A Comparison of the Effects of Simulation Training and Non-Simulation Training On Self-Efficacy in Providing Women\u27s Health Care

The Veterans Administration (VA) recognizes that proficiency in the core concepts of primary care women\u27s health is required to provide comprehensive primary care for women. A potentially superior form of training that has been recently used for care providers is simulation. The examination of the relationship between simulation training through the Mini-Residency Course and increased self-efficacy among Women\u27s Health Primary Care Providers (WH-PCP) is important, as the Mini-Residency Course is designed specifically to fill knowledge gaps and enhance the participant\u27s knowledge and skill. A single post-test only, two group design was used for this study. The experimental group included those who completed simulation training on how to provide effective, essential healthcare to women veterans. The simulation-based training occurred July, 2012. The study gathered survey data designed to determine the level of self-efficacy of practitioners from a sample who had participated in the Mini-Residency program (Part I, or Parts I and II) and compared the levels of self-efficacy to a sample of practitioners who did not participate in simulations. Limited by a low response rate, the study sample included 23 practitioners. A self-efficacy survey was constructed using Bandura\u27s self-efficacy theory. The self-efficacy score for this analysis used the mean of six discrete skill items. The reliability of this self-efficacy scale was examined using Cronbach\u27s alpha. Results indicated reliability at a = .71. The results failed to demonstrate any statistically significant differences between groups. However, it was noted that a significant result ( p = .10 level) was evident in the differences in mean self-efficacy scores based on standardized patient experience, which suggests the need for future research using a larger sample size

The implementation of electronic records related to the nursing process: integrative review / A implementação dos registros eletrônicos relacionados ao processo de enfermagem: revisão integrativa

Objetivo O estudo objetivou identificar quais estratégias estão sendo utilizadas na implementação de registros eletrônicos relacionados ao processo de enfermagem, nas bases de dados: PubMed, Scopus e Web of Science. Métodos Trata-se de uma revisão integrativa na qual os descritores utilizados foram electronic healthrecords e nursing process. Resultados Os dados encontrados indicam que os estudos em sua maioria foram pesquisas quantitativas, publicadas no periódico Nursing informatics (Studies in Health Technology and Informatics) desenvolvidas em universidades e no continente americano. Conclusões Os dados apontam que a maior parte das pesquisas são referentes a usabilidade do registro eletrônico em saúde. Outros aspectos abordados foram as fragilidades e perspectivas associados ao uso do registro eletrônico, bem como o processo de enfermagem em sistemas informatizados

Contemporary Rural Social Work - Fall 2012 (Volume 4, Number 1)

Contemporary Rural Social Work - Fall 2011 (Volume 3, Number 1) Full issu

International Profiles of Health Care Systems, 2012

This publication presents overviews of the health care systems of Australia, Canada, Denmark, England, France, Germany, Japan, Iceland, Italy, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States. Each overview covers health insurance, public and private financing, health system organization, quality of care, health disparities, efficiency and integration, care coordination, use of health information technology, use of evidence-based practice, cost containment, and recent reforms and innovations. In addition, summary tables provide data on a number of key health system characteristics and performance indicators, including overall health care spending, hospital spending and utilization, health care access, patient safety, care coordination, chronic care management, disease prevention, capacity for quality improvement, and public views

Health Status and Health Care Access of Farm and Rural Populations

Rural residents have higher rates of age-adjusted mortality, disability, and chronic disease than their urban counterparts, though mortality and disability rates vary more by region than by metro status. Contributing negatively to the health status of rural residents are their lower socioeconomic status, higher incidence of both smoking and obesity, and lower levels of physical activity. Contributing negatively to the health status of farmers are the high risks from workplace hazards, which also affect other members of farm families who live on the premises and often share in the work; contributing positively are farmers’ higher socioeconomic status, lower incidence of smoking, and more active lifestyle. Both farm and rural populations experience lower access to health care along the dimensions of affordability, proximity, and quality, compared with their nonfarm and urban counterparts.Health Economics and Policy, agriculture safety and health, electronic health records, farmer health, health, health care access, health care affordability, health care quality, health disparities, health IT, health status, mortality, rural health, telehealth, uninsured,

SUPPORT for ME: Substance Use Disorder Prevalence and Treatment Capacity Assessment

The aim of this report was to understand the sociodemographic and geographic distribution of substance use disorder (SUD) prevalence in Maine, through a claims-based analysis which assessed current statewide capacity to address SUD by examining current SUD treatment and recovery infrastructure, service utilization patterns, and geographic distribution of services and usage throughout the state to identify any gaps in treatment and recovery capacity. The authors would like to note that this report was completed during the planning phase of the SUPPORT for ME project, which was funded by the Centers for Medicare & Medicaid Services (CMS) via the SUPPORT Act passed by Congress in 2018. This assessment utilized numerous data sources, one of which was Medicaid claims data from Maine’s Office of MaineCare Services. This was the first attempt to utilize claims data to estimate prevalence and capacity related to SUD in the State. In future work, the authors aim to have more engagement with clinical providers and data stakeholders which may lead to alterations or updates to the methodologies utilized to produce this report. FMI: Please contact M.Lindsey Smith, PhD at [email protected]

Posttraumatic Stress Disorder or Combat Experience? A Functional Near-infrared Spectroscopy Study of Trauma-related Auditory and Olfactory Cues

While the clinical communities are aware of the prevalence of posttraumatic stress disorder (PTSD) among OEF/OIF/OND veterans, further efforts are necessary to bolster comprehensive strategies for assessment and treatment. The purpose of this study was to investigate whether a combat-related PTSD symptom provocation paradigm would elicit unique neurological responses via functional near-infrared spectroscopy across three groups – combat veterans with PTSD, combat veterans without PTSD, and nonmilitary participants without PTSD. Results indicated that combat veterans with PTSD demonstrated significant activation during exposure to a trauma-related sound compared to nonmilitary personnel at channels 14 (d = 1.03) and 15 (d = 1.30) and combat veterans without PTSD at channel 14 (d = 0.87). Specifically, this increased neural activation was approximately located in the right superior/medial prefrontal cortex (BA 9/10), associated with evaluating cue-familiarity and emotional detachment. Results were less clear with respect to a combat-related odor. These results suggest a specific neurophysiological response to trauma-related cues and if replicated, may offer a biomarker for combat-related PTSD. Such a response could provide incremental validity over diagnostic assessments alone and assist in planning and monitoring of treatment outcome

2022 - The Third Annual Fall Symposium of Student Scholars

The full program book from the Fall 2022 Symposium of Student Scholars, held on November 17, 2022. Includes abstracts from the presentations and posters.https://digitalcommons.kennesaw.edu/sssprograms/1026/thumbnail.jp

Stress levels in veterans with PTSD and equines during therapeutic horseback riding

Military Veterans are at risk of developing posttraumatic stress disorder (PTSD) following exposure to combat while on deployment. Up to 30 percent of Veterans suffer from PTSD and many do not seek treatment due to the perceived stigma of seeking mental health services, distrust of the mental health profession, or perception that treatment is inadequate. Left untreated, PTSD can cause significant social, emotional, and financial hardships for the Veteran, family, and community. Animal assisted interventions (AAI) have been shown to be a successful, acceptable alternative and complementary therapy for PTSD. A literature review yielded 16 studies of AAI for Veterans with PTSD. Pinnipeds, canines, and equines were the animals used for AAI. Although the methods, lengths, and dose of therapy differed across studies, AAI were found to decrease level of PTSD, anxiety, and depression and increase in quality of life and social support. A qualitative, thematic analysis of 116 Veteran riding diary entries following therapeutic horseback riding (THR) revealed five themes: (a) social interaction, (b) self-awareness, (c) mood, (d) relationship development and bonding, and (e) positive experience. The central theme was that THR decreases the symptoms of PTSD. As research continues to support the benefits of AAI, it is essential to also study the health and welfare of the animals used. A quantitative analysis of N = 5 Veterans with PTSD participating in THR examined the relationship between level of PTSD and physiologic and behavioral indicators of stress. No significant correlation was found between level of PTSD and equine cortisol levels, nor level of PTSD and equine behavior scores (EBS). Level of PTSD did not significantly decrease across THR sessions; however, it did move in the expected direction. Although mean equine cortisol levels increased across sessions, levels remained within normal range. Three was no significant increase in mean EBS across THR sessions. Results of this dissertation support the use of AAI in Veterans with PTSD.Includes bibliographical references

Ready or Not? Protecting the Public's Health in the Age of Bioterrorism, 2006

Examines ten key indicators to evaluate state preparedness to respond to bioterrorist attacks and other public health emergencies. Evaluates the federal government's role and performance, and offers recommendations for improving readiness