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The Lived Experience Of Nurse Practitioners In Independent Practice, Annmarie V. Waite

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: The purpose of this qualitative phenomenological study was to explore the lived experience of Nurse Practitioners (NP) in independent practice. The aim was to give NPs a voice to express their individual experience, provide an inductive description of the lived experience, and gain understanding of the essence of being an independent practitioner.

Methods: The purpose of this qualitative, phenomenological inquiry was to explore the lived experience of the nurse practitioners in independent practice. A hermeneutic phenomenological inquiry was used to reveal the experiences from data grounded in the perceptions and experiences of …

Nursing Students' Perceptions And Attitudes Towards Evidence-Based Practice, Research And Graduate Education In Nursing, Adejoke B. Ayoola

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Part of the roles of nurses identified in 'The Future of Nursing: Leading Change, Advancing Health' report released in 2010 by the Institute of Medicine (IOM) and Robert Wood Johnson Foundation (RWJF) is to research and evaluate more effective ways of caring for patients to meet the changing health needs of the U.S. population. Evidence-based practice in nursing has been found to improve health outcomes. To support efforts to improve health care for all Americans by having a well-trained health professional, the IOM and RWJF 'Future of Nursing' report also recommends having …

The Impact Of Nursing Support Workers On Patient Outcomes, Diane Esma Twigg

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: To determine the impact of the addition of nursing support workers to nursing units (wards) on patient mortality and morbidity.

Methods: Retrospective analysis of longitudinal morbidity and mortality data. Administrative data were collected for all patients admitted to a hospital in Western Australia for more than 24 hours over a 4-year period. 256,302 records in total. Data included records from 2 years before the introduction of AINs (2006-2007, 125,762 records) and 2 years after the introduction of AINs (2009-2010, 130,540 records). Data were further divided into nursing wards with and without AINs …

A Structural Equation Modeling: An Alternate Technique In Predicting Hiv Medical Appointment Adherence, Yeow Chye Ng

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Background: Currently, there are more than 33 million people living with the human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS), worldwide (Joint United Nations Programme on HIV/AIDS & World Health Organization, 2009). HIV and AIDS still remain the top global priorities in the medical field (U.S. Department of Health and Human Services, 2011). Retention in HIV care plays a major role in the successful management and treatment of HIV (Bofill, Waldrop-Valverde, Metsch, Pereyra, & Kolber, 2011; Burgoyne, 2005; Hightow-Weidman, Smith, Valera, Matthews, & Lyons, 2011). Current research has demonstrated that the …

Perceptions Of Patients Regarding Diabetes-Related Health Communication Strategies In The Free State, South Africa, Champion N. Nyoni, Marianne Reid

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Background: Lifestyle disorders such as a type two diabetes mellitus are on the rise globally. By the year 2030, 552 million people globally will have some form of diabetes mellitus (IDF, 2012: online). The prevalence of type two diabetes mellitus seems to be on the rise in the developing world as well, where many cases remain undiagnosed. One contributing factor to such increase in prevalence of type two diabetes mellitus is poor lifestyle practices (Wabe, Angamo & Hussain, 2011: 422). Patients diagnosed with diabetes mellitus are expected to make life-long changes related to …

Exploring The Use Of Information Technology In Processing Mental Health Information At Primary Health Care, Million S. Bimerew

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Background: In the contemporary world, the qualities of healthcare provisions are advanced with the use of information technology (Cline, & Luiz, 2013). Evidence has shown that the use of information technology in health information processing have considerable potential for reducing inappropriate clinical practices and promote accessibility of information to the public health workers (Ranck, 2011; Reeder, Turner & Demiris, 2010). Furthermore, the use of information technology in health information processing offers healthcare provider an exceptional opportunity to improve standard of patient care, not only by accessing and exchanging relevant information on individual patients, …

Nursing And Midwifery Links [July 2016 Issue], At The University Of Technology Sydney In Australia. Who Collaborating Centers For Nursing And Midwifery Development. Global Network. Secretariat

Nursing and Midwifery Links (LINKS)

Nursing & Midwifery Links aims to disseminate information on the Global Network of WHO Collaborating Centres for Nursing and Midwifery Development and publish technical-scientific articles related to Nursing and Midwifery in the light of WHO's program of work. The document attached to this record is the complete issue published in July 2016.

Combating Compassion Fatigue And Burnout Through Wellness Activities, Donna Jo Veigel

DNP and Student Works

Health care workers have one of the most demanding professions. They are expected to work long hours while demonstrating compassion and care for the patients that they serve (Greshon, 2014). These expectations create additional stressors, and if these stressors are ignored, they can exasperate, causing physical and emotional harm for the nurses and patients. The nurses working at the Satellite Campus have experienced many of these stressors and they are exhibiting symptoms of compassion fatigue and burnout. The symptoms of burnout & compassion fatigue affect the nurse's ability focus and care for the patients. The organization offers activities to help …

The Experiences Of Pre-Licensure Or Pre-Registration Health Professional Students And Their Educators In Working With Intra-Professional Teams: A Qualitative Systematic Review, Diane L. Butcher, Karen Ann Mackinnon, Anne Bruce, Carol Gordon, Clare Koning

Sigma Foundation for Nursing Research Grant Reports

To identify and synthesize evidence regarding experiences of pre-licensure health professional students and their educators on intra-professional teams, and to draw recommendations to enhance policy and/or curriculum development.

The Admission And Discharge Nurse Role: A Quality Initiative To Optimize Unit Utilization, Patient Satisfaction, And Nurse Perceptions Of Collaboration, Kathryn Handy

DNP and Student Works

Registered nurses are at the frontline of the hospital admission and discharge process. Efficiency and collaboration during these processes are critical to the patient care experience and the promotion of safe, high quality care. The aim of this quality improvement initiative was to assess the satisfaction of patients and nurses during the admission and discharge processes as they are streamlined through the initiation of the admission and discharge nurse role. The findings in this report provide insight into the effectiveness and efficiency of such initiatives, highlighting an increase in the number of admissions and discharges and the time taken for …

A Multidisciplinary Team Approach To Faculty Development In Technology, Tara Pierce

DNP and Student Works

National health initiatives and nursing accreditation expectations surrounding the need for nursing graduates to have skills in various technologies are placing increased demand on nursing programs to deliver a technologically competent workforce. The integration of technology into nursing curricula will require well-developed faculty development programs that provide the resources and support necessary for the successful adoption of technology across the curriculum. diffusion theory and research on faculty adoption of technology suggest successful faculty development endeavors include aspects that address faculty needs and lead to increased confidence. This evidence-based project evaluated the use of a multidisciplinary support team to increase faculty …

Comparing An Std Education Program To Hiv Screening For African American Adolescents At An Urban High School, Sharron Y. Hightower

DNP and Student Works

Globally, human immunodeficiency virus (HIV), acquired immunodeficiency diseases (AIDS) and sexual transmitted diseases (STDs) are pressing issues that need evidenced-based interventions.? Data show that African-American adolescents are a higher rate than any other ethnic group. To address this public health problem, it is imperative to incorporate strategies for adolescent HIV/STD education prevention programs. The purpose of this project was to examine the relationship between a HIV education intervention program and participation in HIV and STD screening with 132 African American students in grades 9 through 12 at an urban high school. The project employed quantitative data from the Coordinated School …

A Brief Intervention To Counter Workplace Incivility: Capturing Biomarker Data, Psychological Stress And Effects On Safe Patient Care, Janet Willhaus, Cynthia M. Clark, Suzan Kardong-Edgren

Sigma Foundation for Nursing Research Grant Reports

The American Nurses Association (2015) recently released a position statement clearly articulating the need for a multi-leveled approach to address workplace incivility, bullying, and violence. Recommendations include the need for nurse educators to implement evidence-based pedagogies to prepare Newly Licensed Nurses (NLNs) to address incivility and foster a culture of respect and safety in healthcare environments (ANA, 2015). Equipping NLNs with effective coping strategies to prevent and address uncivil encounters between and among co-workers, may build resilience, increase retention and job satisfaction, improve nurse performance, and result in the delivery of safer patient care (D’Ambra & Andrews, 2014; Wing, Regan, …

Oxytocin: Biomarker Of Affiliation And Neurodevelopment In Premature Infants, Ashley Marie Weber

Dissertations

The purpose of this study is to 1) describe oxytocin levels in plasma, urine, and saliva in premature infants through 34 weeks gestation and 2) determine if oxytocin levels vary with maternal-infant interaction, neurobehavioral organization, and infant stress exposure. Thirty-seven premature infants, born gestational ages 25-28 6/7 weeks, were longitudinally followed until 36 weeks gestation. Plasma and urine samples were collected at 14 days of life, then weekly until 34 weeks. Data on infant and environmental variables were abstracted from the electronic medical record. Infant social engagement behaviors was measured by the Parent-Child Early Relational Assessment, during a videotaped feeding …

Bundling Up Central Line Infections, Benjamin Freed, Danny Tamayo, Devin Tully, Gabriel Wilson, Christian Zapateiro

General Submissions: Presentations (Oral and Poster)

Background: The Joint Commission (TJC) found that 72% of CLABSI occurred five days after insertion of central line (The Joint Commission, 2013). Due to these findings, TJC recommends the implementation of pre and post insertion bundles to prevent CLABSIs. Pre-insertion bundles allowed for constant use of evidence -based practice, however, there is little known about the effects of post-insertion bundles to prevent CLABSI (The Joint Commission, 2013). The use of a bundle would allow for a checklist of evidence-based materials that nurses may use to prevent any lapse in care of a patient that may lead to the development of …

Disposable Blood Pressure Cuffs: A Safer Alternative, Jessica Goeckner, Joseph Lansden, Katherine Blanke, Laura Campbell, Rebekah Minnette, Reagan Phelps, Christopher Neidig, Megan Robinson, Samuel Schentrup, Rachel Bailey, Megan Hicks

General Submissions: Presentations (Oral and Poster)

Background: Health care acquired infections are avoidable and not only cause patient suffering but are also costly to the hospitals. These unintentional infections cost hospitals approximately 35-45 billion dollars per year. Blood pressure (BP) cuffs are potential reservoirs for bacteria and using disposable cuffs could eliminate one way of transmission of disease from patient to patient.

Clinical Question: Does the use of disposable BP cuffs as opposed to reusable BP cuffs decrease infection rates in inpatient adults during their hospital stay?

Literature Search: A search on Medline, Academic Search Premier and CINAHL revealed one randomized control trial, one controlled trial, …

The Relationship Between Nursing Skill Mix, Nurse Sensitive Patient Outcomes And Patient Satisfaction, Natalie R. Schwab

DNP and Student Works

The goal of this study is to investigate the association between nurse staffing mix, patient safety outcomes, and patient satisfaction in the context of changes in nurse staffing ratios over time at a smaller rural hospital.

Introducing Nursing Students To Handoff Report: An Sbar Activity, Abby Shipley

General Submissions: Academic Settings and Education-based Materials

The topic selected for the educational project was “Exposing Students to Handoff Report.” Handoff report is a topic discussed in a clinical post-conference for junior-level nursing students at the University of Southern Indiana; however teaching materials are not provided to the clinical instructors.

School-Located Influenza Vaccination Program Effectiveness: An Observational, Descriptive Case Study., Dorcas E. Kunkel

DNP and Student Works

Children have the highest influenza infection rates of all population groups. The Advisory Committee on Immunization Practices (ACIP) recommends annual universal influenza vaccination of all persons ≥ 6 months of age. Many school-aged children do not receive recommended vaccinations and experience influenza, which results in poor health, absences from school, and transmission of infection to family and community members. The purpose of this evaluation was to determine the effectiveness of a school located influenza vaccination program planned and operated by public health nurses.

Improving Patient Care Outcomes Through Better Delegation-Communication Among Nurses And Assistive Personnel, Elissa A. Wagner, Nancy A. O'Connor, Susan M. Hasenau

DNP and Student Works

In acute care settings, registered nurses must depend on and delegate to unlicensed assistive personnel when providing direct care to patients. The nurses' ability to effectively delegate can affect the safety and quality outcomes obtained by patients. For the health care industry and acute care settings to meet national patient safety outcomes registered nurses will need to evaluate their delegation methods for effectiveness in order to provide safe, patient-centered, and efficient care. In this single-group pretest-posttest study, nurses and unlicensed assistive personnel's (UAP) learning was measured following an intervention on delegation-communication techniques. Pre-intervention surveys were conducted with nurses and UAP's …

Implementing Obesity Management In Primary Care: Linking Evidence Based Guidelines With A Nurse Practitioner Model Of Care, Lisa Cogswell, Nancy A. O'Connor, Diane Burgermeister, Susan M. Hasenau

DNP and Student Works

Obesity is a rising epidemic, affecting over one third of U.S. adults and over 13% of the world's population, carrying significant morbidity and mortality. There have been decreasing rates of obesity counseling documented in primary care despite readily available practice guidelines. Multiple barriers to implementing weight loss counseling into primary care exist including patient and provider lack of motivation, knowledge deficit, and inadequate resources.

Aims: To utilize a nurse practitioner as the bridge linking evidence to practice for obesity management in primary care.

Evaluation Of Comfort In Strengthening Family Communication Skills, Roxanne Roth, Gail Lis, Nancy A. O'Connor, Kathleen A. Aseltyne

DNP and Student Works

The purpose of this project was to evaluate the effectiveness of a COMFORT communication strategy that combines a didactic and simulated experience to strengthen perceived confidence and competence of advance practice registered nurses communicating with families facing difficult decisions and situations. The project explored the impact of the COMFORT protocol as an intervention strategy to strengthen perceived confidence and competence in communicating with families in crisis at end of life using a pre-post design. There was no significant change in the COMFORT protocol's ability to increase perceived confidence or competence levels. APRN participants positively indicated the COMFORT protocol as an …

Pediatric Cardiac Transplant: Quality Of Life Of Urban Families, Lauren Kelm, Nancy A. O'Connor, Barbara Banfield, Susan M. Hasenau

DNP and Student Works

Introduction: To describe quality of life (QoL) of pediatric cardiac transplant recipients and caregivers in an urban setting, to examine differences in QoL between recipients and caregivers, and to determine an effect on QoL by the number of years post-transplant.

Method: Data were collected from 24 pediatric cardiac transplant recipients and 22 caregivers. Participants completed the PedsQL ™ 2.0 Family Impact Module and the PedsQL™ 3.0 Transplant Module. Parallel child / parent proxy report was used.

Results: Overall QoL score was positive for both caregivers and recipients. Statistical difference was found between caregivers and recipients in the …

The Influence Of An Emergency "Preflight" Transition Checklist On The Transfer Of Senior Facility Residents To The Emergency Department, Joan Michelle Moccia, Susan M. Hasenau, Deborah Dunn, Patricia Hanson

DNP and Student Works

The transition of care is flawed between senior nursing facilities (skilled, assisted-living, and independent settings), Emergency Medical Service (EMS) and emergency department (ED) personnel predisposing a resident to receive more or less unwanted care, unnecessary tests, risk of wrongful resuscitation and inefficiencies for all providers. An earlier study evaluating a hospital group known as STARForUM Safe Transition of All Residents For yoU & Me (STAR-F) showed some success however variability still existed. We hypothesize that a preflight checklist will increase the number of predetermined key elements sent with a resident residing in a skilled, assisted-living or independent facility.

Nutrition Education Content In Nurse Practitioner Curricula: What Are Michigan Np's Learning About Nutrition?, Caroline Trapp, Nancy A. O'Connor, Susan M. Hasenau, Karen Schmitz

DNP and Student Works

Unhealthy diets are linked to common chronic diseases in the U.S. and Michigan. Healthy People 2020 calls for more nutrition counseling in primary care office visits. The last known survey of nutrition education in nursing graduate programs was published in 2001. This study describes the current state of adult-gerontology nutrition education within primary care nurse practitioner curricula in Michigan.

Introducing Trauma-Informed Care In An Urgent Care Center: A Quality Improvement Project, Marco Belluardo-Crosby

DNP and Student Works

The provider-patient relationship can be influenced by stigma, particularly when it is based on the clinician's perspective toward people with any psychiatric illnesses, with great impact clinical outcomes. This project aimed to identify changes in providers' attitudes toward people diagnosed with psychiatric illnesses after providing trauma-informed care training in a setting where integrated care is practiced. The project utilized a questionnaire to assess the topic knowledge and the Opening Minds Scale for Health Care Providers to evaluate staff's attitude and stigma. Staff received a modified training based on the Risking Connection ® model. Both questionnaires were administered pre-, post-, and …

Staff Nurse Perspective On International Work And Leadership Opportunities, Anna Dermenchyan

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Through our Southern California STTI Research Consortium discussions, we discovered several outreach efforts are happening on our campuses and service settings that support the presidents theme "Serve Locally, Transform Regionally and Lead Globally". Further discussion led us to quantify what is being done to establish international involvement and to develop this symposium to share how you, your staff and students can become involved. Through this symposium we will cover the staff nurse perspective, the research opportunities and student nurse led development with international exposure and involvement. We will describe how relationships abroad are …

Student Leadership For International Nursing Experience, Sherry Kari Baum

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Through our Southern California STTI Research Consortium discussions, we discovered several outreach efforts are happening on our campuses and service settings that support the presidents theme "Serve Locally, Transform Regionally and Lead Globally". Further discussion led us to quantify what is being done to establish international involvement and to develop this symposium to share how you, your staff and students can become involved. Through this symposium we will cover the staff nurse perspective, the research opportunities and student nurse led development with international exposure and involvement. We will describe how relationships abroad are …

Student Involvement With International Clinical Experience, Susan Bass

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Through our Southern California STTI Research Consortium discussions, we discovered several outreach efforts are happening on our campuses and service settings that support the presidents theme "Serve Locally, Transform Regionally and Lead Globally". Further discussion led us to quantify what is being done to establish international involvement and to develop this symposium to share how you, your staff and students can become involved. Through this symposium we will cover the staff nurse perspective, the research opportunities and student nurse led development with international exposure and involvement. We will describe how relationships abroad are …

Accentuating The "I'S" And Eliminating The "D'S": Inducements And Discouragements For Students Transitioning From Associate Degree To Baccalaureate Degree Nursing Programs: A National Review, Karen L. Gorton, Kathleen B. Lasala

Sigma Foundation for Nursing Research Grant Reports

This study evaluated the actual barriers (hereafter called "discouragements," or "D's" for short) and enhancements (hereafter called "inducements," or "I's" for short) for students nationwide who are in academic transition from associate-degree to baccalaureate-degree status in nursing.