Digital Commons Network^™

Good Death As Perceived By The Critically Ill Patients' Family Members, Wanlapa Kunsongkeit

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The qualitative research based on Heideggerian phenomenology aimed to describe good death as perceived by the critically ill patients' family members. Five informants who were the critically ill patients' family members at hospital in Chonburi were purposively selected. Data were collected by in-depth interview, observation and critical reflection during January, 2014 to March, 2014 . Cohen, Kahn and Steeves steps guided data analysis. Trustworthiness was maintained throughout the study following Lincoln and Guba's guidelines. Four themes were emerged, which were no suffering, acceptance of imminent death, preparing for death, and being with the …

Changing Hospital Culture: Collaborative Response To Emergency Cesarean Sections, Barbara C. Schuch, Sally M. Krempel

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: "Changing Hospital Culture: Collaborative Response to Emergency Cesarean Sections" Problem: Based upon the American College of Obstetrics and Gynecology's (ACOG) and the American Academy of Pediatrics (AAP) recommended standard (30 minutes from decision to incision for emergency cesarean sections) the "30-minute rule," a preliminary data review of "decision to incision" time audits, identified discrepancies in standardized communication and collaboration between medical and nursing staff. Purpose: This four part educational program aimed to change the culture and create an effective and collaborative response to emergency cesarean sections: I-NICHD Nomenclature: Speaking a Common Language When …

Factors Influencing Physical Activity Among Older Women With Type 2 Diabetes, Sun Ju Chang

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015: Purpose: With the recent increase in the number of people aged 65 years and over in South Korea, the prevalence of chronic diseases and, hence, related medical costs have rapidly increased. 1 Diabetes is one of the most prevalent chronic diseases among older adults. Approximately 20% of older women aged over 65 years were found to be diagnosed with diabetes in 2013 (Statistics Korea, 2013), and many older women with diabetes were determined to have uncontrolled diabetes. Since adherence to self-management behaviors such as physical activity is crucial to control blood glucose levels …

Family Planning And The Adult With Congenital Heart Disease: A Narrative Inquiry, Kathryn A. Osteen

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

Background: Cardiovascular congenital defects affect 1% of all infants born in the United Sates regardless of race (Hoffman & Kaplan, 2002; Xu, Kochanek, & Tejada-Vera, 2009). Cardiovascular congenital defects include both treatable or ultimately fatal structural, and functional heart conditions (Gilboa, Salemi, Nembhard, Fixler & Correa, 2010). Surgical advances in congenital heart disease (CHD) have effectively decreased the overall mortality of the CHD population by 24.1%, permitting infants with CHD to live a longer life and increase the possibility of childbearing (Gilboa et al., 2010; Warnes et al., …

Pediatric Continuity Of Care, Amara Michella Altman

Biennial Convention (CONV)

The purpose of this presentation is educate healthcare professionals on how improve the transition of care for pediatric kidney transplant recipients from hospital to home. Specifically, this presentation highlights evidence based transition of care topics for pediatric transplant recipients and their families.

Perception Of Role Strain Among Male Critical Care Registered Nurses: A Quantitative Descriptive Approach, Nicholas Carte

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

Little research has been conducted to examine the experiences of males working in female-dominated professions. The purpose of this study was to examine and describe role strain among male RNs in critical care settings. This quantitative study utilized a descriptive design to examine the four causes of role strain - role conflict, role overload, role ambiguity, and role incongruity. The target population was male RNs in critical care settings in a northeastern state of the United States. The sample for this quantitative descriptive study was obtained from the …

The Development Of A Formal Mentoring Model And Program In A Faith-Based School Of Nursing, Kathryn A. Osteen, Barbara Devitt, Lisa Otto, Cheryl Riley, Julie Millenbruch, Cathy Miller

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

Mentoring is a leadership initiative and a strategy that promotes collaboration, net-working, and inter-professional relationships. The purpose of this poster presentation is to present the Formal Mentoring Model and Program developed by the Mentoring Task Force at Baylor University Louise Herrington School of Nursing (BULHSON). Mentoring is the foundation of self-development and launching of a professional career trajectory (Hunt & Ellison, 2010; Meier, 2013). Mentoring is a dynamic, evolving, ever changing relationship between individuals (Grossman, 2013). The mentoring process involves one individual guiding another to develop both personally …

Exploring The Impact Of A Medical Mission Trip On Graduate Nurse Practice Perceptions, Ideals And Practice Implementation, Cindy Ford, Brenda Kinning, Amanda C. Raymundo, Charalene Ruble

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

There is little debate about the significance of nursing educational experiences to promote cultural understanding as the population requiring care becomes increasingly diverse. Faculty are aware of the study abroad research results yielding positive learning outcomes such as participants reporting increased understanding of other cultures and a commitment to being a positive force for improvement of healthcare abroad and in their own community (Saenz & Holcomb, 2009); gains in substantive knowledge, changes in values and communication skills (Carpenter & Garcia, 2012) and increased understanding as well as uncomfortable, …

Poetic Analysis Of Perceptions Of Newly Graduated Nurses Regarding Their Experiences Of Academic Incivility Between And Among Nursing Students In Undergraduate Nursing Education, Tatiana K. Penconek

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015.

Academic incivility is defined as any speech or action that disrupts the harmony of the teaching-learning environment (Clark & Springer, 2007) including but not exclusive to rude, impolite, and disrespectful oral or written words, gestures, actions or behaviors (Robertson, 2012). Academic incivility can occur anywhere in the learning environment & between any members of the learning environment.

Leadership With Intention And Impact, Heidi K. Holmes, Veronique Boscart, Deborah F. Cleeter Bailey

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Introduction: The Geriatric Nursing Leadership Academy (GNLA), prepares nurses to lead multidisciplinary teams to improve health care to older adults (STTI, 2015). In addition to scopes of influence that are assessed and developed, the GNLA also assists and supports each participant to develop and implement an interprofessional project centered on improving geriatric health outcomes (STTI, 2015). The measurement of success as a Fellow in the GNLA is not based on awareness and knowledge, but on behavioral changes and impact on care. My development and transition as a leader …

Using 3 Dimensional Simulation In Nursing Education, Renee R. Wright

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Simulation has been used since the 1960's in aviation and the armed forces. Today simulation is emerging as a teaching pedagogy. Simulated patient scenarios provide students with experiences they may not be exposed to in an actual clinical setting. Virtual simulation allows students to observe and care for patients in real life context. Thus allowing students to practice in safe and nonthreatening environment. Anxiety is decreased because no actual harm will to come to a live patient. Students can learn from their errors without putting the patient at …

Transformational Teams: Examining The Relationship Of Nursing Teamwork To Patient Outcomes, Debbie J. Rahn

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Over one decade ago, a landmark study in healthcare identified the need for the healthcare industry to address a widespread problem of preventable adverse patient outcomes. The problem of preventable negative patient outcomes continues to pervade American healthcare, and there is an identified need to better understand the relationship of soft skills, such as nursing teamwork, and the occurrence of patient outcomes. The success of future educational and leadership interventions to improve patient outcomes is dependent on first identifying key factors associated with the negative patient outcomes. The …

Incorporating The Chronic Care Model To Improve Health Outcomes And Satisfaction, Marcia A. Potter, Jill S. Walsh

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Patient activation and engagement can be powerful enablers for health outcomes; just as important are staff engagement and satisfaction. This author re-designed clinic templates to accommodate a time-based element of longitudinal care and implemented skill-based competencies to provide collaborative, team-based care to patients with type 2 diabetes. Seventy adults with diabetes and 6 staff members caring for them participated in a 12 week process improvement project utilizing the Chronic Care Model to link satisfaction and health outcomes. Patients completed satisfaction surveys at the end of their clinical encounters; …

The Effect Of Self-Reported Levels Of Optimism On Blood Pressure In An Adult Population: A Pilot Study, Christopher Ross Mcconnell

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

The purpose of this research study is to examine a possible correlation between levels of self-reported optimism and blood pressure readings. Current research has denoted a possible link between levels of optimism and cardiac health, but has not specifically looked at measures of blood pressure. Research was guided by the research question; what is the correlation between self-described optimism levels and blood pressure readings in the elderly male population of Marin County? Study participants were recruited by convenience sampling for this cross sectional, correlational study at Whistle Stop, …

Using Evidence-Based Teaching To Support An Innovative Teaching Strategy In An Undergraduate Research Course: A Longitudinal Study, Astrid H. Wilson

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose: This longitudinal study was aimed at providing evidence-based teaching for an innovative teaching strategy in an undergraduate research course.

Method: A longitudinal survey design was used to elicit students' responses about an assigned group project. The instrument used was the Evidence-Based Group Assignment Survey, a 21 item Likert type survey developed by the author. The responses were strongly disagree (1), disagree (2), somewhat agree (3), agree (4), and strongly agree (5) thus a summated score could be obtained between 21 and 105. The items related to how the assignment helped students gain …

Continuing Professional Development In Maternal Health Care: Barriers To Applying New Knowledge And Skills In The Hospitals Of Rwanda, Germaine Tuyisenge, Yolanda B. Babenko-Mould, Isaac Luginaah

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Improving maternal health, the fifth United Nations' Millennium Development Goal, is one of the main health concerns of many developing countries, where 90 % of the world's maternal mortality occurs (World Health Organization [WHO], 2010). Very few countries will achieve the target of reducing maternal mortality by two thirds, as set to be achieved in the year 2015 (WHO, 2010). However, nations such as Rwanda rank among the countries that have made significant efforts to reduce maternal mortality. The United Nations Population Fund (2012) reports thatthe maternal mortality rate for Rwanda fell from …

Implementation Of A Nurse Residency Program For Long-Term Care New Nurses In Nj, Nancy Bohnarczyk, Edna Cadmus, Susan W. Salmond, Linda Hassler, Katherine Black

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Long Term Care Facilities have a nurse turnover rate of 41% nationally, which results in a replacement cost of up to $88,000/nurse. Beyond cost, staff instability leads to reduced quality of care; decreased resident and staff satisfaction; and increased hospital readmission. NJ has one of the highest re-hospitalization rates in the US, ranking 48th among all states for older adults with chronic diseases. In response to this issue and the 2010 Institute of Medicine Report (The Future of Nursing: Leading Change, Advancing Health) recommendation, the New Jersey Action Coalition (NJAC) organized eight …

Evidence To Support Adolescents As Healthy Lifestyle Behavior Change Agents For Their Families, Bernadette Mazurek Melnyk

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: There are numerous studies in the literature that support the key role of parents in facilitating healthy lifestyle behavior change in their children and families. However, evidence is lacking to support whether children and adolescents can be active change agents for healthy lifestyle behavior change in their parents and families. Aims: The purpose of this presentation is to: (a) describe the healthy lifestyle behavior changes that occurred in parents and families of high school teens who were participating in a randomized clinical trial to test the efficacy of a 15-session cognitive-behavioral skills …

The Association Between Maternal Health Literacy And Assessment For Developmental Delay In Low-Income Latino Children, Eileen K. Fry-Bowers

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Purpose: The purpose of this study is to explore the relationship between the level of maternal health literacy and perceptions of assessment and referral for developmental concerns for low-income Latino children aged 3 to 48 months when seeking pediatric primary care services.

Background: Early identification of developmental disorders is paramount for ensuring optimal wellness for young children. Appropriate assessment is an integral function in providing primary care for children and the responsibility of all pediatric health care providers (PHCP). Specifically, the American Academy of Pediatrics and the Bright Futures Guidelines for well-child care …

Million Hearts; An Evidence-Based Method For Improving Population Health, Bernadette Mazurek Melnyk

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Purpose: Million Hearts is a national initiative to prevent 1 million heart attacks and strokes by 2017, empower and educate Americans to make healthy choices, and to target care by focusing on the "ABCSs." Appropriate aspirin therapy, blood pressure control, cholesterol management, smoking cessation, and stress management or the "ABCS" are the foundation of the initiative.

Methods: The Ohio State University College of Nursing has founded the National Interprofessional Education and Practice Consortium to Advance Million Hearts (NIEPCAMH) and has developed an online educational program to educate students, faculty and community members on …

Shift Work And Nurses' Health: Understanding The Consequences To Take Action!, Letha M. Joseph

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: Shift work has negative impact on nurses' physical, mental and social health. It affects patient and staff safety as well as quality of care. Nurses who work night shift may experience professional isolation. Awareness of these risks will help nurses who work shift work and those nurses who are in the managerial roles to identify strategies to minimize the risk by life style modification and policy revisions. Evidence supports the association between night shift work and several disease conditions such as certain malignancies, cardio vascular disease, gastrointestinal disease, metabolic syndrome, diabetes mellitus, sleep …

Improving Oxygen Management In Very Low Birth Weight Neonates, Vania Blanc, Colleen Rodriguez, Sharon Harris

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Background: Oxygen toxicity in preterm neonates contributes to the development of Retinopathy of Prematurity (ROP) and Chronic Lung Disease (CLD). A proactive approach to reducing the levels and time of oxygen exposure in this population is an important step in the management of preterm infants and likely to impact their health outcomes. The healthcare professionals at the bedside play a key role in optimal oxygenation of the preterm neonate because ongoing adjustments are crucial to adequate management. The focus of this project was to incorporate evidence-based research findings …

Closing The Leadership Gap: Mentoring The Rn To Bsn Student For Success, Jill Borgos, Deborah Hodge, Anne Sweet

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Proposal for STTI Biennial Convention 2015 Purpose/Specific Aim: The primary purpose of this study was to examine how the " Campaign for Action" for advancing nursing leadership is unfolding in the labor market for the approximately 60 percent of the Registered Nurses graduating and practicing in the United States who hold 2 year degrees (Benner et al., 2010). Associate degree nursing graduates often received minimal if any leadership education throughout their curriculum despite the demands of the labor market for increasing nursing leadership (Robert Wood Johnson Foundation (RWJF), 2014, Blais & Hayes, 2010, …

A Survey Of Nurses' Knowledge, Attitude, And Skills With Evidence-Based Practice In The Practice Setting, Kathleen M. Williamson

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

This research project was a collaborative descriptive comparative self-report survey with a sample of nurses from a large health system. The purpose of the study was to identify nurses' perceptions of their practice, attitudes, and knowledge/skills associated with evidence-based practice (EBP); to identify barriers, facilitators, and successes that nurses face when utilizing and implementing EBP; and to identify if there are differences in nurses' perceptions of their knowledge, attitudes, and skills associated with EBP and demographic variables, such as job title, highest educational qualifications, and nursing clinical specialty. Competency in EBP, therefore, requires …

Knowledge, Skills, And Attitudes Of Pre-Licensure Nurses Regarding Dementia Care: A Systematic Literature Review, Modupe F. Adewuyi

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Background: Globally, the prevalence of older persons with dementia is increasing because of a rise in the aging population. Associated with this increase dementia prevalence are the increasing needs for nursing care of affected individuals and their families/caregivers across healthcare continuum. Therefore, it is essential that pre-licensure nurses acquire appropriate knowledge, skills, and attitudes regarding dementia care during their undergraduate programs to enable them provide effective and holistic dementia care.

Aim: This review presents the extensive findings of published research studies on the knowledge, attitudes, and skills of …

Advanced Practice Nurse (Apn) Intensivists: A Model For Generating Potential Revenues And Cost-Effective Healthcare Delivery In The Icu, Frank Guido-Sanz

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Background: Intensive Care Units (ICUs) account for over 10 percent of all US hospital beds, have over 4.4 million patient admissions yearly, and account for close to 30% of acute care hospital costs. ICUs that use a physician intensivist model of care have improved patient outcomes, less resource use, and lower mortality rates (up to a 40% reduction), large reduction in in-hospital mortality following trauma, particularly in the elderly and may help save almost 54,000 Americans in the U.S. each year. The need for critical care services has …

Magnet Facility Nurses: Pursuing A Baccalaureate Degree In Nursing, Elizabeth J. Winokur, Dana N. Rutledge, Amy D. Hayes

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Background: In Future of Nursing (2011), the Institute of Medicine (IOM) concluded that nurses should be prepared at the baccalaureate level. Magnet organizations are encouraged to meet the IOM goal of 80% nurses with a BSN by 2020. Aiken's recent comments (2014) on the value of employing a predominately BSN workforce in hospitals underline the benefits in decreasing lengths of stay and readmission rates (cost savings), as well as improved patient mortality. With ~60% BSN-prepared nurses, our twice Magnet-accredited hospital is working toward this goal. Little is known …

Short Term Intervention Using The Paleolithic Diet To Prevent Progression From Prediabetes To Type 2 Diabetes In Those With Hga1c 5.7% Or Higher, Chrystyne Olivieri

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Background: Western metabolic diseases, especially, obesity, prediabetes, diabetes and cardiovascular diseases impose a great financial and quality of life burden on modern society. Chronic diseases are being identified as a health crisis in almost every country in the world today. These problems have continued to progress despite an alarming amount of modern pharmaceuticals. Many studies have identified lifestyle changes as the best to address these diseases. Human history reveals that prior to the advent of agriculture, humans were believed to be free of diseases such as cardiovascular disease …

Development Of A Women's Health Nurse Practitioner Major At Duke University School Of Nursing, Kathryn Trotter, Anne Moore, Clarann Weinert

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Introduction/background: The focus on women's health, including improved understanding of the unique health needs of women, has increased over the past few decades. Further, the demand for women's providers is escalating with many new women enrollees seeking primary care services via the Affordable Care Act legislation. (Report on Activities Related to "Improving Women's Health" As Required by the Affordable Care Act (P.L. 111-148, Section 3509), 2013). Specialized knowledge of women's health care is heightened when women also have multiple chronic conditions. (Weisman and Chuang, 2010; NIH Office of …

Preterm Labor: Enhancing Assessment Competency And Reducing Variation Among Telephonic Maternity Care Managers In A Managed Care Organization, Kimberly C. Hite, Catherine Burns, Laura A. Fennimore

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Introduction/Background: Preterm labor is a major public health issue that has substantial direct and indirect costs including staggering health care costs from prolonged neonatal intensive care unit (NICU) hospitalization; potential long-term health consequences such as cerebral palsy, mental retardation and blindness that can impact overall quality of life; and significant emotional costs for the family from increased levels of stress and potential loss of income. More than 50% of preterm births occur among women with no identifiable risk factors. It is essential that pregnant women be assessed for …