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Challenges Experienced By Caregivers Of Family Members With A Mental Illness In A Rural Community, Ronell Leech, G. Keitumetse Dolamo

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: In South Africa, as in countries such as the United Kingdom (Rugk'sa, Canvin, Sinclair, Sulman & Burns, 2014) and the United States of America (Harvey, Burns, Fiander, Huxley, Manley & Fahy, 2002), due to deinstitutionalization of persons with mental illness, family members became the primary caregivers. The care provided is extraordinary, uncompensated care that is physically, emotionally, socially and financially demanding. The lack of support of the caregiver is often the key determinant of whether the care recipient can remain at home or must again be institutionalized (Blum & Sherman, 2010). The …

Improving Oral Health In Critically Ill Adults, Cindy L. Munro

International Nursing Research Congress (INRC)

This symposium describes an exemplar of a successful research trajectory focused on improving outcomes for critically ill, mechanically ventilated adults through establishing best practices in oral care. Dr. Munro, who is a 2016 international Nurse Researcher Hall of Fame inductee, will review the series of research studies she has conducted which have informed evidence-based guidelines for oral care in the critically ill. Oral health is directly linked to systemic illness, including risk of ventilator-associated pneumonia (VAP). Descriptive and observational studies of critically ill adults established the importance of dental plaque in development of VAP and examined existing nursing practices in …

Optimizing Diabetes Self-Management Outcomes In Low-Income Ethnic Minority Patients In The United States, Diane C. Berry, Wanda M. Williams

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: In 2013, approximately 382 million people over the age of 20 years were diagnosed with type 2 diabetes, and it is estimated that by 2035 that number will increase to 592 million worldwide (1). The majority of patients diagnosed with type 2 diabetes do not receive consistent medical care and education about the disease process and do not maintain good glycemic control (2,3). Poor glycemic control leads to microvascular and macrovascular complications (2). The purpose of this randomized controlled pilot study was to develop and test an interdisciplinary approach to diabetes self-management …

Motives And Barriers To Lifestyle Physical Activity In Midlife South Asian Indian Immigrant Women, Manju N. Daniel, Maryann Abendroth, Judith A. Erlen

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Background: Lifestyle physical activity (i.e. planned/unplanned leisure, occupational or household activities) is vital to reduce the risk of chronic illness such as cardiovascular disease, diabetes and metabolic syndrome. Such activity is crucial for South Asian Indian (SAI) women who have more than twice the risk for cardiovascular disease and diabetes than other groups. In spite of national efforts to eliminate healthcare disparities related to poor physical activity, lifestyle physical activity in SAI women is classified as low active levels measured by average daily step counts (6814). In fact, only 52% of SAI women …

Patient And Stakeholder Engagement In Research: The Pcori Opportunity, Heather M. Young

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: This symposium will highlight results of a Patient-Centered Outcomes Research Institute (PCORI) funded program of research focused on nurse coaching and emerging mobile technologies to enhance and improve the lives of persons living with diabetes. Diabetes affects more than 29 million people in the United States, and an estimated 86 million people have pre-diabetes. The World Health Organization estimates that 9% of people have diabetes globally, and that by 2030, diabetes will be the 7th leading cause of death. Diabetes type-2, the most common type of diabetes, is amenable to interventions that …

Patient Safety: An Interprofessional Education Approach, Rita Ann Dello Stritto, Peggy A. Landrum

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: This presentation will discuss the use of Interprofessional Education learning activities as an excellent framework for teaching, learning and discussing teamwork and communication among professions, including its relevance to patient safety.

Methods: Students from three independent universities and disciplines (College of Nursing, College of Pharmacy, and College of Medicine) were brought together to participate in a case study educational opportunity addressing patient safety. Prior to the presentation of the case study, students were divided into small groups; each consisted of at least three nursing students, three pharmacy students, and three medical students. …

The Lived Experiences Of Nurses Caring For Dying Children: Preparing Students And Nurses For Practice, Danna L. Curcio

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

The purpose of this research study was to explore the lived experiences of nurses caring for children. The method for conducting this research study was from a qualitative phenomenological perspective. Nurses and health care professionals may at times have difficulty adjusting and processing when life ends and this may have the potential to interfere with self-adjustment, and in turn, patient care. Reflection on the past events and actions of the pediatric nurses enable critical discovery of strategies to benefit nurses and ultimately benefit patients. Nine female nurse participants, with between 1 and 4 …

Health Decision-Making And Care Seeking Among Village Householders In Kibona, Uganda, Olivia Catolico

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016: Purpose: This study examined health decision-making and care-seeking among village householders in Kibona, Uganda. Primary aims of this study were to: 1. Understand the role of the key decision-maker concerning health related issues within the family structure 2. Determine when in the course of illness that care was sought, 3. Describe the first line of care and help seeking, whether it was use of self-care remedies, traditional healers, or hospital care, 4. Actively engage students in providing culturally congruent care through collaboration with Kibona community partners. A secondary aim of this study was …

Diagnostic Accuracy Of Insomnia Screening Tools: A Meta-Analysis, Hsiao-Yean Chiu, Pei-Shan Tsai

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Background: Insomnia is a common complaint in the modern societies; however, it remains underdiagnosed and undertreated. Although screening tools including Insomnia Severity Index (ISI), Athens Insomnia Scale (AIS), and Pittsburg Sleep Quality Index (PSQI) are widely used for identifying insomnia, the diagnostic properties of have yet to be summarized in a systematic manner. Aim: The aim of the current study was to estimate and to compare the diagnostic accuracy of the ISI, AIS, and PSQI in identifying insomnia.

Method: We perform a systematic search in electronic databases including EMBASE, PubMed, PsycINFO, CINAHL, and …

Determinants Of Risky Sexual Behaviours Among Undergraduate Students Of Walter Sisulu University In Eastern Cape, Tandiwe Veronica Mangxa

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: Students in tertiary institutions are vulnerable to risky sexual behaviours and they tend to experience them. They engage in risky sexual behaviours that predispose them to risk of contracting Sexually Transmitted Infections including HIV and unplanned pregnancy.

Purpose: The aim of this study was to describe the determinants of risky sexual behaviours among Walter Sisulu University undergraduate students in order to strengthen existing intervention strategies.

Method: A cross sectional study using mixed method, Concurrent Triangulation design was used. The study was conducted at all four WSU campuses in the Eastern Cape Province. …

Nursing Strategies To Decrease The Global Burden Of Cardiovascular Disease, Deborah Chyun

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Cardiovascular disease (CVD) is the leading cause of death throughout the world. Rates of CVD have been increasing globally as a result of population aging, urbanization and globalization. The importance of CVD and other chronic diseases will be discussed, along with global trends. Risk factors for CVD are known and similar throughout the world - unhealthy diet, physical inactivity, and tobacco use -which contribute to elevated blood pressure and blood glucose, abnormal blood lipids, and overweight/obesity. The importance of these risk factors will be highlighted. These same risk factors are also important in …

Key Factors For Nurse Leaders: What Issues Should Be Taken Into Account When Developing Nurses' Rewarding, Jaana Seitovirta, Tarja Kvist, Katri Vehvilainen-Julkunen, Lasse Mitronen

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Reward strategy is a part of the human resources strategy and it is implemented as a management tool defined by organization with the help of a reward system (Armstrong 2006). Previous studies have shown the importance of developing nurses' rewarding (von Bonsdorff 2011, Eneh et al. 2012, Kvist et al. 2013, Seitovirta et al. 2014). In fact, it has been shown that rewarding has significant and beneficial effects on nurses' job satisfaction and commitment (Pasaron 2013, Morrison & Korol 2014). Nurse Leaders have an important role when design a successful reward system for …

Correlates Among Self-Concept, Anxiety, Depression, Anger, And Disruptive Behavior In Vulnerable Middle School Youth, Jacqueline Hoying

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: Adolescents from urban and rural environments are viewed differently when considering their vulnerability to stressors and adaptive versus maladaptive coping. Understanding the differences and similarities in the baseline variables can assist in guiding interventions. The purpose of this study was to assess the relationships among self-concept, anxiety, depression, anger, and disruptive behavior in middle school-aged students from two middle schools. At baseline, 45% of the urban middle school participants demonstrated elevated anxiety, 26% had depressive symptomatology, and 26% had below average self-concept. At baseline, 25% of the rural middle school participants demonstrated …

Using The Tpack Model To Increase Digital Skills And Pedagogy In Graduate Nursing Education Students, Cheryle G. Levitt, Kirsty Digger, Mary Patricia Lewis

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: As 21st century teaching and learning occurs in multiple and diverse environments and is directed towards multi-generational learners, educators must be skilled in the application of technology, pedagogy, and content knowledge. The current nursing faculty shortage (Nardi & Gyurko, 2013) is compounded by faculty who have had little or no exposure to technology-based pedagogies in their graduate programs or in current nursing curricula (Griffin-Sobel et al, 2010). Nurse educators are charged to transform teaching to prepare nurses for roles in technology-rich health care environments (Benner, Sutphen, Leonard, & Day, 2010). The limited …

Developing An Evidence-Based Caring Science Course, Sara Horton-Deutsch

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The purpose of this project was to explore teaching strategies designed to create authentic presence and engage students in online learning through integration of a caring science framework. To humanize an online course caring science and Nodding's four ingredients of a caring curriculum will be reviewed: modeling, practice, authentic dialogue and confirmation/affirmation. Infusing online education with four ingredients amplifies student connection and engagement beyond levels they normally experience in an online environment. Together, online education best practices, caring science, presence and engagement, encourages students to remain open to what is emerging by …

'In The Family Way:' Linking Dynamics From Family Of Origin With Subsequent Workplace Bullying Experiences, Monica Kennison

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: Our early family experiences follow us throughout life, influencing our beliefs and values in the long term. As Heidegger intimated, we are our histories. In the context of the workplace, memories of early family experiences--still active in our day-to-day thought processes and emotions--are melded with experiences taking place in real time, yielding a sense of self-as-coworker that incorporates both past and present. Confidence, interpersonal comfort, and feelings of safety and of support from peers and administrators thus evolve as functions of the commingling of personal history and workplace engagement (Anda et al., …

Partnership In Action: A Case Study In Nursing Workforce And Leadership Development In East Africa, Sharon Mary Brownie

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016: East Africa suffers an inordinate burden of disease and does not have the numbers of suitably qualified nurses and midwives to address this challenge. Focussed efforts in nursing workforce capacity building are needed to build capacity within nursing education, practice and leadership. An enhanced nursing and midwifery workforce is needed across all disciplines with development required at all levels including upgrade of the existing workforce, development of speciality qualifications and enhancement of leadership capacity. This presentation involves a case study in which university private-public partnerships have successful contributed to nursing capacity enhancement of …

How Challenged And Overwhelmed Faculty Become Supported And Empowered In Curriculum Development, Evaluation And Revision, Meredith L. Roberts

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: To discover the perceptions of faculty related to their preparedness and confidence in developing, evaluating, and revising nursing curriculum and to use faculty's constructions to develop a theory (challenged and overwhelmed) and model of understanding (Supported and Empowered) to support faculty's growth and competence in curriculum development, evaluation and revisio.

Methods: Constructivist Grounded Theory explored and compared the perceptions and processes of nursing faculty regarding their preparedness and confidence in developing, evaluating, and revising curriculum and the processes used for preparation. The Excellence in Nursing Education Model (NLN, 2006) assisted in providing …

Adapting Nursing Interventions To Africa: Challenges And Opportunities, Fhumulani Mavis Mulaudzi

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

The World health Organization (WHO) stated that many low and middle income countries in Africa are now facing a double burden of diseases. Countries are currently dealing with infections and they are at the same time faced with a global challenge of non communicable diseases (NCDs). The movement of people from rural to urban areas is often accompanied by lifestyle changes such as sedentary life style, malnutrition, alcohol abuse and smoking habits that lead to increased risks to the development of NCDs. The WHO strategic directions for'strengthening nursing and midwifery 2011-2015 emphasised the …

Perceptions And Self-Perceived Knowledge Of Evidence-Based Health Care Amongst Registered Nurses In The Western Cape, Karien Orton

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016; Purpose: Evidence-based health care is a problem-solving approach that integrates the best research evidence with clinician expertise and patient preferences and values. Delivering evidence-based health care, in the context of a caring and supportive organizational culture, results in high-quality care and optimal patient outcomes. It is important that registered nurses know the steps involved in making evidence-informed decisions in a healthcare environment. Currently, there is no published study that assesses practicing registered nurses' understanding, perception and self-perceived knowledge of evidence-based health care in the South African context. Our aim was to describe registered …

Building A Transformational Nurse Manager Workforce Through Interactive Competencies, Carole Marie Kulik

International Nursing Research Congress (INRC)

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

Among nursing leadership roles, the nurse manager role has been identified as critical for the provision of high-performing, evidence-based, and efficient care in the patient care delivery setting. The nurse manager has 24-hour/7-day accountability for the performance of a defined unit or area. Excellence in horizontal and vertical communication is imperative. The nurse manager leads by example to create and manage change in the practice environment and is therefore the most influential communicator and change agent for clinical providers. Nurse Managers are accountable for the clinical microsystem environment …

Nurse Preceptors' Perceptions Of Benefits, Rewards, Support And Commitment To Their Preceptor Role, Alida Hettie Viljoen

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: The purpose of this presentation is to examine the relationships between preceptor's perceptions of benefits, rewards, supports and commitment to the preceptor role.

Methods: A non-experimental, descriptive, correlational and quantitative survey design and a non-probability purposive sampling method were applied and utilised in this study. The setting for the research is the Intensive Care Units (n=13) of four major academic hospitals in Gauteng Province. The sample comprised of 80 (n=80) Intensive Care registered nurses, employed throughout the Intensive Care Units (n=13). Data was collected by means of a self-administered checklist (Dibert & …

The Implementation Of The Surgical Pause In Selected Private Healthcare Institutions In Gauteng, Magda S. M. Nieuwoudt

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016: Purpose: The purpose of this presentation is to share with you how poor compliance to the implementation of the surgical pause was addressed through the action research cycles to ensure patient safety. Methods: Quantitative research was used to evidence of the number of correctly implemented surgical pause checklists by the surgical teams. Qualitative research was used to discover and understand the reasons why surgical pause was not implemented (Brink, van der Walt and van Rensburg, 2012). Stringer's action research routine of LOOK, THINK and ACT was followed to reach the objectives (Bless, Higson-Smith …

A Multi-Phased Approach To Using Clinical Data To Drive Evidence-Based Emr Redesign, Carole Marie Kulik, Wendy Foad, Gretchen Brown

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

We optimized our technology and use a multi-tier approach to efficiently redesigned the Nursing Electronic Medical Record to match the nurses work flow to support patient centered care. You will learn how to transform nursing practice by empowering Registered Nurses decision making and influence in the design and educational rollout leading to excellence in documentation compliance. Maximizing the use of technology to improve processes and enhance the delivery of safe quality care is fundamental to the transformation of the future of nursing. Integrated data analytics measuring nursing workflow capture real-time information from the …

Healthcare And Immigration Vulnerability: A Global Perspective, Assumpta Ekeh

International Nursing Research Congress (INRC)

The immigration policy has become a topic of discussion in both local and global contexts. As governments debate the impact of immigration on the political and social fronts, another aspect cannot be avoided in this conversation, healthcare. A subset of immigrants faces a greater challenge; those that are not naturalized citizens of their host country. Although the reasons for their exact status include asylum seeking, refugees and illegal immigration, one commonality amongst them is that they are a part of the vulnerable population. Vulnerable populations are diverse group of individuals with a greater risk of developing problems and poor psychological …

Challenges In Fostering Critical Thinking Of Students In Developing Countries: Ghana As A Case Study, Christian Makafui Boso, Janet J. Gross

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: Nurse educators are required to prepare students to address current and future health care challenges. The ability of health care professionals to think critically may directly affect patient safety (Robert & Petersen, 2013). In Ghana, indicators have been identified that lead one to believe that critical thinking is not being exhibited by nurses in caring for their patients (Adjatey, 2013; Adofo, 2010). Students are still taught to follow the functional model of nursing care. This model supports an environment in which nursing service remains task-oriented. This is an obstacle to the development …

Social Determinants Related To Depression Outcomes, Bonnie M. Hagerty, Melissa A. Bathish

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: The World Health Organization has projected that depression will be the second leading cause of disability worldwide by 2020 (Kessler & Bromet, 2013; Murray & Lopez, 1996). Depression is a chronic, recurrent disease associated with behaviors linked to other chronic diseases. Access to health care impacts recurrence and recovery but in populations and countries where resources are scarce, interventions based on the Preventive Illness Management model that considers social determinants of mental health can help individuals manage depression over time. By understanding and identifying early symptoms as related to their depression and …

Discrete Self-Rated And Actual Competence Of Safe Medication Administration Among Senior Baccalaureate Nursing Students, Sophia H. Hu, Jen Chieh Wu, Shu-Yu Kuo

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: To assess senior baccalaureate nursing students' self-rated competence of safe medication administration and their actual competence to do so by using simulation scenario.

Methods: This is a cross-sectional, descriptive study. A self-rated questionnaire of safe medication administration was developed. Participants were asked to rate levels of their knowledge, confidence, competence, and experience in safe medication administration by 5-point Likert scale (0 is none, and 5 is always) before the simulation scenario. The higher points the participants give, the higher levels of confidence the participants think that they have. A simulation scenario was …

A Measurement Of Spirituality, Linda K. Bennington

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: To develop an instrument that measures one's unified nature (spirituality) as separate from a set of dogmatic beliefs (religion).

Methods: Empirical referents are external measures of a concept grounded in the real world and are used for instrument development in research. Clinically they assist in clearly discerning the presence of a concept (Walker & Avant, 1995). A measurement of spirituality should include statements that reflect an individual's belief system, a connectedness with others, a higher power, and the universe, as well as a feeling of self-worth, hope and purpose. A 30-item Likert …

Examination Of Hiv/Aids In The United States Virgin Islands: Community Needs Assessment And Gap Analysis, Safiya George Dalmida

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: For over a decade, for over a decade, the U.S. Virgin Islands (USVI) has consistently had one of the highest prevalence rates of HIV infection in the nation. The USVI had the highest rate of adults and adolescents (per capita) living with a diagnosis of HIV in 2005, the second highest rate from 2006 through 2009, and currently has the third highest rate (685.1), since 2010 (667.1). According to the President's National HIV/AIDS Strategy (NHAS), the USVI is a geographic hot spot for increased HIV risk (White House Office of AIDS Policy, …