RESUMEN
A time burden, financial strain, and prioritizing care recipient needs over their own are key barriers preventing informal caregivers from engaging in health-promoting self-care. Primary healthcare providers are well positioned to assess and support informal caregivers. A cross sectional descriptive, correlational study was used to examine the knowledge, attitudes, and practices of healthcare providers regarding assessment and support of older informal caregivers. The Healthcare Professional Facilitated Health Promotion (HPFHP) Model guides this study by depicting the collaborative patient-healthcare professional relationship. The Caregiver Self-Care Survey for Healthcare Providers measured the knowledge, attitudes, and practices of 80 healthcare providers on assessing and supporting older informal caregivers. Descriptive and inferential statistics were calculated using IBM Statistical Package for the Social Sciences (SPSS) 28.0 software. Results indicated that despite positive attitudes, knowledge deficit and system level barriers prevented integration of caregiver assessment in practice. A caregiver identification process, user-friendly assessment tool, and system level changes are overdue.
Asunto(s)
Cuidadores , Conocimientos, Actitudes y Práctica en Salud , Estudios Transversales , Personal de Salud , Humanos , Encuestas y CuestionariosRESUMEN
BACKGROUND: This educational innovation describes the implementation of a telehealth supportive counseling center for psychiatric/mental health nurse practitioner (PMHNP) students at a small graduate school. The free, nurse-run, health care center was at risk due to the coronavirus disease 2019 (COVID-19) in-person care restrictions. METHOD: Due to COVID-19, PMHNP faculty and students pivoted to offer services via telehealth for the summer 2020 semester. Planning and implementation strategies regarding this pivot are presented. RESULTS: PMHNP students conducted a total of 82 visits, recording a 150% increase in clients served during the telehealth implementation. On average, students accrued between 39 and 73 supervised clinical hours. CONCLUSION: Given the COVID-19 pandemic, clinical placements as well as access to health care services were jeopardized. Through innovation and flexibility, PMHNP students were able to continue accruing supervised clinical hours, and an identified need in the community was continued to be met. [J Nurs Educ. 2021;60(11):651-654.].
Asunto(s)
COVID-19 , Enfermeras Practicantes , Telemedicina , Consejo , Humanos , Pandemias , SARS-CoV-2 , EstudiantesRESUMEN
Climate change is the greatest public health threat of the 21st century and is associated with environmental degradation and deleterious health consequences. In 2019, the Lancet Commission Report on Health and Climate Change: Ensuring that the Health of a Child Born Today Is Not Defined By a Changing Climate (Watts et al., 2019) examined the critical health issues that children will face in the era of climate change. Greenhouse gas emissions (GGEs) are responsible for an alarming increase in the warming of the planet, shifts in weather patterns, loss of arable land, and exacerbations of acute health issues, chronic health problems, and disaster-related health consequences. The purpose of this paper is to provide an overview of climate change and the associated deleterious health consequences in our climate-changing world. The paper will also examine the stages of political development to advance the 21st century role of the nursing profession in climate and health advocacy and policy.