Digital Commons Network^™

Research Designs For Dissemination And Implementation, Usha Menon

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this presentation is to define translation research, determine readiness for dissemination and implementation research and identify appropriate study designs, funding sources, and feasibility and adaptation methods.

Methods: We will describe differences between key terminologies used in this area. Algorithms will be presented for assessing your program of research for readiness for D & I, and to differentiate between efficacy and effectiveness testing. Within the context of translation to community and clinical practice settings, methods will be described for adaptation, adoption, fidelity, outcomes and impacts, scalability and sustainability and the …

Graduate Students Meet Cinematic Leaders: A Creative Final Project For Managerial/Leadership Course, Tova Hendel

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: Learning human behaviour and response in variety of situations is often difficult. Review of the literature reveal that nursing education is based strongly on traditional teaching methods and points to the need to incorporate new ways of teaching learning and evaluation methods. The use of aesthetic experiences, in nursing education, movies being one of them, provide students with vivid portrayals of peoples' thoughts, emotions, feelings, human interactions, and everyday life situations and enable them to analyse their behaviours and responses.

Purpose: Enhancing students' awareness and understanding of managerial leadership concepts and theories …

Icu Diary: Mind The Gap, Judy Martin

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Critically ill patients have reported gaps in their memories, distorted perceptions and hallucinations which can contribute to the development of posttraumatic stress disorder (PTSD). A review of literature indicated patients have reported not believing they had been that sick causing mistrust of family members and their healthcare team. The purpose of this project was to better understand the effect of the ICU diary on the critically ill patient's transition from the ICU setting.

Methods: An evidence-based practice project, based on the IOWA Model of EBP, was conducted in an intensive care setting …

Experience Of Ethical Conflict In Advanced Practice Nurses And Nurse Managers, Shiuyu Katie C. Lee

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014: Purpose: There is an increasing of new, advanced clinical or management nursing roles globally. The position in promoting ethical practice, such as preserving human rights and professional integrity may be challenged among these nursing professionals in advanced practice. Thus, this study aimed to describe the experience of ethical conflicts and distress in Advanced Practice Nurses (APN) and Nurse Managers (NM). Methods: A qualitative inquiry with constant comparative method was used. A purposive sample of 10 post-graduate nurses in advanced practice, including nurse practitioners, case managers, nurse managers or clinical nurse educators, were recruited …

Global Nursing Leadership Collaboration: Chinese Evidence-Based Practice Immersion Program, Linda Costa, Susan Kulik

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

The mission of the Institute of Johns Hopkins Nursing is to share innovations in practice, education, and research. Through a partnership with the Chinese Nursing Committee and a Chinese educational consultant, two nurses from United States traveled to Beijing China to present a weeklong evidence-based practice (EBP) immersion program for Chinese nurse leaders. Twenty-six participants representing 18 Chinese hospitals completed the program. The EBP program was framed around the EBP question: Will the assessment of fall injury risk factors and the implementation of appropriate interventions decrease serious injury from falls in the adult …

A Faith-Based Concept Analysis For Nursing Education, Charlene Niemi, Veletta Ogaz, Robin Covey, Patricia Frohock Hanes, Carolyn Hanohano

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Background/Purpose: Doctoral students who are also teaching at secular and faith-based institutions conducted a teaching/research project to integrate faith-based concepts related to specific nursing topics into their teaching plans. The purpose of this presentation is to share how faith-based concepts can provide a specific focus or an overarching unity to specific nursing content areas and to assist nursing educators wishing to apply spiritual concepts from a scholarly perspective into their teaching without resorting to the practice of bookending.

Conceptual Framework: This project was based on multiple learning theories including adult learning theories, Walker …

Creating Academic Service Partnerships For Education, Practice And Research, Joyce J. Fitzpatrick, Mary T. Quinn Griffin, Carol Porter, Maria Vezina, Sylvia Fung, Agnes Tiwari, Sophia Chan

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

This presentation describes a four-prong partnership model to enhance nurse involvement and quality of care. The partnership consists or two academic institutions (one in the USA and one in Hong Kong) and two acute care services, one a Magnet-designated hospital in the USA and one the major provider of services for the population of Hong Kong. Several components of the partnership will be described, including student exchanges, particularly among doctoral students, faculty collaborative research projects, expert clinician exchange programs, site visits from one acute care facility to another, study tours among key personnel. …

Mediating Effect On The Relationship Between Professional Commitment And Intent-To-Leave Among Hospital Nurses In Taiwan, Yuan-Ping Chang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: This study was conducted to determine the mediating effect of work frustration on the relationship between professional commitment and intent-to-leave.

Methods: A cross-sectional study with a questionnaire survey was performed. The participants in this study were hospital nurses in Taiwan. Three questionnaires covering work frustration, professional commitment and intent-to-leave were used as measuring tools. Data were verified by SEM with AMOS.

Results: There was a significant direct and inverse correlation between professional commitment and intent-to-leave as well as a significant and indirect effect of professional commitment on intent to leave through work …

Triplet Partnering: A Novel Approach To Introducing Evidence-Based Nursing Practice In China, Elizabeth R. Barker

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: To disseminate'a model for instituting EBP as an international nursing concept.

Methods: Needs identification using international consultation. Review of the literature to determine the most effective methodology for developing the innovation with special emphasis on cultural compe Design of the strategies among academic and hospital based nursing service to model the development of EBP nursing protocols.'Implementation of the plan with six month visiting scholar program for nursing leaders from China. Evaluation of the effectiveness of the changes by visiting the target hospital in China.

Results: There are five units is a new …

Effects Of Shift Work Change On Occupational Stress In South Korean Female Nurses, Bokim Lee, Hyesun Jung

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: For adequate care of shift workers' health, it is essential to understand the relationship between shift work schedule change and job stress. However, there is no published research on the association between shift work schedule change and job stress among South Korean workers, especially South Korean female nurses. The purpose of this study was to examine differences in job stress by shift work schedule change and to determine the association of shift work schedule change to job stress among South Korean female nurses.

Methods: A cohort of 781 nurses was established in …

Acknowledging And Enabling Point-Of-Care Leadership: A Key To Clinical Nursing Excellence, Irmajean Bajnok, Debra A. Bournes

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Point-of-care nurses who have opportunities to engage in and be acknowledged for their leadership behaviours find it a source of inspiration, motivation, and' confidence building. Leadership at the point of care is related to leadership behaviours that are informal rather than related to a formal leadership role. Point-of-care nurses regularly engage in leadership behaviours related to their direct clinical work where they make clinical decisions, consult with other team members and plan and carry out nursing treatment plans. In addition, many point-of-care nurses, because of their expert clinical knowledge, are involved in leading …

Factors Affecting The Timing Of An Autism Spectrum Diagnosis, Ashley Darcy Mahoney, Bonnie Minter, Melinda Higgins

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The prevalence of children with autistic spectrum disorders (ASD) has increased over the past two decades. Over this same time period, the number of infants born preterm has also increased. Early diagnosis of ASD enables interventions that improve the functioning of children with ASD. To address the question of whether late-preterm (LPT, 34-36 weeks) infants carry the same risk for ASD as full-term infants, this study explored possible relationships between gestational age and ASD diagnosis. Additionally, this study addressed how maternal education, race, age, marital status and neonatal factors collectively affect the …

A Model Testing On Health Literacy, Knowledge About Vitamin D, And Actual Behavior In Sunlight Exposure, Angela Yee Man Leung

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: To test whether health literacy is associated with actual sunlight exposure behavior, we interviewed 648 Chinese adults aged 65 years or older.

Methods: Using the information-motivation-behavioral skills model and structural equation modeling, we tested how health literacy was associated with the complex relationship among knowledge about vitamin D, attitudes towards sunlight exposure, doctor recommendations regarding sunlight exposure, and actual sunlight exposure behavior. Health literacy was directly associated with sunlight exposure (beta = .20, p < .01). Indirect relationships also existed between knowledge and sunlight exposure through health literacy (beta = .46, p < .001) and between attitudes and sunlight exposure through health literacy (beta = -.12, p < .05).

Results: The model had good fit (chi-square/df = 2.79; RMSEA = .053, p = .346; CFI = .95; …

Using The Internet To Reach Teens With Type 1 Diabetes, Margaret Grey

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

In this presentation, the results of a series of studies about a psycho-educational intervention developed to improve outcomes in adolescents with type 1 diabetes will be described. Based on descriptive research findings, the author developed the intervention and translated it into an internet delivery format which has been tested in a large randomized clinical trial. Translational research is now being conducted.

Reduction Of Childhood Obesity Via The Web-Based Programs In School-Aged Children, Natalya Fazylova

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: This review aimed to to identify the current evidence on the effectiveness of web-based programs on the reduction of childhood obesity.

Methods: A three-step search strategy and search terms were formulated based on the selection criteria. This review considered studies that included school age children regardless of gender, ethnicity, or national origin from 4-18 years of age. The outcomes measured in this review include overweight and obesity among school aged children as measured by valid and reliable measurements including but not limited to BMI, body weight, and/or waist circumference. Independent critical appraisals …

The Experience Of Dysmenorrhea And Its Related Self-Care Behaviors Among Adolescent Girls, Cho Lee Wong, Lai Wah Lam, Wan Yim Ip

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: To explore the experience and self-care behaviors among adolescent girls with dysmenorrhea in Hong Kong.

Methods: This study had two phases - a survey in phase I and semi-structured interviews in phase II. This abstract presents phase II of the study. Based on the phase I results, purposive sampling was employed to recruit 24 adolescent girls with very high and very low levels of self-care behaviors using the Adolescent Dysmenorrhic Self-Care Scale. Semi-structured interviews were conducted with the help of an interview guideline to understand adolescent girls' experience of dysmenorrhea and their …

Registered Nurses Extended Work Shifts And The Association With Quality Of Nursing Care And Patient Safety: A Cross Sectional Survey In Twelve European Countries, Peter Griffiths

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: In some countries, there is a move toward nurses working shifts of longer duration to reduce time and cost of shift handovers and staff overlap, and to potentially improve work life balance; 12 hour shifts have become the norm in some countries and hospitals. However, concerns have been raised as to whether nurses can perform reliably and effectively when working longer shifts. This presentation gives the results of a study that aims to describe shift patterns of European nurses and to investigate whether shift length is associated with nurse-reported quality and safety …

Does Moonlighting Influence South African Nurses' Intention To Leave Their Primary Jobs?, Laetitia C. Rispel

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Moonlighting is commonly understood as having a second job, usually part-time, in addition to a primary full-time job. This paper examines whether moonlighting influences South African nurses intention to leave their primary jobs.

Methods: During 2010, a stratified random sample of 80 hospitals was selected from the public and private health sectors in four South African provinces. All nurses working in intensive care, theatre, casualty, maternity and general medical and surgical wards on the survey day completed a self-administered questionnaire after obtaining informed consent. In addition to demographic information, the questionnaire focused …

Validation Of A Post-Entry English Language Assessment For Commencing Undergraduate Nursing Students, Paul J. Glew, Kathleen Dixon, Lien Lombardo, Yenna Salamonson, Anthony Good, Sharon Patricia Hillege

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: The Australian society has become increasingly culturally and linguistically diverse as a consequence of migration and globalisation, and this diversity is reflected in students choosing to take up nursing studies in higher education (Salamonson et al. 2012). Similar trends are also reported in other developed countries, for instance, the United States (American Association of Colleges of Nursing, 2012). Although these students may meet a minimum entry requirement for university admission, some, in particular, those with English as an additional language (EAL) experienced slower rates of progression (Salamonson et al, 2011), which suggests …

Collaborating Globally To Transform Haiti's Healthcare, Jacqueline Cassagnol, Odiane Medacier

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Haiti is facing a serious healthcare delivery crisis (Jerome & Ivers, 2010). The Haitian American Nurses Association (HANA) is addressing this issue by collaborating with corporations/organizations in order to initiate projects that will transform Haiti's health care. Two main focuses of HANA have been community health and disaster preparedness in Haiti. The purpose of the Faculte des Sciences Infirmieres de Leogane (FSIL)/Disaster Preparedness and community projects, sponsored by HANA, is to establish sustainable non-governmental policies and procedures for disasters at FSIL and the surrounding community, through Worldwide Community First Responder, Inc (WCFR). …

Interventions To Improve Physical Functioning And Psychological Adjustment In Advanced Heart Disease, Cynthia M. Dougherty

International Nursing Research Congress (INRC)

In developing a program of research in advanced heart disease, this session overviews the development of a body of knowledge related to human responses to sudden cardiac arrest both for survivors and their family members and the development and testing of nursing interventions to improve health outcomes after sudden cardiac arrest and advanced heart disease. The results of this research program are enhanced physical and psychosocial health and to reduced health care costs in persons with advanced heart disease and their family members. Within the program of cardiovascular nursing research, four foci will be addressed: Nursing intervention models to enhance …

Enhancing Nursing Students' Medication Safety Competencies With A Pediatric Medication Simulation Experience, Donna M. Mesler, Diane Stewart, Marcia Gardner

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background and Problem: Medication administration can absorb a significant amount of nursing time in the acute care setting, and medication errors have been reported to occur in as many as 47.5% of administrations (Holland, et. Al., 2012). Errors have been identified at all points in the medication administration process, from calculation of dosage to delivery of the dose to the patient, and in all patient populations, including the physiologically vulnerable pediatric population. Medication errors can be particularly devastating to pediatric patients as a function of physiologic differences from adults (Gonzales, 2010; Kaushal, Bates, …

Evidence-Based Outcomes To Detect Obstructive Sleep Apnea, Identify Co-Existing Factors, And Compare Characteristics Of Patients Discharge Disposition, Joseph F. Burkard

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Introduction: According to the American Heart Association, fifteen million adults are affected by obstructive sleep apnea (OSA). Obstructive Sleep Apnea (OSA) is the most common disturbance during sleep affecting 30% of the population. The occurrence of moderate/severe OSA is estimated at 11.4% in men and 4.7% in women. This outcomes project included three completed bodies of work designed to evaluate the effects of implementing the STOP BANG tool in preoperative clinics to identify undiagnosed OSA surgery patients, examine the duration of recovery and the impact of co-factors and evaluate patient characteristics of discharged …

A Rct Of The Effects Of Medication Adherence Therapy For People With Schizophrenia Specturm Disorders, Wai Tong Chien, Jolene Mui, Eric Cheung

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: This randomized controlled trial, using a repeated measures control group design, tested the effectiveness of a 6-session medication adherence program for Chinese outpatients with schizophrenia and its subtypes over a 12-month follow-up.

Methods: A two-site controlled trial was conducted with 134 Chinese patients with psychotic disorders in Hong Kong. The program is a motivational and insight-inducing educational program that addresses patients' awareness and knowledge of schizophrenia and skills of medication management (Gray et al., 2006) . They were randomly assigned to either the medication adherence program or usual psychiatric outpatient care. The …

Overweight And Obesity In Young Children: A Critical Period For Intervention, Leigh Small

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background and Significance: While there has been a surge in prevalence rates of overweight and obese children over the last three decades; recent epidemiological data suggest that the trends have stabilized for all child age groups except preschool-aged children. Furthermore, the increase in the prevalence of obesity across child age groups continues to be the greatest between the preschool and school-age groups; underscoring the importance of intervening with young children. Purpose: The purpose of the study was to appreciate the effect of a parent-focused intervention conducted in an office setting on child (4-8 …

Disruptive Behavior And Its Effects On Workplace Safety: What Can Nurse Leaders Do?, Ann Marie T. Brooks

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Disruptive behavior between nurses and physicians in healthcare interferes with care delivery and negatively affects patient safety and outcomes. Throughout the three year process of building a culture of safety at a five hospital system, considerable attention and focus was devoted to educating staff and physicians on error prevention tools and minimizing the power gradient that has been recognized as a major obstacle in speaking up for safety by nurses with physicians. Following the completion of error prevention training of over 10,000 employees and physicians, staff across the system continued to express …

Use Of Honey For Healing Pressure Ulcers: An Integrative Review, Katherine Ann Ricossa

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Using Complementary and Alternative Methods (CAM) offers a holistic approach of caring for those with pressure ulcers. The purpose of this paper is to examine the caring and the healing process using CAM to examine a Systematic Integrated Review of 9 randomized clinical trials on the use of honey and the healing of pressure ulcers. The costs of wound healing continue to escalate. It is important to explore alternative holistic modalities which are cost effective and achieve the desired outcome of wound healing. Honey is the ideal substance to provide effective wound …

A National Survey Of Faculty Knowledge And Experience With Lesbian, Gay, Bisexual And Transgender (Lgbt) Health And Readiness For Inclusion In Teaching: Curricular Implications For Baccalaureate Nursing Programs, Fidelindo Lim

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: The purpose of this faculty needs assessment survey is to appraise the LGBT health knowledge, experience and readiness teaching LGBT health topics among the nursing faculty in baccalaureate programs across the U.S.

Methods: An investigator-developed Likert-type survey questionnaire was used to collect data using Qualtrics. Direct online solicitation of all chief administrative leader whose names and e-mail addresses are publicly available on the website of the American Association of Colleges of Nursing (AACN) (N=739) was conducted. The nursing school's chief administrative leaders were requested to forward the study link to all faculty …

Transitional Care Using Telehealth: Fewer Emergency Unplanned Admissions And Improved Quality Of Life And Functional Ability, Mary Courtney, Chiung-Jung (Jo) Wu

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Prof. Courtney's research program involves the development, trial and evaluation of innovative discharge planning and transitional care models that span across hospital and community health sectors and include hospital and in-home assessment, exercise strategies and telephone follow-up interventions with 'at-risk' community-living older adults (1,2,3,4). This presentation focuses on results of her previous clinical trials in 'general hospitalised medical patients' and presents findings published in Journal of American Geriatric Society (JAGS) and PlusOne which demonstrate significantly few emergency hospital readmissions (22% intervention, 47% control, P = .007) and emergency GP visits (25% intervention, 67% …

Establishing And Maintaining International Research Collaboration: Processes, Outcomes, And Exemplars, Joan E. Haase

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Although the importance of international research collaboration is increasingly acknowledged, there are few descriptions of how effective partnerships are established and maintained. Nurses often are hesitant or do not know how to effectively seek internationalresearch collaborations; and when collaborations are started, without adequate planning, they may not be sustainable. The purpose of this symposium is to describe experiences of establishing and maintaining international collaboration among researchers in Taiwan and the USA to conduct behavioral research for children with cancer and their families. We will describe how our collaborations were initiated through study-abroad and …