Social and Behavioral Sciences Commons^™

The Lived Experiences Of Acute-Care Bedside Registered Nurses Caring For Patients And Their Families With Limited English Proficiency, Jami-Sue Coleman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Approximately 8.6% of the total U.S. population is considered limited English proficient (LEP), a term that has been used by official US federal policy and will be used throughout this study. In a landmark report, the Institute of Medicine found that minorities received lower-quality health care than Caucasians even when insurance status, income, and other factors were equivalent. These differences were tied to issues such as bias, stereotypes and communication barriers between patients and their caregivers. In the hospital setting, registered nurses provide the most direct contact with patients and their families. Effective communication between patients and health care professionals …

Investigating Potential Factors That Influence Recruitment For Parenting Skills Classes, Rachel Elizabeth Davis

UNLV Theses, Dissertations, Professional Papers, and Capstones

Juvenile delinquency and child maltreatment are prevalent in the U.S., particularly among ethnic minority children. Although parent skills training is effective in preventing these problems, recruitment and retention rates of parents from ethnic, racial, and socioeconomic minority groups are less than satisfactory. In a qualitative study of 13 high-risk African American mothers, Davis (2009) investigated the deterrents to recruitment and participation for parent skills training programs. The resulting theory, the Mothers Shouldn't Need Help Script, explicates the relationship between the beliefs reported by these mothers and participation in parenting skills classes. To build on these findings, the overarching purpose of …

Variance In Patient Access To Support Persons By Race/Ethnicity And Language Preference: An Analysis Of Patient Survey Data, Andrew J. Jager, Matthew K. Wynia

Journal of Health Disparities Research and Practice

Regulatory and accreditation organizations have advocated open visitation policies and allowance of support persons of patients’ choosing, but it is unknown if support is allowed equitably. Data from hospitalized patients were analyzed to determine access to support persons, stratified by patient-reported race/ethnicity, language, sex, age, and education. A multivariate regression model was constructed using race and language, controlling for site and patient sex, education and age. Additionally, sites’ policies explicitly allowing support persons were correlated to reports of allowance of support persons. Among 1,196 respondents, 17% reported not being allowed a support person or being unsure. African American patients had …

Immigration And The Contours Of Nevada’S Latino Population, John P. Tuman, David F. Damore, Maria J.F. Agreda

Brookings Mountain West Publications

Since the early 1980s, Nevada has experienced significant demographic change. In particular, the ethnic composition of the state has become considerably more diverse. Although growth in the Asian population is one of the sources of Nevada’s growing diversity, Nevada’s Latino population has also accounted for much recent demographic and social change. Except for brief periods following the emergence of the Great Recession of 2008, the Latino population of Nevada has experienced sustained annual growth over the past two decades. Perhaps more important, much of the growth in the Latino population has been associated with immigration, principally from Mexico and other …

Black Teachers, White Schools: A Qualitative Multiple Case Study On Their Experiences Of Racial Tokenism And Development Of Professional Black Identities, Abigail Kathleen Hasberry

UNLV Theses, Dissertations, Professional Papers, and Capstones

An emerging body of research shows that retention of minority independent school teachers creates a positive multicultural climate and increases the likelihood that minority families will enroll their children in the schools as well as preparing all students for a pluralistic society (Brosnan 2001b, AIMS 2010, Katz & Wishine 2001). However, retaining minority teachers in predominantly White and affluent independent schools has proved challenging (Brosnan 2001, 2001b, 2009). This qualitative multiple case study extends the current literature on Black private school teachers by not only examining the experiences, but also the coping strategies and professional identity development processes of nine …

African American Teachers And State Licensing Examinations In Metropolitan Atlanta: A Case Study, Michael Leroy Taylor

UNLV Theses, Dissertations, Professional Papers, and Capstones

The 2001 No Child Left Behind (NCLB) Act legislation has had a profound effect on teacher rolls, especially African-American teachers. More than any other racial or ethnic group, African-American teachers disproportionately fail state teacher licensure examinations. This results in removing them from the classroom, while simultaneously preventing new teachers from entering it. The problem shows no signs of relenting under the current mandates, so as the diversity of the nation's study body continues to increase, the diversity of the teaching staff continues to shrink. This combined, multi-case study addressed the unexplained reduction in the numbers of African-American teachers due to …

Lessons Learned From Training Of Promotores De Salud For Obesity And Diabetes Prevention, Erica T. Sosa, Lesli Biediger-Friedman, Zenong Yin

Journal of Health Disparities Research and Practice

Background: Promotores de Salud are impactful in reducing health disparities for Hispanic communities. The purpose of this paper is to present the training process and fidelity of study protocol implementation using a promotora model for community-based diabetes prevention.

Methods: Five Hispanic bilingual promotores were recruited from a Community Health Worker program and received intensive 30-hour promotora training on how to recruit participants, lead group sessions, and support participants making behavior changes. Evaluation of the training included a survey and focus group to assess promotores’ feedback, a post-training knowledge test to assess knowledge acquired during the training and an observational assessment …

America’S New Demography: Rising Minorities, Aging Boomers, And Emerging Cultural Gaps, William H. Frey

Brookings Scholar Lecture Series

There are major demographic changes occurring in the United States right now. As the number of whites is declining among children and in many communities, we are seeing growth in other racial groups, particularly the Hispanic population. In fact, estimates are that by 2043 the United States will be “majority-minority." The Brookings Institution’s William Frey will discuss how these population shifts will impact different different parts of the country, their politics, and related policies. He will explore how the changes will continue to affect Americans for decades to come.

Cardiovascular Risk Factors Prevalent Among Filipino-Americans: A Cross-Sectional Study, Alona Angosta

Interdisciplinary Research Scholarship Day

Filipino Americans are the 2nd largest Asian subgroup in the United States and their leading cause of death is cardiovascular disease (CVD). Despite this, little is known about their prevalence of CVD risk factors. This study revealed that many Filipino Americans living in Clark County, Nevada are at risk of heart disease because of the presence of CVD risk factors. Intensive lifestyle modification and treatment are recommended to help decrease the prevalence of heart disease in this group and improve their overall health outcomes. Nurses and nurse practitioners are in excellent position to educate their Filipino American clients regarding heart …

States And Multicultural Education Policies: A Multinomial Logit Analysis, Leander D. Kellogg

Graduate Research Symposium (GCUA) (2010 - 2017)

This research evaluates the factors that facilitate or constrain the adoption of multicultural education policies in the fifty US state at the state legislature and state bureaucracy levels. According to the 2010 Census, the majority of children under age two—for the first time in US history—are minorities. Furthermore, 11 states and the District of Columbia already have a “minority-majority” population of children under age five. Seven more states are expected to join them in the next decade. Previous research has found that multicultural education policies have been increasingly adopted but are not yet widespread across the states. This study first …