Historical Influences on Health Care and Education in Native American Communities

2016 ◽  
Vol 1 (14) ◽  
pp. 81-86 ◽  
Author(s):  
Joshuaa Allison-Burbank
Keyword(s):  
Health Care ◽  
Native American ◽  
Health Care Professionals ◽  
Formal Education ◽  
Linguistic Diversity ◽  
Historical Trauma ◽  
Psychological Trauma ◽  
Native Languages ◽  
Service Delivery Systems ◽  
The Rich

This article focuses on the influence of historical trauma (Brave Heart, Chase, Elkins, & Altschul, 2011) on the health and education of contemporary Native American (NA) communities. It is crucial that educators and health care professionals understand how events in American history have manifested as attempts to forcefully assimilate NAs into mainstream Euro-American culture. These attempts, which included relocation of NA communities onto reservations, enrollment of young NA children in government boarding schools and forcing these children to stop speaking native languages, and delivery of inadequate medical services (Adams, 1997) have resulted in psychological trauma that has negatively impacted multiple generations of NA families (Walker, 1999). These traumas have been found to be related to the high incidence of chronic health conditions and low academic achievement in NA communities (Whitbeck, Adams, Hoyt, & Chen, 2004; also see article by Gillispie, this issue). Understanding historical trauma as it has occurred in NA communities is a first step in our attempt to best serve NAs as speech-language pathologists (SLPs) in health care and educational settings. Knowledge and a deeper awareness of this historical trauma allows professionals to better understand negative attitudes toward formal education and medical service delivery systems that are not responsive to the rich cultural and linguistic diversity of NA people.

scholarly journals “This Is the Result of Something Else”: Experiences of Men That Abused Drugs and Had Experienced Childhood Trauma

2021 ◽  
Vol 15 (2) ◽  
pp. 155798832110093
Author(s):  
Margret Torshamar Georgsdottir ◽  
Sigrun Sigurdardottir ◽  
Hrafnhildur Gunnthorsdottir
Keyword(s):  
Health Care ◽  
Drug Abuse ◽  
Childhood Trauma ◽  
Health Care Professionals ◽  
Psychological Trauma ◽  
Screening Tools ◽  
Public Health Issue ◽  
Coping Mechanism ◽  
Addictive Behaviors ◽  
Abused Drugs

Drug abuse is a serious public health issue that may have irreversible consequences. Research has revealed that childhood psychological trauma can promote addictive behaviors in adulthood and that drugs are often used as a coping mechanism. Men are less likely to report trauma and seek help than women. The purpose of this qualitative study was to explore the experience of men in Iceland who have abused drugs and experienced childhood psychological trauma, to increase knowledge and deepen the understanding of trauma and addiction. Participants were seven men who had both experienced childhood trauma and had a history of drug abuse. Two interviews were conducted with each participant. The main findings suggest that participants abused drugs as a coping mechanism due to the trauma experienced in childhood. For some participants, seeking companionship was a key component of their drug use. Participants were mostly dissatisfied with treatment resources in Iceland; waiting lists were long and too much focus was on religion. Five main themes were identified: emotional impact, self-medication for pain, gender expectations, impermanence of thoughts, and loss of a sense of wholeness. Increased societal and professional awareness of the linkage between trauma and drug abuse is needed, as are additional resources specific to men who have experienced childhood trauma and drug abuse. It is important to integrate trauma focused services into health-care settings to educate health-care professionals on trauma and the consequences thereof, in addition to utilizing screening tools such as the Adverse Childhood Experience Questionnaire for those seeking assistance.

scholarly journals Nurses as advocates between western and traditional wealth practices in RSA

2000 ◽  
Vol 5 (2) ◽  
pp. 29-36
Author(s):  
Valerie Ehlers
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Professionals ◽  
Full Text ◽  
Formal Education ◽  
Health Care Systems ◽  
African Countries ◽  
Care Systems ◽  
Care System

The RSA, like most African countries, have two health care systems. The most visible one is the Westernised hospital and/or clinic based treatment of diseases. This system was introduced by the colonisers and perpetuated by the current formal education programmes of most health care professionals in the RSA. Traditional African medicine has existed since time immemorial and continues to treat vast numbers of people. Both these health care systems will be briefly discussed. Then the role of nurses in the RSA's health care system(s) will be examined. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals Assessment of the Depression-Level Effectiveness of the Curse Words in Young Adults in Private Co-Educational Pharmaceutical Institutions in Pune University Pharmaceutical Institutions Living With Poor Sanitation, India: A Pre-planned, Causal-Pathway-Based Analysis

2018 ◽  
Vol 4 (1) ◽  
pp. 6-10
Author(s):  
Rahul Hajare
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Adverse Pregnancy Outcome ◽  
Criminal Activity ◽  
Psychological Trauma ◽  
Care Providers ◽  
Causal Pathway ◽  
Depression Level ◽  
The Rich ◽  
Adverse Pregnancy

Depression and substance abuse is on the increase all over the world. The poor and the rich are also involved in this dangerous habit that has impact not only on reproductive health but also has an impact on family, society, increase in health care expense and increased criminal activity. Health care providers are more concerned with treating the victims and less concerned on its prevention. Pregnant women bear greater brunt and there is adverse pregnancy outcome. Low birth weight, preterm labour, increased in miscarriage and raised perinatal mortality is some of the adverse effects. Children of such parents are more likely to inherit this bad trait. Children living in abusive homes where drugs and alcohol abuse occur simultaneously are often deprived of more than just the basics of food and shelter. Depression is defined as, “Any act on the part of the husband, partner or family which causes physical, mental, social or psychological trauma to the woman and prevent sher from developing her personality.” Reason for the increase in depression violence are; urbanization, industrialization, growth of urban slums, co-education and co - working in offices and factories, modern movies, television, obscene and pornographic literature and decreasing religious restrictions.

Perceived Benefit of Teaching Patient Safety to Pharmacy Students by Integrating Classroom Teaching With Introductory (IPPE) Visits

2016 ◽  
Vol 30 (1) ◽  
pp. 115-120 ◽  
Author(s):  
Katy E. Trinkley ◽  
Edward T. Van Matre ◽  
Scott W. Mueller ◽  
Robert L. Page ◽  
Kavita Nair
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Professionals ◽  
Formal Education ◽  
Active Role ◽  
Pharmacy Students ◽  
Safety Education ◽  
Future Health ◽  
Perceived Benefit ◽  
Patient Safety Education

Introduction: Ensuring a culture that prioritizes and implements patient safety requires educating all future health care professionals to prepare them for their active role in reducing medical errors. There is limited literature describing integration of patient safety education into the curriculum of health care professionals, including pharmacists. The purpose of this study was to evaluate the perceived benefit of integrating patient safety education into a pharmacy curriculum. Methods: Second-year pharmacy students (P2s) completed a patient safety self-study, followed by in-class and experiential application of a root cause analysis (RCA). An electronic, anonymous postsurvey was administered to P2s and third-year pharmacy students (P3s) who had not had formal patient safety education. Results: Of the 310 students, 53% responded to the survey. Significantly more P2s reported more confidence to describe patient safety and its purpose ( P = .0092), describe factors that influence patient safety ( P = .0055), and conduct an RCA ( P < .001). P2s also reported significantly better ability to conduct a RCA compared to P3s (88.9% positive vs 58.7%, respectively; P ≤ .001). Conclusions: Both classes perceived patient safety education to be valuable; however, formal education resulted in some significant improvements in perceived confidence and understanding, including ability to conduct an RCA.

scholarly journals Depression‐Level Effectiveness of the Curse Words in Young Adults in Pune University

2018 ◽  
Vol 3 (5) ◽  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Adverse Pregnancy Outcome ◽  
Criminal Activity ◽  
Psychological Trauma ◽  
Care Providers ◽  
Drugs And Alcohol ◽  
Depression Level ◽  
The Rich ◽  
Adverse Pregnancy

Depression and substance abuse has on the increase all over the world. The poor and the rich are also involved in this dangerous habit that has impact not only on reproductive health but also has an impact on family, society, increase in health care expense and increased criminal activity. Health care providers have more concerned with treating the victims and less concerned on its prevention. Pregnant women beara greater brunt and there has adverse pregnancy outcome. Low birth weight, preterm labor, increased in miscarriage and raised perinatal mortality has some of the adverse effects. Children of such parents have more likely to inherit this bad trait. Children living in abusive homes where drugs and alcohol abuse occur simultaneously has often deprived of more than just the basics of food and shelter. Depression has, “Any act on the partof the husband, partner or family which causes physical, mental, social or psychological trauma to the woman and preventsher from developing her personality.” Reason for the increasein depression violence has; urbanization, industrialization, growth of urban slums, co-education and co-working in offices and factories, modern movies, television, obscene and pornographic literature and decreasing religious restrictions.

scholarly journals Meanings Assigned by Primary Care Professionals to Male Prenatal Care: A Qualitative Study

2021 ◽  
Vol 15 (1) ◽  
pp. 351-357
Author(s):  
Bruna Sabrina Almeida Sousa ◽  
Camila Aparecida Pinheiro Landim Almeida ◽  
Joseane Rodrigues dos Santos ◽  
Eliana Campêlo Lago ◽  
Jéssika Felix de Oliveira ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Prenatal Care ◽  
Health Care Professionals ◽  
Formal Education ◽  
Health Department ◽  
Structured Interviews ◽  
Entire Family ◽  
Primary Health ◽  
Pregnancy And Delivery

Background: Considering recent strategies used in prenatal care, the involvement of fathers has been considered an important factor in ensuring that pregnancy and delivery are successful. Objective: The aim of this study is to identify the meanings assigned by primary health care professionals to male prenatal care. Methods: This is a descriptive study with a qualitative approach. A total of 19 interviews were conducted with primary health care professionals registered in the City Health Department of Teresina, Piauí, Brazil. Data were collected through semi-structured interviews and analyzed according to the Collective Subject Discourse methodology. Results: Three themes emerged from the reports’ analysis: The importance of the role of fathers in the gestational process, attitudes of men toward male prenatal care and formal education and training in primary health care. Health practitioners understand the importance of male prenatal care but reported they lack proper training to provide effective care. Conclusion: The expansion of continuing education strategies focusing on male prenatal care and directed to primary health care professionals is recommended to promote greater adherence on the part of fathers in prenatal care, with the purpose of strengthening bonds and improving the care provided to the entire family. The humanized care can facilitate the approach of the paternal figure during male prenatal care.

Understanding Health Care Access Disparities Among Human Trafficking Survivors: Profiles of Health Care Experiences, Access, and Engagement

2019 ◽  
pp. 088626051988993
Author(s):  
Kathleen Price ◽  
Brett D. Nelson ◽  
Wendy L. Macias-Konstantopoulos
Keyword(s):  
Health Care ◽  
Health Services ◽  
Medical Care ◽  
Human Trafficking ◽  
Health Care Access ◽  
Health Care Professionals ◽  
Q Methodology ◽  
Psychological Trauma ◽  
Care Access ◽  
Health Care Experiences

Human trafficking is associated with a profound burden of physical and psychological trauma. Survivors of trafficking interact with the health care system during and after their experiences of trafficking. Socioeconomic isolation, stigma, shame, guilt, fear of judgment, fear of retribution by traffickers, fear of law enforcement authorities, and other factors known to inhibit disclosure can exert a formative influence on survivors’ health care experiences, health care access, and health services engagement. Using a mixed qualitative-quantitative social science research method, known as by-person factor analysis (or Q-methodology), the current analysis systematically examines the scope of trafficking survivors’ health care experiences and perceptions of medical care, health care access behaviors, and degree of engagement with health services. Among 33 survivors of human trafficking surveyed, 21 met inclusion criteria for this analysis. Three distinct profiles of survivor health care experiences and health services engagement— Avoidant, Distrustful, and Constrained—are identified from the aggregate of survivors’ perceptions of medical care. Although there are salient differences across the three survivor profiles, a feeling of disenfranchisement is a common thread and directly related to health care access behaviors and health services engagement. Understanding that the feeling of disenfranchisement functions as a filter through which trafficking survivors perceive and experience medical care can help health care professionals take appropriate countermeasures. Implications for improving health care access and engagement include the implementation of trauma-responsive, culturally sensitive, and survivor-centered care practices.

Improving Communication Skills in Health Care

2013 ◽  
Vol 20 (3) ◽  
pp. 109-117
Author(s):  
Lynda Katz Wilner ◽  
Marjorie Feinstein-Whittaker
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Communication Skills ◽  
Health Care Professionals ◽  
Skills Training ◽  
International Medical Graduate ◽  
Medical Graduate ◽  
Health Care Environment ◽  
Medical Interpreters ◽  
Accent Modification

Hospital reimbursements are linked to patient satisfaction surveys, which are directly related to interpersonal communication between provider and patient. In today’s health care environment, interactions are challenged by diversity — Limited English proficient (LEP) patients, medical interpreters, International Medical Graduate (IMG) physicians, nurses, and support staff. Accent modification training for health care professionals can improve patient satisfaction and reduce adverse events. Surveys were conducted with medical interpreters and trainers of medical interpreting programs to determine the existence and support for communication skills training, particularly accent modification, for interpreters and non-native English speaking medical professionals. Results of preliminary surveys suggest the need for these comprehensive services. 60.8% believed a heavy accent, poor diction, or a different dialect contributed to medical errors or miscommunication by a moderate to significant degree. Communication programs should also include cultural competency training to optimize patient care outcomes. Examples of strategies for training are included.

The Preschool Stuttering Screen for Health Care Professionals

2011 ◽  
Vol 21 (2) ◽  
pp. 59-62
Author(s):  
Joseph Donaher ◽  
Christina Deery ◽  
Sarah Vogel
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Differential Diagnosis ◽  
Preschool Children ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Evidence Based ◽  
Developmental Profile

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.

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