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PubMed2004

Health disparities among Asian Americans and Pacific Islanders.

The Asian American and Pacific Islander (AAPI) group is the fastest-growing minority group in the United States. AAPIs have been touted in the literature as the "model minority" because of their achievements in the socioeconomic and educational spheres, which in certain categories are beyond the average levels of the dominant majority. However, generalizations such as these are very misleading, because they mask the glaring health disparities that are experienced by subgroups within the AAPI population. The purpose of this chapter is to explore the literature dealing with health disparities among AAPIs. Twenty-eight usable research reports were reviewed after a thorough review of the literature that spanned the years between 1990 and 2003. The review has revealed that the predominant psychosocial and cultural variables studied in research dealing with AAPI are acculturation, family and social networks, help-seeking behaviors, and cultural brokering. In general, research conducted on this group tended to be at the descriptive and comparative-correlational levels; more studies that investigate the effects of interventions to reduce or eliminate health disparities on this group are needed. The challenge is to build a body of knowledge on which to base future action.

Acculturation↗
PubMed2004

Presence in three interconnected contexts: considerations for nursing education in the 21st century.

Online nursing education has grown tremendously over the past decade and there is every reason to believe that this growth will continue in the 21st century. "Presence" is concept that has familiarity in nursing, education, and technology. With the convergence of these three interrelated contexts, presence holds a new level of interest for nursing education. "Connecting with," "being with," and/or "being available" to another in a virtual world poses challenges for nurse educators as they turn their focus on student satisfaction in online courses, connecting with others in ways that enhance learning, and exploring ways of "being with" or "connecting with" patients in both traditional and virtual environments of care.

Attitude of Health Personnel↗
PubMedDate not supplied

Comfort coaching.

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Aged↗
PubMed2004

Dignity and psychotherapeutic considerations in end-of-life care.

The basic tenets of palliative care are frequently subsumed under the goal of helping patients to die with dignity. Our research group has studied the issue of dignity, with dying patients serving as the primary informants. This paper reviews some of our findings, including an overview of the Dignity Model that derives from our empirical work. Furthermore, this paper summarizes various psychotherapeutic approaches which have been considered for this vulnerable patient population. Finally, we provide the rationale based on the Dignity Model for a psychotherapeutic intervention we have coined Dignity Therapy. This brief, individualized therapeutic approach has been informed by our dignity work, and specifically designed for application in patients nearing death.

Attitude to Death↗
PubMed2004

Dignity at the end of our days: personal, familial, and cultural location.

The desire to be treated with dignity, particularly at the end of one's life, is a fairly universal preference found in most cultures. Such treatment requires positive actions of respect in the behaviour of others toward the dying and the dead. It also involves negative actions, particularly refraining from doing "dignatory harms" to the dead and the dying. Yet it is not always easy for clinicians and researchers who deal with the dying and dead to decide on appropriate action or inaction. I suggest that such decision making can be helped by locating the dying person along three dimensions: the personal, the familial, and the cultural. These elements are interrelated in complex ways that need to be unpacked in context. Thus, one person may locate herself within a familial context while a sibling may locate himself against that context. While locating individuals along the three dimensions suggested does not "solve" ethical problems, it should help clinicians in understanding and dealing more compassionately with the dead, the dying, their families, and their communities.

Attitude of Health Personnel↗
PubMed2004

Assisting patients to maintain a healthy blood pressure.

Nurses can serve a significant role in helping patients reduce their blood pressure and in achieving goals for attaining a healthy blood pressure. Strategies that can help include 1.) Increase awareness of the need to assess, treat, and control blood pressure, 2.) Assist patient with high blood pressure to effective evaluation and monitoring, 3.) Motivate patients to assess and manage their blood pressure, 4.) Use correct technique to measure blood pressure, 5.) Provide patient education, 6.) Provide Patient Education Resources, and 7.) Modify treatment for older patients to achieve treatment goals.

Health Promotion↗
PubMedDate not supplied

Becoming a good mentor.

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Clinical Competence↗

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