Digital Commons Network^™

Evidence-Based Practice Educational Programs And Patient Safety Related To Falls, Tammie Mann Mccoy

Biennial Convention (CONV)

Safety should be a top priority for health care providers and falls are frequently viewed as a primary safety concern. The National Patient Safety Goals require that facilities be aware of each patient's risk for falls and implement a plan to reduce the number of falls. The evidence has shown that multiple factors contribute to falls. Briggs and Steel (2007) identified poor vision, delirium, pharmaceuticals, a hazardous environment, and chronic dementing illness as contributing to a greater risk of falls. Toyabe (2010) identified having a history of falls, unsteady gait, weakness, and age over 65 years. A large rural hospital …

The Toxigen Initiative: Achieving Target Oxygen Saturations To Avoid Sequelae In Very Preterm Infants (Vpis), Charlene M. Deuber, Mary F. Terhaar

Biennial Convention (CONV)

Supplemental oxygen plays a key role in survival of Very Preterm Infants but not without risk. A safe range for oxygen saturation (SPO2) has been suggested, yet infants continue to be exposed to hyperoxia which induces significant sequelae.

Background: Longitudinal studies highlight the association of SpO2 readings above 92% ("hyperoxia") and the development of retinopathy of prematurity, chronic lung disease, and brain injury in VPIs.

Methods: Retrospective and prospective cohorts of VPIs were included. Oxygen saturation readings were archived in patient monitors, downloaded, and reviewed. Percentage of time above target oxygen saturation range was calculated for each infant in Cohort …

A Retrospective Study Of A Nurse Residency Program And Reports Of Job Satisfaction, Organizational Commitment, And Turnover, Kenneth W. Dion

Biennial Convention (CONV)

The aging population in the United States and the need for greater access to healthcare due to recent legislative reforms will result in an increased demand for registered nurses. However, meeting this demand will challenge healthcare organizations. Furthermore, reported turnover rates of newly graduated registered nurses range from 18% to 60% during the first year of employment. Healthcare organizations implementing structured nurse residency programs have reported success in stemming the tide of new graduate turnover. However, there is limited empirical evidence in the nurse residency literature regarding variables that are related to turnover rates of newly licensed registered nurses. The …

Collaboration For Community Health Assessment, Pamela Harrision, Paige Vacha

Biennial Convention (CONV)

The assessment of patterns of behavior and factors contributing to the state of health in each community is an essential element of health care reform and will be used to develop future plans for education, health promotion, and disease prevention. A partnership was formed between Indiana Wasleyan University (IWU) and Marion General Hospital to conduct a community wide health assessment for Grant County. Teams were developed comprised of senior nursing students enrolled in Leadership and Community Health nursing courses and social work majors from IWU for conducting the assessment. Instruments for data collection were developed using Center for Disease Control …

Registered Nurses And Influenza Vaccination: Changing Mindsets And Improving Compliance To Foster Global Health, Susan M. Mullaney, Coleen E. Toronto

Biennial Convention (CONV)

The Centers for Disease Control (CDC) and U.S. Advisory Committee on Immunization Practices (ACIP) recommend that all healthcare workers (HCW) receive influenza vaccination annually and consider it the most effective method for preventing influenza infection and its complications (CDC, 2010). Influenza causes about 226,000 hospitalizations and 36,000 deaths in the United States each year (CDC). However, 60% of registered nurses do not comply with these recommended vaccination guidelines (CDC, 2006), and it is disturbing that vaccination rates are lower among registered nurses than other types of HCW (Ofstead, Tucker, Beebe, & Poland, 2008). An integrative review encompassing international research was …

Filipino Professional Birth Attendants' Perceptions About Maternal Services And Childbirth At Home, Stephen C. Hadwiger, Mariquit C. Hadwiger

Biennial Convention (CONV)

The Department of Health-Republic of the Philippines (DHRP; 1999) reported prenatal care by a professional birth attendant (physician, nurse, or midwife) reduced risks during childbirth. One third of women in the Philippines use a traditional birth attendant (paltera) during childbirth (DHRP, 2003).  The purpose of this second phase ethnographic study was to describe maternal care services and perceptions among professional birth attendants from municipalities in Iloilo Province where Filipina mothers had previously been interviewed. A convenience sample of 15 licensed midwives and one registered nurse were interviewed regarding their services to Filipino mothers and perceptions about mothers' cultural beliefs. Fieldwork …

The Use Of Simulation For Pre-Service Education Of Midwives In Zambia, Lynda A. Tyer-Viola, Suzan Kardong-Edgren, Margaret Maimbolwa, Beatrice Zulu

Biennial Convention (CONV)

The largest health discrepancy in the world is maternal mortality with most deaths occurring around the labor and delivery and postpartum period. Sub-Saharan Africa shoulders most of the burden of maternal death and disability. The absence of skilled birth attendance such as qualified midwives is a leading factor in averting death and disability. Developing confidence and skill during training is essential to providing quality nursing care at birth. It is important to teach and practice the necessary skills in a close to realistic setting without harming real patients. The purpose of this study was to evaluate the integration of simulation …

Evidence-Based Practice: An Opportunity To Change The Culture Surrounding Clinical Research?, Annette Galassi, Meredith A. Grady, Linda K. Parreco, Anne E. Belcher, Clare Hastings, Elizabeth A. Ness, Ann O'Mara

Biennial Convention (CONV)

The majority of the general public believes that clinical research is important, but less than 5% of eligible adult patients participate in CT. While the public harbors mistrust towards some aspects of research, they do trust nurses. Nurses have the potential to affect CT accrual and the culture surrounding CR/CT, but lack the education to do so. Although the baccalaureate curriculum in the United States has included nursing research since the 1970s, much of the focus has been on teaching students the research process. With the introduction of the Institute of Medicine competencies for health professionals in 2003 and subsequent …

Filipina Mothers' Perceptions About Childbirth With A Traditional Birth Attendant, Mariquit C. Hadwiger, Stephen C. Hadwiger

Biennial Convention (CONV)

The maternal mortality rate (MMR) in the Philippines has not dropped significantly since the 5th Millennium Development Goal of WHO in 2000 (Ericta, 2007). High MMRs in developing countries were attributed to absence of professional birth attendants during childbirth (Koblinsky & Campbell, 2003). The purpose of this ethnographic study (Germain, 2001) was to explore pregnancy and childbirth perceptions among Filipina women from Iloilo communities in the Philippines who used a traditional birth attendant (paltera) for childbirth. A network sample of 26 Filipina mothers from three municipalities outside Iloilo City were interviewed; confirmatory visits were made to 15 mothers. Conventional content …

Building Nurses' Leadership And Research Capacity Through International Mentoring, Josephine Bassey Etowa, Adele Vukic, Ekaete Francis Asuquo

Biennial Convention (CONV)

The need to develop sound research to inform health care planning and policy development in health care is well documented. However, not all areas of health care have seen adequate research productivity and there is general under-utilization of research evidence to inform professional practice. In nursing, and among nurses, it has been recognized that there is insufficient leadership and research experience and skills necessary for knowledge production and quality, evidence-based nursing care. This is particularly problematic in low and middle-income countries (LMICs) where the issue of inadequate leadership and research capacity is more severe. A number of researchers have investigated …

Creating Cultures Of Partnership And Leadership Development Across North America, Sherry Parkhurst, Kathy Wyngarden

Biennial Convention (CONV)

The Partnership Culture Model represents both an infrastructure and a culture where partnering relationships thrive in order to achieve quality healthcare outcomes. Partnership cultures foster leadership and relationship development. Cultural transformation is initiated, adopted, and sustained via Partnership Council infrastructures. This session will explore how an international healthcare consortium of close to 300 settings is engaged in the implementation, sustaining and evolution of this model. A health system exemplar will showcase leadership development processes and outcomes, using the Partnership Culture Model. The Exemplar will describe: 1-Use of structured observation using benchmark measurements, and included sections on phase of development, council …

Bsn Graduates' Perceptions Of Liberal Education, Mary Hermann, Barbara Jones

Biennial Convention (CONV)

The purpose of the presentation is to inform the audience of the findings of this qualitative research study that explored the lived -experience of recent (BSN) graduates in a curriculum grounded in a liberal education. Recommendations for strengthening liberal and professional nursing learning connections impacting leadership capacity will be discussed. The phenomenological psychological philosophy of Paul Colaizzi (1978) provided the theoretical foundation for this study and guidance in the research methods. Dialogal interviews were utilized to collect qualitative data for the study. The interviews of twelve recent BSN graduates enrolled in a (ASN to BSN) program were audiotaped face to …

Exploring The Influences Of Homelessness On The Single Parent Family: A Grounded Theory Approach, Jane Marlene Langemeier

Biennial Convention (CONV)

The purpose of this study was to explore the influences of homelessness on the process of family life from the perspective of the single parent. A gap in knowledge supported an additional aim to discover how the homeless single parent perceives the impact of homelessness on the present and future life of the family. Lastly the study aimed to conceptualize the influences of homelessness for the single parent family. This qualitative study utilized a semi-structured, face to face interview approach to collect data. Glaser's (1978) qualitative grounded theory methodology guided data collection and analysis. Constant comparative analysis with open and …

The Effect Of The One-To-One Interaction Process With Group Supportive Psychotherapy On Levels Of Hope, Anxiety, And Self-Care Practice For Patients That Had Experienced Organ Loss, Manyat Ruchiwit

Biennial Convention (CONV)

The purpose was to study the effect of the one-to-one interaction process with group supportive psychotherapy on levels of hope, anxiety, and self-care practice for patients that had experienced organ loss. Eighty patients from the orthopedic surgery, gynecology, and eye units of the University Hospital were selected by matched pairs. Simple random sampling was used for the experimental and control groups, which consisted of forty pairs. They were paired according to gender, interval of age, type of organ loss, and time length of organ loss. Hope and self-care practice assessments were used. Assessment of anxiety levels was conducted by the …

Factors Predictingâ The Work Happiness Of Professional Nurses, Areewan Oumtanee, Kongkwan Boonyarak

Biennial Convention (CONV)

The purposes of this research were to study work happiness of professional nurses; to examine relationships among personal factors, healthy working environments, work characteristics and work happiness; and to analyze predictors of work happiness as perceived by professional nurses in Police General Hospital, Bangkok, Thailand. The research subjects were 267 professional nurses who were selected by multi-stage sampling. Research instruments were personal factors, healthy work environments, work characteristics, and work happiness questionnaires. The content validity index of healthy work environments, work characteristics, and work happiness questionnaires were .92, .96, and .92, respectively and the reliability was tested by Cronbach's alpha …

Transitioning From Clinician To Clinical Educator, Karen H. De La Cruz

Biennial Convention (CONV)

The shortage of educators has had a great impact on the ability of the current educational system to oversee the number of students interested in the profession of nursing. The AACN reports that approximately fifty thousand qualified applicants were denied entrance into nursing schools for the 2008-2009 school year for this reason. To alleviate the educator shortage, hiring practicing RNs as clinical educators has become common. These nurses are often unprepared to navigate the labyrinth of the academic milieu. Faculty with a solid grounding in clinical practice and academic experience developed and implemented a program to transition hospital based nurses …

Our Global Partnership With The Dominican Republic: Improving The Health Of Children, Andrea Mccrink, Nancy Cole, Helen C. Ballestas

Biennial Convention (CONV)

The United States Agency for International Development has identified the need for sustained improvement in the health of vulnerable populations around the world. One such vulnerable population can be found in the Dominican Republic; specifically, the vulnerability of children exposed to health risks. With the goal of improving the health care of children in the Dominican Republic, a partnership with the International Hospital for Children and Adelphi University School of Nursing was developed. One of the ways of meeting this goal would be to increase the knowledge and skill set of nurses who work with children in the Dominican Republic. …

Academic Service Partnerships: Building Bridges In A City Of Bridgesâ And Beyond To Enhance The Student Experience, Melanie Shatzer, Sandra Rader, Holly L. Lorenz

Biennial Convention (CONV)

The UPMC Academic Service Partnership Council (ASPC) is comprised of academic partners who use the twenty UPMC hospitals and their other healthcare settings for clinical experiences. Academic partners represent doctorate, masters, baccalaureate, associate and hospital-based diploma degree programs. In addition to our regional academic partners the council has service representation from UPMC nursing leaders and executives. The mission of the council is to collaboratively create systems which support the finest clinical experiences at UPMC, the comprehensively prepared new graduate prior to practice, and focus on hiring and retaining the most talented and the brightest in new graduates. With approximately 2500 …

When Paradigms Collide: Implications For Transforming Nursing Practice, Susan M. Dyess

Biennial Convention (CONV)

There is compelling evidence to support the link between healthy work environments, quality healthcare outcomes, patient safety, nurse retention and satisfaction in acute practice environments. Additionally, numerous professional organizations acknowledge the importance of not only achieving the stellar environments of care, but also advancing a conspicuous link to nursing theoretical frameworks within the practice environments. In response to the evidence and within a participatory action research (PAR) approach, a college of nursing and a for- profit acute healthcare organization developed acollaborative initiative to integrate caring theory within a specific nursing practice environment. The ongoing research initiative yielded findings at one …

Reiki: A Complementary, Biofield Therapy For Management Of Postoperative Pain, Robin Toms

Biennial Convention (CONV)

There is increasing interest in complementary and alternative therapies that do not rely on expensive, invasive technology, and are holistic in focus. Such therapies could improve pain management in the poorest of countries globally. Research has shown the benefits of combining conventional, Western, pain management with CAM (Olson, 2003; Gillespie, 2007; Olson, 2003; Vitale, 2006 ;). Reiki, a complementary therapy, is a form of energy therapy in which the focus of the practitioner, with or without light touch, is believed to access universal energy sources that can assist in balancing the biofield and strengthening the body's ability to heal itself …

Global Perspectives On The Ministry Of Parish Nursing Practice: Frequently Used Interventions By Parish Nurses In Swaziland, Africa, United Kingdom And United States, Phyllis Ann Solari-Twadell, Helen Wordsworth, Cynthia Gustafson

Biennial Convention (CONV)

This presentation compares data from a replication of a national study of most frequently used nursing interventions by parish nurses in the United States. The purpose of the international studies is to identify the most frequently used interventions by parish nurses in Swaziland, Africa and United Kingdom. These international findings are compared with the national study done in the United States. The design of the studies is descriptive and cross sectional Respondents used a survey consisting of 486 nursing interventions included in the Nursing Intervention Classification System. The survey used a five point scale using rarely if at all, about …

The World-Wide Evidence-Based Practice Agenda: Proof, Power, Prestigeâ And Cash, Patricia A. O'Malley

Biennial Convention (CONV)

This session explores the unspoken reality in health care- that evidence based practice is not necessarily true or ethical. Creation and application of evidence must be based on nursing's primary ethics as described in the American Nurses Association (ANA) Code of Ethics. Ethical as well as unethical use of evidence over the past 30 years will be explored. Right uses of evidence using the ANA Code of Ethics will be demonstrated by providing practical tools with case study applications. Tools provided will be resources for nurses from the bedside to the board room designed to prevent moral distress, patient dissatisfaction …

Post Disaster Assessment And Enhancement Of Social And Occupational Functioning In Haitian Nurses, Faculty And Students, Kim Robinson, Ellen L. Palmer

Biennial Convention (CONV)

To assess the prevalence of post-traumatic stress disorder (PTSD) and depression among Haitian nurses at the International Child Care-Haiti, Inc., and the faculty and students at the National Haitian School of Nursing to determine their social and occupational functioning and to enhance theri resilience through an evidence-based treatment. Using the subject's scores on two assessments, a classroom-based cognitive behavioral intervention will be designed for use by the Haitian Directors of Nurses at both facilities to provide the subjects with coping skills that enhance resiliency. The two instruments are 1) the Clinician Administered PTSD Scale (CAPS) is a 30 item assessment …

Political Participation Of Registered Nursesâ And Factors Influencing Participation, Christine Vandenhouten, Crystalmichelle Malakar, Susan Gallagher-Lepak, Sylvia Kubsch, Derryl Block

Biennial Convention (CONV)

U.S. registered nurses (RNs) are 2.6 million strong yet there is limited data about their political participation (US Department of Labor, Bureau of Labor Statistics, 2009). Using the Civic Voluntarism Model (Verba, Schlozman, & Brady, 1995), this descriptive, predictive study measured political involvement of RNs, and factors affecting their participation including resources, psychological engagement, and recruitment networks. A sample of 468 RNs from the Midwest completed a 79 item on-line survey (Cronbach's ?= .95). Psychological engagement was most predictive of political participation with the dimensions of political interest, political efficacy, and political information/knowledge highly significant. While respondents reported it was …

Promoting The International Transfer Of Nursing Knowledge: The Early Planning Stage, Holly J. Diesel, Patrick Ercole, Neal Rosenburg, Donna Taliaferro

Biennial Convention (CONV)

When meeting a challenge, nursing educators produce innovative ways of transferring knowledge in their home environments. Originality is especially unique when the challenges of providing quality care are examined from a resource limited and global perspective. Searching for optimal methods of implementing knowledge transfer and facilitating the development of future nurse leaders, an approach was selected to promote local initiatives aligned with increasingly decentralized educational structures. This abstract presents the developing partnerships formed between nursing faculty and students in the United States and Cameroon, West Africa. The educational innovation was predicated on a need identified by the Cameroonian students. The …

Variables Associated With The Response Of Health Care Professionals To A Public Health Event (Phe), B. Susan Connor

Biennial Convention (CONV)

Whether or not healthcare professionals respond to a public health event (PHE) is a vital concern for a community. Although response rates, abilities and willingness to respond have been the focus of numerous research studies, little is known about how disaster response education is related to healthcare professionals' attitudes, beliefs and intent to respond to a PHE.

Aim: We examined relationships among healthcare professionals' characteristics, preparedness education, and their intent to respond to a future PHE.

Methods: We developed a theory of planned behavior (TPB)-based survey and pilot tested it. Then, a cross-sectional design, with one wave of data collection, …

The Experience Of Transition To Adulthood For Youth With A Neurological Condition, Monique Ridosh, Patricia Braun, Gayle M. Roux, Melissa Bellin, Kathleen J. Sawin

Biennial Convention (CONV)

Background. The lifespan of young adults with neurological conditions such as spina bifida (SB) has increased as a result of effective health management in developed countries. As young adults with SB live longer, their healthcare needs evolve and are dependent upon successful transition experiences. The purpose of this study was to examine the transition to adulthood in young adults with SB and identify opportunities for interventions to improve health outcomes. Methods. This qualitative study using narrative inquiry was part of a larger multi-site study. Interviews were completed on 10 participants with SB ranging in age from 18-25 years. The guided …

Global Leadership And Development Of The International Family Nursing Association, Donna Miles Curry

Biennial Convention (CONV)

Purpose: A 25 year STTI member will share her personal leadership development story, reflecting how leadership skills and experiences gained through STTI facilitated her role in the development of a new international nursing association. Methods: At the chapter and international level STTI has sought to mentor and develop new leaders. This member has progressed through chapter roles such as board member, faculty councilor and chapter president and currently serves as a regional chapter coordinator. This STTI member was part of a group of volunteers or coordinating committee who initiated planning for an organized association for family nursing at the 7th …

Global Collaboration In Bolivia Promotes Advancement Of Oncology Nursing, Frances M. Rice-Farrand

Biennial Convention (CONV)

Significance & Background: In South America, Bolivia is the poorest country. Over 45% of the new cases and 37% of cancer-related deaths are related to cervical and breast cancer. Major health problems result from inadequate knowledge related to cancer when diagnosed with cancer, many Bolivians are told to go home to die. In Cochabamba, a support group of cancer survivors and cancer care providers collaborated with American nurses develop cancer education and awareness. Interventions: We provided written information in Spanish and CDs demonstrating screening techniques. Over 115 individuals were screened for cancer during our community outreach. During a week-long family …

Community Acquired Mrsa: Evidence-Based Protocol For The Emergency Department, Anita Dawn Barnes

Biennial Convention (CONV)

Educational meetings with nurse practitioner and physician assistant providers were conducted in a hospital emergency department (ED) to increase provider knowledge of the evidence-based (EB) treatment of community acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) skin and soft tissue infections (SSTIs). An evidence-based protocol was implemented in the ED for the treatment of nonpregnant patients ages 21-49 years old with suspected CA-MRSA SSTIs to provide an effective, consistent treatment plan in order to decrease complications and prolonged pain. Increased provider knowledge culminates in better quality of care for patient presenting to the ED with CA-MRSA SSTIs. An evidence-based protocol guides providers in …