Digital Commons Network^™

Global Scholarship: The Challenges For Nursing And The Value Of Stti, Elizabeth Anne Rosser, Janet M. E. Scammell, Ann L. Bevan, Vanora Hundley

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Globally, professional nursing is facing a number of significant and complex challenges. Issues such as workforce shortages, increasing patient acuity, ongoing reduction of resources and poor quality of professional work life combine to have a greater influence on patient care than the effect of each one in isolation (Mannix et al, 2013; Aitken et al, 2013). Although not just a nursing issue, evidence from various reports, especially in the United Kingdom (UK), indicate that in combination these challenges can result in gross failure in the 'system' leading to unacceptable and in some …

Evidence Of Cognitive-Behavioral Skill Use After A Physical And Mental Health Promotion Intervention (Cope For Teen), Stephanie A. Kelly

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: COPE (Creating Opportunities for Personal Empowerment) Healthy Lifestyles TEEN (Thinking, Emotions, Exercise, Nutrition), a cognitive-behavioral skills building intervention, strives to develop lifelong healthy behaviors to enhance physical and mental health. Healthy lifestyle behaviors are difficult to attain and sustain. Evidence suggests behavior change may be sustainable when cognitive-behavioral skills are taught and used as the technique for change. Such strategies include: goal setting, cognitive reframing, problem-solving, relaxation techniques, social interaction and communication skills, mood monitoring, emotional regulation, and self-regulation.

Aims: The purposes of this presentation are: (a) to discuss cognitive-behavioral skills building …

Evidence-Based Practice Fellowship Immersion: Transforming Staff Nurse's Professional Practice, Tom Christenbery, Nancy Wells

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Evidence-based practice (EBP) fellowship programs have been shown to decrease barriers to EBP and promote professional growth. Nurses at one organization described their EBP fellowship program as "life-changing", prompting nursing leaders and educators to examine what intrinsic changes might have occurred as a result of participation in the program.

Purpose: The purpose of this qualitative study was to explore the professional and personal changes that occurred in staff nurses during and following a 1-year EBP fellowship program.

Materials & Methods: Focus groups were conducted with staff nurses in an academic medical center …

Comparing Mothers' Postpartum Concerns Over Time, Jean Hannan, Dorothy Brooten, Ali Marie Galindo

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Low-income mothers of full-term infants experience early postpartum hospital discharge, little to no routine follow-up after hospital discharge, low social support, unmet learning needs, increased stress and difficulty accessing the healthcare system (Britton, 2006; Loprest et al., 2007). However, changes to the healthcare system over the past 2 decades have effected the outcomes of postpartum mothers and their infants. Recent legislative acts and changes in health care reimbursement are forcing hospitals to eliminate many health care services in the community, especially those in maternal child health (Abraham, 2011). These changes are posing …

A World View Of Person And Family Centered Care, Joanne Disch

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Although substantial work is being done in many countries to advance the concept of person and family-centered care, there is no universal definition that has been adopted. The international Alliance of Patients' Organizations (2007, p. 2) uses the term patient-centred healthcare to "describe healthcare that is designed and practiced with the patient at the centre." However it has become clear over the past 20 years that this definition can encompass working with, doing for or doing to - with patients and their families having little say in the design, delivery or evaluation of …

Self-Reporting Of Health Perceptions Among Former Uranium Workers, Their Families And Descendants Living In Rural Settings, Harold William Smith

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The purpose of this ongoing study is to conduct an assessment of the health needs of communities in New Mexico that have been exposed to uranium and other naturally occurring environmental hazards, and to understanding whether or not there is a significant relationship between self-reporting health statuses, individuals' perceptions of their overall health, and uranium exposure in uranium mine workers and their families. An individual's perception of their own health has been found to be a predictor of how they access health care, as well as level of proactivity of adherence to health …

Autonomic Dysreflexia: An Update, How Serious Is It?, Julius H. Penning, Lavonya L. Mcalister, Sandra Iwunze

Biennial Convention (CONV)

Autonomic Dysreflexia (AD) is a medical emergency for individuals who have sustained a spinal cord injury (SCI) at or above the thoracic sixth vertebrae (T-6), which can cause complications with seizures, stroke, cardiac complications or death if not treated. The general public, family physicians, non-rehabilitation hospitals, Emergency Departments and rehabilitation hospitals for spinal cord injury play a crucial role in maintaining the health care and well-being for SCI individuals. Male-to-female ratio for SCI is 4:1; however AD is not sexually predetermined. SCI complete injuries (no motor or sensation) have a higher risk for experiencing AD, 91% vs 27% for incomplete …

The Clinical Research Nurse: A Global Perspective On Role, Value And Leadership, Margaret A. Mccabe, Mary Jane Williams, Shaunagh Marie Browning, Judith A. Vessey, Liza Behrens, Stephanie-An Lyle

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Clinical research nursing is "the specialized practice of professional nursing focused on maintaining equilibrium between care of the research participant and fidelity to the research protocol." (International Association of Clinical Research Nurses (IACRN), 2012). Description of nurse involvement in clinical research is present in the literature, however, not until the last two decades has significant progress been made in role description and awareness of the specialty practice of the CRN (Fedor, 2009;Watmough, Flynn, & Wright, 2010; Nagel, Gender, & Bonner, 2010). Clinical research nursing is an emerging specialty within the nursing field that …

Navigating A Disaster: A Capstone Simulation Integrating Leadership Skills, Ethical Principles, And Clinical Reasoning, Lynn L. Wiles, Denise B. Isibel

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Disaster preparation is a way of life in this southeastern coastal community that is home to the largest US Navy base in the US. Recent disasters include hurricanes, nor-easters, severe thunderstorms with tornados, and several aircraft incidents involving multiple injured patients. Likewise the heavy joint-forces military presence and the region's reliance on bridges and tunnels for transportation provide a potential terrorist threat. The opportunity to practice disaster management skills prior to participating in a manmade or natural disaster has a realistic meaning for nursing students at this university. Disasters can be natural or …

Everyday Ethics In The 21st Century: Creating And Sustaining A Culture Of Ethical Practice, Cynda Hylton Rushton, Marion E. Broome

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Ethical issues in nursing are not new; ask any practicing nurse what keeps them up at night. Nurses in all roles and specialties confront myriad ethical issues in their everyday practice. Yet, there are growing concerns about the prominence of ethical issues in health care and gaps in nursing competence in ethical practice, educational models for teaching ethics, policies that undermine nurse integrity, and an insufficient evidence base to guide interventions. In August 2014, 50 nursing leaders participated in a national summit on Nursing Ethics for the 21st Century, sponsored by the Johns …

The Literacy In Professional Nursing In Peripheral Venous Catheterization Procedures: A Systematic Review, Joao Manuel Graveto, Ana Catarina Oliveira, Ana Rita Miraldo Martins

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Introduction: Peripheral intravenous catheterization is a common practice in the hospital context and implies a set of nursing diagnoses and actions with clear therapeutic goals. As invasive procedure, manipulation of peripheral intravenous catheters (PIC) constitutes an increased risk for infection. Nursing care provided to users with PIC should be grounded in scientifically based practice, with a view to production trend of current knowledge. The guidelines presented by the Center for Disease Control and Prevention give clear indications for this procedure. Constant updates of knowledge are fundamental to the safety of the user, in …

Sacred Valley Health: A Global Organization With A Local Impact, Keri Lynn Baker, Lynne M. Massaro, Maria C. Lafaro

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Sacred Valley Health (SVH) is a US 501 c3 nonprofit organization working in Ollantaytambo, Peru. The mission of SVH is to promote health in the underserved, rural communities of Peru's Sacred Valley through increased access, education, and community empowerment. The primary focus of the organization is to train promotoras de salud (community health workers). The promotoras serve as healthcare providers and educators in their communities. Evidence demonstrates community health workers increase access to health and improve health outcomes (Lewin et al., 2006). SVH trained promotoras have: (1) facilitated access to care for more …

The Relationships Between Patients' Perceptions Of Nurse Caring Behaviors, Nurses' Perceptions Of Nurse Caring Behaviors And Patient Satisfaction In The Emergency Department, Theresa Bucco

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: Approximately 100 million people seek care in Emergency Departments (ED) yearly which can be overwhelming for many Emergency Department nurses. Thus, caring for these patients and meeting their needs is challenging for Emergency Department nurses. It is the patients' perceptions of the first caring encounters in the ED that can have a significant impact on patient satisfaction. Objective: The purpose of the study is to examine the relationships between patients' perceptions of nurse caring behaviors, nurses' perceptions of nurse caring behaviors and patient satisfaction in the Emergency Department.

Methods: This was a …

Vha Wellness Model Of Health: Helping Veterans Be Mission Ready For Life, Sheron L. Salyer

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The Veterans Health Administration (VHA) mission honors Veterans by providing exceptional healthcare that improves their health and well-being. As Veterans needs change, a healthcare system must be open to expanding beyond an illness focus to center on what is important to Veterans and the health care outcomes they desire. This symposium describes the theoretical framework developed by the VHA Office of Patient Center Care (OPCC) to guide our transformation into a personalized, proactive, patient driven model of care. We reports how one VHA healthcare system uses the model to conduct literature reviews identifying …

Know Your Tools: Improving Nurses' Use Of The Confusion Assessment Method (Cam) To Detect Delirium, Julie Plagenhoef

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: Delirium is a serious illness that increases patient morbidity and mortality during and after hospitalization (Maclullich et al., 2013). Early identification of delirium is an important step to improve patient outcomes (Holly, Cantwell, & Jadotte, 2012). Although the Confusion Assessment Method (CAM) has been validated as a useful instrument to assess for delirium in the acute care setting, anecdotal experience indicates bedside nurses do not always use it effectively. The aim of this project is to provide targeted education to clinical nurses to improve their ability to use CAM assessments to detect …

Use Of Standardized Patients To Enhance Health Assessment Skills Of Undergraduate Nursing Students, Kellie Dionne Bryant, Larry Z. Slater

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: Standardized Patients (SPs) have been used in medical education since the 1960's however the concept of using SP's in the field of nursing education is a recent concept. The undergraduate nursing health assessment course has been taught in the same traditional manner for decades. In order to learn physical assessment skills, students are often asked to take part in peer physical examinations (PPEs), where students practice and validate assessments on one another. Although students may tolerate PPEs, this methodology often promotes simple memorization over critical thinking. Additional drawbacks with PPE's are some …

Health Risks For Nurses Working Night Shift, Robie Victoria Hughes

Biennial Convention (CONV)

Aim and Purpose: To identify health risks and strategies to reduce health risks for nurse night shift workers through a review of articles published during the last 10 years. Method: An electronic literature search for "Health Risks Nurse Night Shift" was conducted using the Pubmed, CINAHL and Health Source: Nursing/Academic Edition databases. Inclusion criteria used was English language, full text available articles, and published dates between January 1, 2004 and December 31 2014. Based on the search criteria a total of 90 articles were identified. Abstracts for the identified articles were reviewed for relevance and duplicate citations were removed. Results: …

Strategies To Grow And Sustain A Competency Assessment Model Utilizing The Quality Safety Education For Nurses (Qsen) In The Clinical Setting, Ciara Culhane

Biennial Convention (CONV)

In the practice setting, a comprehensive measurement of competency assessment is essential in initial orientation and ongoing education of clinical staff. This presentation will describe how a large academic healthcare system integrated, expanded, and sustained a clinical competency assessment model utilizing the Quality Safety Education for Nurses (QSEN) framework. As the Institute of Medicine (IOM) identified criteria for nursing to provide safe quality patient care, it became apparent the use of a traditional skills checklist was not an accurate measurement of competency. This shifted the thought process from measuring skills to a more comprehensive approach including knowledge, skills and attitudes. …

Leading The Transformation To An Ebp Organization With Planned, Strategic Integration Of 3 Critical Resources; People, Processes And Technology, Michelle R. Troseth

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Today's healthcare environment is increasingly complex and ever changing. Evidence-based practice (EBP) has been identified as a critical requirement to achieve the Triple Aim in healthcare. Although it is well established that evidence-based practice (EBP) improves healthcare quality and patient outcomes as well as reduces morbidities, mortality, medical errors, and costs of healthcare services, it is not standard practice by the majority health professionals in healthcare systems. Many healthcare providers, across the care continuum, continue to deliver care based upon tradition, outdated policies and procedures, and information learned years ago in their educational …

Newly Graduated Registered Nurses' Perception Of Psychiatric Nursing, Avni Cirpili, Jennifer K. Barut, Jana M. Briggs, Nichole M. Taylor

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015: In 2009, Hanrahan raised the concern of a potential shortage of psychiatric nurses since fewer new graduates are choosing this subspecialty of nursing as a career choice. Nurse leaders and educators need to understand why newly graduated registered nurses (GRNs) are not choosing psychiatric nursing as a career path. There is little evidence examining nurses' perceptions of psychiatric nursing within the United States. In order to develop a strategy to increase RN entry into this subspecialty nurse leaders must understand how perceptions are influenced by nursing education. A survey was conducted with newly …

Aligning Outcomes, Assignments, And Assessment In Designing An Effective Online Program, Melissa Ann Popovich

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015: Higher education institutions are increasingly expected to link the academic pedagogies in a manner that facilitates the application of practice-level skills. In an effort to develop high-quality and effective online learning environments which prepare the student for immediate contributions in the workplace, this college developed a strategy for the development of a completely online program to ensure quality and increase learning in the courses and program. By using a logic model framework and methodology, program, course, and student learning outcomes, assignments, and assessment of learning can be easily organized to flow in a …

One School's Journey Through High Fidelity Simulation Curriculum Integration, Ludy Llasus

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015: Background: This abstract describes one BSN program's journey in HFS curriculum integration. The IOM report on the Future of Nursing (2010) recognized the need for a highly educated nursing workforce to address the realities of health care in the 21st century. Nursing education facing the challenge related to clinical practice sites, many nursing program has adapted use of simulation an as educational tool to enhance clinical education. Simulation has been found useful for teaching to improve clinical judgment, increase safety and decrease errors (Bearnson & Wiker, 2005). The use of simulation can help …

Establishing A Global Institution Partnership For Nursing Education, Wanda Lawrence

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: Over a decade ago, nurse experts identified factors that impacted nursing practice in the 21st century, which began with the increasing globalization of healthcare and nursing education. Mobilization of nurses has prompted educators to take a close look at variables centered around the education of nurses. A university located in the central part of the People's Republic of China, having over 17,200 students saw a need to strengthen its nursing program by strategically partnering with a university located in South Eastern United States. Both nursing programs met to review and evaluate the curriculum, …

Building A Center For Nursing Excellence Using A Role-Based Model For Accountability And Outcomes, Miki Goodwin, Joanne T. Clavelle

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: The impetus to create the Center for Nursing Excellence in a southwest region hospital system coincided with new nursing leadership and a newly merged health network comprised of five hospitals. In order to align with the core tenets of Magnet (ANCC, 2013), a feature of all five hospitals, and to provide access to resources for all nurses at all levels in all areas of nursing, a strategy was needed to bring together the key pillars of professional nursing practice, education, research and innovation. The new Network Chief Clinical Officer established the vision for …

Continence Behavioral Rehabilitation Program, Phyllis A. Heintz, Audrey Cochran

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: This presentation will discuss the public health impact and the economic costs of ineffective management of bladder control. Participants will learn strategies to teach bladder and bowel control; evaluation, analysis, and plan of treatment for a continence behavioral rehabilitation program; and have the opportunity for a demonstration and practice of pelvic floor exercises. Additional nursing implications for the presentation include developing a sensitivity to urinary incontinence to earn and maintain patient trust.

Aristotelian Philosophy Of The Human Person, The Theory And Conceptual Framework Of Imogene King Expanded To A Global Perspective, Beverly J. Whelton

Biennial Convention (CONV)

The purpose of this study is to display the integration of an Aristotelian-Thomistic understanding of being human and nursing practice within Imogene King’s Theory of Mutual Goal Attainment. This presentation will also extend King’s conceptual systems from personal, interpersonal and social to include worldwide global systems.

The Limitations Of Body Mass Index (Bmi) As An Obesity Assessment Scale And The Implications For Practice: A Nursing Perspective, Sinead Impey

Biennial Convention (CONV)

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

Rising obesity rates have a significant impact on morbidity, mortality and subsequent delivery of health services globally. Therefore accurate assessment of individual weight status is vital (Carpenter et al. 2013). Although, frequently used in clinical practice and research, the ability of the body mass index (BMI) to accurately assess obesity in individuals has been much criticised. Raising awareness among nursing staff of the limitations of BMI is important. By understanding the various inadequacies, the use of BMI as an assessment tool for obesity, and thereby a proxy measure …

Preparing The Workforce To Care For Older Adults, Jennifer L. Declercq, Nelma B. Crawford Shearer, Lisa A. Imlay

Biennial Convention (CONV)

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

The Geriatric Nursing Leadership Academy (GNLA) is founded on the three learning domains of leadership: Individual Leadership Development, Advancing Nursing Practice through Leadership of an Interprofessional Team Project, and Expanding Scope of Influence within the organization, community, and profession. The GNLA utilizes the Kouzes-Posner Leadership Challenge model for the purpose of developing leaders through a mentorship to advance practice and the care continuum for the older adult. My individual leadership plan focuses on clarifying my values and setting an example by modeling the way for the interprofessional team …

Advance Nurse Practitioner Hypertension Management, Mary Jane Venzon

Biennial Convention (CONV)

In recent years, the US health care delivery system has evolved from primary care treatment of acute medical illness to management of chronic conditions. Parallel to this change, nurse practitioners (NPs) presence in primary care setting is increasing especially in the chronic disease management (Watts et al., 2009). Considering that NPs are in the forefront of disease prevention and management among adults, they must demonstrate excellent clinical performance and improve patient outcomes. Studies have shown that NPs provide safe, efficient, cost-effective, and high-quality health care. Despite of this, some medical organizations, lawmakers, and health consumers are still wary of the …

Presence Of Perverse Violence In The Dependent Elderly, Dafne Gomez-Melasio, Martha Alicia Magallanes-Monrreal, Jesus Acevedo-Aleman, Ana Laura Sr. Carrillo-Cervantes

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: In many parts of the world the abuse of the elderly goes almost unnoticed. Until recently, this serious social problem hidden from public view and was regarded as an essentially private matter. Even today, mistreatment of the elderly remains a taboo, usually underestimated and neglected by societies around the world. However, there is growing evidence that this is a major public health and society problem and it was described in 1975 in British magazines using the term "granny battering". The stadistics on abuse of the elderly is …