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Validation Of The Chichewa Perinatal Ptsd Questionnaire (Ppq) And Chichewa Child Health Worry Scale (Chws), Kaboni Gondwe, Qing Yang, Diane L. Holditch-Davis

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Purpose: Malawi is the country with the highest preterm birth rate in the world [18.1 per 100 live births] (World Health Organization, 2014) and preterm birth is a known risk factor for parental emotional distress in the postpartum period (Lasiuk et al., 2013; Pierrehumbert et al., 2003). Research conducted on mothers of preterm infants in other countries have also shown that depressive, anxiety, and posttraumatic stress [PTS] symptoms and Maternal worry about child's health are common negative Maternal emotional responses following preterm birth (Brandon et al., 2011; Davies et al., 2008; Olde, van …

Feasibility Of Ottawa Decision Support Tool To Assist Hiv Positive Mothers With Infant Feeding Choice, Karin C. S. Minnie, Sezarinah Ncheka

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: HIV positive women face a difficult choice when having to decide which feeding mode to use for their new babies. Breastmilk is the ideal infant feed and cultural acceptable. However, the HIV virus can be transmitted through breast milk although the risk is minimal when the women use antiretroviral therapy and breastfeed exclusively. The risk of mother-to-child transmission can be avoided when using a breast milk substitute but there is a risk that it can not be used safely. The WHO (2010) guidelines acknowledge both methods. Decision support tools have been used …

An Assessment Tool To Measure The Supportive Roles Of Preceptors, Lizemari Hugo, Yvonne Botma

International Nursing Research Congress (INRC)

The purpose of this presentation is to elucidate the research process of developing a valid and reliable instrument to measure the different types of support offered while precepting nursing students during their clinical placements

Physician Nurse Disruptive Behavior: How A Physician Champion Changes Outcomes, Helen M. Kuroki

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: The purpose of the study was to improve patient safety and promote a postive work environment through addressing issues caused by disruptive behavior between physicians and nurses. A partnership between a physician and nurse leader was the framework for development of this study with the goal of using the data to initiate discussion with physician and nurse leaders across a health system and integrate the findings with building a culture of safety education and strategies.

Methods: A replication of a study using the tool "Disruptive Behavior between Physicians and Nurses" developed by …

The Impact Of Nursing Support Workers On Nurse And System Outcomes, Christine M. Duffield

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: To determine the impact of nursing support workers on nurses' turn over intention and absenteeism, the practice environment, aggression, and registered nurses' experience of working with support staff.

Methods: Cross-sectional analysis of nurse survey and nurse interview data. Data were collected from ten sampled wards in public general acute care hospitals in Perth, Western Australia between March and October 2013: 5 wards with AINs and 5 without. Nurses were asked to complete a survey including questions on intention to leave their current position, absenteeism, aggression, together with demographic items. The survey also …

Path Analysis Of Relationships Between Social Support, Interpersonal Relations And Perceived Health In Urban Adolescents, Nancy M. H. Pontes, Manuel C. F. Pontes, Cynthia G. Ayres

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: The purpose of this presentation is to describe the use of path analysis to test the relationships between social support, interpersonal relations, resilience, stress management, positive life perspective, and perceived health status with data from a convenience sample of 125 U.S. urban adolescents. This study uses a theoretical framework based upon previous research on social support, interpersonal relations, and perceived health in urban adolescents (Ayres & Mahat, 2012; Ayres, Mahat & Atkins, 2013; Cohen & Wills, 1985; Esteves, Scoloveno, Mahat, Yarcheski & Scoloveno, 2013; Gage, 2015; Scoleveno, 2014; Underwood, 2011). Based upon …

Cross-Cultural Adaptation Of The "Smoking Cessation Counseling" Scale, Juliana Maria Ruoco Zambardi, Alba Lucia Bottura Leite De Barros, Robin P. Newhouse, Camila Takao Lopes, Juliana De Lima Lopes

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Purpose: Nursing studies related to smoking show that the most frequent nursing interventions are those aimed at the smoking cessation. Randomized controlled trials studying the effects of nursing interventions in tobacco management are underway throughout world and many have demonstrated effectiveness in reducing smoking. To emphasize the importance of the nurse's role in smoking cessation, studies have identified an increase of 47% on the success of smoking cessation counseling when it is initiated by nurses. Several instruments are available to measure the predisposition and to identify the barriers that slow the process of …

Nurse Practice Environment And Burnout As Predictors Of Safety Climate, Teamwork Climate, And Job Satisfaction, Edineis De Brito Guirardello, Daniela Fernanda Dos Santos Alves, Gisele Hespanhol Dorigan

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Analyze the effects of nursing work environment and buRNt in the safety climate, teamwork climate and job satisfaction from the perspective of the nursing professionals.

Methods: A cross sectional study with a convenience sample of 580 professional nurses from three teaching hospital in Sao Paulo State, Brazil. It was proposed a theoretical model with the dimensions of the nurse practice environment, burnout and outcome variables (safety climate, teamwork climate and job satisfaction). The measures used were Nursing Work Index-Revised, Maslach Burnout Inventory, and the Safety Attitude Questionnaire-Short Form 2006 (subscales: safety climate, …

Nurses' Extended Work Hours And Patient, Nurse, And Organizational Outcomes In General Hospitals, Thailand, Orn-Anong Wichaikhum

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Nursing shortage has affected the increasing of nurse workloads which may impact working error as well as patient, nurse, and organizational outcomes. The purpose of this study was to describe nurses' extended work hours and to examine the relationship between nurses' extended work hours and patient, nurse, and organizational outcomes in general hospitals, Thailand. The sample included 506 nurses who have worked more than 40 hours per week in 24 general hospitals, Thailand. The research instruments consisted of 5 parts as follows: a demographic form; the Nurses' Extended Work Hours Form; the Patient, …

Fomites: From Colonization To The Risk Of Infection On Tourniquets In Nursing Practice, Joao Manuel Graveto, Pedro Miguel Silva, Marta Dos Santos Costa

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Currently, infections associated with health care are considered a problem for which health professionals should orientate their attention accounting the implications for the patient safety. According to some researches "(...) around 6% of hospitalized patients will acquire an infection during their admission" (Pinto, Phan, Sala, Cheong, Siarakas, Gottlieb, 2011, p.277)". Thus, we intend to characterize the nursing care in the use of tourniquets which is described and developed in recent research studies. As a research methodology, we use the Integrative Literature Review (ILR). In the survey were used the bibliographic EBSCOhost platform, as …

Understanding Nurse Migration, Jessie M. Colin

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Purpose: The current nursing shortage in the United States, which began in 1998, still lingers with no end in sight. The causes of the nursing shortage in the Caribbean are different from those of the U.S. The movement of Caribbean nurses historically has been within the region or outside the region to the United Kingdom (UK), Canada, and the U.S. Significant migration by Caribbean nurses is generally seen in Florida, which is considered the gateway to the Caribbean basin. This migration has served as the catalyst for a rapidly growing global business that …

Predicting Child Risk For Distress With A Painful Procedure, Kirsten Hanrahan

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The problem is that clinicians need decision support tools to identify child risk for distress with procedural pain in order to allocate resources and provide interventions that are feasible to implement in a clinical setting. The purpose of this study was to develop a web-based computer application (app) that assists providers in identifying families that are able to provide distraction (i.e. decision support) and those that need additional support from a professional. For those parents able to provide support, an app that provides tailored instructions and training for parents to function as …

Views Of Hispanic Migrant Workers On American Healthcare, Robie Victoria Hughes

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: The purpose of this study was to increase health care professionals' understanding of the perception of Hispanic Migrant workers to the American healthcare system in Rural Appalachia.

Methods: A qualitative study of 23 Hispanic Migrant workers was approved by the Appalachian State University IRB to utilize BSN nursing students to conduct and transcribe interviews with Hispanic patients at a rural clinic within Appalachia. The interviews were incorporated into the BSN Research Class in order to provide hands-on experience in the methodology, while expanding student understanding of an ethnically different population. The rural …

Communication Strategies To Accomplish Effective Eealth Dialogue In Chronic Diseases In Lmic's: A Systematic Review, Melanie Pienaar, Marianne Reid, Christa Van Der Walt

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Introduction: Communication strategies are used to inform, influence and motivate individuals and communities about health (Healthy People 2010, 2010:1; Rensburg & Krige, 2011:77). However, chronic diseases such as diabetes mellitus, cardiovascular disease, some cancers and respiratory conditions are reaching endemic proportions in low and middle income countries (World Health Organisation, 2011:1). Unlike high income countries that are the richest and most industrialised countries in the world, with extensive resources and infrastructure; low and middle income countries have challenges with regard to access to clean water, electricity, sanitation, lack of housing, fragmented health care …

Community-Based Health Programs: Struggles For Health, Education, And Social Care, Erlinda Castro Palaganas

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

This presentation aims to share lessons and insights, pieces of evidence on what works and what does not work in community health development work. For almost four decades, I have been part of community-based health programs (CBHPs) in the Northern part of the Philippines, taking on the struggle for health, education and social care. This presentation will focus on my stories from the field arising from my involvement with CBHPs, as these grew painstakingly through the years, ushering in hope for social change. Since 1973, non-governmental CBHPs have been part of the Philippine …

Making The Process Of Policy Making Transparent, Teresa A. Brooks

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Healthcare policy development in the United States is a patchwork quilt of complex issues complicated by legislative, regulatory and judicial activities. Over the last twenty-five years healthcare policy has been challenged to address the impact of mandatory spending for healthcare and social security on the federal and state budgets. Changes in healthcare have reverberated from the national, regional, to the state and local levels. Yet, those directly affected by these changes fail to understand and engage in influencing the new structures, processes and payment models. Mistaken assumptions about how the healthcare policy process …

Psychometric Properties Of The Perceptions Of Wellness And Environment Culture Scale, Megan E. Amaya, Bernadette Mazurek Melnyk

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Healthy workplace cultures are an essential element to encouraging healthy lifestyle behaviors in faculty and staff in academic communities. Tools and health promotion programs typically used by employers for population health management include extensive awareness building through health education, health risk assessments (HRAs), risk reduction interventions, health coaching, disease management, vaccinations, web-enabled communications, social networking, establishment of data warehouses, and the use of incentives. A healthy organization cultivates a culture of respect within a community that supports personal and professional growth, open communication, and shared values. A workplace culture that includes an …

Creating A Healthier Population By Achieving The Triple Aim In A Community-Based Diabetes Clinic, Patty M. Orr, Shondell Hickson

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

After managing a growing community's underserved diabetes population for 6 years, a collaborative BSN student nurse and faculty nurse practitioner provider partnership decided to begin to implement the Institute of Healthcare Improvements' Triple Aim as a progressive goal to further improve a population's outcomes. The collaborative partnership began to focus on the Triple Aim's three goals for optimizing a health system's performance. The three goals of the Triple Aim are improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care. Previously, the major …

Experiences Of Professional Nurses In Caring For Psychiatric Patients With Dual Diagnosis, Mofatiki Eva Manyedi, Joan Mologadi Dikobe

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: Dual diagnosis is a serious concern in the whole world and very little is known about the care of psychiatric patients with dual diagnosis (Phillips, McKeown & Sandford, 2010). Dual diagnosis implies that psychiatric disorders occur at the same time, or one follows the other and eventually, it is difficult to tell which occurred first (Fortinash & Worret, 2012). The purpose of this study was to explore and describe the experiences of professional nurses in caring for psychiatric patients with dual diagnosis in order to make recommendations that could assist them in …

Chronic Stress, The Microbiome, And Adverse Maternal-Infant Outcomes, Elizabeth J. Corwin

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

This session will present cutting edge research on the bidirectional relationships between chronic stress and the microbiome as risk factors for adverse Maternal and infant health outcomes. Exposure to a stressor is known to increase activation of the hypothalamic-pituitary-adrenal (HPA) axis, leading to increased levels of the stress hormone cortisol. In addition, chronic stress is associated not only with increased cortisol, but also an increase in pro-inflammatory cytokines including interleukin-6. Both elevated cortisol and elevated inflammatory cytokines are known risk factors for preterm birth, gestational hypertension, and gestational diabetes. They also can affect …

Leadership Initiatives In Promoting Patient-Centered Transgender Care, Denise S. Rowe, Yeow Chye Ng

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Federal health care agencies consider the health and welfare of transgender persons to be a health priority despite the lack of available research based knowledge in this population (Institute of Medicine, 2011). This proposed presentation examines transgender population health status in the United States and discusses the nursing leadership initiatives that can be developed and pursued in order to provide culturally competent, patient-centered transgender care. The Center of Excellence for Transgender Health (2013) defines the term transgender as persons who identify with the opposite sex or gender and express a gender identity that …

Colorectal Cancer Prevention In Chinese Immigrant Women: An Educational Program, Tsorng-Yeh Lee

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purposes: (a) to educate Chinese immigrant women about colorectal cancer (CRC) screening services provided by the Canadian health care system and (b) to advance those women's knowledge on CRC prevention strategies, focusing on food literacy, eating habits, and physical activity.

Methods: A pretest-posttest design was used to examine the efficacy of an educational program for improving participants' knowledge on healthy diet and CRC risk prevention over time. The program lasts two hours per week for six weeks. Lessons covered in the program are as follows: Week 1: Introduction to Ontario Healthcare System, Canada's …

Development Of Stroke After-Care In The Rotterdam Stroke Service, Anneke Guyt, Bianca Ivonne Buijck

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Background: Hospitals, rehabilitation nursing homes, rehabilitation centers and home care organizations collaborate in the Rotterdam Stroke Service in the Netherlands to provide the best quality of care for stroke patients in the chronically phase. After a stroke, patients are confronted with physical disabilities and changes in cognition and behavior. Moreover, caregivers, children and spouses are faced with multiple challenges related to this vulnerable patient group. Nowadays patient receive adequate care and support in the home environment after discharge from the hospital, rehabilitation nursing home or rehabilitation centre. The specialized care and support is …

Nursing Students' Knowledge, Attitudes, And Application Of Evidence-Based Practice At The University Of Rwanda, Favorite Iradukunda, Pat M. Mayers

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Evidence-based practice (EBP) is an important component in improving the health care outcomes of a country's population. Despite the importance and relevance of EBP to nursing, nurses do not routinely understand and use evidence-based principles in their everyday practice. This may influence the attitudes and knowledge of students who do not become exposed to the practice of EBP during their training. Nurses, who are considered to be the backbone of the health care profession, especially in Sub-Saharan Africa, should be introduced to the basic principles of EBP during their pre-registration programmes. Moreover, EBP …

The Prevalence And Management Of Pain In Pediatric Intensive Care Units, Cynthia Lafond

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The purpose of this multi-site study is to describe the frequency and characteristics of pain experienced by critically ill children and the pain management practices provided to them during a 24-hour time period. Though current research points to a problem of pain in PICUs, there is still much that is not well understood. Prior research has been limited in scope, evaluating pain in PICU sub-populations (Bai & Hsu, 2013; Grant, Scoppettuolo, Wypij, Curley, & Team, 2012) or a particular type of pain (e.g. pain from procedures or pain rated as moderate to …

Can An Interprofessional 'Virtual Clinic' Teach Culturally Appropriate Interviewing Techniques?, Mary Val Palumbo, Jean Beatson, Jennie Chang De Gagne, Vicki Hart

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: Nurse educators must embrace opportunities to prepare students for future practice which will be interprofessional, evidence based, and highly technical. Use of online gaming for education purposes has been shown to be acceptable to students and there has been a call for research to demonstrate more robust outcomes assessment (Miller & Jensen, 2014). The purpose of this presentation is to discuss innovative ways of teaching interview skills and interprofessional care of a Korean-immigrant elderly with multiple chronic health issues and complex needs. This presentation will illustrate the use of a virtual clinic …

Development And Testing Of Fame: Advancing Care For Families And Their Teens With Mental Disorders, Ukamaka Marian Oruche

International Nursing Research Congress (INRC)

Background: Family members of Adolescents with mental disorders, particularly Disruptive Behavior Disorders (DBDs) face unique challenges [1, 3]. DBDs include Oppositional Defiant Disorders and Conduct Disorders which are characterized by overt aggressive, defiant, and antisocial behaviors. In the United States of American, racial minority groups such as African Americans (AA) adolescents with DBDs and their family members are especially vulnerable to poor outcomes because of socioeconomic disadvantage [3]. They experience poor quality mental health services and often drop out of care resulting in significant mental health disparities. AA family members also report low efficacy in managing interactions not only within …

Translating The Evidence: Analyzing Dnp Capstones As Exemplars Of Excellence In Clinical Outcomes, Barbara Anderson

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016: Purpose: The purpose of this presentation is to enable the participant to identify and use creative strategies in doctoral education in analyzing clinical outcomes through using exemplars: completed DNP capstone projects. Methods: The method used is content analysis of selected exemplars of excellence in completed DNP projects that addressed quality improvement in clinical outcomes, using the American Association of Colleges of Nursing DNP Essentials as the benchmark. Results: Eight completed DNP capstones are analyzed using the 8 DNP Essentials as defined by the American Association of Colleges of Nursing. Key components of the …

Yo Entiendo: I Understand, Anna Dermenchyan, Kym Aoki, Cheryl Lehuquet, Nancy Exarchos, Elvina Luistro

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: Low health literacy is a pervasive and widespread issue that affects virtually every aspect of health care delivery. The purpose of this qualitative study was to better understand health literacy and cultural barriers faced by Spanish speaking heart failure patients.

Methods: This qualitative study measured multiple aspects of the patient care experience in one-to-one interviews with seven (2 inpatient, 5 outpatient) Heart Failure Spanish speaking patients that received care at UCLA between 2011 and 2015. Consent was received from all participants using a Spanish speaking community health educator who was also present …

Validation Of Newly Developed Quality Maternaly Service Management (Qmsm) Model For Primary Health Care Facilities, Joel Ojo Aluko, Rhoda Anthea, Regis Rugira Marie Modeste

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: Developing countries, including Nigeria, have the highest burden of Maternal and neonatal deaths resulting from complications related to pregnancy and childbirth. The global report of deaths related to pregnancy and childbirth documented 600,000 Maternal deaths annually. The unacceptable high rate of Maternal and neonatal deaths in Nigeria has been persistently unabated. In Nigeria, the Maternal mortality ratio in 2008 was recorded as 545/100,000 live births, and 576/100,000 live births in 2013. Women and children from low socioeconomic background are the vulnerable groups. The peculiarity of their vulnerability predisposes them to finding quicker …