Digital Commons Network^™

Evidence-Based Leaders And Leadership, Bernadette Mazurek Melnyk

Biennial Convention (CONV)

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 Many healthcare providers, across the care continuum, continue to deliver care based upon tradition, outdated policies and procedures, and information learned years ago in their educational programs. It is essential for healthcare organizations …

Public Access To Naloxone: Provider Awareness And Prescribing Attitudes, Kathryn L. Dambrino

Biennial Convention (CONV)

Background: Drug overdose deaths have become an escalating epidemic in the United States (U.S.) and are recognized as the leading cause of injury death. To combat opioid overdose, naloxone distribution to the public has been initiated in some states as a harm reduction strategy. Although new laws have been implemented allowing providers to prescribe naloxone for layperson use, minimal data is available to evaluate providers' awareness, attitudes, and intentions to prescribe naloxone.

Purpose: The purpose of this doctoral project is to describe and correlate the awareness, attitudes, and intentions of Tennessee providers in response to the Naloxone Rescue Act.

Methods: …

Elderly And The Use Of New Technologies As A Communication Support, Ana Patricia Salas-Garcia, Martha Alicia Magallanes-Monrreal, Jose Gonzalez Tovar, Maria Magdalena Delabra-Salinas

Biennial Convention (CONV)

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

In today's society the New Technologies of Information and Communication (NTICs ), impact on Nearly All Tasks Everyday Population. NTICs provide the ability to understand How does new High Technology works and how it can be used. The NTICs support the independent life for older adults to facilitate the interaction of users through the Use of spoken language, writing and computational vision including bodily gestures. Elderly who gain the knowledge and skills of New Technologies on Daily Life Have Another Alternative to communicate, interact with relatives or friends, …

Behind Closed Curtains On Eighteen Wheels: The Risk Factors And Consequences Of Intimate Partner Violence In Female Long-Haul Truck Drivers, Kimberly M. Bourne

Biennial Convention (CONV)

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

Background: Intimate partner violence affects more than 1.3 million women in the United States (US) each year and 50% of all female homicides are committed by current or former intimate partners. Intimate partners are defined as a spouse or sex partner who cohabitate together. There are nearly 122,000 female long-haul truck drivers in the US who drive as part of a team with their intimate partners. Their jobs require them to be in close proximity with their intimate partners 24-hours a day for days to weeks at a …

Integrated Nursing Program Improves Symptom Distress, Depression, And Heart Rate Variability In Patients With Heart Failure, Hui Ling Hsieh, Chi-Wen Kao

Biennial Convention (CONV)

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

Background: Physical symptoms of heart failure impair patients' functional capacity and affect their psychosocial well-being. A common comorbidity in heart failure patients is depression. Depression may contribute to a poor prognosis for patients with heart failure. In fact, depression is related to increased morbidity and mortality in patients with heart failure.

Purpose: The aim of this study was to examine the effect of a "Integrated Nursing Program" on symptom distress, depression and heart rate variability (HRV) in patients with heart failure.

Methods: Total of 78 heart failure patients …

Team Faculty Approach To Introduce Grant Writing Experience In An Undergraduate Nursing Service Learning Course, Pamela J. Hodges, Kelly Vandenberg, Claudine Dufrene, Poldi Tschirch, Corinne M. Oppermann, Kelly Vandenberg, Claudine Dufrene, Poldi Tschirch, Corinne M. Oppermann

Biennial Convention (CONV)

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

Introduction: During the nursing program, students of great diversity are able to achieve knowledge, leadership and professional qualities while fostering collaboration with four diverse communities. Undergraduate nursing students are introduced to research, but the development of their research skills does not end after the research class. Threading service learning activities across the curriculum that promotes research skills such as grant writing is a faculty team approach. The purpose of this innovative educational project is to use an evidenced based approach to strategically identify high impact research activities to …

Alcohol And School Violence In High School Students, Francisco Rafael Guzman Facundo, Lucio Rodriguez, Maria Magdalena Alonso-Castillo, Karla Selene Lopez Garcia

Biennial Convention (CONV)

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

Introduction: The consumption of alcohol is a serious public health problem in Mexico. Segments of the population most vulnerable to experience the negative effects of alcohol are teenagers. A behavior that shows related to alcohol consumption is the violence. The literature review has identified few studies on alcohol use and bullying in high school adolescent.

Objective: Describe the relationship between alcohol consumption and school violence in high school students.

Methods: The design was descriptive correlational random sampling was stratified by group, the sample size was obtained through the …

Engaging Students In The Classroom Using Active, Team-Based Learning Strategies, Paula Baumann, Cindy L. Farris

Biennial Convention (CONV)

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

As students enter into nursing school faculty are charged with socializing students into the professional role of nurses while helping students develop a sound knowledge base of critical nursing concepts. Along with teaching students critical nursing concepts, faculty must also assist students to develop skills in communication, professionalism, teamwork, and collaboration in order to be a safe and effective member of the interprofessional health care team. Research has shown that a transformation to learner-centered, active learning strategies must be incorporated into nursing curriculums for students to meet future …

Functional Dependency And Cognitive Impairment In Older Adults Of A Community Of Saltillo Coahuila, Diana Berenice Cortes-Montelongo, Luis Cortez-Gonzalez, Catalina Alejandra Rivera Reyes, Angeles Villarreal-Reyna, Raul Adrian Castillo Vargas

Biennial Convention (CONV)

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

In recent years, it is producing an increase in chronic diseases among the population over 60 years. These diseases can affect the ability to perform basic activities of daily living (ADL) and therefore the level of functional dependency. Aging brings cognitive and physiological decrease causing isolation and loss of autonomy and independence, because the physical and social performance of the elderly depends on the integrity of all its functions. The loss of short term memory and inability to perform calculations are sensitive indicators of reducing these functions. Objectives: …

Assessment Of Risk For Pressure Ulcers In Critical Patients: Nursing Practice And Reflections In The Context Of Multidisciplinary Communication, Maria Helena Larcher Caliri, Josilene De Melo Buriti Vasconcelos

Biennial Convention (CONV)

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

Introduction: Pressure ulcers (PU) constitute a serious problem, considered as an adverse result of healthcare that compromises patient safety; however, they are preventable in most cases. The incidence of PU stands out as an important indicator in the quality of care in hospitals, where the reference sector for calculation is the intensive care Unit, and its monitoring is the responsibility of nursing. Several risk factors have been reported in the literature because they are associated with the development of PU and, among them, are highlighted the general state …

Near Misses In Health Care: Nurses Perceptions And Experiences Associated With Omissions, Commissions, Scheduling Misperceptions And Complications With Adherence Through The Investigation Of Power Distance And Recovery, Luanne Ruth Linnard-Palmer

Biennial Convention (CONV)

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

Medication errors continue to be a major problem (IOM, 1996). Research investigating what factors contribute to medication errors continues in an attempt to reduce the incidence and save lives. A near miss is an incident that could potentially cause harm, but didn't. Little is known about near misses and research is needed. Nurses' perceptions, what led up to the incident, and how they went about correcting these incidents (recovery) provide great insights to understanding what near misses are. In nursing, one variable that relates to errors and near …

An Examination Of Caring In One Associate Degree Nursing Program, Deborah A. Ain, Sherrilyn D. Coffman

Biennial Convention (CONV)

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

The importance of caring in nursing practice and nursing education is well documented. Several significant milestones have thrust caring into the forefront of nursing including Watson's theory of caring or caring science that emerged with the publication of Nursing: The Philosophy and Science of Caring in 1979. Caring science was described as a combination of scientific knowledge and humanistic values (Watson, 1979). She advocated for the use of caring science to transform nursing education and she called upon nursing to change its educational framework from the medical model …

Does Preceptor Training Improve New Graduate Performance?, Michelle D'Alessandro, Nancy S. Goldstein, Jeremy Brown, Alexandra Sussman

Biennial Convention (CONV)

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

The new graduate nurse faces stress and many challenges as they acclimate to the roll of a nurse during their first year of clinical practice. Health care organizations and academic institutions have an important role in training competent and prepared novice entry to practice nurses. Communication at the academic institution and health care organization level is crucial to ensure that all clinical expectations are understood for novice entry to practice nurses. The purpose of this study is to examine the new graduate nurses' perception of competence in comparison …

Innovative Teaching Strategies For The Community Clinical Student: Engaging Students Where They Live, Bilinda L. Norman

Biennial Convention (CONV)

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

The purpose of this presentation is to demonstrate ways the community clinical experience engages nursing students in the community where they live. With shorter length of stays in the acute care setting, the community health care nurse has assumed the responsibility of caring for more patients on an outpatient basis. To meet the challenging needs of health care, a mid-southern university used a wide array of community resources to immerse their students into various types of nursing opportunities in the community setting rather than the typical acute care …

A Journey Of Challenges With Medication Reconciliation, Julie Vinod

Biennial Convention (CONV)

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

Background: Unintentional medication errors are a significant problem in healthcare in terms of morbidity, mortality and cost. Hospitalized patients are at particular risk for unintentional medication errors. At least 1.5 million Americans are injured every year by medication errors (IOM, 2006). On average, every hospital patient is likely subjected to at least one medication error per day, leading to approximately 98,000 annual deaths. Furthermore, the cost of medication errors is high in terms of negative patient outcomes and litigation. Over 3 billion dollars are spent annually towards treating …

Improving Exclusive Breastfeeding By Changing Hospital Practices, Brittney M. Baird, Gwendolen Wheeler, Carla Elaine Rider

Biennial Convention (CONV)

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

Introduction/Background: Hospital practices interfere with successful breastfeeding in the hospital setting. The Baby Friendly ten steps to successful breastfeeding can improve breastfeeding and provide multiple health benefits for the mother and newborn, yet nurses do not consistently implement these practices. Through the Maternal-Child Health Nurse Leadership Academy (MCH) sponsored by Sigma Theta Tau International (STTI) and the program sponsor Johnson & Johnson a triad team consisting of Carla Rider, the Faculty Mentor, Brittney Baird, the Leadership Mentor, and Gwendolen Wheeler, the Scholar embarked on an 18-month project. The …

A Review Of The Literature: The Relationship Between The Playground Environment And Physical Activity Levels Of Children, Ipuna Estavillo Black

Biennial Convention (CONV)

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

Introduction: Almost 20% of American children aged 6 to 11 years are obese. A decrease in physical activity (PA) has been associated with an increase in obesity. The school environment is one place where many children can be reached. The purpose of this paper was to review interventions aimed to improve PA on the playground environment in elementary school children, and make recommendations to develop related best practices.

Method: The extensive literature review guided by the Ecological Model of Four Domains of Active Living was conducted to include …

Animal Assisted Therapy Effects On Quality Of Life, Jessica C. Carroll, Emily M. Amack, Madeline P. Curry, Amber M. Cessarich, Jenny D. Beaver

Biennial Convention (CONV)

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

Purpose: To see if animal assisted therapy improves quality of life in adult patients. PICO Question: In adult patients, will animal assisted therapy increase quality of life?

Components/Processes: We searched CINHAL and PubMed using the terms "animal therapy," "inpatient," "quality of life," "pet therapy," "mood," "anxiety," "depression," "QOL," "animal assisted therapy," "loneliness," "dog therapy," "cat therapy." We selected five articles: two were experimental, two were quasi-experimental, and one was qualitative.

Discussion of Results: Most of the studies supported animal-assisted therapy as a useful intervention for increasing quality of …

A Changed Approach In The Management Of Chronic Non-Cancer Pain In Older Adults, Lisa R. Binns-Emerick, Mary Beth Lepczyk, Claudia Jean Beverly

Biennial Convention (CONV)

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

Inappropriate use of opiate medication for the management of chronic pain by older adults is fraught with challenges for the patient as well as healthcare providers. The Drug Enforcement Agency (DEA) recently changed the scheduling of hydrocodone combination products which created an opportunity to change pain management prescribing patterns and use for our elderly patients. The number of older adults, with their ever more complex needs, will continue to increase as the baby boomers age in our country thus having nurse leaders poised to address these needs within …

Collaborative Practice Revisited: Compassion As The Missing Antecedent, Kathryn A. Pfaff, Jean Echlin, Lisa A. Hamilton, Ada Markaki

Biennial Convention (CONV)

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

Interprofessional collaboration or collaborative practice is an evidence-based practice model that can improve health outcomes in and across all care sectors and settings. It is linked with increased access to care, improvements in chronic disease management, patient safety and healthy workplaces (Canadian Interprofessional Health Collaborative, 2009; World Health Organization, 2010). Although numerous policy statements promote interprofessional collaboration, and organizations attempt to integrate its concepts, it remains elusive in many health care institutions. One of the few exceptions is demonstrated in hospice and palliative care, a setting in which …

The Neurobehavioral Effects Of Consuming Dietary Tryptophan, Glenda Lindseth, Thomas Petros

Biennial Convention (CONV)

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

Tryptophan, an essential amino acid, serves as a precursor to serotonin synthesis with the rate of synthesis dependent on tryptophan concentrations in the brain (Fernstrom, 2013). Because serotonin is involved in the regulation of mood, low brain serotonin levels may contribute to increased depression. However, tryptophan is obtained through the diet because it cannot be synthesized by the body (Soh & Walter, 2011). Therefore, some have questioned if dietary consumption of tryptophan can affect behavior in depressed, vulnerable individuals. Sleep has also been implicated to have a relationship …

Using An Instructional Design Model To Develop A Framework To Guide Leadership In Nursing Education, M. Anne Longo

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Leaders are accountable for the performance of their direct reports and thus responsible for providing a framework by which to evaluate staff education. Yet it is difficult for the leader to find examples of how to implement an overall framework that guides the development of the education. Reviewing the components of the ADDIE model with the goal of a healthy work environment, the learner will be able to evaluate if using the ADDIE model can help them meet their personal, departmental, facility and ultimately the goals of the …

Reasons For The Low Uptake Of Adult Male Circumcision For The Prevention Of Hiv Transmission In Swaziland, Charles Maibvise, Thandisizwe Redford Mavundla

Biennial Convention (CONV)

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

Background and Introduction: Male circumcision (MC), the surgical removal of all or part of the foreskin of the penis in a male, has recently been proven to reduce heterosexual female-to-male transmission of HIV by about 60% (Auvert, Taljaard, Lagarde, Sobngwi-Tambekou, Sitta & Puren 2005). Against this background, efforts are being made to scale up MC uptake in thirteen priority East and Southern African countries that are worst affected by HIV and AIDS, one of which is Swaziland. Swaziland is reported to have the highest prevalence of HIV worldwide, …

Improving Developmental Care Provided By Patient Care Assistants To Prevent Developmental Regression During Acute Hospital Admission, Ashley N. Davis

Biennial Convention (CONV)

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

Background: As healthcare rapidly changes, organizations large and small are adapting the structure of their inpatient and outpatient service areas in order to provide quality care in a more efficient manner while maintaining high levels of patient/family satisfaction. A change in the care delivery model in a children's hospital incorporated the use of PCAs in partnership with a registered nurse to ensure all staff were working to their highest capabilities. Subsequently a gap was identified in the PCAs orientation and educational preparation. There was a lack of knowledge …

Building Better Bones For A Better You: Osteoporosis Prevention For Adolescent Girls, Joanna Christina M. Trice

Biennial Convention (CONV)

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

Introduction and Background: Osteoporosis is a serious bone disease occurring with the loss of bone mass and weakening of bone tissue. According to Healthy People 2020, there are approximately 5.3 million Americans aged 50 years and older with osteoporosis. Although this disease affects both men and women, it is much more common in women. Individuals with osteoporosis often experience bone fragility leading to bone fracture, particularly of the hip, spine, and wrist. Bone fractures are the most serious health complications of osteoporosis as they are associated with severe …

Moral Stress In Health Care Professionals, Maria Teresa De Jesus Alonso Castillo, Maria Magdalena Alonso-Castillo, Bertha Alicia Alonso Castillo, Nora Nelly Oliva Rodriguez, Karla Selene Lopez Garcia, Isidro Artemio Gamboa Cazares

Biennial Convention (CONV)

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

Introduction: With the advent of modernity, today's world debates between what is objective and subjective, between the global and the individual. Achieving modernity in Mexican society, determines the presence of demographic and health transitions, characterized by the increase in infant (neonatal) mortality, aging of the population, the polarization of health problems, which are becoming more complex, resulting the vast majority in deep ethical dilemmas. Changes in the pattern of culture derived from modernity, characterize the individualistic society in less solidarity and more unequal. (Martinez, 2006; Rodriguez, 2009) The …

Influencing Today's Psychiatric Mental Health Nursing Students For Practice Tomorrow, Stephanie T. Wynn

Biennial Convention (CONV)

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

Purpose: The presentation is to provide a resource to enhance psychiatric mental health (PMH) nursing students' learning in electronic documentation to prepare them for practice after graduation. Summary of the Evidence: Federal directives, nursing and nursing education associations, as well as accrediting bodies emphasize the importance of integrating health information technology and electronic health care record (EHR) into nursing practice. Additionally, information management and the application of technology in patient care is a required competency of baccalaureate nursing graduates. Content needed in the curriculum to meet this requirement …

Changing A Clinical Nursing Unit Culture To Include Nursing Research As Part Of Nursing Care, Pamela C. Spigelmyer, Christine Broscious, Diane Breckenridge

Biennial Convention (CONV)

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

A pilot study was conducted in an acute care hospital inpatient on a rehabilitation unit as a means to introduce staff nurses to nursing research. The project was based upon Watson's (2008; 2012) theory of caring. The quasi-experimental designto introduce a 3-minute slow back massage during evening nursing care for inpatient rehabilitation patients was developed. Nurses were instructed in the research process and the intervention of a 3-minute slow back massage for their patients in the experimental group. The pilot project was designed to compare inpatient rehabilitation patients' …

Family And Alcohol Consumption In University Students, Nora Angelica Armendariz Garcia, Maria Magdalena Alonso-Castillo, Bertha Alicia Alonso Castillo, Maria Teresa De Jesus Alonso Castillo, Karla Selene Lopez Garcia, Santiaga Enriqueta Esparza Almanza

Biennial Convention (CONV)

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

Alcohol consumption is considered a public health problem due to the high use prevalence, mortality and mental disorders associated to this, particularly in young people. Objective: To identify family history consumption and its relation and influence on alcohol consumption in students. Methods: The study was descriptive, correlational and predictive. The population were university students. Stratified random sampling allocation was proportional to the size of the stratum. Within each stratum was used one-stage random cluster sampling. The sample was composed of 680 college students, with 90% statistical power. The …

The Effectiveness Of Culturally-Focused Interventions In Increasing Satisfaction Of Hospitalized Adult Asian Patients, Xing Lian Chen, Karolina Ubogaya, Millicent Alfred, Diana Wint, Priscilla Worral

Biennial Convention (CONV)

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

Culturally competent care has gained global attention as a key element to improving quality and eliminatingracialand ethnic disparities in health care. This has been at the forefront of global health considerations because of the increase in population diversity, which presents a challenge that needs to be addressed from a multicultural perspective. The Asian population in the United States is increasing at a significant rate, from 4.8% in 2010 to 9.2% in 2050. It is important to understand the needs of the Asian inpatient, in order to implement culturally-focused …