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Determinants Of Perinatal Food Choices Among African-Caribbean Immigrant Women In Canada: A Photo-Voice Study, Josephine Bassey Etowa, Helen Vallianatos, Janki Shankar

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: Background: Food practices are an important component of marking individual and group identity. How an individual reproduces or resists normative practices is a means of understanding their social location. Migration, provides both opportunities and disjunctions for maternal health practices, including food practices. Post-migration women may aspire to achieve acculturation in part by adopting a Western diet. For many immigrant women, however, Western diets and patterns of food consumption differ considerably from those in their country of origin. Many maternal health and birth outcomes, however, are influenced by food consumption thus making education in …

Leading Environmental Health Awareness To Transform Nursing Practice, Bernadette M. Longo

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: In 2013, Nevada joined a handful of state nursing associations committed to enhancing their nurse's level of knowledge about environmental health (EH). As the single largest group of healthcare workers, it is essential that nurses have the knowledge to recognize and address environmental hazards (biological, chemical, radiological, and physical) that may adversely influence their patients and the community at large. Through increased awareness of environmental risks and risk reduction activities, the 31,000 licensed nurses from across this frontier state could best advocate for quality health care and EH initiatives. The environment is one …

Systematic Review Of Human Immunodeficiency Virus (Hiv) Knowledge Measurement Instruments Used On The Arabian Peninsula, Maram Alghabbashi, Barabara J. Guthrie

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: Introduction:

In 1984, the Kingdom of Saudi Arabia (KSA) began surveillance for human immunodeficiency virus (HIV) incidence and prevalence. In October 1991, the Saudi Minister of Education directed all educational regions and school health units to implement AIDS education in secondary schools. Until this point, the level of public knowledge about acquired immune deficiency syndrome (AIDS) was generally not addressed in the Kingdom of Saudi Arabia (KSA) for several reasons. At the time, AIDS was an emerging disease with a relatively low prevalence in the KSA compared to other countries, and public discussion …

Perceptions Of "Good Work In Nursing" Of Experienced Administrators, Educators, And Clinicians From Two Stti Circles, Dorette Sugg Welk

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

"Good work" (hereafter without quotation marks) is work which is technically proficient and effective as well as morally and socially responsible. Gardner, Csikszentmihalyi, and Damon (2001) initially studied the concept and determined that good work has the three primary characteristics of excellence, ethics, and engagement which serve as the conceptual framework for this study. Miller (2006) specifically applied the Harvard-based research interview protocols in a study involving beginning and experienced nurses regarding their perceptions of supports and obstacles of good work. Welk (2013) reported perceptions of good work in nursing among entry-level registered …

Self-Management And Weight Loss In Adolescents: A Systematic Review, Diane Thomason, Jennifer Kawi, Nada Lukkahatai, Kirsten E. Connelly, Jillian Inouye

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Evidence of parental support in weight loss of overweight and obese adolescents provide significant decrease in overweight adolescents compared to standard care or self-help in the short term and over the long term (Oude Luttikhuis et al., 2009). However, there is limited information on which parental components are effective in supporting the adolescent's self-management of weight loss.

Purpose: To develop a better understanding of effective parental support in self-management weight loss strategies for overweight and obese youth.

Methods: This integrative review evaluates the effects of current adolescent self-management weight loss interventions in …

Promoting Excellence In Nursing Through North-South Partnerships, Nelouise Geyer

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Publically funded healthcare systems with well-trained primary healthcare professionals offer the best opportunity to deliver care to all. In South Africa the healthcare system is driven by nurses and midwives. The Atlantic Philanthropies believed that strengthening the healthcare system in South Africa has to start with nursing education and training institutions to become world-class teaching facilities able to attract high-caliber faculty and students. Nurses have a potentially powerful role to play in their communities and rebuilding the morale, image and recognition would have broader social implications for communities and the profession.

Objective: …

Improving Attitudes And Perceived Competence In Caring For Dying Patients: An End-Of-Life Simulation, Megan E. Pfitzinger Lippe

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Purpose: End-of-life care education is critical for nurses, especially in today's healthcare climate. The End of Life Nursing Education Consortium (ELNEC) has established clear competencies for professional nursing practice regarding the care of patients at the end of life. Yet, undergraduate education about end-of-life care seems to be inadequate. Student's knowledge and attitudes about caring for dying patients have been shown in the literature to be positively impacted by education on end-of-life care. Although didactic education can improve students' end-of-life care knowledge and skills, real-world experiences/approximations are still needed to translate the content …

Sigma Theta Tau International, The United Nations And Global Initiatives, Cynthia Vlasich

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The history of Sigma Theta Tau International (STTI) is varied and rich. It includes a deliberate decision to become international, including global expansion, which was formalized at the 1985 Biennial Convention in Indianapolis, when the House of Delegates voted to add "International" to Sigma Theta Tau's name. The international work of STTI undertaken since that time has led to the current Global Initiatives department. Focusing on the past five years, STTI has made great strides in its global advancement. For example, STTI has its first president, elected by the full House of Delegates, …

Effect Of Ethnicity And Parental Illness Representations On Complementary And Alternative Medicine (Cam) Usage And Asthma Control In Childhood Asthma, Alexis Marie Guay, Kimberly J. Arcoleo

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Asthma is the most prevalent chronic condition in childhood in the US. Puerto Ricans (PR) are disproportionately affected compared to Mexicans. In the last decade, the incidence of asthma in the United States has increased by nearly 15% (CDC Asthma's Impact on the Nation, 2013). Particularly concerning is the asthma incidence disparity between ethnicities: 7.7% of whites have been diagnosed with asthma, compared to 11.2% of blacks, and 6.5% of Hispanics. Despite the low prevalence in Hispanics as a whole, the statistics for different Latino subgroups tell a different story. 16.1% of …

Cardiovascular Health Gender Disparities: The Pathway To Policy, Tammy C. Lu, Nicole J. Wollard, Eric T. Tobin, Diane M. Solic, Joseph F. Burkard

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Despite public awareness of cardiovascular disease, morbidity, and mortality for women continues to be a public health concern. Gaps in current female cardiovascular health research has led to assumptions in treatment, which may have resulted in suboptimal management.

Purpose: The purpose of this presentation is to discuss cardiovascular disease disparities in women, analyze the current health policy process using A Problem-Centered Public Policy-Making Process Model, and provide recommendations for Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRN's) to participate and influence health policy.

Conclusions: Current health policy needs to address the …

Cultural Issues In End-Of-Life Care: Unmet Needs Of Indians In Australia, Sujatha Shanmugasundaram

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Globally, people with terminal illness facing many challenges including cultural issues at the end of life. In recent years, increasing in ageing population and diverse population in Australia puts lot of pressure on the health care system in providing culturally sensitive care. Cultural factors may influence the patient's reaction to illness and decisions about end of life care. It is estimated that the Indians sharing the second largest migrant group after United Kingdom.

Aim: The main aim of the study is to explore the cultural needs of the Indian patients receiving end …

The Relationship Between Cardiovascular Risk Factors And Knowledge Of Cardiovascular Disease In African Men In The North-West Province, Adele Burger, Ronel Pretorius, Carla Fourie, Alta Schutte

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: In South Africa, the prevalence of cardiovascular disease (CVD) is often underestimated. CVD occurs commonly, especially in urban areas with two thirds of Africans presenting with multiple risk factors for CVD. Although several studies have been done on the high prevalence and burden of CVD, there is limited research investigating possible relationships between CV risk factors and CVD knowledge. Objective: This study aimed to determine the relationship between CV risk factors and knowledge of CVD in a group of African men.

Subjects and Method: The study included 118 African men employed at …

Creating A Nursing Scholarship Strategic Vision To Transform Nursing Practice, Kenn M. Kirksey, Joann M. Mick, Jan Keller-Unger, Lourdes R. Moore, Phyllis Jean Waters, Gayle Mcglory

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Nurse leaders at our academic safety net healthcare system have long been resolute in promoting an environment where high quality, patient-centered, fiscally responsible, and evidence-driven nursing care are standard. Nurturing an environment where the delivery of innovative, multi-faceted, and interprofessional care is embraced and supported has been an essential component in facilitating the personal and professional growth of both nurses and healthcare partners. The development of a comprehensive nursing scholarship strategic plan has been a significant part of the continuing commitment to building and fostering this culture of excellence. A strategic plan …

Enhancing The Clinical Patient Care Of Adults With Congenital Heart Disease (Chd) By Understanding Family Planning Decisions In This Population, Kathryn A. Osteen

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Sister Calista Roy first developed the Roy Adaptation Model (RAM) during the 1960's, and has continued to further refine, clarify, and extend the concepts over the years (Roy, 1997; 2009). According to Roy, the purpose of nursing is to understand people in order to maximize health and living to the individual's full potential. The goal of nursing is to promote adaptation. The RAM guides the understanding of how an individual adapts to a situation (Roy, 2009; 2011; Roy & Andrews, 1999). The RAM has guided both quantitative and qualitative research in numerous …

Is Sitting Time Associated With Increased Health Risks In Nurses?, Lizbeth P. Sturgeon, Dawn Garrett-Wright, Eve Main, Susan Jones, Donna S. Blackburn

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Sitting time (ST) has increased substantially in the last 50 years and is an emerging health risk. There is evidence that prolonged ST is a risk factor for all-cause mortality, independent of physical activity. Nurses are particularly at risk due to low baseline physical activity, older age, and the increasing use of computers in patient care, education, and research facilities. There are no studies of nurses in the United States that examine their average daily ST in relation to health risk.

Objective: The purpose of this descriptive correlational study was to explore …

The Use Of Religious And Spiritual Coping Strategies By Parents After A Child's Icu Death, Dawn Marie Hawthorne

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: The death of a child is unimaginable since most parents expect not to outlive their children. Stress created by this traumatic event disrupts parent's emotional and social world and causes severe and prolonged mental distress. In response to grief, parents may choose to use spiritual coping strategies to cope with their loss. Little is known about the types of spiritual strategies used and whether these strategies are effective over time.

Purpose: The purpose of this study is to identify the relationship between spiritual and religious coping strategies parents used one month (T1) …

Improving Hcahps In A Challenging Patient Population: Trauma And Burns, Meredith Palmer

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Introduction: Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a metric that represents the patient's perception of quality care received. Data supports that the patient's experience is linked to great clinical care, reduced medical error, and improved patient outcomes. HCAHPS is part of the value-based purchasing initiative that ties reimbursement to quality outcomes. Each individual patient's survey results matters. These questions measure frequency on a scale of never, sometimes, usually, and always. Three of the six categories of HCAHPS questions relate to communication: with doctors, with nurses, and about medications. The …

Women's Reproductive Knowledge And Their Ability To Teach Their Daughters About Reproductive Changes, Yenupini Joyce Adams, Adejoke B. Ayoola

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Purpose: Life span approach to promoting reproductive health requires initiating reproductive education early, during the pre-pubertal and early adolescent period. Mothers tend to have close relationships with their daughters and could be the earliest and best source of information for their girls on reproductive education. But women could only effectively teach their daughters if they have good reproductive knowledge. This study examined the association between women's reproductive knowledge and their perception of their ability to teach their daughters about the reproductive changes occurring in their bodies.

Methods: The social cognitive theory informs this …

Examining The Phases Of The Community-Based Collaborative Action Research Framework Through An Unfolding Case Study, Norma Krumwiede, Stacey Ann Van Gelderen, Kelly Krumwiede

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Purpose: To explore the Community-Based Collaborative Action Research (CBCAR) framework, an innovative approach to action research, by applying the six phases of the methodology through an unfolding case study involving a rural community.

Background/Significance: To support the need of a critical access hospital in completing a community health needs assessment required by the Affordable Care Act. The CBCAR framework was chosen to guide the project because it promotes long-term commitments with on-going social action processes within communities, and served as the research process that used relationships to value the community narrative, validate community …

Health Care In Global Context: Service Learning To Increase Cultural Competency In Migrant Latino Health, Jean Ann Davison

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Purpose: To describe a seven year interprofessional service learning course to increase students' understanding of migrant Latino health. When training health care providers, the service-learning approach is an innovative pedagogical strategy that benefits both patients and students by creating collaborative partnerships among health professions schools, healthcare organizations and other community settings.

Background: According to the 2010 US Census report, the Hispanic/Latino population accounted for over half of the 27.3 million increase in the total US population. The US Department of Health and Human Services have set forth national standards on culturally and linguistically …

Improving Population Health Through Interprofessional Leadership: The Case For A Professional Practice Model, Melanie Brewer, Maria W. O'Rourke, Jeffrey Francis

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

A professional practice model is foundational to the development of a results-oriented clinical enterprise (O'Rourke & White, 2011). This model draws attention to the need for clinicians, managers, and other members of the healthcare team to work together synergistically as interprofessional leaders in order to ensure sustainable improvements in patient outcomes. The model also serves as the structure for evaluating patient care improvements based on the decision making actions of clinicians and managers. Each element of the professional practice model is an important link to organizational effectiveness and each must be evaluated as …

Building A Baccalaureate Workforce Using An Academic/Rural Health System Partnership, Vallire D. Hooper, Karen R. Cochran, Judy Neubrander

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Americans living in rural areas face healthcare disparities related to geographic location and educational and economical disadvantages. These disparities lead to limited access to healthcare providers and facilities, as well as an overall inability to achieve good health (Harmon, 2013; Healthy People.gov, 2010). Subsequently, residents of rural areas are at greater risk for morbidity and mortality related to higher rates of obesity, diabetes, cardiovascular, and pulmonary disease. The hallmark of rural nursing practice is the diversity of practice experiences encountered and the wide range of knowledge necessary to address these challenges (Long & …

The Impact Of Cardiac Education On Changes In Lifestyle Behaviors, Wanda Lawrence

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Cardiovascular disease (includes heart attack and chest pain) is the number one killer of American women and more than half of the deaths are directly attributable to "heart attack", resulting in many deaths within one hour of onset of symptoms and generally before reaching a hospital. Heart attack is a health disparity which has received attention nationally over the last decade. However, the death rate for African American women who have heart attacks continues to be twice that of white women. Literature addresses three specific problems facing African American Women who have heart …

Do Older Hispanic Diabetics Use The Internet For Health-Related Information?, Kathleen M. Nokes, Judith Aponte

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Diabetes is a major cause of morbidity and mortality and a growing public health concern. In 2012, Hispanics comprised 16.9% of the total 313.9 million US population; and 12.8% had diabetes. Persons with diabetes and limited health literacy have worse health outcomes since they have less knowledge about their diabetes, difficulty in reading medication labels, and a poor understanding on ways to better management their health. Health literacy influences a person's ability to engage in self- management and the internet can be a resource for providing diabetes-related information for people to self-manage their …

Recognizing Ethical Issues Experienced By Maternal Nurses And Their Need For Ethics Education, Gayle Taylor

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Ethical issues, experienced daily by maternal nurses, can be uniquely specific and may involve the inadequacy of workplace resources to help resolve human rights issues. Recognizing patients' rights and respecting human dignity should be a universal belief held by all nurses, but the need for ethics education for maternal nurses may include specific issues not found in other areas of nursing.Issues recognized as important for maternal nurses are; substance abuse during pregnancy, impaired neonates and their rights, cultural belief practices concerning neonatal resuscitation, a lack of proper ethics education for the nursing staff, …

From Bedside Care Expert To Novice Educator: Perceptions Of New Nurse Educators, Kathy Jean Roth

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Few studies address nurses' perceptions of the transition from the role of staff nurse to the role of nurse educator in an academic setting. Understanding how nurses make the transition from the role of staff nurse to the role of nurse educator is an area that needs to be studied. While the role of nurse faculty member can be very rewarding, it can also be a very challenging and daunting role, especially for new faculty members. The nurse faculty shortage is an ongoing and future problem. The shortage of nurse faculty is established …

Interprofessional Education To Enhance Health-Related Outcomes For Lgbt Clients: How One Academic Medical Center Is Leading The Way, Tanya R. Friese, Paul Kent, Jay Behel, Jamie Cvengros, Edward Ward, Cecilia Hardacker, Antonio Logan

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Healthy People 2020 and the Institute of Medicine are among recent reports that underline the need for culturally competent healthcare for lesbian, gay, bisexual, and transgender (LGBT) individuals. In November of 2014, the Association of American Medical Colleges (AAMC) released guidelines for training physicians to care for people who are LGBT, gender nonconforming, or born with differences of sex development. This is the first set of formal comprehensive standards to help medical schools and health care organizations train providers in the health care needs of these patients. The American Nurses Association (ANA) concurs …

Knowledge, Risk Perception And Practice Of Health Care Associated Infections (Hais) Prevention And Control Among Primary Health Care Workers In Cross River State, Nigeria, Olaide Bamidele Edet, Comfort E. Ekanem, Margaret Akpan, Iquo Okon

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

Background: Infection control refers to all policies, procedures and activities which is aimed at preventing or minimizing the risk of transmission of infectious disease at health care facilities to workers and general community. The emerging of life threatening infectious diseases have underscored the need for efficient infection control programs in all health care setting and capacity building for healthcare workers to prevent/reduce the transmission of pathogens within health care setting. Primary Care workers are highly susceptible to Healthcare Associated Infections (HAIs) in health care and community settings. In …

A Case Study Of A Multi-Method Evaluation Design: Correctional Nurse Competency Program, Deborah Shelton, Louise A. Reagan

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

Background: In only a few studies have improved nurse-patient care outcomes associated with continuing education programs been assessed. Provided that professional development is among the most commonly used strategy to improve quality of patient care in health care settings, it is vital to test their efficacy, to identify their key components and to test their effects on direct patient outcomes. Challenges exist in the design of studies to measure these effects. Situational and research factors contribute to the success of implementation of cost and burden conscious approaches to …

Selected Factors Related To Quality Of Life Of Low Back Pain Among Thai Patients In Orthopedics Clinic At Police General Hospital, Bencharat Somgiat

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

Background: Low back pain is a very prevalent pain condition that is often associated with increased disability, decreased relationship satisfaction and diminished quality of life.

Objective: The purposes of this research were to study the quality of life of low back pain among patients in orthopedics clinic at Police General Hospital and to examine the relationships between variables such as personal factors and job characteristics and environment in working factors and quality of life (QOL).

Measurement: The samples consisted of 142 low back pain among patients in orthopedics …