Digital Commons Network^™

Does A Bachelor Of Nursing Programme In The Western Cape, South Africa, Adequately Prepare Graduates For Their Professional World Of Work?, Felicity M. Daniels, Penelope D. Martin, Lorraine P. Fakude, Lydia E. Richards, S. B. Linda Ntombizodwa, Lindy S. Van Der Berg

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Introduction: The success of a country's economy increasingly depends on the quality of its human resources which, in turn, is inextricably linked to the effectiveness and efficiency of programmes offered by its education and training institutions. Preparation of students for employment in the labour market is generally viewed as one of the major functions of higher education. Current concerns however exist, nationally and internationally, about the quality of the programmes offered by higher education institutions, which seemingly produce less competent graduates which therefore questions their employability. Further concerns about the lack of alignment …

Unfolding Case Study Using Human Patient Simulation In An Advanced Practice Nursing Program, Linda A. Mason Barber

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Introduction: The use of human patient simulation (HPS) in nursing education has expanded in recent years, in part due to the increasing challenges educators face in finding sufficient clinical placement for students. Limitations imposed by clinical entities deemed appropriate for precepted experiences for students in advanced practice nursing programs have increased. HPS using standardized patients offers a viable adjunct to clinical experiences in which advanced practice nursing students can develop and be evaluated in terms of their clinical knowledge, skills, and attitudes. HPS has been shown to be an effective alternative to traditional …

Loneliness, Quality Of Life, And Health-Related Hardiness Among Older Hiv+/Aids Farmers In China, Janet F. Wang

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose and Backgrounds: This study investigates loneliness, quality of life, and health-related hardiness among 64 HIV+ older (49 - 67) farmers in Hubei, China. HIV infection is a chronic disease that can be managed with evidence-based intervention. In Central China in the mid-1990s, plasma donation was promoted by collectors among poor rural farmers as an easy way to supplement meager income. More than 50,000 former plasma donors (FPDs) are now living with HIV+/AIDS in China and mostly in four Provinces, including Hubei, where this study was conducted. Recently advanced treatment of HIV+/AIDS patients …

A Retrospective Study Exploring Nursing Sensitive Interventions For Patients On A Skilled Nursing Unit In A Rural Midwest Hospital, Carol-Ann Moseley

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose and Research Questions: The purpose of this study was to assess the impact of nursing interventions on a skilled nursing unit (SNU) when a change in patient health status was identified. Patient characteristics were correlated with specific variables such as Rothman Index (RI) scores and 30-day readmission status. Nurses could then implement specific individualized interventions to improve patient outcomes. The study questions were: a) What are the characteristics of our SNU patients? and b) Can use of the RI discharge score alert the nurse to the need for increased interventions to lower …

U.S. Health System Reform, Children's Health Care And Nursing: An Integrative Policy Analysis, Eileen K. Fry-Bowers

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose: Conducting an integrative analysis of ahealth policy is an important skill for nurse leaders. This presentation will review the process of health policy analysis and describe the analytic process used to examine the Patient Protection and Affordable Care Act of 2010 (ACA) and other health care reform legislation and the subsequent direct and indirect impact on the US child health system. In addition, the speaker will make recommendations for future nursing research to inform nursing leadership, practice and advocacyregarding the delivery of health care services to children.

Background: The major provisions of …

A Poverty Simulation For Heath Care Professions Students, Lori I. Kidd, Sheri Hartman

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose: Research was conducted to evaluate whether a poverty simulation presented for health care professions students effected a change in attitudes toward those living in poverty.

Problem: Poverty is on the rise in the United States (National Center for Health Statistics, 2012). Poverty is a significant social determinant of health, impacting mental illness, obesity, cardiovascular health and other acute and chronic illnesses. It is essential that nursing students and other health care professionals develop an empathic understanding for the complexity of poverty and related health outcomes, yet few undergraduate students may have real …

Evaluation Of Memory Book Interventions With Orphaned Children In India, Kenya And South Africa, Barbara J. Braband, Kaye Wilson-Anderson, Tamara Lynn Faris

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose: The purpose of this collaborative multi-site research study was to explore and compare the lived experiences of orphaned children in India, Kenya and South Africa who have utilized the Memory Book intervention.

Background: Circumstances leading to an orphaned state were related to HIV/AIDS or abandonment due to poverty, disease or war. Traditional models for surrogate parenting by extended families have been strained by the frequent loss of one or both parents of affected children resulting in the need for alternative care models such as orphanages. Orphaned children have sustained many threats to …

Changing Registered Nurses' Attitudes Regarding Delirium Assessment In A Military Community Hospital, Nancy Ann Westbrook, Jeffery Wade Forehand, Shellye A. Vardaman

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose: The purpose of this presentation is to discuss the attitudes of registered nurses to the application of a standardized delirium assessment tool in a rural community hospital serving a large military veteran population. Background: Delirium in the hospitalized patient can be a life-changing and highly stressful experience for the patient, the family, and for the nurse resulting in long-term life changes for the patient and family. It is estimated that a majority of patients hospitalized in medical/surgical units and ICUs experience symptoms of agitation and delirium during their hospital stay. The military …

Engaging Nursing Students In Health Promotion Research And Practice, Donna M. Callaghan

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose: The purpose of this presentation is to highlight nursing student engagement in a nursing faculty member's program of research. This program of research investigated the effects of three faith community nurse-led educational programs in promoting healthy behaviors in adults. Three pre-licensure nursing honors students participated in the implementation and evaluation of two of the health promotion programs. The development of the health promotion programs was based on the relationships identified by Callaghan (2003, 2005, 2006) among the variables of health-promoting self-care behaviors (Pender, Murdaugh, & Parsons, 2002), self-care self-efficacy (Bandura, 1997), and …

Are Your Multiple-Choice Tests "Fit"? Using The Fairness Of Items Tool (Fit) As A Component Of The Test Development Process, Nikole Anderson Hicks

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose: This presentation will discuss the development, validation, and implementation of the Fairness of Items Tool (FIT) for its use by nurse educators as a component of the test development process to improve the quality of multiple-choice examinations. The FIT provides clear and concise guidelines for nursing faculty to use in developing unbiased test items.

Background: Multiple-choice examinations are a common assessment method used in nursing programs, and conclusions based on these assessments have high stakes consequences. Faculty members therefore have an obligation to ensure that tests are valid and reliable assessments of …

A Tale Of Two Countries: Comparing The Heart Failure Patient Journey In The United States And France, Alison Lee Walsh, Judith Hupcey, David Munoz

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose: To compare the healthcare delivery system and care coordination efforts of the United States and France for the care of heart failure patients using a mixed-method research approach.

Background: More than 5 million patients in the United States and 15 million patients in Europe are currently living with heart failure, with the rate of new cases projected to rise each year. Heart failure is a devastating and costly disease that accounts for over $39 billion dollars in health care expenditures in the United States and 2% of the overall national expenditures on …

Determinants Of Access To Specialty Care For Community Health Clinic Patients, Mabel Ezeonwu

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose: To explore the factors that determine access to off-site specialty care services for community health clinic/center (CHC) patients.

Background: Community health centers and clinics (CHC) constitute a critical part of the United States health care system. In Washington State for example, 10.1% of its population were served by CHCs in 2008 (Adashi, Geiger & Fine, 2010). CHCs provide primary care to anyone that walks through their doors. Individuals served by the clinics on average have poor health status (Schauffler & Wolin, 1996) and higher prevalence of chronic disease conditions than the general …

Making Senior Care A System Priority, Ann Marie T. Brooks

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Aligning a model of geriatric care with the system strategic plan and priorities is an expectation for nursing and physician leaders and provides an opportunity for ongoing interprofessional partnership and integration of practice education and research. This presentation will focus on how a nurse leader within a five hospital system in partnership with other leaders was able to influence and advocate for establishment of a commitment to expansion of geriatric services at the system level. Discussion of the challenges, innovative strategies and resources needed for development of a geriatric service line will be …

Leadership: Based On Relationships, Michele Rumsey

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

As secretariat to the South Pacific Chief Nursing and Midwifery Officers Alliance (SPCNMOA), the World Health Organization Collaborating Centre for Nursing, Midwifery and Health Development at University of Technology Sydney(WHO CC UTS) works in close partnership to support leaders in nursing and midwifery, directly assisting the governments in 14 South Pacific Island Nations. This partnership has been in place since 2004, when at the first SPCNMOA meeting a request was made to UTS Faculty of Health to take the lead on establishing a WHO Collaborating Centre for the region. As secretariat, the WHO …

The Short-Term Effects Of A Wellness On-Boarding Program With Health Sciences Students On Depression, Anxiety, Healthy Lifestyle Beliefs And Healthy Lifestyle Behaviors, Bernadette Mazurek Melnyk, Caitlin Slevin, Lisa K. Militello, Jacqueline Hoying, Colleen Mcgovern, Alice M. Teall, Laura A. Szalacha

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: First year health sciences students are subject to high stress levels as they enter their professional programs. Although these academic programs prepare students to deliver excellent care to their patients, few incorporate wellness programs and self-care into their curricula. Aim: The purpose of this pilot intervention study was to evaluate the feasibility, acceptability and preliminary short-term effects of a wellness on-boarding program for health sciences students, including dentistry, health and rehabilitation sciences, medicine, nursing, optometry, pharmacy, and veterinary medicine, on their healthy lifestyle beliefs and behaviors four months after the intervention. Methods: …

Women's Global Health Initiative: Prevention Of Cervical Cancer Using Visual Inspection With Acetic Acid And Cryotherapy, Amy K. Moore, Laura L. Opton

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Cervical cancer is the most common type of cancer in women between 15 and 44 years of age in Nicaragua (ICO Information Centre, 2014), yielding one of the highest cervical cancer rates in Latin America, and the incidence is on the rise (Soneji & Fukui, 2013). The ICO Information Centre on HPV and Cancer (2014) estimates that 934 women are diagnosed with cervical cancer annually in Nicaragua, resulting in 424 deaths. In an effort to reduce the cervical cancer risk in this region, a partnership has been formed with a health sciences center …

Clinical Supervision: Predicting Best Outcomes, Edward White

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Clinical Supervision [CS] has an increasingly established role in the working practices of human service agencies and, in particular, has been widely introduced into public and private health systems across the world. It has shown increasing international promise as a positive contribution to health governance agendas. The continuous measurement of CS efficacy, therefore, has become one of the most important contemporary challenges. The Manchester Clinical Supervision Scale [MCSS] has been adopted as the leading outcome measure of the effectiveness of CS in ~115 licenced Clinical Supervision evaluation studies, in 13 countries, and has …

A Phenomenological Exploration Of International Nurse's Motivation And Experiences In Pursuing A Master's Degree In Nursing In The United States, Carol Ann Amann, Elizabeth J. Diener

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Educational preparation of nurse educators is crucial to advancement of the profession of nursing globally. Most nurses seek to extend formal education in their country of origin, however an increasing number pursue advanced nursing degrees in the international community. Little is known about the experiences or motivation of nurses studying abroad. This phenomenological investigation will describe the lived experiences and motivation of international nurses enrolled in a Master's Degree in Nursing program at a south central University in the United States. Using Giorgi's approach to phenomenological analysis, five themes were identified by the …

Preventing Catheter-Associated Urinary Tract Infections In Medical-Surgical/Telemetry Units: Five Units, Five Cultures, One Goal, Shannon Campbell

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Flagstaff Medical Center's (FMC) effort to combat CAUTI in its Medical/Surgical-Telemetry (MST) units is as multifaceted as the five units themselves. Each unit is tasked with being able to care for any patient ordered to be MST status. One of the biggest obstacles all these units faced is the historical view that there must be a physician order to remove the catheter (Fakih et al., 2014). This has been a primary issue on the orthopedic surgery specialty unit. The unit is well-known as having a unique culture. The nurses were aware that the …

How Self-Efficacy And Self-Regulation Influence Nutrition And Exercise Behaviors Of A Community Sample Of Adults, Carol Shieh, Michael Weaver, Kathleen Newsome, Kathleen Hanna, Mulubrhan Mogos

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Fruit/vegetable consumption and physical activity are beneficial for disease prevention and health promotion; however, one-third of the U.S. adults do not eat fruits and vegetables even one time a day and nearly a quarter of adults do not participate in any physical activities. Self-efficacy and self-regulation are two theory-based determinants of health promotion. Self-efficacy is perceived confidence to perform a health behavior. Self-regulation includes a spectrum of effortful activities such as goal setting, affect regulation, coping strategy development, problem solving, self-monitoring, self-reinforcement, self-evaluation, cognitive restructuring, and stimulus control. Understanding how self-efficacy and self-regulation …

Conflict-Related Sexual Gender-Based Violence In Drc, Beth D. Good

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Globally one in three women experience some form of sexual gender-based violence within their lifetime. In conflict-affected countries, women carry the added burden of becoming targets of sexual violence as a tactic of war. Though conflict-related sexual violence has been a media topic, there is limited research on the subject. The findings of this study describe the experience of women who have survived sexual gender-based violence in conflict-affected countries in an effort to bring awareness to the nursing profession about this health and justice issue. A narrative research methodology was used to document …

Community Mental Health Clinical Experiences Utilizing High Fidelity Simulations With Baccalaureate Nursing Students, Jene' M. Hurlbut, Brian C. Oxhorn, Nancy Miller Bryan

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Historically nursing students have a fear of clients encountered in health care settings that have a mental health diagnosis. Unfortunately, this fear is often the result of the stigmatization present within society and the media related to individuals diagnosed with a mental health issue. Students for the most part have little experience with mental health care facilities and the populations who seek services at these sites. Additionally, there is a lack of mental health clinical sites that offer students the ability to interact with clients and there are more nursing programs competing for …

Exemplar Unit Initiative Framework: Engaging Faculty And Staff To Improve Patient And Student Outcomes, Dana Tschannen, Leah Shever

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

In an effort to fully explicate the academic service partnership between the University of Michigan School of Nursing and University of Michigan Health System, three pilot units were chosen to participate in the exemplar unit initiative (EUI). Work done previously in the partnership had made advances in student experiences but had not achieved improved patient outcomes. Objectives of the EUI included: (1) provide structure for improved communication and integration between clinical leadership and clinical faculty; (2) create an environment for a robust, mutually beneficial partnership aimed at improving patient care quality; and (3) …

The Lived Experience Of Nurses In Rural Uganda, Linda S. Johanson

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

In order to investigate the lived experience of nurses in rural Uganda this qualitative study was conducted in the summer of 2014. The researcher traveled to three bush villages in rural Uganda and interviewed seven nurses working in community clinics until data saturation was achieved. The interviews were taped and transcribed, then analyzed for themes. Three major themes emerged. Nurses in rural Uganda maintain a positive outlook in spite of harsh realities, they persevere out of a desire to help others, and they perceive nursing to be a notable and respected career in …

Kangaroo Care: Creating A Video Teaching Tool For Parents And Neonatal Nurses, Melissa K. Robinson

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Kangaroo Care (KC) is the process of holding an infant skin-to-skin, a timeless technique with scientific benefits revealed in the 1970's (Johnson, 2013). With a thorough literature review, many benefits of KC were discovered for infants, parents, and nurses. Many professional health care organizations support the implementation of KC early in the infant's life, as neonates are better regulated by their mothers as compared to hospital incubators (Mori, Khanna, Pledge & Nakayama, 2010). A survey of nurses (n=70) was conducted at a Neonatal Intensive Care Unit to identify a possible need for increased …

Transforming The Nursing Workforce Through Leadership Growth, Magdeline C. Aagard

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Leadership is considered a critical attribute in the enhancement and transformation of the nursing workforce of Liberia. As part of this leadership transformation, the Master's of Science in Nursing Education (MSN) program was created and delivered at the Mother Patern College of Health Sciences in Monrovia, Liberia. The program was designed to create leaders through higher education in nursing, as well as specific leadership curricula, followed by practica and mentoring at the student's home Liberian nursing educational institution. Looking to develop a culturally contextual leadership curriculum for the MSN program, the author looked …

Standardizing The Collection Of Clinical Outcomes To Support Evidence-Based Practice, Peggy Ann White

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Measuring and improving the quality of health care delivery is one of the most critical challenges facing health care clinicians and decision-makers. In the Canadian province of Ontario, a task force recommended the capture of information reflecting nurses' contributions to patient care; specifically, clinical outcomes. The Health Outcomes for Better Information and Care (HOBIC) initiative was established to identify nursing-sensitive outcomes and processes for their capture in electronic health records and subsequent extraction to centralized databases. HOBIC introduced a systematic structured language to patient assessments for a suite of evidence-based clinical outcomes: functional …

Determinants Of Quality Of Life Among Congestive Heart Failure Persons, Aporn Deenan

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Most of cardiovascular diseases usually end up with congestive heart failure and hospitalization. Symptoms of congestive heart failure are illustrated by dyspnea, edema at legs, fatigue, and restless and affect functional performance, mental health, and quality of life among congestive heart failure persons. The objectives of this descriptive study were to examine quality of life and its determinants. A sample of 200-congestive heart failure persons who received health care services at outpatient department was recruited. Instruments were a package of interviewing questionnaire including demographics, quality of life, health perception, functional performance, mental and …

Partnership With A Community Hospital Nurse Residency Program: An Innovative Approach To Increase Bsn Prepared Rns In A Rural Area, Michelle H. Cheshire, Cassandra D. Ford

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Newly graduated nurses have greater responsibility for patient care at an earlier stage in their careers than ever before. The acuity level in both urban and rural hospitals has increased dramatically in the past 10 years. The National Council of State Boards of Nursing (2007) found that organizations perceive newly licensed registered nurses (RNs) are deficient in areas such as identifying abnormalities during physical assessment, responding to emergencies and supervising care provided by other personnel. The UHC/AACN Nurse Residency Program (NRP) was developed, by representatives of the nation's leading academic medical centers and …

To A Greater Influence Of Nurses: Development And Implementation Of A Professional Practice Model In The Netherlands, Susanne Maassen, Gerard Brekelmans, Annelies Sandee-Laging

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Nurses are responsible for delivering patient centered qualified care. To provide this care professional nurses are needed. Working in a professional environment is an important influencing factor for nurses to fully professionalize (Laschinger, 2008). A professional nursing work environment is characterized by the following factors: (1) nurse involvement in organizational policy, (2) nurse vision and policy on quality of care, (3) nursing managers with appropriate skills, leadership style and support to nurses, (4) adequate policy in terms of staffing and resources, and (5) relationships based on equality between doctor and nurse (Lake, 2002; …