This qualitative study sought to understand food acquisition behaviors and environmental factors that influence those behaviors among women in a low-income African American community with limited food resources. We drew upon in-depth interviews with 30 women ages 21 to 45 recruited from a community health center in Chicago, Illinois. Data were analyzed using qualitative content analysis. Emergent themes revealed that women identified multiple environmental barriers—material, economic, and social-interactional—to acquiring food in an acceptable setting. In response, they engaged in several adaptive strategies to manage or alter these challenges including optimizing, settling, being proactive, and advocating. These findings indicate that efforts to improve neighborhood food environments should address not only food availability and prices, but also the physical and social environments of stores as well.

his evidence-based practice study presents the outcome of specific intervention strategies that have been implemented to improve the immunisation status among undergraduate nursing students in a local university. These interventions included educa-

Performing routine physical activity (PA) is one of several measures that may be taken to prevent chronic illness; however, African American (AA) women are among the least physically active groups in the United States. The purpose of this study was to gain perspectives of AA women who are physically active and understand how they continue long-term PA. In this qualitative descriptive study, we interviewed 14 AA women using researcher-developed open-ended questions. Transcription was analyzed through content analysis. The socioecological model guided the organization of themes that emerged from the data. Individual level themes were: managing my health and lifestyle to remain physically active. Social level themes were:incorporating PA in social exchanges with family, friends, and coworkers and establishing mutual support of PA among family and friends. Environmental level themes were: using the neighborhood and work environments as venues encouraging PA. There were no emerging themes at the political level; however, there were findings at the environmental level that could be interpreted as policy-level issues.Knowing specific factors that influence long-term PA may help us with the development of interventions to increase PA in AA women.

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This four-phase evidence-based practice initiative was designed to determine preliminary contextual characteristics of collegian nursing students in receiving, or their lack of receiving, the flu vaccine. Subsequently, strategies were developed to improve and maintain the students’ participation in flu vaccines. This study relates to the welfare of student nurses and patients in their care. Students perform patient care in hospitals, clinics, and other settings where patients in compromised health are especially vulnerable to influenza. The Centers for Disease Control and Prevention reported that the 2009 H1N1 pandemic resulted in more than 12,000 influenza-related deaths in the US. The Joint Commission requires hospitals and long-term care facilities to provide on-site access to influenza immunisation to staff and licensed independent practitioners; however, no provisions for student nurses are specified. Employer-mandated influenza immunisation as a term for employment was associated with a significant increase in healthcare employees receiving the flu vaccine, but, in the main, students are currently not mandated to receive the flu vaccine. A one-day reduction of influenza-like illness for every two college and university students vaccinated has been reported. Therefore, improving influenza immunisation rates may have academic and performance benefits for nursing students.