Creative NursingPub Date : 2023-11-01Epub Date: 2023-11-21DOI: 10.1177/10784535231216461
Sigrid Ladores, Brittany M Woods, Leslie N Pitts, Deyana Belay, Lauren Washington, Leigh Ann Bray
{"title":"The Lived Experience of African American Persons with Cystic Fibrosis.","authors":"Sigrid Ladores, Brittany M Woods, Leslie N Pitts, Deyana Belay, Lauren Washington, Leigh Ann Bray","doi":"10.1177/10784535231216461","DOIUrl":"10.1177/10784535231216461","url":null,"abstract":"<p><p><b>Background:</b> Cystic fibrosis (CF) is a rare genetic disease affecting approximately 30,000 people in the United States (US). African American persons with CF are even rarer, comprising approximately 5% of this population. <b>Purpose:</b> The purpose of this study was to explore the lived experiences of African American persons with CF to identify potential disparities in health care. <b>Methods:</b> Descriptive phenomenology was used to explore lived experiences of African American persons with CF over age 18 recruited from CF Foundation-accredited Centers in the US, CF-specific social media, and via snowball sampling. Study data was obtained through telephone interviews that were audio-recorded, transcribed verbatim, and analyzed using Colaizzi's method of thematic analysis. <b>Results:</b> Six men and six women (ages 23-45) completed the study. Interviews revealed three themes: (1) Accepting a Diagnosis of CF; (2) Desiring a Normal Life while Living with an Invisible Disease; and 3) A Slippery Slope of Subtle Racism. Each theme had 2-3 subthemes. <b>Conclusions:</b> It is critical to explore the unique challenges faced by African American persons with CF in order to develop interventions that improve their daily lives and create better futures. <b>Implications for Practice:</b> Findings highlight the unique challenges faced by underrepresented groups with CF and the need to address health inequities to improve care delivery.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"374-382"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292404","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}
Creative NursingPub Date : 2023-11-01Epub Date: 2023-11-30DOI: 10.1177/10784535231216464
Brigit M Carter, Danica Fulbright Sumpter, Wanda Thruston
{"title":"Overcoming Marginalization by Creating a Sense of Belonging.","authors":"Brigit M Carter, Danica Fulbright Sumpter, Wanda Thruston","doi":"10.1177/10784535231216464","DOIUrl":"10.1177/10784535231216464","url":null,"abstract":"<p><p>Marginalization encompasses structural, interpersonal, and intergroup dynamics that perpetuate inequality and exclusion. This manuscript advocates that the solution to marginalization lies in fostering a sense of belonging. Belonging is a fundamental human need, critical for mental well-being, academic success, and personal growth. It significantly impacts engagement, retention, and overall development, especially in health professional education settings like nursing schools. When individuals feel they belong, they are more likely to seek support, engage actively in learning, and perform better academically. However, achieving a sense of belonging is not straightforward, and many challenges at both individual and institutional levels hinder its realization. Individual challenges include resistance to change, implicit biases, and lack of awareness of the disparities caused by marginalization. Institutional challenges include insufficient commitment, inadequate resource allocation, and lack of representation from marginalized groups. In the United States, recent legislation obstructing initiatives toward diversity, equity, and inclusion poses additional obstacles. To overcome these challenges and promote belonging, this manuscript offers strategies that highlight the importance of aligning institutional values with policies and practices, recognizing and rewarding inclusive efforts, and actively seeking diverse perspectives.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"320-327"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464286","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}
Creative NursingPub Date : 2023-11-01Epub Date: 2023-11-21DOI: 10.1177/10784535231212472
Lacrecia Mebans Bell
{"title":"The Sum of Us: What Racism Costs Everyone and How We Can Prosper Together, by Heather McGhee.","authors":"Lacrecia Mebans Bell","doi":"10.1177/10784535231212472","DOIUrl":"10.1177/10784535231212472","url":null,"abstract":"<p><p>In her book, <i>The Sum of Us: What Racism Costs Everyone and How We Can Prosper Together</i>, historian Heather McGhee tallies the cost of racism and identifies a zero-sum thinking for everyone who engages in the us-versus-them ideology. Chronicling racial hierarchy dating back to colonial America, McGhee uncovers the impact of racism in almost every societal sector including politics, the economy, education, housing, criminal justice, and climate change. McGhee challenges the fallacy that racial equity is only for people of color, demonstrating that political, socioeconomic, and financial equity for Black and Brown people is equity for all people.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"395-397"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292405","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}
Creative NursingPub Date : 2023-11-01Epub Date: 2023-11-29DOI: 10.1177/10784535231216462
Susan L Huehn
{"title":"Utilizing Simulation to Address Structural Racism in the Health-Care System.","authors":"Susan L Huehn","doi":"10.1177/10784535231216462","DOIUrl":"10.1177/10784535231216462","url":null,"abstract":"<p><p><b>Aim:</b> To fill the gap in research that historically has been limited by focusing on the health problems experienced by people of color. <b>Method:</b> A simulation exercise was developed for senior pre-licensure nursing students in their senior year of a pre-licensure nursing program at a Midwest liberal arts college to intervene when a health-care provider in the hospital acted in an oppressive manner toward a client. <b>Results:</b> Qualitative findings suggest the value of addressing structural racism during a simulated learning experience to facilitate an understanding of the extent of racism inherent in the health-care system and biases that can be perpetuated by health-care providers. <b>Conclusions and Implication for Practice:</b> This simulation on the topic of implicit bias and racism in the health-care system provided an opportunity to open and deepen important conversations about equity, belonging, and justice. Additional work is needed in training professional nurses to lead meaningful change in dealing with the current inequities in our health-care system.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"354-359"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464287","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}
Creative NursingPub Date : 2023-11-01Epub Date: 2023-12-03DOI: 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}
Creative NursingPub Date : 2023-11-01Epub Date: 2023-11-13DOI: 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}
Creative NursingPub Date : 2023-11-01Epub Date: 2023-11-21DOI: 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}
Creative NursingPub Date : 2023-11-01Epub Date: 2023-11-29DOI: 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}
Creative NursingPub Date : 2023-11-01Epub Date: 2023-11-30DOI: 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}
{"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}