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Effectiveness Of Educational Interventions On The Research Literacy Of Post-Registration Nurses: A Systematic Review, Sonia J. Hines
Effectiveness Of Educational Interventions On The Research Literacy Of Post-Registration Nurses: A Systematic Review, Sonia J. Hines
International Nursing Research Congress (INRC)
Session presented on Sunday, July 26, 2015:
Purpose: This systematic review aimed to identify the effectiveness of workplace, tertiary-level educational or other interventions designed to improve or increase post-registration nurses' understanding of research literature and ability to critically interact with research literature with the aim of promoting the use of research evidence in practice.
Background: Most nurses will never conduct their own research study; however it is an expectation that they will be able to make sense of a research paper or systematic review and be capable of interpreting the results and implementing practice change in order to participate in …
Increasing Initiation And Exclusivity Of Breastfeeding In The Hospitalized Postpartum Dyad, Candace L. Rouse
Increasing Initiation And Exclusivity Of Breastfeeding In The Hospitalized Postpartum Dyad, Candace L. Rouse
International Nursing Research Congress (INRC)
Session presented on Sunday, July 26, 2015:
Although research and national standards promote early initiation and exclusive breastfeeding, there continues to be a significant number of women who do not breastfeed and/or supplement with formula. The advantages of breastfeeding for mother and infant are substantial and include protecting babies from allergens to reducing Maternal breast and ovarian cancer. Unfortunately, breastfeeding rates of initiation and exclusivity are below the targets set by international, national and state agencies. This project highlights an intervention to increase breastfeeding initiation and exclusive breastfeeding during the birth hospitalization in a coastal mid-Atlantic inner city hospital. The …
Developing And Supporting Transnational Nursing Research And Education: A Blue Print For Success, Felesia Renee Bowen, Karen T. D'Alonzo, Corina M. Alba-Alba
Developing And Supporting Transnational Nursing Research And Education: A Blue Print For Success, Felesia Renee Bowen, Karen T. D'Alonzo, Corina M. Alba-Alba
International Nursing Research Congress (INRC)
Session presented on Friday, July 24, 2015
The Lived Experience Of Caregivers Providing Home Care For Terminal Cancer Patients: A Phenomenological Study, Fatima Saleh Mohamed
The Lived Experience Of Caregivers Providing Home Care For Terminal Cancer Patients: A Phenomenological Study, Fatima Saleh Mohamed
International Nursing Research Congress (INRC)
Session presented on Sunday, July 26, 2015:
Purpose: The aim of the study was to explore the lived experience of caregivers providing home care for terminal cancer patients with the objectives of documenting their experiences of caring for relatives who are terminally ill with cancer and the needs of home caregiving in Bahrain.
Methods: The study adopted qualitative, Heideggerian, hermeneutic phenomenological design, with a purposive sample of eight family caregivers. Data was collected through one to one, in depth semi-structured interviews and analyzed using Interpretative Phenomenological Analysis.
Results: Three main themes emerged; Burdens of Care; Comforts; and Coping. The findings …
A Phenomenology Of The Lived Experiences Of Bahraini Women Undergoing Breast Cancer-Related Chemotherapy, Shahzalan Ibrahim Fadhul
A Phenomenology Of The Lived Experiences Of Bahraini Women Undergoing Breast Cancer-Related Chemotherapy, Shahzalan Ibrahim Fadhul
International Nursing Research Congress (INRC)
Session presented on Friday, July 24, 2015:
Purpose: The study aimed to explore women's experiences with breast cancer and chemotherapy Its objectives are,' to: (1) uncover' women's experiences' with breast cancer and chemotherapy; (2)' identify' psychosocial needs of these patients; (3)' examine their quality of life; (4) improve oncology nursing practice.
Methods: Qualitative phenomenological design was used to explore women's experiences with breast cancer and chemotherapy. Open-ended interview questions were used to collect data. Data analysis followed the four-step phenomenological data analysis.
Results: Six major themes emerged from the data, namely: life became dark, always ready to help, closed doors,' …
Hope And Wellbeing Among Belizeans, Tauna Fleming Gulley
Hope And Wellbeing Among Belizeans, Tauna Fleming Gulley
International Nursing Research Congress (INRC)
Session presented on Sunday, July 26, 2015: Purpose: The purpose of most medical mission trips is to instill hope among the hopeless and foster physical, emotional and spiritual wellness among the population served. This objective is difficult to achieve during short-term missions. However, instilling hope in those who are hopeless is possible when there are others willing to intervene during the time period between medical mission team visits. By obtaining a better understanding of the subjective wellbeing of the population served, providers can further explore the nature of the satisfaction or dissatisfaction that is informing the subjective wellbeing of the …
Coaching And Relational Coordination Within Nursing Leadership Teams, Linda H. Yoder
Coaching And Relational Coordination Within Nursing Leadership Teams, Linda H. Yoder
International Nursing Research Congress (INRC)
Session presented on Monday, July 27, 2015:
Purpose: The purposes of this Robert Wood Johnson Nurse Executive Leadership Project were to determine the level of coaching and relational coordination present among nursing leaders in acute care environments in central Texas and investigate the strengths of the relationships between the nurses' coaching behaviors, relational coordination, and demographic characteristics.
Methods: After Institutional Review Board approvals from the University of Texas at Austin and the hospital system, the nurse leaders were sent an email explaining the project. At the end of the email they were provided with an individualized link to the Relational …
Mitigating Procedural Pain During Venipuncture In The Pediatric Population: A Randomized Factorial Study, Jessica S. Bahorski, Roxanne P. Hauber
Mitigating Procedural Pain During Venipuncture In The Pediatric Population: A Randomized Factorial Study, Jessica S. Bahorski, Roxanne P. Hauber
International Nursing Research Congress (INRC)
Session presented on Sunday, July 26, 2015:
Purpose: The purpose of this study was to determine if a there was a difference in the perceived pain associated with a venipuncture procedure in a group of pediatric patients based on the preparatory intervention used during the procedure and, to determine if age, sex, or race were associated with the effectiveness of the preparatory interventions used.
Methods: A quasi-experimental, 3x4 factorial design was used. Participants were recruited from a not for profit, regional hospital in the southeast United States. Participants were recruited from children between the ages of 18 months and 17 …
Enduring Resilience: Being A Woman, Uninsured, And Living In A Rural County, Mary Louise Shea
Enduring Resilience: Being A Woman, Uninsured, And Living In A Rural County, Mary Louise Shea
International Nursing Research Congress (INRC)
Session presented on Sunday, July 26, 2015: Purpose: The purpose of this research was threefold: a) to explore the experiences of near elderly women who are uninsured or underinsured, b) to identify ways women managed health care needs, c) to develop a conceptual understanding of this experience grounded in the participants perspectives. There is limited research analyzing or exploring the experiences of near elderly women who are uninsured. There is a many studies determining the numbers of uninsured and underinsured but none describing the difficulties these women face on a day-to-day basis. This study offers a new view of how …
And The Evidence Shows Using Specialty Certification From The Joint Commission Improves Quality, Leisha Buller, Lindsey Canon, Ashley Hodo
And The Evidence Shows Using Specialty Certification From The Joint Commission Improves Quality, Leisha Buller, Lindsey Canon, Ashley Hodo
International Nursing Research Congress (INRC)
Session presented on Saturday, July 25, 2015:
The Palliative Care Service (PCS) line at our 731 licensed-bed metropolitan-based facility recently received our first recertification for Advanced Palliative Care (APC) from The Joint Commission (TJC). Initial designation of this specialty certification facilitated the growth of our well-established adult PC program and our newly developed neonatal program (weeCARE). Seemingly counterintuitive, these two diverse populations served by our service by separate interdisciplinary teams (IDT) have become a unified service over the previous 2 years. Quality improvement opportunities were identified and structural homogeneity was achieved through a more stringent implementation of evidence-based guidelines within …
The Measurement Of Expected Filial Piety Among Elderly Arabs Living In Israel, Reham Dyab, Cheryl Zlotnick, Rabia Khalaila
The Measurement Of Expected Filial Piety Among Elderly Arabs Living In Israel, Reham Dyab, Cheryl Zlotnick, Rabia Khalaila
International Nursing Research Congress (INRC)
Session presented on Saturday, July 25, 2015:
Purpose: Like many minorities from very traditional family structures, Arab-Israelis elderly are influenced by their expectations of care and assistance from family members, particularly their sons and daughters. These expectations of family members are called, "expected filial Piety." Very few scales are available to measure this important concept for traditional populations. This study examines the reliability of one of the few existing scales that is available for the measurement of expected filial piety.
Methods: This cross-sectional study enrolled Arab-Israeli elderly, ages 65 and above (n=157). In this study, expected filial piety, using Wang's …
Exploration Of The Impact Of Screening On The Outcomes Of Bipolar Disorders: A Mixed Methods Study, Ann Marie Kriebel-Gasparro
Exploration Of The Impact Of Screening On The Outcomes Of Bipolar Disorders: A Mixed Methods Study, Ann Marie Kriebel-Gasparro
International Nursing Research Congress (INRC)
Session presented on Monday, July 27, 2015:
Bipolar disorder (BPD) is a chronic mental health illness that impacts all aspects of an individual's life and ability to function. The World Health Organization ranks BPD as one of the top ten causes of disability in the world with an incidence as high as 5% in the U.S. The 2000 National Depressive and Manic-Depressive Association Survey of individuals with BPD reported that 69% of patients received an initial misdiagnosis, and 33% had a delay in receiving a correct diagnosis of 10 years. It is fatal when untreated in a high proportion of …
Evaluating The Effectiveness Of Two Teaching Strategies To Improve Nursing Students Knowledge, Skills, And Attitudes In Quality Improvement And Patient Safety, Karen Maxwell
International Nursing Research Congress (INRC)
Session presented on Saturday, July 25, 2015:
Purpose: Since the Institute of Medline Report to Err is Human: Building a Safety Health System (1999), and the establishment of Quality and Safety Education for Nurses (QSEN) (2005), nurse educators have been challenged with discovering effective teaching strategies to infuse the QSEN competencies into the nursing curricula. The Future of Nursing Report (2011) has called for a need to transform nursing education. Nurse educators are being challenged to break away from traditional established patterns of teaching and consider new innovative teaching strategies. The purpose of this study was to evaluate the effectiveness …
Learning Together While Using The Intravenous Simulator, Lenora Mcwilliams
Learning Together While Using The Intravenous Simulator, Lenora Mcwilliams
International Nursing Research Congress (INRC)
Purpose: Inserting an intravenous catheter is the most challenging and complex skill taught in nursing school. Simulators provide opportunity for students to practice and perfect skills in a safe non-threatening environment while making errors without harm or discomfort to a patient. Haptic IV simulators allow students to practice IV procedures repeatedly on complex patients while developing proficiency and critical learning skills. Cooperative learning is a form of active learning and is defined as the instructional use of small groups of students working together in order to complete a task or goal. In this research project nursing students worked together in …
Crowd Science: Magnet Hospitals Collaborate To Define Discharge Models Of Care, Linda Costa, Marianne Weiss, Kathleen L. Bobay, Ronda Hughes
Crowd Science: Magnet Hospitals Collaborate To Define Discharge Models Of Care, Linda Costa, Marianne Weiss, Kathleen L. Bobay, Ronda Hughes
International Nursing Research Congress (INRC)
Session presented on Sunday, July 26, 2015:
Purpose: The American Nurses Credentialing Center (ANCC) commissioned an innovative pay-to-participate multisite study focused on preventing hospital readmissions. More than thirty Magnet hospitals joined the study with an anticipated 25,000 patients to be recruited. An increasing amount of scientific research is done in an open collaborative method and sometimes referred to 'crowd science'. Large scale studies in Magnet Hospitals leverage the power of Magnet Hospitals to engage in research on topics of importance to nursing practice, engage clinical nurses in research about their practice, and create learning opportunities about nursing research in clinical …
Limiting The Attributable Mortality Of Healthcare-Associated Infections And Multidrug Resistance In Critically Ill Patients, Stijn I. Blot
Limiting The Attributable Mortality Of Healthcare-Associated Infections And Multidrug Resistance In Critically Ill Patients, Stijn I. Blot
International Nursing Research Congress (INRC)
Session presented on Friday, July 24, 2015:
Severe healthcare-associated infections are associated with a poor prognosis for patients cared for in intensive care units. This is partly because most of these patients suffer from high disease severity and acute illness before the onset of infection. Nevertheless, the mortality attributed directly to severe infection or sepsis can also be devastating. Within the context of healthcare-associated infections, antimicrobial multidrug resistance boosts the deleterious effect of severe infections. Due to multidrug resistance the empirically initiated ('blind') antimicrobial therapy more often appears to be inappropriate by which the time till effective therapy is prolonged. …
Application Of The Theory Of Planned Behavior To Understand Energy Drink Consumption Behaviors In College Students, Janet Thorlton
Application Of The Theory Of Planned Behavior To Understand Energy Drink Consumption Behaviors In College Students, Janet Thorlton
International Nursing Research Congress (INRC)
Session presented on Friday, July 24, 2015:
Purpose: College students consume energy beverages (i.e., energy drinks and energy shots) to fight fatigue, heighten concentration, and promote weight loss, raising conceRNabout adverse stimulant effects experienced with excess caffeine consumption. Since 2007, energy beverage-related emergency department visits increased 74% in those aged 18-25, some with instances of product misuse (e.g., mixing with alcohol and/or other drugs). The purpose of this formative study was to apply the Theory of Planned Behavior better understand behavioral intentions and predictors of energy beverage consumption in college students.
Methods: Using a mixed method study design, a convenience …
Text2cope: Correlates Of Healthy Beliefs, Behaviors, And Mobile Messaging In Families With An Overweight Or Obese Preschooler, Lisa K. Militello, Bernadette Mazurek Melnyk, Eric C. Hekler, Leigh Small, Diana L. Jacobson
Text2cope: Correlates Of Healthy Beliefs, Behaviors, And Mobile Messaging In Families With An Overweight Or Obese Preschooler, Lisa K. Militello, Bernadette Mazurek Melnyk, Eric C. Hekler, Leigh Small, Diana L. Jacobson
International Nursing Research Congress (INRC)
Session presented on Sunday, July 26, 2015:
Maladaptive thinking or faulty cognitive appraisal by parents of overweight/obese (OW/OB) preschoolers can manifest through obesogenic behaviors. The TEXT2COPE program targeted the critical inputs of parental knowledge, attitude, and beliefs towards healthy lifestyle behaviors synergized with mobile technology. Correlations among the study variables (i.e., the intervention, cognitive beliefs, perceived difficulty, healthy lifestyle behaviors) are presented. Purpose: To evaluate the relationship among the study variables (i.e., the intervention, cognitive beliefs, perceived difficulty, healthy lifestyle behaviors). Secondary evaluation was conducted to evaluate the association of text messaging among study variables at posttest. Methods: The pilot …
Nursing Practice: The Importance Of Creativity, Dalit Wilhelm
Nursing Practice: The Importance Of Creativity, Dalit Wilhelm
International Nursing Research Congress (INRC)
Session presented on Friday, July 24, 2015:
Purpose: Creativity portrays a unique approach that combines skills, thoughts, experiences, and practices to improve existing or routine solutions. Our creativity enables us to cope with difficult and complex situations by generating new ideas and applying non-traditional techniques in ways that were never used previously. Studies have shown that doing artistic work may encourage students to 'think outside the box,' that is, to be creative. Accordingly, nurse educators have been asking students to create music, poems, drawings and sculptures as a way of stimulating creativity. Does such an approach work? Can we as …
You Would Think Coming Home Is The Easy Part: Cultural Competence For Healthcare Providers In Caring For Veterans And Their Families, Tanya R. Friese
You Would Think Coming Home Is The Easy Part: Cultural Competence For Healthcare Providers In Caring For Veterans And Their Families, Tanya R. Friese
International Nursing Research Congress (INRC)
Session presented on Saturday, July 25, 2015:
The horror of war transcends geography and culture. It is a merciless universal language, spoken and understood by veterans around the world. Military service, whether during war or peace time, fraught with occupational and environmental hazards-can have a negative impact on veterans' physical and mental health. In the United States, there are approximately 23 million living veterans (U.S. Census Bureau, 2010). Only 25% seek healthcare through the Veteran's Administration (U.S. Department of Veterans Affairs, 2013). Over 17 million are treated by civilian providers. The military has its own unique culture of language, learned …
Nurse Leadership Competency Self-Assessment Study: Identifying Leadership Development Needs For A Healthcare System, Jaynelle F. Stichler, Laurie Ecoff
Nurse Leadership Competency Self-Assessment Study: Identifying Leadership Development Needs For A Healthcare System, Jaynelle F. Stichler, Laurie Ecoff
International Nursing Research Congress (INRC)
Session presented on Monday, July 27, 2015:
Purpose: Nurse leaders, regardless of the level of their position, should be competent in: 1) communication and relationship building; 2) knowledge of the healthcare environment; 3) leadership; 4) professionalism; and 5) business skills. Although most leaders are educationally prepared for their roles, many managers and front-line leaders (clinical leads) who interface most with patients, families, physicians and staff are the least prepared for leadership roles. The purpose this study was to measure self-assessed competencies of nurse leaders and use baseline results in designing an educational curriculum to expand knowledge and competence in AONE …
Educational Activities For Health Care Promoters In Haiti: Insights Gained Over The Years, Ellen L. Palmer, Becky M. Baird
Educational Activities For Health Care Promoters In Haiti: Insights Gained Over The Years, Ellen L. Palmer, Becky M. Baird
International Nursing Research Congress (INRC)
Session presented on Thursday, July 23, 2015:
Purpose: For more than fourteen years, several nurse educators from the Dallas-Fort Worth, Texas area have participated in educational activities for health care promoters in Port-au-Prince, Haiti. A collaborative effort began with U.S. nurse educators first developing a trust relationship with colleagues at Grace Children's Hospital. Identifying what the educators could accomplish and following through with commitments was key.
Methods: In the beginning, nurse educators did informal walking rounds with nursing management at Grace Children's Hospital. learning needs were identified by management and staff. Nursing leadership requested assistance to develop a program for …
The Effects Of The Senior Elastic Band Exercise Program On The Functional Fitness Of Community Aged Adults: Transtheoretical Model, Hui-Ju Yang, Kuei-Min Chen, Hui-Chuan Wu, Yueh-Chin Wang, Hsin-Ting Huang, Wen-Jane Chang
The Effects Of The Senior Elastic Band Exercise Program On The Functional Fitness Of Community Aged Adults: Transtheoretical Model, Hui-Ju Yang, Kuei-Min Chen, Hui-Chuan Wu, Yueh-Chin Wang, Hsin-Ting Huang, Wen-Jane Chang
International Nursing Research Congress (INRC)
Session presented on Saturday, July 25, 2015:
Purpose: The TTM was applied in this study to promote behavioral change and test the effects of a group senior elastic band (SEB) exercise program on the functional fitness of aged community adults who were at the contemplation and preparation stages of behavioral change.
Methods: A quasi-experimental design with pretest and posttests on two groups was used. Six senior activity centers from southern Taiwan were randomly assigned to either the experimental or control groups using a lottery system. A total of 199 participants was recruited, and 169 participants completed the study (experimental group …
Icek Ajzen's Theory Of Planned Behavior: A Theoretical Framework, Mercy Ngosa Mumba
Icek Ajzen's Theory Of Planned Behavior: A Theoretical Framework, Mercy Ngosa Mumba
International Nursing Research Congress (INRC)
Session presented on Friday, July 24, 2015:
The Theory of Planned Behavior was developed by Icek Ajzen in 1985 and has since undergone a series of revisions with the latest revision in 2011. The Theory of Planned Behavior holds that all actions are a controlled by intentions (Ajzen, 1985). This theory holds that the individual's intention to perform or not to perform a particular behavior is prerequisite to any action. This intention however, can be affected by time and other confounding factors, whether internal or external that dictates the individual's willingness to carry out the intention. Intentions are defined as …
Creating A Culture Of Teamwork Through Implementation Of Team Stepps, Andrea M. Smith
Creating A Culture Of Teamwork Through Implementation Of Team Stepps, Andrea M. Smith
International Nursing Research Congress (INRC)
Session presented on Friday, July 24, 2015:
The Institute of Medicine's (IOM) 1999 publication of To Err is Human raised awareness of medical errors in the United States. This report estimated that preventable medical errors are associated with upwards of 98,000 deaths annually. Communication breakdowns among healthcare teams are noted to be a leading cause of errors. Since the release of this IOM report numerous organizations, including The Joint Commission (TJC), Institute for Healthcare Improvement (IHI), the National Quality Forum (NQF), and the Accreditation Council for Graduate Medical Education (ACGME) have documented the significance of teamwork and communication on improving …
Preparing Future Nurse Leaders Holistically At A Faith-Based University, Pamela J. Hodges, Lucindra Campbell-Law
Preparing Future Nurse Leaders Holistically At A Faith-Based University, Pamela J. Hodges, Lucindra Campbell-Law
International Nursing Research Congress (INRC)
Session presented on Saturday, July 25, 2015:
The purpose of this project is to demonstrate the premise of the Sacred Vocation Program (SVP) as effective healing begins with nurturing the spirit of each nursing student. The students are able to transfer that nurturing spirit into the care and management of patients and their leadership philosophy. The pilot project was done to determine the effectiveness and feasibility of incorporating the SVP into the curriculum. Background: The SON navigates a new era for higher education and strives to incorporate the mission, vision, and philosophy of the faith-based university into the preparation of …
Recognizing Sepsis Using A Modified Early Warning Scoring (Mews) Tool, Erin Whitley, Jamie K. Roney, Joann D. Long, Stephanie R. Dunkle, Jessica Maples
Recognizing Sepsis Using A Modified Early Warning Scoring (Mews) Tool, Erin Whitley, Jamie K. Roney, Joann D. Long, Stephanie R. Dunkle, Jessica Maples
International Nursing Research Congress (INRC)
Session presented on Friday, July 24, 2015:
Purpose: The incidence of sepsis is increasing worldwide. Early identification of sepsis is critical to patient survival. Despite advances in the identification and treatment of sepsis 35-50% of patients still die (Cildir et al., 2012). Few tools developed from sound research have been introduced to address acute declines in patient condition outside of the intensive care unit (ICU). Testing of MEWS tools has been mostly retrospective and gaps exist in data related to reliability and validity testing and outcome measurement. Septic patients may experience sudden changes in status and quickly deteriorate requiring emergent …
Testing And Evaluating A Spinal Cord Injury Self-Management Program: A Pilot Study, Hsiao-Yu Chen
Testing And Evaluating A Spinal Cord Injury Self-Management Program: A Pilot Study, Hsiao-Yu Chen
International Nursing Research Congress (INRC)
Session presented on Saturday, July 25, 2015:
Aims and objectives: The aim of this study was to test and evaluate the usefulness of a spinal cord injury (SCI) self-management program. Background: SCI causes severe disability, leading to substantial complications for the rest of life. The long-term care needs of patients with SCI are a series of dynamic processes for rebuilding life and include physical care and complication prevention, life planning, social support, determining the value of existence, and sexual satisfaction.
Methods: The pilot study had a quasiexperimental pretest - posttest design. Eligible participants were recruited from the Spinal Injury Association …
Investigation Of Factors Related To Nursing Care For Patients With Dementia At Acute Hospitals In Japan, Chieko Greiner, Tokiko Isowa, Tomoko Oishi, Motoko Kita, Hiroshi Higashiura
Investigation Of Factors Related To Nursing Care For Patients With Dementia At Acute Hospitals In Japan, Chieko Greiner, Tokiko Isowa, Tomoko Oishi, Motoko Kita, Hiroshi Higashiura
International Nursing Research Congress (INRC)
Session presented on Sunday, July 26, 2015:
Purpose: As the elderly population increases, the number of patients with dementia being admitted to acute hospitals is increasing year by year. Understanding and adequate assistance for patients with dementia will become more important for nurses at acute hospitals in the days ahead. The purpose of this study was to investigate factors associated with care for patients with dementia conducted by nurses working at acute hospitals.
Methods: Cross-sectional exploratory research design was applied using self-description questionnaires. Participants were nurses working at Tokyo acute hospitals possessing more than 300 beds. The contents of the …
Nurses' Knowledge And Beliefs Related To Depression And Screening In Heart Failure Patients, Patricia A. Lea
Nurses' Knowledge And Beliefs Related To Depression And Screening In Heart Failure Patients, Patricia A. Lea
International Nursing Research Congress (INRC)
Session presented on Saturday, July 25, 2015:
Purpose: The purpose of this study was to assess nurses' knowledge and beliefs related to depression and the use of screening in heart failure patients. To date, there has been no literature on this topic. It was the intent of this study to explore the likelihood that increased knowledge and nurses' underlying foundational beliefs would result in a greater commitment to routinely screen heart failure patients for depression.
Methods: A descriptive design was used. This quantitative study used a one-group pretest, posttest, intervention design. The approach involved administration of an identical group pretest, …