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Creating A Culture Of Evidence-Based Practice: A Journey From Vision To Outcomes, Jacalyn S. Buck, Ruth M. Labardee

International Nursing Research Congress (INRC)

In this turbulent era of healthcare reform, organizational success will be defined in terms of collaborative teams delivering evidence-based, patient-centered care which results in safe, high quality patient outcomes (IOM, 2010). The development of evidence-based practice (EBP) knowledge and skills, design of EBP infrastructures, and promotion of a widespread EBP culture is a strategy that can effectively thrust organizations toward achieving these goals (Melnyk & Fineout-Overholt, 2015). In light of the importance placed on promoting EBP in nursing, there is a gap in the literature identifying effective organizational EBP models that provide a foundation for which evidence-based clinical care is …

Factors Of Metabolic Syndrome And Quality Of Life Among Korean Postmenopausal Women, Young Man Kim, Yerin Cha

International Nursing Research Congress (INRC)

Purpose: This study aimed to identify factors affecting metabolic syndrome and investigate association between metabolic syndrome and health-related quality of life (HRQOL) among Korean postmenopausal women.

Methods: This study was performed using data from the Korea National Health and Nutrition Examination Survey (KNHANES) form 2010 to 2014. The KNHANES is a complex, stratified, multistage, probability cluster survey and also the sample data represents the Republic of Korea. Included number of postmenopausal women was 7,123, and the weighted sample size was 6,530,873. General characteristics, clinical characteristics, HRQOL, and five components of metabolic syndrome including triglyceride level, high density lipoprotein level, hypertention, …

Use Of Outside Services And Other Needs Of Informal Caregivers Of Adult Oncology Patients, Susan C. Cobb

International Nursing Research Congress (INRC)

Purpose: The care of oncology patients often involves the assistance of informal caregivers such as family members or friends. Data from the United States reveal that an estimated 40 million caregivers provide care to adults (aged 18+) with a disability or illness. Caregiver services were valued at $470 billion per year in 2013 - up from $375 billion in 2007. With the aging population expected to double between 2000 and 2030, the impact of caregiving on healthcare will likely continue to increase (Family Caregiver Alliance, 2016; Cobb, Etkins, Nelson, Egleston, Sweeney, 2016). The important role that informal caregivers play in …

Developing A Guideline For Transferring Premature Infants From Incubator To Open Crib In The Nicu, Ani Jacob, Joanne Casatelli, Nina Kohn

International Nursing Research Congress (INRC)

The purpose of the study is to identify criteria for successful transfer of stable preterm infants from an incubator to an open crib maintaining the thermoregulation within the acceptable range of axillary temperature between 36.5⁰-37.2⁰ C. All the infants will be diapered, dressed in a t-shirt, cap, and wrapped in blanket during the transfer process.

Factors Associated With Intermittent And Light Smoking Among Korean Adolescents, In Sook Park, Jin Suk Ra

International Nursing Research Congress (INRC)

Purpose: Smoking in adolescence is a risk factor of lung cancer and death from cardio-cerebral vascular disease in adulthood; in the short term, it can also be associated with adolescents" poor psychological heath such as depression or suicidal ideation. However, approximately one quarter of adolescents appear to underestimate the harm caused by smoking. In particular, adolescents who engage in intermittent (i.e., smoking on 1-29 days out of every 30) and light smoking (smoking less than 10 cigarettes per day) were more likely to consider that their smoking behaviors were not harmful to their health. Similarly, intermittent and light smokers were …

Do Educational Experiences With Culture Diversity Make A Difference In Patient Care?, Alicia A. Huckstadt

International Nursing Research Congress (INRC)

Purpose: The purpose of this abstract is to share development and preliminary results of an educational project designed to explore if tailored didactic education and clinical experiences in underserved areas would result in positive nurse practitioner learner outcomes.

Methods: The background literature provides the framework for this project.

Improving the quality of care to diverse populations is an important national and international concern for nursing and the total health care system. Numerous reports reveal that health care disparities and inequalities continue to persist globally. In the United States, health disparities have significant economic impacts estimated in trillions of dollars. Schoeni, …

How Does Obesity And Intentional Weight Loss Impact Health Related Quality Of Life In Adults?, Holly Kirkland-Kyhn

International Nursing Research Congress (INRC)

Purpose: Over the past 30 years, the percentage of older adults who are obese has doubled; the most recent CDC data indicates that adults age 60 and over were more likely to be obese than were younger adults. The number of chronic health conditions associated with obesity increases with increasing body mass index (BMI) and in association with aging. Obesity-related chronic health conditions and their associated physical function--mobility limitations are the leading cause of diminished personal independence and diminished health related quality of life (HRQOL) for older adults. The aim of this study was to identify associations of BMI, gender, …

Understanding The Intersection Of Adolescent Girls' Motives For Sex And Risk Profiles, Dianne Morrison-Beedy, Linsey Grove, Ming Ji, Elizabeth Baker

International Nursing Research Congress (INRC)

Purpose: Sexual risk behaviors resulting in HIV, STIs and unplanned pregnancy continue to pose a significant health risk to adolescent girls globally. Tested in a randomized controlled trial, the Health Improvement Project Teens (HIPTeens) is recognized by the Department of Health and Human Services (DHHS) and the Centers for Disease Control (CDC) as an HIV/STI and teen pregnancy prevention evidence-based intervention (EBI) (Morrison-Beedy, Jones, et al., 2013). Understanding what motivates girls to participate in safe and risky sex is important to developing and tailoring behavioral interventions to increase their utility across the globe. The purpose of this study …

Graduate Students' Perceived Genetic Knowledge: A Preliminary Study, Leighsa Sharoff

International Nursing Research Congress (INRC)

Purpose: Summary of a preliminary assessment of graduate nursing students' from the City University of New York [CUNY] knowledge about genetics and genomics.

Methods: Thirty-six graduate students, 7 in a DNP program, were surveyed with the Genetics and Genomics Literacy Assessment (GGLA). This consisted of 16 multiple choice questions, 7 questions related to their perceptions and attitudes about genetics and genomics integration into nursing curricula, 5 questions related to their comfort level about genetics and genomics and 4 demographic items. Data was collected via Survey Monkey converted to SPSS.

Results: Summary of categorical data revealed that the majority of participants …

Knowledge Of Hiv/Aids Among Women In Rural Ugandan Villages, Linda S. Johanson

International Nursing Research Congress (INRC)

Purpose: Rates of HIV have been decreasing in Uganda, however these rates, attributed to behavior change through education, have slowed in recent years (Hearst, Kajubi, Hudges, Maganda, and Green, 2012). It is unclear how much education about this issue reaches remote rural villages in the country of Uganda, and how the condition is understood by the people who live there. Women in sub-saharan Africa have a disproportionate risk for HIV infection (Harrison, 2014). Basic correct understanding of the transmission, risk, symptoms, and treatment for HIV/AIDS will impact prevention behaviors for women in this country. Ultimately control of HIV/AIDS impacts global …

Post-Graduation Follow-Up Of Graduates Of An Interprofessional Simulation Curriculum: Is Ipe Important In Clinical Settings?, Sharon B. Cannon, Saju Joseph, Adrian R. Mulig

International Nursing Research Congress (INRC)

Interprofessional Education (IPE) has become an integral part of education in all health sciences, however little data exists to determine if this model is helpful in clinical practice. Too often, there is a gap between education and practice. We present our post-graduate results for our IPE simulation curriculum for the Nursing, Medicine, and PA programs.

Patient care is always provided by multidisciplinary teams in the hospital; however education of students continues to be isolated and conducted in silos. Recently, interprofessional education has been utilized to maximize the learning environment, create interactive learning, and teach non-cognitive aspects of health care. Numerous …

Advance Care Planning (Acp) Training: Your Role As A Nursing Leader, Jessica Tully, Carol Boswell

International Nursing Research Congress (INRC)

In today's society, people are living longer. Despite aging and health issues, many American adults do not have Advance Directives (ADs). Statistics show that only 18%-36% of the U.S. population has completed an AD (Pecanac, Repenshek, Tennenbaum, & Hammes, 2014). Although a growing need for advance care planning (ACP) is noted, it is found that healthcare teams lack the education needed to provide teaching on ACP and ADs (Kroning, 2014). It is imperative that healthcare teams stress the value of ACP in order to clarify patients' wishes for future care, ideally before hospitalization (Ke, Huang, O'Connor, & Lee, 2015). Kroning …

Depression And Sleep Impairment Impact On Pain And Quality Of Life For Sickle Cell Patients, Sheran Maxwell Simo

International Nursing Research Congress (INRC)

Vaso-occlusive crisis pain is both an acute and chronic factor for patients with sickle cell disease (SCD). Many of the complications associated with SCD have some aspect of pain associated with them, beginning in infancy and continuing throughout the lifespan as a result of sickled red blood cells (Ballas, 2011; Ballas et al., 2012). Acute, recurrent, and unrelenting pain is often joined by other affective disorders that affect pain chronicity, and some patients with SCD have depression and/or sleep disturbances that may affect pain levels and quality of life (Ballas et al., 2012; Vichinsky, 2014). According to Treadwell, Barreda, Kaur …

Mediator Role Of Memory Function On Diabetes Self-Care Management In Older Adults, Youngshin Song, Jeonghwa Cho, Younghee Jun, Kawoun Seo, Keumok Park, Bohyun Kim

International Nursing Research Congress (INRC)

Purpose: Memory function is important to perform the special intended tasks. Diabetes self-care composed of several complex tasks such as regularly check the glucose monitor, balance of diet and physical activity, and foot care. For improving diabetes self-care, higher diabetes self-efficacy as an essential factor was emphasized in studies. Despite of having higher self-efficacy in cognitively intact older adults with diabetes, individual behaviors on diabetes self-care is not same level. In order to transfer the intended behavior from self-efficacy, memory should be embedded. Memory function may help the self-initiated behavior such as diabetes self-care. However, little empirical evidences regarding the …

Attempting Shared Governance Within A School Of Nursing, Laura L. Opton, Carol Boswell, Donna C. Owen

International Nursing Research Congress (INRC)

Purpose: The governance structure of schools of nursing has the capability to augment the work environment for both faculty and staff. The pressure and intricacy of the multifaceted academic milieu have been postulated as contributing issues in the significant number of open academic nurse educator positions (Baker, Fitzpatrick, & Griffin, 2010). While staff members are usually involved as a supportive role in the hierarchical academic structure, they are frequently separate from faculty. Although faculty and staff both work to meet the strategic aims identified by the school of nursing, this structured separation by role has the potential to create a …

The Influence Of Lifestyle Medicine On Nurses' Belief Of Evidence Based Practice, Demecia Wade-Murdock

DNP and Student Works

Adult onset type 2 diabetes can be improved with lifestyle medicine, which is a prescriptive and patient-centered evidence-based practice model. It affords consistent patient monitoring and provides nurses with the education to support and assist individuals in improving their health. In this intervention, education and resources were given to improve nurses' knowledge of lifestyle medicine and evidence based practice. Public Health Nurses can help patients prevent or mitigate against diabetes related complications by utilizing lifestyle medicine. While lifestyle medicine programs vary, they all assist patients in adopting behaviors (e.g., diet, exercise) that will improve their health and quality of life.

Increasing Parental Self-Efficacy Through Education To Impact Child Health Behavior, Calvin J. French

DNP and Student Works

Childhood obesity is a major public health crisis nationally and internationally (Karnik & Danekar, 2012). The prevalence of childhood obesity has continued to increase causing a rise in several comorbidities at an early age. These comorbidities include but are not limited to hypertension, diabetes mellitus type 2, insulin resistance, hyperlipidemia, and psychosocial problems. These chronic diseases will likely persist into adulthood.

27th International Nursing Research Congress 2016 Conference Proceedings, Sigma Theta Tau International

Sigma Publications: Book Excerpts

The Honor Society of Nursing, Sigma Theta Tau International (STTI) conducted its 27th International Nursing Research Congress in Cape Town, South Africa, 21-25 July 2016. More than 700 nurses from around the world gathered at the congress, which had as its theme "Leading Global Research: Advancing Practice, Advocacy, and Policy."

Program objectives of the 27th International Nursing Research Congress include:

• Interpret research findings' influence on nursing practice, advocacy, and/or policy.
• Enhance nursing knowledge through research or evidence-based practice to impact nursing outcomes.
• Examine the translation of evidence into practice or education.
• Identify opportunities for international collaboration in nursing research, evidence-based …

Implementing A Diabetic Foot Care Program In A Primary Care Clinic, Jennifer Richardson

DNP and Student Works

The purpose of this project was to implement a comprehensive diabetic foot care program in a primary care clinic to improve foot care practices among primary care providers. The following questions were the focus of the chart review for this project: Did the primary care provider document the diabetic foot exam using the EHR template? Did the primary care provider document all the elements included on the template? Did the primary care provider document that patient education was provided regarding diabetic foot care? The following questions examined the providers' satisfaction with the project: Do you use the diabetic foot exam …

Augmenting Sickle Cell Anemia/Sickle Cell Disease Genetic Knowledge Through Simulation: A Descriptive Pilot Study, Leighsa Sharoff

International Nursing Research Congress (INRC)

Purpose: Genetic/genomic knowledge has radically changed the way health care is provided. Augmenting this newly required competency into constrained nursing curricula is a challenge. Simulation provides such an opportunity. This post-test pilot descriptive study explored the genetic component of a simulation scenario addressing sickle cell anemia/sickle cell disease exploring students" and nurse educators" perceived genetic knowledge. The genetic knowledge of Sickle Cell Anemia/Sickle Cell Disease [SCA/SCD] of pre-licensure baccalaureate undergraduate nursing students, and nurse educators, in a diverse urban nursing school was explored. Thirty-one junior (pediatric simulated scenario; 26 females/4 males) and thirty-one senior (adult medical/surgical simulated scenario; 29 females/2 …

Treating Depression And Sleep Impairment To Improve Pain Levels And Quality Of Life For Patients With Sickle Cell Disease: A Quality Improvement Project, Sheran Maxwell Simo

DNP and Student Works

Vaso-occlusive crisis (VOC) pain is both an acute and chronic factor for patients with sickle cell disease (SCD). Acute, recurrent, and unrelenting pain is often joined by other affective disorders that impact pain chronicity, and some patients with sickle cell disease have depression and/or sleep disturbances that may impact pain levels and quality of life. The purpose of this quality improvement project is to improve the process of assessment and treatment of depression and sleep disturbance in patients admitted to Bridgeport Hospital, Bridgeport, CT with VOC. The goal of this project is to improve overall pain levels and quality of …

The Lived Experience Of Registered Nurses Caring For Patient Living With Hiv/Aids In Broward County, Florida: A Phenomenological Inquiry, Archimore Alexander Wright

Dissertations

Vulnerability, opportunistic infections, and infection-related illnesses, caused by the human immunodeficiency virus (HIF), progressively overwhelms the human immune system resulting in acquired immunodeficiency syndrome (AIDS). The HIV/AIDS epidemic continues to slowly and non-discriminately spread continentally with dramatic consequences on the life expectancy of anyone who develops this pervasive illness/disease. The virus, HIV, is well documented and is commonly transmitted through risky behaviors of human contact, and if left unattended and untreated, leaves a path of destruction an devastation of monumental proportions. HIV/AIDS dramatically leads to long struggles and concerns for human rights and end-of-life (EOL) care.

The purpose of this …

Increasing The Hpv Vaccination Rate In A Family Practice: A Quality Improvement Project, Jacqueline Stroud

DNP and Student Works

The purpose of this DNP project was to identify barriers in a family practice setting to recommending the HPV vaccine and to use this information to develop a practice protocol to enhance the delivery of the vaccine series. The goal of the quality improvement project was to increase HPV vaccination rates for patients in this setting. The Stetler Model for Research Utilization was used as a framework to guide each step in the project.

Nurse Resilience: Implications On Critical Care Nurse Shortage And Proposed Intervention, Barbara Diane Ward

Dissertations

Critical care nursing is experiencing a high turnover and a global shortage crisis. The number of critical care nurses (CCNs) leaving the critical care environment is at an unprecedented high rate, negatively impacting the quality of care for the most critically ill of patients. It is not known if and to what extent CCNs resiliency is affected by self-care and how it is associated with compassion satisfaction, interprofessional relationships, professional quality of life, psychological and psychosocial impairment (PPI), or intent to leave the critical care specialty area. The purpose of this quantitative, cross-sectional, descriptive project was to ascertain if the …

Implementation Of An Employee-Family Health Clinic Within A Specialty Practice, Alena Lester

DNP and Student Works

Studies have shown that healthier employees prove to be more productive, have less work absences, and tend to stay with a company longer (Schultz and Edington, 2007). Larger corporations have implemented such work-site clinics for years. However, there is little research available for smaller companies. Nurse-led and pharmacist-led clinics in Europe have proven to have successful health outcomes (Briggs, Closs, Marczewski, & Barratt, 2008).Other such outreach clinics, such as pharmacist-led health clinics have become more widely accepted in the United States(Green, 2008). It was our aim to not only meet a great need for primary care services within our own …

Monitoring Of Magnesium Sulphate To Improve Quality: A Case Study At Queen Elizabeth Central Hospital Gogo Chatinkha Maternity Wing, High Dependence Unit, Blantyre, Malawi, Naomi Novahiwa Sangaya, Maria Chifuniro Chikalipo, Ellen Chirwa

Maternal-Child Health Nurse Leadership - Africa

In Malawi severe preeclampsia and eclampsia rank among the leading causes of maternal mortality. Magnesium sulfate is a drug of choice for treatment. Proper monitoring of clients on the drug may promote safe motherhood. Observation has revealed inadequate monitoring of the drug and interpretation of observational findings. This necessitates capacity building of midwives on monitoring of clients receiving magnesium sulphate. The project was done in a newly established unit and ran from May 2014 to date.

Baseline information was sought to assess the knowledge and skill base of 8 midwives working in HDU on assessments of patients receiving magnesium sulfate …

Development Of A Toolkit For Implementation And Evaluation Of The "Hug Your Baby" Program In A Non-Profit Community Setting, Kati Elizabeth Hughes

Dissertations

The use of an implementation Toolkit to reliably translate evidenced based programs into community health provides stability and reliability to the organizations that utilize them. This is important in the realm of implementation science, as reliability improves the chance of continued program sustainability. The HUG Workshop Toolkit provides community outreach organization with the needed materials to implement the HUG Your Baby program in the community. The toolkit developed increased organization volunteer's confidence to teach the HUG Your Baby programin the community and increased parental attendance in an evidenced based parenting program. The use of an implementation Toolkit to reliably …

Use Of Simulation Within Nursing Education To Assist Students To Meet Standardized Test Plan Components, Christina Liebrecht

Dissertations

Medication errors within the United States healthcare system have been identified as a persistent issue contributing to extended hospital stays, increased healthcare costs, poorer patient outcomes including death, and lack of trust in the healthcare system. Medication errors can occur at any point in the medication process with nurses playing a crucial role in protecting patient safety during the steps of medication administration and monitoring for drug effects. Study findings indicate that less experienced nurses and student nurses are more likely to make mistakes, citing insufficient or ineffective preparation to administer medications safely. Evidence supports the use of simulation in …

Nursing And Midwifery Links [May 2017 Issue], At The University Of Technology Sydney In Australia. Who Collaborating Centers For Nursing And Midwifery Development. Global Network. Secretariat

Nursing and Midwifery Links (LINKS)

Nursing & Midwifery Links aims to disseminate information on the Global Network of WHO Collaborating Centres for Nursing and Midwifery Development and publish technical-scientific articles related to Nursing and Midwifery in the light of WHO's program of work. The document attached to this record is the complete issue published in May 2017.

Kangaroo Care And Postpartum Depression: The Role Of Oxytocin, Hanan A. Badr, Jaclene A. Zauszniewski

General Submissions: Presentations (Oral and Poster)

Problem: Postpartum depression (PPD) occurs in about 10-15% of women after birth and adversely affects their health and the health of their newborn. Kangaroo care (KC) is known to have many health-related benefits for both mother and newborn; however, a systematic review of its effects in reducing PPD has not been done.

Purpose: The aim of this review was to gather the evidence linking the effects of KC on PPD, specifically focusing on the proposed underlying mechanism involving the release of oxytocin.

Search Strategy: The review included studies published between 1995 and 2015. Data sources were: PubMed, CINAHL, and Google …