Digital Commons Network^™

Herbal Supplements: Safety And Research Support, Rosanne H. Pruitt, Ashley Lemanski, Adam Carroll

International Nursing Research Congress (INRC)

The purpose of this project is to fill a gap and provide evidence to inform practice by evaluating the quality of the research supporting commonly used herbs and translate the information into an easily accessible format for health care providers.

Improving Care Coordination: Impact Of A Doctorate Of Nursing Practice Prepared Clinical Nurse Specialist, Deborah Francis

International Nursing Research Congress (INRC)

Transformations in healthcare have challenged organizations to control costs while continuing to provide high quality care. Simultaneously, patients continue to present with higher acuities and increased complexity of healthcare needs. These organizational challenges have provided an opportunity for the doctorate of nursing practice (DNP) prepared advance practice nurse to utilize the core competencies outlined by the American Association of Colleges of Nursing (AACN) to improve quality of patient care (AACN, 2006).

Consistent with the 2010 Institute of Medicine Report, The Future of Nursing: Leading Change, Advancing Health,we identified opportunities for improvements in the coordination of care (Institute of Medicine. …

Preparing Nursing Students For International Learning Experiences, Karen Miller Lundberg, Cheryl Ann Corbett, Debra Edmunds

International Nursing Research Congress (INRC)

Purpose: Faculty at a western United States university found it essential for student nurses participating in a clinical international experience to complete a preparatory course prior to in-country experience. Students prepared by learning about travel expectations, culture and people, course requirements and personal perceptions. The purpose of this presentation is to discuss the significance of cultural preparation before travel, and describe a cultural preparatory course.

Methods: Students selected to participate in an international experience are required to complete a one-credit cultural preparatory class. The course is taught the semester before student travel. Course outcomes include assisting students to understand their …

Preconception Health Planning: Improving Outcomes, Julie A. Fitzgerald

International Nursing Research Congress (INRC)

Purpose: Current data suggests that lack of engagement in preconception health planning is a global problem and new approaches are needed to prevent preterm births and improve pregnancy outcomes. Many pregnant women make lifestyle changes during pregnancy to promote their health and the health of the fetus. Studies note that pre-conceptual health of both the mother and father influence pregnancy outcomes (Ding, Li, Xie & Yang, 2015; Moss & Harris, 2015). The CDC and Workgroup of the National Preconception Health and Health Care Initiative (Frayne, Verbiest., Chelmow,, Clarke, Dunlop, Hosmer, & ... Stuebe 2015) identified the need for preconception health …

Impact Of Prior Intensive Care Unit (Icu) Experience On Icu Patients' Family Members' Psychological Distress, Chrystal L. Lewis, Jessica Z. Taylor

International Nursing Research Congress (INRC)

Purpose: Psychological distress including anxiety, depression, and stress in family members of intensive care unit (ICU) patients is a well-documented phenomenon across a wide variety of countries including, but not limited to, Brazil, Italy, China, Greece, France, and the United States(Chiang et al., 2016; Davidson, Jones, & Bienvenu, 2012; Fumis, Ranzani, Faria, & Schettino, 2015; Konstanti, Gouva, Dragioti, Nakos, & Koulouras, 2016; Mistraletti et al., 2016; Pochard et al., 2001) . A real clinical example of the impact a family member"s psychological distress has for nursing occurs with the comprehension of simple concepts, such as that of time. In one …

The Theory Of Psychological Ownership: Measurement And Uses In Nurse Work Environment Research, Lori M. Schirle

International Nursing Research Congress (INRC)

Research suggests nurse work environment is a critical component of good nursing care leading to better job satisfaction, lower burnout, less turnover, and improved patient morbidity and mortality (Kutney-Lee et al., 2015). Work structures and processes that increase control, empowerment, autonomy, decision making, good working relations, and supportive leadership are identified as crucial to these outcomes (Aiken et al., 2012). As pervasive as these concepts are in nursing research, recent systematic reviews find inconclusive effects of nurse work environment on both patient and nurse outcomes (Bae, 2011; Dariel, Petit, & Regnaux, 2015; Lu, Barriball, Zhang, & While, 2012). Critical analysis …

Six Continents: One Undergraduate Public And Global Health Nursing Course, Leslie W. Miles, Scott K. Summers

International Nursing Research Congress (INRC)

With globalization, the demand for culturally competent nurses who are prepared to provide quality care from a cultural point of view has increased. (Kokko, 2011). Research has shown a deficit of culturally sensitive care leads to "nurses [that] may have ethnocentric and stereotyped attitudes toward patients" (Kokko, 2011, p. 674). The American Association of Colleges of Nursing 2008) Essentials of Baccalaureate Education for Professional Nursing Practice identified global health as an essential core knowledge area for nurses.

This presentation will highlight and discuss our challenges and successes with a variety of clinical sites meeting course outcomes over the years of …

Preventing Heart Failure Readmissions By Using A Risk-Stratification Tool, Anna Dermenchyan

International Nursing Research Congress (INRC)

Purpose: To implement strategies to improve care and patients" experience and reduce readmissions for heart failure (HF) patients, Ronald Reagan UCLA Medical Center accepted an invitation from the American College of Cardiology (ACC) to join the Patient Navigator Program (PNP). The goal for the program is for hospitals to establish a patient-centered focus that involves making hospitalization less stressful for patients by providing evidence-based quality improvement strategies. At the initiation of the program (Spring 2014), UCLA utilized a validated risk model, LACE index, to identify patients who are at high risk of readmissions before discharge. This tool has been used …

Improve Competency With Evidence-Based Immunization Practice Education, Pamela K. Strohfus

International Nursing Research Congress (INRC)

Aim: To improve competency of health care personnel and increase vaccine effectiveness and medical office immunization rates, an evidence-based immunization educational program was implemented and analyzed. The goals of the program were to develop fiscal responsibility of resources, improve internal processes, enhance learning and education, and increase patient safety through effective vaccination.

Background:

Vaccines may be compromised partly due to educational deficits of inter professional healthcare personnel in vaccine administration and storage (Nikula, Nohynek, Puukka, & Leino-Kilpi, 2011; Yeung, Goodman, & Fedorak, 2012). These knowledge deficits could further compromise vaccine efficacy decreasing immunization rates among populations (McCollister & Valbona, 2011). …

Improved Adherence Status In Patients With Hypertension: A Community-Based Intervention, Thitipong Tankumpuan, Sakuntala Anuruang, Debra Jackson, Louise D. Hickman, Michelle Digiacomo, Patricia Mary Davidson

International Nursing Research Congress (INRC)

Purpose: Although high quality treatment and modern hypertension clinical practice guidelines have been developed worldwide, the outcomes of hypertension patients in Thailand are not optimal. Previous hypertension management interventions mostly focused on knowledge improvement with a short time follow-up of outcome. Moreover, the accessibility to advanced treatment is limited to metropolitan areas and for high socioeconomic status patients. Ignoring characteristics such as social determinants of health may cause the failure of the previous intervention. Implementing person-centered and integrated health services model (PC-IHS) such as community-based intervention is challenging for health care providers in Thailand to improve the hypertension management. The …

Using Debriefing For Meaningful Learning To Foster Clinical Reasoning And Transform Nursing Practice, Kristina Thomas Dreifuerst

International Nursing Research Congress (INRC)

In this interactive session, nursing researchers will present findings from their work on prebriefing and debriefing applicable to simulation and clinical settings in academe and practice. Speakers will engage the audience in a discussion of ways to translate these findings into strategies that can transform nursing knowledge, education and practice. Abstract Text: Purpose: The purpose of this exploratory, quasi-experimental, pre-test-post-test study was to discover the effect of the use of the Debriefing for Meaningful Learning (DML) method of debriefing on the development of clinical reasoning in traditional prelicensure nursing students in a BSN program in the United States. Debriefing has …

Factors Influencing The Grief, Depression, And Quality Of Life In Taiwanese Women With Perinatal Loss, Ya-Ling Yang

International Nursing Research Congress (INRC)

Purpose: Chinese culturally bound taboos against talking about perinatal loss related issues. The experience of pregnancy loss can be devastating and potentially traumatizing for women emotional and psychological health regardless of what kind indications for the perinatal loss and selective termination. However, maternal postpartum care still less concerning provide supportive bereaved care for parents. How to solve this clinical dilemma and to establish an appropriate compassionate bereavement support challenges care-givers in perinatal medicine.

The main purpose of this study were to explore the experience in Taiwanese women with perinatal loss due to non-elective indications (such as IUFD, spontaneous abortion and …

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 …

Transforming Debriefing By Exploring Faculty Preparation And Use With The Debriefing For Meaningful Learning Inventory, Cynthia Sherraden Bradley

International Nursing Research Congress (INRC)

In this interactive session, nursing researchers will present findings from their work on prebriefing and debriefing applicable to simulation and clinical settings in academe and practice. Speakers will engage the audience in a discussion of ways to translate these findings into strategies that can transform nursing knowledge, education and practice.

Purpose: The purpose of this study was to look at the relationship between training received in debriefing using an evidence based debriefing method and the application of that training into educational practice. Debriefing is the most significant component of simulation, and faculty report varied ways of receiving training (Waznonis, 2015) …

Abnormal Thermal Patterns In Very Preterm Infants Associated With Infection And Maternal Smoking, Robin B. Dail

International Nursing Research Congress (INRC)

Introduction: More than 63,000 very preterm infants (1 and survival free from major morbidity is a significant problem for them.² Up to 30%³ of these infants experience a neonatal infection and 5-15% of these infants acquire an infection or inflammation of the gastrointestinal (GI) track called necrotizing enterocolitis (NEC); ^4,5 NEC has a mortality rate as high as 50%.⁶

Hypothermia is related to increased morbidity and mortality in preterm infants^7-11 and continues to be a problem in very preterm infants.¹² Hypothermia is associated with an increased incidence of NEC in preterm infants.¹³ Abnormal postnatal …

Identifying Child Physical Abuse: Who Is Reporting, And How Accurate Are Their Reports?, Grace W. K. Ho, Deborah Gross, Amie Bettencourt

International Nursing Research Congress (INRC)

Purpose: Child physical abuse (CPA) is one of the most lethal forms of child maltreatment; being reported for suspected CPA alone substantially heightens the child"s risk for sustaining future fatal injuries (Putnam-Hornstein, Cleves, Licht, & Needell, 2013). Therefore, early and accurate identification of CPA is imperative to the protection and timely provision of services to children in need. In the U.S., professionals who are mandated to report suspected child maltreatment initiate the majority of child maltreatment reports (62%; U.S. Department of Health and Human Services, 2015). However, few studies have been conducted to describe the distribution of report source for …

Research Capacity Development In A Nursing Education Context, Nelouise Geyer, Gisela H. Van Rensburg, Susan Jennifer Armstrong

International Nursing Research Congress (INRC)

Purpose: Research capacity development is essential for quality, cost-effective care and well-prepared healthcare professionals. Although various institutions have invested in a number of projects to build the capacity of professionals, research capacity remains fragmented and to a large extent limited to postgraduate research activities. The United Nations Educational Scientific and Cultural Organization (UNESCO) describes capacity building as being focused mainly on skills building that would enable the attainment of development goals through education (Edwards et al., 2016). Research capacity development varies in focus.

Following an annual nursing education conference, the absence of presentations on research done by nurse educators from …

Using Youth-Participatory Research To Address Health Disparities In Sexually Transmitted Infections Among Homeless Youth, Michelle Dang

International Nursing Research Congress (INRC)

Purpose: Sexually transmitted infections (STIs), including HIV, among homeless youth are a significant public health issue with STI rates among homeless youth being more than twice that of nonhomeless youth. Despite known risk factors, effective interventions for STI prevention and treatment for this population remain elusive. Evidence-based STI interventions targeted at adolescents typically encompass community or school-based, behavioral approaches; such approaches are a poor fit with a highly mobile population and do not address underlying social conditions that contribute to unsafe sexual behaviors such as survival needs, social norms, and access to health education.

This project is an exploratory study …

Integrating Substance Abuse Screening Brief Intervention And Referral To Treatment Into Nursing Curriculum, Julie A. Fitzgerald

International Nursing Research Congress (INRC)

It is estimated that about 30 percent of US adults experience a mental health or substance abuse disorder in a year, and many struggle with both. There is also wide geographical variation in the proportion of alcohol-attributable deaths and disability adjusted life years (DALYs), with the highest alcohol-attributable fractions reported in the WHO European Region (WHO, 2014). It is estimated that 15.3 million persons worldwide suffer from a substance use disorder (WHO, 2014). Globally, excess alcohol intake is responsible for approximately 6% of deaths. Culture, gender and religious norms impact alcohol consumption throughout the world. Substance abuse disorders are associated …

Risks And Protector Factors: Access To A Diagnosis And Services For A Child With Autism, Susan Agnes Bonis

International Nursing Research Congress (INRC)

Purpose: Autism spectrum disorder (ASD) is a growing global issue (Autism Speaks, 2016; World Health Organization, 2016) characterized by verbal and nonverbal social communication deficits, including difficulty following rules for conversation and forming and maintaining relationships (APA, 2013). The child"s ability to effectively engage in social and academic activities is impacted. Children often fall victim to criticism and bullying and respond with isolation, aggression, hostility, or self-injury (Schroeder, et al., 2014). These difficulties are compounded by inflexible adherence to routines and excessive response to sensory input (Author, 2012; 2016; Author & Sawin, 2016). A projected increase of 6-15% in ASD …

American Red Cross Simulation And Student Nurse Disaster Preparedness, Patricia Frohock Hanes, Anna Marie Hefner

International Nursing Research Congress (INRC)

Background: Disasters, natural and man-made, are increasing world-wide. Student nurses are an under-utilized resource in disaster response. As pre-professionals with some training, they have the ability to increase response capacity during disasters. Nursing organizations in the United States such as the American Association of Colleges of Nursing (AACN) and the National League for Nursing (NLN) advocate some form of disaster nursing education across all levels of nursing (AACN, 2006, 2008, 20011; NLN, 2013). The International Council of Nurses (ICN) developed a list of core competencies for disasters in 2009; the National Student Nurses" Association in the United States (2012) promoted …

Measuring Nurses' Perceptions Of Collaborative Governance As A Method Of Assessing Transformation Of Organizational Culture, Jaynelle F. Stichler, Maria Del Carmen Colombo, Debra Milbert Poeltler

International Nursing Research Congress (INRC)

Purpose: This completed study describes the measurement of nurses" perceptions of collaborative governance (CG) over 5 years after implementation of a CG structure developed to transform culture and empower nurses to be more involved in decision making. The study is important since few evidence-based studies regarding CG exist in the literature.

Transformation leaders inspire others to achieve more than they thought possible for themselves (Porter-O"Grady & Malloch, 2015). The Magnet culture requires transforming the organization culture and facilitating leadership growth and empowerment of all nurses in the organization (Dearmon, 2015). CG is a structure and process used to change organizational …

A Collaborative Curricular Response To Rehabilitative Challenges In A Global Setting [Symposium], Barbara A. Ihrke, Connie J. Crump, Janice L. Cotrone

International Nursing Research Congress (INRC)

This symposium describes a novel, replicable approach to rehabilitative challenges in a developing country. A collaborative relationship developed between two schools of nursing located in the US and Haiti to improve clinical outcomes. Physical therapists provided expertise to integrate rehabilitative practices across the baccalaureate nursing curriculum.

One cohesive slide deck contains the following three presentations:

1. Development of a Collaborative Relationship With a Baccalaureate Nursing Program in a Developing Country, Barbara A. Ihrke

2. Adapting Rehabilitative Activities to Improve Clinical Outcomes in a Limited Resource Setting, Connie J. Crump

3. The Integration of Rehabilitative Practices in a Baccalaureate Nursing Curriculum …

Partnering With Community Health Workers And Faith-Based Organizations To Provide Hypertension Management In Haiti, Cynthia G. Cortes

International Nursing Research Congress (INRC)

Purpose: The purpose of the program was for U.S. based healthcare providers to manage Haitian patients" hypertension through bimonthly clinics and community health workers to monitor blood pressures weekly. Approximately 27% of Haitian adults have raised blood pressures; cardiovascular diseases account for 24% of the total deaths in Haiti and stroke is the leading cause of death (WHO,2012). Community health workers (CHW) have been effective globally in multiple education activities. In Haiti, CHW have been instrumental in providing education on cholera prevention and control (CDC, n.d.) as well as education and preventive services to people with HIV.

Methods: Potential health …

A Model-Based Ergonomic Risk Management Program To Reduce The Musculoskeletal Symptoms Of Icu Nurses, Duygu Sezgin, Melek Nihal Esin

International Nursing Research Congress (INRC)

Purpose: Nursing profession is identified as having the highest risk in terms of ergonomic risk. Nurses stand for long hours, do pushing, pulling, elevating movements, as a result of which, musculoskeletal disorders may easily develop (Rasmussen et al. 2013, Sezgin and Esin 2015). The prevalence of the musculoskeletal symptoms (MSS) of nurses working in the clinical settings is found to be between 69.55-88.2% in the literature (Samaei et al. 2015, Barkhordari et al. 2015, Ganiyu et al 2015). Having MSS decreases work performance, and increases work absenteeism, this affects patient care negatively and increases the illness costs (Lee et al. …

Integrating The Doctor Of Nursing Practice In Practice Settings: Implications For Clinical Outcomes And Scholarship, Mary G. Nash, Esther M. Chipps

International Nursing Research Congress (INRC)

The Doctorate of Nursing Practice (DNP) has now moved into its" first decade of existence. Early discussions among nursing thought leaders were focused on promoting the development, assessment and evaluation of DNP curriculums to meet the American Associations of the Colleges of Nursing (AACN) recommendations (Melnyk, 2013). As the profession of nursing has gained experience with the DNP graduates, we are entering the next phase of discussion; the integration and operationalization of the role within healthcare systems. Nurse leaders in academic and practice settings have the opportunity to collaborate on ways to identify and measure the impact of this new …

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 …

Advancing Nursing Education: Bsn Completion Messaging Materials For Associate Degree Nursing (Adn) Faculty, Linda E. Moody

International Nursing Research Congress (INRC)

Problem: The IOM"s Future of Nursing report calls for increasing the proportion of baccalaureate-prepared nurses to 80% by 2020. There is supports for nurses" to pursue education beyond an associate"s degree. Many initiatives have been implemented to encourage academic progression toward BSN. To increase the proportion of BSN-prepared RNs, additional options need to be considered. The support and message that ADN faculty provide to ADN students is crucial for students to recognize and understand the benefits, opportunities, and importance of continuing their nursing education.

Project Aim: To develop resources that ADN faculty can use to advise and encourage ADN students …

Simulation Pre-Briefing: Supporting Competency And Judgment Development In Nursing Learning, Karin Page-Cutrara

International Nursing Research Congress (INRC)

Purpose: The purpose of this experimental study was to describe a newly developed model-based, structured prebriefing intervention and its effect on nursing students’ competency performance, clinical judgment, and their perceived prebriefing experience, and to describe its application to teaching practice. Prebriefing begins the simulation process and introduces the participants to the simulation, learning experience (Chamberlain, 2015; Rudolph, Raemer, & Simon, 2014). However, little nursing education research is available on this activity, and how it relates to the development of nursing knowledge and practice. Reflection theory and concept mapping underpinned the development of a model on which this intervention was based, …

Developing A Creative Collaboration To Promote Interprofessional Education For Baccalaureate Nursing Students, Tauna Fleming Gulley

International Nursing Research Congress (INRC)

In November 2012, the School of Nursing and the XXX College of Osteopathic Medicine at XXXX created a workgroup aimed at structuring interprofessional learning activities for students. Since that time, the interprofessional education (IPE) initiative has expanded to include the disciplines of optometry and social work at the University of XXX, the XX College of Pharmacy in XXX and the school of nursing from XXX .

The aim of this presentation is to describe how a small university in the central Appalachian region of the United States developed a creative collaboration among various disciplines to promote interprofessional educational experiences for …