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Teresa Stone
    Racism is an awkward subject: difficult to talk about, let alone deal with in the workplace, without making people feel uncomfortable, guilty, angry, or afraid.Yet we know that it has major health consequences (Harris et al., 2012). Race... more
    Racism is an awkward subject: difficult to talk about, let alone deal with in the workplace, without making people feel uncomfortable, guilty, angry, or afraid.Yet we know that it has major health consequences (Harris et al., 2012). Race is a social construct that describes relationships between groups on the basis of observable characteristics, such as skin tone, facial features, and hair (Barbee, 2002, p. 194); however, we also know that people cannot be easily organized into biologically-distinctive groups, and it is more helpful to talk about ethnicity and culture (Cortisa & Law, 2005).
    Objetivo: Comprender las percepciones de enfermeras chinas sobre las creencias de salud, su contenido, origen e influencia de factores socioculturales, como fundamento de su practica basada en la evidencia. Este estudio contribuye a un... more
    Objetivo: Comprender las percepciones de enfermeras chinas sobre las creencias de salud, su contenido, origen e influencia de factores socioculturales, como fundamento de su practica basada en la evidencia. Este estudio contribuye a un estudio mas amplio para establecer las creencias sanitarias de enfermeras japonesas, australianas, chinas, surcoreanas y tailandesas. Antecedentes: Las enfermeras registradas ensenan a pacientes y estudiantes ace rca del mantenimiento o del alcance de la salud, aunque tambien estan sujetas a la misma gama de influencias y sus creencias de salud quizas sean opuestas a la evidencia actual en salud. Metodos: Se utilizo el diseno del metodo Q utilizando q-sort y entrevistas para analizar las perspectivas sobre una gama de creencias de salud de 60 enfermeras en cuatro ciudades de China. Resultados: Tres factores surgieron de las percepciones de los participantes sobre salud y representaron 50.2% de la varianza total: (1 ) impacto social, (2) "la importancia de la evidencia" y (3) creencias arraigadas en la cultura. Discusion: Se ha examinado la influencia de las creencias en salud de las enfermeras en terminos de las creencias internalizadas y frecuentemente inconscientes, los valores y las normas que las vinculan a sus comunidades, reflejando la necesidad para que sean conscientes de sus creencias y comportamientos sobre salud. Conclusiones: La formacion de enfermeras en la practica necesita reconocer que las creencias individuales de los profesionales influyen fuertemente en la ensenanza sobre salud a pacientes y familias. Para implementar la practica basada en la evidencia y ensenar en linea con la evidencia actual, las enfermeras deben examinar criticamente y reflexionar sobre el impacto de la cultura, la sociedad y los medios de comunicacion en sus propias creencias sobre salud. Implicaciones para la politica de enfermeria y la politica sanitaria: La politica educativa necesita considerar que la cultura y las presiones sociales afectan a las creencias y las practicas de salud de las enfermeras. El pensamiento critico, la practica reflexiva y basada en la evidencia deben ser enfatizados en la ensenanza clinica y la formacion de las enfermeras. China tambien necesita desarrollar politicas que permitan que las enfermeras puedan evaluar la fiabilidad de la informacion sanitaria en Internet y hacer que la investigacion sanitaria de calidad este mas disponible.
    ABSTRACTPurposeTo describe observed nursing responses and interventions to adolescent inpatients experiencing distress.MethodsThorne's interpretive descriptive approach guided data collection and analysis of nonparticipant... more
    ABSTRACTPurposeTo describe observed nursing responses and interventions to adolescent inpatients experiencing distress.MethodsThorne's interpretive descriptive approach guided data collection and analysis of nonparticipant observations of a purposive sample of adolescents, and nurses.FindingsThree major themes are presented: engagement: responses and interventions for working with distress; adolescent reactions and nurses' clinical decision making to manage distress; and outcomes: escalation or resolution of distress.ConclusionsThe TAR3 conceptual model developed from this study can guide nurses' responses to distressed adolescents and promote safety, enhance positive outcomes, and reduce the use of coercive interventions.
    ABSTRACT This chapter contains sections titled: Introduction The benefits of turning a conference paper into a published work Ethical considerations The barriers to turning the conference paper into publishable work Strategies for success... more
    ABSTRACT This chapter contains sections titled: Introduction The benefits of turning a conference paper into a published work Ethical considerations The barriers to turning the conference paper into publishable work Strategies for success Start with the end in mind The title The introduction Developing your presentation and manuscript concurrently Writing the conclusion Timeline Conclusion References Further reading Websites
    Primary health workers play a critical role in providing health education to people with mental disorders. In China community health workers working with people with mental health problems lack experience and training in this area.... more
    Primary health workers play a critical role in providing health education to people with mental disorders. In China community health workers working with people with mental health problems lack experience and training in this area. Additionally, coordination between hospital and community staff is not well established. The aim of this study was to provide an interdisciplinary community mental health training program and to evaluate the effect of the training on staff knowledge about mental health and confidence in their roles. A three-day community mental health training program was offered specifically for interdisciplinary mental health professionals. Using a one-group pre-test post-test design, participants completed a self-assessment of mental health concepts and program evaluation which included asking participants to rate their satisfaction using a five-point Likert scale and to respond to open-ended questions. Forty-eight participants including health professionals from colleges, hospital and community health centers were recruited. Only 8.7% of participants had ever received community mental health training. Post-test evaluation demonstrated improvements in knowledge, and most participants were very satisfied with the program. The findings indicate that this brief interdisciplinary training program had a positive effect in improving knowledge about community mental health concepts and confidence in dealing with people with mental health disorders for multidisciplinary staff working in primary health care areas.
    Many health beliefs do not have supporting scientific evidence, and are influenced by culture, gender, religion, social circumstance and popular media. Nurses may also hold non-evidenced-based beliefs that affect their own health... more
    Many health beliefs do not have supporting scientific evidence, and are influenced by culture, gender, religion, social circumstance and popular media. Nurses may also hold non-evidenced-based beliefs that affect their own health behaviours and their practices. Using Q-methodology, pilot Q-cards representing a concourse of health beliefs for Japanese and South Korean nurses and explain the content and sources of health beliefs. Qualitative. Two university campuses, one each in Japan and Korea. A convenience sample of 30 was obtained, 14 clinical nurses and 16 academic nurses. Literature reviews and expert informants were used to develop two sets of 65 Q-cards which listed culturally appropriate health beliefs in both Japan and Korea. These beliefs were examined in four structured groups and five individual interviews in Japan, and five groups and two individual interviews in Korea. Our unique study revealed six categories regarding sources of health beliefs that provide rich insights about how participants accessed, processed and transmitted health information. They were more certain about knowledge from their specialty area such as that from medical or nursing resources, but derived and distributed many general health beliefs from personal experience, family and mass media. They did not always pass on accurate information to students or those in their care, and often beliefs were not based on scientific evidence. Findings highlight the dangers of clinical and academic nurses relying on health belief advice of others and passing this on to patients, students or others, without mindfully examining the basis of their beliefs through scientific evidence.

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