Digital Commons Network^™

Impact Of Motivational Workshops On Lifestyle Modification To Increase Physical Activity, Gagandeep Singh, Manju N. Daniel, Courtney Crutchfield

International Nursing Research Congress (INRC)

Background: More than 68% of the people in all racial categories in the United States are either overweight (BMI 25-29.9) or obese (BMI 30+). Overweight and obesity are two significant risk factors for type 2 diabetes and heart disease (National Institute of Diabetes and Digestive and Kidney Disease, 2012). Approximately 29 million people have diabetes in the United States. Heart disease is one of the serious complications associated with diabetes. More than 70% of the people diagnosed with diabetes were found to have hypertension. In addition, the cardiovascular disease death rates were about 1.7 times higher in adults with diabetes …

Harm Reduction In Nursing Practice: Compassionate Care For Persons With Addiction, Audrey Catherine Killarney, Michelle Esther Neuman

International Nursing Research Congress (INRC)

Substance abuse and overdose deaths are increasing at profound rates in the United States. Nurses and clinicians must evaluate their response to this growing epidemic. Harm Reduction is an alternative therapy for rehabilitation and was traditionally used in tobacco cessation, and to control the spread of HIV and HCV. The concept of harm reduction can be described as accepting the possibility that individuals will abuse harmful substances, and the goal of treatment is to reduce the harm associated with the addictive behavior; ultimately, this treatment nurtures a non-judgmental environment that facilitates a therapeutic nurse-patient relationship. Much of the literature regarding …

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

International Nursing Research Congress (INRC)

Purpose: Approximately $1.3 million annually can be saved when 500 palliative care consults are completed within the acute care setting. With 90 million Americans, of whom 20% are Medicare recipients that suffer from chronic medical conditions, 500 consults are not a distant number. The electronic clinical decision support and utilization of triggers to identify individuals who might benefit from palliative care using an algorithm within the electronic health record (EHR) can enable the multidisciplinary team to facilitate palliative care services.

The purpose of this feasibility study was to utilize variables available in the EHR of palliative care patients receiving palliative …

Theory-Practice Gap: Perceptions Of Nurse Faculty, Nursing Students, And Clinicians In Ghana, David Abdulai Salifu

International Nursing Research Congress (INRC)

Purpose: The overall goal of this research work was to explore the understanding of theory-practice gap from the perspective of nurse faculty and nursing students in University for Development Studies, and clinicians in Tamale Teaching Hospital, Ghana. Despite several attempts by nurse faculty and clinicians to address the theory-practice gap, it remains a central issue in both nursing education and practice (De Swardt, Du Toit & Botha, 2012). Most of the initiatives to bridge the theory-practice gap have evolved in geographic areas such as the US, UK, and other developed nations. Little research addressing the issues is evident in …

Developing Cultural Competence In Practicing Nurses: A Qualitative Inquiry, Michelle L. Edmonds, Jeane Richards

International Nursing Research Congress (INRC)

Background/Introduction: Multicultural societies are becoming more prevalent across the globe. Nurses, providing holistic care to patients from many cultures, must demonstrate culturally competency in their daily practice so as to provide patient-centered care (Maher-Lorentz, 2008). The American Nurses Association has, since 1991, advocated for culturally appropriate nursing care to be delivered to patients in all settings (ANA, 1991). The Joint Commission has indicated the importance of culturally appropriate communication for patient-centered care and included this in the 2012 accreditation standards (The Joint Commission, 2010). Research regarding culturally-competent care among nursing students has been recently conducted in nursing education. However, few …

Fostering Nurse Renewal Through Compassion: A Model For Alleviating Nurse Workplace Stress, Marie M. Shanahan, Gayle Novack, Veda L. Andrus

International Nursing Research Congress (INRC)

Nursing workplace stress is a known deterrent to nurse satisfaction with the work environment. (Cranick, Miller, Allen, Ewell, & Whittington, 2015) It can lead to compassion fatigue and burnout. It is a contributing factor to nursing turnover and decreased retention of a skilled workforce (Edmonson & Asturi, 2015). Nurse workplace stress is an element of the downward spiral in patient safety and quality. If left unchecked it creates a cascading effect that diminishes effective organizational functioning, costing millions and endangering patients" lives (Birmingham, Dent & Ellerbe, 2013). Sadly, it can rob nurses of the joy and fulfillment they derive from …

Development And Testing Of Cancer Treatment Shared Decision-Making Scale For Nurses (Sdms-N), Pamela L. Katz, Joseph D. Tariman, Lisa Hartle, Katharine Szubski

International Nursing Research Congress (INRC)

Background: Shared decision-making (SDM) has emerged as the preferred model for decision-making in treatment decisions for cancer patients. Patient outcomes are maximized when this model is used since the patient is more engaged and empowered to be a part of their care. Yet, there are many barriers to participation in SDM that must be overcome from the patient, practitioner, and structural perspectives. Oncology nurses are crucial in the SDM process and tend to have a higher level of involvement relative to their counterparts in other specialties. However, many of these nurses do not feel competent or comfortable participating in SDM …

Implementation Of Current Technology In Online Learning, Glenda K. Jones, Milena P. Staykova, David Halpin

International Nursing Research Congress (INRC)

Digital technologies have a significant impact on the nursing education. To meet the challenges of the U.S. health care system for excellent patient outcomes, the Institute of Medicine (IOM) recommended higher educational attainment for the nursing workforce. In 2010, the IOM released its landmark report on The Future of Nursing, which called for 80% increase of the number of baccalaureate-prepared nurses (BSN) in the workforce by 2020. The online nursing education has grown rapidly to aim the RN to BSN transition. In 2011, an online survey was administered to students from a private health science college to evaluate the …

Diverse Educational Strategies Enhance Multigenerational Learning In The Classroom And Workplace, Joyce I. Karl, Oralea Pittman

International Nursing Research Congress (INRC)

Purpose: This presentation will examine similarities and differences among generations and how diverse educational strategies can be developed for the multigenerational classroom or workplace. It will also discuss how traditional, interactive, and problem-based intergenerational activities may benefit all participants.

Review of Literature: In the classroom, three generations are often present among the faculty and students; baby boomers, Generation X, and millennials (Generation Y). Although it is important to avoid assumptions about individuals, each group has values and skills which are different. Baby Boomers prefer structured learning. Hard work is the way to earn respect and advancement in the workplace (Gallo, …

Should Our Approach For Reducing Poor Birth Outcomes Differ In Urban And Rural Populations?, Judy Griffin Mccook, Beth A. Bailey

International Nursing Research Congress (INRC)

Purpose: Location of residence has long been recognized to impact maternal-child health disparities. For decades, women residing in urban areas have experienced high rates of poor pregnancy outcomes. More recently, rural disparities in birth outcomes have been recognized, and have been found to occur at rates similar to those reported for urban populations. In order to appropriately address poor birth outcomes in such highly disparate environments, a better understanding of the modifiable factors that may differentially drive these outcomes is needed. The current study had two objectives. First, we examined potential differences between rural and urban women on modifiable factors …

A Review And Synthesis Of Literature Examining Healthcare Managers' Use Of Knowledge In Their Practice, Greta G. Cummings, Kaitlyn C. Tate, Sarah J. Hewko, Patrick B. Mclane, Pamela E. Baxter, Susan Armijo-Olivo, Carole A. Estabrooks

International Nursing Research Congress (INRC)

Background. Despite acceptance of the merits of evidence-based practice, healthcare managers are frequently cited as discounting the value of research evidence to inform management practice. We identified and evaluated the effectiveness of interventions implemented to enhance healthcare managers" use of research in their management practice.

Methods . We searched ten online bibliographic databases. Articles eligible for inclusion reported on interventions targeted to healthcare managers for enhancing research utilization in their practice. Two reviewers independently screened all titles, abstracts and manuscripts using predefined inclusion and exclusion criteria and independently conducted quality reviews on all manuscripts meeting inclusion criteria. Four research team …

Do New Nurse Practitioners Support A Post-Graduate Residency For The Transition To Practice?, Julie C. Stuckey

International Nursing Research Congress (INRC)

Purpose: The purpose of this DNP project was to describe the Nurse Practitioners (NP) perceptions of the Nurse Practitioner Residency (NPR) Programs effectiveness and impact on their transition to practice. The project was designed to determine the following questions related to the post-graduate Nurse Practitioner Resident (NPR); what were their perceptions of the residency program, determining the effectiveness of the program, and what impact the program provided towards the transition into primary care practice. The project also included the opportunity to identify any additional themes that could assist in further development of the NPs transition to primary care practice through …

A Randomized Trial Evaluating Connective Tissue Massage On Pain In Post-Cesarean Section Primiparous Women, Mary Colleen Simonelli, Louise T. Doyle

International Nursing Research Congress (INRC)

Purpose: Pain creates physiological responses that can prolong the body"s recovery after surgery including cesarean surgery which may impact a woman"s ability to establish a maternal-newborn bond and effective breastfeeding. In the United States 77% of current heroin users claim to have used opioid pain medications prior to their heroin initiation (Jones, 2013).With today"s opioid crisis, it is imperative that nurses find alternative strategies to the current administration of opioids to manage postoperative pain. The purpose of this study was to evaluate the efficacy of connective tissue massage on reducing postoperative pain in primiparous patients on their first postoperative day …

Step Into Wellness: A Nurse Practitioner-Directed Interprofessional Intervention For Underserved Populations, Patricia A. Rouen, Janet M. Baiardi

International Nursing Research Congress (INRC)

Guided by the social-ecological framework, the purpose of this project was to initiate nurse practitioner-led interventions to support accountable care and improve nutrition and physical activity health outcomes in a diverse underserved population receiving care in an urban free primary care clinic.

Economics And Intimate Partner Violence: Reducing Risk Through Economic Solvency, Heidi Gilroy

International Nursing Research Congress (INRC)

Purpose: Poverty is one of the most consistent risk factors for intimate partner violence. However, little is known about the economic state at which women are no longer at risk for intimate partner violence due to their economic status, which can be referred to as economic solvency. In order to address poverty as a risk factor, we need to understand more about economic solvency. The purpose of this research is to validate a model of economic solvency in women and create a basis for measurement of economic solvency.

Methods: This is a mixed methods study. First, a quantitative study was …

Active Learning Strategies For Course Enhancement: Monitoring Adverse Event Reporting In Twitter, Janet Thorlton

International Nursing Research Congress (INRC)

The purpose of this pre-test/post-test experimental study was to evaluate the impact of active learning strategies designed to appeal to six student learning styles: competitive, collaborative, avoidant, participant, dependent, and independent.

Efficiency Of Authentic Leadership On Turnover Rate Of Nursing Staff, Li-Chu Lee

International Nursing Research Congress (INRC)

Purpose:

 In Taiwan, medical institutions are faced with the dilemma of manpower management. Dimission has always been the most troublesome problem for organizations, especially in the medical fields where the turnover rate of nurses increases year by year. According to 2013 statistics, the average turnover rate of 303 hospitals in Taiwan was 12.00%. The turnover rate of this unit in 2014 was 13.8%, outclassing that of the entire Taiwan.

To evaluate efficiency exerted by authentic leadership for the turnover rate of nursing staff, job satisfaction, and patient satisfaction to serve as references for leadership styles of management of hospitals. …

Facilitation On The Run: Enabling Work-Based Facilitation In The Midst Of Practice, Michele Hardiman

International Nursing Research Congress (INRC)

The vision of person-centred cultures is core to all policy and standards in healthcare in Ireland (Health Information and Quality Authority, 2012) and globally (World Health Organisation, 2016) implementing these strategies and standards require focused development of staff who deliver care in our health services (Department of Health and Children, 2010). In the acute hospital setting in Ireland this staff development has largely been technical in its approach to date. Evidence suggests that for person centred cultures to emerge, purposeful Practice Development (PD) needs to be facilitated within the workplace (McCormack et al, 2010). The role of clinical nursing leaders …

Redesign Of A Post-Licensure Population Health Course Using An Online Virtual Community Environment, Wendy M. Crary

International Nursing Research Congress (INRC)

For purposes of curriculum assessment, the perceptions of both students and faculty were collected regarding their experience with a virtual community in a population health course.

The research question of the study was: Is the efficacy for the use of a virtual community supported; as the source for gathering information necessary for completion of assignments, and thus achieving student learning outcomes?

History of the problem:

The motivation for the curricular change was the need to provide a more standardized learning experience and role specific patient interaction for the students. The necessity for change was identified based on student feedback regarding …

A Method Of Analyzing Defects In Preoperative Preparation Process Using A Computerized Control System, Maya Novikov, Liat Cohen, Tatyana Fishman

International Nursing Research Congress (INRC)

Overview

Providing of qualitative and timely care to all patients is a critical goal of management in surgery departments.

The significant role in achievement of that goal and in effective functioning of staff in surgical department is an accurate preoperative preparing of patients.

Defects in preoperative preparation process often cause to delays and cancellations of operations which lead to such outcomes as: increase of patient risk factors, prolongation of patient waiting time, ineffective usage of operational resources, reduce of patient's satisfaction rate, etc.

Effective analyze of those defects and applying appropriate steps have significant impact on improvement of preoperative preparation …

Irritable Bowel Syndrome And Probiotics: Effective Or Not?, Andrea L. Morris

International Nursing Research Congress (INRC)

Purpose: Purpose of this study is to explore the effect of irritable bowel syndrome in relationship to body systems and evaluate the benefit of adding probiotic therapy to the treatment plan.

Methods: One hundred thirty-three articles initially identified, of which 32 met the inclusion criteria. The selected articles included four Level I meta-analysis and systematic reviews of Randomized Control Trials (RCT) totaling 144 studies, seven Level II RCTs totaling 992 patients, and one Level IV, an observational study.

Results: Irritable bowel syndrome (IBS) is one of the most common gastroenterological diseases affecting 15-20 % of the Western population, and disturbance …

Achieving Clinical Learning Outcomes In A Community/Public Health Nursing Course Through An International Immersion Experience, Brandy E. Strahan

International Nursing Research Congress (INRC)

International clinical immersion experiences are valuable in that students are exposed to diverse cultures and ways of living, but these experiences can also provide an unconventional setting for clinical learning and the opportunity for culturally congruent care. Research has shown international immersion experiences to be beneficial in providing students comparison of U.S. health care systems to international systems, collaborate and form symbiotic partnerships with other institutions and providers, and share knowledge related to specific healthcare disparities. These experiences also enhance professional and personal development, enrich the understanding of healthcare concepts, and validate global citizenship. Clearly, international immersion experiences offer valid …

Suicide Risk Assessments: A Mixed-Methods Study Of Nurses' And Patients' Experiences With Evidence-Based Practice, Elaine E. Santa Mina, Elizabeth Mccay, Donald N. Rose, Beth Hamer

International Nursing Research Congress (INRC)

Background: Suicide remains a serious safety concern. In 2012, suicide was the 15th leading cause of death as the global rates remain persistently high despite the focus on prevention http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/retrieveddec 2 2016. Suicide risk assessments are fundamental to prevent suicidal behaviours and death by suicide (Boudreaux et al, 2016). Nurses, as front-line clinicians, are pivotal in the accurate diagnosis and the delivery of care to prevent suicide through the identification and documentation of risk, in the clinical record, as per evidence-based best practice (Canadian Federation of Psychiatric and Mental Health Nurses, 2014). A Centre for Mental Health Care developed …

Development Of A Decision Aid For Unaffected Brca Mutation Carriers, Terri Jabaley Leonarczyk

International Nursing Research Congress (INRC)

Purpose: Deleterious BRCA mutations confer high risks for developing breast and ovarian cancer (Chen & Parmigiani, 2007; Mavaddat, et al., 2013). For healthy women, diagnosis of a mutation is associated with emotional trauma, fear, and a sense of urgency to make health protective decisions. Cancer risk management decision making support needs are exigent and ongoing throughout the decision making process. Women depict the process as a life journey (Jabaley Leonarczyk & Mawn, 2015). Priorities are survival, reducing the risk for cancer development, and maximizing quality of life (Stan et al., 2013). Making decisions necessitates a complex analysis of clinical variables, …

Improving Dual Diagnosis Care In Acute Psychiatric Inpatient Settings Through Education, Kofi Bonnie

International Nursing Research Congress (INRC)

Background: Patients with co-existing substance use and mental disorder (dual diagnosis) have complex and challenging care needs. They have an increased risk of homicide, suicide, homelessness, incarceration, multiple admissions and infectious diseases such as hepatitis C and HIV. Acute psychiatric care settings play a vital role in providing services for dual diagnosis patients who often do not voluntarily seek treatment. There is evidence that nurses working in these settings often have unmet learning needs regarding dual diagnosis care, posing a challenge to nursing practice with this clientele. This is significant in that recent data reveals that 57% of the psychiatric …

A Global Measure Of Nursing Student Communication: The Interpersonal Communication Assessment Scale (Icas), Marilyn D. Klakovich

International Nursing Research Congress (INRC)

The purpose of this presentation is to describe the Interpersonal Communication Assessment Scale, its usefulness in nursing schools in the USA, and efforts to increase the global usefulness of the scale through translation and adaptation for use in other languages and cultures.

In the late 1990"s, despite the centrality of interpersonal communication in nursing, there were few psychometrically sound instruments to measure the communication competencies of undergraduate and graduate nursing students. A colleague and I set out to develop and test the Interpersonal Communication Assessment Scale (ICAS), which was designed to assess the communication competencies of students in undergraduate and …

Enhancing A Community's Health Through An Innovative Partnership With A Public Utility Company, Georgia Karine Crow, Adelita G. Cantu

International Nursing Research Congress (INRC)

Baccalaureate and RN to MSN Population/Public Health Nursing students partnered with a public utility company to engage in a creative method to enhance the community"s health. CPS Energy is a non-profit electricity provider, the nation"s largest, that is owned and operated by the municipality it serves. In the summer of 2015, UT Health San Antonio School of Nursing and CPS Energy engaged in a partnership to promote more environmentally healthy homes. CPS" Casa Verde Weatherization Program is an energy efficient program designed to help families in need to reduce their monthly utility bills, to provide protection for the residents from …

A Global Approach To Promoting Ebp Knowledge: Validating The Translated Version Of Ekan Into Spanish, Jan Marie Nick, Amy Hagedorn Wonder, Alfa Rigel Suero, Darrell R. Jr. Spurlock

International Nursing Research Congress (INRC)

Purpose: This study is part of a multi-site research project aimed at documenting the evidence-based practice (EBP) knowledge of nursing students on a global scale. Although the benefits of EBP are widely known, EBP is still not consistently implemented across care settings. A variety of subjective instruments are used in countries to gauge what nursing students know about EBP. The documented lack of correlation between subjective and objective knowledge measures (Zell & Krizan, 2014) coupled with a lack of consistent instrumentation to enable generalizability of findings are two factors that inhibit a global approach toward promoting EBP and collaboratively advancing …

The Case For Including Sleep Content In Nursing Curricula, Lucille C. Gambardella, Lyron Deputy

International Nursing Research Congress (INRC)

Introduction: The importance of sleep for overall health is at the forefront of the media and the literature. Emphasis on the effects of sleep deprivation are highlighted in vehicular accidents such as theAmtrak train crash in Hoboken, NJ (NY Times, 2016) and in overall workplace performance for a variety of employee positions. Including sleep in all assessment processes by health care providers is becoming a topic of critical discussion as a need in the educational domain of provider preparation. Nursing curricula are not an exception and as nurses students must learn the dynamics of normal sleep and sleep physiology …

Influencing Global Health: Creating An Interprofessional Global And Rural Health Certificate Program, Wendy Renee Thal, Emily S. Merrill, Rosalinda Jimenez

International Nursing Research Congress (INRC)

This presentation details the development process and implementation of a graduate level, inter-professional global health certificate program in a graduate level nursing program. The on- line program was developed in direct response to an identified need from the student body within the HSC. The certificate program, a set of three core courses, a total of 12 credit hours, is designed to prepare professionals with in-depth knowledge to enhance the care of populations in underserved global and rural communities both at home and abroad. Healthy People 2020 (ODPHP, N.D.) and the United Nations Sustainable Development Goals (UN, N.D.) guided the development …