Digital Commons Network^™

Physical Activity And Cognitive Function Among Mild Cognitive Impairment Community-Dwelling Elderly Adults: The Transtheoretical Model, Tzu-Ting Huang, Ying-Fang Huang

International Nursing Research Congress (INRC)

Background: Mild cognitive impairment (MCI) is a common clinical syndrome that identifies people at high risk of developing dementia, and the prevalence range from 7.7 to 51.7%. Although treatments for MCI are currently unavailable, preliminary evidence has identified potential neuro-protective effects of physical activity (PA), which may lead to improved outcomes. However, the design and delivery of an appropriate programme for people with MCI is challenging for having physical, psychological, cognitive, and social barriers.

Purpose: The purposes of this study are to develop and examine physical activity program, on primary outcomes (cognitive function & IADL), and secondary outcomes (physical fitness, …

Personalized Pediatric Pain Management: Myth Or Reality?, Cheryl Mele

International Nursing Research Congress (INRC)

For a child undergoing a surgical procedure or issues with chronic pain, an essential goal is to obtain optimal pain management without significant adverse effects. Regretfully, safe and operative analgesia is an indefinable medical objective. Pain management within the pediatric realm reports that 50% pediatric perioperative pain experience will be efficient and acquire minimal side effects from opioids (Sadhasivam et al., 2014), It is well known that poor pain control can harvest physical difficulties, prolonged post-op recovery, and long-term behavioral complications. Still there is an extensive range of reactions to opioids secondary to variability in patient"s gender, ethnicity, development, co-morbidities …

Anxiety-Reducing Efficacy Of Inhaled Essential Oils: A Case Study And Literature Review, Dawn L. Langley-Brady

International Nursing Research Congress (INRC)

Purpose: Anxiety disorders impact approximately 40 million adults, are the most prevalent mental health-related diagnosis, and cost the United States healthcare system over 42 billion dollars annually. Additionally, anxiety can mimic many other health problems (e.g., shortness of breath, chest pain, nausea and vomiting), thus adding to the burden on patients and healthcare systems. Current anxiety treatment consists of pharmacotherapy, cognitive behavioral therapy, and some complementary therapies, but not aromatherapy. Pharmacological approaches to reduce anxiety primarily include the administration of benzodiazepines, but may also include SSRIs, and beta-blockers. These pharmacological approaches come with a myriad of potential side effects including …

Improving Clinical Outcomes And Physical Activity In Older Adults With Comorbidity: A Randomized Controlled Trial, Elizabeth A. Schlenk, Susan M. Sereika, Joan Rogers, G. Kelley Fitzgerald, C. Kent Kwoh

International Nursing Research Congress (INRC)

Purpose: Over 9 million Americans have osteoarthritis (OA) of the knee, a chronic disorder associated with frequent knee pain and functional limitations that intrude upon everyday life. About half of those with OA of the knee have hypertension (HBP), one of the most prevalent risk factors for cardiovascular disease (Eymard et al., 2015). Persons with OA of the knee experience reductions in blood pressure (BP) when they participate in regular physical activity. Yet, only 13% of persons with OA of the knee (Wallis et al., 2013) and 28% with HBP (Healthy People 2020) meet recommended guidelines for physical activity. Although …

Diverse Educational Strategies Enhance Multigenerational Learning In The Classroom And Workplace, Joyce I. Karl, Oralea Pittman

International Nursing Research Congress (INRC)

Purpose: This presentation will examine similarities and differences among generations and how diverse educational strategies can be developed for the multigenerational classroom or workplace. It will also discuss how traditional, interactive, and problem-based intergenerational activities may benefit all participants.

Review of Literature: In the classroom, three generations are often present among the faculty and students; baby boomers, Generation X, and millennials (Generation Y). Although it is important to avoid assumptions about individuals, each group has values and skills which are different. Baby Boomers prefer structured learning. Hard work is the way to earn respect and advancement in the workplace (Gallo, …

Developing Clinical Guidelines To Improve The Care Of Older People With Diabetes, Trisha Lynette Dunning

International Nursing Research Congress (INRC)

Background: Diabetes is associated with functional, cognitive, and social changes. Polypharmacy and under-or malnutrition, pain, depression, falls, confusion, delirium and significant medicine-related adverse events including hypoglycaemia are common (Munshi et al. 2016). There are a number of existing guidelines for the care of older people with diabetes but conversations with staff caring for caring for older people with diabetes indicated that such guidelines do not address core components of the care such as sexual health and end of life. There is limited clinical trial evidence to support recommendations and low regard for expert/consensus opinion. Older people with diabetes are often …

The Integration Of Mental Health Competencies Into A Primary Care Nurse Practitioner Curriculum, Pamela Aselton, Gabrielle P. Abelard, Linda A. Lewandowski, Raeann Genevieve Leblanc, Clare F. Lamontagne, Lori Anne Lyne

International Nursing Research Congress (INRC)

Purpose: Primary care clinicians must be prepared to assess, treat, and refer patients for appropriate services for mental health care. Studies have shown that the majority of prescriptions for antidepressant and anxiety medication are written in primary care offices. More than 50% of adult patients with depression are diagnosed and managed by primary care providers (Scandis and Watt, 2013). Less than 60 percent of adults with significant mental illness receive treatment in the United States (NSDUH, 2013).

Mental health services need to be better integrated into primary care given the shortage of mental health providers in many areas.

There is …

Attitudes Toward The Elderly Among Pre-Licensure Nursing Students, Maria E. Mackey

International Nursing Research Congress (INRC)

Purpose: In the United States, the baby-boomers of yesteryear are emerging as today and tomorrow"s elderly population. Given this fact, health care is faced with the challenge of providing safe, quality, and compassionate care to this ageing population. According to the U.S. Census Bureau (2014), in 2010 the population of elderly (identified as 65 and older) accounted for 13.1% of the U.S. population. The U.S. Census Bureau (2014) projects that in the year 2030, the population of elderly in the U.S. will nearly double to 20.3%, and will sustain through 2060 with a projected elderly population of 20.9%. While projections …

Nursing Programs And Supportive Housing Sites: Mutual Benefits Of Multigenerational Engagement Through Innovative Academic-Practice Partnerships, Maureen F. O'Shea, Mary Mccarthy, Barbara J. Pinchera, Margaret Sullivan

International Nursing Research Congress (INRC)

Through a collaborative partnership, traditional baccalaureate undergraduate nursing students, together with residents of an older adult community with supportive services, engage in purposeful, semi-structured activities while considering factors that influence individual, community and population health throughout the lifespan. Participants utilize evidence-based assessment tools and explore aspects of individualized aging, complexity of care, and personal vulnerability during life transitions. The focus on the five domains of wellness: physical, social, cognitive, spiritual, and emotional. A range of topics include: medication management, health assessment, disease prevention and management, home safety, falls assessment, psycho-social well being, delirium, dementia and sensory impairments, depression and anxiety …

Supportive Hand Feeding In Dementia: Establishing Evidence For Three Hand Feeding Techniques, Melissa K. Batchelor-Murphy, Elaine Amella, Ruth A. Anderson, Eleanor S. Mcconnell, Connie Bales, Tracey L. Yap, Susan M. Kennerly, Susan G. Silva, Angel Barnes, Cornelia K. Beck, Cathleen Colon-Emeric

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Providing nutritional support has been a cornerstone of nursing practice since its inception. Nightengale, 1859. Many things have changed since 1859: life expectancy has increased, and rates of dementia have increased exponentially. Although times have changed, nursing's responsibility for basic nursing care has never been more important for persons with dementia (residents) in the nursing home (NH) setting. The establishment of an evidence-base for the complex basic care needs of this vulnerable population is critical for eradicating malnutrition. Feeding Assistants, often certified nursing assistants (CNAs), are faced daily with challenging, 'aversive' feeding …

The Etiology And Experience Of Falls: Community-Dwelling Older Adults' Perspectives, Anthony A. Adeniran

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: Community-dwelling older adults' falls represent a significant public health problem, and prevention is an important step to reducing healthcare costs and improving quality. According to Kochera (2002), 78% of all injuries that occurred from elderly falls happened in the community. Despite the fact that community-dwelling older adults have a higher risk for falls, there is less focus on fall prevention for this group. With the shift in the models of healthcare delivery from institutional to community settings; it is imperative that clinicians begin to understand fall prevention from community-dwelling older adults' perspectives. …

Addressing The Needs Of Direct Care Staff When Affected By Natural Disasters Globally, Lynn M. Hood, Marie O. Etienne, Patricia R. Messmer, Nahomie Mirville, Marjorie Lozama, Guerna Blot, Amina Dubuisson

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: A competent workforce committed to providing patient-centered care is vital since retention and turnover rates of direct care staff in skilled nursing facilities are directly related to quality of patient care (Austrom et al, 2015). Turnover and retention rates can become extremely challenged when a workforce is in crisis. Following the 2010 devastating earthquake in Haiti, 31 skilled nursing facilities in Florida and Georgia actively engaged in providing support to Haitian employees and their families both in USA and Haiti. Administrators, leaders and line staff participated in the support and relief efforts …

Attitudes Of Health Professions' Students Toward Older Adults, Michele M. Shuman

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016:

Purpose: Across the world, the population of older adults is growing exponentially. This growing population will not only tax each socio-economic system in which the growth is occurring, but especially the health care systems in each respective country. For many of these older adults, as they live longer, suffer from at least one chronic illness. Older adults occupy more than half the beds in acute care institutions. Their age and health status makes older adults an especially vulnerable population who deserve the most compassionate and competent care possible. …

The Hunt For Good Nursing Workforce Data: Lessons Learned, Lisa Wright Eichelberger, Rebecca Wheeler

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016:

Purpose: The purpose of presentation is to share Georgia's nursing workforce survey results, identify strategies used to significantly increase response rates, describe lessons learned from the collaboration processes critical to the success in obtaining the statewide workforce data and identify all state, national, legislative, and political agents needed to accomplish the task.

Background and Significance: Nursing workforce supply data are key for any kind of state workforce planning. Georgia, like so many other states, have been challenged to meet the growing health care needs of its citizens and …

The Gerontological Nursing Leadership Academy: Impacting The Future Of Care Delivery And Policy, Deborah F. Cleeter Bailey, Claudia Jean Beverly, Amy A. Cotton, Amy J. Berman

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

The rising prominence of focus upon caring for older adults throughout the world drives the necessity to prepare and position nurse leaders to influence the future for this population. A growing need exists for large scale strategic intervention and innovation related to planning and providing health and wellness services to these older adults. Nurse leaders must facilitate advancements in awareness, interprofessional team leadership, delivery of care, and policy development in various settings and with diverse stakeholders to achieve measurable impact on health, cost and quality. The international Gerontological Nursing Leadership Academy (GNLA) provides …

Global Advisory Panel On The Future Of Nursing (Gapfon): Recommendations, Strategies And Outcomes, Hester C. Klopper, Cathy D. Catrambone

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015 and Monday, July 27, 2015:

During this session, GAPFON's purpose will be discussed, as will the initial outcomes and recommendations from the global meetings held to date in Southeast Asia/Pacific Rim, the Caribbean, and Latin-Central America. Strategic action plans based on measurable outcomes will be discussed, along with recommendations developed regarding the process of consensus building among all stakeholders to identify key issues by region from a cultural and political perspective. The purpose of GAPFON, established by Sigma Theta Tau international (STTI), is to advance nursing's global voice and vision in the context …

Genomics And The Right To Health Autonomy: A Survey Of International Health Policies, Scott Emory Moore

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Nursing leadership in the international community spans many areas including health policy development. international health policies are varied in their subject matter and acceptance. With the development of new technologies and methods of accessing and using genomic data, many international policies regarding genomic science and patient autonomy have been created. Nurses must be aware of international policies and their impact on patient care. Additionally nurses must take an interest in their roles as advocates for patients' rights to health.

Methods: This review of current international genomic policies and documents incorporates thematic review …

The Nursing Model Of Adult Day Care For Filipino Older Persons, Pearl Ed G. Cuevas

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: This study aimed to develop a model of a nurse-managed adult day care program for Filipino older persons to guide nurses in creating meaningful, focused, and structured activities for them. Participants include Filipino older persons regularly attending at the Manila Department of Social Welfare District V Drop-In Center for Senior Citizens.

Methods: A mixed methods research design was used. Health needs were determined by profiling, assessment of quality of life with the use of the World Health Organization (WHO)-Quality of Life (QOL) tool in ambulatory community-dwelling Filipino older persons, and followed by …

The Comparison Between Residents' Health Status For Those Who Use N-G Or Peg Feeding In The Long-Term Care Facilities, Chaw-Mew Hung, I-Chuan Li, Tung-En Lin

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The Purpose of this study was to compare the differences of residents' health status between the use of PEG and N-G in long term care facilities.

Methods: The cross-sectional design was used in this study to survey 1,500 residents from 32 long term care facilities in the Greater Taipei, Taiwan between May to July in 2012.

Results: The mean age for total subjects was 80.25 years old. The prevalence rate of the use of enteral nutrition support was 39.7%(n=546). Among 1,500 study subjects, 546 of them use feeding tubes and the percentage …

Managing Dignity In Later Life: Global Influences, Personal Strategies, Cellular Effects, Cynthia S. Jacelon, Rachel Walker, Jordon Bosse

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Dignity is an inherent human characteristic and a dynamic, attributed part of the self is susceptible to human and environmental interaction. In the first paper we present an ecological model exploring the dignity of older adults as a form of resilient health potential to enhance well-being in later life. Through a synthesis of the literature we demonstrate how societal, community, family/interpersonal, and individual factors can combine to threaten the dignity of community-dwelling older adults. Chronic exposure to these threats can lead to maladaptive stress responses, cellular aging, pathological changes, and increased risk of …

The Geriatric Nursing Leadership Academy: Sustainability In Influence And Impact, Deborah F. Cleeter Bailey, Karen Reynolds, Meredeth Rowe, Claudia Jean Beverly, Catherine Roscoe-Herbert

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

The Geriatric Nursing Leadership Academy (GNLA) is designed to prepare and position a global cadre of nurse leaders to transform relevant practice and policy for older adults. The academy provides an intentional personal and professional development experience for Fellows who are mid-career geriatric nurse leaders. A behavioral leadership development philosophy is employed as the foundation of the design of all academy relationships, curriculum activities, faculty modeling, and reflective exercises. Currently conducting the fourth cohort of the international academy, the GNLA Fellows have achieved significant outcomes within three domains: individual leadership development; advancement of …

Video Guided T'Ai Chi: A Pilot Study To Assess Effectiveness, Elizabeth D. Katrancha

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Falls impact up to 45% of community dwelling older adults each year, contributing to upwards of $30 billion dollars in direct health care costs. Independent of an actual fall many persons over age 65 years report a fear of falling that negatively impacts quality of life through a cycle of inactivity, weakness, depression, isolation and increased falls. There are a number of evidenced based programs available that address fall prevention. T'ai Chi, an ancient Chinese martial art is thought to enhance awareness of body position, alignment, and range of motion. Numerous studies provide …

Prescribing Knowledge And Practice Patterns Of Advanced Practice Nurses, Barbara H. Schaffner, Marjorie A. Vogt

International Nursing Research Congress (INRC)

Purpose: The purpose of this descriptive study is to explore the medication knowledge and prescribing practices used by APRN. Information about advanced practice registered nurse: APRN knowledge and practice patterns as related to prescribing medications is limited at the state, national and global levels. Yet prescribing medications is an important component of clinical practice for the APRN practitioner. Previous studies identify that prescribing medications is influenced by education and knowledge, practice settings, self-efficacy related to culture, external factors such as collaborating partners and cost (Gielen et al, 2014; Hussein & Brow, 2014; Buckley et al, 2013; Dawson & Lighthouse, 2010; …

Cancer Pain Treatment Differences In A Matched Sample Of Older African-American And European-American Hospice Patients At The End-Of-Life, Staja Q. Booker, Keela Herr, Ann Marie Mccarthy

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Differences in the experience and treatment of cancer pain between African American and European American adults in community settings are noted in the literature. However, little is known about the treatment experience of older African Americans and European Americans in hospice settings at the end-of-life. Evidence shows that African Americans utilize hospice services less often, and report higher cancer pain intensities but receive less optimal treatment despite the availability of best practices for cancer pain management. The purpose of this study is to determine if there are differences in best practice cancer pain …

Australia's Dementia Research Initiative: The Contribution Of Nursing Science, Elizabeth R. A. Beattie

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Nurse researchers have led the way in care-focused research designed to improve the quality of care and quality of life of people living with dementia in Australia. Using existing dementia specific research and knowledge translation initiatives and collaborative processes a series of studies have been undertaken that have contributed to the evidence base related to a number of pressing issues in dementia care including: quality of life, respite care, transitions in care, perceived stigma of diagnosis, palliative approaches to care and non-pharmacological approaches to behavioural and psychological symptom assessment and management. This presentation …

Mentoring Undergraduate Nursing Students For Evidence-Based Practice To Improve Quality And Safety In Long-Term Care Settings, Elizabeth Roe, Olivia Halabicky

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

This presentation will describe a project to mentor undergraduate nursing students and clinical staff in Evidence-based Practice (EBP) to improve quality and safety in long-term care (LTC). The project has been mutually beneficial to the Nursing Program and clinical settings involved. The goals of this project are: 1. To involve students in evidence-based initiatives in the long-term care setting, 2. To increase the knowledge and use of EBP in the LTC setting, and: 3. Improve quality and safety in the LTC setting. The project began five years ago when a Nursing faculty member …

Depression, Cognitive Impairment And Functional Dependence In Older Adults, Users Of A Geriatric Center In Saltillo, Mexico, Maria De Los Angeles Villarreal-Reyna, Ana Laura Sr. Carrillo-Cervantes, Deyanira Rodriguez-Flores, Maria Magdalena Delabra-Salinas, Martha Alicia Magallanes-Monrreal

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Purpose: To determine the prevalence and relationship of depression, cognitive impairment and functional dependence in older adults users of a Geriatric Center in the city of Saltillo, Mexico. Methods: Retrospective descriptive correlational design. The sample was formed by 360 clinical expedients of older adults, users of a Geriatric Center, selected randomly with systematical sampling (k= 16). Social-demographic data was collected and the evaluations were done with 4 instruments: Yesavage's Geriatric Depression Scale; Minimental State Examination MMS-E; Katz'Scale.'Basic Activities of Daily Living;'Lawton y Brody'Scale.'Instrumental Activities of Daily Living.'The analysis of data was completed using …

Exploring Knowledge And Attitudes About Older Adults In Advanced Practice Nursing Education, Beverley E. Blair Brown

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Knowledge about normal aging, and conditions common to older adults, is often both lacking and not seen as interesting or compelling. In addition, attitudes about older adults, whether the result of inherent age bias or real experience, may impede their quality of care as well as quality of life. This ongoing study explores the relationship between required gerontology curriculum content and measures of knowledge and attitudes about aging in advanced practice nursing students.

Methods: Standardized measures (Facts on Aging Quiz; Attitudes Toward Old People Scale) and a demographic questionnaire, are conducted pre- …

Transitioning Novice Nurse Practitioners Into Practice Through A Blended Mentoring Program, Trisha L. Wendling

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

The role of the advanced practice registered nurse (APRN) has grown tremendously within the past 15 years. Continued growth is expected as APRNfill the gap in patient care responsibilities as a result of the reduction in resident physician work hours. Years of research have demonstrated the difficulty novice APRNexperience as they transition from RNo APRNSupport for the novice APRNhas been found to be a facilitating factor in the transition; however, there is no consensus in the literature as to what type of support is most beneficial. The Institute of Medicine (IOM) suggests a …

Perceived Health Status Of Elders Treated With Opioids For Persistent Nonmalignant Pain, Leslie E. Simons

International Nursing Research Congress (INRC)

Purpose: To explore the relationship between opioid use and perceived health status in older adults aged 65-84 with persistent nonmalignant pain.

Methods: A purposive sample of 31 cognitively intact men and women aged 65-84 years receiving opioid therapy for 6 months to manage persistent nonmalignant pain. Data collection included a semi-structured interview that included an initial assessment of cognition using the Short Portable Mental Status Questionnaire. All consented participants met the cognitive screening criteria. The remaining interview collected social and demographic data and perceived health status, pain intensity and functionality, measured by the physical and mental component summary scores of …