Digital Commons Network^™

Health Promotion And Health Risk Assessment Of Professional Truck Drivers In The Southwest, Iris L. Mullins, Trish O'Day

Biennial Convention (CONV)

Purpose: To determine health risks and health promoting behaviors of men who are professional truck drivers. This population is at high risk for cardiovascular disease, hypertension, sexually transmitted diseases, obesity, stress, sleep deprivation, and tobacco, alcohol, drug use. AIMS: Identify health risks of short and long haul male truck drivers using the Self Care Inventory (SCI). Identify health-promoting behaviors using the Health Promoting Lifestyle (HPLPII) and demographic questions.

Methods: A descriptive correlational design was used. Survey methods including the SCI and HPLPII, standardized demographic instruments, measurements of height, weight, blood pressure, pulse, and calculated BMI. Data was collected at New …

Student-Created Scenarios In The Human Patient Simulation Lab, Nancy Oldenburg, Karen Brandt

Biennial Convention (CONV)

In recent years, there has been a great deal of interest in the use of human patient simulation (HPS) in nursing education. This presentation describes one novel approach for the use of this strategy, a project that involved the development of student-created scenarios in a baccalaureate nursing program. Over two semesters, small groups of students designed, developed, and implemented scenarios involving pediatric patient situations in the HPS laboratory. Students in the course were assigned to groups of six to eight students. Each group was given a pediatric-focused condition to research. The conditions were designed to complement classroom and clinical learning …

Work Experiences Of Nurse Mentorship In A Government University Hospital, Maream Prousoontorn, Areewan Oumtanee

Biennial Convention (CONV)

The purpose of this qualitative study was to explain the mentoring work as experienced by professional nurses. Sixteen professional nurses were willing to participate in this study. In-depth interview, non-participant observation and other documents were employed for data collection. Study data were analyzed by using coding and constant comparative method. The finding of work experiences of nurse mentors consisted of 6 categories: 1) being assigned to be a mentor, 2) preparing as a mentor, 3) getting to know each another, 4) acting as a mentor, 5) getting feedback, ad 6) ending mentor's roles. According to study findings, the mentoring work …

The Woman's Self: A Multigenerational And Transcultural View Of Lifespan Development Of Women, Carol M. Wiggs

Biennial Convention (CONV)

Lifespan development in women is a discursive and creative act; a process that engenders interpersonal relationships and reflective narrative stories of changes in the self. Traditional theories of lifespan development draw predominantly from a male perspective, discounting the richness of a woman's life experiences as well as a multicultural perspective. Drawing on the peer reviewed literature regarding psychological development in women; a qualitative study was conducted using reflective questions and Photo-elicitation Interview techniques to explore what it was like to be a woman at various stages of life transition. A purposive sample of women was chosen for the study. Women …

Executive Function And Dual Task Performance Of Gait In Mexican Elders, Bertha Cecilia Salazar, Mirtha Idalia Celestino, Maria Cristina Enriquez-Reyna

Biennial Convention (CONV)

(41st Biennial Convention) Objective: To describe the relationship between executive function and gait velocity under three walking conditions: usual gait, simple dual task and complex dual task of Mexican elders. Methods: Descriptive cross sectional design. Random sampling by cluster. Sample size was 202 elders drawn from eight senior centers; with power of 90%, effect size for a bilateral correlational test of 0.22, and significance level of 0.05. Executive function was measured by the Color Trails Test (attention and mental flexibility) and the STROOP test (attention inhibitory control). Gait was measured at usual speed (simple task), simple dual task (walking while …

Intimate Partner Violence: Two Case Studies Of Divided Loyalties Of Muslim Women, Linda Carman Copel

Biennial Convention (CONV)

(41st Biennial Convention) Muslim women temporarily residing in the United States sometimes have divided loyalties between maintaining their cultural traditions and experiencing a different lifestyle. The dilemma of rejecting or embracing Western culture can be an antecedent for intimate partner violence (IPV). Two case studies describe the IPV experienced by Muslim women living in the United States. The first woman's preference was to wear the hijab, thus violating her spouse's mandate for her to remove it, triggering IPV. The other woman's preference was to remove the hijab against her partner's wishes, resulting in IPV. The purposes of exploring these case …

Global Connections: Integrating Theory And Practice In Professional Nursing: The Artinian Intersystem Model In Educational Settings, Barbara M. Artinian, Pamela H. Cone

Biennial Convention (CONV)

(41st Biennial Convention) The Artinian Intersystem Model (AIM) is eminently suited to nursing education because of its focus on the two systems, teacher and student, and how they negotiate effective learning. This presentation will describe how students everywhere come to school with intrasystems consisting of their existing knowledge and understanding of life and health care, their personal values and meanings, and their resultant behaviors, and we as teachers, having our own intrasystem elements, must reach our students in ways that are meaningful and sense making to them, thus engaging in intersystem negotiation. For over 20 years, the Azusa Pacific University …

Feasibility And Preliminary Effects Of An Intervention For Caregivers Of Newly Admitted Hospice Patients, Kathryn B. Lindstrom, Bernadette Mazurek Melnyk

Biennial Convention (CONV)

Background. The transition to hospice care is typically a new and stressful experience for caregivers who often report increased negative emotions, such as anxiety and depression and lack of preparedness regarding their role. According to self-regulation theory, heightened anxiety and depressive symptoms in a new experience can be explained by the lack of an accurate cognitive schema.

Purpose. The purpose of this study was to test the feasibility and preliminary effects of a theory-based intervention program (ESI-CH: Education and Skill-building Intervention for Caregivers of Hospice patients) that targets cognitive schema development and skill building in this new role for caregivers …

Hemoglobin F Impacts Physiologic Variables And Perinatal Events, Rebecca Jo Helmreich

Biennial Convention (CONV)

Objectives: The objectives were 1) to explore the effect of hemoglobin F with obesity and gestational weight gain on heart period, respiratory sinus arrhythmia, oxy-hemoglobin, peripheral oxygenation, hemoglobin A1c , and systolic blood pressure, and 2) to determine if an association exists between the level of HbF and the frequency of perinatal events in low risk pregnant woman with varied body mass index (obese and not-obese).

Methods: An observational study of 41 pregnant women at three time points: 20, 28, and 36 weeks gestation. Data were organized according to the mean HbF level at 20 weeks gestation, with obesity (obese …

Human Trafficking And The Health Care Provider, Patricia A. Crane

Biennial Convention (CONV)

This presentation will address the global and domestic human trafficking. An estimated 20,000 people are trafficked within the U.S. each year, while millions may be trafficked internationally. Trafficking victims are forced, defrauded and coerced into labor and sexual service for profit of others. Traffickers use individual vulnerabilities and immigration status, language ability and poor understanding of U.S. laws to identify future victims. Health care professionals need contemporary and updated information and resources about health risks, screening methods, and identification of trafficked person. Common medical problems will be reviewed and health care needs in different phases of trafficking. Legal and health …

A Comparison Of Copd Patients' Quality Of Life Usingâ The Harmonica Asâ A Means Of Pulmonary Rehabilitation, Sharon S. Miller

Biennial Convention (CONV)

In the absence of sufficient research, pulmonary rehabilitation programs have instituted harmonica playing with their Chronic Obstructive Pulmonary Disease (COPD) patients. The purpose of this study was to determine if playing the harmonica was an effective tool for pulmonary rehabilitation in COPD patients. This was a quasi-experimental study. A convenience sample of 23 patients with COPD was determined by a power analysis. Exclusion criterion was non-English speaking, pulmonary patients with restrictive disease or Pulmonary Hypertension and any patient <40 years old. IRB approval was obtained. Signed written informed consent was obtained prior to any data collection. Subjects were randomized to either control (non-harmonica playing) or experiment (harmonica playing) groups. Subjects in the experimental group had standard pulmonary rehabilitation then played the harmonica for 10 minutes after pulmonary rehabilitation class. Demographics, O2 saturations and other variables where recorded. Ferrans and Powers Quality of Life Index was used prior to and after pulmonary rehabilitation. Patients mean age was 71.43 (sd 8.37) and primarily male (55.0%). Mean FEV was 1.36 (sd .49). Mean difference in overall O2 saturations between groups before & after pulmonary rehab was not significant. Mean O2 saturations before harmonica playing was 94.31 (sd 1.45) and 94.26 (sd 1.59) after, with a difference of .05. Mean difference in O2 saturations before and after harmonica playing was not significant (t=2.31, p=.82). Overall QOL in the harmonica group increased 2.06 points and health and functioning increased 3.21 points after pulmonary rehab. The control group experienced clinically significant increases (p<.05) in overall QOL (3.05 points), health and functioning (4.38 points) and family (2.92 points) after pulmonary rehab. There were clinically relevant improvements (>2 points) in overall QOL (p<.05) and health and functioning (p<.01) before and after harmonica playing. Harmonicas are an inexpensive tool that can be offered to patients to improve their QOL.

Factors Influencing Family Caregiver Burden In The Hospital In Usa, Pi-Ming Yeh

Biennial Convention (CONV)

Purpose: The purpose of the study was to examine the relationships among patients' ADL dependence, symptoms, family support, quality of patient-family caregiver relationship, psychological well-being, caregiving knowledge and burden of family caregivers for patients with cancer or chronic illness. Subjects: There were 110 family caregivers recruited from medical and surgical units of one Midwest Medical Centers. The mean age of family caregivers was 54.02 years. The majority of caregivers were wife, daughter and husband. The mean age of patients was 64.68 years. The top four symptoms that patients had were fatigue, pain, loss of appetite, and weight loss. Methods: A …

Identification Of Staff Rn's Ability To Assess Community Acquired Pressure Ulcers Among Ethnically Diverse Patients: Hispanics And African-American Utilizing Simulation, Katherine Ann Ricossa

Biennial Convention (CONV)

Background and Significance: In the United States, regulatory agencies are required to be notified when a patient exhibits a stage 2 pressure ulcer. Without initial identification of this community acquired pressure ulcer upon admission, it will be considered hospital acquired. Therefore, the hospital will then need to assume care and cost to manage and treat this pressure ulcer.

Method: The method a randomized, cross over trial was conducted. A convenience sample of 72 RNs participated in this study. A baseline, each RN performed an admission assessment on 2 simulated patients with dark pigmented skin with pressure ulcers on bony prominences …

The Current State Of Evidence-Based Practice In Nurses Across The United States, Bernadette Mazurek Melnyk, Ellen Fineout-Overholt

Biennial Convention (CONV)

Background/Significance: Although multiple studies have supported that evidence-based practice (EBP) improves the quality of healthcare, enhances patient outcomes, reduces the geographic variation in care and decreases healthcare costs, it is not consistently implemented in hospitals and healthcare systems across the United States. Purpose: The purpose of this study was to assess the current state of EBP in nurses across the United States.

Methods: A descriptive survey was conducted with nurses from the American Nurses Association using Survey Monkey. An invitation to participate in the survey was sent via email to a random sample of 20% of the ANA membership.

Findings: …

Arab Muslim Nurses' Experiences Of The Meaning Of Caring, Sandra R. Lovering

Biennial Convention (CONV)

Introduction: The aim of this study was to understand the meaning of caring as experienced by Arab Muslim nurses within the context of Arab culture. A qualitative approach using interpretive, reflexive ethnographic methodology based on the approaches of Geertz (1973), Fitzgerald (1997) and Davies (1999) develops a description that embeds the phenomena of the nurses' meaning of caring within its cultural context.

Methods/Procedures: Strategies for concurrent data generation and analysis to achieve thick description included immersion in the experiences of Arab Muslim nurses within Saudi Arabia. Data generation focused on answering the following questions: 1) What is the explanatory model …

Going Global: A Regional Response To Stti Call For Action, Julie A. Jones, Meredith Wallace Kazer

Biennial Convention (CONV)

Purpose: During the Eurovision 2020 presentation at the 2009 Sigma Theta Tau International (STTI) Biennial Convention, European members identified challenges to global acceptance of STTI. Cost of joining the organization and attendance at STTI events were identified as significant challenges to full engagement within the society. Region 15 chose to address these challenges through the development of a Global Initiative Committee. In order to meet the goal of enhancing membership and involvement, the committee agreed to conduct a fundraising campaign through the STTI foundation.

Methods: The Global Initiative Committee included members throughout Region 15, including members from the European Consortium. …

Adolescent Perspective Of Family Functioning When Living Withâ A Sibling With Autism, Sally J. Vliem

Biennial Convention (CONV)

Purpose: Autism is on the rise at an alarming rate affecting all races and impacting all members of a family including siblings. The purpose of this study was to examine family functioning from the perspective of the adolescent who has a sibling with autism.

Methods: An exploratory correlational design using a convenience sample of 97 adolescents aged 11 to 20 whose parents participated in the Interactive Autism Network completed the study measures. The Family Assessment Device (FAD) was completed in an on-line survey format. Qualitative data inquiring about the challenges and positive aspects of having a sibling with autism were …

Developing Leadership Capacity For Nursing Practice In Liberia, Marion E. Broome, Wvannie Scott-Mcdonald, Mary Beth Riner, Donna Gallagher

Biennial Convention (CONV)

Purpose: The country of Liberia is just rebuilding the healthcare infrastructure after 20 years of civil war. Although many countries have invested a great deal of funding and personnel into rebuilding various sectors, healthcare leadership development, especially related to building nursing capacity has lagged. Many of the ward managers are young and there are only a handful of masters prepared nurses in the country.

Methods: This past year nursing leadership at the John F. Kennedy Medical Center, Indiana University School of Nursing and the University of Massachusetts developed a week long intensive leadership workshop in which 9 of the ward …

Evaluation Of Video Teleconferencing Technology To Provide Chronic Disease Self-Management Access For Rural Veterans, Jane A. Anderson, Pamela Willson

Biennial Convention (CONV)

A study was undertaken to evaluate the use of video teleconference technology (VTEL) for delivery of patient self-management education and preventative care services to reduce stroke risk factors among Veterans receiving primary care services at Community Based Outpatient Clinics (CBOCs) in a five state (VISN 16) service region. Methods: Focus group, survey, and pre/post test methods identified factors associated with feasibility and effectiveness of implementation during this formative evaluation. A sample of (N=30) Veterans with a history of stroke or with multiple stroke risk factors were recruited from CBOCs in VISN 16 in a two-phase study. Phase 1 participants, measures …

Nursing Student Outcomes Of Distance Education: What Is The Evidence?, Barbara J. Patterson, Linda R. Roy, Anne Marie Krouse

Biennial Convention (CONV)

Distance education has received wide attention in the nursing literature over the past decade as an alternative to the traditional classroom. It seems to offer great potential as a distinctive learning environment. Authors report that distance education offers accessibility, flexibility, and may assist in filling the nursing shortage gap. Fortunately, there exists a plethora of research on distance education and student learning outcomes in nursing; however, there is a need to evaluate and translate this growing body of findings into educational practice. Building a science of nursing education requires that faculty use teaching and learning strategies that achieve the maximum …

Promoting The Healing And Restoration Of Adolescents And Children Exposed To Trauma And Violence, Clarissa Agee Shavers, Lisa M. Green, Cynthia A. Archer-Gift, Judee E. Onyskiw, Meryl Price

Biennial Convention (CONV)

Adolescents and children exposed to trauma and violence may exhibit moderate to severe psycho-social-emotional health problems. In collaboration with the Michigan Department of Community Health, as well as, with other Partners, Volunteers, Collaborating Agencies and Organizations, The Safer Tomorrows: Injury Prevention and Violence Reduction Project is identifying adolescents and children who are at-risk and who may or may not be at-risk for exposure to trauma and violence in their lives. The purpose of the evidence-based intervention/program is to assist this population of adolescents, children and families by identifying services and programs to enhance their overall health and well-being. Similarly, we …

Stepping Strong To Control Blood Pressure, Weight, And Fatigue, Kathleen Ann Ennen

Biennial Convention (CONV)

One of three U. S. adults has high blood pressure. It is a major risk factor for heart disease and stroke contributing to 326,000 deaths in 2006 and costing $76.6 billion in health care services, medications, and missed days of work (CDC, 2010). The American Heart Association (2011) reports that 120-150 minutes of moderate-intensity physical activity per week can reduce the risk burden of high blood pressure for heart disease and stroke. Among U. S. adults, being overweight or obese is associated with nearly 112,000 excess deaths and a decreased life expectancy. Fatigue negatively affects a person's actual and perceived …

Caring In Nursing Practice: A Concept That Transcends Gender, Normajean Colby

Biennial Convention (CONV)

Nurses who are male represent approximately six percent of the nursing workforce in the United States. This minority representation begins in nursing education programs and extends into practice. This finding is not unique to the United States. Throughout the world, men represent a minority population in the nursing profession. As the profession seeks to recruit and retain qualified individuals, while also embracing a diverse workforce, a study was undertaken which investigated a population whose voice has not been actively solicited in the literature, that of practicing registered nurses who are male. Using descriptive naturalistic inquiry the research question was "What …

Influencing The Culture Of Care: The Nursing Role, Brenda L. Baney, Gwen Mcghan, Janice Penrod

Biennial Convention (CONV)

Operating as an organization or functional structure, specialty clinics serving patients at the end-of-life are inherent to a culture of care, a set of shared attitudes, values, goals, and practices that influence interactions between informal and formal caregivers and shape the caregiving experience. To address a major objective of the National Consensus Project for Quality Palliative Care, it is critical to shift the culture of care delivery systems toward one that embraces palliative care strategies in treatment of those with life-limiting or chronic debilitating illness. To achieve this objective, core values espoused in palliative care must be infused into settings …

Using Ethnography To Build Knowledge: Informal Caregivers Providing Care At The End-Of-Life, Gwen Mcghan, Janice Penrod, Brenda L. Baney

Biennial Convention (CONV)

Research into issues related to end-of-life care has grown exponentially over the past decade, yet the science under-girding practice remains under developed. Several national consensus panels have addressed the development of strategic initiatives to advance the state of the science, confirming the need for research into the experiences of informal caregivers providing end-of-life care and the derivation of theory-driven, research-based interventions to meet their needs. To help address this gap, ethnographic methods were used to understand the influences of the prevailing values and beliefs, or the culture of care, on formal caregivers' recognition and response to informal caregivers' feelings of …

Workplace Bullying And Intent To Leave: Measuring The Impact Of Horizontal Hostility, Barbara L. Wilson, Connie Phelps, Andrea Diedrich

Biennial Convention (CONV)

The concept of "horizontal hostility" (HH) (also referred to in the literature as 'bullying', 'lateral violence,' 'peer incivility', or 'nurses eating their young') has been well described for nearly 2 decades. Behaviors consistent with HH vary and range from overt behavioral manifestations such as infighting among nurses, sabotage (where a nurse intentionally withholds pertinent information), scape-goating, passive-aggressive behaviors, or demeaning verbal remarks to more covert behaviors such as failure to respect confidences. Horizontal hostility is apparent when the 'workplace culture or norm' enables dominant individuals to pressure those who are more vulnerable, such as newly-hired nurses or nurses with less …

Strategies To Curb Bullying In Nursing Education, Ronda D. Mintz-Binder

Biennial Convention (CONV)

The exposure to bullying toward nursing faculty and program directors has been increasing over the last 4 years. Reports of incivility toward nursing faculty by students has been steadily reported in a host of national and international studies. The first report of bullying toward U.S. nursing academic administrators confirmed that one third reported experiencing bullying within the last year. Most interesting, the primary offender was nursing faculty and the second offender was students. The concept of "upward bullying" was originally reported in Australia toward non-nursing managers and has relevance when discussion bullying toward administrators. A reivew of literature on incivility …

Pregnant Women With Diabetes: Health Problems, Apn Interventions In 2 Models Of Apn Transitional Care, Dorothy Brooten, Donna Felber, Jean Hannan

Biennial Convention (CONV)

The purpose of this presentation is to examine differences in type and frequency of health problems and advanced practice nurse (APN) interventions between 2 models of APN provided prenatal care in pregnant women with diabetes. In one model, APN care was added to physician prenatal care (additive). In the second, half of physician prenatal care was substituted with APN prenatal care in women's homes (substitution). For pregnant women with diabetes, maintaining diets and blood sugar levels is challenging. The literature lacks data on health problems from the women's perspectives and if provider responses differ by model of care delivery.

Student And Registered Nursing Staff's Perceptions Of 12-Hour Clinical Rotations In An Undergraduate Baccalaureate Nursing Program, Bette A. Mariani, Angelina Arcamone, Jennifer Cummins

Biennial Convention (CONV)

With today's increase in student enrollment in baccalaureate nursing education, it is more challenging to secure quality clinical placements with optimal learning experiences. Some clinical agencies can only offer 12-hour clinical shift rotations for students. Few studies have been conducted on the use of 12-hour clinical shift rotations with nursing students, with little evidence supporting this clinical scheduling strategy. The purpose of this study was to evaluate the students' and registered nursing staff's perceptions of whether the 12-hour clinical shift rotation for nursing students enhances their clinical learning ability, allows for better continuity of care for their assigned patients and …

Promoting Individuals And Family Health During Retirement, Helena Loureiro

Biennial Convention (CONV)

Background: "Moving into retirement" is one of transition life moments that have to be adequately prepared (Meleis, 2010). Studying the impact of this transition on the lives of individuals and their families will contribute to understand how this event can jeopardize ageing and can provide a more in-depth knowledge of what should actually be caring for individuals and families in the period of "moving into retirement".

Objective: To understand the experiences of individuals and their families during the transition process of "moving into retirement".

Method: Two stages study was developed. First, quantitative in nature, a questionnaire was applied to 432 …