Nurses play a vital role in the healthcare industry. It is important to understand factors that shape their involvement and job satisfaction, leading to enhanced patient care and retention. It was not known whether there is a relationship between involvement, commitment, productivity, and job satisfaction in nurses in acute care hospital settings.…

Objective: The purpose of this study was to assess social networks among Black women and beauty salons to see whether these could be leveraged to increase the awareness, knowledge and uptake of pre-exposure prophylaxis (PrEP) in this population. Design: Qualitative descriptive design. Setting: Beauty salons in counties in North Carolina, USA, with…

An essential aspect of integrated care is the coordination of medical and behavioral health needs concurrently. This has sparked renewed emphasis on interprofessional (IP) education and practice. The impetus for IP efforts was crystalized in large part because of health care reforms, and federal funding to expand the behavioral health work force.…

We investigated agency directors' perspectives about how service goals should be prioritized for domestic violence and sexual assault service subtypes, including crisis, legal advocacy, medical advocacy, counseling, support group, and shelter services. A sample of 97 (94% response rate) North Carolina domestic violence and/or sexual assault agency…

Context: Rural patients have limited access to dermatologic care. Farmworkers have high rates of skin disease and limited access to care. Purpose: This exploratory study assessed whether teledermatology consultations could help meet the needs of health care providers for farmworkers in rural clinics. Methods: Dermatologists provided 79…

Background: Little is known about access to medicine among immigrant Latinos in the United States (US). This study explored access to, and use of, prescription drugs obtained from nonmedical sources among recently arrived, Spanish-speaking immigrant Latinos in rural North Carolina (NC). Methods: Our community-based participatory research…

Purpose: Dietary variation is important for health maintenance and disease prevention among older adults. However, oral health deficits impair ability to bite and chew foods. This study examines the association between oral health and foods avoided or modified in a multiethnic rural population of older adults. It considers implications for…

Context: Skin diseases are common occupational illnesses for migrant farmworkers. Farmworkers face many barriers in accessing health care resources. Purpose: Framed by the Health Behavior Model, the purpose of this study was to assess health care utilization for skin disease by migrant Latino farmworkers. Methods: Three hundred and four migrant…

Context: There is a growing recognition of the need to measure and report hospital financial performance. However, there exists little comparative financial indicator data specifically for critical access hospitals (CAHs). CAHs differ from other hospitals on a number of dimensions that might affect appropriate indicators of performance, including…

Context: The decision whether or not to consult a physician draws from a variety of attitudes within an individual's health schema. While rural Americans are in greater need of health care, many of them have fewer external resources than urbanites available to them. Purpose: The objective of this study was to elicit implicit and explicit attitudes…

This study sought to determine over-all growth patterns of employment in health related establishments, to project needs for 48 selected occupations through 1973, and to identify current job opportunities, training needs, and employment problems. With medical and health services growing so fast, federal agencies predict an average need of 10,000…

The study examined 7 demographic and ecological variables that influence the distribution of physicians in North Carolina: population size; percent change in population size; per capita income (population composition); "medical environment" - hospital facilities (number of hospitals and beds); physicians' proximity to a hospital center;…

Presents results of a 1982 descriptive study of female farmworkers receiving prenatal care at Tri-County Community Health Center in North Carolina. Recommends patient advocacy, minimum wage ensurance, improved housing, access to tax-supported public assistance, and social service programs to improve health status. (SA)

Latinos in the United States have been disproportionately affected by the intersecting epidemics of HIV and sexually transmitted diseases. Using a community-based participatory research approach to problem identification, the objective of this study is to explore sociocultural determinants of HIV/AIDS risk and service use among immigrant Latino…

Technological, social, economic, and political changes have increased the rapidity of changes in the pattern of living in small towns and rural areas. As a result, a large percentage of rural Americans who live at or below the poverty level are not provided adequate medical care. After realizing the shortage of physicians in North Carolina and…