This preintervention/postintervention pilot study examined impact of onsite support by a dental hygiene champion (DHC) on oral health and quality of life (QOL) of elderly residents in three long-term care facilities (LTCFs) in Arkansas. Oral health and oral health-related QOL were operationalized using the Oral Health Assessment Tool (OHAT) and Geriatric Oral Health Assessment Index (GOHAI), respectively. CNAs in Facility A received standardized oral health education/materials with onsite DHC support. Facility B received education/materials only. Facility C served as control. Data analyses included Wilcoxon-signed rank tests (OHAT) and repeated measures ANOVA (GOHAI) (p ≤ .05). OHAT postintervention data in Facility A showed significant improvements in three measured areas (tongue health, denture status, and oral cleanliness); in Facility B, one area (tongue health); and none in Facility C. No significant differences were found in GOHAI scores across facilities. Findings suggest that the presence of DHCs in LTCFs may positively impact the oral health of CNA-assisted residents.
Herbal supplements (HS) are used by older persons and are often perceived as safe, although there is limited research that examines why this perception exists. A questionnaire was developed and pilot tested to investigate the use and perceived safety of HS among a convenience sample of 112 adults aged 60 to 92 in southeast Idaho. Fifty-five percent of the participants (n = 62) reported using HS in the past. Ninety-five percent (n = 59) of those using HS and 75% (n = 37) of nonusers reported they believed most or some HS were safe. Perception of herbal supplement safety was greatly influenced by family and friends, and HS users had a greater perception of safety than nonusers (p < or = .001). The top reasons for perceived safety given by HS users were that HS: (1) can be purchased without a prescription, (2) can be purchased in many locations, and (3) are natural.
The College Date Rape Attitudes Survey and the Attitudes Toward Women Scale were used in a cross-sectional study to assess rape-accepting attitudes of a convenience sample of 1602 university undergraduate students using a survey distributed online. The findings evidenced that males and individuals with more traditional gender role beliefs had attitudes more accepting of rape than the females and individuals who had more egalitarian gender role beliefs. Respondents who personally knew a rape survivor had attitudes less accepting of rape than those respondents who did not know a survivor. These findings support a continuing need to address rape myths in sexual violence prevention programming. The sexual assault nurse examiner (SANE-A) has an important role in prevention services to educate and build awareness of rape myths both on campus and through community-based efforts to reach this high risk population. Further, the SANE can build important linkages between the college campus and the healthcare setting to support the provision of effective intervention services and improved outcomes in victims of sexual violence.
Intimate partner violence is a recognized public health problem impacting the lives of women, families, and communities. Women in rural and more remote areas who experience IPV face unique barriers and challenges to accessing healthcare services to support healthy outcomes. Resources, access to services, presence of compassionate and informed healthcare providers, and environmental circumstances influence effective responses to this issue in rural and more remote areas. In a public health approach to this problem, prevention efforts, victim-centered responses, and the support of safety are imperative to improve outcomes for women. Forensic nurses play an important role in effective response by building linkages across health, human, and social systems through collaboration, partnership, activism, advocacy, and sensitivity to the issue across the rural landscape.
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