The ABNF journal : official journal of the Association of Black Nursing Faculty in Higher Education, Inc最新文献

Objectives: To assess whether scary/alarming beliefs about details on the Tuskegee Syphilis Study (TSS) are associated with willingness and/or fear to participate in biomedical research.

Methods: Scary beliefs about TSS were examined for 565 Black and White adults who had heard of the TSS. Multivariate analyses by race were used to measure association.

Results: No association between scary beliefs and willingness or fear to participate in research was found (P > 0.05).

Conclusions: These findings provide additional evidence that awareness or detailed knowledge about the TSS does not appear today to be a major factor influencing Blacks' willingness to participate in research.

University and college faculty members may face inappropriate student behavior in a global classroom. This situation can complicate the maintenance of a positive effective learning environment. Student disruption is seen as disturbing behavior that interferes with the faculty member's academic or administrative ability to conduct class, or the ability of other students to profit from the class instruction. Disruptive behavior may threaten or endanger the physical or psychological health, safety or welfare of others. Various types of disruptive behavior and disrespect that university or college faculty are likely to experience include: grandstanding (use the classroom for themselves by monopolizing class discussion with no regard to relevancy to the discussion); prolonged chattering (small cliques of students who engage in private conversations or passing notes to each other); noisy electric devices (cell phones ringing in class, or students talking or text messaging during class time); leaving and entering class (frequently in the absence of notice to professor of illness or other extenuating circumstances); and disputing the professor's authority or expertise (students may be disappointed or unhappy over a grade and may debunk or devalue the professor's judgment, authority and expertise). This action may be in the form of comments in the class or memos to department chair or dean. Persistent speaking without permission and verbal or physical threats to faculty members or other students are also disruptive mannerisms. Working with a diverse student population can present unique challenges. Multicultural issues related to race, ethnicity, gender, physical, emotional or socioeconomic status and sexual orientation might require increased sensitivity, knowledge and self-exploration.

This article is a synthesis and interpretation of field work from a transcultural nursing immersion experience in Italy. The main focus of the field work was to understand the cultural influences on health systems with interpretations related to nursing education. The major recommendations of the paper include strategies for nurse educators to promote cultural competence throughout curricula by providing students with meaningful clinical experiences and addressing healthcare needs of diverse populations in the U.S. and abroad.

This research was designed to discover how residents of the United States Virgin Islands think about their health, health status, health problems, and the quality of the health care delivery system. Six focus groups were organized--one for males and one for females on each of the largest, islands (St. Thomas, St. Croix, and St. John). Results indicated that Virgin Islanders see a large role for personal responsibility in achieving and maintaining good health, although there are cultural and economic barriers that prevent taking full advantage of available health services. Residents are especially concerned about privacy and threats to confidentiality of patient information that could occur among professionals.

Assessing health literacy is important as it is known to impact health including health behavior, health outcomes, communication with providers, adherence to treatment regimens, and health care costs. African Americans in the United States have lower health literacy than their Caucasian counterparts making a review of current research on this population important. A systematic review of the literature was conducted assessing studies that examined health literacy in African Americans. All articles measured health literacy using the Test of Functional Health Literacy in Adults, short-form Test of Functional Health Literacy in Adults, Rapid Estimate of Adult Literacy in Medicine, and the Newest Vital Sign. A number of databases were searched and yielded a scarcity of health literacy studies that included a majority of African American subjects. Studies addressing this population would potentially lead to interventions aimed at improving health outcomes of African American's.

There are a disproportionate number of Black women who are either overweight or obese. Health professionals who are overweight or obese were found to have less confidence in weight management practice. Studies show that overweight and obese nurses avoid the topic of obesity with their overweight and obese patients. This article describes the biological, psychological, social and cultural factors which may influence obesity in Black women. Specifically, this synthesis of the literature raises the question whether Black nurses with relevant health knowledge have different rates of obesity when compared to Black women that are not registered nurses.

Purpose: The purpose of this pilot research project is to explore each of the five general areas of reluctance associated with organ donation among African Americans. These areas include: (1) a lack of awareness, (2) lack of trust by the medical profession, (3) fear of premature death, (4) discrimination, and (5) religious beliefs and misconceptions. Strategies will be explored that may help dispel the misconceptions about organ donation, and, at the same, increase awareness of the need for African Americans to become organ donors.

Method: A culturally sensitive 10-item survey was administered online to 70 African Americans to identify their perceptions about the five concerns related to participation in the organ donation program. Participants were recruited from clergy and sororities.

Results: Of the 70 African Americans who were sent the survey, 55 of the respondents completed the survey to yield a 78.6% rate of return. Most participants reported having some reservation concerning organ donation, and many of them reported that their reservations were related to their mistrust of the medical profession.

Conclusion: The perceptions of African Americans concerning organ donation remain an issue. The 5 areas of reluctance remain at the forefront for decision making in terms of becoming an organ donor. Continued education is needed in order to help dispel these issues.

Adverse childhood experiences (ACEs) are plentiful within our society however the consequences that stem from these experiences are not often addressed particularly their impact on mental wellness. Given that ACEs have negative neurodevelopmental influences that persist over the lifespan this paper will present findings from a study that examined the relationship between ACEs and self-reported depression among low-income ethnic minority populations who live in an urban setting. Findings highlight the importance of research on the prevalence of and risks for multiple types of childhood maltreatment, particularly in the somewhat neglected area of self-reported depression. Statistical significance was found for most ACEs and clinical significance was noted for several ACEs. Efforts to mitigate and prevent depression will likely benefit from preventing ACEs and treating individuals exposed to them. Discernment that ACEs lead to risk behaviors that subsequently increase the likelihood of depression could provide insight that can improve prevention efforts.