Importance: The number of active health care professionals has not kept pace with the increasing number of minoritized individuals in the US. The Summer Health Professions Education Program (SHPEP) was developed to alleviate this underrepresentation in the health workforce.
Objective: To evaluate students' changes in perceived barriers and motivators for entering and succeeding in professional school after SHPEP participation.
Relocating and starting a new life in a foreign country may entail a constellation of new stressors for Haitian immigrants; thus, research that enhances our understanding of how this vulnerable population contextualizes migration-related stress is necessary. The objectives of this study were to: (a) identify what factors are associated with migration-related stress, and (b) describe which and why specific migration-related stressors were most significant from the perspective of those suffering from high migration-related stress post migration via the stress proliferation lens of the stress process model. In this mixed-methods, sequential, explanatory pilot study, first-generation Haitian immigrants ( = 76) were recruited to operationalize migration-related stress, using the Demands of Immigration Scale (DIS).
View Article and Find Full Text PDFDeaf people who use American Sign Language (ASL) are more likely to use the emergency department (ED) than their hearing English-speaking counterparts and are also at higher risk of receiving inaccessible communication. The purpose of this study is to explore the ED communication experience of Deaf patients. A descriptive qualitative study was performed by interviewing 11 Deaf people who had used the ED in the past 2 years.
View Article and Find Full Text PDFPurpose: To advocate for strategic actions by U.S. nursing leadership that denote the presence, customs, and implications of racism that has been institutionalized within the structures of U.
View Article and Find Full Text PDFHealth Soc Care Community
September 2020
Our global communities are becoming increasingly more diverse and interwoven; thus, research that enhances our understanding of the multidimensional relationship between depression and migration among distinct ethnic groups is imperative. This study examined the relationship between migration-related stress and depression and the extent to which that relationship is modified by other factors, through the lens of the stress process model. This cross-sectional pilot study used purposive sampling methods to recruit 76 first-generation Haitian immigrants living in South and West Florida from February 2018-May 2018.
View Article and Find Full Text PDFIn order to meet the needs of an increasingly diverse patient population, nursing schools around the United States have been trying to recruit future nurses from a variety of racial/ethnic backgrounds, with limited success. To date, the literature does not describe how to develop culturally appropriate engagement models that can successfully transform minority nursing students into nurse researchers and leaders. Thus, the purpose of this article is to describe a promising research and leadership program for underrepresented undergraduate students entitled, "EMBRACE - Engaging Multiple-communities of BSN students in Research and Academic Curricular Experiences".
View Article and Find Full Text PDFInt J Environ Res Public Health
June 2018
Social and spatial characteristics of a population often interact to influence health outcomes, suggesting a need to jointly analyze both to offer useful insights in community health. However, researchers have used either social or spatial analyses to examine community-based health issues and inform intervention programs. We propose a combined socio-spatial analytic approach to develop a and a , and apply them to an ongoing study of mental and physical well-being of rural Latino immigrants in North Florida, USA.
View Article and Find Full Text PDFThe notion of team science has recently gained popularity in European and American health sciences considering increasing evidence that scientific collaboration produces higher-impact research and that complex scientific problems are better investigated by interdisciplinary teams. While publication metrics indicate adoption research is expanding, the comprehensive structure of adoption studies as a scientific field has not been formally evaluated for collaborative and cross-disciplinary activity. This article aims to elucidate the structure, composition, and dynamics of scientific relationships within adoption research that may inform research and practice strategies, competencies, and cohesion within the field.
View Article and Find Full Text PDFJ Assoc Nurses AIDS Care
April 2017
Globally, aging populations and older persons living with HIV (OPLWH) are emerging socioeconomic and health care concerns. Aging adults living in rural communities have less access to and lower utilization of health care services; they rely heavily on available peer and family networks. Although social networks have been linked to positive mental and physical health outcomes, there is a lack of understanding about social networks in rural-dwelling OPLWH.
View Article and Find Full Text PDFIssues Ment Health Nurs
February 2017
Latinos comprise the largest minority rural population in the US, and they are often exposed to adverse social health determinants that can detrimentally affect their mental health. Guided by community-based participatory research (CBPR) principles, this study aimed to describe faith-based organizations (FBOs) leaders' perceptions of the contexts affecting the mental well-being of rural Latino immigrants and potential approaches to mental health promotion for these immigrants. This is a descriptive, qualitative arm of a larger study in which community-academic members have partnered to develop a culturally-tailored mental health promotion intervention among rural Latinos.
View Article and Find Full Text PDFRurality has been frequently noted by researchers as pathways to understand human health in rural and remote areas. Current measures of rurality are mostly oriented to places, not individuals, and have not accounted for individual mobility, thus inappropriate for studying health and well-being at an individual level. This research proposed a new concept of individual-based rurality by integrating personal activity spaces.
View Article and Find Full Text PDFPurpose: Most stroke survivors will be cared for at home by family caregivers with limited training. Families actively involved in rehabilitation feel more prepared for the new responsibilities of caring for the stroke survivor. The focus of this article is to highlight the relevant concepts of a family-centered model of care and provide general guidance on how integrating a family-centered mindset may be clinically applicable.
View Article and Find Full Text PDFUpon immigration to the rural areas in the US, Latino families may experience cultural, geographic, linguistic and social isolation, which can detrimentally affect their wellbeing by acting as chronic stressors. Using a community engagement approach, this is a pilot mixed-method study with an embedded design using concurrent qualitative and quantitative data. The purpose of this study is to evaluate family and social environments in terms of protective factors and modifiable risks associated with mental well-being in Latino immigrants living in rural areas of Florida.
View Article and Find Full Text PDFGrowing up as an undocumented immigrant and transitioning to "illegal" adulthood can expose the person to adverse social determinants, which can detrimentally affect mental health by acting as chronic stressors. Although there have been several attempts to reform immigration, none have been entirely successful. Recently, the Dream Act and the path toward citizenship may be important steps for reducing mental health disparities among the undocumented, immigrant population.
View Article and Find Full Text PDFPromotoras have worked in various areas of public health; however, there is a lack of understanding about their work in mental health. This article reviews the literature in 3 different cultures/languages (English, Spanish, and Portuguese) and aims to describe promotoras' roles, training, and interventions and their outcomes related to mental health activities. Results demonstrate that in different cultures/languages, promotoras empower community members to promote mental health and prevent exacerbation of individuals' mental illness.
View Article and Find Full Text PDFUsing Community-Based Participatory Research, this study describes the ongoing collaboration between Latino community leaders and academic partners to develop a mental health promotion intervention for rural Latinos in Florida. Two strategies were used: (1) Community Advisory Board (CAB) members completed a Latino Community Partners Survey (LCPS) and (2) scribe notes were taken during CAB meetings. The LCPS demonstrated not only the CAB's knowledge about the community but the readiness of leaders to get involved in the community-academic partnership.
View Article and Find Full Text PDFBackground: The Beck Depression Inventory, Second Edition (BDI-II), and the Patient Health Questionnaire-9 (PHQ-9) are considered reliable and valid for measuring depressive symptom severity and screening for a depressive disorder. Few studies have examined the convergent or divergent validity of these two measures, and none has been conducted among low-income women-although rates of depression in this group are extremely high. Moreover, variation in within-subject scores suggests that these measures may be less comparable in select subgroups.
View Article and Find Full Text PDFIn this review, a synthesis of studies employing community-based participatory research (CBPR) to address mental health problems of minorities, strengths and challenges of the CBPR approach with minority populations are highlighted. Despite the fact that minority community members voiced a need for innovative approaches to address culturally unique issues, findings revealed that most researchers continued to use the traditional methods in which they were trained. Moreover, researchers continued to view mental health treatment from a health service perspective.
View Article and Find Full Text PDFIssues Ment Health Nurs
December 2009
US Latinos are almost twice as likely as Whites to experience depression in a given year, and to date, there is a gap in understanding how to effectively address depression in this population. This study reviews community-based participatory research (CBPR) publications involving Latinos and depression. The specific aims were to: (1) describe studies using CBPR for addressing depression among Latinos, and (2) identify challenges and lessons learned when using CBPR for addressing depression among Latinos.
View Article and Find Full Text PDFIssues Ment Health Nurs
July 2008
Puerto Ricans manifest high rates of depression but avoid seeking treatment. The purpose of this pilot was to learn directly from Puerto Rican women how culturally appropriate they would consider a proposed community-based intervention for treating depression. Interactive activities were reviewed by two focus groups of women (N = 16), all working in community-based health programs.
View Article and Find Full Text PDFThis literature review discusses the value of the structuralist approach as an integrated theoretical and methodological framework for participatory cultural assessments designed to capture the cultural dynamics of those affected by health disparities. Drawing from principles of the Lévi-Straussian strand of structural anthropology found in contemporary cultural studies, and using the Puerto Rican cultural experience as an example, the authors present the distinction between deep and surface structures of cultural knowledge and meaning and highlight information-processing and behavioral systems influenced by the complexity of cognitive and social representations of cultural structures. To understand and address the deeply rooted web of ideology, norms, and practices that influence health decision making and behavioral responses, the authors show the need for ethnographic narrative inquiry beyond surface manifestations of culture.
View Article and Find Full Text PDFIssues Ment Health Nurs
May 2007
Group therapy has been recommended as a treatment for depression among Latino women. Thus, the literature published between 1980 and 2004 was systematically reviewed to explore cultural and therapeutic factors relevant to group therapy for depressed Latino women. The specific aims were to: (1) determine the type of studies on this topic, (2) identify successful forms of group therapy for this population, (3) identify therapeutic factors to consider while dealing with this population in group therapy, and (4) explore guidelines for conducting culturally sensitive groups for this population.
View Article and Find Full Text PDFBackground: Occupational stress is associated with specific situations, characteristics of the work environment, and individual perceptions and reactions in the context of the workplace, but many nursing studies of occupational stress have tended to analyse aspects related to the job itself. In Brazil nursing is acknowledged as a stressful occupation whose stresses are generally associated with the job itself, while the effects of personal characteristics on an individual's response to occupational stress are dismissed.
Aims: The aim of this paper is to describe: (1) occupational stress, job satisfaction and state of health in Brazilian nurses, and (2) the relationship of these variables to a constructive thinking coping style.
Faced with an increasingly diverse population and a shortage of nurses, US schools of nursing need to educate nurses from diverse backgrounds. These students may use English as a second language (ESL), leading to challenges that can place them at risk for not passing the NCLEX-RN. The authors present several challenges for ESL students preparing for the NCLEX-RN and successful strategies to coach them.
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