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Caregiver Experiences, Functioning, And Needs Of Low-Income African-American And Latino Mothers Of Children With Asthma, Jo A. Dowell

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of this proposed pilot study was to explore the caregiver experiences of African American and Hispanic/Latino mothers of children with asthma in an effort to understand how specific cultural influences have an effect on the care of these children and subsequent health outcomes.

Methods: A qualitative, descriptive design was used to examine the experiences, functioning and needs of low income African American and Hispanic/Latino mothers of children with asthma.

Sample: The participants (mothers) were recruited from a Child Development Center in North Carolina. A purposive sampling technique was used to …

Changes In Self-Care Behaviors And Health Outcomes Among Metabolic Risk Group, Nittaya Pensirinapa, Piyawat Katewongsa

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: To examine the self-care behaviors and health outcomes among metabolic risk group participating the behavioral modification program.

Methods: A case-control experimental study was used for determining the effects of the behavioral modification program. An intervention for the experimental group was 5 times-half-day sessions in 4-month period, activities focused on small-groups participatory learning to create self-care awareness and skills. Self-care behaviors and health outcomes were measured at the beginning and the finishing of the program.

Results: The total of sample was 632 cases who having metabolic risk factors. There were 330 cases in …

A Systematic Review Of Gestational Weight Gain By Obese Women And Maternal/Newborn Outcomes, Mary Ann Faucher

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: A systematic review of gestational weight gain (GWG) in obese women, stratified by obesity severity, evaluated a mix of maternal and newborn outcomes, since the Institute of Medicine's recommendations is the same for all obese women, that is 5-9kg.

Methods: A literature search was conducted of peer-reviewed articles published from 2009 to March 2012 using key words obese or obesity, gestational weight gain, and outcomes of pregnancy. Databases CINHAL, MEDLINE, and PubMed. Inclusion criteria were publication date, research, English language, and GWG associated with outcomes of pregnancy in obese women addressed in …

Are Family Conditions And Individual Factors An Obstacle For Aboriginal Students' Health?, Rea-Jeng Yang, Wen-Jou Chin

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The aim of this study was to examine whether the health events in the campus are best understood as effects of race, gender, and socioeconomic status.

Methods: A retrospective chart review was used. The data set was from the school-based health recording at the isolated, high minority junior high school in Taiwan. Our sample size was the entire 202 students in the school that have completed three academic-years, ranging from the 7th - 9th grade.

Results: Out of the 202 students studied, 57.4 % were boys and 33.2% aboriginal and 66.8% non-aboriginals. …

Construct Validity Of The Condensed Spiritual Distress Scale: A Confirmatory Factor Analysis Approach, Ya Lie Ku, Chin Tang Tu

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: From 2003-2004, a spiritual framework involving the relationships of 20 cancer patients with themselves, others, God, and their feelings towards death was constructed using a qualitative study. Following the establishment of the four domains, a scale evaluating 30 spiritual distress items was tested on 85 cancer patients between 2004 and 2005. However, a 30-item spiritual distress scale was too long for practical applicability in a cancer unit. The aim of this study was to condense and validate the 30-item spiritual distress scale.

Methods: A quantitative measurement study was to condense and validate …

Selecting The Right Research Instrument: Going Beyond The Title And Reported Psychometrics, Lillie M. Shortridge-Baggett, Carol L. Reid, Mary Courtney

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: The aims of this presentation are to examine the critical instrumentation and measurement issues in selecting a research instrument for use in research and to apply to two scales used in a recently completed study. Often the title and reported psychometrics are used as the main guide for choosing an instrument for use in a study. Additional criteria will be discussed. Methods: Two instruments used in a recent study in which these presenters were involved as a consultant, supervisor, and investigator will be discussed as exemplars. These instruments, both scales based on …

Holistic Nursing Care: Provision Of Spirituality With Patients, Joyce Miller, Sharon B. Cannon, Kelly Moseley, Carol Boswell

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: Spirituality care for patients is paramount for optimal wellness and health promotion. Nurses believe they are inadequately prepared to provide spiritual care to their clients. The purpose of this research project was to identify practice competencies and challenges with the ability to incorporate the patient's cultural and spiritual preferences, values, and beliefs into health care. To meet these expectations within the work setting, an understanding of what specific tasks nurses perceive as being included with the provision of spiritual care as well as an appreciation for different tasks that nurses feel comfortable …

Development Of An Evidence-Based Resource Guide For Nurses On Medical Missions In Developing Countries, Natalie Ann Masco

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Background: In 2007, an estimated 1.6 million Americans were sent on international short-term medical missions by more than 40,000 sending entities (churches, agencies, schools, etc.) at a cost of three billion dollars (Tazelaar, 2011). Many arguments about the utility and effectiveness of short-term medical missions exist in the literature. While professionals who take part in the trips do so to help others, without proper preparation and education on medical conditions and cultural needs there is a risk for causing more harm than good. Without training, volunteers will be psychologically and culturally unprepared to …

Advancing The Culture Of Competency To Improve Patient Outcomes And Drive Patient Safety, Stephanie Mearns, Anastasia Fisher, Allen J. Orsi

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: Expectations that nurses be competent have always been a part of professional codes and standards, licensing and accreditation requirements and, are a key component of the profession's social contract. The purpose of this presentation is to describe the preliminary results of our project exploring ways to assess and document professional nursing competencies to assure safe, quality nursing practice. The QSEN (Quality Safety Education in Nursing) competencies were used as a guiding framework.

Methods: Current staff nurse competencies were assessed using two strategies: 1) a written assessment and 2) an observed standardized patient …

Action Research In Global Health Nursing, Catherine Marie Berry, Lee-Ellen Kirkhorn, Peiru Zhou, Anja F. Meerwald, Laurelyn Wieseman

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: In population health, action research [or participatory action research] has been variously defined as encompassing the systematic collection of information that is designed to bring about social change. Historically and currently, its practitioners marshal evidence or data to expose unjust practices or environmental hazards and to recommend actions for change.

Methods: Research linked to traditions of citizen's action will be presented and described through the lens of participatory action research, using evidence tables. Although there are abundant examples of participatory action research in the US, an exhaustive review of extant nursing literature …

The Formative Development Of A Clinical Nursing Scholar, Judy A. Beal, Joan M. Riley

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013: Purpose: The purpose of this National League for Nursing funded study was to uncover best practices in pedagogies used in baccalaureate programs that support the formative development of clinical nursing scholars. Methods: Ninety chief academic officers were selected using a stratified random sampling technique to insure a representative sample by size and region of accredited baccalaureate programs in the United States. Initial recruitment was by email correspondence which explained the purpose and the methods of the study. A sample size of thirty was anticipated and recruitment continued until thematic saturation was reached (n=29). …

Preterm Birth And Continuation Of Child's Follow-Up Care After Hospital Discharge, Adejoke B. Ayoola, Anna Schipper

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: The complications of preterm birth is enormous on the child such that non-use or inadequate use of recommended follow-up during the immediate first year of life could worsen the long term consequences of prematurity on the babies. This study examined the factors that influenced continued use of child's follow-up care namely attending a well-baby checkup within 2-6 months after NICU discharge among women with preterm babies.

Methods: This is a secondary analysis of the Pregnancy Risk Assessment and Monitoring System (PRAMS) multi-state data for United States from 2004-2008. The PRAMS program entails …

Perceptions Of New Baccalaureate Graduate Nurses Regarding The Adequacy Of Nursing Education And Preparation For Professional Practice, Linda S. Johanson

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: The research question explored for this study was, 'What are the perceptions of new baccalaureate graduate nurses regarding the adequacy of their nursing education in preparing them for professional practice?' The goal was to determine if new baccalaureate nursing students perceived their education to be relevant for the current demands of the profession.

Methods: The design was non-experimental, descriptive, survey research. Data was gathered using a researcher-designed mailed survey with self-addressed, stamped return envelopes included. The North Carolina State Board of Nursing was contacted for the addresses for baccalaureate registered nurses who …

Role Of Advanced Practice Nurses In Decreasing Length Of Stay And Rehospitalization For Heart Failure Patients, Sisay Mersha

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: The purpose of this project was to review existing literatures on the role of APNs in reducing length of stays and rehospitalization after discharge. The project also aimed to evaluate heart failure programs across one of the largest Catholic healthcare systems in a large Midwestern city.

Methods: A comprehensive literature search was conducted using keywords from MEDLINE, CINHAL, EMBASE and PubMed data bases. Relevant studies published in English from1990 to 2011 were retrieved. The studies were appraised and systematically analysed for common themes regarding APN's roles in reducing the unnecessary LOS and …

Boundary Management And Innovation In Nursing Teams, Mami Onishi, Katsuya Kanda

International Nursing Research Congress (INRC)

Session presented on Tuesday, July 23, 2013: Purpose: There is growing recognition that health care teams need to foster innovative processes to provide ongoing quality care. Nurse managers, as team leaders, should be responsible for cultivating team innovation. Management studies suggest that boundary management efforts to establish and manage relationships with other groups within or between organizations fosters information and resource transfer and knowledge creation and is associated with team innovation. The purpose of this study was to explore the association between boundary management behavior by nurse managers and innovative processes in their nursing teams. Methods: A cross-sectional questionnaire was …

Illness Perception Of Chinese Colon/Gi Cancer Patients, Fang-Yu Chou

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: Cancer patients' illness perception will affect how they manage and cope with their diseases. It is essential to examine perception of cancer among cross-cultural patients. This paper presents the results of illness perception reported from a sample of Chinese Colon/GI cancer patients in Taiwan.

Methods: Chinese Colon/GI cancer patients (N = 54) were recruited at cancer treatment infusion units of a metropolitan medical center in Northern Taiwan from May to August 2011. The existing Chinese-Traditional version of Illness Perception Questionnaire (IPQ-R) was used in the study. The results were analyzed based on …

Advanced Practice Nurses' Meaningful Use Of Electronic Health Records, Thomas Kippenbrock

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013: Purpose: The electronic health record (EHR) is becoming an integral component of the U.S. health care system. Federal law was enacted with specific provisions that offer incentive payments to eligible professionals and hospitals to use EHRs; however, little is known about APNs' EHR use. The purpose of this study is to investigate differences in advanced practice nurses' (APN) meaningful application of electronic health record (EHR) users from non-users. EHR introduction into the health care system can be viewed as an innovation; as such it constitutes a revolutionary change in health care organization and …

Nurses Modeling Health: Give Me A Break, Hours Worked Suggest Nurse Wellness, Susan M. Priano

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013: Purpose: The purpose of this interpretive phenomenological study is to understand how Registered Nurses as knowledge workers and caregivers perceive and embody wellness or health promotion personally and how they influence their family, patients, and community. Methods: A qualitative Interpretive Phenomenology preliminary study was conducted. Five self-selected acute care registered nurses were interviewed for approximately one hour at their residence in order to gain insight about their unique perspectives/essence of their lived experiences of lifestyle practices respective of socio-cultural and structural settings. Results: All five nurse participants identified components of a healthy lifestyle, …

Developing Instruments To Assess Role Strain In Nursing Students, Jih-Yuan Chen

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: This study seeks to develop a reliable survey to assess role strain in nursing students. This study aims to examine the reliability and validity of a novel role strain assessment survey.

Methods: Feelings such as fear, sadness, anger, loneliness, hopefulness, happiness, shock, disgust, liking, and others were assessed, and participants were asked to describe the root cause of their feelings. The 44 feelings of role strain provided to 40 senior-year nursing college to select the top ten feelings they agreed with most. This survey was also provided to 58 nursing college students, …

Where The Rubber Meets The Road: Realistic And Practical Evidence-Based Practice, Carol Boswell, Joyce Miller, Sharon B. Cannon

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Access to care, workforce shortages, consumer demands, and faculty issues are themes demanding a focus on measures directed toward positive outcomes for the delivery of quality health care. Recommendations from the Institute of Medicine (IOM), Robert Woods Johnson Foundation (RWJF), the Carnegie Institute, Joint Commission, and the Health Care Reform Act are identified as measures, which need to be carefully considered and integrated into nursing curriculum. A team of seasoned faculty members elected to challenge novice faculty to strive for innovative measures to incorporate evidence-based practice (EBP) within their respective practice sites and …

Factors Influencing Functional Status Among Patients With Chronic Obstructive Pulmonary Disease, Supaporn Duangpaeng, Julaluk Baramee

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: Patients' functional status is ability to perform activity of daily living (ADL) to maintain roles, health and well-being. Individuals suffering from chronic obstructive pulmonary disease (COPD) are frequently limited in their daily function. This limitation does not generally reflect severity of the disease but is commonly attributed to the symptoms of disease, psychological distress, health perceptions and other factors. The purpose of this study was to study factors predicting functional status among patients with COPD. Methods: A correlational predictive study was performed with a sample of 180 COPD patients multi-stage randomly selected …

Explore The Effects Of Social Interactions And Anxiety Symptoms On Quality Of Life In Schizophrenia Patients, Tzu-Ting Wang, Chiu-Yueh Yang, Su-Chen Lo, Chiu-Yi Lin

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: This study was to explore the effects of social interaction and anxiety symptoms on quality of life in schizophrenia patients.

Methods: This is a cross-sectional, correlational study. Convenience sample was conducted in northern medical hospitals (excluding the schizophrenia cases treated in acute ward). Qualified subjects were 143 schizophrenia patients. Instruments included four parts: demographic data, Assessment of Communication and Interaction Skills Chinese version (ACIS-C), Beck Anxiety Inventory and WHOQOL-Bref. Assessment of Communication and Interaction Skills was collected through individual interview or group observation, while the others were collected by self-report. SPSS 17.0 …

Leading Change With Action Research: Improving Quality Of Life In Residential Aged Care, Wendy Penney, Louise Ann Martin, Lisa M. Clinnick

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: This research developed collaboratively between a regional university in Victoria, Australia and a local rural health service with the goal of improving quality of life for older people living in three residential aged care homes. The aim was to provide health care staff (managers, registered nurses, patient care attendants) with an opportunity to participate in facilitated workshops designed to assist them to develop ways to improve quality of life for residents.

Methods: An action research methodology was adopted as this approach supports group activity founded on a partnership between researcher and participants, …

Noise Pollution In The Workplace, Juanita Ormilon

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013: An evidence based research project: Noise Pollution in the workplace Purpose: The purpose of this evidence based project is to record and evaluate the noise level in the critical care setting by using a dosimeter to improve health care workers' environment. Background: The effect of noise pollution to patients and healthcare workers has been extensively studied both healthcare and industrial setting. Therefore the PICO question for this particular project is: Does the use of dosimeter as standardized equipment to record and evaluate the noise level in an acute critical care setting will improve …

The Baltimore Buprenorphine Initiative: A Comparison Of Treatment Modalities For Addressing Heroin Addiction In An Urban-Based Community, Lyn Stankiewicz Murphy, Marla T. Oros

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Adequate drug treatment for substance users continues to be a challenge for most United States (US) cities. In order to address heroin addiction in Baltimore, the Baltimore Buprenorphine Initiative (BBI) was implemented as a joint project to promote individualized, patient-centered buprenorphine therapy in conjunction with behavioral treatment to accelerate recovery from opioid addiction.

Methods: The BBI sample consisted of 1,039 subjects treated with buprenorphine and counseling between January 1, 2008 and June 1, 2009. Demographic and outcome variables were evaluated against two comparison groups of 8,692 patients receiving methadone treatment and 6,664 …

Student Learning Outcomes And Global Trips: Insight Into Cultural Awareness And Personal Growth, Beverly K. Byers, Joann D. Long

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013: Purpose: Understanding global culture has become an expectation in nursing education world-wide and Leininger's Culture Care Theory is a framework for global culture. Educational standards require nurses receive cultural awareness education. Nurses enrolled in the RN-BSN and MSN programs at Lubbock Christian University have limited awareness of other cultures' values, traditions, and health care beliefs and practices. To address accreditation standards, the MSN course, 5306 Global Culture Health required students to travel abroad for 10-13 days. The purpose of this study was to discover the effectiveness of a global trip on student perspectives …

Surgical Patient Education Material And The Infection Related-Content, Dinah K. Arifulla, Helena Leino-Kilpi, Helj' Lundgren-Laine

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Infection control priorities have been to reduce surgical site infections and to increase patients' participatory by empowering patient education. In patient education, it is common to use written material, which should to be understandable and support patients' empowerment. Surgical patient education (PE) materials should have a good quality of the content, support patients empowerment and participation in care as well as reduce surgical site infections and improve patient safety. However, the systematic information on the infection control content and the quality of materials is missing. The purpose was to analyze the surgical …

Health Literacy And Culturally Diverse Older Adults, Sharon B. Cannon, Carol Boswell, Joyce Miller, Lori E. Hammond

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Health literacy has gradually been acknowledged by the health care community and is beginning to be recognized as an issue in caring for the elderly who have complex health care problems. A West Texas acute care hospital initiated an evidence-based project to provide better outcomes for a culturally diverse population of older adults being discharged from the hospital by addressing health literacy. The hospital collaborated with four faculty members from a local university school of nursing who had previously established reliability and validity for an eight item English version of the Health Education …

Implementation Of An Ebp Protocol To Reduce Use Of Indwelling Urinary Catheters In The Long-Term Care Environment, Phyllis M. Gaspar, Murthy Gokula

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Use of indwelling urinary catheters (IUC) has been documented between 5-15% in long-term care (LTC) even though the Centers for Medicare and Medicaid Services (CMS), requires a valid medical justification for use. A major complication of IUCs is infection, which is a primary cause of hospitalization of patients from LTC facilities. UTIs also contribute to the problems of incontinence, falls and delirium. Purpose of this project was to implement the evidence based FIRM (Foley Insertion, Removal, and Maintenance) Protocol aimed to increase appropriate use of IUCs in LTC thus reducing related infections …

Washing Without Water: Cost-Effectiveness Of A Rapidly Spreading Nursing Intervention In Care Dependent Patients, Theo Van Achterberg, Betsie G. I. Van Gaal, Lisette Schoonhoven

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Washing Without Water, using disposable cleaning and skin care materials, is increasingly implemented in nursing care. However, well performed studies on skin effects and related cost-effectiveness are lacking.

Aim: To compare washing without water with traditional bed baths in care dependent nursing home patients on 1) skin integrity 2) patient and nurse satisfaction and 3) costs.

Methods: Cluster randomised trial with randomisation at ward level, to either Washing Without Water or traditional soap & water bed baths. After informed consent, care dependent patients and their nurses participated in this study. For each …