Online Journal of Rural Nursing and Health Care最新文献

{"title":"Characteristics of Neonatal Abstinence Syndrome (NAS) in a rural clinic population: Tracking with Electronic Medical Health Records (EHR)","authors":"J. Cochran, Traci D. Jarrett, A. Baus","doi":"10.14574/ojrnhc.v20i2.625","DOIUrl":"https://doi.org/10.14574/ojrnhc.v20i2.625","url":null,"abstract":"PurposeThe impact of intrauterine exposure of opioids and other addictive substances on pediatric patients is concerning for health care providers in rural WV.  NAS patients must be identified, screened, and treated during the pediatric years to facilitate improved outcomes. The purpose of this research was to evaluate the ability of rural providers to use EHRs to identify, describe, and monitor aspects of NAS across the pediatric health span.  \u0000MethodsThe research team used de-identified data of patients that had the NAS diagnosis from a rural clinic. One hundred fifty-five charts were evaluated.  Demographics, clinical characteristics, and developmental milestone status were extracted from charts. \u0000ResultsThere were differences in characteristics across age groups. Reported secondhand smoke was higher among the 0-3 year olds. Normal BMI percentile was highest among 4-5 year olds.  The Ages and Stages Developmental screening was abnormal more in those aged 6-19 years. Foster care was highest among the ages 0-3 years. The 4-12 age groups highest amount of no show visits.  Respiratory illness was the most frequent diagnosis and was highest in the 4-5 age group.  Eye and ear diagnosis were noted as a recurrent diagnosis in the 4-5 year old group. Diagnosis related to mental health were highest in the 6-18 age group.  \u0000DiscussionThe EHR can be used to describe and track special populations such as NAS in rural areas. Tagging and tacking patients with NAS can help primary care providers manage care and anticipate age related health care needs. Tracking high risk populations assures that the patient care is maintained. Tracking no show rates assists providers in assuring that patient’s caregivers are compliant in necessary treatments and referrals. Child Protection can also be involved if medical neglect is noted. EHRs are useful in identifying high risk populations such as NAS to facilitate treatments and continuity of care.  \u0000DOI:  http://doi.org/10.14574/ojrnhc.v20i2.625 ","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"20 1","pages":"194-212"},"PeriodicalIF":0.0,"publicationDate":"2020-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48068476","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":"Use of Tweet-Format Narrative Reflections During a Service-Learning Trip to Appalachia","authors":"Tracy P. George, Allison C. Munn, Tiffany A. Phillips, J. Hucks","doi":"10.14574/ojrnhc.v20i2.633","DOIUrl":"https://doi.org/10.14574/ojrnhc.v20i2.633","url":null,"abstract":"Background: Tweet-format narratives have been used in medical education to capture student experiences. However, there is a lack of research on tweet-format narratives during experiential learning in nursing education. Purpose: The purpose of this project was to explore the usefulness of tweet-format narratives to capture nursing student experiences and to elicit reflection during a service-learning trip. Methods: Eight bachelor of science in nursing (BSN) students participated in a service-learning experience to Appalachia. A grounded theory approach with three data collection methods was","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"20 1","pages":"156-178"},"PeriodicalIF":0.0,"publicationDate":"2020-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45436247","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":"PREPARE-ing South Dakota Farm and Ranch Women for Advance Care Planning","authors":"Theresa Garren-Grubbs, M. Letizia, M. Minton","doi":"10.14574/ojrnhc.v20i2.632","DOIUrl":"https://doi.org/10.14574/ojrnhc.v20i2.632","url":null,"abstract":"Purpose: Evaluate the impact of an advance care planning (ACP) educational session utilizing PREPARE for Your Care for South Dakota farm and ranch women and its ability to increase engagement in ACP and documentation of medical wishes in the form of an advance directive. \u0000Sample: A convenience sample of women (n = 23) represented members of the farm and ranch community in South Dakota who were participating in the Power of Women as AgVocates Conference. Inclusion criteria for this study included being 18 years old or older, female, and conference participation. Exclusion criteria included men and those under the age of 18. \u0000Method: This was a cross-sectional investigation, consisting of three phases, and included comparisons of the same sample population before and after an ACP intervention at different time intervals (baseline, 1 week after the educational session and 3 months after the educational session). Increased engagement in ACP was evaluated using a pre-test, post-test design and utilized the 15-item Advance Care Planning Engagement Survey. Demographic information including age and highest level of education completed was collected. \u0000Findings: In total, 23 women participated in education session. The median age range was 35-44 years of age. There were statistically significant increases in self-efficacy and readiness to complete ACP reported by participants. The objectives of this education session were met. Per the participants, this was an effective format for ACP. Advance directive completion rates did not increase. \u0000Conclusions: The use of PREPARE for Your Care during an education session on ACP can increase self-efficacy and readiness to engage in ACP. The format of this program is appropriate for future use in community settings with the farm and ranch population. \u0000Keywords: Advance Care Planning, farm and ranch womenDOI:  http://doi.org/10.14574/ojrnhc.v20i2.632","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"20 1","pages":"4-24"},"PeriodicalIF":0.0,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42976738","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 Year of the Nurse and COVID-19: Editorial","authors":"P. Fahs","doi":"10.14574/ojrnhc.v20i2.668","DOIUrl":"https://doi.org/10.14574/ojrnhc.v20i2.668","url":null,"abstract":"Fahs reflects on American Nurses Association's theme for 2020, The Year of the Nurse, and on the role of nurses in the COVID-19 pandemic She states that the experiences of nurses in 2020, working in a pandemic, adds meaning to the phrase Nurses continue to be highly respected professionals and the resilience and determination of nurses has been readily evident in this pandemic Nurses work in many roles including direct patient care, public health and education to name only a few and there is no nursing role where the pandemic has not had an impact","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"20 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43090071","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":"Predictors of Depressive Symptoms in Rural Farm Women Aged 50 and Over","authors":"Cheryl D. Witt, D. Reed, M. Rayens","doi":"10.14574/ojrnhc.v20i2.631","DOIUrl":"https://doi.org/10.14574/ojrnhc.v20i2.631","url":null,"abstract":"Purpose: Aspects of farming and farm life can contribute to higher levels of depressive symptoms resulting in an increased risk for injury and development of chronic disease and a decrease in overall quality of life. Rural farm women can be subjected to stressors from farming as an occupation, their role within the agrarian culture, and life in a rural area. The purpose of this study was to examine the associations of demographic characteristics, agricultural occupational factors, and health indicators with depressive symptoms among farm women aged 50 years and older. \u0000Methods: Secondary analysis of cross-sectional data from the Sustained Work Indicators of Older Farmers Study (2002-2006) was used to examine the influence of factors on depressive symptoms of older (> 50 years) female farmers (N= 358) from North Carolina and Kentucky. The study was framed by a modified version of the Biopsychosocial Model. Logistic regression was conducted to examine the relationships between demographics, perceived health status, active coping score, perceived stress, and factors specific to farm work and depressive symptoms. \u0000Findings: Participants’ depressive symptoms status (high vs. low) was predicted by their race/ethnicity, years of education, adequacy of income for vacation, perceived health status, perceived stress, and active coping. \u0000Conclusion: This study increases our understanding of the factors associated with depressive symptoms in farm women, but also identifies significant gaps in our knowledge of depressive symptoms among this population. The multifaceted dimensions of depressive symptoms revealed indicate a crucial need to more fully explore the interrelationship among the dimensions of the conceptual model and the physical and mental health of farm women. Additional knowledge gained from these studies will assist in the development of assessment instruments, skills, and plan of care specific to the needs of farm women; thus optimizing the health care of farm women. \u0000Key words: rural women, farm women, depressive symptoms, farm life","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"20 1","pages":"25-52"},"PeriodicalIF":0.0,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44603915","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":"Motivation and Exercise in Rural Postmenopausal Women","authors":"L. Fitton, Kim Schafer Astroth, A. Cox, Denise Wilson, C. Mallory, Sheryl Jenkins","doi":"10.14574/ojrnhc.v20i2.623","DOIUrl":"https://doi.org/10.14574/ojrnhc.v20i2.623","url":null,"abstract":"Purpose:  The purpose of this research is to explore the relationships among psychological needs, motivation regulations, autonomy support, and physical activity (PA) behavior in rural and urban postmenopausal women within the Self Determination Theory (SDT) framework. \u0000Sample:  The convenience sample included 114 rural postmenopausal women (RPMW) and 56 urban postmenopausal women (UPMW) recruited from three Midwestern states. \u0000Method: Subjects completed surveys in paper form which included instruments to measure basic psychological needs, motivation regulations, autonomy support, and PA behavior. \u0000Findings: Results indicate a mix of relationships among psychological needs and intrinsic motivation in rural and urban women. There was a significant correlation (r = .274, n = 169, p = 0.04) between intrinsic motivation and relatedness in RPMW, indicating these women find motivation in meaningful relationships. \u0000Conclusions: The strength of this research exists in the introduction of a significant correlation between intrinsic motivation to exercise and relatedness in RPMW. Previous work with SDT has shown autonomy and competence as motivating factors regarding physical activity behavior in women. This research indicates that for RPMW relatedness is also an important determinant of intrinsic motivation. This data suggests that psychological needs and motivational regulations are dissimilar for RPMW and UPMW regarding exercise behavior. \u0000DOI:  http://doi.org/10.14574/ojrnhc.v20i2.623 \u0000 ","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"20 1","pages":"53-77"},"PeriodicalIF":0.0,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48119465","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-Care Behaviors of Rural Women Post-Invasive Coronary Interventions","authors":"Mosima G. Choshi","doi":"10.14574/OJRNHC.V20I2.629","DOIUrl":"https://doi.org/10.14574/OJRNHC.V20I2.629","url":null,"abstract":"Purpose: Self-care is an essential component of secondary prevention of coronary artery disease (CAD) for rural women after undergoing invasive coronary interventions (ICI). The purpose of the study was to describe self-care behavior experiences of rural women with CAD post-ICI. The specific aims were: to identify and describe self-care behaviors initiated by rural women post-ICI; and to identify and describe barriers to and facilitators of self-care behavior adoption. The language used to describe self-care can be different between health care providers, who are guided by the American Heart Association (AHA), and rural women whose descriptions are based on their life experiences. Methods: Qualitative descriptive methods were used to purposefully sample women (N=10) from two rural Arizona counties. Data were collected using semi-structured face-to-face interviews, lasting approximately 25minutes. Atlas.ti Mac Version 1.5.2 (462) was used for data analysis. Findings: Aim 1: Healthy diet was the most common self-care behavior described by rural women. When describing self-care behaviors, rural women used a different language, which was in alignment with AHA guidelines for self-care behaviors. Aim 2: Themes identified and described for barriers were: residential environment, health and physical ailments, family conditions, and personal characteristics; and for facilitators were relationships, available resources, and personal outcomes. Conclusions: Regardless of poor health-promoting environment, such as unavailability of fresh food stores and access to exercise opportunities rural women took advantage of what they had to keep healthy. They performed self-care behaviors that they described as good for their health and made them happy without associating them the expected self-care behaviors to prevent reoccurrences and complications post-ICI. Rural health care providers must recognize these challenges, acknowledge the positive assets wihin rural women, and incorporate them into the programs for self-care behavior modification strategies. Keywords: Self-care, rural women, coronary artery disease, invasive coronary interventions DOI:  http://doi.org/10.14574/ojrnhc.v20i2.629","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"20 1","pages":"78-107"},"PeriodicalIF":0.0,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45846973","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":"Learning What I Need to Know: Experiences of Rural Cardiac Surgery Patients","authors":"Martha M. Scheckel, Jennifer Hedrick-Erickson, Debra E. Stieve","doi":"10.14574/ojrnhc.v20i1.605","DOIUrl":"https://doi.org/10.14574/ojrnhc.v20i1.605","url":null,"abstract":"Purpose: This hermeneutic study expands understandings of rural cardiac surgery patients’ experiences of their learning needs following cardiac surgery to inform the provision of patient education for this population. Sample: Eighteen rural residents provided accounts about their experiences. Findings: An interpretation as analysis approach revealed three themes: a) Learning: Family History Informing Preventive Care; b) Learning: The Notebook, Blue’s Clues, and Explanations; and c) Learning: Lifestyle Changes and Confronting Mortality. Conclusions: The first theme demonstrates needs to ensure patients from rural settings understand that preventing cardiovascular disease is not limited to family members’ experiences with secondary and tertiary prevention. The second theme underscores the importance of providing patient education materials that are readable and useable, and considers existential learning needs. The last theme highlights the importance of patients understanding how lifestyle changes involve","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"20 1","pages":"90-120"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45480182","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":"COVID - 19 and Rural Health Care: Editorial","authors":"P. Fahs","doi":"10.14574/ojrnhc.v20i1.626","DOIUrl":"https://doi.org/10.14574/ojrnhc.v20i1.626","url":null,"abstract":"Fahs reflects on the potential impact of COVID-19 pandemic on rural health resources in the US During times of public health or natural disasters people who have the resources have historically fled cities to more rural locations With this highly contagious COVID -19 virus, rural area health resources may soon be stretched to the limit Meit, Kennedy, and Briggs wrote about the potential rural population surge during a future pandemic scenario and the problems the burdens this could cause in rural health care systems Those passing through rural areas may unknowingly spread a virus if the stop for fuel, food or temporary lodging Survey data estimated that about 25% of an urban population may evacuate the more urban areas during a pandemic, even when the government is asking them to shelter in place The potential for urban evacuation is more likely without any government recommendation","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"20 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45512460","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":"Pediatric Clinical for Nursing Students in Rural Areas: The Camp Nursing Experience","authors":"L. Hendrickx, Heidi Pelzel, L. Burdette, Nancy Z. Hartung","doi":"10.14574/ojrnhc.v20i1.603","DOIUrl":"https://doi.org/10.14574/ojrnhc.v20i1.603","url":null,"abstract":"Problem: Clinical placement for nursing students in pediatrics can be challenging in rural settings. Hospitals in rural areas typically do not have the numbers of pediatric patients necessary to provide individual inpatient pediatric experiences for a group of nursing students nor can community settings accommodate a full group of students at once. Children’s hospitals or hospitals with pediatric inpatient units are often a significant distance from nursing programs located in rural areas and there is competition among nursing programs for placement in these facilities. A study by the Institute of Pediatric Nursing (IPN) in cooperation with the American Association of Colleges of Nursing (AACN) concluded that nursing schools had challenges finding pediatric clinical sites and that pediatric content was lacking in depth and breadth (McCarthy & Wyatt, 2014).","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"20 1","pages":"142-155"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48204540","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}