www.mobilehealthmap.org 617‐442‐3200 New research shows that mobile health clinics improve health outcomes for hard to reach populations in cost‐effective and culturally competent ways . A Harvard Medical School study determined that for every dollar invested in a mobile health clinic, the US healthcare system saves $30 on average. Mobile health clinics, which offer a range of services from preventive screenings to asthma treatment, leverage their mobility to treat people in the convenience of their own communities. For example, a mobile health clinic in Baltimore, MD, has documented savings of $3,500 per child seen due to reduced asthma‐related hospitalizations. The estimated 2,000 mobile health clinics across the country are providing similarly cost‐effective access to healthcare for a wide range of populations. Many successful mobile health clinics cite their ability to foster trusting relationships. Qualitative research in such mobile health clinics has found that patients value the informal, familiar environment in a convenient location, with staff who “are easy to talk to,” and that the staff’s “marriage of professional and personal discourses” provides patients the space to disclose information themselves. A communications academic argued that mobile health clinics’ unique use of space is important in facilitating these relationships. Mobile health clinics park in the heart of the community in familiar spaces, like shopping centers or bus stations, which lend themselves to the local community atmosphere.

Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care

Objectives:To characterize the burden of care and musculoskeletal discomfort associated with caring for adults with chronic physical disability among informal caregivers and to describe the most physically demanding caregiving activities and contributing factors, as perceived by informal caregivers of adults with physical disabilities.Methods:A mixed methods approach was used for the study. Forty-six informal caregivers of adults with physical disability participated.Results:Most caregivers were classified as “high burden” caregivers. They reported high levels of physical strain and musculoskeletal discomfort. Caregivers identified several activities related to mobility and self-care as the most physically demanding. Factors affecting physical demand included caregiver and care-recipeint characteristics, activity requirements, and the physical environment.Conclusion:Interventions that target high-demand caregiving activities, including all three aspects of caregiving activity performance, are necessary to...

Musculoskeletal Discomfort, Physical Demand, and Caregiving Activities in Informal Caregivers.

The number of these RHCs has steadily increased since their inception in 1977 (currently there are approximately 3,300 RHCs) due to decreasing reimbursements from the standard fee-for-service system. Because RHCs receive cost-based reimbursement (as defined and limited by the Medicare and Medicaid Programs), providers continue to turn to the RHC program to enable them to provide service to the rural poor and elderly. As health care providers strive to maintain service to this vulnerable population, RHCs have become an integral part of the rural health care system.

National Rural Health Association.

Background
A little-studied issue in the provision of care at home by informal caregivers is the increase in older adult patients with chronic illness, and more specifically, multiple chronic conditions (MCC). We know little about the caregiving experience for this population, particularly as it is affected by social location, which refers to either a group’s or individual’s place/location in society at a given time, based on their intersecting demographics (age, gender, education, race, immigration status, geography, etc.). We have yet to fully comprehend the combined influence of these intersecting axes on caregivers’ health and wellbeing, and attempt to do this by using an intersectionality approach in answering the following research question: How does social location influence the experience of family caregivers of older adults with MCC?

/pdf/a-canadian-qualitative-study-exploring-the-diversity-of-the-4l8imwmpb0.pdf

A Canadian qualitative study exploring the diversity of the experience of family caregivers of older adults with multiple chronic conditions using a social location perspective

Little is known about student nurses experiences of nursing patients with cancer in the UK. With the increasing survival of people with cancer and with cancer no longer seen as a terminal illness it is useful to understand student nurses clinical experience when nursing those with cancer. This study takes a phenomenological approach involving three focus group interviews with 20 student nurses from the second and third year of their course in one centre in the UK. All the students had experience of caring for patients with cancer. The key themes emerging from the study were: Communication, Impact on Self, Lack of Support and End-of-Life-Care. Students emphasised the need to have more knowledge and support in relation to cancer care. They describe how they lack communication skills and found it difficult to handle their emotions. A number of students found the whole experience of caring for patients with cancer emotionally distressing and draining and they describe avoiding contact with these patients by using distancing and avoidance strategies. Student nurses need additional support through demystifying cancer, using reflective practice and good mentoring in the clinical area to enable students to feel supported, and develop confidence in their capacity for care for people with cancer.

‘It stays with me’: the experiences of second‐ and third‐year student nurses when caring for patients with cancer

“I See My Mother’s Face”: Student nurse experiences caring for cancer patients

An exciting expansion of online educational opportunities is occurring in nursing. The use of a WebQuest as an inquiry-based learning activity can offer considerable opportunity for nurses to learn how to analyze and synthesize critical information. A WebQuest, as a constructivist, inquiry-oriented strategy, requires learners to use higher levels of thinking as a means to analyze and apply complex information, providing an exciting online teaching and learning strategy. A WebQuest is an inquiry-oriented lesson format in which most or all of the information learners work with comes from the web. This article provides an overview of the WebQuest as a teaching strategy and provides examples of its use.

The WebQuest: constructing creative learning.

The purposes of this study were to examine the relationships among stress, caregiver burden, and the health status of rural caregivers and assess whether caregiver burden and stress predict the physical health status of caregivers in the rural setting. A descriptive-correlational design was used to explore the caregiver health status of 63 informal caregivers in rural Alabama and Mississippi. The relationships among stress, burden, and health status in rural caregivers were significantly related (p .000) and significant variance in health status (p .000) was accounted for by the model variables of stress and caregiver burden. Rural caregivers experienced difficulty with transportation to the hospital and their physicians, and complained of experiencing uncomfortable physical symptoms.

The health status of rural caregivers.

The aging of America and the explosion of Hispanic immigrants into the United States are causing a tremendous burden to the health care system. The challenges already apparent in an overburdened health care system are examined, and useful strategies for health care providers are offered. The significant challenges facing the Hispanic population are presented, and the need for cultural sensitivity and its importance in providing culturally competent, patient-relevant care are highlighted.

The aging Hispanic in America: challenges for nurses in a stressed health care environment.

Many nursing programs now offer courses and, often, complete programs online. Nurse educators are faced with the challenges of enhancing critical thinking and engaging the learner in an environment often criticized for its linear delivery of material. Most educators use Web sites during their online courses as a means to provide the students with the most up-to-date and relevant information. Students sometimes complain that they are sent to multiple Web sites without a clear understanding of why they are viewing the Web site. Students also report that when they are assigned to search for Web sites, they are not mastering concepts, but solely spending valuable time learning search techniques. 1 The WebQuest is a strategy to engage the student in learning through the use of excellent online resources. 2 The WebQuest 3 is an inquiryoriented activity requiring students to explore pertinent Web sites and resources in an organized and purposeful manner. Approaching Web exploration in this way assists students to answer complex questions and/or solve problems requiring higher levels of thinking. In a WebQuest, learners are challenged to use the most current information available on the Web to enhance higher levels of thinking such as critical thinking, decision making, and setting priorities through analysis, synthesis, and evaluation. 2 WebQuests can be used to complement traditional and online courses or may stand alone in these learning environments. Dodge and March designed the WebQuest to direct students to the most appropriate Web sites offering the latest information for effective problem solving. 2,3

/pdf/using-the-webquest-to-engage-learners-in-the-online-38laoloiv7.pdf

Using the WebQuest to Engage Learners in the Online Classroom

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