Digital Commons Network^™

Mental Healthcare Utilization Among School-Based Adolescents In La Union, Philippines, Jonas Preposi Cruz, Paolo C. Colet, Mehmet Sinan Iyisoy

International Nursing Research Congress (INRC)

Purpose: Mental health problems continue to contribute a significant fraction of the global disease burden (Whiteford, Ferrari, Degenhardt, Feigin & Vos, 2015). Globally, approximately 20 percent of children and adolescents experience mental health problems, while up to 50 percent of adult mental disorders begins in adolescents (Belfer, 2008). The Philippines share similar concern on mental health among adolescents with the rest of the world. In the Philippines, the most common mental health problems among youths are depression, anxiety and mood disorders. Despite this concern, utilization of mental health care facilities across the Philippines is uneven, favoring those living in or …

Text Message Quality Improvement Intervention Improves Influenza Vaccination Rate Among Pediatric Patients With Asthma, Elizabeth Sloand, Augusta Macqueen, Sarah Polk, Annie Holm

International Nursing Research Congress (INRC)

Background: The Centers for Disease Control (CDC) and the World Health Organization (WHO) recognize that children with asthma are at an increased risk of severe complications due to influenza infection. The CDC highly recommends that all children with asthma, 6 months and older, receive an annual influenza vaccine. Clinicians are challenged to educate families about the recommendations and insure that these high risk children are vaccinated each year.

Methods: For the 2015-2016 influenza season (Year 1), a reminder text message campaign was implemented at an ambulatory pediatric clinic to improve influenza vaccination adherence rates among children with asthma. The majority …

Developing Clinical Guidelines To Improve Home Care For Patients After Prostatectomy, Hui-Tzu Chen, Fanghua Hsu, Miaofen Yen

International Nursing Research Congress (INRC)

Purpose: This study aims to develop clinical guidelines for both patients and their families with regard to taking care of those with prostatectomy home care (PHC). This would help to improve the quality of PHC and reduce the re-admission rate due to the complication of hematuria. Methods: This study was an action research. The subjects were post-prostatectomy patients without complication. A task force was composed of three urologiests, five nurses, and two administrators. The postoperative care procedure was analyzed by the task force using a quality control circle approach, while references were cross-checked and charts were reviewed. The care processes …

Integrating Simulation-Based Education Into The Healthcare Setting: Newly Licensed Nurses Learn To Transition, Kelly L. Rossler, Katherine Hardin, Marygrace Leveille

International Nursing Research Congress (INRC)

Purpose: Transitioning from pre-licensure student into the role of the practicing nurse can be an overwhelming experience to a newly licensed registered nurse. It is anticipated the novice nurse will be prepared to enter the clinical practice setting ready to work within the scope of practice of a licensed registered nurse (American Nurses Association, 2015). In the healthcare industry, nurse internship programs are recognized as a standard process to acclimate the novice nurse to the practice setting. Yet, teaching-learning methodologies are constantly evolving to inform entry into practice success (Pfaff et al., 2014; Rush et al., 2013). It is crucial …

Symptom Burden Of Critically Ill Patients At High Risk Of Dying: Reliability Of Proxy Reports, Peggy Kalowes

International Nursing Research Congress (INRC)

This session reports study findings of reported symptom burden in ICU, at-risk for dying, validating concordance of proxy use, when patients can no longer self-report. An integrated approach to symptom assessment/treatment and strategies to use proxies in ICU will be shared, so clinicians can provide optimal symptom management at EOL.

Improving Care Of High-Risk Obstetrics Patients By Creating An Evidence-Based Nurse-Driven Process, Holly A. Barbella, Grant C. Walter, Ann F. Mcfadden

International Nursing Research Congress (INRC)

Preterm birth complicates one out of every eight pregnancies in the US. A rural health system in north central Pennsylvania wanted to evaluate the most effective treatment modalities in trying to reduce preterm births. A collaborative interdisciplinary healthcare team, under nursing leadership was created to explore options. One additional aspect was the lack of process when identifying eligible high risk patients who might be eligible for intervention/treatment.

An evidence based practice (EBP) project utilizing the John"s Hopkins Model of EBP was initiated. The goal of the project was to evaluate the overall effectiveness of 17-P (an injectable progesterone medication initiated …

Differences Between Chinese And American Women And Their Experience Of Stress Urinary Incontinence In Pregnancy, Lynda A. Tyer-Viola, Jinguo Helen Zhai, Joseph L. Hagan

International Nursing Research Congress (INRC)

The purpose of this study is to explore the experience of severity of stress urinary incontinence during pregnancy, its prevalence and associated risk factors, acceptance of treatment options and its effect on quality of life.

Developing Nurse Educators And Leaders: A Collaborative Effort By National And International Faculty In Rwanda, Olivia Bahemuka, Oluyinka Adejumo, Sheila Shaibu, Gilbert Banamwana

International Nursing Research Congress (INRC)

Introduction: The need for continued growth of the health sector across Africa is well known and well documented. Rwanda is one African country that is harnessing collaborative resources in building a competent and knowledgeable healthcare workforce to improve the healthcare and wellness of its population (Ansoms & Rostagno, 2012). Following the wake of post-genocide in 1994, Rwanda has tackled head on, some of the health sector challenges succeeding to making such milestones as reducing maternal mortality ratios from 750/100,000 in 2005 to 210/100, 000 live birth in 2014 (Rwanda Annual Health Statistics, 2014). As part of the effort to build …

Differentials In Health-Related Quality Of Life Of Employed And Unemployed Women With Normal Vaginal Delivery, Anthonia U. Chinweuba, Ijeoma L. Okoronkwo, Agnes N. Anarado, Noreen E. Agbapuonwu

International Nursing Research Congress (INRC)

Purpose: This study investigated the differences in health-related quality-of-life of employed and unemployed women in Enugu, Nigeria, with normal vaginal delivery at 6, 12 and 18 weeks postpartum in the light of their mother-worker dyad. Childbirth is an important event affecting the health of women. The arrival of new baby to a family in an African society where women do most of the unpaid household tasks and subsistence food production (Team & Doss, 2011) automatically increases the woman"s workload. This, in turn, can affect her health-related quality-of-life, that is, self-report of her perceived feeling of comfort, ability to realize her …

Physical Activity Habits And Its Relationship To The Weight Of Children, Ana Luisa Rivera Villanueva, Sandra Patricia Gutierrez Castro, Antonia Linares Valdez, Karla Mestizo Hernandez, Corina M. Alba-Alba

International Nursing Research Congress (INRC)

Purpose: The objetive of this study was to identify the state of art in reference to the relationship between Physical Activity Habits and Weight.

Methods: A systematic research in the databases: EBSCO, SCIELO, MEDLINE, GOOGLE SCHOLAR, DIALNET was made with the next keywords: Physical Activity Habits, Children, Body Mass Index, and the boolean operators "and" & "not [Adolescents]". A total of 5214 articles published in the last 5 years was retrieved; then 450 relevant titles were chosen, the irrelevant abstracts were rejected and finally 150 articles in English and Spanish were chosen were considered relevant to the knowledge of the …

Nursing Students Attitudes' Toward The Homeless, Patricia Macwilliams Bowe, Andrew B. Phillips

International Nursing Research Congress (INRC)

At some point in their career, nurses will care for someone who is homeless. Supported by literature and surveys, clinical interaction as a student with this population results in a more positive attitude of the caregiver. Future incorporation into nursing school curricula will be beneficial in providing equity of care.

Meeting The Needs Of Women Veterans In Civilian Primary Care Practices, Alicia Gill Rossiter, Catherine G. Ling

International Nursing Research Congress (INRC)

Problem/Purpose: Women are the fastest growing segment of the veteran population— approximately 1.8M are currently serving in the armed forces and 220,000+ have deployed in support of the wars in Iraq and Afghanistan. Women are now eligible to perform duties in more than 90% of all military career fields. Women in the military have steadily progressed from serving in support roles to serving in combat support roles to ultimately evolving to women currently serving with men, not only in combat zones, but in wars where there is no defined frontline, thus placing them in the direct line of fire. Due …

Does Completing A Post Graduate Advanced Clinical Assessment Paper Influence Nursing Practice: An Exploratory Study?, Deborah J. Somerville

International Nursing Research Congress (INRC)

The purpose of this research was to explore the influence a post graduate advanced assessment and clinical reasoning nursing paper may have on a registered nurses clinical practice. The post graduate paper, 773, has been available to registered nurses doing post graduate studies at the University of Auckland for over fifteen years. In this time, over 3000 nurses have completed this paper as part of their post graduate studies. It is often the first or second paper that a registered nurse completes as 50% of a post graduate certificate and is a compulsory paper for a clinical nursing masters or …

A Systematic Literature Review Of The Effect Of Culture On Learning, Christine L. Sommers

International Nursing Research Congress (INRC)

Purpose: Teaching in a culturally congruent manner is important to the nursing discipline. Cultural norms and ways of learning influence learning expectations, which may influence the development of critical thinking skills, clinical reasoning, and clinical judgment in nursing students. The purpose of this presentation is to describe a systematic literature review on the impact of culture on learning, including teaching and curricular implications. This review examined literature in healthcare, education, and social sciences. The examination concluded that culture does affect learning. To best prepare nursing graduates to provide safe and effective patient care that meets complex healthcare needs globally, it …

Predictors Of Survival For Patients With A Diagnosis Of Sepsis, Kim Reina Failla, Cynthia D. Connelly

International Nursing Research Congress (INRC)

Purpose: Sepsis is a major public health priority. Sepsis-related diagnoses are life-threatening global health care conditions that may lead to organ failure, shock, and death. The rate of associated hospitalizations doubled from 2000 through 2008; sepsis was the leading cause of death in the United States in 2010 and was noted to be the single most expensive condition treated in hospitals in 2011 (Walkey, Lagu, & Lindenauer, 2015). Despite advances in the recognition and treatment of sepsis, mortality remains at 30%. By 2020, an estimated additional one million cases annually are projected to occur due to the aging population, increased …

Sex Education In The Mosque: An Abstinence-Based Approach To Prevent Hiv, Stds, And Pregnancy, Shaakira Lateefa Abdul Razzaq, Suzanne Willard, Prudence Arthur, Radhika Patel

International Nursing Research Congress (INRC)

Purpose: Premarital sex among adolescents is very common in today's society throughout the globe. Adolescents often lack the maturity and mental capacity to navigate through the potential physical, psychological, and emotional consequences of sex. In order to reduce teenage pregnancy rates and the spread of sexually transmitted disease, it is important to focus on adolescent sexual education. The Centers for Disease Control and Prevention (CDC) found that "about 1 in 4 (26%) of all new HIV infections occur among American youth ages 13 to 24 years" (CDC, 2013, p 1). There is unique and particular need for education in the …

Healthcare Provider Attitudes And Beliefs Toward Family-Witnessed Resuscitation In Saudi Arabia, Tara R. Belcher, Arlene M. Minnock

International Nursing Research Congress (INRC)

Purpose: Healthcare provider attitudes and beliefs towards family witnessed resuscitation (FWR) have been studied extensively in Western cultures^1-6. However, the literature shows little evidence of similar studies being conducted in Middle Eastern cultures^7-8. The study was undertaken at a medium sized community hospital setting in Saudi Arabia. The authors hypothesize that overall attitudes and beliefs will not be in favor of family witnessed resuscitation as an option. However, there may be significant differences by nationality, unit, length of service, profession, age, gender, years qualified, and previous encounter with family witnessed resuscitation. The researchers sought to determine …

Palliative Care And The Nurse's Role, Toby Bressler, Teresa L. Hagan, Jiayun Xu

International Nursing Research Congress (INRC)

Background: Palliative care refers to interdisciplinary patient and family-centered care that optimizes quality of life by anticipating, preventing, and alleviating suffering across the continuum of a patient"s illness. Palliative care is crucial in clinical management and helps patients and families dealing with disease related symptoms and psychological implications. Given their focus on providing patient and family centered healthcare, nurses are often the first to recognize the need for palliative care that is consistent with nursing standards and code of ethics. The nurse"s role as a generalist in palliative care has been growing, and yet has not been fully defined. …

Outcomes Of An Innovative Evidence-Based Project: Building A Difficult Access Team In An Emergency Department, Diana Lyn Baptiste, Barbara Maliszewski, Madeleine Whalen, Heather Gardner, Rebecca Sheinfeld

International Nursing Research Congress (INRC)

Background/Introduction: Emergency departments across the nation face challenges of longer lengths of stay due to increased volumes and patient acuity. Intravenous (IV) access is vital to emergency care, and a large proportion of patients seen in the Emergency Department have difficult venous access, resulting in patient care delays. Difficult venous access (DVA) is identified as a condition among individuals who most often require 2 or more attempts for successful IV access, leading to an increased length of time needed to obtain IV access, or may require special interventions to establish peripheral IV access.

Purpose/Objectives: The objective of this project was …

Hope And Health-Related Quality Of Life Of Older Women Who Have Had Heart Attacks, Alice Mary Kelly-Tobin

International Nursing Research Congress (INRC)

Purpose: Examination of the relation of hope and HRQoL of older women with history of heart attacks.

Heart disease is the number one cause of death and leading cause of disability in adults in the United States and worldwide (Centers for Disease Control and Prevention [CDC], 2013). Coronary heart disease (CHD) is the most common form of heart disease with heart attack as its acute manifestation. Health Related Quality of Life (HRQoL) is a multidimensional concept of self-perception of physical, emotional health, and overall sense of well-being (Stewart & Ware, 1992; Centers for Disease Control and Prevention [CDC], 2012). …

Women's Experience Of Perinatal Loss: A Collaboration To Develop A Learning Resource For Nurses, Gerri C. Lasiuk, Susan Eva Fowler-Kerry, Angela Bowen, Carla M. Ransom, Wendi N. Stumborg

International Nursing Research Congress (INRC)

Purpose: The death of an infant is a profound and devastating experience for women and families. Nurses who work in emergency departments; obstetric, neonatal, and pediatric units; and in public health settings are likely to encounter women who experience a miscarriage, stillbirth, or infant death. These nurses are responsible to address women"s physical, psychosocial, and instrumental needs, however the existing research suggests that many feel ill prepared to do so and there is limited research evidence to guide nurses on how to best do this. Our purpose is to collaborate with women to describe their experience of perinatal infant loss …

Evaluation Of An Email-Mediated County Extension-Delivered Walking Intervention, Elizabeth A. Richards, Stephanie Woodcox

International Nursing Research Congress (INRC)

Purpose: Even though promotion of physical activity (PA) has been a public health priority for decades, key U.S. public health agencies, such as the Centers for Disease Control and Prevention (CDC), routinely collect data indicating that most Americans are not meeting PA guidelines (Centers for Disease Control and Prevention, 2012a). Physical inactivity is directly related to the prevalence of obesity and the development of many chronic diseases (Centers for Disease Control and Prevention, 2014). Walking is an excellent way for most people to increase their PA and has been declared by the Surgeon General as a powerful public health strategy …

Prevalence And Predictors Of Intimate Partner Violence In Mexican And Non-Mexican Hispanic Women From Sepa, Nilda (Nena) Peragallo Montano, Young Ju Kim, Rosa M. Gonzalez-Guarda, Rosina Cianelli, Natalia Villegas

International Nursing Research Congress (INRC)

Purpose: The purpose of the study was to examine prevalence and difference of intimate partner violence (IPV) between Mexican and non-Mexican Hispanic women residing in the United States. In addition, this study investigated what factors predict IPV in each of two Hispanic subgroups.

Methods: All of measures were drawn from baseline data of two separate SEPA (Salud-Health, Educacion-Education, Prevencion-Prevention and Autocuidado-Self-care) projects. The SEPA projects are culturally specific, theoretically based group HIV-risk reduction interventions for adult Hispanic women. They consist of five small-group sessions covering HIV and STI prevention, violence prevention, condom use, and communication with partner. The SEPA I …

Curling And Rural Women's Health In Canada: A National Photovoice Study, Beverly D. Leipert, Lynn Scruby, Heather Mair, Robyn Plunkett

International Nursing Research Congress (INRC)

Purposes of the Study were to:

1) Explore effects of curling on the health and community life of rural women;

2) Determine how health, sport, and recreation can be understood within the contexts of rural gender and community change; and

3) Assess the utility of photovoice, an innovative, participatory qualitative research methodology and method, in advancing research with rural women.

Assessment Of Human Trafficking Awareness, Karen L. Hoblet

International Nursing Research Congress (INRC)

Background: Human trafficking is modern day slavery. INTERPOL, the world"s largest police organization reported that human trafficking is a multi-billion dollar enterprise (2016). The Federal Bureau of Investigation in the United States reported that human trafficking may be the "third largest criminal activity in the world" (2016). The Ohio Department of Health reported that human trafficking is one of the fastest growing criminal industries in the world (2016). Literature identified nurses and other healthcare workers in working in emergency departments, physician offices, and urgent care centers as being positioned to identify and rescue victims of human trafficking (Peters, 2013). Currently …

Is There Gender Difference In Maintenance Of Peritoneal Dialysis: Analysis Using Competing Risk Model, Hsiao-Ling Chen, Jin-Lain Ming

International Nursing Research Congress (INRC)

Purpose: Peritoneal dialysis (PD) is one choice of renal replacement therapies in patients with end-stage renal disease (ESRD). Gender difference was known with involving long-term outcome of nursing care such as quality of life among ostomy patients. However, little is known about the gender difference of PD usage and maintenance. This retrospective study aimed to clarify the gender effect on withdrawing PD.

Methods: ESRD patients, who had received PD catheter insertion, were enrolled in a tertiary hospital in northern Taiwan. The clinical data were reviewed and analyzed for the outcomes of PD-withdrawing time and events using competing risks regression model. …

The Critical Role Of Fathers To Reduce Stillbirth In India, Lisa R. Roberts, Susanne Montgomery

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to explore how men and women experience stillbirth in India, and their respective needs, to inform locally sustainable interventions.

Millennium Development Goal 4, to reduce child mortality, cannot be achieved without reducing the world"s 3.3 million stillbirths (Yoshida et al., 2016). India has the highest number of stillbirths in the world (Blencowe et al., 2016). A confluence of medical and sociocultural factors contribute to the high stillbirth rate among poor, rural women in central India, and the effects are devastating. For women, fertility is correspondent to worth, yet social norms increasing the risks …

Patient And Facility Characteristics Related To Hypertension Control After A Transient Ischemic Attack (Tia), Greg Arling, Fitsum Baye, Jason Sico, Priscilla Arling, Laura Myers, Dawn Bravata

International Nursing Research Congress (INRC)

The purpose of this study was to Identify patient and facility characteristics associated with hypertension control for TIA patients in the 90 days following discharge from an ED or inpatient setting.

Using Motivational Interviewing To Address Obesity: A Global Perspective, Juanita L. Wilson

International Nursing Research Congress (INRC)

Obesity is a growing global public health epidemic affecting all ages and socioeconomic groups. Commercial truck drivers (CTDs) have a greater obesity rate and decreased life expectancy compared to the general population. The nature of the commercial truck driving occupation places the truck driver at an increased risk for obesity. CTDs work sedentary jobs with long hours that pose barriers to eating healthy, regular exercise, and regular sleep patterns. The outcomes of a four-week evidenced-based practice (EBP) change project that utilized a motivational interviewing (MI) intervention and included diet and exercise education was found to have a positive impact on …

Global Interprofessional Study Abroad Impact On Nurse Practitioners' And Medical Students' Perceptions About Role Definition, Debra A. Kosko, Deborah Chapa, Melvin S. Swanson

International Nursing Research Congress (INRC)

Purpose: Healthcare delivered by well-functioning teams results in improved clinical outcomes and lower costs. However, health professions students are typically educated in silos, seldom communicating across disciplines (Cox & Naylor, 2013). Once students graduate, the professional silos persist, resulting in fragmented care that increases cost and decreases quality. Therefore, educating health professions students about team-based care and how to work with other health professionals, known as Interprofessional Education (IPE), provides them the necessary skills to improve the healthcare delivery system and the lives of their patients upon graduation. The purpose of this project was to evaluate the impact of a …