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Are Students Prepared To Engage In Evidence-Based Practice (Ebp)? Developing Essential Ebp Skills, Sharon Stahl Wexler, Esma Paljevic, Marie-Claire Roberts, Lin J. Drury, Noreen Bridget Brennan

International Nursing Research Congress (INRC)

Background: Over the past six years we reimagined EBP throughout our undergraduate program using the AACN Baccalaureate Essentials as our guide. Student and faculty feedback was positive, work products were excellent. We measured EBP competencies for each cohort and were able to demonstrate success, however we did not have a cumulative measure of all of the students over time.

Purpose: To measure EBP competencies and knowledge of students in in the undergraduate program.

Methods: IRB approval was obtained from the university. The ACE Evidence Based Readiness Inventory (ACE-ERI) is an online instrument that measures self-reported competencies in EBP. The instrument …

Perceived Quality Of Life Following Falls: Voices Of Community-Dwelling Older Adults, Anthony A. Adeniran

International Nursing Research Congress (INRC)

The purpose of the study was to document the voices of community-dwelling older adults" perceived quality of life following the experience of falls.

Effects Of Care Arrangements On Chinese Older Adults' Relocation To Long-Term Care Facilities, Jing Wang, Bei Wu, Wei Pan, Qing Yang

International Nursing Research Congress (INRC)

China's population is experiencing the most rapid aging process in the world. Elder care in China has become a growing public concern. This study was among the first to use national longitudinal survey data to examine how different care arrangements would affect institutionalization among Chinese community-dwelling older adults.

Enhancing Mental Health Competencies In Advanced Practice Nursing Graduates, Nancy E. Edwards, Susan J. Kersey

International Nursing Research Congress (INRC)

Purpose: The purpose of this project was to assess the impact of a curricular enhancement of mental health content to Adult Gerontology Primary Care Nurse Practitioner students. The project goal was to demonstrate the influence of this enhanced curricular content on graduating NP students" perceived competence and confidence in providing care for patients with basic mental health concerns in the primary care setting.

Methods: A gap analysis was conducted to determine the mental health content that needed to be integrated into the curriculum. The content was determined by comparing the current curriculum with the 2013 NONPF Population- Focused Nurse Practitioner …

Assessment And Management Of Alcohol Use Disorder In Older Adults: A Review Of The Evidence, Mary Dibartolo, Judith M. Jarosinski

International Nursing Research Congress (INRC)

Purpose: The aim of this presentation is to summarize and critically evaluate the recent literature on methods to better identify AUD in older adults, including instruments specifically developed or modified for this age group, as well as, delineate targeted treatment strategies which may be more effective in achieving and maintaining sobriety in this population.

Background: Alcohol Use Disorder (AUD) has been identified as a significant, under-recognized, underreported and hidden epidemic in the U.S. (Alpert, 2014). The prevalence is expected to rise dramatically as the number of adults aged 65 and older increases to one in five by 2030. Worldwide, older …

Advancing The Practice Of Nursing Through Specialty Fellowship Development, Kelly Keefe Marcoux, Shayleigh K. Dickson, Cathleen A. Cahill, Christopher Haines

International Nursing Research Congress (INRC)

In the United States, Advanced Practice Nurses (APNs) include nurse practitioners, clinical nurse specialists, nurse midwives and nurse anesthetists. This presentation will focus primarily on nurse practitioner APNs. Upon graduation from a master"s or doctoral program in nursing, APNs are eligible for national certification and state licensure in one of six population foci. APNs are fully prepared to practice in a variety of inpatient and ambulatory settings upon graduation; however, for APNs who choose to further specialize their practice within one of these population foci, options for post-graduate training are limited. Historically, fellowship training has been utilized by physicians to …

Clinical Practice Characteristics Of Nurse Practitioners Managing The Care Of Older Adults, Laurie Kennedy-Malone, Marianne Shaughnessy

International Nursing Research Congress (INRC)

Purpose: A national survey of nurse practitioners (NP) who manage the care of older adults in the United States was conducted to determine the practice characteristics in terms of engagement in professional activities and clinical skills in relationship to years of experience as a nurse practitioner, practice setting, and population foci nurse practitioner preparation (adult, gerontological, adult-gerontology, family, or other).

Methods: The Advanced Practice Nurses Managing the Care of Older Adults Practice Profile (APNMCOA), a 153 item survey designed to ascertain practice characteristics of nurse practitioners managing the care of older adults was developed to be administered in an on-line …

Right Time In Medication Administration: A Multifaceted Concept, Juliana J. Brixey, William Scott Erdley

International Nursing Research Congress (INRC)

Purpose: The medication administration process is a five-step procedure entailing prescribing, transcribing, dispensing, administering, and monitoring. Medication administration involves giving a pharmacological agent, such as a drug, to a patient or client. Within medication administration the patient expects the right medication, in the right dose, to be at the right time, and by the right route. ‘Right time", which is clearly identified as an important component of the medication administration process, should therefore be clearly defined as well achievable. ‘Right time" also implies a measurable period of time. The literature does not clearly define ‘right time" instead defining through linking …

Association Between Age-Related Hearing Loss And Disability In Older Adults: A Systematic Review, Tzu-Chia Lin, Miaofen Yen

International Nursing Research Congress (INRC)

Purpose: Age-related hearing loss (ARHL) is the loss of hearing or proportional to the degree of hearing impairment that gradually occurs as we grow older. ARHL management also consumes an increasing portion of healthcare expenditures given the rising mean age of people. Previous studies have investigated the association of ARHL and disability in older adults, but the results are inconsistent. However, identifying potentially modifiable risk factors such as hearing loss would provide a substantial public health benefit. Therefore, the aim of the study was to comprehensively evaluate the evidence connecting ARHL to disability in older adults.

Methods: Studies were identified …

Using The Mds-Hc To Assess Health Status And Care Needs Of The Elderly Living Alone, Chia-Chi Chang, Yi-Jung Wu, Li-Min Kuo

International Nursing Research Congress (INRC)

The aim of the study was to understand the health status, care needs, and the predicative factors that influence their care needs among elderly living alone. The cross-sectional study was conducted and a total of 151participants were enrolled. The interviewers assessed their health status and care needs by using MDS-HC instruments. The results indicated that who are predominantly male, widowed, and illiterate or with only an elementary school education; their average age is 82.18 years old. In terms of health, the ADL and IADL function are generally good. The 70.9% of participants was having visual impairment. On average, each person …

Changing Attitudes With A Gerontological Nursing Course, Monica L. Tenhunen

International Nursing Research Congress (INRC)

Nursing education needs to focus on preparing graduates to understand the special needs of the older adult population and value positions in care of older adults. The purpose of this study was to determine baccalaureate nursing students' attitudes toward older adults and whether a gerontological nursing course changes their attitudes.

Application Of The "Attentively Embracing Story" Theory In Older Persons Living In Long-Term Care Facilities, Hui-Wan Chuang

International Nursing Research Congress (INRC)

Background: The "Attentively Embracing Story" is a middle-range nursing theory, which employs intentional dialogue to encourage individuals to describe events that are a challenge to their health. The "Attentively Embracing Story" helps individuals transform negative thoughts into positive thoughts, reflect on new meanings and values, and boost spiritual healing and health improvement. However, most studies had methodological shortcomings, including small sample sizes (N<10), pre-post designs, lack of objective outcome, and lack of active treatment controls, which preclude clear conclusions regarding efficacy.

Purpose: The purpose of this study was to examine the effectiveness of a "Story-Centred Care Intervention Program" based on the "Attentively Embracing Story", in improving quality of life, blood pressure and heart rate variability in institutionalized older …

Impact Of Niche Preparation On Nursing Knowledge Of Geriatric Patient Care, Tru Brynes

International Nursing Research Congress (INRC)

The aging of the United States population has profound implications for nursing practice and health care costs (Capezuti, Bolt, Cline, Dickson, Rosenberg, Wagner, Shuluk, & Nigolian, 2012). Their health care utilization are three to five times more than younger patients, which accounted for $444 billion or 23% of the health care spending in 2008 and 13 % of the U.S federal budget (Wier, Pfuntner, & Steiner, 2010). Research shows units that have implemented the Geriatric Resource Nurse (GRN) model have better patient outcomes in terms of preventing falls and fall related injuries, decreased restraint use, early recognition of confusion or …

Strategies To Increase Research Productivity In A College Of Nursing, Stephen J. Cavanagh

International Nursing Research Congress (INRC)

The purpose of this five-year evaluation case study (2011-2016) was to identify changes in faculty scholarly performance metrics associated with the introduction of a research strategic plan within a college of nursing in the United States of America.

Advance Practice Registered Nurses' (Aprns') Clinical Practice Strategies To Deter Antibiotic Overuse, Pamela Willson, Susan K. Lee, Marcia Poole

International Nursing Research Congress (INRC)

Purpose: Despite evidence that unnecessary antibiotic therapy for acute respiratory tract infections (ARTIs) increases risk of adverse drug events, increases antibiotic-resistant bacteria and healthcare costs, while not providing clinical improvement, prescription use is common. While there are reports of physician clinical practice strategies to deter antibiotic overuse, no studies specific to Advanced Practice Nurses" (APNs) practice behaviors were found. The provider"s communication of positive and negative treatment recommendations leans to support for deterring antibiotic misuse. The primary aim of this study was to describe APNs clinical strategies to reduce antibiotic overuse for ARTIs in pediatric patients.

Methods: The conceptual model …

An Application Of Machine Learning For The Identification Of Adolescent Smoking Risk Factors, Sophia Chung, Youngji Li

International Nursing Research Congress (INRC)

Purpose: Smoking is known to be a modifiable risk behavior that causes various health problems that include cancer and respiratory disease. Moreover, the literature reveals that adolescent smoking behaviors are likely to persist through adulthood, and this is the case in countries worldwide. In South Korea, despite many effeorts to reduce smoking among Korean adolescents, this modifiable risk behavior remains a significant social problem. An effective intervention to target and modify the behavior of adolescents concerning smoking must understand and address the factors that underlie and influence the behavior of smoking. These factors canbe surfaced in data using an appropriate …

What Do Nurses Ask About? A Review Of Nursing Questions In A Brazilian Telemedicine System, Jacqueline E. Brixey, Juliana J. Brixey

International Nursing Research Congress (INRC)

Purpose: Across the globe, nurses are often on the front lines for health care delivery in places where physicians are scarce or nonexistent, such as in rural areas or urban slums [2]. For example, the constitution of Brazil guarantees free public healthcare to every citizen, however, many doctors and specialists are concentrated in the large coastal cities of the country, with populations in the rural interiors drastically underserved by health care professionals [3]. The Health Ministry of Brazil implemented the Programa Telessaúde Brasil Redes to combat this issue by providing health support, advice from specialists, and permanent health education via …

The Experiences Of Elderly Immigrants Of Mexican Origin With Life-Limiting Illness: A Critical Ethnography, Sandra Scott Lee

International Nursing Research Congress (INRC)

Purpose: Although limited studies have explored the health care needs of elderly immigrants of Mexican origin, Mexican immigrants account for the largest immigrant group in the United States. As of 2014, 28% of the total immigrant population is of Mexican origin, with 8% of Mexican immigrants being age 65 years and older (Zong & Batalova, 2016). Furthermore, studies to-date do not make recommendations for nursing practice. The purpose of this qualitative study was to describe and explain the health care experiences of elderly immigrants of Mexican origin who face life-limiting illness in the United States. The study aimed to answer …

Participatory Approach To Build Capacity: Nurse-Led Research To Overcome Insufficient Mobility In Hospitalized Older Adults, Gordana Dermody, Ruth A. Bryant

International Nursing Research Congress (INRC)

Purpose: The objectives of this presentation are to: 1) Describe the participatory approach used to involve bedside nurses, and other disciplines in the conduct of nurse-led research to overcome insufficient older adult mobilization. 2) Discuss how this participatory approach served as a spring-board to build capacity for additional nurse-led research at the bedside.

Background: It is well-known that hospitalized older adults do not receive the mobility they need (Barber et al., 2015; Fisher, Graham, Ottenbacher, Deer, & Ostir, 2016). Due to musculoskeletal changes that accompany aging, this population is at increased risk for accelerated muscle loss and weakness which contributes …

The Effect Of Safe-Movement And Walking Program On Reducing The Fear Of Falling In Elderly, Saime Erol, Gulcan Kar

International Nursing Research Congress (INRC)

The aim of this study is to determine the effects of “Safe Movement and Walking Program” on reducing the fear of falling in elderly individuals living in a nursing home.

Physical Activity And Cognitive Function Among Mild Cognitive Impairment Community-Dwelling Elderly Adults: The Transtheoretical Model, Tzu-Ting Huang, Ying-Fang Huang

International Nursing Research Congress (INRC)

Background: Mild cognitive impairment (MCI) is a common clinical syndrome that identifies people at high risk of developing dementia, and the prevalence range from 7.7 to 51.7%. Although treatments for MCI are currently unavailable, preliminary evidence has identified potential neuro-protective effects of physical activity (PA), which may lead to improved outcomes. However, the design and delivery of an appropriate programme for people with MCI is challenging for having physical, psychological, cognitive, and social barriers.

Purpose: The purposes of this study are to develop and examine physical activity program, on primary outcomes (cognitive function & IADL), and secondary outcomes (physical fitness, …

Personalized Pediatric Pain Management: Myth Or Reality?, Cheryl Mele

International Nursing Research Congress (INRC)

For a child undergoing a surgical procedure or issues with chronic pain, an essential goal is to obtain optimal pain management without significant adverse effects. Regretfully, safe and operative analgesia is an indefinable medical objective. Pain management within the pediatric realm reports that 50% pediatric perioperative pain experience will be efficient and acquire minimal side effects from opioids (Sadhasivam et al., 2014), It is well known that poor pain control can harvest physical difficulties, prolonged post-op recovery, and long-term behavioral complications. Still there is an extensive range of reactions to opioids secondary to variability in patient"s gender, ethnicity, development, co-morbidities …

Anxiety-Reducing Efficacy Of Inhaled Essential Oils: A Case Study And Literature Review, Dawn L. Langley-Brady

International Nursing Research Congress (INRC)

Purpose: Anxiety disorders impact approximately 40 million adults, are the most prevalent mental health-related diagnosis, and cost the United States healthcare system over 42 billion dollars annually. Additionally, anxiety can mimic many other health problems (e.g., shortness of breath, chest pain, nausea and vomiting), thus adding to the burden on patients and healthcare systems. Current anxiety treatment consists of pharmacotherapy, cognitive behavioral therapy, and some complementary therapies, but not aromatherapy. Pharmacological approaches to reduce anxiety primarily include the administration of benzodiazepines, but may also include SSRIs, and beta-blockers. These pharmacological approaches come with a myriad of potential side effects including …

Improving Clinical Outcomes And Physical Activity In Older Adults With Comorbidity: A Randomized Controlled Trial, Elizabeth A. Schlenk, Susan M. Sereika, Joan Rogers, G. Kelley Fitzgerald, C. Kent Kwoh

International Nursing Research Congress (INRC)

Purpose: Over 9 million Americans have osteoarthritis (OA) of the knee, a chronic disorder associated with frequent knee pain and functional limitations that intrude upon everyday life. About half of those with OA of the knee have hypertension (HBP), one of the most prevalent risk factors for cardiovascular disease (Eymard et al., 2015). Persons with OA of the knee experience reductions in blood pressure (BP) when they participate in regular physical activity. Yet, only 13% of persons with OA of the knee (Wallis et al., 2013) and 28% with HBP (Healthy People 2020) meet recommended guidelines for physical activity. Although …

Diverse Educational Strategies Enhance Multigenerational Learning In The Classroom And Workplace, Joyce I. Karl, Oralea Pittman

International Nursing Research Congress (INRC)

Purpose: This presentation will examine similarities and differences among generations and how diverse educational strategies can be developed for the multigenerational classroom or workplace. It will also discuss how traditional, interactive, and problem-based intergenerational activities may benefit all participants.

Review of Literature: In the classroom, three generations are often present among the faculty and students; baby boomers, Generation X, and millennials (Generation Y). Although it is important to avoid assumptions about individuals, each group has values and skills which are different. Baby Boomers prefer structured learning. Hard work is the way to earn respect and advancement in the workplace (Gallo, …

Developing Clinical Guidelines To Improve The Care Of Older People With Diabetes, Trisha Lynette Dunning

International Nursing Research Congress (INRC)

Background: Diabetes is associated with functional, cognitive, and social changes. Polypharmacy and under-or malnutrition, pain, depression, falls, confusion, delirium and significant medicine-related adverse events including hypoglycaemia are common (Munshi et al. 2016). There are a number of existing guidelines for the care of older people with diabetes but conversations with staff caring for caring for older people with diabetes indicated that such guidelines do not address core components of the care such as sexual health and end of life. There is limited clinical trial evidence to support recommendations and low regard for expert/consensus opinion. Older people with diabetes are often …

The Integration Of Mental Health Competencies Into A Primary Care Nurse Practitioner Curriculum, Pamela Aselton, Gabrielle P. Abelard, Linda A. Lewandowski, Raeann Genevieve Leblanc, Clare F. Lamontagne, Lori Anne Lyne

International Nursing Research Congress (INRC)

Purpose: Primary care clinicians must be prepared to assess, treat, and refer patients for appropriate services for mental health care. Studies have shown that the majority of prescriptions for antidepressant and anxiety medication are written in primary care offices. More than 50% of adult patients with depression are diagnosed and managed by primary care providers (Scandis and Watt, 2013). Less than 60 percent of adults with significant mental illness receive treatment in the United States (NSDUH, 2013).

Mental health services need to be better integrated into primary care given the shortage of mental health providers in many areas.

There is …

Attitudes Toward The Elderly Among Pre-Licensure Nursing Students, Maria E. Mackey

International Nursing Research Congress (INRC)

Purpose: In the United States, the baby-boomers of yesteryear are emerging as today and tomorrow"s elderly population. Given this fact, health care is faced with the challenge of providing safe, quality, and compassionate care to this ageing population. According to the U.S. Census Bureau (2014), in 2010 the population of elderly (identified as 65 and older) accounted for 13.1% of the U.S. population. The U.S. Census Bureau (2014) projects that in the year 2030, the population of elderly in the U.S. will nearly double to 20.3%, and will sustain through 2060 with a projected elderly population of 20.9%. While projections …

Nursing Programs And Supportive Housing Sites: Mutual Benefits Of Multigenerational Engagement Through Innovative Academic-Practice Partnerships, Maureen F. O'Shea, Mary Mccarthy, Barbara J. Pinchera, Margaret Sullivan

International Nursing Research Congress (INRC)

Through a collaborative partnership, traditional baccalaureate undergraduate nursing students, together with residents of an older adult community with supportive services, engage in purposeful, semi-structured activities while considering factors that influence individual, community and population health throughout the lifespan. Participants utilize evidence-based assessment tools and explore aspects of individualized aging, complexity of care, and personal vulnerability during life transitions. The focus on the five domains of wellness: physical, social, cognitive, spiritual, and emotional. A range of topics include: medication management, health assessment, disease prevention and management, home safety, falls assessment, psycho-social well being, delirium, dementia and sensory impairments, depression and anxiety …

27th International Nursing Research Congress 2016 Conference Proceedings, Sigma Theta Tau International

Sigma Publications: Book Excerpts

The Honor Society of Nursing, Sigma Theta Tau International (STTI) conducted its 27th International Nursing Research Congress in Cape Town, South Africa, 21-25 July 2016. More than 700 nurses from around the world gathered at the congress, which had as its theme "Leading Global Research: Advancing Practice, Advocacy, and Policy."

Program objectives of the 27th International Nursing Research Congress include:

• Interpret research findings' influence on nursing practice, advocacy, and/or policy.
• Enhance nursing knowledge through research or evidence-based practice to impact nursing outcomes.
• Examine the translation of evidence into practice or education.
• Identify opportunities for international collaboration in nursing research, evidence-based …