Digital Commons Network^™

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. …

Caring For Pregnant Smokers: Nurses' Views On Cessation Interventions, Adele M. Spegman, Andrea A. Wary, Leslie A. Laam

International Nursing Research Congress (INRC)

Purpose: Smoking during pregnancy is a significant yet modifiable risk that negatively affects maternal and fetal health during pregnancy. Practice standards recommend assessment of tobacco use at each prenatal visit, consistent messages and action plans that relate to women's readiness to quit (ACOG, 2010). Despite public health initiatives and targeted interventions, the 12- 20% of pregnant women who self-report smoking is considered a significant underestimate of the actual prevalence (Shipton, 2009). Little is reported about the outcomes of nursing cessation interventions. This study examined prenatal nurses' views and experiences with smoking cessation.

Methods: The observational design drew on Artinian's Intersystem …

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 …

Meleis' Theory Of Transition And Readiness Of Older People For Discharge From Hospital To Home, Alice Coffey

International Nursing Research Congress (INRC)

Purpose: This paper explores the use of Meleis theory of transitions in research to examine the readiness of older people for discharge from hospital to home and their use of community support. Methods: Concepts of Meleis Theory of Transitions were used to underpin a descriptive correlational study into the readiness of older patients for discharge from hospital to home. A unique combination of variables - demographic characteristics, hospitalisation factors, physical and cognitive functioning and perception of readiness - were used to empirically ascertain older patients' readiness at discharge and statistically test relationships between the variables measured at discharge and older …

Establishing Scale Structure, Reliability And Construct Validity Of A Forced-Choice Measure Of Preschoolers' Illness Knowledge, Catherine Reisenberg

International Nursing Research Congress (INRC)

Purpose: To establish scale structure, reliability and construct validity of a newly developed instrument to evaluate preschoolers' illness knowledge called the Illness Knowledge Questionnaire (IKQ). The IKQ was a 32-item questionnaire that included four brief vignettes describing a child who had an illness. The vignettes were followed by forced-choice questions that focused on four illness dimension (i.e., identify, cause, consequence, and cure). Simple line drawings provided visual cues of vignettes and choices.

Methods: Two hundred and thirty children from three age groups (i.e., 4-5, 8-9 and 11-12 years) participated in this cross-sectional descriptive study. School age children were included to …

Assessing Perceptions Of Effective Communication Using Safety Concepts, Liane Connelly, Jennifer Swantek

International Nursing Research Congress (INRC)

The Quality and Safety Education for Nurses Project (QSEN, 2011) strives to promote innovation in the creation and evaluation of methods that address student learning of the six Institute of Medicine (IOM) and QSEN competencies, including patient-centered care, teamwork & collaboration, evidence based practice, quality improvement, and safety. With this knowledge, nurses can continuously improve healthcare systems. The college of nursing northern division of this Midwestern academic medical center was created in 2010 to provide a bachelor of science in nursing program in this region. This division is located on the community college campus and shares building space with the …

The Interrelationships Among Acculturation, Social Support, And Postpartum Depression Among Marriage Immigrant Women In Taiwan: A Cohort Study, Hung-Hui Chen, Li-Yin Chien

International Nursing Research Congress (INRC)

Purpose: Adaptation to a new culture is associated with mental well-being among immigrants. Previous research consistently supports the relationship between social support and postpartum depression. However, the causal and structural relationships among acculturation, social support and postpartum depression have not been established. The study objectives were to examine (1) depressive symptomatology at 1 and 6 months postpartum; (2) structural relationships among social support, acculturation, and postpartum depressive symptomatology among immigrant mothers in Taiwan.

Methods: This cohort study recruited 203 new immigrant mothers from China and Vietnam living in Taipei. Data were collected at 1 and 6 months postpartum. Postpartum depression …

The Experiences Of Obese African-American Women (Aaw) And Their Utilization Of Preventive Healthcare Services, Winsome Stephenson, Margaret Moloney

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to explore the healthcare experiences of obese African American women and their utilization of preventive healthcare services.

Methods: Interpretive phenomenology was used to describe and interpret the healthcare experiences of 15 obese AAW, living in communities in Georgia. A purposive sampling was employed in the study. The participants ranged in age from 23 to 62 with BMIs ranging from 35-55. The majority of the sample (83%) had adequate health insurance. This was a well educated sample with 87% having college degrees or some college education. Individual, audio-taped interviews were used to collect data. …

Moral Distress: Contributing Factors, Outcomes And Interventions. An Overview Of The Nursing Literature, Adam S. Burston, Anthony G. Tuckett

International Nursing Research Congress (INRC)

Purpose: Explore moral distress research across the nursing discipline to identify contributing factors, understand common outcomes, identify appropriate interventions, and detect knowledge gaps. Methods: Cumulative Index to Nursing and Allied Health (CINAHL) 1982-2010; PsycINFO 1980-2010; Medline 1982-2010 and Social Science Citation Index (SSCI) plus Arts and Humanities Citation Index 1982-2010 were used. Key words used were: moral distress, moral distress scale, nursing home* and long-term care. Mining of reference lists provided additional sources. The review excluded doctoral dissertations, abstracts to meetings, and papers not published in English. Furthermore, a number of electronic journal and online content alerts were established. While …

Medication Adherence And Health Care Use In People With Diabetes, Chronic Kidney Disease And Cardiovascular Disease, Allison Fiona Williams, Elizabeth Manias, Alexandra Gorelik

International Nursing Research Congress (INRC)

Purpose: To examine medication adherence and health care use in people with co-existing diabetes, chronic kidney disease and cardiovascular disease.

Methods: Patients aged > 18 years with these comorbid conditions were recruited from nephrology and diabetes outpatients' clinics of two Australian metropolitan hospitals between 2008 and 2009. Participants were surveyed face-to-face by a research assistant (with interpreter assistance as required) using the 4-item Morisky Medicine Adherence scale (Morisky et al., 1986) and the 4-item Health Care Utilization scale (Lorig et al., 1996).

Results: There were 128 participants with 30 (23.4%) born either in Australia or the UK, 38 (29.7%) born in …

A Nurse At Heart: The Journeys And Experiences Of Nursing School Deans, Tammy C. Blass

International Nursing Research Congress (INRC)

Purpose: This study's purpose was to understand how nursing school deans' personal characteristics and nursing background influence how they perform their role and manage challenges as dean. The conceptual framework, based on role theory and Mintzberg's (2009) Model of Managing, provided a lens through which the nursing dean's journey from practitioner to dean and her role as dean could be explored. Methods: This qualitative interview study employed a purposeful sample of 13 Southern California female nursing school deans. A two-cycle coding process was used to discover themes and patterns that would enhance understanding of their experiences. Results: The four themes …

Staff Nurse Perceptions Of The Magnet Journey: Implications For Nurse Leaders, Laurie Ecoff, Linda Diann Urden

International Nursing Research Congress (INRC)

Purpose: The purpose of this qualitative study'was to develop a broader understanding of organizational changes that occur during the time leading up to the American Nurses Credentialing Center's Magnet designation. The specific aims of this study were to compile a rich description of the phenomenon 'Magnet Journey' in a group of registered nurses in clinical settings who provide direct patient care with regards to: the factors that influence quality of care the factors that influence cultural transformation the factors that influence interdisciplinary collaboration Methods: Focus groups were conducted at recently designated Magnet hospitals in Southern California. Participants were consented, asked …

The Experience Of Australian Undergraduate Bn Student Nurses Undertaking A Clinical Placement In The Solomon Islands, Sonja Ann Frischknecht

International Nursing Research Congress (INRC)

Purpose: International undergraduate clinical nursing placements are becoming a more accepted alternative to local clinical nursing placements, and have been identified as contributing to positive learning experiences. The purpose of this study was to explore and describe the lived experience of Australian student nurses that participated in a clinically focused learning placement in the Solomon Islands. It captured their perception of working in a clinical setting in a developing country.

Methods: An interpretive phenomenological study design was used. The sample comprised of seven senior undergraduate Bachelor of Nursing (BN) students. Participation in the study was entirely voluntary and not linked …

The Story Of Teen Motherhood Identity: A Narrative Analysis, Janelle L. B. Macintosh

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to describe and explore how young women participating in a teen mother and child program incorporate the concept of motherhood into their own identities, including the personal and cultural meanings and experiences of motherhood they use to make this identification.

Methods: A purposive sample of nine nulliparous pregnant teens and five staff members from a teen mother and child clinic were interviewed. Additional data were gathered using observation, informal and formal interviews, and field notes. Narrative analysis and the Burkean Pentad were used to analyze these data.

Results: In the personal narratives, from …

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 …

Valid Items For Screening Dysphagia Risk In Stroke Patients: A Systematic Review, Pamela Willson

International Nursing Research Congress (INRC)

Purpose: Early detection of dysphagia in acute stroke is critical as it allows for immediate intervention, thereby reducing mortality, morbidity, length of hospitalization, and healthcare costs. These findings have led to the recommendation to screen swallowing ability in all acute stroke patients, regardless of stroke severity. A systematic review of the literature was undertaken to determine the evidence-based validity of dysphagia screening items using instrumental evaluation as the reference standard. Methods: Four databases from 1985 through March, 2011 were searched using the terms cerebrovascular disease, stroke deglutition disorders, and dysphagia. Eligibility criteria were: homogeneous stroke population, comparison to instrumental examination, …

An Empirical Study Of Establishment Of A Performance Management System And Its Effectiveness Evaluation, Shew-Fang Shieh

International Nursing Research Congress (INRC)

Purpose: Operational performance of health care institution has been become a crucial issue and concerned by top management of hospital in recent years due to the changeable and competitive environment. A performance management system based on management framework of balance scorecard was established for measuring organizational performance. Since the system has been implemented, it was interesting to know the effectiveness of implementation. The purpose of the research was to examine the effectiveness of implementing a performance management system in a regional hospital.Methods: A case study method was used in the research which was conducted in a regional hospital in Taiwan. …

Adolescent Stress Trajectories In Arab Muslim Immigrant Families, Karen Aroian, Thomas Templin, Edythe Hough

International Nursing Research Congress (INRC)

Purpose: Despite research findings that indicate that adolescent daily hassles are ubiquitous and relevant to adolescent functioning, little is known about how daily hassles vary over the course of adolescence. Variability is important because daily hassles affect functioning through repetitive or sustained effects. Even less is known about daily hassles in Arab Muslim adolescents in immigrant families. This longitudinal study investigated which daily hassles (parent, peer, school, neighborhood, resource) were perceived by Arab Muslim American adolescents in immigrant families as most stressful and how these stress perceptions changed at three time points during early, middle, and later adolescence.

Methods: A …

Expanding The Scope Of Nursing Practice: Attitudes And Quality Of Care, Hana Kerzman, Limor Eizenberg, Shoshy Goldberg

International Nursing Research Congress (INRC)

Purpose: To describe the differences in attitudes toward expanding the scope of nursing practice among nurses and physicians. To examine the correlation between attitudes regarding expansion of the scope of nursing practice and variables including job satisfaction, job burnout, professional autonomy, perceptions of quality care and quality care outcomes. Methods: Cross-Section Study. Eight hundred and thirty-three nurses together with 415 physicians from 89 departments at three large general hospitals completed structured questionnaires. Data on quality care outcomes was obtained from a computerized data and a survey. Results: In general, nurses and physicians reported positive attitudes toward expanding the scope of …

Post Mortem Nursing Care Efficacy As Perceived By Licensed Funeral Directors, Mikel W. Hand

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to describe the efficacy of physical post mortem nursing care provided by hospital staff nurses, as perceived by Licensed Funeral Directors. The aim of the study was to gain understanding into how the physical post moretm care that nurses provide is perceived to help or hinder further physical preparation of the deceased that may be provided by the Licensed Funeral Director.

Methods: A descriptive phenomenological approach will be used. A purposive sample of twenty Licensed Funeral directors were contacted via an email solicitation forwarded by the State Funeral Directors Association. Each participant was …

Liaison Nurse Role Development: Intensive Care Unit Discharged Patients Follow Up During The First Year Of An Acute Care Facility, Laura Alberto, Jose Emilio Baca Niklas, Maria Del Carmen Martinez, Haydee Zotarez, Angel Canete

International Nursing Research Congress (INRC)

Purpose: To describe liaison nurses (LN) interventions of care provided to intensive care unit (ICU) discharged patients (pts), To identify LN education interventions delivered to ward nursing (WN) staff that was caring for ICU discharged patients and ward patients needing complex care.

Methods: Two frameworks of intervention for ICU LN were defined, direct care (DC) and ward staff assistance and education. Experienced adult critical care nurses, with strong communication and education skills were appointed as ICU LNs. LNs were asked to: a) assess and provide complex care to ward patients transferred from ICU once per shift and, b) provide education …

Public Health Issues On Global Nursing Migration: An Integrative Literature Review, Ronaldo Verian

International Nursing Research Congress (INRC)

Purpose: The purposes of the study are: (1) to identify the different factors that cause migration among nurses; (2) to identify major public health issues in global nursing migration and; (3) to develop evidence-based solutions to the global nursing migration problem.

Methods: After progressive and rigid review of the databases, the publications list under the Research Centre of the International Centre on Nurse Migration with 30 out of 128 listed publications were chosen because of its sole dedication to the study of nurse migration including the most recent and updated work commissioned by the centre.

Results: The International Centre on …

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 …

The Use Of Preparedness For Care Giving Scale On Family Caregivers And It's Outcome, Hui Chin Chua, Sujata Rajaram

International Nursing Research Congress (INRC)

Aim: Family caregivers provide care at home equivalent to that of nurses. They monitor patient's condition, recognize impending problems such as side effects of medication and change the dressings of patients. They provide a high level of skill at home, they are not prepared for care-giving and lack the knowledge and skills required to provide care. Nurses evaluate caregiver preparedness before patient's transition from acute care settings to other settings.

Method: Preparedness for Care giving scale created by Archbald, et.al in 1990 is a caregiver self rated instrument that consists of 8 items that asks caregivers how well prepared they …

Self-Management Among Adults With Type 2 Diabetes In Vietnam, Hanh T. T. Dao, Debra Jane Anderson, Anne M. Chang

International Nursing Research Congress (INRC)

Purpose: The purposes of this study were to describe the extent to which adults with type 2 diabetes in Vietnam perform their diabetes self-management and to examine the association between demographic, health-related characteristics and diabetes self-management in this population.

Methods: A cross-sectional survey with convenience sampling was conducted on 198 adult out- patients with type 2 diabetes in an endocrine clinic in a tertiary hospital in Vietnam. A structured interview was used to collect data about demographic characteristics and health-related characteristics and the extent to which the participants perform their diabetes self-management. Diabetes self-management was measured by the Vietnamese version …

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 …

Bridging The Digital Divide: College Students Mentoring Seniors Via An Intergenerational Interdisciplinary Computing Course, Sharon Stahl Wexler, Lin J. Drury

International Nursing Research Congress (INRC)

Nursing and Computer Science faculty created an interdisciplinary Gerotechnology course that prepares students to mentor older adults in computer literacy. The goal of the partnership is to prepare students for a future living and working in a world dominated by seniors. Residents of long term care facilities are matched with students who assist with computer and internet use. The course introduces students to residents with complex chronic illnesses while demonstrating that older adults are vital human beings who grow and change throughout the semester. Students have an aging sensitivity experience and practice communication with seniors. Nursing students assess the physical …

Nursing Education And Redesigned Discharge Process: Effects On Congestive Heart Failure Patient Outcomes, Mary L. Gish, Mary F. Rodts, Judy Crouch

International Nursing Research Congress (INRC)

In a rural community hospital in northern California, greater than fifty percent of all patients are over the age of 64 years. The readmission rate for congestive heart failure (CHF) patients is greater than the rate for the state of California. A decrease in readmission rates has been selected as a three year strategic goal due to the proposed rule from Centers for Medicare and Medicaid Services (CMS) which will result in a financial discount if the rate of readmissions does not improve. The purpose of the Redesigned Discharge Process Project is to reduce the readmission rate of patients with …

Nurses' Attitudes To Working With Older People In Acute Care, Anne-Marie Mahoney, David Beckett

International Nursing Research Congress (INRC)

Purpose: There is little evidence that factors influencing attitudes to older persons have been investigated (Moyle 2003). Changes to service delivery models within acute health have meant that there has been an increase in Day of Surgery Admissions (DOSA) and a decrease in length of stay. Many younger patients are cared for in the community supported with funded programs. Therefore, in-patient populations in acute care are generally older, with greater acuity and increasing co-morbidities. Australia expects an increase from 4.3 million older persons in 2021 to around 6.8million in 2051 (Australian Bureau of Statistics (ABS, 2008). Aim: The aim of …