American Indians' Family Health Concern on a Northern Plains Reservation: 'Diabetes Runs Rampant Here'.
Objectives: The objective was to identify significant family health concerns from the perspective of adult tribal members residing in a reservation setting on the Northern Plains of the United States. Findings were used to cocreate culturally appropriate strategies to address the most significant fa...
| Publicado en: | Public Health Nursing Vol. 33; no. 1; pp. 73 - 82 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan/Feb2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112360039&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112360039 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07371209 2B6 jtl: Public Health Nursing issn: 07371209 maglogo: Y pubinfo: dt: Jan/Feb2016 vid: 33 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 112360039 112360039 112360039 10.1111/phn.12225 112360039 ppf: 73 ppct: 9 formats: tig: atl: American Indians' Family Health Concern on a Northern Plains Reservation: 'Diabetes Runs Rampant Here'. aug: au: Martin, Donna Yurkovich, Eleanor Anderson, Kara affil: College of Nursing, University of Manitoba, Winnipeg Manitoba, Canada sug: subj: Native Americans North Dakota Family Health Diabetes Mellitus Human Ethnographic Research Purposive Sample Snowball Sample Audiorecording Semi-Structured Interview Focus Groups Field Studies Comorbidity Culture Interview Guides Surveys Data Analysis Software Field Notes Female Male Health Beliefs Socioeconomic Factors North Dakota Funding Source Female Male ab: Objectives: The objective was to identify significant family health concerns from the perspective of adult tribal members residing in a reservation setting on the Northern Plains of the United States. Findings were used to cocreate culturally appropriate strategies to address the most significant family health concern. Design and Sample: A focused ethnography within a participatory framework was employed. An advisory council, comprised of seven tribal members, guided the research team. A purposive sampling technique with a snowball process was used. Twenty‐one adult tribal members volunteered to participate. Measures: Face‐to‐face, audio‐recorded, semi‐structured interviews were conducted and transcribed verbatim. Other data sources included field notes of approximately 100 hours of field work, windshield surveys, and a focus group. Data were analyzed using Spradley's guidelines. Results: The significant family health concern was “diabetes runs rampant here” with inter‐related cognitive, emotional, and behavioral responses. These responses were compounded by accumulated emotional trauma from witnessing premature deaths and severe comorbidities associated with diabetes. Contextual factors shaping “diabetes runs rampant here” were identified. Conclusion: Holistic approaches are urgently needed in diabetes prevention and management programs. Implications for public health nurses are discussed and recommendations are provided for future research. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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