Digital Commons Network^™

Transformational Leadership And Intent To Stay: Moving Research Into Nurse Leaders' Practice, Christine T. Kovner, Carol S. Brewer

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Research Background: High turnover of staff nurses is a persistent problem for healthcare systems in the United States and globally. It negatively impacts patient outcomes and has high organizational costs estimated at $1.4-2.1 billion per year based on 2006 RN salaries (Brewer, Kovner, Greene, Tukov-Shuser, & Djukic, 2012). Although turnover is a complex phenomenon with many precursors at play, poor management by nurse leaders is one of the top reasons staff nurses leave their employers (Kovner et al., 2007). In a 2011 systematic review of 53 studies, (Cowden, Cummings, & Profetto-Mcgrath, 2011) only …

Reducing Device-Related Pressure Ulcers: Leveraging Data And Innovation To Improve Adult/Pediatrics Outcomes, Peggy Kalowes, Raquel Paige, Valerie Messina

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Significance and Background: Pressure ulcers are acquired among high-risk patients in pediatric and adult hospitals, and are key indicators of the effectiveness of care. The NPUAP 1 recognizes that PUs can occur on any tissue under pressure, including beneath medical devices (MDs) used for diagnostic/therapeutic purposes. In the past two years we have reduced our quarterly prevalence of PUs (sacral, coccyx, and heel) to zero to 0.3% using an EB Skin Bundle 5 plus a 5-Layered Silicone Border Dressing thus the direct impact of MDR PUs has become more transparent. Stage III, IV, …

Attitudes Of Nurses And Student Nurses Toward Self-Care, Kathleen Cino

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Study Aim: The purpose of this study is to assess the impact of classroom learning/experiencing of mind-body therapies on the attitudes of nurses and student nurses with regard to mind-body therapies and self-care.

Background: Stress is expected among student nurses and decreased stress coping is evident in poor academic performance, student attrition, and suboptimal professional identity formation (Galbraith & Brown, 2011; Hensel & Laux, 2014). For nurses and student nurses learning healthy stress coping is part of the development of self-care. Self-care promotes health and is a core value in the American Holistic …

Service Learning In Rn To Bsn Leadership Service Learning, Cheryl Moseley Conway

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

According to the Institute of Medicine (IOM) Future of Nursing Report, there need to be innovative strategies to meet the goals to attain the education percentages set forth by 2020. The Western Carolina University RN to BSN Program includes a leadership practicum in which the student spends 60 precepted hours with a preceptor with his/her BSN or higher nursing degree in a nursing leadership role. Background: The leadership practicum has a dual course component which includes a professional synthesis project that is an approved service learning course by the University and completed during …

Nurse Attitudes Toward Patient Advocacy In The Long-Term Acute Care Hospital Setting, Carole D. Liske

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Advocacy is the essence of nursing's professional commitment to preserving human rights, protecting patients from harm, and providing quality care. In this dynamic healthcare environment with increased patient complexity and clinical acuity, sub-acute transitional care settings flourished. Given the vulnerability of patients in transitional settings such as long-term acute care (LTAC), the essential role of nurses as patient advocates emerged as a cornerstone of nursing practice. Despite the universally recognized importance of nursing advocacy in maximizing patient safety and delivery of quality care, no consensus existed about the concepts comprising nursing advocacy actions. …

An Analysis Of Nursing Preparation To Meet The Demands Of The Largest U.S. Patient Population, Kim K. Kuebler

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Americans aged 65 and older compared to people aged 20-64 is expected to rise by 80% over the next decade. The oldest of the 80 million baby boomers reached age 65 in 2011 and, more than a quarter of all Americans - or three out of four - are estimated to have at least two or more chronic conditions or behavioral health problems. Currently 75% of the American population is living with and dying from symptomatic chronic conditions contributing to the costliest health care in the US. The Affordable Care Act has provided …

A Process For Nurse Practitioner Students To Find Preceptors And Clinical Sites, Maria A. Lofgren, Lou Ann Montgomery

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

As a result of the Affordable Care Act, nurse practitioner programs have steadily increased across the country. To meet the demands for more providers, many academic institutions have developed distance learning programs leaving students to find preceptors and clinic sites on their own. At UI Hospitals and Clinics, many of our rising-star staff nurses were enrolled in such programs and needed clinical sites. Because of perceived and real barriers to placing students for clinical rotations within our institution, they often sought placement elsewhere, which often lead to them taking a position outside our …

Cultivating Future Leaders, Sabrina Collins-Christie, Jenny Paugh Hoffman

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Attend this session to learn how to attract and develop future leaders to your chapter through volunteer recruitment and the mentoring of interested individuals.

Being A Leader In Chinese Nursing Education, Qian Liu

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Chinese educators discuss the evolution of an international cooperation program at Wuhan HOPE School of Nursing, Wuhan, China. They reflect on the adoption of a concept-based curriculum being taught in English and a Chinese dialect, integration of nursing simulation as a teaching strategy, the development of a nursing simulation lab, the opening of a comprehensive rehabilitation center at the School of Nursing and the changing role of Chinese nurse educators in this program. They review the personal and professional growth that has occurred as young faculty members, influenced by Western thinking, have moved …

Save Stan Turns Five: A Large-Scale Interprofessional Practice And Academe Innovation, Colette R. Foisy-Doll, Sharla King, Dawn Ansell, Margot Zemrau

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Description of the Event: The Interdisciplinary Health Education Partnership (IHEP) is an inter-institutional, interprofessional team comprised of healthcare simulation specialists and interprofessional education experts from both clinical practice and academic settings in Edmonton, Alberta Canada. Over the past seven years, IHEP members have successfully developed, implemented, and evaluated multi-modal interprofessional simulations (SIM-IPE) for pre-licensure learners at HELP! Save Stan Saturday (SSS). This annual IPE event offers learners a full day of interprofessional team-based scenarios focused on increasing interprofessional competence. IHEP, through the implementation of SSS, has developed capacity for SIM-IPE in faculty and …

Mental Health Treatment And Media Preferences For Persons Of Mexican Heritage, Tanya Renee' Sorrell

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Determining culturally based methods of care aligning with patient values and preferences is a focal point in mental health services provision. Unfortunately, few studies have focus on mental health treatment preferences of persons of Mexican heritage. A wide range of factors may influence treatment preferences including personal characteristics, acculturation perspectives about mental health issues, illness and treatment experience, and media influences presented in English and Spanish. Achieving patient-centered care in mental health services begins with understanding patient values and preferences and adapting services to meet needs, values and preferences.

Problem: This qualitative study …

Using The Tools Of Technology To Increase Access To Doctoral Education: Best Practices In Distance Education, Jeffrey A. Willey, Lisa A. Seldomridge

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

In response to statewide, regional, and national calls to increase the number of doctoral-prepared nurses by 2020, Salisbury University, a small public university in the mid-Atlantic region, launched its first doctoral program, a post-MS to DNP in Fall 2012 and a post-BS to DNP in Fall 2014. As one of three DNP programs in Maryland and the only DNP in its region, offering the curriculum in a distance-accessible format was essential to its success. While distance education is an increasingly popular option for delivering advanced education to working professionals, the use of technology …

Care Coordination Clinical Reasoning Model For Advanced Practice Nurses, Ruthanne Kuiper

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

In the current health care arena, practice has shifted to include systems thinking and value network analysis to determine priority patient health care issues that interface with interdependent health care provider roles and relationships. The major focus of current health care practice is interest in identification and achievement of patient health outcomes. To function effectively in this arena, nurses need outcome specification skills. The role of case manager and care coordinator is becoming essential for meeting patient health care outcomes. Advance practice nurses such as nurse practitioners in these roles require additional clinical …

Examining The Trends Of Nursing Evidence-Based Research And The Measurements Of Quality, Sarah J. Davies

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

It will have been demonstrated earlier in the symposium how the pressures of increasing demand of research output, and the changing publishing landscape, has resulted in a boom period for nursing publications. In this paper a senior publisher of Elsevier academic nursing journals will examine the analytical tools employed by the research community to measure the 'impact' of this output (McKenna 2015). She will also take a look at new channels of dissemination and their potential effect on the evaluation of the clinical/community use of the evidence-based research. The presentation will: (1) examine …

Parenting Practices And Children's Physical Activity, Amy M. Hutchens

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Lack of physical activity (PA) has been identified as the 4th leading cause of death globally (WHO, 2014). People who are physically active typically live longer than those who are not (Paffenbarger, Hyde, Wing, & Hsieh, 1986). They also have lower rates of heart disease, stroke, type 2 diabetes, depression, and some cancers (AHA, 2013). Parents have influence over children's physical activity levels. The level of influence and the nature of the relationship is not well studied. The purpose of this integrative review is to critically analyze the state of science concerning the …

Health Team Members' Perceptions Of Strategies For Patient-Centred Care In Acute Care Settings, Linda M. Ferguson

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Patient-centred care is an ideal of interprofessional collaborative care, and an expectation of patients and their families. Patients and their family members are often referred to as members of the interprofessional team for their care. However, according to patient surveys, this ideal of Interprofessional collaborative care and patient-centred care is often not achieved in the acute care setting. In this session, we report on a qualitative study examining the perceptions of 15 healthcare professionals about patient-centred care on an acute care medical unit in a tertiary care teaching hospital. Professions in this study …

Creating Caring Learning Environment Practice Partnerships (Clepps), Ruby A. Wertz, Susan C. Adamek, Neal S. Rosenburg, Kimberly Falco

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Reports by the Institute of Medicine (IOM) and the Robert Woods Johnson Foundation (RWJF) (2010) call for nurse leaders to improve how nursing students are educated by improving the bridge between theory and clinical practice. Such partnerships facilitate collaboration between academic and clinical practice settings for better utilization of resources and the development of creative ways to prepare nursing students in providing safe and effective patient-centered care to higher acuity patients in a complex healthcare systems (Glazer, Erickson, Mylott, Mulready-Shick, & Banister, 2011). Creating new and innovative models that utilize the traditional dedicated …

Incivility In The Workplace: Implications For Nursing Education, Kimberly Ann Balko

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Students in RN-BS nursing degree programs face barriers to successful completion of their programs of study such as memories of incivility within their pre-licensure nursing program and their current educational and workplace experiences of incivility and ageism. This incivility, along with generational differences, adds to the growing concerns of nurses' intent to quit their employers or the profession, which adds to the current and future nursing shortage. The incorporation of multigenerational education for nurses can enhance generational awareness including ageism, communication skills, conflict resolution, coaching, and mentoring to guide employed RNs and nursing …

The Concept Of Self-Stigma: A Clinical Investigation, Linda Carman Copel, Khamis Al-Mamari

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

The concept of stigma is recognized as a widespread, universal experience which is a major cause of personal suffering and a deterrent to obtaining health care. Vulnerable populations, such as women with disabilities (WWD) who have experienced intimate partner violence (IPV), are at risk for several of the various forms of stigma, especially self-stigma. Health care providers and social scientists believe that stigma has a negative influence on people's lives by contributing to high levels of stress and social disadvantages. The primary purpose of this research study was to describe the nature of …

Unfolding Case Study Exemplifying Care Coordination With Advance Practice Nursing, Tamatha Arms

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

The development, progression and evolution of the nursing process which begins with a foundation for patient problem management also parallels with dynamic thinking processes. The third generation of nursing process or the Outcome-Present State - Test (OPT) emphasized clinical reasoning that was reflective, creative and outcome specific given a client's story. However, healthcare practice has yet shifted again to a focus on care coordination, systems thinking, value network and analysis to determine priority patient healthcare issues that interface with interdependent health care provider roles and relationships. The authors propose a Care Coordination Clinical …

Could Critical Thinking Help Create Nurse Managers Who Are Transformational Leaders?, Susan Zori

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

The front-line nurse manager of a patient care unit, is expected to function as a transformational leader. Effective nurse leaders are capable of creating an environment that supports nurse empowerment, through open communication, and shared decision-making. Achieving goals that align the organization with quality outcomes is essential to survive in today's transformational health care environment (Kelly, Wicker, & Gerkins, 2014). The purpose of this presentation is to share findings and implications of research that explored the relationship between nurse managers' dispositions to use critical thinking (CT) skills and RN staff nurses' perceptions of …

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 …

Project Empower: An Interdisciplinary Project, Dawn Garrett-Wright, Saundra Starks, Cheryl Wolf

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

The purpose of this presentation is to describe an interprofessional project that brought together Social Work, Nursing and Counseling. Project EMPOWER was a grant funded project began by Social Work faculty from WKU. The acronym E.M.P.O.W.E.R. represents the overall goals for the project of Enhancing skills and abilities while providing Motivation for goal attainment and Prosperity, Overcoming challenges with the use of team Work through increased positive Energy to reach higher and gain Respect for self and others. Project EMPOWER offered free psychosocial assessments, referrals, counseling services and resources for children, adolescents, adults …

Fostering Workforce Development Through Meaningful Experiences: Pathways To A Nursing Degree Program, Catherine G. Tagher, Erin M. Robinson, Julie A. Hart, Marilyn Schleyer, Adele Diminno

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

The RN workforce is projected to grow from 2.71 million in 2012 to 3.24 million in 2022, creating a 19% increase in the need for nurses. The Bureau of Labor Statistics projects the need for 525,000 replacement nurses in the healthcare workforce generating over one million nursing jobs by 2022 (Bureau of Labor Statistics, 2012). As the demand for nurses increases, the profession of nursing must employ innovative approaches to foster an interest in a nursing career. In response to the national healthcare mandate, the program Pathways to Nursing (PTN) was started in …

A Global Nursing Initiative: An Interdisciplinary, Multicultural Collaboration For Nurse Practitioner Students, Patricia Mckiernan Ciarleglio, Frances Mcgill, Shelly Rodrigo

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

This paper describes a collaborative program between St. Georges University, Grenada, West Indies and Regis College, Weston, Massachusetts, where faculty from both schools worked to provide an international, interdisciplinary health care experience for nurse practitioner students at Regis College, and for the medical and nursing students in Grenada. The literature review presented provides a strong rationale for the benefits of this project which relates to the theme of the convention to Serve Locally, Transform Regionally and Lead Globally. In March 2010, four family nurse practitioner students from Regis College School of Nursing, Sciences …

If The Walls Could Talk: Student Perspectives On What Makes For A "Good" Teacher, Theresa M. Valiga, Ashley Munteanu

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

There is extensive literature regarding "what the best teachers do" and what makes for a "good" teacher. Some of this literature is based on research, and some is anecdotal in nature. Oftentimes, descriptions of "good teachers" are generated from an analysis of principles of quality teaching/learning or from an analysis of feedback from students. In most instances, however, the students interviewed or studied are undergraduates, the descriptions of "good teachers" relate to individuals teaching K-12 or undergraduate courses, and the subjects referenced are general in nature (e.g., Biology) rather than part of a …

Practices Of Reflective Leaders: Facing Challenges And Advancing Reform, Sara Horton-Deutsch

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

This presentation describes the common shared experiences of becoming a nurse faculty leader through facing challenges and advancing reform. These experiences were common for many nurse leaders as they sought to advance their careers by taking on new positions and responsibilities. These themes along with several sub-themes will be explored through description and story. Finally, participants will be asked to reflect on their own experiences of facing challenges and advancing reform. One common experience of participants was facing challenges. Reflecting, persevering through difficulties, and learning to relate to others in new ways represent …

Enhancing Leadership In A Chinese Nursing Program, Linda Rice

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

To make high quality health care available around the globe, American organizations such as Project HOPE provide training, technical assistance and expert mentoring to build capacity at all levels of the health care system. This includes offering assistance from a pool of professional health volunteers to supplement human resources. In partnering with public and private sectors, HOPE uses a model that teaches health professionals to continually enhance their expertise and improve knowledge. Expert American nurse educators address the pressing need for Chinese nurse educators which has come about since 1998 when reform began …

Helping Men Rebuild Their Sense Of Self Following Workplace Bullying, Judith A. Macintosh

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Workplace bullying is prevalent abuse consisting of offensive behaviours that humiliate or intimidate others at work (Carbo and Hughes, 2010). The reported incidence varies with type of abuse and measurement methods but world-wide rates are reported to be increasing. Workplace violence has been identified as an international problem (World Health Organization, n.d.). We know that workplace bullying has effects on physiological, psychological, social, and economic health. Our past research showed how workplace bullying influenced women's health promotion and workforce engagement (MacIntosh, O'Donnell, Wuest, & Merritt-Gray, 2011). We recognized a need to study men's …

Relational Certainty: A Theoretical Framework Describing The Relationship Between Military Veterans And Companion Canines, Cheryl A. Krause-Parello, Michael John Rice

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015

Purpose: The purpose of this presentation is to describe the impact of relational certainty in human interactions as demonstrated by Companion Canines. Relational certainty is drawn from the adaptive stress responses military veterans' display when reintegrating into society. The theory explains how veterans internally construct meaning of relationships, with the level of relational certainty indicating a balance of biological and social links. A model of relational certainty demonstrating the concepts and associations form the foundation of explaining the role of companion canines which match the theoretical and empirical postulates. Discussion of the theory …