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Adaptation Of A Best Practice Model For Recognition And Treatment Of Postpartum Depression In A Private Obstetrics Practice, Vicki E. Long

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Depression in women is tied to phases of reproduction, with the postpartum period highlighted as critical (Yonkers, et al., 2009). This period may be marred by feelings of low self-worth, disassociation with mothering, with the risk of maternal or fetal harm (Byatt, Simas, Lundquist, Johnson & Ziedonis, 2012; Nonacs, 2006). In a meta-analysis done by Bennett and colleagues, the incidence of postpartum depression (PPD) ranged from 10 - 20 %, with 12% often quoted as average (Bennett, Einarson, Taddio, Koren & Einarson, 2004). Screening to identify at-risk women is used worldwide employing various …

Younger Workers, Older Leaders: A Qualitative Study Exploring Generational Perceptions Of Leadership In The Nursing Workforce, Cheryl F. Saffer

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: The purpose of this qualitative case study was to explore the views of nursing leadership as perceived through the eyes of the generations in the nursing workforce. One estimate is that within the next twenty years there will be a deficit of over one million Registered Nurses in the United States. The results of the most recent national Health Resources and Administration survey of Registered Nurses, which was conducted in 2008, demonstrated that 27.8% of Registered Nurses who left their current employer did so due to 'lack of good management/leadership (Health Resources …

Effects Of The Program Of Promoting Love To Prevent Drug Addiction For Thai Adolescents, Sanguan Thanee

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The objective of this study was to examine the effects of the Program of Promoting Love to Prevent Drug Addiction for Thai adolescents (PLPDA).

Methods: Ninety-six adolescents and their families participated in the program. Simple random sampling was assigned adolescents and their families into experiment (n=48) and control (n=48) groups. 'The experimental group received the 8-session PLPDA activities, including, 1) our family 2) role and responsibility of family member 3) built up love in family by communication 4) bonding development among family member by family activities 5) expression of love and caring …

Quality Of Patient Care And The Activities Of Hospital Nursing Unit Managers In South Africa: A Paradox?, Laetitia C. Rispel

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Improving the quality of patient care is central to the proposed health care reforms in South Africa. This paper examines whether quality of care is supported by the activities of hospital nursing unit managers in South Africa, done as part of a larger project to examine the relationship between the quality of nursing unit management and quality of care in hospitals.

Methods: The overall project combined in-depth qualitative and quantitative methods, including reflective diaries, semi-structure interviews, record reviews and observation. As part of the latter, the activities of 36 unit managers in …

Health Literacy And Impact Factors Of The Southeast Asian Immigrant Women In Taiwan, Shu-Fen Chen, Mei-Hua Wang, Tzu-I Tsai

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: Health literacy has been recognized as an important attribute to health outcome and health care utilization. Immigrants are at the high risk of poor health literacy due to language barriers and unfamiliar sociocultural context in the mainstream society. The purpose of this study was to explore the ways Southeast Asian immigrant women gain access to, understand, and use health information and services in healthcare delivery system of Taiwan. Methods: This qualitative study used exploratory focus group and in-depth interview to collect information particularly with respect to the concerns of the health literacy …

The Relationship Between The Hospital Nurse Surveillance Capacity Profile And Nurse And Patient Outcomes In Community Hospitals In Thailand, Apiradee Nantsupawat, Wipada Kunaviktikul, Raymoul Nantsupawat

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The purpose of this study is to explore the relationship between the hospital nurse surveillance capacity profile and nurse and patient outcomes.

Methods: Data were collected from a sample of 1,412 registered nurses across 92 community hospitals in Thailand and analyzed using multivariate logistic regression

Results: Results indicated that among the various hospital nurse surveillance capacity profiles, only nurse practice environment and staffing were associated with nurse and patient outcomes. At the hospital level, after controlling for nurse characteristics, nurses working in hospitals with fewer staff were 5% more likely to be …

A Comparative Study Of Cultural Competence Curricula In Baccalaureate Nursing Programs, Donna M. Mesler

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Three different forms of cultural competence curricula are found in baccalaureate nursing programs: those with a nursing culture course, those with a non-nursing culture course and those that integrate culture content throughout the nursing curriculum. The primary purpose of this study was to determine if one of these three forms of curricula is more efficacious in improving cultural competence and confidence in nursing students than the other two forms, and the secondary purpose was to determine if one of the three forms of curricula is more efficacious in improving cultural competence and …

Lessons Learned: Health Reform Commissions In Australia, England, Usa And Canada, Jill F. White, Mary Chiarella

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013

Purpose: The purpose of this paper is to share the lessons learned about nursing participation in health reform policy by analysing four key national health reform commission reports produced in four countries within the past five years.

Methods: There were two major methods employed in this study. The first was document analysis of the key health reform policy reports and the government responses to these commission reports. This was followed by an expert reference group critical appraisal of these documents and their outcomes for each country following their release.

Results: The similarities and …

Parental Perceptions: Depression And Hardiness In Families Raising A Child With A Disability, Barbara L. Mandleco, Donna Freeborn, Susanne Olsen Roper, Tina Dyches, Shannon Mcomber

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: We examined perceptions of depression and hardiness in parents raising a child with disabilities (CWD) or a typically developing child to determine if (a) differences exist in variables according to parent gender and type of disability, and (b) relationships exist between variables.

Methods: 166 pairs of parents raising children with autism, Down syndrome, multiple disabilities, other disabilities, or typically developing children completed the Center for Epidemiological Studies Depression (CES-D) Scale and the Family Hardiness Index. Descriptive statistics, ANOVAs, correlations, and regressions were calculated.

Results: ANOVAs for depression found significant differences by disability …

Mother-Child Relationship, Adolescent Daily Hassles, And Adolescent Behavior Problems In Arab Muslims: A Latent Growth Curve Approach, Karen Aroian, Thomas Templin, Edythe Hough

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Our previous research findings about Arab Muslim youth documented that adolescent daily hassles and poor quality of mother-child relationships had strong direct effects on adolescent behavior problems at two different time points. The present study examines the separate and interactive effects of mother-child relationship and adolescent daily hassles on adolescent behavior problems over time.

Methods: Data were collected from 454 dyads of Arab Muslim immigrant mothers and their adolescents three times at approximately 18-month intervals. Both mothers and youth completed a measure of the quality of the mother-child relationship and a measure …

Acculturation And Mental Health Issues For Immigrant Family Caregivers And Home Care Workers, Arlene Michaels Miller, Louis Fogg, Olga Sorokin

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: Nearly one-fifth of the U.S. population is projected to be more than 65 years old by 2030. A proportional increase is expected in the demand for both family and non-family caregivers whose personal and household assistance enables elders to remain in their homes longer. Immigrants, who comprise a critical component of this workforce, are particularly vulnerable to isolation and depression. This study examines correlates of depressed mood among Russian-speaking family caregivers and non-family home care workers (HCWs).

Methods: Self-report questionnaires were distributed during in-service education at a Chicago home care agency. The …

Psychometrics Of Halpin Nausea And Vomiting Scales For Use In Clinical Practice, Angela P. Halpin, Loucine M. Huckabay

International Nursing Research Congress (INRC)

Session presented on:Tuesday, July 23, 2013:

Purpose: To communicate psychometric properties of the new 0-5 Halpin Nausea and Vomiting (HNV) scales with descriptors, so learners can use scales in clinical practice.

Methods: A methodological design was applied to establish psychometrics of HNV scales using three groups of patients, N = 163. Group I was admitted with a diagnosis of NV, n=54. Group II consisted of cancer patients scheduled for chemotherapy, n=52. Group III was a control group with medical-surgical diagnoses and no expected NV, n=57.

Results: HNV scales had a high inter-rater reliability (Kappa test=.851, p<.001). Concurrent validity was established between the HNV scales and Morrow's worst nausea ratings, significant'(r=.318, p=.03). HNV was found to measure fine differences between and within groups, establishing sensitivity. Chi square tests were non-significant for ethnicity, gender, coronary artery disease, hypertension, diabetes, congestive heart failure, other medical surgical diagnosis and risk for PONV. Group I had more nausea patients (X2=63.94, p<.001) and higher degree of the diagnosis of pancreatitis (X2=8.72, p=.01). Group II had more cancer (X2=76.00, p<.001), and chemo patients (X2=93.06, p<.001). In terms of age, one way analysis of variance indicated that the groups are significantly different (F=6.12, p=.003). Scheffe's test indicates that group I (the NV group) were significantly younger (p<.05) than the control and the cancer group. Group II and III were homogenous with no significantly difference in age.

Conclusion: Accurate assessment of …

Clinical Judgment And Transfer Of Learning From Simulation, Elizabeth Johnson, Patricia K. Ravert, Kathie Lasater, Doris Rink

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: An international multi-site mixed methods study was conducted at five nursing programs to determine the effect of expert role modeling as described by Bandura on nursing students' clinical judgment in the care of a geriatric surgical patient. Qualitative findings reported here expand upon significant between-group findings regarding the effect of an expert role model on students' clinical judgment and explore the question of transfer of learning from simulation to bedside.

Methods: Immediately after the simulation, students from treatment and control groups (N = 275) responded to guided reflection questions based on the …

A Pilot Study Testing Intrinsic Strength Factors As Predictors Of Depression In The Hispanic Population With Cardiovascular Disease, Claudia Disabatino Smith, Aaron L. Bayles

International Nursing Research Congress (INRC)

Poster presented on: Monday, July 22, 2013, Tuesday, July 23, 2013

Purpose: The purpose of the study was to determine if there is a relationship between self-reported levels of resilience, mastery, and depression scores in Hispanic patients with cardiovascular disease and to study depression screening tools specific to Hispanic patient populations with cardiovascular disease.

Methods: Sample size n=63. Leininger"s Theory of Culture Care Diversity and Universality was the conceptual framework for this non-experimental, non-randomized pilot study conducted by a bilingual research team. The Resilience Scale (Wagnild, 2009), Mastery Scale (Pearlin & Schooler, 1978), and Patient Health Questionnaire-9 (Spitzer, Williams, Kroenke, …

The Role Of Culture In Primiparous Puerto Rican Women's Postpartum Infant And Self-Care, Anne M. Fink

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: Hispanics are a population at risk for health disparities with women receiving fewer preventive services, experiencing a higher incidence of postpartum complications, and reporting less satisfaction with the quality of care than non-Hispanic Blacks or Whites. Puerto Ricans are in greater jeopardy of having poor health outcomes than any other Hispanic sub-group yet there have been few studies with this group. With projected Hispanic population growth and increased health care utilization it is imperative to understand the infant care and self-care issues and experiences of primiparous Puerto Rican women in the post-partum …

Determining The Needs Of The Family Caregivers At A Research Hospital, Gulsah Kok, Aygul Akyuz, Tulay Basak

International Nursing Research Congress (INRC)

Purpose: Being ill and hospitalized affect the family caregivers environmental and social lives as well as the patients. These effects were emphasized due to the fact the difficulties experienced in the hospital, their physical, psychological, social needs and expectations from the health care professions. This descriptive study was aimed to evaluate the physical, familial, and social needs of the family caregivers in the process of the hospitilization. Methods: Data was obtained using face to face interviews from the structured questionnaire developed by the researchers. Results: Participants were between the ages of 31-50, and graduated from the university. The participants presented …

Schoolchildren's Experience Of Myopic Prevention And Progression: A Qualitative Study, Vico C. L. Chiang, Tutti Y. T. Kong, Winvy M. H. Tam, Mark C. F. Lee, Cecilia W. S. Wong

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: Previous studies about myopia have focused on prevalence and risk factors of myopia and the researchers have found these matters to be more severe among children in the East Asian countries. This study aimed to explore the experience of schoolchildren regarding the interplay and dynamics of their knowledge, attitude and practice, and possible barriers, in the prevention and retardation of myopia.

Methods: This study employed a qualitative descriptive design. Interviews were conducted in three focus groups with a total of 26 primary school Year 5 students involved. The data were analyzed with …

Knowledge And Attitudes Of Pediatric Pain In Mongolian Nurses, Lisa Joy Matasovsky

International Nursing Research Congress (INRC)

Purpose: The World Health Organization and the International Association for Study of Pain cite the significance of pediatric pain as a significant global health issue. Developing countries may have increased needs than developed countries due to limited resources and lack of training. In Mongolia a paucity of data exists regarding nursing knowledge of pediatric pain management. The purpose of this project was to assess the current knowledge of pediatric pain and to assess the effectiveness of an education intervention on improving knowledge and attitudes of pediatric nurses working at a major children's hospital in Mongolia. Methods: Knowledge and attitudes of …

Feasibility And Acceptability Of An Ipad Application To Assess Symptom Clusters In Adolescents With Cancer, Lauri Linder, Jeanne Erickson, Kristin Stegenga, Nancy Fugate Woods, Suzanne Ameringer, Pamela S. Hinds, Catherine Fiona Macpherson

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Adolescents with cancer (AWC) experience multiple co-occurring interrelated disease- and treatment-related symptoms. A newly-developed iPad application, the Computerized Symptom Capture Tool (C-SCAT) uses a heuristics approach to explore symptom clusters. The C-SCAT combines graphical images and free text responses, empowering individuals to identify symptom clusters from their unique perspectives. This approach shifts the paradigm for studying symptom clusters to an inductive approach that considers how individuals interpret and give meaning to their clusters of symptoms. We present the feasibility and acceptability of the C-SCAT among AWC receiving chemotherapy.

Methods: 32 AWC at …

Gleaning Data From Disaster: A Hospital-Based Data Mining Method To Studying All-Hazard Triage After A Chemical Disaster, Joan Marie Culley, Abbas Tavakoli, Erik R. Svendsen, Jean B. Craig

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: On January 6, 2005, a freight train carrying three tanker cars of liquid chlorine was inadvertently switched onto an industrial spur in central Graniteville, South Carolina. The train then crashed into a parked locomotive and derailed. This caused one of the chlorine tankers to rupture and immediately release ~60 tons of chlorine. Chlorine gas infiltrated the town with a population of 7,000. This research focuses on the victims who received emergency care in South Carolina. The objective of presentation is to describe the methods of evaluating currently available triage models for their …

Using Photovoice To Capture The Meaning Of Gardening And What Motivates Refugees To Participate In Gardening Activities, Ruth B. Grubesic

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: To collect qualitative data, utilizing a technique called PhotoVoice, answering three study questions: Why do you participate in gardening? Does access to fresh produce from the garden affect food choices? How does gardening impact you and your family?

Methods: Fifteen refugee participants (from two refugee communities) agreed to participate. Two training sessions were given: 1. teach participants the Photovoice concept, 2. teach use of the digital camera. Participants spent 4 weeks taking photos aligning to the study questions. Captions were prepared for each selected photo. A photo display with the 5 photos …

Pain, Coping And Sleep In Children And Adolescents With Sickle Cell Disease, Joyce Kelly Graves, Eufemia Jacob

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: The purpose of this study was to examine pain, pain coping and sleep and to examine the relationship among pain, pain coping and sleep in children and adolescents with sickle cell disease. Factors (age, gender and number of pain episodes) that predict pain, pain coping and sleep in children also were examined in this population.

Methods: Children (n=39; mean 11.9 - 1.1 years) and adolescents (n=27; mean 15.5 - 0.9 years) with sickle cell disease completed an electronic visual analog scale (eVAS), Adolescent Pediatric Pain Tool, Pain Coping Questionnaire, and Pittsburg Sleep …

Metabolic Risk Factors, Exercise Capacity And Inflammation In Postmenopausal Women, Jen-Chen Tsai, Chia-Hui Wang, Min-Huey Chung

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The purposes of this study were to investigate metabolic risks factors, exercise capacity, and inflammation state in postmenopausal women; and to evaluate the effect of a supervised aerobic exercise training program on these characteristics.

Methods: This study was a prospective, randomized control trail. Forty-six postmenopausal women completed the study: 23 in the exercise, 23 in the control groups. Subjects in the exercise group participated in 30 minutes of moderate-intensity treadmill exercise (60% to 70% of their maximal heart rate performed from exercise testing), three times each week for 12 weeks. Data on …

Using Theory To Organize Nursing Political Action Plans, Tawna Cooksey-James, Ali Salman, Yi-Hui Lee

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: With changes accompanying the new health care reform and other nation-wide issues affecting nursing and health care, nurses must become more politically aware and active to advance the profession of nursing and improve health care. The realm of nursing is no longer limited to the patient's bedside and nurses are finding themselves increasingly at the table with a need to understand the political process and the accompanying mechanisms to implement changes.

Methods: Using learner-centered teaching principles, a health policy and politics class was taught to 35 graduate nursing students. Assignments included projected …

The Nurse As Advocate: A Grounded Theory Perspective, Pennie Sessler Branden

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: The nursing profession is entering an exciting time of new professional opportunities and is positioned to determine the trajectory of health care and policy as related to the global health crisis. However, nurses are underrepresented in major forums where they could be change agents. Being a change agent could be accomplished through the nurse's role as advocate for the patient, profession, and health policy. The aim of this research investigation was to increase the current knowledge about the nurse advocate role and its complexities, and to discover and explicate substantive theory about …

Capturing The Changes In The Work Environment Of Nurses: Using Photographic Research Methods From The Field Of Ecological Restoration, Fernanda R. E. Gimenes, Patricia B. Marck, Silvia H. De Bortoli Cassiani

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: To examine whether the photographic research methods from the field of ecological restoration help nursing practitioners of a Brazilian ICU to strengthen the safety of their work environment.

Methods: We used a qualitative approach, using adapted photographic research methods from the field of ecological restoration, which include focus groups, photo walkabout, photo narration and photo elicitation, in iterative phases of data collection and analysis. In Phase 1, semi-structured, tape recorded focus group was conducted to identify issues related to medication safety. In Phase 2, we conducted photo walkabout with an experienced nurse …

Using Appraisal Of Guidelines For Research & Evaluation Ii (Agree Ii) Tool To Evaluate The Sepsis Resuscitation Bundle Practice Guideline, Michelle A. Pinelle, Jamie K. Roney

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Nurses should detail clinical significance of practice guidelines, identify research criteria considered for clinical guideline development, synthesize literature used for the practice guideline's recommendation for use, and summarize results of clinical guideline evaluation including recommendations for clinical implementation and appropriateness for use in practice. The purpose of this research was to appraise guidelines developed by the Surviving Sepsis Campaign (SSC) Sepsis Resuscitation Bundle (SRB) to treat patients with severe sepsis/septic shock using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) tool.

Methods: The AGREE II tool was used to …

Symptom Clusters In Patients Who Ruled Out For Acute Coronary Syndrome: Age Matters, Holli A. Devon, Anne G. Rosenfeld

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Patients with potential acute coronary syndrome (ACS) make a decision to present to the emergency department (ED) partially based on symptoms. Differentiating which patients have ACS and require cardiac evaluation presents a diagnostic conundrum. Empirically derived symptom profiles could assist in risk stratification. Therefore, the purpose of the study was to examine the influence of age on subgroups of patients with similar symptom clusters who presented to the ED with symptoms suggestive of ACS who subsequently ruled out.

Methods: A sample of 318 patients (148 women; 170 men) was recruited from 3 …

Inter-Professional Collaboration: Making A Difference Locally And Globally, Rebecca Lee Meyer

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

The purpose of this project is to explore evidence-based educational strategies used in the undergraduate and graduate curriculum related to international health in order to make a change on the local or global level. The United Nations identified eight areas of health disparities worldwide: poverty, hunger, disease, illiteracy, environmental degradation, and discrimination against women. Improving educational strategies which target knowledge, skills, and affective learning related to the global burden of disease will increase awareness of universal access to primary healthcare and decrease health disparities. Graduate nursing students are required to examine effectiveness of …

Relevance Of Nursing Clinical Supervision Strategies, Regina Maria Pires, Filipe Miguel Soares Pereira, Maria Margarida Reis Dos Santos Ferreira

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013: Purpose: Nursing clinical supervision (NCS) is understood as a facilitator process of professional development, contributing to the quality of the practice, promoting safety of care and protection of clients in clinical complex situations. In Portugal the discussion and research on the implementation of the NCS in practice has been highlighted in the last decade, increased partnerships between the academic and practice to design programs of NCS and identify the most relevant CS strategies for nurses. Aim of the study: to identify the strategies that nurses consider more relevant in NCS. Methods: We carried …