ABSTRACT
Nurses have the obligation and duty to care for all people (American Nurses Association, 2015), and to treat them with dignity, respect, and compassion (Fowler, 2015). To address equitable care of LGBTQIA people in her community, Jackie Baras, MSN, MBA, RN, serves as LGBT Navigator at Robert Wood Johnson University Hospital/RWJBarnabas Health in New Brunswick, New Jersey. As a transgender woman, Jackie advocates as liaison and representative for all LGBTQIA patients and employees, focusing on health promotion and disease prevention, addressing knowledge gaps, and identifying community referrals, while working closely with hospital and clinical leadership to ensure that health-care services are coordinated seamlessly. Here, Jackie discusses her advocacy for equitable care for LGBTQIA communities, and ways nurses can provide culturally congruent care.
Subject(s)
Culturally Competent Care/methods , Empathy , Nursing Care/psychology , Nursing Staff, Hospital/psychology , Patient Advocacy/psychology , Respect , Sexual and Gender Minorities/psychology , Adult , Attitude of Health Personnel , Female , Gender Identity , Humans , Male , Middle Aged , New JerseyABSTRACT
Nurses often elicit patients' stories as a means to an end-for example, getting to know patients better and providing better care or treatments. However, the act of listening in itself can be therapeutic. Through the use of reminiscence therapy (RT), eliciting stories from elderly residents of a nursing home in India improved their sense of well-being. This article describes a study of the use of RT and presents one resident's story.
ABSTRACT
Correctional nursing practice is focused on a unique patient population: inmates who present with their own ethnicities and have an imposed culture from the prison structure. As such, culture must be considered to provide holistic care. Madeleine Leininger's Theory of Culture Care Diversity and Universality, which maintains that care is the essence of nursing (without inclusion of culture, there is no care), suggests three nursing actions: to maintain the patient's culture, make accommodations for it, and/or repattern cultural ways that may be unhealthful. Given that correctional nurses work within the context (and culture) of custody, Leininger's nursing actions may not always be feasible; however, showing an underlying attitude of cultural humility is. In this article, cultural humility, the basis of culturally competent care, is described in a manner that can drive nursing practice in corrections.
Subject(s)
Culture , Nurse-Patient Relations , Nursing Theory , Prisoners , Cultural Competency , Forensic Nursing , HumansABSTRACT
PURPOSE: The purpose of this study was to explore the beliefs regarding asthma management and Asthma Action Plans (AAPs) of African American caregivers residing in three New Jersey public housing communities in Newark, New Jersey. DESIGN: A qualitative methods design was accomplished using semi-structured interviews with a purposive sample of nine African American caregivers of children with asthma. Information was coded using N'VIVO™; the textual analysis combined codes into categories, which were then assembled into themes. RESULTS: Self-determination was found to be a fundamental goal of asthma management; however, three themes emerged as barriers and facilitators to this goal: challenges in the urban environment, preference of familial methods, and access to medical care. CONCLUSIONS: Findings from this study regarding minority caregivers' beliefs regarding difficulty navigating the health care system coupled with insurance instability, leading to use of Emergency Departments, are consistent with past research. Although caregivers expressed belief in use of prescribed medications as indicated on AAPs, familial methods, found to provide a sense of control over asthma, were preferred.
Subject(s)
Asthma/nursing , Attitude to Health/ethnology , Black or African American/psychology , Caregivers/psychology , Disease Management , Public Housing/economics , Black or African American/statistics & numerical data , Asthma/drug therapy , Child, Preschool , Culture , Female , Humans , Male , Needs Assessment , New Jersey , Qualitative Research , Risk Assessment , Urban PopulationABSTRACT
BACKGROUND: Use of film in the classroom (cinenurducation) promotes nursing students' motivation and understanding of concepts about child growth and development; however, consensus has not been reached regarding students' preferred strategies and what they view as effective. OBJECTIVE: To identify nursing students' preferences for pedagogical strategies surrounding film use in a Child Growth and Development course. DESIGN: A mixed methods study encompassing a concurrent triangulation strategy was undertaken. SETTINGS AND PARTICIPANTS: Eighty-three students attending the first year nursing class in the fall semester 2012 at a private University in South Korea participated. METHODS: Films or film clips were shown either before or after pedagogical strategies including lecture, presentation, personal essay, group report, or group discussion, followed by a questionnaire to assess student preferences and their opinions on the impact of strategies on motivation and learning. A focus group with 10 participants provided their opinions. RESULTS: Although the preference for the time when films were watched showed no significant difference (t=.388, p=.699), participants preferred the following pedagogical methods: watching films with a group, saying this was more effective compared to watching films alone (t=5.488, p<.001); full movie over film clips (t=2.869, p=.005); and personal essay over group report (t=2.755, p=.007). Focus group participants also stated that it was more effective to watch the entire movie rather than film clips with the group, and preferred personal essays to group reports. CONCLUSIONS: Use of nursing students' preferred learning strategies surrounding cinenurducation helped them gain conceptual knowledge in a Child Growth and Development course.
Subject(s)
Child Development , Students, Nursing/psychology , Adult , Child , Humans , Republic of Korea , Young AdultABSTRACT
While use of probiotics has increased, understanding when and how to use them can be confusing for patients. Nurse practitioners need to know the basics about the products, including which are evidence-based and most likely to provide a beneficial effect for a specific condition.
Subject(s)
Evidence-Based Nursing , Nurse Practitioners , Probiotics/therapeutic use , Diarrhea/nursing , Humans , Patient Education as Topic , Probiotics/adverse effects , Risk AssessmentABSTRACT
Although diapers are essential for child health, nearly one in three American families cannot afford them (National Diaper Bank Network, 2013). A gap referred to as diaper need, the difference between the numbers of diapers infants require to stay clean and comfortable less the amount of diapers a family can afford without cutting back on other basic essentials, can have severe consequences for infants parents, and society. Within the context of the need for and economics of diapers, these severe consequences alert pediatric nurses to the impact they can have to bridge the diaper gap, thereby helping to alleviate diaper-related conditions and providing holistic, family-centered care.
Subject(s)
Diapers, Infant/adverse effects , Diapers, Infant/economics , Health Services Needs and Demand , Pediatric Nursing , Humans , Infant , Infant, NewbornABSTRACT
Nurses often elicit patients' stories as a means to an end--for example, getting to know patients better and providing better care or treatments. However, the act of listening in itself can be therapeutic. Through the use of reminiscence therapy (RT), eliciting stories from elderly residents of a nursing home in India improved their sense of well-being. This article describes a study of the use of RT and presents one resident's story.
Subject(s)
Depression/therapy , Geriatric Psychiatry/methods , Narrative Therapy , Self Concept , Aged , Aged, 80 and over , Female , Humans , India , Male , Memory, Episodic , Nursing HomesABSTRACT
Nurses have an innate power to create vibrant health by tuning in to their inner guidance, which is synonymous with intuition. This means paying attention to our emotions so that they can no longer influence us unconsciously. In this interview, Dr. Northrup provides strategies for tuning in to our inner guidance, balancing our personal wellbeing with our high sense of responsibility to and for others, and finding space for self-care in our busy, stressful lives as we care for others.
Subject(s)
Interpersonal Relations , Intuition , Nurses/psychology , Emotions , Humans , Mental Health , NursingABSTRACT
This article discusses the integration of complementary and alternative medicine therapies as part of the healthcare decision-making dialogue between nurse practitioners and patients seeking relief of menopause-related symptoms.
Subject(s)
Communication , Complementary Therapies/nursing , Menopause/physiology , Nurse Practitioners , Nurse-Patient Relations , Complementary Therapies/adverse effects , Female , Hot Flashes/therapy , Humans , Middle Aged , Patient Acceptance of Health Care , Patient Education as Topic , Patient ParticipationABSTRACT
This article provides background, diagnostic, treatment, and management information about the most common form of headache: tension-type headache (TTH). Using a typical patient case scenario, it illustrates evidence-based therapies that NPs can offer patients whose TTH has become chronic due to medication overuse.
Subject(s)
Analgesics/adverse effects , Tension-Type Headache/chemically induced , Tension-Type Headache/nursing , Analgesics/administration & dosage , Chronic Disease , Evidence-Based Nursing , Female , Humans , Nurse Practitioners , Randomized Controlled Trials as Topic , Tension-Type Headache/diagnosis , Tension-Type Headache/physiopathology , Tension-Type Headache/therapy , Young AdultABSTRACT
An RN-parent describes her angst about the care her daughter received in a hospital and in a rehab facility, and how she came to terms with her nurse and parent identities.
