RESUMEN
The purpose of this systematic review was to evaluate research conducted on the DEU to identify and synthesize student learning outcomes. A systematic literature review was conducted through Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. After extracting data from seven (N = 7) published studies, eight (N = 8) valid and reliable instruments were identified to objectively evaluate student learning outcomes. Statistically significant objective learning outcomes of these studies included self-reported increased confidence and critical thinking, decreased anxiety, enhanced leadership skills and implementation of EBP, and feeling more supported by experienced nurses during training and transition to practice. With the exception of ATI assessments, HESI exam scores, and NCLEX pass rates, the instruments identified in this review measured personal perceptions of students' experiences. The majority of the instruments involved student nurses' self-reports, the lowest level of evaluation. From an academic standpoint, it is imperative to evaluate this model's impact on higher levels of learning and measurable behavioral changes after training. The collaborative model of DEU requires both academic and practice partners to collaborate to objectively measure the impact of the DEU model on student outcomes, new graduate nurses' transition to practice, and patient outcomes. While the results are promising, this systematic review suggests that more objective evidence is needed to determine measurable student learning outcomes of DEUs.
RESUMEN
The prevalence of obesity is a public concern and is linked to chronic diseases. Filipino Americans have a high prevalence rate of hypertension and diabetes. This study investigated the dietary intake of first-generation Filipino Americans (n=210). In addition, it provides a comparison of the obesity rates using the International guideline and the WHO Asian recommendation. The dietary intake included caloric, carbohydrate, and fat intake and was determined using the Block Brief Food Frequency Questionnaire. The anthropometric measurements included actual height, weight, and waist measurements. The body mass index (BMI) and waist circumference were categorized using the International guideline and the WHO Asian recommendation to determine obesity. The caloric and carbohydrate intake were normal; however, fat intake was increased. The BMI and waist circumference showed substantial difference when using the International and Asian guidelines to determine obesity. The results highlight the increased health risks of Filipino American immigrants including a high dietary fat intake and an increased obesity rate.
Asunto(s)
Índice de Masa Corporal , Dieta , Ingestión de Alimentos , Obesidad/epidemiología , Circunferencia de la Cintura , Carbohidratos de la Dieta/análisis , Grasas de la Dieta/análisis , Ingestión de Energía , New Jersey/epidemiología , Obesidad/etiología , Filipinas/etnología , PrevalenciaRESUMEN
Acculturation, the subsequent changes that occur in one culture after continuous first hand contact with another culture, impacts the dietary habits and health risks of individuals. This study examines the acculturation, dietary habits and anthropometric measurements in a sample of 210 first generation Filipino American immigrants in New Jersey (NJ). Acculturation was measured using the Short Acculturation Scale for Filipino Americans (ASASFA). Dietary acculturation was measured using the Dietary Acculturation Questionnaire for Filipino Americans (DAQFA) and dietary intake was determined using the Block's Brief Food Frequency Questionnaire (BFFQ). Anthropometric measurements were obtained including weight, height and waist circumference. Acculturation had a significant negative relationship with Filipino Dietary acculturation. Western dietary acculturation was significantly correlated with caloric intake (r(208) = 0.193, p < 0.01), percentage fat intake (r(208) = 0.154, p < 0.05), percentage carbohydrate intake (r(208) = -0.172, p < 0.05), Body Mass Index (BMI) (r(208) = 0.216, p < 0.01) and waist circumference (r(208) = 0.161, p < 0.01). There was no significant correlation between Filipino dietary acculturation, dietary intake and anthropometric measurements. The results showed that Filipino American immigrants have increased risks including increased BMI, waist circumference and increased fat intake. Over all, this research highlighted some dietary changes and their effects on dietary intake and health status.