RESUMEN
Cultural humility requires self-evaluation and the awareness that one's own culture is not the only or best one. Teaching health care providers to become culturally humble includes the development of critical thinking skills and the ability to reflect on practice. Journaling as a teaching strategy helps students develop these skills. This article describes the use of reflective journaling as students progressed through four semesters of a community clinical experience. This qualitative, descriptive study was based on the principles of naturalistic inquiry with person-centered written reflections.Two hundred journal entries from 50 students were reviewed, and II themes were identified. Cultural humility cannot be learned merely in the classroom with traditional teaching methods. Reflection on experiences over time leads to the development of cultural humility.
Asunto(s)
Competencia Cultural/educación , Educación en Enfermería/métodos , Pensamiento , Escritura , Alabama , Humanos , Relaciones Enfermero-Paciente , PobrezaRESUMEN
PURPOSE: The aim of this project was to gain a better understanding of cardiovascular disease (CVD) as a women's health issue among Alabama women in a rural county. RESEARCH QUESTIONS: 1. What are the risks and perceptions of CVD of Alabama women in a rural county? 2. What demographic and study variables predict CVD? METHODS: One hundred twelve women participated in this descriptive, prospective study. FINDINGS: Thirty percent identified CVD as the greatest health problem facing women and the leading cause of death in women. Ninety percent believed that they had a 41% or greater chance of developing CVD. The variables in the study explained 60% of the participant's coronary heart disease risk prediction scores. CONCLUSIONS: The understanding gained in this study will be used to find ways to increase the awareness of CVD and to design interventions that improve the cardiovascular health of women in a rural area of Alabama.
Asunto(s)
Actitud Frente a la Salud , Enfermedades Cardiovasculares/epidemiología , Medición de Riesgo , Salud Rural/estadística & datos numéricos , Salud de la Mujer , Mujeres/psicología , Adulto , Anciano , Alabama/epidemiología , Análisis de Varianza , Enfermedades Cardiovasculares/etiología , Enfermedades Cardiovasculares/prevención & control , Causas de Muerte , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Persona de Mediana Edad , Modelos Psicológicos , Investigación Metodológica en Enfermería , Valor Predictivo de las Pruebas , Estudios Prospectivos , Análisis de Regresión , Factores de Riesgo , Distribución por Sexo , Encuestas y Cuestionarios , Mujeres/educaciónRESUMEN
To develop solutions to the public health challenges of inactivity, obesity, and cardiovascular disease in minority women, community/education partnerships bring together different groups, each contributing their unique strengths and sharing responsibilities. This paper describes how an academic/community partnership resulted in the development of a gym to promote physical activity for underserved African-American women. For over 10 years, Auburn University School of Nursing (AUSON) has partnered with the Auburn Housing Authority Community. Based on feedback from community focus groups, the physical activity project was started at a local gym. With participation from various groups, a fully functioning gym is in place. Women from the community have made fitness gains and serve as role models for their families and the community. Lessons learned in establishing the program include the need to provide for accessibility and flexibility and the importance of giving encouragement and promoting ownership.
Asunto(s)
Población Negra , Ejercicio Físico , Área sin Atención Médica , Adulto , Anciano , Peso Corporal , Estudios de Cohortes , Femenino , Humanos , Persona de Mediana EdadAsunto(s)
Actitud del Personal de Salud , Conducta Cooperativa , Evaluación Educacional/métodos , Relaciones Interprofesionales , Estudiantes de Enfermería/psicología , Alabama , Comprensión , Bachillerato en Enfermería/métodos , Bachillerato en Enfermería/normas , Docentes de Enfermería , Procesos de Grupo , Conocimientos, Actitudes y Práctica en Salud , Humanos , Investigación en Educación de Enfermería , Investigación Metodológica en Enfermería , Grupo Paritario , Proyectos Piloto , Encuestas y Cuestionarios , PensamientoRESUMEN
Self-management behaviors are important for control of type 2 diabetes mellitus. Therefore, determining factors that promote effective self-management behaviors may be significant for improving the well-being of patients with type 2 diabetes mellitus. This study examined relationships among self-efficacy, social support, social problem solving, and diabetes self-management behaviors. Further, this study evaluated whether social support and social problem solving were mediators of the relationship between self-efficacy and diabetes self-management behaviors in those living with type 2 diabetes mellitus. Using a cross-sectional, descriptive correlational design, data from a convenience sample of 152 rural people living with type 2 diabetes mellitus were examined. Findings indicated that self-efficacy was a strong predictor of diabetes self-management. The effect of social support on diabetes self-management differed among men and women in the sample. Social support and social problem solving were significantly associated with diabetes self-management in men. Neither social support nor social problem solving were mediators of the relationship between self-efficacy and diabetes self-management in this sample. These findings suggest that nurses need to consider implementing interventions to improve patients' self-efficacy and potentially influence diabetes self-management.
Asunto(s)
Diabetes Mellitus Tipo 2/terapia , Solución de Problemas , Población Rural , Autoeficacia , Apoyo Social , Adulto , Anciano , Anciano de 80 o más Años , Diabetes Mellitus Tipo 2/psicología , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
PURPOSE: The purpose of this study was to describe rural women's knowledge of cardiovascular disease (CVD) and actual risk of CVD. The research question guiding this study was: "Are there relationships between demographic factors, women's knowledge of CVD, and women's CVD risk score?" DATA SOURCES: Demographic data were collected from a convenience sample of 112 women at a full-service, rural medical clinic in Alabama. Two questions assessed women's knowledge of their risk factors for CVD. The Coronary Heart Disease Knowledge Test measured knowledge of coronary heart disease (CHD). Framingham CHD prediction scores were calculated to assess the actual heart disease risk of subjects. CONCLUSIONS: Knowledge of CVD in rural Alabama women is inadequate. The mean score for the knowledge test was 8.50 out of 20. This population of women has significant risk for CVD. Women recognized that smoking and obesity are issues, but are less aware of factors such as race, personality types, oral contraceptive use, hypertension, diabetes, age, hyperlipidemia, and family history. IMPLICATIONS FOR PRACTICE: The majority of women in the study could list only one or two CVD risk factors. New strategies for educating women about CVD should be explored by nurse practitioners (NPs). For example, NPs interested in CVD in women could organize and offer to teach in local schools, colleges, universities, churches, and at sites where women work. Collaboration with the local American Heart Association and Health Department in educating women may be appropriate. By increasing women's knowledge, their actual risk may change and thus improve their chance to live free of CVD or have it later in life or to a lesser extent.
Asunto(s)
Enfermedades Cardiovasculares/psicología , Conocimientos, Actitudes y Práctica en Salud , Educación del Paciente como Asunto , Población Rural , Adulto , Anciano , Alabama/epidemiología , Enfermedades Cardiovasculares/epidemiología , Enfermedades Cardiovasculares/prevención & control , Escolaridad , Femenino , Humanos , Persona de Mediana Edad , Enfermeras Practicantes , Proyectos Piloto , Medición de Riesgo , Factores de RiesgoRESUMEN
Auburn University School of Nursing (AUSON) has been in a partnership with the Auburn Housing Authority (AHA), a low-income public housing provider, for several years by providing a weekly nursing care clinic. AUSON was convinced expansion of the clinics would be beneficial to all. This article describes the process and lessons learned in expanding the scope and depth of the partnership and how this service learning experience was integrated throughout the nursing curriculum. Journaling by students revealed that interactions with a different culture over time changed their perceptions. Residents have been empowered to take control of their health. A community partnership takes persistence, perseverance, and consistency. This partnership has been beneficial to residents, students, and faculty. The university's land-grant mission of service and access is demonstrated through a partnership that offers opportunities for students and faculty to address the community's needs.
Asunto(s)
Instituciones de Atención Ambulatoria/organización & administración , Enfermería en Salud Comunitaria , Curriculum , Bachillerato en Enfermería/organización & administración , Relaciones Interinstitucionales , Vivienda Popular , Adulto , Anciano , Alabama , Actitud del Personal de Salud , Niño , Competencia Clínica , Enfermería en Salud Comunitaria/educación , Enfermería en Salud Comunitaria/organización & administración , Conducta Cooperativa , Diversidad Cultural , Necesidades y Demandas de Servicios de Salud , Humanos , Tamizaje Masivo , Evaluación en Enfermería , Investigación en Educación de Enfermería , Investigación Metodológica en Enfermería , Evaluación de Programas y Proyectos de Salud , Estudiantes de Enfermería/psicología , EscrituraRESUMEN
The engaged university expands the concept of service learning to include a redesigned approach to teaching, research, and service functions that leads to a productive involvement with communities. This article describes an ongoing community partnership that models the best-practice aspects of the engaged university.