Biomedical subjects

M F Oneha

Publications and source records attributed to M F Oneha.

5 recordsLinked to original sources

PubMed2001

Educating health professionals in a community setting: what students value.

CONTEXT: Health care and health professions education has been shifting into community settings. Hawai'i participated in the Community Partnerships for Health Professions Education program, an initiative funded by the W.K. Kellogg Foundation that aimed to develop educational collaboration between community health centers, their respective communities and health professions schools. OBJECTIVE: In 1998, after completing 5 academic years in this program, former students from one community health center site were polled to begin exploring those components of their experience that were most valuable to their subsequent health care practice. METHOD: A survey was mailed to 65 former students, asking three questions: (1) what three components of your Ke Ola O Hawai'i experience (Wai'anae site) had the most impact on your practice;(2) is there anything else you would like us to know; and (3) where do you see yourself in 5 years? FINDINGS: Thirty responses were received for a 46% response rate. Students identified three components as having the greatest impact: (1) the multiprofessional approach to health care and learning, (2) the community setting/contact, and (3) understanding the culture of the community. A fourth component that was also revealed was the impact this experience had on their personal and professional growth. Most students reported employment or plans to practice in a community-based, rural, or underserved area. CONCLUSION: These responses introduce ideas for sustaining a community-based multi-professional curriculum that is relevant to current health care practice.

Journal Article↗

PubMed2001

Ka mauli o ka 'oina a he mauli kanaka: an ethnographic study from an Hawaiian sense of place.

Ka Mauli O Ka 'Aina A He Mauli Kanaka: The Life of the Land is the Life of the People. A sense of place has been directly linked to spiritual well being for all indigenous peoples. Yet, there is minimal evidence that demonstrates understanding and awareness of indigenous health issues from this perspective. Health, or the lack of it, appears to be related to place or the loss of it. Issues of Hawaiian health are inseparable from issues of land, water, and atmosphere. The purpose of this research study was to explore the experience of a sense of place and its relationship to health as perceived and experienced by Hawaiian participants living in Wai'anae, Hawai'i. Thirteen adult men and women, ranging in age from 36 to 80 years, participated in this ethnographic study. Two interviews conducted with each participant addressed the research question, "What is the experience of the relationship between a sense of place and health for Hawaiians?" Participants were also asked to photograph how they experienced this relationship. The qualitative data analysis computer software, Atlas.ti, was used to assist in data analysis. The findings suggest that the relationship between sense of place and health embodies four categories: (1) relationship to akua (god, spirit), (2) relationship to natural elements, (3) relationship to self and others, and (4) belonging to a particular place. Three major traditional Hawaiian concepts, which defined how the relationship between sense of place and health are experienced, were pono, mana, and kuleana. The relationship between these concepts revealed five cultural themes. Health for Hawaiians: I. is having a spiritual connection to their ancestral place; II. relates to the past, present, and future; III. is experienced with intention and understanding; IV. means an openness to the flow and use of energy; and V. is experienced as a pu'uhonua or safe place. These themes suggest implications for Hawaiian health education, practice, and further research, including that health professionals provide care from these perspectives in order to raise the health status of Hawaiians to the highest possible level. The limitations of the study suggest the uniqueness of Hawaiian communities and diversity of cultural traditions. Although responses from other communities will be valuable, an ethnographic study of one community (i.e., Wai'anae) provides the depth to understanding its people, place, patterns, and history. This study also engaged the community in selecting the participants. This allows for active involvement in the research process, particularly for this community, which has been a victim of this process in the past. The use of photography provided an excellent medium to capture the visual aspects of "place" creating a profound image of the relationship a person has with the land. Ka Mauli O Ka 'Aina A He Mauli Kanaka: The Life of the Land is the Life of the People.

Adult↗

PubMed1998

Community partnerships: redirecting the education of undergraduate nursing students.

Consistent with the goal of reforming nursing education to support nursing's agenda for health care reform, a community-based, multiprofessional initiative supported by the W.K. Kellogg Foundation began in Hawaii in 1991. This initiative created a partnership among the University of Hawaii Schools of Medicine, Nursing, Social Work, and Public Health, three community health centers, and their communities to provide a community-based, integrated system of health care, education, and research. In response to this initiative, the School of Nursing developed an integrated undergraduate curriculum consisting of: a discipline-specific tutorial using an inquiry-based learning strategy; a multiprofessional tutorial; and a 1-year clinical experience providing culturally competent primary care. Community-based education has stimulated changes in the philosophy, mission, and curriculum of the School of Nursing. The outcomes achieved as a result of this initiative have had a favorable impact on clients using the community health centers, the communities, the School of Nursing, and the students.

Community Health Nursing↗

PubMed1992

Transcultural nursing considerations of child abuse/maltreatment in American Samoa and the Federated States of Micronesia.

A conceptual analysis focuses on defining child maltreatment from the perspective of two Island nations in the Pacific Basin, American Samoa and the Federated States of Micronesia. Based on a review of the literature on child maltreatment laws and cultural factors in each region, a range definition is proposed. The range definition is comprised of defining features and borderline features for child maltreatment as it exists across these cultures in the Pacific Basin. Defining features were derived from evaluation of child abuse and neglect laws in each specified population. Borderline features were derived from cultural factors in American Samoa and the Federated States of Micronesia. While these Island nations already have child abuse and neglect laws, they are adapted from the United States. The degree at which unreasonable harm becomes abuse is culturally dictated, hence, these territories of the Pacific Basin are seeking culturally specific terminology when defining child maltreatment. The findings of this analysis indicate the significance of transcultural knowledge in nursing practice and the legal accountability nurses hold on the issue of child maltreatment.

Child↗

PubMedDate not supplied

Ensuring quality nursing education in community-based settings.

With the shift to more nursing practice occurring in community settings, nurse educators are seeking ways to guarantee a quality education in community settings. The authors describe one nursing student's activities at a community health center, reflecting the movement toward a community-based curriculum at the University of Hawaii School of Nursing.

Community Health Nursing↗