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Medicinal Cannabis Use And Preferred Mode Of Administration: A Patient Survey, Jane L. Phillips

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Consumer interest in medicinal cannabis has promoted the NSW Ministry of Health in Australia to fund various phase II and III medicinal cannabis trials, including a cancer related anorexia and cachexia trial. However, little is known about Australian cancer patients' views towards medicinal cannabis or administration preferences. The purpose of this study was to determine cancer patients' medicinal cannabis preferences for mode of administration, previous and current use, and attitudes and beliefs towards a cancer-related medicinal cannabis anorexia-cachexia trial.

Methods: A cross-sectional anonymous patient survey. Patients were eligible if they: 1) had …

What Has An Active Neighborhood Shooter To Do With A University Department Of Nursing? Plenty!, Mary Anne Schultz, Teresa Dodd-Butera

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Recent tragic events have brought to light the need for preparedness and provision of emergency healthcare measures in almost any setting. Nurses provide 90% of the healthcare services in the world (WHO, 2008) and must be ready for natural disasters, bioterrorism, and man-made events, such as active shooters in the area in which care or education is provided. When the nurse is both a provider and an educator, this may magnify the importance of knowing when and how to act in such emergencies, especially when they take place in and around hospitals, health …

Cultivating Leaders In Nursing Education: Now And For The Future, Patricia E. Thompson

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Healthcare is undergoing unprecedented rapid change. Sweeping reform, advancements in treatment options, an increasingly diverse and aging population, and the impending retirements of seasoned direct-care nurses have challenged nursing programs to supply more graduate nurses. The development and retention of academic nurse educators is vital to ensure the next generation of nurses are prepared to face these challenges. Effective academic leadership is required to lead nurse educators and their students through an uncertain future. Currently, nursing schools face the impending retirement of a generation of nursing academic administrators. The retiring 'Boomers' (1946-1964) take …

Influencing Policy Through Generation Of Research, Application Of Knowledge And The Use Of Social Networks, David C. Benton

International Nursing Research Congress (INRC)

Opening plenary presented on Thursday, 21, July 2016.

This paper will start by reviewing a number of recent publications that provide significant opportunities for the nursing profession to conduct new research and influence global, regional and national health policy. In particular the content of the recently released sustainable development goals document, the new 2016-2030 strategy for human resources for health and the 2016-2020 strengthening nursing and midwifery strategy will be examined so as to identify research and policy opportunities for the profession. At a time when intergovernmental agencies such as the World Health Organisation, World Bank and other bodies are …

The Cervical Microbiome And Parturition, Marie Hastings-Tolsma, Mary Ann Faucher

International Nursing Research Congress (INRC)

Session presented on Thursday, 21 July 2016 and Friday, 22 July 2016:

Purpose: The importance of the microbes that reside in and on the human body are increasingly recognized for the action they carry out, influencing human health, behavior, and disease through immunologic, endocrine, and neural pathways. The National Institutes of Health completed the Human Microbiome Project and is now engaged in the integrative Human Microbiome Project 2 which aims to examine changes in the microbiome and human health. While many body sites have been examined, there has been little study of the cervix and myometrium, two key reproductive tissues …

Effectiveness Of Educational Nursing Home Visits In Older Adults, Steve Strupeit, Arne Buss, Karin Wolf-Ostermann

International Nursing Research Congress (INRC)

Session presented on Thursday, 21 July 2016 and Friday, 22 July 2016:

Purpose: The loss of physical functional status is a major risk factor for loss of independence, hospital stays, and for admittance into long-term nursing home care in vulnerable elderly populations. Facilitating and maintain functional ability and quality of life is and will increasingly become a major task of nursing. Home visits may have positive effects on functional ability and quality of life in elderly people. The aim of this study was to determine the effectiveness of educational home visits on the functional status, quality of life, and care …

Lifesaving Partnership With Nonprofit Organizations: A Case Study, Jacqueline Cassagnol

International Nursing Research Congress (INRC)

Session presented on Saturday, 23 July 2016 and Sunday, 24 July 2016:

The purpose of this project is to assess the process of establishing, implementing, and evaluating a lifesaving partnership between an international organization and nonprofit organizations. The partnership is between Worldwide Community First Responder, Inc. (WCFR) and nonprofit organizations in the USA and Haiti. The nonprofit organizations include: Haitian American Nurses Association, Sigma Theta Tau international, and Volunteer New York. In order to facilitate an in-depth examination of the project impact, a case study methodology was employed. Communities worldwide have benefited from the services that WCFR has provided through …

Assessing Risk Of Falling: A Comparison Of Three Different Methods, Steve Strupeit, Arne Buss, Karin Wolf-Ostermann

International Nursing Research Congress (INRC)

Session presented on Thursday, 21 July 2016 and Friday, 22 July 2016:

Purpose: Prevention of falls and fall-related consequences is crucial in elderly health care because older individuals are at a high risk of suffering falls. Various risk assessment methods have been developed to assess fall risk. Diagnostic accuracy of fall risk assessments is low and there is a scarcity of evidence regarding clinical effectiveness. The study's aim was to evaluate the diagnostic accuracy and clinical effectiveness of a standardized fall risk assessment relative to clinical and self-report assessment.

Methods: A single-site, prospective, longitudinal study was performed in a group …

Health-Illness Transition Of First Generation Refugees: A Review Of Literature On Afghan Refugees, Hafifa S. Shabaik, Eunice Lee

International Nursing Research Congress (INRC)

Session presented on Thursday, 21 July 2016 and Friday, 22 July 2016:

Purpose: Refugees often resettle in the host country with a substantial health burden: high rates of psychological distress and trauma, high rates of infection and parasitic disease from the country of origin, and the increased susceptibility to chronic diseases of the developed world. The long term health promotion and disease prevention in this population requires an understanding of factors that facilitate healthy transitions for refugees resettling into developed countries. The purpose of this study is to synthesize literature for facilitating and inhibiting factors of the health-illness transition conditions …

Rural Nepal Health Surveillance And Care Delivery: A Community Health Case Study, Laura M. Lynch, Kimberly Pham, Yvonne Lee, Simon Jones, Allison Patricia Squires

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016:

Purpose: Nepal is ranked 145th on the United Nations Human Development Index, life expectancy is 68 and there are 0.46 nurses and midwives per 1,000 people. Limited resources and weak civil structure leave rural communities un-assessed and excluded from census data drawn from electronic health records. The purpose of this study is to examine patient self-reported health issues from community assessments conduced in 2013 and 2014 and to compare results to national and international data.

Methods: Secondary data was coded from the 2013 and 2014 Stanford Nepal Medical …

What Is The Evidence Sustainable, Rewarding, Reflecting Practice? Seeking Insights For Reflective Practice, Elizabeth Burgess-Pinto

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016: Purpose: This poster presentation will focus on an integrated literature review of the current state of reflective practice in pre-licensure nursing undergraduate programs. Reflective practice has become an integral component of contemporary nursing practice (Nelson, 2012). According to the Canadian Nurses Association, the focus and intent of reflective practice is a process of professional self-reflection about events, situations and actions that can help transform nursing practice and improve patient/client care (CNA, 2005). A preliminary scoping review shows that reflective practice is a dynamic process (Finlayson, 2015) that changes …

Correctional Nursing: Described From The Perspective Of Nurses Working In A Maximum Security Correctional Hospital, Paula Stangeland, Veronica Kwarteng-Amaning

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016: Purpose: The purpose of this study is to describe the experiences of nurses as they work in a maximum security acute care hospital. The thematic findings may be used to inform future research studies, and the development of future policies that address nurses' needs, and staffing guidelines. Methods: A qualitative design, descriptive Husserlian phenomenological methodology was the most appropriate approach to address the research questions. Qualitative research entails broad questions regarding human experiences and realities studied through interactions with people in their natural environments, which in-turn generates rich, …

An Intervention To Increase Number Of Certified Nurses In An Adult Emergency Medicine Department, Diana Lyn Baptiste, Paula M. Neira, Barbara Maliszewski, Ranimaria Toledo, Kimberly Borries

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016 and Thursday, July 21, 2016:

Background: In the evolving health care marketplace, competition between health care organizations is driven by accreditation requirements, patient driven outcomes, and controlling costs. Nursing specialty certification has been shown to have a positive impact on patient clinical outcomes and contributes to staff development and a sense of accomplishment. Evidence-based literature has revealed that specialty certification fosters empowerment, improves confidence and clinical competency in nurses. In varied inpatient settings, specialty certification among nurses has been associated with lower fall rates, improved symptom management, improved pressure ulcer management, and reduced …

Straining And Physical Effects Of Different Toilet Defecation Postures, Megumi Katayama, Yoko Aso, Hiroko Matsuzawa, Osamu Katayama, Aki Ibe

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016:

Purpose: The straining burden of defecation needs to be alleviated in individuals with defecation difficulties due to constipation, those with heart disease or cerebrovascular disease clients, the elderly with reduced abdominal muscle strength, and pregnant women. To provide nursing assistance for defecation, a toilet posture that permits effective straining and reduces the physical burden of defecation must be investigated. The aim of this study was therefore to elucidate the straining effects and physical burden of different toilet defecation postures.

Methods: 1. Subjects: Twenty healthy women (20.9 +/- 0.8 …

The Health Effect Study, Lisa Fryar Woodson, Scherrayn Phillip Garcia, Tyra Huffman Tate, Carmen Victoria Framil, Ora L. Strickland

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016:

Problem: African-Americans have a significantly greater prevalence of a range of health conditions across their lifespan when compared to other racial or ethnic groups which are often due to negative social determinants of health. These health conditions include but are not limited to infant mortality, teen pregnancy, asthma, hypertension, tobacco usage, obesity, high cholesterol, lack of physical activity, seasonal influenza, HIV/AIDS, and tuberculosis (TB). Mortality rates are also greater in African-Americans under 65 years of age when compared to other racial and ethnic populations. These disparities are mainly …

Effect Of Informational Support On Uncertainty Of Fathers Of Preterm Infants Hospitalized In Nicu, Hangjian Chen, Jingli Chen

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016:

Objective: To explore the effect of informational support on uncertainty of fathers of preterm infants hospitalized in NICU.

Method: 64 fathers of preterm infants hospitalized in the NICU of a teaching general hospital in the capital city of China were included. They were assigned to intervention group and control group. 32 fathers in the intervention group received informational support except the routine care, which including four methods (feedback of the nursing planning, informational support by We-chat, growing and developing dairies of preterm infants, meeting with parents). 32 fathers …

Minority Female College Students' Std And Hiv Knowledge, Rosemarie Graczkowski, Patricia R. Messmer, Sandra "Sande" Gracia Jones

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016:

Background: The Centers for Disease Control and Prevention (CDC) estimate that youth ages 13-24 make up just over one quarter of the sexually active population, but account for half of the 20 million new sexually transmitted diseases (STDs) that occur annually in the United States. While both men and women are affected by STDs, untreated or undiagnosed STDs cause an estimated 24,000 women a year to become infertile. The presence of a STD increases HIV exposure risk 2-5 times. In 2010 adolescents and young adults accounted for an …

Midwive's Perception Of Ethical Behaviours And Professional Malpractices In Labour Units Of Tshwane Gauteng Province, Manare M. M. Mashigo, Johanna M. Mathibe-Neke

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016:

Introduction: Midwives form the backbone of Maternal and child health care in South Africa. The care provided by midwives during childbirth is a unique life experience and they are therefore expected to comply with policies and legislation governing their profession so that they are able to pick up complications and intervene accordingly (Maputle and Hiss, 2010 : 5). Midwifery practice is governed by skills and knowledge which provides grounding to ethical clinical decision making. South Africa is recently burdened by serious adverse events in its health care institutions …

Using Workforce Management Technology To Explore Dynamic Patient Events, Nurse Staffing And Missed Care, Esther M. Chipps, Mary G. Nash, Valerie Moore, Jacalyn S. Buck, Laura A. Szalacha

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016:

Purpose: The process of how to best determine nurse staffing has challenged nurse leaders for decade. Research has demonstrated that appropriate allocation of staff favorably impacts patient outcomes, patient safety, financial outcomes, and staff satisfaction (Myner et al., 2012; Shekelle, 2013). Nurse leaders are faced with higher patient acuities and unanticipated events that are not accounted for in traditional staffing models. Dynamic patient events (DPEs) have been defined in this study as rapid, unanticipated clinical situations that result in sudden shifts in nursing workload and the need to …

Wellness With Children In The Inner-City, Mary Lou De Natale

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016:

Purpose: Working in the inner city community with vulnerable children is often overwhelming to health care providers. Taking the first step in networking and beginning with an assessment of their potential health care needs related to: physical, emotional, and psychosocial wellness is a positive direction in changing practice and giving opportunities to the vulnerable. It might not be that we change an entire community---but it is one child, one school, and one community to build health promotion. Building trust and supporting their health and wellness is just a …

Screening For Anxiety In The Birth Center Setting: A Quality Improvement Project, Sarah Toler

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016:

Postpartum anxiety (PPA) is a common, yet frequently overlooked, health concern for millions of women. Affecting nearly one-third of postpartum women, PPA is often, though not always, accompanied by postpartum depression. Depression receives the greatest emphasis during the perinatal period with little attention given to the prevalence and impact of PPA which can be debilitating for women. Without diagnosis or treatment, PPA can negatively affect a new mother, her baby and family structure. It has the potential to delay infant development, decrease success in breastfeeding, and increase the …

Centering Pregnancy Model: Ebp For Reducing Low Birth Weight Infants, Jamie K. Roney

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Objective(s): To evaluate current research and evidence addressing effects of low-income on women and their fetuses in an effort to identify a population health intervention to prevent low birth weight (<2500 grams) infants in Lubbock County located in the southwestern United States.

Background: Lubbock County documented 1,306 low birthweight births out of 29,000 live births from 2006-20012 (10.1%) with error margin 9.8-10.5 (Z=1.27) (County Health Rankings, 2015). Lubbock County's birth weights ranked in Texas' top 10 counties for low birth weights for 2015. Seven of the top 10 counties are in close proximity to Lubbock County and include; Terry, Swisher, Scurry, Fisher, Crosby, and …

Building Leadership Skills In Nursing Students Through Technological Pedagogical Learning, Dianne Mcadams-Jones

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016:

As nursing students enter that final semester of education they often express a sense of gloom and fear in leaving the comfort zone of learning; yet the time to graduate is upon them where they will soon assume an independent role void of the safety net provided by their institution of higher learning. These students often report feeling inadequate with a lack of confidence to fulfil the expectations which come with the inherent responsibilities of professional nursing. With the understanding that teaching is a complex, often poorly structured …

Health Care Providers And Health Literacy In Rural Populations: Bridging The Gap Or Not?, Joann S. Oliver

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016:

Purpose: Health literacy affects health communication and health outcomes. Health care Providers are inherently responsible for the communication of health information. Millions of people in the United States lack the acceptable health literacy to manage their health care. Impaired understanding of health information, poor health status, limited understanding of preventive health services, including cancer screening decision making are a few of the issues resulting from poor health literacy. Low health literacy is prevalent among rural and minority populations. This study describes barriers and facilitators of addressing health literacy …

Health Promotion Lifestyle Program In Improving Health For Subjects With High-Risk Of Mental Illness, Wei-Fen Ma, Linton Wang

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016 and Thursday, July 21, 2016:

Background and Aims: The health promotion and illness prevention is a major issue in World Health Organization and the major policy in Taiwan. Early finding for people with high-risk mental status plays the important role in mental health promotion. In evidence data, before specific psychotic symptoms appear, individuals may experience a period of nonspecific prodromal symptoms and growing functional impairment. Early interventions may alter the natural course of mental diseases and improve treatment outcomes. This study aimed to understand the effects of the health promotion lifestyle program in …

Gorillas Stand Up For Working, Cheryl K. Giefer

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016:

Purpose: This project involved the introduction of the workplace trend, ergonomically-designed sit-stand desks (SSDs). Research in this area has concluded that for optimal health people should sit less and move more. Studies indicate the negative effects of prolonged sitting cannot be negated even by an hour of physical activity each day. Prolonged sitting time has been identified as a health risk factor and musculoskeletal discomforts (MSDs) are report by 60% of office workers. SSDs allow office workers to alternate between sitting and standing throughout the working day. Therefore, …

Resilience, Coping Styles, Sleep Disturbances, Depression And Anxiety In Females With Breast Cancer, Chiung-Yu Huang, Chao-Ming Hung, Hui-Ling Lai, Chun-I Chen, Shu-Yun Tu, Yuchun Yao, Mei-Ling Shih

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016 and Friday, July 22, 2016:

Purpose: Influences of resilience on the presence and severity of depression and anxiety following diagnosed breast cancer are largely unknown. Hence, we examined 1). the factors that may enhance and promote resilience in adults with breast cancer; 2) the mediating effects of resilience or three coping styles on depression, anxiety, and sleep disturbances in females with breast cancer were also examined.

Methods: Face-to-face, structured interviews were employed to collect information of individuals with breast cancer. Study questionnaires included a demographic sheet, disease characteristics, the modified Resilience scale, the …

Evaluation Of The Antiretroviral Therapy Program In The Primary Health Care Settings In Lesotho, Isabel Nyangu

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016:

Purpose: The purpose of this study was to evaluate the antiretroviral therapy program in the Primary Health Care setting in Lesotho. Objectives: There were five objectives for this quantitative aspect of the study. Describe ART services offered in PHC settings of Lesotho; Determine successes and challenges in the implementation of the ART program in PHC settings of Lesotho; Determine if staffing patterns have an effect on number of ART services offered; number of days ART services are offered; time spent by patients seeking ART services at the facility; …

Phase Ii: Implementation Of The Dyad Model In A Children's Hospital, Laura J. Valdez, Cindy Ford, Lisa Marguerite Fallon, Shannon Shuttlesworth

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016: Introduction: The Dyad Model of Leadership (DML) consists of a qualified physician and a qualified non-physician manager leading a service line or unit in unison. The children's hospital nursing leadership team held the belief that leadership models utilizing the DML would be an effective approach to aligning the hospital's leadership vision. The DML engages the physician in areas previously left to the nurse leader. The dyad style of leadership promotes staff to be engaged and empowered in a continuous improvement environment. Background and Significance: The DML is supported …

The Effect Of Clinical Mentorship On The Providers' Competencies During Directly Observed Clinical Care, Kevin Kabarwani Kisembo

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016:

Purpose: Assess the effect of peer led practice, after short facility based training on directly observed care for PPH and birth asphyxia.

Methods: The study was implemented in 12 districts in two regions of Uganda. The districts in each region were divided into three study arms (4 districts per arm). Each study arm received different interventions. The control arm received training only, the partial arm received training and Clinical Mentors (CMs) support, and the full arm received a combination of training, CMs and mobile phone support. CMs mobilized …