Digital Commons Network^™

Effectiveness Of Group-Visits In A Women's Lifestyle Physical Activity Program For African-American Women, Jo Ellen Wilbur, Arlene Michaels Miller, Susan Buchholz, Lynne T. Braun, Barbara Dancy

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Theoretically-based group physical activity interventions have shown to be the most effective means of increasing physical activity in minority populations. Primary care providers, however, must refer patients to outside community resources where these group interventions have been developed and delivered. The group-visit or centering model, used in some primary care settings to provide health services and group interventions simultaneously, may offer a culturally-relevant, cost-effective alteRNive for delivering physical activity behavior change. In a large RCT, we examined the effects of a physical activity group-visit intervention with three different telephone support conditions (group-visit …

Social Stressors, Inflammation And Preterm Birth In African-American Women, Carmen Giurgescu

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: In 2012 in the United States, 11.5% of infants were born prematurely (<37 weeks) and African American women had almost twice the rates of preterm birth compared with non-Hispanic white women. Preterm birth is associated with neonatal mortality and morbidity, childhood illness, and school failures; and it costs $26 billion annually. Attempts to explain preterm birth disparity have focused on social stressors of neighborhood environment and racial discrimination. These social stressors increase psychological stress and are related to preterm birth. Psychological stress and its associated inflammation [e.g., interleukin (IL)-6] are also associated with preterm birth. In contrast, personal resources (e.g., coping, social support) ameliorate stress and have protective effects on preterm birth. Guided by the Stress and Coping model and the Psychoneuroimmunology framework, we examined the relationships among neighborhood environment, racial discrimination, psychological stress, personal resources, inflammation and preterm birth.

Methods: Using a longitudinal descriptive correlational design, we enrolled 114 pregnant African American women. Women completed questionnaires and had blood draw at 16-22 weeks and 26-32 weeks. Birth data were collected from medical records.

Results: Women who reported higher levels of perceived neighborhood stressors and more experiences of racial discrimination also reported higher levels of psychological stress and lower levels of personal resources. Psychological stress was related to higher levels of inflammation (IL-6, IL-8). Compared with women with full …

Sigma Theta Tau International And The United Nations, Cynthia Vlasich, Cathy D. Catrambone

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

The Honor Society of Nursing, Sigma Theta Tau International (STTI), was approved as an associated non-governmental organization (NGO) by the Department of Public Information of the United Nations (UN) in 2009. Since that time, STTI has increased its engagement and now holds Economic and Social Council status with the United Nations. This status was conferred on STTI in 2012 and allows member organizations greater privileges, access to nearly all intergovernmental processes at the UN dealing with economic and social development, allows the NGO to participate on UN committees and to have a 'voice' …

An Innovative Wellness Onboarding Program For Health Sciences Students: Baseline Findings With Implications For Practice And Future Research, Bernadette Mazurek Melnyk, Jacqueline Hoying, Caitlin Slevin, Colleen Mcgovern, Alice M. Teall

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

It is well known that the transition from high school to college is very stressful for many students across the world. In the freshman year, high levels of stress, anxiety, and depression are prevalent along with poor health practices and a tendency to gain weight. However, little is known about the transition into graduate school and how it impacts the health and wellness of students pursing health sciences professional degrees. This symposium will describe the development and implementation of an innovative wellness onboarding program for health sciences students at a large land grant …

Quality Of Life, Sleep Disorders And Serum Orexin In Persons With Hemodialysis Treatment, Luxana Reynaga-Ornelas, Christian F. Rodriguez-Perez, Karla Susana Vera-Delgado, Octavio A. Jimenez-Garza, Carol M. Baldwin

International Nursing Research Congress (INRC)

Purpose: The evaluation of the patients' health-related quality of life (HRQOL) represents the impact of the disease and its subsequent treatment on the perception of the their own wellness. The purpose of this study was ti examin the relationship between HRQOL, sleep disorders and serum levels of orexin.

Methods: This analytical study included 39 adults in renal replacement therapy (hemodialysis ) who signed the informed consent for participation. KDQOLSF -36 questionnaire and sleep habits questionnaire (SHHS) were used. Blood samples were taken for determination of orexin levels and analyzed by enzyme immunoassay technique (EIA). Data was captured and analyzed with …

Assessing Staff Nurses' Engagement With The Professional Practice Model Four Years After Implementation, Darlene Amendolair, Mary Kathleen Betsill, Sharon Myer

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015: Purpose: A Nursing Professional Practice Model provides a framework that addresses the essential characteristics, values and performance expectations of nurses (Jacobs, 2010; Jost and Rich, 2010). When nurses can articulate the caring concepts, performance behaviors, and delivery practices contained in the practice model, the model guides them to achieve the highest quality patient outcomes. Nursing excellence, as measured by the Magnet Recognition Program, requires that nurses be able to communicate their Professional Practice Model and define how it relates directly to their practice. A Nursing Professional Practice Model (NPPM) was developed and implemented …

Collaboration And Sustainability In Short-Term Global Immersion: Ten Years Of Experience, Caroline Varner Coburn, Corrine Abraham

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

For over ten years selected undergraduate nursing students at a southern United States university have participated in a global clinical immersion experience at the same Bahamian site. The program involves a partnership between the Bahamian Ministry of Health, a local non-governmental organization, local primary and secondary schools, faith-based community organizations, and Emory University's Nell Hodgson Woodruff School of Nursing (NHWSN). The overall goals have been to enhance healthcare in Eleuthera, The Bahamas through building local capacity among professional and non-professional community members and to enhance student learning and professional development through community engagement, …

Outcomes Of An Immersion Experience In The Dominican Republic, Marie O. Etienne, Patricia R. Messmer, Guerna Blot, Patrick Manos, Marjorie Williams, Nancy Henri

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Introduction: The Haitian American Nurses Association (HANA) joined forces with the Haitian Professional Coalition (HAPC) and the Bejamin Leon School of Nursing Miami Dade College (MDC) since 2005 to care for the migrant workers in the Dominican Republic. HANA organized and conducted medical missions in various 'Bateyes' (sugarcane plantations) in the Dominican Republic to provide healthcare and supplies to the migrant workers living in impoverished conditions. On March 16-23, 2013, 15 RNSN participated in the immersion project, similar to Gonzalez's (2013) immersive experience. Students collected over 375 book bags filled with school supplies …

The Association Between Exposure To Intimate Partner Violence And Having An Abnormal Pap Test And Hpv Infections Among Women In A Low-Income, Urban Area, Patricia Hindin, Rula M. Btoush

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: The purpose of this presentation is to examine the association between intimate partner violence (IPV) and abnormal Papanicolaou (Pap) test results, including human Pepillomavirus (HPV) infection and cellular abnormality. As well as the interaction of exposure to IPV with smoking, psychosocial stress and risky sexual behaviors on abnormal Pap test results. Intimate partner violence (IPV) affects 20-50% of women in the United States sometime in their lives. An estimated 40% of IPV victims seek medical treatment for their injuries. The National Center for Injury Prevention and Control has reported that 33% of …

The Role Of The Emergency Nurse Practitioner: A Transcontinental Comparison, Nena L. Tucker

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Originally designed to care for women and children, the nurse practitioner (NP) role has expanded into a number of speciality areas. One of the fastest growing specialty areas for NPs in the United States (US) is in emergency care (EC). Tremendous growth has been seen in both the academic and clinical sides of the role in the past decade. Clinically speaking, over five million emergency room (ER) patients were treated by nurse practitioners across the US in 2013. From an academic standpoint, EC nurse practitioners programs are popping up across the country and …

Validating A Measure Of Beliefs In Health Check-Ups Among Chinese Old Adults, Hanzhang Xu, Bei Wu, Wei Pan, Paulin Straughan

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Regular health check-ups are crucial in a secondary or tertiary prevention of diseases such as diabetes, hypertension, and cancer.1-3 These diseases could be detected through health check-ups at an early stage, which would be associated with better health outcomes such as fewer symptoms, delayed development of complications, and improved quality of life.4,5 Health check-ups are especially crucial for older adults because of high prevalence of co-occurring health issues and function decline that happen along with the aging process.6 Health beliefs and attitude towards health would have an impact on the performance of …

Igniting The Soul Through A Global Service-Learning Experience, Mary Hermann, Barbara Jones

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: How can the pedagogy of engagement in the human condition ignite the soul of a nursing student and foster exploration of issues such as culture, gender, sociopolitical and economic status that underlie quality of life and health disparities? According to Fong (2014) soul-making is the interaction of the intelligence, the human heart and the world. Service learning activities have the capacity to create soul-making experiences that can foster a global identify for students and create opportunities where the merging of intelligence and distressing human conditions can enable the maturation of the heart …

The Nursing Model Of Adult Day Care For Filipino Older Persons, Pearl Ed G. Cuevas

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: This study aimed to develop a model of a nurse-managed adult day care program for Filipino older persons to guide nurses in creating meaningful, focused, and structured activities for them. Participants include Filipino older persons regularly attending at the Manila Department of Social Welfare District V Drop-In Center for Senior Citizens.

Methods: A mixed methods research design was used. Health needs were determined by profiling, assessment of quality of life with the use of the World Health Organization (WHO)-Quality of Life (QOL) tool in ambulatory community-dwelling Filipino older persons, and followed by …

Evidence-Based Practice Learning Community, Cheryl Christ-Libertin, Rebecca Ellen Heyne, Heather L. Krichbaum

International Nursing Research Congress (INRC)

The purpose of this presentation is to share how a freestanding, Magnet designated children’s hospital provides an infrastructure to empower registered nurses to appraise the body of research evidence for planned changes in practice and deliver the highest quality of compassionate care using the best practices, technology and equipment available within our financial resources.

Knowledge Gaps In Practice-Based Problems And Research-Based Interventions Among Online Graduate Nursing Students, Patricia A. Riccio, Carol M. Patton, Joan Rosen Bloch

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: This study sought to: (1) describe the salient clinical nursing problems identified by practicing MSN students (2) determine if areas of inquiry were congruent to the priority themes of the National Institute of Nursing Research; (3) determine if sufficient scientific literature existed to guide research-based interventions, and (4) identify gaps. One of the many challenges with nursing education is to obtain a scientific measure of how nurses search for and implement scientific research and evidence into their professional nursing practice. The basis for this research evaluates student learning activities and assignment outcomes …

Nurturing Our Young, Tanya L. Smith

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015: Purpose: Historically nurses have been known to 'eat their young'. Within the nursing department at a MidwesteRNniversity, the faculty has adopted a new approach to relationships with future nursing students. The nursing department has incorporated activities to 'nurture our young'. At the university nursing faculty are not typically engaged with freshman nursing major students. Because the faculty in the nursing department usually only teach nursing subject classes, they do not have the exposure to the pre-nursing students. The nursing program starts during the junior year of classes. Last year the author expressed a …

Developing Trust In The Nurse-Patient Relationship When A Language Barrier Is Present, Sharon M. Jones

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015: Trust is an important component in the nurse-patient relationship with hospitalized patients and a key cultural value in the Hispanic culture. In my previous study of the development of trust with English-speaking Mexican American patients, trust was found to develop from positive interactions with the nurse and negative interactions led to the patient not wanting further contact with the nurse which led to patient safety conceRN A limitation of my previous study was not including Spanish-speaking patients. In this current study I explored how interpersonal trust develops between the nurse and the Spanish-speaking …

Studying Hcahps Scores And Patient Falls In The Context Of Caring Science, Tara M. Nichols, Mary Ann Hozak, John W. Nelson

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

This session includes two sub-sessions regarding examination of critical outcomes within care that were identified as both regulatory and financial stressors. Each organization used path analysis derived from a caring science research program to identify which critical outcomes could be studied within the building model of caring science research. Both studies are from acute care hospitals in the USA but have wide application across the globe, to any hospital seeking to improve outcomes within the context of caring science. Within the first path analysis, it was identified the patients perception of caring (using …

Influence Of Sociocultural Factors On The Attitudes Toward Intimate Partner Violence Among College Students In Costa Rica, Derby Munoz-Rojas

International Nursing Research Congress (INRC)

Purpose: Although intimate partner violence (IPV) is a worldwide public health issue affecting millions of people, adolescents and young adults are disproportionally affected. IPV is a complex problem primarily because it is influenced by a web of risks and protective factors, which interact and shape the experiences of each person. However, the exact nature of these interactions is not well understood, particularly among emerging adults and in cultures where gender norms are rapidly changing and less IPV research has been conducted, such as in Costa Rica. Specifically, little is known about the effect of sociocultural factors on the experiences of …

Mentoring Future Nurse Leaders: Collaboration Between A Sigma Theta Tau Chapter And A Nursing Student Association, Indra Hershorin, Lauren Schwal, Jevon Olea, Mureen Shaw, Debbie Mcgregor, Jacquie Marshall, Lolita Ann Mccarthy, Claudette Rose Chin

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Mentoring is increasingly being used in nursing and by nursing organizations with the aim of contributing to personal, professional and leadership development. Shea (1999) describes mentoring as a developmental, caring, sharing, and helping relationship where one person invests time, know-how, and effort in enhancing another person's growth, knowledge and skills. Sigma Theta Tau international (STTI) supports and advocates for mentoring as a key component of professional and leadership development. Mentoring programs not only make a difference in the health and vitality of an organization but benefits all parties involved; mentor, mentee, the organization …

Could Music Group Therapy Improve Negative Symptoms Of Schizophrenia?, Ching-Fane Chen

International Nursing Research Congress (INRC)

Background: Negative symptoms of schizophrenia refer to the weakening or lack of normal thoughts, emotions or behaviors. Music therapy has been suggested to reduce negative symptoms, but the existing evidence is limited in Taiwan. The purpose of the study was to examine the effects of music group therapy would improve negative symptoms of schizophrenia in acute psychiatric ward.

Methods: We take the scenario and asked an answerable clinical question, then acquired best evidence. Music therapy would improve negative symptoms of schizophrenia in acute psychiatric ward. The evidence was level 3. We applied the result in clinical practice. This study wants …

Staff Nurse Role Questioning Practice Locally And Providing A Guide For Nurses Globally, Michele Marie Farrington

International Nursing Research Congress (INRC)

The Future of Nursing: Leading Change, Advancing Health published in 2011 emphasized the need for nurses practicing to the full extent of their education and training. Bedside nurses are busy providing care in an environment of continuous change and pressing patient needs, but care delivery must be evidence-based. Several strategies promote a culture of inquiry and empower staff nurses (STNs) to participate in evidence-based practice (EBP). Mentoring to support STN-driven EBP has primarily been the responsibility of the CNS, clinical researcher, or faculty. Yet STNs have a critical role in creating a culture where EBP is the norm. STNs can …

Acculturation Is Associated With Cardiovascular Disease Risk In West African Immigrants In The United States, Yvonne Commodore-Mensah, Jerilyn K. Allen, Martha N. Hill, Cheryl R. Dennison Himmelfarb

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: Cardiovascular disease (CVD) is the leading cause of mortality and morbidity in the United States (US), accounting for more than 40% of all deaths, with ethnic minorities bearing a disproportionate burden of disease. The causes of increased risk for CVD in African-descent populations in the diaspora are incompletely understood. They may involve socio-economic and environmental factors, lifestyle changes, and cultural changes. These cultural changes (acculturation) that occur after migration of immigrants to the US may be detrimental or beneficial to health. The purpose of the Afro-Cardiac study was to examine the relationship …

Provider Cardiovascular Risk Management In An Urban Hiv Practice, Martha A. Abshire, Yvonne Commodore-Mensah, Jason E. Farley, Cheryl R. Dennison Himmelfarb

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: With the advancements of antiretroviral therapy (ART) persons living with HIV (PLWH) have experienced the benefits of longer life but may also be at increased cardiovascular disease (CVD) risk. Care providers for PLWH who are focused on achieving HIV infection control may not prioritize cardiovascular risk management. There have been few studies examining HIV provider CVD prevention practices among PLWH. This two-phase study examined the use of guideline-driven CVD prevention practices by the care providers for PLWH in an urban HIV clinic. Phase 1 was a provider survey and phase 2 was …

Influence Of Early Language Exposure On Children's Cognitive And Language Development, Lauren M. Head, Ashley Darcy Mahoney

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Purpose: Early childhood represents a critical period for brain development, in which foundations for later learning are established. Brain development is shaped through environmental experiences, including language exposure and parental engagement. Research shows that low-income children hear 30 million less words than their more affluent peers by the age of 4, and that this word gap contributes to disparities in their educational outcomes. As interventions aimed at bridging the word gap develop, literature should be evaluated to examine the influence of early language exposure on children's neurodevelopment. Methods: An integrated review of literature …

Accuracy Of Emergency Nurse Triage Of Patients With Symptoms Suggestive Of Acute Myocardial Infarction, Susan F. Sanders

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: More than 6 million people present to emergency departments (EDs) across the US annually, with a chief complaint of symptoms suggestive of acute myocardial infarction (AMI) (National Center for Health Statistics, 2008). Of the one million who are diagnosed with AMI, 350,000 die during the acute phase (IHI, 2009). Accurate triage in the ED can reduce mortality and morbidity, yet accuracy rates are low. The purpose of this study was to explore the relationship between patient characteristics, registered nurse (RN) characteristics, symptom presentation, and accuracy of ED RN triage level designations with …

Developing Expert Clinicians Into Clinical Faculty: A Mentoring-Teaching Experience, Judith M. Jarosinski, Tina P. Brown Reid, Katherine A. Hinderer, Lisa A. Seldomridge

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: To prepare expert nurse clinicians to become educators through participation in a clinical faculty academy and mentorship program. The aim of the study was to explore the transition from the role of nurse clinician to nurse educator and the influence of mentoring in this process. Globally, nurse educators have identified the faculty shortage as central to the evolving nursing shortage. Recruitment and retention of highly qualified individuals, from diverse backgrounds, to teach students in clinical settings is challenging. Educating practicing nurse experts about the complexity of the clinical academic environment requires a …

Using Pause And Flow (Physics) As A Method To Improve The Experience For Staff And Patients, Mary Ann Hozak, Janina Sweetenham Bywater, John W. Nelson

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Constructal Law has been used in multiple sciences to illustrate how design can impede or enhance flow. This session will reveal how Constructal Law, physics, was used to study the design of the work environment as reported by staff and the care experience as reported by patients. The first half of this session will examine the work of staff from the USA who conduct care on wards in an acute care hospital with persistent excellent scores of performance. Use of statistics to show ward performance was limited once the best scores were achieved …

The Effectiveness Of Integrated Nursing Education On Quality Of Life And Health Related Among Obstructive Sleep Apnea Patients With Continuous Positive Airway Pressure Therapy, Shui-Tao Hu, Lee-Ing Tsao, Chung-Chieh Yu, Chieh-Yu Liu

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The purpose was to examine the effectiveness of quality of life and health related after nursing education among obstructive sleep apnea (OSA) patients with continuous positive airway pressure (CPAP) therapy.

Methods: The experimental group received CPAP nursing care and the control group received routine care. The collection data of the both groups involved before intervention (pre-test), post-test (the 7th day after the intervention), and post post-test (the 30thday after the intervention). SPSS 17.0 was used, which included descriptive statistics, Chi-Square, Generalized Estimating Equation (GEE), and Analysis of Covariance (ANCOVA) for data analysis. …

Comparing Face-To-Face And Email Intervention For Intimate Partner Violence (Ipv) Survivors: Technologies Influence Nursing, Rose E. Constantino

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: The purpose of the study to explore the use of email-delivered HELPP intervention and compare it with a face-to-face delivered intervention focused on health, education, and legal information/services (HELLP) was designed for IPV survivors. As the conceptual framework, the Ecological Model (EM) by the World Health Organization (WHO) targeted the personal, interpersonal, and community domains of women surviving IPV. Specific problems within domains included the: personal domain (anxiety and depression); interpersonal (anger and personal support); and community (social support)

Methods: A mixed methods design was employed. The quantitative data from the Promise …