October 2005 Newsletter

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Topics of Interest In this Issue
Children’s Health Month Health Literacy Month
Healthy Lung Month Mental Health Month

National Allied Health Week, 7—13

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· National Marrow Awareness Month
· National Allied Health Week, 7—13

Text Box: OCTOBER QUESTION
Safe Practice 10, a safety practice published by the National Quality Forum, is an evidence-based approach that health care providers can also use to enhance patient-provider communication. Safe Practice 10 addresses:
A.   Recording and reading
back verbal orders to the prescriber as soon as possible.

B. Using validated methods for storing and labeling medications.

C. Having patient or guardian recount information just conveyed.

A prize will be awarded to one person, selected at random, who answers correctly. Email your response to nwosu@etsu.edu by 4:30 pm on October 20.

Answer to the September Question: In many Hispanic cultures, sage and trumpet flower are used as remedies for diabetes. Folk Medicine of Hispanics in the Southwestern US

           Did You Know?
◦ The Culture Care Theory, by nursing educator and author Dr. Madeleine Leininger, presents a way to discover and explain diverse and universal culturally based care factors that influence health, well-being, illness and death.   Dr. Leininger will speak on campus October 7 in the Culp Center Auditorium on “Essential Dimensions of Transcultural Nursing” to undergraduates, 8:30—10:30 am and “Envisioning the Global Scope of Transcultural Nursing” to graduate students, 11:15—1:15 Link to Culture Care Theory.
◦ In a household survey, Hispanic and Black children, 4—34 months of age, were significantly less likely to be in excellent or very good health, were more likely to be uninsured, and their parents were less likely to recommend their child’s provider to others as compared with White children.

Text Box: Health Links on Diversity

Text Box: Article of the Month
Weissman JS et al. Resident Physicians’ Preparedness to Provide Cross-Cultural Care. JAMA 2005: 294 (9) 1058—67.

Summary:    This study reports results of a survey of final year resident physicians (n=2047) on their perceptions of their own competence to deliver quality care to diverse patient populations.   Residents indicated it was important to address cultural issues when providing care (96%). While a only 8% said they were not prepared in a general sense, a significant number felt unprepared for caring for patients with health beliefs at odds with Western medicine (25%), new immigrants (25%), and patients whose religious beliefs affect treatment (20%).   About one third to half of respondents (varied by residency specialty) reported receiving little or no instruction in cross-cultural care after medical school. Lack of time and lack of role models were barriers identified in delivery of cross-cultural care.

assessed annually for three years. The research took an ecological approach simultaneously studying multiple individual, family, and community risk and protective factors focused on occurrence of two types of abuse: severe physical assault and assault of child self-esteem.

Text Box: The listing below represents just a few of the resources available to promote knowledge, awareness and discussions on diversity in health care among ETSU students, faculty and staff.

Text Box: OCA Newsletter Index Page
OCA Home Page

Text Box: October Newsletter References
For more information or assistance contact Elaine Evans, Reference Assistant, COM Library,
evans@etsu.edu

Other Observances in October
Breast Cancer Awareness & Control Month	Dia de la Raza celebration of Hispanic Culture in the Americas, 12
Physical Therapy Month	Yom Kippur Jewish Day of Atonement, 13
Dental Hygiene Month	Pharmacy Week, 16—22
Rosh Hashana Jewish New Year 4-5	Primary Care Week, 16—22
Ramadan begins Islam, 5	Respiratory Care Week, 23—29

Children’s Health

Disparities in Early Childhood Health and Health Care– what disparities were found in a national survey of children 4—35 months of age?

Effects of a Mass Media Campaign to Increase Physical Activity Among Children: Year –1 Results of the VERB Campaign– study included specific social marketing techniques to reach Black, Hispanic/Latino, Asian, and Native American children

Child Development and Medicaid: Attitudes of Mothers with Young Children Enrolled in Medicaid—Focus groups of mothers of Medicaid enrolled children reveals cultural differences and similarities (focus groups included White, African-American and Hispanic mothers).

Health Literacy

At a Loss for Words—What can nurses and other health care providers do to help improve communication and compliance with patients having low health literacy?

“Improving Patient Safety Through Informed consent for Patients with Limited Health Literacy” describes the importance and implementation strategy for Safe Practice 10. Access this report through the website of The Commonwealth Fund.

Lung Health

African Americans and Lung Disease Fact Sheet

American Indians/ Native Alaskans and Lung Disease Fact Sheet

Asian Americans/ Pacific Islanders and Lung Disease Fact Sheet

Reducing disparities in asthma care: priorities for research– National Heart, Lung, and Blood Institute Workshop Report– Reviews factors that are potentially involved in producing disparities in asthma care, mechanisms of action for risk factors, and appropriate research designs for evaluating successful interventions.

Mental Health

Culturally Competent Systems of Care for Children’s Mental Health: Advances and Challenges— Addresses the multiple challenges minority youth face in their mental health status and access to services; summarizes qualities of culturally competent health systems.

Mental Health of Immigrants and Refugees– Reviews unique risk factors and mental health needs of recent immigrants and approaches to services and treatment.

Ethnicity and diagnostic patterns in veterans with psychoses– VA study shows ethnic disparities in diagnostic patterns

Hispanic/Latino Mental Health Week Conference

Arts, Cultural, and Health Awareness Events
Students Create Diversity Road Signs	10/3—10/6	Culp Center, Atrium
National Depression Screening	10/5 10 AM	Culp Center ARC & Student Health Center
Janet Bickel, “Growing More Women Leaders: What Can We Learn from Yesterday?”	10/5 6 PM	Sherrod Library, Room 309
Conference: Once Upon an Illness: Healing Through Stories	10/5—6	Meadowview Kingsport Admission charge
Women’s Lunch Break Series Continues: Negotiating Skills for Women	10/6 & 10/13 12noon	WRC: Panhellenic Hall, basement, Suite 2
Disability Awareness Month Kick-Off Cookout	10/7 11:30—1:30	Disability Services Patio
Dr. Jeanette South-Paul: “Your Choice Counts: Factors to Consider for a Rewarding Career “	10/13 6 PM	Culp Center Ballroom Right
Dr. Jeanette South-Paul: “Eliminating Health Disparities Whose Job is It?”	10/14 11 AM	Psychiatry Grand Rounds, Votaw Auditorium
Hip or Knee Pain—WRC Lunch Break Seminar	10/25 12 noon	Culp Center, E. Tennessee Rm.
Red Cross Blood Drive	10/25 12:30 PM	Culp Center Ballroom
Forever Plaid, Musical	9/21—9/29	Bud Frank Theatre Admission charge
Homecoming Fall Festival	10/29 10—4	ETSU campus
Homecoming Gospel Festival	10/3 3:30 PM	Culp Center Auditorium

Other Observances in October