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Biomedical subjects

J L Wold

Publications and source records attributed to J L Wold.

12 recordsLinked to original sources
PubMed2000

Listening to the quiet voices of Hispanic migrant children about health.

There is a paucity of literature related to school-aged migrant children's perceptions of their own health. To best provide culturally competent care, more information is needed about migrant children's experiences. Focus-group methodology allowed the voices of migrant children to be heard by primary health care providers at a summer school program for children of migrant farm workers in south Georgia. Seventy-three children participated in 14 focus-group sessions. Six themes emerged from the data that were analyzed by using a qualitative software system. They are healthy behaviors, acculturation issues, environmental influences, health care actions, health behavior outcomes, and learning needs. Emerging patterns within each theme render insight about these migrant children. The findings suggest implications for pediatric nurses related to culturally competent care.

Acculturation↗
PubMed1999

Health risks of health care workers: health risks appraisal results from the newly independent country of Georgia.

Health promotion and disease prevention activities should be carried out by all health care professionals. These activities are especially important in the Newly Independent States (NIS) of the former Soviet Union where resources are not available to meet all health care needs. Little is known about actual health risks among health care professionals in the NIS. Such self knowledge is important to link professional's prevention activities to risk factors for disease. To determine the prevalence of selected health risks of health professionals in Tbilisi, the capital of the NIS Georgia, a survey was conducted in 1996 with a convenience sample of 107 physicians and nurses. Participants completed the Healthier People Health Risk Appraisal (HPHRA), then researchers measured each subject's height, weight, blood pressure, and total cholesterol. Compared to the U.S. norms used in the HPHRA program analysis, measured group results for the Georgians were in the very high risk category for lack of seatbelt usage and stressful lifestyle, in the high risk category for lack of exercise, and in the moderately high risk category for blood pressure and smoking. The measured weight and reported alcohol consumption for Georgians was comparable to the U.S. national averages and total cholesterol values were below U.S. average levels.

Adult↗
PubMed1998

Listening to migrant voices: focus groups on health issues in south Georgia.

This qualitative study utilized focus groups to invite Latino migrant farm workers to express ideas about their health and service needs. Four focus groups composed of Latino men and women were conducted on four different evenings in the same county. Three themes emerged: health care issues, living and working conditions, and social and community issues. Specific needs of the community were also identified by the participants. For the first time, migrant farm workers in Georgia had the opportunity to lend their own voice regarding their concerns and ideas about health and social conditions. The findings from this study are congruent with other studies and provide the basis for developing interventions to enhance the health of migrant farm workers. In addition, the findings have implications for community health nursing and the proposed Vision of 2010: Healthy People in Healthy Communities, whose goals include increased years of healthy life and the elimination of health disparities.

Adolescent↗
PubMed1997

Student/faculty practice and research in occupational health. Health promotion and outcome evaluation.

Faculty strive to connect theory and practice with real life situations for students. This study evolved from student intervention with small industries as part of their undergraduate community health nursing clinical experience. A pre-experimental static group design was used to explore the impact of health service availability on selected cardiovascular risk factors. Levels of health service: a) no service; b) student service; and c) formal health care service were compared. Chi-square, t-tests and MANOVA analyses supported three hypotheses that student intervention was equally as successful as formal health care service in reducing the selected cardiovascular risk factors of high weight to height ratios, blood pressure readings above 140/90 on three separate measurements, total cholesterol readings above accepted norms, and a health risk profile that identifies risk for cardiovascular disease.

Cardiovascular Diseases↗
PubMed1996

Student/faculty practice and research in occupational health: health promotion and outcome evaluation.

Faculty strive to connect theory and practice with real life situations for students. This study evolved from student intervention with small industries as part of their undergraduate community health nursing clinical experience. A pre-experimental static group design was used to explore the impact of health service availability on selected cardiovascular risk factors. Levels of health service: a) no service; b) student service; and c) formal health care service were compared. Chi-square, t-tests and MANOVA analyses supported three hypotheses that student intervention was equally as successful as formal health care service in reducing the selected cardiovascular risk factors of high weight to height ratios, blood pressure readings above 140/90 on three separate measurements, total cholesterol readings above accepted norms and a health risk profile which identifies risk for cardiovascular disease.

Adult↗
PubMed1992

The living will: legal and ethical perspectives.

Problems surrounding issues of dying and death are many. Health professionals, families and individuals all must cope with different aspects of these problems. The living will has been discussed as one way people can alleviate many of the problems associated with the decision to die with dignity. Nurses are in the perfect position to educate people concerning the benefits of having a living will. As patient advocate, it is imperative nurses be apprised of the laws in their states regarding living wills. By initiating a living will, individuals can make their wishes known to both family and the medical establishment. Increased public education concerning state living will legislation and concomitant rights under these laws is needed. Through education, many of the legal and ethical issues that arise from ignorance of the law may be avoided before they become problems.

Advance Directives↗
PubMed1990

AIDS testing, an ethical question.

The AIDS epidemic has presented hospital administrators and nurses with ethicolegal questions and responsibilities unprecedented in this generation. AIDS testing and confidentiality are only one set of issues that can arise from this disease. Since nurses assume responsibility for direct care of hospitalized AIDS patients, it is the nurse's responsibility to become informed about all aspects of AIDS and its impact on those affected. Questions regarding testing in the hospital setting have been discussed and suggestions offered to help cope with the problem. Problems associated with AIDS are expected to increase, and it becomes the duty of the hospital to be prepared to act as a community role model of non-discrimination.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Primary health care for Hispanic children of migrant farm workers.

Providing primary care to children of culturally diverse populations is a challenge for pediatric nurse practitioners and educators. The challenge is intensified when providing care to Hispanic children who are uprooted because their parent(s) are migrant farm workers. The creation of health-focused academic community partnerships is one unique strategy to improve primary care to these children. One such partnership is the ongoing Migrant Family Health Program in which practitioner nursing students and their faculty members provide primary health care to children who are enrolled in a summer education program for migrant children.

Child↗
PubMedDate not supplied

Healthcare for the future: caring for populations in alternative settings.

The healthcare environment integrates rapid changes in healthcare delivery, educational approaches to professional role preparation, and professional relationships with others. To meet these challenges, faculty members developed a new course for baccalaureate students. Students are exposed to innovative strategies and models for healthcare delivery with an emphasis on critical thinking related to their experiences in alternative healthcare settings.

Community Health Nursing↗