Digital Commons Network^™

Menopausal Dyspareunia And Probiotics: A Future Approach?, Ellen L. Neu

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015: Purpose: A pilot study was conducted for the inquiry of vaginal probiotics for menopausal women with self-reported dyspareunia. Methods: Initial menopausal survey tool for assessment of urinary incontinence, dyspareunia and general vasomotor complaints allowed for women with self-reported dyspareunia to be further evaluated. potential candidates where then contacted and offered the opportunity to participate in an open lable study using a vaginal probiotic once per week for 6 weeks. After full disclosure and IRB approved consent was signed, the subjects examined and vaginal ph measurement obtained. The Female Sexual Function Index (FSFI, 2002) …

Developing And Testing A Patient Centered Pressure Ulcer Prevention Care Bundle, Wendy Chaboyer

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

A pressure injury (PI), also known as a pressure ulcer, is an area of localized damage to the skin and underlying tissue caused by pressure or shear and/or a combination of these (DeFloor et al., 2005). PI incidence rates are an indicator of quality of nursing care, thus PI Prevention (PIP) is an international priority. Yet, implementation of PIP strategies remains suboptimal in many settings. A care bundle is a structured group of interventions, based on research evidence and/or clinical practice guidelines (CPG), which have been shown to improve patient outcomes. They improve …

Investigating Vulnerability For Developing Eating Disorders In A Multi-Confessional Lebanese Sample, Rita Doumit, Georges Khazen, Ioanna Katsounari, Chant Kazandjian, Joann D. Long, Nadine Zeeni

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The present study aimed to examine the vulnerability to eating disorders (ED) among 949 Lebanese female young adults as well as its association with stress, anxiety, depression, body image dissatisfaction (BID), dysfunctional eating, body mass index, religious affiliation (being Christian, Muslim or Druze), religiosity and activity level.

Methods: A descriptive, correlational cross-sectional design was used. A total of 949 female college students (18-25 year-old) completed a self-reported survey in fall 2013 at the Lebanese American University which accommodates the cultural and religious diversity of the country.

Results: Results showed that anxiety had …

Pediatric Palliative Care: A 5-Year Retrospective Chart Review Study, Susan E. Thrane, Scott H. Maurer, Susan M. Cohen, Susan M. Sereika

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The purpose of this presentation is to describe a large cohort of pediatric patients receiving palliative care, examine the relationships between selected patient sociodemographic and clinical characteristics (disease type, age, gender, race, and religion), the outcome of the time elapsed from diagnosis to death, and to compare pain scores before and after referral to palliative care.

Methods: This retrospective chart review study examined patients who were referred to the palliative care team at a southwestern Pennsylvania children's hospital between the ages 2 through 16 years during a five-year period (2009-2013). Inpatient and …

Associations Between Maternal Depressive Symptoms And Diathesis Factors In Families With Young Children Having Developmental Delay Or Disability, Yui Matsuda, Linda S. Beeber, Yunkyung Chang, Todd A. Schwartz

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: Physical and mental well-being of mothers best supports healthy growth in children. Maternal depressive symptoms are negatively associated with children's physical growth, emotional growth, and even their school performance. Although a young child with a developmental delay (DD)/disability needs mother's close attention and day-to-day support, his/her mother tends to have higher depressive symptoms, which impedes her from providing the best support for her child. Having additional children with DD/disability may be associated with higher Maternal depressive symptoms. The purpose of this study is to examine associations between Maternal depressive symptoms and number …

Measuring Health In Coffee Farm Workers In Rural Nicaragua: What Matters?, Jessica Alicea-Planas, Philip A. Greiner, Lydia H. Greiner

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: Nicaragua is a country with nearly 6 million inhabitants and is considered the second poorest country in Latin 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. The average expenditure for the urban poor is 11% below the poverty line, while the rural poor are 37% below. The Nicaraguan poverty profile also demonstrates major regional disparities, with areas like Jinotega (north central area) being disproportionately affected by extreme poverty (World Bank, 2008). Rural poverty …

Efficacy Of Oral Health Promotion In Primary Care Practice, Deborah J. Mattheus

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Poor oral health continues to be a major health concern for children worldwide. Within the United States, dental caries are the most common chronic childhood disease, occurring 5 times more frequently than asthma. Lack of proper oral health assessment and family education early in a child's life increases their risk for developing dental decay resulting in difficulty eating, speech delays, poor school performance and can also negatively affect proper child development of self-esteem and social interaction. A major limitation to decreasing childhood dental disease includes shortages in pediatric dental services and dental providers …

Implementing Evidence-Based Practice In Real World Practice Settings: Key Strategies For Publishing Ebp Change Projects In Nursing Journals, Bernadette Mazurek Melnyk, Lynn Gallagher-Ford

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: It is important to disseminate the outcomes of evidence-based practice (EBP) change initiatives for others to learn from and benefit from projects being conducted in the real world. However, many EBP change projects never make it to publication due to multiple barriers, including perceived inadequate time for writing, lack of mentorship, and inadequate knowledge and skills regarding tactics for successful publication. Therefore, the purpose of this presentation is to describe key strategies for publishing EBP change projects in the journal Worldviews on Evidence-based Nursing.

Methods: This session, conducted by the editor of …

The Impact Of Nurse-To-Nurse Bedside Communication On Patient Satisfaction And Resources Use, Peter Vermeir, Christophe Jolie, Tamara Leune, Dominique Vandijck, Simone Schillemans, Dirk Vogelaers, Geert De Smet, Frank Vermassen

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

The impact of nurse - to - nurse bedside communication on patient satisfaction, and resources use. Introduction Ineffective communication among care professionals has been demonstrated to be associated with the occurrence of adverse events, including higher readmission rates and costs. The bedside shift handover is a unique way of nurse-to-nurse communication between shift changes. The main aim is to transfer essential patient information to ensure high quality care as well as to enhance patient satisfaction and empowerment. Objectives The aim of this pilot study was to assess the impact of bedside shift handovers …

Do Graduate Nursing Students Have A Change In Perspective Regarding Nursing Care After Taking A Nursing Theory Course?, Beverly K. Byers, Susan Sayari

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The aim of the study is to understand graduate nurses' perception of the utilization of nursing theory in their practice, both before and after taking a graduate class in nursing theory. Registered nurses seeking Master of Science in Nursing (MSN) degrees are required to take a nursing theory course in which they examine the relationship between existing nursing theories and health care delivery. Is there a difference in the provision of nursing care by graduate nurses who use a nursing theory to undergird and guide their practice as opposed to those graduate …

Facilitating Positive Professional Practice Environments, Cathleen S. Opperman

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015:

Background: Healthcare is challenged to reinvent itself to be quality driven, fiscally sound and evidence based, while its workforce is aging and the population of baby-boomers needing care, is growing. A positive professional practice environment is vital to assure safety of patients and staff, improve professional staff recruitment and retention and sustain an organization's financial viability. Nurse Managers and Leadership are reported as the single greatest influence on the professional practice environment, either positive or negative. This project was to review the literature for definitions, benefits and methods to facilitate positive professional practice …

Reverse Discrimination? Wages Of Internationally Educated Nurses Working In The United States, Sat Ananda Hayden

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: The purpose of the research was to identify sources of differences in income among internationally educated working in the United States nurses (IENs). The significance of the study is drawn from recent findings that IENs working in the United States eaRN greater hourly wage than nurses educated domestically (USRN. While nursing wage scholars report that IENs eaRN more favorable wage, there have been no studies exploring the source of the difference. The study was driven by the desire to understand if all IENs eaRNomparable wages, and, if not, to discover the source(s) …

Contextual Basis For A New Educational Intervention On Living Kidney Donation And Transplant For American Indians, Nancy L. Fahrenwald

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: American Indians disproportionately experience numerous chronic health conditions that contribute to renal disease and failure. Prior to this study, there were no known empirically-tested educational programs on living kidney donation and transplantation (LKDT) designed for American Indians who experience renal failure and who may be eligible for a kidney transplant. The purpose of this study was to qualitatively explore the contextual factors impact LKDT attitudes and educational needs among American Indians. Findings informed the development and future testing of a LKDT educational intervention.

Methods: The study used a community based participatory research …

Improvement In Student Satisfaction And Confidence Levels Through Simulation Activities, Cynthia L. Cummings, Linda K. Connelly

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: This research explored whether nursing students' learning satisfaction and confidence scores improved in simulation experiences, as they progressed from junior to senior year.

Methods: The students were asked to voluntarily participate in a survey on learning satisfaction and self-confidence following a simulation activity. The student scores were compared between juniors and seniors for each item. Survey data was collected for a one year time frame and was approved by the University's institutional review board. The instrument utilized was the: Student Satisfaction with learning Scale and the Self-Confidence in learning Using Simulations Scale …

The Impact Of A Dedicated Educational Model (Deu) On Staff Nurses' Perception Of The Professional Practice Environment, Celia Marie Wells

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

While research exists on the benefits of a Dedicated Educational Unit (DEU) for the Student Nurse (SN), there is a shortage of literature regarding the impact of the DEU on the staff nurses/preceptors who participate in DEU education. Nearly 73,000 RNare predicted to leave the nursing profession annually related to retirement, childrearing, career changes or returning to school (T.-C. f. Nursing). Barriers contributing to enrolling greater numbers of students in nursing programs include an aging workforce, a shortage of nursing faculty, lack of clinical placement opportunities, and an education gap which fails to …

Determination Of The Opinions And Expectations Of Cancer Patients And Families About Home Care, Nuran Tosun, Hatice Sutcu Cicek, Birsen Celik

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: This research was conducted as a descriptive study in order to determine the opinions and expectations of cancer patients and their families about home care.

Methods: This research was conducted in GMMA Medical Oncology and Hematology Department between October 2012 and April 2013. The sample of the study was included total of 200 participants consisting 100 cancer patients and 100 family members of cancer patients who accepted to participate the study. As the data collection tools, form of socio-demographic and medical characteristics of the patient and families, and form of opinions and …

The Mediating Effect Of Triglyceride/High Density Lipoprotein Cholesterol Ratio On Inflammatory Markers And The Metabolic Syndrome In The Postmenopausal Women, Jen-Chen Tsai

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The metabolic syndrome (MS) has relatively high prevalence in postmenopausal women. The high incidence of MS in menopausal is corroborated by numerous factors including central obesity, dyslipidemia, decreased glucose tolerance, and increased pro-inflammatory. However, few studies have investigated the most significant risk components of MS especially in postmenopausal women. This study was designed to explore the associations among inflammatory parameter (mainly the interleukin-6, IL-6), insulin resistance, triglyceride/high density lipoprotein cholesterol (TG/HDL-C) ratio and MS in postmenopausal women; and (2) to identify the most prominent risk indicators in the development of MS among …

Pregnancy After Solid Organ Transplantation, Jane M. Kurz

International Nursing Research Congress (INRC)

The purpose of the study was to explore the reproductive decision-making process with female organ transplant recipients (renal, lung, heart & liver transplants).

Bedside Shift Report: A Patient-Centered Approach To Improving Satisfaction Scores, Donna Reinbeck

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background: In 2001 the Institute of Medicine report, Crossing the Quality Chasm, included patient centeredness as one of its six overarching aims for improving the health care system. Patient centered care can be defined as, 'improving health care through the eyes of the patient', often measured by patient experience surveys such as the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Improving the patient experience involves changing the current culture of the way nurses practice and communicate with each other and with their patients. One way to improve these communications is to …

Spirituality: A Cultural Strength For Young People Living With Hiv, Sharon T. Smith

International Nursing Research Congress (INRC)

Purpose: The empirical evidence of the relationship between religion and spiritual beliefs on health outcomes, including adjustment to chronic illness, continues to grow. While spirituality is considered important for a significant percentage of the population, it is surprising that there remains a paucity of research on spirituality and HIV in adults. Fewer still have examined the role of spiritual beliefs and practices in the lives of young adults with HIV. The research on spirituality and HIV in adults has been very minimal and even less has been done on the impact spirituality has on young adults with HIV. The specific …

Academic Practice Partnerships And Nurse Residency Programs, Donna M. Glynn

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015:

This symposium will provide the background and other key information on the VA Boston Healthcare System's NERVANA Post Baccalaureate Nurse Residency Program. Recognizing the need for a nurse residency program to ensure successful transition to practice, this presentation will include a discussion regarding academic practice partnerships and the specifics related to curriculum development.

Chronic Stress, A Cardiovascular Risk Factor, Linked To Societal Integration In Teenage Immigrants Of African Descent, Cheryl Zlotnick, Hadass Goldblatt, Daphna Birenbaum-Carmeli, Efrat Shadmi, Omer Taychaw

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: This study examines the nature of disparities in cardiovascular risk by exploring the impact that chronic stressors and other cardiovascular risk factors have on the integration of youth of African descent into an industrialized society. New immigrants must leaRNhe ways and culture of the new society before they can fully integrate into its fabric (i.e., cultural acquisition).

Methods: Qualitative data on cardiovascular risk and acclimation to the dominant society were collected from three groups of key informants: (1) community leaders; (2) youth; and (3) a community advisory group.

Results: Youth of Ethiopian …

Comparison Of Face-To-Face And Distance Learning Teaching Modalities In Delivering Therapeutic Crisis Management Skills, Jennifer S. Graber

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The purpose of this study was to compare effectiveness and student satisfaction of distance education versus face-to-face interaction in delivering therapeutic crisis management skills content to Associate Degree Nursing (ADN) Students as measured by test scores, overall grade point average (GPA), class grade, and student satisfaction survey results. One group of students was taught via face-to-face interaction in the traditional classroom setting with case studies and group work. The other group of students was taught via distance education with the same instructor presentation followed by the same case studies and distance education …

Harm, Threat, Or Challenge, Nursing Students In Clinical Education Settings, Constance Ann Thomas

International Nursing Research Congress (INRC)

The majority of students in a baccalaureate nursing program are traditionally new graduates from high school. The research shared the need for educating nursing students about incivility and methods for responding to it when encountered in a clinical education setting, and to gain insights on what events or behaviors students identified as uncivil as well as their emotional and behavioral responses to those events. The background for this research included studies on incivility that were conducted internationally and in the United States. Empirical research studies were reviewed for incivility on general workplaces, employed nurses, nursing education, clinical settings, faculty incivility …

Verbal Abuse: The Invisible Wounds Experienced By Military Wives, Linda Carman Copel

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The specific objectives of this study were to describe the experience of verbal abuse by military spouses, determine if the experiences of verbal abuse were antecedents to other types of abuse, and construct a model to explain the experience of verbal abuse for military spouses.

Methods: A phenomenological research design was used to address verbal abuse as it was experienced by female military spouses. The population was adult women married to spouses presently serving in the United States Armed Forces. These women were currently participating in either individual counseling or a women's …

Building A Research Career Focused On A Stigmatized And Marginalized Population Group: Alcohol Use Among Sexual Minority Women, Tonda L. Hughes

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Substantial health disparities related to sexual orientation are now well documented, e.g., in major reports from the U.S. including Healthy People 2020 and the Institute of Medicine. Some of the largest disparities have been found in comparisons of sexual minority and heterosexual women's use of alcohol. At nearly every developmental stage sexual minority women (SMW) are substantially more likely than their heterosexual counterparts to drink, to drink heavily, and to experience alcohol-related consequences. Reasons for SMW's disproportionately high rates of hazardous drinking are poorly understood - largely because so little research has been …

Exploring Symptom Clusters In Individuals Undergoing Surgery For Pancreatic Cancer, Sherry A. Burrell, Suzanne C. Smeltzer, Theresa Pluth Yeo

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: The aims of this primary nested, longitudinal, exploratory study were to explore self-reported symptom profiles to identify the presence of and changes in symptom clusters (SCs) and factors that influence the severity of the SCs in individuals with stage II pancreatic cancer (PC) before and at three, six, and nine months after surgery alone or in combination with adjuvant chemotherapy or chemoradiation therapy.

Methods: This primary nested, longitudinal, exploratory study was conducted within an ongoing single center, prospective, randomized, double-blind, placebo-controlled clinical trial of ethanol celiac plexis neurolysis versus placebo for pain …

Evaluation Of Health Care Worker Vaccination Rates In Utah Outpatient Clinics, Karlen E. Luthy, Janelle L. B. Macintosh, Renea Beckstrand, Lacey M. Eden

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The purpose of this study was to explore vaccination rates of health care workers (HCW) employed in the outpatient clinic setting in Utah. It was hypothesized that Utah outpatient clinic settings (namely pediatric clinics, family practice clinics, and oncology clinics) mirrored the established vaccination policies of Utah HCWs employed in the in-patient hospital setting and the recommendations of the Utah Department of Health.

Methods: Institutional Review Board approval was granted for this study prior to data collection. The study included a convenience sample of 178 clinic managers of Utah pediatric, family practice, …

International Collaboration: Promoting Global Citizenship, Cultural Competence, And Leadership Skills Among Baccalaureate Nursing Students, Tauna Fleming Gulley

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015:

In order to provide quality health care, nurses must apply knowledge, leadership and communication skills. In addition, the professional nurse must develop the necessary skills to provide culturally appropriate care in the multicultural environment in which we live. Nurse educators must provide experiences that facilitate the development of these skills. Nursing students at The University of Virginia's College at Wise have been traveling to Body and Soul Ministries of Belize, Central America, during Spring Break for the past six years to provide healthcare for residents of a small multicultural community. One of the …

Selecting Variables Of Study Aligned With Models Of Caring, Tara M. Nichols, Janina Sweetenham Bywater, John W. Nelson

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: This session will have two sub-sessions each reviewing a unique model of care. The first model of care, Caring Behaviors Assurance System (CBAS), is currently being used in about 50% of the National Health Service (NHS) of Scotland. Caring, as proposed by Swanson's theory, was selected as a construct for measurement as it is proposed as a primary variable of quality of care. Development of a context of caring, using a formal model of care to structure operations and data analyses, was proposed to positively impact both patients and employees. A key strategy …