This article explores the applicability of the Doctor of Nursing Practice degree from the Australian nurse practitioner (NP) perspective. NPs have been endorsed to practice in Australia for more than 13 years in many diverse roles requiring education beyond that of the current master’s level. However, there is little formal university training beyond this level. Current regulatory requirements, clinical practice settings, and the small number of NPs practicing do not provide the impetus to expand NP education requirements at this time.
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- Go to article: Financial Knowledge and Financial Fragility: A Consideration of the Neighborhood Effect
This study explores the association between financial knowledge and financial fragility. Data from the 2015 National Financial Capability Study were used to create an index of financial fragility. Relationships between this index and three different measures of financial knowledge were assessed. To mitigate potential endogeneity in the financial knowledge measures, such as neighborhood effect defined as social interactions or characteristics of communities that influence socioeconomic and health behaviors or outcomes of individuals, the neighborhood average education level in US zip code units was used as an instrumental variable. The results from the baseline Ordinary Least Squares regression models and Two Stage Least Squares (2SLS) regression models indicated a negative relationship between financial knowledge and financial fragility; the effect was greater when the instrumental variable was used. Our findings with the neighborhood effect suggest which groups could be a focus for future research as well as offering practical interventions. Further, when designing and implementing educational and behavioral interventions, the knowledge-based approach should gain continued support from financial education, planning, and counseling programs.
- Go to article: Employer Practices in Improving Employment Outcomes for People With Disabilities: A Transdisciplinary and Employer-Inclusive Research Approach
Employer Practices in Improving Employment Outcomes for People With Disabilities: A Transdisciplinary and Employer-Inclusive Research Approach
Objective: Share new knowledge about workplace practices related to employer success in hiring, retaining, and promoting people with disabilities, and promote use of findings to employers and service providers.
Design: A transdisciplinary and multifaceted data gathering approach.
Results: Provides an overview of the research approach taken and the strengths regarding this approach.
Conclusions: The significance of findings for rehabilitation researchers and policy makers focused on improving employment outcomes for people with disabilities, for rehabilitation counselor educators preparing future service providers, and for practicing professionals providing services to individuals with disabilities and consultation to employers regarding disability issues, are presented.
In this chapter, we review of the field of gerontological genetics with respect to subjective and objective health, the role of stress on health, and finally frailty and longevity. For most indices of subjective and objective health, frailty, and longevity, genetic influences contribute only modestly to individual differences, wherein heritabilities are typically on the order of 35%–40%. Notable exceptions are the moderate to strong heritabilities for lipid measures and brain structure and function, with a remarkably increasing role of genetic influences for longevity with advancing age. Although candidate gene and genome-wide association studies (GWAS) studies have identified gene variants associated with many subjective and objective health traits, their effect sizes are typically relatively small, as expected for complex traits. There is some evidence for gene–environment interactions, and stress may be an important moderator of genetic variance for health. For example, carrying a risk genotype for cardiovascular disease (CVD) in the angiotensin converting enzyme gene (
- Go to article: Maternal Obesity and Breastfeeding A Review of the Evidence and Implications for Practice
A myriad of factors influence the sub-optimal breastfeeding rates in the U.S. Among these factors is maternal obesity (BMI > 30 kg/m2), which has been found to negatively impact breastfeeding initiation and duration for some women. Obesity increases women’s risk for various complications throughout the perinatal period, which may impact breastfeeding and the long-term health and well-being of women and their children. However, adequate lactation support that upholds a respectful consciousness regarding the potential breastfeeding challenges of women with obesity can assist these women to successfully meet their breastfeeding goals. This review summarizes the literature on the impact of maternal BMI on breastfeeding duration, and maternal and infant risk factors that may complicate lactation for women with obesity. Recommendations for assessing and supporting the needs of mothers with obesity to best achieve their breastfeeding goals are provided.Source:
- Go to article: Changing Negative Views of Aging: Implications for Intervention and Translational Research
In most Western societies, the perception of age and aging is predominantly negative, and this negativity is often integrated into older adults' self-view of age(ing). At the societal level, negative views of aging manifest themselves in the form of age stereotypes, which result in prejudice and discrimination toward older adults. At the personal level, negative views of one's own aging are related, among others, to poor health, lower well-being, and even shorter survival times. Considering these negative effects, interventions that promote positive views of aging seem warranted. This chapter discusses potential routes for changing negative (self-)views of aging and the challenges that are inherent to such efforts, such as determining and reaching the target groups for intervention programs. Strategies such as increasing the knowledge about old age, providing opportunities for children or younger adults to interact with older adults, as well as changing the portrayal of older adults in the media might be used to change societal views of aging. Because it is assumed that for some older adults age stereotypes become self-stereotypes, changing the societal view of aging might eventually also lead to a positive change in older adults' view of their own aging, and it might minimize the burden of belonging to a stigmatized group. Few strategies for changing personal views of aging (e.g., social comparison feedback) have been shown to be successful so far. Overall, more research is necessary to develop interventions which are easy to implement and universally effective.
- Go to article: Doctor of Nursing Practice Practice Improvement Project: A Simulation-Based Emergency Preparedness Program in Immediate Care
Doctor of Nursing Practice Practice Improvement Project: A Simulation-Based Emergency Preparedness Program in Immediate Care
This practice improvement project was aimed at implementing a simulation-based education program at an immediate care clinic to better prepare staff for emergency situations and to determine whether simulation-based training could positively impact the confidence of participating staff members. Six staff members participated in a 2-phase program. The first phase included an educational component with practice mock code scenarios, whereas the second phase consisted of a spontaneous mock code drill 2 weeks later. Results revealed significant differences in participants’ overall reported comfort and confidence levels (percentages) in performing during a medical emergency pre- and postprogram. In addition, when individual skills were evaluated, there was a significant increase in participants’ comfort in initiating cardiopulmonary resuscitation (CPR), confidence in performing bag-to-mouth ventilation, and confidence in following basic life support guidelines during emergency situations. Findings suggest that a simulation-based learning program in immediate care can enhance the confidence of staff members in responding to emergent situations.Source:
After losing an infant, grieving mothers may still have to cope with postpartum issues, including lactation. This article reviews and addresses care options for lactation concerns after pregnancy, neonatal, or infant loss. Currently, lactation care and advice after loss varies greatly. Lactation consultants are instrumental in providing mothers with anticipatory guidance and evidence-based care. Implementing system-wide training and education regarding this topic will help families receive the information they need to deal with the physiological aftermath of infant loss.Source:
Given the soaring costs of higher education, financial aid is helpful to reduce the direct costs of college. Student loans are the most common financial support for college students. The purpose of this research was to estimate whether student loan holding and amounts were negatively associated with life satisfaction utilizing 2011, 2013, 2015, 2017, and 2019 waves of the Panel Study of Income Dynamics. This study utilized the fixed-effects-logit model to demonstrate the association. The results showed that holding student loans was negatively associated with life satisfaction. But there was no statistically significant association when student loans were measured as the actual amount. The existence of student loans rather than the amount was what was associated with decreased utility in the short term. This study mainly focused on the change of “within-group” effect on life satisfaction in the short run. The findings underscore the importance of education savings from parents and use of student loans on overall life satisfaction practitioners.
Financial self-efficacy is associated with positive financial behaviors. This study investigated factors associated with financial self-efficacy among student loan borrowers based on original data collected through an online national survey of student loan borrowers between age 25 and 75. Results revealed that perceived student loan literacy prior to accruing higher education debt was significantly associated with current financial self-efficacy, while general financial literacy during repayment did not appear to be correlated with financial self-efficacy. This study draws on social cognitive theory to suggest that student loan literacy prior to accruing debt may act as a mastery experience, improving financial self-efficacy when the repayment period arrives. Given the increasing prevalence of student loans across all generations, this study underscores the need for early education and mentoring from financial professionals about student loan borrowing.