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Call to Action: Academic Nursing's Role in Redesigning Health Care to Reduce the Human and Financial Cost of Health Inequities. 行动呼吁:学术护理在重新设计卫生保健中的作用，以减少卫生不公平的人力和财务成本。
IF 0.7
Creative Nursing Pub Date : 2023-11-01 Epub Date: 2023-12-03 DOI: 10.1177/10784535231216466
Kupiri Ackerman-Barger, Debra Barksdale, Jessica E Draughon Moret
{"title":"Call to Action: Academic Nursing's Role in Redesigning Health Care to Reduce the Human and Financial Cost of Health Inequities.","authors":"Kupiri Ackerman-Barger, Debra Barksdale, Jessica E Draughon Moret","doi":"10.1177/10784535231216466","DOIUrl":"10.1177/10784535231216466","url":null,"abstract":"<p><p>Health equity is an aspirational goal for health outcomes that can be achieved when systemic inequalities are addressed. The human cost of health inequities is without number; we can and must ameliorate health inequities. This essay summarizes the impact of continued health disparities and inequities in the United States and outlines the ways in which increasing diversity in the nursing workforce and graduating equity-minded nurses can promote innovation and problem-solving to address these disparities and inequities. We then present multiple pathways for nurses in academia to advance health equity.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"360-366"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479291","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}
引用次数: 0
The Invisible Minority: Stigma and Sexual and Gender Diversity in Health Care. 看不见的少数群体:卫生保健中的耻辱和性和性别多样性。
IF 0.7
Creative Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-13 DOI: 10.1177/10784535231212476
Isabel Francis, Charles Buscemi
{"title":"The Invisible Minority: Stigma and Sexual and Gender Diversity in Health Care.","authors":"Isabel Francis, Charles Buscemi","doi":"10.1177/10784535231212476","DOIUrl":"10.1177/10784535231212476","url":null,"abstract":"<p><p>This analysis elucidates the concept of stigma in the sexual and gender diverse population, and how it impacts interactions with the health-care system. Significant research into social determinants of health has given rise to a greater understanding of their impact on health-care accessibility and utilization. The impact of stigma experienced by persons with diverse gender identities and sexual orientations has not been similarly studied. Utilizing Walker and Avant's method of concept analysis and the Minority Stress Model, this article explicates stigma in an inclusive manner that directly addresses health care. Records retrieved from PubMed, Cumulative Index of Nursing and Allied Health Literature, and PsychINFO were screened for inclusion, supplemented by editorials and seminal earlier works. Review of the literature clarified the power imbalance perpetuating stigma, its defining attributes, antecedents, and consequences. Although the preponderance of consequences are negative outcomes, positive interactions with providers can empower sexual and gender diverse individuals to disclose their identity more willingly, navigate the health system effectively, and experience greater well-being. Nurses can combat stigma by acknowledging and respecting diverse identities; creating trusting, co-equal relationships; and advocating for sexual and gender diverse persons at both practice and policy levels.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"335-342"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92157290","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}
引用次数: 0
Evaluation of Social Determinants of Health in Nursing Education through Service Learning. 通过服务学习评估护理教育中健康的社会决定因素。
IF 0.7
Creative Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-21 DOI: 10.1177/10784535231212410
Desi M Newberry, Lori A Spies, Jennifer J Jones, Patricia Yvonne Perez
{"title":"Evaluation of Social Determinants of Health in Nursing Education through Service Learning.","authors":"Desi M Newberry, Lori A Spies, Jennifer J Jones, Patricia Yvonne Perez","doi":"10.1177/10784535231212410","DOIUrl":"10.1177/10784535231212410","url":null,"abstract":"<p><p><b>Background:</b> This manuscript describes an in-state nursing student global health-care experience. The 2021 Rio Grande Valley service learning team at Louise Herrington School of Nursing at Baylor University traveled from Dallas to McAllen, Texas to volunteer in a COVID vaccination clinic and refugee respite center on the U.S.-Mexican border. <b>Method:</b> A competency-based evaluation utilized the American Association of Colleges of Nursing's <i>The Essentials: Core Competencies for Professional Nursing Education Featured Concepts</i>, with a focus on social determinants of health, as a framework. <b>Results:</b> The evaluation of the service learning trip through the lens of social determinants of health and the <i>Core Competencies</i> can serve as a guideline for the design of future trips. <b>Conclusion:</b> The Rio Grande Valley service learning trip contributed to nursing students' self-reports of competency in global health education, in identifying the social determinants of health that characterized the immigrants and refugees, and in service and advocacy.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"383-388"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292403","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}
引用次数: 0
A Mentoring Initiative for Students at Historically Black Colleges and Universities: One Strategy to Increase Nursing Workforce Diversity and Advance Health Equity. 对传统黑人学院和大学学生的指导倡议:增加护理人员多样性和促进健康公平的一项战略。
IF 0.7
Creative Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-29 DOI: 10.1177/10784535231212463
Vernell P DeWitty, Jazmine Cooper, Deborah Stamps
{"title":"A Mentoring Initiative for Students at Historically Black Colleges and Universities: One Strategy to Increase Nursing Workforce Diversity and Advance Health Equity.","authors":"Vernell P DeWitty, Jazmine Cooper, Deborah Stamps","doi":"10.1177/10784535231212463","DOIUrl":"10.1177/10784535231212463","url":null,"abstract":"<p><p>This article addresses low retention and graduation rates among historically marginalized students in nursing programs at Historically Black Colleges and Universities (HBCUs). Mentoring is a proven success strategy to support systems for historically marginalized students, helping them navigate challenges, improving academic outcomes, and increasing the diversity of the nursing workforce. The article highlights the mentoring initiative of AARP's Center for Health Equity through Nursing and the Future of Nursing: Campaign for Action, an initiative of AARP Foundation, AARP, and the Robert Wood Johnson Foundation, and the outcomes of this collaboration. The paper details the implementation of a mentoring initiative to enhance graduation rates and National Council Licensure Examination (NCLEX) success among historically marginalized students and emphasizes collaboration among institutions and organizations, as well as strategies for funding, mentor recruitment, and NCLEX preparation. Recommendations include promoting robust mentoring programs, preparing mentors, and conducting further research on the effects of mentoring on student outcomes in HBCUs.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"328-334"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464284","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}
引用次数: 1
Culturally Safe Mentoring for American Indian Nursing Students. 美国印第安护理专业学生的文化安全指导。
IF 0.7
Creative Nursing Pub Date : 2023-11-01 Epub Date: 2023-11-30 DOI: 10.1177/10784535231216465
Michelle Kahn-John, Regina Eddie, Anna Slaven
{"title":"Culturally Safe Mentoring for American Indian Nursing Students.","authors":"Michelle Kahn-John, Regina Eddie, Anna Slaven","doi":"10.1177/10784535231216465","DOIUrl":"10.1177/10784535231216465","url":null,"abstract":"<p><p>Being the least-represented ethnic/racial group in college settings, American Indian students may experience loneliness and self-doubt related to the challenges of adapting to an environment that embodies values, norms, and culture so different from those represented in their traditional culture. Ongoing health disparities and psychosocial inequities, and persisting impacts of historical colonization, have led to additional hardships for these students that further complicate their academic experiences. Fostering culturally safe learning environments where compassionate and caring faculty provide culturally aligned teaching is important in addressing these complex disparities. Derived from American Indian values and teachings, we present a culturally safe intergenerational mentoring approach that emphasizes the nursing mentors' responsibility to support the growth and success of American Indian nursing students. This approach, drawn from the wisdom of American Indian teachings, focuses on students' strengths and culturally based protective factors. Culturally informed faculty who are aware of the historical impacts of colonization and who have adequate mentoring capacity (time, interest, and commitment) contribute to safe and effective learning environments. Culturally safe mentoring is one approach to promoting American Indian students' potential for academic and professional success.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"367-373"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464285","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}
引用次数: 0
Helping a Patient With a Pre-Existing Mental Health Condition Cope With Depression and COVID-19 Using the Neuman Systems Model: A Single Intrinsic Case Study. 使用纽曼系统模型帮助已有精神健康状况的患者应对抑郁症和COVID-19:单个内在案例研究。
IF 0.7
Creative Nursing Pub Date : 2023-08-01 Epub Date: 2023-11-13 DOI: 10.1177/10784535231211694
Golnaz Azami, Aliashraf Mozafari, Mohamadreza Kafashian, Sanaz Aazami, Boshra Ebrahimy
{"title":"Helping a Patient With a Pre-Existing Mental Health Condition Cope With Depression and COVID-19 Using the Neuman Systems Model: A Single Intrinsic Case Study.","authors":"Golnaz Azami, Aliashraf Mozafari, Mohamadreza Kafashian, Sanaz Aazami, Boshra Ebrahimy","doi":"10.1177/10784535231211694","DOIUrl":"10.1177/10784535231211694","url":null,"abstract":"<p><p>Nursing theories and conceptual models shape nursing knowledge. This study applied the philosophical and theoretical basis of the Neuman Systems Model, which focuses on the use of primary, secondary, and tertiary nursing prevention for retention, attainment, and maintenance of patient system wellness, to a patient with pre-existing mental health conditions struggling to cope with depression and COVID-19 in a dedicated COVID-19 hospital in an urban area of Iran. The single intrinsic case study design used interviews, nursing observations, and document analysis to evaluate environmental factors and intra-, inter-, and extra-personal stressors. An advanced, outcome-oriented nursing care plan was developed.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"295-302"},"PeriodicalIF":0.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92157289","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}
引用次数: 1
The Effect of a Diabetes Self-Management Mobile Application on Self-Efficacy, Self-Care Agency, and Self-Care Management Among Patients With Type 1 Diabetes Mellitus. 糖尿病自我管理移动应用程序对1型糖尿病患者自我效能、自我护理机构和自我护理管理的影响。
IF 0.7
Creative Nursing Pub Date : 2023-08-01 Epub Date: 2023-11-03 DOI: 10.1177/10784535231211693
Arwa B Masadeh, Ali M Saleh
{"title":"The Effect of a Diabetes Self-Management Mobile Application on Self-Efficacy, Self-Care Agency, and Self-Care Management Among Patients With Type 1 Diabetes Mellitus.","authors":"Arwa B Masadeh, Ali M Saleh","doi":"10.1177/10784535231211693","DOIUrl":"10.1177/10784535231211693","url":null,"abstract":"<p><p><b>Background:</b> Diabetes mellitus is a chronic disease that needs long-term management. Mobile health is an emerging field that is being used for diabetes self-management. <b>Aim:</b> Evaluate the effect of a diabetes self-management mobile application on self-efficacy, self-care agency, and self-care management among 128 Jordanian patients with Type 1 Diabetes Mellitus. <b>Methods:</b> The study utilized a non-equivalent controlled groups quasi-experimental design, with 64 patients in the control and in the intervention groups. <b>Results:</b> There was significant improvement in mean self-efficacy in the intervention group, improved self-care agency between the groups, and improved self-care management both within the intervention group and between the groups, after controlling for self-efficacy and self-care agency. <b>Conclusion:</b> Using a diabetes self-management mobile application may help improve patients' confidence in managing diabetes, and better commitment to and performance of self-care activities.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"286-294"},"PeriodicalIF":0.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429091","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}
引用次数: 1
An Innovative Community Health Nursing Virtual Reality Experience: A Mixed Methods Study. 一种创新的社区健康护理虚拟现实体验：混合方法研究。
IF 0.7
Creative Nursing Pub Date : 2023-08-01 Epub Date: 2023-11-03 DOI: 10.1177/10784535231211700
Jenni L Hoffman, Tsu-Yin Wu, Grigoris Argeros
{"title":"An Innovative Community Health Nursing Virtual Reality Experience: A Mixed Methods Study.","authors":"Jenni L Hoffman, Tsu-Yin Wu, Grigoris Argeros","doi":"10.1177/10784535231211700","DOIUrl":"10.1177/10784535231211700","url":null,"abstract":"<p><p><b>Background:</b> Virtual reality (VR) simulation in nursing education, especially about non-acute care including community health, is an emerging learning strategy; more research is needed about its effectiveness. <b>Purpose:</b> This study aimed to evaluate the effectiveness of an innovative community health nursing VR simulation on prelicensure students' knowledge about social determinants of health and cultural competence, with a goal of enhancing students' preparation for practice. <b>Methods:</b> In a convergent mixed methods study, 100 prelicensure nursing students in a community health nursing course at a Midwestern U.S., urban, public university completed a pretest, a VR simulation, a posttest, and an evaluation. Pre- and posttests containing content questions adapted from leading community health nursing text faculty resources were used to assess learning, and the Simulation Effectiveness Tool-Modified (SET-M) was used to assess perceived effectiveness of the intervention. <b>Results:</b> The majority of participants' posttest scores were higher than their pretest scores. Most participants strongly agreed that the VR simulation was effective, and reported on new knowledge/skills learned, material found most helpful, and benefit to their nursing practice. <b>Conclusions:</b> The community health nursing VR simulation was effective at increasing participants' knowledge and their confidence in their knowledge and abilities.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"303-310"},"PeriodicalIF":0.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429088","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}
引用次数: 1
No Health Equity Without Diversity: Strengthening Nursing Programs in Historically Black Colleges and Universities. 没有多样性就没有健康公平：加强历史上黑人学院和大学的护理项目。
IF 0.7
Creative Nursing Pub Date : 2023-08-01 Epub Date: 2023-11-01 DOI: 10.1177/10784535231211701
Roberta Waite, Yolanda VanRiel, Nina M McCune, Catherine Holton, Gina Brown, Katie Boston-Leary
{"title":"No Health Equity Without Diversity: Strengthening Nursing Programs in Historically Black Colleges and Universities.","authors":"Roberta Waite, Yolanda VanRiel, Nina M McCune, Catherine Holton, Gina Brown, Katie Boston-Leary","doi":"10.1177/10784535231211701","DOIUrl":"10.1177/10784535231211701","url":null,"abstract":"<p><p>In April 2022, Adtalem Global Education sponsored a virtual summit entitled <i>Advancing Equity in Healthcare</i>, in which several of the authors of this article and other prominent health-care professionals examined the need to diversify the health-care profession. Topics included educational justice and its impact on health care, the business case for transforming and advancing health equity, and addressing systemic inequities and improving health outcomes for historically marginalized persons. The summit inspired the authors to write this paper to advocate for authentic, sustainable partnerships led by Historically Black Colleges and Universities, as a means to diversify nursing leadership and to stem systemic and structural inequities in health care.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"281-285"},"PeriodicalIF":0.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429090","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}
引用次数: 1
The Power of Resilience While Working to Change the Structures that Determine Health and Well-Being. 在努力改变决定健康和幸福的结构时，恢复力的力量。
IF 0.7
Creative Nursing Pub Date : 2023-08-01 Epub Date: 2023-11-13 DOI: 10.1177/10784535231211674
Cyrus Batheja
{"title":"The Power of Resilience While Working to Change the Structures that Determine Health and Well-Being.","authors":"Cyrus Batheja","doi":"10.1177/10784535231211674","DOIUrl":"10.1177/10784535231211674","url":null,"abstract":"<p><p>This article explores the power of resilience in helping nurse executive leaders who are working to effect change in structural determinants of health at direct care, interprofessional, organizational, and policy levels. It leverages research, literature, and personal experiences to outline techniques that can help leaders in health care overcome challenges. Specifically, it considers self-care, building relationships, seeking support, maintaining a positive attitude, and practicing mindfulness as critical to driving meaningful change.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"248-251"},"PeriodicalIF":0.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92157291","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}
引用次数: 0
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