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Onsite Integrative Clinics: Acupuncture, Positive Patient Outcomes, Frequency Of Provider Visits, Sherry I. Shoemaker

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: There is limited information about outcomes of care, resource utilization, and associated costs for patients who receive acupuncture in integrative health settings. The purpose of this study was to address this gap through the following aims: To examine: (1) changes in patient pain levels pre/post acupuncture treatments; (2) relationships between receiving acupuncture treatments (number of treatments, length of time, select demographic factors, (age, gender), pain level pre and post acupuncture treatments; (3) relationships between number of treatments, length of time, age, gender, pain level (pre/post acupuncture treatments) and provider visits (pre/post acupuncture …

Guided Participation To Support Parental Caregiving: Models, Processes And Outcomes, Karen Pridham, Rana Limbo, Tondi M. Harrison

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

This session will include three presentations on the topic of parental caregiving in conditions of threat to the offspring. First, a theoretical model for understanding parental caregiving will be presented as a framework or context for the following two presentations. The theoretical framework encompasses co-parenting, its motivations, and its qualities will be described. A longitudinal study of parents who have an infant with complex congenital heart disease will provide evidence for the model. The presentation that follows will focus on parental caregiving in the context of perinatal loss, specifically threatened abortion and stillbirth. …

Mental Health Standard Operating Procedure: An Educational Program For Veterans Administration Nurses, Linda Casale

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The suicide rate of veterans under the care of nurses trained with the Mental Health Standard Operating Procedure (MHSOP) education model will be lower than the suicide rate of veterans under the care of nurses not trained with the MSHOP educational paradigm.

Methods: Systematic Review Results: The eight studies fell within the inclusion criteria were then submitted to a data extraction and appraisal process based on principles by the University of York NHS Centre for reviews and Dissemination (Greenhalgh, 1997). The process involves a checklist of the following seven steps: author, aim …

Is Emotional Intelligence An Important Concept In Nursing Education?, Jennifer Lynn Kolker

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Advances in medical treatments and shorter hospitals stays necessitate nurses who possess a high level of working knowledge in both disease processes and the technology to treat them. Nurses are expected to not only be skilled technicians, but they are required to have a high capacity for compassion, empathy, leadership, flexibility, resiliency, and resourcefulness. Working nurses know that the care of an individual is more than the completion and assessment of tasks; it's holistic care and a relationship with the individual that makes nursing care successful. Therefore, the careful education of today's nurses …

Student Preparation For Nclex, Brenda Orazietti, Mina D. Singh

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Implementing a standardized testing program: preparing students for the NCLEX-RN. The undergraduate nursing faculty of a large Midwestern university initiated a program of standardized computerized testing for two purposes: to provide students experience with standardized computerized testing prior to taking the National Council Licensure Exam for Registered Nurses (NCLEX-RN) and to increase the students' NCLEX-RNassing rate.

Methods: This article chronicles the process of implementing a comprehensive testing program developed by the Assessment Technologies Institute.

Results: Although the first class of students to have taken the entire testing package has just graduated, midprogram …

Contextualization Of Health Interventions: Community-Based Health Care In Papua New Guinea, Carol J. Bett

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Contextualization of health interventions requires a paradigm shift from the curative, biomedical model to a health promotion focus that emphasizes community empowerment. Successful community health interventions involve engagement of the community as an entity in addressing health disparities. The development of local level resources that lead to improved health indices requires an awareness of both the cultural context and the relational components of social capital that link people within the community. Social capital has been defined as resources that are an inherent part of a social group and the elements of social …

Impact Of Real-Time Prediction Model-Enhanced Clinical Decision Support Systems On Nursing Sensitive Patient Outcomes: A Review Of The Literature, Alvin Dean Jeffery

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015: Background: The popularity of 'big data' along with an increasing capacity for real-time predictive analytics to augment clinical decision support systems (CDSS) within electronic health records has led to rapid innovations. Hundreds of complex prediction models have been developed for healthcare-focused outcomes over the last few years, and many of these are able to incorporate data from dozens of variables in real-time while providing a probability of a particular event. While these models can be highly accurate, the ability of these systems to influence patient outcomes is relatively unknown. Furthermore, most of the …

Psychometric Evaluation Of The Diabetes Self-Management Instrument-Short Form (Dsmi-20), Chiu-Chu Lin, Chia-Lun Lee

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: To streamline a clinical tool for use with people with diabetes. This study aims to evaluate the psychometric properties of the Diabetes Self-Management Instrument-short form (DSMI-20).

Methods: The short form Instrument (i.e., DSMI-20) was revised from our previous instrument ( i.e., DSMI-35) through in- depth small group discussions and expert validation, and tested it via pilot tests and item analysis. We verified it by exploratory factor analysis (EFA) and correlation with an empowerment scale. Reliability testing included inteRN consistency and test'retest reliability that were estimated by Cronbach's alpha and Pearson correlation coefficients. …

Does Investing In Nurse Staffing Provide Dividends?, Diane Esma Twigg, Christine M. Duffield, Helen Myers, Margaret J. Giles

International Nursing Research Congress (INRC)

Session presentd on Monday, July 27, 2015:

Purpose: Over a decade of research has established that better nurse skill mix and staffing levels are linked to positive patient outcomes in hospital settings. Hospital executives are more likely to support a richer skill mix or increased nurse staffing levels if these decisions can be shown to be cost effective. This paper will discuss the evidence in regard to the cost effectiveness of increasing nursing hours or skill mix to improve patient outcomes. It will highlight the evidence to date to guide nurse leaders in staffing decisions and make recommendations on future …

Utilization Of Genomics To Advance The Care Of Chronic Disease In Diverse Populations: Case Study: Hepatitis C, Cathy M. St. Pierre, Julie Lynch

International Nursing Research Congress (INRC)

Purpose: The purpose of this presentation is to describe how the use of genomics in culturally diverse populations, can positively impact on the treatment of chronic diseases such as hepatitis C. The results of this study are based on a national sample of over 2,000 veteran patients diagnosed with hepatitis C who seek care from a Veterans Health Administration (VHA) facility in the USA. Background: Advancements in genetics can inform health care practices. It is currently estimated that approximately 150 million people worldwide are living with chronic hepatitis C (HCV). Hepatitis C is a devastating disease which contributes to significant …

Best Practices In Using Secondary Analysis As A Method, Katharine A. Green

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Health care researchers frequently use secondary data analysis as an efficient and cost-effective method to study large populations or multiple data sets relating to individual subjects. There are many issues related to the use of secondary data analysis, including both benefits and areas that are of more concern. The emergence of multiple data streams and concerns about subject privacy are current issues in use of the method. While data sets may be readily accessible or relatively restricted, health care researchers should be aware of issues and implications before using secondary analysis as …

Symptoms In Breast Cancer Survivors Who Have Completed Primary Therapy, Faith A. Strunk, Geri Wood, Terri S. Armstrong, Richard L. Theriault, Diana L. Urbauer, Bryan M. Fellman

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The purpose of this study was to determine whether symptom burden differed according to survivor status (early [less than 3 years post completion of primary therapy], as opposed to long-term [years 3 through 5], survival) and/or use of endocrine or hormonal adjuvant therapy.

Methods: In this exploratory, cross-sectional study, data were collected on 133 survivors, using the MD Anderson Symptom Inventory, Karnofsky Performance Status, Charlson Comorbidity Index and a demographic/health history form. We analyzed symptom burden by survivor status and use of adjuvant therapy utilizing a 2-way ANOVA model.

Results: Patients who …

Depression And Quality Of Life Outcomes Of Adolescents Post Bariatric Surgery: A Systematic Review, Joyce Kelly Graves

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: This systematic review summarizes the reported changes in depression and quality of life among adolescents post bariatric surgery. Also appraised were the choice of tools to measure depression and quality of life, length of follow-up, plus age and gender trends in bariatric surgery among adolescents.

Methods: Electronic searches in Medline, Cochrane, CINAHL and Web of Science were searched until November, 2014 for trials assessing depression and quality of life in adolescents after bariatric surgery. Grey literature and dissertations were not included.

Results: Ten studies, comprising of 347 subjects with an age range …

Academic Stress And Biobehavioral Profile Of Senior Nursing Students, Duck-Hee Kang, Lisa Boss

International Nursing Research Congress (INRC)

Purpose: The rigor of nursing education is continuously increasing to meet more complex and challenging healthcare needs. Accordingly, nursing students are under significant stress to achieve both academic and clinical competencies, and clinical competencies include working with the sick with diverse health conditions at various healthcare settings. Although academic stress has been studied with nursing and other professional students, few studies have included biological assessment. Concurrent assessments of psychobehavioral and biological responses would enhance the understanding of biobehavioral interactions between subjective perceptions and objective biological responses in nursing students. Nursing education can be delivered in various formats, and the composition …

Addressing Leadership Challenges, Teresa Shellenbarger, Kristy S. Chunta

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

The Institute of Medicine (IOM) report, The future of nursing: Leading change, advance health has recommended the following changes to improve health care quality: 1) fostering professional collaboration of the healthcare team, 2) increasing the percentage of nurses with baccalaureate degree, 3) doubling the number of nurses with doctorates by 2020, and 4) advocating nursing leadership at every level of the profession (IOM, 2010). This call for leadership exists across a variety of health care settings including clinical practice, education, and administration. Nurse leaders struggle with continuous uncertainty, change, and chaos (Grossman & …

A Guide To Nursing Students' Written Reflections For Students And Educators, Jessica L. Naber

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Experiences from the clinical setting are ideal for building critical thinking skills if reflection is used as a teaching tool. Reflecting on clinical experiences develops critical thinking ability, fosters self-understanding, facilitates coping, and leads to improvement in clinical practice (Craft, 2005; Kennison, 2006). Reflective writing as a pedagogical strategy allows students to integrate their thoughts and experiences with didactic material to more adequately understand both the experiences and the didactic material (McGuire, Lay, & Peters, 2009). Reflective writing is defined as an assignment that is focused on an activity that students have experienced, …

Tools For Excellence In The Dnp Scholarly Project Process: Implementation Of Timeline Templates And Project Formats For Dissemination, Karen A. Hande

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Purpose: A hallmark of the doctor of nursing practice (DNP) degree is the successful completion of a scholarly or capstone project. The project is intended to demonstrate the synthesis of the student's knowledge gleaned from required and elective DNP coursework and unique practice experiences with an identified practice problem. An integrative three-course sequence at a university provides DNP students mentored opportunities to develop, propose, implement, evaluate and present projects. During the three-semester sequence, integrative course faculty members observed a need for clear scholarly project process guidelines and options for project formats to increase …

Home Health Nurses' Knowledge And Beliefs Regarding Suffering, Artificial Nutrition And Hydration In People With Late Stage Dementia, Lenora W. Smith

International Nursing Research Congress (INRC)

Purpose: The purpose of this mixed-method, convergent parallel design study was to identify home health nurses' knowledge and beliefs toward suffering in persons with late-stage dementia and to investigate whether their knowledge and beliefs may have an effect upon their guidance of families of individuals with late-stage dementia.

Methods: A sample (n = 17) of home health nurses were given a questionnaire to complete as particiated in focus group interviews. For the quantitative piece of the study, the questionnaire used was the Knowledge of Artificial Nutrition and Hydration in the Terminally Ill (adapted from a Taiwan nurse). Interpretation of the …

Creating Global Clinical Internship Experiences, Amy Nagorski Johnson

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Across campuses in the United States and abroad, international nursing experiences that enable students to gain a broader perspective on global healthcare issues have become increasingly popular and valuable to nursing. The practices fall under three broad categories: study abroad programs, sustainable service learning opportunities, and clinical nursing inteRNips. While there are significant benefits for each, the clinical inteRNip appears to be the most challenging program to establish. Because clinical inteRNips provide a platform for understanding nursing issues in developing and developed countries, offer students insight in providing culturally competent care, and support …

Correlates Of Hpv Vaccine Initiation, Completion, And Dosing Intervals Among Female And Male Adolescents In Inner-City Community Health Centers For 2011-2013, Rula M. Btoush, Diane R. Brown, Jennifer Bucalo, Dennis Carmody

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The human Pepillomavirus (HPV) infection is a known risk factor for the development of several cancers. According the CDC, between 2004 and 2008, there was a national average of 33,369 HPV-associated cancers annually, including cervical, vulvar, vaginal, penile, anal, and oropharyngeal cancers. There are pervasive disparities in national morbidity and mortality rates in the US for HPV-related cancers among Black and Hispanic. Cervical cancer, in particular, is more common among Black and Hispanic women and results in disproportionately higher mortality for Black women. In addition to race/ethnicity, incidence rates of penile, cervical, …

Mixed Messages: Untangling Interprofessional Communication In Health Care Students - Phase I Results, Diana L. Goodwin, Melissa S. Leal, Emily Hinrichs, Jessica Lindemood, Saju Joseph, Lori E. Hammond

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Staff communication was the primary cause of 65% of hospital sentinel events between 1995 and 2004 (Zhang, Thompson, & Miller, 2011). Effective interprofessional communication has shown to be a paramount factor not only in improving overall patient outcomes, but to directly impact employee satisfaction and retention in the healthcare setting positively. An interprofessional project was developed in an attempt to improve overall communication between pre-licensure healthcare students from different disciplines. Participants include 3rd and 4th year medical students, Physician Assistant students, and Second Degree Bachelor of Science in Nursing students. Students complete clinical …

The Living Experience Of Sex Transformation: A Preliminary Study Under The Guidance Of Parse's Humanbecoming Theory, Chi-Hsuan Asphodel Yang, Tzu-Tsui Tsao

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background: 'Transsexualism is the most severe form of gender dysphoria.' The patients suffer from disharmony of body and soul, and result in interpersonal, and occupational dysfunction. The first sex reassignment surgery (SRS) in Taiwan was performed in 1988, and currently there are 50 ~ 100 SRS performed each year. SRS is a way of empowerment of individuals with transexualism, and with SRS, they can be more assured of their own identity. While innovative technology and diverse cultures are embraced as part of daily life, individuals with transexualism are often rejected by the public, …

At Work - But Not Present, Roberta Christopher

General Submissions: Presentations (Oral and Poster)

Have you ever been physically at work, but not fully present? This is called presenteesim. How might this lack of presence impact your safety, your patient's safety, and the quality of your nursing care? To better understand the relationship the relationship of presenteeism with absenteeism, nurse safety outcomes, and quality of nursing care, as perceived by nurses a quantitative research study was undertaken. This presentation will discuss key findings from the study. A description of patient safety outcomes, personal and contextual factors, and well-being assessment for productivity, which may influence presenteeism, absenteeism, nurse safety outcomes, and quality of nursing care …

Increasing Students' Self-Confidence In Patient Interaction Through Standardized Patient Simulations, Flor A. Culpa-Bondal, Carol Dean Baker

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background & Purpose: Self-confidence is an important factor for developing clinical competence. First semester nursing students report anxiety and the lack of confidence to approach patients in the clinical area for an assessment interview and subsequent provision of care. Standardized patient simulations provide a venue for students to practice their communication skills and receive feedback from the 'patient'. The purpose of this article is to describe the result of standardized simulation exercises and its impact on students' self-confidence.

Methods: A quasi-experimental pre-test/post-test design was used to investigate the impact of standardized patient simulations …

Parents' Knowledge And Experiences With Preterm And Full Term Infant Care After Hospital Discharge, Forgive Avorgbedor, Diane L. Holditch-Davis, Hannah Anderson Hughes

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015;

Purpose: The purpose of this literature review is to update the literature on how parents handle infants after hospital discharge and highlight show areas for which the needs of parents are not met through discharge planning, preparation and educational follow-up.

Methods: A limited search of PubMed and CINAHL was performed to identify English language published papers on patients' education on transition from hospital to home on newborn care from 1991 to 2014. Articles were excluded if they were not related to Maternal knowledge and experiences with newborn after discharge from the hospital. We …

Comparison Of Factors Related To Older Adults' Purpose Of Life In Japan: Relation Of The Events Leading To Life Purpose And Sense Of Purpose In Life, Takashi Ohue

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Older adults' sense of purpose in life has been an important subject in Japan along with their well-being and healthy long life. The purpose of this research is to examine the effect of events leading to life purpose and sense of purpose in life in order to examine the factors relevant to older adults' sense of purpose in life in Japan.

Methods: Older adults (N = 250) aged 65 and over gathering in the Kakogawa public hall in Japan were asked to participate. They were asked about their age, family structure, maintenance …

Reduction Of Falls And Fall-Related Injuries In Highly Engaged, Low Performing Hospitals, Rebekah L. Flynn

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Nature and scope of the project: The Hospital Engagement Network (HEN) is a collaborative effort between the American Hospital Association and Hospital Research and Education Trust (HRET) to reduce preventable harms in healthcare. Project sponsorship and oversight is provided by the Centers for Medicare and Medicate Services. The Missouri Hospital Association has an active HEN with 94 participating hospitals. HEN goals are to reduce preventable harms in key areas: adverse drug events, catheter associated urinary tract infections, central line associated blood stream infections, falls, pressure ulcers, readmissions, surgical site infections, ventilator-associated pneumonia, and …

An Evaluation Of Health Literacy Education: Effects On Cultural Competence, Knowledge And Attitudes Of Associate Degree Nursing Students, Lisa M. Sullivan

International Nursing Research Congress (INRC)

Seson presented on Saturday, July 25, 2015:

Purpose: Health Literacy and Cultural Competence in healthcare are not new concepts, but they are now becoming a priority focus of major health organizations. Healthcare professionals realize that patient-centered care is dependent upon clear communication and understanding. Student nurses receive minimal education on Health Literacy and communication methods with Limited English Proficient (LEP) patients. This project focuses on the development of an educational program for second year Associate Degree Nursing (ADN) students in order to increase Cultural Competency and Health Literacy prior to entering the clinical area. Several learning objectives were devised for …

Screen Use And Health Habits Of Youth, Cheryl Zlotnick, Hadass Goldblatt, Daphna Birenbaum-Carmeli, Efrat Shadmi, Omer Taychaw

International Nursing Research Congress (INRC)

Purpose: Adulthood health habits among individuals develop in our youth. What are the influences that create our health habits such as eating healthy foods, engaging in exercise and not smoking? In our complicated society, Uri Bronfenbrenner's Bioecological theory suggests a systematic approach at examining the layers of influence that surround us and shape our behaviors. The theory views the child as encased by a concentric series of layers, each layer having an impact on the next and all layers exude direct or indirect influences on the child at the center. At the center are the unique characteristics and traits of …

Sexually Transmitted Infection Health Literacy Among Urban Emerging Adults, Athena D. Ford

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Emerging adults, ages 18 - 29, hold the greatest number of changes in sexual partners and the highest rates of new Human Immunodeficiency Virus (HIV) and Sexually Transmitted Infections (STI) contractions when compared to all other age groups (CDC 2011). Unfortunately, the majority of existing STI and HIV contraction research focuses on the adolescent period of development, ages 14 to 18. Thus, current research does not address the disparities facing emerging adults. This study has targeted STI health literacy among emerging adults in hopes of identifying possible gaps in STI knowledge. Three groups …