Digital Commons Network^™

Leadership Development Through Journal Editing, Joann S. Oliver, Sandra M. Underwood, Pamela R. Jeffries

Biennial Convention (CONV)

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

Introduction/Background: Nurses are highly regarded in the healthcare community. Having diverse educational preparation and expertise accentuates their ability to collaboratively and holistically address health care issues. For example, the PhD prepared nurse researcher may coordinate and collaborate with a clinical expert such as the Doctor of Nursing Practice prepared nurse to address health care issues. Nurses have been noted to be a critical advocate for change relative to addressing the needs of individuals, including disparate groups and populations. Our understanding of the needs and concerns of rural and …

Treating Attention-Deficit/Hyperactivity Disorder In U.S. Children With Complimentary Alternative Medicine Therapies: How Effective Are They?, Amanda C. Raymundo

Biennial Convention (CONV)

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

Introduction: The American Academy of Pediatrics (AAP) recommends pharmaceutical treatment for children diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD) (Hodgkins, Shaw, Coghill, & Hechtman, 2012). Complimentary alternative medicine (CAM) treatments are becoming more popular as an alternative to medications. Background and Significance: Worldwide, 5% of children are diagnosed with ADHD (Pelsser et al., 2011). An estimated five to ten percent of children are diagnosed in the United States as having ADHD (Calarge, Farmer, DiSilvestro, & Arnold, 2010). Current medication treatments involve multiple adverse side effects (Laver-Bradbury, 2013). Parents are seeking …

Integration Of Evidence For Genetic Risk Of Abnormal Neurodevelopment In Preterm Infants, Lisa M. Blair, Rita H. Pickler, Cindy M. Anderson

Biennial Convention (CONV)

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

Problem: Preterm infants are at elevated risk for a host of atypical neurodevelopmental problems, including disorders that appear later in life. A growing body of evidence supports a genetic link to risk for atypical neurodevelopment even among infants who do not have apparent genetic disease; however, no genomic risk profiles are currently used, despite the potential benefit of early intervention for those at risk.

Purpose: The purpose of this integrative review was to synthesize recent evidence of genetic associations with atypical neurodevelopmental outcomes that may pose additional risk …

Policy And Practice: Rapid Health Impact Assessment (Hia) As A Leadership Tool, Roberta P. Pawlak, Barbara J. Pinekenstein

Biennial Convention (CONV)

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

DNP students at the Henry Predolin School of Nursing completed a Rapid Health Impact Assessment (HIA) on a proposed policy and model of care change for the Wisconsin Well Woman Program as part of the Population Health and Public Policy class. The results and recommendations were disseminated to key stakeholders to inform and impact policy decisions and mitigate unintended consequences of proposed policy changes. A rapid Health Impact Assessment (HIA) uses structured data, stakeholder feedback, professional expertise, and analytic methods to analyze complex effects of policy, practice, and …

Promoting Interprofessional Collaboration, Global Health Awareness And Leadership Skills Through International Service-Learning, Janice E. Hawkins, Christine A. Sump

Biennial Convention (CONV)

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

International service-learning programs offer a unique opportunity to incorporate interprofessional education and global health awareness into health science curriculums. Through service activities, students develop leadership skills and collaborative team approaches to promote the health of diverse populations. Appreciation, respect, integration of knowledge, and communication between multiple disciplines are crucial components of international health care teams and desired outcomes for health science students. Graduates of health science programs must have the knowledge, skills, attitudes, and values that prepare them to be "collaborative practice-ready" for the healthcare workforce. According to …

A Strategy To Preserve Family Integrity, Promote Patient And Family Centered Care And Simultaneously Support A Safe Hospital Environment For Overnight Visitation, Donna M. Casey

Biennial Convention (CONV)

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

The importance of family presence and participation in the care of a hospitalized loved one is well established in the literature. Patient and family centered care has been adopted as a mechanism to promote family integrity and maintain wholeness of the family unit. Many studies have evaluated the importance and positive aspects of visitation in the hospital environment. Despite a preponderance of evidence, many nurses continue to view visitation as problematic. The most problematic timing of visitation is overnight and during procedures and resuscitation. Studies show mixed findings …

Leading Change In Admission And Progression Requirements To Promote Retention In A Pre-Licensure Bsn Program, Deborah A. Greenawald, Zane Robinson Wolf, Suzanne S. Prevost

Biennial Convention (CONV)

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

This change project was implemented as part of the Experienced Nurse Faculty Leadership Academy (ENFLA) by Deborah A. Greenawald (Scholar), in collaboration with Zane R. Wolf (ENFLA Mentor) and Suzanne Prevost (ENFLA Faculty), and with additional support from Sigma Theta Tau International/Chamberlain College of Nursing Center for Excellence in Nursing Education. Introduction: Each year across the United States, students compete for a limited number of seats in pre-licensure BSN programs. With the increasing costs associated with nursing education and college in general, it is important to attempt to …

Assisting Haiti Nurse Educators In Port-Au-Prince, Haiti, With Strategies To Expand Their Nursing Knowledge And Practice, Ellen L. Palmer, Becky M. Baird

Biennial Convention (CONV)

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

With collaboration of Haiti and U.S. Nurse Educators, thirteen symposium were implemented. Initially, the training was designed to teach event planning details. Included in this phase were topics such as targeted marketing, budgeting, venue, programs, form development. Secondly, topics were developed in response to Haitian Nurse Leadership. Included were topics covering infectious diseases, team building, and evidence based practice. Future topics planned will include nursing research and simulation education. As a result of the successful collaboration, Phase Two was implemented. A nursing student scholarship program was established at …

Workforce Planning: Developing And Maintaining For National Health Security, Konstance I. Cook-Withers

Biennial Convention (CONV)

Background: Hospitals day to day staffing needs are tremendously compromised in the care of patients compounded by a disaster. An All Hazards Scalable Medical Surge Model provides a competent skilled workforce in a timely manner to survive a medical surge at the federal, state, and local capacity and capability for National Health Security. Objective: To provide an innovative approach to reduce the time necessary to activate designated medical personnel in response to a public health emergency meeting surge capacity and capability. PICOT Question: For the patient population and mass influx of disaster related patients, does an All Hazards Scalable Medical …

Exam Integrity: The Webcam Effect, Irene Salinas, Laura L. Opton

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Cheating is a concern in any academic discipline, and especially so in one leading to licensure and impacting patient safety. As recent studies show an escalation in students declaring they have cheated, faculty have been increasingly focused on ways to deter this behavior. The upsurge in availability of online education has only increased concerns about cheating. Due to issues surrounding academic integrity in online programs, a descriptive correlational design study was implemented in an online pharmacology course required for accelerated second degree BSN students. The purpose of the …

Promoting Retention And Nclex-Rn Success On The First Attempt: Roles Of Remediation, Self-Confidence And Salutogenesis, Ernestine Hunter Cuellar

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Schools of nursing and nursing faculty are struggling with high attrition rates and low NCLEX-RN first time pass rates. At the same time students are struggling with progressing and completing nursing programs while maintaining their own sense of self-worth. There is limited research addressing the association of positive factors that sustain nursing students in stressful situations, i.e., preparing for success on NCLEX. Student nurses who manage stress as a component of maturity and development become nurses who are able to monitor and moderate stress in their careers. Salutogenesis …

Global Service Learning Aboard The U.S. Navy's Pacific Partnership Mission, Gary Glauberman

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Nursing around the world is facing complex challenges to individual, community and global health. To be prepared to face these challenges, nursing students need to develop a global perspective on local health issues. Academic institutions that educate nurses must establish creative partnerships to provide innovative learning environments for nursing students to improve their skills while working together with professionals from multiple disciplines to address the broad range of social determinants that influence health. Global Service Learning (GSL) offers a model for promoting culturally compassionate learning and collaborative leadership …

Improving Nurse Engagement With Dedicated Education Units, Angela D. Heckman

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Now more than ever, healthcare delivery systems need knowledgeable, practice ready, engaged nurses as members of every healthcare team; however a lack of engaged nurses and practice ready new graduates has forced health system and academic leaders to form partnerships. These academic-practice partnerships, intended to strengthen nursing practice, are crucial to address the monumental demands of value-based purchasing and the recommendations of the Future of Nursing Committee. Recently, an acute care facility in central Indiana and a local university established an academic-practice partnership to implement a Dedicated Education …

Implementing A Capstone Course As A Means For Assessing Program Outcomes, Nancy C. Falvo, Laurie Bladen

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: The purpose of this presentation is to describe the capstone course of an online RN BSN program. The capstone should provide a culminating experience requiring students to use the knowledge and skills learned throughout the program. Prior to the current curriculum, students developed hypothetical research proposal without data collection or analysis. The curriculum lacked a method for translating evidence into practical knowledge for our students. Moving to an evidence-based model for nursing education, an undergraduate research project is now required as part of the capstone course. Research studies …

Homecare Nurses' Experiences With Telemonitoring Systems, Justin Palmer

Biennial Convention (CONV)

The promise of telehealth in modern healthcare centers on reduction of costs via utilization of the latest communications technology to deliver quality healthcare services to underserved populations. Telemonitoring in particular has held the promise of helping reducing costly hospital readmissions and improving overall health while the patient continues to remain at home. This type of intervention has been targeted primarily towards patients living with chronic diseases requiring long term care and timely follow-up. Results from clinical trials investigating this hypothesis, however, have been mixed at best. The majority of the studies utilizing a more rigorous research design seem to indicate …

Moral Distress In South African Professional Nurses: Instrument Development, Richelle Van Waltsleven

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Nurses experience stress, fear and anger while they are trying to reconcile their ideals/goals about health care with its inadequacies and abuses, while at the same time trying to stay true to their convictions. Moral distress is experienced when nurses cannot adhere to these goals. Conflicting moral principles, stress-provoking and contradicting demands weaken the nurse's sense of control, power and autonomy. The current descriptions of moral distress inadequately define the concept, and this might lead to the inconsistent use of the term moral distress. Therefore, conceptual clarity is …

An Increase In The Number Of Nurses With Baccalaureate Degrees Is Linked To Lower Rates Of Mortality And Improved Patient Outcomes, Kristen Magnuski, Katherine Connelly, Nancy Ricciardi

Biennial Convention (CONV)

With more than 3 million members, the nursing profession is the largest segment of the nation's health care workforce. Patient needs have become more complicated, and it is essential that nurses attain requisite competencies to deliver high-quality care. The purpose of this research was to examine whether higher education levels in nursing are associated with improved patient outcomes. The information used for this study was obtained through online searches of journal articles. Most of the articles reviewed focused on Registered Nurse (RN) education levels and hospital mortality rates, while others expanded their research to include the effects of education on …

Knowledge And Practice For Prevention Of Hepatitis B Among Practicing Midwives In University Of Calabar Teaching Hospital, Calabar, Nigeria, Regina Etita Ella

Biennial Convention (CONV)

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

Background: Globally it is estimated that about 400 million individuals are chronic carriers of hepatitis B virus (HBV) and that more than a million people die annually from HBV related causes. Hepatitis B Virus (HBV) is the blood-borne communicable disease and the ninth leading cause of death worldwide. Though, a major public health issue worldwide, the prevalence is higher in the developing countries than the developed. There is an average carrier rate of 10 - 20% in sub-Saharan African general population and 9 to 39% in Nigeria. The …

Nurse Religiosity And The Provision Of Spiritual Care, Iris Mamier, Carla Gober, Kathy Schoonover-Shoffner, Elizabeth Johnston Taylor

Biennial Convention (CONV)

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

Background: Many nurses are religious. Indeed, religious motivations often prompt individuals to be nurses. Likewise, religious beliefs provide nurses with cognitive structures that comfort them as they continually witness patients' suffering. Professional ethics codes, however, admonish nurses to never proselytize their religion while caring for patients. Indeed, the power differential in the clinician-patient relationship and non-ecclesiastical role of the nurse support the argument that clinicians should not impose their religious beliefs at the bedside. Nurses are increasingly expected to screen for spiritual distress and intervene to promote spiritual …

Denial Or Decay?: An Oral Health Educational Program For Caregivers Of Preschool Children, Audrey P. Miller, Gabriella M. Riccio

Biennial Convention (CONV)

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

Background: Oral health care is the primary preventive method of tooth decay (caries or cavities) and infection in children below the age of five. Nonetheless, many children still suffer with multiple infectious tooth decay, unnecessary sedative extractions, and tooth loss; resulting in pain, nutritional concerns, and speech delays. The gap in the literature as it relates to caregiver knowledge towards oral health for their young children and the effects that preventive oral health care can contribute to a child's healthy lifestyle are deficient. Aims: To examine the effects …

Main Factors For Creating A Nursing Curriculum Including Oriental Medicine And Challenges Of Its Implementation: A Case Study Of A Japanese University, Fusako Kawabe, Toshie Yamamoto, Shu Chun Chien, Akiko Nagata

Biennial Convention (CONV)

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

Background: Prompted by a suggestion in the model core curriculum for medical education in 2001, all medical faculties and university hospitals in Japan have successively established courses in Oriental medicine and Oriental medicine departments, respectively. Conversely, there are no requisite courses at nursing universities teaching knowledge and skills in Oriental medicine; this subject holds a different position in the curriculum at each university. This indicates that nurses working in Oriental medicine departments have to engage in outpatient nursing without having acquired any knowledge or skills in Oriental medicine …

Strategies To Increase Nursing Student Diversity, Victoria Mccoy, Asako T. Katsumata, Andrea Doughty, Terese Burch

Biennial Convention (CONV)

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

Background: The US population is becoming more and more diversified. According to the year 2010 national census, the population was distributed as 72.6% white, 16.3% Hispanic, 12.6% African American, and 4.8% Asian. The most recent national figures on registered nurses indicate that 83.2% are white, 3.6% Hispanic, 5.4% African American, and 5.5% Asian. To provide socially and culturally competent patient care, it is necessary for nursing programs to produce diversified graduates. The objective of the project is to identify barriers to enrollment for the under-represented groups, i.e. African …

Being There: Undergraduate Nursing Students' Perceptions Of Nursing Presence, Jeanne Van Denack, Carol Toliuszis Kostovich

Biennial Convention (CONV)

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

Purpose: The purpose of this study was to explore undergraduate nursing students' perceptions of nursing presence during a medical-surgical clinical rotation.

Significance/Rationale: Nursing presence is defined as the physical and emotional availability of the registered nurse to the patient. Technological advancements coupled with an emerging nursing workforce comprised of a technology-dependent millennial generation could potentially threaten the emotional connection between nurse and patient. Few studies have explored nursing presence from a student perspective.

Methods and Analysis: The phenomenon of nursing presence was presented during an undergraduate junior level …

Clinical Nurse Specialist Designed Certification Preparation Course, Jennifer L. Kitchens, Margie A. Hull

Biennial Convention (CONV)

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

Purpose: The purpose was to implement and evaluate an institutionally-based CNS-led medical-surgical preparation course in order to prepare its medical-surgical nurses to become certified. Significance: The CNS competencies provide a basis for a CNS-led medical-surgical preparation course. Nursing certification may have many benefits to organizations including improved nursing competence; confidence; patient care; promotion of professional growth; and reflection of knowledge and expertise in a specialty.

Background: There is no formal medical-surgical certification preparation course at the institution. This course was requested by practicing medical-surgical nurses and organizational leadership. …

The Experience Of Newly Qualified Professionial Nurses Allocated To Critical Care Units In Their First Year Post Graduation, Thembekile Masango

Biennial Convention (CONV)

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

The purpose: The study was to explore and describe the lived experiences of newly qualified professional nurses allocated in ICUs during their first year post-graduation. Further it was to interpret the meaning that these newly qualified professional nurses attach to these experiences during their first year in the critical care unit.

Method and design: An explorative, descriptive, interpretative and qualitative design was conducted to explore the nurses' experiences. Purposive sampling was used which is based on belief that the researcher's knowledge about the population can be used to …

Mnemonics In Health Care: Do They Really Work And Can They Save A Person's Life?, Luanne Ruth Linnard-Palmer

Biennial Convention (CONV)

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

Mental mnemonics have been used in health care for decades. A series of letters, words or phrases that help with recall of complex material, mnemonics are widely used in all settings and across various professional disciplines. Validating their effectiveness has been overlooked and under-represented in the literature. The goal of this presentation is to share where we are in the use of mnemonics and to disclose the results of two research projects whose aim was to demonstrate the validity of a mnemonic. This author conducted two pilot quantitative …

Exploring Mentorship In The Nursing Context, Linda M. Ferguson, Olive Yonge, Florence Myrick, Noelle K. Rohatinsky

Biennial Convention (CONV)

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

Mentorship is a workplace learning strategy that is beneficial to the mentor, protege, and employing institution as a means of transmitting the tacit knowledge of the workplace. As a result of mentorship, newcomers are incorporated into existing communities of practice in the workplace. Using tools from the business context that has used mentorship for the protege's professional development extensively, we explored the concept of mentorship in the nursing context. Alter slight modification of the tools, we administered them to 357 participants in four health regions in two provinces …

Entering The Red Zone: Establishing An Interdisciplinary Specialized Medical Team For Ebola Preparedness, Jaime L. O'Donnell, Brandy Pockrus, Sethe Wetter

Biennial Convention (CONV)

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

Once believed to be contained to a tropical area in Africa, medical care for a patient with the Ebola disease virus (EDV) remained isolated to the areas affected by this horrific disease. The recent spread of the virus to the western hemisphere has created an urgent need for training and preparation of healthcare workers. The Center for Disease Control (CDC) has recommended that all healthcare facilities establish procedures for the screening, isolation, and transfer of care for any patient suspected of having a highly contagious disease, in order …

Healthy Skin Wins: A Glowing Pressure Ulcer Prevention Program, Donna Martin, Lisa Albensi, Stephanie Van Haute, Lorna Guse, Mary Montgomery, Kendra Gierys, Maria Froese, Mavis Lam, Nataliya Basova, Rob Lajeunesse

Biennial Convention (CONV)

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

Pressure ulcers (PUs) are one indicator of the quality of health care. The prevalence of PUs in acute care hospitals in Canada is estimated at 25.1% with half of PUs assessed as Stage 1. In 2013, an observational survey using a modified Braden Scale was conducted among 272 patients in an acute care hospital located in a Western Canadian city. The prevalence rate of PUs was 34.9% with only one third of the PUs at Stage 1. In this poster presentation, we describe how a multidisciplinary research team …

Inshape: An Exercise And Nutrition Wellness Program For Individuals With Serious Mental Illness, Marsha L. Lesley

Biennial Convention (CONV)

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

The InSHAPE individualized health promotion program has been gaining national attention for its success in helping individuals with serious mental illness to improve physical fitness and nutrition health. A community mental health agency in mid-Michigan has been enrolling participants in the year-long program since December 2010 and has collected data on numerous physiological and psychological measures at several time points during the year. This study will report the findings and relationships between these repeated measures including physical assessment data such as blood pressure and heart rate before and …