Subject(s)
Computer-Assisted Instruction/methods , Education, Nursing, Graduate/organization & administration , Internet/organization & administration , Nursing Theory , Teaching/methods , Adult , Attitude of Health Personnel , California , Communication , Female , Humans , Interprofessional Relations , Male , Middle Aged , Models, Educational , Models, Nursing , Nursing Education Research , Philosophy, Nursing , Pilot Projects , Program Evaluation , Psychology, Educational , Students, Nursing/psychology , ThinkingABSTRACT
Cardiovascular disease (CVD) is the number 1 killer of American women, with African American women disproportionately represented. Dietary fat consumption is a major risk factor for the development of CVD. This study examined the average daily diet of urban midlife African American women, specifically the relation between dietary fat, readiness to change, ethnocultural association, and selected sociodemographic variables. Three hundred days of dietary data were collected. Sixty five percent of the participants reported currently avoiding high fat food with another 25% planning to avoid high fat food. Although 90% of the participants were avoiding or planning to avoid high fat foods, 77% were consuming diets with over 30% of their calories from fat. Of 11 variables considered, ethnocultural association was the only variable found to be consistently positively related to dietary fat intake. Community dietary education for midlife African American women needs to target all, especially those with stronger cultural bonds.
Subject(s)
Attitude to Health/ethnology , Black or African American/ethnology , Cardiovascular Diseases , Dietary Fats , Feeding Behavior/ethnology , Women/psychology , Adult , Black or African American/education , Analysis of Variance , Cardiovascular Diseases/ethnology , Cardiovascular Diseases/prevention & control , Diet Surveys , Dietary Fats/adverse effects , Female , Health Education , Health Knowledge, Attitudes, Practice , Humans , Los Angeles , Middle Aged , Models, Psychological , Needs Assessment , Regression Analysis , Risk Factors , Socioeconomic Factors , Surveys and Questionnaires , Women/educationABSTRACT
The sharing of experiences in advanced practice nursing clinical courses allows for application of core principals to different facets of practice, with the potential to promote discussions beyond the course objectives, create opportunities for mentoring, foster critical thinking, and facilitate change and socialization into advanced practice. A pilot test of online, directed journaling, an innovative sharing and reflection strategy, was incorporated in a two-quarter community health advanced practice nursing clinical course in an attempt to enhance clinical learning. Six female graduate nursing students completed the journaling. A 10-item evaluation measure demonstrated that the online journaling strategy was highly effective and valuable for the students. An assessment of the journaling entries found multiple examples of discussion, mentoring, critical thinking, and socialization. Innovative online strategies should become the standard for sharing in advanced practice nursing education.
