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The Geriatric Nursing Leadership Academy: Sustainability In Influence And Impact, Deborah F. Cleeter Bailey, Karen Reynolds, Meredeth Rowe, Claudia Jean Beverly, Catherine Roscoe-Herbert

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

The Geriatric Nursing Leadership Academy (GNLA) is designed to prepare and position a global cadre of nurse leaders to transform relevant practice and policy for older adults. The academy provides an intentional personal and professional development experience for Fellows who are mid-career geriatric nurse leaders. A behavioral leadership development philosophy is employed as the foundation of the design of all academy relationships, curriculum activities, faculty modeling, and reflective exercises. Currently conducting the fourth cohort of the international academy, the GNLA Fellows have achieved significant outcomes within three domains: individual leadership development; advancement of …

Video Guided T'Ai Chi: A Pilot Study To Assess Effectiveness, Elizabeth D. Katrancha

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Falls impact up to 45% of community dwelling older adults each year, contributing to upwards of $30 billion dollars in direct health care costs. Independent of an actual fall many persons over age 65 years report a fear of falling that negatively impacts quality of life through a cycle of inactivity, weakness, depression, isolation and increased falls. There are a number of evidenced based programs available that address fall prevention. T'ai Chi, an ancient Chinese martial art is thought to enhance awareness of body position, alignment, and range of motion. Numerous studies provide …

Prescribing Knowledge And Practice Patterns Of Advanced Practice Nurses, Barbara H. Schaffner, Marjorie A. Vogt

International Nursing Research Congress (INRC)

Purpose: The purpose of this descriptive study is to explore the medication knowledge and prescribing practices used by APRN. Information about advanced practice registered nurse: APRN knowledge and practice patterns as related to prescribing medications is limited at the state, national and global levels. Yet prescribing medications is an important component of clinical practice for the APRN practitioner. Previous studies identify that prescribing medications is influenced by education and knowledge, practice settings, self-efficacy related to culture, external factors such as collaborating partners and cost (Gielen et al, 2014; Hussein & Brow, 2014; Buckley et al, 2013; Dawson & Lighthouse, 2010; …

Cancer Pain Treatment Differences In A Matched Sample Of Older African-American And European-American Hospice Patients At The End-Of-Life, Staja Q. Booker, Keela Herr, Ann Marie Mccarthy

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Differences in the experience and treatment of cancer pain between African American and European American adults in community settings are noted in the literature. However, little is known about the treatment experience of older African Americans and European Americans in hospice settings at the end-of-life. Evidence shows that African Americans utilize hospice services less often, and report higher cancer pain intensities but receive less optimal treatment despite the availability of best practices for cancer pain management. The purpose of this study is to determine if there are differences in best practice cancer pain …

Australia's Dementia Research Initiative: The Contribution Of Nursing Science, Elizabeth R. A. Beattie

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Nurse researchers have led the way in care-focused research designed to improve the quality of care and quality of life of people living with dementia in Australia. Using existing dementia specific research and knowledge translation initiatives and collaborative processes a series of studies have been undertaken that have contributed to the evidence base related to a number of pressing issues in dementia care including: quality of life, respite care, transitions in care, perceived stigma of diagnosis, palliative approaches to care and non-pharmacological approaches to behavioural and psychological symptom assessment and management. This presentation …

Mentoring Undergraduate Nursing Students For Evidence-Based Practice To Improve Quality And Safety In Long-Term Care Settings, Elizabeth Roe, Olivia Halabicky

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

This presentation will describe a project to mentor undergraduate nursing students and clinical staff in Evidence-based Practice (EBP) to improve quality and safety in long-term care (LTC). The project has been mutually beneficial to the Nursing Program and clinical settings involved. The goals of this project are: 1. To involve students in evidence-based initiatives in the long-term care setting, 2. To increase the knowledge and use of EBP in the LTC setting, and: 3. Improve quality and safety in the LTC setting. The project began five years ago when a Nursing faculty member …

Depression, Cognitive Impairment And Functional Dependence In Older Adults, Users Of A Geriatric Center In Saltillo, Mexico, Maria De Los Angeles Villarreal-Reyna, Ana Laura Sr. Carrillo-Cervantes, Deyanira Rodriguez-Flores, Maria Magdalena Delabra-Salinas, Martha Alicia Magallanes-Monrreal

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Purpose: To determine the prevalence and relationship of depression, cognitive impairment and functional dependence in older adults users of a Geriatric Center in the city of Saltillo, Mexico. Methods: Retrospective descriptive correlational design. The sample was formed by 360 clinical expedients of older adults, users of a Geriatric Center, selected randomly with systematical sampling (k= 16). Social-demographic data was collected and the evaluations were done with 4 instruments: Yesavage's Geriatric Depression Scale; Minimental State Examination MMS-E; Katz'Scale.'Basic Activities of Daily Living;'Lawton y Brody'Scale.'Instrumental Activities of Daily Living.'The analysis of data was completed using …

Exploring Knowledge And Attitudes About Older Adults In Advanced Practice Nursing Education, Beverley E. Blair Brown

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Knowledge about normal aging, and conditions common to older adults, is often both lacking and not seen as interesting or compelling. In addition, attitudes about older adults, whether the result of inherent age bias or real experience, may impede their quality of care as well as quality of life. This ongoing study explores the relationship between required gerontology curriculum content and measures of knowledge and attitudes about aging in advanced practice nursing students.

Methods: Standardized measures (Facts on Aging Quiz; Attitudes Toward Old People Scale) and a demographic questionnaire, are conducted pre- …

Transitioning Novice Nurse Practitioners Into Practice Through A Blended Mentoring Program, Trisha L. Wendling

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

The role of the advanced practice registered nurse (APRN) has grown tremendously within the past 15 years. Continued growth is expected as APRNfill the gap in patient care responsibilities as a result of the reduction in resident physician work hours. Years of research have demonstrated the difficulty novice APRNexperience as they transition from RNo APRNSupport for the novice APRNhas been found to be a facilitating factor in the transition; however, there is no consensus in the literature as to what type of support is most beneficial. The Institute of Medicine (IOM) suggests a …

Perceived Health Status Of Elders Treated With Opioids For Persistent Nonmalignant Pain, Leslie E. Simons

International Nursing Research Congress (INRC)

Purpose: To explore the relationship between opioid use and perceived health status in older adults aged 65-84 with persistent nonmalignant pain.

Methods: A purposive sample of 31 cognitively intact men and women aged 65-84 years receiving opioid therapy for 6 months to manage persistent nonmalignant pain. Data collection included a semi-structured interview that included an initial assessment of cognition using the Short Portable Mental Status Questionnaire. All consented participants met the cognitive screening criteria. The remaining interview collected social and demographic data and perceived health status, pain intensity and functionality, measured by the physical and mental component summary scores of …

Connecting Nurse Faculty: International Networking Opportunities, Matthew S. Howard, Kayla Woodward, Judith Bruce, Marie T. Nolan

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Global bodies such as the World Health Organization have developed global standards for nursing and midwifery education to improve the quality of nursing education and create paths for professional advancement in line with worldwide education trends (WHO, 2009). Despite this general consensus to establish basic global standards, there are many challenges to doing so in each country, such as variations in the development of practice, competency, and regulatory and legal standards (Huston, 2009). We live in an increasingly global society that gives nurses the ability to connect with other nurses and healthcare professionals …

Management Of Depression In The Elderly: A Scoping Study, Aleesa Kittrell

DNP and Student Works

Background: Depression affects more than 6.5 million Americans age 65 or older. Nonpharmacological treatments may be effective within this patient population.

Objective(s): This paper examines the evidence related to 22 nonpharmacological treatments for depression in elderly patients.

Design: A scoping study of the literature was performed, using the framework created by Arksey and O'Malley (2005). Search databases included CINAHL, ProQuest, Cochrane Libraries, Academic Search Premier, PyscINFO, PsycARTICLES, SocIndex, Ovid, PubMed, and Science Direct.

Results: There were 158 articles deemed appropriate for this study. The evidence supports the use of cognitive therapy, life review, and problem-solving therapy. Although exercise is represented …

Diabetes Educational Program, Djenane Bartholomew

DNP and Student Works

Diabetes is the seventh leading cause of death in the United States, despite medical advancements (Centers for Disease Control [CDC], 2011). Diabetes management and education is the key to curtail the rapid spread of this disease. As American baby boomers age, the diagnoses of diabetes increase and cause the disease to reach epidemic proportions (King, Matheson, Chirina, & Shankar, 2013). A New York City nursing home conducted a needs assessment in 2013, which revealed an increase in the readmission of residents with diabetes or diabetes-related complications. These sobering facts led to the project question: Does a diabetes educational program in …

What Is The Effect Of Simulation On Knowledge Acquisition In A Second Semester Associate Degree Nursing Gerontological Community Health Class?, Cynthia M. Ashby

DNP and Student Works

Simulation is an effective teaching method that improves learning, enhances clinical decision making processes, increases confidence in nursing practice and allows for mistakes without harm to patients. An identified need to develop teaching strategies to aid nursing students transfer theoretical knowledge to clinical practice at a community college nursing program. A clinical improvement project was implemented to assess if simulation enhanced knowledge acquisition in the community health portion of the course that translates to the clinical application evaluated via a computerized proctered exam. Simulation proved to be an effective tool to improve the transference of theoretical knowledge to clinical practice.

Nursing And Midwifery Links [October 2015 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 October 2015.

The Importance Of A Psychiatric Milieu In Inpatient Settings, Leslie G. Caesar

DNP and Student Works

The patient experience, or patient satisfaction, is becoming one of the most important measures that healthcare systems look at when they are judging the efficiency and effectiveness of the services being provided. Mental health services are no different, and in fact, it could be argued that providers of mental health care have to work harder to ensure an exemplary patient experience. The cornerstone of psychiatric nursing is the therapeutic use of self and the development of relationships and structured programming. Patients still expect this as a part of their inpatient treatment and care, therefore, the focus of the Capstone Project …

Nursing And Midwifery Links [April 2015 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)

The document attached to this record is the first Global Network Links Magazine produced by the newly elected [at time of publication] Secretariat of the Global Network of WHO Collaborating Centres for Nursing and Midwifery at the University of Technology Sydney in Australia. It highlights the ongoing work of Network members.

Perceptions Of Aging And Interaction Self-Efficacy With Older Adults Among Nursing Students Through The Intergeneration Service-Learning Program, Jiin-Ru Rong, Shu-Chen Hsu

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: In today's society, the young people lack of opportunities interact with community-dwelling older adults. Many young adults, even including nursing students, may have negative attitude toward aging and have no confidence or no interest in interaction with elderly people. The healthy aging attitude and gerontological caring skills are essential competences for nurses in providing humanity gerontology care. In this study, the intergenerational service-learning program (IGSLP) was provided for nursing students to promote positive attitude to aging, interaction and communication skills with older adults.

Methods: This was a two-group pre and post-test quasi-experimental …

A Model Testing On Health Literacy, Knowledge About Vitamin D, And Actual Behavior In Sunlight Exposure, Angela Yee Man Leung

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: To test whether health literacy is associated with actual sunlight exposure behavior, we interviewed 648 Chinese adults aged 65 years or older.

Methods: Using the information-motivation-behavioral skills model and structural equation modeling, we tested how health literacy was associated with the complex relationship among knowledge about vitamin D, attitudes towards sunlight exposure, doctor recommendations regarding sunlight exposure, and actual sunlight exposure behavior. Health literacy was directly associated with sunlight exposure (beta = .20, p < .01). Indirect relationships also existed between knowledge and sunlight exposure through health literacy (beta = .46, p < .001) and between attitudes and sunlight exposure through health literacy (beta = -.12, p < .05).

Results: The model had good fit (chi-square/df = 2.79; RMSEA = .053, p = .346; CFI = .95; …

Factors Involved In Coping With The Dilemma Of Using Physical Restraints On Elderly People With Dementia: Perspectives From Nurses Who Live With Elderly Relatives, Miwa Yamamoto, Yasuko Maekawa, Tomoharu Nakashima, Noriko Adachi, Yoshimi Noguchi, Naoko Nishimura

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: In Japan, physical restraint of patients has been used in nursing care to ensure patient safety 1-2). However, in 2000, when public care insurance was implemented, a ministerial decree, entitled 'Regulations prohibiting physical restraint' was enforced. This was passed by the Ministry of Health, Labour and Welfare, and legally prohibits the physical restraint of elderly patients in target institutions. Harmful effects due to physical restraint of patients have been verified by several studies 3-5), and the discontinuation of this practice has become a social trend (Ministry of Health, Labour and Welfare 2001). …

Characteristics And Quality Of Gait In Older Adults Living In Saltillo, Coahuila, Mexico And Lima, Peru, Maria De Los Angeles Villarreal-Reyna, Maria Magdalena Delabra-Salinas, Mistral Carhuapoma-Acosta, Elena Zuniga-Chura, Wendy Garcia-Meza, Ana Laura Sr. Carrillo-Cervantes, Jack Roberto Silva-Fhon

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: To compare the characteristics and quality of gait in older adults living in the metropolitan area of Saltillo, Coahuila. Mexico and Lima, Peru.

Methods: Descriptive-comparative design. Population integrated by older adults with 60 or more years, users of Daycare Centers for Older Adults. The calculated sample was of 210 older adults from Saltillo, Mexico (n1=105) and Lima, Peru (n2=105) selected by convenience. Spatial-temporal characteristics and quality of gait were evaluated.

Results: The averages of the spatial-time parameters of gait show that it was characterized for being regular (speed (n1) = 1.42 m/s; …

Cogito Ergo Sum: A Grounded Theory Of The Filipino Elderly Transition Experiences In Third Age Education Program, Rowena Escolar Chua

International Nursing Research Congress (INRC)

Purpose: A considerable number of studies have been carried out to explore the experiences of the elderly engaging in third age education, but most of these investigations have focused on elderly motivation, the benefits accruing from their participation, and the barriers they have encountered during their lifelong learning experience. However, there has been little attempt to probe into the experiences of the elderly engaging in third age education and how they view themselves during that time. This grounded theory study purported to describe the processes through which a select group of Filipino elderly experienced community-based third age learning programs. Methods: …

The Effects Of An Oral Care Program On Oral Health Of Institutionalized Elderly, Chia-Chi Chang, Jih-Hsuan Wu

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Institutionalized elderly overlooked the oral care because of multiple chronic diseases and decline self-care skills, impact the oral health quality of life, oral health status and nutritional status, resulting in oral-related diseases. There are few oral care program interventions. The purpose of this study was to develop an oral care program and to examine the effects of this program among institutionalized elderly.

Methods: This was a quasi-experimental study. Fifty-five convenience subjects were recruited from two northern long-term care facilities, randomly assigned to the experimental group (n = 24) and the control group(n …

Celebrating The Asia Region's Excellence And Advancements In Research And Scholarship Development, Claudia K. Y. Lai, Misae Ito, Alice Yuen Loke, Mi Soon Song, Pei-Shan Tsai, Alice K. Y. Wong, Shela Akbar Ali Hirani, Sally Wai Chi Chan

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

The goal of this special session is to showcase the excellence in nursing scholarship in Asia and also recognize the Asian nurse leaders in their contribution to the profession and society. Five chapters in the Asia Region will present the work undertaken by their own chapter and leaders over the years. These five chapters (in alphabetical order) are the Lambda Alpha-at-Large (Korea), the Lambda Beta-at-Large (Taiwan), the Pi Iota (Hong Kong), the Rho Delta (Pakistan), and the Upsilon Eta Chapter. They will portrait the development of their own country's nursing research and scholarship. …

Does Social Activity Decrease The Depression In The Elderly?: An Analysis Of A Population-Based Study In South Korea, Seung Hee Lee, Young Bum Kim

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Geriatric depression is a common condition in elderly Asian women including South Koreans. Geriatric depression also becomes an imminent challenging health concern with an increasing number of geriatric populations in Asian countries. In South Korea alone, the prevalence of probable depression in elders was 15.5% and increased with age (19.0% in female and 10.7% in male). The purpose of this study was to investigate whether social activity decreases depressive symptoms in elderly Korean women and to provide directions for future development of interventions to prevent geriatric depression.

Methods: For this study, we …

Nurses' Attitudes Toward Restraint Use In Japanese Hospitals, Miho Matsui

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: The use of restraints is a controversial issue that may present nurses with legal, ethical and practical dilemmas. Restraint use can result in numerous problems for the patients, including death by strangulation, falls injuries, deconditioning, skin breakdown, incontinence, constipation and psychological effects such as agitationand emotional distress. The aim of this study was to investigate nurses' attitudes towards restraint use and related factors.

Methods: A descriptive study was conducted to measure nurses' attitudes toward restraint use. Nurses employed in areas of internal, surgical, and sanatorium wards of three hospitals received the questionnaire. …

The Geriatric Nursing Leadership Academy: Outcomes Across The Care Continuum, Deborah F. Cleeter Bailey, Irene Fleshner, Claudia Jean Beverly

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Across practice settings, significant needs exist for improvement in delivery models, advancements in practice outcomes, and preparing the next generation of leaders in gerontological nursing. The Fellows of the first three cohorts of the national Geriatric Nursing Leadership Academy (GNLA) have achieved impressive outcomes within the three curricular domains: individual leadership and career development, advancement of practice through leadership of interprofessional team projects, and expanded scope of influence at the organizational, community, and professional levels. Fellows of the GNLA were positioned to lead practice change within acute care settings, long term care facilities, …

Correlations Between Psychological Symptoms And Quality Of Life In Resident Elderly: A Regional Hospital In Taiwan, Su-Jung Jr. Liao, Tse Tsung Liu, Jiin-Ru Rong

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: According to the Council for Economic Planning Committee in Taiwan, said the United Nations and our population data and comparison of the data with the U.S. Census Bureau found that Taiwan's population is aging while compared with 193 countries in the United Nations, and our ranked world No. is 48 in 2010(1). At present, Taiwan's population's "aging index" is only 69% (the so-called aging index is defined as the population aged 65 and over accounted for 0 to 14 year-old the proportion of the elderly population is a young population that's 0.6 …

College Students' Attitude Toward The Elderly With Dementia In Japan: A Comparison Between Nursing And Non-Nursing Students, Miwako Hoshi, Chizuru Ikeda, Yurie Maeda, Yuri Kondo, Maki Fujimura

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014: Purpose: The purpose of this study was to evaluate the attitude of Japanese nursing and non-nursing students toward the elderly with dementia and to investigate the effects of students' varied background data on their attitudes shown. Methods: A total of 214 nursing students (n=137) and non-nursing students (n=77) was recruited to complete a questionnaire from a national university located in Southern Japan using convenience sampling method. The criterion of choosing subjects is the level of their professional nursing knowledge and clinical training experience. Based on their professional nursing knowledge and clinical experience, subjects …

The Nethersole Nursing Practice Research Unit: Reflecting On Its Successes And Challenges In Promoting Evidence-Based Practice In Nursing In Hong Kong, Helen Y. L. Chan, Diana T. F. Lee

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Evidence-based practice is a global development trend in the healthcare field with an ultimate goal to promote positive impacts on patient outcomes and care quality. Clinicians are empowered to make care decisions for individual patients on the basis of current best available research evidence together with their clinical expertise and patient preferences. This development trend calls for an urgent need to build capacity among nurses on the integration of research and clinical practice, and hence promote a culture of evidence-based care in nursing. In response to this, the Nethersole Nursing Practice Research Unit …