Digital Commons Network^™

Virtual Reality Simulation: An Alternative Strategy For Development Of Problem Solving Skills In Clinical Practice, Olga Van Dyke, Cindy Heden, Betty Cheng

International Nursing Research Congress (INRC)

Purpose: There is increasing demand to prepare new nursing graduates to practice in today"s complex health care environment. While senior students may be well equipped with basics of nursing theory, their limited clinical experience may hinder their provision of care for patients with high complexity in emergency situations that require sound clinical decisions. As a result, there is a growing need for alternative experiential learning opportunities to allow students transition successfully from classroom education to clinical practice. Interactive virtual simulation software (vSim by Lippincott) provides students with a safe, but challenging environment, to help them apply content they learn in …

Development Of An Education Intervention To Decrease Sedentary Behaviors In An Adult Family Practice Population, Lauryn Legacy Frost

International Nursing Research Congress (INRC)

Background: Prevention of chronic diseases in the primary care setting requires further understanding. There is a paucity of literature regarding the adult population"s knowledge of the negative effects of sedentary behaviors: a lack of effective interventions to reduce sedentary time.

Purpose: To measure baseline knowledge of primary care adult patients regarding sedentary behaviors and to develop an educational tool for primary care providers to utilize in the office when discussing sedentary behaviors.

Method: This quality improvement (QI) project utilizes an educational program design intended to generate evidence using a baseline needs assessment survey and development of an educational tool to …

The "Lived Experience" Of Nursing Faculty Following The Sudden Death Of A Student, Paulette Dorney

International Nursing Research Congress (INRC)

Purpose: The purpose of this phenomenological qualitative research study is to explore the grief experiences and reactions of nursing faculty following the unanticipated, sudden death of a nursing student. According to the Essentials of Baccalaureate Education for Nursing Practice, "the baccalaureate generalist graduate nurse is "…prepared to engage in care of self in order to care for others" (AACN, 2008, p. 8). While nursing faculty teach students how to care for patients and their families at end of life, little is known about the impact of a student"s death on faculty. Nursing faculty serve as teachers, role models, coaches, and …

Caught In The Middle: Intersectionality And Mental Health Among Asian Indian Women, Semran K. Mann, Lisa R. Roberts, Susanne Montgomery

International Nursing Research Congress (INRC)

Purpose: Our aim was to explore intersectional tensions affecting Asian-Indian immigrant women"s mental health.

Mental health is a serious and globally prevalent health care issue, though certain groups— such as immigrants— are specifically vulnerable to experiencing negative mental health consequences. Immigration alone is known to cause stress that can affect mental health, yet literature is lacking on AI immigrant mental health needs and preferences for care in the US. However, recent studies have identified AI women, both English and those with Punjabi language preference, to be at high risk of experiencing mental health issues (Roberts, Mann, Montgomery 2016; Roberts, Mann, …

What Do Nurses Ask About? A Review Of Nursing Questions In A Brazilian Telemedicine System, Jacqueline E. Brixey, Juliana J. Brixey

International Nursing Research Congress (INRC)

Purpose: Across the globe, nurses are often on the front lines for health care delivery in places where physicians are scarce or nonexistent, such as in rural areas or urban slums [2]. For example, the constitution of Brazil guarantees free public healthcare to every citizen, however, many doctors and specialists are concentrated in the large coastal cities of the country, with populations in the rural interiors drastically underserved by health care professionals [3]. The Health Ministry of Brazil implemented the Programa Telessaúde Brasil Redes to combat this issue by providing health support, advice from specialists, and permanent health education via …

A Retrospective Descriptive Study Of Chemically Impaired Nurses In Texas, Mercy Ngosa Mumba

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to describe the population of nurses with impaired practice in the state of Texas going through a peer assistance program between 2013 and 2016.

The lack of education and screening for substance abuse, negative attitudes towards substance abuse, and the stigma associated with mental illness have further exacerbated this problem (Darbro & Malliarakis, 2012). Furthermore, very few interventional studies have been conducted on nurses with impaired practice. This is partly due to the complexities involved with studying nurses with impaired practice, specifically when considering confidentiality problems and maintaining anonymity of these nurses.

Consequently, …

Adolescents Using The Internet For General And Sexual Health Information: An Evidence Review, Jean M. O'Neil

International Nursing Research Congress (INRC)

Problem: While adolescent pregnancy numbers may be decreasing, there are millions of new cases of sexually transmitted diseases that are diagnosed each year in the young adult population. Adolescents often express feelings of invincibility and egocentric behavior (Wickman, M. et al., 2008). This, combined with peer pressure and misinformation, can lead to high risk behaviors that can compromise their health. While most providers routinely address general health concerns, some are not as comfortable speaking with the adolescent about their issues regarding sexual health, family planning needs or sexual orientation. Also, access to healthcare can be a problem for this population …

Implementing Care Coordination And Transition Management In A Critical Care Telemetry Unit, Linda Wilson, Helen S. Kane

International Nursing Research Congress (INRC)

This session will present the process for the implementation of care coordination and transition management in a critical care telemetry unit in one urban community hospital. Care Coordination and Transition Management is a new focus and role for the bedside nurse to be competent in care coordination and transition management of patients in the clinical setting. The primary organizations involved in this initiative are the American Academy of Ambulatory Care Nursing (AAACN) and the Medical Surgical Nursing Certification Board which is the organization that offers the certification for this specialty. The preparation and education for both staff nurses and the …

A Comparison Of Fatigue Among Resectable Colorectal And Pancreatic Cancer Patients, Hsuan-Ju Kuo, Shiow-Ching Shun

International Nursing Research Congress (INRC)

Both colorectal and pancreatic cancer patients suffer from gastrointestinal associated symptoms that cause nutrition insufficiency. Under impaired nutritional status, cancer patients are prone to experience fatigue. However, there is currently no study that compares fatigue status between colorectal cancer and pancreatic cancer patients. Therefore, the aim of this study was to compare the perceived fatigue among patients with colorectal cancer and pancreatic cancer; and to explore the associated factors among demographic and clinical characteristics, functional lower extremity strength, and grip strength for fatigue in overall patients.

Exploring The Experiences Of Three Management Strategies In Auditory Hallucinations In Chronic Schizophrenic Patients, Chao-Hsin Chen

International Nursing Research Congress (INRC)

Purpose:Â

The purpose of this study is to clarify the experience of auditory hallucination symptoms in chronic schizophrenia patients who using auditory hallucination management strategies. Therefore, this study uses three management strategies including listening music, concentrating and talking to someone in order to understand the experience of the patients.

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Methods:

This is a cross-sectional study and using group therapy to understand the experience of employing auditory hallucination management strategies in patients. A total of 13 chronic schizophrenia patients who with auditory hallucination from a psychiatric hospital in the Northern Taiwan were included in the study. In addition, the group …

A Global Perspective: Meaning, Coping, And Health Of Younger And Older Women With Breast Cancer, Kathleen A. Sternas

International Nursing Research Congress (INRC)

Breast cancer is a major global public health issue. It is the most common disease in women worldwide and the leading cause of death in females including women in Argentina, Uruguay and Brazil (Brunello et al., 2008; Kalogerakos et al., 2014). Breast cancer is the most common cancer in women under 50 years old (Howard-Anderson et al., 2012; Trachtenberg, 2012). Mortality rates are higher for African American women at all ages (Phillips & Cohen, 2011). Cancer risk is rising because of increasing lifespan. More younger women are being diagnosed with breast cancer which is likely due to multiple factors including …

Human Trafficking: A Call For Inclusion In Nurse Practitioner (Np) Education, Rebecca M. Lutz

International Nursing Research Congress (INRC)

Purpose: Human trafficking has increased worldwide. Nurse practitioners practice in a variety of clinical settings and may encounter trafficking victims within their clinical practice. Therefore, it is essential nurse practitioners have the ability to identify and assist trafficking victims. However, human trafficking is not fully integrated into nurse practitioner curriculum. In addition, a lack of evidence exists regarding best practice for curriculum content to increase knowledge of trafficking. This project assessed family and pediatric nurse practitioner knowledge of human trafficking in six primary areas: (1) definitions, (2) laws, (3) prevalence, (4) identification, (5) treatment, and (6) community resources.

Methods: A …

The Development And Testing Of A Measure For Turbulence In Intensive Care, Jennifer A. Browne, Carrie Jo Braden

International Nursing Research Congress (INRC)

Purpose:

Nursing workload is a valuable measure of a nurses’ work and is used to determine the needs of a unit and to bring some degree of standardization to staffing models and costs. Once a workload measure is in place, connections and correlations can be made between nurse staffing, performance measures and patient outcomes.1 Gaining a better understanding of nursing work has become especially important as leaders attempt to balance diminishing healthcare resources and cost containment with a need to promote clinical outcomes and patient safety.^.(Berry & Curry, 2012; ^ Myny, Van Hecke, De Bacquer, Verhaeghe, Gobert, Defloor …

Using Cognitive Rehearsal To Address Nurse-To-Nurse Incivility: Six Months Later, How Are They Doing?, Jennette S. Logan

International Nursing Research Congress (INRC)

Purpose: Despite the expectation that nurses behave in civil and caring manners towards patients and other nurses, incivility persists. Research supports however, that there are evidenced based strategies to address uncivil behavior among nurses. Cognitive rehearsal is one of the best evidenced based strategies utilized successfully to address incivility in nursing and to prepare new graduate nurses for a successful career. Nikstaitis, and Simko(2014) conducted training about incivility over a 12 week period and consequently 100% of the population of intensive care nurses were able to successfully use cognitive rehearsal. However, Clark and Griffin (2014) reported that newly licensed nurses …

Use Of Crib Sheets And Exam Performance In An Undergraduate Nursing Course, Ann T. Malecha, Pinky Budhrani-Shani

International Nursing Research Congress (INRC)

Purpose: A correlational study was conducted to assess the outcomes of allowing baccalaureate nursing students to use authorized crib sheets during exams.

Methods: Senior nursing students (N=86), enrolled in a community health nursing course, received a blank crib sheet (10 cm X 15 cm index card) one week before each unit exam (n=2) and the final exam. The students were allowed to write on the front and back of the index card and then use the card during the exam. Use of the card was not required. The crib sheet was collected after each exam and the students …

Students' Perceptions Of Stress When Experiencing Loss And The Support From Academia That Is Needed, Kathleen M. Bell

International Nursing Research Congress (INRC)

Purpose: This presentation will explore the results of a 2015 dissertation regarding students who experienced loss through death within the prior 12 months. Students attending colleges and universities often have complex lives, which may include the experience of loss of someone close during an academic year at rates of 20-30 percent (Balk, Walker, & Baker, 2010; Boynton Health Service, 2013. The demographics of the United States reflect an aging population, increasing the chance of the death of the students" close relatives (Portman, Velkoff, & Hogan 2014).

Experiencing loss and the grief that follows can jeopardize educational goals. Because of the …

Caring For Military Combat Veterans With Post-Traumatic Stress Disorder (Ptsd), Tanya Marie Benjamin-Wilson

International Nursing Research Congress (INRC)

Post-Traumatic Stress Disorder (PTSD) is a growing problem of concern within the military. Veterans serving in combat are more likely to develop PTSD symptoms resulting from participation in wartime conflicts and exposure to traumatic events. Younger veterans with multiple predisposing factors are at an increased risk. The signs and symptoms of PTSD closely mirror the signs and symptoms of other mental health conditions. This can lead to problems with appropriate diagnosis and treatment. Military combat veterans with untreated or misdiagnosed PTSD symptoms are at risk for interference with social, physical, and professional functioning. Problems related to non-existent or inadequate PTSD …

Nurses' Stress And Coping: In The Midst Of Work And Back To School, Joyce A. Brill, Paulette Dorney, Robert T. Brill

International Nursing Research Congress (INRC)

The purpose of the present study was to explore levels of stress intensity and coping strategy frequency, as well as relationships between these groups of variables. Finally, stress levels and coping styles will be compared against some demographic variables.

Evaluation Of Comprehensive Screening To Support Initial Depression Diagnosis Among Military Adolescent Beneficiaries, Chelsea M. Cruz, Alicia Gill Rossiter, Catherine G. Ling

International Nursing Research Congress (INRC)

Problem Statement: Due to the unique life circumstances associated with military service, greater burdens are placed on a military member"s family increasing stress and risk for mental illness, especially among pediatric dependents. Symptoms of adolescent depression vary by individual and often go undiscovered by those closest to the individual. 90% Of adolescents seen within primary care in the United States have an undiagnosed mental health illness (NAMI, 2016). when an adolescent is facing a mental illness or attempting suicide, it prevents our military members both stateside and deployed from completing their missions adequately. Adolescent patients who are presently seen at …

Application Of Evidence-Based Practices To Global Interprofessional Collaborations Aimed At Reducing Hearing-Related Health Disparities, Tracey Smith Page

International Nursing Research Congress (INRC)

Purpose: This presentation will provide an overview of the evidence based interventions and practices utilized in the development and implementation of a sustainable community owned hearing screening program for children in Jinotega, Nicaragua. Hearing loss in children can lead to social isolation, academic failure, and emotional distress (Daud, Kamarulzaman, Rahman, & Zakaria, 2013). Subsequently, hearing loss that is not effectively identified and managed can have a negative impact on a community due to increased use of resources and decreased productivity over a lifetime. Unfortunately, hearing screenings for school-aged children in Nicaragua are not routinely performed despite evidence to support effectiveness …

The Effect On Inter-Rater Consistency Using A Standardized Assessment Tool/Framework In Musculoskeletal Examinations, Debra Lynn Brewer

International Nursing Research Congress (INRC)

This quality improvement (QI) project was conducted to determine if a standardized assessment framework/tool for clinician use when conducting musculoskeletal examinations for disability claims would increase inter-rater consistency. The problem of inconsistent musculoskeletal examination outcomes was identified when clinicians performing disability examinations at a large healthcare organization reported a lack of criteria on which to base the determination of "functional loss." The finding of "functional loss" was being made independently by each clinician without any specific criteria and the examination outcomes lacked inter-rater consistency. A survey of the clinicians revealed that several examiners concluded that an examinee experienced "functional loss" …

The Doctor Of Nursing Practice: Promoting Partnerships And Reducing Health Disparities Among Vulnerable Populations, Charlene Denyse Whitaker-Brown, Judith Bacchus Cornelius

International Nursing Research Congress (INRC)

The purpose of this presentation is to describe how a collaborative environment was created between two universities to support Doctor of Nursing Practice (DNP) students as they build their programs of scholarly activity to meet the needs of our vulnerable populations.

The University of North Carolina at Charlotte (UNC Charlotte) and Western Carolina University (WCU) established a partnership called the UNC Charlotte/WCU Dual DNP program,awarding the terminal degree of the DNP. Together these two institutions connected to provide the context for the Dual DNP program development, implementation and evaluation.

UNC Charlotte is North Carolina's urban research university. Located …

Use Of Biomarkers For The Evaluation Of A Psychoeducational Program In Mexican Informal Caregivers, Nadia Jasso, Maria De Los Angeles Villarreal-Reyna, Jesus Acevedo-Aleman, Maria Magdalena Delabra-Salinas

International Nursing Research Congress (INRC)

Purpose: Evaluate, through biomarkers the effect of a psychoeducational program addressed for nursing guide to improve the emotional health in mexicans informal caregivers of older adults with dementia.

Methods: Quasi-experimental design with repeated measurements and two different groups: the experimental group will participle in a psychoeducational program which consist in 12 sessions of two hours per session in which will develop abilities for the solution of problems for care and self-care in the informal caregivers participants; the control group will receive conferences about chronic illness and healthy life style. The central hypothesis in this project is that the informal caregivers …

Applying Social Network Analysis To The Spread Of Moods And Emotions Among Graduate Nursing Students, Patricia M. Schmidt, Christine E. Kasper, Patrick D. Finley, Greg Lambert

International Nursing Research Congress (INRC)

Purpose: Turnover costs average 21 percent of an employee"s annual salary in healthcare. Organizations invest more for the turnover of specialized employees. Hospitals expend thousands of dollars annually hiring and training new staff. Healthcare workers spend a significant percentage of time at work . Heavy workloads and long hours, burn out and turnover are a continued concern. Relationships in a nursing environment are complex and highly integrated. Affect is the experience of moods and emotions, and is influenced by behavior and interactions. Affect influences performance, decision making, safety, turnover and absence, prosocial behavior, and negotiation and conflict resolution which may …

Envisioning Magnet Designation: Raising The Bar For A Nursing Culture Of Ebp Awareness And Practice, Cindy Ford, Lisa Marguerite Fallon

International Nursing Research Congress (INRC)

Introduction: Magnet designation requires an organization integrate evidence based practices (EBP) and research into clinical and operational activities (Magnet®). Removing barriers for nursing staff at the frontline to become engaged in EBP and creating a culture of inquiry can be a daunting task for nurse executives. A large health care system recently set a goal of increased bedside nurse EBP utilization and nurse confidence with creating a cultural of inquiry. A formal collaboration with university scientists has led to a tremendous increase in the number, quality, and rigor of nurse-led projects in the facility.

Background and Significance: The landmark …

Balance Self-Efficacy: Does It Affect Psychosocial Well-Being In Older Adults?, Mercy Ngosa Mumba, Ignacio Godinez

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to examine the effects of exercise on balance self-efficacy and to determine if there is an association between balance self-efficacy and performance on psychosocial outcomes.

There are 40.3 million people in the United States aged 65 and older. This is a drastic change from two decades ago when only 3.1 million Americans were older than 65 years of age. In 2010, over 38% of individuals over the age of 65 reported one or more disabilities including difficulties with walking, climbing stairs, and an inability to do regular errands alone. The older adults" bodies …

Private Mobile Phones As A Source Of Nursing Team Interruption During Medication Division And Administration, Polina Rozenberg, Elleonora Shnaiderman, Svitlana Rudenko

International Nursing Research Congress (INRC)

Purpose: To estimate the relative rate of distractions that caused by audio notifications by mobile phones while focusing on long term distractions. We wanted to check whether there is a connection between the frequency and the relative rate of distractions that came from audio notifications, and especially the long term distractions, to the staff personnel's age and their youngest child's age. Moreover, we wanted to check if there is a connection between the perception of mobile phone as a cause of disturbance, to the frequency and relative rate of distractions that caused by its audio notifications.

Methods: The study was …

Combining Literature Review, Qualitative Descriptive Analysis, And Computerized Lexical Analysis To Investigate Hrqol In Schizophrenia, Carlos M. Janela

International Nursing Research Congress (INRC)

People with schizophrenia experience hallucinations, emotional withdrawal, and cognitive impairment as well as a variety of comorbidities that lessen their health-related quality of life (HRQoL) (Barnes et al., 2012; WHO, 2016). HRQoL refers to ways in which health, illness, and medical treatment influence a person"s perception of functioning and well-being (Chan et al., 2007). Optimizing HRQoL is a goal set by leading national and international health organizations such as the Centers for Disease Control and the World Health Organization (Healthy People 2020, 2016; WHO, 2016). Recently, the National Institute of Nursing Research (NINR) 2016 draft strategic plan identified the improvement …

The Work Readiness Of Senior Nursing Students In Turkey, Ayse Ergun, Abdullah Beyhan

International Nursing Research Congress (INRC)

Purpose: The present study was conducted to identify work readiness among senior nursing students in Turkey.

Methods: This descriptive study was carried out with 1008 nursing senior year students from 15 universities 6 of which are state and 9 of private universities. Data were collected with the Work Readiness Scale (WRS). The Work Readiness Scale has 53 items with a 10-point Likert scale (0= strongly disagree and 10= strongly agree) and 4 subscale that are work competence (WC), social intelligence (SI), organizational acumen (OA) and personal work characteristics (PWC) (Walker et all, 2015, Caballero et all. 2011). Cronbach Alpha Value …

The Relationships Among Standardized Exam Results, Remediation Time, And Licensure Success, Pamela Williams, Susan C. Mills, Darrell R. Jr. Spurlock

International Nursing Research Congress (INRC)

The purpose of this study was to explore the relationships among standardized exam scores, time spent on exam specific remediation, and licensure exam results using data from three years of senior classes.