Culturally Congruent End-of-Life Care for Rural Appalachian People and Their Families

Mixer, Sandra J; Fornehed, Mary Lou Clark; Varney, Jason; Lindley, Lisa C.

doi:10.1097/njh.0000000000000114

Cited by 28 publications

(51 citation statements)

References 18 publications

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“…Furthermore, it is likely that the true number of IPV-related hospitalizations is greater than what is reported here due to underutilization of billing codes related to violence and injury within medical record data. This underestimation may be exacerbated in Appalachian or rural counties, as these groups may be underrepresented in healthcare data [ 66 ]. Reluctance to disclose IPV due to social stigma and fear of increased perpetration may be exacerbated in rural areas with tight knit social networks [ 3 ],[ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Intimate partner violence-related hospitalizations in Appalachia and the non-Appalachian United States

et al. 2017

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The highly rural region of Appalachia faces considerable socioeconomic disadvantage and health disparities that are recognized risk factors for intimate partner violence (IPV). The objective of this study was to estimate the rate of IPV-related hospitalizations in Appalachia and the non-Appalachian United States for 2007–2011 and compare hospitalizations in each region by clinical and sociodemographic factors. Data on IPV-related hospitalizations were extracted from the State Inpatient Databases, which are part of the Healthcare Cost and Utilization Project. Hospitalization day, year, in-hospital mortality, length of stay, average and total hospital charges, sex, age, payer, urban-rural location, income, diagnoses and procedures were compared between Appalachian and non-Appalachian counties. Poisson regression models were constructed to test differences in the rate of IPV-related hospitalizations between both regions. From 2007–2011, there were 7,385 hospitalizations related to IPV, with one-third (2,645) occurring in Appalachia. After adjusting for age and rurality, Appalachian counties had a 22% higher hospitalization rate than non-Appalachian counties (ARR = 1.22, 95% CI: 1.14–1.31). Appalachian residents may be at increased risk for IPV and associated conditions. Exploring disparities in healthcare utilization and costs associated with IPV in Appalachia is critical for the development of programs to effectively target the needs of this population.

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Section: Discussionmentioning

confidence: 99%

Intimate partner violence-related hospitalizations in Appalachia and the non-Appalachian United States

et al. 2017

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“…Technological factors Kelch and Wehbe-Alamah (2018) Religious, spiritual, and philosophical factors Christensen (2014) and Strang and Mixer (2016) Kinship and social factors Chiatti (2019) and Wolf et al (2014) Cultural values, beliefs, andlifeways Missal et al (2016), Mixer et al (2014), and Moss (2014) Biological factorsKelch and Wehbe-Alamah (2018) Political and legal factors Christensen (2014) Economic factors Abdulrehman, Woith, Jenkins, Kossman, and Hunter (2016) and Kelch, Wehbe-Alamah, and McFarland (2015) Educational factors Bhat, Wehbe-Alamah, McFarland, Filter, and Keiser (2015) and Kelch et al (2015) backgrounds. Other educators have used the CCT to guide international learning courses.…”

Section: Cultural and Social Structure Dimensions Studiesmentioning

confidence: 99%

“…Recent translational research projects guided by the CCT using evidence-based practice guidelines or literature conducted by advanced practice DNP students include those by Bhat et al (2015), Coleman et al (2016), Kelch et al (2015), andKaminen-Getzloff, Creech, andMcFarland (2018). Other application research studies using the CCT in practice settings include Mixer et al (2014), Mixer et al (2015), Rahemi (2019), and Rahemi et al (2019). Curtis et al (2017) stated, Central to nurse-led research and knowledge translation is dissemination.…”

Section: Research and Practicementioning

confidence: 99%

Leininger’s Theory of Culture Care Diversity and Universality: An Overview With a Historical Retrospective and a View Toward the Future

2019

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An historical overview of Leininger’s Theory of Culture Care Diversity and Universality also known as the Culture Care Theory (CCT) and evolution of the Sunrise Enabler are presented along with descriptions of the theory purpose, goal, tenets, basic assumptions, major core constructs, and orientational definitions. Recent articles, books, and book chapters provide relevant exemplars to enhance scholarly understanding and application of theory constructs. Proposed future directions encompass using the CCT to guide research of discovery and translational research projects for evidenced-based nursing practice; develop nursing courses and curricula to prepare culturally competent nurses; guide future culturally competent administrative and leadership policies and procedures; inform public policy related to cultural diversity and underserved populations; promote grant writing initiatives to enhance cultural diversity in hiring nursing staff, supervisors, and faculty; and promote admission of nursing students from underserved and/or diverse backgrounds.

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“…13 A study on consistent care at the end of life in the Appalachian rural population identified a pattern of seeking to integrate cultural or popular care into their care at the end of life and the issue of integrating cultural and professional care to obtain consistent care at the end of life. 14 It is pertinent to take into account the results of an investigation carried out from June 2014 to February 2015 among users, health agents, intercultural models and health providers, at two health facilities in the province of Arauco, in Chile. It was found among providers the difficulty of implementing the "ideal" underlying the concept of intercultural health; therefore, it would be possible to carry out only certain actions that allow configuring care with greater relevance.…”

Section: Discussionmentioning

confidence: 99%

Ethnonursing: Cultural Care in a Mapuche Community in Puerto Aguirre, Aysén, Chile

Ojeda

Heidemann

Villa

2020

Texto contexto - enferm.

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Objectives: to understand the beliefs, expressions, and practices of generic care used by the Mapuche community in Puerto Aguirre and acknowledge the professional care offered to promote health. Method: a qualitative research based on ethnonursing carried out during seven trips to Puerto Aguirre between July 2018 and January 2019. A total of seven key informants and seven general informants were interviewed. Information was collected through observations, field notes, conversations, and interviews. Results: the scientific property of ethnonursing was verified. Three themes that structure the cultural care practices in the studied community emerged: Mapuche identity as the main value to preserve cultural care; The essesntial presence of women to carry out meaningful experiences and care practices among the Mapuche; and Mapuche value and use of cultural and professional care practices to promote health. Conclusion: the research recognizes the full validity of the Cultural Care Theory. Nursing and, in general, the different health professions tend to become popular, and professional knowledge is complemented, thus learning and improving cultural care in the community.

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Culturally Congruent End-of-Life Care for Rural Appalachian People and Their Families

Cited by 28 publications

References 18 publications

Intimate partner violence-related hospitalizations in Appalachia and the non-Appalachian United States

Intimate partner violence-related hospitalizations in Appalachia and the non-Appalachian United States

Leininger’s Theory of Culture Care Diversity and Universality: An Overview With a Historical Retrospective and a View Toward the Future

Ethnonursing: Cultural Care in a Mapuche Community in Puerto Aguirre, Aysén, Chile

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