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An International Partnership For Nursing Education On Tobacco Dependence Treatment, Linda Patti Sarna, Stella Aguinaga Bialous, Marjorie Wells, Jenny Brook

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Tobacco use is the largest preventable cause of death, including cancer death, in both Czech Republic (CZ) and Poland (PL), annually responsible for 16,000 deaths and 67,000 deaths respectively. Tobacco prevalence in both countries remains a serious public health problem, with 2.5 million, or 36.9% of the population over the age of 15 years being smokers in CZ and 9.8 million, or 30.3% of the population over the age of 15 years in PL. Additionally, tobacco use among youth 13-15 years of age is very high at 39.8% in CZ and 23.3% in …

Evidence, Context, Facilitation: Improving Nurses' Translation Of Evidence Into Practice, Sally E. Lima, Fiona H. Newall, Sharon B. Kinney

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Much emphasis in undergraduate nursing studies is placed on the development of critical thinking, utilisation of research, and implementation of evidence based practice (EBP), with a view to delivering quality care. Similarly there is increasing recognition of the need to translate evidence into practice (Grimshaw, Eccles, Lavis, Hill & Squires, 2012). Healthcare organisations expect that practice will be based on quality evidence, however they also expect new nurses will 'hit the floor running', quickly gaining the clinical knowledge and skills necessary for practice (Wolff, Pesut & Regan, 2010). A number of papers, including …

Correlation Between The Cognitive, Functional And Physical Abilities Of The Elderly Packing Service, Alejandra Leija Mendoza, Maria De Los Angeles Villarreal-Reyna, Ana Laura Sr. Carrillo-Cervantes, Martha Alicia Magallanes-Monrreal, Juana Edith Cruz-Quevedo, Maria Magdalena Delabra-Salinas

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Purpose: To assess the correlation between the cognitive, functional and physical abilities of packer elderly volunteer in two commercial brands at Saltillo, Coahuila Methods: Descriptive correlational study between the cognitive, functional y physic abilities trough the Pfeiffer questionnaire, Barthel's index (AVD), Lawton & Brody scale and (AIVD) and the Senior Fitness Test; with 270 elderly people (AM) (n 1= 144 y n 2= 126 ) of two retailers in Saltillo, Coahuila, purposefully selected as they were presented at the time of data collection, which were processed through the statistical program SPSS V.21 Results: …

Music Does Soothe The Soul, Candy Bruton, Deborah F. Behan

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The purpose of this study is to measure heart rate, respiratory rate and O2 saturations on NICU babies when music is played at 55- 80 decibels to reduce stress in the irritable/fussy infant.

Methods: We used a comparative design to look at the heart rate, respiratory rate, and O2 saturations of neonates before and after music. If the neonate was determined to be irritable, which is crying for 5 minutes or more, we used physiological measures before and after music to determine statistical significance for the intervention. Infants in the NICU will …

Risk Factors For Bowel Obstruction And Effect Of Survival On Newly Diagnosed Colorectal Cancer Patients: An Example Of 2000-2009 Colorectal Cancer Cohorts In Taiwan, Pi-Ching Hsieh, Hui-Fang Su

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Bowel obstruction (BO) is major complication after resection of colorectal cancer, and is associated with increased mortality. The purpose of this retrospective cohort study was to investigate the incidence and risk factors for developing a new BO in a population-based cohort of colorectal cancer patients who had undergone surgery, and also to determine the effect of BO on survival.

Methods: A retrospective cohort study was conducted between 1997- 2010 using the National Health Insurance Research Database in Taiwan. The incidence of BO amongst 2000-2009 colorectal cancer cohorts and the associated risk factors …

Ethnic Differences In Vitamin D Levels And Comorbid Conditions In Low Income Childbearing Women, Jennifer G. Woo

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Vitamin D deficiency is associated with many chronic health conditions such as osteoporosis, hypertension, and diabetes. Persons who are obese have low vitamin D levels. Low vitamin D levels have also been observed in persons who have depression and have potential adverse effects in pregnancy. African Americans have typically lower levels of vitamin D than Hispanics, but wanted to see if this held true in a predominantly Medicaid patient receiving care at an underserved health care center. A descriptive study was conducted to determine if there are any ethnic differences in the levels …

Factors Associated With Sleep Disturbance In Midlife Women, Holly J. Jones

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The purpose of this secondary analysis is to describe factors associated with sleep disturbance in late pre-menopause and peri-menopause.

Methods: We conducted a secondary analysis of longitudinal data collected every 6 months (Time 1-8). A multiethnic sample of 158 women with a mean age of 48 (SD 2.20) remained in the study at 5 years (Time 8). Data extracted for this analysis include demographics, menopause status (determined by cycle regularity and urine FSH levels using STRAW criteria - a staging system for ovarian aging) anthropometrics (height and weight). Self-report data used for …

Extending Courtesy To Our Littlest Patients: Interdisciplinary Collaboration To Promote Skin To Skin For Neonatal Comfort, Adria Vincent

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background: Laboratory services sought collaboration to increase satisfaction in the perception of their courtesy towards the mother/infant population. Press Ganey scores were used to measure this perception.

Case: This project aimed to extend the practice of encouraging skin to skin and breastfeeding to our interdisciplinary colleagues .Our facility was on the Baby-Friendly jouRN (desigation obtained in October, 2014) and had already hardwired skin to skin contact into our standard nursing care. A review of the literature revealed multiple randomized controlled studies and a systematic review that provided evidence that infants who are placed …

Changes And Related Factors Of Stress, Depression, And Needs In Family Caregivers For Ventilator-Dependent Patients: A Pilot Study, Shiao-Pei Wang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: As aging population and critical care technique improving, patients with prolonged mechanical ventilator use increased which insults in longer hospital stay and over one fifth of healthcare utilization. The growing cost in Taiwan compared with ten years ago, increased nearly 200%. Under the integrated delivery system (IDS) care model for prolonged ventilator use patients, they transferred from intensive care unit to the step down units, so sub-acute respiratory care center (RCC) plays an important role between acute intensive care and long term care. In this process, patient's family encountered multiple dilemmas, such …

Differential Impacts Of Family Factors On Psychological Disorders Between Latina And Latino Americans, Cara L. Pappas, Amy L. Ai

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: As one of the two fastest growing minority groups in the United States (US), Latino Americans are expected to count for an estimated 30% of the national population in 2050 (US Census Bureau, 2010). Despite a rapidly growing Latina/o American population, few studies have investigated modifiable psychosocial factors that could protect Latina/os against major psychiatric disorders. The present gender-specific study explored psychosocial protective (Family Cohesion, Social Support, Religious Involvement, and Racial and Ethnic Identity) and risk factors (Negative Interaction) for major depressive disorder (MDD), general anxiety disorder (GAD), and suicidal ideation (SI) …

Prevalence And Factors Related To Fear Of Falling And Avoidance Of Activity In Postmenopausal Women, Sukhee Ahn

International Nursing Research Congress (INRC)

Purpose: This study was to identify the prevalence of fear of falling and avoidance activity and analyze the univariate and multivariate associations between demographic- and health-related variables and levels of fear of falling and avoidance of activity in postmenopausal women with at least mild fear of falling. Methods: Cross-sectional study in 541 postmenopausal women aged from 50 to 64 years was conducted via a stratified convenience sampling. A structured questionnaire was administered to subjects to measure demographic (age, education, living situation), health-related (perceived health status, osteoporosis diagnosed, experience of fall and fracture, and fracture history when fell down) and psychosocial …

Assessment Of Female Sexual Health By Advanced Practice Nurses In Primary Care Setting, Marina Moiseyeva, Aimee Uchytil, Jennifer Baxter

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Female Sexual Dysfunction (FSD), persistent, recurrent problems with sexual response or desire, affects an estimated 43% of women in the United States. Assessment of female patients' sexual health is infrequent and inadequate among Advance Practice Nurses (APNs). Research suggests that limited time and inadequate communication skills are barriers APNs face when initiating and completing sexual health histories. Female sexual health history assessment is important because it could be a sign of underlying medical conditions and sexual health and satisfaction is vital for the patients' overall well being. This study will examine primary …

Transitioning Novice Nurse Practitioners Into Practice Through A Blended Mentoring Program, Trisha L. Wendling

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

The role of the advanced practice registered nurse (APRN) has grown tremendously within the past 15 years. Continued growth is expected as APRNfill the gap in patient care responsibilities as a result of the reduction in resident physician work hours. Years of research have demonstrated the difficulty novice APRNexperience as they transition from RNo APRNSupport for the novice APRNhas been found to be a facilitating factor in the transition; however, there is no consensus in the literature as to what type of support is most beneficial. The Institute of Medicine (IOM) suggests a …

Exploration Of Swedish Nurses' Perception Of Nursing In Sweden, Kailee E. Carlson

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015: Purpose: According to the Swedish National Board of Health and Welfare, there is a shortage of nurses in Sweden. The number of patients assigned to each nurse has increased due to the shortage. Studies have noted that the increased patient load has impacted Swedish nurses ability to spend quality time with each patient. The purpose of this study was to explore Swedish nurses' perception of nursing in Sweden. Methods: van Manen's phenomenological approach was used as a design for the basis of this study. Following IRB approval, narrative data was collected by interviewing …

The Paths Of Social Support, Resilience, And Emotional Distress On Quality Of Life In Patients With Type 2 Diabetes, Ruey-Hsia Wang, Shyi Jang Shin, Yau-Jiunn Lee

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Background: Quality of life is an important health outcome for patients with Type 2 diabetes. Previous evidences have indicated that resilience, social support, and emotional distress are significantly associated with quality of life. However, the causal paths among social support, resilience, emotional distress, and quality of life have been less examined, especially in Asian populations with type 2 diabetes.

Purpose: The purpose of this cross-sectional study was to test a hypothesized model addressing the paths of social support, resilience, and emotional distress on quality of life in patients with type 2 diabetes.

Methods: …

Improving Medication Adherence In The Geriatric Population With Hypertension By Using A Teamlet Model With A Systematic Program Of Medication Reconciliation In A Primary Setting, Leticia Ann Ramirez

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

This scholarly project examines one way to improve medication adherence among elderly patients diagnosed with hypertension by educating clinical staff on the teamlet model. Decades of research have shown the consequences of untreated or under-treated hypertension, factors associated with hypertension management, and lifestyle/behavioral modifications essential for healthy living. Research on the importance of the health coach's interaction with primarily Hispanic elders who have hypertension and the effects on their medication adherence is lacking. An assessment of a family practice clinic was conducted to evaluate the suboptimal treatment of hypertension in the elderly population. …

Challenges Of Older People In Technological Disaster, Nahoko Okamoto, Chieko Greiner

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: As global aging progresses, disaster preparedness and resiliency of older people is becoming an issue because their special needs have not been well accommodated in the case of disaster relief. Technological disasters have a longer term impact on the health of the affected population than natural disasters. This study aims to analyze the challenges of older people in technological disaster situations.

Methods: The study was conducted in X city of Tokyo to where older people have been evacuated from an area severely affected by a nuclear power plant disaster. Older evacuees in …

Nurse-Led Patient-Centered Advance Care Planning: A Pilot Study, Diane E. Holland, Catherine E. Vanderboom, Ann Marie Dose, Cory J. Ingram

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background/Significance: Advance care planning (ACP) is necessary for aligning patients' treatment preferences with healthcare they receive when they are unable to speak for themselves. Undesired, burdensome treatment, the most troubling outcome when ACP has not occurred,1 will persist as long as patients are not proactively engaged in ACP before it is needed. Although ACP continues to be a growing United States national imperative and after 20 years of legislative support (Patient Self-Determination Act, 1991), ACP participation rates remain low2, likely due to a somewhat narrow focus on just completing a legal document. There …

Health Literacy Assessment Of University Employees With The Newest Vital Sign (Nvs), Joyce I. Karl, Jodi Mcdaniel

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Background/Problem: Health literacy has been defined as the ability to obtain, process, communicate, and understand basic health information and services in order to make appropriate health decisions. Research has consistently shown dire consequences for individuals and society if health literacy is not achieved. Over twenty years of research shows that health information is presented in a way that is not usable by most Americans. Almost 9 out of 10 adults have difficulty using routinely available health information from our health care systems, media, retailers, and community agencies. Health literacy is a stronger predictor …

Reducing Foley Catheter Days And Infection In An Acute Care Setting: Using The Urinary Catheter Bundle, Michelle Johnson

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Problem: Urinary tract infections (UTIs) are a common Hospital Acquired Infection (HAI). Approximately 80% of hospital acquired UTIs occur in the presence of a urinary catheter. Lengthy dwell time (time period in which an indwelling Cather is in the bladder) is an important contributor in catheter-associated urinary tract infection (CAUTI).

Purpose: This project translated evidence into an intervention to decrease CAUTIs on a medical unit that averaged above the National Healthcare Safety Network (NHSN) benchmark for CAUTIs during the first eight months in 2013.

Evidence: A systematic literature search was conducted using the …

An Inquiry Into The Undergraduate Nursing Students' Development Of Clinical Judgment, Martha Kay Lawrence

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Nurse educators strive to produce new graduate nurses with the competencies of the advanced beginner (Benner, Sutphen, Leonard & Day, 2010). Yet there is widespread recognition that recent graduates initially enter practice with limited preparation for providing safe nursing care to complex patients (Welding, 2011). Sound clinical judgment is an important aspect of providing safe care. Clinical judgment involves the nurse's grasp of patient needs and the decision to take action (Tanner, 2006). The nurse with sound clinical judgment skills views the patient holistically, readily grasps salient patient needs, and anticipates potential changes …

A Florida County's Special Needs Coordination During Eoc Activation For Tropical Storm Andrea, Montray M. Smith

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The Florida Division of Emergency Management (FDEM) assigns students to organizations to strengthen fundamental emergency concepts and develop skills necessary to work in emergency management. One student intern was assigned to the Jacksonville Fire and Rescue Department Emergency Preparedness Division, Emergency Operations Center (EOC), Duval County Special Needs department during the EOC Level II activation during Tropical Storm Andrea. Data collected during this activation included updating the county's Special Needs database on the local residents, an essential tool in public health and emergency management.

Methods: Quantitative methodology was used. Regional cross sectional …

Leaving Academia: Work Experiences And Career Decisions Of Former Nurse Faculty, Carie Denise Hancock

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Purpose: Faculty shortages are a primary obstacle to increasing the supply of potential nurses. Research indicates that few academically qualified nurses are choosing to work in faculty jobs. Among nurse faculty, reported tuRNer intention rates are high. Faculty departures for non-academic positions contribute to the growing shortage. There is no published literature about the experiences of former nurse faculty, or the factors that influenced departure decisions. The purpose of this research is to understand the faculty work experience and identify career decision factors from the perspective of former nurse faculty. There are three …

Primary Care Or Acute Care: Healthcare Access On A Coffee Farm Clinic In Rural Nicaragua, Jessica Alicea-Planas

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Nicaragua is a country with nearly 6 million inhabitants and is considered the second poorest country in Latina America. In Nicaragua rural areas contain 45 % of the country's population, yet 65% of the poor and 80% of the extreme poor live in these areas. Rural poverty is often more profound than urban poverty, with rural communities facing multiple challenges which may put them more at risk for negative health outcomes. Migrant workers, especially, are considered a marginalized population and may face an assortment of health challenges like infectious diseases, chemical and …

A Pilot To Improve Professional Competence And Safety Through The Use Of Clinical Information Systems And Healthcare Technology In Nursing And Allied Health Clinically-Based Courses, Elizabeth D. Katrancha, Nickole M. George, Dawn M. Drahnak

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The goal of this project is to develop, implement, and evaluate an innovative teaching strategy designed utilizing a simulated clinical information system (CIS), specifically a simulated electronic health record (EHR), within the classroom and simulation lab. Concepts central to utilization of clinical information systems are introduced early in the program, but hands on experience with these technologies is limited. Providing access to and experience in the use of a simulated EHR as part of the curriculum will allow faculty to guide students in developing the skills necessary to become safe, competent practitioners. …

Intentional Touch For Healing Mind Body Spirit, Beverly K. Byers

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: To determine the number of publications and their findings regarding intentional touch and healing on the human body, mind, and spirit.

Methods: A systematic review of appropriate databases was conducted following the prescribed criteria for the steps of the review process.

Results: A diligent search located published articles relating to intentional touch and the effects on the body, mind, and spirit. Articles were analyzed and results of each article were summarized.

Conclusions: The systematic review revealed the number of publications regarding intentional touch and healing. It includes a compilation of the findings …

The Impact Of Barcode Medication Administration Workarounds On Medication Safety, Tiffany Ann Truitt

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Barcode medication administration (BCMA) is designed to intercept medication errors that may occur during the administration stage of the medication process. BCMA is an advanced technology that ensures: verification of the five rights of medication administration, real-time documentation of medication administration, and compliance with hospital policies and procedures. BCMA enhances efficiency and accuracy of medication administration; however, when BCMA design does not reflect nursing practice, blocks in workflow occur. These blocks require nurses to problem solve in order to complete medication administration tasks in a timely manner. Therefore, an extensive review of the …

Development And Pilot Testing Of A Social Media-Based Educational Sexual Health Intervention, Monica Lee, Krista L. Jones, Martha Dewey Bergren, Kelly Bojan

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

The purpose of this project was to develop and determine the impact of a social media educational intervention on sexual health among 18-24 year olds residing in a Midwestern metropolitan city, as compared to self-exploration of educational resources delivered via a website. This evidence-based pilot project utilized pre- and post-test data for outcome measures. Forty-six participants were recruited, 23 randomized to 'like' a Facebook fan page (intervention) and 23 directed to view a website (control) containing links to educational material regarding sexually transmitted infections/human immunodeficiency virus (STI/HIV). The website did not change throughout …

Academic Leadership In Baccalaureate Nursing Programs: A Literature Review, Amanda C. Reichert

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Background: The aging population, lack of succession planning and leadership development in health care, and long term effects of America's economic down tuRNn 2008, have been identified as factors contributing to the imminent health care leadership crisis forecasted in the coming decades (Balogh-Robinson, 2012; AACN, 2014). By 2025, a shortage of between 300,000 and one million nurses is predicted (IOM, 2011). As a result of the aging workforce, seventy-five percent of nursing's current leaders will leave nursing by 2020 (IOM, 2011). Recruiting and retaining faculty is a major challenge facing nursing education leaders …

Resiliency Promotion Programs For School-Aged Children Of Military Members, Katherine-Marie Von Brincken Conover

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Resiliency promotion programs are created with the intention of increasing participant's ability to overcome challenges. School-aged children are an ideal developmental group to provide resiliency education. Stressors such as parental absence, frequent relocations, and inconsistent adults in children's lives can negatively affect the ability of children to succeed in adulthood. In this comprehensive exam, resiliency promotion programs are reviewed and evaluated for efficacy.

Methods: Declerq et al.'s six-step, population-based needs assessment, as modified by Morgan and Bibb (2011), was utilized for this comprehensive exam. PubMed and Cumulative Index to Nursing and Allied …