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Interprofessional Teaching And Learning In Health And Social Care Professions: An Evidence-Based Proposal For Interprofessional Education, Lee Franklin Koch, Helga Horn

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Background: Health and social care is fractured and highly specialized, frequently resulting in poor coordination of treatment, therapy and care, which in turn can negatively affect client outcomes. Interprofessional collaboration reduces these effects by improving the quality of care delivery. Interprofessional education/IPE is seen as an effective means of preparing future health and social care workers for interprofessional collaborative practice.

Research Questions: What recommendations for implementing IPE can be gleaned from the literature? How can these recommendations be applied to pre-licensure health and social care training programs at an institutional level?

Objectives: Formulate …

Students' Reflections Of A Global Service-Learning Experience, Alice L. March, Marilyn Handley

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: Educating nurses for today's global healthcare environment requires providing unique learning experiences designed to foster the development of cultural competence. This may be enhanced by cultural immersion. Not only are students face-to-face with actual health problems, but they are imbedded in the very culture that has produced those alterations, and can clearly observe the proscriptions and prescriptions that will directly and indirectly affect health teaching and care. A service-learning framework, highlighting healthcare, culture, and spirituality guided learning and reflective journal entries of undergraduate nursing students participating in a medical mission spearheaded by …

Hospital Experiences Of Children With Intellectual Disabilities: Child, Parent And Nurse Perspectives, Megan Aston, Emily F. Macleod, Lynn Breau

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: Children with intellectual disabilities (ID) have higher rates of hospital admission and experience longer hospital stays than typically developing children. Their reduced intellectual and social capacity can hinder their ability to communicate their needs and creates a unique hospital experience that is often invisible. There are few research studies that include the voices of children with ID with respect to hospital experiences. The purpose of this study was to explore hospital experiences from the perspective of children with ID, their parents and nurses who cared for them.

Methods: Feminist poststructuralist methodology was …

Complementary/Integrative Approaches To Treating "The Invisible Wounds Of War:" Post Traumatic Stress Disorder (Ptsd) And Traumatic Brain Injury (Tbi), Cathy M. St. Pierre

International Nursing Research Congress (INRC)

Purpose: The purpose of this presentation is to discuss current approaches to screening, diagnosis and management of both TBI and PTSD. Treatment including traditional and complementary evidence based approaches will be discussed.

Methods: Review of the literature and research studies, expertise in subject content.

Results: The recent war conflicts in Iraq and Afghanistan have created new health problems for many of the soldiers and veterans. Traumatic brain injury (TBI) and Post traumatic stress disorder(PTSD) have become known as the 'invisible wounds of war' because there are no outward signs of these diseases. Currently, there are over 300,00 or 20% of …

Developing An Evidence-Based Interprofessional Education (Ipe) Program, Nancy Hoffart

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013: Purpose: As early as 2003 the Institute of Medicine called for multidisciplinary education as an essential aspect in educating future health professionals. More recently the report, 'Health Professionals for a New Century,' (Frenk et al., 2010) and the Interprofessional Education Collaborative's Core Competencies (2011) have reinforced the need for IPE in prelicensure health professions' curricula. The objectives of this presentation are to 1) report findings from a review of research and case-based literature on prelicensure IPE, 2) describe how the evidence has supported development of an IPE program at the Lebanese American University …

Spiritual Care Practices And Nurses' Perceptions Of Efficacy, Cheryl Delgado

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: This study explores the current spiritual care practices used by nurses and their perceptions of the effectiveness of these practices. Previous research indicates nurses do not consistently provide spiritual care and feel ill equipped to do so. There is little information in the literature as to the type of spiritual care practices nurses use most frequently and their belief in the effectiveness of the practices they provide.

Methods: This was an exploratory descriptive design using an online quantitative survey (N=123) and qualitative data from interviews with volunteers (n=5) from the surveyed group. …

Women's Cervical Cancer Screening Intentions In Malawi, Valerie Janet Ehlers, Dirk M. Van Der Wal, Melanie Hami

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The study aimed to identify factors influencing Malawian women's intentions to use free cervical cancer screening services in order to enhance early detection and treatment. In Malawi, cervical cancer accounts for 28% of all female cancers and 80% of cervical cancer cases are diagnosed during the late inoperable phases.

Methods: Structured interviews were conducted with 378 women aged 42 and older about their intentions to use cervical screening services.

Results: Most interviewed women regarded cervical cancer to be a serious condition but did not regard themselves to be at risk of suffering …

Predictors Of Substance Use Among Hispanic Men Residing Along The U.S.-Mexico Border, Elias Provencio-Vasquez, Joseph P. De Santis

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Hispanic men in the United States experience disproportionate rates of substance use when compared to other ethnic groups. Previous research with the general population of Hispanic men has identified factors such as acculturation, depression, low self-esteem, sexual orientation, discrimination, and poverty that are related to substance use. Despite the body of research on substance use among Hispanic men, few studies to date have focused on Hispanic men residing along the U.S.-Mexico border. The U.S.-Mexico border area is a unique environment with a distinctive population at risk for a number of health disparities, …

Adequacy Of Sample Workplace Bullying Policy: Results Of A Mixed-Methods Systematic Review, Laura Cox Dzurec, Shawn M. Fitzgerald, Gail E. Bromley, Timothy W. Meyers, Aryn C. Karpinski

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: Integrated findings from studies of bully, victim, and administrator experiences in regard to workplace bullying (WPB) demonstrate the intricacy of the essential milieu of WPB and highlight complexities of effective intervention. The purpose of this study was to assess congruence between guidelines and obligations stated in workplace bullying policies established in 21 US states, and themes depicting victim experiences emerging from a mixed-methods systematic review of WPB research. The investigators' collective expertise in four disciplines served to strengthen analysis of the research question: How adequate are guidelines and obligations of WPB policies, …

Psychiatric Care Nurses' And Caregivers' Perceptions Of Quality Of Care In Community, Jin-Biau Li, Shu-Chen Liao, I-Chuan Li

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: Both the nurses and caregivers play an important role in the care providing process for psychiatric patients. Their unique experience of patient care make it important to include them when defining quality of care. The aim of the study was to describe how the psychiatric nurses and caregivers perceived quality of care in the case of psychiatric care in community.

Methods: This study adopts an action research approach to understand and represent issues of temporality quality of care in the case of psychiatric care in community. Multiple techniques including in-depth individual interviews, …

Impact Of The Guatemalan Nursing Program On Treatment Abandonment In Children With Cancer, Sara W. Day, Rita M. Carty, Leslie Mckeon

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: In 2007, a comprehensive nursing program was implemented at the National Pediatric Oncology Unit in Guatemala to improve the quality of nursing care. Twenty-four new nursing positions were created, decreasing nurse patient ratio from 1:7 to 1:5, and a full-time nurse educator was hired to provide pediatric oncology education. In addition, processes were established to improve 20 nursing quality standards. The purpose of this study was to assess the program's impact on treatment abandonment in children with cancer. Treatment abandonment is a critical problem in developing countries and a leading cause of …

Student Recruitment: Bridging The Gap, Johanna Catharina (Irene) Lubbe

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013: Purpose: Nurses form the cornerstone in achieving the millennium goals of the WHO with regard to health care. However, 57 countries worldwide are facing a severe health workforce crisis. Various solutions have been proposed to address the nursing staff shortage. One of the aspects that has been greatly neglected in South African research, however, is the initial recruitment of nursing students. Despite the critical importance of recruiting the best possible students for nursing education and training, very few private Nursing Education Institutions (NEIs) have a specific recruitment plan geared towards student recruitment. There …

Nurse Likelihood To Report A Medication Error, Francine K. Kingston

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013: Purpose: From a better understanding of factors that contribute to the likelihood of a nurse to report an error, interventions can be identified to help increase reporting in order to learn from error and reduce the possibility of similar error. To learn from the lived experience of the nurse, the research question became, 'What factors contribute to a nurse's likelihood to report an error?' Methods: A qualitative research study was conducted to explore the medication error experience. Structured group interviews were conducted using open-ended questions. A total of 54 registered nurses participated. Results: …

Toward Therapeutics For Symptom Clusters During The Menopausal Transition And Early Postmenopause: A Systematic Review, Nancy Fugate Woods, Annette Thomas, Ellen Sullivan Mitchell, Janet Schnall, Lisa Taylor-Swanson, Rita Ismail, Lori Cray

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Systematically review clinical trials of Traditional East Asian Medicine, herbals, soy and isoflavone preparations, and body-mind therapies for managing symptoms of hot flashes and at least one additional symptom, including mood, sleep, pain, and cognitive symptoms.

Methods: Searched PubMED/Medline, CINAHL Plus, PsycInfo, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Web of Science, EMBASE, AMED, and Alt-Health Watch for randomized controlled trials reported in English between 2004 and 2012. Of 1193 abstracts identified, 59 trials included data on hot flash and at least one other symptom.

Results: Several trials …

A Synthesis Of Perspectives On Nurses Supporting Survivors Of Child Sexual Abuse, Susan M. Poslusny

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

The 49th World Health Assembly (Resolution WHA49.25) declared violence a public health problem in 1996 calling for a public health approach grounded in science to prevent violence in its many forms including self-harm, interpersonal, and collective violence (Krug, Dahlberg et al., 2002). Childhood sexual abuse (CSA) is one of the most heinous and socially taboo forms of interpersonal violence globally. The consequences of CSA for adult survivors can include excess morbidity and mortality, psychological trauma, and social disadvantage for the individual with implications for family, community, and society. The estimated lifetime prevalence rate …

Remediation Methods That Improve Learning Outcomes And Nclex-Rn Success, Mary Judith Yoho, Maria E. Lauer

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Background: The National Council Licensure Examination, Registered Nurse (NCLEX-RN) is the qualifying exam to become licensed and practice in the Unites States. The Elsevier HESI E2 exit exam is used by nursing educators to predict success on the NCLEX. To date, there have been eight studies establishing the validity of the E2 as an indicator of NCLEX-RN success. To this end, many nursing schools have instituted policies for remediation based on student results of the E2 exit exam. The researchers examined the relationship between remediation methods, number of remediation methods, and requiring remediation …

Care For The Caregiver: Evaluation Of A Self-Care Module For Accelerated Nursing Students At Three Universities, Barbara L. Drew, Tracey Motter, Patricia A. Sharpnack, Michelle Cameron Bozeman, Laura Goliat, Ratchneewan Ross, Jehad Rababah, Amy L. Govoni

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Stress can impair learning and performance ultimately affecting, not only the nursing student, but also clinical decisions. The purpose was to replicate and expand an evaluation of a curricular addition: experiential exposure to self-care modalities like yoga, aromatherapy, Reiki and mindful breathing. Goal was to help students regulate stress, increase mindful awareness of self and others, and expand knowledge of complimentary therapies.

Methods: During spring 2012 self-care modalities were introduced into the first semester curriculum in two universities (n=50). The comparison group at the third university was given an educational pamphlet on …

The Effects Of Reiki On Total Knee Surgery, Barbara Byrne Notte, Carol Fazzini, Ruth A. Mooney

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The purpose of this study was to determine the impact of Reiki therapy on total knee replacement patients' pain perception and satisfaction with Reiki therapy.

Methods: Forty-four subjects scheduled for total knee replacement were randomized into Reiki (23) and non-Reiki (21) groups. Pain was assessed before and after Reiki therapy in the pre-operative area, PACU, and three postoperative days. A survey was distributed the day of discharge to measure satisfaction with Reiki. Data related to pain analgesia used was collected for all subjects.

Results: Using t-tests to compare pain ratings pre and …

Nurse-Midwives Perceived Client Related Barriers Influencing Intentions To Use Cervical Cancer Screening Services Among Women Aged 42 And Older In Blantyre, Malawi, Valerie Janet Ehlers, Dirk M. Van Der Wal, Melanie Hami

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The purpose of the study was to identify from nurse/midwives' perspective client related barriers to utilisation of cervical cancer screening services among women aged 42 and older.

Methods: A cross sectional descriptive study using qualitative research method was used. Ethical approval and permission were granted by relevant authorities to conduct the study. A purposive sample of 14 nurse/midwives working at three health centers in Blantyre district was used. They gave written consent and were interviewed. Using Atlas Ti version 4.2, transcribed data with similar meanings were grouped into themes and sub-themes.

Results: …

Exploring The Comfort Experience Of Adolescents With Metastatic Cancer, Riza Mauricio, Brenda K. Binder, Lene Symes, Sandra Kay Cesario, Rodrigo Mejia

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Adolescents with cancer are challenged not only by the biophysical and emotional changes of a normally developing person; also pain and distress from their treatment affecting their quality of life. Most of our knowledge about adolescent comfort experience is derived from parent and staff perspectives. Parents cannot speak everything about their children. There is more to know about them being the least investigated age group. This study explored the meaning and significance of comfort experienced by adolescents with metastatic or progressive cancer.

Methods: Descriptive phenomenology was used to uncover the comfort experience …

Health Information Seeking Behaviors Among African Americans Who Have And Do Not Have Internet Access, Barbara Powe, Charlene Caburnay, Dexter Cooper, Glen Cameron

International Nursing Research Congress (INRC)

Purpose: African Americans trail the national average in broadband access to the Internet. African Americans have higher cancer incidence and mortality rates than other groups. The lack of access to the scope of information available via the Internet may enhance these disparities. This descriptive study compares information seeking behaviors among Black Newspaper Readers (BNR) who have (n=455) or do not have (n=264) access to the Internet. Methods: A sampling frame was created that met two criteria: (1) presence of a Black weekly newspaper with a circulation +/- 5000; and (2) areas having an African-American population > 50,000. From this frame, three …

A Narrative Thematic Analysis Of Baccalaureate Nursing Students' Nurse-Patient Clinical Reflections, Jessica L. Naber, Joanne Hall, Craig Schadler

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: The purpose of this study was to identify characteristics of critical thinking in nursing students' reflective writing assignments, which were guided by Richard Paul's model of critical thinking. The importance of critical thinking as an outcome for students graduating from undergraduate nursing programs is well-documented by both the American Association of Colleges of Nursing (AACN) and the National League for Nursing (NLN). Graduating nurses are expected to apply critical thinking in all practice situations to improve patient health outcomes. Methods: In a previous study, Paul's model of critical thinking was used as …

Job Satisfaction And Subjective Well-Being Among Czech And Slovak Nurses, Elena Gurkova

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The aim of the present study was to investigate the relationship between domains of the job satisfaction and cognitive and emotional components of subjective well-being (SWB) in Czech and Slovak nurses.

Methods: The sample for study consisted of 1055 hospital staff nurses from 12 hospitals in the Czech and Slovak Republics. Data were collected using a set of questionnaires that included the McCloskey/Mueller Satisfaction Scale, the Positive Affect Scale, the Negative Affect Scale, and the Personal Well-being Index. The association between domains of job satisfaction and components of SWB was analyzed by …

Utility Of The "Cycle Model" Of Child Abuse Prevention Using Pacap And Usdt, Reiko Ueda, Chieko Yoshikawa, Junko Miyazawa, Kiyoko Tamashiro, Tomoko Nishihira

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: To confirm the utility of 'cycle model' of child abuse prevention by an action research using PACAP (Pre-assessment tool for child abuse prevention) and USDT (Ueda's simplified developmental test) developed by us. Methods: All pre-school children and their parents in Island K, Japan, and multiple health-related professionals in direct contact with them participated in the action research. PACAP, a semi-structured questionnaire with 18 items in four areas, was administered to the parents. USDT was administered to those children who were suspected of maltreatment by the results of PACAP. To the non-respondents PACAP …

The Effectiveness Of Using Therapeutic Dog Program On The Elderly With Dementia In Nursing Homes Of Taiwan, Ming-Lee Yeh

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: This research was to develop and to evaluate a canine animal assisted therapy program in Taiwan.

Methods: Based on the concept of animal assisted therapy (AAT), this program included two stages. Based on a quasi-experimental research design, 58 elder residents with dementia in nursing homes participated in this program. Participants were divided into experimental (E group) and control group (C group) equally. 16 times of designed 'Therapeutic Dog' program was applied into E group, while regular living activity was applied into C group, during two months. The Multidimensional Observation Scale of Elderly …

Evaluation Of Mass Casualty Incident Education To Guide Disaster Responder Preparedness, Lin-Ti Chang

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Disasters are the ultimate test of health care responders and communities capability to provide care to those in need. Nurses play an essential role in disaster response and are often the single largest group of responders in any major disaster. Educating disaster health care responders on the essential elements of MCI management will improve our response to disasters. Evaluating these education programs for validity and role specific educational strengths and opportunities for improvement will advance the science of disaster response management.

Methods: Data were collected from 70 participants completed a 2-day ADMR …

Guidelines To Manage Aggression And Facilitate The Mental Health Of Educators In The Workplace, Marie Poggenpoel, Chris P. H. Myburgh

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: To describe a meta-synthesis of research conducted on educators' lived experience of aggression in the workplace in South Africa and guidelines to manage aggression and facilitate mental health.

Methods: Qualitative phenomenological interviews, observation and fieldnotes were utilised to collect data from purposefully sampled educators. Data were analysed by means of open coding and re-contexualised within the literature. Measures to ensure trustworthiness were applied through implementation of the strategies of credibility, transferability, dependability and confirmability. Ethical principles were applied throughout the research process namely autonomy, non-maleficience, benificience and justice.

Results: Educators experience aggression …

Predictors Of Violent Behavior On School Property: Analysis Of 2009 Youth Risk Behavior Survey Data, Janet Thorlton

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of this project was to better understand predictors of violent behavior on school property, using the Centers for Disease Control 2009 Youth Risk Behavior Survey data (n=16,410). It was hypothesized that use of performance enhancing substances (PES) would increase risk for violent behavior occurrence (i.e., carrying a weapon, fighting) on school property.

Methods: Social Cognitive Theory guided identification of factors contributing to violent behaviors at school. Relationships were examined, using descriptive statistics and bivariate analyses for each violent behavior. Structural equation modeling (SEM) was performed to assess the model underlying …

Team Huddle: Nurse Role In The Prepared Practice Team, Kathy L. Goodman, Linda Marie Keenan, Jennifer Lahue

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: To sustain our continued excellence as a designated medical home level III health center, our team addresses one of the Patient-Centered Medical Home criteria which states, team meetings may include daily TEAM Huddle, a structured communication process to discuss patients coordination of care for planned visits.

Methods: Team Huddle starts with nurse completing pre-clinic chart review and documents data on Team Huddle Worksheet. Nurse clinician reviews the diagnosis, chief complaints, identifies health maintenance or preventive screenings of the patient. Nurse clinician determines patient's compliance to care management by trends of No Shows …

Quality Of Nursing Doctoral Education In Australia And South Africa, John Daly, Siedine Knobloch Coetzee, Hester C. Klopper

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: To describe the context and quality of nursing doctoral education and to analyze main issues facing the quality of nursing doctoral education from perspectives of nursing deans, academic personnel/faculty, doctoral students/graduates and doctoral students in South Africa and Australia.

Methods: A total of 159 faculty and students/graduates participated in the cross sectional on-line survey and they were from a total of 19 nursing schools from universities in these 2 countries. Country specific total numbers were: 19 nursing schools (12 from the South Africa and 7 from Australia); 39 faculties (26 from South …