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Good Work In Nursing: A Comparison Of Bsn Graduate Perceptions On Entry Into Practice And One Year Later, Dorette Sugg Welk, M. Christine Alichnie

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013

Purpose: The purpose of Phase I of this qualitative longitudinal study was to describe the perceptions of new BSN graduates about what constitutes good work in nursing (GWN) as they entered their first professional positions compared to Phase II one-year after the initial employment was underway. Efforts to reduce the nursing shortage through identification of issues that affect retention and avoid "burn-out" of nurses are in order.

Methods: A purposive sample of 12 graduates met criteria as having fewer than three months of experience in the work environment and a recommendation from a …

Using Photovoice With A Vulnerable Population To Inform Policy Change, Patricia Cannistraci

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Multiple national initiatives have established a focus on improving health, promoting healthy aging and preventing further disability from chronic disease among adults with intellectual and developmental disabilities (I/DD). Despite the recognized importance of health promotion, increased health disparities exist among this population. The literature reveals a lower fitness level, poor nutrition, and a general sedentary lifestyle have increased risk for chronic conditions such as heart disease, diabetes, dental disease, and vision problems. Notably lacking in the literature is inquiry of what these individuals perceive as facilitators and barriers to health. This study …

Promoting Self-Efficacy In Senior Bsn Students In The Community Setting, Mary Elizabeth Fortier

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Facts are: Clinical sites are harder to secure for our baccalaureate prepared nursing students, challenging colleges to look for creative solutions, while providing sound clinical learning. Patients are discharged from the hospital to their homes with little or no healthcare supports in place. Education and follow-up are needed for clients in the environment where the healthcare system expects them to function and live. Solution: As a creative solution our baccalaureate nursing program looked to the community in which we are located and partnered with a group of community buildings. These buildings, a total …

Women Are Different!: Gender Specific Protocols For Treatment Of Hypertension, Rebecca J. Whiffen

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: This study has dual, complementing purposes: first, a comprehensive literature review of reported gender, race, age and menopausal status variables in the treatment of hypertension in women, and second, an evaluation of hypertension treatment for best practices. These data were then compiled and utilized to propose a gender specific protocol for treatment of hypertension.

Method: A retrospective chart review of 100 women with the diagnosis of benign hypertension was performed in a large cardiovascular practice. Patient charts were reviewed to identify the antihypertensive medications currently in use, and the data were compared …

Usability And Acceptability Testing Of A Modified Early Warning Scoring (Mews) Tool Using Simulation, Jamie K. Roney, Joann D. Long, Jessica Maples, Kimberley A. Stunkard, Barbara Erin Whitley, Lexie Scarborough Futrell

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Anticipating barriers when introducing a new form to nurses for incorporation into their daily routine, Kurt Lewin's action research model for change was used as a framework for this study. The purpose was to determine usability and acceptability of the Modified Early Warning Scoring (MEWS) tool by healthcare providers from the hospital units where the tool will be implemented.

Methods: The study used a mixed-methods design. The low-fidelity simulation selected for use in testing usability and acceptability called mock hospital was used. Mannequins were used to represent hospitalized patients in four simulated …

Evidence-Based Practice As A Curricular Thread: Bridging Research To Practice For Students, Sally A. Decker, Elizabeth Roe

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

This presentation will describe the use of evidence-based practice (EBP) as a curricular thread within a concept-based curriculum. Separate research courses within baccalaureate nursing programs have been offered by schools of nursing worldwide. The unfortunate consequence of separating this content into a single course which concentrated on the conduct of studies was for students to be able to see research as just something they had to learn to satisfy a course versus something they needed for practice. Students would comment on course evaluations that they did not need this class as they were …

The Association Between Integrating Simulation Into Nursing Education, Students' Performance Level And Approaches During The First Clinical Rotation, Igal Zlatkin

International Nursing Research Congress (INRC)

Purpose: Preparing students for professional performance in the "real world" is the main trust of the nursing education. Appropriate instructional methods are required in order to alleviate anxiety and uncertainty of the novice nursing students during their transition from theory to practice. Integrating simulation into the curriculum may strengthen knowledge, integrate between learned subjects, develop motor skills and improve students' self-efficacy and self-confidence. Yet, only a handful of studies measured the effectiveness of this method. The purpose of the present study is examination the effect of integrating simulations into nursing curriculum.

Methods: The present study is a prospective and comparative …

Nurse Leaders Are The Key To Our Looming Workforce Dilemma, Catriona Anne Booker

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: As healthcare faces a critical shortage of qualified nursing staff, this ageing workforce is further challenged as the 'Baby Boomer' generation prepares for retirement. While current retention strategies are focused on recruitment, little is known about end of career nurses' (EOCNs') retirement decisions. This Australian study explored factors that influence EOCNs' decisions regarding their workforce participation, and identified leadership as a key factor which influenced their decision.

Methods: A mixed method case study methodology was used to explore EOCN's perceptions concerning their workforce participation. Data were collected from 218 participants (Registered Nurses …

The Importance Of Critical Thinking And Its Contribution To Nursing Care Based On Evidence-Based Practice, Luboslava Kundracikova, Lubica Dernarova

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: A peripheral venous catheter is an essential part of the patient's management on the standard wards and represents a significant progress in the treatment of patients. Their use is associated with a risk of complications. The integrity of the skin is always disrupted which may lead to pathogenic organisms invasion. The precondition of safe and effective nursing care is patient's protection from harm, during the time of the implementation of peripheral venous catheter. It is crucial to apply critical thinking and perform clinical decisions based on evidence.

Methods: We investigated the extent …

Enhancing Gerontology Content In Canadian Nursing Education Through Knowledge Translation, Lynn Mccleary, Katherine S. Mcgilton, Veronique Boscart

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013: Purpose: In Canada there is an urgent need to enhance gerontological content in entry to practice nursing education. This study examined the immediate and one year outcomes of Canadian Knowledge Exchange Institutes for Nursing Education. Methods: The Knowledge Exchange Institutes were based in Graham and colleagues' (2006) Knowledge-to-Action process model. They engaged 49 nursing faculty and PhD students from across Canada in the process of curriculum review and enhancement. Participants were given extensive knowledge products for integration in courses. They developed strategies to enhance courses and engage their colleagues in curriculum revision and …

Re-Inventing The Wheel: Consensus, Continuing Competence And Public Safety, Rachael A. Vernon

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Nursing regulatory authorities agree that monitoring the continuing competence of the profession is necessary to protect the public. International research completed during 2011-2012 indicated that definitions of continuing competence across six countries Australia, Canada, Ireland, New Zealand, the United Kingdom and the United States of America have strong similarities. This presentation will present and discuss the consensus view of these international regulatory experts with regard to the assessment and demonstration of continuing competence. Recommendations will be made to align the consensus framework with existing conditions and for possible legislative and/or policy change. …

The Effects Of Abdominal Massage And Bowel Recipe For The Relief Of Constipation Among Residents In A Care And Attention Home For Persons With Physical Disability In Hong Kong, Kar Yan Alice Wong

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Constipation, defined as having a bowel movement less than three times a week (ROM III Criteria), is a common problem. A growing proportion of disabled residents on anti-seizure medications are living longer yet the routine care in using laxatives to relieve constipation can no longer be effective after prolonged use. Therefore, non-invasive abdominal massage and high fiber dietary supplements interventions were introduced.

Methods: This study aimed to increase the quality of care by early identification of constipation cases with abdominal massage treatment. Baseline data on bowel and dietary habits were collected from …

Nurses' Perceptions Of Facilitating A Therapeutic Nurse-Patient Relationship In Private General Hospitals In South Africa, Annalie E. Van Den Heever

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: Facilitation of a therapeutic relationship is an essential skill in nursing, particularly in mental health care. Nurses in private general hospitals are exposed to the emotional effects of physical illness as well as the increase in admission of patients with mental health needs. Poor nurse- patient relationships have been reported by patients and in the media. The researchers experienced incidents of an apparent lack of awareness during nurse-patient interactions while working in private general hospitals. However, no studies have been done on how nurses and care workers perceive a therapeutic relationship with …

Fieldwork As A Bridge From Cancer Diagnosis To Survivorship, Celeste Marie Baldwin

International Nursing Research Congress (INRC)

Purpose: The purpose is to give voice to cancer survivors on Maui and Oahu suffering from cancer. As they are now free of daily treatments, it is our goal to understand using grounded theory how the role of the nurse by Erickson, Tomlin, and Swain affect the daily lives of cancer survivors as they have moved on with their lives to rebuild who they are. This qualitative inquiry seeks what it is like to be the patient that was at one time facing death and yet now is well enough to return home. Methods: Participants will be interviewed using a …

Clinical Judgment Development Utilizing Structured Classroom Reflective Practice, Donna M. Glynn

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: The need to educate nursing students in the necessary skills and knowledge has led to a 'theory-practice gap.' The development of clinical judgment and the utilization of reflective practice have been identified as key components in bridging the theory-practice gap. The Model of Clinical Judgment in Nursing (Tanner, 2006) was developed as a framework to incorporate reflective practice to guide students through patient situations. This research evaluated the benefit of Structured Classroom Reflection on the development of clincial judgment. Methods: This study examined the influence of 'reflection-on-action' in a structured reflective classroom …

Recruitment And Cost Analysis Of Screening Midlife African-American Women For A Lifestyle Physical Activity Intervention Trial, Jo Ellen Wilbur, Arlene Michaels Miller

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: A challenge for implementing physical activity interventions in underserved communities is successful recruitment of participants. The need for a medical release often excludes women most in need because they don't have a provider or cannot afford the additional cost. The purpose of this presentation is to present: 1) outcomes of the recruitment strategies and 2) cost-analyses of providing an advanced practice nurse (APN) screening health assessment for the Women's Lifestyle Physical Activity Program for African American women. An ecological framework guided recruitment.

Methods: This randomized clinical trial is delivered in health settings …

Providing Workshops For Families With Type 1 Diabetes, Donna Freeborn, Tina Dyches, Susanne Olsen Roper, Barbara L. Mandleco

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 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 …

Can You See Me? Experiences Of Night Shift Nurses In Australian Regional Hospitals: A Qualitative Case Study, Idona N. Powell

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: The study aimed to explore experiences of nightshift nurses working in Australian regional hospitals focusing on their relationships with other nightshift nurses, non-nightshift staff and general work satisfaction issues. Study intentions were to act as a catalyst to the development and implementation of strategies to create positive change for the nightshift nurses.

Methods: The study was conducted at three Australian regional hospitals. Data were derived from semi-structured interviews and participant diaries over a six month period in 2010. The participants were 14 nurses working nights half or more of their total shifts …

Integrative Review: Attitude Of The Nurses Towards Evidence-Based Practice, Pablo Salas-Medina, Yolanda Raquel Lapena-Monux, Maria Loreto Macia-Soler, Desiree Mena-Tudela, Maria Isabel Orts-Cortes, Victor Manuel Gonzalez-Chorda

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: In recent years, empowerment and momentum that has made professional nursing, is derived from the incorporation of evidence into clinical practice, not being evidence delegated by medicine, but the practice that promotes evidence based nursing. This new approach requires prior knowledge of the attitude with which the profeionales of nursing welcome the evidence-based practice by providing the right tools to address barriers.

Methods: To achieve the objectives of this study is a review inclusive of scientific literature. Articles were selected from Medline, Cochrane and Scopus. The limit was 3 years temporary. The …

Turning The Classroom: Using Team-Based Learning To Engage Students In Psychiatric-Mental Nursing Course, George Byron Peraza-Smith, Cindy Parsons

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Team-based learning (TBL) is an evidence-based instructional method that engages students to become active participates in their own learning. Students form teams of five to seven members. In TBL students' engagement occurs in two interrelated, mutually strengthening areas: within course content (individual) and within teams (group). TBL has been shown to improve critical thinking, foster engagement in the classroom, promote collaboration, and enhances student satisfaction. A descriptive correlational study was conducted. The sample included a control group (n=43) who received standard lecture model and an intervention group (n=45) who received TBL model. Evaluation …

Improvement Of Interpersonal Relations And Job Satisfaction Of Nurses Of Specialized Care Through Knowledge And Use Of Relational Skills, Yolanda Raquel Lapena-Monux, Pablo Salas-Medina, Victor Manuel Gonzalez-Chorda, Maria Loreto Macia-Soler, Desiree Mena-Tudela, Cibanal Juan Luis, Maria Isabel Orts-Cortes

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: It is necessary to maintain cordial relationships in the workplace, through a correct knowledge and use of communicative-relational skills developed by members of the health team, generators of job satisfaction. General objetive: Knowing how the communicative interaction between professional nurses within the different units of the hospital is, about the characteristics of interpersonal communicative interaction, skills that professionals develop in their labour relations and the difficulties faced in this process.

Methods: Descriptive research based on qualitative collection methods and data analysis, in a sample of 21 nurses working in different inpatient units. …

Suffering Had Enough: Family Caregivers' Experiences Of Patients With Terminal Illness At The End-Of-Life, Sujatha Shanmugasundaram

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Introduction: Many literatures proved that it is a great challenge for the family members caring for the terminally ill person at home. With an ageing population and increasing the rate of disability and incidences of cancer, and the growth in community care, the role of the caregivers has expanded and changed over the recent years. Many terminally ill patients also prefer to die at home and spend their final stage of life with their family members. It is not surprising therefore that family caregiving has been the major focus of the research not …

Enhancing Clinical Reasoning: Teaching Thinking Through Debriefing, Susan G. Forneris, Diana Odland Neal, Heidi Meyer, Jone Tiffany, Lynnea Myers, Cynthia R. Pivec, Mary Beth Kuehn, Linda Blazovich

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: How nurses are educated to think in practice is receiving well-deserved attention calling for the need for innovative and transformative strategies that guide nurses in the use of nursing knowledge and science. Guiding thinking to assist novice nurses to better infer meaning and apply clinical reasoning across contexts is an important teaching strategy. The overall purpose of this multi-site pilot study was to implement a debriefing strategy to determine its impact on clinical reasoning skills with undergraduate nursing students across four different colleges of nursing. This study replicates Dreifuerst's original study using …

Falls, Bone And Joint Injuries, And Vision Status Among Adult Women Respondents To The 2008 National Health Interview Survey, Nancy C. Sharts-Hopko

International Nursing Research Congress (INRC)

Friday, July 26, 2013:

Purpose: Vision status, falls and injuries were examined among adult women participants in the 2008 National Health Interview Survey (NHIS). Nursing research has not focused on visual impairment, though marked increase in low vision and blindness is anticipated as the Boomer generation ages. The Capability Framework of Sen and Nussbaum provides a perspective of the well-being of persons with disabilities in terms of their functioning considering the freedoms that people have to enjoy the kind of life they value.

Methods: A descriptive design entailed sample analysis of data from 12,267 women. Data were collected by US …

Quality Of Care For Intimate Partner Violence In South African Primary Care: Qualitative Study, Kate Joyner

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: To explore the current quality of care for intimate partner violence (IPV) in South African public sector primary care facilities of the Western Cape.

Methods: This is a subsection of a larger project which implemented, modified and evaluated a screening and management protocol for IPV in South African primary care. In the larger study, 168 women were identified as having lived with IPV while attending primary care for the previous two years. Yet only 11 (9.6%) were recognized. A structured record of the protocol consultation and semi-structured follow up interview captured each …

Answering The Clinical Question Of Mortality Benefit From Using The Sepsis Resuscitation Bundle Alone, Jamie K. Roney, Michelle A. Pinelle

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The Sepsis Resuscitation Bundle (SRB) should be implemented for the management of severe sepsis, septic shock, or lactic acid > 4 mmol/l with confirmed or suspected infection according to the evaluation of available evidence. The clinical question looked to answer whether only partial early goal-directed therapy (EGDT), the SRB, could be used and still demonstrate a positive impact on mortality.

Methods: Systematic review of eight articles and the practice guideline were analyzed for applicability, strength of the evidence, validity of the results, and gaps in the studies' findings. The articles revealed evidence that …

Muscle Relaxation Training To Reduce Stress Of Medical Nurses At Siriraj Hospital, Thailand, Pawilai Pitakwong

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The purpose of this study was to determine the extent to which progressive muscular relaxation training can facilitate reduction in the stress experienced by medical nurses at Siriraj Hospital, Thailand.

Methods: A longitudinal experimental design was used to explore the efficacy of progressive muscular relaxation reducing the stress level of medical nurses. Subjects were randomly assigned to one of two treatments: progressive muscular relaxation using audio recorded instructions and a live instructor (Arm A) or progressive muscular relaxation by using audio recorded instructions and a handbook (Arm B). Subjects in each group …

Gender And Smoking Cessation Treatment For Hospitalized Smokers, Donna D. Caruthers, Roberta M. Fiore, Susan E. Bare

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Examine gender differences among a sample of hospitalized smokers formerly enrolled in a smoking cessation RCT.

Methods: The primary aim of this secondary analysis, with IRB approval, examined gender differences from data obtained from a RCT of a smoking cessation intervention initiated with hospitalized smokers. Eighty participants were enrolled in an RCT smoking cessation study prior to hospital discharge and provided an enhanced usual care smoking cessation intervention. Following discharge, intervention treatment included 8 additional phone delivered relapse prevention interventions over 3 months. Study variables included carbon-monoxide validated 7-day smoking point-prevalence, self-efficacy …

Extended Work Hours And Physical Health Status Of Registered Nurses Working In Community Hospitals, Thailand, Treeyaphan Supamanee, Pongsri Keitlertnapha, Wipada Kunaviktikul

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Background: Community hospitals in Thailand have faced nursing shortage. This shortage causes long working hours of nurses that affect their physical health. They endanger to various physical risks such as sharp and needle-stick injury and musculoskeletal disorders about pain in the neck, upper back, lower back, refer down the leg, and calf of the leg.

Purpose: This study aimed to describe nurses' extended work hours and physical health regarding sharp and needle-stick injury, and musculoskeletal disorders, and to examine the relationship between extended work hours and physical health.

Methods: Self-administered questionnaire was used …

Patients' Reactions To Being Selected By A Computerised Risk Tool For Case Management By A Community Matron In The Uk, Belinda J. Wigmore, Sylvie Marshall-Lucette

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: In the UK, 15 million people have at least one long-term condition and represent 70% of the healthcare expenditure. Evidence suggests that improved management of long-term conditions can reduce care costs. Case Management, by Community Matrons, was established using a predictive risk tool to predict the likelihood of an acute admission within the following six months. Potential patients are sent a letter offering an assessment before being admitted to the Virtual Community Ward. Some patients decline the service or find this approach unusual. This study aimed to explore the reactions of patients …