MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Public Health Nursing' source. Mon, 15 Mar 2010 15:03:52 +0100 http://www.medworm.com/index.php?rid=3285807&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2010.00832.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3285807 Fri, 19 Feb 2010 14:52:40 +0100 3285807 http://www.medworm.com/index.php?rid=3285819&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2010.00844.x ABSTRACT The original article from which these excerpts were taken, "Some Hints to the Nurse Who Seeks to Become a Successful Partner in the Community Health Program," by Mary Margaret Muckley, was published the 1923 volume of the original Public Health Nursing journal. The paper listed practical pointers to nurses wanting to work in the area of public or community health nursing. The author's advice involved personal attributes, professional engagement, skills, effective organization, and community relations. Much of the original article contained sound advice for aspirants to nursing work in community settings, but some advice may be considered too idealistic even for this optimistic time period. While the particular references to organizations and agencies existing in Helena, Montana ha... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3285819 Thu, 18 Feb 2010 00:00:00 +0100 3285819 http://www.medworm.com/index.php?rid=3285818&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2010.00841.x This article describes the Multisource Method (MSM), which, in combination with a workshop format, may be used by health professionals and researchers in health promotion program development. The MSM draws on positive deviance practices and processes, focus groups, community advisors, behavioral change theory, and evidence-based strategies. Use of the MSM is illustrated in the development of ethnic-specific weight loss interventions for low-income postpartum women. The MSM may be useful in designing future health programs designed for other special populations for whom existing interventions are unavailable or lack relevance. (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3285818 Thu, 18 Feb 2010 00:00:00 +0100 3285818 http://www.medworm.com/index.php?rid=3285817&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2010.00840.x ABSTRACT This paper explores the current literature related to legal issues encountered by the public health nurse in Ireland in visiting clients exhibiting self-neglecting behavior. Nurses working in community settings where home visiting of clients is required will at some point encounter situations of client self-neglect. Possession of a clear legal framework for the local area that addresses both the nurse's professional responsibility and the client's rights is needed. Because a high incidence of depression and dementia seen in self-neglecting adults has prompted calls for wider screening of the agreeable client, an understanding of the definition of competence and capacity in the national legal system for that client becomes critical. In Ireland, as in many other countries, refusal o... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3285817 Thu, 18 Feb 2010 00:00:00 +0100 3285817 http://www.medworm.com/index.php?rid=3285816&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2010.00839.x This study examined stakeholder's knowledge, risk-perception, and willingness to volunteer. The design of this study is a cross-sectional survey. Questionnaires were sent to 1,512 nursing students and were returned by 484, yielding a response rate of 32% for this subgroup. Nursing students may be a much-needed human resource in the event of an influenza pandemic. The measurement tool was a Web-based questionnaire regarding pandemic influenza designed by a subgroup of researchers on the Public Health Response Committee. Most nursing students (67.9%) said they were likely to volunteer in the event of a pandemic if they were able to do so. An even higher number (77.4%) said they would volunteer if provided protective garments. Overall, 70.7% of students supported the proposition that nursing ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3285816 Thu, 18 Feb 2010 00:00:00 +0100 3285816 http://www.medworm.com/index.php?rid=3285815&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2010.00838.x ABSTRACT Ongoing threats of bioterrorism and the consequences of natural disasters require nurses entering the workforce to be competent in emergency preparedness. Nurses need to collaborate with multidisciplinary teams and use their critical thinking skills to provide safe nursing care during potentially chaotic public health emergencies. Using Institute of Medicine recommendations and Quality and Safety Education for Nurses competencies, the authors describe a public health emergency simulation exercise with undergraduate senior nursing students enrolled in a public health clinical course. Students applied chronic disease, mental health, and pharmacology knowledge acquired in previous nursing courses to an unfolding infectious disease outbreak while practicing their assessment, treatment... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3285815 Thu, 18 Feb 2010 00:00:00 +0100 3285815 http://www.medworm.com/index.php?rid=3285814&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2010.00843.x ABSTRACT Objective: The U.S. Surgeon General reports that there is no safe level of exposure to secondhand smoke (SHS). The purpose of this study was to measure levels of fine particulate matter in nonsmoking casino restaurants after enactment of Nevada's Clean Indoor Air Act (NCIAA). Fine particulate matter (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3285814 Thu, 18 Feb 2010 00:00:00 +0100 3285814 http://www.medworm.com/index.php?rid=3285813&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2010.00842.x ABSTRACT Chronic hepatitis B virus (HBV) infection is the leading cause of cirrhosis, liver failure, and liver cancer, and an estimated 620,000 persons die annually from HBV-related liver disease (Goldstein et al., 2005; World Health Organization, 2000). Immunization with the HBV vaccine is the most effective means of preventing HBV infection and its consequent acute and chronic liver diseases such as cirrhosis and hepatocellular carcinoma. The HBV vaccine has been used against HBV in the United States since 1982 (Centers for Disease Control and Prevention, 1982); during the last 25 years, HBV vaccine policy continued to evolve in response to public health issues and epidemiologic data. Although the number of newly acquired HBV infections has substantially declined as a result of implement... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3285813 Thu, 18 Feb 2010 00:00:00 +0100 3285813 http://www.medworm.com/index.php?rid=3285812&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2010.00837.x This article describes the evolution of Nebraska's BPCU strategy for public health preparedness in the face of a biological threat. Design priorities, unit management, challenges, and lessons learned will be shared to guide others in establishing similar infrastructure. (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3285812 Thu, 18 Feb 2010 00:00:00 +0100 3285812 http://www.medworm.com/index.php?rid=3285811&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2010.00836.x ABSTRACT Reflective practice is defined as a cyclical process involving a series of phases in which an individual describes a salient event, attends to his/her positive and negative feelings about the event, and ultimately reexamines the experience in an effort to understand and to plan how he or she would act in a similar situation in the future. This paper describes how the concept of reflective practice is integrated into the evidence-based Nurse-Family Partnership (NFP) program. The pivotal role of the nursing supervisor in guiding nurses to engage in reflection on their work with families is emphasized. Exemplars drawn from the experience of 2 NFP nursing supervisors are presented to illustrate how reflection in the NFP program is operationalized. The benefits as well as the challenge... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3285811 Thu, 18 Feb 2010 00:00:00 +0100 3285811 http://www.medworm.com/index.php?rid=3285810&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2010.00835.x ABSTRACT Objectives: To describe the environmental health (EH) demands placed on public health nurses (PHNs) as well as the barriers and facilitators to incorporating EH into PHN practice. A cross-sectional multimode (Web and pencil/paper) survey was used to collect data from PHNs in 1 rural western state. Research participants included 141 PHNs from a total of 228 survey invitations (61% response). A 39-item questionnaire was developed to measure the frequency of EH demands experienced by PHNs as well as the barriers and facilitators to the incorporation of EH into PHN practice and standard demographics. Significant numbers of PHNs reported less than baccalaureate preparation (29%), suggesting that EH competencies cannot be assumed. PHNs are often asked for basic EH information and cite l... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3285810 Thu, 18 Feb 2010 00:00:00 +0100 3285810 http://www.medworm.com/index.php?rid=3285809&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2010.00834.x ABSTRACT Objective: The purpose of this study was to examine the effect of a cultural intervention (CI) on increasing adherence to latent tuberculosis infection (LTBI) therapy among Latino immigrants. This clinical study used a preexperimental design. A nonprobability sample of 86 Latino immigrant clients who were starting LTBI therapy were enrolled in the intervention. The comparison group was an historical sample of 131 clients' records randomly selected from the previous year. The CI, designed by the principal investigator, was delivered by 2 Spanish-speaking interventionist nurses at each of 9 clinic visits. The intervention was based on Latino cultural values and included 5 components. The patients' adherence was measured by a self-report of the number of pills taken. The findings of ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3285809 Thu, 18 Feb 2010 00:00:00 +0100 3285809 http://www.medworm.com/index.php?rid=3285808&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2010.00833.x ABSTRACT Objective: American Indian youth experience a greater prevalence of obesity compared with the general U.S. population. One avenue to reverse the trend toward increasing obesity prevalence is through promoting physical activity. The goal of this project was to understand tribal youths' current patterns of physical activity behavior and their beliefs and preferences about physical activity. This assessment used a community-based participatory research approach. Sample included 35 Native youth aged 8[ndash]18. A Community Advisory Board was created that specifically developed an exercise survey for this assessment to explore physical activity patterns, preferences, and determinants. Twenty-six youth completed the survey. Descriptive statistics were analyzed, exploring differences by ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3285808 Thu, 18 Feb 2010 00:00:00 +0100 3285808 http://www.medworm.com/index.php?rid=3113139&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00820.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3113139 Wed, 23 Dec 2009 14:40:17 +0100 3113139 http://www.medworm.com/index.php?rid=3113150&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00831.x ABSTRACT The Association of Community Health Nursing Educators (ACHNE) Research Committee initiated a revision of the ACHNE Research Priorities for public health nursing practice in 2006, following those developed in 1992 and in 2000. The committee (a) reviewed public health nursing research abstracts (n=485) from 7 selected nursing journals to evaluate progress in addressing the 2000 Priorities; (b) identified research methods used, health issues and health behaviors addressed, and demographics of study populations in the abstracts; and (c) reviewed research priorities from key federal funding agencies and journal editors. Overall, progress toward meeting previous priorities was modest, with a limited range of methods, topics, and samples described. The 2009 ACHNE Research Priorities for ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3113150 Tue, 22 Dec 2009 00:00:00 +0100 3113150 http://www.medworm.com/index.php?rid=3113149&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00830.x ABSTRACT The Association of Community Health Nursing Educators (ACHNE) has developed a number of documents designed to delineate the scope and function of community/public health nursing (C/PHN) educators, researchers, and practitioners. Consistent with the mission of ACHNE, this position paper entitled Academic Faculty Qualifications for Community/Public Health Nursing has been developed by the Faculty Qualifications Task Force. The shortage of qualified nursing faculty has been well documented. In particular, this shortage has increased the difficulty in having sufficient numbers of faculty who are educationally and experientially qualified to teach in the C/PHN specialty. ACHNE is addressing this concern by setting forth preferred qualifications for faculty to teach C/PHN at both the gr... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3113149 Tue, 22 Dec 2009 00:00:00 +0100 3113149 http://www.medworm.com/index.php?rid=3113148&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00829.x ABSTRACT Using an expanded Social Cognitive Theory (SCT) model, we hypothesized that self-efficacy, outcome expectations, and exercise self-definition would predict exercise adoption. This secondary analysis examined data from a prospective single-group study of low-income women who received a physician screen and referral to a community-based, free exercise program. The sample included 190 older, low-income women with a mean age of 64 years, the majority of whom were African American (66%) and had at least one cardiovascular risk factor (92%). Baseline values of self-efficacy, outcome expectations, and exercise self-definition were measured using instruments developed for the study. Exercise adoption was defined as the number of exercise sessions completed over 8 weeks. Our hypothesis was... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3113148 Tue, 22 Dec 2009 00:00:00 +0100 3113148 http://www.medworm.com/index.php?rid=3113147&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00828.x Conclusion: The results of this study indicate that, with further testing, the Knowledge, Attitudes, and Opinions Concerning Faith Community Nursing Survey has the potential to expand assessment of barriers to faith community nursing. (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3113147 Tue, 22 Dec 2009 00:00:00 +0100 3113147 http://www.medworm.com/index.php?rid=3113146&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00827.x This article explores characteristics of successful ethical partnerships in global health and the challenges that threaten them, introducing a consensus community engagement model as a framework for building relationships, evolving an understanding of needs, and collaboratively developing solutions and responses to priority health needs in underserved regions of the world. The community engagement model is applied to a case study of an initiative by a U.S. school of nursing to establish long-term relationships with the nursing community in the Caribbean region with the goal of promoting transformative change through collaborative development of programs and services addressing health care needs of the region's growing elderly population and the increasing prevalence of noncommunicable chro... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3113146 Tue, 22 Dec 2009 00:00:00 +0100 3113146 http://www.medworm.com/index.php?rid=3113145&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00826.x ABSTRACT Popularity of waterpipe smoking or hookah smoking in the United States has been growing for some time now among youth and young adults. Currently, many cities and states have exemptions that allow hookah bars to remain in operation despite the passage of clean indoor air legislation. From a public health perspective this is concerning for many reasons. One public health concern with the increase in popularity of this type of tobacco use is the associated health effects. Another concern is that hookah smoke produces a sweet smelling aroma making it less obvious that patrons and employees of hookah bars are inhaling noxious fumes from mainstream smoke, as well as the toxins from the charcoal that is used to heat the tobacco. The purpose of this paper is to discuss smoke-free air leg... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3113145 Tue, 22 Dec 2009 00:00:00 +0100 3113145 http://www.medworm.com/index.php?rid=3113144&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00825.x The objective of this study was to assess the self-reported terrorism preparedness and training needs of a nurse workforce. Cross-sectional prevalence of practicing nurses in regions of North Texas. 3,508 rural nurses practicing in North Texas participated in the study. Data were collected through a mailed survey; analyses included multinominal logistic regression and descriptive statistics. A total of 941 (27%) nurses completed the survey. The majority of respondents reported limited bioterrorism-related training. Fewer than 10% were confident in their ability to diagnose or treat bioterrorism-related conditions. Although only 30% expressed a willingness to collaborate with state and local authorities during a bioterrorism event, more than 69% indicated interest in future training opportu... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3113144 Tue, 22 Dec 2009 00:00:00 +0100 3113144 http://www.medworm.com/index.php?rid=3113143&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00824.x ABSTRACT East Garfield Park, IL, is an impoverished community with 59.7% of residents falling below twice the poverty level and 42.6% of its children in poverty. In 2001, the leading causes of hospitalizations were heart disease (10.3%), diabetes (2%), and asthma (3.9%), all of which occur at frequencies 33% greater than the Chicago average. Finally, a review of the health care facilities in the community suggests that there is a need for accessible primary health care services in the area. The purpose of this project was to improve health outcomes in an impoverished, underserved community with documented health care needs and lack of adequate health care services by creating a community-academic partnership to provide on-site, interdisciplinary, health care services within an established ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3113143 Tue, 22 Dec 2009 00:00:00 +0100 3113143 http://www.medworm.com/index.php?rid=3113142&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00823.x ABSTRACT To determine why parents in a Utah community hesitated in immunizing their children. Cross-sectional descriptive study. Data were collected from a convenience sample of 86 parents of under-immunized children in the county health department and local pediatric and family practice offices. Participants were asked to complete an immunization hesitancy survey including questions regarding why parents hesitated to immunize their children, parental concerns regarding immunizations, and what advice they would give to a friend or family member who had concerns about childhood vaccines. Parents could also write in any other comment, concern, or suggestion they had regarding childhood immunizations. 2 major themes were identified: concerns regarding immunization safety and lack of perceived... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3113142 Tue, 22 Dec 2009 00:00:00 +0100 3113142 http://www.medworm.com/index.php?rid=3113141&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00822.x ABSTRACT Objective: This is an evaluation of the process and outcome of a research study to determine a culturally targeted health promotion program for U.S. Pacific Islander youth who are at risk for co-occurring problem behaviors, including risky sexual behavior, substance abuse, and interpersonal violence. An exploratory design was used and included qualitative interviews (N=54), focus groups (N=16), participant observation (over 3 years), and surveys (N=24) with Pacific Islander adults and youth. After identifying key cultural values and reviewing existing evidence-based prevention interventions, "Project Talanoa" was developed around 4 constructs: (1) cultural identity and pride, (2) teen health, (3) peer relations, and (4) family ties. The program was pilot tested and evaluated by 24... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3113141 Tue, 22 Dec 2009 00:00:00 +0100 3113141 http://www.medworm.com/index.php?rid=3113140&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00821.x ABSTRACT To identify the overlapping and unique health and safety needs and concerns identified by early care and education (ECE) directors, health records, and observed compliance with national health and safety (NHS) standards. Cross-sectional study. 127 ECE programs from 5 California counties participated in the study, including 118 directors and 2,498 children's health records. Qualitative data were collected using standardized ECE directors' interviews to identify their health and safety concerns; and objective, quantitative data were collected using child health record reviews to assess regular health care, immunizations, health insurance, special health care needs, and screening tests and an observation Checklist of 66 key NHS standards collected by research assistants. The overlapp... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=3113140 Tue, 22 Dec 2009 00:00:00 +0100 3113140 http://www.medworm.com/index.php?rid=2918240&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00807.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2918240 Fri, 23 Oct 2009 13:36:19 +0100 2918240 http://www.medworm.com/index.php?rid=2918254&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00819.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2918254 Wed, 21 Oct 2009 23:00:00 +0100 2918254 http://www.medworm.com/index.php?rid=2918253&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00818.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2918253 Wed, 21 Oct 2009 23:00:00 +0100 2918253 http://www.medworm.com/index.php?rid=2918252&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00817.x The purpose of this study was to translate and psychometrically assess the Breastfeeding Self-Efficacy Scale (BSES) among women living in Fortaleza, CE, Brazil, and examine the relationship between breastfeeding self-efficacy (BSE) and maternal demographic variables. This methodological study is the first translation of BSES conducted in South America. The psychometric assessment of the original study was replicated. This methodological study enrolled a group (sample of judgment) of 117 pregnant women. BSES and maternal sociodemographic variables were studied. The Cronbach's [alpha] coefficient for the translated BSES was .88. Significant differences in BSES scores were found among mothers with a previous satisfactory breastfeeding experience (M=145.81; SD=±6.82, p=.0001). Significant rel... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2918252 Wed, 21 Oct 2009 23:00:00 +0100 2918252 http://www.medworm.com/index.php?rid=2918250&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00816.x ABSTRACT Many factors are contributing to a decline in the number of nurses who opt to choose public health nursing as a career option. One factor is the lack of preceptors in public health, which has led to the placement of nursing students in nontraditional clinical settings. Thus, many nursing students are not exposed to public health nursing while still in school. Graduating students may not have a clear idea of what a public health nurse is or does. The purpose of the study was to describe a collaborative project between three schools of nursing aimed at increasing interest in public health nursing among undergraduate nursing students. The study method involved analysis of student, faculty, and staff feedback received after an orientation to public health nursing. Nursing students fou... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2918250 Wed, 21 Oct 2009 23:00:00 +0100 2918250 http://www.medworm.com/index.php?rid=2918249&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00815.x ABSTRACT Advocating overall improvements in health for individuals and communities is a daunting but important task for nurses in particular, and for health care professionals in general. This is particularly true when focusing on the population along the 2,000-mile U.S.-Mexico border, a unique region in which distinct cultures, economies, and political systems meet. The purpose of this paper is to confront the assumption that trade and economic expansion automatically translate into improved public health, and to explore policy implications of the public health situation at the border. It uses a meta-narrative, an overarching story that draws on and illustrates collective stories from 300 participants in a study of mental health disparities, to argue for a more nuanced and complex underst... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2918249 Wed, 21 Oct 2009 23:00:00 +0100 2918249 http://www.medworm.com/index.php?rid=2918248&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00814.x To report the population health surveillance functions of public health nurses and to describe factors that impede these functions. An interpretive qualitative study was conducted in Public Health Service areas in Eastern Canada. Participants were public health nurses (n=55) with an average of 14.5 years of pertinent work experience. Semistructured face-to-face, telephone interviews, and focus groups were conducted, transcribed, coded, and analyzed. The nurses in this study used ecosocial population health surveillance functions that included multilevel societal influences on health. Extensive interprofessional and intersectoral networks were foundational to their surveillance work, allowing them to monitor what was occurring in the community and transfer this knowledge into various system... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2918248 Wed, 21 Oct 2009 23:00:00 +0100 2918248 http://www.medworm.com/index.php?rid=2918247&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00813.x There is a dearth of evidence on the care that families provide to their relatives after they have been discharged from hospital following an attempted suicide. The aim of this study was to explore ex-patients' and family caregivers' perceptions of the care provided at home following hospital discharge. A qualitative approach using Grounded Theory was adopted. Suicidal ex-patients (n=15) and family caregivers (n=15) were contacted in the south of Taiwan. Data were collected through interviews and the data were analyzed using open, axial, and selective coding. A substantive theory was developed from the findings. However, for the purpose of this paper, the section of the paradigm model named the action/interaction strategies is presented and discussed. Three categories emerged in the action... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2918247 Wed, 21 Oct 2009 23:00:00 +0100 2918247 http://www.medworm.com/index.php?rid=2918246&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00811.x To explore the correlates of smoking status among a sample of Asian American adolescents in New York City (NYC). This descriptive, correlational study compared current smokers and current nonsmokers in terms of age, gender, ethnicity, academic performance, acculturation, depressive symptoms, smoking history, and parental, sibling, and peer smoking. The convenience sample included 328 Asian American adolescents, ages 16[ndash]19, who lived in NYC, and were recruited from members, friends, and affiliates of 6 organizational sources. The study used demographic, depression (Center for Epidemiological Studies Depression scale), English language acculturation, and smoking opportunity survey questionnaires. Statistical analyses revealed that being older, being more English-language acculturated, ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2918246 Wed, 21 Oct 2009 23:00:00 +0100 2918246 http://www.medworm.com/index.php?rid=2918245&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00812.x This study aimed to examine the effects of exercise programs on physical fitness, depression, and self-efficacy in low-income elderly women (age[ge]75). A pretest-posttest experimental research design with a control group was used. The sample consisted of 26 women in the exercise group and 22 women in the wait-list control group in Seoul, Korea. The measures of physical fitness included body mass index, cardiopulmonary endurance (blood pressure and heart rate), muscle strength (hand grip strength), flexibility (degree of bending of the upper body), and balance (duration of time for which the subject could stand on one foot). Depression and self-efficacy were measured by the Center for Epidemiological Studies Depression scale and a modified form of Lee's scale, respectively. All measures we... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2918245 Wed, 21 Oct 2009 23:00:00 +0100 2918245 http://www.medworm.com/index.php?rid=2918243&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00809.x ABSTRACT Objectives: To assess utilization of antenatal care (ANC) and its determinants in a conflict-affected area in Northern Sri Lanka. A cross-sectional study was conducted among pregnant mothers who had completed 36 weeks of gestation, and were admitted or referred to 2 leading hospitals in Vavuniya district. Data were collected from 392 mothers using an interviewer-administered questionnaire. 55% of the respondents reported that their families were affected directly by conflict. Approximately 68% of mothers were registered by public health midwife (PHM) for ANC; 31.4% were registered before 12 weeks of gestation; 38.5% were visited at home by PHM; 37.8% had the first clinic visit before 12 weeks; and 90.1% made at least 4 clinic visits. The average number of antenatal visits to speci... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2918243 Wed, 21 Oct 2009 23:00:00 +0100 2918243 http://www.medworm.com/index.php?rid=2918242&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00810.x ABSTRACT Objectives: Using the PRECEDE-PROCEED model, this study examined the presence of metabolic syndrome and modifiable cardiovascular disease (CVD) risk factors associated with metabolic syndrome among Chinese adults with diabetes living in Beijing, China. The cross-sectional study collected data through face-to-face interviews. The study included 73 Chinese older adults with diabetes. Their mean age was 68 years (±7.66), with a range from 52 to 90 years. Data were collected on demographic characteristics, blood pressure (BP), body mass index (BMI), waist circumference, lipid profile and fasting glucose, physical activity, diet, and health status. The great majority (85%) had metabolic syndrome; 65% had hypertension; 52% had high levels of low-density lipoproteins, and 80.6% had a hi... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2918242 Wed, 21 Oct 2009 23:00:00 +0100 2918242 http://www.medworm.com/index.php?rid=2918241&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00808.x The purpose of this study was to examine relational aggression and its relationship with adverse psychosocial and physical health symptoms among urban, African American youth. Quantitative, cross-sectional survey design. The sample consisted of 185 predominantly African American (95.1%) seventh-grade students (mean age: 13.0; female: 58%) attending 4 urban middle schools. The Children's Social Behavior Scale and Social Experience Questionnaire were used to measure relational aggression and relational victimization. The Pediatric Symptom Checklist was used to assess psychosocial difficulties, including internalizing behaviors, externalizing behaviors, and attention problems. Physical health symptoms were measured with questions about colds/flu, headaches, and stomach aches. 2-way multivaria... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2918241 Wed, 21 Oct 2009 23:00:00 +0100 2918241 http://www.medworm.com/index.php?rid=2728501&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00794.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2728501 Tue, 25 Aug 2009 12:38:02 +0100 2728501 http://www.medworm.com/index.php?rid=2728513&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00806.x ABSTRACT Public health nursing celebrated its 100th anniversary in 1993. In a guest editorial for Public Health Nursing Dr. Marla Salmon, then director of the Division of Nursing, Bureau of Health Professions, U. S. Department of Health and Human Services, wrote a "retrospective vision" in which she projected the roles that American public health nurses would play in 21st century health care reform. The picture she painted was highly optimistic and 16 years later the profession has yet to realize the accomplishments Salmon envisioned: a more visible leadership in directing health policy, creation of systems that expand public health department roles in both direct and indirect services, cooperation among agencies, and empowerment of the communities and individuals served by the public heal... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2728513 Sun, 23 Aug 2009 23:00:00 +0100 2728513 http://www.medworm.com/index.php?rid=2728512&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00805.x This study used a methodological design to translate the CDSE based on the Brislin's model: (1) translation from source language (SL) of English to the target language (TL) of Chinese, (2) evaluation of Chinese version, (3) blind back translation from Chinese to English, (4) comparison of original and back-translated English versions, and (5) evaluation of the translated scale by a committee of bilingual Taiwanese experts. The translated CDSE scale was tested with 156 community-dwelling Taiwanese older adults, and any problems occurring during the administration of the scale were documented. The validity and reliability of the Chinese version of CDSE scale were acceptable. However, the validity of items may have been impacted by differences in culture, language, and educational levels betw... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2728512 Sun, 23 Aug 2009 23:00:00 +0100 2728512 http://www.medworm.com/index.php?rid=2728511&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00804.x To develop and validate the Environmental Health Engagement Profile (EHEP)[mdash]an instrument for assessing the way people engage with environmental health issues, including people's experience of environmental health hazards, the assumptions concerning the risks involved, and the actions taken either individually or collectively in their communities. This instrument development study was conducted in an urban area with varying levels of health-related environmental concerns. First, qualitative interviews with 41 residents informed development of items. Next, the items were evaluated by 28 expert reviewers. Finally, validity was assessed from responses of 433 residents who completed the instrument and other measures by telephone interview. For assessing validity of EHEP, data were also co... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2728511 Sun, 23 Aug 2009 23:00:00 +0100 2728511 http://www.medworm.com/index.php?rid=2728510&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00803.x Healthy People 2010 goals to eliminate racial and ethnic health disparities that persist in the utilization of prenatal care (PNC) highlight the importance of measuring PNC as a variable in maternal and infant health outcomes research. These disparities are significantly correlated to adverse infant outcomes in preterm birth (PTB), a leading cause of infant mortality and life-long morbidity. Currently the most extensively used PNC adequacy indices (Kessner and Kotelchuck) were developed to measure outcomes in populations consisting mostly of full-term births. It is unclear whether these PNC adequacy indices are reliable when pregnancy is truncated due to PTB ( (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2728510 Sun, 23 Aug 2009 23:00:00 +0100 2728510 http://www.medworm.com/index.php?rid=2728509&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00802.x In Chile, little information about the use of standard precautions (SP) among health care workers (HCWs) exists. As part of a larger study to tailor and test an HIV prevention intervention for community HCWs, this study describes the observed frequency with which appropriate SP were used by HCWs in low-income community clinics of Santiago. Also, the availability of supplies is described. A total of 52 structured observations with potential contamination with body fluids were done. HCWs used SP inconsistently, especially neglecting hand washing, surface cleaning, and cleaning of shared materials. Lack of materials contributed in some instances of failure to use SPs, especially wiping surfaces and safe disposal of sharp instruments, as shown by a positive correlation between use of SP and av... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2728509 Sun, 23 Aug 2009 23:00:00 +0100 2728509 http://www.medworm.com/index.php?rid=2728508&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00801.x To describe community satisfaction and attachment among rural and remote registered nurses (RNs) in Canada. Cross-sectional survey of rural and remote RNs in Canada as part of a multimethod study.The sample consisted of a stratified random sample of RNs living in rural areas of the western country and the total population of RNs who worked in three northern regional areas and those in outpost settings. A subset of 3,331 rural and remote RNs who mainly worked in acute care, long-term care, community health, home care, and primary care comprised the sample. The home community satisfaction scale measured community satisfaction, whereas single-item questions measured work community satisfaction and overall job satisfaction. Community variables were compared across practice areas using analysis... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2728508 Sun, 23 Aug 2009 23:00:00 +0100 2728508 http://www.medworm.com/index.php?rid=2728507&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00800.x The purpose of the research was to explore the everyday experiences and responses of stakeholders of a university-sponsored nurse-managed clinic (CHC) in regard to how nurses' roles in the clinic changed over time and the factors that influenced this change. The research used a qualitative interpretive description design to interpret participants' accounts of their experience and perspectives as constructed narratives. The participants (N=23) included clients, community members who were volunteers at the CHC, staff of other community agencies or organizations, and nursing or social work students who had a clinical learning experience at the CHC. Data collection involved two interviews, one semistructured, face-to-face interview at the location selected by the participant, and a group inter... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2728507 Sun, 23 Aug 2009 23:00:00 +0100 2728507 http://www.medworm.com/index.php?rid=2728506&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00799.x The objective of this study was to describe and analyze municipal decision-maker's views on public health nursing and to reflect upon and discuss the relevance of those views to the future of public health nursing in Norway. This explorative qualitative study using face-to-face interviews is part of a larger project, comprising 5 studies, that explores perceptions of public health nursing. A purposeful sample of 11 municipal decision-makers was selected for interview during 2006[ndash]2007 to reflect variation in community size and perspective. Thematic content analysis of the transcribed interviews revealed 4 content categories: contribution, collaboration, challenges, and visibility. The decision-makers expressed satisfaction with the public health nursing services, showed concern about ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2728506 Sun, 23 Aug 2009 23:00:00 +0100 2728506 http://www.medworm.com/index.php?rid=2728505&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00798.x This paper presents thoughts of practice leaders in the community/public health nursing (C/PHN) specialty on advanced nursing practice (ANP) and the necessary educational preparation for such practice. Practice leaders were engaged in conversations specifically focused on the Doctor of Nursing Practice (DNP) as preparation for ANP in their specialties, and asked to consider the benefits of, and challenges to, this educational program. The resulting remarks were then assessed for themes by the interviewers and these are presented along with thoughts on the future of education for ANP. Overall, there was much agreement among the practice leaders interviewed about the importance of a broad skill set for ANP in the specialty. However, the practice leaders interviewed here also identified the p... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2728505 Sun, 23 Aug 2009 23:00:00 +0100 2728505 http://www.medworm.com/index.php?rid=2728504&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00797.x To identify a typology for high system users among a rural Medicaid population that could assist policy makers and providers in better and more efficiently serving this population. Exploratory secondary data analysis of a large integrated Medicaid database in a western state. Five hundred and thirty-nine Medicaid recipients receiving 2 or more state services and receiving 10 or more unique medications. Data analysis examining health care use, medication use, and demographic characteristics using SAS to identify patterns of use of services in the population. Results were confirmed with a statewide sample of 2,287 Medicaid users. 3 characteristics[mdash](1) use of 36 or more health care services in a year; (2) no gap in health care service use over the entire year; and (3) use of >12 health ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2728504 Sun, 23 Aug 2009 23:00:00 +0100 2728504 http://www.medworm.com/index.php?rid=2728503&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00796.x The primary aim of this research was to assess radon awareness and testing across 2 housing types. Cross-sectional prevalence study with time trends. National, probabilistic sample of 18,138 and 29,632 respondents from the 1994 and 1998 National Health Interview Surveys, respectively. Odds ratio (OR) estimates confirmed that occupants of single family homes/townhomes were twice as likely to have ever heard of radon (1994: OR=2.18; confidence intervals [CI]=2.01[ndash]2.36) (1998: OR=2.26; CI=2.09[ndash]2.44) and also more likely to know if their household air had been tested for radon (1994: OR=2.04; CI=1.57[ndash]2.65) (1998: OR=1.38; CI=1.19[ndash]1.59) as occupants of apartments/condominiums. Time trend analyses revealed that radon awareness improved from 69.4% to 70.7% and home testing... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2728503 Sun, 23 Aug 2009 23:00:00 +0100 2728503 http://www.medworm.com/index.php?rid=2728502&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00795.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2728502 Sun, 23 Aug 2009 23:00:00 +0100 2728502 http://www.medworm.com/index.php?rid=2565828&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00793.x ABSTRACT Occupational health has been considered a subset of public health nursing for years. The first industrial or occupational health nurses were employed by large companies in the 1890s but the role evolved quickly in the early 20th century. By mid-century, many large companies employed a physician and nurse(s) to provide examinations, screenings, episodic care, and trauma intervention for workers. Occupational health nurses faced different problems than community-based public health nurses in generalized nursing service. The intersection of public health and employee health was apparent, though, because large industries often constituted the main workplace for a smaller community and sickness could spread throughout a town if the occupational health nurse was not well-prepared in pri... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2565828 Tue, 30 Jun 2009 23:00:00 +0100 2565828 http://www.medworm.com/index.php?rid=2565827&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00792.x ABSTRACT Because maternal-child populations have traditionally been a major practice target for public and community health nursing (P/CHN), understanding the health effects of life transition experiences for women and their children is key to the advancement of P/CHN practice and research. To date there are no integrated conceptual models available that examine transition and its health effects in women, and ultimately their children, to single or multiple transitions. In order to help women and those with dependent children transition successfully, strong transition frameworks for nursing are needed. The purpose of this paper is to describe a conceptual model, Health Effects of Life Transition for Women and Children. Major components include the transition experience (developmental, situ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2565827 Tue, 30 Jun 2009 23:00:00 +0100 2565827 http://www.medworm.com/index.php?rid=2565826&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00791.x This article describes factors influencing recruitment of underrepresented groups, preferences for the informed consent process, and degree of trust participants extended to researchers. A descriptive survey was used in this community-based participatory research study with low-income women. The response rate was 58% (n=35 of 60 sample). The most compelling reason for enrolling was that the researchers recognized an unmet health need among the population (91%), followed by the opportunity to talk with other women in similar circumstances (74%), and the fact that nurses were conducting the study (57%). Comprehension of informed consent was high, most preferred a "group" consent process, and 100% trusted the researchers to follow procedures outlined in the informed consent document. Although... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2565826 Tue, 30 Jun 2009 23:00:00 +0100 2565826 http://www.medworm.com/index.php?rid=2565825&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00790.x This article discusses public health measures for preventing perinatal HBV and presents a case study that used a novel method to assess the extent of under-reporting. We discuss barriers to public health NCM and the importance of a universal HBV vaccine birth dose to protect undetected and unreported cases. Finally, we suggest implications for public health nursing practice. (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2565825 Tue, 30 Jun 2009 23:00:00 +0100 2565825 http://www.medworm.com/index.php?rid=2565824&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00789.x ABSTRACT Background: Gang youth often come from socially and economically marginalized communities. Such youth report significantly higher rates of participation in violence, substance use, and risky sexual behaviors than their nongang peers. This manuscript argues that gang-identified youth constitute a vulnerable population. Data are drawn from the general research literature and a case example of how a nurse in Los Angeles partnered with law enforcement to provide preventive health care to gang youth and youth at-risk for joining gangs. Gang youth are a vulnerable population amenable to nursing intervention. Gang youth may have particular health care needs and may need special access to health care. (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2565824 Tue, 30 Jun 2009 23:00:00 +0100 2565824 http://www.medworm.com/index.php?rid=2565823&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00788.x ABSTRACT Objectives: Development of an educational program for women of special care nursery (SCN) infants in Kenya about the use and cleaning of breast pumps through culturally appropriate teaching tools as well as conduction of an evaluation of change in knowledge, attitudes, beliefs, and practical ability in pump use following the educational intervention. An evaluation of an educational intervention. 40 women with infants in the SCN unable to directly breastfeed. Educational intervention instructing electric or pedal breast pump use and cleaning with a pre- and posttest evaluation. Paired t test scores of the combined practically oriented questions were significantly increased from 1.8 to 4.6 (p (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2565823 Tue, 30 Jun 2009 23:00:00 +0100 2565823 http://www.medworm.com/index.php?rid=2565822&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00787.x ABSTRACT Background: Smoking among nurses is higher than other health care professionals but nurse-specific cessation programs are limited. Nurses QuitNet®, launched in January 2004, provided an evidence-based online smoking cessation program for nurses and nursing students. To describe Nurses QuitNet® registrants and relationships among the demographic and smoking characteristics, program dissemination strategies, and site utilization patterns. Cross-sectional study. 1,790 Nurses QuitNets® registrants. Demographics and smoking characteristics on the Nurses QuitNet® intake questionnaire. Most registrants were female (92.5%), 45[ndash]54 years old (34.3%), Caucasian (84.5%), and college graduates (57.5%). Over 68% smoked 10[ndash]20 cigarettes/day; 66.4% smoked within 30 min of waking. ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2565822 Tue, 30 Jun 2009 23:00:00 +0100 2565822 http://www.medworm.com/index.php?rid=2565821&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00786.x ABSTRACT Objective: Given the increased popularity of complementary and alternative medicine (CAM) and traditional Chinese medicine (TCM), this study aimed to evaluate the effects of interactive media on self-directed learning in patients' knowledge of diabetes and related CAM/TCM strategies, the ability to control blood sugar levels, and self-care in people with diabetes. An experimental study design was used. The experimental group received patient education through interactive multimedia about diabetes for 3 months, while the control group received a routine 3-month patient education. On completion, 60 subjects from Taiwan were evaluated[mdash]30 in an experimental group and 30 in a control group. Data were collected from both groups at baseline and at the completion of the patient educ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2565821 Tue, 30 Jun 2009 23:00:00 +0100 2565821 http://www.medworm.com/index.php?rid=2565820&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00785.x ABSTRACT Objectives: To investigate differences in reported pain and pain treatment utilization (use of over-the-counter and prescription pain medications, seeing a pain specialist, and use of complementary and alternative medicine) among minorities and nonminorities in the general population. Secondary analysis of a national probability survey conducted by the CBS News/New York Times in January 2003. Adult population in the United States, 18 years or older, having a telephone line at home. The survey asked respondents a series of questions about demographics, pain characteristics, and utilization of pain treatment; logistic regression was used to identify variables predicting reported utilization of pain treatment. Of the 902 respondents completing the survey, 676 (75%) reported experienc... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2565820 Tue, 30 Jun 2009 23:00:00 +0100 2565820 http://www.medworm.com/index.php?rid=2565819&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00784.x ABSTRACT Objective: This secondary data analysis study examines the relationship between maternal sociodemographic variables, life events, chronic stressors, including asthma control and management and environmental stressors, and maternal depression. Cross-sectional descriptive design study consisting of baseline data from participants enrolled in a randomized asthma communication educational intervention trial. 201 mothers of children with asthma (ages 6[ndash]12), recruited from community pediatric practices and emergency departments of 2 urban university hospitals. Life events were measured using standardized items. Chronic stressors were measured using items from the International Asthma and Allergies in Childhood study and maternal and child exposure to violence. Depressive symptoms ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2565819 Tue, 30 Jun 2009 23:00:00 +0100 2565819 http://www.medworm.com/index.php?rid=2565818&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00783.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2565818 Tue, 30 Jun 2009 23:00:00 +0100 2565818 http://www.medworm.com/index.php?rid=2335525&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00772.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2335525 Sat, 18 Apr 2009 05:29:15 +0100 2335525 http://www.medworm.com/index.php?rid=2335535&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00782.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2335535 Wed, 15 Apr 2009 04:00:00 +0100 2335535 http://www.medworm.com/index.php?rid=2335534&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00781.x ABSTRACT Elizabeth Gordon Fox was a distinguished member of the profession and an influential advocate for visiting nurse services at the time of her retirement. The dinner guests who came to honor her 20 years as director of the New Haven, Connecticut Visiting Nurse Association included luminaries in public health including Thomas Parran, Ira V. Hiscock, Ruth Hubbard, and Anna Fillmore. Dr. C.-E. A. Winslow, an eminent leader in public health, and Annie Warburton Goodrich, the retired dean of the Yale School of Nursing were also present. The occasion was marked by an address by Thomas Parran, former U. S. Surgeon General, who focused attention on nursing leadership in public health. Speeches by both Parran and Fox addressed the challenges faced at mid-century[mdash]challenges of public ac... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2335534 Wed, 15 Apr 2009 04:00:00 +0100 2335534 http://www.medworm.com/index.php?rid=2335533&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00780.x The objectives are to determine whether SCPHNs assess known risk factors for depression, self-harm, and suicide during initial contact with South Asian mothers in London; the extent to which these risk factors are documented in the nursing records; and whether their assessments of South Asian women differ from those of other ethnic groups. Structured content analysis of semistructured interviews with 8 SCPHNs and analysis of 60 matched pairs of SCPHN records were carried out in an inner London community. The results revealed that SCPHNs assessed general risk factors for postnatal depression and some culture-specific factors when assessing South Asian mothers. Documentation of risk factors was under-represented in the SCPHN records and there was a significant difference between the document... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2335533 Wed, 15 Apr 2009 04:00:00 +0100 2335533 http://www.medworm.com/index.php?rid=2335532&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00779.x ABSTRACT Objective: To examine whether emotional social support influences the use of 3 cancer screening tests in females. Cross-sectional study. Data were collected via a household survey of a random sample of 200 Argentinean women. The questionnaire included self-reported data about the cancer screening tests (Papanicolaou [Pap] test for cervical cancer, breast self-examination, and clinical examination for breast cancer), and socioeconomic background information. Social support was measured by the Duke-UNC-11 questionnaire. Logistic models were used to investigate the association between social support and cancer screening tests. Emotional social support was associated with having participated in Pap screening within 3 years before this study, but a link between social support and self ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2335532 Wed, 15 Apr 2009 04:00:00 +0100 2335532 http://www.medworm.com/index.php?rid=2335531&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00778.x This study evaluated the effectiveness of a cognition-oriented breast self-examination (BSE) intervention program that is based on the Transtheoretical Model and reflects individual characteristics according to BSE stage among Korean women and their spouses. A time-series nonequivalent control group design was used. Twenty-four couples in each of 2 groups completed a preintervention test and were evaluated 1, 3, and 6 months later for their knowledge of breast cancer and BSE, spousal encouragement for BSE, perceived confidence in BSE methods, change in BSE stage, and perceived benefits and barriers to BSE. The intervention involved husbands as well as women, and consisted of lectures on breast cancer and BSE, demonstrations and practice with models while being videotaped, and feedback. The... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2335531 Wed, 15 Apr 2009 04:00:00 +0100 2335531 http://www.medworm.com/index.php?rid=2335530&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00777.x ABSTRACT Objective: The main objective of this study was to examine the relationships among demographic characteristics, depressive symptoms, and cognitive impairment in oldest-old elders from rural areas of the Brazilian State of Rio Grande do Sul. A cross-sectional, descriptive correlational design was used to conduct the study. 137 Brazilian elders age 80 years or over. A target population data form, a county data form, a demographic questionnaire, the Mini-Mental State Examination, and the Depressive Cognition Scale were used to collect the data. A significant difference was found between males and females in regard to cognitive impairment. In addition, educational level and depressive symptoms were correlated with cognitive impairment. Depressive symptoms were a weak but significant p... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2335530 Wed, 15 Apr 2009 04:00:00 +0100 2335530 http://www.medworm.com/index.php?rid=2335529&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00776.x This study examines the effects of an 8-week walking program with and without cultural modification. The study used a 2-group, pretest and posttest, quasi-experimental design. A total sample of 128 Chinese American immigrants with hypertension were assigned to walking groups. The results showed that the walking program had no significant effects upon participant blood pressure or walking endurance. The results also revealed that individuals in the maintenance stage walked longer than those in the preparation stage. A comparison of demographic data showed that subjects with a lower level of education walked more minutes per week, which contributed to lower systolic blood pressures among this group as compared with those with a higher level of education. These results suggest that this walki... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2335529 Wed, 15 Apr 2009 04:00:00 +0100 2335529 http://www.medworm.com/index.php?rid=2335528&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00775.x This study aims to identify the factors associated with community health service utilization for menopausal symptoms among Japanese women in urban areas by using Andersen's behavioral model of health service use. A cross-sectional study was conducted. The sample comprised 350 women aged 40[ndash]60 years living in a community in Japan. The independent variables were predisposing (demographics, social status, and health beliefs), enabling (family and community resources), and need factors (perceived health status and the need for community health services). The dependent variable was community health service utilization. A logistic regression model was used. 8 of the women were categorized in "treatment required" by simplified menopausal index score, and 103 women said that they would use t... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2335528 Wed, 15 Apr 2009 04:00:00 +0100 2335528 http://www.medworm.com/index.php?rid=2335527&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00774.x This study describes workplace centered activities performed by occupational health professionals, as well as difficulties linked to workplace centered activities, cooperation with client workplaces, and participation both in risk assessment and in the development of working environment. The design is a cross-sectional prevalence study. The questionnaires were sent to 250 occupational health professionals, of whom 176 (70%) returned the completed forms and of whom 99% were nurses. Their activities, difficulties, cooperation, and participation in risk assessment and development of safe and healthy working conditions. The data were analyzed by using frequencies, means, 1-way ANOVA, and the Kruskal-Wallis test. Workplace focused activity hours were mainly spent on risk assessment and counseli... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2335527 Wed, 15 Apr 2009 04:00:00 +0100 2335527 http://www.medworm.com/index.php?rid=2335526&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00773.x ABSTRACT Purpose: A comparative analysis was conducted to identify and compare the health status and behaviors of preschoolers attending daycare centers in South Korea between children living with parents and those under guardianship. The study design was descriptive and correlational. Data were collected from 152 parents and 85 guardians of preschool children using a structured questionnaire. Of 237 children, 23.9[ndash]32.5% were overweight or obese, while 13.8[ndash]30.0% were underweight. Boys under guardianship were more likely to be obese. Hand-foot-mouth disease and atopic dermatitis were more prevalent among children living with parents, while those under guardianship were less likely to have dentistry visits, more likely to be absent from childcare due to pneumonia, and had signif... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2335526 Wed, 15 Apr 2009 04:00:00 +0100 2335526 http://www.medworm.com/index.php?rid=2208703&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00760.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2208703 Tue, 24 Feb 2009 12:20:34 +0100 2208703 http://www.medworm.com/index.php?rid=2208714&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00771.x The Frontier Nursing Service (FNS) was founded in 1925 in eastern Kentucky by Mary Breckinridge, a nurse whose interest in improving rural health and midwifery changed the course of rural public health nursing and improved health outcomes for some of the most isolated and poorest people in 20th century America. The visual image of Breckinridge on horseback visiting her scattered rural patients is imprinted on the minds of most public health nurses in the United States and has, perhaps, been the wellspring of many nursing career aspirations. The daily life of FNS nurses was one of hardship, uncertainty and variey, as is evidenced in this tale of one day; nonetheless, the experiment of a rural nursing service combining midwifery and generalized nursing was ultimately a tremendous success. Th... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2208714 Mon, 23 Feb 2009 05:00:00 +0100 2208714 http://www.medworm.com/index.php?rid=2208713&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00770.x The National Children's Study (NCS) is a longitudinal study that will examine the influence of environmental and social factors on the health and development of 100,000 children, following them from before birth until age 21. Proposed participant recruitment methods call for locating and listing all dwelling units (DUs) located within randomly selected segments within the 105 NCS sites. One of seven Vanguard Centers of the NCS includes four rural counties that span approximately 2,500 square miles. The size of this sampling area presents unique geographic challenges. In order to determine the most efficient method for listing DUs within this large area, a study was undertaken to investigate the differences in the percent of DUs identified and the cost of four different approaches. It compa... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2208713 Mon, 23 Feb 2009 05:00:00 +0100 2208713 http://www.medworm.com/index.php?rid=2208712&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00769.x The framework of a Canadian-developed parent education program, Nobody's Perfect, was used in the development of a new parent education program offered to parents attending a child nutrition rehabilitation program in the Dominican Republic. While key teaching elements of the original program were retained (e.g., encouraging active participation, emphasizing facilitation over didactic teaching, using experiential learning), locally relevant content was inserted (e.g., diarrhea prevention and treatment strategies). A Canadian team trained a group of Dominicans to deliver the new program to parents of children recovering from malnutrition. This paper describes the development, implementation, and resulting parenting program from this effort. This 8-week program may find use in other settings.... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2208712 Mon, 23 Feb 2009 05:00:00 +0100 2208712 http://www.medworm.com/index.php?rid=2208711&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00768.x Vaccinating is one of the most significant methods of health promotion in the world. The purpose of this study was to describe vaccination competence from the perspective of professionals, clients, and students. A cross-sectional interview study. Participants (n=40) were public health nurses, physicians, nursing teachers and graduating public health nursing students, and vaccinated clients of various ages or vaccinated children's parents in Finland. Interview data were collected using semistructured interviews in focus groups and individual interviews, and were analyzed by content analysis. The participants pointed out that the competent vaccinator (CV) displays distinctive personal qualities, possesses the necessary attributes required in the vaccinator-client relationship, and is authori... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2208711 Mon, 23 Feb 2009 05:00:00 +0100 2208711 http://www.medworm.com/index.php?rid=2208710&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00767.x This study was conducted to develop insights into potential avenues for enhancing the effectiveness of STI education and counseling for young people. This was a qualitative investigation using semi-structured focus group interviews. The 5 focus groups were comprised of 30 providers of STI education and counseling: public health nurses, peer educators, and nurse practitioners. Content of transcribed focus group interviews was coded using a predetermined coding scheme based on the five dimensions of representational beliefs and emotions defined by the CSM. The providers identified that young people hold a number of STI misconceptions within each dimensions of the CSM. Anger and embarrassment about STIs are common emotions experienced by young people. This investigation suggests that provider... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2208710 Mon, 23 Feb 2009 05:00:00 +0100 2208710 http://www.medworm.com/index.php?rid=2208709&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00766.x This study investigated the relationship between children's locus of control and their state anxiety scores, and determined whether children's locus of control could predict their state anxiety scores before academic examinations. A test-retest within subjects design was used. 519 school children were invited to participate in the study. Participants were asked to respond to the Chinese version of the Nowicki-Strickland locus of control scale and state anxiety scale for children in stressful and nonstressful situations. The data were collected in 2005. There were significant strong positive correlations between the state anxiety and locus of control scores in the period before academic examinations. Multiple regression analysis showed that the Nowicki-Strickland locus of control score was ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2208709 Mon, 23 Feb 2009 05:00:00 +0100 2208709 http://www.medworm.com/index.php?rid=2208708&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00765.x The purpose of this study was to examine the effect of a community-based nutrition education program on the nutritional knowledge, hemoglobin levels, and nutritional status of Nicaraguan adolescent girls and the nutritional knowledge of their mothers. Self-care deficit nursing theory was used in this study. This longitudinal study used a mixed quantitative/qualitative design to study the effect of the nutrition education program. The nonprobability sample consisted of 182 adolescent girls and 67 of their mothers. The setting for the study was a community (barrio) in Managua, Nicaragua. A team of nurse and nutrition researchers created the nutrition education program designed to improve girls' and mother's nutrition-related self-care operations. Data collection was carried out for 4 years f... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2208708 Mon, 23 Feb 2009 05:00:00 +0100 2208708 http://www.medworm.com/index.php?rid=2208707&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00764.x This study aimed to explore women's responses and actions after receiving their test reports and their practice of health-promoting behaviors. This study employed a cross-sectional descriptive design. A convenient sample of 101 women living in a rural area. Demographic characteristics, semistructured questions and Chinese Adult Health Promotion scale were used in this study. The mode of the duration of their marriages was 20 years. Nearly 14% were diagnosed as precancerous and underwent further treatment. 24 percent of the women took no action during the 3 months after receiving the results. As many as 96% of the participants were not aware of the 90% 5-year survival rate for localized cervical cancer. From semistructured interviews, 4 behavioral responses and 5 actions were identified. No... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2208707 Mon, 23 Feb 2009 05:00:00 +0100 2208707 http://www.medworm.com/index.php?rid=2208706&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00763.x We explored the characteristics of teachers and their knowledge of asthma and its management in elementary and middle-school classrooms. Teachers completed the Georgia Public School Teachers' Asthma Knowledge and Perception Survey. The study sample consisted of 593 elementary (n=291) and middle-school teachers (n=302) from Georgia. Participants were asked to complete a survey on asthma knowledge. Data were analyzed to examine differences among elementary- and middle-school teachers, teachers' level of educational attainment, teachers' chronic medical condition, and teachers' asthma status. Middle-school teachers were more knowledgeable about asthma than elementary teachers. No differences were found among teachers based on their level of educational attainment. Most teachers strongly agree... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2208706 Mon, 23 Feb 2009 05:00:00 +0100 2208706 http://www.medworm.com/index.php?rid=2208705&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00762.x To describe the home-based injury prevention practices used by low-income mothers of Mexican descent with their preschool children. A descriptive qualitative study with convenience sampling of mothers (n=9) who are of Mexican descent and have preschool children. Data collection consisted of ethnographic interviews supplemented by focused home observations. 2 themes emerged from the data: the spectrum of physical proximity and the use of injury prevention technology. The spectrum of physical proximity reflected the degree of physical closeness (i.e., supervising children, watching children closely, and being after children) that the mothers used to manage injury risk in their children. Children who were perceived as curious or restless, or too young were judged by the mothers as being prone... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2208705 Mon, 23 Feb 2009 05:00:00 +0100 2208705 http://www.medworm.com/index.php?rid=2208704&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2009.00761.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2208704 Mon, 23 Feb 2009 05:00:00 +0100 2208704 http://www.medworm.com/index.php?rid=2058537&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00749.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2058537 Wed, 24 Dec 2008 05:04:08 +0100 2058537 http://www.medworm.com/index.php?rid=2058548&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00759.x ABSTRACT This historical article presents information about the public health nurse's bag as used in mid-20th century America. The bag was an essential of practice, containing items necessary for providing home care to the sick, maternity nursing, health demonstrations, and other functions within the role of public health nursing agencies or private organizations in which nurses gave home care to multiple patients. Contents of the bag and specifications for their use are described. The historical use of the bag as both a repository for the instruments of skilled care and expert knowledge and of bag technique as a means of infection control may help explain the endurance of the black bag as a symbol of public health nursing. (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2058548 Mon, 22 Dec 2008 05:00:00 +0100 2058548 http://www.medworm.com/index.php?rid=2058547&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00758.x This article describes the benefits of using postal surveys in public health nursing research, while noting the various potential sources of survey error. Particular attention is directed to the implications of low survey response rates, including decreased power, increased standard error, and nonresponse bias. The belief that increasing response rates will necessarily reduce nonresponse bias is discussed, with an emphasis on the need to identify the reasons for nonresponse and to be judicious in the use of strategies to reduce nonresponse bias. Common response-enhancement strategies are identified, while noting the potential for these strategies to increase nonresponse bias. Assessment of the presence and magnitude of nonresponse bias is discussed, and techniques for postsurvey data adjus... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2058547 Mon, 22 Dec 2008 05:00:00 +0100 2058547 http://www.medworm.com/index.php?rid=2058546&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00757.x This study sought to determine whether the practice of teaching students to use a public health nursing bag when making home visits should continue. Deans and directors of all schools of nursing with baccalaureate programs listed on the Commission on Collegiate Nursing Education Web site (n=437) were e-mailed an exploratory, descriptive self-report survey. Although 32% of responding schools continued to utilize a standard public health bag during home visits, the majority did not. Lack of use of the bags was primarily related to cost and the lack of research demonstrating its efficiency in enhancing the home visit and its value in promoting infection control. The researchers concluded that they would continue to teach the use of the public health nursing bag. It provides a receptacle for e... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2058546 Mon, 22 Dec 2008 05:00:00 +0100 2058546 http://www.medworm.com/index.php?rid=2058545&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00756.x ABSTRACT Recent national and regional public health workforce development efforts have been conducted through a framework of public health services research. Public health nurses (PHNs) are the single largest professional group in the formal public health system, and thus have the greatest potential for positively impacting our community health systems. Effective public health workforce development is contingent on examination of how PHNs themselves make meaning of their practice. This paper suggests that a nursing perspective should be used from which to conduct research surrounding PHN practice. Literature describing PHN practice and recent workforce assessment efforts are reviewed. Assumptions are identified regarding the nature of nursing knowledge, and a theoretical perspective for in... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2058545 Mon, 22 Dec 2008 05:00:00 +0100 2058545 http://www.medworm.com/index.php?rid=2058544&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00755.x ABSTRACT The health-related dangers of asbestos exposure were recognized early in the 20th century when occupational exposure was found to be associated with excess pneumoconiosis among asbestos industry workers. Today, the epicenter for examining the public health effects and the human toll that this toxin has had on a population is located in the rural community of Libby, MT. Rurality and multideterminants of health frame both the history of asbestos-related disease and the service/policy challenges within a community dealing with chronic illness and designation as a Superfund clean-up site. Despite efforts by public health advocates to address the lingering aftermath of an environmental disaster in this community, policy gaps exist that continue to impact the population's health. The pu... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2058544 Mon, 22 Dec 2008 05:00:00 +0100 2058544 http://www.medworm.com/index.php?rid=2058543&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00754.x In response to escalation of community violence, the U.S. Department of Commerce funded Home Health VNA (HHVNA), serving the Merrimack River valley communities in Massachusetts and New Hampshire, for a project demonstrating innovative use of technology in screening for abuse and neglect. All health care providers in the HHVNA were trained in screening through tools loaded on their personal digital assistants. The sample was comprised of patients served by HHVNA during the study period. When a patient screened positive, the health care provider mobilized resources, including social workers, the office of elder services, or the local department of social services office for same-day follow-up. Screening for abuse and neglect was mainstreamed into routine care. Health care providers noted sig... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2058543 Mon, 22 Dec 2008 05:00:00 +0100 2058543 http://www.medworm.com/index.php?rid=2058542&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00753.x Delivery of culturally competent public health nursing that can address health disparities is dependent on competent practice by nurses. Examining public health nurses' (PHNs') cultural competence provides a basis for planning and developing interventions to ensure competent care. Examine the cultural competence of PHNs. Descriptive, exploratory study examining the measured cultural competence of PHNs and their perceptions of delivery of culturally competent care. A convenience sample of 31 PHNs participated. Participants completed the Cultural Competence Assessment tool and documented personal experiences and perceptions of culturally competent health care through open-ended questions. Most participants reported a moderate level of cultural competence. Cultural awareness and sensitivity s... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2058542 Mon, 22 Dec 2008 05:00:00 +0100 2058542 http://www.medworm.com/index.php?rid=2058541&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00752.x Home visiting programs for very young children seek to promote their health and development. We conducted a process and outcome evaluation of the Postpartum/Newborn Home Visit (PPNBHV) service in 1 county. A retrospective study of Aiken County Health records of live infant births in 2004 was conducted. A random sample of 176 infants who were born in 2004 and enrolled in the women, infants, and children's (WIC) program in the same year was selected. Process measures include timeliness of the home visit, and appropriateness of revisits. Outcome measures include age at WIC enrollment and immunization status at 6/9 months. Of the 176 infants, 76 (43%) received a home visit. Of these, 13 (17%) received the visit within the stipulated time frame. After controlling for potential confounders, infa... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2058541 Mon, 22 Dec 2008 05:00:00 +0100 2058541 http://www.medworm.com/index.php?rid=2058540&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00741.x This study demonstrates significant differences between specific subgroups through chi-square. SBP in Cuban Americans was significantly higher than that of Puerto Ricans (28.39 mmHg) and of Mexican Americans (25.94 mmHg). Cuban Americans also had significantly higher cholesterol values than Mexican Americans (88.49 mg/dL) and Puerto Ricans (84.49 mg/dL). The only significant difference for triglyceride was between Mexican Americans and Puerto Ricans (37.25 mg/dL). For BUN, there were significant differences when Cuban Americans (9.06 mg/dL) and Mexican Americans (2.20 mg/dL) were separately compared from Puerto Ricans, and Cuban Americans had significantly higher creatinine values than Puerto Ricans (0.38 mg/dL) and Mexican Americans (0.25 mg/dL). Through linear regression, significant dif... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2058540 Mon, 22 Dec 2008 05:00:00 +0100 2058540 http://www.medworm.com/index.php?rid=2058539&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00751.x This research addresses the following 2 questions. What is the effect of childhood and adult economic status on midlife obesity in Mexican American women? How do these economic patterns in Mexican American women compare with patterns seen in White women and in African American women? Data were drawn from the U.S. National Longitudinal Survey of Youths 1979[ndash]2002 waves. The sample consisted of 422 Mexican Americans, 2,090 Whites, and 1,195 African Americans. The economic indicator used for childhood economic status was parent education; for adult economic status, the participant's own education and adult per capita income were used. Unadjusted and adjusted odds ratios were estimated for the relationship between midlife obesity and economic indicator, stratified by race/ethnic group. Th... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2058539 Mon, 22 Dec 2008 05:00:00 +0100 2058539 http://www.medworm.com/index.php?rid=2058538&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00750.x To determine risk of delivering a preterm infant ( (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=2058538 Mon, 22 Dec 2008 05:00:00 +0100 2058538 http://www.medworm.com/index.php?rid=1893734&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00735.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1893734 Wed, 22 Oct 2008 09:22:42 +0100 1893734 http://www.medworm.com/index.php?rid=1893745&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00747.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1893745 Tue, 21 Oct 2008 04:00:00 +0100 1893745 http://www.medworm.com/index.php?rid=1893744&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00746.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1893744 Tue, 21 Oct 2008 04:00:00 +0100 1893744 http://www.medworm.com/index.php?rid=1893743&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00745.x This article presents excerpts of her forecast of the future of the American family and the role of the nurse in helping to achieve health. Predictions from the past provide an unusual historical perspective, one of peering into a future now some 50 years past. The fabric of life in the United States has changed dramatically since 1948, but Hubbard's opinion that nursing is integral to a team approach to helping individuals and communities address their own needs was articulated with profound conviction. (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1893743 Tue, 21 Oct 2008 04:00:00 +0100 1893743 http://www.medworm.com/index.php?rid=1893742&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00744.x This study utilized a retrospective cohort design, involving a record linkage of two administrative databases at a Canadian general hospital: OH and HR. Data were included for the period of June 1, 2004, to May 31, 2005. Data linkage was performed using sex, postal code, and date of birth. The most common self-reported reasons for absence were respiratory illness (31%), gastrointestinal illness (17%), and musculoskeletal injuries/disabilities (15%). Employees working in the Department of General Medicine experienced the highest number of times absent[mdash]1.9 per 1,000 work hours. The department with the highest percentage of staff not reporting to OH was General Medicine (43%). This research highlights the issue of absenteeism among health care workers and the need to improve reporting o... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1893742 Tue, 21 Oct 2008 04:00:00 +0100 1893742 http://www.medworm.com/index.php?rid=1893741&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00743.x ABSTRACT Many people may search for information about tobacco use, the largest cause of preventable mortality in the United States, on the Internet. In 1999, Philip Morris U.S.A. (PM), the country's biggest cigarette manufacturer, posted a Web site and launched a campaign to encourage people to obtain information about tobacco and health issues there. The company asserted that its goal was to deliver the messages of the public health community about tobacco. However, internal tobacco company documents reveal that the site was a public relations effort intended to help the company avoid punishment and regulation. Examination of the language on the Web site reveals many contradictions and omissions that may undermine public health messages. Among these are vague and confusing information abo... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1893741 Tue, 21 Oct 2008 04:00:00 +0100 1893741 http://www.medworm.com/index.php?rid=1893740&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00742.x Local health departments and public health nurses are crucial in surveillance and response during public health emergencies. Simulated exercises are useful to train personnel and test emergency preparedness plans, but these exercises can be inconvenient or unrealistic. To address these drawbacks, "Public Health Investigation" (PHI), a multicounty, electronic infectious disease exercise, was created. After the 4-week PHI exercise, 6 separate focus groups and 1 regional focus group were conducted with participating health departments to explore perceptions of whether the format was useful, how to improve future exercises, and how well exercise objectives were met. Counties reported improvements in all exercise objectives, especially surge capacity and coordination between counties. Small hea... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1893740 Tue, 21 Oct 2008 04:00:00 +0100 1893740 http://www.medworm.com/index.php?rid=1893739&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00740.x To analyze the association between physical activity (PA) and occurrence of depressive symptoms in The Nord-Trøndelag Health Survey (HUNT 1 1984[ndash]1986, HUNT 2 1995[ndash]1997). In this prospective follow-up study, we studied men and women who were 21[ndash]40 years old in HUNT 1, and participated in HUNT 2. The sample consisted of 3,353 women and 3,308 men. We used logistic regression and calculated odds ratios (OR) to assess the association between physical activity and depression (Hospital Anxiety and Depression Scale depression subscale [HADS-D]). Confounding was addressed by excluding those with relevant health conditions and adjustment. Among women 272 (8.1%) and among men 293 (8.9%) scored higher than 8 on the HADS-D scale. We found a higher mean on HADS-D in men and women who ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1893739 Tue, 21 Oct 2008 04:00:00 +0100 1893739 http://www.medworm.com/index.php?rid=1893738&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00739.x Past research has suggested smoking disparities among individuals with disabling conditions. We contrasted smoking behaviors of those with and without disabilities from 2001 to 2005. Descriptive correlational study. Telephone interviews were conducted in all states with noninstitutionalized adults. Half were female; most were Anglo (70.5%) and had at least a high school education (90%). Their average age was 45 years. Approximately 19% of the sample reported being disabled. We analyzed 4 years of data from the population-based Behavioral Risk Factor Surveillance System. While individuals with disabilities were more likely to report ever having smoked than nondisabled respondents, current smoking behaviors were more similar in the 2 groups, and the difference was not statistically significa... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1893738 Tue, 21 Oct 2008 04:00:00 +0100 1893738 http://www.medworm.com/index.php?rid=1893737&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00738.x The purpose of this study was to examine which demographic, smoking behavior, and theoretical variables of theory of planned behavior would predict smoking cessation attempts among Korean American men. This is a longitudinal study and data collection was conducted at baseline and 1-month follow-up. At baseline, 118 Korean adult male smokers were recruited into the study and of these, 93 participated at follow-up. Study questionnaires consisted of demographic data, smoking behavior, and theoretical variables. A multiple regression analysis was performed to identify correlates of behavioral intentions to quit smoking at baseline and binary logistic regression analysis for predictors of actual quitting behavior at follow-up. Among smoking behavior variables, past-year quit attempts and averag... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1893737 Tue, 21 Oct 2008 04:00:00 +0100 1893737 http://www.medworm.com/index.php?rid=1893736&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00737.x In this study, we explored nonsmoking attitudes, beliefs, and norms from the perspective of 16[ndash]17-year-old nonsmokers. This qualitative study targeted nonsmoking youths because most social policy in the arena of tobacco prevention aims to support adolescents who are tobacco free. Participants were 39 nonsmokers recruited from youth organizations in an urban community and included 22 African Americans (12 females; 10 males) and 17 Caucasian Americans (10 females; 7 males). A health behavior framework guided the development of semistructured questions on attitudes, beliefs, and norms associated with nonsmoking, used in eight in-depth group interviews. Concerns for health and addiction, a positive self-image, and perceived confidence, emerged as factors affecting participants' decisions... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1893736 Tue, 21 Oct 2008 04:00:00 +0100 1893736 http://www.medworm.com/index.php?rid=1893735&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00736.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1893735 Tue, 21 Oct 2008 04:00:00 +0100 1893735 http://www.medworm.com/index.php?rid=1722411&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00721.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1722411 Fri, 22 Aug 2008 07:55:45 +0100 1722411 http://www.medworm.com/index.php?rid=1722424&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00734.x ABSTRACT The manuscript presents the background and history of the Beverly C. Flynn Legacy Leadership Award sponsored by the American Public Health Association's (APHA) Public Health Nursing Section. The Flynn Legacy Leadership program recognizes graduate students majoring in public health/community health nursing, and novice public health nurses for their potential to be future leaders in public health nursing. The importance of the mentoring relationship in promoting the standards of practice for public health nursing is explored. The Flynn Legacy Leadership Program fosters meaningful connections in the public health nursing community beyond the scope of the annual meeting. Award winners from the three years of the program are showcased with examples of scholarship fostered through the B... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1722424 Thu, 21 Aug 2008 04:00:00 +0100 1722424 http://www.medworm.com/index.php?rid=1722423&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00733.x ABSTRACT There is concern that life is curtailed when patients with Alzheimer's disease (AD) are institutionalized. To determine whether placement in a nursing home reduces their remaining years of life, we examined the experience of White patients with AD (n=890) enrolled in the Consortium to Establish a Registry for Alzheimer's Disease (CERAD). Proportional hazards survival analysis using the landmark approach (with the landmark set to 12 months after CERAD entry and reevaluated at succeeding 6-month time intervals through 5 years) indicated that longevity at home and in the nursing home was comparable. Thus, in these patients enrolled at tertiary care medical centers, living at home or in a nursing home did not affect time to death. These data suggest that when home care is no longer fe... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1722423 Thu, 21 Aug 2008 04:00:00 +0100 1722423 http://www.medworm.com/index.php?rid=1722422&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00732.x ABSTRACT This paper describes the translation of the Multidimensional Health Locus of Control (MHLC) scales into American Sign Language (ASL). Translation is an essential first step toward validating the instrument for use in the Deaf community, a commonly overlooked minority community. This translated MHLC/ASL can be utilized by public health nurses researching the Deaf community to create and evaluate targeted health interventions. It can be used in clinical settings to guide the context of the provider-patient dialogue. The MHLC was translated using focus groups, following recommended procedures. 5 bilingual participants translated the MHLC into ASL; 5 others back-translated the ASL version into English. Both focus groups identified and addressed language and cultural problems before th... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1722422 Thu, 21 Aug 2008 04:00:00 +0100 1722422 http://www.medworm.com/index.php?rid=1722421&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00731.x The purpose of this study was to investigate the factors affecting satisfaction with volunteer work of participants in a meal delivery service for the elderly. A cross-sectional study with a self-administered survey was carried out. Of 364 volunteers assisting with a meal delivery service for the elderly in rural towns A (80), B (159), and C (125), 247 responded (response rate: 68%). An anonymous self-administered questionnaire survey was administered seeking information about basic attributes, sense of satisfaction with volunteer work, and working circumstances such as human relationships with fellow volunteers, meal service users or professional staff members, opportunities for meetings or workshop, publicity through public relations magazines, and the like. In multivariate logistic anal... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1722421 Thu, 21 Aug 2008 04:00:00 +0100 1722421 http://www.medworm.com/index.php?rid=1722420&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00730.x ABSTRACT The purpose of this article is to describe the elements of culture brokerage as applied in a recent educational pilot study among rural African Americans with type 2 diabetes mellitus. Culture Brokerage is a nursing intervention consisting of mediation between the traditional health beliefs and practices of a patient's culture and the health care system. The intervention of Culture Brokerage holds particular relevance for clinicians who work with chronically ill patients, including those with diabetes. Diabetes prevalence rates continue to rise with alarming swiftness, affecting people of all age groups and ethnicities. The burden of disease, however, disproportionately falls on ethnic minority groups, including African Americans. Notable health disparities in the prevalence and l... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1722420 Thu, 21 Aug 2008 04:00:00 +0100 1722420 http://www.medworm.com/index.php?rid=1722419&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00729.x To explore gender and age differences in social support and their relationship with physical activity. This cross-sectional study with enhanced reliability due to repeated measures involved 105 boys and 101 girls. Information on sources and forms of social support, as well as physical activity, was obtained from students, who completed the same questionnaire twice, 2 weeks apart. Boys, compared with girls, were more likely to name fathers and less likely to identify sisters. Compared with older boys, older girls were less likely to identify fathers. Older girls were less likely than both younger girls and older boys to name brothers. Students who identified fathers reported more minutes and days of physical activity and had a stronger physical activity self-definition than those who did no... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1722419 Thu, 21 Aug 2008 04:00:00 +0100 1722419 http://www.medworm.com/index.php?rid=1722418&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00728.x The present research examined the influence of communicator's race on the efficacy of intervention videos in the reduction of human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs) among African American and Caucasian college females. Experimental HIV/STD prevention digital versatile disks (DVDs) featured a White female as a primary or a secondary communicator relative to a Black female, while a control DVD featured 2 Black females. Respondents watched 1 DVD and completed questionnaires before and after viewing the DVD as well as 2 and 4 weeks later. 79 African American females and 88 Caucasian females participated. Perceptions of the DVDs, HIV/STD risk, intentions to use condoms, and number of condoms purchased after viewing the videos were assessed. The interve... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1722418 Thu, 21 Aug 2008 04:00:00 +0100 1722418 http://www.medworm.com/index.php?rid=1722417&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00727.x To determine the utility of a parenting education program for fathers of infants, and to determine which fathers benefited. Fathers' perceptions of the program's utility were captured in a brief, structured interview. Using secondary data analysis, pretest/posttest father-infant interaction scores of fathers who improved were compared with those of fathers who did not. Demographic predictors of improvement were identified using multiple regression. Community sample of 81 adult, English-speaking, primarily European Canadian, first-time fathers of 5-month-old infants, who participated in the intervention group of a randomized controlled trial. When infants were 5 and 6 months old, videotaped self-modeling and positive feedback about father-infant interaction were provided by specially traine... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1722417 Thu, 21 Aug 2008 04:00:00 +0100 1722417 http://www.medworm.com/index.php?rid=1722416&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00726.x The objective of this research is to understand the experiences of homeless people with the health care system. A descriptive Phenomenological research design is used. Phenomenology is the philosophical underpinning of this research. The purposive sample consists of 15 homeless adults. Interviews were conducted, tape-recorded, transcribed, and then analyzed the transcripts using Colaizzi's descriptive phenomenological method. 4 major themes emerged: (1) living without essential resources compromises health; (2) putting off health care until a crisis arises; (3) encountering barriers to receiving health care to include (a) social triage, (b) feeling labeled and stigmatized, (c) a nonsystem for health care for the homeless, (d) being treated with disrespect, and (e) feeling invisible to heal... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1722416 Thu, 21 Aug 2008 04:00:00 +0100 1722416 http://www.medworm.com/index.php?rid=1722415&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00725.x To explore the relationship of symptom prevalence and intensity, perceptions of health, and stigma on quality of life (QOL) among HIV-infected African American men. Cross-sectional correlational descriptive study. The sample consisted of HIV-infected African American men (N=55), all urban, age range 23[ndash]66 years (M=48.84, SD=7.67), average length of time since HIV diagnosis 10.79 years (SD=6.4). A questionnaire consisting of 5 instruments was used: (a) sociodemographic characteristics, (b) Holzemer Signs and Symptom Checklist for HIV, (c) perceptions of health, (d) Berger HIV Stigma Scale, and (e) Holmes HIV/AIDS-Targeted Quality of Life Scale. Prevalent symptoms were fatigue (98%), fear (92.7%), shortness of breath (92.7%), gastrointestinal upset (85.5%), numbness (80.0%), and headac... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1722415 Thu, 21 Aug 2008 04:00:00 +0100 1722415 http://www.medworm.com/index.php?rid=1722414&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00724.x We explore the attitudes and beliefs of parents who consciously choose not to vaccinate their children and the ways in which these parents process information on the pros and cons of vaccines. In-depth, semistructured interviews were conducted. The study population consisted of 25 parents who do not vaccinate their children, identified through snowball and targeted sampling. Participants were asked about their processes and actions when choosing not to vaccinate their children. Interviews were taped and transcribed, and the content was analyzed for emergent themes. Two predominant themes emerged in our data: a desire to collect information on vaccines and trust issues with the medical community. Evidence of sophisticated data collection and information processing was a repeated theme in th... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1722414 Thu, 21 Aug 2008 04:00:00 +0100 1722414 http://www.medworm.com/index.php?rid=1722413&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00723.x The aim of this study was to compare the risk factors in women who delivered an infant of low birth weight (LBW, 2,500 g in a large metropolitan county (Bexar) in South Texas. An exploratory case comparison design was used to identify factors related to LBW outcomes in women receiving prenatal care. The cases were obtained from community hospitals. A stratified random sample was selected from a population of 38,064 infant births, of which 2,910 were identified as LBW. The final sample size was N=321 ( (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1722413 Thu, 21 Aug 2008 04:00:00 +0100 1722413 http://www.medworm.com/index.php?rid=1722412&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00722.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1722412 Thu, 21 Aug 2008 04:00:00 +0100 1722412 http://www.medworm.com/index.php?rid=1613920&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00720.x ABSTRACT An historical reprint, this account of a public health nurse's work with village residents during an outbreak of pneumonia related to tuberculosis was originally published in Public Health Nursing in December 1948. The author, Marion Curtis, was a public health nurse in the Territorial Health Department of Alaska called upon to respond to the rapid death of several victims of an unknown disease affecting a small outpost on Kodiak Island in the Territory of Alaska. Her narrative tells us about the settlement village and what happened from the time of the wire for help to the time she left the community for home. Her original spelling of names has been retained. Curtis's response to the emergency was quick and demonstrated experience. Her application of infection control principles ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1613920 Fri, 11 Jul 2008 04:00:00 +0100 1613920 http://www.medworm.com/index.php?rid=1613919&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00718.x ABSTRACT The purposes of this methodological study were to factor analyze the short form of the Tilden Interpersonal Relationship Inventory (IPRI) for early adolescents, and to assess construct validity of the social support and conflict subscales with early adolescents. The sample consisted of 147 early adolescents, aged 12[ndash]14, who completed instrument packets in classrooms in a suburban middle school. Data obtained on the IPRI were subjected to principal components factor analysis with Varimax rotation. The two factors that emerged are consistent with the theories underlying the instrument. Factor I was social support, and had a coefficient [alpha] reliability of .90. Factor II was conflict, and had a coefficient [alpha] reliability of .86. Construct validity was assessed by testin... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1613919 Fri, 11 Jul 2008 04:00:00 +0100 1613919 http://www.medworm.com/index.php?rid=1613918&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00719.x ABSTRACT Obtaining quality data in a timely manner from humanitarian emergencies is inherently difficult. Conditions of war, famine, population displacement, and other humanitarian disasters, cause limitations in the ability to widely survey. These limitations hold the potential to introduce fatal biases into study results. The cluster sample method is the most frequently used technique to draw a representative sample in these types of scenarios. A recent study utilizing the cluster sample method to estimate the number of excess deaths due to the invasion of Iraq has generated much controversy and confusion about this sampling technique. Although subject to certain intrinsic limitations, cluster sampling allows researchers to utilize statistical methods to draw inferences regarding entire ... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1613918 Fri, 11 Jul 2008 04:00:00 +0100 1613918 http://www.medworm.com/index.php?rid=1613917&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00717.x ABSTRACT The Association of Community Health Nursing Educators (ACHNE) has developed a number of documents designed to delineate the scope and function of community/public health nursing educators, researchers, and practitioners. In response to societal issues, increased emphasis on disaster preparedness in nursing and public health, and requests from partner organizations to contribute to curriculum development endeavors regarding disaster preparedness, the ACHNE Disaster Preparedness Task Force was appointed in spring 2007 for the purpose of developing this document. Task Force members developed a draft of the document in summer and fall 2007, input was solicited and received from ACHNE members in fall 2007, and the document was approved and published in January 2008. The members of ACHN... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1613917 Fri, 11 Jul 2008 04:00:00 +0100 1613917 http://www.medworm.com/index.php?rid=1613916&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00716.x ABSTRACT The Association of State and Territorial Directors of Nursing vision for emergency preparedness is that every community, family, and individual will have a comprehensive emergency preparedness plan that minimizes the consequences of disasters and emergencies, and enables communities, families, and individuals to respond and recover. This position paper provides national and state policy guidance during emergencies to all public health nurses in the United States and its Territories. Public health nurses bring critical experience to each phase of a disaster: mitigation, preparedness, response, and recovery. Public health nurses strive to achieve individual competencies so that they may better collaborate with others and contribute to emergency preparedness and response. Twelve Emer... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1613916 Fri, 11 Jul 2008 04:00:00 +0100 1613916 http://www.medworm.com/index.php?rid=1613915&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00715.x Delineate the lessons that public health professionals learned during past disasters and information/resources found to be lacking during past disasters. Qualitative research consisting of 32 participants who attended the 2006 Association for Professionals in Infection Control and Epidemiology Conference and participated in 1 of 3 focus groups. Focus group sessions were audiotaped; tapes were transcribed verbatim. Content analysis included identifying, coding, and categorizing participants' responses. Major themes were identified and categorized. Disasters can result in public health crises if infection prevention/control interventions are not implemented rapidly and appropriately. Gaps in past public health disaster response include infection prevention/control in mass casualty incidents,... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1613915 Fri, 11 Jul 2008 04:00:00 +0100 1613915 http://www.medworm.com/index.php?rid=1613914&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00714.x This investigation aimed to identify and analyze the general and specific competencies of nurses in the primary health care practice of Brazil. The Delphi Technique was used as the method of study. 2 groups of participants were selected: One contained primary health care nurses (n=52) and the other specialists (n=57), including public health nurses and public or community health faculty. 3 questionnaires were developed for the study. The first asked participants to indicate general and specific competencies, which were compiled into a list for each group. A Likert scale of 1[ndash]5 was added to these 2 lists in the second and third questionnaires. A consensus criterion of 75% for score 4 or 5 was adopted. In the nurses' group, 17 general and 8 specific competencies reached the consensus c... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1613914 Fri, 11 Jul 2008 04:00:00 +0100 1613914 http://www.medworm.com/index.php?rid=1613913&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00713.x To conduct a radon awareness survey to examine the level of awareness and risk perception of indoor radon exposure among the general public, medical students, and physicians of the state of Azad Jammu and Kashmir, given that long-term exposure to indoor radon increases lifetime risk of lung cancer and may pose a substantial threat to public health. Cross-sectional survey. Sample: households by telephone (500), interviews with menial laborers (200), questionnaires to shopkeepers and government employees (1,000), undergraduates (200), social science graduates (1,500), science graduates (1,500), medical students (325), and physicians (100). Measures: familiarity with radioactivity and the nature and health hazards of radiation and radon. Analysis: Significance of data trends was measured usin... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1613913 Fri, 11 Jul 2008 04:00:00 +0100 1613913 http://www.medworm.com/index.php?rid=1613912&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00712.x This study determines which adolescent girls are becoming pregnant. Cross-sectional study. Pregnant or puerpera adolescents in Teresina, Brazil (278), aged 15[ndash]19 years. Comparisons were made between the older and younger age groups of the Teresina sample and between the socioeconomic and demographic characteristics of the Teresina sample and ever-pregnant adolescents from the 1996 Demographic and Health Survey (DHS) sample. Descriptive analyses and Pearson's chi-square tests were performed. Compared with the 1996 DHS sample, there has been a social improvement manifested by a higher proportion attending school and a lower proportion of adolescent workers in the 2006 Teresina sample. In the 2006 sample, 60.2% of those attending school were below their grade for age level. The principa... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1613912 Fri, 11 Jul 2008 04:00:00 +0100 1613912 http://www.medworm.com/index.php?rid=1613911&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00711.x To determine the effectiveness of a community-partnered risk communication intervention tailored for subsistence anglers in a public housing community. A one group, pretest, posttest design was used to test the effectiveness of the intervention in a sample (n=23, age range 18[ndash]75 years, 100% African American) of subsistence anglers residing in a public housing community in close proximity to a Superfund clean-up site. Face-to-face surveys were conducted at baseline and 3 months post the intervention to assess changes in knowledge and behaviors. A socioculturally appropriate risk communication intervention was developed, implemented, and evaluated in the targeted community. The risk communication included an interactive power point presentation, visual demonstration by a role model, an... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1613911 Fri, 11 Jul 2008 04:00:00 +0100 1613911 http://www.medworm.com/index.php?rid=1613910&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00710.x ABSTRACT Public health nurses (PHNs) implement interventions from the Public Health Intervention Wheel in a school-based program to prevent repeat adolescent pregnancy. The local health department, the school district, and a community hospital collaborated to develop the Pregnancy-Free Club (PFC) for adolescent mothers attending the school. Their goal was to prevent repeat adolescent pregnancy through a multifaceted approach. Strategies include the daily presence of PHNs in the school, monthly pregnancy tests and surveys, health counseling and referral, and group health education classes. The school also provides day care for participants' children. Following program initiation, the repeat adolescent pregnancy rate declined from 4.7% to a mean of 4.7% over 9 years of the program. Data from... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1613910 Fri, 11 Jul 2008 04:00:00 +0100 1613910 http://www.medworm.com/index.php?rid=1613909&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00709.x ABSTRACT To describe the preconception health status of Iraqi women in 2001 following the trade embargo imposed on Iraq beginning in 1991 and only partially removed in 1996. A descriptive cross-sectional prevalence study. 500 Iraqi women at a premarital clinic in Baghdad in 2001. Women were surveyed for age, area of residence, menstrual history, household crowding, consanguinity, and a family history of congenital problems. Clinical findings regarding height, weight, and hemoglobin level were included in the data. Almost one third of the women were below the age of 20 and the majority were between 20 and 25 years of age. More than half of the women in this study had an intermediate-level education or less and lived in very crowded housing. Most of the women were anemic and reported a delay... Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1613909 Fri, 11 Jul 2008 04:00:00 +0100 1613909 http://www.medworm.com/index.php?rid=1613908&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1525-1446.2008.00708.x (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1613908 Tue, 01 Jul 2008 04:00:00 +0100 1613908 http://www.medworm.com/index.php?rid=1430764&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1525-1446.2008.00696.x%3Fai%3Dut%26mi%3D4p65t%26af%3DR Public Health Nursing, Volume 25, Issue 3, Page 201-202, May/June 2008. (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1430764 Fri, 09 May 2008 19:14:55 +0100 1430764 http://www.medworm.com/index.php?rid=1430774&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1525-1446.2008.00706.x%3Fai%3Dut%26mi%3D4p65t%26af%3DR Public Health Nursing, Volume 25, Issue 3, Page 285-291, May/June 2008. ABSTRACT Public health nursing was the term Lillian Wald used to describe the work of nurses whose role it was to address both the immediate impact of sickness and the underlying relationship between poverty, social disadvantage, environmental hazards, ... (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1430774 Fri, 09 May 2008 14:49:18 +0100 1430774 http://www.medworm.com/index.php?rid=1430766&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1525-1446.2008.00698.x%3Fai%3Dut%26mi%3D4p65t%26af%3DR Public Health Nursing, Volume 25, Issue 3, Page 212-220, May/June 2008. ABSTRACT Objectives: To identify the factors influencing mammography screening among Thai immigrant women in Southern California. Background: Asian women have lower mammography screening rates than other U.S. women (Centers for Disease Control [CDC], ... (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1430766 Fri, 09 May 2008 14:49:18 +0100 1430766 http://www.medworm.com/index.php?rid=1430771&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1525-1446.2008.00703.x%3Fai%3Dut%26mi%3D4p65t%26af%3DR Public Health Nursing, Volume 25, Issue 3, Page 261-268, May/June 2008. ABSTRACT The Precautionary Principle posits that, in the absence of certainty, the appropriate course of action is to err on the side of caution. The Principle has been applied to decision making and policy development related to environmental health ... (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1430771 Fri, 09 May 2008 14:49:17 +0100 1430771 http://www.medworm.com/index.php?rid=1430772&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1525-1446.2008.00704.x%3Fai%3Dut%26mi%3D4p65t%26af%3DR Public Health Nursing, Volume 25, Issue 3, Page 269-277, May/June 2008. ABSTRACT A utilitarian approach is used to evaluate the ethics of incorporating unscientific anomalous therapies within health care and related settings. This paper argues that incorporation of anomalous therapy methods into health care systems is ... (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1430772 Fri, 09 May 2008 14:49:16 +0100 1430772 http://www.medworm.com/index.php?rid=1430773&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1525-1446.2008.00705.x%3Fai%3Dut%26mi%3D4p65t%26af%3DR Public Health Nursing, Volume 25, Issue 3, Page 278-284, May/June 2008. ABSTRACT Objective: To psychometrically assess the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) among a multicultural U.K. sample and to examine the relationship between breastfeeding self-efficacy and maternal demographic variables. Design: ... (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1430773 Fri, 09 May 2008 14:49:14 +0100 1430773 http://www.medworm.com/index.php?rid=1430770&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1525-1446.2008.00702.x%3Fai%3Dut%26mi%3D4p65t%26af%3DR Public Health Nursing, Volume 25, Issue 3, Page 253-260, May/June 2008. ABSTRACT Objective: To examine differences in psychosocial factors among health promotion volunteers (HPVs) according to years of experience. Design: Cross-sectional survey. Sample: A total of 604 HPVs in Koka and Konan cities in Japan in 2005. ... (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1430770 Fri, 09 May 2008 14:49:13 +0100 1430770 http://www.medworm.com/index.php?rid=1430765&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1525-1446.2008.00697.x%3Fai%3Dut%26mi%3D4p65t%26af%3DR Public Health Nursing, Volume 25, Issue 3, Page 203-211, May/June 2008. ABSTRACT Objective: Self-prescription involves the purchase and use of restricted medications without medical advice. Although common in Central and South American countries, little is known about this practice among Latino immigrants in the United ... (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1430765 Fri, 09 May 2008 14:49:13 +0100 1430765 http://www.medworm.com/index.php?rid=1430767&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1525-1446.2008.00699.x%3Fai%3Dut%26mi%3D4p65t%26af%3DR Public Health Nursing, Volume 25, Issue 3, Page 221-234, May/June 2008. ABSTRACT Objectives: To test the feasibility and effectiveness of the Senior Exercise Self-efficacy Project (SESEP). Design: A feasibility study using a randomized control trial. Sample: The total sample included 166 persons, with a mean age of 73 ... (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1430767 Fri, 09 May 2008 14:49:10 +0100 1430767 http://www.medworm.com/index.php?rid=1430769&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1525-1446.2008.00701.x%3Fai%3Dut%26mi%3D4p65t%26af%3DR Public Health Nursing, Volume 25, Issue 3, Page 244-252, May/June 2008. ABSTRACT Objective: To evaluate the relationship between nurse-to-population ratios and population health, as indicated by state health ranking, and to compare the findings with physician-to-population ratios. Design: Secondary analysis correlational ... (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1430769 Fri, 09 May 2008 14:49:02 +0100 1430769 http://www.medworm.com/index.php?rid=1430768&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1525-1446.2008.00700.x%3Fai%3Dut%26mi%3D4p65t%26af%3DR Public Health Nursing, Volume 25, Issue 3, Page 235-243, May/June 2008. ABSTRACT Objectives: (1) Determine the prevalence of overweight and high blood pressure (BP) among middle and high school students over a 2-year period and, (2) measure the cost and initial outcomes of screening. Design: Cost and outcome description ... (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1430768 Fri, 09 May 2008 14:48:51 +0100 1430768 http://www.medworm.com/index.php?rid=1430775&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1525-1446.2008.00707.x%3Fai%3Dut%26mi%3D4p65t%26af%3DR Public Health Nursing, Volume 25, Issue 3, Page 292, May/June 2008. (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1430775 Fri, 09 May 2008 14:48:35 +0100 1430775 http://www.medworm.com/index.php?rid=1243105&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1525-1446.2008.00685.x%3Fai%3Dut%26mi%3D4p65t%26af%3DR Public Health Nursing, Volume 25, Issue 2, Page 101-102, March/April 2008. (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1243105 Tue, 19 Feb 2008 20:40:53 +0100 1243105 http://www.medworm.com/index.php?rid=1243106&cid=s_32356_27_f&fid=32356&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1525-1446.2008.00686.x%3Fai%3Dut%26mi%3D4p65t%26af%3DR Public Health Nursing, Volume 25, Issue 2, Page 103-105, March/April 2008. (Source: Public Health Nursing) Public Health Nursing journals http://www.medworm.com/rss/comments.php?id=1243106 Tue, 19 Feb 2008 16:52:06 +0100 1243106