Digital Commons Network^™

Making The Process Of Policy Making Transparent, Teresa A. Brooks

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Healthcare policy development in the United States is a patchwork quilt of complex issues complicated by legislative, regulatory and judicial activities. Over the last twenty-five years healthcare policy has been challenged to address the impact of mandatory spending for healthcare and social security on the federal and state budgets. Changes in healthcare have reverberated from the national, regional, to the state and local levels. Yet, those directly affected by these changes fail to understand and engage in influencing the new structures, processes and payment models. Mistaken assumptions about how the healthcare policy process …

Psychometric Properties Of The Perceptions Of Wellness And Environment Culture Scale, Megan E. Amaya, Bernadette Mazurek Melnyk

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Healthy workplace cultures are an essential element to encouraging healthy lifestyle behaviors in faculty and staff in academic communities. Tools and health promotion programs typically used by employers for population health management include extensive awareness building through health education, health risk assessments (HRAs), risk reduction interventions, health coaching, disease management, vaccinations, web-enabled communications, social networking, establishment of data warehouses, and the use of incentives. A healthy organization cultivates a culture of respect within a community that supports personal and professional growth, open communication, and shared values. A workplace culture that includes an …

Creating A Healthier Population By Achieving The Triple Aim In A Community-Based Diabetes Clinic, Patty M. Orr, Shondell Hickson

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

After managing a growing community's underserved diabetes population for 6 years, a collaborative BSN student nurse and faculty nurse practitioner provider partnership decided to begin to implement the Institute of Healthcare Improvements' Triple Aim as a progressive goal to further improve a population's outcomes. The collaborative partnership began to focus on the Triple Aim's three goals for optimizing a health system's performance. The three goals of the Triple Aim are improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care. Previously, the major …

Experiences Of Professional Nurses In Caring For Psychiatric Patients With Dual Diagnosis, Mofatiki Eva Manyedi, Joan Mologadi Dikobe

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: Dual diagnosis is a serious concern in the whole world and very little is known about the care of psychiatric patients with dual diagnosis (Phillips, McKeown & Sandford, 2010). Dual diagnosis implies that psychiatric disorders occur at the same time, or one follows the other and eventually, it is difficult to tell which occurred first (Fortinash & Worret, 2012). The purpose of this study was to explore and describe the experiences of professional nurses in caring for psychiatric patients with dual diagnosis in order to make recommendations that could assist them in …

Chronic Stress, The Microbiome, And Adverse Maternal-Infant Outcomes, Elizabeth J. Corwin

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

This session will present cutting edge research on the bidirectional relationships between chronic stress and the microbiome as risk factors for adverse Maternal and infant health outcomes. Exposure to a stressor is known to increase activation of the hypothalamic-pituitary-adrenal (HPA) axis, leading to increased levels of the stress hormone cortisol. In addition, chronic stress is associated not only with increased cortisol, but also an increase in pro-inflammatory cytokines including interleukin-6. Both elevated cortisol and elevated inflammatory cytokines are known risk factors for preterm birth, gestational hypertension, and gestational diabetes. They also can affect …

Leadership Initiatives In Promoting Patient-Centered Transgender Care, Denise S. Rowe, Yeow Chye Ng

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Federal health care agencies consider the health and welfare of transgender persons to be a health priority despite the lack of available research based knowledge in this population (Institute of Medicine, 2011). This proposed presentation examines transgender population health status in the United States and discusses the nursing leadership initiatives that can be developed and pursued in order to provide culturally competent, patient-centered transgender care. The Center of Excellence for Transgender Health (2013) defines the term transgender as persons who identify with the opposite sex or gender and express a gender identity that …

Colorectal Cancer Prevention In Chinese Immigrant Women: An Educational Program, Tsorng-Yeh Lee

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purposes: (a) to educate Chinese immigrant women about colorectal cancer (CRC) screening services provided by the Canadian health care system and (b) to advance those women's knowledge on CRC prevention strategies, focusing on food literacy, eating habits, and physical activity.

Methods: A pretest-posttest design was used to examine the efficacy of an educational program for improving participants' knowledge on healthy diet and CRC risk prevention over time. The program lasts two hours per week for six weeks. Lessons covered in the program are as follows: Week 1: Introduction to Ontario Healthcare System, Canada's …

Development Of Stroke After-Care In The Rotterdam Stroke Service, Anneke Guyt, Bianca Ivonne Buijck

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Background: Hospitals, rehabilitation nursing homes, rehabilitation centers and home care organizations collaborate in the Rotterdam Stroke Service in the Netherlands to provide the best quality of care for stroke patients in the chronically phase. After a stroke, patients are confronted with physical disabilities and changes in cognition and behavior. Moreover, caregivers, children and spouses are faced with multiple challenges related to this vulnerable patient group. Nowadays patient receive adequate care and support in the home environment after discharge from the hospital, rehabilitation nursing home or rehabilitation centre. The specialized care and support is …

Nursing Students' Knowledge, Attitudes, And Application Of Evidence-Based Practice At The University Of Rwanda, Favorite Iradukunda, Pat M. Mayers

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Evidence-based practice (EBP) is an important component in improving the health care outcomes of a country's population. Despite the importance and relevance of EBP to nursing, nurses do not routinely understand and use evidence-based principles in their everyday practice. This may influence the attitudes and knowledge of students who do not become exposed to the practice of EBP during their training. Nurses, who are considered to be the backbone of the health care profession, especially in Sub-Saharan Africa, should be introduced to the basic principles of EBP during their pre-registration programmes. Moreover, EBP …

The Prevalence And Management Of Pain In Pediatric Intensive Care Units, Cynthia Lafond

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The purpose of this multi-site study is to describe the frequency and characteristics of pain experienced by critically ill children and the pain management practices provided to them during a 24-hour time period. Though current research points to a problem of pain in PICUs, there is still much that is not well understood. Prior research has been limited in scope, evaluating pain in PICU sub-populations (Bai & Hsu, 2013; Grant, Scoppettuolo, Wypij, Curley, & Team, 2012) or a particular type of pain (e.g. pain from procedures or pain rated as moderate to …

Can An Interprofessional 'Virtual Clinic' Teach Culturally Appropriate Interviewing Techniques?, Mary Val Palumbo, Jean Beatson, Jennie Chang De Gagne, Vicki Hart

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Purpose: Nurse educators must embrace opportunities to prepare students for future practice which will be interprofessional, evidence based, and highly technical. Use of online gaming for education purposes has been shown to be acceptable to students and there has been a call for research to demonstrate more robust outcomes assessment (Miller & Jensen, 2014). The purpose of this presentation is to discuss innovative ways of teaching interview skills and interprofessional care of a Korean-immigrant elderly with multiple chronic health issues and complex needs. This presentation will illustrate the use of a virtual clinic …

Development And Testing Of Fame: Advancing Care For Families And Their Teens With Mental Disorders, Ukamaka Marian Oruche

International Nursing Research Congress (INRC)

Background: Family members of Adolescents with mental disorders, particularly Disruptive Behavior Disorders (DBDs) face unique challenges [1, 3]. DBDs include Oppositional Defiant Disorders and Conduct Disorders which are characterized by overt aggressive, defiant, and antisocial behaviors. In the United States of American, racial minority groups such as African Americans (AA) adolescents with DBDs and their family members are especially vulnerable to poor outcomes because of socioeconomic disadvantage [3]. They experience poor quality mental health services and often drop out of care resulting in significant mental health disparities. AA family members also report low efficacy in managing interactions not only within …

Translating The Evidence: Analyzing Dnp Capstones As Exemplars Of Excellence In Clinical Outcomes, Barbara Anderson

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016: Purpose: The purpose of this presentation is to enable the participant to identify and use creative strategies in doctoral education in analyzing clinical outcomes through using exemplars: completed DNP capstone projects. Methods: The method used is content analysis of selected exemplars of excellence in completed DNP projects that addressed quality improvement in clinical outcomes, using the American Association of Colleges of Nursing DNP Essentials as the benchmark. Results: Eight completed DNP capstones are analyzed using the 8 DNP Essentials as defined by the American Association of Colleges of Nursing. Key components of the …

Yo Entiendo: I Understand, Anna Dermenchyan, Kym Aoki, Cheryl Lehuquet, Nancy Exarchos, Elvina Luistro

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: Low health literacy is a pervasive and widespread issue that affects virtually every aspect of health care delivery. The purpose of this qualitative study was to better understand health literacy and cultural barriers faced by Spanish speaking heart failure patients.

Methods: This qualitative study measured multiple aspects of the patient care experience in one-to-one interviews with seven (2 inpatient, 5 outpatient) Heart Failure Spanish speaking patients that received care at UCLA between 2011 and 2015. Consent was received from all participants using a Spanish speaking community health educator who was also present …

Validation Of Newly Developed Quality Maternaly Service Management (Qmsm) Model For Primary Health Care Facilities, Joel Ojo Aluko, Rhoda Anthea, Regis Rugira Marie Modeste

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: Developing countries, including Nigeria, have the highest burden of Maternal and neonatal deaths resulting from complications related to pregnancy and childbirth. The global report of deaths related to pregnancy and childbirth documented 600,000 Maternal deaths annually. The unacceptable high rate of Maternal and neonatal deaths in Nigeria has been persistently unabated. In Nigeria, the Maternal mortality ratio in 2008 was recorded as 545/100,000 live births, and 576/100,000 live births in 2013. Women and children from low socioeconomic background are the vulnerable groups. The peculiarity of their vulnerability predisposes them to finding quicker …

Checking The Pulse Of Cultural Competency: A Comparison Of Pa Magnet And Non-Magnet Facilities, Rita K. Adeniran, Monica J. Harmon

International Nursing Research Congress (INRC)

The top purposes of the Cultural Competence Education and Awareness Survey (CCEAS) of Pennsylvania registered nurses are to ascertain the differences in the attitudes, knowledge and behaviors related to the cultural competency of registered nurses in magnet and non-magnet facilities in the state of Pennsylvania. In essence, the survey examined registered nurses' level of desire and interest to provide culturally competent care; the sources and availability of education and training to support cultural competency; and the extent to which cultural competency is being practiced by registered nurses in both magnet and non-magnet facilities.

Acute Mountain Sickness In The High-Altitude Urgent Care Clinic, Jack Miller

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Mountain sports have become more popular and adventure seekers are traveling to the top of the world in search of their passion. With more travel to higher and higher altitudes for outdoor recreation, military, and rescue operations requiring an ascent to high altitudes, with little or no time for acclimatization, it is imperative to understand the effects of altitude and low gas pressures on the human body. Health care providers are being presented with questions of prevention and treatment of high-altitude medical problems, as well as the effects of altitude on preexisting …

An Integrative Review Of Cardiovascular Disease In Lesbian, Gay, And Bisexual Adults, Billy A. Caceres

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Social conditions and related psychosocial stressors compromise the health of lesbian, gay, and bisexual (LGB) people across the lifespan (Institute of Medicine [IOM], 2011). Indeed, homosexuality remains a criminal offense punishable by jail time and/or death in many countries therefore leading to concealment of sexual orientation and significant fear among LGB individuals (international Lesbian, Gay, Bisexual, Trans, and Intersex Association, 2015). Experiences with discrimination are associated with negative health outcomes, decreased life expectancy, and increased mortality in this population (IOM, 2011). Cardiovascular disease is the leading cause of death worldwide and research …

Developing Interdisciplinary Approach Competency Related To Hiv And Aids In Preparing South African Nurses, Regis Rugira Marie Modeste

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: Worldwide, the health care delivery is provided by various health care professionals, and more so for the care of HIV and AIDS. The health priorities as stated by the South African department of health include reduction of Maternal and child mortality as well as fighting against HIV and AIDS among others (Department of Health, 2010; Johnson, 2012). The 2015 UNAIDS report estimates about 6.8 million of people living with HIV in South Africa, with more than 3 million people being initiated on ART (UNAIDS, 2014a, UNAIDS, 2015). With the recent approval of …

Perceived Discrimination Is Related To Emotional/Psychological And Physical Symptoms In Sickle Cell Disease, Miriam O. Ezenwa

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: Perceived discrimination is a psychological stressor that has been linked to negative health outcomes in both healthy and patient populations. Barnes, 2008. Yet little is known about the relationship between perceived discrimination and emotional/psychological and physical symptoms in adult patients with sickle cell disease (SCD). Americans with SCD are vulnerable to the negative influence of perceived discrimination because of historical and contemporary exposure to discriminatory practices, since the majority of patients with SCD are people of African or Hispanic descent. Guided by the model of perceived unfairness (MPU), the purpose of this …

Parents Perceptions Of Stressors In The Neonatal Intensive Care Unit In One Hospital In Rwanda, Priscille Musabirema

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: The purpose of this study was to describe and analyse parental perception of stress that resulted from having their infant admitted to an NICU in Kigali, Rwanda.

Methods: A quantitative survey was used to describe and analyse parents' perceptions of stress when they had an infant admitted to an NICU. The Parental Stress Scale: Neonatal Intensive Care Unit (PSS: NICU) Miles (1993) was used to measure the level of stress that those parents experienced. Scale scores were calculated by averaging those stress responses for the items on each scale and for the …

Closing The Gap In Nurse Advocacy, Nancy Ridenour

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Health care transformation is happening globally. Nurses have the knowledge and expertise to dramatically impact the reformation of local, national and global health systems. Experience working on the House Ways and Means Committee in the U.S. House of Representatives lead the presenter to realize that the voice and expertise of nursing is dramatically absent from the policy conversation. Paradoxically, however, when a nurse who is health policy savvy, policy makers are very interested in incorporating the nursing perspective. Policy makers understand that the broad, population health based approach of nurses is needed to …

Addressing The Needs Of Direct Care Staff When Affected By Natural Disasters Globally, Lynn M. Hood, Marie O. Etienne, Patricia R. Messmer, Nahomie Mirville, Marjorie Lozama, Guerna Blot, Amina Dubuisson

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Background: A competent workforce committed to providing patient-centered care is vital since retention and turnover rates of direct care staff in skilled nursing facilities are directly related to quality of patient care (Austrom et al, 2015). Turnover and retention rates can become extremely challenged when a workforce is in crisis. Following the 2010 devastating earthquake in Haiti, 31 skilled nursing facilities in Florida and Georgia actively engaged in providing support to Haitian employees and their families both in USA and Haiti. Administrators, leaders and line staff participated in the support and relief efforts …

Nutritional Intervention Effectiveness In Oncology Patients Receiving Active Anti-Cancer Treatment: A Systematic Review, Amanda M. Adams

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: This systematic review seeks to determine if an individual or combination nutritional intervention (education and/or supplementation) would significantly impact weight maintenance in adult cancer patients undergoing active anti-cancer treatment. Active anti-cancer treatment is defined as chemotherapy, radiation therapy, or combination chemoradiotherapy.

Background: Many aspects of nutritional intake are hindered in patients with cancer. Malnutrition related to cancer can occur either directly because of the tumor, the body's response to the tumor, or the treatment modalities utilized to inhibit the cancer's growth. The Integrated Theory of Health Behavior Change was used to guide …

Hope Beyond The Aging Lines: Exploring The Lived Experiences Of Elderly In The Philippines, Jordan Tovera Salvador

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: In the Philippines, the Elderly group is one of the most vulnerable sectors of the society. The phenomenon of aging has grown bigger and bigger each year. In fact, approximately millions of population is continuously added in every country all over the world. The Philippines has been one of the ASEAN countries that shares the same situation. The government and non-government agencies must inexorably exert efforts in dealing with this situation especially when it comes to the demands of healthcare, housing, and social security. In addition, Elderly have various needs and requirements …

Nursing Interventions To Manage And Prevent Type 2 Diabetes And Its Complications, Gail D'Eramo Melkus

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Diabetes currently affects approximately 9% of the world's population over 18 years of age and accounts for 1.5 million deaths, at a cost of $376 billion. This translates into 382 million individuals with the disease; and by 2030 the number is estimated to increase to 552 million. Persons living in low and middle income countries experience a disproportionate burden of diabetes and related complications often due to a lack of trained diabetes health care providers and resources. Africa currently has 12 million persons with diabetes and by 2030 the projected number will be …

Diabetes-Related Knowledge, Attitude(S) And Practices Of Health Workers Working With Diabetes In The Free State, Charmaine Elizabeth Hassan, Marianne Reid

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: According to the international Diabetes Federation, 382 million people had been diagnosed with Diabetes Mellitus by the end of 2013 and 592 million are still to be diagnosed by the end of 2035, with a further 175 million of these adults being undiagnosed (international Diabetes Federation, 2013:30). As diabetes is a lifestyle disease that is influenced by lifestyle choices, the Theory of Planned behaviour (TPB) was used to explain why certain behaviours take place. The theory is used to explain health care workers behaviour. A patient cannot be taught to catch a …

Sigma Theta Tau International Global Initiatives: A Blueprint For Global Growth And Stability, Cynthia Vlasich

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Purpose: The Honor Society of Nursing, Sigma Theta Tau international (STTI), is a well-established nonprofit with a strong reputation among nurse leaders. Since its founding in 1922, the organization has recognized the value of scholarship and excellence in nursing practice. In 1985, the Society added "international" to its name to clearly indicate the intention for global growth. Since this time, STTI has experienced substantial growth internationally, which led to the creation of the current Global Initiatives department. STTI has made great strides in global advancement in recent years. In July 2012, the United …

We Walked Their Walk: A Simulation Of Poverty, Dolores J. Wright, Jacqueline Paik

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Abstract Purpose: The goal of this experience was to evaluate the impact of a poverty simulation on undergraduate public health nursing (PHN) students' attitudes towards those living in poverty. Poverty is the most influential social determinant of health. Since nurses care for people from all socioeconomic groups, they will encounter people living in poverty who feel that health care providers are frequently insensitive to their needs and concerns. Therefore, it is incumbent upon nursing faculty to address poverty-related-to-health issues with their students. Description: Faculty designed a two cohort: simulation vs. control design to …

Perceived Practice-Based Problems And Evidenced-Based Outcomes In Online Advanced Practice Nursing Students (Aprn), Patricia A. Riccio, Carol M. Patton

International Nursing Research Congress (INRC)

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

Purpose: This study sought to: 1) describe perceived nursing practice problems identified by online Advanced Practice Nursing (APRN) students, and, 2) describe clinical outcomes evident in peer-reviewed, scholarly resources focusing on APRN care and roles.

Methods: a. Background There are four nationally accepted advanced practice registered nurse (APRN) roles: nurse practitioners (NPs), clinical nurse specialists (CNS), certified nurse midwives (CNM), and certified registered nurse anesthetists (CRNA) (Glembocki & Fitzpatrick, 2013; Joel, 2009). APRNs function in their various roles through application of advanced knowledge, skills, and competencies obtained that …