Digital Commons Network^™

Teleporting Story: How Nurse Educators Use Digital Stories To Teach, Melissa Schwartz Beck

Biennial Convention (CONV)

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

The National League of Nursing calls for nurse educators to think beyond the 20 th century pedagogy to explore new possibilities in nursing education that is research based. The concern for educators then is how to effectively incorporate new pedagogical tools that will engage, inspire, and better prepare future nurse graduates. This interactive presentation shares how 12 nurse educators from Europe and the United States have incorporated digital stories to teach both within and outside the classroom walls. Digital stories, the newest pedagogical tool on the narrative field, …

South African Health Care Provider Perceptions Of Barriers To Effective Neonatal Resuscitations In Delivery Settings, Valerie Ann Clary-Muronda

Biennial Convention (CONV)

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

The purpose of this qualitative study is to explore the facilitators and barriers to effective neonatal resuscitation for neonatal care providers in South Africa from their South African contexts, to identify potential areas for improvement in the study setting, an area in which improvement has occurred in the past decade, but has not met expectations, despite interventions. The rationale underlying this inquiry is the need to develop an understanding of factors that affect neonatal resuscitation from the standpoints of healthcare providers from their specific cultural contexts for the …

Developing University And Hospital System Partnerships To Promote Use Of Evidence-Based Practice Among Baccalaureate Nursing Students, Kae Rivers Livsey, Vallire D. Hooper

Biennial Convention (CONV)

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

This paper describes an academic and clinical agency partnership to enhance the delivery of an undergraduate evidence based practice nursing course. The agency partner research director and faculty member from the university partner co-taught the course which allowed students to become engaged in a specific unit research project, for which the agency partner needed additional data collection support. Students enrolled in the course served as data collectors for a specific unit research project that was underway at the clinical agency. By incorporating these service learning activities, students gained …

Empirical Outcomes: An Autograph For Our Nursing Care, Pamela Petto, Tangee Pruitt, Renee Roberts-Turner

Biennial Convention (CONV)

Background: Changes in the current healthcare environment necessitate an awareness to and transparency of safe and quality patient outcomes. In nursing, empirical outcomes are becoming increasingly important and are an expectation by several accrediting bodies. Some say the bar is lifted for nursing care; others say there is a stronger emphasis on patient outcomes as a measurement of our care. Both of these statements are true; and with this change, measurement of empirical outcomes provides greater evidence of nursing care within the healthcare system and across all providers. Empirical outcomes and the improvements nurses are able to make through best …

Choosing Wisely: Building A Statewide Pilot Program, Lisa J. Woodward

Biennial Convention (CONV)

Choosing Wisely, an initiative of the American Board of Internal Medicine (ABIM) Foundation, released its first list of "Things Providers and Patients Should Question" in 2012. This campaign works with different organizations and specialties and is designed to spark conversations between providers and patients to ensure that the right care is delivered at the right time. Consumer Reports concurrently has developed and disseminated patient materials to assist in engaging in conversations with their health care provider, empowering them to ask questions about appropriate testing and procedures. To date, the Choosing Wisely campaign has engaged nearly 100 national and state medical …

The Registered Nurse Exchange Program, Tangee Pruitt, Pamela Petto, Renee Roberts-Turner

Biennial Convention (CONV)

Background: In an environment where healthcare delivery continues to evolve, it is imminent that practitioners and administrators remain on the cutting edge of best practices. Institutions must seek opportunities to decrease cost and increase quality. As a response, an initiative was put forth to enter into a nurse exchange collaborative with similar hospitals; the Registered Nurse (RN) Exchange Program (RN Exchange Program) is an innovative program where professional pediatric nurses have the opportunity to learn best practices from other pediatric hospitals through witnessing them in action. After being invited into the RN Exchange Program, the hospital created a plan to …

Mentoring Millennials, Mary M. Wheeler, Janice Waddell

Biennial Convention (CONV)

Session presented on Friday, November 6, 2015:

Millennials, those born between 1977 and 1997 and also referred to as Generation Y, compromise one of the largest segment of undergraduate and graduate nursing education programs as well as the workforce. Millennials have a wide range of characteristics and talents that they bring to their education programs and their workplace. They are known for being naturally curious, technologically savvy, they want work that is personally fulfilling and that connects to a larger purpose, they also desire a great deal of feedback and like to be noticed. Often limited access to experienced mentors …

Assessment Of The Provision Of Education Materials On Hiv/Aids Prevention Among Boys Who Undergo Male Circumcision At Hospitals In The Vhembe District, Limpopo Province, South Africa, Fhumulani Mavis Mulaudzi, Lufuno Charity Malala

Biennial Convention (CONV)

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

Background: Literature shows the importance of health education coupled with educational materials as important tools towards HIV/AIDS prevention. HIV/AIDS remains a major obstacle against the achievement of the millennium development goals (MDGs). Male circumcision as one of the HIV prevention strategies endorsed by the World Health Organization (WHO) can be of great assistance in the reduction of the high HIV statistics as well as aiding in the achievement of the MDGs. Although male circumcision has been practised traditionally, boys are found to prefer medical than traditional due to …

Interprofessional Teams Integrate Spirituality Into Patient Care: Lessons Learned, Joanne K. Olson, Suzette Bremault-Phillips, Pamela Brett-Maclean, Doreen Oneschuk, Shane Sinclair

Biennial Convention (CONV)

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

Background: Care of advanced cancer patients and other patients with life limiting illnesses frequently focuses on the physical aspects of disease management. Individuals are inconsistently invited to share their spiritual and psychosocial needs, or discuss how their lives have changed as a result of their circumstance. And yet, seriously ill patients have indicated that the possibility of continued spiritual suffering adds to the distress associated with their illness. Spirituality, broadly defined as that which gives meaning and purpose to life, often is a central issue for patients at …

Measuring And Influencing Noise On An Intensive Care Unit Using A Visual Warning System, Marie-Louise Luiking

Biennial Convention (CONV)

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

Introduction/aim: The experience of background noise can hamper the recovery of a patient. It can cause sleep deprivation, agitation and delirium. (Darbyshire & Young 2013, Bartick et al 2010) For this reason the World Health Organisation advises to keep the mean noise level below 35 to 40 decibel. The noise level in a hospital setting is generally high and on an intensive care unit it is generally very high. On an intensive care unit, an unavoidable part of the noise is generated by the equipment, but a substantial …

Examination Of Factors Related To Elderly People's Purpose Of Life In Japan, Takashi Ohue

Biennial Convention (CONV)

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

Purpose: Older adults' sense of purpose in life has been an important subject in Japan along with their well-being and healthy long life. The purpose of this research is to examine factors related to elderly people's purpose of life in Japan.

Methods: Older adults (N = 250) aged 65 and over gathering in the Kakogawa public hall in Japan were asked to participate. They were asked about their individual attribution and maintenance of healthy condition. Moreover, these items were measured using the Philadelphia Geriatric Center Morale Scale covering …

Benefits, Challenges And Considerations To Academic-Practice Partnerships In Implementing And Utilizing A Dedicated Education Unit (Deu) Model Of Clinical Education, Tami L. Jakubowski, Stacen A. Keating

Biennial Convention (CONV)

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

Purpose: The purpose of this presentation is to discuss the benefits, challenges, and costs to academic-practice partnerships in implementing and utilizing a Dedicated Education Unit (DEU) model of clinical education.

Methodology: A systematic literature search was conducted using bibliographic databases, academic journals, and ancestry searching. Additional sources of information were found on The American Association of Colleges of Nursing Academic Practice Partnership and University of Portland Dedicated Education Unit databases. Search terms included dedicated education unit, academic-clinical partnerships, and academic practice partnership. The approach involved data analysis using …

Sugar In The Blood: The Meanings Of Diabetes Among Newly Arrived Filipinos In The United States, Reimund Serafica, Susan Lane

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: Background: The prevalence of type 2 diabetes mellitus (T2DM) is increasing in the United States, particularly among immigrant populations. Primary prevention programs for diabetes must be designed to address the cultural beliefs of the populations they target. Little research has investigated the beliefs of those immigrants who do not have T2DM. Filipinos are at high risk for developing diabetes, especially T2DM. There is a need to highlight in improving diabetes management and prevention with efforts in primary prevention among those at risks for developing T2DM. Purpose: The purpose of this qualitative ethnography study …

Mission Ready: Use Of Ambient Lighting In Creating A Healing Environment For An Inpatient Psychiatric Unit, Mekeesha Mcclure, Sheron L. Salyer

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: Purpose: To gain insight into current level of evidence on human reaction to lighting on an inpatient psychiatric unit. As the environmental design of the psychiatric unit evolves to maintain safety of the patients and staff, opportunities exist to offer evidence based physical changes. One of the opportunities to create healing environments uses ambient lighting to influence mood and circadian rhythms. Creating a less rigid sterile environment on the psychiatric unit has been a norm to encourage treatment participation. The objective of this literature review is to determine if a positive relationship exists …

Maximizing The Impact Of Your Publications In An Open Access Environment, Peter Griffiths

Biennial Convention (CONV)

The pressure on nursing scholars to publish their research findings has never been greater. Publications bring scholars and their employing institutions recognition, raise the likelihood of further research funding and are the pathway to a successful academic career. However, publishing practices and the publishing environment are changing. Whereas frequency of publication was once the main criterion for academic success (Norman & Griffiths 2008) the emphasis today is on producing fewer papers, but ones that are highly used and cited and published in high impact journals. Added to this the long and sometimes heated debate about the merits or otherwise of …

Missed Nursing Care In Hospitalized Patients In Two Health Institutions, Maria Guadalupe Moreno Monsivais, Ma. Guadalupe Interial Guzman, Sofia Cheverria Rivera, Leticia Vazquez Arreola

Biennial Convention (CONV)

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

Patient safety is a priority worldwide and the effectiveness of health systems in different countries is being reconsidered (WHO, 2010). The aim is to prevent patient injury as a result of the care provided or omitted by health personnel. In this care process all health professionals are involved; however, nursing stands out because of its close and continuous contact with patients (Kalisch, Landstrom & Hinshaw, 2009). Therefore, nursing administrators face the challenge of ensuring that their staff, in the different health institutions, both public and private, provides quality …

Interprofessional Education: Using Simulation To Teach Error Disclosure, Ann Popkess, Christine Durbin, Therese I. Poirier, Katie E. Ronald, Toni Roucka, Miranda Wilhelm

Biennial Convention (CONV)

The Institute of Medicine has reported staggering statistics of medical errors in hospitalized patients in the United States. Full disclosure of medical errors to patients is a new topic in the literature. Health professionals often fear disclosing errors to patients due to a myriad of legal, professional, and administrative constraints and consequences (Robinson & Hughes, 2008). While much of the error disclosure training literature focuses on medical students and physicians, (Barrios et al., 2009; Gilles, Speers, Young, & Fly, 2011; Gunderson, Smith, Mayer, McDonald, Centomani, 2009 ;) very little is reported on undergraduate and/or pre-licensure health professions training (Noland & …

Qualitative Research In Teens With Asthma: Understanding Patterns Of Symptoms And Self-Management, Jennifer R. Mammen, Hyekyun Rhee, Sally Norton, Arlene Butz

Biennial Convention (CONV)

Background: Self-management is a central component of controlling disease and preventing morbidity and mortality (CDC, 2011; Rand et al., 2012). Many teens have suboptimal asthma control, which is often attributed to poor self-management (Bruzzese et al., 2012; Rhee, Belyea, Ciurzynski, & Brasch, 2009). Thus it becomes important to understand not only how teens self-manage their asthma, but their underlying process of rationales and responses (Mammen & Rhee, 2012). In this study we employed a combination of semi structured interviews, self-management voice-diaries, and card sorting techniques to map teens' unique patterns of symptoms and responses and facilitate in-depth discussion of their …

Sex Will Make Your Fingers Grow Thin And Then You Die': The Interplay Of Culture, Myths, And Taboos On African Immigrant Mothers' Perception Of Reproductive Health Education With Their Daughters Aged 10-14 Years, Kafuli Agbemenu

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background: The purpose of this presentation is to examine the convergence of culture, myth, and taboo about reproductive health issues to which African immigrant women, who currently reside in the United States, were exposed while growing up in their countries of origin. We also sought to understand if their perceptions influenced the reproductive health education (RHE) they provide to their daughters aged 10-14 years. Methods: Twenty African immigrant mothers in the United States were interviewed about the myths and taboos on pregnancy and sexually transmitted infections they heard …

Knowledge, Attitude And Practice Of Lebanese Women Towards Breast Cancer, Breast Self-Examination And Mammography, Myrna Abi Abdallah Doumit, Mary Arevian, Souha Fares

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background: Breast cancer is a major global health problem. It is the most frequent malignancy that causes deaths and cancer related morbidity in women. A comparable epidemiological profile applies to Lebanon where breast cancer is the most widespread type of cancer among Lebanese women. There is universal consensus that early detection of breast cancer offers the greatest chance of long-term survival. Purpose: Our purpose was to assess the knowledge, practices and attitudes of Lebanese women about breast self-examination( BSE), Clinical breast examination (CBE) mammography and breast cancer and …

Doctoral Education In Nursing: A Polish Perspective, Lena Serafin, Anna Doboszynska, Ewa Kadalska

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: Becoming a registered nurse in Poland requires a completing of a three-year bachelor's degree. Afterwards nurses have an opportunity to continue their education at master's degree level or start a two-year clinical nurse specialist course. Doctoral education can be attended by nurses who have successfully completed their master's degree. The main law which regulates nursing practice in Poland is an act from 15 th July 2011. According to this document Polish registered nurses are obligated to continuously develop their skills and competences. This is the reason why …

The Effectiveness Of The Chin-Down Posture In The Improvement Of Dysphagia In Stroke Patients, Shiu-Hao Tai, Hui Mei Huang

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Introduction: This study investigates the effectiveness of the Chin-down swallowing technique in the improvement of dysphagia in stroke patients. Methods: This study was a quasi-experimental design conducted in January 2013 to December 2013. Subjects were selected by purposive sampling from in stroke patients with dysphagia the rehabilitation and neurologic department of a medical center. Patients with brainstem stroke, brain trauma, or past cervical vertebra damage were excluded; patients with unstable vital signs, those who could not follow instructions, and those who could not perform the maneuver were also …

Infection Rates In Traditional Vaginal Birth Vs. Water Birth, Sasha Sinkevich, Natalee J. Snyder, Stephanie A. Palmer, Nicollette Singleton

Biennial Convention (CONV)

The incidence of infection due to perineal tears during water births is unknown. Approximately 75% of all women who give birth vaginally will suffer from various levels of birth lacerations (Lundquist, Olsson, Nissen, & Norman, 2000). One in ten women who received a perineal laceration during a vaginal delivery later developed an infection (Johnson, Thakar, & Sultan, 2012). The purpose of this research is to determine the effects of water birth on maternal perineal infection in comparison to traditional birthing methods in California. The goal of this study is to determine the difference in perineal infection rates between these two …

Low Parental Health Literacy: A Pediatric Nursing Concern, Eileen K. Fry-Bowers

Biennial Convention (CONV)

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

Purpose: The purpose of this presentation is to provide the pediatric nurse with information regarding low parental health literacy (HL) and its impact on pediatric health outcomes. Clinical assessment of HL versus adoption of a "universal precautions" approach to health care communication will be discussed. Evidence-based interventions for clear communication to parents at risk for low HL will be presented.

Background: Health literacy (HL), which comprises numerous skills beyond those of reading and writing, including speaking, listening, and numeracy, allows individuals to obtain, process, and understand basic health …

Curriculum Development And Service Learning To Bring Theory Into Practice, Margarett Alexandre

Biennial Convention (CONV)

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

An elective course was developed incorporating the Student Learning Outcomes; which included the need to advocate for health policies that address local and global health issues, effectively communicate with diverse client populations and disciplines using a variety of strategies and respecting client's cultural beliefs and practices, as well as the essential curriculum concepts: Communication/Collaboration, Safety/Technology, Critical Thinking/Nursing Process, Leadership/Management, Professional Accountability/Advocacy, Legal, Moral, Ethics and Research. A two week service learning component in Haiti, gave the nursing students the opportunity to immerse and provide needed services to an …

Gene Mutations And Pregnancy Induced Hypertension: A Meta-Analysis, Ya-Ling Yang, Shyang-Yun Pamela K. Shiao

Biennial Convention (CONV)

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

The purpose of this study is to disseminate current evidence on population genome health and related epigenetic factors, through the meta-analyses of methylenetetrahydrofolate reductase (MTHFR) gene in pregnant women who developed hypertension (PIH). PIH including preeclampsia are the leading causes of maternal and perinatal mortalities. Preeclampsia presents not only more severe form of PIH, but also additional dysfunctions including edema, proteinuria, headache, and impaired vision. Literatures were searched from various databases using a set of key words for the meta-analyses. Quality scores for the studies and inter-rater evaluation …

A Nurse Leaders Journey To Improve Geriatric Outcomes In The Acute Care Setting, Rhonda R. Davis, Claudia Jean Beverly, Tina M. Savdoval

Biennial Convention (CONV)

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

Improving Geriatric Outcomes through a Nurse Led Interprofessional Team in the Acute Care Setting The Geriatric Nurse Leadership Academy (GNLA) is an 18 month mentored leadership experience that is designed to operationalize learned leadership behaviors by assisting and supporting the fellow in developing and implementing a project that is centered on improving geriatric outcomes. Methodist Le Bonheur Healthcare has a culture of continuous quality improvement and leadership development and therefore chose to participate in the 2014-2015 GNLA cohort recognizing that as an organization the advancement of nursing practice …

Implementation And Evaluation Of Transitioning Newborns At The Bedside Maternal-Child Leadership Project, Shakira Lita Ismay Henderson, Sonya L. Clayton, Katheryn B. Arterberry

Biennial Convention (CONV)

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

Background: Traditionally, mothers and babies are separated after birth. However, strong evidence exists that immediate skin-to-skin contact after birth between mother and baby has positive outcomes for both mother and baby. Babies who transition with their mothers have better breastfeeding rates and mothers who transition with their babies are more satisfied with the birthing process. Nonetheless, nurses are challenged daily with promoting skin-to-skin, especially after a cesarean delivery. West Kendall Baptist Hospital embarked on a journey to implement a change process of transitioning all eligible newborns at the …

Equine Assisted Therapy: A Systematic Review Of Interventions To Improve Outcomes In Adults, Sharon A. White-Lewis, Cynthia Russell, Rebecca A. Johnson, Nancy L. Mueller

Biennial Convention (CONV)

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

Problem: Half of all adults, over 117 million, have one or more chronic illnesses. A new intervention, equine assisted therapy, is an approach that uses unique qualities of a horse to provide improvement in gross motor, quality of life and self-help skills. No comprehensive systematic reviews have been conducted on equine assisted intervention studies targeting adults.

Purpose: To synthesize equine assisted therapy intervention studies.

Theoretical/Conceptual Framework: A research methods quality framework was used. CONSORT guideline criteria were used to judge randomized controlled trial study quality while STROBE guideline …

Opinions About Smoking Policies, Exposure To Secondhand Smoke, And Smoking Behaviors Of Freshman College Students, Haley E. Deyoung, Megan M. Eggert

Biennial Convention (CONV)

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

College years are a time of life transition and therefore smoking abstinence programs are needed on college campuses in order to prevent initiation of smoking behaviors and promote smoking abstinence (Rogers, 2012). The purpose of this project was to assess freshman college students' opinions of smoking policies, secondhand smoke exposure, and smoking behaviors within a smoke-free campus. The Transtheoretical Model (Prochaska & DiClemente, 1983) provided framework for assessment of behaviors and intentions. An on-line cross-sectional survey was used to collect the data. Surveys were emailed via Zoomerang and …