Digital Commons Network^™

Description, Application, And Evaluation Of A Model To Teach Community-Based And Population Health Across Diverse Clinical Experiences, Elizabeth J. Van Dyk, Sarah Valentine-Maher, Janet P. Tracy

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Both population health and direct nursing care in the community are important elements in educating baccalaureate nurses. The Pillars Constructivist Model was devised to facilitate clinical teaching at both levels and offers a unifying clinical paradigm with structural and contextual components to support learning at diverse public health sites. The foundation of this model rests upon five conceptual Pillars. These Pillars include: Incorporate determinants of health in nursing care of population aggregates and communities. Provide direct care based on evidence and best practices in community settings. Integrate sensitivity to and appreciation of lived …

Health As Expanding Consciousness: Patterns Of Clinical Reasoning In Senior Baccalaureate Nursing Students, Mary W. Stec

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Clinical reasoning has been identified as a necessary skill to practice nursing. Multiple studies suggest that a gap exists between the education of nurses and their ability to transition into practice. In addition to possessing necessary knowledge and skills specific to the discipline of nursing, nurses must possess clinical reasoning skills to think through a situation as the patient's condition changes. To make a clinical judgment, nurses use an analytical process that includes pattern recognition, an attribute of clinical reasoning. Newman's theory of Health as Expanding Consciousness and Research as Praxis methodology was …

New Graduate Nurse Perception Of Competence Compared To Nurse Leadership, Nancy S. Goldstein, Michelle D'Alessandro, Alexandra Sussman, Jeremy Brown

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

New graduate nurses (NGN) face stress and challenges as they progress through the rigors of orientation and acclimation to the first year of clinical nursing. Health care organizations and academic institutions have significant roles in preparing competent entry-level nurses. However, previous research suggests that only 10% of hospital and health system nurse executives perceived their new graduate nurses as fully prepared to provide competent patient care. In this current research, we are examining the new graduate nurses' perception of competence in comparison to the mid-level nurse leadership (preceptors and nurse managers) perception of …

Nurses Taking The Lead In Healthcare Teams: The Sbirt Model - Integrating Evidence-Based Screening, Brief Intervention, Referral And Treatment For Persons At Risk For Substance Use And Mental Disorders, Pamela G. Lusk

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Nurses are often the first line healthcare providers for persons entering a healthcare setting. There is strong evidence to support a model of screening all persons who enter the healthcare setting for risky behaviors- behaviors that put them at risk for developing a substance abuse or mental disorder. An evidence based model, promoted by SAMHSA - the U.S. Department of Health and Human Services - Substance Abuse and Mental Health Services Administration, for identifying persons at risk, and then providing active early intervention is SBIRT - Screening, Brief Intervention, and Referral to Treatment. …

Achieving Certification For A Nurse-Run School-Based Health Center In Nevada, Sherrilyn D. Coffman, Cheryl L. Darby-Carlberg

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

On December 4, 2014, the Joel and Carol Bower School Based Health Center became the first of seven school-based health centers in the state of Nevada to achieve state certification. This status was accomplished through a focused planning effort, implementing the new State of Nevada Standards for School Based Health Centers. Only certified school-based health centers (SBHCs) are eligible to receive Nevada Medicaid and Nevada Check-Up reimbursements from the Division of Health Care Financing and Policy at the higher Provider Type 17 level. Thus achieving certification provides higher reimbursement, as well as evidence …

Exploring Simulation Utilization And Simulation Evaluation Practices And Approaches In Undergraduate Nursing Education, Hilde Zitzelsberger, Sue Coffey, Leslie L. M. Graham, Efrosini Papaconstantinou, Charles Anyinam, Jacqueline Mangal, Greg Dodd

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Simulation is becoming one of the most significant teaching-learning strategies available in undergraduate nursing education. Through the development, application, and evaluation of high quality simulation experiences across a full range of modalities, (including high-fidelity, medium-fidelity, and low-fidelity) learners are able to acquire and demonstrate the knowledge and skills necessary for safe, competent, and ethical nursing practice. By approximating clinical practice within nursing education, simulation provides real-time opportunities for students to work through complex patient-care situations, ideally receiving evaluative feedback that promotes increased confidence and competence. Increasingly, simulation is playing an essential role in …

Empowering Nurses To Implement Evidence-Based Practice Through Instructional Design, Priscilla C. O'Connor

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Staff nurses have been mandated to conduct and use research in their pracice as part of a Magnet application. However, many nurses are reluctant to begin the process, because they are not familiar with the abstract nature of the research process, let alone, the application of research into practice (Shivnan, 2013). In fact the word, research, can cause nurses to experience anxiety at the very term. Those same nurses may have extensive clinical experience and can identify patient problems without difficulty. The challenge for nurses who do have research experience and evidence-based practice …

The Maternal-Child Health Nurse Leadership Academy: Taking Clinical Leadership To The Next Level, Diane L. Spatz, Julia Snethen, Patricia Clinton

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

The Honor Society of Nursing, Sigma Theta Tau International, in partnership with Johnson and Johnson, has advanced the leadership skills of maternal and child nurses and nurse midwives in its 18-month Maternal Child Health Nurse Leadership Academy (MCH). In the 12 years since its launch, more than 296 nurses and nurse midwives from six countries have taken part in the MCH Academy. During this presentation, faculty will discuss the MCH Academy model; this session will offer a synopsis of the MCH Academy goals, objectives, structure, learning activities and outcomes. These nurses and nurse …

Stti Region 14: Connecting And Engaging Members Locally And Globally, Teresa Torsney, Ronn M. Callada, Jacqueline Cassagnol, Kirstin Patragnoni-Sauter

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

The purpose of this presentation is to describe how the Sigma Theta Tau International (STTI) Region 14 Coordinator and Chapters incorporated STTI Mission and the 2013 Presidential Call to Action in their events and activities. The mission of STTI is to advance world health and celebrate nursing excellence in scholarship, leadership, and service. The 2013 STTI Presidential Call to Action challenged the organization and its members to "serve locally, transform regionally, and lead globally" incorporating themes of Servant Leadership, Connectedness, Transformation and Gratitude. This presentation will describe how the Region 14 Coordinator disseminated …

Understanding The Lived Experience Of Nursing Practice In Haiti, Lorraine E. Emeghebo, Judith C. James-Borga

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

With 80% of its population living below the poverty line, Haiti remains one of the lowest resource countries in the Western hemisphere. Compounding the high morbidly and mortality rates is the shortage of all levels of healthcare personnel including nurses. Most of the health care in Haiti is delivered by Registered Nurses (RN), the overwhelming majority of whom are diploma educated. Research shows that better nursing consistently leads to better outcomes for patients. Increasing the number of nurses with the Bachelor of Science in Nursing (BSN) degree is central to reducing morbidity and …

Examining The Use Of The Transdermal Scopolamine Patch In The Prevention Of Postdischarge Nausea And/Or Vomiting: A Secondary Analysis, James I. Masiongale, Jane Garvin, Marguerite J. Murphy, Stephen W. Looney

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015: Postdischarge nausea and/or vomiting (PDNV) is estimated to affect up to 50% of patients undergoing general anesthesia. New guidelines recommend long acting antiemetics for those considered to be at risk for PDNV. Therefore, the purpose of this study was to examine the use of the long acting antiemetic, transdermal scopolamine patch (TDS), and the subsequent incidence of nausea and vomiting among ambulatory surgical patients. From the multicenter observational cohort study of 2170 adult ambulatory surgical patients collected from 2007-2008, data were analyzed from 2098 participants with sufficient information to calculate risk scores. The …

Bridging The Practice/Research Chasm, Rebekah Powers, Carol Boswell

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015: The literature repeatedly affirms that the time period for translating research findings into the practice arena requires approximately 17 years. Recent studies have identified the presence of a research mentor as the key to overcoming identified barriers to both generating clinically based evidence and incorporating that evidence into practice. While widespread agreement that this time lag must be reduced is supported, substantive change on this issue has yet to occur -- despite repeated recommendations for increased collaboration between researchers and practitioners. Indeed, collaborations between academic and practice settings benefit both parties in fostering …

The Related Factors Of Receiving Pap Tests Among Immigrant Women Of Vietnamese Origin In Taiwan, Hsiu-Hung Wang, Fang-Hsin Lee, Hsiu-Min Tsai, Miaoling Lin

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015: The Related Factors of Receiving Pap Tests among Immigrant Women of Vietnamese Origin in Taiwan. Background: In recent years, a common social phenomenon has been for foreign women to immigrate to Taiwan for marriage. Women who immigrate for marriage are a disadvantaged minority in the public health system in Taiwan and are typically infrequent users of medical resources and preventive healthcare. Pap test participation rates for newly immigrated women in Taiwan are significantly lower than the rates for non-immigrant Taiwanese women as well as women in America and European countries. Research in Taiwan …

Assessing Outcomes Of Learning In Virtual Learning Environments: Scoping Review, Rebecca Sisk, Dee Mcgonigle

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015: Virtual learning environments (VLEs) such as Second Life provide a unique opportunity for nursing students to work through case studies and practice new roles in a safe milieu (Anderson, Page, & Wendorf, 2013). Taking students into a VLE for instruction involves immersing them into an authentic environment to work together and apply critical thinking and problem-solving skills (Bai, Lavin, & Duncan, 2012). As with any learning environment, a program of instruction in VLEs begins with specific learning outcomes and an assessment of learner needs, proceeds to selection of appropriate learning activities, and ends …

An Exploration Of The Incidence Of And Risk Factors For Unplanned Perioperative Hypothermia (Uph) In The Ambulatory Surgical Patient, Vallire D. Hooper

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Introduction: Unplanned perioperative hypothermia (UPH) is a common occurrence in surgical patients in both inpatient and outpatient settings, and has been associated with a 68% increase in the incidence of surgical site infection (SSI). The ASPAN Guideline for the Promotion of Perioperative Normothermia (Hooper, et al, 2010) recommends numerous perioperative interventions as a means of maintaining normothermia throughout the surgical continuum.

Identification of the Problem: Outpatient surgeries comprise 75% of all surgeries; however, the incidence of UPH in the ambulatory surgical population, as well as the relationship of warming interventions to the development …

Meeting Family Needs At The Bedside And Across The Continuum: Theory, Research, Response, Anita J. Catlin

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

The movement to incorporate Family Centered Care (FCC) models in the care of hospitalized patients has swept through North America. Previously limited access to loved ones who are hospitalized has changed over the years to a culture within institutions that now recognizes the importance of family involvement in patient care. This shift to a FCC approach is especially critical in a changing healthcare environment where patients are being discharged home with more complex needs and increased functional limitations, and family members are expected to assume the caregiving roles and responsibilities once performed by …

A Global Health Project To Engage Nursing And Elementary School Students: Developing Future Leaders Through Service-Learning, Deborah E. Tyndall, Wendy Sullivan

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Background/Purpose: A partnership between East Carolina University (ECU) College of Nursing and Wells Elementary School in Wilson, North Carolina began in the Fall 2013. A global health project to develop future leaders aimed to provide a service- learning experience to enhance global awareness for both elementary school students and nursing students.

Methodology: A service-learning model was used to engage students at Wells Elementary in a global health project to benefit children in Guatemala. The project began with ECU nursing faculty/students using the Global Awareness Standards for North Carolina Public Schools to teach 3 …

The Experiences Of Low Income Non-Resident African-American Fathers With Parenting And Depressive Symptoms, Omolara Fyle-Thorpe

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Background/Significance and Purpose: Low income, non-resident African American fathers are a vulnerable group of parents due to the many factors that affect their parenting and put them at risk for depressive symptoms. This population experiences many stressors related to poverty, limited resources, child support, discrimination, and poor social support. An expanded understanding of this population's challenges and coping will allow health care providers to better care for these fathers and their families. The purpose of this study is to explore the experiences of low income non-resident African American fathers with regards to parenting …

Using The Delphi Technique To Develop A Peer-Review Debriefing Instrument For Simulation Healthcare Education, Jennifer L. Saylor

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Background/Significance: Creating an educational curriculum to prepare future healthcare providers with the essential knowledge, psychomotor skills, communication skills and critical thinking skills is vital and challenging for faculty. Simulation has been shown to be an effective method for learning, practicing or demonstrating a variety of skills needed in specific clinical environments (Herge et al, 2013). It provides opportunities for learners to practice cognitive, affective and psychomotor skills in life-like situations without risk to patients. Also, simulation in healthcare is performed in both pre and post licensure in academic and clinical settings. The learners …

Parents' Experiences Of Communication With Neonatal Intensive-Care Unit Staff: An Interview Study, Helena Wigert

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Background: An infant's admission to a neonatal intensive-care unit (NICU) inevitably causes the parents emotional stress. Communication between parents and NICU staff is an essential part of the support offered to the parents and can reduce their emotional stress. To better meet the communication needs of parents, it is important to know how they experience communication with the staff at the NICU. The aim of this study was to describe parents' experiences of communication with NICU staff.

Methods: A hermeneutic lifeworld interview study was performed with 18 families whose children were treated in …

Engaging The Community To Deliver Educational Programming For Young Breast Cancer Survivors, Timiya S. Nolan, Karen Meneses, Silvia Gisiger Camata

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Background: In the United States, about 5% of breast cancer survivors are premenopausal (young) at diagnosis. Young breast cancer survivors (YBCS) have greater health disparities than older survivors: higher incidence of advanced disease, mortality, and poorer quality of life. YBCS report age-specific survivorship needs (e.g. managing children and family relationships, sexuality, cognitive demands, and work) in addition to general survivorship needs. The Young Breast Cancer Survivorship Network (led by trained oncology nurses) is adapted from an evidence-based survivorship tool that addresses age-specific needs by educating, supporting, and networking among YBCS and community stakeholders. …

Developing A Framework And Inventory Of Instruments To Measure Team-Based Primary Care, Richard Ricciardi

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Background: Team-based care holds promise to improve patient outcomes, care processes, and patient and provider experiences of care. However, the understanding of how care teams should function and ways to improve care teams is hampered by a lack of a strong theoretical conceptual framework and validated measures, specific to the primary care setting, which can be used for research, evaluation, and quality improvement purposes. Successful primary care redesign efforts such as the Patient-Centered Medical Home require a "high-functioning" primary care team that delivers "team-based care." Thus, having a robust measure or measures of …

Use Of Art, Interview And Survey To Assess Family Needs At The Bedside Of Hospitalized Oncology Patients In Acute Care And At The Bedside Of Hospitalized Stroke Patients In A Rehabilitation Hospital, Anita J. Catlin

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Background: Two studies were completed within a hospital system to determine the needs of family members who maintain vigil at the bedside of their loved ones. A movement worldwide, and specifically new to our hospital system, is the implementation of Patient and Family Centered Care. We conducted these two studies to be sure that we knew what needs were of our patients' families. Using an acute care oncology unit and a stroke rehabilitation unit, we conducted a triangulated study used the qualitative methods of interviews and art therapy, and a quantitative method, the …

Does The Use Of Case Studies Impact Scores On Specialty Exams For Undergraduate Nursing Students?, Claudine Dufrene, Pamela J. Hodges, Kelly Vandenberg

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Introduction: Whether used for readiness or high stakes testing, standardized exams provide valuable outcomes data on the effectiveness of nursing curricula. Many undergraduate nursing programs rely on commercially prepared standardized exams to determine undergraduate nursing students' readiness to take the National Council Licensure Examination-RN (NCLEX-RN) examination upon graduation. While some programs use the information to assist students in preparing for NCLEX-RN, others use these standardized exams for high stakes testing and graduation requirements.

Background: Our baccalaureate nursing program at a private, faith-based university in the southern United States began using commercially prepared, standardized …

Realities Of Post-Operative Pain Management In Ghana: Evidence From Method And Participant Triangulation, Lydia Aziato

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Introduction: Post-operative pain has been a problem over the years for many countries including Ghana. Thus patients continue to experience moderate to severe post-operative pain.

Aim: The study aimed to understand the factors that contribute to ineffective post-operative pain management at two hospitals in Accra, Ghana.

Method: A focused ethnography was employed using multiple data collection methods such as individual interviews, observation, and documentary review. The participants included patients (13), nurses (11), surgeons (3), pharmacists (1), and anaesthetists (1). Sixteen participant observations with partial immersion were conducted and 44 nurses' documentation of care …

30,000 People: What We Have Learned About Population Health, Kate E. Gawlik

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Purpose: The Million Hearts educational program revolves aroundusers completing ten cardiovascular screenings in the community. The Million Hearts screenings are meant to identify individuals with cardiovascular pre-disease, uncontrolled disease, and risk factors for the development of disease.

Methods: Screenings are a 10 step process based on the evidence based "ABCSs" of care. De-identified data is collected on participants during Million Hearts screenings and entered by users into the educational program via Checkbox survey.

Results: Results from participants' screenings during the first 2 years of data collection indicate: (a) 51% had an abnormal blood …

Amputees' Perceptions Of What Nurses Should Know About Mirror Interventions, Wyona M. Freysteinson, Lisa W. Thomas, Amy L. Sebastian-Deutsch

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Purpose: Approximately two million people in the United States are living with the loss of a limb. Researchers have demonstrated that a visible disfigurement such as an amputation may have a profound psychological impact on individuals, including his/her perception of one's own body image. An aspect of body image that appeared to be neglected in the literature for amputees was the mirror-viewing experience. Evidence that addressed viewing one's self in a mirror after the amputation of a limb(s) appeared to be non-existent. The aim of this multi-disciplinary, qualitative research study was two-fold: to …

The Empathy Enigma: Does It Still Exist? Comparison Of Nursing Student Self-Reported Empathy With Standardized Actor And Student Peer Evaluation Of Student Empathy, Julia M. Ward

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Purpose: Nursing students learn that empathy should be at the heart of all nurse-patient encounters. Research outcomes have demonstrated that empathy declines among nursing students during the last year of their nursing program. We wanted to learn if an educational strategy would improve empathy among student nurses during undergraduate nursing education.

Methods: A quasi-experimental design was used to compare pretest and postest scores on the Jefferson Scale of Empathy. We used the Jefferson Scale of Empathy Health Provider version (JSE-HPs) to evaluate whether or not an educational intervention using standardized actors positively influenced …

Advancing Million Hearts Through Community Partnerships And Outreach, Margaret C. Graham

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Purpose: The Million Hearts initiative aims to increase awareness about heart disease prevention and to empower patients to take control of their heart health. The goals of this session are to provide examples for nursing and interprofessional colleges of Million Hearts outreach and engagement opportunities and to provide an overview of a 3 class community course designed for participants who screen positive.

Methods: The Ohio State University is currently participating in several Million Hearts community outreach activities include engaging local congregations, participating in community health fairs and corporate screenings, and initiating the Wellness …

The Role Of Ethnic Nursing Organizations In Developing Future Nurse Leaders, Maria Matza, Maryanne Garon

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Purposes/Aims: The aim of this qualitative descriptive study was to explore the role of ethnic nursing organizations in developing their members for leadership.

Rationale/Conceptual Basis/Background: There is a disparity between the ethnic makeup of the US population, and those of nurse, nurse leaders and nursing faculty members. While the US population is 63% non-Hispanic whites and California only 42% non-Hispanic whites (US Census Bureau 2012 statistics), the nursing profession is more than 83% non-Hispanic white (HRSA report, 2010). Amongst nursing leadership and nursing faculty members, the disparity is even greater. "Only 12.3 % …