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Influencing Health Through Policy: The Dynamic Role Of Nurses In The Boardroom, Kimberly Harper, Cynthia Vlasich

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: Sigma Theta Tau International's Call to Action 2015-2017 is 'Influence to Advance Global Health and Nursing.' Nurses play an essential role within healthcare, as front-line service providers, managers and directors of care, as well as vital decision makers. Acting not only as individuals, nurses are also members and coordinators of inter-professional and multi-sector teams through which balanced action can be undertaken with broad levels of support. Working with our colleagues in other disciplines and sectors, nurses bring a unique and invaluable perspective to patient care, seeing firsthand the gaps in the healthcare …

The Effect Of Assessing Barriers And Self-Efficacy Enhancement Program On Medication Adherence, Rapin Polsook

International Nursing Research Congress (INRC)

This study aimed to examine the effect of self-efficacy enhancement program on medication adherence in post- acute myocardial infarction patients.

Improving Effectiveness Of Student Learning During Clinical Rotations At A Teaching Hospital In Rwanda, Nanyombi Lubimbi, Josette Niyokindi

International Nursing Research Congress (INRC)

As in many developing countries, Rwanda suffers from a chronic shortage of skilled healthcare professionals, including clinical instructors. This shortage negatively affects the quality of the clinical experience and has a significant impact on student learning outcomes. Due to poor clinical supervision, it is often noted that students have minimal structure and a lack of consistent guidance during their clinical rotation learning process. This abstract addresses the collaborative work of Clinical Educators sponsored by the Human Resources for Health (HRH) Program and their partnerships with Rwanda colleagues at the Rwanda Military Hospital (RMH) to implement an effective and structured learning …

Diabetes Management And Mhealth Technology: The Importance Of Healthcare Partnerships And Clinical Integration, Sheridan Miyamoto, Stuart Henderson, Sarina Fazio, Madan Dharmar, Heather M. Young

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: 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 focus on behavior changes such as physical activity and diet. There is increasing evidence that person-centered models of care that target behavioral health are more successful in improving and addressing chronic illnesses such as diabetes. …

Quality Of Life In Children And Adolescents With Congenital Heart Disease, Jorge Manuel Apostolo

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The Quality of life is currently a major topic discussed in our society. The World Health Organization (WHO) has been developing a unifying and transcultural definition of QOL. They considered it as the individual's perception of his or her position in life, within the cultural context and value system he or she lives in, and in relation to his or her goals, expectations, parameters and social relations. It is a broad ranging concept affected in a complex way by the person's physical health, psychological state, level of independence, social relationships and their …

Prevalence Of Depression And Associated Factors Among The Patients With Diabetes And Hypertension In Rwanda, Madeleine Mukeshimana, Gugu Gladness Mchunu

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: Chronic non-communicable diseases are frequently becoming linked with development of depressive symptoms and disorders with major health consequences associated with this co morbidity (Gunn, Ayton, Densley et al. 2012; Al-Amer, Sobeh, Zayed and Al-domi, 2011). Global trends have shown that the co-morbidity of depression and chronic NCDs has been associated with major health consequences including high rate of mortality and morbidity, disability, reduced quality of life and increased health costs and non- adherence to treatment (Markowitz, Gonzalez , Wilkinson & Safren , 2011; Moussavi , Chatterji , Verdes , Tandon et al. …

Effects Of Combined Teaching Strategies In Evidence-Based Learning For Student Nurses And Clinical Nurses, Hsueh-Erh Liu, Karen Chang, Hsin-Fang Lee, Kuang-Hui Yu, C. W. Chang

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

This two-year quasi-experimental study was conducted during August, 2013 to July, 2015. Student nurses (SN) and clinical nurses (RN) were recruited from one university and one medical center. These who selected the elective course 'evidence-based health care' were treated as experimental group (n=16) whereas the rest of students at the same year were treated as control group (n=71). For clinical nurses, the willing to learn the contents of evidence-based health care was selected as criteria to be experimental group (n=29) or control group (n=77). The experimental group received teaching and web learning and …

Development Of Interprofessional Healthcare Leadership Modules For Undergraduate Students, Carin Maree

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Interprofessional education developed as a strategy to utilise interprofessional teamwork to meet the communities' needs while addressing the shortage of healthcare professionals. The focus thereof is on healthcare professionals from different disciplines who are learning from each other, while sharing common responsibilities to the benefit of the patients and communities. In order to instill a sense of interprofessional teamwork, modules have been developed by the School of Healthcare Sciences for undergraduate healthcare students in integrated healthcare leadership. Aspects that are addressed include professionalism, ethics, communication and conflict management in teams, community health models, …

Breast Cancer Global Research: Coping, Social Support And Health Of Women With Breast Cancer, Kathleen A. Sternas

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: Breast cancer is a stressful experience for women worldwide. National and international studies report poor quality of life, increased emotional distress among women with breast cancer. (Mayer, et al., 2010; Mukwato, et al., 2010; Yusuf, et al., 2013). Factors which can impact health after breast cancer include coping and social support (Doumit, et al., 2010; Drageset, et al., 2010; Kim, et al., 2010; Taleghani et al., 2006; Till, 2003). The purpose of this presentation is to discuss: global research findings on coping and social support and their impact on health of women …

Students' Perceptions Of The Operating Room As A Clinical Learning Environment, Rhoda Meyer

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Students undertake their clinical placement in various clinical settings for the exposure to and acquisition of skills related to that particular context. The operating room, for example, is a context that offers the opportunity to develop critical skills related to the perioperative care of the patient. Despite the numerous studies that have been undertaken in this field, few studies that have investigated the operating room as a clinical learning environment in the South African healthcare system have been published. The aim of this study was to determine students' perceptions of the operating …

Effect Of Global Nursing Leadership Program Developed By Students' Need Assessment, Sunjoo Kang

International Nursing Research Congress (INRC)

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

Purpose: This study analyzed the effects of the global leadership program among participants from three different countries after a short-term program was developed through their needs assessment.

Methods: A pre- and post-test design without a matched control group was used with a random sample. A questionnaire was used to identify the effect of global nursing leadership. The educational needs of nursing undergraduate students from South Korea, Vietnam, and the United States were assessed to develop a global nursing leadership program.

Results: Participants took a forty-hour program that was …

Should Insulin Be Withheld When Nothing By Mouth Is Ordered In Patients Who Require Insulin?, Joyce Elaine Emery, Martina Mendoza

International Nursing Research Congress (INRC)

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

Purpose: The purpose of this study was to perform comparative analysis of practice guidelines and current evidence for the management of hyperglycemia in hospitalized patients.

Methods: An integrative literature review was conducted using Cochrane, CINAHL Plus, PubMed and the National Guideline Clearing House. Key words searched included hyperglycemia, inpatient diabetes, pre-operative, surgical, NPO, hospitalized, Type 1, Type 2 diabetes, Nothing by mouth, Adult, basal bolus, Hypoglycemia, management, insulin, rabbit two trial.

Results: Hyperglycemia and hypoglycemia are both serious and costly health care problems in hospitalized patients. The risk …

Conceptual Model Of Health-Related Quality Of Life In Schizophrenia, Carlos M. Janela

International Nursing Research Congress (INRC)

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

Background: People with schizophrenia experience devastating symptoms (including hallucinations, emotional withdrawal, and cognitive impairment) as well as comorbidities that lessen their health-related quality of life (HRQoL). Compared to other people, they have a shorter life expectancy and are discriminated against. HRQoL, by focusing on well-being rather than symptoms is a particularly relevant outcome indicator for schizophrenia. Identifying and clarifying determinants of HRQoL in schizophrenia is vital to guide the focus of future research, to investigate alternative and complementary interventions, and to improve the quality of mental health services. …

Dementia As Leading Co-Morbidity In Homebound Seniors, Ron Billano Ordona

International Nursing Research Congress (INRC)

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

Background: A curious twenty-first century phenomenon is happening in the US. Physicians and Nurse Practitioners are reviving the house call practice. Medical House Call Programs offers homebound elderly residents medical treatment in their own homes. The United States is currently faced with the challenge of how and where to care for it's aging population. Nurse practitioner (NP) home-based care is a potential solution to meet this challenge. Current research indicates that care provision by advanced practice nurses reduces cost, decreases length of stay and readmission to hospitals, and …

Effectiveness Of A Breastfeeding Education Program For Mothers Of High Risk Infants On Breastfeeding Outcomes, Tzu-Ying Lee, Mei-Ling Fu

International Nursing Research Congress (INRC)

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

Purpose: Breast milk is the most natural and suitable source of nutrition for newborns (Giglia & Binns, 2014) and breastfeeding can enhance Maternal attachment to her newborn (Britton, Britton, & Gronwaldt, 2006). For newborns in the neonatal intermediate care unit after birth, exclusive and continued breastfeeding can be affected by factors such as mother-infant separation (Wang & Gau, 2013), infant's health conditions (Huang, Lee, Gau, & Hang, 2007) and Maternal anxiety (Lee, Lee, & Kuo, 2009; Meier, Engstrom, Patel, Jegier, & Bruns, 2010). Thus, providing support to mothers …

Integrating Evidence-Based Practice In A Lebanese Nursing Baccalaureate Program: Challenges And Successes, Ola Sukkarieh-Haraty, Nancy Hoffart

International Nursing Research Congress (INRC)

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

Background: Evidence-based practice (EBP) is defined as 'the integration of best research evidence with clinical expertise and patient values' (Sackett, et. al., 2000). According to the American Association of Colleges of Nursing (2014), registered nurses (RN) with baccalaureate degrees are better prepared to optimize patient care, particularly by decreasing mortality rates in hospitals. Despite the inclusion of EBP as the appropriate preparation for giving bed side care, research skills remain suboptimal in enabling nurses to conduct and implement evidence-based practice (EBP). In the Middle East (ME) region, there …

Xhosa Speaking Nursing Student's Experiences Of Education In A Language That's Not Their Mother Tongue, Juanita Espach, Ayanda Mlatsha

International Nursing Research Congress (INRC)

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

Purpose: Nursing students attending any nursing school in South Africa are taught in English. A large percentage of students are second language English speakers who have to be taught nursing jargon as well as theory in English. These students have difficulty communicating with lecturers, colleagues and patients and struggle with reading textbooks or writing tests, assignments and examinations. Young men and women who are interested in a nursing career come from all walks of life and circumstances. Often the individual comes from a rural area and received all …

Community Leadership And Health Promotion: Lessons From Rural South Africa, Wilson Majee, Lydia Aziato, Karien Jooste

International Nursing Research Congress (INRC)

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

Purpose: Rural communities have continued to face a complex set of challenges: geographic isolation, high levels of poverty, sparse and declining human population, as well as loss of jobs and economic opportunities. These factors create two big challenges for rural communities -- continued rural urban migration of predominantly young people and a pool of disengaged youth among those that stay. Because of this, rural communities have a greater human capital need for more leaders. Though actively engaging community leaders in building programs and policies that consider equity and liveability …

Barriers To Treating Hypertension And Preventing Potential Risk For Cardiovascular Disease Among Haitians, Diana Lyn Baptiste, Jill B. Hamilton, Elizabeth Sloand, Beth Fahlberg, Patricia Mary Davidson

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: Hypertension (HTN) is the greatest cause of morbidity in Haiti, where it is an identified cause of heart failure for 45% of patients, and primarily associated with more than 70% of cardiovascular disease-related hospital admissions. The literature is limited regarding HTN in Haiti, where HTN and related complications are responsible for an estimated 20% of deaths. In this review, we explored the scientific literature regarding HTN and heart failure in Haiti. Specifically, we focus on HTN as a cause of morbidity and mortality in Haiti. We also synthesize the evidence on assessment …

Improving Patients` Quality Of Life Through Nurse-Led Combined Physical And Cognitive Rehabilitation Program, Omaimah A. Qadhi

International Nursing Research Congress (INRC)

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

Despite the fact that the medical technology is improving and the number of survivors from critical illness is increasing, the survival rate approximates 89% upon one to three years after discharge (Brummel et al., 2012; Elliott et al., 2011; Trees, Smith, & Hockert, 2013; & Williams & Leslie, 2011). Same previous authors reported that long-term survival rate seems to be less than other patient populations such as patients of routine uncomplicated surgical procedures such as total hip replacement. Critical illness is a continuum that starts before the patient …

Perceived Implementation Of Guidelines To Prevent Mother-To-Child Transmission Of Hiv In Malawi: A Qualitative Multiple Case Study, Chifundo Colleta Zimba, Jennifer Leeman

International Nursing Research Congress (INRC)

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

Purpose: To describe the extent to which four rural Malawi clinics implemented the core components of the 2011 Malawian Option B+ guidelines following three years of an extensive implementation support program.

Methods: This study used a descriptive multiple case-study design. N=4 clinics were purposefully sampled from a total population of 134 health facilities. Of the 4, n=2 fell into the highest while n=2 into the lowest quartile of the proportion of eligible women who were tested for HIV in Fiscal Year 2012-2013. In-depth interviews were done with 18 …

Theory-Practice Gap: Perceptions Of Nurse Faculty, Nursing Students And Clinicians In Ghana, David Abdulai Salifu

International Nursing Research Congress (INRC)

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

Purpose: Globally, the theory-practice gap in nursing has been the subject of much debate within the profession. Despite attempts by nurse faculty to respond to changes in nursing education, the dichotomy between classroom theoretical input and what is practiced or experienced on the wards continue to defy resolution. Although well documented globally, there is a paucity of published research work originating from sub-Saharan Africa (SSA). Moreover, experiences may be varied due to the differences in pedagogical approaches and health care environments in the more technologically advanced western countries …

Recognizing Limitations To Blood Pressure Management By Latinos With Hypertension: A Primary Focus Group Study, Sabianca Delva, Hae-Ra Han

International Nursing Research Congress (INRC)

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

Background: Latinos in the United States - the largest and the fastest increasing ethnic minority group in the country - are experiencing increasing incidences of high blood pressure (HBP) that is often uncontrolled. Self-management of HBP is a determining factor for BP control yet, it is unclear what barriers and facilitators exist in relation to HBP management from the emic perspective. Purposes: 1) to explore barriers and facilitators of HBP self-management among Latino individuals residing in an urban area on the East cost of the United States, and …

Weight Stigma In Relation To Hair Cortisol And Binge Eating In Obese Asian-Americans, Diane C. Berry, Ya-Ke Wu

International Nursing Research Congress (INRC)

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

Purpose: The purpose of this study is to examine the relationships between weight stigma, level of acculturation, hair cortisol levels, and binge eating among overweight and obese Asian-Americans. Obesity is an important public health concern for Asian-Americans in the United States (Jih et al., 2014). Many children and adults face weight stigmatization as a result of being overweight or obese (Levy & Pilver, 2012). Weight stigma can be defined as individuals experiencing verbal or physical abuse secondary to being overweight or obese (Puhl & Heuer, 2011). Weight stigma …

Stress And Health Of Mother-Child Dyads Living In Poverty, Randi A. Bates

International Nursing Research Congress (INRC)

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

Introduction: Poverty and chronic stress impede optimal child development. Although some forms of stress are essential for normal development, unbuffered chronic stress can lead to adverse health outcomes later in life. A growing body of research now identifies a direct association between the stress of mothers/caregivers and their child. Chronic stress is difficult to measure in young children but temperament may reflect a young child's chronic stress as it changes with experiences and environments. Furthermore, child temperament is associated with later adult health and health behaviors. The purpose …

Interpersonal Functioning Of The People With Schizophrenia: Associations With Theory Of Mind And Working Memory, Mio Sato, Chizuru Mori

International Nursing Research Congress (INRC)

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

Introduction: It is necessary to receive an information such as a surrounding and an expression of the speaker, intention, feelings appropriately and to response in accord with the context of the conversation in order to interchange with others smoothly. Receiving an information in the interpersonal scene is affected by Theory of Mind (ToM) which is an important cognitive function to understand and inference of mental states (beliefs, thoughts, and intention) of self and others (Pos et al, 2015). If we obtain it, we able to explain and predict …

Isoniazid Preventive Therapy (Ipt) Defaulting: Who Are Responsible?, Lizeth Roets, Emmanuel Ikechukwu Okoli

International Nursing Research Congress (INRC)

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

Purpose: Infection with human immunodeficiency virus (HIV) has been identified as the strongest risk factor in the reactivation of latent or new Mycobacterium tuberculosis infection to active TB disease. TB is also the commonest cause of morbidity and mortality among the HIV-infected population in South Africa and studies have shown that TB accelerates HIV disease progression. Isoniazid preventive therapy (IPT) is one of the interventions recommended by the WHO and the South African NDOH for the prevention of progression to active TB disease in people living with HIV …

Mexican-American Breast Cancer Survivors' Challenges With Health Care Disparities: A Mixed Method Study, Mary M. Lopez

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: Coping is a challenge for breast cancer survivors and may result in a poor quality of life (QOL) even more than five years after completion of treatment. The primary purpose of this mixed method study was to examine culturally specific health disparities, and the effects of acculturation, optimism, and breast cancer challenges on coping styles and to determine the effect coping styles have on the QOL of Mexican American breast cancer survivors. The secondary purpose was to identify effective strategies to decrease healthcare disparities experienced by Mexican American breast cancer survivors.

Methods: …

The Lived Experience Of Orthodox Jewish Nursing Students: A Descriptive Phenomenological Study, Toby Bressler

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: As borders become more fluid, demographic shifts create a social imperative that requires nurses from diverse cultural groups to provide quality health care. With expanding cultural diversity in the United States (U.S. Census Bureau, 2009), the Institute of Medicine (2009) recommends that the nursing workforce increase its diversity to better meet the current and future health needs of the public while providing culturally relevant care. Despite attempts in recent decades to improve to the demographic composition of the nursing workforce in the United States, the nursing workforce has remained predominantly homogeneous. It …

Translational Genomics For Predicting Pediatric Pain Outcomes, Renee Manworren

International Nursing Research Congress (INRC)

Purpose: Explore the potential for translating our emerging knowledge of genetic associations with pain sensitivity and analgesic metabolism to a personalized medicine approach to pediatric pain management. Methods: Candidate genes from two groups of pediatric patients were interrogated for associations with pain sensitivity and analgesic efficacy phenotypes. Candidate genes were selected based on previously identified associations with altered pain sensitivity in experimental pain and clinical pain syndromes (COMT, FKBP5, GCH1, OPRM1, OPRD1, TRPA1, TRPV1) and with altered analgesic metabolism (CYP2D6, CYP2C9, CYP2C19, CYP3A4, CYP3A5). Individual variability in pain experiences, use of opioids and opioid effectiveness will be illustrated. Patients with …