Ukamaka Oruche

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https://hdl.handle.net/1805/14113

Dr. Ukamaka Oruche’s interdisciplinary intervention program supports parents and caregivers of adolescents with disruptive behavior disorders (DBD). Adolescents with DBD, characterized by ongoing patterns of antisocial and defiant behaviors, have lower educational achievement, greater involvement with the criminal justice system, and lower rates of stable, long-term placement in the child welfare system than adolescents without DBD.

These adolescents have complex treatment regimens that require active parent involvement with child service and mental health systems. Parents describe feeling stressed, disrespected, and blamed for their adolescents’ behavior problems. These negative experiences leave parents feeling disengaged from care and less likely to follow recommended treatment, which can contribute to poor adolescent outcomes.

Low-income urban parents, particularly African Americans, are at greater risk for aversive interactions with professionals because of socio-economic disadvantage. Dr. Oruche developed the theoretical-based Family Management Efficacy intervention to address the stress parents and caregivers experience in caring for their adolescents with DBD.

Her intervention research is designed to strengthen family member’s perceived self-efficacy to manage interactions both within the family and with child service system professionals. Research products include a standardized treatment manual, a facilitator guide, parent workbooks, and fidelity checklists.

Dr. Oruche’s work to support parents and caregivers of adolescents with DBD is another example of how IUPUI faculty are TRANSLATING RESEARCH INTO PRACTICE.

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    Executive summary: Indiana Schools of Nursing substance abuse education
    (2022) Oruche, Ukamaka M.; Adams, Nicole; Xu, Jiayun; Crowder, Sharron; Cangany, Martha; Bracale, Jolene; Ofner, Susan; Fulton, Janet S.
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    Educational QUality-improvement in APRN Learning: Reducing Health Inequities for ALL Program (EQUAL-ALL Program)
    (2020-03-03) Oruche, Ukamaka M.
    We proposed a quality improvement project focused on MSN students to ensure they are well prepared to contribute with all diverse patient populations from both the United States and beyond. Specific aims are to assess MSN students’ learning needs and develop and implement a training program to increase MSN students’ knowledge and skills for working with different others.
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    Preparing Nurse Practitioner Students to Recognize Health Inequities and Global Health Issues
    (2022-07-24) Oruche, Ukamaka M.; Moorman, Meg; deRose, Barbara; Berlanga King, Gloria; Antisdel, J'Andra
    This is a quality improvement project to enhance the preparation of advanced practice or master's level nursing students training for workplace readiness to serve ALL patients and advance health equity locally and globally.
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    A Multidisciplinary Health Project in Rural South Eastern Nigeria: Our Contribution to Sustainable Development Goal 3
    (Indiana University, 2019-04-24) Oruche, Ukamaka M.; Hone, Augustina; Okwuchukwu, Ifeanyi; Liu, Jenny; Otey, Tamara; Commodore-Mensah, Yvonne
    • Low- and middle-income countries (LMICs) have limited medical resources which contributes to high morbidity and mortality rates from non-communicable diseases (NCDs) such as diabetes and hypertension. • Globally, diabetes prevalence is expected to increase from 8.4% in 2017 to 9.9% by 2045 (1); hypertension rates from 26.4% in 2020 to 29.2% by 2030 (2; 3). • The largest increases are expected in sub-Saharan African countries like Nigeria (1; 4). • Private and non-profit organizations play a critical role in providing health education, screenings, and treatment to vulnerable populations through medical missions or health service projects, which contribute to Sustainable Development Goal 3: Ensure healthy lives.
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    A Review of Nursing Position Statements on Racism Following the Murder of George Floyd and Other Black Americans
    (Association of Nurses in AIDS Care (Wolters Kluwer), 2021-07) Knopf, Amelia; Budhwani, Henna; Logie, Carmen H.; Oruche, Ukamaka M.; Wyatt, Erin; Draucker, Claire Burke; School of Nursing
    National outrage over the killings of George Floyd and other Black Americans in the United States prompted public outcry against police brutality and racism in law enforcement and drew national attention to systemic racism as a public health crisis. In response, during the summer of 2020 many health organizations issued position statements in response to the murders. This article examines such statements issued by 3 prominent nursing organizations and 18 schools of nursing. Thematic analysis revealed six themes in the statements of the professional organizations, and a content analysis revealed that the statements of the schools of nursing were generally aligned with these themes. Such position statements can provide a viable approach to the public commitment to anti-racist reforms, but it is unclear if such statements can promote meaningful and measurable change.
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    Development and assessment of the usability of a web-based referral to treatment tool for persons with substance use disorders
    (Springer Nature, 2021-09-08) Thoele, Kelli; Yu, Mengmeng; Dhillon, Mandeep; Comer, Robert; Maxey, Hannah L.; Newhouse, Robin; Oruche, Ukamaka M.; School of Nursing
    Background: Hospitalized people with unhealthy substance use should be referred to treatment. Although inpatient referral resources are often available, clinicians report that outpatient referral networks are not well-established. The purpose of this manuscript is to describe the development and usability testing of a web-based Referral to Treatment Tool (RTT © 2020 Trustees of Indiana University, all rights reserved) designed to identify treatment centers for people with unhealthy substance use. Results: The RTT was conceptualized, developed, and then populated with public use and local survey data of treatment centers from 14 market ZIP codes of hospitals participating in an SBIRT implementation study. The tool underwent initial heuristic testing, followed by usability testing at three hospitals within a large healthcare system in the Midwest region of the United States. Administrative (n = 6) and provider (n = 12) users of the RTT completed a list of tasks and provided feedback through Think-Aloud Tests, the System Usability Scale, and in-person interviews. Patients (n = 4) assessed multiple versions of a take-home printout of referral sites that met their specifications and completed in-person interviews to provide feedback. Each administrative task was completed in less than 3 min, and providers took an average of 4 min and 3 s to identify appropriate referral sites for a patient and print a referral list for the patient. The mean System Usability Scale score (M = 77.22, SD = 15.57, p = 0.03) was significantly higher than the passable score of 70, indicating favorable perceptions of the usability of the RTT. Administrative and provider users felt that the RTT was useful and easy to use, but the settings and search features could be refined. Patients indicated that the printouts contained useful information and that it was helpful to include multiple referral sites on the printout. Conclusion: The web-based referral tool has the potential to facilitate voluntary outpatient referral to treatment for patients with unhealthy substance use. The RTT can be customized for a variety of health care settings and patient needs. Additional revisions based on usability testing results are needed to prepare for a broader multi-site clinical evaluation
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    Managing Life's Anxieties
    (Indiana University, 2019-07-19) Oruche, Ukamaka M.
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    The Role and Practice of Clinical Nurse Specialist in Nigeria
    (Springer, 2021) Obichi, Chidiebele Constance; Anieche, John Emenike; Osuala, Eunice Ogonna; Oruche, Ukamaka M.; Fulton, Janet S.; Holly, Vincent W.
    Although the clinical nurse specialist was recognized as an expert practitioner in the United States for 50 years, there is an absence of a framework for the clinical nurse specialist role in Nigeria. There are three pathways through which the federal government, state government, and private sector provide specialist education and training for nurses in Nigeria. Nurses who have received graduate education should practice to the full extent of their education and training. Also, nurses who have their practice expanded in the treatment of communicable diseases and reproductive, maternal, newborn, and childcare should be appropriately recognized. This chapter explores challenges to developing the clinical specialist nurse role in Nigeria and the extent to which the clinical nurse specialist role is evolving in Nigeria through specialist education and training for nurses. Regardless of the pathway, setting, or specialty, Nigerian nurses may have achieved many clinical nurse specialist core competencies without a formal master’s education. Hence, Nigeria is long overdue for the development, recognition, and legal inclusion of the clinical nurse specialist role and practice in the career structure of nurses at all levels of the Nigerian health system.