Digital Commons Network^™

Charge Nurse Leadership Academy: Developing Front Line Leaders, Grissel Hernandez, Gisso Oreo, Joanne Meneses, Leean Rodolfich

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Institute of Medicine (IOM) recommendations include promoting leadership at the point of care and enhancing competencies at all levels. Charge nurses play a pivotal role in providing leadership, and are vital to the overall improvement of patient outcomes and effective management of the nursing unit. However, the role is wrought with practice inconsistencies across nursing settings, particularly in the areas of healthcare economics/finance, effective communication, conflict management, resource management and self care, Literature review reveals variations in practice due to lack of formalized preparation, training and role clarity. This presentation describes the development, …

Exploring The Determinations Of Health Literacy And Self-Management In Patients With Chronic Kidney Disease, Ya-Fang Ho, Yu-Chi Chen, Chen-Tzu Chi, Shu-Chuan Chen

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The aim of study was to investigate the relation between health literacy and self-management, and the determinations of self-management of chronic kidney disease (CKD) patients.

Methods: The study applied cross-sectional design. 410 subjects were recruited from nephrology clinic of four different level hospitals in Taiwan. The data were collected by using the structured questionnaires and chart reviews included subjective information and biomedical indicators, respectively.

Results: Results demonstrated that: (1) demographic characteristics, such as gender, age, education, employment status, living type and marital status were significantly with health literacy and its dimensions; (2) …

Symptom Management Strategies With Tai Chi For Stroke Rehabilitation, Rhayun Song, Misook Jung, Sukhee Ahn

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Cerebrovascular disease is a major global conceRNThe individuals with stroke would suffer from disease associated symptoms which influence their functioning in everyday life. These symptom clusters were usually known to be sharing similar underlying mechanisms. It is clear that the development of effective stroke rehabilitation involves interdisciplinary team approach to manage physical, social, cognitive, and psychological functioning in this population. Tai Chi is a low intense aerobic exercise, characterized by continuous movements that embrace the mind, body, and spirit. Tai Chi addresses the integration and balance of mind and body using the fundamental …

First-Time Attendee Orientation, Lois Sarah Marshall

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015:

This session will identify multiple avenues of professional networking through conference attendance and help to create a forum for professional nursing teambuilding among conference attendees.

A Protocol To Measure Nursing Electronic Health Record Usability, Frank Lyerla, Christine Durbin

International Nursing Research Congress (INRC)

Purpose: The American Recovery and Reinvestment Act (Centers for Medicare and Medicaid Services, 2010) incentivized the adoption of electronic health records (EHR) in healthcare settings. The adoption rate of these systems is reported to be higher than ever before (Dustin et al, 2013). Many organizations are facing the challenge of modifying their existing system or selecting a new system that best meets their needs. A key contributor to the safe and effective use of technology is usability. Usability is an important concept that should be considered when making major EHR decisions. The usability of an EHR is defined by the …

Addressing The Challenges Of Conducting Research In Developing Countries, Roxanne Amerson, Cecily Weller Strang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Research should be conducted in a manner that is appropriate for the unique community and the culture of the proposed research site. While this may seem straightforward, it creates significant challenges when conducting research in developing countries where cultural viewpoints often vary significantly from those of developed countries. These challenges include: protecting the rights of the most vulnerable and disadvantaged populations while balancing the needs of many (Stapleton, Schroder-Bock, Laaser, Meershoek, & Popa, 2014), conducting research in a culturally-appropriate manner for the host country while balancing the rules of ethical research established by …

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 …

Telehealth And Diabetes Self-Management, Amelia R. Malcom

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Background: Diabetes self-management has always been an integral part of diabetes management and access to care for diabetics requires time and travel for patients in this rural county. Telehealth technology is a tool that can provide access to diabetic educators and nutritionists in this rural county. The Executive Summary: Standards of Medical Care in Diabetes- 2013 lists diabetes self-management education, support, and a standard of care for all diabetics at the time of diagnosis and as needed thereafter. Effective self-management and quality of life are key outcomes of the DSME and should be …

Dimensions Of Hospital Nurse Fatigue: Improving Clinical Outcomes With Translational Research, Diane A. Drake, Linsey M. Steege

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: The purpose of this study was to evaluate a strategy to profile fatigue dimensions for hospital nurses. The American Nurses Association (2014) updated a position statement to address nurse fatigue to promote safety and health in September 2014. The statement emphasizes the joint or shared roles and responsibilities of registered nurse and their employers to reduce risks from nurse fatigue. A presidential task force from the American College of Occupational and Environmental Medicine (2012) on fatigue risk management recognized the significant impact of fatigue for employees in the 24/7 work environments. Many …

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 …

Mock Competencies: An Intervention To Improve Student Outcomes, Jackie H. Jones, Marcella Ziegler, Diana M. Baughman, Camille Payne

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Nursing students experience high levels of stress during their educational program. There is an abundance of literature that addresses the impact of stress in nursing students and the effect it has on their learning, performance, and overall well-being. The level of stress experienced by nursing students can have a negative impact on their ability to learn and their academic performance (Chernomas & Shapiro, 2013; Jimenez, Navia-Osorio, & Diaz, 2010). Stress can cause nursing students to question their abilities (Chernomas & Shapiro, 2013). Stress can cause students to feel high levels of anxiety, worry, …

Nurse Executives' Perceptions Of The Barriers And Facilitators Associated With Reaching An 80% Baccalaureate Prepared Nursing Workforce In Rural Kansas, Marlene R. Pietrocola

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Purpose: The Institute of Medicine (IOM) recommends that 80% of the Registered Nurses (RNin the workforce be baccalaureate prepared by the year 2020. This study explored the perceptions of nurse executives in rural Kansas about the barriers and facilitators to reaching an 80% baccalaureate prepared nursing workforce. Current educational staff mix and the educational staff mix goal were also explored. Methods: A qualitative descriptive design was used. Eight critical access hospitals throughout Kansas were purposively sampled. The nurse in the executive leadership position at each facility was interviewed. A questionnaire was used to …

Illness Representations And Self-Management Behaviors Of African-American Adolescents With Asthma, Sharron J. Crowder

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Many African American adolescents have inadequate self-management behaviors, particularly during middle adolescence (14-16 years of age). Inaccurate beliefs, degree of asthma impairment (well controlled or not well controlled), and gender could influence asthma self-management (symptom management, medication management, and environmental control). The concept of illness representations concept from the common sense self-regulation model provided the framework for this study. This descriptive correlational study explored (1) differences in illness representations (cognitive and emotional) and self-management behaviors by gender, asthma impairment, and gender by asthma impairment of African American adolescents with asthma; and (2) …

Improving Maternal Child Health Using Mhealth Technology In A Middle-Income Country With Community Health Care Workers, Susan M. Bonnell

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: For this pilot project our team trained eight community health care workers (CHW) to monitor pregnant third trimester women for complications of pregnancy by evaluating them in their homes. Data collected at each home visit was transmitted through the use of mobile cell phone technology to the monitoring primary care physician to determine the health status of the mother. The pilot was implemented with data collection over a 6 month period. This pilot was implemented in El Cercado, located in the rural and remote 'frontier' of the Dominican Republic (DR). Maternal mortality …

Enhancing Interprofessional Education Through Technology-Supported Simulation: Lessons Learned, Alice L. March, Lea G. Yerby, Jeannine C. Lawrence, Robin Huebner

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Purpose: Although advances have been made the U.S. healthcare system continues to rely heavily on the silo model of education and practice. Students learn about their profession and practitioners provide care at their level of training, but often for only one disease and without the knowledge or understanding of the complementary roles of other healthcare professions in patient care. Therefore, patients with multiple chronic conditions receive fragmented care affecting cost, safety, effectiveness, quality of life, and mortality. Practitioners must be trained to collaborate in interprofessional (IP) teams. This cannot happen without each person …

An Evidence-Based Approach To Support Student Success In A Bsn Program: Win Project, Maria Rosario-Sim

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background Statement: SUNY Downstate Medical Center College of Nursing (CN) has implemented a three-prong approach to enrich the Accelerated Bachelor of Science in Nursing (ABSN) program and assist in student retention using concepts from themes emerging from literature on barriers and obstacles to retention of diverse and economically disadvantaged background students. The overarching concept in Project W.I.N is an educational environment supporting the needs of all students regardless of cultural, ethnic, racial, gender or economic backgrounds with mentorship as a common thread that permeates the supporting concepts. The CN tracked the overall impact …

Going For Gold: A Bundled Approach To Improve Resuscitation Performance, Odette Y. Comeau, Keith Ozenberger

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Background: The global burden of cardiovascular disease and cardiac arrest is significant. According to data from the World Health Organization (2014), cardiovascular diseases are the leading cause of deaths worldwide from noncommunicable disease. Data from a systematic review found that the global average incidence of arrest of presumed cardiac cause was 55 adults per 100,000 person-years, with a survival rate of 7 percent (Berdowski, 2010). Patients experience cardiac arrest during hospitalization. In their 2014 update, the American Heart Association reports that 209,000 patients experience an in-hospital cardiac arrest each year, with a 22.7 …

Attitude Of Prognostic Disclosure To Terminal Cancer Patients: A Systematic Review Of The Literature, Tsui-Hsia Hsu, I-Chuan Li

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Background: Informed consent is not easy to cancer patients, especially for in the Chinese culture. In developed countries, patient autonomy is important including terminal ill patients. However, it has been found that terminal cancer patients are not been informed prognosis of their disease and it is common in Chinese cultural society. The determinators of whether the truth telling to patients when they have been diagnosed as cancer are attitudes of health professionals and families of cancer patients. The study reported that more than 90% of the families of cancer patients decide to take …

Clinical Guideline Development: Students Putting The Process Into Practice, Pamela Willson

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015: Purpose: The 2014 National Organization of Nurse Practitioner Faculty (NONPF) Core Competencies, expects faculty to impart Scientific Foundation Competencies to our students in nurse practitioner programs. Students should be equipped to critically analyze evidence, integrate and translate research into practice for the purpose of improving patient processes and outcomes. The educator's challenge is to identify assignments where scientific foundation competencies are understood and practiced by the student with such acumen as to be translated to their clinical practice behavior. Methods: A process evaluation was undertaken for a graduate teaching-learning assignment to develop a …

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 …

The Lived Experience Of Global Interprofessional Compassionate Caring In Guatemala, Autumn L. Argent, Dorothy J. Dunn

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The purpose of this project is to describe the experiences of participants in an interprofessional study abroad global healthcare program. A phenomenological research design will be used to describe and analyze the experience of global interprofessional compassionate caring in Guatemala. Four benefits of a study abroad opportunity have been identified as (1) personal growth, awareness, and appreciation of diversity; (2) development pf personal and interpersonal skills; (3) career focus and academic focus; and (4) critical-thinking skills and the ability to apply academic concepts in real-global situations (Jackson & Nyoni, 2012). Interprofessional education …

Nursing And Medical Staff Perceptions Of A Hospital-Based Medical Emergency Response Team, Catriona Anne Booker, Clint Douglas, Sonya R. Osborne, Robyn L. Fox, Kathleen Patrica Richter, Thea-Grace Collier

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: Timely recognition and appropriate response to clinical deterioration has been at the forefront of international safety and quality agendas. Rapid response systems have been widely implemented to improve patient outcomes, yet evidence is inconclusive in confirming the effectiveness of these approaches consistently across a range of settings [1, 2]. Other studies have identified rapid response teams are often underused by staff [3, 4]. The purpose of this study was to explore and compare nursing and medical staff perceptions of a mature rapid response system at a large tertiary hospital using the Australian …

Enhancing Cultural Competence And Global Awareness For Baccalaureate Nursing Students: An Interdisciplinary Service Learning Approach To Safe Water In A Developing Country, Vicki L. Simpson, Elizabeth A. Richards

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Introduction: In recent years there have been multiple calls to action for nursing students to gain a global health perspective in an effort to increase cultural competence (Riner, 2011). In addition, interdisciplinary educational experiences have been identified as vital for nurses and other health care professionals (Smit & Tremethick, 2013; Institute of Medicine, 2010). One option to enhance cultural competence, global awareness, and teamwork is to use an interdisciplinary service-learning approach to address an identified issue in a global community. Service learning is a structured, reciprocal learning experience in which both the community …

Southern African-American Women's Perceptions Of Coronary Artery Disease After A Myocardial Infarction: A Phenomenological Inquiry, Loretta Jones

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The American Heart Association (AHA) reported that cardiovascular diseases kill nearly 50,000 African-American (AA) women annually. Only 52% of AA women are aware of the signs and symptoms of a heart attack and only 36% of AA women know that heart disease is their greatest health risk. The pupose of this phenomenological study was to explore the lived experience of African American women, 50 years and older, who had experienced a myocardial infarction (MI) within the past five years.This study was consistent with the goal to decrease health disparities of AA women …

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 …

Qsen: Outcomes Of A National Project To Transform Education And Practice, Gwen D. Sherwood

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

The Quality and Safety Education for Nurses (QSEN) project initiated in 2005 and was funded through four phases until 2012 by the Robert Wood Johnson Foundation. Beginning with Phase I, the project was led by a National Expert Panel of pedagogical specialist and faculty who were experts in the six Institute of Medicine quality and safety competencies (1999) to identify the knowledge, skills, and attitudes needed to improve patient care outcomes. Recognizing there would likely be changes to educational policies, an Advisory Panel also participated in all phases and were in position to …

Stti Youth Engagement: An Interactive Workshop To Develop And Mentor New Members Into Leaders, Gloria Chan, Raissa Lynn Sanchez, Timothy Shi

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

The overview of the symposium is to show the many pathways of STTI leadership from the perspectives of STTI's Youth Leaders (STTI Youth Leaders for our purposes is defined as "non-students and/or non-terminal degree members between the ages of 21-30"). The symposium also aims to educate chapters and regions how to adequately prepare their new members to be new leaders and inspire them to continue their membership with STTI.

Best Practice Guidelines For Treatment Of Uncomplicated Utis In Women While Decreasing Risk Of Antibiotic Resistance, Romina Lo-Montano

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The purpose of this presentation is to educate providers about the most appropriate evidence-based treatment for uncomplicated UTIs in women and to improve awareness of the current problem with antibiotic resistance due to inappropriate prescribing.

Methods: A review of the literature was conducted of meta-analysis and observational studies as well as findings from RCTs. Various current guidelines were reviewed and the recommendations from the Infectious Disease Society was decided upon as the recommended guideline in this project.

Results: Antibiotics have been used inappropriately. Rates of resistance have been on the rise. Uncomplicated …