Digital Commons Network^™

Effects Of Support Groups On The Primary Family Caregivers, Chi-Hsuan Asphodel Yang, Shu-Chin Lin

International Nursing Research Congress (INRC)

Objective: The purpose of this study was to investigate the effect of a support group for primary family caregivers of elderly with dementia on both the caregiver's burden and the quality of life.

Methods: A 2-group quasi-experimental study, using a pre-and post-test repeated measure method, was conducted to investigate the study outcomes. Recruited through from a medical center in central Taiwan, 72 primary family caregivers were assigned to the control (n = 38) and the experimental groups (n = 34), based on participants' choices. The experimental group participated at the support group that comprised of five sessions; each session lasted …

Validating Targeted Behavioral Markers For Baccalaureate Nursing Student Teamwork Performance Outcomes In Simulation, Leann Chisholm, Rose A. Harding, Keili L. Peterman, Mary E. Ford, Lisa Donnelly, Theresa A. Rhodes, Kelli M. White, Kacie S. Calloway

International Nursing Research Congress (INRC)

Background: Patient safety is a global priority for nurses and healthcare providers alike, yet medical errors are not decreasing. The Agency for Healthcare Research and Quality (AHRQ, 2014f) indicates that one out of seven Medicare patients in the United States will be the victim of a medical error. James (2013) concluded that medical error accounts for 200,000 to 440,000 deaths per year, with many of these errors related to ineffective teamwork and communication (AHRQ, 2014f). In an effort to improve teamwork and communication in healthcare, the United States Department of Defense and AHRQ developed the Team Strategies and Tools to …

Healthcare Literacy And Communication With Health Professionals: Achieving Healthy Outcomes Among Diverse Populations, Mary Lou De Natale

International Nursing Research Congress (INRC)

The importance of understanding the culture and literacy in working with individual and families in the community is essential for nurses and health care providers. Whether an individual is accessing food or nutrition for their daily nutritional needs or seeking medical services at a community clinic it is the opportunity to listen to the conversations and respond in a caring and compassionate way to clients at their point of care in the community. Effective communication that is client-centered with knowledge of health resources is necessary in directing the health of the community with diversity in culture, language, and access to …

Perspectives Of People Living With Hiv Toward Healthcare Providers: Insights Into Multicultural Health Literacy, Ellen R. Long-Middleton, Patrice Kenneally Nicholas, Inge B. Corless, Carmen J. Portillo, Allison R. Webel, Marta Rivero-Mendez, William L. Holzemer, Keitshokile Dintle Mogobe, Jeanne Kemppainen, Kathleen M. Nokes, Yvette Cuca, Paula Reid, Lucille Sanzero Eller, Dean Wantland, Motshedisi Boitumelo Sabone, Solymar Solis-Baez, C. Ann Gakumo, Rachel Fortinsky, Carol Dawson-Rose

International Nursing Research Congress (INRC)

Purpose: To further our understanding about relationship influences that impact health literacy, the purpose of this study was to characterize the perspectives of a culturally diverse group of people living with HIV (PLWH) toward their health care providers. Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate decisions related to their health. Low health literacy is associated with poor health outcomes. Use of preventive services, knowledge about medical conditions and treatment, rates of hospitalization, health status, and health care costs are all linked to …

Transition To College Campus Living With A Chronic Condition: Type 1 Diabetes Exemplar, Jennifer L. Saylor, Christina Calmaro

International Nursing Research Congress (INRC)

Purpose: The purpose of this study is to examine sleep, resilience, and diabetes related quality of life (DQOL) and their effect on diabetes management in young adults ages 18-24 living on university/college campuses. RQ1: What is the relationship between sleep and HgbA1c (HgbA1c) and resilience and HgbA1c and quality of life and HgbA1c among those with type 1 diabetes 18-24 years of age living in dormitories. RQ2: What are the inter-relationships between sleep and HgbA1c and quality of life among those with type 1 diabetes 18-24 years of age living in dormitories?

Significance/Literature Review: Young adults with chronic conditions, like …

Direct Clinical Application With Nurse-Led Research: Impact Of "Boot Camp" Intervention For Caregiver Discharge Readiness, Mary A. Cazzell, Julie Van Orne, Kaylan Branson

International Nursing Research Congress (INRC)

Purpose: The purpose of this clinical nurse-led interventional research study was to determine the effectiveness of a "boot camp" training-for-discharge program on 34 caregivers of 34 medically-dependent children (compared to retrospective data prior to January 2015 start of boot camp training) as measured by lengths of stay on a transitional care unit (TCU) and overall days in the hospital, total days of documented discharge teaching, and levels of caregiver stress and satisfaction with training. Unprepared or poorly trained caregivers for medically-dependent children could result in poor patient outcomes, added caregiver stressors such as psychological distress or "burn out", and increased …

The Relationship Between Activities Of Daily Living And Depression Among Community-Dwelling Older Adults, Myoungjin Kwon, Youngshin Song, Kawoun Seo

International Nursing Research Congress (INRC)

Background and purpose: Depression has recently become a major public health concern, not only to personal suffering but national economic burden that related morbidity and increased mortality. Physical function such as daily activity have emphasized to reduce the depressive symptoms for older adults who cognitively intact in community-dwelling. Studies have proved physiological mechanism of physical activity that not only associate with depressive symptom, but also mediate the relationship between depression and cognitive decline. Despite accumulative evidence showing the interrelatedness between depressive symptoms and ADLs among older adults, the strength of the association may differ depending on sample characteristics and methodology …

A Standardized Handover And Transport Process For Critically Ill Pediatric Patients: An Interdisciplinary Collaboration, Cynthia L. Foronda, Brigit Vangraafeiland, Sarah Vanderwagen, Laura Allan, Meghan Bernier, Jennifer Fishe, Elizabeth Hunt, Justin Jeffers

International Nursing Research Congress (INRC)

Background: The transfer and handover of critically ill pediatric patients from the pediatric emergency department (PED) to the pediatric intensive care unit (PICU) is a period of vulnerability associated with adverse events. The Institute of Medicine (IOM) has emphasized that multiple threats to patient safety exist during the transfer of patients due to the potential for delayed, incorrect, interrupted, or incomplete communications. Furthermore, delays in transfer and handover impact the time for the patient to receive definitive treatment.

Aims: Using a Systems Engineering Initiative for Patient Safety framework, the aims of this project were to 1) examine staff members" satisfaction …

Simulation Training For Obstetrical Emergencies: Improving Nurse's Clinical Skills During A Shoulder Dystocia, Katie Suann Caldwell

International Nursing Research Congress (INRC)

Perinatal mortality and morbidity are a significant problem with the mortality rates attributed to antenatal and intrapartum complications. After reducing perinatal mortality and morbidity by way of good maternal health, obstetrical emergencies still can occur. To further decrease mortality and morbidity, health care professionals need to be properly trained to handle such emergencies.

Behaviour Development Of Early Detection Of Breast Cancer Among University Students With Peer Education Model, Seher Yurt, Rabia Aksut, Hasibe Kadioglu

International Nursing Research Congress (INRC)

Purpose: Breast cancer, with a rate of 40.7%, is one of the most common cancers among women. Lack of knowledge about this issue among women in developing countries causes late diagnosis of breast cancer and increase of cancer incidence.

Women can realize the 80-90 % of mass by breast self-examination (BSE). After a regular BSE, woman familiarizes her breast tissue and can recognize the changes easily. Furthermore, BSE is a costless, simple, reliable and effective method. Alongside the women over 40 among whom incidence of breast cancer has increased, it is highly important for young women to improve knowledge about …

Making A Cross-Country Comparison Of Health Systems: What Are The Possible Study Design Frameworks?, Cheryl Zlotnick, Sue A. Anderson, Vanessa Heaslip

International Nursing Research Congress (INRC)

Purpose: Health care systems form the framework and context through which countries provide health care services to their populations. They are comprised of an amalgam of culturally- and often economically-driven structures (e.g., facilities, personnel, policies, processes) to attain optimal health outcomes. No single health system is precisely like another. However, when studies explore differences in population health status or outcomes across countries, often the comparison focuses solely on health outcomes, completely omitting the effects and influences of the health system. This omission is problematic, since as several health care provision models suggest, health care outcome inequities may be connected to …

Crisis Leadership And Decision-Making: Hospital Administration And Nurse Leaders' Concerns For Disaster Response, Tener Goodwin Veenema, Katherine Deruggiero, Sarah Lynn Losinski, Daniel Barnett

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to characterize and explore the essential elements of effective hospital and nursing leadership during disasters and MCIs and to identify those events of greatest concern for response. Disaster and mass casualty incidents (MCIs) impose a huge burden on health care leaders. These events create a sudden, unanticipated demand for care referred to as ‘patient surge" that has the potential to quickly overwhelm a hospital"s capacity to function properly. The demand for health care services exceeds capacity to respond and the institution"s normally acceptable patterns of operations and logistics are disrupted. Strong crisis leadership …

Personalized Pediatric Pain Management: Myth Or Reality?, Cheryl Mele

International Nursing Research Congress (INRC)

For a child undergoing a surgical procedure or issues with chronic pain, an essential goal is to obtain optimal pain management without significant adverse effects. Regretfully, safe and operative analgesia is an indefinable medical objective. Pain management within the pediatric realm reports that 50% pediatric perioperative pain experience will be efficient and acquire minimal side effects from opioids (Sadhasivam et al., 2014), It is well known that poor pain control can harvest physical difficulties, prolonged post-op recovery, and long-term behavioral complications. Still there is an extensive range of reactions to opioids secondary to variability in patient"s gender, ethnicity, development, co-morbidities …

Symptom Clusters And Oxidative Stress In Patients With High-Grade Brain Cancers: A Longitudinal Study, Sanghee Kim

International Nursing Research Congress (INRC)

Background: Cancer treatments can increase the levels of oxidative stress because of the mechanisms of cancer drugs and radiotherapy. Patients with cancer experience many concurrent symptoms, commonly referred to as "symptom clusters," during the treatment periods. However, the relationship between oxidative stress and the symptom clusters have not been identified in patients with high-grade brain cancer.

Purpose: The purpose of this study was to identify a relationship between the symptom clusters and the levels of oxidative stress in patients with high-grade brain cancers undergoing concurrent chemoradiotherapy (CCRT).

Methods: Patients with high-grade primary brain cancers were asked to report their symptoms …

Anxiety-Reducing Efficacy Of Inhaled Essential Oils: A Case Study And Literature Review, Dawn L. Langley-Brady

International Nursing Research Congress (INRC)

Purpose: Anxiety disorders impact approximately 40 million adults, are the most prevalent mental health-related diagnosis, and cost the United States healthcare system over 42 billion dollars annually. Additionally, anxiety can mimic many other health problems (e.g., shortness of breath, chest pain, nausea and vomiting), thus adding to the burden on patients and healthcare systems. Current anxiety treatment consists of pharmacotherapy, cognitive behavioral therapy, and some complementary therapies, but not aromatherapy. Pharmacological approaches to reduce anxiety primarily include the administration of benzodiazepines, but may also include SSRIs, and beta-blockers. These pharmacological approaches come with a myriad of potential side effects including …

The Value Of Fracture Liaison Services: A Focus Group Study, Sharon Kan-Ha Chow

International Nursing Research Congress (INRC)

Purpose: Economic analysts have predicted that worldwide aged 65 years and older will increase to more than 1.3 billion by 2040. The growing aging population carries a high prevalence of osteoporosis and a high incidence of morbidity and mortality. In the United States, only 5% of patients with osteoporosis are properly diagnosed. The International Osteoporosis Foundation advocates Fracture Liaison Services (FLS) as best practice that ensures appropriate osteoporosis testing, diagnosis, treatment and ongoing support for fracture patients. Highly collaborative Kaiser Permanente Southern California Healthy Bones Program is recognized as best FLS practice to proactively identify, screen, and treat adults who …

Safety Culture: Medication Adverse Event Tracking At A Pediatric Oncology Hospital In Guatemala, Liliana Zelaya, Emily Dray

International Nursing Research Congress (INRC)

Purpose: The ECHO Project: Educacion de Cuidados Intensivos en un Hospital de Oncologia is a multidisciplinary educational collaborative between the Medical-Surgical Intensive Care Unit at Boston Children"s Hospital and Unidad Nacional de Oncologia Pediatric (UNOP). The initial goal of the partnership was to facilitate the development of an acute care nursing orientation and continuing education curriculum for the hospital and has grown to encompass other strategic goals. In January of 2016 the ECHO Project team, consisting of two Boston Children"s Staff Nurses and two Boston Children"s Clinical Pharmacists, traveled to Guatemala for a quarterly site visit. The goals for this …

Stress, Burden, And Health Status In Caregivers Of Heart Failure Patients, Ya-Ching Liu

International Nursing Research Congress (INRC)

Background: Exploring the relationships between stress、burden, heath status and disease prognosis in patients with heart failure will help to improve the care cognition in caregivers of heart failure patients. In this study, we tried to investigate the stressors, load, and health-related factors of major caregivers in patients with heart failure

Methods: During a period of one year, a total of 116 participants was recruited. A descriptive method, structured questionnaires and physiologic variables were conducted in this cross-sectional study. Received the location for the Cardiology Department of Cardiology and Cardiology Internal Medicine ward.The participants were the caregivers of patients with …

Using A Bundle Prophylactic Approach In Post-Operative Total Knee And Hip Arthroplasty, Haofei Wang, Patrick G. Ryan

International Nursing Research Congress (INRC)

Background: Evidence is limited on which prophylactic intervention(s) to prevent post-operative VTE is/are optimal or suboptimal in TKA and THA population.

Objectives: To examine the different types of prophylactic interventions (pharmacological and mechanical), patient age and BMI, bleeding tendency and renal function, and type of surgeries (TKA and THA) in relation to VTE incidence.

Purpose: Deep vein thrombosis (DVT) is a blood clot that occurs in a deep vein of the body; pulmonary embolism (PE) occurs when a clot breaks free and enters the arteries of the lungs (CDC, 2015). Both DVT and PE comprise venous thromboembolism (VTE), which is …

Improving Clinical Outcomes And Physical Activity In Older Adults With Comorbidity: A Randomized Controlled Trial, Elizabeth A. Schlenk, Susan M. Sereika, Joan Rogers, G. Kelley Fitzgerald, C. Kent Kwoh

International Nursing Research Congress (INRC)

Purpose: Over 9 million Americans have osteoarthritis (OA) of the knee, a chronic disorder associated with frequent knee pain and functional limitations that intrude upon everyday life. About half of those with OA of the knee have hypertension (HBP), one of the most prevalent risk factors for cardiovascular disease (Eymard et al., 2015). Persons with OA of the knee experience reductions in blood pressure (BP) when they participate in regular physical activity. Yet, only 13% of persons with OA of the knee (Wallis et al., 2013) and 28% with HBP (Healthy People 2020) meet recommended guidelines for physical activity. Although …

A Systematic Review Of The Impact Of Intentional Rounding On Patient Safety In Acute Care, Angela Christiansen, Elisabeth Jacob, Diane Esma Twigg, Lisa Whitehead, Linda L. Coventry

International Nursing Research Congress (INRC)

Purpose: The purpose of this paper is to report on a systematic review of the evidence of the impact of intentional rounding (IR) on patient safety in adult acute healthcare settings.

Methods: A systematic mixed method review was undertaken using the Joanna Briggs Institute (JBI) Reviewers Manual. An electronic search of CINAHL, MEDLINE, EMBASE, COCHRANE, and SCOPUS using key terms ‘nursing" AND ‘intentional rounding" OR ‘hourly rounding" identified 89 English language citations. The titles and abstracts of the papers were reviewed independently by two researchers and 33 were deemed to meet the remit of the review. Following appraisal for methodological …

Knowledge, Attitude, And Intention To Obtain Hpv Vaccination Among Undergraduate College Students In St. Lucia, Esther Shirley Daniel, Tisha Nelson, Gloria Ramdeen Mootoo

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to investigate if there were any differences in in the Knowledge, attitude and intention to obtain HPV vaccination among the male and female undergraduates of a selected Community College in St. Lucia.

Methods: A descriptive, quantitative and cross-sectional study. Previous research conducted of HPV has indicated many misconceptions and misperceptions of HPV and HPV vaccinations. Education and knowledge on HPV plays a significant role in the intention of receiving HPV vaccinations (Lambert, 2014). It is important to recognize benefits and barriers to obtaining HPV vaccinations to increase vaccination rates.

In the review of …

Teaching Quality Improvement To Baccalaureate Nursing Students: Strategies That Work!, Laurie Bladen

International Nursing Research Congress (INRC)

Purpose: The purpose of this presentation is to describe strategies that work in teaching quality improvement to baccalaureate nursing students. According to American Association of Colleges of Nursing (AACN) (2015) expected outcomes for graduates of baccalaureate nursing programs include scholarship for evidence-based practice, leadership, and the ability to promote health. Baccalaureate nurses are expected to use data and methods to continuously improve quality and safety of patient care (Dolansky & Moore, 2013; Phillips & Cullen, 2014; Quality Safety and Education for Nurses (QSEN), 2014). The mission of the Quality and Safety Education for Nursing is to address the challenge of …

A Nursing Educational Intervention For Patient-Initiated Verbal Aggression, Mary C. Poquette, Carolyn Rutledge, Tarry Wolfe

International Nursing Research Congress (INRC)

Problem: Patient-initiated verbal aggression (PIVA) has become an all too common occurrence (Park, Cho, & Hong, 2015) in hospitals, requiring skills other than therapeutic communication techniques taught in traditional nursing curricula. Many nurses, working in medical-surgical environments, indicate they lack both the knowledge and skills to safely care for patients displaying PIVA. The primary means of communication between patients and staff remains verbal interaction, unlike the surrounding global environment that relies on smartphones and other communication technologies. Patient demographics are changing, co-morbidities are more frequently identified and with evolving healthcare economics and technologies, the acute care environment has become an …

Evaluation Of Three-Dimensional Computerized Simulation: Innovative Pedagogy To Prepare Graduate Nursing Students For Clinical Practice, Carole E. Jenson

International Nursing Research Congress (INRC)

Introduction: Preparing graduate nursing students to respond to the complexities of a rapidly changing health care environment is a major challenge for nurse educators and nurse mentors. Clinical skill and patient assessment determine trajectory of patient"s health care, directly impacting patient outcomes. Assessment skills, clinical reasoning and decision making, and the ability to work with others are imperative for competent clinical practice. Literature reveals that many graduate nursing students are entering into clinical areas unprepared in the areas of patient assessment, diagnostic reasoning, clinical decision making, and team participation (Grossman & Conelius, 2015). Traditionally, these skills were practiced with direct …

Association Of Catheter-Associated Urinary Tract Infection (Cauti) With The Practice Environment At The Unit Level, Nancy Ballard, Marjorie J. Bott, Shin Hye Park, Byron Gajewski, Peggy A. Miller

International Nursing Research Congress (INRC)

Purpose: Identification of elements of the practice environment that influence both nurse satisfaction and patient outcomes is an important area for nursing research. Several valid and reliable tools to measure the components of the practice environment have been developed by nurse researchers. The Practice Environment Scale and Job Enjoyment Scale are included in the National Database of Nursing Quality Indicators® (NDNQI®) RN Satisfaction Survey. In addition the NDNQI provides a database for participating hospitals to collect nurse-sensitive quality outcome data including catheter-associated urinary tract infection rates (CAUTI) for internal use and external benchmarking. All data are collected at the unit …

Transforming Practice With Scripted Messages: Improving Pain Management In Outpatient Surgical Patients, Lanell M. Bellury

International Nursing Research Congress (INRC)

Purpose: Outpatient surgeries are increasingly common because of patient convenience, lower cost, and reduced stress but most patients experience pain postoperatively requiring nursing attention to pain management (Mitchell, 2015; Subramanian et al., 2014). Scripting, recommended for consistent, targeted communication with patients, has limited evidence to support its use (Alaouf et al., 2015; Monterroso et al., 2013). The purpose of this study was to explore the effect of providing scripted messages related to pain management in the outpatient surgical setting on self-reported pain control and patient satisfaction in outpatient surgical patients. Additionally, the feasibility of practice change research in clinical settings …

Perceptions/Recollections Of Acquisition Of The Nurse Advocate Role By Practicing Direct Care Nurses, Marianne Curia

International Nursing Research Congress (INRC)

Purpose:Â Â .

The claim that nurses should be patient advocates has been a hotly debated topic in the nursing profession since the 1970’s. The literature reflects this debate in its wide variance of not only the concept but the very definition of advocacy in nursing. Provision 3 of the American Nurses Association Code of Ethics for Nurses specifically states advocacy as an expectation of the nurse. It is significant to note that previous editions of the Code of Ethics implied advocacy but did not specifically name advocacy until this latest edition. This is a relevant occurrence since it …

Strategies To Promote Student Publication In An Evidence-Based Practice Course, Margaret Harvey

International Nursing Research Congress (INRC)

Purpose:Â The purpose of this session is describe innovative teaching strategies used to enhance student manuscript preparation, submission, and publication of scholarly work completed during an EBP course.

Methods: Students enrolled in a graduate, evidence based practice course completed a pretest/post-test survey assessing their knowledge, skills, and attitudes regarding various teaching strategies designed to enhance student scholarship and manuscript preparation. Students were assigned to work in small groups based on their clinical practice area and develop a relevant PICOT question. Keywords were identified, appropriate databases were queried, and articles meeting selected criteria were critically appraised. Students registered for the …

Related Factors On Sexual Risk Behaviors Among Adolescent At Vocational School In Thailand, Prueksalada Khiaokham, Punpilai Sriarporn, Apsorn Konrad, Piyawan Nuntapong

International Nursing Research Congress (INRC)

Introduction: Adolescents involve in many changes and these changes sometimes incongruent, contributing to teenagers" confusion, lack of confidence, and lack of restraint. These impacts may lead them to make wrong decisions in risky circumstances and engage in harmful manners, including sexual behaviors. There is a higher incidence of sexual behaviors among adolescents than other groups because the consequences of dynamic sexual development and the influence of dramatically increasing sexual hormones lead to high sexual drives and craving to know about sex. In Thailand, as society changes in terms of increasing nuclear families, parents appear to not have enough time to …