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Differential Impacts Of Family Factors On Psychological Disorders Between Latina And Latino Americans, Cara L. Pappas, Amy L. Ai

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: As one of the two fastest growing minority groups in the United States (US), Latino Americans are expected to count for an estimated 30% of the national population in 2050 (US Census Bureau, 2010). Despite a rapidly growing Latina/o American population, few studies have investigated modifiable psychosocial factors that could protect Latina/os against major psychiatric disorders. The present gender-specific study explored psychosocial protective (Family Cohesion, Social Support, Religious Involvement, and Racial and Ethnic Identity) and risk factors (Negative Interaction) for major depressive disorder (MDD), general anxiety disorder (GAD), and suicidal ideation (SI) …

Prevalence And Factors Related To Fear Of Falling And Avoidance Of Activity In Postmenopausal Women, Sukhee Ahn

International Nursing Research Congress (INRC)

Purpose: This study was to identify the prevalence of fear of falling and avoidance activity and analyze the univariate and multivariate associations between demographic- and health-related variables and levels of fear of falling and avoidance of activity in postmenopausal women with at least mild fear of falling. Methods: Cross-sectional study in 541 postmenopausal women aged from 50 to 64 years was conducted via a stratified convenience sampling. A structured questionnaire was administered to subjects to measure demographic (age, education, living situation), health-related (perceived health status, osteoporosis diagnosed, experience of fall and fracture, and fracture history when fell down) and psychosocial …

Evaluation Of The Implementation Of Aspan's Evidence-Based Clinical Practice Guideline For The Prevention And/Or Treatment Of Postoperative Nausea And Vomiting, Lisa Stephens

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Evaluation of the Implementation of the ASPAN's Evidence-Based Clinical Practice Guideline for the Prevention and/or Treatment of Postoperative Nausea and Vomiting Lisa Stephens DNP, CRN Assistant Professor Georgia Regents University Augusta, GAAims: Postoperative nausea and vomiting (PONV) impacts up to 60% of surgical patients annually. Evidence based guidelines have been developed to guide the prevention/management of PONV; however the impact of guideline implementation on patient outcome has not been evaluated. The purpose of this study was to evaluate the relationship of implementation of anesthesia specific guideline recommendations to the incidence of PONV. A …

Assessment Of Female Sexual Health By Advanced Practice Nurses In Primary Care Setting, Marina Moiseyeva, Aimee Uchytil, Jennifer Baxter

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Female Sexual Dysfunction (FSD), persistent, recurrent problems with sexual response or desire, affects an estimated 43% of women in the United States. Assessment of female patients' sexual health is infrequent and inadequate among Advance Practice Nurses (APNs). Research suggests that limited time and inadequate communication skills are barriers APNs face when initiating and completing sexual health histories. Female sexual health history assessment is important because it could be a sign of underlying medical conditions and sexual health and satisfaction is vital for the patients' overall well being. This study will examine primary …

A Partnership To Strengthen Educators' Capacity In Delivery Curriculum, Mina D. Singh, Caitlin R. Beggs

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background: In 2012, Guyana Nursing Schools adopted a new curriculum in preparation for integration into the Caribbean Nursing Council. Efforts are being made to implement this curriculum and prepare students for the competencies for entry to practice. Educators from Guyana, Canada and United States were involved in developing a series of workshops towards strengthening tutor capacity in delivering the new curriculum.

Purpose: The aim of this project is to strengthen nursing tutors' capacity towards developing instructional guides and multiple choice item writing.

Results: A hybrid delivery using both online and in-person intensive tutor …

Improving Medication Adherence In The Geriatric Population With Hypertension By Using A Teamlet Model With A Systematic Program Of Medication Reconciliation In A Primary Setting, Leticia Ann Ramirez

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

This scholarly project examines one way to improve medication adherence among elderly patients diagnosed with hypertension by educating clinical staff on the teamlet model. Decades of research have shown the consequences of untreated or under-treated hypertension, factors associated with hypertension management, and lifestyle/behavioral modifications essential for healthy living. Research on the importance of the health coach's interaction with primarily Hispanic elders who have hypertension and the effects on their medication adherence is lacking. An assessment of a family practice clinic was conducted to evaluate the suboptimal treatment of hypertension in the elderly population. …

Nurse-Led Patient-Centered Advance Care Planning: A Pilot Study, Diane E. Holland, Catherine E. Vanderboom, Ann Marie Dose, Cory J. Ingram

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background/Significance: Advance care planning (ACP) is necessary for aligning patients' treatment preferences with healthcare they receive when they are unable to speak for themselves. Undesired, burdensome treatment, the most troubling outcome when ACP has not occurred,1 will persist as long as patients are not proactively engaged in ACP before it is needed. Although ACP continues to be a growing United States national imperative and after 20 years of legislative support (Patient Self-Determination Act, 1991), ACP participation rates remain low2, likely due to a somewhat narrow focus on just completing a legal document. There …

The Paths Of Social Support, Resilience, And Emotional Distress On Quality Of Life In Patients With Type 2 Diabetes, Ruey-Hsia Wang, Shyi Jang Shin, Yau-Jiunn Lee

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Background: Quality of life is an important health outcome for patients with Type 2 diabetes. Previous evidences have indicated that resilience, social support, and emotional distress are significantly associated with quality of life. However, the causal paths among social support, resilience, emotional distress, and quality of life have been less examined, especially in Asian populations with type 2 diabetes.

Purpose: The purpose of this cross-sectional study was to test a hypothesized model addressing the paths of social support, resilience, and emotional distress on quality of life in patients with type 2 diabetes.

Methods: …

Reducing Foley Catheter Days And Infection In An Acute Care Setting: Using The Urinary Catheter Bundle, Michelle Johnson

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Problem: Urinary tract infections (UTIs) are a common Hospital Acquired Infection (HAI). Approximately 80% of hospital acquired UTIs occur in the presence of a urinary catheter. Lengthy dwell time (time period in which an indwelling Cather is in the bladder) is an important contributor in catheter-associated urinary tract infection (CAUTI).

Purpose: This project translated evidence into an intervention to decrease CAUTIs on a medical unit that averaged above the National Healthcare Safety Network (NHSN) benchmark for CAUTIs during the first eight months in 2013.

Evidence: A systematic literature search was conducted using the …

An Inquiry Into The Undergraduate Nursing Students' Development Of Clinical Judgment, Martha Kay Lawrence

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Nurse educators strive to produce new graduate nurses with the competencies of the advanced beginner (Benner, Sutphen, Leonard & Day, 2010). Yet there is widespread recognition that recent graduates initially enter practice with limited preparation for providing safe nursing care to complex patients (Welding, 2011). Sound clinical judgment is an important aspect of providing safe care. Clinical judgment involves the nurse's grasp of patient needs and the decision to take action (Tanner, 2006). The nurse with sound clinical judgment skills views the patient holistically, readily grasps salient patient needs, and anticipates potential changes …

Relationship Between Quality Of Work Life And Nurses Leave The Profession Through Mediation Of Nurses' Intention To Leave Their Profession, Ya-Wen Lee, Yu-Tzu Dai

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The purpose of this study was to explore the relationships between quality of work life (QWL), nurses' intention to leave their profession (ITLpro) and nurses leave the profession and whether nurses' ITLpro mediated the relationship between QWL and nurses leave the profession.

Methods: One-year prospective study was conducted using purposive sampling of 1,283 nurses at seven hospitals in Taiwan. Data were collected from March to June 2012 and followed up at March to June 2013. Three questionnaires, including the Chinese version of the Quality of Nursing Work Life scale (C-QNWL), a questionnaire …

A Florida County's Special Needs Coordination During Eoc Activation For Tropical Storm Andrea, Montray M. Smith

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The Florida Division of Emergency Management (FDEM) assigns students to organizations to strengthen fundamental emergency concepts and develop skills necessary to work in emergency management. One student intern was assigned to the Jacksonville Fire and Rescue Department Emergency Preparedness Division, Emergency Operations Center (EOC), Duval County Special Needs department during the EOC Level II activation during Tropical Storm Andrea. Data collected during this activation included updating the county's Special Needs database on the local residents, an essential tool in public health and emergency management.

Methods: Quantitative methodology was used. Regional cross sectional …

A Multimodal Telehealth Heart Failure Patient Behavior Change Intervention To Promote Self-Care And Reduce Readmissions, Shelley Hawkins, Tanna Thomason, Carl "Fritz" Steen, Erika Turner, Alex Boreen, Leila Cavazos

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The purpose of this feasibility study is to determine if older adult Heart Failure (HF) patients who have recently been discharged from the hospital will experience a reduction in readmissions when participating in a multimoddal telehealth motivational interviewing HF self-care educational intervention. The secondary purpose is to determine if the telehealth MI older adult HF patients experience a reduction in readmissions when compared to (1) older adult HF patients who have a MI self-care educational intervention, and (2) older adult HF patients who have a traditional approach health promotion educational intervention.

Methods: …

Primary Care Or Acute Care: Healthcare Access On A Coffee Farm Clinic In Rural Nicaragua, Jessica Alicea-Planas

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Nicaragua is a country with nearly 6 million inhabitants and is considered the second poorest country in Latina America. In Nicaragua rural areas contain 45 % of the country's population, yet 65% of the poor and 80% of the extreme poor live in these areas. Rural poverty is often more profound than urban poverty, with rural communities facing multiple challenges which may put them more at risk for negative health outcomes. Migrant workers, especially, are considered a marginalized population and may face an assortment of health challenges like infectious diseases, chemical and …

A Pilot To Improve Professional Competence And Safety Through The Use Of Clinical Information Systems And Healthcare Technology In Nursing And Allied Health Clinically-Based Courses, Elizabeth D. Katrancha, Nickole M. George, Dawn M. Drahnak

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The goal of this project is to develop, implement, and evaluate an innovative teaching strategy designed utilizing a simulated clinical information system (CIS), specifically a simulated electronic health record (EHR), within the classroom and simulation lab. Concepts central to utilization of clinical information systems are introduced early in the program, but hands on experience with these technologies is limited. Providing access to and experience in the use of a simulated EHR as part of the curriculum will allow faculty to guide students in developing the skills necessary to become safe, competent practitioners. …

Cultural Humility: A Concept Analysis, Diana Lyn Baptiste, Cynthia L. Foronda, Kevin B. Ousman, Maren M. Reinholdt

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Diversity is being increasingly recognized as an area of emphasis in health care. The term cultural humility is used frequently but society's understanding of the term is unclear. The aim of this paper was to provide a concept analysis and a current definition for the term cultural humility. To capture society's definition of the term, seven databases representing different disciplines were explored. Abstracts were read for relevance and sixty two articles from were included in the review. Rodgers and Knafl's (2000) method of concept analysis was used to guide the process. Cultural humility …

Intentional Touch For Healing Mind Body Spirit, Beverly K. Byers

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: To determine the number of publications and their findings regarding intentional touch and healing on the human body, mind, and spirit.

Methods: A systematic review of appropriate databases was conducted following the prescribed criteria for the steps of the review process.

Results: A diligent search located published articles relating to intentional touch and the effects on the body, mind, and spirit. Articles were analyzed and results of each article were summarized.

Conclusions: The systematic review revealed the number of publications regarding intentional touch and healing. It includes a compilation of the findings …

The Impact Of Barcode Medication Administration Workarounds On Medication Safety, Tiffany Ann Truitt

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Barcode medication administration (BCMA) is designed to intercept medication errors that may occur during the administration stage of the medication process. BCMA is an advanced technology that ensures: verification of the five rights of medication administration, real-time documentation of medication administration, and compliance with hospital policies and procedures. BCMA enhances efficiency and accuracy of medication administration; however, when BCMA design does not reflect nursing practice, blocks in workflow occur. These blocks require nurses to problem solve in order to complete medication administration tasks in a timely manner. Therefore, an extensive review of the …

Academic Leadership In Baccalaureate Nursing Programs: A Literature Review, Amanda C. Reichert

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Background: The aging population, lack of succession planning and leadership development in health care, and long term effects of America's economic down tuRNn 2008, have been identified as factors contributing to the imminent health care leadership crisis forecasted in the coming decades (Balogh-Robinson, 2012; AACN, 2014). By 2025, a shortage of between 300,000 and one million nurses is predicted (IOM, 2011). As a result of the aging workforce, seventy-five percent of nursing's current leaders will leave nursing by 2020 (IOM, 2011). Recruiting and retaining faculty is a major challenge facing nursing education leaders …

Pregnant Women's Knowledge About Smoking, Breastfeeding And Breast Cancer, Christine W. Abbyad

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Breastfeeding has been shown to be a protective factor against breast cancer. Lebanon has some of the lowest rates in the Middle East. While 96% of women initiate breastfeeding at birth, by 1 year only 27% are still being breastfed. Also, it has been shown that there is a relationship between breastfeeding and breast cancer especially for women who begin smoking before their first child. 31% of Lebanese women smoke and of those 25% smoke during pregnancy. Therefore this ongoing research aims to answer two questions: Do pregnant women who receive care …

Perceptions Contributing To Cervical Cancer Screening Decisions In African Born Immigrant Women, Adebola Adegboyega, Jennifer Hatcher

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Disparities in cervical cancer screenings exist for foreign born women in the United States (Hurtado-de-Mendoza, Song, Kigen, Jennings, Nwabukwu, and Sheppard (2014). Immigrants have lower screening rates compared to non-immigrant population in the United States (Harcourt, Ghebre, Whembolua, Zhang, Osman and Okuyemi (2014) despite availability of screening test which allows for detection and treatment of precancerous lesions. African migrants represent one of the fastest growing groups of immigrants to the United States. However, there is a scarcity of information about the attitudes and barriers contributing to preventive healthcare practices of African migrants …

Relationship Between Psychological Adjustment And Occupation In Laryngectomized Patients In Japan, Kumiko Kotake, Yoshimi Suzukamo, Kazuyo Iwanaga, Ichiro Kai, Kaori Haba, Aya Takahashi

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The purpose of this study was to clarify the relationship between the psychological adjustment laryngectomized patients and changes in their working situation.

Methods: Subjects were recruited from a population of candidates scheduled to undergo laryngectomy for perilaryngeal cancer at the head and neck wards of a Cancer Hospital and three Fukuoka regional Hospitals, which serve residents of Tokyo and south of Tokyo. A total of 27 participated in the study. Surveys were conducted at four times: before surgery (face-to face), and three months, six months, and a year after discharge (by mail). …

Trust In The Centers For Disease Control And Prevention: A Study Of The Relationship Between The Cdc And Adults With Chronic Illness Following The Ebola Crisis, Lindsey N. Horrell, Shawn M. Kneipp

International Nursing Research Congress (INRC)

The purpose of this study is to measure trust in the CDC amongst a population of lower-wage earning adults participating in a CDC funded study who suffer from one or more chronic health conditions.

Nurse Faculty Leadership Academy: Mentored Leadership Development In Three Domains, Deborah F. Cleeter Bailey, Carolyn Hart, Laura Cox Dzurec, Steven J. Palazzo, Jodie C. Gary

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

A rigorous international leadership development experience, the Nurse Faculty Leadership Academy (NFLA) is designed to facilitate personal leadership development; foster academic career success; promote nurse faculty retention and satisfaction; and cultivate high performing, supportive work environments in academe. The NFLA is designed upon a behavioral philosophy of leadership development which is integrated throughout all components of the academy. Developed for aspiring leaders in nursing education, the NFLA employs a triad mentoring structure as the foundation for the Scholars' academy learning milieu. Composed of an experienced Leadership Mentor, an academy Faculty Advisor, and the …

Improving Chronic Pain Outcomes With Integrative Nursing Interventions, Angela R. Starkweather

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: Pain is one of the leading causes that individuals seek healthcare, however, clinical outcomes for patients with pain are not ideal. The purpose of this presentation is to describe integrative approaches for pain management, examine the results of a clinical trial that evaluated a non-invasive neuroelectrical stimulation therapy for patients with chronic pain and discuss the delivery of integrative nursing interventions for pain management.

Methods: A double-blinded randomized sham-controlled trial was conducted to evaluate a non-invasive neurocutaneous electrical stimulation therapy for patients with chronic pain. Subjective pain ratings, pain sensitivity measured by …

Literature Review Of Modified Early Warning Scoring Tools Including Sepsis Screening Criteria, Jamie K. Roney, Erin Whitley, Jessica Maples, Joann D. Long, Kimberley A. Stunkard

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The purpose of this comprehensive literature review was to evaluate current published evidence reporting decreased failure to rescue effects from modified early warning scoring (MEWS) system tools in hospitalized adult medical-surgical/telemetry patients from all-cause diagnoses including sepsis. Failure to rescue outcomes defined by researchers were rapid response team (RRT) activation and cardiopulmonary arrest (CPA) outside to an intensive care unit (ICU). Severe sepsis exhibits worldwide clinical significance to practitioners and patients due to high associated mortality rates and costs to treat. Merely recording assessment findings may not be enough to identify patients …

Peristomal Skin Integrity Of Patients With Tracheostomy, Fatos Korkmaz, Turkan Aksoy

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Study was carried out to determine effect of barrier cream on peristomal skin integrity. Background: Patients with tracheostomia are facing new problems every day. Among care problems and complications one of the big issues patients have to get over is to maintain the peristomal skin integrity.

Methods: Study was conducted as a quasi-experimental study between the dates March-December 2013, in a university hospitals' inpatient unit in Ankara, Turkey. Sample consisted of 60 patients (randomly assigned 30 patients for control group and 30 for intervention group), aged between 18-65 years, and admitted to …

Mindfulness-Based Meditations Versus Healthy Living After Traumatic Brain Injury: A Pilot Rct To Treat Post-Tbi Depressive Symptoms, Esther Bay

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The purpose of this pilot intervention study was to conduct a preliminary evaluation of our adapted 8-week mindfulness-based group therapy (MBGT) intervention using randomization and a newly developed parallel 'healthy living after traumatic brain injury (HLA-TBI)' group intervention in persons with mild-to-moderate TBI. Our primary outcomeswere TBI and depressive symptoms, psychological functioning, and chronic stress.

Methods: Data were collected at baseline, and 8 and 12 weeks following the intervention.

Results: Results from paired t-test analysis by group revealed that there were significant mean reductions in depressive symptoms, chronic stress, and TBI symptoms …

The Impact Of Clinical Education In Rural Lesotho: Using Primary Health Care Clinical Placements To Enhance Students' Clinical Practice, Semakaleng Hyacinth Phafoli, E. Alice Christensen Majid, Stacie C. Stender

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Purpose: Primary health care is the main access point for health services in Lesotho; nurses and midwives provide the majority of care at this level. Educational assessments of the nursing and midwifery training programs highlighted gaps in clinical experiences and education of students. The USAID-funded Maternal and Child Health Integrated Program (MCHIP) initiated a nursing pre-service education (PSE) program in Lesotho in May 2010 to improve the quality of nurse- and midwife-delivered care. Given the priority of decentralized health care services and the geographic distribution of the people of Lesotho, there is a …

Australia's Dementia Research Initiative: The Contribution Of Nursing Science, Elizabeth R. A. Beattie

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Nurse researchers have led the way in care-focused research designed to improve the quality of care and quality of life of people living with dementia in Australia. Using existing dementia specific research and knowledge translation initiatives and collaborative processes a series of studies have been undertaken that have contributed to the evidence base related to a number of pressing issues in dementia care including: quality of life, respite care, transitions in care, perceived stigma of diagnosis, palliative approaches to care and non-pharmacological approaches to behavioural and psychological symptom assessment and management. This presentation …