Search PubMed⌕ Search

Biomedical subjects

Bronwynne C Evans

Publications and source records attributed to Bronwynne C Evans.

14 recordsLinked to original sources
PubMed2006

Atmosphere, tolerance, and cultural competence in a baccalaureate nursing program: outcomes of a nursing workforce diversity grant.

The purpose of this article is to report the results of a comparison between the educational climate of a baccalaureate nursing program and that of a Nursing Workforce Diversity Grant. Fifteen Hispanic/Latino and American Indian upper-division baccalaureate nursing students completed 37 questionnaires. A 76-item questionnaire was designed to measure the effectiveness of grant services. There was a difference (t [34] = 3.174, p = .003) in satisfaction across the two climates on "caring and respect" and "atmosphere" (t [33] = 3.267, p = .003), with the grant climate rated higher. Although there was overall satisfaction with both the nursing program and grant services, students requested improvements in atmosphere, tolerance, and cultural competency. There is a need to create an atmosphere of trust, caring, and cultural congruity to recruit and to retain diverse students.

Adult↗
PubMed2006

The shortened food expectations--Long-term care questionnaire: Assessing nursing home residents' satisfaction with food and food service.

Lack of nursing home resident satisfaction with meals often results in reduced food intake, leading to poor nutritional status, weight loss, functional decline, and depression. The purpose of this article is to describe the development and initial testing of the 28-item revised Food Expectations-Long-Term Care (FoodEx-LTC) questionnaire with a convenience sample of nursing home residents (N = 61). Because of possible respondent burden, the original 44-item, five-domain FoodEx-LTC was revised, resulting in the deletion of 16 redundant items and those with inter-item correlations less than .25. Coefficient alpha scores ranged from .65 to .82, and test-retest correlations ranged from .79 to .88, dependent on domain. This revised instrument has good initial validity and reliability, resulting in a shorter instrument that accurately assesses nursing home resident satisfaction with food and food service.

Aged↗
PubMed2006

The multicultural research process.

Qualitative research allows students to explore the complex experiences of health and illness and examine assumptions related to class, race, gender, and ethnicity. Faculty who teach qualitative research can promote culturally congruent nursing practice, and students can learn how such practice is grounded in research. The experiential approach taken in this class acquainted students with basic principles of qualitative research, used such principles to foster recognition of assumptions and increase cultural awareness, and encouraged a new way of knowing and being in nursing. The learning goals were to experience the "flavor" of qualitative data analysis using a filmed interview of an American Indian nurse and written interviews of a Hispanic/Latina nurse and nursing student, speaking about their educational experiences in nursing. In this process, the nurse educator exemplified principles of multicultural education for these budding teachers, such as weaving cultural content across the curriculum and role modeling concern for cultural issues in teaching, research, and service.

Anthropology, Cultural↗
PubMed2005

Using the FoodEx-LTC to assess institutional food service practices through nursing home residents' perspectives on nutrition care.

Background. Undernutrition occurs in approximately 2 of every 5 nursing home residents, negatively influencing their health and quality of life. The purposes of this study were to collect data about institutional meal preparation and food service practices that promote or retard adequate nutritional intake and to evaluate residents' food and food service satisfaction. Methods. The FoodEx-LTC, a simple, 44-item, 5-subscale questionnaire that measures food and food service satisfaction, was administered to 61 residents. Serum albumin and body mass index gauged the nutritional status of each resident. SPSS for Windows, version 10, was used for analyses. Results. Overall, 89% of residents were satisfied or somewhat satisfied with the food service. Of those who ate in the dining room, 44% had to wait to go back to their rooms, presenting a quality of life issue. Fifty-two percent received food they hated, 56% often received the same food, and 59% received food always cooked the same way. Most residents (75%) felt comfortable refusing food they did not like, but 65% did not complain. Most (79%) wanted to choose what to eat, but only 54% believed that choosing when to eat was important. Conclusions. The FoodEx-LTC, used to monitor nutrition care in nursing homes, incorporates residents' views into service delivery and responds to the Health Care Finance Administration's Nutritional and Hydration Awareness Campaign, part of the federal Nursing Home Initiative. Using the FoodEx-LTC to identify residents' perspectives may promote resident satisfaction and dietary intake through adaptation of nursing home food and food service practices.

Aged↗
PubMed2005

Organizational issues related to satisfaction with food and food service in the nursing home from the resident's perspective.

This paper reviews organizational factors that potentially affect food quality and food service in the nursing home. A model is proposed for assessing the influence of organizational technology on resident satisfaction with food and food service from the resident's perspective. Findings from an exploratory phenomenological case study applying the model are presented. Staff knowledge of how to prepare and serve food properly, and staff availability to serve food on time, were key constructs. Resident-staff interactions appeared to moderate resident control over food and food service. Recommendations are suggested for improved communication between residents and staff to address certain limitations and enhance empowerment of residents.

Aged↗
PubMed2005

The meaning of mealtimes: connection to the social world of the nursing home.

Food that reflects our family backgrounds is a source of comfort that can play an important part in recovery from illness or adaptation to the nursing home, especially for older individuals. However, no studies could be found that explored residents' perspectives on how their food and food service preferences are, or are not, met in nursing homes. This exploratory qualitative study examined dietary preferences acquired during the course of a lifetime, and the meaning of mealtimes to 20 nursing home residents, and attempted to connect that meaning with their social world. Exploring the meaning of food and food service to nursing home residents could furnish insights for improving nutritional status, adaptation to the nursing home, and quality of life through promotion of individualized nutritional care.

Aged↗
PubMed2005

Content validation of instruments: are the perspectives of Anglo reviewers different from those of Hispanic/Latino and American Indian reviewers?

This article reports on the content validation of eight quantitative instruments developed to evaluate the interventions and outcomes for a Nursing Workforce Diversity Grant. During the expert review phase of the content validation process, response patterns to certain instrument items differed, effectively separating the reviewers into two groups. The response patterns of the Hispanic/Latino and American Indian experts were aligned with one another. The responses of the Anglo reviewers were also aligned with one another but not with the responses of the other group, which evaluated as highly relevant instrument items that were organized around five themes: the Importance of a Personal Relationship with Students of Color; the Effect of Isolation from Home and Family; the Importance of Culture and Ethnicity in Personal Identity; the Need for Collaborative, Interactive Learning and a Curriculum of Inclusion; and the Presence of Prejudice, Discrimination, and Racism.

Cross-Cultural Comparison↗
PubMed2004

Resident coping strategies in the nursing home: an indicator of the need for dietary services change.

Inadequate food intake leading to malnutrition impacts up to 85% of nursing home residents. Malnutrition can result in compromised quality of life and lead to chronic disability, functional decline, increased health care utilization and costs, and death. This article examines organizational structure (Perrow, 1979) and person-environment fit (Lawton, 1982) as factors in nutritional care of nursing home residents. The strategies used by residents to cope with organizational food and food service issues, competence, and environmental press in the nursing home can alert nurses to the need for changes in dietary services to increase food intake and quality of life.

Adaptation, Psychological↗
PubMed2004

Cultural and ethnic differences in content validation responses.

Eight instruments to evaluate grant interventions aimed at increasing recruitment and retention of Hispanic/Latino and American Indian nurses were developed for a Nursing Workforce Diversity Grant. This article compares expert reviewer responses during content validation of these instruments with (a) current literature and (b) seven filmed intervals of Hispanic/Latino and American Indian nurses speaking about their educational experiences. White reviewers responded differently to certain items than did Hispanic/Latino and American Indian reviewers (or reviewers closely affiliated with such persons). Responses of Hispanic/Latino and American Indian experts were aligned with one another but not aligned with the responses of White experts, who also agreed with one another, prompting literature and film comparisons with their responses. Faculty development may be needed to help teachers uncover their assumptions about students of color, acquire knowledge about cultural perspectives, recognize institutional racism, and attain the skills necessary to develop and implement a curriculum of inclusion.

Attitude of Health Personnel↗
PubMed2004

Application of the caring curriculum to education of Hispanic/Latino and American Indian nursing students.

To increase work force diversity and decrease health disparities, students of color must be successful in nursing programs. Unfortunately, the literature describes numerous barriers to these students' success, originating in both the socioeconomic and cultural environment in which they live and work, and in schools of nursing. In this study, seven filmed interviews of Hispanic/Latino and American Indian nurses were examined for barriers to educational success. Eighteen barriers to success were identified, examples of these barriers were extracted from the data, and the caring curriculum was proposed as one possible solution for removing or mitigating these barriers. Principles of the caring curriculum were then used to provide a framework for suggested retention strategies for Hispanic/Latino and American Indian nursing students.

Adult↗
PubMedDate not supplied

Building a scientific base for nutrition care of Hispanic nursing home residents.

By 2030, one-quarter of the U.S. Hispanic population will be aged 80 or over. At least 4.5 million of them will require long-term care, most probably in nursing homes. Although Hispanic families traditionally care for elders at home despite their declining cognitive and physical function, family ability to provide such care is eroding due to acculturation, increasing the likelihood of nursing home admission. A synthesis of two studies (findings from a focus group and a Hispanic data subset from a federally funded grant) found that Hispanic nursing home resident food intake could be improved by traditional entrées, appealing presentations, and flour tortillas from a supplier recommended by Mexican American families. There were no statistically significant differences between Anglo and Hispanic residents on study variables, but results suggest that there may be clinically meaningful differences among such residents on Mini Mental State Examination scores, prealbumin results, the Geriatric Depression Scale, and the Katz Activities of Daily Living that call for further investigation.

Aged↗
PubMedDate not supplied

"That spirit, that thing inside". Using qualitative research techniques to produce a recruitment film for Hispanic/Latino and American Indian students.

This article reports on the use of qualitative research methodology in producing a 23-minute recruitment film to attract Hispanic/Latino and American Indian students into a baccalaureate nursing program. The research question addressed in this pilot project was, "What is the meaning of the educational experience to Hispanic/Latino and American Indian nurses in the Yakima Valley of south central Washington State?" The conceptual development of the project, recruitment of interview participants, generation of interview protocol, data collection, and analysis are described and correlated to accepted qualitative research elements. Themes and patterns identified in participant interviews, the "findings" of the project, were used during the postproduction phase as guides for the story that unfolds in the film, which addresses the experience of being a nurse of color.

Career Choice↗
PubMedDate not supplied

Cognitive and ethical maturity in baccalaureate nursing students: did a class using Narrative Pedagogy make a difference?

The purpose of this project was to examine the effect of Narrative Pedagogy in nursing education on students' ability to move toward cognitive and ethical maturity and thereby increase their autonomy in nursing practice. Students taking a class using Narrative Pedagogy demonstrated "entry" and "exit" mean scores that showed marginal and statistically significant (p < 0.05) improvement on the Measure of Intellectual Development and the California Critical Thinking Disposition Inventory. Using nonparametric and parametric analyses of variance, there was minor improvement on both scales in cognitive and ethical maturity and the disposition to think critically in the intervention group. For all variables, there were no significant differences between the control group and the intervention group, with or without adjustment for age, the only significant covariate. The cognitive and ethical growth documented by either instrument is probably not large enough to be considered practically significant in terms of movement toward autonomous practice.

Adult↗