Digital Commons Network^™

Transforming The Nursing Workforce In Liberia Through Graduate Education, Dorcas Elisabeth Kunkel

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Nursing education in Liberia, West Africa has been slowly recovering from the destruction of health care education institutions that was experienced during the horrific civil wars that took place from 1989-2003. There is a dearth of nurses prepared at the diploma or baccalaureate levels of education to meet practice needs and very few masters or doctoral prepared nurses to lead change to improve population health outcomes, public health and strengthen health systems (Flomo-Jones, 2013, Walsh, 2010). Health care financing is primarily provided by international humanitarian aid as Liberia is one of the poorest …

Breaking Down Silos: Impact Of An Interprofessional Curriculum To Teach Health Professions Students Oncology Palliative Care, Carla P. Hermann

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Nursing students must be prepared for collaborative interdisciplinary practice if they are to succeed in today's healthcare environment. Preparing baccalaureate nursing students to be effective members of interprofessional teams is a challenge facing undergraduate nursing programs. The need to meet this challenge is evident. Interprofessional communication and collaboration for improving health outcomes is an essential component of baccalaureate education (American Association of Colleges of Nursing, 2008). Team work and collaboration is a core pre-licensure competency according to the Quality and Safety Education for Nurses (QSEN) initiative (Cronenwett, et al, 2007). The key to …

Outcomes Impacting Care Of Older Adults: Geriatric Nursing Leadership Academy Fellowships, Deborah F. Cleeter Bailey, Lisa R. Binns-Emerick, Jennifer L. Declercq, Heidi K. Holmes, Nancy E. Edwards

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Preparing and positioning a global cadre of nurse leaders to transform relevant practice and policy for older adults is essential for the future of healthcare. The international Geriatric Nursing Leadership Academy (GNLA) provides an intentional personal and professional development experience for Fellows who are mid-career geriatric nurse leaders. Through the use of a behavioral leadership development philosophy as the foundation of the fellowship experience, all academy relationships, curriculum activities, faculty modeling, and reflective exercises align with this approach. With formal mentoring and faculty relationships, Fellows engage in eighteen months of meaningful personal development …

The Power Of 3: Empowering Patients, Lynda M. Sanchez, Lynn E. Cooknell

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Providing effective patient education is a vital part of caring for a patient (Bastable, 2008). Effective patient education empowers patients and families to assume more responsibility for their health as well as improve their ability to manage their illness while decreasing costs to the health care system (Muma, 2012). Patient education strategies need to address the barriers to effective discharge education such as shorter patient stays, health literacy, patient's self-efficacy, and teaching style (Commodore-Mensah & Himmelfarb, 2012). Health literacy is a national problem with more than 77 million people in the United States …

Value Of Online Group Reflection Following International Service Learning Experiences: I Never Thought Of That!, Eileen M. Smit, Mary Jane Tremethick

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Reflection, defined as reviewing what one has experienced and its meaning, is widely accepted as a learning tool and is considered an essential component of competent professional practice (Plack, 2005). Providing students with the opportunity to reflect on their clinical experiences promotes and increases experiential learning (Benner, Sutphen, Leonard, & Day, 2010) and the process of reflection has the potential to change practice (Taylor, 2000). Identifying teaching strategies that promote students' thoughtful consideration and reflection on their experiences facilitates the development of students into competent practitioners (Schuessler, Wilder & Byrd, 2012). Reflecting on …

Using The Journey To Empowerment Professional Development Seminar To Enhance Nurses' Sense Of Empowerment, Denise M. Mcnulty

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Several studies have examined the effect of staff nurse empowerment on patient outcomes. Nurses who perceive themselves to be empowered are more likely to use more effective work practices resulting in positive patient outcomes. With the growing complexity and challenges of healthcare reform, nurses need to feel psychologically empowered so that they can effectively manage their nursing practice and improve patient care. In an effort to enhance nurses' sense of empowerment in the workplace, a professional development seminar entitled The Journey to Empowerment for Nurses was offered to nurses employed by a six …

Promoting Health Promotion Practices In The Low Income Population, Maria Alice Masciarelli

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

The increasing proportion of the low income, uninsured population has become the focus of the United States health care reform. The importance of health promotion is emphasized in the literature and the Affordable Care Act. The literature has focused on perceived health status, perceived health competence and health-promoting behaviors of some populations but revealed that little is known about the health promotion behaviors of the low income population. In 2013, an exploratory, descriptive study using a structured interview method was used to explore the perceived health status, perceived health competence and health-promoting behaviors …

Are Our Babies Cold? Using Unit-Based Research To Promote Adoption Of An Ebp Practice Change, Rhonda E. Maneval, Deborah Schafer, Erin Anderson, Yovanka Hoover

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

The purpose of this presentation is to share the experience of one maternal-child unit as it transitioned skin to skin care from the post-operative anesthesia unit (PACU) to the operating room (OR) for infants delivered via cesarean section. The desire to change the protocol to begin skin to skin care in the OR was the result of a unit-based EBP project. The new protocol called for the infant to be placed skin-to-skin with the mother in the operating room provided both mother and neonate were stable. The practice follows the procedure described by …

Secondary Analysis Of Cultural Domains Among Filipino Nursing Students, Stephen C. Hadwiger, Mariquit C. Hadwiger

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

The purpose of this study was to describe the commonality and variability within cultural domains of communication, family roles & organization, pregnancy & childbearing, spirituality, death rituals, and health practices according to cultural assessments completed on Filipino nursing students during a study-abroad program in the Philippines. During a study-abroad nursing program in the Philippines, nursing students from the United States were required to complete a cultural assessment of a Filipino based on questions from Purnell's Model of Cultural Competence. Being paired with Filipino nursing students, all American students completed their assignments interviewing their …

African-American Non-Nursing Science Majors' Perceptions Of Nursing In The Context Of Career Ideals, Robbi K. Alexander, Cynthia A. Diefenbeck

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

The racial/ethnic distribution of the Registered Nurse (RN) workforce (African Americans 5.4%) differs substantially from the United States population (African Americans 13.1%). It has been suggested that a career in nursing is not the path to upward social and professional mobility that it once was for African American women. Researchers suggest that views students hold about nursing as a career option contribute to the lack of RN workforce diversity. Much of the nursing education literature that addresses nursing students from underrepresented minority groups focuses on the recruitment, support and retention of disadvantaged and …

Nursing Students With Disabilities In The Clinical Setting: Nursing Education Leaders' Perceptions Of Accommodations, Julie M. Symes

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Background & Purpose: Nursing programs have reported an increase in the number of nursing students with disabilities. Nurse educators must be aware of federal legislation requirements of the ADA of 1990 with the ADAAA of 2008 enacted to increase access to higher education for students with disabilities. Providing reasonable accommodations for nursing students with disabilities in clinical practice is a dilemma for many nurse educators.

Research Questions: What are the reasonable accommodations typically made to support nursing students with disabilities in clinical settings in nursing programs? How effective are reasonable accommodations made by …

Social, Cultural And Behavioural Contexts Of 2014 Ebola Virus Disease (Evd) Outbreak In Nigeria: Community Perspectives And Nurses' Preparedness, Mildred E. John, Margaret I. Ekanem, Ibitoru Peterside, Idongesit I. Akpabio, Ijeoma L. Okoronkwo, Patience E. Samson-Akpan

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Background: The current Ebola outbreak in West Africa has been described as the largest, most deadly since Ebola was first discovered in 1976 (WHO, 2014). The affected nations have suffered tremendous social problems while survivors and families of victims have suffered stigmatization and severe psychological distress. As at February 4, 2015 there have been nearly 22,500 Ebola cases in eight countries, with over 9,000 deaths including health workers (WHO, 2015). This international health emergency has led to the recruitment and training of hundreds of health workers from other countries (including Nigeria) to help …

Sex Difference In The Association Of Sleep Disturbances With Cognitive Function Impairment In Elderly, Hsiao-Yean Chiu, Pei-Shan Tsai

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Objectives: To examine the prevalence of sleep disturbances and cognitive impairment in elderly people according to gender, and to determine the association of sleep with cognitive impairment according to sex.

Methods: This was a cross-sectional study derived from the 2009 population-based Taiwan National Health Interview Survey. A total of 2413 elderly (ages of 65 years or older) with 1094 males and 1319 female were included. The cognitive impairment as well as subjective sleep characteristics including sleep hours, difficulty in initiating sleep, difficulty in maintaining sleep, early morning awakening, daytime sleepiness, difficulty in breathing …

Spirituality And Religiosity As An Approach To Coping For Adolescents Living With Sickle Cell Disease: A Review Of The Literature, Dora L. Clayton-Jones, Kristin Haglund

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Purpose: The purpose of this presentation is to provide researchers and clinicians with a review of research on spiritualty and religiosity (S/R) in adolescents with sickle cell disease (SCD). The review is based on a systematic review of quantitative and mixed-methods research published in peer reviewed journals. Adolescents with SCD experience symptoms, treatments, and complications of their condition that may hinder them in their physical, psychosocial, emotional, and academic functioning. Spirituality and religiosity has been shown to improve coping and correlates with positive health outcomes in research conducted with children and adolescents. 2-4 …

Employment In Magnet-Oriented Hospitals And Socialization Of Students In Clinical Nurse Specialist Programs, Terri L. Ares

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Background and Purpose: Regional transformation of health care is possible with a more educated nursing workforce and the advancement of health care organizations to support professional nursing excellence. The clinical nurse specialist, a graduate-prepared advanced practice registered nurse, has been identified as a role that is important to the success of organizations seeking Magnet recognition, a credential awarded for nursing excellence, quality, and innovation in practice. In the effort to prepare more nurses for the clinical nurse specialist (CNS) role, graduate nursing programs are responsible for the socialization of students to assume the …

Sensitivity And Specificity Of Edmonson Psychiatric Fall Risk Assessment Tool In An Adult Inpatient Psychiatric Unit, Jordon Bosse, Constance Lapointe

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Background: Falls are an important issue in hospitals as they can lead to increased lengths of stay, increased cost related to the stay, or increased chance of unplanned admission. The limited literature available about the fall risk for psychiatric patients indicates that they are at a higher risk of falling than medical patients due to unique risks of both their condition and the psychiatric in-patient environment (Allen, de Nesera & Robinson, 2012).

Purpose: The goal of this project was to determine whether Edmonson, Robinson & Hughes' (2011) Edmonson Psychiatric Fall Risk Assessment Tool …

Heartmapp: A Self-Care Mobile Telemedicine Application To Improve Heart Failure Outcomes, Ponrathi R. Athilingam, Miguel A. Labrador

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Background: Heart failure (HF) is a major public health problem affecting 5.7 million people, costing $35 billion annually, with over 17 billion spent on hospitalizations in the United States (Dharmarajan et al., 2013; Go et al., 2014). Treatment and intervention for HF include drug therapy to treat pathophysiology and the use of clinical and educational interventions to improve knowledge, self-care and adherence (Yancy et al., 2013). Despite increasing compliance with treatment guidelines, hospital readmission rates remain high at 25% within 30-days (Dharmarajan et al., 2013). Current intervention strategies only reduce hospital readmission rates …

Development And Preliminary Evaluation Of A Culturally Tailored Web-Based Physical Activity Promotion Program (Wpapp), Sangmi Kim, Yaelim Lee, Eunice Chee, Wonshik Chee, Eun-Ok Im, Hsiu-Min Tsai

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Background: Many Web-based programs have recently been developed to promote physical activity. Wanner et al. (2009) developed and tested a Web-based physical activity intervention in general online population with positive results. Massoudi et al. (2010) developed a personal health record application that delivered a highly individualized, behaviorally based lifestyle physical activity intervention for sedentary adults, also with positive findings. However, none of these programs was aimed at Asian American midlife women. Rather, most of these programs were aimed at patients with diabetes, adolescents, or general adult populations. Only the intervention that was identified …

A Study Examining Senior Nursing Students' Expectations Of Work And The Workforce, Deborah Saber

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Background: Nursing is considered fast-paced, labor intensive work with cyclical shortages. To ensure that patients receive a consistently high level of care, hospitals have increasingly relied on schools of nursing to rapidly prepare newly licensed registered nurses (NLRNs) to function with high competence. Educational pathways resulting in a BSN degree include traditional 4-year and shorter accelerated nursing programs. The accelerated program provides an expedited alternative (i.e., 11-18 months) to a BSN degree for students who have achieved a previous bachelor's degree. Kramer (1974) described the stressful transition from nursing education to practice as …

Asian-American Midlife Women's Physical Activity And Sleep Related Symptoms, Yaelim Lee, Youjeong Kang, Ok Kyung Ham, Eun-Ok Im

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Background: Physical activities have been reported to improve the sleep quality of midlife women, a group frequently experiencing sleep-related symptoms commonly associated with the transition to menopause (Mansikkamaki et al., 2012; Tworoger et al., 2003). However, these findings have been inconsistent in relation to the types and levels of physical activity. Exercise or leisure-time physical activity was negatively associated with overall sleep duration although they were not significant predictors of the overall sleep duration (Tu et al., 2012). On the contrary, exercise intervention has been reported to improve the sleep quality of midlife …

Nurturing Caring Values In Pre-Registration Nurse Education: A Qualitative Longitudinal Study, Janet M. E. Scammell, Elizabeth Anne Rosser, Vanessa Heaslip, Sara White, Ian Donaldson, Karen Cooper

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Background: There is a global rise in elderly populations with complex long-term conditions; meeting their needs effectively and efficiently but with compassion, represents considerable challenges for financially-constrained health service providers. Internationally, evidence is emerging around concerns about the quality of care, particularly for older people (Katz 2011). It has been argued that in target-driven care environments, there is the potential for care professionals to lose sight of the person receiving the care to focus on task-completion, resulting in a dehumanising culture of care (Galvin and Todres 2013). Within the United Kingdom (UK) a …

Health Coaching With Peer Support To Improve Diabetes Self-Management Education, Chondra Butler

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Introduction: Type 2 diabetes mellitus (T2DM) affects nearly 25 million Americans, with the highest mortality rate being among African-Americans. Complications of diabetes often lead to increased hospitalizations, more patient and hospital spending, and additional co-morbidities. T2DM is best controlled through improved patient self-care which is achieved through self-management education and peer support.

Purpose: The purpose of this project is to demonstrate how a professionally guided health coaching program, in conjunction with peer support groups, can improve type 2 diabetes self-management of African-American patients at a state-funded hospital. This is accomplished through health coaching …

Making The Most Out Of Qsen's Knowledge, Attitude And Skills (Kas) Competencies In An Rn To Bsn Program: A Three Level Education Approach, Guillermo Valdes, Roxana Orta

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Literature Review: Nurse Executives, leading nursing organizations, and Magnet Hospitals, all recognize the unique value that baccalaureate-prepared nurses bring to the practice setting, AACN (2014). Academic institutions must consistently educate BSN nurses to be competitive in a healthcare environment where nurses are resourceful as accountable patient advocates. The Quality and Safety Education for Nurses Institute (QSEN) have developed competencies that closely look at nursing knowledge, skills, and attitudes to be furthered enhanced in nursing programs concentrating on Patient-Centered Care, Teamwork & Collaboration, Evidence Based Practice, Quality Improvement, Safety; and Informatics. QSEN pursues strategies …

A Grounded Theory Study Of Nurse Manager's Preferences In Hiring Newly Licensed Rns, Susan C. Adamek, Lori Candela, Carolee Dodge Francis

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Purpose/Aims: The purpose of this research study was to explain how acute care nurse managers select the newly licensed RNs (NLRNs) they hire.

Rationale/Background: A good process for selecting NLRNs can reduce expensive employee turnover and improve teamwork on units. There has been extensive research regarding interventions that improve the retention of NLRNs after they are hired, such as residency programs, preceptors, mentors and support groups, but there is very little in the literature about nurse managers' preferred applicant attributes or the processes used by nurse managers to select the right candidates for …

From Blank Canvas To Masterwork: Creating A Professional Practice Model At A Magnet Hospital, Lynda J. Dimitroff, Donna M. Tydings, Sue Nickoley, Maureen Krenzer

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Purpose: Professional practice models (PPMs) are significant to the foundation of our nursing practice, roles, positive outcomes, and excellence in care delivery across the continuum of health. The ANCC Magnet Standards of Excellence and expectations provide a framework for professional nursing practice and healthy work environments, and were the driving forces behind this project. Often, PPMs are imposed by standard models or casually generated. The purpose of this study was to engage nurses in the creation of a professional practice model. The research question was: How do registered nurses (RNs) in an acute …

Improving Glycemic Control Among Incarcerated Men: A Health Promotion Model, Paula Kelly Ranson

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Statement of Problem: In California's state prison system, diabetic inmates are fed the same diet as the rest of the prison population, and many have poor blood glucose control. A current program allows certain inmates to carry glucometers and testing supplies and to test their blood sugar but improvements in glycemic control have been modest. This innovation sought to learn if improved health literacy would result in a reduction in HbA1c in an environment in which no variables such as dietary changes or other rewards were offered.

Methodology: Utilizing the Health Promotion Model …

Putting It All Together: Integrating Multiple Evidence-Based Core Competencies From Across The Spectrum To Redevelop Community Health Online Rn-Bsn Courses, Melissa D. Myers, Leslie B. Schoenberg

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Three (3) Measurable Objectives: Describe how the American Association of Colleges of Nurses (AACN), Recommended Baccalaureate Competencies and Curricular Guidelines for Public Health Nursing (2013) can be integrated into an online Community Health (CH) course for RN-BSN students. Examine the process of incorporating Master Instruction, Quality Matters, and the Nurse of the Future into an online RN-BSN CH course. Demonstrate the use of concept mapping of the CH course outcomes with BSN Essentials and core competencies.

Purpose, Aims, Background, Problem: Public health nursing is evolving due to a paradigm shift emphasizing population health, …

Called To Promote Nursing Excellence As Transformational Leaders, Sharon R. Redding

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

American nurse educators share their experiences as volunteer nurse educators representing Project HOPE. This organization's mission is to achieve sustainable advances in health care by implementing health education programs. Project HOPE partners with host nation health officials in select locations to provide human resource talent for improving academic and technical skills. The American nurse educators are recruited for their expertise in nursing education as well as one educator having certification as a wound care ostomy clinical nurse specialist to work with Chinese nursing faculty at Wuhan HOPE School of Nursing where they teach …

Standardized Patients Providing Clinical Learning Opportunities For Learners Across The Continuum, Miriam E. Bar-On

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

An integral component of the Clinical Simulation Center of Las Vegas is the standardized patient (SP) program. This program is housed in the 12 room standardized patient hall and provides both formative assessment and summative evaluation for medical students, residents and nursing students - undergraduate and graduate. The SP program was developed by the University of Nevada School of Medicine (UNSOM) under the direction of an SP educator. This individual initially worked with the directors of the Clinical Reasoning in Medicine (CRIM) course to design and replicate a high-stakes examination for the third …

Children With Cerebral Palsy Preferences For Adventures And Their Reasons Why, Lamara Love, Judith Lang, Sha Clark, Pamela Studer, Victoria Von Sadovszky

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Approximately 1 in 323 children are diagnosed with cerebral palsy (CP). Children with CP are differently abled, 41% of children with CP have limited abilities to crawl, walk, run, or play and up to 31% need special equipment to supplement mobility (Boulet, et al., 2009; CDC, 2015). Hence, children with CP are often less physically active than and have fewer opportunities for socialization with their typically developing peers. In order to engage children with CP in more activities, they need to learn how to adapt different activities to their gross motor ability (CP, …