Digital Commons Network^™

Facilitating Intent To Vaccinate, Knowledge, And Change In Vaccine Belief, Amy Z. Eby

Biennial Convention (CONV)

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

The first vaccine was released over 200 years ago and has forever changed the world we live in today (Stern & Markel, 2005). With the help of vaccines, people are able to build antibodies which enable and create a defense against illnesses such as rabies, tetanus, typhoid fever, influenza, measles, pneumococcal, meningococcal disease, hemophilus influenza, and other vaccine preventable illnesses. Vaccination efforts and health policy have been an integral component in the prevention and the fight of unwanted infectious diseases in our local communities. Unfortunately, with the success …

Global Nursing Professional Migration: Addressing The Issue Of Communication And Transition Through Utilization Of On-Line Education And Virtual Internships, Klaudia J. Lewis, Brandon H. Parkyn

Biennial Convention (CONV)

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

The global nursing professional migration: addressing the issue of communication and transition through utilization of on-line education and virtual internships. Each year many nurses migrate to the United States for better working conditions, career changes, enhanced development, a better life, safety for themselves or family, or sometimes just to experience something new. Research has shown that migrating healthcare professionals face many obstacles during the transition process to the new culture and healthcare system. Some of those obstacles include: lack of understanding of United States Health Care System, lack …

Acute Pain Management: Impact Of Opioid Tolerance Leveling On Patient, Provider, And System Outcomes, Jill S. Payne

Biennial Convention (CONV)

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

The human and economic burden related to ineffective pain management is well documented. Factors influencing ineffective acute pain management are multi-factorial and include failure of healthcare professionals to accurately and reliably assess and meet patient's individual pain management requirements. The discipline has been absent an approach and tools enabling reliable, safe, patient-centric assessment and management of pain. Historically, acute pain treatment is focused on the primary admitting condition, which can inadvertently exacerbate existing addiction and improperly manage the patient pain needs. This further potentiates provider biases that conflict …

The Quality Of Life Matters: The Benefits Of Ethnic Nursing Homes For Ethnic Elders, Ying L. Wohlberg

Biennial Convention (CONV)

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

The long term care needs for minority ethnic elders has grown dramatically across the western world due to an aging population and global migration. According to the National Minimum Data Set (MDS), covering the ten-year period 1999-2008, the number of elderly Hispanics and Asians living in U.S. nursing homes grew by 54.9 percent and 54.1 percent respectively. The care disparity and barriers that ethnic elders face in traditional long term care settings has been well documented and included access, difficulties in transition, inefficient communication, discrimination, isolation, misdiagnosis and …

Nurse-Technology Vs. Nurse-Patient Relationships: Implications For Education, Practice And Nursing's Future, Patricia A. O'Malley

Biennial Convention (CONV)

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

The purpose of this presentation is to explore how nursing has changed with the continuous introduction of technology over the past thirty years. Positive as well as negative consequences will be explored within educational, clinical and theoretical paradigms. History reveals that the promises of technology have been met in great part to nursing's continued acceptance of the increased work load associated with technology integration into clinical care. With so much technology adoption, nursing's "plate" is nearly full and as nurse leaders know, nurses leave nursing because of out …

Substance Use Behaviors Among College Students, Taylor J. Thompson, Jessica Mueller

Biennial Convention (CONV)

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

The Task Force of the National Advisory Council on Alcohol Abuse and Alcoholism (2002) has identified that drinking on college campuses is a unique culture and changing this culture is a top priority. Within the drinking culture, binge drinking has emerged as a growing problem that has dangerous consequences. Binge drinking has been correlated with high-risk behaviors, such as unsafe sex, sexual assault, injuries, and even death (National Institute on Alcohol Abuse and Alcoholism [NIAAA], 2013). The NIAAA (2013) defines binge drinking as 4 drinks for women and …

Practice Model For Interprofessional Teaching-Learning Of Anatomy At A Higher Education Institution In South Africa, Belinda Scrooby

Biennial Convention (CONV)

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

The teaching-learning of basic medical sciences generally, and anatomy particularly, have been "diluted" in the health science curricula globally during the past two to three decades. This reduction in anatomy teaching-learning has started showing the consequences in clinical practice, patient care, and health science education (Memon, 2009:125). Turney (2007:104) supports this, saying that between 1995 and 2000, there was a seven-fold increase in claims associated with anatomical errors. This results in public and media pressure for doctors and other health care practitioners to have a sound knowledge of …

Enhancing Care Of Vulnerable Populations Through Development Of A Holistic Model To Evaluate Interprofessional Education, Rebecca Lee, Gwen D. Sherwood, Carol J. Huston

Biennial Convention (CONV)

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

This change project was implemented as part of the Experienced Nurse Faculty Leadership Academy (ENFLA) by Rebecca C. Lee (Scholar), in collaboration with Gwen Sherwood (ENFLA Mentor) and Carol Huston (ENFLA Faculty). The ENFLA experience was sponsored by Sigma Theta Tau International and Chamberlain College of Nursing Center for Excellence in Nursing Education. Introduction/Background: Interprofessional teamwork and collaborative practice are key elements of efficient and productive efforts to promote health and treat patients in an increasingly complex health care system. Team-based care involves health and/or social professions that …

Collaborative Service Learning Project To Bring Theory Into Practice In Cap Haitian, Haiti, Sandy Nelzy, Diana Mejia

Biennial Convention (CONV)

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

This presentation is based partly on an elective course taken at York College in the Department of Nursing during the summer of 2014. This course afforded students the opportunity to travel to Haiti for two weeks as part of the clinical component of the course which integrated theory into clinical practice. While in Haiti we had the opportunity to work alongside other health professions in the area of Carries, Haiti. Another component of the trip was an invitation to attend the third annual Haitian Kennedy Fellows conference in …

The Effects Of Baccalaureate Nursing Students' Participation In A Community-Wide Disaster Drill On Perception Of Interprofessional Education In A Small, Rural College Setting, Laura R. Madden

Biennial Convention (CONV)

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

With both the Institute of Medicine (2001) and the World Health Organization (2010) advocating for interprofessional education (IPE) as a means to improve the quality, safety, and efficiency of patient-centered care, colleges and universities are tasked with finding appropriate ways to provide this education to their health care professional students. According to Reeves, Perrier, Goldman, Freeth, & Zwarenstein (2013), this is best accomplished through interactive education. In small colleges located in rural settings where nursing students may not have the opportunity to collaborate with other pre-licensure health care …

More Than Just Male Nurses: Initiating Sustainable Processes And Structures To Promote And Protect Gender Diversity Among Nevada's Male Nursing Workforce, Derek S. Drake

Biennial Convention (CONV)

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

With more than 3.1 million practicing members, nursing is recognized as the largest discipline in the U.S. health care system (Ahmed, Andrist, Davis, & Fuller, 2013; American Nurses Association, 2014a). Nurses play a pivotal role in the consistent delivery of safe, high-quality, and cost effective, patient-centered health care, and have essential responsibilities in preventing medication errors, reducing rates of infection, and facilitating patients' transition from hospital to home (Institute of Medicine, 2011; Wendel, O'Donohue, & Serratt, 2014). For 13 consecutive years, 2002 to 2014, nurses have been recognized …

Minimizing Strain: How Nurses Sustain Their Image As "Good Nurses", Sherry Dahlke

Biennial Convention (CONV)

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

Older adults are the population most likely to access healthcare due to an increasing incidence of chronic illnesses with age. As a result, nurses are managing the care of an older population within healthcare institutions which perpetuate societal ageist perspectives. Moreover, basic nursing education does not adequately prepare nurses to care for an aging population and little is known about how nurses are managing care of hospitalized older adults. A grounded theory study guided by symbolic interactionism examining a nursing perspective of caring for hospitalized older adults provides …

Use Of Public Murals To Impact Perceptions Of Strength-Training Among Elder Latinas With Diabetes, Adrienne S. Martinez-Hollingsworth

Biennial Convention (CONV)

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

The purpose of this poster is to explore the use of murals, a traditional, Mexican/Mexican-American, public art form, as a method for encouraging strength-training exercise in older Latinas with Diabetes.

Creative Expression As A Self-Care Strategy For Nurses Working With Women Who Have Experienced Emotional Or Physical Violence, Linda R. Garner

Biennial Convention (CONV)

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

The purpose of this presentation is to describe how creative expression in the form of crafting can buffer the effects of vicarious trauma while working with women who have experienced emotional or physical violence.

Eight Infernal Generals, Chin-Nu Lin

Biennial Convention (CONV)

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

The purpose of this presentation is to introduce the folk religious temple activity “Eight Infernal Generals” and its relationship between religion and health in Taiwan. References:

1. Tzeng, H. M.. (2008). Religious Activities of Inpatients and Their Family Visitors in Taiwan. Journal of Holistic Nursing. 26(2), 98-106. Doi: 10.1177/0898010107310616

2. Yeh, C.H.. (2001). Religious Beliefs and Practices of Taiwanese Parents of Pediatrics Patients with Cancer. Cancer Nursing, 24(6), 476-482.

3. Yeager, D.M., Glei, Dana, Au, Melanie, Lin, H. S., Sloan, R.P., & Weinsteiin, Maxine (2006). Religious involvement and …

Living Not Dying, Ali Marie Galindo

Biennial Convention (CONV)

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

The purpose of this presentation is to reflect on the beauty of palliative care. Through music and poetry, one can contemplate their own views about death and dying and become inspired to experience a different perspective on dying.

The target audience of this presentation are health care professionals in all disciplines as well as anyone who has lost a loved one to terminal illness or tragic circumstances.

A Novel Approach To Reduce Non-Emergent Visits Through A Mentored Postnatal Education Program, Susan A. Hoffman, Barbara L. Buchko, Leigh Small

Biennial Convention (CONV)

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

Purpose: Anecdotal information from nurses at two local hospitals suggested that mothers seemed to be accessing emergency services unnecessarily for their newborns after discharge from the hospital also. The purpose of this project was threefold. The first step was to identify the most common non-emergent reasons that mothers bring their newborns (age birth to 9 months) to a local emergency department. Given these common reasons, two face-to-face postpartum classes were developed to provide educational information that would address the commonly occurring health issues (step two). The classes were …

Nursing Faculty And Nursing Students Experiences Of Participating In International Exchange Programmes, Margret Lepp

Biennial Convention (CONV)

The aim of the study was to investigate whether International Study Experiences (ISE) during basic nursing education had an impact on newly graduated nurses as regards to self-reported competence. Moreover, a second aim was to explore what background factors that facilitated or constituted a hindrance for nursing students to choose to conduct part of their basic nursing education abroad. At 11 Universities/University Colleges (henceforth called Higher Education Institutions [HEIs]) in Sweden, 565 nursing students responded to the Nurse Professional Competence (NPC) Scale. Students with ISE rated their competence significantly higher on three NPC competence areas - "Legislation in nursing and …

Informatics For Nurse Leaders: Technology Impacting The Care Of The Older Adult, Johnanna L. Hernandez, Julie Millenbruch

Biennial Convention (CONV)

The purpose of this presentation is to identify informatics technologies, nurse leaders must be aware of to lead the charge of caring for the explosive growth in older adults in the United States. The use of tele-health, social media, and home-based information technology can enhance care of the older adult with chronic health issues. Health related smart phone applications are found in abundance and used by many healthcare providers, patients, and care givers. Social media has the potential to both promote healthcare outcomes, provide educational resources and influence healthcare decision-making. Access to technology also provides new opportunities for ethical breaches …

The Use Of The Tymed Wheel In Postoperative Pediatric Pain Management At Home, Celeste Rene Knoff

Biennial Convention (CONV)

The treatment of postoperative pediatric pain has historically been suboptimal (Avansino, Peters, Stockfish, & Walco, 2013; MacLaren Chorney, Twycross, Mifflin, & Archibald, 2014; Rony, Fortier, Chorney, Perret, & Kain, 2010; Sutters et al., 2012; Vadivelu, Mitra, & Narayan, 2010). Reasons for this deficiency are many and include personal biases of clinicians and parents, inconsistencies and difficulties in pain assessments, obstacles to educating caregivers on pain management, and a lack of research on best practices for pediatric pain management. Reduced hospital stays and increased outpatient procedures are shifting the onus of pain management for children to their primary caregiver, usually a …

Prevention Decline In Older Cardiac Surgery Patients (Predocs) Programme, Tjitze S. Hoekstra

Biennial Convention (CONV)

Background: Complications after cardiac surgery are common in older patients and are associated with prolonged hospital stay, a reduced quality of life (QoL), and increased costs of healthcare. High prevalent complications after cardiac surgery in older patients are delirium (11.9% - 43.1%), depression (15% - 18%), pressure ulcer (13% - 18%), and infection (1.3% - 2.4%). The risk of developing postoperative complications is not the same for every older cardiac surgery patient. Frail older patients are more likely to experience postoperative complications than non-frail older patients. Because postoperative complications occur more frequently in frail-older patients, nurses will increasingly be charged …

Stroke Awareness: A Community Approach, Shirley Lena Romero

Biennial Convention (CONV)

Background: Current approaches to prevention of stroke disease in the community are in need of effective educational programs. Literature identifies perceived susceptibility to illness as a strong indicator for a health action. However, many clients fail to recognize their vulnerability to illness and do not take preventive action. The purpose of this study was to teach a class on stroke awareness to a group of parishioners from a small community church and explore their stroke beliefs, knowledge of stroke factors, and intention to take a health action using the Health Belief Model as the theoretical framework. Design: A quantitative descriptive …

An Innovative Approach To Mentoring Newly Hired Nurse Educators, Greta I. Marek

Biennial Convention (CONV)

Introduction: Newly hired nurse educators face multiple challenges in today's rapidly changing academic environment. Transitioning from clinical practice into academia without the benefit of effective mentoring may lead to dissatisfaction, frustration, and attrition. Newly hired nurse educators may find difficulty in understanding academic areas of teaching, scholarship, and service, especially if they are transitioning from clinical practice. An effective mentoring program for nurse educators provides guidance, support, resources and assistance, as well as an opportunity for experienced faculty mentoring team members to guide newly hired nurse educators through the complex world of academia. The purpose of this project was to …

Nurses Leading The Fight Against Chronic Diseases: Are You Ready?, Letha M. Joseph

Biennial Convention (CONV)

Chronic diseases are "diseases of long duration and slow progression" and World Health Organization (WHO) defines non communicable Chronic Diseases (NCD) as diseases, not typically caused by an infectious agent but from genetic susceptibility, lifestyle or environmental exposure. According to WHO, NCDs contribute to 60% of global deaths & 43% of disease burden and by 2020, 73% of global deaths & 60 % of global disease burden will be due to NCDs. Cardiovascular diseases, cancer, chronic obstructive pulmonary disease, and diabetes are common NCDs. There are four modifiable health risk behaviors which cause these NCDs. They are lack of physical …

Nurses Narrative Examples Of Moral And Ethical Drift In Response To Health Information Technology Protocols, Jennifer A. Browne

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: As technology applications in intensive care multiply, change and influence nursing practice the ethical implications of utilizing new technologies are difficult to anticipate. Because technologies do differ, the issues that nurses face change from organization to organization resulting in under-identification of ethical concerns. Additionally, when an information system is meeting clinical and organizational goals there is a reluctance to bring forward these "hidden" dilemmas. There are situations in acute care where professional and ethical values can conflict with management and administrative goals. 1 Kleinman describes ethical drift as …

Implementing Interprofessional Education:How Appropriate Is The Learning Experience For Nursing Students?, Antoinette Du Preez, Ronel Pretorius, Belinda Scrooby

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background: Interprofessional education (IPE) is characterised by joining together two or more professions in an attempt to create a learning opportunity and cultivate collaborative practice among the students of the different professions. With this it is expected that students will exhibit more skills in the execution of healthcare tasks, be able to function more effectively in a team and ultimately contribute to improved health outcomes for patients through quality care. IPE is traditionally reported on from a medical school perspective. The context of this study is that of …

Examining The Health Behaviors Of Frontline Nurses, Lauren Marie Murphy, Adele M. Spegman

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background: Professional nursing views health promoting behaviors to be foundational for holistic wellbeing. Through advocacy and education, nurses encourage patients and families to practice healthy behaviors. It is logical to assume that nurses are knowledgeable regarding the value of health promotion and healthy behaviors. Yet, as a group, nurses are recognized to have less-than-optimal health practices. Recent studies have found that large numbers of nurses reported personal fatigue, inadequate exercise and irregular diets. Motivated by rising health care costs, employers offer incentives to healthcare workers who meet selected …

A Concept Analysis Of Caring, Odette A. Spencer

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Caring represents a basic tenet of nursing that undoubtedly defines the profession. Yet, it remains a somewhat ambiguous term, with a plethora of different ways of conceptualizing it. Using the Walker and Avant methodology of a concept analysis, the internal structure and function of caring as a concept is explored within the context of healthcare for homeless. Research has shown that encounters between homeless population and nurses are not always positive. Faced with the inability to secure stable housing/employment and affected by chronic illnesses, limited access to healthcare, …

Effective Nursing Leadership And Emotional Intelligence, Kirsi Toivanen-Atilla

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Current issues in healthcare such as nursing shortage and turnover, health reform, and quality of care have turned the focus to nursing leadership. Research has shown that the concept of emotional intelligence, as integrated in nursing, has positive effects on staff, patient and organizational outcomes. Nurse leaders are in a crucial position to promote positive staff outcomes, positive patient care outcomes, and eventually, positive organizational outcomes. It is important to research what makes effective nursing leadership, and perhaps even more importantly, how nurse leaders perceive effectiveness. The purpose …

Effective Dedicated Unit For Students' Practice: An Evidence Based Review, S. Stephanie Unger, Lisa Ward

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Effective Dedicated Unit for Students' Practice: An Evidence Based Review. Preparing new nurses to practice independently and more important to practice safely has been a priority for nurse leaders in academics. The Institute of Medicine (2011) has recommended that nursing leaders improve how nurses are prepared and educated. The gap between classroom teaching and clinical teaching needs to be closed. Nursing leaders and Educators need to utilize the available resources and partnerships with health care facilities. The development of a dedicated education unit is one strategy to address …