Current Issue : July - September Volume : 2015 Issue Number : 3 Articles : 7 Articles
This study explored Arabic, Chinese, South Asian, and Vietnamese immigrant women�s experiences with a peer health educator\nprogram, a public health program that facilitated access to breast health information and mammography screening. Framed within\ncritical social theory, this participatory action research project took place from July 2009 to January 2011. Ten focus groups\nand 14 individual interviews were conducted with 82 immigrant women 40 years of age and older. Qualitative methods were\nutilized. Thematic content analysis derived from grounded theory and other qualitative literature was employed to analyze data.\nFour dominant themes emerged: Breast Cancer Prevention focused on learning within the program, Social Support provided by\nthe peer health educator and other women, Screening Services Access for Women centered on service provision, and Program\nEnhancements related to specific modifications required to meet the needs of immigrant women accessing the program.The findings\nprovide insights into strategies used to promote breast health, mammography screening, and the improvement of public health\nprogramming. Perceived barriers that continue to persist are structural barriers, such as the provision of information on breast\ncancer and screening by family physicians. A future goal is to improve collaborations between public health and primary care to\nminimize this barrier....
This paper was initially written for a European Academy of Caring Science workshop and aimed to provide clarity and direction\nabout Caring Science by offering some ideas emerging from the philosophy, themes, and projects of EACS. An underpinning\nconcept for the work of the Academy is the life world. The focus of the workshop was to explore the life world of the patient, student,\nand carer. The intention was to promote discussion around the need to provide alternative ways to conceptualise caring relevant\nknowledge, naming phenomena and practices central to caring sciences, and the educational curriculum and its adequacy for caring\nscience. This paper seeks to identify concepts and approaches to understanding oppression, power, and justice which enable nurses\nto challenge the structures in health care environments which discriminate or disempower clients. Anti-oppressive practice theory\nand reflexive life world-led approaches to care enable nurses to be critical of their practice. A framework for teaching social justice\nin health care is offered to augment teaching students to challenge oppressive practice and to assist nurses to reflect and develop\nconceptual models to guide practices which are central to promoting caring interactions....
Tinea pedis (TP)may lead to the development of foot ulcers in diabetic patients; thus, its prevention in diabetic patients is important.\nTP occurs after dermatophytes on the skin scales of TP patients attach to the feet. Therefore, it is necessary to remove the scales\nand dermatophytes, and this can be performed using various methods, including foot washing. This study aimed to objectively\nexamine the association between the presence of TP and foot-washing habits. We included 33 diabetic patients, and, of these, 17\nhad TP.The presence of washing residue on the feet was determined by applying a fluorescent cream to the participants� feet, and\nimages of the feet were captured under ultraviolet light before and after foot washing. Our results showed that diabetic patients with\nTP had higher levels of washing residue on their feet than those without TP.The importance of washing feet to prevent TP needs\nto be emphasized through educational programs for diabetic patients. Furthermore, the development of an effective foot-washing\ntechnique is essential....
The role of the Australian Nurse Practitioner (NP) is in its infancy and at a crossroads where extensive research demonstrates\neffective quality care and yet the role remains under recognised and underutilised.The translation of practice into ââ?¬Å?valueââ?¬Â is critical\nfor the sustainability of NP roles and requires the practitioner to adopt a systematic method of inquiry. Kimââ?¬â?¢s (1999) ââ?¬Å?Critical\nReflective Inquiryââ?¬Â (CRI) method was adapted by two Australian NPs who specialise in diabetes and chronic disease management.\nKim highlights the intent of CRI as understanding the meaning of practice, delivering improvements to practice through self reflection,\nand the critique of practice that can lead to practice changes and development of new models of care translated to\nââ?¬Å?productsââ?¬Â of value. Based on the thematically analysis of 3 years of CRI application, the authors formed 5 headings that represented\nthe NPââ?¬â?¢s practice as Specialised Care Access, Complications and Diagnostics Interventions, Pharmaceutical Treatment, Vulnerable\nPopulations, and Leadership. The utility of CRI demonstrates how NP practice is integral to a continuous cycle of addressing health\ncare services gaps, and the conversion of ââ?¬Å?productsââ?¬Â into ââ?¬Å?valueââ?¬Â and positions the NP to assimilate the role of the practitionerre searcher....
Many educators are looking for new ways to engage students and each other in order to enrich curriculum and the teachinglearning\nprocess. We describe an example of how we enacted teaching-learning approaches through the insights of complexity\nthinking, an approach that supports the emergence of new possibilities for teaching-learning in the classroom and online. Our\nstory begins with an occasion to meet with 10 nursing colleagues in a three-hour workshop using four activities that engaged\nlearning about complexity thinking and pedagogy. Guiding concepts for the collaborative workshop were nonlinearity, distributed\ndecision-making, divergent thinking, self-organization, emergence, and creative exploration. The workshop approach considered\ncritical questions to spark our collective inquiry.We asked, ââ?¬Å?What is emergent learning?ââ?¬Â and ââ?¬Å?Howdowe, as educators and learners,\nengage a community so that new learning surfaces?ââ?¬Â We integrated the arts, creative play, and perturbations within a complexity\napproach....
This study examined the general and system-related predictors of outpatient satisfaction with tertiary health care institutions in\nKorea. A cross-sectional descriptive study design was employed.The subjects were 1,194 outpatients recruited from 29 outpatient\nclinics of a university medical center in Korea. Measurements included 5 outpatient service domains (i.e., doctor service, nurse\nservice, technician service, convenience, and physical environment of facility) and patient satisfaction. Of the five domains, nurse\nservice was the domain with the highest mean score (M = 4.21) and convenience was the domain with the lowest mean score\n(M = 3.77).The most significant predictor of patient satisfaction was the constructs of convenience (? = 0.21). The results of this\nstudy suggest that the concept of patient satisfaction with health care institutions in modern hospitals reflects an integrative process\nthat includes not only the concerned health care personnel but also improved convenience such as user-friendly reservation system\nand comfortable waiting areas....
Despite an increasing literature related to elder abuse, sexual abuse of older persons in general and of vulnerable adults living in\nnursing homes in particular is still sparsely described.The purpose of this study was to assess the state of knowledge on the subject of\nsexual abuse against older nursing home residents through a literature review. Systematic searches in reference databases including\nCinahl, Medline, OVID Nursing Database, ISI Web of Science, Psyc INFO, Cochrane Library, and SveMed + were conducted.\nThrough several phases of selection of the articles, using strict inclusion and exclusion criteria, six articles were chosen for a deeper\nexamination. Findings from the review show that sexual abuse occurs in nursing homes and that both older women and men are\nvictims of sexual abuse. Perpetrators appear mainly to be staff and other residents and mainly to be men, but also women abuse\nboth older men and older women. Findings from the literature review show that there is a need for knowledge and further research\non the topic of sexual abuse against older residents in nursing homes. Furthermore, there is a need for good policies and reporting\nsystems, as an important step in seriously addressing sexual abuse against older persons....
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