ABSTRACT
The experience of hospitalization for Hawaiian children on the mainland might be improved through the understanding and development of cultural sensitivity to Hawaiian ways of healing. This article contains a selected review of the literature on meeting the cultural health care needs of Hawaiian children and their families, a discussion of some of the challenges of caring for Hawaiian children in Utah, and suggestions for practice that may improve the experience of hospitalization for Hawaiian children in general.
Subject(s)
Attitude to Health/ethnology , Child, Hospitalized/psychology , Medicine, Traditional , Pediatric Nursing/organization & administration , Transcultural Nursing/organization & administration , Acculturation , Adaptation, Psychological , Child , Cultural Diversity , Family/psychology , Hawaii/ethnology , Health Knowledge, Attitudes, Practice , Health Services Needs and Demand , Humans , Nurse's Role , Nursing Methodology Research , Total Quality Management/organization & administration , UtahABSTRACT
The demography of the United States is rapidly changing. The impressive growth rate of Latino populations within the United States has great impact on health care. This article includes discussion of a significant increase from 1988 to 2000 in Latino utilization of emergency department and inpatient services at a pediatric medical center in Salt Lake City, Utah, information on health care barriers for Latinos, and suggestions for providing culturally competent care.
Subject(s)
Child Health Services , Child Welfare/ethnology , Communication Barriers , Cultural Diversity , Health Services Accessibility , Hispanic or Latino , Acculturation , Attitude of Health Personnel , Attitude to Health/ethnology , Child , Child Health Services/statistics & numerical data , Female , Health Services Accessibility/statistics & numerical data , Hispanic or Latino/psychology , Hispanic or Latino/statistics & numerical data , Humans , Male , Medically Underserved Area , Medically Uninsured/statistics & numerical data , Poverty/ethnology , Time Factors , Utah/epidemiologyABSTRACT
Dyadic role-playing is a way to combine role-playing and dyad work in class to increase student participation. The instructor can use warm-up exercises to help students reduce their stress, and to recognize the value of role-playing in their journeys toward becoming professional nurses. The advantages, limitations, and practical considerations regarding dyadic role-playing are also highlighted.
Subject(s)
Education, Nursing/methods , Interpersonal Relations , Role Playing , Teaching/methods , HumansABSTRACT
PURPOSE: To systematically review the published research and report on the efficacy of using a metered-dose inhaler with a spacer (MDI-S) device in a pediatric setting to treat acute exacerbations of asthma. DATA SOURCES: A literature search was conducted on the CINAHL, Medline, and Cochrane databases; additional searches were made by hand from the reference lists in each study retrieved from databases and from review articles written on the same topic. CONCLUSION: This critical appraisal of the research demonstrates the MDI-S is as effective as the nebulizer, faster in the delivery of medication, and cost-effective. IMPLICATIONS FOR PRACTICE: No significant difference between the MDI-S and nebulizer in delivering medication in an acute exacerbation of asthma was found in this analysis. The practitioner's choice of delivery methods should reflect the family's preference, the practice situation, and economic considerations.
Subject(s)
Anti-Asthmatic Agents/administration & dosage , Asthma/drug therapy , Nebulizers and Vaporizers/standards , Acute Disease , Administration, Inhalation , Age Factors , Asthma/classification , Asthma/physiopathology , Child , Child, Preschool , Evidence-Based Medicine , Humans , Infant , Infant, Newborn , Nebulizers and Vaporizers/economics , Nebulizers and Vaporizers/supply & distribution , Patient Selection , Pediatrics/methods , Severity of Illness IndexABSTRACT
The changing health care delivery system has affected nursing care delivery models. To meet the needs of these shifting sands, health-related professions must examine curricula preparing new graduates. An exploratory, descriptive survey design was employed to discover motivators for and types of curricular changes occurring in nursing programs and determine what supportive educational materials are needed. One hundred sixty-seven (26%) of the 651 surveys mailed to a sample of the whole of U.S. baccalaureate nursing programs were returned. Relationships between and among categories of nominal data culled from the participants' experiences were compared using nonparametric statistics. Findings demonstrated why and what changes were made and what educational materials are needed to support new curricula. Results also indicated that blurring of boundaries between community and general acute care nursing is necessary, and changes throughout curricula, including educational materials, must reflect the real-life community aspects of the health care needs of all individuals.
