Yeoun Soo Kim-Godwin

Beliefs About HIV Disease and Medication Adherence in Persons Living With HIV/AIDS in Rural Southeastern North Carolina

The purpose of this study was to assess personal beliefs about the causes and meaning of having HIV disease and personal beliefs about medication adherence in persons living in rural southeastern North Carolina. Of the total sample of 34 participants, 29 (85%) were African American. The sample included 21 men (62%) and 13 women (38%), with a self-reported mean CD4 count of 499.38 (SD = 377.69) and a mean duration of HIV of 8.0 years. The majority of participants held beliefs that HIV was a serious and chronic condition and that the disease could be controlled by HIV therapies. Participants offered disparate views about whether or not the course of HIV disease was amenable to personal control. The persons who held the belief that the cause of HIV/AIDS was because of chance/bad luck (p = .03) or Gods will (p < .001) were also most likely to believe that the progression of their HIV disease depended on chance or fate. The respondents currently taking HIV medication were also more likely to believe that HIV was caused by chance or bad luck (p = .038) or Gods will (p = .016). The results reflect the important role of spirituality on self- regulation of illness and treatment in the rural southern culture.

Gender Differences in Intimate Partner Violence and Alcohol Use Among Latino-Migrant and Seasonal Farmworkers in Rural Southeastern North Carolina

The purpose of this study was to assess intimate partner violence (IPV) and alcohol use among Latino migrant and seasonal farmworkers. The 291 Latino participants were interviewed in Spanish at migrant camps and residences in 3 counties located in southeastern North Carolina. The findings of this study indicate significant gender differences in IPV and alcohol use among the Latino population in the southeastern United States. The findings also indicate that there is a serious problem of IPV and alcohol use among Latinos in the southeastern United States, suggesting the need for routine screening in primary care settings.

Dating violence among high school students in southeastern North Carolina.

Adolescents are a high-risk group for dating violence. Using the Youth Risk Behavior Survey data, this study examined the associations among dating violence (including physical dating violence [PDV] and sexual dating violence [SDV]) and selected health risk behaviors among 375 and 372 high school students, in 2005 and 2007, respectively, in southeastern North Carolina. The findings indicate PDV increased slightly from 2005 (11.6%) to 2007 (12.5%), while SDV remained approximately the same (10.4% in 2005 and 10.3% in 2007). PDV was strongly associated with SDV among high school students in 2005 and 2007. Significant associations also exist among dating violence and sexual behavior, substance use, violence, psychological health, and unhealthy weight control. School nurses should be actively involved in promoting healthy lifestyles and healthy choices among high school students through interdisciplinary efforts with parents, teachers, school districts, and communities.

Incidence, sources, and self-management of depression in persons attending a rural health clinic in southeastern North Carolina.

The purpose of this study was to determine the incidence, sources, and self-management strategies of depression in a sample of 48 persons visiting a primary care clinic in rural Southeastern North Carolina. Forty percent of the participants met the criteria of clinical depression on the Center for Epidemiological Studies Depression Scale (CES-D). Highest rates of depression found in single, African American men who were employed with adequate health insurance were attributed primarily to work related stressors in dealing with overwhelming social problems of other rural residents, as well as economic stressors. Critical incident interviews identified depression self-management strategies and sources of social support.

Racial Tensions and School Crime

This article uses data on school crime and other characteristics from a study of U.S. public schools to contribute to our knowledge about the extent and correlates of school violence and property crime. Following a brief review of the literature, the authors describe their efforts to examine the link between racial tensions and school crime. Relying on the macro version of general strain theory (GST) developed by Agnew and racial contact/threat perspectives on school race relations, a more specific purpose for their article is to determine the extent to which school-based crime is at least a partial function of extant racial tensions in schools. Analyses of violent and property-related incidents across a weighted sample of 1,936 middle and high schools indicate that racial tensions is a significant, positive correlate of both types of school crime, net of other school climate, organizational, and demographic characteristics. They discuss these findings and describe directions for future research with these data.

Sexual behaviors and drinking patterns among middle school and high school students in southeastern North Carolina

Considering that current trends in sexual behavior and alcohol use among adolescents pose a significant public health risk, more research is needed in this area. Using a cross-sectional design, this study examined sex and alcohol behaviors among middle school and high school students in southeastern North Carolina. The findings suggested that there were strong associations between overall drinking patterns and sexual behaviors. Further analyses examined the effect of several demographic and behavioral factors on sexual experience and condom use for both middle and high school students. Alcohol, race, and age were significant determinants of sexual experience for all students while gender was significant for middle school students. None of the measured factors, including AIDS education, significantly increased condom use among sexually active students. The results suggested that sexuality and alcohol education methods and content should be reevaluated and should begin in or before middle school.

Promoting cultural awareness in nursing education through international videoconferences.

This paper describes a highly successful, 10 year long international videoconference exchange between nursing students in Iwate Prefectural University in northern Japan and the University of North Carolina Wilmington in the United States. A summary of the literature on the use of videoconferencing in nursing education is presented, as well as a brief overview of the collaborative partnership that led to the development of the annual videoconference series. A description of the process for conducting the annual real-time sessions is included along with student perspectives about their experiences. Planning, support and open-mindedness on the part of both students and nursing faculty have contributed to the success of this collaborative effort.This paper describes a highly successful, 10 year long international videoconference exchange between nursing students in Iwate Prefectural University in northern Japan and the University of North Carolina Wilmington in the United States. A summary of the literature on the use of videoconferencing in nursing education is presented, as well as a brief overview of the collaborative partnership that led to the development of the annual videoconference series. A description of the process for conducting the annual real-time sessions is included along with student perspectives about their experiences. Planning, support and open-mindedness on the part of both students and nursing faculty have contributed to the success of this collaborative effort.

Family spirituality among Korean-American elderly families with cultural and Christian perspectives

T of Middle East Respiratory Syndrome-Coronavirus (MERS-CoV) among health care workers (HCWs) and patients has been documented with mortality rate approximating 36%. We propose ‘Advanced-Infection Control Measures’ (A-IC) used in conjunction with ‘Basic-Infection Control Measures’ (B-IC) which help to reduce pathogen transmission. B-IC include standard and transmission based precautions. A-IC are initiatives implemented within our center to enhance effectiveness of B-IC. Our objective is to study effectiveness of combining B-IC and A-IC to prevent transmission of MERS-CoV to HCWs. A retrospective observational study was undertaken. A-IC measures include; administrative support with daily rounds, infection control risk assessment, timely screening, isolation, and specimen analysis, collaboration, epidemic-plan, stock-piling, implementation of contingency plan, full PPE use for advanced airway management, real-time electronic isolation flagging system, IC team on-call, pre-transfer MERS-CoV testing and education. Total of 874 real-time PCR MERS-CoV tests were performed from July 1st, 2013 to January 31st, 2015. 694 non-HCWs were tested; of these 16 were MERS-CoV positive and community-acquired. 69% of the confirmed MERS-CoV positive cases were male, with an average age of 56 years (range: 19-84 years). Of the total tested for MERS-CoV, 180 were HCWs with zero positivity. In conclusion, adhering to a combination of B-IC and A-IC reduces the risk of MERS-CoV transmission to HCWs.P nurses require comprehensive skills related to growth and development to support communication with pediatric clients of all stages of development. Pediatrics is a specialized area of nursing. Nurses and student nurses are required to recognize, understand, and apply knowledge of growth and developmental stages to have successful communication with children in healthcare settings. Nurses encounter pediatric clients in various settings in healthcare. These range from educational settings to acute and chronic care settings. Communication with children is dependent on the child’s level of growth and development. A skilled healthcare provider who communicates effectively with children does so by recognizing stages of growth and development. Humor development, which mirrors cognitive development, is not readily used in the education of student nurses or pediatric nurses. Educating nurses and student nurses on humor development could enhance the understanding and comprehension of cognitive growth and development.Background: Current asthma care can be inconsistent due to providers’ variable approaches to asthma diagnosis and management guidelines. This variability is often a result of time and cost constraints. An approach to overcome these constraints and to increase adherence to guidelines is the SMA. The SMA is a medical appointment carried out with a group of consenting patients and their caregivers by a provider and other health professionals. SMAs are typically designed as 90-minute medical appointments in which 4 to 9 patients and their parents are seen in a group setting. This type of appointment allows both the provider and the patient to bridge a gap between individual appointments, which frequently lack the time needed for detailed education.I which is defined by QSEN as: Using information and technology to communicate, manage knowledge, mitigate error, and support decision making; is one of the core competencies for nursing set forth by the Institute of Medicine (IOM) and The Quality and Safety Education for Nurses (QSEN) faculty. One of the QSEN core skills linked to informatics is documenting and planning patient care in the electronic medical record (EMR), a skill that can be confusing to a beginning nursing student. Nursing students can also become easily confused when learning assessment skills in the classroom, but accurate assessment skills must be achieved in order to complete accurate documentation. When assessing a patient, distinquishing what the assessment findings are and what should be documented in the electronic EMR to clearly communicate the findings are special skills that are vital to the nursing role, communication among care team members and patient safety. Linking these two skills in a real-life, fun and innovative way in the classroom can make for better overall understanding of each skill and its importance to safe patient care.C is a leading cause of death worldwide and accounts for 7.6 million deaths annually. In the Middle East, an increase in cancer mortality of approximately 181% is expected during the next 15 years. We explored the barriers to colorectal cancer (CRC) screening in primary care settings in Oman. The participants were nurses (57.7%) and physicians (42.3%) with an average age of 32.5 years and clinical experience of 9.5 years. The majority (64.8%) of the participants reported that they rarely ordered, referred to, educated about, or recommended CRC screening for eligible patients. The factors perceived by nurses and physicians to have the most influence on their CRC screening practices were regular availability of patients who need CRC screening, continuing professional education about cancer prevention, availability of cancer specialists, and health facility policy about cancer screening. The only patient-related barrier to CRC screening rated as “major” by the majority of participants (63.7%) was patients’ lack of awareness about CRC tests. Significant differences existed between nurses’ and physicians’ rating of patient-related barriers, such as fear of finding out about a cancer diagnosis (P≥0.05), belief that screening is not effective (P≥0.05), embarrassment or anxiety about screening tests (P≥0.03), and culture (P≥0.0). The reported major system barriers to CRC screening were lack of hospital policy or protocols, shortage of trained healthcare providers, availability of screening services, and waiting time for screening appointments. These findings indicate a need to increase patient awareness and interventions to enhance healthcare providers’ practices. Nurse educators, researchers, and nurse administrators have major roles to play in cancer prevention.

Student perceptions of group experience in RN-to-BSN online research course

T driving forces in healthcare delivery are quality patient care outcomes, patient satisfaction, and cost-effectiveness. Resolution of issues or problems is these areas, are contingent on nurses understanding the role of research in supporting their practice decisions. Exposure to evidenced-based practice typically occurs in academic settings at the undergraduate level; undertaking research occurs at the graduate level, where nurse educators are in a prime position to facilitate the utilization of research in varied practice settings using experiential and constructivist teaching/learning strategies. At Mount Saint Mary College, graduate students enrolled in the nurse or the family nurse practitioner program is making profound changes in healthcare. Their evidenced-based projects are from birth through dying that requires administrative support and inter-professional collaboration Projects occur in acute care, educational (K-6 grades), nursing homes, military, clinics, group and private practice settings, projects examples are maternal laboring down, kangaroo care, pre-operative warming; fall reduction, hand hygiene compliance, tobacco cessation, pain assessment and re-assessment; adolescent suicide risk assessment, pre-colonoscopy stress reduction and anxiety; reduction in CHF re-admissions; antibiotic compliance; hepatitis C viral load reductions; decrease urinary catheter use and infections, pressure ulcer reduction, Intervention examples included traditional educational approaches, simulation, videography, telephonic follow-up, interprofessional coaching and complementary and alternative modalities as lavender and Yoga. These interventions obtained from research and applied to specific problems and issues, the graduate students identified resulted in positive outcomes and policy changes. The prime focus of the nurse educator is to tap into the students’ passion and provide positive and frequent formative feedback.OF DISSERTATION CHILDHOOD BULLYING: ASSESSMENT PRACTICES AND PREDICTIVE FACTORS ASSOCIATED WITH ASSESSING FOR BULLYING BY HEALTH CARE PROVIDERS Childhood bullying affects over 25% of today’s youth and causes up to 160,000 missed school days per year. Bullying causes short and long term adverse effects to both mental and physical health. Many organizations encourage healthcare providers to take an active role in bullying prevention. However, there has been little research into the role of primary healthcare providers regarding childhood bullying and the effectiveness of different approaches to screening and management. Therefore the purposes of this dissertation were to a) explore childhood bullying and the role of the healthcare provider in bullying prevention, b) develop and evaluate the psychometric properties of Hensley’s Healthcare Provider’s Practices, Attitudes, Selfconfidence, & Knowledge Regarding Bullying Questionnaire. Pediatric healthcare providers were asked to participate in this study if they conducted well-child exams on a weekly basis. Information on the provider’s current bullying assessment practices, attitudes, self-confidence, and knowledge regarding bullying was gathered. Results indicated that Approximately one-half (46.6%, n=55) of the healthcare providers reported assessing their patients for bullying behaviors during well-child exams. The strongest predictor of positively assessing for bullying was attitudes, recording an odds ratio of 1.24. This indicated for every one-unit increase in attitudes score, the odds of assessing for bullying will be 24% higher. The odds ratio of self-efficacy or selfconfidence was 1.18, indicating that for every one-unit increase in self-efficacy score, the odds of assessing for bullying will be 18% higher.3 Introduction and Background 4 Problem Statement 4 Review of the Literature 5 Organizational and Theoretical Frameworks 13 Project Design and Methods 15 Settings and Resources 15 Description of the group, population or community 15 Organizational analysis of project site 16 Evidence of stakeholder support 17 Facilitators and barriers 18 Goals, Objectives and Outcomes 18 Implementation 20 Cost Analysis/Budget 22 Ethics and Human Subjects Protection 23 Results 24 Discussion 26 Conclusion 31 References 33 Appendix 36L learning has been established as an essential component of nursing culture, yet there continues to be substantial obstacles to implementing lifelong learning into nursing practice. The research questions were: What are the perceptions of nurses regarding lifelong learning, what experiences describe the nurse’s pursuit of lifelong learning and what theory, grounded in data explains lifelong learning of acute care nurses? The sampling and data collection took place in a southern Utah health care organization and data saturation occurred after 15 interviews. The conceptual base for the study was The American Association of Colleges of Nursing (AACN) and Association of American Medical College’s (AAMC) lifelong learning in medicine and nursing final conference report (2010). A constructivist grounded theory method was chosen and theoretical sampling methods were used to collect the data. Theoretical sampling and constant comparative analysis were the primary methods of data analysis. The theory that emerged from the data was confined learning, which is a descriptive theory depicting lifelong learning of acute care nurses. This theory describes how nurses have become dependent upon hospitals for lifelong learning opportunities. Some of these opportunities are provided by the hospital and others were experienced within the hospital and occurred at the patient bedside or by interacting with coworkers. The implications of the research findings expose an over dependence for nurses upon hospital provided learning resources. This overdependence upon a hospital for providing learning opportunities decreases the nurse’s opportunities to explore learning resources, become familiar with current research and develop information literacy.Organisation name Docum ent Page No Line No Comments Please insert each new comment in a new row Developer’s response Please respond to each comment Alder Hey Children’s NHS Foundation Trust Genera l 8.3 Excellent to have clear evidence of the incidence of impaired growth in children and young people with CF. This supports the on-going need for specialist dietitians to be involved in the MDT care of children and young people with CF Thank you for your comment.