Online Journal of Rural Nursing and Health Care最新文献

{"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}

{"title":"Using Compression-Only CPR Mini-Training Sessions to Address Rural Bystander Care","authors":"Cassity Gutierrez, Eric Rupe, Becky Wolff","doi":"10.14574/ojrnhc.v20i1.593","DOIUrl":"https://doi.org/10.14574/ojrnhc.v20i1.593","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47727693","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":"Leveraging the Annual Wellness Visit to Improve Rural Depression Management","authors":"E. Sundeen, W. Powell, Robert Deuell","doi":"10.14574/ojrnhc.v20i1.602","DOIUrl":"https://doi.org/10.14574/ojrnhc.v20i1.602","url":null,"abstract":"Purpose : Depression is a common condition in rural primary care associated with significant adverse health and quality of life outcomes. Despite evidence-based practice recommendations, depression screening and follow-up are inconsistent in practice. The purpose of this quality improvement project was to improve the rate of depression screening and management as a component of the Annual Wellness Visit (AWV) in the rural, primary care setting. The overarching project aim was to increase the rate of depression screening and treatment in adult Medicare patients by 50% through the implementation of a standardized screening instrument and management plan within eight weeks of project implementation. Sample: The sample population included 66 Medicare beneficiaries receiving a Medicare Annual Wellness Visit at a primary care practice in rural Northeast Texas. Method: The central focus of this quality improvement project was to initiate standardized depression screening and management in the Medicare population as a component of the annual","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42730542","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":"What Australian Nursing Students Value as Important in Undertaking Rural Practice","authors":"D. Terry, Blake Peck, A. Smith, T. Stevenson, Hoang Nguyen, E. Baker","doi":"10.14574/ojrnhc.v20i1.589","DOIUrl":"https://doi.org/10.14574/ojrnhc.v20i1.589","url":null,"abstract":"Background: Rural health services in Australia are continually challenged by both the recruitment \u0000and retention of the nursing workforce. The aim of the study was to examine what nursing students \u0000consider the most important factors for undertaking a rural career in Australia. Methods: Nursing students (n=1,982) studying a three-year bachelor’s degree at an Australian \u0000University were invited to complete an online survey that examined their rural practice intentions. \u0000The questionnaire included demographic, rural background and career intentions, and a modified \u0000Nursing Community Apgar Questionnaire (NCAQ). Results: The factors identified most important among nursing students when considering rural \u0000practice include patient safety and high-quality care, having autonomy and respect from \u0000management, the establishment of positive relationships and good communication between \u0000different generations of nurses, and the work environment providing job satisfaction with good \u0000morale. Conclusions: This study provided insight for rural and regional universities and health services to \u0000better demonstrate what students indicate is important to take up rural practice, while highlighting \u0000unique challenges for the rural nursing workforce. Key elements are proposed that may be \u0000augmented at the university and health service level to guide recruitment and possibly retention. \u0000Rural recruitment and retention of new graduate nurses may be better achieved by addressing what \u0000nursing students feel are most important to them when considering rural practice, which are \u0000focused around management, decision-making, and practice environment factors rather than \u0000economic or community-based factors. The greatest importance to students is the ‘fit between’ \u0000them and the agency and much less about their ‘fit with’ the community into which they will be \u0000entering.","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45886254","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}