Digital Commons Network^™

Improving Hypertension Management Through Computer-Based Staff Education, Simulation, And Incentivization: One Organization's Quality Improvement Journey, Nancy J. Slizewski, Caroline H. Fender, Patti E. Reinagle, Krissy L. Flick

International Nursing Research Congress (INRC)

Background: Hypertension is a risk factor for cardiovascular disease which is a leading cause of death in the United States (Centers for Disease Control [CDC], 2014; Coogan, Marra, & Lomonaco, 2015). Although approximately one-third of the adult population has hypertension, almost one-half of those diagnosed are not meeting target blood pressures of less than 140/90 (CDC; Coogan et al.). Proper diagnosis and management of hypertension is based on blood pressure readings. Correct blood pressure measurement technique by staff is critical (American Association of Critical-Care Nurses, 2016; Bland & Ousey, 2011; Coogen et al.; Giorgi, & Ganem, 2016; Rabbia et al., …

Complementary Medicine And Spirituality: Practices To Attain And Maintain Health Among Indian Immigrants, Rachel Abraham Joseph, Samantha Anne Fernandes, Sarah Derstine, Micaela Mcspadden

International Nursing Research Congress (INRC)

Purpose: About five percent of immigrants to the United States are from India (Zong, Jie & Batalova, 2015). The use of complementary and alternative medicine (CAM) are quite common among Indians and upon migration to the U.S, they may continue to use CAM therapy for routine care, and access modern health care services for emergencies only (Rao, 2006). This can result in a lack of screening for certain diseases which may then delay diagnosis and treatment of that disease. The health seeking behaviors of Indian immigrants and their frequency of accessing preventative screening were not found in literature.

Methods: This …

Teaching To Develop A View Of Life And Death In Nursing Students, Chiaki Otsuka, Mari Hirota, Sachiko Teraoka, Misae Ito

International Nursing Research Congress (INRC)

Purpose: As Japanese society increasingly ages, in 2025 it is estimated that deaths will reach a yearly figure of 1,600,000. Against this background, the Japanese Ministry of Science and Education, Culture, Sports, Science and Technology has established as goals for students graduating from college nursing programs that they should have the ability to relieve and reduce suffering at the end of life, respect, support and be able to offer advice to the dying on an individual basis. This paper clarifies an educational project seeking to develop a view of life and death and foster the ability to support and care …

American Lymphedema Framework Project: An Overview Of 8 Years In Moving The Lymphedema Field Forward, Jane M. Armer, Nathan C. Armer, Joseph L. Feldman

International Nursing Research Congress (INRC)

Purpose: To inform nurses and other health professionals in the U.S. and around the world about the founding of the American Lymphedema Framework Project (ALFP) in 2008 as the first invited national framework of the International Lymphoedema Framework (ILF) and the ALFP progress in achieving its mission to improve the management of lymphedema and related disorders in the United States, while contributing to global international advancement.

Methods: In 2008, lymphedema clinical experts, researchers, educators, patients, advocates, and other stakeholders began the process of developing the American Lymphedema Framework Project (ALFP) at the invitation of the ILF. At the American Cancer …

Upward Violence In Nursing: A Scoping Review Of A Phenomenon Of Importance For Nursing, Alice Pauline Gaudine, Linda J. Patrick, Lorraine A. Busby

International Nursing Research Congress (INRC)

Purpose: To describe what is known about upward violence in the workplace through a scoping review of the literature. Upward violence includes violence that is directed from staff to people in positions of authority including staff nurses to nurse managers (Branch, Ramsey & Barker, 2013; Gaudine and Lamb 2015). Upward violence may include physical violence and property damage, but it can also be demonstrated through verbal threats and behaviours such as rudeness, socially ostracizing, bullying, mobbing, or passive aggressive behaviours.

The specific objectives of this presentation are: 1) to define and to describe upward violence; 2) to identify related nursing …

Perceived Strategies To Decrease Attrition Rates Among Nurses Practicing At Healthcare Institutions In India, Llewellyn Prater, Shelby L. Garner, Leena Raj

International Nursing Research Congress (INRC)

Background: A profound nursing shortage exists in India, where nurses are increasingly out-migrating to practice nursing abroad. A robust nursing workforce is needed to improve health outcomes in India. Until recently, nursing was not considered a profession in India and research suggests nurses historically experienced marginalization and oppression (Johnson, Green, & Maben, 2014). A recent positive shift in the perception of nurses as professionals in India creates a timely milieu in which to give nurses a voice so that they may express their ideas and perceptions (Walton-Roberts, 2015). Strategies to decrease attrition rates among nurses in India could also shape …

"I Should Have Come Sooner": A Qualitative Study Describing Care Preferences Of Elders With Hf, Victoria Vaughan Dickson, Saul Blecker, Corita Grudzen, Stuart Katz, Billy A. Caceres, Melissa Martelly, Tina Sadarangani, Caroline Blaum

International Nursing Research Congress (INRC)

Purpose: Heart failure (HF) remains the leading cause of hospitalization among adults over the age of 65. The majority of these hospitalizations originate in the emergency department (ED). Hospitalized HF patients are more likely to experience negative health outcomes than outpatients with HF. Experts have suggested that many patients with HF may be safely given treatment in the ED with discharge home and close follow up. Therefore, the purpose of this study was to describe the reasons that elder HF patients present to the ED and explore care preferences including barriers and facilitators to home discharge.

Methods: In this qualitative …

The Impact Of Feeding And Parenting Guidance On The Prevention Of Child Obesity, Elizabeth Reifsnider, David Mccormick, Michael Todd, Lucy Reyna, Irma Pecina

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to test an intervention, guided by public health nursing practice and delivered by community health workers, to prevent the development of obesity in infants and young children who are at risk of obesity because of maternal body size, income status, and ethnicity. We followed the Institute of Medicine"s (IOM) 2011 report on early childhood obesity prevention policies, which recommended five approaches to preventing obesity: assess, monitor, and track growth from birth to age 5; increase physical activity and decrease sedentary behavior in young children; support breastfeeding and be responsive to children"s feeding cues; …

Making Your Research More Robust With Implementation Science, Linda Costa, Marianne Weiss, Kathleen L. Bobay, Ronda Hughes, Susan A. Nuccio, Sarah J. Bahr, Danielle M. Siclovan

International Nursing Research Congress (INRC)

Purpose: Implementation science is the study of methods, interventions, and variables that promote uptake and use of research and other evidence-based practices by organization with the goal of improving health care quality. This study applies the Consolidated Framework for Implementation Research (CFIR) and its constructs to describe the implementation experiences of 34 Magnet hospitals in the United States and Saudi Arabia participating in the Readiness Evaluation and Discharge Intervention (READI) Study. The READI study seeks to implement discharge readiness as a standard of nursing practice. The study has three phases: Phase 1 nurses perspective of discharge readiness, Phase 2 patient …

Demoralization Syndrome Affects Health-Related Quality Of Life (Hrqol) In Patients With Heart Failure, Hsing-Mei Chen, Liang-Miin Tsai, Yun-Han Shie

International Nursing Research Congress (INRC)

Purpose: Health-related quality of life (HRQOL) is an important outcome measure for guiding appropriate and effective therapeutic interventions for patients with heart failure (HF). Demoralization syndrome consists of a cluster of emotional symptoms including loss of meaning, dysphoria, disheartenment, helplessness, and sense of failure. Patients with demoralization syndrome may have poor quality of life. To date, information about the relationship between demoralization syndrome and HRQOL in patients with HF, however, is still lacking. Therefore, the purpose of this study was to examine the relationship between demoralization syndrome and HQROL in patients with HF.

Methods: A cross-sectional correlational research design was …

An Emergency Department Nurse-Led Educational Intervention Of Bystander Hands-Only Cardiopulmonary Resuscitation In The Homeless Community, Caroline Warren, Diana Lyn Baptiste

International Nursing Research Congress (INRC)

Purpose: An estimated 360,000 out-of-hospital cardiac arrests (OCHAs) occur each year in the United States. Individuals living in low socioeconomic neighborhoods and members of the homeless population are at a higher risk for death due to cardiovascular complications. Homeless individuals experience cardiovascular deaths at a higher rate due to inequities related to a lack of access to preventative and routine health care. According the U.S Department of Housing and Urban Development, there are 7,856 individuals who are without homes in Maryland. Of the individuals experiencing homelessness in Maryland, 22% are considered habitually homeless and demonstrate a high burden of disease …

Using Team Stepps To Improve Teamwork And Collaboration In The Emergency Department, Melissa A. Pollard, Elizabeth Cummings

International Nursing Research Congress (INRC)

This session will address an education initiative to promote the adoption of Team STEPPS tools in our emergency department. The goal of this project was to create a healthy work environment that embraces Team STEPPS tools in day to day work flow. Our Emergency Department underwent an unprecedented turn-over in staff, including a new contracted team of Emergency providers, resulting in many changes in work flow, throughput and communication. The retirement of the longtime nurse manager also prompted changes in management structure, with additional senior nurse turnover. With the many changes, it was noted that collaboration and communication among staff …

Mental Injury: Exploring The Factors Related To Abusive Behavior Among Health Professionals, Leah Adeline Phillips

International Nursing Research Congress (INRC)

Purpose: In Canada, Licensed Practical Nurses (LPNs) are a self - regulated profession; they are accountable to the public, the profession, to other members of the healthcare team, and to their employers. LPNs work as part of health care teams that include Registered Nurses, Physicians, Allied Health Professionals, and unregulated care providers.

"Mental injury (or mental suffering) is harm to a person(s) for which some other person(s) is held responsible in whole or in part. It can take the form of either mental distress or mental illness. Mental injury results from negligent, reckless or intentional acts, or omissions" (Samra, 2009). …

Determining The Level Of Engagement In The Ohio State University Wellness Innovator Program, Megan E. Amaya

International Nursing Research Congress (INRC)

Background: A wellness champion team is an essential component of a worksite wellness program initiative. The role of the wellness champion team is to communicate, participate in, motivate colleagues, and support the worksite wellness program. Champions are often the "voice of the employee" for wellness offering considerations. However, very little is known about the impact and level of participant engagement of these teams. Developed 4 years ago under the direction of the University Chief Wellness Officer, the wellness team at a large academic institution in the United States includes 500 faculty/staff members who are Wellness Innovators from across the …

Green Care As Psychosocial Intervention For Depressive Symptoms: What Might Be The Active Ingredients?, Rebecca Elizabeth Salomon, Alison Duncan Salomon, Linda S. Beeber

International Nursing Research Congress (INRC)

Background: Green care is an umbrella term for psychosocial interventions that integrate biotic and abiotic elements of nature to promote an individual"s health and well-being (Haubenhofer, Elings, Hassink, & Hine, 2010). Green care interventions include animal assisted therapy, therapeutic horticulture, care farming, and others (Sempik, Hine, & Wilcox, 2010). A variety of green care interventions are used in countries such as Finland, Norway, Japan, Germany, the United Kingdom, and the United States, indicating its capacity for cultural diversity and sensitivity (Annerstedt & Währborg, 2011; Haubenhofer et al., 2010). Some green care therapies, such as community gardening, can be used as …

Fact-Finding Survey Of Defecation Behavior In Young Japanese Adults, Megumi Katayama, Yoko Aso, Aki Ibe, Osamu Katayama, Hiroko Matsuzawa

International Nursing Research Congress (INRC)

The postures that individuals adopt when independently performing defecation behavior, and behaviors that have been devised to facilitate defecation remain unclear. The purpose of this survey was to clarify the state of defecation behavior and coping behavior for constipation in young adults.

Making A Mentoring Match: Advancing The Profession Trough Communication, Matthew S. Howard, Margarett Alexandre, Robin Bartlett, Mary Lou Bond, Patricia Mary Davidson, Kathleen Flores Eviza, Geralyn M. Frandsen, Carole Marie Kulik, Claudia Kam Yuk Lai, Lois Sarah Marshall, Karen H. Morin, Larry Z. Slater, Mary G. Heitschmidt

International Nursing Research Congress (INRC)

Purpose:

The purpose of this project was to use technology to provide an avenue for nurses from different geographical backgrounds to stay connected and provide support in a way that has not been done before. A new web-based technology has allowed experienced nurses to connect and mentor or coach new nurses to support their transition into their current practice.

Relevance/ Significance:

Globally, the populations of the world are experiencing poor access to care, insufficient resources, and nursing shortages of overwhelming proportion. The integration of best available evidence is associated with improved patient outcomes, reduced treatment costs and need for clinical …

Association Between Age-Related Hearing Loss And Disability In Older Adults: A Systematic Review, Tzu-Chia Lin, Miaofen Yen

International Nursing Research Congress (INRC)

Purpose: Age-related hearing loss (ARHL) is the loss of hearing or proportional to the degree of hearing impairment that gradually occurs as we grow older. ARHL management also consumes an increasing portion of healthcare expenditures given the rising mean age of people. Previous studies have investigated the association of ARHL and disability in older adults, but the results are inconsistent. However, identifying potentially modifiable risk factors such as hearing loss would provide a substantial public health benefit. Therefore, the aim of the study was to comprehensively evaluate the evidence connecting ARHL to disability in older adults.

Methods: Studies were identified …

The Power Over Pain Coaching Intervention Improves Functional Status In African Americans With Cancer Pain, April Vallerand, Susan M. Hasenau, Thomas Templin

International Nursing Research Congress (INRC)

Purpose: Functional status, or the ability to carry out meaningful activities, is affected by pain intensity and the patient"s belief that they can control the pain to an extent that allows them to participate in those activities¹. African Americans have been found to have higher levels of pain, more pain-related distress, and lower functional status than their Caucasian non-ethnic cohorts^2,3,4. Pain-related distress has been shown to mediate the relationship between pain and function^5,6. Although pain-related distress is important and should be assessed in all patients with pain, designing interventions to decrease distress is challenging …

Development Trajectory Of A Fall Detection Device Involving Community-Dwelling Older People, Friederike J. S. Thilo, Jos M. G. A. Schols, Ruud J. G. Halfens, Sabine Hahn

International Nursing Research Congress (INRC)

Purpose: The aim of the study was to explore and consider the needs, requirements, feasibility and usability aspects of daily life from the perspective of community-dwelling older people, by involving them interactively in the development of a wearable fall detection sensor, including its smartphone application.

Methods: A qualitative descriptive study was chosen. Community-dwelling older people, 75 years and older, were involved in two stages of device development using the theoretical framework of Shah et al. (2009). They were involved in the device design and mock-up evaluation stage and in the real field prototype testing stage of the fall detection device. …

Does A Culturally Infused High-Fidelity Human Simulation (Hfhs) Scenario Accurately Depict The Culture?, Ruth E. Irwin

International Nursing Research Congress (INRC)

Purpose: The United States (U.S.) is rapidly becoming a multi-cultural, pluralistic society. The U.S. Census current U. S. Census (2010) reported that 72% of the US population origins were from White European ancestry, 14% from African ancestry, 17.3 % from Hispanic Ancestry, 4.8% from Asian Ancestry and 0.9% Native American ancestry. The U.S. Census (2010) projects for the year 2020, 53% will be from White European decent and there will be a threefold increase in the Hispanic American and Asian American population. Providing culturally competent care in the 21^st century is critical to excellent patient outcomes.This study sought to …

Measuring The Effect Of A Nurse Residency Program On Person-Organizational Enculturation, Laurie Ecoff, Kim Reina Failla, Jaynelle F. Stichler

International Nursing Research Congress (INRC)

Purpose: This completed study describes the effects of a structured Nurse Residency Program featuring reflective learning on nurses" organizational enculturation from Year 1 (Y1) to Year 2 (Y2).

It has been reported that 6% of new graduate nurses leave the profession within their first year of practice because of job dissatisfaction, poor transition from the student role to the work environment, poor social integration within the work unit, concerns about their competency levels, and poor coping and self-efficacy (Kramer, Halfer, Maguire & Schmalenberg, 2012). Nurse Residency Programs (NRPs) have been viewed as an effective way to prepared and new nurse …

What Do Nursing Students Know About The Homeless And Their Care Experiences? A Qualitative Study, Kim Schafer Astroth, Cindy H. Kerber, Sheryl Henry Jenkins, Wendy M. Woith

International Nursing Research Congress (INRC)

Purpose: The purposes of this qualitative study were to: a) explore the attitudes and knowledge of nursing students regarding the homeless, b) describe their experiences with the homeless, c) examine their perceptions of nursing care of the homeless, and d) identify possible strategies for teaching nursing students about care of the homeless. Vulnerable populations, especially homeless people, may be particularly at risk for experiencing uncivil behavior from nurses. Studies have demonstrated that homeless people believe they are not treated as well as others when seeking healthcare; they have reported experiencing incivility and lack of compassion by nurses. These nursing behaviors …

Need For Mental Health And Addiction Curriculum In Undergraduate Nursing Education In Canada And Globally, Arlene E. Kent-Wilkinson, Leigh Blaney, Marlee Groening, Elaine E. Santa Mina, Carmen Rodrigue, Carmen Hust

International Nursing Research Congress (INRC)

Purpose: Mental health and addiction conditions persist in 2017 as serious health concerns that affect the lives of one in every five Canadians and their families. Nurses, as the largest group of health care providers are significant stakeholders in meeting the mental health and addiction care needs of citizens globally. The purpose of this paper is to emphasize the importance of inclusion of mental health and addiction content in the curricula of all undergraduate nursing programs, addressing the need for entry-to-practice competencies; and, discussing the responsibility of nursing education and professional associations.

Need/Issue: The complexity of concurrent disorders supports the …

The Antimicrobial Effects Of Water-Soluble Essential Oils In The Nursing Practice, Yuka Saeki, Kimiko Akamatsu

International Nursing Research Congress (INRC)

Purpose: Essential oils have been widely applied for a variety of purposes. Essential oils often have antimicrobial, antioxidant and anti-inflammatory properties^1-3). When essential oils are applied as spray in daily life with the intention of removing microorganisms, they have to be dissolved in alcohol at first followed by water. In this case, it can’t be clear if antimicrobial effect could be caused by essential oils or alcohol. Therefore, this study was designed to clarify the antimcrobial effect of water-soluble essential oils dissolved with an emulsifier and investigate an application in nursing practice.

Methods:  Antimicrobial effect …

Comparative Analysis Of The Similarities And Differences In Approach To Integrative Scholarly Reviews, Joann D. Long, Paula Gannaway, Cindy Ford

International Nursing Research Congress (INRC)

Purpose: Primary research provides the scientific foundation for evidence-based practice (EBP)--vital in the attainment of health for all people (World Health Organization, 2012). A comprehensive literature review is essential for determining what is known and not yet known regarding the clinical question (Coughlan, Cronin, & Ryan, 2013; Kearney, 2016). Conceptually, the Stevens Star Model of Knowledge Transformation offers a framework for moving the discovery of knowledge gleaned from research to implementation of evidence-based practice (Stevens, 2012). Yet, meaningful engagement in the synthesis of high-level health care research requires the use of a sophisticated set of technical skills including knowledge of …

Effect Of Massage Balls On Breast Engorgement For Taiwanese Postpartum Women: A Randomized Clinical Trial, Hsiu-Jung Lee

International Nursing Research Congress (INRC)

Purpose: The multitude of benefits that come from breastfeeding has been very well established and recognized. Breast engorgement, however, is a common problem of early postpartum breastfeeding, one that contributes to lower willingness to breastfeed. The development of effective strategies aimed at increasing milk secretion is, therefore, highly important, for it helps to prolong the duration of breastfeeding. It is incumbent upon health-care providers to find the best strategies in assisting women to both manage the discomfort of breast engorgement and increase milk secretion.The purpose of this study was to evaluate the efficacy of massage balls toward treating breast engorgement …

Educating Healthcare Providers To Identify And Heal Victims Of Sex Trafficking, Kupiri Ackerman-Barger, Jann L. Murray-Garcia, Ellen E. Goldstein, Jerry John Nutor

International Nursing Research Congress (INRC)

Purpose: Human trafficking is recognized as a gross violation of human rights that victimizes tens of millions of vulnerable women, men and children worldwide (Ahn et al., 2013). A United States Congressional Research Service report estimated the number of victims who are trafficked at any one time worldwide may reach as high as 27 million (Siskin & Wyler, 2013). Millions of trafficked victims are unaccounted for and remain invisible to law enforcement, medical providers and other professionals. A lack of awareness of this invisible population has meant missed opportunities to improve both the health of …

Innovative Nursing Education Pathways And Racial/Ethnic Diversity, Kupiri Ackerman-Barger, Patricia Farmer, Bryan M. Hoffman

International Nursing Research Congress (INRC)

Purpose: The purpose of this study is to determine whether innovative nursing education pathways reflect the racial/ethnic diversity of traditional pathways. In 2008 the Robert Wood Johnson Foundation partnered with the Institute of Medicine to produce an action-oriented report that would serve as a blueprint for the future of nursing. The report (The Future of Nursing; Leading Change, Advancing Health) sought to address issues like the nursing shortage, developing technologies in healthcare, and meeting current and future healthcare demands (IOM, 2011). The results of the report were four key messages. This study focuses on Key Message #2 which …

Derek Hoy: The Legacy Of The First Scottish Nursing Informatician, Siobhãƒâ¡N O'Connor

International Nursing Research Congress (INRC)

Purpose: Derek Hoy was a prominent Scottish nursing informatician. This paper aims to explore his career and its impact on nursing, patients and the health services in Scotland and beyond.

Methods: A literature review of Derek's academic research was undertaken to establish his contribution to nursing informatics as a field. An exploratory case study approach was adopted to explore his career in depth. A selection of people are being interviewed including his wife and close personal colleagues in the National Health Service (NHS), Glasgow Caledonian University where he worked and the Scottish Government among others. The qualitative dataset will undergo …