Browsing by Author "Turman, Jack E."

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    The Mosque as a Site to Foster Maternal and Child Health
    (2023) Turman, Jack E.; Wynns, Whitley; Amahdar, Loubna
    Optimizing maternal and child health (MCH) outcomes within any population requires programming within hospital, outpatient clinic, and community settings. Our Grassroots MCH Initiative (GMCHI) focuses on building the capacity of community members and organizations within marginalized communities to create systems change that improves MCH outcomes. The Muslim community within America often feels marginalized because of language and cultural barriers. The first author of this report is committed to serving Muslim communities following his 2016 Fulbright Scholar experience at Hassan 1st University in Settat, Morocco, wherein he worked to grow the nation’s first MPH program. In spring 2022, his collaborator from Hassan 1st (author L.A.) served as a Fulbright Scholar on his GMCHI team. They partnered with a local mosque, which primarily serves West African immigrants, to create programming that fosters improved MCH outcomes. We initiated our efforts by training two women in the mosque with our Grassroots MCH Leadership training curriculum. To help create appropriate programming, we asked the mosque leadership their priorities and we surveyed women in the mosque to understand their needs and interests. We then hosted a MCH fair during Eid al-Fitr that: a) provided connections to local MCH health/social services, and b) distributed essential infant care and home safety supplies. We developed and circulated, across the mosque’s social media platforms, a series of 13 MCH instructional messages in English, French, and Arabic to raise MCH awareness and provide families simple intervention strategies for MCH issues. We are now growing a novel legal clinic within the mosque to address the legal needs of members. Our work is an example of how Fulbright support can foster knowledge and collaborations that improve global MCH.
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    Nurses' Perspectives of Safe Sleep Education in the Prenatal Appointment: A Descriptive Qualitative Study
    (2025-05) Bufink, Elizabeth Anne; Otte, Julie L.; Draucker, Claire B.; Bartlett Ellis, Rebecca J.; Turman, Jack E.
    Approximately 20,000 infants die in the United States before their first birthday. Sleep-related deaths occurring in infants during the first year of life are a significant contributor to infant mortality rates in the United States with approximately 3,700 occurring each year. These deaths are associated with noteworthy racial disparities differences with SUID rates twice as high for non-Hispanic Black/African American than non-Hispanic White infants. Unsafe sleep practices, such as unsafe location, position, and bedding, contribute to sleep-related deaths in infants and are modifiable. Safe sleep education (SSE) in the prenatal environment allows for early access to safe sleep guidelines with further reinforcement of the teachings in the continuum of care. The qualitative descriptive study used interviews with prenatal nurses to describe their perspectives on integrating SSE into prenatal clinic visits. From these interviews, six categories emerged: current state of teaching SSE, facilitators and barriers to teaching SSE, nurses’ attitudes about SSE, nurses’ knowledge of safe sleep guidelines, nurses’ comfort level providing SSE, and best practice/recommendations for SSE, including tailored education to account for patient individual differences. These categories provide new information concerning safe sleep education in the prenatal environment. The information provides new avenues for intervention development to address the lack of sleep education in all prenatal patients, but especially in underrepresented groups, closing one area of health disparities regarding safe sleep. Additionally, the categories highlight the importance of policy and funding mechanisms to support these future interventions. The overarching goal is to decrease the infant mortality rate through safe sleep education introduced early in routine prenatal appointments and continued through the continuum of care.
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    Preconception and Interconception Health and Routine Health Service Use Among Women in a Rural Midwestern Community
    (2020-02) DiPietro Mager, Natalie Ann; Dixon, Brian E.; Turman, Jack E.; Zhang, Jianjun; Zollinger, Terrell W.
    Advancement of preconception and interconception health is a key element to improve women’s health as well as pregnancy outcomes. Little is known about the preconception and interconception health status of rural Midwestern populations in the United States. The primary objective of this study was to determine the preconception and interconception health status as well as behaviors of reproductive age women living in a rural Midwestern area. Secondary objectives were to quantify process measures of health care access and barriers to care, as well as determine disparities in preconception and interconception health status among women in this rural area as compared to statewide estimates. As existing national or state secondary data sources often have limitations in data derived from areas with low population densities or insufficient sample sizes to generate reliable estimates, a cross-sectional study was performed using a 34- item survey. Data were collected from February to May 2019 from 315 non-pregnant women ages 18-45 years in a rural county in northwestern Ohio. Nearly all women surveyed had at least one risk factor associated with poor pregnancy outcomes, many of which were modifiable. Nearly half of all respondents reported at least one barrier to receipt of health care services. Women in this rural county fared worse for several preconception and interconception health measures when compared to statewide estimates derived from Behavioral Risk Factor Surveillance System and Ohio Pregnancy Assessment Survey data. These findings illustrate the need for continued development of interventions to improve preconception and interconception health for rural women as well as improved methods to capture and analyze data on important subpopulations at risk.
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    Secondary Traumatic Stress: Pervasiveness and Contributing Factors in School Personnel
    (2022-11) Klemme, Paige M.; Pierce, Barbara; Turman, Jack E.; Fukui, Sadaaki; Brown, James R.
    The study aim is to identify pervasiveness and factors leading to secondary traumatic stress (STS) in school personnel to increase awareness of the need for support and help for school personnel who are affected by STS. School personnel is defined in this study as all personnel employed by schools and includes, teachers, administrators, staff, resource officers, custodians, lunch aids, bus drivers, nurses, social workers, etc. School personnel work together to support students and ensure that they learn not only educational material, but also social and emotional skills. They also provide a sense of safety for students. School personnel are tasked with providing seven hours of daily support to their students; however, lack of supports, constant stressors, and exposure to secondhand accounts of trauma, put school personnel at risk for STS. This dissertation includes a review of STS in school personnel, theory used to inform and understand STS, a systematic review of STS in school personnel, a cross-sectional study of STS in school personnel from a Midwestern County, and integration of findings including practical implications and need for future research.