Digital Commons Network^™

The Grieving Mr. Mom: Exploring Life After Maternal Death, Donald Johnston

International Nursing Research Congress (INRC)

Purpose:  In 2015, over 300,000 women lost their lives due to pregnancy related complications worldwide. That is over 800 women per day. These deaths are a tragic loss for the surviving child and the father, as well as the extended family. What is currently known about the phenomenon of maternal death is primarily in the form of statistical data. While the problem has been analyzed in quantitatively, no qualitative exploration of the phenomenon currently exists in U.S. literature. Findings from this qualitative case study will provide a valuable window into the lifeworld of fathers and guardians, as well as …

Hospital-Associated Functional Status Decline In Older Adults With Chronic Obstructive Pulmonary Disease (Copd), Amy C. Shay, Janet S. Fulton

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to identify activity factors that contribute to hospital associated functional status decline in older adults with chronic obstructive pulmonary disease (COPD) by promoting functioning during hospitalization.

Background/Significance: COPD is a significant worldwide cause of chronic illness and mortality. The World Health Organization predicts that COPD will become the fourth leading cause of death globally and rank seventh in burden of disease by the year 2030 (Cruz, et al., 2007). COPD is one of the most common admitting diagnoses in the United States, carrying a fifty billion dollar economic burden with the majority of …

Social Determinants Of Rural Hispanic Women At Risk For Postpartum Depression, Younglee Kim, Vivien Dee

International Nursing Research Congress (INRC)

Purpose: Postpartum depression is generally accepted as one of the common phenomena among childbearing women regardless of countries or culture. It is a critical and major problem for rural health. The Hispanic population is the largest and fastest growing minority in the United States. The growth of the Hispanic population is a profound factor to maintain and improve public health. Guided by the Orem"s Self-Care Deficit Theory as a theoretical framework, the purpose of this study was to identify the social determinants of rural Hispanic women at risk for postpartum depression. The specific aims for this study were twofold: (1) …

Challenges And Opportunities In Conducting International Research Study: Family-Witnessed Resuscitation In Two European Countries, Natalia Sak-Dankosky, Paula R. Sherwood, Pawel Andruszkiewica, Tarja Kvist

International Nursing Research Congress (INRC)

Background: Conducting international nursing research has been recognized to be crucial in advancing professional healthcare practice (Opollo et al. 2014). Besides providing opportunities for building cultural competences and enhancing effective multi-cultural collaboration, international research projects have been found to have significant implications for research, education, policy and practice (Opollo et al. 2014, Fronda & Alhusen 2016). Its importance for the ethical aspects in critical care has been emphasized after the European Resuscitation Council recognized a need for unification of national legislations and improved application of ethical principles in CPR across Europe (Bossaert et al. 2015, Mentzelopoulos et al. 2016). It …

Perceptions Of Stigma By Parental Caregivers With Mentally Ill Family Members, Linda Carman Copel

International Nursing Research Congress (INRC)

Purpose: The experience of stigma is recognized as a widespread, universal phenomenon which is a major cause of personal suffering and a deterrent to obtaining health care. Vulnerable populations, such as people with mental illness or psychiatric disabilities are at risk for various forms of stigma. Caretakers can frequently identify the types of stigma experienced by their family members. Yet, often there are no services or support groups where the caregivers may verbalize their concerns and frustrations. There is a strong need for caregivers to becoming educated about strategies to advocate for their family members, and reduce or eliminate the …

Webinars And Weaving: An Innovative Model Of Interprofessional Education In An Online Dnp Program, Linda A. Lewandowski, Raeann Genevieve Leblanc, Pamela Aselton, Gabrielle P. Abelard, Christine Callahan, Clare F. Lamontagne

International Nursing Research Congress (INRC)

Purpose: Educating future nurse practitioners in meeting the essentials of advanced nursing practice includes advanced competency in the core competencies of interprofessional collaborative practice--IPCP (The National Organization of Nurse Practitioner Faculties, 2012). Teaching in an all-online learning environment in which students are geographically scattered presents some challenges, especially in promoting some concepts such as collaboration. Distance learning technologies can be used to design opportunities that promote collaborative educational learning and advance quality, evidence-based practice. This presentation focuses on two strategies: live interprofessional case-based webinars with course-based facilitated discussions and curriculum "weaving" of IPCP content throughout the NP curriculum.

Methods: …

The Experiences Of Elderly Immigrants Of Mexican Origin With Life-Limiting Illness: A Critical Ethnography, Sandra Scott Lee

International Nursing Research Congress (INRC)

Purpose: Although limited studies have explored the health care needs of elderly immigrants of Mexican origin, Mexican immigrants account for the largest immigrant group in the United States. As of 2014, 28% of the total immigrant population is of Mexican origin, with 8% of Mexican immigrants being age 65 years and older (Zong & Batalova, 2016). Furthermore, studies to-date do not make recommendations for nursing practice. The purpose of this qualitative study was to describe and explain the health care experiences of elderly immigrants of Mexican origin who face life-limiting illness in the United States. The study aimed to answer …

Finding Meanings: Using Photovoice To Explore Smoking In Rural Low-Income Women, Star Mitchell

International Nursing Research Congress (INRC)

Background: High rates of smoking-related chronic disease in low-income rural women and limited access to and use of quality health care has created a challenge to tobacco cessation efforts. These factors support the international call for creative and targeted research approaches that offer new insight and meaning into the relationship between smoking and social determinants of health (Garrett, Dube, Bann, & McAfee, 2015; World Health Organization, 2008). Research has provided a clear picture of how many people smoke, who smokes, and how much they smoke. Unanswered questions remain that are relative to why certain demographic groups of people continue to …

A Collaborative, Systemwide Approach To Reducing Healthcare Onset Clostridium Difficile (Hoc-Diff), Renecha Abrams, Angeleta Zipporah Robinson

International Nursing Research Congress (INRC)

The purpose of this multidisciplinary team approach was to standardize our clinical practices across the system, implement evidence-based policies and procedures related to c-diff, identify and correct practices that contribute to HOC-diff cases. All actions were aimed at decreasing the rate of HOC-diff cases, decreasing patient"s length of stay, decreasing organizational expenses associated with HOC-diff, reducing mortality, and decreasing the impact on our community.

A Multicultural Approach To Decreasing Unnecessary Antibiotic Prescribing For Pharyngitis, Mercedes Camacho-Walsh, Corinne Schultz Ellis

International Nursing Research Congress (INRC)

Antimicrobial resistance is a global crisis. In the United States alone, two million people are infected every year with untreatable microbes, resulting in 23,000 deaths (CDC, 2014). Over- prescribing of antibiotics has been cited as major contributor to the crisis. (WHO, 2015). According to the CDC Morbidity and Mortality Weekly Report (2011), 50% of antibiotic prescriptions in the United States are unnecessary. Non-prescription antibiotics account for 19-100% of antibiotic use outside northern Europe and North America, with increased antimicrobial resistance in countries with greater use (Morgan, Okeke, Laxminarayan, Perencevich & Weisenberg, 2011).

International guidelines for pharyngitis approach diagnostic scoring and …

Commencement Of Global Dissemination And Implementation Of A School-Based Academic Asthma Education And Counseling Program, Eileen Kae Kintner

International Nursing Research Congress (INRC)

Background, Purpose , Aims: One of the most critical issues impeding improvement in public health is the gap between what we know can optimize health and what gets implemented. Dissemination and implementation science seeks to address this gap by understanding how best to transfer efficacious and effective programs into real world settings. The purpose of this presentation is to share the commencement phase of our dissemination and implementation study. We seek to facilitate increased dissemination and implementation of an innovative and effective theory-guided, evidence-based academic asthma health education and counseling self-management program into schools and community settings. We are …

Development And Testing Of The Global Interprofessional Therapeutic Communication Scale (Gitcsâ©), Suzanne H. Campbell, Natalia Del Angelo Aredes

International Nursing Research Congress (INRC)

To describe the development and reliability/validity testing of the GITCS©.

Food And Activity: A Competence Enhancement Project For Persons With Developmental Disabilities And Caregivers, Solrun G. Holm, Ragnhild Holdal Rasmussen

International Nursing Research Congress (INRC)

Background: In Norway persons with developmental disabilities live in community-based settings. Managers and caregivers are expected both to promote residents' health and to support their autonomy. Ideas that serve as guiding principles in today’s care of persons with intellectual disabilities are Individualization and participation. Persons with intellectual disabilities have the right to be included in the community and to make their own choices in everyday life. Persons with developmental disabilities both obesity and malnutrition are problems (Hove, 2004; Ruud, Raanaas, & Bjelland, 2016). In our municipality most persons with developmental disabilities have these problems. Staff shifts make it difficult to …

Catheter-Associated Urinary Tract Infection (Cauti) Prevention Strategy Using Education In An Intensive Care Unit (Icu), Jamie K. Roney, Laura M. Locke, Cynthia Louise Grissman, Rita Denise Crasta, Gisele Nicole Bazan, Kari Love, Cindy Ford, Joann D. Long

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to measure the clinical impact of an evidence-based educational strategy on urinary tract infection (UTI) rates in a 900+ bed acute care facility located in a southwestern state. The research team sought to answer the question, "Will a focus on staff education in the intensive care unit (ICU) on the proper placement techniques, care, and early removal of urinary retention catheters reduce incidences of catheter-associated urinary tract infections (CAUTIs) in an ICU setting?" Indwelling urinary catheters are frequently used in critically-ill patients worldwide. Hospital-acquired infections from indwelling urinary catheters are associated with …

Clinical Decision-Making In Last Semester Senior Baccalaureate Nursing Students, Beth Cusatis Phillips

International Nursing Research Congress (INRC)

Purpose: Clinical decision making (CDM) is an integral part of what nurses do. Yet, nursing literature reveals concerns about the lack of preparation of new graduates to engage in effective clinical decision making (Benner, Sutphen, Leonard & Day, 2010). How students make clinical decisions has been of interest for many years (Baxter & Rideout, 2006). One of the challenges plaguing nursing education today regarding CDM is the interchangeable use of terms that gives rise to lack of conceptual clarity. It is not uncommon to encounter terms such as critical thinking, clinical reasoning, clinical judgment, and clinical decision making (Tanner, 2006; …

Effects Of Insecticide Exposure Prevention Program On Exposure And Blood Cholinesterase Levels In Thai Farmers, Sukanda Worapitpong, Noppawan Piaseu

International Nursing Research Congress (INRC)

The present study aimed at investigating the effects of an insecticide exposure prevention program on exposure and blood cholinesterase levels of farmers.

Re-Engendering Sexual And Reproductive Health (S&Rh) Services: Evaluation And Strategy Directions For Rh Clinics, Erlinda Castro Palaganas, Marian Caterial Sanchez, Cynthia Dacanay Jaramillo

International Nursing Research Congress (INRC)

This study was designed to systematically capture and utilize client, stakeholders, and literature insights for enhancing institutional relevance and performance. Exploring what entails engendering S&RH care, it is based on the recognition of gender-differentiated needs and the commitment to counteract the constraints and barriers to people, especially women"s S&RH entitlements. Specifically, the study aimed to: 1) facilitate institutional resource and performance analysis; 2) examine through literature review the potential methods, models, and materials for enhancing responsiveness and relevance in S&RH program and project implementation; 3) apply the principles of feminist research and elicit RH Clinics stakeholders" perspectives on what constitutes …

The Role Of An Academic Practice Partnership In Enriching Student Learning And Improving Patient Outcomes, Anastasia Y. Rose, Sherrill L. Hooke, Ashley D. Roach

International Nursing Research Congress (INRC)

Purpose: The United States Department of Veterans Affairs (DVA) has long been a champion in developing academic practice partnerships and there is growing evidence that supports the benefits of these collaborations (Beal, 2012; Bvumbwe, 2016). The Veterans Health Administration (VA) Nursing Academic Partnerships (VANAP) are education and practice collaborations between VA facilities and schools of nursing designed to ensure quality veteran care now and in the future. The purpose of this presentation is to describe the evolution, development and benefits of a local VANAP partnership in facilitating clinical practice improvement initiatives and integrating veteran-centric content into a baccalaureate nursing curriculum. …

Influencing Factors Of Cultural Competence Among South Korean Clinical Nurses, Yunhee Park, Duckhee Chae

International Nursing Research Congress (INRC)

Purpose: As Korean society has rapidly become multicultural in the last few decades, health professionals and healthcare organization are needed to deliver care to culturally and linguistically diverse population groups. This study was to investigate individual and organizational levels of predictors associated with cultural competence among Korean clinical nurses.

Methods: This cross-sectional study included 401 clinical nurses from 21 hospitals in South Korea. Multilevel modeling was used to estimate effects of predictors at the individual and the organizational level. Individual-level variables included sociodemographic factors (age, gender, education, experience of staying abroad, foreign language speaking, and cultural competence training), job related …

Depression And Its Predictors In Hemodialysis Patients In Taiwan, Chou-Ping Chiou

International Nursing Research Congress (INRC)

Background. Depression is a common psychological problem in hemodialysis patients that affects their treatment compliance and lifestyle as well as their quality of life. Previous studies showed that depression and anxiety symptom in older HD patients were significantly higher than that of the age-matched controls. Social support is important for HD patients" treatment as it influences dialysis patients" health.

Aim. The objectives of this study were to investigate depression in hemodialysis patients in Taiwan and the important predictors for depression.

Methods. This study used a correlational cross-sectional design. Data for 150 hemodialysis patients were collected from one hemodialysis center in …

Understanding Patient-Level Variables That Influence Lung Cancer-Screening Behavior And The Nurse's Role, Lisa Carter-Harris, Susan M. Rawl

International Nursing Research Congress (INRC)

Purpose: Lung cancer kills more people in the U.S. than breast, colorectal, pancreatic, and prostate cancers combined (American Cancer Society, 2016). Most die because they are diagnosed at an advanced stage with limited treatment options and a 1% five-year relative survival rate (American Cancer Society, 2016). Until recently, an effective screening test to identify lung cancer at an earlier stage did not exist. However, lung cancer screening with low-dose computed tomography is a recent U.S. Preventive Services Task Force Grade B recommendation for long-term smokers (Aberle et al., 2011; USPSTF 2014). Understanding variables that may or may not influence screening …

Global Health For The Young Professional: How To Align Your Work With Global Initiatives, Lindsey N. Horrell, Christine M. Darling, Cynthia Vlasich

International Nursing Research Congress (INRC)

This presentation outlines a variety of initiatives that provide young professionals of all disciplines the opportunity to become involved in nursing and midwifery"s global health agenda. Presenters will provide a thorough review of the United Nations" (UN) Sustainable Development Goals (SDGs), with special emphasis on ways these goals can be implemented in one"s own practice and research at the local, regional and international levels. A variety of opportunities focused on global health through Sigma Theta Tau International (STTI) will be discussed. Presenters will provide an overview of the purpose and mission of the Global Advisory Panel on the Future of …

Innovative, International, And Interprofessional: Nursing And Engineering Technology Students Creating New Patient Safety Technology, Pamela M. Karagory, Diane Hountz, Jane M. Kirkpatrick, Sara A. Mccomb

International Nursing Research Congress (INRC)

Background: The role of the professional nurse is undergoing a rapid paradigm shift, with leadership and problem solving becoming cornerstones of nursing practice and key to their role as a member of the interprofessional team. This remodeling of the professional nurses" roles and responsibilities requires a refocus in socializing students to the profession, interprofessional collaboration, and requires transforming the academic curriculum to include knowledge, skills and attitudes that reflect the role requirements of the professional nurse in today"s healthcare environment. To prepare students to become change agents in improving the care of patients, communities, and populations, active learning and participation …

Screening Recommendations For Baby Boomers With Chronic Hepatitis C And The Uncertainties That Surround Them, Humberto Reinoso

International Nursing Research Congress (INRC)

Background: Globally approximately 130 to 184 million individuals are living with hepatitis C, which translates to one in every 12 individuals affected by viral hepatitis worldwide (Institute of Medicine [IOM], 2010). It is projected that anywhere from 3.5 to 5.3 million Americans living with viral hepatitis do not know they are infected (U.S. Department of Health and Human Services [HHS], 2011). Viral hepatitis infections are three to five times more frequent than HIV infections in the U.S. (IOM, 2010). Baby boomers, those individuals born during 1945 and 1965 comprise an estimated 27% of the U.S. population and account for approximately …

Exploring Water, Sanitation, And Hygiene Practices In Gatineau, Haiti, Diana Lyn Baptiste, Teresa A. Pfaff, Sabianca Delva, Casey Mccormick, Evi Dallman, Ruthly Francois

International Nursing Research Congress (INRC)

Purpose: Haiti is the poorest country in the Western Hemisphere. Located in the Western Caribbean, Haiti is populated by more than 10 million people, sharing the island of Hispaniola with the Dominican Republic. More than 75% of Haitian residents are living on less than two dollars a day and almost 56% on less than one dollar a day. Haitians have limited access to resources such as health care, food, and clean water. The country lacks adequate infrastructure and is highly dependent on non-governmental organizations (NGOs) for public health, schools, and roads. Every year, Haitians die from diseases associated with inadequate …

Restorative Justice In Mental Health Communities: The Importance Of Interagency Cooperation, Susan L. Adams, Elizabeth I. Rice

International Nursing Research Congress (INRC)

Purpose: Standard community criminal justice procedures are ineffective in reducing the high rates of recidivism by offenders diagnosed with severe mental illness (SMI). With limited access to community based mental health programs and the closure of institutional settings that serve people with mental health problems, jails and prisons have become the de facto institutions for people who suffer with severe mental illness across the United States. Adults diagnosed with SMI are overrepresented in our criminal justice system nationally (10-20%) and community-based interventions vary greatly in access and design. Beyond the human suffering, there are financial costs to this high incarceration …

Reducing Preventable Transfers From Short-Stay Care, Carmen Potter

International Nursing Research Congress (INRC)

The purpose of the proposed clinical practice change process is to determine if implementing components of the INTERACT program at a skilled nursing facility will reduce preventable transfers and hospitalization of clients from short-stay care units.

Evaluation Of A Planned Rest/Nap For Hospital Night-Shift Nurses, Diane A. Drake, Monica Malcuit

International Nursing Research Congress (INRC)

Purpose: The purpose of the study was to investigate a fatigue risk management intervention for surgical intensive care unit nurses working twelve-hour night shifts.

Background: The American Nurses Association (ANA) position statement addressing nurse fatigue identifies a shared responsibility between nurses and employers to diminish the risk of nurse fatigue, endorse a culture of safety and create balance in work-life settings. ANA recommendations emphasize nurses and employers work together and strategically implement fatigue countermeasures to reduce fatigue and sleepiness in the work place (ANA, 2014). Night shift nurses have significant risk to experience alterations in both waking and sleeping states …

Transforming Research To A Global Application For Assessment Of Women And Children Exposed To Violence, Judith M. Mcfarlane, Fuqin Liu, Nina Fredland, Anne Floyd Koci, Lene Symes

International Nursing Research Congress (INRC)

Among women in the United States (U.S.) and worldwide, an estimated 30% have experienced intimate partner violence (WHO 2013). Consequences of violence include acute trauma, poor physical health, and compromised functioning (Ellsberg, Jansen, Heise, Watts Garcia-Moreno, 2008) and is most commonly associated with mental health problems of depression and posttraumatic stress disorder (PTSD) (Symes, McFarlane, Nava, Gilroy, Maddoux, 2013). Recent research indicates the pass through of poor mental health of the mother to behavioral problems of the children (McFarlane, Symes, Binder, Maddoux, Paulson, 2014). To better understand the risk predictors of sustained poor mental health, specifically PTSD, for women reporting …

Nursing Student Simulation: A Three-Tiered Model Approach, Kristina L. Leyden, Nakisha S. Paul, Katherine D. Simpson

International Nursing Research Congress (INRC)

Introduction: Simulation has long been used as training in nonmedical facilities¹. In nursing, it has had many definitions. The oldest definition found is using models to teach basic skills ¹. As simulation technology grows, changes, and improves, so does the need to clearly define terms and how we use them. Simulation, presently, includes varying degrees of interaction. Examples include low-fidelity models (LFM) which has limited function/interaction (task-trainer intravenous (IV) arms for IV insertion); medium-fidelity mannequin (MFM), (chest model illustrating heart rhythms); high-fidelity mannequin (HFM), (full-bodied mannequin, fully functioning, mimicking a living patient)^2,3; and standardized patients …