ABSTRACT
This study was conducted to evaluate an action plan intervention for self-management in overweight/obese adults in a minority population. Study variables were patient activation, health self-efficacy, and health-related practice. A mixed QUAN (qual) quasi-experimental single group pre-test post-test study was conducted. Action plan intervention was implemented and evaluated in a random sample of 19 African American adults. Results showed that post intervention scores increased in health-related practice and health self-efficacy that were positively correlated. Action plan achievement was predicted by the pre-intervention activation score. Findings suggest that the roles of patient activation and self-efficacy are essential for success in self-management.
Subject(s)
Attitude to Health/ethnology , Black or African American/psychology , Obesity/diet therapy , Obesity/psychology , Self Care/methods , Self Care/psychology , Adult , Female , Florida , Health Knowledge, Attitudes, Practice , Humans , Male , Medically Underserved Area , Middle Aged , Minority Groups , Obesity/ethnology , Patient Education as Topic , Pilot Projects , Program Evaluation , Self Efficacy , United StatesABSTRACT
The author is the dean of a School of Nursing and has had to make major leadership decisions throughout her career during her tenure as an administrator. In one of the schools in which she has served, comprehensive examinations were an issue for students, faculty, and administrators. When comprehensive examinations were failed, students were dismissed in accordance with school policy. In several situations regarding appeals of the dismissals, students were given the opportunity to participate in the academic review process. In one instance, the students wrote a letter to the author who relied on the teachings of Project LEAD to evaluate the situation objectively. Based on her evaluation, the author decided the students had valid criticisms. The decision to allow the students to remain enrolled was contrary to the culture of the school, which blamed the students for failure. The author decided to use lessons from Project LEAD to guide her in making a decision.
Subject(s)
Educational Measurement , Leadership , Nurse Administrators , Professional Competence , Schools, Nursing/organization & administration , Attitude of Health Personnel , Cooperative Behavior , Decision Making, Organizational , Education, Nursing, Continuing , Humans , Interprofessional Relations , Models, Nursing , Nurse Administrators/education , Nurse Administrators/organization & administration , Nurse Administrators/psychology , Organizational Culture , Staff Development , Student Dropouts , Students, Nursing/psychologyABSTRACT
The relationship between health beliefs and practice of breast self examination (BSE) in a sample of 179 black women, 20 to 49 years of age, was investigated. Health beliefs were operationalized by employing Champion's revised Health Belief Model Scale (1993) to collect data. Data analyses included multiple regression analysis to examine BSE behavior in relation to selected demographic attributes and health beliefs. Results indicated that health beliefs were much stronger in determining BSE performance for a given individual than were demographic characteristics. The frequency of BSE was related to increased perceived seriousness of breast cancer, benefits of BSE, and health motivation. Frequency of BSE was inversely related to perceived barriers.
