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First-Time Fathers' Experiences During Childbirth In Taiwan, Wan-Lin Pan

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this presentation is to explore first-time fathers' experiences during their wives' childbirth in Taiwan.

Methods: This qualitative study was undertaken using a grounded theory approach. We developed a semi-structured questionnaire for in-depth interviews conducted with 6 participants from hospital. Constant comparison, theoretical sampling, literature review, member checking and an expert panel were used to ensure research trust worthiness. A purposive sample of the fathers aged above 21 years who accompanied their wives throughout childbirth were recruited from the postnatal wards between one to seven days after the birth of …

Promotion Of End-Of-Life Care At Home For The Elderly In A Community Setting In Japan: Results Of Qualitative Research, Yae Takeshita, Michiko Moriyama

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Background In Japan, according to the national statistics, only 33.1% of the elderly people died at home, even though 89.1% of them wish to die at home. This discrepancy indicates obstacles existing in many areas in this society. One major reason is that advance directive is not legislated, and only a few people write their end-of-life wishes as a legal document in Japan. Without legal protection, healthcare professionals want to escape from legal trouble even if the elderly show their wishes at the end stage. In order to protect the elderly wishes …

A Study Of The Relationship Between Compassion Fatigue, Somatization, And Silencing Response Among Hospital Nurses: Focusing On The Mediating Effects Of Silencing Response, Sunhwa Kim

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this study was to identify compassion fatigue(CF), somatization, and silencing response (SR) among nurses and understand intermediate effects between variables.

Methods: The sample of 240 nurses who were working in medical, surgical wards and emergency room had shift-work in 3 hospitals with over 700 beds. A structured questionnaire was used and included CF, Somatization and SR scale. The data were analyzed using descriptive statistics, ANOVA, Pearson's correlation coefficients and stepwise multiple regression.

Results: There were statistically significant differences in CF, somatization and SR depending on perceived personal health condition, …

The Role Of Substance Abuse In The Lives Of Childhood Trauma Survivors, Weihua Zhang, Linda Grabbe

International Nursing Research Congress (INRC)

Purpose: Traumatic events early in life have been associated with substance abuse problems and mental health disorders (Adverse childhood experiences study, 2013). The development of addictions is a result of complex interactions among genes, environment, chronic stress, and neurobiology (Stephens & Wand, 2012). For persons who have experienced severe childhood abuse or neglect, there are fundamental changes in brain development (DeBellis et al., 1999), and many individuals deal with lifelong mental health problems such as depression, anxiety, post-traumatic stress disorder, and emotion dysregulation. One theory of substance use associated with mental distress is "self-medication," that is, persons with mental health …

Factors Related To Social Support And Communication Methods For Psychological And Social Adjustment In Japanese Laryngectomized Individuals: A Study Of A Self-Help Group, Kumiko Kotake, Ichiro Kai, Aya Takahashi, Yoshimi Suzukamo, Kaori Haba, Yuki Nagamatsu, Kazuyo Iwanaga, Rieko Kawamoto

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this study is to clarify factors related to social support and communication methods that are associated with psychological and social adjustment and to evaluate the nursing support plan for the promotion of social adjustment in laryngectomized patients.

Methods: We contacted, through a mail survey, perilaryngeal cancer patients who were enrolled in a patient association. This group included 893 of the 1828 patients who agreed to participate in the study. They were registered members of a laryngectomized patient association, A, which is a public interest incorporated self-help group. Its objective …

Factors Contributing To Malnutrition In Patients With Gynecologic Cancer, Juhee Nho, Sung Reul Kim

International Nursing Research Congress (INRC)

Purpose: 40-80% of cancer patients had nutritional disorder. Patients with gynecological cancer who is recognized as a major health problem, but the incidence of malnutrition and related factors about the results are reported to be varied. Malnutrition appears differently depending on the treatment period, psychological factors such as depression affect malnutrition. It is important nursing actions that nurses understand the nutritional status of the subjects and identify the relevant factors. The purpose of this study was to evaluate the nutritional status and to identify clinical, psychosocial, and nutritional factors contributing to malnutrition in Korean gynecologic cancer patients.

Methods: There were …

Understanding Self-Care Coping Styles In Patients With Chronic Heart Failure, Chia-Chien Li, Shiow-Ching Shun

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: Heart failure (HF) is a serious disease with poor prognosis and large numbers of people suffer from heart failure around the world. The physical and psychological self-care coping styles affect the quality of life (QoL) among patients with chronic HF. The decreasing of physical and psychological functioning often contributes to poor QoL. Therefore, it is important to understand the coping styles and the related factors in physical and psychosocial self-care.

Purpose: 1) To understand the coping of self-care in physical and psychological aspects in chronic HF patients; and 2) To understand the …

The Practice Of Skill Training For Dialectical Behavior Therapy, Yasuko Koyano

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Introduction: The suicide rate in Japan is 24 per 100,000 population, the highest among the seven most developed countries, and Japan even ranks 9th even among the countries of the world as a whole. In 2010, the Ministry of Health, Labour and Welfare organized a Suicide and depression management project team as an approach to reducing the more than 30,000 suicides that occur in the country annually, and it has vigorously promoted measures to combat suicide. Cases in which patients take excessive amounts of psychotropic drugs prescribed by their physician for the treatment …

Effects Of Balneotherapy On Pulmonary Function And Quality Of Life In Chronic Obstructive Pulmonary Disease Patients, Feng Lien Lin

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this study was to evaluate the effect of balneotherapy on pulmonary function and quality of life in patients with chronic obstructive pulmonary disease (COPD).

Methods: Subjects managed at a chest medical clinic of a medical center in Taipei city were included voluntarily after signing informed consents. The inclusion criteria were age >40, the mild and moderate COPD by GOLD criteria. The 10 subjects in the experimental group received balneotherapy twice per week for 6 weeks with regular medical treatment. The balneotherapy included the diaphragmatic breathing (DB), pursed lips breathing …

Effects Of Tai Chi Exercises On Adults With Metabolic Syndrome: A Systematic Review, Yuen Ling Leung, Janita Pak-Chun Chau

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Background: Metabolic syndrome is a cluster of metabolic disturbances that increases the likelihood of developing cardiovascular diseases, type 2 diabetes mellitus, and mortality. The economic burden of metabolic syndrome in individuals with hypertension is projected to rise by 179% by 2020 (Wille et al., 2011). Although pharmacological and non-pharmacological management options including herbal medicine and lifestyle and dietary modifications appear to be effective, the numerous potential adverse effects may deter its use (Mallappa et al., 2011).

Aim: This systematic review aims to present the best available research evidence related to the effectiveness of …

Prevalence Of Colorectal Cancer In Psychiatric Patients: The Preliminary Results Of Colorectal Cancer Screen, Yu-Cheng Chen, Shu-Hui Wang, Ya-Lin Ciou, Luan-Chen Lin, Shih-Hsien Kuo, Chiou-Shiang Wu

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The aim of this study was to demonstrate colorectal cancer prevalence in Taiwanese psychiatric patients to provide the reference for psychiatric professionals to improve the physical care for these patients.

Methods: A "Quantitative immunoassay fecal occult blood test" and a questionnaire of habitual diet and daily health behavior were used to screen colorectal cancer and related health behaviors to determine the prevalence an its correlations with habitual diet and health behavior in psychiatric patients. Samples of this study were recruited from a psychiatric hospital in southern Taiwan.

Results: 2088 psychiatric patients (1011, …

The Effect Of A Community-Based Fitness And Aerobic Exercise Program For Older Adults: A Randomized, Controlled Trial, Shu-Chuan Chen, Chiung-Hua Lin, Ruenn-Ching Wang, Hsueh-Jen Ho, An-Na Chao

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of study aimed to examine the effects of a fitness and aerobic exercise (FAE) on muscle strength, flexibility, cardiorespiratory fitness and balance in community-dwelling older adults.

Methods: Participants F A sample of 64 older adults (aged_60+) was recruited from community centers. A prospective, single blind, randomized, controlled intervention trial was undertaken. The participants were randomly assigned to the intervention or control group. Participants were randomized into intervention group (n=31) or control group (n=33). The intervention group underwent a fitness and aerobic exercise (FAE) program which designed for older adults to …

A Comparison Of Health Promoting Behavior And Quality Of Life Among Early Stage Of Ckd And Healthy Adults In Taiwan, Hsiu-Lan Teng

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: This study was to compare 1-3 stage of CKD and healthy adults in terms of: (a) the differences in health promoting behaviors and quality of life; (b) the relationships between health promoting behavior and quality of life.

Methods: This cross-sectional study was conducted through a convenience sample of 78 CKD subjects and 87 healthy adults recruited in southern Taiwan. The Chinese version of the Health Promotion Lifestyle Profile-II (HPLP-II) was used to measure the health promotion behaviors. Quality of life was measured using Taiwan version of the WHOQOL-BREF. Independent t-tests were used …

The Centers For Medicare And Medicaid Services' Nonpayment Policy And Nursing Sensitive Patient Outcomes In The U.S. Hospitals, Sung-Heui Bae

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The Centers for Medicare & Medicaid Services (CMS) implemented a new policy for Medicare in 2008 to reduce preventable adverse outcomes in hospitals. The new CMS reimbursement policy incentivizes the prevention of avoidable adverse patient outcomes by eliminating reimbursement for treatment of those outcomes in hospitals (Department of Health and Human Services, 2009). Intended consequences of the new CMS policy include appropriate changes in care processes to foster better quality of care so that hospitals can prevent adverse outcomes. However, there are also concerns about possible unintended consequences of such a financial …

Exploration Of The Role Of Gastroesophageal Reflux Disease In Chronic Obstructive Pulmonary Disease Patients: A Nationwide Population-Based Cohort Study, Yu-Huei Lin, Chii Jeng

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: To investigate whether GERD is associated with an increased risk of severe acute exacerbation of COPD (AECOPD) by analyzing a nationwide health care database.

Methods: This study employed a population-based retrospective cohort design. We conducted propensity score method with 1:2 matching. In this study we analyzed 1,976 COPD subjects with GERD and 3,943 COPD subjects as a comparison group. We individually tracked each subject in this study for 12 months and identified those subjects who experienced episodes of severe AECOPD required hospitalization or emergency department visit. The cumulative incidence of AECOPD was …

The Change Of Meridian Energy And Symptoms Among The Breast Cancer Patients With Chemotherapy, Sheng-Miauh Huang, Ping-Ho Chen, Li-Yin Chien, Chen-Jei Tai

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: There was rare study to evaluate the change of the meridian energy among breast cancer patients during chemotherapy. Therefore, the primary purpose of the study was to describe the change of the meridian energy, symptom severity and interference among the patients with breast carcinoma receiving the chemotherapy. Also, the study explored the factors to predict the meridian energy.

Methods: A longitudinal study was carried out with 121 patients at four teaching hospitals in the north of Taiwan. The researcher recruited the subjects from July 1st, 2009 to February 28th, 2011. The researcher …

Health Perspectives And Lifestyle Issues Of First-Year Nursing Students: As Revealed Through A Seminar In Health Self-Management, Shu Chun Chien, Fusako Kawabe, Shinobu Saito, Akiko Nagata, Takashi Maeda, Toshie Yamamoto, Yoshiko Wazumi, Tomoko Katagiri

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The leading causes of mortality in Japan are related to lifestyle diseases. One need only consider the top three causes of death: cancer, cardiac disease, and cerebrovascular disease, respectively. In addition to the pathology and treatment of diseases, it is necessary to offer lectures that guide students towards thoroughly understanding the principles of health at all stages of development, so that they may grasp preventive methods. The course 'Seminar in Health Self-Management' was designed to address the principles of health and ways of arranging daily life through applying concepts from Traditional Chinese …

Pilot Study To Describe The Substance Use Experiences Of Hiv-Positive Young Black Men Who Have Sex With Men (Msm) Between The Ages Of 18-29 In San Francisco, Austin Nation

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The prevalence of HIV among young Black men who have sex with men (MSM) is three to four times higher than white MSM. Young black MSM are run-aways and homeless, forcing them to survive on the streets by becoming sex workers, engaging in unprotected anal intercourse because either they or their partner is under the influence of drugs or alcohol. Previous studies cite crack cocaine use, sex while high on crack cocaine, marijuana and alcohol, or sharing needles for injection drugs as strongly associated with HIV infection among young black MSM. The …

Home Visit Nurse's Thoughts For Complementary And Alternative Medicine (Cam) In Japan, Atsuko Tokushige, Sayuri Tanaka

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: In Japan, complementary and alternative medicine (CAM) of knowledge and skills of the visiting nurses is required with the spread of palliative care due to an increase in cancer sufferers and complication of the disease structure in aging. In the report of the group "Research on Complementary and Alternative therapy of cancer in our country" in the Ministry of Health, Labour and Welfare grant-in-aid for cancer research, for the use in the medical field, that 44.6% of cancer patients are using one or more types of CAM has been reported. 1). This …

Medication Adherence Intention And Health Status Among People With Osteoarthritis In Korea: Pilot Study For Development Of Medication Adherence Program, Yang Heui Ahn

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this study was to explore medication adherence intention and health status among people with osteoarthritis in Korea, to provide data that could be utilized to develop intervention strategies for medication adherence.

Methods: A survey design was employed. The participants were 157 patients with osteoarthritis in a rural community of Korea who were interviewed on adherence to prescribed medications. A direct interview method was carried out in January, 2013. Instruments were the Modified Morisky Scale, the Korean Western Ontario McMaster Universities, the Stanford Health Assessment Questionnaire, the Korean Center for …

Depression, Balance, And Cognitive Function In The Elderly That Practice And Do Not Practice Yoga: A Comparative Study, Hermes Gonzalez, Maria De Los Angeles Villarreal-Reyna, Ana Maria Arredondo, Wendy Molina

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To identify the relationship between the levels of depression, balance problems, and cognitive impairment in Mexican elderly that practice and do not practice yoga.

Methods: This study will be evaluated using a descriptive comparative correlational design with two different groups: the yoga group (n1=65) and the non-yoga group (n2=65). The sample size will be estimated using the nQuery Advisor 7.0 software; level of confidence 90%, margin of error 5%, and a correlation of .35. The following variables will be observed using standardized assessments: depression, balance, and cognitive impairment. The outcomes will be …

Preoperative Education And Its Associated Factors Among The Patients With Total Knee Arthroplasty, Yun-Yi Huang

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this study for discussion about preoperative education and its associated factors among the patients with total knee arthroplasty.

Methods: A descriptive and comparative study, purposive sampling, the sample source from a medical center in the middle area of Taiwan was prepared to accept total knee arthroplasty (N=60) which divided into two groups: the control group (n=30) and experimental group (n=30). The research data collection processes is that in the case of out-patient admission and 24-48 hours before surgery to an interview that to explain the purpose of study and …

Impact Of Marital Coping On Body Image And Sexual Relationship Among Breast Cancer Survivors, Su-Ying Fang, Tzu-Chun Chen, Yi-Chen Lin, Wan-Chun Tung, Hsiu-Mei Huang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Changes in body image and sexual relationships can be problematic for women after breast cancer treatments. Breast cancer is a challenge that may change women's usual roles and that can be stressful for women's relationship with their partners. The use of ineffective coping efforts to deal with marital conflicts could result in a lack of support from the partner, which could have a negative impact on a woman's body image and sexual relationships. Understanding women's particular marital coping efforts to deal with their marital conflict and their association with body image as …

A Study Of Service Quality Perception For Blood Donors, Shu-Chen Yang, Chin-Ching Yu, Shu-Wen Chen

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this study was to evaluate blood donors' satisfaction of service quality in a blood donation center.

Methods: A total of 423 blood donors were randomly selected from the database of a blood center in Taichung, Taiwan, with a final sample of 407 participated in this cross-sectional study. Data was collected by a 31-item Blood Donor Satisfaction Scale (BDSS), measuring five dimensions: tangible, reliability, convenience, responsiveness and benefit, on a 5-point Likert scale ranging from very dissatisfactory (score= 1) to very satisfactory (score= 5). Participants were aged between 17-61 years …

Identifying Entry-Level Nursing Practice Characteristics And Emerging Trends In The United States Through Evidence-Based Research, Ada Woo, Kathy Apple, Philip Dickison

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014: Identifying Entry-Level Nursing Practice Characteristics and Emerging Trends in the United States through Evidence-Based Research Preferred Presentation. Format: Oral or poster presentations. Learner Objectives: The learner will be able to describe entry-level nursing practice characteristics and emerging practice trends in the U.S. The learner will be able to describe demographics, such as nursing experience and work setting, of entry-level nurses in the U.S. Research Purpose and Target Audience: The authors aim to identify entry-level nursing practice characteristics through a series of large-scale practice analysis studies. In addition to practice characteristics, emerging trends in …

Cultural Relevance Of The Healthy Choices Intervention Program, Diana L. Jacobson

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: The burden of obesity and its health consequences disproportionately affects Hispanic children and families. In Arizona, nearly 18% of the state's children and adolescents are obese (up from 12.2% in 2003) with the rate rising by nearly 46% between 2003 and 2007. Researchers have determined that multi-component; comprehensive obesity interventions are feasible in the primary care setting. In addition, it has become evident that intervention effectiveness is improved when obesity interventions are individualized to address the family's social and cultural influences on health. Purpose: The purpose of this study was to determine …

The Development Of New Evidence-Based Practice Competencies For Practicing Registered Nurses And Advanced Practice Nurses, Bernadette Mazurek Melnyk

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Research supports that evidence-based practice (EBP) promotes high value healthcare, including enhancing the quality and reliability of healthcare, improving health outcomes and reducing variations in care and costs. Even with its tremendous benefits, EBP is not the standard of care that is practiced consistently by clinicians throughout the United States and globe. Although there is a general expectation of healthcare systems globally for nurses to engage in EBP, much uncertainty exists about what exactly that level of engagement encompasses. Lack of clarity about EBP expectations and specific EBP competencies that nurses and …

Effects Of Self-Management Education Programme In Improving Self-Efficacy Of Patients With Chronic Obstructive Pulmonary Disease: An Exploratory Trial, Wai I. Ng

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: Chronic obstructive pulmonary disease (COPD) cannot be cured, but can be prevented and treated. Statistics show that it contributes more to the global burden of disease in terms of disability-adjusted life years (DALYs) than other respiratory diseases. In Macau, respiratory disease is the top three causes of all deaths in recent years (DSEC, 2008), however, the emphasis of healthcare service provision in relation to COPD patients is mainly focused on acute management. Therefore, the purpose of this study is to compare the self-efficacy of Macau COPD patients before and after implementation of …

Designing Service Learning Projects For An Online Course In Healthcare Delivery, Linda E. Jensen

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014: Service learning has become an important part of many academic healthcare programs as it has been shown that service learning helps students become more aware of the needs of populations frequently involved in healthcare disparities. Volunteer organizations are an important part of healthcare delivery however, most students and many health care professional are unaware of many of the important resources for their patients which can be found in these community service organizations. However, a service-learning strategy is more difficult to design for an online course, as the instructor cannot know the organizations involved …

Self-Management On Chronic Diseases, Fernanda S. Bastos

International Nursing Research Congress (INRC)

Purpose: Chronic disease and its comorbidities represent the cause of episodes of hospitalization for lack of disease control, or its consequences. Ineffective self-management contributes to hospital readmissions and the high number of episodes of specialized care, indicates deficiencies in primary care. The study purpose was creat an explanatory model on self-management carried out by people with demonstration of ineffectiveness, in order to infer the elements of a health intervention that promotes a responsible self-management.

Methods: Selected for study were those with chronic illness, with five or more hospitalizations. Twenty-two participants were followed for a maximum of a year and a …