Unifying Vision: Strategies that Influence Nurse Self-Care Practices

Background: Self-care is about physical health and includes the individual\u27s emotional, mental, and spiritual aspects. Self-care behaviors are tailored to an individual\u27s perceptions and values. Stress among nurses has been linked to high turnover rates and nursing shortages. When nurses experience job-related stress, effectively managing a patient\u27s care becomes difficult. Purpose: This project aimed to create a website presenting creative strategies that encourage a healthy lifestyle and teach nurses how to engage in self-care practices. Through interviews with executives at a privately owned, multi-specialty physician clinic, stakeholders identified the need for easy access to information supporting nurses\u27 ability to practice self-care. Design Method: The Plan-Do-Study-Act (PDSA) Model for Quality Improvement was used for this project. A systematic review of the literature was performed to ascertain the effectiveness of self-care strategies for nurses. Conclusion: The Unifying Vision website on self-care strategies for nurses increases awareness of self-care practices among nursing staff in a multi-specialty physician clinic. Implications for Nursing: Self-care practices are perceived as crucial in improving nurses\u27 work-life quality, and influencing nursing staff\u27s quality of care. Self-care is essential to improving mood, reducing anxiety, and creating a healthy relationship with oneself and others. Engaging in a self-care routine has been clinically proven to reduce or eliminate anxiety and depression, reduce stress, improve concentration, minimize frustration and anger, increase happiness, and improve energy. Keywords: self-care, patient outcomes, self-care strategie

African American Adults’ Experiences with the Health Care System: In Their Own Words

African Americans suffer a disproportionate burden of death and illness from a number of different chronic diseases. Inequalities in health care practices and poor patient and provider communication between African American patients and health care professionals contribute to these disparities. We describe findings from focus groups with 79 urban African Americans in which the participants discussed their interactions with the healthcare system as well as beliefs and opinions of the healthcare system and professionals. Analysis revealed five major themes: (1) historical and contextual foundations; (2) interpersonal experiences with physicians and other health care workers; (3) discrimination; (4) trust, opinions and attitudes, and (5) improving health care experiences. These findings indicate that perceptions of discrimination and racism were prevalent among African Americans in this study, and that the expectation of a negative interaction is a barrier to seeking care. Authors discuss prevention and public health implications of these findings and make recommendations for health care practitioners

Adopt-an-Apprentice Teacher: Re-Inventing Early Field Experiences

The goal of this chapter was to explore the impact of a field-centric, grade-band, and subject-area specific field experience model that is linked to corresponding coursework on novice teacher candidates\u27 conceptions of what it means to be a teacher. Grounded in the work of scholars such as Dewey, Piaget, and Vygotsky, this study explores three questions: What aspects of the Adopt-an-Apprentice program do teacher candidates view as beneficial to their understanding of the profession and their development as teachers? What benefits, if any, do classroom teachers derive from hosting teacher candidates in the Adopt-an-Apprentice program? What is the impact of grade band/subject-area field experiences on teacher candidates\u27 conceptions of being a teacher? Using quantitative and qualitative surveys, the study illustrates how coursework linked to authentic application in clinical settings empowered novice teacher candidates to understand and engage content, pedagogy, and standards

Using service learning to teach sustainable agriculture in downtown Columbia

Project Leaders: Pat Margherio, Dr. Jan Weaver, Nancy Monteer, Dr. Chris Starbuck, Bill McKelveyProposal for the project "Service Learning to Teach Sustainable Agriculture in Downtown Columbia." From the original description: "This direct action interdisciplinary project will investigate sustainability on many levels. Students will improve urban agriculture infrastructure, examine the use of bike trailers, and compost food scrap “waste” from Rollins Dining. Students will design and implement a three-year garden experiment that tests different soil treatments and crop rotations. Data will be collected with hand held computer devices."MU Interdisciplinary Innovations Fun

Source Use by Second Year Psychology Students in Online Distance Learning

Previously we used citation analysis on reference lists from beginning psychology students in online distance learning (ODL).  Now we examined second year students’ source use.  Sources increased across assignments. Most used were the textbook, instructor and library sources.  The mark achieved increased with number of sources, instructor sources, and library sources.  Instructor and library sources were frequently referenced by both sets of students, and source use related positively to mark.  This research expands the literature by comparing beginning and more advanced students; by replicating results from other researchers; and by examining two assignments from ODL students

A Population-Based Study of the Association of Medical Manpower with County Trauma Death Rates in the United States

OBJECTIVE: To determine the association between measures of medical manpower available to treat trauma patients and county trauma death rates in the United States. The primary hypothesis was that greater availability of medical manpower to treat trauma injury would be associated with lower trauma death rates. SUMMARY BACKGROUND DATA: When viewed from the standpoint of the number of productive years of life lost, trauma has a greater effect on health care and lost productivity in the United States than any disease. Allocation of health care manpower to treat injuries seems logical, but studies have not been done to determine its efficacy. The effect of medical manpower and hospital resource allocation on the outcome of injury in the United States has not been fully explored or adequately evaluated. METHODS: Data on trauma deaths in the United States were obtained from the National Center for Health Statistics. Data on the number of surgeons and emergency medicine physicians were obtained from the American Hospital Association and the American Medical Association. Data on physicians who have participated in the American College of Surgeons (ACS) Advanced Trauma Life Support Course (ATLS) were obtained from the ACS. Membership information for the American Association for Surgery of Trauma (AAST) was obtained from that organization. Demographic data were obtained from the United States Census Bureau. Multivariate stepwise linear regression and cluster analysis were used to model the county trauma death rates in the United States. The Statistical Analysis System (Cary, NC) for statistical analysis was used. RESULTS: Bivariate and multivariate analyses showed that a variety of medical manpower measures and demographic factors were associated with county trauma death rates in the United States. As in other studies, measures of low population density and high levels of poverty were found to be strongly associated with increased trauma death rates. After accounting for these variables, using multivariate analysis and cluster analysis, an increase in the following medical manpower measures were associated with decreased county trauma death rates: number of board-certified general surgeons, number of board-certified emergency medicine physicians, number of AAST members, and number of ATLS-trained physicians. CONCLUSIONS: This study confirms previous work that showed a strong relation among measures of poverty, rural setting, and increased county trauma death rates. It also found that counties with more board-certified surgeons per capita and with more surgeons with an increased interest (AAST membership) or increased training (ATLS) in trauma care have lower per-capita trauma death rates

The Potential of Citizen Science Data to Complement Satellite and Airborne Lidar Tree Height Measurements: Lessons from The GLOBE Program

The Global Learning and Observations to Benefit the Environment (GLOBE) Program is an international science, citizen science, and education program through which volunteers in participating countries collect environmental data in support of Earth system science. Using the program\u27s software application, GLOBE Observer (GO), volunteers measure tree height and optional tree circumference, which may support the interpretation of NASA and other space-based satellite data such as tree height data from the Ice, Cloud, and land Elevation Satellite-2 (ICESat-2) and Global Ecosystem Dynamics Investigation instrument. This paper describes tree heights data collected through the GO application and identifies sources of error in data collection. We also illustrate how the ground-based citizen science data collected in the GO application can be used in conjunction with ICESat-2 tree height observations from two locations in the United States: Grand Mesa, Colorado, and Greenbelt, Maryland. Initial analyses indicate that data location accuracy and the scientific relevance of data density should be considered in order to align GLOBE tree height data with satellite-based data collections. These recommendations are intended to inform the improved implementation of citizen science environmental data collection in scientific work and to document a use case of the GLOBE Trees data for the science research community

Effects of patient health literacy, patient engagement and a system-level health literacy attribute on patient-reported outcomes: A representative statewide survey

BACKGROUND: The effects of health literacy are thought to be based on interactions between patients’ skill levels and health care system demands. Little health literacy research has focused on attributes of health care organizations. We examined whether the attribute of individuals’ experiences with front desk staff, patient engagement through bringing questions to a doctor visit, and health literacy skills were related to two patient-reported outcomes. METHODS: We administered a telephone survey with two sampling frames (i.e., household landline, cell phone numbers) to a randomly selected statewide sample of 3358 English-speaking adult residents of Missouri. We examined two patient-reported outcomes – whether or not respondents reported knowing more about their health and made better choices about their health following their last doctor visit. Multivariable logistic regression models were used to examine the independent contributions of predictor variables (i.e., front desk staff, bringing questions to a doctor visit, health literacy skills). RESULTS: Controlling for self-reported health, having a personal doctor, time since last visit, number of chronic conditions, health insurance, and sociodemographic characteristics, respondents who had a good front desk experience were 2.65 times as likely (95% confidence interval [CI]: 2.13, 3.30) and those who brought questions were 1.73 times as likely (95% CI: 1.32, 2.27) to report knowing more about their health after seeing a doctor. In a second model, respondents who had a good front desk experience were 1.57 times as likely (95% CI: 1.26, 1.95) and those who brought questions were 1.66 times as likely (95% CI: 1.29, 2.14) to report making better choices about their health after seeing a doctor. Patients’ health literacy skills were not associated with either outcome. CONCLUSIONS: Results from this representative statewide survey may indicate that one attribute of a health care organization (i.e., having a respectful workforce) and patient engagement through question asking may be more important to patient knowledge and health behaviors than patients’ health literacy skills. Findings support focused research to examine the effects of organizational attributes on patient health outcomes and system-level interventions that might enhance patient health

Sleep Disorders and Medical Conditions in Women

Abstract Sleep disorders affect women differently than they affect men and may have different manifestations and prevalences. With regard to obstructive sleep apnea (OSA), variations in symptoms may cause misdiagnoses and delay of appropriate treatment. The prevalence of OSA appears to increase markedly after the time of menopause. Although OSA as defined by the numbers of apneas/hypopneas may be less severe in women, its consequences are similar and perhaps worse. Therapeutic issues related to gender should be factored into the management of OSA. The prevalence of insomnia is significantly greater in women than in men throughout most of the life span. The ratio of insomnia in women to men is approximately 1.4:1.0, but the difference is minimal before puberty and increases steadily with age. Although much of the higher prevalence of insomnia in women may be attributable to the hormonal or psychological changes associated with major life transitions, some of the gender differences may result from the higher prevalence of depression and pain in women. Insomnia's negative impact on quality of life is important to address in women, given the high relative prevalence of insomnia as well as the comorbid disorders in this population. Gender differences in etiology and symptom manifestation in narcolepsy remain understudied in humans. There is little available scientific information to evaluate the clinical significance and specific consequences of the diagnosis of narcolepsy in women. Restless legs syndrome (RLS) is characterized by an urge to move the legs or other limbs during periods of rest or inactivity and may affect as much as 10% of the population. This condition is more likely to afflict women than men, and its risk is increased by pregnancy. Although RLS is associated with impaired quality of life, highly effective treatment is available.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/63103/1/jwh.2007.0561.pd