M. Baernholdt, N. Dunton, Elizabeth M Grandfield, Emily Cramer
{"title":"Quality Indicators in Critical Access Hospitals, Small Rural, and Urban Hospitals","authors":"M. Baernholdt, N. Dunton, Elizabeth M Grandfield, Emily Cramer","doi":"10.14574/ojrnhc.v23i1.733","DOIUrl":"https://doi.org/10.14574/ojrnhc.v23i1.733","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44652384","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":"Educational Needs of Rural Nurses when Entering Practice","authors":"Stephanie Corner, S. Dahlke, Kathleen Hunter","doi":"10.14574/ojrnhc.v23i1.723","DOIUrl":"https://doi.org/10.14574/ojrnhc.v23i1.723","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42287623","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":"Exploration of Rural Adolescent Female’s Experiences with Menstrual Health Education and Knowledge","authors":"H. Townsend, Sara K. Kaylor, Delaney Johnson","doi":"10.14574/ojrnhc.v23i1.735","DOIUrl":"https://doi.org/10.14574/ojrnhc.v23i1.735","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45969812","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":"Back in Live Action: The 2023 International Rural Nurses Conference","authors":"Pamela Stewart Fahs","doi":"10.14574/ojrnhc.v23i1.741","DOIUrl":"https://doi.org/10.14574/ojrnhc.v23i1.741","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44650425","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":"Strength and Vulnerability of Mental Illness in Older Persons within the Rural Context","authors":"Jessica Katerenchuk, S. Dahlke","doi":"10.14574/ojrnhc.v23i1.725","DOIUrl":"https://doi.org/10.14574/ojrnhc.v23i1.725","url":null,"abstract":"Purpose: In this paper we analyzed the complex issue of mental illness in older persons living in rural areas using the Strength and Vulnerability Integration (SAVI) model as a conceptual framework to bring balance to negative accounts of older persons’ emotional experiences. Method: A narrative review was conducted to examine the mental health issues of older persons living in rural areas. Three databases were searched for data pertaining to rural mental health and the SAVI model. Theoretical and empirical articles that analyzed the strengths and vulnerabilities in relation to mental illness in older persons living in rural areas were included and analyzed. Additionally, policy and position papers were used to interrogate this issue. Findings: Analysis revealed three themes: individual vulnerabilities, system vulnerabilities and strengths. Rural individuals’ struggles with chronic stress, a loss of social belonging, and neurological dysregulation across their lifespans were discussed in how they developed strengths in ageing and overcame vulnerabilities. Barriers to accessing mental health services, caregiving respite care, and health promotional services in rural areas included system vulnerabilities that exacerbated the rates of mental illness and poor health outcomes in older persons. Strengths included the rural social connection and community engagement that fostered a sense of","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47802443","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}
K. Miller, Kathrine Jones, Rhonda M. Johnson, Jodie Becker
{"title":"Improving Hand Hygiene in a Rural Critical Access Hospital","authors":"K. Miller, Kathrine Jones, Rhonda M. Johnson, Jodie Becker","doi":"10.14574/ojrnhc.v23i1.736","DOIUrl":"https://doi.org/10.14574/ojrnhc.v23i1.736","url":null,"abstract":"Background: Hand hygiene adherence is the single most important infection control practice among healthcare workers. Hand hygiene is cost-effective and adherence to protocols can reduce hospital-acquired infections. Research regarding hand hygiene adherence has been shown to improve patient safety and reduce hospital-acquired infections. Adherence to hand hygiene protocols among healthcare workers is poor and improvement efforts lack sustainability. Purpose: The purpose of this project is to improve hand hygiene to be at or greater than 90% in acute care areas of a critical access hospital","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46475916","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":"Implementing a Zen Room to Influence Well-Being in Rural Hospital Employees","authors":"Vicky Brockman, Anne Dominguez, R. Urban","doi":"10.14574/ojrnhc.v23i1.730","DOIUrl":"https://doi.org/10.14574/ojrnhc.v23i1.730","url":null,"abstract":"Purpose: The COVID-19 pandemic significantly increased work-related stress and anxiety in healthcare workers worldwide, increasing their potential for burnout. Rural hospitals experienced additional challenges as they often provided care with limited resources and staff. Efforts are made by rural hospitals to mitigate employees' work-related stress and anxiety, but few studies or projects have been published that highlight these efforts. Our evidence-based practice project aimed to answer the question, does the use of a \"Zen\" or recovery room influence rural healthcare staff stress and anxiety levels during their shift? Sample: The project's convenience sample included 36 healthcare workers and hospital staff in an acute care facility, solely servicing a rural county in north-central Texas. Method: Following the IOWA Model, a literature search was conducted, and IRB review of the project was obtained. A private, restful space was created in a room with soft lighting, a massage chair, aromatherapy, and other various tools for relaxation. From June 2021 – January 2022, all staff were invited to use the room and complete a brief voluntary anonymous survey when they entered and exited the room. An additional short-answer survey was conducted in March 2022 to explore employees' perceptions of the project. Findings: On average, participants reported significantly lower levels of stress and anxiety after using the Zen room. Pre-room anxiety scores significantly predicted participants' post-room stress levels. Barriers to room use included employee's perception of available time and enough staff during the shift to step away from their duties. Conclusion: The availability of private, uninterrupted space decreased staff stress and anxiety and allowed them to return to work with a renewed sense of energy. Rural hospitals would benefit in implementing such a space and conducting further research on the effects of stress and anxiety levels, even as COVID-19 shifts to an endemic disease.","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46529720","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":"School Vision Screening Data Informing a County-Based Community Health Needs Assessment","authors":"John Musser","doi":"10.14574/ojrnhc.v22i2.713","DOIUrl":"https://doi.org/10.14574/ojrnhc.v22i2.713","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44697821","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}
Victoria Hood-Wells, F. Weierbach, A. Wahlquist, Janet Keener, Manik Ahuja, H. Mamudu
{"title":"Telehealth Acceptance among Appalachian Respondents During COVID 19: A Secondary Data Analysis","authors":"Victoria Hood-Wells, F. Weierbach, A. Wahlquist, Janet Keener, Manik Ahuja, H. Mamudu","doi":"10.14574/ojrnhc.v22i2.715","DOIUrl":"https://doi.org/10.14574/ojrnhc.v22i2.715","url":null,"abstract":"Purpose: The purpose of this study is to examine the relationship between telehealth use, telehealth satisfaction, and chronic medical conditions among residents living in Appalachian and non-Appalachian communities. Sample: A COVID-19 public health survey was distributed via social media and healthcare clinics in the tri-state region of central Appalachia. Survey responses were limited to adults aged ≥18 years who consented to participate in the survey that self-identified as an individual with one or more chronic medical conditions (n=195). Method: Simple descriptive statistics including frequencies, percentages, means, and standard deviations (SDs) were calculated for variables of interest both overall and by subgroups of interest. Chi-squared tests were used to compare categorical outcomes between groups of interest, while two-sample t-tests were used for continuous outcomes. Significance for all tests was determined using an α level of 0.05. Findings: There is no statistically significant relationship between respondents with regard to using telehealth services, satisfaction rates related to telehealth use, or reasons for electing not to use telehealth services during the COVID-19 pandemic. However, there was a trending statistical relationship between county status and the use of telehealth services in Appalachia with those counties doing economically better being more likely to use telehealth services as compared to those fairing less well (p=0.053). Findings also suggest that people living in urban areas of Appalachia were more likely to be satisfied using telehealth services than those living in non-urban areas of Appalachia (p=0.01). Conclusions: Research is still limited as to how the expansion of broadband capabilities during the COVID-19 pandemic has benefited those residing in Appalachia in terms of managing chronic","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43033097","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 Rural Profile","authors":"Kristin Pullyblank","doi":"10.14574/ojrnhc.v22i2.716","DOIUrl":"https://doi.org/10.14574/ojrnhc.v22i2.716","url":null,"abstract":"Purpose: It has been well-documented that rural communities experience poorer health outcomes than urban or suburban communities. The contribution of various structural and sociodemographic factors to this disparity has been well studied. However, research on the impact of the rural profile on health outcomes is understudied, in part because what it means to “be rural” has not been well defined nor operationalized. Methods: Walker and Avant’s traditional concept analysis method was used Findings: The rural profile was defined as the set of personal attitudes, beliefs and behaviors that are typically informed by the structural and demographic elements found in less densely populated areas. The attributes of the rural profile are self-reliance, close community and family ties, and an emphasis on place. Observable indicators for each of these attributes based on previously published research are discussed. Conclusions: While conceptualizing the rural profile is challenging, it is imperative to define and operationalize this concept in order to better address the health needs of rural people and communities.","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43703927","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}