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Alcohol And Binge Drinking Behaviors Among College Students, Theresa A. Kessler, Christine P. Kurtz, Taylor J. Thompson, Jessica Mueller

International Nursing Research Congress (INRC)

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

Purpose: In 2002, The Task Force of the National Advisory Council on Alcohol Abuse and Alcoholism identified drinking on college campuses as a unique culture and changing that culture was a top priority. Unfortunately, some drinking behaviors among these young adults have continue or increased (Substance Abuse and Mental Health Services Administration [SAMHSA], 2012). Within the drinking culture, binge drinking has emerged as a growing problem that has dangerous consequences. Binge drinking has been correlated with high-risk behaviors, such as unsafe sex, sexual assault, injuries, and even death …

The Relationship Between The Means Of Communication And A Self-Help Group For Laryngectomized Patients, Yoko Ishibashi, Kazuyo Iwanaga, Kumiko Kotake, Ichiro Kai, Yoshimi Suzukamo, Kaori Haba, Aya Takahashi

International Nursing Research Congress (INRC)

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

Purpose: The aim of this research is to examine the means of communication used by laryngectomy patients by clarifying how their admission to a patients' association affects their means of communication.

Methods: Subjects were 43 patients who underwent laryngectomy in three university hospitals in Fukuoka Prefecture which agreed to cooperate in our research. Self-administered questionnaires were handed directly to or mailed to patients before discharge from hospital and mailed to them three, six, and twelve months after discharge from hospital. We checked subjects' age, sex, employment status, family …

Moving Towards Universal Health Coverage: Advanced Practice Nursing Competencies In Latin American And Caribbean Countries, Ana Maria Kelly, Jennifer Dohrn, Judy Honig, Susan Doyle-Lindrud

International Nursing Research Congress (INRC)

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

Purpose: In response to the United Nations' call for increased human resources for health to achieve Universal Health Coverage (UHC), the nursing profession needs to educate more nurses with expanded scopes of practice in primary care. As frontline providers, nurses will have greater impact on health outcomes and reducing global disparities with advanced practice nurses ready to serve communities' needs at a higher level. In 2013, the Pan American Health Organization/World Health Organization (PAHO/WHO) issued a resolution, Human Resources for Health: Increasing access to qualified health care workers …

From Boots To Bedside, Audrey P. Miller, Valerie J. Diaz, Mohamed D. Keita

International Nursing Research Congress (INRC)

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

Background: The United States (US) will face a nursing shortage. Contributing factors such as an aging nursing workforce, and the increase in access to healthcare will significantly impact the nursing profession. The nursing shortage in the US is a growing problem, as it is expected to reach 260,000 registered nurses by 2025. California and Florida will experience the most significant shortages, yielding 109,779 and 128,364 registered nurse jobs, respectively. The supply of nurses will be inadequate to address the corresponding demand, despite a projected national growth in career …

Using Q Methodology To Evaluate Curricular Outcomes In A Baccalaureate Nursing Program, Desiree Hensel

International Nursing Research Congress (INRC)

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

Purpose: Attainment of learning outcomes in our program, like many programs, has been measured on Likert-scales as self-perception and preceptors' ratings. This information often lacks the depth to be used in meaningful ways for program improvement. The National League for Nursing has made examination of innovative program evaluation models a research priority. Accordingly, we trialed using Q methodology as part of our evaluation process. Q methodology is a research method that correlates participant profiles to each other to find groups with shared viewpoints and has the potential to …

The Employment Status Of Total Laryngectomy Patients In Japan And Its Association With Their Qol, Kazuyo Iwanaga, Kumiko Kotake, Kaori Haba, Yoshimi Suzukamo, Ichiro Kai, Aya Takahashi, Yoko Ishibashi

International Nursing Research Congress (INRC)

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

Purpose: The purpose of this study is to examine whether those who underwent total laryngectomy are working or not from before surgery to 12 months after discharge from hospital for clarifying its association with their QOL and the change of their QOL.

Methods: Sixty-four patients who underwent total laryngectomy in 3 hospitals in the Kyushu area agreed to participate in the research. Subjects were 26 patients who completed all questionnaire items before surgery and 3, 6, 12 months after discharge from hospital. They were asked about age, sex, …

A Structured And Collaborative Clinical Teaching Training Program For Nursing Preceptors In Uganda, Hajat Safinah Museene, Pat M. Mayers

International Nursing Research Congress (INRC)

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

Nursing as a practice is an outcome of clinical teaching and learning which is facilitated by preceptors. During the process of providing clinical services to patients, nurses precept nursing students (service and education). In Uganda, there is no formal training program for nursing preceptors which equip them to conduct clinical teaching. However, it is an occupational requirement that preceptors teach nursing students allocated to their wards to perform nursing skills. The only tutor training college in the country does not offer preceptor training programmes. The college trains very …

An Interprofessional End-Of-Life Simulation Using A Movie/Discussion Format, Mary Val Palumbo, Patricia A. Prelock, Nancy P. Lemieux, Deborah A. O'Rouke, Jean Beatson, Vicki Hart, Kelly A. Melekis, Christina S. Melvin, Mary Alice Favro

International Nursing Research Congress (INRC)

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

Purpose: The interprofessional team's role in end of life care provides a unique opportunity for an educational simulation. Novel ways to teach this content to a large number of students were needed. This research evaluated a palliative care interprofessional educational activity for healthcare students from six disciplines using an in-person movie/discussion format.

Methods: Healthcare provider assessment visits and a death scene were pilot tested in actual simulations using twenty four students with standardized patients portraying a patient with ALS and his husband. Scripts were written from recordings of …

Experiences Of Learner Nurses, Nurse Educationalists And, Professional Nurses Regarding Professionalism An Undergraduate Nursing Programme, Portia B. Bimray

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016: TITLE: Experiences of Learner Nurses, Nurse Educationalists and Professional Nurses Regarding Professionalism an Undergraduate Nursing Programme. ABSTRACT: Background: The current health care environment requires professional nurses to be capable of managing complex professional issues. For this reason awareness have been raised amongst learner nurses, nurse educators, clinical facilitators and professional nurses of the need for strong professional values which is vital in the preparation of nurses to manage patient care in a capable and professional manner. The values of professionalism are implicit in the scientific knowledge and practical …

The Effect Of The Program Which Improves Self-Acceptance In The Person With Mental Illness, Hiromi Sugawara, Chizuru Mori

International Nursing Research Congress (INRC)

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

Background: In psychiatric rehabilitation, it is important that persons with mental illness understand themselves and rebuild their lives (Deegan1998, Anthony 1993). To achieve this goal, the approach which is focus on recovery model is useful. According to perspective of recovery, person could look at themselves beyond their illness deeply and realize their possibility, therefore they could be release from Illness and Disability, and finally they could get their well-being (Charles & Richard 2014). Deegan (1998) described that Recovery refers to the lived or real life experience of persons …

Assessment Of Family Levels Of Functioning Among Civil Servants In Federal Capital Territory Abuja, Abimbola Oluwatosin, Olubunmi Kayode

International Nursing Research Congress (INRC)

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

Introduction: The family is a social institution responsible for child upbringing, emotional and economic support for its members. Industrialization has however gone a long way in undermining the traditional structure of the family bringing about lack of role identity of men, changing role in women, peer group and mass media influence on children. All these according to Adebayo and Ogunleye (2010) have resulted in serious family conflicts and dysfunction. A dimension of the dysfunction of the family brought about by industrialization has reduced family cohesion, flexibility, communication patterns …

Using Cognitive Rehearsal To Address Incivility In Nursing Education, Jennette S. Logan

International Nursing Research Congress (INRC)

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

Background/Significance: Nurse-to-nurse incivility is a global issue and is considered by working nurses to be the most common and most disturbing type of workplace aggression (Vessey, Demarco, & Difazio, 2010; Almost, Doran, McGilliss Hall, & Spence Laschinger, 2010). Incivility is a term used to describe rude, disruptive, intimidating, and undesirable behaviors that are directed toward another person (Stokowski, 2011). Similar terms that related to uncivil behavior include lateral violence, horizontal violence and bullying. Despite the professional expectation that nurses should show caring behavior towards patients and co-workers, uncivil …

Assessment Of Clinical Decision-Making Models And Skills In Nursing New Graduates In A Mexican University, Laura Moran, Yarisbeth Quezada Ramirez

International Nursing Research Congress (INRC)

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

Clinical decision-making (CDM) is a complex process involving information processing, evaluation of evidence, and application of relevant knowledge to select nursing interventions that provide safe and high quality care, and reduce the risk of patient harm (Standing, 2007). A variety of analytical and intuitive conceptual models have been used to describe the CDM process focusing on critical thinking skills, reflection, clinical judgment, and problem solving (Tiffen, Corbridgen, Slimer, 2014). CDM skills are developed in new nursing graduates as they face challenges in responding to challenging patient health problems, …

The Effects Of Transtheoretical Model-Based Interventions On Smoking Cessation In Taiwan: A Longitudinal Study, Su-Er Guo, Yin-Hui Chang, Chiung-Hui Fu, Mei-Hsiu Hsu

International Nursing Research Congress (INRC)

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

Purpose: The adverse effects of cigarette smoking have caused a noticeable increase in smoking-related diseases and death globally. The purpose of this study is to assist smokers in smoking cessation with interventions based on the Transtheoretical Model (TTM) and to evaluate the effects of TTM-based interventions on knowledge about the hazardous effects of smoking, attitude toward smoking, and movement through stages of change.

Methods: In this quasi-experimental longitudinal study, a structured questionnaire was administered pre-intervention (pretest, Time 1), post-intervention (3 months, Time2), and at follow-up (6 months, Time …

Fostering An International Research Collaborative Through Stti, Joann D. Long, Rita Doumit

International Nursing Research Congress (INRC)

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

Purpose: Technological advances are making possible international collaborations designed to promote the health of the world's people. The vision of Sigma Theta Tau international (STTI) is to create a community of nurses worldwide who improve the health of people through dedication to nursing knowledge, scholarship, and service. An objective of the 24th STTI Nursing Research Congress held in Prague, Czech Republic, in July 2013 was to explore opportunities for international collaboration in nursing. In this forum, two nursing scholars: one from Lebanese American University (LAU), Beirut, Lebanon, and …

A Model To Assist Psychiatric Nurse Practitioners To Facilitate Self-Empowerment Of Women Living With Bpd, Nompumelelo Ntshingila, Annie Temane, Marie Poggenpoel, Chris P. H. Myburgh

International Nursing Research Congress (INRC)

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

Borderline personality disorder (BPD) is characterised by a pervasive instability in emotions, interpersonal relationships and identity as well as a severe and harmful dysregulated behaviour. A model was developed to assist psychiatric nurse practitioners to facilitate self-empowerment of women living with borderline personality disorder. The purpose of the model was to serve as a frame of reference for psychiatric nurse practitioners to facilitate self-empowerment of women living with borderline personality disorder. The assumptions of the model were based on the Theory of Health Promotion in Nursing and Constructivist …

Reducing Time On The Ventilator Using The Abcdef Bundle, Annette Haynes, Mary E. Lough, Julie A. Shinn

International Nursing Research Congress (INRC)

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

Teamwork is essential to improve patient care outcomes. This presentation will focus on a multidisciplinary initiative involving an internationally recognized bundle of interventions that reduce time on the ventilator for patients in the intensive care unit (ICU). The evidence-based bundle components target: Airway, Breathing, Coordination, Delirium, Exercise/Early mobility and Family involvement (ABCDEF). Airway strategies include a change to sub-glottic endotracheal tubes that reduce ventilator-associated pneumonia (VAP). Breathing strategies include reducing levels of sedation and scheduled spontaneous breathing trials to improve time to extubation. Coordination is by the bedside …

Understanding Ethical Issues Of Research Participation From The Perspective Of Participating Children And Adolescents, Stacey Crane, Marion E. Broome

International Nursing Research Congress (INRC)

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

Background: The past twenty years have seen distinct shifts in the way the participation of children and adolescents in research is viewed. This has been emphasized by the growing pediatric research enterprise. Additional information on children's and adolescents' experiences during research participation is needed to better inform researchers on the ethical conduct of research with this vulnerable population.

Aims: The objective of this analysis was to examine ethical issues in research with children and adolescents from their perspective as participants, including: assent, parental consent, risk perception, impact of …

Minority College Students' Hpv Knowledge, Awareness, And Vaccination History, Kayla Nicole Mathis-Gamble, Patricia R. Messmer, Eric Fenkl, Sandra "Sande" Gracia Jones

International Nursing Research Congress (INRC)

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

Human Pepilloma virus (HPV) is the most common sexually transmitted infection (STI), and can cause cervical, anal and oropharyngeal cancer. There are several approved vaccinations to protect against HPV infection, a quadrivalent, bivalent, and 9-valent respectively. It is estimated that 79 million individuals are infected with human Pepilloma virus (HPV), while 20 million more Americans become infected each year (CDC, 2014 & CDC, 2012). HPV is yearly responsible for 26,000 new cancers (about 17,000 in women and 9,000 in men) yearly (CDC, 2013). Although HPV vaccination is recommended, …

Implementation Of Infection Control Bundle In A Freestanding Inpatient Rehabilitation Facility, Kim Schober

International Nursing Research Congress (INRC)

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

Purpose: The CDC reported 721,800 Healthcare Associated Infections (HAIs) in United States hospitals for 2013. The report goes on to state over half of the reported infections developed outside of the intensive units ("Data and Statistics HAI CDC," 2015). The primary source of admission to rehabilitation facilities is acute care hospitals where patients have a high rate of skin colonization of multi-drug resistant organisms (MDROs) that could lead to the development of infection during rehabilitation treatment. Increased time on isolation during rehabilitation been shown to have adverse effects …

Monitoring And Assessment Of Critically Ill Patients' Nutritional Support By Nurses In East London Hospitals, Nomaxabiso Mildred Mooi

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Introduction: Critical illness places tremendous stress on the body, leading to a series of metabolic changes and resultant malnutrition, complications ensue, with morbidity and mortality rates increase (Sanchez Alvarez, Zabarte Martinez de Aguirre & Bordeje Laguna, 2011). Optimum nutrition support has been found to be crucial in counteracting the accelerated metabolism as well as prevention and management of malnutrition caused by critical illness (Ramakrishnan, Daphnee & Ranagnathan, 2014). Different types of feeds and methods of feeding are available, none of which have been proved to be superior. Recent studies strongly suggest that patients …

Effectiveness Of Isoniazid Preventive Therapy On The Incidence Of Tuberuculosi In People Living With Hiv In Rwanda, Marie Claire Uwamahoro

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The purpose of this study was to evaluate the effectiveness of primary Isoniazid Preventive Therapy (IPT) on the incidence of active Tuberculosis (TB), in adult People Living with Human Immuno-deficiency Virus (PLHIV) in selected districts of Rwanda. Specifically the study was intended to (1) compare the incidence of active TB among adult PLHIV who took Isoniazid Preventive Therapy with those who did not take Isoniazid Preventive Therapy, (2) To identify the socio-demographic and clinical factors contributing to active tuberculosis in PLHIV on Isoniazid Preventive Therapy and (3) To compare the time of …

A Theoretical Conceptualisation Of Nursing Practice As A Reflexive Complex System, Lauralie Richard, Sylvie Gendron

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: Nursing practice is fundamental to the discipline of nursing. Documenting nursing practice through empirical research is critical to support evidence-based practice, but it is not sufficient on its own to fully contribute to its development. It is of utmost importance to establish the conceptual basis of nursing practice in order to situate the findings derived from empirical research within the field of nursing disciplinary knowledge. Here we present how a study documenting a primary care nursing practice with vulnerable populations was used to inform the development of a theory of nursing practice. …

Dog Tags: Homeless Veterans And Their Pets/Animal Companions, Susan K. Lee, Pamela Willson

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Overall, military veterans, who are at increased risk for homelessness and are over-represented when it come to the general population, comprise 10% of the United States (US) population. However, they account for 16% of the homeless adult population. Typically, homeless veterans served during the Vietnam era and are older and disabled, reporting a myriad of health concerns, including physical and psychological problems, post-traumatic stress disorder (PTSD), and alcohol or drug dependencies. There are many challenges that affect physical, mental, and emotional health status and quality of life, such as separation from or …

An Accent Modification Intervention For Nursing And Allied Health Students, Wyona M. Freysteinson, Sandra Kay Cesario, Lenora Mcwilliams, Ainslie Nibert, Paula Clutter, Jinlan Du, Marilyn M. Goff, Hanna A. Belay, Joshua David Adams, Rachelle Nurse

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: The Texas Medical Center (TMC) in the United States (US), the largest medical center in the world, has a healthcare workforce of individuals from over 150 countries. There are students enrolled in a health sciences university in the TMC who have language patterns and in particular foreign or regional accents that may be barriers to language that is intelligible to listeners in this given language community. These communication problems may lead to speakers needing to repeat themselves in order to be understood, speakers avoiding social interactions, and frustration for both the speaker …

Sensor Generated Health Data For Behavior Change In Nurse Coaching: A Case Study, Sarina Fazio, Madan Dharmar, Sheridan Miyamoto, Heather M. Young

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: This work presents a case study describing outcomes of two participants who engaged in a nurse coaching intervention using mobile health (mHealth) technology, wireless wearable sensors and patient generated health data (PGHD) in an effort to improve their health and physical fitness. In response to the growing burden of chronic disease, health coaching interventions targeting lifestyle management have become widely adopted among health systems and organizations. Motivational interviewing, a patient centered health coaching approach, has been shown to be effective in improving a number of health behaviors such as physical activity, nutritional …

Lessons From The Homeless: Impact Of Civil And Uncivil Interactions With Nurses In The U.S., Sheryl Henry Jenkins, Wendy M. Woith, Kim Schafer Astroth, Cindy H. Kerber

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: The health of homeless people is poorer than that of the population in general (Bernstein, Meurer, Plumb, & Jackson, 2015; Lebrun-Harris et al., 2013; Seiler & Moss, 2012). This is true in the United States and across the world (Daiski, 2007; Irestig, Burstrom, Wessel, & Lynoe, 2010). Mortality rates for the chronically homeless are higher than expected (Hwang et al., 2010); on average, they live only 42 - 52 years (Bernstein et al., 2015). Factors leading to increased morbidity and mortality include lack of insurance, poor nutrition, violence, and inadequate living conditions …

Professional Development Support: What The Supported Newly Qualified Professional Nurses Have To Say?, Memme Girly Makua

International Nursing Research Congress (INRC)

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

Background: Newly qualified professional nurses, like other health professionals in South Africa, have an obligation to serve the remunerated community service in designated public health institutions for one year before obtaining final registration with the South African Nursing Council (SANC). The objectives of community service, amongst others, are (1) to service public health institutions, especially in the rural areas with human resources and (2) to give the newly qualified health professionals an opportunity to enhance their clinical skills. They have to be guided and supported by those that …

An Evaluation Of Perceived Quality Of Care Between Insured And Uninsured Patients In Ghana's Hospitals, Aaron Asibi Abuosi

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The introduction of social health insurance in Ghana in 2003 has resulted in tremendous increase in utilization of health services. However, concerns are being raised by various stakeholders about the quality of patient care. Some of the concerns include long waiting times, verbal abuse of patients by health care providers, poor physical examination by doctors and discrimination against insured patients. The study compares perceptions of quality of care between insured and uninsured out-patients in Ghana's hospitals to establish whether both categories of patients are treated equally (fairly) or indeed, insured patients are …

Hardwiring Standardized Nursing Bedside Handoff To Improve Patient Safety And Satisfaction, Nicole M. Lincoln

International Nursing Research Congress (INRC)

The purpose of this presentation is to share one urban academic medical centers experience implementing a standardized approach to bedside nursing handoff. To demonstrate the process utilized to create an innovative electronic handoff tool. To explore how to effectively hardwire these processes, and ultimately increase patient safety and satisfaction outcomes.