This case study revealed a negative care experience, similar to conclusions of investigations conducted in other countries. Understanding of nurses' care experiences can inform efforts to improve practice environments, provide resources, or develop models of care that support nurses who care for patients with SMI and improve health outcomes for people with SMI.
The Centers for Disease Control and Prevention estimate that 800,000 to 900,000 Americans live with HIV disease (HIVD) and that it is transmitted to 40,000 others annually. Biomedical research has focused on finding a cause and cure, including early detection techniques and pharmacologic therapies to extend life. Meanwhile, persons with HIVD continue to face multiple challenges as they live with symptoms and the effects of treatment modalities that affect their quality of life. The purpose of this investigation was to identify and explore relations among physical activity (PA), social support, and health-related quality of life (HRQOL) in persons with HIVD who were living in community settings. Findings indicated a significant inverse correlation between participant's HRQOL and meeting moderate or vigorous PA recommendations from Healthy People 2010, but weekly frequency of participating in at least 30 min of moderate or vigorous PA was significantly (r = .49, p < . 01) correlated with HRQOL. Friend social support and weekly frequency of PA accounted for 37% of the variance in HRQOL in a regression analysis.
The purpose of this systematic literature review was to describe the empirical findings on health literacy in adults 65 and older. A systematic search for research studies from 1999 to early 2010 was conducted in MEDLINE and CINAHL databases. Articles were analyzed using the following foci: skills and health knowledge, functional health literacy, and health behaviors and health outcomes. Findings indicated that advancing age resulted in a significant increase in prevalence of inadequate health literacy. Further research is needed to develop evidence-based, culturally congruent interventions to improve health literacy among older adults.
Physical activity (PA) may offer substantial health benefits for persons with HIV disease. The purpose of this study is to describe and explore physical activity behaviors in a sample of persons living with HIV disease. This descriptive correlational study surveyed 78 persons (n = 70 men; n = 8 women) from two outpatient settings. Results showed somewhat fewer of the participants met Healthy People 2010 PA recommendations than persons in the general population. Walking was the preferred PA. Average functional social support was significantly correlated with (a) weekly frequency of performing moderate 30-minute PA (r = .38, p < .01) and (b) HIV-RNA (viral load) values (r = -.37, p < .05). Significant correlations were also found between scores on general health status self-reported CD4+ cell counts (.33, p < .05) and HIV-RNA (.39, p < .05) values. Total friend functional social support was significantly (.32, p < .01) correlated with weekly frequency of moderate or vigorous PA.
This article proposes a situation-specific theory of migration transition for migrant farmworker women (MFW). The following themes were identified: (a) migration patterns, (b) awareness of critical markers, (c) time between awareness and engagement, (d) decision making, (e) differences between expected and actual transition experiences, and (f) personal identities. Participants identified conditions that supported and prevented a healthy migration transition including personal identities, family support, faith-based and community health outreach services, immigration/documentation status, and respect. Women recognized a sense of peace as a healthy transition response. The proposed theory offers an understanding of migration transition and provides a practical theoretical perspective for nurses and other health care professionals who implement and coordinate health care for MFW.
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