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Nursing And Midwifery Links [May 2017 Issue], At The University Of Technology Sydney In Australia. Who Collaborating Centers For Nursing And Midwifery Development. Global Network. Secretariat

Nursing and Midwifery Links (LINKS)

Nursing & Midwifery Links aims to disseminate information on the Global Network of WHO Collaborating Centres for Nursing and Midwifery Development and publish technical-scientific articles related to Nursing and Midwifery in the light of WHO's program of work. The document attached to this record is the complete issue published in May 2017.

Healthy Work Environments For Retention Of Hospital Nurses In Japan, Sachiko Tanaka, Yasuko Ogata, Midori Nagano, Kimiko Katsuyama, Yoshie Yumoto

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

This study was intended to clarify the factors involved in Healthy Work Environments (HWE) for retention of hospital nurses in Japan. This study is important for hospital nurses who wants to know what is Healthy Work Environments (HWE),and they can keep work healthy.

Characteristics Of The Nursing Practice Environment Related To Creating Healthy Work Environments For Nurses, Yasuko Ogata, Kimiko Katsuyama, Sachiko Tanaka, Midori Nagano, Yoshie Yumoto, Masaomi Ikeda

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Nurse managers' leadership and support of nurses form an important part of the nursing practice environment, and have a significant effect on staff nurses' health and tendency to remain in their jobs. To create a healthy work environment for nurses, authentic leadership by their managers is vital.

Reasons Why Dissatisfied Acute Care Registered Nurses And Health Care Assistants Remain In Their Jobs, Zelda Gibbs

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Financial challenges for hospitals demand strategies to ensure superior patient satisfaction scores. Healthcare employees face substantial challenges in their efforts to provide exceptional patient care and meet organizational expectations (Centers for Medicare and Medicaid Services, 2013; Top issues, 2016). Health care assistants (HCAs) are providing direct care for patients along with registered nurses (RNs). Yet, they are an understudied population in acute care facilities. Job descriptions for HCAs in acute care facilities are extremely diverse, and RNs feel reluctant to assign responsibilities to HCAs (Jenkins & Joyner, 2013; McKenzie & Turkhud, 2013). Stressful …

Building Effective Mentorship Dyads With The Use Of Attachment Theory, Carann Elizabeth Tribbett, Vicky H. Becherer

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: Scope of Abstract: New nurse educators often characterize their transition into the professional faculty role as being fraught with anxiety, uncertainty, and a general lack of confidence (Ferguson, 2011). A frequently identified factor that hinders the role transition is a lack of formal pedagogical education (Schoening, 2013). One evidence-based solution to combat this emotionally tumultuous challenge is through the use of formalized mentoring programs (Ferguson, 2011). According to Brody et al. (2016), 82% of mentored nurse educators report a willingness to mentor others, and 95.5% of the mentored nurse educators would recommend mentorship …

Caregiver Burden And Quality Of Life Factors Affecting Caregivers Caring For Patients With Cutaneous T-Cell Lymphoma, Sue Mccann, Jill Huwe, Cindy Lipner, Elizabeth Astley, Abraham Apfel, Anthony Fabio, Oleg Akilov

General Submissions: Presentations (Oral and Poster)

A unique caregiver burden and quality of life for the caregivers of CTCL patients exists, and as such, there may be unidentified, and thus unmet, caregiver needs.

The purpose of this pilot study was to determine the demographics, unique caregiver burden, quality of life issues in those caring for patients with cutaneous t-cell lymphoma and the differences in caregiver burden dependent upon disease severity.

The Utilization Of An Alarm Elimination Fall Prevention Program, Angela Moses

DNP and Student Works

A typical nursing home with 100 beds reports 100-200 falls each year (CDC, 2015). It is common to see the utilization of personal alarms in nursing homes to prevent falls, although there is no evidence to support the idea that personal alarms reduce falls. The project aimed to address the question: In long-term care patients, what is the impact of an alarm elimination program versus current practice of utilizing alarms, on fall rates over a 2-month time frame? The project used a multi-pronged, alarm elimination program. Limitations of the project were an overall low compliance rate among staff, a short …

The Hidden Morbidity Of Cancer: An Exploratory Study Of Burden In Caregivers Of Cancer Patients With Brain Metastases, Marlon Garzo Saria

Dissertations

The aim of this dissertation was to explore the antecedents and outcomes of caregiver burden within the context of brain metastases using the Comprehensive Health Seeking and Coping Paradigm as a framework to describe the highly interactive iii relationship among the variables. The first paper derived from this dissertation is a literature review that describes the challenges of caring for a patient with brain metastases and highlights the implications for healthcare professionals. The second paper presents the analysis of the relationships between caregiver burden and the affective disorders anxiety and depression. It describes the higher risk of screening positive for …

Creating Shared Meaning Between Nurses And Physicians In The Nursing Home, Alyce S. Ashcraft, Donna C. Owen

Sigma Foundation for Nursing Research Grant Reports

The aims of this pilot study were as follows: (a) to examine the design and utility of an intervention based on the Sensemaking model, and (b) to examine communication between nurses and physicians caring for residents in the nursing home.

Research Questions:

1. Does communication improve from baseline after Sensemaking training (SBAR use) in the long-term care setting as perceived by nurses or physicians caring for nursing home residents?
2. Following Sensemaking training in the use of SBAR, is Shared Meaning apparent in communication events about change in resident status by nurses and physicians working in a nursing home?
3. To what extent …

A Quality Improvement Plan To Decrease Acute Care Transfers Through Better Staff Communication About Status Changes Among Assisted Living Residents, Hilda Eagleton

DNP and Student Works

Elderly residents of assisted living facilities (ALFs) are generally frail and may have multiple comorbidities (National Center for Assisted Living, 2010). Inadequate communication of changes in resident status precludes early intervention and may result in unnecessary acute care transfers.

Delirium Assessment In The Medical-Surgical Population: A Quality Improvement Project, Veronica Valazza

DNP and Student Works

Delirium is a complex syndrome that can affect many patients resulting in adverse outcomes. The use of a delirium assessment tool assists in the identification of delirium. The aim of this project was to determine whether delirium education and the use of a validated assessment tool can assist in the early identification of delirium.

Preventing Falls And Reducing Injury From Falls (4th Ed.), Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This best practice guideline (BPG) focuses on the prevention of falls and fall injuries in all adults at risk for falls -; including those living in the community -; who are receiving care from nurses or other health-care providers. Evidence reviewed for this guideline included studies conducted in three main health-care settings:

• community (including primary care and home care)
• hospital
• long-term care

For more information including supplementary documents and available translations, visit https://rnao.ca/bpg/guidelines/prevention-falls-and-fall-injuries

Gaps In Pain Management In Assisted Living, Pamela G. Wisor

DNP and Student Works

Assisted living (AL) is a growing lifestyle choice option available to the ailing aged in the United States. Increases in chronic disease may predispose this population to acute and chronic pain due to increased longevity with medical advances. The elderly populations in these facilities are frail with multiple chronic illnesses and cognitive and/or functional impairment adding to the difficulty in effective pain management practices. The burden of providing pain management in AL is on the nursing assistant whose education and scope of practice may not include performing pain assessment that impact resident quality of life and outcomes. Continuing education in …

Preoperative Cognition Screening And Postoperative Delirium In Older Surgical Patients, Lucy Andrews

DNP and Student Works

People 65 years or older are having surgery later in life and are at risk of developing a major postoperative complication, delirium. The Montreal Cognitive Assessment, is a preoperative cognitive screening tool which was used to screen thirty-three older orthopedic surgical patients to reduce the incidence of this serious postoperative complication. Patients who scored below normal were identified as at risk and monitored to ascertain if identification and monitoring influenced their postoperative course. At the first postoperative visit, each patient was evaluated for falls, confusion, and the ability to follow the required postoperative home exercise program to identify an undetected …

National Institutes Of Health Stroke Scale Certification Improved Assessment And Care Of Veterans: A Quality Improvement Project, Joshua W. Baker

DNP and Student Works

This pilot project sought to fill the gap in practice that included a lack of early recognition, assessment skills and practice guidelines for the care of stroke patients, improving patient care and hand off communication. A team was formed at an 11-unit Veterans Health Administration facility. The team comprised various nursing disciplines whom were invited to discuss the current state of veteran care, and current evidence based practices of stroke recognition and care. Pre- and post- intervention tests were administered and data was collected to measure the assessment, recognition, and comfort level of registered nurses (RNs). Data revealed nine out …

A Quality Improvement Plan For Safe Medication Administration For Unlicensed Personnel Working In A Type "A" Assisted Living Facility, Bridgett E. Sterling

DNP and Student Works

There is an increase in Assisted Living Facilities (ALF's) throughout the United States that has been coupled with residents that have increasingly complex conditions leading to unanticipated problems related to poor medication management (Woods, Guifang, Hawsook, & Phillips, 2010). The Texas Department of Aging and Disability Services (DADS) provides the best practice guidelines for licensed Type "A" ALF in Texas and for this clinical project.

Fall Prevention In Older Adults Who Reside In Nursing Homes, Dorothy Normile

DNP and Student Works

Falls among older adults who reside in the nursing home setting are a major problem in the United States (Center for Disease Control and Prevention [CDC], 2015). The site of this project was a nursing home located in a small town in New Hampshire. This home had a problem with the number of falls that occurred on a monthly basis. The rate of falls on average was two falls per month. This project sought to reduce the number of falls to zero over the course of three months. A fall prevention program using evidence base interventions was developed to reach …

Improving Patients' Health Literacy Level And Ability To Take Their Medication As Prescribed, Wanda Chukwu

DNP and Student Works

Community health nurses responsible for managing the care of sick patients have a responsibility in knowing how to prevent the progression of diseases and the promotion of self-management skills. There is a need to incorporate strategies that empower patients to be integral members of the health care team. This process can be achieved by breakdown communication barriers that assume that the health care provider has given the patient the appropriate health information

Supportive Hand Feeding In Dementia: Establishing Evidence For Three Hand Feeding Techniques, Melissa K. Batchelor-Murphy, Elaine Amella, Ruth A. Anderson, Eleanor S. Mcconnell, Connie Bales, Tracey L. Yap, Susan M. Kennerly, Susan G. Silva, Angel Barnes, Cornelia K. Beck, Cathleen Colon-Emeric

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Providing nutritional support has been a cornerstone of nursing practice since its inception. Nightengale, 1859. Many things have changed since 1859: life expectancy has increased, and rates of dementia have increased exponentially. Although times have changed, nursing's responsibility for basic nursing care has never been more important for persons with dementia (residents) in the nursing home (NH) setting. The establishment of an evidence-base for the complex basic care needs of this vulnerable population is critical for eradicating malnutrition. Feeding Assistants, often certified nursing assistants (CNAs), are faced daily with challenging, 'aversive' feeding …

The Etiology And Experience Of Falls: Community-Dwelling Older Adults' Perspectives, Anthony A. Adeniran

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: Community-dwelling older adults' falls represent a significant public health problem, and prevention is an important step to reducing healthcare costs and improving quality. According to Kochera (2002), 78% of all injuries that occurred from elderly falls happened in the community. Despite the fact that community-dwelling older adults have a higher risk for falls, there is less focus on fall prevention for this group. With the shift in the models of healthcare delivery from institutional to community settings; it is imperative that clinicians begin to understand fall prevention from community-dwelling older adults' perspectives. …

Addressing The Needs Of Direct Care Staff When Affected By Natural Disasters Globally, Lynn M. Hood, Marie O. Etienne, Patricia R. Messmer, Nahomie Mirville, Marjorie Lozama, Guerna Blot, Amina Dubuisson

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: A competent workforce committed to providing patient-centered care is vital since retention and turnover rates of direct care staff in skilled nursing facilities are directly related to quality of patient care (Austrom et al, 2015). Turnover and retention rates can become extremely challenged when a workforce is in crisis. Following the 2010 devastating earthquake in Haiti, 31 skilled nursing facilities in Florida and Georgia actively engaged in providing support to Haitian employees and their families both in USA and Haiti. Administrators, leaders and line staff participated in the support and relief efforts …

Attitudes Of Health Professions' Students Toward Older Adults, Michele M. Shuman

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016:

Purpose: Across the world, the population of older adults is growing exponentially. This growing population will not only tax each socio-economic system in which the growth is occurring, but especially the health care systems in each respective country. For many of these older adults, as they live longer, suffer from at least one chronic illness. Older adults occupy more than half the beds in acute care institutions. Their age and health status makes older adults an especially vulnerable population who deserve the most compassionate and competent care possible. …

The Hunt For Good Nursing Workforce Data: Lessons Learned, Lisa Wright Eichelberger, Rebecca Wheeler

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016:

Purpose: The purpose of presentation is to share Georgia's nursing workforce survey results, identify strategies used to significantly increase response rates, describe lessons learned from the collaboration processes critical to the success in obtaining the statewide workforce data and identify all state, national, legislative, and political agents needed to accomplish the task.

Background and Significance: Nursing workforce supply data are key for any kind of state workforce planning. Georgia, like so many other states, have been challenged to meet the growing health care needs of its citizens and …

The Gerontological Nursing Leadership Academy: Impacting The Future Of Care Delivery And Policy, Deborah F. Cleeter Bailey, Claudia Jean Beverly, Amy A. Cotton, Amy J. Berman

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

The rising prominence of focus upon caring for older adults throughout the world drives the necessity to prepare and position nurse leaders to influence the future for this population. A growing need exists for large scale strategic intervention and innovation related to planning and providing health and wellness services to these older adults. Nurse leaders must facilitate advancements in awareness, interprofessional team leadership, delivery of care, and policy development in various settings and with diverse stakeholders to achieve measurable impact on health, cost and quality. The international Gerontological Nursing Leadership Academy (GNLA) provides …

Nursing And Midwifery Links [July 2016 Issue], At The University Of Technology Sydney In Australia. Who Collaborating Centers For Nursing And Midwifery Development. Global Network. Secretariat

Nursing and Midwifery Links (LINKS)

Nursing & Midwifery Links aims to disseminate information on the Global Network of WHO Collaborating Centres for Nursing and Midwifery Development and publish technical-scientific articles related to Nursing and Midwifery in the light of WHO's program of work. The document attached to this record is the complete issue published in July 2016.

Evaluation Of Comfort In Strengthening Family Communication Skills, Roxanne Roth, Gail Lis, Nancy A. O'Connor, Kathleen A. Aseltyne

DNP and Student Works

The purpose of this project was to evaluate the effectiveness of a COMFORT communication strategy that combines a didactic and simulated experience to strengthen perceived confidence and competence of advance practice registered nurses communicating with families facing difficult decisions and situations. The project explored the impact of the COMFORT protocol as an intervention strategy to strengthen perceived confidence and competence in communicating with families in crisis at end of life using a pre-post design. There was no significant change in the COMFORT protocol's ability to increase perceived confidence or competence levels. APRN participants positively indicated the COMFORT protocol as an …

Nutrition Education Content In Nurse Practitioner Curricula: What Are Michigan Np's Learning About Nutrition?, Caroline Trapp, Nancy A. O'Connor, Susan M. Hasenau, Karen Schmitz

DNP and Student Works

Unhealthy diets are linked to common chronic diseases in the U.S. and Michigan. Healthy People 2020 calls for more nutrition counseling in primary care office visits. The last known survey of nutrition education in nursing graduate programs was published in 2001. This study describes the current state of adult-gerontology nutrition education within primary care nurse practitioner curricula in Michigan.

Preparing Nurse Faculty Leaders Through A Mentored Leadership Experience, Karen L. Gorton, Kay Clevenger, Omar Ali

Nursing Education Research Conference (NERC)

Session presented on Saturday, April 9, 2016:

The 2010 Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, calls for health organizations, including nursing organizations and nursing schools, to "provide nurses greater opportunities to gain leadership skills and put them into practice." In an effort to prepare the next generation of leaders in nursing education, the Sigma Theta Tau International/Chamberlain College of Nursing Center for Excellence in Nursing Education (CENE) offers leadership development programs for full-time nursing faculty who wish to increase their leadership acumen. Often times, faculty members are thrust into leadership positions without adequate preparation. …

The Influence Of Preceptor Training On Nurse Satisfaction And Role Confidence, Beth Marquez

Nursing Education Research Conference (NERC)

Session presented on Saturday, April 9, 2016, and Friday, April 8, 2016: Healthcare organizations today are faced with significant financial and operational challenges. Nurse turnover results in an average financial loss between $4.21M and 6.02M in hospitals with retention challenges. (Nursing Solutions, Inc. [NSI], 2014). Job satisfaction and role confidence are distinctively linked to nurse retention. By 2020, half a million nurses will retire, resulting in a significant loss in nursing expertise (Cazier & Spaulding, 2014). Retention of existing nursing staff is critical to the financial and operational sustainability of healthcare systems. Increased turnover is a catalyst to a rise …

Virtual Life And Death: Preparing Nursing Students For End-Of-Life Care, Leona A. Konieczny

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

How does the educator prepare students for the profound experience of providing care at end-of-life? Technology can be used to provide the knowledge and skills needed before the nursing student faces this situation in the reality of the clinical experience. The learning laboratory using simulation provides exposure in the affective area. In a gerontological course prior to the clinical experience, nursing students meet a virtual patient. Over the course of the semester, the students meet, interview, and assess this a virtual female adult patient. There is an unfolding case study that is presented …