Digital Commons Network^™

Life Meaning In Patients Diagnosed With End-Stage Liver Cancer: An Interpretive Phenomenological Approach, Dinah Hernandez

International Nursing Research Congress (INRC)

Liver cancer patients face issues involving finiteness and approaching death; and may question one’s attitudes, values, and goals that lead to concerns regarding the meaning in life. Interpretive phenomenology focuses on the uniqueness of one’s experience and facilitates the understanding of internally and processed meaning among liver cancer patients.

Cultural Competence Among Nursing Students In Three Countries: A Cross-Sectional Study, Jonas Preposi Cruz, Paolo C. Colet, Joel Casuga Estacio, Helen Shaji John Cecily

International Nursing Research Congress (INRC)

Purpose: The entire world is experiencing the highest human mobility recorded in history as indicated by the steady rise of global migration. Globalization and emigration increases cultural diversity and multiethnicity, which also enriches the cultural diversity in healthcare facilities (Perng & Watson, 2012). Moreover, migrants are often subjected to discrimination, violence and exploitation, which have a great impact to their physical and mental health. Because of this, nurses should be properly trained to provide culturally competent care that is current and responsive to the increasing challenges in the healthcare settings associated with the complexity, volume, speed, diversity and disparity among …

Man's Best Friend: The Role Of Companion Animals In The Lives Of The Homeless, Susan K. Lee, Pamela Willson

International Nursing Research Congress (INRC)

Purpose: It is estimated that 28,000 persons are homeless in Texas on any given night (Texas Homeless Network, 2016). Many homeless people have companion animals to fulfill social needs: friendship, while demonstrating unconditional, nonjudgmental love; and satisfying basic needs of love and self-worth (Smolkovic, Fajfar, & Mlinaric, 2012). Over the past 25 years, multiple studies demonstrated human health benefits of relationships with companion animals. Companion animals were thought to play a significant role in effecting change or providing stability to the homeless as there are psychological, physiological, and social benefits associated with having companion animals (Labrecque, & Walsh, 2011; Slatter, …

Academic And Social Factors That Affect Bsn Students Who Fail The Nclex-Rnâ® Exam After Graduation, Kelly J. Betts

International Nursing Research Congress (INRC)

Problem/Purpose: Each year a small cohort of graduates from the UAMS CON BSN Program graduate and do not pass the NCLEX-RN® Exam on the first and subsequent attempts. The purpose of this study was to evaluate graduates from the last four years who have not been successful on the first or subsequent attempts at the NCLEX-RN® Exam to assess if there are certain trends or patterns that occur while they were in the BSN program that may have contributed to their NCLEX-RN® Failure. Identification of trends can help BSN faculty better provide academic support to students once it is understood …

Personal And Professional Transition From Military To Civilian Nursing Practice, Brenda S. Elliott, Katie A. Chargualaf, Barbara J. Patterson

International Nursing Research Congress (INRC)

Purpose: The purpose of this presentation is to discuss the military nurse officer"s transition from nursing practice in a military setting to a civilian setting.

Methods: Naturalistic inquiry paradigm, qualitative description was used to guide this study. The investigators interviewed 10 nurse Veterans from the United States who served a minimum of four years active duty and at least one year in a civilian clinical nursing role, after separation from active duty status. Semi-structured interviews started with an open-ended question asking participants to describe their transition from military nursing to civilian nursing practice. They were also asked to identify any …

Nurses At The Forefront Of Integration, Jill Case-Wirth, Elizabeth Spiva

International Nursing Research Congress (INRC)

Nurses played a pivotal role in the integration work at a healthcare system. Highlights of extraordinary teamwork, dedication, communication, and countless hours to plan for a smooth and effective transition were evident in the outcomes produced.

Disaster Response Preparedness And Training: A Capabilities Assessment Of Asia Pacific Partners, Mary Catherine Goetter, Susan F. Dukes

International Nursing Research Congress (INRC)

Purpose: The purpose of this study is to address a knowledge gap in understanding how military personnel involved in casualty transport would be able to function with their military and civilian counterparts in the event of a disaster involving multinational response. United States Air Force (USAF) personnel have accrued robust experience in patient evacuation employing en route care (ERC) systems and critical care air transport teams (CCATT) that were established, designed, and studied in wartime. In the event of a multinational disaster, this resource will likely be tapped; however, ERC and CCATT have not focused on scenarios outside of wartime. …

Empirical Evidence Of Theorized Clinical Nurse Leader Integrated Care Delivery Model Domains, Elizabeth Spiva, Miriam Bender, Wei Su, Lisle Hites

International Nursing Research Congress (INRC)

Background: The National Academy of Medicine acknowledges healthcare delivery redesign and innovative models of care are essential for improving care quality and safety (Institute of Medicine, 2011). Registered nurses (RN) comprise the largest healthcare workforce in the United States and are in a vital position to shape clinical microsystems into spaces where interdisciplinary teams work together to deliver high quality patient care. The evidence for nursing presence to reduce patient mortality and morbidity is robust (Aiken et al., 2011; Needleman et al., 2011) How nursing practice should best be organized and implemented to consistently achieve quality outcomes is less clear …

Transforming Nursing Students' Attitudes Toward End-Of-Life Care, Pamela L. Mahan, Helen M. Taggart, Sherry L. Warnock

International Nursing Research Congress (INRC)

Purpose: The purpose of this research was to examine the effect of an actual compared to a simulated hospice clinical experience on nursing students" attitudes toward end-of-life care; and.

Methods: A pretest and posttest nonequivalent two-group design consisted of a sample of 65 undergraduate nursing students enrolled in a community health course. All students enrolled in the community health course have one day for hospice experience, and a two-hour orientation from the nurse educator at a local hospice agency. Students enrolled in the first seven weeks were paired with a hospice nurse and conducted home visits. Students enrolled in the …

Multinational Research Collaboratives, Interaction Costs, And Time To Productivity: An Empirical Model To Support Success, Betty A. Rambur

International Nursing Research Congress (INRC)

Purpose:

To illuminate promising practices in multinational research collaboratives that may guide research initiatives that range from interprofessional, to multi-site, to international.

Research to effectively address complex global problems may require the composition of equally complex, diverse, multidisciplinary research teams. Indeed, collaboration among professions, disciplines, institutions, and nations may offer a means to address society’s most vexing problems. Although intuitively attractive, collaboration also creates intricate interplays of personal and scientific values, norms and expectations. This research was undertaken to better understand promising practices in the potentially most complicated research collaboratives, those that span nations.

Methods:

Because individuals in different regions …

How Baccalaureate Student Nurses Use Art Therapy To Facilitate Therapeutic Communication, Robyn A. Rice, Joyce Mary Hunter

International Nursing Research Congress (INRC)

This qualitative study using thematic analysis was designed to explore how undergraduate nursing students use art therapy to promote therapeutic communication with mental health patients. Art therapy facilitated student and mental health patient communication, suggesting that the intentional use of art therapy should be integrated into nursing education.

"Hope" For People With Motor Neurone Disease In Japan, Masako Nagase

International Nursing Research Congress (INRC)

Purpose:  In this study, we present materials to examine the “hope” harbored by patients with intractable neurological diseases. This study is part of research on the nature of the care system focused on end-of-life care for patients with intractable neurological diseases in Japan.Â

Methods:Â Â We conducted an interdisciplinary study using academic papers from various fields including nursing, psychology, and philosophy.Â

Results:  Since the 1950s, “hope” has mainly been defined in the context of social science and there have been various attempts at measuring it. However, exploring a unified view of the concept of “hope” is a difficult …

A Redemption Story: A Case Study Of A Faith-Based Addiction Recovery Process, Chitra Paul Victor

International Nursing Research Congress (INRC)

Purpose: The purpose of this study is to acquire an in-depth descriptive explanation regarding the role of the faith-based recovery program and the influence of this program on the healing of body, mind, and spirit and the restoration of hope for women recovering from substance addiction.

Methods: The researcher used a single embedded interpretive case study design based on the social process theory: Understanding God as Sponsor. Data was collected through observations, in-depth interviews, and the analysis of artifacts. The researcher used purposive sampling to recruit female drug addicts recovered in a faith-based recovery program and their care providers. The …

Measuring Harm In Hospitalized Children Via A Trigger Tool, Lya Michele Stroupe

International Nursing Research Congress (INRC)

The Global Assessment of Pediatric Patient Safety (GAPPS) trigger tool detects four times more adverse events than voluntary incident reporting systems, resulting in increased patient safety and quality of care.

Gapfon: Outcomes Report And Next Steps, Sigma Theta Tau International

International Nursing Research Congress (INRC)

About GAPFON: The Global Advisory Panel on the Future of Nursing (GAPFON®) was convened by The Honor Society of Nursing, Sigma Theta Tau International (STTI) to establish a voice and a vision for the future of nursing that will advance global health. GAPFON seeks to provide evidence on the value of nursing and to participate in and influence health policy, nursing leadership and practice, education, and the global health agenda.

The editors of this presentation are: Patricia E. Thompson, Cynthia Vlasich, and Tina Darling.

GAPFON®is chaired by Johns Hopkins School of Nursing Dean Emerita and Professor Martha Hill, PhD, RN, …

Improving Patient Satisfaction Through Implementing Aidet, Annamma S. Varghese

DNP and Student Works

Hospital Consumer Assessment of Health- care Provider and System (HCAHPS) scores are key metrics that evaluate quality patient care within health- care system. Many studies reveal that an effective communication strategy promotes positive relationship with patients and nurses, however utilizing the use of a communication tool AIDET (Acknowledge-Introduce-Duration-Explanation-Thank you) and its relationship with patient satisfaction is yet to be known. To understand the use of AIDET by nurses, a gap analysis project was conducted with a convenience sample of 61 nurses, nurse technicians and patient care servicers in an outpatient clinic. The focus of this project is to improve communication …

Quality Improvement Program: Implementation Of Chronic Care Management Services In An Affordable Care Organization, Lori Duke

DNP and Student Works

Chronic diseases are the leading cause of death and disability in the United States each year. According to the Group Health Research Institute (2015), almost one-half of all Americans have one or more chronic health diseases. Two of the most common of these are type 2 diabetes mellitus and hypertension. Inadequate management of chronic diseases lead to poor patient outcomes and higher health care costs. In an effort to transform the current health care system, the Centers for Medicare and Medicaid (CMS) introduced a non-visit based payment reimbursement program for chronic care management services. Providers caring for Medicare beneficiaries with …

Utilizing Technology To Improve Patient Comprehension, Christina S. Williams

DNP and Student Works

Patient comprehension of discharge instructions is a cornerstone for successful health care. If healthy outcomes are to be achieved, patients need to comprehend discharge instructions given by the healthcare provider. Patients in an acute care setting often have difficulty with recollection or comprehension of discharge instructions. Poor comprehension is likely to interfere with the patient's ability to properly administer medication, follow treatment modalities, recognize complications, and adhere to follow up care. The purpose of the project was to increase patients' comprehension of discharge instructions to promote optimal recovery from illness.

Utilizing Evidence Based Practice To Reduce Hemoglobin A1c Levels In Primary Care By Increasing Frequency Of Office Visits, Mary Smith Williams

DNP and Student Works

Diabetes Mellitus is one of the leading chronic diseases in the United States as well as in the world. It is a disease that becomes progressively more difficult to manage as time goes by with each patient. It costs the patient as well as the public. It costs in terms of health as well as monetary expenses. Studies have shown that better preventive care can decrease complications and help the patient live a longer, healthier life. Providers should consider more frequent office visits for patients with elevated HbA1c levels as this offers not only an opportunity for the provider to …

Use Of A Wellness Coaching Model Among Urban-Dwelling, Low-Income Older Adults, Bertha Lee

International Nursing Research Congress (INRC)

Older adults, age 65 years or over, currently represent 14.5% of the United States (U.S.) population. This value is projected to more than double to 98 million by 2060 (AoA, 2015) as ann increasing number of older adults, both rich and poor, are living longer in the presence of chronic disease and illness symptoms (National Center for Health Statistics (US) & National Center for Health Services Research, 2012). Compared to younger individual, older adults are more likely to experience repeated hospitalizations and/or unplanned visits to their health care provider, and face increased costs to manage their health (Lehnert et al., …

The Effects Of An Uncompleted Suicide Attempt: A Parent's Perspective, Kendal Klein

International Nursing Research Congress (INRC)

The purpose of this study is to examine the needs of parents after their adolescent child makes a non-lethal suicide attempt. Suicide, the intentional act to end one"s own life, is the third leading cause of death in adolescents, after accidents and homicides. Although quite uncommon in children, the frequency of suicide drastically increases during adolescence. This is a serious issue. There are numerous risk factors that increase the risk for adolescent suicide. These factors include possessing a psychiatric illness, lack of coping skills, emotional turmoil, a distorted view of life, a previous suicide attempt, substance abuse, family factors, and …

Depression Screening And Glycated Hemoglobin Levels: Diabetes Follow-Up Measures, Kristel Rosemarie Mcghee, Katherine Kenny

International Nursing Research Congress (INRC)

Diabetes and depression often co-exist. This combination may exacerbate the progression of diabetes; therefore, diagnosis and treatment of depression may improve diabetes management. In addition to routine monitoring of glycated hemoglobin (A1C) levels, diabetic patients should receive an annual depression screen to facilitate treatment and referral. Yet in the outpatient setting, depression screening is an underutilized tool. The overarching purpose of this project is to address and treat the depression in patients with diabetes, and to decrease A1C levels and ultimately improve chronic disease outcomes.

A literature review explored interventions to improve chronic disease outcomes in adults. Selected studies revealed …

Influenza Virus: The Evolution Of A Deadly Virus In Our World, Cathy M. St. Pierre

International Nursing Research Congress (INRC)

Despite significant advances in health care today and the fact that influenza illness is a preventable disease, Influenza virus continues to be a significant cause of morbidity and mortality in the world. Influenza continues to rank in the top 10 causes of death in the world and infects up to 5 million people annually (WHO, 2014). The Influenza virus is compose of three types: A, B and C. Initially, Influenza virus A was thought to be only present in birds and poultry. However, in recent years, it has come to light that strains of the Influenza virus A, known as …

Clinical Decision-Making Regarding The Management Of Pain: Differences Between Novice, Intermediate, And Expert Nurses, Igal Zlatkin, Yulia Gendler

International Nursing Research Congress (INRC)

Nursing pain management is closely related to decision making-process, which includes continuous estimate, intervention, monitoring the effect of treatment, identifying the need for changes and alternative treatment. It is generally assumed that education and practical experience increases accuracy in decision-making. Benner presented an extensive theory that suggests five levels of proficiency that nurses pass in acquisition and development of skills from novice to expert. However, this theory does not examine strategies of decision making during these stages. The purpose of the study: (1) to identify the cognitive processes used by nurses when making pain management decisions and the factors which …

What Works To Improve Staff Compliance With Multi-Drug-Resistant Organism (Mdro) Screening, Monina Gesmundo

International Nursing Research Congress (INRC)

The purpose of the presentation is to present the evaluation of multi-modal interventions on the staff MDRO admission screening compliance rate in various departments of a secondary public hospital in New Zealand.

Impact Of Motivational Workshops On Lifestyle Modification To Increase Physical Activity, Gagandeep Singh, Manju N. Daniel, Courtney Crutchfield

International Nursing Research Congress (INRC)

Background: More than 68% of the people in all racial categories in the United States are either overweight (BMI 25-29.9) or obese (BMI 30+). Overweight and obesity are two significant risk factors for type 2 diabetes and heart disease (National Institute of Diabetes and Digestive and Kidney Disease, 2012). Approximately 29 million people have diabetes in the United States. Heart disease is one of the serious complications associated with diabetes. More than 70% of the people diagnosed with diabetes were found to have hypertension. In addition, the cardiovascular disease death rates were about 1.7 times higher in adults with diabetes …

Harm Reduction In Nursing Practice: Compassionate Care For Persons With Addiction, Audrey Catherine Killarney, Michelle Esther Neuman

International Nursing Research Congress (INRC)

Substance abuse and overdose deaths are increasing at profound rates in the United States. Nurses and clinicians must evaluate their response to this growing epidemic. Harm Reduction is an alternative therapy for rehabilitation and was traditionally used in tobacco cessation, and to control the spread of HIV and HCV. The concept of harm reduction can be described as accepting the possibility that individuals will abuse harmful substances, and the goal of treatment is to reduce the harm associated with the addictive behavior; ultimately, this treatment nurtures a non-judgmental environment that facilitates a therapeutic nurse-patient relationship. Much of the literature regarding …

Screening For Palliative Care Patients By Utilizing Clinical Decision Support Within The Electronic Health Record, Tanja Baum, Ruth A. Bush, Caroline Etland, Cynthia D. Connelly

International Nursing Research Congress (INRC)

Purpose: Approximately $1.3 million annually can be saved when 500 palliative care consults are completed within the acute care setting. With 90 million Americans, of whom 20% are Medicare recipients that suffer from chronic medical conditions, 500 consults are not a distant number. The electronic clinical decision support and utilization of triggers to identify individuals who might benefit from palliative care using an algorithm within the electronic health record (EHR) can enable the multidisciplinary team to facilitate palliative care services.

The purpose of this feasibility study was to utilize variables available in the EHR of palliative care patients receiving palliative …

Theory-Practice Gap: Perceptions Of Nurse Faculty, Nursing Students, And Clinicians In Ghana, David Abdulai Salifu

International Nursing Research Congress (INRC)

Purpose: The overall goal of this research work was to explore the understanding of theory-practice gap from the perspective of nurse faculty and nursing students in University for Development Studies, and clinicians in Tamale Teaching Hospital, Ghana. Despite several attempts by nurse faculty and clinicians to address the theory-practice gap, it remains a central issue in both nursing education and practice (De Swardt, Du Toit & Botha, 2012). Most of the initiatives to bridge the theory-practice gap have evolved in geographic areas such as the US, UK, and other developed nations. Little research addressing the issues is evident in …

Developing Cultural Competence In Practicing Nurses: A Qualitative Inquiry, Michelle L. Edmonds, Jeane Richards

International Nursing Research Congress (INRC)

Background/Introduction: Multicultural societies are becoming more prevalent across the globe. Nurses, providing holistic care to patients from many cultures, must demonstrate culturally competency in their daily practice so as to provide patient-centered care (Maher-Lorentz, 2008). The American Nurses Association has, since 1991, advocated for culturally appropriate nursing care to be delivered to patients in all settings (ANA, 1991). The Joint Commission has indicated the importance of culturally appropriate communication for patient-centered care and included this in the 2012 accreditation standards (The Joint Commission, 2010). Research regarding culturally-competent care among nursing students has been recently conducted in nursing education. However, few …