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Journal of National Black Nurses' Association: JNBNA

Glenmore Hendricks, Andrew P Corr, Annie P Odell, Joy R Goebel
The purpose of this integrative review was to synthesize the existing evidence on diabetes care within a Patient-Centered Medical Home (PCMH) model to evaluate its effectiveness on quality outcomes. Literature published in English between 2005 and 2015 was searched using thefollowing keywords: PCMH and diabetes, comprehensive care, care coordination, patient-centered care, quality and safety, and accessible care. The following databases were searched: Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Cochrane Review, Academic Premier (EBSCO), and Psych INFO...
July 2017: Journal of National Black Nurses' Association: JNBNA
Larider Ruffin
Diabetes is a complex, chronic illness requiring continuous medical care with multifactorial risk-reduction strategies for appropriate glycemic control. Type 2 diabetes remains a global epidemic secondary to increases in physical inactivity and obesity. While many populations are at risk, African-Americans bear a disproportionate burden from diabetes and its complications. Diabetes self-management education (DSME) is essential to successful diabetes treatment and complication prevention. However, diabetes management requires daily patient involvement and skills...
July 2017: Journal of National Black Nurses' Association: JNBNA
Portia Johnson, Yvonne Wesley, Lynda Arnold, Lois Greene
This article conveys the authors' perspectives and insights gained during the development and implementation of their experience with a community-based intervention designed to address obesity among Black women. The reader gets a look at the authors' personal weight struggles, as the intervention they designed to help others transformed their lives as well as the participants. The authors also shared their perspectives on the impact of religion and spirituality on healthy lifestyles.
July 2017: Journal of National Black Nurses' Association: JNBNA
Barbara A Fowler, Joyce Newman Giger
Numerous researchers have examined the serious consequences of food insecurity and food deserts affecting the nutritional health of poor or low-income African-American women and their families. Food insecurity is defined as having limited or uncertain capacityfor acquiring sufficient, safe, and nutritious food at all times to meet one's dietary needs, while food deserts refer to economically and socially-deprived inner city areas with inadequate food supply that are often inhabited by low-income groups. Researchers have found that despite the capacity of community-level resources such as SNAP (Supplemental Nutrition Assistance Program) and WIC (Women, Infants, and Children) supporting healthy nutrition, food insecurity persists among some recipients of both nutritional resources...
July 2017: Journal of National Black Nurses' Association: JNBNA
Debbie Chatman Bryant, L Monique Hill, Cathy Melvin, Yolanda M Powell-Young, Marvella E Ford
Despite cutting edge progress in early detection, risk reduction, and prevention, unique contextual and sociocultural factors contribute to higher mortality rates for selected cancers in African-American men and women. Collaborative community engagement and outreach programming strategies that focus on sustainability and grass-roots organizing can inform health risk disparities, build trust, and allow communities to take ownership of their own health needs. This paper describes a successful evidence-based community engagement intervention woven into the social and interpersonal fabric of the African-American community in Charleston, South Carolina...
July 2017: Journal of National Black Nurses' Association: JNBNA
Stella O Akpuaka, Veronica A Clarke-Tasker
Nursing today is predominantly a female profession; however, men are reentering the profession in record numbers and challenging the perspective that they are inappropriate in caregiver roles, or incapable of providing compassionate and sensitive care. This study investigated the perceptions and experiences of male nursing students in a maternal-newborn nursing course and their coping strategies in dealing with the clinical rotation role stress. A purposive sample included 11 male nursing students who completed a survey, and 6 out of the 11 participated in individual interviews...
July 2017: Journal of National Black Nurses' Association: JNBNA
Odette Fisher-Glover, Barbara Edlund, Emily Johnson
This quality improvement project evaluated whether offering a series of 5 structured interdisciplinary diabetic educational teaching sessions would improve glycemic control as measured by random blood sugars (RBS) in a Program of All-Inclusive Care for the Elderly (PACE). Five diabetic educational sessions were held over a 4-week period with 50 participants (N = 50). Data were analyzed and displayed using descriptive statistics and figures. Average RBS remained steady from 176.34 pre- to 175.52 post-intervention...
July 2017: Journal of National Black Nurses' Association: JNBNA
Paula Perry Hampton, Jerell D Chua, Emily Johnson, Barbara J Edlund
The purpose of this study was to improve healthcare outcomes by reducing blood pressure and weight in adult patients with diabetes at afederally qualified health center. NextGen electronic health record was used to review aggregate data of blood pressures and weight pre-intervention and post-intervention for women and men (N = 304) between 20 and 87 years of age with type 2 diabetes and a BMI : 30. Findings from this study showed that blood pressure and weight did not improve as anticipated using a variety of educational approaches and strategies within the study population...
July 2017: Journal of National Black Nurses' Association: JNBNA
Anniece Spencer, Nuzhat Majid, Gina M McCaskill, Loretta T Lee
Pre-diabetes is the underlying pathology for type 2 diabetes. The Diabetes Prevention Program is a proven, effective strategy to control or prevent type 2 diabetes; however, there is limited data on what motivates people with pre-diabetes to participate in a Diabetes Prevention Program. Cross-sectional analysis of survey data from adults with pre-diabetes was conducted from October to November 2015. Fisher's exact test was utilized to examine relationships between study variables. Findings indicated that muscle strength was related to commitment to healthy lifestyle behaviors (p = 0...
July 2017: Journal of National Black Nurses' Association: JNBNA
Patricia E McDonald, Maxine A Nunez, Hossein N Yarandi
Forty-eight (N = 48) African-Caribbeans participated in a church-based diabetes care survey in St. Thomas, U.S. Virgin Islands. The purpose of this pilot study was to determine whether integration was a significant predictor of depressive symptoms and glycemic control in persons with type 2 diabetes among African-Caribbeans in faith-based organizations (FBO), controlling for demographic variables. Data were collected on measures of integration of diabetes, acceptance, depressive symptoms, number of hypoglycemic episodes, hemoglobin Alc, and demographic characteristics...
July 2017: Journal of National Black Nurses' Association: JNBNA
Ngozi D Mbue, Jing Wang, Stanley G Cron, Jane A Anderson
The purpose of this study was to determine the feasibility of implementing a multiple-behavior self-monitoring intervention within a diabetes education program. This study was a 3-month pre- post-design, conducted with African-Americans (N = 20), who attended diabetes education classes at a large Veteran's Affairs (VA) hospital in Southwest Texas. Participants selfmonitored their blood glucose, diet, exercise, and weight on either a smart phone application or paper diaries. Paired t tests showed strong evidence that patient self-monitoring of healthy lifestyle behaviors improved blood glucose (t = -3...
July 2017: Journal of National Black Nurses' Association: JNBNA
Eric Williams, Joyce Newman Giger, Christine Brannon
No abstract text is available yet for this article.
July 2017: Journal of National Black Nurses' Association: JNBNA
Marcia A Lowe, C Ann Gakumo, Patricia A Patrician
The aim of this qualitative study was to explore the coping strategies of staff nurses working in palliative care. Death and dying are important aspects of nurses' day-to-day work in palliative care and considered stressful, yet satisfying. The sensitive feelings of nurses and delicate emotions may lead to burnout, compassion fatigue, and overall poor clinical judgments, thus resulting in unsafe patient care. Little contemporary evidence exists regarding the effect of workplace stress on palliative care nurses or their coping strategies...
December 2016: Journal of National Black Nurses' Association: JNBNA
Hazel L White
There have been 3,625 cases of Zika virus in the United States and 22,069 cases in the U.S. Territories (Centers for Disease Control and Prevention [CDC], 2016a). As a result, Zika virus is rapidly becoming a major health problem in certain areas of the United States. The CDC is reporting valuable data and clinical recommendations almost every month. With this rapid dissemination of information, it is difficult for most health-care providers to keep up. Therefore, this article was written to provide health-care providers with the most current information (as of September, 2016)for managing patients with Zika virus...
December 2016: Journal of National Black Nurses' Association: JNBNA
Lovoria B Williams, Merry Stewart, Amber McCall, Thomas Joshua, Robert Sarfo, Jane T Garvin, Lucy Marion
Nearly 50% of African-American adults are obese. Obesity is a known contributor to chronic diseases such as type 2 diabetes mellitus (type 2 DM). Short-term Diabetes Prevention Programs (DPPs) achieve short-term weight loss success, but weight regain is common. African-Americans, compared to Whites, are particularly challenged by weight maintenance. In collaboration with community health workers, translation scientists have delivered successful short-term DPPs in community settings, such as African-American churches...
December 2016: Journal of National Black Nurses' Association: JNBNA
Susan J Appel, Sarah G Buxbaum
The aim of this study was to determine the acceptability of group-conference-call diabetes educational support sessions for rural dwelling southern African-American women and to describe the impact on diabetes distress. Pre- post-test design was utilized to determine any change in scores on questionnaires. Qualitative techniques were utilized to determine the acceptability of the conference callformat. Participants recruited (N = 3) manifested either dysglycemia or frank type 2 diabetes. Diabetes distress and knowledge tools, demographics, baseline laboratory data, and measures of body habitus were obtained...
December 2016: Journal of National Black Nurses' Association: JNBNA
Helen Cho
Biomedical literature often cites that populations of African ancestry experience lower incidence and prevalence of osteoporosis compared to White populations. Diverse skeletal tissue physiology and sociocultural factors may exist in sub-Saharan African populations and the diaspora, which confer advantages against age-associated bone loss and osteoporosis through differing mechanisms. Nevertheless, the fallacious and erroneous understandings of race that are frequently applied to explain this reference should be critically re-evaluated, warranting a new framework for rethinking the epidemiology of osteoporosis...
December 2016: Journal of National Black Nurses' Association: JNBNA
Crystal Lambert Champman, Allyssa L Harris, Comfort Enah
Black/African-American women living with the human immunodeficiency virus (HIV) are at greater risk for developing cervical cancer. However, little is known about their understanding of the human papilloma virus (HPV), cervical cancer, or Pap testing. Therefore, the purpose of this paper was to examine HPV and cervical cancer among Black/African-American women living with HIV This is a secondary data analysis of a cross-sectional descriptive study aimed at assessing perception about cervical cancer and Pap testing among a convenience sample of 300 women living with HIV For this analysis, data from 211 Black/African-American female participants were extracted...
December 2016: Journal of National Black Nurses' Association: JNBNA
Faye Gary, Rui Li, Hui Zhu, Amy Y Zhang, Cheryl Killion
This study examined the differences among 57 depressed and nondepressed African-American cancer patients and their use of social support and self-coping resources. In-depth interviews were used to elicit narrative responses and Fisher's exact test was used to compare the 2 groups. The depressed patients, as determined by 3 depression scales, more frequently reported having no supportive family, lacking a support system, having sedentary hobbies, or using alcohol or drugs as coping strategies compared to the nondepressed patients...
December 2016: Journal of National Black Nurses' Association: JNBNA
Diane C Berry, Emily G Hall, Madeline N Neal, Reuben Adatorwovor, Todd A Schwartz, Alison Stuebe
The purpose of this pilot study was as follows: Aim I was to determine the feasibility of the intervention, including its acceptability, and tofurther refine intervention materials and study procedures including recruitment, enrollment, intervention, retention, and data collection. Aim 2 was to test the initial effects of the intervention on the primary outcome of fasting blood glucose and secondary outcomes including metabolic, clinical, adiposity, health behavior, and self-efficacy outcomes in women. Aim 3 examined infant feeding...
December 2016: Journal of National Black Nurses' Association: JNBNA
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