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Checking The Pulse Of Cultural Competency: A Comparison Of Pa Magnet And Non-Magnet Facilities, Rita K. Adeniran, Monica J. Harmon

International Nursing Research Congress (INRC)

The top purposes of the Cultural Competence Education and Awareness Survey (CCEAS) of Pennsylvania registered nurses are to ascertain the differences in the attitudes, knowledge and behaviors related to the cultural competency of registered nurses in magnet and non-magnet facilities in the state of Pennsylvania. In essence, the survey examined registered nurses' level of desire and interest to provide culturally competent care; the sources and availability of education and training to support cultural competency; and the extent to which cultural competency is being practiced by registered nurses in both magnet and non-magnet facilities.

Acute Mountain Sickness In The High-Altitude Urgent Care Clinic, Jack Miller

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Mountain sports have become more popular and adventure seekers are traveling to the top of the world in search of their passion. With more travel to higher and higher altitudes for outdoor recreation, military, and rescue operations requiring an ascent to high altitudes, with little or no time for acclimatization, it is imperative to understand the effects of altitude and low gas pressures on the human body. Health care providers are being presented with questions of prevention and treatment of high-altitude medical problems, as well as the effects of altitude on preexisting …

An Integrative Review Of Cardiovascular Disease In Lesbian, Gay, And Bisexual Adults, Billy A. Caceres

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Social conditions and related psychosocial stressors compromise the health of lesbian, gay, and bisexual (LGB) people across the lifespan (Institute of Medicine [IOM], 2011). Indeed, homosexuality remains a criminal offense punishable by jail time and/or death in many countries therefore leading to concealment of sexual orientation and significant fear among LGB individuals (international Lesbian, Gay, Bisexual, Trans, and Intersex Association, 2015). Experiences with discrimination are associated with negative health outcomes, decreased life expectancy, and increased mortality in this population (IOM, 2011). Cardiovascular disease is the leading cause of death worldwide and research …

Developing Interdisciplinary Approach Competency Related To Hiv And Aids In Preparing South African Nurses, Regis Rugira Marie Modeste

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: Worldwide, the health care delivery is provided by various health care professionals, and more so for the care of HIV and AIDS. The health priorities as stated by the South African department of health include reduction of Maternal and child mortality as well as fighting against HIV and AIDS among others (Department of Health, 2010; Johnson, 2012). The 2015 UNAIDS report estimates about 6.8 million of people living with HIV in South Africa, with more than 3 million people being initiated on ART (UNAIDS, 2014a, UNAIDS, 2015). With the recent approval of …

Perceived Discrimination Is Related To Emotional/Psychological And Physical Symptoms In Sickle Cell Disease, Miriam O. Ezenwa

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: Perceived discrimination is a psychological stressor that has been linked to negative health outcomes in both healthy and patient populations. Barnes, 2008. Yet little is known about the relationship between perceived discrimination and emotional/psychological and physical symptoms in adult patients with sickle cell disease (SCD). Americans with SCD are vulnerable to the negative influence of perceived discrimination because of historical and contemporary exposure to discriminatory practices, since the majority of patients with SCD are people of African or Hispanic descent. Guided by the model of perceived unfairness (MPU), the purpose of this …

Parents Perceptions Of Stressors In The Neonatal Intensive Care Unit In One Hospital In Rwanda, Priscille Musabirema

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: The purpose of this study was to describe and analyse parental perception of stress that resulted from having their infant admitted to an NICU in Kigali, Rwanda.

Methods: A quantitative survey was used to describe and analyse parents' perceptions of stress when they had an infant admitted to an NICU. The Parental Stress Scale: Neonatal Intensive Care Unit (PSS: NICU) Miles (1993) was used to measure the level of stress that those parents experienced. Scale scores were calculated by averaging those stress responses for the items on each scale and for the …

Closing The Gap In Nurse Advocacy, Nancy Ridenour

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Health care transformation is happening globally. Nurses have the knowledge and expertise to dramatically impact the reformation of local, national and global health systems. Experience working on the House Ways and Means Committee in the U.S. House of Representatives lead the presenter to realize that the voice and expertise of nursing is dramatically absent from the policy conversation. Paradoxically, however, when a nurse who is health policy savvy, policy makers are very interested in incorporating the nursing perspective. Policy makers understand that the broad, population health based approach of nurses is needed to …

Addressing The Needs Of Direct Care Staff When Affected By Natural Disasters Globally, Lynn M. Hood, Marie O. Etienne, Patricia R. Messmer, Nahomie Mirville, Marjorie Lozama, Guerna Blot, Amina Dubuisson

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: A competent workforce committed to providing patient-centered care is vital since retention and turnover rates of direct care staff in skilled nursing facilities are directly related to quality of patient care (Austrom et al, 2015). Turnover and retention rates can become extremely challenged when a workforce is in crisis. Following the 2010 devastating earthquake in Haiti, 31 skilled nursing facilities in Florida and Georgia actively engaged in providing support to Haitian employees and their families both in USA and Haiti. Administrators, leaders and line staff participated in the support and relief efforts …

Nutritional Intervention Effectiveness In Oncology Patients Receiving Active Anti-Cancer Treatment: A Systematic Review, Amanda M. Adams

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: This systematic review seeks to determine if an individual or combination nutritional intervention (education and/or supplementation) would significantly impact weight maintenance in adult cancer patients undergoing active anti-cancer treatment. Active anti-cancer treatment is defined as chemotherapy, radiation therapy, or combination chemoradiotherapy.

Background: Many aspects of nutritional intake are hindered in patients with cancer. Malnutrition related to cancer can occur either directly because of the tumor, the body's response to the tumor, or the treatment modalities utilized to inhibit the cancer's growth. The Integrated Theory of Health Behavior Change was used to guide …

Hope Beyond The Aging Lines: Exploring The Lived Experiences Of Elderly In The Philippines, Jordan Tovera Salvador

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: In the Philippines, the Elderly group is one of the most vulnerable sectors of the society. The phenomenon of aging has grown bigger and bigger each year. In fact, approximately millions of population is continuously added in every country all over the world. The Philippines has been one of the ASEAN countries that shares the same situation. The government and non-government agencies must inexorably exert efforts in dealing with this situation especially when it comes to the demands of healthcare, housing, and social security. In addition, Elderly have various needs and requirements …

Nursing Interventions To Manage And Prevent Type 2 Diabetes And Its Complications, Gail D'Eramo Melkus

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Diabetes currently affects approximately 9% of the world's population over 18 years of age and accounts for 1.5 million deaths, at a cost of $376 billion. This translates into 382 million individuals with the disease; and by 2030 the number is estimated to increase to 552 million. Persons living in low and middle income countries experience a disproportionate burden of diabetes and related complications often due to a lack of trained diabetes health care providers and resources. Africa currently has 12 million persons with diabetes and by 2030 the projected number will be …

Diabetes-Related Knowledge, Attitude(S) And Practices Of Health Workers Working With Diabetes In The Free State, Charmaine Elizabeth Hassan, Marianne Reid

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: According to the international Diabetes Federation, 382 million people had been diagnosed with Diabetes Mellitus by the end of 2013 and 592 million are still to be diagnosed by the end of 2035, with a further 175 million of these adults being undiagnosed (international Diabetes Federation, 2013:30). As diabetes is a lifestyle disease that is influenced by lifestyle choices, the Theory of Planned behaviour (TPB) was used to explain why certain behaviours take place. The theory is used to explain health care workers behaviour. A patient cannot be taught to catch a …

Sigma Theta Tau International Global Initiatives: A Blueprint For Global Growth And Stability, Cynthia Vlasich

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Purpose: The Honor Society of Nursing, Sigma Theta Tau international (STTI), is a well-established nonprofit with a strong reputation among nurse leaders. Since its founding in 1922, the organization has recognized the value of scholarship and excellence in nursing practice. In 1985, the Society added "international" to its name to clearly indicate the intention for global growth. Since this time, STTI has experienced substantial growth internationally, which led to the creation of the current Global Initiatives department. STTI has made great strides in global advancement in recent years. In July 2012, the United …

We Walked Their Walk: A Simulation Of Poverty, Dolores J. Wright, Jacqueline Paik

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Abstract Purpose: The goal of this experience was to evaluate the impact of a poverty simulation on undergraduate public health nursing (PHN) students' attitudes towards those living in poverty. Poverty is the most influential social determinant of health. Since nurses care for people from all socioeconomic groups, they will encounter people living in poverty who feel that health care providers are frequently insensitive to their needs and concerns. Therefore, it is incumbent upon nursing faculty to address poverty-related-to-health issues with their students. Description: Faculty designed a two cohort: simulation vs. control design to …

Perceived Practice-Based Problems And Evidenced-Based Outcomes In Online Advanced Practice Nursing Students (Aprn), Patricia A. Riccio, Carol M. Patton

International Nursing Research Congress (INRC)

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

Purpose: This study sought to: 1) describe perceived nursing practice problems identified by online Advanced Practice Nursing (APRN) students, and, 2) describe clinical outcomes evident in peer-reviewed, scholarly resources focusing on APRN care and roles.

Methods: a. Background There are four nationally accepted advanced practice registered nurse (APRN) roles: nurse practitioners (NPs), clinical nurse specialists (CNS), certified nurse midwives (CNM), and certified registered nurse anesthetists (CRNA) (Glembocki & Fitzpatrick, 2013; Joel, 2009). APRNs function in their various roles through application of advanced knowledge, skills, and competencies obtained that …

Learning For Practice: A Key To Quality Bsn Curriculum Benchmarks, Evelyn Baxter Chilemba

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The study sought to determine the quality of the KCN BSN curriculum through the analysis of the curriculum benchmarks. The stakeholder observations of and concerns about the Kamuzu College of Nursing (KCN) graduate nurses' low levels of clinical performance in practice settings reflects on the quality of curriculum benchmarks. Thus, may be the BSN curriculum bench marks fail to inform frameworks for the teaching and learning for practice among the student nurses. Learning for practice is a process that results from deep learning when concrete learning experiences lead to new learning experiences …

Nursing Students' Self Assessment Of Clinical Experiences, Chika Grace Ugochukwu, Anthonia I. Nnabuenyi

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016: Purpose: To ascertain nursing students' self assessment of their clinical experiences in order proffer suggestions and recommendations for better supervision and mentoring of students. Method: The study utilized personalized response patteRNhat reveal that nursing students are capable of self reflection, and do contribute appreciably to patient care. The study design was qualitative and each nursing student was required to document their experiences in their own method with no uniformity for all the students. The sample for this study comprised twenty eight (28) nursing students selected from a hospital …

Evaluating Knowledge Of Safe Injection Among Perioperative Nurses In Two Tertiary Hospitals In Lagos, Nigeria, Bilkis Bukola Adeleye, Mariam Balogun, Ibrahim Olayinka Quadri

International Nursing Research Congress (INRC)

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

Purpose: The complex environment of the operating setting provides multiple exposures for health care workers to sustain sharp injuries. These preventable injuries can expose health care workers to the risk of blood borne diseases (Dolan et al, 2010). Nurses are particularly at risk of sustaining these injuries as they provide frontline of care to the patients. Consequently, numerous studies have been conducted on the knowledge of safe injection practices among nurses in Nigeria (Omorogbe et al, 2012 and Onyemocho et al, 2013). However, none of these studies have …

Incorporating Online Education Modules With Community Clinical Experiences To Enhance Cultural Competency Among Student Nurses, Uletha Marie Jones, Khlood Salman

International Nursing Research Congress (INRC)

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

Purpose: Cultural competency can be a challenging and overwhelming topic for students to understand. A West Florida Associate Degree Nursing Program currently incorporates cultural competency as part of the program curriculum, but the information included is sporadic or minimal in some courses. Cultural education is included in all stages of human growth and development, from childbirth/childrearing to death and dying. Incorporating online continuing education modules from the Culturally and Linguistically Appropriate Services (CLAS) along with clinical hours in a diverse community setting may assist in solidifying the education …

Experiences Of Nurses And Midwives During The Ebola Outbreak In Liberia, West Africa, Erhuvwukorotu Siemuri Kollie, Betty J. Winslow

International Nursing Research Congress (INRC)

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

Purpose: The purpose of this study is to describe, analyze, and interpret the experiences of nurses and midwives, including personal, political, institutional, and governmental influences, and perceptions and attitudes towards rendering care to patients during the Ebola outbreak in Liberia, West Africa.

Methods: The Grounded Theory method will be used in this study. This study will combine both the Corbin and Strauss (2015) and the Charmaz (2014) methods of analysis, which will result in conceptual ordering. A sample size of 30 nurses and midwives will be used to …

Analysis Of The Quality Of Care For Primary Health Care Users In Ethekwini District, Kwazulu-Natal, Dudu Gloria Sokhela

International Nursing Research Congress (INRC)

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

Purpose: This mixed methods study aimed to assess the functioning and processes of the Fast Queue Service Point in order to analyse the quality of care rendered in primary health care (PHC) facilities in the eThekwini district of the KwaZulu-Natal Province in South Africa. Quality care would be measured through clinical assessments that were required for each health care user. The Fast Queue Service Point provides service in PHC facilities for health care users requiring short consultations, including those with chronic illnesses, well babies and those coming for …

Attitudes Of Health Professions' Students Toward Older Adults, Michele M. Shuman

International Nursing Research Congress (INRC)

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

Purpose: Across the world, the population of older adults is growing exponentially. This growing population will not only tax each socio-economic system in which the growth is occurring, but especially the health care systems in each respective country. For many of these older adults, as they live longer, suffer from at least one chronic illness. Older adults occupy more than half the beds in acute care institutions. Their age and health status makes older adults an especially vulnerable population who deserve the most compassionate and competent care possible. …

Effects Of Using Early Bonding And Initial Breastfeeding In Labour Room, Ramathibodi Hospital, Yingkwan Yoorat

International Nursing Research Congress (INRC)

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

Background: Breast milk is recognized as nutrition for infants with health benefits for both child and mother. Promoting the early initiation of breastfeeding by skin to skin contact between mother and newborn after birth increases the rate and duration of breastfeeding. Therefore, promoting the early initiation of breastfeeding is important. Thus, obstetrician and nurse-midwives need to realize about those obstacles and help a mother to initiate her breastfeeding right away after delivery or within half an hour after dilivery according to the 4th step of successful breastfeeding breastfeeding …

Symptom Differences In Older And Younger Women With Suspected Heart Disease, Holli A. Devon, Larisa A. Burke, Karen Vuckovic, Anne G. Rosenfeld

International Nursing Research Congress (INRC)

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

Purpose: To determine if older (>65y) and younger (<65y) women presenting to the emergency department (ED) with suspected acute coronary syndrome (ACS) varied on risk factors, comorbid conditions, and symptoms which have implications for personalized care. Many young women are unaware of their risk for heart disease. Younger women also have increasing rates of comorbid conditions and more symptoms during myocardial infarction (MI). Older women have more risk factors and the average age at MI is 71.8 years.

Methods: Patients admitted to five EDs for evaluation of ACS were enrolled. The 13-item validated ACS Symptom Checklist was administered to measure symptoms on presentation. Comorbid conditions and functional status were measured with the Charlson Comorbidity Index and the Duke Activity Status Index. Logistic regression was used to evaluate symptom differences in older and younger women adjusting for ACS diagnosis, functional status, body mass index (BMI), diabetes and other comorbid conditions.

Results: The mean age of the convenience …

The Hunt For Good Nursing Workforce Data: Lessons Learned, Lisa Wright Eichelberger, Rebecca Wheeler

International Nursing Research Congress (INRC)

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

Purpose: The purpose of presentation is to share Georgia's nursing workforce survey results, identify strategies used to significantly increase response rates, describe lessons learned from the collaboration processes critical to the success in obtaining the statewide workforce data and identify all state, national, legislative, and political agents needed to accomplish the task.

Background and Significance: Nursing workforce supply data are key for any kind of state workforce planning. Georgia, like so many other states, have been challenged to meet the growing health care needs of its citizens and …

1000 Days Engagement Model: Promoting Positive Relational Health For Vulnerable Māori Families In New Zealand, Lauralie Richard

International Nursing Research Congress (INRC)

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

Purpose: Whānau Ora is a cultural praxis promoting Māori (Indigenous people of New Zealand) health and wellbeing for whanau (Māori families). Foundational to recent service delivery reforms, whānau-centered approaches still remain poorly translated into current practice and meaningful ways of engaging with whanau often lack empirical grounds. The 1000 Days Trust is a community-led residential program developed with the collective vision of promoting positive relational health and wellbeing for vulnerable whānau in Southland, New Zealand. Here we present a model of engagement which articulates core principles of how …

Changes In The Participation Status Of Laryngectomized Patients In A Self-Help Group After Hospital Discharge, Kaori Haba, Kumiko Kotake, Kazuyo Iwanaga, Yoshimi Suzukamo, Ichiro Kai, Aya Takahashi, Yoko Ishibashi

International Nursing Research Congress (INRC)

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

Objectives: To elucidate the participation of laryngectomized patients in a self-help group during the first year after hospital discharge. Methods: Forty-seven patients (39 men [83.0%] and 8 women [17.0%]) aged 64.2 (range, 46-82) years who underwent total laryngectomy for cancer in or near the larynx and consented to participate in the study responded to a questionnaire survey regarding registration and participation in a self-help group. The questionnaire was administered before and 3, 6, and 12 months after hospital discharge. Survey items were basic attributes (age at surgery and …

Relationship Between Middle School Students' Social Skills And Their Characteristics In Child And Adolescent Psychiatry, Tomokazu Sugaya, Chizuru Mori

International Nursing Research Congress (INRC)

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

Introduction: In child and adolescent psychiatry, children were visited suffering from various difficulties of daily life. 45% of patients came to a child and adolescent psychiatry in Japan because of interpersonal troubles. It indicated nearly half children in child and adolescent psychiatry had interpersonal troubles. Social skills are based on intelligence, personality, language, nonverbal behavior and cognition. These are also used in interpersonal communication. Many patients in child and adolescent psychiatry had interpersonal problems, for that reason, it was considered that those patients had low social skills. It …

"Mozwane" Or "Party In Motion": A Driver For Hiv Infection Among Adolescents In Botswana, Mabel Magowe, Kefalotse Sylvia Dithole, Esther Salang Seloilwe

International Nursing Research Congress (INRC)

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

Introduction: Adolescents have low rates of HIV infection but are at high risk of adverse sexual health outcomes because of early engagement in unsafe sexual behaviors. The concept of 'Mozwane' or 'party in motion' has been identified by adolescents in Gaborone, Botswana as one of the drivers of adolescent sexuality problems. We explored the concept further to inform a proposed adolescent HIV, sexually transmitted infections (STI) and pregnancy prevention intervention.

Methods: This was part of a larger cross-sectional qualitative study, conducted between December 2011 and January 2012, on …

Perceptions Of Second Year Bridging Students Regarding Mentoring At Private Nursing Colleges In Eastern Cape, Thriscilla Pillay

International Nursing Research Congress (INRC)

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

Aim of study: The aim of this study was to describe the perceptions of second-year Bridging Course Students at Private Nursing Colleges in the Eastern Cape, so as to contribute to strengthening the current teaching and learning strategies. Objective: To determine and describe the perceptions of second-year Bridging Course Student Nurses regarding mentoring by professional nurses at Private Nursing Colleges in Eastern Cape.

Design: Quantitative, descriptive research design Sampling: Non-probability stratified sampling method Method: Simple stratified sampling method.

Results: This study has revealed that mentoring at Private Nursing …