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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
Heidy N Merius, Annie J Rohan
An integrative review was conducted using PubMed and CINAHL databases to answer: What is known about adult attrition from community health worker (CHW) programs on diabetes self-care? The 14 articles described patients of multiple races who were mainly of lower socioeconomic status. CHW interventions were given in individual meetings and/or group sessions. Incentives to reduce attrition came in different forms. Barriers involved transportation, family obligations, and scheduling conflicts. Attrition from these programs is a multifactorial problem...
October 2017: Journal of Community Health Nursing
Devon Noonan, Ann Michelle Hartman, Joyce Briggs, Donna J Biederman
This study described the health behaviors and barriers and facilitators of those behaviors in elderly and/or disabled residents of public housing. A mixed-methods design was used. Residents (N = 88) completed a survey with validated measures of health behaviors. A sub-sample (N = 16) participated in three focus groups. Residents scored worse than population norms on the majority of behaviors measured. Qualitative results framed in an ecological model indicated the majority of facilitators and barriers to health behaviors were perceived as occurring at the intrapersonal and interpersonal levels...
October 2017: Journal of Community Health Nursing
Danae Dinkel, Melissa Tibbits, Emily Hanigan, Kelly Nielsen, Leah Jorgensen, Kay Grant
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...
October 2017: Journal of Community Health Nursing
Darson Rhodes, Joseph Visker, Carol Cox, Emily Forsyth, Kendra Woolman
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 provide information and resources to parents...
October 2017: Journal of Community Health Nursing
Ruth Muze, Elijah O Onsomu
Parenting school-aged children while living with HIV has been associated with significant consequences for African American mothers. This article presents and discusses the results of a qualitative study that examined the parenting experiences of HIV-infected African American mothers rearing young children. A sample of 8 inner-city, African American mothers of uninfected preschool-aged children were interviewed individually. Interview guide questions explored day-to-day childcare activities from the mothers' perspective...
July 2017: Journal of Community Health Nursing
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