Online Journal of Rural Nursing and Health Care最新文献

{"title":"Appalachian Home- and Community- Based Services for People Affected by Dementia.","authors":"Moriah Fender, Jennifer Leeman, Jennifer Womack, Cameron Ulmer, Mark Toles","doi":"10.14574/ojrnhc.v26i1.805","DOIUrl":"10.14574/ojrnhc.v26i1.805","url":null,"abstract":"<p><strong>Purpose: </strong>Home- and community-based services (HCBS) have the potential to address the health needs of the rapidly growing population of people with ADRD in Appalachia and their informal caregivers. Little is known about the nature of HCBS and potential barriers to their use in Appalachia. The purpose of this qualitative study was to describe ADRD service providers' perceptions of the barriers and facilitators to providing high-quality HCBS for people with ADRD and their caregivers in the historically underserved region of Appalachia.</p><p><strong>Sample: </strong>A qualitative descriptive study was conducted 13 HCBS settings in Tennessee, West Virginia, Virginia, and North Carolina. A standardized, semi-structured guide was used to conduct telephone-based interviews with 13 leaders of HCBS programs.</p><p><strong>Methods: </strong>Using qualitative content analysis, two investigators coded interview transcripts, and the full study team used the coded data to identify themes related to HCBS barriers to providing ADRD services and strategies HCBS leaders used to address service delivery challenges.</p><p><strong>Findings: </strong>Participants held leadership positions in governmental (n=8), non-profit (n=3), and private (n=2) HCBS programs that provided education, service referrals, respite vouchers, support groups, and other services for people with ADRD and their families. Participants described service, cultural, geographic, and funding barriers to community-based ADRD care and strategies to address barriers, including community immersion, mobile HCBS vans, transportation services, and service advocacy.</p><p><strong>Conclusions: </strong>The findings describe barriers to HCBS in Appalachia extending earlier research with evidence to frame future larger-scaled studies focused on increasing the reach of community-based ADRD care. Future studies are needed to describe larger cohorts of people with ADRD, access to HCBS services, and the relationship between service access and outcomes, such as hospital admission, control of comorbid health conditions, and caregiver self-efficacy. Implementation studies are necessary to examine adaptations of proven ADRD care models for future intervention research.</p>","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"26 1","pages":"38-52"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A community-based tourism strategy: Homestays towards sustainable development","authors":"Sahadev Gautam","doi":"10.70310/jrt.2025.04021270","DOIUrl":"https://doi.org/10.70310/jrt.2025.04021270","url":null,"abstract":"Purpose – This study explores sustainable resource management through community-based tourism, focusing on Panauti Community Homestay as a model for integrating hospitality, cultural preservation, and local participation. Methodology – A qualitative approach was applied using ethnographic observations and checklist-based interviews, supported by both primary and secondary data.Findings – Homestays offer authentic experiences for travelers while enhancing community well-being. Collective decision-making and local engagement play key roles in sustaining tourism and preserving cultural and ecological values.Originality – This research presents community homestays as grassroots models for sustainable tourism, highlighting their potential to empower local communities and promote responsible travel practices.","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147912850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spiritual Well-Being in Appalachian Family Caregivers","authors":"U. Piamjariyakul, Stephanie Young, Saima Shafique, Nathaniel Palmer, Kesheng Wang","doi":"10.14574/ojrnhc.v24i1.757","DOIUrl":"https://doi.org/10.14574/ojrnhc.v24i1.757","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"14 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141046551","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":"Rural Nurse Practitioner Workforce Issues: Rural RNs as Potential Untapped Resource","authors":"M. Prengaman, Gayle Roux","doi":"10.14574/ojrnhc.v24i1.753","DOIUrl":"https://doi.org/10.14574/ojrnhc.v24i1.753","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"226 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141050053","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":"Publishing Rural Nurse Stories in a Book Has Impact","authors":"Jean Ross, Josie Crawley, Karole Hogarth, L. Brook","doi":"10.14574/ojrnhc.v24i1.762","DOIUrl":"https://doi.org/10.14574/ojrnhc.v24i1.762","url":null,"abstract":"Purpose: Does collecting and publishing rural nurse stories have impact? This article evaluates the impact of the design and content of a rural book capturing rural nurse stories across Aotearoa New Zealand. Did reading the book alter reader perception of rural nursing or have wider effects? Sample: Readers of a narrative book including rural nurses’ stories and imagery from across Aotearoa New Zealand were invited to complete a survey of their impressions. There were 42 responses received, a 22 per cent response rate. Of these, four did not read the book, leaving 38 responses for analysis of impact. These included seven of the original nurse storytellers, other nurses, and non-nurses. Method: The primary method was a survey of recipients of the book. This included quantitative demographic data and qualitative open question responses. Surveys were sent via email using Qualtrics with a link for completion with two automated reminders. Findings: Reading and viewing the narratives in this book impacted positively on nurses and non-nurses’ awareness of the breadth and complexity of rural nurse practice in Aotearoa New","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"34 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141041470","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":"Self-Management of Rural Adults with Multimorbidity: A Cross-Sectional Descriptive Study","authors":"Jessica J. Miller, Susan Barnason, M. Schmaderer, Christine Eisenhauer, Kevin Kupzyk, B. Pozehl","doi":"10.14574/ojrnhc.v24i1.748","DOIUrl":"https://doi.org/10.14574/ojrnhc.v24i1.748","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"18 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141024183","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":"Enhancing Nursing Student Perception of Rural Healthcare through Innovative Simulation Education","authors":"Jessica Smith, Jennifer Roye, Melynda Hutchings","doi":"10.14574/ojrnhc.v24i1.764","DOIUrl":"https://doi.org/10.14574/ojrnhc.v24i1.764","url":null,"abstract":"Purpose: Rural populations face healthcare access challenges, including rural care provider shortages and rural hospital closures. Simulation-based education could help prepare prelicensure nursing students to address healthcare access challenges for rural populations in their nursing practice through an empathetic approach, however, there is minimal evidence comparing the effectiveness of simulation and to non-simulation education methods on this topic. The purpose of this study was to compare the effectiveness of a simulation and non-simulation online nursing education intervention on nursing student empathy, confidence, knowledge","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"9 S11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141051274","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":"Rural Living and Social Determinates of Health","authors":"Pamela Stewart Fahs","doi":"10.14574/ojrnhc.v24i1.772","DOIUrl":"https://doi.org/10.14574/ojrnhc.v24i1.772","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"11 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141044343","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":"FarmResponse: Promoting Agricultural Competency to Improve Behavioral Health Outcomes in Rural Communities","authors":"Cheryl Beseler, Tara Haskins, Mikaela Stoltzfus","doi":"10.14574/ojrnhc.v24i1.758","DOIUrl":"https://doi.org/10.14574/ojrnhc.v24i1.758","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"41 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141038884","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":"Cardiovascular Disease Risk Factors Among Rural Dwelling Older African American Women","authors":"Mudasir Andrabi, M. Mumba, Betty Key, Kelvin Ovabor, Chen Lin, Fatima Leghari, Karleene Ball","doi":"10.14574/ojrnhc.v24i1.755","DOIUrl":"https://doi.org/10.14574/ojrnhc.v24i1.755","url":null,"abstract":"Background: Limited information is available about the perceptions of older African American (AA) females living in the rural “Black Belt” and their high-risk status for cardiovascular disease (CVD). Our study aims to understand this population’s perceptions about their CVD risk factors,","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"58 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141039400","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}