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The Lived Experience Of Struggling Through A Difficult Time For Women Survivors Of The Rwandan Genocide, Geneva Gay Oaks

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to enhance understanding about the lived experience of struggling through a difficult time.

Methods: A qualitative phenomenological-hermeneutic approach was used to answer the research question: What is the lived experience of struggling through a difficult time for Rwandan women surviving the Rwandan genocide? Participants were 12 female survivors of the genocide in Rwanda still living in Rwanda, Africa. Data were collected through engaging in dialogue using a translator who spoke both Kenyarwandan and English. After consent, participants were audio and videotaped. The results were transcribed and analyzed and themes were identified.

Results: The …

Perceived Quality Of Life After Prostate Cancer Treatment: Response Shift, Shannon Ruff Dirksen, Michael J. Belyea

International Nursing Research Congress (INRC)

Purpose: Response shift refers to when individuals alter their internal standards in adjusting to changing circumstances such as illness. This shift can occur in persons with cancer who may perceive quality of life differently over time as their definition of health changes. Determination of whether quality of life after cancer treatment is associated with a response shift is limited. The purpose of this study was to explore the existence of a response shift among men with prostate cancer before radiation treatment and retrospectively at the end of treatment. Methods: Men receiving radiation treatment (n=83) completed the 39-item Functional Assessment of …

Smokeless Tobacco Use Among Rural Women In The Southeast Usa, Brenda Talley, Deborah Allen, Alison Rushing, Dellaire Shilling, Rose Mary Gee

International Nursing Research Congress (INRC)

Purpose: The purpose is to share patterns of smokeless tobacco in women derived from qualitative research and to underscore the need to assess and discuss the health risks of smokeless tobacco. Target audience is nurses, other health care providers, and researchers interested in exploring smokeless tobacco use in other populations. Methods: A qualitative approach elicited personal descriptions of patterns of smokeless tobacco use in women in rural South East U.S.A. Ten women participated in 1-5 interviews. Data collected included medical history, onset of use, duration of use, and frequency and quantity of tobacco use. Results: Analysis identified family history and …

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 …

Digging For Dinosaurs' Contest: A Novel Strategy To Engage Nurses In Questioning Practice, Caroline E. Brown

International Nursing Research Congress (INRC)

Purpose The "Digging for Dinosaurs" contest and educational sessions are a catalyst intended to engage nurses in questioning their practice in a non-threatening and fun manner. The "Digging for Dinosaurs" contest was conceived based on an article about "sacred cows" in nursing practice and generating interest in research-based practice Methods This project was led by the nursing research council and consisted of a contest held during Nurse Recognition Week 2008. A marketing poster and contest entry forms were created and distributed in multiple avenues. All participants had access to the Medical Center Library resources and classes on "Searching the Nursing …

Innovative Use Of Brief Interventions In Emergency Department Attendees: The Incidence Of Mental Health Disorders And Alcohol Consumption, Petra Lawrence, Paul Fulbrook, Jane Fischer

International Nursing Research Congress (INRC)

Purpose: Systematic assessment of all Emergency Department (ED) presentations may identify low level mental illness and/or risky alcohol consumption. Preventative measures, if provided early, may prevent further deterioration and promote wellness. Background: The 2007 National Health Survey revealed one in five adults aged 16 - 85 experienced a mental disorder in the previous year, however only 35% sought assistance. The potential demand for mental health care is high but is not being met by either the specialist or the general health system. Unplanned contact with the health care system via the ED offers clinician"s an opportunity to identify patients with …

Application Of Small Group Workshops And Case Report Discussion For Development In Evidence-Based Practice Education Programs, Yu-Rung Wang, Ying-Li Lee, Hui-Ying Chiang, Su-Chen Hsu

International Nursing Research Congress (INRC)

Purpose: Nurses need the access to the literature to integrate evidence-based practice knowledge from the research they read with their professional experiences to achieve best practice for patient's healthcare. Evidence-based practice (EBP) should be integrated through education programs so as to elevate quality of patient care and reduce health cost. The purpose of this study was to investigate the effect of advanced evidence-based nursing (EBN) education in small group workshops and report discussion on case scenarios.

Methods: We planned 14 hours evidence-based practice (EBP) education programs were introduced to learn advanced evidence-based nursing. There were 16 nurses recruited who had …

Good Work In Nursing And Relationship To Professional Socialization: A Comparative Analysis Of Two Research Studies And Implications For Nursing Education, M. Christine Alichnie, Joan F. Miller

International Nursing Research Congress (INRC)

Purpose: Nursing practice adheres to high standards regardless of the multi-contextual work environment or the paradigm shift in modern health care. This concept of Good Work in Nursing has three major characteristics; excellence, ethics, and engagement (Miller, 2006 & Gardner, 2008). Likewise, professional education results when a professional discipline has devised a system of preparing future practitioners to meet their commitments and fundamental responsibilities to society. A major aim of professional education is to develop a set of values, attitudes, and beliefs to support the professional roles of independent practitioners in conjunction with the acquisition of cognitive and psychomotor skills …

Rasch Analysis Of The Pain Catastrophizing Scale (Pcs) In The Context Of Workplace Bullying For A Sample Of Nursing Faculty From Midwest U.S. Universities, Aryn C. Karpinski, Timothy W. Meyers, Laura Cox Dzurec, Gail E. Bromley, Shawn M. Fitzgerald

International Nursing Research Congress (INRC)

Purpose: Workplace bullying is a major impediment to successful team relationships and job satisfaction in workplace environments, contributing to individual and interpersonal stress, tension, and burnout. Additionally, bullying affects worker productivity, especially in workplaces concerned with healthcare and healthcare education (Abe et al., 2010; Allan et al., 2009; Hutchinson et al., 2006; Randle, 2003). Authors investigated the psychometric properties of the Pain Catastrophizing Scale (PCS) using Rasch Analysis in the context of workplace bullying. Catastrophization is a 'tendency to focus on and exaggerate the threat value of painful stimuli and negatively evaluate (one's) own ability to deal with pain' (Keefe …

Perceived Stress And Coping Strategies Of Hong Kong Pre-Registration Nursing Degree Students During Their Clinical Placement, Vico C. L. Chiang, Hiu-Wai Chan, Yu-Ching Siu, Yee-Ha Tam, Ka-Po Chow, Hoi-Yee Wong, Ka-Kei Chu, Ka-Yan Yeung, Chui-Ling Lau, Ka-Man Leung, Fong-Ting Siu

International Nursing Research Congress (INRC)

Purpose: Appropriate levels of stress can be a motivator for learning. A few studies in Hong Kong and Taiwan demonstrated that various levels of stress were experienced by pre-registration nursing students during their clinical placements. There is a paucity of studies that compare the stress levels of junior and senior nursing students and the existing studies conducted in the Asian context carry a high risk of recall bias. The purpose of this study is to survey and compare two samples of under-graduate students during the periods of their clinical placements for their levels of stress, symptoms and coping strategies. Better …

Community Engagement Curricular Strategies To Reduce Health Disparities, Marjorie A. Schaffer, Carol Hargate

International Nursing Research Congress (INRC)

Purpose: A nursing department implemented a revised nursing curriculum that integrated community engagement learning experiences to address health disparities. Nursing faculty aimed to prepare nurses who will: 1) contribute to reducing health disparities, 2) develop cultural sensitivity and competence, and 3) develop commitment to serving diverse and vulnerable populations.

Methods: Focus groups with community partners, racial reconciliation lunches and dialogue with nursing faculty members, and lunch and learning sessions with community partners provided a foundation for development of the community engagement curriculum. Nursing students are matched to community engagement sites (churches, schools, and non-profit organizations) for community engagement learning experiences …

Using Film, Television, And Music In Teaching Graduate Nursing Students Concepts Of Qualitative Research, Michelle L. Edmonds

International Nursing Research Congress (INRC)

Purpose: The use of qualitative inquiry in nursing research has gained momentum in the last decade. Nurse educators often find it challenging to teach concepts of qualitative inquiry to graduate and undergraduate students. The concepts of qualitative inquiry are often less easily understood by students than quantitative inquiry and, thus require exemplars from the professor to increase understanding. The purpose of this study was to explore the use of innovative teaching strategies to present concepts of qualitative inquiry in nursing research.

Methods: Graduate nursing students completed traditional reading assignments and lecture on these concepts. Following this introduction, they then participated …

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 …

Use Of Risk Scoring Tools To Determine Risk Of Secondary Cardiac And Non-Cardiac Events During Hospitalization For St Elevation Myocardial Infarction In A Cohort Of Women, Elizabeth Ann Scruth, Eugene Cheng, Linda Worrall-Carter

International Nursing Research Congress (INRC)

Purpose: GRACE, TIMI and CADILLAC are risk scores designed for predicting short term outcomes after acute coronary syndromes. The aim of our study was to test their utility for prediction of a secondary major cardiac and non cardiac event in a cohort of women treated invasively for an ST Elevation Myocardial Infarction.

Methods: Our sample size consisted of consecutive patients with ST Elevation Myocardial Infarction treated with primary percutaneous coronary intervention. A retrospective approach was utlized.

Results: In general the CADILLAC, TIMI and GRACE risk scores all had relatively high predictive accuracy for major cardiac events in hospital, with C …

Faith-Based Views Of Barriers To Recognition And Treatment Of Depression, Keneshia J. Bryant

International Nursing Research Congress (INRC)

Purpose: Studies have shown that spirituality and religion are important to the treatment of depression among African Americans. Spirituality has also been shown to impact the beliefs of the causes of depression and coping mechanisms. The aim of the study was to describe how predominantly African American rural churches distinguish effective means to recognize and cope with depressive symptoms.

Methods: The study followed the principles of Community Based Participatory Research. The participants were recruited by a community leader in a rural US community. The participants included a group of pastors, a group of persons interested in health and a group …

Effects Of Hazardous Work Conditions On Burnout Among Nurses Of A General Hospital In Macau, Sydney X. Hu, Jui-Kuo Hsiao, Grace K. I. Lok, Andrew Luk

International Nursing Research Congress (INRC)

Purpose: Meta analysis showed that burnout is affected by workplace risks and hazards across industries. The purpose of the study is to use Structural Equation Modeling to test the effects of workplace hazards on burnout of nurses in a general hospital in Macau. The findings provide practical and research implications for better management of work conditions and burnout among nurses.

Methods: A questionnaire survey of all nurses was conducted in a major general hospital in Macau. Workplace hazards were assessed using a set of self developed questions and burnout was assessed using the Maslach Burnout Inventory. Exploratory factor analyses were …

Supporting Excellence In Long-Term Care With Student Ebp Projects, Suzanne Beltz, Loree Dubose

International Nursing Research Congress (INRC)

With any clinical experience, nursing students learning in the long-term care setting pose questions regarding specific practices by the health care provider(s). This curiosity of comparing what they are learning in the classroom with what they see in the clinical setting can provide learning opportunities and opportunities for best-practice dissemination to care givers in long-term care. The Institute of Medicine identified employing evidence-based practice as a core competency for providing quality and safe patient care (Finkleman & Kenner, 2009). This practice has more prongs than research alone; it includes client values and preferences; client history and assessment data; clinical expertise; …

Risky Behaviors In Teenagers, A Global Issue: Evaluation Of An Evidence-Based Intervention To Reduce Risky Behaviors With Implications For Practice, Education And Research, Kathleen A. Sternas, Mary Ann Scharf, Rosemarie Peterkin, Janet Summerly

International Nursing Research Congress (INRC)

Purpose: Teenagers have high rates of risky behavior including drug/alcohol use, smoking, sexual activity which affect health. Risky behaviors are prevalent in the United States, England, Australia, Canada and among Newark teenagers. This presentation describes: global perspectives on risky behaviors in teenagers; an intervention to reduce risky behaviors; gender differences on outcomes. The intervention guided by Bandura's social learning theory focused on sexuality discussions, mentoring, health/fitness classes, cultural events, community service, and recognition.

Methods: Pretest post-test design. Four intervention (n=230 girls;n=221 boys)/five comparison schools(n=134 girls; n=110 boys) participated. Intervention participants were randomly selected. Comparison participants were convenience sample. Intervention/comparison schools …

Collegiate Presence: An Innovation In Understanding Interdisciplinary Collaboration, Marc Broadbent, Lorna Moxham, Trudy Dwyer

International Nursing Research Congress (INRC)

Purpose: Interdisciplinary collaboration is a cornerstone of healthcare service delivery across the globe. This presentation reports on an ethnographic study that examined the interdisciplinary relationships between emergency department (ED) triage nurses and mental health triage nurses who collaborate to deliver care to clients presenting with a mental illness.

Methods: For this research, time was spent in an Australian ED and mental health triage service. Participant observation, individual and group interviews, organisational documentation and field notes were all used to gather data that was analysed using the constant comparative method.

Results: Four key factors that influenced the relationship were; the practice …

Evidence-Based Approach To Establish National Physical Activity Guidelines For Children And Adolescents In Taiwan, Chi-Chen Chiang, Yiing-Mei Liou

International Nursing Research Congress (INRC)

Background: Inactivity in children and adolescents is a worldwide serious problem, and has deeply influenced them physically and mentally. Purpose : The aim of the study was: (a) to explore the recommendations and policies of physical activity (PA) for children and adolescents in different countries; (b) to understand the reaching rate of national PA recommendations for children and adolescents in different countries; (c) to propose PA recommendations for children and adolescents in Taiwan.

Methods: The Delphi method was used to obtain experts' opinion on recommendations of PA. Firstly, systemic review related to literatures, website was done, which focuses on policy …

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 …

Participatory Action Research: Relevance And Use For Contemporary Nursing Research, Lorna Moxham

International Nursing Research Congress (INRC)

Purpose: This paper will demonstrate how, using a collaborative, inclusive research methodology, positive impacts on clinical practice and enhanced client outcomes can be achieved.

Methods: A Participatory Action Research (PAR) approach was used to address a clinical issue within a pediatric unit. The nursing staff who were general trained recognized they did not have the clinical expertise to provide care for the increasing number of clients who were being admitted for mental health issues. This caused them distress and meant the clients were also not receiving optimum treatment. Clinicians contacted some academic staff they knew and together a research team …

The Knowledge Of Nurses In Pressure Ulcer Prevention And Their Attitude Towards The Use Of Braden Scale, Joemer Calderon Maravilla, Melowean Hurtado Lucero, Teodoro Eugenio Y. Alejo, Maricar Mae Agustin Marquez, Marc Joseph Cataquis Medina, Marisse Diaz Pasamba, Glaiza G. Maer, Barbara Michelle De Guzman, Ray Jorge Bundang Marmeto, Rizza Marjorie B. Lumba, Trifina Baquiran Lugo, Verna Mae Jose Ologenio, Angely S. Mendoza, Joyce Ann Bautista Quicho

International Nursing Research Congress (INRC)

Purpose: This descriptive correlational study aimed to investigate the relationship between the knowledge of nurses in pressure ulcer prevention and their attitude towards the use of Braden scale.

Methods: Seventy seven full time staff nurses who has experienced using the Braden scale and who are working in intensive care units, medical, surgical, or orthopedic wards were chosen through purposive sampling. Two pilot tested questionnaires were circulated into two private hospitals in Metro Manila to determine the knowledge of nurses in pressure ulcer prevention and their attitude towards the use of Braden scale.

Results: Results showed that the respondents have a …

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, …

Knowledge Acquisition Through Simulation In Nursing Education: A Meta-Analysis, Hao Bin Yuan, Jin Bo Fang, Beverly A. Williams

International Nursing Research Congress (INRC)

Nursing education is the process whereby students are guided, assisted and provided with means which enable them to learn the professional knowledge so that they can apply it to nursing care of people. Simulation is a learning method to replace or amplify real experiences with guided experiences that evoke or replicate substantial aspects of the real world in a fully interactive manner. The use of simulation as an educational tool is becoming increasingly prevalent in nursing education. Objective: The objective of systematic review was to provide available evidence on the effect of high-fidelity simulation on knowledge acquisition. Method: The computerized …

The Relationship Of Maternal-Fetal Attachment And Health Behavior Among Pregnant Women In South Taiwan, Ling-Hua Wang, Andrew C. Mills

International Nursing Research Congress (INRC)

Purpose: Good health practices in pregnant women can positively affect their unborn children's health by reducing risk factors. Increasing maternal-fetal attachment may be one method to reduce poor birth outcomes. The study examined the effect of maternal-fetal attachment on health behaviors, controlling for prenatal and maternal characteristics. The two research hypotheses were tested: (a) Pregnant women in rural areas in south Taiwan will have poorer health practices than in urban areas; (b) The level of maternal-fetal attachment will predict health behaviors of Taiwanese pregnant women.

Methods: A cross sectional research design was used. 390 pregnant women were recruited to complete …

"Whatever It Takes:" A Photovoice Exploration Of Isolated Allogenic Hematopoietic Stem Cell Transplantation Patients, Caroline E. Brown, Kathryn R. Siebert, Ellen R. Carr

International Nursing Research Congress (INRC)

Purpose: Protective isolation is a common practice among hematopoietic stem cell transplantation (HSCT) patients. Psychological intolerance of protective isolation was identified as a problem leading to discontinuation of isolation in between 2-42% of patients in a recent systematic review. The purpose of this qualitative study was to explore isolated HCST patients' perceptions of isolation and elicit suggestions for interventions to mediate the experience of isolation.

Methods: Participants were recruited from isolated patients on the inpatient Bone Marrow Transplantation (BMT) unit after at least one week of isolation. In-depth interview was the primary research method used; in addition photo voice was …

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 …

Nursing Inter-Shift Handover Process: Enhancing A Traditional Ritual Through Evidence-Based Practice, Rajni Parasuram, Chee Lien Poh

International Nursing Research Congress (INRC)

Aims. project aims to 1) examine existing handover practices/process in the tertiary mental health institution; 2) determine the strengths and limitations of the existing handover practice / process; and 3) identify, implement and evaluate an evidence-based nursing inter-shift handover process to enhance patient safety and service delivery. Methods. This project was conducted in three phases using the JBI Practical Application of Clinical Evidence System (PACES) and Getting Research Into Practice (GRIP) programs. It was implemented over a period of four months from end August 2011 to beginning December 2011Evidence-based strategies such as town hall meetings and education sessions that reinforce …