Digital Commons Network^™

The Role Of Stress And Inflammation In Depression In Hispanics With Chronic Heart Failure, Samira Moughrabi

Biennial Convention (CONV)

Introduction: Depression is a common comorbidity in heart failure (HF) and is commonly associated with increased inflammation leading to poor outcomes. Lowsocioeconomic status (SES) and stress are common in Hispanics but have not adequately been described in those with HF. The purpose of this exploratory study was to examine depression and its relationship with socioeconomic status, stress, and inflammation in Hispanics with HF.

Methods: 55 patients (71.62+/-11.33;74.5% male; 31% Hispanic) with HF were assessed for their perceived stress (PS) using PSS, CRP serum levels, and education level and yearly income as indices of SES. Descriptive data and t-test and chi-square …

Evaluating The Use Of C-Hobic And The C-Hobic Transition Synoptic Report, Lynn M. Nagle

Biennial Convention (CONV)

Purpose/Objective Electronic health records (EHRs) offer the opportunity to improve patient outcomes across the continuum of care. Fundamental to achieving these improvements is the use of standardized clinical data to measure and compare clinical outcomes across care settings. The Canadian Health Outcomes for Better Information and Care (C-HOBIC) encompasses a suite of standardized outcomes including: a) functional status, b) symptom management (dyspnea, nausea, pain, fatigue), c) continence, d) risk for falls and skin breakdown, and e) readiness for discharge. The acute care admission and discharge assessments of these outcomes has been captured numerically and graphically in a Transition Synoptic Report …

Interprofessional Evidence-Based Solution For Alcohol Screening Using Technology, Kathryn Puskar

Biennial Convention (CONV)

Purpose: Communication and coordination between clinical providers across all disciplines is needed to deliver efficient and effective care for patients with risky substance use, misuse, or substance use disorders. Universal screening identifies patients who may be at risk for problems related to substance misuse. Nurses receive limited content in nursing school curricula or continuing education about interprofessional education and evidence-based substance use screening or brief interventions. The purpose is to share results of an interprofessional evidence based practice solution for Alcohol Screening in rural areas using technology.

Methods: A mixed method design employing both quantitative pre-to post-survey and qualitative focus …

A Formative Program Evaluation Of Electronic Clinical Tracking System Documentation To Meet National Core Competencies, Lynette Smith, M. Laurie Branstetter

Biennial Convention (CONV)

Electronic clinical tracking systems are used in many educational institutions of higher learning to document advanced practice registered nursing students' clinical experiences. Students' clinical experiences are constructed according to the National Organization of Nurse Practitioner Faculties core competencies. These competencies form a basis for evaluation of advanced practice registered nursing programs. Healthcare clinicians and educators are expected to provide evidence-based clinical practices for students. No previous studies have evaluated the use of electronic clinical tracking systems to validate students' clinical experiences in meeting national core competencies. Medatrax, an electronic clinical tracking system, is evaluated using a formative program evaluation approach …

How To Critically Appraise Systematic Reviews In Order To Inform Clinical Decision Making, Susan Buchholz

Biennial Convention (CONV)

Globally, published peer-reviewed health care literature has grown exponentially, making it unrealistic for nurses to review the literature in a timely manner. Systematic reviews now provide a tool for nurses to be able to quickly access literature that is part of the evidence-based tools needed to inform decisions in clinical practice. However, in order to be able to fully and appropriately use systematic reviews to inform clinical decisions, nurses need to have an understanding of what a strong systematic review is, what the steps are in conducting a systematic review, and how to use existing tools to critically appraise systematic …

Effective Communication Using Huddles, Andreanna Sookhi, Deborah D'Agostino, Sharon Mcgowen

Biennial Convention (CONV)

Information such as process changes and unit metrics found within the HCAHPS scores not being shared consistently to all team members on the post surgical unit was identified as a challenge. A team of staff nurses worked together to discover a way to communicate. The team goal was to identify: a way to communicate that did not interrupt the workflow of the day, the staff preferred method of communication, and the best time in the work day to communicate along with how much time is required to effectively communication key information. The team surveyed the staff members and found the …

Descriptive Study Of Cognitive Disturbances In Older Breast Cancer Survivors, Melissa A. Craft

Biennial Convention (CONV)

Note the start and end dates for the course. If the links to the CNE collection homepage or course are invalid, the course has ended. The item record and file will remain as a permanent entry in the repository in its original collection.Session presented on Sunday, November 8, 2015: Abstract: Breast cancer continues to be the number one cause of cancer in women over age 50, with a median age at diagnosis of 61 years. (ACS, 2013). Treatment advances have led to a significant increase in the number of breast cancer survivors; survival rates now range from 88% at 5 …

A Baccalaureate Weekend Program: Teaching/Learning Strategies, Susan Sheriff, Susan Chaney

Biennial Convention (CONV)

One of the most pressing problems facing health care today is the current and future nursing shortage. Texas Woman's University (TWU) has developed a model to reinvent nursing education through offering baccalaureate nursing education via a weekend/online program to individuals who already have earned a non-nursing baccalaureate degree. The innovative partnership between TWU and the hospital practice partners offers a six semester (including summers) upper division nursing program to individuals with a baccalaureate degree in another discipline. All didactic courses are offered via distance education with 100% of course content online. Clinical nursing courses are offered on weekends and the …

Fostering Healthy Work Environments: Powered By Civility, Collegiality, And Teamwork, Cynthia M. Clark

Biennial Convention (CONV)

Session presented on Friday, November 6, 2015:

Incivility in the health care workplace can have devastating and lasting effects on individuals, teams, organizations, and ultimately patient care. Further, incivility negatively impacts nurse recruitment, retention, teamwork, and job satisfaction. All nurses regardless of setting or position have an ethical imperative to create and sustain healthy work places and to foster an atmosphere of dignity and respect. Every year since 1999 (except 2001 following the 9/11 attacks, when first responders were rated higher), Americans responding to Gallop Polls rate nurses as highest on honesty and ethical standards. While this distinction is impressive, …

Enhancing The Patient Safety Culture Of Absn Students Through Instruction On Medical Error Recovery, Darlene Mary Burke

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Attitudes toward patient safety are the foundation of patient safety culture. Nursing students begin to formulate their patient safety attitudes while in educational programs. Nursing faculty have been challenged in their efforts to enhance the patient safety culture of students because there is a lack of empirical evidence as to which teaching strategies positively affect student attitudes toward patient safety. The purpose of this study was to examine the relationship between a 50-minute teaching module based upon the concept of medical error recovery and 9 dimensions of patient safety culture as measured by …

The Lived Experience: How Emergency Department Nurses Resolve Emotional Pain After Patient Perpetrated Workplace Violence, Wanda J. Christie

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Background: Patient perpetrated workplace violence (PPWPV) is recognized as a high risk against Registered Nurses (RN) and can result in unresolved emotional pain. Sensitizing framework for this study was the Theory of the Nurse as Wounded Healer (NWH) which explored recognition, transformation, and transcendence of emotional pain after PPWPV. Aim: The aim was to: 1) describe the ED RNs thoughts, feelings, and behaviors after experiencing PPWPV. Methods: After IRB approval, descriptive phenomenology with purposive sampling allowed for recruitment of thirteen ED RNs in south east US who reported PPWPV. Semi-structured interviews were audio-taped …

Effects Of An Educational Intervention On Baccalaureate Nursing Students' Knowledge And Attitude In Providing Breastfeeding Support To Mothers, Anjanetta Davis

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Breastfeeding provides many health benefits for both mother and baby, and mothers need support and encouragement in order to have breastfeeding success. The breastfeeding support that mothers receive should come from communities, healthcare providers, and nursing students. However, researchers reported that nursing students are not receiving the educational preparation to provide breastfeeding support that mothers need. The lecture only approach to breastfeeding education is not enough to provide the students with the knowledge and skill needed to provide breastfeeding support. Because of the many benefits that an interaction with a standardized patient (SP) …

A Structured Communication Intervention To Reduce The Anxiety Of Family Members Waiting For Relatives Undergoing A Surgical Procedure, Kate Kynoch, Judy Munday, Sonia J. Hines, Cara Joyce Cabilan

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Objective: The aim of this study was to establish the effect of a structured communication program on family members' anxiety awaiting relatives undergoing elective surgical procedures.

Background: It is evident through the literature that perioperative nurses recognise that family members experience increased levels of anxiety during the wait for a relative undergoing a surgical procedure. However it is during this time that little or no meaningful communication occurs between family members and health professionals. Families are increasingly expected to take an active part in care provision, particularly in the post-operative and discharge phase, …

Introducing A Global Leadership Mentoring Stti Online Community, Ellen B. Buckner, Claudia Kam Yuk Lai

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Aim: Nurturing future global leaders in nursing requires engagement with colleagues from other countries and contexts. It requires a deliberate and longitudinal leadership development process mentored by nurses committed to serving as role models. The purpose of this presentation is to describe and introduce prospective participants to a global leadership development opportunity available through technology within the STTI Online Community structure, the Global Leadership Mentoring Community.

Background: Six nurse leaders from across global regions of STTI engaged in a year-long (2012-2013) discussion using technology (Skype, conference calls, email, and shared drives) to explore …

An Evidence-Based Roadmap To Healthy Work Environments For Nurses: Closing A Gap In The Literature Through Development Of A Toolkit, Alissa Samoya

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Aim: The aim of this pilot study was to evaluate the effectiveness of an evidence-based toolkit aimed at improving the health of nurses' work environments.

Background: Unhealthy work environments contribute to medical errors, ineffective care delivery, conflict, and stress. As a result, the American Association of Critical Care Nurses established the six essential standards required for healthy work environments to exist. However, no step-by-step guide exists to assist leaders with implementing each of the standards required for a healthy work environment. The lack of guidance for implementing the standards has led to a …

Making The Hard Decisions: Ethical Issues Encountered By Military Nurses During Wartime, Janice B. Griffin Agazio, Diane Padden, Sami Abdulrahman Al-Hamidi, Meryia Throop

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Aims: The purpose of this study was to address the research question: How do military nurses identify, assess, manage, and personally resolve ethical issues occurring in nursing practice during wartime deployments?

Background: Ethical issues emerging from the current conflicts in Iraq and Afghanistan have mainly considered those encountered by medical officers in triage and most recently with enemy prisoners of war. Aside from anectodatal accounts, less is known about the ethical issues encountered by military nurses in wartime. Studies prior to the current conflict have focused upon military nursing advocacy and moral distress. …

Creating A Legacy Through Nursing Leadership, Innovation, And Global Connectivity, Shannon K. Lizer, Asako T. Katsumata, Gordana Dermody, Elizabeth M. Carson

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: "Nurse leaders face a crucial need to understand and take initiative in responding to this radically changing world" (McElmurry, Kim, & Al Gasseer, 2000). It is often a challenge for nurse leaders to develop a diverse world view without interacting with nurse leaders in a global context (Nichols, Shaffer, & Porter, 2011). Objectives: The Global Nursing Initiative aims: a) to make contributions to the advancement of nursing leadership, clinical practice, and nursing education in Japan; b) to establish an international collaboration between Saint Anthony College of Nursing (SACN) and Japanese higher education …

Student Assessment And Fall Evaluation (S.A.F.E. Team): A Collaborative Initiative In An Academic-Service Partnership To Improve Patient Safety, Ann K. Gosselin, Igna Vitins, Julie Grunawalt, Winnie Wood, Sandra Kendziora

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: Academic-service partnerships (ASP) are becoming more prevalent in the United States, and while there is no perfect model for this partnership the urgency for health care institutions to establish collaborative relationships for scholarly practice is evident. An ASP is a structural linkage between universities and service entities whose primary goal is to share one vision through collaboration and improving patient care quality with innovative processes or interventions. One such partnership exists at the University of Michigan Heath System where the Clinical Excellence Initiative (CEI) has been implemented since 2009. In the last …

Colorectal Cancer Screening Practices Among Texas Nurse Practitioners And Physician Assistants, Sandra Anne Laird, Barbara M. Raudonis

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: Cancer now rivals cardiovascular disease as a leading cause of death. New cases of cancer are projected to increase 42% by 2025. Colorectal cancer (CRC) is the second leading cause of cancer death when mortality for men and women are combined. CRC is preventable and survivable if appropriate risk stratified screening and surveillance is undertaken. Nurse practitioners (NP) and physician assistants (PA) currently provide essential primary and specialty care. These providers will play an important role in risk stratified cancer screening, co-management with oncologists, and other members of the cancer care team. …

Caregiver Activation: Cancer Communication In Home Hospice, Catherine E. Dingley, Djin L. Lai, Katherine Doyon, Maija Reblin, Lee Ellington, Margaret Clayton

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: Current research demonstrates that activated patients have the skills, knowledge, and confidence to manage their care, resulting in positive outcomes such as lower hospital readmission and fewer adverse consequences due to poor communication with providers (Greene & Hibbard, 2011). In addition, studies indicate activation plays an important role throughout the course of disease management as the demands of illness change over time. Despite extensive evidence on patient activation, little is known about activation in the home hospice setting, when family caregivers assume more responsibility in care management.

Aims: We examined caregiver and …

An Evidence-Based Practice Outcome Measure: Analysis Of Nurse Authored Hospital Policy And Procedure Documents, Kathy J. Fatkin, Mary Anne Hales Reynolds

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: Evidence Based Practice (EBP) is an approach to making health care decisions that integrates best evidence from research with the provider's clinical expertise, the patient's preferences and values with available resources within a health care system. Evidence from current research is considered the primary basis of EBP and the strength of the evidence varies depending on the quality, quantity, and consistency of the available research. When EBP directs decision-making, the quality of patient care improves and health care costs decrease (Melnyk, 2012). It is expected that hospital nurses utilize current research-based evidence …

Health Promoting Behaviors Among Rn To Bsn Students At Two Public Universities, Cherie Rector, Kathleen L. Gilchrist

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: Healthcare reform has refocused attention on health promotion. Most research in this area has focused on clients. Nurses and nursing students, who are responsible for client health promotion education, are important to the success of this paradigm shift from a disease model to health promotion. With the pressure for RNs to complete the baccalaureate degree in nursing, more students are entering RN-BSN programs. Often, the majority of these RN-BSN students are nontraditional (e.g., older, working, have families) (Bryer, Cherkis, & Raman, 2013). Health promotion has been associated with maintaining enrollment in nursing …

Evaluating The Use Of A Topical Vapocoolant To Reduce Pain During Intravenous Insertions: The Patients' And Nurses' Perspectives, Cecilia M. Inman, Jennifer M. Bisson

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: Intravenous (IV) catheter insertion is a common procedure performed by health-care providers. Unsuccessful peripheral line attempts cause increased pain, anxiety, and dissatisfaction for patients. IV catheter insertions can also increase stress and anxiety for the nurse, which may unfavorably impact peripheral venous access attempts (Page & Taylor, 2010). Evaluation of current research: A topical vapocoolant spray, ethyl chloride, has been used to produce an immediate analgesic effect on the skin. Ethyl chloride, when applied to a procedure site evaporates rapidly and decreases the skin temperature resulting in a temporary interruption of pain …

Medication Reconciliation: It's In The Bag, Dawn Becker

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: Medication discrepancies, defined as unexplained differences in documented medications between various sites of care, occur in 70% of patients at hospital admission or discharge. These discrepancies may result in serious harm to patients, prolonged hospitalizations, post-discharge emergency department visits, readmissions and use of other healthcare resources. Unplanned readmissions due to medication discrepancies alone cost $17.4 million annually and represented 17% of total hospital payments. Approximately15% of patients experience a medication error or discrepancy after hospital discharge. These medication errors cost organizations $5.6 million annually. Literature identifies multiple reasonds for the descrepancies including: …

The Socio-Cultural Contexts Of Male Iraq And Afghanistan War Veterans Help-Seeking Behavior And Healthcare Utilization: An Interpretive Phenomenological Study, Uchenna Nworah, Lene Symes, Anne Young, Rae W. Langford

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) veterans have combat-related healthcare needs that include post-traumatic stress disorder (PTSD), major depression, generalized anxiety disorders, and traumatic brain injury (TBI) (Stecker, et al., 2010; Morissette et al., 2011; Kim, et al., 2010; Reiber et al., 2010). A low number of OIF/OEF veterans seek help for their healthcare needs or use available healthcare resources (Kim, et al., 2010; Seal et al., 2010; Vogt, 2011; Brown et al., 2011; Randall, 2012). The disparity between increased healthcare needs and underuse of healthcare services indicates the …

Associations Between Emotional Distress And Coronary Heart Disease: Analysis Of National Health Interview Survey 2008-2009, Alethea N. Hill

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: Studies investigating psychological factors have shown that negative emotions independently influence coronary heart disease (CHD) outcomes, contribute to decreased quality of life, poor prognosis, and decreased medication adherence. Extant comorbidities, such as diabetes, obesity, hypertension and inadequate sleep are significant correlates of CHD. Yet,the research that hasbeen conducted to distinguish what proportion is independently attributable to these factors lacks consensus.

Methods: In a cross-sectional study using a nationally representative sample, we examined the independent associations between emotional distress and CHD among 25, 352 adults from the National Health Interview Survey (2008-2009). Relationships …

Challenging Global Health Perspectives With Nursing Internship Experiences, Amy Nagorski Johnson

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: The trend of University students traveling on semester abroad programs is common, yet nursing students experience problems trying to fit these experiences in to their sometimes overwhelming curriculum plan. Although global healthcare issues are infused in nursing discussions on campus, hands on clinical experiences and interactions with healthcare workers in developed and developing countries give new nurses a unique perspective on the issues within the global system. The problem, however, is how do we make the contacts to develop experiences that are meaningful to nursing while maintaining our curricular plan?

Goal: To …

Transforming Assessment In Nursing Education: Virtual Simulations, Nancyruth Leibold, Laura Marie Schwarz

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Introduction and Purpose of Study: Virtual simulations in nursing are online scenarios that include one or more learners who participate in a teaching/learning activity in a safe, convenient, online environment. Virtual simulations provide opportunities for learner engagement to build knowledge base. Virtual simulations are also an assessment strategy. The purpose of this research study is to determine the nursing students' perceptions of the conflict management in nursing virtual simulation, and their specific perceptions of the effectiveness of virtual simulation as a teaching/learning/assessment strategy in nursing education. This study includes an examination of technical/ease …

Patterns Of Body Mass Trajectory Among Japanese Children And Impacts Of Life Style Factors During Childhood, Chiyori Haga, Yoko Aihara

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Introduction: Childhood overweight and obesity are global health problems. Understanding the variations in growth patterns, while considering body size in children, is essential to determine the optimal time for initiating interventions to control body size. In this study, we aimed to conduct an explorative analysis for identifying variations in the developmental patterns of body size and the impact of lifestyle factors in Japanese children.

Methods: The data included details of all 155 children (76 boys, 79 girls) born from April 2, 2005 to March 31, 2006 in Tsuru city, Japan. We used a …

Factors Predicting Quality Of Life Of Thai Patients With End-Stage Renal Disease Depending On Hemodialysis, Geneva Chonpimai, Areewan Oumtanee

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Introduction: Quality of life is one of the indicators to identify whether a person could live in a society happily and be satisfied with life. In particularly, patients with End Stage Renal Disease depending on hemodialysis (ESRD). The illness has various impacts on the physical, psychological and social well-being. Those are affected on their quality of life. Thus, nurses should enhance the patients' quality of life.

Purpose: The purposes of this research are to study the quality of life of patients with ESRD and to identify the factors in predicting the quality of …