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"Masked": The Lives Of Adolescents Undergoing Chemotherapy, Rudolf Cymorr Kirby P. Martinez

Individual Articles

Worldwide, cancer still ranks as the second leading cause of death among children. In Asia alone, it continues to be a leading cause of childhood mortality. Though treatment such as chemotherapy have played a major role in combating cancer, local researches that dwell to understand their lives as they undergo the therapy are sparse. To further understand the lives of adolescents undergoing chemotherapy, this paper was conceptualized to present a glimpse of the adolescent's life and answer the question "What it is like to be an adolescent undergoing chemotherapy". Further, this paper is part of a larger study exploring the …

Immigrant Women And Their Health: An Olive Paper, Afaf Ibrahim Meleis, Juliene G. Lipson, Marjorie A. Muecke, Gloria R. Smith

Sigma Publications: Book Excerpts

Migration and population relocation are part of human history. However, recent national and international issues create a need to pay more attention to immigration and its effects on immigrants and the societies in which immigrants resettle. Women constitute about 80% of the world's total of immigrants and refugees. Women immigrants are less visible than are men immigrants. They often receive less health care and care of inferior quality; and they have received less scholarly attention. As a result their health may be compromised.

The overall goal of this paper, which we are calling an olive paper:

1. is to raise nurses' …

The Research Journey For The Development Of The Hung Postpartum Stress Scale, Chich-Hsiu Hung

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Existing measures of general stress, which have also been used to assess postpartum stress, fail to measure women's specific childbearing stressors during the postpartum period. The purpose of the this study was to evaluate two studies for testing and validating the Hung Postpartum Stress Scale based on an early concept analysis.

Methods: The concept of postpartum stress was analyzed in early stage using a concept analysis strategy proposed by Walker and Avant. Then the first version of the Hung Postpartum Stress Scale was developed with a total of 861 low-risk postpartum women …

Quality Of Life In Veterans With Heart Failure, Kimberly F. Holden

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: The purpose of this study focused on the predictive effects of proximity to health care, general health perception, and knowledge of HF on health-related quality of life (HRQOL) in the veteran population.

Methods: A correlational, cross-sectional survey design using four survey instruments (demographic data, SF-12, Dutch Heart Failure Knowledge Scale, Ferrans and Powers Quality of Life Index-Cardiac Version-IV). Data obtained was used to test the hypothesis.

Results: The findings showed the HRQOL model was unidirectional and that the only predictive variable on HRQOL was proximity to health care.

Conclusion: Limitations inherent in …

Development Of The Patient And Family Centered Care Attitudes Survey, Linda Baas, Jeffrey Schlaudecker, Judith Ann Schofield, Andrew Arken

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Patient and Family Centered Care (PFCC) has gained recognition since the Institute of Medicine issued a report supporting this approach and linking it to patient safety. Since then, it has been supported by numerous healthcare organizations. Despite the growth in interest, there are few tools developed to assist hospitals in assessing the status of PFCC. The purpose of this study was to develop a tool to assess attitudes of nursing staff toward PFCC and to assess the reliability and validity of the tool.

Methods: A team created the structure and blueprint of …

Development And Psychometric Tests Of Cardiac Health Behavior Scale For Adults With Cardiovascular Risks, Hyunkyoung Oh, Sue Ann Moorhead, Sukhee Ahn, Rhayun Song

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: People with cardiovascular risk factors can prevent the progression of the disease and promote their health status by performing appropriate health behaviors. The purpose of this study was to develop a cardiac health behavior scale and validate the psychometrics of this scale for individuals with cardiovascular risks.

Methods: Based on the literature review, a Cardiac Health Behavior Scale (CHB22), a 22-item with a 4-point response format, was developed to represent an individual's likelihood of engaging in five key dimensions of cardiac health behaviors: health responsibility, exercise, diet habits (eating habits and food …

Breastfeeding Behavior And Sleep Of New Mothers In A Predominantly Low-Income And Ethnically Diverse Sample, Therese Doan, Kathryn A. Lee

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: To add to current knowledge about sleep and breastfeeding behavior of new mothers in order to promote exclusive breastfeeding in the first month postpartum, a vulnerable time frame for infant formula supplementation and early breastfeeding cessation.

Objective: The objective of this study was to describe and compare the sleep of women who exclusively breastfed at night to those who used formula in the first month postpartum. Methods: Both objective and subjective measures of sleep were obtained using actigraphy, diary, and self-report data from a predominantly low-income and ethnically diverse sample of 120 …

A Biological Mechanism For Adverse Maternal-Child Outcomes In Disadvantaged Populations, Elizabeth J. Corwin, Ying Guo, Anne Dunlop

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: This study aimed to explore mechanisms underlying adverse health outcomes in minority women. Minority women experience higher rates of perinatal complications compared to Caucasian women and higher risk of chronic disease across the lifespan. Biological and social contributors have been proposed to explain these disparities yet underlying mechanisms remain unclear. We tested the hypothesis that minority pregnant and postpartum women are unable to regulate inflammatory and stress responses compared to Caucasian women.

Methods: Data was collected from women were during the 3rd trimester of pregnancy through 6-months postpartum. Plasma was collected for …

Validation And Psychometrics Of The Therapeutic Self-Care Scale For The Portuguese Population, Ana Filipa Cardoso, Carlos Fontes Ribeiro, Paulo Queiros, Fernando Amaral

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013: Purpose: To translate and validate the therapeutic self-care scale (TSC) for the Portuguese population Methods: A cross-sectional study, in medical and surgical wards in 4 hospitals of the central region of Portugal.The following procedures were taken: authorization for the use of the instrument; panel of experts to assure the existence of a similar concept in Portugal; translation by two bilingual translators; panel of experts to build a consensus translation; back translation of the consensus form; analyses of the back translation by the previous translators; construct validation using factorial analyses after calculation of KMO …

Nursing Staff's Perceptions Of Resident Safety Culture In Long-Term Care Facilities: A Taiwan's Survey, Shu-Yuan Lin

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of this study is to describe supervisors', nurses', and nurse assistants' perceptions of resident safety culture in Taiwan's long-term care facilities.

Methods: This one-year study is a cross-sectional survey adopting an island wide random sampling. The scale of resident safety culture-long-term care version (RSC-LTC) was distributed to a total of 306 participants in 30 long-term care facilities. Thirty-four supervisors, 136 nurses and 136 nursing assistants were surveyed.

Results: The percentile of the mean in the RSC-LTC scale was 72 that indicated a moderate degree in staff's perceptions of resident safety …

The Evaluation Of Service-Learning As An Innovative Strategy To Enhance Bsn Students' Transcultural Self-Efficacy, Theresa M. Adams

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: This quasi-experimental study evaluated service-learning as an innovative strategy to change generic baccalaureate nursing students's perceived self-efficacy in providing culturally competent nursing care.

Methods: One intervention group (n = 42) completed a service-learning experience and the other (n = 69) completed an interview with a client from another culture. Demographic information was obtained and the Transcultural Self-Efficacy Tool was administered to all study participants pre and post the intervention.

Results: Repeated measures MANOVA results revealed an intervention elicited a statistically significant increase (p < .001) in self-efficacy strength (SEST) scores for the affective, cognitive, and practical subscales and for composite SEST scores. MANOVA results revealed pre-test SEST scores were significantly different depending on the participants' language (p = .001) and race (p < .001). Follow-up univariate ANOVAs (with Bonferroni correction) indicated that all three pre-test SEST scores were significantly different depending on race: Affective: F (1, 109) = 11.75, p = .001, ?2 = .097; Cognitive: F (1, 109) = 6.34, p = .013, ?2 =. 055; and, Practical: F (1, 109) = 19.27, p = .000, ?2 = .150. Univariate ANOVAs of the composite pre-test scores revealed a significant difference for language, F (1, 109) = 15.67, p < .001, partial ?2 = .126 and for race, F (1, 109) = 19.73, p < .001, partial ?2 = .145. A repeated measures MANOVA revealed there was no significant difference in improvement of SEST scores in any subscale, based on the type of intervention. Repeated measures MANOVA results revealed a significant interactive effect between intervention and race (p < .05).

Conclusion: Results of this study provide evidence that transcultural …

Social Determinants Of Women's Mental Health And Barriers To Help-Seeking In Three Ethnically Diverse, Impoverished, And Underserved Communities, Mary Molewyk-Doornbos, Joleen Degroot, Gail Landheer Zandee

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Depression and anxiety are significant mental health issues in the United States today that tend to affect ethnically diverse, impoverished women disproportionately. These mental health issues create situations of significant burden particularly when access to care, and specifically culturally congruent care, is limited. In keeping with the newly identified Healthy People 2020 topic, the purpose of this study was to identify social determinants of mental health and barriers to help seeking in three urban, ethnically diverse, underserved, and impoverished neighborhoods.

Methods: Using the ideological perspective of community based participatory research and in …

Trajectories Of Identity Development In Adolescents With Cancer, Kristin Stegenga, Catherine Fiona Macpherson

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: For adolescents with cancer (AWC), cancer poses a threat not only to their lives, but also to their quality of life (QOL). This threat to QOL results from co-occurring challenges to successful achievement of normal developmental tasks such as identity development. The purpose of this longitudinal qualitative study was to explore salient aspects of adolescent development as influenced by cancer.

Methods: Fifteen AWC participated in up to 4 quarterly interviews over the first year following cancer diagnosis exploring their developmental and cancer-related experiences with the intent of generating knowledge related to adolescent …

Nurse Turnover, Patient, Nurse, And System Outcomes, Michael A. Roche, Christine M. Duffield

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Workforce shortages and retention are critical issues facing healthcare organizations. Turnover rates in Australia have been estimated at between 12% and 38% and internationally from 14% to 39.2%. Both individual and organisational factors have been linked to turnover, but the impact of turnover on nurse and patient outcomes has been less frequently examined. This study describes the rate and costs of nurse turnover in Australia and the impact of turnover. It is part of an international project to examine the cost of nurse turnover and the impact of turnover on patient safety …

Breastfeeding: Assessment Of Maternal Breastfeeding Knowledge And Skills During Pregnancy And 1st/2nd Week After Childbirth, Alexandrina Cardoso

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: To build a mother's breastfeeding knowledge and skills assessment instrument; to characterize mothers' breastfeeding knowledge and skills during pregnancy and 1st/2nd week after childbirth; and to describe the profile of mothers who revealed higher level of knowledge and skills.

Methods: The study was developed in two phases. In the first phase was used the interview (and the literature review as data collection to identify mothers learning needs to breastfeeding her baby (qualitative approach). In the second phase was used the assessment instrument built in the previous phase to characterize maternal knowledge and …

Development And Pilot-Testing Of An Internet-Based Sti And Hiv Prevention Intervention (I-Stipi) Among Chilean Young Women, Natalia Villegas, Rosina Cianelli, Lilian Ferrer, Daniel Santisteban, Nilda (Nena) Peragallo Montano, Todd Ambrosia

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Chilean young women between 18 and 24 years old are at high risk of contracting STI and HIV. The literature shows a shortage of STI and HIV prevention interventions focused on this population. Internet based interventions are promising for delivering STI and HIV prevention interventions. The purpose of this study was to develop and pilot-test an internet based STI and HIV prevention intervention for Chilean women between 18 and 24 years old.

Methods: The design of the I-STIPI was divided into two stages: (a) development, and (b) piloting. The development stage included …

Predictors Of Sibling Cooperation And Externalizing In Families Raising Children With Disabilities, Christine R. Platt, Tina Dyches, Susanne Olsen Roper, Donna Freeborn, Barbara L. Mandleco

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: To examine whether caregiver burden, parenting style, and sibling relationship in families raising a child with a disability (CWD) predict cooperation and externalizing behaviors of the typically-developing sibling (TDS). Raising a CWD is challenging, leading to increased caregiver burden. As caregiver burden increases, a TDS may have poorer outcomes. Therefore, we examine parenting style and sibling relationship to determine if either is associated with decreased caregiver burden and/or more positive sibling outcomes.

Methods: This correlational study included 189 families raising a CWD and a TDS. Mothers and fathers completed self-report questionnaires on …

Assessment Of Nursing And Medical Students' Attitudes Toward Interprofessional Education, Karen S. Yehle, Kimberly Sanders, Marwa Noureldin, Kimberly S. Plake

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Providing opportunities for interprofessional education for students in the health professions is supported by the Interprofessional Education Collaborative. It is imperative for healthcare professionals to communicate and collaborate in teams, and understand each profession's roles and responsibilities. The purpose of this project was to examine the impact of participating in an aging simulation game on nursing and medical students' attitudes toward interprofessional education.

Methods: Nursing and medical students were paired together to play an aging simulation game, role playing older adults and navigating the healthcare system. Pre/post changes in attitudes toward interprofessional …

Developing Systems To Improve Hypertension Monitoring At A Primary Care Clinic, Theresa Marie Holsan

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Scope and Significance: Primary care clinics are responsible for evaluation of patients with hypertension (HTN) and reporting care to effectively treat this disease. Despite recommended guidelines about 59% of the adult patients in the United States with HTN are being treated and only 34% of those treated have well-controlled blood pressure (BP). Specific objectives of the project were to: 1. Increase the percentage of adult hypertensive patients with adequately controlled BP(<140/90 mm Hg); 2. Standardize BP techniques by ancillary staff and providers and to improve BP documentation; and 3. Evaluate and accurately use the patient reminder system for follow-up care.

Review of the Literature: A comprehensive review of original studies published in English from all countries beginning 2000 to January 2012 was …

Evidence Synthesis Strategies To Enhance Evidence-Based Practice, Susan Mace Weeks

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013: Evidence-based practice requires multiple steps including the synthesis of evidence. Despite its importance, the synthesis of evidence is often a misunderstood step. Without rigorous evidence synthesis, the practice guidance developed may be misguided. This presentation will define evidence synthesis, differentiate evidence synthesis from a summarization of evidence, and will describe forms of synthesis useful to researchers, educators, and practicing clinicians. Evidence synthesis is not a mere summarization of research studies. Rather, it is a grouping and collating of evidence that creates new knowledge. Evidence synthesis seeks to answer two significant questions, 'What is …

A Systematic Review Of Non-Pharmaceutical Interventions To Reduce Fatigue In Adults Receiving Hemodialysis, Kim Schafer Astroth, Janet L. Welch, Cynthia Russell

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013: Purpose: The United States has one of the highest rates of chronic kidney disease stage five, with hemodialysis the most common mode of treatment. Fatigue is a common complaint in 65 to 91% of those receiving hemodialysis. Fatigue can have widespread effects including decreased physical function, quality of life, and ability to perform activities of daily living; increased fatigue is also associated with reduced survival. Because fatigue is frequently reported as bothersome, nurses must discover effective ways to assist patients to manage this symptom. The purpose of this systematic review is to examine …

Self-Management And Self-Management Support On Chronic Low Back Pain Patients In Primary Care, Jennifer Kawi

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: This research study examined self-management (SM), self-management (SMS), and other pain-related variables on chronic low back pain (CLBP) in the primary care setting. Participant perceptions of their SM, SMS, and functional ability were also described. The Chronic Care Model served as the theoretical framework for this research. The World Health Organization described low back pain as the most common cause of disability afflicting large numbers of the population. In effect, SM has been strongly recommended as an essential skill to empower and engage patients to care for themselves appropriately. Worldwide, healthcare professionals …

Adapting And Testing An Evidence-Based Antiretroviral Medication Adherence Intervention In China, Ann Bartley Williams, Kristopher P. Fennie, Xian Hong Li, Jane Burgess, Hong Hong Wang

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: To test the effectiveness of a culturally adapted evidence-based home nursing intervention to improve adherence to antiretroviral medications among people living with HIV/AIDS (PLWH/A) in Hunan, China.

Methods: In a randomized, controlled trial, 114 subjects were assigned to receive a culturally adapted intervention consisting of monthly visits and interim phone calls plus standard care or standard care alone. The intervention previously demonstrated efficacy in a randomized clinical trial conducted in the United States. All subjects were residents of Hunan, China, living with HIV/AIDS and self-reporting less than 90% adherence to prescribed medications. …

Point In Time The Fitsteps For Life Exercise Program Improves Quality Of Life Of Persons With Cancer, Barbara K. Haas, Gary Kimmel

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Exercise has beneficial physical and psychological effects for persons with cancer. The majority of studies have been limited to early stage disease, focused on women with breast cancer, and been conducted over time frames of 6-12 weeks. It is not clear how soon the benefits of exercise are evident or if any benefits experienced can be sustained. The purposes of this study were to (1) determine the effects of a community-based program of exercise on the QOL of persons with cancer over time and (2) establish a point in time that exercise …

Exploring Of Action Reflection Teaching To Nursing Students' Spiritual Status And Reflection In The Course Of Spiritual Nursing For Elders, Ya Lie Ku, Jen-Kuei Ko, Pi-Yu Lee

International Nursing Research Congress (INRC)

Session presented on Wednesday, July 24, 2013:

Purpose: The purpose of this study was to explore action reflection teaching to nursing students' spiritual status and reflection in the course of spiritual nursing for elders.

Methods: The first period was preparation period for the researcher and two faculties in the long-term care for the elders and three two- years nursing students to construct the process of life-review and reminiscence activities for the elders. The second period was conducting period for the researcher to inspire nursing students reflecting and experiencing the meaning of each unit in the course of spiritual nursing for …

A Conceptual Framework For Educational Design To Bridge The Theory Practice Gap, Yvonne Botma

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Most educators in health care try to enable students to apply what they have learned in classrooms and simulation laboratories to their clinical practice. However, the theory-practice gap remains a contentious issue between faculty and practice. According to a vast number of sources a systemic approach is needed to bridge the theory-practice gap. Various systemic models for transfer of learning refer to personal characteristics, educational design factors, and organisational climate as critical elements in bridging the theory-practice gap. This framework provides tapered information and is a frame of reference to organise thinking, …

Stress, Coping And Well-Being In Lebanese Entering College Students, Rita Doumit

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: A theoretical framework for adolescent coping has been developed but not tested in contexts of high uncertainty. This study aimed to test the applicability of the Seiffge-Krenke model to Lebanese entering college students.

Methods: A descriptive correlational cross-sectional design was used to explore the relationships of stress, uncertainty, resilience, religiosity, socioeconomic status, social support to coping and well-being in Lebanese newly admitted college students. A sample of 293 college students enrolled in a private university completed a self-reported survey.

Results: Results indicated that future, school, self, and parents were the most stressful …

Preventive Health Screening Disparities By Disability, Gender And Race, Suzanne C. Smeltzer

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Health disparities are common among racial minority groups and people with disabilities. With growing populations of people with disabilities and racial ethnic minorities, there is a need to examine disparities in health screening among African-American (AA) and Caucasian populations if these disparities are to be reduced. This study compared health disparities in preventive health screening in African-Americans and Caucasians with disabilities.

Methods: Goodall's Interface model of disability provided a framework to address factors affecting health of people with disabilities, including gender and race. A descriptive, comparative study used secondary analysis of the …

Adolescent Mother's Experience Of Parenting One Year After Delivery, Josephine Mary Devito

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of this research is to describe the lived experience of parenting for adolescent mothers one year after the birth of their child.

Methods: This is a qualitative nursing research study using a phenomenology design. Focus groups, interviews, and follow up questionnaries were used to obtain the data. This study investigated the question, "What is the lived experience of 'being a mother' and a 'parent' for adolesecnt mothers 12 months after the delivery of their child?" A sample of 17 adolescent mothers from a post partum clinic participated and completed the …

A Computation Model Quantifying Nurse Staffing To Care Needs, Taina Pitkaaho, Katri Vehvilainen-Julkunen, Juhani Kouri, Merja Miettinen

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: The computational model for nurse staffing was innovated in the Nurse Staffing Management Development (NSMD) project as part of the B11 project designing a new building to the Kuopio University Hospital in Finland. Problems in existing facilities, decreasing nursing staff, and increasing demands of caring for an ageing population formed the background for the B11 project. The purpose of the NSMD project was to define nurse staffing needs in units that will move into the new building in 2015. Methods: Data consisted of information on 108 - 864 patient episodes (inpatient and …