Digital Commons Network^™

El Sol: An Interdisciplinary Center For Guatemalan Healthcare, Terri Rocafort

International Nursing Research Congress (INRC)

The El Sol Center will be presented, identifying a successful interdisciplinary approach to meet the multifaceted vulnerabilities of Guatemalan migrants in a local Florida community. El Sol will be analyzed using the Life Course Theory with applications for nursing.

How To Embrace (And Love?) Community Engagement, Melissa A. Wholeben, Carla J. Ellis

International Nursing Research Congress (INRC)

Identify the teaching challenge

As healthcare moves into the 21^stcentury, it is vital that educators create learning environments that give students the opportunity to practice what they have learned in didactic. However, with the major influx of students in clinical sites, it has become necessary to think outside the box for potential community opportunities. In addition there is content overload to contend with and the pressure from outside stakeholders and accreditation bodies to create service learning education opportunities. Trying to incorporate these educational goals creates some challenges in creating projects that incorporate these demands. Health Fairs and other …

Leadership Insights Of Senior Nurse Executives, Robie Victoria Hughes

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to identify characteristics, behaviors, and context for top performing nurse executive leaders.

Methods: A qualitative study of 8 senior ranking, retired United States military nurse executives was approved by the institutional IRB to conduct semi-structured interviews utilizing the historical narrative method. A modified "Life History Questionnaire: Nurses", developed by Dr. Lucinda McCray was utilized to guide the semi-structures interviews. All interviews were conducted within an eight-month time period. The interviews were audio recorded, and then transcribed verbatim. The transcribed data was examined both in historical context and narrative themes using DiCicco-Bloom and Crabtree"s …

A Global Exploration Of Leadership Competencies For Academic Nurse Educators, Barbara J. Patterson, Anne Marie Krouse

International Nursing Research Congress (INRC)

Purpose: Leadership is an essential element of the role of the nurse educator. It is a key factor in creating and sustaining academic institutional quality in that "leadership training and succession planning may contribute to organizational success" (Minnick, Norman, Donaghey, Fisher, & McKirgan, 2010, p. 504). Many nurse faculty leaders are thrust into their positions with insufficient leadership education or experience (Young, Pearsall, Stiles, Nelson, & Horton-Deutsch, 2011). This is of great concern as academic leadership has been shown to affect faculty satisfaction and retention and affect the health of the overall work environment (Brady, 2010). Leadership succession in academic …

Public-Non-Profit-Academic Partnerships: Reproductive Health Research In Togo Case Study, Helen Frances Baker, Natasha M. Lerner

International Nursing Research Congress (INRC)

Purpose: Collaboration and partnership is often promoted as a best practice, but rarely is it effectively implemented to mutually benefit the parties, fulfill true needs, and forge a partnership rather than a division of work. Roadblocks to successful collaboration often include: needs that do not align, organizations' reputations needing full credit, and too short of time frames (Biermann, Eckhardt, Carlfjord, Falk, & Forsberg, 2016). A systematic review of research institution and non-governmental organization (NGO) partnerships found that the success and sustainability of these collaborations require trust, transparency, respect, and mutuality (Olivier, Hunt, & Ridde, 2016). We wanted to highlight our …

The Relationship Between Magnetâ® Hospitals And Nurse-Driven Patient Outcomes, Amelia M. Joseph

International Nursing Research Congress (INRC)

Purpose: Magnet® hospitals were established as a standardized program in 1990 by the American Nurses Credentialing Center to allow hospitals to be designated as excellent places for nurses to practice. Hospitals with this designation have the reputation of improved nurse-driven patient outcomes due to the structures and processes that support the organizational culture. However, the evidence does not conclusively support the effect that this designation has on patient outcomes. The aim of this study was to use publically available Medicare data to compare nurse-driven patient outcomes in Magnet® hospitals versus non- Magnet® hospitals across the United States.

The term "magnet" …

Causation And Confounding Factors For 30-Day Readmission Of Kidney Transplant Patients: A Descriptive Study, Jean Dowling Dols, Katie A. Chargualaf

International Nursing Research Congress (INRC)

According to a recent study analyzing six years of national kidney transplant data, 31% of patients hospitalized for a kidney transplant required hospital readmission within 30 days of discharge (6). This study analyzed data of 32,000 patients for the years 2000-2005 finding 30-day kidney transplant readmission varying by facility from 18% to 51% (6). Some of the risk factors associated with early hospital readmission included age, race, body mass index (BMI), diabetes, heart disease, and length of stay (6). Additional studies identified level of education (8), time on dialysis (2), donor type (3,4), and a lack of understanding of post-transplant …

Knowledge, Attitude, And Practice Of Men Towards Colorectal Cancer (Crc) And Its Prevention In Tobago, Gloria Ramdeen Mootoo, Esther Shirley Daniel, Annette Dick

International Nursing Research Congress (INRC)

Purpose: In Trinidad and Tobago, colorectal cancer is the second leading cause of death from cancer; therefore attempts must be made to decrease this rate with the use of prevention and screening which is still the best methods according to research done to fight this disease. The purpose of the study was to explore the knowledge, attitudes, and practice of men towards CRC and its prevention in Tobago.

Methods: A descriptive, quantitative and cross-sectional study. Colorectal is a prevalent condition that can be identified and definitively treated during an asymptomatic phase, thereby preventing the morbidity and mortality associated with the …

A Case-Oriented, Cross-Country Comparison Of Three High-Income Countries' Health Systems And Healthcare Accessibility, Sue A. Anderson, Cheryl Zlotnick, Vanessa Heaslip

International Nursing Research Congress (INRC)

Purpose: Located on different continents, the United Kingdom (UK), Israel and the United States (US) are high income countries differing in size, population size, and type of health care systems; yet, their general population's health outcomes are similar. This study used qualitative and quantitative information to gain insight on the health care systems and health care accessibility of vulnerable groups in the general populations of these three industrialized countries.

Methods: Using a case-oriented, cross-country comparison, this study uses the three factors of the Behavioral Model of Utilization (i.e., health system environments, population characteristics and health behaviors/outcomes) to examine health care …

Strengthening The Evidence For Community-Based Wellness: An Academic-Practice Approach To Support Evaluation And Dissemination, Vicki L. Simpson

International Nursing Research Congress (INRC)

Purpose: Chronic diseases remain a public health challenge, with 49.8% of the US population diagnosed with at least one chronic condition in 2012 and 11.7% diagnosed with three or more chronic conditions (Ward, Schiller, & Goodman, 2014). Additionally, in 2010 treatment of chronic diseases accounted for 86% of US health care costs (Centers for Disease Control and Prevention [CDC], 2016). Chronic diseases are generally very complex and require the generation of evidence to support the design of effective strategies for use by public health practitioners. The purpose of this study was to evaluate the effectiveness of a community- based wellness …

Collaboration And Communication In Pediatric Oncology: A Case For The Clinical Nurse Leader (Cnl), M. Danielle Gunter

International Nursing Research Congress (INRC)

Purpose: The purpose of the study was to determine the types of supportive measures found to be most helpful and realistic for families of children with cancer during the first three months after diagnosis and to identify facilitators and barriers toward the implementation of these measures. Early support interventions improve coping behaviors and facilitate adaptation and have been recommended in adult populations (Chien, Wang, Chien, & Hwang, 2011; Sekse et al., 2014). This pediatric cancer program has tried to sustain supportive programs such as classes and support groups in the past, but has not been able to sustain participation in …

Quality Improvement Initiative Evaluation To Determine Effectiveness Of Provider-Patient Communication In A Wound Clinic, Stacy Eva Usher

International Nursing Research Congress (INRC)

The purpose of this clinical project is to improve provider communication skills and, thereby, improve patient health outcomes. This researcher participated in Patient Centered Caring Communication (PCCCI) training. The PCCI tool, however, required evaluation to determine its effectiveness at improving communication between the patient and provider in order to improve health outcomes.

Evaluation Of A Comprehensive Pro-Active Intervention On Quality Of Life For Community Frail Older Adults, Yen-Chun Lin, Lian-Hua Huang, Meei-Fang Lou

International Nursing Research Congress (INRC)

Purpose: To evaluate a comprehensive pro-active intervention for community frail older adults and examine its effectiveness.

Methods: This is a pilot experimental study. The older adults who consented and met the frail or pre-frail status assessed by Fried Frailty Criteria were randomly assigned into experimental (N=55) and control groups (n=54). The experimental group received a 6-month comprehensive pro-active intervention. We provided a comprehensive assessment for each participants. Based on their individual needs, we provided physical activity practice, health education, community resource referrals, community support groups, group community activity participation, counseling, self-management skills teaching, regular telephone follow-up, and home visits every …

Is This The Profession For Me? Pre-Nursing Students Simulated Hospital Day Observations, Sarah Yvonne Jimenez, Melissa A. Wholeben

International Nursing Research Congress (INRC)

How does one know if a chosen course of study in college will lead to a satisfying career upon graduation? At the University of Texas at El Paso, pre-nursing students in the Foundations of Nursing course have the opportunity to observe a simulated hospital day activity carried out by upper division nursing students. Pre-nursing students complete one-hour observations of hospital day activities and then answer a questionnaire about what they have observed. Students report that the simulated hospital day observation is an eye-opening experience that provides them with valuable insight as they prepare to apply for UTEP"s nursing program and …

Using Story-Guided Online Deliberate Practice To Develop Bsn Students' Critical Incident Reporting Skill, Jen-Huei (Vicky) Yeh, Gwen D. Sherwood

International Nursing Research Congress (INRC)

The use of stories in healthcare education is a teaching-learning strategy used to provide the context of a clinical situation in a way that learners can relate the facts with the concept (Billings & Kowalski, 2016). Listening to stories, as opposed to reading a clinical case presented in a third-person view with objective clinical values, encourages learners to think critically while allowing them to react with emotions (Billings & Kowalski, 2016). The nature of stories brings the context to a person level and links actions with consequences as the stories unfold (Sherwood, Durham, & Zomorodi, 2016). Without visual cues, audio …

Promoting Mental Health In A Refugee Community Using The Rhs-15 And Pathways To Wellness, Rebekah J. Salt, Margaret E. Constantino, Emma L. Dotson

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to pilot the Refugee Health Screener (RHS-15) and the Pathways to Wellness (PW) intervention program with refugees at the Center for Refugee Services (CRS) in San Antonio, Texas. The specific aims were: 1) To compare the pre and post RHS-15 survey and PW intervention scores, and 2) To identify internal and structural barriers affecting resettlement with a refugee woman"s sewing group at the CRS.

Background: Refugees often suffer life-threatening circumstances prior to flight from their countries. During the resettlement process, they face internal and structural barriers that can affect transition to life in …

Nurses Crossing Disciplines And Borders: A Participatory Research Approach To Global Water Challenges, Vicki L. Simpson

International Nursing Research Congress (INRC)

Purpose: The purpose of this presentation is to: 1) describe an ongoing project to provide access to safe water and improved sanitation and hygiene for rural, underserved areas of the Dominican Republic, and 2) delineate the contributions/roles of nurses as part of a cross-disciplinary team in addressing complex global challenges. According to the United Nations (UN), 1.8 billion people globally use water contaminated by fecal matter while 2.4 billion lack access to basic sanitation services. Additionally, issues related to unsafe water, poor sanitation and hygiene are major contributors to death for children under the age of five worldwide. Ensuring access …

Application Of The "Attentively Embracing Story" Theory In Older Persons Living In Long-Term Care Facilities, Hui-Wan Chuang

International Nursing Research Congress (INRC)

Background: The "Attentively Embracing Story" is a middle-range nursing theory, which employs intentional dialogue to encourage individuals to describe events that are a challenge to their health. The "Attentively Embracing Story" helps individuals transform negative thoughts into positive thoughts, reflect on new meanings and values, and boost spiritual healing and health improvement. However, most studies had methodological shortcomings, including small sample sizes (N<10), pre-post designs, lack of objective outcome, and lack of active treatment controls, which preclude clear conclusions regarding efficacy.

Purpose: The purpose of this study was to examine the effectiveness of a "Story-Centred Care Intervention Program" based on the "Attentively Embracing Story", in improving quality of life, blood pressure and heart rate variability in institutionalized older …

A Phenomenological Exploration Of The Experience Of Antepartum Bed Rest In Mothers: Beyond Postpartum, Gwendelyn S. Orozco

International Nursing Research Congress (INRC)

Background: APBR in high- risk pregnancies such as premature rupture of membranes, pre-eclampsia, preterm labor, and advanced cervical dilation/effacement is the current prescription for the prevention of preterm birth. This prescription of bed rest is practiced by 71-81 percent of United States Obstetricians (Maloni, 2012). The current preterm birth rate remains high at 11.4 percent (World Health Organization, 2014 [WHO]).

The March of Dimes Prematurity Campaign aims to reduce preterm birth rates across the United States. Premature Birth Report Card grades are assigned by comparing 2014 preterm birth rate in a state or locality to the March of Dimes goal …

Impact Of Niche Preparation On Nursing Knowledge Of Geriatric Patient Care, Tru Brynes

International Nursing Research Congress (INRC)

The aging of the United States population has profound implications for nursing practice and health care costs (Capezuti, Bolt, Cline, Dickson, Rosenberg, Wagner, Shuluk, & Nigolian, 2012). Their health care utilization are three to five times more than younger patients, which accounted for $444 billion or 23% of the health care spending in 2008 and 13 % of the U.S federal budget (Wier, Pfuntner, & Steiner, 2010). Research shows units that have implemented the Geriatric Resource Nurse (GRN) model have better patient outcomes in terms of preventing falls and fall related injuries, decreased restraint use, early recognition of confusion or …

Newly Licensed Nurses' Experiences With End-Of-Life In The Pediatric Intensive Care Unit (Picu), Maureen Hillier

International Nursing Research Congress (INRC)

Purpose: Nursing education has identified gaps in student knowledge and has admitted to a sub-optimal amount of student education on death and dying education in current curriculums (Beck, 1997; Delaney, 2003; Rush, Adamack, Gordon, Janke, & Ghement, 2013; Thompson, Austin, & Pomfretto-McGrath, 2010). There is a paucity of information on the newly licensed nurses" experience with death and dying in critical care and minimal information for this phenomenon when it occurs in the pediatric critical care setting. Therefore a gap existed in nursing knowledge on how to best understand the death and dying experiences of the newly licensed nurse in …

Nursing Clinical Practicum: Integrated Application Process, Nancy S. Goldstein, Diana Lyn Baptiste, Sibyl Snow

International Nursing Research Congress (INRC)

Pre-licensure nursing students have a final capstone practicum or clinical course as they transition to the professional nurse role. Generally, the student role requires increased independent practice, which can be a challenge. Nursing students" final clinical course is typically expected to facilitate their transition to professional practice. The senior practicum or transitions practicum is designed for the student to partner with a practicing nurse preceptor to learn both nursing role and skills. Learning during the senior practicum is important as the student will recognize the development of their own intellectual knowledge, psychomotor skills, and affective attitudes as they transition from …

Health Professionals' Knowledge, Attitudes, Experiences, Confidence, And Behaviors Regarding Advance Directives, Shu-Fen Wu, Hong-Yi Tung, Yu-Hua Lin, Chao-Hsien Lee, Hsiu-Chen Liao, Ching-Yun Ching

International Nursing Research Congress (INRC)

Purpose: Advance directives (ADs) are one of the few means for people to indicate their end-of-life treatment decision preference. The purpose of this study was to determine the ADs compaction knowledge, attitudes, experiences, confidence, and behaviors of health professions.

Methods: This was a descriptive correlational research that targeted 765 subjects (included 43 physicians, 424 nurses, 85 other medical staffs, and 213 administration staffs) working in a regional hospital in southern Taiwan. The structured questionnaires gathered the knowledge, attitudes, experiential survey on advance directives (KAESAD) instrument and basic demographic data with regard to advance directives. Data were analyzed by using SPSS …

Advancing Population Health In The Bsn Program Through Interprofessional Simulation: Creating Curriculum To Create Change, Katie Hooven

International Nursing Research Congress (INRC)

In 2015 The Department of Nursing secured grant funding from the Robert Wood Johnson Foundation to enhance student learning about population-based health care in our BSN curriculum. Population health requires that nurses (a) understand the broader issues involved in determining health, (b) be able to approach solutions or interventions from that broader perspective as well as existing research evidence or best practices and (c) be able to mobilize existing community resources in the service of better health outcomes. To support these initiatives, the grant funded the purchase of the Community Action Poverty Simulation program from the Community Action Network. This …

Chronic Disease Burden And The Impact On Nursing Practice In South Texas, Jean Dowling Dols, Mary M. Hoke, Karen L. Weis, M. Danielle Gunter

International Nursing Research Congress (INRC)

Purpose: Chronic diseases are the leading causes of death in the United States, with 45% of the population having at least one chronic disease.¹ Americans aged 65+ with one or more chronic disease has risen from 86.9% in 1998 to 92.2% ten years later in 2008.² The healthcare costs associated with treatment of chronic diseases accounts for almost 99% of the total Medicare spending and 83% of Medicaid spending.³ It is anticipated that by 2025, chronic diseases will affect about half of the population.³

Understanding the patterns of health and chronic disease burden by region is …

Evaluating The Effectiveness Of A Community Partnership To Raise Toxic Stress Awareness In Early Childhood, Michelle A. Farquharson Beauchesne, Patrice Farquharson

International Nursing Research Congress (INRC)

Statement of Problem

The American Academy of Nursing (the Academy) has listed the reduction of toxic stress associated with adverse childhood experiences (ACEs) as a top priority for improving the health of the population (Mason & Cox, 2014). Exposure to ACEs or trauma in childhood places children at higher risk for developing both short-term and long-term negative physical and psychological health outcomes (Horner, 2015). Toxic stress is defined as the prolonged activation of stress response systems in the absence of protective relationships (Center for Child Development, 2016). Research has shown that children who have protective factors that promote resilience to …

Innovative Leadership In Nursing Education For Maryland Healthcare Systems: Supporting Professional Advancement In Nursing, Tener Goodwin Veenema

International Nursing Research Congress (INRC)

Purpose: The US Health Resources and Services Administration (HRSA), recently reported that Maryland is one of 16 U.S. states projected to experience a serious shortfall of registered nurses (RNs) by 2025 (HRSA, 2014). This problem is not unique to the US as globally, the nursing shortage is limiting access to health care services and impacting health outcomes across many countries. Innovative education and workplace partnership programs are needed to retain new nursing graduates in times of shortage and funnel them into open ‘high-need" positions at area health care systems while simultaneously providing support and encouragement for the nurse to return …

Identifying The Impact Of A Deu Experience On Critical Thinking In Associate Degree Nursing Students, Elizabeth C. Campbell, Thomas W. Gunning, Nancy Phoenix Bittner

International Nursing Research Congress (INRC)

Purpose: The purpose of this project is to identify the impact of the DEU experience on AD nursing student's Clinical Reasoning ability. Using Benner's model of Novice to Expert progression, this model supports development through role modeling, acquisition of skills and deliberate practice, as well as more total immersion into the role of the nurse on a chosen unit.

Methods: The Health Sciences Reasoning Tool will be administered pre-and post DEU experience to measure the development of critical thinking in the experimental group of DEU students (n= 18 per semester) against a control group of students in each course (NU102 …

Adolescent Success Promotion: Can Timelines Help?, Josie Weiss

International Nursing Research Congress (INRC)

Purpose: Career development is an important task that occurs during high school and is associated with positive post-graduation adjustment. Many adolescents have hopes of completing high school and college, living independently and having satisfying careers. However, adolescents often do not plan effectively in order to achieve these goals, hopes and dreams. A GPS (Getting Plans Started) Tool was developed to help adolescents think about their plans to achieve their goals for future success. The purpose of this presentation is to discuss a study that was conducted to determine the feasibility of using the GPS Tool in the future, in particular …

A Longitudinal Study Of Body Weight Loss In Patients Receiving Radiotherapy For Head/Neck Cancers, Shu-Chiung Lee, Tsae-Jyy Wang

International Nursing Research Congress (INRC)

Purpose: 1. to describe body weight change over time in patients receiving RT for head neck cancer.

2. to explore the influence of mucositis and nutritional support on weight change over time.

Methods: The study uses a longitudinal design. A convenient sample of 101 H&NC patients scheduled for RT was recruited from a medical center in Taiwan. Data on patients" demographics and clinical variables were collected prior to RT. Body weight and mucositis were measured repeatedly at baseline (T1), one month (T2), the completion of radiotherapy (T3), and one month after completing radiotherapy (T4).

Results: The mean age of the …