Arizona Nurse - April 2021

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Page 8 • Arizona Nurse April, May, June 2021 Open Positions Available for Leadership Call for Nominations AzNA’s Board members oversee the direction of the association, take responsibility for specific projects and teams, recruit new members, ensure a balanced budget, and represent AzNA members at the American Nurses Association. AzNA’s Board of Directors is an active board that makes a difference in our profession. Board members are elected annually for two-year terms. A recent bylaws change requires that board positions are elected in a staggered fashion. Job descriptions and additional information are posted at www.aznurse.org/2021Election. If you wish to run for the AzNA Board of Directors, please submit a bio consent to serve form available at www.aznurse. org/2021Election. Deadline for submission is August 2, 2021. The committee is seeking nominations for the following: Officer Positions Two Year Term: PRESIDENT SECRETARY DIRECTOR OF GOVERNMENTAL AFFAIRS DIRECTOR-AT-LARGE AzNA leadership positions provide opportunities for career advancement as well as being professionally and personally rewarding. Volunteer to take a seat at the table. Nominations Committee: Roni Collazo, John Risi, Kathy Wruk, & Board liaison, Heidi Sanborn. Statement from the National Association of Hispanic Nurses-Phoenix Chapter Regarding COVID-19 and Hispanic/Latino Communities The National Association of Hispanic Nurses- Phoenix Chapter (NAHN-Phx) is dedicated to educating the community about the health needs of the Hispanic community. During the COVID crisis, social media and other public announcements stress the importance to mask, wash your hands, and maintain social distancing at least six feet. All this is important but this does not address the culture of “familismo” or other cultures that place importance on family. As we know when families come together for family events, these events become super spreaders. It is important to inform members of families outside the household to wear a mask when getting together. The Hispanic Community is very passionate and loving. This affection for each other can lead to the spread of COVID if masks are not worn. Take this opportunity to provide education about the transmission of COVID and the reason for wearing a mask. Strategies to prevent further spread of COVID and still be with family Meet outside, social distance, and wear your mask in close vicinity to others not in your household. Remember to think of those most at risk in your lives that would not be ok if infected What we know: • Hispanics/Latinos are three times more likely to be hospitalized with COVID-19. • Hispanics/Latinos are two times more likely to die from COVID-19 • Hispanics/Latinos hold essential jobs that are not able to be performed at home • Hispanics/Latino have a reduction in life expectancy due to COVID 19. Our community has lost two years life expectancy in 2020 • More than half of those infected with COVID-19 have become infected by an asymptomatic carrier. Another important point is to educate about the significance of getting the vaccine. Identify barriers to getting vaccinated and dispel myths. We can only achieve normalcy if everyone is implementing precautions and receiving their vaccine/vacuna. We are proud to acknowledge our members, Paulette Rangel – President of the Phoenix Chapter, Lyda Velez – President-elect, Karen Garcia – Membership Committee Chair and Felipe Santoyo-Cuellar – Education Committee Chair and Raymundo Marin – Outreach Committee Chair, for their contribution to providing COVID education locally and nationally along with our partners, AARP, Univision, NPR and news outlets. References: • Reductions in 2020 US life expectancy due to COVID-19 and the disproportionate impact on the Black and Latino populations | PNAS • Risk for COVID-19 Infection, Hospitalization, and Death By Race/Ethnicity | CDC • SARS-CoV-2 Transmission From People Without COVID-19 Symptoms | Global Health | JAMA Network Open | JAMA Network • Table 1. Workers who could work at home, did work at home, and were paid for work at home, by selected characteristics, averages for the period 2017-2018 (bls.gov) NAHN Phoenix 2021 – Save the Date We look forward to seeing you at our virtual conference. When: Friday, August 27, 2021 More information to come... Visit www.nahn-phx.org Have you always wanted to live in the White Mountains? Arizona Nurse Attorney Kimberly Kent, RN, JD has over 28 years of experience with the Nursing Board, Hearings and Trials. Our attorneys are unwavering in their defense of nurses in Arizona. Appearance in any legal matter without legal representation is dangerous. KNOW YOUR RIGHTS. WE CAN HELP! 341 E. Camelback • Phoenix, AZ 85012 • 602-264-5600 kkent@klgaz.com Enjoy the natural beauty of the White Mountains and experience "The Accord Difference" Accord Hospice is seeking qualified & compassionate nurses. Contact: Ashley Frost Human Resource/Business Office Manager Phone (928) 271-8013 or (928) 608-5820
April, May, June 2021 Arizona Nurse • Page 9 Family Caregiving Context: A Pilot Study Rachel L. Peterson, PhD, MPH, MA Division of Epidemiology, Public Health Sciences University of California, Davis Kim D. Shea, PhD, RN, CHPN, College of Nursing Jian Liu, PhD, Department of Systems and Industrial Engineering Kayla Luque, BSN Student, College of Nursing Jessica Powell, BSN Student, College of Nursing Yinwei Zhang, PhD Student, Department of Systems and Industrial Engineering Deborah K. Williams, PhD, MPH, RN, College of Nursing Lori Martin-Plank, PhD, FNP-BC, NP-C, GNP-BC, FAANP, FNAP, College of Nursing Beverly J. Heasley, MBA, RN, FNGNA, College of Nursing Linda R. Phillips, PhD, RN, FGSA, Center on Aging Janice D. Crist, PhD, RN, FWAN, FAAN, College of Nursing The University of Arizona Small changes in older adults’ lives can lead to “tipping points,” permanently altering health and wellbeing. A “caregiving tipping point” is a catastrophic event, e.g., a fall with a fracture. Such events can change older adults’ self-care ability, increase family burden, and lead to breakdowns of caregiving systems and living arrangements. Although tipping points appear to be sudden, they are often preceded by small changes that could have been identified (Crist, Liu et al., 2019). We seek to predict tipping points with data collected by an affordable fitness watch, questionnaires, and in-person interviews. In this pilot study, we investigated if this approach was sufficient to develop tipping point algorithms and if Mexican American (MA) caregiving families (older adults and family caregivers) found these activities acceptable. We focused on MA families because they are less likely than non-Latino white families to access and utilize long-term support services for many reasons, including familismo, i.e., “We take care of our own,” and a lack of trust or culturally tailored information about services (Crist, Ortiz- Dowling et al., 2019). Also, MA individuals experience more disability at earlier ages than others (Tarraf et al., 2020). We recruited MA older adults from local congregate meal sites. We visited participants in their homes at the beginning and end of one week. Participants provided demographics and completed a modified Life Space Questionnaire (LSQ), mapping their regular steps in the home and the community. Throughout the week, participants completed a daily diary to record their activities at specific times throughout the day, noting abnormalities in how they felt, e.g., dizziness, pain. Participants wore the watch continuously for seven days. Then researchers visited to download watch and LSQ data, collect diaries, and interview the older adult. Participants received $30 and kept the watch. The research was approved by the University of Arizona Institutional Review Board. Engineers analyzed watch data to detect how much variation occurred during the week, comparing these findings with participants’ self-reported activities. Engineers used “continuous wavelet transform analysis” (Nason, 2008) to identify daily step counts, continuous heart rate, and patterns. The daily dairies aided the interpretation of the watch data. We used content analysis (Neuendorf, 2002) to identify themes from the interviews about experiences wearing the watch. Results from this pilot study of seven MA women ages 58-84 suggest this method is appropriate for detection of changes in heart rate data among older adults. However, variations in pedometer data were too limited to explain the observed variations in participants’ heart rates, e.g., abrupt changes in heart rate and their extent. The daily diary information varied widely, limiting the diaries’ usefulness. Wearing the watch 24 hours/day was acceptable, simple, comfortable, and familiar. It motivated the women to engage in more physical activity. Several used the watch to monitor their daily step count to reach movement goals. Participants noted social benefits and barriers. One felt “special” by participating in the study and receiving the watch. Another feared she might become alienated from friends not wearing a watch. Most participants indicated they relied on younger relatives to help with technology, although some were interested in learning to use the technology more effectively. Findings are a critical step towards predicting tipping points. When the predictive ability of continuous data becomes more useable, nurses can better assist community-dwelling older adults to “age in place.” More sophisticated, but less affordable, watches that collect additional biometric data may be necessary to develop sensitive and reliable tipping point algorithms. Early identification of tipping points, e.g., an older adults’ decreasing mobility, and becoming vulnerable to falls, could alert nurses and families that it’s time to access services to prevent catastrophes. This study with MA older adults provides a template for future research. Contrary to popular assumptions, the majority of Latino individuals access the Internet through mobile phones and Latino caregivers access the Internet daily to communicate and find information (Iribarren et al., 2019). However, the cost of technology will need to be balanced with its capacity to ensure use while providing sufficient data to predict tipping points. New findings may guide nurses, researchers, and policymakers to offer culturally tailored interventions for supporting older adults’ aging in place. References Crist, J. D., Liu, J., Shea, K. D., Peterson, R. L., Martin-Plank, L., Lacasse, C. L., . . . Phillips, L. R. (2019). “Tipping point” concept analysis in the family caregiving context. Nursing Forum, 54(4), 582-592. Crist, J. D., Ortiz-Dowling, E. M., Shea, K. D., & Phillips, L. R. (2019). Knowledge Gaps About End-of-Life Decision Making Among Mexican American Older Adults and Their Family Caregivers: An Integrative Review. In Journal of Transcultural Nursing (Vol. 30, Issue 4, pp. 380-393). SAGE Publications Inc. https://doi.org/10.1177/1043659618812949 Iribarren, S., Stonbraker, S., Suero-Tejeda, N., Granja, M., Luchsinger, J. A., Mittelman, M., Bakken, S., & Lucero, R. (2019). Information, communication, and online tool needs of Hispanic family caregivers of individuals with Alzheimer’s disease and related dementias. Informatics for Health and Social Care, 44(2), 115–134. https://doi.org/10.1080/175381 57.2018.1433674 Nason, G. (2008). Wavelet methods in statistics with R. Springer. Neuendorf, K. A. (2002). Defining Content Analysis. In The Content Analysis Guidebook (pp. 1–35). https://doi.org/10.4135/9781071802878.n1 Tarraf, W., Jensen, G. A., Dillaway, H. E., Vásquez, P. M., & González, H. M. (2020). Trajectories of Aging among U.S. Older Adults: Mixed Evidence for a Hispanic Paradox. Journals of Gerontology - Series B Psychological Sciences and Social Sciences, 75(3), 601–612. https://doi.org/10.1093/ geronb/gby057 Rehoboth McKinley Christian Health Care Services is recruiting RNs for: Operating Room • ER • ICU Labor & Delivery • Med Surg We offer a great working environment and competitive compensation package including relocation assistance. Quality Health Care, Close to Home View our current openings and/or submit an application online at: www.rmch.org Contact Brian Lalio Human Resources Generalist/Recruiter Ph: 505.863.7189 Fax: 505.726.6730 or email at blalio@rmchcs.org 1901 Red Rock Drive Gallup, NM 87301 RMCHCS is an EEOC Employer
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