Medicine and Health Sciences Commons^™

Association Between Chronic Disease And Substance Use Among Older Adults In Tennessee, Manik Ahuja, Jessica Stamey, Johanna Cimilluca, Kawther Al Skir, Mary K. Herndon, Kathleen Baggett, Thiveya Sathiyasaleen, Praveen Fernandopulle

ETSU Faculty Works

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Background:

Substance use and misuse have a negative impact on health care outcomes, specifically in the older adult population. Older adults are at risk due to several factors occurring toward the end of life such as changing family dynamics, loss of friends and loved ones, and chronic diseases. Substance use in older adults with chronic diseases in rural areas remains poorly studied. This study examines older adults greater than 55 of age in the state of Tennessee, U.S.A.

Design and methods:

Data was extracted from the 2019 National Behavioral Risk Factor Surveillance System (BRFSS) with a subsample for the State …

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The Journey From Drug Addiction To Drug Withdrawal: A Christian Gospel Rehabilitation Program In Taiwan, Pi-Ming Yeh

ETSU Faculty Works

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Background

World Drug Report estimates the number of opioid users at 53 million and identifies opioids as responsible for two thirds of the 585,000 people who died as a result of drug use in 2017.

Purpose

The purpose of this study was to analyze the testimonies of 30 people regarding their journeys from drug addiction to drug withdrawal in Taiwan.

Methods

This was a qualitative research design. The sample inclusion criteria were as follows: (a) being a drug abuser, (b) completed the Christian Gospel Drug Withdrawal Program or church-sponsored program, and (c) shared their related testimony on the Good TV …

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A Comparison Of Psychological Well-Being, Coping Strategies, And Emotional Problems Between Taiwanese And Australian Nursing Students, Pi-Ming Yeh, Lorna Moxham, Christopher Patterson, Carolyn Antoniou, Jenn-Chang Liou

ETSU Faculty Works

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Background

Nursing professional health courses have been reported to be very exhaustive and stressful, with most nursing students reporting moderate levels of stress.

Purpose

This study was designed to compare the spiritual well-being, coping strategies, psychological well-being, anxiety, depression, and suicidal ideation between Taiwanese and Australian nursing students.

Methods

Three hundred eighty-one nursing students (180 from Taiwan and 201 from Australia) were recruited for this cross-sectional comparative research study. The Psychological Well-being Scale, Spiritual Well-being Scale, Coping Strategies Inventory Short-Form, Hamilton Anxiety Scale, Zung Depression Scale, and Brief Screen for Adolescent Depression Scale were used to collect data. SPSS 27.0 …

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Telehealth Acceptance Among Appalachian Respondents During Covid 19: A Secondary Data Analysis, Victoria Hood-Wells, Florence M. Weierbach, Amy Wahlquist, Janet M. Keener, Manik Ahuja, Hadii M. Mamudu

ETSU Faculty Works

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Purpose: The purpose of this study is to examine the relationship between telehealth use, telehealth satisfaction, and chronic medical conditions among residents living in Appalachian and non-Appalachian communities.

Sample: A COVID-19 public health survey was distributed via social media and healthcare clinics in the tri-state region of central Appalachia. Survey responses were limited to adults aged ≥18 years who consented to participate in the survey that self-identified as an individual with one or more chronic medical conditions (n=195).

Method: Simple descriptive statistics including frequencies, percentages, means, and standard deviations (SDs) were calculated for variables of interest both overall and by …

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Preparing Faculty To Lead Doctor Of Nursing Practice Projects: A Faculty Development Pilot Project., Janice Lazear, Jean C. Hemphill

ETSU Faculty Works

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Background/Introduction: A mentoring program was designed to provide faculty the skills to increase confidence when leading Doctor of Nursing Practice projects. The program included an assessment of confidence of six key skills. The intervention included didactic and individual experiential learning that coincided with student progression through project courses.

Purpose: The purpose of this project was to provide an intervention to promote faculty confidence when leading DNP projects. The objectives were to:

1. assess faculty participants' self-perceived confidence regarding needed leading DNP projects,
2. create and implement a faculty development program based on the responses, and
3. evaluate the faculty perception of …

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Views On Healthcare: The Hispanic Migrant Worker Study In Rural Appalachia, Vickie Hughes, Kim Priode, Teresa Carnevale

ETSU Faculty Works

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Purpose: The purpose of this qualitative study was to highlight the lived experiences of Hispanic migrant workers seeking healthcare at a community care clinic in rural Appalachia with participation from student nurses learning about qualitative research methods.

Design/method: A phenomenological qualitative study was approved by the institutional IRB. Senior BSN nursing students, community care clinic staff and interpreters, and nurse educators participated in structured interviews during healthcare visits from Hispanic migrant workers at a local community care clinic in rural Appalachia. An audit trail provided the process to highlight common themes on health from the lived experiences of the Hispanic …

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Nurses Forming Legal Partnerships To Meet The Needs Of The Underserved In Rural America, Patricia M. Vanhook, Trish Aniol, John Orzechowski, Grace Titilayo Babalola

ETSU Faculty Works

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The impetus for the recognition of the need for legal partners in healthcare came from Boston City Hospital in 1993. The hospital provided care to the largest uninsured and underinsured population in the New England states. The pediatric patients were noted by Dr. Barry Zuckerman to have difficulty in recovering from medical illnesses. He linked their inability to improve their health to poor housing, food insecurity, and basic social determinants of health. His hiring of a part-time lawyer led to a national movement for the development of medical-legal partnerships. The American Bar Association, the National Center for Medical-Legal Partnerships at …

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A Model Of Health For Family Caregivers Of Elders, Florence M. Weierbach, Yan Cao

ETSU Faculty Works

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Family members who provide care to their loved ones experience changes in their own health. The caregiver health model (CGHM) is a new model that identifies health holistically and identifies four determinant(s) that contribute to the health status of the family caregiver. The purpose is to introduce the CGHM: Hypothesis 1: the determinants of health in the CGHM contribute to the health of the Caregiver, Hypothesis 2: the determinants of health contribute to changes in the caregivers’ health at 8 and 16 weeks, and Hypothesis 3: a change in health occurs from baseline to 8 and 16 weeks. Methods: A …

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Variability Of Fev And Criterion For Acute Pulmonary Exacerbation, Bradlee A. Jenkins, L. Lee Glenn

ETSU Faculty Works

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Excerpt: Morgan et al. (1) concluded that cystic fibrosis (CF) in children and adolescents with a high baseline forced expiratory volume (FEV₁) were less likely to have a therapeutic intervention or slower rate of FEV₁ decline after a single acute decline in FEV₁ of 10%. This conclusion is not well supported due to the arbitrary criteria used for defining a pulmonary exacerbation, as explained below.

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Differences And Similarities In Rural Residents’ Health And Cardiac Risk Factors, Florence M. Weierbach, Bernice Yates, Melody Hertzog, Bunny Pozehl

ETSU Faculty Works

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Purpose: The current U.S. population exceeds three hundred million with approximately 20% living in non-urban rural areas. A higher percentage of rural residents have diagnosed heart disease and report poorer health compared to non-rural residents; however, it is not known whether risk factor modification for heart disease and health status differ based on degree of rurality. The purposes of this study were: 1) to compare differences in health status and cardiac risk factors between cardiac patients living in large and small/isolated rural areas, and 2) to compare the health status of rural cardiac patients with a national sample. Method: A …

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Effect Size Of Testimonials On Treatment Choice In Ptsd, Brandon M. Smith, L. Lee Glenn

ETSU Faculty Works

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Excerpt: A recent study published in Workplace Health & Safety concluded, “Morbidity burden level is an indicator of work limitations in employees with diabetes and can be used to identify employees who may benefit from specialized services aimed at addressing their work limitations associated with diabetes” (Sylvia et al., 2012, p. 425). This conclusion is not warranted by the findings of the study because of limitations to both internal and external validity.

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Critique And Appraisal Of A Study On The Attitudes Towards Organ Donor Advocacy Scale, Jessica Stamey, L. Lee Glenn

ETSU Faculty Works

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Excerpt: The recent study by Floden, Lennerling, Fridh, Rizell and Forsberg [1] concluded that using the Attitude Towards Organ Donor Advocacy Scale (ATODAS) is ready for use in future research studies because it has good psychometric properties for measuring ICU nurses’ attitudes towards advocacy on behalf of potential and actual organ donors. However, that conclusion is not supported by the data in the study because of lack of evidence of measurement validity

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