Digital Commons Network^™

Technologies To Influence Nursing Practice In Rural Areas Promoting Alcohol Screening, Heeyoung Lee, Kathryn Puskar, Ann M. Mitchell, Irene Kane, Holly Hagle, Dawn Lindsay, Susan A. Albrecht, Marie Fioravanti, Linda Rose Frank

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Over 23 million individuals in the U.S. are identified as need treatment for alcohol and/or other drug problems, however only 1 in 5 receive treatment. Further, lack of specialist and lack of access to services in rural areas makes Interprofessional Collaborative Practice (IPCP) imperative for the most effective patient care. Social attitudes and stigma associated with the use of alcohol, tobacco and illicit drugs make substance abuse one of the most complex public health issues (Healthy People 2020). Health professionals must be skilled to identify, assess, and intervene to reduce the risks/effects …

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

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

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

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

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

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

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

Results: Patients who …

Million Hearts: A Platform For Promoting Population Health, Education And Partnerships In Academia, Kate E. Gawlik, Bernadette Mazurek Melnyk, Margaret C. Graham

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Million Hearts is a national initiative launched by the Department of Health and Human Services to prevent one million heart attacks and strokes by 2017 by focusing care on evidence-based, low cost deliverables or the 'ABCs.' . As a partner in this initiative, the Ohio State University College of Nursing has founded the National Interprofessional Education and Practice Consortium to Advance Million Hearts (NIEPCAMH). NIEPCAMH is an association of academic institutions, community groups, and healthcare organizations who are committed to the advancement of Million Hearts and promoting population health through prevention and screening. …

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

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

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

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

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

Nurse Practitioners' Barriers And Facilitators To Providing Lesbian, Gay And Bisexual Inclusive Care, Caroline Dorsen

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Research shows that LGB individuals experience significant healthcare disparities compared to heterosexuals. Although the reasons are multifactorial, negative attitudes towards LGB patients among healthcare providers may be a key factor. There is a paucity of literature on nurses' attitudes towards LGB patients, and there has never been a study on NP attitudes towards LGB patients. The purpose of this qualitative study was to explore the attitudes and experiences of NPs working with LGB patients in NYC.

Methods: This study used Corbin & Strauss' grounded theory methodology. Semi-structured interviews with experts in LGBT …

Following The Question: From Bedrest To Outer Space And Beyond, Christine E. Kasper

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Clinical observation often reveals observable pattern which when carefully described may lead to a continuous program of research over decades. The progression and development of findings from multiple studies involving the adaptation of skeletal muscle as well as brain trauma will be discussed, initially beginning with the effects of prolonged bedrest on the development atrophy and its reversal by exercise. These findings will then be applied to experiments during manned spaceflight and recovery of skeletal muscle and exercise capacity following return to gravity as well as to other clinical conditions. Recent studies of …

The Experience Of The Coronary Patient In The Recovery Process Of Acute Myocardial Infarction, Ma. Teresa Pratz Sr. Andrade

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015:

Introduction: At present, have developed new therapeutic measures making the survival of people suffering from acute myocardial infarction (AMI) increase, however the experiences they have patients on this condition and treatment, rehabilitation and needs support required to meet the recovery process are not well documented. Acute myocardial infarction is a sudden illness that requires specialized and immediate favorable decision for management, however, recurrence of infarction was observed through reentry intensive care units, increasing the risk of mortality and making apparent lack a preparation for continuous home care.

Purpose: Understanding the experience of the …

Academic Stress And Biobehavioral Profile Of Senior Nursing Students, Duck-Hee Kang, Lisa Boss

International Nursing Research Congress (INRC)

Purpose: The rigor of nursing education is continuously increasing to meet more complex and challenging healthcare needs. Accordingly, nursing students are under significant stress to achieve both academic and clinical competencies, and clinical competencies include working with the sick with diverse health conditions at various healthcare settings. Although academic stress has been studied with nursing and other professional students, few studies have included biological assessment. Concurrent assessments of psychobehavioral and biological responses would enhance the understanding of biobehavioral interactions between subjective perceptions and objective biological responses in nursing students. Nursing education can be delivered in various formats, and the composition …

Childbirth Delivery Preference Using A Newly Developed Childbirth Delivery Options Questionnaire: A Pilot Study, Chun-Yi Tai, Melissa M. Shelton, Li-Ting Huang

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: It is concerning that the rate of caesarean sections is increasing worldwide. Results from the World Health Organization (WHO) worldwide survey showed that the overall rate of caesarean sections was 25.7% in 2004-2008 (Souza et al., 2010). Gibbons et al. (2012) reported the number of caesarean sections performed in 137 countries in 2008 and indicated that 50.4% of the countries had caesarean section rates greater than 15%. The WHO also conducted a global survey on Maternal and Perinatal Health between 2004 and 2008 and indicated that 1) the incidence rate for severe …

Correlates Among Disruptive Behavior, Mental Health, Substance Use, And Healthy Lifestyle Behaviors In Hispanic High School Adolescents, Colleen Mcgovern

International Nursing Research Congress (INRC)

Purpose: In adolescence, disruptive behavior, which includes defiance towards adults, bullying and fighting, can occur for a multitude of reasons and is associated with unhealthy behaviors (e.g., substance use) and poor academic performance. Although adolescents with co-morbid mental health conditions are at a higher risk of disruptive behavior (Reinke, Eddy, Dishion, & Reid, 2012), the correlates among disruptive behavior, mental health, substance use, and healthy lifestyle behaviors in Hispanic youth are largely unknown. The purpose of this secondary data analysis was to examine the correlates among these variables in Hispanic teenagers from the southwesteRNnited States.

Methods: The data was comprised …

Addressing Leadership Challenges, Teresa Shellenbarger, Kristy S. Chunta

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

The Institute of Medicine (IOM) report, The future of nursing: Leading change, advance health has recommended the following changes to improve health care quality: 1) fostering professional collaboration of the healthcare team, 2) increasing the percentage of nurses with baccalaureate degree, 3) doubling the number of nurses with doctorates by 2020, and 4) advocating nursing leadership at every level of the profession (IOM, 2010). This call for leadership exists across a variety of health care settings including clinical practice, education, and administration. Nurse leaders struggle with continuous uncertainty, change, and chaos (Grossman & …

Identification Of Developmental Risk In Infants With Medical Problems: A Program Of Research, Diane L. Holditch-Davis

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

This session will summarize my lifetime of research on the needs of youngest patients with whom nurses work: premature and other high-risk infants. These infants are at high-risk for developmental and health problems throughout childhood and into adulthood. As such, interventions to reduce this risk or to improve parenting or the emotional distress in their mothers can have a lifetime of benefit for them. The major focus of this program of research has been examining risk for developmental problems. In particular, I have examined three related threads: identifying the effects of parenting and …

Evaluation Of Written Inpatient Heart Failure Education To Support Self-Care At Discharge, Amanda Leigh Frame

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Background: The leading cause of hospital readmission is adults with heart failure. Readmission rates in less than thirty days are a key indicator of inadequate health care and as a consequence, the Hospital Readmissions Reduction program requires the Center for Medicare Services to reduce reimbursement rates and fine hospitals with excess thirty day readmission rates for patients diagnosed with heart failure. Research supports that patient education provided at the appropriate literacy level related to self-care: to include medication knowledge, access to healthcare and symptom exacerbation recognition, decreases thirty-day readmission rates for adults with …

Solving Clinical Problems Through Research And Dissemination: The Function Focused Care Example, Barbara Resnick

International Nursing Research Congress (INRC)

The purpose of this session is to provide an overview of the way in which clinical problems guide a program of research. Specifically, the presentation will provide the clinical problem addressed, the theoretical development of the intervention, testing of the intervention for efficacy across multiple settings of care and the effectiveness of an approach to disseminate and implement the approaches to a large number of settings.

A Guide To Nursing Students' Written Reflections For Students And Educators, Jessica L. Naber

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Experiences from the clinical setting are ideal for building critical thinking skills if reflection is used as a teaching tool. Reflecting on clinical experiences develops critical thinking ability, fosters self-understanding, facilitates coping, and leads to improvement in clinical practice (Craft, 2005; Kennison, 2006). Reflective writing as a pedagogical strategy allows students to integrate their thoughts and experiences with didactic material to more adequately understand both the experiences and the didactic material (McGuire, Lay, & Peters, 2009). Reflective writing is defined as an assignment that is focused on an activity that students have experienced, …

Sustained Clinical Training And Capacity Building Through International Collaboration: The Safe Children Vietnam Project, Jennifer Anne Fraser, Tara J. Flemington

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Frontline Paediatric Emergency Department (ED) staff are charged with the responsibility of managing injury and trauma presentations and making complex care decisions around the clock. An ongoing international collaboration between Sydney Nursing School at the University of Sydney and Children's Hospital 2 in Ho Chi Minh City, Vietnam was initiated in 2013. The purpose was to provide sustained clinical training and build research capacity to improve recognition and response to child injury through maltreatment in the ED. Following initiation of the study and clinical training program implementation, relationships were established with UNICEF …

Knowledge And Application Of Human Rights Principles In Nursing Practice, Pat M. Mayers

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: Health professionals constitute an essential element to ensuring fulfillment of the right to health, however, human rights education without context and application has limited potential to create an environment in which the patient's human rights can be respected, promoted and protected. Human rights education contributes to protecting the dignity of all human beings and to building societies where human rights are valued and respected (World Programme for Human Rights Education Training, 2012). In South Africa such training was identified in the Truth and Reconciliation Commission report as an essential component of health …

Global Priorities For Home Care Research, Education, Practice, And Management, Olga F. Jarrin, Elizabeth A. Madigan, Fatemah Pouladi

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: This study describes global priorities for the future of home care nursing research, education, practice, and management. Attendees at the inaugural international Home Care Nurses Organization (IHCNO) Conference identified the need for a global agenda around the future of home care nursing. The inaugural meeting of the IHCNO was held July 2013 at Case WesteRNeserve's School of Nursing (the site of the World Health Organization Collaborating Center for Research and Clinical Training in Home Care Nursing).

Methods: This study used a descriptive, qualitative design. A brief on-line survey was distributed through professional …

Health As Expanding Consciousness: Patterns Of Clinical Reasoning In Senior Baccalaureate Nursing Students, Mary W. Stec

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Clinical reasoning has been identified as a necessary skill for practice in nursing. Multiple studies suggest that a gap exists between the education of nurses and their ability to transition into practice. In addition to possessing necessary knowledge and skills specific to the discipline of nursing, nurses must possess clinical reasoning skills to think through a situation as the patient's condition changes. To make a clinical judgment, nurses use an analytical process that includes pattern recognition, an attribute of clinical reasoning. This analytical process of clinical reasoning is more developed in experienced …

Estimating Induced Abortion Rates In The Savanes Region Of Togo, West Africa Using The Westoff Regression Approach, Helen Frances Baker

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Abortion rates are likely the most inaccurate of all demographic data in countries where abortions are illegal. In areas where abortion is legal in most circumstances, it is possible to record the numbers of abortions being performed. In areas where abortion is illegal or highly restricted, there are high levels of underreporting of abortion due to fear, stigma, and shame. In addition, health care workers often do not report providing abortion services due to the legal and moral implications. Induced abortion is a key component of reproductive health; high rates of unsafe …

Tools For Excellence In The Dnp Scholarly Project Process: Implementation Of Timeline Templates And Project Formats For Dissemination, Karen A. Hande

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Purpose: A hallmark of the doctor of nursing practice (DNP) degree is the successful completion of a scholarly or capstone project. The project is intended to demonstrate the synthesis of the student's knowledge gleaned from required and elective DNP coursework and unique practice experiences with an identified practice problem. An integrative three-course sequence at a university provides DNP students mentored opportunities to develop, propose, implement, evaluate and present projects. During the three-semester sequence, integrative course faculty members observed a need for clear scholarly project process guidelines and options for project formats to increase …

Mental Health Status Indicators And Vision Status Among Adult Women Respondents To The 2010-2013 National Health Interview Surveys, Nancy C. Sharts-Hopko

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Purpose: Examination of self-reported vision status as it relates to the self-reporting of mental health status indicators (MHSIs) among adult women participants in the 2010-2013 National Health Interview Surveys. Nursing research has not focused on visual impairment, though recent surveys suggest that there will be a marked increase in low vision and blindness as the Boomer generation ages. The Capability Framework provides a perspective of the well-being of persons with disabilities in terms of their functioning. It considers the freedoms that people have to enjoy the kind of life they value. Two of …

Effectiveness Of Group-Visits In A Women's Lifestyle Physical Activity Program For African-American Women, Jo Ellen Wilbur, Arlene Michaels Miller, Susan Buchholz, Lynne T. Braun, Barbara Dancy

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Theoretically-based group physical activity interventions have shown to be the most effective means of increasing physical activity in minority populations. Primary care providers, however, must refer patients to outside community resources where these group interventions have been developed and delivered. The group-visit or centering model, used in some primary care settings to provide health services and group interventions simultaneously, may offer a culturally-relevant, cost-effective alteRNive for delivering physical activity behavior change. In a large RCT, we examined the effects of a physical activity group-visit intervention with three different telephone support conditions (group-visit …

An Innovative Wellness Onboarding Program For Health Sciences Students: Baseline Findings With Implications For Practice And Future Research, Bernadette Mazurek Melnyk, Jacqueline Hoying, Caitlin Slevin, Colleen Mcgovern, Alice M. Teall

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

It is well known that the transition from high school to college is very stressful for many students across the world. In the freshman year, high levels of stress, anxiety, and depression are prevalent along with poor health practices and a tendency to gain weight. However, little is known about the transition into graduate school and how it impacts the health and wellness of students pursing health sciences professional degrees. This symposium will describe the development and implementation of an innovative wellness onboarding program for health sciences students at a large land grant …

Quality Of Life, Sleep Disorders And Serum Orexin In Persons With Hemodialysis Treatment, Luxana Reynaga-Ornelas, Christian F. Rodriguez-Perez, Karla Susana Vera-Delgado, Octavio A. Jimenez-Garza, Carol M. Baldwin

International Nursing Research Congress (INRC)

Purpose: The evaluation of the patients' health-related quality of life (HRQOL) represents the impact of the disease and its subsequent treatment on the perception of the their own wellness. The purpose of this study was ti examin the relationship between HRQOL, sleep disorders and serum levels of orexin.

Methods: This analytical study included 39 adults in renal replacement therapy (hemodialysis ) who signed the informed consent for participation. KDQOLSF -36 questionnaire and sleep habits questionnaire (SHHS) were used. Blood samples were taken for determination of orexin levels and analyzed by enzyme immunoassay technique (EIA). Data was captured and analyzed with …

The Role Of The Emergency Nurse Practitioner: A Transcontinental Comparison, Nena L. Tucker

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Originally designed to care for women and children, the nurse practitioner (NP) role has expanded into a number of speciality areas. One of the fastest growing specialty areas for NPs in the United States (US) is in emergency care (EC). Tremendous growth has been seen in both the academic and clinical sides of the role in the past decade. Clinically speaking, over five million emergency room (ER) patients were treated by nurse practitioners across the US in 2013. From an academic standpoint, EC nurse practitioners programs are popping up across the country and …

Outcomes Of An Immersion Experience In The Dominican Republic, Marie O. Etienne, Patricia R. Messmer, Guerna Blot, Patrick Manos, Marjorie Williams, Nancy Henri

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Introduction: The Haitian American Nurses Association (HANA) joined forces with the Haitian Professional Coalition (HAPC) and the Bejamin Leon School of Nursing Miami Dade College (MDC) since 2005 to care for the migrant workers in the Dominican Republic. HANA organized and conducted medical missions in various 'Bateyes' (sugarcane plantations) in the Dominican Republic to provide healthcare and supplies to the migrant workers living in impoverished conditions. On March 16-23, 2013, 15 RNSN participated in the immersion project, similar to Gonzalez's (2013) immersive experience. Students collected over 375 book bags filled with school supplies …

Considering School-Based Forgiveness Programs: Learning From The Old Order Amish, Angela M. Kueny

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: The purpose of this presentation is to report findings from a focused ethnographic study about forgiveness promotion in schools within a Midwestern Old Order Amish community; secondarily, these findings will be compared to reported non-Amish school-based forgiveness programs. With this information, recommendations for future nursing practice and research can be made. With increased school shootings, bullying, and mental health issues in schools in recent decades, interventions focused on building healthy relationships and preventing violence is needed. Children who work through forgiveness training, psychotherapy, and/or school programs have decreased anger, improved well-being, increased …

Home Health Nurses' Knowledge And Beliefs Regarding Suffering, Artificial Nutrition And Hydration In People With Late Stage Dementia, Lenora W. Smith

International Nursing Research Congress (INRC)

Purpose: The purpose of this mixed-method, convergent parallel design study was to identify home health nurses' knowledge and beliefs toward suffering in persons with late-stage dementia and to investigate whether their knowledge and beliefs may have an effect upon their guidance of families of individuals with late-stage dementia.

Methods: A sample (n = 17) of home health nurses were given a questionnaire to complete as particiated in focus group interviews. For the quantitative piece of the study, the questionnaire used was the Knowledge of Artificial Nutrition and Hydration in the Terminally Ill (adapted from a Taiwan nurse). Interpretation of the …