Digital Commons Network^™

Impact Of The Fuld Fellowship Program On Patient Safety Competence And Systems Thinking, Kelly T. Gleason, Yvonne Commodore-Mensah, Cheryl R. Dennison Himmelfarb, Jo M. Walrath, Brigit Vangraafeiland, Roseann Velez

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The growing complexity of healthcare worldwide is driving a need for nurse leaders with patient safety and quality improvement competencies. However, patient safety and quality improvement content has historically been omitted from nursing education, and its integration into curricula has proved to be a challenge. The lack of faculty prepared to teach such courses, the limited time available, and increase of instruction done through simulation are all factors the complicate the incorporation of this much-needed content into Baccalaureate nursing education. The Fuld Fellows Leadership Program is an innovative curriculum designed to provide …

"Nurses Eat Their Young" Moves To Academia: Expert Nurse Researchers Treatment Of Novice Nurse Researchers, Cindy Ford

International Nursing Research Congress (INRC)

Session presented on Friday, July 22, 2016:

Purpose: The nursing literature is resplendent with research and publications of the topic of nurse incivility, horizontal violence and bullying. Incivility in nursing is troubling (Clark & Springer, 2010) and incivility and bullying in nursing are complex problems (Luparell, 2011). The background and significance includes: The Joint Commission (2008) stated, 'Intimidating and disruptive behaviors can foster medical errors, contribute to poor patient satisfaction and to preventable adverse outcomes, increased cost of care, and cause qualified clinicians, administrators and manger to seek new positions in more professional environments' (Simpson, 2014; Murray, 2009; Stevens, 2002). …

Symptom Science: Clinical Trials To Address Menopausal Hot Flashes, Janet S. Carpenter

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Vasomotor symptoms, also called hot flashes or flushes or night sweats, are sudden transient experiences of heat and sweating resulting from neuroendocrine disruptions during the menopausal transition. Vasomotor symptoms are prevalent, persistent, and severe physiological disruptions affecting quality of life outcomes for many menopausal women worldwide. A variety of non-hormonal, non-herbal therapies have been investigated to alleviate these bothersome symptoms. The purpose of this presentation is to illustrate how a program of research has contributed to strengthening the empirical evidence base for vasomotor symptom management and subsequently influenced policy statements. A variety of …

Hand Washing Among Nurses And Midwives In Rwanda: Is It Compliance Or Adherence?, Philomene Uwimana, Oluyinka Adejumo

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: It is paramount that hand washing (HW) adherence among health care workers (HCWs) be increased and sustained as it has been found as one of the simplest yet most effective intervention in healthcare to prevent nosocomial infections(Karaaslan et al., 2014 ). According to (White et al., 2015), in order to improve their adherence, it is essential to understand the cognitive determinants of HW decisions for nurses. The cognitive determinants play a key role in promoting many elements of HW. Nonetheless, the concepts of adherence and compliance to HW guidelines are often used …

Time Management Skills Of Nursing Students, Dilek Baklacioglu Yildiz, Berna Fidanci, Goknil Boyraz, Evrim Kiziler

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016: Purpose: This study was carried out in order to determine time management skills of nursing students. Methods: This is a cross sectional study and was carried out at G lhane Military Medical Academy (GMMA), School of Nursing between April - May 2015. The study population consisted of 373 students of which 298 student were selected for sampling. The data were collected using a Student Information Form, Time Management Inventory (TMI). The Time Management Inventory was developed by Britton and Tesser. It was developed to determine the time management skills of university students. Validity …

Dna Methylation And Preterm Birth Among African Americans, Veronica Barcelona

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: The purpose of this study is to provide a comprehensive review on DNA methylation and preterm birth with a focus on health disparities and studies done in minority populations. Preterm birth is the leading contributor to infant mortality in the US (Martin, Hamilton, Osterman, Curtin, & Matthews, 2015) with a complex and multifactorial etiology. The care of infants born preterm is costly, over 26 million dollars annually (March of Dimes, 2013). Infants born preterm (<37 weeks gestation) or who experience stressors in utero such as Maternal hypertension, pre-eclampsia or restricted growth have significant sequelae throughout life (Platt, 2014). African American women are disproportionately affected by adverse pregnancy outcomes, and have higher rates of preterm birth (16%) than Caucasian women (11%) (Martin et al., 2015). Despite knowledge of several demographic (race, socioeconomic status, age), biomedical (infection, hypertension, multiple gestation, prior preterm birth) and environmental risk factors (substance use, stress, poor access to health care) for preterm birth and other adverse pregnancy outcomes, researchers have been unable to fully understand the causal mechanisms or how to prevent them (Burris, Baccarelli, Wright, & Wright, 2015). The science of epigenomics first identified how both genetics and environmental factors interact to affect fetal programming (stressors experienced in utero) and influence phenotype (variation in coat color) with early studies of the agouti mouse (Wolff, Kodell, Moore, & Cooney, 1998). Epigenomics is a promising field of study to understand the modulating factors that may lend itself to understanding and reducing preterm birth, yet there is a paucity of research in this area (Parets, Bedient, Menon, & Smith, 2014).

Methods: We conducted a systematic review of the literature to critically examine the research on preterm birth …

Parents' Experiences Of Continuing Pregnancy With A Lethal Fetal Diagnosis: Goal, Stages, Tasks Of Pregnancy, Denise Cote-Arsenault, Erin Denney-Koelsch

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: The purpose of this study was to describe parent experiences in continuing pregnancy with a lethal fetal diagnosis. A secondary aim was to identify the revised developmental tasks of pregnancy undertaken by the parents.

Methods: Longitudinal, hermeneutic phenomenology study consistent with work of Merleau-Ponty. 16 mothers and their spouse/partners (14) who were continuing pregnancy with a known fetal diagnosis were recruited from obstetrical and perinatal centers in 4 states. Parents were interviewed jointly and separately prenatally and after the baby's birth death; 90 interviews were conducted. Transcripts of interviews and field notes …

Moving "Ninos Obesos" Project: Reducing Obesity In Hispanic And Non-Hispanic Children, Patricia R. Messmer, Giannina Santos, Yolanda Nitti, Nora Hernandez-Pupo, Yamina Alvarez, Kathleen Muniz, Guillermo Valdes, Roxana Orta, Marie O. Etienne, Maria Cary Rodriguez, Elisa Rodriguez, Ann Graziotti

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Introduction: Globally childhood obesity is increasing (Bauer, 2015; Brown, Kuk & Lee, 2015; Falkner, 2015).Treating obesity-related illness in Florida (25%) costs $6,675,940. Latino children are at a greater risk of obesity with prevalence increasing over time; obese south Florida children (20%) are more likely to develop Diabetes Type 2 and cardiovascular disease. National Association of Hispanic Nurses (NAHN) Miami Chapter was a site for Muevete USA Project (2012-2015) to reduce USA Hispanic childhood obesity. The program funded by Coca-Cola Foundation (Milan, 2011) was in partnership with U.S. 1st Lady Michelle Obama Let's Move …

Relationship Between Illness Perceptions And Stigma In Patients With Schizophrenia In Community, Esther Ching-Lan Lin, Ya-Fen Chang, Shih-Kai Lee, Wen-Chuan Shao

International Nursing Research Congress (INRC)

Session presented on Monday, July 25, 2016:

Background: Despite the benefits of maintenance treatment with antipsychotic drugs for patients with schizophrenia, non-adherence impedes the treatment effect and results in reduced functioning and increased relapses, hospitalization, and healthcare costs. Nonadherence has been studied from biomedical and behavioral perspectives; however, patients' subjective perceptions of their illnesses and treatments and their association with health outcomes have been increasingly highlighted for knowledge development (Kucukarslan, 2012). Illness perception has been supported its mediated effect on patients' adherence to antipsychotics in Western studies (Rungruangsiripan, Sitthimongkol, Maneesriwongul, Talley, & Vorapongsathorn, 2011). Furthermore, stigma has been reported to …

Civil Use Of Social Media Technology In Health Professional Education, Jennie Chang De Gagne, Hee Sun Kang, Min Choi, Leila Ledbetter, Cynthia M. Clark

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016: Purpose: Uncivil and discourteous use of social media technology, such as Facebook, blogs or wikis, online courses with discussion boards, chat rooms, or emails, is a global and pervasive concern among general college populations. Despite the high prevalence of online incivility, little is known about the phenomenon including its contexts, conditions, and consequences among health professional students and educators. The creation and maintenance of a civil learning environment is particularly important because incivility is likely to interfere with educators' ability to communicate with students while negatively affecting student learning processes and outcomes (Altmiller, …

From Health Professional To Film Producer In One Easy Workshop: Creating Digital Stories, Penelope Gill

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Digital storytelling is an innovative method of capturing an audience emotionally by telling tales from the heart and soul. It consists of a short, four- to-six minute multi-media presentation which is narrated in the first person. Digital storytelling introduces the storyteller to multiple literacies such as writing, listening, narrating, publishing, presenting, language, acting and communication skills. Various types of multi-media and technological skills are also learned. The digital storytelling project can be used in many different situations to assist the student master the curriculum content. According to Hung, Hwang and Huang (2012) project …

Psychological Effects Of Termination Of Pregnancy (Top) By Choice On Adolescents, B. R. Sebola

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Introduction: The question of whether termination of pregnancy causes psychological harm or not continues to be debated today. In South Africa, the number of terminated pregnancies is increasing at the rate at which pregnancies are occuring (Tlale 2010:29). With this finding, it is worrying to note that adolescent abortion by choice has been linked to a number of physical and psychological problems. This study focused on adolescents 18 to 21 years of age.

Purpose: The purpose of this research was to explore and describe how the termination of pregnancy by choice affects adolescents …

Enhancing Responsible Reproductive Health Choices In Teenagers, Delene E. Botha

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: The purpose of the pilot study was to create awareness amongst both boys and girls teenagers in what caring for a baby demands.

Methods: The pilot consisted out of three parts: one part where boys and girls were 'caring' for a 'baby', involvement of teachers in mathematics and language literacy and 'police' who oversaw the 'caring' of the 'babies.' Boys and girls from two local High Schools were provided with a doll made from material, a Kangaroo wrap, a cellular phone and a journal. They were requested to "care" for the "baby" …

Establishing A Research Academy Collaborative: Benefits, Challenges, And Preliminary Outcomes, Joann D. Long, Alyce S. Ashcraft, Cindy Ford, Jamie K. Roney, Charles Randall Stennett, Karen Baggerly, Colleen Leclair-Smith, Lisa Marguerite Fallon

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Internationally, recognition of the need to build nursing capacity facilitating research utilization, translation, and dissemination is growing (Beal, 2012). As interest in achieving Magnet recognition expands, attention is being drawn to the importance of advancing the research utilization skill set of practicing nurses (ANA, 2014). Yet, clinical nurses frequently express feeling intimidated by research. Registered nurses claim multiple reasons for not engaging in evidence-based practice (EBP)--including the lack of knowledge/preparation to do so (Yoder, et al., 2014). To address this problem in a southwestern state, a research director in a department of …

An Evidenced-Based Orientation Course For An Online Msn Program, Nancy G. Cameron

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016: Preloading student satisfaction and success factors into an online program orientation course can strengthen the potential for student retention and success. The nursing literature is lacking in this area. Much of the information found on retention is focused on the undergraduate student in a face-to-face classroom setting. Less literature can be found on graduate level education retention and the body of knowledge regarding graduate online education retention is even more limited (Perry, Boman, Care, Edwards, & Park, 2008). Retention rates in online graduate education, not specific to nursing, vary widely, but are typically …

Influencing Health Through Policy: The Dynamic Role Of Nurses In The Boardroom, Kimberly Harper, Cynthia Vlasich

International Nursing Research Congress (INRC)

Session presented on Saturday, July 23, 2016:

Purpose: Sigma Theta Tau International's Call to Action 2015-2017 is 'Influence to Advance Global Health and Nursing.' Nurses play an essential role within healthcare, as front-line service providers, managers and directors of care, as well as vital decision makers. Acting not only as individuals, nurses are also members and coordinators of inter-professional and multi-sector teams through which balanced action can be undertaken with broad levels of support. Working with our colleagues in other disciplines and sectors, nurses bring a unique and invaluable perspective to patient care, seeing firsthand the gaps in the healthcare …

The Effect Of Assessing Barriers And Self-Efficacy Enhancement Program On Medication Adherence, Rapin Polsook

International Nursing Research Congress (INRC)

This study aimed to examine the effect of self-efficacy enhancement program on medication adherence in post- acute myocardial infarction patients.

Improving Effectiveness Of Student Learning During Clinical Rotations At A Teaching Hospital In Rwanda, Nanyombi Lubimbi, Josette Niyokindi

International Nursing Research Congress (INRC)

As in many developing countries, Rwanda suffers from a chronic shortage of skilled healthcare professionals, including clinical instructors. This shortage negatively affects the quality of the clinical experience and has a significant impact on student learning outcomes. Due to poor clinical supervision, it is often noted that students have minimal structure and a lack of consistent guidance during their clinical rotation learning process. This abstract addresses the collaborative work of Clinical Educators sponsored by the Human Resources for Health (HRH) Program and their partnerships with Rwanda colleagues at the Rwanda Military Hospital (RMH) to implement an effective and structured learning …

Diabetes Management And Mhealth Technology: The Importance Of Healthcare Partnerships And Clinical Integration, Sheridan Miyamoto, Stuart Henderson, Sarina Fazio, Madan Dharmar, Heather M. Young

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: 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 focus on behavior changes such as physical activity and diet. There is increasing evidence that person-centered models of care that target behavioral health are more successful in improving and addressing chronic illnesses such as diabetes. …

Quality Of Life In Children And Adolescents With Congenital Heart Disease, Jorge Manuel Apostolo

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: The Quality of life is currently a major topic discussed in our society. The World Health Organization (WHO) has been developing a unifying and transcultural definition of QOL. They considered it as the individual's perception of his or her position in life, within the cultural context and value system he or she lives in, and in relation to his or her goals, expectations, parameters and social relations. It is a broad ranging concept affected in a complex way by the person's physical health, psychological state, level of independence, social relationships and their …

Prevalence Of Depression And Associated Factors Among The Patients With Diabetes And Hypertension In Rwanda, Madeleine Mukeshimana, Gugu Gladness Mchunu

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: Chronic non-communicable diseases are frequently becoming linked with development of depressive symptoms and disorders with major health consequences associated with this co morbidity (Gunn, Ayton, Densley et al. 2012; Al-Amer, Sobeh, Zayed and Al-domi, 2011). Global trends have shown that the co-morbidity of depression and chronic NCDs has been associated with major health consequences including high rate of mortality and morbidity, disability, reduced quality of life and increased health costs and non- adherence to treatment (Markowitz, Gonzalez , Wilkinson & Safren , 2011; Moussavi , Chatterji , Verdes , Tandon et al. …

Effects Of Combined Teaching Strategies In Evidence-Based Learning For Student Nurses And Clinical Nurses, Hsueh-Erh Liu, Karen Chang, Hsin-Fang Lee, Kuang-Hui Yu, C. W. Chang

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

This two-year quasi-experimental study was conducted during August, 2013 to July, 2015. Student nurses (SN) and clinical nurses (RN) were recruited from one university and one medical center. These who selected the elective course 'evidence-based health care' were treated as experimental group (n=16) whereas the rest of students at the same year were treated as control group (n=71). For clinical nurses, the willing to learn the contents of evidence-based health care was selected as criteria to be experimental group (n=29) or control group (n=77). The experimental group received teaching and web learning and …

Development Of Interprofessional Healthcare Leadership Modules For Undergraduate Students, Carin Maree

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016: Interprofessional education developed as a strategy to utilise interprofessional teamwork to meet the communities' needs while addressing the shortage of healthcare professionals. The focus thereof is on healthcare professionals from different disciplines who are learning from each other, while sharing common responsibilities to the benefit of the patients and communities. In order to instill a sense of interprofessional teamwork, modules have been developed by the School of Healthcare Sciences for undergraduate healthcare students in integrated healthcare leadership. Aspects that are addressed include professionalism, ethics, communication and conflict management in teams, community health models, …

Breast Cancer Global Research: Coping, Social Support And Health Of Women With Breast Cancer, Kathleen A. Sternas

International Nursing Research Congress (INRC)

Session presented on Thursday, July 21, 2016:

Purpose: Breast cancer is a stressful experience for women worldwide. National and international studies report poor quality of life, increased emotional distress among women with breast cancer. (Mayer, et al., 2010; Mukwato, et al., 2010; Yusuf, et al., 2013). Factors which can impact health after breast cancer include coping and social support (Doumit, et al., 2010; Drageset, et al., 2010; Kim, et al., 2010; Taleghani et al., 2006; Till, 2003). The purpose of this presentation is to discuss: global research findings on coping and social support and their impact on health of women …

Students' Perceptions Of The Operating Room As A Clinical Learning Environment, Rhoda Meyer

International Nursing Research Congress (INRC)

Session presented on Sunday, July 24, 2016:

Purpose: Students undertake their clinical placement in various clinical settings for the exposure to and acquisition of skills related to that particular context. The operating room, for example, is a context that offers the opportunity to develop critical skills related to the perioperative care of the patient. Despite the numerous studies that have been undertaken in this field, few studies that have investigated the operating room as a clinical learning environment in the South African healthcare system have been published. The aim of this study was to determine students' perceptions of the operating …

Effect Of Global Nursing Leadership Program Developed By Students' Need Assessment, Sunjoo Kang

International Nursing Research Congress (INRC)

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

Purpose: This study analyzed the effects of the global leadership program among participants from three different countries after a short-term program was developed through their needs assessment.

Methods: A pre- and post-test design without a matched control group was used with a random sample. A questionnaire was used to identify the effect of global nursing leadership. The educational needs of nursing undergraduate students from South Korea, Vietnam, and the United States were assessed to develop a global nursing leadership program.

Results: Participants took a forty-hour program that was …

Should Insulin Be Withheld When Nothing By Mouth Is Ordered In Patients Who Require Insulin?, Joyce Elaine Emery, Martina Mendoza

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 perform comparative analysis of practice guidelines and current evidence for the management of hyperglycemia in hospitalized patients.

Methods: An integrative literature review was conducted using Cochrane, CINAHL Plus, PubMed and the National Guideline Clearing House. Key words searched included hyperglycemia, inpatient diabetes, pre-operative, surgical, NPO, hospitalized, Type 1, Type 2 diabetes, Nothing by mouth, Adult, basal bolus, Hypoglycemia, management, insulin, rabbit two trial.

Results: Hyperglycemia and hypoglycemia are both serious and costly health care problems in hospitalized patients. The risk …

Conceptual Model Of Health-Related Quality Of Life In Schizophrenia, Carlos M. Janela

International Nursing Research Congress (INRC)

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

Background: People with schizophrenia experience devastating symptoms (including hallucinations, emotional withdrawal, and cognitive impairment) as well as comorbidities that lessen their health-related quality of life (HRQoL). Compared to other people, they have a shorter life expectancy and are discriminated against. HRQoL, by focusing on well-being rather than symptoms is a particularly relevant outcome indicator for schizophrenia. Identifying and clarifying determinants of HRQoL in schizophrenia is vital to guide the focus of future research, to investigate alternative and complementary interventions, and to improve the quality of mental health services. …

Dementia As Leading Co-Morbidity In Homebound Seniors, Ron Billano Ordona

International Nursing Research Congress (INRC)

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

Background: A curious twenty-first century phenomenon is happening in the US. Physicians and Nurse Practitioners are reviving the house call practice. Medical House Call Programs offers homebound elderly residents medical treatment in their own homes. The United States is currently faced with the challenge of how and where to care for it's aging population. Nurse practitioner (NP) home-based care is a potential solution to meet this challenge. Current research indicates that care provision by advanced practice nurses reduces cost, decreases length of stay and readmission to hospitals, and …

Effectiveness Of A Breastfeeding Education Program For Mothers Of High Risk Infants On Breastfeeding Outcomes, Tzu-Ying Lee, Mei-Ling Fu

International Nursing Research Congress (INRC)

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

Purpose: Breast milk is the most natural and suitable source of nutrition for newborns (Giglia & Binns, 2014) and breastfeeding can enhance Maternal attachment to her newborn (Britton, Britton, & Gronwaldt, 2006). For newborns in the neonatal intermediate care unit after birth, exclusive and continued breastfeeding can be affected by factors such as mother-infant separation (Wang & Gau, 2013), infant's health conditions (Huang, Lee, Gau, & Hang, 2007) and Maternal anxiety (Lee, Lee, & Kuo, 2009; Meier, Engstrom, Patel, Jegier, & Bruns, 2010). Thus, providing support to mothers …