Chronic diseases such as diabetes, cardiovascular disease, cancer, and depression exist in 45% of the U.S. population and are responsible for 70% of the deaths and 75% of the $2 trillion in annual medical expenditures. Healthy eating, being physically active, managing stress, and avoiding tobacco have well-documented relationships to improved health and well-being, and chronic disease prevention.Integrative healthcare, a holistic approach to care that is patient-centered, personalized, and focused on health and well-being, incorporates conventional and complementary and alternative medicine (CAM). Integrative healthcare has the potential to provide high quality care that prevents illness and promotes optimal wellness, resulting in decreased health care costs and a healthier nation. Although integrative healthcare is increasing in popularity, few integrative healthcare programs have been studied and relatively little is known about the processes, outcomes, feasibility, efficacy, effectiveness, or sustainability of these programs.The purpose of this project was to evaluate selected organizational processes and patient outcomes of an integrative health care program. The three specific aims of the project were to analyze the program theory through the development and evaluation of the program logic model, to evaluate selected organizational processes, and to examine selected client outcomes, including satisfaction.This inquiry used the CDC Framework for Program Evaluation as a guide. The study employed a descriptive design with both qualitative and quantitative methods, including key informant interviews with program staff and a client focus group. De-identified data on pre and post measurements of client Wellness Inventory scores, weight, BMI, and advanced cardiac panels, and post program surveys obtained from the program director were analyzed using descriptive statistics and the paired t test or the Wilcoxon signed-rank test.The evaluation of an existing integrative healthcare program provides potentially useful information to the stakeholders of the program and a valuable referral resource for other providers in the community. Dissemination of the information may also be used as a model and an inspiration for other advanced practice nurses to develop innovative practice models that support holistic, wellness-focused care.

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<p>Assessing and understanding the health needs and abilities of university and college students is vital in creating healthy campus communities. Student learning is a central part of the higher education academic mission, and health promotion serves this mission by supporting students and creating healthy learning environments. Findings from various studies suggest that students entering the university setting put themselves at risk through unhealthy behaviours. Health science students are the future health professionals who will teach health promotion and disease prevention. The aim of this study was to determine and analyse health risk behaviours and health promoting behaviours among health science students at the University of the Western Cape. The study further aimed to identify the factors influencing these students' engagement in these risk behaviours.</p>

Background: Patients with diagnosis of schizophrenia experienced a reduced life expectancy of up to 25 years as compared to people in general. Health promotion interventions concern behavior affecting interventions intended to improve the living habits of patients with diagnosis of schizophrenia. In this work, the psychiatric nurse had an important role in taking into consideration the resources of the patient. The literature indicated a difference between men and women what regarded nursing. Aim: To investigate health promotion interventions between genders for patients with diagnosis of schizophrenia. In addition, to identify predicting factors for the achievement of health promotion interventions. Method: The study design was retrospective cross-sectional. Data registered 2014 and 2015 in the national quality registry for psychosis care were analyzed statistically. The sample had a size of 5554 individuals. Results: Logistic regression analysis indicated that to be a man, have systolic hypertension and lack occupation were statistically significant variables that together affected whether or not patients had received health promotion interventions during the last twelve months, chi-squared test indicated no difference between men and women. However, chisquared test indicated that to be below 55 years of age, to have high school education and occupation were predicting factors for health promotion interventions. Conclusion: Being a man seemed to predict health promotion interventions, however systolic hypertension and lack of occupation were predicting factors together with being a man. Gender specific advice could be of help to the psychiatric nurse in the initial valuation of the needs of the patient.

The purpose of this study was to explore the need for school nurses in the Saudi school system and to explore the current role of nurses in school health education and health promotion in Saudi Arabia. The study used a qualitative approach that was guided by implementation literature. Fifteen participants (8 nursing students; 4 nursing faculty members; 3 nurses) answered open-ended questions and participated in semi-structured interviews. From the findings, three themes emerged to identify the current role of nurses in Saudi Arabian school: “Health educator”, “Health promoter”, and “Liaison with community”. Four themes were identified based on the potential role of nurses in Saudi Arabian schools: “Leadership role”, “Care provider role”, “Educator role”, and “Liaison with community”. Five themes were identified based on facilitators and barriers to providing health and physical education in Saudi schools: “University and college level support”, “School health services”, “Governmental support”, “Lack of cultural approval”, and “Demand for nurses exceeds supply”. This study contributes to our understanding of what are the current and potential roles of nurses in Saudi Arabian schools, are nursing students currently prepared to provide health education and promotion to school staff and students, and what facilitators and barriers exist for nursing to provide health education and promotion in Saudi schools. This information can contribute to decision-making processes, formulation of necessary legislation, and government measures towards the implementation of school nursing and physical education, particularly in girls’ schools in Saudi Arabia, so as to maximize health and wellness in the Saudi community. / Graduate / 0680,0523,0714 / hebah.alqallaf@gmail.com

Youth health promotion activities should reflect the concerns and interests of the youth being served. A quantitative exploration of youth concern related to health risk behaviour (HRB) engagement was conducted among youth in Winnipeg, MB. This study involved descriptive and inferential analysis of HRB engagement and attitude data from a cross-sectional survey of 250 youth (14–24 years). Chi-squared tests, Fisher’s exact tests, logistic regression and cluster analyses were employed to explore relationships between sociodemographic traits, HRB engagement, and HRB-specific concern. Findings demonstrated that A) youth in Winnipeg, regardless of their sociodemographic characteristics, do express concern about HRBs that they engage in; B) the likelihood of concern varies depending on what HRB one is examining; and C) while youth display similar trends in their concern about HRBs, different groups of youth, characterized by different patterns of engagement and sociodemographic traits vary in their likelihood of being concerned about particular HRBs. / October 2016

Faith communities are often used as used as sites for health promotion research and the leaders of those faith communities play an important role in successful campus/faith community partnerships. This study examined (a) faith leaders’ definitions of health, (b) ways in which faith leaders envision campus/faith community partnerships to be structured, and (c) faith leaders’ perceptions of the roles that faith leaders may assume in such partnerships. Grounded theory methodology was used. In depth interviews were conducted with ten clergy members. The findings revealed that clergy embraced a holistic definition of health. They expressed a desire to participate in studies that resulted in improved health and contributed to improved relationships with the university. The clergy’s perceived roles in research that emerged from this study were (a) provide approval, (b) recruit participants, (c) identify volunteers, (d) lend influence, (e) keep information flowing, (f) serve as spiritual teacher/educator, and (g) provide input on the study design. A theory of the process of negotiating clergy roles emerged from the data. This theory suggests that the process of negotiating clergy roles is a fluid and iterative process that occurs at several phases of the research process from entertaining a proposal to participate in research through conducting the study. Implications for researchers include (a) investing time to develop relationships with faith communities, (b) identifying the importance of a holistic definition of health, (c) maintaining flexibility regarding the roles clergy may assume, and (d) identifying links between study objectives and the mission of the congregation.