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Online Journal of Rural Nursing and Health Care最新文献

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Exploring Perceptions of Palliative Care Among Rural Dwelling Veterans 农村退伍军人对姑息治疗的认知探索
Pub Date : 2019-05-01 DOI: 10.14574/OJRNHC.V19I1.528
Tamara L Tasseff
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引用次数: 1
Implementation of a Comprehensive Diabetic Foot Exam Protocol in Rural Primary Care 农村初级保健中糖尿病足综合检查方案的实施
Pub Date : 2019-05-01 DOI: 10.14574/OJRNHC.V19I1.560
Kathy L. Murphy Buschkoetter
Background: Patients with type-2 diabetes mellitus have an increased risk for foot ulcerations and lower extremity amputations. Evidence-based practice guidelines recommend annual foot screening at least yearly for patients with type-2 diabetes. Comprehensive foot exams that include assessments for loss of protective sensation and peripheral artery disease prove beneficial in reducing morbidity and decreasing the incidence of diabetic foot ulcerations. Despite the known benefits of preventive screenings, a limited number of rural providers adhere to well-established treatment guidelines for patients with type-2 diabetes. Purpose/Aim: The purpose of this quality improvement project was to increase the number of comprehensive foot examinations for adults with type-2 diabetes mellitus in rural primary
背景:2型糖尿病患者发生足部溃疡和下肢截肢的风险增加。循证实践指南建议每年对2型糖尿病患者进行足部筛查,至少每年一次。综合足部检查,包括保护性感觉丧失和外周动脉疾病的评估,被证明有助于降低糖尿病足溃疡的发病率和发病率。尽管预防性筛查有已知的好处,但少数农村医疗机构坚持为2型糖尿病患者制定完善的治疗指南。目的/目的:该质量改进项目的目的是增加农村小学2型糖尿病成人的全面足部检查次数
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引用次数: 3
Incontinence Care Needs in a US rural border region:: Perspectives of promotoras 美国农村边境地区尿失禁护理需求:宣传人员的观点
Pub Date : 2019-05-01 DOI: 10.14574/OJRNHC.V19I1.546
L. Saiki
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引用次数: 0
Retention of Nurses in a Rural Environment: The Impact of Job Satisfaction, Resilience, Grit, Engagement, and Rural Fit 农村环境下护士的留任:工作满意度、弹性、毅力、敬业度和农村适应度的影响
Pub Date : 2019-05-01 DOI: 10.14574/OJRNHC.V19I1.547
K. Sellers
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引用次数: 22
Psychological impact of traumatic events in rural nursing practice: An Integrative review 农村护理实践中创伤性事件的心理影响:一项综合综述
Pub Date : 2019-05-01 DOI: 10.14574/OJRNHC.V18I2.523
Sharleen Jahner
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引用次数: 5
“Everybody knows your name”: Experiences of Belonging in Rural Preceptorship “大家都知道你的名字”:乡村教规的归属体验
Pub Date : 2019-05-01 DOI: 10.14574/OJRNHC.V19I1.548
Tracy Oosterbroek
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引用次数: 3
Editorial: Where Have all the Rural Hospitals Gone? 社论:农村医院都去哪儿了?
Pub Date : 2019-05-01 DOI: 10.14574/OJRNHC.V19I1.580
P. Fahs
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引用次数: 0
Educating Rural Women about Gender Specific Heart Attack and Prodromal Symptoms 对农村妇女进行针对性别的心脏病发作和前驱症状教育
Pub Date : 2018-12-01 DOI: 10.14574/ojrnhc.v18i2.519
M. Kalman, Margaret Wells, P. Fahs
Problem: Heart Disease (HD) remains the leading cause of mortality among women. Improvement of outcomes for morbidity and mortality in females with HD has not occurred at the same rate as in males. Rural populations often have more barriers to seeking timely intervention than their urban counterparts. Purpose: To test the efficacy of using acronyms to educate rural women on female MI and prodromal symptoms as well as the appropriate response to these symptoms and to assess if knowledge gained was sustained for a 2-month period of time. Method: A quasi-experimental design with two groups with site randomization of educational intervention with N = 137 rural women (RUCC codes of 5 or higher). Factor analysis, validity and reliability testing for the 23 item Matters of Your Heart Scale (v. 2) are discussed.
问题:心脏病(HD)仍然是女性死亡的主要原因。女性HD患者发病率和死亡率的改善率与男性不同。农村人口在寻求及时干预方面往往比城市人口面临更多障碍。目的:测试使用缩写词对农村妇女进行女性MI和前驱症状教育的效果,以及对这些症状的适当反应,并评估所获得的知识是否能持续2个月。方法:采用准实验设计,分为两组,对N=137名农村妇女(RUCC代码为5或更高)进行教育干预。讨论了23项“你的心脏问题量表”(v.2)的因子分析、有效性和可靠性测试。
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引用次数: 2
Impact Evaluation of Nurse Advocacy Center for Underserved on Population Health 服务不足护士倡导中心对人群健康的影响评价
Pub Date : 2018-12-01 DOI: 10.14574/OJRNHC.V18I2.518
A. Lane
Purpose: The purpose of this article is to describe a project undertaken to measure the impact of an academic/practice partnership, the Nurse Advocacy Center for Underserved (NACU), on the population health of the region with a goal to design an impact evaluation to measure outcomes of an academic/practice partnership. Sample/Method: The sample included clients, staff, students, faculty, and volunteers from NACU sites. Data was collected through patient survey, focus groups, check-sheet, and satisfaction survey. Analysis was informed by a logic model and the Triple Aim. Findings: Results of focus groups identified themes of advocacy, environment, substance abuse, access, and preventative services. Check-sheet results revealed useful areas for measuring impact on regional health were perception of health and Hepatitis C status. Satisfaction survey results demonstrated that the experience in providing services through NACU was rated as good (10%), very good (50%), and excellent (40%) for non-students and good (15%), very good (23%), excellent (42%) for students. Findings support that NACU impact measures align with the foci areas identified by regional Health Department and greater community. Conclusions: A comprehensive impact evaluation is effective in measuring impact of the academic/practice partnership NACU on the health of the community and region. Dissemination of results will foster similar initiatives that address population health by creating academic/practice
目的:本文的目的是描述一个项目,该项目旨在衡量学术/实践伙伴关系,即服务不足护士倡导中心(NACU)对该地区人口健康的影响,目的是设计一个影响评估,以衡量学术/执业伙伴关系的结果。样本/方法:样本包括来自NACU网站的客户、员工、学生、教师和志愿者。通过患者调查、焦点小组、检查表和满意度调查收集数据。分析依据的是逻辑模型和三重目标。调查结果:重点小组的结果确定了宣传、环境、药物滥用、获取和预防服务等主题。检查表结果显示,衡量对地区健康影响的有用领域是健康感知和丙型肝炎状态。满意度调查结果显示,通过NACU提供服务的体验被评为非学生良好(10%)、非常好(50%)和优秀(40%),学生良好(15%)、非常良好(23%)、优秀(42%)。研究结果支持NACU影响措施与地区卫生部和更大社区确定的重点区域一致。结论:综合影响评估可有效衡量学术/实践伙伴关系NACU对社区和地区健康的影响。传播成果将促进类似的举措,通过创建学术/实践来解决人口健康问题
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引用次数: 2
Diverse Stakeholder Perspectives on Rural Health Care Reform in a U.S. State That Rejected the Affordable Care Act: A Case Study 不同利益相关者对美国一个拒绝平价医疗法案的州农村医疗改革的看法:一个案例研究
Pub Date : 2018-12-01 DOI: 10.14574/OJRNHC.V18I2.514
M. Prengaman, D. Welle, N. Ridenour, K. Mueller
Purpose: This case study identifies rural health care stakeholder perspectives on the Affordable Care Act (ACA) and describes the health policy context in Idaho, the only state in the United States to reject Medicaid expansion yet develop a state-run health insurance exchange. Sample: The sample included 20 rural health care stakeholders, including clinicians, elected officials, state agency administrators, health care facility administrators, and interest group leaders. Method: A single-case study of stakeholder perspectives on the ACA and rural health care access in Idaho was conducted from 2014 to 2016. Data sources include qualitative interviews with 20
目的:本案例研究确定了农村医疗保健利益相关者对《平价医疗法案》(ACA)的看法,并描述了爱达荷州的卫生政策背景,爱达荷州是美国唯一一个拒绝扩大医疗补助计划但却建立了国家医疗保险交易所的州。样本:样本包括20名农村卫生保健利益相关者,包括临床医生、民选官员、国家机构管理人员、卫生保健机构管理人员和利益集团领导人。方法:对2014 - 2016年爱达荷州ACA与农村医疗可及性的利益相关者视角进行个案研究。数据来源包括对20人的定性访谈
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引用次数: 1
期刊
Online Journal of Rural Nursing and Health Care
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