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Trauma Informed Educational Practices: An Educational Innovation for Graduate Nursing Students 创伤知情教育实践:护理研究生教育创新
Q3 Nursing Pub Date : 2023-01-31 DOI: 10.3912/ojin.vol28no01man02
Nadine Aktan, Jeffrey Kwong, Mamilda Robinson, Sallie Porter, Latoya Rawlins, Caroline Dorsen
The significance of trauma on the nursing workforce is of utmost importance in graduate nursing education. Competing roles of graduate nursing students, such as the demands of nursing practice and advanced education, can increase vulnerability to trauma and chronic stress. Stressors associated with graduate nursing education can significantly impact student and program outcomes. Incorporating a trauma-informed approach to graduate-level education can be an essential component to support the needs of this student population. Creating and sustaining a trauma-informed academic setting requires awareness, open-mindedness, empathy, and incorporating educational practices that promote healing and mitigate harm. Nurse faculty can play a pivotal role in restructuring curriculum design to include principles of a trauma-informed approach. This article reviews what is known about trauma informed care and considers strategies to apply a trauma-informed framework to graduate nursing education.
创伤对护理人员的重要性在研究生护理教育中是至关重要的。护理研究生的竞争角色,如护理实践和高等教育的需求,可以增加创伤和慢性压力的脆弱性。与研究生护理教育相关的压力源可以显著影响学生和项目的结果。将创伤知情的方法纳入研究生水平的教育可以成为支持这一学生群体需求的重要组成部分。创造和维持一个了解创伤的学术环境需要意识、开放的思想、同理心,并结合促进愈合和减轻伤害的教育实践。护士教师可以在重组课程设计中发挥关键作用,以包括创伤知情方法的原则。本文回顾了创伤知情护理的已知内容,并考虑了将创伤知情框架应用于研究生护理教育的策略。
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引用次数: 0
Racial Identity and Transcultural Adoption. 种族认同与跨文化收养。
Q3 Nursing Pub Date : 2022-01-01
Jessica Castner, Karen J Foli

Transracial/transcultural adoption is defined as a child of one race or ethnic group placed with parent(s) of a different race or ethnic group. An estimated 2 million children in the United States were identified as adopted in the 2010 census, and approximately one-fourth of these were transracial adoptions. Both a history of adoption and a strong ethnic or racial identity are specifically associated with health-related risk and protective factors for psychosocial, academic, and health behavior outcomes. A patient with a history of transracial adoption presents unique and important considerations for culturally responsive nursing care. This article begins with nursing practice considerations for transracially adoptive patients and provides an overview of epidemiology; relevant trauma informed nursing care;. laws and racial identity formation, and a mental model of health disparities to guide future directions. We synthesize information relevant to nursing care of individuals who are transracially adopted and racial/ethnic identity formation, including socialization and a merging model to conceptualize identities. The article also discusses principles of trauma informed care and health disparities and future improvements in the context of this population.

跨种族/跨文化收养的定义是将一个种族或族裔群体的儿童安置给不同种族或族裔群体的父母。在 2010 年的人口普查中,美国估计有 200 万儿童被确认为被收养,其中约四分之一是跨种族收养。收养史和强烈的民族或种族认同都与社会心理、学业和健康行为结果的健康相关风险和保护因素特别相关。有跨种族收养史的病人为文化敏感性护理提供了独特而重要的考虑因素。本文从跨种族收养患者的护理实践注意事项开始,概述了流行病学、相关的创伤知情护理、法律和种族身份的形成,以及健康差异的心理模型,以指导未来的发展方向。我们综合了与跨种族收养者护理和种族/族裔身份形成相关的信息,包括社会化和身份概念化的合并模型。文章还讨论了创伤知情护理和健康差异的原则,以及在这一人群背景下未来的改进措施。
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引用次数: 0
Racial Identity and Transcultural Adoption. 种族认同与跨文化接纳。
Q3 Nursing Pub Date : 2022-01-01 DOI: 10.3912/ojin.vol27no01man05
J. Castner, K. Foli
Transracial/transcultural adoption is defined as a child of one race or ethnic group placed with parent(s) of a different race or ethnic group. An estimated 2 million children in the United States were identified as adopted in the 2010 census, and approximately one-fourth of these were transracial adoptions. Both a history of adoption and a strong ethnic or racial identity are specifically associated with health-related risk and protective factors for psychosocial, academic, and health behavior outcomes. A patient with a history of transracial adoption presents unique and important considerations for culturally responsive nursing care. This article begins with nursing practice considerations for transracially adoptive patients and provides an overview of epidemiology; relevant trauma informed nursing care;. laws and racial identity formation, and a mental model of health disparities to guide future directions. We synthesize information relevant to nursing care of individuals who are transracially adopted and racial/ethnic identity formation, including socialization and a merging model to conceptualize identities. The article also discusses principles of trauma informed care and health disparities and future improvements in the context of this population.
跨种族/跨文化收养的定义是将一个种族或民族的孩子与另一个种族或民族的父母放在一起。据2010年的人口普查估计,美国有200万儿童被收养,其中大约四分之一是跨种族收养的。收养史和强烈的民族或种族认同都与与健康相关的风险和心理社会、学术和健康行为结果的保护因素特别相关。有跨种族收养史的患者在文化响应性护理中表现出独特而重要的考虑因素。本文从跨种族收养患者的护理实践考虑开始,并提供了流行病学的概述;相关创伤知情护理;法律和种族认同的形成,以及健康差异的心理模型,以指导未来的方向。我们综合了跨种族收养个体的护理和种族/民族身份形成的相关信息,包括社会化和身份概念化的合并模型。文章还讨论了创伤知情护理和健康差异的原则以及在这一人群背景下的未来改进。
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引用次数: 0
Child Poverty, Toxic Stress, and Social Determinants of Health: Screening and Care Coordination. 儿童贫困、有毒压力和健康的社会决定因素:筛查和护理协调。
Q3 Nursing Pub Date : 2018-09-01 DOI: 10.3912/OJIN.VOL23NO03MAN02
Lucine Francis, Kelli DePriest, Marcella Wilson, D. Gross
Social determinants of health (SDOH) refer to the social, economic, and physical conditions in which people live that may affect their health. Poverty, which affects nearly 15 million children in the United States, has far-reaching effects on children's physical and mental health. Although it is difficult to change a family's economic circumstances, nurses can play a critical role to address SDOH through screening and effective coordination of care. As nurses, our role is to minimize the effects of SDOH, including poverty, on child health and well-being through our practice, research, and professional education. We present three exemplars of child poverty to demonstrate the impact on child health and well-being and propose a model of care for nurses to assess and address SDOH in the pediatric clinical setting.
健康的社会决定因素(SDOH)是指人们生活中可能影响其健康的社会、经济和身体条件。贫困影响着美国近1 500万儿童,对儿童的身心健康产生深远影响。虽然很难改变家庭的经济状况,但护士可以通过筛查和有效协调护理,在解决SDOH问题方面发挥关键作用。作为护士,我们的职责是通过我们的实践、研究和专业教育,尽量减少儿童健康和健康的影响,包括贫困对儿童健康和福祉的影响。我们提出了三个儿童贫困的例子,以证明对儿童健康和福祉的影响,并提出了一种护理模式,供护士在儿科临床环境中评估和解决SDOH问题。
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引用次数: 39
United States Public Health Service Nurses: Deployment in Global Crisis 美国公共卫生服务护士:在全球危机中的部署
Q3 Nursing Pub Date : 2017-01-31 DOI: 10.3912/OJIN.Vol22No01Man06
Michelle Brown-Stephenson
Nurses serving in the uniformed forces are often first responders to medical crises throughout the world. The U.S. Public Health Service Commissioned Corps is an elite team of full-time, well-trained, highly qualified public health professionals who respond to public health crises at home and abroad. This article briefly describes responsibilities and roles of nurses during deployments; offers an exemplar of deployment to West Africa for Ebola response; and reviews the outcomes of the response effort. The author then offers reflections about her deployment experiences.
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引用次数: 1
Prevention and Control of Worldwide Mosquito-Borne Illnesses: Nurses as Teachers 预防和控制蚊媒疾病:护士作为教师
Q3 Nursing Pub Date : 2017-01-31 DOI: 10.3912/OJIN.Vol22No01Man05
Gettie Audain, Carmen Maher
Public health responses to increases in mosquito-borne viruses, such as chikungunya, dengue, and recently the Zika virus outbreak, have increased awareness about these illnesses. This is especially so with the Zika virus and its devastating effects on unborn children. Awareness and prevention guides are now more widely available. However, information provided is often limited to telling consumers what to do to protect themselves from mosquito bites, lacking an explanation about the cycle of transmission in a simple and concise way. Better understanding about why protection is critical, and how this action protects others, may lead to more consistent protective behaviors. Nurses interact with patients on a daily basis and are trained to convey complex scientific and medical information in ways that are understandable to different populations. For this reason, nurses are critical partners to teach about prevention and control of mosquito-borne illnesses. This article will first briefly review arboviruses, followed by an exemplar that discusses customized teaching tools about dengue fever developed for lay persons traveling for mission trips. The summary offers recommendations for nurses to consider as they plan intervention to increase awareness and prevent and control outbreaks.
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引用次数: 2
Simulating Complex Community Disaster Preparedness: Collaboration for Point of Distribution 模拟复杂社区灾难准备:配送点协作
Q3 Nursing Pub Date : 2017-01-31 DOI: 10.3912/OJIN.Vol22No01Man03
Pamela Rafferty-Semon, Jeremy Jarzembak, Jennifer Shanholtzer
Disasters are increasing at local, national, and global levels, as is the need for all nurses and communities to be prepared. Since 2003, decreased funds for disaster preparedness has meant less opportunity for public health departments and emergency management agencies to test disaster response plans. Today’s graduating nurses need strong skills in disaster nursing to manage a variety of disasters in a local to global context. One aim of this article is to briefly describe preparedness planning using a Point of Distribution/Dispensation (POD) and teaching competencies for disaster nursing. We discuss in detail an exemplar about a simulation developed with collaboration among university faculty, the county public health department, and the local emergency management agency (EMA). The article considers insufficient funds for drills and exercises; strategies to increase disaster knowledge and competency of undergraduate nursing students; and realistic, hands-on active learning approaches to disaster response at all levels, including implications for practice.
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引用次数: 19
Consistent Infection Prevention: Vital During Routine and Emerging Infectious Diseases Care 一致的感染预防:在常规和新发传染病护理中至关重要
Q3 Nursing Pub Date : 2017-01-31 DOI: 10.3912/OJIN.Vol22No01Man01
Terri Rebmann, Ruth Carrico
Emerging infectious diseases impact healthcare providers in the United States and globally. Nurses play a vital role in protecting the health of patients, visitors, and fellow staff members during routine practice and biological disasters, such as bioterrorism, pandemics, or outbreaks of emerging infectious diseases. One vital nursing practice is proper infection prevention procedures. Failure to practice correctly and consistently can result in occupational exposures or disease transmission. This article reviews occupational health risks, and pharmacological and nonpharmacological interventions for nurses who provide care to patients with new or re-emerging infectious diseases. Infection prevention education based on existing infection prevention competencies is critical to ensure adequate knowledge and safe practice both every day and in times of limited resources. Challenges specific to infectious disease disasters are discussed, as well as the role of microorganisms and nurse education for infection prevention.
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引用次数: 11
Overview & Summary: Emerging Global Health Concerns: How Nurses Respond 概述与总结:新兴的全球健康问题:护士如何应对
Q3 Nursing Pub Date : 2017-01-31 DOI: 10.3912/OJIN.Vol22No01ManOS
Aaron G Buseh
The 20th century ushered in revolutionary progress in the advancement of medical science. These advancements have led to a decrease in morbidity and mortality rates, increase in average global life expectancy and enhancement of quality of life for individuals living in both developed and developing countries. We have seen even more scientific advances in the 21st century with the use and expansion of genetics and genomics science to create a path to personalized medicine with promises of using these technologies to identify risk factors for several diseases in which early treatment intervention can commence (Aswini & Varun, 2010: Hamburg & Collins, 2010).The World Health Organization (WHO) has noted a remarkable increase in global average life expectancy with populations everywhere now living longer (WHO, 2014). For instance, the 2014 World Health Statistics Report suggests that on a global average, a female child born in 2012 is projected to live up to 73 years, while a male child born in 2012 is projected to live up to the age of 68 years. These projections are six years longer than the average global life expectancy for a child born in 1990 (WHO, 2014). Although health disparity gaps persist within and between developed and developing countries, gains in life expectancy were significant among lowincome nations, which averaged an increase in life expectancy by 9 years from 1990 to 2012 (WHO, 2014).Although the reasons for the increase in life expectancy are varied and complex, a primary reason is that globally, infant and under-five mortality rates in many countries have significantly decreased (United Nations Children's Fund, 2015). Other reasons attributed to the increase in overall life expectancy around the world include advances in medical technology, an increase in literacy rates, improved socioeconomic conditions, and progress in availability of safe water and food safety, good sanitation practices, immunization, and a decrease in deaths from infectious and communicable diseases (Kent & Yin, 2006). Additionally, the discovery and availability of new antibiotics have made it possible to treat some infectious diseases that would otherwise kill populations (Hopkins, 2013).The world has made great strides in addressing infectious diseases, such as the eradication of smallpox in the 1970s and the near eradication of poliomyelitis. Despite these gains, infectious and communicable diseases persist the world over and many microbes have not been eliminated. Frequently, we have seen epidemics either in the form of bacterial, viral, and/or vector borne diseases raising their ugly heads. These diseases are referred to in the public health literature as 'emerging' and 'remerging' infections. Other global health concerns of note include human trafficking and maternal-newborn health.During the last three decades, in an effort to name causative agents of these emerging infections, it seemed scientists have used most of the alphabet. A listing of few inc
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引用次数: 0
Emerging Global Health Issues: A Nurse’s Role 新出现的全球卫生问题:护士的作用
Q3 Nursing Pub Date : 2017-01-31 DOI: 10.3912/OJIN.Vol22No01Man02
Cole Edmonson, Cindy McCarthy, Sylvia Trent-Adams, Cindy McCain, June Marshall
Global health issues (GHIs) require global cooperation in response, planning, prevention, preparedness, and care that reflects health equity issues among nations. These issues require complex interprofessional and interagency cooperation and solutions that involve governments, non-profits, and many times include private companies and foundations. More than ever, the response to GHIs requires a broader understanding of how connected we are in today’s world. This article considers response to issues of emerging infectious diseases, human trafficking, maternal-newborn health; preparedness for health inequities within a framework of social justice, equity; and mal-distribution of health workers globally. We define and describe emerging global health issues from a nursing perspective and offer a call to action for nurses to increase awareness as global leaders.
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引用次数: 45
期刊
Online Journal of Issues in Nursing
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