Browsing by Subject "delivery of healthcare"

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    Associations between trust of healthcare provider and body mass index in adolescents
    (Taylor & Francis, 2021-07-03) Hardin, Heather K.; Moore, Shirley M.; Moore, Scott E.; Uli, Naveen K.
    Adolescent obesity continues to be a serious concern around the world, placing young people at risk for chronic conditions and early death. Research has shown that social relationships are important in making health behavior changes, such as following health-care recommendations for eating and physical activity. Specifically, the trust of health-care providers has been shown to be important in making health behavior change. Evidence suggests that obese young adults are less trusting of health-care providers than their healthy weight peers, but it is not known if this also applies to obese adolescents. The purpose of this secondary analysis study was to determine relationships between the trust of health-care providers and body mass index percentile in adolescents. Participants were 224 adolescents aged 14-19 years attending a public high school in the Midwestern United States. The Wake Forest Physician Trust scale measured the trust of health-care providers. Height and weight were collected at a school screening; body mass index percentile categories were determined according to age- and sex-adjusted body mass index percentiles. One-way analysis of variance and post hoc Tukey tests showed trust scores varied significantly between body mass index percentile categories of girls. Results suggest it may be necessary for health-care providers to make additional efforts to build trust with obese adolescent girls than with other groups of adolescents.
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    Depressive symptoms and trust of healthcare provider in rural adolescents: Relationships and predictors
    (Taylor & Francis Online, 2021-03) Hardin, Heather K.; Alchami, Hana K.; Connell, Arin
    The purpose of this study was to evaluate associations among depressive symptoms, trust of healthcare provider, and health behavior in adolescents who live in a rural area. Two hundred twenty-four adolescents aged 14-19 years old attending public high school in the Midwestern United States were surveyed. Results showed a diagnosis of depression, trust of healthcare provider, health awareness, and stress management predicted depressive symptoms in adolescents living in a rural area. Healthcare providers should take extra care to promote trust in the healthcare provider-patient relationship with adolescents and to follow guidelines for annual screening of adolescents for depressive symptoms. Nursing implications include adolescent psychoeducation to improve health awareness and stress management.
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    Staff Care in the Midst of Traumatic Events
    (Chaplaincy Innovation Lab, 2022-03-04) Varner-Perez, Shelley E; Nwokeogu, Patrick; Whitaker, Myra K.; Williams, Eric A.
    Traumatic events bring upheaval and uncertainty. Yet not all difficult or jarring events are experienced as distressing, “traumatic,” or morally injurious by those present, the latter of which in military contexts involves an experience that violates one’s moral code or betrayal by once-trusted sources. Trauma has a certain subjective quality to it, as we learn from military personnel who may witness the same event and interpret or internalize it differently. Exposure to a potentially injurious event does not necessarily lead to post-traumatic stress or moral injury for all who witness the event. So, how do we define a traumatic event for the purposes of this eBook? Trauma overwhelms a person’s capacity to make meaning. Healthcare staff may experience traumatic events that tax their ability to respond, such as when a situation overwhelms their capabilities or when the details of an event intersect with current or past experiences, amplifying a common event to a traumatic level. The chaplain writers of this eBook chose a compilation of vignettes that incorporate multiple types of traumatic events. Some of these encounters are with individual staff members, while others occurred in staff groups. Some of these events are personal and individual, like a particularly jarring patient encounter, or intersection of personal story with professional experience; other events represent societal trauma such as experiences of racism, COVID-19, or attempts to disrupt activities of the federal government. Each traumatic event includes a particular chaplain’s approach to staff care, recognizing the contextual features of the encounter. Some vignettes are compilations, and details have been changed to protect privacy. A certified educator once described staff as the primary congregation the healthcare chaplain serves; in this metaphor, patients and families are visitors to the congregation. Though the specific words used for “staff” vary by setting (healthcare workers, team members, care partners, care receivers, professional caregivers, front line workers, employees, and so on), those who work and serve alongside chaplains are the metaphorical “regulars.” These co-laborers clean rooms, prep supplies, sterilize equipment, prepare food, compound medications, administer breathing treatments, process labs, perform surgeries, and manage conditions; each does their part to contribute to patients’ healing. With staff being integral to the flow and function of the setting, chaplains have a meaningful role in providing care to professional caregivers. Each vignette includes structural similarities: background about the encounter, the chaplain’s assessment (or, at times, the recipient’s self-assessment), chaplain-provided support or intervention, outcome or staff response, and the chaplain’s reflection or concluding thought. Recognizing a single setting has limitations and that no resource is exhaustive, the chaplain writers anticipate readers will adapt and modify these approaches to the benefit of other settings.