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Competency-Based Public Health Clinical Educational Strategies, Marjorie A. Schaffer, Patricia Schoon, Carolyn Marie Cesario

International Nursing Research Congress (INRC)

Challenges facing nursing educators and public health agencies in preparing a public health nursing workforce for the 21st century include a lack of clinical sites, competition between schools of nursing for public health learning experiences, and a lack of experience in public health nursing practice or education among nursing faculty. A consortium of nursing educators and practicing public health nurses developed eleven population-based public health nursing competencies for entry level practice. The competencies resulted from a thorough review and analysis of existing standards and competencies for public health nursing practice by nursing educators and public health nurses (PHNs) in practice. …

A Health Empowerment Theory Approach To Pregnant Adolescents 18 And 19 Years Of Age In The Bahamas, Shirley E. Curtis

International Nursing Research Congress (INRC)

In The Bahamas between the years 2,000 - 2007, the percentage of mothers under the age of 20 years accounted for 11.3 - 12.7% of all births in the country. Mothers age 15 -19 years accounted for 11.2 - 12.6% of all births. The purpose of this study was to investigate the level of empowerment among pregnant adolescents living in The Bahamas aged 18-19 years by testing the levels of autonomy, environmental mastery, personal growth, relationship with others, purpose in life and religiosity. The sample for this study was 105 pregnant adolescent females 18 and 19 years of age attending …

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. …

Missing Ingredient: Spanish-Speaking Hispanics From The Health Literacy Studies In The U.S., Bertha Eloisa Flores, Gayle J. Acton

International Nursing Research Congress (INRC)

Purpose: Review qualitative and quantitative studies addressing the relationship of Health literacy and Hispanics in the U.S.

Methods: A literature search was conducted in CINAHL Plus with full text, Ovid Medline, Pub Med and ERIC to include the years between 1996-2010 using the search term literacy, health literacy and Hispanic+.

Study Selection: A total of 80 articles were reviewed; 30 met inclusion criteria. Both qualitative and quantitative studies conducted in the U.S. and written in English met inclusion criteria. Exclusion criteria included studies conducted outside the U.S. and those not written in English.

Results: Few studies 2% (6/30) related to …

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 …

Graduate Nursing Education: Reforming Perspectives Through The Lens Of Transformative Learning, Arlene H. Morris, Francine M. Parker

International Nursing Research Congress (INRC)

Purpose: Registered nurses often return to school for an advanced degree to fulfill an academic, personal or professional goal. Through the educational endeavor, these students may experience resocialization of their perspectives related to professional nursing values and roles. The purpose of this presentation is to share research findings describing changes in perspectives which reflected the learning or relearning that occurred in returning students, based on Mezirow's Perspective Transformation Theory (1978).

Methods: This qualitative, descriptive research, a replication of Cragg and Andrusyszyn's 2005 study of MSN graduates in Canada, examined changes in the knowledge and attitudes of graduates from MSN programs …

Adding An Integrative Health And Wellness Assessment Of Nursing Staff To The Caring Science Research Trajectory In A Mid-Size Hospital In Wyoming, Usa, John W. Nelson

International Nursing Research Congress (INRC)

Four hundred nurses in a large community hospital in Casper, Wyoming, USA have been involved in the implementation of a Caring Science program since 2005. This research trajectory of Caring Science that is using a longitudinal research design began by measuring nurse's perceived competence in caring using the Caring Efficacy Scale in 2005. Measurement of patient's perception of caring was begun in 2008 by using the Caring Factor Survey based on Watson's Theory of Caritas. Now in 2012, the measurement of self-care has begun. According to Watson's Theory of Caritas, caring for others must begin by caring for self. The …

A Global Health Internship For Bsn Students, Phyllis Shanley Hansell

International Nursing Research Congress (INRC)

Purpose: The purpose of this project was to implement a project to advance the global perspective for nursing education and research. Methods: International partnership exchange opportunities were made available to undergraduate students on a competitive. opportunities included exchange practicum experiences with a variety of international educational exchange opportunities that were available at a variety of international settings. Students chose from among partnership opportunities in Copenhagen, Denmark; Petoria, South Africa; Galway, Ireland; Wuhan, China; the Philippines and Macau, China. Students who met the criteria received full support for airfare and support for their designated project. Students selected application for the program …

Global And Local Strategies To Increase Nursing Educational Capacity In Sub-Saharan Africa, Sue A. Blanshan, Margaret Maimbolwa, Grace M. Omoni, Barbara Smith, Karen Kauffman

International Nursing Research Congress (INRC)

There is a critical shortage of nurses in the developing world with an average of only 11 nurse per 10,000 population. Efforts to increase the number of nurses are hampered in part because of a lack of facility, material, electronic and human resources in Sub-Saharan Africa. In order to gain a better understanding of the problems and issues in Africa, a focus group with 25 senior African nurse educators was conducted at the biennial conference of the African Midwives Research Network (AMRN) held in Dar Es Salaam in December 2009. These nurse educators identified what they believed needed to be …

Using The Glasgow Coma Scale In Non-Neurological Clinical Areas, Tracey Thornley, Lauren Rullis

International Nursing Research Congress (INRC)

Purpose: The Glasgow Coma Scale (GCS) was designed for use in a wide range of clinical environments with staff that had no special training (Teasdale and Jennett 1974). Evidence (Waterhouse 2007 and 2008) suggests however that there are ongoing problems with the use of the GCS assessment, and the impact that this might have on patient outcome is unknown. Variations in practice have been found in all areas, including the neurological specialties wards, however the skill level of nursing staff in non neurological areas is concerning with inconsistency in practice. The purpose of this project was to explore the use …

Measurement Of Recovery For Persons With Serious Mental Illness, Linda E. Jensen

International Nursing Research Congress (INRC)

The concept of recovery may seem unusual for people with severe and persistent mental illnesses (SPMI) as over 2/3 are unemployed, and it is estimated that in the U.S., 240,000 are homeless, and 283,000 are incarcerated (NAMI, 2011). Recovery has been typically defined as a complete remission of symptoms or a return to a life as it was before the illness however, people with SPMI are advocating for a change in the understanding and measurement of recovery to include progress made in coping and living with mental illness, and not always a complete cure. Several evidence based studies of people …

Perceived Barriers To Healthy Lifestyle Activities In Midlife And Older Australian Women With Type 2 Diabetes, Amanda M. Mcguire, Debra Jane Anderson

International Nursing Research Congress (INRC)

Purpose: Type 2 diabetes is a leading cause of morbidity and mortality in midlife and older Australian women with known modifiable risk factors for type 2 diabetes including smoking, nutrition, physical activity and obesity. In Australia little research has been done to investigate the perceived barriers to healthy lifestyle activities in midlife and older women with type 2 diabetes. The primary aim of this study was to explore the level and type of perceived barriers to health promotion activities. The secondary aim was to explore the relationship of perceived barriers to smoking behaviour, fruit and vegetable intake, physical activity, and …

The Influence Of Intervention Augmentation And Strength Of Maternal Engagement On Community Child Health Nurse Home Visiting For New Parents: An Exploratory Study, Tara J. Flemington, Jennifer Anne Fraser

International Nursing Research Congress (INRC)

Purpose: Sustained and high quality maternal involvement in home visiting programs may be an important factor in reducing child abuse potential in at-risk families. This study aimed to examine this neglected field by investigating factors predicting program engagement and relationship to maternal outcomes in an intensive, nurse-led home visiting program in South East Queensland. Using a theoretical basis of Bronfenbrenner's ecological theory and McCurdy and Daro's theory of parental engagement in home visiting programs, the study aimed to examine engagement in the Australian context.

Methods: Data from a longitudinal randomised controlled trial investigating standard nurse home visiting (Family Care) and …

Maximizing Learning Occurring During Debriefing After Simulation, Shelly J. Reed, Cheryl Ann Corbett

International Nursing Research Congress (INRC)

Debriefing after simulation is recognized as the time where learning is solidified and unsettled emotions are diffused. Current debriefing literature has focused on debriefing medical or team training simulation events. What practices are best in nursing education for debriefing? Are best practices for debriefing medical professionals, teams, and experienced nurses best for nursing students? Do objectives of the simulation need to be considered before deciding what method of debriefing is best? What if resources are limited, such as video capture systems--will the debriefing still be effective? This abstract will review the current literature and identify best practices for debriefing simulations …

Maternal Child Health Home Visiting In Montana: Effects On Lbw And Premature Births And Medicaid Costs, Jo Ann Walsh Dotson

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to examine birth outcomes, specifically premature and low birth weight births in high risk women and Medicaid costs for infants born to high risk women in Montana, and to determine if home visiting effected those outcomes and costs. Home visiting has been and continues to be a method used to provide a wide variety of services to the maternal-child population in the US and in other countries.

Methods: The study was quasi-experimental, using a retrospective case control design. This type of design efficiently uses pre-existing public health data and allows for identification of …

A Description Of Motivation And Medication-Taking Behaviors Toward Sheng-Hwa-Tang, Hsin-Ying Mao, Fan-Hao Chou, Shih-Hsien Kuo, Meng-Yu Chen

International Nursing Research Congress (INRC)

Purpose: Sheng-Hwa-Tang is used to cultivate blood, activate circulation, and "clean blood" for post-partum women in Chinese society. Since its frequent use and valued efficacy in Chinese post-partum care, it's hard to ignore the profile of post-partum women taking Sheng-Hwa-Tang, especially toward their motivation and medication-taking behaviors. The aim of this study was to describe motivation and medication-taking behaviors toward Sheng-Hwa-Tang among post-partum women.

Methods: A cross-sectional study design with questionnaires, based on a large study, was to collect information of motivation and medication-taking behaviors toward Sheng-Hwa-Tang. We surveyed a total of 1219 participant of Taiwan recruited with inform consents. …

Selection Of Auspicious Time For Delivery Is Associated With Giving Birth Before 39 Weeks Of Gestation Among Women Receiving Cesarean Delivery In Taiwan, Kuei-Hui Chu, Li-Yin Chien

International Nursing Research Congress (INRC)

Purpose: Cesarean delivery before 39 weeks of gestation increases the risk for respiratory morbidity of infants. Many Taiwanese women receiving cesarean delivery select auspicious time to deliver before the onset of labor. The objective of this study was to examine the effect of selection of specific time for birth on delivery before 39 weeks of gestation.

Methods: This study applied a retrospective cohort design. The study participants were 151 women receiving cesarean delivery who had received prenatal care at 4 hospitals in Taipei and were part of a study recruiting pregnant women without complications during early pregnancy. The study participants …

Effect Of A Brief Seated Massage On Nursing Student Attitudes To Touch For Comfort Care, Paul C. Turkeltaub, Edilma L. Yearwood, Erika Friedmann

International Nursing Research Congress (INRC)

Purpose: While nursing curriculums have deleted touch modalities/massage from nursing education/practice, randomized controlled trials indicate that these modalities are safe and effective for both nurse self care and patient care for stress reduction, relaxation, pain relief, fatigue, and improved quality of life measures. The purpose of this study is to compare the effects of two different intensities of touch [high (H) vs low (L)] adminstered during two separate brief seated massages on the attitudes of nursing students to touch for their own self care and for utilization by them in patient care.

Methods: Volunteer nursing students (stratified by undergraduate/second degree) …

Nursing Education: Building Gerontological Capacity And Capability By Improving Perceptions Of Older Adults By Nursing Students, Barbara A. Heise, Vickie Johnsen

International Nursing Research Congress (INRC)

An aging crisis exists globally. Despite the influx of the older adult population, there exists a lack of trained gerontological healthcare professionals (Lun, 2011). Ageism is commonplace. Nursing students frequently see gerontological nursing as the last area in which to work. A lack of anything in common and anxiety about working with older adults is often expressed. Nursing clinical placements in gerontology demonstrate equivocal results. Placements in long-term care (LTC) facilities may enhance negative perceptions (Marsland & Hickey, 2003). Clinical experiences with healthy older adults may improve student attitudes toward working with older adults (Furze et al, 2008). A concern …

The Relationship Between Knowledge And Efficacy Of Sheng-Hwa-Tang, Meng-Yu Chen, Shih-Hsien Kuo, Hsin-Ying Mao, Fan-Hao Chou

International Nursing Research Congress (INRC)

Purpose: It is believe among Chinese women that there are three chances in timing, menarche, post-partum, and menopause, to modulate their body constitution. To grab the second chance of modulation, Chinese women will take very seriously in post-partum care, especially in food and traditional Chinese medication such as Sheng-Hwa-Tang, for uterus reconstruction, blood cultivation, circulation activation, and extravagated blood cleaning. The aim of this study was to explore the relationship between knowledge and efficacy of Sheng-Hwa-Tang and resource of prescription among post-partum women.

Methods: A cross-sectional study design with questionnaires, based on a large study, was used to collect what …

Nursing In Sendafa, Ethiopia: A Collaboration Of Mission, Mentoring, And Medicine, Dawn Becker

International Nursing Research Congress (INRC)

Ethiopia is the second poorest nation in the world. Ninety percent of the population lives in poverty, over 50% on less than one dollar a day. The village of Sendafa has about 15,000 people, most of whom have never seen a nurse or doctor. The primary health issues in Ethiopia continue to be contaminated water, poor sanitation, HIV/AIDS, poor nutrition, and inadequate access to medical care. Since 2007, York County nurses and doctors have partnered with Ethiopian doctors to provide a one-week medical clinic in the village, along with supplying year-long medications for HIV/AIDS and water-born diseases. Ethiopian nursing students …

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, …

State Of The Science: Symptoms And Quality Of Life In Individuals With Pancreatic Cancer Undergoing Surgery, Sherry A. Burrell, Theresa Pluth Yeo, Suzanne C. Smeltzer

International Nursing Research Congress (INRC)

Purpose: The purpose of this integrative review was to examine the science regarding symptoms and quality of life (QoL) in individuals with pancreatic cancer (PC) undergoing surgery with or without adjuvant therapy.

Methods: The integrative review method was used to conduct this review of the literature. Whittemore and Knafl's (2005) updated integrative review guidelines were followed. Fourteen studies were included for review as a result of a search in Medline, PubMED, and CINAHL databases from 1995 to 2012.

Results: Several studies had methodological issues including poor response rates, small sample sizes, and heterogeneous samples that limited the generalizability of results …

Understanding Barriers To Completing A Bsn Program: A Focus On Hispanic Students, Suzanne Beltz, Nancy Goodman

International Nursing Research Congress (INRC)

Hispanics are the largest and fastest-growing minority population in the United States. Of the registered nurses in the United Stated only 3.8% are Hispanic. The percentage of Hispanic nurses educated at the baccalaureate level or higher is even smaller. The Texas A&M University-Corpus Christi mission includes serving and educating the people of South Texas where the population is over 85% Hispanic. Over time, working with students who were struggling in the nursing program, it appeared that stereotypical evaluations of these struggles did not explain the barriers being shared by students. Purpose: The purpose of this naturalistic study was to examine …

Impact Of The Geriatric Medication Game On Nursing Students Empathy And Attitudes Toward Older Adults, Karen S. Yehle, Aleda M. H. Chen, Mary E. Kiersma, Kimberly S. Plake

International Nursing Research Congress (INRC)

Purpose: It is estimated that in 2050 nearly two billion people worldwide will be 60 years or older, and nurses must be well-prepared to improve and address their health-related needs. However, it may be difficult for students to understand and empathize with older adults, as they may not yet have experienced aging-related challenges. The purpose of this project was to examine the impact of participation in an aging simulation game on nursing students' empathy and attitudes toward older adults as well as their understanding of the healthcare system.

Methods: Nursing students played the role of an older adult during a …

Development Of Model Using Sociocognitive Variables To Explain Self-Care In Women With Type 2 Diabetes, Susan Grinslade, Hongjuan Jing, Bruce Paper

International Nursing Research Congress (INRC)

Purpose: Sociocognitive variables of self-efficacy, social support, outcome expectancies, and barriers to self-care were used to examine self-care practices in adult women with Type 2 diabetes. Two instruments to assess diabetes self-efficacy and social support in women were developed. A convenience sample of 198 adult women with diabetes volunteered to participate in the study. Participants completed a demographic questionnaire, Social Support for Women with Diabetes Scale, Diabetes Self-Efficacy Scale, Barriers to Self-Care Scale, Outcome Expectancies Scale, and the Summary of Diabetes Self-Care Activities Scale. Additionally, the Balanced Inventory of Desirable Responding was completed and used to control for confounding introduced …

The Long-Term Effects Of A Suicidal Education Intervention For Family Members Of The Suicidal Patients, Chun-Ying Chiang, Wen-Ling Chen, Fan-Ko Sun, Wei-Jen Chen

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to evaluate the longitudinal (one year after education) effects of a suicide care education intervention on the suicidal family's caregivers.

Methods: A quasi-experimental approach adopted using three instruments for testing the suicide care education intervention. The three instruments are: (1) the suicidal caring ability Scale (2) the caring stress Scale (3) the suicide attitudes Scale. The experimental group attended a two-hour personal information session and received an education handbook on caring for suicidal outpatients when beginning this research and the control group received routine discharge information. There was not any intervention after the …

Barriers Hindering Nursing Students From Adopting Health-Promoting Lifestyles, Yim Wah Mak, Tsoi Hung Tse, Wai Chun Tse, Harn Fen Kao, Wing Yin Tam

International Nursing Research Congress (INRC)

Purpose: The present study aims to identify the patterns of the health-promoting lifestyles, quality of life and barriers from adopting the health-promoting lifestyles among nursing students in Hong Kong.

Methods: Although nursing students are expected to assume the position of health promoters after graduation, they may not be able to practice a healthy lifestyle due to a variety of barriers. Currently, there are no studies addressing these potential barriers and examining the impacts of health-promoting lifestyles on their health at a young age. Pre-registration students who were enrolled in the full-time nursing programs between April and August 2010 were invited …

The Effectiveness Of An Innovative E-Learning Program To Support Nurses And Midwives In The Delivery And Implementation Of Safe Infant Sleeping Recommendations Across Acute And Community Settings, Jeanine Young, Niall Higgins, Leanne Raven

International Nursing Research Congress (INRC)

Purpose: Sudden unexpected deaths in infancy (SUDI) is the leading causes of infant mortality for babies aged 28-365 days, with avoidable risk factors present in 95% of these deaths. Nurses and midwives have key roles in supporting parents to use safe sleeping recommendations. This study evaluated the effectiveness of an innovate eLearning program in positively impacting knowledge application relating to SUDI and safe sleeping recommendations.

Methods: A pre-test/post-test design evaluated knowledge and knowledge application in a sample of health professionals completing the Safe Infant Sleeping eLearning program. The three-module program had an in-built evaluation to benchmark prior knowledge, and post-module …

A Critical Reflection Of The Launch Of The Mchnla In South Africa, Christa Van Der Walt

International Nursing Research Congress (INRC)

The North-West University is the first university outside America where the Maternal-Child Nurse Leadership Academy for is launched in an attempt to reduce mother, child and infant mortality. This honour was received from the Honorary Society for Nurses, Sigma Theta Tau International (STTI) and Johnson & Johnson who not only funded the project but also provide support on a continous basis. According to statistics released by the World Health Organisation in 2010, there was no discernible progress in the field of mother and infant mortality in Africa during the past decade. Prof Hester Klopper, previously the director of the School …