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Leveraging Data To Drive Quality Patient Care: The Value Of A Unit-Specific Nursing Performance Dashboard, Joyce Lo, Susan Beswick, Heather Campbell, Lianne P. Jeffs, Ella Ferris

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: Performance data can be used to monitor and guide interventions aimed at improving the quality and safety of patient care.[1-4] Nursing plays an important role in quality management and performance improvement at the clinical level due to their interactions with patients and at an operational level nurse leaders have a key role in informing resource allocation and patient safety monitoring.[1,3,4] To use performance data effectively, nurses need to understand how to interpret and utilize data in meaningful ways to guide practice. Unless clinical nurses have knowledge about performance improvement measures, exposure to …

Sparks Code-Blue Ability Questionnaire Of Novice Nurses In The Icu, Madelyn Marie Sparks

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014: Purpose: The need for intensive care nurses worldwide is growing. Turnover rates of critical care nurses in excess of 12% and an aging population living with more complex health issues has created a continuing need to educate novice nurses who are working in intensive care units with little to no experience in this specialty. A comprehensive literature review of the literature was conducted to determine the existence of a tool to test the confidence level of novice nurses during code-blue resuscitation. No standardized questionnaire was found to measure the effectiveness of education on …

Transnational Care: Perceptions Of Filipino Nurses Working In Japanese Hospitals Under The Japan-Philippine Economic Partnership Agreement (Jpepa), Cora A. Anonuevo

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: This paper is an exploration of the perceptions of Filipino nurses on their current status and work conditions after passing the Japanese Licensure Examination for nurses, their plans in light of their conditions, and their views on the implementation of Japan-Philippine Economic Partnership Agreement or JPEPA.

Methods: I Individual interviews were conducted in July 2012 with six Filipino nurses who passed the Japanese licensure examination. The study participants have been working as staff nurses in five tertiary health care facilities in Japan. The interview was held in the hospital premises. Permission to …

Comparison Of Family Eating Habits And Activity Practices Among Blacks, Hispanics, And Filipinos: Implications For Prevention And Control Of Overweight And Obesity, Luz S. Porter

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this study is to compare and analyze the eating habits and physical activity practices among Filipino, Black, and Hispanic families. Overweight and obesity among children and adults is well-documented as an escalating problem. Concern about this rise centers on the link between obesity and increased health risks that translate into increased medical care and costs. Preventing childhood obesity is a national priority. Findings of earlier studies point to the interplay betweeNon-membermong personal attributes and environmental factors in development of overweight and obesity in childhood and adolescence.

Methods: This descriptive …

A Comparative Study Of Hiv Positive African Migrants' Efforts To Gain Health Services In The U.K. And U.S, James Whyte

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: There is a dearth of studies that detail the processes underlying African migrants' efforts to gain health services in the UK and US. The purpose of the presentation is to present the results of parrelell studies designed to detail the efforts of HIV positive African migrants' in the UK and US to gain access to vitally needed health services.

Methods: The Grounded Theory Method was used throughout the conduct of this study, due to the method's ability to integrate data and offer a structured method through which data may be analyzed and …

Nursing Preparation Of The Caregiver By Continuous Care Teams: Quality Indicators, Joana Isabel Vieira, Maria Margarida Reis Dos Santos Ferreira, Regina Maria Pires

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The progressive aging of the population associated with the cumulative effect of declining fertility and mortality has resulted in increased life expectancy, along with an improvement in the health status of the population (Decreto-Lei, 2006). It is estimated that the population have become progressively more aging across the European Union (European Comission, 2010). According to data released by the National Statistics Institute (INE, 2011) regarding the 2011 Census of Portugal, for every 100 young people there are 131 elderly (65 years old and over), verifying an increase in the elderly dependency ratio …

A Review Of The Patterns, Predictors, And Interventions To Improve Adherence, Mary Neiheisel

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: This is the first 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: Understanding the magnitude and scope of the problem of medication non-adherence is the first step in reaching better adherence rates. The second step is to evaluate the risk factors for each patient for medication adherence/non-adherence. Steps are then taken to prevent non-adherence.

Conclusion: The implications for nurse practitioners include using time with patients to assist them in adherence, …

Enhancing Adherence To Treatment For Clients With Serious Mental Illness, Valerie N. Markley

International Nursing Research Congress (INRC)

Non-adherence to treatment is a common problem in many chronic disorders with higher rates among clients with mental disorders. Non-adherence to treatment greatly compromises the effectiveness of psychiatric treatment and is associated with higher rates of relapse, hospitalization, and increased health care costs. Hildegard Peplau's theory of the nurse-client relationship and Ludwig von Bertalanffy's general system theory provide a model for intervening to increase adherence. The study was conducted over a 90 day period in the outpatient service of a for-profit psychiatric hospital. The intervention involved communication between office visits by an advanced practice nurse who contacted clients via phone …

Challenges In The Context Of Self-Care And Family Caregivers, Maria Jose Lumini Landeiro

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

In recent years has been increased research about self-care, because are recognized a main area for nursing. Chronic disease put challenges to the person in the field of self-care, namely in the individual disease's management and the therapeutic regimen. The ineffectiveness of management contributes to situations that generate dependence, such as stroke, not only for the disease but mainly for the consequences of the situation. When we discussed the dependent person cannot isolate your family, since most of the time she will need a caregiver to help the family caregiver in this new …

The Early Postpartum Experience Of Previously Infertile Mothers, Sigrid Lynn Ladores, Karen Aroian

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The clinical literature suggests that the physical, emotional, and financial investment associated with fertility treatment makes it difficult for previously infertile women to transition into new motherhood. Yet no studies have been conducted that explore the lived experience of becoming a new mother from the unique perspectives of previously infertile women. This descriptive phenomenological study fills this gap.

Methods: Twelve first-time, previously infertile mothers aged 27 to 43 years, were interviewed twice. The first interview focused on eliciting descriptions of motherhood in the early postpartum period after overcoming infertility. The second interview …

Using Healing Touch To Help Junior Nursing Students With Their Anxiety, G. Jean Klein, Katharine Lowe, Melissa Krouse

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this study was to investigate if a Healing Touch session could lower junior nursing students anxiety. Students frequently discuss their anxieties with their professors. They worry about being successful in the academic environment. Test anxiety is a major concern for many students, and more so for students who are continually evaluated for progression in a program, such as nursing. Students are aware of their anxiety, and the consequences of that anxiety. They look for strategies to help them deal with their anxiety so that they may gain control over …

Nurses' Commitment And Motivation To Improved Personal Health: The Role Of Hospital Administration, Carey Marie Phelan

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: As nurses comprise the largest sect of the healthcare industry, their health affects the overall effectiveness of health systems. Nurses are highly educated, yet, for many there is a disconnect between knowledge and the status of their physical health. Thus, it is important to investigate what could motivate nurses to improve their health, particularly in three major facets: decrease BMI, increase physical exercise and eat healthier. The purpose of the research is to ascertain the most effective interventions that employers could institute to motivate nurses to increase their physical health. Currently, there …

Transforming Healthcare Through Educational Diversity: Academic Health Center Pipeline Project, Greer L. Glazer

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: The purpose of this IRB approved research was to assess and develop a plan for an educational pipeline in which underrepresented (economically disadvantaged, ethnically and racially diverse, first generation college student) high school students will be recruited into a major urban, U.S. research University's Colleges of Allied Health Sciences, Medicine, Nursing, and Pharmacy. Minorities are grossly underrepresented in the U.S. healthcare workforce, accounting for only 16.8% of nursing's workforce (5.4% African American, 3.6% Hispanic, 5.8% Asian/Native American, 0.3% American Indian/Alaskan Native, 1.7% Multi-Racial) and empirical evidence supports a lack of diversity in …

Correlation Between Food Allergy Response Capabilities Of Mothers Who Raise Children With Food Allergy And The Quality Of Life, Satoko Aika, Misae Ito

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The objective of this study is to clarify the correlations among food allergy response capabilities of mothers, factors affecting it and quality of life (QOL).

Methods: Subjects were mothers who raised children between the ages of 0-6 years (preschool age) who had been diagnosed by physicians as having a food allergy. A self-recorded questionnaire was distributed and collected via post. The evaluation period was from September 2010 to March 2011. A total of 650 self-recorded questionnaires were distributed to hospitals with a pediatric allergy outpatient clinic (8 institutions) and general clinics (11 …

Teaching/Learning Strategies To Integrate Genetics And Genomics Into Undergraduate Nursing Education, Leighsa Sharoff

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Genetic and genomic science is redefining the understanding of the continuum of human health and illness. As a new required competency for 21st century baccalaureate nursing students, providing crucial information as outlined by the AACN Essential Competencies for Genetics and Genomics is paramount for the nursing practice. How a nursing curriculum prepares these millennial nurses to function at their highest capacity depends on how genetics and genomics are integrated into the curriculum. Integrating genetics and genomics as a stand-alone course needs to be innovative and creative while teaching the scientific content. The implications …

The Asian Women's Health Research Network: A Showcase Of Studies By The Korean Side, Eun-Ok Im

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

In order to promote international collaborative research efforts among researchers who are working on Asian women's health, the Asian Women's Health Research Network (ASIA-WH) was first initiated in 2007 by researchers in three countries including the U.S., South Korea, and Taiwan. Since its initiation, the network has provided a global communication channel among researchers in the three countries, and has been later extended to include Japan. Now, researchers from four Asian countries are collaborating in multiple ways of research efforts (e.g., publications, grant writing and submission, cross-cultural pilot studies, planning a research conference, …

Nursing Students' Perception Of The Clinical Learning Environment In Macao, Wai Sha Poon

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Background: Nursing is a practice based discipline. Clinical placements provide a social context for nursing students to engage in the profession and apply their knowledge to practice. However, the clinical learning environment is not primarily designed for education purposes. It is therefore essential to understand students' expectation and their experience in the clinical learning environment.

Purpose: The aim of this study was to investigate students' expectation and perception towards the clinical learning environment in Macao.

Methods: A survey using the Clinical Learning Environment Inventory (CLEI) was conducted in the academic year 2012-2013. The …

Mental Health Trajectories And Related Factors Among Perinatal Taiwanese Women, Pei-Chao Lin, Chich-Hsiu Hung

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To investigate mental health trajectories from the third trimester of pregnancy through four weeks postpartum in Taiwanese women and the correlations of these trajectories with perceived social support and demographic characteristics.

Methods: This study is a repeated measures design. 194 Taiwanese women completed the Chinese Health Questionnaire and Social Support Scale at the 36th gestational week and 1st and 4th weeks postpartum. Latent class growth analysis was used to identify the change tendency and major classes of mental health status among perinatal women. Multinomial logistic regression was then used to determine if …

Outcomes And Medical Utilization For Lung Cancer Patients Undergoing Surgery, Shu-Ling Phom, Yao Fong

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Lung cancer belongs to the top ten death causes, ranking the second position. There were few systemic studies focus on the operation and medical resources for the patients. The purpose of the study was to evaluate the impact factors such as in-hospital days and the using of the medical facilities after 6-month discharge from the hospital for the lung cancer patient who underwent the surgical intervention. We also examined the factors which influence the mid-term and long-term follow up for the patients.

Methods: This was a retrospective study involving a single medical …

Epigenetic Risk Factors In Women With Breast Cancer: A Family Case-Control Study, Mildred C. Gonzales, Shyang-Yun Pamela K. Shiao

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose is to disseminate the current scientific evidence, including meta-analyses and a pilot prospective family-based case-control study on genome health on epigenetic risk factors for breast cancer. Breast cancer is the most common malignancy and the second leading cause of cancer death among women worldwide. Methylenetetrahydrofolate reductase (MTHFR) is critical for methylation pathways for deoxyribonucleic acid (DNA) repair and normal cellular development. Methylation pathways are affected by health behaviors such as folate intake, alcohol consumption, and tobacco smoking.

Methods: Meta-analyses and a prospective pilot study on the associations of MTHFR gene …

Factors Affecting The Bode Index Of Thai Older Adults With Copd, Rewwadee Petsirasan

International Nursing Research Congress (INRC)

Rationale: The aim of this cross-sectional study was to explore factors attribute to the severity of COPD among older adults with COPD in southern part of Thailand.

Methods: This study was conducted with 105 older adults who are 60 years and above with diagnosed COPD for a year and recruited by using systemic random sampling technique. The subjects were assessed BODE index: the body-mass index (B), the degree of airflow obstruction (O) measured by FEV1 percentage of the predicted value, dyspnea (D) measured by the modified Medical Research Council (MMRC) dyspnea scale, and exercise capacity (E) measured by the 6 …

Health-Related Quality Of Life And Its Relationships With Poor Exercise Capacity And Dyspnea In Thais With Copd, Naiyana Noonil

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: This study aims to explore the health-related quality of life (HRQL) and its relationship with exercise capacity and dyspnea of the southern Thai patients with stable COPD.

Methods: The methodology was the cross-sectional descriptive study. The sample consists of 126 patients with COPD attending the outpatient pulmonary clinic of Thasala hospital. The patients were assessed the HRQL by the Saint George's Respiratory Questionnaire (SGRQ), age, BMI, dyspnea by the Modified Medical Research Council (MMRC), exercise capacity by the 6-min walk distance (6MWD), and hospital utilization.

Results: The results found that most patients …

Using Social Network Analysis To Depict The Structure Of Research Collaborations, Beth Baldwin Tigges, Shana Lane, Richard S. Larson

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014: Purpose: The purpose of this study was to examine the structure of internal pilot grant collaborations in the first three years of the University of New Mexico Health Sciences Center (UNM HSC) Clinical and Translational Science Center (CTSC) in the U.S. using social network analysis. Research funding agencies are increasingly prioritizing research that involves collaboration across multiple disciplines or specialties, institutions, or geographical locations. Social network analysis is one analytic tool that is useful for depicting the structure of collaboration and changes over time. In the U.S., initiatives such as the National Institutes …

The Geriatric Nursing Leadership Academy: Outcomes Across The Care Continuum, Deborah F. Cleeter Bailey, Irene Fleshner, Claudia Jean Beverly

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Across practice settings, significant needs exist for improvement in delivery models, advancements in practice outcomes, and preparing the next generation of leaders in gerontological nursing. The Fellows of the first three cohorts of the national Geriatric Nursing Leadership Academy (GNLA) have achieved impressive outcomes within the three curricular domains: individual leadership and career development, advancement of practice through leadership of interprofessional team projects, and expanded scope of influence at the organizational, community, and professional levels. Fellows of the GNLA were positioned to lead practice change within acute care settings, long term care facilities, …

Executive Perspective On The Dnp, Martha Sylvia, Mary F. Terhaar

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: To describe what Chief Nurse Officers who employ or intend to employ DNPs think about the education, the contribution and the potential of the DNP in their organization and in health care.

Methods: Semi-structured interviews (60 ' 90 minutes in length) were conducted, in-person or by telephone, by an impartial interviewer with a total of seven respondents. Five (5) Chief Nursing Officers, one (1) director of nursing research and practice, and one (1) designee participated. These respondents represented academic teaching institutions, magnet facilities, and community hospitals. All were recorded and transcribed with …

Experiences Of Preceptors In Dedicated Education Units In The Public Hospital Environment, Jennifer L. Kitchens, Joe Burrage

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: To provide data on which to develop a method to evaluate experiences of preceptors of nursing students on a Dedicated Education Unit (DEU)/Traditional Nursing Unit (TNU). The specific aim was to describe experiences of nurse preceptors who have worked with at least two rotations of nursing students over the last 12 month in a DEU/TNU setting. Current faculty shortages, increased patient care acuity, advanced technology, greater system complexity, and sophisticated computer systems have resulted in the increased need to use staff nurses preceptors to provide students with clinical instruction and experience. More …

Adults With Type 1 Diabetes: Lifetime Support And Management, Donna Freeborn, Susanne Olsen Roper, Barbara L. Mandleco, Jordan Scanlon, Tina Dyches

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: To explore family support and it effects on diabetes management of adults with type 1 diabetes.

Methods: This study consisted of two in-depth interviews of 23 adult females and 12 adult males ranging in age from 19 to 70 years (M=36.54, SD=16.65). Participants' ages at diagnosis with type 1 diabetes ranged from two to 35 years (M=15.06, SD=9.84) with one to 54 years since diagnosis (M=21.46, SD=12.87). This qualitative study, using the biographical method, consisted of two in-depth interviews. The first interview allowed the participant to answer the prompt "tell me about …

The Influence Of Helping Relationships From Significant Others On Healthy Lifestyle Among Patients With Chronic Kidney Disease, Shu-Mei Chao, Fang-Ru Yueh, Miaofen Yen

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The aim of research is to study and explore helping relationships impact on establishing healthy lifestyle among patients with chronic kidney disease (CKD). The positive behaviors and negative behaviors of helping relationships from significant others assist patients with chronic kidney disease to do health behaviors about diet and exercise. Therefore, the patients will get higher possibilities to insist in suggestions from medical staff and act healthy lifestyle for maintaining healthy behavior and delaying deteriorated disease. Addition to helping relationships from perspectives of Transtheoretic Model, the study explores influence how helping relationships from …

The Challenge Of Caring For Incontinence: The Experience Of Family Caregivers Of Stroke Survivors, Meei-Fang Lou, Chien-Ning Tseng

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Family caregivers' experiences of caring for the older stroke relatives with urinary/fecal incontinence were explored.

Methods: A qualitative study was designed to elicit a rich understanding of the experience of family caregivers of older stroke survivors with incontinence. Grounded theory method was used to collect and analysis data from deep interviews with ten family caregivers of older stroke relatives with incontinence, aged 21-78 years, during 2011.

Results: Four major themes that emerged from these data were 'being in chaos', 'being in vigilance', 'being in exhaustion' and 'being in creating a new life …

Correlations Between Psychological Symptoms And Quality Of Life In Resident Elderly: A Regional Hospital In Taiwan, Su-Jung Jr. Liao, Tse Tsung Liu, Jiin-Ru Rong

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: According to the Council for Economic Planning Committee in Taiwan, said the United Nations and our population data and comparison of the data with the U.S. Census Bureau found that Taiwan's population is aging while compared with 193 countries in the United Nations, and our ranked world No. is 48 in 2010(1). At present, Taiwan's population's "aging index" is only 69% (the so-called aging index is defined as the population aged 65 and over accounted for 0 to 14 year-old the proportion of the elderly population is a young population that's 0.6 …