Digital Commons Network^™

Clinical Nursing Experiences In Rural Aboriginal Settings, Steven M. Ross

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: INTRODUCTION: In 2011, a nursing education practice hub was established at the Conayt Friendship Centre in Merritt, BC to address the identified shortage of registered nurses and their high rate of turnover in First Nations communities. The intentions of this partnership were to: strengthen relationships between Conayt, Aboriginal peoples of the Nicola Valley, and faculty/students of the TRU School of Nursing (SON) develop students' competence to function in community health and relevant practice roles in Aboriginal rural communities promote students' ability to support Aboriginal peoples' health and well-being …

Nurse Residency And Interprofessional Collaboration: Inspiring Novice Nurses In Professional Development, Kimberley Ann Bertha, Lya Michele Stroupe

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Nurse Residency Programs promote nursing professional development through interprofessional collaboration shadowing experiences. Interprofessional collaboration requires a deliberate commitment by each profession to create an experience that focuses on improving patient care and quality outcomes. Utilizing current evidence based research related to interprofessional collaboration and its effect on the quality of nursing care, the Nurse Residency Program at this 531 bed tertiary care Magnet facility partners with nine departments to provide 88 nurse residents with eight hours of collaboration/shadowing experiences. Our partners in practice include Pain Management Practitioners, Respiratory …

A Global Resource For Nurses: Work Team Empowerment, Christina Leibold Sieloff, Mary Louanne Friend

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: The purpose of this presentation is to review the current status of empowerment research in health care with a focus for identifying strategies that nursing work teams can implement to further improve their workplace empowerment. The target audience for this presentation is any nurse, who functions as a member of a work team, within any practice setting and any location globally. Empowerment is a perspective with global implications for nurses in all practice settings. In terms of the health care environment, the literature has identified there are many …

Food Differences Among Hispanic Groups And Incidence Of Type 2 Diabetes, Stella Lopez-Jimenez

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Abstract: According to Schneiderman (2014) the Center for Disease Control indicated 11.8% of Latinos have diabetes in the United States. Healthcare providers tend to generalize that all Hispanics eat the same type of food. The goal of the project is to explore cultural food difference in Latino population as it relates to diabetes. The project will compare and contrast the food differences of several Hispanic groups, such as South Americans, North Americans, and Latin Caribbean Islands. The project will analyze the prevalence of Type 2 diabetes in these …

Inspiring A Shared Vision For Interprofessional Education, Karma Cassidy, Laura Cox Dzurec, Carolyn A. Williams

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: Leaders in health care quality and safety recommend adoption of collaborative practice models to improve health outcomes and development of a workforce skilled in Interprofessional collaboration. Interprofessional education (IPE) for collaboration occurs when students from two or more professions learn about, from and with each other to improve health outcomes. Effective integration of IPE into curricula depends upon leadership with focused resolve to impact attitudes toward collaboration and a willingness to revise and/or develop curricula to support IPE. For the most part, nursing and allied health faculty …

Guideline Adherence Among Kenyan Healthcare Providers In Peri-Urban For-Profit Clinic, Brittney Jayne Sullivan

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: Penda Health is a chain of private, for-profit outpatient clinics that delivers comprehensive primary care to low and middle income Kenyans using midlevel care providers (certified nurse practitioners and clinical officers), caring for approximately 2,000 patients per month. Penda's aim is to provide high quality, low cost services, and empathetic and caring healthcare to patients through innovative standardized protocols, qualified right-skilled providers 1, and strong supplier partnerships. 2 In low and middle-income settings, healthcare provider adherence to guidelines has shown mixed results - with many studies showing …

Breast Is Best: Increasing Healthcare Provider Knowledge And Confidence, Emily A. Lee

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: The purpose of this project was to increase breastfeeding knowledge and confidence in healthcare providers (HCPs) involved in the care of pregnant women in rural Obstetrical clinics. Obstetrical healthcare providers are responsible for the care and well-being of pregnant women and their fetuses. One of the most highly effective preventive measures a mother can take to protect the health of her infant is to breastfeed. The breastfeeding success rate among mothers can be greatly improved through active support from their families, friends, communities, and healthcare providers. Methods: …

Super Utilizer Case Management Program With Nursing Students, Katharine H. Atwood, Jessica C. Carroll, Laurel Edwards, Tiffany Joy-Egly, Thuy Nguyen, Melissa Naff, Carly Schmidtlein

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: There are many patients who use the emergency department as it was intended. However, there are a small number of patients, or Super Utilizers, who make numerous visits to and incur high charges at the ED for issues that could be addressed elsewhere. In response to this situation, The Super Utilizer Program was launched. Modeling the care management program in Camden Coalition, the Super Utilizer Program is a joint effort between the continuum of care and Emergency Department (ED) at Stormont-Vail Health Care (SVHC) and Baker University …

Evaluating Interprofessional Teamwork During A Large Scale Disaster Simulation, Karen Ainsworth Landry, Courtney West, Lori Graham

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Healthcare teams are essential today for positive patient outcomes (Zwarenstein, Goldman, Reeves, 2009). Currently, educators face the difficult task of incorporating as many interprofessional education (IPE) activities as possible to prepare students for the 21st century healthcare. IPE Core Competencies have helped define our efforts. However, finding instruments to measure those simulations are just as important. In 2013, a Texas university's IPE team came together to develop three instruments to measure IPE student simulations. Specifically, these instruments measured IPE experiences during Disaster Day (an IPE simulation event held …

Outcomes Of Participation In A Nurse Externship Program, Lourdes Maria Casao

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Introduction: Nurse externship programs were initially developed by healthcare institutions as a recruitment tool for new nurses. Literature has demonstrated the positive outcomes of the program on the participants and healthcare institutions but during times of economic difficulties, health care institutions discontinue the program. A literature review revealed the studies that demonstrate the value of the program are limited to the recruitment phase and the 2-year retention of the newly graduated nurses. A recent research study demonstrated the long-term outcomes of the program relative to RN retention over …

Bringing The Theory Of Leadership And Research Into Practice, Shannon Lanctot-Shah, Susan P. Hackett

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Leadership is a complex, multifaceted phenomenon that has been defined in numerous ways (Grossman and Valiga, 2013). Students graduating with a BSN are required to step into leadership roles in health care systems that are complex, fast paced and stretched for resources. In order to prepare students to step onto these leadership roles they need to develop competencies in nursing leadership and nursing research. Senior nursing students in a small rural college in southern British Columbia (Canada) engage in a semester of theory and practice to further develop …

Filling The Gaps: How "Super Utilizers" Received Care Through A Hospital-School Of Nursing Partnership, Della J. Anderson

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Purpose: Our Emergency Department (ED) was experiencing increased visits by a patient population referred to as "Super Utilizers." The Continuum of Care department recognized an opportunity for innovative collaboration with the Emergency Department (ED) and an affiliated School of Nursing. A zero cost model program was created using Camden Model/Spectrum Health/Colorado Mental Health Model of Care as the basis. We determined these patients returned because of challenges in access to a primary care; inability to pay for healthcare services; lack of health education; or desire for social interaction. …

Got Stress? A Wellness Neuman Model Approach: Teambuilding Between Upper And Underclassmen, Amy Jo Barnes, Whitney Beiswanger, Zoey Dressel, Mariah Mcmillen-Feasel, Abigail Pfaff, Allissa Smith

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Stress is commonly experienced by college students; the pressure to maintain good grades while balancing family, work, and social responsibilities can either hinder or aid in a student's academic success. The challenge students often face is in obtaining adequate resources that will aid in maintaining a balance between the beneficial and the excessive and often debilitating amounts of stress. Nursing students have reported that stress is associated with a fear of making mistakes in clinical experiences that may result in patient harm, committing medication errors, feelings of inadequacy …

The Value Of The Dnp (Doctorate Of Nursing Practice) In Nursing Education, Cari S. Simpson, Diane A. Anderson

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: The Doctorate of Nursing Practice (DNP) is a newer degree endorsed by the American Nurses Association (ANA) in 2004 as the practice doctorate degree. There continues to be confusion as to the benefits of the DNP in academia. The counterpart PhD focuses on research based strategies and is the chosen degree for tenure in university settings. Controversy surrounding "academic rigor" of the DNP presents a barrier for not offering tenure to DNP prepared faculty. Unfortunately, there have been negative viewpoints that ultimately impact the tenure potential for the …

Faculty Attitudes Toward Interprofessional Eduation And Teamwork, Jodie C. Gary, Regina Bentley

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: The purpose of this presentation is to describe a journey for interprofessional education (IPE) at a health science center (HSC). Barriers for IPE and solutions will be examined. As attitudes of faculty towards IPE and teamwork impacts health professions education students, report on data from a study conducted to evaluate these attitudes will be shared. Purpose: Needed is the understanding of HSC faculty attitudes toward interprofessional education and teamwork in order to develop targeted faculty development in order to support interprofessional education amongst the health professions. Problem, Background …

The Virtual Construction Of A Community That Normalizes Commercial Sexual Exploitation: A Mixed Methods Analysis, Dawn Bounds

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: The underground nature of the commercial sex industry has made it difficult to articulate numbers of women, men, children, and communities impacted by the harms inherent in an industry built upon exploitation. What is known is that both detrimental physical and mental health harms exist as a result of commercial sexual exploitation. Unfortunately, with increased availability of the internet, access to commercial sex sites has increased. A study conducted in 8 states estimated that underground commercial sex was a $39.9 to $290 million industry in 2007 (Dank et …

Integrating Theory In An Alternative Community Health Nursing Clinical Experience, Brandy E. Strahan, Crystal G. Bennett

Biennial Convention (CONV)

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

Today's nursing students engage in various learning styles, presenting challenges for faculty to educate and create meaningful learning. Numerous other factors, such as limited clinical sites and increased competition for these sites, add to the challenge. Moreover, nursing faculty are pressured to increase the number of graduates and improve retention rates as education has become increasingly focused on didactic lecture and skill attainment negating students' learning styles. Nursing education needs to be relevant and responsive as student learning evolves and transitions from passive recipients to self-authorship. In an …

Teaching Nursing Care For Those With Intellectual/Developmental Disabilities: A Service-Learning Format, Cherie S. Adkins

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Individuals with intellectual/developmental disabilities (I/DD) constitute a vulnerable population worldwide. Despite health care disparities and co-morbid conditions many with I/DD face, few nursing schools include formal course-work addressing the health care needs/issues and nursing care for this population. When this content is taught using a service-learning format, students not only gain knowledge but practical experience interacting with these individuals. This presentation addresses the rationale for including a course on I/DD in nursing school curricula and how to implement such a course using a service-learning format.

Education As A Heart Failure Intervention: What Providers Taught Patients In One Hospital Setting, Theresa D. Galakatos

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Heart failure (HF) affects approximately 5.7 million people in the United States (US) and by 2030, projections show a 25% increase in prevalence (Go et al., 2012, 2013). For patients with HF, there are few solutions to this highly morbid, disabling, and costly disease. To reduce the risk of complications and disease progression, patients hospitalized with HF require education prior to discharge. There is compelling evidence for utilizing educational instruction that includes evidence-based guidelines from the American Heart Association (AHA). This study examined what HF information was provided to patients by health care …

Interprofessional Health Education: Preparing For Collaborative Practice, Michele S. Bednarzyk, Kathaleen C. Bloom

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

It is clear to many leading national organizations, such as the Institute of Medicine and other professional groups and accrediting bodies that learning in teams with other health professionals is an important way to improve the health and safety of the population. Interprofessional Education Collaborative Expert Panel (2011), identified four Competency Domains for interprofessional collaborative practice: values and ethics, roles and responsibilities, teams and teamwork, and communication. Interprofessional health education (IHE) is an innovative teaching-learning approach in which members of more than one health profession learn interactively to improve collaborative practice. The purpose …

Effective Use Of Employee Vaccination Data To Improve Healthcare Workers' Seasonal Influenza Vaccination Rates, Fatsani L. Dogani, Aaron Mendelsohn, Cassius Lockett

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Influenza is a global health problem annually resulting in excess mortality and morbidity. Vaccination is a well-established preventative measure for influenza and is especially encouraged in healthcare workers to prevent passing disease to patients. The objective of this study was to use employee vaccination data to assess factors associated with vaccination uptake (the percentage immunized) among workers at a large, healthcare institution in California during the 2006/2007 through 2011/2012 seasons. A combined cohort/cross sectional study design was utilized. Basic descriptive analyses were used to describe vaccination rates and reasons for vaccination declination by …

Teaching Nursing Leadership In Liberia, Magdeline C. Aagard

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Teaching nursing in a global context necessitates an understanding of the material being taught, as well as an understanding of the cultural context. Liberia's civil war ended 10 years ago, but the impact is still felt in the challenges in the healthcare infrastructure (Varpilah, Safer, Frenkel, Baba, Massaquoi, Barrow, 2011). Liberia's health care and nursing infrastructure was woefully understaffed and new nursing educational institutions are continually opening to meet these needs (Flomo-Jones, n.d.). The nursing educators in Liberia are typically diploma or bachelor's prepared, with a lack of master's prepared nursing faculty and …

Exploring The Factors That Influence The Interprofessional Delivery Of Palliative Care In Long-Term Care Facilities, Kathryn A. Pfaff, Jean Echlin, Lisa A. Hamilton

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The implementation of palliative care is considered the'gold standard' for care at end-of-life (Department of Health End of Life Care Strategy, 2008). Palliative care is an interprofessional approach that improves the quality of life for individuals with life-threatening illness, by early identification and management of pain and other physical symptoms. It integrates the psychological and spiritual aspects of patient care, offering a support system to help individuals live as actively as possible until death, and addresses the coping needs of individuals and families through illness and bereavement (World Health Organization, 2011). Nevertheless, there …

Innovation In Practice: A Qsen Framework For Redesigning A Clinical Advancement Program For Nurses, Kathleen A. Bradley

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The Institute of Medicine recommendations to address quality and safety provided the spark for the Quality Safety Education for Nurses (QSEN) movement. This spark has also been felt within the practice setting. QSEN now serves as the cornerstone for building competency-based practice focusing on the six domains of nursing practice. Healthcare reform is a driving force in the practice setting. Nursing executives value competency as the driver of quality, patient safety and cost of care. Improving nursing competency and advancing the profession are the goals of a clinical advancement program. This presentation will …

Innovation In Practice: A Qsen Framework For Redesigning A Clinical Advancement Program For Nurses And Strategies To Grow And Sustain A Competency Assessment Model Utilizing The Quality Safety Education For Nurses (Qsen) In The Clinical Setting, Nicki M. Shonka

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The Institute of Medicine recommendations to address quality and safety provided the spark for the Quality Safety Education for Nurses (QSEN) movement. This spark has also been felt within the practice setting. QSEN now serves as the cornerstone for building competency-based practice focusing on the six domains of nursing practice. Healthcare reform is a driving force in the practice setting. Nursing executives value competency as the driver of quality, patient safety and cost of care. Improving nursing competency and advancing the profession are the goals of a clinical advancement program. This presentation will …

The Power Of Partnership: Educator Collaboration With Procedural Area Nurses Improving Professional Development, Ani Jacob

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The nurse educator role as facilitator is to support the staff in pursuing educational opportunities, by providing guidance and collaborative relationships. It also applies to promoting professional growth and leadership opportunities. For the past few years there were inconsistent nurse educator coverage in the procedural areas within the hospital. Many of the house-wide educational initiatives and governing body requirements were not communicated to the staff in real time affecting compliance with educational requirements. This was due to, but not limited to, inconsistent Educator coverage in the procedural areas, inconsistent or delayed dissemination of …

It Takes A Village And A Plan: Leadership Development Of Novice Faculty Through A Team Project, Alison H. Edie

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The purpose of this presentation is to demonstrate the use of a team project in the leadership development of novice nursing faculty. The successful transition of expert nurse clinicians into nurse faculty leaders requires an intentional, structured individualized leadership development plan, the support of the academic community and the relationship of an experienced nurse leader that serves as a mentor. The Sigma Theta Tau Nurse Faculty Leadership Academy (NFLA) program uses a team leadership project and mentoring to advance nursing education through the leadership development of novice nurse faculty. (Sigma Theta Tau International, …

Changing The Behavior Of The Caribbean Immigrants In Toronto, Khelesh Persaud

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The purpose of this study was to evaluate the efficacy of the Canadian diabetes health education program in changing the behavior of Caribbean immigrants in Toronto with Type 2 diabetes using the health belief model. There is limited information in the literature about this topic. Previous studies conducted on the Caribbean population's Type 2 diabetics did not include sufficient educational information to meet the needs of the Caribbean people to decrease further health complications. This quasiexperimental study built upon existing research that suggested there is an overwhelming desire for culturally-sensitive diabetes self-management education. …

The Leader's Role In Assuring Person And Family Centered Care, Jane H. Barnsteiner

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The role of the leader in promoting person and family centered care is to create the systems, processes and structures for providing care that fully engages the person and family in the design, implementation and evaluation of health care. In addition to the above responsibilities, the Joint Commission (2009, p.3) notes: "it is the leaders who establish the organization's culture through their words, expectations for action, and behavior - a culture that values high-quality, safe patient care, responsible use of resources, community service, and ethical behavior; or a culture in which these goals …

Academic/Clinical Partnerships And The Team Approach To Dnp Practice Improvement Projects, Rona Levin

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

This presentation will focus on the win-win situation of partnering with clinical agencies for DNP Capstone Projects and five necessary components of such an approach. First, the philosophical and academic approach to capstone projects at New York University is to mimic the evidence-based practice improvement (EBPI) culture that graduates will be expected to facilitate/lead upon graduation. There is a clear differentiation between research and EBPI, which will be delineated. Implementing this approach in practice necessitates partnering with clinical agencies for improvement efforts. Key is focusing on the themes for improvement identified by the …