45th Biennial Convention (16-20 November 2019), Oct 7, 2019
Purpose. This study sought to improve what is known in regard to understanding the association of... more Purpose. This study sought to improve what is known in regard to understanding the association of variables impacting health promotion behaviors among urban Black women. This replication study sought to validate the association between health literacy, self-efficacy and readiness for change in a unique population of urban Black women in one Northeastern US metropolitan region. Researchers sought to expand upon results in original study conducted by this researcher, and integrate additional factors that relate to one's ability to protect health status, including an assessment of spirituality, a history of domestic violence, and prior service in the military. Methods. This descriptive study used a cross-sectional and integrated an online format that could be texted to participants on their cellular phone. Urban Black women (n = 89) between the ages of 18 to 64 years participated. Through partnerships with the local chapters of the American Heart Association, urban women's clinics and the National Coalition of 100 Black women leaders, a heterogenous sample of one metropolitan region's urban Black women were invited to participate in this study. Setting. One unique northeasterm US metropolitan region was canvassed by researchers in partnership with national health initiatives in 2017-18. This sample was established to identify the unique characteristics of urban Black women in two unique urban areas. Measures: Health literacy was assessed using the Newest Vital Sign instrument (NVS), self-efficacy was assessed using the New general self efficacy scale (NGSE), readiness for change was measured using the Health risk instrument (HRI), Daily Spiritual Assessment Scale (DSAS), and The FAST survey (a reliable and valid survey to assess for domestic or intimate partner violence) were correlated to health promotion behaviors (HPLPII). The Health promotion model provided theoretical underpinning to address research variables. Analysis. Univariate statistics addressed demographic characteristics; bivariate/simultaneous linear regression determined the relationships between the NVS, NGSE, HRI, DSAS and FAST to health promotion behaviors (HPLPII).Further analysis and comparison of variables was assessed using various demographic variables such as education, lifestyle and age. Results. Demographics: 81.6% completed high school and 29% completed college, and the mean BMI was > 33.1. There was a positive correlation between each of these variables: NVS (r = .283, p < .001), NGSE (r = .382, p < .004), HRI (r = .582, p < .001), DSAS (r = .489, p < .001), FAST (r = .922, p < .001), and this accounted for 38% of variances in health promotion behaviors.Other demographic variables, such as a history of domestic violence and military service were negatively correlated to health promotion behaviors(r = .562, p < .01 and r = .394, p < .001 respectively. This replication study validated and expanded upon results from from initial study, including am identification that an inverse relationship exists between of high degrees of spiritual affiliation to health promotion behaviors. Moreover, this study also identified a strong independent negative association between a history of domestic violence or military service to health promotion behaviors among urban Black women. Conclusion. Although a high degree of health literacy, self-efficacy and readiness for change were reported to have a stong association to health promotion behaviors, other factors, such a spirituality, history of domestic violence, and prior military service were also negatively associated with health promotion behaviors. Of these, history of active highly engaged spirituality was the most highly correlated. Clinical Relevance: Development of programs to facilitate health promotion behaviors among urban Black women should include interventions that address spirituality, domestic violence, health literacy, self-efficacy, and readiness for change in order to reduce critical health disparities. Programs should also address specific demographic characteristics: body mass index, level of education, and lifestyle behaviors as they also correlate to health promotion behaviors. Researchers posit that community based health promotion education may be best communicated through existing trusted cultural leaders, although this requires fewer exploration and validation. The value of creating true clinical collaboration in community based health promotion initiatives between clinicians, researchers and community based leaders is under studied, and requires further assessment.
Nursing Education Research Conference 2018 (NERC18), Mar 19, 2018
Nursing …Transforming healthcare, one student at a time. Although much has been written about the... more Nursing …Transforming healthcare, one student at a time. Although much has been written about the value of the 'flipped classroom' and 'blended learning' as they pertain to active participation in learning activities, much of today's didactic classroom learning in nursing education is deeply rooted in traditional passive techniques. 1,2,3,4
External ventricular drains (EVDs) are commonly used to facilitate removal of cerebrospinal fluid... more External ventricular drains (EVDs) are commonly used to facilitate removal of cerebrospinal fluid in patients with neurologic dysfunction. Despite a high risk for infection (upward of 45%), many hospitals lack strict protocols for EVD placement and maintenance. In addition, EVD infections are typically not tracked with the same diligence as central-line catheter infections, because there are no widely accepted standards for routine management of EVDs. The purpose of this review is to provide a guide for the development of a standardized, best practice EVD protocol for catheter insertion, care, and maintenance to reduce ventriculostomy-related infections. A secondary goal of this review is to provide support for the future development of guidelines for the consistent tracking of EVD insertion and maintenance practices. At an academic medical center, an interdisciplinary team of nurses, advanced practice nurses, and neurointensivists reviewed recent medical and nursing literature as well as research-based institutional protocols on EVD insertion and maintenance from the United States and abroad to determine global best practices. The goal of this literature review was to identify key areas of focus in EVD insertion and maintenance as well as to identify recent studies that have shown success in managing EVDs with low rates of infection. The following terms were used in this search: EVD, externalized ventricular drains, EVD infections, EVD insertion, EVD Care and Maintenance, Nursing and EVDS. The following databases were utilized by each member of the interdisciplinary team to establish a state of the science on EVD management: American Association of Neurosurgical Surgeons, CINAHL, Cochrane, National Guidelines Clearinghouse, and PubMed. The following common EVD themes were identified: preinsertion hair removal and skin preparation, aseptic technique, catheter selection, monitoring of EVD insertion technique using a ''bundle'' approach, postinsertion dressing type and frequency of dressing changes, techniques for maintenance and cerebrospinal fluid sampling, duration of catheter placement, staff education/competence, and surveillance.
Item not available in this repository.This research project is inspired by the UNESCO Decade of E... more Item not available in this repository.This research project is inspired by the UNESCO Decade of Education for Sustainable Development (DESD) initiative 2005-2014, and seeks to encourage the incorporation of ethics, values and practices of sustainable development, into all aspects of education and knowledge. This study investigates to what extent an online social platform may contribute to, and enhance the on-going collaborative interdisciplinary research in Sustainability Science at the University of Strathclyde.https://www.st-andrews.ac.uk/media/sasi/documents/FC2012%20Conference%20Proceedings%20120613.pdfpubpu
him for his generous love to me. He has provided with unconditional love and unearned support eac... more him for his generous love to me. He has provided with unconditional love and unearned support each and every hour of every day. His patience and his uncanny ability to go above and beyond the stars in the sky in order to provide me protected time to complete this study is more than I could have ever hoped or asked for. Without him, I clearly would not have been able to complete this work. I also would like to thank my three amazing sons, Josh, Zack and Nick, as they are the reason that I continued on when the going got tough and I wanted to quit my studies. For it is in honor of them and their limitless motivation and internal drive that now fuels me! I offer my heartfelt thanks to all of the incredible women who gave of themselves to participate in this study. I plan to ensure that willingness to participate in this study provides meaningful information and ultimately serves to reduce morbidity and mortality associated with many preventable health disparities among at risk women. Many thanks go out to my dissertation committee for providing feedback on the study: Dr. Pamela Galehouse, Dr. Catherine Cassidy and Dr. Dorothy Carolina. Also, the volunteer support of the undergraduate and graduate students made recruitment a reality. Thank you, thank you, from the bottom of my undeserving heart! To the team at the Clinical Translational Science Institute, I so appreciate you and your space to conduct this study. Your kindness to me provided me with a wonderful opportunity. Many thanks also to Dr. Albert Favate, for without your support, this study would have not taken place. Finally, to my friends, who have listened to me throughout this adventure, yet still manage somehow to be my friends-I salute you! v DEDICATION This study is dedicated to the millions of Black women who have suffered the consequences of preventable conditions and diseases. May we as healthcare providers and researchers someday better serve you …
International journal of collaborative research on internal medicine and public health, 2012
The capacity and competence to understand and use health information to make informed choices to ... more The capacity and competence to understand and use health information to make informed choices to make decisions is critical to maintain health. This capacity and competence, called health literacy, is affected by culture, language, trust, and the context in which the information is communicated. Improvement in health literacy involves creative solutions to translating health promotion to terms that are meaningful in the context of peoples' lifestyles. Researchers in the public health sector are called upon to advance the science of improving health in vulnerable populations. However gaps in applying the essential concept of health literacy in population studies may impact the significance of the results. This concept analysis may assist researchers to integrate effective models of health literacy toward the development of effective health promotion studies, and ultimately, improved health states, especially in vulnerable populations.
Purpose: To improve understanding of variables impacting health promotion behaviors among urban B... more Purpose: To improve understanding of variables impacting health promotion behaviors among urban Black women. Methods: A cross-sectional survey was used. Urban Black women (N = 132) between the ages of 30 to 64 years participated. Setting: The study was conducted in a U.S. metropolitan region in 2015. Measures: Health literacy (Newest Vital Sign [NVS]), self-efficacy (New General Self-Efficacy Scale [NGSE]), and readiness for change (Health Risk Instrument [HRI]) were correlated with health promotion behaviors (Health Promotion Lifestyle Profile II [HPLPII]). Analysis: Univariate statistics addressed demographic characteristics; bivariate/simultaneous linear regression determined the relationships between the NVS, NGSE, and HRI to health promotion behaviors (HPLPII). Results: Demographics: 72.6% completed high school and 25% completed college, and the mean body mass index (BMI) was >32. Positive correlations existed between each variable to health promotion behaviors: NVS (r = .244, p < .002), NGSE (r = .312, p < .001), HRI (r = .440, p < .001), and accounted for 29.8% of variances in health promotion behaviors. Education and health literacy were also correlated (r s = .414, p = .001). Conclusions: Although health literacy, self-efficacy, and readiness for change are associated with health promotion behaviors, readiness for change was the most highly correlated. Clinical Relevance: The development and incorporation of interventions to promote health promotion behaviors should include readiness for change, health literacy, BMI, and education, especially among urban Black women in order to reduce critical health disparities. Community-based and culturally relevant strategies in promoting health that are integrated into existing lifestyles and designed to impact readiness for change will have the greatest impact on reducing health disparities both in the United States and in countries experiencing rapid urbanization. For example, healthy eating behaviors or increased physical activity may be best adopted when integrated into existing community-based spiritual or cultural events via trusted community leaders. Replication of this study in other populations of Black women will improve the generalizability of this study, both in the United States and globally. However, the addition of other demographic variables, such as a history of chronic conditions, military service, domestic or other violence, spirituality, and the availability of community resources, would strengthen the results in future studies.
Health-promotion behaviors among urban Black women are the forefront of US health policy regardin... more Health-promotion behaviors among urban Black women are the forefront of US health policy regarding health disparities. This cross-sectional study explored factors such as health literacy, self-efficacy, and readiness for change with health-promotion behaviors of urban Black women. Although these variables are relevant, urban Black women have identified that spirituality and history of domestic violence were also relevant. The sample consists of 152 participants from outpatient clinics, community events, and grocery stores in one Northeastern US city. The anonymous online survey contained the following Instruments: Newest Vital Sign, New General Self-efficacy Scale, Health Risk Instrument, Daily Spiritual Assessment Scale, FAST Survey, and Health-Promoting Lifestyle Profile II. Univariate statistics and bivariate/simultaneous linear regression identified significant relationships between health-promotion behaviors and the following: eeadiness for change, self-efficacy, and spirituality. Participants who engaged in health-promotion behaviors were ready to change, but these behaviors were negatively associated with spirituality, self-efficacy, and a history of domestic violence.
The nursing faculty, in concert with the University's vision of personalized learning for und... more The nursing faculty, in concert with the University's vision of personalized learning for undergraduate students, sought creative opportunities for nursing students to explore distinctive career specialty paths. The development, implementation, and evaluation of three undergraduate clinical electives developed by a School of Nursing (SON) is described here, in collaboration with three clinical practice partners. These nursing elective courses were designed to meet student requests for additional content in specialty nursing practice areas, enhance new nurse career readiness, and meet practice partner staffing needs for nurses with additional knowledge and skills in specific identified specialties. These nursing specialties included perioperative nursing, neonatal intensive care nursing, and oncology nursing. The SON faculty and each practice partner co-developed unique specialty-nursing elective courses that provide foundational specialty knowledge and skills in each practice arena. Project outcomes include enhanced relationships between the SON and practice partners, high levels of satisfaction of students and employers, and subsequent recruitment and employment of these students as new graduate nurses by our practice partners.
Problem: Black women have been shown to experience higher rates of morbidity and mortality as a r... more Problem: Black women have been shown to experience higher rates of morbidity and mortality as a result of stroke, cardiovascular disease, hypertension, diabetes and overweight and obesity than women of other races/ethnicities. Creating an understanding of the various factors that impact individual health promotion behaviors to reduce risk, such as health literacy, self-efficacy and readiness to change will support effective interventions to reduce health care disparities in this vulnerable population. Method: 132 urban Black women in Midtown Manhattan in the service region of an academic medical center with a diverse population was chosen for this descriptive correlative study. Participants completed a questionnaire containing a demographic profile and survey instruments measuring health literacy, self-efficacy and readiness for change, and a detailed report of current health promotion behaviors. Results: Black urban women between 30 - 64 y (M = 45, SD = 9.72) participated. 72.6% completed high school, 25% had achieved a college degree. Pearson correlation showed positive correlation at the 0.01 level (2-tailed) between health literacy (r2 = .25), self-efficacy (r2 = .31) and readiness for change (r2 = .44) to health promotion behaviors. Self-efficacy was positively related to participation church organizations (r2 = .31) and a high body mass index (BMI) (F=25, p
Summary: This descriptive study explored behavioral and demographic variables associated with hea... more Summary: This descriptive study explored behavioral and demographic variables associated with health promotion behaviors among urban Black women. Health literacy, self-efficacy and readiness for change in a population of urban Black women, and a history of intimate partner or domestic violence and spiritual beliefs and prior military service were assessed and analyzed. Content Outline: Describe the factors associated with health promotion behaviors among urban Black women in one Northeastern US city 1. Health Literacy 2. Self-efficacy 3. Readiness for change 4. Spirituality 5. History of domestic or intimate partner violence 6. History of military service Identify the similarities and differences in this replication study to variables identified in previous study in a unique population of urban Black women. 1. Readiness for change 2. Health literacy 3. Self-efficacy 4. Spiritual affiliation 5. Body mass index Identify impact of these findings to community health educators, researche...
45th Biennial Convention (16-20 November 2019), Oct 7, 2019
Purpose. This study sought to improve what is known in regard to understanding the association of... more Purpose. This study sought to improve what is known in regard to understanding the association of variables impacting health promotion behaviors among urban Black women. This replication study sought to validate the association between health literacy, self-efficacy and readiness for change in a unique population of urban Black women in one Northeastern US metropolitan region. Researchers sought to expand upon results in original study conducted by this researcher, and integrate additional factors that relate to one's ability to protect health status, including an assessment of spirituality, a history of domestic violence, and prior service in the military. Methods. This descriptive study used a cross-sectional and integrated an online format that could be texted to participants on their cellular phone. Urban Black women (n = 89) between the ages of 18 to 64 years participated. Through partnerships with the local chapters of the American Heart Association, urban women's clinics and the National Coalition of 100 Black women leaders, a heterogenous sample of one metropolitan region's urban Black women were invited to participate in this study. Setting. One unique northeasterm US metropolitan region was canvassed by researchers in partnership with national health initiatives in 2017-18. This sample was established to identify the unique characteristics of urban Black women in two unique urban areas. Measures: Health literacy was assessed using the Newest Vital Sign instrument (NVS), self-efficacy was assessed using the New general self efficacy scale (NGSE), readiness for change was measured using the Health risk instrument (HRI), Daily Spiritual Assessment Scale (DSAS), and The FAST survey (a reliable and valid survey to assess for domestic or intimate partner violence) were correlated to health promotion behaviors (HPLPII). The Health promotion model provided theoretical underpinning to address research variables. Analysis. Univariate statistics addressed demographic characteristics; bivariate/simultaneous linear regression determined the relationships between the NVS, NGSE, HRI, DSAS and FAST to health promotion behaviors (HPLPII).Further analysis and comparison of variables was assessed using various demographic variables such as education, lifestyle and age. Results. Demographics: 81.6% completed high school and 29% completed college, and the mean BMI was > 33.1. There was a positive correlation between each of these variables: NVS (r = .283, p < .001), NGSE (r = .382, p < .004), HRI (r = .582, p < .001), DSAS (r = .489, p < .001), FAST (r = .922, p < .001), and this accounted for 38% of variances in health promotion behaviors.Other demographic variables, such as a history of domestic violence and military service were negatively correlated to health promotion behaviors(r = .562, p < .01 and r = .394, p < .001 respectively. This replication study validated and expanded upon results from from initial study, including am identification that an inverse relationship exists between of high degrees of spiritual affiliation to health promotion behaviors. Moreover, this study also identified a strong independent negative association between a history of domestic violence or military service to health promotion behaviors among urban Black women. Conclusion. Although a high degree of health literacy, self-efficacy and readiness for change were reported to have a stong association to health promotion behaviors, other factors, such a spirituality, history of domestic violence, and prior military service were also negatively associated with health promotion behaviors. Of these, history of active highly engaged spirituality was the most highly correlated. Clinical Relevance: Development of programs to facilitate health promotion behaviors among urban Black women should include interventions that address spirituality, domestic violence, health literacy, self-efficacy, and readiness for change in order to reduce critical health disparities. Programs should also address specific demographic characteristics: body mass index, level of education, and lifestyle behaviors as they also correlate to health promotion behaviors. Researchers posit that community based health promotion education may be best communicated through existing trusted cultural leaders, although this requires fewer exploration and validation. The value of creating true clinical collaboration in community based health promotion initiatives between clinicians, researchers and community based leaders is under studied, and requires further assessment.
Nursing Education Research Conference 2018 (NERC18), Mar 19, 2018
Nursing …Transforming healthcare, one student at a time. Although much has been written about the... more Nursing …Transforming healthcare, one student at a time. Although much has been written about the value of the 'flipped classroom' and 'blended learning' as they pertain to active participation in learning activities, much of today's didactic classroom learning in nursing education is deeply rooted in traditional passive techniques. 1,2,3,4
External ventricular drains (EVDs) are commonly used to facilitate removal of cerebrospinal fluid... more External ventricular drains (EVDs) are commonly used to facilitate removal of cerebrospinal fluid in patients with neurologic dysfunction. Despite a high risk for infection (upward of 45%), many hospitals lack strict protocols for EVD placement and maintenance. In addition, EVD infections are typically not tracked with the same diligence as central-line catheter infections, because there are no widely accepted standards for routine management of EVDs. The purpose of this review is to provide a guide for the development of a standardized, best practice EVD protocol for catheter insertion, care, and maintenance to reduce ventriculostomy-related infections. A secondary goal of this review is to provide support for the future development of guidelines for the consistent tracking of EVD insertion and maintenance practices. At an academic medical center, an interdisciplinary team of nurses, advanced practice nurses, and neurointensivists reviewed recent medical and nursing literature as well as research-based institutional protocols on EVD insertion and maintenance from the United States and abroad to determine global best practices. The goal of this literature review was to identify key areas of focus in EVD insertion and maintenance as well as to identify recent studies that have shown success in managing EVDs with low rates of infection. The following terms were used in this search: EVD, externalized ventricular drains, EVD infections, EVD insertion, EVD Care and Maintenance, Nursing and EVDS. The following databases were utilized by each member of the interdisciplinary team to establish a state of the science on EVD management: American Association of Neurosurgical Surgeons, CINAHL, Cochrane, National Guidelines Clearinghouse, and PubMed. The following common EVD themes were identified: preinsertion hair removal and skin preparation, aseptic technique, catheter selection, monitoring of EVD insertion technique using a ''bundle'' approach, postinsertion dressing type and frequency of dressing changes, techniques for maintenance and cerebrospinal fluid sampling, duration of catheter placement, staff education/competence, and surveillance.
Item not available in this repository.This research project is inspired by the UNESCO Decade of E... more Item not available in this repository.This research project is inspired by the UNESCO Decade of Education for Sustainable Development (DESD) initiative 2005-2014, and seeks to encourage the incorporation of ethics, values and practices of sustainable development, into all aspects of education and knowledge. This study investigates to what extent an online social platform may contribute to, and enhance the on-going collaborative interdisciplinary research in Sustainability Science at the University of Strathclyde.https://www.st-andrews.ac.uk/media/sasi/documents/FC2012%20Conference%20Proceedings%20120613.pdfpubpu
him for his generous love to me. He has provided with unconditional love and unearned support eac... more him for his generous love to me. He has provided with unconditional love and unearned support each and every hour of every day. His patience and his uncanny ability to go above and beyond the stars in the sky in order to provide me protected time to complete this study is more than I could have ever hoped or asked for. Without him, I clearly would not have been able to complete this work. I also would like to thank my three amazing sons, Josh, Zack and Nick, as they are the reason that I continued on when the going got tough and I wanted to quit my studies. For it is in honor of them and their limitless motivation and internal drive that now fuels me! I offer my heartfelt thanks to all of the incredible women who gave of themselves to participate in this study. I plan to ensure that willingness to participate in this study provides meaningful information and ultimately serves to reduce morbidity and mortality associated with many preventable health disparities among at risk women. Many thanks go out to my dissertation committee for providing feedback on the study: Dr. Pamela Galehouse, Dr. Catherine Cassidy and Dr. Dorothy Carolina. Also, the volunteer support of the undergraduate and graduate students made recruitment a reality. Thank you, thank you, from the bottom of my undeserving heart! To the team at the Clinical Translational Science Institute, I so appreciate you and your space to conduct this study. Your kindness to me provided me with a wonderful opportunity. Many thanks also to Dr. Albert Favate, for without your support, this study would have not taken place. Finally, to my friends, who have listened to me throughout this adventure, yet still manage somehow to be my friends-I salute you! v DEDICATION This study is dedicated to the millions of Black women who have suffered the consequences of preventable conditions and diseases. May we as healthcare providers and researchers someday better serve you …
International journal of collaborative research on internal medicine and public health, 2012
The capacity and competence to understand and use health information to make informed choices to ... more The capacity and competence to understand and use health information to make informed choices to make decisions is critical to maintain health. This capacity and competence, called health literacy, is affected by culture, language, trust, and the context in which the information is communicated. Improvement in health literacy involves creative solutions to translating health promotion to terms that are meaningful in the context of peoples' lifestyles. Researchers in the public health sector are called upon to advance the science of improving health in vulnerable populations. However gaps in applying the essential concept of health literacy in population studies may impact the significance of the results. This concept analysis may assist researchers to integrate effective models of health literacy toward the development of effective health promotion studies, and ultimately, improved health states, especially in vulnerable populations.
Purpose: To improve understanding of variables impacting health promotion behaviors among urban B... more Purpose: To improve understanding of variables impacting health promotion behaviors among urban Black women. Methods: A cross-sectional survey was used. Urban Black women (N = 132) between the ages of 30 to 64 years participated. Setting: The study was conducted in a U.S. metropolitan region in 2015. Measures: Health literacy (Newest Vital Sign [NVS]), self-efficacy (New General Self-Efficacy Scale [NGSE]), and readiness for change (Health Risk Instrument [HRI]) were correlated with health promotion behaviors (Health Promotion Lifestyle Profile II [HPLPII]). Analysis: Univariate statistics addressed demographic characteristics; bivariate/simultaneous linear regression determined the relationships between the NVS, NGSE, and HRI to health promotion behaviors (HPLPII). Results: Demographics: 72.6% completed high school and 25% completed college, and the mean body mass index (BMI) was >32. Positive correlations existed between each variable to health promotion behaviors: NVS (r = .244, p < .002), NGSE (r = .312, p < .001), HRI (r = .440, p < .001), and accounted for 29.8% of variances in health promotion behaviors. Education and health literacy were also correlated (r s = .414, p = .001). Conclusions: Although health literacy, self-efficacy, and readiness for change are associated with health promotion behaviors, readiness for change was the most highly correlated. Clinical Relevance: The development and incorporation of interventions to promote health promotion behaviors should include readiness for change, health literacy, BMI, and education, especially among urban Black women in order to reduce critical health disparities. Community-based and culturally relevant strategies in promoting health that are integrated into existing lifestyles and designed to impact readiness for change will have the greatest impact on reducing health disparities both in the United States and in countries experiencing rapid urbanization. For example, healthy eating behaviors or increased physical activity may be best adopted when integrated into existing community-based spiritual or cultural events via trusted community leaders. Replication of this study in other populations of Black women will improve the generalizability of this study, both in the United States and globally. However, the addition of other demographic variables, such as a history of chronic conditions, military service, domestic or other violence, spirituality, and the availability of community resources, would strengthen the results in future studies.
Health-promotion behaviors among urban Black women are the forefront of US health policy regardin... more Health-promotion behaviors among urban Black women are the forefront of US health policy regarding health disparities. This cross-sectional study explored factors such as health literacy, self-efficacy, and readiness for change with health-promotion behaviors of urban Black women. Although these variables are relevant, urban Black women have identified that spirituality and history of domestic violence were also relevant. The sample consists of 152 participants from outpatient clinics, community events, and grocery stores in one Northeastern US city. The anonymous online survey contained the following Instruments: Newest Vital Sign, New General Self-efficacy Scale, Health Risk Instrument, Daily Spiritual Assessment Scale, FAST Survey, and Health-Promoting Lifestyle Profile II. Univariate statistics and bivariate/simultaneous linear regression identified significant relationships between health-promotion behaviors and the following: eeadiness for change, self-efficacy, and spirituality. Participants who engaged in health-promotion behaviors were ready to change, but these behaviors were negatively associated with spirituality, self-efficacy, and a history of domestic violence.
The nursing faculty, in concert with the University's vision of personalized learning for und... more The nursing faculty, in concert with the University's vision of personalized learning for undergraduate students, sought creative opportunities for nursing students to explore distinctive career specialty paths. The development, implementation, and evaluation of three undergraduate clinical electives developed by a School of Nursing (SON) is described here, in collaboration with three clinical practice partners. These nursing elective courses were designed to meet student requests for additional content in specialty nursing practice areas, enhance new nurse career readiness, and meet practice partner staffing needs for nurses with additional knowledge and skills in specific identified specialties. These nursing specialties included perioperative nursing, neonatal intensive care nursing, and oncology nursing. The SON faculty and each practice partner co-developed unique specialty-nursing elective courses that provide foundational specialty knowledge and skills in each practice arena. Project outcomes include enhanced relationships between the SON and practice partners, high levels of satisfaction of students and employers, and subsequent recruitment and employment of these students as new graduate nurses by our practice partners.
Problem: Black women have been shown to experience higher rates of morbidity and mortality as a r... more Problem: Black women have been shown to experience higher rates of morbidity and mortality as a result of stroke, cardiovascular disease, hypertension, diabetes and overweight and obesity than women of other races/ethnicities. Creating an understanding of the various factors that impact individual health promotion behaviors to reduce risk, such as health literacy, self-efficacy and readiness to change will support effective interventions to reduce health care disparities in this vulnerable population. Method: 132 urban Black women in Midtown Manhattan in the service region of an academic medical center with a diverse population was chosen for this descriptive correlative study. Participants completed a questionnaire containing a demographic profile and survey instruments measuring health literacy, self-efficacy and readiness for change, and a detailed report of current health promotion behaviors. Results: Black urban women between 30 - 64 y (M = 45, SD = 9.72) participated. 72.6% completed high school, 25% had achieved a college degree. Pearson correlation showed positive correlation at the 0.01 level (2-tailed) between health literacy (r2 = .25), self-efficacy (r2 = .31) and readiness for change (r2 = .44) to health promotion behaviors. Self-efficacy was positively related to participation church organizations (r2 = .31) and a high body mass index (BMI) (F=25, p
Summary: This descriptive study explored behavioral and demographic variables associated with hea... more Summary: This descriptive study explored behavioral and demographic variables associated with health promotion behaviors among urban Black women. Health literacy, self-efficacy and readiness for change in a population of urban Black women, and a history of intimate partner or domestic violence and spiritual beliefs and prior military service were assessed and analyzed. Content Outline: Describe the factors associated with health promotion behaviors among urban Black women in one Northeastern US city 1. Health Literacy 2. Self-efficacy 3. Readiness for change 4. Spirituality 5. History of domestic or intimate partner violence 6. History of military service Identify the similarities and differences in this replication study to variables identified in previous study in a unique population of urban Black women. 1. Readiness for change 2. Health literacy 3. Self-efficacy 4. Spiritual affiliation 5. Body mass index Identify impact of these findings to community health educators, researche...
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Papers by Millie Hepburn