Digital Commons Network^™

Beyond The Lack Of Resources: Nurse Managers' Perspectives On Communication In Rural Settings, Sheila Q. Hartung

International Nursing Research Congress (INRC)

Background: There is increasing awareness that poor communication is at the root of many chronic problems in healthcare. While poor communication and lack of teamwork of healthcare providers have been demonstrated to be harmful to patients and the healthcare team, nurse managers and administrators are challenged to respond appropriately to these threats to a healthy work environment. Other challenges to the rural setting such as geographic diversity, features of the physical environment, and population density impact how professional staff and nurse managers interact. However, few studies have focused on nurse managers' view of their impact on communication and, thus, the …

Maternal-Child Health Nurse Leadership Academy, Cynthia Vlasich, Karin C. S. Minnie, Kay Clevenger

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Celebrating over 10 years of success, the Honor Society of Nursing, Sigma Theta Tau international, has advanced the leadership skills of Maternal and child nurses and nurse midwives in its 18-month Maternal Child Health Nurse Leadership Academy (MCH). This academy was developed and continues to be supported in partnership with Johnson & Johnson. MCH is designed to develop and enhance the leadership skills gained and apply them in health systems for long term and sustainable impact. Over the duration of the academy, mentees are paired with mentors and faculty advisors to plan and …

Taming Sepsis: Simulation-Based Educational Program, M. Isabel Friedman, Barbara A. Devoe

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015: Purpose: The purpose of the Taming Sepsis Education Program was to assist nurses in the early identification and prompt treatment of patients in the sepsis continuum. The multimodal design utilized online learning and replicated scenarios using human patient simulators affording the application of evidence based practices. The overall program goals of TSEP were to: Decrease the mortality rate of patients with severe sepsis and septic shock Implement evidence-based sepsis bundles throughout the North Shore-LIJ Health System (NSLIJ) hospitals Utilize simulation as an integral part of a comprehensive educational program designed to instruct clinical …

Challenges Associated With Bringing High Fidelity Simulation To Rural Campuses, Ann Scott, Amber Proctor Williams

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Due to advances in nursing education, and in response to the increasing complexity of patient care today, high fidelity simulation has been incorporated into nursing curricula. Today, nursing schools are challenged by shortages of faculty, clinical sites, and capital. These are more evident in rural areas. Simulation is a learning environment that contributes to the students' ability to gain knowledge, attain skills, ensure patient safety, and build confidence. Simulation allows for specific learning experiences that correlate with content to enhance the overall learning environment of the student. Simulated experiences are more critical than …

An Evidence-Based Intervention To Improve Vaccination Rates For Seasonal Influenza Among Registered Nurses, Debra A. Maitre

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015.

Seasonal influenza continues to cause the hospitalizations and deaths of tens of thousands every year in the U.S. (National Foundation for Infectious Diseases, 2008). Vaccination of healthcare workers for influenza has been recommended for more than 30 years (Willis & Wortley, 2007) and reports of transmission of influenza by Registered Nurses (RN) to patients are well documented. In spite of these facts, RN vaccination rates remain below the recommended target of 90% (U.S. Department of Health and Human Services, 2012). Evidence suggests that RNs who refuse influenza vaccination are less knowledgeable about influenza, …

Facilitating Positive Professional Practice Environments, Cathleen S. Opperman

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015:

Background: Healthcare is challenged to reinvent itself to be quality driven, fiscally sound and evidence based, while its workforce is aging and the population of baby-boomers needing care, is growing. A positive professional practice environment is vital to assure safety of patients and staff, improve professional staff recruitment and retention and sustain an organization's financial viability. Nurse Managers and Leadership are reported as the single greatest influence on the professional practice environment, either positive or negative. This project was to review the literature for definitions, benefits and methods to facilitate positive professional practice …

Speaking Locally, Influencing Globally: Promotoras Evaluate A Culturally Sensitive Intervention To Promote Mexican-American Cancer Caregiver Coping And Health, Jo Nell Wells, Carolyn Spence Cagle

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Problem: Mexican Americans (MAs) carry an unequal burden of cancer in the United States and often receive care from a family member at home. MA family cancer caregivers (MAFCGs) experience role-related emotional stress and negative physical consequences related to unmet information needs. How well the MAFCG copes with stress can affect how well the patient copes with the cancer illness. Spanish speaking MAs need representation in cancer research studies to provide an empirical base for developing culturally relevant health care interventions. One factor that limits research with MAs is the lack of Spanish …

Perceptions Of Cultural Competence Among Nurse Practitioners, Carolina Huerta

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: Nurse practitioners are at the forefront in providing quality care to diverse populations and must become cognizant of the importance of cultural competence in caring for diverse patients. The purpose of this study was to examine perceptions of cultural competence and its integration in the delivery of health care in nurse practitioners practicing in a Mexican-American region of South Texas.

Methods: A descriptive, qualitative design using grounded theory and purposive sampling was utilized for this study. Sixteen nurse practitioners, fourteen females and two males, participated in the study. Qualitative data collection was …

Outcomes Of A Bystander Intervention Service Learning Project In A Pre-Licensure Nursing Program, Desiree Hensel, Kim Alexander Decker

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: The purpose of this project was to explore outcomes from the integration of a bystander intervention, service learning project into a pre-licensure nursing program. The bystander effect is a well- known social phenomena where ambiguity and diffusion of responsibility result in the failure of individuals to assist others in need (Bennett, Banyard, & Garnart, 2014; Darley & Latane, 1968). Alarming trends in preventable injuries and assaults among college students have led some campuses to explore ways to teach bystander intervention as a means to improve safety and well-being (Coker et al., 2011; …

Evaluating Cultural Competency: A Theory-Driven Integrative Process/Outcome Evaluation Of An Associate Degree Program, Nancy E. Peer

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The purpose of this research study was to determine through techniques associated with program theory-driven evaluation science (Donaldson, 2007) whether the program inputs of an associate degree program, located in a culturally diverse urban location, can produce intended program outcomes. These program outcomes are aligned with the definition of cultural competence for nursing students: cultural attitude, cultural knowledge, and cultural skill (AACN, 2008), and have been adopted by the accrediting organization for Associate Degree Nursing Programs (ACEN, 2013). The current research reviewed the extent to which nursing students meet the program's accreditation …

Improvement Of Maternal-Child Health (Mch) Through A Community-Oriented Mch Project In Ethiopia, Kyung-Sook Bang, Insook Lee, Sun-Mi Chae

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: This study aimed to explore the effects of a community-oriented Maternal-child health (MCH) project in Ethiopia initiated and supported by Korea international Cooperation Agency (KOICA).

Methods: One group pre-post design was used. The project was intervened in a rural area, Kihen of the Tigray regional state in north Ethiopia. The inclusion criteria of the study were women aged 15 to 49 who were married and resided in Kihen. The number of the women participated in the study was 927 for pre-test and 409 for post-test. A complete baseline survey was done for …

Student Perception And Appraisal Of A New Interventional Model To Prepare Them For Entry Into Maternal-Infant Clinical Rotations And To Reduce Anxiety, Darlene A. Showalter

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Introduction: Nursing students experience stress and anxiety in clinical rotations; especially in unfamiliar areas. Specialty nursing courses, such as Maternal-infant nursing, often require clinical rotations that are short and intense, laden with complex concepts, new topics, and nursing skills peculiar to the specialty.

Objective: To evaluate the impact of a new interventional model with a clinical simulation upon student perception of readiness for entry into Maternal-infant clinical rotations and their level of anxiety.

Method: As part of a course improvement project, 153 senior baccalaureate nursing students who enrolled in the Maternal-infant nursing course …

Utilizing Student Outcome Data From A Three Year Interprofessional Clinical Practice Team Grant To Develop Effective Nursing Leadership Education, Susan J. Kimble, Margaret Brommelsiek, Heather Gotham

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Background: This project extended experiences in two urban clinics utilizing collaborative healthcare teams of advanced practice nursing students alongside Pharm D and Dental students. This project enhanced interprofessional education (IPE) efforts, where students gained advanced knowledge and skills in caring for vulnerable medically underserved populations. The project was the first clinically-based IPE activity at this midwestern university focused on nurse leadership and the importance of developing patient focused team based care.

Methods: The project provided innovative opportunities for IPE by incorporating team based primary care, collaborating with two urban clinics. Prior to clinical …

The Better Nurse Work Environment And Positive Safety Climate: A Cross-Sectional Study, Edineis De Brito Guirardello

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Background: Nursing staff in the multidisciplinary team has an important role to be the great articulator of any assistance that is provided to patients. Usually they are not recognized by their duties nor the environment offers favorable conditions for their practice. Thus, the work environment and other variables such as the level of burnout, the perception of quality of care and the perception of patient safety culture can compromise the performance of these professionals. Purpose: To investigate registered nurses and nursing techinicians' perceptions of the work environment and their relation to patient safety …

Teacher-Learner Connection: Nursing Students' Perceptions Of Contributory Educational Interactions In Associate Degree Practice Experiences, Terri P. Worthey

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The purpose of this interpretive phenomenological study was to enhance understanding of associate of science in nursing (ASN) students' perceptions of the teacher-learner connection and contributory educational interactions within practice experiences. Interpretation of students' lived experiences within senior practice experiences was explored. Additionally, insight into students' perceptions of inviting behaviors and learning partnerships within nursing practice environments was enhanced.

Methods:

Design: An interpretive phenomenological design was integrated with hermeneutic interpretation to enhance understanding of senior ASN practice experiences. Eleven ASN graduates from an accredited university in the Southeastern United States were included …

Reverse Discrimination? Wages Of Internationally Educated Nurses Working In The United States, Sat Ananda Hayden

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: The purpose of the research was to identify sources of differences in income among internationally educated working in the United States nurses (IENs). The significance of the study is drawn from recent findings that IENs working in the United States eaRN greater hourly wage than nurses educated domestically (USRN. While nursing wage scholars report that IENs eaRN more favorable wage, there have been no studies exploring the source of the difference. The study was driven by the desire to understand if all IENs eaRNomparable wages, and, if not, to discover the source(s) …

Contextual Basis For A New Educational Intervention On Living Kidney Donation And Transplant For American Indians, Nancy L. Fahrenwald

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: American Indians disproportionately experience numerous chronic health conditions that contribute to renal disease and failure. Prior to this study, there were no known empirically-tested educational programs on living kidney donation and transplantation (LKDT) designed for American Indians who experience renal failure and who may be eligible for a kidney transplant. The purpose of this study was to qualitatively explore the contextual factors impact LKDT attitudes and educational needs among American Indians. Findings informed the development and future testing of a LKDT educational intervention.

Methods: The study used a community based participatory research …

Publishing Roles: A Career Road For You, Susan Gennaro, Bernadette Mazurek Melnyk

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: There are many benefits to pursuing a career path in the publishing world, including opportunities to keep abreast of the latest knowledge, research, developments and innovations in your field and be recognized as an expert in your area. The purpose of this presentation will be to describe how to develop a career path in publishing and highlight both the benefits and challenges associated with various publishing roles.

Target Audience: The target audience for this presentation is nurses with an interest in career roles in publishing, whether in the clinical or academic arena. …

Outcomes Of Positive Interactions Between Injection Drug Users' And Their Nurse In An Acute Care Setting, Kimberly A. Dion

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: To describe the injection drug users' (IDU) perceptions of received nursing care in the acute care hospital setting. Substance misuse and abuse is a global issue. It has been well documented that stigma and discrimination of the IDU exists among health caregivers (Myers, Fakier, & Louw, 2009; Neville & Roan, 2014), but there is a dearth of research on the care received from nurses by IDUs. Understanding the experiences of the IDU receiving care from a nurse is imperative in order for nurses and researchers to gain insight into new ways to …

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 …

Information Needs Of Neonatal Intensive Care Parents: A Scoping Review, Kadeen N. Briscoe, Mina D. Singh

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The purpose of this scoping review was to identify and describe what is known about the information needs of parents with preterm infants during hospitalization.

Methods: A scoping review of extant literatures published since 1991 was conducted using Cumulative Index to Nursing and Allied Health, Nursing and Allied Health Source, Ovid Medline, Scopus, PubMed, Google Scholar and Google. The key term search strategy was employed using: information needs, parents, parenting, mother, father, neonatal intensive care, preterm, premature, and infant. Data collection included study citation, type, objective, methodology, participants, and identified information needs. …

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 …

Effects Of An Asthma Disease Management Program For Individuals With Asthma, Chi-Hsuan Asphodel Yang, Wan-Fen Chiou

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Background: Asthma is a serious global health problem affecting all age groups with increasing prevalence and raising treatment costs. To enhance the care of individuals with asthma, National Health Insurance Administration implemented 'Asthma Management Program' in 2001. Since then, numerous studies had conducted to evaluate the effect of the program, focusing on the effect of medical utilization with either short term or one-time follow-up, yet only scant studies have focused on the outcomes such as self-care ability, asthma control and quality of life.

Purpose: This study used a repeated measure approach to evaluate …

Effectiveness Of Computerized Adaptive Program On Academic Success In A Medical Surgical Nursing Course, Rose R. Schwartz, Mary Francis

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Traditional baccalaureate nursing education has focused on dissemination of information using lecture as a medium. This teaching-learning strategy places students as a passive observer in the classroom experience. Chickering and Gamson (1987) argued that student-faculty interaction, cooperation among students, active learning, prompt feedback, time devoted to academic work, high expectations, and respect for the diverse talents and ways of learning of each student are essential to optimal learning. Achieving these practices in a large classroom environment presents challenges to both the student and faculty. One approach to address several of these practices …

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 …

Evidence Leveling: Electronic Health Record (Ehr) Choice For Perceived Nursing Benefit, Usability, Acceptance And Satisfaction, Deborah M. Judd, Kay M. Sackett

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Purpose: Dissemination of extensive integrative review and evidence leveling regarding perceived EHR benefit, usability, acceptance, and satisfaction among nurses and factors associated with acceptance and satisfaction of EHR adoption/utilization from a qualitative anecdotal/focus nursing group -- RNn=28) and NP (n=10) groups. The EHR should be both disciplinary specific unique and interdependent aspects visible and understandable (Keenan & Yakel, 2005, p. 385). Nursing leadership determined nurse satisfaction an essential indicator of patient care quality (Kossman & Scheidenhelm, 2008). Methods: This integrative review leveled evidence of RNHR-MU with perception of benefit; usability, acceptance, satisfaction 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 …

Teaching Nursing Students To Provide Patient-Centered Transitional Education To Heart Failure Patients Using A Peer Teaching Strategy, Margaret A. Avallone, E. Renee Cantwell

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015:

Background: Heart failure (HF) affects an estimated 26 million individuals across the world and is the leading cause of hospitalization in the United States and Europe (Ambrosy et al., 2014). In the United States, up to 20% of patients hospitalized for HF are readmitted within 30 days (Fida and Pina, 2012). Approximately 80% of patients with HF are over the age of 65 and are challenged to learn complex self-care skills to manage this syndrome (Ding, Yehle, Edwards, & Griggs, 2014). Nurses must possess not only knowledge of heart failure self-care principles but …

Caring For Older Adults By First Year Nursing Students: A Holistic Approach To A Therapeutic Client-Student Relationship, Dora Maria Carbonu, Alison Coman

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: First Year Nursing Students in the Bachelor of Science in Nursing (BScN) Program at the Nunavut Arctic College are annually challenged to implement their first nursing practice theory and skills by utilizing a holistic approach to meeting the physical, mental, emotional, social, and spiritual needs of a group of older adults under their care.

Method: The students are required to conduct health history and client assessment on an assigned elder and develop a care plan to be met and evaluated, along with their clinical performance and reflective journals. In the 2014 academic …

Changes In Health Related Quality Of Life, Symptom Experience And Functional Status In Icu Survivors, Youn-Jung Son, Hye Yon Yu, Ji Hun Ahn, Youngrye Park

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015:

Purpose: The purposes of this longitudinal follow-up study were to describe change in symptom experiences, functional status and health-related quality of life (HRQoL) and to identify the role of symptom experiences and functional status on HRQoL of Intensive care units (ICU) survivors after discharge from adult ICU.

Methods: Patients who admitted in ICU for treatment their medical-surgical problems for a period of greater than 24 hours were included. Patients surviving to ICU discharge were approached for written consent to participate in this study. Total 213 patients during the study and of these 158 …