PRE-CONFERENCE
Tuesday – August 6
8:30a–10:30a
What You Need to Know: The Basics of Grantsmanship and HRSA Division of Nursing Grant
Funding
HRSA Training:
 The Art of Writing Grants
 An Overview of the HRSA Grant Process
SPEAKER:
Alexis D. Bakos, PhD, MPH, RN
ABSTRACT:
The mission of HRSA’s Bureau of Health Professions is to increase the population’s access to health care by
providing national leadership in the development, distribution, and retention of a diverse and culturally
competent health workforce that can adapt to the population’s changing health care needs; and provide the
highest quality of care for all. HRSA’s Division of Nursing attempts to achieve this goal is by improving
access to health care services for people who are uninsured, isolated, or medically vulnerable; and by
increasing diversity in nursing by developing the workforce pipeline. The coming fiscal year will find the
Division of Nursing charting a new course for the future nursing workforce that encompasses team-based
models of care based on inter-professional training, increasing diversity to address health disparities, and
conducting evaluations that assess performance in order to innovate and adapt existing programs to meet
the health care needs of the coming decade. This presentation will highlight these areas as well as provide
helpful tips for writing competitive grant applications and securing HRSA funding.
Tuesday – August 6
10:45a–11:45a
Nurses and AARP Working Together to Inform the Hispanic Communities of the Affordable Care Act
SPEAKER: Winifred V. Quinn, PhD
ABSTRACT:
This session will inform the NAHN audience about an ACA, and encourage people to register for health
insurance through the Health Insurance Marketplace, i.e. "Exchanges," or other avenues of health insurance
available through the ACA. An AZ Association of Hispanic Nurses and AARP AZ are implementing a train the
trainer model. In this model, the nursing leader and the AARP representative, train Hispanic/Latino nurses
about the benefits of the ACA for the Hispanic Population. The two leaders also instruct the nurses in public
speaking, and how to identify speaking opportunities in their communities. The nurses are provided with ACA
information products that are provided by AARP, in both Spanish and English. The nurses then inform their
communities about the ACA with the training provided to them and the available products.
Tuesday – August 6
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12:45a – 1:45p
AHA Spotlight Series: Racial and Ethnic Disparities in Hypertension; Beginning the Conversation
SPEAKER: Patricia Lane, MBA, BSN, RN
ABSTRACT: African Americans are significantly more likely than whites to be diagnosed with hypertension,
yet are significantly less likely to achieve blood pressure goals despite equal or even higher levels of
treatment. Medication adherence, economic issues, patient/physician communication, and differences in
anti-hypertensive efficacy in blacks all contribute to the disparities. It is crucial that clinicians identify
opportunities for improvement in the management of hypertension in their African-American patients, and
integrate those opportunities into their practices.
Tuesday – August 6
2:00p – 3:00p
Area Health Education Centers (AHECs): A Nurturing Environment for our Future Nurses
SPEAKER: Mary J. Mitchell, MPA
ABSTRACT:
This presentation will introduce participants to the National AHEC Organization, its network of programs, and
centers. It will provide an overview and background including structure and history. Participants will learn
about strengths of the AHEC network in program development and delivery to increase diversity and
distribution in the health professions, as well as identify, cultivate, and nurture future nurses and other health
professionals. Examples of interdisciplinary learning for nursing students will also be discussed.
Tuesday – August 6
3:15p – 5:15p
Improving the Health of Latino Communities through the Affordable Care Act
SPEAKER: J. Nadine Gracia, MD, MSCE
Alvarez, Mayra, MHS
Heinz, Matthew G., MD
Choi, Juliet, JD
ABSTRACT:
This session will feature federal officials from the U.S. Department of Health and Human Services and will
focus on Affordable Care Act (ACA) implementation, which is critical to achieving health equity for Latino
communities. Discussion topics will include expanding coverage and access to care through the Health
Insurance Marketplace, and ensuring cultural competency and language access in health care delivery
through the enhanced National Standards for Culturally and Linguistically Appropriate Services in Health and
Health Care (CLAS Standards).
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KEYNOTE SESSIONS
Wednesday – August 7
9:30a –10:30a
TITLE: Healthcare: The New Normal
SPEAKERS:
Henry Cruz
ABSTRACT:
Healthcare: The New Normal is an overview of key trends which are reshaping the world of healthcare: The
Patient, Global Marketplace, Constant Connectivity, Constrained Resources, Increased Consolidation, Data Mine,
and Consumer Dissatisfaction.
How does this affect YOU - the NURSE!
How can YOU Prepare for the change?
How do YOU get ahead?
Thursday – August 8
10:15a – 11:15a
TITLE: Current and Future of Health Care: Role of Hispanic Nurses
SPEAKERS:
Judith Aponte, DNSc, RN, CCM, CDE, APHN-BC
ABSTRACT:
The presentation will provide a brief overview of the Institute of Medicine (IOM) 2010 The Future of Nursing:
Leading Change, Advancing Health and Patient Protection and Affordable Care Act (PPACA). It will discuss
and highlight the role Hispanic nurses must take to: a) implement the key recommendations of the IOM
report; b) address and reduce the workforce challenges which may be encountered by the PPACA; and c)
meet the current and future needs of the Hispanic population. Strategies for ways to minimize such
challenges will also be discussed.
Friday– August 9
11:00a – 12:00p
TITLE: Shaping the Future of Hispanics in the U.S.
SPEAKERS:
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Patti Solis Doyle
ABSTRACT:
Patti Solis Doyle, democratic strategist, advisor to the Obama/Biden 2012 and 2008 campaigns; campaign
manager, Hillary Clinton 2008–has served on some of the most significant political campaigns in recent
history, including Bill Clinton's improbable victory in 1992; and Hillary Clinton's unprecedented bid for the
Senate as a sitting First Lady, to the 2008 Democratic primary and Barack Obama's historic election. Solis
Doyle looks at the rise of women and minorities in politics over the past 25 years—as staffers, candidates,
and constituencies–and what it means for women in other professions, like nursing, and our society, in
general.
Much of her discussion is based on Solis Doyle's own experience during the demographic shift. Growing up
on the south side of Chicago in a traditional Mexican family, Solis Doyle rose from scholarship student to
rookie operative, anxious to be "one of the boys," to a senior White House official helping manage Hillary
Clinton's largely female political operation. Solis Doyle examines factors that have accelerated the rise of
women and Hispanics as political powers, from the mentorship of elders to social media and technology; and
encourages the participants to use lessons she has learned along the way to continue breaking glass
ceilings and leading in their own professions.
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MENTORSHIP ACADEMY
Friday– August 9
8:00a – 8:30a
TITLE: Mentorship Program
SPEAKER:
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Vivian Torres-Suarez, MBA, BSN, RN
MUEVETE SESSION
Friday– August 9
8:30a – 9:10a
TITLE: Muevete USA 2012 Findings
SPEAKERS:
Paloma Garza, RN, MPH, FNP-C
Paulette Lizarraga
Angie Millan, RN, MSN, FAAN
ABSTRACT:
The National Association of Hispanic Nurses (NAHN) Muevete USA™ Project is a bilingual educational
program developed to reduce childhood and adolescent obesity in NAHN local chapters throughout the
United States by focusing on strategies that lead to healthy living. Muevete USA™ was inspired by First
Lady Michelle Obama's Let's Move campaign. This project has been funded for the past three years by the
Coca-Cola Foundation.
The project uses a Train-the-Trainer approach and features five lesson plans covering USDA My Plate, the
importance of exercise, how to read food Labels, choosing healthy snack options, and the lifestyle changes
needed to improve self-esteem, body-image, and empower the participants. In addition, each of the lessons
plans had a pre- and post-test that are completed by each child and parent/care giver participating in the
program.
This project has facilitated NAHN’s mission of improving the health condition of our community, to make a
difference on a problem that disproportionately affects Hispanic children and other underserved populations.
Because our members are predominantly Hispanic and many serve this community, they are sensitive to its
needs and challenges.
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PLENARY SESSIONS
Thursday– August 8
11:15a–12:15p
TITLE: United Healthcare Bilingual Mobile Health Information Center: Serving the Hispanic
Community at Home, At Work, and on the Go
SPEAKERS:
Jaime G. Gonzalez, DrPH, MSSW, MSHA
ABSTRACT:
According to a recent study by the Pew Hispanic Center (2013), Latinos own smartphones, frequently access
the internet through the use of mobile devices; and use social networking sites at rates similar to, and
sometimes even higher than, other groups of individuals. Because Hispanics are early adopters of mobile
technology and lead the charge in the use of mobile phones and smartphones, these digital technologies
have become one of their preferred means when seeking medical and/or health-related information on the
internet. Digital strategies, such as the use of mobile devices, to increase Hispanics’ access to health
information on the web are essential to assisting them to become empowered and educated healthcare
consumers, which may lead to better health outcomes and help them to cultivate healthier lifestyles.
UnitedHealthcare Latino Health Solutions developed a Bilingual Mobile Health Information Center in an effort
to provide the Hispanic/Latino community and associated healthcare professionals, who treat and care for
them, access to a variety of culturally relevant and bilingual (English/Spanish) health and wellness
information; and an assortment of easy-to-use tools and resources accessible while at home, at work, and on
the go any time of the day. Our mobile site has more than 400-pages of health resources, including healthy
recipes, a health care glossary, podcasts, and a direct-dial function that leads callers to our dedicated
Spanish-language Customer Care Team. The aim of this talk is to educate NAHN members about these new
capabilities in an effort to support their adoption for use in those populations that we mutually serve in order
to enhance the cultural sensitivity of healthcare. As the U.S. Hispanic population continues becoming a
larger component of the U.S. population overall, it is imperative that health insurers and health and wellness
organizations develop innovative technologies to reach this group of individuals in a culturally-relevant and
linguistically-appropriate means. The use of mobile devices and smartphones is one such approach that is
preferred by Hispanics and one that will provide them and their families with a variety of tools and resources
to positively support their well-being and help them to live healthier lives.
***
Friday – August 9
9:10a–9:50a
TITLE: Health Care Policy Upfront: Looking Ahead to Implementation of Health Insurance
Marketplaces and Protection of Medicaid Benefits
SPEAKER: Melissa Bishop-Murphy, JD, MBA, Senior Director, National Government Relations &
Multicultural Affairs, Pfizer, Inc.
ABSTRACT
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This session will provide an updated look at the latest developments in the implementation of Health
Insurance Marketplaces (Health Exchanges) across the States, and how current Medicaid benefits will be
affected.
***
Friday – August 9
10:00a–11:00a
TITLE: The Power of Social Media: Educating on Policy, Empowering Your Voice, Engaging
Individuals
SPEAKER: Amy O’Connor
ABSTRACT:
All around us, social media is changing the means through which we communicate and interact. The power
of social media has enabled a growing conversation among patients, HCPs, industry, business owners and
policymakers. Now, more than ever, we have an opportunity to collaborate and shape a dialogue, amplifying
a powerful, unified voice that can impact public policy and patient care.
This session will explore how companies and organizations can leverage digital tools to engage in advocacy
in conjunction with and beyond traditional methods. We will discuss how the use of social media can lead to
cross-sector collaboration, the creation of grassroots coalitions, and the successful shaping of health policy
outcomes.
Share insights, ask questions and learn how to transform and complement the work of your traditional
advocacy partners through digital engagement.
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PODIUM SESSIONS
Wednesday, August 7
3:00p–4:00p
TITLE: Perceived Threat of a Myocardial Infarction Among Mexican Americans with Cardiovascular
Disease Risk
SPEAKER:
Elizabeth Florez, PhD(c), MS, RN
ABSTRACT
AIM: Compared to the general population, cardiovascular disease (CVD) events, such as myocardial
infarction (MI) are greater in Mexican-Americans due to high prevalence of being overweight, hypertension
(HTN), hyperlipidemia, and diabetes. The purpose of this study was to explore how Mexican Americans with
CVD risk factors perceive their own MI risk. Also investigated were knowledge of MI symptoms and likelihood
of seeking immediate treatment.
METHODS: A qualitative descriptive design was utilized using a convenient Mexican American sample
(n=19). Subjects were interviewed using a semi-structured interview guide. CVD event risk scores were
calculated from medical record data. Directed content analysis was used to identify patterns and themes.
RESULTS: All subjects were at moderate-to-high risk for a 5-year CVD event with the majority having a
20-30% or greater risk. Overweight/obesity prevalence was the greatest (90%), with lower HTN (68%),
hyperlipidemia (63%), and diabetes (53%) prevalence. Fifty-three percent of participants identified chest pain
or discomfort as a MI symptom; however, 21% did not know what MI symptoms were. Although 26% of
participants had never thought about their MI risk, ten participants thought they would have a MI in their
lifetime. Most of those participants that perceived they were at risk for a MI stated they would have a MI
because of their risk factors like HTN and family history, while others stated they would have a MI if they did
not take care of themselves by changing their diet, going to the doctor, or taking their medication. Despite the
fact that all of the participants were at moderate-to-high risk of a 5-year CVD event, 12 participants said their
healthcare provider had not told them about their risk. Overall, the majority of participants recognized the
importance of seeking medical assistance for MI symptoms regardless of perceived MI threat; however, 58%
did not identify calling 911 as their first action for suspected MI symptoms.
CONCLUSIONS: These findings suggest that Mexican Americans with CVD risk factors require additional
information about MI symptoms, risk factors, and actions required when experiencing MI symptoms.
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Wednesday, August 7
3:00p–4:00p
TITLE: Senoritas and Salsa: Development of a Campus-Based HIV Prevention Education Program
for College Students
SPEAKERS: Sandra Gracia Jones, PhD, ARNP, ACRN, ACNS-BC, FAAN
ABSTRACT:
The purpose of this presentation is to describe the development and implementation of a campus-based HIV
Prevention Education Program at a Hispanic-serving institution (HIS) of higher education. The FIU Nursing
HIV Prevention Education Project (HIV PEP) at Florida International University, Miami, is funded by the office
of HIV/AIDS and Infectious Disease Policy (OHAIDP), DHHS, through the Minority-Serving Institutions’
Initiative). The MSI Initiative was created by OHAIDP as a new strategy to increase HIV prevention activities
for minority youth ages 18-25. FIU, which is the 7th largest U.S. public university by enrollment; and is #1 in
the U.S. for awarding bachelor’s and master’s degrees to Hispanic students, was the HIS selected by
OHAIDP for the MSI Initiative. FIU’s HIV PEP is comprised of two components: SENORITAS and SALSA.
SENORITAS (Student Education Needed in Order to Reduce Infection and Transmission of AIDS and STDs)
is a 3-hour class that focuses on HIV prevention for minority college-age women. SALSA (Student
Awareness of the Link between Substance Abuse and AIDS) is a campus outreach HIV awareness program
that focuses on HIV education, awareness, and access to HIV testing. SALSA works in collaboration with
University Health Services, which is the project’s campus partner. SALSA is led by undergraduate BSN
nursing students who serve as student peer educators (SPEs). The SPEs attend a 2-day training workshop
for certification as BACCHUS Collegiate Peer Educators. The certified SPEs are then responsible for
teaching the SALSA curriculum as a one-hour class in FIU’s mandatory 1-credit Freshman Experience
course. The nursing SPEs also hold campus-based HIV awareness events. The initial SALSA event was the
“Paella Street Party” held October 2010 in observance of National Latino HIV/AIDS Awareness Day. From
2010-2012, HIV PEP has brought HIV education and awareness to over 2,500 students at FIU. Additionally,
more students in the past two years have obtained a HIV test than in the previous two-year period. FIU
Nursing’s HIV PEP is making a difference by using creative strategies to engage college students in HIV
prevention and testing.
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Wednesday, August 7
3:00p–4:00p
TITLE: The Chicago Bilingual Nurse Consortium (CNBC): Bringing a Vision to Life
SPEAKERS: Susana Gonzalez, MSN, RN-C
Mary M. Lebold, EdD, RN
ABSTRACT:
Hispanic nurses, who immigrate to America, often find themselves unemployed or in low-level jobs and
prevented from capitalizing on their professional nursing experience and expertise. IEN are an untapped
resource of bilingual, bicultural professionals. In 1986, several Chicago educational and health care
organizations developed a program to assist nurses educated in Mexico and South America to become
relicensed in the U.S. This program provided a vision for its current existence. In 2002, a more
comprehensive program (The Mexican Nurse Initiative) was initiated, and has evolved into the Chicago
Bilingual Nurse Consortium (CBNC), a model program serving all immigrant nurses. This program aids
international educated nurses (IENs) to become licensed Registered Nurses (RNs) and their integration into
the American nursing workforce. This presentation will describe the outcomes of CBNC’s work over the last
10 years. The majority of the nurses are Latino from Mexico, Central, and South America. The program
provides: 1) An individualized Case Management approach that includes orientation to the requirements for
licensure in Illinois for IEN’s, advising, and assistance in validating credentials; 2) Referrals to appropriate
ESL and specialty nursing courses; 3) NCLEX review, ESL specific to nursing and nursing practice courses;
4) Assistance with pre-licensure and post-licensure employment. Eighty-eight (88%) or more of CBNC’s
candidates who take the NCLEX-RN exam, pass and attain licensure, a rate far higher than IENs who take
the test on their own (below 55%). An average of 10 to 12 candidates complete the process per year, having
spent from 12 to 36 months or more since starting the program. CBNC works to change or clarify licensing
policies and procedures as well as coordinate resources, efforts, and assistance of all immigrant IENs
regardless of time in the U.S. or language ability as they face many social, legal, economic, and justice
challenges in completing the licensure process. Our goal is for each nurse to resume her or his practice as a
RN if they are qualified to do so. This process requires intense coaching and follow-up accompanied by the
message “You can do this and we are here to help you.”
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Wednesday, August 7
4:15p–5:15p
TITLE: Alzheimer’s Awareness
SPEAKERS: Margaret Avila, PhD, MSN, MS, RN/NP, PHN
Knesha Rose
Mary Theresa Vasquez, RN
ABSTRACT:
The National Alzheimer’s Association reports there are currently 5.4 million people in our population with
Alzheimer’s Disease (AD). In 2025, the prediction is over 7.1 million; and, in 2050, prediction is over 16
million with “Hispanics proportionately more likely to have AD” … and “Awareness is our hope.” Additionally,
the 2013 report cites in-depth information on the financial and caregiving aspects of AD. Other studies in
2004, 2007, 2012 and 2013 report, “Hispanic rates could increase over six-fold due to the increase of
diabetes, cardiovascular disease, missed diagnosis, socio-economic characteristics, inadequate health care,
and rapid growth of elderly Hispanic population. Hispanics account for over 12% of the U.S. population with
16% over the age of 65.
In January 4, 2011, President Obama signed into law that the Department of Human Health Services was to
establish a National Plan to deal with this national epidemic. In 2012, a National Plan (NAPA) was drafted:
(1) Prevent and effectively treat Alzheimer’s Disease by 2025, (2) Optimize care quality and efficiently,
(3) Expand support for people with Alzheimer’s and their families, (4) Enhance Public Awareness and
Engagement, and (5) Track Progress and Drive Improvement.
This is a historical time for NAHN to answer the “call” of NAPA to implement and contribute to this National
Plan.
Towards this application of a Hispanic Alzheimer’s Awareness Project, it is proposed:
1. Formation of a panel of experts to discuss the PROGRESS of NAPA.
2. Additionally, other speakers to enhance the #4 goal: “Enhance Public Awareness and Engagement.”
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Wednesday, August 7
4:15p–5:15p
TITLE: Partnerships Making an Impact Within Our Latino Communities: Illinois Hispanic Nurses
Association and the American Heart Association
SPEAKERS: Elizabeth Florez, PhD(c), MS, RN
Fil Mendez Guipoco, MA
ABSTRACT:
INTRODUCTION: Cardiovascular disease (CVD) is the number one cause of death of Latinos in the U.S.
The Illinois Hispanic Nurses Association (IHNA) and the American Heart Association (AHA) of Chicago
partnered in an effort to impact CVD awareness in the Latino community. This partnership drew upon the
strengths of each organization to reach the mutual goal of improving cardiovascular health in this community.
METHODS: A critical analysis of the IHNA and AHA partnership was conducted to better understand
elements of the partnership. Collaborative efforts focused on promoting CVD awareness and prevention in
Latino communities; supporting programs such as the Heart360 Get to Goal, a program that focuses on
better management of high blood pressure; and increasing the visibility of IHNA and AHA. An analysis of
outcomes of mutual short-term goals included: community outreach opportunities; resources; and increased
visibility.
RESULTS: IHNA and AHA have successfully reached their short-term goals for the partnership. IHNA
contributions included: educating Latino communities about CVD through bilingual speaking engagements
and media opportunities; supporting and promoting AHA programs such as Heart360 Get to Goal and Go
Red Por Tu Corazon; and increasing the number of Latino nurses volunteering with AHA. The AHA
contributions included: providing resources and opportunities for communication to the Latino community
through programs and speaking engagements; enhancing IHNA visibility by facilitating relationships with
organizations such as the Consulate General of Mexico and providing media opportunities for IHNA
members; offering opportunities for local funding to support research projects; and increasing the opportunity
for IHNA to provide input on AHA’s local, Midwest Affiliate, and National priorities for prevention through
strategic planning.
CONCLUSION: IHNA and AHA successfully formed a partnership based on the goal of encouraging and
supporting the Latino community in an effort to reduce their risk of CVD. Short-term mutual goals were
accomplished and IHNA members continue to become more involved with the AHA on several projects and
long-term goals including strategic planning. As a result of this successful partnership, IHNA can offer insight
into how other National Association of Hispanic Nurses chapters can develop and sustain a successful
relationship with AHA.
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Wednesday, August 7
4:15p–5:15p
SPEAKERS: Stacy D. Sayre
TITLE: The Medical Reserve Corps: Supporting Community Health
ABSTRACT:
The Medical Reserve Corps (MRC) is in its eleventh year of supporting public health preparedness and
emergency response activities. Established in 2002, the MRC began as small groups of medical and nonmedical volunteers organized and prepared to respond to disasters. It has since grown to a nationwide
network of close to 1000 community-based units, and more than 200,000 volunteers with a mission to
strengthen public health, emergency response, and community resiliency at the local level. As healthy,
resilient communities are less susceptible to the impact of disasters, the network is increasingly focused on
health education and promotion not only for disaster preparedness but also for overall quality of life.
The National Prevention Strategy (NPS), a product of The Affordable Care Act (ACA) is a guiding document
for the MRC due to its community health approach to prevention and wellness. With many in Hispanic
communities disproportionately affected by health insurance, there is an urgent need for these communities
to be accessed with health information and resources. The MRC is in a unique position to serve communities
as all volunteers are local. Through MRC partnerships, for example Community Health Centers, volunteers
are providing information on how community members can receive quality care. It is envisaged MRC will
continue to play an increasing role in connecting community members to services made available by the
ACA.
MRC units must maintain a diverse volunteer base both culturally and in skill sets. Nurses are a key
component of the MRC’s success making up approximately 30% of all volunteers. With more Hispanic nurse
volunteers, the MRC can increase its reach in Hispanic communities with a culturally and linguistically
appropriate approach.
This presentation will describe the role of the MRC within communities, and provide examples of recent
public health preparedness and emergency response efforts with a focus on Hispanic communities. Also, in
support of nursing education, an increasing number of nursing colleges are either forming their own MRC
unit or require MRC service as part of their curriculum; hence, providing nurses with community experience
right from the beginning of their careers will be discussed.
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Thursday, August 8
3:00p–4:00p
TITLE: The Full Implementation of the Affordable Care Act (ACA)
SPEAKER: Teresa Nino
ABSTRACT:
This session will review the key provisions of the Affordable Care Act, the accomplishments of the new law to
date, and how it is impacting the Latino population. Participants can expect to learn about implementation of
the Health Insurance Marketplace; and how individuals and families can enroll to obtain health coverage.
Finally, the session will describe the Centers for Medicare & Medicaid Services’ outreach strategy for
reaching Latinos for enrollment into the Marketplace.
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Thursday, August 8
3:00p–4:00p
TITLE: Bridging the Gap: Using Research to Empower Patients
SPEAKERS: Kelley Elliott, MS
ABSTRACT:
When it comes to health care, knowledge is power. The Agency for Healthcare Research and Quality’s
(AHRQ) Effective Health Care (EHC) Program works with researchers and academic organizations to
produce research and scientific evidence, which is then translated into useful formats for various audiences.
The EHC Program research reviews, original research reports, and research summaries educate clinicians,
patients, and policymakers on health-related topics, such as emerging health care treatments and the
effectiveness of various treatment options. During the session, attendees will learn about key Federal
initiatives lead by AHRQ that use research to empower patients. Participants will: 1) gain a greater
understanding of the AHRQ EHC Program; 2) have an opportunity to engage with a new Federal initiative;
and 3) preview two soon-to-be released programs lead by AHRQ that use innovative approaches to provide
diverse audiences with resources to aid in evidence-based decision making. Participants will be introduced
to Treatment Options, or Toma Las Riendas, a national initiative which uses multimedia channels and a
network of partner organizations to provide easy access to AHRQ’s treatment summaries; and encourage
people to explore treatment options for their conditions, compare the benefits and risks of each, and prepare
to discuss them with their health care providers.
Two Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness Research Products, or
iADAPT, grant programs targeting Spanish-speaking and Latina audiences will also be previewed. The first
program uses “health edutainment” products that integrate storylines and narratives to disseminate research
information to patients in a way that is easy to understand. Low literacy English- and Spanish-language
multimedia tools will help health care professionals easily equip patients with information that they need to
make informed health decisions. The second program is a pilot evaluation of strategies for communicating
with Latinas about different medications and their effectiveness in reducing the risk of breast cancer.
Providing language-, literacy-, and culturally-appropriate resources on this topic can address disparities in
prevention and treatment of breast cancer in Latinas through access to health information, promotion of
preventative care, and by offering clinicians new ways to communicate with Latinas about treatment options.
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Thursday, August 8
3:00p–4:00p
TITLE: Sleep Symptoms and Comorbidity Risk Among Mexican Americans and Mexicans
SPEAKER:
Carol M. Baldwin, PhD, RN, AHN-BC, FAAN
ABSTRACT:
PURPOSE: Sleep symptoms, including insomnia, snoring, and daytime sleepiness have been associated
with diabetes (DM), cardiovascular (CVD) and pulmonary disease (PD), and depression that contribute to
reduced quality of life and increased health care costs. This comparative study is the first to assess sleep
problems and morbidity risk of Mexican Americans and Mexicans; and informs evidence-based, regionallyresponsive sleep health promotion and risk reduction strategies.
METHODS: Central Arizona-residing Mexican Americans and Central Mexico-residing Mexicans provided
demographic, health history, and sleep data derived from the Spanish-translated and validated NHLBI Sleep
Heart Health Study Sleep Habits Questionnaire (SHQ). The presence/absence of sleep disorders and
comorbidities, and Relative Risk Ratios (RR) with 95% confidence intervals (CI), was calculated using SPSS
(v20) software to compare Mexican Americans and Mexicans. Significance was set at p<0.05.
RESULTS: Mexican Americans (N=204; 56% women; mean BMI=27.4), compared to Mexicans (N=202;
53% women; mean BMI=27.2) were less likely to be insured (45.6% versus 80.7%, p<0.001), and more likely
to earn over $5K/year (74% versus 98.5%, p<0.001). Both groups indicated approximately 10 years of
education. Mexican Americans and Mexicans who reported daytime somnolence, difficulty falling asleep,
non-restorative sleep, and restless legs symptoms were at significantly greater risk for CVD, PD, DM, or
depression compared to their Mexican American and Mexican cohorts without them. Notably, Mexican
Americans were at two to three and one-half times greater risk (RR=2.20 to 3.49) compared to Mexicans
(RR=1.51 to 1.98) with these sleep disorders. Additionally, Mexican Americans who reported loud snoring,
witnessed apnea, and frequent restless legs were at twice the risk for morbidity compared to Mexicans with
or without sleep disorders.
CONCLUSION: Consistent with large cross-sectional studies, Mexican Americans and Mexicans with sleep
symptoms are more likely to report CVD, PD, DM, or depression. Future studies should examine the
influence of “acculturation” on sleep health of Mexican Americans and migrants to other countries. Findings
underscore the need for “immigration health” training for providers, and culturally relevant sleep education
and interventions in nursing practice; and research bi-nationally to improve quality of life and reduce
comorbidity-associated health care costs.
SUPPORT: This work was supported through NIH NICHD Grant #1R03 HD051678A2 “Spanish Translation
and Validation of a Sleep Measure” (PI: CM Baldwin).
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Thursday, August 8
4:15p–5:15p
TITLE: Incorporating Technology and Social Media in Farmworker Health Outreach
SPEAKERS: Leda Isabel Garside, RN, BSN, MBA
ABSTRACT
Incorporating health literacy approaches into health care systems is a great challenge, and it becomes a
greater challenge when dealing with the migrant farmworker community. Tuality Healthcare Saludi Services
has worked hard over the past 14 years to identify best practices in outreach services, cultural
competencies, and health literacy.
Nearly 170,000 migrant and seasonal farmworkers plant and harvest crops each year in Oregon. One crop
requiring significant labor resources is grapes for wine. Oregon has the third most wineries in the United
States, and Latinos make up the majority of the agricultural workers tending and harvesting Oregon grapes.
Our goal for this presentation is to share our findings of the utilization of electronic devices and social media
tools by the migrant and seasonal vineyard workers in the north Willamette Valley of Oregon.
Currently, there is very little information in the literature addressing this subject, and the majority of existing
literature addresses the utilization of computers, cell phones, and social media tools by the general Latino
community. The Tuality Healthcare ¡Salud! Services team has observed the utilization of cell phones by the
seasonal and migrant workers and family members, including text massaging behaviors. Our survey aimed
at understanding how the migrant population utilizes these tools, and how it compares to the general Latino
community. Additionally, this project aimed to enhance the current conversation about the integration of
technology and social media into health literacy and outreach services in order to develop tools and
applications that will facilitate and improve communication with this population, and improve subsequent
health outcomes.
18
Thursday, August 8
4:15p–5:15p
TITLE: Nurse Home Visiting as a Way to Address Health Disparities in the Latina Population
SPEAKERS: Madeline I. Cruz, MS, RN, IBCLC, RLC
Amy Marrero, RN, MA, BSN
ABSTRACT
Latina women face many challenges with access to health care. Barriers exist such as transportation,
childcare language, economic status, cultural familiarity, and legal status. Nurse Home visitation addresses
these barriers by using client-centered principals which focus on the client’s strength. Attachment, Human
Ecology, and Self-Efficacy are the foundations for the Nurse Family Partnership model for delivery of
services (intervention) to clients in their homes.
Nurses are uniquely qualified to deliver trusted and competent care to clients in their homes and community
in which they live. Utilizing the client-centered principles, nurse home visitation addresses the client’s need in
the domains of Personal Health, Maternal Role, Environmental Health, Family and Friends (social support),
Life Course Development, and Health and Human Services (resources and referrals) through interventions
specifically designed with the client’s heart’s desire in mind.
One of the goals of HP 2020 is to improve access to comprehensive, quality health care services. NurseFamily Partnership bridges the gap between access to care, health information, and community resources
for Latina clients by proving nurse home visits. The nurse provides support and information to the client,
while building her self-efficacy to purse her heart’s desire.
19
Thursday, August 8
4:15p–5:15p
TITLE: What is the Preferred Method of Taking a Breast Cancer Risk Assessment Survey for
Spanish-Speaking Latina Men and Women? Computer or Paper?
SPEAKER:
Sylvia S. Estrada, RN, WHCNP, CBCN, MSHCM, BSN
ABSTRACT:
INTRODUCTION: The Wasserman Breast Cancer Risk Reduction Program is dedicated to reducing the
incidence of breast cancer in our community by providing comprehensive risk assessment services and
recommendations that are personalized for each patient. We developed a risk assessment survey in an
electronic format to facilitate individualized risk identification with recommendations tailored to responses so
that a personalized breast care health plan can be generated. While individualized and prompt feedback is
facilitated by electronic administration, it is not clear if this medium is accessible to all participants, and
whether there are specific cultural preferences for taking surveys. The Breast Cancer Risk Assessment
questionnaire is currently available for survey takers electronically on either a laptop or computer kiosk. It is
currently only available in English but is being considered for translation. The purpose of this study was to
guide our program development to offer our participants the most accessible and preferred method of
determining their breast cancer risk.
RESEARCH QUESTION: Among health fair participants within the Latino community in Los Angeles, what is
the preferred method of taking a risk assessment survey, computer or paper medium?
METHOD: Participants were men and women attending the Telemundo Health Fair held at the Convention
Center on March 13, 2011. The preference survey was administered to anyone interested in taking the
breast cancer risk assessment survey. It was administered by a bilingual, bicultural nurse who assisted in
translation and use of the electronic survey medium. The preference survey included respondent age and
gender, usual oral and written language, current use of email/internet, preference for risk assessment
medium, and one question assessing general knowledge of breast cancer risk (suggested age for first
mammogram).
RESULTS: 149 people completed the preference survey (146 women and 3 males, average age = 46 years).
Almost three-quarters of respondents 110/149 (73.8%) preferred paper administration of the risk assessment
survey. The use of email or the ability to surf the web did not have a statistical association with the preferred
method of taking the risk assessment survey. Among respondents who preferred Spanish, 105/124 (84.7%)
preferred paper as well. The minority of respondents who spoke English, 17/21 (81%) or reported using
email or the web, on the other hand, were significantly more likely to prefer computer administration.
CONCLUSION: Monolingual Spanish speakers preferred to take the breast cancer risk assessment survey
in paper format. In the future, it is possible to see if a computer-based risk assessment, if fully translated in
Spanish and user-friendly, would attract Latinos to undertake this method of taking a health survey.
20
POSTER PRESENTATIONS
Wednesday, August 7
1:30p–3:00p
PP01
TITLE: Keys to Inclusive Leadership in Nursing: Preparing the Next Generation of Diverse Nurse
Leaders
SPEAKERS:
Viola Benavente, PhD, RN, CNS
ABSTRACT:
BACKGROUND: Nurse educators must meet the challenge of preparing new generations of nurse leaders
that can contribute toward eliminating health disparities, and simply graduating additional nurses from
diverse backgrounds is insufficient. Intentional leadership programs can empower student nurses to
overcome barriers that ordinarily would limit access to and success in leadership positions.
OBJECTIVE: The Boston College Connell School of Nursing’s “Keys to Inclusive Leadership in Nursing”
(KILN) program is designed to assist students to maximize leadership potential and nursing care in our
increasingly multicultural society. KILN transforms passive recipients of program benefits into active,
autonomous student nurse leaders.
METHODS: The KILN program prepares nurse leaders through mentoring, advising, networking, and
planning activities. This initial HRSA Nursing Workforce Diversity-funded grant has evolved into a more
inclusive effort that provides resources to students from under-represented and under-resourced
backgrounds. Important program tenets include: (1) Exposure to minority leaders can inspire students to
gain self-awareness and seek opportunities to develop leadership skills; (2) Minority students can form deeptrusting bonds with non-minority faculty when mutual respect is communicated; (3) Repeated interaction with
supportive faculty and staff can advance student development; (4) Weaving program objectives into the
fabric of school activities can sustain the program; and (5) Financial support can serve as an incentive for
students, and allow more time to focus on academic and professional development.
RESULTS: A concerted effort from a core group of faculty and staff has yielded measurable results in a
short time period. KILN students have evolved from: (1) Having a tutor/mentor to being one; (2) Attending
workshops to presenting at workshops; (3) Joining nursing organizations to being officers in them;
(4) Reading about nursing research to conducting it; (5) Hearing about global nursing to studying and
volunteering internationally; and (6) Networking with nurse leaders to becoming student nurse leaders.
CONCLUSIONS: Tailoring expectations to individual student strengths and providing opportunities to build
relationships and network with nurse leaders, faculty, and fellow students outside the classroom supports the
success of the KILN program at Boston College. Students respond well to reinforcement of their strengths
and high expectations for their performance.
21
Wednesday, August 7
1:30p–3:00p
PP02
TITLE: Ensuring a Great Future for Nursing: Bridging the Gap Between Academia and Professional
Practice
SPEAKER:
Margaret Levine, RN, MSN, MPA
ABSTRACT:
More than ever, nurses need to acquire the clinical competencies and leadership skills needed to help
transform our health care system while serving as strong patient advocates. As articulated on “The Future of
Nursing: Leading Change, Advancing Health” (Institute of Medicine, 2010) every nurse must be a leader. In
light of the IOM (Institute of Medicine) recommendation to educate and prepare nurses to be transformational
leaders, the nursing executive team at Woodhull Medical Center developed a plan of action to help nurses
grow professionally by bridging the gap between academia and professional practice. Affiliated with New
York University Langone School of Medicine, Woodhull Medical Center is one of the 11 New York City
Health and Hospitals Corporation public hospitals. The hospital is licensed by NYSDOH to operate 394 beds,
4 community-based health centers, and 3 school-based health clinics. Woodhull employs over 2,500
individuals, many of them residing in the community the hospital serves. Located in North Brooklyn, the
community is predominantly minority, with over 37% Hispanics, 35% blacks, 20% whites, 3% Asian, and 5%
others (Polish and Eastern Europeans). The per capita income is $10,073 and 40.8% of individuals live
below Federal poverty level. (Hanys Market Expert, US Census, American Fact Finder).
Woodhull Medical Center is committed to the mission of providing the highest quality of health care to every
patient with dignity, cultural sensitivity, and compassion, regardless of ability of pay. In order to fulfill the
mission, there is a need to ensure that sufficient numbers of well-prepared nurses join the nursing
organization. To meet this challenge the following initiatives were implemented: In partnership with Lehman
College, School of Nursing, an on-site Baccalaureate of Nursing program is being offered to the Woodhull
nurses. A total of 26 nurses are enrolled. An on-site Master of Nursing program is being planned for next
year.
In collaboration with the Board of Manhattan Community College (BMCC), and based on the preceptor’s role
in the acculturation of new graduates, a two-month RN externship program was provided to 20 BMCC
graduate nurses. They all successfully completed the program, and 8 of them were hired into vacant
positions. This program will be offered again in June 2013.
In partnership with York College, a similar program will be offered to senior BSN nursing students, starting
May 2013. Both programs were funded with grants by the office of the CUNY Dean for Health and Human
Services. In collaboration with the College of New Rochelle, School of Nursing, a mentorship program to
prepare senior nursing students for clinical and leadership applications was implemented in 2012. Every
semester, a total of 6 students are placed with senior administrative managers and expert clinical leaders at
Woodhull. During the experience, the students have the opportunity to attend hospital-wide meetings; and
see nurse leaders in action through the application of communication, operational skills, interdisciplinary
collaboration, and strategic planning. All models, previously described, rely on the close collaboration of
academia and professional practice leaders. Academic leaders will influence the hospital-based nursing
practice; and acute care leaders will influence how professional nurses are educated now and in years to
come, therefore ensuring a great future for the nursing profession.
22
Wednesday, August 7
1:30p–3:00p
PP03
TITLE: Disruptive Innovation: Leading Your Chapter to Success and Sustainability Leadership Track
SPEAKERS: Adrianna Nava, MSN, BSN, RN
ABSTRACT:
Hispanic Registered Nurses are vastly under-represented within the nursing profession. Within the state of
Illinois alone, Hispanic Registered Nurses only represent 1.7% of all licensed Registered Nurses. In order to
meet the need of recruiting more Hispanics into the profession, the Illinois Hispanic Nurses Association
(IHNA) has focused on four guiding principles to increase their visibility and sustainability within the state of
Illinois, and to attract talented Hispanic individuals into the nursing profession. The four principles are derived
from Jim Collin’s Good to Great Framework which include: Stage 1: Disciplined People; Stage 2: Disciplined
Thought; Stage 3: Disciplined Action; and Stage 4: Building Greatness to Last.
In order to explain the value of the four stages to your own chapter, discussion will take place around the
leadership and organizational changes that have taken place within IHNA, which have led to an increase in
membership, an increase in community partnerships and initiatives, and increased opportunities to integrate
technology. The main focus will be on IHNA’s development of four core values, which include a focus on
Education, Research and Policy, Community Involvement, and the Registered Nurse. The four core values
strengthen the mission of IHNA, and have been integrated into the newly developed Mentorship Model
designed specifically for the advancement of the Hispanic Registered Nurse. At a time when there is limited
research and discussion that focuses on mentoring Hispanic nurses to reach higher levels of success, IHNA
has focused its efforts in meeting the needs of the profession by making professional development the key to
captivating the Hispanic nursing audience. Through the utilization of Collin’s Framework, IHNA is diligently
working to achieve the lasting results which include: superior performance as an organization, distinctive
impact in the community, and lasting endurance despite changes in leadership.
23
Wednesday, August 7
1:30p–3:00p
PP04
TITLE: Preventing Obesity in Hispanic College Students Through a Web-Based Program
SPEAKERS:
Yamina Alvarez, DNP, RN
Norma Cuellar, DSN, RN, FAAN
Giannina Santos, MS, ARNP, NP-C
BACKGROUND:
Obesity is an epidemic in the United States with health consequences across the life span. The Institute of
Medicine (2012) reported that the treatment of obesity and related chronic diseases costs $190.2 billion
every year. According to Gores (2008), the youth of our country are no longer protected from obesity; today’s
adolescents are obese from an even younger age, leading to earlier and more severe complications such as
heart disease, joint disease, and diabetes.
According to the CDC (2012), obesity affects 31.9% of the Hispanic population who are 18 and over.
Specifically, obesity has become prevalent among Hispanic young adults, who are at high risk for increasing
obesity during the transition of adolescent into adulthood. Since college students are in this period of
adulthood, this group is identified as an important target for health promotion and disease prevention.
Hispanic college students, especially, have poor nutrition habits and lack of physical activity due to socioeconomic status, acculturation, and lack of knowledge regarding nutrition. The use of web-based educational
programs has been effective in health promotion. To prevent obesity, health promotion is critical to eliminate
this epidemic condition among Hispanic college students.
PURPOSE:
To implement a nutritional and physical web-based educational program for Hispanic college students; and
to help decrease the prevalence of obesity in Spanish.
METHODOLOGY:
Data was obtained through literature review on obesity programs targeted for young adolescents related to
obesity in college students. The wed-based education program is an on-line education format in Spanish.
The website will provide webinars that include 3 modules related to nutrition, healthy eating, and physical
activity. Every lesson will last about 30 minutes to 1 hour.
CONCLUSIONS:
The implementation of a web-based program may help to reduce the number of young adult Hispanics who
have obesity, thus, decreasing the cost that represents for the U. S. economy. Implications for practice:
Previous research has demonstrated that internet based-programs are effective on college students to
promote healthy behaviors and changes in lifestyle. It is very important to continue to implement free webbased programs that target Hispanic college students in their native language. Since many Hispanics do not
have access to health care, implementation of web-based programs should help to reduce adverse
outcomes due to obesity. Health care providers should take advantage of the internet to create awareness of
the importance of healthy nutrition and physical activity.
24
Wednesday, August 7
1:30p–3:00p
PP05
TITLE: Screening for Chronic Kidney Disease
SPEAKERS:
Johanna Uriri-Glover, PhD, RN
ABSTRACT:
Chronic Renal Disease (CKD) occurs when individuals experience at least 3 months of
decreased kidney function. Evidenced of kidney damage occurs when protein is found in the
urine, as the earliest indicator. CKD is characterized by a progressive loss in re nal function
over a period of months to years. The most common risk factors are age (> 60 years),
diabetes, hypertension, cardiovascular disease and ethnicity. Ethnic minorities are
disproportionately affected by diabetes with the highest incidence among N ative Americans
and Alaska Natives (16.1%); African American (12.6%); and Hispanics (11.8%). Patients
diagnosed with CKD often have limited knowledge about kidney disease or about the
therapies available for end stage renal disease. Scientific evidence sug gests that increased
public and provider awareness of screening for CKD is associated with positive patient
outcomes. The purpose of this poster presentation is to discuss the implementation and
outcomes of an evidence-based project using a didactic educat ional intervention designed to
educate nurses in the management and screening or CKD, including risk factors and two
laboratory tests: Urine Albumin Creatinine Ratio (UACR) and the estimated Glomerular
Filtration Rate (eGFR). Public health nurses employed at a rural hospital participated in the
project. Each nurse visits an average of 3 to 5 diabetic or hypertensive patients a week. A
pre-test and post-test design was used to evaluate learning outcomes and willingness to
change practice. Knowledge of CKD a ssessment and treatment was evaluated using
analytical and descriptive statistics. The pre -test knowledge and willingness to change
practice were low prior to the intervention. The findings indicate a significant increase in
knowledge in the screening and management of CKD, and the willingness to change practice
in educating nurses will increase their awareness to screen patients for CKD, especially in
minority populations. This evidence -based practice project can serve as a model for other
institutions and nurses who provide health care services to ethnic populations diagnosed with
diabetes mellitus and hypertension.
25
Wednesday, August 7
1:30p–3:00p
PP06
TITLE: Empowering Communities to Facilitate Health Behavior Change Through Creative Initiatives
SPEAKERS: Susana Castro, RN, MS, NE-BC, PhDc
P. Melissa Hernandez, MA
ABSTRACT:
Alarming increases in global obesity have doubled world rates in the last three decades. The United States
ranks highest with obesity rates of 42% predicted by 2030. A deadly increase in type II diabetes has
occurred worldwide. The dramatic increase of these two epidemics has been an increase in sponsored
initiatives in the U.S. addressing obesity and cardiometabolic diseases. This program included developed
courses and community activities. These activities targeted underserved populations with the highest
incidence of obesity and diabetes. High schools, workplace, faith-based, Mexican Consulate, and community
fairs provided opportunities for activities for health awareness. Pedometer walking programs: Targeting
increasing physical activity, we began a "Fitness Boot Camp" walking program at a charter high school in the
inner city, where (n=210) diverse students participated with competition between classes. We also hosted
“Walk for Your Health at Work” in our own workplace at the UIC, College of Nursing; and we had (n=15)
employees participate. At work, we conducted a series of health seminars which included; healthy cook off
(n=25), and a holiday fitness challenge (n=20), between employees. Health Screenings & Community
Initiatives: Promoting detection and self-management of cardiometabolic risks. We held in faith-based
settings; screenings included blood pressure, glucose, lipid analysis, and BMI. We partnered with the
American Heart Association, Chicago Chapter, “Por tu Corazon” initiatives at the Fiesta de Sol and
presented at the Mexican Consulate. Fitness Boot Camp: 210 diverse students participated and the number
of steps was calculated, and the top 3 participants were awarded a prize. Health Screenings & Community
Initiatives: Our nursing students screened 250 adults, primarily Latino men and women. Students identified
obesity in 28% of this population, undiagnosed hypertension in 28%, and dyslipidemias in 72%. Targeting
the risk factors of obesity and physical inactivity, hyperlipidemia, hypertension, and hyperglycemia, students
participated in activities to reduce individual risk, and raise awareness of health behavior changes for
minority individuals experiencing health disparities. Over 500 people were served with these student
projects; and they gained a valuable insight into culture and health behavior, as well as the power of
volunteering by educating patients.
26
Wednesday, August 7
1:30p–3:00p
PP07
TITLE: Application of the Ecological Framework in the Assessment of Diet and Physical Activity of
Migrant and Seasonal Farmworkers
SPEAKERS: Susana Castro, RN, MS, NE-BC, PhDc
ABSTRACT:
Migrant and seasonal farmworkers (MSFWs) cope with many barriers to a healthy lifestyle; 60% live below
the poverty level, and their occupation is among the lowest, allowing leisure-time physical activity. MSFWs
face unsafe living and working conditions and limited access to health care, healthy food, and social support.
Physical activity and healthy diet are essential for both weight maintenance and disease management and
prevention. There are approximately 3 million MSFWs in the United States, and approximately 66,000 in
Illinois. With 85% of the U.S. MSFWs predominantly of Mexican descent, it is noteworthy that approximately
28.7% of Mexican men and 31.4% of Mexican women have hypertension. Also, 24% of U.S. Mexican
Americans have diabetes, and the prevalence of type 2 diabetes is 2 times greater in Hispanics than nonHispanic whites. While diet and exercise play a key role in these chronic conditions, few studies have
evaluated both factors in the farmworker population. The use of the Ecological Framework will help to
organize the literature to provide a description of what is known about the diet and physical activity of
farmworkers at risk for diabetes
27
Thursday, August 8
8:30a–10:00a
PP08
TITLE: Alcohol Screening Tools for Hispanic Adolescents: A Review of the Literature
SPEAKERS: Victor Delgado, MSN, ANP-BC
Norma Cuellar, DSN, RN, FAAN
ABSTRACT:
BACKGROUND: Alcoholism is a chronic disease without a known cure. According to the Institute of
Medicine, alcohol related health care costs approximately >60 billion dollars annually. Over 3 million
adolescents (ages 12–19) have been diagnosed with alcoholism. Patterns of alcohol abuse vary among
racial and ethnic groups. Hispanic adults (age >19) are least likely to be heavy drinkers (5 drinks day at least
once a month), adolescent Hispanics have the highest annual prevalence of heavy drinking accounting for
an increase in motor vehicle accidents and suicide. Of these, 7.4% met the diagnostic criteria for current
alcohol abuse or dependence as per the 4th edition of the Diagnostic and Statistical Manual of Mental
Disorders––bringing to the forefront the need for prevention and treatment for Hispanic adolescents who
abuse alcohol. Current culturally competent screening tools for this age and ethnic group is lacking.
OBJECTIVE: Review the current literature to identify significant screening tools for alcohol use, abuse, and
alcoholism for Hispanic adolescents.
METHODS: A review of the literature in the summer of 2012 using CINAHL, PubMed, PsycINFO and HaPI
databases for alcohol related screening tools was performed.
SEARCH TERMS INCLUDED: Alcohol use, alcohol abuse, alcoholism, Hispanic, adolescents. Only articles
written in English were used.
RESULTS: 37 screening tools for alcohol use, alcohol abuse, and alcoholism for adolescents, were
identified. Most of these screening tools were translated in Spanish. There were no screening tools for
alcohol use, alcohol abuse, and alcoholism for Hispanics adolescents.
DISCUSSION: Our findings show a lack of effective screening tools for alcohol use, alcohol abuse, and
alcoholism in Hispanic adolescents. Development of effective screening tools for Hispanic adolescents
should assist to eliminate health disparities. Further research is needed to determine earlier diagnosis and
treatment of alcohol problems in this age group. This will enhance evidence-based practice, and lead to a
decrease in morbidity and mortality from this devastating disease.
28
Thursday, August 8
8:30a–10:00a
PP09
TITLE: An Analysis of Community-Based Participatory Research Addressing the Migrant Seasonal
Farm Worker Health
SPEAKERS: Lorenza A. Villegas-Murphy, MSN, RN, PhD Student
ABSTRACT:
BACKGROUND: Since the 1950’s, when Cesar Chavez began speaking about the plight of the migrant
seasonal farm worker (MSFW) there has been slow movement in addressing the health concerns of this
vulnerable population. As nurses, we have an opportunity to address the health concerns of the MSFW and
provide educational interventions. Community-based participatory research (CBPR) has been growing since
2006.
PURPOSE: The aim of this analysis is to conduct a comprehensive review of the literature to identify
potential strategies and problems identified in incorporating CBPR.
METHODS: The 9 principles of CBPR will provide a foundation to the development, implementation, and
evaluation of the health concerns of the MSFW. The 9 principles addressed in this analysis were taken from
Israel, Eng, Shultz, & Parker (2005): Principle 1: Acknowledge community as a whole; 2: Building on
strengths and resources; 3: Facilitate a collaborative partnership; 4: Foster co-learning and capacity building;
5: Integrate and achieve a balance; 6: Focus on public health problems; 7: Involve systems development;
8: Disseminate results to all partners; and 9: Develop a commitment of sustainability.
CONCLUSION: The analysis of CBPR to develop and implement an educational intervention to address
health concerns of the MSFW were found to be helpful, and identified two concerns. The first concern arose
during the analysis of Principle 3: Facilitate a collaborative partnership. In order to facilitate a collaborative
partnership, an essence of equality among all participants, including the MSFW, needs to be established.
The problem is there is an inherent hierarchy of race among MSFW where they feel their position is at the
lowest level. CBPR empowers the researcher to ensure equality of participants by engaging all participants
to be involved in the task at hand. The second issue of concern occurred in the analysis of Principle 7:
Involve systems development. The analysis found the distance the researcher lives from the project site to
be a concern. Participants felt disconnected from the researcher as the researcher was not always available
to answer questions or address concerns. To combat this issue, the researcher should visit the research site
weekly or set designated days of availability.
29
Thursday, August 8
8:30a–10:00a
PP10 -- CANCELLED
30
Thursday, August 8
8:30a–10:00a
PP11
TITLE: Obesity in the Hispanic Population
SPEAKERS:
Maureen Ali, RN, BSN
ABSTRACT:
Obesity has become the second leading cause of preventable death in America. The Hispanic population
has the highest rates of overweight and obesity. Many factors affect the increased incidence of obesity,
making it an important issue for nurses to address. This presentation will show the factors affecting the
population; the increased risks for chronic, debilitating illnesses; and what has and can be done to stop the
progression and reverse the damage. For the Hispanic population it requires behavioral changes, as well as
access to affordable, nutritious foods; and opportunities for physical activity in the places where people live,
learn, eat, shop, work, and play. The factors affecting the Hispanic population include genetics, cultural
preferences, environment as well as economic status. Education is the major force in helping the population
identify and take control of the factors that can be changed. As health care professionals, it is our
responsibility to encourage and help them obtain the tools they need to insist on healthier choices in their
homes, schools, and communities.
31
Thursday, August 8
8:30a–10:00a
PP12
TITLE: Emergency Preparedness for Non-English Speaking Hispanic Elders
SPEAKERS: Ruth Amador, RN, MSN
ABSTRACT:
Purpose: The purpose of the project was to create an emergency preparedness program for Hispanic elders
in their native language by incorporating the three fundamental steps needed for effective preparedness.
These steps were identified as the ability to: (a) get a kit, (b) make a plan, and (c) be informed.
Background: Western Massachusetts has historically been a geographic region that has not faced many
natural disasters. In 2011, three naturally occurring disasters--the New England Tornado, Tropical Storm
Irene, and the October Nor’easter highlighted the lack of emergency preparedness that existed within the
hospital and community institutions of Western Massachusetts. The non-English speaking Hispanic elders
were identified as one of the vulnerable populations impacted by the lack of culturally and linguistically
focused emergency preparedness programming.
Method: Lack of published research on emergency preparedness programming for non-English speaking
Hispanic elders with low literacy prompted collaboration with a Western Massachusetts urban senior center,
Massachusetts Emergency Management Agency officials, and a doctoral prepared bilingual-bicultural nurse
educator. Project development included a bilingual poster program announcement, a two-question survey,
and a five-question thematic pictorial pretest and post-test. Thirty-seven non-English speaking Hispanic
elders attended the program. Demonstration, discussion, table display, PowerPoint, handouts, and an
American Red Cross backpack were teaching interventions utilized for program delivery.
Results: Survey results revealed that twenty-one out of thirty-seven (56.7%) had experiences with weather
related disasters. Three out of thirty-seven (8%) reported attending any type of preparedness program.
Results obtained from data post administration of the identical five-question thematic pre-test and post-test
revealed a pre-test group means of 8.54, and a post-test group mean of 9.50. The results of the pre-test and
post-test reflected a difference in group means of 0.96. Significant improvements on item identification on the
thematic scales were noted. Additional findings identified the use of PowerPoint as a new experience for
participants, and increased learning with table displays and visuals.
Implications/Conclusions: The ability to provide effective emergency preparedness programing to nonEnglish speaking populations with low literacy is influenced by the use of culturally and linguistically relevant
assessment tools and innovative teaching strategies. Addressing language and literacy barriers in program
development reduces health disparities, enhances programming, and promotes evidenced-based practice to
a multi-dimensional approach to emergency preparedness. Through collaborative relationships with
community organizations, local, state, and federal governments, the bilingual-bicultural nurse educator is
uniquely positioned to develop and implement multilevel preparedness plans for at risk populations before,
during, and after a weather related event.
Thursday, August 8
8:30a–10:00a
PP13
TITLE: A Collaborative Effort by Student Nurses to Support Hispanic Individuals Living in the
Community
32
SPEAKERS:
Alana Cueto, MSN-Clinical Nurse Leader nursing student
Natalia Elsebai, MSN-Clinical Nurse Leader nursing student
ABSTRACT:
Studies have identified cancer, heart disease, unintentional injury, diabetes, and stroke as the leading
causes of death among Hispanic populations living in New Jersey (NJ DHSS, 2012). Nurses in communities
across the State must focus on health promotion, disease prevention and supportive care in these
communities. Health promotion and disease prevention provide a foundation for meeting the needs of
Hispanics in a non-threatening, non-blaming manner enhancing social support and information exchange
(Maurer & Smith, 2009).
Through the use of community resources, collaborative efforts by student nurses focus on awareness,
prevention and education. Community health workers (CHW) also known as “promotores” disseminate
information, foster healthy behavior, and provide education, advice, social support, and assistance to the
community (Medina, Balcazar, Hollen, Nkhoma & Soto, 2007). The purpose of this poster is to present
collaborative efforts by student nurses and supportive care measures that address health promotion and
disease prevention evidenced in the literature. These measures seek to provide culturally relevant care to
Hispanic populations and to improve outcomes.
33
Thursday, August 8
8:30a–10:00a
PP14
TITLE: Hispanic Nursing Collaboration: Senoritas for HIV/STI Prevention
SPEAKERS: Yamina Alvarez, DNP, RN
Marie Etienne, ARNP, DNP
Sandra Gracia Jones, PhD, ARNP, ACRN, ACNS-BC, FAAN
Patricia R. Messmer, RN, PhD, FAAN
Yolanda Nitti, RN, MSN
ABSTRACT:
This presentation will describe an innovative collaboration between two colleges of nursing and the Miami
chapter of the National Association of Hispanic Nurses (NAHN). The Miami Chapter strives to serve the
nursing and health care delivery needs of the Hispanic community and the professional needs of Hispanic
nurses. HIV has impacted the Latino community. Latinas may not practice safer sex because of cultural
factors, which places them at risk for HIV. In 2009, the rate of HIV infections for Latinas in the U.S. was more
than four times the rate for white women (CDC, 2012). Because HIV is a problem for Latinos, nurses and
nursing students need to have the knowledge, information, skills, and resources in order to 1) protect
themselves from acquiring HIV, and 2) disseminate this knowledge to friends, family, and the Miami
community. The NAHN Miami Chapter collaborated with Dr. Jones’ SENORITAS project at the Florida
International University to bring the SENORITAS educational class to Community Health nursing students at
Miami-Dade College. The FIU Nursing SENORITAS project is funded through the Office of HIV/AIDS and
Infectious Disease Policy, DHHS. Teaching faculty for SENORITAS came to the Miami-Dade campus to
present the class. Twelve students attended the interactional education session, entitled “Amigas Care!
Safer-Sex, Miami-style!” The students learned about the impact of HIV on Latino populations; how Latino
women are affected by HIV; and three reasons why (Uno..Dos..Tres) Latino women are at risk for HIV/STI.
The students discussed condom negotiation strategies for women; how to apply and remove both a male
and female condom; and where to go to get a HIV test. The students liked the interactive teaching models
used for the class, such as the ejaculating penile model and the vaginal model. All students noted that they
had learned something new at the class. The Miami-Dade nursing students will now be responsible, under
the supervision of their Community Health professors, to deliver the information learned out to the
community. It is anticipated that this innovative collaboration will continue with the goal of reducing the
HIV/STI rate in the Latino Community.
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Thursday, August 8
8:30a–10:00a
PP15
TITLE: A Comparison of Health Care Standards in a Developing Country (Costa Rica): A Nursing
Student’s Perspective
SPEAKERS: Helen C. Ballestas, PhD, RN, ANP-C
Karina Bowen
Sarah Ghannoum
Carl-Robert Paul
Steve Regis
ABSTRACT:
Recent experiences in Costa Rica have encouraged the awareness of nursing students regarding the
differences in healthcare delivery systems around the world. The Costa Rica experience has opened the
doors of awareness at a global level. Students travelling to Costa Rica during spring break were exposed to
many different levels of healthcare delivery systems. Many issues concerning the lack of prompt health
services that unfortunately lead to non-compliance, increasing mortality, lack of resources, and of education
compound the situation. This was a cultural shock to the nursing students from the United States. A harsh
reality exists in which emergency medical services are neither attainable nor accessible in a prompt manner.
Comparing this healthcare system to the existing one available in the U.S. is an interesting way to learn how
to educate and improve healthcare accessibility, education, and management from a nursing perspective in
developing countries.
The purpose of the poster is to also bring awareness to future nurses that the difference in healthcare
systems and standards exist, and that the nurse must be aware of these acute challenges. As the world is
getting smaller, people are migrating. The nurse professional should understand how the complexities of
different healthcare systems work in other countries in order to best educate the patient. A comparison
between standards in Costa Rica and the United States will be elucidated. This is critical if nursing is to
progress in other countries because the role of the nurse in terms of advocacy for prompt healthcare
services is paramount.
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