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Improvement In Student Satisfaction And Confidence Levels Through Simulation Activities, Cynthia L. Cummings, Linda K. Connelly

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: This research explored whether nursing students' learning satisfaction and confidence scores improved in simulation experiences, as they progressed from junior to senior year.

Methods: The students were asked to voluntarily participate in a survey on learning satisfaction and self-confidence following a simulation activity. The student scores were compared between juniors and seniors for each item. Survey data was collected for a one year time frame and was approved by the University's institutional review board. The instrument utilized was the: Student Satisfaction with learning Scale and the Self-Confidence in learning Using Simulations Scale …

The Impact Of A Dedicated Educational Model (Deu) On Staff Nurses' Perception Of The Professional Practice Environment, Celia Marie Wells

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

While research exists on the benefits of a Dedicated Educational Unit (DEU) for the Student Nurse (SN), there is a shortage of literature regarding the impact of the DEU on the staff nurses/preceptors who participate in DEU education. Nearly 73,000 RNare predicted to leave the nursing profession annually related to retirement, childrearing, career changes or returning to school (T.-C. f. Nursing). Barriers contributing to enrolling greater numbers of students in nursing programs include an aging workforce, a shortage of nursing faculty, lack of clinical placement opportunities, and an education gap which fails to …

Determination Of The Opinions And Expectations Of Cancer Patients And Families About Home Care, Nuran Tosun, Hatice Sutcu Cicek, Birsen Celik

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: This research was conducted as a descriptive study in order to determine the opinions and expectations of cancer patients and their families about home care.

Methods: This research was conducted in GMMA Medical Oncology and Hematology Department between October 2012 and April 2013. The sample of the study was included total of 200 participants consisting 100 cancer patients and 100 family members of cancer patients who accepted to participate the study. As the data collection tools, form of socio-demographic and medical characteristics of the patient and families, and form of opinions and …

The Mediating Effect Of Triglyceride/High Density Lipoprotein Cholesterol Ratio On Inflammatory Markers And The Metabolic Syndrome In The Postmenopausal Women, Jen-Chen Tsai

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The metabolic syndrome (MS) has relatively high prevalence in postmenopausal women. The high incidence of MS in menopausal is corroborated by numerous factors including central obesity, dyslipidemia, decreased glucose tolerance, and increased pro-inflammatory. However, few studies have investigated the most significant risk components of MS especially in postmenopausal women. This study was designed to explore the associations among inflammatory parameter (mainly the interleukin-6, IL-6), insulin resistance, triglyceride/high density lipoprotein cholesterol (TG/HDL-C) ratio and MS in postmenopausal women; and (2) to identify the most prominent risk indicators in the development of MS among …

Pregnancy After Solid Organ Transplantation, Jane M. Kurz

International Nursing Research Congress (INRC)

The purpose of the study was to explore the reproductive decision-making process with female organ transplant recipients (renal, lung, heart & liver transplants).

Bedside Shift Report: A Patient-Centered Approach To Improving Satisfaction Scores, Donna Reinbeck

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background: In 2001 the Institute of Medicine report, Crossing the Quality Chasm, included patient centeredness as one of its six overarching aims for improving the health care system. Patient centered care can be defined as, 'improving health care through the eyes of the patient', often measured by patient experience surveys such as the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Improving the patient experience involves changing the current culture of the way nurses practice and communicate with each other and with their patients. One way to improve these communications is to …

Spirituality: A Cultural Strength For Young People Living With Hiv, Sharon T. Smith

International Nursing Research Congress (INRC)

Purpose: The empirical evidence of the relationship between religion and spiritual beliefs on health outcomes, including adjustment to chronic illness, continues to grow. While spirituality is considered important for a significant percentage of the population, it is surprising that there remains a paucity of research on spirituality and HIV in adults. Fewer still have examined the role of spiritual beliefs and practices in the lives of young adults with HIV. The research on spirituality and HIV in adults has been very minimal and even less has been done on the impact spirituality has on young adults with HIV. The specific …

Academic Practice Partnerships And Nurse Residency Programs, Donna M. Glynn

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015:

This symposium will provide the background and other key information on the VA Boston Healthcare System's NERVANA Post Baccalaureate Nurse Residency Program. Recognizing the need for a nurse residency program to ensure successful transition to practice, this presentation will include a discussion regarding academic practice partnerships and the specifics related to curriculum development.

Chronic Stress, A Cardiovascular Risk Factor, Linked To Societal Integration In Teenage Immigrants Of African Descent, Cheryl Zlotnick, Hadass Goldblatt, Daphna Birenbaum-Carmeli, Efrat Shadmi, Omer Taychaw

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: This study examines the nature of disparities in cardiovascular risk by exploring the impact that chronic stressors and other cardiovascular risk factors have on the integration of youth of African descent into an industrialized society. New immigrants must leaRNhe ways and culture of the new society before they can fully integrate into its fabric (i.e., cultural acquisition).

Methods: Qualitative data on cardiovascular risk and acclimation to the dominant society were collected from three groups of key informants: (1) community leaders; (2) youth; and (3) a community advisory group.

Results: Youth of Ethiopian …

Comparison Of Face-To-Face And Distance Learning Teaching Modalities In Delivering Therapeutic Crisis Management Skills, Jennifer S. Graber

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The purpose of this study was to compare effectiveness and student satisfaction of distance education versus face-to-face interaction in delivering therapeutic crisis management skills content to Associate Degree Nursing (ADN) Students as measured by test scores, overall grade point average (GPA), class grade, and student satisfaction survey results. One group of students was taught via face-to-face interaction in the traditional classroom setting with case studies and group work. The other group of students was taught via distance education with the same instructor presentation followed by the same case studies and distance education …

Harm, Threat, Or Challenge, Nursing Students In Clinical Education Settings, Constance Ann Thomas

International Nursing Research Congress (INRC)

The majority of students in a baccalaureate nursing program are traditionally new graduates from high school. The research shared the need for educating nursing students about incivility and methods for responding to it when encountered in a clinical education setting, and to gain insights on what events or behaviors students identified as uncivil as well as their emotional and behavioral responses to those events. The background for this research included studies on incivility that were conducted internationally and in the United States. Empirical research studies were reviewed for incivility on general workplaces, employed nurses, nursing education, clinical settings, faculty incivility …

Verbal Abuse: The Invisible Wounds Experienced By Military Wives, Linda Carman Copel

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The specific objectives of this study were to describe the experience of verbal abuse by military spouses, determine if the experiences of verbal abuse were antecedents to other types of abuse, and construct a model to explain the experience of verbal abuse for military spouses.

Methods: A phenomenological research design was used to address verbal abuse as it was experienced by female military spouses. The population was adult women married to spouses presently serving in the United States Armed Forces. These women were currently participating in either individual counseling or a women's …

Building A Research Career Focused On A Stigmatized And Marginalized Population Group: Alcohol Use Among Sexual Minority Women, Tonda L. Hughes

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Substantial health disparities related to sexual orientation are now well documented, e.g., in major reports from the U.S. including Healthy People 2020 and the Institute of Medicine. Some of the largest disparities have been found in comparisons of sexual minority and heterosexual women's use of alcohol. At nearly every developmental stage sexual minority women (SMW) are substantially more likely than their heterosexual counterparts to drink, to drink heavily, and to experience alcohol-related consequences. Reasons for SMW's disproportionately high rates of hazardous drinking are poorly understood - largely because so little research has been …

Exploring Symptom Clusters In Individuals Undergoing Surgery For Pancreatic Cancer, Sherry A. Burrell, Suzanne C. Smeltzer, Theresa Pluth Yeo

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: The aims of this primary nested, longitudinal, exploratory study were to explore self-reported symptom profiles to identify the presence of and changes in symptom clusters (SCs) and factors that influence the severity of the SCs in individuals with stage II pancreatic cancer (PC) before and at three, six, and nine months after surgery alone or in combination with adjuvant chemotherapy or chemoradiation therapy.

Methods: This primary nested, longitudinal, exploratory study was conducted within an ongoing single center, prospective, randomized, double-blind, placebo-controlled clinical trial of ethanol celiac plexis neurolysis versus placebo for pain …

Evaluation Of Health Care Worker Vaccination Rates In Utah Outpatient Clinics, Karlen E. Luthy, Janelle L. B. Macintosh, Renea Beckstrand, Lacey M. Eden

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The purpose of this study was to explore vaccination rates of health care workers (HCW) employed in the outpatient clinic setting in Utah. It was hypothesized that Utah outpatient clinic settings (namely pediatric clinics, family practice clinics, and oncology clinics) mirrored the established vaccination policies of Utah HCWs employed in the in-patient hospital setting and the recommendations of the Utah Department of Health.

Methods: Institutional Review Board approval was granted for this study prior to data collection. The study included a convenience sample of 178 clinic managers of Utah pediatric, family practice, …

International Collaboration: Promoting Global Citizenship, Cultural Competence, And Leadership Skills Among Baccalaureate Nursing Students, Tauna Fleming Gulley

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015:

In order to provide quality health care, nurses must apply knowledge, leadership and communication skills. In addition, the professional nurse must develop the necessary skills to provide culturally appropriate care in the multicultural environment in which we live. Nurse educators must provide experiences that facilitate the development of these skills. Nursing students at The University of Virginia's College at Wise have been traveling to Body and Soul Ministries of Belize, Central America, during Spring Break for the past six years to provide healthcare for residents of a small multicultural community. One of the …

Selecting Variables Of Study Aligned With Models Of Caring, Tara M. Nichols, Janina Sweetenham Bywater, John W. Nelson

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: This session will have two sub-sessions each reviewing a unique model of care. The first model of care, Caring Behaviors Assurance System (CBAS), is currently being used in about 50% of the National Health Service (NHS) of Scotland. Caring, as proposed by Swanson's theory, was selected as a construct for measurement as it is proposed as a primary variable of quality of care. Development of a context of caring, using a formal model of care to structure operations and data analyses, was proposed to positively impact both patients and employees. A key strategy …

Onsite Integrative Clinics: Acupuncture, Positive Patient Outcomes, Frequency Of Provider Visits, Sherry I. Shoemaker

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: There is limited information about outcomes of care, resource utilization, and associated costs for patients who receive acupuncture in integrative health settings. The purpose of this study was to address this gap through the following aims: To examine: (1) changes in patient pain levels pre/post acupuncture treatments; (2) relationships between receiving acupuncture treatments (number of treatments, length of time, select demographic factors, (age, gender), pain level pre and post acupuncture treatments; (3) relationships between number of treatments, length of time, age, gender, pain level (pre/post acupuncture treatments) and provider visits (pre/post acupuncture …

Guided Participation To Support Parental Caregiving: Models, Processes And Outcomes, Karen Pridham, Rana Limbo, Tondi M. Harrison

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

This session will include three presentations on the topic of parental caregiving in conditions of threat to the offspring. First, a theoretical model for understanding parental caregiving will be presented as a framework or context for the following two presentations. The theoretical framework encompasses co-parenting, its motivations, and its qualities will be described. A longitudinal study of parents who have an infant with complex congenital heart disease will provide evidence for the model. The presentation that follows will focus on parental caregiving in the context of perinatal loss, specifically threatened abortion and stillbirth. …

Mental Health Standard Operating Procedure: An Educational Program For Veterans Administration Nurses, Linda Casale

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The suicide rate of veterans under the care of nurses trained with the Mental Health Standard Operating Procedure (MHSOP) education model will be lower than the suicide rate of veterans under the care of nurses not trained with the MSHOP educational paradigm.

Methods: Systematic Review Results: The eight studies fell within the inclusion criteria were then submitted to a data extraction and appraisal process based on principles by the University of York NHS Centre for reviews and Dissemination (Greenhalgh, 1997). The process involves a checklist of the following seven steps: author, aim …

Is Emotional Intelligence An Important Concept In Nursing Education?, Jennifer Lynn Kolker

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Advances in medical treatments and shorter hospitals stays necessitate nurses who possess a high level of working knowledge in both disease processes and the technology to treat them. Nurses are expected to not only be skilled technicians, but they are required to have a high capacity for compassion, empathy, leadership, flexibility, resiliency, and resourcefulness. Working nurses know that the care of an individual is more than the completion and assessment of tasks; it's holistic care and a relationship with the individual that makes nursing care successful. Therefore, the careful education of today's nurses …

Student Preparation For Nclex, Brenda Orazietti, Mina D. Singh

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Implementing a standardized testing program: preparing students for the NCLEX-RN. The undergraduate nursing faculty of a large Midwestern university initiated a program of standardized computerized testing for two purposes: to provide students experience with standardized computerized testing prior to taking the National Council Licensure Exam for Registered Nurses (NCLEX-RN) and to increase the students' NCLEX-RNassing rate.

Methods: This article chronicles the process of implementing a comprehensive testing program developed by the Assessment Technologies Institute.

Results: Although the first class of students to have taken the entire testing package has just graduated, midprogram …

Contextualization Of Health Interventions: Community-Based Health Care In Papua New Guinea, Carol J. Bett

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Contextualization of health interventions requires a paradigm shift from the curative, biomedical model to a health promotion focus that emphasizes community empowerment. Successful community health interventions involve engagement of the community as an entity in addressing health disparities. The development of local level resources that lead to improved health indices requires an awareness of both the cultural context and the relational components of social capital that link people within the community. Social capital has been defined as resources that are an inherent part of a social group and the elements of social …

Impact Of Real-Time Prediction Model-Enhanced Clinical Decision Support Systems On Nursing Sensitive Patient Outcomes: A Review Of The Literature, Alvin Dean Jeffery

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015: Background: The popularity of 'big data' along with an increasing capacity for real-time predictive analytics to augment clinical decision support systems (CDSS) within electronic health records has led to rapid innovations. Hundreds of complex prediction models have been developed for healthcare-focused outcomes over the last few years, and many of these are able to incorporate data from dozens of variables in real-time while providing a probability of a particular event. While these models can be highly accurate, the ability of these systems to influence patient outcomes is relatively unknown. Furthermore, most of the …

Psychometric Evaluation Of The Diabetes Self-Management Instrument-Short Form (Dsmi-20), Chiu-Chu Lin, Chia-Lun Lee

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: To streamline a clinical tool for use with people with diabetes. This study aims to evaluate the psychometric properties of the Diabetes Self-Management Instrument-short form (DSMI-20).

Methods: The short form Instrument (i.e., DSMI-20) was revised from our previous instrument ( i.e., DSMI-35) through in- depth small group discussions and expert validation, and tested it via pilot tests and item analysis. We verified it by exploratory factor analysis (EFA) and correlation with an empowerment scale. Reliability testing included inteRN consistency and test'retest reliability that were estimated by Cronbach's alpha and Pearson correlation coefficients. …

Does Investing In Nurse Staffing Provide Dividends?, Diane Esma Twigg, Christine M. Duffield, Helen Myers, Margaret J. Giles

International Nursing Research Congress (INRC)

Session presentd on Monday, July 27, 2015:

Purpose: Over a decade of research has established that better nurse skill mix and staffing levels are linked to positive patient outcomes in hospital settings. Hospital executives are more likely to support a richer skill mix or increased nurse staffing levels if these decisions can be shown to be cost effective. This paper will discuss the evidence in regard to the cost effectiveness of increasing nursing hours or skill mix to improve patient outcomes. It will highlight the evidence to date to guide nurse leaders in staffing decisions and make recommendations on future …

Utilization Of Genomics To Advance The Care Of Chronic Disease In Diverse Populations: Case Study: Hepatitis C, Cathy M. St. Pierre, Julie Lynch

International Nursing Research Congress (INRC)

Purpose: The purpose of this presentation is to describe how the use of genomics in culturally diverse populations, can positively impact on the treatment of chronic diseases such as hepatitis C. The results of this study are based on a national sample of over 2,000 veteran patients diagnosed with hepatitis C who seek care from a Veterans Health Administration (VHA) facility in the USA. Background: Advancements in genetics can inform health care practices. It is currently estimated that approximately 150 million people worldwide are living with chronic hepatitis C (HCV). Hepatitis C is a devastating disease which contributes to significant …

Best Practices In Using Secondary Analysis As A Method, Katharine A. Green

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Health care researchers frequently use secondary data analysis as an efficient and cost-effective method to study large populations or multiple data sets relating to individual subjects. There are many issues related to the use of secondary data analysis, including both benefits and areas that are of more concern. The emergence of multiple data streams and concerns about subject privacy are current issues in use of the method. While data sets may be readily accessible or relatively restricted, health care researchers should be aware of issues and implications before using secondary analysis as …

Symptoms In Breast Cancer Survivors Who Have Completed Primary Therapy, Faith A. Strunk, Geri Wood, Terri S. Armstrong, Richard L. Theriault, Diana L. Urbauer, Bryan M. Fellman

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The purpose of this study was to determine whether symptom burden differed according to survivor status (early [less than 3 years post completion of primary therapy], as opposed to long-term [years 3 through 5], survival) and/or use of endocrine or hormonal adjuvant therapy.

Methods: In this exploratory, cross-sectional study, data were collected on 133 survivors, using the MD Anderson Symptom Inventory, Karnofsky Performance Status, Charlson Comorbidity Index and a demographic/health history form. We analyzed symptom burden by survivor status and use of adjuvant therapy utilizing a 2-way ANOVA model.

Results: Patients who …

Depression And Quality Of Life Outcomes Of Adolescents Post Bariatric Surgery: A Systematic Review, Joyce Kelly Graves

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: This systematic review summarizes the reported changes in depression and quality of life among adolescents post bariatric surgery. Also appraised were the choice of tools to measure depression and quality of life, length of follow-up, plus age and gender trends in bariatric surgery among adolescents.

Methods: Electronic searches in Medline, Cochrane, CINAHL and Web of Science were searched until November, 2014 for trials assessing depression and quality of life in adolescents after bariatric surgery. Grey literature and dissertations were not included.

Results: Ten studies, comprising of 347 subjects with an age range …