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Sigma Theta Tau International Honor Society of Nursing

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Comparing Student And Faculty Scores Of Clinical Judgment During Simulation, Haley P. Strickland, Michelle H. Cheshire, Alice L. March Aug 2016

Comparing Student And Faculty Scores Of Clinical Judgment During Simulation, Haley P. Strickland, Michelle H. Cheshire, Alice L. March

General Submissions: Presentations (Oral and Poster)

Simulation with high-fidelity technology is an effective teaching strategy that can be utilized to address the continuity of educational experiences of nursing students (San, 2015). Research supports improved critical thinking skills and development of clinical judgment as the benefits of embracing the use of human patient simulation (Jensen, 2013; Lasater, 2011). This study utilized the Lasater Clinical Judgment Rubric (LCJR) to investigate the relationship between student's self-assessment of clinical judgment skills and faculty's assessment of clinical judgment skills during a human patient simulation, acute care, adult medical scenario. The study used a quantitative design with baccalaureate nursing students (n=94) enrolled …


Assessing Student Achievement Of Learning Outcomes Using A 3d Community Health Virtual Simulation Program, Tona Leiker, Karen R. Whitham Aug 2016

Assessing Student Achievement Of Learning Outcomes Using A 3d Community Health Virtual Simulation Program, Tona Leiker, Karen R. Whitham

General Submissions: Presentations (Oral and Poster)

The changing landscape of academia with tightening clinical access for nursing students has led to innovation in nursing programs worldwide. Designing innovative, engaging classroom and practice experiences for nursing students to meet this changing landscape was achieved by developing 3D virtual simulation learning experiences in community health and leadership/management. The community health and leadership/management virtual simulations were imagined, designed, developed, and beta tested prior to introduction in the online classroom. These virtual simulations were built by the University's committed interprofessional academicians, instructional designers, and 3D virtual world multi-player, multi-user simulation experts. The goal was to create immersive and realistic simulation …


Collaborating To Strengthening The Cultural Competence Of Accelerated Second Degree Students In Prenatal Care With A Virtual Community, Lisa M. Young, Mark Fridline, Faye Grund, Joan Such Lockhart, Yvonee L. Weideman Aug 2016

Collaborating To Strengthening The Cultural Competence Of Accelerated Second Degree Students In Prenatal Care With A Virtual Community, Lisa M. Young, Mark Fridline, Faye Grund, Joan Such Lockhart, Yvonee L. Weideman

General Submissions: Presentations (Oral and Poster)

The population of the United States is changing with increases in minority populations. If patients from diverse racial, ethnic or sociocultural backgrounds are not provided culturally competent care, it could negatively impact the health of the community Although faculty attempt to expose students to diverse experiences, the geographic restrictions, local population characteristics, and limited clinical sites make this goal difficult to attain. The recent simulation study completed by the National Council of State Boards of Nursing (NCSBN) has changed the way nursing educators approach clinical experiences for students. Two private universities, one in rural Ohio and another in urban Pennsylvania, …


Using A Simulated Ehr To Flip The Lab, Nicole Elena Smith, Mary Pat Ulicny Aug 2016

Using A Simulated Ehr To Flip The Lab, Nicole Elena Smith, Mary Pat Ulicny

General Submissions: Presentations (Oral and Poster)

Recommendations from The Institute of Medicine (IOM) call for wider use of information technology and use of electronic health record (EHR) systems to promote greater safety, quality and efficiency in health care delivery (Institute of Medicine [IOM], 2003). Nurses are constantly challenged to deliver safe, timely and efficient patient-care despite spending only 50 percent of their time at the patient's bedside (Worth & Kennedy, 2008). Therefore, it is essential that nursing students be trained in academic institutions to be technologically literate through simulated EHRs. Navigating an EHR can cause confusion and frustration among first semester nursing students. Adopting a flipped …


Social Work And Nursing Student Simulation Experiences For Highly-Sensitive, Low-Exposure Patient Encounters, Donna Paris, Ruth Bargainer, April Beckling, Robyn G. Faz, Terran Keidl, Wayne Paris, Kathryn Whitcomb Aug 2016

Social Work And Nursing Student Simulation Experiences For Highly-Sensitive, Low-Exposure Patient Encounters, Donna Paris, Ruth Bargainer, April Beckling, Robyn G. Faz, Terran Keidl, Wayne Paris, Kathryn Whitcomb

General Submissions: Presentations (Oral and Poster)

Purpose: The typical health profession student is trained with minimal exposure in how to respond as a member of an interprofessional team to highly sensitive patient encounters. Due to the prevalence of sexual assault, infant abandonment, and child abuse in the southwest U.S., faculty from schools of nursing and social work at two universities identified a need to prepare their students to function as an effective interprofessional team in highly-sensitive, low-exposure patient care situations.

Methods: Sexual assault, infant abandonment, and child abuse scenarios for senior-level nursing and graduate-level social work students were developed and implemented. Faculty also collaborated with sexual …


Closing The Loop Between Skills And Simulation: What Is Driving Your Undergraduate Nursing Program?, Teresa Oã¢Â‚¬Â„¢Connor, Joanne Weinschreider Aug 2016

Closing The Loop Between Skills And Simulation: What Is Driving Your Undergraduate Nursing Program?, Teresa Oã¢Â‚¬Â„¢Connor, Joanne Weinschreider

General Submissions: Presentations (Oral and Poster)

There is a need for high quality educational programs to prepare novice nurses to work in complex health care environments. Undergraduate nursing programs historically have four main educational experiences that make up the curriculum: lecture, clinical experiences, skills learning and simulation-based education. Failure to collaborate and coordinate these educational opportunities can impede student success. The Wegmans School of Nursing offers a baccalaureate undergraduate program that serves students over four semesters. Over five years the WSON mapped lecture, clinical, skills teaching and testing with simulation-based learning activities. By mapping content and skills across the program, we developed and implemented a closed-loop …


Multiple Patient Simulation: The Development Of A Template, Sabrina Beroz, Vanessa C. Kramasz, Patricia V. Morgan, Nancy Sullivan Aug 2016

Multiple Patient Simulation: The Development Of A Template, Sabrina Beroz, Vanessa C. Kramasz, Patricia V. Morgan, Nancy Sullivan

General Submissions: Presentations (Oral and Poster)

There is a growing need for effective teaching strategies to help new graduate nurses transition into the workplace. Research has shown a gap in the transition from education to practice. This highlights the importance of relevant experience when teaching nursing students how to provide safe and effective care. Educating nursing students to safely care for multiple patients has become an important but challenging focus for nurse educators. New graduate nurses are expected to manage care for multiple patients in a complex and multi-faceted health care system. With patient safety as a priority, multiple-patient assignments are necessary in order for nursing …


Learn, Yes! Serve, Yes?: Arab Muslim Male Student Nurses' Experiences In Learning Maternity Through Simulation, Savithri Raman, Esra Al-Khasawneh, Jansi Rani, Deva Kirubai Jacob, Michael Leocadio Aug 2016

Learn, Yes! Serve, Yes?: Arab Muslim Male Student Nurses' Experiences In Learning Maternity Through Simulation, Savithri Raman, Esra Al-Khasawneh, Jansi Rani, Deva Kirubai Jacob, Michael Leocadio

International Nursing Research Congress (INRC)

Purpose: Culture, religion, gender and other socio-demographic factors greatly contribute in the competency acquisition of learners in nursing education. However, less number of investigation is conducted to determine the learning experiences of male nurses as a Muslim in an Arab country. The research inquired on the experiences of Arab Muslim male student nurses in learning Maternity nursing through simulation. The study, utilizing a qualitative paradigm, iteratively explored the key players in their learning process, the enablers and barriers encountered, the impact of the simulation experience and the prospect of using simulation as an adjunct learning methodology for such a special …


Sensing, Syncing, Affirming: Interpretation Of Therapeutic Rapport Based On The Lived Experiences Of Filipino Nurses, Michael Leocadio Aug 2016

Sensing, Syncing, Affirming: Interpretation Of Therapeutic Rapport Based On The Lived Experiences Of Filipino Nurses, Michael Leocadio

International Nursing Research Congress (INRC)

Purpose: "I admit, I envy you, in what you have that I don't, Sensing, syncing, affirming with the nurse and with the client and then both. If it is not a personal trait, then I am willing to be taught To unfold the meaning and secrets of rapport; I promise to Nightingale it will be sought." The research inquired on the lived meaning of rapport among Filipino nurses based on hermeneutic school of phenomenology. In doing such, I utilized Van Manen's (1990) course of hermeneutic phenomenology of (1) turning to a phenomenon, which seriously interests me and commits me to …


Becoming An Author: Books, Courses, E-Prints, Matthew S. Howard, Mary Mcadams, Dustin Sullivan, Kimberly S. Thompson, Carla Hall Aug 2016

Becoming An Author: Books, Courses, E-Prints, Matthew S. Howard, Mary Mcadams, Dustin Sullivan, Kimberly S. Thompson, Carla Hall

Biennial Convention (CONV)

Session presented on Monday, 9 November, 2015:

This interactive session will provide new, experienced or potential authors a first-hand look at the publishing abilities offered by STTI. From how an idea turns into a published book, or an online educational course or article or into a published online work, STTI staff will provide participants with their road map to successful publications


Npwh Position Statement: The Doctor Of Nursing Practice For Women's Health Nurse Practitioners, National Association Of Nurse Practitioners In Women's Health Aug 2016

Npwh Position Statement: The Doctor Of Nursing Practice For Women's Health Nurse Practitioners, National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health (NPWH) position statement on the Doctor of Nursing Practice (DNP) for Women's health nurse practitioners (WHNPs) was approved by the Board of Directors June, 2016. NPWH supports a pragmatic approach for the continuing evolution to the DNP as entry level for WHNPs. During the transition, study of the impact of DNP education on quality, access, and cost of healthcare should be ongoing. NPWH will continue to advocate at organizational and legislative levels to ensure that policies and regulations support the practice of all WHNPs.


Voice And Vision For Nursing, Patricia E. Thompson Aug 2016

Voice And Vision For Nursing, Patricia E. Thompson

General Submissions: Presentations (Oral and Poster)

This presentation was given at the preconference on 6 June, 2016.Â


Leading Global Health Research: Gift, Skill, Or Choice?, Hester C. Klopper Aug 2016

Leading Global Health Research: Gift, Skill, Or Choice?, Hester C. Klopper

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016: With millions of nurse practitioners and researchers around the globe, we have the wonderful opportunity to lead global health research. However, what we see in reality is pockets of excellence, but seldom the ability to influence policy and impact on practice. Now more than ever, we have the opportunity to develop and expand a global research agenda for nursing given the global challenges. This presentation will focus on innovative ways to lead global health research.


Amref Health Africa: Lasting Health Change In Africa, Diana Mukami Jul 2016

Amref Health Africa: Lasting Health Change In Africa, Diana Mukami

International Nursing Research Congress (INRC)

Special Session presented on Friday, 22 July 2016: This session will describe in detail a program delivered by Amref Health Africa (Amref Flying Doctors in The Netherlands) and supported by The Elsevier Foundation. Both organizations share the passion to support nurses to do their, often challenging, job. We both do this by providing them with knowledge and skills. Amref Health Africa, in partnership with the Ministry of Health, the Nursing Council of Kenya (NCK), Rutgers, and nurse training institutions has been implementing a mobile learning initiative to support the professional development of health providers. Dubbed 'Jibu', a Kiswahili word meaning …


Tobacco Use Among Nursing Students In Arkansas Using Global Health Professions Student Survey, Pamela Virginia Degravelles, Michael E. Anders Jul 2016

Tobacco Use Among Nursing Students In Arkansas Using Global Health Professions Student Survey, Pamela Virginia Degravelles, Michael E. Anders

International Nursing Research Congress (INRC)

Session presented on Thursday, 21 July 2016.

Tobacco use is the single most preventable cause of premature death and disease in the world. Yet, globally 16% of all nurses smoke and use other tobacco products (Shafey, Ericksen, Ross, & Mackay, 2009; Ericksen, Mackay & Ross, 2012; World Health Organization, 2009). Nursing students use tobacco products worldwide, at a rate that often exceeds that of other health care professional students, with a prevalence ranging from 13% - 48%, depending upon the country (Sarna, Bialous, Sinha, Yang, & Wewers, 2010; Warren, Sinha, Lee, Lea, & Jones, 2009). When nursing students continue to …


Global Advisory Panel On The Future Of Nursing (Gapfon): Recommendations, Strategies And Outcomes, Cathy D. Catrambone, Hester C. Klopper Jul 2016

Global Advisory Panel On The Future Of Nursing (Gapfon): Recommendations, Strategies And Outcomes, Cathy D. Catrambone, Hester C. Klopper

International Nursing Research Congress (INRC)

Special Session presented on Friday, 22 July 2016: The purpose of The Global Advisory Panel on the Future of Nursing (GAPFON) is to advance nursing's voice and vision in the context of global health by engaging nurses to lead the formation of health and social policy. This purpose resonates with STTI's mission to advance world health and to celebrate nursing excellence in scholarship, leadership, and service. To lead local, regional and global change effectively, nurses must be recognized for their knowledge and expertise by key global organizations and governments. As a global initiative, GAPFON will invite thought leaders who can …


Ensuring Quality And Safety In Healthcare: Inspection And Measuring Tools Used During Inspections By Ohsc, Elliot B. Msibi, Ethelwynn L. Stellenberg Jul 2016

Ensuring Quality And Safety In Healthcare: Inspection And Measuring Tools Used During Inspections By Ohsc, Elliot B. Msibi, Ethelwynn L. Stellenberg

International Nursing Research Congress (INRC)

Workshop 1 presented on Thursday, 21 July 2016. The National Health Amendment Act was introduced in 2013 which paved the way for all health establishments to be inspected to ensure safe and quality care to all South Africans. Consequently the norms and standards regulations have been written which will soon be promulgated. In the interim mock inspections have been conducted in public health establishments during which inspection tools and measuring tools were tested. During this workshop participants will be able to engage in the discussions in refining these tools. Inspection tools have been designed to test a process whereby Inspection …


Cultural Hair Practice And Physical Inactivity Among Urban African-American Adolescent Girls In The U.S, Felesia Renee Bowen, Patricia Ann Richardson Jul 2016

Cultural Hair Practice And Physical Inactivity Among Urban African-American Adolescent Girls In The U.S, Felesia Renee Bowen, Patricia Ann Richardson

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: Minority children in the United States (U.S.) are disproportionately affected by overweight and obesity. According to the Youth at Risk of Decreased Physical Activity Survey, minority preadolescent and adolescent girls of low socioeconomic status are at increased risk for obesity due to insufficient physical activity. The purpose of this mixed methods study was to determine the physical activity levels of Adolescent females in an urban school environment and their perceived barriers to exercise. In the U.S. there has been a decrease in the overall obesity rates among children, however obesity among adolescents, …


Medicinal Cannabis Use And Preferred Mode Of Administration: A Patient Survey, Jane L. Phillips Jul 2016

Medicinal Cannabis Use And Preferred Mode Of Administration: A Patient Survey, Jane L. Phillips

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Consumer interest in medicinal cannabis has promoted the NSW Ministry of Health in Australia to fund various phase II and III medicinal cannabis trials, including a cancer related anorexia and cachexia trial. However, little is known about Australian cancer patients' views towards medicinal cannabis or administration preferences. The purpose of this study was to determine cancer patients' medicinal cannabis preferences for mode of administration, previous and current use, and attitudes and beliefs towards a cancer-related medicinal cannabis anorexia-cachexia trial.

Methods: A cross-sectional anonymous patient survey. Patients were eligible if they: 1) had …


What Has An Active Neighborhood Shooter To Do With A University Department Of Nursing? Plenty!, Mary Anne Schultz, Teresa Dodd-Butera Jul 2016

What Has An Active Neighborhood Shooter To Do With A University Department Of Nursing? Plenty!, Mary Anne Schultz, Teresa Dodd-Butera

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Recent tragic events have brought to light the need for preparedness and provision of emergency healthcare measures in almost any setting. Nurses provide 90% of the healthcare services in the world (WHO, 2008) and must be ready for natural disasters, bioterrorism, and man-made events, such as active shooters in the area in which care or education is provided. When the nurse is both a provider and an educator, this may magnify the importance of knowing when and how to act in such emergencies, especially when they take place in and around hospitals, health …


Cultivating Leaders In Nursing Education: Now And For The Future, Patricia E. Thompson Jul 2016

Cultivating Leaders In Nursing Education: Now And For The Future, Patricia E. Thompson

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Healthcare is undergoing unprecedented rapid change. Sweeping reform, advancements in treatment options, an increasingly diverse and aging population, and the impending retirements of seasoned direct-care nurses have challenged nursing programs to supply more graduate nurses. The development and retention of academic nurse educators is vital to ensure the next generation of nurses are prepared to face these challenges. Effective academic leadership is required to lead nurse educators and their students through an uncertain future. Currently, nursing schools face the impending retirement of a generation of nursing academic administrators. The retiring 'Boomers' (1946-1964) take …


Influencing Policy Through Generation Of Research, Application Of Knowledge And The Use Of Social Networks, David C. Benton Jul 2016

Influencing Policy Through Generation Of Research, Application Of Knowledge And The Use Of Social Networks, David C. Benton

International Nursing Research Congress (INRC)

Opening plenary presented on Thursday, 21, July 2016.

This paper will start by reviewing a number of recent publications that provide significant opportunities for the nursing profession to conduct new research and influence global, regional and national health policy. In particular the content of the recently released sustainable development goals document, the new 2016-2030 strategy for human resources for health and the 2016-2020 strengthening nursing and midwifery strategy will be examined so as to identify research and policy opportunities for the profession. At a time when intergovernmental agencies such as the World Health Organisation, World Bank and other bodies are …


The Cervical Microbiome And Parturition, Marie Hastings-Tolsma, Mary Ann Faucher Jul 2016

The Cervical Microbiome And Parturition, Marie Hastings-Tolsma, Mary Ann Faucher

International Nursing Research Congress (INRC)

Session presented on Thursday, 21 July 2016 and Friday, 22 July 2016:

Purpose: The importance of the microbes that reside in and on the human body are increasingly recognized for the action they carry out, influencing human health, behavior, and disease through immunologic, endocrine, and neural pathways. The National Institutes of Health completed the Human Microbiome Project and is now engaged in the integrative Human Microbiome Project 2 which aims to examine changes in the microbiome and human health. While many body sites have been examined, there has been little study of the cervix and myometrium, two key reproductive tissues …


Effectiveness Of Educational Nursing Home Visits In Older Adults, Steve Strupeit, Arne Buss, Karin Wolf-Ostermann Jul 2016

Effectiveness Of Educational Nursing Home Visits In Older Adults, Steve Strupeit, Arne Buss, Karin Wolf-Ostermann

International Nursing Research Congress (INRC)

Session presented on Thursday, 21 July 2016 and Friday, 22 July 2016:

Purpose: The loss of physical functional status is a major risk factor for loss of independence, hospital stays, and for admittance into long-term nursing home care in vulnerable elderly populations. Facilitating and maintain functional ability and quality of life is and will increasingly become a major task of nursing. Home visits may have positive effects on functional ability and quality of life in elderly people. The aim of this study was to determine the effectiveness of educational home visits on the functional status, quality of life, and care …


Lifesaving Partnership With Nonprofit Organizations: A Case Study, Jacqueline Cassagnol Jul 2016

Lifesaving Partnership With Nonprofit Organizations: A Case Study, Jacqueline Cassagnol

International Nursing Research Congress (INRC)

Session presented on Saturday, 23 July 2016 and Sunday, 24 July 2016:

The purpose of this project is to assess the process of establishing, implementing, and evaluating a lifesaving partnership between an international organization and nonprofit organizations. The partnership is between Worldwide Community First Responder, Inc. (WCFR) and nonprofit organizations in the USA and Haiti. The nonprofit organizations include: Haitian American Nurses Association, Sigma Theta Tau international, and Volunteer New York. In order to facilitate an in-depth examination of the project impact, a case study methodology was employed. Communities worldwide have benefited from the services that WCFR has provided through …


Assessing Risk Of Falling: A Comparison Of Three Different Methods, Steve Strupeit, Arne Buss, Karin Wolf-Ostermann Jul 2016

Assessing Risk Of Falling: A Comparison Of Three Different Methods, Steve Strupeit, Arne Buss, Karin Wolf-Ostermann

International Nursing Research Congress (INRC)

Session presented on Thursday, 21 July 2016 and Friday, 22 July 2016:

Purpose: Prevention of falls and fall-related consequences is crucial in elderly health care because older individuals are at a high risk of suffering falls. Various risk assessment methods have been developed to assess fall risk. Diagnostic accuracy of fall risk assessments is low and there is a scarcity of evidence regarding clinical effectiveness. The study's aim was to evaluate the diagnostic accuracy and clinical effectiveness of a standardized fall risk assessment relative to clinical and self-report assessment.

Methods: A single-site, prospective, longitudinal study was performed in a group …


Health-Illness Transition Of First Generation Refugees: A Review Of Literature On Afghan Refugees, Hafifa S. Shabaik, Eunice Lee Jul 2016

Health-Illness Transition Of First Generation Refugees: A Review Of Literature On Afghan Refugees, Hafifa S. Shabaik, Eunice Lee

International Nursing Research Congress (INRC)

Session presented on Thursday, 21 July 2016 and Friday, 22 July 2016:

Purpose: Refugees often resettle in the host country with a substantial health burden: high rates of psychological distress and trauma, high rates of infection and parasitic disease from the country of origin, and the increased susceptibility to chronic diseases of the developed world. The long term health promotion and disease prevention in this population requires an understanding of factors that facilitate healthy transitions for refugees resettling into developed countries. The purpose of this study is to synthesize literature for facilitating and inhibiting factors of the health-illness transition conditions …


Rural Nepal Health Surveillance And Care Delivery: A Community Health Case Study, Laura M. Lynch, Kimberly Pham, Yvonne Lee, Simon Jones, Allison Patricia Squires Jul 2016

Rural Nepal Health Surveillance And Care Delivery: A Community Health Case Study, Laura M. Lynch, Kimberly Pham, Yvonne Lee, Simon Jones, Allison Patricia Squires

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016:

Purpose: Nepal is ranked 145th on the United Nations Human Development Index, life expectancy is 68 and there are 0.46 nurses and midwives per 1,000 people. Limited resources and weak civil structure leave rural communities un-assessed and excluded from census data drawn from electronic health records. The purpose of this study is to examine patient self-reported health issues from community assessments conduced in 2013 and 2014 and to compare results to national and international data.

Methods: Secondary data was coded from the 2013 and 2014 Stanford Nepal Medical …


What Is The Evidence Sustainable, Rewarding, Reflecting Practice? Seeking Insights For Reflective Practice, Elizabeth Burgess-Pinto Jul 2016

What Is The Evidence Sustainable, Rewarding, Reflecting Practice? Seeking Insights For Reflective Practice, Elizabeth Burgess-Pinto

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016: Purpose: This poster presentation will focus on an integrated literature review of the current state of reflective practice in pre-licensure nursing undergraduate programs. Reflective practice has become an integral component of contemporary nursing practice (Nelson, 2012). According to the Canadian Nurses Association, the focus and intent of reflective practice is a process of professional self-reflection about events, situations and actions that can help transform nursing practice and improve patient/client care (CNA, 2005). A preliminary scoping review shows that reflective practice is a dynamic process (Finlayson, 2015) that changes …


Correctional Nursing: Described From The Perspective Of Nurses Working In A Maximum Security Correctional Hospital, Paula Stangeland, Veronica Kwarteng-Amaning Jul 2016

Correctional Nursing: Described From The Perspective Of Nurses Working In A Maximum Security Correctional Hospital, Paula Stangeland, Veronica Kwarteng-Amaning

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016: Purpose: The purpose of this study is to describe the experiences of nurses as they work in a maximum security acute care hospital. The thematic findings may be used to inform future research studies, and the development of future policies that address nurses' needs, and staffing guidelines. Methods: A qualitative design, descriptive Husserlian phenomenological methodology was the most appropriate approach to address the research questions. Qualitative research entails broad questions regarding human experiences and realities studied through interactions with people in their natural environments, which in-turn generates rich, …