Digital Commons Network^™

Friends Helping Friends: A Peer-Based Programme In Responding To Dating Violence In U.S., Angela Frederick Amar

International Nursing Research Congress (INRC)

Dating violence is a public health issues, affecting young women in the college campus. Despite the importance of dating violence, few prevention programs address peer roles and target community responses to dating violence. Providing education to peers on how to help a friend could increase their confidence to help and in turn, increase reporting to formal sources. As a result, we would provide the support and resources that could mitigate health, academic, and social consequences of interpersonal violence. Purpose: The purpose of this pilot study was to evaluate the effectiveness and feasibility of Friends Helping Friends, a community level education …

On The Ground And From Afar: Stti & Global Nursing Organization Representatives To Un Ngo Community: A Place At The Table, Holly Shaw

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: In the inception of the UN, civil society was included to participate through representatives of NGOs. This presentation will focus on the experience of STTI representatives inside the UN NGO community and in the transnational CoNGO (Conference of NGOs in Consultative Status with the UN). Through DPI-NGO (Department of Public Information) and ECOSOC (Economic and Social Council) programs and NGO Committee participation, a voice for the nursing profession is emrging, providing an opportunity to contribute to global health issues.

Methods: STTI members will learn about the NGO UN Committees in the UN …

Educating Nursing Students As Change Agents: A Case Study, Tanya R. Friese

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

In 1996, the Institute of Medicine Committee on Public Health proposed a model of engagement and collaboration of public health, community, and hospital partnerships to improve population health. Nearly seventeen years later, supported by aspects of the Affordable Care Act (ACA), this initiative requires a nursing workforce with leadership capabilities to transcend boundaries between the two sectors. At our college of nursing, faculty who teach public and community health nursing collaborate with the university medical center and community based organizations to develop caring and responsible nurses with clinical reasoning who are patient advocates …

Predictors Of Exercise Counseling Behaviors Of Oncology Nurses To Women With Breast Cancer Experiencing Treatment-Induced Cancer-Related Fatigue, Donna Ho-Shing

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Fatigue is the most common long-term side effect of breast cancer treatment. Exercise is beneficial in managing the fatigue that women experience during and after treatment. Although exercise counseling is included in the National Comprehensive Cancer Network's (NCCN) guidelines for managing cancer related fatigue, many women undergoing treatment for breast cancer have never been counseled to exercise. This reveals inconsistencies between clinical care behaviors and the national treatment guidelines. There has been limited empirical research of factors that influence the exercise counseling behaviors of nurses who care for women undergoing treatment for …

A Qualitative Study Of Family Members Of Icu Patients Who Require Extensive Monitoring, Claudia Disabatino Smith, Kristi M. Custard

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Monitoring technology has become more high tech and complex in healthcare over the last ten to fifteen years. The computer age has facilitated the development of a host of more sensitive invasive and non-invasive monitors with which healthcare professionals both monitor and deliver therapy to critically ill patients. Accompanied by the emergence of this extensive monitoring technology is a growing gap between the healthcare providers who use the technology when caring for critically ill patients and the patients' family members who strain to understand and cope with its use. In order to …

Cultural Relevance Of The Healthy Choices Intervention Program, Diana L. Jacobson

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: The burden of obesity and its health consequences disproportionately affects Hispanic children and families. In Arizona, nearly 18% of the state's children and adolescents are obese (up from 12.2% in 2003) with the rate rising by nearly 46% between 2003 and 2007. Researchers have determined that multi-component; comprehensive obesity interventions are feasible in the primary care setting. In addition, it has become evident that intervention effectiveness is improved when obesity interventions are individualized to address the family's social and cultural influences on health. Purpose: The purpose of this study was to determine …

The Development Of New Evidence-Based Practice Competencies For Practicing Registered Nurses And Advanced Practice Nurses, Bernadette Mazurek Melnyk

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Research supports that evidence-based practice (EBP) promotes high value healthcare, including enhancing the quality and reliability of healthcare, improving health outcomes and reducing variations in care and costs. Even with its tremendous benefits, EBP is not the standard of care that is practiced consistently by clinicians throughout the United States and globe. Although there is a general expectation of healthcare systems globally for nurses to engage in EBP, much uncertainty exists about what exactly that level of engagement encompasses. Lack of clarity about EBP expectations and specific EBP competencies that nurses and …

New Evidence-Based Practice Competencies For Practicing Nurses And Advanced Practice Nurses: From Development To Real World Implementation, Bernadette Mazurek Melnyk

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Even though research has supported that evidence-based practice (EBP) improves the quality of healthcare and patient outcomes, long time lags exist between the generation of research and its implementation into real world practice settings with EBP still not being the standard of practice by nurses across the globe. The lack of specific EBP competencies for practicing nurses and advanced practice nurses impedes institutions from implementing and sustaining high-value, low cost evidence-based healthcare. This symposium will describe the development of a set of specific EBP competencies practicing nurses and advanced practice nurses in real …

Effects Of Self-Management Education Programme In Improving Self-Efficacy Of Patients With Chronic Obstructive Pulmonary Disease: An Exploratory Trial, Wai I. Ng

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: Chronic obstructive pulmonary disease (COPD) cannot be cured, but can be prevented and treated. Statistics show that it contributes more to the global burden of disease in terms of disability-adjusted life years (DALYs) than other respiratory diseases. In Macau, respiratory disease is the top three causes of all deaths in recent years (DSEC, 2008), however, the emphasis of healthcare service provision in relation to COPD patients is mainly focused on acute management. Therefore, the purpose of this study is to compare the self-efficacy of Macau COPD patients before and after implementation of …

Basic Principles And Applications Of Community-Based Participatory Research To Advance Nursing Science In Hiv Prevention, Adeline Nyamathi, Deborah Koniak-Griffin

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

This session introduces participants to Community-Based Participatory Research (CBPR) and provides case illustrations of research applying this approach. Participants learn how CBPR, also known as community-partnered research, differs from traditional research; the rationale for using the approach and historical grounding in nursing; fundamental principles of how CBPR is conducted; and strategies to facilitate the planning of research in collaboration with the communities. The workshop also includes information on establishing effective community advisory boards. Guidelines are provided for implementation and evaluation of CBPR. The Anderson Community Partnership Model is presented with its process phases …

Icu Diaries: The Journey To Psychological Recovery For Critically Ill Patient's Family Members, Carl Gosta Backman

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Delusional memories from the period of critical illness have been shown to be a major contributor to the later occurrence of post traumatic stress disorder (PTSD). The experience of watching the patient being critically ill is also traumatic to families, making them at risk of PTSD. It was hypothesised that an ICU diary could help patients and their families come to terms with their differing memories and so reduce the incidence of PTSD.

Methods: A prospective randomised, controlled study was performed in 12 ICUs across 6 European countries. 1 week after ICU …

A Mixed-Methods Study For Evaluating The Effect Of A Cultural And Contextual-Specific Exercise Program On Therapeutic Exercise Adherence Of Older People With Knee Osteoarthritis, Fung-Kam Iris Lee, Diana T. F. Lee, Winnie Kwok Wai So

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Knee osteoarthritis (KOA) is a common health problem in the older population (Gabriel & Michaud, 2009). Exercise has been recommended as the first-line clinical management strategy (Zhang et al., 2008) and its effectiveness has been well documented (Bosomworth, 2009; Scott & Kowalczyk, 2007; Zhang et al., 2008). However, exercise adherence is questionable and thus affecting the effectiveness of the recommended therapeutic exercise (Ettinger et al., 1997; Pisters et al., 2007). Previous literature indicates that a client-centered exercise intervention may improve exercise adherence of older people with KOA (Campbell et al., 2001). To …

Ed Community Placement Project (Edcpp): Right Service-Right Venue Approach In Managing Ed Frequent Users, Karen Elizabeth Mitchell

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014: ED Community Placement Project (EDCPP): Right Service -Right Venue approach in managing ED frequent users. Karen Elizabeth Mitchell, RN, MSN,CMCN, Department of Emergency Medicine, University of California San Diego Health System, San Diego, CA ED Community Placement Project (EDCPP): "Right Service -Right Venue" approach in managing ED frequent users. Authors: Karen Elizabeth Mitchell, RN, MSN, CMCN, Christian Tomaszewski, MD, MBA, and Catherina Mandani, RN, MSN, PhD(c). Background Statement: San Diego has the 3rd largest homeless population in the United States, following New York and Los Angeles. Homeless patients without medical homes account for …

Sensitivity, Specificity, And Sex Differences In Symptoms Of Acute Coronary Syndrome, Holli A. Devon, Alana Steffan, Anne G. Rosenfeld, Mohamud Daya

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: Clinical symptoms are part of the risk stratification approaches used in the emergency department (ED) to evaluate patients with suspected acute coronary syndrome (ACS). The purpose of this study was to determine the sensitivity, specificity, and predictive value of 13 symptoms for a diagnosis of ACS in women and men.

Methods: The sample included 736 patients admitted to four EDs with symptoms suggestive of ACS. Symptoms were assessed with the 13-item validated ACS Symptom Checklist. Mixed-effects logistic regression models were used to estimate sensitivity, specificity, and predictive value of each symptom for …

Designing Service Learning Projects For An Online Course In Healthcare Delivery, Linda E. Jensen

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014: Service learning has become an important part of many academic healthcare programs as it has been shown that service learning helps students become more aware of the needs of populations frequently involved in healthcare disparities. Volunteer organizations are an important part of healthcare delivery however, most students and many health care professional are unaware of many of the important resources for their patients which can be found in these community service organizations. However, a service-learning strategy is more difficult to design for an online course, as the instructor cannot know the organizations involved …

Global Epidemics Of Type 2 Diabetes And Cardiovascular Disease: Nursing Opportunities For Prevention And Management, Deborah Chyun

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Cardiovascular disease (CVD) is the leading cause of death throughout the world. Type 2 diabetes (T2DM) is not only an important risk factor for the development of CVD, but a prognostic marker for CVD-related morbidity and mortality. An additional challenge is that individuals with T2DM frequently do not display symptoms of coronary artery disease (CAD) and therefore CAD is often discovered late in the disease process. This session will explore the challenges in the prevention, detection and management of CVD in adults with T2DM through the current literature, as well as through the …

Self-Management On Chronic Diseases, Fernanda S. Bastos

International Nursing Research Congress (INRC)

Purpose: Chronic disease and its comorbidities represent the cause of episodes of hospitalization for lack of disease control, or its consequences. Ineffective self-management contributes to hospital readmissions and the high number of episodes of specialized care, indicates deficiencies in primary care. The study purpose was creat an explanatory model on self-management carried out by people with demonstration of ineffectiveness, in order to infer the elements of a health intervention that promotes a responsible self-management.

Methods: Selected for study were those with chronic illness, with five or more hospitalizations. Twenty-two participants were followed for a maximum of a year and a …

Relationship Between Families Perception Of Health And Family Support In Vulnerable Children Care, Jih-Yuan Chen, Hong-Sen Chen, Meng-Chi Liu, Mei-Chyn Chao

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Background: Family support in care of vulnerable children is rarely discussed yet has a major impact on family member health. The vulnerable children care setting is characterized by a rare disease of genetic, behaviors disturbed, or disability health. Family perceptions of health in relation to various outcomes of the children have including family health and family support has not been explored exclusively in outpatient care. Aim: First, assess families' perception of health associate with their children in different vulnerable care. Second, examine families' perception of health with a defined sample of vulnerable …

Growing The Flowers: Preparing Undergraduate Nursing Students For A Community Healthcare Placement In A Neoliberal Economy, Eleanor S. Horton

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Our objective was to engage and develop initiatives with our community partners to better prepare our nursing students for a community clinical placement in their Undergraduate Nursing Degree program thus increasing our clinical placements and stimulating students to consider community nursing as a viable career option. Many nursing degree programs have made the decision that to maintain a Primary healthcare community focus within the curriculum that addressees not just the theoretical component but the practicalities of a community placement is a very expensive exercise and one that in the current neoliberal economic …

Comparison Of Telemedicine To Traditional Face-To-Face Care For Children With Special Healthcare Needs: Analysis Of Cost, Caring, And Family-Centered Care, Mary A. Hooshmand

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this research project was to examine cost, caring and family-centered care in relation to pediatric specialty services utilizing telemedicine technology compared to traditional face-to-face visits for CSHCN in rural, remote and medically underserved areas of Southeast Florida. Family costs, caring, and family-centered care were examined from the perspectives of the parents/ guardians of CSHCN.

Methods: A quasi-experimental research design was used with a convenience sample of 222 parents/guardians of CSHCN residing in rural, remote and medically underserved areas of Southeast Florida enrolled in the Children's Medical Services (CMS) program. …

Robotic Pets As Companions For Socially Isolated Older Adults, Nancy E. Edwards, Alan M. Beck

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Robotic animals have been used in a variety of ways with older adults. Robotic animals have been used in a service function as assistive or physical aides and as an entertainment or companion role. Human interactive robots for entertainment and companionship are increasing in interest and research applications. This projects examined the influence of a 6 week interaction with a robotic dog (AIBO) on depressive symptoms, morale and life satisfaction in socially isolated older adults.

Methods: Fifteen older adults interacted with AIBO in their room in an assisted living facility for 6 …

Comparative Differences In The Perception Of Postoperative Pain In Patients And Nurses, Marija Kadovic

International Nursing Research Congress (INRC)

Aim: To found out is there a difference in postoperative pain assessment perception between patients and medical professionals - nurses involved in the patient care. Patients and methods: This study is conducted on surgical wards at Sveti Duh University hospital, Zagreb. Subjects included were patients on day one after the surgery. They reported their pain perception on numeric and verbal scale of assessment. Their perception was compared with assessment performed by nurses using the same method. Results: Median pain perception measured on numeric scale was 4 if assessed by patients, while the same pain perception was assessed by nurses to …

Measuring Endoscopic Performance For Colorectal Cancer Prevention Quality Improvement In A Gastroenterology Practice, Karen A. Hande

International Nursing Research Congress (INRC)

Colorectal cancer (CRC) is the third leading cause of cancer death in the United States, but the majority of cases are thought to be preventable by the use of screening colonoscopy. A gastroenterology private practice lacked quality measures to evaluate the practice's efforts to prevent CRC. This project assessed the practice's adherence to CRC prevention (CRC-P) benchmarking measures regarding colonoscopy performance. Colonoscopy performance data were gathered from a retrospective review of 90 charts using a modified form of The Colorectal Cancer Prevention Data Collection Form. The practice stakeholders and the project leader reviewed the data, identified practice deficiencies, conducted root …

Breaking Bad News: Confronting Interdisciplinary Bias, Rita Ann Dello Stritto, Peggy A. Landrum

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: A critical component of safe patient care in today's health care system is effective teamwork. Teams composed of members from various health care disciplines depend upon successful interprofessional collaboration under stressful conditions to achieve desired health outcomes. The purpose of Phase I of this multifaceted project was to bring together healthcare students from multiple disciplines, including nursing, medicine, and pharmacy: a) to collaborate on planning and implementing an approach to managing a challenging patient care situation, and b) to identify their own biases, challenges, and successes with interprofessional communication.

Methods: In teams …

The Experiences Of Siblings Living With A Child With Type 1 Diabetes, Donna Freeborn, Susanne Olsen Roper, Tina Dyches, Barbara L. Mandleco

International Nursing Research Congress (INRC)

Purpose: Diabetes is one of the most common chronic diseases in childhood and adolescence in the United States and currently affects roughly 215,000 people under the age of 20. Approximately one in every 400 children has been diagnosed with type 1 diabetes, and every year more than 13,000 young people are newly diagnosed with the disease.1 Indeed, this chronic illness affects all family members, including mothers, fathers, siblings and the child, as it is a disease with physical and emotional ramifications6 requiring lifestyle changes involving diet modification, blood glucose monitoring, and insulin administration. In fact, it is not uncommon for …

Innovative Approaches To Clinical Teaching And Learning: Caring For Clients Undergoing Perioperative Surgical Experiences By Nursing Students, Dora Maria Carbonu

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Clinical Instructors are constantly challenged to optimize clinical teaching and learning opportunities for students, to master technical skills while providing patient care through critical thinking and reflecting on their performance.

Method: Students in the Nursing Program at Nunavut Arctic College are oriented to client assignments a day before clinical placement, visit the Unit and, utilizing the nursing process, develop a client-specific care plan for implementation and ensure optimal outcomes during client care. In 2013 academic year, the third-year students' clinical placement included Day Surgery and Operating Room (OR) ' to acquire skills …

Community Engagement: Implementation Of An Innovative Interprofessional Curriculum For Community Assessment And Practice For Master's Education, Ruth Trudgeon

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this presentation is to describe the implementation of an innovative inter-professional curriculum for community assessment and practice for master's education and to discuss the use of theoretical approaches as a framework to guide the assessment.

Methods: Descriptive summary of an innovative curriculum that focuses on community assessment, education and practice for master's education using inter-professional approach.

Results: Comprehensive in-depth analysis of communities using a wide-range of modalities resulting in strategies to improve outcomes. Practice implementation that focuses on health promotion across the life span has been implemented to vulnerable …

The Role Of Preparatory Activities In Clinical Education For The Pre-Licensure Nursing Student, Laureen E. Turner

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: This study explores preclinical preparation activities (PPA) in nursing education. Significance: The clinical environment represents the cornerstone of nursing education, where theory, psychomotor skills, and critical thinking converge. Existing literature demonstrates limited data on PPA.' This paper investigates forms and student perceptions regarding PPA.

Methods: A survey tool was created in tandem with existing research and faculty consultation. This survey was distributed to students (N=541) and clinical faculty (N=94). 298 students and 34 faculty returned the survey. Analysis: Quantitative data was cleaned and analyzed using Stata 13. Qualitative student data was analyzed …

Current Assessments Of Quality And Safety Competencies In Registered Professional Nurses: An Examination Of Nurse Leader Perceptions, Elaine Smith

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: The purpose of this study is to determine the degree of satisfaction nurse leaders possess with respect to the six Quality and Safety Education for Nurses (QSEN) core competencies :use of evidence- based practice; teamwork and collaboration; patient-centered care; quality improvement; safety ;and the use of informatics. Are these competencies reflected in the practice of new graduate registered nurses and in the practice of their incumbent experienced staffs? Nurse leaders differentiated their responses based on the educational level and experience level of the nurses. Additionally, teaching and learning resources within healthcare facilities …

Nurses' Patient Safety Competencies In Korea, Haena Jang, Nam-Ju Lee

International Nursing Research Congress (INRC)

The purpose of this study is to investigate nurses’ patient safety competencies (PSC) in Korea.