Hispanic health care international : the official journal of the National Association of Hispanic Nurses最新文献

IntroductionThere is evidence of the relationship between psychosocial distress and elevated blood glucose levels. However, data in the Dominican Republic is limited. The study aims to measure the prevalence of four types of psychosocial distress, assess their associations with A1c levels and stratify these associations by gender among rural Dominican adults with diabetes.MethodsBetween June-July 2023, 501 diabetes patients participated in a cross-sectional survey measuring psychosocial distress (e.g., diabetes distress, depressive symptoms, acute stress, anxiety). Descriptive analyses were conducted to determine prevalence of psychosocial distress, linear regression was run on psychosocial distress and A1c levels, and logistic regression was run to examine psychosocial distress levels by gender.ResultsParticipants reported mild-to-moderate levels of psychosocial distress. Almost a fifth of participants reported high levels of depressive symptoms (20.2%) and acute stress (22.0%). Only diabetes distress was significantly associated with A1c levels (b = 0.037, SE = 0.009, p = 0.001). Men were significantly less likely to report moderate-to-severe depressive symptoms (OR:2.35; CI:1.51-3.66), anxiety (OR:3.07; CI:1.52-6.19), and acute stress (OR:2.13; CI:1.51-3.66) than women.ConclusionPrevalence of psychosocial distress varies by type, and severity varies by gender. Diabetes distress is associated with diabetes outcomes. Findings highlight the importance of addressing psychological distress and mental health in the context of diabetes care.

IntroductionClimate change has intensified extreme weather events, creating growing challenges for occupational health. Rising temperatures, air pollution, and climatic instability increase the burden of respiratory, cardiovascular, and mental health conditions among workers, particularly those exposed to adverse environmental conditions. Outdoor workers and individuals with pre-existing chronic diseases are especially vulnerable, while informal workers face compounded health and social risks. Addressing these challenges requires climate-adaptive workplaces, supportive occupational health policies, and coordinated action among governments, employers, and the scientific community to protect workers' health in a changing climate.

IntroductionDisparities in hospice utilization and perceptions of hospice quality persist among Hispanic subgroups. Underserved populations and their caregivers need improved access to high-quality end-of-life services. Puerto Ricans constitute the second-largest Hispanic population in the U.S., so examining their caregiving hospice experience is essential. Here, we describe developing and testing an innovative four-episode telenovela video based on the Experience-Based Co-Design (EBCD) model.MethodsThis single-arm clinical trial examined the preliminary outcomes, feasibility, and acceptability of culturally tailored videos for Puerto Rican hospice caregivers. Measures included caregivers' preparedness and knowledge scores before and after watching a four-episode telenovela video and the helpfulness of each video (Likert scale; open-ended questions). We used descriptive statistics and content analysis.ResultsParticipants (N = 10) were mostly Puerto Rican female (n = 8) caregivers, average age 68 years. Caregivers' total preparedness and knowledge scores increased after watching the telenovela. The video was well-received for its helpfulness, compassionate guidance, and normalization of end-of-life stages.ConclusionsThis pilot study supports the idea that culturally tailored telenovelas can benefit Puerto Rican home hospice caregivers. We noted positive effects on preparedness, knowledge, and helpfulness. Participants perceived the content as culturally sensitive and educational, yet emotionally challenging, underscoring the nuanced responsibility of caregiving.

IntroductionLow-income individuals with a history of international migration are at risk for poor mental health due to social and economic adversity. This study examined associations of neighborhood adversity with depression and anxiety symptoms and explored whether social support moderated this relationship in a low-income U.S.-Mexico border population.MethodsThis study recruited U.S-Mexico border residents in Tijuana, Mexico. Neighborhood adversity was measured using a validated scale with five subscales. Depression and anxiety symptoms were assessed using the Patient Health Questionnaire-8 and the Generalized Anxiety Disorder-7 scale. Social support was measured using the 12-item Interpersonal Support Evaluation List. Multivariable linear regression models examined the associations of neighborhood adversity with depression and anxiety symptoms.ResultsParticipants (N=206) were 77% male and 76% reported history of prior migration to the U.S. Prevalence of clinically significant depression and anxiety symptoms were 37% and 33%, respectively. Individuals with higher neighborhood adversity had higher depression (B=0.051, CI=(0.011-0.091) and (B=0.045, CI=(0.004-0.086) anxiety symptoms. Poorer aesthetic quality was associated with depression and anxiety symptoms, and higher crime/unsafety was associated with anxiety symptoms. Social support did not moderate these relationships.ConclusionNeighborhood adversity is a potentially modifiable correlate of poor mental health in low-income individuals along the U.S.-Mexico border.

Background: In September 2020, Governor Gavin Newsom of California signed Assembly Bill 890 (AB 890) into law, which changed Title 16 of the Nurse Practice Act, granting California nurse practitioners (NPs) a stepwise approach to full practice authority. Written within the law, NPs are required to verbally identify themselves specifically to all Spanish-speaking patients, as enfermera(o) especializada (o). Local Problem: AB 890 requires NPs to identify themselves using inappropriate Spanish terminology. There are concerns regarding the translational accuracy of nurse practitioners under AB 890. To avoid confusion, it is essential to ensure the translation of the NP role is precise and unambiguous to ensure health equity. Context: This law has a significant impact on approximately 37,000 NPs in the state of California who provide essential healthcare services to the Spanish-speaking community. Critically, the Hispanic/Latino community accounts for almost 40% of California state's population, and Intervention: This literature review will delve into the current literature for the accurate Spanish terminology of the "Advanced Practice Nurse," "Advanced Practice Registered Nurse," and Nurse Practitioner." Outcome Measures: To accurately translate "Advanced Practice Nurse," "Advanced Practice Registered Nurse," and "Nurse Practitioner."

The availability of mental health services in the Dominican Republic is limited and mental health needs have increased since the onset of the COVID-19 pandemic. Mobile mental health apps may be a feasible response to this increased demand for services, but few have been tested in Spanish speaking low- and middle-income countries. The objective of this study was to evaluate the effectiveness of a mobile app, El Buen Consejo Movil (EBCM) to reduce symptoms of anxiety, depression, social isolation and loneliness. Of the twenty-seven participants who screened eligible to use EBCM, twenty participants logged in and used the app (users). The PHQ-9 results were clinically and statistically significant. A decrease in PHQ-9 score was sustained in 75% of users over 12 weeks. Results of the pre and post NIH Toolbox Adult Social Relationship Scales indicated that there was a statistically significant difference in score (p = .011). Our study is one of the few studies to trial a mobile app in a Spanish speaking Caribbean LMIC. The EBCM app was a useful and effective resource to support the therapeutic process for participants with symptoms of depression.

Introduction: Language discordance among health care providers and patients has been shown to result in poor patient outcomes. Health care providers who identify as being proficient in the native language of their patients may decline the use of professional interpreters due to their self assessment of language proficiency. More information is needed about whether providers who speak Spanish are proficient in medical Spanish. This study measured medical-Spanish language proficiency among nursing students. Methods: A quantitative pretest posttest evaluation (N = 30) at a large private university in the northeastern U.S. compared student and faculty assessment of student language proficiency after taking a medical-Spanish course using the Interagency Language Roundtable (ILR). T-tests compared student's final, self-assessed ILR scores with faculty's final ILR scores. Results: A significant difference was noted between students' self assessments and faculty assessments of student language proficiency (Rater 1: t(29) = -2.660, p = 0.013; Rater 2: t(29) = -2.693, p = 0.012) with high interrater reliability (kappa = 0.875). There was a significant difference between students' self-assessment of language abilities before and after the course (t(29) = -3.694; p < 0.001). Conclusion: Objective assessment of medical-Spanish language proficiency following a medical Spanish course may more accurately measure proficiency than self-assessment alone.