Digital Commons Network^™

Leadership With Intention And Impact, Heidi K. Holmes, Veronique Boscart, Deborah F. Cleeter Bailey

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Introduction: The Geriatric Nursing Leadership Academy (GNLA), prepares nurses to lead multidisciplinary teams to improve health care to older adults (STTI, 2015). In addition to scopes of influence that are assessed and developed, the GNLA also assists and supports each participant to develop and implement an interprofessional project centered on improving geriatric health outcomes (STTI, 2015). The measurement of success as a Fellow in the GNLA is not based on awareness and knowledge, but on behavioral changes and impact on care. My development and transition as a leader …

Using 3 Dimensional Simulation In Nursing Education, Renee R. Wright

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Simulation has been used since the 1960's in aviation and the armed forces. Today simulation is emerging as a teaching pedagogy. Simulated patient scenarios provide students with experiences they may not be exposed to in an actual clinical setting. Virtual simulation allows students to observe and care for patients in real life context. Thus allowing students to practice in safe and nonthreatening environment. Anxiety is decreased because no actual harm will to come to a live patient. Students can learn from their errors without putting the patient at …

Leadership Development Through The Nurse Faculty Leadership Academy (Nfla) And A Nurse Practitioner (Np) Education Project, Amita Avadhani, Ruthanne Kuiper, Barbara J. Patterson

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Background: Advancement of nursing education as well as its sustainability rests on the leadership skills of the nursing faculty. Therefore leadership development of novice nurse faculty is critical to the future of nursing education. Sigma Theta Tau International (STTI) and Elsevier sponsored Nurse Faculty Leadership Academy (NFLA) is a structured leadership-mentoring program designed to develop upcoming nursing faculty. The program encompasses expert guidance from a leadership mentor and the direction from a faculty advisor to facilitate the success of the faculty scholar through successful implementation of a nursing …

The Limitations Of Body Mass Index (Bmi) As An Obesity Assessment Scale And The Implications For Practice: A Nursing Perspective, Sinead Impey

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Rising obesity rates have a significant impact on morbidity, mortality and subsequent delivery of health services globally. Therefore accurate assessment of individual weight status is vital (Carpenter et al. 2013). Although, frequently used in clinical practice and research, the ability of the body mass index (BMI) to accurately assess obesity in individuals has been much criticised. Raising awareness among nursing staff of the limitations of BMI is important. By understanding the various inadequacies, the use of BMI as an assessment tool for obesity, and thereby a proxy measure …

Safety Auditing As A Nursing Accountability Measure For Hospital Fall Prevention, Nicole Huntley, Johanna Crock, Kaycee Shiskowsky

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Preventing falls is important to patient safety. Despite 15 years of focused, evidence-based efforts our hospital was not consistently reducing falls to desired benchmarks. Decreasing falls through a sustainable culture change where healthcare providers are held accountable for intervention compliance was instituted. Institution of a baseline then quarterly Safety Audits by Fall Unit Peer Leaders in every hospital area. The Safety Audit Form is a visual representation of evidence and hospital policy based intervention requirements based on a patient's Fall Risk Assessment Score. The Safety Audits were performed from the Form and afforded …

Using Guided Imagery To Reduce Pain And Anxiety, Linda C. Cole

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: Background: The Institute of Medicine in 2011 reported over 100 million American adults are affected by chronic pain which is more than the combination of those affected with heart disease, cancer, and diabetes. Also the United States is estimated spends up to $635 billion annually in medical treatment and lost productivity due to chronic pain. The 2007 National Health Interview Survey reported 38% of American adults use some form of integrative or complementary and alternative medicine (CAM). The National Center for Complementary and Alternative Medicine estimates CAM use accounts for $33.9 billion total …

Animal Assisted Therapy Effects On Quality Of Life, Jessica C. Carroll, Emily M. Amack, Madeline P. Curry, Amber M. Cessarich, Jenny D. Beaver

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Purpose: To see if animal assisted therapy improves quality of life in adult patients. PICO Question: In adult patients, will animal assisted therapy increase quality of life?

Components/Processes: We searched CINHAL and PubMed using the terms "animal therapy," "inpatient," "quality of life," "pet therapy," "mood," "anxiety," "depression," "QOL," "animal assisted therapy," "loneliness," "dog therapy," "cat therapy." We selected five articles: two were experimental, two were quasi-experimental, and one was qualitative.

Discussion of Results: Most of the studies supported animal-assisted therapy as a useful intervention for increasing quality of …

A Changed Approach In The Management Of Chronic Non-Cancer Pain In Older Adults, Lisa R. Binns-Emerick, Mary Beth Lepczyk, Claudia Jean Beverly

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Inappropriate use of opiate medication for the management of chronic pain by older adults is fraught with challenges for the patient as well as healthcare providers. The Drug Enforcement Agency (DEA) recently changed the scheduling of hydrocodone combination products which created an opportunity to change pain management prescribing patterns and use for our elderly patients. The number of older adults, with their ever more complex needs, will continue to increase as the baby boomers age in our country thus having nurse leaders poised to address these needs within …

Family Caregivers' Perceptions Of The Resistiveness To Care They Experience Caring For People With Dementia, Pamela C. Spigelmyer

Biennial Convention (CONV)

Family caregivers today are co-providers of care, assuming care once provided by professional nurses. Although rewarding at times, providing care for people with dementia is challenging, stressful, and places the overall well being of the family caregiver at risk. Resistiveness to care is one notably stressful experience for family caregivers. Currently nursing research related to resistiveness to care focuses on observed behaviors but does not address family caregivers' perceptions of the episodes of resistiveness. Family caregivers' perceptions are their reality of the experience therefore, needs to be fully understood. Since perceptions of experiences drive the meaning assigned to the experience …

Leading Practices In Geriatric Care: Building A Dermal Defense Team Makes A Difference!, Desales Foster

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: The task of building and maintaining a dermal defense team requires commitment from all hospital units and administration. This commitment begins with the creation of a champion role. Each unit in the hospital has a nurse champion who represents the unit and each champion performs monthly prevalence studies, educates staff, and communicates findings via email and poster presentations. Education of champions starts with NDNQI pressure ulcer education using the four modules to teach staff how to perform a prevalence study. Once this education was complete the staff rounds with the dermal defense team …

Driving Patient Outcomes Through Clinical Decision Support Systems And Nurse-Directed Protocols, Amy Glasofer

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Nurse-directed catheter removal protocols (NDCRPs) are a recommended strategy to promote prompt removal of unnecessary urinary catheters, thus reducing patient risk for catheter associated urinary tract infection (CAUTI). However, implementation of NDCRPs has not been widespread, and adoption of protocol recommendations is even lower. Clinical decision support systems (CDSSs) have the potential to improve patient outcomes by delivering evidence-based guidance to frontline nurses in the course of their workflow. This study explored the effect of a CDSS promoting NDCR on the rates of NDCR, CAUTI, and urinary catheter utilization at a mid-sized …

The Effects Of A Diabetes Support Group Among Underserved: A Feasibility Study, Patricia K. Gatlin, Jillian Inouye

Biennial Convention (CONV)

Background: Diabetes is a global health care problem with increasing number in all countries. Particularly, underserved diverse individuals in the United States are among the hardest hit by diabetes, having higher rates of diabetes and poorer outcomes (Black, 2002; Hu, Shi, Rane, Jinsheng, & Chen, 2014; Lanting, Joung, Mackenbach, Lamberts, & Bootsma, 2005; Mokdad et al., 2001; Saydah & Lochner, 2010; Wild, McKnight, McConnachie, & Lindsay, 2010). Good self-management can improve glucose control and improve diabetes complications. However, this can be challenging to achieve due to multiple factors among the underserved (Black, 2002; Hu et al., 2014; Lanting et al., …

A Formative Program Evaluation Of Electronic Clinical Tracking System Documentation To Meet National Core Competencies, Lynette Smith, M. Laurie Branstetter

Biennial Convention (CONV)

Electronic clinical tracking systems are used in many educational institutions of higher learning to document advanced practice registered nursing students' clinical experiences. Students' clinical experiences are constructed according to the National Organization of Nurse Practitioner Faculties core competencies. These competencies form a basis for evaluation of advanced practice registered nursing programs. Healthcare clinicians and educators are expected to provide evidence-based clinical practices for students. No previous studies have evaluated the use of electronic clinical tracking systems to validate students' clinical experiences in meeting national core competencies. Medatrax, an electronic clinical tracking system, is evaluated using a formative program evaluation approach …

A Retrospective Study Exploring Nursing Sensitive Interventions For Patients On A Skilled Nursing Unit In A Rural Midwest Hospital, Carol-Ann Moseley

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose and Research Questions: The purpose of this study was to assess the impact of nursing interventions on a skilled nursing unit (SNU) when a change in patient health status was identified. Patient characteristics were correlated with specific variables such as Rothman Index (RI) scores and 30-day readmission status. Nurses could then implement specific individualized interventions to improve patient outcomes. The study questions were: a) What are the characteristics of our SNU patients? and b) Can use of the RI discharge score alert the nurse to the need for increased interventions to lower …

Engaging Nursing Students In Health Promotion Research And Practice, Donna M. Callaghan

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose: The purpose of this presentation is to highlight nursing student engagement in a nursing faculty member's program of research. This program of research investigated the effects of three faith community nurse-led educational programs in promoting healthy behaviors in adults. Three pre-licensure nursing honors students participated in the implementation and evaluation of two of the health promotion programs. The development of the health promotion programs was based on the relationships identified by Callaghan (2003, 2005, 2006) among the variables of health-promoting self-care behaviors (Pender, Murdaugh, & Parsons, 2002), self-care self-efficacy (Bandura, 1997), and …

An Analysis Of Nursing Preparation To Meet The Demands Of The Largest U.S. Patient Population, Kim K. Kuebler

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Americans aged 65 and older compared to people aged 20-64 is expected to rise by 80% over the next decade. The oldest of the 80 million baby boomers reached age 65 in 2011 and, more than a quarter of all Americans - or three out of four - are estimated to have at least two or more chronic conditions or behavioral health problems. Currently 75% of the American population is living with and dying from symptomatic chronic conditions contributing to the costliest health care in the US. The Affordable Care Act has provided …

Self-Management And Weight Loss In Adolescents: A Systematic Review, Diane Thomason, Jennifer Kawi, Nada Lukkahatai, Kirsten E. Connelly, Jillian Inouye

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Evidence of parental support in weight loss of overweight and obese adolescents provide significant decrease in overweight adolescents compared to standard care or self-help in the short term and over the long term (Oude Luttikhuis et al., 2009). However, there is limited information on which parental components are effective in supporting the adolescent's self-management of weight loss.

Purpose: To develop a better understanding of effective parental support in self-management weight loss strategies for overweight and obese youth.

Methods: This integrative review evaluates the effects of current adolescent self-management weight loss interventions in …

Fighting A New Battle: A Bathing Care Standard For Caregivers Of Elderly Male Military Veterans With Delayed Onset Post Traumatic Stress Disorder, Michelle Rose

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

Despite many veterans' hopes that the invisible wounds of war can be healed; they leave scars. Most survivors of military combat who have experienced or witnessed life-threatening events such as, terrorist incidents, and serious accidents can adjust to incidents without lingering effects. Many years after a war, other aging veterans find themselves fighting a new battle as they strive to cope with delayed-onset posttraumatic stress disorder (DOPTSD). For many aging military veterans with Post Traumatic Stress Disorder (PTSD) activities of daily living, particularly bathing can be an improbable, …

Transforming Care For Individuals With Developmental Disabilities: Innovations In Education, Catherine M. Mann, Lisa Sherry Ball

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

Nursing faculty recognize individuals with developmental disabilities as an underserved community with unmet needs. Disparities in health care may be attributed to lack of health provider knowledge and comfort in caring for the population (Centers for Disease Control and Prevention, 2014; Ward, Nichols, & Freedman, 2010). In response to the New York State Developmental Disabilities Planning Council's (NYS DDPC) call for proposals related to piloting, evaluating, and infusing innovative programs to educate and empower health care professionals to act as leaders in providing quality health care to people …

The Potential Role Of The Vagus Nerve In Hiv-Associated Cognitive Disorders, William Chance Nicholson, David E. Vance, Linda D. Moneyham

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

With the introduction of combination antiretroviral therapy (cART), HIV replication is hindered and gross immune responses are reestablished for many; however, even in the presence of antiretroviral therapy, HIV stimulates constant activation of both the adaptive and innate immune systems which results in a chronic, mild inflammatory state. Despite improved outcomes with cART (e.g., decrease in HIV-associated dementias), adults with HIV continue to exhibit central nervous system mediated cognitive disorders when compared to the HIV negative population. The cognitive disorders, known as HIV-associated neurocognitive disorders (HAND), have been …

Virtual Patient And Simulation: Strategies To Teach End-Of-Life Care, Leona A. Konieczny

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and 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 …

From Clinical Practice To Leadership In Academia, Bimbola Fola Akintade

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: As an expert clinician, making the transition from clinical practice to a leadership position in an academic setting has presented many challenges. The Nurse Faculty Leadership Academy (NFLA) Scholar Program sponsored by Sigma Theta Tau International and Elsevier has helped mitigate these challenges for myself and other novice nursing faculty leaders. This is an 18 month faculty guided mentorship and leadership program which focused on three domains; leadership development, a scholar led team project and expanding the scope of influence. Methods: Several leadership tools were utilized to …

Changing The Behavior Of The Caribbean Immigrants In Toronto, Khelesh Persaud

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The purpose of this study was to evaluate the efficacy of the Canadian diabetes health education program in changing the behavior of Caribbean immigrants in Toronto with Type 2 diabetes using the health belief model. There is limited information in the literature about this topic. Previous studies conducted on the Caribbean population's Type 2 diabetics did not include sufficient educational information to meet the needs of the Caribbean people to decrease further health complications. This quasiexperimental study built upon existing research that suggested there is an overwhelming desire for culturally-sensitive diabetes self-management education. …

Effects Of Dance In Chronic Illness: A Systematic Review, Alona Angosta, Patricia K. Gatlin, Reimund Serafica

Biennial Convention (CONV)

Background: Dance is a social and physical activity. It has been used therapeutically for thousands of years and was thought to influence healing (Ritter & Low, 1996). Research in dance therapy has substantially increased in recent years particularly research related to cancer and among healthy individuals. However, it is unknown whether dance impacts health-related outcomes among individuals with chronic illness. Additionally, empirical studies need to be evaluated to determine the effectiveness of dance as evidence-based intervention. Purpose: This systematic review explored studies on dance and its impact in chronic illness. Methods: A literature search was conducted utilizing electronic searches using …

Building A Culture Of Geriatric Excellence: One Hospital's Experience, Louise Laufer Hummel

Biennial Convention (CONV)

It is well known that an acute care hospitalization can be a pivotal event in the life of an older person. Within our hospital, the average daily inpatient census is seventy (70%) over the age of 65. As the American population ages, so does the need to care for acute and chronic conditions effecting the geriatric population. Through the leadership of the hospital's nursing vice president, it was determined that there was a need to have nurses with expertise in gerontological nursing practice. Key stakeholders were chosen to focus on geriatric education, certification, and evidence based practices to provide superior …

Global Advisory Panel On The Future Of Nursing (Gapfon): Recommendations, Strategies And Outcomes, Hester C. Klopper, Cathy D. Catrambone

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015 and Monday, July 27, 2015:

During this session, GAPFON's purpose will be discussed, as will the initial outcomes and recommendations from the global meetings held to date in Southeast Asia/Pacific Rim, the Caribbean, and Latin-Central America. Strategic action plans based on measurable outcomes will be discussed, along with recommendations developed regarding the process of consensus building among all stakeholders to identify key issues by region from a cultural and political perspective. The purpose of GAPFON, established by Sigma Theta Tau international (STTI), is to advance nursing's global voice and vision in the context …

Genomics And The Right To Health Autonomy: A Survey Of International Health Policies, Scott Emory Moore

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Nursing leadership in the international community spans many areas including health policy development. international health policies are varied in their subject matter and acceptance. With the development of new technologies and methods of accessing and using genomic data, many international policies regarding genomic science and patient autonomy have been created. Nurses must be aware of international policies and their impact on patient care. Additionally nurses must take an interest in their roles as advocates for patients' rights to health.

Methods: This review of current international genomic policies and documents incorporates thematic review …

The Nursing Model Of Adult Day Care For Filipino Older Persons, Pearl Ed G. Cuevas

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: This study aimed to develop a model of a nurse-managed adult day care program for Filipino older persons to guide nurses in creating meaningful, focused, and structured activities for them. Participants include Filipino older persons regularly attending at the Manila Department of Social Welfare District V Drop-In Center for Senior Citizens.

Methods: A mixed methods research design was used. Health needs were determined by profiling, assessment of quality of life with the use of the World Health Organization (WHO)-Quality of Life (QOL) tool in ambulatory community-dwelling Filipino older persons, and followed by …

The Comparison Between Residents' Health Status For Those Who Use N-G Or Peg Feeding In The Long-Term Care Facilities, Chaw-Mew Hung, I-Chuan Li, Tung-En Lin

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The Purpose of this study was to compare the differences of residents' health status between the use of PEG and N-G in long term care facilities.

Methods: The cross-sectional design was used in this study to survey 1,500 residents from 32 long term care facilities in the Greater Taipei, Taiwan between May to July in 2012.

Results: The mean age for total subjects was 80.25 years old. The prevalence rate of the use of enteral nutrition support was 39.7%(n=546). Among 1,500 study subjects, 546 of them use feeding tubes and the percentage …

Managing Dignity In Later Life: Global Influences, Personal Strategies, Cellular Effects, Cynthia S. Jacelon, Rachel Walker, Jordon Bosse

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Dignity is an inherent human characteristic and a dynamic, attributed part of the self is susceptible to human and environmental interaction. In the first paper we present an ecological model exploring the dignity of older adults as a form of resilient health potential to enhance well-being in later life. Through a synthesis of the literature we demonstrate how societal, community, family/interpersonal, and individual factors can combine to threaten the dignity of community-dwelling older adults. Chronic exposure to these threats can lead to maladaptive stress responses, cellular aging, pathological changes, and increased risk of …