Experiences of Nigerian Internationally Educated Nurses Transitioning to United States Health Care Settings

2018 ◽  
Vol 29 (6) ◽  
pp. 603-610 ◽  
Author(s):  
Kechinyere C. Iheduru-Anderson ◽  
Monika M. Wahi
Keyword(s):  
United States ◽  
Health Care ◽  
Personal Growth ◽  
The United States ◽  
Future Research ◽  
Transition To Practice ◽  
Internationally Educated Nurses ◽  
Descriptive Phenomenology ◽  
Organizational Barriers ◽  
Transitional Experiences

Introduction: Successful transition to practice of internationally educated nurses (IENs) can critically affect quality of care. The aim of this study was to characterize the facilitators and barriers to transition of Nigerian IENs (NIENs) to the United States health care setting. Method: Using a descriptive phenomenology approach, 6 NIENs were interviewed about their transitional experiences in the United States. Thematic methods were used for data analysis. Results: The three major themes identified from the participants’ stories were “fear/anger and disappointment” (FAD), “road/journey to success/overcoming challenges” (RJO), and “moving forward” (MF). The FAD theme predominated, including experiences of racism, bullying, and inequality. The RJO theme included resilience, and the MF theme encompassed personal growth. Discussion: NIENs face personal and organizational barriers to adaptation, especially fear, anger and disappointment. Future research should seek to develop a model for optimal adaptation that focuses on improving both personal and organizational facilitators and decreasing barriers.

Peak-Experiences Among Americans in Midlife

2012 ◽  
Vol 52 (4) ◽  
pp. 479-503 ◽  
Author(s):  
Edward Hoffman ◽  
Susan Kaneshiro ◽  
William C. Compton
Keyword(s):  
United States ◽  
Personal Growth ◽  
American Culture ◽  
The United States ◽  
Future Research ◽  
Peak Experiences ◽  
Skill Mastery ◽  
Published Research

Though much attention, professionally and in popular American culture, has been accorded to midlife angst and turmoil, no published research has been conducted on peak-experiences during this major lifespan period. In this study, 153 people aged 40 to 65 years in the United States responded to a questionnaire asking them to describe a recent joyful experience and its subsequent impact on their outlook on life. They were also asked to rate it numerically on a 5-point Likert-type scale. Their qualitative reports were subsequently coded into 13 categories. Peaks involving interpersonal joy were reported significantly most frequently, more than all other categories combined. These were followed in frequency by those comprising respectively external achievement and personal growth. Small percentages involved religious peaks in either institutional or noninstitutional settings, recovery from illness/accident, nature, skill mastery, philosophical musing, developmental landmark, homecoming, nostalgia, and serenity. The implications for better understanding and optimizing midlife functioning are discussed, and future research avenues are highlighted.

Transition-to-U.S. Practice Experiences of Internationally Educated Nurses: An Integrative Review

2019 ◽  
Vol 42 (5) ◽  
pp. 373-392 ◽  
Author(s):  
Lauren V. Ghazal ◽  
Chenjuan Ma ◽  
Maja Djukic ◽  
Allison Squires
Keyword(s):  
United States ◽  
Transition Process ◽  
The United States ◽  
Legal Issues ◽  
Integrative Review ◽  
Current Evidence ◽  
Transition To Practice ◽  
Internationally Educated Nurses ◽  
Educational Preparation ◽  
Facilitators And Barriers

Internationally educated nurses (IENs) are an important part of the U.S. nursing workforce. Optimizing their transition-to-practice (TTP) experiences in the United States is crucial for ensuring high-quality patient and IENs’ outcomes. The purpose of this integrative review is to analyze and synthesize the current evidence surrounding IEN TTP experiences in the United States from 2000 to 2018 to inform improvements in TTP. Eighteen studies were included. TTP was defined through IENs’ description of facilitators and barriers of the transition process and presented in seven themes. Two themes were facilitators: support from family and nursing colleagues, and perceptions of self-efficacy. The remaining five themes were barriers: (a) the stigma associated with educational preparation, (b) communication and language, (c) differences in culture, (d) differences in nursing practice, and (e) legal issues. Findings are important for improving TTP programs. Further research focusing on the outcomes of transition programs is needed to inform policymaking surrounding IEN recruitment and retention.

scholarly journals WHICH CAME FIRST, WELL-BEING OR PHYSICAL HEALTH? A LONGITUDINAL INVESTIGATION IN MID- TO LATE LIFE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S721-S721
Author(s):  
Tarah Raldiris ◽  
Joseph Dzierzewski
Keyword(s):  
United States ◽  
Physical Health ◽  
Psychological Health ◽  
Personal Growth ◽  
Age Groups ◽  
Purpose In Life ◽  
Well Being ◽  
The United States ◽  
Future Research ◽  
Positive Aging

Abstract As the United States population continues to age, focus has turned toward understanding and promoting positive aging processes. However, positive aging is not only about maintaining physical health, but also about maintaining and improving psychological health. Though previous research has found well-being to be predictive of physical health outcomes, research has yet to examine the temporal associations between these variables. The aim of the current study was to begin to disentangle these temporal associations by investigating how well-being and physical health relate over the course of nearly two decades in a nationwide sample of adults (N = 7,419, Mage = 46.38 at Time 1). The current study employed a cross-lagged panel SEM design across three time points to investigate if well-being, operationalized as purpose in life and personal growth, predicted future self-rated physical health. Data from the Midlife in the United States (MIDUS) study was analyzed from 1995, 2004, and 2014. Cross-lagged analyses revealed well-being was significantly predictive of future physical health, and physical health was also significantly predictive of future well-being. However, the magnitude of the path loadings indicated well-being was a stronger predictor of future physical health than physical health was of future well-being. Thus, these results suggest that personal growth and purpose in life may be particularly important for the promotion of physical health as individuals age. Future research should investigate if these predictive associations apply to all age-groups, as well as for individuals who self-identify as caregivers.

Brazilian Students Studying in the United States: Perceptions of Their Lived Experiences 6 Months After Returning Home

2020 ◽  
pp. 154134462094464
Author(s):  
Simone C. O. Conceição ◽  
Liliana Mina ◽  
Todd Southern
Keyword(s):  
United States ◽  
Lived Experience ◽  
Personal Growth ◽  
Lived Experiences ◽  
The United States ◽  
Future Research ◽  
Online Questionnaire ◽  
Returning Home ◽  
Brazilian Students ◽  
The U.S

A key challenge for international students in the United States is a readiness to study and live in a culture that is vastly different from their own. The purpose of this study was to explore the perceptions of the lived experiences of Brazilian students studying in the United States 6 months after returning home. Thirty-three Brazilian students responded to an open-ended, self-reflective online questionnaire focusing on their lived experience in the U.S. Three major themes emerged from the data based on the interactions between the multiple systems Brazilian students lived in the U.S.: personal growth and development, perspective transformation, and change in worldview. Participants claimed that they perceived their experiences influenced their perceptions about their own country and culture and gave them a new perspective expanding their horizons about themselves and their role in the world. The article concludes with practical implications, study limitations, and suggestions for future research.

Cultural Differences in the Perception of Personal Growth Among Adolescents

2018 ◽  
Vol 53 (4) ◽  
pp. 428-442
Author(s):  
Whitney Dominick ◽  
Kanako Taku
Keyword(s):  
United States ◽  
Cultural Differences ◽  
Personal Growth ◽  
Stressful Life Event ◽  
The United States ◽  
Cross Cultural ◽  
Stressful Life ◽  
Future Research ◽  
Cross Cultural Differences ◽  
Japanese Adolescents

Research shows that some adolescents experience positive psychological changes resulting from highly stressful life events. Because “positive change” is a value-laden concept, there may be cross-cultural differences in this conception of growth. The purpose of this study was to qualitatively and quantitatively assess different perceptions of personal growth across cultures. Adolescents from Japan ( n = 288, Mage = 16.16) and the United States ( n = 155, Mage = 16.21) completed demographic information and wrote three words describing their perception of personal growth. Results showed 443 different words generated, which were condensed into 12 categories. The types of words generated differed between nationalities, with Japanese adolescents generating more words related to social connection, and adolescents in the United States generating words related to change. Gender differences were found in physical change and age differences in the knowledge categories. Results demonstrate cross-cultural differences as well as similarities in the conceptualization of personal growth. Future research may examine how adolescents change the meaning of personal growth after experiencing personal growth resulting from a stressful life event.

scholarly journals Developing CAM Research Capacity for Complementary Medicine

2006 ◽  
Vol 3 (2) ◽  
pp. 283-289 ◽  
Author(s):  
George Lewith ◽  
Marja Verhoef ◽  
Mary Koithan ◽  
Suzanna M. Zick
Keyword(s):  
United States ◽  
Health Care ◽  
United Kingdom ◽  
Alternative Medicine ◽  
Research Policy ◽  
Research Capacity ◽  
The United States ◽  
Research Strategy ◽  
Future Research ◽  
The United Kingdom

This article describes initiatives that have been central to the development of complementary and alternative medicine (CAM) research capacity in the United Kingdom, Canada and the United States over the last decade. While education and service delivery are essential parts of the development of CAM, this article will focus solely on the development of research strategy. The development of CAM research has been championed by both patients and politicians, primarily so that we may better understand the popularity and apparent effectiveness of these therapies and support integration of safe and effective CAM in health care. We hope that the perspective provided by this article will inform future research policy.

Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review (Preprint)

2021 ◽  
Author(s):  
Michael Butzner ◽  
Yendelela Cuffee
Keyword(s):  
United States ◽  
Health Care ◽  
Rural Communities ◽  
Health Care Professionals ◽  
Health Care Service ◽  
The United States ◽  
Narrative Review ◽  
Future Research ◽  
Positive Outcomes ◽  
The Impact

BACKGROUND In rural communities, there are gaps in describing the design and effectiveness of technology interventions for treating diseases and addressing determinants of health. OBJECTIVE The aim of this study is to evaluate literature on current applications, therapeutic areas, and outcomes of telehealth interventions in rural communities in the United States. METHODS A narrative review of studies published on PubMed from January 2017 to December 2020 was conducted. Key search terms included telehealth, telemedicine, rural, and outcomes. RESULTS Among 15 included studies, 9 studies analyzed telehealth interventions in patients, 3 in health care professionals, and 3 in both patients and health care professionals. The included studies reported positive outcomes and experiences of telehealth use in rural populations including acceptability and increased satisfaction; they also noted that technology is convenient and efficient. Other notable benefits included decreased direct and indirect costs to the patient (travel cost and time) and health care service provider (staffing), lower onsite health care resource utilization, improved physician recruitment and retention, improved access to care, and increased education and training of patients and health care professionals. CONCLUSIONS Telehealth models were associated with positive outcomes for patients and health care professionals, suggesting these models are feasible and can be effective. Future telehealth interventions and studies examining these programs are warranted, especially in rural communities, and future research should evaluate the impact of increased telehealth use as a result of the COVID-19 pandemic.

Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review

10.2196/29575 ◽  
2021 ◽  
Vol 23 (8) ◽  
pp. e29575
Author(s):  
Michael Butzner ◽  
Yendelela Cuffee
Keyword(s):  
United States ◽  
Health Care ◽  
Rural Communities ◽  
Health Care Professionals ◽  
Health Care Service ◽  
The United States ◽  
Narrative Review ◽  
Future Research ◽  
Positive Outcomes ◽  
The Impact

Background In rural communities, there are gaps in describing the design and effectiveness of technology interventions for treating diseases and addressing determinants of health. Objective The aim of this study is to evaluate literature on current applications, therapeutic areas, and outcomes of telehealth interventions in rural communities in the United States. Methods A narrative review of studies published on PubMed from January 2017 to December 2020 was conducted. Key search terms included telehealth, telemedicine, rural, and outcomes. Results Among 15 included studies, 9 studies analyzed telehealth interventions in patients, 3 in health care professionals, and 3 in both patients and health care professionals. The included studies reported positive outcomes and experiences of telehealth use in rural populations including acceptability and increased satisfaction; they also noted that technology is convenient and efficient. Other notable benefits included decreased direct and indirect costs to the patient (travel cost and time) and health care service provider (staffing), lower onsite health care resource utilization, improved physician recruitment and retention, improved access to care, and increased education and training of patients and health care professionals. Conclusions Telehealth models were associated with positive outcomes for patients and health care professionals, suggesting these models are feasible and can be effective. Future telehealth interventions and studies examining these programs are warranted, especially in rural communities, and future research should evaluate the impact of increased telehealth use as a result of the COVID-19 pandemic.

The Changing Health Insurance Coverage Landscape in the United States

2020 ◽  
pp. e264-e274
Author(s):  
K. Robin Yabroff ◽  
Samuel Valdez ◽  
Mireille Jacobson ◽  
Xuesong Han ◽  
A. Mark Fendrick
Keyword(s):  
United States ◽  
Health Care ◽  
Health Insurance ◽  
Cancer Care ◽  
Care Delivery ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
The United States ◽  
Future Research ◽  
Health Coverage

Changes in the health insurance coverage landscape in the United States during the past decade have important implications for receipt and affordability of cancer care. In this paper, we summarize evidence for the association between health insurance coverage and cancer prevention and treatment. We then discuss ongoing changes in health care coverage, including implementation of provisions of the Affordable Care Act, increasing prevalence of high-deductible health insurance plans, and factors that affect health care delivery, with a focus on vertical integration of hospitals and providers. We summarize the evidence for the effects of the changes in health coverage on care and discuss areas for future research with the goal of informing efforts to improve cancer care delivery and outcomes in the United States.

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