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Are There Economic Benefits From Increased Nursing Staffing In Acute Hospitals?, Diane Esma Twigg, Christine M. Duffield

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Increased availability of treatment interventions and changing technology has increased demand for health care while the global financial crisis has increased calls for cost reduction. The pressure on nurse leaders to reduce staffing costs is significant. This research assessed the economic impact of increased nurse staffing on health outcomes in adult teaching hospitals in Perth, Western Australia. It provides evidence that is relevant to policy development.

Methods: This longitudinal study involved the retrospective analysis of a cohort of multi-day stay patients admitted to adult teaching hospitals. Hospital morbidity and staffing data were …

Thai Nurses' Cultural Competency In Caring For Clients Living At A Multicultural Setting, Praneed Songwathana, Siripan Siripan

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The descriptive research was aimed to assess the level of Thai nurses' cultural competency in caring for clients living at a multicultural setting.

Methods: A total of 126 Thai registered nurses working in the area of the southern Thai- Malaysian borders were recruited from provincial hospitals, community hospitals and local health centers. Participants completed a self report questionnaire of cultural competency which composed of 5 dimensions, including cultural knowledge, cultural awareness, cultural skills, cultural encounters and cultural desire. The cultural knowledge was tested for internal consistency using Kurder-Richardson (KR-20), yielding a value …

Comparison Of Nursing Practitioners' Competencies Among Different Evaluation Approaches: Peer Assessment, Superior Assessment, And Self-Assessment, Hui-Yu Liang, Shu Yu

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: To ensure the quality of nursing, nurse practitioner become more and more important who plays a key role in development and leading advanced nursing professional practice. Therefore, assessing the professional competence of nurse practitioners is essential. The purpose of this study is attempting to evaluate the professional competence of nurse practitioners and compare differences among different approaches: peer assessment, superior assessment and self-assessment.

Methods: The research design was a cross-sectional study design and subjects were selected by using stratified random sampling at teaching hospital in eastern Taiwan. A structured-questionnaire, Nurses Practitioners Competencies …

The Relationship Of Nursing Preventive Measures And Hospital-Acquired Complications In Elderly Trauma Patients, Christine Cutugno

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of this research was to investigate the relationship between nursing preventive measures and hospital-acquired complications in elderly trauma patients. The elderly are hospitalized at rates twice that of younger adults with similar injuries. Their length of stay is longer and utilization of expensive resources is greater. The incidence of adverse outcomes is the highest in this group and many complications are considered preventable with early assessment and intervention. Nursing's role in improving patient outcomes has been well documented but remains understudied in this group of patients.

Methods: The health records …

Do Self-Efficacy, Exercise Benefits And Barriers, And Demographic Factors Have The Same Effects On The Physical Activity Across The Gender?, Duckhee Chae, Chung Yul Lee, Suhee Kim

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: While health indices of smoking, hypertension, and diabetes among Korean adults have improved during the last 10 years, physical inactivity and obesity were getting worse. The purpose of this study was to determine whether self-efficacy, exercise benefits and barriers, and demographic factors have the same effects on the physical activity level across the gender.

Methods: A cross-sectional analysis of the baseline data was conducted to examine 70 sedentary white-collar workers (35 male, 35 female) from a major airline company in Korea participating 8-week workplace physical activity intervention. Steps were measured using a …

Using The Rasch Model For Psychometric Examination Of Food Security And Acculturation Surveys, Jill Francesca Kilanowski

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Rasch model is used to obtain measurements from two categorical variables to assess the probability of a specified response as a function of person and item parameters. That is the probability of a correct response is a logistic function of the difference between the person and item parameter item. The higher level of a person's ability relative to the difficulty of an item, the higher the probability of a correct response on that item. Rasch models have general applicablity and are used in psychometrics to evaluate theory and technique of measurement. The …

Development Of Trust In The Nurse-Patient Relationship With Hospitalized Mexican-American Patients, Sharon M. Jones

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Trust is an important component of patient-centered care and culturally competent care and a major element (confianza) in the Hispanic culture throughout the world. Knowing how trust develops with the Mexican American patient is important, yet this process is not empirically known. Purpose: To conceptualize the process of the development of interpersonal trust between the nurse and the hospitalized Mexican American patient. Methods: The classical grounded theory method was used to generate a theory related to the development of interpersonal trust. There was no theoretical framework at the outset of this study. English-speaking …

Nursing Effectiveness Of Four Portuguese Hospitals, Fernando Amaral

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013: Purpose: Testing the assumptions of the Nursing Role Effectiveness Model proposed by Irvine, Sidani, and McGillis Hall, 1998. Analyze the outcomes sensitive to nursing on a sample of medical and surgical patients in 4 Portuguese hospitals. Findings in functional status, self-care, management of symptoms, cognitive ability and therapeutic self-care. Association between practice environment interventions and outcomes. Relationship between patient characteristics, including age, functional status at departure, with outcomes using the Theory Driven approach. The methodological approach considers the concept nursing sensitive outcomes as respecting a condition, behaviour or a perception of a patient …

Interprofessional Collaboration: A Rural Self-Managment Program, Kathleen Farrell

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013: Purpose: The purpose of this study was to evaluate the impact of the Chronic Disease Self-Management Program (CDSMP) among individuals with chronic illness within a southern rural region. Methods: The study, designed to examine multiple, post-program outcome, was a quasi-experimental longitudinal pre-posttest design. Recognizing the need to have inter-professional collaboration to change health care outcomes in the community, faculty from nursing, social work, recreation and leisure services, and gerontology at a rural, regional school joined forces to look for collaborative pathways that would impact regional health status. The CDSMP is an internationally research …

From Simulation To Practice: Preparing Students For Real World Nursing, Cynthia L. Cummings

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: This presentation will cover the results of a yearlong study on the preparation of senior nursing students through simulation activities. The goal of the research was to explore perceived gaps in nursing students' proficiency and practice readiness between their educational environment and hospital practice. The study began with research into possible deficit clinical areas. From faculty observation of simulation experiences, problem areas were identified, such as inter-professional communication, priority setting and basic understanding of medication side effects and implications. Because of these findings, the adult health faculty determined that our students may …

Leaders In Nursing Education Competencies, Barbara J. Patterson, Anne Marie Krouse

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: Nurse educators must provide leadership not only for nursing programs, but also at the university level. Unfortunately, many educators lack formal preparation in leadership development. It is vital for nurse educators to develop leadership skills and be knowledgeable to create institutional policy that results in organizational effectiveness and innovation, as well as effective student learning environments. Currently, there exists a dearth of research on the competencies necessary for leaders in nursing education. The purpose of this qualitative study was to identify and describe the competencies that doctoral students pursuing an academic career …

Ethical Knowing In The Classroom And The Care Of Underserved Populations, Marcianna Nosek

International Nursing Research Congress (INRC)

Purpose: The purspose of this study was to examine how ethical knowing is created in the setting of graduate level nursing education regarding the care of undersered and marginalized populations. Gadamer's writing of phronesis and hermeneutic philosophy provide the philosophical foundation and framework for the study. Specific aims include: to create opportunities for ethical knowing or phronetic experience in the classroom; to bring together two diverse groups with different life experiences and prospectives, i.e., nursing students and formerly incarcerated adults together in a dialectic and dialogic way; to develop new meanings and understandings about ethical knowing or phronesis as it …

Buddhism And Medical Futility, Desley G. Hegney, Tuck Wai Chan

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013: Purpose: Religious faith and medicine combine harmoniously in Buddhist views, each in its own way helping Buddhists enjoy a more fruitful existence. Health care providers need to understand the spiritual needs of patients in order to provide better care, especially for the terminally ill. Methods: Using a recently reported case to guide the reader, this paper examines the issue of medical futility from a Buddhist perspective. Results: Important concepts discussed include compassion, suffering, and the significance of the mind. Compassion from a health professional is essential, and if medical treatment can decrease suffering …

Evaluation Of Transitional Care Through Home Care Services And Teaching/Learning Processes For Heart Failure Patients To Decrease 30-Day Hospital Readmissions, Judith T. Caruso

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: To evaluate if the use of transitional care services through home care services reduced hospital readmissions as compared to self-care at home for heart failure patients. In addition, the four key processes of the Institute of Healthcare Improvement (IHI) Transforming Care at the Bedside How to Guide for Patients with Heart Failure were evaluated.

Methods: Retrospective chart reviews were performed of hospital and home care records of Medicare patients discharged (N=76) from a large northern NJ medical center January 2010-April 2010 with a diagnosis of heart failure. Through interviews/observations of work processes, …

An Exploration Of The Role Of Social Support In Health Promotion And Eating Disorder Prevention, Kathryn D. Weaver

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013: Purpose: To explore the relationship between social support and eating disorder development within a female, nonclinical population. Eating disorders are commonplace within many university settings, particularly among female university students. The outcomes associated with eating disorders can significantly impact the growth and development associated with this crucial stage of emerging adulthood and have the potential to impede academic and future career endeavours. To best assist students, it is vital to build a comprehensive understanding of their experiences with eating disorder symptoms and their needs and preferences for support. Methods: Survey responses from 176 …

A Global Perspective Of Caring For The Mentally Ill: Empowering Individuals Who Live With Schizophrenia, Judith M. Jarosinski

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Despite improved treatment, significant global health disparities exist for those living with schizophrenia. The onset of symptoms, such as halluciantions and delusions, generally predicts worsening psychotic symptomatology. Clients continue to experience repeated relapses and symptom reoccurrence, and increased numbers of clients comprise the homeless population. The purpose of this study was to understand this experience for those living with mental illness, as they live in their communities.

Methods: A qualitative, Heideggerian approach guided data collection and analysis following Diekleman, Allen & Tanner's (1989) method. Twelve individuals with schizophrenia described their experience of …

The Results Of Research That Was Made Using The Barriers Scale Between The Years 2000 And 2012: A Systematic Review In Turkey, Fatma Ay, Nuran Gencturk

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: The aim of this systematic review was to examine the state of knowledge resulting from use of the BARRIERS scale and to determine the main barriers. Methods: Turkiye Citation Index (2000 to October 2012), Medline (2000 to October 2012) and CINHAL (2000 to October 2012) were searched for published research. The search were performed using the key words (BARRIERS scale, research utilization scale, T'rkiye, Turkey etc.) Inclusion criteria were: studies using the BARRIERS scale in its entirety and where the sample was nurses in between 2000-2012 years. Results: We examined articles, this …

Grandparenthood And Intergenerational Relationships: A Review Of The Literature, Rogerio Clemente Rodrigues, Isabel Mendes, Zaida Azeredo, Rosa Cristina Correia Lopes

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: To review published studies about the role of grandparenthood and the intergenerational relationship in contemporary western society. Methods: As a result of demographic changes, the grandparent/grandchild relationship has the potential for spanning three to four decades of life. As a consequence, grandparenthood and its associated roles and relationships are achieving a growing prominence in contemporary Western society. By this way intergenerational support relationships between grandparents and grandchildren are a reality that can improve the communication among generations. It was realised a literature review using data bases in B-On, Academic Google, and Pub-Med. …

The Impact Of Neonatal Resuscitation Training On Infant Outcomes In Low Resource Countries, Jill A. Bauer

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013: Abstract: Background/Purpose: Reducing infant morbidity and mortality globally relies on improving the quality of care delivered in low resource countries where 99% of deaths occur. This critical review will identify and analyze the impact of neonatal resuscitation training methods and content, to determine strategies for education and practice that result in improved global morbidity and mortality. Conceptual Framework: Nola Pender's Health Promotion Model (Pender, Murdaugh & Parsons, 2002) was used as the framework for analyzing the literature. Method: Twenty four current research articles with data retrieved from low resource countries were reviewed. Primary …

Juggling The Needs Of Two Communities Of Practice Nursing Clinical Mentors Teaching Baccalaureate Students, Cheryl Zlotnick, Dalit Wilhelm

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Clinical instructors balance the needs and perspectives of two environments (Communities of Practice or CoP), the educational facility and the clinical setting. The clinical instructor is pivotal in negotiating and bridging the demands of both. Yet, surprisingly few studies have focused on the importance of the role of the clinical instructor. Guided by Wenger's Community of Practice and Social Learning Model, we sought to fill this gap by using a logic model to identify the clinical instructors' strategies; environments' structures and needs; and the nursing program's outcomes.

Methods: A cross-sectional, qualitative study …

Teenage Pregnancy Prevention: Comparison Of Outcomes For Teenage Girls And Boys Participating In An Evidence-Based Intervention, Kathleen A. Sternas, Mary Ann Scharf, Janet Summerly, Rosemarie Peterkin

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Global trends indicate high rates of teenage pregnancy in the United States and other developed countries. Early teenage sexual activity and risky behaviors are related to pregnancy, STDs. Teenager risky sexual behaviors are increasing. This presentation describes global perspectives on teenage pregnancy prevention and outcomes for teenage girls and boys in an evidenced-based intervention which promotes reduction in risky behaviors and abstinence from premarital sex. Bandura's Social learning theory guided the intervention on sexuality discussions, mentoring/role modeling, health/fitness classes, cultural events/community service, recognition.

Methods: Pretest post-test design. Four intervention schools(n=388; 223 girls/165 …

Indonesian Palliative Care Nurses Knowledge, Dame Elysabeth Tarihoran

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Indonesia is a developing country with huge number of population (around 230 million people). In addition, the number of patients with palliative status is significantly high, it can be seen for example from the National prevalence of Cancer in Indonesia which is 4.3 cancer patients per 1000 people (Riskesdas, 2007). However, the high number is not accommodated by sufficient and qualified amount of support systems such as facilities, human resources, and health care standards especially nurses as the front liners of health service. Presently, palliative care training and education for nurses are …

Impact Of Family, Culture, And The Environment On Hispanic Children's Leisure Activity, Sue A. Anderson

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to develop an understanding of the motivators and influences on Hispanic children's leisure activities. Two overarching questions were investigated: 1: How do Hispanic families describe leisure time activities? and 2: How do culture, family, and the community environment influence a Hispanic child's participation in leisure time activities? Methods: This ethnographic study engaged 10 English-speaking Hispanic mothers of children aged 6-10 as data collectors. Participants photographed their children's leisure activities and then engaged in photo-elicited interviews about those activities. Data analysis followed the Developmental Research Sequence suggested by Spradley. However, participants performed initial data …

Developing And Implementing A Bilingual Web-Based Hiv/Sti Prevention Intervention Targeting At-Risk Latina Adolescents: Lessons Learned, Angela Chia-Chen Chen, Marguerita Lightfoot, Cathy Strachan Lindenberg

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: HIV/STI has disproportionately affected women of color. Latinos are the second largest ethnic group affected by the HIV/AIDS epidemic. This paper describes the process of developing and implementing a bilingual, web-based HIV/STI prevention intervention targeting Latinas aged 15-19.

Methods: An expanded Information-Motivation-Behavioral skills model guided the development of GirlSmart. We developed intervention materials adapted from prior work and other evidence-based programs. GirlSmart aimed to increase young Latina's knowledge and motivation to engage in protective sexual behaviors and empower them to initiate and maintain HIV/STI preventive behaviors through online skills building. Development of …

Experiences Of Sexual Abuse By School Adolescent Girls In Ile-Ife, Nigeria, Adesola Adenike Ogunfowokan

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The Study was designed to assess experiences of sexual harassment, sexual exploitation and rape among school adolescent girls in Nigeria. It was also designed to assess who the perpetrators were, settings of the abuse and reactions of the survivors to sexual abuse.

Methods: Semi-Structured Questionnaire developed from review of literatures with reliability co-efficient of 0.7 was used to collect data. The questionnaire contained 23 questions and assessed adolescents' demographics, experiences of childhood sexual abuse, experiences of sexual exploitation, harassment and rape, viz-a-viz who the perpetrators were and the settings for the abuse. …

Access To Liver Transplantation: Gender, Race And Geographic Disparities...Policy Implications, Patricia A. Brennan

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: To increase the understanding and the effect of specific predisposing, enabling and need variables on access to liver transplantation.

Methods: Kaplan Meir survival and Cox Proportional Hazard regression analyses were conducted using secondary data from the US Scientific Research Transplant Registry (SRTR), managed by the Organ Procurement Transplant Network and the United Network of Organ Sharing that included 32,566 patients. Database United States Scientific Research Transplant Registry (SRTR), with input from the US federally designated Organ Procurement Transplant Network (OPTN).

Population: Individuals wait-listed for a cadaveric liver transplant in the US from …

Predicting Factors Of Body Fat Of Metabolic Syndrome Persons, Aporn Deenan

International Nursing Research Congress (INRC)

Purpose: Known as an antecedence of diabetes mellitus and cardiovascular diseases, metabolic syndrome (MS) is a new health threat among Thai people. The objective of this study was to explore MS situation and its determinants of MS among Thai people in Chon Buri province, Thailand. Methods: Using NECP ATP III criteria, 300 metabolic persons were recruited to assess body fat percentage and filled out a package of questionnaire including demographic, health status, eating behavior, exercise behavior, risk behavior and MS management. Results: The results showed as follow: 1. The majority was female, average age 60.19 (SD =10.8), low income (5,000 …

Are There Benefits To Teaching Newly Hired Nurses Self-Care Techniques In A Mandatory Workshop Format, Ann Quinlan-Colwell

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The purpose of this presentation is to share with conference attendees the innovative and holistic research study that explored whether workshops designed to convey caring and to teach nurses self care behaviors can improve retention of nurses during their first year of employment. The background for this study was that the literature review confirmed nursing retention as a national challenge. The nursing shortage coupled with financial challenges provided a platform for creative nursing retention interventions. During the rolling calendar year ending in June 2009, 41 RNs left our Medical Center for a …

An Action Teaching In The Course Of Clinical Case Study And Practicum On Nursing Students' Abilities Of Clinical Reasoning, Evidence-Based Nursing, And Creative Thinking, Ya Lie Ku, Pei-Yu Lee, Chin Tang Tu, Man-Hua Shen, Chien-Lin Kuo

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of this study was to explore the effect of merging an action teaching method into a course of clinical case study and practicum on nursing students' clinical reasoning, evidence-based nursing and creative thinking abilities. The course consisted of 14 weeks with four hours of teaching each week using various teaching methods such as lecturing, inquiring, discussion, leading, and activities.

Methods: This study was divided into two stages: During the first stage, the researcher demonstrated the nursing process of clinical reasoning and evidence-based nursing, and four groups of nursing students were …

Health Promotion In The Context Of Workplace Bullying, Judith A. Macintosh

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Workplace bullying is prevalent abuse consisting of offensive behaviours humiliating or intimidating others at work (Carbo and Hughes, 2010). Incidence rates vary with abuse type and measurement methods but rates are increasing and workplace violence is identified as an international problem (World Health Organization, n.d.). We know that workplace bullying has effects on physiological, psychological, social, and economic health (MacIntosh, 2005). Our purpose was to study what is less well-known: how people bullied at work promote health and approach work afterwards.

Methods: We used grounded theory methods of constant comparison, simultaneous data …