Digital Commons Network^™

Nebraska Chapter Collaboration Enhances Continuing Nursing Education, Judi Dunn

Biennial Convention (CONV)

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

The purpose of this presentstion is to demonstrate the importance of collaboration between chapters of STTI to enhance continuing nursing education. The Nebraska Collaborative, consisting of five STTI chapters, have planned together for five years to provide a continuing nursing educational event that brought together nurses and nursing students in the pursuit of clinical and educational excellence. Through collaboration have we been able to not only reach all portions of our state, but have been able to engage nurses and nursing students in the pursuit of contintuing education. …

Meta-Analyses Of Epigenetic Factors In The Prevention Of Congenital Heart Defects: Mthfr C677t Human Gene Variations Across Generations From Parents To Children, Hsiao-Ling Yang, Shyang-Yun Pamela K. Shiao

Biennial Convention (CONV)

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

The purpose of this study is to disseminate current evidence on Methylenetetrahydrofolate reductase (MTHFR) gene mutations in children and their parents, and related epigenetic factors in the prevention of the children's congenital heart defects (CHD), through meta-analyses. MTHFR gene plays an important role in the methylation pathway for health and wellbeing across generations in the development of CHD. The association between the polymorphisms of MTHFR and CHD is contentious, thus we conducted meta-analyses on MTHFR gene mutations and related epigenetic factors across generations in the development of CHD. …

A Concept-Based Curriculum Revision Of A Pn Program, Kristen L. Smith

Biennial Convention (CONV)

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

The revision of a practical nursing curriculum in order to have a more up-to-date approach of teaching, increase student satisfaction, and yet meet or exceed the outcomes of the previous curriculum. A concept-based curriculum (CBC) is one that is formed around the concepts of nursing practice rather than formed around the medical model. The traditional way of laying out a nursing curriculum is similar to the medical model with Medical/Surgical, Pediatrics, and Obstetrics (Lee-Hsieh, Kao, Kuo, & Tseng, 2003). This way of setting up a curriculum causes an …

The Use Of Presence In The Nurse-Client Relationship, Pamela Allyn Di Vito-Thomas, Cherrill Iona Stockmann

Biennial Convention (CONV)

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

The significance of presence to the nurse-client relationship (NCR) has been clearly established. Although understood as foundational to the NCR, presence has not been clearly delineated as a nursing intervention and has often been subsumed under other nursing phenomena, such as caring, empathy, and therapeutic use of self. Knowledge of this intervention is limited with regard to its use across clinical settings as well as to associated client outcomes. Levels of presence described with the use of this intervention suggest that presence can be learned. Without understanding grounded …

Failure To Communicate, Kelly S. Johnson, Holly Carter

Biennial Convention (CONV)

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

The use of interpreters in health care is a growing concern among providers and organizations with the increase of non-English speaking populations. A 2005-2009 American Community Survey reported that 20% of the population does not speak English as their primary language (Grover, Deakyne, Bajaj, & Roosevelt, 2012). Twelve percent of those surveyed are Spanish speaking (Grover, et al., 2012). Language barriers in health care can prevent patients from receiving care, obtaining proper follow up, and making informed decisions about their care (Grover, et al., 2012). Health care organizations …

Using Wikis To Stimulate Collaborative Learning In Interprofessional Nursing Education, Hilde Zitzelsberger, Karen Campbell, Dorothea Service, Otto Sanchez

Biennial Convention (CONV)

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

The use of wiki technology fits well in courses that encourage constructive knowledge building and social learning by a community of learners. Pedagogically, wikis have attracted interest in higher education environments as they facilitate the collaborative processes required for developing student group assignments (Carroll, Diaz, Meiklejohn, Newcomb & Adkins, 2013; Collier, 2010; Rasmussen, Lewis & White, 2013; Thompson Martin, 2012). Collaborative group projects within a wiki environment closely mimic community of practice settings that nursing students will face as future health professionals. Furthermore, the impetus towards interprofessional communication …

Constructing The Role Of Global Health Nursing, Michele J. Upvall, Jeanne M. Leffers, Jeanne M. Leffers

Biennial Convention (CONV)

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

There is a need for a definition of global health nursing and exploration of nursing roles for global health to ensure ethical, responsible and effective practice. This presentation will offer a formal definition of global health nursing developed from an extensive review of the literature. This definition of global health nursing focuses upon essentials such as social determinants of health, cultural humility, deliberate and reflective practice, and full partnership with individuals and/or communities. Implications for global health nursing will be explored through Crigger's (2008) framework of global nursing …

Telephonic Health Coaching For The Type Ii Diabetic, Gale T. Klinshaw

Biennial Convention (CONV)

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

This evidence based proposal is intended to reach new or unstable adult Type II diabetics who are members of a managed health care insurance program. The program proposed would be introduced immediately after diagnosis to improve patient outcomes. It would also provide a more comprehensive intervention for those in need of assistance with self-care. At the present time most diabetics receive care from a primary care physician. When the physician is busy or unavailable the diabetic turns to other places for a quick fix of their symptoms. They …

An Evaluation Of Student And Faculty Perception On The Use Of Technology In The Undergraduate Nursing Education Program, Kathleen M. Williamson

Biennial Convention (CONV)

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

Today, the amount of technology that is available to students and faculty is overwhelming. Providing a venue for students and faculty to access information and create innovative ways to present and explore content is necessary. It is essential to first determine that students and faculty value technology and the use of technology. The purpose of this study was to assess if students and faculty perceive technology as useful and ease of use in nursing education. This study used a survey design to collect data on the intent to …

The Effects Of The Clinical Learning Environment On Japanese Nursing Instructors' Support In Facilitating Students' Metacognition: A Comparison Between University And Vocational School Instructors, Yasuko Hosoda, Yoshiko Doi, Yukari Katayama, Mayumi Negishi

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Aim: This study aimed to compare university and vocational school instructors regarding the effects of the clinical learning environment on Japanese nursing instructors' support in facilitating students' metacognition.

Background: Metacognitive knowledge and activities are valued in clinical learning. The clinical learning environment helps determine the quality of the clinical experience of the nursing student. It is necessary to investigate how educational activity can promote students' metacognition in the clinical learning environment.

Methods: Participants were 145 university instructors (67.1% response rate) and 110 vocational school instructors (56.4% response rate) …

Trusting Relationships: Creating A Conducive Teaching And Learning Environment, Ellie C. Van Dyk, Gisela H. Van Rensburg, Elsie Sophia Janse Van Rensburg

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

The purpose of the presentation is to explain how building blocks of trust ensure self-trust and interpersonal trust. The relationships amongst educators, students and professional nurses, professional credibility and the teaching and learning context are interrelated and create professional trust in the nursing education environment.

Clinical Reasoning On An Assignment: Perceptions Of Third Year Baccalaureate Nursing Students, Karen Lynn Oostra, Barbara Astle, Heather Meyerhoff

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Nursing students must develop strong clinical reasoning skills during their undergraduate program in order to be able to make sound clinical judgments regarding patient care. How students understand the evolution and application of their own critical thinking/clinical reasoning skills is of interest to nurse educators as they seek to support and enhance these skills through educational interventions and assessments. Background: Both critical thinking and clinical reasoning exist as terms in the literature. Critical thinking can be defined as "purposeful, self-regulatory judgement, that results in interpretation, analysis, evaluation and …

Nurse's Perceptions Of Family Dynamics In Caring For Children With Anorexia Nervosa: Reports Of Care Experiences, Lucy Camarena

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: The research in this paper looked at nurses' perspectives on family dynamics in caring for children with anorexia nervosa in the clinical setting. The purpose of this exploratory investigation was to identify common family dynamics for families with a child with anorexia nervosa from nurses' perspective in a variety of clinical settings. The research questions included: How do nurses describe mother and teen relationships? How do nurses observe interrelatedness in between the family members? How do mothers and teens relationship differ between those with AN and those without? …

Assessing Interprofessional Competencies In An Asynchronous, Online Environment: A Roadmap To Success, Heidi C. Sanborn

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Development of the Core Competencies for Interprofessional Collaborative Practice by the Interprofessional Education Collaborative (IPEC) in 2011 has supported faculty as they work to incorporate intperprofessional skills into learning objectives and activities. Yet the majority of advances in competency-based education focus on face-to-face courses and clinical experiences. Developing meaningful interprofessional education activitiesfor on-line programs has been a significant challenge due to lack of research specific to cloud-based, asynchronous education. This presentation will share the results of a program-wide effort to revise learning outcomes and associated learning activities and …

Skin Cancer And Tanning Bed Use In The Young Female Population, Stephanie R. Dixon

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Background: The incidence of skin cancer from indoor tanning-beds has been rising over the past several decades. In the United States, "an estimated 114,900 new cases of melanoma were diagnosed in 2010, with nearly 8,700 resulting in death" (Banerjee, Hay, & Greene, 2013, p. 577). Increased use of tanning beds, increased time outdoors, and better screening are all factors contributing to new incidence of skin cancer. This is a knowledge based problem with implications to clinical effectiveness.

Objective: The purpose of the critical review is to find peer-reviewed …

The Psychometric Properties Of The Portuguese Version Of The Adolescent Pediatric Pain Tool (Appt-Pt) In Children With Cancer, Luis Manuel Cunha, Sr Batalha

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Aim: As pain is both subjective and multidimensional, tools that allow the assessment of other dimensions of pain besides intensity are needed. The aim of this study is to examine the psychometric properties of the Portuguese version of the Adolescent Pediatric Pain Tool (APPT-PT) in Portuguese children with cancer.

Methodology: Prospective methodological study with 150 Portuguese children with cancer aged 8-17 years-old. Data collection occurred both in outpatients and inpatients. Hospitalized children reported their pain during a maximum of 4 times. Children completed the Portuguese version of the …

Learning Methods Related To The Design Of Learning Environments For Clinical Mentors, As Viewed From The Perspective Of Educational Supervisors, Yoshiko Doi, Yasuko Hosoda, Mitsuyo Nakahashi, Akiko Nakaoka, Kaori Ikeuchi

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Aim: To identify learning methods related to the design of learning environments for clinical mentors, as viewed from the perspective of educational supervisors in Japan. Background: In the healthcare environment, it has recently become important to train clinical mentors to support nursing students and newly graduated nurses. Learning environment design is a process of designing a learning community and is classified into organization, activities, and tools.

Methods: Seventy-four educational supervisors (staff responsible for planning and managing nursing education programs provided by hospitals) from 89 hospitals in Japan participated …

Scaling Up Nurse Education: An Evaluation Of A National Phd Capacity Development Programme In South Africa, Judith C. Bruce, Fhumulani Mavis Mulaudzi, Catherine Comiskey, Anne Matthews, Charmaine Williamson, Hester C. Klopper

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: The global shortage of nursing professionals educated at baccalaureate level and beyond has been highlighted and the impact of this shortage is apparent in each continent. The consequence of this is a substantial shortfall in nurses with postgraduate research degrees to meet the demands of academia, advanced nursing roles and knowledge generation. Within South Africa nursing education outputs do not meet demands, reflecting the global statistic of less than 1% of nurses having a doctoral degree. A national PhD capacity development programme was introduced to scale up …

The Potential Role Of The Vagus Nerve In Hiv-Associated Cognitive Disorders, William Chance Nicholson, David E. Vance, Linda D. Moneyham

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

With the introduction of combination antiretroviral therapy (cART), HIV replication is hindered and gross immune responses are reestablished for many; however, even in the presence of antiretroviral therapy, HIV stimulates constant activation of both the adaptive and innate immune systems which results in a chronic, mild inflammatory state. Despite improved outcomes with cART (e.g., decrease in HIV-associated dementias), adults with HIV continue to exhibit central nervous system mediated cognitive disorders when compared to the HIV negative population. The cognitive disorders, known as HIV-associated neurocognitive disorders (HAND), have been …

Using Images To Examine Student Nurse Perspectives About Acute Care Nursing, Community Health Nursing And Mental Health Nursing, Lori E. Steffen, Vicky Larson

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015.

The purpose of the poster presentation is to explore the perspectives, using words and images, of Junior student nurses about acute care nursing, community/public health nursing and mental health nursing at the beginning and end of baccalaureate nursing courses that integrate these nursing specialties.

Developing A Culture Of Inquiry Through Nursing Research: A New Hospitals' 3-Year Journey To Magnet Designation, Tanya Marie Cohn, Denise Harris

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

Background: The American Nurses Credential Center (ANCC) Magnet Recognition Program and its key components are considered a driving force for building professional practice environments that are healthy and supportive of nurses (Sherman & Pross, 2010). Magnet designation helps to promote nursing professional development, resulting in positive work environments and increased nurse satisfaction (Renter & Thallas, 2014). Part of professional development is the engagement of nurses in a culture of nursing inquiry which is showcased in the New Knowledge and Innovation, and Improvements portions of the Magnet designation application. …

The Synergic Effect Of Resilience And Depression On Self-Care In Patients With Chronic Heart Failure, Shan-Ying Wu, Pei-Shan Tsai, Ling-Yin Chang

Biennial Convention (CONV)

Background: Self-care behavior can improve the health and the prognosis in patients with chronic heart failure (CHF). Therefore, self-care behavior has not only been considered as CHF patients clinical care guidelines but also an important part of disease treatment. Both resilience and depression have been found to associate with self-care, however, the synergic effects of resilience and depression on self-care in patients with CHF remains unknown.

Objectives: This study aims to 1) examine the relationships among resilience, depression, and self-care in CHF patients, and 2) determine whether the relationship between resilience and self-care is moderated by severity of depressive symptoms. …

Measuring Informal Clinical Leadership: A Comparative Analysis Of Two Instruments, Darlene M. Rogers

Biennial Convention (CONV)

Background: The complexities of the 21st century health care environment necessitate engaging leadership at all levels, both formal and informal, for positive, adaptive change in the clinical setting. Prevalent studies about leadership in health care focus on formal leadership, where leadership is associated with a position of authority such as an administrative or managerial role. Numerous instruments have been identified and applied to measuring formal leadership in those roles. However, if staff nurses are expected to lead change in patient care settings, similar instruments should be available to measure informal clinical leadership.

Aim: This purpose of this analysis was to …

Participating In The Graduate Nurse Education Demonstration Project: The Students' View, Robert Gordon Jr. Hanks, Cheryl D. Loudd

Biennial Convention (CONV)

Background: The Graduate Nurse Education Demonstration Project (GNE) is a new federally funded demonstration project directed at increasing the number of primary care nurse practitioners in concert with the implementation of the Affordable Care Act. Since this program is new and only recently funded in 2012, there is no published literature about the perceptions of students that participate in the GNE.

Aims: The aim of this study is to explore the student nurse practitioner (NP) perceptions regarding participation in the GNE. Research questions for this study include: 1) what are the students' perceptions of participation in the GNE; 2). what …

Learned Hopelessness Factor For Depression And Functional Death In Elderly, Azenet Martin-Fabela, Jose Gonzalez Tovar, Jesus Acevedo-Aleman, Daniel Sifuentes-Leura

Biennial Convention (CONV)

Background: The learned hopelessness produces negative encouragement for individuals that can take them to lose their motivation, hope to reach goals and give up to the future. The ideas of hopelessness in the elderly produce negative thoughts like his life is meaningless, passive desire to die, and suicidal thinking; same as hopelessness, depression is a common mental disorder in the elderly that when it becomes chronic or recurrent hinders seriously the coping performance of the daily life and as a risk factor that could cause disease and functional decline in its most severe stage produce a functional death. Purpose: To …

Timing Newborn Follow Up Care In Low Income First Time Minority Mothers, Jean Hannan

Biennial Convention (CONV)

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

Background: Due to shortened postpartum stays, the American Academy of Pediatrics (AAP) and the American College of Obstetricians and Gynecologists recommend that all infants receive follow-up care within 48 hours post-hospital discharge to prevent infant morbidity and mortality. However, studies indicate that many do not receive newborn follow up visit within 2 days after discharge especially low income mothers (O'Donnell, Trachtman, Islam & Racine, 2013, Shakib, Buchi, Smith, & Young, 2015; Pregnancy Risk Assessment Monitoring System, 2010). Receiving timely newborn follow up care is more difficult with the …

Intent, Behavioral Control And Drug Use In Adolescents, Jesica Guadalupe Ahumada

Biennial Convention (CONV)

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

The drug phenomenon has become one of the issues of greatest concern in Mexico for its sustained growth and reported in the last three national household surveys (2002, 2008 and 2011) in individuals of all ages, especially teenagers. The health consequences of drug abuse are increasingly complex and severe. The inability to withstand adolescent drug use when faced with social pressures that facilitate consumption is called behavioral control, a concept that has proven to be a predictor of the behavior. A theory that helps in the understanding of …

Vitamin D And Immunity: Walking On Sunshine, Does It Make Us Feel Good?, Susan Lynne Bushinski, Caroline M. Peltz

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background: Vitamin D has long been known to have an active role in innate and adaptive immunity in humans. Historically vitamin D has been found to play a major role in the regulation of the immune system in by Cantorna, M., Zhu, Y., Froicu, M., & Wittke, A. (2004) due to the location of vitamin D receptors on peripheral blood mononuclear cells. Low vitamin D levels have been linked to many diseases such as cardiovascular disease, lung and respiratory disease, bone disease and certain cancers according to Scacchetti, …

Virtual Patient And Simulation: Strategies To Teach End-Of-Life Care, Leona A. Konieczny

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: How does the educator prepare students for the profound experience of providing care at end-of-life? Technology can be used to provide the knowledge and skills needed before the nursing student faces this situation in the reality of the clinical experience. The learning laboratory using simulation provides exposure in the affective area. In a gerontological course prior to the clinical experience, nursing students meet a virtual patient. Over the course of the semester, the students meet, interview, and assess this a virtual female adult patient. There is an unfolding …

Development Of A Learning Needs Assessment Tool For Nurse Managers To Offer Continuing Education Programs Which Reflect Their Learning Needs, Toshiko Nakayama, Yuriko Nomoto, Tomomi Kameoka, Naomi Funashima, Kyoko Yokoyama, Mitsuko Nagano

Biennial Convention (CONV)

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

Background: Nurse managers are the nurses with management responsibilities in a nursing unit. They have primary responsibilities for staffing and scheduling, managing current staff, and day-to-day operations of the unit. Recently, the role of nurse manager continues to expand within the health care system. To be able to adapt to this expansion of the role and to be able to undertake the role of nurse manager independently as a professional, it is necessary for nurse managers to learn independently and to have opportunities for continuing education. A learning …