{"title":"Poverty in Older Adulthood: A Health and Social Crisis","authors":"Marleen Thornton, Katherine Bowers","doi":"10.3912/ojin.vol29no01man03","DOIUrl":"https://doi.org/10.3912/ojin.vol29no01man03","url":null,"abstract":"In the transition to older adulthood, people often experience health, social, and economic challenges related to increased chronic health conditions, retirement, decreased social connections, a reduction in income and earning capacity, and increased health related costs. These factors can contribute to financial insecurity, social instability, and even poverty for older adults. In the United States, one in ten older adults is living in poverty. However, standard poverty measures do not account for inflation and many costs specific to older adulthood, and thus underestimate the number of older adults living in poverty. Older adults in poverty conditions experience early mortality and high rates of disability, depression, anxiety, and loneliness. It is estimated that more than a third of older adults experience loneliness. Loneliness within this population is associated with poor physical and mental health, cognitive decline, and early mortality. Poverty and loneliness are independently detrimental to older adults and when experienced together impact the health and wellbeing of older adults in ways that are unique compared to other age cohorts. Nurses are well positioned to address these intersecting issues. The purpose of this article is to discuss the challenges of poverty in older adults, with particular focus on the intersection of poverty and loneliness within this population. Nursing implications for education, practice, research, and policy implications are discussed.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140470835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"First, Seek to Understand: Deconstructing the Concept of Poverty for Nursing Education","authors":"Rebecca Lee, Misty Bauer","doi":"10.3912/ojin.vol29no01man04","DOIUrl":"https://doi.org/10.3912/ojin.vol29no01man04","url":null,"abstract":"Poverty, an important social determinant of health, is a multifaceted issue that impacts the health of individuals, families, and communities. People who live in impoverished communities have limited access to many necessary resources. This deficit often results in increased risk for mental illness, chronic disease, higher mortality, and lower life expectancy and greater need for healthcare services. There is a call for nurse educators to provide multiple opportunities throughout curricula for students at all levels to develop competencies to assess and intervene in outcomes impacted by social determinants of health. Doing so requires a perspective of empathy, grounded in cultural humility, to advance health equity and advocate for persons facing challenges, such as those who experience poverty. This article provides an overview of poverty in the context of the social determinants and discusses strategically designed experiential learning experiences, such as simulations and community-academic partnerships. An exemplar of an interprofessional community-academic partnership is provided to illustrate an ongoing successful effort that has fostered a deeper understanding of the lived experience of poverty for students of nursing and other professions.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"294 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140472393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amber Kolesar, Angela Karakachian, Jessica Devido, Denise Lucas, Kate DeLuca
{"title":"Recognizing and Responding to Poverty in College Students: What Can Nurses Do?","authors":"Amber Kolesar, Angela Karakachian, Jessica Devido, Denise Lucas, Kate DeLuca","doi":"10.3912/ojin.vol29no01man02","DOIUrl":"https://doi.org/10.3912/ojin.vol29no01man02","url":null,"abstract":"People may not consider college students when they think about populations who experience poverty. However, rising costs of college and changes in student demographics have contributed to poverty within this group. Many students experience poverty and subsequent basic needs insecurity; they may lack safe housing and the ability to access adequate amounts of nutritious food. Poverty has significant mental, physical, and academic implications for these college students. Recognizing that education is a social determinant of health, it is clear that nurses can address this issue. This article provides an overview of poverty in the context of college student concerns, including actions to promote students’ well-being and academic success. We describe current interventions to support students as well as the stigma that often accompanies poverty and may prohibit a student from asking for help. The authors present information for nurses in various roles on college campuses, such as educator and advocate; advanced practice program faculty; and student healthcare provider. An exemplar describes how faculty at one school of nursing have responded to student poverty concerns. Finally, we suggest recommendations to begin or enhance current efforts to address poverty in college students.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"755 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140479501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Poverty Post Pandemic, Lapsed Public Policy, and Rising Rates: A Call to Action for Nursing","authors":"Martha Y Kubik","doi":"10.3912/ojin.vol29no01man01","DOIUrl":"https://doi.org/10.3912/ojin.vol29no01man01","url":null,"abstract":"Poverty is a pressing societal problem, adversely affecting the lives and livelihoods of millions of people in the United States and beyond. During this period of pandemic recovery, nurses, as the largest health workforce, are well positioned for action with the potential to improve health outcomes for many experiencing poverty. An actionable plan begins with an understanding of poverty and how poverty is experienced. It builds on nursing’s disciplinary perspective, patterns of knowing and a new model of professional nursing education advanced by the American Association of Colleges of Nursing. Finally, a feasible and sustainable plan is responsive to the challenges of a contemporary and complex health care delivery system.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"137 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140479162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Poverty Simulation: A Tool to Experience the Social Determinants of HealthThe Poverty Simulation: A Tool to Experience the Social Determinants of Health","authors":"Tracey Motter, Taryn Burhanna, Jennifer Metheney","doi":"10.3912/ojin.vol29no01man05","DOIUrl":"https://doi.org/10.3912/ojin.vol29no01man05","url":null,"abstract":"To provide holistic care that addresses all aspects of patient needs, nurses must understand the complexities of healthcare for the large population of people who live in poverty. The World Health Organization (WHO) recognizes the Social Determinants of Health (SDOH) as individual income, living conditions, social supports, and access to adequate food sources, education, and healthcare. Eighty percent of a person’s ability to attain health and well-being is related to the SDOH. In the United States, Healthy People 2030 and accrediting bodies for professional nursing programs focus on the SDOH and the impact of these determinants on health equity and access to care. Thus, as nursing students learn about challenges faced by persons who live in poverty conditions, it can be beneficial to also experience what their everyday life entails. One option available is the use of poverty simulation tools. This article provides an overview of the Missouri Community Action Network Community Action Poverty Simulation (CAPS) used in a Bachelor of Science in Nursing (BSN) curriculum to enhance student understanding about the experiences of living in poverty, to increase their ability to analyze the relationship between the SDOH and poor health outcomes, and to identify potential personal attitudes and biases. We offer information about our experiences with poverty simulation planning, implementation, and evaluation.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"473 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140480143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Overview and Summary: Contemporary Perspectives on Poverty","authors":"Carolyn Montoya","doi":"10.3912/ojin.vol29no01manos","DOIUrl":"https://doi.org/10.3912/ojin.vol29no01manos","url":null,"abstract":"","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"260 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140472894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rowaida Al-Maaitah, S. Abuhammad, Hani Nawafleh, Hadeel Al-Maaitah, Laila Akhu-Zaheya, M. Gharaibeh, Raeda Abu ALRub
{"title":"Challenges Faced by Refugee Nurses to Integrate into Jordan's Labor Market: A Phenomenological Study","authors":"Rowaida Al-Maaitah, S. Abuhammad, Hani Nawafleh, Hadeel Al-Maaitah, Laila Akhu-Zaheya, M. Gharaibeh, Raeda Abu ALRub","doi":"10.3912/ojin.vol29no01man06","DOIUrl":"https://doi.org/10.3912/ojin.vol29no01man06","url":null,"abstract":"One concern that professionals with refugee status often face upon relocating to a different country is the process to secure a position that reflects the credentials and previous experience they bring from their former homeland. In Jordan, some refugees have the means to earn a living to support themselves and their families but live in poverty conditions due to the complexity of the process to vet their education and credentials that results in inability to gain professional employment in the new country. This article describes a descriptive qualitative study that explored challenges faced by refugee health professionals in their attempts to integrate into Jordan's labour market. We conducted individual semi structured interviews and/or focus group sessions with a sample of 16 refugee nurses. The nurses described their perceptions and experiences of being refugees and their challenges to find a professional nursing position. Qualitative content analysis led to seven emerging themes: legal issues, financial issues, working environment issues, education and professional issues, family issues, physical and mental health issues, and gender issues. This study was an important first step to understand the challenges hindering refugee health professionals' employment opportunities and access to the labour market. The findings suggest implications for practice related to promoting awareness, creating legal employment opportunities, and informing policy.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140475951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advances in Technology Mediated Nursing Education","authors":"M. Aebersold, Laura Gonzalez","doi":"10.3912/ojin.vol28no02man06","DOIUrl":"https://doi.org/10.3912/ojin.vol28no02man06","url":null,"abstract":"The use of virtual reality and other technology mediated simulations is in early stages. Guidelines and protocols are still being developed. However, much of what we have used in other forms of simulation can be successfully adapted and implemented. This article will highlight selected areas for use of virtual reality in nursing education. Current literature describes the evidence in this area that includes immersive and desktop virtual realities. Both modalities provide an experiential learning platform that has demonstrated gains in knowledge acquisition and effective learning outcomes. There are several options available to use virtual reality in nursing education. Appropriate educational frameworks and alignment of the virtual reality experience with learning outcomes are important considerations. Infrastructure and support for immersive or desktop virtual reality will look different. It is beneficial to collaborate with instructional technology support staff early in the process as options are explored. Overall, technology mediated simulations using virtual reality is a promising new area for nurse educators. A thoughtful, informed approach can facilitate positive learner experiences and strong outcomes.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139372261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Virtual Nurse Program in a Community Hospital Setting","authors":"Ruth Sagastume, Jessica Peterson","doi":"10.3912/ojin.vol28no02man02","DOIUrl":"https://doi.org/10.3912/ojin.vol28no02man02","url":null,"abstract":"While nursing shortages are not new, the nursing profession is entering a “new era,” that challenges nurse leaders to create novel ways to provide adequate nursing resources and efficient patient care workflows. Virtual nursing care models are emerging as options to provide nursing services to support providers in the immediate bedside patient care environment. This article describes a virtual nursing care program implemented on medical-surgical acute care units to support inexperienced staff, maintain patient safety and quality, and improve patient care outcomes.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139372388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Meaningful Recognition of Pediatric Nurses via a Closed Facebook Group","authors":"Christine LaGrasta, Shannon Olbrot, Kerri Fournier, Colleen O’Shaughnessy, Paula Conrad, Patricia Hickey, Michele DeGrazia","doi":"10.3912/ojin.vol28no02man04","DOIUrl":"https://doi.org/10.3912/ojin.vol28no02man04","url":null,"abstract":"Hospitals where nurses report higher levels of meaningful recognition also report greater job satisfaction, decreased intent to leave, and increased quality of care. Despite a hospital-wide effort to recognize nurse achievements at a free-standing, pediatric, academic hospital, few nurses received recognition external to their units. A nursing council charged to address this problem chose to create an active social media community to provide meaningful recognition of nurses by highlighting their clinical inquiry and achievement via a closed Facebook (FB) Groups platform. This article describes implementation methods as the council identified aims and goals of the FB group, designated monthly moderators, and promoted the FB group to the nursing community. Consistent membership growth and FB group engagement were tracked using FB platform metrics. Results demonstrated meaningful recognition of nursing clinical inquiry and achievement. With this accomplishment, the successful platform was expanded to incorporate hospital-wide achievements from other disciplines.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139372240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}