Introduction Several measures to assess family planning service quality (FPQ) exist, yet there is limited evidence on their association with contraceptive discontinuation. Using data from the Measurement, Learning & Evaluation (MLE) Project, this study investigates the association between FPQ and discontinuation-while-in-need without switching in five cities in Kenya. Two measures of FPQ are examined - the Method Information Index (MII) and a comprehensive service delivery point (SDP) assessment rooted in the Bruce Framework for FPQ. Methods Three models were constructed two to assess MII reported in household interviews (as an ordinal and binary variable) among 1,033 FP users, and one for facility-level quality domains among 938 FP users who could be linked to a facility type included in the SDP assessment. Cox proportional hazards ratios were estimated where the event of interest was discontinuation-while-in-need without switching. Facility-level FPQ domains were identified using exploratory factor analysis (EFA) using SDP assessment data from 124 facilities. Results A woman's likelihood of discontinuation-while-in-need was approximately halved whether she was informed of one aspect of MII (HR 0.45, p less then 0.05), or all three (HR 0.51, p less then 0.01) versus receiving no information, when MII was assessed as an ordinal variable. Six facility-level quality domains were identified in EFA. Higher scores in information exchange, privacy, autonomy & dignity and technical competence were associated with a reduced risk of discontinuation-while-in-need (p less then 0.05). Conclusions The MII has potential as an actionable metric for FPQ monitoring at the health facility level. Furthermore, family planning facilities and programs should emphasize information provision and client-centered approaches to care alongside technical competence in the provision of FP care. Copyright © 2020 Feeser K et al.When providing psychiatric care to patients, cultural considerations are necessary to ensure that patients' individual healthcare needs are known and addressed. Failure to incorporate cultural considerations such as food preferences, gender congruency with nursing care, awareness of faith and religious practices, and the use of alternative medicinal and herbal approaches to healthcare treatment, can result in poor treatment engagement and outcomes for patients. The provision of culturally competent health care for psychiatric patients must be patient-centered; with nurses and all healthcare team members collaborating with patients and their families (significant others) in the delivery of safe, high quality, and effective care. Copyright© by the National Black Nurses Association, Inc.African-American men are significantly underrepresented in nursing. An increase in African-American nurses would more accurately represent the patient demographic and has the potential of mitigating health disparities in this population. This study used a qualitative approach with interviews from 7 participants recruited from barbershops in Northern California. As a result, 3 major themes emerged from the data (a) minimal understanding of how to become a nurse, (b) the stigma of a feminized profession, and (c) a need for African-American men in nursing. Furthermore, this study found that barbershops are a viable setting for obtaining the perspectives of African-American men. This data provides important information about where schools of nursing can focus resources when trying to recruit African-American men. Providing detailed information about what nurses do and by depicting how nursing has changed over the decades to include men might be a mechanism for African-American men to consider nursing as a career option. Copyright© by the National Black Nurses Association, Inc.African-American women have embraced the role of a 'Superwoman' and felt a sense of pride in being able to manage multiple roles. The responsibilities associated with multiple roles can be overwhelming, especially when experiencing injustices (e.g., microaggression and role strain) while performing roles both at work and at home. African-American women remain the most disrespected and vulnerable population currently in healthcare as well as having the highest cardiovascular adverse event rate in the 20 to 49 years of age range. Chronic exposure to inequities as a Superwoman can activate inflammatory markers resulting in a weakened immune system, increased cardiovascular risk factors, and a shortened life expectancy. This article explores the Superwomen experience and its impact on health outcomes, with a focus on minimizing cardiovascular morbidity and mortality. Copyright© by the National Black Nurses Association, Inc.Using a bibliometric method, this study assessed global educational research output on interprofessional education (IPE) and contributions from pharmacy relative to other healthcare academic programs, such as nursing, over the last 20 years. The Web of Science database was searched for articles published between 1998 and 2018. In addition, PubMed and the journals the American Journal of Pharmaceutical Education, Currents in Pharmacy Teaching and Learning, and INNOVATIONS in pharmacy were searched. Data were retrieved on January 31, 2019 and systematic content analysis method was used. Number of publications, citations, H-index, and scope of IPE research including IPE settings, IPE curriculum, pedagogy, and assessment methods was recorded. https://www.selleckchem.com/products/cx-5461.html A total of 1693 references were retrieved that met the inclusion criteria. From the review of the literature, it was plausible to assume that the number of publications increased exponentially from 2010 to 2017. The results indicated that the top 5 healthcare disciplines contributing to the IPE literature included medicine (41.2%), nursing (36.2%), pharmacy (9.0%), dentistry (8.2%), occupational therapy (5.6%), and physical therapy (4.6%). A total of 295 journals published IPE-related articles. The Journal of Interprofessional Care published a total of 566 articles, accounting for 33% of all published articles. In addition, a total of 66 countries contributed to IPE publications. The top 4 countries publishing in the area of IPE were the United States (27%), Canada (17.5%), the United Kingdom (16.1%), and Australia (10.2%). The content analysis of the articles identified diverse IPE settings, pedagogical methods, and assessments as major areas of IPE research. Copyright© by the National Black Nurses Association, Inc.
Introduction Several measures to assess family planning service quality (FPQ) exist, yet there is limited evidence on their association with contraceptive discontinuation. Using data from the Measurement, Learning & Evaluation (MLE) Project, this study investigates the association between FPQ and discontinuation-while-in-need without switching in five cities in Kenya. Two measures of FPQ are examined - the Method Information Index (MII) and a comprehensive service delivery point (SDP) assessment rooted in the Bruce Framework for FPQ. Methods Three models were constructed two to assess MII reported in household interviews (as an ordinal and binary variable) among 1,033 FP users, and one for facility-level quality domains among 938 FP users who could be linked to a facility type included in the SDP assessment. Cox proportional hazards ratios were estimated where the event of interest was discontinuation-while-in-need without switching. Facility-level FPQ domains were identified using exploratory factor analysis (EFA) using SDP assessment data from 124 facilities. Results A woman's likelihood of discontinuation-while-in-need was approximately halved whether she was informed of one aspect of MII (HR 0.45, p less then 0.05), or all three (HR 0.51, p less then 0.01) versus receiving no information, when MII was assessed as an ordinal variable. Six facility-level quality domains were identified in EFA. Higher scores in information exchange, privacy, autonomy & dignity and technical competence were associated with a reduced risk of discontinuation-while-in-need (p less then 0.05). Conclusions The MII has potential as an actionable metric for FPQ monitoring at the health facility level. Furthermore, family planning facilities and programs should emphasize information provision and client-centered approaches to care alongside technical competence in the provision of FP care. Copyright © 2020 Feeser K et al.When providing psychiatric care to patients, cultural considerations are necessary to ensure that patients' individual healthcare needs are known and addressed. Failure to incorporate cultural considerations such as food preferences, gender congruency with nursing care, awareness of faith and religious practices, and the use of alternative medicinal and herbal approaches to healthcare treatment, can result in poor treatment engagement and outcomes for patients. The provision of culturally competent health care for psychiatric patients must be patient-centered; with nurses and all healthcare team members collaborating with patients and their families (significant others) in the delivery of safe, high quality, and effective care. Copyright© by the National Black Nurses Association, Inc.African-American men are significantly underrepresented in nursing. An increase in African-American nurses would more accurately represent the patient demographic and has the potential of mitigating health disparities in this population. This study used a qualitative approach with interviews from 7 participants recruited from barbershops in Northern California. As a result, 3 major themes emerged from the data (a) minimal understanding of how to become a nurse, (b) the stigma of a feminized profession, and (c) a need for African-American men in nursing. Furthermore, this study found that barbershops are a viable setting for obtaining the perspectives of African-American men. This data provides important information about where schools of nursing can focus resources when trying to recruit African-American men. Providing detailed information about what nurses do and by depicting how nursing has changed over the decades to include men might be a mechanism for African-American men to consider nursing as a career option. Copyright© by the National Black Nurses Association, Inc.African-American women have embraced the role of a 'Superwoman' and felt a sense of pride in being able to manage multiple roles. The responsibilities associated with multiple roles can be overwhelming, especially when experiencing injustices (e.g., microaggression and role strain) while performing roles both at work and at home. African-American women remain the most disrespected and vulnerable population currently in healthcare as well as having the highest cardiovascular adverse event rate in the 20 to 49 years of age range. Chronic exposure to inequities as a Superwoman can activate inflammatory markers resulting in a weakened immune system, increased cardiovascular risk factors, and a shortened life expectancy. This article explores the Superwomen experience and its impact on health outcomes, with a focus on minimizing cardiovascular morbidity and mortality. Copyright© by the National Black Nurses Association, Inc.Using a bibliometric method, this study assessed global educational research output on interprofessional education (IPE) and contributions from pharmacy relative to other healthcare academic programs, such as nursing, over the last 20 years. The Web of Science database was searched for articles published between 1998 and 2018. In addition, PubMed and the journals the American Journal of Pharmaceutical Education, Currents in Pharmacy Teaching and Learning, and INNOVATIONS in pharmacy were searched. Data were retrieved on January 31, 2019 and systematic content analysis method was used. Number of publications, citations, H-index, and scope of IPE research including IPE settings, IPE curriculum, pedagogy, and assessment methods was recorded. https://www.selleckchem.com/products/cx-5461.html A total of 1693 references were retrieved that met the inclusion criteria. From the review of the literature, it was plausible to assume that the number of publications increased exponentially from 2010 to 2017. The results indicated that the top 5 healthcare disciplines contributing to the IPE literature included medicine (41.2%), nursing (36.2%), pharmacy (9.0%), dentistry (8.2%), occupational therapy (5.6%), and physical therapy (4.6%). A total of 295 journals published IPE-related articles. The Journal of Interprofessional Care published a total of 566 articles, accounting for 33% of all published articles. In addition, a total of 66 countries contributed to IPE publications. The top 4 countries publishing in the area of IPE were the United States (27%), Canada (17.5%), the United Kingdom (16.1%), and Australia (10.2%). The content analysis of the articles identified diverse IPE settings, pedagogical methods, and assessments as major areas of IPE research. Copyright© by the National Black Nurses Association, Inc.
0 Commentaires 0 Parts 18 Vue 0 Aperçu
Commandité