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Boosting Nurse Retention in Home Health Care Through Psychological Safety: A Leadership Toolbox
No full textHome health nursing is a critical yet demanding field with high turnover rates, largely due to job dissatisfaction. This turnover negatively impacts patient care quality, organizational stability, and health care costs. Nurse leaders play a vital role in cultivating work environments that promote job satisfaction and retention; however, leadership training in this area is often lacking. Psychological safety contributes to higher job satisfaction, higher quality care, and lower turnover. This project explores psychological safety as a leadership strategy to strengthen job satisfaction and decrease turnover in home health nursing. Grounded in Elizabeth Barrett’s concept of power as freedom and transformational leadership principles, this project introduces a leadership toolbox designed to equip nurse leaders with strategies for fostering a psychologically safe work environment. The toolbox provides actionable steps in a three-phased approach, including leadership development, workplace assessment, and team-based improvement efforts, to create a supportive and empowering work environment. Psychological safety initiatives are evaluated using quantitative data from pre- and post-intervention Likert scale surveys combined with a qualitative feedback review. Future research should explore the long-term impact of psychological safety interventions, expand leadership training programs, and examine interdisciplinary team dynamics in home care settings. The implications of this work highlight the importance of leadership development in creating sustainable, positive work environments that enhance nurse retention and improve patient outcomes
Factors Influencing Successful Community Reentry for Formerly Incarcerated Men Who Have Received Supportive Services: A Qualitative Study
No full textThe current study examined reentry experience among men following incarceration to determine salient protective and risk factors. The study reviews the impacts of incarceration, previous factors of recidivism identified in research, and qualitative research conducted on justice-involved individuals. Using a grounded theory qualitative approach, nine men recruited from a substance use treatment program who were released from prison within the past five years were interviewed to explore protective and risk factors. Findings from the current study were consistent with previous research in identifying barriers to reentry, such as difficulties finding housing, employment, and transportation. Additional findings indicate the importance of examining the interaction of systemic, interpersonal, and personal factors, with how a person’s feelings and perception shaping their view of support or lack thereof for interpersonal and systemic factors, such as social support, relationships with parole officers, and accessing resources available to formerly incarcerated men. Implications for future research include examining hope and resilience for those in reentry experiences
Supporting Maternal Mental Health in the Postpartum Period with the Use of Home Resource Kit
Get PDFPostpartum mental health disorders, including postpartum depression and anxiety, can affect a significant proportion of new mothers for centuries. This paper explores the development, implementation, and evaluation of an at-home mental health resource kit designed to support maternal mental health while navigating the stresses of new motherhood. Utilizing Jean Watson\u27s Theory of Human Caring as a theoretical framework, the study assesses the effectiveness of integrative therapies such as aromatherapy, mindful meditation, and educational resources in managing postpartum stress. Data collected through pre- and post-surveys and roundtable discussions provide insights into the benefits and limitations of these interventions. The findings indicate that maternal mental health resource kits can serve as a viable supplementary tool in promoting postpartum mental wellness
Diabetes Management in the Hmong Population
No full textDiabetes Mellitus is the most prevalent and detrimental comorbidity to many diseases. A comprehensive holistic approach to diabetes education with cultural emphasis on lifestyle modification is used to bridge the gap between culture and health professionals. The purpose of the scholarly project was to deliberate diabetes education with cultural emphasis to help Hmong patients manage diabetes. A quantitative measure of questionnaire was utilized to identify the gaps of knowledge in diabetes management. Nurse practitioners are essential to the sustainability of patient health outcomes. To improve health outcome of diabetes management, this scholarly project will discuss best practices for the integration of care with the emphasis of culture. This project will identify how culture beliefs and values will impact the health of each patient, identify the improvement of knowledge with diabetes from a culturally sensitive approach, and discuss the impact and significance of nurse practitioners.
Key words: diabetes, Hmong, holistic, culture, education, health outcom
PRENATAL LACTATION EDUCATION IN THE SOMALI COMMUNITY
No full textBreastfeeding significantly reduces adverse health outcomes for mothers and infants. However, Somali women in Minnesota exhibit lower rates of exclusive breastfeeding compared to their white counterparts. Nurse leaders in the Somali community identified a critical need for culturally tailored prenatal lactation education to address this disparity and improve health outcomes. Thus, this project was created in response to that need, which aims to develop and evaluate a Prenatal Lactation Education Toolkit designed to increase support and prenatal lactation education within the Somali community, addressing specific cultural and social needs. Guided by Leininger\u27s Theory of Transcultural Nursing and emphasizing bearing witness, collaboration, health promotion, and trust-building, this project centered on the community voice. The effectiveness of the project will be evaluated using focus groups and Likert scales to assess participant perceptions and areas for improvement. The initiative demonstrates the effectiveness of a culturally customized Prenatal Lactation Education Toolkit to enhance prenatal lactation education within the Somali community. The toolkit is a valuable resource for community members to promote breastfeeding and improve health outcomes. Further research is needed to assess long-term impacts
Post-traumatic stress disorder survivors: Effective interventions and treatment
No full textBackground: Post-Traumatic Stress Disorder (PTSD) presents enduring challenges for individuals exposed to trauma, necessitating effective interventions to mitigate its debilitating effects. Tailored interventions play a pivotal role in preventing chronicity and restoring well-being post-trauma.
Purpose: This literature review aims to explore early interventions, psychological treatments, and alternative approaches for managing PTSD. It investigates the efficacy of various interventions in reducing PTSD symptoms and improving overall well-being.
Methods: A comprehensive literature review was conducted using Google Scholar, focusing on studies published between 2018 and 2024. Search terms included best early PTSD interventions, psychotherapy for PTSD, alternative medicines for PTSD, and music therapy for PTSD use.
Conclusions: Early interventions within three months post-trauma, such as eye movement desensitization and reprocessing therapy, and cognitive therapy, show promise in reducing PTSD symptom severity. Psychological treatments such as cognitive behavioral therapy demonstrate efficacy in alleviating PTSD symptoms, alongside innovative approaches like brief eclectic psychotherapy. Alternative interventions, including mindfulness-based interventions, acupuncture, Traditional Chinese Medicine, and music therapy, offer additional avenues for symptom reduction and emotional well-being improvement. Integrating these interventions into clinical practice provides a comprehensive framework for addressing the diverse needs of PTSD survivors, emphasizing the importance of tailored, evidence-based approaches. As research evolves, ongoing efforts are crucial to refine therapeutic strategies and optimize outcomes for individuals affected by PTSD, ensuring comprehensive support and improved quality of life
Increasing Language Access to Provide Culturally Competent Care in Linguistically Diverse Patients
No full textAmerica continues to experience a steady increase in the immigration population, resulting in a continual growth of languages and diversity. The American health care system can be difficult to navigate for patients with limited English proficiency or who are linguistically diverse. Language barriers can result in miscommunication and adverse patient outcomes. Effective communication is imperative for positive patient outcomes. Health literacy is important in predicting overall health. Medical interpreters are integral to bridging the gap between patients and providers; however, providing patients with literature in their preferred language is also beneficial. A Midwest Medical Center provides brochures with information about the rehabilitation unit criteria and routines for patients who are candidates to transfer to the rehabilitation unit, but they are written in English. Patients who cannot read the brochures are at an increased risk of not understanding the criteria, resulting in misunderstandings and patient and staff dissatisfaction. A quality improvement project assisted non-English speaking patients by translating the rehabilitation unit brochures into Spanish and Arabic to address this health disparity. Leininger\u27s Cultural Care Diversity and Universality theory and its concepts and assumptions were used as the framework to guide this project. This project aims to provide patients with information about the rehabilitation unit in their preferred language, increasing understanding and providing culturally competent care for linguistically diverse patients
How has telehealth impacted access to mental health services in the Hispanic population in Minnesota?
Get PDFBackground: The Hispanic population in the US continues to grow and mental health services still have barriers lowering access to care.
Purpose: The purpose of this literature review is to look at the stressors and perceptions of mental health in Hispanics and analyze how telehealth has impacted access to care despite the barriers present.
Methods: A comprehensive literature review was conducted using google scholar using the search terms With this search criteria, 600 articles were available. Inclusion criteria were studies that provided a comprehensive view about specific topics like telehealth with the hispanic population, mental health specific to Hispanic needs, and societal context to the utilization of telehealth mental health services in the Hispanic population. Exclusion criteria were studies that were older than 2018, systematic reviews, articles where the Hispanic population was not the main or one of the main population studied.
Conclusions: Telehealth so far has allowed Hispanic patients to be able to get MHS online, decreasing some of the barriers to care present in face-to-face visits. More research needs to be done in places like Minnesota’s Hispanic population
Impact of Race on the Relationship Between Adverse Childhood Experience and Mental Health in the Minnesota Homeless Population
Get PDFIt is well established that the homeless population endorses more adverse childhood experiences (ACEs) than the general population and is also more susceptible to mental health and substance use disorders. Of note, individuals who identify as Black, Indigenous, and People of Color (BIPOC) are disproportionally affected by homelessness compared to their White counterparts. Little is known about the relationships between ACEs, mental health, and substance use in the homeless community. The present study examined the relationship between ACEs and a number of psychosocial outcomes, including mental health diagnoses, current substance use, and long-term substance use in an adult homeless population (N = 412) located in Minnesota. The impact of participant race and ethnicity as a moderator on the relationship between ACEs and various psychosocial outcomes was also explored. The study utilized archival data from the Minnesota Homeless Study (Wilder Research, 2018), which focuses on capturing the experience of the homeless population in Minnesota. Results showed that as the number of ACEs increased among the sample, so did the likelihood of a mental health disorder. Additionally, the number of ACEs reported was significantly associated with long-term substance use, indicating that as the number of ACEs increased, so did the likelihood of long-term substance use. ACEs were not associated with current substance. However, when the homeless population was considered as a whole. When separated by racial/ethnic identity, only White participants were more likely to endorse current substance use as ACEs increased. Directions for future research (short versus long-term substance use) and clinical implications, such as ACE-specific interventions, are discussed
Effective methods in communicating assessment results to individuals with limited English proficiency: A survey of current psychologists’ practices.
Get PDFThe use of language interpreters is a primary solution for providing inclusive language services when conducting psychological assessments for people with limited English proficiency. However, this approach has limitations that have negatively affected the ability of clients with limited English proficiency to comprehend assessment results and adhere to recommendations. The purpose of this study was to improve the current understanding of effective methods for communicating assessment results to persons with limited English proficiency (PLEP) and working with language interpreters. Eight participants were interviewed about their current methods of communicating results and working with language interpreters during a feedback session. Consensual Qualitative Research was used as a qualitative method to analyze the data obtained from the participants. The findings demonstrate that the inclusion of diverse communication methods, such as visual aids, cultural figurative language, and numbers, can be helpful for clinicians when working with PLEP or those with limited health literacy to increase the comprehension of results. Additionally, the findings indicate that the inclusion of various healthcare professionals (e.g., social worker, referral source, family members) in assessment feedback could be a helpful option to use when working with PLEP to increase their comprehension of results and adherence to recommendations. Finally, increased collaboration with language interpreters can be a valuable area for clinicians to explore. Specifically, further training on how to include interpreters in sessions and using the interpreter’s knowledge of the targeted culture to assist in building rapport and increase effective communication