Introduction: Mexican American (MA) women are a burgeoning population and are at increased risk f... more Introduction: Mexican American (MA) women are a burgeoning population and are at increased risk for heart disease. However, there are no studies describing acute myocardial infarction (AMI) symptom...
ABSTRACT : To illustrate the application of problem-based learning in a practicum, this article d... more ABSTRACT : To illustrate the application of problem-based learning in a practicum, this article describes an interdisciplinary problem-based practicum in case management and rural border health. Students from pharmacy, nursing, social work, and public health live and work in a rural community located on the border between the United States and Mexico. They provide case management services to pregnant women. Students conduct home visits with lay health educators, then meet in weekly case management seminars. The seminar and the interdisciplinary database are structured to support the clinical reasoning steps of data gathering, problem synthesis, hypothesis generation, and diagnostic decision making. The problembased learning approach appears to enhance student learning in a practicum setting.
American Journal of Health-system Pharmacy, Dec 1, 1996
American Journal of Health-System Pharmacy Society Logo Skip to main page content. HOME; CURRENT ... more American Journal of Health-System Pharmacy Society Logo Skip to main page content. HOME; CURRENT ISSUE; PAST ISSUES; SUPPLEMENTS; REPRINTS; ALERTS. KEYWORDS GO. Advanced Search ». Advertisement: Articles ...
The purpose of this study was to explore the perceived impact of an interprofessional education (... more The purpose of this study was to explore the perceived impact of an interprofessional education (IPE) program for health sciences students on two culturally diverse, underserved communities. A community resilience/capacity framework, consisting of catalysts (primarily the creation of awareness) and capital components: human (workforce development), social (networking and empowerment) and economic (volunteer labor and money spent by the program), provided the conceptual underpinnings for the study. Focus groups with stakeholders in two communities, one rural and one metropolitan, were audio-recorded, transcribed and analyzed by categorizing data according to each capital component. In addition to the concepts contained in the capacity framework a new category, informational capital (data specific to the community) emerged during the analysis. We suggest that by acting as a catalyst a community based interprofessional program can affect components of community resilience/capacity, primarily human, social, and informational capital. Using the community resilience/capacity framework facilitated exploration of the perceived impact of an educational program on one rural and one urban underserved community beyond assessing student outcomes or number of clients served.
Purpose The purpose of this study is to describe and compare personal characteristics, health car... more Purpose The purpose of this study is to describe and compare personal characteristics, health care access and utilization, and self-management behaviors of Hispanic American adults diagnosed with diabetes who reside in 3 US-Mexico border counties in Arizona, New Mexico, and Texas. This study also examines the status of this population in attaining Healthy People (HP) 2020 diabetes target goals. Methods Data were extracted from the 2005-2009 Selected Metropolitan/Micropolitan Area Risk Trends (SMART): Behavioral Risk Factor Surveillance System (BRFSS) to analyze behavioral and health system factors associated with diabetes management among Hispanic American adults who reside in the border counties (N = 600). Data were analyzed using descriptive statistics and compared using chi-square and one-way analysis of variance. Results There were significant differences in health care access and utilization and in 1 self-management behavior (daily feet checks) across the counties. The majority of participants (83.4%) had a care provider, however the HP 2020 diabetes target goals for A1C monitoring or foot exams conducted by a care provider were not met. Participants in all counties met the target goal for dilated eye exams. Conclusions Improvement of diabetes management among this population should focus on border health system barriers to attaining HP 2020 diabetes target goals.
A descriptive correlational study investigated the relationships between family adaptability, fam... more A descriptive correlational study investigated the relationships between family adaptability, family cohesion, spirituality, and caregiver strain in women who are caregivers of elder kin. Four questionnaires were administered to a convience sample of 40 women aged 32 to 77. The majority of the caregivers (77.5%) were ! daughters of the elders, with 40% working full time outside of the home. The mean number of months the caregivers had been providing caregiving activity to their elder was 87.5 or 7.3 years with a mean of 43.5 hours per week or 6.2 hours per day. The majority (45%) of the subjects rated their health at least as good as their age cohort and 60% rated their health as about the same since becoming a caregiver. The elders ranged in age from 72 to 99, the majority (87.5%) were female and 65 percent lived with the caregiver. No statistically significant relationship was found between family adaptability, family cohesion, spirituality, and caregiver strain. However, the data identified statistically significant relationships between the model variables and demographic variables. Multiple regression analysis revealed that only 10% of the variance in caregiver strain is explained by family adaptability, family cohesion, and spirituality.
ObjectivesDescribe the facilitators and inhibitors of accessing healthcare services for adults wi... more ObjectivesDescribe the facilitators and inhibitors of accessing healthcare services for adults with mental illness transitioning from a rural jail to a rural community.Design/Sample/MeasurementsA qualitative descriptive approach was used to conduct this study in a rural southwest county. Purposive sampling was used to recruit eight adults. Data were collected using semi‐structured telephonic interviews and analyzed using open coding and thematic analysis with clustering of emergent data.ResultsThe overarching theme, “Out of Jail, but No Freedom,” is supported by four domains: Situational Transition Facilitators; Situational Transition Inhibitors; Health‐Illness Transition Facilitators; and Health‐Illness Transition Inhibitors.ConclusionsTransitions from the rural jail to the community were facilitated by friends, family, and peer navigators. Systemic inequality endemic within the justice system and exacerbated by rurality creates an environment in which marginalization is ubiquitous for persons with mental illness and inhibits their transition from jail to the rural community. Nurses are well positioned to lead systematic reform in public policy, guiding healthcare funding, and jail utilization.
Introduction: Numerous undocumented immigrant women in the United States have survived rape, and ... more Introduction: Numerous undocumented immigrant women in the United States have survived rape, and many have experienced physical and psychological consequences. Although rape disclosure can facilitate early intervention and improve health outcomes, most undocumented immigrant women do not disclose rape, and little is known about their post-rape experiences. Methods: This critical ethnography explored the post-rape experiences of undocumented immigrant women of Mexican (UIWM) origin living in the U.S. Mexico border region. Data collection and analysis were guided by Carspecken's framework for critical qualitative research. Six women, who identified as UIWM participated in the study. Each was interviewed using a semistructured approach. Results: Interview data revealed three domains: Glimpses of Support, Barrier After Barrier, and Overcoming. In accordance with Carspecken's framework, a theoretical lens was applied to these domains. The application of Feminist Intersectional Theory and Standpoint Theory united the domains into the theme Struggling to Heal. Conclusion: This study suggests that the marginalization of these survivors detrimentally impacts their post-rape experiences and describes the intersections of multiple forces on their experiences, including the cultural and sociopolitical context of the border region. This study lays the foundation for future research aimed at mitigating disclosure and help-seeking barriers for this marginalized group.
In the United States, Latinos experience a higher prevalence of chronic diseases with concomitant... more In the United States, Latinos experience a higher prevalence of chronic diseases with concomitant complications when compared to Non-Latino Whites. Older Latina women often manage a chronic illness while also providing kinship care. This article presents an integrative review of Latina kinship caregivers' self-management of chronic disease. An extensive review of the literature was conducted in seven databases. Four resulting studies included qualitative, quantitative, and mixed methods research and suggested health outcomes for Latina kinship caregivers were often worse when compared to other groups. A major gap in the literature identified an absence of disease-specific self-management behaviors for this population.
Diabetes affects many aspects of family life for the Mexican American (MA) population. Caregiving... more Diabetes affects many aspects of family life for the Mexican American (MA) population. Caregiving grandmothers, the traditional family nurturers, are often simultaneously managing their type 2 diabetes (T2DM). The purpose of this qualitative descriptive study was to describe the perceptions of MA grandmothers managing T2DM while caring for a grandchild. Eight participants were interviewed. Participants consistently reported feeling a personal responsibility for their T2DM self-management as well as for the health and wellbeing of their families, including their grandchildren. Regardless of associated caregiving stress, grandchildren were described as the main source of positive motivation for T2DM self-management.
Introduction: Mexican American (MA) women are a burgeoning population and are at increased risk f... more Introduction: Mexican American (MA) women are a burgeoning population and are at increased risk for heart disease. However, there are no studies describing acute myocardial infarction (AMI) symptom...
ABSTRACT : To illustrate the application of problem-based learning in a practicum, this article d... more ABSTRACT : To illustrate the application of problem-based learning in a practicum, this article describes an interdisciplinary problem-based practicum in case management and rural border health. Students from pharmacy, nursing, social work, and public health live and work in a rural community located on the border between the United States and Mexico. They provide case management services to pregnant women. Students conduct home visits with lay health educators, then meet in weekly case management seminars. The seminar and the interdisciplinary database are structured to support the clinical reasoning steps of data gathering, problem synthesis, hypothesis generation, and diagnostic decision making. The problembased learning approach appears to enhance student learning in a practicum setting.
American Journal of Health-system Pharmacy, Dec 1, 1996
American Journal of Health-System Pharmacy Society Logo Skip to main page content. HOME; CURRENT ... more American Journal of Health-System Pharmacy Society Logo Skip to main page content. HOME; CURRENT ISSUE; PAST ISSUES; SUPPLEMENTS; REPRINTS; ALERTS. KEYWORDS GO. Advanced Search ». Advertisement: Articles ...
The purpose of this study was to explore the perceived impact of an interprofessional education (... more The purpose of this study was to explore the perceived impact of an interprofessional education (IPE) program for health sciences students on two culturally diverse, underserved communities. A community resilience/capacity framework, consisting of catalysts (primarily the creation of awareness) and capital components: human (workforce development), social (networking and empowerment) and economic (volunteer labor and money spent by the program), provided the conceptual underpinnings for the study. Focus groups with stakeholders in two communities, one rural and one metropolitan, were audio-recorded, transcribed and analyzed by categorizing data according to each capital component. In addition to the concepts contained in the capacity framework a new category, informational capital (data specific to the community) emerged during the analysis. We suggest that by acting as a catalyst a community based interprofessional program can affect components of community resilience/capacity, primarily human, social, and informational capital. Using the community resilience/capacity framework facilitated exploration of the perceived impact of an educational program on one rural and one urban underserved community beyond assessing student outcomes or number of clients served.
Purpose The purpose of this study is to describe and compare personal characteristics, health car... more Purpose The purpose of this study is to describe and compare personal characteristics, health care access and utilization, and self-management behaviors of Hispanic American adults diagnosed with diabetes who reside in 3 US-Mexico border counties in Arizona, New Mexico, and Texas. This study also examines the status of this population in attaining Healthy People (HP) 2020 diabetes target goals. Methods Data were extracted from the 2005-2009 Selected Metropolitan/Micropolitan Area Risk Trends (SMART): Behavioral Risk Factor Surveillance System (BRFSS) to analyze behavioral and health system factors associated with diabetes management among Hispanic American adults who reside in the border counties (N = 600). Data were analyzed using descriptive statistics and compared using chi-square and one-way analysis of variance. Results There were significant differences in health care access and utilization and in 1 self-management behavior (daily feet checks) across the counties. The majority of participants (83.4%) had a care provider, however the HP 2020 diabetes target goals for A1C monitoring or foot exams conducted by a care provider were not met. Participants in all counties met the target goal for dilated eye exams. Conclusions Improvement of diabetes management among this population should focus on border health system barriers to attaining HP 2020 diabetes target goals.
A descriptive correlational study investigated the relationships between family adaptability, fam... more A descriptive correlational study investigated the relationships between family adaptability, family cohesion, spirituality, and caregiver strain in women who are caregivers of elder kin. Four questionnaires were administered to a convience sample of 40 women aged 32 to 77. The majority of the caregivers (77.5%) were ! daughters of the elders, with 40% working full time outside of the home. The mean number of months the caregivers had been providing caregiving activity to their elder was 87.5 or 7.3 years with a mean of 43.5 hours per week or 6.2 hours per day. The majority (45%) of the subjects rated their health at least as good as their age cohort and 60% rated their health as about the same since becoming a caregiver. The elders ranged in age from 72 to 99, the majority (87.5%) were female and 65 percent lived with the caregiver. No statistically significant relationship was found between family adaptability, family cohesion, spirituality, and caregiver strain. However, the data identified statistically significant relationships between the model variables and demographic variables. Multiple regression analysis revealed that only 10% of the variance in caregiver strain is explained by family adaptability, family cohesion, and spirituality.
ObjectivesDescribe the facilitators and inhibitors of accessing healthcare services for adults wi... more ObjectivesDescribe the facilitators and inhibitors of accessing healthcare services for adults with mental illness transitioning from a rural jail to a rural community.Design/Sample/MeasurementsA qualitative descriptive approach was used to conduct this study in a rural southwest county. Purposive sampling was used to recruit eight adults. Data were collected using semi‐structured telephonic interviews and analyzed using open coding and thematic analysis with clustering of emergent data.ResultsThe overarching theme, “Out of Jail, but No Freedom,” is supported by four domains: Situational Transition Facilitators; Situational Transition Inhibitors; Health‐Illness Transition Facilitators; and Health‐Illness Transition Inhibitors.ConclusionsTransitions from the rural jail to the community were facilitated by friends, family, and peer navigators. Systemic inequality endemic within the justice system and exacerbated by rurality creates an environment in which marginalization is ubiquitous for persons with mental illness and inhibits their transition from jail to the rural community. Nurses are well positioned to lead systematic reform in public policy, guiding healthcare funding, and jail utilization.
Introduction: Numerous undocumented immigrant women in the United States have survived rape, and ... more Introduction: Numerous undocumented immigrant women in the United States have survived rape, and many have experienced physical and psychological consequences. Although rape disclosure can facilitate early intervention and improve health outcomes, most undocumented immigrant women do not disclose rape, and little is known about their post-rape experiences. Methods: This critical ethnography explored the post-rape experiences of undocumented immigrant women of Mexican (UIWM) origin living in the U.S. Mexico border region. Data collection and analysis were guided by Carspecken's framework for critical qualitative research. Six women, who identified as UIWM participated in the study. Each was interviewed using a semistructured approach. Results: Interview data revealed three domains: Glimpses of Support, Barrier After Barrier, and Overcoming. In accordance with Carspecken's framework, a theoretical lens was applied to these domains. The application of Feminist Intersectional Theory and Standpoint Theory united the domains into the theme Struggling to Heal. Conclusion: This study suggests that the marginalization of these survivors detrimentally impacts their post-rape experiences and describes the intersections of multiple forces on their experiences, including the cultural and sociopolitical context of the border region. This study lays the foundation for future research aimed at mitigating disclosure and help-seeking barriers for this marginalized group.
In the United States, Latinos experience a higher prevalence of chronic diseases with concomitant... more In the United States, Latinos experience a higher prevalence of chronic diseases with concomitant complications when compared to Non-Latino Whites. Older Latina women often manage a chronic illness while also providing kinship care. This article presents an integrative review of Latina kinship caregivers' self-management of chronic disease. An extensive review of the literature was conducted in seven databases. Four resulting studies included qualitative, quantitative, and mixed methods research and suggested health outcomes for Latina kinship caregivers were often worse when compared to other groups. A major gap in the literature identified an absence of disease-specific self-management behaviors for this population.
Diabetes affects many aspects of family life for the Mexican American (MA) population. Caregiving... more Diabetes affects many aspects of family life for the Mexican American (MA) population. Caregiving grandmothers, the traditional family nurturers, are often simultaneously managing their type 2 diabetes (T2DM). The purpose of this qualitative descriptive study was to describe the perceptions of MA grandmothers managing T2DM while caring for a grandchild. Eight participants were interviewed. Participants consistently reported feeling a personal responsibility for their T2DM self-management as well as for the health and wellbeing of their families, including their grandchildren. Regardless of associated caregiving stress, grandchildren were described as the main source of positive motivation for T2DM self-management.
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