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Main Factors For Creating A Nursing Curriculum Including Oriental Medicine And Challenges Of Its Implementation: A Case Study Of A Taiwan University, Toshie Yamamoto, Shu Chun Chien, Fusako Kawabe, Akiko Nagata

Biennial Convention (CONV)

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

Background: Prompted by a suggestion in the model core curriculum for medical education in 2001, all medical faculties and university hospitals in Japan have successively established courses in Oriental medicine and Oriental medicine departments, respectively. Conversely, there are no requisite courses at nursing universities teaching knowledge and skills in Oriental medicine; this subject holds a different position in the curriculum at each university. This indicates that nurses working in Oriental medicine departments have to engage in outpatient nursing without having acquired any knowledge or skills in Oriental medicine …

Nurse Caring Enhancements Of The Caring Model (Tcm):Education Modules Improve Nurse Communication And Patient Satisfaction, Sharon Kay Dingman

Biennial Convention (CONV)

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

Background: Patient satisfaction is an established indicator of quality care measuring the perception and expectation of nurse caring in human-to-human interpersonal interactions. Nursing theory and empirical research substantiates the value of caring behaviors in nursing practice. Caring interactions between nurses, patients, and families are highly correlated with value-based performance incentive payments specific to nurse communication. The patient experience is associated with how well nurses provide information and attend to the needs of patient and families in every encounter, every day. The education modules focus on the nurse's role …

Do Not Smoke Educational Campaign: Collaboration With A School District To Prevent Teen Smoking, Lisa Otto

Biennial Convention (CONV)

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

Background: Smoking is a significant problem in the United States with health, societal, and financial cost. An estimated 42.1 million adults (18.1 percent) in the United States actively smoke cigarettes (Agaku, King, Dube, & Centers for Disease Control and Prevention (CDC), 2014; CDC, 2012). The purpose of this presentation is to demonstrate how the clinical project, the do not smoke program, has significant implications to enhance clinical, patient and educational outcomes. The transformative program is designed to prevent and promote change in teen smoking behavior through early educational …

Evaluation Of The Chinese Version Of The Spirituality Index Of Well-Being (Siwb) Scale In Taiwanese Elders, Yi-Hui Lee, Ali Salman, Tawna Cooksey-James

Biennial Convention (CONV)

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

Background: Spiritual well-being has emerged as an important indicator of one's health outcomes. Nursing as a profession is concerned with holistic interventions to improve health and overall well-being. To evaluate the outcomes of the holistic nursing interventions, using valid and reliable instruments to assess spiritual wellbeing becomes necessary. However, there is a short of instruments for measuring spiritual wellbeing in Chinese population. While the Spirituality Index of Well-Being (SIWB, reviewed as a health-related quality of life measure, has been used in Western cultural population with good reported reliability …

The Effects Of Psycho-Educational Intervention On Quality Of Life In Patients With Implantable Cardioverter Defibrillators: A Meta-Analysis, Miao-Yi Chen, Pai-Hui Lin, Chi-Wen Kao

Biennial Convention (CONV)

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

Background: Sudden cardiac death (SCD) is an important clinical and public health problem. The implantable cardioverter defibrillator (ICD) is developed for primary and secondary prevention of SCD. Once the device is implanted, it becomes important for patients to regain life quality for integrating the devices into their lives. Quality of life has been identified as a significant predictor of mortality in ICD recipients.

Purpose: The aim of this meta-analysis was to evaluate the effects of psychological and educational interventions on quality of life in patients with ICDs.

Methods: …

Waist Circumference As A Measurement Tool For Pediatric Obesity, Jeanette Marlene Weiser

Biennial Convention (CONV)

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

Background: The focus of this project was exploring methods for the early identification of childhood obesity. Significance: With the advent of electronic health records, and Meaningful Use requirements, there has been an additional push to obtain accurate height, weight, and BMI measurements on all patients, both child and adult. Unfortunately, BMI alone does not provide an accurate representation on the health status of the patient. An extensive literature review revealed that the waist circumference measurement has been utilized in other countries (Germany, Turkey, and Brazil) in order to …

Findings From An Instrument Validation Study To Measure Perceived Competence And Confidence Of Clinical Nurse Educators, Van N. B. Nguyen, Mohamaddreza Mohebbi, Helen Forbes, Maxine M. Duke, Mohamaddreza Mohebbi, Helen Forbes, Maxine M. Duke

Biennial Convention (CONV)

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

Background: The importance of the clinical component in nursing education has been well acknowledged. The transition of clinicians into the role of nurse educators is reported to be challenging, however, little is known about clinical nurse educator skill development after recruitment. This study has been conducted to develop and validate the instrument Clinical Nurse Educator Skill Acquisition Assessment (CNESAA). In phase one, the CNESAA was piloted and tested for reliability and validity. The instrument was modified according to exploratory factor analysis results. In this phase two, the conceptual …

Does The Hospital Medical Home Increase Primary Care Follow-Up Among Pediatric Medical Patients?, Deborah A. Cleveland

Biennial Convention (CONV)

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

Background: The New England Journal of Medicine (2009) found that over 50% of Medicare beneficiaries who were re-admitted to the hospital within 30 days did not have a follow up visit in the ambulatory care setting upon hospital discharge. O'Reilly (2011) stated that Piedmont Hospital in Atlanta reduced their hospital re-admission rate from 13.05% to 3.97% after implementing measures to improve medication reconciliation and identify high risk patients who are increased risk for hospital re-admission. Therefore, research suggests that primary care follow up visits may reduce hospital re-admissions. …

Interprofessional Education Through Community Service, Denise B. Isibel, Linda K. Bennington

Biennial Convention (CONV)

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

Introduction: The Virginia Academy of Nutrition and Dietetics (VAND) conference is designed to address the essential knowledge requirements of professionals and paraprofessionals who work with vulnerable populations in the Hampton Roads area. Specifically, the objective of this project is to facilitate a creative learning environment that will provide a foundation for these attendees to take back to their smaller communities as health promotion improved maternal child healthcare with an emphasis on oral healthcare.

Background: Health promotion involves the process of enabling people to increase control over, and to …

Action Research On Health Providers And Consumers' Collaborative Initiatives For Provision Of Community-Based Health Promotion Services In A Sub-Urban Community Of South-East Nigeria, Idongesit I. Akpabio, Ekpoanwan E. Esienumoh, Felicia S. Akpabio, Regina Etita Ella

Biennial Convention (CONV)

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

Introduction: Globally, for over three decades, many member nations of the World Health Organization, including Nigeria had adopted primary health care as the focus of their health policy with emphasis on community-based health promotion and disease prevention. However, many studies have confirmed that emphasis of healthcare in many parts of the world has been on curative, short-term, institution-based and individually focused prevention interventions. Several health promotion research literature also show that community health nurses have not yet demonstrated a clear practical role in implementing community-based health promotion activities …

Sexual Sensation Seeking And Situational Influences Among Men Who Have Sex With Men From Northern Mexico: A Pilot Study, Carolina Valdez Montero

Biennial Convention (CONV)

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

Introduction: Sexually Transmitted Infections (STIs) such as the Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) are considered one of the most devastating epidemics in recent decades and has caused many problems of social, economic and public health. It is estimated that over 34 million people worldwide living with HIV still primarily affected marginalized populations and those excluded due to their sexual practices, which contributes to the epidemic from spreading (World Health Organization [WHO], 2012). The National Center for Prevention and Control of HIV/AIDS (Censida, 2009) …

Nursing Leadership And The Relation With Management Models Adopted In Healthcare, Andrea Bernardes, Daniele Allen Grivol, Carmen Silvia Gabriel, Gisleangela Lima Rodrigues Carrara, Priscila Lapaz Baldo

Biennial Convention (CONV)

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

Introduction: The importance of leadership can be measured through the strength at which this theme has been shown in the academic literature. The professionals of nursing who are health teams' leaders, develop not only a function of influence, but also collaborate on accomplishment of mutual goals of their teams (1).

Objective: The study aims to analyze the contributions of the produced research on nursing leadership and management models adopted in the health services, published in national and international journals from 2003 to 2014.

Methods: It was used Integrative …

Codeh(Elp): Patient And Family Experience With A Patient And Family Activated Response System, Cindy A. Elliott, Agnes T. Black, Sara-Grey Charlton, Candy Garossino

Biennial Convention (CONV)

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

Introduction: Under the Strategic Direction the Care Experience Providence Health Care (PHC) has committed that "We will have person and family centred care as our approach to the planning, delivery, and evaluation of health care that is grounded in mutually beneficial partnerships among healthcare providers, the people we serve and their families." (Providence Health Care, 2015). One initiative PHC piloted and implemented under that Care Experience is a patient and family activated response system called CodeH(elp). Piloted in March 2013 on two medical units and later spread and …

Family Decision About The Treatment Options At The Sudden Change For A Patient With Serious Stroke Condition, Eri Kataoka, Misae Ito

Biennial Convention (CONV)

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

Objective: When a patient has serious stroke, family will make a decision whether cardiopulmonary resuscitationis performed or not on admission. It is expected the family is unable to make a decision. The purpose of this study was to clarify how the family made a decision about the treatment options at the sudden change for a patient with serious stroke condition.

Methods: The families of a patient in this study were recruited with an introduction from the physician in charge of the patient who had stable conditions with serious …

Head Impact Biomechanics In Pediatric Patient Falls, Nancy A. Ryan-Wenger, Janet S. Dufek

Biennial Convention (CONV)

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

Problem: Hospitalized patient falls, defined as any unplanned descent to the floor [or onto an object] with or without injury, are medical errors that have captured the attention of health care quality, regulatory, and third party payers. Despite hospital-wide fall prevention programs, patients continue to fall with some regularity from their beds, cribs, chairs, toilets, and examination tables. Quality Improvement staff use the national MERP index to assign the level of medical error and corresponding patient harm to each fall event. Two levels of error include: 1) the …

Building Community Nursing Competencies In Undergraduate Nursing Students: An Interprofessional Collaboration For Designing Reality-Based Field Simulations, Ellen D'Errico, Kelly Mchan

Biennial Convention (CONV)

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

Purpose/Aims: Develop reality-based field simulations in an undergraduate community health nursing course, engaging students using visual and psychomotor skills, as well as critical and reflective thinking to enhance community-based nursing competencies. Curriculum development was done in collaboration with pharmacists, physicians, nurses, and physical therapists focusing on low fidelity simulation techniques done in a classroom setting.

Background: According to the Forum on the Future of Nursing: Care in the Community (2009), there is an anticipated 109% increase in the demand for full-time home health nurses from 2000-2020. If not …

Related Factors To The Use Of Psychotropic Medicines In Primary Health Care Units, Adriana Inocenti Miasso, Tatiana Longo Borges Miguel, Kathleen Mary Hegadoren, Tatiana Longo Borges Miguel, Kathleen Mary Hegadoren

Biennial Convention (CONV)

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

Purpose: Not always psychotropic drugs are used for specific mental disorders. Sometimes the doctor who prescribed the psychotropic can not point accurately the reason for its utilization. There is a gap in the literature to investigate in primary health care the factors related to the psychotropic drugs consumption; and, if people using psychotropic medicines without a defined psychiatric diagnosis are positive to Mental Common Disorders.This study aims to identify psychotropic medicines use in patient visiting the units; and, its association with: the presence of Mental Common Disorders, socio-demographic …

Implementing Health Coaching On A Rural College Campus, Cheryl Crisp

Biennial Convention (CONV)

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

Purpose: The purpose of this paper is to describe how health coaching can become a part of the culture of a rural college campus.

Specific Aims: Describe ways in which students who are learning to become health coaches can assist faculty, staff, and students to make desired health behavior changes.

Method: Students enrolled in the Health Coaching didactic/practicum course invited interested members of the faculty, staff, and student body to join with them in this learning experience. Students learn health coaching skills and participating members of the faculty, …

The Effectiveness Of The Fall Prevention Guideline In A Long-Term Care Facility, Dukyoo Jung, Minkyung Lee, Jinyee Byun, Hyejin Kim

Biennial Convention (CONV)

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

Purpose: The purpose of this study is to identify the effects of the fall prevention guideline on fall attitude, fall knowledge, and fall prevention self-efficacy of care workers in a long-term care facility.

Method: The research design of this study is a non-equivalent control group pretest-posttest design. The subjects consisted of 58 care workers in a long-term care facility in Seoul, South Korea. The number of participants in the experimental group was 27 and the control group had 31 participants. Participants in experimental group were provided the fall …

Urgent Care Nurse Data Capture: Impact On Diabetes Outcomes, Leslie D. Dela Cruz-Torio

Biennial Convention (CONV)

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

Purpose: The purpose of this study was to examine reciprocal relationships between behavioral, environmental and personal factors related to UC nurses' documentation of diabetes pay for performance (P4P) data in the current Electronic Health Record (EHR) system. Research Questions What is the relationship between Urgent Care (UC) nurse's attitudes towards the EHR and their compliance with documenting diabetes P4P data in the EHR? What is the relationship between UC nurse's perceptions of positive formative feedback from their supervisor and their average percentage compliance of P4P data entered? What …

Piloting A Monthly Problem-Based Learning Discussion Using A Secure Social Media Based Collaboration Platform In A Busy Neuro Critical Care Unit, Briana Witherspoon, Avinash Kumar, Kathryn Braunlin

Biennial Convention (CONV)

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

Purpose: The specific aim of this study is to evaluate the feasibility and effectiveness of implementing a social media based online discussion forum for complex case based discussions for nurses in a busy Neuroscience ICU.

Background/Introduction/Literature Review: Systems to meet the on-demand learning needs of nurses in the critical care setting are not well studied outside the traditional classroom models. However, it has been observed that online discussions positively enhance critical thinking among students in an academic setting. Time constraints and challenging staffing models prompted us to pilot …

Maternal Coordination Of Care For Low-Income Latino Children At Risk For Developmental Delay, Eileen K. Fry-Bowers

Biennial Convention (CONV)

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

Purpose: This qualitative study seeks to understand the perceptions of and expectations for care coordination among low-income Latina mothers of young children who have or are at risk for developmental disability, which has not been previously explored. Background: Approximately one in five children in the United States is a child with special health care needs, and nearly one in four households with children includes at least one such child. Children with special health care needs (CSHCN) are those who have or are at risk for chronic physical, developmental, …

Nursing Grand Rounds For Patient Teaching: An Innovative Clinical Education Strategy, Margie A. Hull, Jennifer L. Kitchens

Biennial Convention (CONV)

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

Purpose: To implement and evaluate nursing grand rounds as an innovative clinical education strategy to strengthen nurses' ability to teach patients with Diabetes/Heart Failure. Background: In the nursing literature, the effectiveness, processes and outcomes of nursing grand rounds has received minimal attention. Grand rounds is one strategy to address clinical education needs.

Description: The nursing grand rounds for patient teaching was implemented by: prioritizing and integrating topics; developing an evidence-based presentation; coordinating the nursing contact hour process; designing handouts; advertising; acquiring media technology; cultivating a learning environment; engaging …

Bringing World Class Nursing Care To A World Class Eye Institute Through Transdisciplinary Collaboration, Robert J. Dorman

Biennial Convention (CONV)

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

A compelling example of interprofessional collaboration that has been identified came from a study of "the psychological and sociocultural factors that influence the risk of Human Immunodeficiency Virus (HIV)/Sexually Transmitted Disease (STD) for married men in urban poor communities of India" (Schensul, Nastasi, and Verma, 2006, p. 96). This interprofessional team consisted of an American anthropologist, an American psychologist, an Indian psychologist, demographers, STD epidemiologists, public health physicians, allopathic physicians, microbiologists, educators, and traditional healers and activists from the study communities. This collaboration of both medical and social …

Correlates Of Barriers To Medication Adherence In Patients With Coronary Artery Disease, Jen Ying Huang, Hsing-Mei Chen

Biennial Convention (CONV)

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

Adherence to medications can effectively reduce the recurrence of mortality, myocardial infarction or cardiovascular events in patients with coronary artery disease. However, around 50% of the patients do not adhere to medication. The purpose of this study was to explore the predictors of barriers to medication. A cross-sectional, descriptive correlational research design was used, and a non-probability sample of 250 participants was recruited from the cardiology outpatient department and ward of a medical center located in southern Taiwan. Inclusion criteria were as follows: (1) being 20 years or …

Gender-Based Sexual And Reproductive Health Among Urban Adolescent Students In South India, Varalakshmi Manchana

Biennial Convention (CONV)

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

Adolescence is stated as the period of transition from childhood to adulthood, which starts with the onset of puberty. It comprises the individuals between the ages of ten to nineteen years. It is a stage of behavioral and attitude formation. Sensitization and appropriate guidance helps them to take right decisions and develop healthy behaviors. Adolescent health needs are unique. If they are not well guided, they are likely to experiment with risky behavior that could harm them and others. Aim: The study aimed to assess the Knowledge on …

The Alarming Prevalence Of Hiv/Aids In African-Americans And Recommendations For Prevention And Treatment Based On Epidemiological Concepts, Rebecca M. Gaines, Yeow Chye Ng

Biennial Convention (CONV)

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

African Americans make up only 12% of the United States population, but they have the highest HIV rates of all races and ethnicities, accounting for over 46% of all HIV diagnoses (CDC, 2013). HIV is the fifth leading cause of death in African American men and seventh among African American women (Kaiser Family Foundation, 2014). There are a variety of factors that result in higher rates of HIV transmissions among African Americans, including social, cultural, economic, environmental, and political causes. Traditionally, health promotion and disease prevention interventions were …

Designing The Nation's First Critical Care Transport Helicopter Simulator, Celeste M. Alfes

Biennial Convention (CONV)

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

Air medical transport requires the practitioner to develop clinical and diagnostic reasoning abilities and manage the dynamic needs of the patient in unstructured, uncertain, and often unforgiving environments. High-fidelity simulation can be instrumental in training interprofessional flight teams to improve competency through quality and safe patient care during medical transport that may otherwise take years to learn because of the inconsistency in real-life experience. Because of the particularly unfavorable conditions in critical care air transport, a helicopter simulator designed to replicate the phases of flight and train teams …

The Mediating Effects Of Fear Of Falling On The Relationship Between Muscle Strength And Depression Of Community-Dwelling Older Women, Young Mi Lim

Biennial Convention (CONV)

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

Although there are many studies on the relationship between physical function and depression of older adults, few studies have identified whether muscle strength affects depression through fear of falling (whether a mediation exists), especially in older women. The purpose of the study was to explore the mediating effect of fear of falling on the relationship between muscle strength and depression among community-dwelling older women. Total sample was 163 Korean older women aged 60 and over in one small city. Instruments were Activities-specific Balance Confidence scale, Center of Epidemiologic …

Care Needs And Its Related Factors Of Primary Caregivers For Patients Waiting For Brain Tumor Surgery, Yu-Shin Cheng, Hsing-Mei Chen, Ann-Shung Lieu

Biennial Convention (CONV)

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

Brain tumors may result in patients with different clinical manifestations, including headaches, mental and memory loss, personality changes, blurred vision, unsteady gait, and limb paralysis. Even after receiving treatments, the patient may remain some sequelae such as, paralysis, incontinence, language barriers, and cognitive function, affecting their daily living skills and may require help from caregivers 24 hours a day. The primary caregivers play a very important role on reduced readmissions, medical expenses, and infection prevention and monitor of the patients. They often need to learn how to take …