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'In The Family Way:' Linking Dynamics From Family Of Origin With Subsequent Workplace Bullying Experiences, Monica Kennison

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: Our early family experiences follow us throughout life, influencing our beliefs and values in the long term. As Heidegger intimated, we are our histories. In the context of the workplace, memories of early family experiences--still active in our day-to-day thought processes and emotions--are melded with experiences taking place in real time, yielding a sense of self-as-coworker that incorporates both past and present. Confidence, interpersonal comfort, and feelings of safety and of support from peers and administrators thus evolve as functions of the commingling of personal history and workplace engagement (Anda et al., …

Partnership In Action: A Case Study In Nursing Workforce And Leadership Development In East Africa, Sharon Mary Brownie

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016: East Africa suffers an inordinate burden of disease and does not have the numbers of suitably qualified nurses and midwives to address this challenge. Focussed efforts in nursing workforce capacity building are needed to build capacity within nursing education, practice and leadership. An enhanced nursing and midwifery workforce is needed across all disciplines with development required at all levels including upgrade of the existing workforce, development of speciality qualifications and enhancement of leadership capacity. This presentation involves a case study in which university private-public partnerships have successful contributed to nursing capacity enhancement of …

How Challenged And Overwhelmed Faculty Become Supported And Empowered In Curriculum Development, Evaluation And Revision, Meredith L. Roberts

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: To discover the perceptions of faculty related to their preparedness and confidence in developing, evaluating, and revising nursing curriculum and to use faculty's constructions to develop a theory (challenged and overwhelmed) and model of understanding (Supported and Empowered) to support faculty's growth and competence in curriculum development, evaluation and revisio.

Methods: Constructivist Grounded Theory explored and compared the perceptions and processes of nursing faculty regarding their preparedness and confidence in developing, evaluating, and revising curriculum and the processes used for preparation. The Excellence in Nursing Education Model (NLN, 2006) assisted in providing …

Adapting Nursing Interventions To Africa: Challenges And Opportunities, Fhumulani Mavis Mulaudzi

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

The World health Organization (WHO) stated that many low and middle income countries in Africa are now facing a double burden of diseases. Countries are currently dealing with infections and they are at the same time faced with a global challenge of non communicable diseases (NCDs). The movement of people from rural to urban areas is often accompanied by lifestyle changes such as sedentary life style, malnutrition, alcohol abuse and smoking habits that lead to increased risks to the development of NCDs. The WHO strategic directions for'strengthening nursing and midwifery 2011-2015 emphasised the …

Perceptions And Self-Perceived Knowledge Of Evidence-Based Health Care Amongst Registered Nurses In The Western Cape, Karien Orton

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016; Purpose: Evidence-based health care is a problem-solving approach that integrates the best research evidence with clinician expertise and patient preferences and values. Delivering evidence-based health care, in the context of a caring and supportive organizational culture, results in high-quality care and optimal patient outcomes. It is important that registered nurses know the steps involved in making evidence-informed decisions in a healthcare environment. Currently, there is no published study that assesses practicing registered nurses' understanding, perception and self-perceived knowledge of evidence-based health care in the South African context. Our aim was to describe registered …

Building A Transformational Nurse Manager Workforce Through Interactive Competencies, Carole Marie Kulik

International Nursing Research Congress (INRC)

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

Among nursing leadership roles, the nurse manager role has been identified as critical for the provision of high-performing, evidence-based, and efficient care in the patient care delivery setting. The nurse manager has 24-hour/7-day accountability for the performance of a defined unit or area. Excellence in horizontal and vertical communication is imperative. The nurse manager leads by example to create and manage change in the practice environment and is therefore the most influential communicator and change agent for clinical providers. Nurse Managers are accountable for the clinical microsystem environment …

Nurse Preceptors' Perceptions Of Benefits, Rewards, Support And Commitment To Their Preceptor Role, Alida Hettie Viljoen

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: The purpose of this presentation is to examine the relationships between preceptor's perceptions of benefits, rewards, supports and commitment to the preceptor role.

Methods: A non-experimental, descriptive, correlational and quantitative survey design and a non-probability purposive sampling method were applied and utilised in this study. The setting for the research is the Intensive Care Units (n=13) of four major academic hospitals in Gauteng Province. The sample comprised of 80 (n=80) Intensive Care registered nurses, employed throughout the Intensive Care Units (n=13). Data was collected by means of a self-administered checklist (Dibert & …

The Implementation Of The Surgical Pause In Selected Private Healthcare Institutions In Gauteng, Magda S. M. Nieuwoudt

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016: Purpose: The purpose of this presentation is to share with you how poor compliance to the implementation of the surgical pause was addressed through the action research cycles to ensure patient safety. Methods: Quantitative research was used to evidence of the number of correctly implemented surgical pause checklists by the surgical teams. Qualitative research was used to discover and understand the reasons why surgical pause was not implemented (Brink, van der Walt and van Rensburg, 2012). Stringer's action research routine of LOOK, THINK and ACT was followed to reach the objectives (Bless, Higson-Smith …

A Multi-Phased Approach To Using Clinical Data To Drive Evidence-Based Emr Redesign, Carole Marie Kulik, Wendy Foad, Gretchen Brown

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

We optimized our technology and use a multi-tier approach to efficiently redesigned the Nursing Electronic Medical Record to match the nurses work flow to support patient centered care. You will learn how to transform nursing practice by empowering Registered Nurses decision making and influence in the design and educational rollout leading to excellence in documentation compliance. Maximizing the use of technology to improve processes and enhance the delivery of safe quality care is fundamental to the transformation of the future of nursing. Integrated data analytics measuring nursing workflow capture real-time information from the …

Healthcare And Immigration Vulnerability: A Global Perspective, Assumpta Ekeh

International Nursing Research Congress (INRC)

The immigration policy has become a topic of discussion in both local and global contexts. As governments debate the impact of immigration on the political and social fronts, another aspect cannot be avoided in this conversation, healthcare. A subset of immigrants faces a greater challenge; those that are not naturalized citizens of their host country. Although the reasons for their exact status include asylum seeking, refugees and illegal immigration, one commonality amongst them is that they are a part of the vulnerable population. Vulnerable populations are diverse group of individuals with a greater risk of developing problems and poor psychological …

Challenges In Fostering Critical Thinking Of Students In Developing Countries: Ghana As A Case Study, Christian Makafui Boso, Janet J. Gross

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: Nurse educators are required to prepare students to address current and future health care challenges. The ability of health care professionals to think critically may directly affect patient safety (Robert & Petersen, 2013). In Ghana, indicators have been identified that lead one to believe that critical thinking is not being exhibited by nurses in caring for their patients (Adjatey, 2013; Adofo, 2010). Students are still taught to follow the functional model of nursing care. This model supports an environment in which nursing service remains task-oriented. This is an obstacle to the development …

Social Determinants Related To Depression Outcomes, Bonnie M. Hagerty, Melissa A. Bathish

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: The World Health Organization has projected that depression will be the second leading cause of disability worldwide by 2020 (Kessler & Bromet, 2013; Murray & Lopez, 1996). Depression is a chronic, recurrent disease associated with behaviors linked to other chronic diseases. Access to health care impacts recurrence and recovery but in populations and countries where resources are scarce, interventions based on the Preventive Illness Management model that considers social determinants of mental health can help individuals manage depression over time. By understanding and identifying early symptoms as related to their depression and …

Discrete Self-Rated And Actual Competence Of Safe Medication Administration Among Senior Baccalaureate Nursing Students, Sophia H. Hu, Jen Chieh Wu, Shu-Yu Kuo

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: To assess senior baccalaureate nursing students' self-rated competence of safe medication administration and their actual competence to do so by using simulation scenario.

Methods: This is a cross-sectional, descriptive study. A self-rated questionnaire of safe medication administration was developed. Participants were asked to rate levels of their knowledge, confidence, competence, and experience in safe medication administration by 5-point Likert scale (0 is none, and 5 is always) before the simulation scenario. The higher points the participants give, the higher levels of confidence the participants think that they have. A simulation scenario was …

A Measurement Of Spirituality, Linda K. Bennington

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: To develop an instrument that measures one's unified nature (spirituality) as separate from a set of dogmatic beliefs (religion).

Methods: Empirical referents are external measures of a concept grounded in the real world and are used for instrument development in research. Clinically they assist in clearly discerning the presence of a concept (Walker & Avant, 1995). A measurement of spirituality should include statements that reflect an individual's belief system, a connectedness with others, a higher power, and the universe, as well as a feeling of self-worth, hope and purpose. A 30-item Likert …

Examination Of Hiv/Aids In The United States Virgin Islands: Community Needs Assessment And Gap Analysis, Safiya George Dalmida

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: For over a decade, for over a decade, the U.S. Virgin Islands (USVI) has consistently had one of the highest prevalence rates of HIV infection in the nation. The USVI had the highest rate of adults and adolescents (per capita) living with a diagnosis of HIV in 2005, the second highest rate from 2006 through 2009, and currently has the third highest rate (685.1), since 2010 (667.1). According to the President's National HIV/AIDS Strategy (NHAS), the USVI is a geographic hot spot for increased HIV risk (White House Office of AIDS Policy, …

Design And Testing Of New Education On Living Kidney Donation And Transplantation For Native Americans, Nancy L. Fahrenwald

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: Native Americans disproportionately experience chronic health conditions that contribute to renal disease. Prior to this research, there were no known empirically tested educational programs on living kidney donation and transplantation (LKDT) created for Native Americans who experience renal failure and who may be eligible for a kidney transplant. The study purpose was to develop and empirically test a new culturally targeted LKDT educational intervention for Native Americans receiving kidney dialysis who may be eligible for a kidney transplant.

Methods: A community based participatory research approach was used and was guided by both …

Impact Of A Systematic Oral Care Program In Post-Mechanically Ventilated Intensive Care Patients, Esther M. Chipps, Timothy Landers, Michele Weber, Jennifer Macdermott, Tadsaung Tania Von Visger, Kristin Calvitti, Cheryl L. Newton, Brenda K. Vermillion, Jamie St. Clair

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: Hospital acquired infections remain of very high priority internationally. As a result of well disseminated nursing research, evidence-based oral care protocols for mechanically ventilated patients are now considered standard of care in the ICU setting (Ames, Sulima, & Yates, 2011; El-Rabbany, et al. 2013). In contrast, no standard of oral care exists for patients who have been recently extubated despite considerable high acuity.

Purpose: The purpose of this randomized control trial was to determine the impact of a systematic oral care hygiene program on recently extubated patients including measures of oral health, …

Evaluation Of "1focus Model" Of Clinical Facilitation For Nursing Students At Sir Charles Gairdner Hospital, Amanda Towell, Linda L. Coventry, Susanne Megan Davis, Diane Esma Twigg, Lucinda Foster, Janelle Boston

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016: Purpose: The aim of this project was to evaluate the impact of the One Focus Model of Clinical Facilitation implemented in 2015 at Sir Charles Gairdner Hospital (SCGH) in West Australia. The provision of clinical placement for nursing students and the delivery of quality clinical supervision is a matter of growing concern within Australian Healthcare. There are various models for clinical education and it is a challenge to employ an appropriate model. The model needs to be innovative in order to meet the needs of the healthcare facility, be supportive to the nursing …

Mch Leadership Development: A Retrospective, Comparative Cohort Study, Karen H. Morin, Hester C. Klopper, Christa Van Der Walt

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Background: Nurse Leaders have recognized the critical need for leadership development in nursing since the early 2000s. Consequently, health care institutions, professional nursing organizations, and academic institutions have offered leadership development programs that vary in structure, length and outcome. Although these programs provide insight into leadership development, information about international leadership development programs is limited. However, the Maternal-Child Health Nurse Leader Academy (MCH NLA), sponsored by Sigma Theta Tau international, the Honor Society of Nursing, in partnership with Johnson & Johnson Corporate Contributions, and developed and facilitated by experts in Maternal-child health, leadership …

Facilitators And Barriers To Diabetes Education In Hmong Immigrants Living In The United States, Fay Mitchell-Brown

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: Diabetes is a complex chronic disease with an increasing disparity in glycemic control and outcomes for racial and ethnic minorities. Hmong Americans are at high risk for developing diabetes and evidence suggests that the prevalence of diabetes in this population is increasing. There is no study that addresses diabetes education in the Hmong Americans. Because of the chronic nature of diabetes, diabetic education is essential to increase quality of life and positive outcomes for all people living with the disease. To be successful, diabetes education must be tailored to meet the needs …

Multi-Method Approach To Improve Satisfaction With Communication Of Medication Side-Effects On A Medical-Surgical Unit, Tru Byrnes

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Background: Patient satisfaction related to hospital experience is viewed as a key indicator for quality of care (Ahrens & Wirges, 2013). More specifically, patient satisfaction scores related to communicating medication side effects on a medical-surgical unit are below the national benchmark. An immediate intervention to improve the process was necessary. Improving patient satisfaction about communication of medication side effects not only increases the patient's knowledge, but also improves health outcomes. Nurses play an important role in providing education and evaluating the patients' knowledge about newly prescribed medications through effective communication (Ahren & Wirges, …

Child Caregiving Burden And Preventative Health Care Utilization Among Mothers With Mental Disorders, Victoria B. Mitrani, Brian E. Mccabe, Chante Evette Washington, Yui Matsuda

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: Persons with mental disorders experience higher rates of chronic illness that are due in part to suboptimal self-care, including underutilization of preventative health care services (Doherty & Gaughran, 2014: Ross et al., 2015; Tilbrook, Polsky & Lofters, 2010; Xiang, Lee & Kang., 2015). Mothers with mental disorders may experience an additional barrier to utilizing preventative health care services, exacerbated by their role as mothers, including sometimes caring for children with significant health and behavioral health problems. The impact of child caregiving has not been assessed as a factor in utilization of preventative …

Incorporating Safety Challenges In Undergraduate Nursing Simulation Experiences, Linda Wilson, Carol Okupniak, John Cornele

International Nursing Research Congress (INRC)

The purpose of this presentation is to demonstrate how safety challenges can be incorporated in simulation experiences. The presentation will include simulation case development, implementation, and evaluation as well as important aspects for feedback and debriefing after the experiences.

The Parish Nursing Ministry: Enhancing Community Support In Health Promotion And Disease Prevention, Wyona M. Freysteinson

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: In a world faced by rising health care costs, alternatives are needed that will enhance community participation in health promotion and disease prevention. One alternative is a parish or faith community nursing program (American Nurses Association & Health Ministries Association, 2012). In this presentation, the leadership and activities of a Parish Nursing Ministry in a multi-cultural parish of over 60,000 individuals are described.

Methods: Evidence suggests that parish or faith based programs may impact health promotion, disease prevention, and chronic care self-management (Baig et al, 2014; Maitlen, Borkstahler, & Belcher, 2012; Shores, …

Building A Program Of Research, William L. Holzemer

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016: As a doctoral student or junior faculty member, you will be challenged to develop a program of research that can be sustained over a period of time and that captures your energy and enthusiasm. The purpose of this paper is to define the concept of building a program of research, use the outcomes models to help think about building a program of research, link research methodologies with a planned program of research, and then to review steps to building a program of research. A program of research is defined as an area of …

The Etiology And Experience Of Falls: Community-Dwelling Older Adults' Perspectives, Anthony A. Adeniran

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: Community-dwelling older adults' falls represent a significant public health problem, and prevention is an important step to reducing healthcare costs and improving quality. According to Kochera (2002), 78% of all injuries that occurred from elderly falls happened in the community. Despite the fact that community-dwelling older adults have a higher risk for falls, there is less focus on fall prevention for this group. With the shift in the models of healthcare delivery from institutional to community settings; it is imperative that clinicians begin to understand fall prevention from community-dwelling older adults' perspectives. …

Gene-Environment Interactions Related To Hyperlipidemia Among African-Americans, Michelle Wright, Jacquelyn Taylor

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Purpose: African Americans (AA) in the United States face significant health disparities in chronic health conditions. When compared to Caucasians, AAs fare worse with the following indices: 1) highest incidence and prevalence of hypertension, obesity, diabetes, low birth weight, and infant mortality; 2) highest death rates from heart disease, stroke, and colorectal cancer; and 3) shorter life expectancy 1. Health outcomes and life expectancy are strongly influenced by the characteristics of one's environment 2 and health disparities among AAs have been associated with genomic underpinnings, social inequalities, disproportionate burdens of pollution, and unequal …

Using Nursing Documentation As A Proxy For Quality Of Care At Public Hospitals In Jamaica, Jascinth L. M. Lindo, Pauline Anderson-Johnson, Veronica H. Waugh-Brown, Donna Marie Bunnaman, Rosain N. Stennett, Kayon G. Stephenson-Wilson

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Using Nursing Documentation as a proxy for quality of care at public hospitals in Jamaica Abstract: The complex task of nursing documentation is often guided by the nursing process, a framework for solving patient care problems and ensuring the provision of high quality nursing care (Yildirim, & Ozkahraman, 2011). Nursing documentation is a written or electronic communication tool, which describes patient?s care and response to treatment. Among others, Universal Health Coverage advocates, recommend research activities relating to measurable indicators such as nursing documentation to assist in determining the overall quality of care delivered …

The Institutes For Global Healthcare Leadership, Cynthia Vlasich

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016: Purpose: Global health is in transition, with ever-changing influences, directions, and expanding stakeholders. Healthcare leaders need access to the best ways to navigate this transition. Local, regional, and international healthcare leaders of tomorrow must build teams, identify challenges, invent solutions, and set a shared vision in order to sustain long-term healthcare improvements and address the varying needs of the world's populations. Methods: The Honor Society of Nursing, Sigma Theta Tau international (STTI) has a rich history of developing nurse leaders, with a variety of leadership programs to prepare future leaders in professional nursing …

A Culturally Sensitive Recruitment Model For Arabic Nursing, Seamus Cowman

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: In response to the shortage of nurses, Bahrain continues to have high dependence on expatriate nurses to maintain the health services. Bahrainization is government policy and is strategically aimed at including many more Bahrainis in the workforce. Consistent with Bahrainization the development and expansion of an indigenous nursing profession through increasing the number of Bahrainis working as nurses must be a health service priority. However, in attracting local candidates to study nursing, the public image of nursing in the Middle East continues to be of concern. This study aims to identify the …