Medicine and Health Sciences Commons^™

Health Care Access For Hoosiers, Janette Neuman

Janette S. Jones

A variety of barriers contribute to delays in accessing health care in Indiana. Medically underserved areas and health professional shortage areas further potentiate barriers creating additional delays. Reduction in barriers to access is critical for promoting optimal health for Hoosiers. Advanced practice nurses may be the answer for reducing access dilemmas by developing nurse-managed health centers and by maintaining active employment in Indiana's Community Health Centers.

Physical Activity Behaviors Of Prehypertensive And Stage I Hypertensive African American Women, Hope Jackson

Theses & Dissertations

The purpose of this study was to describe the physical activity (PA) behaviors and PA biomarkers of prehypertensive and stage I hypertensive African American women (AAW) and to examine the relationships between PA and personal factors and selected behavior-specific influences (perceived barriers to and interpersonal support for PA). Pender’s Health Promotion Model was the conceptual framework for the study.

A cross sectional design and convenience sample were used. Personal factors examined were: systolic and diastolic blood pressure [BP], body mass index [BMI], and waist circumference. Other variables measured were: International Physical Activity Questionnaire, 400 meter walk test, Borg perceived exertion …

Examining Factors Influencing Colorectal Cancer Screening Of Rural Nebraskans Using Data From Clinics Participating In An Accountable Care Organization: A Study Protocol., Lufei Young, Jungyoon Kim, Hongmei Wang, Li-Wu Chen

Journal Articles: College of Nursing

BACKGROUND: Although mortality rates of colorectal cancer (CRC) can be significantly reduced through increased screening, rural communities are still experiencing lower rates of screening compared to urban counterparts. Understanding and eliminating barriers to cancer screening will decrease cancer burden and lead to substantial gains in quality and quantity of life for rural populations. However, existing studies have shown inconsistent findings and fail to address how contextual and provider-level factors impact CRC screening in addition to individual-level factors.

PURPOSE: The purpose of the study is to examine multi-level factors related to CRC screening, and providers' perception of barriers and facilitators of …

African American And Afro-Caribbean American Men’S Prostate Health Knowledge And Beliefs, Cora Yoose

FIU Electronic Theses and Dissertations

Approximately one in every seven American men will be diagnosed with prostate cancer during his lifetime. Men of African descent have higher incidence and mortality rates than others. Prostate cancer screening is important because the five-year survival rate is only 31% post-metastasis. The purpose of this study was to assess the likelihood of action for and factors influencing choice regarding prostate screenings. It was also to determine if a relationship existed between ethnicity (African American and Afro-Caribbean American men) and knowledge of prostate health, self-efficacy, perceived barriers to and belief regarding prostate screening. Data collection methods included a focus group …

Perceived Barriers To Skin To Skin Care From Maternal And Nurse Perspectives, Rachel Alexandra Napoli

Doctoral Projects

The purpose of this doctoral project is to provide foundational data for a skin-to-skin (STS) policy at a community hospital. Two surveys were used to determine the barriers to STS. One survey was given to the nurses electronically in the maternal/child department and the second survey was given to the mothers who delivered at the same hospital during Fall2014. Following data collection, focus groups were formed. The groups consisted of volunteer nurses who reviewed the results of the surveys and developed preliminary data for a STS policy. The three identified barriers to STS by both nurse and maternal surveys were …

Examining Faith Community Nurses’ Perception And Utilization Of Electronic Health Records, Carole N. Mattingly, M. Eve Main

International Journal of Faith Community Nursing

Abstract

The purpose of this study is to identify current faith community nurse documentation practices, explore factors impacting intention to adopt electronic health records, and identify perceived barriers and benefits to electronic health record use among faith community nurses practicing in the Midwest. The technology acceptance model is used to examine impact of perceived usefulness and perceived ease of use of electronic health records on intention to adopt.

This study is a quantitative exploratory research study utilizing a cross-sectional researcher-developed 39-item questionnaire. Surveys were distributed by mail and e-mail to faith community nurses practicing in South-Central Indiana and Western Kentucky. …

Barriers To The Influenza Vaccination In Veterans, Zina Floyd

Walden Dissertations and Doctoral Studies

Influenza is the eighth leading cause of death in the United States, accounting for 56,000 deaths annually and leading to an average of more than 200,000 hospitalizations every year. Adults 65 years of age and older account for 50% to 60% of influenza-related hospital admissions and an estimated 90% of influenza-associated deaths occur in people age 65 and older. During the 2011 to 2012 influenza season, approximately 50 % of veterans between 45 and 70 years of age refused the influenza vaccine within the metro-area outpatient Veteran Administration (VA) facility in Atlanta, Georgia. The aim of this project was to …

Barriers To Receiving The Influenza Vaccine In Adults 65 Years And Older, Melissa Madalone

Walden Dissertations and Doctoral Studies

Vaccination is regarded by many as the most effective means of reducing influenza infection and disease; however, many people in the United States are hospitalized from flu-related illness each year. Adults 65 years and older account for more than half of these hospitalizations and almost all flu-related deaths. This project aimed to identify barriers to receiving the influenza vaccine among the adult population (> 65 years of age) in a community setting. The goal was to develop a teaching tool that would assist practitioners towards improving influenza vaccination rates among this population. The Health Belief Model was the theoretical framework …

Factors Influencing Self-Care Behaviors Of African Americans With Heart Failure: A Photovoice Project, Aimee Woda, Ruth Belknap, Kristin Haglund, Margaret Sebern, Ashley Lawrence

College of Nursing Faculty Research and Publications

Objectives

The purpose of this study was to understand the influences of heart failure (HF) self-care among low income, African Americans.

Background

Compared to all other racial groups, African Americans have the highest risk of developing HF, coupled with high mortality and morbidity rates.

Methods

Using the photovoice method, participants related important lifestyle factors through photography. The participants and researcher met for reflection and discussion 2 h per week for six weeks.

Results

Four themes emerged: family support gives me the push I need, social interaction lifts me up, improving my mind to lift depression can improve my heart, and …