Digital Commons Network^™

The Quality Of Student Learning In An Online International Graduate Nursing Program, Gail Tumulty, Mary D. Oriol

International Nursing Research Congress (INRC)

Purpose: To add to the scientific evidence about establishing optimal online class size where active class engagement and course satisfaction are attained for faculty and students alike Methods: Data were collected from 2007 through 2010 using end of course student evaluations and Blackboard participation statistics. Simple linear regression, independent samples t-Test, and ANOVAS were used to test research questions. Results: As class size increases, student participation in discussion forums increases but faculty participation decreases. Student satisfaction increases as class size decreases. Students perceive higher satisfaction and greater critical thinking skills when taught by full-time faculty. Conclusion: Class size impacts faculty …

Developing A Clinical Question With Nursing Clinicians In Cardiology, Mary Boyde

International Nursing Research Congress (INRC)

Background: A heightened focus on evidence based practice requires nurses to be cognisant with the development of answerable clinical questions. For clinicians one of the first steps in evidence based practice is the ability to ask a clinical question that can be answered with research evidence. Aim: To engage clinicians in the research process by building skills in developing a clinically relevant research question. Methods: In a large metropolitan hospital cardiology unit the process began with research knowledge development during in-service sessions. Focus groups of clinicians were initiated to brain storm clinical problems associated with their practice. Topics introduced to …

Learning Through Drama In The Field Of Global Nursing, Bjorn-Ove Suserud, Jehad O. Halabi, Maysoon S. Abdalrahim, Sepideh Olausson, Margret Lepp

International Nursing Research Congress (INRC)

In the field of nursing education, innovative teaching and learning methods, such as educational drama, that focus on learner-centered rather than teacher-centered approaches were found to be of significant interest to all exchange parties. This paper explores how nurses (nurse educators, and doctoral and masters students) from three countries experience learning through drama in the field of nursing education. In this era of internationalization, there is an urgent need to prepare nurses with global perspectives. Purpose: - to present innovative teaching and learning methods, such as educational drama, that focus on learner-centered rather than teacher-centered approaches and that provides opportunities …

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 …

An Evaluation Of Rapid Response Team Impact, Jessylen Age

DNP and Student Works

Rapid response teams (RRTs) are widely implemented in hospitals today. Little research exists in the use of RRTs in the pediatric population (Chan et al., 2010; Pringle et al., 2011; Winberg et al., 2008). Regardless of these findings, children experiencing acute clinical deterioration receive highly specialized monitoring, equipment, medications and trained staff to manage the clinical instability.

This research using a retrospective, pre- and post-intervention, descriptive design determined the pediatric rapid response team (PRRT) role in reducing code events and mortality in pediatric patients outside the ICU in an academic setting. The number of pediatric code events and PRRT events …

Planning Phase Of Population-Specific Healthy Lifestyle Program, Mary M. Moore

DNP and Student Works

Childhood overweight and obesity in the United States are significant health problems that have a negative impact on a child's physical and psychological well-being and that generate an extra financial burden for those affected due to health care costs. The current evidence-base for treatment of childhood overweight and obesity recommends a moderate- to high-intensity healthy lifestyle program of physical activity, healthy diet, and behavioral modification. The purpose of this descriptive, multi-method inquiry was to identify the perceived barriers to a healthy lifestyle for a population of elementary school students, ages 6 to 13 years, as the basis for the development …

A Model For Applying Evidence To Nursing Practice, Jeanne T. Grace

Individual Articles

All clinicians who wish to apply evidence to practice should consider how to do so most effectively and how to incorporate patient preferences into their decision-making. Because nursing practice is commonly embedded in institutional settings, nurses who wish to apply evidence must also consider the relevant institutional resources and constraints. This article describes a five step process for applying evidence to nursing practice and a three step process for evaluating the results of that application.

Evolving Nursing Grand Rounds For The 21st Century, Dawndra L. Jones, Lorraine M. Brock

Biennial Convention (CONV)

Purpose: To efficiently communicate the system level clinical and strategic information to a vast number of nurses in diverse locations, UPMC Center for Nursing Excellence and Innovation (CNEI) integrates the familiar nursing grand rounds concept with technological enhancements. UPMC System Nursing Grand Rounds was created to: showcase and share clinical expertise and evidenced based practice, keep nurses informed of new local and national health care trends, explore strategies and positions, and to disseminate research and initiatives. Each presentation provides one contact hour of continuing education whether viewed live or on the web while from work or at home at the …

Coping Behavoiurs Of Haemodialised Patients, Families In Aâ Private Clinicâ In Gauteng, David Mphuthi

Biennial Convention (CONV)

Introduction and Aim: Chronic renal failure patients are confronted with many challenges and often express feelings of being a burden to their families. Since the inception of haemodialysis in 1913 limited research has been conducted to explore the coping behaviours of the families of haemodialysed patient especially in the South African context. The family's inability to cope with the condition and treatment, may impact on their wellness as well as that of the family member on haemodialysis. In light of the limited research available on the coping behaviours of families of haemodialysed patients, this study set out to describe the …

Midterm Check-Up: The Experience Of "Being With" Or "Isolated From" Simulation In The Lab, Cynthia Blum, Candice Hickman

Biennial Convention (CONV)

Background: Faculty educational responsibility transcends traditional methods of lecture and examination with summative course evaluation. Educational constructs should incorporate formative evaluation to allow responsive student feedback to occur. This approach allows gaps within a course to be addressed in order to benefit the current group of student learners. This is particularly important in a didactic course with a lab practice component, where continuity reinforces curricular objectives.

Study: Fifty-nine pre-licensure undergraduate nursing students enrolled in an introductory assessment and skills course and lab participated in a focus group session to assess course progression. At midpoint, the students were asked how the …

Integrating Information Literacy Across A Bsn Curriculum, Nanci K. Gasiewicz

Biennial Convention (CONV)

(41st Biennial Convention) Although research regarding effective informatics teaching strategies is sparse, nurse educators are challenged to include informatics into an already burgeoning curriculum. This presentation offers a systematic approach to incorporating information literacy, a vital component of informatics, across a BSN curriculum. Motivated by the IOM reports, the TIGER competency framework, and the QSEN informatics competencies, five assignments have been developed to emphasize clinical application. The assignments are designed to incrementally: (a) increase students' abilities to recognize the need for information (knowledge); (b) advance students' abilities to locate, evaluate, and use information (skills); and (c) foster a positive appreciation …

International Service Learning Experience In Ghana:Â Student And Faculty Global Health Leadership, Valerie L. King

Biennial Convention (CONV)

Purpose: The purpose of this presentation is to discuss the process of initiating and implementing an international service learning experience for nursing students and the outcome of 3 trips to Ghana Africa. The personal and professional growth and experiences of the faculty and the students are explored via photos, vignettes and reflections on this transformational experience.

Methods: The Nursing Students without Borders club at the University of Massachusetts Lowell was formed with the purpose of allowing students to have an international nursing experience. Working with a non-profit organization in Ghana the students were able to expand this experience to one …