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Nicu Nurses And Families Partnering To Provide Family-Centered Developmental Care, Candy Bruton, Jennifer Meckley, Lori A. Nelson

International Nursing Research Congress (INRC)

The aim of this evidence based practice (EBP) project was to determine how implementing the seven neuroprotective core measures of family-centered developmental care will impact the satisfaction of the NICU nurses through new knowledge, skills and families through partnering with care compared to traditional care. According to the American Academy of Pediatrics (AAP) Committee on Hospital Care and Institute for Family Centered Care policy statement made in 2003 family-centered care is a method in which medical care is grounded in the principle that optimal health outcomes are accomplished when patients" family members participate in an active role in contributing emotional, …

Integrative Review Of Self-Care Measurement In Diabetes Nephropathy, Younghee Jun, Jeonghwa Cho, Keumok Park, Youngshin Song

International Nursing Research Congress (INRC)

According to the International Diabetes Federation (IDF) Diabetes Atlas, 415 million people have diabetes mellitus (DM) in 2015. Along with increasing number of diabetes prevalence, its complications are also currently increasing. Among diabetes complications, the rate of prevalence for nephropathy was 30- 40 % of diabetes patients in literature. For controlling the diabetes nephropathy (DN), patients should have the complicated self-care competence. The self-care for DN should be included the proper behaviors not only to control their glucose level, but also to manage their kidney dysfunction. Lots of patients have experienced the difficulties for managing those complicated situations. For example, …

Walking For Our Health: Evaluation Of Randomized Spousal Physical Activity Pilot Intervention, Elizabeth A. Richards, Melissa M. Franks, Meghan M. Mcdonough, Sharon L. Christ

International Nursing Research Congress (INRC)

Purpose: Addressing physical inactivity among older adults is a crucial public health challenge as less than 5% of older adults meet physical activity (PA) recommendations (Troiano et al., 2008) and PA declines with age (Centers for Disease Control and Prevention, 2012; de Rezende et al., 2014). Physical inactivity and sedentary behavior are associated with a higher risk of all-cause mortality and multiple chronic conditions (Physical Activity Guidelines Advisory Committee, 2008; de Rezende, Rey-López, Matsudo, & do Carmo Luiz, 2014).

Despite concerted efforts, physical inactivity remains a major public health concern, especially among older adults who struggle to maintain PA over …

Influencing Global Health Through Cultural Nursing Education Assignments: Results Of A Mixed-Methods Study, Amanda L. Veesart

International Nursing Research Congress (INRC)

Purpose: To report the results of a research study regarding changes in cultural awareness levels among prelicensure nursing students after completion of a culturally based clinical assignment.

Methods: The Voice Project was a culturally based assignment (CBA) designed to teach nursing students how to provide culturally competent nursing care. The study utilized a mixed methods retrospective, descriptive research design to evaluate the data. For the purpose of the research project, self-reported levels of cultural awareness among senior nursing students before and after the completion of the Voice Project was evaluated. A convenience sample of 252 students was evaluated, divided into …

Deployment-Related Needs Of Children Of Army Reserve Soldiers, Margaret C. Wilmoth, Alicia Gill Rossiter, A. Suzanne Boyd

International Nursing Research Congress (INRC)

Purpose: The spouse of a deployed Army Reservist said that her 5 year old was the only child in his kindergarten class whose daddy was in the military. He would sit in a corner and cry during school yet refuse to talk to his daddy on Skype. Concerned for her child"s health she reached out to the community for support and encountered many barriers. Not only did she have difficulty finding a child therapist to help her son, finding one with experience caring for the unique physical and psychological healthcare needs of military children was nonexistent. The school, while willing …

De-Stigmatization Of Mental Illness And Addiction Requires Increased Content In Undergraduate Nursing Curricula Globally, Arlene E. Kent-Wilkinson, Leigh Blaney, Marlee Groening, Elaine E. Santa Mina, Carmen Rodrigue, Carmen Hust

International Nursing Research Congress (INRC)

Problem: In 2017, stigma towards persons with mental health conditions and addiction still occurs around the world, unconfined by demographics or national boundaries. Societal stigma towards persons with mental health conditions and addiction remains an overwhelming barrier to safe, comprehensive mental health assessment and care. Issue of project: Canadian undergraduate nursing curricula contains limited mental health and addiction content in some nursing education programs. Furthermore, nurse educators may perpetuate societal stigma if their programs do not expose students enough to persons and families experiencing mental health conditions and addictions. Brief description/ Background: Mental health conditions and addictions persist as serious …

Quality Enhancement Plan: Interprofessional Educational Program To Improve Nursing Students' Self-Efficacy In Scholarly Written Communication, Jeanette Lee Plodek, Lela Hobby-Burns, Linda C. Tibbits, Rustian C. Phelps

International Nursing Research Congress (INRC)

Introduction: Effective communication is essential in business and academia for professional success. RN-BSN students struggle with scholarly composition as a result of limited formal writing opportunities during their prior studies. A collaborative interprofessional education effort is described to improve students" professional writing skills.

Methods: After assessing observational qualitative data from Nursing, English and Writing Lab faculty, two (2) online, 7-week, asynchronous, 1-credit hour courses were developed and implemented. Both courses are instructed by English or Writing Lab faculty. To promote content alignment Nursing faculty are ‘guest instructors" in the course.

The first course is co-requisite with the introductory course in …

Identifying Acute Cardiac Deterioration In A Critical Care Setting And Establishing A New Recognition Protocol, Sarah A. Power

International Nursing Research Congress (INRC)

Background: The early detection of clinical signs indicating cardiac deterioration can reduce the risk of adverse outcomes (Jones et al., 2013). Worsening physiological symptoms can easily go overlooked or unmanaged, if professionals are not educated properly. When these symptoms are not addressed, patients can experience treatment delays and mortality (Preece et al., 2012). The early detection of cardiac deterioration"s clinical signs can reduce the risk worsening condition, or death. Defining a unit protocol for nurses would allow a systematic way to evaluate patients and their health status.

Objectives: The purpose of an integrative literature review was to identify signs and …

Helping Relationships Intervention Enhances Health-Promoting Lifestyle And Quality Of Life, Miaofen Yen, Shu-Mei Chao

International Nursing Research Congress (INRC)

Purpose: This study examined the effects of a targeted helping relationships strategies improved quality of life, health-promoting lifestyle behaviors, renal protection knowledge, and physical indicators of patients with early CKD.Helping relationships from significant others, including understanding, caring and coach to assist people to act and maintain health promotion, which is a positive behavior to prevent disease or solve health problems for increasing health and approach to wellness. The trans-theoretical model (TTM) has become increasingly influential as a framework for understanding health-related behavior and directing efforts in health promotion. Whether helping relationships from significant others of TTM are effectively associated with …

The Opportunity For The Clinical Nurse Leader Role In Transitional Care Leadership, Pamela Kohlbry, Joann Daugherty, Joy A. Gorzeman, Joseph A. Parker

International Nursing Research Congress (INRC)

The purpose of this presentation is to describe the opportunity for leadership of the Clinical Nurse Leader (CNL) in transitional care. Leadership in transitional care is often missing resulting in any number of healthcare challenges related to errors and quality. For example, fragmentation and specialization result in problems in patient safety, medication administration, patient education, patient follow up, and gaps in communication. Typically, it is the chronically ill with the highest potential for frequent hospital visits due to the complexity of their healthcare illnesses. These hospital visits increase when there is miscommunication, breakdown in follow up, and/or lack of patient …

Gaps In Palliative Care Provision In Saskatchewan, Canada: Learning From Palliative Care Management, Susan Eva Fowler-Kerry, Louise Racine

International Nursing Research Congress (INRC)

Purpose: This study is part of an ongoing project to develop a working knowledge about the long-standing uneven development and delivery of palliative care in Saskatchewan, Canada; subsequently providing a foundation for continuing study and facilitating practical improvement of palliative care programs.

Methods: The results to be presented are based on the current stage of this project, the analysis of longitudinal survey data which were collected from the management personnel of palliative care in each health region in 1998, 1999 and 2002. The three surveys are composed of both close-ended and open-ended questions, therefore both quantitative and qualitative analysis are …

Psychological Distress Among Adolescents In Laos, Mongolia, Nepal, And Sri Lanka, Heeyoung Lee, Eun Young Lee

International Nursing Research Congress (INRC)

The purpose of this study was to explore psychological distress and examine the relationship between distress and individual, family, and school factors among adolescents in Laos, Mongolia, Nepal, and Sri Lanka. Intervention strategies to promote mental health among adolescents will be discussed.

Improving Nursing Care In Infants With Neonatal Abstinence Syndrome, Laura Ruth Watson

International Nursing Research Congress (INRC)

Purpose: The purpose of the project is to improve the nursing care of infants with neonatal abstinence syndrome (NAS) through staff education and peer assessment.

Objectives: The project objective is to provide education for the healthcare staff at two Midwestern hospitals to ensure consistent care is provided to NAS infants. By providing consistent care, NAS infants will be made more comfortable and improve quicker, decreasing their length of stay.

Expanded Content Outline: Sublett (2013), identifies since 1980 the incidence of the NAS has increased by 300%. Literature has shown that infants with neonatal abstinence syndrome (NAS) encounter serious medical …

Using The Mds-Hc To Assess Health Status And Care Needs Of The Elderly Living Alone, Chia-Chi Chang, Yi-Jung Wu, Li-Min Kuo

International Nursing Research Congress (INRC)

The aim of the study was to understand the health status, care needs, and the predicative factors that influence their care needs among elderly living alone. The cross-sectional study was conducted and a total of 151participants were enrolled. The interviewers assessed their health status and care needs by using MDS-HC instruments. The results indicated that who are predominantly male, widowed, and illiterate or with only an elementary school education; their average age is 82.18 years old. In terms of health, the ADL and IADL function are generally good. The 70.9% of participants was having visual impairment. On average, each person …

A Comparison Of Emla And Lmx4 For Managing Pain During Sharp-Wound Debridement, Wendy M. Woith, Jennifer Perry, Jessica Lee

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to compare the efficacy of eutectic mixture of local anesthetics (EMLA) cream to 4% liposomal lidocaine cream (LMX4) for managing pain during sharp debridement of wounds.

Sharp debridement involves the use of a scalpel or scissors to assist with removal of infected or necrotic tissue; this method is preferred for deep wounds, when there is a large amount of tissue to be removed, or when significant infection is present with risk of sepsis , and has been found to decrease time to healing over other forms of debridement. However, sharp wound debridement has …

Effect Of Paravertebral Block On The Outcomes Of Patients Undergoing Video-Assisted Thoracic Surgery, Myra I. Torres, Linda A. Minnich

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to determine if there was a relationship between the introduction of paravertebral block pre-operatively and patient"s post-operative pain scores, length of urinary catheter use and length of hospital stay.

Methods: The study design is retrospective data collection of 40 patients undergoing Video-Assisted Thoracic Surgery (VATS) with wedge resection at a small community hospital in Northern California between March 2013 and March 2015. The decision on whether to apply paravertebral block was based on surgeon preference. All patients included in the study received the usual surgical pain regimen of systemic opioids. At the Post-anesthesia …

Peruvian, Spanish, And American Nursing Faculty Attitudes To Caring For People Living With Hiv/Aids, Juan M. Leyva-Moral, Patrick Albert Palmieri, David Morina-Soler, Sandra Kay Cesario, Maria Feijoo-Cid, Patricia Noemi Piscoya-Angeles, Nataly Julissa Membrillo-Pillpe, Joan Elaine Edwards

International Nursing Research Congress (INRC)

Introduction: Nurses acquire knowledge from biological, psychological and social sciences, with a special emphasis in the human sciences resulting in the ontological conception of caring. At the same time, nurses have their own personal beliefs, attitudes, and experiences which can impact their perceptions about patients as well as the way they care for them. Importantly, some perceptions about patients result in negative caring behaviors that produce stigmatization, solace, and hopelessness among others. If these perceptions are identified early, preventive and transformative interventions can be implemented to improve patient care and quality of life. The literature provides evidence that fears and …

Long-Term Impact Of Study Abroad In Undergraduate Nursing Education On Rn Nursing Practice, Arlene E. Kent-Wilkinson, Marie Dietrich Leurer, Janet Luimes, Linda M. Ferguson, B. Lee Murray, Vicki Squires, Carmen M. Dell

International Nursing Research Congress (INRC)

Purpose: Study abroad experiences often have a significant impact on the lives of university students. This impact is not always understood in terms of learning outcomes, lived experience perspectives, or the impact it has on future professional practice. The purpose of the study is to explore the long-term impact of the study abroad experience on subsequent nursing practice, from the perspective of alumnae registered nurses (RNs) in Canada, who in the last eight years had a study abroad clinical placement as part of their undergraduate nursing program.

Recent societal and educational trends: Changing immigration patterns globally have resulted in more …

Participatory Rural Appraisal For Community Assessment Of Health Needs In Rural Haiti: A Pilot Study, Amy L. Knowles, Penelope Lynn Neal

International Nursing Research Congress (INRC)

Purpose: The country of Haiti has a population of 10 million people and is the poorest country in the Western Hemisphere. The nation ranks 168 out of 187 on the Human Development Index (WHO.int; MidwivesforHaiti.org). While there has been limited research in Haiti, the majority of previous work focuses on specific disease topics, such as Human Immunodeficiency Virus (HIV) transmission and prevention (Conserve et al., 2014). What is missing from the literature is a comprehensive review of the significant health issues affecting Haitians, especially in the rural areas, and an opportunity of empowering the locals to participate in identifying their …

Meta-Synthesis Of Studies On Self-Stigma In Chronic Disease, Kawoun Seo, Yoonhee Lee, Bohyun Kim, Youngshin Song

International Nursing Research Congress (INRC)

The purpose of this study was to synthesize the concept of self-stigma in patients who have chronic disease and to classify the its attributes systematically.

Addressing Breast, Cervical, And Colorectal Cancer Screening-Related Health Disparities And Practices In Asian-Indio Women, Sharon K. Byrne, Evelyn Robles-Rodriguez, Yogini Patel

International Nursing Research Congress (INRC)

Purpose: This retrospective research project reviews outcomes resultant from the delivery of cancer screening services to women living in the U. S. from an Asain-Indio background witin a clinic setting.

According to the National Action Plan for Cancer Survivorship, culturally competent patient education and care is a priority (2015). The Cancer Outreach Project at MD Anderson Cancer Center Cooper provides culturally and linguistically appropriate cancer education and screening to underserved Asian-Indio women through the use of a dedicated outreach worker and Nurse Practitioner run clinic. A collaborative relationship was established in 2007 between the Cancer Outreach Project and National Indio …

Changing Attitudes With A Gerontological Nursing Course, Monica L. Tenhunen

International Nursing Research Congress (INRC)

Nursing education needs to focus on preparing graduates to understand the special needs of the older adult population and value positions in care of older adults. The purpose of this study was to determine baccalaureate nursing students' attitudes toward older adults and whether a gerontological nursing course changes their attitudes.

Age Appropriate Treatment Of Drug-Resistant Tuberculosis In South Africa, Brittney Jayne Sullivan

Dissertations

The purpose of this study was to describe the time from DR-TB diagnosis to treatment initiation for people in South Africa with DR-TB with and without HIV and to evaluate the influence of age on the timing of treatment initiation after controlling for patient and health system characteristics. It was hypothesized that younger patients would have a greater number of days from DR-TB diagnosis to DR-TB treatment initiation. Additionally, we address the knowledge gaps pertaining to prescription of guideline-based treatment for DR-TB at treatment initiation and the influence of individual and health system factors on prescribed treatment for youth and …

Improving Door-To-Ecg Time For Patients Presenting With Chest Pain In The Adult Emergency Department, Diana Lyn Baptiste, Barbara Maliszewski, Heather Gardner, Cathleen Lindauer

International Nursing Research Congress (INRC)

Purpose: The American Heart Association/ American College of Cardiology guidelines recommend rapid door-to-electrocardiography (ECG) times for patients who present with chest pain. Reducing ECG-to-door time is important so that health care providers adhere to the recommended door-to-balloon times (less than or equal to 90 minutes) for patients who present with ST-segment elevation myocardial infarction (STEMI).

The objective of this quality improvement project was to measure the mean time that it takes to obtain an electrocardiography (ECG) for patients who present to the emergency department with complaints of chest pain. The goal of this project was develop and evaluate an intervention …

Partnerships Among Nonprofit Organizations: Assessing The Impact On Global Health, Jacqueline Cassagnol

International Nursing Research Congress (INRC)

Partnership among nonprofit organizations are intended to achieve greater impact than any organization could generate on its own. The purpose of this project is to assess the impact of partnership among an international organization and nonprofit organizations on global health. The partnership is between Worldwide Community First Responder, Inc. (WCFR) and nonprofit organizations in the USA and Haiti. The nonprofit organizations include: Haitian American Nurses Association, Sigma Theta Tau International, and Volunteer New York. In order to facilitate an in-depth examination of the project impact, a case study methodology was employed. Communities worldwide have benefited from the services that WCFR …

A Case-Oriented, Cross-Country Comparison Of Three High-Income Countries' Health Systems And Healthcare Accessibility, Sue A. Anderson, Cheryl Zlotnick, Vanessa Heaslip

International Nursing Research Congress (INRC)

Purpose: Located on different continents, the United Kingdom (UK), Israel and the United States (US) are high income countries differing in size, population size, and type of health care systems; yet, their general population's health outcomes are similar. This study used qualitative and quantitative information to gain insight on the health care systems and health care accessibility of vulnerable groups in the general populations of these three industrialized countries.

Methods: Using a case-oriented, cross-country comparison, this study uses the three factors of the Behavioral Model of Utilization (i.e., health system environments, population characteristics and health behaviors/outcomes) to examine health care …

Quality Improvement Initiative Evaluation To Determine Effectiveness Of Provider-Patient Communication In A Wound Clinic, Stacy Eva Usher

International Nursing Research Congress (INRC)

The purpose of this clinical project is to improve provider communication skills and, thereby, improve patient health outcomes. This researcher participated in Patient Centered Caring Communication (PCCCI) training. The PCCI tool, however, required evaluation to determine its effectiveness at improving communication between the patient and provider in order to improve health outcomes.

Evaluation Of A Comprehensive Pro-Active Intervention On Quality Of Life For Community Frail Older Adults, Yen-Chun Lin, Lian-Hua Huang, Meei-Fang Lou

International Nursing Research Congress (INRC)

Purpose: To evaluate a comprehensive pro-active intervention for community frail older adults and examine its effectiveness.

Methods: This is a pilot experimental study. The older adults who consented and met the frail or pre-frail status assessed by Fried Frailty Criteria were randomly assigned into experimental (N=55) and control groups (n=54). The experimental group received a 6-month comprehensive pro-active intervention. We provided a comprehensive assessment for each participants. Based on their individual needs, we provided physical activity practice, health education, community resource referrals, community support groups, group community activity participation, counseling, self-management skills teaching, regular telephone follow-up, and home visits every …

Nurses Crossing Disciplines And Borders: A Participatory Research Approach To Global Water Challenges, Vicki L. Simpson

International Nursing Research Congress (INRC)

Purpose: The purpose of this presentation is to: 1) describe an ongoing project to provide access to safe water and improved sanitation and hygiene for rural, underserved areas of the Dominican Republic, and 2) delineate the contributions/roles of nurses as part of a cross-disciplinary team in addressing complex global challenges. According to the United Nations (UN), 1.8 billion people globally use water contaminated by fecal matter while 2.4 billion lack access to basic sanitation services. Additionally, issues related to unsafe water, poor sanitation and hygiene are major contributors to death for children under the age of five worldwide. Ensuring access …

Application Of The "Attentively Embracing Story" Theory In Older Persons Living In Long-Term Care Facilities, Hui-Wan Chuang

International Nursing Research Congress (INRC)

Background: The "Attentively Embracing Story" is a middle-range nursing theory, which employs intentional dialogue to encourage individuals to describe events that are a challenge to their health. The "Attentively Embracing Story" helps individuals transform negative thoughts into positive thoughts, reflect on new meanings and values, and boost spiritual healing and health improvement. However, most studies had methodological shortcomings, including small sample sizes (N<10), pre-post designs, lack of objective outcome, and lack of active treatment controls, which preclude clear conclusions regarding efficacy.

Purpose: The purpose of this study was to examine the effectiveness of a "Story-Centred Care Intervention Program" based on the "Attentively Embracing Story", in improving quality of life, blood pressure and heart rate variability in institutionalized older …