Digital Commons Network^™

The Digital Divide: Racial And Ethnic Differences In U.S. Mobile Phone Use To Access Online Health Information, Nancy M. H. Pontes, Manuel C. F. Pontes

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Purpose: Much previous research has investigated how people access the Internet and online health information. This research has identified the digital divide - minorities and low-income persons are more likely to lack access to the Internet and to online health information. Unfortunately, there has been very little previous research that has investigated how people use mobile devices to access the Internet and online health information. The current research addresses this gap in the literature and investigates the relationship between race-ethnicity and other demographic variables, and the role of mobile devices for access to …

Exploring The Determinations Of Health Literacy And Self-Management In Patients With Chronic Kidney Disease, Ya-Fang Ho, Yu-Chi Chen, Chen-Tzu Chi, Shu-Chuan Chen

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The aim of study was to investigate the relation between health literacy and self-management, and the determinations of self-management of chronic kidney disease (CKD) patients.

Methods: The study applied cross-sectional design. 410 subjects were recruited from nephrology clinic of four different level hospitals in Taiwan. The data were collected by using the structured questionnaires and chart reviews included subjective information and biomedical indicators, respectively.

Results: Results demonstrated that: (1) demographic characteristics, such as gender, age, education, employment status, living type and marital status were significantly with health literacy and its dimensions; (2) …

Global Advisory Panel On The Future Of Nursing (Gapfon): Recommendations, Strategies And Outcomes, Hester C. Klopper, Cathy D. Catrambone

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015 and Monday, July 27, 2015:

During this session, GAPFON's purpose will be discussed, as will the initial outcomes and recommendations from the global meetings held to date in Southeast Asia/Pacific Rim, the Caribbean, and Latin-Central America. Strategic action plans based on measurable outcomes will be discussed, along with recommendations developed regarding the process of consensus building among all stakeholders to identify key issues by region from a cultural and political perspective. The purpose of GAPFON, established by Sigma Theta Tau international (STTI), is to advance nursing's global voice and vision in the context …

First-Time Attendee Orientation, Lois Sarah Marshall

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015:

This session will identify multiple avenues of professional networking through conference attendance and help to create a forum for professional nursing teambuilding among conference attendees.

A Protocol To Measure Nursing Electronic Health Record Usability, Frank Lyerla, Christine Durbin

International Nursing Research Congress (INRC)

Purpose: The American Recovery and Reinvestment Act (Centers for Medicare and Medicaid Services, 2010) incentivized the adoption of electronic health records (EHR) in healthcare settings. The adoption rate of these systems is reported to be higher than ever before (Dustin et al, 2013). Many organizations are facing the challenge of modifying their existing system or selecting a new system that best meets their needs. A key contributor to the safe and effective use of technology is usability. Usability is an important concept that should be considered when making major EHR decisions. The usability of an EHR is defined by the …

Addressing The Challenges Of Conducting Research In Developing Countries, Roxanne Amerson, Cecily Weller Strang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Research should be conducted in a manner that is appropriate for the unique community and the culture of the proposed research site. While this may seem straightforward, it creates significant challenges when conducting research in developing countries where cultural viewpoints often vary significantly from those of developed countries. These challenges include: protecting the rights of the most vulnerable and disadvantaged populations while balancing the needs of many (Stapleton, Schroder-Bock, Laaser, Meershoek, & Popa, 2014), conducting research in a culturally-appropriate manner for the host country while balancing the rules of ethical research established by …

Nursing And Medical Staff Perceptions Of A Hospital-Based Medical Emergency Response Team, Catriona Anne Booker, Clint Douglas, Sonya R. Osborne, Robyn L. Fox, Kathleen Patrica Richter, Thea-Grace Collier

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Timely recognition and appropriate response to clinical deterioration has been at the forefront of international safety and quality agendas. Rapid response systems have been widely implemented to improve patient outcomes, yet evidence is inconclusive in confirming the effectiveness of these approaches consistently across a range of settings [1, 2]. Other studies have identified rapid response teams are often underused by staff [3, 4]. The purpose of this study was to explore and compare nursing and medical staff perceptions of a mature rapid response system at a large tertiary hospital using the Australian …

Dimensions Of Hospital Nurse Fatigue: Improving Clinical Outcomes With Translational Research, Diane A. Drake, Linsey M. Steege

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: The purpose of this study was to evaluate a strategy to profile fatigue dimensions for hospital nurses. The American Nurses Association (2014) updated a position statement to address nurse fatigue to promote safety and health in September 2014. The statement emphasizes the joint or shared roles and responsibilities of registered nurse and their employers to reduce risks from nurse fatigue. A presidential task force from the American College of Occupational and Environmental Medicine (2012) on fatigue risk management recognized the significant impact of fatigue for employees in the 24/7 work environments. Many …

Telehealth And Diabetes Self-Management, Amelia R. Malcom

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Background: Diabetes self-management has always been an integral part of diabetes management and access to care for diabetics requires time and travel for patients in this rural county. Telehealth technology is a tool that can provide access to diabetic educators and nutritionists in this rural county. The Executive Summary: Standards of Medical Care in Diabetes- 2013 lists diabetes self-management education, support, and a standard of care for all diabetics at the time of diagnosis and as needed thereafter. Effective self-management and quality of life are key outcomes of the DSME and should be …

Improving Maternal Child Health Using Mhealth Technology In A Middle-Income Country With Community Health Care Workers, Susan M. Bonnell

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: For this pilot project our team trained eight community health care workers (CHW) to monitor pregnant third trimester women for complications of pregnancy by evaluating them in their homes. Data collected at each home visit was transmitted through the use of mobile cell phone technology to the monitoring primary care physician to determine the health status of the mother. The pilot was implemented with data collection over a 6 month period. This pilot was implemented in El Cercado, located in the rural and remote 'frontier' of the Dominican Republic (DR). Maternal mortality …

Pain Management Outcomes: Comparing Post-Operative Patients In The U.S. And China, Gwen D. Sherwood, Hui Wang, Huaping Liu

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Postoperative pain management has posed a pervasive clinical problem in medical practice. Improving quality of pain management has been a focus for more than 20 years in America, but it hasn't become one of the routine tasks for professionals in China. Evidence of ethnic differences in pain perception and analgesia consumption may influence patient outcomes in pain management. Differences in patient outcomes of pain management between Chinese and American patients continues to be a persistent question. The purpose of this study is to investigate differences in patient outcomes and methods of pain …

Mock Competencies: An Intervention To Improve Student Outcomes, Jackie H. Jones, Marcella Ziegler, Diana M. Baughman, Camille Payne

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Nursing students experience high levels of stress during their educational program. There is an abundance of literature that addresses the impact of stress in nursing students and the effect it has on their learning, performance, and overall well-being. The level of stress experienced by nursing students can have a negative impact on their ability to learn and their academic performance (Chernomas & Shapiro, 2013; Jimenez, Navia-Osorio, & Diaz, 2010). Stress can cause nursing students to question their abilities (Chernomas & Shapiro, 2013). Stress can cause students to feel high levels of anxiety, worry, …

Illness Representations And Self-Management Behaviors Of African-American Adolescents With Asthma, Sharron J. Crowder

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Many African American adolescents have inadequate self-management behaviors, particularly during middle adolescence (14-16 years of age). Inaccurate beliefs, degree of asthma impairment (well controlled or not well controlled), and gender could influence asthma self-management (symptom management, medication management, and environmental control). The concept of illness representations concept from the common sense self-regulation model provided the framework for this study. This descriptive correlational study explored (1) differences in illness representations (cognitive and emotional) and self-management behaviors by gender, asthma impairment, and gender by asthma impairment of African American adolescents with asthma; and (2) …

Nurse Executives' Perceptions Of The Barriers And Facilitators Associated With Reaching An 80% Baccalaureate Prepared Nursing Workforce In Rural Kansas, Marlene R. Pietrocola

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Purpose: The Institute of Medicine (IOM) recommends that 80% of the Registered Nurses (RNin the workforce be baccalaureate prepared by the year 2020. This study explored the perceptions of nurse executives in rural Kansas about the barriers and facilitators to reaching an 80% baccalaureate prepared nursing workforce. Current educational staff mix and the educational staff mix goal were also explored. Methods: A qualitative descriptive design was used. Eight critical access hospitals throughout Kansas were purposively sampled. The nurse in the executive leadership position at each facility was interviewed. A questionnaire was used to …

Enhancing Interprofessional Education Through Technology-Supported Simulation: Lessons Learned, Alice L. March, Lea G. Yerby, Jeannine C. Lawrence, Robin Huebner

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Purpose: Although advances have been made the U.S. healthcare system continues to rely heavily on the silo model of education and practice. Students learn about their profession and practitioners provide care at their level of training, but often for only one disease and without the knowledge or understanding of the complementary roles of other healthcare professions in patient care. Therefore, patients with multiple chronic conditions receive fragmented care affecting cost, safety, effectiveness, quality of life, and mortality. Practitioners must be trained to collaborate in interprofessional (IP) teams. This cannot happen without each person …

An Evidence-Based Approach To Support Student Success In A Bsn Program: Win Project, Maria Rosario-Sim

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background Statement: SUNY Downstate Medical Center College of Nursing (CN) has implemented a three-prong approach to enrich the Accelerated Bachelor of Science in Nursing (ABSN) program and assist in student retention using concepts from themes emerging from literature on barriers and obstacles to retention of diverse and economically disadvantaged background students. The overarching concept in Project W.I.N is an educational environment supporting the needs of all students regardless of cultural, ethnic, racial, gender or economic backgrounds with mentorship as a common thread that permeates the supporting concepts. The CN tracked the overall impact …

Going For Gold: A Bundled Approach To Improve Resuscitation Performance, Odette Y. Comeau, Keith Ozenberger

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background: The global burden of cardiovascular disease and cardiac arrest is significant. According to data from the World Health Organization (2014), cardiovascular diseases are the leading cause of deaths worldwide from noncommunicable disease. Data from a systematic review found that the global average incidence of arrest of presumed cardiac cause was 55 adults per 100,000 person-years, with a survival rate of 7 percent (Berdowski, 2010). Patients experience cardiac arrest during hospitalization. In their 2014 update, the American Heart Association reports that 209,000 patients experience an in-hospital cardiac arrest each year, with a 22.7 …

Attitude Of Prognostic Disclosure To Terminal Cancer Patients: A Systematic Review Of The Literature, Tsui-Hsia Hsu, I-Chuan Li

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Background: Informed consent is not easy to cancer patients, especially for in the Chinese culture. In developed countries, patient autonomy is important including terminal ill patients. However, it has been found that terminal cancer patients are not been informed prognosis of their disease and it is common in Chinese cultural society. The determinators of whether the truth telling to patients when they have been diagnosed as cancer are attitudes of health professionals and families of cancer patients. The study reported that more than 90% of the families of cancer patients decide to take …

Clinical Guideline Development: Students Putting The Process Into Practice, Pamela Willson

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Purpose: The 2014 National Organization of Nurse Practitioner Faculty (NONPF) Core Competencies, expects faculty to impart Scientific Foundation Competencies to our students in nurse practitioner programs. Students should be equipped to critically analyze evidence, integrate and translate research into practice for the purpose of improving patient processes and outcomes. The educator's challenge is to identify assignments where scientific foundation competencies are understood and practiced by the student with such acumen as to be translated to their clinical practice behavior. Methods: A process evaluation was undertaken for a graduate teaching-learning assignment to develop a …

Correctional Health Care: Local, Regional And International Collaborations, Donna M. Zucker

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Purpose: The purpose of this presentation is to describe the nursing activities of building capacity and networks in Correctional Care and Criminal Justice. This will be illustrated by describing programs and activities completed in local, regional and international settings. Methods: Qualitative descriptions of both fieldwork and quantitative outcomes of research studies will be used as exemplars of correctional nursing capacity building and interprofessional collaboration. Outcomes of participation in professional networks include research study summaries. Results: Interprofessional collaboration takes many forms: forming consortia, joining enters of excellence and volunteering. Outcomes include expanding the knowledge …

Utilization Of Traditional Medicine In Oaxaca, Mexico, Carol Holtz, Richard Sowell

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: To describe the utilization of traditional medicine and/or the integration with Western medicine for prevention and treatment of illness or health conditions in Oaxaca, Mexico.

Methods: This qualitative study used face-to-face interviews with 22 people living in Oaxaca, Mexico. Each interview was conducted by a Spanish speaking nurse educator and audio-taped. Transcripts were translated into English by a fluent Spanish speaking interpreter. Additionally, field notes and demographic characteristics were obtained at each interview. The transcripts and participant characteristics formed the study data. The qualitative transcript data was analyzed using the constant comparative …

The Lived Experience Of Global Interprofessional Compassionate Caring In Guatemala, Autumn L. Argent, Dorothy J. Dunn

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The purpose of this project is to describe the experiences of participants in an interprofessional study abroad global healthcare program. A phenomenological research design will be used to describe and analyze the experience of global interprofessional compassionate caring in Guatemala. Four benefits of a study abroad opportunity have been identified as (1) personal growth, awareness, and appreciation of diversity; (2) development pf personal and interpersonal skills; (3) career focus and academic focus; and (4) critical-thinking skills and the ability to apply academic concepts in real-global situations (Jackson & Nyoni, 2012). Interprofessional education …

Enhancing Cultural Competence And Global Awareness For Baccalaureate Nursing Students: An Interdisciplinary Service Learning Approach To Safe Water In A Developing Country, Vicki L. Simpson, Elizabeth A. Richards

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Introduction: In recent years there have been multiple calls to action for nursing students to gain a global health perspective in an effort to increase cultural competence (Riner, 2011). In addition, interdisciplinary educational experiences have been identified as vital for nurses and other health care professionals (Smit & Tremethick, 2013; Institute of Medicine, 2010). One option to enhance cultural competence, global awareness, and teamwork is to use an interdisciplinary service-learning approach to address an identified issue in a global community. Service learning is a structured, reciprocal learning experience in which both the community …

Confidence In Competence: The Search For The Holy Grail, Rachael A. Vernon, Mary Chiarella, Luisa Toffoli, Eileen Willis, Clare Harvey, Julie Henderson, Patti Hamilton, Ian Blackman, Claire Verrall, Ellizabeth Abery

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

This symposium seeks to explore the interface between professional regulation, governance and competence to practise, particularly in relation to performance of competence, and to identify whether public safety can be assured through performance of competence (perhaps something of a holy grail), or awareness of competence, or indeed incompetence. Previous research has identified that the three common indicators of competence agreed by nurses and regulators alike are Continuing Professional Development (CPD), hours of practice and self-assessment against the competencies. However if these three indicators were a guarantee of competence, then arguably no-one would present …

The Relationship Between Bmi, And Depression, Anxiety And Stress Represented By The Physiologic Indicators Of Vagal Response And Blood Pressure, Rebecca Jo Helmreich

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to determine the relationship between body mass index (BMI), and depression, anxiety and stress represented by the physiologic indicators of vagal response and blood pressure. Depression, anxiety and stress are precursors for numerous poor outcomes that may be associated with physiologic changes in the autonomic vagal response that often result in perinatal complications. However, it is unclear why some women experiencing adversity remain resilient and have positive perinatal outcomes in spite of an over-abundance of life circumstances. Individuals with attenuated response to life obstacles may exhibit a lack of physiologic adaptability in response …

Southern African-American Women's Perceptions Of Coronary Artery Disease After A Myocardial Infarction: A Phenomenological Inquiry, Loretta Jones

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The American Heart Association (AHA) reported that cardiovascular diseases kill nearly 50,000 African-American (AA) women annually. Only 52% of AA women are aware of the signs and symptoms of a heart attack and only 36% of AA women know that heart disease is their greatest health risk. The pupose of this phenomenological study was to explore the lived experience of African American women, 50 years and older, who had experienced a myocardial infarction (MI) within the past five years.This study was consistent with the goal to decrease health disparities of AA women …

Linking The Electronic Health Record And Competency Systems To Improve Patient Outcomes, Kenneth W. Dion

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: The technology supporting today's electronic health records has evolved significantly since their first generation. However, the underlying systems integration model has changed very little over the same time period. Nursing has access to more patient data than ever before. Sadly, opportunities to utilize the data to inform the care process are still being overlooked. The Synergy Model states the by matching patience characteristics with nursing characteristics patient outcomes are optimized. The electronic health record provides a near complete view of the patient characteristics. However, systems for capturing nursing characteristics are lacking. A systems …

Qsen: Outcomes Of A National Project To Transform Education And Practice, Gwen D. Sherwood

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

The Quality and Safety Education for Nurses (QSEN) project initiated in 2005 and was funded through four phases until 2012 by the Robert Wood Johnson Foundation. Beginning with Phase I, the project was led by a National Expert Panel of pedagogical specialist and faculty who were experts in the six Institute of Medicine quality and safety competencies (1999) to identify the knowledge, skills, and attitudes needed to improve patient care outcomes. Recognizing there would likely be changes to educational policies, an Advisory Panel also participated in all phases and were in position to …

Following The Question: From Bedrest To Outer Space And Beyond, Christine E. Kasper

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Clinical observation often reveals observable pattern which when carefully described may lead to a continuous program of research over decades. The progression and development of findings from multiple studies involving the adaptation of skeletal muscle as well as brain trauma will be discussed, initially beginning with the effects of prolonged bedrest on the development atrophy and its reversal by exercise. These findings will then be applied to experiments during manned spaceflight and recovery of skeletal muscle and exercise capacity following return to gravity as well as to other clinical conditions. Recent studies of …

Education Utilizing Screening, Brief Intervention, And Referral To Treatment (Sbirt) For Interprofessional Groups Of Anesthesia Students (Ingas), Ann M. Mitchell, Kathryn Puskar, Irene Kane, Holly Hagle, Dawn Lindsay, Marie Fioravanti, John M. O'Donnell, Michael Neft

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: While health care providers will be required to work interprofessionally upon graduating and entering the field, there is little education or training on this matter. In order to provide patient-centered care with optimum outcomes, health care providers must be provided with the education to work together. This lack of education may contribute to the fact that there are 23 million Americans with drug abuse problems yet 83% remain untreated. Those left untreated are at a higher risk for a multitude of comorbidities. The focus of this project is on the interprofessional training …