Journal of National Black Nurses' Association : JNBNA最新文献

{"title":"A Multiple Behavior Self-Monitoring Intervention for African- American Veterans with Type 2 Diabetes: A Feasibility Implementation Study.","authors":"Ngozi D Mbue,&nbsp;Jing Wang,&nbsp;Stanley G Cron,&nbsp;Jane A Anderson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to determine the feasibility of implementing a multiple-behavior self-monitoring intervention within a diabetes education program. This study was a 3-month pre- post-design, conducted with African-Americans (N = 20), who attended diabetes education classes at a large Veteran's Affairs (VA) hospital in Southwest Texas. Participants selfmonitored their blood glucose, diet, exercise, and weight on either a smart phone application or paper diaries. Paired t tests showed strong evidence that patient self-monitoring of healthy lifestyle behaviors improved blood glucose (t = -3.858, p = .001) and HbAlc (t = -4.428, p <.001), respectively. Moreover Spearman's correlation coefficient showed significant correlations between blood glucose and exercise (rs = -.68, p = .008) and HbAlc and exercise (rs = -.56, p = .036). This feasibility study showed that multiple-behavior self-monitoring was effective in lowering blood glucose and HbA1c levels among African-American Veterans; however, a randomized controlled trial with a larger sample is needed to validate these preliminary findings.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"28 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36248688","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":"Improving Glycemic Control in a Geriatric Population.","authors":"Odette Fisher-Glover,&nbsp;Barbara Edlund,&nbsp;Emily Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This quality improvement project evaluated whether offering a series of 5 structured interdisciplinary diabetic educational teaching sessions would improve glycemic control as measured by random blood sugars (RBS) in a Program of All-Inclusive Care for the Elderly (PACE). Five diabetic educational sessions were held over a 4-week period with 50 participants (N = 50). Data were analyzed and displayed using descriptive statistics and figures. Average RBS remained steady from 176.34 pre- to 175.52 post-intervention. In the Mini Mental State Exam (MMSE) group, representing a cognitive test score range of 24-30, RBS decreased from 184.6 to 162.80, with a slight increase in RBS in other groups. Mean RBS only decreased in the MMSE 24-30 test score range. African-American women and those in the community showed improved RBS. An interdisciplinary approach to care may offer benefits in subgroups of Type 2 Diabetes Mellitus (T2DM) patients and management of other chronic diseases in a geriatric population.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"28 1","pages":"24-30"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36248692","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 World Health Organization - Community Empowerment Model in Addressing Food Insecurity in Low-Income African-American Women: A Review of the Literature.","authors":"Barbara A Fowler,&nbsp;Joyce Newman Giger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Numerous researchers have examined the serious consequences of food insecurity and food deserts affecting the nutritional health of poor or low-income African-American women and their families. Food insecurity is defined as having limited or uncertain capacityfor acquiring sufficient, safe, and nutritious food at all times to meet one's dietary needs, while food deserts refer to economically and socially-deprived inner city areas with inadequate food supply that are often inhabited by low-income groups. Researchers have found that despite the capacity of community-level resources such as SNAP (Supplemental Nutrition Assistance Program) and WIC (Women, Infants, and Children) supporting healthy nutrition, food insecurity persists among some recipients of both nutritional resources. Both food insecurity and food deserts had a negative effect on the emotional eating, emotional coping, coping strategies, and depressive symptoms in low-income African-American women. Even more concerning is that food deserts have been linked to decreased physical activity in low-income African-American women. Neighborhoods with fewer food supermarkets in which to purchase fresh produce and other healthy nutritious foods also emphasized junk food displays. Thus, neighborhoods with persons that have powerful influences (e.g., local merchants and community liaisons) must bear responsibility to help eliminate food deserts that were linked to obesity, high BMI measures, and Type 2 diabetes in African-American women. Food inse- curity was viewed from the lens of the World Health Organization - Community Empowerment Model (CEM) that incorporates 5 core processes or barometers for change: community coalitions, critical consciousness raising, exerting public pressure, lobbying, advocacy and mediation, and reframing and reorienting health services. Each of the processes plays a powerful role in assisting communities in taking charge of their health and assuming responsibility for improving access to healthy nutritious foods and eliminating food deserts in low-income communities. The implications of change and community involvement rely on all persons with a vested interest in address- ing the disturbing problem offood insecurity and food deserts affecting the nutritional health and well-being of African-American communities.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"28 1","pages":"43-49"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36248181","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":"Diabetes: A Pre-Existing Condition at a Crossroad.","authors":"Eric Williams,&nbsp;Joyce Newman Giger,&nbsp;Christine Brannon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"28 1","pages":"vi-viii"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36248687","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":"Improving Blood Pressure and Weight in Patients with Diabetes.","authors":"Paula Perry Hampton,&nbsp;Jerell D Chua,&nbsp;Emily Johnson,&nbsp;Barbara J Edlund","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to improve healthcare outcomes by reducing blood pressure and weight in adult patients with diabetes at afederally qualified health center. NextGen electronic health record was used to review aggregate data of blood pressures and weight pre-intervention and post-intervention for women and men (N = 304) between 20 and 87 years of age with type 2 diabetes and a BMI : 30. Findings from this study showed that blood pressure and weight did not improve as anticipated using a variety of educational approaches and strategies within the study population. An interdisciplinary team approach should be undertaken to fully examine the problem so that the intervention is specifically targeted to the community population. With diabetes affecting nearly 1.7 million Americans annually, advanced practice nurses are in an ideal position to educate patients on the importance of healthy habits in order to reduce morbidity and mortality from diabetes.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"28 1","pages":"20-23"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36248691","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":"Is There a Contingent Relationship Between Serious Mental Illness and Increased Gun Violence?","authors":"Eric Williams,&nbsp;Joyce Newman Giger,&nbsp;Christine Brannon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"27 2","pages":"vi-viii"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36248891","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":"Pathway to Weight Maintenance: A-Qualitative Study with Church Health Advisors to Assess Weight Loss Maintenance Program Needs Among African-Americans.","authors":"Lovoria B Williams,&nbsp;Merry Stewart,&nbsp;Amber McCall,&nbsp;Thomas Joshua,&nbsp;Robert Sarfo,&nbsp;Jane T Garvin,&nbsp;Lucy Marion","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nearly 50% of African-American adults are obese. Obesity is a known contributor to chronic diseases such as type 2 diabetes mellitus (type 2 DM). Short-term Diabetes Prevention Programs (DPPs) achieve short-term weight loss success, but weight regain is common. African-Americans, compared to Whites, are particularly challenged by weight maintenance. In collaboration with community health workers, translation scientists have delivered successful short-term DPPs in community settings, such as African-American churches. Evidence of the salient components of effective weight maintenance intervention is minimal, especially among African-Americans in churches, and there is no known research that specifically explores the insights of community health workers. We report findings from a qualitative study to identify the necessary components of a sustainable church-based weight maintenance program from the perspective of community health workers. Two main themes emerged: overemphasis of short-term goals and consistent support. These findings have relevancy for developing faith-based weight maintenance programs.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"27 2","pages":"39-45"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36248897","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":"Coping Strategies of Nurses in a Palliative Care Unit.","authors":"Marcia A Lowe,&nbsp;C Ann Gakumo,&nbsp;Patricia A Patrician","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this qualitative study was to explore the coping strategies of staff nurses working in palliative care. Death and dying are important aspects of nurses' day-to-day work in palliative care and considered stressful, yet satisfying. The sensitive feelings of nurses and delicate emotions may lead to burnout, compassion fatigue, and overall poor clinical judgments, thus resulting in unsafe patient care. Little contemporary evidence exists regarding the effect of workplace stress on palliative care nurses or their coping strategies. In this qualitative descriptive study, 11 registered nurses working in a palliative care unit were recruited to participate using purposive sampling. Data were collected through a 10-item, open-ended survey developed by the researcher to examine the coping strategies of palliative care nurses. Analysis of the data yielded the following themes related to coping strategies: spirituality, support from colleagues and managers, and use of resources. The results of this study revealed important concerns for nurses as caregivers of dying patients in palliative care and suggested a need for nurses to discover multiple ways in which they can cope with their grief. The findings of the study illustrate that nurses use a combination of strategies to internally and externally cope with the management of patients on the palliative care unit. With a better understanding of how palliative care nurses currently cope, strategies can be recognized to improve these coping skills. This includes organizational support, and social support at work with colleagues, family, and friends.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"27 2","pages":"50-54"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36248882","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":"Social Support and Self-Coping of Depressed African-American Cancer Patients.","authors":"Faye Gary,&nbsp;Rui Li,&nbsp;Hui Zhu,&nbsp;Amy Y Zhang,&nbsp;Cheryl Killion","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examined the differences among 57 depressed and nondepressed African-American cancer patients and their use of social support and self-coping resources. In-depth interviews were used to elicit narrative responses and Fisher's exact test was used to compare the 2 groups. The depressed patients, as determined by 3 depression scales, more frequently reported having no supportive family, lacking a support system, having sedentary hobbies, or using alcohol or drugs as coping strategies compared to the nondepressed patients. To better detect and treat depression, health-care providers must carefully evaluate the social support and coping resource needs in this vulnerable population.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"27 2","pages":"11-19"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8100995/pdf/nihms-1697101.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36248875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Group Conference Call Diabetes Educational Support Sessions: A Pilot Study.","authors":"Susan J Appel,&nbsp;Sarah G Buxbaum","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this study was to determine the acceptability of group-conference-call diabetes educational support sessions for rural dwelling southern African-American women and to describe the impact on diabetes distress. Pre- post-test design was utilized to determine any change in scores on questionnaires. Qualitative techniques were utilized to determine the acceptability of the conference callformat. Participants recruited (N = 3) manifested either dysglycemia or frank type 2 diabetes. Diabetes distress and knowledge tools, demographics, baseline laboratory data, and measures of body habitus were obtained. An adapted version of the American Association of Diabetes Educator's Association diabetes education curriculum was used to provide the classes. The conference call intervention was found to be convenient, informative, and it removed the hassle of needing to be in one location to receive education. Diabetes distress was reduced (p = 0.005) in the sub-scale related regimen management. Offering alternatives to in-person diabetes education classes has the potential to reduce levels of opportunity costs and include a larger number of individuals living chaotic lives due to the demands of chronic illness and extended family needs.</p>","PeriodicalId":73847,"journal":{"name":"Journal of National Black Nurses' Association : JNBNA","volume":"27 2","pages":"32-38"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36248894","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}