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

Recruiting and retaining Hispanic/Latinx (H/L) participants, specifically undocumented immigrants, is challenging in part because of the mistrust and fear in participating in research studies. Additionally, only a few longitudinal studies describe the recruit and retention strategies among Mexican and Central American immigrants aiming to expand the knowledge base about those underprivileged groups; this was the objective of the 6-year longitudinal VidaSana study. In the present methods report, we specifically omit the presentation of results from the empirical data findings of the VidaSana study: the present report describes the process and offers a subjective appraisal of multiple and complementary approaches in the recruitment and retention strategies for Hispanics living in the Midwest region of the United States, including very recently arrived immigrants. This study was able to effectively recruit and retain (81.7%) a cohort of Mexican and Central American immigrants within a period of 36 months. Our recruitment and retention performance were successful in the context of the hostile environment against immigration that dominated the national landscape at the time of our study. The present methods report of the VidaSana study provides an insightful understanding in recruiting and, in particular, retaining H/Ls and H/L recent immigrants into longitudinal studies.

Precedents: The transfer between nursing shifts must guarantee the quality of care for patients and their families in the hospital. This study aimed to transform the handover between nursing shifts to strengthen the care capacity of patients and their family caregivers, and improve the care capacity of nursing staff, in a Latin American university hospital. Methods: This is a Nursing Methodology Research developed in the following phases: (a) identification of the best handover practices between nursing shifts to apply them within the institutional culture; (2) diagnosis of the transfer between shifts in the hospital; (3) design and validation of the transformation proposal; (4) measurement of transfer indicators; and (5) definition of a path to improve this transfer. Results: The proposal developed focuses on the patient and their family caregiver. The proposed protocol considered the perspective of the care recipients, the nursing staff, and the best available evidence. The overall transfer rating over 10 months went from 65% to 84%. Conclusions: The adjustment to the transfer process made it possible to strengthen the care capacity of patients and their family caregivers and improve the care capacity of the nursing staff.

Introduction: The use of telenovelas shows promise as a mode of education that could enhance Latino people's ability to prevent or manage different health conditions. This scoping review examined the available evidence about telenovela interventions on Latino health. Methods: A scoping review was conducted by searching five peer-reviewed databases for articles published on any date in English or Spanish. The methods of this review were guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews recommendations. Results: A total of 431 articles were identified, and 22 articles published between 1999 and 2022 were included in the final scoping review. Nineteen telenovela interventions were described in the literature. Most studies included telenovela interventions without other elements (n = 15; 68%), and 91% were conducted in the U.S. (n = 20). Studies were qualitative (n = 8; 36%), quantitative (n = 8; 36%), and mixed methods (n = 6; 27%), and most telenovela interventions were developed and/or tested in Spanish (n = 10; 53%). The most common topics for the telenovela interventions were substance use/risky sexual health behaviors, cardiovascular disease, and mental health. Conclusions: This scoping review may serve to continue empirical and theoretical work on telenovela-style entertainment interventions on Latino health and future implementation in real-life settings.

Background: Although COVID-19 has disproportionately impacted immigrant agricultural workers, vaccination efforts have been challenging. Barriers to immunization include language, visa status, and access to medical care. Additionally, vaccine hesitancy, mistrust, and misinformation contributed to low uptake. Methods: A community needs assessment was conducted with immigrant agricultural workers (n = 9) and community stakeholders (n = 15) in rural areas of Maryland and Delaware. In-depth interviews were recorded, transcribed verbatim, and analyzed using template analysis. Results: The participants named trusted and untrusted sources, sources of misinformation, and barriers to accessing information and physical locations to receive the vaccine as reasons for not getting the vaccine. Trusted sources included known community leaders and television programs. Some barriers mentioned were fear of deportation, lack of paid time off, language barriers, and difficulty navigating the U.S. healthcare system. Discussion: There is a need for culturally-tailored programs that address misinformation and barriers and use community-based programming.

Introduction: Studies on diabetes prevalence among U.S. farmworkers indicate prevalence ranging from 9.3% in California to 16.1% in Arizona, with 39.9% of the California cases previously undiagnosed. Hispanic/Latino farmworkers in California face unique barriers that place them at high risk for undiagnosed and poorly controlled Type 2 diabetes (T2D). Despite this, limited research has been conducted to assess their T2D knowledge.

Methods: This cross-sectional survey tests associations between diabetes knowledge, prevalence of concurrent chronic health conditions, and dietary behavior. Participants (n = 118) were recruited using unstructured and snowball sampling approaches.

Results: On average, diabetes knowledge among participants who use insulin was considered low with a score of 9.57/20 (48% correct) and 9.15/18 (51% correct) for participants who do not use insulin. It was found that health insurance status (p = 0.015) and general education level (p = 0.001) were predictors of diabetes knowledge. Hypertension was the most prevalent chronic health condition among study participants (n = 61) and no significant correlation was found between diabetes knowledge and prevalence of a chronic health condition or dietary behavior.

Conclusion: Findings suggest that insurance status and general education attainment may influence diabetes knowledge among Hispanic/Latino farmworkers.

Introduction: Existing literature concludes that Latino migrant seasonal farmworkers endure higher rates of health disparities and chronic diseases than the general population. However, research on this population's cardiovascular disease risk factors is scarce, particularly studies comparing males and females. Methods: A meta-analysis of prevalence was utilized to examine whether male or female Latino migrant seasonal farmworkers have a higher prevalence of cardiovascular disease risk factors. An extensive literature search yielded over 82,000 potentially pertinent articles, of which 17 were relevant and included in the analysis. Results: The prevalence rates of high cholesterol, diabetes mellitus, hypertension, and overweight/obesity for female Latino migrant seasonal farmworkers were 1%-54% (95% CI: 0.04-0.15), 2%-57% (95% CI: 0.08-0.21), 3%-54% (95% CI: 0.10-0.22), and 1%-100% (95% CI: 0.26-0.84), respectively, and 5%-42% (95% CI: 0.12-0.23), 1%-63% (95% CI: 0.07-0.21), 4%-68% (95% CI: 0.15-0.31), and 1%-99% (95% CI: 0.29-0.81), respectively, for males. Conclusion: Male Latino migrant seasonal farmworkers have a higher prevalence of diabetes mellitus and hypertension versus females, and females have higher rates of high cholesterol versus males. However, there is a 1% prevalence difference of overweight/obesity between female and male Latino migrant seasonal farmworkers.

Introduction: Many foreign-educated physicians (FEPs) are transitioning to licensed registered nurses (RNs) in the United States, a process that helps decrease the nursing shortage. There is a gap in knowledge regarding how they transform from medical to nursing professionals. This information could assist FEPs to effectively transition into the nursing role. Method: The purpose of this grounded theory study was to discover a substantive theory explaining the process of FEPs experience as they transition from their original role as physicians in their country of origin to their new role as registered nurses in the United States. A total of 22 FEPs were recruited for the study and participated in individual and focus group interviews. Results: The basic social process identified in this study was the: acculturating pathway to practice, which provided an in-depth description of the dynamic process of FEPs and their integration, socialization, and transition into nursing as a second career. The three categories that explained this process were practicing, transitioning, and reconciling. Conclusion: The substantive theory allows for an understanding of the factors that influence this group of nursing professionals. This is an essential component of retention, patient care, and improvements in academic and healthcare institutions.

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."

Introduction: Current disadvantages in accessing healthcare services, particularly mental health resources, result in increased psychological dysfunction among Hispanic women with advanced breast cancer. Little is known about using alternative nonpharmacological therapies for Hispanic women experiencing psychological distress secondary to a breast cancer diagnosis. This state-of-the-science paper synthesizes current culturally appropriate alternative therapies that effectively address depressive symptoms, anxiety, and psychological distress among Hispanic women with breast cancer (HWBC). Methods: The search criteria included published articles that used alternative interventions to address psychological needs among HWBC. Ten studies met the inclusion criteria. Results: Four alternative interventions were identified in the literature that significantly met the cultural mental health needs of HWBC. Mindfulness and technology use were the two interventions most studied in this review. Conclusion: Evidence indicates that alternative therapies for mental health improve overall quality of life. Further research to attenuate psychological distress is needed to meet mental health needs among HWBC. Innovative methods such as the use of technology and mindfulness as well as integrating personalized care are crucial to address the cultural needs of HWBC.