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Chronic Health Conditions And Behaviors Among Persons Entering Maximum Security Prison, Elaine L. Larson, Zoltan L. Apa, Jennifer Bai, Montina B. Befus, Franklin D. Lowy, Dhritiman Mukherjee

International Nursing Research Congress (INRC)

Purpose: To describe health conditions and risk behaviors among persons entering maximum security prison in New York State.

Methods: Between January 2011 and March 2013 as part of a study to assess the prevalence of methicillin-resistant Staphylococcus aureus (MRSA), male (n=426) and female (n=404) inmates at intake to two New York State maximum-security prisons were interviewed regarding demographic, social, and health issues, their medical records were reviewed, and anterior nares and oropharyngeal samples were collected. The majority (>96%) were entering from other jails or prisons.

Results: Approximately one-third each were aged <30, between 30-40, or >40 years; 47% were black, 24% white, 20% …

Impact Of A Smart Phone Application On Icu Family And Provider Satisfaction, Florence Schaefer

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The most important factor affecting the overall satisfaction of the family with the ICU is the thoroughness of the information that they receive. Family members and their significant others are frequently called upon to share information and to make decisions pertaining to care, particularly when the loved one is a patient in an Intensive Care Unit (ICU) and are unable to make decisions for themselves. An increase in anxiety and distress experienced by families has particularly been noted when they receive poor communication. Communication barriers, fear, and uncertainty all add to the …

Icu Diaries Reduce Post Traumatic Stress Disorder After Critical Illness In Patients And Family Members, Christina Jones

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Delusional memories from the period of critical illness have been shown to be a major contributor to the later occurrence of post traumatic stress disorder (PTSD). The experience of watching the patient being critically ill is also traumatic to families, making them at risk of PTSD. It was hypothesised that an ICU diary could help patients and their families come to terms with their differing memories and so reduce the incidence of PTSD.

Methods: A prospective randomised, controlled study was performed in 12 ICUs across 6 European countries. 1 week after ICU …

Improving Health Outcomes In Haiti Through Nursing Education, Louise Aurelien

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014: Over the years, the Haitian American Nurses Association (HANA) of Florida has strategically formed alliances with corporations/organizations that are dedicated to help reshape the healthcare delivery system for all citizens in Florida and in Haiti. One such commitment is The HANA and Facult' des Sciences Infirmi'res de L'ogane (FSIL) 'Teaching Initiative'. This nursing education project was made possible by a grant from one of HANA's greatest supporters, HCR Manor Care. The intent is to generate a robust, competent Haitian nursing workforce, which will be equipped to address the shortfalls of the Haitian's healthcare …

Celebrating The Asia Region's Excellence And Advancements In Research And Scholarship Development, Claudia K. Y. Lai, Misae Ito, Alice Yuen Loke, Mi Soon Song, Pei-Shan Tsai, Alice K. Y. Wong, Shela Akbar Ali Hirani, Sally Wai Chi Chan

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

The goal of this special session is to showcase the excellence in nursing scholarship in Asia and also recognize the Asian nurse leaders in their contribution to the profession and society. Five chapters in the Asia Region will present the work undertaken by their own chapter and leaders over the years. These five chapters (in alphabetical order) are the Lambda Alpha-at-Large (Korea), the Lambda Beta-at-Large (Taiwan), the Pi Iota (Hong Kong), the Rho Delta (Pakistan), and the Upsilon Eta Chapter. They will portrait the development of their own country's nursing research and scholarship. …

Translating Interventions To Practice: Dissemination And Implementation Research Methods, Usha Menon

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

There is an almost 17-year gap between the publication of research findings and implementation to practice. Such a long delay in translation greatly nullifies the impact of health behavior research and reduces the immediate gains to be had from innovative and significant scientific discovery. Multiple funding agencies such as the Centers for Disease Control and National Institutes of Health have identified effectiveness research, diffusion research, dissemination and implementation sciences as key components of translation research In this symposium, we will describe the urgent need for dissemination and implementation (D & I) research as …

Munchausen By Internet: A Netnographical Case Study, Cynthia A. Witney, Vicki Cope, Joyce Hendricks

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014: Abstract Title: Munchausen by Internet: A netnographical case study. The Internet is a global phenomenon that provides a conduit for people to meet and collaborate without ever meeting face to face. As such, issues of truthfulness and trust are ongoing for all those who choose to click the mouse and enter cyberspace. This paper presents a case study drawn from a wider research project using netnography (Kozinets, 2010) where a purpose built www site called http://www.breastcancerclick.com.au or 'the Click' was developed and managed. Netnography has been used for more than a decade by …

Caring Science In Asia, Grace K. I. Lok, Mingxia Michelle Zhu, Margaret May Alojipan Ga

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

This session includes two sub-sessions regarding caring science in Asia. The first portion of the presentation will examine caring experiences of nurses employed in hospice care and the intensive care unit (ICU) in the Philippines. The second sub-session will look at how Chinese nurses apply caring science using the concept of Benevolence . The first sub-session in session III, Caring Science in Asia, presents a study conducted in the Philippines that utilized Van Manen's method in analyzing the essential meaning of the nurses hospice and ICU experience. Six activities are used to examine …

Are Nurses Prepared For A Radiological Disaster?: Assessing The Knowledge Of Nursing Students To Support The Need Of Integrating Radiological/Disaster Content Into Nursing Curricula, Cary Brown

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this project is to provide further evidence of the need for integrating radiological disaster preparedness content into nursing education curricula by assessing current knowledge of radiological emergency preparedness among licensed and pre-licensed nursing students using the Emergency Preparedness Information Questionnaire (EPIQ) survey revised for radiological emergencies.

Methods: Undergraduate licensed and pre-licensed nursing students attending the University of West Florida completed the survey (N=60). Pre-licensed students received a radiation instructional intervention and completed the survey post-intervention.

Results: Nursing students have a low level of self-reported knowledge of radiological emergency preparedness. …

Physical Fitness Exercise Vs. Cognitive Behavior Therapy On Reducing The Depressive Symptoms Among Community-Dwelling Elderly Adults, Tzu-Ting Huang, Yen-Fan Chin

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Aim: To compare the effectiveness of three interventions (physical fitness exercise, cognitive behavior therapy, and comparison) on primary outcomes (depressive symptoms), and secondary outcomes (physical fitness, quality of life, cognitive function, and social support) of community-dwelling elderly adults with depressive symptoms.

Background: Depressive inclination is a major problem among community-dwelling elderly adults. The prevalence of depressive symptoms ranges from 10.4% to 39.3%. This indicates the importance of developing effective strategies to reduce depressive symptoms among elderly adults.

Methods: Data was collected from May 2011 to April 2012. A randomized controlled trial with three …

An Ecological Approach To Understanding Health Promoting Behaviors Of Children From Low-Income Families: A Multi-Level Analysis, Jiyoung Park, Chulhee Kang, Tae Wha Lee, Chung-Mo Nam, Ja-Yin Lee, Hee Soon Kim, Hyeonkyeong Lee

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: 'Health disparity' is becoming a serious issue worldwide. The practice of health promoting behaviors (HPB) among childhood is influenced not only by individual factors but also by diverse environmental factors including family, peer relationship, school, and community organization. The purpose of this study was to investigate the ecological factors influencing HPB of children from low income families.

Methods: Participants of the study included 297 fourth to sixth grade elementary school students from low-income families, 297 caregivers, and 68 community children center teachers. Data was collected by structured self-report survey, and a multi-level …

Sustaining Evidence-Based Nursing Practices For Fall Prevention In Hospitalized Oncology Patients, Laura Cullen, Sharon J. Tucker, Deborah Sheikholeslami, Debra Picone, Janis Johnson, Grace Matthews, Rhonda Evans, Renee Gould, Deborah Bohlken, Lynn Comried, Kelly Petrulevich, Elena Perkhounkova

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Aim: This study aimed to identify factors that sustain evidence-based fall prevention for hospitalized oncology patients by examining patient factors (characteristics reported in incident reports 2009-2012 and patient interviews regarding their perspectives of fall risks and prevention); nursing interventions (documented for patients who fell 2009-2012); and nursing staff surveys regarding fall prevention knowledge and self-efficacy.

Background: Fall prevention is an important quality indicator and nursing concern for hospitalized oncology patients. In fact, 3-20% of hospitalized patients fall with 60% related to toileting, adding $4000 in cost. Up to 50% of patients are at …

A Comparison Of Students' Perception On Effectiveness Of Integrating Electronic Health Records Into Simulation In Undergraduate Nursing Program, Weihua Zhang, Barbara Kaplan, Darla Ura

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: Electronic Health Records (EHR) make real time point of care efficient. Interdisciplinary teams can view the most updated patients' progress thus ensuring safe and quality care. We implemented EHR into our existing simulation exercise and attempted to see a change in students' perception on effectiveness of the simulation in our undergraduate nursing program.

Purpose: The main purpose of this implementation is to assess the difference on simulation effectiveness perceived by the students in the group with and without utilizing EHR in simulation exercise.

Method: Cross-sectional design and convenience sampling were used to …

Implementation Of An Innovative Interprofessional Global Health Curriculum For Doctoral Education, Ivy Tuason

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of the presentation is to describe the implementation of an innovative inter-profession global health curriculum for doctoral education; and to discuss global health experiences that can be applied to doctoral students.

Methods: Curriculum development of an innovative global health program within an existing course in doctoral education using inter-professional collaborative teams of global health experts. Emphasis is on core concepts of global health, global health core competencies and practice experiences.

Results: Comprehensive modules were implemented enabling students an in-depth analysis of global health including its importance andrelevance to health and …

Lifelong Physical Activity As A Predictor In Exercise Beliefs Among Community-Dwelling Adult Over 55 Years Of Age, Chiung-Fang Ho

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: Previous studies appear to have focused mainly on various predictors that affect exercise behavior rather than exploring people's beliefs on exercise and factors that relate to those beliefs. An increased understanding of exercise beliefs and their related factors may increase people's participation in exercise.

Objective: We aimed to improve our understanding of the factors that influence exercise beliefs because this knowledge could help explain low levels of exercise and aid the design of more effective interventions. Thus, the purpose of this study is to identify: (1) the perceived exercise benefits, barriers, and …

From Cbpr To Rct: Lessons Learned Over 10 Years With Interventions In Public Housing, Jeannette Andrews, Martina Mueller, Martha S. Tingen

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014: Purpose: The purpose of this presentation is to describe the lessons learned after 10 years of community engaged tobacco cessation interventions with women in public housing in the Southeastern US. The original academic-community partnership in one Southeastern US metropolitan region identified the health area of interest, assessment of need, and developed an overall plan of action, including a multi-level and ecological based intervention at the neighborhood, peer group, and individual level. Primary outcomes measured were smoking abstinence at 6 and 12 months post intervention. Methods: A community based participatory research (CBPR) approach was …

The Relationship Between Executive Dysfunction And Instrumental Activities Of Daily Living In Early-Stage Dementia, Daisuke Fukuta, Chizuru Mori

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: One of the key clinical features of early symptoms of dementia is the cognitive deficits in everyday activities. Until a few years ago, it was considered that early-stage dementia is typically characterized primarily by memory impairment. In the latest survey for early-stage dementia, executive dysfunction has been attracting attention to not only memory impairment in the significant cognitive deficits. The cognitive deficits are often mild and may get worse very gradually, but it has been suggested that executive dysfunction affects the Instrumental activities of daily living (IADL) of early-stage dementia. Executive function …

Reflections Of Second Year Nursing Students In Australia On Improving Their Cultural Competence In Relation To Aboriginal And Torres Strait Islander Health, Glenda E. Mcdonald, Leanne Hunt, Sharon Patricia Hillege

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: Nursing students around the world require the capacity to provide nursing care in a culturally competent manner, given the complex patterns of migration and the increasingly multicultural nature of our societies and health system populations. In particular, nursing students need to understand the social and political aspects of majority and minority groups within societies and the impact they have on health access and outcomes.

Methods: This qualitative research study investigated the development of cultural competence in 76 culturally diverse, second-year nursing students in a metropolitan region of Australia, while they studied a …

Exposing Quality Of Life And Deadly Health Disparities: Using Research To Change Health Care Policy, Carol Estwing Ferrans

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

At this meeting in Hong Kong, Dr. Carol Ferrans will be inducted into the International Nurse Researcher Hall of Fame of Sigma Theta Tau International. The purpose of this presentation is to trace her research trajectory from its earliest beginnings in quality of life and health disparities, over 30 years, including how she used research findings as a tool to strategically to shape and create changes in healthcare policy and legislation. Since the early 1980s when quality of life was a new concept, she has been an advocate for the voice of the …

How Risk Ideology Creates Patient Work In A Secondary Stroke Prevention Clinic: Findings From An Institutional Ethnography In Canada, Sarah Flogen

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: Patients at risk for stroke seem to have certain features of clinical importance which have been associated with social determinants of health. Patients also seemed to be engaging with many activities and life changes in order to reduce their risk of stroke. This project had two aims: to understand the role of social determinates of health in health care, and to explore patient work in managing their stroke risk. The purpose of this paper is to describe findings from a nursing doctoral dissertation which explored the social organization of secondary stroke prevention …

Non-Urgent Emergency Department Use In An Urban Pediatric Primary Care Population, Mei Lin Chen-Lim

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: The purpose of this study is to evaluate the reasons that families use the Emergency Department (ED) for their child's non-urgent care when primary or after hours care is available. Background and Significance: Garcia et al (2010) reported approximately 20% of patients nationwide, with at least one Emergency Department (ED) visit, were children (ages 0-17 years). Past studies reported that approximately half or more of these visits were for non-urgent conditions (Zandieh, 2009). Ambulatory Care Nurses provide primary well child and illness care to assist patient and families to better manage health …

Illustration Of Aims For Utilization Nursing Process Data In Electronic Patient Records With The Aid Of The European Nursing Care Pathways (Enp), Sebastian Kraus

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

The before delineated aims will be illustrated in more detail with the aid of the European Nursing Care Pathways (ENP). ENP is a classification system which has been developed in Germany since 1989 by a scientific development team with diverse nursing competences. ENP consists of nursing diagnosis with characteristics, etiologies, resources, outcomes, interventions as well as detailed guiding interventions. In Germany and other European countries, ENP is currently used by many hospitals, nursing homes and home health care services as an electronic patient record for nursing process documentation.

Nurse Burnout And Patient Outcomes, Apiradee Nantsupawat

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: This study examined the effect of nurse burnout and patient outcomes.

Methods: This study was cross-sectional study. The sample consisted of 2,083 nurses across 92 community hospitals in Thailand. Nurse burnout was measured by the Maslach Burnout Inventory-Human Service Scale. Patient outcomes were measured by five items assessing quality of care, medication errors, confidence that patients can manage their own care after hospital discharge, infection, and falling. Logistic regression was used for the analysis.

Results: The results of study showed that higher nurse burnout was associated with higher report of fair to …

The Effect Of Breastfeeding Intervening Program In The Non-Authorized Baby-Friendly Hospital, Ya-Ling Yang

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Background: The program of 'baby-friendly hospital' gave fresh impetus to enhance the rate of effectively feeding of mother's milk in Taiwan area. Fifty-two percent babies were born in authorized 'baby-friendly hospital'. According to the authorized 'baby-friendly hospital' qualifications, there is an almost 100% attending rate in medical centers and regional hospitals, while community hospitals only account for 41.5%. Even though the breastfeeding rate in private obstetrics clinics is only 3.5%, the birth number rate is up to 32.5% of the yearly total birth. The breastfeeding rates at non-authorized 'baby-friendly hospitals', which are classified …

Best Practice Guidelines For Uncomplicated Urinary Tract Infections Reduce The Rates Of Antibiotic Resistance: A Ce Module For Clinicians, Romina Lo-Montano

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

For the past two decades antibiotic resistance has become a global issue stemming from the overuse of antibiotics. The lack of appropriate management of the client with uncomplicated urinary tract infections (UTIs) contributes to antibiotic overuse and an increase in antibiotic resistance. Uncomplicated UTI ranks as one of the most frequently treated diagnosis in primary care settings and urgent care clinics. In fact, approximately one in six women will experience an uncomplicated UTI in her lifetime. More than eleven percent of women are diagnosed with uncomplicated UTIs annually and many of these women …

Text Messaging Information For Survivors Of Intimate Partner Violence, Linden Wu

International Nursing Research Congress (INRC)

Purpose: Disruptive Innovations (DI), using an intentionally and deliberately developed product or service that becomes part of daily human activity such as Text Messaging Intervention (TMI) is the conceptual framework we used. Our specific aim is to evaluate text messaging as a feasible disruptive and protective tool on IPV. Three research questions are: Will TMI 1) increase participants' awareness of potential IPV? 2) improve participants' knowledge of the warning signs of IPV? and 3) improve participants' knowledge of actions to take to prevent IPV?

Methods: A mixed methods design was used to examine the feasibility of text messaging qualitatively and …

Dissemination And Implementation Studies: The Statistician/Methodologist's Role And Responsibilities, Laura A. Szalacha

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014: Purpose: The long delay between health and healthcare research findings and everyday practice is critical. The science of dissemination and implementation (D & I) addresses this gap by understanding how to create, evaluate, report, disseminate, and integrate evidence-based interventions to improve health and prevent disease within clinical and community settings and how to recast the nature or conduct of the research itself to make it more relevant and actionable in those settings. While the D & I field is growing, there are only a few training programs for D & I research. Methods: …

Does Social Activity Decrease The Depression In The Elderly?: An Analysis Of A Population-Based Study In South Korea, Seung Hee Lee, Young Bum Kim

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Geriatric depression is a common condition in elderly Asian women including South Koreans. Geriatric depression also becomes an imminent challenging health concern with an increasing number of geriatric populations in Asian countries. In South Korea alone, the prevalence of probable depression in elders was 15.5% and increased with age (19.0% in female and 10.7% in male). The purpose of this study was to investigate whether social activity decreases depressive symptoms in elderly Korean women and to provide directions for future development of interventions to prevent geriatric depression.

Methods: For this study, we …

Development Of The Barriers To Nurses' Use Of Physical Assessment Scale, Clint Douglas

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: There is growing evidence of failure to recognise hospitalised patients at risk of clinical deterioration, in part due to inadequate physical assessment by nurses. Yet, little is known about the barriers to nurses' use of physical assessment in the acute hospital setting and no validated scales have been published. Complex intervention studies designed to address these barriers and improve nursing assessment skills are also needed. However, before interventions targeting nurses' assessment practices can be developed, a valid and reliable measure of barriers to physical assessment skills is required. The purpose of the …

Review Of The Predictors Of Medication Non-Adherence And Adherence, Kathy Wheeler

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: This is the second of a three part series on Medication Adherence in which the authors describe the continuum of adherence to non-adherence of medication usage.

Methods: Research articles through Medline and PubMed.

Results: The research review showed medication adherence and non-adherence can be categorized according to the following: patient demographic characteristics, patient psychological and behavioral characteristics, social factors, disease related factors, financial and other health system factors, patient-provider relationships, and treatment related factors.

Conclusion: The implications for advanced practice nurses and other prescribers is that it is important to evaluate the …