Digital Commons Network^™

Comparing The Effects Of Different Smoking Cessation Counseling Interventions For Inpatients: A Systematic Review, Chiu-Yen Chen, I-Chuan Li, Yu-Chi Chen

International Nursing Research Congress (INRC)

Purpose: The purpose of this systematic review study is to explore the effects of different smoking cessation counseling intervention to patients who are hospitalization.

Method: A systematic research of the literature was undertaken to indentify relevant international research. Five databases (i.e. Cochrane Library, CIHNAL, Medline, Psych Info, JBI report) were utilized. In order to accord with the high level of evidence of paper, in priority, we reviewed the articles which contributed randomized control trials (RCTs).

Result: Two hundred thirty-three intervention type articles were retrieved and 24 met the criteria. Significant findings are as follows: (1) The combined use of multi- …

Developing Conflict Engagement Competence At The Staff Nurse Level, Shirley May Newberry, Ana M. Schaper, Rebecca L. Inglis

International Nursing Research Congress (INRC)

Purpose: To evaluate the effectiveness of a modified program designed to meet the scheduling needs of staff nurses working in a large integrated health system.

Materials/Methods: The CAN's program was modified to include: online education modules and a half-day workshop followed by one-hour Learning Circle meetings held monthly for four months. A convenience sample of nurse Expert Leaders (unit level staff nurse leaders) agreed to participate. IRB approval was obtained. Data was collected at baseline and will be collected at six months (April 2011) using a demographic survey, the Conflict Dynamic Profile instrument and focus groups.

Results: A cohort of …

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, …

Safety Of Medication Administration In The Home: Should We Double Check?, Natalie K. Bradford

International Nursing Research Congress (INRC)

Purpose: With increasing pressures on hospitals, home care by visiting nurses presents a viable option for care delivery. Nurses routinely provide complex interventions at home that previously were only available in a hospital setting. Medication errors are the most common type of error to occur with potentially serious and harmful consequences. Double checking of medication by a second qualified clinician is recognised as the gold standard practice to prevent medication errors, and routinely used when dangerous drugs such as opioids are administered in the hopsital setting. In the home care setting however there is no second clinician available to double …

Safe Practice Environments: Nurses' Perceptions Of Stressors And Solutions, Peggy A. Landrum

International Nursing Research Congress (INRC)

Purpose: Nursing units include teams working to provide safe patient care. Without true partnerships, care is compromised due to decreased quality in communication and teamwork. Stressors impact the nursing practice environment and compromise safe practice. Identification of skills and behaviors that facilitate effective teamwork and foster safe practice environments will be enhanced by determining those stressors. Research questions are: a. What are nurses' perceptions of stressors that affect nursing practice on an intensive care unit? b. What are nurses' perceptions of behaviors that facilitate safety in the nursing practice environment of an intensive care unit? Methods: Setting for this qualitative …

Selecting Nurse Preceptors: What Qualities And Characteristics Should Be Considered?, E. Ann Mohide, Olivia Geradrdi, Dianne Norman, Vanessa Cavalieri, Colleen A. Mckey, Barbara Jennings, Noori Akhtar-Danesh, Wendy Seidlitz

International Nursing Research Congress (INRC)

Purpose: To help stakeholders improve the selection process of nurse preceptors for senior baccalaureate nursing students, they were asked to rate the importance of preceptor qualities/characteristics.

Methods: This cross-sectional study was conducted in a large tertiary hospital and at an affiliated university nursing school in an urban Canadian city. Subjects (n=166) included hospital Registered Nurses (RNs) (with or without preceptor experience), educators, and administrators, as well as university faculty and students. In the instrument development phase of a larger preceptor selection study, representatives of the stakeholder groups were asked to identify preceptor issues. From a content analysis of the written …

Educating For Success In Evidence-Based Practice, Lin J. Drury, Sharon Stahl Wexler

International Nursing Research Congress (INRC)

The profession of nursing endorses EBP as a means to ensure high quality care, yet many practicing nurses do not have the necessary tools. Faculty must prepare students to make evidence-based decisions in clinical practice. Our previous course had a traditional research focus. EBP was integrated in other courses. Students did not develop workable EBP skills. Student feedback indicated a lack of understanding of the relationship of research to practice, little confidence in appraising the literature and applying it to the clinical setting. This project presents the integration of EBP throughout an accelerated BSN curriculum. Evidence based practice is introduced …

Mentoring New Phd Students Into The Professorial Role, Marie C. Foley

International Nursing Research Congress (INRC)

Traditional PhD programs have as their goal to prepare researchers. While this outcome is paramount for success as a nursing professor; newly graduated PhD nurses without previous teaching experience often embark on tenure track positions in colleges and universities with a lack understanding of the demands and expectations of the professorial role. Mentoring new faculty into this role is an effective way to assure success and to retain qualified nurse educators; however, experienced faculty members often decline these opportunities due to excessive time constraints. Mentoring PhD students into this role can be effective in graduating students who better understand the …

Case Study: Using Innovative Curriculum Design And Interdisciplinary, International Collaboration To Develop A Nurse Practitioner Leader To Impact Global Health Outcomes, Sandra L. Davis, Ellen M. Mills, Diane Schade

International Nursing Research Congress (INRC)

The world is becoming smaller. We are now touched by human conditions that were once foreign and far-removed. Technology and transportation provide access to people and places that were once inaccessible. Increasing numbers of students enter NP programs with dreams of traveling to developing countries to make a difference. This presentation chronicles the story of how one student's unrelenting vision to deliver hospice care to the terminally ill suffering from HIV/AIDS and cancer in the remote villages of Kenya laid the groundwork for NP faculty to develop a rich and engaging plan of study that provided the opportunity to balance …

Environmentally-Friendly Hospitals And The Implications For Nursing Practice Within The Australian Healthcare Context, Teresa M. A. Lewis, Lorna Moxham, Marc Broadbent

International Nursing Research Congress (INRC)

Purpose: The aim of this paper is to present results from a PHD project that examined implications for Registered Nurses practice when employed in hospitals that were using strategies to mitigate their impacts on climate change. Such strategies included the implementation of green teams, recycling and even worm farms. It was found that hospitals have to move from a 'business as usual approach', to one that is more environmentally sustainable.

Methods: The phenomenological methodology included an in-depth review of the literature which examined climate mitigating factors within the health care environment, particularly within Australian hospitals. The qualitative approach included in-depth …

Home Health Care Nursing Application Of The Transtheoretical Model Of Change To Patients With Congestive Heart Failure: A Case Study, Wyona M. Freysteinson

International Nursing Research Congress (INRC)

The World Health Organization defines CHF as a global burden. In the United States, many home care patients are over 65 years of age, live in poverty and have CHF. One of the roles of home care is to educate patients on health care behaviors which may improve their health status. Following this education, nurses reassess patients and determine if patients have changed health patterns. A literature search yielded many research studies of patients with disease states frequently seen in home care which were grounded in the Transtheoretical Model of Change (TTM). Based on these studies, TTM was piloted by …

The Lifestyles For Good Health Of Women With Cervical Cancer, Hsiao Lu Lee

International Nursing Research Congress (INRC)

Purpose: The purpose of this study is to explore various lifestyles for good health of women with cervical cancer.

Methods: The methodology involved unstructured interviews and verbatim transcriptions of the recorded interviews. Collected data was processed and analyzed using the content analysis proposed by Yu (1991) and Priest H et al (2002). Research subjects came from a local hospital in southern Taiwan. Subjects were confirmed diagnosis of cervical cancer, and were aware of their own illness. They lived in Taiwan and were able to communicate either in Mandarin Chinese or Taiwanese. The subjects recruited were informed of the purpose of …

Improving Toileting Ability Among Elders Living In Long-Term Care Facilities In Taiwan, Shih-Ling Kuo, Su-Hsien Chang, Ching-Len Yu

International Nursing Research Congress (INRC)

The purpose was to test the effectiveness of a theory-based intervention program in improving toileting ability among elders living in long-term care facilities. This study used an experimental, two groups, and longitudinal research design. The theory-based intervention was designed based on Bandura's Social Cognitive Theory, and called the self-care and exercise self-efficacy enhancement program. Activities of the intervention included performance accomplishment, various experiences, and verbal persuasion, and were provided by staff caregivers of long-term care facilities. The data was collected in baseline (time 1), 2 months (time 2), 4 months (time 3), and 6 months (time 4) after the intervention. …

Does Quality Of Life (Qol) Predict Morbidity Or Mortality In Patients With Atrial Fibrillation (Af)?, Erika Friedmann, Eleanor Schoron, Sue A. Thomas

International Nursing Research Congress (INRC)

Purpose: To examine the contributions of quality of life to one year hospitalization and mortality in patients with AF.

Methods: This study used the public access data from the Atrial Fibrillation Follow up Investigation of Rhythm Management (AFFIRM) randomized clinical trial conducted by the NIH, National Heart, Lung, and Blood Institute. Patients enrolled in the QOL substudy (N= 693) were randomly assigned to rate control or rhythm control groups. QOL was measured with the Medical Outcomes Study Short Form-36 health survey (SF-36) and the Quality of Life Index-Cardiac Version (QLI-CV). Data were analyzed with descriptive statistics, logistic regression to predict …

The Experiences Of Vietnamese Immigrant Women In Taiwan Who Do Not Undergo Pap Smear Tests, Hsiu-Hung Wang, Fang-Hsin Lee, Hsiu-Min Tsai, Yung-Mei Yang

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to describe the experiences of Vietnamese immigrant women who have never undergone or do not regularly undergo Pap tests in Taiwan.

Methods: A qualitative study was conducted based on semi-structured individual in-depth interviews. The formal interviews lasted an average of 40 minutes, ranging from 30 to 65 minutes. A total of 20 Vietnamese immigrant women participated in this study. The inclusion criteria were those women who: (a) have never undergone or do not regularly (less than once a year) undergo a Pap test; (b) have national health insurance; (c) were at least thirty …

Integrating Nursing And Bioengineering Expertise In Research: Use Of Optical Imaging To Uncover Neural Correlates Of Adult Risk Decisions, Mary A. Cazzell, Hanli Liu, Lin Li, Sonal Patel

International Nursing Research Congress (INRC)

Purpose: Across the lifespan, the degree of prefrontal cortex (PFC) maturity or decline influences executive cognitive functions. Adults are expected to demonstrate mature decision-making skills, impulse control, and delay of gratification. Purposes are: (1) find prefrontal correlates of wins and losses during voluntary and involuntary risk decisions in a baseline population of adults, presumed to have PFC maturity; (2) identify gender differences in neural correlates of wins versus losses; and (3) demonstrate feasibility of optical imaging in risk decision research.

Methods: In this correlational blocked design, functional near-infrared spectroscopy (fNIRS) was used to examine oxygenated hemoglobin (HbO) changes in the …

Interpreting The Changed Me In The Mirror: Viewing Self After A Mastectomy, Wyona M. Freysteinson

International Nursing Research Congress (INRC)

Purpose: The purpose of the study leading to this comparison between interpreting a mirror image and interpreting a text was to study the experience of viewing themselves in the mirror for women who have had a mastectomy.

Methods: A purposeful sample of 12 women shared their stories of viewing themselves in the mirror 3-12 months post-mastectomy in tape recorded semi-structured interviews. The data was transcribed and analyzed using Ricoeur's hermeneutic phenomenology and methodology. A native reading, a structural analysis and a phenomenological interpretation uncovered a description of viewing self in the mirror.

Results: The women's stories suggested there were four …

The Culture Of Incident Reporting Among Filipino Nurses, Barbara Michelle De Guzman

International Nursing Research Congress (INRC)

Purpose: This research provides a preliminary view into the culture of incident reporting among Filipino nurses pertaining to the factors that influence their willingness to report errors.

Methods: Quantitative data were collected from a snowball sample of fifty-four nurses who have been working in a staff nurse capacity in health care facilities in the Philippines using the modified online version of the AHRQ Patient Safety Questionnaire. The scores on the AHRQ questionnaire pertaining to incident reporting were expressed as the percentage of answers for each dimension Qualitative data derived from a Focus Group Discussion (n=6) were analyzed using Moustakas' technique …

Changes In Motivation For Physical Activity Following Cardiac Rehabilitation, Michael J. Belyea, Julie Derenowski Fleury, Nelma B. Crawford Shearer, G. Adriana Perez

International Nursing Research Congress (INRC)

Purpose: Motivation is an important factor related to physical activity. However, motivational theories have rarely examined variation in motivation over time. This is especially important for patients with coronary heart disease trying to maintain physical activity. The purpose of this study was to describe patterns and change of motivation and its association with physical activity.

Methods: Participants included 182 individuals who were enrolled in rehabilitation following myocardial infarction. Variables from the Wellness Motivation Theory (readiness, self regulation, and self knowledge) were measured at baseline and at 3 months. Latent class analysis was used to classify the participants and latent transition …

The Lifetime Influence Of Families In The Lives Of Women With Cerebral Palsy, Donna Freeborn, Kathleen Knafl

International Nursing Research Congress (INRC)

Purpose: Drawing on data from a qualitative study of 8 adult women with CP, the purpose of this qualitative descriptive study was to examine their perceptions of ways their families and individual family members contributed to their overall quality of life and adaptation to CP.

Methods: The study was based on a feminist biographical approach, which combines biographical methods with feminist principles. Participants participated in two interviews where they shared numerous stories about their family life, parents, siblings, and extended families. Interviews were transcribed verbatim, and transcriptions were analyzed for common themes according to qualitative methodology.

Results: Participants provided considerable, …

Patterns Of Communicating With High Fidelity Patient Simulators, Judy K. Anderson, Kimberly Nelson

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to explore patterns of communicating with high fidelity (HF) patient simulators. Therapeutic communication is an essential skill for nurses working in any setting. Opportunities to develop this skill are essential to improve comfort and refine competence in communication techniques. High fidelity patient simulators are increasingly being utilized as a teaching-learning strategy. Their effectiveness for developing expertise in critical thinking/problem-solving, clinical skills, and teamwork is documented in the literature. The literature also provides evidence of professional communication skill-building, both intra- and interdisciplinary. Less prevalent in the literature is research on the use of HF …

Assessment Of Pap-Smear Testing And Women's Health Within Taiwan, Shiu-Yun K. Fu, Hsiaoling-Ling Niu, Venne-Shiang Huang, Mei-Ching Chen

International Nursing Research Congress (INRC)

Purpose: To decrease the occurrence of high mortality rates for cervical cancer, pap-smear screening is essential for all women. The proportion of women in Taiwan who have not had a pap-smear test is extremely high.

Methods: The research consisted of 2 phases involving both quantitative and qualitative methods. 90 women who had not received a pap-smear screen within the past three years were involved. Phase one of the study was a quasi-experimental design, phase two was an in-depth analysis to understand why some women did not have pap-smear testing. This report is specifically for the qualitative data analysis.

Results: The …

Hydration And Ph Of Cord And Dorsal Hand In High-Risk Infants For 7 Days Of Life, Youngmee Ahn, Min Sohn, Mijin Lee, Sangmi Lee

International Nursing Research Congress (INRC)

Purpose: The pH of cord and skin is of significance in terms of the acidic function of skin in defending foreign invasions while drying process toward cord detachment. We explored the pH and hydration in cord and dorsal hand of 50 high-risk neonates for 7 days of life. Fourteen neonates were with primarily preterm birth (PTB), while 36 neonates had pathologic conditions besides PTB. The mean birth weight was 1973 g with 7.4 of the mean 5 min. Apgar score.

Methods: After IRB approval and obtaining the informed consent from parents, the pH and hydration of cord and dorsal hand …

Effect Of Nurses Living Fit? Exercise And Nutrition Intervention On Body Mass Index In Nurses, Karen Gabel Speroni

International Nursing Research Congress (INRC)

Purpose: Overweight and obesity are increasing at alarming rates worldwide. In the healthcare setting, administrators are searching for evidence-based programs featuring interventions on healthy living to enable weight loss in overweight workers and maintenance of normal weight. This is especially true among professional nurses who often become "role models" for patients affected by illnesses induced by overweight status. The hospital-based Nurses Living Fit & trade; (NLF) intervention was developed and researched by nurses to decrease overweight in nurses.

Methods: This prospective, quasi-experimental, multi-center study evaluated changes in Body Mass Index (BMI) and waist circumference between NLF and contrast nurse group …

Efficacy Of Lavender Aromatherapy To Level Of Pain And Blood Pressure Among Post-Partum Women: A Pilot Study, Renante Dante G. Tan, Arvie Desiree I. Miranda, Erika Gabrielle A. Quero, Jomar M. Rodriguez, Ariane Lei D. Morales, Abigail R. Remo, Arianne C. Rufino, Pamela Mae K. Ortiz, Kevin John V. Reyes, Jenneiah D. Royo, Precious Anne N. Natata, Emily R. Marco, Hazelyne A. Marquez

International Nursing Research Congress (INRC)

Purpose: This study aims to determine the effectiveness of lavender aromatherapy on (a) level of pain (b) blood pressure and (c) relationship between pain and blood pressure among post-partum women.

Methods: The study utilized a longitudinal quasi-experimental non-equivalent pretest-posttest design. Subjects were chosen through purposive sampling (n=20) that passed the inclusion criteria (a) 18-35 years old, (b) first 24-hour postpartum, (c) experiencing post-partum pain, (d) have not yet taken pain medication, and (e) willing to participate. Researchers used numeric pain scale to assess pain level with blood pressure assessment as an adjunct to measure pain objectively. Lavender aromatherapy was administered …

Where Have All The Stti/Anf Scholars Gone?, Patricia R. Messmer

International Nursing Research Congress (INRC)

Purpose: Sigma Theta Tau International (STTI) and American Nurses Foundation (ANF) began jointly sponsoring a nursing research grant in 1987 with STTI reviewing - even years; ANF odd years. The purpose of this grant is to develop nurse scientists with programs of research and infuse funding potential into promoting nursing science. The aim of this study was to 1) systematical review research conducted by STTI/ANF scholars and 2) understand how "seed" funding promotes the research trajectory for these scholars. Methods: Structured interviews with past STTI/ANF scholars; archival records (Boston University History of Nursing, Nursing Research, AJN, Undine Sams Collection) and …

Dissemination And Utilization Gap Of Nursing Research In India: Call For International Collaboration, Anne Thomas, Urmila Bharadwaj

International Nursing Research Congress (INRC)

Purpose: Research dissemination and knowledge utilization are essential components of today's nursing practice. The CURN model (1980) explains the importance of research utilization in nursing. It was evident from researchers teaching experience both in India and United States that the nursing institutions in developed countries are far more advanced in disseminating research related results to the scientific community compared to developing countries. The purpose of this study was to assess the dissemination details of nursing research studies in a selected nursing school of India. Methods: A retrospective record review method was used. One nursing school with PhD, M.Phil and Master …

I Want My Mommy: Sibling's Experience With Childhood Cancer, Yuan-Ju Liao

International Nursing Research Congress (INRC)

Purpose: To explore and describe the experience of healthy sibling who have brother or sister with cancer.

Methods: Qualitative study using phenomenology approaches was conducted. Interview was audio taped four healthy siblings aged 5 to 14 years and their family member 'and analyzed according to Colaizzi's guidelines and data analysis method proposed by the Nvivo 8.0 qualitative software.'

Results: Four domains were generated by Colaizzi (1978) method as follows: Encountering the impact of siblings with cancer, inevitable changes of the family life, mood fluctuation in daily life and reconstruction of the family life.

Conclusion: The study findings indicated that parents …

Nursing Students' Perceptions Of Satisfaction And Self-Confidence With High Fidelity Simulation, Geraldine M. Berkvam

International Nursing Research Congress (INRC)

Purpose: Research has been conducted about the various features of simulation which contribute to successful learning experiences of students. However, there is little research about students' perceptions of their satisfaction and self-confidence in learning when simulation is used as a teaching strategy. This study was designed to determine if high fidelity clinical simulation provided nursing students with learning experiences which promoted satisfaction and self-confidence in their preparation for clinical practice. The theoretical framework for the design of this study was Alfred Bandura's Social Cognitive Learning Theory.

Methods: A questionnaire was administered to nursing students after completion of medical-surgical clinical simulation …

Contributory Elements In The Introduction Of New Health Care Delivery Models To Health Care Systems Globally, Andrea Sonenberg

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to describe influential factors in the introduction of expanded nursing roles to existing health-care systems for improving access to care in health workforce shortage areas globally.

Methods: Comparative analysis of several studies and commentaries was made to summarize critical factors impacting the introduction of nurse practitioners, or nurses with expanded roles, into existing health-care systems globally.

Results: Key contributory elements for consideration in the introduction of new health-care models to existing health-care systems include: 1) population health needs; 2) readiness of the profession; 3) innovation; 4) roles; 5) education/expertise; 6) environment 7) policies …