Digital Commons Network^™

Teaching Quality Improvement To Baccalaureate Nursing Students: Strategies That Work!, Laurie Bladen

International Nursing Research Congress (INRC)

Purpose: The purpose of this presentation is to describe strategies that work in teaching quality improvement to baccalaureate nursing students. According to American Association of Colleges of Nursing (AACN) (2015) expected outcomes for graduates of baccalaureate nursing programs include scholarship for evidence-based practice, leadership, and the ability to promote health. Baccalaureate nurses are expected to use data and methods to continuously improve quality and safety of patient care (Dolansky & Moore, 2013; Phillips & Cullen, 2014; Quality Safety and Education for Nurses (QSEN), 2014). The mission of the Quality and Safety Education for Nursing is to address the challenge of …

A Nursing Educational Intervention For Patient-Initiated Verbal Aggression, Mary C. Poquette, Carolyn Rutledge, Tarry Wolfe

International Nursing Research Congress (INRC)

Problem: Patient-initiated verbal aggression (PIVA) has become an all too common occurrence (Park, Cho, & Hong, 2015) in hospitals, requiring skills other than therapeutic communication techniques taught in traditional nursing curricula. Many nurses, working in medical-surgical environments, indicate they lack both the knowledge and skills to safely care for patients displaying PIVA. The primary means of communication between patients and staff remains verbal interaction, unlike the surrounding global environment that relies on smartphones and other communication technologies. Patient demographics are changing, co-morbidities are more frequently identified and with evolving healthcare economics and technologies, the acute care environment has become an …

Evaluation Of Three-Dimensional Computerized Simulation: Innovative Pedagogy To Prepare Graduate Nursing Students For Clinical Practice, Carole E. Jenson

International Nursing Research Congress (INRC)

Introduction: Preparing graduate nursing students to respond to the complexities of a rapidly changing health care environment is a major challenge for nurse educators and nurse mentors. Clinical skill and patient assessment determine trajectory of patient"s health care, directly impacting patient outcomes. Assessment skills, clinical reasoning and decision making, and the ability to work with others are imperative for competent clinical practice. Literature reveals that many graduate nursing students are entering into clinical areas unprepared in the areas of patient assessment, diagnostic reasoning, clinical decision making, and team participation (Grossman & Conelius, 2015). Traditionally, these skills were practiced with direct …

Association Of Catheter-Associated Urinary Tract Infection (Cauti) With The Practice Environment At The Unit Level, Nancy Ballard, Marjorie J. Bott, Shin Hye Park, Byron Gajewski, Peggy A. Miller

International Nursing Research Congress (INRC)

Purpose: Identification of elements of the practice environment that influence both nurse satisfaction and patient outcomes is an important area for nursing research. Several valid and reliable tools to measure the components of the practice environment have been developed by nurse researchers. The Practice Environment Scale and Job Enjoyment Scale are included in the National Database of Nursing Quality Indicators® (NDNQI®) RN Satisfaction Survey. In addition the NDNQI provides a database for participating hospitals to collect nurse-sensitive quality outcome data including catheter-associated urinary tract infection rates (CAUTI) for internal use and external benchmarking. All data are collected at the unit …

Transforming Practice With Scripted Messages: Improving Pain Management In Outpatient Surgical Patients, Lanell M. Bellury

International Nursing Research Congress (INRC)

Purpose: Outpatient surgeries are increasingly common because of patient convenience, lower cost, and reduced stress but most patients experience pain postoperatively requiring nursing attention to pain management (Mitchell, 2015; Subramanian et al., 2014). Scripting, recommended for consistent, targeted communication with patients, has limited evidence to support its use (Alaouf et al., 2015; Monterroso et al., 2013). The purpose of this study was to explore the effect of providing scripted messages related to pain management in the outpatient surgical setting on self-reported pain control and patient satisfaction in outpatient surgical patients. Additionally, the feasibility of practice change research in clinical settings …

Perceptions/Recollections Of Acquisition Of The Nurse Advocate Role By Practicing Direct Care Nurses, Marianne Curia

International Nursing Research Congress (INRC)

Purpose:Â Â .

The claim that nurses should be patient advocates has been a hotly debated topic in the nursing profession since the 1970’s. The literature reflects this debate in its wide variance of not only the concept but the very definition of advocacy in nursing. Provision 3 of the American Nurses Association Code of Ethics for Nurses specifically states advocacy as an expectation of the nurse. It is significant to note that previous editions of the Code of Ethics implied advocacy but did not specifically name advocacy until this latest edition. This is a relevant occurrence since it …

Strategies To Promote Student Publication In An Evidence-Based Practice Course, Margaret Harvey

International Nursing Research Congress (INRC)

Purpose:Â The purpose of this session is describe innovative teaching strategies used to enhance student manuscript preparation, submission, and publication of scholarly work completed during an EBP course.

Methods: Students enrolled in a graduate, evidence based practice course completed a pretest/post-test survey assessing their knowledge, skills, and attitudes regarding various teaching strategies designed to enhance student scholarship and manuscript preparation. Students were assigned to work in small groups based on their clinical practice area and develop a relevant PICOT question. Keywords were identified, appropriate databases were queried, and articles meeting selected criteria were critically appraised. Students registered for the …

Related Factors On Sexual Risk Behaviors Among Adolescent At Vocational School In Thailand, Prueksalada Khiaokham, Punpilai Sriarporn, Apsorn Konrad, Piyawan Nuntapong

International Nursing Research Congress (INRC)

Introduction: Adolescents involve in many changes and these changes sometimes incongruent, contributing to teenagers" confusion, lack of confidence, and lack of restraint. These impacts may lead them to make wrong decisions in risky circumstances and engage in harmful manners, including sexual behaviors. There is a higher incidence of sexual behaviors among adolescents than other groups because the consequences of dynamic sexual development and the influence of dramatically increasing sexual hormones lead to high sexual drives and craving to know about sex. In Thailand, as society changes in terms of increasing nuclear families, parents appear to not have enough time to …

Assessing Nurse Learners' Stress Using Technology To Measure Physiologic Adaptation Within Interprofessional Patient Care Simulation, Jill Van Der Like, Lela Hobby-Burns, Eric Greska

International Nursing Research Congress (INRC)

Background: Recent public reports find that communication-based errors contribute to medical errors as the third leading cause of death in America (Fikes, 2016; Kaiser Health News, 2016). Safe, efficient reporting of patient information is perplexing, especially for newly graduated nursing staff. Communication skills cannot develop through memorization and knowledge, but, rather, through practice and experience during the education process (Goh, 2016). Interprofessional communication is pivotal for patient safety as nurses accumulate patient information and transfer the important facts to physicians, psychologists, pharmacists, dietitians, social workers, technicians and other key team members. The Simulation (SIM) laboratory provides a safe, realistic setting …

Life Meaning In Patients Diagnosed With End-Stage Liver Cancer: An Interpretive Phenomenological Approach, Dinah Hernandez

International Nursing Research Congress (INRC)

Liver cancer patients face issues involving finiteness and approaching death; and may question one’s attitudes, values, and goals that lead to concerns regarding the meaning in life. Interpretive phenomenology focuses on the uniqueness of one’s experience and facilitates the understanding of internally and processed meaning among liver cancer patients.

Cultural Competence Among Nursing Students In Three Countries: A Cross-Sectional Study, Jonas Preposi Cruz, Paolo C. Colet, Joel Casuga Estacio, Helen Shaji John Cecily

International Nursing Research Congress (INRC)

Purpose: The entire world is experiencing the highest human mobility recorded in history as indicated by the steady rise of global migration. Globalization and emigration increases cultural diversity and multiethnicity, which also enriches the cultural diversity in healthcare facilities (Perng & Watson, 2012). Moreover, migrants are often subjected to discrimination, violence and exploitation, which have a great impact to their physical and mental health. Because of this, nurses should be properly trained to provide culturally competent care that is current and responsive to the increasing challenges in the healthcare settings associated with the complexity, volume, speed, diversity and disparity among …

Man's Best Friend: The Role Of Companion Animals In The Lives Of The Homeless, Susan K. Lee, Pamela Willson

International Nursing Research Congress (INRC)

Purpose: It is estimated that 28,000 persons are homeless in Texas on any given night (Texas Homeless Network, 2016). Many homeless people have companion animals to fulfill social needs: friendship, while demonstrating unconditional, nonjudgmental love; and satisfying basic needs of love and self-worth (Smolkovic, Fajfar, & Mlinaric, 2012). Over the past 25 years, multiple studies demonstrated human health benefits of relationships with companion animals. Companion animals were thought to play a significant role in effecting change or providing stability to the homeless as there are psychological, physiological, and social benefits associated with having companion animals (Labrecque, & Walsh, 2011; Slatter, …

Academic And Social Factors That Affect Bsn Students Who Fail The Nclex-Rnâ® Exam After Graduation, Kelly J. Betts

International Nursing Research Congress (INRC)

Problem/Purpose: Each year a small cohort of graduates from the UAMS CON BSN Program graduate and do not pass the NCLEX-RN® Exam on the first and subsequent attempts. The purpose of this study was to evaluate graduates from the last four years who have not been successful on the first or subsequent attempts at the NCLEX-RN® Exam to assess if there are certain trends or patterns that occur while they were in the BSN program that may have contributed to their NCLEX-RN® Failure. Identification of trends can help BSN faculty better provide academic support to students once it is understood …

Personal And Professional Transition From Military To Civilian Nursing Practice, Brenda S. Elliott, Katie A. Chargualaf, Barbara J. Patterson

International Nursing Research Congress (INRC)

Purpose: The purpose of this presentation is to discuss the military nurse officer"s transition from nursing practice in a military setting to a civilian setting.

Methods: Naturalistic inquiry paradigm, qualitative description was used to guide this study. The investigators interviewed 10 nurse Veterans from the United States who served a minimum of four years active duty and at least one year in a civilian clinical nursing role, after separation from active duty status. Semi-structured interviews started with an open-ended question asking participants to describe their transition from military nursing to civilian nursing practice. They were also asked to identify any …

Nurses At The Forefront Of Integration, Jill Case-Wirth, Elizabeth Spiva

International Nursing Research Congress (INRC)

Nurses played a pivotal role in the integration work at a healthcare system. Highlights of extraordinary teamwork, dedication, communication, and countless hours to plan for a smooth and effective transition were evident in the outcomes produced.

Disaster Response Preparedness And Training: A Capabilities Assessment Of Asia Pacific Partners, Mary Catherine Goetter, Susan F. Dukes

International Nursing Research Congress (INRC)

Purpose: The purpose of this study is to address a knowledge gap in understanding how military personnel involved in casualty transport would be able to function with their military and civilian counterparts in the event of a disaster involving multinational response. United States Air Force (USAF) personnel have accrued robust experience in patient evacuation employing en route care (ERC) systems and critical care air transport teams (CCATT) that were established, designed, and studied in wartime. In the event of a multinational disaster, this resource will likely be tapped; however, ERC and CCATT have not focused on scenarios outside of wartime. …

Empirical Evidence Of Theorized Clinical Nurse Leader Integrated Care Delivery Model Domains, Elizabeth Spiva, Miriam Bender, Wei Su, Lisle Hites

International Nursing Research Congress (INRC)

Background: The National Academy of Medicine acknowledges healthcare delivery redesign and innovative models of care are essential for improving care quality and safety (Institute of Medicine, 2011). Registered nurses (RN) comprise the largest healthcare workforce in the United States and are in a vital position to shape clinical microsystems into spaces where interdisciplinary teams work together to deliver high quality patient care. The evidence for nursing presence to reduce patient mortality and morbidity is robust (Aiken et al., 2011; Needleman et al., 2011) How nursing practice should best be organized and implemented to consistently achieve quality outcomes is less clear …

Transforming Nursing Students' Attitudes Toward End-Of-Life Care, Pamela L. Mahan, Helen M. Taggart, Sherry L. Warnock

International Nursing Research Congress (INRC)

Purpose: The purpose of this research was to examine the effect of an actual compared to a simulated hospice clinical experience on nursing students" attitudes toward end-of-life care; and.

Methods: A pretest and posttest nonequivalent two-group design consisted of a sample of 65 undergraduate nursing students enrolled in a community health course. All students enrolled in the community health course have one day for hospice experience, and a two-hour orientation from the nurse educator at a local hospice agency. Students enrolled in the first seven weeks were paired with a hospice nurse and conducted home visits. Students enrolled in the …

Multinational Research Collaboratives, Interaction Costs, And Time To Productivity: An Empirical Model To Support Success, Betty A. Rambur

International Nursing Research Congress (INRC)

Purpose:

To illuminate promising practices in multinational research collaboratives that may guide research initiatives that range from interprofessional, to multi-site, to international.

Research to effectively address complex global problems may require the composition of equally complex, diverse, multidisciplinary research teams. Indeed, collaboration among professions, disciplines, institutions, and nations may offer a means to address society’s most vexing problems. Although intuitively attractive, collaboration also creates intricate interplays of personal and scientific values, norms and expectations. This research was undertaken to better understand promising practices in the potentially most complicated research collaboratives, those that span nations.

Methods:

Because individuals in different regions …

How Baccalaureate Student Nurses Use Art Therapy To Facilitate Therapeutic Communication, Robyn A. Rice, Joyce Mary Hunter

International Nursing Research Congress (INRC)

This qualitative study using thematic analysis was designed to explore how undergraduate nursing students use art therapy to promote therapeutic communication with mental health patients. Art therapy facilitated student and mental health patient communication, suggesting that the intentional use of art therapy should be integrated into nursing education.

"Hope" For People With Motor Neurone Disease In Japan, Masako Nagase

International Nursing Research Congress (INRC)

Purpose:  In this study, we present materials to examine the “hope” harbored by patients with intractable neurological diseases. This study is part of research on the nature of the care system focused on end-of-life care for patients with intractable neurological diseases in Japan.Â

Methods:Â Â We conducted an interdisciplinary study using academic papers from various fields including nursing, psychology, and philosophy.Â

Results:  Since the 1950s, “hope” has mainly been defined in the context of social science and there have been various attempts at measuring it. However, exploring a unified view of the concept of “hope” is a difficult …

A Redemption Story: A Case Study Of A Faith-Based Addiction Recovery Process, Chitra Paul Victor

International Nursing Research Congress (INRC)

Purpose: The purpose of this study is to acquire an in-depth descriptive explanation regarding the role of the faith-based recovery program and the influence of this program on the healing of body, mind, and spirit and the restoration of hope for women recovering from substance addiction.

Methods: The researcher used a single embedded interpretive case study design based on the social process theory: Understanding God as Sponsor. Data was collected through observations, in-depth interviews, and the analysis of artifacts. The researcher used purposive sampling to recruit female drug addicts recovered in a faith-based recovery program and their care providers. The …

Measuring Harm In Hospitalized Children Via A Trigger Tool, Lya Michele Stroupe

International Nursing Research Congress (INRC)

The Global Assessment of Pediatric Patient Safety (GAPPS) trigger tool detects four times more adverse events than voluntary incident reporting systems, resulting in increased patient safety and quality of care.

Gapfon: Outcomes Report And Next Steps, Sigma Theta Tau International

International Nursing Research Congress (INRC)

About GAPFON: The Global Advisory Panel on the Future of Nursing (GAPFON®) was convened by The Honor Society of Nursing, Sigma Theta Tau International (STTI) to establish a voice and a vision for the future of nursing that will advance global health. GAPFON seeks to provide evidence on the value of nursing and to participate in and influence health policy, nursing leadership and practice, education, and the global health agenda.

The editors of this presentation are: Patricia E. Thompson, Cynthia Vlasich, and Tina Darling.

GAPFON®is chaired by Johns Hopkins School of Nursing Dean Emerita and Professor Martha Hill, PhD, RN, …

Use Of A Wellness Coaching Model Among Urban-Dwelling, Low-Income Older Adults, Bertha Lee

International Nursing Research Congress (INRC)

Older adults, age 65 years or over, currently represent 14.5% of the United States (U.S.) population. This value is projected to more than double to 98 million by 2060 (AoA, 2015) as ann increasing number of older adults, both rich and poor, are living longer in the presence of chronic disease and illness symptoms (National Center for Health Statistics (US) & National Center for Health Services Research, 2012). Compared to younger individual, older adults are more likely to experience repeated hospitalizations and/or unplanned visits to their health care provider, and face increased costs to manage their health (Lehnert et al., …

The Effects Of An Uncompleted Suicide Attempt: A Parent's Perspective, Kendal Klein

International Nursing Research Congress (INRC)

The purpose of this study is to examine the needs of parents after their adolescent child makes a non-lethal suicide attempt. Suicide, the intentional act to end one"s own life, is the third leading cause of death in adolescents, after accidents and homicides. Although quite uncommon in children, the frequency of suicide drastically increases during adolescence. This is a serious issue. There are numerous risk factors that increase the risk for adolescent suicide. These factors include possessing a psychiatric illness, lack of coping skills, emotional turmoil, a distorted view of life, a previous suicide attempt, substance abuse, family factors, and …

Depression Screening And Glycated Hemoglobin Levels: Diabetes Follow-Up Measures, Kristel Rosemarie Mcghee, Katherine Kenny

International Nursing Research Congress (INRC)

Diabetes and depression often co-exist. This combination may exacerbate the progression of diabetes; therefore, diagnosis and treatment of depression may improve diabetes management. In addition to routine monitoring of glycated hemoglobin (A1C) levels, diabetic patients should receive an annual depression screen to facilitate treatment and referral. Yet in the outpatient setting, depression screening is an underutilized tool. The overarching purpose of this project is to address and treat the depression in patients with diabetes, and to decrease A1C levels and ultimately improve chronic disease outcomes.

A literature review explored interventions to improve chronic disease outcomes in adults. Selected studies revealed …

Influenza Virus: The Evolution Of A Deadly Virus In Our World, Cathy M. St. Pierre

International Nursing Research Congress (INRC)

Despite significant advances in health care today and the fact that influenza illness is a preventable disease, Influenza virus continues to be a significant cause of morbidity and mortality in the world. Influenza continues to rank in the top 10 causes of death in the world and infects up to 5 million people annually (WHO, 2014). The Influenza virus is compose of three types: A, B and C. Initially, Influenza virus A was thought to be only present in birds and poultry. However, in recent years, it has come to light that strains of the Influenza virus A, known as …

Clinical Decision-Making Regarding The Management Of Pain: Differences Between Novice, Intermediate, And Expert Nurses, Igal Zlatkin, Yulia Gendler

International Nursing Research Congress (INRC)

Nursing pain management is closely related to decision making-process, which includes continuous estimate, intervention, monitoring the effect of treatment, identifying the need for changes and alternative treatment. It is generally assumed that education and practical experience increases accuracy in decision-making. Benner presented an extensive theory that suggests five levels of proficiency that nurses pass in acquisition and development of skills from novice to expert. However, this theory does not examine strategies of decision making during these stages. The purpose of the study: (1) to identify the cognitive processes used by nurses when making pain management decisions and the factors which …

What Works To Improve Staff Compliance With Multi-Drug-Resistant Organism (Mdro) Screening, Monina Gesmundo

International Nursing Research Congress (INRC)

The purpose of the presentation is to present the evaluation of multi-modal interventions on the staff MDRO admission screening compliance rate in various departments of a secondary public hospital in New Zealand.