Digital Commons Network^™

Development Of Client Care Needs Assessment Tool To Support Workforce Transformation In Mental Health, Rani Hajela Srivastava, Kristin Cleverley

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The purpose of our research was to develop a evidenced-based methodology that could be applied to define how clinical services were staffed to deliver care of the highest quality and built around clients' needs. Development of the Client Care Needs Assessment Tool (CCNA) appropriate for inpatient mental health was the cornerstone of this methodology. Commitment to evidence based care requires evidence based decision making. Staffing decisions are critical to achieving quality care. The aim of skill-mix review endeavors is to optimize efficiency and effectiveness (http://www.who.int/management/determining_skill_mix.pdf), that is have the right care by …

A Comparison Of Innovative Oral Health Educational Programs For Caregivers Of Preschool Children, Audrey P. Miller, Gabriella M. Riccio, Chanadra T. Young-Whiting

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Background: Oral health care is the primary preventive method of tooth decay (caries or cavities) and infection in children below the age of five. However, poor oral health (OH) in preschool children can have several detrimental outcomes. Nonetheless, many children still suffer with multiple infectious tooth decay, unnecessary sedative extractions, and tooth loss; resulting in pain, nutritional concerns and weight loss. These outcomes can lead to speech delays and impairments, growth and developmental delays, and eventually negative systemic effects. The gap in the literature as it relates to caregiver knowledge towards oral health …

Emancipatory Nursing Praxis: A Theory Of Social Justice In Nursing, Robin R. Walter

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The purpose of this international qualitative, constructivist grounded theory study was to generate a middle-range theory of social justice specific to the discipline of nursing. The primary research question was, "What are the critical factors shaping nurse professionals' perceptions and attitudes about their role in social justice?" Related questions included, "How do nurse professionals come to know and practice social justice?" and, "What processes do nurse professionals use to identify the contexts in which they will engage in social justice?"

Methods: The methods employed in the study were consistent with the constructivist, …

Transformative Partnership: Creating An Inter-Professional Environment, Jessie M. Colin, John Mcfadden

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Novice and experienced nursing faculty often find it challenging to balance and fulfill the academic tripartite mission of teaching, service and scholarship while staying clinically relevant. Faculty members who excel at teaching and service may struggle to find the time to engage in scholarship. Additionally, the movement to the practice doctorate as the terminal degree for advanced practice nurses poses yet another challenge for faculty members who have not been educated as nurse scientists. Scholarly contributions, however, are essential to academic life, nursing practice, and the continuous evolution of the nursing profession. Boyers …

Data Based Conceptual Model Of Gbv And Women's Risk For Hiv Contraction And Progression, Jacquelyn C. Campbell

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: Construct a biobehavioral model of the linkages of Gender Based Violence and HIV acquisition and progression through biological and behavioral risk factors including the physiological stress and immune system dysfunction linkages, STI and vaginal wall physiology, forced anal sex, mental health (depression, PTSD, suicidality), and behavioral risks resulting from violence such as substance abuse, inconsistent condom use, and multiple partners.

Methods: Deductive processes from systematic reviews along with data from a large Case (N = 543 abused) Control (N = 358) study of women in the US Virgin Islands and the US …

The Association Of Perceived Stress To Physical And Affective Health Outcomes In Sickle Cell Disease, Miriam O. Ezenwa

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: Pain is a major complication of sickle cell disease (SCD). Stress is known to trigger acute pain crisis or intensify chronic pain in patients with SCD.De, 2005, 1 Serjeant, 1994, 2. There is insufficient evidence about the effects of stress on fatigue, a ubiquitous symptom of SCD or on affective (anger, anxiety, and depression) symptoms in adults with SCD. Because SCD is marked by repeated ischemic attacks and chronic inflammation, which predisposes patients to the differential expressions of genes implicated in stress responses, Jison, 2004, 3, the SCD population is prime for …

Advancing Nursing Migration Research: Observations And Opportunities, Franklin A. Shaffer, Janice Phillips

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: The purposes of this umbrella review were to identify the state of nursing research focused on the experiences of nurses who migrate globally and identify implications for advancing the global nursing research agenda.

Methods: The body of research examining the migration experiences of nurses has grown during the past two decades resulting in a number of knowledge synthesis studies. While the breadth and focus of these studies is quite diverse, an umbrella review or synthesis of these studies was undertaken to summarize what is known about the migratory experiences of nurses worldwide. …

Perceived Barriers To Research Utilization Among Registered Nurses In An Urban Hospital In Jamaica, Pauline Anderson-Johnson, Andrea Norman-Mcpherson, Stacey Foster-Jackson

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: Applying research-based evidence into the clinical practice reflects the gold standard of quality and cost effective patient-centered care. Practicing without evidence-based knowledge limits nurses in providing competent care. The international Council of Nurses (ICN) has stipulated that nurses globally use research evidence in the clinical practice in order to close the existing gap between research and practice in nursing. However despite these directives, routine practices still persist (ICN, 2012).While there are numerous clinically pertinent research-based knowledge available as well as an increase in access, the pace of adopting the evidence to provide …

Ehealth: Using Healthcare Information From The Internet In The Classroom, Indra Hershorin

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

The current 'Millennial Generation' of college students majoring in the health professions has unprecedented access to the Internet. Eight out of 10 Internet users look online for health information, making it the third most popular Web activity next to checking email and using search engines (Stellefson, Hanik, Chaney, & Tennant, 2012). The Internet continues to be widely used to facilitate research and learning for health and medical information. eHealth emerged early in the 21st century and is an all-encompassing term for the combined use of electronic information and communication technology in the health …

Nurse Faculty Leadership Development: Prospects, Progress, And Perspectives, Fidelindo Lim, Larry Z. Slater, Karla G. Rodriguez

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016: The confluence of the nursing faculty shortage, faculty retirement, changing nursing students' demographics, and the demand to make nurses full partners in health care delivery have all highlighted the need for building greater capacity for nurse faculty leadership development. Academic nursing leadership demands unique knowledge, skills, and competencies not fully addressed in entry-level and advanced nursing education. The need to support and sustain faculty leadership development has been called for by nursing education stakeholders such as the American Association of Colleges of Nursing (AACN), National League for Nursing (NLN), Sigma Theta Tau international …

A Food Label Literacy Intervention Tool To Fight Childhood Obesity Among Vulnerable Populations, Susan Allen

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: This research was conducted by a school nurse in a school setting who recognized childhood obesity as an epidemic globally and specifically in the United States (Burke & Wang, 2011) and set out to identify and conduct research with a Food Label Literacy Intervention Tool. This was done to advocate for a vulnerable population of poor, minority students who grow up to be chronically ill adults. At least one fourth of all the children globally (Abela, Bagnasco, Arpesella, Vandoni, & Sasso, 2014), and approximately one third of all children and adolescents within …

Teaching Interprofessional Practice Utilizing Video Conferencing And Virtual Environment, Jean Beatson, Mary Val Palumbo

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: The purpose of this study was to explore student experiences in utilizing the virtual environment and videoconferencing in interprofessional education and practice through qualitative analysis. The goal of this presentation is to present these findings, discuss interprofessional education, and lessons learned including issues of applicability.

Methods: A virtual environment and video conferencing was used for teaching interprofessional practice (IPP) when caring for the elderly with students from eight healthcare professions. Students from nursing, physical therapy, speech and language therapy, social work, nutrition, medicine, exercise science, and pharmacy collaboratively developed a plan of …

Transformation Of Nursing Education In South Africa Through Strategic Collaborative Partnerships, J. N. Makhanya

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Cognizance of the depth of challenges facing the nursing profession in south Africa, in 2011 the Minister of health convened a national summit for nursing with the aim of reconstruction and revitalization of nursing of the nursing profession for a long and healthy life for all south Africans. The consultative summit culminated in a nursing compact providing of resolutions taken collectively by the summit. The National Strategic Plan for Nurse Education, Training and Practice (Nursing Strategy) 2012/2013-2016/2017, provides a roadmap in generic terms for addressing the resolutions taken by the summit. The purpose …

Prevalence And Use Of Simulation In Undergraduate Nursing Education Institutions In South Africa, Catherine Hilary Thurling

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The purpose of this presentation is to assess the prevalence, uses and practices of simulation as a teaching methodology in undergraduate nursing curricula in South Africa.

Methods: A survey of the prevalence and practices of simulation in South Africa was carried out as part of a situational analysis for the development of a simulation programme. The validated 2010 Simulation in Nursing Education Survey (Hayden, 2010) was used with permission from the original authors. The researcher received ethics approval from the relevant university's Human Ethics Research Committee to conduct the study, prior to …

Advancing Advanced Practice Nurses In Illinois: Challenges In The Land Of The American Medical Association, Nancy M. Valentine

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: This presentation will utilize the case study of the Illinois House Bill 421 (2015) which introduced the legislated changes entailed in eliminating the requirement of nurses to have a legislated physician collaborative practice agreement. Alternatively, granting the ability for nurses to not have to have a legislated collaborative agreement with a physician would give more independent freedom for APNs to practice independently. Although this bill did not pass as fully written in the last legislative session, the steps utilized to push this concept further in incremental steps illustrates the key elements in the …

Challenges Experienced By Caregivers Of Family Members With A Mental Illness In A Rural Community, Ronell Leech, G. Keitumetse Dolamo

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: In South Africa, as in countries such as the United Kingdom (Rugk'sa, Canvin, Sinclair, Sulman & Burns, 2014) and the United States of America (Harvey, Burns, Fiander, Huxley, Manley & Fahy, 2002), due to deinstitutionalization of persons with mental illness, family members became the primary caregivers. The care provided is extraordinary, uncompensated care that is physically, emotionally, socially and financially demanding. The lack of support of the caregiver is often the key determinant of whether the care recipient can remain at home or must again be institutionalized (Blum & Sherman, 2010). The …

Improving Oral Health In Critically Ill Adults, Cindy L. Munro

International Nursing Research Congress (INRC)

This symposium describes an exemplar of a successful research trajectory focused on improving outcomes for critically ill, mechanically ventilated adults through establishing best practices in oral care. Dr. Munro, who is a 2016 international Nurse Researcher Hall of Fame inductee, will review the series of research studies she has conducted which have informed evidence-based guidelines for oral care in the critically ill. Oral health is directly linked to systemic illness, including risk of ventilator-associated pneumonia (VAP). Descriptive and observational studies of critically ill adults established the importance of dental plaque in development of VAP and examined existing nursing practices in …

Optimizing Diabetes Self-Management Outcomes In Low-Income Ethnic Minority Patients In The United States, Diane C. Berry, Wanda M. Williams

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: In 2013, approximately 382 million people over the age of 20 years were diagnosed with type 2 diabetes, and it is estimated that by 2035 that number will increase to 592 million worldwide (1). The majority of patients diagnosed with type 2 diabetes do not receive consistent medical care and education about the disease process and do not maintain good glycemic control (2,3). Poor glycemic control leads to microvascular and macrovascular complications (2). The purpose of this randomized controlled pilot study was to develop and test an interdisciplinary approach to diabetes self-management …

Motives And Barriers To Lifestyle Physical Activity In Midlife South Asian Indian Immigrant Women, Manju N. Daniel, Maryann Abendroth, Judith A. Erlen

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Background: Lifestyle physical activity (i.e. planned/unplanned leisure, occupational or household activities) is vital to reduce the risk of chronic illness such as cardiovascular disease, diabetes and metabolic syndrome. Such activity is crucial for South Asian Indian (SAI) women who have more than twice the risk for cardiovascular disease and diabetes than other groups. In spite of national efforts to eliminate healthcare disparities related to poor physical activity, lifestyle physical activity in SAI women is classified as low active levels measured by average daily step counts (6814). In fact, only 52% of SAI women …

Patient And Stakeholder Engagement In Research: The Pcori Opportunity, Heather M. Young

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: This symposium will highlight results of a Patient-Centered Outcomes Research Institute (PCORI) funded program of research focused on nurse coaching and emerging mobile technologies to enhance and improve the lives of persons living with diabetes. Diabetes affects more than 29 million people in the United States, and an estimated 86 million people have pre-diabetes. The World Health Organization estimates that 9% of people have diabetes globally, and that by 2030, diabetes will be the 7th leading cause of death. Diabetes type-2, the most common type of diabetes, is amenable to interventions that …

Patient Safety: An Interprofessional Education Approach, Rita Ann Dello Stritto, Peggy A. Landrum

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: This presentation will discuss the use of Interprofessional Education learning activities as an excellent framework for teaching, learning and discussing teamwork and communication among professions, including its relevance to patient safety.

Methods: Students from three independent universities and disciplines (College of Nursing, College of Pharmacy, and College of Medicine) were brought together to participate in a case study educational opportunity addressing patient safety. Prior to the presentation of the case study, students were divided into small groups; each consisted of at least three nursing students, three pharmacy students, and three medical students. …

The Lived Experiences Of Nurses Caring For Dying Children: Preparing Students And Nurses For Practice, Danna L. Curcio

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

The purpose of this research study was to explore the lived experiences of nurses caring for children. The method for conducting this research study was from a qualitative phenomenological perspective. Nurses and health care professionals may at times have difficulty adjusting and processing when life ends and this may have the potential to interfere with self-adjustment, and in turn, patient care. Reflection on the past events and actions of the pediatric nurses enable critical discovery of strategies to benefit nurses and ultimately benefit patients. Nine female nurse participants, with between 1 and 4 …

Health Decision-Making And Care Seeking Among Village Householders In Kibona, Uganda, Olivia Catolico

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016: Purpose: This study examined health decision-making and care-seeking among village householders in Kibona, Uganda. Primary aims of this study were to: 1. Understand the role of the key decision-maker concerning health related issues within the family structure 2. Determine when in the course of illness that care was sought, 3. Describe the first line of care and help seeking, whether it was use of self-care remedies, traditional healers, or hospital care, 4. Actively engage students in providing culturally congruent care through collaboration with Kibona community partners. A secondary aim of this study was …

Diagnostic Accuracy Of Insomnia Screening Tools: A Meta-Analysis, Hsiao-Yean Chiu, Pei-Shan Tsai

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Background: Insomnia is a common complaint in the modern societies; however, it remains underdiagnosed and undertreated. Although screening tools including Insomnia Severity Index (ISI), Athens Insomnia Scale (AIS), and Pittsburg Sleep Quality Index (PSQI) are widely used for identifying insomnia, the diagnostic properties of have yet to be summarized in a systematic manner. Aim: The aim of the current study was to estimate and to compare the diagnostic accuracy of the ISI, AIS, and PSQI in identifying insomnia.

Method: We perform a systematic search in electronic databases including EMBASE, PubMed, PsycINFO, CINAHL, and …

Determinants Of Risky Sexual Behaviours Among Undergraduate Students Of Walter Sisulu University In Eastern Cape, Tandiwe Veronica Mangxa

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: Students in tertiary institutions are vulnerable to risky sexual behaviours and they tend to experience them. They engage in risky sexual behaviours that predispose them to risk of contracting Sexually Transmitted Infections including HIV and unplanned pregnancy.

Purpose: The aim of this study was to describe the determinants of risky sexual behaviours among Walter Sisulu University undergraduate students in order to strengthen existing intervention strategies.

Method: A cross sectional study using mixed method, Concurrent Triangulation design was used. The study was conducted at all four WSU campuses in the Eastern Cape Province. …

Nursing Strategies To Decrease The Global Burden Of Cardiovascular Disease, Deborah Chyun

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Cardiovascular disease (CVD) is the leading cause of death throughout the world. Rates of CVD have been increasing globally as a result of population aging, urbanization and globalization. The importance of CVD and other chronic diseases will be discussed, along with global trends. Risk factors for CVD are known and similar throughout the world - unhealthy diet, physical inactivity, and tobacco use -which contribute to elevated blood pressure and blood glucose, abnormal blood lipids, and overweight/obesity. The importance of these risk factors will be highlighted. These same risk factors are also important in …

Key Factors For Nurse Leaders: What Issues Should Be Taken Into Account When Developing Nurses' Rewarding, Jaana Seitovirta, Tarja Kvist, Katri Vehvilainen-Julkunen, Lasse Mitronen

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Reward strategy is a part of the human resources strategy and it is implemented as a management tool defined by organization with the help of a reward system (Armstrong 2006). Previous studies have shown the importance of developing nurses' rewarding (von Bonsdorff 2011, Eneh et al. 2012, Kvist et al. 2013, Seitovirta et al. 2014). In fact, it has been shown that rewarding has significant and beneficial effects on nurses' job satisfaction and commitment (Pasaron 2013, Morrison & Korol 2014). Nurse Leaders have an important role when design a successful reward system for …

Correlates Among Self-Concept, Anxiety, Depression, Anger, And Disruptive Behavior In Vulnerable Middle School Youth, Jacqueline Hoying

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: Adolescents from urban and rural environments are viewed differently when considering their vulnerability to stressors and adaptive versus maladaptive coping. Understanding the differences and similarities in the baseline variables can assist in guiding interventions. The purpose of this study was to assess the relationships among self-concept, anxiety, depression, anger, and disruptive behavior in middle school-aged students from two middle schools. At baseline, 45% of the urban middle school participants demonstrated elevated anxiety, 26% had depressive symptomatology, and 26% had below average self-concept. At baseline, 25% of the rural middle school participants demonstrated …

Using The Tpack Model To Increase Digital Skills And Pedagogy In Graduate Nursing Education Students, Cheryle G. Levitt, Kirsty Digger, Mary Patricia Lewis

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: As 21st century teaching and learning occurs in multiple and diverse environments and is directed towards multi-generational learners, educators must be skilled in the application of technology, pedagogy, and content knowledge. The current nursing faculty shortage (Nardi & Gyurko, 2013) is compounded by faculty who have had little or no exposure to technology-based pedagogies in their graduate programs or in current nursing curricula (Griffin-Sobel et al, 2010). Nurse educators are charged to transform teaching to prepare nurses for roles in technology-rich health care environments (Benner, Sutphen, Leonard, & Day, 2010). The limited …

Developing An Evidence-Based Caring Science Course, Sara Horton-Deutsch

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The purpose of this project was to explore teaching strategies designed to create authentic presence and engage students in online learning through integration of a caring science framework. To humanize an online course caring science and Nodding's four ingredients of a caring curriculum will be reviewed: modeling, practice, authentic dialogue and confirmation/affirmation. Infusing online education with four ingredients amplifies student connection and engagement beyond levels they normally experience in an online environment. Together, online education best practices, caring science, presence and engagement, encourages students to remain open to what is emerging by …