Agricultural Employer Perspectives on Occupational Wildfire Smoke Rules.

Objectives: The purpose of the study was to examine the perspectives of agricultural employers and managers regarding wildfire smoke-related occupational health and safety protections. The aims were to (1) explore implementation and evaluation of the Washington (WA) State Department of Labor and Industries Wildfire Smoke Rule, (2) develop a survey to explore perspectives on the rule, and (3) examine the relationship between occupational roles and knowledge and training received related to components of the rule.

Methods: We used exploratory sequential mixed methods, including key informant interviews with industry stakeholders, survey design, and online survey administration to agricultural employers and managers.

Symptoms Reported by Young Adults With Asthma During Wildfire Smoke Season.

Purpose: The purpose of this article is to evaluate the relationship between exposure to poor air quality (AQ) and self-reported symptoms among young adults with asthma during wildfire smoke season.

Methods: Sixty seven young adults (aged 18-26 years) completed the Asthma Control Test and reported asthma symptoms at three time points (baseline, 4 weeks, and 8 weeks) during wildfire season as part of a clinical trial. Bivariate correlations between Asthma Control Test and AQ measures were examined followed by predictive linear regression.

Association of social vulnerability factors with power outage burden in Washington state: 2018-2021.

Major power outages have risen over the last two decades, largely due to more extreme weather conditions. However, there is a lack of knowledge on the distribution of power outages and its relationship to social vulnerability and co-occurring hazards. We examined the associations between localized outages and social vulnerability factors (demographic characteristics), controlling for environmental factors (weather), in Washington State between 2018-2021.

The four stages of neighborhood trust: Classic grounded theory.

Introduction: Neighborhoods are often overlooked as a determinant of health. Among recent research, the focus on "place-based effects," due to prolonged residential environmental exposure, has been of particular interest. These studies' purpose is to identify and examine how a healthy neighborhood is intentionally created to describe a transferable process-driven theory.

Agricultural Worker Perspectives on Climate Hazards and Risk Reduction Strategies.

Objective: The purpose of this study was to understand the experiences of agricultural workers during periods of heat and wildfire smoke exposure and to support the development and implementation of protective workplace interventions.

Methods: Using community-engaged research and the Center for Disease Control (CDC) framework for policy evaluation, a qualitative descriptive study was conducted with current and former agricultural workers in Central Washington (WA). Twelve participants answered semi-structured questions via interviews or by attending a focus group.

Flexible Resources Key to Neighborhood Resilience for Children: A Scoping Review.

Neighborhoods have been the focus of health researchers seeking to develop upstream strategies to mitigate downstream disease development. In recent years, neighborhoods have become a primary target in efforts to promote health and resilience following deleterious social conditions such as the climate crisis, extreme weather events, the global pandemic, and supply chain disruptions. Children are often the most vulnerable populations after experiencing unexpected shocks.

Allostatic Load Measurement: A Systematic Review of Reviews, Database Inventory, and Considerations for Neighborhood Research.

Background: Neighborhoods are critical to understanding how environments influence health outcomes. Prolonged environmental stressors, such as a lack of green spaces and neighborhood socioeconomic disadvantage, have been associated with higher allostatic load levels. Since allostatic load levels experienced earlier in life have stronger associations with mortality risk, neighborhoods may be uniquely suited to monitor and mitigate the impacts of environmental stressors.

Feasibility and acceptability of home monitoring with portable spirometry in young adults with asthma.

Objective: Self-monitoring asthma control is a key component of asthma management. Few studies have reported usability and acceptability of portable spirometry among young adults with asthma. Portable spirometry offers a practical solution to monitoring airway narrowing at home.

Assessing community response to wildfire smoke: A multimethod study using social media.

Objective: The purpose of this study was to assess health-related responses to wildfire smoke on social media. We examined whether seasonal wildfire smoke is an active topic on Twitter, the correlation between fine particulate matter (PM ) and Twitter search terms, and dimensions of community-level expression to wildfire smoke through tweets.

Design: Search terms were identified using a conceptual model developed and refined by healthcare providers and public health experts.

"Is It Good or Bad for the Air?" Latino and Asian Pacific Islander Youth-Led Messaging and Action for Environmental Justice Through Photovoice.

Photovoice is a powerful way to generate youth reflection and social action for health promotion. While the literature offers numerous examples of photovoice studies involving youth, they are most often engaged in taking, dialoguing, and developing phototexts, but not always in the critical next stages of planning what to do with this data, in terms of analyzing and then planning change-related strategic actions. This article describes the ways in which an intergenerational environmental justice project, as part of a larger community-based participatory research program, engaged youth through all stages of a photovoice project.

Promoting risk reduction among young adults with asthma during wildfire smoke: A feasibility study.

Objective(s): This study explored the feasibility, acceptability, preliminary impact, and functionality of two risk reduction mobile application (app) interventions on asthma outcomes as compared to a control arm during wildfire season.

Design: Three-arm, 8-week randomized clinical trial.

Sample: Sixty-seven young adults with asthma were enrolled.

Adapting and Testing the Self-Efficacy in Environmental Risk Reduction Instrument Among Spanish-Speaking Populations.

Background And Purpose: The purpose of this study was to adapt and test the Self-Efficacy in Environmental Risk Reduction instrument in a Spanish-speaking population.

Methods: Harkness' model of cross-cultural survey design was used to adapt the instrument. We sampled 95 adult, Spanish speakers from a federally qualified health clinic.

Measuring Our Success in Teaching Latinos about Asthma and Home Environments: Lessons Learned from an Intervention Developed through Photovoice.

Background: Childhood asthma management is an environmental justice concern for immigrant Latino parents. Photovoice methods have empowered our community-based participatory research (CBPR) team of Latino parents of children with asthma to investigate and educate others about indoor environmental threats in our community.

Methods: Data collection and management in evaluating interventions in such settings is under-described in the literature.

A Scoping Review of Nurses' Contributions to Health-Related, Wildfire Research.

Exposure to unprecedented levels of wildfire smoke is increasing cardiopulmonary mortality and is especially catastrophic to people with preexisting respiratory conditions such as asthma. Wildfire smoke is a mixture of hazardous air pollutants and airborne particulate matter and wildfires are burning larger areas of land and lasting longer, extending the smoke season. The wildfire season is also expected to lengthen as a result of the changing climate.

Protecting Outdoor Workers From Hazards Associated With Wildfire Smoke.

Wildfires are increasing in frequency and intensity, which increases outdoor workers' risk of breathing smoke for sustained periods. Occupational health nurses have multiple roles to play to protect outdoor workers from the new "smoke season."

Balance, Health, and Workplace Safety: Experiences of New Nurses in the Context of Total Worker Health.

Transitioning into independent professional practice may be a difficult and trying process for newly licensed nurses, who may be at risk for burnout and quitting their jobs. Issues related to new nurses' well-being at work may also impact their personal lives. Using thematic analysis within the framework of Total Worker Health, this study examined factors related to the overall work, safety, and health of newly licensed nurses that should be addressed in work environments to promote well-being and prevent burnout and attrition.

Development and Pilot Testing of a Bilingual Environmental Health Assessment Tool to Promote Asthma-friendly Childcares.

Background: Childhood marks the highest risk for allergic sensitization to asthma triggers. Hispanic/Latino children are at higher risk for hospitalization for asthma than non-Hispanic White children. Childcare providers lack knowledge about reducing asthma triggers.

A National Survey Examining Manuscript Dissertation Formats Among Nursing PhD Programs in the United States.

Purpose: Among research-focused nursing doctoral (PhD) programs in the United States, the traditional dissertation format has recently given way to a series of publication-ready manuscripts, often bookended by introduction and conclusion chapters. To help programs make decisions about the use of these formats, this study undertook a national survey of programs offering PhDs in nursing. The purpose of this study was to explore the advantages and disadvantages of the traditional format versus manuscript option for dissertations among nursing PhD programs in the United States.

Interactive CO-learning for Research Engagement and Education (I-COREE) Curriculum to Build Capacity Between Community Partners and Academic Researchers.

The voice of diverse communities continues to be minimal in academic research. Few models exist for education and training of new research topics and terminology and building partnership capacity in community-engaged research. Little is known about integrative education and training when building participatory research partnerships for sustainability and developing trust and rapport.

Assessing the value of the Meaningful Use Clinical Summary for patients and families with pediatric asthma.

Electronic clinical summaries are innovations supported by the Electronic Health Record Incentive Program, known as "Meaningful Use" (MU). The MU clinical summary documents the shared understanding of the plan of care for patients and assists families in managing asthma-related health care. The purpose of this analysis was to identify the communicative value of the summaries to patients and families.

Nursing Students' Perceptions of the Transition to Shift Work: A Total Worker Health Perspective.

Nursing students make an abrupt transition from traditional classes to clinical rotations and shift work. Little is known about students' sleep, sleep disturbances, and safe practice behaviors during this critical phase of professional development. The purpose of this study was to identify nursing students' perceptions of problems and potential solutions related to shift work and long work hours.

Psychometric Properties of the Nurses' Environmental Awareness Tool.

Background And Purpose: Nurses are committed to practice in an environmentally safe and healthy manner. However, nursing practice contributes significant negative impacts to the natural environment. We analyzed the psychometric properties of the Nurses Environmental Awareness Tool (NEAT), composed of 6 subscales, measuring awareness of environmental impacts and their health risks and ecological behaviors at work and home.

Retest of a Principal Components Analysis of Two Household Environmental Risk Instruments.

Household Risk Perception (HRP) and Self-Efficacy in Environmental Risk Reduction (SEERR) instruments were developed for a public health nurse-delivered intervention designed to reduce home-based, environmental health risks among rural, low-income families. The purpose of this study was to test both instruments in a second low-income population that differed geographically and economically from the original sample. Participants (N = 199) were recruited from the Women, Infants, and Children (WIC) program.

Why didn't I know? Perspectives from adult children of elderly parents with dementia.

Purpose: Approximately 27 million adults are living with undiagnosed dementia worldwide. The purpose of this study was to learn about the experiences of adult children of elderly parents who were ultimately diagnosed with dementia.

Data Sources: A descriptive qualitative design was used for identifying if there were prodromal signs or symptoms that preceded the more commonly known warning signs of dementia.