Whiteness: A Fundamental Determinant of the Health of Rural White Americans DOI
Caroline R. Efird, Derek M. Griffith

American Journal of Public Health, Journal Year: 2024, Volume and Issue: unknown, P. e1 - e9

Published: Dec. 5, 2024

Because residents of rural areas in the United States experience a persistent disadvantage life expectancy relative to their urban counterparts, it is critical consider structural and social determinants that affect health populations. White Americans constitute 3 out every 4 (76%) residents, there growing evidence rurality predictor poor status for ways are not present racially minoritized populations or nonrural We offer framework describe Whiteness as fundamental determinant Americans, which useful more precisely characterize address heterogeneous yet unique factors drive health. While dynamic system typically upholds Americans’ supremacy, we provide examples intermediate (e.g., culture, environment) intrapersonal psychosocial) through can harm chronic disease, mental health). conclude with discussion implications recommendations may help advance research promote well-being among Americans. ( Am J Public Health. Published online ahead print December 5, 2024:e1–e9. https://doi.org/10.2105/AJPH.2024.307904 )

Language: Английский

Individual and organizational factors associated with public health workforce competencies to advance health equity DOI Creative Commons
Paula M. Kett, Shahida Shahrir, Betty Bekemeier

et al.

PLOS Global Public Health, Journal Year: 2025, Volume and Issue: 5(1), P. e0004068 - e0004068

Published: Jan. 9, 2025

Little is known about how to develop public health workforce capacity for equity work. We explored associations of individual and organizational characteristics local departments (LHDs) with competencies essential advancing equity. Data included responses 29,751 staff from 742 LHDs in 48 states the 2021 Public Health Workforce Interests Needs Survey, plus LHD county demographics. Logistic regression assessed between key factors staff-reported “knowledge of” “confidence addressing” structural racism, equity, social determinants (SDoE), (SDOH), environmental justice, as well belief involvement addressing racism through one’s Staff a master’s degree or higher compared others had greater odds reporting confidence (adjusted ratio [AOR] = 1.23) (AOR 1.56), agreeing that should be part their work 2.45) being involved such efforts 1.57). identifying Black, white, all concepts: 1.98), 1.34), SDoE 1.53), SDOH 1.21), justice 1.72) 2.11). Patterns were similar among Hispanic/Latino other persons color. Black 0.68) 0.83) lower odds, however, engagement activities address racism. Finally, positively associated nearly outcomes cross-sector collaboration, ability incorporate into programming, policy advocacy. development include training involves explicitly naming racism’s effects complementary skills, partnership building. Further exploration needed best grow commitment white support color

Language: Английский

Citations

0
Building Adaptive Leaders: A Formative Evaluation of the Region V Public Health Leadership Institute Using Ripple Effect Mapping and Focus Groups DOI
Harshada Karnik,

Julieta Barbiero,

Danielle J. Zemmel

et al.

Journal of Public Health Management and Practice, Journal Year: 2025, Volume and Issue: unknown

Published: April 2, 2025

The Region V Public Health Training Center implemented an inaugural Leadership Institute (RVPHLI) from January to June 2023. This paper outlines a formative evaluation of the program qualitatively assess its potential outcomes and influence on participants' leadership capacity. Thirty-eight public health primary care professionals participated in 40 hours online learning activities focused adaptive themes. We conducted ripple effect mapping (REM) exercises focus group discussions with 32 participants. REM analysis using Community Capitals Framework suggested benefits cultural, social, human capital. following themes emerged as takeaways groups: leaders collaborators, new approaches work leadership, better understanding individual qualities skills, current challenges, validated existing definitions leadership. showed participants gaining confidence skills. They identified beneficiaries beyond themselves shared challenges resources. Findings will shape future RVPHLI iterations potentially enhance development other programs both sectors.

Language: Английский

Citations

0
Unwilling or Unable? The Impact of Role Clarity and Job Competence on Frontline Employees’ Taking Charge Behaviors in Hospitality Industry DOI Creative Commons

Mercy Terngu LAN,

Zhehua Hu, Ting Nie

et al.

Behavioral Sciences, Journal Year: 2025, Volume and Issue: 15(4), P. 526 - 526

Published: April 14, 2025

Hotels expect front-line staff to demonstrate greater flexibility and proactively take on more responsibility beyond their job duties, which helps provide better customer service in an environment of uncertainty change. Accordingly, employees’ taking charge behaviors have received widespread attention academia practice. Through a three-wave online survey 352 employees supervisors from 13 high-star hotels the Greater Bay Area China, this study examined influence mechanisms role clarity competence behavior moderating effect supervisor developmental feedback. The findings indicate that frontline can enhance by increasing organization-based self-esteem. It empirically validates Proactive Motivation Theory clarifies proactive engagement extra-role responsibilities depends not only willingness but also sufficient clear understanding roles. Supervisor feedback is acceptable as form informational support impact behaviors.

Language: Английский

Citations

0
Paramedic Workforce Disparities Marked by Geographical Positioning DOI Creative Commons
Chloe Betts, Alannah Stoneley, Judith Anderson

et al.

International Journal of Paramedicine, Journal Year: 2024, Volume and Issue: 5, P. 34 - 57

Published: Jan. 5, 2024

Introduction: Effective service delivery and the wellbeing of paramedic workforce is reliant on confounding factors effectuated by geographical positioning. It important to be aware that there may several disparities between rural urban due differences in circumstances. However, limited literature available examining these. The objective this review was investigate where how these exist make recommendations achieving equity thus achieve patient-centred care universally across populations. Methods: JBI approach used perform a scoping assess availability literature. Key words including paramedic*, EMT, OR metro*, remote disparit* were inserted into search engines MEDLINE, CINAHL Plus Scopus. Titles abstracts 282 results screened two authors inclusion exclusion criteria applied. full text remaining 77 inform review. Results: identified potentially relevant articles, which 33 informed review. included studies emerging themes including: (1) skills, training confidence (2) resourcing ambulances inclusive both workload case load; (3) timings each group regarding response, scene, transport; (4) health status paramedics subset location. Conclusion: This locations. it does not allow us understand extent at influence their ability provide optimal equitable Further research recommended establish are impacting lives provision emergency healthcare.

Language: Английский

Citations

2
Public Health Nurses’ Proficiencies and Training Needs in an Emergency Response: A Cross-Sectional Observational Study DOI
Paula M. Kett, Shahida Shahrir, Betty Bekemeier

et al.

Journal of Public Health Management and Practice, Journal Year: 2024, Volume and Issue: 30(3), P. 354 - 366

Published: March 15, 2024

To address gaps in understanding the public health nursing workforce regarding competencies recognized as critical during an emergency response.

Language: Английский

Citations

2
Prehospital Standards for Point of Care Ultrasound DOI Creative Commons
Dilpreet S. Bajwa, Jared D. W. Price, Savanna Boutin

et al.

International Journal of Paramedicine, Journal Year: 2024, Volume and Issue: 5, P. 28 - 33

Published: Jan. 5, 2024

Point of care ultrasound (POCUS) has become an increasingly recognized tool for the rapid bedside assessment undifferentiated patients. With advent affordable portable devices, this expanded to prehospital world, offering opportunity improve patient prior arrival in emergency department. To assess how incorporated into paramedical Canada, we conducted a cross-sectional survey licensing bodies across Canada investigating POCUS accreditation, licensing, scope practice, and quality assurance regulation paramedics. Overall, few provincial include practice practitioners, those who do are not involved with training, or assurance. Our findings highlight need defined competence standards metrics ensure safe effective use tool.

Language: Английский

Citations

1
Assessing public health service capability of primary healthcare personnel: a large-scale survey in Henan Province, China DOI Creative Commons

Rongmei Liu,

Qiuping Zhao,

Wenyong Dong

et al.

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: May 14, 2024

Abstract Background The public health service capability of primary healthcare personnel directly affects the utilization and delivery services, is influenced by various factors. This study aimed to examine status, factors, urban-rural differences among personnel, provided suggestions for improvement. Methods We used cluster sampling survey 11,925 in 18 regions Henan Province from 20th March 31, 2023. Data encompassing demographics capabilities, including lifestyle guidance, chronic disease management, management special populations, vaccination services. Multivariable regression analysis was employed investigate influencing Propensity Score Matching (PSM) quantified differences. Results total score 80.17 points. Chronic scored lowest, only 19.60. Gender, education level, average monthly salary, professional title, employment form, work unit type, category practicing (assistant) physician significantly (all P < 0.05). PSM revealed rural had higher scores than urban ones. Conclusions relatively high, but required Additionally, implementing effective training methods different subgroups, improving medical institutions were positive measures.

Language: Английский

Citations

1
Strategic Workforce Analysis: Identifying Skills and Gaps Among Frontline Public Health Workers Amidst Transformation DOI Creative Commons
Harshada Karnik, Danielle J. Zemmel,

Phoebe K. G. Kulik

et al.

Journal of Public Health Management and Practice, Journal Year: 2024, Volume and Issue: 30(6), P. E297 - E305

Published: July 22, 2024

Recent shifts in public health (PH) include consistent budget cuts, workforce attrition, and loss of vital skills institutional knowledge followed by heightened pandemic-driven attention, new responsibilities, renewed funding. This study investigates whether frontline employees working different types departments have educational characteristics these are associated with differentials skill gaps toward informing targeted interventions to nurture a competitive workforce.

Language: Английский

Citations

1
Assessing the Readiness of Rural Public Librarians to Implement Public Health Programs DOI Creative Commons
Noah Lenstra,

Heather Franklin,

Nathan F. Dieckmann

et al.

Journal of Community Health, Journal Year: 2024, Volume and Issue: 50(1), P. 152 - 158

Published: Sept. 6, 2024

Language: Английский

Citations

1
Public Health Workforce: Retention, Enumeration, and Safety DOI
Alfredo Morabia

American Journal of Public Health, Journal Year: 2023, Volume and Issue: 114(1), P. 42 - 43

Published: Dec. 13, 2023

Language: Английский

Citations

2