Resettlement can be an uncertain time for refugees as they have often suffered life-threatening circumstances prior to flight from their countries, yet few resettlement programs screen for mental health. The purpose of this study was to pilot the Refugee Health Screener-15 (RHS-15) to assess mental health and the Pathways to Wellness intervention to identify internal and structural barriers affecting resettlement with a refugee women's sewing group. Community collaborations that create healthy social and physical environments through access to resources, economic opportunities, and social support promote a holistic approach to health and can improve quality of life for this vulnerable population.
D isaster preparedness is a critical competency for nurses, as they play a major role in responding to disasters (Jose & Dufrene, 2014; Stanley, 2005). As the largest body of health care providers in the United States (2.7 million) and around the world, nurses are strategically positioned to lead at all levels of intervention. From first responders in the most acute phases of disaster to the long-term aftermath addressing loss, grief and posttraumatic stress disorders (Stanley, 2005; Veenema et al., 2017), nurses are the most likely health professional to keep "themselves, patients, and families safe" (Veenema et al., 2015, p. 191). Disaster management has become integral to baccalaureate nursing education (American Association of Colleges of Nursing, 2008). Providing didactic disaster education and experiential learning opportunities is essential to preparing the nursing workforce (Jennings-Sanders, 2004; Veenema et al., 2017). In Bachelor of Science (BSN) programs, the didactic component includes disaster preparedness theory and frameworks for intervention. Clinical education often includes simulation experiences that range from mass casualty to active shooter; however, becoming part of an active disaster management team is less common as a clinical opportunity for students (Jose & Dufrene, 2014). A learning opportunity for disaster management interventions evolved for
Social determinants of health, such as human behavior, environment, and socioeconomics, contribute to health disparities at the individual and population levels. The association between socioeconomics and health is established, and it is acknowledged that people with a lower socioeconomic status experience poorer health. The impetus of microcredit programs is to provide financial alternatives for low-income populations, the majority of whom are women with limited or no access to traditional lending, to start small businesses, generate income, and progress toward self-sufficiency. The income-health link within the context of microcredit has been internationally acknowledged; however, there is scarce research in this area in the United States. This article presents a review of the conceptual approach used to explore the microcredit and health link from a public health nursing perspective. Establishing conceptual foundations can enhance research focused on targeted interventions aimed at lasting change in social and health status. Exploring the link between microcredit and health can enrich research efforts and may offer innovative strategies and interventions to improve health-promoting capacity in impoverished groups.
BackgroundOn August 25th 2017 Harvey, a category 4 hurricane, made landfall on the south coast of Texas with heavy winds and rain that severely damaged the seaside town of Rockport. The challenge facing healthcare providers following a natural disaster is timely assessments of community need and available resources. One week later, faculty at the University of Texas Health Science Center San Antonio, School of Nursing (SON) completed a community assessment and developed valuable partnerships.AimsEighteen days after the initial assessment, faculty had secured support from The Children’s Health Fund and operationalized strategies to provide disaster relief and experiential learning opportunities for the SON Population Focused Health undergraduate students.Materials & MethodsThe community‐as‐partner model served as the framework to apply the nursing process to a community in crisis. As the focus shifted to recovery, the team prioritized the need to address long‐term consequences for children after a natural disaster.ResultsTwo educational sessions were designed using an interactive and instructional approach to discuss parental strategies to assess and support children as they navigated through loss after Harvey.DiscussionThis community‐nurse partnership has endured, and the SON faculty and students continue to travel to Rockport to promote health and provide education to the community.
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