27 research outputs found
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A Case of Health Disparity
Although the incidence of hepatitis C virus (HCV) in women is only slightly less than in men, women are poorly represented in research trials. As a result, not much is known about them as a subgroup. The specific aims of this article were to report on the problem, study methods, and findings focusing on HCV-positive women\u27s health beliefs, how they identify and understand their health and illness states, and their explanatory models of illness behavior. A pilot study using three focus groups was conducted with women in the community, in recovery, and incarcerated. Two groups emerged: those with and those without access to knowledge and HCV services. Latinas emerged as a prominent subgroup. Women in all three groups wanted more information and to stay clean, were worried about contagion, and stated that they were secretive and ashamed of their disease. Due to the small study design, this study should be repeated with a larger sample and in a wider geographic area. The results suggest that immediate interventions for this health disparity are needed, including dissemination of this information to primary and specialty care providers and the legislature
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Reducing Stress Through Labyrinth Walking
The human need to flourish is central to this book\u27s intention, and labyrinth walking is a key to stress reduction and improving health and wellness. This book will not only provide timely scientific evidence about the impact of stress reduction on health but also includes a variety of practices for anyone interested in taking a mindful journey. This book is relevant to our everyday lives in response to social, political, and personal stressors that decrease our abilities to fully engage in relationships with ourselves and others. If you believe that the mind and the body work in concert, then Reducing Stress Through Labyrinth Walking is a must for your home library. Topics include testimonials, lesson plans, and resources for labyrinth walking. You too can walk a peaceful path
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TWO CONTRASTING CASES OF MEN’S EXPERIENCES WITH CHRONIC CORONARY HEART DISEASE POST 1985
ABSTRACTSince 1985 medical treatment for patients with chronic coronary heart disease(CHD) has changed drastically. Newer treatments almost assure return to previousactivities, following myocardial infarction. Empirical studies of patients’ long termexperiences living with chronic CHD are lacking. The purpose o f this study was todescribe the post 1985 experiences of patients with chronic CHD who have had multiplecardiac interventions and to identify the kind of meanings, if any, emerging from theseexperiences and their possible association with patient orientations toward life stylechanges.The case study method was used to focus on the individual as the unit of analysisand including in-depth interviews with patients, spouses and in one instance a registerednurse who worked with a patient, and content analysis of medical and nursing records.The original intent was to identify the similarities of patient experiences across six cases.However, based on the unusual trajectory and complexity of the first patient’sexperiences, the focus shifted to dealing with the widely differing experiences of thisindividual in relation to a second patient, whose trajectory had a more common textbookappearance.Bemie and Ed’s experiences with chronic CHD are best portrayed and understoodas a journey. To date, Bemie’s journey has included 5 phases: The Early Days, The HeartAttack, Going Home and Recovery, The First Few Years, and Getting By-Living Day toDay. Meaning was tied to day to day survival and was situational. Bernie’s experiencesand their meaning influenced his early and continued efforts in changing his diet, exerciseand stress reduction. Ed’s journey thus far, has included 7 phases: A Thirty Year Man,Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.First Heart Attack, Back to Normal Activities, Second Heart Attack, The Next FiveYears, Third Heart Attack, and Recovery. For Ed, meaning, like his illness, emergedslowly and subtly.Symbolic interaction theory was partially useful in deciphering the mid level ofmeaning. Existential analysis was useful in identifying the absence o f meaning duringportions of Bemie’s journey. Suggestion for future nursing research include adapting thetraditional model of treatment experience to better meet the unique needs of patients withchronic CHD
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Pathway to Change: A Jail Labyrinth Project
This video is a documentary of a labyrinth building project at a county jail
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Reducing Stress Through Labyrinth Walking
Webinar created through Veriditas, Petaluma, CA, with Rev. Lauren Artress
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Hepatitis C screening and testing: A call for a national response.
The purpose of this brief is to convey the immediate need to coordinate and integrate hepatitis C virus (HCV) screening and testing for HIV co-infected and HCV infected clients, into primary care. In 2000, 1.25 million persons were estimated to be chronically infected with hepatitis B virus (HBV), and 2.7 million are chronically infected with HCV. Furthermore, 55% to 85% of new HCV infections become chronic. Of the 1.0 million people chronically infected with HIV, 250,000 also have HBV, and ~50,000 also have HCV, the leading cause of hepatocellular carcinoma. Liver disease is now the leading cause of death in Americans with HIV infectio
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Formulating a Best Practice Statement for Prison Parenting Programs
Formulating a Best Practice Statement for Prison Parenting Programs Purpose: The purpose of this undergraduate honors project was to critically analyze available research on parenting, parenting education, incarcerated parents, and outcomes for the children of incarcerated parents, and make recommendations to a correctional facility for best practices. Background: Over 1.7 million American children have one or more incarcerated parents. These children are at high risk of depression, aggression, and intergenerational incarceration. Many incarcerated men have a limited understanding of parenting and fatherhood. While countless correctional facilities nationally have educational parenting programs, these programs are mainly unstandardized, and their efficacy is difficult to ascertain
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Hepatitis C point of care testing in vulnerable populations: A human factors study.
One third of all hepatitis C virus (HCV) cases in the United States are incarcerated in jails and prisons. Hepatitis C virus testing is primarily accomplished through a clinical laboratory, yet point-of-care (POC) testing is less invasive and results are available in 20 minutes compared with up to 3 weeks. The purpose of this article was to describe the findings of a collaborative project between the Colleges of Engineering and Nursing at the University of Massachusetts Amherst in executing a human factors study for HCV antibody testing and screening. Observation and recording of three-step human factors data included length of time and resources required to execute a POC test and technology use data. In the three-step process, more time is spent on filling out paperwork (4.27 minutes) than is spent on the procedure (1.24 minutes) or on counselling (0.55 minutes). The majority of high-risk respondents had access to smart technology within the previous 3 years. Human factors data will enhance the capabilities of testing, data storage, self-management, and aid in formulating an efficient screening model for marginalized patients with liver disease
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Self-assessment of nursing informatics competencies for Doctor of Nursing Practice Students
This study examined the informatics competencies of doctor of nursing practice (DNP) students and whether these competencies differed between DNP students in the post-baccalaureate (BS) and post-master\u27s (MS) tracks. Self-reported informatics competencies were collected from 132 DNP students (68 post-BS and 64 post-MS students) in their first year in the program (2007 to 2010). Students were assessed in 18 areas of 3 competency categories: computer skills, informatics knowledge, and informatics skills. Post-BS students were competent in 4 areas (computer skills in communication, systems, documentation, and informatics knowledge about impact of information management), whereas post-MS students were competent in only 1 area (computer skills in communication). Students in both tracks reported computer skills in decision support as their least competent area. Overall, post-BS students reported slightly higher than or similar competency scores as post-MS students, but scores were statistically significant in only 3 of 18 areas. The assessment indicated that knowledge and skills on informatics competencies need to be improved, especially in computer skills for data access and use of decision support systems. Strategies are suggested to integrate competencies into existing informatics course and DNP curricula. Further studies are recommended using an objective measure of informatics competencies
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