A scoping review of interventions seeking to improve aspects of patient-provider relationships involving Black pregnant and post-partum people.

AIMS: To provide a map of the evidence related to interventions targeting patient-provider relationships among Black perinatal people. DESIGN: A scoping review of the literature was conducted. DATA SOURCES: The database search included English language articles within three databases: PubMed, the Cumulative Index for Nursing and Allied Health Literature, and Medline without date restriction on June 15 and16 2022. REVIEW METHODS: This scoping review used the six-stage process first described by Arksey and O'Malley and recommended by the Joanna Briggs Institute: (1) specify the research question, (2) identify relevant literature, (3) select studies, (4) map out the data, (5) synthesize, and report the results and (6) consult experts. Studies were included if they (1) reported results of intervention studies related to patient-provider interaction, (2) were written in English and (3) were original research. The articles were reviewed with content analysis methodology to categorize and interpret the findings. RESULTS: Studies included randomized controlled trials (n = 5) and qualitative studies (n = 3) published between 2001 and 2018. Black pregnant people made up more than half of the participants in five of the eight studies (63%). Interventions were divided into three categories: delivery models (n = 4), mHealth risk assessment tools (n = 2) and patient-provider communication tools (n = 2). CONCLUSION: This study addressed the unknown role of patient-provider relationship interventions in improving the quality of care received by Black perinatal people. Findings suggest that structural and interpersonal components may have the potential to improve outcomes for Black pregnant people but could be further improved if culturally tailored. Further research is urgently needed to address discrimination and stigma in patient-provider relationships. The findings of this study could inform novel intervention development and should drive research. IMPACT: A scoping review determined that there are no interventions with Black pregnant people which targeted discrimination and bias in patient-provider relationships. NO PATIENT OR PUBLIC CONTRIBUTION: The authors did not include stakeholders such as patients, service users, caregivers or members of the public in the development of this scoping review, as it is a work that serves to set the stage for further community-based work. The results will however be communicated to community members at a planned advisory board in the future.

Global Health and Nursing Advocacy.

Editor's note: The Sigma Theta Tau International Honor Society of Nursing is a global organization focused on leadership and scholarship, with more than 135,000 members from more than 100 countries. This second article in a series highlights the work of Sigma's representatives at the United Nations and their perspectives on advocating for global health and nursing leadership.

Nurses Achieving the Sustainable Development Goals: The United Nations and Sigma.

This article is one in a series in which contributing authors discuss how the United Nations (UN) Sustainable Development Goals (SDGs) are linked to everyday clinical issues; national public health emergencies; and other nursing issues, such as leadership, shared governance, and advocacy. The 2030 Agenda for Sustainable Development, a 15-year plan of action to achieve the goals, was unanimously adopted by all UN member states in September 2015 and took effect on January 1, 2016. The Agenda consists of 17 SDGs addressing social, economic, and environmental determinants of health and 169 associated targets focused on five themes: people, planet, peace, prosperity, and partnership. The SDGs build on the work of the UN Millennium Development Goals, which were in effect from 2000 to 2015. The current article highlights SDGs 5 (gender equality), 8 (decent work and economic growth), and 17 (partnerships for the goals), along with the advocacy of these goals by Sigma Theta Tau International Honor Society of Nursing in the UN system.

The Relationship Between Past Experience, Empathy, and Attitudes Toward Poverty.

BACKGROUND: Nursing educators commonly place service-learning and simulation experiences in prelicensure public health nursing courses. These experiences have varying degrees of success in targeting gaps in students' knowledge and attitudes regarding vulnerable populations. This study sought to identify factors that are associated with attitudes toward poverty and empathy scores of senior-level prelicensure nursing students to improve pedagogy in public health nursing courses. METHOD: A cross-sectional comparison of senior-level nursing students from traditional and accelerated cohorts at a college of nursing was conducted. RESULTS: Students with prior volunteer experience reported lower empathy scores compared with students who did not have prior volunteer experience (t[102] = -1.9, p < .05). CONCLUSION: Nursing educators should engage students in identifying and evaluating their personal background related to poverty when beginning a public health nursing course to address bias and create shared knowledge. [J Nurs Educ. 2020;59(3):158-162.].

Integrative Review of Instruments to Measure Team Performance During Neonatal Resuscitation Simulations in the Birthing Room.

OBJECTIVE: To identify instruments appropriate to measure interprofessional team performance in neonatal resuscitation (NR), describe the validity and reliability of extant NR instruments, and determine instruments for use in interprofessional birthing room NR simulations. DATA SOURCES: The Cumulative Index to Nursing and Allied Health Literature, Ovid MEDLINE, Proquest, ScienceDirect, PubMed, and Scopus databases were searched. STUDY SELECTION: We used inclusion and exclusion criteria and screened 641 abstracts from January 2000 through December 2014 for relevance to the research question. We reviewed 78 full-text primary research publications in English and excluded 37 publications not specific to pediatrics or neonatology. After in-depth review of the 41 studies that remained, we excluded additional studies if they did not have an interprofessional focus, include psychometric information, or include a measurement instrument. Ten publications met the inclusion criteria. DATA EXTRACTION AND SYNTHESIS: Studies were reviewed, categorized, and scored to identify instruments to measure interprofessional team performance in simulations of birthing room NR. A social ecological model was used as a guide framework to identify multiple influencing factors at various levels that affect team performance. Ten instruments with documentation of validity and reliability for technical competence and team processes in interprofessional birthing room NR teams were identified. CONCLUSION: Extant instruments rarely address the multiple factors that may impede interprofessional team performance in birthing room NR. It is necessary for researchers to engage in rigorous psychometric testing of measurement instruments to ensure their validity and reliability for interprofessional NR teams and consider tests or updates (if necessary) of extant instruments rather than the development of new instruments.

The Culturally Diverse Nursing Student: A Review of the Literature.

PURPOSE: The purpose of this article is to discuss the facilitators and barriers to the retention and graduation of the culturally diverse nursing student using the social ecological model (SEM). DESIGN: Literature review. METHOD: A review of the literature was conducted and the SEM was used to evaluate the facilitators and barriers to the success of culturally diverse nursing students. FINDINGS: The SEM is an appropriate means to evaluate the facilitators and barriers to the retention and success of the culturally diverse nursing student. Researchers link health disparities in marginalized populations with diversity of the health care workforce. Consequently, the SEM provides a multidimensional view of the problem of focus, while providing a guide for the development for sustainable solutions to address the issues. Additional research is necessary using a social determinant of health model such as the SEM to facilitate dialogue and change in current retention strategies.