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Preparing Students For Interprofessional Collaboration: A Grounded Theory Study, Monica Bianchi, Annamaria Bagnasco, Giuseppe Aleo, Loredana Sasso

International Nursing Research Congress (INRC)

Purpose: Explore and understand the process of preparation to the IPC put in place by clinical tutors and students, of the various professions involved in experiences of IPE, in order to encourage the recruitment of the professional role and to become a member of a team.

Methods: To answer to the question "What processes are used by students and clinical mentors to develop interprofessional collaboration?" it has been used a constructivist grounded theory approach.. This approach has enabled the researcher to enter into the research setting, to observe it from the inside, to collect the data that were analyzed to …

Nurses With Activity Limitations: Implications For An Aging Nurse Workforce, Barbara L. Wilson

International Nursing Research Congress (INRC)

The purpose of this study was to understand the extent to which annual total wage and salary disparities were due to discriminatory treatment, and the extent to which wage and salary disparities were due to voluntary choice, by decomposing annual wages into work participation, hours, and hourly wage components.

Developing Future Nurse Leaders Through Shared Governance, Janette Moreno, Anita S. Girard, Wendy Foad

International Nursing Research Congress (INRC)

This session will discuss how a large academic medical center in the U.S. integrated an evidence-based succession planning framework into an existing shared governance. The program resulted in the internal promotion of 20% of the council members to formal leadership positions. The program is replicable in other organizations.

Prevalent Sleep Disordered Breathing And Obstructive Sleep Apnea (Osa) Despite Treatment For Acromegaly, Christine G. Yedinak

International Nursing Research Congress (INRC)

Purpose: Acromegaly is a rare disease usually associated with a pituitary adenoma which secretes excess growth hormone. Characteristically, this results in hypertrophy of pharyngeal soft tissue, craniofacial deformations, macroglossia and thickening of the upper airway predisposing the patient to sleep disordered breathing (SDB) and obstructive sleep apnea (OSA)(Ramos-Levi & Marazuela,2016). Estimates vary, but 40-80% of patients diagnosed with acromegaly have also been found to have OSA compared to 5% of the general population (Galerneau et al.,2016). SDB has been associated with cardiovascular disease (Powlson & Gurnell.,2015) which is the most common cause of mortality for patients with acromegaly carrying a …

Prevalent Vitamin D Deficiency And Impact Of Vitamin D Supplementation On Acute Gvhd In Hct, Linda Dupuis-Rosen, Tara Coghlin Dickson

International Nursing Research Congress (INRC)

Purpose: Vitamin D, an essential hormone with function ranging from mediating bone hemostasis to immune modulation, has been reported to be deficient in the majority of myeloablative allogeneic hematopoietic cell transplant (HCT) recipients and associated with diagnosis of chronic graft versus host disease (GVHD). There are two types of GVHD (acute and chronic) which carries a high mortality rate of 34% (Grade II-IV).

Current studies continue to support the finding that there is a high prevalence of vitamin D deficiency within HCT recipients. Rosenblatt et al [1] has shown vitamin D deficiency may increase the risk of acute GVHD due …

A Structured Mentorship Program To Support Expert Clinicians In New Roles As Clinical Faculty, Lisa A. Seldomridge, Judith M. Jarosinski

International Nursing Research Congress (INRC)

Purpose: The international shortage of qualified nursing faculty has been identified as a key factor in the inability to educate additional students to become registered nurses (Nardi & Gyurko, 2015) and was a focus of the 2010 Sigma Theta Tau International and International Council of Nurses summit (International Summit, 2010). Because the faculty shortage is the result of multiple, decades-old problems, solutions must be coordinated and comprehensive (Kowalski & Kelly, 2013).

One solution to the nurse faculty shortage is the recruitment, training, and mentoring of expert clinicians to become part-time clinical teachers (Hinderer, Jarosinski, Seldomridge, & Reid, 2015). The aim …

A 10-Year Journey Toward An Accountable And Sustainable Patient-Centered Care Model, Jose M. Aguilera, Kim N. Walker

International Nursing Research Congress (INRC)

Purpose: The provision of an accountable and sustainable healthcare system is a major challenge worldwide. The delivery of a patient-centred care model that is accessible, safe, reliable and affordable remains elusive for many organisations. Over the past decade, St Vincent"s Private Hospital Sydney has implemented three frameworks - the Balanced Scorecard, the Magnet Recognition Program® and a revenue cycle management program - to address this challenge and strive towards the delivery of an accountable and sustainable patient-centred care model.The aim of this research was to analyse the financial, clinical and cultural impact of the three frameworks implemented at St Vincent"s …

Insomnia And Health-Related Quality Of Life In Adults With Type 2 Diabetes, Susan M. Sereika, Eileen R. Chasens, Letitia Y. Graves

International Nursing Research Congress (INRC)

Purpose: Previous research that suggests that obstructive sleep apnea (OSA) is associated with an increased risk for T2DM(Aronsohn, Whitmore, Van Cauter, &, Tasali, 2010) as well as decreased health-related quality of life (HRQoL) in persons with diabetes (Chasens, Sereika, Burke, Strollo, & Korytkowski, 2014). Diabetes increases the risk for another sleep disorder, insomnia, in a dose-related fashion (Budhiraja, Roth, Hudgel, Budhiraja, P. & Drake, 2011). The purpose of this study is to evaluate if insomnia is associated with worse HRQoL in adults with T2DM.

Methods: This study is a secondary analysis of baseline data from participants in a randomized clinical …

Bridging The Gap To Equal Access To Professional Development Meetings With Remote Virtual Technology, Francisca J. Farrar, Deborah Ellison

International Nursing Research Congress (INRC)

Nurses face many challenges to balance work, lifelong learning, and personal life. Nursing is a caring profession that is physically and mentally draining. With the growing demands upon the nursing profession to provide evidence-based practice that promotes safe, accountable, and quality care, nurses must learn to balance their schedule to attend professional development activities and stay abreast of current issues. Nurses are encouraged to be active in their professional organization and attend continuing education events. The purpose of this paper is to explore the relationship between technology and remote virtual attendances at professional nursing meetings that have professional development activities. …

Factors Of Risk Behaviors For Exposure To Endocrine Disruptors In Female College Students In Korea, Somi Park, Chaeweon Chung

International Nursing Research Congress (INRC)

Purpose: Environmental hormones are known to affect women"s health, inducing endocrine imbalances and reproductive health issues. As college students live more independently, they consume more fast food, disposable products, and convenient household items, which exposes them to more environmental hormones. Protecting women"s reproductive health is crucial for the succession of health to the next generation. This study examined the factors associated with risk behaviors for exposure to endocrine disruptors in female college students in Korea.

Methods: A cross-sectional correlative study was designed by using a questionnaire survey. The major variables were 1) the predisposing factors of 'interest in health concerns', …

Improving Care For The Veteran Population Through Respectful Interprofessional Collaboration: One College's Experience, Susan B. Connor, Paula Byrne

International Nursing Research Congress (INRC)

The purpose of this study is to determine the impact of a novel educational offering on the interprofessional knowledge and attitudes related to health care of the rural veteran. With roots back in the 1960s, the interprofessional education (IPE) movement did not become energized in the United States until 2009 when six national education associations of schools of the health professions formed the Interprofessional Education Collaborative (IPEC) followed in 2010 when the World Health Organization"s (WHO) proposed a global framework for implementing IPE and collaborative practice. Yet, Bankston and Glazer (2013) and even the American Nurses Association (2013) ponder why …

Development Of An Educational Program For Women's Health Related To Endocrine Disruptors, Chaeweon Chung, Somi Park

International Nursing Research Congress (INRC)

Purpose: The environment surrounding us makes changes in the patterns and prevalence of disease. Precocious puberty has become one clear health issue in Korea, showing a 4.4-fold increase in the past 5 years and threatening the reproductive health of young women. Behavior is habitual and guided by cognitive processes, and awareness and perception are essential for individuals to obtain information and to participate in optimal health behaviors. Therefore, it is necessary to provide proper education to the population of young women to help them maintain health behaviors throughout their lifespan. This study aims to develop an educational program to protect …

The Impact Of Bar Code Medication Administration Technology On Faculty Supervision Of Nursing Students, Eileen Creel, Ann K. Carruth

International Nursing Research Congress (INRC)

The purpose of this research was to identify current practices, policies, and processes impacting nurse faculty who supervise nursing students administering medications in the clinical setting using bar coded medication administration systems (BCMA). BCMAs are one of the proposed solutions to medication administration errors. They have been reported to reduce medication errors by as much as 86% (Rivish & Modeda, 2010). Up to 50% of United States (U.S.) hospitals had implemented BCMA technology in 2011, with the goal of improving compliance with the Five Rights of medication administration (Hassink, Jansen, & Helmons, 2012). BCMAs were intended to eliminate "workarounds" which …

Factors Associated With Non-Acceptance Of Testing And Evaluation Of Household Contacts Exposed To Tuberculosis, Elvy G. Barroso

International Nursing Research Congress (INRC)

Purpose: The WHO reports that the incidence of TB is approximately 9.0 million new cases globally each year and approximately 3.3 million cases are missed by health systems as either undiagnosed or not reported. A single index case can infect up to 10 to 15 contacts over the course of a year. Thus, complete and timely evaluation of all contacts exposed to TB is crucial for decreasing the transmission and incidence of TB. Several barriers to testing of contacts have been identified, however, no studies specifically address contacts" non-acceptance to TB testing and evaluation. Both nurses and non-nurse managers conduct …

Supporting Nurses To Speak Up For Patient Safety Using An Employee Engagement Survey, Nicole J. Hall, Cheryl Graf

International Nursing Research Congress (INRC)

Purpose: The purpose of this research study is to further develop the understanding of factors that influence patient safety as they relate to nurses speaking up when faced with concerns through examination of archival employee engagement survey results.

Methods: The planned site for procurement of data for this research study is ABC hospital, a privately owned healthcare organization located in the United States that provides both inpatient and outpatient services. The employee engagement survey data that will be examined is from 2015 and had an overall 96% response rate at the research site. The target population for this study was …

Beyond Silos: An Interprofessional, Campus-Wide Ethics Education Program, Cathy L. Rozmus, Nathan Steven Carlin, Angela M. Polczynski, Lorraine Frazier

International Nursing Research Congress (INRC)

This presentation will detail an interprofessional, campus-wide ethics program in a large health science center. Multiple activities in different formats will be described. An evaluation of the program included students' self-assessments and assessment of students' ethical decision-making skills at baseline and in years 3 and 5 of the program.

Developing Clinical Guidelines To Improve The Care Of Older People With Diabetes, Trisha Lynette Dunning

International Nursing Research Congress (INRC)

Background: Diabetes is associated with functional, cognitive, and social changes. Polypharmacy and under-or malnutrition, pain, depression, falls, confusion, delirium and significant medicine-related adverse events including hypoglycaemia are common (Munshi et al. 2016). There are a number of existing guidelines for the care of older people with diabetes but conversations with staff caring for caring for older people with diabetes indicated that such guidelines do not address core components of the care such as sexual health and end of life. There is limited clinical trial evidence to support recommendations and low regard for expert/consensus opinion. Older people with diabetes are often …

Effect Of Rct Testing On A Cbpr-Developed Cessation Intervention For Culturally Diverse, Low Socioeconomic Women, Jeannette Andrews, Martina Mueller, Susan Newman, Gayenell S. Magwood, Karen Kane Mcdonnell, Janie Heath, Martha S. Tingen

International Nursing Research Congress (INRC)

Purpose: There are an estimated 4.8 million households living in US government subsidized housing, with the majority of these households led by single African American women. The smoking prevalence of African American women in US subsidized housing neighborhoods is two to three times higher than the African American women in the general population (40-60 % vs. 19 %). The convergence of individual, social, and neighborhood factors for women in subsidized housing creates an environment in which smoking is a social norm.

The purpose of this presentation is three fold: 1) to describe the effect of a recently conducted, CBPR developed, …

Embedding A Clinical Therapist As Staff Into A Faculty/School Of Nursing, Linda J. Patrick, Laurie M. Carty, Sheema J. Inayatulla, Katelyn J. Verkoeyen

International Nursing Research Congress (INRC)

The mental health of post-secondary students on college and university campuses has received considerable media attention especially when harm to self or others is the outcome. Nursing students are not immune to psychological distress and mental illness (Stallman & Shochet, 2009). Compared to the majority of post-secondary students, nursing students reportedly have a higher risk of mental health difficulties including excessive stress, anxiety and depression that can lead to poor health outcomes (Chernomas & Shapiro, 2013; Fitzgerald, 2015). There are many campus wide resources for students to access at their respective institutions, but they are often unwilling to voluntarily seek …

The Closing Composition: End-Of-Life Communication Strategies, Mary J. Isaacson, Mary Elizabeth Minton

International Nursing Research Congress (INRC)

Background: Globally, palliative care at end-of-life (EOL) is indicated for over 19 million adults (Connor & Bermedo, 2014). Palliative and EOL care encompasses physical, psychosocial, and spiritual changes which necessitate ongoing intervention and evaluation (Coyle, 2015). Both the World Health Organization (WHO, 2016) and the International Association for Hospice and Palliative Care (IAHPC, 2016) identify the palliative care team"s interprofessional composition, of which nurses are an integral component. At the center of the interprofessional, palliative care team is the patient; who desires shared decision-making (Alston et al., 2012). Patients and families are best served when health care communication envelopes the …

An Interprofessional Collaborative Practice Model (Ipcp) For Enhancing Population Health And Care Transitions, Maria R. Shirey, Connie White-Williams

International Nursing Research Congress (INRC)

Background: Changing requirements shifting the focus of care from an emphasis on value over volume demand delivery models that cultivate teamwork and collaboration across the healthcare continuum. Academic-practice partnerships represent a desirable vehicle to test innovative interprofessional collaborative practice (IPCP) models to enhance population health outcomes and care transitions.

Purpose: This purpose of this presentation is to discuss early findings following implementation of an IPCP model used as part of an academic-practice partnership to enhance health outcomes and care transitions in a complex and underserved heart failure patient population. Leadership and partnership strategies used to facilitate IPCP and care …

Nursing And Physical Therapy Students Learning And Collaborating Together, Mary Francis, Robert Wellmon, Kristin Lefebvre, Ellen Erdman

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to examine student's attitudes and beliefs regarding interprofessional learning (IPL) and collaboration (IPC) following an interprofessional transfer laboratory experience. The study also explored student's perception of professional identity and self-efficacy.

Methods: Forty-nine doctorate of physical therapy (DPT) students and 136 baccalaureate student nurses (BSN) were assigned into groups of 1 DPT and 2-3 BSN students. One week prior to the laboratory experience, the students attended a lecture discussing how to transfer a patient and the importance of mobility during a hospitalization. The lecture focused on the clinic decision making involved in deciding how …

Nurses' Work-Related Fatigue And Related Factors, Chi-Hui Chuang, Yi Liu

International Nursing Research Congress (INRC)

Background: Fatigue not only is commonly seen in clinical patients but also prevails in healthy population. Fatigue can lead to poor performance, absenteeism, and medical adverse events. It is one of the main causes of nurses" intention to leave. Therefore, to explore the main factors associated with the work-related fatigue among nurses would help the establishment of fatigue reduction strategies.

Objective: To investigate work related fatigue and the related factors.

Methods: A cross sectional study was conducted and a structured questionnaire survey was applied. The questionnaires were distributed to 11 wards in a district hospital and a medical center. A …

Ptsd In Neurology Nurses Coping With Verbal And Physical Abuse From Patients And Families, Roy Trahan

International Nursing Research Congress (INRC)

Purpose: The purpose of the study was to assess the incidence, intensity, and impact of verbal and physical abuse experienced by neurology nurses from patients and families, identify current coping strategies of neurology nurses, and explore the relationships between selected demographic characteristics, high and low abuse from patients and families and coping strategies.

Methods: A descriptive, exploratory research design utilizing an anonymous online survey was used for this study. The sample consisted of registered nurses living in the United States currently employed full or part-time in direct care roles with neurology patients.

A total of 112 participants were recruited from …

Innovative Use Of Electronic Tablets For Newly Diagnosed Cancer Patient Education, Patricia L. Cameron

International Nursing Research Congress (INRC)

The purpose of this study was to determine whether using an electronic tablet to provide coaching for flushing to cancer patients could minimize infection and occlusion complications that often occur when patients/caregivers are responsible for maintaining their PICC lines.

Dietary And Supplemental Therapy In Crohn's Disease: Promoting Self-Care Through Knowledge, Jennifer Mary Senior

International Nursing Research Congress (INRC)

Background and Purpose: Crohn"s disease affects millions of people worldwide. It is a complex inflammatory condition of the gastrointestinal tract and requires a high knowledge level in both the patient and provider for successful management. Many research studies are done on pharmaceutical options to treat Crohn"s disease, but few studies detail the impact of nutritional deficiencies. The purpose of the project was to increase knowledge levels in patients with Crohn"s disease regarding the latest dietary and supplemental therapies showing promise to support their disease state while promoting self-care and improving well-being. Additionally, the project demonstrates to other healthcare professionals the …

Understanding The Experiences Of Veterans Enrolled In Prelicensure Nursing Programs In The United States, Teresa Shellenbarger, Julie L. Decker

International Nursing Research Congress (INRC)

This presentation will describe a hermeneutic phenomenological study that was conducted to understand the lived experiences of veterans enrolled in prelicensure nursing programs in the United States. Four themes emerged that provided insight into the challenges these students face. Implications and recommendations resulting from the study will be shared.

Can An Asthma Self-Management Intervention Improve Quality Of Life In Children Who Have Asthma?, Sharon D. Horner

International Nursing Research Congress (INRC)

Purpose: Asthma is a major public health problem in childhood. Frequent symptomatic days requiring urgent management, disturbed sleep, and limitations in daily activities due to asthma contribute to worsening quality of life (QOL) in children who have asthma (Moreira et al., 2013). Asthma is a heavy burden on children who are members of racial/ethnic minority groups (Akinbami et al., 2012). A randomized controlled trial was conducted to test an asthma self-management intervention in comparison to an attention control intervention of general health promotion on school-aged (7-12 years) children"s QOL. The aims of this presentation are twofold: (1) To report results …

Exploring Staff Nurses' Perceptions Of Specialty Certification At A Large Urban Academic Medical Center, Jennifer J. Clair

International Nursing Research Congress (INRC)

Background

The Institute of Medicine’s study on medical errors, To Err is Human: Building a Safer Health System, recommends that health professions implement periodic reexaminations and relicensing of providers (Institute of Medicine, 2000). While Registered Nurse (RN) licensure provides entry-level competence, specialty certification provides a platform to consistently validate specialty experience, knowledge, experience, and skills (Altman, 2011).

Certification of staff nurses is also an important component of Magnet designation. Magnet status indicates that a hospital is recognized by the American Nurses Credentialing Center (ANCC) for demonstrating excellence in patient care across the organization (American Nurses Credentialing Center, 2016). The large, …

Faculty Collaboration For Horizontal Integration Of Nursing Curriculum: Innovative Teaching Strategy, Manju N. Daniel, Jeanette Rossetti

International Nursing Research Congress (INRC)

Background: Baccalaureate nursing education plays a significant role in the development of critical thinking skills. Critical thinking is a core competency that nursing students need to have so they can efficiently address simple to complex clinical situations. Attainment of critical thinking skills during the undergraduate nursing program can positively impact students" future nursing practice across a variety of in-patient and out-patient settings. The utilization of discipline-specific "teaching-learning strategies", which facilitate the development of critical thinking among nursing students, is important. Horizontal integration of an undergraduate nursing curriculum is an innovative discipline-specific "teaching-learning strategy. Horizontal integration involves fusion of nursing curriculum …