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Improving Mental Health Literacy and Reducing Stigma in African American Nurses
Improving Mental Health Literacy and Reducing Stigma in African American Nurses
Improving Mental Health Literacy and Reducing Stigma in African American Nurses

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자료유형  
 학위논문 서양
최종처리일시  
20260202104639
ISBN  
9798280761605
DDC  
362
저자명  
Ahinasi, Sonnia Aba.
서명/저자  
Improving Mental Health Literacy and Reducing Stigma in African American Nurses
발행사항  
[Sl] : University of California, Los Angeles, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
94 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-12, Section: B.
주기사항  
Advisor: Skrine Jeffers, Kia.
학위논문주기  
Thesis (D.N.P.)--University of California, Los Angeles, 2025.
초록/해제  
요약Background: African American nurses face unique challenges related to mental health literacy and stigma, compounded by systemic racism, cultural mistrust, and inadequate training in culturally sensitive mental health care. Depression and anxiety, particularly exacerbated by the COVID-19 pandemic, remain underdiagnosed and undertreated in this population due to structural inequities and persistent stigma. These challenges not only affect the nurses themselves but also impact the quality of care delivered to their communities. Objectives: This Doctor of Nursing Practice (DNP) Scholarly Project aimed to evaluate the effectiveness of a culturally tailored, four-hour mental health training program in improving mental health literacy and reducing stigma among African American nurses. The intervention sought to foster greater awareness, reduce self-stigma, and improve readiness to assess and manage mental health issues. Methods: A one-group, pretest-posttest design was used with assessments at baseline, immediately post-intervention, and one-month follow-up. Seventeen African American nurses participated in the program. Data were collected using validated instruments: the Mental Health Literacy Scale (MHLS) and the Stigma and Self-Stigma Scales (SASS). Quantitative analysis included paired t-tests, Wilcoxon Signed-Rank Tests, and effect size calculations. Qualitative data were collected through open-ended feedback and analyzed thematically to explore participant perspectives. Results: Statistically significant improvements were found in MHLS scores from the pre-test (M = 108.18) to the post-test (M = 135.76) and follow-up (M = 139.94), with large effect sizes (Cohen's d 1.4). Notable reductions in stigma were observed in the domains of social distance, self-stigma, and anticipated stigma. However, no significant changes were found in stigma toward others, avoidant coping, or help-seeking behaviors. Qualitative findings reinforced these outcomes, with participants reporting enhanced confidence, emotional resonance, and increased cultural relevance of the training. Conclusion: The culturally tailored intervention significantly improved mental health literacy and reduced specific dimensions of stigma among African American nurses. These results highlight the importance of culturally congruent training in promoting equitable care and empowering nurses to serve as mental health advocates in their communities. Future research should explore longitudinal impacts, include larger samples, and integrate system-level changes to sustain progress and expand applicability.
일반주제명  
Mental health
일반주제명  
Health education
일반주제명  
African American studies
일반주제명  
Nursing
일반주제명  
Clinical psychology
키워드  
African American nurses
키워드  
Culturally tailored interventions
키워드  
Depression assessment
키워드  
Health disparities
키워드  
Mental health literacy
키워드  
Stigma reduction
기타저자  
University of California, Los Angeles Nursing 0597
기본자료저록  
Dissertations Abstracts International. 86-12B.
전자적 위치 및 접속  
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MARC

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■1001  ▼aAhinasi,  Sonnia  Aba.
■24510▼aImproving  Mental  Health  Literacy  and  Reducing  Stigma  in  African  American  Nurses
■260    ▼a[Sl]▼bUniversity  of  California,  Los  Angeles▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a94  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-12,  Section:  B.
■500    ▼aAdvisor:  Skrine  Jeffers,  Kia.
■5021  ▼aThesis  (D.N.P.)--University  of  California,  Los  Angeles,  2025.
■520    ▼aBackground:  African  American  nurses  face  unique  challenges  related  to  mental  health  literacy  and  stigma,  compounded  by  systemic  racism,  cultural  mistrust,  and  inadequate  training  in  culturally  sensitive  mental  health  care.  Depression  and  anxiety,  particularly  exacerbated  by  the  COVID-19  pandemic,  remain  underdiagnosed  and  undertreated  in  this  population  due  to  structural  inequities  and  persistent  stigma.  These  challenges  not  only  affect  the  nurses  themselves  but  also  impact  the  quality  of  care  delivered  to  their  communities.  Objectives:  This  Doctor  of  Nursing  Practice  (DNP)  Scholarly  Project  aimed  to  evaluate  the  effectiveness  of  a  culturally  tailored,  four-hour  mental  health  training  program  in  improving  mental  health  literacy  and  reducing  stigma  among  African  American  nurses.  The  intervention  sought  to  foster  greater  awareness,  reduce  self-stigma,  and  improve  readiness  to  assess  and  manage  mental  health  issues.  Methods:  A  one-group,  pretest-posttest  design  was  used  with  assessments  at  baseline,  immediately  post-intervention,  and  one-month  follow-up.  Seventeen  African  American  nurses  participated  in  the  program.  Data  were  collected  using  validated  instruments:  the  Mental  Health  Literacy  Scale  (MHLS)  and  the  Stigma  and  Self-Stigma  Scales  (SASS).  Quantitative  analysis  included  paired  t-tests,  Wilcoxon  Signed-Rank  Tests,  and  effect  size  calculations.  Qualitative  data  were  collected  through  open-ended  feedback  and  analyzed  thematically  to  explore  participant  perspectives.  Results:  Statistically  significant  improvements  were  found  in  MHLS  scores  from  the  pre-test  (M  =  108.18)  to  the  post-test  (M  =  135.76)  and  follow-up  (M  =  139.94),  with  large  effect  sizes  (Cohen's  d    1.4).  Notable  reductions  in  stigma  were  observed  in  the  domains  of  social  distance,  self-stigma,  and  anticipated  stigma.  However,  no  significant  changes  were  found  in  stigma  toward  others,  avoidant  coping,  or  help-seeking  behaviors.  Qualitative  findings  reinforced  these  outcomes,  with  participants  reporting  enhanced  confidence,  emotional  resonance,  and  increased  cultural  relevance  of  the  training.  Conclusion:  The  culturally  tailored  intervention  significantly  improved  mental  health  literacy  and  reduced  specific  dimensions  of  stigma  among  African  American  nurses.  These  results  highlight  the  importance  of  culturally  congruent  training  in  promoting  equitable  care  and  empowering  nurses  to  serve  as  mental  health  advocates  in  their  communities.  Future  research  should  explore  longitudinal  impacts,  include  larger  samples,  and  integrate  system-level  changes  to  sustain  progress  and  expand  applicability.
■590    ▼aSchool  code:  0031.
■650  4▼aMental  health
■650  4▼aHealth  education
■650  4▼aAfrican  American  studies
■650  4▼aNursing
■650  4▼aClinical  psychology
■653    ▼aAfrican  American  nurses
■653    ▼aCulturally  tailored  interventions
■653    ▼aDepression  assessment
■653    ▼aHealth  disparities
■653    ▼aMental  health  literacy
■653    ▼aStigma  reduction
■690    ▼a0347
■690    ▼a0680
■690    ▼a0296
■690    ▼a0569
■690    ▼a0622
■71020▼aUniversity  of  California,  Los  Angeles▼bNursing  0597.
■7730  ▼tDissertations  Abstracts  International▼g86-12B.
■790    ▼a0031
■791    ▼aD.N.P.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358291▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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