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Principles Of Non-Violence: Altering Attitudes And Behaviors Of High School Students Regarding Violence And Social Justice, Carolyn D. Harris-Muchell

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: The purpose of the study was to begin the process of empowering students to become the next generation of leaders for social change and healing, through using non-violence and social justice to dismantle racism and oppression. It is hypothesized that high school students from varying ethnic, religious, education levels and socioeconomic status will be transformed and demonstrate an increased sense of empowerment to affect change and help others; increased self-confidence and/or self-esteem; an increased belief in their capabilities to successfully engage in rigorous academic work; and a heightened understanding of America's diverse …

Gender-Specific Hiv Prevention Intervention For Adolescent Girls: Unanticipated Evidence For Broad Sexual Risk Reduction, Dianne Morrison-Beedy

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: Worldwide, more than 50% of individuals infected with HIV are women and girls (UNAIDS, 2014). Other sexual morbidities, such as STIs and unplanned pregnancy, negatively impact girls in many ways including delayed or incomplete education, limited workforce options and repeated behavioral patterns across the individual and her children (Chandra-Mouli, McCarraher, & Phillips, et al., 2014; Fallon, 2014). Despite the damage that sexual risk behaviors pose to teen girls, there are still few gender specific evidence-based interventions with documented long-term behavioral outcomes.

Methods: The Health Improvement Project for Teens (HIPTeens) was developed specifically …

A Synthesis Of Family-Focused Care Research In Acute Care Settings In Africa, Petra Brysiewicz

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Background: In family-focused care, health professionals are viewed as providing care from the position of an "expert" by assessing, assisting and providing recommendations for the family as a unit to follow. Much of the research work in this area has been developed in the western world and thus it is often questioned as to whether it is appropriate and transferable to a resource constrained, multi-cultural environment such as that found in many countries in Africa.

Purpose: This presentation will provide a synthesis of findings from a targeted body of research directed towards family …

The Sexual Assault Victim: What Every Nurse Practitioner Should Know, Sinegugu Duma

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

The behaviours and expressions portrayed by the victims of sexual assault when presenting in the health setting for the first time can be very confusing to the nurse practitioner. In some cases, such behaviours are often misinterpreted, documented with uninformed judgemental statements that potentially label the victim as a liar and can lead to maltreatment and secondary victimization of the victim of sexual assault as a patient. This paper describes the victims' experiences and related behaviours during the first week following trauma. It further explains neurological response by tapping into the brain and …

Motivations And Barriers For Saudi Nurses To Pursue A Doctoral Degree, Stephen J. Cavanagh, Abdualrahman Alshehry

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: A shortage of Saudi PhD prepared nursing school faculty and a limited number of advanced degree programs in Saudi Arabia are preventing the education of sufficient nurses to meet growing healthcare demands and prepare nurses for faculty roles. The purpose of this study was to identify motivation and barrier factors that may influence the decision of a nurse to seek further education at the doctorate level.

Methods: A mixed method design was used for this study based upon the Chain-of-Response Model (Cross, 1981). A questionnaire was distributed to four groups of nurses …

Intra-Organizational Communication Satisfaction And Job Satisfaction Among Nurses, Peter Vermeir, Dominique Vandijck, Els Tobback, Liesbeth Delesie, An Mariman, Rik Verhaeghe, Dirk Vogelaers

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: In an era of resource limitation, nursing effectiveness is an important goal, hampered by shortage and high turn over rate of nurses. One critical factor impacting job satisfaction and nurses' turnover is effective internal communication. Despite an increased emphasis on communication skills, communication deficiencies remain a frequent cause of reduced patient safety. The aim of the present study was to explore the possible relationships between communication satisfaction on the one hand, and job satisfaction, intention to leave and burn out on the other, among nurses in Belgian hospitals.

Methods: Nurses of three …

Compassion Practice: New Insights Into Compassion Fatigue And Compassion Satisfaction, Siedine Knobloch Coetzee

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

For a term that only emerged in the early 1990's, a tremendous amount of research has been done on compassion fatigue, but authors continue to state that there is a lack of conceptual clarity about compassion fatigue and at best a relatively preliminary understanding of the concept. According to some authors the lack of conceptual clarity of compassion fatigue has hindered measurement and empirical study of the term. This is the case because current instruments fail to clearly reflect the concepts of compassion and fatigue and the few validation studies yielded limited information …

Postoperative Pain Management Of Children With Autism Spectrum Disorder, Elizabeth Ely

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The primary objective of this study was to describe how children with Autism Spectrum Disorder (ASD) understand and communicate about pain. A secondary aim was to describe how children with ASD understand and communicate about pain by identifying meaningful vocabulary and common frames of reference for pain. Pain assessment of children with Autism Spectrum Disorder (ASD) is challenging and unexamined. However, given that the core deficits of ASD may significantly interfere with the ability to utilize traditional pediatric pain assessment tools (e.g. FACES, 0-10 numeric rating scales), a better understanding of how …

Instruct Apns To Deliver Bad News To Patients And Families In This Millennial Generation, Cheryl Mele

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

A health care professional must acquire abilities as well as a confidence level with this arduous communication responsibility. Formal education in the communication proficiencies required for delivering bad news has established rising attention in the health professional literature. Review of the literature reveals this universal duty is difficult for health care professionals. If delivering bad news is done improperly, it can create ill will among the patient's/family and be detrimental to the grieving process. Hence, creating a patient-centered environment, which is characterized by mutual respect, understanding, empathy and collaboration is a particular competency …

Daily Management System Improving Quality And Promoting Patient Safety: An Evidence-Based Practice Initiative, Pauline Marie Johnson

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

The 2015 report from the Joint Commission emphasizes the importance of expanding evidence-based initiatives to improve care quality and safety in acute care hospitals across the USA. In addition, the Institute of Medicine report also highlights the urgency for acute care hospitals to improve patient safety. This is currently being enhanced by evidence-based quality improvement initiatives which facilitate effective teamwork and collaboration among caregivers. Daily Management System (DMS), a data driven process and a subsystem of Lean/Breakthrough is one such initiative. It has been successfully implemented in most acute care facilities in New …

Spiritual Coping: A Strong Buffer Used By Women At Risk For Preterm Birth, Paulette A. Chaponniere

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: Nurses are taught to provide holistic care. This is vital when working with women at risk for preterm births. As Mexican women become more acculturated to the United States, their risk for poor birth outcomes increases. This has been called the Latino paradox as the movement from health to illness is also present in other health areas. The purpose of this study was to investigate the relationship between stress (state, perceived and pregnancy-related stress), stress buffers (social support, coping and optimism), acculturation, and birth outcomes (length of gestation and birth weight) of …

Smartphone Applications To Support Tuberculosis Prevention And Treatment: Review And Evaluation, Sarah J. Iribarren, Rebecca Schnall

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: According to the World Health Organization, globally there are over 14 million active cases, 9 million newly diagnosed, and 1.5 million deaths attributable to Tuberculosis (TB) annually.(WHO, 2014) Smartphone applications (apps) have been suggested as potential tools to support TB control efforts.(Denkinger et al, 2013, Iribarren, 2014) The purpose of this review was to identify and assess the functionalities of mobile apps focused on TB prevention and treatment.

Methods: We searched 3 online mobile app stores. Apps were included if they were focused on TB and were in English, Spanish, or Portuguese. …

Nursing By Another Name: Nursing Science Impact On Special Forces Clinicians In Prolonged Evacuation Situations, Kate Rocklein Kemplin

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Parallel to burgeoning nursing science throughout the mid-20th century, President John F. Kennedy decreed the creation of a new brand of soldiers, with the ethical mandate that these Special Forces (SF) (green berets) would be liberators of the foreign oppressed, not purveyors of American aggression (Bank, 1986; Prados, 2015). Similar to nursing in its infancy, Special Forces medics' advanced-level practice and education is dictated by physicians; medics struggle to deliver holistic, evidence-based care to vulnerable populations under this current medical model (Rocklein, 2014). Within current geopolitical climates, SF medics continually deploy to third-world …

Advancing Patient Centered Oncology Practice, Advocacy, And Policy, Deborah Bruner

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Deborah Watkins Bruner, RN, PhD, FAAN, is an internationally renowned researcher, scholar, and mentor. She has been continuously and well-funded in leading multi-disciplinary teams in patient-reported outcomes (PROs), sexual health, large national clinical trials focused on understanding and improving symptoms, as well as studies seeking to improve minority accrual to clinical trials. Dr. Bruner has worked for over two decades with the U. S. National Cancer Clinical Trials Network to conduct state of the art clinical trials to inform practice. PRACTICE CHANGING RESEARCH and MENTORSHIP: Examples of her research include: (PROs): Dr. Bruner …

Do Nurses' Intrapersonal Characteristics Influence Work Performance And Caring Behaviors?, Nelouise Geyer, Siedine Knobloch Coetzee, Suria Ellis, Leana R. Uys

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: Quality and safety of patient care is non-negotiable in healthcare. international studies recognize the link between nurses' work performance and the educational background of nurses as well as physical and psychosocial working environments. These links impact on the quality and safety of patient care. In addition, physical and psychosocial working environments also influence nurses' caring behaviors executed during patient care delivery. Evidence highlights that nurse caring behaviors determine a consistent proportion of patient satisfaction with aspects such as pain management. It also is a key motivational factor influencing recruitment and retention of …

Beyond The Specious Present: Workplace Bullying Victimization's Roots In Lived Experience, Laura Cox Dzurec

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: The purpose of this presentation is to begin to unravel features inherent in workplace bullying victimization so that targets--the intended objects of workplace bullies' assaults--can be differentiated from victims--those parties actually injured by workplace bullies' assaults. The face-to-face encounters that overtly characterize workplace bullying often are brief in duration and puerile (Dzurec, Kennison, & Albataineh, 2014). Some who are targeted by workplace bullies are able to walk away, literally or figuratively, from bullying encounters. For others, the influence of the typically childish and immature content of bullying assaults is devastating, resulting, paradoxically, …

Attitudes And Behaviors Of Caribbean Women And Men Toward Partner Violence And Sexual Relationships, Doris W. Campbell, Jacquelyn C. Campbell, Kamila A. Alexander, Gloria B. Callwood, Desiree Bertrand, Phyllis Sharps, Noelle M. St. Vil

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: The United States Virgin Islands (USVI) has the 2nd highest HIV/AIDS incidence rate in the United States and its territories (US Virgin Islands, 2010). Additionally, one-third of USVI women reports physical and/or sexual abuse in their lifetime and experiences of coercive, unprotected sex and other behaviors that increase risks for HIV/AIDS (Draughon JE1, 2015; Stockman JK, 2013; Stockman, 2014). There is scant research that aims to understand USVI women and men's perceptions of heterosexual relationship dynamics or implications for HIV/AIDS risks and intimate partner violence. The purpose of this study was to …

Towards Clinical Teaching And Learning Excellence Using A Formative Assessment Framework In The Skills Laboratory, Annie N. Msosa

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016;

Background: Nursing education institutions in Malawi adopted the use of the skills laboratory through benchmarking from the developed countries. In view of this, the skills laboratories have been operational at the Kamuzu College of Nursing for a number of years. However, upon the evaluation of teaching and learning in the skills laboratories, the findings show that demonstrations and return demonstrations are the practical necessities of clinical teaching that enrich clinical teaching experiences. The OSCE method of evaluation is in use and both students and nurse educators expressed that it is a good method …

Visual Thinking Strategies: A Mixed Method Study In Bachelor Of Science Nursing Students, Desiree Hensel, Meg Moorman

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

The development of broad cognitive skills is imperative as nurse educators prepare students for practice in a complex healthcare setting. Developing and honing these skills in creative ways can be challenging for nurse educators, especially as class sizes increase. These broad skills include interpersonal communication, critical thinking, problem solving, collaboration, tolerance of ambiguity, and information literacy, which are often referred to as transferable skills. Visual Thinking Strategies (VTS) is a teaching method that uses art to foster discussions and help students use visual evidence to support their findings. VTS has been studied in …

Symptoms And Health-Related Quality Of Life In Idiopathic And Associated Pulmonary Arterial Hypertension, Lea Ann Matura, Annette Mcdonough, Diane L. Carroll

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Introduction: Pulmonary arterial hypertension (PAH) is a chronic illness affecting primarily young and middle age women. Elevated pulmonary pressures lead to right heart failure and premature death. Patients with PAH report multiple symptoms (e.g. dyspnea, fatigue) that can be severe and impair health-related quality of life (HRQOL). PAH etiology is varied with approximately half being idiopathic PAH. Associated PAH includes those with PAH caused by other disorders such as: connective tissue disease, congenital heart disease, portopulmonary hypertension and anorexigens.

Purpose: The purpose of this study was to determine if there were differences between …

Minding The Gap: Improving Mental Health Access In African-American Communities, Catherine Alicia Georges, Kermit Payne

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: This national initiative was developed to bring African American communities together with clinicians, policy makers, as well as faith and community leaders to discuss mental health disparities and mental health issues. This campaign focused on the development of a community level 'safety net' to enhance mental health and related services. This campaign discussed the role of health policy in improving equity in mental health while providing resources information for mental health services. The goals of the initiative : Develop a national network for mental health awareness, through community interaction; Encourage political activism …

Content-Analysis Of Social Networks And Mobile Phone Text Messages Among Hiv Patients In Tanzania, Soson Jong, Lisa M. Thompson

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The study aimed to explore and understand HIV patients' social networks and support in relation to their use of mobile text messages (SMS). This study also presents HIV patients' perspectives on use of SMS for HIV care and management. Mobile technology has become a promising communication and educational platform for both health care providers and patients. Mobile phone messages have been used to provide reminders to patients about medication adherence, medical appointments, and to encourage physical activities. The mobile technology appears to have more potential to improve health service delivery where health …

Conceptualising Adolescent Hiv Self-Management In A South African Context, Talitha Crowley, Anita Van Der Merwe, Donald Skinner

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Background: Many adolescents are living with HIV globally and in South Africa (UNICEF 2013; De Wet et al. 2014). Challenges in clinical management of adolescents include managing HIV related problems and motivating them to adhere to a lifelong treatment regime, which are compounded by the physical and psychological changes which occur during adolescence (Mofenson & Cotton 2013). Little is known about the healthcare needs of adolescents living with HIV in low resource, high HIV burden settings. These settings have contextual specific issues such as poverty, family and community violence, altered family structures and …

International Collaboration And Partnership: A Pilot Program Developing Roles Of Advanced Practice Nurses In Israel, Caryn Andrews, Julie Vosit-Steller, Dorit Goldman, Barbara M. Cohen, Judy A. Beal

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: Advanced practice nursing (APN), in particular nurse practitioners (NPs), have well-established roles in many countries, especially the US and Canada. They have become integral members of the health care team (Pulchini, Jelic, Gul, & Loke, 2010). Nurse practitioner education programs moved into university settings in the early 1990?s and NPs eaRN academic graduate degrees and clinical NP licenses. The concept of nurse practitioners health care systems in the Middle East, and in particular, Israel has been explored but remains in an early stage (Kleinpell, Scanlon, Hibbert, Ganz, East, Fraser, Wong & Beauchesne, …

Making A Match: Impact Of Rn Education, Certification, And Experience On Quality Outcomes And Safety, Martha A. O'Neill

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Registered Nurses (RN) comprise the largest health care professional group in the United States estimated at 3 million licensed RNs (AACN, 2015). As many as 1.3 million RNs work in the acute care setting as frontline clinicians having direct influence on safe, efficacious care provided to patients. Despite the large RN workforce and pivotal position in patient care, there remains a need to quantify the RN contribution to quality care outcomes. Education, national nurse certification, and years of experience are variables that are thought to contribute to the nurse's ability to provide quality …

Improving Interdisciplinary Relationships In Primary Care With The Implementation Of Teamstepps, Nicole M. Siddons

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Healthcare organizations face many diverse challenges, perhaps one of the most problematic of these is the lack of interdisciplinary collaboration plaguing healthcare. This issue results in serious complications with the safety and quality of care (IOM, 1999). One example depicting ineffective collaboration among healthcare teams occurred in an urban Midwest United States city, where a Native American community clinic recently transformed their care model by adding registered nurses to their team. As a result, issues with interprofessional collaboration and teamwork arose threatening healthcare outcomes and employee engagement. The Institute of Medicine (IOM) report, …

Innovative Evidence-Based Practice Education: Battling Dr. Google And Nurse Jackie, Melanie C. Neumeier, Leah Adeline Phillips

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

In Canada, Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) are required to engage in evidence-based practice (EBP) as an entry to practice competency (CCNRN, 2012, CCPNR 2013). However, despite this expectation, and research findings that nurses generally have a positive attitude toward evidence-based practice (Yoder, Kirkley, McFall, Kirkey, StalBaum, & Sellers, 2014) globally there is poor uptake in the application of this process. Thiel and Ghosh (2008) conducted a cross-sectional survey of 121 practicing nurses in the Midwestern United States to determine how they accessed information and their readiness to engage in …

Pain, Gut Microbiome And Neurodevelopment In Preterm Infants, Xiaomei Cong

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: The purpose of this presentation is to discuss the state-of-the-science of recent research for the importance of the brain-gut-microbiota axis in regulation of pain/stress in early life and the use of advanced technologies of microbiome genomic sequencing in predicting pain/stress responses and neurodevelopmental outcomes in high risk preterm infants.

Methods: A prospective longitudinal study was conducted. Sixty preterm infants (26 0/7 - 32 6/7 weeks gestational age) were recruited at birth and followed-up for 3 weeks. Outcome measurements are gut microbiota (16S rRNA and metagenomic sequencing), early life pain/stress experience, and neurodevelopmental …

A Systematic Review Of Screening Instruments For Depression In Antenatal Services In Low Resource Settings, Genesis Chorwe Sungani, Jennifer A. Chipps

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Purpose: A review of screening instruments for depression for use in antenatal services in low resource settings was conducted. It is important to assess methodological quality of articles which reported psychometrics of an instrument because gives insight in quality of study designs. A good instrument should have high sensitivity and specificity which makes it effective in ruling in pregnant women with depression and ruling out those who do not have. The aim of the review was to appraise the evidence on sensitivity and specificity of screening instruments for depression and recommend a suitable …

Curriculum Development And Transcultural Service Learning In Post Earthquake Haiti, Margarett Alexandre

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Haiti remains the poorest country in the Western Hemisphere. After the earthquake of January 12, 2010, Haiti is in even greater need of healthcare support. In an effort to provide our students with an opportunity to provide much needed healthcare services in two underserved areas in rural Haiti; an elective course was developed incorporating the Student learning Outcomes; which included the need to advocate for health policies that address local and global health issues, effectively communicate with diverse client populations and disciplines using a variety of strategies and respecting client's cultural beliefs and …