to view the program - Society for Public Health Education

quantitative research methods, were used to engage village women
as partners in a pilot study of reproductive health concerns. In phase
1, seventy village women participated in guided group interviews to
discuss reproductive health. Innovative methods were used in these
group interviews to allow English-speaking qualitative researchers
and trained interpreters to co-lead discussions. Data triangulation
included data from session recordings, hand-written notes of trained
recorders, and summarized group responses written on large tablets in
both languages during group discussions. “Erosion of the womb” was
described by participants as inflamed cervical growths that resulted in
mucus discharge, burning, itching, bleeding, leg stiffness, and intense
pain. Intense agrarian labor in an excessively cold climate and a high
frequency of inadequately-performed abortions were named as causes.
In phase 2, sixty-six women participated in individual structured
interviews to report details about family planning and pre-/post-natal
care among village women. Over 88% stated that village women begin
having babies at 13-18 years of age, and 41% indicated family planning
was not commonly practiced. Though 86% said women often see a
doctor while pregnant, only 30% indicated this happens during the
first trimester. Approximately 45% said women take their babies back
for check-ups and only 7% said women obtain personal check-ups
after the birth. Over 90% said abortions were common for unwanted
pregnancies and 82% stated women generally have abortions every
1-2 years. Though most abortions and births were reportedly hospitalassisted,
77% knew a woman who had experienced abortion-related
complications. Fifty-six percent believed village women did not know
enough about their bodies and 86% believed knowing more would
change lives and improve women’s health. Study outcomes were used
to develop a training program to equip six volunteer village women
to become community health workers. Innovative approaches to the
5-week leadership training program will be reported. Implications for
addressing women’s health issues in similar underserved populations in
the U.S. and around the globe will be discussed.
22. Impact of Nursing Education on Understanding of Risk
Evaluation Mitigation Strategies
Nancy Rayhorn, BSN, CGRN, Medical Affairs, Centocor Ortho
Biotech Services, LLC; Toni Mefford, RN, MS, Centocor Ortho
Biotech Services, LLC ; Susan Risley, BSN, MAOM, ETN, Medical
Affairs, Centocor Ortho Biotech Services, LLC; Maggie Smith, MSN/
Ed RN, OCN, Medical Affairs, Centocor Ortho Biotech Services,
LLC ; Heide Fuchs-Crosby, H ND, Medical Affairs, Centocor Ortho
Biotech Services, LLC
Background/Theoretical basis: Risk Evaluation and Mitigation
Strategies (REMS) are used to manage a known or potential serious
risk associated with a drug or biological product. The United States
Food and Drug Administration (FDA) may mandate a REMS, if
deemed necessary, to ensure that the benefits of a drug or biological
product outweigh the risks. REMS include patient education components.
Nurses may encounter drugs or biologics that are part of a
REMS program, necessitating awareness of these programs. Objective:
To evaluate nurses’ understanding of REMS and adverse event (AE)
reporting before and after presentation of an education program.
Interventions: The Nursing Council of Centocor Ortho Biotech
developed an educational program consisting of a basic outline of
REMS, patient education resources, and AE reporting. Twenty-five
nursing professionals completed the training. A pre-and post-knowledge
assessment was completed using the ZOOMERANG® on-line
survey tool. Evaluation Measures: To date, 25 nurses from 5 specialty
areas participated. The pre-training questionnaire revealed a lack of
exposure to REMS and AE reporting. The post-training questionnaire
demonstrated efficacy of the education and potential for impact
on nursing practice. The results of an additional analysis comparing
registered nurses and nurse practitioners’ understanding of REMS
and AE reporting will be presented. Results: REMS are crucial to
many drug approvals and ongoing safety monitoring. REMS training
directed toward nurses may result in improvements in patient care and
education.
23. Using Cultural Competence to Eliminate Health and
Healthcare Disparities in African Americans
Nakeitra Hill, B.S, M.S, CHES, Community Based Health
Disparities, Dr. Mark Colomb, PhD, CRA, My Brother’s Keeper, Inc;
Angela Johnson, BS, MPPA, Community Based Health Disparities
Background: In the wake of major healthcare reform, significant
health and healthcare disparities still exist among African Americans
in the United States. African Americans are disproportionately
affected by chronic diseases such as Cardiovascular Disease, Obesity,
Cancer and Stroke than White Americans. Educating health care
workers on how culture impacts the way African Americans seek and
receive healthcare services is imperative in eliminating health and
healthcare disparities. By providing cultural competency training to
healthcare providers, the healthcare system will be able to respond
to the health needs of African Americans as related to prevention of
chronic diseases and effectively provide care. Methods: The African
American Cultural Competence to Eliminate Health Disparities
training is a one-day skills building course designed to provide
community health workers with the necessary knowledge and skills
needed to work in cross cultural situations and to use the knowledge
of the health related beliefs and practices of African American
clients to improve the quality of services they provide related to
chronic diseases. The cultural competence continuum was utilized
as a developmental process for gaining cultural and linguistic competence.
Healthcare workers were presented the opportunity to gain
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SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting