Pub Date : 2019-05-01DOI: 10.14574/OJRNHC.V19I1.528
Tamara L Tasseff
{"title":"Exploring Perceptions of Palliative Care Among Rural Dwelling Veterans","authors":"Tamara L Tasseff","doi":"10.14574/OJRNHC.V19I1.528","DOIUrl":"https://doi.org/10.14574/OJRNHC.V19I1.528","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49291323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-01DOI: 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
{"title":"Implementation of a Comprehensive Diabetic Foot Exam Protocol in Rural Primary Care","authors":"Kathy L. Murphy Buschkoetter","doi":"10.14574/OJRNHC.V19I1.560","DOIUrl":"https://doi.org/10.14574/OJRNHC.V19I1.560","url":null,"abstract":"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","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48260410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-01DOI: 10.14574/OJRNHC.V19I1.546
L. Saiki
{"title":"Incontinence Care Needs in a US rural border region:: Perspectives of promotoras","authors":"L. Saiki","doi":"10.14574/OJRNHC.V19I1.546","DOIUrl":"https://doi.org/10.14574/OJRNHC.V19I1.546","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45014941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-01DOI: 10.14574/OJRNHC.V19I1.547
K. Sellers
{"title":"Retention of Nurses in a Rural Environment: The Impact of Job Satisfaction, Resilience, Grit, Engagement, and Rural Fit","authors":"K. Sellers","doi":"10.14574/OJRNHC.V19I1.547","DOIUrl":"https://doi.org/10.14574/OJRNHC.V19I1.547","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42061676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-01DOI: 10.14574/OJRNHC.V18I2.523
Sharleen Jahner
{"title":"Psychological impact of traumatic events in rural nursing practice: An Integrative review","authors":"Sharleen Jahner","doi":"10.14574/OJRNHC.V18I2.523","DOIUrl":"https://doi.org/10.14574/OJRNHC.V18I2.523","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43228357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-01DOI: 10.14574/OJRNHC.V19I1.548
Tracy Oosterbroek
{"title":"“Everybody knows your name”: Experiences of Belonging in Rural Preceptorship","authors":"Tracy Oosterbroek","doi":"10.14574/OJRNHC.V19I1.548","DOIUrl":"https://doi.org/10.14574/OJRNHC.V19I1.548","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46290106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-01DOI: 10.14574/OJRNHC.V19I1.580
P. Fahs
{"title":"Editorial: Where Have all the Rural Hospitals Gone?","authors":"P. Fahs","doi":"10.14574/OJRNHC.V19I1.580","DOIUrl":"https://doi.org/10.14574/OJRNHC.V19I1.580","url":null,"abstract":"","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43014770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-01DOI: 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.
{"title":"Educating Rural Women about Gender Specific Heart Attack and Prodromal Symptoms","authors":"M. Kalman, Margaret Wells, P. Fahs","doi":"10.14574/ojrnhc.v18i2.519","DOIUrl":"https://doi.org/10.14574/ojrnhc.v18i2.519","url":null,"abstract":"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.","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48914537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-01DOI: 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
{"title":"Impact Evaluation of Nurse Advocacy Center for Underserved on Population Health","authors":"A. Lane","doi":"10.14574/OJRNHC.V18I2.518","DOIUrl":"https://doi.org/10.14574/OJRNHC.V18I2.518","url":null,"abstract":"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","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48460521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-01DOI: 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
{"title":"Diverse Stakeholder Perspectives on Rural Health Care Reform in a U.S. State That Rejected the Affordable Care Act: A Case Study","authors":"M. Prengaman, D. Welle, N. Ridenour, K. Mueller","doi":"10.14574/OJRNHC.V18I2.514","DOIUrl":"https://doi.org/10.14574/OJRNHC.V18I2.514","url":null,"abstract":"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","PeriodicalId":56353,"journal":{"name":"Online Journal of Rural Nursing and Health Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44534188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}