This case study describes how the desire of an American Indian community in Wyoming grew into an American Indian/Alaska Native women's advisory committee, a culturally appropriate prenatal education booklet, and a national initiative for a nonprofit organization. The work began by bringing together women from 13 different nations and tribes, gaining the trust of the American Indian/Alaska Native women and working together to create an award winning booklet and a national initiative to support culturally appropriate prenatal education to every young American Indian/Alaska Native woman across this nation. Reservations from Wisconsin to Alaska have received this program for their young women.
The greatest prevalence of tobacco use in the United States occurs with the American Indian and Alaskan Native (AI/AN). A critical need exists for a culturally specific tobacco cessation option for AI/AN youth. The nurse practitioner is positioned to provide a culturally specific commercial tobacco cessation option by incorporating the transcultural nursing theory into the development of a decision tree to expand understanding of culturally appropriate best practices regarding screening and management of tobacco smoking cessation in AI/AN youth. Presented is the Nurse Practitioner Culturally Specific American Indian and Alaskan Native Youth Decision Tree for Smoking Cessation with supporting evidence-based best practices.
This case study demonstrates the process one accredited home care organization followed to reduce its infection rate. Ongoing benchmarking of urinary tract infection (UTI) rates was the basis of measuring the performance of the organization. The project culminated in the development of a UTI patient education tool and improved outcomes to care.
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