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Assessment And Management Of Foot Ulcers For People With Diabetes, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This guideline has been developed to address the question of how to assess and manage people with established diagnosis of diabetic foot ulcer(s). It provides evidence-based recommendations to all nurses and the interprofessional team who provide care in all health-care settings to people (>15 years of age) with type 1 and/or type 2 diabetes and who have established diabetic foot ulcers.

Assessment And Management Of Pain, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This guideline provides evidence-based recommendations for nurses and other members of the interprofessional team who are assessing and managing people with the presence, or risk of, any type of pain.

International Network For Doctoral Education In Nursing - Newsletter [Complete Issue: December 2012, Vol 10, No 6], Hae-Ra Han, Jiayun Xu, Brendan G. Mccormack, Caroline Williams, Famke Van Lieshout, Haiou Zou, Zheng Li, Siedine Knobloch Coetzee

International Network for Doctoral Education in Nursing - ANDER

Advances in Doctoral Nursing Education and Research (ANDER). Official Journal for the International Network for Doctoral Education in Nursing (INDEN).

The file attached to this record is the December 2012 edition of INDEN's final newsletter prior to the launch of the ANDER Journal.

This issue of the INDEN Newsletter is devoted to the topic “Methodological Perspectives in Doctoral Education” The reviews of mixed methods research, action research, and research approaches to studying exceptionally vulnerable subjects provided below by our colleagues from the U.K., China, and the U.S. demonstrate the many ways that nurse researchers address our understanding of how health …

Pre-Training Readiness Assessment Phase Of A Teamstepps® Interprofessional Collaboration Program In Employee Health Clinics For A School System, C'Sara R. Strong

DNP and Student Works

The purpose of this inquiry was to perform a pre-training readiness assessment prior to undertaking a TeamSTEPPS® (Team Strategies and Tools to Enhance Performance) based-initiative in employee health clinics for a metropolitan school system.

Clarificative Evaluation Of A Nurse Practitioner-Led Heart Failure Clinic, Jennifer Mccaffery

DNP and Student Works

Nationally, heart failure (HF) is the leading cause of disability, hospitalizations, and death among veterans. Health care providers continue to struggle to maximize the quality of life and functional status of their patients. A significant amount of research is available on the topic of HF clinics; however, the unique patient population and staffing issues at this facility have made prior attempts to implement national recommendations unsuccessful. A nurse practitioner (NP)-led HF clinic was created in 2009 without any formal planning, treatment criteria, or outcome measures. Intuitively, the clinic seemed to be decreasing hospitalizations and improving symptom management. However, no data …

Will Culture Influence Coping Strategies, Psychological Well-Being, And Suicidal Ideation?: A Comparison Between Usa And Taiwanese College Students, Pi-Ming Yeh, Jenn-Chang Liou

International Nursing Research Congress (INRC)

Purpose: Suicide is the second-leading cause of death among college students in the U.S. and is preventable. Approximately 1100 college students die by suicide each year in USA. In Taiwan, youth suicide rate were 4.4 per 100,000 population in 1994 and increased to 6.21 per 100,000 population in 2004. Therefore, college students' psychological well-being and suicidal ideation are important issues to explore. The purpose of this study was to compare the differences between USA and Taiwanese college students' anxiety, depression, coping strategies, spiritual well-being, psychological well-being, and suicidal ideation.

Methods: This study was based on Madeleine Leininger's culture theory. This …

The Stress And Needs Of Primary Caregivers Of Children Depending On Oxygen Therapy In Taiwan: A Questionnaire Survey, Kai Wei Katherine Wang

International Nursing Research Congress (INRC)

Purpose: The study aimed at examining the stress and needs of the primary caregivers of oxygen-dependent children at home.

Methods: The study used cross-sectional descriptive research design. In addition to the demographic data collected, there were two questionnaires used including "Perceived Family Stress Scale" and "Family Needs Assessment". Data was analyzed by SPSS Windows version 15.0.

Results: 104 subjects (F = 70; M = 34) were recruited from a pediatric otolaryngologic outpatient clinic of a tertiary medical center and "The Association of Let-Children-Breathing Happily". The average age of the subjects was 39.7 years old. Most subjects (44%) had a high …

Factors Related To Daily Life Interference In Lung Cancer Patients: A Cross-Sectional Regression Tree Study, Hsueh-Hsing Pan

International Nursing Research Congress (INRC)

Purpose: To identify the symptom combination patterns and symptom severity levels that induce severe symptom interference in daily life activities, including physical and psychological activity interference in lung cancer patients.

Methods: A cross-sectional descriptive study using convenience sampling, 131 participants were recruited at a medical center in northern Taiwan. The Eastern Cooperative Oncology Group (ECOG) performance status was used to assess performance status, and the Taiwanese version of the M.D. Anderson Symptom Inventory (MDASI-T) was used to assess symptom severity and symptom interference in daily life activities including physical and psychological activities. Regression tree models were applied to examine variable …

Active Teaching, Active Learning: Are Today's Students Engaged In Learning?, Indra Hershorin

International Nursing Research Congress (INRC)

Todays students are different from the past and nursing faculty find themselves struggling to convey enormous amounts of information to students whose horizon of learning has changed. Prensky (2001) claims that students' today are "native speakers" of the digital language. This generation of learners is growing-up in a digital world surrounded by computers, video games, the Internet, smart phones, MP3 players, computer tablets, and e-book readers. According to Jackson and Crawford (2008) to-days learners are cognitively impacted by digital experiences requiring educators to revisit and ultimately expand the horizon of delivery methods. A review of the state of the science …

Dietary Consumption Of Fat, Sugar, Fruits And Vegetables And Anthropometric Indicators Among Filipinos In U.S., Reimund Serafica

International Nursing Research Congress (INRC)

Purposes: The purposes of this study were to describe the relationship among demographic variables, level of acculturation, dietary consumption of fat, sugar, fruits and vegetables among Filipino- Americans(FAs) and to explore the predictors of their anthropometric measurements. The role of dietary acculturation and consumption of fat, sugar, fruits, and vegetables amongFAs in the United States (US) remains unclear. Despite the growing numbers of FAs in the US, little is known about their dietary acculturation and fat, sugar, fruits, and vegetable consumption. Methods: The study sample consisted of 128 FAs (N = 128) residing in US. Participants completed the demographics, the …

Pituitary Tumors: Patient Perceptions Of Cognitive Deficits, Christine G. Yedinak

International Nursing Research Congress (INRC)

Background: The prevalence of pituitary tumors (PT) has been estimated from 15 % of all brain tumors. Both physiologic and psychologic functions can be disturbed, affecting the individual's life functions and quality(Qol). PT are classified by size and hormonal productivity: Macroadenomas (MA) > 1cm and microadenomas (mA) < 1cm tumors; those producing excess hormonal secretions as functional adenomas (FA) and those with normal hormonal function as non-functional adenomas (NFA). Hormonal deficiencies can occur in association with all PTs. Patient complaints of cognitive dysfunction and QoL changes have been validated to occur in patients with hormonally active tumors, but not for patients with microadenomas and non-functional tumors.

Purpose: To determine if cognitive deficits are perceived by patients with NFmA when compared to patients with NFMA.

Methods: Cognitive function was evaluated using a modified, disease specific version of the FACT-Cog questionnaire, limited to perception of cognitive capacity. Perceived ability to learn and concentrate, distractibility, mental agility, factual and short term memory and …

Student Empowerment: Baccalaureate Nursing Students Define Components Of The Course Grade, Rowena W. Elliott

International Nursing Research Congress (INRC)

Purpose: To obtain input from nursing students to determine (a) components of course grade and (b) student perceptions about the opportunity to provide input into course grade. Methods: First day in Health Care of the Older Adult, 44 nursing students were given a survey with 5 groups of activities to determine course grade. Activities were defined. Three tests (30%), Group presentation (30%), Group written assignment (30%), Class participation (10%) Two tests (30%), Two homework assignments (30%), Group presentation (30%), Class participation (10%) Three tests (30%), Individual written assignment (30%), One homework assignment (30%), Class participation (10%) Two tests (30%), Group …

Testing A Model Of Clarity Of Self, Role, And System As Predictors Of Job Satisfaction Of Nurses In Jamaica, Pauline Anderson-Johnson, John W. Nelson

International Nursing Research Congress (INRC)

Research in job satisfaction has positioned the organization as the primary entity responsible for improving the work environment. This study tests a model that positions the individual nurse as the primary source to create their own satisfying job. Creation of a satisfying job begins with being clear in self, role, and system. Clarity of self facilitates nurse understanding what they can and cannot do so they can collaborate with others in the work team who has strengths which they lack while at the same time accelerating in their individual strengths. Clarity of role facilitates efficient and safe use of their …

A Randomized Control Trial To Test The Differences In Educational Methods Used To Enhance Nurses' Knowledge, Attitudes, And Practice Of Evidence-Based Practice, Laurie Ecoff, Belinda M. Toole, Jaynelle F. Stichler

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to test the effectiveness of a computer-based, self-administered education module as compared to the in-class presentation of the same education module on nurses' knowledge, attitudes, and practice of EBP. This study was significant because in order to understand and deliver EBP, all nurses must have not only the foundational knowledge of basic EBP skills, but also demonstrate an attitude that embraces its implementation and application.

Methods: The study design was a randomized controlled pre-test/post-test methodology to test the effect of the educational intervention to improve nurses' knowledge, attitudes, and practice of EBP. Nursing …

Advancing Nursing Education Through Interdisciplinary Learning: Student Quality & Safety Program, Adele M. Spegman, M. Christine Alichnie

International Nursing Research Congress (INRC)

Nursing competencies have expanded to address the complexities of contemporary healthcare. Patient-centered care and demands for transparent outcomes require nurses to have active roles in Quality Improvement (QI) processes (IOM, 2010). Collaborative applications of evidence-based care, a component of quality outcomes, highlight the significance of interdisciplinary partnerships (Thibault, 2011). Such skills must be purposely fostered in students. Although the Quality and Safety Education for Nursing project (Cronenwett, 2007) provides guidelines, students have few opportunities for interdisciplinary clinical learning. Little is reported about the education processes that facilitate effective teamwork. This presentation describes an innovative program for nursing and medical students. …

Factors Associated With Life Quality In Persons With Suicide Attempts: A Cross-Sectional Study, Wen-Chii Tzeng, Shu-May Wang

International Nursing Research Congress (INRC)

Purpose: Most studies focus on what life might have been like before a completed suicide, however, do not describe quality of life in individuals after their suicide attempts. Yet, life dissatisfaction results in the risk of suicide in the long term. This paper is a report of a study of the factors that associated with quality of life among suicidal individuals in Taiwan.

Methods: A cross-sectional survey was conducted to recruit suicidal individuals receiving care from one suicide prevention centre in northern Taiwan between April 2008 and March 2009. Data were collected on depression and quality of life using the …

Effect Of Clinical Practice Guidelines Developed Base In Evidence-Based Practice For Postoperative Pain Management In Patients Who Underwent Orthopedic Surgery, Chintana Phannetr

International Nursing Research Congress (INRC)

Effective pain management has been shown to promote earlier ambulation and reduced postoperative complications. However, pain management in patients who underwent orthopedic surgery remains an issue in nursing practice. Purpose: This study were to assess pain scores on postoperative day 1 to day 5, to examine patients' satisfaction on pain management, and to ascertain nurses' satisfaction on the implementation of a CPG. Methods: 42 samples from surgical units of a hospital in Thailand were randomly assigned into the intervention group (21 participants received the CPG) and control group (21 participants received usual treatment).The CPG consisted of four stages including, pre-operative, …

Community-Based Wellness Center: Getting People To Move, Julia Pusztai, Anna Marie Hefner, Catherine Heinlein

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to increase the physical activity in low income Hispanic men and women in a community center. With the increase in obesity rates, physical activity plays a central role in overall health and quality of life. It has been documented a weight loss of 5-10 percent of current weight will lower one's risk of developing diseases associated with obesity.

Methods: This was a pilot descriptive study assisting clients to identify their weight issues, measure body mass index (BMI), set goals, and develop a plan for healthy eating and exercise in an underserved Hispanic neighborhood. …

Healthy Lifestyle In Elders After Discharge, Fang-Wen Hu, Chi-Wen Chiu, Ching-Huey Chen

International Nursing Research Congress (INRC)

Purpose: To investigate whether hospitalization is related to change in healthy lifestyle among elderly and determine the related factors associated with these changes.

Methods: A Prospective design and mix data approach was adopted. We purposively selected 60 patients who were 65 years and older from the general inpatient service at a medical center. A structured healthy lifestyle questionnaire was conducted by face to face interview from admission and three months after discharge.

Results: Total scores of healthy lifestyle were improved after hospitalization (19.4 +/- 1.8 vs 20.3 +/- 1.5, p .o1), especially in good eating habits, safety of medicines usage …

Is There A Relationship Between Parenting Styles And Sibling Relationships In Families Raising A Child With A Disability?, Barbara L. Mandleco, Corinne Jackman, Susanne Olsen Roper, Tina Dyches, Donna Freeborn

International Nursing Research Congress (INRC)

Purpose: This quantitative design examined parenting practices and sibling relationships according to parent gender, sibling gender and type of disability and then determined if parenting practices and sibling relationships in families raising a child with a disability (CWD) were linked.

Methods: 124 mothers and 108 fathers independently completed the 62-item Parenting Practices Report and the 28-item Schaefer Sibling Inventory of Behavior. Mothers also completed a demographic questionnaire.

Results: Parents were more authoritative, than authoritarian or permissive; mothers were more authoritative than fathers. Parents raising a child with an orthopedic condition were more authoritarian than parents raising typically developing children or …

Formalizing The Role Of The Clinical Nurse Leader In A Progressive Care Unit, Kathleen M. Ryan

International Nursing Research Congress (INRC)

This comprehensive evidence based project was a culmination of almost two years of trialing the Clinical Nurse Leader (CNL) role and then implementing a formalized CNL role in a Progressive Care Unit at UCSD Medical Center in La Jolla, California. It was maintained that the CNL could positiviely affect patient outcomes and staff satisfaction, and thus the role was formalized in May of 2011 as a Clinical Nurse IV (the highest clinical position a staff RN can achieve). This project will demonstrate that using Lewin's Change Theory and Roger's Theory of Diffusion of Innovation as a framework for this change, …

Play It Again, Anita Weismantel Mikasa, Terry F. Cicero

International Nursing Research Congress (INRC)

Title: Program Track: (1) Educational Strategies (2) Measurement Outcomes (3) Technologies that Influence Practice Podium Presentation Author: Objectives: Following presentation the learner will be able to: 1. Discuss the impact of video playback during debriefing on student self evaluation. 2. Examine the challenges to implementing video playback during the debriefing process. Purpose: The purpose of this research was to determine if the use of video recording with play back during debriefing augments student evaluation of the simulation experience and enhances their ability to identify strengths and areas for growth. Contemporary practice at many simulation centers includes video recording of the …

Community Awareness: Nutritional Patterns, Julia Pusztai, Tarek I. Hassanein, Anna Marie Hefner, Catherine Heinlein, Renee Pozza

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to analyze the reported diets of clients in a community wellness center. The Hispanic population is at higher risk for the development of fatty liver disease. It is correlated with visceral obesity, insulin resistance, Type 2 diabetes, metabolic syndrome, and lipid deposition. In a previously conducted survey of the community, the results identified obesity, high fat diets, lack of exercise and poor lifestyle choices as high risk factors for fatty liver disease.

Methods: Clients were enrolled in a wellness walking program in a community setting. They were encouraged to walk daily and offered …

Global Health Nursing Research In Guangzhou, China, Lee-Ellen Kirkhorn, Anja F. Meerwald, Peiru Zhou

International Nursing Research Congress (INRC)

Purpose: Approximately one fifth of the one billion overweight or obese people in the world are Chinese. China was once considered to have one of the leanest populations, but it is fast catching up with the West in terms of the prevalence of overweight and obesity; disturbingly, this transition has occurred in a remarkably short time.

Methods: Using a simple quasi-experimental design, more than 200 students from two economically and socially diverse middle schools in China were enrolled in a three week after school nutrition and exercise program that included structured information about balanced diet, eating healthy food, and engaging …

Evidence-Based Clinical Practice On The Interventions For Oral Mucositis For Patients With Cancer Receiving Treatment, Wang Yan

International Nursing Research Congress (INRC)

Objectives: This article is to develop a practical guideline on the interventions from prevention, treatment to nursing for the oral mucositis induced by anti-cancer treatment.

Methods: Using keywords "mucositis, cancer", search in the databases including National guideline clearinghouse, Cochrane library, Joanna Briggs institute, Registered nurses' association of Ontario, and Chinese Bio-medical literature database, etc. Only the clinical guideline, systematically review and best practice are included.

Results: Mainly, one clinical practice guideline, five systematic reviews, and one best practice are found.

Conclusion: 1 It is a systematic and continuous process to intervene with the oral mucositis induced by anti-cancer treatment. 2 …

Overcoming The Tyranny Of Distance: An Education Strategy To Assist Guideline Implementation, Keppel W. Schafer, Lyndel Gray, Jackie Doolan, Rebecca Kimble, Jacinta Lee

International Nursing Research Congress (INRC)

Queensland Health is responsible for the delivery of publicly funded health services within Queensland. Queensland is the second largest state in Australia covering 700,000 square miles (2/12; times the size of Texas, USA)1. Some health professionals, particularly in rural / remote areas, providing maternal and neonatal health care do not have access to specialist nurse education resources. The Queensland Maternity and Neonatal Clinical Guidelines Program trialled an education package to increase clinician knowledge of clinical guideline content. The package was available as a self directed learning tool or sessions facilitated by a local champion. As a result of positive feedback …

Examining Tobacco Cessation Among Healthcare Providers Using The Theory Of Planned Behavior, Victoria H. Bierman

International Nursing Research Congress (INRC)

Purpose: Tobacco cessation is vital in reducing the health consequences associated with smoking. Personal tobacco use by healthcare providers creates a significant barrier to promoting smoking cessation. Although many acknowledge the health consequences of smoking, cessation is difficult with high relapse rates. Multiple barriers hinder smoking cessation and defense mechanisms are often engaged. The purpose of this study was to examine beliefs and predict intentions of healthcare providers to quit smoking using the theory of planned behavior (TPB).

Methods: The research was a descriptive correlational design using a survey method. The primary analyses included multiple linear regressions and path analysis. …

Prediction Of Diabetes Outcomes In People From Mexico, Chris L. Latham

International Nursing Research Congress (INRC)

Purpose: A three-year partnership between the United States and Mexico was created to impact the high mortality rate of Type 2 diabetes in Mexico. Two universities shared innovative, culturally appropriate methods to address lifestyle changes in newly diagnosed people with diabetes and conducted research together. The purpose of the research was to use a theoretical, research-based model called the Hispanic Health Protection Model (HHPM) to compare the predictors of Type 2 diabetes outcomes n Tlaxcala residents and compare the findings to a U.S. study of Mexican-American residents. Methods: A predictive, correlational replication study was performed in the State of Tlaxcala, …

An Approach To Data Management And Evaluation For Evidence-Based Practice Projects, Martha Sylvia, Mary F. Terhaar

International Nursing Research Congress (INRC)

Strong data management skills are essential for effective evaluation of evidence-based practice project implementation. Completion of a scholarly evidence-based project requires application of data management skills in order to understand and address a complex practice, process, or systems problem; develop, implement and monitor an innovative evidence-based intervention to address that problem; and evaluate the outcomes. In fact, EBP projects may require stronger data management skills than those required in traditional research because they often make use of data generated for direct care or administrative purposes that require sophisticated data cleansing and manipulation techniques. These projects commonly use observational study techniques …

Social Network Analysis As A Method For Nursing Research, Anne L. Ersig, Anthony Paik, Lioness Ayres

International Nursing Research Congress (INRC)

Purpose: Nursing research often relies on data obtained from individuals in an effort to understand human experiences of health and illness. These individual experiences do not occur in isolation; instead, they take place within larger contexts, such as families, social groups, and schools or communities. These organizations function as complex adaptive systems (CAS), which resist reduction into simple cause-and-effect relationships. Investigating such systems, including collection of data from multiple individuals, requires flexible and adaptable research methods. Social network analysis (SNA) facilitates data collection from multiple individuals in the same context (e.g., a family, an organization), examination of interactions among individuals, …