Digital Commons Network^™

Predicting Success: An Analysis Of The Characteristics Of Applicants To The Ontario Phcnp Program, Elsabeth Jensen, Shelley Walkerley

International Nursing Research Congress (INRC)

This project investigated the characteristics of applicants to a Primary Health Care Nurse Practitioner Program to learn who applies and what characteristics best predict success. The results add to our knowledge of who is interested in the program, the validity o processes for selecting students.

Care Models Of Individuals With Dementia And Properties Of Care At The Home, Gulsun Ozedemir Aydin, Nurten Kaya, Nuray Turan

International Nursing Research Congress (INRC)

Health care team members have an important responsibility especially home care of individuals with dementia.This article examines literature and research findings about the dementia,care models, home care,nursing care and discusses the importance of subject.

Family Situations And Sleep Disturbance Of Chinese Elderly In Taiwan, Jong-Ni Lin

International Nursing Research Congress (INRC)

This qualitative study mainly explored how family situations affect sleep appraisals by 50 Chinese elderly in Taiwan (mean age = 76.3 ± 11). Family situations, such as living status, caregiving roles, and family relationship, may play roles in influencing the sleep of older adults.

A Description Of Work Processes Used By Clinical Nurse Specialists (Cns) To Improve Patient Outcomes, Janet S. Fulton, Ann M. Mayo, Jane A. Walker, Linda Diann Urden

International Nursing Research Congress (INRC)

This study identified processes used by CNs working in different settings to improve clinical outcomes. Findings demonstrated that CNS practice is situational and contextual; processes used to gain trust, solve problems, and communicate with other disciplines, when done well, are highly effective and often invisible.

Human Factors Engineering In Healthcare, Priyadarshini Pennathur

International Nursing Research Congress (INRC)

Health care work systems are complex, Human factors engineering is a scientific discipline concerned with matching people’s capabilities and limitations to design through application of scientific principles and methods. Human factors principles must be considered and used in health care systems around the world.

Ihuman Project: Implementation And Evaluation Of Cloud-Based, Virtual-Patient, Case-Based Simulation, Elaine D. Kauschinger

International Nursing Research Congress (INRC)

Research findings from a Duke University School of Nursing pilot project that incorporated a cloud-based, virtual-patient simulation learning platform, i-Human Patients (IHP), in two graduate advanced pathophysiology courses will be presented. Student survey results of experiences with IHP will also be discussed.

Promoting Healthy Behaviors In Nursing Students, Donna M. Callaghan

International Nursing Research Congress (INRC)

This study investigated the effects of an educational intervention to promote healthy behaviors in nursing students. The findings of this study indicated that an intervention that focused on spiritual growth as the foundation of healthy behaviors resulted in more frequent practice of the healthy behaviors in nursing students.

Evidence-Based Pain Management Solutions, Michele Marie Farrington

International Nursing Research Congress (INRC)

Pain is a frequent, complex, important clinical condition with established practice recommendations. EBP is an expected standard for care, yet is not consistently provided. Provision of evidence-based pain management requires nurses to balance numerous factors, including patient preferences, individual responses to interventions, and coordination with colleagues.

Cognitive And System Factors Impacting Nurses Postoperative Pain Management, Laura Cullen, Toni Tripp-Reimer

International Nursing Research Congress (INRC)

Pain, a common patient experience has complex recommendations to guide practice. A qualitative study used observations, interviews and focus group to analyze cognitive and system factors during nurses" pain management when caring for post-operative total knee replacement patients.

Listen To Me: Noncaregiving Adult Children's Needs From Healthcare Providers, Munira Wells, Connie Rutan Kartoz

International Nursing Research Congress (INRC)

The experience of adult children with healthy aging parents is largely ignored in the literature. This phenomenological study examined this experience and presented ways in which nurses can assist noncaregiving adults in navigating a life stage that involves independent but aging parents.

Are Students Prepared To Engage In Evidence-Based Practice (Ebp)? Developing Essential Ebp Skills, Sharon Stahl Wexler, Esma Paljevic, Marie-Claire Roberts, Lin J. Drury, Noreen Bridget Brennan

International Nursing Research Congress (INRC)

Background: Over the past six years we reimagined EBP throughout our undergraduate program using the AACN Baccalaureate Essentials as our guide. Student and faculty feedback was positive, work products were excellent. We measured EBP competencies for each cohort and were able to demonstrate success, however we did not have a cumulative measure of all of the students over time.

Purpose: To measure EBP competencies and knowledge of students in in the undergraduate program.

Methods: IRB approval was obtained from the university. The ACE Evidence Based Readiness Inventory (ACE-ERI) is an online instrument that measures self-reported competencies in EBP. The instrument …

Perceived Quality Of Life Following Falls: Voices Of Community-Dwelling Older Adults, Anthony A. Adeniran

International Nursing Research Congress (INRC)

The purpose of the study was to document the voices of community-dwelling older adults" perceived quality of life following the experience of falls.

Effects Of Care Arrangements On Chinese Older Adults' Relocation To Long-Term Care Facilities, Jing Wang, Bei Wu, Wei Pan, Qing Yang

International Nursing Research Congress (INRC)

China's population is experiencing the most rapid aging process in the world. Elder care in China has become a growing public concern. This study was among the first to use national longitudinal survey data to examine how different care arrangements would affect institutionalization among Chinese community-dwelling older adults.

Enhancing Mental Health Competencies In Advanced Practice Nursing Graduates, Nancy E. Edwards, Susan J. Kersey

International Nursing Research Congress (INRC)

Purpose: The purpose of this project was to assess the impact of a curricular enhancement of mental health content to Adult Gerontology Primary Care Nurse Practitioner students. The project goal was to demonstrate the influence of this enhanced curricular content on graduating NP students" perceived competence and confidence in providing care for patients with basic mental health concerns in the primary care setting.

Methods: A gap analysis was conducted to determine the mental health content that needed to be integrated into the curriculum. The content was determined by comparing the current curriculum with the 2013 NONPF Population- Focused Nurse Practitioner …

Assessment And Management Of Alcohol Use Disorder In Older Adults: A Review Of The Evidence, Mary Dibartolo, Judith M. Jarosinski

International Nursing Research Congress (INRC)

Purpose: The aim of this presentation is to summarize and critically evaluate the recent literature on methods to better identify AUD in older adults, including instruments specifically developed or modified for this age group, as well as, delineate targeted treatment strategies which may be more effective in achieving and maintaining sobriety in this population.

Background: Alcohol Use Disorder (AUD) has been identified as a significant, under-recognized, underreported and hidden epidemic in the U.S. (Alpert, 2014). The prevalence is expected to rise dramatically as the number of adults aged 65 and older increases to one in five by 2030. Worldwide, older …

Advancing The Practice Of Nursing Through Specialty Fellowship Development, Kelly Keefe Marcoux, Shayleigh K. Dickson, Cathleen A. Cahill, Christopher Haines

International Nursing Research Congress (INRC)

In the United States, Advanced Practice Nurses (APNs) include nurse practitioners, clinical nurse specialists, nurse midwives and nurse anesthetists. This presentation will focus primarily on nurse practitioner APNs. Upon graduation from a master"s or doctoral program in nursing, APNs are eligible for national certification and state licensure in one of six population foci. APNs are fully prepared to practice in a variety of inpatient and ambulatory settings upon graduation; however, for APNs who choose to further specialize their practice within one of these population foci, options for post-graduate training are limited. Historically, fellowship training has been utilized by physicians to …

Clinical Practice Characteristics Of Nurse Practitioners Managing The Care Of Older Adults, Laurie Kennedy-Malone, Marianne Shaughnessy

International Nursing Research Congress (INRC)

Purpose: A national survey of nurse practitioners (NP) who manage the care of older adults in the United States was conducted to determine the practice characteristics in terms of engagement in professional activities and clinical skills in relationship to years of experience as a nurse practitioner, practice setting, and population foci nurse practitioner preparation (adult, gerontological, adult-gerontology, family, or other).

Methods: The Advanced Practice Nurses Managing the Care of Older Adults Practice Profile (APNMCOA), a 153 item survey designed to ascertain practice characteristics of nurse practitioners managing the care of older adults was developed to be administered in an on-line …

Right Time In Medication Administration: A Multifaceted Concept, Juliana J. Brixey, William Scott Erdley

International Nursing Research Congress (INRC)

Purpose: The medication administration process is a five-step procedure entailing prescribing, transcribing, dispensing, administering, and monitoring. Medication administration involves giving a pharmacological agent, such as a drug, to a patient or client. Within medication administration the patient expects the right medication, in the right dose, to be at the right time, and by the right route. ‘Right time", which is clearly identified as an important component of the medication administration process, should therefore be clearly defined as well achievable. ‘Right time" also implies a measurable period of time. The literature does not clearly define ‘right time" instead defining through linking …

Association Between Age-Related Hearing Loss And Disability In Older Adults: A Systematic Review, Tzu-Chia Lin, Miaofen Yen

International Nursing Research Congress (INRC)

Purpose: Age-related hearing loss (ARHL) is the loss of hearing or proportional to the degree of hearing impairment that gradually occurs as we grow older. ARHL management also consumes an increasing portion of healthcare expenditures given the rising mean age of people. Previous studies have investigated the association of ARHL and disability in older adults, but the results are inconsistent. However, identifying potentially modifiable risk factors such as hearing loss would provide a substantial public health benefit. Therefore, the aim of the study was to comprehensively evaluate the evidence connecting ARHL to disability in older adults.

Methods: Studies were identified …

Using The Mds-Hc To Assess Health Status And Care Needs Of The Elderly Living Alone, Chia-Chi Chang, Yi-Jung Wu, Li-Min Kuo

International Nursing Research Congress (INRC)

The aim of the study was to understand the health status, care needs, and the predicative factors that influence their care needs among elderly living alone. The cross-sectional study was conducted and a total of 151participants were enrolled. The interviewers assessed their health status and care needs by using MDS-HC instruments. The results indicated that who are predominantly male, widowed, and illiterate or with only an elementary school education; their average age is 82.18 years old. In terms of health, the ADL and IADL function are generally good. The 70.9% of participants was having visual impairment. On average, each person …

Changing Attitudes With A Gerontological Nursing Course, Monica L. Tenhunen

International Nursing Research Congress (INRC)

Nursing education needs to focus on preparing graduates to understand the special needs of the older adult population and value positions in care of older adults. The purpose of this study was to determine baccalaureate nursing students' attitudes toward older adults and whether a gerontological nursing course changes their attitudes.

Application Of The "Attentively Embracing Story" Theory In Older Persons Living In Long-Term Care Facilities, Hui-Wan Chuang

International Nursing Research Congress (INRC)

Background: The "Attentively Embracing Story" is a middle-range nursing theory, which employs intentional dialogue to encourage individuals to describe events that are a challenge to their health. The "Attentively Embracing Story" helps individuals transform negative thoughts into positive thoughts, reflect on new meanings and values, and boost spiritual healing and health improvement. However, most studies had methodological shortcomings, including small sample sizes (N<10), pre-post designs, lack of objective outcome, and lack of active treatment controls, which preclude clear conclusions regarding efficacy.

Purpose: The purpose of this study was to examine the effectiveness of a "Story-Centred Care Intervention Program" based on the "Attentively Embracing Story", in improving quality of life, blood pressure and heart rate variability in institutionalized older …

Impact Of Niche Preparation On Nursing Knowledge Of Geriatric Patient Care, Tru Brynes

International Nursing Research Congress (INRC)

The aging of the United States population has profound implications for nursing practice and health care costs (Capezuti, Bolt, Cline, Dickson, Rosenberg, Wagner, Shuluk, & Nigolian, 2012). Their health care utilization are three to five times more than younger patients, which accounted for $444 billion or 23% of the health care spending in 2008 and 13 % of the U.S federal budget (Wier, Pfuntner, & Steiner, 2010). Research shows units that have implemented the Geriatric Resource Nurse (GRN) model have better patient outcomes in terms of preventing falls and fall related injuries, decreased restraint use, early recognition of confusion or …

Strategies To Increase Research Productivity In A College Of Nursing, Stephen J. Cavanagh

International Nursing Research Congress (INRC)

The purpose of this five-year evaluation case study (2011-2016) was to identify changes in faculty scholarly performance metrics associated with the introduction of a research strategic plan within a college of nursing in the United States of America.

Advance Practice Registered Nurses' (Aprns') Clinical Practice Strategies To Deter Antibiotic Overuse, Pamela Willson, Susan K. Lee, Marcia Poole

International Nursing Research Congress (INRC)

Purpose: Despite evidence that unnecessary antibiotic therapy for acute respiratory tract infections (ARTIs) increases risk of adverse drug events, increases antibiotic-resistant bacteria and healthcare costs, while not providing clinical improvement, prescription use is common. While there are reports of physician clinical practice strategies to deter antibiotic overuse, no studies specific to Advanced Practice Nurses" (APNs) practice behaviors were found. The provider"s communication of positive and negative treatment recommendations leans to support for deterring antibiotic misuse. The primary aim of this study was to describe APNs clinical strategies to reduce antibiotic overuse for ARTIs in pediatric patients.

Methods: The conceptual model …

An Application Of Machine Learning For The Identification Of Adolescent Smoking Risk Factors, Sophia Chung, Youngji Li

International Nursing Research Congress (INRC)

Purpose: Smoking is known to be a modifiable risk behavior that causes various health problems that include cancer and respiratory disease. Moreover, the literature reveals that adolescent smoking behaviors are likely to persist through adulthood, and this is the case in countries worldwide. In South Korea, despite many effeorts to reduce smoking among Korean adolescents, this modifiable risk behavior remains a significant social problem. An effective intervention to target and modify the behavior of adolescents concerning smoking must understand and address the factors that underlie and influence the behavior of smoking. These factors canbe surfaced in data using an appropriate …

What Do Nurses Ask About? A Review Of Nursing Questions In A Brazilian Telemedicine System, Jacqueline E. Brixey, Juliana J. Brixey

International Nursing Research Congress (INRC)

Purpose: Across the globe, nurses are often on the front lines for health care delivery in places where physicians are scarce or nonexistent, such as in rural areas or urban slums [2]. For example, the constitution of Brazil guarantees free public healthcare to every citizen, however, many doctors and specialists are concentrated in the large coastal cities of the country, with populations in the rural interiors drastically underserved by health care professionals [3]. The Health Ministry of Brazil implemented the Programa Telessaúde Brasil Redes to combat this issue by providing health support, advice from specialists, and permanent health education via …

The Experiences Of Elderly Immigrants Of Mexican Origin With Life-Limiting Illness: A Critical Ethnography, Sandra Scott Lee

International Nursing Research Congress (INRC)

Purpose: Although limited studies have explored the health care needs of elderly immigrants of Mexican origin, Mexican immigrants account for the largest immigrant group in the United States. As of 2014, 28% of the total immigrant population is of Mexican origin, with 8% of Mexican immigrants being age 65 years and older (Zong & Batalova, 2016). Furthermore, studies to-date do not make recommendations for nursing practice. The purpose of this qualitative study was to describe and explain the health care experiences of elderly immigrants of Mexican origin who face life-limiting illness in the United States. The study aimed to answer …

Participatory Approach To Build Capacity: Nurse-Led Research To Overcome Insufficient Mobility In Hospitalized Older Adults, Gordana Dermody, Ruth A. Bryant

International Nursing Research Congress (INRC)

Purpose: The objectives of this presentation are to: 1) Describe the participatory approach used to involve bedside nurses, and other disciplines in the conduct of nurse-led research to overcome insufficient older adult mobilization. 2) Discuss how this participatory approach served as a spring-board to build capacity for additional nurse-led research at the bedside.

Background: It is well-known that hospitalized older adults do not receive the mobility they need (Barber et al., 2015; Fisher, Graham, Ottenbacher, Deer, & Ostir, 2016). Due to musculoskeletal changes that accompany aging, this population is at increased risk for accelerated muscle loss and weakness which contributes …

The Effect Of Safe-Movement And Walking Program On Reducing The Fear Of Falling In Elderly, Saime Erol, Gulcan Kar

International Nursing Research Congress (INRC)

The aim of this study is to determine the effects of “Safe Movement and Walking Program” on reducing the fear of falling in elderly individuals living in a nursing home.