| 1. |
- Argenbright, Christine, et al.
(författare)
-
Embracing diversity : measuring the impact of an international immersion learning experience on nursing students' cultural beliefs and values
- 2022
-
Ingår i: International Journal of Nursing Education Scholarship. - : Walter de Gruyter. - 1548-923X .- 2194-5772. ; 19:1
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: An international Nursing Leadership Collaborative covened in Japan to hold a patient safety and quality workshop for nursing students from six countries. The purpose was to measure students' self reported beliefs reflecting sensitivity and openness to cultural diversity before and after the international experience.METHODS: A pre-post-test design was used and the Beliefs, Events, and Values Inventory was administered to international undergraduate and graduate nursing students.RESULTS: The group aggregate data analysis indicate that prior to the start of the workshop, the group presented itself as quite introspective and after the workshop the group reported being more sophisticated in making causal explanations about why the world works in the way it does.CONCLUSIONS: Nursing students experienced an expanded awareness of their beliefs and values that reflect a greater degree of intercultural sensitivity for acceptance of inclusivity and diversity after the experience.
|
|
| 2. |
- Argenbright, Christine, et al.
(författare)
-
Making a Difference : Changing Nursing Students’ Global Beliefs
- 2018
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: In August of 2017, the Nursing Leadership Collaborative of the International Network of Universities (INU), convened in Hiroshima, Japan to hold a patient safety and quality of care workshop for nursing students from six INU universities located in Japan, Spain, Sweden, South Africa, United Kingdom and the United States. The workshop, held during Peace Week, had as its purpose to develop a model of international collaboration and education to impact quality and safety education in nursing. In addition to examining the impact of the experience on student learning, the leaders wished to determine to what degree students’ beliefs and values changed due to participation in the nursing collaborative workshop. The purpose of this research was to measure students’ self-reported beliefs that reflect global competency and openness to cultural diversity. Methods: IRB approval was obtained and a pre-post-test mixed method design was used with the convenience sample of 21 English speaking international undergraduate and graduate nursing students. The workshop lasted 9 days and included a curriculum based on the Quality and Safety Education for Nurses (QSEN) Competencies. Experiential clinical activities focused on how patient safety is improved in Japan. Cultural activities were integrated and primarily focused on the Peace Week events which included the Peace Day ceremony to memorialize the dropping of the atomic bomb on Hiroshima. The Beliefs, Events, and Values Inventory (BEVI), a mixed methods measure, was administered and used to asses relevant processes and constructs including (but not limited to); openness; receptivity to different cultures; stereotyping; self and emotional awareness; and strategies for making sense of why people do what they do. (Shealy, 2017). This study examines Time 1 (prior to participation in the program) and Time 2 (immediately after the completion of the program). Students also completed daily reflections in response to prompts provided by faculty. Qualitative data analysis was completed using NVivo software. Results: Results from the group aggregate data analysis indicate that prior to the start of the program (Time 1) this group presents itself as quite introspective (Self-awareness = 75thpercentile); midway between confident and inquisitive in terms of understanding who others are, how world works, and their experience of life (Basic Determinism = 41st percentile); quite open to and interested in cultural beliefs and practices that are different from one’s own (Sociocultural Openness = 74th percentile); open to non-traditional gender roles (Gender Traditionalism = 20th percentile); do not have strong religious convictions (Religious Traditionalism = 26th percentile); and express a high degree of concern about ecological issues and the natural world (Ecological Resonance = 59th percentile). Following the completion of the program (Time 2), the group as a whole reported being more sophisticated in making causal explanations about why the world works in the way it does (Basic Determinism = 30th percentile); increased openness to and interest in cultural beliefs and practices that are different from one’s own (Sociocultural Openness = 80th percentile); increased openness to non-traditional gender roles (Gender Traditionalism = 13th percentile); further decrease in strong religious convictions (Religious Traditionalism = 20th percentile); and increased degree of concern about ecological issues and the natural world (Ecological Resonance = 71stpercentile). Statements from qualitative data analysis reflect greater understanding and empathy for others’ perspectives and experiences and increased openness. Conclusion: Nursing students experienced changes in their beliefs and values that reflect a greater degree of global competency after the short term international workshop experience with other nursing students.
|
|
| 3. |
- Bengtsson, Mariette, et al.
(författare)
-
Göra skillnad : förändra sjuksköterskestudenters kliniska och globala kompetens
- 2018
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Bakgrund: I augusti 2017 genomförde Nursing Leadership Collaborative of the International Network of Universities (INU) en workshop i Hiroshima, Japan med temat Patient Safety and Quality Care. Workshoppen som varade i nio dagar avsåg att utveckla en modell för internationellt samarbete och utbildning i syfte att stärka patientsäkerhet och kvalitetsförbättringsfrågor utifrån ett globalt perspektiv. Utbildningen baserades på ett koncept utarbetat inom ramen för The Quality and Safety Education for Nurses (QSEN) som utgick från sjuksköterskans kärnkompetenser. Undervisningen i form av teori, praktik och studiebesök, varvades med kulturella aktiviteter som bland annat inkluderade fredsceremoni till minne av atombomben som släpptes över Hiroshima den 4 augusti 1945, ”The A-bomb day”. Undervisningen leddes av INU medlemmar som alla är experter i ämnet Syftet med workshopen och tillhörande utvärdering och forskning var att undersöka om sjuksköterskestudenters kliniska kompetens ökar genom att delta i internationell workshop samt om deras självrapporterade övertygelser som speglar global kompetens och öppenhet mot kulturell mångfald förändrades. Det är viktigt att värdera resultat och effekter av all undervisning och lärande, speciellt internationella projekt som genererar fler resurser än traditionell undervisning på hemma universitetet. Metod: Deltagare i workshopen var 21 sjuksköterskestudenter från sex INU-anslutna universitet, Japan, Spanien, Sverige, Syd Afrika, Storbritannien och USA. Innan workshopen började och i anslutning till att workshopen avslutades svarade studenterna på olika kunskapsfrågor på innehåll som togs upp under workshopen (för- och eftertest). Studenterna svarade också på enkäten Beliefs, Events, and Values Inventory (BEVI) vid samma tillfälle samt 6 månader senare. Studenterna skrev även dagliga reflektioner kring undervisningen och sina övriga upplevelser. Analys baserad på denna kvalitativ data kommer att genomföras med stöd av NVivo-programvara. Resultat: All data har ännu inte analyserats men preliminära resultat visar på att sjuksköterskestudenterna hade förbättrat sin kliniska kompetens kring patientsäkerhet och förbättringsarbete efter att ha deltagit i workshopen. Resultatet speglar en större förståelse och empati för andras perspektiv och erfarenheter och ökad öppenhet mot andra synsätt och kulturer. Som grupp visade analysen av BEVI på att deltagarna hade skaffat sig en ökad förståelse för varför världen fungerar på det sätt som den gör och deras var bekymmer för ekologiska världsproblem hade ökat. Resultatet visade även på en ökad öppenhet mot och intresse för andra kulturella övertygelser och praxis som skiljer sig från sin egen sociokulturell miljö och på en ökad öppenhet gentemot icke-traditionella könsroller. Arbetet med den internationella kursen var en utmaning även om det fanns en samsyn om innehållet. Det fanns kulturella skillnader avseende pedagogik och arbetssätt. Slutsats: Förutom att öka sin kliniska kompetens genom att delta i en internationell workshop upplevde sjuksköterskestudenterna förändringar i sina övertygelser och värderingar som speglar en större grad av global kompetens. Detta är en viktig kompetens för det livslånga lärandet i dagens och morgondagens mångfaldssamhälle oavsett om studenten praktiserar sitt yrke på hemorten eller i ett nationellt sammanhang. Internationella sammarbeten främjar också lärarens pedagogiska kompetens.
|
|
| 4. |
- Jahan, Yasmin, et al.
(författare)
-
Changing trends in measles vaccination status between 2004 and 2014 among children aged 12-23 months in Bangladesh
- 2020
-
Ingår i: Tropical medicine & international health. - : WILEY. - 1360-2276 .- 1365-3156. ; 25:4, s. 475-482
-
Tidskriftsartikel (refereegranskat)abstract
- Objective To assess the current measles vaccination status in Bangladesh, explain changing differentials in measles vaccination, and determine contexts that may improve measles vaccination coverage. Methods Secondary data analysis of datasets (2004-2014) from the nationally representative Bangladesh Demographic and Health Surveys that followed stratified, multi-stage cluster sampling design conducted both in urban and rural contexts. Results 5468 children aged 12-23 months were surveyed, of whom 892 (16%) reported non-compliance to measles vaccine. After simultaneous adjusting for covariates in multivariate logistic regression, children who came from a poor socio-economic background, who had mothers with no formal schooling, who were underweight, of higher birth order (amp;gt;= 4), who had adolescent mothers, who had a history of home delivery and who had no exposure to media were observed to be significantly associated with lack of measles vaccination. Measles vaccination coverage among children of adolescent mothers was consistently low. Despite lack of media exposure, measles vaccination status gradually increased from 26% in 2004 to 33% in 2014. Lack of maternal education was no longer associated with measles vaccination status in 2007, 2011 and 2014. Stunted children continued to be associated with lack of measles immunisation in 2014. Children with higher birth order demonstrated 53% excess risk for not being immunised with measles vaccine. Mothers with no exposure to mass media were two times more likely to have children without measles immunisation as indicated by BDHS 2014 data. Conclusions Our findings will help policy makers formulate strategies for expanding measles vaccination coverage in order to achieve further reduction in disease burden and mortality in Bangladesh.
|
|
| 5. |
- Jahan, Yasmin, et al.
(författare)
-
Disease perception and experiences among rural Bangladeshi hypertensive women : A qualitative approach
- 2020
-
Ingår i: HEALTH PROMOTION PERSPECTIVES. - Tabriz, Iran : TABRIZ UNIV MEDICAL SCIENCES & HEALTH SERVICES. - 2228-6497. ; 10:1, s. 66-73
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Hypertension (HTN) is well established as a leading cause of common serious illnesses worldwide. We carried out this qualitative research to understand perception of and experiences related to HTN among rural Bangladeshi hypertensive women. Methods: A total of 74 female hypertensive participants who were diagnosed as HTN were purposively recruited in a rural community in Mirzapur, Bangladesh. A focus group discussion (FGD) was applied to share their perception and experiences. Transcripts were read in an iterative process, and a thematic analysis was performed. This paper is reported followed by COREQ checklist. Results: Three main themes were generated; (i) Perception of HTN based on experiences, (ii) Knowledge of management of HTN, and (iii) Barriers of management of HTN. Under the themes, seven subthemes were identified. The participants only knew about their high blood pressure (HBP) when they had symptoms, and they applied traditional remedies in the rural context to deal with those symptoms. Even though more than half of participants had relevant knowledge of how to manage HTN, but still there were social-cultural and economic barriers and lack of social infrastructure to access healthcare, existed to practice them. Conclusion: Based on our study reports, health education programs at the household and community level could be a potential starting point for any preventive and containment strategy in rural communities of Bangladesh.
|
|
| 6. |
- Jahan, Yasmin, et al.
(författare)
-
Increasing Awareness and Use of Mobile Health Technology Among Individuals With Hypertension in a Rural Community of Bangladesh: Protocol for a Randomized Controlled Trial
- 2020
-
Ingår i: JMIR Research Protocols. - : JMIR PUBLICATIONS, INC. - 1929-0748. ; 9:8
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Hypertension remains one of the foremost noncommunicable diseases that most often lead to cardiovascular diseases and its different complications. The prevalence of hypertension in Bangladesh has been increasing. However, there are very limited studies that have evaluated the impact of health education and awareness development in mitigating the burden of hypertension and its complications in Bangladesh. Objective: This study aims to increase awareness, enhance knowledge, and change lifestyle behaviors through health education and the use of mobile health (mHealth) technology among individuals with hypertension living in a rural community of Bangladesh. Methods: A randomized controlled trial is underway in a Mirzapur subdistrict of Bangladesh. This trial compares two groups of individuals with hypertension: The comparison arm receives health education and the intervention arm receives health education and a periodic mobile phone-based text message intervention. The trial duration is 5 months. The primary end point is participants actual behavior changes brought about by increased awareness and knowledge. Results: Enrollment of participants started in August 2018, and collection of follow-up data was completed at the end of July 2019. A total of 420 participants volunteered to participate, and among them, 209 and 211 were randomly allocated to the intervention group and the control group, respectively. Among them, the ratio of males/females was 12.0/88.0 in the intervention group and 16.1/83.9 in the control group. Data cleaning and analyses have been completed and the results have been submitted for publication. Conclusions: Periodic short education using mHealth technology in addition to face-to-face health education may be an effective method for increasing awareness and knowledge about behavioral changes and maintaining healthy lifestyle behaviors.
|
|
| 7. |
- Jahan, Yasmin, et al.
(författare)
-
Self-monitoring urinary salt excretion device can be used for controlling hypertension for developing countries
- 2019
-
Ingår i: Clinical hypertension. - : BioMed Central. - 2056-5909. ; 25
-
Tidskriftsartikel (refereegranskat)abstract
- Restriction of dietary salt is widely recommended in the management of hypertension, but assessment of individual salt intake has drawn little attention. Monitoring nutritional salt intake through sodium excretion has been popular, because the main route for sodium (Na) excretion is through the urine. Nonetheless, direct measurement of dietary salt intake is time consuming and lacks accuracy. To collect a 24-h urine and measure the content is difficult method for most patients. In this review paper, we would like to explore the usefulness of measuring urinary salt excretion by using a self-monitoring device at home. Measuring daily overnight urine by the self-monitoring device at home will be useful for the management of hypertension suitable for each individual. From the recent increase of processed foods, the term "salt intake" would not accurately be equal to "sodium intake". Devices measuring urinary sodium excretion have been developed and evaluated on their accuracy and correlation with sodium intake. They must be handy, simple and capable of measuring large populations to be useful for monitoring of daily salt intake and to guide salt restriction as well as the long-term effects by dietary salt intake.
|
|
| 8. |
- Sanford, Julie, et al.
(författare)
-
Student outcomes of an international learning collaborative to develop patient safety and quality competencies in nursing
- 2021
-
Ingår i: Journal of Research in Nursing. - : Sage Publications. - 1744-9871 .- 1744-988X. ; 26:1-2, s. 81-94
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Patient harm is a global crisis fueling negative outcomes for patients around the world. Working together in an international learning collaborative fostered learning with, from and about each other to develop evidence-based strategies for developing quality and safety competencies in nursing.Aims: To report student outcomes from an international learning collaborative focused on patient safety using the Quality and Safety Education for Nurses competency framework.Methods: A global consortium of nursing faculty created an international learning collaborative and designed educational strategies for an online pre-workshop and a 10-day in-person experience for 21 undergraduate and graduate nursing students from six countries. A retrospective pre-test post-test survey measured participants' confidence levels of patient safety competence using the health professional education in patient safety survey and content analysis of daily reflective writings.Results: Statistical analysis revealed student confidence levels improved across all eight areas of safe practice comparing-pre and post-education (significance, alpha of P < 0.05). Two overarching themes, reactions to shared learning experiences and shared areas of learning and development, reflected Quality and Safety Education for Nurses competencies and a new cultural understanding.Conclusions: The international learning collaborative demonstrated that cross-border learning opportunities can foster global development of quality and safety outcome goals.
|
|
