Background Although similar to cancer patients regarding symptom burden and prognosis, with heart failure ( HF ) tend receive palliative care far less frequently. We sought explore factors perceived by cardiology, primary care, providers impede referral for patients. Methods Results conducted semistructured interviews (1) needs of advanced ; (2) knowledge, attitudes, experiences specialist care; (3) indications optimal timing in (4) barriers referral. Two investigators analyzed data using...

ABSTRACT Although nursing has a long history of service to the global community, profession lacks theoretical and empirical base for nurses frame their practice. A study using grounded theory methodology investigate partnership sustainability health led development conceptual model. Interviews were conducted with 13 nurse experts. Themes from interviews were: components engagement, mutual goal setting, cultural bridging, collaboration, capacity building, leadership, partnership, ownership,...

Given the degree of public mistrust and provider hesitation regarding human papillomavirus (HPV) vaccine, it is important to explore how information vaccine shared online via social media outlets. The purpose this study was evaluate content messaging HPV on microblogging site Twitter, describe sentiment those messages.This utilized a cross-sectional descriptive approach. Over 2-week period, Twitter searched hourly using key terms "#HPV #Gardasil," which yielded 1,794 posts for analysis. Each...

There is an increasing interest in human papillomavirus (HPV) self-collection as a strategy for women not up-to-date with cervical cancer screening. We report the findings of HPV educational intervention health care providers and staff. As part Health Outcomes through Motivation Education (HOME) Initiative, from 10 systems Appalachian regions four states attended online sessions during 2021-2023. Participants (n = 167) completed pre- postintervention surveys focused on knowledge attitudes...

Abstract Objectives Global health research into the relationship between health, economic inequalities, and globalization is necessary to address increasing disparities in low income countries. Nicaragua has high levels of poverty extreme when compared with other Central South American Countries. Design Sample Photovoice ethnographic methods were used explore experiences Creole women Bluefields, intersections culture, socioeconomic status, gender. Twelve participants, ages 18–45. Measures...

Adverse childhood experiences (ACEs) have been associated with an increased risk of a variety diseases, including cancer. However, research has largely ignored how ACEs impact cancer screening, potential intermediate outcome. As such, the present study examined association between and ever recent use Papanicolaou (Pap) test, among women aged 21 older.Analyses used 2009 Tennessee Behavioral Risk Factor Surveillance System (n = 1527) to model odds recently (within last 3 years) engaging in Pap...

Abstract: State-based policies to mandate HPV vaccination are politically challenging and have received broad criticisms. There is a critical need understand the legislative activities that underpin subsequent policy implementation. The objective of this analysis was analyze state legislation focused on from 2006–2015. A content conducted among primary sources data vaccine-related bills, including using National Conference State Legislatures as search-source. Findings reveal much activity...

The new Commission on Cancer (CoC) accreditation standards encompass palliative care (PC) and a patient-centered approach, including specific quality measurements outcomes. However, cancer centers differ in their interpretation of the CoC for PC level integration trajectory services provided.The aim this study was to identify existing barriers accessing patients at National Institute (NCI)-designated academic center with rural catchment area, using guidelines as point reference.This utilized...

Abstract Objective To explore health care workers identified barriers to cervical cancer screening in rural Southwest Virginia. Design and Sample A descriptive study utilizing telephone‐based structured interviews conventional content analysis. All free federally funded clinics within a 75 mile radius of Virginia's Districts 1, 2, 3 were contacted for participation the study. Measures Organizational information such as composition clinical staff, services provided, cost services, recorded...

Rheumatoid arthritis (RA) is characterized by inflammatory synovitis and mediated several cytokines; this includes interleukin-6, whose receptor has been successfully targeted the humanized monoclonal antibody tocilizumab. Intravenous tocilizumab (TCZ-IV) registered for use in RA (alone or as combination therapy), systemic juvenile idiopathic Castleman disease. Subcutaneous (TCZ-SC) a desirable alternative to existing subcutaneous biological disease modifying antirheumatic drugs (bDMARDs)...

Objective: Women without regular health care providers or a medical home routinely fail to complete recommended cervical cancer screening. At-home self-collection of samples test for high-risk strains human papillomavirus (hrHPV) can improve screening rates. This study documents acceptability and feasibility community lay navigator (LN)-facilitated at-home underscreened women in Appalachian Virginia. Materials Methods: used mixed methods three phases. Phase I involved focus groups LNs ensure...

Anal squamous cell carcinoma disproportionally affects people with HIV (PWH); however, engagement in anal cancer screening is low many settings. This study was conducted to assess knowledge and perceptions of identify factors the retention prevention services among PWH. Semistructured interviews were adult PWH eligible for our Ryan White HIV/AIDS Program clinic. Descriptive statistics tabulated; thematic analyses performed emerging motivators, facilitators, barriers. Among 26 PWH, 9 had not...

Purpose: To describe cervical cancer control practices from common countries of origin for women who resettle in the United States as refugees to highlight this persistent health inequity. Methods: Describe presence/type national screening program, coverage percentage, and human papillomavirus (HPV) vaccination program presence coverage. Results: Nine 15 included screen opportunistically. Most do not use high-performing tests, estimates were limited. Only one country offers HPV vaccination....

Abstract Objectives To evaluate the impact of two baccalaureate public health nursing ( PHN ) clinical education models, that vary on level engagement with community agencies, student perceptions . Design and Sample Two group, pretest/posttest design. cohorts students (traditional n = 62, accelerated 64) were included. The traditional worked one agency over an 8‐week period. several agencies same Eighty‐seven provided complete data at both time points, included in analyses. Measures Students...

Bluefields, Nicaragua is the largest city in Southern Atlantic Autonomous Region (RAAS), and home to communities of Nicaragua’s six ethnic groups. Photovoice research techniques were used this ethnographic study explore health experiences Creole women. After participating focus groups discuss women’s health, 12 women took photographs describe their experiences. The researcher then interviewed them about what each picture meant, participants selected photos for a community-wide exhibition...

BackgroundA common practice in global nursing education is short-term missions where US-based students spend a brief time host country with hands-on experiences patients, but maintain US-centric perspective. Subsequently, an exchange becomes extractive, one group benefits. Capacity-building models are needed health education. In 2007, Bluefields Indian and Caribbean University (BICU), Nicaragua, the of Virginia (UVA), USA, began collaborative partnership. 2018, faculties these institutions...

Objectives: To (1) describe barriers to diabetes prevention and self-management, (2) explore how religious beliefs inform self-management (3) community action strategies address the problem of locally. Design: Qualitative, descriptive design. Setting: Three Moravian Churches located, respectively, in Bluefields, Pearl Lagoon Tasbapounie on Nicaragua’s Southern Atlantic Coast. Methods: Using convenience sampling procedures, local church pastors or leaders, health professionals lay adults with...

Background Cervical cancer is the primary cause of death for women in Nicaragua, despite being highly preventable through vaccination against high-risk genotypes Human Papillomavirus (hrHPV), screening hrHPV, and early detection lesions. Despite technological advances designed to increase access low resource settings, barriers increasing population-level coverage persist. On Caribbean Coast only 59% have received one lifetime screen, compared 78.6% eligible living on Pacific Interior. In...