Digital Commons Network^™

Do Nurses Know The Tb And Hiv/Aids Policies They Are Expected To Implement? A Case Of Health Facilities In A Rural Sub-District Of The Western Cape, Deliwe Rene Phetlhu

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Tuberculosis and HIV/AIDS epidemic has been on the international agenda for more than three decades. Though some achievements have been marked, sub-Sahara Africa is still grappling with moving towards the Millennium development goals. South Africa is one of Sub-Sahara African countries reported to have a high burden of both these diseases. Increase in political commitment has seen changes been made in the health system resulting in some achievements. However a lot still need to be done as the prevalence rates of both these diseases are still high especially in the rural areas. Implementation …

Choosing Wisely: The Role Of Nurse Leaders In Reducing Unnecessary Healthcare, Pamela J. Bradshaw

Biennial Convention (CONV)

The Choosing Wisely campaign is an initiative of the American Board of Internal Medicine (ABIM) that is focused on improving communication between providers and patients. The campaign began in April 2012 with the goal of promoting communication that would help patients choose care that is supported by evidence, does not duplicate tests or procedures that have already been completed, does not cause harm and is truly needed to guide care (choosingwisely.org, n.d.). The ABIM Foundation challenged medical organizations to develop a list focused on their specialty. Currently, there are 58 health care provider organizations that have released a list of …

Validation Of An "In The Moment" Pediatric Quality Of Life Scale For Hospitalized Children, Nancy A. Ryan-Wenger, Aricka Kesic-Sellers

Biennial Convention (CONV)

Background: Health-related quality of life from the individual's perspective is widely used to measure of the impact of illness on the individual, outcomes of treatment, and quality of care. Varni and colleagues developed a series of Pediatric Quality of Life (PedsQL) scales for children ages 5 to 18 years, including a generic Core Scale and scales for chronic disease-specific dimensions of children's quality of life. These instruments capture quality of life over a specified period of time such as the past week, or the past month. During hospitalization, when perceptions of illness and treatment change daily or hourly, a brief …

Obesity-Related Behaviors Of Korean Female Adolescents In Their Classroom-Based Peer Networks, Sophia Chung

Biennial Convention (CONV)

Purpose: The purpose of this pilot study is to examine obesity-related behaviors of female Korean adolescents within a classroom-based peer network. Design: A complete social network analysis approach was used. Demographic and behavioral data, including physical activity and eating habits, were obtained from 104 female Korean adolescents aged 16 to 18 from three classrooms in a girls-only high school in Korea. After excluding incomplete answers, network data from 98 adolescents were used for network analysis. Method: Physical activity of adolescents was measured using the International Physical Activity Questionnaires; and the Adolescent Food Habits Checklist for eating habits. Adolescents' peer-network data …

Family Caregivers' Perceptions Of The Resistiveness To Care They Experience Caring For People With Dementia, Pamela C. Spigelmyer

Biennial Convention (CONV)

Family caregivers today are co-providers of care, assuming care once provided by professional nurses. Although rewarding at times, providing care for people with dementia is challenging, stressful, and places the overall well being of the family caregiver at risk. Resistiveness to care is one notably stressful experience for family caregivers. Currently nursing research related to resistiveness to care focuses on observed behaviors but does not address family caregivers' perceptions of the episodes of resistiveness. Family caregivers' perceptions are their reality of the experience therefore, needs to be fully understood. Since perceptions of experiences drive the meaning assigned to the experience …

Tips (Thoughts, Ideas And Possible Strategies) For Implementation Of A Funded Grant, Mary Lou Bond, Mark Haykowsky

Biennial Convention (CONV)

Session presented on Friday, November 6, 2015: This session is part of the Center for Excellence in Nursing Education (CENE) at Sigma Theta Tau International-Chamberlain College of Nursing's Faculty Professional Role Development Program which is designed to assist faculty members achieve career goals that lead to promotion and/or tenure. Specifically, the Faculty Professional Role Development Program is committed to assist faculty members on tenure-track positions and clinical, non-tenure-track positions progress through the ranks of the educational academy. Obtaining funding for research studies and/or programs of research is a common expectation in most all academic settings. Once a grant has been …

Leading Practices In Geriatric Care: Building A Dermal Defense Team Makes A Difference!, Desales Foster

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: The task of building and maintaining a dermal defense team requires commitment from all hospital units and administration. This commitment begins with the creation of a champion role. Each unit in the hospital has a nurse champion who represents the unit and each champion performs monthly prevalence studies, educates staff, and communicates findings via email and poster presentations. Education of champions starts with NDNQI pressure ulcer education using the four modules to teach staff how to perform a prevalence study. Once this education was complete the staff rounds with the dermal defense team …

Comparing Grade Point Averages And Standardized Test Scores As Predictors Of Successful Completion Of Undergraduate Baccalaureate Programs, Peggy (Margaret) Hernandez

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015: Intro: Aging population demographics contribute greatly to an unprecedented nursing shortage as many aging RNs are predicted to retire when the demand is highest (Buerhaus, Staiger, & Auerbach, 2000). Replacing those RNs will be very difficult because more than half of current nursing faculty will retire by 2021 (Aiken, 2011). Currently, nursing faculty members serving on admission committees struggle with deciding "how to" identify the best applicants who are most likely to graduate and achieve licensure-on time. This presentation will focus on sharing the quantitative data from one school collected over several years …

Preferred Educational Methods Of Rn's With More Than Ten Years Of Inactive Patient Care, Annette A. Cannon

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015: The Colorado State Board of Nursing rules and regulations provide a policy that states that "if you do not have an active license in another state and all of your licenses have been expired two (2) years or more, you must demonstrate competency to practice by successfully completing refresher courses as defined in Nursing - Board Rule 5.6" (CSBON, 2015). According to this policy, the competency is derived from completing an RN refresher program. The objective of this paper is to further define competency through testing RN's with inactive patient care of more …

The Role Of Coaching In The Development Of Nurse Managers, Liz Westcott

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015: This presentation will share the results of empirical research undertaken into the role that coaching is playing in the development of nurse managers. Background: The role of the nurse manager is pivotal to maintaining good patient care. The term nurse manager is being used to denote first level line managers such as ward sisters, charge nurses, ward managers and community leaders. Health care managers currently face pressure from the public, professional and regulatory bodies, advances in technology, reductions in public funding and an ever-increasing and aging population. Within this pressured environment, nurse managers …

In Their Shoes: A Poverty Simulation, Jacqueline Paik, Dolores J. Wright

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: Background: Poverty is the most influential social determinant of health. Because nurses care for people from all socioeconomic groups, they will encounter people who live in poverty who often feel that health care providers are frequently insensitive to their needs and concerns. Therefore it is incumbent upon nursing faculty to address poverty-related-to-health issues with their students. Purpose: The goal of this educational experience was to use and evaluate a poverty simulation that explores undergraduate public health nursing (PHN) students' attitudes about those living in poverty. Description: A four hour poverty simulation was included …

Mission Ready: Changing The Physical Ed Environment, Donna Diogo, Sheron L. Salyer

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: Purpose: The Veterans Health Administration VHA Wellness Model of Health identifies 8 critical components of health that expand on traditional problem based care to identify the Veterans' unique healthcare needs. In an effort to provide holistic, patient-centered care (PCC) in the Emergency Department (ED), it is important to consider the physical environment in which staff performs their job, and the role the environment plays in the patient and patient's family ED experience. This presentation looks at the professional literature as it relates to the physical surroundings component of this wellness model. Relevance: literature …

Interprofessional Education And Research In A Collaborative Simulation Center, Jessica Louise Doolen

Biennial Convention (CONV)

Since 1972 the Institute of Medicine (IOM) has addressed the importance of educating healthcare students together to purposely prepare them for collaborative professional practice. Collaborative professional practice begins with academia and has been linked to a safer patient centered healthcare system (Inter-professional Education Collaborative Expert Panel, 2011). Over this last decade the IOM (IOM, 1999; 2003; 2004; 2006) and the World Health Organization (2010) have highlighted the importance of educating health professional students together to decrease medical errors and increase patient safety (IOM, 1999; 2003; 2004; 2006). A multi-institutional collaborative simulation center provides a variety of opportunities for inter-professional education …

Innovations In The Care Of Cancer Survivors And Their Families, Phyllis Ann Solari-Twadell, Gayle M. Roux

Biennial Convention (CONV)

The purpose of the study was to explore economical community-based interventions tailored for cancer survivors and their families to make recommendations for future research and practice.

Transformational Dialogue And Theory U: The Leaders Role In Guiding Emerging Change, Vivian P. Dawkins

Biennial Convention (CONV)

The purpose of this presentation is to offer a series of skills and tools that will encourage powerful dialogue among nurses and leaders designed to promote and support disruptive innovation and change in health care. Using a model developed by David Kantor (2012) for transformational dialogue, and the model of Theory U developed by Otto Scharmer (2009) on change and the social technology of presencing, participants will engage in group conversations designed to promote the leadership of teams through times of social change. Kantor's model utilizes the concept of structural dynamics to outline an approach to transformational dialogue. The concept …

Differences In Meaning Of Quality Of Life And Inner Strength In Families With And Without Young Adults With Spina Bifida, Monique Ridosh, Gayle M. Roux, Kathleen J. Sawin

Biennial Convention (CONV)

The purpose of this study was to describe the perceptions of Quality of Life (QOL) and evidence of Inner Strength in families. This research is a component of a large mixed method, multi-site study in the United States on improving health outcomes for families with adolescents with spina bifida (SB). The larger study investigated adaptation in families with adolescents and young adults (AYA) with and without spina bifida (SB). Families (N=198), (parent and AYA) completed telephone interviews with QOL questions. Participants included parents with AYA with SB (54%) and without (46%). The parents were primarily female (94%) and Caucasian (86%). …

An Evaluation Of Midwives For Haiti Programs: Can They Reduce Infant And Maternal Mortality In Haiti?, Jacquelyne L. Brooks

Biennial Convention (CONV)

The United Nations was commissioned to develop a plan to eliminate poverty and hunger and improve health around the globe, which was announced in 2005 as the Millennium Development Goals (United Nations Development Project, 2005). The use of skilled birth attendants (SBAs) in underserved areas was identified by the Millennium Development Goals as a necessary service to reduce maternal and infant mortality (United Nations Development Project, 2005; WHO, 2004). Because of the importance of providing skilled care during pregnancy and childbirth, many international organizations are working to close the competency gap among SBAs (Harvey et al., 2007; Kreyberg & Helsingen, …

Barriers To The Development Of A Public Health Initiative With A Coalition Of Community And Neighborhood Resources Using Community-Based Participation, Wendy S. Clark

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

The purpose of this presentation is to identify barriers in implementation of the Patient Protection and Affordable Care Act, revealing interprofessional dynamics as a major contributor to achieving population health outcomes.

A Persistent Problem In America's Paradise: Examination Of The Hiv/Aids Epidemic In The United States Virgin Islands, Safiya George Dalmida

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Background: For over a decade, the U.S. Virgin Islands (USVI) has consistently had one of the highest prevalence rates of HIV infection in the nation. The USVI had the highest rate of adults and adolescents (per capita) living with a diagnosis of HIV in 2005, the second highest rate from 2006 through 2009, and currently has the third highest rate (685.1), since 2010 (667.1). According to the President's National HIV/AIDS Strategy (NHAS), the USVI is a geographic hot spot for increased HIV risk. Majority of people living with HIV (PLWH) in the USVI …

The Lived Experience Of Iraqi Nurses In Communities Impacted By War Or Terrorist Threat, Elizabeth J. Diener

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Background: Over the last two decades Iraq has endured three international wars, 13 years of economic sanctions, dictatorship, foreign occupation, and acts of terrorism. For professional nurses practicing in Iraq, expectations have been that professional life continues "as usual;" caregivers are to function as if the stress of political unrest and personal insecurity does not have personal impact. Results of an extensive review of the literature review emphasize the lack of published research exploring the lived experiences of nurses living and practicing in communities that experience war and terrorist threat. These gaps make …

Utilizing Case Scenarios In A Virtual Learning Environment To Assess And Refine Critical Thinking In Graduate Nursing Education Students, Lisa Bridwell Robinson

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Introduction: Developing critical thinking skills in learners is essential across all disciplines. Effective methods to teach critical thinking and evaluate the effectiveness of the teaching method are vital. Integrating multimedia into educational platforms has become common place. As learners present with a high degree of media literacy, educators can take this advantage and create virtual reality learning environments well suited to teaching critical thinking. Educators can utilize the malleable environment of virtual worlds to customize learning experiences more expansively than in a traditional classroom. Experiences play a vital role in learning, especially in …

Applying Caring Theory Guided Leadership To Inspire, And Improve Quality, Marlienne Goldin

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Objective: To demonstrate how Caring Theory guided leadership can improve staff satisfaction and patient outcomes. Key Words: caring, caritas, staff satisfaction, quality outcomes Intro: Can implementing Watson's Caring Theory in an ICU increase nurse staff satisfaction, create a healthy work environment, and improve patient outcomes? The ANCC's Magnet program promotes theory-guided leadership. When loving kindness, Watson's 1 st Caritas Process, is practiced, departmental goals cannot only be reached, but exceeded.

Methods: Using the ANCCs National Database of Nursing Quality Improvement Survey, (NDNQI), and Press Gainey Employee Partnership Survey, as measurement tools, we found …

Understanding Burnout Among Oncology Nurse Practitioners, Barbara B. Pieper

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

As 10,000 baby boomers reach the age of 65 each day, the incidence of cancer is estimated to increase by 67% between 2010 and 2030. The IOM predicts that since the entire oncology workforce, including nurse practitioners, is not growing at the rate of expected need, there will be a serious shortage of oncology physicians, nurse practitioners and nurses by 2020 (Institute of Medicine [IOM], 2008). The American Society of Clinical Oncology (ASCO) workforce suggests that increasing the role of nurse practitioners and physicians assistants in an oncology practice is one effective way …

Nurse Educator Leadership Competencies: Instrument Development And Testing, Barbara J. Patterson, Anne Marie Krouse, Karen H. Morin, Mohammed Almaskari

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Leadership is an essential element of the role of the nurse educator. Many nurse faculty leaders find themselves in adminstrative positions in higher education with insufficient leadership education and/or experience. Leadership succession planning in nursing education is often overlooked. This is of great concern in nursing education because leadership in academia has been associated with organizational outcomes, faculty satisfaction, and a healthy work environment. Organizational success is dependent upon the competency of its leaders. The development of nurse faculty who have the leadership skills that are essential to take on these challenging roles …

Civility 101 In The Online Classroom: De-Stress For Student Success, Diane B. Monsivais, Leslie K. Robbins, Ryann D. Fierro

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015.

Problem/Background: Online learning opportunities are expanding rapidly in higher education, but are often accompanied by pedagogical and technological challenges that create stress for both faculty and students. Without proper management of online stressful challenges, rising stress levels have the potential to deteriorate into uncivil behaviors that can easily have a negative impact on student success. Currently available best-practice guidelines for online education provide general guidance regarding the development and management of the online classroom. However, it is often necessary to consider institution-specific data along with best practice guidelines in order to develop focused, …

Cultural Diversity In Childbirth Practices In A Rural Community In Southern Nigeria, Ekpoanwan E. Esienumoh, Idongesit I. Akpabio, Josephine Bassey Etowa, Heather Waterman

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: Cultural diversity refers to the differences between people based on shared ideology and valued set of beliefs, norms, customs and meanings evidenced in a way of life. Knowledge of cultural diversity is important at all levels of nursing and midwifery care as this addresses ethnic and racial differences where applicable. Additionally, such knowledge can strengthen and broaden the healthcare delivery system through conceptualization of illness and development of treatment models. It is acknowledged that in a typical nurse/midwife-patient/client encounter, there is interplay of three cultural systems namely, the culture of the nurse/the profession, …

The Impact Of Peritoneal Dialysis On The Family Life Of Children With Chronic Kidney Disease, Maria Lurdes Lomba, Alexandra Lameirinhas, Ana Margarida Silva, Juliana Brito

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Children with chronic kidney disease and their families have to deal, on a daily basis, with various medical procedures and a life of uncertainty. Renal replacement therapy with dialysis and kidney transplantation made survival possible, but caring for these children is complex, with a great impact on family's well-being and life quality. Aim: Identifying the difficulties felt by the parents/care providers, while taking care of the child on peritoneal dialysis, and the strategies adopted by nurses to minimize these difficulties.

Method/Design: Systematic review of literature without meta-analysis study carried through an on-line …

Driving Patient Outcomes Through Clinical Decision Support Systems And Nurse-Directed Protocols, Amy Glasofer

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Nurse-directed catheter removal protocols (NDCRPs) are a recommended strategy to promote prompt removal of unnecessary urinary catheters, thus reducing patient risk for catheter associated urinary tract infection (CAUTI). However, implementation of NDCRPs has not been widespread, and adoption of protocol recommendations is even lower. Clinical decision support systems (CDSSs) have the potential to improve patient outcomes by delivering evidence-based guidance to frontline nurses in the course of their workflow. This study explored the effect of a CDSS promoting NDCR on the rates of NDCR, CAUTI, and urinary catheter utilization at a mid-sized …

Fatigue, Physical Fitness And Quality Of Life In Patients With Hepatitis C Virus Infection During The Combination Therapy, Shiow-Ching Shun, Chen-Hua Liu

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Introduction: An increasing incidence of liver cancer mainly attributed to Hepatitis C Virus (HCV) infection has been observed in Taiwan over the last 20 years. The current mainstay of treatment for patients with chronic HCV infection is the combination therapy of peglated interferon (peginterferon) plus ribavirin. Most patients experience multiple symptoms along with the therapy and fatigue is the most distressed symptoms with decreasing physical function that might affect their quality of life. However, there is no study to examine the changes of fatigue, physical fitness, and their relations with quality of life …

Nursing Students Serving, Transforming, And Leading Within 5 Miles To 3000 Miles, Sheri P. Palmer, Karen H. De La Cruz

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Purpose/Aims: Our local chapter of Sigma Theta Tau includes students who serve, transform, and lead in a variety of settings. These settings include those in our own neighborhood to the far lying islands of the South Pacific. We will describe cultural diversity courses that our nursing programs offer. Essential components of discussion will include (a) selection and sustainability of the sites, (b) utilizing STT awards and other financial resources to help the student, and (c) interprofessional and community collaboration.

Rationale/Background: Emphasis is being placed on educating nursing students to provide culturally competent care. …