Online Journal of Rural Nursing and Health Care最新文献_第6页

American Indian Perspectives on Palliative and End-of-Life Care 美国印第安人对姑息治疗和临终关怀的看法

Online Journal of Rural Nursing and Health Care Pub Date : 2021-09-01 DOI: 10.1891/9780826183644.0029

Yoshiko Colclough, M. Isaacson

引用次数: 1

An Evidence-Based Policy and Educational Program for Neonates Experiencing Opioid Withdrawal 阿片类药物戒断新生儿的循证政策和教育计划

Online Journal of Rural Nursing and Health Care Pub Date : 2021-09-01 DOI: 10.1891/9780826183644.0030

A. Olson, Stacy M. Stellflug, Sandra W Kuntz

引用次数: 0

Lack of Anonymity and Secondary Traumatic Stress in Rural Nurses 农村护士匿名性缺失与继发性创伤应激

Online Journal of Rural Nursing and Health Care Pub Date : 2021-05-10 DOI: 10.14574/OJRNHC.V21I1.651

M. Swan, B. Hobbs

引用次数: 0

Improving Rural Emergency Nurses Comfort during Palliative and End-of-Life Communication 改善农村急救护士在姑息和临终沟通中的舒适度

Online Journal of Rural Nursing and Health Care Pub Date : 2021-05-04 DOI: 10.14574/OJRNHC.V21I1.647

A. Styes, M. Isaacson

{"title":"Improving Rural Emergency Nurses Comfort during Palliative and End-of-Life Communication","authors":"A. Styes, M. Isaacson","doi":"10.14574/OJRNHC.V21I1.647","DOIUrl":"https://doi.org/10.14574/OJRNHC.V21I1.647","url":null,"abstract":"Background: Emergency nurses (ENs) often care for patients nearing the end of their lives or with life-limiting illnesses. However, ENs are hesitant to initiate palliative or end-of-life (PEOL) discussions because of a lack of comfort with these topics. Many ENs have no formal PEOL communication training which contributes to the lack of comfort with PEOL discussions in the emergency department (ED). Thus, the purpose of this quality improvement project was to determine how PEOL communication training affected rural ENs perceived comfort level during PEOL conversations. \u0000Sample/Setting: A convenience sample of 14 registered nurses working in a rural Northern Plains ED. \u0000Methods: A quality improvement project was implemented where nurses received online education using the End-of-Life Nursing Education Consortium Critical Care Communication module. This was followed by communication scenario review and group discussion. Changes in nurse comfort with PEOL communication were evaluated using a pre and post survey and reflective practice in the group discussion. \u0000Findings: This quality improvement project demonstrated a statistically significant increased level of comfort (N = 14, p = 0.006) when communicating with PEOL patients and their families in the ED. Qualitatively, the ED nurses expressed fears and challenges specific to PEOL communication while also identifying new evidence-based strategies they can use during PEOL conversations. \u0000Conclusion: Communication is vital when caring for PEOL patients in the ED. Formal PEOL communication training is effective for improving PEOL communication skills among ENs. Increasing nurse comfort when communicating with PEOL patients has the potential to improve quality of care at end-of-life. \u0000Keywords: emergency nurses, communication, palliative, end-of-life \u0000DOI: https://doi.org/10.14574/ojrnhc.v21i1.647 ","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"21 1","pages":"100-117"},"PeriodicalIF":0.0,"publicationDate":"2021-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47738291","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

Community Characteristics and Readmissions: Hospitals in Jeopardy 社区特征和再入院:处于危险中的医院

Online Journal of Rural Nursing and Health Care Pub Date : 2021-05-04 DOI: 10.14574/OJRNHC.V21I1.638

Michele L. Summers, Serdar Atav

引用次数: 0

ANEW Project to Develop and Support Rural Primary Practice 发展和支持农村初级实践的ANEW项目

Online Journal of Rural Nursing and Health Care Pub Date : 2021-05-04 DOI: 10.14574/OJRNHC.V21I1.649

N. Gibson, Brandi Pravecek, L. Burdette, L. Lamb

引用次数: 0

Rural Resilience in Cancer Survivors: Conceptual Analysis of a Global Phenomenon 农村癌症幸存者的复原力:全球现象的概念分析

Online Journal of Rural Nursing and Health Care Pub Date : 2021-05-04 DOI: 10.14574/OJRNHC.V21I1.676

V. Bernacchi, J. Zoellner, J. Keim-Malpass, P. Deguzman

引用次数: 5

Navigating public health clinical placements for rural online RN-BSN students 引导农村在线RN-BSN学生的公共卫生临床实习

Online Journal of Rural Nursing and Health Care Pub Date : 2021-05-04 DOI: 10.14574/OJRNHC.V21I1.664

Jill C. Borgos

{"title":"Navigating public health clinical placements for rural online RN-BSN students","authors":"Jill C. Borgos","doi":"10.14574/OJRNHC.V21I1.664","DOIUrl":"https://doi.org/10.14574/OJRNHC.V21I1.664","url":null,"abstract":"Purpose: In rural settings scare public health resources potentially limits the opportunities for nursing students living in these areas to participate in traditional one to one precepted experiences with public health agencies. To meet the revised Commission on Collegiate Nursing Education Standards related to direct clinical practice, creative strategies are needed for online degree seeking RN-BSN students who live in rural areas. This article explores an alternative learning experience by partnering students with a nonprofit healthcare institute to work on state health initiatives in the geographic region where the students reside. \u0000Process: In the absence of adequate opportunities for one to one precepted clinical experiences, student living in rural areas completing an online RN-BS program were partnered with a non-profit health organization. The students participate in an experiential learning experience to fulfill clinical hours in a public health setting as required by the Commission on Collegiate Nursing Education. In this case a cohort of students worked with a nonprofit healthcare institute on New York State’s T-21 campaign to further advance their knowledge on health initiatives driven by state health reform policy and actively participate community-based education. \u0000Conclusion: With a growing focus on population-based care and caring for vulnerable populations, particularly in rural areas, seeking clinical activities through partnerships with non-profit healthcare institute to improve health outcomes at the community level offers an alternative approach to engaging online degree seeking RN-BSN students in experiential clinical learning in communities with limited public health agency placements. \u0000Keywords: interprofessional learning, nursing accreditation, rural nursing students, service-learning pedagogy \u0000DOI: https://doi.org/10.14574/ojrnhc.v21i1.664","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"21 1","pages":"118-130"},"PeriodicalIF":0.0,"publicationDate":"2021-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45350823","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

Health Care Experiences in Rural, Remote, and Metropolitan Areas of Australia 澳大利亚农村、偏远和大都市地区的医疗保健经验

Online Journal of Rural Nursing and Health Care Pub Date : 2021-05-04 DOI: 10.14574/OJRNHC.V21I1.652

S. Bourke, Claire Harper, Elianna Johnson, Janet Green, Ligi Anish, Miriam Muduwa, L. Jones

{"title":"Health Care Experiences in Rural, Remote, and Metropolitan Areas of Australia","authors":"S. Bourke, Claire Harper, Elianna Johnson, Janet Green, Ligi Anish, Miriam Muduwa, L. Jones","doi":"10.14574/OJRNHC.V21I1.652","DOIUrl":"https://doi.org/10.14574/OJRNHC.V21I1.652","url":null,"abstract":"Background: Australia is a vast land with extremes in weather and terrain. Disparities exist between the health of those who reside in the metropolitan areas versus those who reside in the rural and remote areas of the country. Australia has a public health system called Medicare; a basic level of health cover for all Australians that is funded by taxpayers. Most of the hospital and health services are located in metropolitan areas, however for those who live in rural or remote areas the level of health service provision can be lower; with patients required to travel long distances for health care. \u0000Purpose: This paper will explore the disparities experienced by Australians who reside in regional and remote areas of Australia. \u0000Method: A search of the literature was performed from healthcare databases using the search terms: healthcare, rural and remote Australia, and social determinants of health in Australia. \u0000Findings: Life in the rural and remote areas of Australia is identified as challenging compared to the metropolitan areas. Those with chronic illnesses such as diabetes are particularly vulnerable to morbidities associated with poor access to health resources and the lack of service provision. \u0000Conclusion: Australia has a world class health system. It has been estimated that 70% of the Australian population resides in large metropolitan areas and remaining 30% distributed across rural and remote communities. This means that 30% of the population are not experiencing their health care as ‘world-class’, but rather are experiencing huge disparities in their health outcomes. \u0000Keywords: rural and remote, health access, mental health issues, social determinants \u0000DOI: https://doi.org/10.14574/ojrnhc.v21i1.652 ","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"21 1","pages":"67-84"},"PeriodicalIF":0.0,"publicationDate":"2021-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43429423","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: 2

Rural Populations’ Sources of Cancer Prevention and Health Promotion Information 农村人口癌症预防和健康促进信息来源

Online Journal of Rural Nursing and Health Care Pub Date : 2021-05-03 DOI: 10.14574/OJRNHC.V21I1.663

M. E. Leimkuhler, Lindsay Hauser, Noelle Voges, P. Deguzman

{"title":"Rural Populations’ Sources of Cancer Prevention and Health Promotion Information","authors":"M. E. Leimkuhler, Lindsay Hauser, Noelle Voges, P. Deguzman","doi":"10.14574/OJRNHC.V21I1.663","DOIUrl":"https://doi.org/10.14574/OJRNHC.V21I1.663","url":null,"abstract":"Purpose: Rural residents are less likely to engage in cancer risk-reduction behaviors than their urban counterparts. Rural cancer disparities may be related to limited access to and comprehension of cancer-related health information. The object of this study was to identify how rural residents access and understand cancer health promotion and prevention information. \u0000Sample: Twenty-seven residents of Central Virginia \u0000Methods: We used a qualitative design with semi-structured interviews and a focus group (n=27) with rural and non-rural residents living in Central Virginia to accomplish the study aim. \u0000Findings: Four themes were identified from the data: 1) non-rural Central Virginia residents seek health information from a variety of electronic sources, 2) rural Central Virginia residents typically seek health care information directly from health care professionals, 3) residents throughout Central Virginia encounter confusing health care information, and 4) rural residents report incorrect cancer-related information. \u0000Conclusions: Lack of internet access coupled with healthcare shortages may limit the ability of rural residents to contextualize and verify inaccurate health information. Nurses serving a rural population should consider assessing each rural patient’s internet access and disseminating printed cancer health promotion materials to rural clients without internet access. \u0000Keywords: rural health; healthcare disparities; access to care; cancer health promotion; health literacy; cancer \u0000DOI: https://doi.org/10.14574/ojrnhc.v21i1.663 ","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"21 1","pages":"3-23"},"PeriodicalIF":0.0,"publicationDate":"2021-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46406776","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