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Musculoskeletal Pain In Newly Diagnosed Type 2 Diabetics In Taiwan, Lee-Wen Pai, Li-Li Chen, Shu-Chuan Chang, Chin-Tun Hung, Chen Wei

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Objective: The objective of this study was to investigate musculoskeletal pain occurring in newly diagnosed type 2 diabetics in Taiwan between 2001 and 2010. We hoped to estimate incidence rate and occurring region by the actual medical records. The result was provided the evidence of musculoskeletal pain in type 2 diabetics.

Research Design and Methods: The research data was obtained from the Taiwan National Health Insurance Research Database from 2000 to 2010. This study utilized a retrospective cohort method. We recruited 6,586 newly diagnosed type 2 diabetics from 18 to 50 years of …

Improving Neurologic Outcomes Of Cardiac Arrest Patients Through Therapeutic Hypothermia, Alfie Jay C. Ignacio

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Problem/Issue: Post cardiac arrest patients have a high mortality rate and poor neurologic outcomes in spite of standard post resuscitation care and intensive critical care monitoring. Out of 164,000 cardiac arrests occurring in the United States annually, 65-95 % dies. Those that survive suffer adverse health outcomes including physical disabilities, physiologic instability, and systemic complications.

Background: The American Heart Association recommends initiation of therapeutic hypothermia to patients who remain comatose after resuscitation from sudden witnessed out-of-hospital cardiac arrest. Therapeutic hypothermia is an intervention that cools the post arrest patient to a temperature of …

Hope And Learned Resourcefulness Among Parents Of Disabled Children, Ozlem Aslan, Sekmen Kamile, Mesut Akyol

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The aim of this reseach was to determine the hope and learned resorcefulness levels among parents of disabled children.

Methods: 105 parents of disabled children in a school for disabled children in Ankara were included in the study in March 2003. Herth Hope Scale (HHS) and Rosenbaum's Learned Resourcefulness Scale (RLRS) were used to collect the data. Descriptive statistics, Student's t test, Mann-Whitney U Test, Kruskall Wallis Variance Analysis, Spearman Correlation were used to analyze tha data in SPSS program. In the resliability analysis, cronbach's alpha was 0.90 for HHS, cronbach's alpha …

Healthcare Needs During Pregnancy, Childbirth, And Childrearing Of Chinese Immigrant Women In Korea, Geum-Hee Jeong, Kyungwon Kim, Sunghee Baik

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: With the increase in international marriage, the number of immigrant women who were married to Korean men has been on the rise to 120,146 in 2010. Major portion of those who immigrated to Korea through interracial marriage was Chinese. Married immigrant women are usually lack of appropriate health intervention and educational services. They were more likely to have problems before and after giving birth than the native Korean women. Therefore, this study was conducted to identify health care needs for the entire process of reproduction, including pregnancy, delivery, postpartum care, and childrearing, …

Allergen Screening And Telephone Coaching Interventions To Prevent School-Age Children At Risk Of Developing Asthma, Bih-Shya Gau, Yu-Fen Tzeng, Pei-Ching Liu, Yuan-Ju Liao

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Asthma is the most common chronic health condition for children globally, and the prevalence is increasing in Taiwan. According to surveys by the Department of Health, Taipei City Government, the prevalence of asthma among first graders was 20.34% and 20.74% in 2007 and 2009 respectively. This project was aimed to have evidence-based intervention program for children at risk of asthma.

Methods: During 2010 to 2012, an action research was conducted to deliver an overall allergen screening for the enrolled first-grade Pepils and to provide telephone coaching interventions for the high-risk group in …

A Nurse-Led, Evidence-Based Stroke Self-Management Program For Community-Residing Stroke Survivors: Development And Design, Hoi Shan Lo

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: Stroke recovery is long-term and demanding. It is important to optimise stroke survivors' capability to manage their own health after stroke. Previous systematic reviews showed potential benefits of stroke self-management programs. However some programs were not well designed with a theoretical framework.

Aim: The aim of this paper is to illustrate the design and development of a nurse-led, evidence-based, self-efficacy enhancing stroke self-management program for community-dwelling stroke survivors.

Methods: The development of the program is divided into two phases. Phase I included the conduct of a systematic review to assess the best …

Relation Of Perception Of Career Ladder System, Job Satisfaction, Intention To Leave Among Perioperative Nurses, Sena Chae

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: This study is the descriptive correlation study to provide the useful data for establishing strategies to improve career ladder system.

Methods: The subjects of the study are 154 of perioperative nurses of a general hospital in Seoul. The data were collected from April 16th to April 22th, 2013. The structured questionnaire used for this study included, the perception measurement tool of the career ladder system developed by Park Gwangok and Lee Yoonyoung (2010) the job satisfaction measurement tool for perioperative nurses developed by Yoon Gyesook and Park Seongae (2009) and the intention …

Views Of Women Regarding Infant Feeding Practices Of Hiv Exposed Children In Vhembe District, Limpopo Province South Africa, Patrone Rebecca Risenga

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: South Africa consists of many cultural groups who manage pregnancy and lactation differently. Infant feeding is one of the best practices to promote life and reduce infant mortality rates that are escalating due to various issues including HIV/AIDS. HIV infection can be spread from mother to child during pregnancy, labour and delivery and as well as during breastfeeding. During PMTCT programme women are advised on feeding options such as breast feeding, and advised on measures to reduce the spread of HIV during the feeding process. The aim is to ensure zero HIV …

Psychometric Testing Of The Mandarin Chinese Version Of The Fatigue Severity Scale (Cfss) In Patients With Major Depressive Disorder, Mei-Yeh Wang, Pei-Shan Tsai, I-Chao Liu

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Background: Fatigue is a symptom that is highly prevalent in patients with major depressive disorder (MDD) and as one of the most common residual symptoms that occurs in MDD. Aim The aim of the present study was to examine the psychometric properties of the Mandarin Chinese version of the Fatigue Severity Scale (CFSS) in MDD patients.

Methods: A total of 179 participants (101 MDD patients and 78 healthy controls) were included. The MDD patients were recruited from an outpatient department of psychiatry and currently under antidepressant treatment. The psychiatric diagnosis was confirmed by …

Factors Related Obesity Among Korean Workers By Occupational Type, Eunkyoung Lee, Eun Joo Ji

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Korean government has established a comprehensive national health plan, known as Health 2020, for nation-wide health promotion and, under the plan, set up goals to deal with smoking, drinking, exercise, nutrition issues and acted upon them. However, the rate of prevalence of obesity among adults, 31.9% in 2011, haven't declined significantly. Obesity is caused by chronic energy imbalance and it gives rise to changes in the physiological level of insulin resistance, blood sugar, triglycerides, and blood pressure. And it is classified as cardiovascular risk factors. Therefore, obesity becomes a cause of premature …

The Association Between Laryngectomized Patients' Quality Of Life And Their Medical Treatment, Kazuyo Iwanaga, Kumiko Kotake, Kaori Haba, Yuki Nagamatsu, Yoshimi Suzukamo, Aya Takahashi, Rieko Kawamoto, Ichiro Kai

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this study is to clarify the association between the quality of life (QOL) and medical treatment by comparing the QOL of patients who underwent total laryngectomy with that of patients who underwent both total laryngectomy and radiation therapy from the period of time before discharge from a hospital to 12 months after it.

Methods: Subjects were 58 patients who underwent total laryngectomy in three hospitals located in Prefecture A, Japan, agreed to participate in the research, and returned questionnaires before discharge from hospitals and 3, 6, 12 months after …

Health And Social Service Utilization And Postpartum Depression Among Childbearing Chinese New Immigrants In Canada, Tsorng-Yeh Lee

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To explore how Chinese women who immigrated to Canada in the last 5 years access and use maternity care services, their support system and postpartum emotional well being. Background: Culturally and linguistically appropriate health care is suggested by many researchers as a necessity for all immigrants in Canada. Relatively little research examines the access and use of maternity care services by immigrant women in Canada, especially Chinese immigrants. Chinese women practice special culture-based behaviours and eat a special diet during pregnancy and postpartum. Exploring these cultural practices and preferences will contribute to …

Application Of Andersen Model To Verify Utilization Of Maternal And Child's Preventive Care Among South-East Asian Immigrant Women In Taiwan: Influence Of Acculturation And Associated Factors, Shu-Fen Kuo, Ching-Min Chen, Wen-Yin Chang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: This is a report of utilization of maternal and child's preventive care based on Andersen health seeking behavior model. The purpose of this study was to examine the predisposing, enabling, need factors among immigrant women in Taiwan, and further to explore acculturation and other predictors of both utilizations.

Methods: A cross-sectional survey was conducted. Immigrant women who were living in Taiwan with their Taiwanese husbands and with children under 7 years old were included. Andersen behavior model (1995) was used to identify influencing factors with acculturation and medical access barrier be added …

A Study On Improving Nursing Instruction For Post Total Knee Replacement Patients In Orthopedic Ward In Taiwan, Fung-Yu Kang, Pei-Jung Yu

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Preparation, education, continuity of care for patients are essential after a total knee replacement, especially they are almost elderly. The patient and family members are most likely to be scared and frustrated because it is difficult for them to get around with home care after a total knee replacement. The purpose of this study was designed to promote the nursing instruction rate for post total knee replacement patients in orthopedic ward. In our work place, we found unsatisfied poor outcomes with the home care of post total knee replacement patients; therefore, we carry …

Relationship Of Job Satisfaction And Quality Of Life Among Taiwanese Nurses: A Pilot Study, Chia-Hsin Cheng, Chia-Ju Huang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this pilot study was to explore the relation between job satisfaction and quality of life of nurses in Taiwan. Another objective was to examine the relationship between the demographic characteristics of nurses and their job satisfaction and quality of life.

Methods: The pilot study used a cross-sectional survey design. The purposive sampling method was used to administer questionnaires to informed participants. Thirty-one professional nurses working in medical centers in central and northern Taiwan returned completed questionnaires. Items on the questionnaire fall into three major categories: demographic characteristics, the Chinese …

Measured Noise Levels In The Hospital With Correlating Patient Perception, Mercy Ngosa Mumba, Deborah F. Behan, Rachel Marie Lyle

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The primary objective of this study were to (1) determine de-identified patient perceptions of noise and compare with the actual current noise levels within their rooms. Other objectives of this study were to: (2) determine the actual decibels of noise within the hospital, including the nurse's station, hallways, and patient rooms; (3) determine the noise sources occurring within the rooms and hallways at the time of decibel measurement; and (4) identify the most disturbing causes of noise to the de-identified patients.

Methods: This was a quantitative study with a two-part design. It …

Fostering Global Citizenship In Nursing Education: The Role Of The United Nations, Hester C. Klopper, K. Joanne Mcglown

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

The session will begin with a power point presentation for background information, then progress to examples of successful programs on teaching global citizenship and a discussion of United Nations programs in developing global citizens. The implications of ECOSOC status will be discussed, including the opportunities for STTI and our members that exist with this status. The future vision of STTI's relationship with the UN will also be explored, with discussion of how attendees may best use the information from this presentation.

Qualitative Assessment Of Answer Letters Of Patients With Chronic Fatigue And A Psychiatric Disorder, Peter Vermeir, Liesbeth Delesie, Els Tobback, Dirk Vogelaers, Sophie Degroote, Dominique Vandijck

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: Care delivery is a complex process, involving many different actors (physicians, nurses,'). Appropriate communication between those actors is of key to guarantee qualitative and thus safe care. Referral letters are one of the most important means of communication between care providers. The aim of this study was to perform a qualitative assessment of the content of referral letters (second to first level providers) of patients with chronic fatigue and a psychiatric disorder.

Methods: The study was conducted by the head nurse of the department of General Internal Medicine of Ghent University Hospital. …

Changing Southern African Nurses' Roles In Antibiotic Stewardship: An Innovative Pedagogical Approach, Christine Amalia Varga

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this presentation is to describe the roles nurses can play in antimicrobial stewardship, lessons learned in the creation of health-related e-learning efforts in a developing country context. It will also illustrate means of encouraging inter-disciplinary strategies to antimicrobial steward through innovative pedagical approaches. Antimicrobial resistance (AMR) is an international health concern and major threat to global stability (Laxminarayan et al., 2007). While drug resistance is increasing worldwide, evidence suggests that AMR is disproportionately high in developing countries (Nweneka et al., 2009). This is certainly true for (southern) African countries, …

Prevalence Of Obesity In A National Representative Sample Of Taiwan Adolescents, Chen-Mei Chen

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To determine the prevalence of obesity in Taiwanese adolescents and important related variables.

Methods: This analysis was based on the Nutrition and Health Survey in Taiwan (NAHSIT) data during 2010 and 2011. The original study was a cross-sectional and national representative survey. A total of 1842 subjects (920 males and 922 females) aged 11-20 years participated. Research tools consisted of questionnaires and anthropometry parameters, and Taiwanese criteria were used to classify adolescents' weights. The acquired data were analyzed using descriptive and inferential statistics.

Results: The prevalence of obesity in Taiwanese adolescents was …

Fall Prevention Algorithm For The Older Adult Population: A Dnp Project Utilizing Evidence-Based Practice And Translational Research, Jeffrey Williams

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Significance/Background: Prevention of falls in the older population is an important issue in patient safety. Assessing patients for fall risk is a standard part of the hospital admission process. The American Geriatrics Society (AGS), in collaboration with the British Geriatrics Society (BGS), revised and published an updated version of its previously published guideline entitled 'Falls Prevention in the Older Person.' The updated version is titled '2010 AGS/BGS Clinical Practice Guideline: Prevention of falls in older persons.'

Purpose: The purpose of this project was to decrease the risk of falling in the older adult …

Ebp Mentors In Action In A Real World Clinical Setting To Improve Care And Outcomes, Jacalyn S. Buck

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014: Purpose: Evidence-based practice mentors have been shown to be critical to effectively integrating and sustaining evidence-based practice and decision-making in clinical organizations. Methods: An exemplar of EBP mentors in action in a large, complex academic organization to improve care, outcomes, and cost will be presented. This healthcare organization had been building a cadre of EBP mentors over the past two years and when faced with a quality challenge, they called upon the knowledge and skills of their EBP mentors to find the best, evidence-based solutions and implement action plans to improve practices and …

The Impact Of Yoga Education Among Postmenopausal South Asian Women At Risk For Cardiovascular Disease: A Family Affair, Amandah L. Hoogbruin

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: The purpose of the study is to determine the efficacy of using a random controlled design to measure the effects of a gentle 12 week structured Hatha yoga progam on lipid profile (fasting blood cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), and triglycerides) and blood pressure, as primary outcomes. Other related indices of cardiovascular risk including measures of visceral adiposity (waist circumference, waist-hip ratio, body mass index (BMI)); insulin sensitivity (fasting glucose/insulin); inflammation (C-reactive protein (CRP); sympathetic activity (resting heart rate, heart rate; and perceived stress, mood, and sleep) will be examined …

Evaluation Of A Government Deployment Project For Unemployed Nurses As Input To Policy And Programmatic Directions, Josefina A. Tuazon

International Nursing Research Congress (INRC)

The purpose of this presentation is to evaluate implementation and outcomes of a government deployment project for unemployed nurses called Projects RNHEALS to underserved hospitals and community centers in terms of enhancing clinical and public health competencies and potential employability of deployed nurses as input to policy and programmatic directions.

Nursing Support Workers And Tasks Performed, Delayed Or Not Completed, Michael A. Roche, Christine M. Duffield

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Direct patient care has been undertaken by a combination of licensed and unlicensed nurses for many years. However, persistent nursing workforce shortages and increased patient acuity and throughput has led to increased employment of large numbers of nursing support workers internationally (Bureau of Labor Statistics, 2013; Health Workforce Australia, 2012; NHS, 2013). Concurrently, tasks formerly completed by registered nurses have moved to the nursing support worker (Gillen & Graffin, 2010; Plawecki & Amrheim, 2010). This change has raised questions regarding the role and effective utilization of support workers. However, there has been …

Standardized Patient Simulation For Evidenced-Based Practice With First Semester Bsn Student, Pamela J. Hodges, Karen G. Mellott

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: The best strategy of incorporating evidenced based practice (EBP) concepts into first semester undergraduate nursing curricula is not well established. Since new nurse graduates may have a 2 year delay in translating research to practice, the purpose of this project is to illustrate how first semester BSN students use initial EBP skills during an interaction with standardized patients (SPs) in a simulation lab. Safe communication is key to reforming how evidence is formulated and used to enrich the value and effectiveness of health care. Improvement in patient safety, patient satisfaction, and the …

Differences In Bmi, Self-Concept And Perceived Difficulty In Leading A Healthy Lifestyle Between Hispanic And Non-Hispanic Teens, Bernadette Mazurek Melnyk

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Overweight/obesity is a major public health problem in adolescence. The prevalence of overweight/obesity is even higher in minority populations. Understanding differences in key variables that may impact overweight/obesity is important for designing culturally sensitive interventions to address and prevent this problem. Cognitive theory guided the study and contends that how individuals think affects how they feel and how they behave. The sample was comprised of 779 adolescents at 11 high schools in the Southwest United States who were participating in a randomized controlled trial to assess the efficacy of the COPE Healthy …

Integrated Community Mental Health Services (Icmhs): Quality Of Life And Patient Satisfaction, Vico C. L. Chiang, W. M. Wong, M. Y. Chan, W. L. Lin, W. S. Wong, H. C. Li

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: There is no fixed definition of integrated community mental health service (ICMHS) (England & Lester, 2005; Kodner & Spreeuwenberg, 2002); and a review of the literature indicated a paucity of studies in evaluating the outcomes of this service. Various yet segregated approaches of mental health services have been utilized in Hong Kong in the community.'In this connection, the government has established the Integrated Community Centre for Mental Wellness (ICCMW) since October 2010 in all districts with a view to enhance the multi-disciplinary community support to patients and re-integrating them better into the …

Age Difference In Adherence To A Renal Therapeutic Regimen: The Perspectives Of Chinese Patients Undergoing Continuous Ambulatory Peritoneal Dialysis, Lai Wah Lam

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Patients suffering from end-stage renal disease (ESRD) have to rely on renal replacement therapy (RRT) to sustain life. Due to global shortage of donor organs (Baid-Agrawal & Frei, 2007), all new patients requiring RRT are prescribed continuous ambulatory peritoneal dialysis (CAPD) in Hong Kong unless this is contraindicated (Li & Szeto 2008). It is generally believed that successful management of ESRD and its related treatment depends on patients; continuous adherence to the four components of the renal therapeutic regimen, which include dietary and fluid restrictions, and medication and dialysis prescriptions (Denhaerynck et …

Implementing The Promotion Of Ambulation And Upright Positioning During The First Stage Of Labor, Shelley F. Conroy, Laura H. Curtis

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Although mobility in labor for low-risk women is supported by professional organizations such as the American Academy of Pediatrics, American Congress of Obstetricians and Gynecologists, the Association of Women's Health, Obstetric and Neonatal Nursing, and the Royal College of Obstetricians and Gynaecologists, its use in some hospitals does not match this recommendation. This practice-change project introduced evidence-based guidelines regarding ambulation and upright positioning in a small labor and delivery unit in a large urban area in which approximately 90-95% of laboring patients remain in bed. The aims of this project included: 1) establishing …