Digital Commons Network^™

Translational Research At The Bedside - Testing Psychometrics Nausea And Vomiting Scales, Angela P. Halpin

Biennial Convention (CONV)

Problem: Community hospital data collection requires participation of RNs at the bedside. Formal education is essential. RNs learn the purpose of study, data tools instruction, with due diligence and oversight by the principal investigator (PI). When nurses have involvement as participants in data collection, they are witnesses of the benefits for bedside research applications.

Evidence: Satisfaction with tools is measured by RNs using scales. Construct validity is determined by results of two nurses scores on worksheets. Success of research is determined by the nurse's ratings, Kappa ranged from .851 to 1.00 and the percentages of agreement ranged from 91.9 to …

Transfer Of Care Bundle: Standardizing Nurse-To-Nurse Communication, Mary N. Willis, Cynthia Brown

Biennial Convention (CONV)

Purpose. The Transfer of Care bundle outlines a standardized process for safe patient hand-off communication. Hand-off communication includes nurse-to-nurse at the change of shift, while transferring a patient to another unit, or to another licensed individual. Background. LMHS employed two independent consulting firms to complete safety audits for the system. The first audit was completed in 2008, the second in 2009. Nurse-to-nurse communication was a major concern in both audits. Anytime patient care is transferred from care team member to another, there is risk pertinent information about the patient is not communicated. Any lapse in communicating patient information compromises patient …

The Nursing As An Additional Language And Culture Program For Academic Success (Nalc), Daria B. Napierkowski, E. Renee Cantwell

Biennial Convention (CONV)

Purpose: The Nursing as an Additional Language and Culture Program for Academic Success (NALC) is an educational intervention designed to enhance student success in an Accelerated Baccalaureate School of Nursing (ABSN). The IOM report (2010) stresses the need for nurse leadership as their role in the provision of primary care; however, students who are not successful in undergraduate programs cannot apply to graduate programs. Data collected at a school of nursing in New Jersey demonstrated that the majority of student attrition occurs with minority students who scored a low baseline in preliminary testing at a greater risk of failure during …

Development Of A Learning Support Program For Home Visiting Nurses To Utilize Physical Assessment Skills On Respiratory System, Rika Mitoma, Toyoaki Yamauchi

Biennial Convention (CONV)

Purpose: A purpose of this study is to establish a learning support program that makes currently working visiting nurses their respiratory physical assessment skills utilize, and to evaluate the efficacy of that program.

Methods: This study was a randomized controlled trial in which currently working visiting 57 nurses were randomly assigned to one of the two groups; the control group in which nurses would not have received any special support after training session and the experimental group in which nurses would have received support to utilize the knowledge and skills that had learned in the learning support program at their …

Nurse Leaders Create Structural Empowerment For The Electronic Age, Stephanie S. Poe

Biennial Convention (CONV)

Purpose: Global efforts are underway to implement health information technology (HIT) to enhance patient safety and improve patient care quality. The purpose of this presentation is to share how nurse leaders at a large teaching hospital are addressing the transition to HIT, a transition that presents unprecedented opportunity and challenge.

Methods: HIT can make vital contributions toward patient safety; it also has inherent risk. Nurse leadership in the selection, design, testing, implementation, and evaluation of HIT minimizes this risk and ensures high quality patient outcomes. A robust clinical informatics infrastructure was created to provide structural empowerment. This structure operates within …

International Collaboration: Using Skype To Facilitate Research For A Doctor Of Nursing Practice Capstone Project, Linda Costa, Zeenat Khan

Biennial Convention (CONV)

Purpose: This presentation describes the process used to complete a research study to implement clinical practice guidelines for ventilator-associated pneumonia (VAP) in Nairobi Kenya. The study was initiated by the Chief Nursing Officer at the University Hospital as her Doctor of Nursing Practice (DNP) Capstone Project. The faculty advisor and principal investigator for the study was in Baltimore Maryland.

Methods: Skype became the main method of communication for study development. The use of this technology provided the ability for the advisor to discuss the study with the DNP student and meet with the Nairobi clinical staff and practice mentor, the …

Developing And Implementing End Of Program Osce (Objective Structured Clinical Examinations) For An Undergraduate Bsn Program, Cecilia Flores, Jennifer Roye

Biennial Convention (CONV)

Project Summary: Final semester nursing students are required to obtain a minimum score on a standardized test to graduate. Although these tests are highly predictive of NCLEX success, a didactic exam cannot evaluate a students' readiness to practice clinically. In the summer of 2010, End of Program OSCE was designed to exam students' ability to perform safely in the clinical setting.

Methodology: A pilot study was conducted in the summer of 2010 to determine the clinical competency of 16 graduating senior nursing students. Students were tested on their ability to perform basic skills and to think critically as they cared …

Integrated Community Education Model: Breast Health Awareness To Impact Late Stage Breast Cancer, P. Renee Williams, Ladonna Kaye Northington, Tina M. Martin, Jean T. Walker

Biennial Convention (CONV)

The purpose of the study was to generate and test an integrated community education model in a medically underserved area that has evidence of significantly higher mortality rates from breast cancer. The goal of the project was to increase participation in breast health education, provide early screening and detection practices, and provide access to annual mammograms and referral sources for treatment of problems. A three pronged integrated community intervention model (faith based, community, and state agencies) was developed and implemented to impact late stage breast cancer diagnosis in an underserved rural area. A total of 53 participants attended four Pink …

Assessment Of Cardiovascular Disease Risk Factors Among School Children In A Private School, Karachi, Pakistan: A Pilot Study, Alia Nasir

Biennial Convention (CONV)

The prevalence of cardiovascular diseases is increasing in Pakistan due to unhealthy life style, and lack of awareness. As these diseases have their origin in the early period of life, therefore, the prevention of these diseases in early stage is necessary to prevent and control them. Identify the children at higher risk for developing CVDs at their later ages, and to provide more focused interventions for them. To determine the children's reported gaps in knowledge and attitude related to diet and physical activity. A cross sectional pilot study was conducted at a private school in Karachi, Pakistan. A total of …

Working Conditions And Job Satisfaction Of Staff Nurses, Areewan Oumtanee, Siriluck Kullawanitiwat

Biennial Convention (CONV)

The purposes of this descriptive research were to examine job satisfaction of staff nurses; and to analyze relationships and predictors of job satisfaction of staff nurses. Research population consisted of 345 staff nurses who working in a tertiary hospital. Research instruments were Work Environment (WE) including supportive leadership, management style, working culture, safety environment, personnel policies, and professional development; and Job Satisfaction (JS) Questionnaires. All instruments were examined for content validity and analyzed internal reliability. The Alpha coefficient WE and JS were .97 and .96, respectively. The data were analyzed by frequency, mean, standard deviation, chi-square, Pearson's product moment correlation …

Leadership Challenges: Capitalizing On Distance And Diversity, Marilyn D. Klakovich, Mary Stewart, Sharon K. Broscious, Kristin Hittle, Mansour Olawale Jumaa, Maria Roche-Dean, Elizabeth A. Carlson, Sandra J. Delack

Biennial Convention (CONV)

This presentation reports on the leadership challenges encountered when nine geographically and experientially diverse nurse leaders formed a team to co-author a manuscript. Using Authentic Leadership Theory as a framework, the successes and challenges of working in virtual teams are discussed. Over the two year Board Leadership Development Program (BLDP) experience, we communicated our respective experiences via newsgroup and email. Our unique experiences and lessons learned as Fellows led us to develop a reflective perspective of mentoring which was presented at the 41st Biennium. Subsequently, we received a request to convert this presentation into a manuscript. Thus a manuscript team …

Aging-In-Place In Rural And Urban Communities, Suzanne M. Dupuis-Blanchard, Lita Villalon, Odette Gould, Majella Simard

Biennial Convention (CONV)

In Canada, only 7% of older adults over the age of 65 years live in long term care facilities. The majority of seniors manage to live in their own home despite challenges. We have little knowledge, however on the needs of seniors, the services required to age-in-place, and the differences between rural or urban communities. This project highlights the needs of seniors living in a rural and an urban community in the province of New Brunswick, Canada and allows us to obtain a better understanding of home care services offered in the context of aging-in-place. The objectives of this qualitative …

Nurses For Tomorrow Fellowship Program: Developing Nursing Leaders For The Future, Carolyn Plummer, Debra A. Bournes

Biennial Convention (CONV)

Purpose: Developing leadership capacity among frontline nurses is critical to promoting strategic succession planning; addressing issues quality of work life for nurses; and fostering innovation at the point of care. The purpose of this presentation is to describe how one large healthcare organization developed and implemented a nursing fellowship program designed to engage nurses in dialogue about leadership theories and ideas, provide mentorship and support for nurses to develop and lead research or quality improvement initiatives to advance the strategic plan, and introduce nurses to project management and change leadership strategies. Methods: The program was implemented at a large academic …

From Controversy To Coherence: Implementing A Dnp/Phd Partnership Model To Improve Researchâ And Evidence-Based Practice, Elizabeth Nesmith, Regina Medeiros

Biennial Convention (CONV)

According to the American Association of Colleges of Nursing, the Doctor of Nursing Practice (DNP) role was developed in part to partner with Doctor of Philosophy (PhD) nurse researchers to inform and implement new discoveries in nursing science. The advent of the DNP program was met with much public controversy, including questions surrounding how the role would be implemented in the hospital setting. The concept has been very popular among nurses however, and has seen exponential growth with no concomitant development of models to guide role implementation. As of 2009, there were 5,165 students enrolled in 120 DNP programs across …

Self Injurious Behavior Among Nursing Students, Margie Eckroth-Bucher

Biennial Convention (CONV)

For the past 10 years there has been increasing attention to the phenomenon of self-injury -- the deliberate destruction of body tissue without conscious suicidal intent. Although the professional literature discussing non suicidal self-injury (NSSI) in the undergraduate population is sparse, estimates range from 7% over the past 4 weeks to 38% life time prevalence. The nursing education literature does not address this issue in its students, but anecdotal indices are that the phenomenon is present and may be increasing. Developmentally nursing students face the task of becoming responsible practitioners in a demanding profession. This educational process can be marked …

Healthy Work Environment Best Practices: Supporting Leaders In Evidence-Based Management Decision Making Towards Clinical Nursing Excellence, Irmajean Bajnok, Sara White, Linda O'Brien Pallas

Biennial Convention (CONV)

Healthy work environments are a critical component of quality patient care, nurse satisfaction, and organizational effectiveness. In an attempt to provide supports for those in leadership positions to enable evidence-based management decision making for quality care, a major professional association developed six foundational healthy work environment best practice guidelines. These guidelines enable evidence-informed management decision making in the areas of leadership, teamwork, professionalism, workload and staffing, cultural diversity in the workplace, and workplace health safety and well being, and facilitate clinical excellence. In 2005 a 4 year pilot project was commenced to evaluate the impact of implementing HWE BPGs on …

Recruitment And Retention Of Men In Nursing: A Global Challenge, Dale Lynn Rajacich, Sheila Cameron, Deborah Kane

Biennial Convention (CONV)

In terms of gender in nursing men represent only 5.8% of registered nurses in Canada (CIHI, 2008). Consequently, men remain an under-tapped resource in the discipline where they should reflect the diversity of the public it serves (Sherrod, Sherrod & Rasch, 2006). Using qualitative methodology three focus groups were held in different geographic regions of Ontario with men working in hospital positions. Specific research questions focused on a) the reasons for them entering the profession; b) the extent to which male RNs expressed satisfaction or dissatisfaction with various components of their work as nurses, and c) how their satisfaction/dissatisfaction related …

Dnp Scholarship: Developing The Genre Of Knowledge Translationâ And Dissemination, Mary F. Terhaar, Julie A. Stanik-Hutt

Biennial Convention (CONV)

Influencial authors lead the science and practice of nursing, yet curricula from baccalaureate through doctorate provide little instruction about the craft of writing. As a result, faculty and advisors shoulder the burden of teaching writing absent a standard derived of evidence. Students write and re-write papers without clear understanding of expectations; save conformity to APA format. Faculty correct and edit documents in which facts and argument are obscured by syntactical and grammatical error. Journals need to provide significant writing support late in the process of knowledge dissemination. The process is inefficient and does not achieve quality. Assuming the profession values …

Stress Vulnerability And Burnout In Nurses Working In Prison, Aida Cruz Mendes, Maria Claro

Biennial Convention (CONV)

Often mistaken for stress, burnout is an inadequate response to chronic occupational stress that can affect the quality of life of an individual or organization. Nurses performing their duties in prisons work with physically or mentally impaired people in a extremely difficult environment in which the specificity of their tasks, with a person-centered approach, require ability and availability to develop interpersonal herapeutic relationships, as well as conflict management skills. This study aimed to analyse stress vulnerability and its association with burnout among nurses working in prisons.

Method: Descriptive correlational study. Sample composed of 95 Portuguese nurses working in prisons. Stress …

An Innovative Approach To A Capstone Course Applied To A Pediatric Endocrine Unit With Integration Of The Carnegie Foundation Recommendations, Mary W. Stec

Biennial Convention (CONV)

The Carnegie Foundation for the Advancement of Teaching funded a study that examined essential qualities needed by professionals to function effectively in the practice of nursing. Through the examination of behaviors of graduate nurses, the researchers noted a gap between practice and education. Recommendations of the researchers (Benner, Sutphen, Leonard, and Day, 2010) included the need to improve the integration of concepts related to liberal arts education and to transfer knowledge learned in the classroom into clinical practice with the development of clinical reasoning skills and professional formation. This capstone course provides a link between the classroom and clinical environment. …

Leading The Change Process: Designing An Innovative Upper Division Bsn Curriculum, Muriel M. Shore

Biennial Convention (CONV)

(41st Biennial Convention) Addressing the work of the Carnegie Foundation for the Advancement of Teaching, Dr. Patricia Benner and the Robert Wood Johnson New Careers in Nursing Initiative to transform nursing education, Felician College recently completed a 2 year process of redesigning its traditional BSN 4-year Prelicensure Program to an Upper Division Program to be implemented fall 2011. The Dean's role in leading the Curriculum Redesign Committee (CRC) was significant in terms of incorporating leadership and change theory into the process. The CRC committee included senior and junior undergraduate and graduate faculty with varying degrees of academic and educational experience. …

Two Hospitals Collaborate To Reduce Medication Errors Using Human Factors Approaches, Theresa M. Pape, Sharon Kay Dingman, Sandy K. Urich, Jasmine Matawaran, Judith Walsh

Biennial Convention (CONV)

(41st Biennial Convention) Background/Purpose: Human factors science is an important consideration in preventing medication errors as interruptions continue to be leading causes of medication errors. Teamwork often helps prevent influences of outside forces upon the nurse during medication administration. The purpose of the study was to determine whether specific but different interventions at two hospitals in different cities would reduce medication errors and whether nurses would perceive a decrease in interruptions. Methods: Interventions in Hospital A included: a quiet zone, education, signs, checklist, and nurses carrying red folders containing medication sheets as a sign to not interrupt. Interventions in Hospital …

Disruptive Behavior: Understanding Factors That Cultivate A Code Of Silence, Deborah Dang

Biennial Convention (CONV)

(41st Biennial Convention) Healthy practice environments and organizational cultures of shared respect among healthcare providers are prerequisites for patient safety and quality care. There is substantial evidence that disruptive behavior, prevalent in all settings where health care is delivered, reduces clinician teamwork and communication, threatens patient safety, and negatively impacts staff recruitment and retention. Our study used an investigator-developed psychometrically tested tool to measure the phenomenon of disruptive behavior (DB) among professionals in the acute care setting. We used a mixed method design that included a 59-item survey and one open-ended question for participants to share personal experiences with DB. …

Dialogue Mapping: Facilitating The Design Of A New Primary Health Care Curriculum, Michael T. Clark

Biennial Convention (CONV)

(41st Biennial Convention) Purpose: This abstract is a report on a leadership project that used a computer supported facilitation method during the initial phase of a curriculum redesign process for nursing at Temple University. This curricular work is informed by recent recommendations put forth by the Institute of Medicine and the Robert Wood Johnson Foundation regarding the role of nursing in delivering primary health care. This leadership experience was supported by the Nurse Faculty Mentored Leadership Development Program sponsored by Sigma Theta Tau International. Methods: A method of group facilitation called Dialogue Mapping was used to facilitate faculty work in …

Lifelong Learning Of Professional Nurses, Bencharat Somgiat, Areewan Oumtanee

Biennial Convention (CONV)

(41st Biennial Convention) The purposes of this research were to study the lifelong learning and to examine the relationships between variables such as working position, achievement motive, perceived organizational support and lifelong learning of professional nurses. The samples consisted of 267 professional nurses working in Police General Hospital, Bangkok, Thailand and were selected by stratified random sampling technique. Achievement motive, Perceived organizational support and Lifelong learning were used as study Lifelong learning concept framework. These questionnaires were tested content validity and reliability with the Alpha of .92, .86 and .93 respectively. Statistical methods used to analyze the data were mean, …

The Perceptions Of How Critical Thinking Is Embedded In Taiwanese Nursing Students' Study: A Second Year Study, Li-Chiu Lin, Min-Zhu Ching, Jun-Ping Tung, Yung-Yu Su

Biennial Convention (CONV)

(41st Biennial Convention) This is a second year study of a three-year research for exploring how critical thinking is embedded in the five-year nursing education program in Taipei, Taiwan. However, the differences between these two years' investigation was that it had been reviewed the following things based on the results of the first year's experiments within the five-year nursing education program: (1) recognizing the importance of critical thinking in nursing education; (2) how to apply such method into the subject of professional nursing ethics within research targets; (3) understanding the influences and barriers in real nursing education program. The aim …

Lived Experience Of Mexican-Origin Clients With Hypertension, Donelle M. Barnes

Biennial Convention (CONV)

Background: Although the rate of hypertension is no higher for Mexican Americans than for whites, their rate of blood pressure (BP) control is lower once diagnosed. Health promoting behaviors, such as taking medication to promote cardiovascular health, have been correlated with perceived barriers to taking medication, social support of family and health care providers, and perceived self efficacy. Before interventions to improve BP control can be planned, we must first understand the meaning of the disease and its treatment, as well as barriers and facilitators to BP control, from the clients' perspective. The purpose of this study was to describe …

Student Perspectives On Classroom Participation, Collette Loftin, Lisa Davis, Vicki Hartin

Biennial Convention (CONV)

(41st Biennial Convention) Student Perspectives on Classroom Participation Encouraging students to participate during class is an essential step in facilitating learning and encouraging critical thinking. However, students remain reluctant to participate in classroom discussion for a variety of reasons. This study provides insight into students' perspective on classroom participation and recommendations to increase levels of student participation based on these insights (Loftin, Davis & Hartin, 2010). In this exploratory content analysis study, nursing students were asked what encourages them to participate in the classroom including asking questions, answering questions, or making comments. Credibility was addressed by the interviewer restating some …

Nurses' Practices For Patients' Alcohol Problems, Yu Ling Chou, Yun-Fang Tsai, Pei Kwei Tsay, Jeo Chen Teresa Yin

Biennial Convention (CONV)

(41st Biennial Convention) The aims of this study were to explore(1) nurses' practices for patients' alcohol problems, (2) nurses' confidence, responsibility, belief and knowledge about their practices for patients' alcohol problems, and (3) the impact of nurses' characteristics, personal experiences, confidence, responsibility, belief and knowledge on their practices for patients' alcohol problems. Cross-sectional design was adopted using purpose sampling and a regional hospital in central Taiwan and a medical center in southern Taiwan were used as study sites. A survey was a questionnaire was designed to collect the necessary data.Total of 172 nurses were participated in this study. The nurses' …

Forging The Pathway To Collaborative Scholarship Among Nursing Phd And Dnp Students, Tanya Sudia-Robinson, Susan Sweat Gunby, Susan J. Bulfin

Biennial Convention (CONV)

(41st Biennial Convention)

Purpose: In support of intra-disciplinary scholarship and emerging pathways for doctoral study in nursing, our PhD and DNP faculty and doctoral students embarked on the journey of shared learning and scholarship. This presentation provides an overview of the sequence of integrated courses.

Methods: During their first semester, students are jointly enrolled in two core courses addressing philosophical influences on nursing science and the cultivation of scholarship. In successive semesters, they are jointly enrolled in courses concentrating on scholarly writing; ethical issues; health care systems analysis; and grant writing. While the aforementioned courses are core for both the …