Introduction: Prostate cancer is the most prevalent form of non-cutaneous cancer in the male population and a major cause of death in men. The purpose of this study was to evaluate knowledge of prostate cancer screening rural men in Ripley County, Southeastern Indiana.Methods: An 11 item survey was developed and distributed in two family practices, multiple retail sites, and eateries located within Ripley County, Southeastern, Indiana Findings: A convenience sample of 59 men over the age of 50 was recruited by the primary investigator (PI). Through descriptive analysis, the data demonstrates men in Ripley County, Indiana are aware of current prostate cancer screening guidelines. Although they indicated knowing updated information regarding prostate cancer screening, many have not obtained screening. Study findings point to the need for educational programs designed to improve prostate cancer screening rates in this population. Conclusion:Results demonstrate men state they have enough information regarding prostate cancer screening, however many have not obtained screening. The influence of the healthcare provider, spouse, and the men obtaining prostate cancer screening were found to have relationships.

Patient experience/risk Rogers et al. (2004) found nurses that worked longer than 12.5 h were more likely to commit patient-related errors with adverse patient outcomes and had a three time greater risk of making medical errors. In a more recent study, Han, Trinkoff, and Geiger-Brown (2014) found long work hours during nurses' typical work schedules were significantly related to patient mortality. Stimpfel and Aiken (2013) found Journal of Pediatric Nursing 47 (2019) 167-170 ☆ The mission of the Society of Pediatric Nurses is to support its members in their practice. One means of accomplishing this mission is to keep membership informed of innovative initiatives involving the board, committees, and members that promote research, clinical practice, education, and advocacy within the larger pediatric healthcare community. This department serves that purpose. ☆☆

Purpose: Prostate cancer is the most prevalent form of non-cutaneous cancer in the male population and a major cause of death in men. The purpose of this study was to evaluate knowledge of prostate cancer screening among rural men in Ripley county, Indiana. Methods: An 11 item survey was developed and distributed in two family practices, multiple retail sites, and eateries located within Ripley County, Southeastern, Indiana Findings: A convenience sample of 59 men over the age of 50 was recruited by the primary investigator (PI). Through descriptive analysis, the data demonstrates men in Ripley County, Indiana are aware of current prostate cancer screening guidelines. Although they indicated knowing updated information regarding prostate cancer screening, many have not obtained screening. Study findings point to the need for educational programs designed to improve prostate cancer screening rates in this population. Conclusion: Results demonstrate men state they have enough information regarding prostate cancer screening, however many have not obtained screening. The influence of the healthcare provider, spouse, and the men obtaining prostate cancer screening were found to have relationships. DOI:  http://dx.doi.org/10.14574/ojrnhc.v14i1.27 Keywords: prostate cancer screening, survey, theory, models,

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Background and objective: When serious illness prevails or when faced with an end-of-life event, nurses should recognize symptoms and support patients with decision-making. By encouraging advance care planning (ACP) in the outpatient setting, patient involvement is enhanced. Objective: A performance improvement plan was used to increase nurse care manager confidence levels with hosting ACP conversations.Methods: Design: Care managers attended a two-hour simulated session to observe how to educate and prepare patients to complete advance directives. The session included a video introduction with two different group activities that encouraged sharing experiences from the peer perspective. Options for care were explored, focusing on selecting a health care power of attorney and promoting an end-of-life values conversation. Setting/Participants: The group visit occurs in the outpatient setting in a small group with five nurse care managers in the first visit and nine nurses in the second visit. Measures: Using a Likert scale, a pre/post-visit survey was given with eight questions to measure confidence levels with ACP in the group visit setting. Follow-up interviews were voluntarily conducted to measure confidence in completing an ACP conversation with a friend or family member.Results: Eight of the fourteen care managers participated in the post-visit interviews. 63% expressed themes of increased comfort in understanding and sharing ACP steps. The overall mean for pre/post survey confidence level increased from 3.77 to 4.33 (S.D. 0.25), with the most significant increase centered around confidence to lead a values conversation to select preferences for care.Conclusions: This performance improvement plan to promote ACP in the outpatient setting aligns with past studies promoting a group visit to educate and prepare patients to complete advance directives. Although findings may have limited generalizability, due to their small sample size, future group visits should be considered as a possible solution to meet busy time constraints in the primary care office.