A Concept Analysis: Adherence in Type 2 Diabetes

Aim: The aim of this analysis is to develop a better understanding of the concept of adherence among individuals with Type 2 Diabetes. Background: The incidence and prevalence of diabetes in the United States continues to increase at epidemic proportions yearly. Design: The analysis was conducted using Rodgers\u27 evolutionary method including database searches from Cumulative Index to Nursing Health Literature (CINAHL), COCHRANE, EBSCO, Education Resources Information Center (ERIC), MEDLINE, PsycINFO, Institute of Electrical and Electronics Engineers (IEEE), and SocINDEX. Keywords included adherence, compliance, diabetes care, type 2 diabetes and theories. Results: Rodgers\u27 evolutionary method guided this inquiry of concept of adherence across several disciplines. Analysis revealed definitions, related terms, attributes, references, antecedents, consequences, and related concepts that helped construct a model case for a client. Conclusion: Researching the concept of adherence across diverse disciplines revealed that the definition of adherence in nursing and medicine entails persistence in following a health care provider\u27s recommendation. Future studies must define adherence in relation to culture to establish a framework for holistic and client-centered care

Strategies to Promote Health in North American French Jewish Immigrants

Anti-Semitism in the form of violent acts is on the rise in France and throughout Europe. These incidents and the looming threat of targeted violence are leading to the outmigration of Jewish individuals in France to Israel, Canada, and the United States. The health impact of this migration on individuals of the French Jewry who are now residing in the United States has not been studied. This paper will propose and address the need for culturally tailored nursing strategies to make a positive impact on the health, well-being, and lives of these individuals. Additionally, the writers will discuss the challenges faced by these new immigrants, how acculturation may be impacted by economic status, and how specifically focused nursing care can impact the physical, psychological, spiritual, and social well-being of these individuals in their new home (or host country)

Haitian American Women with Type 2 Diabetes Mellitus: An Integrative Review

Diabetes is escalating at staggering levels in the United States and worldwide. This paper will present a review of relevant literature that supports the need for research in Haitian American women, a particularly vulnerable group, with type 2 diabetes mellitus. It will also unveil the cultural factors that pose challenges to the treatment and management of this condition

Understanding Type 2 Diabetes Mellitus Among Haitian American Women: A Cultural Perspective

The prevalence of type 2 diabetes mellitus (T2DM) is 19.7% in Haiti (DeGennaro et al., 2018). Haitian American women (HAW) experience difficulties with adherence to T2DM treatment and management (Bivins, 2016; Magny-Normilus et al., 2019; Vimalananda et al., 2011; Huffman et al., 2013); however, no previous study was found that focused exclusively on Haitian American women with T2DM. Van Manen\u27s six research activities guided this phenomenological qualitative inquiry. Recruitment included 25 Haitian American women (N = 25) with T2DM from three South Florida counties. Data were collected using a vignette and audio-recorded semi-structured interviews with open-ended questions. Recordings were then transcribed and analyzed to identify thematic concepts and patterns. Themes of spiritualizing and shifting cultural norms with the subtheme of dietary restrictions were found. In conclusion, to promote health outcomes nurses must incorporate these salient factors in the care of Haitian American women with T2DM

Diabetes Mellitus an Epidemic in Haitian American Afro Caribbeans

Purpose To measure the prevalence of diabetes mellitus among Haitian Americans Afro-Caribbeans living in the United States. Background Devastatingly, 422 million individuals are affected by diabetes mellitus (DM) (WHO, 2021). In the United States, the age-adjusted prevalence of diabetes is 16.8% in Black, non-Hispanic Americans (CDC, 2020). Haitian Americans (HAs) are among vulnerable populations that experience challenges to treatment and management of DM. In the U.S. HAs are often subsumed in the Black demographic therefore there is limited data addressing the prevalence of DM in this population. Ethical Considerations, Methodology and Analysis This descriptive quantitative cross-sectional pilot study was approved by the Holy Cross Hospital, Fort Lauderdale, Institutional Review Board. The researchers received permission from administrators to host health fairs and community events and recruited a convenience sample of 151 Haitian American (health fairs, church gatherings, and other community events in New York, New Jersey, and South Florida). Results Age adjusted prevalence of DM among the HAs living in the US was 39.9% (95% CI 29.8% - 50.1%).This is more than twice the prevalence of in the Black, non-Hispanic population (16.8%) and the general US population (12%). Conclusion The findings of this pilot study showed a prevalence rate of DM that may be as high as Native Americans of the Pima tribe, the highest rate of any group in the world. HAs are an economically challenged group of Black individuals who face many obstacles to care including a language barrier and stigma as immigrants. In the US, Haitian Americans are a rapidly growing group that is nearly 50 times larger than the population of Pima Indians. Therefore, if this epidemic in the Haitian Americans is not addressed it will create a public health disaster for this marginalized community. Interprofessional Implications This study included a diverse group of researchers with unique perspectives in the disciplines of nursing, medicine, and mathematics. Likewise, in keeping with social justice it is imperative to encourage health providers, community organizations, and policy makers to provide financial support to promote aggressive diabetes screening and education to Haitians in order to increase health equity and to decrease health disparities in Haitian American Communities. References Bivins, B., Ruffin, L., Bivins, M, Lestage-Laforest, M., Eliezer, C., Keko, M., Singh, A. (2021). Diabetes Mellitus prevalence among Haitian American Afro-Caribbeans in the United States. The Journal of the National Black Nurses Association, 32(1): 56-63. Bivins, B. L., Hershorin, I & Umadhay, LA. (2020). Understanding Type 2 Diabetes Mellitus among Haitian American women: A Cultural Perspective. The Journal of the National Black Nurses Association. 31(1). Bivins, B., Owusu, B., & Bivins, L., (2020). A Concept Analysis on Adherence in Type II Diabetes. The International Forum for Nursing and Healthcare. Vol.4 pages 9-14 Bivins, B. L., et al. (2019). Haitian American Women with Type 2 Diabetes Mellitus: An integrative review. Acta Scientific Women\u27s Health. 1(1): 03-12. Bivins, B. (2018). The Lived experience of Haitian American women with type 2 diabetes mellitus. [Doctoral dissertation, Barry University.] ProQuest Dissertation and Thesis Bivins, B. L. (2016). Integrative Review on Adherence in Haitians with Diabetes. Nursing Forum. 52(3):165-172. Centers for Disease Control and Prevention. (2020). National Diabetes Statistics Report2020. Estimates of Diabetes and Its Burden in the United States. Retrieved from https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf World Health Organization (2021). Diabetes. Retrieved from https://www.who.int/news room/fact-sheets/detail/diabete

The Educational, Health, and Economic Impacts of COVID-19 Among Haitians in the USA: Time for Systemic Change

Haitians are the fourth largest Afro-Caribbean immigrant group in the USA, and there is a dearth of research focusing on the factors impacting their lives. As a marginalized group with extensive pre-existing conditions, Haitian immigrants are disproportionately affected by the pandemic in areas such as education, health, and economics. This paper provides a summary of existing disparities among Haitians in the USA and how COVID-19 has significantly impacted this group. It concludes with an analysis of how the Strategic Framework for Improving Racial and Ethnic Minority Health and Eliminating Racial and Ethnic Health Disparities can be used to guide, organize, and coordinate systematic planning for sustainable changes to address these disparities. Addressing immigrant and minority health in the USA requires a deeper dive into the various immigrant groups. This paper concludes with recommendations for research and policy changes necessary to eliminate disparities in the USA

Addressing hypertension among Haitian adults with insufficient access to quality healthcare: A discursive review

AimThe purpose of this article is to summarize research targeting hypertension and healthcare access among adults living in rural Haiti. BackgroundHypertension is a significant public health problem that impacts one in five persons globally. It is the leading cause of cardiovascular-related conditions such as stroke and myocardial infarction and accounts for most global non-communicable disease-related deaths. Limited healthcare access and social determinants of health are known contributors to poor health outcomes among persons with hypertension. Among Haitians, there are stark health disparities between those who live in urban versus rural areas. DesignA discursive review. ResultsSeveral issues are identified as barriers to proper hypertension prevention and management. However, after examining the effective interventions, we found that social determinants of health such as transportation costs, lack of field care facilities close to patients, roadway conditions, political disturbance, and ineffective leadership and policies are major barriers to controlling hypertension in Haiti. Although Haiti has received help from international organizations, strengthening its internal infrastructure is paramount in improving healthcare access. DiscussionThe review concludes that Haitians living in rural parts of Haiti are less likely to receive healthcare to manage non-communicable diseases such as hypertension. Similar to other developing countries, a heightened awareness is needed to address the lack of healthcare access for those living in rural communities. Impact to Nursing PracticeNurses and other healthcare professionals working with populations in Haiti should become aware of the barriers and facilitators that promote sufficient healthcare access. To achieve this goal, nurses must understand the social determinants and other factors that serve as barriers for achieving access to quality care for this vulnerable population. No Patient or Public ContributionThere was no patient or public involvement in the design or drafting of this discursive paper