, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Bereaved Families' Experiences of End-of-Life Care at Home for Older Adults with Non-Cancer in South Korea.
Authors: Lee H, Lee J, Lee JE Abstract 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 ...
Source: Journal of Community Health Nursing - January 5, 2019 Category: Nursing Tags: J Community Health Nurs Source Type: research

Leadership Development Program for Nurses at a Healthcare for the Homeless Program: A Educational Intervention.
CONCLUSION: Participation in the leadership seminar series improved leadership skills and competencies of nurse leaders at the HCH. The acquired new knowledge may prepare homeless health nurses for sustained leadership roles which in turn will result in better meeting the needs of organizations providing care to homeless individuals. PMID: 30285484 [PubMed - in process] (Source: Journal of Community Health Nursing)
Source: Journal of Community Health Nursing - October 6, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Using the Vulnerability Index ® to Assess the Health Needs of a Homeless Community.
Using the Vulnerability Index® to Assess the Health Needs of a Homeless Community. J Community Health Nurs. 2018 Oct-Dec;35(4):189-195 Authors: Bowie BH, Lawson LV Abstract 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 ...
Source: Journal of Community Health Nursing - October 6, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Enhancing Cultural Sensitivity in a Community Health Care Setting for LGBTQ Patients.
Authors: Ricca P, Wahlskog C, Bergren MD Abstract 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. Strategic planning, assessment for readiness to change, ...
Source: Journal of Community Health Nursing - October 6, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Engaging Nursing Students in a Rural Native American Community to Facilitate Cultural Consciousness.
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. The reality of the situations they encountered did not match their expressed expectations nor their tacit assumptions. Evidence taken in situ from clinical reflections demonstrated most of the students wrestled with this mismatch, although they improved their clinical assessment, technical nursing, and intercultural communication skills. Evidence from end of course reflections demonstrated that two-thirds of the students integrated the...
Source: Journal of Community Health Nursing - October 6, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

An Examination of the Folk Healing Practice of Curanderismo in the Hispanic Community.
Authors: Sanchez AA Abstract 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. PMID: 30...
Source: Journal of Community Health Nursing - July 21, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Home Health Nurses' Perspectives and Care Processes Related to Older Persons with Frailty and Depression: A Mixed Method Pilot Study.
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. Addressin...
Source: Journal of Community Health Nursing - July 21, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Engaging African American Women in Community-Based Health Promotion Programs: Key-Informant Recommendations.
Authors: Holt JM, Johnson TS, Zabler B Abstract 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 pr...
Source: Journal of Community Health Nursing - July 21, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

A Culture-Based Talking Circle Intervention for Native American Youth at Risk for Obesity.
Authors: Kelley MN, Lowe JR Abstract 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...
Source: Journal of Community Health Nursing - July 21, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Perceptions, Attitudes, and Behaviors of Primary Care Providers Toward Obesity Management: A Qualitative Study.
CONCLUSION: Obesity is not being effectively managed in these primary care practices and three common themes/obstacles must be addressed. PMID: 30024289 [PubMed - in process] (Source: Journal of Community Health Nursing)
Source: Journal of Community Health Nursing - July 21, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Effectiveness of a Structured Teaching Program on Knowledge and Attitudes Toward HIV among Young Women 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 
Source: Journal of Community Health Nursing - May 2, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

A Teaching Strategy to Facilitate Nursing Students' Translation of Global Health Learning from Classroom to the Community.
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. A quiz, reflections, participant evaluations, and student peer evaluations were used to assess students' clinical learning experiences. Key lessons learned are also presented. ...
Source: Journal of Community Health Nursing - May 2, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Improving the Documentation Process for Referrals into Diabetes Education: A Quality Improvement Project.
Authors: Cavazos TN, Richesson RL, Hall AG, Dukes AL Abstract 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 prim...
Source: Journal of Community Health Nursing - May 2, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Normo-Carbohydrate Nutrition: Results from a Pilot Study.
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. ...
Source: Journal of Community Health Nursing - May 2, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Implementation of a School-Based Bullying Program.
CONCLUSIONS: The educational program and the PIPSQ tool appear to be a promising method to identify victimization and bullying within an elementary school setting; further research can determine significance of screening and faculty education. PMID: 29714508 [PubMed - in process] (Source: Journal of Community Health Nursing)
Source: Journal of Community Health Nursing - May 2, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Rural Nurse Managers' Perspectives into Better Communication Practices.
Authors: Hartung SQ, Miller M Abstract 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, technique...
Source: Journal of Community Health Nursing - January 14, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Prevalence of Pain and Effects of a Brief Mindfulness-Based Intervention on Chinese Community-Dwelling Older Adults with Chronic Pain.
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
Source: Journal of Community Health Nursing - January 14, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Elevated Blood Pressure in Low-Income, Rural Preschool Children is Associated with Maternal Hypertension during Pregnancy.
Authors: Johnson P, Montgomery M, Ewell P Abstract 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. PMID: 293239...
Source: Journal of Community Health Nursing - January 14, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Barriers to Health Care Access for Low Income Families: A Review of Literature.
Authors: Lazar M, Davenport L Abstract 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. Acknowledging the barriers that prevent access to health ca...
Source: Journal of Community Health Nursing - January 14, 2018 Category: Nursing Tags: J Community Health Nurs Source Type: research

Public Health and School Nurses' Perceptions of Barriers to HPV Vaccination in Missouri.
Authors: Rhodes D, Visker J, Cox C, Forsyth E, Woolman K Abstract Human Papilloma Virus (HPV) is associated with various forms of cancer and is preventable with vaccination. Nurses are in a unique position to directly influence a person's decision to receive the HPV vaccine. A statewide sample of both school and public health nurses was used to assess knowledge and attitudes related to the HPV vaccine as well as nurse's behaviors and behavioral intentions toward educating parents and recommending the vaccine. Positive attitudes and adequate knowledge levels were found, however, the majority of school nurses did not...
Source: Journal of Community Health Nursing - October 14, 2017 Category: Nursing Tags: J Community Health Nurs Source Type: research

Healthy Families: A Family-Based Community Intervention To Address Childhood Obesity.
The objective of this study was to determine the effectiveness of Healthy Families, a family-based community intervention, in improving the knowledge, self-efficacy, and health behaviors of overweight/obese children and their families as well as to explore the lessons learned. Results showed families who completed the program had significant improvements for children and parents in areas such as nutrition knowledge and self-efficacy in making healthy eating choices as well as participating in physical activity. Additionally, families reported decreasing their intake of sugar-sweetened beverages. Participating families and ...
Source: Journal of Community Health Nursing - October 14, 2017 Category: Nursing Tags: J Community Health Nurs Source Type: research