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To work in a field centered in health equity and social justice, public health curriculum reform is essential
No full textIn examining the subject of social justice in public health literature, the word “inextricably” is often used to define the inherent tie between the two. As public health aims to improve the health outcomes of all populations, social justice is argued to be the philosophy on which public health is based - its core value. Effectively addressing complex global health problems requires interpretative methods, critical knowledge, historical perspectives, and values infrastructure. We proposed an MPH curriculum reform with a more explicit focus on social justice. With substantial contributions from an interprofessional and diverse advisory board composed of faculty, staff, students, and alum, we developed a social justice training program to be integrated into the MPH curriculum. The overarching goal is to provide students with the skills necessary to not only discuss issues of injustice, but work toward health equity and justice in their careers. The program creates an arc from orientation to post-graduate evaluation, running throughout the nine required MPH core courses. The program\u27s curriculum is composed of eight key areas directly aligned with each of the following domains: Community Development; Economic Development & Funding Policies; Advocacy; Partnership and Engagement; Planning, monitoring, and evaluation; Quality healthcare; Root cause analysis; Analysis and assessment. Embedded in the program is a comprehensive evaluation of MPH students and faculty knowledge, perceptions, and gaps.Upon completion of the program, students will understand social justice concepts, recognize the root causes of health inequities, and develop skills necessary to dismantle injustice and advance a social justice agenda in global health careers
The Efficacy of Mobile Health Interventions Used to Manage Acute or Chronic Pain: A Systematic Review
Get PDFChronic pain is a significant health issue that affects approximately 50 million adults in the United States. Traditional interventions are not always an effective treatment strategy for pain control. However, the wide adoption of smartphones and the rapid growth of health information technologies over the past decade have created opportunities to use mobile health (mHealth) applications (apps) for pain tracking andselfmanagement. In this PRISMAcompliant systematic review, we assessed the current U.S.based research on painrelated mHealth apps to describe the app components and determine the efficacy of these interventions for persons with acute or chronic pain. We conducted a comprehensive search of five databases based on methodological guidelines from the Joanna Briggs Institute. We included articles reporting original data on mHealth interventions with pain intensity as a primary or secondary outcome and excluded articles that utilized multimoda linterventions. Of the original 4959 articles, only five studies met the eligibility criteria. Most of the interventions included feasibility or pilot studies, and all studies were published between 2015 and 2018. Two of the five studies used visual analog scales. Only two of the studies reported statistically significant pain intensity outcomes, and considerable heterogeneity between the studies limited our ability to generalize findings or conduct a metaanalysis. Research investigating the components and efficacy of painrelated mHealth apps as interventions is an emerging field. To better understand the potential clinical benefits of mHealth apps designed to manage pain, further research is needed
Data Science Methods for Nursing-Relevant Patient Outcomes and Clinical Processes The 2019 Literature Year in Review
Get PDFData science continues to be recognized and used within healthcare due to the increased availability of large data sets and advanced analytics. It can be challenging for nurse leaders to remain apprised of this rapidly changing landscape. In this article, we describe our findings from a scoping literature review of papers published in 2019 that use data science to explore, explain, and/or predict 15 phenomena of interest to nurses. Fourteen of the 15 phenomena were associated with at least one paper published in 2019. We identified the use of many contemporary data science methods (eg, natural language processing, neural networks) for many of the outcomes. We found many studies exploring Readmissions and Pressure Injuries. The topics of Artificial Intelligence/Machine Learning Acceptance, Burnout, Patient Safety, and Unit Culture were poorly represented. We hope that the studies described in this article help readers: (1) understand the breadth and depth of data science\u27s ability to improve clinical processes and patient outcomes that are relevant to nurses and (2) identify gaps in the literature that are in need of exploratio
Unitary Human Caring Science Embodied in Self/Soul and an AHNA Endorsed Holistic Nursing Curriculum
No full textThis presentation addresses how Unitary Human Caring Science (UHCS) is expressed throughout a hybrid pre-licensure Bachelor of Science (BSN) nursing program. UHCS emerged from harmonic coherence of the theoretical works of Rogers (1970,1992), Newman (1994), Smith (1992), and Watson (2008, 2012). The faculty added the word “human” to emphasize the lived experience of caring within nursing situations. Additional curricular influences were holistic nursing perspectives, quantum physics, complexity science, and indigenous wisdom. Input from multicultural partners was elicited throughout curriculum development. This theoretical framework is explicated by concepts central to the focus of the discipline of nursing as described by Newman, Smith, Pharris, and Jones (2008). In addition to the aforementioned, six National League for Nursing Integrating Concepts (NLN, 2010) form the foundational structure of the curriculum. Coupled with the lived experience and professional practice of nurse educators, clinicians and other outside advisors, the praxis of nursing is revealed. This curriculum received endorsement as an academic holistic nursing program by the American Holistic Nurses Credentialing Corporation (AHNCC) fall 2018. Endorsement attests to the distinction of this program and provides an opportunity for graduates to sit for the holistic nursing credentialing exam upon successful completion of the RN licensure exam.UHCS is suffused in didactic, lab, simulation, and clinical opportunities throughout the entire student educational experience. Holistic approaches are explored alongside practices of Western medicine. Contemplative practices, including meditation and other self-care approaches, are fostered to develop resilience and compassion for self and others. Students develop caritas literacy, the enhanced awareness and perception of caring in human environments, through reflections, self-assessments, peer critiques, written and verbal assignments, and nursing skill evaluations. Examples of these components are included in the student’s e-portfolio summative assignment. A sampling of these tools along with a depiction of the curriculum structure will be presented for dialogue
Development and Evaluation of an Interprofessional Community Health Course in Zambia
No full textPersistent global health inequities and workforce shortage require innovative strategies to prepare professionals for teamwork in a global context. Over two years, students (n = 33) from education, nursing, occupational therapy, public health, and physical therapy participated in a course in Zambia that emphasized interprofessional collaborative practice (IPP), cultural fluency, and understanding ecological approaches to health. Faculty measured the learning outcomes of the course using the Interprofessional Education Collaborative (IPEC) Competency Self-Assessment Tool (pre and posttest), and a focus group to gain a deeper understanding of the student experience and course effectiveness. The Beliefs, Events and Values Inventory (BEVI) was used post trip to determine feasibility of distribution and response of the tool via e-mail. These preliminary results suggested that students developed skills and knowledge related to IPP, cultural fluency, and ecological approaches to health. Specifically, students acknowledged growth in their ability to communicate more effectively with other health professions, and ability to evaluate personal assumptions and biases toward health, healthcare, and cultural practices. The method of developing this course could be a model for other institutions wanting to grow IPP experiences for their students
Meeting the Needs of The Global Community Through Occupational Revolution: The Evolution of The Plaster House
No full textResearch Objectives: To investigate the impact of holistic high love, low-cost care to almost 700 children with surgically treatable disabilities in Tanzania
Self-Reflection Interventions for Implicit Gender Bias Reduction: Scoping the Literature for a Conceptual Way Forward
Get PDFCurrent binary male/female perceptions of gender in the colonial West are inherently exclusionary, breed inequality and violence, and curb full expression of self, limiting personal and collective potential. Implicit biases are unseen cognitive forces within us, manipulating internal and external experiences of the illegitimate and manufactured gender binary that infuses into daily culture, and undermines our ability to achieve true equality in society. For the purposes of our design and develop framework, this scoping review assesses the 2010-2020 literature on self-reflection interventions to reduce implicit bias, identifies their foundational efficacy components, and suggests a model for applying to gender bias reduction interventions. We searched 6 databases using the a priori search terms “implicit bias” OR “unconscious bias” linked with the terms “self-reflection,” “introspection,” “journaling,” “mindfulness,” “meditation,” AND “intervention” and yielded a total of 1,603 results. After title review, abstract review, full-paper review, and utilization of the Joanna Briggs Institute critical appraisal tools, 15 articles remained for final scoping review analysis. Of the 15 articles, 11 showed significant efficacy of self-reflection interventions for reducing implicit bias. Meditation practice (MP) and loving-kindness meditation (LKM) arose as the most prominent forms of self-reflection. Content analysis resulted in four proposed mechanisms of change: extension of in-group, decreased automaticity, awareness and concern of bias, and practice. Results suggest effective foundational components for reducing implicit bias; a promising practice involving self-reflection that addresses all four proposed mechanisms of change will likely be the most effective educational model for reducing implicit gender bias in education, health care, and parenting
Why is Female Labor Force Participation Low and Stagnant in MENA? Experimental Evidence from Egypt
No full textSexual Violence Against Indigenous Women as Represented by the Performance of Regina José Galindo
No full textWhat did Guatemala do to deserve so much suffering? This question, like those so often posed to the indigenous victims of sexual violence committed during the Guatemalan internal conflict (who were accused of being somehow culpable for the attacks they suffered), drives at the heart of the problems addressed in this essay: how can artistic performance find new modes of representing violence that stop this practice of victim blaming, and how can it make this violence visible in a society that refuses to come to terms with its past? For centuries, the sexual abuse of women has been invisible in patriarchal societies due to the wide-spread belief that any woman not supported by a man is available for sexual satisfaction. This sentiment is even stronger in places with a long colonial history, where the indigenous population has been controlled and discriminated against in the process of imposing a European political and economic organization. The answer to the question what did Guatemala do is the same as that given by women conscious of the sexual crimes perpetrated against them: nothing. Neither Guatemala nor the women did anything to deserve so much suffering, the latter ‘guilty’ only of having been born female