Digital Commons Network^™

An Action Framework For Leading The Transformation Process, Fernanda Principe

International Nursing Research Congress (INRC)

The PEER-IESS model (Brito & Mendes,2009) is a bottom-up participatory health research and was designed to activate high education communities for the implementation of health promoting contexts, using dialogic strategies and creative means of intervention centered in the academic community.

Prevalence And Trends Of Falls On A Surgical Unit, Tru Byrnes

International Nursing Research Congress (INRC)

The purpose of this quality improvement project was to examine the trend of patient falls on a post-surgical unit at an 11,000-bed hospital in the US to develop interventions based on the findings to prevent falls.

Leading Change: The Power Of Vision And Collaborative-Partnership, Rita K. Adeniran, Sarah Hexem, Elizabeth W. Gonzalez

International Nursing Research Congress (INRC)

This presentation will discuss how leadership vision and commitment to quality healthcare for vulnerable populations served as a catalyst for change. Leveraging the qualities of visionary leadership, a team of thought leaders collaborated to lead a statewide initiative that enhanced cultural competence services across the state of Pennsylvania.

A Collaborative State Of The Science Initiative: Transforming Moral Distress To Moral Resiliency In Nursing, Cynda Hylton Rushton, Heidi Kathleen Holtz, Patricia Rodney

International Nursing Research Congress (INRC)

Background: Moral distress is a pervasive problem impacting health care in numerous settings and at multiple organizational levels (Oh & Gastmans, 2015; Whitehead, Herbertson, Hamric, & Epstein, 2015). First identified in the1980s (Jameton, 1984), moral distress occurs in situations where "the person is aware of a moral problem, acknowledges moral responsibility, and makes a moral judgment about the correct action; yet, as a result of real or perceived constraints, participates in perceived moral wrongdoing" (Nathaniel, 2002). The American Nurses Association Code of Ethics for Nurses (2015) delineates moral distress as, "The condition of knowing the morally right thing to do, …

Moving Up The Leadership Ladder: Using A Career Coach, Paul T. Skiem

International Nursing Research Congress (INRC)

Nurses have learned a great deal through their educational and clinical experiences and that knowledge has served them well. Working with a career coach can assist nurse leaders in the process of “repackaging” their expertise, experience and competencies for a desired role that is outside their comfort zone.

Analytical Challenges In The Era Of Big Data, Alvin Dean Jeffery

International Nursing Research Congress (INRC)

Purpose: The popularity of "big data" along with an increasing capacity for real-time predictive analytics holds significant promise for nurses and other clinicians to gain new insights and develop novel decision support tools from our large clinical datasets. Unfortunately, these large datasets are not the panacea that some big data proponents would taut. For nurses with vast subject matter expertise in a clinical area who desire to leverage big data for solving practical problems, road blocks quickly surface in the form of acquisition and management of data, missing data, meeting assumptions of statistical models, and model evaluation for statistical and …

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 …

Development Of A Dashboard To Provide Decision Support For Complex Care Management In Primary Care, Mary L. Blankson, Sharon Liann Taylor, Katie Ann Lainas, Ranbir Bains

International Nursing Research Congress (INRC)

An electronic dashboard was created to provide nurses with timely information and decision support to enhance proactive outreach and ongoing data tracking. The dashboard proved essential for identifying patients in need of management, and tracking ongoing enrolled panels. This led to a significant increase in patients enrolled in care management.

Interprofessional Collaboration: Nurses And Physicians Continue To View Collaboration Differently, Tanna Thomason, Belinda M. Toole

International Nursing Research Congress (INRC)

Purpose: Interprofessional collaboration fosters quality and safety clinical outcomes and is a requisite element in our complex healthcare delivery environment. Yet, as noted by The Joint Commission (2009), the relationship between nurses and physicians has been a major determinate of the quality of healthcare. Hierarchical power relationships between nurses and physicians were first described by Stein in 1967. Power dynamics, whether real or perceived, impede teamwork, collegiality, and patient advocacy. Although significant progress has been since Stein’s seminal article, conflict and discord persists leading to errors and increased healthcare costs (Crawford, Omery, & Seago, 2012; Nair, Fitzpatrick, McNulty, Click, & …

Conducting Ethical Research With Veterans, Catherine G. Ling, Heather L. Johnson

International Nursing Research Congress (INRC)

Military veterans have lived within a unique culture. Research participants with this background may have additional points of vulnerability that need to be considered for the ethical conduct of research.

Obesity Indicators, Accuracy Of Body Weight Perception, And Chronic Illness Among Chinese-Americans, Mei R. Fu

International Nursing Research Congress (INRC)

Obesity is pandemic globally. Incorrect perception of body weight has profound impact on obesity as well as chronic illnesses. One third of Chinese Americans have incorrect perception of body weight. Addressing perception of body weight in nursing practice and research is imperative to prevent obesity and chronic illnesses.

Emerging Nursing Roles In Collaborative Management Of Sleep-Disordered Breathing And Obstructive Sleep Apnea (Osa), Kimberly Harper, Edel Owens

International Nursing Research Congress (INRC)

Background: Current concepts in the rapidly expanding field of sleep medicine, specifically Obstructive Sleep Apnoea (OSA) management, provide a significant challenge to already overburdened healthcare demands internationally. Sleep related medical disorders are highly prevalent reportedly affecting at least 4% of the adult population alone. An overview of the physiology and significance of sleep disordered breathing speaks to the current modern understanding of this chronic disease process. The data regarding the incidence and prevalence of OSA highlights the growing significance of the condition and the potential for downstream organ damage effects if left undiagnosed or untreated. Sleep apnoea is known to …

Novel Barriers To Exercise For Patients With Chronic Kidney Disease, Mary F. Hannan, Ulf G. Bronas

International Nursing Research Congress (INRC)

The aim of this integrative review is to investigate the barriers that adult patients with CKD throughout the world report that prevent them from regularly exercising. Identification of these barriers will enable nurses and nurse researchers to address barriers to promote regular exercise and increases in daily physical activity for patients with CKD.

Behavioral Intervention With Maternal Participatory Guidance Improves Preterm Infant Outcomes, Rosemary C. White-Traut

International Nursing Research Congress (INRC)

Purpose: This completed randomized controlled trial of 198 premature infants born at 29-34 weeks gestation and their mothers examined the impact of the H-HOPE (Hospital to Home: Optimizing the Preterm Infant"s Environment) intervention on infant behavior, infant feeding and growth during hospitalization, mother-infant interaction, and illness visits when the infants reached 6-weeks corrected age (CA). The research was guided by two models: Developmental Science and Adult Learning Theory.

Methods: Mother-infant dyads were randomly assigned to the H-HOPE intervention group or an Attention Control group. H-HOPE is an integrated intervention that included (1) twice-daily infant multisensory stimulation using the ATVV Intervention …

Use Of Spirometry To Measure Asthma Control In Patients With Sickle Cell Disease, Laurie Duckworth, Gloria Lipori, Jeanette Green, Jeffrey Klann, Shaun Grannis

International Nursing Research Congress (INRC)

Patients with sickle cell disease who also have asthma are at greater risk for developing acute chest syndrome. These patients should receive pulmonary function testing (spirometry) to diagnose, evaluate, and manage their asthma symptoms. This study examined variations in practice among four large academic medical centers.

Mobile App To Prevent Depression In The Dominican Republic: Sociocultural Adaptations And International Collaborations, Tariana V. Little, Susan Caplan, Adrian Aguilera, Ester R. Shapiro, Angelina Sosa Lovera, Patricia Reyna, Jenny Ariannly Sanchez Castillo, Pak Chau

International Nursing Research Congress (INRC)

Purpose: Globally, depression is among the most significant contributors to burden of disease (Whiteford et al., 2013). The rapid increase of mobile phone use in low-and-middle income countries provides an opportunity to leverage technology-based interventions to improve global health (mHealth) (World Health Organization (WHO), 2011). This study builds on previous research and ongoing collaboration with the Dominican Ministry of Public Health on mental health stigma and mental health service needs in the Dominican Republic (DR), which found unmet mental health care service needs, particularly in terms of access to care, affordability of treatment, and stigma (Caplan, Little, Reyna, Sosa Lovera, …

Personal Disposition And With-It-Ness In The Nursing Classroom: Implications For The Science Of Nursing Education, Andrew Bobal, Laura Cox Dzurec, Barbara J. Patterson

International Nursing Research Congress (INRC)

Disposition represents the sum of one's personal values, commitments, beliefs, and professional ethics. It influences the way a faculty member views teaching and learning, and the quality of responses of involved students. The notion of disposition holds particular significance for advancing the science of nursing education.

Factors Contributing To Irregular Attendance In Prevention Of Mother-To-Child Transmission (Pmtct) Of Hiv Services, Marie Claire Uwamahoro

International Nursing Research Congress (INRC)

Purpose: Mother-to-child transmission (MTCT) of HIV remains a major public health problem and continues to account for a substantial proportion of new HIV infections among young children (Deressa et al., 2014; Gourlay et al.,2013). The global estimates showed that 150,000 children were newly infected with HIV in 2015; most of them were from developing countries with more than 90% found in sub-Sahara African countries (WHO, 2015).

To halt this problem, the Prevention of Mother to Child Transmission (PMTCT) services have been put in place worldwide (Balira et al., 2015; WHO, 2015). The PMTCT services in Rwanda are free of charge. …

Human Flourishing: From Notion To Reality, Lorna Peelo-Kiloe

International Nursing Research Congress (INRC)

Facilitation at its simplest and perhaps most effective is a helping relationship. Added to this is the possibility of enabling human flourishing so that individuals can reach their full potential.

Academic Practice Partnerships: Mutual Benefits And Sustainability Of A Dedicated Educational Unit, Donna M. Glynn, Cecilia Mcvey

International Nursing Research Congress (INRC)

In 2007, the Northeast Region VA Nursing Alliance (NERVANA) was founded. NERVANA is an academic-practice partnership between the VA Boston/Bedford Health Care Systems and six schools of nursing. The partnership has been successful in forming collaborative relationships and the implementation of the DEU model for clinical education.

A Pilot Interprofessional Education And Practice Project With Migrant Farm Workers, Lora R. Shelton, Cynthia G. Cortes, Andrea W. Collins

International Nursing Research Congress (INRC)

Annually, hundreds of migrant farm workers and their families migrate to the United States to harvest crops on family-owned farms. This population is plagued with recurring health conditions and chronic diseases (Nicholas, Stein, & Wold, 2014). Since few receive regular care, treatable conditions can become acute; resulting in costly emergency room visits or hospital stays. The Migrant Farm Worker Project was developed by nurse practitioners at a College of Health Sciences in the Southeastern United States. The project provided opportunities for faculty and students from nursing, communication sciences and disorders, and nutrition to provide medical screenings and education for Hispanic …

"I Won't Dance, Don't Ask Me": Concerning Why Workplace Bullying Bystanders Simply Stand By, Laura Cox Dzurec, Monica Kennison

International Nursing Research Congress (INRC)

Extending Cross's (1981) model addressing deterrents to adults' participation in continuing education, the investigators' purpose was to use hermeneutic analysis to identify dispositional,situational, and institutional factors that serve to immediately dissuade workplace bullying bystanders' interventions in situations of workplace bullying, thus contributing to bullying's tenacity in the workplace.

A Concept Analysis: Facilitation And Practice Development Analyzing Evidence From The Literature And Beyond, Elizabeth Breslin

International Nursing Research Congress (INRC)

This is an exploration of the concept of facilitation within practice development (PD) using a concept analysis (CA) methodology. Achievement of conceptual clarity and a shared understanding of what facilitation in PD means, will contribute positively to both caring and academic practice domains.

Legal And Ethical Accountability For Nursing Errors: Disclosure And Apology, Susan J. Westrick

International Nursing Research Congress (INRC)

The purpose of this session is to review the legal and ethical evidence bases for accountable disclosure of errors and apology by nurses, and to provide guidance on best practices for these disclosures.

Service Learning And Development Of Caring In Undergraduate Nursing Students, Olga Van Dyke, Teresa Dean, Betty Cheng

International Nursing Research Congress (INRC)

Purpose: Service learning provides many benefits for all students who participate in service learning activities. Adegbola (2013) has stated that service learning helps health care students to "develop an appreciation of the vulnerabilities that marginalized segments of the population face". Both Health People 2020 and the American Association of College of Nursing include objectives that can be accomplished through service learning. Hoebeke, et al., in 2009 discussed the benefits of service learning for students to include the development of leadership skills, critical thinking social skills as well as cultural competencies (Hoebeke, 2009). Service learning contains four elements including: • Experiential …

Dedicated Educational Nursing Units: Clinical Instructors Role Perceptions And Learning Needs, Judith Wendt, Bonnie J. Russell

International Nursing Research Congress (INRC)

The purpose of this educational activity is to identify the role perceptions of staff nurse's participating as clinical instructors on a dedicated educational unit and the perceived educational learning needs of the experienced staff nurses.

Fostering Cultural Competency: The Pennsylvania Action Coalition's Exemplar, Sarah Hexem, Rita K. Adeniran, Diana Jones

International Nursing Research Congress (INRC)

This presentation will discuss opportunities presented by changing demographics and the long-standing disparities in health care. Presenters will share strategies employed by members of the PA-AC Nursing Diversity Council to increase proportion of traditionally underrepresented nurses in the workforce and the implementation of the Pennsylvania statewide cultural competency program.

Using Multicultural Role-Play To Improve End-Of-Life Care Education, Latoya Janelle Lewis-Pierre, Mary E. Mckay, Jill Steiner Sanko, Maha Mccain

International Nursing Research Congress (INRC)

Purpose: The purpose of the study was to evaluate the effectiveness of an undergraduate End-of-Life education with simulation. In 2012, the World Health Organization (WHO) reported 56 million deaths worldwide. Furthermore, the 2014 Institute of Medicine report Dying in Americacalled for improvements in end-of-life care. Providing dying patients with high-quality family and patient-centered end-of-life care that aligns with the patients" values and informed preferences poses challenges. One aspect of the problem is nursing curricula and clinical rotations often lack educational opportunities that address such challenges related to end-of-life (EOL) care conversations. As a result, many nurses are uncomfortable or …

Disparities In Self-Rated Health Among Chinese Immigrants: Exploring Inequality Identities, Lisa L. Lommel

International Nursing Research Congress (INRC)

This study investigated the degree to which self-rated health varies by gender, age, socioeconomic status, acculturation, stress and discrimination, and social position among U.S. Chinese immigrants. Results revealed Chinese immigrant women and those with lower social positions and levels of education are at greater risk of experiencing health disparities.

Evidence-Based Educational Strategies That Promote Handoff Effectiveness: Connecting The Dots Between Senders And Receivers, Christine A. Sump, Donna L. Rose

International Nursing Research Congress (INRC)

Communication breakdown during patient handoff have long been identified as contributors to adverse patient events. Multiple evidence-based educational strategies aimed to improve and evaluate overall handoff effectiveness in Baccalaureate nursing students are discussed in this presentation.