{"title":"Telehealth: Measurement for Best Outcomes in Support of Rural Residents","authors":"Jillian Yarbrough","doi":"10.14574/ojrnhc.v24i1.743","DOIUrl":"https://doi.org/10.14574/ojrnhc.v24i1.743","url":null,"abstract":"Purpose: Recent challenges like the global COVID-19 pandemic have led to innovations in health care practices. Specifically, advancements in remote, contactless telemedicine. For the rural residents, telemedicine is increasing access to specialists, generalists, mental health providers and unique therapies. With rapid growth, healthcare providers must move swiftly to prepare their organizations to implement telemedicine in an ethical and efficient manner. The purpose of the following study is to examine how healthcare professionals can apply and measure rural telemedicine to specifically support rural patients. Understanding how to measure telemedicine effectiveness is particularly important for rural health care nurses and doctors as they balance innovative technology and quality of care. Sample","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"66 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141030783","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":"Familiarity: A Concept Analysis on Rural Life","authors":"M. Swan, B. Hobbs, Luke J. Gietzen","doi":"10.14574/ojrnhc.v23i1.729","DOIUrl":"https://doi.org/10.14574/ojrnhc.v23i1.729","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":"42389835","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}
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}