Digital Commons Network^™

Preparing Future Nurses For Practice: Becoming A Teacher-Scholar, Susan S. Vanbeuge

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

This session is being offered to those individuals who are interested in pursuing a teaching position in nursing and want to know about the faculty role in higher education. We will review the concepts of working in academia to include the major areas required: teaching, research, and service. If an attendee is looking for a position as a new faculty or moving from the community college level to the research university focus, this session will focus on the expectations of a new and established faculty member in this endeavor from the perspective of …

A Focused Ethnography: Nurses Transitioning To A Nursing Specialty, Mary Adams Brinkman

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Transitioning to a new area of practice whether it is as a recent graduate nurse or a nurse transitioning to a different specialty area in nursing, there occurs many feelings associated with the adjustments in learning a new area of practice. As there is a projected nursing shortage in the next five to ten years, the need for experience nurses to prepare and educate nurses as they transition to new areas of nursing is essential to maintain a safe and productive nursing workforce. As hospitals educate their own OR nurses, retention following orientation …

Teaching Undergraduate Nursing Students: An Innovative Approach To Answering Clinical Questions Utilizing Current Evidence-Based Practice, Jene' M. Hurlbut, Judith Carrion

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

We were challenged with the redevelopment of a 3 credit undergraduate nursing research course into a two week time frame. This approach was supported by the University's block curriculum based on mastery content learning. The course redevelopment used traditional learning activities, levels of evidence based practice, and unique learning activities to teach research concepts. A primary motivation for the re-development of this course was students past evaluations of the overall relevance of the course to "real" nursing. The re-design of this research course enabled students to develop research skills through the generation of …

Claiming An Area Of Knowledge As Nursing Science To Improve The Health Of Marginalized Populations, Jacquelyn C. Campbell

Biennial Convention (CONV)

The meaning of the Greek word episteme is a system of understanding or a body of ideas which give shape to the knowledge of that time, contrasted to "doxa" or common belief or opinion. The collaborative effort of many nurse researchers and practitioners over 25 years has resulted in the holistic health outcomes of violence being recognized both inside and outside nursing as an important area of nursing science. Nursing science has broken ground in integrating knowledge about the physiological and neurobiological with physical and mental health and behavioral responses to being abused and victimized by violence. The nursing knowledge …

Team Communication And Collaboration: Debriefing After Acute Obstetric Clinical Events, Suzanne Lundeen, Maureen S. Padilla, Monique Rhodes

Biennial Convention (CONV)

The purpose of the presentation is to discuss the effects of inter-professional team debriefing after acute obstetrical events on the safety attitude of the health care workers. Safety attitude includes: teamwork climate, safety climate, job satisfaction, perceptions of management, stress recognition and working conditions.

Choosing Wisely: The Role Of Nurse In Reducing Unnecessary Healthcare, Lisa J. Woodward, Pamela J. Bradshaw

Biennial Convention (CONV)

The purpose of this presentation is to educate participants about the Choosing Wisely® campaign in an effort to improve nursing practice, patient-centered care delivery, quality of care, and safety.

Effects Of Dance In Chronic Illness: A Systematic Review, Alona Angosta, Patricia K. Gatlin, Reimund Serafica

Biennial Convention (CONV)

Background: Dance is a social and physical activity. It has been used therapeutically for thousands of years and was thought to influence healing (Ritter & Low, 1996). Research in dance therapy has substantially increased in recent years particularly research related to cancer and among healthy individuals. However, it is unknown whether dance impacts health-related outcomes among individuals with chronic illness. Additionally, empirical studies need to be evaluated to determine the effectiveness of dance as evidence-based intervention. Purpose: This systematic review explored studies on dance and its impact in chronic illness. Methods: A literature search was conducted utilizing electronic searches using …

Presents Muevete On Cinco De Mayo Day To Reduce Obesity In Children Of Migrant Workers, Patricia R. Messmer, Yamina Alvarez, Yolanda Nitti, Giannina Santos

Biennial Convention (CONV)

Introduction: In July, 2014, Mexico restricted food marketing to children since Mexico is the biggest per-capita consumer of Coca-Colaand 3rd largest markert by revenue for Pepsi (Wall Street Journal, 8/22/2014). Television ads were banned on cereals like Fruit Loops and Frosted Flakes between 2:30pm and 7:30pm on weekdays and 7:30am and 7:30pm on weekends (www.foodnavigator-usa.com/Regulation/mexico-restricts-junk-food-ads-time-for-rethink-on-advertising). Mexico is fast becoming a leader in the fight against obesity with other countries like the United Kingdom, Norway and Quebec, Canda. Childhood obesity is widely recognized as a major public health problem of global significance (Onis, 2014). Treating obesity-related illness (25% of Florida population) …

Avoiding Delays For Surgery: It Is Important, Susana Dominguez, Arculana Robles

Biennial Convention (CONV)

Problem: No physician pre-operative orders and day of surgery orders was identified as a critical challenge. Absent physician orders was causing delays in surgical start times due to lack of operative consent and incorrect or missing pre-operative testing needed by the physician. Aim: The aim for the CIT project was to find a solution to prevent patients from arriving to their pre-operative appointment without any orders. One physician showed interest in participating in the project to prevent delays in his surgery start times. A group of nurses from the pre-operative center and same day surgery met with physician to find …

Promoting Inclusion Of Diverse Students Into Nursing Education For Leadership Development, Sharon Elizabeth Metcalfe

Biennial Convention (CONV)

Purpose: The purpose of the Nursing Network: Careers and Technology Program as authorized in Title VIII, Section 821 of the Public Health Service Act is to increase nursing education leadership opportunities for individuals from disadvantaged backgrounds (including racial and ethnic minorities under-represented among registered nurses). The NN-CAT (Nursing Network-Nursing Careers and Technology) program is designed to provide student stipends, scholarships, and opportunities for mentorship through three innovative sub-programs focusing upon increasing cultural inclusivity in nursing education. Methods/Clinical Research Expertise Area/Pedagogy: The NN-CAT Mentoring Program was established in 2013 at Western Carolina University whose faculty were concerned about the shortage of …

Walking For Heart Health In Rural Women, Elisabeth J. Marigliano, Pamela S. Stewart Fahs, Cristina Ludden

Biennial Convention (CONV)

Purpose: To examine the effects of a walking program on outcomes such as blood pressure, total and HDL cholesterol, body mass index (BMI), 10 year cardiovascular risk and results of a 6-minute walk test for adult women in a rural community in upstate New York. Method: A 10 week walking program was initiated in a rural community in upstate New York; a convenience sample of 70 eligible females was obtained from this walking program. We successfully retained 62 of those participants to study completion; however 2 participants did not have a post cholesterol reading. We collected pre and post BMI, …

The Petal Project: Bringing The Community Together Through Service, Karen M. Parker, Natalie Ann Masco

Biennial Convention (CONV)

As we increasingly become a global community, one of the challenges faced by schools of nursing today is building awareness of and an opportunity for responsiveness to global healthcare needs (Memmott, et. al., 2010; Burgess, et. al, 2014). Since May of 2011, the student nurses and faculty at the Wegmans School of Nursing (WSON) at St. John Fisher College (SJFC) have been involved in an initiative to keep young girls in the developing world in school. The Petal Project began following a medical mission trip with undergraduate students to a school and health clinic in a rural town in the …

Diverse Educational Initiatives To Prevent Catheter-Associated Urinary Tract Infection In Critical Care, Erika L. Simon

Biennial Convention (CONV)

Critical care units demonstrate the highest prevalence of Catheter Associated Urinary Tract Infection (CAUTI) and greatly impact acceptance of catheter use within a facility (Elpern et. al, 2009). The Critical Care department at Flagstaff Medical Center (FMC) encompasses an intensive care unit (20 beds), cardiovascular intensive care unit (11 beds) and step-down unit (18 beds). Changing the culture of urinary catheter care among these units is challenging in regards to re-focusing nurses to think critically about the current state of catheter use, evidence-based catheter indications, and situations that potentiate the development of a CAUTI. Addressing education for staff started with …

An Adapted Clinical Teaching Model: Shifting From Traditional To Targeted, Sheila Epp

Biennial Convention (CONV)

Health systems and care environments are faced with increasing complexity as a result of advancing knowledge and technology. At the same time, many agencies are experiencing financial resource and human resource constraints. These factors come together to generate a wide array of ethical and safety challenges for both health care and health care education. Nursing programs, similar to several other health education programs, have struggled to provide graduates with the knowledge, skills, and abilities needed to enter such complex health care environments. The natural temptation is to add more content, assessment, and practice to already dense curricula. The result can …

Building A Culture Of Geriatric Excellence: One Hospital's Experience, Louise Laufer Hummel

Biennial Convention (CONV)

It is well known that an acute care hospitalization can be a pivotal event in the life of an older person. Within our hospital, the average daily inpatient census is seventy (70%) over the age of 65. As the American population ages, so does the need to care for acute and chronic conditions effecting the geriatric population. Through the leadership of the hospital's nursing vice president, it was determined that there was a need to have nurses with expertise in gerontological nursing practice. Key stakeholders were chosen to focus on geriatric education, certification, and evidence based practices to provide superior …

Addressing Student Stress And Preparation For Upper Division Nursing Courses, Susan C. Mills, Anne Marie Krouse, Anne Marie Krouse

Biennial Convention (CONV)

Nursing students must be prepared to face a rapidly changing and increasingly complex health care environment. This preparation requires a challenging curriculum that is often accompanied by an increased workload and student stress regarding their academic progress. The purpose of the qualitative aspect of this mixed method study was to identify student perceptions of active learning practices incorporated into the junior year in a new curriculum. A descriptive qualitative design utilizing focus group interviews for data collection was employed to explore student perceptions of stress, engagement and self-directed learning in an active learning environment. Twenty-three students participated in focus group …

An Academic Shared Governance Model For Leadership In An Academic Setting, Patricia G. Francis-Johnson, Ruth Ann Bridges, Carol Boswell

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: A West Texas university school of nursing (SON) has experienced tremendous growth over the past 14 years in three strategic areas - student enrollment, geographic locations, and program offerings. Currently, the SON has students and program offerings in multiple locations throughout central and west Texas. The SON Leadership Team has committed to continued growth to meet the need for a highly educated and well-trained nursing workforce in Texas and the nation. This high level of organizational complexity has created challenges in communication and engagement of the faculty and staff. As a result of …

Advancing Clinical Data Standards In Canada, Kathryn J. Hannah

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Advancing Clinical Data Standards in Canada. The collection, reporting and use of standardized data offers the opportunity to transform healthcare, however, for the most part the standardized data collected to date is predominantly comprised of performance indicators. The uptake and use of standardized clinical data continues to present a challenge in healthcare. Canadian Health Outcomes for Better Information and Care (C-HOBIC) is an initiative of the Canadian Nurses Association (CNA) that is leading the way with the collection of standardized clinical outcomes reflective of nursing practice in Canada. Building on groundbreaking work in …

Fibromyalgia: Implementation Of Health Information Technology In Routine Care, Toni Sparks, Jennifer Kawi, Nancy N. Menzel, Kendall Hartley

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Background: Fibromyalgia is a global condition and its management remains complicated and challenging. Implementation of health information technology is an evidence-based non-pharmacological self and symptom management strategy that has application in fibromyalgia (Vanderboom, Vincent, Luedtke, Rhudy, & Bowles, 2014). However, there is a paucity of studies evaluating the feasibility of such technology in assisting toward the management of fibromyalgia patients in clinical practice. FibroGuide is an example of an evidence-based, interactive, and computer-based program comprised of 10 educational modules on fibromyalgia (Williams et a., 2010). Purpose: A process was developed for implementing FibroGuide …

Enhancing Mental Health Nursing Practicum With Clinical Simulation: A Comparison Of Student Outcomes, April L. Mouser, Lizann Atkin

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Background: Opportunities for experiential mental health experiences in acute care settings are decreasing. In addition, acute care settings are restricting student practice opportunities thus, limiting the quality of learning experiences. An excellent experiential alternative is the use of clinical simulation. Simulations can be used to supplement and enhance mental health nursing practicums by providing students with opportunities to interact, assess, and manage common mental health nursing challenges. Objectives: The learner will be able to articulate the steps used to create an enhanced, comprehensive mental health simulation program, including topic selection and scenario development. …

Ed Community Placement Project (Edcpp): "Right Service-Right Venue", Karen Elizabeth Mitchell-Keels

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Background: San Diego has the 3rd largest homeless population in the United States, second only to New York and Los Angeles. Nearly one-third of all visits to the emergency room are made by people who struggle with chronic homelessness coupled with co-occurring disorders. Emergency departments (ED) are not equipped to meet the psychosocial needs of homeless community members and do not have the capacity to assist them with housing, substance abuse treatment, and mental health care. Goal Statement: The goal for this project was to identify the costliest and in need patients, then …

Dynamics And Identity In Families Of Gender Non-Conforming Children/Youth: A Longitudinal Phenomenological Exploration, Christine M. Aramburu Alegria

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Dynamics and Identity in Families of Gender Non-Conforming Children/Youth: A Longitudinal Phenomenological Exploration: The present study explores the dynamics and evolution of families that include gender non-conforming children/youth (including transgender children/youth). Through in-depth interviews with parents/guardians, the researcher explores the lived experiences and evolution of identity among all family members, the strengths and challenges in navigating society as a diverse family, and the impact upon a family when one member identifies as gender non-conforming. In a society that has little more than a superficial knowledge of gender non-conforming individuals, routine activities such as …

Emergency Room Nurses Transitioning From Curative To End-Of-Life Care: The Rural Influence, Roberta Rolland

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Emergency Room (ER) nurses in rural communities face unique obstacles and barriers while caring for patients and families at end-of-life. Standard guidelines, programs, and resources may be more difficult to implement in smaller rural hospitals with a limited budget and staff. For this reason, it is important to explore the needs of rural ER nurses to develop education, resources, and support unique to end-of-life care in rural communities. A secondary content analysis was performed to examine rural influences on ER nurses transitioning care from curative to end-of-life care. The preliminary study using grounded …

Boosting Students' Engagement In Political Learning, Pamela M. Gehrke

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Health care and nursing are political, and nurses' contributions are needed in policy decision-making processes. Political and policy participation can happen wherever nurses practice: in hospitals, agencies, communities, and government from local to global levels. However, the knowledge, skills, and inclination to participate in policy processes are not automatic and are required of nurses in order to influence healthy lives for all. Graduate nursing education prepares nurses for policy roles, but research is limited about what political and policy education is taught to undergraduate nursing students or how they learn the concepts, skills, …

Leading The Adoption Of Choosing Wisely Recommendations Into Practice: Drawing On Principles From Ebp, Kathleen R. Stevens

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Higher-quality care is a national goal for nurse leaders and is expressed by the National Quality Strategy to achieve better care for individuals, better health for populations, and greater value (lower per capita costs). The importance of choosing care that is supported by evidence (EBP) was raised to new heights in the IOM Quality Chasm and Future of Nursing reports. The new Choosing Wisely initiative examines the "flip-side" of evidence-based practice (EBP), that is, removing from practice those approaches for which there is evidence of ineffectiveness or harm. Unnecessary and ineffective procedures and …

Gnla Leadership Journey: Community Resource Group Project: A Mississippi (Ms) Community Initiative, Christie J. Robbins

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Introduction: The Geriatric Nursing Leadership Academy (GNLA) is designed to assist and support the development leadership of advance practice nurses (APRNs). It focuses on individual leadership development, advancing nursing practice through leading through an interprofessional team project, and advancing the scope of influence of APRNs at the community, state and national levels. As a GNLA Fellow, I was able to implement an interprofessional project centered on improving geriatric health outcomes. This leadership development journey has been supported by my employer, Matrix Medical Network, a community health industry founder …

Gaining Perspectives And Global Awareness Through Collaborative Online Learning (Coil), Teddie Potter

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015: Global learning in higher education has transitioned from being an opportunity for the privileged few to a core competency for all students. Collaborative Online International Learning (COIL) offers all students an opportunity to interact directly with students and faculty from a distant global culture. This is especially important for students who might otherwise not be able to travel abroad due to finances, different physical abilities, or family obligations. Just as the rewards of COIL are numerous so are the challenges including language, time zones, technology, and different levels of comfort with online learning. …

Breakthrough Thinking: A Model To Differentiate Adn And Bsn Education, Sharon K. Kumm

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015: Nursing faculty at an academic medical center revised the traditional BSN curriculum based on five themes: (1) Communication/Professionalism, (2) Leadership, (3) Nursing across the Lifespan, (4) Evidence-based Practice/Quality Improvement and (5) Populations Health. A Q-sort methodology was used to match baccalaureate outcomes to the themes and a model was developed based on the proportion of outcomes per theme. The model informed the pre-licensure nursing program, but was not useful in the post-licensure program due to time constraints. To revise the model for the post-licensure program, faculty turned to our community college partners. The …

Application And Evaluation Of A Global Learning Rubric, Mary Beth Riner

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015: The state of knowledge continues to evolve in terms of best practices for global learning under the broad rubric of internationalizing the curriculum. Educators can benefit from the use of peer reviewed tools in designing curricula, courses, and learning experiences for global learning experiences. Use of the Global Learning Value Rubric provides a means to develop curricula plans for comprehensive integration of global learning into nursing curriculum, define specific objectives for a range of learning experiences, and to assess student progression in developing global perspectives. The rubric can be used to develop common …

College Of Nursing Response To The Ebola Education Crisis: The Need For A Safe, Interactive, Clinical Education Strategy, Linda Carl, Dee Mcgonigle

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015: In 2014, reports emerged about spread of the deadly Ebola virus from South Africa to the United States (US) (Centers for Disease Control & Prevention, 2014). News media, political figures, healthcare professionals, and the public showed grave concern and fear over healthcare delivery system failures to protect against cross contamination across US borders, in the community, and within hospitals. As the Ebola crisis played out in multi-media forums and around the world, hospitals and providers voiced the need to know how to render safe and effective care and how to protect from acquiring …