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The Helpful And Hindering Actions Of Others As Women Recover From Postpartum Depression, Pamela Williams

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: This study was conducted to describe and understand the experience of recovery in women who have recovered from PPD. Many women, as many as 15% or more in some studies, experience a perinatal mood disorder of varying severity. Understanding the experiences of women who recover from PPD may shed light on the behaviors, feelings of thoughts associated with the recovery timeframe. This presentation will focus on the facilitators and barriers to recovery from PPD as leaRN by listening to women describe their experience of recovery.

Methods: Naturalistic inquiry paradigm with qualitative descriptive …

Practice Change For Patients With Nasogastric/Orogastric Enteral Tubes: Safety Improvement Initiative, Sharon Y. Irving, Jacqueline E. Crawford, Elizabeth Goldberg, Anne Mohan, Nancy Ford, Daniela H. Davis

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: The safety of bedside insertion for NG/OG tubes has become of increasing concern, particularly in pediatric patients. Serious safety events involving the misplacement of NG/OG enteral tubes prompted a review of our existing practices by a multidisciplinary team. The focus of the review was to assess existing practice and its alignment with the current literature and best evidence on the topic of NG/OG tube placement. The purpose of this project was to 1) educate multidisciplinary patient care staff to the risks associated with NG/OG tube insertion; 2) revise practice to align with …

Promoting Resilience In Families Of Children With Autism And Insomnia Through Social Support, Cristine A. Roberts

International Nursing Research Congress (INRC)

Session present on Sunday, July 26, 2015:

Purpose: Children with autism spectrum disorder (ASD) often have co-occurring health conditions including sleep disorders. Sleep problems in children can have a profound effect on the entire family. While most of the current research on ASD has focused on the children's issues, it is equally critical to understand the families' issues of adapting and dealing with stress induced by the sleep problems. Very little is currently known on how resilience is achieved and maintained among families. The Resiliency Model of Family Stress, Adjustment, and Adaptation provides the conceptual model for this study. Resilience …

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 …

Environmental Exposures Influence On The Antenatal Microbiome And Health Of Offspring, Michelle Lynn Wright, Angela R. Starkweather

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background: Environmental exposures relevant to health outcomes occur from preconception through death. Maternal exposures are believed to be especially influential in programming health outcomes in offspring since they occur during a critical developmental period. The interaction between maternal and fetal environments plays a critical role in high risk birth outcomes, fetal development, and later adult onset of disease. There is accumulating evidence that these exposures may alter the antenatal microbiome and subsequent microbiome and health of the offspring.

Objectives: The purpose of this presentation is to summarize and evaluate the current state of …

Ladder To Success For Ebp, Kathaleen C. Bloom

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Evidence-based practice (EBP), crucial to all healthcare disciplines today, is an essential element in any nursing curriculum. It is critical that the foundation be laid early in the undergraduate nursing curriculum and threaded throughout all levels of nursing education. The University of North Florida has created a ladder for success in EBP that begins with BSN competencies and continues for graduate nursing students to the masters and DNP competencies. At the baccalaureate level, students progress through a series of three nursing science courses in which principles of EBP are introduced. These principles are …

The Emergency Nurse's Perception Of Incivility In The Workplace, Dana Manley, Dina Byers, Katy Garth, Betty Kuiper

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Workplace incivility is defined as low-intensity deviant behavior with ambiguous intent to harm the target, in violation of workplace norms for mutual respect. Uncivil behaviors are characteristically rude, discourteous, displaying a lack of respect for other (Anderson & Pearson, 1999, p. 457). Incivility among nurses is a growing problem. Uncivil behavior can cause nurses to experience post-traumatic stress disorder and symptoms such as low self-esteem, anxiety, sleep disturbance, recurrent nightmares, and depression (Mikkelsen & Einarsen, 2002). Research to date has focused on nurses in general with little research examining incivility among nurses …

Fostering The Development Of Intuitive Decision-Making In Nursing: An Evidence-Based Model, Leslie Karns Payne

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Decision-making is a complex process involving interaction between many areas of the brain, and the physiology involved remains poorly understood. However, it is agreed, the making of a sound decision requires the integration of sensory, limbic, and autonomic information and is dependent on memory, patteRNecognition, and cognition (Bechara, Damasio & Damasio, 2000; Segalowitz, 2007). Nursing literature dealing with decision-making demonstrates the need for further empirical study. According to Thompson et al. (2013), the majority of educational interventions geared toward improving decision-making and judgment within nursing did not include decision-making theory as a foundation. …

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 …

Preparing For An Unfamiliar Setting: A Grounded Theory For Nursing Education Collaborations, Ramona B. Patterson

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Purpose: There is a global shortage of qualified healthcare workers, and international collaborations have been identified as a strategy to address the global healthcare worker crisis. A gap in understanding and evidence exists however, for guiding individuals as they prepare for nursing education partnerships and international collaborations in unfamiliar settings. Much of the existing knowledge base is hidden within institutional or organizational confines. Contextual variations relating to nursing education and practice necessitate a deeper understanding of preparation processes for appropriate role enactment when transferring the nurse educator role to an unfamiliar setting. The …

Predicting Variability In Hiv-Related Behavior In Sexually Active Adolescent Girls: A Test Of The Information-Motivation-Behavioral Skills Model, Dianne Morrison-Beedy

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Globally, more than 90% of all adolescent and adult HIV infections are transmitted heterosexually. In the United States, approximately 25% of all new HIV diagnoses are in adolescents and young adults (ages 13-24) and this is one of the few age groups in which the HIV infection rates have not decreased. Females are disproportionately impacted by sexual risk behaviors and studies comparing males and females identify disparate factors influencing these behaviors. Research indicates that theoretically-driven, gender tailored interventions can be a more effective approach in HIV prevention. The purpose of this study …

There's An App For That, Is There An Audience For That?: Determinants Of Smartphone Ownership And Comfort Of Use In An Urban Pre And Post Renal Transplant Population, Mark B. Lockwood, Christopher Lee

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Cellular phone ownership, including Smartphones, has increased substantially in the last several years According to a recent Nielsen survey, 3 out of 5 mobile subscribers own Smartphones. According to a 2012 report from the Pew Center, African Americans are more likely to own Smartphones and engage in the full functionality of the devices when compared to whites. The report also concluded that African Americans were significantly more likely to download mobile applications when compared to whites. It is suggested that this adoption of Smartphone technology by African-Americans could provide a means to …

Community-Based Intervention To Promote Breast Cancer Screening, Awareness, Knowledge And Motivation Among Homeless Women, Roxana Orta

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: A national efforts is underway to detect breast cancer in its early stages which is very necessary to reduce breast cancer-associated mortality (National Cancer Institute, 2014) Despite many initiatives to increase breast cancer screening in the United States, minority homeless women continue to have alarmingly lowered rates of breast cancer screening, therefore increasing their risk for delay diagnosis and decreased survival after diagnosis (Bhargava & Du 2009; DeSantis, Siegel, Bandi & Jemal, 2011; Miller, King, Joseph & Richardson, 2012; Ooi, Martinez, & Li, 2011). A doctoral prepared nursing faculty member and RNSN …

The Effectiveness Of Team Training On Fall Prevention, Elizabeth Spiva, Bethany D. Robertson

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The purpose was to evaluate the effectiveness of a training curriculum based on 'TeamSTEPPS' on team members' safety culture, attitude, teamwork perception, and communication as a mediator to reduce falls and injuries.

Methods: A longitudinal, repeated measures design, with intervention and comparison groups was conducted to evaluate the effect of a training curriculum based on TeamSTEPPS with video vignettes focusing on fall prevention for debriefing and reinforcement on participants' safety culture, teamwork attitude, teamwork perception, and communication as a mediator to reduce falls and injuries. Questionnaires, behavioral observations, and fall data were …

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 …

Applying The Constructs From The Sense Of Belongingness To Improve Job Satisfaction And Employee Retention, Sandra Welling

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Purpose: The purpose of this presentation is to present research which will inform nurse managers on how an improved sense of belonging in the workplace environment coupled with positive social identity could improve employee satisfaction and retention. Methods: The researcher utilized qualitative inquiry for the study. The target population for the primary study included a random sampling of registered nurses licensed in a southwest state. A random sample of registered nurse respondents was collected from a list of 23,000 registered nurses obtained from the Board of Nursing (BON). Data was analyzed by conducting …

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 …

Connecting Nurse Faculty: International Networking Opportunities, Matthew S. Howard, Kayla Woodward, Judith Bruce, Marie T. Nolan

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Global bodies such as the World Health Organization have developed global standards for nursing and midwifery education to improve the quality of nursing education and create paths for professional advancement in line with worldwide education trends (WHO, 2009). Despite this general consensus to establish basic global standards, there are many challenges to doing so in each country, such as variations in the development of practice, competency, and regulatory and legal standards (Huston, 2009). We live in an increasingly global society that gives nurses the ability to connect with other nurses and healthcare professionals …

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. …

Living With Lung Cancer: Receptivity And Preferences For Risk-Reducing Behavior Change Among African-American Families, Karen Kane Mcdonnell, Deanne Karen Hilfinger Messias, Daniela B. Friedman, Sue Heiney, Otis L. Owens

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Evidence exists that the diagnosis of a serious disease such as cancer provides substantial motivation for some patients to stop smoking and embrace risk-reducing behavior changes. Yet, limited evidence exists about the cancer-related risk behaviors (tobacco use, poor nutrition, lack of exercise, and stress), receptivity, readiness to change, and preferences for change among African American survivors and their family members when one of them is diagnosed with lung cancer. A diagnosis of cancer is often a shared experience among family members and close friends and may serve to motivate individuals toward the …

Addressing Child Sexual Abuse In Latin America As A Means To Stop Hiv/Aids, Clifton P. Thornton, Tener Goodwin Veenema

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: The purpose of this integrative review of peer-reviewed data and key documents is to elucidate the means by which children are identified as victims; present prevalence data on victimization in Latin America; to identify themes contributing to CSA (and ultimately, HIV) in these countries; and to compare this data to current literature. To date, such a review has not been published that specifically focuses upon Latin American populations.

Methods: An integrative review of the literature using a structured search strategy was performed to capture and describe all factors associated with detecting and …

Using Resilience To Influence Health Promotion Worldwide, Amy J. Mcclune

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: To rebound or recoil is the definition of the Latin verb resilire from which the term resilience evolved in the early 17th century. According to McAslan (2010), resilience was introduced into scholarly literature in the early 1800s to describe properties of timber. It was not until the early 1970s when the concept was used to describe the environment, ecology and economics (Holling, 1973). Early pioneers in research on resilience in individuals included Norman Garmezy, Emmy WeRN, and Sir Michael Rutter. Garmezy (1993) wanted to understand the diverse outcomes of children with schizophrenic …

The Effect Of The Enhancement Re-Check Rate Program For Those Who Have Been Screened As Abnormal For Their Liver Function Examination, Chiu-Yen Chen, I-Chuan Li, Yu-Chi Chen

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Background: Since 1986, chronic liver disease and liver cirrhosis have been listed as top ten causes of death. In 1996, Ministry of Health and Welfare began promoting free health examination for adults above age 40. However, more than half of those with abnormal liver function results are not return or follow-up outpatient visits and needs to be increased to ensure prevention of hepatopathy.

Purpose: To compare the rate of follow-up outpatient visits for subjects with abnormal liver function before and after implementing the enhancement re-check rate Program.

Method: The study design of program …

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 …

Designing A Program Plan For Implementing Skin-To-Skin Contact (Ssc) In The Obstetrical Surgical Suite (Ob Or), Jeffrey S. Fouche-Camargo

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Breastfeeding is associated with numerous health benefits to newboRN There are multiple evidence-based interventions that improve rates of exclusive breastfeeding. One such intervention is providing skin-to-skin contact between the newboRNnd mother immediately following birth. One Maternaly hospital in northeast Georgia implemented this intervention following vaginal births and has decided to expand the intervention to cesarean births performed in their obstetrical surgical suite. In order to safeguard a successful implementation, a formal program plan was developed to include an education plan, small tests of change, and a rollout plan. An evaluation of the facility's …

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 …