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Assessment Of Educational Effectiveness Of Applying Nightingale's Concept Of "Disease" To Promote The Reflection Of Life Style Of Nursing Students, Shu Chun Chien, Akiko Nagata, Shinobu Saito, Natsuko Nitta, Toshie Yamamoto, Yoshiko Wazumi, Sachiko Tsubaki, Hitomi Yamagishi

Biennial Convention (CONV)

Purpose: This study is to assess the educational effectiveness of applying Nightingale's concept of "Disease" to promote the reflection of life styles of nursing students. Nightingale descripted disease as, "a reparative process." She went on to say, "The reparative process which Nature has instituted, and which we call disease, has been hindered by some want of knowledge or attention, in one or in all of these things and pain, suffering, or interruption of the whole process sets in". According to the above concept we can find one very important principle hidden in Nightingale's thinking. That is, if we know what …

Conflict Is Not Common In Our Workplace, Shirley May Newberry, Rebecca L. Inglis, Ana M. Schaper

Biennial Convention (CONV)

Purpose: To describe results of a baseline assessment of conflict in the workplace and present implications for initiating an intervention program. A national survey (Dewitty et al, 2009) indicated that 53% of nurses reported conflict as "common" or "very common" in the workplace. Conflict situations can lead to poor patient outcomes. To improve patient care quality and safety, a conflict engagement program, developed by the Center for American Nurses (centerforamericannurses.org), was implemented. A first step was to assess staff nurses' perceptions of conflict prevalence and type, and to gain insights into their interpretation of the baseline data.

Methods: Survey Monkey …

Online Support For Informal Caregivers: Psychosocial Outcomes, Evelyn R. Hayes, Cynthia A. Diefenbeck, Paula Klemm

Biennial Convention (CONV)

Purpose: To evaluate whether psychosocial outcomes in family caregivers of people with chronic disease differ, based on the format of online group support. Background and Significance: Fifty million Americans care for family members with chronic illness. Research on the psychosocial effects of caregiving on informal caregivers is lacking. Sample: Individuals at least 21 years old, employed, and providing care to family member with a chronic condition.

Method: Randomized longitudinal design, comparing two types of online support groups (moderated; peer-led) on the basis of three principal measures (depressive symptoms, caregiver burden, quality of life).

Results: Forty-four subjects participated (female=40; male=4). Twenty-four …

What Do Adolescents Think About Teen Parenting?: Informing Policy With Research, Judith Herrman

Biennial Convention (CONV)

Purpose: While teen birth rates have declined, selected groups of adolescents continue to experience parenting. Although many adults share beliefs about the costs associated with teen parenting, the attitudes of teens are not known. This session will present the findings of focus group and survey studies designed to determine teen perceptions of adolescent births. Theoretical Framework: This research is based on the theory of reasoned action in which perceived costs and rewards guide decision-making and behavior. The framework was used to construct the survey and focus group guide, to organize qualitative and quantitative data, and to analyze findings.

Methods: Two …

Nurse Practitioners' Non-Billable Activities, Thomas Kippenbrock, Bill M. Buron, Ellen Odell

Biennial Convention (CONV)

A descriptive non experimental research study was conducted to describe the type of activities and duration of time that nurse practitioners devote to non-billable work and compare these activities with internists. One month of NPs office visits and non-billable activities (frequency and duration of time) were collected in two primary care clinics. NPs kept personal logs to track telephone calls, prescription refills, emails to patients or guardians, laboratory reports, imagery reports, and consultations. The findings were NPs reported working 40 hours a week, whereas the physician group used for comparison (Baron, 2010) reported working an average 55 hour work week; …

The Lived Experience Of Inpatient Education Among Parents With Children Newly Diagnosed With Acute Lymphocytic Leukemia (All), Jesusa Chua

Biennial Convention (CONV)

A new diagnosis of cancer in a child can become the most challenging event in a parent's life. The multi-faceted therapies, as well as the prospect of complicated home care can add more stress into a parent's already trying experience; making the task of inpatient discharge education tricky. Little is known about the lived experience of inpatient education among parents of children with a new oncology diagnosis. The purpose of this study was to explore this experience using a phenomenological approach. Seven semi-structured interviews were held with parents of children newly diagnosed with Acute Lymphocytic Leukemia (ALL) within the past …

An Intervention To Test The Adolescent Maternal Confidence Learning Model, Lanell Harrison

Biennial Convention (CONV)

A quasi-experimental design was used to test the Adolescent Maternal Confidence Learning Model. 102 participants were recruited from two sites with 54.9% (n = 56) from an alternative school for pregnant and parenting teens (control group) and 45.1% (n = 46) from a teen support group (intervention group). Subjects completed a demographic data questionnaire, the Maternal Confidence Questionnaire (MCQ), the Maternal Attachment Inventory (MAI), and the Baby Basics Knowledge Survey (BBKS). The control group was asked to return four weeks later to complete post-testing. The intervention group attended Baby Basics 101 classes once a week for four weeks. Upon completion …

Prevention And Promotion Of Oral Health For Children, Marlene Huff, Peter Leahy, Diana Biordi, Sherrey Thacker, Marianne Norris, Marguerite Dimarco

Biennial Convention (CONV)

Access to dental care is a national problem. Nurses and Dietitians have a responsibility to empower mothers and their children to maintain good oral health. To address this need, a grant from The Kellogg Foundation provided money to focus on lower-income WIC children, a segment of the population particularly prone to dental decay. Children under the age of 5, received fluoride varnish to their teeth and education about nutrition and care of their teeth and mouth.

Design: This pilot study used a descriptive research design to answer the research questions: 1) What is the present condition of teeth in children …

Development Of A Collaborative Mentoring Program For Nursing Students At-Risk For Academic Or Nclex-Rn Failure, Kathaleen C. Bloom, Lillia Loriz

Biennial Convention (CONV)

Advances in biomedical sciences and medical interventions and the increasing complexity of health care delivery systems require changes in the way nurses are educated and practice. A series of reports over the past decade (AHA, 2002; IOM, 2001; IOM, 2003; JCAHO, 2002) confirm the need for a better educated nursing workforce, and for changes in overall health care delivery. This is underscored by the second recommendation in the recent Institute of Medicine (IOM) report (The Future of Nursing: Leading Change, Advancing Health): Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic …

Stroke Care Across The Continuum, Connie Ann Scott, Kathleen Jochem

Biennial Convention (CONV)

As part of our hospital's mission to improve life we chose to focus on enhancing stroke care from prevention to discharge home. We were determined to achieve Primary Stroke Center Certification to communicate our desire to optimize outcomes in patients with acute strokes. A multidisciplinary team including physician and nurse champions, community outreach, prehospital, hospital and rehabilitation staff was formed. We utilized evidence based guidelines from the American Stroke Association and The Joint Commission's Stroke Core Measurement Set to evaluate our stroke care and guide improvements. Multiple initiatives have resulted from our team efforts. We have implemented a stroke alert …

Exerting Leadership With Students In The Utilization Of Social Networking Sites, Carole A. Mckenzie, Cheryl K. Kent

Biennial Convention (CONV)

As social networking sites and new communications technology become more enmeshed in the fabric of everyday life, the professional, ethical and legal implications of this sociological phenomenon are just beginning to emerge in the literature. As professional programs begin to struggle with the consequences, both educationally and in the professional practice setting, educators need assistance with how to manage these issues. In nursing, the legal ramifications may also include the possibility of Health Insurance Portability and Accountability Act (HIPAA) violations. For all educators, the Family Educational Rights and Privacy Act (FEERPA) comes into play in terms of how information is …

Psychometric Properties Of A Mental Health Service Barrier Assessment Tool For Asian-Americans, Kunsook S. Bernstein

Biennial Convention (CONV)

Barriers to mental health service utilization among Asian Americans have been studied with no well tested barrier assessment instrument. The primary aim of this study is to evaluate psychometric properties of the Mental Health Service Barrier Assessment (MHSBA) instrument developed by the researchers to assess under-utilization of mental health services in 225 Korean Americans. The reliability of the instrument was high, with Cronbach's alpha, 0.93. Five distinct factors (dissatisfaction with service, lack of resources, attitude toward health care treatment, cost, and personal belief) and 3 additional clinically relevant factors (shame, family issues, and other resources) were identified. Also, the correlation …

Community And Global Initiative: Faith-Based Palliative Care Initiative, V. Dare Domico, Elaine C. Harris, Linda A. Streit

Biennial Convention (CONV)

Communities of faith are often significantly affected by illness, care giving issues, end of life needs, and grief of their members. Through combined efforts from interdisciplinary health care members and key community constituents, training programs were initiated to assist church leaders in providing non-medical comfort care to people with life-limiting illness or who are near the end of life. The purpose of the two-phase initiative was to test the feasibility of an interdisciplinary university-community service learning project. The project was designed to enhance undergraduate and graduate education with service learning opportunities unavailable in the classroom. The project incorporated interdisciplinary collaboration …

Fact Or Fiction?: Busting The Myths Surrounding New Graduate Rn Transition, Linda J. Patrick, Kathryn A. Pfaff, Jennifer N. Parent, Judy A. K. Bornais

Biennial Convention (CONV)

Despite a variety of supportive initiatives, new graduate Registered Nurses (RNs) continue to report significant challenges when making the shift from academia to professional practice. The stressors associated with transition have been widely studied for decades; however, more recent work in this area suggests that new graduate RNs often experience a debilitating period of "transition shock" (Duchscher, 2001). Persistent stress is associated with burnout, a phenomenon known to hamper retention of new graduate RNs. In Canada, burnout can occur within the first two years of practice (Canadian Nurses' Association, 2006), with a significant number of new graduates leaving nursing positions …

Registered Nurses' Perceptions Of Being Present For Their Patients, Carol Toliuszis Kostovich, Eileen G. Collins, Lee A. Schmidt

Biennial Convention (CONV)

Evidence-Based Practice Session. The process of providing nursing care encompasses technical knowledge-based psychomotor skills as well as the interpersonal connection with patients. The Presence of Nursing Scale-RN version (PONS-RN) was developed to measure this phenomenon of both "doing for" and "being with" patients from the nurse's perspective. Content validity was established by two experts in nursing presence. Content adequacy was determined by 21 registered nurses currently working in a direct caregiver role. This resulted in a 32- item instrument with items rated on a 5-point Likert scale. The PONS-RN was tested with 89 RNs working in a Veterans Affairs hospital …

A Comparison Of Professional Values Of Taiwanese And American Nursing Students, Danita Alfred, Pamela Martin, Susan P. Yarbrough, Liching Sung Wang, Yu-Hua Lin

Biennial Convention (CONV)

Globalization is a part of our modern life and what happens on one side of the world is known on the other side in a matter of seconds. Nurses move across borders to respond to global events, continue their education, and conduct research. Sharing a common set of professional values is critical in this global environment. The purpose of this research was to examine the professional values of nursing students from two distinct cultural perspectives on opposite sides of the world. We partnered with nurse educators in Taiwan to compare professional values of graduating nursing students in a Taiwanese and …

Healthy Heart Initiative: An Apn Model Of Care For Reduction In Hf Readmissions, Judith Ann Kutzleb

Biennial Convention (CONV)

Heart Failure (HF) continues to be a major public health problem associated with high medical resource consumption, frequent and costly hospital admissions, and ultimately high mortality rates. Randomized control trials (LOE I/II) showed that patient education for disease self-management in concert with a multidisciplinary approach can improve clinical outcomes and reduce the number of admissions for worsening heart failure and/or all cause death when compared to usual care. The purpose of this program was to implement practice change for HF patient management in the acute care setting. The protocol includes patient referral to the Health Heart Initiative APN team upon …

Connecting People And Knowledge: The Struggles And Triumphs Of An Evidence-Based Practice (Ebp)/Research Shared Governance Council, Rebekah Powers, Christina Ramdeo

Biennial Convention (CONV)

In late 2007 a 300 bed County Hospital created an EBP/Research Council as part of a shared governance structure. Members were solicited from nursing staff and academic institutions. Meetings were scheduled quarterly, but had poor attendance. The staff nurses assigned to the council were inexperienced in evidence-based practice and the research process time passed without much progress. The Council was floundering. Barriers to council success were identified as knowledge deficit, available resources, timing of the meetings, turnover of council members, and engagement of the nurses in the EBP/research process. In 2008 registered nurses participated in an IRB approved survey on …

Promoting Functional Health Literacy Of Village Health Volunteers By Adra Training Model, Wattana Rattanaprom

Biennial Convention (CONV)

In recent years, Thai people have suffered from preventable diseases such as accident, drugs abuse, smoking, hypertension, diabetes mellitus and HIV-AIDS, all of which are increasing rapidly. These reflect well being of Thai people. The problem is lack of quality training and usually focusing on health-related contents rather than health literacy in the community. The training program of 5 domains Functional Health Literacy (FHL) was implemented in June-July, 2010 at Taysampao Village, NakhonSiThamarat Province. The 5 domains are Access (Ac), Understanding (Un), Assessment (As), Utilization (Ut) and Communication (Co). Each of them were described and divided into 5 levels. The …

The Establishment Of An International Collaboration To Support The Implementation Of An Illness Management And Recovery Programme For Consumers With A Severe Mental Illness In The Netherlands, Peter J. J. Goossens, Monique M. J. Engelbertink

Biennial Convention (CONV)

In the Netherlands, the concept of recovery in mental health care has taken on new meanings in recent years that emphasize personal empowerment and de-emphasize traditional medical definitions focusing on the absence of psychopathology. According to Anthony, "recovery involves the development of new meaning and purpose in one's life as one grows beyond the catastrophic effects of mental illness." Essentially, recovery can be thought of as managing one's illness so that the person can develop or regain a sense of self and place in society. Illness Management and Recovery (IMR) is a curriculum-based approach to helping consumers of mental health …

Depression Screening As A Service Learning Activity In Community Health Nursing, Robert Gordon Jr. Hanks, Diane Mitschke, Aaron Mitschke

Biennial Convention (CONV)

Integrating service learning into baccalaureate nursing courses has been viewed as a positive enhancement to the learning process for both nursing student and the service recipient. This particular service learning event involved nursing students screening low income Latino patients for depression using the Patient Health Questionnaire (PHQ-9) and a brief demographic survey at a free clinic in a large southwestern metropolitan area. In this IRB approved study, patients were screened before seeing the medical provider by nursing students trained in the use of the PHQ-9 and supervised by nursing faculty. Spanish and English versions of the PHQ-9 were available to …

Preventing Lymphedema For The Post-Mastectomy Patient With Papilla Gown And Education, Ho Soon Michelle Cho, Hong Zhao, Tara Fedric, Roshni Rao, Gail C. Davis, Mary G. Yousef, Xian-Jin Xie, Marilyn A. Leitch, Xian-Jin Xie, Jae Eun Paek

Biennial Convention (CONV)

Jackson-Pratt drains are placed in the surgical site and remain there for seven to fourteen days to prevent fluid build-up and facilitate healing. Immediately after mastectomy, patients experience of a number of physiological and psychological problems that may include discomfort and later complication of lymphedema. There were 145 women randomized to one of four groups: education only, gown only, education and gown, and routine education and routine gown. All 145 participants completed the study questionnaires before surgery and at 1 week, and Forty six (32%) of these participants completed the questionnaires at 6 months postoperatively. The setting for the study …

Nursing Students Experiences With Interdisciplinary Service Learning In Belize, Dawn Garrett-Wright, Eve Main

Biennial Convention (CONV)

Nursing faculty and students from Western Kentucky University have been participating in an interdisciplinary service learning project in Gales Point, Belize. The purpose of the current study was to examine the students' perceptions of the effect of participating in this program on their cultural awareness, nursing skills and future professional and personal plans. An exploratory qualitative study was undertaken to address the research question. Participants included seven BSN/MSN students who participated in the IMPACT Belize service learning project in Winter Term 2010. Students kept journals during the orientation period before the trip, on the eight- day trip, and after the …

Surprise Findings From Pediatric Medication Administration Osce Research: It's Not Only About The 5 Rights!, Mary A. Cazzell

Biennial Convention (CONV)

One in ten patients is harmed while receiving health care in hospital settings (World Health Organization [WHO], 2008). The WHO has highlighted patient safety research as essential toward identifying major modifiable factors leading to unsafe care and patient harm globally. The Objective Structured Clinical Evaluation (OSCE) allows nurse educators an opportunity to evaluate skills important to patient safety, teamwork, and communication. Nursing literature discusses problems seen when nursing students administer medications: incorrect calculations, poor hand hygiene, not checking patient identification, and not completely addressing the 5 rights of medication administration. Not all pediatric hospitals allow nursing students to administer medications …

Implementation Of An Obstetrical Rapid Response Team, Patricia A. Heale

Biennial Convention (CONV)

Over the last decade there has been a significant increase in the maternal mortality rate from 6.6 deaths per 100,000 live births in 1987 to 13.3 deaths per 100,000 live births in 2006. Following a series of near misses the hospital initiated an investigation into the management of obstetrical emergencies. The OBRRT concept was to bring additional care providers to the bedside prior to a true emergency. The concept was presented at multi-disciplinary meetings, at various levels throughout the organization and was inclusive of all stakeholders who were instrumental in reviewing systems and processes. The goals for establishing an OB …

Good Work In Nursing: A Qualitative Study Of Perceptions Using Interviews Of United States Bsn Graduates Upon Entry Into Practice, Dorette Sugg Welk, M. Christine Alichnie, Margie Eckroth-Bucher

Biennial Convention (CONV)

Powerful market forces have been competing with the values and ideologies of the nursing profession. Efforts to reduce the nursing shortage through identification of issues that affect retention and avoid "burn-out" of nurses are in order. The purpose of Phase I of this qualitative longitudinal study was to understand the perceptions of new BSN graduates about what constitutes good work in nursing as they enter their first professional positions. A purposive sample of 12 graduates met criteria as having fewer than three months of experience in the work environment and a recommendation from a faculty member regarding the graduate's conscious …

Outcomes Of Evidence-Based Practice Education In Bedside Nurses: A Qualitative Study, Laurie A. Sparks, Karen A. Balakas

Biennial Convention (CONV)

Practicing nurses today are expected to incorporate best evidence in their care. Evidence-based practice (EBP) has become recognized as the gold standard of care, prompting many healthcare organizations to invest resources into the creation of a culture that sustains the use of evidence for direct care decision-making. Previous research has focused on nurses' knowledge and attitudes regarding EBP and this data has indicated an inability of nurses to incorporate EBP in daily practice. Although outcomes of an EBP program are often measured in terms of completed projects, the goal of our program was to change the clinical decision-making of the …

Prenatal Fatigue And Quality Of Life Of Pregnant Women Over 26 Weeks Of Gestation, Ching-Yu Cheng, Shwu-Ru Liou, Panchalli Wang

Biennial Convention (CONV)

Pregnant women have high rate of experiencing fatigue, which may impact women's quality of life (QoL). The purposes of his study were to examine relationship between fatigue and QoL (general, physical, mental, and social health) of women in the third trimester. The study was a cross-sectional design with snowball sampling. Data from 128 pregnant women without pregnancy-related physical/mental complications in Taiwan were analyzed. They were at 32.66 (SD=3.76) gestational weeks and were 40.41 (SD=4.30) years old. About half of them were primiparous (55%) and employed (57%); had an education higher than high school (59%) and planned for the pregnancy (51%). …

Chief Quality Officer Rounds: Chartingâ A New Course For Performance Improvement, Courtney B. Vose, Nicole M. Hartman, Maureen T. Smith

Biennial Convention (CONV)

Reimbursement changes from the Centers for Medicare and Medicaid Services and value based purchasing systems have made performance improvement more crucial then ever. A voluminous amount of data collection is the norm within acute care environments, however, robust analysis of and subsequent action plans that truly enhance quality outcomes is often lacking. This presentation describes a successful performance improvement model implemented throughout a patient care division, inclusive of medical-surgical and critical care units, in an academic, community Magnet hospital. Root cause analysis and an evidence review prompted development of a quality model inclusive of four key elements: prioritization and exclusivity; …

Evaluation Of The Supportive Needs Of Adolescents During Childbirth (Snacâ©) Intervention, Donna J. Sauls, Jane S. Grassley

Biennial Convention (CONV)

Research of interventions that assist adolescent mothers to have positive experiences during childbirth and initiating breastfeeding is lacking although breastfeeding provides health benefits for women and their children. In studies of adult women, effective labor support by intrapartum nurses have facilitated positive childbirth and initial breastfeeding experience. Adolescents, however, have differing needs related to childbirth and breastfeeding support. Therefore, this study investigated the effectiveness of a theory based nursing intervention (SNAC) designed to facilitate a positive childbirth and initial breastfeeding experience for adolescents. A quasi-experimental study was conducted with a sample of 106 adolescents. Adolescents in the experimental group reported …