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The Development And Testing Of The Acp Communicating Confidence Scale, Chiu-Chu Lin, Jui-O Chen

International Nursing Research Congress (INRC)

Psychometric properties indicate that the newly formulated ACP Communicating Confidence Scale is a valid and reliable tool. Manager may adopt this tool to assess nurses’ level of confidence from which identify the nurses having low confidence, and further establish interventions to enhance their confidence to promote the ACP.

Improving Responsiveness Of Hospital Staff To Drive Hcahps Scores, Suzanne Mcdaniels

International Nursing Research Congress (INRC)

This project examines the utilization of Hildegard Peplau’s interpersonal relations theory as the foundation for a robust formula targeting patient satisfaction scores in a community hospital setting in the Northeast United States. Significant gains were achieved without great expense of wither financial or human capital.

How Innovative Rural Nursing Will Reduce Rural Opioid Use And Transform Global Nursing Scholarship, Tami L. Thomas, Derrick Glymph, Michelle Caldera

International Nursing Research Congress (INRC)

Understanding drug alternatives and recognizing OUD symptoms can increase clinical competency skills in primary care and emergency care for patients suffering from substance use disorder. The approaches described and measured in rural nursing practice will reduce OUD and ultimately transform global nursing scholarship.

Self-Efficacy, Stroke Impact, And Resilience: An Exploration Of Fatigue Factors In Middle-Age Stroke Survivors, Hsiang-Chu Pai, Shu-Mei Tsai, Chia-Chi Li, Shu-Chuan Kao, Hsiao-Mei Chen

International Nursing Research Congress (INRC)

The learner will be able to understanding the relationship between self-efficacy, resilience, stroke impact, and fatigue in middle-age stroke survivors. The learner will be able to understand the factors that influence fatigue, and further to develop interventions for enhancing care received by middle-age stroke survivors.

Undergraduate Baccalaureate Nursing Students And Disaster Drills, Bonnie L. Smithers, Monica L. Tenhunen

General Submissions: Presentations (Oral and Poster)

Purpose: A tornado disaster drill was developed and implemented at a new northeast Texas baccalaureate-nursing program in 2014. The nursing department in 2015 generated another tornado disaster drill at a larger on-campus location and with more victims from both the nursing department and other healthcare related fields at the university. The purpose of this portion of the project was to obtain student feedback and reflections on the disaster drill they participated in as responders and have their input for possible adjustments to future disaster drills.

The Essentials of Baccalaureate Education for Professional Nursing Practice state that graduates should be able …

Depression Mediate The Relationship Between Social Status And Chronic Pain For Whites, But Not Blacks, Edwin N. Aroke, Pamela Jackson, Demario S. Overstreet, Terence M. Penn, Tammie Quinn, Andrew M. Sims, D. Leann Long, Burel R. Goodin

International Nursing Research Congress (INRC)

Low back pain is the leading cause of disability. In USA, it disproportionately affects racial minorities and individuals of lower socioeconomic status. We found that for Whites higher social status correlate with lower depressive symptoms and pain, but for Blacks higher social status correlate with higher depressive symptoms and pain.

Undergraduate Nursing Student Evaluation Of Disaster Drills, Monica L. Tenhunen

General Submissions: Presentations (Oral and Poster)

Purpose/Background: Nurses are a major component of disaster response and need to understand their roles in preparing and responding to a disaster. Limited evidence regarding educating undergraduate nursing students for disasters exists. An interdisciplinary disaster drill was developed and implemented in a university nursing program. Nursing students in the community and rural health nursing course were the responders. The purpose of this project was to obtain student evaluation of the disaster drill after their graduation from the nursing program. Method A 10-question survey was developed early in 2015 using a 5-point Likert scale with categories from strongly agree to strongly …

Global, Cross-Cultural Research Evaluating The Impact Of Cinematic Educational Intervention For Incivility In Nursing, D'Arcy J. Gaisser, Jennifer Smalls, Logan Rath, Danny J. Hills, Louisa Lam, Constance Lawrence, Catherine Clune-Mulvaney, Thomas Kearns, Yufang Guo, Susan Kent

International Nursing Research Congress (INRC)

To perform two pilot studies across different cultural settings to explore the Impact of a Cinematic Educational Intervention aimed to decrease incivility within health care and academia. The first pilot took place in the United States and the second will be in Dublin Ireland.

Caring For Patients On Haemodialysis In Rwanda: Experiences Of Family Caregivers, Lakshmi Rajeswaran, Michel Nkuranyabahizi

International Nursing Research Congress (INRC)

Family care givers experiences' on patients undergoing Renal Replacement Therapy is yet to be explored in Rwanda. This qualitative, descriptive, contextualized study conducted in three referral hospitals dialysis centers. Data was collected by semi structured interview and content analysis was used to analyze the data. Five major themes were elicited.

Health System Management Of Stroke Seamless Care In District Health System In Thailand, Chenchob Panarat, Phetchara Kongsri, Paobthip Suthporn, Juthamart Phunlawong, Pornpen Pattarakorn, Nonglak Vachirabanjong, Ladawan Lenthummee

International Nursing Research Congress (INRC)

In Thailand, stroke patients are routinely admitted to a hospital. There are problems in care implementation for patients after stroke in communities such as lack of stroke awareness. This study aimed to describe health system management of stroke seamless care in BanTak district, Thailand.

A Literature Review Of Type 2 Diabetes Among African American Women, Brenda Owusu, Balkys L. Bivins

International Nursing Research Congress (INRC)

A disproportionate number of African American women (AAW) are at an increased risk for developing type 2 diabetes (T2D). Nurse Practitioners must play an effective role in facilitating lifestyle interventions for AAW to prevent T2D in this population.

Preeclampsia, Dna Methylation, And Blood Pressure In African American Women Enrolled In The Intergen Study, Veronica Barcelona, Jacquelyn Taylor

International Nursing Research Congress (INRC)

For this study, we used regression and linear mixed effects models to examine 1) the effects of preeclampsia on blood pressure 3-5 years after birth, and 2) the epigenetic association (DNA methylation) with blood pressure in women enrolled in the InterGEN study.

The Association Between Frailty And Quality Of Life In Elders With Colorectal Cancer After Surgery, Hsing-Fang Tsai, Ai-Fu Chiou

International Nursing Research Congress (INRC)

Frailty is the beginning of a vicious cycle of geriatric syndrome. elders need to face the age–related senescence and suffer from cancer-related symptoms which have significant impacts on their quality of life (QoL).This study is investigate the association between frailty and QoL in elders with colorectal cancer before and after surgery.

Medical Assistance In Dying (Maid): "Putting A Value On Human Life And Right To Die", Nora Ahmad

International Nursing Research Congress (INRC)

Nurses across Canada are directly impacted by changes to the Criminal Code that now allow the implementation of medical assistance in dying (MAID). Many nurses verbalized their conflicting beliefs, values and expressed uncertainty or hesitancy to engage in MAID.

Factors Related To Quality Of Life In Patients With Cardiac Surgery, Wei-Yi Chen, Ai-Fu Chiou

International Nursing Research Congress (INRC)

Cardiac surgery can improve the heart function and prolong life of patients, but the health care and quality of life of patients after surgery should also be addressed.

Coincidental Collaboration: Creating A Global Nursing Leadership Community Of Practice, M. Kathleen Murphy, Lisa Darsch, Vicky Treacy-Wong, Amy L. Anderson, Kaci Hickox, Kate White

International Nursing Research Congress (INRC)

Communities of Practice are an efficient and effective way for global nurse leaders to connect, enhance leadership practice, and create a sustainable infrastructure for nursing leadership development and advancement.

Standardization Of Competency Revalidation Process: Evaluation Of Its Effectiveness Adapting Evidence-Based Competency, Shini Cherian, Nashwa Abdelkareem, Ali Alodily, Shaimaa Shaaban, Jeralyn Sulit

International Nursing Research Congress (INRC)

Adopted Donna Wright Model of Competency Revalidation has improved staff satisfaction and confidence. This paper will illustrate how matching employees competency with core job responsibilities can boost staff organizational engagement and promote effective patient care.

Disaster Preparedness For Undergraduate Baccalaureate Nursing Students, Bonnie L. Smithers, Monica L. Tenhunen

General Submissions: Presentations (Oral and Poster)

Purpose: The Essentials of Baccalaureate Education for Professional Nursing Practice state that graduates should be able to use clinical judgment and make decisions during disaster situations. All nurses need training in emergency preparedness and this should occur during their initial nursing education program declares the International Council of Nurses. The American Nurses Association supports nurses being competent to respond to disasters and provide care.

The government of the United States has a national preparedness goal to improve capacity to respond to incidents. Additionally, the United Nations has an international day for disaster reduction that occurs yearly on October 13.

Faculty …

Utilizing A Team-Based Approach To Improve Hypertension Management In A Medical Home Practice, Cadelia Nicholas

DNP and Student Works

Hypertension is one of the leading causes of heart disease in the United States. Currently, there are about 80 million Americans who have a diagnosis of hypertension. As the rates of patients diagnosed with hypertension continues to raise, across the U.S, mortality rates have increased. Heart Disease is the leading cause of death in the State of Michigan. Since 2015, thirty-three percent of the states total population has a diagnosis of hypertension. Healthcare providers in a medical home model practice in Michigan do not use a standardized approach to educating patients about hypertension and heart disease. The objective of this …

Quantifying Responsive Feeding Of Infants And Young Children: An Analysis From Three Countries: Peru, Nicaragua And Indonesia, Rebecca C. Robert, Hilary Creed-Kanashiro, Margot Marin

Sigma Foundation for Nursing Research Grant Reports

Introduction: Responsive feeding, the age and developmentally appropriate interactions between caregivers and infants and young children (IYC) 6-23 months, represents a critical component of complementary feeding to promote optimal healthy growth and development. A quantitative indicator to measure responsive feeding at a population level is lacking and its development remains urgent. Towards this goal, we examined data on responsive feeding from caregivers of IYC in poor regions of Peru, Nicaragua, and Indonesia where malnutrition remains prevalent.

Nursing Staffing And State-Level Dementia Training In Relation To Inappropriate Psychotropic Medication Use In Nursing Home Residents With Dementia, Jung Min Yoon

Sigma Foundation for Nursing Research Grant Reports

This study was to examine the occurrence of F-758 citations in relation to NH nurse staffing and state-level NH in-service dementia training requirements.

Lived Experiences Of Nursing Autonomy: A Phenomenological Exploration, Rebekah Dubrosky

Dissertations

The purpose of this phenomenological study was to explore the meaning that acute care, bedside nurses' assign to their autonomous actions. A feminist critique of the nursing work environment was applied using standpoint theory. This was balanced and supplemented by a post-modern critique using Foucault's method of assessing power and knowledge in relation to the discipline of a profession. This study was designed to explore how issues of gender, knowledge, and power affected participants' interpretations of their autonomous actions. This study used a qualitative, phenomenological approach with an emergent design. Purposive sampling was used to find registered nurses currently working …

Risk Perception, Safe Work Behavior, And Work-Related Musculoskeletal Disorders Among Critical Care Nurses, Soo Jeong Lee

Dissertations

Work-related musculoskeletal disorders (WRMSDs) are a major occupational health problem among nurses. Existing interventions have not totally eliminated the risk for WRMSDs. Safe work behavior and risk perception may play an important role in modifying this risk.

The aims of the study were to identify factors influencing safe work behaviors related to patient handling and risk perceptions about risk of musculoskeletal injury among critical care nurses; and examine the relationship between safe work behavior and risk perception.

Relationships Of Professional Nurse Characteristics And Nurse Staffing To Adverse Patient Outcomes, Monica A. Redekopp

Dissertations

Despite major changes in the health care environment, limited research has been conducted to guide the changing roles of nurses or to examine the impact of professional nurse characteristics on patient outcomes. The purpose of this study was to examine the relationships between professional nurse characteristics of years of experience, educational level, and professional certification; nurse staffing variables; and adverse patient outcomes of falls, falls with injury, hospital acquired pneumonia, and hospital acquired pressure ulcers. Donabedian's Structure-Process-Outcome framework (Donabedian, 1980) and the Nursing Role Effectiveness Model (Irvine, Sidani, & Hass, 1998) were adapted to guide an examination of the relationship …

Examining Health-Related Decision Making Patterns Of African Americans With Coronary Heart Disease: A Hermeneutic Phenomenological Study, Tiffany Ann Love

Dissertations

The purpose of this study was to explore the themes that affected the day-to-day health-related decision making of African Americans managing coronary heart disease (CHD). Understanding the lived experience of African Americans with CHD can offer health care providers additional strategies to improve disease management. A hermeneutic phenomenological approach was utilized to explore: (1) what is the lived experience of managing CHD among older African Americans? (2) What is the essence of health-related decision making among older African Americans living with CHD? Two audio taped 30 to 60 minute open ended in-depth interviews per participant.

Chronicling Resident And Staff Outcomes Throughout The Implementation Of A Professional Nursing Practice Model In One Midwest Continuing Care Retirement Community: A Longitudinal Analysis, Kimberly Michele Bergen-Jackson

Dissertations

This research used a case study approach to chronicle the process of seeking the American Nurse Credentialing Center's Pathway to Excellence in Long-Term Care designation in one Midwest community. The PTE-LTC practice standards framework guided the implementation of professional nursing practice which focused on a positive practice environment, shared decision-making, accountability for resident care, and the leadership development of nursing staff. These practice standards are outlined in the study and incorporated the major components necessary to implement Professional Nursing Practice and Shared Governance in long-term care. The components of the designation process over a five-year period were documented and compared …

Development Of A Church-Based Educational Program To Increase Prostate Cancer Screening For Black Men 40 And Older, Dawn Marie Silvera-Ndure

Dissertations

Prostate cancer is the most common cancer among men in the United States and is one of the leading causes of cancer death among men of all races. However, African-American men are at particularly high risk. These men are diagnosed more often with prostate cancer, are diagnosed later, and are more than twice as likely to die from prostate cancer than are Caucasian men. A strategy to address this inequity was to develop a community based program that would reach this at risk population. The goal of the project was to develop an evidence-based, theory-supported education and referral program to …

Predictors Of Hiv/Aids Related Stigma And Discrimination Among Anglophone Caribbean Women, Kimberly A. Hires

Dissertations

The effects of the Human Immunodeficiency Virus (HIV) global epidemic continue to emerge decades after the first wave of infection. One key aspect of the HIV epidemic that is significantly impacted by culture and knowledge of HIV transmission is stigma, specifically HIV/AIDS related stigma and discrimination (HASD). The Caribbean region has the second highest HIV prevalence rate in the world. In 2011, there were approximately 13,000 new infections and 10,000 AIDS related deaths among adults and children in the Caribbean. Three Anglophone nations significantly impacted by the HIV epidemic are Guyana, Trinidad and Tobago and Jamaica. HASD has been identified …

Bedside Nurse Recognition Of Delirium In The Medical-Surgical Setting, Bridget Ann Denzik

Dissertations

Delirium in adults aged 65 and older is a common occurrence in the acute care setting and is often unrecognized by bedside nurses. Delirium can trigger a negative cascade of events resulting in an increase in morbidity and mortality, functional decline, longer length of stay, and high rates of post hospital institutionalization and has a significant socioeconomic impact. The purpose of this quality improvement project was to establish a solid foundation using scholarly literature to support the development of a delirium prevention, recognition, and treatment program in the medical-surgical acute care setting applying the program logic framework. The goal was …

Culture Change And Quality Of Life In Elderly Persons Living In Long Term Care, Carol S. Jones

Dissertations

Quality of life in long term care (LTC) is a concern for many stakeholders. The elders who are living in LTC facilities, their families, the staff, and government and policy makers are all interested in providing quality care and quality of life to those persons living within the facility. Culture change is one way for LTC facilities to begin to give decision making to the residents, and to increase quality of life of these elders. There are different culture change models that embrace the concept of person-centered care. No matter which model is chosen, the essence of the change is …