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Am I Responsible To Help Peers In Abusive Dating Relationships?: Learning From A Qualitative Study, Claudia Kor Yee Chan

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014: Young people's attitude towards dating violence and perceived barriers in responding peers in abusive dating relationships may contribute to their willingness to help peers in abusive relationships. Purpose: This study explored the university students' intention to prevent dating violence and identify the barriers in responding peers in abusive dating relationships by using qualitative approach. Methods: Twenty university students were recruited at Dating Cafe Ambassadors Programme to educate peers in helping to prevent dating violence on university campus. Participants were followed for 3 workshops of participant observations and a focus group interview. An interview …

Motivational Factors And Preferences Regarding Research Participation Among Hiv+ Adults In An Urban Setting, Victoria B. Mitrani, Brian E. Mccabe, Lisa R. Metsch

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this study was to explore factors (cost/benefits, social/community endorsement) that influence research participation and comfort with the format for data collection (face-to-face interview, paper questionnaire and computer assessment) of potentially sensitive information of African Americans and Hispanics with HIV/AIDS. We examined whether the importance of cost/benefits, the importance of social/community endorsement, and comfort with three data collection formats were related to ethnicity, age, education, or first-time study participation. This was an exploratory study aimed at building hypotheses for future research and to inform researchers wishing to enroll people from …

Using Field Theory To Explore The Resourcefulness Of Patients With Depression, Chun-O Chien, Chien Yu Lai

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to explore the resourcefulness in patients with depression and to understand the personal or social resourcefulness expected by them.

Methods: A qualitative research design based on Field Theory with the method of focus group interviewing was used. The participants were recruited via purposive sampling from outpatients department of a medical center in Southern Taiwan. Totally, seven adults with depression were invited and completed the full courses of focus group in this study. Closed groups with six interviews, two hours per time, were implemented to collect data. Content analysis was used to analyze the …

Implementation Of An Innovative Interprofessional Curriculum For Community Assessment, Practice, And Research For Masters' And Doctoral Education, Quannetta T. Edwards

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Describe the implementation of an innovative inter-professional curriculum for community assessment practice, and research for doctoral education and discuss innovative approaches utilizing vulnerability and community assessment models.

Methods: Descriptive summary of an innovative curriculum designed for doctoral students (i.e. nurses and physicians) using inter-professional collaborative team approach at multi-centers at one large Health Science University (centers in Oregon and California). The program uses a myriad of approaches to provide a thorough assessment of community/populations that includes an analysis of social, epidemiological, behavioral , environmental and predisposing, enabling and reinforcing factors that impact …

Successful Institution-Wide Sustained Reduction In Central Line Associated Bloodstream Infection (Clabsi) Using A Multidisciplinary Approach, Katherine Pakieser-Reed, Megan Miller, Sylvia Garcia-Houchins

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Central Line Associated Bloodstream Infection (CLABSI), a significant cause of morbidity and mortality in hospitalized patients, has been identified as a never event (CDC NHSN, 2013). The Centers for Medicare and Medicaid Services no longer reimburse for CLABSI-associated costs of care as an incentive to improve the quality of care and reduce healthcare costs (Kuhn, 2008). In countries with limited resources, rates of healthcare-associated infections including CLABSI are three to five time higher than those in the U.S., and CLABSI reduction has been identified as a priority for the International Nosocomial Infection …

Examining The Use Of A Digital Clinical Patient In The Online Classroom Environment, Linda M. Gibson-Young

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014: Background: While there are a number of instructional products designed to educate undergraduate nursing students, the quality of these products vary, and there is a shortage of quality products that can be used for advanced practice graduate nursing students. To address this need, Shadow Health introduced a new and innovative Digital Clinical Experience (DCE) in 2012. The DCE is a 28 year old African-American female named Tina Jones. As faculty, I utilize Tina Jones in a fully-online advanced health assessment course. In order to prepare students for the valuable time they spend face-to-face …

Promoting Resident-Centered Care Through The Implementation Of Best Practices: A System-Level Implementation Program, Doris Grinspun, Irmajean Bajnok, Carol Holmes, Heather Mcconnell

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

A system-level implementation strategy that supports the uptake, evaluation and sustainability of evidence-based practices within the long-term care sector is being led by a professional nursing association. This work has been made possible through government supported dedicated funding - with the goal of supporting long-term care homes in implementing best practices and enhancing resident-centered, quality care. The strategies utilized by the program assist the long-term care homes to not only leverage their efforts to meet provincially mandated programs in key practice areas such as falls prevention, wound care, continence and pain, but to …

African-American Grandmothers Raising Grandchildren: Results Of An Intervention To Reduce Caregiver Psychological Distress, Susan J. Kelley, Peter E. Campos, Deborah M. Whitley

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Globally, millions of grandmothers are assuming full-time caregiving responsibilities for grandchildren when birth parents are unable to do so. While the reasons for this caregiving arrangement vary by global region, they often include HIV/AIDS, child maltreatment, workforce migration, mental health issues, and substance abuse. The purpose of this study is to determine the results of an intervention to improve the well-being of grandmothers who are raising grandchildren in parent-absent homes. More specifically, we examine the role of a home-based, interdisciplinary intervention in reducing psychological distress in caregiving grandmothers.

Methods: The sample comprised …

Clinical Nursing Practice Guideline: Oral Care For Patients With An Artificial Airway Intubation, Nongnapas Phanjam, Suthathip Kasedluksame, Thanat Rudyung

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Patients with an artificial airway intubation cannot be cleaned orally manually. Complications with the mouth can be caused easily, especially regarding the high risk of pneumonia. Evidence-based practice (EBP) provides nurses with a method of using critically-appraised and scientifically-proven evidence for delivering quality oral care. The primary purpose of this updated guideline was to improve the oral assessment and care for patients with an artificial airway intubation.

Methods: The method of this EBP guideline was as follows: 1) the PICO format for finding specific questions; P (Populations) - adult patients, critical-ill patients, …

Influences Of Women's Childbirth Experiences Related To Husband's Supports For During Childbirth And Attitudes Toward Husband's Childbirth Presence, Yu-Jin Lee, Sun-Hee Kim

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this study was to identify the relations among husband's supports during childbirth, attitudes toward husband's childbirth presence, and the childbirth experiences in women.

Methods: The study was conducted at five women's hospital in the D city of Korea. The participants in this study were 178 women who were within 2 days after normal spontaneous vaginal delivery. Data were collected from September 1st to September 30th, 2013 using a structured questionnaire. Collected data were analysed by t-test, one way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression using IBM SPSS/WIN …

Experiences Of Preceptors In Dedicated Education Units In The Public Hospital Environment, Jennifer L. Kitchens, Joe Burrage

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: To provide data on which to develop a method to evaluate experiences of preceptors of nursing students on a Dedicated Education Unit (DEU)/Traditional Nursing Unit (TNU). The specific aim was to describe experiences of nurse preceptors who have worked with at least two rotations of nursing students over the last 12 month in a DEU/TNU setting. Current faculty shortages, increased patient care acuity, advanced technology, greater system complexity, and sophisticated computer systems have resulted in the increased need to use staff nurses preceptors to provide students with clinical instruction and experience. More …

Diet, Encoded Memory, Visual Cues, Obesity, And Neuroimaging: The Role Of Affective Response In Eating Behavior, Joann D. Long, Ngozi Anyanwu, Carol Boswell, Sara L. Dodd, Toby Rogers, Martin Binks

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: According to the World Health Organization, 35.8 million people are obese world-wide. The obesogenic factors contributing to this global problem are thought to reflect a complex interrelationship between social, physiological, and environmental factors. Behaviorally focused interventions focused on healthy eating, portion size, and public health strategies to increase fruit and vegetable intake have reported modest success in addressing the obesity epidemic. Appreciating how individuals differ in response to environmental eating conditions remains enigmatic. Recent advances in neuroimaging have opened the possibility of a new frontier by understanding the neural responses to food …

Avoiding Litigation: Legal-Based Mediation Education For Nurses, Takako Hiramatsu, Michiko Senda

International Nursing Research Congress (INRC)

Purpose: In response to an increasing number of litigations relating to medical errors and growing awareness of patients' rights, training for a medical mediator, who engages in a mediating role in a hospital, is in progress. Mediation is a dialogue based negotiation, and is one of conflict management models, which aims to resolve confrontations resulting from different values and interests held between individuals or nations. Mediation also aims to manage individuals' psychological and emotional conflicts. Following the establishment of a medical safety administration department at our institution in 2003, multidisciplinary teams including nurse medical safety officers have taken the lead …

Imrt-Induced Acute Fatigue In Patients With Head And Neck Cancer: A Prospective Study, Canhua Xiao, Kristin Higgins, Deborah Bruner, Jonathan Beitler, Luke Ong, Andrew H. Miller

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Fatigue profoundly impacts a cancer patient's quality of life, 1 treatment adherence, 2 and health care utilization. 3'Pre or post radiotherapy (RT) fatigue is a prognostic factor for pathologic tumor response 4 and survival. 5,6' Patients with head and neck cancer (HNC), who are usually treated with RT because of the structural complexity and functional importance of cancer sites, have particularly high rates of fatigue during treatment. 7 Most recent research on Intensity-modulated Radiation Therapy (IMRT), a commonly used new radiotherapy that targets tumors with higher doses while avoiding normal structures, has …

Effectiveness Of A Trans-Theoretical Model-Based Stage-Matched Intervention To Promote Lifestyle Modification Among Chronic Kidney Disease In Taiwan, Miaofen Yen

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Chronic Kidney Disease (CKD) is a global public health issue. To following a healthy lifestyle is good for people with CKD. Therefore, lifestyle modification has been promoted for the control of various chronic disease included CKD. The Trans-Theoretical Model (TTM) has become increasingly influential as a framework for understanding health-related behaviors and directing targeted interventions to promote health behavior. The study apply the transtheoretical model (TTM) to assess the effectiveness of a lifestyle modification consultation program on subjects with stage 1 to 3 CKD at baseline, 6, 12, 18, 24, 30 and …

Adults With Type 1 Diabetes: Lifetime Support And Management, Donna Freeborn, Susanne Olsen Roper, Barbara L. Mandleco, Jordan Scanlon, Tina Dyches

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: To explore family support and it effects on diabetes management of adults with type 1 diabetes.

Methods: This study consisted of two in-depth interviews of 23 adult females and 12 adult males ranging in age from 19 to 70 years (M=36.54, SD=16.65). Participants' ages at diagnosis with type 1 diabetes ranged from two to 35 years (M=15.06, SD=9.84) with one to 54 years since diagnosis (M=21.46, SD=12.87). This qualitative study, using the biographical method, consisted of two in-depth interviews. The first interview allowed the participant to answer the prompt "tell me about …

Relationship Between Social Desirability And Perception Of Physical Restraint Use Among Japanese Nurses, Kyoko Shida, Makiko Muya

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: In Japan, the aging society has been growing rapidly. In 2055, it is estimated the aging ratio would be 40.5%. The issues of aging society are proposed from several domains of quality of life. The increase of elderly patients and the shortage of care providers are also big issues. Additionally, ethical consideration for patients has been more and more paid attention under the precarious balance. Many nurses experience ethical dilemma toward elderly care, especially, the use of physical restraint for cognitive impairment. Ethical decision to use of physical restraint is entrusted to …

The Identification Of Stimulant Misuse, Wanda L. Hilliard, Jayne Perkins

International Nursing Research Congress (INRC)

Purpose: Stimulants play an important role in the treatment of attention deficit hyperactivity disorders, as well as other psychiatric conditions. It is well known that stimulants are highly misused due to their mechanism of action in today's society. The pharmacokinetics, biochemical structure and physiological effects all contribute to the misuse of stimulants. It is imperative for prescribers and clinicians to understand the misuse potential of this class of medications. Methods: A literature search and case studies are presented demonstrating the misuse potential, along with a review of the clinical implications and strategies for risk reduction. Results: We conclude stimulants are …

The Influence Of Helping Relationships From Significant Others On Healthy Lifestyle Among Patients With Chronic Kidney Disease, Shu-Mei Chao, Fang-Ru Yueh, Miaofen Yen

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The aim of research is to study and explore helping relationships impact on establishing healthy lifestyle among patients with chronic kidney disease (CKD). The positive behaviors and negative behaviors of helping relationships from significant others assist patients with chronic kidney disease to do health behaviors about diet and exercise. Therefore, the patients will get higher possibilities to insist in suggestions from medical staff and act healthy lifestyle for maintaining healthy behavior and delaying deteriorated disease. Addition to helping relationships from perspectives of Transtheoretic Model, the study explores influence how helping relationships from …

The Challenge Of Caring For Incontinence: The Experience Of Family Caregivers Of Stroke Survivors, Meei-Fang Lou, Chien-Ning Tseng

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Family caregivers' experiences of caring for the older stroke relatives with urinary/fecal incontinence were explored.

Methods: A qualitative study was designed to elicit a rich understanding of the experience of family caregivers of older stroke survivors with incontinence. Grounded theory method was used to collect and analysis data from deep interviews with ten family caregivers of older stroke relatives with incontinence, aged 21-78 years, during 2011.

Results: Four major themes that emerged from these data were 'being in chaos', 'being in vigilance', 'being in exhaustion' and 'being in creating a new life …

Correlations Between Psychological Symptoms And Quality Of Life In Resident Elderly: A Regional Hospital In Taiwan, Su-Jung Jr. Liao, Tse Tsung Liu, Jiin-Ru Rong

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: According to the Council for Economic Planning Committee in Taiwan, said the United Nations and our population data and comparison of the data with the U.S. Census Bureau found that Taiwan's population is aging while compared with 193 countries in the United Nations, and our ranked world No. is 48 in 2010(1). At present, Taiwan's population's "aging index" is only 69% (the so-called aging index is defined as the population aged 65 and over accounted for 0 to 14 year-old the proportion of the elderly population is a young population that's 0.6 …

First-Time Fathers' Experiences During Childbirth In Taiwan, Wan-Lin Pan

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this presentation is to explore first-time fathers' experiences during their wives' childbirth in Taiwan.

Methods: This qualitative study was undertaken using a grounded theory approach. We developed a semi-structured questionnaire for in-depth interviews conducted with 6 participants from hospital. Constant comparison, theoretical sampling, literature review, member checking and an expert panel were used to ensure research trust worthiness. A purposive sample of the fathers aged above 21 years who accompanied their wives throughout childbirth were recruited from the postnatal wards between one to seven days after the birth of …

Promotion Of End-Of-Life Care At Home For The Elderly In A Community Setting In Japan: Results Of Qualitative Research, Yae Takeshita, Michiko Moriyama

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Background In Japan, according to the national statistics, only 33.1% of the elderly people died at home, even though 89.1% of them wish to die at home. This discrepancy indicates obstacles existing in many areas in this society. One major reason is that advance directive is not legislated, and only a few people write their end-of-life wishes as a legal document in Japan. Without legal protection, healthcare professionals want to escape from legal trouble even if the elderly show their wishes at the end stage. In order to protect the elderly wishes …

A Study Of The Relationship Between Compassion Fatigue, Somatization, And Silencing Response Among Hospital Nurses: Focusing On The Mediating Effects Of Silencing Response, Sunhwa Kim

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this study was to identify compassion fatigue(CF), somatization, and silencing response (SR) among nurses and understand intermediate effects between variables.

Methods: The sample of 240 nurses who were working in medical, surgical wards and emergency room had shift-work in 3 hospitals with over 700 beds. A structured questionnaire was used and included CF, Somatization and SR scale. The data were analyzed using descriptive statistics, ANOVA, Pearson's correlation coefficients and stepwise multiple regression.

Results: There were statistically significant differences in CF, somatization and SR depending on perceived personal health condition, …

The Role Of Substance Abuse In The Lives Of Childhood Trauma Survivors, Weihua Zhang, Linda Grabbe

International Nursing Research Congress (INRC)

Purpose: Traumatic events early in life have been associated with substance abuse problems and mental health disorders (Adverse childhood experiences study, 2013). The development of addictions is a result of complex interactions among genes, environment, chronic stress, and neurobiology (Stephens & Wand, 2012). For persons who have experienced severe childhood abuse or neglect, there are fundamental changes in brain development (DeBellis et al., 1999), and many individuals deal with lifelong mental health problems such as depression, anxiety, post-traumatic stress disorder, and emotion dysregulation. One theory of substance use associated with mental distress is "self-medication," that is, persons with mental health …

The Efficacy Of Care Model Of Group Home For Caring The Elderly With Dementia: A Systematic Review, Meng-Chin Chen, Li-Wei Lin, Li-Yen Yang

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Background: The group home is one of the dementia care model and many studies have been discussed for this issue. However, the effectiveness of group home is different because of different research designed or method limitations (e.g. no measurement of long-term outcomes, and the lack of a control group). Therefore, the effectiveness of group home currently has not complete evaluation in clinical practice. Purpose: The aim of this study was to appraisal critically the effectiveness of group home of group home for caring the elderly with dementia.

Methods: Literature search included English and …

Effectiveness Of Motivational Enhancement Therapy Plus Cognitive Behavior Therapy On Glycerol Control, Depressive Symptoms, And Health Related Quality Of Life In Diabetic Patients: A Randomized Controlled Trial, Chiung-Yu Huang, Wen-Kuei Chen, Hui-Ling Lai

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: When patients with diabetes have proper glycerol control, negative emotional responses usually occur and their health related quality of life is consequently under threats. The objective of this study was to determine the effectiveness of motivational enhancement therapy (MET) plus cognitive behavioral therapy (CBT) on depressive symptoms, HbA1C, fasting sugar, BMI, and health related quality of life in type II diabetic patients.

Methods: There was an experimental design, a repeated measurement analysis. Data were collected in diabetic outpatient department. In the outpatients department of a general hospital, 241 diabetes patients had been …

Relationship Between The Risk Factor Of Latex Allergies And Rubber Products In Daily Use By The Japanese Nursing Students, Emi Kajiwara, Hideko Oda, Junko Suemitsu, Teruyo Iwamoto, Yoshinobu Asano, Teruko Honda, Satoko Ono, Hidechika Iino

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: We are researching prevention of latex allergies (LA) in a Japanese undergraduate nursing program. From previous research, we found some nursing students have allergies to rubber products. We discuss the relationship of such allergies to daily use of rubber products, and the risk factor of LA from results of a survey of nursing students. The purpose is to clarify the relationship of such allergies to everyday rubber products (gloves, rubber bands, headbands, balloons) and risk factor of LA to other allergies, LA-associated foods (e.g., kiwi, banana, celery) ,experience of operation, medical history …

Factors Related To Social Support And Communication Methods For Psychological And Social Adjustment In Japanese Laryngectomized Individuals: A Study Of A Self-Help Group, Kumiko Kotake, Ichiro Kai, Aya Takahashi, Yoshimi Suzukamo, Kaori Haba, Yuki Nagamatsu, Kazuyo Iwanaga, Rieko Kawamoto

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this study is to clarify factors related to social support and communication methods that are associated with psychological and social adjustment and to evaluate the nursing support plan for the promotion of social adjustment in laryngectomized patients.

Methods: We contacted, through a mail survey, perilaryngeal cancer patients who were enrolled in a patient association. This group included 893 of the 1828 patients who agreed to participate in the study. They were registered members of a laryngectomized patient association, A, which is a public interest incorporated self-help group. Its objective …

Factors Contributing To Malnutrition In Patients With Gynecologic Cancer, Juhee Nho, Sung Reul Kim

International Nursing Research Congress (INRC)

Purpose: 40-80% of cancer patients had nutritional disorder. Patients with gynecological cancer who is recognized as a major health problem, but the incidence of malnutrition and related factors about the results are reported to be varied. Malnutrition appears differently depending on the treatment period, psychological factors such as depression affect malnutrition. It is important nursing actions that nurses understand the nutritional status of the subjects and identify the relevant factors. The purpose of this study was to evaluate the nutritional status and to identify clinical, psychosocial, and nutritional factors contributing to malnutrition in Korean gynecologic cancer patients.

Methods: There were …