Digital Commons Network^™

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

International Nursing Research Congress (INRC)

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

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

Transforming Debriefing By Exploring Faculty Preparation And Use With The Debriefing For Meaningful Learning Inventory, Cynthia Sherraden Bradley

International Nursing Research Congress (INRC)

In this interactive session, nursing researchers will present findings from their work on prebriefing and debriefing applicable to simulation and clinical settings in academe and practice. Speakers will engage the audience in a discussion of ways to translate these findings into strategies that can transform nursing knowledge, education and practice.

Purpose: The purpose of this study was to look at the relationship between training received in debriefing using an evidence based debriefing method and the application of that training into educational practice. Debriefing is the most significant component of simulation, and faculty report varied ways of receiving training (Waznonis, 2015) …

Abnormal Thermal Patterns In Very Preterm Infants Associated With Infection And Maternal Smoking, Robin B. Dail

International Nursing Research Congress (INRC)

Introduction: More than 63,000 very preterm infants (1 and survival free from major morbidity is a significant problem for them.² Up to 30%³ of these infants experience a neonatal infection and 5-15% of these infants acquire an infection or inflammation of the gastrointestinal (GI) track called necrotizing enterocolitis (NEC); ^4,5 NEC has a mortality rate as high as 50%.⁶

Hypothermia is related to increased morbidity and mortality in preterm infants^7-11 and continues to be a problem in very preterm infants.¹² Hypothermia is associated with an increased incidence of NEC in preterm infants.¹³ Abnormal postnatal …

Identifying Child Physical Abuse: Who Is Reporting, And How Accurate Are Their Reports?, Grace W. K. Ho, Deborah Gross, Amie Bettencourt

International Nursing Research Congress (INRC)

Purpose: Child physical abuse (CPA) is one of the most lethal forms of child maltreatment; being reported for suspected CPA alone substantially heightens the child"s risk for sustaining future fatal injuries (Putnam-Hornstein, Cleves, Licht, & Needell, 2013). Therefore, early and accurate identification of CPA is imperative to the protection and timely provision of services to children in need. In the U.S., professionals who are mandated to report suspected child maltreatment initiate the majority of child maltreatment reports (62%; U.S. Department of Health and Human Services, 2015). However, few studies have been conducted to describe the distribution of report source for …

Research Capacity Development In A Nursing Education Context, Nelouise Geyer, Gisela H. Van Rensburg, Susan Jennifer Armstrong

International Nursing Research Congress (INRC)

Purpose: Research capacity development is essential for quality, cost-effective care and well-prepared healthcare professionals. Although various institutions have invested in a number of projects to build the capacity of professionals, research capacity remains fragmented and to a large extent limited to postgraduate research activities. The United Nations Educational Scientific and Cultural Organization (UNESCO) describes capacity building as being focused mainly on skills building that would enable the attainment of development goals through education (Edwards et al., 2016). Research capacity development varies in focus.

Following an annual nursing education conference, the absence of presentations on research done by nurse educators from …

Using Youth-Participatory Research To Address Health Disparities In Sexually Transmitted Infections Among Homeless Youth, Michelle Dang

International Nursing Research Congress (INRC)

Purpose: Sexually transmitted infections (STIs), including HIV, among homeless youth are a significant public health issue with STI rates among homeless youth being more than twice that of nonhomeless youth. Despite known risk factors, effective interventions for STI prevention and treatment for this population remain elusive. Evidence-based STI interventions targeted at adolescents typically encompass community or school-based, behavioral approaches; such approaches are a poor fit with a highly mobile population and do not address underlying social conditions that contribute to unsafe sexual behaviors such as survival needs, social norms, and access to health education.

This project is an exploratory study …

Integrating Substance Abuse Screening Brief Intervention And Referral To Treatment Into Nursing Curriculum, Julie A. Fitzgerald

International Nursing Research Congress (INRC)

It is estimated that about 30 percent of US adults experience a mental health or substance abuse disorder in a year, and many struggle with both. There is also wide geographical variation in the proportion of alcohol-attributable deaths and disability adjusted life years (DALYs), with the highest alcohol-attributable fractions reported in the WHO European Region (WHO, 2014). It is estimated that 15.3 million persons worldwide suffer from a substance use disorder (WHO, 2014). Globally, excess alcohol intake is responsible for approximately 6% of deaths. Culture, gender and religious norms impact alcohol consumption throughout the world. Substance abuse disorders are associated …

Risks And Protector Factors: Access To A Diagnosis And Services For A Child With Autism, Susan Agnes Bonis

International Nursing Research Congress (INRC)

Purpose: Autism spectrum disorder (ASD) is a growing global issue (Autism Speaks, 2016; World Health Organization, 2016) characterized by verbal and nonverbal social communication deficits, including difficulty following rules for conversation and forming and maintaining relationships (APA, 2013). The child"s ability to effectively engage in social and academic activities is impacted. Children often fall victim to criticism and bullying and respond with isolation, aggression, hostility, or self-injury (Schroeder, et al., 2014). These difficulties are compounded by inflexible adherence to routines and excessive response to sensory input (Author, 2012; 2016; Author & Sawin, 2016). A projected increase of 6-15% in ASD …

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

International Nursing Research Congress (INRC)

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

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

American Red Cross Simulation And Student Nurse Disaster Preparedness, Patricia Frohock Hanes, Anna Marie Hefner

International Nursing Research Congress (INRC)

Background: Disasters, natural and man-made, are increasing world-wide. Student nurses are an under-utilized resource in disaster response. As pre-professionals with some training, they have the ability to increase response capacity during disasters. Nursing organizations in the United States such as the American Association of Colleges of Nursing (AACN) and the National League for Nursing (NLN) advocate some form of disaster nursing education across all levels of nursing (AACN, 2006, 2008, 20011; NLN, 2013). The International Council of Nurses (ICN) developed a list of core competencies for disasters in 2009; the National Student Nurses" Association in the United States (2012) promoted …

Measuring Nurses' Perceptions Of Collaborative Governance As A Method Of Assessing Transformation Of Organizational Culture, Jaynelle F. Stichler, Maria Del Carmen Colombo, Debra Milbert Poeltler

International Nursing Research Congress (INRC)

Purpose: This completed study describes the measurement of nurses" perceptions of collaborative governance (CG) over 5 years after implementation of a CG structure developed to transform culture and empower nurses to be more involved in decision making. The study is important since few evidence-based studies regarding CG exist in the literature.

Transformation leaders inspire others to achieve more than they thought possible for themselves (Porter-O"Grady & Malloch, 2015). The Magnet culture requires transforming the organization culture and facilitating leadership growth and empowerment of all nurses in the organization (Dearmon, 2015). CG is a structure and process used to change organizational …

A Collaborative Curricular Response To Rehabilitative Challenges In A Global Setting [Symposium], Barbara A. Ihrke, Connie J. Crump, Janice L. Cotrone

International Nursing Research Congress (INRC)

This symposium describes a novel, replicable approach to rehabilitative challenges in a developing country. A collaborative relationship developed between two schools of nursing located in the US and Haiti to improve clinical outcomes. Physical therapists provided expertise to integrate rehabilitative practices across the baccalaureate nursing curriculum.

One cohesive slide deck contains the following three presentations:

1. Development of a Collaborative Relationship With a Baccalaureate Nursing Program in a Developing Country, Barbara A. Ihrke

2. Adapting Rehabilitative Activities to Improve Clinical Outcomes in a Limited Resource Setting, Connie J. Crump

3. The Integration of Rehabilitative Practices in a Baccalaureate Nursing Curriculum …

Integrating The Doctor Of Nursing Practice In Practice Settings: Implications For Clinical Outcomes And Scholarship, Mary G. Nash, Esther M. Chipps

International Nursing Research Congress (INRC)

The Doctorate of Nursing Practice (DNP) has now moved into its" first decade of existence. Early discussions among nursing thought leaders were focused on promoting the development, assessment and evaluation of DNP curriculums to meet the American Associations of the Colleges of Nursing (AACN) recommendations (Melnyk, 2013). As the profession of nursing has gained experience with the DNP graduates, we are entering the next phase of discussion; the integration and operationalization of the role within healthcare systems. Nurse leaders in academic and practice settings have the opportunity to collaborate on ways to identify and measure the impact of this new …

State Of The Science On Clinical Evaluation Of Competence In Nursing Education, Elizabeth R. Van Horn, Lynne Porter Lewallen

International Nursing Research Congress (INRC)

Purpose:Â This presentation will describe the state of the science on clinical evaluation of competence in nursing education and address issues related to instrumentation and methods used in clinical evaluation globally.

Methods: A NLN-funded research synthesis was conducted to identify published research and dissertations on clinical evaluation of nursing students. Cooper’s (2010) method of conducting a research synthesis was used to guide the study. Search methods included literature searches of nursing, educational, and health sciences databases; dissertation abstracts; review of table of contents of 7 leading nursing education journals from 2005-2015; and review of the reference lists of 6 review …

Midlife African American Women's Maintenance Of Lifestyle Physical Activity, Jo Ellen Wilbur, Lynne T. Braun, Susan Buchholz, Arlene Michaels Miller

International Nursing Research Congress (INRC)

Purpose: Group interventions combining guidance, self-management, and ongoing support effectively increase physical activity in African-American women, but little is known about long-term maintenance. Maintenance of physical activity is commonly defined as participant achievement of a pre-prescribed level of physical activity at 2 points of time often at the end of the intervention and 6 months later (Kahlert, 2015). Examination of 14 physical activity interventions with African American women revealed only three examined maintenance after cessation of the intervention with all reporting a return toward baseline or low retention. The 48-week Women"s Lifestyle Physical Activity program designed to increase adherence to …

Orthorexia Nervosa And Its Relationship To Obsessive Compulsive Behaviors Among University Students In Southern California, Christine B. Costa, Kholoud Hardan-Khalil

International Nursing Research Congress (INRC)

This study explores the prevalence of orthorexia nervosa and the relationship between obsessive-compulsive behaviors and orthorexia nervosa (ON) behaviors among female and male university students, a nonclinical population.

The Association Of Health Literacy, Understanding Of Health Information, And Food Choice In Female Caregivers, Sukhee Ahn, Jiwon Oh, Jisoon Kim, Seyeon Park, Hyeji Yoo

International Nursing Research Congress (INRC)

Purpose: Female caregivers play an important role to take care of their family health and food choice when one of family members is sick. Caregivers with inadequate health literacy skills have been shown to have poorer understanding of anticipatory guidance such as healthy food choice. Little is known about the relationships among health literacy, understanding of health information, and food choice in female caregivers at hospitals. This study was to explore the relationships among health literacy, understanding of health information, and food choice in female caregivers of adult patients in Korea.

Methods: Using a cross-sectional survey design, 217 female caregivers …

The Association Of Kangaroo Mother Care, Energy Conservation, Procedural Pain, And Bonding In Preterm Neonates, Dorothy Evadne Forde, Danilo Boskovic, Eileen K. Fry-Bowers, Danilyn Mag-Akat Angeles, Douglas D. Deming, Raylene Phillips

International Nursing Research Congress (INRC)

Purpose: To examine the association of kangaroo mother care (KMC) on energy utilization and procedural pain as evidenced by altered biochemical markers of adenosine triphosphate (ATP) degradation, (hypoxanthine (Hx), xanthine (Xa), and uric acid (UA) and oxidative stress (allantoin).

Background: Premature infants admitted to the NICU are at a high risk of suffering the consequences of early maternal separation due to their physiological and metabolic immaturity. Bonding processes of mother and infant may also be at risk from early maternal separation. Consequently, infants become vulnerable to a myriad of internal and external events that increase energy loss. Three …

Experiences Of Women With Physical Disabilities Related To Pregnancy, Suzanne C. Smeltzer, Monika Mitra, Lisa I. Iezzoni, Linda Long-Bellil, Lauren D. Smith

International Nursing Research Congress (INRC)

Purpose: The purpose of this IRB-approved study was to explore the pregnancy-related experiences of women with physical disabilities by obtaining their descriptions and perceptions of their experiences during the perinatal period as well as their recommendations for obstetric clinicians to improve perinatal care of women with physical disabilities. This study is significant because generations of women with disabilities have experienced barriers to health care, including in accessible offices, problematic interactions with health care providers and negative responses related to pregnancy and childbearing from health care professionals and others (Iezzoni, wint, Smeltzer & Ecker, 2015; Mitra, Long-Bellil, Smeltzer, & Iezzoni, 2015). …

Lessons Learned In Creating Evidence-Based Electronic Oncology Care Plans, Meghan Coleman, Karen J. Hammelef

International Nursing Research Congress (INRC)

The delivery of patient-facing treatment summaries and symptom management care plans has been an important step forward in the provision of evidence-based, patient-centered cancer care. This has also been accelerated by the Institute of Medicine"s recommendation to address the quality chasm in oncology care. Studies of the use of evidence-based electronic care plans in the cancer population have demonstrated an improvement in the overall patient care experience, decreased negative outcomes, and enhanced physician/patient communication. Electronic delivery of these plans can streamline the documentation process, provide an overview of the patient"s care in one concise document, and enhance provider and patient …

Psychometric Properties Of The Problem-Solving Inventory In Caregivers Of Persons With Memory Loss, Meihua Ji, Susan M. Sereika, Jeffrey M. Rohay, Judith A. Erlen

International Nursing Research Congress (INRC)

The purpose of this study was to evaluate the psychometric properties (reliability, factor structure and validity) of the Problem Solving Inventory (PSI) among informal caregivers of community-dwelling persons with memory loss.

Predictors Of Anti-Mã¼Llerian Hormone, A Biomarker Of Ovarian Reserve: A Systematic Review Of The Literature, Theresa M. Hardy, Donna O. Mccarthy

International Nursing Research Congress (INRC)

Purpose: Anti-Müllerian hormone (AMH) is a novel biomarker of ovarian reserve, or the size of the ovarian follicle pool. Follicle stimulating hormone (FSH) and inhibin B have been the gold standard measures of ovarian reserve. However, changes in FSH and inhibin B levels are not detectable in serum until there is a significant reduction in the follicle pool (Steiner, 2013), making timely detection and intervention challenging. Several studies have explored the influence of both reproductive and lifestyle determinants on AMH concentrations (Dolleman et al., 2013; Freeman et al., 2007; La Marca et al., 2010; La Marca, Stabile, Artenisio, & Volpe, …

Effects Of Mindfulness On Outcomes In Cardiac Rehabilitation Participants: A Pilot Study, Stephanie L. Turrise, Nasrin Falsafi, Richard S. Jr. Pond

International Nursing Research Congress (INRC)

Purpose: The purpose of this pilot study is to assess the effectiveness of a mindfulness intervention compared to a non-intervention, control group (treatment as usual) on physiological and psychosocial outcomes in a sample of cardiac rehabiliation participants.

Methods: This study utilizes a quasi-experimental, repeated-measures design with participants randomly assigned by cohort to one of two groups: a mindfulness practices (including self-compassion) intervention group or a wait-list control group (i.e. treatment as usual). Fifty participants (25 per group) are being recruited from two sites with a phase II cardiac rehabilitation program in Southeastern North Carolina. Participants in the mindfulness intervention group …

Neuropathic Pain And Related Factors In Patients After Lumbar Spine Surgery: A Prospective Study, Feng-Ling Chen, Hsiao Fen Chang, Su-Ying Fang

International Nursing Research Congress (INRC)

Purpose: Neuropathic pain exists even after receiving lumbar spine surgery. These painful conditions often reduce the quality of life and limit the activities of daily living However, the prevalence of neuropathic pain (NP) before and after lumbar spinal surgery among patients with. degenerative lumbar diseases is still unknown.The purpose of this study was to understand the prevalence, characteristics of neuropathic pain and related factors among patients receiving lumbar spine surgery. This study also aimed to identify the risk factors related to NP and compare the clinical outcomes after surgical treatment between patients with and without NP.

Methods: Prospective and observational …

Professional Identity In The Lived Experience Of Hospital Nurses, Tullamora T. Diede

International Nursing Research Congress (INRC)

Purpose: The purpose of this study is to explore the phenomenon of the lived experience of nurses working with patients in hospitals and, with that information, to identify meaningful themes and patterns of how their workplace environment impacts their sense of professional identity. The specific aim of this study is to describe, interpret and, therefore better understand the lived experience of nurses working with patients in a hospital environment and the meaning of this phenomenon as it relates to their professional identify.

Rationale/Background: Over three million nurses currently holding active licenses to practice in the U.S. (U.S. Bureau of Labor …

Adherence A Review: T2dm In Haitian-Americans, Balkys L. Bivins

International Nursing Research Congress (INRC)

Purpose: The incidence and prevalence of diabetes mellitus (DM) has soared globally due to socioeconomic, demographic, and lifestyle changes, and lack of social justice. In the United States, DM has become a costly epidemic that resulted in an annual healthcare cost of $245 billion in 2012. The total prevalence of diabetes in the U.S. is significant at 29.1 million, of which 97.3 % is attributed to Type II diabetes (T2DM). Among the populations affected by the disease and the challenges to effective diabetes treatment and management are Haitian Americans in the U.S. The aim of this review from 1979 to …

Growing In Recovery: A Service Learning Case Study, Amanda Eymard, Heidi Rodrigue

International Nursing Research Congress (INRC)

This qualitative case study utilized heuristic phenomenology to explore the potential impact of initiating a garden at a halfway house. For the service learning project, a garden was developed by nursing students in collaboration with clients at the facility. A grant from Sigma Theta Tau funded the project. During this project, one client emerged as the primary caretaker of the garden. This male client, undergoing rehabilitation for drug abuse, became the subject of the case study. A senior nursing student mentored by a faculty member conducted the case study. Over a period of five months, the subject was interviewed extensively …

Someone To Watch Over Me: Feeling Safe And Cared For In Clinical Settings, Madeline Marie O'Donnell, Inge B. Corless, Lisa Quinn, Catherine Griffith, Margie Sipe, Patrice Kenneally Nicholas

International Nursing Research Congress (INRC)

Purpose: The purpose of this exploratory study is to identify what makes patients feel cared for and how caring behaviors and feeling safe contribute to feeling cared for in clinical settings.

1: To determine whether there is a significant relationship between:

a. patients" perceptions of caring behaviors and feeling safe.

b. patients" perceptions of caring behaviors and feeling cared for.

c. patients" perceptions of feeling safe and feeling cared for.

2: To investigate whether participants" responses vary by demographic factors, the length of the current hospital stay, whether the patient can identify a primary nurse caregiver, and the length of …

The Risk Factors Affecting Survival In Colorectal Cancer In Taiwan, Shu-Fen Wu, Chao-Hsien Lee, Shu-Chen Cheng, Hong-Yi Tung, Shih-Chang Shang, Ching-Yun Ching

International Nursing Research Congress (INRC)

Background: Colorectal cancer (CRC) is the second and third most commonly diagnosed cancer type in females and males, respectively, representing almost 10% of the global cancer incidence. The incidence of colorectal cancer (CRC) in Taiwan is rising. Cancer survival is an indicator of the overall effectiveness of health services in the management of patients. In this study, we sought to determine the five-year survival rate of patients diagnosed with CRC and to determine factors affecting survival. Methods: In this study, we conducted a single-center, retrospective cohort study to estimate the survival outcome of patients diagnosed with colorectal carcinoma …

Public Health, The Environment, And Nursing Practice: Health Promotion In A Toxic World, Hacah U. Boros

International Nursing Research Congress (INRC)

Purpose: Nurses are at the forefront of community and preventative health as educators and practitioners. It is imperative that they provide comprehensive, quality care as it relates to environmental health issues; acknowledging advances in research that are exposing the correlation between chemicals and our body burden. The incidence of many serious diseases and disorders are on the rise and understanding the link to environmental exposures is critical. There is growing consensus among the scientific and medical community that exposure to toxic chemicals in our every day environment including those found in building products, plastics, personal care products and household cleaners, …