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1.
J Interprof Care ; : 1-8, 2018 Dec 25.
Artículo en Inglés | MEDLINE | ID: mdl-30585089

RESUMEN

Four health professions schools at an academic health science university and a partner state university collaborated to develop the Interprofessional Care Access Network (I-CAN), a model of healthcare delivery and interprofessional education that addresses the Triple Aims for vulnerable populations in three underserved neighborhoods. Program goals were achieved through community-based partnerships and the development of a health-care workforce prepared for competent practice in emerging models of care. In the first three years, almost 600 nursing, medicine, dentistry, and pharmacy students worked with clients referred from community partners, providing interprofessional care coordination addressing life instability and social determinants of health. The evaluation has demonstrated substantial improvement of health-related outcomes for clients who began in the first three years of the program and specifically those who completed intake and follow-up documentation (N = 38). There were substantial reductions in the aggregate number of emergency department visits, emergency medical service calls, and hospitalizations when compared to the 6 months prior to starting I-CAN. Estimated cost savings for the 38 clients, based on minimal estimated costs for these indicators alone, were over $224,000. A three-year qualitative review of client progress notes indicated that as a result of interprofessional student team interventions, many clients improved access to health insurance and primary care, and stabilized housing. Since the evaluation was completed, three programs have been added in rural and urban communities, demonstrating the model is scalable and replicable.

3.
J Nurs Educ ; 55(6): 316-22, 2016 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-27224459

RESUMEN

BACKGROUND: A lack of diversity in the nursing workforce nationally has been identified by Oregon state leaders as a factor contributing to health inequity. METHOD: The goal of Advancing Health Equity Through Student Empowerment and Professional Success (HealthE STEPS) is to graduate nursing students from disadvantaged backgrounds to improve health equity within their communities. A comprehensive plan of evidence-based strategies was developed based on social determinants of health and addresses academic socialization, learning support, financial resources, networking, curriculum development, and campus culture. RESULTS: Ninety undergraduate nursing students participated in the program during a 2-year period. Retention of participants was 97% with graduation rates of 94%. First-time licensure pass rates were 82% and 96% of participating graduates employed in a medically underserved community. CONCLUSION: This comprehensive innovative program of evidence-based strategies addresses health equity by developing a diverse nursing workforce to practice in medically underserved communities. [J Nurs Educ. 2016;55(6):316-322.].


Asunto(s)
Diversidad Cultural , Asistencia Sanitaria Culturalmente Competente , Bachillerato en Enfermería/tendencias , Equidad en Salud , Rol de la Enfermera , Estudiantes de Enfermería , Curriculum , Evaluación Educacional , Enfermería Basada en la Evidencia , Femenino , Humanos , Licencia en Enfermería , Masculino , Oregon , Cultura Organizacional , Innovación Organizacional , Evaluación de Programas y Proyectos de Salud , Determinantes Sociales de la Salud , Apoyo Social
4.
Gerontologist ; 56(4): 733-42, 2016 08.
Artículo en Inglés | MEDLINE | ID: mdl-26035890

RESUMEN

PURPOSE OF THE STUDY: Using an interpretive phenomenological approach, this study explored the meaning African American (AA) caregivers ascribed to the dementia-related changes in their care-recipients. DESIGN AND METHODS: Data were gathered in this qualitative study with 22 in-depth interviews. Eleven AA caregivers for persons with dementia, living in the Pacific Northwestern United States, were interviewed twice. Four caregivers participated in an optional observation session. RESULTS: Analysis based on the hermeneutic circle revealed that, for these caregivers, the dementia-related changes meant that they had to hang on to the care-recipients for as long as possible. Caregivers recognized that the valued care-recipients were changed, but still here and worthy of respect and compassion. Ancestral family values, shaped by historical oppression, appeared to influence these meanings. IMPLICATIONS: The results from this study suggest that AA caregivers tend to focus on the aspects of the care-recipients' personalities that remain, rather than grieve the dementia-related losses. These findings have the potential to deepen gerontologists' understanding of the AA caregiver experience. This, in turn, can facilitate effective caregiver decision making and coping.


Asunto(s)
Afroamericanos , Actitud Frente a la Salud/etnología , Cuidadores , Demencia/enfermería , Adaptación Psicológica , Adulto , Anciano , Anciano de 80 o más Años , Toma de Decisiones , Femenino , Hermenéutica , Humanos , Masculino , Persona de Mediana Edad , Investigación Cualitativa
5.
Fam Community Health ; 38(2): 195-203, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25739066

RESUMEN

The Interprofessional Care Access Network is an innovative model for academic-practice partnership providing care coordination for vulnerable and underserved clients and populations in identified neighborhoods. Interprofessional student teams, including health professions students from nursing, medicine, pharmacy, and dentistry, collaborate with community service organizations and primary care clinics to address social determinants of health identified as barriers to achieving health care outcomes and Triple Aim goals. Teams are supervised by a nursing faculty in residence and address issues such as housing, health insurance, food security, and lack of primary care. Two case studies demonstrate the potential impact of the project.


Asunto(s)
Área sin Atención Médica , Modelos Educacionales , Características de la Residencia , Estudiantes , Anciano , Servicios de Salud Comunitaria , Conducta Cooperativa , Humanos , Relaciones Interprofesionales , Masculino , Estados Unidos
6.
Nurse Educ ; 40(1): 26-30, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25290964

RESUMEN

To understand nursing role formation for students enrolled in an accelerated baccalaureate nursing program, end-of-term narrative reflections from 34 students were analyzed over the course of the 15-month program. Using thematic analysis, 4 major themes were identified: evolving role perception, extending nursing student-patient interaction, engaging with health care team and systems of care, and expanding clinical thinking.


Asunto(s)
Bachillerato en Enfermería , Rol de la Enfermera/psicología , Identificación Social , Estudiantes de Enfermería/psicología , Prestación de Atención de Salud/organización & administración , Femenino , Humanos , Relaciones Interpersonales , Masculino , Relaciones Enfermero-Paciente , Grupo de Atención al Paciente/organización & administración , Estudiantes de Enfermería/estadística & datos numéricos , Pensamiento
7.
Hisp Health Care Int ; 11(3): 131-41, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24830914

RESUMEN

In response to national and state mandates to increase diversity in the nursing workforce, a small, liberal arts college in Oregon implemented a comprehensive program to recruit and retain students underrepresented in nursing, especially Hispanics. The goals of Ayudando Podemos were to increase enrollment of underrepresented and disadvantaged students, improve student retention and graduation rates, increase student participation in a mentorship program, improve cultural competence in the campus community, and increase the number of graduates working in medically underserved or health professional shortage areas (HPSAs). The program had four parts: institutional catalysts and commitment, relationship building and student connection, individualized academic coaching, and financial aid and scholarship coaching. Sixty-nine prenursing and nursing students participated over 6 years. The retention rate was 96.2%.


Asunto(s)
Diversidad Cultural , Bachillerato en Enfermería , Estudiantes de Enfermería , Adulto , Competencia Cultural , Femenino , Hispanoamericanos , Humanos , Masculino , Oregon
8.
J Community Health Nurs ; 27(4): 216-25, 2010 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21058139

RESUMEN

International health care experiences offer undergraduate nursing students the opportunity for significant personal and professional growth. During a month-long travel course to Cameroon, West Africa, students improved their skills in clinical assessment, data management, intercultural communication, and collaboration based on an empowerment model of international partnership. Although it is not possible for all students to participate in providing health care in another country, it is possible to design a local course in which students are able to meet similar outcomes in a community health experience in partnership with an immigrant and refugee center.


Asunto(s)
Actitud del Personal de Salud , Servicios de Salud Comunitaria/organización & administración , Bachillerato en Enfermería/organización & administración , Relaciones Interinstitucionales , Intercambio Educacional Internacional , Estudiantes de Enfermería/psicología , Camerún , Competencia Clínica , Conducta Cooperativa , Diversidad Cultural , Humanos , Investigación en Educación de Enfermería , Investigación Metodológica en Enfermería , Oregon , Evaluación de Programas y Proyectos de Salud , Facultades de Enfermería/organización & administración , Autoevaluación
9.
J Cult Divers ; 16(4): 151-7, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-20069802

RESUMEN

This study used Heideggerian phenomenology to: 1) explore professional practice values and ethical concerns of Hispanic nurses practicing in the Pacific Northwest; and 2) describe values conflicts experienced by Hispanic nurses in clinical practice. Twenty-seven Hispanic nurses were interviewed about nursing practice experiences. Themes included: obligation to serve the Hispanic community; correct cultural mistakes; teach about racism and discrimination; protect professional relationships; act as interpreter and cultural broker; balance additional workload; and represent all Hispanic nurses. Recommendations are included for creating an inclusive work environment that values the wisdom of diverse communities of nurses consistent with ICN Code of Ethics.


Asunto(s)
Actitud del Personal de Salud/etnología , Hispanoamericanos/etnología , Rol de la Enfermera/psicología , Personal de Enfermería/ética , Personal de Enfermería/psicología , Adulto , Competencia Cultural , Femenino , Grupos Focales , Conocimientos, Actitudes y Práctica en Salud , Hispanoamericanos/educación , Hispanoamericanos/estadística & datos numéricos , Humanos , Relaciones Interprofesionales/ética , Masculino , Persona de Mediana Edad , Modelos Psicológicos , Investigación Metodológica en Enfermería , Personal de Enfermería/educación , Oregon , Prejuicio , Investigación Cualitativa , Valores Sociales/etnología , Encuestas y Cuestionarios , Washingtón
10.
J Nurs Educ ; 46(5): 211-6, 2007 05.
Artículo en Inglés | MEDLINE | ID: mdl-17547344

RESUMEN

Concept mapping has many applications and has been used as an effective teaching strategy in nursing and other disciplines to evaluate both content knowledge and student thinking patterns. Previous applications related to nursing care planning usually organize client information around a medical diagnosis. The approach described is focused around the reason for nursing care and a holistic nursing view of the client, rather than a disease model. Students use a software program to cluster and sort assessment data to identify client problems and describe relationships between the problems. This results in a nonlinear "picture" of the client that can be used for nursing care planning. The process is dynamic and flexible, prompting students to identify gaps in information, consider salience, and understand the complexity of the particular client situation. It teaches critical thinking skills and nursing theory, develops competence with technology, and fosters effective interchange between faculty and students.


Asunto(s)
Recursos Audiovisuales , Modelos de Enfermería , Evaluación en Enfermería/organización & administración , Diagnóstico de Enfermería/organización & administración , Planificación de Atención al Paciente/organización & administración , Niño , Competencia Clínica , Análisis por Conglomerados , Recolección de Datos , Discapacidades del Desarrollo/enfermería , Femenino , Salud Holística , Humanos , Individualidad , Dinámicas no Lineales , Proceso de Enfermería , Teoría de Enfermería , Filosofía en Enfermería , Pensamiento
11.
Nurs Health Sci ; 6(2): 131-40, 2004 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-15130099

RESUMEN

The present study was a secondary analysis of data from two phenomenological studies of nurses in the USA and Japan. The study incorporated hermeneutics and feminist methodologies to answer the following questions. Are there common values and ethical concerns and values within the nursing cultures of Japan and the USA? What are some commonalities and differences between Japanese nurses' ethical concerns and those of American nurses? Findings indicated that nurses from the USA and Japan share common values and ethical concerns as professional nurses, including competence, respect for the patient as a person, responsibility, relationship and connection, importance of the family, caring, good death, comfort, truth-telling, understanding the patient/situation, and anticipatory care. Although ethical concerns are similar, related background meanings and actions often look different between cultures; truth-telling is described as an example. Nurses in each country also hold unique values not found in the nursing practice of the other country. Understanding these commonalities and differences is critical for the development of global nursing ethics.


Asunto(s)
Actitud del Personal de Salud/etnología , Diversidad Cultural , Docentes de Enfermería , Personal de Enfermería en Hospital/ética , Personal de Enfermería en Hospital/psicología , Valores Sociales/etnología , Competencia Clínica , Comparación Transcultural , Relativismo Ético , Docentes de Enfermería/organización & administración , Feminismo , Conocimientos, Actitudes y Práctica en Salud , Humanos , Japón , Narración , Rol de la Enfermera , Relaciones Enfermero-Paciente/ética , Investigación Metodológica en Enfermería , Personal de Enfermería en Hospital/organización & administración , Cultura Organizacional , Defensa del Paciente/ética , Filosofía en Enfermería , Investigación Cualitativa , Revelación de la Verdad/ética , Estados Unidos
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