Enhancing Healthier Birth Outcomes by Creating Supportive Spaces for Pregnant African American Women Living in Milwaukee.

Objectives Nationwide, African American women report higher stress levels and less access to pre- and postnatal resources. Wisconsin mirrors national infant mortality trends that show a persistent four-decade gap in infant survival between African American and White populations. The objective of the Milwaukee Birthing Project (MBP) was to implement a community-based health promotion intervention to improve birth outcomes for pregnant, low-income African American women, evaluate its effectiveness, and document its usefulness to inform development of future interventions.

Using Omaha System Documentation to Understand Physical Activity among Rural Women.

Objective(s): Examine factors related to physical activity among rural women using Omaha System data.

Design And Sample: Mixed methods: quantitative analysis of de-identified clinical data and thematic analysis of public health nurse (PHN) focus group data. Rural women who received PHN services (N = 852) and purposively selected PHNs (N = 12).

Evidence-based characteristics of nurse-managed health centers for quality and outcomes.

There are approximately 250 nurse-managed health centers (NMHC) in the United States, but there are few consistent descriptions of their functions and even fewer reports of their outcomes. Because NMHCs have been identified as a unique and effectual health care delivery care model (Patient Protection and Affordable Care Act), a description of their characteristics and a framework for outcome evaluation are required for their continued evolution and expansion. This study identifies the principal characteristics of U.

Providing and funding breast health services in urban nurse-managed health centers.

Nurse-managed health centers (NMHCs) are an innovative health care delivery model that serves as an important point of health care access for populations at risk for disparities in health outcomes. This article describes the process and outcomes of clinical breast health services in two NMHCs located in a large Midwestern city. Findings indicate that client's knowledge about breast health was increased after they received breast health services from NMHC nurses.

An integrative review of information systems and terminologies used in local health departments.

Objective: The purpose of this integrative review based on the published literature was to identify information systems currently being used by local health departments and to determine the extent to which standard terminology was used to communicate data, interventions, and outcomes to improve public health informatics at the local health department (LHD) level and better inform research, policy, and programs.

Materials And Methods: Whittemore and Knafl's integrative review methodology was used. Data were obtained through key word searches of three publication databases and reference lists of retrieved articles and consulting with experts to identify landmark works.

A systematic method to document population-level nursing interventions in an electronic health system.

Many public health electronic health systems lack the specificity to distinguish between individual- and population-based levels of care provided by public health nurses. Data that describe the broad scope of the everyday practice of public health nurses are critical to providing evidence of their effectiveness in promoting community health, which may not be fully appreciated in an arena of scarce resources. This article describes a method to document population-based nursing practice by adding population-based interventions to the nursing taxonomy underlying an electronic health information system.

Inequitable access: provider characteristics and reimbursement policies of primary care office sites in Milwaukee.

Introduction: Availability of primary physician care is a key determinant of health care access. While inequities in access can be related to individual and health care system characteristics, this study focused on the organizational characteristics of the health care system and examined the availability and accessibility of primary care physician offices in Milwaukee, Wisconsin.

Methods: The study design was a secondary analysis of data extracted from a database of information about physician offices established for case management purposes.

Community health: an evolutionary concept analysis.

Title: Community health: an evolutionary concept analysis.

Aim: This paper is a report of a concept analysis of community health.

Background: Community health is a term that has been broadly used in both research and practice.

An Exploration of Hmong Women's Perspectives on Cancer.

Purpose: The purpose of this study was to explore the perspectives of Hmong women on cancer, using focus groups as the research method.

Methods: Two focus group interviews were conducted and the narrative data were analyzed using thematic content analysis.

Results: Themes that emerged from the focus group discussions included "fatalistic and 'black and white' thinking", "valuing rumors rather than scientific information", "strong adherence to traditional medicine", "male leaders controlling health care decisions", "embarrassment discussing women's bodies", and "preferred strategies in addressing cancer".

Community-based participatory action: impact on a neighborhood levelcommunity health improvement process.

Background: The Riverwest Health Initiative (RHI) is a community-based participatory action (CBPA)-driven coalition. The group used several action models to create a community health improvement process (CHIP) uniquely suited for the neighborhood. The issues the coalition addressed and the processes used to inform community health improvement are described at the level of an urban neighborhood, including almost 7,000 households in six census tracts.

Eleven years of primary health care delivery in an academic nursing center.

Academic community nursing centers (CNCs) emphasize partnership with the communities they serve to provide access to services that promote, restore, and maintain health. In this study, selected data from an 11-year clinical data set are presented to show the scope of academic CNC nursing practice, describe client services and expanded nursing roles, show the use of a computerized clinical documentation system in tracking nursing practice, and assess the usefulness of the Lundeen conceptual model. The study design was a retrospective review of computerized client record data.