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Practice Change For Patients With Nasogastric/Orogastric Enteral Tubes: Safety Improvement Initiative, Sharon Y. Irving, Jacqueline E. Crawford, Elizabeth Goldberg, Anne Mohan, Nancy Ford, Daniela H. Davis

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The safety of bedside insertion for NG/OG tubes has become of increasing concern, particularly in pediatric patients. Serious safety events involving the misplacement of NG/OG enteral tubes prompted a review of our existing practices by a multidisciplinary team. The focus of the review was to assess existing practice and its alignment with the current literature and best evidence on the topic of NG/OG tube placement. The purpose of this project was to 1) educate multidisciplinary patient care staff to the risks associated with NG/OG tube insertion; 2) revise practice to align with …

The Emergency Nurse's Perception Of Incivility In The Workplace, Dana Manley, Dina Byers, Katy Garth, Betty Kuiper

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Workplace incivility is defined as low-intensity deviant behavior with ambiguous intent to harm the target, in violation of workplace norms for mutual respect. Uncivil behaviors are characteristically rude, discourteous, displaying a lack of respect for other (Anderson & Pearson, 1999, p. 457). Incivility among nurses is a growing problem. Uncivil behavior can cause nurses to experience post-traumatic stress disorder and symptoms such as low self-esteem, anxiety, sleep disturbance, recurrent nightmares, and depression (Mikkelsen & Einarsen, 2002). Research to date has focused on nurses in general with little research examining incivility among nurses …

The Lived Experience Of Breast Cancer In The Surveillance Phase Of Recovery: A Liminal Process, Patricia K. Amado

International Nursing Research Congress (INRC)

The purpose of this presentation is premised upon hermeneutical phenomenology. The method enables the narrative inquiry approach to research; from a therapeutic lens; the uniqueness it provides in coping and making- meaning of a chronic illness; breast cancer in order to facilitate healing body, mind, and spirit.

Fostering The Development Of Intuitive Decision-Making In Nursing: An Evidence-Based Model, Leslie Karns Payne

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Decision-making is a complex process involving interaction between many areas of the brain, and the physiology involved remains poorly understood. However, it is agreed, the making of a sound decision requires the integration of sensory, limbic, and autonomic information and is dependent on memory, patteRNecognition, and cognition (Bechara, Damasio & Damasio, 2000; Segalowitz, 2007). Nursing literature dealing with decision-making demonstrates the need for further empirical study. According to Thompson et al. (2013), the majority of educational interventions geared toward improving decision-making and judgment within nursing did not include decision-making theory as a foundation. …

Ladder To Success For Ebp, Kathaleen C. Bloom

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Evidence-based practice (EBP), crucial to all healthcare disciplines today, is an essential element in any nursing curriculum. It is critical that the foundation be laid early in the undergraduate nursing curriculum and threaded throughout all levels of nursing education. The University of North Florida has created a ladder for success in EBP that begins with BSN competencies and continues for graduate nursing students to the masters and DNP competencies. At the baccalaureate level, students progress through a series of three nursing science courses in which principles of EBP are introduced. These principles are …

Environmental Exposures Influence On The Antenatal Microbiome And Health Of Offspring, Michelle Lynn Wright, Angela R. Starkweather

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background: Environmental exposures relevant to health outcomes occur from preconception through death. Maternal exposures are believed to be especially influential in programming health outcomes in offspring since they occur during a critical developmental period. The interaction between maternal and fetal environments plays a critical role in high risk birth outcomes, fetal development, and later adult onset of disease. There is accumulating evidence that these exposures may alter the antenatal microbiome and subsequent microbiome and health of the offspring.

Objectives: The purpose of this presentation is to summarize and evaluate the current state of …

Applying The Constructs From The Sense Of Belongingness To Improve Job Satisfaction And Employee Retention, Sandra Welling

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Purpose: The purpose of this presentation is to present research which will inform nurse managers on how an improved sense of belonging in the workplace environment coupled with positive social identity could improve employee satisfaction and retention. Methods: The researcher utilized qualitative inquiry for the study. The target population for the primary study included a random sampling of registered nurses licensed in a southwest state. A random sample of registered nurse respondents was collected from a list of 23,000 registered nurses obtained from the Board of Nursing (BON). Data was analyzed by conducting …

Preparing For An Unfamiliar Setting: A Grounded Theory For Nursing Education Collaborations, Ramona B. Patterson

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Purpose: There is a global shortage of qualified healthcare workers, and international collaborations have been identified as a strategy to address the global healthcare worker crisis. A gap in understanding and evidence exists however, for guiding individuals as they prepare for nursing education partnerships and international collaborations in unfamiliar settings. Much of the existing knowledge base is hidden within institutional or organizational confines. Contextual variations relating to nursing education and practice necessitate a deeper understanding of preparation processes for appropriate role enactment when transferring the nurse educator role to an unfamiliar setting. The …

Maintaining Emergency Room Nurse Momentum To Screen For Substance Use, Irene Kane, Ann M. Mitchell, Kathryn Puskar, Holly Hagle, Dawn Lindsay, James L. Aiello, Kimberly Owens

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Substance use is a worldwide public-health priority. Annually, 2.5 million die from the harmful use of alcohol (World Health Organization (WHO) 2011 Global Status Report). WHO also reports that at least 15.3 million persons have drug use disorders (WHO, 2014). Risks associated with use of alcohol and other drugs can lead to accidents, violent behavior, and societal/developmental issues. To address substance use risks, an interprofessional (academic-community-health provider) partnership trained Emergency Department Registered Nurses (EDRN to utilize an evidence-based practice (Screening, Brief Intervention and Referral to Treatment: SBIRT) to screen patients for substance …

There's An App For That, Is There An Audience For That?: Determinants Of Smartphone Ownership And Comfort Of Use In An Urban Pre And Post Renal Transplant Population, Mark B. Lockwood, Christopher Lee

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Cellular phone ownership, including Smartphones, has increased substantially in the last several years According to a recent Nielsen survey, 3 out of 5 mobile subscribers own Smartphones. According to a 2012 report from the Pew Center, African Americans are more likely to own Smartphones and engage in the full functionality of the devices when compared to whites. The report also concluded that African Americans were significantly more likely to download mobile applications when compared to whites. It is suggested that this adoption of Smartphone technology by African-Americans could provide a means to …

Integration Of Caring Science Research Across Settings And Implications For Practice, Jayne Felgen, John W. Nelson

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

This session will provide a review of the six research studies presented in the Caring international Research Collaborative (CIRC) special session. Attendees will first review the resultant path analysis (flow of data results) from each study presented to examine similarities of practice across settings, contexts and countries. This session will be delivered within the concepts of transparency, collaboration, caring science, and operations of clinical practice. Sharing of science, according to Dr. Thomas Kuhn as a pioneer in modern science, reports is what makes new discovery possible. Each of the research models reveal antecedents, …

Community-Based Intervention To Promote Breast Cancer Screening, Awareness, Knowledge And Motivation Among Homeless Women, Roxana Orta

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: A national efforts is underway to detect breast cancer in its early stages which is very necessary to reduce breast cancer-associated mortality (National Cancer Institute, 2014) Despite many initiatives to increase breast cancer screening in the United States, minority homeless women continue to have alarmingly lowered rates of breast cancer screening, therefore increasing their risk for delay diagnosis and decreased survival after diagnosis (Bhargava & Du 2009; DeSantis, Siegel, Bandi & Jemal, 2011; Miller, King, Joseph & Richardson, 2012; Ooi, Martinez, & Li, 2011). A doctoral prepared nursing faculty member and RNSN …

Transformational Processes In Developing Cultural Understanding: Nursing Students' Experiences In Swaziland, Bethany A. Murray

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Purpose: The purpose of this study was to explore the experiences of an overseas service-learning health care delivery program in a group of Bachelor of Science in nursing (BSN) students. According to the United States (US) Census Bureau, minorities made up 37% of the US population in 2012. However, only 19% of minority backgrounds were represented in the Registered Nurse (RN) workforce, and only 12.3% of nursing faculty self-identified as an ethnic or racial minority (AACN, 2014). In 2014, a group of nursing students were accompanied by their university professor to Swaziland, Africa …

Building A Sustainable Clinical Nursing And Midwifery Research Network To Improve Health Outcomes In Southern And Eastern African Countries, Jennifer Dohrn, Hester C. Klopper, Elaine L. Larson, Grace M. Omoni, Address Malata, Yu-Hui Ferng, Carolyn Sun, Kenrick Cato

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Worldwide, nurses comprise the largest proportion of health care professionals and are the backbone of health care systems. To address the large global health disparities and provide universal coverage at the primary care level, the development of a robust nursing profession needs to be a critical goal in countries and regions with minimal human resources for health and huge disease burden. The African region bears 25% of the disease burden and only 1% of healthcare workers. Many gains have been made in nursing/midwifery clinical practice, such as nurse-initiated and managed HIV care …

The Effectiveness Of Team Training On Fall Prevention, Elizabeth Spiva, Bethany D. Robertson

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The purpose was to evaluate the effectiveness of a training curriculum based on 'TeamSTEPPS' on team members' safety culture, attitude, teamwork perception, and communication as a mediator to reduce falls and injuries.

Methods: A longitudinal, repeated measures design, with intervention and comparison groups was conducted to evaluate the effect of a training curriculum based on TeamSTEPPS with video vignettes focusing on fall prevention for debriefing and reinforcement on participants' safety culture, teamwork attitude, teamwork perception, and communication as a mediator to reduce falls and injuries. Questionnaires, behavioral observations, and fall data were …

Interprofessional Team-Based Approach To Patients With Chronic Hepatitis C And Psychiatric Co-Morbidity, Donald Gardenier, Angela Woody, Catherine Amory

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

In this symposium, we will present three case studies of patients treated for chronic hepatitis C while managing their co-morbid psychiatric illness in a primary care-based, interprofessional model. Each of our patient exemplars successfully completed treatment based on individualized care plans developed for them by our team which consists of a nurse practitioner, a social worker, and a patient navigator/care coordinator. Our care plans were based on the overarching goal of achieving a sustained viral response to treatment which included medication management, side effect management, crisis intervention, ongoing care coordination, and support. We …

Let Me Tell You More About Breast Cancer!, Elisa Rodriguez

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

The purpose of this presentation is to show how a team of RNSN students from Miami Dade College - Community Nursing course were able to disseminate awareness among the community about importance of early detection of breast cancer during Making Strides against Cancer Walk in Miami Dade County. The group of students gathered evidenced-based information about importance of early diagnosis of breast cancer. The group of students then worked together with course professor to find out the best way to propagate the researched information to the community of interest. The community consisted of …

A Program To Build The Healthy Dietary Habits Of Preschoolers Based On Social Cognitive Theory, Yunhee Shin

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The purpose of this study is to develop a program to build the healthy dietary habits of preschoolers based on Social Cognitive Theory, and to explore the effects of a theory based, developmentally appropriate program.

Methods: A non-equivalent control group, pretest-posttest design will be used in this study. The independent variable will be a theory based and developmentally appropriate program. The dependent variables will be knowledge and performance related to dietary habits among the preschoolers' parents and the teachers at the day care centers where the participants are enrolled, as well as …

Nursing Intervention Based On Tai Chi For The Improvement Of Equilibrium, Stability And Quality Of Gait In Older Adults, Luis Cortez-Gonzalez, Angeles Villarreal-Reyna, Martha Alicia Magallanes-Monrreal, Daniel Sifuentes-Leura, Diana Berenice Cortes-Montelongo

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

The loss of equilibrium, stability and quality of gait leads older adults (OA) to present a higher risk of suffering falls and, subsequently, this has severe consequences both physical and psychological, not forgetting about its social and economic repercussion, and observing a higher mortality as well, as this causes 70% of the deaths caused by accidents on OA. Objectives To evaluate the results of a Tai Chi based program directed to OA, users of a day center in the city of Saltillo, Mexico, with the aim of promote the successful aging of the …

The Effectiveness Of Intervention For Family Caregiver's Role Transition: A Systematic Review, Shiao-Pei Wang

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Background: As aging population, patients with chronic disease increased as well as long term care needs. There is no doubt that care responsibility falls on informal caregivers. During transitional process of becoming a family caregiver who suffered from physio-psycho-social dilemma, such as frustration, depressive, limited social life, feeling exhausted, sibling fractured relationships, loss of control, and feeling alone. Therefore, appropriate interventions are needed for role transition to becoming a caregiver. As a clinical nursing staff, we have the responsibility to helping family of ventilator dependent patients role transition successfully and becoming a competent …

Help-Seeking Behaviors For Counseling And Psychological Services Among Hispanic Lesbians And Bisexual Women, Yoo Mi Jeong

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The purpose of the study was to examine the effect of acculturation on the relationships among predisposing characteristics, enabling characteristics, and use of counseling and psychological services for depression and heavy drinking by Hispanic lesbians and bisexual women.

Methods: The sample includes 354 participants from the original cohort and 373 participants from the new supplemental sample added in wave 3 of the Chicago Health and Life Experiences of Women (CHLEW) study.

Results: The mean age for the sample was 40 years (SD = 14.0). Nearly one-fourth (23.7%, n = 172) of the …

Dedicated Unit And Preceptor Model: An Innovation On Precepting, Wendy Ostendorf, Jennifer Painter

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The traditional model of clinical practice for nursing students has always been a 1 faculty to 8 student ratio on the nursing unit. In this model, the precepted experience is usually reserved for the final semester of the program. The purpose of this proposed study was to explore the outcomes of a dedicated unit and preceptor model on student and staff members' experiences in the clinical setting.

Methods: The research design for this study was a qualitative, descriptive study. After consenting to participate, participants answered semi-structured questions posted on survey monkey. Participants …

Swot Analysis Utilization On Grade-N2 Nurses' Career Planning, Hui Zhu Chen, Li-Chin Chen

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015: Purpose: The quantitative, cross-section survey aimed at investigating job satisfaction, future life planning and career planning of grade-N2 nurses. Methods: The purposive sampling object is grade-N2 and grade-N3 nurse, 48 cases included totally. The study was conducted via self-structured questionnaire (Cronbach 's alpha .83, CVI: .87) which includes the status of the individual, family, financial, social and career. In addition, open questions include : 1. SWOT analysis of personal strengths and weaknesses. 2. Recent (within 1 year), short-term (1-3 years) and mid-term (3-5 years) target. 3. Individual goal to be achieved and hospital …

What Challenges And Experiences Do Immigrant Turkish Muslim Women Face When Acquiring Healthcare In America?, Janna Hackett

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The purpose of this study was to determine Turkish Muslim immigrants' perspectives of the care received in the United States with emphasis on actions to improve cultural acceptance and understanding. Integration of transcultural nursing research enhances the provision of culturally competent, equitable care.

Methods: The study was conducted using a simple questionnaire based on available literature for Turkish Islamic women through the Raindrop Turkish House in Lubbock, Texas. Demographic data was attained including age, primary language spoken in the home, marital status, year moved to the U.S., highest level of education and …

The Course Satisfaction Survey Of Self-Health Care Classes For Older Taiwanese People In The Community Adult School, Chen-Yuan Hsu, Tzu-Fei Chen

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The percentage of the older Taiwanese people is increasing and related to improve understanding of self-health care for this population is an important. This study is to explore the course satisfaction of self-health care classes for older Taiwanese people studying in the community adult school. The course targets to help those people to interest learning in the community adult school, and therefore improving their self-health care.

Methods: This study was based on the population of an Ershui Community Adult School in Changhua County of Taiwan. There was the number of samples 81 …

The Healthy Siblings' Caring Experience Of Schizophrenic Patients With Home Visit Care, Shao-Wei Liu, Yun-Fang Tsai, Yi-Wen Wang, Yu-Ting Chen

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The purpose of this study was to explore the healthy siblings' experience for taking care of the community-resident schizophrenic patients with home visit care.

Methods: A qualitative research design was adopted and 15 participants were recruited from a medical center in the central part of Taiwan. Data were collected by a semi-structured interview guide. To analyze the data, the method proposed by Miles and Huberman (1994) was applied and the principles suggested by Lincon and Guba (1985) were used to examine the validity of the study.

Results: The results extracted a core …

Patients And Health Care Workers' Experiences With The Rfid System For Health Screening, Hee Sun Kang, Seongshin Kim

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Radiofrequency identification (RFID) is a technology that uses electronic tags. This research aimed to understand user experiences of an electronic tag (RFID) system used in health care centers.

Methods: This study had a descriptive qualitative research design. Participants were 12 patients and 20 health care workers at health care centers in Korea. Data were collected from March 17 to April 28, 2014, via focus group interviews. After obtaining permission from the participants, each focus group session was audio-taped and transcribed. The responses were analyzed using qualitative content analysis.

Results: The four main …

Revisiting Access To Care In The Era Of The Affordable Care Act: Mammography Screening In African-American Women, Arica A. Brandford

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: To present thematic findings from interviews with African American women regarding their mammography experiences with an emphasis on the broad framework presented by Penchansky and Thomas in order to gain insight into how provision of health insurance via the Affordable Care Act fits into a larger scheme of access to care and its impact on health disparities research.

Methods: This qualitative study utilized a convenience sample of 39 African American women presenting to the emergency department (ED) of a public university hospital. These women were either seated in the ED or presented …

Social Welfare Needs And Utilizations Of Aged Adults In Taiwan, Kuei-Min Chen, Hsiu-Fen Hsieh, Mei-Hui Lin, Yueh-Chin Wang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Owing to the rapid population aging, increased incidence of chronic diseases, and the changing family structure, the demand for long-term care for older adults continues to escalate sharply. A good policy dedicated to the welfare of older adults improves their quality of life. This study aimed to: 1) explore the current social welfare needs and utilization of aged adults, and 2) compare their differences among age groups, genders, and functional dependency levels.

Methods: Using a stratified random sampling, 384 Taiwanese community-dwelling aged adults were recruited for this survey research. Participants were asked …

Healthcare Utilization Among North Korean Refugees: A Mixed-Method Study, Hae-Ra Han, Jong-Eun Lee, Kyounghae Kim, Miyong T. Kim

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: North Korean (NK) refugees are known to have poor physical and emotional health, yet the extent and patteRNf their healthcare utilization have not been systematically investigated. The purposes of this study were three-fold: (1) to examine the extent and patteRNf healthcare utilization among NK refugees before (in North Korea) and after they arrived in South Korea; (2) to assess their key health behaviors in terms of drinking, smoking, and medication taking; and (3) to explore key barriers and facilitators of their healthcare use.

Methods: We surveyed NK refugees in South Korea. A …