{"title":"A Retrospective Study of Federal Employees' Outcomes Following A Smoking Cessation Intervention.","authors":"Brenda R Swilley, Donelle M Barnes, Jing Wang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This retrospective study aimed to describe the federal employee population who participated in Federal Occupational Health's (FOH) smoking cessation intervention and to examine relationships and factors that influenced smoking cessation within this population. A large-scale national database of federal employees who participated in the smoking cessation intervention from January 2009 to January 2019 was obtained from FOH's administrators. The sample included 1265 participants who completed the survey 6 months post intervention. Descriptive statistics, chi square (c2), Pearson's correlation, and logistic regression were used to describe and correlate variables. Out of 1243 smokers, 590 (47.5%) successfully quit smoking while 653 (52.5%) did not quit smoking post intervention. Employees smoked, on average, for 23 years and smoked 18 cigarettes (more than ½ pack) per day before quitting. There was a positive correlation between the number of cigarettes smoked and number of years smoked before quitting. As the number of cigarettes and length of time smoking increased, the odds of quitting increased. FOH's cessation intervention helped participants quit smoking. FOH is positioned to integrate cessation strategies with its health promotion and protection programs to help end tobacco-related illnesses and diseases. The investigators' findings provide important evidence and support for FOH's work-site smoking cessation intervention. FOH could collaborate with other federal entities and provide evidence-based smoking cessation interventions with limited or no barriers.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"31 2","pages":"53-59"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25393853","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":"Factors Affecting the Readmission Rates and Health Care Costs of Patients Hospitalized with Schizophrenia: Non-Adherence to Treatment and Increased Relapses.","authors":"Elvis Ngwa, Devora Winkfield, Priscilla Okunji","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Non-adherence to medication and outpatient follow-up care are recognizable problems and may be the most challenging aspect of treatment in patients with schizophrenia. Interventions to improve adherence include psychosocial therapy and education, offering and beginning antipsychotic long-acting injections, electronic reminders, service-based interventions, and financial support systems. However, it is difficult to measure the standard of adherence to treatment, as some of the interventions are not applicable to most patients. We conducted a literature review focusing on related topics published from 2014 until 2019 using PubMed and CINAHL searching tools. Other mental health disorders were excluded from our search to avoid confounding the results. The results showed a reduction in hospital readmission in patients who were taking long-acting antipsychotic injections and had supervised outpatient follow-up care as well as participating in psychosocial therapy when compared with the rest of the patients who did not receive long-acting injections or outpatient follow-up clinics.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"31 2","pages":"67-70"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25393855","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":"Engaging African-Americans in Research in the Era of Precision Medicine: An All of Us Research Program Initiative.","authors":"Mercy Ngosa Mumba, Betty Key, Alexandra Nancarrow, Madelyn Campbell, MacKenzie Robb","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to increase awareness about the All of Us Research Program and to engage African-Americans who live in the Deep South in conversations about research. This was a quasi-experimental single group design with pre- and post-tests. Recruitment occurred via social media, radio and television advertisements, and in-person recruitment. A purposive convenience sample was used. Seventy adults (70) participated in the study. The social media campaigns reached 35,000 people. Prior to the study, 21% of participants had heard about the All of Us Research Program. After the event, there was a 10.8% increase in the likelihood of participants' willingness to share information about the program, and a 20% increase in the perception that the program was dedicated to engaging diverse communities in research. African-Americans are still skeptical about participating in research. However, with targeted intervention, many of them are willing to participate in research if it will improve their overall health and well-being.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"31 2","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25393851","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}
Holly J Jones, Stephanie Ibemere, Trudy Gaillard, Adelaide Harris, Jean Anthony, Donna Shambley-Ebron
{"title":"Factors Associated with Self-Reported Hypertension Among Black Women.","authors":"Holly J Jones, Stephanie Ibemere, Trudy Gaillard, Adelaide Harris, Jean Anthony, Donna Shambley-Ebron","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A Black woman has an 85.7% chance of developing hypertension in her lifetime, yet she is less likely to be optimally treated. The purpose of this research report is to describe the factors associated with self-reported hypertension in a sample of Black women. A descriptive study was conducted using a researcher-developed survey. Responses were obtained from 201 adult Black women from 19 to 92 years of age. Descriptive and comparative analyses were performed. The frequency of self-reported hypertension in the sample was low (n = 54, 27%). The self-report hypertension group was significantly older (p < 0.05) and obese (61%). There were significant associations between self-report hypertension and greater income (c2 = 9.24, p = 0.002, f = 0.232), self-report hypertension and higher education (c2 = 5.66, p = 0.017, phi = 0.182), and self-report hypertension and not having Medicaid (c2 = 5.05, p = 0.025, f = 0.174). APRNs should stress the importance of routine health screenings and healthy lifestyle behaviors in accordance with patient needs.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"31 2","pages":"32-38"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25393849","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}
Martha A Dawson, Joyce Newman Giger, Yolanda Powell-Young, Christine B Brannon
{"title":"Why African-Americans are Hesitant to Take the Newly Proposed COVID-19 Vaccines: Tuskegee Revisited.","authors":"Martha A Dawson, Joyce Newman Giger, Yolanda Powell-Young, Christine B Brannon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"31 2","pages":"vi-viii"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25393850","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}
Nola A Holness, Latisha Barfield, Vicki L Burns, M Kathleen Clark, Yolanda M Powell-Young
{"title":"Pregnancy and Postpartum Challenges During COVID-19 for African-African Women.","authors":"Nola A Holness, Latisha Barfield, Vicki L Burns, M Kathleen Clark, Yolanda M Powell-Young","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this article is to discern and examine causative factors that are likely to influence the higher consequences of health disparities experienced by pregnant and postpartum African-American women with COVID-19. Although understudied, pregnancy in the presence of COVID-19 increases the risk for illness severity. Data suggest that pregnant women with COVID-19 are more likely to be hospitalized, to be admitted to the intensive care unit, and to require life support. Similarly, COVID-19 poses significant challenges to maternal and obstetric care during the postpartum recovery period. African- American women bear a disproportionately higher morbidity and mortality burden for diseases such as diabetes, obesity, and hypertension. Pre-existing chronic health conditions may place pregnant and postpartum women at a higher risk for developing severe health consequences from COVID-19 before, during, and after delivery. In addition, social determinants of health are hypothesized to modulate the deleterious impact of COVID-19 among pregnant and postpartum African-American women.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"31 2","pages":"15-24"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25392953","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":"Heart Failure Among African-Americans: Suggested Culturally Appropriate Intervention Strategies.","authors":"Omar Alzaghari","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cardiovascular disease is a serious problem in the United States. It is the most common cause of death among African-Americans. Heart failure is associated with poor health outcomes and a diminished quality of life. Some of the issues that affect the health of African-Americans with heart failure are cost of health care, their access to care, and the quality of that care. The aim of this paper is to identify those issues that are related to cost, quality, and access to health care in African-Americans with heart failure. African-Americans with heart failure usually have less access to health care services than Whites do; moreover, they are also faced with higher costs and a lower quality of care.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"31 2","pages":"71-78"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25393856","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":"A Systematic Review of the Literature on Systemic Lupus Erythematosus.","authors":"Jacqueline B Broadway-Duren, Sandra K Cesario","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Systemic lupus erythematosus (SLE) is a multi-organ system autoimmune disease of significant complexity, morbidity, and mortality. It is estimated that SLE affects nearly 1.5 million persons in the United States and is 3 to 4 times more prevalent in Black females than White females. The purpose of this literature review is to appraise relevant evidence on the epidemiology, burden, mortality rate, clinical manifestations, and impact of delayed diagnosis in at-risk populations; also to gain insight into the barriers to early diagnosis of SLE by primary healthcare providers. The literature was searched using scientific databases such as PubMed and EMBASE for relevant peer-reviewed articles. A total of 24 articles were included in the synthesis of data. The literature review provided evidence-based findings of the effects of SLE with delayed diagnosis. There remains a paucity of high-quality research studies examining the significance of early recognition and diagnosis of systemic lupus.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"31 2","pages":"60-66"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25393854","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}
Leanne G Terry, Susan Appel, Charmin M Thomas, Michael M Mackay
{"title":"Impact of a Diabetes Toolkit on Weight Loss Among Veterans.","authors":"Leanne G Terry, Susan Appel, Charmin M Thomas, Michael M Mackay","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This quality improvement project aimed to answer the following clinical question: Among U.S. male veterans (N = 30) living with type 2 diabetes (T2D) receiving services from a Veterans Affairs (VA) endocrinology clinic, how does a diabetes toolkit influence knowledge and glycaemic control? All the study participants were male and from 31 to 91 years of age. A pre- and post-intervention diabetes knowledge test, body mass index (BMI), lipids, blood pressure, and lifestyle data were obtained as predictor variables. A1c levels were measured at baseline and fructosamine levels at 8-12 weeks post-intervention and converted to A1c levels. A diabetes toolkit was presented as an educational intervention to participating veterans. The pre- and post-intervention knowledge test measured an increase (p = 0.001) in diabetes knowledge. The pre- and post-intervention BMI, lipids, and blood pressure assessments measured changes in such variables associated with toolkit exposure. The regression model was marginally significant (p = 0.055) and the predictor variables explained 18.8% of variance in change of A1c. A multiple regression was conducted to determine the extent to which the following post-intervention outcome variables impacted glycemic control. Of four predictors, only one was significant: a patient's change in weight predicted (p = 0.016) a decrease in A1c.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"31 1","pages":"41-45"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38316271","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}
Regina Judge, Jaquetta Randall, Allison Hayhurst, Anne Deurion
{"title":"Analyzing Effects of Provider Education and Management Approach to Pediatric Obesity.","authors":"Regina Judge, Jaquetta Randall, Allison Hayhurst, Anne Deurion","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>African-Americans with hypertension continue to demonstrate poor blood pressure (BP) control and have markedly lower rates of hypertension self-management compared to non-African-Americans. Innovative and practical solutions such as mHealth technology are promising and can be leveraged to promote self-management of hypertension. Substantial evidence has demonstrated the importance of community support in improving patients' management of chronic illnesses. Unfortunately, such programs do not offer technology-based interventions (TBI) as a delivery method. Thus, this paper describes the design and rationale of an ongoing pilot study that incorporates TBI using a community-based participatory approach.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"31 1","pages":"60-63"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38316274","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}