Digital Commons Network^™

Implementing The Clinical Nurse Leader (Cnl) Role In Japan, Asako T. Katsumata, Shannon K. Lizer, Gordana Dermody

Biennial Convention (CONV)

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

Background: The provision of high quality, efficient, and cost-effective healthcare care is a complex process in health systems across the globe (Lindberg, et al., 2008). Care delivery models, supply and demand of human and fiscal resources, and population specific health care needs within various sociocultural contexts are complicated issues. These issues require individuals with expert knowledge and skills in order to be solved. Therefore the CNL role could be a catalyst to improve healthcare outcomes in other countries through systems expertise, advanced clinical skills that optimize interdisciplinary collaboration …

The Relationship Between Personal Characteristics And Contraceptive Choices And Use Over 5 Years, Donna J. Plonczynski, Cathy Carlson

Biennial Convention (CONV)

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

Background: Unintended pregnancies have been identified as "among the most essential health status indicators in the field of reproductive health" (Finer & Zolna, 2011, p. 478). According to the Guttmacher Institute, of the 213 million worldwide pregnancies in 2012, a full 40% were unintended (Sedgh, Singh, & Hussain, 2014). Pregnancy outcomes for these women and adolescents result in abortion 50% of the time, while 13% experience a miscarriage, and 38% having an unplanned childbirth. There are numerous studies that associate unintended pregnancies with negative outcomes for the mother …

Investigation Of The Stress Level And Potential Contributive Factors For Japanese College Nursing Students During The Period Of Clinical Practicum, Miwako Hoshi, Izumi Nakashima, Eri Mizoguchi, Hitomi Moriki

Biennial Convention (CONV)

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

Purpose: Clinical practicum plays a crucial role in nursing education. However, it is indicated that students often experience great stress due to various tasks they have to carry out and fulfill as a nursing student in varied types of clinical environment. Purpose of this study was to examine the level of stress of Japanese college nursing students and to detect potential factors that might contribute to their increased level of stress during the period of clinical practicum. In addition, the relationship between students' level of stress and potential …

Faces Of Change: Using Masks To Capture A Moment In Time, Cheryl Crisp

Biennial Convention (CONV)

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

Purpose: The purpose of this presentation is to describe how Arts-Based Learning (ABL) be used in a traditional BSN program to enhance student learning, engagement, and understanding. ABL is a "creative strategy with the potential to engage learners, foster understanding of multiple perspectives, and simultaneously connect cognitive and affective domains of learning."

Description: Students in a sophomore level BSN program were asked to create a mask capturing a specific moment in time and then to discuss the communication principles involved with the mask and the selected moment in …

Building Mexico-U.S. Academic Partnerships: Bridging Cultures And Breaking Barriers, Juana Mercedes Gutierrez Valverde, Carolina Huerta

Biennial Convention (CONV)

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

Knowledge of global health care is considered an essential component of nursing in the 21 st century. One avenue to impart this knowledge to nursing students is the creation of international partnerships. These international partnerships promote educational experiences that provide nursing students with an opportunity to learn the different country-specific educational systems, develop cultural awareness necessary when providing health care, and become more sensitive to the importance of making global connections in a technologically driven world. This presentation focuses on one such partnership between a public University in …

The Last Ten Years: Nurse Practitioners In The Southern United States Employed In Medically Underserved Areas, Thomas Kippenbrock, Wen-Juo Lo, Ellen Odell, Bill M. Buron

Biennial Convention (CONV)

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

Background & Significance: Collectively, the U.S. Southern states are some of the poorest, most rural, and socioeconomically deprived regions in the county. Related to these conditions are the poor healthcare outcomes such as higher morbidities, shorter life spans, and higher death rates. The South is home of many rural citizens and medically underserved areas. Despite national databases affiliated with the Bureau of Labor Statistics and the Health Resources and Services Administration (HRSA), knowledge is limited regarding the nurse practitioner (NP) workforce in rural and medically underserved areas of …

Multidisciplinary Team Response To Support Survivors Of Mass Casualty Disasters, Lavonne M. Adams, Susan Mace Weeks, Lisa Smith

Biennial Convention (CONV)

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

Background and Purpose: Disaster response begins at the local level, but when needs are immense, promoting effective care and recovery for survivors may require activation of multiple systems from other parts of the country or even the world. Mass casualty disasters pose unique challenges, as survivors may be dealing not only with their own physical and/or psychological trauma, but also with the loss of family members and friends (Adams, Smith, & Weeks, 2013). One technique humanitarian response organizations may use to integrate services is formation and deployment of …

The Relationships Of Conscience, Ethical Climate And Moral Distress In Registered Nurses Working In The Acute Care Setting, Theresa A. Kyzar

Biennial Convention (CONV)

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

Background/Significance: Health care providers, including nurses, are often faced with ethical dilemmas on a daily basis and experience conflicts between their professional oath, a desire to care for the suffering, and a fiduciary duty to serve when weighed against the ever expanding body of legal and regulatory requirements. This is compounded further when resulting moral dilemmas ensue because of factors involving: quality of life issues, deciding when, or if, life should be terminated and determining how best to honor a patient's or family member's health care decisions which …

Influence Of Intrapersonal Characteristics On Nurses' Work Performance, Nelouise Geyer, Siedine Knobloch Coetzee

Biennial Convention (CONV)

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

BACKGROUND: Reports about poor nursing and midwifery care was on the increase with public media reporting only negative incidents. This is supported by the growth in numbers of nurses who are found guilty of poor nursing or midwifery care during professional conduct hearings at the South African Nursing Council. These reports are contradicted by anecdotal information provided by patients that have received good nursing or midwifery care in the same hospitals that reportedly provide poor care. The performance of nurses and other healthcare workers are influenced by physical …

A Taiwan's National Survey Of Nursing Home Staff's Cognition, Attitude And Barrier On National Incident Reporting System, Shu-Yuan Lin

Biennial Convention (CONV)

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

Background: A national incident report sysem named as the Taiwan Patient Safety Reporting System (TPR) has established in Taiwan since 2006. Taiwan's hospital accreditation has mandated hospitals to report medical incidents regularly for assuring patient safety. However, participating national incident reporting system is not mandated in long-term-care facilities in Taiwan. Safety culture in nursing homes can be improvedby incident reporting and incident learning.

Purpose: The purpose of this study is to explorenursing home staff's incident reporting cognition, attitude and barrier toward the TPR.

Method: A questionnaire survey with …

Feasibility Of Simulation In Orientation: A Pilot Study, Karen M. O'Connell, Sherrill J. Smith

Biennial Convention (CONV)

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

Background: Active duty military nurses transfer to new duty stations every three or four years. With each transfer, the nurse enters into a typical orientation period of six weeks. During this orientation, new nurses receive organizational and unit information while preceptors evaluate patient care skills. Most units utilize an orientation checklist and bedside skill proficiency is validated by direct observation. Decreased patient acuity and lengths of stay have resulted in limited availability of common patient types or procedures, especially in critical care units. Simulation allows observation of nursing …

Chinese Nursing Students' Perceptions Of Case Study Use As A Teaching And Learning Strategy, Shirleatha T. Lee, Lin Zhan

Biennial Convention (CONV)

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

Background: Chinese nursing education is in a process of transformation aimed to prepare professional nurses to meet the demands of health care. Lecture often serves as the primary method of teaching in Chinese nursing schools. However, lecture is passive and prevents critical thinking. Case studies when incorporated with lecture can help students to become active learners and relate topics to real world situations. The purpose of this study was to examine Chinese nursing students' perception of the use of case studies in nursing education.

Methods: Data analysis consisted …

Networking Improves Care For Women And Infants, Rita Allen Brennan, Dawn E. Reimann, Patricia M. Prentice, Angela C. Rodriguez

Biennial Convention (CONV)

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

Background: Illinois has a regionalized perinatal system with ten networks. The Statewide Quality Council establishes quality initiatives that are to be instituted within each birthing hospital. Each perinatal network coordinates these initiatives for member hospitals through the Regional Quality Council (RQC). Two recent evidence-based initiatives are reduction of early elective deliveries (between 37-38 6/7 weeks gestation) and the evidence-based breastfeeding initiative. The Co-Perinatal Center is unique among the ten networks as the Chair of the Committee is a Nursing Leader from a community Level III hospital with expert …

Contraceptive Choices Application (App) Development, Cathy Carlson, Donna J. Plonczynski

Biennial Convention (CONV)

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

Background: Improved access to contraception and reduction of unmet need for family planning are key components to improve reproductive health of women. Voluntary family planning is one of the great advances in public health during the last century, with the greatest advancements developed during the last 35 years (Department of Reproductive Health, World Health Organization [WHO], 2010). Family planning saves the lives of women by allowing self-determination in the limitation of the number of births, spacing pregnancies, and avoidance of pregnancies in the very young and older women …

The Impact Of Warming On Term Nicu Admission Rates In Women Undergoing Scheduled Cesarean Delivery, Melanie L. Chichester, Lynn Elizabeth Bayne, Matthew Hoffman, Lynn Elizabeth Bayne, Matthew Hoffman

Biennial Convention (CONV)

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

Background: In 2011, a new "bundle" of care, multiple changes in practice instituted together, was developed to produce an improved outcome in preterm neonatal hypothermia, as cold infants are at increased risk of morbidity and mortality. This included the pediatric caregiver receiving the infant at the Operating Room (OR)table with warm blankets, preheating the infant warmer, caregivers warming their hands, use of polyethylene covers for premature infants, and increasing the OR room temperature to 68 F. The results of these changes have markedly reduced preterm neonatal hypothermia. Initially, …

Facilitating Individual Leadership Development And Advancing Communication Through A Multidisciplinary Team Leadership Project, Wyona M. Freysteinson

Biennial Convention (CONV)

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

Background: The Texas Medical Center (TMC), the largest medical center in the world, has a healthcare workforce comprised of individuals from over 150 countries. Texas Woman's University is situated within the heart of the TMC. There are healthcare students enrolled in this university who have regional and/or foreign accents that act as barriers to intelligible language and effective safe communication.

Goal: The focus of this project was to enhance the personal leadership development of an emerging academic nurse leader through guiding a university-wide team that focused on improving …

Chronic Perceived Stress, Social Isolation, And Perceived Loneliness As A Symptom Cluster Among Dementia Caregivers, Mariya Alekseyevna Kovaleva, Kenneth W. Hepburn, Sydney A. Spangler

Biennial Convention (CONV)

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

Background: Caregivers of persons with dementia are at risk for chronic perceived stress, social isolation, and perceived loneliness. Chronic perceived stress disrupts neuroendocrine and neuroimmunological pathways (endogenous mechanisms). Social isolation is a common exogenous factor for this population that may lead to perceived loneliness and exacerbate chronic perceived stress and its sequelae. Purpose: Review the experience of dementia caregivers through the lens of the interaction of pertinent endogenous mechanisms (influence of chronic stress on neuroendocrine and neuroimmunological functioning) and exogenous factors (social isolation and perceived loneliness).

Methods: Ninety-seven …

Increasing Exclusive Breastfeeding Rates In A Predominantly African-American Patient Population, Michelle L. Harrison, Diane L. Spatz, Florence Jones

Biennial Convention (CONV)

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

Background: Exclusive breastfeeding provides infants with ideal nutrition as well as optimal health and developmental outcomes. Human milk protects children from certain illness and childhood conditions. Research demonstrates that breastfed infants are at lower risk for Sudden Infant Death Syndrome (SIDS), gastrointestinal infections, respiratory illnesses, ear infections, allergies, childhood obesity and diabetes. African American babies consistently have lower breastfeeding rates from birth to a year old compared to White and Hispanic babies (Centers for Disease Control, 2013). The CDC identified that African American women are the least likely …

The Golden Hour: Early Initiation Of Breastfeeding, Brooke N. Swails, Becky Palmer, Robyn K. Hale

Biennial Convention (CONV)

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

Background: Breastfeeding in the first hour of life is recommended by the World Health Organization (WHO) and is listed as step four of the Baby-Friendly Hospital Initiative (BFHI). The United States Surgeon General has identified the steps listed in the BFHI as an approach that leads to better breastfeeding outcomes. Outdated hospital policies/protocols, lack of education for labor and delivery staff, and decreased knowledge on the World Health Organization Baby Friendly Standards are barriers to mother-child bonding and initiation of breastfeeding. The first hour of life is referred …

Pilates Cadillac For Chronic Low Back Pain: A Pilot Study, Dana D. Stieglitz

Biennial Convention (CONV)

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

BACKGROUND: Musculoskeletal health problems such as low back pain contribute significantly to morbidity in the general population and contribute to the high costs of health care in the industrialized world. Pilates is an evidence-based form of therapeutic exercise found to improve low back pain and is underutilized in the healthcare setting.

PURPOSE: The purpose of this pilot study is to investigate the feasibility, acceptability, and effectiveness of Pilates exercise on the Cadillac exercise machine as a therapeutic intervention for chronic low back pain and disability.

METHODS: The study …

The Lived Experience Of Moral Distress In Nursing Academe, Elizabeth J. Diener

Biennial Convention (CONV)

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

Background: Practice dilemmas, labeled as moral distress, have appeared in the nursing literature as a topic of discussion and concern for over 30 years. Less extensively documented has been the occurrence of moral distress in nursing education. As Ganske (2010) has noted, anecdotal reports of moral distress are frequent heard in schools of nursing and higher education, but research and literature exploring the depth and breadth of moral distress in academe is scant. These gaps make development of supportive structures, policy, and interventions impossible. Situations noted to lead …

Impact Of Maternal Childhood Adversity On The Psycho-Neuroendocrine-Inflammatory Profile During Pregnancy, Karen J. Kotz, Dina Tell Cooper, Herbert L. Mathews, Linda Witek Janusek

Biennial Convention (CONV)

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

Background: Pregnancy is accompanied by a multitude of physical and psychological changes. Adaptation to these changes through reduced anxiety and attenuated stress responsiveness is necessary across gestation for optimal maternal infant health. Ample evidence demonstrates that perception of high levels of psychosocial stress and/or mood disturbance during pregnancy can disrupt neuroendocrine-inflammatory processes required for successful pregnancy outcomes. In particular, precise regulation of circulating proinflammatory cytokines across gestation is critical for the maintenance of pregnancy; lower levels during mid gestation keep the uterus in a quiescent state, whereas, near …

Pre-Exposure Prophylaxis (Prep) For Hiv Prevention: A Clinical Practice Review, Yeow Chye Ng, Rebecca M. Gaines

Biennial Convention (CONV)

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

Background: Primary care providers should possess current, evidenced-based knowledge in order to provide competent and compassionate patient care. According to research evidence, there is a wide variance with respect to HIV/AIDS knowledge, attitudes, and behaviors among healthcare providers. Unfortunately, knowledge deficits and preconceived ideas may create major barriers for HIV-positive patients seeking care. Due to the recent availability of PrEP medication guidelines, nurse practitioners should expect more patients to present to clinical sites, requesting information on HIV prevention and treatment modalities measures. In fact, a recent nurse practitioner …

Using Self-Efficacy And Transformative Learning Theories To Examine Interprofessional Collaborative Practice At End-Of-Life In The Icu Between Nurses And Physicians, Edonn Vida Ball

Biennial Convention (CONV)

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

Background: Research has documented that the health care system provides inadequate care for the dying patient at end of life (Papadimos et al., 2011). In order to provide appropriate end-of-life care for the patient it is imperative that the nurse be able to recognize that the patient is dying, communicate that assessment to the health care team and contribute to the plan of care by way of interprofessional communication and interprofessional collaborative practice (IPCP). Efforts to change and improve the effectiveness of collaboration and communication between nurses and …

Activities Of Daily Living In Residents Of Nursing Home And Assisted Living Facilities: A Multilevel Analysis, Wen Liu, Jay Unick, Barbara Resnick, Elizabeth Galik

Biennial Convention (CONV)

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

Background: The ability to perform activities of daily living (ADLs) is the most basic function for older adults living in long-term care (LTC). Various personal and institutional factors can be associated with functional performance in ADLs among LTC residents.

Purpose: The purposes of this study were to examine the trajectory of functional performance in ADLs over time, the variance in functional performance that is attributable to individual and institutional variations, as well as the impact of individual and institutional characteristics on functional performance among residents living in LTC …

Blazing Trails, Building Fences, And Raising Towers: A Historical Review Of Nurse-Midwifery And Childbirth In The United States, Eileen J. B. Thrower

Biennial Convention (CONV)

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

Background: The United States compares poorly among the world's nations in terms of maternal and infant mortality. Public health experts increasingly argue for midwifery care as an important approach to improving the quality of maternal and newborn care. Despite this growing consensus, nurse-midwives attend only 8 % of births in the United States. Purpose: To review the history of childbirth and nurse-midwifery in the United States, including the economic, political, and social factors impacting the development and expansion of nurse-midwifery, providing insight into the current status of nurse-midwifery, …

Early Skin-To-Skin In The Operating Room Following Cesarean Birth, Tonia Squires, Meredith Laine Green, Julia Snethen

Biennial Convention (CONV)

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

Background: World Health Organization (WHO) and The United Nations International Children's Fund (UNICEF) have identified "Ten Steps to Successful Breastfeeding". The Ten Steps use evidenced-based care to optimize breastfeeding outcomes and ultimately improve health outcomes, both short and long-term, for both mother and infant. Many hospitals in the United States, are working toward the implementation of all ten steps and ultimately the title of "baby friendly" through the organization Baby Friendly Hospital Initiative (BFHI). For this project, the fourth step, to "initiate breastfeeding in the first hour of …

A Pilot Exploring Integration Of A Home Visiting Public Health Nurse Into A Pediatric Medical Home Team, Katharine Joy Besch, Lea Ann Miyagawa

Biennial Convention (CONV)

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

Introduction/Background: Mounting evidence shows that home visiting programs can decrease health disparities; reduce hospitalizations and emergency care visits; and increase access to health care services. Furthermore, experts in pediatrics, public health and early childhood development have discussed the integration of home visiting nurses and the medical home and how the new model of care can optimize communication, and collaboration improving continuity of care for pediatric clients and their families. Public Health Seattle and King County (PHSKC) has a robust Public Health Nurse (PHN) home visiting service as well …

Developing Telehealth-Focused Advanced Practice Nurse Educational Partnerships, Shelley Hawkins, Donna M. Costello Nickitas, Debra Lyon

Biennial Convention (CONV)

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

Introduction/Background: As technology has grown exponentially in healthcare, nurse educators must prepare Advanced Practice Registered Nurse (APRN) graduates with the knowledge and skills in information systems/technology to support and improve patient care and health care systems. APRN's are expected to lead in caring for populations who lack accessibility and availability through the use of technology, specifically telehealth. The capacity to effectively and efficiently use technology in patient care delivery is clearly delineated in the American Association of Colleges of Nursing (AACN) Doctor of Nursing Practice (DNP) and Master …

Faculty Leadership Development: Mentoring, Team Leadership, And Community, Alison H. Edie, Elaine S. Marshall, Carol E. Winters, Bette A. Mariani

Biennial Convention (CONV)

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

Introduction/Background: Clinicians new to school of nursing faculties are expert practitioners but novice to the faculty role. Development of new faculty into leaders in nursing education promotes career success and faculty retention, encourages positive academic environments, and ultimately, advances nursing education. Sigma Theta Tau International (STTI) Nurse Faculty Leadership Academy (NFLA) sponsored by the Elsevier Foundation is designed to develop leadership knowledge and practices in non-tenured or tenure-track full time faculty with less than 5 years of experience in schools of nursing. Scholars advance their leadership in three …