1
|
Savitsky B, Shulman I, Kagan I. Comprehensive Training of Community Diagnosis and the Community-Oriented Primary Health Care Model in Nursing Education: An Evidence-Based Project. Nurse Educ 2023; 48:E178-E182. [PMID: 37130357 DOI: 10.1097/nne.0000000000001437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
BACKGROUND Community-oriented primary health care is a health promotion model that includes community diagnosis of a targeted community. PURPOSE This educational project aimed to develop and implement an innovative approach of applying the principles of evidence-based practice in the teaching of community diagnosis, where the class of nursing students serves as an example of community. METHODS The method consisted of a lecture and an evidence-based simulation of community diagnosis based on data collection regarding the lifestyle and health behaviors of third-year nursing students from a 4-year academic nursing program (200 students; 90% response rate). RESULTS The data analysis revealed insufficient consumption of fruits, vegetables, and unsweetened fluids; excessive consumption of red and processed meat; insufficient engagement in physical activity; high anxiety level; and sleep deprivation. CONCLUSIONS This educational approach allowed an interactive presentation of community health diagnostic methodology as well as community health problem prioritization applying the principles of an evidence-based approach. The method also improves students' awareness of their health and makes them better ambassadors of promoting a healthy lifestyle.
Collapse
Affiliation(s)
- Bella Savitsky
- (Drs Savitsky and Kagan), Department of Nursing, Ashkelon Academic College, Ashkelon, Israel; and (Ms Shulman), Preventive Medicine Branch, Medical Corps, IDF, Ramat Gan, Israel
| | | | | |
Collapse
|
2
|
Savage Hoggard CL, Kaufman A, Michener JL, Phillips RL. Academic Medicine's Fourth Mission: Building on Community-Oriented Primary Care to Achieve Community-Engaged Health Care. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2023; 98:175-179. [PMID: 36327385 PMCID: PMC9855726 DOI: 10.1097/acm.0000000000004991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
A 2021 article, "Now is our time to act: Why academic medicine must embrace community collaboration as its fourth mission," by Association of American Medical Colleges (AAMC) authors, including AAMC president and CEO Dr. David J. Skorton, offers 2 aims that are highly related: community collaboration and health equity. The AAMC's call to prioritize community collaboration and health equity as pillars of the academic medicine mission echo earlier work on community-oriented primary care (COPC) and an even more robust model that builds on COPC, community-engaged health care (CEHC). COPC is a tested, systematic approach to health care by which a health clinic or system collaborates with a community to reshape priorities and services based on assessed health needs and determinants of health. COPC affirms health inequities' socioeconomic and political roots, emphasizing health care as a relationship, not a transaction or commodity. Communities where COPC is implemented often see reductions in health inequities, especially those related to socioeconomic, structural, and environmental factors. COPC was the foundation on which community health centers were built, and early models had demonstrable effects on community health and engagement. Several academic health centers build on COPC to achieve CEHC. In CEHC, primary care remains critical, but more of the academic health center's functions are pulled into community engagement and trust building. Thus, the AAMC has described and embraced a care and training model for which there are good, longitudinal examples among medical schools and teaching hospitals. Spreading CEHC and aligning the Community Health Needs Assessment requirements of academic health centers with the fourth mission could go a long way to improving equity, building trust, and repairing the social contract for health care.
Collapse
Affiliation(s)
- Courtney L. Savage Hoggard
- C.L. Savage Hoggard is a medical student, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois
| | - Arthur Kaufman
- A. Kaufman is vice president for community health, University of New Mexico Health Sciences, Albuquerque, New Mexico
| | - J. Lloyd Michener
- J.L. Michener is professor emeritus, Department of Family Medicine and Community Health, Duke School of Medicine, Durham, North Carolina
| | - Robert L. Phillips
- R.L. Phillips Jr is founding executive director, Center for Professionalism and Value in Health Care, Washington, DC
| |
Collapse
|
3
|
Good CB, Kolb NR, Nakaishi L, Meyer M. Ethical Obligations Regarding Short-Term Global Health Clinical Experiences. Ann Intern Med 2018; 169:588-589. [PMID: 30326094 DOI: 10.7326/l18-0384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Chester B Good
- University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (C.B.G., N.R.K., L.N., M.M.)
| | - N Randall Kolb
- University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (C.B.G., N.R.K., L.N., M.M.)
| | - Lindsay Nakaishi
- University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (C.B.G., N.R.K., L.N., M.M.)
| | - Mark Meyer
- University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (C.B.G., N.R.K., L.N., M.M.)
| |
Collapse
|
5
|
Le A, Gofin J. The Current Relevance and Application of Community-Oriented Primary Care in the United States. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2018; 93:673-674. [PMID: 29688975 DOI: 10.1097/acm.0000000000002156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Aurora Le
- Academic specialist, Department of Environmental and Occupational Health, Indiana University Bloomington, School of Public Health, Bloomington, Indiana; ; ORCID: http://orcid.org/0000-0002-6866-6779. Adjunct professor, Department of Health Promotion, Social & Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, and emeritus, Braun School of Public Health and Community Medicine - Hadassah - Hebrew University, Jerusalem, Israel
| | | |
Collapse
|
6
|
Niemelä M, Marshall CA, Kroll T, Curran M, Koerner SS, Räsänen S, García F. Family-Focused Preventive Interventions With Cancer Cosurvivors: A Call to Action. Am J Public Health 2016; 106:1381-7. [PMID: 27196647 DOI: 10.2105/ajph.2016.303178] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Health promotion and preventive action in the context of public health interventions for highly prevalent, long-term conditions such as cancer are rarely geared toward the family as a whole. Yet family members, as cancer cosurvivors, must manage their own substantial stress and multiple caregiving responsibilities and often constitute a critical nexus between individual patients and clinicians. We drew on 2 examples of cancer cosurvivorship from 2 different health service contexts, the United States and Finland. A systemic approach in public health is needed to support family members who not only have to confront the meaning of long-term conditions such as cancer but also may have to manage concurrent social life challenges and stressors such as economic hardship.
Collapse
Affiliation(s)
- Mika Niemelä
- Mika Niemelä is with the Child and Adolescent Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Catherine A. Marshall is with the Department of Disability and Psychoeducational Studies, University of Arizona, Tucson. Thilo Kroll is with the Social Dimensions of Health Institute, Universities of Dundee and St Andrews, Dundee, Scotland, UK. Melissa Curran is with the Norton School of Family and Consumer Sciences, University of Arizona, Tucson. Susan Silverberg Koerner is with the Department of Human Development and Family Studies, University of Illinois, Urbana-Champaign. Sami Räsänen is with the Department of Psychiatry, Oulu University Hospital, Oulu, Finland. Francisco García is with the Pima County Health Department, Tucson, AZ. All authors are affiliated with the FRED (Family-Focused Research, Education and Development) network
| | - Catherine A Marshall
- Mika Niemelä is with the Child and Adolescent Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Catherine A. Marshall is with the Department of Disability and Psychoeducational Studies, University of Arizona, Tucson. Thilo Kroll is with the Social Dimensions of Health Institute, Universities of Dundee and St Andrews, Dundee, Scotland, UK. Melissa Curran is with the Norton School of Family and Consumer Sciences, University of Arizona, Tucson. Susan Silverberg Koerner is with the Department of Human Development and Family Studies, University of Illinois, Urbana-Champaign. Sami Räsänen is with the Department of Psychiatry, Oulu University Hospital, Oulu, Finland. Francisco García is with the Pima County Health Department, Tucson, AZ. All authors are affiliated with the FRED (Family-Focused Research, Education and Development) network
| | - Thilo Kroll
- Mika Niemelä is with the Child and Adolescent Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Catherine A. Marshall is with the Department of Disability and Psychoeducational Studies, University of Arizona, Tucson. Thilo Kroll is with the Social Dimensions of Health Institute, Universities of Dundee and St Andrews, Dundee, Scotland, UK. Melissa Curran is with the Norton School of Family and Consumer Sciences, University of Arizona, Tucson. Susan Silverberg Koerner is with the Department of Human Development and Family Studies, University of Illinois, Urbana-Champaign. Sami Räsänen is with the Department of Psychiatry, Oulu University Hospital, Oulu, Finland. Francisco García is with the Pima County Health Department, Tucson, AZ. All authors are affiliated with the FRED (Family-Focused Research, Education and Development) network
| | - Melissa Curran
- Mika Niemelä is with the Child and Adolescent Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Catherine A. Marshall is with the Department of Disability and Psychoeducational Studies, University of Arizona, Tucson. Thilo Kroll is with the Social Dimensions of Health Institute, Universities of Dundee and St Andrews, Dundee, Scotland, UK. Melissa Curran is with the Norton School of Family and Consumer Sciences, University of Arizona, Tucson. Susan Silverberg Koerner is with the Department of Human Development and Family Studies, University of Illinois, Urbana-Champaign. Sami Räsänen is with the Department of Psychiatry, Oulu University Hospital, Oulu, Finland. Francisco García is with the Pima County Health Department, Tucson, AZ. All authors are affiliated with the FRED (Family-Focused Research, Education and Development) network
| | - Susan Silverberg Koerner
- Mika Niemelä is with the Child and Adolescent Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Catherine A. Marshall is with the Department of Disability and Psychoeducational Studies, University of Arizona, Tucson. Thilo Kroll is with the Social Dimensions of Health Institute, Universities of Dundee and St Andrews, Dundee, Scotland, UK. Melissa Curran is with the Norton School of Family and Consumer Sciences, University of Arizona, Tucson. Susan Silverberg Koerner is with the Department of Human Development and Family Studies, University of Illinois, Urbana-Champaign. Sami Räsänen is with the Department of Psychiatry, Oulu University Hospital, Oulu, Finland. Francisco García is with the Pima County Health Department, Tucson, AZ. All authors are affiliated with the FRED (Family-Focused Research, Education and Development) network
| | - Sami Räsänen
- Mika Niemelä is with the Child and Adolescent Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Catherine A. Marshall is with the Department of Disability and Psychoeducational Studies, University of Arizona, Tucson. Thilo Kroll is with the Social Dimensions of Health Institute, Universities of Dundee and St Andrews, Dundee, Scotland, UK. Melissa Curran is with the Norton School of Family and Consumer Sciences, University of Arizona, Tucson. Susan Silverberg Koerner is with the Department of Human Development and Family Studies, University of Illinois, Urbana-Champaign. Sami Räsänen is with the Department of Psychiatry, Oulu University Hospital, Oulu, Finland. Francisco García is with the Pima County Health Department, Tucson, AZ. All authors are affiliated with the FRED (Family-Focused Research, Education and Development) network
| | - Francisco García
- Mika Niemelä is with the Child and Adolescent Mental Health Unit, National Institute for Health and Welfare, Helsinki, Finland. Catherine A. Marshall is with the Department of Disability and Psychoeducational Studies, University of Arizona, Tucson. Thilo Kroll is with the Social Dimensions of Health Institute, Universities of Dundee and St Andrews, Dundee, Scotland, UK. Melissa Curran is with the Norton School of Family and Consumer Sciences, University of Arizona, Tucson. Susan Silverberg Koerner is with the Department of Human Development and Family Studies, University of Illinois, Urbana-Champaign. Sami Räsänen is with the Department of Psychiatry, Oulu University Hospital, Oulu, Finland. Francisco García is with the Pima County Health Department, Tucson, AZ. All authors are affiliated with the FRED (Family-Focused Research, Education and Development) network
| |
Collapse
|
7
|
Rovniak LS, Sciamanna CN, George DR, Bopp M, Kong L, Ding D. Interest in Using Workplace Energy Expenditure Devices Among Primary Care Patients. J Prim Care Community Health 2016; 7:96-101. [PMID: 26718917 PMCID: PMC5404893 DOI: 10.1177/2150131915624892] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Workplace energy expenditure devices (WEEDs), such as bicycle desks and treadmill desks, can contribute to weight gain prevention and disease risk-reduction. Little is known about the extent to which adults with diverse health risk factors are interested in using WEEDs. METHODS Primary care patients aged 18 to 65 years at 2 outpatient clinics in Central Pennsylvania completed a cross-sectional survey in April, 2014 to assess interest in using "a small pedaling device under the desk" and "walking on a treadmill with a desk attached" if these options were provided at no cost. Demographic and health risk factors were also assessed. Multiple logistic regression analyses were used to examine the associations of demographic and health risk factors with interest in using WEEDs. RESULTS Among 240 patients, 106 (44.2%) reported interest in using WEEDs. Of these 106 patients, interest in using a bicycle desk (91.5%) was higher than interest in using a treadmill desk (65.1%), P < .001. Females were more likely than males to be interested in using a bicycle desk, and patients aged 18 to 44 years were more likely than those aged 45 to 65 years to be interested in using a treadmill desk. CONCLUSIONS Results suggest that diverse patient populations may have interest in using WEEDs. Promoting use of WEEDs in primary care practices could help meet national standards for providing comprehensive, patient-centered care.
Collapse
Affiliation(s)
| | | | | | - Melissa Bopp
- Pennsylvania State University, State College, PA, USA
| | - Lan Kong
- Penn State College of Medicine, Hershey, PA, USA
| | - Ding Ding
- University of Sydney, Sydney, New South Wales, Australia
| |
Collapse
|