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Understanding Self-Care Coping Styles In Patients With Chronic Heart Failure, Chia-Chien Li, Shiow-Ching Shun

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: Heart failure (HF) is a serious disease with poor prognosis and large numbers of people suffer from heart failure around the world. The physical and psychological self-care coping styles affect the quality of life (QoL) among patients with chronic HF. The decreasing of physical and psychological functioning often contributes to poor QoL. Therefore, it is important to understand the coping styles and the related factors in physical and psychosocial self-care.

Purpose: 1) To understand the coping of self-care in physical and psychological aspects in chronic HF patients; and 2) To understand the …

The Practice Of Skill Training For Dialectical Behavior Therapy, Yasuko Koyano

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Introduction: The suicide rate in Japan is 24 per 100,000 population, the highest among the seven most developed countries, and Japan even ranks 9th even among the countries of the world as a whole. In 2010, the Ministry of Health, Labour and Welfare organized a Suicide and depression management project team as an approach to reducing the more than 30,000 suicides that occur in the country annually, and it has vigorously promoted measures to combat suicide. Cases in which patients take excessive amounts of psychotropic drugs prescribed by their physician for the treatment …

Factors Involved In Coping With The Dilemma Of Using Physical Restraints On Elderly People With Dementia: Perspectives From Nurses Who Live With Elderly Relatives, Miwa Yamamoto, Yasuko Maekawa, Tomoharu Nakashima, Noriko Adachi, Yoshimi Noguchi, Naoko Nishimura

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: In Japan, physical restraint of patients has been used in nursing care to ensure patient safety 1-2). However, in 2000, when public care insurance was implemented, a ministerial decree, entitled 'Regulations prohibiting physical restraint' was enforced. This was passed by the Ministry of Health, Labour and Welfare, and legally prohibits the physical restraint of elderly patients in target institutions. Harmful effects due to physical restraint of patients have been verified by several studies 3-5), and the discontinuation of this practice has become a social trend (Ministry of Health, Labour and Welfare 2001). …

Logistic Regression For Predicting Early Postpartum Depressive Symptoms In Japanese First-Time Mothers Aged 35 And Over, Emi Mori, Harumi Ozawa, Kyoko Aoki, Koji Tamakoshi, Miyako Tsuchiya, Tomoko Maekawa, Kunie Maehara, Yoshimi Mochizuki, Miyuki Makaya, Hiroko Iwata, Akiko Sakajo, Akiko Saeki, Akiko Morita

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Currently, Japan is showing a trend towards later childbearing. In 2006, 5.6% of women giving birth were first-time mothers at age 35 and over (1); this increased to 8.4% in 2011 (2). Older first-time mothers have been shown to be at increased risk for pregnancy complications compared with younger women (3, 4). These women also possess several psychosocial characteristics such as increased autonomy, limited social support and limited prior experiences with children (5), which may potentially cause poorer maternal adaptation after childbirth. Older first-time mothers may therefore demand more careful consideration from …

The Development Of Cultural-Specific Caregiver Telephone Coaching Program To Improve Heart Failure (Hf) Home Care, Ubolrat Piamjariyakul, Carol E. Smith

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Background: The significance of this study is related to the prevalence of HF in African Americans at younger ages, with earlier severe complications and mortality. In addition, the economic burden of HF affects these populations greatly. Ethnic-specific needs must be identified to help patients and family caregivers. Thus, a program to provide African American caregivers with skills to improve HF home care, reduce patient rehospitalization costs, and prevent caregiver burden is critically needed.

Purpose: Qualitative data from patients, family caregivers, and professionals experienced in HF care and national clinical guidelines were used to …

Outcomes Of Receiving Service-Learning Activities Among Elders Living In A Long-Term Care Facility, Chia-Shan Wu, Ching-Len Yu, Su-Hsien Chang

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Service-Learning is a form of experiential education. Teaching Long-Term Care Nursing via service-learning activities, students can learn how to communicate with elders, present caring, and meet the needs of elders. However, outcomes of receiving service-learning among elders living in long-term care facilities in Taiwan were limited studied. The purpose of the study was to exam outcomes of receiving service-learning activities among elders living in a long-term care facility.

Methods: This is a single group, pre and post test research design. The service-learning activities were provided by 4th-year nursing students in a five-year …

The Impact Of Parent Reaction To Sexual Orientation On Depressive Symptoms And Sex Risk Among Hispanic Men Who Have Sex With Men, Victoria B. Mitrani, Brian E. Mccabe, Natalie M. Leblanc, Joseph P. De Santis, Diego Deleon

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The study aimed to examine the impact of parents' reaction to their sons' sexual orientation on the son's depressive symptoms and sexual risk behaviors among Hispanic adult men who have sex with men (MSM). We also sought to examine whether the son's level of acculturation would moderate the relationship between parental reaction and the outcome variables. The study tested the following hypotheses: Lower parental acceptance will be related to depressive symptoms; Lower parental acceptance will be related to sexual risk behavior behaviors; The relationship between lower parental acceptance and depressive symptoms will …

Effects Of Balneotherapy On Pulmonary Function And Quality Of Life In Chronic Obstructive Pulmonary Disease Patients, Feng Lien Lin

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this study was to evaluate the effect of balneotherapy on pulmonary function and quality of life in patients with chronic obstructive pulmonary disease (COPD).

Methods: Subjects managed at a chest medical clinic of a medical center in Taipei city were included voluntarily after signing informed consents. The inclusion criteria were age >40, the mild and moderate COPD by GOLD criteria. The 10 subjects in the experimental group received balneotherapy twice per week for 6 weeks with regular medical treatment. The balneotherapy included the diaphragmatic breathing (DB), pursed lips breathing …

Development Of An Evidence-Based Guideline For Screening And Managing Depression In Older Adults, Huei-Chuan Sung, Shin-Yann Tsai, Graeme D. Smith, Mann-Chian Wu

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: This study aimed to develop an evidence-based guideline for screening and managing depression in older adults. Background: Depression and dementia are common mental problems among aging population. Depression in older adults is often ignored and inadequately diagnosed and managed. Literature indicates that older patients with depression may also have cognitive impairment which has similar symptoms with dementia. Therefore, this makes the assessment of depression more difficult among older adults. There is a lack of guideline which can assist clinicians make better assessment and care plan for older adults with depression in Taiwan. …

Effects Of Tai Chi Exercises On Adults With Metabolic Syndrome: A Systematic Review, Yuen Ling Leung, Janita Pak-Chun Chau

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Background: Metabolic syndrome is a cluster of metabolic disturbances that increases the likelihood of developing cardiovascular diseases, type 2 diabetes mellitus, and mortality. The economic burden of metabolic syndrome in individuals with hypertension is projected to rise by 179% by 2020 (Wille et al., 2011). Although pharmacological and non-pharmacological management options including herbal medicine and lifestyle and dietary modifications appear to be effective, the numerous potential adverse effects may deter its use (Mallappa et al., 2011).

Aim: This systematic review aims to present the best available research evidence related to the effectiveness of …

Exploring Significant Others Provide Helping Relationship For Mid-Adulthood Diagnosed With Early-Stage Chronic Kidney Disease, Fang-Ru Yueh, Shu-Mei Chao, Miaofen Yen

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The helping relationship means seeking social support to protect healthy life style. According TTM (Transtheoretical model) illustrate helping relationship include positive and negative support. This qualitative study aimed to describe the helping relationship context within significant others and early-stage chronic kidney disease (CKD).

Methods: A qualitative content analysis approach put to use analyzing semi-structured, open-ended, in-depth interview. Purposive sampling is to recruit patients diagnosed with early-stage CKD from the nephrology education departments of medical centers. Participants are eligible for the study if 'they are between the age of 40 to 60 and …

Factors Affecting Self-Management Behaviors Of Patients With Chronic Obstructive Pulmonary Disease: A Literature Review, Ching Ching Li, Diana T. F. Lee, Doris Y. P. Leung

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To review factors affecting self-management behaviors of patients with chronic obstructive pulmonary disease (COPD).

Methods: Ten electronic databases AMED, BNI, CINAHL, EMBASE, MEDLINE, PsycINFO, Cochrane Database of Systematic Review, China Journal Net, Taiwan Electronic Periodical Services and Google Scholar were searched using keywords, including 'chronic obstructive pulmonary disease' ; 'chronic obstructive airway disease'; 'self-management' and 'self-care' from inception to March 2013. Original research exploring factors affecting self-management behaviors in COPD patients published English or Chinese with full-text were selected. Studies which recruited subjects with asthma or major psychiatric illnesses were excluded.

Results: …

Self-Care Related Factors In Patients With Heart Failure, Pi-Kuang Tsai, Hsing-Mei Chen

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Heart failure is a complex syndrome and requires the patient to engage in long-term self-care activities, in order to stabilize the condition. American Heart Association has issued a scientific statement advocating self-care as one of heart failure treatment modalities. Self-care adequacy has been viewed to have great influence in determining the heart failure outcomes. Identifying correlates of self-care is important to help patients engage in better self-care practice. The purpose of this study was to analyze the correlates of self-care in patients with heart failure.

Methods: The study used a questionnaire survey …

Sepsis Mortality Reduction Project At Contra Costa Regional Medical Center & Health Center, Lai Ping Atalanta Wan

International Nursing Research Congress (INRC)

The purpose of this presentation is to describe our improvement journey of the sepsis mortality reduction project at Contra Costa Regional Medical Center in California, United State, and the outstanding results that we have accomplished using Early Goal Directed Therapy guidelines and an interdisciplinary approach.

Prevalence Of Colorectal Cancer In Psychiatric Patients: The Preliminary Results Of Colorectal Cancer Screen, Yu-Cheng Chen, Shu-Hui Wang, Ya-Lin Ciou, Luan-Chen Lin, Shih-Hsien Kuo, Chiou-Shiang Wu

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The aim of this study was to demonstrate colorectal cancer prevalence in Taiwanese psychiatric patients to provide the reference for psychiatric professionals to improve the physical care for these patients.

Methods: A "Quantitative immunoassay fecal occult blood test" and a questionnaire of habitual diet and daily health behavior were used to screen colorectal cancer and related health behaviors to determine the prevalence an its correlations with habitual diet and health behavior in psychiatric patients. Samples of this study were recruited from a psychiatric hospital in southern Taiwan.

Results: 2088 psychiatric patients (1011, …

On The Use Of Count Model To Predict Falls In Community-Dwelling Elderly: Using Klosa (Korean Longitudinal Study Of Ageing) Data, Sehoon Hong, Jihea Choi, Heun Keung Yoon

International Nursing Research Congress (INRC)

Purpose: Falls has been caused of increasing rates of morbidity or mortality in elderly population (Centers for Disease Control and Prevention, 2013). In community-dwelling adults aged 65 years or older, one in three in the US (Kannus et al., 2007) and 17.2% of South Korean (Korea Ministry of Health and Welfare, 2009) suffers a fall each year. It's been led to spend of much of budgets from medical finance. And, the severity of complications of fall accidents has increased the length of stay of the old in hospital or care facility (Donaldson et al, 2005). Even though many of studies …

The Effect Of A Community-Based Fitness And Aerobic Exercise Program For Older Adults: A Randomized, Controlled Trial, Shu-Chuan Chen, Chiung-Hua Lin, Ruenn-Ching Wang, Hsueh-Jen Ho, An-Na Chao

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of study aimed to examine the effects of a fitness and aerobic exercise (FAE) on muscle strength, flexibility, cardiorespiratory fitness and balance in community-dwelling older adults.

Methods: Participants F A sample of 64 older adults (aged_60+) was recruited from community centers. A prospective, single blind, randomized, controlled intervention trial was undertaken. The participants were randomly assigned to the intervention or control group. Participants were randomized into intervention group (n=31) or control group (n=33). The intervention group underwent a fitness and aerobic exercise (FAE) program which designed for older adults to …

A Comparison Of Health Promoting Behavior And Quality Of Life Among Early Stage Of Ckd And Healthy Adults In Taiwan, Hsiu-Lan Teng

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: This study was to compare 1-3 stage of CKD and healthy adults in terms of: (a) the differences in health promoting behaviors and quality of life; (b) the relationships between health promoting behavior and quality of life.

Methods: This cross-sectional study was conducted through a convenience sample of 78 CKD subjects and 87 healthy adults recruited in southern Taiwan. The Chinese version of the Health Promotion Lifestyle Profile-II (HPLP-II) was used to measure the health promotion behaviors. Quality of life was measured using Taiwan version of the WHOQOL-BREF. Independent t-tests were used …

The Experiences Of Families To Care The Children With Asthma During The Developmental Transition: A Mixed Method, Li-Chi Chiang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To explore the experience of families having children with asthma to transfer the responsibilities of asthma self-management during the development transition period. Design: A mixed method study was used to explore the experiences of families to care the children with asthma during the developmental transition stage.

Methods: Twenty parents and children with asthma dyad were interviewed and followed by structure questionnaire from preschool to school-age transition stage. The qualitative data was transcribed and analyzed by the content analysis. The structure questionnaires including the self-management of children and parents, family function and children's …

The Centers For Medicare And Medicaid Services' Nonpayment Policy And Nursing Sensitive Patient Outcomes In The U.S. Hospitals, Sung-Heui Bae

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The Centers for Medicare & Medicaid Services (CMS) implemented a new policy for Medicare in 2008 to reduce preventable adverse outcomes in hospitals. The new CMS reimbursement policy incentivizes the prevention of avoidable adverse patient outcomes by eliminating reimbursement for treatment of those outcomes in hospitals (Department of Health and Human Services, 2009). Intended consequences of the new CMS policy include appropriate changes in care processes to foster better quality of care so that hospitals can prevent adverse outcomes. However, there are also concerns about possible unintended consequences of such a financial …

Health Status, Healthy Lifestyle, Activity, Perception Of Health, And Health Services: Differences Between Baby Boomer Women And Elderly Women In Korea, Narae Heo, Jiyoung Kim

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this was to investigate the health status, healthy lifestyle, activity, perception of health, and health services between Baby Boomer Women and Elder Women in Korea.

Methods: The data were derived from the 2011 Korea Health Panel annual survey database (?-version 2.0) by National Health Insurance Services [NHIS] and Korea Institute for Health and Social Affairs [KIHSA]. Based on the database on the 170,350 Korean who had ever used Health Services in 2011, data of the number of women aged 50 or older were used for this study (N=3559). They …

Nurses' Needs To Competently Care For Transitioning Pediatric-Sized Adult Patients, Lauren Hyatt

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this presentation is to present an education plan for nurses caring for transitioning pediatric-sized adult patients in the adult health care setting. In today's world of advanced healthcare practices, children with chronic childhood illnesses are beginning to survive into adulthood (McDonnell, Kocolas, Roosevelt, & Yetman, 2010). As a result, nurses, physicians, and other members of the healthcare team are faced with the challenge of how to properly care for them. In placing them in the adult hospital setting, the nurse must encompass the knowledge and skill set to safely …

Exploration Of Undocumented Antenatal Domestic Violence, Kaye I. Bultemeier, Amy Jelley, Rebecca Raymond, Robin Wilson

International Nursing Research Congress (INRC)

Studies indicate that 22% of women in the US admit partner abuse during pregnancy. An additional 6.5% indicate they have never informed their health care provider of the abuse. Abuse is noted to increase with psychosocial stress. Whitley County Kentucky is noted for the fact that 26% of the residents live below the poverty level and unemployment rates are above 10%. Infant death rates are 11.4/1000 live births versus the state average of 7.8/1000. This study therefore will explore undocumented domestic violence against women during pregnancy among pregnant women in rural Kentucky. Purpose: To explore the incidence and types of …

Telling It Like It Is: The Lived Experience Of Young People With Type 1 Diabetes In Rural Australia, Ainsley M. James

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this research is to provide an understanding or awareness of what life is like for a young person with Type 1 diabetes living in a rural environment, the challenges they face and the impact (or influence) chronic illness may have on these aspects. Healthcare professionals will be better placed to provide relevant, contextual and adolescent specific care to young people experiencing chronic illness; care that takes into consideration the impact Type 1 diabetes has on a young person at various points in their life by tailoring care that 'fits' …

Application Of Root Cause Analysis To Improve The Safety Of Patients: A Case Study Of Adverse Event, Fang-Ru Lin

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Head trauma and limb fracture are common consequences of falls in children. The aim of this study was to describe the adverse event with falls children in hospitalized. We used root cause analysis to survey the adverse event on practices relevant to improving patient safety.

Methods: The setting of this study was about a 24-bed pediatric oncology ward in northern regional teaching hospital in Taiwan from January, 2010 to November, 2013. The first applied instrument was based on literatures review. We would retrospectively chart review and 'reporting system of medical incidents' describing …

Exploration Of The Role Of Gastroesophageal Reflux Disease In Chronic Obstructive Pulmonary Disease Patients: A Nationwide Population-Based Cohort Study, Yu-Huei Lin, Chii Jeng

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: To investigate whether GERD is associated with an increased risk of severe acute exacerbation of COPD (AECOPD) by analyzing a nationwide health care database.

Methods: This study employed a population-based retrospective cohort design. We conducted propensity score method with 1:2 matching. In this study we analyzed 1,976 COPD subjects with GERD and 3,943 COPD subjects as a comparison group. We individually tracked each subject in this study for 12 months and identified those subjects who experienced episodes of severe AECOPD required hospitalization or emergency department visit. The cumulative incidence of AECOPD was …

The Change Of Meridian Energy And Symptoms Among The Breast Cancer Patients With Chemotherapy, Sheng-Miauh Huang, Ping-Ho Chen, Li-Yin Chien, Chen-Jei Tai

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: There was rare study to evaluate the change of the meridian energy among breast cancer patients during chemotherapy. Therefore, the primary purpose of the study was to describe the change of the meridian energy, symptom severity and interference among the patients with breast carcinoma receiving the chemotherapy. Also, the study explored the factors to predict the meridian energy.

Methods: A longitudinal study was carried out with 121 patients at four teaching hospitals in the north of Taiwan. The researcher recruited the subjects from July 1st, 2009 to February 28th, 2011. The researcher …

Using Evidence Integrated E-Learning To Enhance The Case Management Continuing Education For Taiwanese Psychiatric Nurses, Wen-I Liu, Jiin-Ru Rong

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this paper is to describe the development and effectiveness of an evidence-integrated e-learning to enhance the continuing education of case management for Taiwanese psychiatric nurses.

Methods: The development of the e-learning program was divided into four stages: 1. Identifying current evidence for e learning and case management education through systematic review articles; 2. conducting a national survey and a focus group to confirm the educational needs; 3. developing teaching materials; and 4. performing a preliminary evaluation of the program with 40 nurses to improve the program quality. The e-learning …

Health Perspectives And Lifestyle Issues Of First-Year Nursing Students: As Revealed Through A Seminar In Health Self-Management, Shu Chun Chien, Fusako Kawabe, Shinobu Saito, Akiko Nagata, Takashi Maeda, Toshie Yamamoto, Yoshiko Wazumi, Tomoko Katagiri

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The leading causes of mortality in Japan are related to lifestyle diseases. One need only consider the top three causes of death: cancer, cardiac disease, and cerebrovascular disease, respectively. In addition to the pathology and treatment of diseases, it is necessary to offer lectures that guide students towards thoroughly understanding the principles of health at all stages of development, so that they may grasp preventive methods. The course 'Seminar in Health Self-Management' was designed to address the principles of health and ways of arranging daily life through applying concepts from Traditional Chinese …

Effects Of A Cultural Competence Education Program For Nursing Students In Taiwan, Chia-Jung Lin, Mei-Chih Huang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: Cultural competent care is an essential ability for nursing students in current Taiwanese global context. However, little is known about nursing students' knowledge, attitude, skill and behavior of cultural competence. Moreover, the creative cultural competence courses were designed and aimed to build up the nursing students' abilities on cultural competence care in clinical setting. The effects of educational intervention are eagerly concerned and require to be evaluated.

Purpose: The purpose of this study was to investigate the effectiveness of a selective course on enhancing nursing student's knowledge, attitude, skill and behavior of …