sheila q. hartung, phd, rn bloomsburg university bloomsburg, pa

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  • Slide 1
  • Sheila Q. Hartung, PhD, RN Bloomsburg University Bloomsburg, PA
  • Slide 2
  • Presenter Disclosures (1) The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: Sheila Q. Hartung No relationships to disclose
  • Slide 3
  • Introduction Research and collaboration focus of key players Geisinger Center for Health Research, Dr. Sharon Larson Sullivan County SHIP, Joan Gruver Bloomsburg University, Department of Nursing, Dr. Sheila Hartung Approval and support Intent Identify perceived health status and barriers to access The project and research Community Needs Assessment (including Focus Groups and Community Survey) GMC, Center for Health Research Community Assessment and Insight Interviews BU, Community Health/Public Health Nursing course Community Interventions GMC, BU, and SHIP 3
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  • Collaboration of GMC Center for Health Research and Sullivan County SHIP Summer 2009 Responsibilities - Focus groups and community survey Focus group meetings performed with Sullivan County SHIP partners community health and human service agency representatives educational institutional representatives mental health consumer support group members regional EMS council members County Commissioners office hospital representatives 4
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  • Intent of Focus Group Discussions Characteristics of a good community Areas of community need Preventative health care programs available Noted health problems Access to health and human services Employment and resources both within and surrounding the county Access to and availability of transportation services Demographic profile of county residents Intended resident survey questions 5
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  • Bloomsburg University Department of Nursing Community/Public Health Nursing course Responsibilities General Community Assessment and Insight Interviews Course overview Classroom and clinical components Public health approach Health promotion Disease prevention Epidemiology 6
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  • Community Assessment Framework Systems approach Objective data Morbidity and mortality data Secondary data (i.e., School Health Index) Subjective data Observation (i.e., windshield surveys) Key informant interviews and Insight Interviews Attendance at community meetings 7
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  • Students as leaders and collaborators Group process, theory, techniques, roles Leadership principles Followership principles Collaboration with faculty, community groups, key informants in the community 8
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  • Analysis of Data Inferences Problem identification Community nursing diagnosis Healthy People Objectives 9 Intervention Health Promotion Project implementation Evaluation Content Process
  • Slide 10
  • Community/Public Health Nursing course Fall 2009 & Spring 2010 Course focus in Fall semester BU IRB approval, contacts and collaboration with Sullivan County SHIP, recruitment of Insight Interview participants, Insight Interview data collection, collection of abbreviated CA parameters (Physical Environment, Demographics, Vital Statistics, Behavioral Risk Indicators, Economics) Course focus in Spring semester Insight Interview analysis, dissemination of Insight Interview results to collaborating partners, collection of abbreviated CA parameters (Physical Environment, Demographics, Vital Statistics, Behavioral Risk Indicators, Health and Social Services, Education, Politics and Government) 10
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  • Windshield Surveys Spring semester Dushore Laporte Lopez Bernice/Satterfield Mildred Estella Colley Fall semester Dushore Laporte Lincoln Falls, Shunk, Wheelerville Hillsgrove Eagles Mere, Muncy Valley, Beech Glen Millview Forksville 12
  • Slide 13
  • Community Assessment Parameters Physical Environment Demographics Vital Statistics Behavioral Health Indicators Economics Health and Social Services Politics and Government Education 13
  • Slide 14
  • Leading Cause of Death per County Annual Average Rate per 1000 Residents 2003-2008 14
  • Slide 15
  • Heart Disease Death Rates Per 100,000 (2007) (Age Adjusted) (Pennsylvania Department of Health, 2007, a 2) 15
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  • Mortality: All Cancers Mortality Rate from cancer among All Ages across 3 different 3 year time spans per 100,000. (Pennsylvania Department of Health, 2008, e 4, f 4) 16
  • Slide 17
  • Percentage of Healthy Weight Adults 2003-2005 (BMI of 18.5-24.9) (Pennsylvania Department of Health, 2005, b1) 17
  • Slide 18
  • 18 Adults Who Admit to Currently Smoking: 2005-2007 Results by Age Group PA DOH, Epidemiologic Query and Mapping System. (2005-2007)
  • Slide 19
  • Percentage of Suicide 2000-2007 (Pennsylvania Department of Health, g7) 19
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  • 20 Educational Attainment: Population 18-24 years (US Census 2000)
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  • Median Household Income 2007 21
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  • 22
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  • Data Collection Fall 2009 IRB approval for Insight Interview Connection and presentation at SHIP meetings Recruitment process Health and human service partners approached residents Gave summary/intent of research If participant agreed, gave participant contact name and number to study investigator 23
  • Slide 24
  • Data Collection Fall 2009 Study investigator gave contact name and number to BU student pair to contact for interview Structured and semi-structured interviews of 9 residents performed by BU senior student pairs in the residents home or other convenient location Interview guide and script Roles of interview pair Field notes Identifying information Submitted detailed field notes and beginning analysis conclusions to study investigator 24
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  • 25 Analysis Spring 2010 Small group of 6 students within the course volunteered Orientation meeting of small group Small group coded and analyzed one interview together manually Coded remaining 8 Insight Interviews using QDA software (ATLAS.ti) Themes and commonalities from data collected Community, Family, Health, Work Developed subcategories for each theme Gave examples for each category Conceptual model to illustrate life in Sullivan County
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  • Bloom in Sullivan County 26
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  • Health Promotion Projects 27
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  • Health Promotion Projects Fall 2009 All collaborative partners Health Fair (Oct.) All populations Immunizations, health screenings, diet/nutrition, resources, chronic disease, exercise/activity Location/venue: elementary school BU, DON Health Fair Flurries of Health (Dec.) Adult to older adult population Heart disease, diabetes and obesity, cancer, mental health and wellness, risky behaviors Location/venue: church hall in conjunction with holiday craft fair 28
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  • Health Promotion Projects Spring 2010 BU, DON Rotating stations Hunt for Health (April) Adolescent population Environmental health, mental health and wellness, safe sexual practices, drug and alcohol use and abuse, healthy lifestyles Sullivan County Junior/Senior High School, Laporte 29
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  • Lessons Learned Undergraduate students can be active participants in collaborative research or projects with specific delineated roles. As an essential component of baccalaureate education, students are able to gain needed practical application of the core functions of public health, health promotion and disease prevention, leadership and management principles, and effective group process with large and small groups. Illustrates for students the concepts basic to nursing practice: community and partnership for health. Further solidifies the contribution and benefit to the community and its residents through a connection with both the academic institution and a major health system. 30
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  • Lessons Learned (contd) Continued contact in the rural area beyond the research timeframe is challenging due to the rural location and distance from educational and clinical institution Planned and sustained contact for ongoing assessment and health promotion is needed during the planning phases of the partnership 31
  • Slide 32
  • Recommendations Continue collaboration within the community Look for do-able research and project components Greater student preparation for qualitative data analysis and coding Accessible QDA software package and common files on- campus for faculty and students during project Increase time allotted to analyze as a small group Allow time to incorporate findings and analysis of interviews into survey data Disseminate analysis to collaborating partners more quickly 32
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  • 33 Thank You! Questions??


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