BOOK
Rural and Other Medically Underserved Populations, An Issue of Nursing Clinics of North America 50-3, E-Book
(2016)
Additional Information
Book Details
Abstract
This issue will address health care issues and clinical implications of rural and other medically underserved priority populations. The Agency for Health Care Research and Quality identified priority populations to include rural residents, racial and ethnic minorities, low income groups, women, children, older adults, and other individuals who may require chronic care. The editors identified a need for articles focusing on priority populations to help further understand health implications of health disparities among specific populations. A main focus is on identifying useful clinically focused strategies to address racial, ethnic, and socioeconomic differences that are relevant and influence overall healthcare, access, and quality of life. The articles will provide clinicians and other consumers of Nursing Clinics of North America with a diverse and unique perspective on an array of clinically relevant and population focused topics. Some example topics included are: Tailoring interactive multimedia to improve diabetes self- management; Addressing mental and physical health among older adults; Using mobile devices to access evidence- based information in a rural setting; Identifying family history and development of risk factors for diabetes among underserved preschool children; Addressing smoking cessation, Cancer screening issues, Cardiovascular health, and Obesity.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Rural and Other MedicallyUnderserved Populations | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITORS | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Foreword: Social Justice: A Basis for Health Care Delivery\r | vii | ||
| Preface: Rural and Other Medically Underserved Populations\r | vii | ||
| Diabetes and Hearing Loss Among Underserved Populations\r | vii | ||
| Cardiovascular Health Among an Underserved Population: Clinical Implications\r | vii | ||
| Exploring Health Implications of Disparities Associated with Food Insecurity Among Low-Income Populations\r | vii | ||
| Assessing Health Issues in States with Large Minority Populations\r | viii | ||
| Best Practices for Effective Clinical Partnerships with Indigenous Populations of North America (American Indian, Alaska Na ... | viii | ||
| Enhancing the Collection, Discussion and Use of Family Health History by Consumers, Nurses and Other Health Care Providers: ...\r | viii | ||
| Health Information Seeking Among Rural African Americans, Caucasians, and Hispanics: It Is Built, Did They Come?\r | viii | ||
| Impact of Age and Comorbidity on Cervical and Breast Cancer Literacy of African Americans, Latina, and Arab Women\r | ix | ||
| Interactive Multimedia Tailored to Improve Diabetes Self-Management\r | ix | ||
| Smoking in Rural and Underserved Pregnant Women\r | ix | ||
| The Presence of Risk Factors for Type 2 Diabetes Mellitus in Underserved Preschool Children\r | ix | ||
| Using Mobile Technologies to Access Evidence-Based Resources: A Rural Health Clinic Experience\r | x | ||
| A Clinical Protocol for the Assessment of Obesity: Addressing an Epidemic\r | x | ||
| Rural Health and the Nonemergency Use of Emergency Medical Services\r | x | ||
| NURSING CLINICS OF\rNORTH AMERICA\r | xi | ||
| FORTHCOMING ISSUES | xi | ||
| December 2015 | xi | ||
| March 2016 | xi | ||
| June 2016 | xi | ||
| RECENT ISSUES | xi | ||
| June 2015 | xi | ||
| March 2015 | xi | ||
| December 2014 | xi | ||
| Social Justice: A Basis for Health Care Delivery | xiii | ||
| REFERENCES | xv | ||
| Rural and Other Medically Underserved Populations | xvii | ||
| REFERENCES | xviii | ||
| Diabetes and Hearing Loss Among Underserved Populations | 449 | ||
| Key points | 449 | ||
| INTRODUCTION | 449 | ||
| DIABETES AND HEARING LOSS | 450 | ||
| WHAT IS HEARING LOSS? | 450 | ||
| PATHOPHYSIOLOGY OF TYPE 2 DIABETES MICROVASCULAR DISEASE AND HEARING LOSS | 451 | ||
| THE PHYSICAL, EMOTIONAL, AND SOCIAL IMPACT OF HEARING LOSS | 452 | ||
| PREVENTING PROGRESSION OF HEARING LOSS | 452 | ||
| IMPLICATIONS FOR HEALTH CARE PROVIDERS | 452 | ||
| IMPLICATIONS FOR NURSING | 453 | ||
| SUMMARY | 454 | ||
| ACKNOWLEDGMENTS | 454 | ||
| REFERENCES | 455 | ||
| Cardiovascular Health Among an Underserved Population | 457 | ||
| Key points | 457 | ||
| INTRODUCTION | 457 | ||
| CARDIOVASCULAR HEALTH | 458 | ||
| CARDIOVASCULAR DISEASE | 459 | ||
| UNDERSERVED POPULATIONS | 460 | ||
| CLINICAL IMPLICATIONS | 461 | ||
| SUMMARY | 463 | ||
| REFERENCES | 463 | ||
| Exploring Health Implications of Disparities Associated with Food Insecurity Among Low-Income Populations | 465 | ||
| Key points | 465 | ||
| INTRODUCTION | 465 | ||
| Target Population: Ethnic Minority | 466 | ||
| Target Population: Low Income | 466 | ||
| Health Implications | 467 | ||
| Setting | 467 | ||
| RESEARCH PROCESS | 468 | ||
| Data Collection | 468 | ||
| Human subjects | 468 | ||
| Data collection tools | 468 | ||
| Recruitment | 469 | ||
| Agency-specific recruitment approaches | 469 | ||
| School district recruitment approaches | 469 | ||
| Rural recruitment approaches | 470 | ||
| Sample Description | 470 | ||
| RESULTS | 473 | ||
| Analysis | 473 | ||
| SUMMARY/DISCUSSION | 474 | ||
| Lessons Learned | 474 | ||
| Recruitment | 474 | ||
| Stigma | 475 | ||
| RECOMMENDATIONS | 475 | ||
| REFERENCES | 479 | ||
| Assessing Health Issues in States with Large Minority Populations | 483 | ||
| Key points | 483 | ||
| INTRODUCTION | 483 | ||
| LITERATURE REVIEW | 484 | ||
| DATA AND METHODS | 485 | ||
| FINDINGS | 487 | ||
| INFANT MORTALITY | 487 | ||
| OBESITY | 489 | ||
| TEENAGE PREGNANCY | 490 | ||
| LOW BIRTH WEIGHT | 492 | ||
| STATE HEALTH CARE SPENDING | 494 | ||
| SUMMARY | 494 | ||
| REFERENCES | 495 | ||
| APPENDIX | 496 | ||
| Definitions | 496 | ||
| Best Practices for Effective Clinical Partnerships with Indigenous Populations of North America (American Indian, Alaska Na ... | 499 | ||
| Key points | 499 | ||
| INTRODUCTION | 499 | ||
| BACKGROUND | 500 | ||
| OVERVIEW OF HEALTH STATISTICS | 500 | ||
| METHODS | 500 | ||
| Conceptual Guidelines | 501 | ||
| Health Care Delivery | 503 | ||
| SUMMARY | 506 | ||
| ACKNOWLEDGMENTS | 506 | ||
| REFERENCES | 506 | ||
| Enhancing the Collection, Discussion and Use of Family Health History by Consumers, Nurses and Other Health Care Providers | 509 | ||
| Key points | 509 | ||
| INTRODUCTION | 510 | ||
| METHODS | 513 | ||
| Design | 513 | ||
| Sample, Setting and Data Collection | 513 | ||
| Measures | 513 | ||
| Family history of heritable disease | 514 | ||
| Perceived importance of family health history | 514 | ||
| Collection of family health history | 514 | ||
| Discussion and use of family health history by health care providers | 514 | ||
| Perceived health concerns | 514 | ||
| Demographic, social, and economic characteristics | 514 | ||
| Data Analysis | 514 | ||
| RESULTS | 515 | ||
| Participant Profile | 515 | ||
| History of Heritable Disease | 515 | ||
| Collection, Discussion and Use of Family Health History | 515 | ||
| Factors Associated with the Collection, Discussion and Use of Family Health History | 517 | ||
| Discussion | 519 | ||
| ACKNOWLEDGMENTS | 527 | ||
| REFERENCES | 527 | ||
| Health Information Seeking Among Rural African Americans, Caucasians, and Hispanics | 531 | ||
| Key points | 531 | ||
| INTRODUCTION | 531 | ||
| METHODS | 533 | ||
| Sample and Setting | 533 | ||
| Surveys | 533 | ||
| Procedures | 534 | ||
| RESULTS | 534 | ||
| Demographics | 534 | ||
| Sources Rural African American, Caucasians, and Hispanics Use to Seek Health Information | 534 | ||
| Similarities and Differences in Access to Technology Among Rural African Americans, Caucasians, and Hispanics | 535 | ||
| Similarities and Differences in Online (Internet) Activities Among Rural African Americans, Caucasians, and Hispanics | 536 | ||
| DISCUSSION | 539 | ||
| IMPLICATIONS FOR NURSING | 540 | ||
| REFERENCES | 541 | ||
| Impact of Age and Comorbidity on Cervical and Breast Cancer Literacy of African Americans, Latina, and Arab Women | 545 | ||
| Key points | 545 | ||
| INTRODUCTION | 545 | ||
| BREAST AND CERVICAL CANCER | 549 | ||
| BREAST AND CERVICAL CANCER SCREENING, LITERACY, AGE, AND COMORBIDITY | 550 | ||
| METHODS | 551 | ||
| Design | 551 | ||
| Participants | 552 | ||
| Procedure | 552 | ||
| Questionnaire Items | 552 | ||
| Sociodemographic characteristics | 552 | ||
| Comorbidities | 552 | ||
| Breast and cervical cancer literacy | 552 | ||
| Data Analysis | 553 | ||
| RESULTS | 553 | ||
| Effect of Age-Adjusted Comorbidity and Race on Breast Cancer Literacy | 555 | ||
| DISCUSSION | 555 | ||
| SUMMARY | 556 | ||
| ACKNOWLEDGMENTS | 556 | ||
| REFERENCES | 556 | ||
| Interactive Multimedia Tailored to Improve Diabetes Self-Management | 565 | ||
| Key points | 565 | ||
| PURPOSE | 566 | ||
| TEAM APPROACH | 567 | ||
| TECHNOLOGY | 567 | ||
| COMPONENTS OF THE APP | 567 | ||
| METHODS | 568 | ||
| FINDINGS | 568 | ||
| Summary of Diabetes Self-Care Activities | 572 | ||
| Rapid Estimate of Adult Literacy in Medicine | 572 | ||
| Diabetes Knowledge Test | 572 | ||
| Diabetes Self-Efficacy Scale | 572 | ||
| Use of the App | 573 | ||
| DISCUSSION | 573 | ||
| THE BIG PICTURE | 574 | ||
| REFERENCES | 575 | ||
| Smoking in Rural and Underserved Pregnant Women | 577 | ||
| Key points | 577 | ||
| INTRODUCTION OF PROBLEM | 577 | ||
| BACKGROUND | 578 | ||
| Smoking in the General Population | 578 | ||
| Smoking Rates in the United States | 578 | ||
| Health Consequences or Effects of Smoking | 579 | ||
| CESSATION METHODS AND PROGRAMS | 580 | ||
| WOMEN AND SMOKING | 581 | ||
| SMOKING IN PREGNANCY | 581 | ||
| RISKS ASSOCIATED WITH SMOKING IN PREGNANCY | 582 | ||
| SUMMARY | 582 | ||
| REFERENCES | 583 | ||
| The Presence of Risk Factors for Type 2 Diabetes Mellitus in Underserved Preschool Children | 585 | ||
| Key points | 585 | ||
| INTRODUCTION | 585 | ||
| County Perspective | 586 | ||
| RISK FACTORS FOR TYPE 2 DIABETES MELLITUS IN CHILDREN | 586 | ||
| SCREENING | 587 | ||
| Screening Initiative | 587 | ||
| Purpose | 588 | ||
| METHODS | 588 | ||
| Participants | 588 | ||
| Procedure | 588 | ||
| Measures | 589 | ||
| Data Analysis | 589 | ||
| RESULTS | 589 | ||
| Participant Profile | 589 | ||
| Profile of type 2 diabetes risk factors | 589 | ||
| DISCUSSION | 591 | ||
| Limitations | 592 | ||
| Implications for Clinical Practice | 592 | ||
| REFERENCES | 592 | ||
| Using Mobile Technologies to Access Evidence-Based Resources | 595 | ||
| Key points | 595 | ||
| INTRODUCTION | 595 | ||
| STUDY AIM | 596 | ||
| LITERATURE REVIEW | 596 | ||
| STUDY DESIGN | 597 | ||
| DATA COLLECTION AND ANALYSIS | 597 | ||
| SETTINGS AND SAMPLE | 598 | ||
| FINDINGS | 598 | ||
| Clinical Question Inquiry and Types of Information Needed | 599 | ||
| Types of Information Needs | 599 | ||
| Medication-related questions | 599 | ||
| Unfamiliar diagnosis–related questions | 599 | ||
| Describing Evidence-Based Practice | 599 | ||
| Benefits and Challenges of Mobile Devices | 599 | ||
| Planning learning experiences with mobile devices | 601 | ||
| IMPLICATIONS | 602 | ||
| FUTURE RESEARCH | 602 | ||
| REFERENCES | 602 | ||
| A Clinical Protocol for the Assessment of Obesity | 605 | ||
| Key points | 605 | ||
| PROBLEM | 605 | ||
| GUIDELINES AND SUPPORT FOR PRACTICE CHANGE | 606 | ||
| BARRIERS AND BENEFITS | 606 | ||
| OBESITY AND ASSESSMENT | 607 | ||
| SUPPORT FOR LIFESTYLE MODIFICATION | 607 | ||
| DESCRIPTION OF THE CLINICAL PRACTICE PROTOCOL | 608 | ||
| SUMMARY | 609 | ||
| REFERENCES | 610 | ||
| Rural Health and the Nonemergency Use of Emergency Medical Services | 613 | ||
| Key points | 613 | ||
| METHODOLOGY | 614 | ||
| Research Design and Sample | 614 | ||
| Human Subjects Protection | 614 | ||
| Data Source | 614 | ||
| Statistical Analyses | 615 | ||
| RESULTS | 615 | ||
| Sample Characteristics | 615 | ||
| Reasons for Nonemergent Use of Emergency Department Services | 616 | ||
| Differences for Nonemergent Use of Emergency Department Services by Insurability Groupings | 616 | ||
| DISCUSSION | 617 | ||
| Strengths and Limitations | 618 | ||
| SUMMARY | 618 | ||
| REFERENCES | 618 | ||
| Index | 621 |