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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 …

Development And Evaluation Of An Evidence-Based Clinical Practice Guideline Of Sexual Assault Forensic Examination For Female Victims, Jing-Ru Li, Jui-Ying Feng

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background: Sexual assault is a crime, and causes devastating impacts on victims. The number of reported cases of female sexual assault victims is steadily increased for the last 5 years in Taiwan. The current guideline from the Ministry of Health and Welfare, Taiwan provides limited information focusing on the process of forensic evidence collection. No evidence-based clinical guideline with state of art is available for forensic examiners to provide better and competent care to female victims of sexual assault.

Purpose: This study aims to develop and evaluate an evidence-based clinical practice guideline of …

Choosing Wisely: Advancing Health Through Nursing, Lisa J. Woodward

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

The U.S. health care system is the most costly in the world, accounting for 17% of the gross domestic product with estimates that percentage will grow to nearly 20% by 2020. At the same time, countries with health systems that out-perform the U.S. are also under pressure to derive greater value for the resources devoted to their health care systems. Inappropriate and overuse of procedures and testing in the U.S. healthcare system accounts for billions of dollars in inefficiencies, compromises quality of care, and puts patients at risk for harm. The IHI Triple …

Parental Report Of Sleep Problems Among Preschool Children And Their Predictors, Pi-Chen Chang

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Shortened child sleep duration has been identified as a 'risk factor' for poor child health outcomes like obesity. Identification of predictive factors for insufficient sleep may be helpful in developing interventions to change sleep health risk behaviors and for the purpose of preventing obesity in preschool populations. Preschool is the developmental stage of adopting health habits, thus it is an optimal time to promote healthy behaviors. Family is a health socialization unit and health habits aggregate within the family. Family is the major component of young children's social and environmental contexts, and …

Serum And Genetic Analysis Of Serotonin Associate To Geriatric Depression, Pedro Enrique Trujillo-Hernandez, Sandra Cecilia Esparza-Gonzalez, Maria De Los Angeles Villarreal-Reyna, Jose Gonzalez Tovar

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Background: Depression is a common mental disorder, characterized by sadness, loss of interest or pleasure, feelings of guilt or low self-worth, disturbed sleep or appetite, feelings of tiredness, and poor concentration, Over 20% of adults aged 60 and over suffer from a mental or neurological disorder (excluding headache disorders) and 6.6% of all disability (disability adjusted life years-DALYs) among over 60s is attributed to neurological and mental disorders. The most common neuropsychiatric disorders in this age group are dementia and depression. (World Health Organization, [WHO], 2012). Depression is both under diagnosed and …

The Nurse Educators Perspectives Of Clinical Teaching In The Skills Laboratory: A Malawian Experience, Judith C. Bruce, Annie N. Msosa

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Clinical skills laboratories continue to be an essential component of clinical teaching and learning in nurse education globally including the country of Malawi. As in many other developing countries, Malawi adopted the use of the skills laboratory through research findings and benchmarking from the well developed countries. The skills laboratory has been operational for more than ten years. However, it is not known how the clinical teaching and learning is taking place. In addition, much has been leaRN from developed countries but not much is known on how clinical teaching is progressing …

Implementing A Nurse-Led Community Care Team In Primary Care, Catherine E. Vanderboom, Diane E. Holland

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Background/Significance: Coordinating patient-centered care in primary care/Health Care Home (HCH) settings requires not only primary care redesign but also realignment between health care delivery systems and community service providers. Few structure and processes exist for collaboration between primary care and community services beyond minimally effective referrals. Developing and implementing community care teams are integral to delivery of comprehensive, well-coordinated care that supports patient self-management of multiple chronic health conditions. Our preliminary work developing a Community Care Team (CCT) resulted in improved outcomes for patients by leveraging three proven approaches that support successful self-management: …

Correlation Between The Cognitive, Functional And Physical Abilities Of The Elderly Packing Service, Alejandra Leija Mendoza, Maria De Los Angeles Villarreal-Reyna, Ana Laura Sr. Carrillo-Cervantes, Martha Alicia Magallanes-Monrreal, Juana Edith Cruz-Quevedo, Maria Magdalena Delabra-Salinas

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Purpose: To assess the correlation between the cognitive, functional and physical abilities of packer elderly volunteer in two commercial brands at Saltillo, Coahuila Methods: Descriptive correlational study between the cognitive, functional y physic abilities trough the Pfeiffer questionnaire, Barthel's index (AVD), Lawton & Brody scale and (AIVD) and the Senior Fitness Test; with 270 elderly people (AM) (n 1= 144 y n 2= 126 ) of two retailers in Saltillo, Coahuila, purposefully selected as they were presented at the time of data collection, which were processed through the statistical program SPSS V.21 Results: …

Knowledge And Attitudes Towards Hpv Vaccination Among Latina Mothers In An Urban, Low-Income Area, Rula M. Btoush, Frances Munet-Vilaro, Diane R. Brown, Jennifer Bucalo

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Cervical cancer and other HPV-related cancers are preventable diseases through the 3-dose series of the HPV vaccine. Healthy People 2020 objective IID-11.4 is to increase the vaccination coverage level of 3 doses of HPV vaccine for females by age 13 to 15 years to 80%. However, HPV vaccination rates remain dramatically low in the US, particularly in underserved areas. Therefore, the purpose of this study was to examine knowledge and attitudes about human Pepilloma virus (HPV) vaccination among Latina mothers, in low-income urban areas in the United States (US). The study also …

Implementing Compassionate Care Interventions In An Urban Primary Care Setting, Susan L. Nierenberg, Rose Bell

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

The development of Compassionate Care interventions for primary care is an overarching series of interventions and education aimed at enhancing culturally appropriate care to an underserved population. These interventions also address a number of priorities within the Patient Protection and Affordable Care Act of 2010, specifically in the area of quality improvement. The ACA's first priority is identified within the category of improvement of quality and health system performance. This section addresses national priorities that include the improved delivery of health care services, patient health outcomes and population health (ACA, 2013). Further, in …

A Targeted Implementation Strategy To Reduce Smoking In Pre And Post Natal Women, Heather Mcconnell, Irmajean Bajnok, Sheila John, Katherine Wallace

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

An evidence-based guideline focused on smoking cessation, published by a provincial nursing association in Canada has had widespread uptake across all sectors in health care provincially, nationally and internationally, with increasing impact on practice and policy changes involving nurses and other members of the interprofessional team. A system-wide implementation program has been funded for several years by the Ontario Ministry of Health and Long-Term Care, which has been designed to support the uptake of evidence in smoking cessation practice. This multi-pronged strategy, which is founded on the evidence-based best practice guideline, includes a …

Barriers And Promoters For Nurses' Participation In Cancer Treatment Decision Making Process And Patient Satisfaction With Treatment Decision, Sarah P. Mccarter, Joseph D. Tariman, Nadia Y. Spawn, Enisa Mehmeti, Jessica Speer, Jessica Bishop-Royse

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: To examine the barriers and promoters for nurses' participation during cancer treatment decision making (TDM) process and to describe the nurse and nurse practitioner's (NP) perspectives on their personal beliefs, values, and attitudes relevant to their participation in cancer TDM.

Study Design: Descriptive, cross-sectional study using a semi-structured interview schedule. Setting: Inpatient and outpatient oncology settings.

Sample: The study sample consisted of thirty nurses and nurse practitioners who are actively involved in direct patient care (see Table 1 for further demographic description). All thirty participants have completed the interviews, but only 21 …

Development Of The Revised Alzheimer's Disease-Related Quality Of Life (Adrql) In Japanese Version, Miho Matsui, Etsuko Yokoyama, Manami Niiyama

International Nursing Research Congress (INRC)

Session presented by Friday, July 24, 2015:

Purpose: The Alzheimer's Disease-Related Quality of Life (ADRQL) revised instrument was developed to assess health-related quality of life in people with Alzheimer's disease using assessments from family caregivers or professional staff. validity and reliability of the original form was examined, a revised ADRQL has not done although various care setting for dementia are needed to assess the effects of treatments and care. The purpose of this study was to examine validity and reliability of the revised ADRQL for Japanese elderly and related factors to ADQOL.

Methods: Original version of the ADRQL including 48 …

Effects Of Music And Movement On Mood In Patients With Major Depressive Disorder, Deborah J. Lassiter

International Nursing Research Congress (INRC)

L Major Depressive Disorder affects more than 350 million people worldwide, negatively impacting their quality of life and increasing their potential for mental health hospitalization with associated negative mood-related behaviors such as acts of aggression. In addition to being a worldwide problem, the background of this problem reveals that the negative effects of severe depression are also a local problem for hospitalized patients in Georgia, who may have difficulty caring for themselves, and may even attempt suicide. The purpose of this presentation is to evaluate the current state of the literature related to the effects of music and movement on …

Prescribing Knowledge And Practice Patterns Of Advanced Practice Nurses, Barbara H. Schaffner, Marjorie A. Vogt

International Nursing Research Congress (INRC)

Purpose: The purpose of this descriptive study is to explore the medication knowledge and prescribing practices used by APRN. Information about advanced practice registered nurse: APRN knowledge and practice patterns as related to prescribing medications is limited at the state, national and global levels. Yet prescribing medications is an important component of clinical practice for the APRN practitioner. Previous studies identify that prescribing medications is influenced by education and knowledge, practice settings, self-efficacy related to culture, external factors such as collaborating partners and cost (Gielen et al, 2014; Hussein & Brow, 2014; Buckley et al, 2013; Dawson & Lighthouse, 2010; …

An International Partnership For Nursing Education On Tobacco Dependence Treatment, Linda Patti Sarna, Stella Aguinaga Bialous, Marjorie Wells, Jenny Brook

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Tobacco use is the largest preventable cause of death, including cancer death, in both Czech Republic (CZ) and Poland (PL), annually responsible for 16,000 deaths and 67,000 deaths respectively. Tobacco prevalence in both countries remains a serious public health problem, with 2.5 million, or 36.9% of the population over the age of 15 years being smokers in CZ and 9.8 million, or 30.3% of the population over the age of 15 years in PL. Additionally, tobacco use among youth 13-15 years of age is very high at 39.8% in CZ and 23.3% in …

Evidence, Context, Facilitation: Improving Nurses' Translation Of Evidence Into Practice, Sally E. Lima, Fiona H. Newall, Sharon B. Kinney

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Much emphasis in undergraduate nursing studies is placed on the development of critical thinking, utilisation of research, and implementation of evidence based practice (EBP), with a view to delivering quality care. Similarly there is increasing recognition of the need to translate evidence into practice (Grimshaw, Eccles, Lavis, Hill & Squires, 2012). Healthcare organisations expect that practice will be based on quality evidence, however they also expect new nurses will 'hit the floor running', quickly gaining the clinical knowledge and skills necessary for practice (Wolff, Pesut & Regan, 2010). A number of papers, including …

Effects Of An Integrated Care Model (Icm) On People With Pre-Diabetes, Chiu-Chu Lin, Fu-Mian Tsai

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015: Purpose: This study aimed to develop an integrated care model (ICM) for people with pre-DM and to evaluate its effects on knowledge regarding pre-DM (K- pre-DM), dietary behaviors, health-promoting lifestyle, physical activity and pre-DM progression measures, including BW, BMI, fasting blood sugar, HbA1C, Tchol, HDL, LDL and TG. Methods: In this single-group, longitudinal study, participants underwent baseline pre-testing (T 0 ) and post-testing at 3 (T 1 ), 6 (T 2 ), and 12 (T 3 ) months after a 4-week group ICM program. Results: K- pre-DM was significantly increased (T 1 vs. …

Transitioning: A Synergy Care Practicum For Senior Nursing Students, Sabrena Chriscil Wells

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

For over 30 years, preceptorships have been used to facilitate student learning in the clinical setting (Udlis, 2006). In the past this has been done under the previous apprentice model within hospital education (Charleston & Happell, 2005, p.303). Providing one on one matching of nursing students to professional nurses opens up positive role modeling to them which has been shown to be an effective method of encouraging good work place practices and retention in the profession - this is examined. In the US, senior nursing students follow their assigned preceptors work schedule and …

Job Satisfaction And The Impact Of Immediate Recognition: Pilot Testing The Effectiveness Of A Kudos Program, Crystal Pellam, Joann D. Long

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Job satisfaction of nurses remains a global concern. Research suggests 42% of nurses perceive their skills and experience unrewarded. Despite knowledge of benefits arising from employee recognition, a gap exists informing how to best reward nurses. To effectively tackle the issue surrounding nurse job satisfaction, researchers must focus on reshaping current recognition programs supporting nurses in delivering comprehensive care. This research project examines factors enhancing job satisfaction emphasizing immediate recognition of nurses. Research suggests up to 35% of nurses are dissatisfied and intend to leave their current position. Kanter's theory of structural …

Music Does Soothe The Soul, Candy Bruton, Deborah F. Behan

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The purpose of this study is to measure heart rate, respiratory rate and O2 saturations on NICU babies when music is played at 55- 80 decibels to reduce stress in the irritable/fussy infant.

Methods: We used a comparative design to look at the heart rate, respiratory rate, and O2 saturations of neonates before and after music. If the neonate was determined to be irritable, which is crying for 5 minutes or more, we used physiological measures before and after music to determine statistical significance for the intervention. Infants in the NICU will …

Lateral Violence: Lived Experiences Of The Psychiatric Nurse, Margaret M. Touw

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Lateral violence is a matter of interest and cause for alarm among nurses. The literature review, sparse and with few empirical studies, generalizes lateral violence across the nursing discipline; there is no identification of any nursing specialty more at risk for experiencing lateral violence than others. The purpose of this phenomenological-descriptive study is to assess through a voluntary survey, if lateral violence is or has been an experience among psychiatric nurses. A series of focus groups will follow the survey to identify themes relative the psychiatric nurses' experiences with lateral violence. Atlas ti-7 …

Talk With Me Baby: Georgia's Language Nutrition Strategy, Ashley Darcy Mahoney

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Purpose: An early environment that includes language-rich, adult-child interactions, or language nutrition, is critical for a child's brain development and subsequent educational achievement. Research demonstrates that the strongest predictor of a child's academic success is the quality and quantity of words spoken to a child in the first three years of life, which is directly related to third grade literacy. Children from low-income families hear thirty million words less than peers from more affluent families and currently, only 21% of fourth-grade children from low-income families in Georgia can read at grade level. Talk …

Challenges Of Older People In Technological Disaster, Nahoko Okamoto, Chieko Greiner

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: As global aging progresses, disaster preparedness and resiliency of older people is becoming an issue because their special needs have not been well accommodated in the case of disaster relief. Technological disasters have a longer term impact on the health of the affected population than natural disasters. This study aims to analyze the challenges of older people in technological disaster situations.

Methods: The study was conducted in X city of Tokyo to where older people have been evacuated from an area severely affected by a nuclear power plant disaster. Older evacuees in …

Risk Factors For Bowel Obstruction And Effect Of Survival On Newly Diagnosed Colorectal Cancer Patients: An Example Of 2000-2009 Colorectal Cancer Cohorts In Taiwan, Pi-Ching Hsieh, Hui-Fang Su

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Bowel obstruction (BO) is major complication after resection of colorectal cancer, and is associated with increased mortality. The purpose of this retrospective cohort study was to investigate the incidence and risk factors for developing a new BO in a population-based cohort of colorectal cancer patients who had undergone surgery, and also to determine the effect of BO on survival.

Methods: A retrospective cohort study was conducted between 1997- 2010 using the National Health Insurance Research Database in Taiwan. The incidence of BO amongst 2000-2009 colorectal cancer cohorts and the associated risk factors …

Extending Courtesy To Our Littlest Patients: Interdisciplinary Collaboration To Promote Skin To Skin For Neonatal Comfort, Adria Vincent

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background: Laboratory services sought collaboration to increase satisfaction in the perception of their courtesy towards the mother/infant population. Press Ganey scores were used to measure this perception.

Case: This project aimed to extend the practice of encouraging skin to skin and breastfeeding to our interdisciplinary colleagues .Our facility was on the Baby-Friendly jouRN (desigation obtained in October, 2014) and had already hardwired skin to skin contact into our standard nursing care. A review of the literature revealed multiple randomized controlled studies and a systematic review that provided evidence that infants who are placed …

Ethnic Differences In Vitamin D Levels And Comorbid Conditions In Low Income Childbearing Women, Jennifer G. Woo

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Vitamin D deficiency is associated with many chronic health conditions such as osteoporosis, hypertension, and diabetes. Persons who are obese have low vitamin D levels. Low vitamin D levels have also been observed in persons who have depression and have potential adverse effects in pregnancy. African Americans have typically lower levels of vitamin D than Hispanics, but wanted to see if this held true in a predominantly Medicaid patient receiving care at an underserved health care center. A descriptive study was conducted to determine if there are any ethnic differences in the levels …

A Triad Strategy For Improving The African-American Nursing Student Experience: A Quality Improvement Project, Jennifer N. Bell

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Background/Significance of Problem: There are 3,063,162 licensed registered nurses in the United States, of that number there are 165,352 Black (non-Hispanic nurses). That equates to only 5.4% of all registered nurses in the country (U.S. Department of Health and Human Services, 2010). It is clear we must focus our attention on producing competent nurses with ethnically diverse backgrounds. There needs to be increased effort to ensure African American nursing students are supported in educational pathways to success.

Methods and Procedures: All enrolled African-American nursing students (in the first level) were solicited to participate …

Factors Associated With Sleep Disturbance In Midlife Women, Holly J. Jones

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The purpose of this secondary analysis is to describe factors associated with sleep disturbance in late pre-menopause and peri-menopause.

Methods: We conducted a secondary analysis of longitudinal data collected every 6 months (Time 1-8). A multiethnic sample of 158 women with a mean age of 48 (SD 2.20) remained in the study at 5 years (Time 8). Data extracted for this analysis include demographics, menopause status (determined by cycle regularity and urine FSH levels using STRAW criteria - a staging system for ovarian aging) anthropometrics (height and weight). Self-report data used for …

Hispanics' Health Care Literacy: Language Barrier Or Educational Barrier?, Anahi Penelope Munoz, Denia Pedroso

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Objectives: Determine that health care illiteracy among the Hispanic population is related to factors others than language barrier.Provide health care education and information among the South Florida Hispanic population through utilization of television media.

Purpose: Improve health care literacy among the South Florida Hispanic population through implementation of televised health care education.

Background: Health literacy is described as the ability to acquire, process, and understand basic health information and services to make suitable health care decisions (Berkman, Sheridan, Donahue, HalpeRN Crotty, 2011). Health literacy depends on the context. Even people with strong literacy …