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Operationalizing Nursing Education Research, Susan G. Forneris

Nursing Education Research Conference (NERC)

Session presented on: Saturday, April 5, 2014:

The depth and breadth of a nurse's understanding within the context of care is vitally important to achieving successful patient outcomes. Nursing education is calling for the need for innovative and transformative strategies that guide nurses in the use of nursing knowledge and science. How nurses are educated and oriented to think in practice is receiving well-deserved attention in the literature. To that end, formal evaluation and dissemination of learning outcomes that validate the use of these transformative strategies is necessary. The purpose of this symposium is to engage educators in a dialogue …

Evaluating Student Learning Using The Williams Unfolding Case Study, Colleen Royle, Mary Ann Mckenna Moon, Norma Krumwiede

Nursing Education Research Conference (NERC)

Session presented on: Friday, April 4, 2014: Advancing Care Excellence for Seniors unfolding cases were created to guide the teaching of individualized aging, complexity and life transitions to nursing students. Even though the unfolding cases are well established, no literature was located regarding the assessment and evaluation of student learning that occurs when the ACES unfolding cases are used to teach gerontologic concepts. Henry and Ertha Williams developed by Jeanne Cleary: Henry Williams is a 69-year-old African American, a retired rail system engineer who with his wife Ertha. They had one son who was killed in the war 10 years …

Preventing And Addressing Abuse And Neglect Of Older Adults: Person-Centred, Collaborative, System-Wide Approaches, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

Best Practice Guidelines are systematically developed statements designed to assist nurses and clients in making decisions about appropriate health care (Field & Lohr, 1990). Initial development of this guideline's purpose and scope included three teleconference focus groups with a total of 26 topic experts and health-care practitioners across Canada, and one in-person focus group with 20 older adults living in Ontario. The Expert Panel was then convened and determined the purpose of the guideline: To expand the awareness of abuse and neglect of older adults and provide evidence-based recommendations for preventing and addressing abuse and neglect in all health-care settings …

Effective Interprofessional Leadership: Outcomes Of The Geriatric Nursing Leadership Academy, Deborah F. Cleeter Bailey, Abbey J. Baum-Beigie, Stacey L. Watkins, Therese D. Murphy, Rita Lareau

Biennial Convention (CONV)

Special Session presented on: Sunday, November 17, 2013:

As the complex needs in providing care for older adults are continuing to increase we must have nurse leaders who can facilitate a positive future within a climate of constant change and reform. Effective interprofessional leadership in acute care settings, community health agencies, and long term care facilities is necessary to transform relevant practice and policy. The purpose of the Geriatric Nursing Leadership Academy (GNLA) is to prepare and position a cadre of nurses to lead practice advancements along the continuum of care and to become actively engaged in policy efforts to …

Global Leadership: Building Academic Nursing Scholarship, Education, And Service, Eileen M. Sullivan-Marx, Ann E. Kurth

Biennial Convention (CONV)

Session presented on: Sunday, November 17, 2013:

This panel session is designed to share experiences and lessons learned in building academic nursing scholarship, education, and service. The symposium will move from the macro to the micro level, beginning with a discussion of the context for academic global nursing within a broad university setting (overview of NYU Global Network University structure). Next will be a presentation of strategies employed to build the Global division within NYU College of Nursing and current results. Finally, two illustrative and informative case example presentations will be given: one on a Ghana diabetes project, and one …

Assessment Of Nursing And Medical Students' Attitudes Toward Interprofessional Education, Karen S. Yehle, Kimberly Sanders, Marwa Noureldin, Kimberly S. Plake

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Providing opportunities for interprofessional education for students in the health professions is supported by the Interprofessional Education Collaborative. It is imperative for healthcare professionals to communicate and collaborate in teams, and understand each profession's roles and responsibilities. The purpose of this project was to examine the impact of participating in an aging simulation game on nursing and medical students' attitudes toward interprofessional education.

Methods: Nursing and medical students were paired together to play an aging simulation game, role playing older adults and navigating the healthcare system. Pre/post changes in attitudes toward interprofessional …

Interprofessional Collaboration: A Rural Self-Managment Program, Kathleen Farrell

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013: Purpose: The purpose of this study was to evaluate the impact of the Chronic Disease Self-Management Program (CDSMP) among individuals with chronic illness within a southern rural region. Methods: The study, designed to examine multiple, post-program outcome, was a quasi-experimental longitudinal pre-posttest design. Recognizing the need to have inter-professional collaboration to change health care outcomes in the community, faculty from nursing, social work, recreation and leisure services, and gerontology at a rural, regional school joined forces to look for collaborative pathways that would impact regional health status. The CDSMP is an internationally research …

The Effects Of Reiki On Total Knee Surgery, Barbara Byrne Notte, Carol Fazzini, Ruth A. Mooney

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The purpose of this study was to determine the impact of Reiki therapy on total knee replacement patients' pain perception and satisfaction with Reiki therapy.

Methods: Forty-four subjects scheduled for total knee replacement were randomized into Reiki (23) and non-Reiki (21) groups. Pain was assessed before and after Reiki therapy in the pre-operative area, PACU, and three postoperative days. A survey was distributed the day of discharge to measure satisfaction with Reiki. Data related to pain analgesia used was collected for all subjects.

Results: Using t-tests to compare pain ratings pre and …

Clinical Judgment And Transfer Of Learning From Simulation, Elizabeth Johnson, Patricia K. Ravert, Kathie Lasater, Doris Rink

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: An international multi-site mixed methods study was conducted at five nursing programs to determine the effect of expert role modeling as described by Bandura on nursing students' clinical judgment in the care of a geriatric surgical patient. Qualitative findings reported here expand upon significant between-group findings regarding the effect of an expert role model on students' clinical judgment and explore the question of transfer of learning from simulation to bedside.

Methods: Immediately after the simulation, students from treatment and control groups (N = 275) responded to guided reflection questions based on the …

Enhancing Gerontology Content In Canadian Nursing Education Through Knowledge Translation, Lynn Mccleary, Katherine S. Mcgilton, Veronique Boscart

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013: Purpose: In Canada there is an urgent need to enhance gerontological content in entry to practice nursing education. This study examined the immediate and one year outcomes of Canadian Knowledge Exchange Institutes for Nursing Education. Methods: The Knowledge Exchange Institutes were based in Graham and colleagues' (2006) Knowledge-to-Action process model. They engaged 49 nursing faculty and PhD students from across Canada in the process of curriculum review and enhancement. Participants were given extensive knowledge products for integration in courses. They developed strategies to enhance courses and engage their colleagues in curriculum revision and …

Enhancing Clinical Reasoning: Teaching Thinking Through Debriefing, Susan G. Forneris, Diana Odland Neal, Heidi Meyer, Jone Tiffany, Lynnea Myers, Cynthia R. Pivec, Mary Beth Kuehn, Linda Blazovich

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: How nurses are educated to think in practice is receiving well-deserved attention calling for the need for innovative and transformative strategies that guide nurses in the use of nursing knowledge and science. Guiding thinking to assist novice nurses to better infer meaning and apply clinical reasoning across contexts is an important teaching strategy. The overall purpose of this multi-site pilot study was to implement a debriefing strategy to determine its impact on clinical reasoning skills with undergraduate nursing students across four different colleges of nursing. This study replicates Dreifuerst's original study using …

Reducing Falls In Outpatients: Evaluation Of Fall Risk Assessment And Identification Of Fallers, Katherine Diane Pendleton-Romig

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of the project aimed to study occurrences of injurious falls in outpatient areas in a health care facility with a focus on how falls can be mitigated. Prevention of falls is a national patient safey goal. Research shows that falls are more likely among older adults; however, falls may be preventable if fall risk screening and education could be started before patients become older adults. Risk factors and support factors are viewed as higher priorities for fall prevention than physiological measures.

Methods: The project was conducted in the internal medicine …

The Use Of Preparedness For Care Giving Scale On Family Caregivers And It's Outcome, Hui Chin Chua, Sujata Rajaram

International Nursing Research Congress (INRC)

Aim: Family caregivers provide care at home equivalent to that of nurses. They monitor patient's condition, recognize impending problems such as side effects of medication and change the dressings of patients. They provide a high level of skill at home, they are not prepared for care-giving and lack the knowledge and skills required to provide care. Nurses evaluate caregiver preparedness before patient's transition from acute care settings to other settings.

Method: Preparedness for Care giving scale created by Archbald, et.al in 1990 is a caregiver self rated instrument that consists of 8 items that asks caregivers how well prepared they …

Development And Evaluation Of A Senior-Tailored Elastic Band Exercise Program, Kuei-Min Chen, Chun-Huw Li, Ya-Ping Lin, Wei-Shyuan Tseng, Hsin-Ting Huang

International Nursing Research Congress (INRC)

Purpose: Elastic band exercise is recognized as a safe and effective strategy to improve muscle strength and power and increase the ability of seniors to perform functional tasks. This study aimed to: 1) develop a tailored elastic band exercise program for seniors, 2) to evaluate its feasibility for seniors, and 3) to determine appropriate elastic band exercise frequencies and preferences of seniors.

Methods: This study had two phases. In Phase I, 11 professional experts were consulted to develop the Senior Elastic Band (SEB) exercise program. They responded to detailed description and demonstrations of the program contained on both a hard …

Bridging The Digital Divide: College Students Mentoring Seniors Via An Intergenerational Interdisciplinary Computing Course, Sharon Stahl Wexler, Lin J. Drury

International Nursing Research Congress (INRC)

Nursing and Computer Science faculty created an interdisciplinary Gerotechnology course that prepares students to mentor older adults in computer literacy. The goal of the partnership is to prepare students for a future living and working in a world dominated by seniors. Residents of long term care facilities are matched with students who assist with computer and internet use. The course introduces students to residents with complex chronic illnesses while demonstrating that older adults are vital human beings who grow and change throughout the semester. Students have an aging sensitivity experience and practice communication with seniors. Nursing students assess the physical …

Supporting Excellence In Long-Term Care With Student Ebp Projects, Suzanne Beltz, Loree Dubose

International Nursing Research Congress (INRC)

With any clinical experience, nursing students learning in the long-term care setting pose questions regarding specific practices by the health care provider(s). This curiosity of comparing what they are learning in the classroom with what they see in the clinical setting can provide learning opportunities and opportunities for best-practice dissemination to care givers in long-term care. The Institute of Medicine identified employing evidence-based practice as a core competency for providing quality and safe patient care (Finkleman & Kenner, 2009). This practice has more prongs than research alone; it includes client values and preferences; client history and assessment data; clinical expertise; …

Nursing Education: Building Gerontological Capacity And Capability By Improving Perceptions Of Older Adults By Nursing Students, Barbara A. Heise, Vickie Johnsen

International Nursing Research Congress (INRC)

An aging crisis exists globally. Despite the influx of the older adult population, there exists a lack of trained gerontological healthcare professionals (Lun, 2011). Ageism is commonplace. Nursing students frequently see gerontological nursing as the last area in which to work. A lack of anything in common and anxiety about working with older adults is often expressed. Nursing clinical placements in gerontology demonstrate equivocal results. Placements in long-term care (LTC) facilities may enhance negative perceptions (Marsland & Hickey, 2003). Clinical experiences with healthy older adults may improve student attitudes toward working with older adults (Furze et al, 2008). A concern …

Nursing Inter-Shift Handover Process: Enhancing A Traditional Ritual Through Evidence-Based Practice, Rajni Parasuram, Chee Lien Poh

International Nursing Research Congress (INRC)

Aims. project aims to 1) examine existing handover practices/process in the tertiary mental health institution; 2) determine the strengths and limitations of the existing handover practice / process; and 3) identify, implement and evaluate an evidence-based nursing inter-shift handover process to enhance patient safety and service delivery. Methods. This project was conducted in three phases using the JBI Practical Application of Clinical Evidence System (PACES) and Getting Research Into Practice (GRIP) programs. It was implemented over a period of four months from end August 2011 to beginning December 2011Evidence-based strategies such as town hall meetings and education sessions that reinforce …

Educating For Success In Evidence-Based Practice, Lin J. Drury, Sharon Stahl Wexler

International Nursing Research Congress (INRC)

The profession of nursing endorses EBP as a means to ensure high quality care, yet many practicing nurses do not have the necessary tools. Faculty must prepare students to make evidence-based decisions in clinical practice. Our previous course had a traditional research focus. EBP was integrated in other courses. Students did not develop workable EBP skills. Student feedback indicated a lack of understanding of the relationship of research to practice, little confidence in appraising the literature and applying it to the clinical setting. This project presents the integration of EBP throughout an accelerated BSN curriculum. Evidence based practice is introduced …

Impact Of The Geriatric Medication Game On Nursing Students Empathy And Attitudes Toward Older Adults, Karen S. Yehle, Aleda M. H. Chen, Mary E. Kiersma, Kimberly S. Plake

International Nursing Research Congress (INRC)

Purpose: It is estimated that in 2050 nearly two billion people worldwide will be 60 years or older, and nurses must be well-prepared to improve and address their health-related needs. However, it may be difficult for students to understand and empathize with older adults, as they may not yet have experienced aging-related challenges. The purpose of this project was to examine the impact of participation in an aging simulation game on nursing students' empathy and attitudes toward older adults as well as their understanding of the healthcare system.

Methods: Nursing students played the role of an older adult during a …

Barriers Hindering Nursing Students From Adopting Health-Promoting Lifestyles, Yim Wah Mak, Tsoi Hung Tse, Wai Chun Tse, Harn Fen Kao, Wing Yin Tam

International Nursing Research Congress (INRC)

Purpose: The present study aims to identify the patterns of the health-promoting lifestyles, quality of life and barriers from adopting the health-promoting lifestyles among nursing students in Hong Kong.

Methods: Although nursing students are expected to assume the position of health promoters after graduation, they may not be able to practice a healthy lifestyle due to a variety of barriers. Currently, there are no studies addressing these potential barriers and examining the impacts of health-promoting lifestyles on their health at a young age. Pre-registration students who were enrolled in the full-time nursing programs between April and August 2010 were invited …

Healthy Lifestyle In Elders After Discharge, Fang-Wen Hu, Chi-Wen Chiu, Ching-Huey Chen

International Nursing Research Congress (INRC)

Purpose: To investigate whether hospitalization is related to change in healthy lifestyle among elderly and determine the related factors associated with these changes.

Methods: A Prospective design and mix data approach was adopted. We purposively selected 60 patients who were 65 years and older from the general inpatient service at a medical center. A structured healthy lifestyle questionnaire was conducted by face to face interview from admission and three months after discharge.

Results: Total scores of healthy lifestyle were improved after hospitalization (19.4 +/- 1.8 vs 20.3 +/- 1.5, p .o1), especially in good eating habits, safety of medicines usage …

Leadership Challenges: Capitalizing On Distance And Diversity, Marilyn D. Klakovich, Mary Stewart, Sharon K. Broscious, Kristin Hittle, Mansour Olawale Jumaa, Maria Roche-Dean, Elizabeth A. Carlson, Sandra J. Delack

Biennial Convention (CONV)

This presentation reports on the leadership challenges encountered when nine geographically and experientially diverse nurse leaders formed a team to co-author a manuscript. Using Authentic Leadership Theory as a framework, the successes and challenges of working in virtual teams are discussed. Over the two year Board Leadership Development Program (BLDP) experience, we communicated our respective experiences via newsgroup and email. Our unique experiences and lessons learned as Fellows led us to develop a reflective perspective of mentoring which was presented at the 41st Biennium. Subsequently, we received a request to convert this presentation into a manuscript. Thus a manuscript team …

The Life-Space Mobility As An Expression Of The Mode Of Interdependence Of Functionality In Older Adults, Juana Edith Cruz-Quevedo, Maria De Los Angeles Villarreal-Reyna, Bertha Cecilia Salazar, Esther C. Gallegos

Biennial Convention (CONV)

Purpose: To test the effect of a muscular strength exercise program of muscular strength in older adults based on the Roy's adaptation model as an expression of the mode of interdependence of functionality in older adults.

Methods: A repeated measures quasi-experimental design with two groups, an experimental (n = 22) and a control group (n = 19) was used. Experimental conditions were: a 12-week exercise program to increase muscular strength using Thera-band elastic bands. The program is focused primarily on the lower extremities; it had three 1-hour sessions per week at a moderate intensity. Outcome variables were: Muscular strength, perceived …

Promoting The International Transfer Of Nursing Knowledge: The Early Planning Stage, Holly J. Diesel, Patrick Ercole, Neal Rosenburg, Donna Taliaferro

Biennial Convention (CONV)

When meeting a challenge, nursing educators produce innovative ways of transferring knowledge in their home environments. Originality is especially unique when the challenges of providing quality care are examined from a resource limited and global perspective. Searching for optimal methods of implementing knowledge transfer and facilitating the development of future nurse leaders, an approach was selected to promote local initiatives aligned with increasingly decentralized educational structures. This abstract presents the developing partnerships formed between nursing faculty and students in the United States and Cameroon, West Africa. The educational innovation was predicated on a need identified by the Cameroonian students. The …

Woman Abuse: Screening, Identification And Initial Response, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

The overall purpose of this guideline is to facilitate routine universal screening for woman abuse by nurses in all practice settings. The intended outcome is increased opportunity for disclosure, which will promote health, well-being, and safety for women. Using evidence-based approaches and recommendations, this guideline offers nurses a repertoire of strategies that can be adapted to various practice environments.

Promoting Continence Using Prompted Voided, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

Best practice guidelines are systematically developed statements to assist decision-making by healthcare practitioners and clients about appropriate healthcare. The purpose of this guideline is to provide information on implementing a treatment program of prompted voiding for older adults with urinary incontinence. The goals of prompted voiding are to:

• Reduce the frequency and severity of urinary incontinence episodes
• Prevent the complications associated with urinary incontinence
• Improve quality of life

Prevention Of Falls And Fall Injuries In The Older Adult, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

The purpose of this guideline is to increase all nurses' confidence, knowledge, skills and abilities in the identification of adults within health care facilities at risk of falling and to define interventions for the prevention of falling. It does not include interventions for prevention of falls and fall injuries in older adults living in community settings. The guideline has relevance to areas of clinical practice including acute care and long-term care, and will assist nurses to apply the best available research evidence to clinical decisions, and to promote the responsible use of health care resources. Specifically, Prevention of Falls and …

Prevention Of Constipation In The Older Adult Population, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

The purpose of this guideline is to reduce the frequency and severity of constipation among older adults through the use of adequate hydration and dietary fibre, regular consistent toileting and physical activity. Achieving and maintaining a pattern of normal bowel elimination will prevent constipation, decrease the use of laxatives, and improve the quality of life for older adults. There is no agreed upon definition of constipation in the clinical and research communities (Koch, Voderholzer, Klauser & MullerLissner,1997). Some authors maintain that defining constipation on the basis of symptoms is misguided (Probert, Emmett & Heaton, 1995).

Risk Assessment And Prevention Of Pressure Ulcers, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This best practice guideline assists nurses who work in diverse practice settings to identify adults who are at risk of pressure ulcers. This guideline further provides direction to nurses in defining early interventions for pressure ulcer prevention, and to manage Stage I pressure ulcers.