Digital Commons Network^™

Online Teaching Of Undergraduate Student Nurses: An Integrated Review, Elsie Sophia Janse Van Rensburg

International Nursing Research Congress (INRC)

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

Students are demanding accessibility and affordability of education (Fees must fall campaign 2015). Limited resources and shortages of nurse educators reshapes the landscape of education to utilise resources more effectively. Globalization and the technological explosion lead to the restructuring of programmes. Generation Y students apply for the undergraduate nursing programmes. Generation Y has a collaborative learning style based on social networking and digital connectivity (Tsang 2011). As the global demand for well-trained nurses increases, it opens a window of opportunity for nurses to emigrate. Developed countries are technologically …

Mastery Of Leadership Competencies: Leader Led Learning Or Mentorship?, Savathri Peters

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016: Purpose: The objectives of this study were to identify leadership competencies required by health services leaders and determine the role of mentorship in leadership development. Methods: A quantitative approach using an exploratory and descriptive design was used in this study. The concepts leadership, management, leadership development, mentorship and mentorship models were explored through the literature review. A number of studies, internationally and locally, reinforced the significance of mentorship in the preparation of health care professionals for leadership positions. Models of mentorship were analysed and the common threads, that ran through all models, that …

The Effectiveness Of Facilitated Web-Mediated Postpartum Depression Education And Postpartum Discharge Instructions, Yvette Rolle

International Nursing Research Congress (INRC)

Postpartum depression is a mental health mood disorder characterized by sadness and despair in patients within twelve months following birth. At the microsystem level of care prior to the discharge of the postpartum patient, comprehensive education or screening for depressive symptoms is uncommon (Leahy-Warren, McCarthy, & Corcoran, 2012; Marsh, J. (2013). As a result, patients and relatives do not receive the education required for early depression symptom recognition. Consequently, depressive signs or symptoms often progressed in the postpartum patient without being identified, reported or treated (Abram & Curran, 2009). This background information influenced the framing of the following PICOT question: …

Np-Led Transitional Care Medical House Call Visits Reduce Er/Hospital Unplanned Readmissions Of Homebound Seniors, Ron Billano Ordona

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Subject Population: Elderly Medicare beneficiaries who are homebound enrolled in a Nurse Practitioner (NP)-led Transitional Care Medical House Call Program receiving a medical visit in their own homes or communities within seven days of discharge from hospital or skilled nursing facility (SNF) who are under home care.

Purpose: The purpose of this presentation is to show the results of a 90-day pilot study on the effect of a Nurse Practitioner transitional care medical house visit within seven days of discharge from the hospital of skilled nursing facility to unplanned Emergency Room (ER) visits …

Understanding And Promoting Safer Sex Behavior: The Power Of Story, Technology & Other Observations, Anne E. Norris

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Low income adolescents and adults in the U.S. continue to experience health disparities in the area of sexual and reproductive health. For nearly 30 years, Dr. Norris has studied sexual behavior among adolescents and young adults. This work has consistently been conducted in an interdisciplinary context. The impetus for this work was an undergraduate nursing student clinical experience in which she saw the potential power of one adolescent's personal story for impacting sexual risk behavior. During her dissertation and under the guidance of her nursing and psychology mentors, she conceptualized her clinical experience …

Umbilical Cord Care Practices In The Volta Region Of Ghana: A Cross Sectional Study, Jerry John Nutor, Gerald Kayingo, Janice F. Bell, Jill G. Joseph, Jaime C. Slaughter-Acey

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: In developing countries such as Ghana, care of the umbilical cord is a major concern because it is one of the leading sources of neonatal sepsis (Black et al., 2010). Most women and sometimes healthcare workers including Traditional Birth Attendants (TBAs) lack the necessary knowledge and skills to care for the umbilical cords of the new newborns (Asif Padiyath, Bhat, & Ekambaram, 2010). Few studies across developing countries show that various substances including cow dung, mustard oil, ash, mud, breast milk, saliva, water, ash, mud, rat feces, turmeric, oil and shea butter …

Supportive Hand Feeding In Dementia: Establishing Evidence For Three Hand Feeding Techniques, Melissa K. Batchelor-Murphy, Elaine Amella, Ruth A. Anderson, Eleanor S. Mcconnell, Connie Bales, Tracey L. Yap, Susan M. Kennerly, Susan G. Silva, Angel Barnes, Cornelia K. Beck, Cathleen Colon-Emeric

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Providing nutritional support has been a cornerstone of nursing practice since its inception. Nightengale, 1859. Many things have changed since 1859: life expectancy has increased, and rates of dementia have increased exponentially. Although times have changed, nursing's responsibility for basic nursing care has never been more important for persons with dementia (residents) in the nursing home (NH) setting. The establishment of an evidence-base for the complex basic care needs of this vulnerable population is critical for eradicating malnutrition. Feeding Assistants, often certified nursing assistants (CNAs), are faced daily with challenging, 'aversive' feeding …

Maximizing Ebp Implementation Success By Integrating Rct Recruitment And Retention Data And Lessons Learned, Dianne Morrison-Beedy

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

EBP can benefit from the many lessons leaRN from the RCT. In response to the need across the globe for female-tailored HIV interventions, the Health Improvement Project for Teens (HIPTeens), an evidence-based intervention, was developed and tested. HIPTeens is a sexual risk reduction intervention that is gender-specific and developmentally-and culturally-tailored for girls 15-19 years of age Morrison-Beedy, Jones, & Yinglin et al., 2012. Now recognized by the U.S. Department of Health and Human Services (HHS) and the Centers for Disease Control as an evidence-based intervention addressing HIV and pregnancy, the next step in …

Facilitators, Barriers, And Predictors Of Hiv Testing Among Hispanic Women, Rosina Cianelli, Natalia Villegas, Oluwamuyiwa Winifred Adebayo, Nilda (Nena) Peragallo Montano

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Background: Globally, HIV/AIDS has been a public health concern for over three decades. Thirty-five million people are currently estimated to be living with HIV in the world; 2.1 million of whom are new infections. In the United States (US), more than 1.2 million people are currently living with HIV; and in Florida, the Miami-Dade County currently has the highest number of HIV/AIDS cases. Further, the CDC finds that one in four people living with HIV are women, and these women made up an estimated 20% of all new HIV infections in the country …

Nurses Responding To Patient Symptoms Improving Outcome Trajectory For Headache Patients Treated With Iv-Dhe, Lori A. Lazdowsky

International Nursing Research Congress (INRC)

Chronic pediatric headache is a disabling disorder that at times may require inpatient care (Marmura et al., 2015). Intravenous dihydroergotamine (IV-DHE) has emerged as an effective treatment for chronic headache disorders (Nagy et al., 2011). Positive outcomes were also found in a study examining the efficacy of IV-DHE in pediatric populations (Kabbouche et al., 2009). Throughout our practice offering admissions for IV-DHE to our patients, multiple problems have arisen that we addressed to improve outcomes and patient safety. A selection of these problems and solutions are as follows: (1) Patients were referred for admission without proper testing or a full …

Knowledge And Practice Of Self-Management Among Patients With Type 2 Diabetes In Benin City, Nigeria, Juliana Ayafegbeh Afemikhe, Jennifer A. Chipps, Karien Jooste

International Nursing Research Congress (INRC)

Session presente on Sunday, July 24, 2016:

Introduction: Diabetes is a chronic metabolic disease that requires lifelong medical management, health education and self-management. The positive health outcomes of Type 2 diabetes are tied to patients' knowledge of the disease through health education, self-management of the disease and using the health resources of the nations. Through self-management there can be improvement in the glycaemic control and quality of life of patients with Type 2 diabetes. Activities include practices such as dietary modification, performing increased physical activity, feet care, adherence to prescribed drugs, monitoring of blood glucose level, regular clinic visiting, managing …

Collaboration To Improve Regional Clinical Outcomes: Accelerating The Implementation Of Evidence-Based Practice, Susan Mace Weeks

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

The implementation of Evidence Based Practice is widely recognized as crucial to improving healthcare practice and outcomes; however, the challenges to achieving care truly based on solid evidence can be daunting. A regional collaboration was formed to accelerate the implementation of evidence based practice across the Dallas-Fort Worth, Texas metropolitan area. The initial focus was on the linking of nursing faculty with evidence based practice expertise to hospitals seeking to improve their staff members' use of the principles and processes of evidence based practice. From this initial focus grew an informal group of …

Palliative And Supportive Care In Turkey: Literature Review And Current Status Of Research, Imatullah Akyar

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The aim of this study was to examine the current literature on palliative and supportive care in Turkey, discuss current status and future research areas.

Methods: This study was conducted as a literature review. Literature review focused on palliative and supportive care studies done in Turkey. PubMed and Turkish National databases through Turkish Academic Network and Information Center were searched in 12-16 October 2015 with keywords 'Turkey/Turkish', 'palliative care', 'supportive care'. All hits including palliative and supportive care papers from Turkey written either in English or Turkish were included whereas letters to …

Diabetes-Related Knowledge, Attitude And Practices Of Patients With Diabetes In The Free State, South-Africa, Maretha Le Roux, Marianne Reid

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Type 2 Diabetes Mellitus (T2DM) is a growing public health problem worldwide (international Diabetes Federation, 2013:11) and is linked to overweight and obesity (Xu et al., 2010:4). Many patients with T2DM in South Africa are overweight or obese due to rapid urbanisation in South Africans over the past 20 years. The urbanisation has resulted in a nutrition transition, characterised by a transition from healthier traditional diets to a more Western unhealthy diet and sedentary lifestyle. Thus, before considering any intervention it was imperative to assess present diabetes-related knowledge, attitude and practices (KAP) …

Exploring The Symptomatology Of Adults With Acute Leukemia, Tara Angela Albrecht

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Advances in treatment of acute leukemia have improved and prolonged survival. However, these treatments are aggressive and associated with significant toxicity, symptoms, and lengthy hospitalizations, which are thought to negatively impact the patients' health-related quality of life. The diagnosis of acute leukemia has far-reaching effects not only on the patient but also their family system. These effects include changes to family roles, schedules, and financial strains are just some of the stressful challenges that the family system may experience. This increased stress for both the patient and the family system is thought to …

Psychological, Physical, And Social Survivorship Needs Of Women Following Mastectomy In The Cape Metropole, Mary Anthea Cohen

International Nursing Research Congress (INRC)

Background: In the researchers' clinical experience perioperative nurses may not understand the psychological, physical and social survivorship needs of women following mastectomy. Breast cancer is the most dreaded and common female malignancy in the world and the leading cause of cancer death among women in developed and economically developing countries. Psychological responses include fears of the future, recurrence of the disease, feelings of loss, concerns about body image and self-concept, which relate to role adjustment and family responses. The researcher, a professional nurse practicing in the operating theatre assisting with breast surgery, identified a need to explore the survivorship needs …

A Systematic Review Of Educational Practices That Improve Clinical Judgment Of Students In Health Sciences, Yvonne Botma, Nora Olivier

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: Competence is the ability to integrate foundational knowledge from different disciplines during the decision making process and to apply that knowledge and profession specific skills in a real life situation (Nursing Education Stakeholders (NES), 2012). The performance of the person indicates the degree to which the person was able to apply classroom knowledge in the clinical setting (Holton, Chen, & Naquin, 2003). Clinical judgment (functional knowledge) is equivalent to clinical performance as it is the culmination of critical thinking (foundational knowledge) and clinical reasoning (conditional knowledge) (Chang, Chang, Kuo, Yang, & Chou, …

Challenges To Providing Patient-Centered Care For Multidrug-Resistant Tuberculosis (Mdr-Tb) In South Africa, Ana Maria Kelly, Barbara Ann Smith, Jason E. Farley

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The incidence of multidrug-resistant tuberculosis (MDR-TB) is on the rise globally. MDR-TB takes a minimum of 2 years to treat and the treatment regimen produces many adverse drug reactions (ADRs). The World Health Organization (WHO) has called for further research on the treatment of community-based MDR-TB patients as care is being decentralized to outpatient settings. In the WHO's TB progress report for 2015, they note there is a dearth of literature about anti-TB drug-induced mortality, morbidity and loss in quality of life, particularly in low-resource settings. This study directly addresses this gap …

Nursing Care In Peripheral Intravenous Catheter: Impact On Microbiological Profile, Joao Manuel Graveto, Daniela Vidal Santos, Anabela De Sousa Salgueiro Oliveira, Nadia Osorio

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The peripheral intravenous cannulation is the most common form of administration of intravenous therapy used in hospitals, being nurses the professional responsible for this procedure. Thus, we intend to characterize the nursing care in the handling (insertion, maintenance and removal) of peripheral venous catheters (PIC) and to understand which was the nursing care impact in the microbiological profile in the PIC and in the skin of the patients.

Methods: This is a descriptive - correlational, cross-sectional research of a quantitative study. Data collection was made between September 17 to December 21, 2012, …

Improving The Quality Of Refugee Health: A Community Speaks, Maria Theresa P. Panizales

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Recent United Nations High Commission for Refugees (UNHCR) data has shown an increase in the number of refugees worldwide, based on the latest 2013 report the number reached an unprecedented 50 million, by the end of 2014 the number reached to almost 60 million. In fiscal year 2015, the United States (US) State Department reported that US hosted 69,933 refugees. The increasing number of refugees, structural divergence, and a stagnant budget for 20 years makes it difficult to address and close the gap that impact resettlement - more so the health care needs …

Effect Of Education Module On Knowledge Of Student Registered Nurse Anesthetists Regarding Surgical Site Infection, Valerie J. Diaz

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: The Student Registered Nurse Anesthetist is accountable for prophylactic antibiotic administration and maintenance of normothermia during the intraoperative period. CMS is closely monitoring guideline compliance and incidence of SSIs. Moreover CMS is using performance outcomes as a benchmark of quality and patient safety. Guideline compliance at community-based hospitals in South Florida mirrors rates of adherence to evidence-based guidelines seen nationwide (Medicare.gov, n.d.). Bridging the gap between research utilization and nursing practice involves a learning process that draws upon attitudes, beliefs, and behaviors (Matthews-Maich, Ploeg, Jack, & Dobbins, 2010). In order to implement …

Trajectories Of Burden For Mexican-American Caregivers, Michael J. Belyea, Bronwynne Evans, David Coon

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: This study aimed to identify subgroups of Mexican American (MA) caregivers who experienced different trajectories of burden and the psychological and demographic factors associated with them. A cohort of caregivers and care recipients were followed for up to 15 weeks. Growth mixture models were fitted to identify trajectories of caregiver burden measured by the Zarit Burden Interview (ZBI).

Methods: Participants included 116 caregivers from an NINR funded multi-site study. Caregivers ranged in age from 19 - 81 years, were 86.2% female, 58.6% were married, 62% had 12 years of education or less; …

Asymptomatic At-Risk Population: Health Fair Screening In Diverse Underserved Population, Shirley D. Evers-Manly, Magda Shaheen

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: To promote healthy behaviors and provide health screenings to underserved population in Los Angeles (LA), students at Charles R Drew University participate in health fairs. Little is known about cardiovascular disease (CVD) risk profile of health fairs participants in underserved diverse communities.

Purpose: We explored the CVD risk profile of participants from the underserved communities in Los Angeles who attended a community health fair conducted by the Charles R. Drew University.

Methods: Survey was used to assess reasons of visit, demographics, insurance, smoking, self-perceived health, body mass index, fruit and vegetable consumption …

Medication Administration Safety In Medical And Surgical Units Of The Gauteng Province, Alwiena J. Blignaut, Siedine Knobloch Coetzee, Hester C. Klopper

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016;

Purpose: Andermann et al. (2013:553) and the WHO (2015:1) agreed that research built upon the aim of measuring harm was essential for raising awareness, increasing the knowledge base and setting research priorities for making health-care safer and reducing harm to patients. The results of the systematic review done by Nabhan et al. (2012:129) revealed that medication adverse events were the most prevalent preventable harm affecting patients in health-care while Speroni et al. (2013:19) identified medication administration and transcription errors as the most frequent types of near misses. Kim and Bates (2013:590) confirmed that …

Training Module Development For The Health Promotion Of Older Persons In The Philippines, Pearl Ed G. Cuevas

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: The study aimed to develop a training module for the health promotion of older persons in the Philippines. The training module is intended to guide nurses in creating meaningful, focused and structured activities for the older persons attending adult day care programs in Senior Centers.

Methods: The study used the mixed method design that combined qualitative and quantitative data. The quantitative part is an intervention research involving the demographic profiling, assessment & re-assessment of quality of life using the World Health Organization (WHO)-Quality of Life Tool (QOL) for community dwelling Filipino older …

The Influence Of Professional Self-Efficacy On Recognising And Responding To Child Abuse And Neglect Presentations, Jennifer Anne Fraser, Tara J. Flemington, Anna M. Williams

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: Paediatric Emergency Department (ED) clinicians assess, manage and refer injury and trauma cases using their expert skills and knowledge. Through an international collaboration between Sydney Nursing School at the University of Sydney and Children's Hospital 2 in Ho Chi Minh City, Vietnam, we developed the Safe Children Vietnam clinical training program for clinicians working in the ED to improve recognition and response to child injury resulting from child abuse and neglect (CAN). One of the aims of the program was to improve professional self-efficacy associated with CAN recognition and reporting. This paper …

An Analysis Of Complementary And Alternative Medicine (Cam) Use Among Adolescents, Dora L. Clayton-Jones, Lee Za Ong

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: The purpose of this presentation is to provide researchers and clinicians with an analysis on the use of complementary and alternative medicine (CAM) among adolescents in the United States. While the outcomes of research studies may provide information on the patterns of CAM use among adults, information on CAM use and the outcomes of such use in racial and ethnic minority adolescent populations is needed. Previous studies have reported how minority adolescents are not as likely to disclose CAM use 1, 5 to include spiritual meditation/prayer 2 and that they are more …

Horizontal Integration Of Interprofessional Competencies Into Healthcare And Non-Healthcare Undergraduate Curricula: The Power Of Partnerships, J. Dwayne Jr. Hooks, Lynn M. Varagona, Mary Beth Maguire, Monica Nandan

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Evidence exists that the provision of healthcare services in U.S. hospitals could be enhanced. The Institute of Medicine's (1999) report, 'To Err is Human', identified that preventable healthcare errors resulted in 44,000 to 98,000 patient deaths per year in U.S. hospitals. The Institute of Healthcare Improvement suggest that there are millions of occurrences of harm in hospitals that cause physical and emotional suffering for patients every year. To address this issue, the Institute for Healthcare Improvement developed a program that enrolled hospitals across the country to work on 12 key strategies in an …

Exposure To Secondhand Smoke And The Development Of Childhood Caries: Nhanes 2011-2012, Deborah J. Mattheus

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

According to the World Health Organization more than half of the children world-wide are exposed to tobacco smoke, with the majority of this exposure occurring at home. Recently there is growing evidence linking secondhand smoke to the development of dental caries in the pediatric population. Children with family members who smoke are noted to have more decayed, missing or filled teeth compared to children who have no smokers in the family. Dental caries continue to plague young children with numerous adverse effects including pain, poor growth and development, decreased quality of life as …

Eating Behavior In College-Students: Tfeq R-18 And Qualitative Perceptions Of Cell-Phone Use For Recording Diet, Sara L. Dodd, Joann D. Long, Carol Boswell, Toby Rogers

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: Worldwide, an estimated 600 million adults are obese and 1.9 billion are overweight (World Health Organization, 2014). The etiology of obesity and overweight is complex, reflecting a combination of bio-behavioral, environmental, and social factors. Individual variations in cognition regarding diet may be partially explained by personal tendencies toward visual food cues and the propensity to act on food cues when food is available. While advances in neuroscience are laying the foundation for a cognitive phenotype of obesity and overweight, a small body of evidence suggests a relationship between how individuals think and …