Digital Commons Network^™

An Integrated Model Of Learning And Role Development In Nursing Education, Monika Schuler

International Nursing Research Congress (INRC)

Purpose:

With a view towards understanding how students develop new knowledge and practices that facilitate role development in the clinical and simulation settings, the purpose of this project was to examine the process by which new knowledge is absorbed and processed leading to perspective transformations and ultimately role development.

In considering how students learn, constructivist pedagogy involves active learning where students have an opportunity to challenge previous thoughts on content and try out different aspects of their future role with guidance (Handwerker, 2012). This active learning helps a student develop metacognition and an ability to transfer knowledge and skills to …

A Cognitive-Behavioral Therapy Program For Youth Who Engage In Domestic Violence Against Their Parents, Anthony J. Roberson

International Nursing Research Congress (INRC)

The purpose of this oral presentation is to present the specifics and the results of an evidence-based, Cognitive-Behavioral Therapy intervention program developed for youth who engage in domestic violence against family members, and their parents.

Relieving Pain And Anxiety Via Sensory Modification, Christi M. Turnage

International Nursing Research Congress (INRC)

Purpose: The purpose of this review was to evaluate literature related to the efficacy of sensory modification in relieving pain and anxiety and promoting comfort during medical procedures and hospital stays as an alternative to pharmacological management. Methods:Â A single researcher conducted individual searches using OVID, CINAHL/EBSCO, and PubMed. Several keyword combinations were used, but those yielding usable results were procedure, noise, ICU, light, surgery, pain, and anxiety reduction. Inclusion criteria included English language, human subjects, free full text, clinical trial, and date range including only those articles published within the last five years. After application of criteria, 15 …

Nuts And Bolts Of Nursing Study Abroad: Logistics And Funding, Sondra Heaston, Gaye L. Ray

International Nursing Research Congress (INRC)

Purpose: There is little doubt that nursing specific study abroad experiential learning facilitates the development of cultural humility and enhances cultural awareness. A well planned study abroad should be a life changing experience for participants adding richness to their education and future careers ¹. However, there are logistical and funding issues that serve as hurdles to the development of study abroad programs and student ability to participate². This presentation will share insights and suggestions to address the hurdles encountered when planning and conducting nursing specific semester abroad programs.

Methods:Â A baccalaureate pre-licensure program at a large university …

The Relationship Between Marginalization And Mental Health Symptoms In Abused Women, Anne Floyd Koci, Judith M. Mcfarlane, John A. Maddoux

International Nursing Research Congress (INRC)

Background: Globally intimate partner violence (IPV) affects 1 in 3 women (WHO, 2013). One important factor that may be associated with the increased vulnerability to abuse is marginality which brings about social isolation as well as psychological isolation of individuals. This isolation has negative consequences for emotional health (Koci, 2012; Symes, McFarlane, Nava, Gilroy, Maddoux, 2013) Anxiety, depression and PTSD are adverse mental health symptoms that increase the risk for suicide. The World Health Organization"s Sustainable Development Goal 3 is to ensure healthy lives and promote well-being for all at all ages and to reduce premature mortality from suicide.

Purpose: …

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 …

Planning An Efficacy Study Of A Web-Based Yoga Intervention Based On Feasibility Findings, Jane M. Flanagan

International Nursing Research Congress (INRC)

Purpose: It is well known that the end of active cancer treatment (surgery, +/- chemotherapy, +/- radiation) is a very stressful time during which survivors report many physical and psychological concerns. In one study conducted with breast cancer survivors at the end of active treatment, participants reported that they felt abandoned and that they were on their own to manage care; however, they also reported not wanting to return to the hospital for care from providers. These women did report that they would like to be able to access information via the Internet. (xxx, xxx, Habin & Cashavelly, 2012). Further …

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 …

The Nurse Practitioner Clinical Ladder Program: A Journey To Professional Nursing Excellence, Lisa M. Paplanus, Patricia Bartley-Daniele, Patricia D. Chibbaro

International Nursing Research Congress (INRC)

Quality Nurse Practitioner (NP) care delivery is associated with teambuilding, leadership, communication, clinical knowledge and skills, evidence-based practice, and quality outcome achievement (Cronenwett, 2012; Elliot, 2016). Yet, organizational structures and processes fostering continuous NP practice development have been infrequent (Elliot, Begley, Sheaf, & Higgins, 2016; Porter-O'Grady, 2011). In response to an organizational NP job satisfaction survey, the Nurse Practitioner Clinical Ladder (NPCL) program was developed to enhance professional excellence at a university affiliated medical center in the United States (Misener & Cox, 2001). Senior nursing leadership and administrative support were critical to the NPCL program development. The purpose is to …

Outcomes Of A Global Health Nursing Course: Does The End Justify The Means?, Sheri P. Palmer, Stacie Hunsaker

International Nursing Research Congress (INRC)

A study abroad program for nursing students can be expensive and time-intensive. Nursing faculty share the results from research that demonstrates global health experience can positively influence their future nursing practice and cultural competence.

Impressions Of Uses For Visual Thinking Strategies Among Doctorate Of Nursing Practice Leadership Students, Meg Moorman, Desiree Hensel

International Nursing Research Congress (INRC)

Purpose: Visual Thinking Strategies (VTS) is a structured art viewing technique that can help students develop aesthetic understanding and critical thinking skills (Housen, 2002). VTS integrates many techniques to build cognition including fact-finding, questioning, speculating, and personal association (Yenawine, 1997). Originally used with children, there is now a growing recognition that VTS holds value in higher education (Moorman, & Hensel, 2016). In the field of Nursing, undergraduate students have reported that VTS helps create a safe learning environment and helps the see things differently. (Moorman, 2015). Other undergraduate students have reported that VTS helped them gain observational, cognitive, interpersonal, and …

Predictors Of Anti-Mã¼Llerian Hormone, A Biomarker Of Ovarian Reserve: A Systematic Review Of The Literature, Theresa M. Hardy, Donna O. Mccarthy

International Nursing Research Congress (INRC)

Purpose: Anti-Müllerian hormone (AMH) is a novel biomarker of ovarian reserve, or the size of the ovarian follicle pool. Follicle stimulating hormone (FSH) and inhibin B have been the gold standard measures of ovarian reserve. However, changes in FSH and inhibin B levels are not detectable in serum until there is a significant reduction in the follicle pool (Steiner, 2013), making timely detection and intervention challenging. Several studies have explored the influence of both reproductive and lifestyle determinants on AMH concentrations (Dolleman et al., 2013; Freeman et al., 2007; La Marca et al., 2010; La Marca, Stabile, Artenisio, & Volpe, …

Effects Of Mindfulness On Outcomes In Cardiac Rehabilitation Participants: A Pilot Study, Stephanie L. Turrise, Nasrin Falsafi, Richard S. Jr. Pond

International Nursing Research Congress (INRC)

Purpose: The purpose of this pilot study is to assess the effectiveness of a mindfulness intervention compared to a non-intervention, control group (treatment as usual) on physiological and psychosocial outcomes in a sample of cardiac rehabiliation participants.

Methods: This study utilizes a quasi-experimental, repeated-measures design with participants randomly assigned by cohort to one of two groups: a mindfulness practices (including self-compassion) intervention group or a wait-list control group (i.e. treatment as usual). Fifty participants (25 per group) are being recruited from two sites with a phase II cardiac rehabilitation program in Southeastern North Carolina. Participants in the mindfulness intervention group …

Neuropathic Pain And Related Factors In Patients After Lumbar Spine Surgery: A Prospective Study, Feng-Ling Chen, Hsiao Fen Chang, Su-Ying Fang

International Nursing Research Congress (INRC)

Purpose: Neuropathic pain exists even after receiving lumbar spine surgery. These painful conditions often reduce the quality of life and limit the activities of daily living However, the prevalence of neuropathic pain (NP) before and after lumbar spinal surgery among patients with. degenerative lumbar diseases is still unknown.The purpose of this study was to understand the prevalence, characteristics of neuropathic pain and related factors among patients receiving lumbar spine surgery. This study also aimed to identify the risk factors related to NP and compare the clinical outcomes after surgical treatment between patients with and without NP.

Methods: Prospective and observational …

Professional Identity In The Lived Experience Of Hospital Nurses, Tullamora T. Diede

International Nursing Research Congress (INRC)

Purpose: The purpose of this study is to explore the phenomenon of the lived experience of nurses working with patients in hospitals and, with that information, to identify meaningful themes and patterns of how their workplace environment impacts their sense of professional identity. The specific aim of this study is to describe, interpret and, therefore better understand the lived experience of nurses working with patients in a hospital environment and the meaning of this phenomenon as it relates to their professional identify.

Rationale/Background: Over three million nurses currently holding active licenses to practice in the U.S. (U.S. Bureau of Labor …

Adherence A Review: T2dm In Haitian-Americans, Balkys L. Bivins

International Nursing Research Congress (INRC)

Purpose: The incidence and prevalence of diabetes mellitus (DM) has soared globally due to socioeconomic, demographic, and lifestyle changes, and lack of social justice. In the United States, DM has become a costly epidemic that resulted in an annual healthcare cost of $245 billion in 2012. The total prevalence of diabetes in the U.S. is significant at 29.1 million, of which 97.3 % is attributed to Type II diabetes (T2DM). Among the populations affected by the disease and the challenges to effective diabetes treatment and management are Haitian Americans in the U.S. The aim of this review from 1979 to …

Growing In Recovery: A Service Learning Case Study, Amanda Eymard, Heidi Rodrigue

International Nursing Research Congress (INRC)

This qualitative case study utilized heuristic phenomenology to explore the potential impact of initiating a garden at a halfway house. For the service learning project, a garden was developed by nursing students in collaboration with clients at the facility. A grant from Sigma Theta Tau funded the project. During this project, one client emerged as the primary caretaker of the garden. This male client, undergoing rehabilitation for drug abuse, became the subject of the case study. A senior nursing student mentored by a faculty member conducted the case study. Over a period of five months, the subject was interviewed extensively …

Someone To Watch Over Me: Feeling Safe And Cared For In Clinical Settings, Madeline Marie O'Donnell, Inge B. Corless, Lisa Quinn, Catherine Griffith, Margie Sipe, Patrice Kenneally Nicholas

International Nursing Research Congress (INRC)

Purpose: The purpose of this exploratory study is to identify what makes patients feel cared for and how caring behaviors and feeling safe contribute to feeling cared for in clinical settings.

1: To determine whether there is a significant relationship between:

a. patients" perceptions of caring behaviors and feeling safe.

b. patients" perceptions of caring behaviors and feeling cared for.

c. patients" perceptions of feeling safe and feeling cared for.

2: To investigate whether participants" responses vary by demographic factors, the length of the current hospital stay, whether the patient can identify a primary nurse caregiver, and the length of …

The Risk Factors Affecting Survival In Colorectal Cancer In Taiwan, Shu-Fen Wu, Chao-Hsien Lee, Shu-Chen Cheng, Hong-Yi Tung, Shih-Chang Shang, Ching-Yun Ching

International Nursing Research Congress (INRC)

Background: Colorectal cancer (CRC) is the second and third most commonly diagnosed cancer type in females and males, respectively, representing almost 10% of the global cancer incidence. The incidence of colorectal cancer (CRC) in Taiwan is rising. Cancer survival is an indicator of the overall effectiveness of health services in the management of patients. In this study, we sought to determine the five-year survival rate of patients diagnosed with CRC and to determine factors affecting survival. Methods: In this study, we conducted a single-center, retrospective cohort study to estimate the survival outcome of patients diagnosed with colorectal carcinoma …

Public Health, The Environment, And Nursing Practice: Health Promotion In A Toxic World, Hacah U. Boros

International Nursing Research Congress (INRC)

Purpose: Nurses are at the forefront of community and preventative health as educators and practitioners. It is imperative that they provide comprehensive, quality care as it relates to environmental health issues; acknowledging advances in research that are exposing the correlation between chemicals and our body burden. The incidence of many serious diseases and disorders are on the rise and understanding the link to environmental exposures is critical. There is growing consensus among the scientific and medical community that exposure to toxic chemicals in our every day environment including those found in building products, plastics, personal care products and household cleaners, …

Improving Hypertension Management Through Computer-Based Staff Education, Simulation, And Incentivization: One Organization's Quality Improvement Journey, Nancy J. Slizewski, Caroline H. Fender, Patti E. Reinagle, Krissy L. Flick

International Nursing Research Congress (INRC)

Background: Hypertension is a risk factor for cardiovascular disease which is a leading cause of death in the United States (Centers for Disease Control [CDC], 2014; Coogan, Marra, & Lomonaco, 2015). Although approximately one-third of the adult population has hypertension, almost one-half of those diagnosed are not meeting target blood pressures of less than 140/90 (CDC; Coogan et al.). Proper diagnosis and management of hypertension is based on blood pressure readings. Correct blood pressure measurement technique by staff is critical (American Association of Critical-Care Nurses, 2016; Bland & Ousey, 2011; Coogen et al.; Giorgi, & Ganem, 2016; Rabbia et al., …

Complementary Medicine And Spirituality: Practices To Attain And Maintain Health Among Indian Immigrants, Rachel Abraham Joseph, Samantha Anne Fernandes, Sarah Derstine, Micaela Mcspadden

International Nursing Research Congress (INRC)

Purpose: About five percent of immigrants to the United States are from India (Zong, Jie & Batalova, 2015). The use of complementary and alternative medicine (CAM) are quite common among Indians and upon migration to the U.S, they may continue to use CAM therapy for routine care, and access modern health care services for emergencies only (Rao, 2006). This can result in a lack of screening for certain diseases which may then delay diagnosis and treatment of that disease. The health seeking behaviors of Indian immigrants and their frequency of accessing preventative screening were not found in literature.

Methods: This …

State Of The Science On Clinical Evaluation Of Competence In Nursing Education, Elizabeth R. Van Horn, Lynne Porter Lewallen

International Nursing Research Congress (INRC)

Purpose:Â This presentation will describe the state of the science on clinical evaluation of competence in nursing education and address issues related to instrumentation and methods used in clinical evaluation globally.

Methods: A NLN-funded research synthesis was conducted to identify published research and dissertations on clinical evaluation of nursing students. Cooper’s (2010) method of conducting a research synthesis was used to guide the study. Search methods included literature searches of nursing, educational, and health sciences databases; dissertation abstracts; review of table of contents of 7 leading nursing education journals from 2005-2015; and review of the reference lists of 6 review …

The Impact Of Feeding And Parenting Guidance On The Prevention Of Child Obesity, Elizabeth Reifsnider, David Mccormick, Michael Todd, Lucy Reyna, Irma Pecina

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to test an intervention, guided by public health nursing practice and delivered by community health workers, to prevent the development of obesity in infants and young children who are at risk of obesity because of maternal body size, income status, and ethnicity. We followed the Institute of Medicine"s (IOM) 2011 report on early childhood obesity prevention policies, which recommended five approaches to preventing obesity: assess, monitor, and track growth from birth to age 5; increase physical activity and decrease sedentary behavior in young children; support breastfeeding and be responsive to children"s feeding cues; …

Midlife African American Women's Maintenance Of Lifestyle Physical Activity, Jo Ellen Wilbur, Lynne T. Braun, Susan Buchholz, Arlene Michaels Miller

International Nursing Research Congress (INRC)

Purpose: Group interventions combining guidance, self-management, and ongoing support effectively increase physical activity in African-American women, but little is known about long-term maintenance. Maintenance of physical activity is commonly defined as participant achievement of a pre-prescribed level of physical activity at 2 points of time often at the end of the intervention and 6 months later (Kahlert, 2015). Examination of 14 physical activity interventions with African American women revealed only three examined maintenance after cessation of the intervention with all reporting a return toward baseline or low retention. The 48-week Women"s Lifestyle Physical Activity program designed to increase adherence to …

Demoralization Syndrome Affects Health-Related Quality Of Life (Hrqol) In Patients With Heart Failure, Hsing-Mei Chen, Liang-Miin Tsai, Yun-Han Shie

International Nursing Research Congress (INRC)

Purpose: Health-related quality of life (HRQOL) is an important outcome measure for guiding appropriate and effective therapeutic interventions for patients with heart failure (HF). Demoralization syndrome consists of a cluster of emotional symptoms including loss of meaning, dysphoria, disheartenment, helplessness, and sense of failure. Patients with demoralization syndrome may have poor quality of life. To date, information about the relationship between demoralization syndrome and HRQOL in patients with HF, however, is still lacking. Therefore, the purpose of this study was to examine the relationship between demoralization syndrome and HQROL in patients with HF.

Methods: A cross-sectional correlational research design was …

American Lymphedema Framework Project: An Overview Of 8 Years In Moving The Lymphedema Field Forward, Jane M. Armer, Nathan C. Armer, Joseph L. Feldman

International Nursing Research Congress (INRC)

Purpose: To inform nurses and other health professionals in the U.S. and around the world about the founding of the American Lymphedema Framework Project (ALFP) in 2008 as the first invited national framework of the International Lymphoedema Framework (ILF) and the ALFP progress in achieving its mission to improve the management of lymphedema and related disorders in the United States, while contributing to global international advancement.

Methods: In 2008, lymphedema clinical experts, researchers, educators, patients, advocates, and other stakeholders began the process of developing the American Lymphedema Framework Project (ALFP) at the invitation of the ILF. At the American Cancer …

Upward Violence In Nursing: A Scoping Review Of A Phenomenon Of Importance For Nursing, Alice Pauline Gaudine, Linda J. Patrick, Lorraine A. Busby

International Nursing Research Congress (INRC)

Purpose: To describe what is known about upward violence in the workplace through a scoping review of the literature. Upward violence includes violence that is directed from staff to people in positions of authority including staff nurses to nurse managers (Branch, Ramsey & Barker, 2013; Gaudine and Lamb 2015). Upward violence may include physical violence and property damage, but it can also be demonstrated through verbal threats and behaviours such as rudeness, socially ostracizing, bullying, mobbing, or passive aggressive behaviours.

The specific objectives of this presentation are: 1) to define and to describe upward violence; 2) to identify related nursing …

Perceived Strategies To Decrease Attrition Rates Among Nurses Practicing At Healthcare Institutions In India, Llewellyn Prater, Shelby L. Garner, Leena Raj

International Nursing Research Congress (INRC)

Background: A profound nursing shortage exists in India, where nurses are increasingly out-migrating to practice nursing abroad. A robust nursing workforce is needed to improve health outcomes in India. Until recently, nursing was not considered a profession in India and research suggests nurses historically experienced marginalization and oppression (Johnson, Green, & Maben, 2014). A recent positive shift in the perception of nurses as professionals in India creates a timely milieu in which to give nurses a voice so that they may express their ideas and perceptions (Walton-Roberts, 2015). Strategies to decrease attrition rates among nurses in India could also shape …

"I Should Have Come Sooner": A Qualitative Study Describing Care Preferences Of Elders With Hf, Victoria Vaughan Dickson, Saul Blecker, Corita Grudzen, Stuart Katz, Billy A. Caceres, Melissa Martelly, Tina Sadarangani, Caroline Blaum

International Nursing Research Congress (INRC)

Purpose: Heart failure (HF) remains the leading cause of hospitalization among adults over the age of 65. The majority of these hospitalizations originate in the emergency department (ED). Hospitalized HF patients are more likely to experience negative health outcomes than outpatients with HF. Experts have suggested that many patients with HF may be safely given treatment in the ED with discharge home and close follow up. Therefore, the purpose of this study was to describe the reasons that elder HF patients present to the ED and explore care preferences including barriers and facilitators to home discharge.

Methods: In this qualitative …