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Wanted! Leaders To Advance Excellence, Not Mediocrity, In Nursing Education, Theresa M. Valiga, Beth Cusatis Phillips

Biennial Convention (CONV)

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

Chances are good that if you ask faculty teaching in almost any nursing program about the quality of their program, you will get a response that it's a great program. After all, nearly every program that seeks national accreditation receives it. Nearly every program that undergoes a review by its State Board of Nursing has a positive outcome. And the vast majority of graduates of pre-licensure programs pass the licensing exam, while graduates of graduate programs are successful on certification exams. But are these indicators of excellence? Or …

Debriefing In Laboratory Experiences In Undergraduate Nursing Education: Consolidating Learning And Creating Meaning, Loreen Carol Pollard, Gerri C. Lasiuk, Penny L. Macdonald, Jill E. Vihos, Denaine Lozza, Dorothy J. Spies, Beth Malishewski, Moira Bazin, Nadine M. Moniz

Biennial Convention (CONV)

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

Debriefing is a pedagogical strategy used in nursing education to allow students to create personal meaning of learning experiences, which is fundamental to understanding who one is as an individual in both learning and practice. For nursing students, recognizing one's spirit and what it personally means to be a nurse is foundational to their moral growth. When nurses acknowledge their personal identity, they are able to set themselves aside to understand the lived experience of the patients that they care for. Encouraging learners to talk about their practice …

Fighting A New Battle: A Bathing Care Standard For Caregivers Of Elderly Male Military Veterans With Delayed Onset Post Traumatic Stress Disorder, Michelle Rose

Biennial Convention (CONV)

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

Despite many veterans' hopes that the invisible wounds of war can be healed; they leave scars. Most survivors of military combat who have experienced or witnessed life-threatening events such as, terrorist incidents, and serious accidents can adjust to incidents without lingering effects. Many years after a war, other aging veterans find themselves fighting a new battle as they strive to cope with delayed-onset posttraumatic stress disorder (DOPTSD). For many aging military veterans with Post Traumatic Stress Disorder (PTSD) activities of daily living, particularly bathing can be an improbable, …

Perceptions Of Diabetes Self-Management Education And Support, Diabetes Self-Management Behavior, And Self-Reported Health In Persons Diagnosed With Type Ii Diabetes, Tracy M. Towne

Biennial Convention (CONV)

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

Diabetes has a physical and mental burden to those with the illness. Economically there is a significant impact to the United States' health care system. Education and support is the best way for health care providers (HCPs) to improve the health and well-being of those with type II diabetes. The purpose of this study was to explore the relationships among perceptions of the education/support provided by HCPs related to self-management behaviors and the overall health status in community dwelling adults with type II diabetes. A cross-sectional, correlational design …

Catch Protocol: Correctional To Community Healthcare - Facilitating Post-Incarceration Follow Up For Released County Inmates, Robin L. Stacy

Biennial Convention (CONV)

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

Each year, millions of incarcerated individuals fill state, federal, and local jails in the United States. Released inmates return to their communities with little or no access to healthcare. This lack of access to healthcare places former inmates at risk for serious consequences of their chronic physical and mental health problems. Eighty percent of the released individuals describe using the Emergency Department rather than a primary care provider as their source for health care for their chronic psychiatric or medical conditions, and/or significant substance abuse. A landmark study, …

Promoting Self-Efficacy In Senior Bsn Students In The Community Setting, Mary Elizabeth Fortier

Biennial Convention (CONV)

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

Fact: Clinical sites are becoming harder to secure for our baccalaureate prepared nursing students (BSN) challenging colleges and faculty to look for creative solutions to meet this challenge, while providing sound clinical learning. Fact: Patients are discharged early from the hospital to their homes with little or no health supports in place. Fact: The general population is ageing; healthcare issues that one once viewed as acute events are now viewed as chronic illness; congestive heart failure, DM type II, atrial fib, and HIV/AIDS. Fact: Education and follow-up are …

Investigation Of Cultural, Social, And Religious Aspects Of Saudi Arabia And Neighboring States And Implications For Best Practice In Health Education And Promotion, Sami Abdulrahman Al-Hamidi

Biennial Convention (CONV)

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

Gulf culture has been examined in a variety of mediums but a thorough survey of its structure for use by health care practitioners and nurses in particular has not been made. Since the majority of health care in that location is provided by non-Saudis, this work should be a major assistance to health care professionals in that locale. It should further be of assistance as a guide for inquiry to professionals who are working in cultures which they are seeking to understand. By examining the cultural, social, and …

Daily Interruption Of Sedation Versus Continuous Sedation And Length Of Mechanical Ventilation, Crystal Nicole Weise

Biennial Convention (CONV)

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

Hundreds of thousands of critical care patients are intubated every year. Many of these patients are sedated for comfort. However, continuous moderate to deep sedation can lead to increased ventilator days and other morbitities, including delirium. Every intensive care unit uses a variety of sedation practices. Furthermore, there are barriers to the healthcare team using daily sedation interruptions. These include the concern that the patient will self extubate and that it will worsen the patient's respiratory status. This leads to practitioners not implementing the practice.

Objective: The objective …

Scoping Review: Medication Adherence In Type 2 Diabetes, Cheryl Moseley Conway

Biennial Convention (CONV)

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

In 2010, the most recent years for which national prevalence data are available, diabetes affects 25.8 million people, approximately 8.3% of the U.S. population (CDC, 2011). Logden, Lamb, & Carroll (2010) indicate that in 2007-2008 approximately 30% of the U.S. population is obese which has a correlation to diabetes and other chronic health conditions. There are 18.8 million people diagnosed with diabetes and approximately 7.0 million people undiagnosed (CDC, 2011). More than 90% of those diabetes cases are type 2 or adult onset diabetes (Seppa, 2011). In 2010, …

Relationship Grandfather-Grandson, Strengths And Weaknesses In The Bond In Students Of The Faculty Of Nursing, Jose Rebolloso-Hernandez, Maria Magdalena Delabra-Salinas, Maria Ascencion Tello, Gnalen Kourouma Izaguirre, Luis Cortez-Gonzalez, Lenda Sharon Ramirez-Perez, Karina Macias-Patino, Maria De Los Angeles Villarreal-Reyna

Biennial Convention (CONV)

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

Intergenerational family relationships in the grandparent-grandchild relationship is an important aspect in society therefore it is significant to study the quality of this bond,since grandparents that have better relationships with their grandchildren, have less risks getting sick, which is important to the discipline of nursing, which is to preserve the health of the elderly. The purpose of this study focuses on the factors involved in the relationship grandfather-grandson of the students of the Faculty of Nursing, "Dr Santiago Valdes Galindo". Methodology: The study is descriptive, for a sample …

Risk Of Negligence In The Maternal Care Of The Hospitalized Preterm Newborn, Beatriz Villamizar-Carvajal, Carolina Vargas-Porras

Biennial Convention (CONV)

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

Introduction: There has been an increase in the incidence of preterm births worldwide, with Colombia not being an exception, not only due to the increase in the population, but as a result of a greater proportion of maternal and gestational problems resulting in deliveries before the end of pregnancy; the figure is significant, 18%, generating emotional and social impacts, and becoming a traumatic experience for mothers, who must deal with feelings of failure, guilt, and the loss of the illusion of having a perfect baby; all this, added …

A Picture Is Worth A Thousand Words: Using Pictographs To Address Limited Health Care Literacy, Elizabeth J. Winokur

Biennial Convention (CONV)

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

Limited healthcare literacy hinders care provision and contributes to worse patient outcomes. Inability to comprehend discharge instructions can adversely affect outcomes among Emergency Department (ED) clients. Literature has demonstrated poor comprehension of discharged instructions by emergency department patients. As a result of homecare practices that were expressly different from routine discharge instructions among repeat clients, a community emergency department undertook a project to determine the cause. Over a 3month-period, 150 emergency department clients were asked to participate in an IRB approved study. A bilingual translator administered the Newest …

Educating Nurses As Leaders Who Promote Health Equity Through Social Change, Catherine Yetter Read, Debra M. Pino Betancourt

Biennial Convention (CONV)

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

Nurse educators have a responsibility to prepare graduates as leaders whose actions will contribute to the achievement of health equity. The Social Change Model (SCM) can provide a framework for a lifelong developmental process of leadership identity that is congruent with nursing's social policy agenda. The SCM asserts that leadership is a collaborative, service-oriented, values-based process that is about effecting change on behalf of society. It posits that leadership includes people in positional and non-positional roles, views leadership as a process rather than a position, and promotes equity, …

Breakthrough Leadership - A Window Into The Boardroom: A Descriptive Phenomenology Pilot Study About The Experiences Of Nurses Serving On Interprofessional Healthcare Governing Boards, Lisa J. Sundean

Biennial Convention (CONV)

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

Nurse engagement on healthcare governing boards in the United States is low between two and six percent. The 2010 Institute of Medicine report, The Future of Nursing; Leading Change, Advancing Health, recommends nurses engage as board members and become equal partners with other healthcare leaders to make critical decisions about healthcare design and reform. The Robert Wood Johnson Foundation (RWJF) recently launched an initiative to place 10,000 nurses on boards by 2020. Nursing organizations like Sigma Theta Tau International, the American Academy of Nursing, and the American Nurses …

Transforming Care For Individuals With Developmental Disabilities: Innovations In Education, Catherine M. Mann, Lisa Sherry Ball

Biennial Convention (CONV)

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

Nursing faculty recognize individuals with developmental disabilities as an underserved community with unmet needs. Disparities in health care may be attributed to lack of health provider knowledge and comfort in caring for the population (Centers for Disease Control and Prevention, 2014; Ward, Nichols, & Freedman, 2010). In response to the New York State Developmental Disabilities Planning Council's (NYS DDPC) call for proposals related to piloting, evaluating, and infusing innovative programs to educate and empower health care professionals to act as leaders in providing quality health care to people …

Accessing Rural Populations For Nursing Research: Challenges And Lessons Learned, Kari Lynne Hickey, Jeanette Rossetti

Biennial Convention (CONV)

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

One fourth of the population of the United States lives in rural areas. It is known that those who reside in rural areas tend to have poorer health and less access to health care resources than those living in non-rural areas of the United States. Conducting nursing research in rural areas can be challenging for a number of reasons. This task can be especially challenging when it involves researching a sensitive topic such as adolescent suicide. Researchers will present their experiences of conducting nursing research with rural mental …

Let's Move: Promotion Of Physical Activity In The Treatment Of Depression, Josephine A. Igwacho

Biennial Convention (CONV)

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

Over the years, the prevalence of chronic diseases (resulting from poor lifestyle behaviors) and especially mental health disorders, such as depression, substance misuse disorders, suicide, and violence are continually on the rise, with depression projected to be the leading cause of disability in the U.S. by 2020 (CDC, 2012). A significant amount of the U.S. health care expenditure is being spent on depression and other mental health disorders. Yet, the efficacy of antidepressants continues to be modest, at best, with poor treatment response and remission rates. According to …

The Healthcare Coach Role And Its Impact On Healthcare At Palomar Health, Pamela Kohlbry, Joann Daugherty, Ingrid Douglas, Joy A. Gorzeman, Joseph A. Parker, Marcy L. Adelman

Biennial Convention (CONV)

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

Patient transitions between healthcare agencies are fragmented, often creating a gap in services, medical errors, and unnecessary repeated hospitalizations. To manage and improve transitions of care, Palomar Health (PH) developed an innovative comprehensive community-based plan, the Community-Based Care Transition Program (CCTP), with the nurse in the role of the healthcare coach. Researchers at California State University San Marcos, School of Nursing partnered with healthcare leaders from PH to research satisfaction with the healthcare coach role in the program. The research methodology is a cross sectional design. Survey data …

An Integrative Review Of Interventional Designs In Studies Utilizing Home Telehealth To Reduce Hospital Admissions For Heart Failure Patients, Aimee E. Labelle

Biennial Convention (CONV)

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

Problem: Home telehealth monitoring (HTM) uses home-based electronic stations to monitor heart failure (HF) patients in community settings. Randomized control trials (RCTs) examining the efficacy of HTH in reducing hospital admissions show conflicting results. While a few studies have shown significant improvement in HF patient admissions, many HTM studies have not shown any significant reduction in HF admission rates. To date, the interventional designs of these studies have not been compared or fully explained. Purpose: Interventional designs used in HTH studies for HF patients vary, including frequency of …

Resilience And Connectedness In Graduate Psychiatric Nursing Students: Influence Of A Virtual Community Of Practice (Vcop), Lori I. Kidd, Kathleen Tusaie

Biennial Convention (CONV)

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

Resilience and connectedness in graduate psychiatric nursing students: Influence of a Virtual Community of Practice (VCoP). Purpose: A pilot study was conducted to determine the feasibility of including a Virtual Community of Practice (VCoP) in a graduate psychiatric nursing curriculum and to determine the effects of participation in VCoPupon students' resilience and sense of connectedness to the psychiatric nursing profession. Analysis related to feasiblity were previously published (Jevack, Tusaie, Jones, Purcell, & Huff, 2014) and this paper will focus upon resilience and connectedness. Problem: Approximately one-third of Nurse …

Capturing Faculty Practice Data: Examining The Interdisciplinary Student Opportunities In A Multi-Site Faculty Practice Setting, Raechel Ferry-Rooney, Alice Geis, Angela M. Moss

Biennial Convention (CONV)

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

Since the 1980s, the Rush University College of Nursing Office of Faculty Practice has maintained multiple Chicagoland community partnerships for the provision of nurse-managed, faculty-led access to healthcare. Community partners and faculty collaborate to develop programs and services based on community and population needs. Currently, Rush University College of Nursing Faculty Practice encompasses over 20 direct care clinical sites and employs 30 Registered Nurses and APRNS. Over 16,000 hours of direct patient care are provided annually to populations traditionally classified as medically underserved, such as minority, immigrant, low-come, …

Results From A Longitudinal Nursing Specific Undergraduate Student Satisfaction Survey Across A Canadian Collaborative Nursing Program, Laurie Freeman-Gibb, Beverley L. Jones, Janet E. Raiger, Selina Rehman

Biennial Convention (CONV)

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

Student satisfaction has been associated with later professional attitudes, career commitment, retention in the field of nursing, and more engagement as alumni of our institutions. 1-4. Assessment of student satisfaction in nursing is complex in that we must assess in-class theory courses, clinical practice, and services provided by the faculty as a whole. 2. Evaluation of all aspects of nursing education is challenging, as most university and college based programs standardized evaluations do not fit well with the multiple domains within the nursing curriculum. This issue has been …

Nursing Teamwork In Health System Hospitals: A Multisite Longitudinal Study, Karen J. Vander Laan, Judith B. Westers, Matthew A. Culver, Katelynn M. Wohlfert

Biennial Convention (CONV)

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

Teamwork among nursing staff members - licensed and unlicensed - is essential to create a strong and dependable workplace. Relationship-Based Care (RBC), a care delivery model rooted in Jean Watson's Model of Human Caring, was begun in 2006 in a Midwestern United States health care system's hospitals as part of our nursing professional practice model. RBC focuses on the relationships of caregivers with themselves, patients and family members, team members, and the community. Team members can be defined as two or more interdependent individuals who share skills and …

Inducements And Discouragements For Students Transitioning From Associate Degree To Baccalaureate Degree In Nursing: A National Study, Karen L. Gorton, Kathleen B. Lasala

Biennial Convention (CONV)

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

The call to educate more nurses at the baccalaureate level of education has been made (IOM, 2011). Accomplishing this requires innovative access and seamless progression to higher education levels for the associate degree nurse. Understanding the needs of the associate degree nurse should be in the forefront when addressing seamless academic progression. To further understand the needs of the RN to BS/BSN student population, a national study was undertaken to examine the actual items that are considered to be enhancements and barriers by the RN to BS/BSN student …

Faculty Perceptions Of Innovation And Change Dynamics In Interprofessional Education, Jacqueline M. Loversidge, Ada Demb

Biennial Convention (CONV)

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

The effectiveness of interprofessional teams is critical to the safe and effective delivery of health care. Improvements in team behavior rely on collaboration, and, result in reductions in medical error. Educators in the health professions are consequently encouraged to embed interprofessional education (IPE) into their curricula. However, integrating IPE presents structural, curricular and human factor challenges. Nurses and physicians comprise the dominant dyad in health care teams, therefore insights from nursing and medical faculty are essential for guiding IPE strategy. IPE research has focused heavily on learners, in …

Reliability And Validity Of The Face, Legs, Activity, Cry, Consolability Behavioral Scale In Assessment Of Acute Pain In Healthy Newborn Infants, Cynthia Anderson Elverson

Biennial Convention (CONV)

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

The Face, Legs, Activity, Cry, Consolability (FLACC) Behavioral Scale was originally developed and evaluated for post-operative pain assessment in children between two months and seven years of age. Multiple pain assessment scales have been validated for use under a variety of clinical situations for different pediatric age groups. However, nursing care and electronic documentation could be simplified if a single pain assessment scale could be used on pediatric units and the newborn nursery. However, there is limited evidence of reliability and validity for use in healthy newborn infants. …

Relationship Grandparents: Grandson Analysis By Genogram, Luis Cortez-Gonzalez, Diana Berenice Cortes-Montelongo, Maria Ascencion Tello, Martha Alicia Magallanes-Monrreal, Gnalen Kourouma Izaguirre

Biennial Convention (CONV)

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

The grandparent-granson relationship in recent decades has been of interest to researchers, but the elements that are valued in this relationship have been little studied, where the role of grandparents changes with age of one and another. Demographic and social changes have led to observe more closely the grandparents-grandson relationships and interest increases. Increased life expectancy allows a new relationship as grandparents and grandson can live longer and exclusive relationships. The genogram is a graphical tool that records the investigation of the main characteristics of a family group …

Enhancing Nurses' Engagement In Health Policy: From The Classroom To The Statehouse, Sharron J. Crowder, Pamela Ironside

Biennial Convention (CONV)

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

The Institute of Medicine's Future of Nursing report calls on nurses to assume leadership roles in the redesign of the health care system and policies that impact health outcomes and nursing practice. Professional nursing organizations, such as Sigma Theta Tau International, support efforts to prepare nurses to participate in the policy level at all levels of government, including the state level. Many faculty emphasize teaching students about health policy, however classroom delivery of health policy content and engagement can be enhanced through active learning strategies. Nurse educators are …

Seeing The Commercial Truck Driver As An Occupational Athlete, Bryan Combs

Biennial Convention (CONV)

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

The National Institute for Occupational Safety created innovative research in the evaluation of common risk factors, health behaviors, and injury of occupational workers across the US. One of the largest sectors of their research involves the Transportation, Warehousing, and Utilities (TWU) Sector. The TWU sector accounts for 6.6% of the total workforce in the US. In recent years research of the TWU sector has concentrated on the health and injuries of the U.S. commercial driver. There are over 1.4 million truck drivers in America today and the trucking …

Discriminatory Capacity Of Prediction Model Delirium (Predeliric) In Adult Patients Hospitalized In The Intensive Care Unit University Hospital "Los Comuneros" Bucaramanga-Colombia, Claudia C. Torres Contreras, Astrid Nathalia Paez Esteban, Mayerli Katherine Rincon Romero

Biennial Convention (CONV)

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

The prevalence of delirium in intensive care units (ICU) is 20-80% Carrillo & Sosa, (2010). Delirium is diagnosed in only 66-84% of patients with this complication. Oumet & others (2007) In addition, delirium is a predictor of re-intubation and increased hospital stay which has a significant impact on costs of hospitals. The development of delirium in intensive care units represents a major impact on patient management therefore directly affects and influences the hospital cost, stay and mortality. Martinez & others (2004) The most frequent delirium in intensive care …