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Relationship Between Families Perception Of Health And Family Support In Vulnerable Children Care, Jih-Yuan Chen, Hong-Sen Chen, Meng-Chi Liu, Mei-Chyn Chao

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Background: Family support in care of vulnerable children is rarely discussed yet has a major impact on family member health. The vulnerable children care setting is characterized by a rare disease of genetic, behaviors disturbed, or disability health. Family perceptions of health in relation to various outcomes of the children have including family health and family support has not been explored exclusively in outpatient care. Aim: First, assess families' perception of health associate with their children in different vulnerable care. Second, examine families' perception of health with a defined sample of vulnerable …

The Role Of Preparatory Activities In Clinical Education For The Pre-Licensure Nursing Student, Laureen E. Turner

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: This study explores preclinical preparation activities (PPA) in nursing education. Significance: The clinical environment represents the cornerstone of nursing education, where theory, psychomotor skills, and critical thinking converge. Existing literature demonstrates limited data on PPA.' This paper investigates forms and student perceptions regarding PPA.

Methods: A survey tool was created in tandem with existing research and faculty consultation. This survey was distributed to students (N=541) and clinical faculty (N=94). 298 students and 34 faculty returned the survey. Analysis: Quantitative data was cleaned and analyzed using Stata 13. Qualitative student data was analyzed …

Forewarned Is Forearmed: Preparing Nursing Students For Workplace Adversity, Julie Hanson

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014: Purpose: The poster presentation reports on an education-focused research project that is underway to explore contradictions in the way in which adversity is understood and responded to and the contribution the curriculum is (and is not) making in one university in Australia. The project is divided into 3 stages: exploratory interviews with nursing students identifying critical events that have occurred in the workplace; the generation of learning materials that will assist educators, clinicians and students to explore these critical incidents in new ways, so that new insights may emerge, and then designing strategies …

Preventing Complications Associated With Tube Feedings, Norma Metheny

International Nursing Research Congress (INRC)

The session will include a discussion of evidence to support or refute a variety of commonly used methods to determine feeding tube placement. Among the methods to be evaluated are: pH testing of feeding aspirates, observing the appearance of feeding tube aspirates, auscultation for a bubbling sound over the epigastric region as air is injected through the tube, electromagnetic monitoring, and carbon dioxide detection devices. Because the pH method is the most widely recommended bedside placement method, factors that may affect its accuracy will be reviewed; among these are the use of gastric acid inhibitors and recent feedings. Variations in …

What Impact Does Pharmacist Led Medication Reconciliation Strategies Have On Reduction Of Medication Errors In The Older Adult?, Lorraine A. Von Eeden

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

To study the role of the pharmacist in optimizing medication reconciliation strategies and the potential impact on medication related problems in community dwelling older adults. Purpose: To determine what effect a pharmacist-led intervention can have on medication reconciliation strategies/medication errors in the community dwelling older adult. Methods: This review considered studies that evaluated the effects of medication reconciliation strategies on medication errors in community dwelling older adults. The target population was older adults, 65 years and older and living in the community. Excluded were any older adults with dementia or who were dependent …

A Research Journey: To Boldly Go Forward, Usha Menon

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

The development of a successful career requires passion, persistence, teamwork, and mentorship. In my research career, I have focused on reducing disparities in the early detection of cancer among the poor, elderly, underserved and/or minorities. Cancer is a deadly disease that kills many people worldwide, yet the irony is that for certain cancers, early detection can lead to a complete cure and lives saved. Through the testing of targeted and tailored interventions, my team has moved from efficacy testing to testing dissemination and implementation designs. The use of rigorous models of cultural targeting …

Activation Planning: Preparing A Workforce For Expansion Into A New Healthcare Facility, Katherine Pakieser-Reed, Emily Lowder, Sally Black

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Background and Purpose: An organization faces many challenges when building a new healthcare facility and preparing to move or expand into this facility. Strategies to plan and implement such a move have been described in the literature. Guzman, Nering, and Salamandra (2008) outline the use of specific project management tools and the application of the nursing process (assess, plan, implement, and evaluate) in organizational transition planning. The scope of a successful transition plan must address the roles and responsibilities of organizational members, licensing and regulatory requirements, a transition budget, move planning, and management …

The Effects Of Psychological Nursing Intervention Program On Psychological Distress And Quality Of Life In Women With Breast Cancer Undergoing Chemotherapy, Yeon Hee Kim, Kyung Sook Choi

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this study was to develop a psychological nursing intervention program and evaluate the effect on psychological distress and quality of life for women breast cancer patients undergoing chemotherapy.

Methods: The research design was pre and post randomized controlled trials. Development of the psychological nursing intervention program proceeded as follows: (1) The program was based on the guideline of psychological intervention proposed by Fawzy (1996), focusing on chemotherapy symptom management education, coping skill for negative emotion while treatment process, and emotional support: body image, self concept, stress coping, expressing fear …

Family Structure; Process Of Family Life, Communication Patterns And Prevalence Of Smoking, Alcohol And Illicit Drug Use Among Primary Children, Yim Wah Mak, Alice Yuen Loke

International Nursing Research Congress (INRC)

Purpose: This study examined the family structure; process of family life, communication patterns and patterns of smoking, alcohol and illicit drug use among primary children in a deprived district in Hong Kong. Methods: A two-stage random sample of primary five and six school children aged 10-12 years were recruited from 5 schools in two deprived districts in Hong Kong. Children from the schools were completed structured questionnaires in the classroom. Their family life (structure, parenting patterns and process), communication patterns and practices of health risk behaviors (smoking, alcohol and illicit drug use). Results: The prevalence of experimentation with smoking, alcohol …

Does Diabetes Mellitus Make A Difference In Symptom Presentation Of Patients With Acute Myocardial Infarction?, Polly W. C. Li, Doris S. F. Yu, Diana T. F. Lee

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The study aimed to compare the differences in symptom presentation between diabetic and non-diabetic patients with acute myocardial infarction (AMI), and to examine the impact of diabetes on symptom presentation in AMI patients.

Methods: A consecutive sample of patients with a confirmed diagnosis of AMI was recruited from the cardiac units of three regional hospitals in Hong Kong. Data collection was conducted through face-to-face interview. The validated Chinese version of the Symptoms of Acute Coronary Syndromes Inventory (SACSI-C) was used for symptom assessment.

Results: A total sample of 397 patients was recruited, …

Predictors Of Depression Among Midlife Women In South Korea, Ok Kyung Ham, Eun-Ok Im

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Across the globe, depressive symptoms are more prevalent in women compared with men. Especially among Korean midlife women in South Korea, the prevalence of depressive symptoms ranged from 14 to 22%. Furthermore, within the population, women with specific characteristics (e.g., low income) were reported to experience depressive symptoms more than their counterparts. The purpose of this study was to determine the prevalence of depressive symptoms and identify predictors of depressive symptoms among midlife women in Korea.

Methods: A cross-sectional study was conducted among a convenient sample of 200 midlife women recruited from …

Successful Strategies For Recruiting Low-Income Minority Group Women In A Community-Based Health Promotion Program, Adejoke B. Ayoola, Gail Landheer Zandee, Kendra Pennings, Laura Schipper

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Low-income and minority groups need to be well represented in health promotion studies so as to identify and address the existing health disparities in the U.S. However, studies have shown that it is challenging to successfully recruit low-income and minority groups into a study. The purpose of this study is to describe the strategies that were successful in recruiting low-income minority women into a community-based health promotion program.

Methods: This is a simple descriptive study where women were asked during a pre-intervention screening survey about how they learned about the study. Univariate …

From Evidence To Practice And Policy Making: Promoting The Health Care Quality Of Children With Asthma In Taiwan, Li-Chi Chiang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: Asthma is the most common chronic illness of children in Taiwan. As a pediatric nurse, developed a series studies to explore the problems of their quality of life and tailor series nursing intervention to improve their quality of life is our responsibilities. Advocating the needs of children and family and designing the appropriate nursing intervention for them are the challenge and accountability of nurses. Dissemination the quality care by clinical application and health care policy making for continuous education of health care providers is the most important strategies for knowledge translation.

Series …

Acute Confusion Among The Patients In Surgical Intensive Care Units, Li Yu Hsiao

International Nursing Research Congress (INRC)

Purpose: An ICU patient's probability of occurrence of acute confusion is higher than that of a general inpatient. Acute confusion is likely to not only cause accidental injury and prolong ICU stay, but also increase the mortality. Accordingly, this triggers the motivation to explore it. This study incidence of acute confusion, the related factors and predictors of acute confusion.

Methods: A descriptive correlational design was adopted. This study recruited patients, transferred to ICU after the surgery and had been in ICU for more than 24 hours as subjects, totaling 263 people.

Results: The results showed acute confusion was 79.41% and …

Meta-Analyses Of Epigenetics Risk Factors For Cardiovascular Health: Apoa5 Human Gene Variations Across Different Race-Ethnicity Groups, Yen-Chiun Lin, Veronica Nunez, Shyang-Yun Pamela K. Shiao

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014: Purpose: The purpose of this presentation is to disseminate current evidence on population genome health, through the meta-analyses of epigenetic risk factors, for cardiovascular (CV) health. CV Disease (CVD) continues to be the leading cause of death worldwide. Studies have associated Apolipoprotein A5 (APOA5, 1131T>C, rs662799) gene polymorphism with plasma triglyceride levels for CVD. Life style risk factors such as smoking, alcohol intake, and physical inactivity were associated with increased risks for CVD. Methods: Literature searches, quality scores, and inter-rater evaluation on data coding were completed to ensure data accuracy for pooled …

Patient Outcomes From Care Provided By Advanced Practice Nurses In The U.S., Julie A. Stanik-Hutt, Kathleen M. White

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Background: Advanced practice nurses (APNs) are registered nurses who have completed post -graduate education that prepares them for advanced and expanded practice as a nurse practitioner [NP], nurse midwife [CNMs], nurse anesthetist [CRNAs], or a clinical nurse specialist [CNS]. Issues related to access, cost and quality are at the core of ongoing discussions regarding health care. With the growing need for highly qualified health care providers, the best available evidence should be used to make decisions regarding how best to utilize the skills of APNs. Data is needed by educators, governmental officials and …

Application Of Revised Nursing Work Index And The Maslach Burnout Inventory For Registered Nurses From Public Health Institutions, Sao Paulo, Brazil, Lilia De Souza Nogueira, Regina Marcia Cardoso De Sousa, Mariana Alvina Santos, Dina De Almeida Lopes Monteiro Da Cruz, Erika De Souza Guedes, Ruth Natalia Teresa Turrini

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: The aim of this research was to verify the relationship between the results of the Revised Nursing Work Index (NWI -R) and the Maslach Burnout Inventory (MBI).

Methods: The Revised Nursing Work Index (NWI-R) (1) is a tool that measures the practice environment. It consists of 57 items, in which 15 of the 57 items were divided in 4 subscales: autonomy, control over the practice setting, doctor nurse relationship and organizational support (1). The autonomy subscale consists of five items and the control over the practice setting subscale comprises of seven items. …

The Influence Of The Social Determinants Of Health On Diabetes Self-Management In Rural Appalachia, Myra Leslie Clark

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Diabetes, a worldwide public health concern, has been linked with lower socioeconomic status, obesity, poor nutrition, membership in certain racial and/or ethnic groups, and family history of diabetes - factors often present in both urban and rural regions. Researchers are finding that greater knowledge of the relationship between social determinants of health and diabetes may provide insight into individuals' health outcomes related to diabetes. The purpose of this descriptive phenomenological study was to explore the social determinants of health as they relate to diabetes self-management in a rural United States population.

Methods: …

Creating An Environment Where Ebp Is Reality: Engagement And Critical Contributions Of The Nurse Executive, Mary G. Nash

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: There are critical components of an organizational culture that must be embraced and imbedded in order for EBP to become a reality. These components must be actualized throughout an organization; however a commitment from the executive level is absolutely essential for success. The critical components include: a philosophy, mission and commitment to EBP; an environment where the spirit of inquiry is encouraged, acknowledged, and rewarded; a cadre of EBP mentors who have in depth knowledge and skills in EBP, mentoring others, and overcoming barriers to individual and organizational change; administrative role modeling …

Engaging Interprofessional Teams: Promoting Community And Global Health Initiatives For Education, Practice, Research And Policy, Quannetta T. Edwards

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Assessing the needs of the community is an important part of healthcare and integral to the development, initiation and evaluation of health education programs, policies and regulations that promote population, community and public health and quality of life. The purpose of this symposium is to describe the integration of community and global health into curriculum for education, practice, research and policy initiatives using an inter-professional collaborative team approach consisting of advanced practice nurses (nurse practitioners), public health nurses, physicians, dentists, and public health experts. The program uses a myriad of approaches to provide …

Development And Implementation Of A Team-Based Learning Module: An Academic Perspective, Jenny Morris

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Team-based learning (TBL) was developed as a method of ensuring the benefits of small group teaching with large groups of 200+ students (Michaelsen, 2002). To implement TBL a course/module is divided into learning units each of which follows a specific sequence of activities: (i) out-of-class preparation; (ii) 'readiness assurance process' of individual and team testing, plus the opportunity for team appeals; and (iii) application activities in which teams work on problems (Parmelee & Michaelsen, 2010). Students are also required to provide feedback on each team member's contribution to team working. Teams of between …

Exploring Nursing Cost Using Patient Level Data, Peggy A. Jenkins

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

The purpose of the study was 1) to explore the variability of nursing cost per acute care episode for patients with similar DRGs with and without major complications; 2) to investigate the relationship among patient characteristics, nurse characteristics, nursing intensity, and nursing cost as a patient outcome. Four research questions included: What is the variation in nursing cost per acute care episode for patients with the same DRGs without complications, with complications, with major complications? What is the relationship among nursing characteristics (age, years of service, educational degree) on nursing cost per acute …

Effects Of Instructor Immediacy And Online Course Design In Student Satisfaction And Successful Course Completion, Nancy J. Slizewski

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Background: The withdrawal and failure rates for online classes and student satisfaction of online courses are identified as problems. Aim and Objectives: The aim was to investigate the effects of course design and instructor feedback on student success and satisfaction in online courses.

Method: The literature review supported further investigation of student satisfaction and course completion in online courses and the college approved the project. Student satisfaction with the course and instructor were evaluated utilizing the college's current survey tool. Student course completion was evaluated. Results of the project were compared to the …

Bridging The Education-Practice Gap: Integration Of Current Clinical Practice Into Education On Transitions To Professional Practice, Cheryle G. Levitt

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: There is an acknowledged gap between the content in undergraduate nursing education programs and the expected performance standards and roles of nursing in the healthcare setting. The continual changes in the healthcare system are not sufficiently reflected in basic nursing education, and the gap results in graduates that may not be sufficiently prepared for the current role expectations for nurses in various settings. Nursing education is charged with preparing graduates to integrate into reconceptualized roles that include areas such as collaboration, leadership, quality management, use of technology, and care management. The Institute …

Validation And Sensitivity Pictorial Pediatric Symptom Checklist, Elif Ardic, Gul Unsal Barlas, Serap Bulduk

International Nursing Research Congress (INRC)

Purpose: The purposes of this study are to share the results of PPSC's validity and reliability in Turkish society, introduce the Turkish version of PPSC, which has translations in only 3 different languages (English, Spanish and Filipino) and contribute to other studies carried out in the future, and draw people's attention to the importance of this study by adjoining one more new study to the epidemiological ones which are insufficient about the psycho-social problems of childhood in the world. Methods: This study was carried out methodologically in order to report translation and adaptation of the Pictorial Pediatric Symptom Checklist (PPSC) …

Changing The Face Of Health Care In A Global Society, Sustaining Ebp In Wound Care: An International Collaboration In The Philippines, Rebekah Grigsby

International Nursing Research Congress (INRC)

The prevalence and incidence of wounds has reached epidemic proportions and there is a global priority to provide wound care that is evidenced-based. However, areas around the world experience significant gaps in evidence-based practice (EBP), and populations experience disparity in wound care. Studies have identified specific barriers that impede knowledge acquisition and the translation of evidence into practice for health care professionals. This quality improvement study explored strategies to diminish barriers using Leffers and Mitchell's Conceptual Framework for Partnership and Sustainability in Global Health Nursing. The overarching purpose was to develop a sustainable program of wound care education therefore closing …

A Reflection On Psychosocial Assessment And Support As A Component Of Routine Holistic Antenatal Care, Johanna M. Mathibe-Neke

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of the presentation is to address the importance of pregnant womens' psychological status to the benefit of her foetus and her pregnancy and postnatal wellbeing. This can be achieved through the introduction of an antenatal risk assessment program that would identify and manage women during pregnancy as they are psychosocially at risk. The final outcome would be the provision of a holistic antenatal care to women.

Methods: Qualitative and quantitative research designs were used by way of methodological triangulation. Triangulation was further achieved through the use of multiple data sources. …

Pilot Survey Of Nurses' Attitudes And Practice Of Developmentally Supportive Care In Nicus In Taiwan, Chia-Ling Wu

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To examine both neonatal nurses' attitudes in applying developmentally supportive care (DSC) and their perceptions of practice of DSC in NICUs in Taiwan.

Methods: The Chinese version of Neonatal Nursing Care Survey (NNCS) was a self-administered paper survey and distributed to NICU nurses from six regional medical institutions (two each located in the northern, central, and southern Taiwan). This tool designed on a five-Likert scale ranging from 1 to 5 assesses nurses' attitudes (including 38 items) toward and perceptions of their practice (including 61 items) of DSC for preterm infants in NICU. …

Leadership And Person-Centredness: Time For Change!, Brendan G. Mccormack

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

In the past 10-15 years, healthcare services (particularly in the UK) have been rocked by various 'scandals' that have largely focused on a lack of dignified, compassionate, respectful and indeed unsafe practices from practitioners (of many disciplines). The outcome in most of these has been the loss of many lives, particularly vulnerable children, older people and people with disabilities (such as intellectual disability). Whilst nothing about the exposed practices can be condoned in any way, the reports clearly demonstrate the importance of a person-centred culture, i.e. a culture that treats all stakeholders as …

Measurement Of Moral Courage, Georgia A. Dinndorf-Hogenson

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Threats to patient safety exist. Nurse appraisals of these threats and the likelihood to act with moral courage have not been documented. This descriptive correlational study examined moral courage response to threats to patient safety. The moral courage model was based on Lazarus and Folkman's theory of stress and coping. The Dillman, Smythe, and Christenson (2009) tailored design method was used to construct the Moral Courage Questionnaire for Nurses (MCQN) instrument. Moral courage frequency and intensity were explored.

Methods: A randomized mail questionnaire distributed to Midwest perioperative registered nurses yielded 50% response …