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Influencing Global Health Through Cultural Nursing Education Assignments: Results Of A Mixed-Methods Study, Amanda L. Veesart

International Nursing Research Congress (INRC)

Purpose: To report the results of a research study regarding changes in cultural awareness levels among prelicensure nursing students after completion of a culturally based clinical assignment.

Methods: The Voice Project was a culturally based assignment (CBA) designed to teach nursing students how to provide culturally competent nursing care. The study utilized a mixed methods retrospective, descriptive research design to evaluate the data. For the purpose of the research project, self-reported levels of cultural awareness among senior nursing students before and after the completion of the Voice Project was evaluated. A convenience sample of 252 students was evaluated, divided into …

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

International Nursing Research Congress (INRC)

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

Long-Term Impact Of Study Abroad In Undergraduate Nursing Education On Rn Nursing Practice, Arlene E. Kent-Wilkinson, Marie Dietrich Leurer, Janet Luimes, Linda M. Ferguson, B. Lee Murray, Vicki Squires, Carmen M. Dell

International Nursing Research Congress (INRC)

Purpose: Study abroad experiences often have a significant impact on the lives of university students. This impact is not always understood in terms of learning outcomes, lived experience perspectives, or the impact it has on future professional practice. The purpose of the study is to explore the long-term impact of the study abroad experience on subsequent nursing practice, from the perspective of alumnae registered nurses (RNs) in Canada, who in the last eight years had a study abroad clinical placement as part of their undergraduate nursing program.

Recent societal and educational trends: Changing immigration patterns globally have resulted in more …

Participatory Rural Appraisal For Community Assessment Of Health Needs In Rural Haiti: A Pilot Study, Amy L. Knowles, Penelope Lynn Neal

International Nursing Research Congress (INRC)

Purpose: The country of Haiti has a population of 10 million people and is the poorest country in the Western Hemisphere. The nation ranks 168 out of 187 on the Human Development Index (WHO.int; MidwivesforHaiti.org). While there has been limited research in Haiti, the majority of previous work focuses on specific disease topics, such as Human Immunodeficiency Virus (HIV) transmission and prevention (Conserve et al., 2014). What is missing from the literature is a comprehensive review of the significant health issues affecting Haitians, especially in the rural areas, and an opportunity of empowering the locals to participate in identifying their …

Meta-Synthesis Of Studies On Self-Stigma In Chronic Disease, Kawoun Seo, Yoonhee Lee, Bohyun Kim, Youngshin Song

International Nursing Research Congress (INRC)

The purpose of this study was to synthesize the concept of self-stigma in patients who have chronic disease and to classify the its attributes systematically.

Addressing Breast, Cervical, And Colorectal Cancer Screening-Related Health Disparities And Practices In Asian-Indio Women, Sharon K. Byrne, Evelyn Robles-Rodriguez, Yogini Patel

International Nursing Research Congress (INRC)

Purpose: This retrospective research project reviews outcomes resultant from the delivery of cancer screening services to women living in the U. S. from an Asain-Indio background witin a clinic setting.

According to the National Action Plan for Cancer Survivorship, culturally competent patient education and care is a priority (2015). The Cancer Outreach Project at MD Anderson Cancer Center Cooper provides culturally and linguistically appropriate cancer education and screening to underserved Asian-Indio women through the use of a dedicated outreach worker and Nurse Practitioner run clinic. A collaborative relationship was established in 2007 between the Cancer Outreach Project and National Indio …

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

International Nursing Research Congress (INRC)

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

Comparative Analysis Of The Similarities And Differences In Approach To Integrative Scholarly Reviews, Joann D. Long, Paula Gannaway, Cindy Ford

International Nursing Research Congress (INRC)

Purpose: Primary research provides the scientific foundation for evidence-based practice (EBP)--vital in the attainment of health for all people (World Health Organization, 2012). A comprehensive literature review is essential for determining what is known and not yet known regarding the clinical question (Coughlan, Cronin, & Ryan, 2013; Kearney, 2016). Conceptually, the Stevens Star Model of Knowledge Transformation offers a framework for moving the discovery of knowledge gleaned from research to implementation of evidence-based practice (Stevens, 2012). Yet, meaningful engagement in the synthesis of high-level health care research requires the use of a sophisticated set of technical skills including knowledge of …

Gaps In Palliative Care Provision In Saskatchewan, Canada: Learning From Palliative Care Management, Susan Eva Fowler-Kerry, Louise Racine

International Nursing Research Congress (INRC)

Purpose: This study is part of an ongoing project to develop a working knowledge about the long-standing uneven development and delivery of palliative care in Saskatchewan, Canada; subsequently providing a foundation for continuing study and facilitating practical improvement of palliative care programs.

Methods: The results to be presented are based on the current stage of this project, the analysis of longitudinal survey data which were collected from the management personnel of palliative care in each health region in 1998, 1999 and 2002. The three surveys are composed of both close-ended and open-ended questions, therefore both quantitative and qualitative analysis are …

Effect Of Massage Balls On Breast Engorgement For Taiwanese Postpartum Women: A Randomized Clinical Trial, Hsiu-Jung Lee

International Nursing Research Congress (INRC)

Purpose: The multitude of benefits that come from breastfeeding has been very well established and recognized. Breast engorgement, however, is a common problem of early postpartum breastfeeding, one that contributes to lower willingness to breastfeed. The development of effective strategies aimed at increasing milk secretion is, therefore, highly important, for it helps to prolong the duration of breastfeeding. It is incumbent upon health-care providers to find the best strategies in assisting women to both manage the discomfort of breast engorgement and increase milk secretion.The purpose of this study was to evaluate the efficacy of massage balls toward treating breast engorgement …

Deployment-Related Needs Of Children Of Army Reserve Soldiers, Margaret C. Wilmoth, Alicia Gill Rossiter, A. Suzanne Boyd

International Nursing Research Congress (INRC)

Purpose: The spouse of a deployed Army Reservist said that her 5 year old was the only child in his kindergarten class whose daddy was in the military. He would sit in a corner and cry during school yet refuse to talk to his daddy on Skype. Concerned for her child"s health she reached out to the community for support and encountered many barriers. Not only did she have difficulty finding a child therapist to help her son, finding one with experience caring for the unique physical and psychological healthcare needs of military children was nonexistent. The school, while willing …

Educating Healthcare Providers To Identify And Heal Victims Of Sex Trafficking, Kupiri Ackerman-Barger, Jann L. Murray-Garcia, Ellen E. Goldstein, Jerry John Nutor

International Nursing Research Congress (INRC)

Purpose: Human trafficking is recognized as a gross violation of human rights that victimizes tens of millions of vulnerable women, men and children worldwide (Ahn et al., 2013). A United States Congressional Research Service report estimated the number of victims who are trafficked at any one time worldwide may reach as high as 27 million (Siskin & Wyler, 2013). Millions of trafficked victims are unaccounted for and remain invisible to law enforcement, medical providers and other professionals. A lack of awareness of this invisible population has meant missed opportunities to improve both the health of …

A Comparison Of Emla And Lmx4 For Managing Pain During Sharp-Wound Debridement, Wendy M. Woith, Jennifer Perry, Jessica Lee

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to compare the efficacy of eutectic mixture of local anesthetics (EMLA) cream to 4% liposomal lidocaine cream (LMX4) for managing pain during sharp debridement of wounds.

Sharp debridement involves the use of a scalpel or scissors to assist with removal of infected or necrotic tissue; this method is preferred for deep wounds, when there is a large amount of tissue to be removed, or when significant infection is present with risk of sepsis , and has been found to decrease time to healing over other forms of debridement. However, sharp wound debridement has …

Effect Of Paravertebral Block On The Outcomes Of Patients Undergoing Video-Assisted Thoracic Surgery, Myra I. Torres, Linda A. Minnich

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to determine if there was a relationship between the introduction of paravertebral block pre-operatively and patient"s post-operative pain scores, length of urinary catheter use and length of hospital stay.

Methods: The study design is retrospective data collection of 40 patients undergoing Video-Assisted Thoracic Surgery (VATS) with wedge resection at a small community hospital in Northern California between March 2013 and March 2015. The decision on whether to apply paravertebral block was based on surgeon preference. All patients included in the study received the usual surgical pain regimen of systemic opioids. At the Post-anesthesia …

Innovative Nursing Education Pathways And Racial/Ethnic Diversity, Kupiri Ackerman-Barger, Patricia Farmer, Bryan M. Hoffman

International Nursing Research Congress (INRC)

Purpose: The purpose of this study is to determine whether innovative nursing education pathways reflect the racial/ethnic diversity of traditional pathways. In 2008 the Robert Wood Johnson Foundation partnered with the Institute of Medicine to produce an action-oriented report that would serve as a blueprint for the future of nursing. The report (The Future of Nursing; Leading Change, Advancing Health) sought to address issues like the nursing shortage, developing technologies in healthcare, and meeting current and future healthcare demands (IOM, 2011). The results of the report were four key messages. This study focuses on Key Message #2 which …

Improving Nursing Care In Infants With Neonatal Abstinence Syndrome, Laura Ruth Watson

International Nursing Research Congress (INRC)

Purpose: The purpose of the project is to improve the nursing care of infants with neonatal abstinence syndrome (NAS) through staff education and peer assessment.

Objectives: The project objective is to provide education for the healthcare staff at two Midwestern hospitals to ensure consistent care is provided to NAS infants. By providing consistent care, NAS infants will be made more comfortable and improve quicker, decreasing their length of stay.

Expanded Content Outline: Sublett (2013), identifies since 1980 the incidence of the NAS has increased by 300%. Literature has shown that infants with neonatal abstinence syndrome (NAS) encounter serious medical …

Derek Hoy: The Legacy Of The First Scottish Nursing Informatician, Siobhãƒâ¡N O'Connor

International Nursing Research Congress (INRC)

Purpose: Derek Hoy was a prominent Scottish nursing informatician. This paper aims to explore his career and its impact on nursing, patients and the health services in Scotland and beyond.

Methods: A literature review of Derek's academic research was undertaken to establish his contribution to nursing informatics as a field. An exploratory case study approach was adopted to explore his career in depth. A selection of people are being interviewed including his wife and close personal colleagues in the National Health Service (NHS), Glasgow Caledonian University where he worked and the Scottish Government among others. The qualitative dataset will undergo …

Nicu Nurses And Families Partnering To Provide Family-Centered Developmental Care, Candy Bruton, Jennifer Meckley, Lori A. Nelson

International Nursing Research Congress (INRC)

The aim of this evidence based practice (EBP) project was to determine how implementing the seven neuroprotective core measures of family-centered developmental care will impact the satisfaction of the NICU nurses through new knowledge, skills and families through partnering with care compared to traditional care. According to the American Academy of Pediatrics (AAP) Committee on Hospital Care and Institute for Family Centered Care policy statement made in 2003 family-centered care is a method in which medical care is grounded in the principle that optimal health outcomes are accomplished when patients" family members participate in an active role in contributing emotional, …

Integrative Review Of Self-Care Measurement In Diabetes Nephropathy, Younghee Jun, Jeonghwa Cho, Keumok Park, Youngshin Song

International Nursing Research Congress (INRC)

According to the International Diabetes Federation (IDF) Diabetes Atlas, 415 million people have diabetes mellitus (DM) in 2015. Along with increasing number of diabetes prevalence, its complications are also currently increasing. Among diabetes complications, the rate of prevalence for nephropathy was 30- 40 % of diabetes patients in literature. For controlling the diabetes nephropathy (DN), patients should have the complicated self-care competence. The self-care for DN should be included the proper behaviors not only to control their glucose level, but also to manage their kidney dysfunction. Lots of patients have experienced the difficulties for managing those complicated situations. For example, …

Walking For Our Health: Evaluation Of Randomized Spousal Physical Activity Pilot Intervention, Elizabeth A. Richards, Melissa M. Franks, Meghan M. Mcdonough, Sharon L. Christ

International Nursing Research Congress (INRC)

Purpose: Addressing physical inactivity among older adults is a crucial public health challenge as less than 5% of older adults meet physical activity (PA) recommendations (Troiano et al., 2008) and PA declines with age (Centers for Disease Control and Prevention, 2012; de Rezende et al., 2014). Physical inactivity and sedentary behavior are associated with a higher risk of all-cause mortality and multiple chronic conditions (Physical Activity Guidelines Advisory Committee, 2008; de Rezende, Rey-López, Matsudo, & do Carmo Luiz, 2014).

Despite concerted efforts, physical inactivity remains a major public health concern, especially among older adults who struggle to maintain PA over …

Perceptions Of Nursing Students Of Study Abroad Experiences, Camille Payne, Genie E. Dorman

International Nursing Research Congress (INRC)

Purpose: The purpose of this research study was to explore nursing student perceptions of study abroad experiences. The findings of this study may help to guide faculty in developing new opportunities, and increasing the meaningfulness of existing study abroad courses.

Methods: Basic qualitative methods were used to conduct the data collection and analysis for this study. Undergraduate nursing students who had participated in previous study abroad experiences were recruited by email invitation. The researchers scheduled individual, one on one interviews with the nursing student participants. At the beginning of the interview, participants were provided with consent forms, and any questions …

Toxic Stress And Protective Factors In Multiethnic School-Age Children, Eileen M. Condon

International Nursing Research Congress (INRC)

Purpose: Exposure to stress in early childhood is associated with poor health and developmental outcomes that extend across the lifespan (McEwen, 2008a). To explain this link, researchers have proposed a conceptual taxonomy consisting of three types of stress response in early childhood: positive stress, tolerable stress, and toxic stress (Shonkoff et al., 2012). The most potent stress response, toxic stress, results from exposure to chronic stressors such as poverty, violence, or parental mental illness. Without the protection of a nurturing caregiver, this exposure can result in persistent elevation of the child"s stress response system, and in turn impair brain development …

Improving Door-To-Ecg Time For Patients Presenting With Chest Pain In The Adult Emergency Department, Diana Lyn Baptiste, Barbara Maliszewski, Heather Gardner, Cathleen Lindauer

International Nursing Research Congress (INRC)

Purpose: The American Heart Association/ American College of Cardiology guidelines recommend rapid door-to-electrocardiography (ECG) times for patients who present with chest pain. Reducing ECG-to-door time is important so that health care providers adhere to the recommended door-to-balloon times (less than or equal to 90 minutes) for patients who present with ST-segment elevation myocardial infarction (STEMI).

The objective of this quality improvement project was to measure the mean time that it takes to obtain an electrocardiography (ECG) for patients who present to the emergency department with complaints of chest pain. The goal of this project was develop and evaluate an intervention …

In-Home Air Pollution Is Associated With Respiratory Symptoms In Patients With Chronic Obstructive Pulmonary Disease, Su-Er Guo

International Nursing Research Congress (INRC)

Background: Ambient particulate matter (PM) has shown adverse effects of health on respiratory diseases. To date, although studies have demonstrated that PM was associated with increased morbidity, readmission rates, resource utilization, and the mortality in chronic obstructive pulmonary disease (COPD), few studies investigated the influences of indoor PM on respiratory symptoms, lung function, and acute exacerbations in patients with COPD.

Objective: In this longitudinal study, we investigated the relationships between indoor PM (PM_2.5 & PM₁₀), respiratory symptoms, lung function, and acute exacerbations in patients with moderate to very severe COPD.

Methods: Indoor air quality (PM_2.5 and …

Focus On Fidelity: Delivering What's Intended In A Multi-Site Randomized Clinical Trial, Janet D. Morrison, Alexa Stuifbergen

International Nursing Research Congress (INRC)

Purpose: Intervention fidelity, the degree to which an intervention study is carried out as proposed, is critical to ensuring internal validity, reliability and generalizability of research findings (Gearing et al., 2011; Goense, Boendermaker, & von Yperen, 2016). Unfortunately, intervention fidelity is infrequently reported in the research literature (Corely & Kim, 2016; Stone 2015). The absence of intervention fidelity reporting may contribute to dissemination of potentially low-efficacy or ineffective interventions into clinical practice. The purpose of this abstract is to explicate the strategies used to assess and monitor intervention fidelity in an ongoing multi-site clinical trial. The intervention fidelity strategies used …

One Million+ Nurses Become Second Victims Annually: Nursing Education's Role In Prevention?, Jackie H. Jones, Linda A. Treiber

International Nursing Research Congress (INRC)

Purpose: Nurses function in fast-paced, stressful, complex, unpredictable environments. In these environments, errors are made. They are made by well-intentioned, conscientous nurses. The impact of that error-making has been likened to post-traumatic stress syndrome. There are feelings of guilt, shame, and remorse. There is loss of professional and personal self-esteem. Nurses have quit their jobs, been criminally charged, sued, deemed incompetent, been fired, committed suicide and have left their professions.

They have also become the "second victims," of the error, a term originally coined by Dr. Albert Wu (2000). Although he applied the concept to medical residents, the term has …

Uncovering Issues Most Important To Parents After Their Child's Suicide Attempt: A Comparison Study, Kari Lynne Hickey, Jeanette Rossetti, Jan Strom, Kendal Klein

International Nursing Research Congress (INRC)

Purpose: The purpose of this presentation is to compare two studies that surveyed adolescent mental health experts practicing in a suburban and rural setting on their perspectives as to what matters most to parents after their child has made a non-lethal suicide attempt.

Methods: A Delphi technique was utilized with an interdisciplinary panel of adolescent mental health experts in a suburban and a rural mental health setting. Inclusion criteria for the expert panel were over the age of 18 and clinically worked with adolescents who have made a non-lethal suicide attempt and their families. First round questions asked the panelists …

The Value Of The Caring Moment In Patient Advocacy, Lorraine E. Emeghebo, Kathleen M. Lamaute, Kathleen Maree Dauz, Sonia Ponton, Antoinette Kunz

International Nursing Research Congress (INRC)

Purpose: As student nurses navigate their way through clinical experiences, they may not understand how to learn the value of caring through patient advocacy. According to a study conducted by Archarya Pandey & Chalise, (2015), nursing students have low levels of self-esteem. They therefore, may feel that they do not have the necessary education to advocate for their patients. The American Nurses Association (ANA) states that high quality practice should include advocacy as an integral component of patient safety (ANA, n.d.). The purpose of this research study was to explore the experience of nursing students" caring advocacy using …

Partnerships Among Nonprofit Organizations: Assessing The Impact On Global Health, Jacqueline Cassagnol

International Nursing Research Congress (INRC)

Partnership among nonprofit organizations are intended to achieve greater impact than any organization could generate on its own. The purpose of this project is to assess the impact of partnership among an international organization and nonprofit organizations on global health. The partnership is between Worldwide Community First Responder, Inc. (WCFR) and nonprofit organizations in the USA and Haiti. The nonprofit organizations include: Haitian American Nurses Association, Sigma Theta Tau International, and Volunteer New York. In order to facilitate an in-depth examination of the project impact, a case study methodology was employed. Communities worldwide have benefited from the services that WCFR …

Utilizing Clinical Decision Support Within The Electronic Health Record To Screen For Palliative Care, Tanja Baum, Ruth A. Bush, Caroline Etland, Cynthia D. Connelly

International Nursing Research Congress (INRC)

Purpose: Timelier referral to palliative care services (PCS) within the acute care setting is a health care priority. End-of-life consumes a disproportionate share of healthcare dollars with studies indicating PCS can save hospitals approximately $1.3 million annually, for every 500 consults completed. Strategies to increase timelier referral are needed. Integration of electronic clinical decision support and utilization of triggers to identify individuals who may benefit from palliative care, using an algorithm embedded with the electronic health record (EHR) may facilitate this identification, but lacks empirical support.

The purpose of this research was to utilize variables available in the electronic healthcare …