Digital Commons Network^™

Understanding The Role Of Family Management In Ethnically Diverse Children With Adhd, Cynthia P. Paidipati, Bridgette Brawner, Ricardo Eiraldi, Connie M. Ulrich, Jamil M. Lane, Janet A. Deatrick

International Nursing Research Congress (INRC)

Purpose: Attention Deficit Hyperactivity Disorder (ADHD) is the most common neurodevelopmental condition of childhood with a prevalence rate of 5 to 11% in the United States (Centers for Disease Control and Prevention [CDC], 2015). Family, especially caregivers, are considered an important and integral aspect to the care, management, and well-being of children with ADHD (Bussing & Lall, 2010; Cunningham, 2007; Davis, Claudiu, Palinkas, Wong, & Leslie, 2012; DeMarle, Denk, & Ernsthausen, 2003; Dishion & Stormshak, 2007). The literature suggests that the behavioral management by families is a key determinant in treatment outcomes (Bussing & Gary, 2001). In fact, prior research …

Hoping To Pass: A Multi-Site Study Examines How A One-Time Intervention Affects High-Stakes Test Scores, Alice L. March, Joshua C. Eyer, Monika G. Wedgeworth, Nancy Haugen, Corrie Harris, David Feldman

International Nursing Research Congress (INRC)

Purpose: The purpose of this subsection of a multisite trial is to test the effect of a one-time hope intervention on high-stakes program-exit test scores among final semester baccalaureate nursing students, compared to a relaxation intervention. There are two research questions posed for this preliminary report. The first question utilized all participants" responses to examine changes in hope scores, and how they differed by group. The second question related only to the final semester students; what are the between group differences in scores on the standardized exam (SE)?

Student success on testing is a clear concern. Nursing education programs throughout …

Memory-Focused Interventions For People With Cognitive Disorders: A Meta-Analysis Of Randomized Controlled Studies, Kuei-Ru Chou

International Nursing Research Congress (INRC)

1. Background

Cognitive disorder is a crucial global issue. Memory impairment is often considered an early and crucial clinical manifestation of cognitive disorder. Previous studies have shown that memory-focused interventions can effectively mitigate memory function decline. However, in previous studies, the research targets were mostly healthy older adults; few meta-analyses on patients with cognitive disorders have been performed. The purpose of the present study was to assess the effect of memory-focused interventions on cognitive disorder through conducting a meta-analysis.

2. Methods

According to a systematical literature search strategy, using keywords and the MeSH terms to identify studies related to memory-focused …

A Learning Collaboration To Deliver Onsite Health Promotion For Hospital Staff, Mary Val Palumbo

International Nursing Research Congress (INRC)

Background: Using metrics including unscheduled absenteeism, workman"s compensation claims, patient handling injuries, staff participation in biometric screening and participant satisfaction, an employee wellness program was evaluated in 2011. Based on the success of this program, the nurse practitioner students and an employee wellness team have continued to adjust this evidence based program over the past five years by tracking participation and introducing new social media methods of reach to the target population with health promotion messaging.

Methods: One unit at an academic health center was selected by the Employee Wellness team for delivery of the "Stepping Stones to Wellness program" …

Drug Costs Vs. Charges: You Can. Should You?, Vincent F. Maher, George V. Priovolos, Barbara M. Cohen, Elisabeth J. Maher

International Nursing Research Congress (INRC)

Purpose: Pharmaceutical manufacturer Mylan increased the cost of Epi-Pens by 400 percent. The new list price for a two-pack of EpiPens is just above $600 which charge was just over $100 when Mylan acquired the product in 2007. The company"s CEO, Heather Bresch, whose salary was $2.4 million in 2007 also raised her salary to 18 million dollars per year. Her acts recapitulate those of former Turing Pharmaceuticals CEO Martin Shkreli who imposed drug charge increases from $13.50 to $750 a pill for the price of Daraprim, a medication used by HIV patients, and also of his recommended increases …

Developing Novice Nurse Faculty: Finding An Authentic Leadership Voice, Barbara J. Patterson, Laura Cox Dzurec, Gwen D. Sherwood, David Anthony (Tony) Forrester

International Nursing Research Congress (INRC)

Purpose: To describe the impact of a 20-month mentored leadership development program for new nurse faculty with less than five years academic experience.

According to the American Association of Colleges of Nursing"s (AACN, 2015) 2014-2015 report, Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing, nursing schools in the U.S. turned away 68,938 qualified applicants from baccalaureate and graduate nursing programs in 2014 in part due to faculty shortages. A 2014 AACN special survey regarding faculty vacancies reveals a vacancy rate of 6.9% that year.

Anecdotally, some new nurse faculty members find the transition to academic life challenging …

Rochester Nursing Competence (Rnc) Theory, Yu-Ching Chuang, Marie A. Flannery, Mary G. Carey

International Nursing Research Congress (INRC)

Purpose:

Nursing competence is a critical factor that is directly related to improved and positive patient outcomes. A major proposition in Benner’s from novice to expert model (Benner, 2001), competence is a continuous process of acquiring knowledge, skills, and experience. Although Benner’s model has made many significant contributions, it’s time to advance the model to a new theory. One major challenge is that nursing competence does not always increase in a linear fashion. Building on the work of Benner, this abstract describes a new theory, Rochester Nursing Competence (RNC) that examines the relationship between nursing competence during the course of …

Knowledge, Attitudes, And Competency About Providing Perinatal Care To Women With Disabilities, Lorraine Byrnes

International Nursing Research Congress (INRC)

Purpose: Women who are disabled (n=8 million) account for approximately 11% of the childbearing population in the U.S. today. Although there are no available population based studies that report incidence and prevalence of pregnancy and birth in this population, smaller studies find that many women who are disabled desire biological children and plan to become mothers. The majority of women with disabilities report a physical disability (51%) followed by mental disabilities (30%) and sensory disabilities (19%). The purpose of this study is to describe the knowledge, attitudes, and perceived competencies about providing perinatal care to women with disabilities by nurse …

Living A Lie: The Biographical Disruption Of Intensive Care Unit (Icu) Survivors, Beverley Ewens

International Nursing Research Congress (INRC)

Introduction: Millions of people across the world are admitted to intensive care units each year. This is expected to rise with increases in population and life expectancy. In tandem with this, the standard and capability of clinical care provided has improved significantly over the last three decades. An evolving body of evidence has confirmed that significant percentages of survivors are frequently and profoundly affected by their intensive care experience. Patients who would not have survived a critical health event 30 years ago now survive; with the concomitant rise of survivors the potential for developing emotional sequelae leading to chronic illness …

Trust Development Between Patient And Nurse: A Grounded Theory Study, Sharon M. Jones

International Nursing Research Congress (INRC)

Trust is an important factor in the nurse-patient relationship and is part of collaboration in patient-centered care. Interpersonal trust between two people incorporates five key factors: risk, vulnerability, power imbalance, familiarity, and good will (Baier, 1986; De Raeve, 2002; Sellman, 2007). There has been limited research related to the development of trust in the nurse-patient relationship. In a research study related to trust development for the patient in the hospital setting, the researchers examined the patient-provider relationship including physicians and hospital staff but not exclusively the nurse-patient relationship (Hupcey, Penrod, & Morse, 2000). More recently, in a grounded theory study …

Predictors Of Readiness For Disaster Management Skills Among Hospital Nurses, Chia-Huei Lin

International Nursing Research Congress (INRC)

Purpose: Continuous disasters have been threatening people"s lives in recent years. However, studies regarding the readiness for disaster management competency among nurses remain limited. Therefore, this study investigated the predictors of readiness for disaster management competency among nurses.

Methods: A cross-sectional study was conducted. Stratified random sampling was used to recruit eligible cases from 1,197 nurses, who had been registered nurses for at least 3 months in a military medical centre from northern Taiwan. In addition, all male nurses and military nurses were recruited. Data were collected on readiness for disaster management competency using a 40-item, reliable, well-valid, and self-administered …

Effects Of A Nursing Intervention On Illness Perceptions And Quality Of Life In Injured Patients, Bih-O Lee, Mei-Fang Liang

International Nursing Research Congress (INRC)

Background. Illness representations and quality of life are important health outcomes for injured patients. A nursing intervention that utilizes cognitive behavioral therapy skills is increasingly being applied to improve injured patients" outcomes, but there is limited evidence of its effectiveness.

Objectives. This study evaluated the long-term effects of a nursing intervention in changing the illness perceptions and quality of life of injured patients.

Design. A prospective randomized controlled trial was used.

Settings. Data were collected at a medical center in Taiwan.

Participants. Participants were screened through the trauma database of the hospital"s computer system. A total of 94 patients were …

Nursing Students And Nclex-Rn Success: Impact Of A Standardized Review Course On Outcomes, Rosemary Pine, Barb Schreiner

International Nursing Research Congress (INRC)

Purpose:

Success on the NCLEX-RN® has widespread ramifications for students, nursing schools and employers. The stakes are high related to first time pass rates and review of the literature verified that student preparation for entry into practice is of great concern to nurse educators and schools nationally and globally (Wells, 2003; Higgins, 2004; Crow et al 2004; Davenport, 2007; Siffert & McDaniel, 2007; and Carrick, 2011); graduating seniors, and employers (Beeman, P., & Waterhouse, J. ,2003; Spencer, J., 2006; Pine, 2007;Silvestri, L., Clark, M. & Moonie, S., 2013; Atemafac, J., 2014).

The purpose of this retrospective correlational pilot study was …

Implementation And Sustainability Of Quality Improvement (Qi) In Home And Community-Based Service (Hcbs) Settings, Kathleen Abrahamson, Heather Davila, Christine Mueller, Greg Arling

International Nursing Research Congress (INRC)

The objective of this study was to explore HCBS providers" perspectives of organizational readiness for QI in regards to motivation, structure, capabilities and QI experiences early in the project implementation phase. Additionally, follow-up data was collected from HCBS providers six-months after project completion to gather provider perceptions of project impact, sustainability, and availability of resources to maintain improved processes and outcomes.

Development Of Smartrek A Theory Driven Mobile App To Prevent Alcohol Use Among College Students, Donna Kazemi

International Nursing Research Congress (INRC)

Background: Hazardous alcohol consumption use and its related consequences is a foremost global public health issue facing individuals, families, and society contributing to significant morbidity among youth college students. More than one third of college students report engaging in heavy episodic drinking (4+/5+ drinks in a single sitting for females/males) at least once in the past two weeks, and 8% (females) to 20% (males) consume at least twice on a binge (i.e., 8+/10+ drinks) Alarming numbers of college students drink heavily, often in binges, bringing negative consequences such as blackout, rape, HIV-related sexual risk-taking, academic failure, suicide and violence …

Impact Of Community- And Hospital-Based Nurses' Beliefs Regarding Evidence-Based Practice On Mentoring Student Nurses, Joanne Brooke, Catherine Lynch

International Nursing Research Congress (INRC)

Background:

Evidence-based practice (EBP) promotes clinical judgements that are based on the best available evidence, with less emphasis on authoritative opinions and traditions. The integration of best available evidence is associated with improved patient outcomes, reduced treatment costs and need for clinical interventions (Melnyk et al. 2012; Levin et al. 2011). Student nurses in the UK and Slovenia understood the importance of EBP and research in their future careers, but struggled to conceptualise how they could maintain these skills on leaving the academic setting as perceived a lack of involvement in EBP and research by clinical nurses (Brooke et al. …

Empowering Nursing Through Evidence: Putting Evidence-Based Practice Back In The Classroom, Melanie C. Neumeier, Leah Adeline Phillips

International Nursing Research Congress (INRC)

Using evidence to inform practice is essential to ensure safe, quality care in all areas of nursing. In Canada, Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) are required to engage in evidence informed practice as an entry to practice competency (CCNRN, 2012, CCPNR, 2013). However, despite this expectation, and research findings that nurses generally have a positive attitude toward evidence-based practice (Yoder, et al, 2014) globally there is poor uptake in the application of this process.

Thiel and Ghosh (2008) conducted a cross-sectional survey of 121 practicing nurses in the Midwestern United States to determine how they accessed information …

Developing A New Cognitive Impairment Measure For Korean Cancer Patients, Hee-Ju Kim

International Nursing Research Congress (INRC)

Purpose: The purpose of the present study was to evaluate the reliability (internal consistency reliability) and validity (concurrent, convergent, factorial, and known-group validity) of the Brief Perceived Cognitive-Impairment Scale in Korean cancer patients.

Methods: A total of 249 cancer patients from a university hospital (both outpatients and inpatients) in South Korea participated in the data collection from July 2012 to January 2014. The 3 clinical experts and 3 research experts evaluated content validity and the content-validity index was calculated. For internal-consistency reliability, Cronbach"s alpha and item-total correlations were evaluated. For convergent validity, Pearson"s correlations were tested with another validated cognitive …

Introducing Global Health Nursing To University-Bound Students: A Case Study, Helen Frances Baker, Blake Tyler Mcgee

International Nursing Research Congress (INRC)

Purpose: Pre-college summer programs expose secondary school students to university life and potential career paths in the U.S., but they have historically under-involved schools of nursing. In particular, global health nursing has received negligible attention in such programs, even though it is a rapidly growing specialty for which the nursing community is actively developing core definitions (Wilson et al., 2016) and texts (Upvall & Leffers, 2014). We took advantage of the Emory University Pre-College Program to reach high-achieving, university-bound students who may not otherwise be exposed to global health nursing when selecting their area of study. We hypothesize that introducing …

Clipi Score Validation: Proposal As Tool For Level Of Nursing Coordination In Mycosis Fungoides/Sezary Syndrome, Christa Roe, Brett Estrada, Frank Glass, Rami Komorokji, Lubomir Sokol

International Nursing Research Congress (INRC)

The objective of this study was to validate the CLIPI score could be used to determine intensity of RN services needed by patients with MF and SS in a multidisciplinary CTCL clinic setting. Institutional review board (IRB) and Scientific Review Committee approval obtained. CTCL patient database, demographics, overall survival (OS), number of therapies, CLIPI score and stage were determined.

Health-Related Quality Of Life And Treatment Outcomes For Individuals With Esrd Treated By Hemodialysis, Chiung-Yu Huang, Hui-Ling Lai, Chun-I Chen

International Nursing Research Congress (INRC)

Purpose: This research investigated risk factors and support style on health-related quality of life (HrQoL) and depressive symptoms (DSs) in adults with end-stage disease (ESRD). Previous studies focused on the psychosocial correlations studies or the presence of DSs but not on the specific causal antecedents that lead to DSs or HrQoL.

Methods: A descriptive, correlational design was used to examine related factors and social support on health outcomes. This study was conducted at the dialysis center in a general hospital. A convenience sample of 178 adults with ESRD aged 20 or above was recruited. Data were collected by a self-reported …

Smart Nutrition And Conditioning For Kids (Snack): An Interprofessional Approach To Nutrition And Physical Education, Tracy J. Perron, Tami L. Jakubowski, Anne Farrell

International Nursing Research Congress (INRC)

Purpose: The purpose of SNACK was to increase the fitness and health of elementary school age children and to empower parents and caregivers to encourage healthy food choices. SNACK was developed in response to the 2010 Childhood Obesity Study recognizing a 49% childhood obesity rate in Trenton, New Jersey. Lifestyle influences contributing to childhood obesity and Type 2 diabetes mellitus include poor food choices, inadequate access to healthy foods, decreased physical activity and insufficient access to safe play environments. SNACK provided nutrition lessons to second grade students in an urban and urban rim elementary school during regularly scheduled physical education …

Description And Meaning Of Clinical Competency: Perceptions Of Nurse Managers And Baccalaureate Nurse Faculty, Carolyn D. Meehan

International Nursing Research Congress (INRC)

Purpose:

Clinical competency is a significant concept for nursing as it relates directly to the quality of patient care that nurses provide in the healthcare setting. Despite the vital nature of this concept, in the literature, there is currently no widely accepted understanding of the term between the academic and clinical groups in nursing. Consequently, there is a continuous struggle to set standards to measure clinical competency in undergraduate nursing students. This imprecise understanding of clinical competency widens the gap between education and practice. When acute care nurse managers and prelicensure baccalaureate nurse faculty share expectations of what constitutes clinical …

The Creation And Implementation Of A Military Veteran To Bachelor Of Science In Nursing Pathway, Jene' M. Hurlbut, Imelda R. Revuelto

International Nursing Research Congress (INRC)

Purpose: The presentation will explain the procedures involved in creating an innovative admission pathway that facilitates veteran"s abilities to obtain a Bachelor"s of Science in nursing. In the summer of 2015, the nursing department at a University in the United States was awarded a three-year $1 million HRSA grant that allowed the development and implementation of a Veteran to Bachelor of Science in Nursing Pathway (VBSN).

Methods: The VBSN pathway targets barriers that prevent veterans from transitioning into the nursing profession and accessing education. It has been estimated that over the next five years, approximately 1.5 million service members will …

E-Learning In Tertiary-Level Nursing Education In Germany And The Role Of The Nurse Educator, Lee Franklin Koch, Uwe Fasshauer, Karin Reiber

International Nursing Research Congress (INRC)

Purpose: Experts in Germany"s healthcare sector predict a rising need for at least 10% of the nursing workforce to be academically trained. In light of increasing occupational demands, some even anticipate a much higher quota of 50%. New legislation set to reform nurse education in Germany includes provisions for a partial transition of basic nurse education from vocational training to the tertiary level (equivalent to a BSN). In order to provide opportunities for nurses to gain academic degrees, the number of academic nursing programs must increase. This presupposes an increased need of qualified faculty with the professional and scientific …

Measuring High-Fidelity Simulation Instruction: Its Effects To Knowledge, Skills, And Attitudes Toward Patient Safety, Sasha Alexis Rarang

International Nursing Research Congress (INRC)

Nursing practice requires measures that promote patient safety. Gregory, Guse, Dick, and Russell (2007) stated that in today"s healthcare environment, patient safety serves as a crucial factor in determining quality of patient care through decreasing patient care errors. The integration of high-fidelity simulation (HFS) in the undergraduate nursing curriculum had required evidence that supported the acquisition of learning outcomes which includes KSAs towards patient safety (Howard, Ross, Mitchell, & Nelson, 2010). Therefore, a need of validating scenario-based HFS as a learning pedagogy towards patient safety was needed (Robertson, 2011).

Purpose:

The purpose of this quasi-experimental non-equivalent control pretest-posttest study was …

Introducing Simulation To Bsn Students And Faculty Situated In A Rural Setting In North India, Jill B. Derstine, Marylou K. Mchugh, Leland J. Rockstraw

International Nursing Research Congress (INRC)

This presentation will describe a cross-cultural experience in which nursing educators from Drexel University conducted a nursing simulation workshop at Akal College of Nursing in Baru Sahib, India. As part of an on-going collaboration between Drexel and Akal, an experiential simulation workshop was conducted for Akal nursing students and faculty and visiting students and faculty from northern India. Morning lectures were followed by two simulation exercises: (1) nursing students participating in a birthing simulation using a birthing simulator, and (2) using students from Akal Department of Education as patient actors who portrayed a patient whose health history was taken by …

Collaborative Use Of Kdoqi Guideline To Improve Chronic Kidney Disease Care, Ann Hallock

International Nursing Research Congress (INRC)

Chronic kidney disease (CKD) is a silent yet deadly disease affecting millions of people worldwide. It is the gradual loss of kidney function, measured and stratified by estimated glomerular filtration rate (eGFR); it is often secondary to chronic diseases such as diabetes, hypertension, or intrinsic kidney disease. Risk factors for CKD are common problems in primary care such as diabetes, hypertension, chronic use of NSAIDS, low socioeconomic status, older age and ethnic minority. The National Kidney Foundation (NKF) estimates one-half of people with at least one risk factor for CKD have the disease, but few even know it. Research shows …

An Innovative Approach To Teaching Genetics To Graduate Nursing Students Using Interprofessional Teaching Modalities, Dorothy S. Lee, Sharon K. Panepucci

International Nursing Research Congress (INRC)

Purpose: To present an innovative approach to teaching genetics to graduate nursing students using interprofessional teaching modalities.

The Masters" Essentials (2011) mandate the integration of genetic and genomic evidence into the graduate nursing curriculum for use in advanced nursing practice. Faculty strive to answer the question: How can we incorporate current and emerging genetic/genomic evidence into the Masters" Curriculum to promulgate the provision of advanced nursing care to individuals, families and communities utilizing a meaningful, interactive, and motivating approach?

Since the first draft sequences of the human genome (International Human Genome Sequencing Consortium, 2001) the study of human genetics has …

Reducing Antibiotic Use In The Management Of Upper Respiratory Infections In The Urgent Care Setting, Melissa Jones Holley

International Nursing Research Congress (INRC)

Purpose: Upper Respiratory Infections (URIs) are the most common presenting complaint to urgent care centers across the United States. Regardless of etiology or provider specialty, antibiotics are prescribed 60% of the time for the treatment of URIs, contributing to drug resistant respiratory organisms which often provide clinical management challenges for patients and their providers. These practices impact patient outcomes, quality of care, antimicrobial resistance, and economics in community and hospital settings. Chart reviews at a local urgent care company revealed similar practices among providers. Differences in provider type, knowledge base, confidence, practice experiences, and the lack of company adopted treatment …